2027 ICD-10-CM Diagnosis Code H04Disorders of lacrimal system

ICD-10-CM Codes›H00–H59›H00-H05›H04

ICD-10-CM H04
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H04 is a non-billable ICD-10-CM category code for disorders of lacrimal system, so it cannot be submitted on claims. Use a more specific code from this category instead, such as H04.001, H04.002, H04.003, and H04.009.

Code Identity

ICD-10-CM Code
H04
Billable Status
No — Non-Billable Category
Code Describes
Disorders of lacrimal system
Short Description
Disorders of lacrimal system
Same as the full description in the CMS dataset.
Chapter
H00-H05
Disorders of eyelid, lacrimal system and orbit

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH04Disorders of lacrimal system
This CodeH04Disorders of lacrimal system

Specific Coding for Disorders of lacrimal systemOverview

Non-specific codes like H04 require more characters. Use one of these billable codes instead:

  • H04.0 for Dacryoadenitis

  • H04.00 for Unspecified dacryoadenitis

  • H04.01 for Acute dacryoadenitis

  • H04.02 for Chronic dacryoadenitis

  • H04.03 for Chronic enlargement of lacrimal gland

  • H04.1 for Other disorders of lacrimal gland

  • H04.11 for Dacryops

  • H04.12 for Dry eye syndrome

  • H04.13 for Lacrimal cyst

  • H04.14 for Primary lacrimal gland atrophy

  • H04.15 for Secondary lacrimal gland atrophy

  • H04.16 for Lacrimal gland dislocation

  • Use H04.19 for Other specified disorders of lacrimal gland

  • H04.2 for Epiphora

  • H04.20 for Unspecified epiphora

  • H04.21 for Epiphora due to excess lacrimation

  • H04.22 for Epiphora due to insufficient drainage

  • H04.3 for Acute and unspecified inflammation of lacrimal passages

  • H04.30 for Unspecified dacryocystitis

  • H04.31 for Phlegmonous dacryocystitis

  • H04.32 for Acute dacryocystitis

  • H04.33 for Acute lacrimal canaliculitis

  • H04.4 for Chronic inflammation of lacrimal passages

  • H04.41 for Chronic dacryocystitis

  • H04.42 for Chronic lacrimal canaliculitis

  • H04.43 for Chronic lacrimal mucocele

  • H04.5 for Stenosis and insufficiency of lacrimal passages

  • H04.51 for Dacryolith

  • H04.52 for Eversion of lacrimal punctum

  • H04.53 for Neonatal obstruction of nasolacrimal duct

  • H04.54 for Stenosis of lacrimal canaliculi

  • H04.55 for Acquired stenosis of nasolacrimal duct

  • H04.56 for Stenosis of lacrimal punctum

  • H04.57 for Stenosis of lacrimal sac

  • H04.6 for Other changes of lacrimal passages

  • H04.61 for Lacrimal fistula

  • Use H04.69 for Other changes of lacrimal passages

  • H04.8 for Other disorders of lacrimal system

  • H04.81 for Granuloma of lacrimal passages

  • Use H04.89 for Other disorders of lacrimal system

  • Use H04.9 for Disorder of lacrimal system, unspecified

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H04: its own notes plus those printed at block H00-H05 and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • congenital malformations of lacrimal system (Q10.4-Q10.6)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block H00-H05 Disorders of eyelid, lacrimal system and orbit applies to 574 codes
From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

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Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H04Overview

What is the ICD-10 code for disorders of lacrimal system?

H04 is the ICD-10-CM category for disorders of lacrimal system, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is H04 (Disorders of lacrimal system) a billable code?

No. This is a category header that groups the codes for disorders of lacrimal system, and headers cannot be submitted on claims. Claims for disorders of lacrimal system need a more specific code from this category, such as H04.001, H04.002, and H04.003.