ICD-10-CM Code H04.2


Version 2021 Non-Billable Code

Not Valid for Submission

H04.2 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of epiphora. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions.

Short Description:Epiphora
Long Description:Epiphora

Consider the following ICD-10 codes with a higher level of specificity:

  • H04.20 - Unspecified epiphora
  • H04.201 - Unspecified epiphora, right side
  • H04.202 - Unspecified epiphora, left side
  • H04.203 - Unspecified epiphora, bilateral
  • H04.209 - Unspecified epiphora, unspecified side
  • H04.21 - Epiphora due to excess lacrimation
  • H04.211 - Epiphora due to excess lacrimation, right lacrimal gland
  • H04.212 - Epiphora due to excess lacrimation, left lacrimal gland
  • H04.213 - Epiphora due to excess lacrimation, bilateral lacrimal glands
  • H04.219 - Epiphora due to excess lacrimation, unspecified lacrimal gland
  • H04.22 - Epiphora due to insufficient drainage
  • H04.221 - Epiphora due to insufficient drainage, right side
  • H04.222 - Epiphora due to insufficient drainage, left side
  • H04.223 - Epiphora due to insufficient drainage, bilateral
  • H04.229 - Epiphora due to insufficient drainage, unspecified side

Clinical Information

  • LACRIMAL APPARATUS DISEASES-. diseases of the lacrimal apparatus.

Code Classification

  • Diseases of the eye and adnexa (H00–H59)
    • Disorders of eyelid, lacrimal system and orbit (H00-H05)
      • Disorders of lacrimal system (H04)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


You may only think of tears as those salty drops that fall from your eyes when you cry. Actually, your tears clean your eyes every time you blink. Tears also keep your eyes moist, which is important for your vision.

Tear glands produce tears, and tear ducts carry the tears from the glands to the surface of your eye. Problems with the tear system can include too many tears, too few tears, or problems with the tear ducts. Treatment of the problem depends on the cause.

  • Blocked tear duct (Medical Encyclopedia)
  • Dry eye syndrome (Medical Encyclopedia)
  • Watery eyes (Medical Encyclopedia)

[Learn More]