ICD-10-CM Code H04.5

Stenosis and insufficiency of lacrimal passages

Version 2021 Non-Billable Code

Not Valid for Submission

H04.5 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of stenosis and insufficiency of lacrimal passages. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions.

Short Description:Stenosis and insufficiency of lacrimal passages
Long Description:Stenosis and insufficiency of lacrimal passages

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

  • H04.51 - Dacryolith
  • H04.511 - Dacryolith of right lacrimal passage
  • H04.512 - Dacryolith of left lacrimal passage
  • H04.513 - Dacryolith of bilateral lacrimal passages
  • H04.519 - Dacryolith of unspecified lacrimal passage
  • H04.52 - Eversion of lacrimal punctum
  • H04.521 - Eversion of right lacrimal punctum
  • H04.522 - Eversion of left lacrimal punctum
  • H04.523 - Eversion of bilateral lacrimal punctum
  • H04.529 - Eversion of unspecified lacrimal punctum
  • H04.53 - Neonatal obstruction of nasolacrimal duct
  • H04.531 - Neonatal obstruction of right nasolacrimal duct
  • H04.532 - Neonatal obstruction of left nasolacrimal duct
  • H04.533 - Neonatal obstruction of bilateral nasolacrimal duct
  • H04.539 - Neonatal obstruction of unspecified nasolacrimal duct
  • H04.54 - Stenosis of lacrimal canaliculi
  • H04.541 - Stenosis of right lacrimal canaliculi
  • H04.542 - Stenosis of left lacrimal canaliculi
  • H04.543 - Stenosis of bilateral lacrimal canaliculi
  • H04.549 - Stenosis of unspecified lacrimal canaliculi
  • H04.55 - Acquired stenosis of nasolacrimal duct
  • H04.551 - Acquired stenosis of right nasolacrimal duct
  • H04.552 - Acquired stenosis of left nasolacrimal duct
  • H04.553 - Acquired stenosis of bilateral nasolacrimal duct
  • H04.559 - Acquired stenosis of unspecified nasolacrimal duct
  • H04.56 - Stenosis of lacrimal punctum
  • H04.561 - Stenosis of right lacrimal punctum
  • H04.562 - Stenosis of left lacrimal punctum
  • H04.563 - Stenosis of bilateral lacrimal punctum
  • H04.569 - Stenosis of unspecified lacrimal punctum
  • H04.57 - Stenosis of lacrimal sac
  • H04.571 - Stenosis of right lacrimal sac
  • H04.572 - Stenosis of left lacrimal sac
  • H04.573 - Stenosis of bilateral lacrimal sac
  • H04.579 - Stenosis of unspecified lacrimal sac

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)

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