ICD-10 Diagnosis Code H04.522

Eversion of left lacrimal punctum

Diagnosis Code H04.522

ICD-10: H04.522
Short Description: Eversion of left lacrimal punctum
Long Description: Eversion of left lacrimal punctum
This is the 2019 version of the ICD-10-CM diagnosis code H04.522

Valid for Submission
The code H04.522 is valid for submission for HIPAA-covered transactions.

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

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code H04.522 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 124 - OTHER DISORDERS OF THE EYE WITH MCC
  • 125 - OTHER DISORDERS OF THE EYE WITHOUT MCC

Convert to ICD-9
  • 375.51 - Lacriml punctum eversion (Approximate Flag)

Information for Patients


Tears

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)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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