ICD-10-CM Code H04.531

Neonatal obstruction of right nasolacrimal duct

Version 2020 Billable Code Perinatal/newborn Diagnoses

Valid for Submission

H04.531 is a billable code used to specify a medical diagnosis of neonatal obstruction of right nasolacrimal duct. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The code H04.531 is applicable to newborn patients only. It is clinically and virtually impossible to use this code on a non-newborn patient.

ICD-10:H04.531
Short Description:Neonatal obstruction of right nasolacrimal duct
Long Description:Neonatal obstruction of right nasolacrimal duct

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Perinatal/Newborn diagnoses - Newborn. Age of 0 years; a subset of diagnoses intended only for newborns and neonates (e.g., fetal distress, perinatal jaundice).

Diagnostic Related Groups

The ICD-10 code H04.531 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

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

Convert H04.531 to ICD-9

  • 375.55 - Neonatal nasolacrml obst (Approximate Flag)

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

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.


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