2022 ICD-10-CM Code H04.539

Neonatal obstruction of unspecified nasolacrimal duct

Version 2021

Valid for Submission

ICD-10:H04.539
Short Description:Neonatal obstruction of unspecified nasolacrimal duct
Long Description:Neonatal obstruction of unspecified nasolacrimal duct

Code Classification

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

H04.539 is a billable diagnosis code used to specify a medical diagnosis of neonatal obstruction of unspecified nasolacrimal duct. The code H04.539 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.

The ICD-10-CM code H04.539 might also be used to specify conditions or terms like acquired nasolacrimal duct obstruction, neonatal obstruction of nasolacrimal duct or obstruction of nasolacrimal duct.

The code H04.539 is applicable to newborn patients only. It is clinically and virtually impossible to use this code on a non-newborn patient.

Unspecified diagnosis codes like H04.539 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

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:

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Convert H04.539 to ICD-9 Code

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code H04.539 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

Information for Patients


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Code History

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