Valid for Submission
H04.549 is a billable diagnosis code used to specify a medical diagnosis of stenosis of unspecified lacrimal canaliculi. The code H04.549 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code H04.549 might also be used to specify conditions or terms like blocked lacrimal canaliculus, complete obstruction of lacrimal canaliculus, obstruction of lacrimal canaliculus or stenosis of lacrimal canaliculi.
Unspecified diagnosis codes like H04.549 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.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Blocked lacrimal canaliculus
- Complete obstruction of lacrimal canaliculus
- Obstruction of lacrimal canaliculus
- Stenosis of lacrimal canaliculi
Diagnostic Related Groups - MS-DRG Mapping
Convert H04.549 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code H04.549 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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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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