2021 ICD-10-CM Code H04.61

Lacrimal fistula

Version 2021

Not Valid for Submission

H04.61 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of lacrimal fistula. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

ICD-10:H04.61
Short Description:Lacrimal fistula
Long Description:Lacrimal fistula

Code Classification

Specific Coding for Lacrimal fistula

Non-specific codes like H04.61 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for lacrimal fistula:

  • BILLABLE CODE - Use H04.611 for Lacrimal fistula right lacrimal passage
  • BILLABLE CODE - Use H04.612 for Lacrimal fistula left lacrimal passage
  • BILLABLE CODE - Use H04.613 for Lacrimal fistula bilateral lacrimal passages
  • BILLABLE CODE - Use H04.619 for Lacrimal fistula unspecified lacrimal passage

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code H04.61 are found in the index:

Information for Patients


Tears

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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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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)