2027 ICD-10-CM Diagnosis Code H04.122Dry eye syndrome of left lacrimal gland

ICD-10-CM Codes›H00–H59›H00-H05›H04

ICD-10-CM H04.122
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H04.122 is a billable ICD-10-CM diagnosis code for dry eye syndrome of left lacrimal gland. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. Coders also document this condition as dry cornea. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Oculofacial plastics and orbital conditions.

Code Identity

ICD-10-CM Code
H04.122
Billable Status
Yes — Valid for Submission
Code Describes
Dry eye syndrome of left lacrimal gland
Short Description
Dry eye syndrome of left lacrimal gland
Same as the full description in the CMS dataset.
Parent Code
H04.12
Dry eye syndrome

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH04Disorders of lacrimal system
This CodeH04.122Dry eye syndrome of left lacrimal gland

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Dry cornea
  • Dry cornea of left eye
  • Dry eye syndrome of left eye
  • Tear film insufficiency

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H04.122: its own notes plus those printed at H04, block H00-H05, and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From H04 Disorders of lacrimal system applies to 120 codes
  • congenital malformations of lacrimal system (Q10.4-Q10.6)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block H00-H05 Disorders of eyelid, lacrimal system and orbit applies to 574 codes
From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE008
Oculofacial plastics and orbital conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Dry Eye Syndromes

    corneal and conjunctival dryness due to deficient tear production, predominantly in menopausal and post-menopausal women. filamentary keratitis or erosion of the conjunctival and corneal epithelium may be caused by these disorders. sensation of the presence of a foreign body in the eye and burning of the eyes may occur.

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H04.122 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
375.15 Tear film insuffic NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H04.122Overview

What is the ICD-10 code for dry eye syndrome of left lacrimal gland?

The ICD-10-CM code for dry eye syndrome of left lacrimal gland is H04.122 (sometimes written as H04122). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H04.122 (Dry eye syndrome) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report dry eye syndrome of left lacrimal gland on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H04.122 group to?

When dry eye syndrome of left lacrimal gland is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H04.122?

Under the General Equivalence Mappings, dry eye syndrome of left lacrimal gland converts to ICD-9-CM 375.15 (tear film insuffic NOS). The mapping is approximate, so confirm the match fits the documentation.