2026 ICD-10-CM Diagnosis Code H04.19Other specified disorders of lacrimal gland

ICD-10-CM Codes›H00–H59›H00-H05›H04

ICD-10-CM H04.19
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H04.19 is a billable ICD-10-CM diagnosis code for other specified disorders of lacrimal gland. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. Coders also document this condition as benign lymphoepithelial lesion of lacrimal gland. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Cornea and external disease and Oculofacial plastics and orbital conditions.

Code Identity

ICD-10-CM Code
H04.19
Billable Status
Yes — Valid for Submission
Code Describes
Other specified disorders of lacrimal gland
Short Description
Other specified disorders of lacrimal gland
Same as the full description in the CMS dataset.
Parent Code
H04.1
Other disorders of lacrimal gland

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH04Disorders of lacrimal system
This CodeH04.19Other specified disorders of lacrimal gland

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Benign lymphoepithelial lesion of lacrimal gland
  • Bilateral lacrimal gland enlargement
  • Disorder of lacrimal gland
  • Disorder of lacrimal gland due to Sjögren syndrome
  • Enlargement of lacrimal gland
  • Enlargement of left lacrimal gland
  • Enlargement of right lacrimal gland
  • Reactive lymphoid hyperplasia of lacrimal gland

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disorder(of)
      • lacrimal system
        • gland

Clinical ClassificationClinical

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

CCSR EYE001
Cornea and external disease
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR EYE008
Oculofacial plastics and orbital conditions
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

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Convert H04.19 to ICD-9-CMHistory

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

ICD-9-CM
375.89 Lacrimal syst dis NEC
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H04.19Overview

Is H04.19 (Other disorders of lacrimal gland) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other specified disorders of lacrimal gland on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H04.19 group to?

When other specified disorders of lacrimal gland is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H04.19?

Under the General Equivalence Mappings, other specified disorders of lacrimal gland converts to ICD-9-CM 375.89 (lacrimal syst dis NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.