2026 ICD-10-CM Diagnosis Code H04.333Acute lacrimal canaliculitis of bilateral lacrimal passages

ICD-10-CM CodesH00–H59H00-H05H04

ICD-10-CM H04.333
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H04.333 is a billable ICD-10-CM diagnosis code for acute lacrimal canaliculitis of bilateral lacrimal passages. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 121 through 122. Coders also document this condition as acute lacrimal canaliculitis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Oculofacial plastics and orbital conditions.

Code Identity

ICD-10-CM Code
H04.333
Billable Status
Yes — Valid for Submission
Code Describes
Acute lacrimal canaliculitis of bilateral lacrimal passages
Short Description
Acute lacrimal canaliculitis of bilateral lacrimal passages
Same as the full description in the CMS dataset.
Parent Code
Acute lacrimal canaliculitis

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH04Disorders of lacrimal system
This CodeH04.333Acute lacrimal canaliculitis of bilateral lacrimal passages

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acute lacrimal canaliculitis
  • Acute lacrimal canaliculitis of left eye region
  • Acute lacrimal canaliculitis of right eye region
  • Bilateral acute lacrimal canaliculitis

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

Patient EducationClinical

Tears

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Read the full article at MedlinePlus

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

Convert H04.333 to ICD-9-CMHistory

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

ICD-9-CM
375.31 Acute canaliculitis
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 H04.333Overview

Is H04.333 (Acute lacrimal canaliculitis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report acute lacrimal canaliculitis of bilateral lacrimal passages on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H04.333 group to?

When acute lacrimal canaliculitis of bilateral lacrimal passages is the principal diagnosis on an inpatient stay, it groups to MS-DRG 121, 122, with relative weights from 0.7858 to 1.1633 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H04.333?

Under the General Equivalence Mappings, acute lacrimal canaliculitis of bilateral lacrimal passages converts to ICD-9-CM 375.31 (acute canaliculitis). 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.