What is the ICD-10 code for dry eye syndrome?

The ICD-10 code for dry eye syndrome varies by laterality: H04.121 for right eye, H04.122 for left eye, and H04.123 for bilateral.

How do you code dry eye syndrome with Sjögren's?

Code M35.01 for Sjögren's syndrome first, followed by H04.123 for bilateral dry eye syndrome.

ICD-10 Coding for Eye Dryness(H04.121, H02.88A, H02.88B)

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Explore detailed ICD-10 coding guidelines for eye dryness, including primary, ancillary, and differential codes, documentation requirements, and common pitfalls.

Also known as:

Dry Eye SyndromeKeratoconjunctivitis Sicca

Related ICD-10 Code Ranges

Complete code families applicable to Eye Dryness

H00-H59Primary Range

Diseases of the eye and adnexa

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
H04.121	Dry eye syndrome of right lacrimal gland	Use when dry eye is confirmed in the right eye with specific test results	Schirmer's test ≤5mm/5min Positive fluorescein staining
H04.122	Dry eye syndrome of left lacrimal gland	Use when dry eye is confirmed in the left eye with specific test results	Schirmer's test ≤5mm/5min Positive fluorescein staining
H04.123	Dry eye syndrome of bilateral lacrimal glands	Use when dry eye is confirmed in both eyes with specific test results	Schirmer's test ≤5mm/5min Positive fluorescein staining

Primary ICD-10-CM Codes

Dry eye syndrome of right lacrimal gland

H04.121Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Keratoconjunctivitis sicca, right eyeH16.221

Use when Sjögren's is not confirmed

Keratoconjunctivitis sicca, left eyeH16.222

Use when Sjögren's is not confirmed

Keratoconjunctivitis sicca, bilateralH16.223

Use when Sjögren's is not confirmed

Documentation & Coding Risks

Avoid these common issues when documenting Eye Dryness.

Failure to document laterality

Impact

Clinical: Inaccurate patient records, Regulatory: Non-compliance with coding guidelines, Financial: Potential claim denials

Mitigation

Always specify right, left, or bilateral in documentation

Using unspecified codes like H04.129

Impact

Reimbursement: May lead to claim denials or reduced reimbursement, Compliance: Non-compliance with coding specificity requirements, Data Quality: Decreases accuracy of patient records

Mitigation

Document laterality and use specific codes like H04.121, H04.122, or H04.123

Unspecified coding

Impact

High frequency of unspecified codes can trigger audits

Mitigation

Ensure documentation supports specific laterality coding

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with H04.121.

Primary Code

H04.121

Dry eye syndrome of right lacrimal gland

Quick Navigation

ICD-10 codes13

Coding risks3

FAQs2

ICD-10 Coding for Eye Dryness(H04.121, H02.88A, H02.88B)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for dry eye syndrome?

How do you code dry eye syndrome with Sjögren's?

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