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H04Non-billableSave

H04 - Disorders of lacrimal system

ICD-10-CM Chapter 7: Diseases of the eye and adnexa · H00-H05 Disorders of eyelid, lacrimal system and orbit (H00-H05) · Top-level category · FY2027

Coding Guidance

H04 is a non-billable heading. Report one of the 9 more specific codes below.

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom H04

Mutually exclusive: these conditions are never reported together with this code.

  • congenital malformations of lacrimal system (Q10.4-Q10.6)
Excludes 2 — Not Included HereFrom H00-H05 Disorders of eyelid, lacrimal system and orbit (H00-H05)

Not part of this code; report both codes when the patient has both conditions.

  • open wound of eyelid (S01.1-)
  • superficial injury of eyelid (S00.1-, S00.2-)
Excludes 2 — Not Included HereFrom Chapter H00-H59

Not part of this code; report both codes when the patient has both conditions.

  • 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)
NotesFrom Chapter H00-H59

Instructional notes from the ICD-10-CM tabular list.

  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

More Specific Codes (9)

H04.0Dacryoadenitis→H04.1Other disorders of lacrimal gland→H04.2Epiphora→H04.3Acute and unspecified inflammation of lacrimal passages→H04.4Chronic inflammation of lacrimal passages→H04.5Stenosis and insufficiency of lacrimal passages→H04.6Other changes of lacrimal passages→H04.8Other disorders of lacrimal system→H04.9Disorder of lacrimal system, unspecified→

Related condition guides

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