ICD-10-CM · Chapter 7 · H00-H59
H04 Disorders of lacrimal system
Excludes 1 (cannot be coded together)
- congenital malformations of lacrimal system (Q10.4-Q10.6)
Subcodes
Each subcode links to a detail page with full clinical annotations.
| Code | Description | Billable |
|---|---|---|
| H04..0 | Dacryoadenitis | No |
| H04..00 | Unspecified dacryoadenitis | No |
| H04..001 | Unspecified dacryoadenitis, right lacrimal gland | Yes |
| H04..002 | Unspecified dacryoadenitis, left lacrimal gland | Yes |
| H04..003 | Unspecified dacryoadenitis, bilateral lacrimal glands | Yes |
| H04..009 | Unspecified dacryoadenitis, unspecified lacrimal gland | Yes |
| H04..01 | Acute dacryoadenitis | No |
| H04..011 | Acute dacryoadenitis, right lacrimal gland | Yes |
| H04..012 | Acute dacryoadenitis, left lacrimal gland | Yes |
| H04..013 | Acute dacryoadenitis, bilateral lacrimal glands | Yes |
| H04..019 | Acute dacryoadenitis, unspecified lacrimal gland | Yes |
| H04..02 | Chronic dacryoadenitis | No |
| H04..021 | Chronic dacryoadenitis, right lacrimal gland | Yes |
| H04..022 | Chronic dacryoadenitis, left lacrimal gland | Yes |
| H04..023 | Chronic dacryoadenitis, bilateral lacrimal gland | Yes |
| H04..029 | Chronic dacryoadenitis, unspecified lacrimal gland | Yes |
| H04..03 | Chronic enlargement of lacrimal gland | No |
| H04..031 | Chronic enlargement of right lacrimal gland | Yes |
| H04..032 | Chronic enlargement of left lacrimal gland | Yes |
| H04..033 | Chronic enlargement of bilateral lacrimal glands | Yes |
| H04..039 | Chronic enlargement of unspecified lacrimal gland | Yes |
| H04..1 | Other disorders of lacrimal gland | No |
| H04..11 | Dacryops | No |
| H04..111 | Dacryops of right lacrimal gland | Yes |
| H04..112 | Dacryops of left lacrimal gland | Yes |
| H04..113 | Dacryops of bilateral lacrimal glands | Yes |
| H04..119 | Dacryops of unspecified lacrimal gland | Yes |
| H04..12 | Dry eye syndrome | No |
| H04..121 | Dry eye syndrome of right lacrimal gland | Yes |
| H04..122 | Dry eye syndrome of left lacrimal gland | Yes |
| H04..123 | Dry eye syndrome of bilateral lacrimal glands | Yes |
| H04..129 | Dry eye syndrome of unspecified lacrimal gland | Yes |
| H04..13 | Lacrimal cyst | No |
| H04..131 | Lacrimal cyst, right lacrimal gland | Yes |
| H04..132 | Lacrimal cyst, left lacrimal gland | Yes |
| H04..133 | Lacrimal cyst, bilateral lacrimal glands | Yes |
| H04..139 | Lacrimal cyst, unspecified lacrimal gland | Yes |
| H04..14 | Primary lacrimal gland atrophy | No |
| H04..141 | Primary lacrimal gland atrophy, right lacrimal gland | Yes |
| H04..142 | Primary lacrimal gland atrophy, left lacrimal gland | Yes |
| H04..143 | Primary lacrimal gland atrophy, bilateral lacrimal glands | Yes |
| H04..149 | Primary lacrimal gland atrophy, unspecified lacrimal gland | Yes |
| H04..15 | Secondary lacrimal gland atrophy | No |
| H04..151 | Secondary lacrimal gland atrophy, right lacrimal gland | Yes |
| H04..152 | Secondary lacrimal gland atrophy, left lacrimal gland | Yes |
| H04..153 | Secondary lacrimal gland atrophy, bilateral lacrimal glands | Yes |
| H04..159 | Secondary lacrimal gland atrophy, unspecified lacrimal gland | Yes |
| H04..16 | Lacrimal gland dislocation | No |
| H04..161 | Lacrimal gland dislocation, right lacrimal gland | Yes |
| H04..162 | Lacrimal gland dislocation, left lacrimal gland | Yes |
| H04..163 | Lacrimal gland dislocation, bilateral lacrimal glands | Yes |
| H04..169 | Lacrimal gland dislocation, unspecified lacrimal gland | Yes |
| H04..19 | Other specified disorders of lacrimal gland | Yes |
| H04..2 | Epiphora | No |
| H04..20 | Unspecified epiphora | No |
| H04..201 | Unspecified epiphora, right side | Yes |
| H04..202 | Unspecified epiphora, left side | Yes |
| H04..203 | Unspecified epiphora, bilateral | Yes |
| H04..209 | Unspecified epiphora, unspecified side | Yes |
| H04..21 | Epiphora due to excess lacrimation | No |
| H04..211 | Epiphora due to excess lacrimation, right lacrimal gland | Yes |
| H04..212 | Epiphora due to excess lacrimation, left lacrimal gland | Yes |
| H04..213 | Epiphora due to excess lacrimation, bilateral lacrimal glands | Yes |
| H04..219 | Epiphora due to excess lacrimation, unspecified lacrimal gland | Yes |
| H04..22 | Epiphora due to insufficient drainage | No |
| H04..221 | Epiphora due to insufficient drainage, right side | Yes |
| H04..222 | Epiphora due to insufficient drainage, left side | Yes |
| H04..223 | Epiphora due to insufficient drainage, bilateral | Yes |
| H04..229 | Epiphora due to insufficient drainage, unspecified side | Yes |
| H04..3 | Acute and unspecified inflammation of lacrimal passages | No |
| H04..30 | Unspecified dacryocystitis | No |
| H04..301 | Unspecified dacryocystitis of right lacrimal passage | Yes |
| H04..302 | Unspecified dacryocystitis of left lacrimal passage | Yes |
| H04..303 | Unspecified dacryocystitis of bilateral lacrimal passages | Yes |
| H04..309 | Unspecified dacryocystitis of unspecified lacrimal passage | Yes |
| H04..31 | Phlegmonous dacryocystitis | No |
| H04..311 | Phlegmonous dacryocystitis of right lacrimal passage | Yes |
| H04..312 | Phlegmonous dacryocystitis of left lacrimal passage | Yes |
| H04..313 | Phlegmonous dacryocystitis of bilateral lacrimal passages | Yes |
| H04..319 | Phlegmonous dacryocystitis of unspecified lacrimal passage | Yes |
| H04..32 | Acute dacryocystitis | No |
| H04..321 | Acute dacryocystitis of right lacrimal passage | Yes |
| H04..322 | Acute dacryocystitis of left lacrimal passage | Yes |
| H04..323 | Acute dacryocystitis of bilateral lacrimal passages | Yes |
| H04..329 | Acute dacryocystitis of unspecified lacrimal passage | Yes |
| H04..33 | Acute lacrimal canaliculitis | No |
| H04..331 | Acute lacrimal canaliculitis of right lacrimal passage | Yes |
| H04..332 | Acute lacrimal canaliculitis of left lacrimal passage | Yes |
| H04..333 | Acute lacrimal canaliculitis of bilateral lacrimal passages | Yes |
| H04..339 | Acute lacrimal canaliculitis of unspecified lacrimal passage | Yes |
| H04..4 | Chronic inflammation of lacrimal passages | No |
| H04..41 | Chronic dacryocystitis | No |
| H04..411 | Chronic dacryocystitis of right lacrimal passage | Yes |
| H04..412 | Chronic dacryocystitis of left lacrimal passage | Yes |
| H04..413 | Chronic dacryocystitis of bilateral lacrimal passages | Yes |
| H04..419 | Chronic dacryocystitis of unspecified lacrimal passage | Yes |
| H04..42 | Chronic lacrimal canaliculitis | No |
| H04..421 | Chronic lacrimal canaliculitis of right lacrimal passage | Yes |
| H04..422 | Chronic lacrimal canaliculitis of left lacrimal passage | Yes |
| H04..423 | Chronic lacrimal canaliculitis of bilateral lacrimal passages | Yes |
| H04..429 | Chronic lacrimal canaliculitis of unspecified lacrimal passage | Yes |
| H04..43 | Chronic lacrimal mucocele | No |
| H04..431 | Chronic lacrimal mucocele of right lacrimal passage | Yes |
| H04..432 | Chronic lacrimal mucocele of left lacrimal passage | Yes |
| H04..433 | Chronic lacrimal mucocele of bilateral lacrimal passages | Yes |
| H04..439 | Chronic lacrimal mucocele of unspecified lacrimal passage | Yes |
| H04..5 | Stenosis and insufficiency of lacrimal passages | No |
| H04..51 | Dacryolith | No |
| H04..511 | Dacryolith of right lacrimal passage | Yes |
| H04..512 | Dacryolith of left lacrimal passage | Yes |
| H04..513 | Dacryolith of bilateral lacrimal passages | Yes |
| H04..519 | Dacryolith of unspecified lacrimal passage | Yes |
| H04..52 | Eversion of lacrimal punctum | No |
| H04..521 | Eversion of right lacrimal punctum | Yes |
| H04..522 | Eversion of left lacrimal punctum | Yes |
| H04..523 | Eversion of bilateral lacrimal punctum | Yes |
| H04..529 | Eversion of unspecified lacrimal punctum | Yes |
| H04..53 | Neonatal obstruction of nasolacrimal duct | No |
| H04..531 | Neonatal obstruction of right nasolacrimal duct | Yes |
| H04..532 | Neonatal obstruction of left nasolacrimal duct | Yes |
| H04..533 | Neonatal obstruction of bilateral nasolacrimal duct | Yes |
| H04..539 | Neonatal obstruction of unspecified nasolacrimal duct | Yes |
| H04..54 | Stenosis of lacrimal canaliculi | No |
| H04..541 | Stenosis of right lacrimal canaliculi | Yes |
| H04..542 | Stenosis of left lacrimal canaliculi | Yes |
| H04..543 | Stenosis of bilateral lacrimal canaliculi | Yes |
| H04..549 | Stenosis of unspecified lacrimal canaliculi | Yes |
| H04..55 | Acquired stenosis of nasolacrimal duct | No |
| H04..551 | Acquired stenosis of right nasolacrimal duct | Yes |
| H04..552 | Acquired stenosis of left nasolacrimal duct | Yes |
| H04..553 | Acquired stenosis of bilateral nasolacrimal duct | Yes |
| H04..559 | Acquired stenosis of unspecified nasolacrimal duct | Yes |
| H04..56 | Stenosis of lacrimal punctum | No |
| H04..561 | Stenosis of right lacrimal punctum | Yes |
| H04..562 | Stenosis of left lacrimal punctum | Yes |
| H04..563 | Stenosis of bilateral lacrimal punctum | Yes |
| H04..569 | Stenosis of unspecified lacrimal punctum | Yes |
| H04..57 | Stenosis of lacrimal sac | No |
| H04..571 | Stenosis of right lacrimal sac | Yes |
| H04..572 | Stenosis of left lacrimal sac | Yes |
| H04..573 | Stenosis of bilateral lacrimal sac | Yes |
| H04..579 | Stenosis of unspecified lacrimal sac | Yes |
| H04..6 | Other changes of lacrimal passages | No |
| H04..61 | Lacrimal fistula | No |
| H04..611 | Lacrimal fistula right lacrimal passage | Yes |
| H04..612 | Lacrimal fistula left lacrimal passage | Yes |
| H04..613 | Lacrimal fistula bilateral lacrimal passages | Yes |
| H04..619 | Lacrimal fistula unspecified lacrimal passage | Yes |
| H04..69 | Other changes of lacrimal passages | Yes |
| H04..8 | Other disorders of lacrimal system | No |
| H04..81 | Granuloma of lacrimal passages | No |
| H04..811 | Granuloma of right lacrimal passage | Yes |
| H04..812 | Granuloma of left lacrimal passage | Yes |
| H04..813 | Granuloma of bilateral lacrimal passages | Yes |
| H04..819 | Granuloma of unspecified lacrimal passage | Yes |
| H04..89 | Other disorders of lacrimal system | Yes |
| H04..9 | Disorder of lacrimal system, unspecified | Yes |
Last reviewed: September 2026