H04
Header — not billableDisorders of lacrimal system
The ICD-10 code for disorders of lacrimal system is H04.
H04 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 9 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under H04
- H04.0Dacryoadenitisnon-billable header
- H04.1Other disorders of lacrimal glandnon-billable header
- H04.2Epiphoranon-billable header
- H04.3Acute and unspecified inflammation of lacrimal passagesnon-billable header
- H04.4Chronic inflammation of lacrimal passagesnon-billable header
- H04.5Stenosis and insufficiency of lacrimal passagesnon-billable header
- H04.6Other changes of lacrimal passagesnon-billable header
- H04.8Other disorders of lacrimal systemnon-billable header
- H04.9Disorder of lacrimal system, unspecified
Related codes in this category
- H00Hordeolum and chalazionnon-billable header
- H01Other inflammation of eyelidnon-billable header
- H02Other disorders of eyelidnon-billable header
- H05Disorders of orbitnon-billable header
- H04Disorders of lacrimal systemnon-billable header