H04.5
Header — not billableStenosis and insufficiency of lacrimal passages
The ICD-10 code for stenosis and insufficiency of lacrimal passages is H04.5.
H04.5 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 7 more specific codes below.
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.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under H04.5
- H04.51Dacryolithnon-billable header
- H04.52Eversion of lacrimal punctumnon-billable header
- H04.53Neonatal obstruction of nasolacrimal ductnon-billable header
- H04.54Stenosis of lacrimal canaliculinon-billable header
- H04.55Acquired stenosis of nasolacrimal ductnon-billable header
- H04.56Stenosis of lacrimal punctumnon-billable header
- H04.57Stenosis of lacrimal sacnon-billable header
Related codes in this category
- 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
- H04.6Other changes of lacrimal passagesnon-billable header
- H04.8Other disorders of lacrimal systemnon-billable header
- H04.9Disorder of lacrimal system, unspecified
- H04.5Stenosis and insufficiency of lacrimal passagesnon-billable header