DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

H04 Disorders of lacrimal system

  • Header · not billable

H04 is not billable. The category heads 120 billable codes in FY2027, grouped under 9 subdivisions.

Index → code

Where it sits

  1. Chapter 7 Diseases of the eye and adnexa (H00-H59)
  2. H00-H05 Disorders of eyelid, lacrimal system and orbit (H00-H05)
  3. H04 Disorders of lacrimal system
Billable codes
120
Subdivisions
9
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
34

Codes in H04

  1. H04.0
    Dacryoadenitis
    Header
  2. H04.00
    Unspecified dacryoadenitis
    Header
  3. H04.001
    Unspecified dacryoadenitis, right lacrimal gland
    Billable
  4. H04.002
    Unspecified dacryoadenitis, left lacrimal gland
    Billable
  5. H04.003
    Unspecified dacryoadenitis, bilateral lacrimal glands
    Billable
  6. H04.009
    Unspecified dacryoadenitis, unspecified lacrimal gland
    Billable
  7. H04.01
    Acute dacryoadenitis
    Header
  8. H04.011
    Acute dacryoadenitis, right lacrimal gland
    Billable
  9. H04.012
    Acute dacryoadenitis, left lacrimal gland
    Billable
  10. H04.013
    Acute dacryoadenitis, bilateral lacrimal glands
    Billable
  11. H04.019
    Acute dacryoadenitis, unspecified lacrimal gland
    Billable
  12. H04.02
    Chronic dacryoadenitis
    Header
  13. H04.021
    Chronic dacryoadenitis, right lacrimal gland
    Billable
  14. H04.022
    Chronic dacryoadenitis, left lacrimal gland
    Billable
  15. H04.023
    Chronic dacryoadenitis, bilateral lacrimal gland
    Billable
  16. H04.029
    Chronic dacryoadenitis, unspecified lacrimal gland
    Billable
  17. H04.03
    Chronic enlargement of lacrimal gland
    Header
  18. H04.031
    Chronic enlargement of right lacrimal gland
    Billable
  19. H04.032
    Chronic enlargement of left lacrimal gland
    Billable
  20. H04.033
    Chronic enlargement of bilateral lacrimal glands
    Billable
  21. H04.039
    Chronic enlargement of unspecified lacrimal gland
    Billable
  22. H04.1
    Other disorders of lacrimal gland
    Header
  23. H04.11
    Dacryops
    Header
  24. H04.111
    Dacryops of right lacrimal gland
    Billable
  25. H04.112
    Dacryops of left lacrimal gland
    Billable
  26. H04.113
    Dacryops of bilateral lacrimal glands
    Billable
  27. H04.119
    Dacryops of unspecified lacrimal gland
    Billable
  28. H04.12
    Dry eye syndrome
    Header
    Inclusion terms 1

    Inclusion terms

    • Tear film insufficiency, NOS
  29. H04.121
    Dry eye syndrome of right lacrimal gland
    Billable
  30. H04.122
    Dry eye syndrome of left lacrimal gland
    Billable
  31. H04.123
    Dry eye syndrome of bilateral lacrimal glands
    Billable
  32. H04.129
    Dry eye syndrome of unspecified lacrimal gland
    Billable
  33. H04.13
    Lacrimal cyst
    Header
    Inclusion terms 1

    Inclusion terms

    • Lacrimal cystic degeneration
  34. H04.131
    Lacrimal cyst, right lacrimal gland
    Billable
  35. H04.132
    Lacrimal cyst, left lacrimal gland
    Billable
  36. H04.133
    Lacrimal cyst, bilateral lacrimal glands
    Billable
  37. H04.139
    Lacrimal cyst, unspecified lacrimal gland
    Billable
  38. H04.14
    Primary lacrimal gland atrophy
    Header
  39. H04.141
    Primary lacrimal gland atrophy, right lacrimal gland
    Billable
  40. H04.142
    Primary lacrimal gland atrophy, left lacrimal gland
    Billable
  41. H04.143
    Primary lacrimal gland atrophy, bilateral lacrimal glands
    Billable
  42. H04.149
    Primary lacrimal gland atrophy, unspecified lacrimal gland
    Billable
  43. H04.15
    Secondary lacrimal gland atrophy
    Header
  44. H04.151
    Secondary lacrimal gland atrophy, right lacrimal gland
    Billable
  45. H04.152
    Secondary lacrimal gland atrophy, left lacrimal gland
    Billable
  46. H04.153
    Secondary lacrimal gland atrophy, bilateral lacrimal glands
    Billable
  47. H04.159
    Secondary lacrimal gland atrophy, unspecified lacrimal gland
    Billable
  48. H04.16
    Lacrimal gland dislocation
    Header
  49. H04.161
    Lacrimal gland dislocation, right lacrimal gland
    Billable
  50. H04.162
    Lacrimal gland dislocation, left lacrimal gland
    Billable
  51. H04.163
    Lacrimal gland dislocation, bilateral lacrimal glands
    Billable
  52. H04.169
    Lacrimal gland dislocation, unspecified lacrimal gland
    Billable
  53. H04.19
    Other specified disorders of lacrimal gland
    Billable
  54. H04.2
    Epiphora
    Header
  55. H04.20
    Unspecified epiphora
    Header
  56. H04.201
    Unspecified epiphora, right side
    Billable
  57. H04.202
    Unspecified epiphora, left side
    Billable
  58. H04.203
    Unspecified epiphora, bilateral
    Billable
  59. H04.209
    Unspecified epiphora, unspecified side
    Billable
  60. H04.21
    Epiphora due to excess lacrimation
    Header
  61. H04.211
    Epiphora due to excess lacrimation, right lacrimal gland
    Billable
  62. H04.212
    Epiphora due to excess lacrimation, left lacrimal gland
    Billable
  63. H04.213
    Epiphora due to excess lacrimation, bilateral lacrimal glands
    Billable
  64. H04.219
    Epiphora due to excess lacrimation, unspecified lacrimal gland
    Billable
  65. H04.22
    Epiphora due to insufficient drainage
    Header
  66. H04.221
    Epiphora due to insufficient drainage, right side
    Billable
  67. H04.222
    Epiphora due to insufficient drainage, left side
    Billable
  68. H04.223
    Epiphora due to insufficient drainage, bilateral
    Billable
  69. H04.229
    Epiphora due to insufficient drainage, unspecified side
    Billable
  70. H04.3
    Acute and unspecified inflammation of lacrimal passages
    Header
    Excludes1 1

    Excludes1

    • neonatal dacryocystitis (P39.1) P39.1
  71. H04.30
    Unspecified dacryocystitis
    Header
  72. H04.301
    Unspecified dacryocystitis of right lacrimal passage
    Billable
  73. H04.302
    Unspecified dacryocystitis of left lacrimal passage
    Billable
  74. H04.303
    Unspecified dacryocystitis of bilateral lacrimal passages
    Billable
  75. H04.309
    Unspecified dacryocystitis of unspecified lacrimal passage
    Billable
  76. H04.31
    Phlegmonous dacryocystitis
    Header
  77. H04.311
    Phlegmonous dacryocystitis of right lacrimal passage
    Billable
  78. H04.312
    Phlegmonous dacryocystitis of left lacrimal passage
    Billable
  79. H04.313
    Phlegmonous dacryocystitis of bilateral lacrimal passages
    Billable
  80. H04.319
    Phlegmonous dacryocystitis of unspecified lacrimal passage
    Billable
  81. H04.32
    Acute dacryocystitis
    Header
    Inclusion terms 1

    Inclusion terms

    • Acute dacryopericystitis
  82. H04.321
    Acute dacryocystitis of right lacrimal passage
    Billable
  83. H04.322
    Acute dacryocystitis of left lacrimal passage
    Billable
  84. H04.323
    Acute dacryocystitis of bilateral lacrimal passages
    Billable
  85. H04.329
    Acute dacryocystitis of unspecified lacrimal passage
    Billable
  86. H04.33
    Acute lacrimal canaliculitis
    Header
  87. H04.331
    Acute lacrimal canaliculitis of right lacrimal passage
    Billable
  88. H04.332
    Acute lacrimal canaliculitis of left lacrimal passage
    Billable
  89. H04.333
    Acute lacrimal canaliculitis of bilateral lacrimal passages
    Billable
  90. H04.339
    Acute lacrimal canaliculitis of unspecified lacrimal passage
    Billable
  91. H04.4
    Chronic inflammation of lacrimal passages
    Header
  92. H04.41
    Chronic dacryocystitis
    Header
  93. H04.411
    Chronic dacryocystitis of right lacrimal passage
    Billable
  94. H04.412
    Chronic dacryocystitis of left lacrimal passage
    Billable
  95. H04.413
    Chronic dacryocystitis of bilateral lacrimal passages
    Billable
  96. H04.419
    Chronic dacryocystitis of unspecified lacrimal passage
    Billable
  97. H04.42
    Chronic lacrimal canaliculitis
    Header
  98. H04.421
    Chronic lacrimal canaliculitis of right lacrimal passage
    Billable
  99. H04.422
    Chronic lacrimal canaliculitis of left lacrimal passage
    Billable
  100. H04.423
    Chronic lacrimal canaliculitis of bilateral lacrimal passages
    Billable
  101. H04.429
    Chronic lacrimal canaliculitis of unspecified lacrimal passage
    Billable
  102. H04.43
    Chronic lacrimal mucocele
    Header
  103. H04.431
    Chronic lacrimal mucocele of right lacrimal passage
    Billable
  104. H04.432
    Chronic lacrimal mucocele of left lacrimal passage
    Billable
  105. H04.433
    Chronic lacrimal mucocele of bilateral lacrimal passages
    Billable
  106. H04.439
    Chronic lacrimal mucocele of unspecified lacrimal passage
    Billable
  107. H04.5
    Stenosis and insufficiency of lacrimal passages
    Header
  108. H04.51
    Dacryolith
    Header
  109. H04.511
    Dacryolith of right lacrimal passage
    Billable
  110. H04.512
    Dacryolith of left lacrimal passage
    Billable
  111. H04.513
    Dacryolith of bilateral lacrimal passages
    Billable
  112. H04.519
    Dacryolith of unspecified lacrimal passage
    Billable
  113. H04.52
    Eversion of lacrimal punctum
    Header
  114. H04.521
    Eversion of right lacrimal punctum
    Billable
  115. H04.522
    Eversion of left lacrimal punctum
    Billable
  116. H04.523
    Eversion of bilateral lacrimal punctum
    Billable
  117. H04.529
    Eversion of unspecified lacrimal punctum
    Billable
  118. H04.53
    Neonatal obstruction of nasolacrimal duct
    Header
    Excludes1 1

    Excludes1

    • congenital stenosis and stricture of lacrimal duct (Q10.5) Q10.5
  119. H04.531
    Neonatal obstruction of right nasolacrimal duct
    Billable
  120. H04.532
    Neonatal obstruction of left nasolacrimal duct
    Billable
  121. H04.533
    Neonatal obstruction of bilateral nasolacrimal duct
    Billable
  122. H04.539
    Neonatal obstruction of unspecified nasolacrimal duct
    Billable
  123. H04.54
    Stenosis of lacrimal canaliculi
    Header
  124. H04.541
    Stenosis of right lacrimal canaliculi
    Billable
  125. H04.542
    Stenosis of left lacrimal canaliculi
    Billable
  126. H04.543
    Stenosis of bilateral lacrimal canaliculi
    Billable
  127. H04.549
    Stenosis of unspecified lacrimal canaliculi
    Billable
  128. H04.55
    Acquired stenosis of nasolacrimal duct
    Header
  129. H04.551
    Acquired stenosis of right nasolacrimal duct
    Billable
  130. H04.552
    Acquired stenosis of left nasolacrimal duct
    Billable
  131. H04.553
    Acquired stenosis of bilateral nasolacrimal duct
    Billable
  132. H04.559
    Acquired stenosis of unspecified nasolacrimal duct
    Billable
  133. H04.56
    Stenosis of lacrimal punctum
    Header
  134. H04.561
    Stenosis of right lacrimal punctum
    Billable
  135. H04.562
    Stenosis of left lacrimal punctum
    Billable
  136. H04.563
    Stenosis of bilateral lacrimal punctum
    Billable
  137. H04.569
    Stenosis of unspecified lacrimal punctum
    Billable
  138. H04.57
    Stenosis of lacrimal sac
    Header
  139. H04.571
    Stenosis of right lacrimal sac
    Billable
  140. H04.572
    Stenosis of left lacrimal sac
    Billable
  141. H04.573
    Stenosis of bilateral lacrimal sac
    Billable
  142. H04.579
    Stenosis of unspecified lacrimal sac
    Billable
  143. H04.6
    Other changes of lacrimal passages
    Header
  144. H04.61
    Lacrimal fistula
    Header
  145. H04.611
    Lacrimal fistula right lacrimal passage
    Billable
  146. H04.612
    Lacrimal fistula left lacrimal passage
    Billable
  147. H04.613
    Lacrimal fistula bilateral lacrimal passages
    Billable
  148. H04.619
    Lacrimal fistula unspecified lacrimal passage
    Billable
  149. H04.69
    Other changes of lacrimal passages
    Billable
  150. H04.8
    Other disorders of lacrimal system
    Header
  151. H04.81
    Granuloma of lacrimal passages
    Header
  152. H04.811
    Granuloma of right lacrimal passage
    Billable
  153. H04.812
    Granuloma of left lacrimal passage
    Billable
  154. H04.813
    Granuloma of bilateral lacrimal passages
    Billable
  155. H04.819
    Granuloma of unspecified lacrimal passage
    Billable
  156. H04.89
    Other disorders of lacrimal system
    Billable
  157. H04.9
    Disorder of lacrimal system, unspecified
    Billable

Sources of each column.

Instructions

At H04

Excludes1

  • congenital malformations of lacrimal system (Q10.4-Q10.6) Q10.4 Q10.6

Notes that also apply

Block H00-H05 instructions (Excludes2 2): printed on the block page.

Chapter 7 instructions (Notes 1, Excludes2 11): printed on the chapter 7 page.

Index entries

  • Dacryoadenitis, dacryadenitis → H04.00-
  • Dacryops → H04.11-
  • Epiphora → H04.20-
  • Dacryocystitis → H04.30-
  • Canaliculitis (lacrimal) (acute) (subacute) → H04.33-
  • Dacryolith, dacryolithiasis → H04.51-
  • Dacryoadenitis, dacryadenitisacute → H04.01-
  • Dacryoadenitis, dacryadenitischronic → H04.02-
  • Enlargement, enlargedlacrimal gland, chronic → H04.03-
  • Insufficiency, insufficientlacrimal (secretion) → H04.12-
  • Syndromedry eye → H04.12-
  • Atrophy, atrophic (of)lacrimal gland (primary) → H04.14-
  • Dislocation (articular)lacrimal gland → H04.16-
  • Dacryocystitisphlegmonous → H04.31-
  • Dacryocystitisacute → H04.32-
  • Dacryocystitischronic → H04.41-
  • Canaliculitis (lacrimal) (acute) (subacute)chronic → H04.42-
  • Mucocelelacrimal sac, chronic → H04.43-
  • Eversionpunctum lacrimale (postinfectional) (senile) → H04.52-
  • Fistula (cutaneous)lacrimal (gland) (sac) → H04.61-
  • Granulomalacrimal → H04.81-
  • Disorder (of)lacrimal system → H04.9
  • Cyst (colloid) (mucous) (simple) (retention)lacrimalgland → H04.13-
  • Atrophy, atrophic (of)lacrimal gland (primary)secondary → H04.15-
  • Disorder (of)lacrimal systemgland → H04.19
  • Epiphoradue toexcess lacrimation → H04.21-
  • Epiphoradue toinsufficient drainage → H04.22-
  • Obstruction, obstructed, obstructivelacrimal (passages) (duct)neonatal → H04.53-
  • Stenosis, stenotic (cicatricial)lacrimal (passage)canaliculi → H04.54-
  • Stenosis, stenotic (cicatricial)lacrimal (passage)duct → H04.55-
  • Stenosis, stenotic (cicatricial)lacrimal (passage)punctum → H04.56-
  • Stenosis, stenotic (cicatricial)lacrimal (passage)sac → H04.57-
  • Disorder (of)lacrimal systemchanges → H04.69
  • Disorder (of)lacrimal systemspecified NEC → H04.89

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy