2023 ICD-10-CM Diagnosis Code H04

Disorders of lacrimal system

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • H04 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM H04 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of H04 - other international versions of ICD-10 H04 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as H04. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • congenital malformations of lacrimal system (
    ICD-10-CM Diagnosis Code Q10.4

    Absence and agenesis of lacrimal apparatus

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital absence of punctum lacrimale
    Q10.4-
    ICD-10-CM Diagnosis Code Q10.6

    Other congenital malformations of lacrimal apparatus

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital malformation of lacrimal apparatus NOS
    Q10.6
    )
The following code(s) above H04 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to H04:
  • H00-H59
    2023 ICD-10-CM Range H00-H59

    Diseases of the eye and adnexa

    Note
    • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
    Type 2 Excludes
    • 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)
    Diseases of the eye and adnexa
  • H00-H05
    2023 ICD-10-CM Range H00-H05

    Disorders of eyelid, lacrimal system and orbit

    Type 2 Excludes
    Disorders of eyelid, lacrimal system and orbit
Clinical Information
  • A non-neoplastic or neoplastic disorder that affects the lacrimal apparatus.
  • Diseases of the lacrimal apparatus.
  • Pathologic condition of the almond-shaped structure that produces tears or lacrimal gland; located at the upper outer region of the orbit, above the eyeball.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
ICD-10-CM Codes Adjacent To H04
H02.882 Meibomian gland dysfunction right lower eyelid
H02.883 Meibomian gland dysfunction of right eye, unspecified eyelid
H02.884 Meibomian gland dysfunction left upper eyelid
H02.885 Meibomian gland dysfunction left lower eyelid
H02.886 Meibomian gland dysfunction of left eye, unspecified eyelid
H02.889 Meibomian gland dysfunction of unspecified eye, unspecified eyelid
H02.88A Meibomian gland dysfunction right eye, upper and lower eyelids
H02.88B Meibomian gland dysfunction left eye, upper and lower eyelids
H02.89 Other specified disorders of eyelid
H02.9 Unspecified disorder of eyelid
H04 Disorders of lacrimal system
H04.0 Dacryoadenitis
H04.00 Unspecified dacryoadenitis
H04.001 …… right lacrimal gland
H04.002 …… left lacrimal gland
H04.003 …… bilateral lacrimal glands
H04.009 …… unspecified lacrimal gland
H04.01 Acute dacryoadenitis
H04.011 …… right lacrimal gland
H04.012 …… left lacrimal gland
H04.013 …… bilateral lacrimal glands

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.