2020 ICD-10-CM Diagnosis Code H04.223

Epiphora due to insufficient drainage, bilateral

    2016 2017 2018 2019 - Revised Code 2020 Billable/Specific Code
  • H04.223 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM H04.223 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of H04.223 - other international versions of ICD-10 H04.223 may differ.
The following code(s) above H04.223 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 H04.223:
  • H00-H59
    2020 ICD-10-CM Range H00-H59

    Diseases of the eye and adnexa

    • 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
    2020 ICD-10-CM Range H00-H05

    Disorders of eyelid, lacrimal system and orbit

    Type 2 Excludes
    Disorders of eyelid, lacrimal system and orbit
  • H04
    ICD-10-CM Diagnosis Code H04

    Disorders of lacrimal system

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital malformations of lacrimal system (Q10.4-Q10.6)
    Disorders of lacrimal system
Approximate Synonyms
  • Bilateral epiphora due to insufficient drainage
  • Epiphora due to insufficient drainage, both eyes
ICD-10-CM H04.223 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 124 Other disorders of the eye with mcc
  • 125 Other disorders of the eye without mcc

Convert H04.223 to ICD-9-CM

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): Revised code
    • New description: Epiphora due to insufficient drainage, bilateral
    • 2018 description: Epiphora due to insufficient drainage, bilateral lacrimal glands
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To H04.223
H04.203 …… bilateral
H04.209 …… unspecified side
H04.21 Epiphora due to excess lacrimation
H04.211 …… right lacrimal gland
H04.212 …… left lacrimal gland
H04.213 …… bilateral lacrimal glands
H04.219 …… unspecified lacrimal gland
H04.22 Epiphora due to insufficient drainage
H04.221 …… right side
H04.222 …… left side
H04.223 …… bilateral
H04.229 …… unspecified side
H04.3 Acute and unspecified inflammation of lacrimal passages
H04.30 Unspecified dacryocystitis
H04.301 …… of right lacrimal passage
H04.302 …… of left lacrimal passage
H04.303 …… of bilateral lacrimal passages
H04.309 …… of unspecified lacrimal passage
H04.31 Phlegmonous dacryocystitis
H04.311 …… of right lacrimal passage
H04.312 …… of left lacrimal passage

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