H04 — Disorders of lacrimal system
Not billable
Is H04 billable?
No — H04 is a non-billable header code. H04 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 60 billable codes beneath H04.
Billable codes under this header
- H04.9Disorder of lacrimal system, unspecified
- H04.19Other specified disorders of lacrimal gland
- H04.69Other changes of lacrimal passages
- H04.89Other disorders of lacrimal system
- H04.001Unspecified dacryoadenitis, right lacrimal gland
- H04.002Unspecified dacryoadenitis, left lacrimal gland
- H04.003Unspecified dacryoadenitis, bilateral lacrimal glands
- H04.009Unspecified dacryoadenitis, unspecified lacrimal gland
- H04.011Acute dacryoadenitis, right lacrimal gland
- H04.012Acute dacryoadenitis, left lacrimal gland
- H04.013Acute dacryoadenitis, bilateral lacrimal glands
- H04.019Acute dacryoadenitis, unspecified lacrimal gland
- H04.021Chronic dacryoadenitis, right lacrimal gland
- H04.022Chronic dacryoadenitis, left lacrimal gland
- H04.023Chronic dacryoadenitis, bilateral lacrimal gland
- H04.029Chronic dacryoadenitis, unspecified lacrimal gland
- H04.031Chronic enlargement of right lacrimal gland
- H04.032Chronic enlargement of left lacrimal gland
- H04.033Chronic enlargement of bilateral lacrimal glands
- H04.039Chronic enlargement of unspecified lacrimal gland
- H04.111Dacryops of right lacrimal gland
- H04.112Dacryops of left lacrimal gland
- H04.113Dacryops of bilateral lacrimal glands
- H04.119Dacryops of unspecified lacrimal gland
- H04.121Dry eye syndrome of right lacrimal gland
- H04.122Dry eye syndrome of left lacrimal gland
- H04.123Dry eye syndrome of bilateral lacrimal glands
- H04.129Dry eye syndrome of unspecified lacrimal gland
- H04.131Lacrimal cyst, right lacrimal gland
- H04.132Lacrimal cyst, left lacrimal gland
- H04.133Lacrimal cyst, bilateral lacrimal glands
- H04.139Lacrimal cyst, unspecified lacrimal gland
- H04.141Primary lacrimal gland atrophy, right lacrimal gland
- H04.142Primary lacrimal gland atrophy, left lacrimal gland
- H04.143Primary lacrimal gland atrophy, bilateral lacrimal glands
- H04.149Primary lacrimal gland atrophy, unspecified lacrimal gland
- H04.151Secondary lacrimal gland atrophy, right lacrimal gland
- H04.152Secondary lacrimal gland atrophy, left lacrimal gland
- H04.153Secondary lacrimal gland atrophy, bilateral lacrimal glands
- H04.159Secondary lacrimal gland atrophy, unspecified lacrimal gland
- H04.161Lacrimal gland dislocation, right lacrimal gland
- H04.162Lacrimal gland dislocation, left lacrimal gland
- H04.163Lacrimal gland dislocation, bilateral lacrimal glands
- H04.169Lacrimal gland dislocation, unspecified lacrimal gland
- H04.201Unspecified epiphora, right side
- H04.202Unspecified epiphora, left side
- H04.203Unspecified epiphora, bilateral
- H04.209Unspecified epiphora, unspecified side
- H04.211Epiphora due to excess lacrimation, right lacrimal gland
- H04.212Epiphora due to excess lacrimation, left lacrimal gland
- H04.213Epiphora due to excess lacrimation, bilateral lacrimal glands
- H04.219Epiphora due to excess lacrimation, unspecified lacrimal gland
- H04.221Epiphora due to insufficient drainage, right side
- H04.222Epiphora due to insufficient drainage, left side
- H04.223Epiphora due to insufficient drainage, bilateral
- H04.229Epiphora due to insufficient drainage, unspecified side
- H04.301Unspecified dacryocystitis of right lacrimal passage
- H04.302Unspecified dacryocystitis of left lacrimal passage
- H04.303Unspecified dacryocystitis of bilateral lacrimal passages
- H04.309Unspecified dacryocystitis of unspecified lacrimal passage
H04 at a glance
| Code | H04 |
|---|---|
| Description | Disorders of lacrimal system |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with H04 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- congenital malformations of lacrimal system (Q10.4-Q10.6)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H04, but a patient may have both at the same time. When documentation supports it, H04 and the excluded code may both be reported.
- 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)
Excludes2 — not included here — inherited from H00-H05
The conditions below are not part of H04, but a patient may have both at the same time. When documentation supports it, H04 and the excluded code may both be reported.
What codes fall under H04? (9)
- H04.0Dacryoadenitisnot billable
- H04.1Other disorders of lacrimal glandnot billable
- H04.2Epiphoranot billable
- H04.3Acute and unspecified inflammation of lacrimal passagesnot billable
- H04.4Chronic inflammation of lacrimal passagesnot billable
- H04.5Stenosis and insufficiency of lacrimal passagesnot billable
- H04.6Other changes of lacrimal passagesnot billable
- H04.8Other disorders of lacrimal systemnot billable
- H04.9Disorder of lacrimal system, unspecified
How long has H04 existed?
H04 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with H04?
ICD-10-CM declares these codes mutually exclusive with H04 — exactly one of each pair can be correct for a given encounter.