H04.0 — Dacryoadenitis
Is H04.0 billable?
No — H04.0 is a non-billable header code. H04.0 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 16 billable codes beneath H04.0.
Billable codes under this header
- 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
H04.0 at a glance
| Code | H04.0 |
|---|---|
| Description | Dacryoadenitis |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from H04
The conditions below can never be reported together with H04.0 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 H04.0, but a patient may have both at the same time. When documentation supports it, H04.0 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 H04.0, but a patient may have both at the same time. When documentation supports it, H04.0 and the excluded code may both be reported.
What codes fall under H04.0? (4)
How long has H04.0 existed?
H04.0 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.
What other codes are in the H04 family? (8)
- 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