H04.1 — Other disorders of lacrimal gland
Is H04.1 billable?
No — H04.1 is a non-billable header code. H04.1 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 25 billable codes beneath H04.1.
Billable codes under this header
- H04.19Other specified disorders of 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
H04.1 at a glance
| Code | H04.1 |
|---|---|
| Description | Other disorders of lacrimal gland |
| 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 H04.1 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 H04.1, but a patient may have both at the same time. When documentation supports it, H04.1 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 H04.1, but a patient may have both at the same time. When documentation supports it, H04.1 and the excluded code may both be reported.
What codes fall under H04.1? (7)
How long has H04.1 existed?
H04.1 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)
- H04.0Dacryoadenitisnot 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