H04.331 — Acute lacrimal canaliculitis of right lacrimal passage
Is H04.331 billable?
Yes — H04.331 is billable for FY2027. H04.331 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H04.331 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H04.331 at a glance
| Code | H04.331 |
|---|---|
| Description | Acute lacrimal canaliculitis of right lacrimal passage |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H04.331 group to?
H04.331 sits in MDC 02 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 121Acute Major Eye Infections with CC/MCCmedical
- 122Acute Major Eye Infections without CC/MCCmedical
How is H04.331 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H04.33, the nearest indexed parent of H04.331. Use them to find the family, then select the specific code.
- Canaliculitis (lacrimal) (acute) (subacute)
Excludes1 — never code together — inherited from H04
The conditions below can never be reported together with H04.331 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)
Excludes1 — never code together — inherited from H04.3
The conditions below can never be reported together with H04.331 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- neonatal dacryocystitis (P39.1)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H04.331, but a patient may have both at the same time. When documentation supports it, H04.331 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 H04.331, but a patient may have both at the same time. When documentation supports it, H04.331 and the excluded code may both be reported.
How long has H04.331 existed?
H04.331 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.