H04.4 — Chronic inflammation of lacrimal passages
Is H04.4 billable?
No — H04.4 is a non-billable header code. H04.4 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 12 billable codes beneath H04.4.
Billable codes under this header
- H04.411Chronic dacryocystitis of right lacrimal passage
- H04.412Chronic dacryocystitis of left lacrimal passage
- H04.413Chronic dacryocystitis of bilateral lacrimal passages
- H04.419Chronic dacryocystitis of unspecified lacrimal passage
- H04.421Chronic lacrimal canaliculitis of right lacrimal passage
- H04.422Chronic lacrimal canaliculitis of left lacrimal passage
- H04.423Chronic lacrimal canaliculitis of bilateral lacrimal passages
- H04.429Chronic lacrimal canaliculitis of unspecified lacrimal passage
- H04.431Chronic lacrimal mucocele of right lacrimal passage
- H04.432Chronic lacrimal mucocele of left lacrimal passage
- H04.433Chronic lacrimal mucocele of bilateral lacrimal passages
- H04.439Chronic lacrimal mucocele of unspecified lacrimal passage
H04.4 at a glance
| Code | H04.4 |
|---|---|
| Description | Chronic inflammation of lacrimal passages |
| 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 H04.4 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 H04.4, but a patient may have both at the same time. When documentation supports it, H04.4 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 H04.4, but a patient may have both at the same time. When documentation supports it, H04.4 and the excluded code may both be reported.
What codes fall under H04.4? (3)
How long has H04.4 existed?
H04.4 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
- H04.1Other disorders of lacrimal glandnot billable
- H04.2Epiphoranot billable
- H04.3Acute and unspecified 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