H04.5

Stenosis and insufficiency of lacrimal passages

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027

SourceCMS ICD-10-CM order file

ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODE	DESCRIPTION	TYPE
H04.51	Dacryolith	Category
H04.511	Dacryolith of right lacrimal passage	Billable
H04.512	Dacryolith of left lacrimal passage	Billable
H04.513	Dacryolith of bilateral lacrimal passages	Billable
H04.519	Dacryolith of unspecified lacrimal passage	Billable
H04.52	Eversion of lacrimal punctum	Category
H04.521	Eversion of right lacrimal punctum	Billable
H04.522	Eversion of left lacrimal punctum	Billable
H04.523	Eversion of bilateral lacrimal punctum	Billable
H04.529	Eversion of unspecified lacrimal punctum	Billable
H04.53	Neonatal obstruction of nasolacrimal duct	Category
H04.531	Neonatal obstruction of right nasolacrimal duct	Billable
H04.532	Neonatal obstruction of left nasolacrimal duct	Billable
H04.533	Neonatal obstruction of bilateral nasolacrimal duct	Billable
H04.539	Neonatal obstruction of unspecified nasolacrimal duct	Billable
H04.54	Stenosis of lacrimal canaliculi	Category
H04.541	Stenosis of right lacrimal canaliculi	Billable
H04.542	Stenosis of left lacrimal canaliculi	Billable
H04.543	Stenosis of bilateral lacrimal canaliculi	Billable
H04.549	Stenosis of unspecified lacrimal canaliculi	Billable
H04.55	Acquired stenosis of nasolacrimal duct	Category
H04.551	Acquired stenosis of right nasolacrimal duct	Billable
H04.552	Acquired stenosis of left nasolacrimal duct	Billable
H04.553	Acquired stenosis of bilateral nasolacrimal duct	Billable
H04.559	Acquired stenosis of unspecified nasolacrimal duct	Billable
H04.56	Stenosis of lacrimal punctum	Category
H04.561	Stenosis of right lacrimal punctum	Billable
H04.562	Stenosis of left lacrimal punctum	Billable
H04.563	Stenosis of bilateral lacrimal punctum	Billable
H04.569	Stenosis of unspecified lacrimal punctum	Billable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

Open official CMS files

ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.