H04

H04: Disorders of lacrimal system

Non-billable headerICD-10-CM

H04 is a non-billable header ICD-10-CM code for disorders of lacrimal system. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

congenital malformations of lacrimal system (Q10.4-Q10.6)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead H04

9 child codes. Green means billable.

H04.0Dacryoadenitis
H04.1Other disorders of lacrimal gland
H04.2Epiphora
H04.3Acute and unspecified inflammation of lacrimal passages
H04.4Chronic inflammation of lacrimal passages
H04.5Stenosis and insufficiency of lacrimal passages
H04.6Other changes of lacrimal passages
H04.8Other disorders of lacrimal system
H04.9Disorder of lacrimal system, unspecified