MCMedicalCodingSoftware
H04.3

H04.3: Acute and unspecified inflammation of lacrimal passages

Non-billable headerICD-10-CM

H04.3 is a non-billable header ICD-10-CM code for acute and unspecified inflammation of lacrimal passages. 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.

  • neonatal dacryocystitis (P39.1)

Excludes1 inherited from the categories above H04.3

A category’s note binds every code beneath it.

Written on H04: Disorders of lacrimal system

  • 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 H04.3

4 child codes. Green means billable.

Other codes under H04

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.