Is H04.319 a billable ICD-10-CM code?

Yes. H04.319 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H04.319 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).

H04.319

H04.319 — Phlegmonous dacryocystitis of unspecified lacrimal passage

Billable / specific codeICD-10-CM

H04.319 is a billable, specific ICD-10-CM code for phlegmonous dacryocystitis of unspecified lacrimal passage. It is valid for submission on a claim.

Risk adjustment

H04.319 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Related codes at this level

Codes that share H04.31. If H04.319 is not quite right, the correct code is usually one of these.

H04.311Phlegmonous dacryocystitis of right lacrimal passage
H04.312Phlegmonous dacryocystitis of left lacrimal passage
H04.313Phlegmonous dacryocystitis of bilateral lacrimal passages

Questions about H04.319

Is H04.319 a billable ICD-10-CM code?: Yes. H04.319 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H04.319 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).