H04.611
H04.611 — Lacrimal fistula right lacrimal passage
Billable / specific codeICD-10-CMright
H04.611 is a billable, specific ICD-10-CM code for lacrimal fistula right lacrimal passage. It is valid for submission on a claim.
Risk adjustment
H04.611 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.
Medicare coverage
H04.611 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57068Billing and Coding: Ocular Photography - External
Related codes at this level
Codes that share H04.61. If H04.611 is not quite right, the correct code is usually one of these.
Questions about H04.611
- Is H04.611 a billable ICD-10-CM code?
- Yes. H04.611 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H04.611 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).