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H04.011

Billable

Acute dacryoadenitis, right lacrimal gland

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This code describes a sudden inflammation of the tear-producing gland located above the right eye. The condition causes pain, swelling, and redness in the upper outer area of the eye.

Coding Tips

  • •Verify laterality is documented in the medical record - this code is specific to the right lacrimal gland; use H04.012 for left side and H04.013 for bilateral involvement
  • •Ensure the condition is documented as 'acute' rather than chronic; acute dacryoadenitis typically develops suddenly over days, while chronic forms have different codes (H04.02x)

Code Hierarchy

└H04Disorders of lacrimal system└H04.0Dacryoadenitis└H04.01Acute dacryoadenitis└H04.011Acute dacryoadenitis, right lacrimal gland
└H04.011Acute dacryoadenitis, right lacrimal gland

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