H04.119 ICD-10-CM Code: Dacryops of unspecified lacrimal gland
H04.119 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of eyelid, lacrimal system and orbit (H00-H05)
H04.119
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceDacryops of unspecified lacrimal gland
A dacryops is a fluid-filled sac or cyst that forms in the lacrimal gland (tear gland), which is located near the eye. This code is used when the specific lacrimal gland affected is not documented.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for H04.119. Check the code and parent instructions in the Code Book.
Excludes 2
Official- certain conditions originating in the perinatal period (P04-P96)Inherited from H00-H59, H00-H05
- certain infectious and parasitic diseases (A00-B99)Inherited from H00-H59, H00-H05
- complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from H00-H59, H00-H05
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from H00-H59, H00-H05
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)Inherited from H00-H59, H00-H05
- endocrine, nutritional and metabolic diseases (E00-E88)Inherited from H00-H59, H00-H05
- injury (trauma) of eye and orbit (S05.-)Inherited from H00-H59, H00-H05
- injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from H00-H59, H00-H05
- neoplasms (C00-D49)Inherited from H00-H59, H00-H05
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from H00-H59, H00-H05
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)Inherited from H00-H59, H00-H05
- open wound of eyelid (S01.1-)Inherited from H00-H59, H00-H05
- superficial injury of eyelid (S00.1-, S00.2-)Inherited from H00-H59, H00-H05
Related Codes
Includes
OfficialNo Includes notes are included in this display for H04.119. Check the code and parent instructions in the Code Book.
Excludes 1
Official- congenital malformations of lacrimal system (Q10.4-Q10.6)Inherited from H04
Code First
OfficialNo Code First sequencing instructions are included in this display for H04.119. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for H04.119. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for H04.119. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is H04.119 an HCC code?
No. H04.119 is a billable ICD-10-CM code with no mapping under the current CMS-HCC V28 community payment model, and none under the ESRD, Part D RxHCC, or HHS-HCC models.
- Code
- H04.119
- Description
- Dacryops of unspecified lacrimal gland
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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What This Code Means
H04.119 is the ICD-10-CM diagnosis code for dacryops of unspecified lacrimal gland. A dacryops is a fluid-filled sac or cyst that forms in the lacrimal gland (tear gland), which is located near the eye. This code is used when the specific lacrimal gland affected is not documented. H04.119 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of eyelid, lacrimal system and orbit (h00-h05).
H04.119 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.
If the documentation specifies which lacrimal gland is affected (right or left), use the more specific codes H04.111 (right) or H04.112 (left) instead of the unspecified code H04.119.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for H04.119 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •If the documentation specifies which lacrimal gland is affected (right or left), use the more specific codes H04.111 (right) or H04.112 (left) instead of the unspecified code H04.119
- •Dacryops is typically a benign condition; ensure the diagnosis is clearly documented as dacryops and not confused with other lacrimal gland conditions like dacryocystitis or dacryoadenitis