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H04.139

Billable

Lacrimal cyst, unspecified lacrimal gland

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

What This Code Means

A fluid-filled sac or pocket that develops in one of the tear glands (lacrimal glands) that produce tears, but the specific location within the gland is not documented. This condition can cause mild discomfort, swelling, or tearing problems depending on the cyst's size.

Coding Tips

  • Use this code only when the documentation does not specify which lacrimal gland (right or left) or which part of the gland is affected; if laterality is documented, use the more specific codes H04.131 (right) or H04.132 (left)
  • Verify whether the cyst is causing any symptoms or complications, as this may affect treatment decisions and documentation; ensure the provider has documented that the specific location is unknown before assigning the 'unspecified' code

Code Hierarchy

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