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H04.222

Billable

Epiphora due to insufficient drainage, left side

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

What This Code Means

Excessive tearing in the left eye caused by the tear drainage system not working properly, leading to tears overflowing onto the cheek. This occurs when tears cannot drain adequately through the normal drainage channels.

Coding Tips

  • •Verify laterality is documented as left side (H04.221 for right, H04.223 for bilateral) before assigning this code
  • •Ensure the medical record specifies that epiphora is due to insufficient drainage rather than other causes like obstruction or eyelid malposition, as this affects code selection

Code Hierarchy

└H04Disorders of lacrimal system└H04.2Epiphora└H04.22Epiphora due to insufficient drainage└H04.222Epiphora due to insufficient drainage, left side
└H04.222Epiphora due to insufficient drainage, left side

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