H04.319
BillablePhlegmonous dacryocystitis of unspecified lacrimal passage
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A severe spreading infection of the tear drainage system with inflammation and pus formation, but the specific side (left, right, or both) is not specified in the medical record.
Coding Tips
- •Use this code only when laterality cannot be determined from documentation; query provider if possible for specificity
- •This is a less specific code; attempt to obtain laterality information before finalizing the claim
Code Hierarchy
└H04Disorders of lacrimal system└H04.3Acute and unspecified inflammation of lacrimal passages└H04.31Phlegmonous dacryocystitis└H04.319Phlegmonous dacryocystitis of unspecified lacrimal passage
└H04.319Phlegmonous dacryocystitis of unspecified lacrimal passage