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H04.323

Billable

Acute dacryocystitis of bilateral lacrimal passages

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

What This Code Means

This condition involves sudden inflammation and infection of the tear drainage system (lacrimal sac) on both sides of the face, causing pain, swelling, and discharge near the inner corners of both eyes. It occurs when the tear ducts become blocked and infected.

Coding Tips

  • •Verify that the condition affects BOTH eyes (bilateral) before assigning this code; if only one eye is affected, use H04.321 (right) or H04.322 (left) instead
  • •Ensure documentation specifies 'acute' presentation; chronic dacryocystitis uses different codes (H04.41-H04.43)

Code Hierarchy

└H04Disorders of lacrimal system└H04.3Acute and unspecified inflammation of lacrimal passages└H04.32Acute dacryocystitis└H04.323Acute dacryocystitis of bilateral lacrimal passages
└H04.323Acute dacryocystitis of bilateral lacrimal passages

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