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H04.513

Billable

Dacryolith of bilateral lacrimal passages

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

What This Code Means

A dacryolith is a stone or hard deposit that forms in the tear drainage system (lacrimal passages) on both sides of the face. This condition can cause eye discomfort, tearing, and drainage problems.

Coding Tips

  • •Verify that the dacryolith is documented as bilateral (affecting both eyes) before assigning this code; if only one side is affected, use the unilateral code instead
  • •This code is specific to the lacrimal passages; ensure the stone location is confirmed in the lacrimal drainage system rather than elsewhere in the eye

Code Hierarchy

└H04Disorders of lacrimal system└H04.5Stenosis and insufficiency of lacrimal passages└H04.51Dacryolith└H04.513Dacryolith of bilateral lacrimal passages
└H04.513Dacryolith of bilateral lacrimal passages

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