H04.531 ICD-10-CM Code: Neonatal obstruction of right nasolacrimal duct
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of eyelid, lacrimal system and orbit (H00-H05)
H04.531
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceNeonatal obstruction of right nasolacrimal duct
A blockage in the tear drainage tube (nasolacrimal duct) on the right side that occurs in newborns, preventing tears from draining properly from the eye into the nose. This causes excessive tearing and eye discharge in the affected eye.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
Basket needed
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H04.531 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H04.531 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H04.531 in this effective period.
Excludes 1
Official- congenital stenosis and stricture of lacrimal duct (Q10.5)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H04.531 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H04.531 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H04.531 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is H04.531 an HCC code?
No. H04.531 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
Get the V28 RAF + MEAT cheat sheet
One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.
Free PDF. No card. Unsubscribe anytime.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H04.531 is the ICD-10-CM diagnosis code for neonatal obstruction of right nasolacrimal duct. A blockage in the tear drainage tube (nasolacrimal duct) on the right side that occurs in newborns, preventing tears from draining properly from the eye into the nose. This causes excessive tearing and eye discharge in the affected eye. H04.531 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of eyelid, lacrimal system and orbit (h00-h05).
H04.531 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This code is specific to neonates (newborns) and should only be used for infants; verify the patient's age is within the neonatal period (typically 0-28 days).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H04.531 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code is specific to neonates (newborns) and should only be used for infants; verify the patient's age is within the neonatal period (typically 0-28 days)
- •The code specifies the RIGHT side; ensure you have confirmed laterality in the documentation, as there is a separate code (H04.532) for left-sided obstruction and H04.533 for bilateral cases