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H04.532

Billable

Neonatal obstruction of left nasolacrimal duct

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

What This Code Means

A newborn has a blocked tear drainage duct on the left side, preventing tears from draining properly from that eye.

Coding Tips

  • This is a congenital condition common in newborns; most resolve spontaneously within 12 months
  • Document whether conservative management (massage) or surgical intervention is planned

Code Hierarchy

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