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H04.539

Billable

Neonatal obstruction of unspecified 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, but the specific eye or whether one or both eyes are affected is not documented.

Coding Tips

  • Use only when laterality is not specified in the medical record
  • Query provider to determine unilateral versus bilateral involvement for accurate coding

Code Hierarchy

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