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H04.542

Billable

Stenosis of left lacrimal canaliculi

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

What This Code Means

A narrowing or blockage of the tear drainage channel on the left side of the eye, which can cause excessive tearing and eye discomfort.

Coding Tips

  • •Verify laterality is documented as left-sided in the medical record
  • •Distinguish between congenital and acquired stenosis, as H04.542 is typically used for acquired cases

Code Hierarchy

└H04Disorders of lacrimal system└H04.5Stenosis and insufficiency of lacrimal passages└H04.54Stenosis of lacrimal canaliculi└H04.542Stenosis of left lacrimal canaliculi
└H04.542Stenosis of left lacrimal canaliculi

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