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H04.543

Billable

Stenosis of bilateral 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 channels affecting both eyes, which can cause excessive tearing and discomfort in both eyes.

Coding Tips

  • •Use this code only when stenosis is documented as bilateral
  • •Ensure documentation confirms involvement of both lacrimal canaliculi

Code Hierarchy

└H04Disorders of lacrimal system└H04.5Stenosis and insufficiency of lacrimal passages└H04.54Stenosis of lacrimal canaliculi└H04.543Stenosis of bilateral lacrimal canaliculi
└H04.543Stenosis of bilateral lacrimal canaliculi

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