H04.549
BillableStenosis of unspecified 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 when the specific side (left, right, or both) is not specified in the medical record.
Coding Tips
- •This is a default code used when laterality cannot be determined from documentation
- •Query the provider if possible to obtain specific laterality information for more precise coding
Code Hierarchy
└H04Disorders of lacrimal system└H04.5Stenosis and insufficiency of lacrimal passages└H04.54Stenosis of lacrimal canaliculi└H04.549Stenosis of unspecified lacrimal canaliculi
└H04.549Stenosis of unspecified lacrimal canaliculi