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H04.563

Billable

Stenosis of bilateral lacrimal punctum

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 openings (puncta) on both eyelids, which can cause excessive tearing and discomfort in both eyes.

Coding Tips

  • •This code requires documentation confirming bilateral involvement of both lacrimal puncta
  • •Bilateral stenosis may indicate a systemic condition or severe ocular surface disease

Code Hierarchy

└H04Disorders of lacrimal system└H04.5Stenosis and insufficiency of lacrimal passages└H04.56Stenosis of lacrimal punctum└H04.563Stenosis of bilateral lacrimal punctum
└H04.563Stenosis of bilateral lacrimal punctum

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