H04.569
BillableStenosis of unspecified lacrimal punctum
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
The tear drainage opening (punctum) in the eye is abnormally narrowed or blocked, preventing tears from draining properly. This can cause excessive tearing and eye irritation.
Coding Tips
- •Use this code only when the specific lacrimal punctum (upper or lower) is not documented; if laterality is specified, use H04.561 (right) or H04.562 (left) instead
- •Stenosis indicates narrowing of the punctal opening; if complete blockage is documented, verify whether stenosis or obstruction is the more accurate diagnosis
Code Hierarchy
└H04Disorders of lacrimal system└H04.5Stenosis and insufficiency of lacrimal passages└H04.56Stenosis of lacrimal punctum└H04.569Stenosis of unspecified lacrimal punctum
└H04.569Stenosis of unspecified lacrimal punctum