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H04.579

Billable

Stenosis of unspecified lacrimal sac

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 lacrimal sac when the specific side (left, right, or bilateral) is not documented or specified.

Coding Tips

  • This is a default code used when laterality cannot be determined from the medical record
  • Query the provider if possible to obtain specific laterality information for more precise coding

Code Hierarchy

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