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H04.611

Billable

Lacrimal fistula right lacrimal passage

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

An abnormal opening or tunnel in the tear drainage system on the right side that allows tears or fluid to leak through an unintended pathway.

Coding Tips

  • Confirm the fistula is in the lacrimal passage (not elsewhere) and document right-sided location
  • Note whether the fistula is congenital or acquired, as this distinction may be clinically relevant

Code Hierarchy

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