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H04.612

Billable

Lacrimal fistula left 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 left side that allows tears or fluid to leak through an unintended pathway.

Coding Tips

  • Ensure documentation specifies left-sided location; if bilateral, use H04.613 instead
  • Document the location of the fistula opening (skin, nasal cavity, etc.) if available

Code Hierarchy

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