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H04.613

Billable

Lacrimal fistula bilateral lacrimal passages

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

What This Code Means

Abnormal openings or tunnels in the tear drainage systems on both sides of the face that allow tears or fluid to leak through unintended pathways.

Coding Tips

  • •Use only when fistulas are confirmed bilaterally in the lacrimal passages
  • •Document whether fistulas are identical in nature or differ between sides

Code Hierarchy

└H04Disorders of lacrimal system└H04.6Other changes of lacrimal passages└H04.61Lacrimal fistula└H04.613Lacrimal fistula bilateral lacrimal passages
└H04.613Lacrimal fistula bilateral lacrimal passages

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