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H04.619

Billable

Lacrimal fistula unspecified 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 when the specific side is not documented or specified.

Coding Tips

  • •This is a default code used when laterality is not clearly documented
  • •Attempt to clarify with the provider whether the fistula is unilateral or bilateral

Code Hierarchy

└H04Disorders of lacrimal system└H04.6Other changes of lacrimal passages└H04.61Lacrimal fistula└H04.619Lacrimal fistula unspecified lacrimal passage
└H04.619Lacrimal fistula unspecified lacrimal passage

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