H04.813
BillableGranuloma of bilateral lacrimal passages
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A granuloma is an abnormal tissue growth that develops in both the tear drainage passages (lacrimal passages) on both sides of the face. This condition involves inflammation and the formation of granular tissue in the ducts that drain tears from the eyes.
Coding Tips
- •Verify that the granuloma is documented as bilateral (affecting both eyes) before assigning this code; if only one side is affected, use the unilateral code H04.811 instead
- •Ensure the clinical documentation specifically identifies the lacrimal passages as the site and confirms the granulomatous nature of the lesion to support accurate coding
Code Hierarchy
└H04Disorders of lacrimal system└H04.8Other disorders of lacrimal system└H04.81Granuloma of lacrimal passages└H04.813Granuloma of bilateral lacrimal passages
└H04.813Granuloma of bilateral lacrimal passages