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Q10.4

Billable

Absence and agenesis of lacrimal apparatus

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

What This Code Means

A birth defect where the tear drainage system (lacrimal apparatus) is absent or underdeveloped, potentially causing excessive tearing or dry eye problems.

Coding Tips

  • Document whether the absence or underdevelopment affects the lacrimal gland, ducts, or sac
  • Note any associated symptoms like epiphora (excessive tearing) or recurrent eye infections

Code Hierarchy

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