H04

⚠ Non-billable (Header)

Disorders of lacrimal system

Diseases of the eye and adnexa (H00-H59)

⚠️ This is a category header code — not billable. Use a more specific child code below.

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❌ Excludes1

direct

These codes are mutually exclusive. Never code them together.

• congenital malformations of lacrimal system (Q10.4-Q10.6)

Child Codes (9)

H04.0DacryoadenitisHeader H04.1Other disorders of lacrimal glandHeader H04.2EpiphoraHeader H04.3Acute and unspecified inflammation of lacrimal passagesHeader H04.4Chronic inflammation of lacrimal passagesHeader H04.5Stenosis and insufficiency of lacrimal passagesHeader H04.6Other changes of lacrimal passagesHeader H04.8Other disorders of lacrimal systemHeader H04.9Disorder of lacrimal system, unspecified✓ Billable

Clinical Description

ICD-10-CM code H04 represents disorders of lacrimal system. This code falls under the Diseases of the eye and adnexa (H00-H59) classification. It is a non-billable category header code. A more specific child code from the list below must be used for billing and reimbursement purposes.

Frequently Asked Questions

What is ICD-10 code H04?

ICD-10-CM code H04 is "Disorders of lacrimal system". It belongs to the category: Diseases of the eye and adnexa (H00-H59).

Is H04 a billable ICD-10 code?

No, H04 is a non-billable header code. A more specific child code must be used for billing.

What codes are excluded with H04?

H04 has 1 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

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Code Information

CodeH04

BillableNo — Header code

CategoryDiseases of the eye and adnexa (H00-H59)

Excludes11 rule(s)

Excludes20 note(s)

Child codes9

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)