H04.54 – Stenosis of lacrimal canaliculi

ICD-10-CM 2027 diagnosis code · Disorders of eyelid, lacrimal system and orbit

Non-billable header

ICD-10-CM code H04.54

Code: H04.54 (claims format: H0454)
Description: Stenosis of lacrimal canaliculi
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 7. Diseases of the eye and adnexa (H00-H59)
Block: H00-H05 Disorders of eyelid, lacrimal system and orbit
Parent codes: H04 › H04.5

Billable codes under H04.54

H04.54 is a header code and cannot be used on claims. Choose the most specific code:

H04.541 – Stenosis of right lacrimal canaliculiBillable
H04.542 – Stenosis of left lacrimal canaliculiBillable
H04.543 – Stenosis of bilateral lacrimal canaliculiBillable
H04.549 – Stenosis of unspecified lacrimal canaliculiBillable

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

H04 – Disorders of lacrimal system

Excludes1 (not coded here):

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

Block H00-H05

Excludes2 (not included here):

open wound of eyelid (S01.1-)
superficial injury of eyelid (S00.1-, S00.2-)

Index terms for H04.54

Entries in the ICD-10-CM alphabetic index that lead to this code:

Stenosis, stenotic, lacrimal, canaliculi

Related codes in H04.5

Frequently asked questions

What is ICD-10 code H04.54?

H04.54 is the ICD-10-CM code for stenosis of lacrimal canaliculi, in the block H00-H05 (Disorders of eyelid, lacrimal system and orbit).

Is H04.54 a billable code?

No. H04.54 is a header code with more specific child codes; report one of the billable codes listed above.

What category does H04.54 belong to?

It belongs to category H04 – Disorders of lacrimal system.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.