H04 – Disorders of lacrimal system

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

Non-billable header

ICD-10-CM code H04

Code: H04 (claims format: H04)
Description: Disorders of lacrimal system
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

Billable codes under H04

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

H04.0 – DacryoadenitisHeader (more codes below)
H04.1 – Other disorders of lacrimal glandHeader (more codes below)
H04.2 – EpiphoraHeader (more codes below)
H04.3 – Acute and unspecified inflammation of lacrimal passagesHeader (more codes below)
H04.4 – Chronic inflammation of lacrimal passagesHeader (more codes below)
H04.5 – Stenosis and insufficiency of lacrimal passagesHeader (more codes below)
H04.6 – Other changes of lacrimal passagesHeader (more codes below)
H04.8 – Other disorders of lacrimal systemHeader (more codes below)
H04.9 – Disorder of lacrimal system, unspecifiedBillable

Notes for H04

Excludes1 (not coded here):

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

Notes inherited from parent codes

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

Block H00-H05

Excludes2 (not included here):

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

Frequently asked questions

What is ICD-10 code H04?

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

Is H04 a billable code?

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

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.