H04.13
Non-Billable

Lacrimal cyst

Non-Billable / Non-Specific Code

What is Lacrimal cyst?

ICD-10-CM H04.13 is the diagnosis code for Lacrimal cyst. This code falls under the section "Disorders of eyelid, lacrimal system and orbit" within Chapter 7 — Diseases of the eye and adnexa (H00-H59). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions

Coding Guidelines for H04.13

✅ This Code Includes

  • Lacrimal cystic degeneration

ICD-10-CM Code Hierarchy

Understanding where H04.13 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 4 entries
H04.131Lacrimal cyst, right lacrimal glandBillableH04.132Lacrimal cyst, left lacrimal glandBillableH04.133Lacrimal cyst, bilateral lacrimal glandsBillableH04.139Lacrimal cyst, unspecified lacrimal glandBillable
Related Codes

Frequently Asked Questions

Is H04.13 a billable ICD-10-CM code?

No, H04.13 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does H04.13 mean?

H04.13 is the ICD-10-CM diagnosis code for "Lacrimal cyst". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of H04.13?

The parent code of H04.13 is H04.1 ("Other disorders of lacrimal gland"). H04.13 provides a more specific classification within this category.

What section is H04.13 in?

H04.13 is located in Section H00-H05 — "Disorders of eyelid, lacrimal system and orbit" within Chapter 7 of the ICD-10-CM Tabular List.

What are the sub-codes of H04.13?

H04.13 has 4 sub-code(s) that provide more specific detail: H04.131, H04.132, H04.133, H04.139.

When should I use H04.13?

Use H04.13 when the patients documented diagnosis matches "Lacrimal cyst" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Lacrimal cyst?

The ICD-10-CM code for Lacrimal cyst is H04.13.

Can H04.13 be used for primary diagnosis?

No, H04.13 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is H04.13 in?

H04.13 is in Chapter 7 of the ICD-10-CM Tabular List.

Is H04.13 valid for 2026?

Yes, H04.13 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousH04.129Dry eye syndrome of unspecified lacrimal glandNext →H04.131Lacrimal cyst, right lacrimal gland
Code Details
H04.13
Lacrimal cyst
Non-Billable / Non-Specific Code
7 — Diseases of the eye and adnexa (H00-H59)
H00-H05 — Disorders of eyelid, lacrimal system and orbit
2026 ICD-10-CM