Billable / Specific Code
ICD-10-CM H04.542 is the diagnosis code for Stenosis of left lacrimal canaliculi. 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 billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where H04.542 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, H04.542 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
H04.542 is the ICD-10-CM diagnosis code for "Stenosis of left lacrimal canaliculi". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of H04.542 is H04.54 ("Stenosis of lacrimal canaliculi"). H04.542 provides a more specific classification within this category.
H04.542 is located in Section H00-H05 — "Disorders of eyelid, lacrimal system and orbit" within Chapter 7 of the ICD-10-CM Tabular List.
Use H04.542 when the patients documented diagnosis matches "Stenosis of left lacrimal canaliculi" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Stenosis of left lacrimal canaliculi is H04.542.
Yes, H04.542 can be used as a primary diagnosis code since it is billable and specific.
H04.542 is in Chapter 7 of the ICD-10-CM Tabular List.
Yes, H04.542 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.