Non-Billable / Non-Specific Code
ICD-10-CM H04 is the diagnosis code for Disorders of lacrimal system. 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.
The following conditions should never be coded at the same time as H04. They are mutually exclusive:
Understanding where H04 sits in the ICD-10-CM classification helps ensure proper coding:
No, H04 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
H04 is the ICD-10-CM diagnosis code for "Disorders of lacrimal system". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
H04 is located in Section H00-H05 — "Disorders of eyelid, lacrimal system and orbit" within Chapter 7 of the ICD-10-CM Tabular List.
H04 has 9 sub-code(s) that provide more specific detail: H04.0, H04.1, H04.2, H04.3, H04.4 and more.
Use H04 when the patients documented diagnosis matches "Disorders of lacrimal system" 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 Disorders of lacrimal system is H04.
No, H04 is non-billable. Use a more specific sub-code for primary diagnosis billing.
H04 is in Chapter 7 of the ICD-10-CM Tabular List.
Type 1 Excludes for H04 include: congenital malformations of lacrimal system (Q10.4-Q10.6).
Yes, H04 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.