Non-Billable / Non-Specific Code
ICD-10-CM H04.53 is the diagnosis code for Neonatal obstruction of nasolacrimal duct. 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 H04.53. They are mutually exclusive:
Understanding where H04.53 sits in the ICD-10-CM classification helps ensure proper coding:
No, H04.53 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
H04.53 is the ICD-10-CM diagnosis code for "Neonatal obstruction of nasolacrimal duct". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of H04.53 is H04.5 ("Stenosis and insufficiency of lacrimal passages"). H04.53 provides a more specific classification within this category.
H04.53 is located in Section H00-H05 — "Disorders of eyelid, lacrimal system and orbit" within Chapter 7 of the ICD-10-CM Tabular List.
H04.53 has 4 sub-code(s) that provide more specific detail: H04.531, H04.532, H04.533, H04.539.
Use H04.53 when the patients documented diagnosis matches "Neonatal obstruction of nasolacrimal duct" 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 Neonatal obstruction of nasolacrimal duct is H04.53.
No, H04.53 is non-billable. Use a more specific sub-code for primary diagnosis billing.
H04.53 is in Chapter 7 of the ICD-10-CM Tabular List.
Type 1 Excludes for H04.53 include: congenital stenosis and stricture of lacrimal duct (Q10.5).
Yes, H04.53 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.