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Home/Diagnosis/ICD-10 Coding for Nasolacrimal Duct Obstruction

ICD-10 Coding for Nasolacrimal Duct Obstruction

H04.551
Q10.5

Complete ICD-10-CM coding and documentation guide for icd-10 coding for nasolacrimal duct obstruction includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Tear Duct Obstruction
Lacrimal Duct Obstruction
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Key Information: ICD-10 Coding for Nasolacrimal Duct Obstruction

Essential facts and insights about ICD-10 Coding for Nasolacrimal Duct Obstruction

Use ICD-10 code H04.551 for acquired stenosis of right nasolacrimal duct, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acquired stenosis of right nasolacrimal duct

Billable Code
H04.551
Billable

Diagnostic Criteria

  • • Confirmed acquired stenosis with clinical findings

Applicable To

  • • Idiopathic stenosis
  • • Post-inflammatory stenosis

Important Notes

  • • Ensure laterality is documented and matches the code used.

Congenital nasolacrimal duct obstruction

Billable Code
Q10.5
Billable

Diagnostic Criteria

  • • Persistent epiphora in infants
  • • Unresponsive to massage

Applicable To

  • • Membranous obstruction at birth

Important Notes

  • • Ensure age and congenital nature are documented.
Frequently Asked Questions

What is the ICD-10 code for nasolacrimal duct obstruction?

The ICD-10 code for congenital nasolacrimal duct obstruction is Q10.5, while acquired cases use codes H04.551-H04.553 depending on laterality.

How do you code bilateral nasolacrimal duct obstruction?

For bilateral acquired nasolacrimal duct obstruction, use ICD-10 code H04.553 and CPT code 68810-50 for the procedure.

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