ICD-10-CM › H00-H59 › H00-H05 › H04.2 Epiphora › H04.22

H04.22

Epiphora due to insufficient drainage

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 4 more specific codes instead:

  • H04.221 Epiphora due to insufficient drainage, right side
  • H04.222 Epiphora due to insufficient drainage, left side
  • H04.223 Epiphora due to insufficient drainage, bilateral
  • H04.229 Epiphora due to insufficient drainage, unspecified side

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Epiphora due to insufficient drainage

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from H04 Disorders of lacrimal system

Excludes1 - never coded here

  • congenital malformations of lacrimal system (Q10.4-Q10.6)

Inherited from the H00-H05 section Disorders of eyelid, lacrimal system and orbit (H00-H05)

Excludes2 - not included here

  • open wound of eyelid (S01.1-)
  • superficial injury of eyelid (S00.1-, S00.2-)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
H04.20 Unspecified epiphora Not billable
H04.21 Epiphora due to excess lacrimation Not billable