ICD-10-CM Billable Code

H04.012

Acute dacryoadenitis, left lacrimal gland

Clinical Classification Guidelines

Medical Intelligence & Overview

Acute dacryoadenitis refers to sudden inflammation of the lacrimal gland, which is responsible for producing tears. When this condition affects the left lacrimal gland, it can cause discomfort and swelling in the outer part of the upper eyelid. The condition may develop quickly and requires appropriate attention to manage symptoms and address underlying causes. Recognizing the signs early can help in seeking suitable treatment to relieve discomfort and prevent complications.

Causes & Symptoms

Clinical Causes: Viral infections, such as mumps or influenza Bacterial infections, including streptococcal or staphylococcal bacteria Inflammatory conditions like sarcoidosis or autoimmune diseases Trauma or injury to the eyelid or surrounding area Other systemic infections that involve the eye area

Key Symptoms: Sudden swelling and redness in the outer part of the upper eyelid Localized pain or tenderness over the affected lacrimal gland Tearing or increased tear production Sensitivity to light (photophobia) Possible fever or general feeling of illness Decreased or blocked tear drainage, leading to watery or irritated eyes

Diagnostic & Treatment

Diagnosis Path: Diagnosis is primarily based on clinical examination, including a detailed history of symptoms and physical assessment of the eyelid and surrounding tissues. An ophthalmologist or healthcare provider may perform additional tests such as:

Treatment Protocols: The management of acute dacryoadenitis aims to reduce inflammation, treat any underlying infection, and alleviate symptoms. Treatment options typically include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H04.012 a billable ICD-10 code?
Yes, H04.012 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H04.012?
Clinical documentation must specify the nature of Acute dacryoadenitis, left lacrimal gland and any associated comorbidities for accurate reporting.

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