ICD-10-CM Billable Code

H04.011

Acute dacryoadenitis, right lacrimal gland

Clinical Classification Guidelines

Medical Intelligence & Overview

Acute dacryoadenitis is a sudden inflammation of the lacrimal gland, which is responsible for producing tears and maintaining eye health. When the inflammation affects only the right lacrimal gland, it corresponds to the ICD-10 code H04.011. This condition can cause discomfort, swelling, and other eye-related symptoms that require medical attention to relieve symptoms and prevent complications.

Causes & Symptoms

Clinical Causes: Viral infections, such as mumps or herpes simplex virus Bacterial infections, which are less common Inflammatory conditions like sarcoidosis or autoimmune diseases Trauma or injury to the eye area Other systemic infections or diseases that involve glandular inflammation

Key Symptoms: Sudden swelling and tenderness around the outer corner of the eye Pain or discomfort in the affected area Redness and warmth over the lacrimal gland Increased tear production or watery eye Possible decrease in vision or a feeling of pressure behind the eye Fever or malaise in some cases

Diagnostic & Treatment

Diagnosis Path: Diagnosis usually involves a detailed eye examination and medical history review. The healthcare provider may perform:

Treatment Protocols: Treatment focuses on relieving symptoms and addressing the underlying cause. Common approaches 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 H04.011 a billable ICD-10 code?
Yes, H04.011 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H04.011?
Clinical documentation must specify the nature of Acute dacryoadenitis, right lacrimal gland and any associated comorbidities for accurate reporting.

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