H04.323
Acute dacryocystitis of bilateral lacrimal passages
Clinical Classification Guidelines
Medical Intelligence & Overview
Acute dacryocystitis is a sudden and painful infection of the lacrimal sac, which is part of the tear drainage system situated between the inner corner of the eye and the nose. When this infection affects both sides simultaneously, it is called bilateral acute dacryocystitis. This condition often causes swelling, redness, and discomfort around the inner eye corners, potentially impacting tear drainage and eye health.
Causes & Symptoms
Clinical Causes: Bacterial infections, commonly caused by Staphylococcus or Streptococcus species Blockage in the tear ducts, preventing normal tear drainage Previous infections or inflammation in the lacrimal sac Trauma or injury to the eyelid or surrounding areas Underlying chronic nasolacrimal duct obstruction
Key Symptoms: Sudden onset of pain and swelling around the inner corners of both eyes Redness and tenderness over the affected areas Swelling may appear as a firm, tender sac below the eyelid Tearing or overflow of tears (epiphora) Fever and general discomfort in some cases Discharge of pus from the tear ducts Difficulty in opening the eyelids due to swelling and pain
Diagnostic & Treatment
Diagnosis Path: Diagnosis is primarily made through physical examination, noting signs of swelling, redness, and tenderness around the lacrimal sac. A healthcare provider may also perform:
Treatment Protocols: Antibiotic therapy, either topical or systemic, to treat bacterial infection Application of warm compresses to reduce swelling and promote drainage Pain management using over-the-counter medications as recommended In some cases, drainage may be necessary if abscess forms Addressing underlying causes, such as relieving obstructions in the tear duct In persistent or recurrent cases, surgical procedures like dacryocystorhinostomy (DCR) may be considered to create new tear drainage pathways
Clinical Advice & FAQs
Billing Guidance
Is H04.323 a billable ICD-10 code?
Yes, H04.323 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H04.323?
Clinical documentation must specify the nature of Acute dacryocystitis of bilateral lacrimal passages and any associated comorbidities for accurate reporting.
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