ICD-10-CM Billable Code

H04.031

Chronic enlargement of right lacrimal gland

Clinical Classification Guidelines

Medical Intelligence & Overview

Chronic enlargement of the right lacrimal gland, classified under ICD-10 code H04.031, involves a prolonged increase in size of the tear-producing gland located in the upper outer corner of the eye. This condition may lead to noticeable swelling and discomfort, affecting eye function and appearance. While it can be caused by various underlying issues, understanding its characteristics is essential for recognizing symptoms and seeking appropriate medical attention.

Causes & Symptoms

Clinical Causes: Chronic inflammation or dacryoadenitis Lacrimal gland tumors, benign or malignant Infections such as viral or bacterial conjunctivitis Autoimmune diseases like Sjögren's syndrome Cyst formation within the gland Blocked tear drainage pathways leading to gland swelling

Key Symptoms: Persistent swelling in the outer upper corner of the eye Discomfort or tenderness in the affected area Redness or inflammation around the gland Increased tear production or watery eyes Decreased eye comfort or sensation of fullness Possible vision disturbances if the swelling impacts ocular structures

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a thorough eye examination by an ophthalmologist, who may utilize imaging studies such as ultrasound, MRI, or CT scans to evaluate the gland's size and structure. A detailed medical history and physical assessment are essential to identify underlying causes, with a biopsy potentially performed if a tumor or suspicious growth is suspected.

Treatment Protocols: Treatment options depend on the underlying cause of gland enlargement. 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 H04.031 a billable ICD-10 code?
Yes, H04.031 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H04.031?
Clinical documentation must specify the nature of Chronic enlargement of right lacrimal gland and any associated comorbidities for accurate reporting.

Cite this Clinical Reference