H04.21
Epiphora due to excess lacrimation
Clinical Classification Guidelines
Medical Intelligence & Overview
Epiphora, commonly known as excessive tearing, is a condition where the eyes produce more tears than they can drain away. This can result in persistent moisture around the eyes, eyelid irritation, and sometimes blurred vision. The ICD-10 code H04.21 covers cases where this excessive tearing is due to increased lacrimation, which often indicates an underlying issue affecting tear drainage or production.
Causes & Symptoms
Clinical Causes: Blockage or narrowing of the tear drainage ducts, preventing tears from draining properly Overproduction of tears due to inflammation or irritation of the eye surface Infections causing swelling or blockage in the tear pathways Age-related changes leading to laxity of eyelid muscles Injuries or trauma to the eye or surrounding structures Certain eye conditions such as conjunctivitis or blepharitis that lead to increased tearing
Key Symptoms: Persistent tearing from one or both eyes Watery-looking eyes with possible discharge Irritation or redness around the eyelids Blurry vision due to excessive tears Sensitivity to bright light Frequent wiping of the eyes to remove excess tears
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a comprehensive eye examination, including evaluation of the eyelids, tear production, and tear duct patency. Special tests, such as dye disappearance testing or imaging studies like dacryocystography, may be used to identify blockages or abnormalities in the tear drainage system. The healthcare provider will also review the patient's medical history and symptoms to determine the underlying cause of the excessive lacrimation.
Treatment Protocols: Treatment options depend on the underlying cause of the condition. They may include:
Clinical Advice & FAQs
Billing Guidance
Is H04.21 a billable ICD-10 code?
Yes, H04.21 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H04.21?
Clinical documentation must specify the nature of Epiphora due to excess lacrimation and any associated comorbidities for accurate reporting.
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