ICD-10-CM Billable Code

H04.213

Epiphora due to excess lacrimation, bilateral lacrimal glands

Clinical Classification Guidelines

Medical Intelligence & Overview

Epiphora, characterized by excessive tearing, occurs when the eyes produce more tears than they can drain away. Specifically, ICD-10 Code H04.213 refers to bilateral lacrimal gland hyperactivity leading to increased tear production. This condition results in constant tearing, often affecting vision and comfort. Recognizing the causes, symptoms, and options for management can help individuals understand this eye issue better.

Causes & Symptoms

Clinical Causes: Overactive lacrimal glands producing excess tears Chronic inflammation of the lacrimal glands Eye irritation or allergies triggering tear production Structural abnormalities in the tear drainage system Environmental factors such as wind or bright lights Infections involving the lacrimal glands

Key Symptoms: Persistent tearing from both eyes Blurred vision due to excess tears Eyewear fogging up from tears Discomfort or sensation of wetness constantly present Occasional redness or mild swelling around the eyes Wetting of the cheeks from tears spilling over

Diagnostic & Treatment

Diagnosis Path: A healthcare provider typically conducts a comprehensive eye examination, including assessment of tear production and drainage. Additional tests may include:

Treatment Protocols: Management focuses on alleviating symptoms and addressing underlying causes. Possible options 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 H04.213 a billable ICD-10 code?
Yes, H04.213 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H04.213?
Clinical documentation must specify the nature of Epiphora due to excess lacrimation, bilateral lacrimal glands and any associated comorbidities for accurate reporting.

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