H04.211
Epiphora due to excess lacrimation, right lacrimal gland
Clinical Classification Guidelines
Medical Intelligence & Overview
Epiphora refers to the excessive tearing or watery eyes. Specifically, H04.211 describes a condition where the right eye produces an abnormal amount of tears due to issues with the right lacrimal gland. Normally, the lacrimal gland produces tears to keep the eye moist, flush out debris, and protect against infection. When this gland produces too many tears or tears do not drain correctly, it results in persistent watering of the eye. This condition can affect daily activities and may lead to irritation or skin issues around the eye.
Causes & Symptoms
Clinical Causes: Inflammation or infection of the lacrimal gland (dacryoadenitis) Allergic reactions causing increased tear production Blockage of the drainage system (nasolacrimal duct obstruction) Tumors or cysts affecting the lacrimal gland Trauma or injury to the eye or surrounding area Certain systemic conditions, such as thyroid eye disease or autoimmune disorders Environmental irritants or exposure to wind, smoke, or bright lights
Key Symptoms: Persistent excessive tearing in the right eye Discomfort or irritation around the eye Possible redness or swelling near the lacrimal gland Clear or mucoid discharge Blurred vision caused by watery eyes Difficulty keeping the eye dry, leading to skin irritation
Diagnostic & Treatment
Diagnosis Path: Diagnosis usually involves a thorough eye examination by an eye care professional, which may include inspection of the eye and surrounding tissues. Additional tests can include imaging studies, such as ultrasound or MRI, to assess the lacrimal gland and drainage pathways. Dacryocystography, an imaging technique that visualizes tear drainage, might also be used to identify blockages. The healthcare provider will consider the patient's medical history and symptoms to determine the underlying cause.
Treatment Protocols: Management of epiphora due to excess lacrimation depends on the underlying cause. Treatment options may include:
Clinical Advice & FAQs
Billing Guidance
Is H04.211 a billable ICD-10 code?
Yes, H04.211 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H04.211?
Clinical documentation must specify the nature of Epiphora due to excess lacrimation, right lacrimal gland and any associated comorbidities for accurate reporting.
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