H04.313
Phlegmonous dacryocystitis of bilateral lacrimal passages
Clinical Classification Guidelines
Medical Intelligence & Overview
Bilateral phlegmonous dacryocystitis is a severe infection of the tear sac (lacrimal sac) affecting both eyes. It involves the formation of pus within the tissues around the lacrimal sac, leading to swelling, pain, and potential complications if untreated. This condition is a serious and urgent medical concern that requires prompt attention to prevent the spread of infection and preserve eye health.
Causes & Symptoms
Clinical Causes: Bacterial infection, often from spread of conjunctivitis or sinus infections Obstruction of the nasolacrimal duct, impeding tear drainage Trauma or injury to the eye area Chronic inflammation of the lacrimal sac Presence of foreign bodies or debris blocking the tear passages
Key Symptoms: Swelling and redness around the inner corner of both eyes Severe pain and tenderness in the affected areas Excessive tearing from both eyes Discharge of pus from the tear passages Fever and general malaise in some cases Difficulty opening the eyes due to swelling Possible blurred vision or eye discomfort
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a clinical examination by an eye specialist, who assesses the swelling, tenderness, and discharge. Additional tests may include:
Treatment Protocols: Effective management generally requires medical intervention to control infection, reduce swelling, and restore tear drainage. Treatment options may include:
Clinical Advice & FAQs
Billing Guidance
Is H04.313 a billable ICD-10 code?
Yes, H04.313 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H04.313?
Clinical documentation must specify the nature of Phlegmonous dacryocystitis of bilateral lacrimal passages and any associated comorbidities for accurate reporting.
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