H04.319
Phlegmonous dacryocystitis of unspecified lacrimal passage
Clinical Classification Guidelines
Medical Intelligence & Overview
Phlegmonous dacryocystitis is a severe bacterial infection affecting the lacrimal sac, which is part of the tear drainage system of the eye. When this condition occurs, the sac becomes inflamed and filled with pus, leading to pain, swelling, and redness around the inner corner of the eye. It is categorized under ICD-10 code H04.319 when the specific lacrimal passage involved is not identified. Early diagnosis and treatment are important to prevent complications and ensure proper healing.
Causes & Symptoms
Clinical Causes: Bacterial infection, commonly caused by bacteria such as Staphylococcus or Streptococcus Obstruction of the tear duct, which can be caused by congenital issues, inflammation, or injury Spread of infection from nearby structures or skin infections Chronic inflammation leading to secondary bacterial invasion Obstruction or narrowing of the lacrimal passages due to scarring or tumors
Key Symptoms: Severe pain and tenderness around the inner corner of the eye Swelling and redness near the lacrimal sac area Discharge from the eye, which may be purulent (pus-like) Tearing or excessive tears dripping down the cheek Fever and general discomfort in some cases Sensitivity to light and a feeling of fullness in the affected area
Diagnostic & Treatment
Diagnosis Path: Diagnosis is primarily clinical, based on medical history and physical examination. The doctor observes swelling, redness, and pus around the lacrimal sac. Imaging tests such as ultrasound or dacryocystography might be used to evaluate the extent of infection or check for blockages. Bacterial cultures from the discharge can help identify the causative organism and guide antibiotic therapy.
Treatment Protocols: Treatment strategies focus on controlling infection, alleviating symptoms, and restoring normal tear drainage. These include:
Clinical Advice & FAQs
Billing Guidance
Is H04.319 a billable ICD-10 code?
Yes, H04.319 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H04.319?
Clinical documentation must specify the nature of Phlegmonous dacryocystitis of unspecified lacrimal passage and any associated comorbidities for accurate reporting.
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