ICD-10 Code H04.213 – Epiphora due to excess lacrimation, bilateral lacrimal glands (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.213 – Epiphora due to excess lacrimation, bilateral lacrimal glands
What it is
This code identifies tearing caused by overproduction of tears affecting both lacrimal glands. Use it when the record states bilateral epiphora from excess lacrimation.
Clinical signs
Typical findings include persistent watery eyes and visible tear overflow from both eyes. Clinical features vary; refer to documentation for the documented cause and laterality.
When to use this code
Use H04.213 when the clinician documents bilateral epiphora specifically due to excess tear production, not obstruction. It fits outpatient or specialist notes that clearly link tearing to lacrimal overproduction. If the cause is not stated, check documentation before coding.
Do not use for
Do not use this code for tearing caused by blocked tear drainage, eye irritation alone, or unspecified epiphora. Check documentation if laterality is not bilateral or the mechanism is unclear.
Coding tip
Confirm both the cause and bilateral laterality in the note before assigning H04.213.