ICD-10 Code H04.819 – Granuloma of unspecified lacrimal passage (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.819 – Granuloma of unspecified lacrimal passage
What it is
H04.819 identifies a granuloma in the lacrimal drainage system when the exact passage is not specified. It describes a localized inflammatory mass or tissue reaction involving the tear duct area.
Clinical signs
Clinical features vary; refer to documentation. Commonly documented findings may include swelling, tenderness, or a visible mass near the lacrimal pathway, with possible tearing or drainage obstruction.
When to use this code
Use this code when the record documents a granuloma affecting the lacrimal passage but does not identify the specific site. It is appropriate when the provider notes a lacrimal granuloma, unspecified location, or similar wording. Check documentation if the note names a more precise lacrimal structure.
Do not use for
Do not use it when the granuloma is clearly documented in a specific lacrimal structure that has its own code. Avoid assigning it for general eye inflammation, tearing alone, or unrelated eyelid masses.
Coding tip
Code only from provider documentation, and capture the more specific lacrimal site if it is stated.