ICD-10 Code H04.153 – Secondary lacrimal gland atrophy, bilateral lacrimal glands (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.153 – Secondary lacrimal gland atrophy, bilateral lacrimal glands
What it is
This code identifies acquired shrinkage or loss of function in both lacrimal glands due to a secondary cause. It refers to tear-producing gland atrophy, not simple dry eye alone.
Clinical signs
Patients may have reduced tear production, ocular dryness, irritation, or discomfort. Clinical features vary; refer to documentation for bilateral lacrimal gland atrophy and the underlying cause.
When to use this code
Use this code when the record specifically documents secondary atrophy of both lacrimal glands. It fits cases where the clinician links the gland change to another condition, injury, or acquired process. Confirm bilateral involvement and the secondary nature in the note.
Do not use for
Do not use it for nonspecific dry eye, lacrimal gland inflammation, or congenital lacrimal disorders. Check documentation if the chart does not clearly state bilateral secondary atrophy.
Coding tip
Code the documented cause separately when supported, and verify that “bilateral” is explicitly stated.