ICD-10 Code H04.20 – Unspecified epiphora (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.20 – Unspecified epiphora
What it is
H04.20 identifies epiphora, or excessive tearing, when the exact cause is not documented. Use it when the chart confirms persistent tearing but does not specify obstruction, irritation, or another cause.
Clinical signs
Typical findings include watery eyes, tear overflow onto the cheek, and possible blurred vision from excess tearing. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents epiphora without naming a more specific diagnosis. It is appropriate for nonspecific tearing complaints, incomplete workups, or follow-up notes that still describe the condition as unspecified. Check documentation if a cause such as lacrimal drainage obstruction is recorded.
Do not use for
Do not use H04.20 when the record identifies a specific tear duct disorder, eye irritation, or another documented cause of tearing. If a more precise diagnosis is stated, code that condition instead.
Coding tip
Query for the underlying cause before defaulting to unspecified epiphora.