ICD-10 Code H04.203 – Unspecified epiphora, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.203 – Unspecified epiphora, bilateral
What it is
This code identifies tearing from both eyes when the cause is not specified. Use it when the record documents bilateral epiphora without a more detailed diagnosis.
Clinical signs
Typical findings include persistent watery eyes on both sides, tear overflow onto the cheeks, or frequent wiping. Clinical features vary; refer to documentation.
When to use this code
Use H04.203 when the clinician documents bilateral epiphora and does not identify a cause such as obstruction, allergy, or infection. It also fits when the note simply states “bilateral tearing” or “watery eyes” with no further detail.
Do not use for
Do not use this code if the record specifies a cause of tearing, such as lacrimal duct obstruction or conjunctivitis. Check documentation for a more specific diagnosis.
Coding tip
Assign the most specific tearing code available; if laterality or cause is documented, code that instead of unspecified bilateral epiphora.