ICD-10 Code H04.209 – Unspecified epiphora, unspecified side (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.209 – Unspecified epiphora, unspecified side
What it is
This code identifies epiphora, or excessive tearing, when the side is not specified in the record. It is used when the chart confirms tearing but does not document a right or left eye.
Clinical signs
Typical findings include watery eyes, tear overflow onto the cheek, or frequent wiping of the eye area. Clinical features vary; refer to documentation.
When to use this code
Use H04.209 when the provider documents epiphora without naming the affected side. It also fits records that mention tearing but do not distinguish unilateral from bilateral involvement. If the note later specifies the side, code the documented laterality instead.
Do not use for
Do not use this code for tearing clearly tied to a documented eye injury, infection, or another defined disorder unless epiphora is separately stated. Check documentation if the record describes discharge rather than true tearing.
Coding tip
Always look for laterality in the assessment and exam, because unspecified side codes should be avoided when the chart gives more detail.