ICD-10 Code H04.223 – Epiphora due to insufficient drainage, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.223 – Epiphora due to insufficient drainage, bilateral
What it is
This code identifies tearing from both eyes caused by poor tear drainage, not excess tear production. Use it when documentation specifies bilateral epiphora due to insufficient drainage.
Clinical signs
Common findings include persistent watery eyes, tear overflow onto the cheeks, and symptoms affecting both sides. Clinical features vary; refer to documentation.
When to use this code
Use H04.223 when the provider documents bilateral epiphora and states the cause is insufficient drainage. It fits cases such as lacrimal outflow obstruction or reduced tear drainage, when both eyes are involved. If the note only says “tearing,” check documentation for laterality and cause.
Do not use for
Do not use this code for unilateral epiphora or tearing from increased tear production without drainage impairment. Check documentation if the cause is not clearly bilateral or not linked to insufficient drainage.
Coding tip
Confirm both laterality and the drainage-related cause before assigning H04.223.