ICD-10 Code H04.229 – Epiphora due to insufficient drainage, unspecified side (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.229 – Epiphora due to insufficient drainage, unspecified side
What it is
This code identifies tearing caused by poor tear drainage, with the side not specified in the documentation. Use it when the record states epiphora from insufficient drainage but does not name the affected eye.
Clinical signs
Typical findings include persistent watery eyes, tear overflow onto the cheek, and possible irritation from chronic moisture. Clinical features vary; refer to documentation.
When to use this code
Use H04.229 when the clinician documents epiphora and attributes it to insufficient drainage, such as nasolacrimal outflow obstruction or reduced tear passage, but does not specify laterality. Apply it for outpatient, inpatient, or consult notes that clearly support the diagnosis.
If the record later specifies the right or left side, code the more specific laterality instead. Check documentation when tearing is mentioned without a clear cause, because that may require a different code.
Do not use for
Do not use this code for tearing due to excessive tear production, eye irritation alone, or unspecified eye discharge without epiphora. Check documentation if the cause or side is unclear.
Coding tip
Code the documented cause and laterality first; use this unspecified-side code only when the provider does not identify the affected eye.