ICD-10 Code H04.41 – Chronic dacryocystitis (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.41 – Chronic dacryocystitis
What it is
Chronic dacryocystitis is long-lasting inflammation or infection of the lacrimal sac, usually from blockage of the tear drainage system. It can cause persistent tearing and recurrent discharge.
Clinical signs
Common findings include epiphora, mucous or purulent reflux from the punctum, and tenderness or swelling near the inner corner of the eye. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents chronic dacryocystitis or chronic inflammation of the lacrimal sac. It fits cases with ongoing tear duct obstruction and repeated infection or drainage symptoms. Check documentation if the record only says dacryocystitis without chronicity.
Do not use for
Do not use it for acute dacryocystitis or other nonspecific eye infections. If the note describes only tearing, tear duct obstruction, or a different lacrimal disorder, choose the documented condition instead.
Coding tip
Confirm that the provider states chronic dacryocystitis, not just dacryocystitis or epiphora, before assigning H04.41.