ICD-10 Code H04.52 – Eversion of lacrimal punctum (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.52 – Eversion of lacrimal punctum
What it is
Eversion of the lacrimal punctum means the tiny tear drainage opening on the eyelid margin turns outward instead of facing the eye. This can interfere with normal tear drainage and cause tearing.
Clinical signs
Look for punctal malposition on eyelid exam, often with visible outward turning of the punctum. Patients may report tearing or irritation; clinical features vary, so refer to documentation.
When to use this code
Use H04.52 when the provider documents eversion of a lacrimal punctum, whether as the main diagnosis or an exam finding requiring coding. It is appropriate when the record specifically identifies punctal eversion rather than a broader eyelid or tear-duct disorder.
Do not use for
Do not use this code for general epiphora, punctal stenosis, or other lacrimal system disorders unless punctal eversion is documented. Check documentation if the note only mentions tearing without a specific punctal finding.
Coding tip
Assign H04.52 only when the provider clearly documents punctal eversion on the affected side or in general.