ICD-10 Code H04.522 – Eversion of left lacrimal punctum (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.522 – Eversion of left lacrimal punctum
What it is
H04.522 identifies outward turning of the left lacrimal punctum, the small opening that drains tears into the tear duct. This code describes a structural eyelid drainage abnormality, not a tear duct blockage.
Clinical signs
Clinical features vary; refer to documentation. You may see the left punctum visibly everted away from the eye surface, with tearing or poor tear drainage noted on examination.
When to use this code
Use H04.522 when the provider documents eversion of the left lacrimal punctum on examination or in an assessment. It is appropriate when the record clearly specifies the left side and the eversion finding. If the note is vague, check documentation before coding.
Do not use for
Do not use this code for general epiphora, punctal stenosis, or unspecified lacrimal disorders unless eversion is documented. Do not assume laterality from context; verify that the left side is stated.
Coding tip
Confirm both the anatomic site and laterality in the ophthalmology note before assigning H04.522.