ICD-10 Code H04.523 – Eversion of bilateral lacrimal punctum (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.523 – Eversion of bilateral lacrimal punctum
What it is
This code identifies outward turning of both lacrimal puncta, the small openings that drain tears from the eye. Eversion can interfere with normal tear drainage and may contribute to tearing.
Clinical signs
You may see the puncta turned away from the eye surface on exam, often with epiphora or poor tear drainage. Clinical features vary; refer to documentation.
When to use this code
Use H04.523 when the provider documents bilateral punctal eversion as the diagnosis or a confirmed finding. It applies when the condition is being evaluated, monitored, or recorded as the reason for ocular tearing or drainage problems.
Code it only when both sides are involved. If the note describes a different lacrimal disorder, or laterality is not clearly bilateral, check documentation before assigning this code.
Do not use for
Do not use this code for unilateral punctal eversion or for nonspecific tearing without documented punctal eversion. Check documentation if the record instead describes other lacrimal drainage abnormalities.
Coding tip
Confirm bilateral laterality in the provider note before coding, because this code is specific to both lacrimal puncta.