ICD-10 Code H04.54 – Stenosis of lacrimal canaliculi (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.54 – Stenosis of lacrimal canaliculi
What it is
H04.54 identifies narrowing of the lacrimal canaliculi, the small channels that drain tears from the eye into the lacrimal sac. Use it when documentation shows canalicular stenosis or stricture.
Clinical signs
Typical findings include tearing, poor tear drainage, and a narrowed canalicular passage on examination. Clinical features vary; refer to documentation.
When to use this code
Use H04.54 when the provider documents stenosis, narrowing, or stricture of the lacrimal canaliculi. It may appear in workups for chronic tearing or impaired drainage when the diagnosis is confirmed.
Code it when the record specifically identifies the canaliculi as the affected site. If the note only says epiphora or lacrimal obstruction without location, check documentation before assigning this code.
Do not use for
Do not use this code for general tear duct obstruction, punctal stenosis, or other lacrimal system disorders unless the canaliculi are specifically documented. Check documentation.
Coding tip
Assign the code only when the provider names canalicular stenosis; site specificity matters.