ICD-10 Code H04.552 – Acquired stenosis of left nasolacrimal duct (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Acquired stenosis of left nasolacrimal duct is H04.552.
2026 ICD-10-CM Diagnosis Code H04.552 – Acquired stenosis of left nasolacrimal duct

What it is

Use this code for a narrowed or blocked tear duct on the left side that was acquired, not present from birth. It describes impaired drainage from the left nasolacrimal duct.

Clinical signs

Typical findings include tearing, recurrent eye watering, and possible discharge from the left eye. Clinical features vary; refer to documentation for laterality and whether the stenosis is acquired.

When to use this code

Assign H04.552 when the provider documents acquired stenosis or narrowing of the left nasolacrimal duct. Use it for confirmed left-sided tear duct obstruction in outpatient, specialty, or hospital records. Check documentation if the record only says epiphora or unspecified lacrimal obstruction.

Do not use for

Do not use this code for congenital nasolacrimal duct obstruction or for right-sided or bilateral disease. If the note does not identify acquired left-sided stenosis, check documentation.

Coding tip

Confirm both laterality and acquired status before coding H04.552.

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