ICD-10 Code H04.553 – Acquired stenosis of bilateral nasolacrimal duct (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.553 – Acquired stenosis of bilateral nasolacrimal duct
What it is
Use this code for narrowing of both nasolacrimal ducts that develops after birth. It indicates impaired tear drainage from both eyes due to an acquired obstruction.
Clinical signs
Common findings include excessive tearing, recurrent eye discharge, and symptoms of tear outflow blockage on both sides. Clinical features vary; refer to documentation.
When to use this code
Assign H04.553 when the record clearly documents acquired stenosis affecting both nasolacrimal ducts. Use it for bilateral tear drainage obstruction that is not described as congenital or due to another specific cause. Check documentation if laterality or cause is unclear.
Do not use for
Do not use this code for congenital nasolacrimal duct obstruction or for unilateral disease. If the provider documents a different tear drainage disorder, code the documented condition instead.
Coding tip
Verify both laterality and acquired status in the note before assigning H04.553.