ICD-10 Code H04.561 – Stenosis of right lacrimal punctum (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.561 – Stenosis of right lacrimal punctum
What it is
H04.561 identifies narrowing of the right lacrimal punctum, the small opening that drains tears from the eye. This condition can reduce tear outflow and lead to tearing.
Clinical signs
Typical findings include epiphora on the right side and a narrowed or difficult-to-cannulate punctal opening. Clinical features vary; refer to documentation.
When to use this code
Use H04.561 when the record clearly documents stenosis of the right punctum, whether found on exam or during evaluation for tearing. Code it when the provider specifies the right side and does not describe a more general lacrimal drainage disorder.
Do not use for
Do not use this code for left or bilateral punctal stenosis, or when the chart only notes tearing without a documented punctal narrowing. Check documentation.
Coding tip
Confirm laterality and the exact anatomic site before assigning H04.561.