ICD-10 Code H04.562 – Stenosis of left lacrimal punctum (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.562 – Stenosis of left lacrimal punctum
What it is
This code identifies narrowing of the left lacrimal punctum, the small opening that drains tears from the eye into the tear duct. It indicates reduced tear outflow on the left side.
Clinical signs
Patients may have tearing, tear overflow onto the cheek, or irritation related to poor drainage. Clinical features vary; refer to documentation.
When to use this code
Use H04.562 when the provider documents stenosis or narrowing of the left punctum as the diagnosed cause of epiphora or lacrimal drainage obstruction. Apply it when the left side is specifically identified in the record. If the note only says “blocked tear duct,” check documentation for the exact site.
Do not use for
Do not use this code for right-sided or bilateral punctal stenosis, or for nonspecific lacrimal system disease without left punctal involvement. Check documentation.
Coding tip
Verify laterality and the exact anatomic site before coding, because punctal and broader nasolacrimal disorders are not interchangeable.