ICD-10 Code H04.569 – Stenosis of unspecified lacrimal punctum (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.569 – Stenosis of unspecified lacrimal punctum
What it is
H04.569 identifies narrowing of a lacrimal punctum, the small opening that drains tears from the eye. “Unspecified” means the documentation does not identify the side or a more exact punctal stenosis type.
Clinical signs
Typical findings include tearing, poor tear drainage, and visible punctal narrowing on eye examination. Clinical features vary; refer to documentation if the record does not clearly describe obstruction or laterality.
When to use this code
Use this code when the provider documents punctal stenosis without specifying right, left, or bilateral involvement. It also fits notes that describe narrowed punctal opening with impaired drainage but no more detailed diagnosis. Code the most specific option available if laterality is stated.
Do not use for
Do not use H04.569 for canalicular, nasolacrimal duct, or general lacrimal system obstruction. If the chart identifies a different tear drainage site or a more precise punctal diagnosis, choose that code instead.
Coding tip
Check the ophthalmology note for laterality and the exact drainage site before assigning this unspecified code.