ICD-10 Code H04.81 – Granuloma of lacrimal passages (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H04.81 – Granuloma of lacrimal passages
What it is
H04.81 identifies a granulomatous lesion involving the lacrimal passages, which drain tears from the eye. Use it when documentation specifically describes a granuloma in this tear drainage system.
Clinical signs
Findings may include localized swelling, irritation, tearing, or obstruction of tear drainage. Clinical features vary; refer to documentation for the exact site and whether the lesion is inflammatory or obstructive.
When to use this code
Use this code when the provider documents granuloma of the lacrimal apparatus, lacrimal sac, or related tear passages. It is appropriate for confirmed diagnoses in outpatient, inpatient, or specialist notes. If the record only says eye redness or tearing, check documentation before assigning it.
Do not use for
Do not use H04.81 for nonspecific conjunctival, eyelid, or corneal granulomas. If the note does not clearly identify the lacrimal passages, check documentation.
Coding tip
Code the documented lacrimal site as written; do not assume the lesion location from symptoms alone.