H04.61
Header — not billableLacrimal fistula
The ICD-10 code for lacrimal fistula is H04.61.
H04.61 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 4 more specific codes below.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- H04.69Other changes of lacrimal passages
- H04.61Lacrimal fistulanon-billable header