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H04.011 vs H04.012

H04.011 (Acute dacryoadenitis, right lacrimal gland) compared with H04.012 (Acute dacryoadenitis, left lacrimal gland), from the official CMS tabular data. H04.011 and H04.012 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H04.011
Right
Acute dacryoadenitis, right lacrimal gland
H04.012
Left
Acute dacryoadenitis, left lacrimal gland

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H04.011 and H04.012 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H04.011Acute dacryoadenitis, right lacrimal glandH04.012Acute dacryoadenitis, left lacrimal gland
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionAcute dacryoadenitis, right lacrimal gland is a billable ICD-10-CM diagnosis code (H04.011).Acute dacryoadenitis, left lacrimal gland is a billable ICD-10-CM diagnosis code (H04.012).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources