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H04.031 vs H04.039

H04.031 (Chronic enlargement of right lacrimal gland) compared with H04.039 (Chronic enlargement of unspecified lacrimal gland), from the official CMS tabular data. H04.031 and H04.039 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H04.031
Right
Chronic enlargement of right lacrimal gland
H04.039
Unspecified
Chronic enlargement of unspecified 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. H04.031 and H04.039 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

H04.031Chronic enlargement of right lacrimal glandH04.039Chronic enlargement of unspecified lacrimal gland
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionChronic enlargement of right lacrimal gland is a billable ICD-10-CM diagnosis code (H04.031).Chronic enlargement of unspecified lacrimal gland is a billable ICD-10-CM diagnosis code (H04.039).

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