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H04.201 vs H04.209

H04.201 (Unspecified epiphora, right side) compared with H04.209 (Unspecified epiphora, unspecified side), from the official CMS tabular data. H04.201 and H04.209 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H04.201
Right
Unspecified epiphora, right side
H04.209
Unspecified
Unspecified epiphora, unspecified side

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. H04.201 and H04.209 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

H04.201Unspecified epiphora, right sideH04.209Unspecified epiphora, unspecified side
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionUnspecified epiphora, right side is a billable ICD-10-CM diagnosis code (H04.201).Unspecified epiphora, unspecified side is a billable ICD-10-CM diagnosis code (H04.209).

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