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H04.301 vs H04.309

H04.301 (Unspecified dacryocystitis of right lacrimal passage) compared with H04.309 (Unspecified dacryocystitis of unspecified lacrimal passage), from the official CMS tabular data. H04.301 and H04.309 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H04.301
Right
Unspecified dacryocystitis of right lacrimal passage
H04.309
Unspecified
Unspecified dacryocystitis of unspecified lacrimal passage

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. H04.301 and H04.309 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

H04.301Unspecified dacryocystitis of right lacrimal passageH04.309Unspecified dacryocystitis of unspecified lacrimal passage
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionUnspecified dacryocystitis of right lacrimal passage is a billable ICD-10-CM diagnosis code (H04.301).Unspecified dacryocystitis of unspecified lacrimal passage is a billable ICD-10-CM diagnosis code (H04.309).

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