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H04.523 vs H04.529

H04.523 (Eversion of bilateral lacrimal punctum) compared with H04.529 (Eversion of unspecified lacrimal punctum), from the official CMS tabular data. H04.523 and H04.529 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H04.523
Bilateral
Eversion of bilateral lacrimal punctum
H04.529
Unspecified
Eversion of unspecified lacrimal punctum

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. H04.523 and H04.529 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

H04.523Eversion of bilateral lacrimal punctumH04.529Eversion of unspecified lacrimal punctum
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionEversion of bilateral lacrimal punctum is a billable ICD-10-CM diagnosis code (H04.523).Eversion of unspecified lacrimal punctum is a billable ICD-10-CM diagnosis code (H04.529).

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