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H04.551 vs H04.553

H04.551 (Acquired stenosis of right nasolacrimal duct) compared with H04.553 (Acquired stenosis of bilateral nasolacrimal duct), from the official CMS tabular data. H04.551 and H04.553 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H04.551
Right
Acquired stenosis of right nasolacrimal duct
H04.553
Bilateral
Acquired stenosis of bilateral nasolacrimal duct

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. H04.551 and H04.553 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

H04.551Acquired stenosis of right nasolacrimal ductH04.553Acquired stenosis of bilateral nasolacrimal duct
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionAcquired stenosis of right nasolacrimal duct is a billable ICD-10-CM diagnosis code (H04.551).Acquired stenosis of bilateral nasolacrimal duct is a billable ICD-10-CM diagnosis code (H04.553).

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