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H04.552 vs H04.559

H04.552 (Acquired stenosis of left nasolacrimal duct) compared with H04.559 (Acquired stenosis of unspecified nasolacrimal duct), from the official CMS tabular data. H04.552 and H04.559 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H04.552
Left
Acquired stenosis of left nasolacrimal duct
H04.559
Unspecified
Acquired stenosis of unspecified 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. H04.552 and H04.559 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

H04.552Acquired stenosis of left nasolacrimal ductH04.559Acquired stenosis of unspecified 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 left nasolacrimal duct is a billable ICD-10-CM diagnosis code (H04.552).Acquired stenosis of unspecified nasolacrimal duct is a billable ICD-10-CM diagnosis code (H04.559).

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