H04.561 (Stenosis of right lacrimal punctum) compared with H04.563 (Stenosis of bilateral lacrimal punctum), from the official CMS tabular data. H04.561 and H04.563 code the same condition on opposite sides.
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)
Same condition, opposite side. H04.561 and H04.563 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.
| H04.561Stenosis of right lacrimal punctum | H04.563Stenosis of bilateral lacrimal punctum | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | H00-H59 — Diseases of the Eye and Adnexa (H00-H59) | H00-H59 — Diseases of the Eye and Adnexa (H00-H59) |
| Definition | Stenosis of right lacrimal punctum is a billable ICD-10-CM diagnosis code (H04.561). | Stenosis of bilateral lacrimal punctum is a billable ICD-10-CM diagnosis code (H04.563). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources