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H04.571 vs H04.572

H04.571 (Stenosis of right lacrimal sac) compared with H04.572 (Stenosis of left lacrimal sac), from the official CMS tabular data. H04.571 and H04.572 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H04.571
Right
Stenosis of right lacrimal sac
H04.572
Left
Stenosis of left lacrimal sac

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. H04.571 and H04.572 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

H04.571Stenosis of right lacrimal sacH04.572Stenosis of left lacrimal sac
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the eye and adnexaH00-H59 — Diseases of the eye and adnexa
DefinitionStenosis of right lacrimal sac is a billable ICD-10-CM diagnosis code (H04.571).Stenosis of left lacrimal sac is a billable ICD-10-CM diagnosis code (H04.572).

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