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H04.811 vs H04.819

H04.811 (Granuloma of right lacrimal passage) compared with H04.819 (Granuloma of unspecified lacrimal passage), from the official CMS tabular data. H04.811 and H04.819 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H04.811
Right
Granuloma of right lacrimal passage
H04.819
Unspecified
Granuloma of unspecified lacrimal passage

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. H04.811 and H04.819 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

H04.811Granuloma of right lacrimal passageH04.819Granuloma of unspecified lacrimal passage
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionGranuloma of right lacrimal passage is a billable ICD-10-CM diagnosis code (H04.811).Granuloma of unspecified lacrimal passage is a billable ICD-10-CM diagnosis code (H04.819).

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