ICD-10/H04.13

H04.13 ICD 2026 Code: Lacrimal cyst

H04.13 is the authoritative medical code for Lacrimal cyst. This classification is used in medical billing and clinical recording to specify the clinical criteria for lacrimal cyst (ICD-10-CM H04.13), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Lacrimal cyst is a non-billable ICD-10-CM category code H04.13. A more specific billable subcode must be selected for claims submission. Inclusion terms: Lacrimal cystic degeneration. Excludes1 (not coded here): congenital malformations of lacrimal system Q10.4-Q10.6. Excludes2 (not included here): open wound of eyelid S01.1-; superficial injury of eyelid (S00.1-, S00.2-).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for H04.13 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Lacrimal cystic degeneration

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • congenital malformations of lacrimal system Q10.4-Q10.6

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • open wound of eyelid S01.1-
  • superficial injury of eyelid (S00.1-, S00.2-)

Frequently Asked Questions (FAQ) & Clinical Guidance

Can H04.13 be billed directly?

No. H04.13 (Lacrimal cyst) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

What can't be coded together with H04.13?

Per Excludes1 instructions, H04.13 must not be reported with: congenital malformations of lacrimal system (Q10.4-Q10.6).

Can H04.13 be reported alongside related conditions?

Per Excludes2 instructions, H04.13 and the following may both be reported when both are present: open wound of eyelid (S01.1-); superficial injury of eyelid (S00.1-, S00.2-).

What conditions are included under H04.13?

Lacrimal cyst includes: Lacrimal cystic degeneration.

Codes in This Family (4)

Official ICD-10-CM classifications in the same code family as H04.13, with their registry titles.

  • H04.131 — Lacrimal cyst, right lacrimal gland
  • H04.132 — Lacrimal cyst, left lacrimal gland
  • H04.133 — Lacrimal cyst, bilateral lacrimal glands
  • H04.139 — Lacrimal cyst, unspecified lacrimal gland

Related Codes & Numerical Sequence (Crawl Map)

Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:

ICD Code H00.13 Chalazion right eye, unspecified eyelid
ICD Code H01.13 Eczematous dermatitis of eyelid
ICD Code H02.13 Senile ectropion of eyelid
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