H04.221 is the authoritative medical code for Epiphora due to insufficient drainage, right side. This classification is used in medical billing and clinical recording to specify the clinical criteria for epiphora due to insufficient drainage, right side (ICD-10-CM H04.221), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Epiphora due to insufficient drainage, right side is a billable ICD-10-CM diagnosis code H04.221. 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 H04.221 in the official ICD-10-CM tabular list.
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
What can't be coded together with H04.221?
Per official ICD-10-CM Excludes1 instructions, H04.221 must not be reported together with: congenital malformations of lacrimal system (Q10.4-Q10.6).
Can H04.221 be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, H04.221 and the following are not considered part of each other and may both be reported when both conditions are present: open wound of eyelid (S01.1-); superficial injury of eyelid (S00.1-, S00.2-).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to H04.221 in its code family, with their registry titles.
- H04 — Disorders of lacrimal system
- H04.0 — Dacryoadenitis
- H04.001 — Unspecified dacryoadenitis, right lacrimal gland
- H04.002 — Unspecified dacryoadenitis, left lacrimal gland
- H04.003 — Unspecified dacryoadenitis, bilateral lacrimal glands
- H04.009 — Unspecified dacryoadenitis, unspecified lacrimal gland
- H04.01 — Acute dacryoadenitis
- H04.011 — Acute dacryoadenitis, right lacrimal gland
- H04.012 — Acute dacryoadenitis, left lacrimal gland
- H04.013 — Acute dacryoadenitis, bilateral lacrimal glands
View all 40 codes in the H04 family