H04.223 Epiphora due to insufficient drainage, bilateral

Billable ICD-10-CM code, FY2026.

Applies from H04 Disorders of lacrimal system

Excludes1 (never code together)

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

MS-DRG index

Defines the logic of DRG(s) 124-125 in MDC 02.

Approximate ICD-9-CM (GEMs)

• 375.22 Epiphora due to insufficient drainage (approximate)

Nearby codes

• H04.213 Epiphora due to excess lacrimation, bilateral lacrimal glands
• H04.219 Epiphora due to excess lacrimation, unspecified lacrimal gland
• H04.22 Epiphora due to insufficient drainage
• H04.221 Epiphora due to insufficient drainage, right side
• H04.222 Epiphora due to insufficient drainage, left side
• H04.223 Epiphora due to insufficient drainage, bilateral (this code)
• H04.229 Epiphora due to insufficient drainage, unspecified side
• H04.3 Acute and unspecified inflammation of lacrimal passages
• H04.30 Unspecified dacryocystitis
• H04.301 Unspecified dacryocystitis of right lacrimal passage
• H04.302 Unspecified dacryocystitis of left lacrimal passage