H04.613 Lacrimal fistula bilateral lacrimal passages

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)

• 375.61 Lacrimal fistula (approximate)

Nearby codes

• H04.579 Stenosis of unspecified lacrimal sac
• H04.6 Other changes of lacrimal passages
• H04.61 Lacrimal fistula
• H04.611 Lacrimal fistula right lacrimal passage
• H04.612 Lacrimal fistula left lacrimal passage
• H04.613 Lacrimal fistula bilateral lacrimal passages (this code)
• H04.619 Lacrimal fistula unspecified lacrimal passage
• H04.69 Other changes of lacrimal passages
• H04.8 Other disorders of lacrimal system
• H04.81 Granuloma of lacrimal passages
• H04.811 Granuloma of right lacrimal passage