ICD-10 H04.562
Billable / SpecificStenosis of left lacrimal punctum
About ICD-10-CM H04.562
ICD-10-CM code H04.562 represents Stenosis of left lacrimal punctum. This is a billable/specific code in the Eye and Adnexa chapter (block H04). The 2026 edition of ICD-10-CM H04.562 became effective on October 1, 2025.
Medicare LCD Coverage for H04.562
Local Coverage Determinations (LCDs) from CMS MACs that list H04.562 as a covered diagnosis.
Showing top 7. Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H04.562.
2 Medicare
CPT Codes Commonly Billed with H04.562
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 68811 CMS LCD: Billing and Coding: Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation CMS LCD
- 68810 CMS LCD: Billing and Coding: Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation CMS LCD
- 68815 CMS LCD: Billing and Coding: Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation CMS LCD
- 68840 CMS LCD: Billing and Coding: Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation CMS LCD
- 68816 CMS LCD: Billing and Coding: Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation CMS LCD
- 68801 CMS LCD: Billing and Coding: Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation CMS LCD
Convert H04.562 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| H04.562 | 37552 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H04.562
Other codes in section H00-H05 (Disorders of eyelid, lacrimal system and orbit).
ICD-10 H04.562, Billing FAQ
Is ICD-10 code H04.562 billable? +
Yes, H04.562 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with H04.562? +
Procedures frequently paired with H04.562 include: 68811, 68810, 68815, 68840, 68816.
What ICD-9 codes does H04.562 map to? +
Per CMS GEMs, H04.562 maps to ICD-9 codes: 37552. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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