Lacrimal cyst, bilateral lacrimal glands

This code signifies the presence of a fluid-filled sac or lesion affecting both lacrimal glands, which are responsible for tear production. These cysts can arise from obstruction of the lacrimal ducts or other developmental anomalies. Patients may present with swelling, discomfort, or epiphora (excessive tearing).

Use this code when documentation clearly indicates a diagnosis of a lacrimal cyst affecting both the right and left lacrimal glands. This diagnosis is typically made by an ophthalmologist based on clinical examination and imaging studies such as ultrasound or MRI. The medical record should specify the bilateral involvement.

• Ensure the documentation explicitly states "bilateral" involvement of the lacrimal glands.
• Differentiate from dacryocystitis (inflammation of the lacrimal sac) or other lacrimal gland disorders.
• If laterality is not specified, query the provider for clarification to avoid using an unspecified code.