Secondary lacrimal gland atrophy, bilateral lacrimal glands

This code signifies the pathological reduction in size and function of both lacrimal glands, occurring as a consequence of another underlying systemic or ocular condition. This atrophy leads to decreased tear production, often resulting in severe dry eye symptoms.

Apply this code when documentation explicitly states bilateral lacrimal gland atrophy secondary to an identifiable cause (e.g., Sjögren's syndrome, sarcoidosis, radiation therapy, chronic inflammation). The physician's notes should clearly link the atrophy to the primary condition.

• Always sequence the underlying systemic or ocular condition causing the atrophy first, as this code represents a manifestation.
• Ensure documentation specifies "bilateral" involvement; otherwise, use the appropriate unilateral code (H04.151 or H04.152).
• Differentiate from primary lacrimal gland atrophy (H04.14-) where no underlying cause is identified.