Unspecified epiphora, bilateral

This code signifies excessive tearing (epiphora) affecting both eyes, where the underlying cause of the tearing has not been determined or specified by the clinician. It indicates a symptom rather than a definitive diagnosis of the tear duct system or ocular surface.

Use this code when documentation indicates bilateral epiphora without further specification of its etiology, such as lacrimal duct obstruction, conjunctivitis, or foreign body. This code is appropriate when the provider has not yet identified the specific reason for the increased tear production or impaired tear drainage.

• Avoid using this code if a more specific cause for the epiphora is documented (e.g., lacrimal gland disorder, punctal stenosis).
• Always query the provider for clarification if the documentation mentions "tearing" but doesn't specify laterality or a cause.
• This code is often a temporary diagnosis while further investigation into the cause of the epiphora is ongoing.