Epiphora due to excess lacrimation, bi lacrimal glands

This code signifies excessive tear production from both lacrimal glands, leading to epiphora (overflow of tears onto the face). It indicates a bilateral presentation of hypersecretion of tears, rather than an issue with tear drainage.

Use this code when documentation specifies bilateral epiphora resulting from overproduction of tears by the lacrimal glands. This typically occurs in conditions like irritative conjunctivitis, allergic reactions, or certain neurological disorders that stimulate tear secretion. Ensure the physician's notes clearly differentiate between excessive production and impaired drainage.

• Differentiate from epiphora due to obstruction of the lacrimal drainage system (H04.22- series).
• Confirm laterality; this code is specifically for bilateral involvement.
• Look for underlying causes documented, as these may require additional codes.