Unspecified dacryocystitis of bilateral lacrimal passages

This code describes inflammation of the tear sac (dacryocystitis) affecting both lacrimal passages, where the specific cause or type of inflammation is not documented. It indicates a bilateral presentation of an unspecified inflammatory process within the tear drainage system.

Use this code when documentation clearly states bilateral dacryocystitis but lacks further specificity regarding its acute or chronic nature, or the underlying etiology. This code is appropriate when the provider has not specified laterality (e.g., "dacryocystitis, bilateral") or when the documentation explicitly states "unspecified bilateral dacryocystitis."

• Avoid using this code if the documentation specifies acute (H04.31-) or chronic (H04.32-) dacryocystitis.
• Ensure the documentation explicitly indicates bilateral involvement; otherwise, use a unilateral unspecified code (H04.301 or H04.302).
• Always query the provider for greater specificity (acute/chronic, laterality if not stated, and underlying cause) to allow for more precise coding.