Eversion of bilateral lacrimal punctum

This code describes an outward turning of the lower eyelid margin, specifically affecting the tear duct openings (lacrimal puncta) in both eyes. This eversion prevents proper drainage of tears, leading to epiphora (excessive tearing).

Apply this code when documentation clearly indicates bilateral eversion of the lacrimal puncta, often observed during an ophthalmological examination. Supporting documentation should include findings of outward-turned puncta and associated symptoms like chronic tearing or irritation in both eyes.

• Ensure the documentation specifies bilateral involvement; separate codes exist for unilateral conditions.
• Differentiate from ectropion of the eyelid, as this code specifically targets the punctum.
• Look for terms like "punctum eversion," "everted puncta," or "outward-turned tear duct openings" in the medical record.