Stenosis of right lacrimal punctum

This code signifies a narrowing or obstruction of the right lacrimal punctum, the small opening on the eyelid margin through which tears drain. This condition impedes the normal flow of tears from the eye into the nasolacrimal system, often leading to epiphora (excessive tearing). It can be congenital or acquired due to inflammation, trauma, or aging.

Use this code when documentation explicitly states stenosis or obstruction of the right lacrimal punctum. This diagnosis is typically supported by an ophthalmological examination noting a constricted punctum, often accompanied by symptoms of chronic tearing in the right eye. It applies to both primary and secondary presentations of punctal stenosis.

• Ensure laterality is clearly documented as right (H04.561), left (H04.562), or bilateral (H04.563).
• Distinguish from other lacrimal drainage disorders, such as dacryostenosis (H04.55-) or epiphora due to insufficient drainage (H04.50-).
• Code any underlying cause of acquired stenosis, if known and documented, as an additional diagnosis.