Granuloma of bilateral lacrimal passages

This code signifies the presence of a granulomatous inflammatory lesion affecting the tear drainage system in both eyes. These lesions are typically benign and can obstruct the flow of tears, leading to epiphora (excessive tearing) and potential infection.

Apply this code when documentation clearly indicates a diagnosis of granuloma affecting the lacrimal passages of both the right and left eyes. Supporting documentation should include physician notes detailing the location and nature of the lesion(s) confirmed through examination or imaging.

• Ensure the documentation explicitly states involvement of both lacrimal passages; otherwise, use a unilateral code.
• Distinguish from dacryocystitis (inflammation of the lacrimal sac) or other lacrimal system disorders.
• Code any associated symptoms, such as epiphora (H04.21-), as secondary diagnoses.