Laceration of eyelid involving lacrimal passages

This code signifies a traumatic injury to the eyelid that extends into or affects the lacrimal drainage system, which includes the puncta, canaliculi, lacrimal sac, and nasolacrimal duct. Such an injury can impair tear drainage, leading to epiphora (excessive tearing) and potential infection.

Apply this code when documentation explicitly states a laceration of the eyelid with involvement of the lacrimal passages. This typically occurs in cases of direct trauma to the periocular region. Supporting documentation should detail the location and depth of the laceration and confirm lacrimal system involvement.

• Ensure the documentation clearly specifies lacrimal passage involvement, not just a general eyelid laceration.
• Distinguish from superficial eyelid lacerations without lacrimal system damage.
• Consider an external cause of injury code (E-code) to describe how the injury occurred.