Dry eye syndrome of bilateral lacrimal glands
ICD-10 H04.123 is a billable code used to indicate a diagnosis of dry eye syndrome of bilateral lacrimal glands.
Dry eye syndrome of bilateral lacrimal glands is characterized by insufficient tear production or excessive tear evaporation, leading to ocular discomfort, inflammation, and potential damage to the ocular surface. The lacrimal glands, located in the upper outer region of each orbit, are responsible for tear secretion. In dry eye syndrome, these glands may be compromised due to various factors including age, environmental conditions, autoimmune diseases, or prolonged screen time. Clinically, patients may present with symptoms such as dryness, burning sensation, redness, and blurred vision. Disease progression can lead to chronic inflammation of the conjunctiva and cornea, increasing the risk of secondary infections. Diagnostic considerations include a thorough patient history, symptom questionnaires, and tests such as tear break-up time and Schirmer's test to assess tear production. Treatment options may involve artificial tears, anti-inflammatory medications, or punctal plugs to retain moisture. Understanding the anatomy of the lacrimal system and its role in maintaining ocular health is crucial for effective management of this condition.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
H04.123 specifically covers dry eye syndrome affecting both lacrimal glands, which may be due to various etiologies such as Sjögren's syndrome, environmental factors, or medication side effects. It is essential to differentiate this from other forms of dry eye that may not involve bilateral lacrimal gland dysfunction.
H04.123 should be used when the patient exhibits symptoms of dry eye syndrome affecting both eyes and has been diagnosed with bilateral lacrimal gland involvement. If the condition is unilateral, the appropriate unilateral code (H04.121 or H04.122) should be selected.
Documentation should include a detailed patient history, symptom assessment, results from diagnostic tests (e.g., tear break-up time, Schirmer's test), and any treatment plans. This information is critical to substantiate the diagnosis of bilateral dry eye syndrome.
