Chronic enlargement of bilateral lacrimal glands

This code signifies a persistent, non-acute swelling or increase in size of both lacrimal glands. This condition often presents as a palpable mass in the upper outer eyelid region, potentially causing discomfort or visual disturbances due to pressure on the globe.

Apply this code when documentation clearly indicates a long-standing, bilateral enlargement of the lacrimal glands. This is typically supported by physical examination findings, imaging studies (e.g., MRI, CT), and a history consistent with chronicity. It is appropriate for conditions like chronic dacryoadenitis or idiopathic orbital inflammation affecting both glands.

• Ensure documentation specifies "chronic" and "bilateral" involvement; otherwise, consider codes for acute or unspecified lacrimal gland enlargement.
• Investigate the underlying cause if known (e.g., sarcoidosis, Sjögren's syndrome) and code it as a primary diagnosis, with this code as a secondary diagnosis.
• Differentiate from lacrimal gland tumors, which have distinct coding.