Unspecified epiphora, left side

This code signifies an unspecified excessive tearing or watering of the left eye. It indicates a symptom of lacrimal dysfunction where the cause of the epiphora has not been determined or documented. The condition can lead to blurred vision, skin irritation, and discomfort.

Apply this code when the patient presents with epiphora affecting the left eye, and the provider's documentation does not specify the underlying etiology (e.g., lacrimal duct obstruction, conjunctivitis, foreign body). This code is appropriate when the diagnostic workup for the cause of tearing is incomplete or inconclusive at the time of coding.

• Avoid using this code if a more specific cause for the left-sided epiphora is documented (e.g., H04.212 for epiphora due to excess lacrimation, left side).
• Always review the entire encounter note for clues regarding the specific etiology of the epiphora before defaulting to an unspecified code.
• Consider querying the provider if the documentation indicates further investigation is planned or if a specific cause is strongly suspected but not explicitly stated.