Chronic lacrimal canaliculitis of bi lacrimal passages

This code signifies a persistent, long-term inflammation of the tear drainage ducts (canaliculus) affecting both eyes. This condition often leads to epiphora (excessive tearing), discharge, and redness in the inner corner of the eye due to obstruction or infection within the lacrimal canaliculi.

Apply this code when documentation clearly indicates a chronic inflammatory process of the lacrimal canaliculi in both the right and left eyes. This diagnosis is typically supported by clinical examination findings such as pouting puncta, mucopurulent discharge expressed from the puncta, and a history of recurrent or prolonged symptoms.

• Ensure the chronicity of the condition is explicitly stated or clearly implied in the medical record.
• Verify that both lacrimal passages are affected; separate codes exist for unilateral involvement.
• Do not confuse with acute lacrimal canaliculitis (H04.41-) or dacryocystitis (H04.3-), which involves the lacrimal sac.