Eversion of unspecified lacrimal punctum

This code describes an outward turning of the lacrimal punctum, the small opening on the eyelid margin that drains tears. This eversion prevents proper tear drainage, leading to epiphora (excessive tearing) and potential irritation. The "unspecified" nature indicates the laterality (right or left eye) is not documented.

Use this code when documentation indicates eversion of the lacrimal punctum without specifying which eye is affected. This condition is often observed during an ophthalmological examination when the punctum is visible and turned away from the globe. Supporting documentation should clearly state "eversion of lacrimal punctum, unspecified."

• Avoid using this code if laterality (right or left) is documented; instead, use the more specific H04.521 or H04.522.
• Do not confuse eversion with ectropion of the eyelid, which involves the entire eyelid margin turning outward.
• Consider co-reporting codes for associated conditions such as epiphora (R68.82) if documented.