Stenosis of bilateral lacrimal punctum

This code indicates a narrowing or obstruction of the tear duct openings (puncta) in both eyes. This condition impedes the normal drainage of tears, leading to epiphora (excessive tearing) and potential eye irritation or infection.

Apply this code when documentation specifies bilateral lacrimal punctal stenosis. This diagnosis is typically made during an ophthalmological examination, often supported by findings of tear film pooling or a failed punctal dilation.

• Ensure the documentation clearly specifies "bilateral" involvement.
• Distinguish from stenosis of the lacrimal sac or nasolacrimal duct, which have different codes.
• Consider co-reporting with codes for associated symptoms like epiphora (e.g., H04.21-) if documented.