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ICD-10-CM 2027

ICD-10 code for lacrimal fistula

H04.61

Lacrimal fistula

Header — needs a more specific code

From the official ICD-10-CM alphabetic index entry “Fistula (cutaneous) › lacrimal (gland) (sac)”. Page updated September 29, 2026.

About coding lacrimal fistula

The ICD-10-CM code for lacrimal fistula is H04.61 (Lacrimal fistula).

Within H04.6 (other changes of lacrimal passages), H04.61 is specifically for lacrimal fistula. Related codes cover other changes of lacrimal passages (H04.69).

To report this condition, pick the subcode that matches the documentation: H04.611 (right lacrimal passage), H04.612 (left lacrimal passage), H04.613 (bilateral lacrimal passages) and H04.619 (unspecified lacrimal passage).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Common questions about lacrimal fistula ICD-10 codes

What is the ICD-10 code for lacrimal fistula?

H04.61 — Lacrimal fistula (a header code; report a more specific subcode).

Is H04.61 billable?

No. H04.61 is a header code. Report one of its more specific subcodes instead.