Is H04.113 a billable ICD-10-CM code?

Yes. H04.113 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H04.113 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).

H04.113

H04.113 — Dacryops of bilateral lacrimal glands

Billable / specific codeICD-10-CMbilateral

H04.113 is a billable, specific ICD-10-CM code for dacryops of bilateral lacrimal glands. It is valid for submission on a claim.

Risk adjustment

H04.113 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

H04.113 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57068Billing and Coding: Ocular Photography - External
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Code history

H04.113 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share H04.11. If H04.113 is not quite right, the correct code is usually one of these.

Questions about H04.113

Is H04.113 a billable ICD-10-CM code?: Yes. H04.113 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H04.113 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).