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CMS Transmittals




ICD-10 Code or Description Search:

H04.162 Quick jump to specific ICD-10 (CM) Code: H04.169


See Category: Diseases of the eye and adnexa

See Header: Lacrimal gland dislocation

ICD-10 (CM) Code and Descriptor

H04.163 Lacrimal gland dislocation, bilateral lacrimal glands

H04163 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 10
30.00% 16.00% 20.00% 22.00% 6.00% 2.00% 2.00% 2.00%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for H04.163*:

CPT
Description Number of Claims Sum Performed
V2790
AMNIOTIC MEMBRANE 11 12
J2250
INJ MIDAZOLAM HYDROCHLORIDE 7 9
J3010
FENTANYL CITRATE INJECTION 6 8
67400
EXPLORE/BIOPSY EYE SOCKET 5 5
88305
TISSUE EXAM BY PATHOLOGIST 4 5
J7120
RINGERS LACTATE INFUSION 4 4
J0690
CEFAZOLIN SODIUM INJECTION 4 16
G0463
HOSPITAL OUTPT CLINIC VISIT 3 3
92012
INTRM OPH EXAM EST PATIENT 3 3
15733
MUSC MYOQ/FSCQ FLP H&N PEDCL 3 3
88304
TISSUE EXAM BY PATHOLOGIST 3 6
67875
CLOSURE OF EYELID BY SUTURE 3 3
68899
UNLISTED PX LACRIMAL SYSTEM 3 3
67880
REVISION OF EYELID 2 2
70482
CT ORBIT/EAR/FOSSA W/O&W/DYE 2 2
J1956
LEVOFLOXACIN INJECTION 2 4
Q9967
LOCM 300-399MG/ML IODINE,1ML 2 135
J1100
DEXAMETHASONE SODIUM PHOS 2 8
J2405
ONDANSETRON HCL INJECTION 2 8
65780
OCULAR RECONST TRANSPLANT 2 2

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



H04.163 related to the following DRG Codes:

124-125






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