ICD Code H04.129

ICD code H04.129 is used to identify and classify the condition of dry eye syndrome affecting an unspecified lacrimal gland. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to document and categorize medical diagnoses. Dry eye syndrome is a condition where the eyes do not produce enough tears or the tears evaporate too quickly, leading to discomfort and potential vision problems. The term "unspecified lacrimal gland" indicates that the specific gland affected by the condition has not been determined or documented.

1. Persistent Eye Discomfort: The patient experiences ongoing discomfort in the eyes, which may include sensations of dryness, grittiness, or a feeling that something is in the eye.

2. Redness of the Eyes: The eyes appear red or bloodshot, indicating irritation or inflammation that is not attributable to other specific causes.

3. Excessive Tearing: Paradoxically, the patient may report excessive tearing as the eyes attempt to compensate for dryness by producing more tears.

4. Blurred Vision: The patient experiences intermittent blurred vision, which may improve with blinking or the use of artificial tears.

5. Sensitivity to Light: The patient reports increased sensitivity to light (photophobia), which can exacerbate discomfort and affect daily activities.

6. Difficulty Wearing Contact Lenses: The patient finds it challenging to wear contact lenses due to discomfort or irritation, which may be a result of inadequate lubrication.

7. Eye Fatigue: The patient experiences eye fatigue, especially after reading, using a computer, or performing tasks that require visual concentration.

8. Environmental Triggers: Symptoms are exacerbated by environmental factors such as wind, smoke, dry air, or prolonged screen time.

9. Absence of Other Ocular Conditions: The symptoms cannot be attributed to other ocular conditions such as conjunctivitis, blepharitis, or allergic reactions.

10. Chronic Nature: The symptoms have persisted for a significant period, typically more than a few weeks, and have not resolved with basic interventions.

For the ICD code H04.129, which pertains to dry eye syndrome of an unspecified lacrimal gland, the relevant CPT codes that may be applicable for treatment or management include:

1. 92002 - Intermediate ophthalmological service: new patient.

2. 92004 - Comprehensive ophthalmological service: new patient, one or more visits.

3. 92012 - Intermediate ophthalmological service: established patient.

4. 92014 - Comprehensive ophthalmological service: established patient, one or more visits.

5. 99201-99205 - Evaluation and management services for new patients.

6. 99211-99215 - Evaluation and management services for established patients.

7. 68761 - Closure of the lacrimal punctum; by plug, each.

8. 76514 - Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness).

These CPT codes are commonly used in the evaluation, management, and treatment of conditions associated with dry eye syndrome. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered during the patient encounter.

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