ICD-10-PCS: Coding for Lacrimal Duct Procedures in 2026

ICD-10-PCS Coding for Lacrimal Duct Procedures in 2026 👁️

Accurate coding of lacrimal duct procedures using ICD-10-PCS is crucial for proper reimbursement and data tracking. Here's a breakdown of how to approach this:

Key Considerations

• Approach: Is the procedure performed open, percutaneous, or endoscopically?
• Device: Is a device involved (e.g., stent)?
• Objective: What is the goal of the procedure (e.g., dilation, repair, drainage)?
• Anatomical Location: Which specific part of the lacrimal system is being targeted?

Common ICD-10-PCS Codes and Examples

Here are some examples of how to code common lacrimal duct procedures:

1. Dilation of Lacrimal Duct with Stent Insertion (Open Approach):

   087T0DZ - Dilation of Lacrimal Duct, Open Approach
   02HV3ZX - Insertion of Stent into Lacrimal Duct, Percutaneous Approach

2. Dacryocystorhinostomy (DCR) - Open Approach:

   DCR creates a new passage between the lacrimal sac and the nasal cavity.

   08QM0ZZ - Creation of new opening into Lacrimal Sac from Nasal Cavity, Open Approach

3. Repair of Lacrimal Duct (Percutaneous Approach):

   08QQ3ZZ - Repair Lacrimal Duct, Percutaneous Approach

4. Drainage of Lacrimal Sac (Open Approach):

   099C00Z - Drainage of Lacrimal Sac, Open Approach

Example Scenario

Scenario: A patient undergoes an open DCR with insertion of a stent.

08QM0ZZ - Creation of new opening into Lacrimal Sac from Nasal Cavity, Open Approach
02HV3ZX - Insertion of Stent into Lacrimal Duct, Percutaneous Approach

Important Notes

• Always refer to the official ICD-10-PCS coding guidelines for the most up-to-date information.
• Consult the coding clinics for clarification on specific scenarios.
• Ensure documentation supports the codes selected.

Disclaimer ⚠️

This information is for educational purposes only and should not be considered medical or legal advice. Always consult with a qualified healthcare professional or coding specialist for specific coding questions.