ICD-10-PCS Code For Lacrimal Duct Right: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 081X includes procedures performed to bypass obstructions in the lacrimal duct on the right side. These ICD-10-PCS codes are used for inpatient documentation when an alternative drainage route is surgically created to treat tear outflow obstruction or recurrent dacryocystitis. Accurate coding within the ICD-10-PCS 081X group is essential for proper inpatient reimbursement, as it captures the bypass procedure performed and determines appropriate case mix and payment.

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Lacrimal Duct Bypass Procedure Overview

Procedures in this group involve creating an alternate route to bypass an obstructed lacrimal duct on the right side and restore tear drainage. They target the eye body system and specifically the right lacrimal duct to relieve epiphora and prevent recurrent infection. Accurate ICD-10-PCS coding ensures the inpatient record reflects the bypass operation performed and supports appropriate reimbursement and clinical data quality.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
8	Body System	Eye
1	Operation	Bypass
X	Body Part	Lacrimal Duct, Right

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ICD-10-PCS Code For Lacrimal Duct Right: Procedure Code Group Overview

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Lacrimal Duct Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
8	Body System	Eye
1	Operation	Bypass
X	Body Part	Lacrimal Duct, Right

When to Use

Use a code from this group when an inpatient receives a surgical bypass to relieve obstruction of the right lacrimal duct, such as for persistent epiphora or dacryocystitis not resolved by conservative measures. Assign these ICD-10-PCS codes when the operative report documents creation of a new drainage route or bypass of the native lacrimal duct on the right side.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
081X0J3	Bypass Right Lacrimal Duct to Nasal Cavity with Synthetic Substitute, Open Approach
081X0K3	Bypass Right Lacrimal Duct to Nasal Cavity with Nonautologous Tissue Substitute, Open Approach
081X0Z3	Bypass Right Lacrimal Duct to Nasal Cavity, Open Approach
081X3J3	Bypass Right Lacrimal Duct to Nasal Cavity with Synthetic Substitute, Percutaneous Approach
081X3K3	Bypass Right Lacrimal Duct to Nasal Cavity with Nonautologous Tissue Substitute, Percutaneous Approach
081X3Z3	Bypass Right Lacrimal Duct to Nasal Cavity, Percutaneous Approach

DRG Codes

13 rows

DRG Code	Description
115	Extraocular Procedures Except Orbit
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Showing 1–10 of 13

Typical Clinical Scenarios

An elderly patient with chronic, symptomatic nasolacrimal duct obstruction on the right side presents for a planned inpatient dacryocystorhinostomy after failed conservative therapy and repeated lacrimal irrigation attempts. The operative plan is to create a new drainage tract from the right lacrimal sac into the nasal cavity using the open surgical approach; no autologous graft is used. A bypass procedure from this group is performed to restore tear outflow and prevent recurrent dacryocystitis. Typical codes: 081X0Z3
A middle-aged patient arrives to the hospital with acute right-sided dacryocystitis complicated by an abscess and persistent obstruction unrelieved by incision and drainage; after stabilization, the team performs a percutaneous bypass from the right lacrimal sac to the nasal cavity using a synthetic tube to establish durable drainage. The percutaneous bypass is chosen to rapidly re-establish tear outflow and control infection while minimizing additional open dissection. Typical codes: 081X3J3
A patient with prior right lacrimal duct surgery presents with recurrent epiphora due to restenosis of the surgically created tract. The surgeon performs a revision bypass to the nasal cavity on the right side using a nonautologous tissue substitute via the open approach to recreate a patent passage and reduce the risk of further restenosis. This operative choice reflects a revision setting where an implant or graft is used to augment the bypass. Typical codes: 081X0K3

Related Codes

0812-ANTERIOR-CHAMBER-BYPASS

ICD-10-PCS Code For Anterior Chamber Right: Procedure Code Group Overview

0813-LEFT-ANTERIOR-CHAMBER-ALTERATION-ANTERIOR-CHAMBER-BYPASS

ICD-10-PCS Code For Anterior Chamber Left: Procedure Code Group Overview

081Y-LEFT-LACRIMAL-DUCT-BYPASS

ICD-10-PCS Code For Lacrimal Duct Left: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
081X0J3	Bypass Right Lacrimal Duct to Nasal Cavity with Synthetic Substitute, Open Approach
081X0K3	Bypass Right Lacrimal Duct to Nasal Cavity with Nonautologous Tissue Substitute, Open Approach
081X0Z3	Bypass Right Lacrimal Duct to Nasal Cavity, Open Approach
081X3J3	Bypass Right Lacrimal Duct to Nasal Cavity with Synthetic Substitute, Percutaneous Approach
081X3K3	Bypass Right Lacrimal Duct to Nasal Cavity with Nonautologous Tissue Substitute, Percutaneous Approach
081X3Z3	Bypass Right Lacrimal Duct to Nasal Cavity, Percutaneous Approach

DRG Codes

13 rows

DRG Code	Description
115	Extraocular Procedures Except Orbit
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Showing 1–10 of 13

Typical Clinical Scenarios

An elderly patient with chronic, symptomatic nasolacrimal duct obstruction on the right side presents for a planned inpatient dacryocystorhinostomy after failed conservative therapy and repeated lacrimal irrigation attempts. The operative plan is to create a new drainage tract from the right lacrimal sac into the nasal cavity using the open surgical approach; no autologous graft is used. A bypass procedure from this group is performed to restore tear outflow and prevent recurrent dacryocystitis. Typical codes: 081X0Z3
A middle-aged patient arrives to the hospital with acute right-sided dacryocystitis complicated by an abscess and persistent obstruction unrelieved by incision and drainage; after stabilization, the team performs a percutaneous bypass from the right lacrimal sac to the nasal cavity using a synthetic tube to establish durable drainage. The percutaneous bypass is chosen to rapidly re-establish tear outflow and control infection while minimizing additional open dissection. Typical codes: 081X3J3
A patient with prior right lacrimal duct surgery presents with recurrent epiphora due to restenosis of the surgically created tract. The surgeon performs a revision bypass to the nasal cavity on the right side using a nonautologous tissue substitute via the open approach to recreate a patent passage and reduce the risk of further restenosis. This operative choice reflects a revision setting where an implant or graft is used to augment the bypass. Typical codes: 081X0K3

Related Codes

0812-ANTERIOR-CHAMBER-BYPASS

ICD-10-PCS Code For Anterior Chamber Right: Procedure Code Group Overview

0813-LEFT-ANTERIOR-CHAMBER-ALTERATION-ANTERIOR-CHAMBER-BYPASS

ICD-10-PCS Code For Anterior Chamber Left: Procedure Code Group Overview

081Y-LEFT-LACRIMAL-DUCT-BYPASS

ICD-10-PCS Code For Lacrimal Duct Left: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Lacrimal Duct Right: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Lacrimal Duct Right: Procedure Code Group Overview policy alerts

Lacrimal Duct Bypass Procedure Overview

Code Attributes

ICD-10-PCS Code For Lacrimal Duct Right: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Lacrimal Duct Right: Procedure Code Group Overview policy alerts

Lacrimal Duct Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers bypass procedures for the right lacrimal duct?

What are the approach and device variations included in the 081X code group?

How does accurate coding within 081X affect inpatient reimbursement?

Which DRG categories may be associated with procedures in the 081X group?

What is the documented purpose of creating a lacrimal duct bypass in these codes?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers bypass procedures for the right lacrimal duct?

What are the approach and device variations included in the 081X code group?

How does accurate coding within 081X affect inpatient reimbursement?

Which DRG categories may be associated with procedures in the 081X group?

What is the documented purpose of creating a lacrimal duct bypass in these codes?

References