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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 081Y includes procedures performed to bypass obstructions in the lacrimal duct in the eye. These ICD-10-PCS codes are used for inpatient documentation when a surgical bypass is performed to restore tear drainage around a blocked lacrimal duct. Accurate coding within the ICD-10-PCS 081Y group is essential for proper inpatient reimbursement, as it captures the specific 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 alternative route for tear drainage by bypassing an obstructed portion of the lacrimal duct in the eye body system. These bypass operations target the left lacrimal duct and restore or improve tear flow. Accurate coding of these procedures is important for inpatient reimbursement because it documents the specific bypass operation and supports appropriate case mix assignment.

Code Attributes

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

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ICD-10-PCS Code For Lacrimal Duct Left: 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
Y	Body Part	Lacrimal Duct, Left

When to Use

Use a code from this group when an inpatient procedure involves creating a bypass around an obstruction of the left lacrimal duct to reestablish tear flow. These codes apply when the operative intent and documentation clearly state a bypass operation on the left lacrimal duct.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
081Y0J3	Bypass Left Lacrimal Duct to Nasal Cavity with Synthetic Substitute, Open Approach
081Y0K3	Bypass Left Lacrimal Duct to Nasal Cavity with Nonautologous Tissue Substitute, Open Approach
081Y0Z3	Bypass Left Lacrimal Duct to Nasal Cavity, Open Approach
081Y3J3	Bypass Left Lacrimal Duct to Nasal Cavity with Synthetic Substitute, Percutaneous Approach
081Y3K3	Bypass Left Lacrimal Duct to Nasal Cavity with Nonautologous Tissue Substitute, Percutaneous Approach
081Y3Z3	Bypass Left 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 presents with chronic dacryocystitis and recurrent left-sided epiphora unresponsive to conservative measures; nasolacrimal irrigation demonstrates complete obstruction of the left lacrimal duct and infection risk. The ophthalmic surgeon plans an inpatient open bypass to create a direct drainage route from the left lacrimal duct to the nasal cavity, using a synthetic conduit to restore tear outflow and reduce infection recurrence. The procedure is performed under general anesthesia because of patient comorbidities and the need for an open approach. Typical codes: 081Y0J3
A middle-aged patient is admitted urgently after facial trauma with left medial canthal contusion causing acute obstruction of the left lacrimal duct and persistent tearing with risk of canalicular injury. Due to the acute nature and inability to re-establish native drainage immediately, a percutaneous bypass from the left lacrimal duct to the nasal cavity is performed at the bedside or interventional suite using a nonautologous tissue substitute to reestablish patency. The goal is rapid restoration of tear drainage and to prevent further soft tissue complications. Typical codes: 081Y3K3
A patient with prior dacryocystorhinostomy presents with recurrent left-sided epiphora and scar-related restenosis of the previous bypass. After evaluation demonstrating failure of the prior open repair, a percutaneous re-bypass to the nasal cavity is performed without implantation of a substitute material to re-create drainage through a less invasive route. This revision aims to restore lacrimal drainage while minimizing additional open surgical dissection. Typical codes: 081Y3Z3

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

081X-LACRIMAL-DUCT-BYPASS

ICD-10-PCS Code For Lacrimal Duct Right: 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
081Y0J3	Bypass Left Lacrimal Duct to Nasal Cavity with Synthetic Substitute, Open Approach
081Y0K3	Bypass Left Lacrimal Duct to Nasal Cavity with Nonautologous Tissue Substitute, Open Approach
081Y0Z3	Bypass Left Lacrimal Duct to Nasal Cavity, Open Approach
081Y3J3	Bypass Left Lacrimal Duct to Nasal Cavity with Synthetic Substitute, Percutaneous Approach
081Y3K3	Bypass Left Lacrimal Duct to Nasal Cavity with Nonautologous Tissue Substitute, Percutaneous Approach
081Y3Z3	Bypass Left 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 presents with chronic dacryocystitis and recurrent left-sided epiphora unresponsive to conservative measures; nasolacrimal irrigation demonstrates complete obstruction of the left lacrimal duct and infection risk. The ophthalmic surgeon plans an inpatient open bypass to create a direct drainage route from the left lacrimal duct to the nasal cavity, using a synthetic conduit to restore tear outflow and reduce infection recurrence. The procedure is performed under general anesthesia because of patient comorbidities and the need for an open approach. Typical codes: 081Y0J3
A middle-aged patient is admitted urgently after facial trauma with left medial canthal contusion causing acute obstruction of the left lacrimal duct and persistent tearing with risk of canalicular injury. Due to the acute nature and inability to re-establish native drainage immediately, a percutaneous bypass from the left lacrimal duct to the nasal cavity is performed at the bedside or interventional suite using a nonautologous tissue substitute to reestablish patency. The goal is rapid restoration of tear drainage and to prevent further soft tissue complications. Typical codes: 081Y3K3
A patient with prior dacryocystorhinostomy presents with recurrent left-sided epiphora and scar-related restenosis of the previous bypass. After evaluation demonstrating failure of the prior open repair, a percutaneous re-bypass to the nasal cavity is performed without implantation of a substitute material to re-create drainage through a less invasive route. This revision aims to restore lacrimal drainage while minimizing additional open surgical dissection. Typical codes: 081Y3Z3

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

081X-LACRIMAL-DUCT-BYPASS

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

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

Lacrimal Duct Bypass Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Lacrimal Duct Left: 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 left lacrimal duct?

What are the specific procedure codes in the 081Y group?

What code attributes define the 081Y group in ICD-10-PCS?

How does accurate coding in 081Y affect inpatient reimbursement?

Which DRGs are related to procedures in the 081Y lacrimal duct left group?

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 left lacrimal duct?

What are the specific procedure codes in the 081Y group?

What code attributes define the 081Y group in ICD-10-PCS?

How does accurate coding in 081Y affect inpatient reimbursement?

Which DRGs are related to procedures in the 081Y lacrimal duct left group?

References