2026 ICD-10-CM Diagnosis Code S04.12XSInjury of oculomotor nerve, left side, sequela
S04.12XS is a billable ICD-10-CM diagnosis code for injury of oculomotor nerve, left side, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is exempt from POA reporting. Coders also document this condition as left oculomotor nerve injury. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S04.12XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Left oculomotor nerve injury
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Injury of cranial nerve (S04). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Eye Movement Disorders
When you look at an object, you're using several muscles to move both eyes to focus on it. If you have a problem with the muscles, the eyes don't work properly.
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Convert S04.12XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S04.12XSOverview
Is S04.12XS (Injury of oculomotor nerve, left side) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report injury of oculomotor nerve, left side, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S04.12XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the injury of oculomotor nerve, left side itself has resolved, not the original event.
Is S04.12XS exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for injury of oculomotor nerve, left side, sequela on inpatient claims.
What is the ICD-9 equivalent of S04.12XS?
Under the General Equivalence Mappings, injury of oculomotor nerve, left side, sequela converts to ICD-9-CM 907.1 (late eff cran nerve inj). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
