2024 ICD-10-CM Diagnosis Code S05
Injury of eye and orbit
- ICD-10-CM:
- S05
- Short Description:
- Injury of eye and orbit
- Is Billable?
- Not Valid for Submission
- Code Navigator:
S05 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of injury of eye and orbit. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Coding Guidelines
The appropriate 7th character is to be added to each code from block Injury of eye and orbit (S05). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Specific Coding Applicable to Injury of eye and orbit
Non-specific codes like S05 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for injury of eye and orbit:
NON-BILLABLE CODE - S05.0 for Injury of conjunctiva and corneal abrasion without foreign body
NON-BILLABLE CODE - S05.00 for Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye
NON-BILLABLE CODE - S05.01 for Injury of conjunctiva and corneal abrasion without foreign body, right eye
NON-BILLABLE CODE - S05.02 for Injury of conjunctiva and corneal abrasion without foreign body, left eye
NON-BILLABLE CODE - S05.1 for Contusion of eyeball and orbital tissues
NON-BILLABLE CODE - S05.10 for Contusion of eyeball and orbital tissues, unspecified eye
NON-BILLABLE CODE - S05.11 for Contusion of eyeball and orbital tissues, right eye
NON-BILLABLE CODE - S05.12 for Contusion of eyeball and orbital tissues, left eye
NON-BILLABLE CODE - S05.2 for Ocular laceration and rupture with prolapse or loss of intraocular tissue
NON-BILLABLE CODE - S05.20 for Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye
NON-BILLABLE CODE - S05.21 for Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye
NON-BILLABLE CODE - S05.22 for Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye
NON-BILLABLE CODE - S05.3 for Ocular laceration without prolapse or loss of intraocular tissue
NON-BILLABLE CODE - S05.30 for Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye
NON-BILLABLE CODE - S05.31 for Ocular laceration without prolapse or loss of intraocular tissue, right eye
NON-BILLABLE CODE - S05.32 for Ocular laceration without prolapse or loss of intraocular tissue, left eye
NON-BILLABLE CODE - S05.4 for Penetrating wound of orbit with or without foreign body
NON-BILLABLE CODE - S05.40 for Penetrating wound of orbit with or without foreign body, unspecified eye
NON-BILLABLE CODE - S05.41 for Penetrating wound of orbit with or without foreign body, right eye
NON-BILLABLE CODE - S05.42 for Penetrating wound of orbit with or without foreign body, left eye
NON-BILLABLE CODE - S05.5 for Penetrating wound with foreign body of eyeball
NON-BILLABLE CODE - S05.50 for Penetrating wound with foreign body of unspecified eyeball
NON-BILLABLE CODE - S05.51 for Penetrating wound with foreign body of right eyeball
NON-BILLABLE CODE - S05.52 for Penetrating wound with foreign body of left eyeball
NON-BILLABLE CODE - S05.6 for Penetrating wound without foreign body of eyeball
NON-BILLABLE CODE - S05.60 for Penetrating wound without foreign body of unspecified eyeball
NON-BILLABLE CODE - S05.61 for Penetrating wound without foreign body of right eyeball
NON-BILLABLE CODE - S05.62 for Penetrating wound without foreign body of left eyeball
NON-BILLABLE CODE - S05.7 for Avulsion of eye
NON-BILLABLE CODE - S05.70 for Avulsion of unspecified eye
NON-BILLABLE CODE - S05.71 for Avulsion of right eye
NON-BILLABLE CODE - S05.72 for Avulsion of left eye
NON-BILLABLE CODE - S05.8 for Other injuries of eye and orbit
NON-BILLABLE CODE - S05.8X for Other injuries of eye and orbit
NON-BILLABLE CODE - S05.9 for Unspecified injury of eye and orbit
NON-BILLABLE CODE - S05.90 for Unspecified injury of unspecified eye and orbit
NON-BILLABLE CODE - S05.91 for Unspecified injury of right eye and orbit
NON-BILLABLE CODE - S05.92 for Unspecified injury of left eye and orbit
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Includes
IncludesThis note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- open wound of eye and orbit
Type 2 Excludes
Type 2 ExcludesA type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- 2nd cranial optic nerve injury S04.0
- 3rd cranial oculomotor nerve injury S04.1
- open wound of eyelid and periocular area S01.1
- orbital bone fracture S02.1 S02.3 S02.8
- superficial injury of eyelid S00.1 S00.2
7th Character Note
7th Character NoteCertain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- The appropriate 7th character is to be added to each code from category S05
7th Character
7th CharacterIndicates that a seventh character is to be assigned to codes in a subcategory.
- A - initial encounter
- D - subsequent encounter
- S - sequela
Patient Education
Corneal Disorders
Your cornea is the outermost layer of your eye. It is clear and shaped like a dome. The cornea helps to shield the rest of the eye from germs, dust, and other harmful matter. It also helps your eye to focus. If you wear contact lenses, they float on top of your corneas.
Problems with the cornea include:
- Refractive errors
- Allergies
- Infections
- Injuries
- Dystrophies - conditions in which parts of the cornea lose clarity due to a buildup of cloudy material
Treatments of corneal disorders include medicines, corneal transplantation, and corneal laser surgery.
NIH: National Eye Institute
[Learn More in MedlinePlus]
Eye Injuries
The structure of your face helps protect your eyes from injury. Still, injuries can damage your eye, sometimes severely enough that you could lose your vision. Most eye injuries are preventable. If you play sports or work in certain jobs, you may need protection.
The most common type of injury happens when something irritates the outer surface of your eye. Certain jobs such as industrial jobs or hobbies such as carpentry make this type of injury more likely. It's also more likely if you wear contact lenses.
Chemicals or heat can burn your eyes. With chemicals, the pain may cause you to close your eyes. This traps the irritant next to the eye and may cause more damage. You should wash out your eye right away while you wait for medical help.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.