Valid for Submission
S05.20XA is a billable diagnosis code used to specify a medical diagnosis of ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, initial encounter. The code S05.20XA is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S05.20XA might also be used to specify conditions or terms like ocular laceration with intraocular prolapse, ocular laceration with prolapse and/or exposure of intraocular tissue, rupture of eye with partial loss of intraocular tissue or uveal prolapse.
S05.20XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like ocular laceration and rupture with prolapse or loss of intraocular tissue unspecified eye. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Unspecified diagnosis codes like S05.20XA are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Ocular laceration with intraocular prolapse
- Ocular laceration with prolapse AND/OR exposure of intraocular tissue
- Rupture of eye with partial loss of intraocular tissue
- Uveal prolapse
Diagnostic Related Groups - MS-DRG Mapping
Convert S05.20XA to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S05.20XA its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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.
- Corneal injury (Medical Encyclopedia)
- Eye - foreign object in (Medical Encyclopedia)
- Eye emergencies (Medical Encyclopedia)
- Hyphema (Medical Encyclopedia)
[Learn More in MedlinePlus]
Wounds and Injuries
Also called: Traumatic injuries
An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.
Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.
Other common types of injuries include
- Animal bites
- Electrical injuries
- Sprains and strains
- Bleeding (Medical Encyclopedia)
- Crush injury (Medical Encyclopedia)
- Cuts and puncture wounds (Medical Encyclopedia)
- Electrical injury (Medical Encyclopedia)
- Gunshot wounds -- aftercare (Medical Encyclopedia)
- How wounds heal (Medical Encyclopedia)
- Laceration - sutures or staples - at home (Medical Encyclopedia)
- Lacerations - liquid bandage (Medical Encyclopedia)
- Surgical wound care (Medical Encyclopedia)
- Surgical wound infection - treatment (Medical Encyclopedia)
- Wet to dry dressing changes (Medical Encyclopedia)
- Wound care centers (Medical Encyclopedia)
[Learn More in MedlinePlus]