2022 ICD-10-CM Code S05.4

Penetrating wound of orbit with or without foreign body

Version 2021

Not Valid for Submission

ICD-10:S05.4
Short Description:Penetrating wound of orbit with or without foreign body
Long Description:Penetrating wound of orbit with or without foreign body

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the head (S00-S09)
      • Injury of eye and orbit (S05)

S05.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of penetrating wound of orbit with or without foreign body. The code is not specific and is NOT valid for the year 2022 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:

Specific Coding for Penetrating wound of orbit with or without foreign body

Non-specific codes like S05.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding 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
  • BILLABLE CODE - Use S05.40XA for initial encounter
  • BILLABLE CODE - Use S05.40XD for subsequent encounter
  • BILLABLE CODE - Use S05.40XS for sequela
  • NON-BILLABLE CODE - S05.41 for Penetrating wound of orbit with or without foreign body, right eye
  • BILLABLE CODE - Use S05.41XA for initial encounter
  • BILLABLE CODE - Use S05.41XD for subsequent encounter
  • BILLABLE CODE - Use S05.41XS for sequela
  • NON-BILLABLE CODE - S05.42 for Penetrating wound of orbit with or without foreign body, left eye
  • BILLABLE CODE - Use S05.42XA for initial encounter
  • BILLABLE CODE - Use S05.42XD for subsequent encounter
  • BILLABLE CODE - Use S05.42XS for sequela

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code S05.4:


Type 2 Excludes

Type 2 Excludes
A 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.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code S05.4 are found in the index:

Information for Patients


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]

Wounds and 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


[Learn More in MedlinePlus]

Code History

  • 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 (First year ICD-10-CM implemented into the HIPAA code set)