2022 ICD-10-CM Code S05.60XA
Penetrating wound without foreign body of unspecified eyeball, initial encounter
Valid for Submission
| ICD-10: | S05.60XA |
| Short Description: | Penetrating wound w/o foreign body of unsp eyeball, init |
| Long Description: | Penetrating wound without foreign body of unspecified eyeball, initial encounter |
Code Classification
S05.60XA is a billable diagnosis code used to specify a medical diagnosis of penetrating wound without foreign body of unspecified eyeball, initial encounter. The code S05.60XA is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S05.60XA might also be used to specify conditions or terms like injury of lens, injury of lens, open wound of eyeball, penetrating injury of lens, penetrating wound of eye , penetrating wound of eyeball without foreign body, etc.
S05.60XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like penetrating wound without foreign body of unspecified eyeball. 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 S05.60XA 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.
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
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Injury of lens
- Injury of lens
- Open wound of eyeball
- Penetrating injury of lens
- Penetrating wound of eye
- Penetrating wound of eyeball without foreign body
- Perforating injury of lens
- Perforating scleral wound
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code S05.60XA is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | 02 | 1.3988 |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | 02 | 0.8354 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert S05.60XA to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S05.60XA 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.
- 871.7 - Ocular penetration NOS (Approximate Flag)
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
- Animal bites
- Bruises
- Burns
- Dislocations
- Electrical injuries
- Fractures (broken bones)
- Sprains and strains
[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)