Valid for Submission
S05.91XA is a billable diagnosis code used to specify a medical diagnosis of unspecified injury of right eye and orbit, initial encounter. The code S05.91XA 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 S05.91XA might also be used to specify conditions or terms like bilateral retained intraocular magnetic foreign body due to and following eye trauma, bilateral retained intraocular nonmagnetic foreign body due to and following eye trauma, retained magnetic foreign body in left eye, retained magnetic foreign body in right eye, retained nonmagnetic foreign body in left eye , retained nonmagnetic foreign body in right eye, etc.
S05.91XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified injury of right eye and orbit. 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 S05.91XA 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:
- Bilateral retained intraocular magnetic foreign body due to and following eye trauma
- Bilateral retained intraocular nonmagnetic foreign body due to and following eye trauma
- Retained magnetic foreign body in left eye
- Retained magnetic foreign body in right eye
- Retained nonmagnetic foreign body in left eye
- Retained nonmagnetic foreign body in right eye
- Retained nonmagnetic intraocular foreign body
- Traumatic injury of globe of right eye
Diagnostic Related Groups - MS-DRG Mapping
|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 S05.91XA to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S05.91XA 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.
[Learn More in MedlinePlus]