2027 ICD-10-CM Diagnosis Code S05.01XAInjury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter
S05.01XA is a billable ICD-10-CM diagnosis code for injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Superficial injury; contusion, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abrasion of ocular adnexa of right eye
- Abrasion of right conjunctiva
- Abrasion of right cornea
- Abrasion of right eye region
- Conjunctival abrasion
- Conjunctival wound
- Corneal abrasion
- Injury of conjunctiva of right eye
- Right superficial conjunctival injury
- Superficial injury of conjunctiva
- Superficial injury of cornea
- Superficial injury of right eye
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S05.01XA: its own notes plus those printed at S05.0, S05, block S00-S09, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- open wound of eye and orbit
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
- for any associated infection
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category S05
- Ainitial encounter this code
- Dsubsequent encounter
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S05.01XA, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming S05.01XA: they are not reported together with it, unless the two conditions are unrelated.
- H44.6 Retained (old) intraocular foreign body, magneticcurrent intraocular foreign body (S05.-) names S05.-, which includes this code
- H44.7 Retained (old) intraocular foreign body, nonmagneticcurrent intraocular foreign body (S05.-) names S05.-, which includes this code
- S00 Superficial injury of headinjury of eye and orbit (S05.-) names S05.-, which includes this code
Excludes2 3
These codes carry an Excludes2 note naming S05.01XA: its condition is not part of those codes, and both may be reported when the patient has both.
- Chapter 7 (H00-H59) Diseases of the eye and adnexainjury (trauma) of eye and orbit (S05.-) names S05.-, which includes this code
- S00.2 Other and unspecified superficial injuries of eyelid and periocular areasuperficial injury of conjunctiva and cornea (S05.0-) names S05.0-, which includes this code
- S01 Open wound of headinjury of eye and orbit (S05.-) names S05.-, which includes this code
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S05.01XA to ICD-9-CMHistory
Code HistoryHistory
Questions About S05.01XAOverview
Is S05.01XA a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character A in S05.01XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for injury of conjunctiva and corneal abrasion without foreign body, such as an emergency visit or first evaluation.
What MS-DRG does S05.01XA group to?
When injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 125, 124, 963, with relative weights from 0.7699 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.
Can S05.01XA be reported with T15.1?
Not as a rule. The Excludes1 note at S05.0, which applies to S05.01XA, lists "foreign body in conjunctival sac (T15.1)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of S05.01XA?
Under the General Equivalence Mappings, injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter converts to ICD-9-CM 918.1 (superficial inj cornea) and 918.2 (superfic inj conjunctiva). The mapping is approximate, so confirm the match fits the documentation.