2026 ICD-10-CM Diagnosis Code S05.10XAContusion of eyeball and orbital tissues, unspecified eye, initial encounter
S05.10XA is a billable ICD-10-CM diagnosis code for contusion of eyeball and orbital tissues, unspecified 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 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125, 963 through 965. Coders also document this condition as closed injury of eyeball. 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.
- Closed injury of eyeball
- Contusion of eye
- Contusion of eye AND ocular adnexa
- Contusion of globe of eye
- Contusion of ocular adnexa
- Contusion of ocular adnexa and periocular tissues
- Contusion of orbital tissues
- Contusion of periorbital region
- Traumatic hyphema
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 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Bruises
A bruise is a mark on your skin caused by blood trapped under the surface. It happens when an injury crushes small blood vessels but does not break the skin. Those vessels break open and leak blood under the skin.
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Convert S05.10XA to ICD-9-CMHistory
Code HistoryHistory
Questions About S05.10XAOverview
Is S05.10XA (Contusion of eyeball and orbital tissues, unspecified eye) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report contusion of eyeball and orbital tissues, unspecified eye, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S05.10XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for contusion of eyeball and orbital tissues, such as an emergency visit or first evaluation.
What MS-DRG does S05.10XA group to?
When contusion of eyeball and orbital tissues, unspecified eye, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, 963, 964, 965, with relative weights from 0.7678 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S05.10XA?
Under the General Equivalence Mappings, contusion of eyeball and orbital tissues, unspecified eye, initial encounter converts to ICD-9-CM 921.2 (contusion orbital tissue) and 921.3 (contusion of eyeball). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
