2026 ICD-10-CM Diagnosis Code S05.11XDContusion of eyeball and orbital tissues, right eye, subsequent encounter
S05.11XD is a billable ICD-10-CM diagnosis code for contusion of eyeball and orbital tissues, right eye, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as closed injury of eyeball. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Superficial injury; contusion, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S05.11XD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Closed injury of eyeball
- Contusion of globe of eye
- Contusion of globe of right eye
- Contusion of orbital tissue of right eye
- Contusion of orbital tissues
- Contusion of right eye region
- Hyphema of right eye
- Traumatic hyphema
- Traumatic hyphema 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 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 S05.11XD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S05.11XDOverview
Is S05.11XD (Contusion of eyeball and orbital tissues, right eye) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report contusion of eyeball and orbital tissues, right eye, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S05.11XD mean?
The final character D marks a subsequent encounter: use it for routine care while the contusion of eyeball and orbital tissues is healing, after active treatment has ended.
What MS-DRG does S05.11XD group to?
When contusion of eyeball and orbital tissues, right eye, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S05.11XD exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for contusion of eyeball and orbital tissues, right eye, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S05.11XD?
Under the General Equivalence Mappings, contusion of eyeball and orbital tissues, right eye, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). 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.
