2026 ICD-10-CM Diagnosis Code S05.41XSPenetrating wound of orbit with or without foreign body, right eye, sequela

ICD-10-CM Codes›S00–T88›S00-S09›S05

ICD-10-CM S05.41XS
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S05.41XS is a billable ICD-10-CM diagnosis code for penetrating wound of orbit with or without foreign body, right eye, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 604 through 605. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.

Code Identity

ICD-10-CM Code
S05.41XS
Billable Status
Yes — Valid for Submission
Code Describes
Penetrating wound of orbit with or without foreign body, right eye, sequela
Short Description
Penetrating wound of orbit w or w/o fb, right eye, sequela
Parent Code
S05.41
Penetrating wound of orbit with or without foreign body, right eye

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS00-S09Injuries to the head
CategoryS05Injury of eye and orbit
This CodeS05.41XSPenetrating wound of orbit with or without foreign body, right eye, sequela

Present on Admission (POA)Billing

S05.41XS 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.

  • Blow out fracture of orbit
  • Fracture of lateral wall of orbit
  • Fracture of medial wall of orbit
  • Fracture of orbital roof
  • Open blow out fracture of orbit
  • Open blow out fracture of orbital floor
  • Open blow-out fracture of right orbital floor
  • Open fracture of lateral wall of orbit
  • Open fracture of medial wall of orbit
  • Open fracture of medial wall of right orbit
  • Open fracture of right lateral orbital wall
  • Open fracture of right orbit
  • Open fracture of right orbital floor
  • Open fracture of right orbital roof
  • Open fracture of superior wall of orbit
  • Penetrating wound of orbit
  • Penetrating wound of right orbit

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.

CCSR INJ073
Injury, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S05.41XS to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
906.0 Lt eff opn wnd head/trnk
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S05.41XSOverview

Is S05.41XS a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report penetrating wound of orbit with or without foreign body, right eye, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in S05.41XS mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the penetrating wound of orbit with or without foreign body itself has resolved, not the original event.

What MS-DRG does S05.41XS group to?

When penetrating wound of orbit with or without foreign body, right eye, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, with relative weights from 0.9160 to 1.4721 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S05.41XS 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 penetrating wound of orbit with or without foreign body, right eye, sequela on inpatient claims.

What is the ICD-9 equivalent of S05.41XS?

Under the General Equivalence Mappings, penetrating wound of orbit with or without foreign body, right eye, sequela converts to ICD-9-CM 906.0 (lt eff opn wnd head/trnk). 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.