2026 ICD-10-CM Diagnosis Code S05.61XSPenetrating wound without foreign body of right eyeball, sequela
S05.61XS is a billable ICD-10-CM diagnosis code for penetrating wound without foreign body of right eyeball, 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
Code Classification
Present on Admission (POA)Billing
S05.61XS 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.
- Bilateral glaucoma due to and following perforating injury of eyes
- Bilateral ocular trauma
- Bilateral traumatic glaucoma
- Glaucoma due to and following perforating injury of eye
- Glaucoma of left eye due to and following ocular trauma
- Glaucoma of left eye due to and following perforating injury of eye
- Glaucoma of right eye due to and following ocular trauma
- Glaucoma of right eye due to and following perforating injury of eye
- Penetrating injury of both eyeballs
- Penetrating wound of left eye proper
- Penetrating wound of right eye proper
- Perforating injury of both eyeballs
- Perforating injury of eyeball
- Perforating injury of left eye
- Perforating 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 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
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 S05.61XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S05.61XSOverview
Is S05.61XS (Penetrating wound without foreign body of right eyeball) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report penetrating wound without foreign body of right eyeball, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S05.61XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the penetrating wound without foreign body of right eyeball itself has resolved, not the original event.
What MS-DRG does S05.61XS group to?
When penetrating wound without foreign body of right eyeball, 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 S05.61XS 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 without foreign body of right eyeball, sequela on inpatient claims.
What is the ICD-9 equivalent of S05.61XS?
Under the General Equivalence Mappings, penetrating wound without foreign body of right eyeball, 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.
