2026 ICD-10-CM Diagnosis Code S05.72XDAvulsion of left eye, subsequent encounter
S05.72XD is a billable ICD-10-CM diagnosis code for avulsion of left 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 avulsion of eye. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds of head and neck, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S05.72XD 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.
- Avulsion of eye
- Bilateral ocular trauma
- Bilateral traumatic avulsion of eyes
- Traumatic avulsion of left eye
- Traumatic avulsion of right eye
- Traumatic enucleation of eye
- Traumatic enucleation of left 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
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Convert S05.72XD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S05.72XDOverview
Is S05.72XD (Avulsion of left eye) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report avulsion of left eye, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S05.72XD mean?
The final character D marks a subsequent encounter: use it for routine care while the avulsion of left eye is healing, after active treatment has ended.
What MS-DRG does S05.72XD group to?
When avulsion of left 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 S05.72XD 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 avulsion of left eye, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S05.72XD?
Under the General Equivalence Mappings, avulsion of left 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.
