2026 ICD-10-CM Diagnosis Code S05.8X1DOther injuries of right eye and orbit, subsequent encounter

ICD-10-CM Codes›S00–T88›S00-S09›S05

ICD-10-CM S05.8X1D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S05.8X1D is a billable ICD-10-CM diagnosis code for other injuries of right eye and orbit, 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified injury, subsequent encounter.

Code Identity

ICD-10-CM Code
S05.8X1D
Billable Status
Yes — Valid for Submission
Code Describes
Other injuries of right eye and orbit, subsequent encounter
Short Description
Other injuries of right eye and orbit, subsequent encounter
Same as the full description in the CMS dataset.
Parent Code
S05.8X1
Other injuries of right eye and orbit

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS00-S09Injuries to the head
CategoryS05Injury of eye and orbit
This CodeS05.8X1DOther injuries of right eye and orbit, subsequent encounter

Present on Admission (POA)Billing

S05.8X1D 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 closed traumatic injury of eyeballs
  • Bilateral ocular trauma
  • Blunt injury
  • Blunt injury of eye
  • Closed blunt force injury to eye
  • Closed blunt force injury to right eye
  • Closed injury of eyeball
  • Commotio retinae
  • Commotio retinae of right retina
  • Injury of lacrimal passage
  • Traumatic injury of right lacrimal gland duct

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 INJ063
Other specified injury, subsequent encounter
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 S05.8X1D to ICD-9-CMHistory

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

ICD-9-CM
V58.89 Other specfied aftercare
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 S05.8X1DOverview

Is S05.8X1D (Other injuries of right eye and orbit) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other injuries of right eye and orbit, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S05.8X1D mean?

The final character D marks a subsequent encounter: use it for routine care while the other injuries of right eye and orbit is healing, after active treatment has ended.

What MS-DRG does S05.8X1D group to?

When other injuries of right eye and orbit, 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 S05.8X1D 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 other injuries of right eye and orbit, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S05.8X1D?

Under the General Equivalence Mappings, other injuries of right eye and orbit, 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.