Injury of eye and orbit

Instructional notes

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).

• Application of 7th Characters in Chapter 19 (page 77)
• Coding of Injuries (page 78)
• Coding of Traumatic Fractures (page 79)
• Coding of Burns and Corrosions (page 80)
• Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
• Adult and child abuse, neglect and other maltreatment (page 85)
• Complications of care (page 85)

Read Section I.C.19 (page 77)

All codes under S05

S05 can't be used on a claim. Pick a billable code below; grey headings group them.

• S05.0Injury of conjunctiva and corneal abrasion without foreign body
• S05.00Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye
• S05.00XAInjury of conjunctiva and corneal abrasion without foreign body, unspecified eye, initial encounter
• S05.00XDInjury of conjunctiva and corneal abrasion without foreign body, unspecified eye, subsequent encounter
• S05.00XSInjury of conjunctiva and corneal abrasion without foreign body, unspecified eye, sequela
• S05.01Injury of conjunctiva and corneal abrasion without foreign body, right eye
• S05.01XAInjury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter
• S05.01XDInjury of conjunctiva and corneal abrasion without foreign body, right eye, subsequent encounter
• S05.01XSInjury of conjunctiva and corneal abrasion without foreign body, right eye, sequela
• S05.02Injury of conjunctiva and corneal abrasion without foreign body, left eye
• S05.02XAInjury of conjunctiva and corneal abrasion without foreign body, left eye, initial encounter
• S05.02XDInjury of conjunctiva and corneal abrasion without foreign body, left eye, subsequent encounter
• S05.02XSInjury of conjunctiva and corneal abrasion without foreign body, left eye, sequela
• S05.1Contusion of eyeball and orbital tissues
• S05.10Contusion of eyeball and orbital tissues, unspecified eye
• S05.10XAContusion of eyeball and orbital tissues, unspecified eye, initial encounter
• S05.10XDContusion of eyeball and orbital tissues, unspecified eye, subsequent encounter
• S05.10XSContusion of eyeball and orbital tissues, unspecified eye, sequela
• S05.11Contusion of eyeball and orbital tissues, right eye
• S05.11XAContusion of eyeball and orbital tissues, right eye, initial encounter
• S05.11XDContusion of eyeball and orbital tissues, right eye, subsequent encounter
• S05.11XSContusion of eyeball and orbital tissues, right eye, sequela
• S05.12Contusion of eyeball and orbital tissues, left eye
• S05.12XAContusion of eyeball and orbital tissues, left eye, initial encounter
• S05.12XDContusion of eyeball and orbital tissues, left eye, subsequent encounter
• S05.12XSContusion of eyeball and orbital tissues, left eye, sequela
• S05.2Ocular laceration and rupture with prolapse or loss of intraocular tissue
• S05.20Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye
• S05.20XAOcular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, initial encounter
• S05.20XDOcular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, subsequent encounter
• S05.20XSOcular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, sequela
• S05.21Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye
• S05.21XAOcular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter
• S05.21XDOcular laceration and rupture with prolapse or loss of intraocular tissue, right eye, subsequent encounter
• S05.21XSOcular laceration and rupture with prolapse or loss of intraocular tissue, right eye, sequela
• S05.22Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye
• S05.22XAOcular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter
• S05.22XDOcular laceration and rupture with prolapse or loss of intraocular tissue, left eye, subsequent encounter
• S05.22XSOcular laceration and rupture with prolapse or loss of intraocular tissue, left eye, sequela
• S05.3Ocular laceration without prolapse or loss of intraocular tissue
• S05.30Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye
• S05.30XAOcular laceration without prolapse or loss of intraocular tissue, unspecified eye, initial encounter
• S05.30XDOcular laceration without prolapse or loss of intraocular tissue, unspecified eye, subsequent encounter
• S05.30XSOcular laceration without prolapse or loss of intraocular tissue, unspecified eye, sequela
• S05.31Ocular laceration without prolapse or loss of intraocular tissue, right eye
• S05.31XAOcular laceration without prolapse or loss of intraocular tissue, right eye, initial encounter
• S05.31XDOcular laceration without prolapse or loss of intraocular tissue, right eye, subsequent encounter
• S05.31XSOcular laceration without prolapse or loss of intraocular tissue, right eye, sequela
• S05.32Ocular laceration without prolapse or loss of intraocular tissue, left eye
• S05.32XAOcular laceration without prolapse or loss of intraocular tissue, left eye, initial encounter
• S05.32XDOcular laceration without prolapse or loss of intraocular tissue, left eye, subsequent encounter
• S05.32XSOcular laceration without prolapse or loss of intraocular tissue, left eye, sequela
• S05.4Penetrating wound of orbit with or without foreign body
• S05.40Penetrating wound of orbit with or without foreign body, unspecified eye
• S05.40XAPenetrating wound of orbit with or without foreign body, unspecified eye, initial encounter
• S05.40XDPenetrating wound of orbit with or without foreign body, unspecified eye, subsequent encounter
• S05.40XSPenetrating wound of orbit with or without foreign body, unspecified eye, sequela
• S05.41Penetrating wound of orbit with or without foreign body, right eye
• S05.41XAPenetrating wound of orbit with or without foreign body, right eye, initial encounter
• S05.41XDPenetrating wound of orbit with or without foreign body, right eye, subsequent encounter
• S05.41XSPenetrating wound of orbit with or without foreign body, right eye, sequela
• S05.42Penetrating wound of orbit with or without foreign body, left eye
• S05.42XAPenetrating wound of orbit with or without foreign body, left eye, initial encounter
• S05.42XDPenetrating wound of orbit with or without foreign body, left eye, subsequent encounter
• S05.42XSPenetrating wound of orbit with or without foreign body, left eye, sequela
• S05.5Penetrating wound with foreign body of eyeball
• S05.50Penetrating wound with foreign body of unspecified eyeball
• S05.50XAPenetrating wound with foreign body of unspecified eyeball, initial encounter
• S05.50XDPenetrating wound with foreign body of unspecified eyeball, subsequent encounter
• S05.50XSPenetrating wound with foreign body of unspecified eyeball, sequela
• S05.51Penetrating wound with foreign body of right eyeball
• S05.51XAPenetrating wound with foreign body of right eyeball, initial encounter
• S05.51XDPenetrating wound with foreign body of right eyeball, subsequent encounter
• S05.51XSPenetrating wound with foreign body of right eyeball, sequela
• S05.52Penetrating wound with foreign body of left eyeball
• S05.52XAPenetrating wound with foreign body of left eyeball, initial encounter
• S05.52XDPenetrating wound with foreign body of left eyeball, subsequent encounter
• S05.52XSPenetrating wound with foreign body of left eyeball, sequela
• S05.6Penetrating wound without foreign body of eyeball
• S05.60Penetrating wound without foreign body of unspecified eyeball
• S05.60XAPenetrating wound without foreign body of unspecified eyeball, initial encounter
• S05.60XDPenetrating wound without foreign body of unspecified eyeball, subsequent encounter
• S05.60XSPenetrating wound without foreign body of unspecified eyeball, sequela
• S05.61Penetrating wound without foreign body of right eyeball
• S05.61XAPenetrating wound without foreign body of right eyeball, initial encounter
• S05.61XDPenetrating wound without foreign body of right eyeball, subsequent encounter
• S05.61XSPenetrating wound without foreign body of right eyeball, sequela
• S05.62Penetrating wound without foreign body of left eyeball
• S05.62XAPenetrating wound without foreign body of left eyeball, initial encounter
• S05.62XDPenetrating wound without foreign body of left eyeball, subsequent encounter
• S05.62XSPenetrating wound without foreign body of left eyeball, sequela
• S05.7Avulsion of eye
• S05.70Avulsion of unspecified eye
• S05.70XAAvulsion of unspecified eye, initial encounter
• S05.70XDAvulsion of unspecified eye, subsequent encounter
• S05.70XSAvulsion of unspecified eye, sequela
• S05.71Avulsion of right eye
• S05.71XAAvulsion of right eye, initial encounter
• S05.71XDAvulsion of right eye, subsequent encounter
• S05.71XSAvulsion of right eye, sequela
• S05.72Avulsion of left eye
• S05.72XAAvulsion of left eye, initial encounter
• S05.72XDAvulsion of left eye, subsequent encounter
• S05.72XSAvulsion of left eye, sequela
• S05.8Other injuries of eye and orbit
• S05.8XOther injuries of eye and orbit
• S05.8X1Other injuries of right eye and orbit
• S05.8X1AOther injuries of right eye and orbit, initial encounter
• S05.8X1DOther injuries of right eye and orbit, subsequent encounter
• S05.8X1SOther injuries of right eye and orbit, sequela
• S05.8X2Other injuries of left eye and orbit
• S05.8X2AOther injuries of left eye and orbit, initial encounter
• S05.8X2DOther injuries of left eye and orbit, subsequent encounter
• S05.8X2SOther injuries of left eye and orbit, sequela
• S05.8X9Other injuries of unspecified eye and orbit
• S05.8X9AOther injuries of unspecified eye and orbit, initial encounter
• S05.8X9DOther injuries of unspecified eye and orbit, subsequent encounter
• S05.8X9SOther injuries of unspecified eye and orbit, sequela
• S05.9Unspecified injury of eye and orbit
• S05.90Unspecified injury of unspecified eye and orbit
• S05.90XAUnspecified injury of unspecified eye and orbit, initial encounter
• S05.90XDUnspecified injury of unspecified eye and orbit, subsequent encounter
• S05.90XSUnspecified injury of unspecified eye and orbit, sequela
• S05.91Unspecified injury of right eye and orbit
• S05.91XAUnspecified injury of right eye and orbit, initial encounter
• S05.91XDUnspecified injury of right eye and orbit, subsequent encounter
• S05.91XSUnspecified injury of right eye and orbit, sequela
• S05.92Unspecified injury of left eye and orbit
• S05.92XAUnspecified injury of left eye and orbit, initial encounter
• S05.92XDUnspecified injury of left eye and orbit, subsequent encounter
• S05.92XSUnspecified injury of left eye and orbit, sequela

S05 MS-DRGs

As the principal diagnosis, the billable codes under S05 group to these 11 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

• DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (30 of 90 codes)
• DRG 125 Other Disorders of the Eye without MCC (30 of 90 codes)
• DRG 949 Aftercare with CC/MCC (30 of 90 codes)
• DRG 950 Aftercare without CC/MCC (30 of 90 codes)
• DRG 963 Other Multiple Significant Trauma with MCC (30 of 90 codes)
• DRG 964 Other Multiple Significant Trauma with CC (30 of 90 codes)
• DRG 965 Other Multiple Significant Trauma without CC/MCC (30 of 90 codes)
• DRG 604 Trauma to the Skin, Subcutaneous Tissue and Breast with MCC (21 of 90 codes)
• DRG 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC (21 of 90 codes)
• DRG 913 Traumatic Injury with MCC (9 of 90 codes)
• DRG 914 Traumatic Injury without MCC (9 of 90 codes)

Other codes that refer to S05

Notes on these codes point to S05.

• CH7 Excludes2: injury (trauma) of eye and orbit (S05.-)
• H44.6 Excludes1: current intraocular foreign body (S05.-)
• H44.7 Excludes1: current intraocular foreign body (S05.-)
• S00 Excludes1: injury of eye and orbit (S05.-)
• S01 Excludes2: injury of eye and orbit (S05.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.