Is H05.5 a billable ICD-10-CM code?

No. H05.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H05.5 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).

What cannot be coded together with H05.5?

H05.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

H05.5

H05.5 — Retained (old) foreign body following penetrating wound of orbit

Non-billable headerICD-10-CM

H05.5 is a non-billable header ICD-10-CM code for retained (old) foreign body following penetrating wound of orbit. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

current penetrating wound of orbit (S05.4-)

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

retained foreign body of eyelid (H02.81-)
retained intraocular foreign body (H44.6-, H44.7-)

Use additional code

Add a secondary code to capture the detail described below.

code to identify the type of retained foreign body (Z18.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Retrobulbar foreign body

Risk adjustment

H05.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead H05.5

4 child codes. Green means billable.

Related codes at this level

Codes that share H05. If H05.5 is not quite right, the correct code is usually one of these.

Questions about H05.5

Is H05.5 a billable ICD-10-CM code?: No. H05.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H05.5 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).
What cannot be coded together with H05.5?: H05.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.