H05.53

H05.53: Retained (old) foreign body following penetrating wound of bilateral orbits

Billable / specific codeICD-10-CMbilateral

H05.53 is a billable, specific ICD-10-CM code for retained (old) foreign body following penetrating wound of bilateral orbits. It is valid for submission on a claim.

Check H05.53 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H05.53

A category’s note binds every code beneath it.

Written on H05.5: Retained (old) foreign body following penetrating wound of orbit

current penetrating wound of orbit (S05.4-)

Written on H05: Disorders of orbit

congenital malformation of orbit (Q10.7)

Excludes2 inherited from the categories above H05.53

Not part of this code, but both may be coded when both are present.

Written on H05.5: Retained (old) foreign body following penetrating wound of orbit

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H05.53 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
A56551Billing and Coding: Visual Fields Testing
A56658Billing and Coding: Cosmetic and Reconstructive Surgery

Code history

Unchanged in every release from FY2024 to FY2027.