S00.11XD
S00.11XD — Contusion of right eyelid and periocular area, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
S00.11XD is a billable, specific ICD-10-CM code for contusion of right eyelid and periocular area, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S00
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S00.11XD 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.
Medicare coverage
S00.11XD is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56459Billing and Coding: Debridement Services
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share S00.11. If S00.11XD is not quite right, the correct code is usually one of these.
Questions about S00.11XD
- Is S00.11XD a billable ICD-10-CM code?
- Yes. S00.11XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S00.11XD sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).