S04.012D
S04.012D: Injury of optic nerve, left eye, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptleft
S04.012D is a billable, specific ICD-10-CM code for injury of optic nerve, left eye, subsequent encounter. It is valid for submission on a claim.
Check S04.012D with the rest of the claim: free scrubber7th character "D": subsequent encounter
The appropriate 7th character is to be added to each code from category S04
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S04.012D is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A56551Billing and Coding: Visual Fields Testing
- A56612Billing and Coding: CT of the Head
Code history
Unchanged in every release from FY2024 to FY2027.