S05.01XS — Injury of conjunctiva and corneal abrasion without foreign body, right eye, sequela
S05.01XS is a billable, specific ICD-10-CM code for injury of conjunctiva and corneal abrasion without foreign body, right eye, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S05
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above S05.01XS
These are not written on S05.01XS, but they bind it: a note on a category applies to every code beneath it. Billing S05.01XS with anything listed here is a denial.
Excludes2 inherited from the categories above S05.01XS
Also inherited, and the opposite of Excludes1: these conditions are not part of S05.01XS, but a patient can have both, so you may code both.
Other codes that can never be billed with S05.01XS
These codes carry an Excludes1 note pointing at S05.01XS. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S05.01XS alone.
Risk adjustment
S05.01XS 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
S05.01XS is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56459Billing and Coding: Debridement Services
Code history
S05.01XS has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S05.01. If S05.01XS is not quite right, the correct code is usually one of these.
Questions about S05.01XS
- Is S05.01XS a billable ICD-10-CM code?
- Yes. S05.01XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S05.01XS 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).
- What cannot be coded together with S05.01XS?
- S05.01XS carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S05.01XS (S05.0) and apply to it just the same.