S05.1 — Contusion of eyeball and orbital tissues
S05.1 is a non-billable header ICD-10-CM code for contusion of eyeball and orbital tissues. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S05
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
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.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Traumatic hyphema
Other codes that can never be billed with S05.1
These codes carry an Excludes1 note pointing at S05.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S05.1 alone.
- H21.0Hyphema
Risk adjustment
S05.1 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 S05.1
3 child codes. Green means billable.
Related codes at this level
Codes that share S05. If S05.1 is not quite right, the correct code is usually one of these.
- S05.0Injury of conjunctiva and corneal abrasion without foreign body
- S05.2Ocular laceration and rupture with prolapse or loss of intraocular tissue
- S05.3Ocular laceration without prolapse or loss of intraocular tissue
- S05.4Penetrating wound of orbit with or without foreign body
- S05.5Penetrating wound with foreign body of eyeball
- S05.6Penetrating wound without foreign body of eyeball
- S05.7Avulsion of eye
- S05.8Other injuries of eye and orbit
- S05.9Unspecified injury of eye and orbit
Questions about S05.1
- Is S05.1 a billable ICD-10-CM code?
- No. S05.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S05.1 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).