S05.12XS
S05.12XS: Contusion of eyeball and orbital tissues, left eye, sequela
Billable / specific codeICD-10-CMPOA exemptleft
S05.12XS is a billable, specific ICD-10-CM code for contusion of eyeball and orbital tissues, left eye, sequela. It is valid for submission on a claim.
Check S05.12XS with the rest of the claim: free scrubber7th 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
Excludes2 inherited from the categories above S05.12XS
Not part of this code, but both may be coded when both are present.
Written on S05.1: Contusion of eyeball and orbital tissues
Other codes that can never be billed with S05.12XS
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S05.12XS is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.