S05.40XS
S05.40XS — Penetrating wound of orbit with or without foreign body, unspecified eye, sequela
Billable / specific codeICD-10-CMPOA exemptunspecified
S05.40XS is a billable, specific ICD-10-CM code for penetrating wound of orbit with or without foreign body, unspecified 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
Risk adjustment
S05.40XS 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
S05.40XS is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Related codes at this level
Codes that share S05.40. If S05.40XS is not quite right, the correct code is usually one of these.
Questions about S05.40XS
- Is S05.40XS a billable ICD-10-CM code?
- Yes. S05.40XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S05.40XS 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).