S05.41XA
S05.41XA: Penetrating wound of orbit with or without foreign body, right eye, initial encounter
Billable / specific codeICD-10-CMright
S05.41XA is a billable, specific ICD-10-CM code for penetrating wound of orbit with or without foreign body, right eye, initial encounter. It is valid for submission on a claim.
Check S05.41XA with the rest of the claim: free scrubber7th character "A": initial encounter
The appropriate 7th character is to be added to each code from category S05
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with S05.41XA
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
S05.41XA is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52438Billing and Coding: Tetanus Immunization
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56459Billing and Coding: Debridement Services
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Code history
Unchanged in every release from FY2024 to FY2027.