S05.41XD
S05.41XD: Penetrating wound of orbit with or without foreign body, right eye, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
S05.41XD is a billable, specific ICD-10-CM code for penetrating wound of orbit with or without foreign body, right eye, subsequent encounter. It is valid for submission on a claim.
Check S05.41XD with the rest of the claim: free scrubber7th character "D": subsequent 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 S05.41XD
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
S05.41XD is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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- A56459Billing and Coding: Debridement Services
Code history
Unchanged in every release from FY2024 to FY2027.