S05.51XA
S05.51XA: Penetrating wound with foreign body of right eyeball, initial encounter
Billable / specific codeICD-10-CMright
S05.51XA is a billable, specific ICD-10-CM code for penetrating wound with foreign body of right eyeball, initial encounter. It is valid for submission on a claim.
Check S05.51XA 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
Excludes2 inherited from the categories above S05.51XA
Not part of this code, but both may be coded when both are present.
Written on S05.5: Penetrating wound with foreign body of eyeball
Other codes that can never be billed with S05.51XA
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
S05.51XA is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52438Billing and Coding: Tetanus Immunization
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56459Billing and Coding: Debridement Services
Code history
Unchanged in every release from FY2024 to FY2027.