S05.52XD
S05.52XD — Penetrating wound with foreign body of left eyeball, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptleft
S05.52XD is a billable, specific ICD-10-CM code for penetrating wound with foreign body of left eyeball, subsequent encounter. It is valid for submission on a claim.
7th 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
Risk adjustment
S05.52XD 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
S05.52XD is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Related codes at this level
Codes that share S05.52. If S05.52XD is not quite right, the correct code is usually one of these.
Questions about S05.52XD
- Is S05.52XD a billable ICD-10-CM code?
- Yes. S05.52XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S05.52XD 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).