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S05.60XD

S05.60XDPenetrating wound without foreign body of unspecified eyeball, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

S05.60XD is a billable, specific ICD-10-CM code for penetrating wound without foreign body of unspecified 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

Excludes2 inherited from the categories above S05.60XD

Also inherited, and the opposite of Excludes1: these conditions are not part of S05.60XD, but a patient can have both, so you may code both.

Written on S05 Injury of eye and orbit

  • 2nd cranial [optic] nerve injury (S04.0-)
  • 3rd cranial [oculomotor] nerve injury (S04.1-)
  • open wound of eyelid and periocular area (S01.1-)
  • orbital bone fracture (S02.1-, S02.3-, S02.8-)
  • superficial injury of eyelid (S00.1-S00.2)

Other codes that can never be billed with S05.60XD

These codes carry an Excludes1 note pointing at S05.60XD. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S05.60XD alone.

  • H44.6Retained (old) intraocular foreign body, magnetic
  • H44.7Retained (old) intraocular foreign body, nonmagnetic
  • S00Superficial injury of head

Risk adjustment

S05.60XD 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

S05.60XD 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)

Code history

S05.60XD has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S05.60. If S05.60XD is not quite right, the correct code is usually one of these.

Questions about S05.60XD

Is S05.60XD a billable ICD-10-CM code?
Yes. S05.60XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S05.60XD 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.