S05.72XS
S05.72XS — Avulsion of left eye, sequela
Billable / specific codeICD-10-CMPOA exemptleft
S05.72XS is a billable, specific ICD-10-CM code for avulsion of left eye, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S05
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S05.72XS 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
S05.72XS is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53064Billing and Coding: Outpatient Occupational Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
Related codes at this level
Codes that share S05.72. If S05.72XS is not quite right, the correct code is usually one of these.
Questions about S05.72XS
- Is S05.72XS a billable ICD-10-CM code?
- Yes. S05.72XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S05.72XS 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).