S05.8X2S
S05.8X2S — Other injuries of left eye and orbit, sequela
Billable / specific codeICD-10-CMPOA exemptleft
S05.8X2S is a billable, specific ICD-10-CM code for other injuries of left eye and orbit, 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
S05.8X2S 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
S05.8X2S 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
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
- A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Related codes at this level
Codes that share S05.8X2. If S05.8X2S is not quite right, the correct code is usually one of these.
Questions about S05.8X2S
- Is S05.8X2S a billable ICD-10-CM code?
- Yes. S05.8X2S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S05.8X2S 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).