S05.8X9S
S05.8X9S: Other injuries of unspecified eye and orbit, sequela
Billable / specific codeICD-10-CMPOA exemptunspecified
S05.8X9S is a billable, specific ICD-10-CM code for other injuries of unspecified eye and orbit, sequela. It is valid for submission on a claim.
Check S05.8X9S with the rest of the claim: free scrubber7th 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
Excludes2 inherited from the categories above S05.8X9S
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S05.8X9S
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
S05.8X9S is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Code history
Unchanged in every release from FY2024 to FY2027.