S05.90XA
S05.90XA — Unspecified injury of unspecified eye and orbit, initial encounter
Billable / specific codeICD-10-CMunspecified
S05.90XA is a billable, specific ICD-10-CM code for unspecified injury of unspecified eye and orbit, initial encounter. It is valid for submission on a claim.
7th character "A" — initial 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
S05.90XA 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
S05.90XA is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52438Billing and Coding: Tetanus Immunization
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A57068Billing and Coding: Ocular Photography - External
- A57637Billing and Coding: Visual Field Examination
Related codes at this level
Codes that share S05.90. If S05.90XA is not quite right, the correct code is usually one of these.
Questions about S05.90XA
- Is S05.90XA a billable ICD-10-CM code?
- Yes. S05.90XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S05.90XA 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).