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.
Check S05.90XA with the rest of the claim: free scrubber7th 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
Excludes2 inherited from the categories above S05.90XA
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S05.90XA
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
S05.90XA is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Code history
Unchanged in every release from FY2024 to FY2027.