S05.91XA
S05.91XA — Unspecified injury of right eye and orbit, initial encounter
Billable / specific codeICD-10-CMright
S05.91XA is a billable, specific ICD-10-CM code for unspecified injury of right 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
S05.91XA 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
S05.91XA 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.
- A52438Billing and Coding: Tetanus Immunization
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share S05.91. If S05.91XA is not quite right, the correct code is usually one of these.
Questions about S05.91XA
- Is S05.91XA a billable ICD-10-CM code?
- Yes. S05.91XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S05.91XA 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).