S05.91XD
S05.91XD: Unspecified injury of right eye and orbit, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
S05.91XD is a billable, specific ICD-10-CM code for unspecified injury of right eye and orbit, subsequent encounter. It is valid for submission on a claim.
Check S05.91XD with the rest of the claim: free scrubber7th character "D": subsequent 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 S05.91XD
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S05.91XD
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
S05.91XD is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Code history
Unchanged in every release from FY2024 to FY2027.