Is S05.92XS a billable ICD-10-CM code?

Yes. S05.92XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S05.92XS 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).

S05.92XS

S05.92XS — Unspecified injury of left eye and orbit, sequela

Billable / specific codeICD-10-CMPOA exemptleft

S05.92XS is a billable, specific ICD-10-CM code for unspecified injury of left eye and orbit, sequela. It is valid for submission on a claim.

7th 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 S05.92XS

Also inherited, and the opposite of Excludes1: these conditions are not part of S05.92XS, but a patient can have both, so you may code both.

Written on S05 — Injury of eye and orbit

2nd cranial [optic] nerve injury (S04.0-)
3rd cranial [oculomotor] nerve injury (S04.1-)
open wound of eyelid and periocular area (S01.1-)
orbital bone fracture (S02.1-, S02.3-, S02.8-)
superficial injury of eyelid (S00.1-S00.2)

Other codes that can never be billed with S05.92XS

These codes carry an Excludes1 note pointing at S05.92XS. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S05.92XS alone.

H44.6Retained (old) intraocular foreign body, magnetic
H44.7Retained (old) intraocular foreign body, nonmagnetic
S00Superficial injury of head

Risk adjustment

S05.92XS 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

S05.92XS 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.

A53064Billing and Coding: Outpatient Occupational Therapy
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

S05.92XS has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S05.92. If S05.92XS is not quite right, the correct code is usually one of these.

Questions about S05.92XS

Is S05.92XS a billable ICD-10-CM code?: Yes. S05.92XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S05.92XS 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).