Is T15.11XS a billable ICD-10-CM code?

Yes. T15.11XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does T15.11XS sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Effects of foreign body entering through natural orifice (T15-T19).

T15.11XS

T15.11XS — Foreign body in conjunctival sac, right eye, sequela

Billable / specific codeICD-10-CMPOA exemptright

T15.11XS is a billable, specific ICD-10-CM code for foreign body in conjunctival sac, right eye, 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 T15

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above T15.11XS

Also inherited, and the opposite of Excludes1: these conditions are not part of T15.11XS, but a patient can have both, so you may code both.

Written on T15 — Foreign body on external eye

foreign body in penetrating wound of orbit and eye ball (S05.4-, S05.5-)
open wound of eyelid and periocular area (S01.1-)
retained foreign body in eyelid (H02.8-)
retained (old) foreign body in penetrating wound of orbit and eye ball (H05.5-, H44.6-, H44.7-)
superficial foreign body of eyelid and periocular area (S00.25-)

Risk adjustment

T15.11XS 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

T15.11XS is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57637Billing and Coding: Visual Field Examination

Code history

T15.11XS 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 T15.11. If T15.11XS is not quite right, the correct code is usually one of these.

Questions about T15.11XS

Is T15.11XS a billable ICD-10-CM code?: Yes. T15.11XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does T15.11XS sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Effects of foreign body entering through natural orifice (T15-T19).