Injury of eye and orbit

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 10 more specific codes instead:

S05.0 Injury of conjunctiva and corneal abrasion without foreign body (also a header)
S05.1 Contusion of eyeball and orbital tissues (also a header)
S05.2 Ocular laceration and rupture with prolapse or loss of intraocular tissue (also a header)
S05.3 Ocular laceration without prolapse or loss of intraocular tissue (also a header)
S05.4 Penetrating wound of orbit with or without foreign body (also a header)
S05.5 Penetrating wound with foreign body of eyeball (also a header)
S05.6 Penetrating wound without foreign body of eyeball (also a header)
S05.7 Avulsion of eye (also a header)
S05.8 Other injuries of eye and orbit (also a header)
S05.9 Unspecified injury of eye and orbit (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Injury of eye and orbit

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

This code

Seventh character required

The appropriate 7th character is to be added to each code from category S05

Excludes2 - not included here

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)

Includes

open wound of eye and orbit

Inherited from the S00-S09 section Injuries to the head (S00-S09)

Excludes2 - not included here

burns and corrosions (T20-T32)
effects of foreign body in ear (T16)
effects of foreign body in larynx (T17.3)
effects of foreign body in mouth NOS (T18.0)
effects of foreign body in nose (T17.0-T17.1)
effects of foreign body in pharynx (T17.2)
effects of foreign body on external eye (T15.-)
frostbite (T33-T34)
insect bite or sting, venomous (T63.4)

Code also

for any associated infection

Includes

injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum
injuries of jaw
injuries of oral cavity
injuries of palate
injuries of periocular area
injuries of scalp
injuries of temporomandibular joint area
injuries of tongue
injuries of tooth