ICD-10-CM › S00-T88 › S00-S09 › S05 Injury of eye and orbit › S05.4

S05.4

Penetrating wound of orbit with or without foreign body

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 3 more specific codes instead:

  • S05.40 Penetrating wound of orbit with or without foreign body, unspecified eye (also a header)
  • S05.41 Penetrating wound of orbit with or without foreign body, right eye (also a header)
  • S05.42 Penetrating wound of orbit with or without foreign body, left eye (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.

  1. FY2012 Added to the draft code set draft Penetrating wound of orbit with or without foreign body

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.

Inherited from S05 Injury of eye and orbit

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

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
S05.0 Injury of conjunctiva and corneal abrasion without foreign body Not billable
S05.1 Contusion of eyeball and orbital tissues Not billable
S05.2 Ocular laceration and rupture with prolapse or loss of intraocular tissue Not billable
S05.3 Ocular laceration without prolapse or loss of intraocular tissue Not billable
S05.5 Penetrating wound with foreign body of eyeball Not billable
S05.6 Penetrating wound without foreign body of eyeball Not billable
S05.7 Avulsion of eye Not billable
S05.8 Other injuries of eye and orbit Not billable
S05.9 Unspecified injury of eye and orbit Not billable