S04.01 — Injury of optic nerve
Is S04.01 billable?
No — S04.01 is a non-billable header code. S04.01 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 9 billable codes beneath S04.01.
Billable codes under this header
- S04.011AInjury of optic nerve, right eye, initial encounter
- S04.011DInjury of optic nerve, right eye, subsequent encounter
- S04.011SInjury of optic nerve, right eye, sequela
- S04.012AInjury of optic nerve, left eye, initial encounter
- S04.012DInjury of optic nerve, left eye, subsequent encounter
- S04.012SInjury of optic nerve, left eye, sequela
- S04.019AInjury of optic nerve, unspecified eye, initial encounter
- S04.019DInjury of optic nerve, unspecified eye, subsequent encounter
- S04.019SInjury of optic nerve, unspecified eye, sequela
S04.01 at a glance
| Code | S04.01 |
|---|---|
| Description | Injury of optic nerve |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S04.01 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S04.01. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Injury › nerve NEC › optic
- Injury › nerve NEC › optic › contusion
- Injury › nerve NEC › optic › laceration
- Injury › nerve NEC › optic › specified type NEC
Inclusion terms
Alternative wording in documentation that is classified to S04.01.
- Injury of 2nd cranial nerve
Code first — inherited from S04
The underlying condition below must be sequenced before S04.01. S04.01 describes a manifestation and cannot be the principal or first-listed diagnosis.
- any associated intracranial injury (S06.-)
Use additional code — inherited from Chapter 19
Report an additional code alongside S04.01 to fully describe the condition. S04.01 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from S04.0
Report an additional code alongside S04.01 to fully describe the condition. S04.01 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S04.01, but a patient may have both at the same time. When documentation supports it, S04.01 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S04.01, but a patient may have both at the same time. When documentation supports it, S04.01 and the excluded code may both be reported.
- 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 — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S04.01 is sequenced first depends on the reason for the encounter.
- for any associated infection
Code also — inherited from S04
Two codes may be needed to describe the condition fully. Whether S04.01 is sequenced first depends on the reason for the encounter.
What codes fall under S04.01? (3)
How long has S04.01 existed?
S04.01 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.