S05.1 — Contusion of eyeball and orbital tissues
Is S05.1 billable?
No — S05.1 is a non-billable header code. S05.1 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 S05.1.
Billable codes under this header
- S05.10XAContusion of eyeball and orbital tissues, unspecified eye, initial encounter
- S05.10XDContusion of eyeball and orbital tissues, unspecified eye, subsequent encounter
- S05.10XSContusion of eyeball and orbital tissues, unspecified eye, sequela
- S05.11XAContusion of eyeball and orbital tissues, right eye, initial encounter
- S05.11XDContusion of eyeball and orbital tissues, right eye, subsequent encounter
- S05.11XSContusion of eyeball and orbital tissues, right eye, sequela
- S05.12XAContusion of eyeball and orbital tissues, left eye, initial encounter
- S05.12XDContusion of eyeball and orbital tissues, left eye, subsequent encounter
- S05.12XSContusion of eyeball and orbital tissues, left eye, sequela
S05.1 at a glance
| Code | S05.1 |
|---|---|
| Description | Contusion of eyeball and orbital tissues |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S05.1 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S05.1. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Contusion › conjunctiva (skin surface intact)
- Contusion › eyeball (skin surface intact)
- Contusion › orbit (skin surface intact)
- Contusion › subconjunctival (skin surface intact)
- Hyphema › traumatic
- Injury › eyeball › contusion
Excludes2 — not included here
The conditions below are not part of S05.1, but a patient may have both at the same time. When documentation supports it, S05.1 and the excluded code may both be reported.
Inclusion terms
Alternative wording in documentation that is classified to S05.1.
- Traumatic hyphema
Use additional code — inherited from Chapter 19
Report an additional code alongside S05.1 to fully describe the condition. S05.1 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S05.1, but a patient may have both at the same time. When documentation supports it, S05.1 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S05.1, but a patient may have both at the same time. When documentation supports it, S05.1 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)
Excludes2 — not included here — inherited from S05
The conditions below are not part of S05.1, but a patient may have both at the same time. When documentation supports it, S05.1 and the excluded code may both be reported.
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S05.1 is sequenced first depends on the reason for the encounter.
- for any associated infection
What codes fall under S05.1? (3)
How long has S05.1 existed?
S05.1 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.
Which conditions are coded to S05.1?
What other codes are in the S05 family? (9)
- S05.0Injury of conjunctiva and corneal abrasion without foreign bodynot billable
- S05.2Ocular laceration and rupture with prolapse or loss of intraocular tissuenot billable
- S05.3Ocular laceration without prolapse or loss of intraocular tissuenot billable
- S05.4Penetrating wound of orbit with or without foreign bodynot billable
- S05.5Penetrating wound with foreign body of eyeballnot billable
- S05.6Penetrating wound without foreign body of eyeballnot billable
- S05.7Avulsion of eyenot billable
- S05.8Other injuries of eye and orbitnot billable
- S05.9Unspecified injury of eye and orbitnot billable