S05.2 — Ocular laceration and rupture with prolapse or loss of intraocular tissue
Is S05.2 billable?
No — S05.2 is a non-billable header code. S05.2 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 S05.2.
Billable codes under this header
- S05.20XAOcular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, initial encounter
- S05.20XDOcular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, subsequent encounter
- S05.20XSOcular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, sequela
- S05.21XAOcular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter
- S05.21XDOcular laceration and rupture with prolapse or loss of intraocular tissue, right eye, subsequent encounter
- S05.21XSOcular laceration and rupture with prolapse or loss of intraocular tissue, right eye, sequela
- S05.22XAOcular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter
- S05.22XDOcular laceration and rupture with prolapse or loss of intraocular tissue, left eye, subsequent encounter
- S05.22XSOcular laceration and rupture with prolapse or loss of intraocular tissue, left eye, sequela
S05.2 at a glance
| Code | S05.2 |
|---|---|
| Description | Ocular laceration and rupture with prolapse or loss of intraocular tissue |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S05.2 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S05.2. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Hernia, hernial › ciliary body (acquired) (recurrent)
- Hernia, hernial › iris (acquired) (recurrent)
- Hernia, hernial › lens (acquired) (recurrent)
- Hernia, hernial › vitreous (acquired) (recurrent)
- Laceration › eye › with prolapse or loss of intraocular tissue
- Injury › eye › laceration › with prolapse
- Wound, open › ocular › laceration and rupture › with prolapse or loss of intraocular tissue
- Injury › eyeball › penetrating › with › prolapse or loss of intraocular tissue
Use additional code — inherited from Chapter 19
Report an additional code alongside S05.2 to fully describe the condition. S05.2 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 S05.2, but a patient may have both at the same time. When documentation supports it, S05.2 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S05.2, but a patient may have both at the same time. When documentation supports it, S05.2 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 S05.2, but a patient may have both at the same time. When documentation supports it, S05.2 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 S05.2 is sequenced first depends on the reason for the encounter.
- for any associated infection
What codes fall under S05.2? (3)
- S05.20Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eyenot billable
- S05.21Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eyenot billable
- S05.22Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eyenot billable
How long has S05.2 existed?
S05.2 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 S05.2?
What other codes are in the S05 family? (9)
- S05.0Injury of conjunctiva and corneal abrasion without foreign bodynot billable
- S05.1Contusion of eyeball and orbital tissuesnot 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