S05.21XS — Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, sequela
Is S05.21XS billable?
Yes — S05.21XS is billable for FY2027. S05.21XS is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S05.21XS may be submitted for encounters from October 1, 2026 through September 30, 2027.
S05.21XS at a glance
| Code | S05.21XS |
|---|---|
| Description | Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in S05.21XS?
In S05.21XS, the 7th character S means sequela. The 7th character is required for S05.21XS to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S05.21XS group to?
S05.21XS sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 604Trauma to the Skin, Subcutaneous Tissue and Breast with MCCmedical
- 605Trauma to the Skin, Subcutaneous Tissue and Breast without MCCmedical
How is S05.21XS listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S05.2, the nearest indexed parent of S05.21XS. Use them to find the family, then select the specific code.
- 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 S05.21XS to fully describe the condition. S05.21XS 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 S05.21XS, but a patient may have both at the same time. When documentation supports it, S05.21XS and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S05.21XS, but a patient may have both at the same time. When documentation supports it, S05.21XS 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 S05.21XS, but a patient may have both at the same time. When documentation supports it, S05.21XS 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 S05.21XS is sequenced first depends on the reason for the encounter.
- for any associated infection
How long has S05.21XS existed?
S05.21XS 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.