S05.90XA — Unspecified injury of unspecified eye and orbit, initial encounter
Is S05.90XA billable?
Yes, but S05.90XA is an unspecified code. S05.90XA is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S05.90XA is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S05.90XA — the more specific alternatives are listed below.
More specific alternatives
- S05.00XAInjury of conjunctiva and corneal abrasion without foreign body, unspecified eye, initial encounter
- S05.10XAContusion of eyeball and orbital tissues, unspecified eye, initial encounter
- S05.20XAOcular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, initial encounter
- S05.30XAOcular laceration without prolapse or loss of intraocular tissue, unspecified eye, initial encounter
- S05.40XAPenetrating wound of orbit with or without foreign body, unspecified eye, initial encounter
- S05.50XAPenetrating wound with foreign body of unspecified eyeball, initial encounter
- S05.60XAPenetrating wound without foreign body of unspecified eyeball, initial encounter
- S05.70XAAvulsion of unspecified eye, initial encounter
- S05.8X1AOther injuries of right eye and orbit, initial encounter
S05.90XA at a glance
| Code | S05.90XA |
|---|---|
| Description | Unspecified injury of unspecified eye and orbit, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S05.90XA?
In S05.90XA, the 7th character A means initial encounter. The 7th character is required for S05.90XA to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S05.90XA group to?
S05.90XA sits in MDC 02 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.
- 124Other Disorders of the Eye with MCC or Thrombolytic Agentmedical
- 125Other Disorders of the Eye without MCCmedical
How is S05.90XA listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S05.90, the nearest indexed parent of S05.90XA. Use them to find the family, then select the specific code.
- Injury › canthus, eye
- Injury › globe
- Injury › vitreous
- Wound, open › ocular
Use additional code — inherited from Chapter 19
Report an additional code alongside S05.90XA to fully describe the condition. S05.90XA 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 S05.90XA, but a patient may have both at the same time. When documentation supports it, S05.90XA and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S05.90XA, but a patient may have both at the same time. When documentation supports it, S05.90XA 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 S05.90XA, but a patient may have both at the same time. When documentation supports it, S05.90XA 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 S05.90XA is sequenced first depends on the reason for the encounter.
- for any associated infection
How long has S05.90XA existed?
S05.90XA 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.