S05.91XS — Unspecified injury of right eye and orbit, sequela
Is S05.91XS billable?
Yes, but S05.91XS is an unspecified code. S05.91XS is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S05.91XS 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 S05.91XS — the more specific alternatives are listed below.
More specific alternatives
- S05.00XSInjury of conjunctiva and corneal abrasion without foreign body, unspecified eye, sequela
- S05.10XSContusion of eyeball and orbital tissues, unspecified eye, sequela
- S05.20XSOcular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, sequela
- S05.30XSOcular laceration without prolapse or loss of intraocular tissue, unspecified eye, sequela
- S05.40XSPenetrating wound of orbit with or without foreign body, unspecified eye, sequela
- S05.50XSPenetrating wound with foreign body of unspecified eyeball, sequela
- S05.60XSPenetrating wound without foreign body of unspecified eyeball, sequela
- S05.70XSAvulsion of unspecified eye, sequela
- S05.8X1SOther injuries of right eye and orbit, sequela
S05.91XS at a glance
| Code | S05.91XS |
|---|---|
| Description | Unspecified injury of right eye and orbit, 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 S05.91XS?
In S05.91XS, the 7th character S means sequela. The 7th character is required for S05.91XS to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S05.91XS group to?
S05.91XS sits in MDC 21 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.
- 913Traumatic Injury with MCCmedical
- 914Traumatic Injury without MCCmedical
How is S05.91XS listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S05.9, the nearest indexed parent of S05.91XS. Use them to find the family, then select the specific code.
- Blindness › due to injury (acquired) (congenital) (both eyes)
- Blindness › traumatic (acquired) (congenital) (both eyes)
- Injury › eye
Use additional code — inherited from Chapter 19
Report an additional code alongside S05.91XS to fully describe the condition. S05.91XS 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 S05.91XS, but a patient may have both at the same time. When documentation supports it, S05.91XS and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S05.91XS, but a patient may have both at the same time. When documentation supports it, S05.91XS 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 S05.91XS, but a patient may have both at the same time. When documentation supports it, S05.91XS 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 S05.91XS is sequenced first depends on the reason for the encounter.
- for any associated infection
How long has S05.91XS existed?
S05.91XS 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.