S05
Injury of eye and orbit
Choose the additional character
S05 needs more characters to be billable. Pick the specific code below.
- S05.0Injury of conjunctiva and corneal abrasion without foreign bodyMore levels
- S05.1Contusion of eyeball and orbital tissuesMore levels
- S05.2Ocular laceration and rupture with prolapse or loss of intraocular tissueMore levels
- S05.3Ocular laceration without prolapse or loss of intraocular tissueMore levels
- S05.4Penetrating wound of orbit with or without foreign bodyMore levels
- S05.5Penetrating wound with foreign body of eyeballMore levels
- S05.6Penetrating wound without foreign body of eyeballMore levels
- S05.7Avulsion of eyeMore levels
- S05.8Other injuries of eye and orbitMore levels
- S05.9Unspecified injury of eye and orbitMore levels
This code does not map to a risk-adjusting HCC in the loaded models.
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
open wound of eye and orbit
2nd cranial [optic] nerve injury (S04.0-) 3rd cranial [oculomotor] nerve injury (S04.1-) open wound of eyelid and periocular area (S01.1-) orbital bone fracture (S02.1-, S02.3-, S02.8-) superficial injury of eyelid (S00.1-S00.2)
The appropriate 7th character is to be added to each code from category S05
| Character | Meaning |
|---|---|
| A | initial encounter |
| D | subsequent encounter |
| S | sequela |
injuries of ear injuries of eye injuries of face [any part] injuries of gum injuries of jaw injuries of oral cavity injuries of palate injuries of periocular area injuries of scalp injuries of temporomandibular joint area injuries of tongue injuries of tooth
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)
for any associated infection
code to identify any retained foreign body, if applicable (Z18.-)
Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes. (T07-T88) Injury, poisoning and certain other consequences of external causes (T07-T88) (T20-T32) Burns and corrosions (T20-T32) Includes: burns (thermal) from electrical heating appliances burns (thermal) from electricity burns (thermal) from flame burns (thermal) from friction burns (thermal) from hot air and hot gases burns (thermal) from hot objects burns (thermal) from lightning burns (thermal) from radiation chemical burn [corrosion] (external) (internal) scalds Excludes2: erythema [dermatitis] ab igne (L59.0) radiation-related disorders of the skin and subcutaneous tissue (L55-L59) sunburn (L55.-)
Official Guidelines for S05
FY 2026 ›Subsections
- I.C.19.aApplication of 7th Characters in Chapter 19
- I.C.19.bCoding of Injuries
- I.C.19.cCoding of Traumatic Fractures
- I.C.19.dCoding of Burns and Corrosions
- I.C.19.eAdverse Effects, Poisoning, Underdosing and Toxic Effects
- I.C.19.fAdult and child abuse, neglect and other maltreatment
- I.C.19.gComplications of care
Sections that reference S05
Sections whose FY 2026 text names S05, its S05 category, or a range containing it — the chapter guidance above is the authoritative source.