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2025 ICD-10-CM code T15.11XS

Sequela of a foreign body in the conjunctival sac of the right eye.

Use a secondary code from Chapter 20 (External causes of morbidity) to indicate the cause of the initial injury (how the foreign body entered the eye), unless the circumstances are already included in the code description. If there's a retained foreign body, use an additional code (Z18.-).

Medical necessity for services related to T15.11XS should be supported by documentation of the ongoing effects of the past injury and the need for treatment or management of those effects.

In simple words: This code describes the long-term effects due to a foreign object that was previously lodged in the right eye's conjunctiva (the clear membrane covering the white part of the eye).

Foreign body in conjunctival sac, right eye, sequela

Example 1: A patient presents with persistent blurred vision and discomfort in their right eye following the removal of a metal shaving that had become embedded in the conjunctiva several months prior. Examination reveals scarring in the conjunctiva, which is determined to be the cause of the patient’s ongoing symptoms. The diagnosis is coded as T15.11XS., A patient had a small piece of glass removed from their right conjunctiva a year ago. They now experience recurring episodes of inflammation and sensitivity to light in the affected eye. The ophthalmologist diagnoses these issues as chronic conjunctivitis resulting from the previous injury, and the code T15.11XS is used., A child who had a grain of sand removed from their right conjunctiva some time ago now has a persistent small, raised bump on the conjunctiva at the site of the original injury. This is diagnosed as a granuloma (a type of inflammation) due to the foreign body, now resolved, and is coded as T15.11XS to signify the late effect of the foreign body.

Documentation should clearly support the presence of long-term effects resulting from a foreign body previously in the right conjunctival sac. Previous medical records detailing the initial injury and removal of the foreign body can be beneficial. Current symptoms, examination findings, and any diagnostic tests performed to confirm the sequela should be documented.

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