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2025 ICD-10-CM code H05.5

Retained (old) foreign body following penetrating wound of orbit. Retrobulbar foreign body.

Do not use this code for current penetrating wounds of the orbit (S05.4-) or retained foreign bodies of the eyelid (H02.81-) or intraocular foreign bodies (H44.6-, H44.7-).

Medical necessity is established by the presence of a retained foreign body in the orbit, potentially causing complications like inflammation, infection, pain, or visual disturbances.

Assessment of the patient's visual acuity, eye movements, and any associated symptoms like pain, inflammation, or infection. Imaging studies like CT or MRI may be necessary to locate and assess the foreign body. Ophthalmologists are typically responsible for the management of this condition.

IMPORTANT:Use additional code to identify the type of retained foreign body (Z18.-)

In simple words: This code indicates the presence of an old foreign object stuck in the eye socket after a previous penetrating injury. The injury has healed, but the object is still there, behind the eyeball.

This code signifies the presence of a retained foreign body in the orbit (eye socket) following a previous penetrating wound.It is used when the initial injury has healed, and the foreign body remains lodged within the orbital tissues.The term "retrobulbar" indicates the foreign body is located behind the eyeball.

Example 1: A patient presents with persistent discomfort and blurry vision months after a penetrating injury to the orbit. Imaging reveals a small metallic fragment retained behind the globe., A patient with a history of orbital trauma years ago develops recurrent inflammation and pain.A retained wood splinter is discovered within the orbit., During a routine eye exam, a retained glass fragment is incidentally discovered in a patient's orbit.The patient reports a remote history of orbital injury but is currently asymptomatic.

Documentation should include details of the original injury, the type of foreign body if known, imaging reports confirming the presence and location of the foreign body, and any associated signs or symptoms.

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