2025 ICD-10-CM code S00.1
(Active) Effective Date: N/A Injury - Injuries to the head Injury, poisoning and certain other consequences of external causes Feed
Contusion of eyelid and periocular area (Black eye).
Medical necessity for treatment of a contusion of the eyelid and periocular area is established by the presence of signs and symptoms, such as pain, swelling, and discoloration, caused by a blunt injury. Imaging studies may be medically necessary to rule out fractures or other associated injuries.
Providers diagnose the condition based on the patient’s history of recent injury, physical examination, assessment of visual acuity and eye motion, and imaging techniques (X-rays and MRIs if a fracture is suspected). Treatment includes applying ice, using sunglasses, rest, pain medication (acetaminophen), antibiotics to prevent infection, and eye drops to reduce inflammation.
In simple words: A black eye, medically known as a contusion of the eyelid and periocular area, is a bruise caused by a blunt injury to the area around the eye. This injury breaks small blood vessels under the skin, leading to discoloration.
Contusion, also known as a bruise or ecchymosis, of the eyelid and periocular area refers to discoloration due to a blunt injury that breaks the small blood vessels but not the skin and results in subcutaneous accumulation of blood.
Example 1: A patient presents with swelling and discoloration around the left eye after being hit by a baseball during a game. Examination reveals no other injuries, and the patient's vision is unaffected. This condition is coded as S00.1., A child falls and hits their head on a table, resulting in a black eye. An X-ray is performed to rule out a fracture. The contusion is coded as S00.1., During a fistfight, a patient sustains a blow to the face, causing a contusion of the right eyelid and periocular area. There is no laceration or fracture. The injury is coded as S00.1.
Documentation should include the cause of the injury, the location of the contusion (eyelid and periocular area), associated symptoms (e.g., swelling, discoloration, pain), results of any diagnostic tests (e.g., visual acuity assessment, X-rays), and treatment provided.
- Specialties:Ophthalmology, Emergency Medicine, Primary Care
- Place of Service:Office, Emergency Room - Hospital, Urgent Care Facility, Outpatient Hospital