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2025 ICD-10-CM code S00.25

Superficial foreign body in the eyelid and periocular area.

Refer to the official ICD-10-CM coding guidelines for detailed instructions on coding injuries and using additional codes for specifying the cause of injury and retained foreign bodies.

Medical necessity is established when a foreign body presents in the eyelid or periocular area, causing pain, irritation, inflammation, or impaired vision.The need for removal and/or treatment is determined by clinical assessment.

The clinical responsibility includes diagnosing the condition through patient history and a thorough eye examination, including assessment of visual acuity and eye movement. Treatment involves procedures such as eye irrigation, bleeding control, foreign body removal, wound care (if necessary), and medication administration (analgesics, antibiotics, and NSAIDs).

IMPORTANT:Use additional code Z18.- to specify any retained foreign body.Additional codes from Chapter 20 (External causes of morbidity) should be used to specify the cause of the injury, unless the T section code already includes the external cause.

In simple words: This code means a small object, like a speck of dust or a tiny piece of something, is stuck on the surface of the eyelid or the skin around the eye. It might cause some mild pain, redness, or discomfort, but it’s not a serious injury.

S00.25, in the ICD-10-CM classification, denotes a superficial foreign body affecting the eyelid and periocular area.This involves a foreign object lodged superficially in the eye region, potentially causing minimal injury with or without bleeding. The condition may manifest as pain, excessive blinking, tearing, bleeding, inflammation, and decreased vision. Diagnosis relies on patient history and a thorough eye examination under adequate lighting, assessing visual acuity and eye movement. Treatment can range from simple eye irrigation and bleeding control to foreign body removal, wound cleaning and repair (if necessary), topical medication application, and dressing.Analgesics, antibiotics, and NSAIDs may also be prescribed.

Example 1: A patient presents with a small piece of metal lodged in their eyelid after working with a metal saw.The provider removes the foreign body, cleans the wound, and applies antibiotic ointment., A child rubs their eye after playing in the sand, resulting in a small grain of sand embedded in the periocular area. The provider irrigates the eye and removes the sand, providing comfort measures for mild irritation., A patient experiences a scratch on the eyelid from a tree branch, leading to a superficial injury and minor discomfort. The provider cleans the wound and applies antibiotic ointment to prevent infection.

Patient history detailing the event leading to the injury.Detailed description of the foreign body, location, and appearance.Documentation of the examination including visual acuity and eye movement assessment.Record of treatment provided, including any medication administered.

** This code should only be used for superficial foreign bodies. Deeper penetration or involvement of other structures may require different codes. Always ensure proper documentation to support the coding.

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