2025 ICD-10-CM code S05

Injury of eye and orbit. Includes: open wound of eye and orbit. Excludes2: 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)

Use secondary codes from Chapter 20 (External causes of morbidity) to indicate the cause of injury, unless the T-section code already includes the external cause. Use additional code (Z18.-) for any retained foreign body.

Modifiers may be applicable to specify laterality (right, left, bilateral), initial or subsequent encounter, or sequela.

Medical necessity is established by the nature and extent of the eye injury. Documentation should support the need for the specific interventions performed, such as pain management, infection prevention, or surgical repair.

Diagnosis based on patient history, physical examination, assessment of visual acuity, eye interior, eye motion, and imaging (X-rays, CT). Treatment includes cleaning the eye, ice pack, eye patch, analgesics, antibiotics, eye drops, surgical repair, and eye shield.

In simple words: An eye and orbit injury refers to damage to the eye and the bony socket around it. This can affect the blood vessels, nerves, and muscles that support the eye.

Injury to the eye and orbit, encompassing various types of injuries that may affect the blood vessels, nerves, and muscles surrounding the eye.

Example 1: A patient presents with a blunt trauma to the eye after being hit by a baseball, resulting in a contusion of the eyeball and orbital tissues (S05.1)., A patient is brought to the ER after a car accident with a laceration to the eyeball and prolapse of intraocular tissue (S05.2)., A patient presents to their ophthalmologist with a foreign body embedded in the cornea (S05.5).

Detailed documentation of the injury, including the cause, location, type, and severity. Include any associated symptoms, diagnostic tests performed (e.g., visual acuity, imaging studies), and treatment provided.

  • Specialties:Ophthalmology, Emergency Medicine
  • Place of Service:Office, Home, Inpatient Hospital, On Campus-Outpatient Hospital, Emergency Room - Hospital,Independent Clinic, Federally Qualified Health Center, Public Health Clinic, Rural Health Clinic, Military Treatment Facility
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