2025 ICD-10-CM code S05.11

Contusion of eyeball and orbital tissues, right eye.

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Use additional code to identify any retained foreign body, if applicable (Z18.-).

Medical necessity is established by the clinical presentation of the injury, including pain, swelling, and visual disturbances.The need for imaging or specialist referral (ophthalmology) should be documented based on the severity of the injury.

Providers diagnose the condition on the basis of the patient’s history with recent injury; a physical examination to identify tenderness and swelling; an assessment of visual acuity and the eye motion; and imaging techniques such as X–rays and magnetic resonance imaging, or MRI. Treatment options include irrigation of the eye with saline, application of ice over the affected area to reduce swelling, use of sunglasses to protect the eye from light, rest, administration of analgesic medications for pain relief, antibiotics to prevent infection, and eye drops to alleviate inflammation.

In simple words: A bruise of the eyeball and the surrounding tissues in the right eye socket.

Contusion of eyeball and orbital tissues, right eye. This code describes a bruise of the eyeball and the tissues surrounding the eye socket on the right side.

Example 1: A patient presents with pain, swelling, and discoloration around their right eye after being hit by a baseball., A patient experiences blurred vision and tenderness in their right eye after a car accident, with examination revealing a contusion of the eyeball and orbital tissues., A child falls from a swing and lands on their face, resulting in a bruised right eye and surrounding tissues with no apparent lacerations.

Documentation should include details of the injury mechanism, physical exam findings (e.g., swelling, discoloration, tenderness), visual acuity assessment, and any imaging results (X-ray, MRI).A detailed description of the location and extent of the contusion should be included.

  • Specialties:Ophthalmology, Emergency Medicine, Primary Care
  • Place of Service:Office, Emergency Room - Hospital, Inpatient Hospital, Outpatient Hospital, Urgent Care Facility
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