2025 ICD-10-CM code S05.12
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Injuries to the eye Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Contusion of the eyeball and orbital tissues, left eye.
Modifiers may be applicable depending on the circumstances of the encounter and the services rendered.Consult local and payer-specific guidelines.
Medical necessity for treatment is established by the presence of a contusion of the eyeball and orbital tissues causing pain, visual impairment, or other significant symptoms that warrant medical attention.Imaging studies are medically necessary when there is concern for associated fractures or other injuries.
Diagnosis and treatment of the contusion are the responsibility of an ophthalmologist or other qualified healthcare provider. This involves taking a thorough history, performing a complete physical examination, ordering imaging studies as necessary, and providing appropriate treatment.Management includes pain control, reducing swelling, and monitoring for complications such as infection or visual impairment.Referral to ophthalmology may be necessary for complex cases.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the head (S00-S09)
In simple words: This code describes a bruise to the eyeball and the area around it (the orbit) in the left eye.It's caused by a blunt injury that breaks tiny blood vessels under the skin, causing discoloration and possibly swelling, pain, and redness. Doctors diagnose it by examining the eye, checking vision, and sometimes using imaging tests. Treatment might involve things like ice, pain relievers, and eye drops.
A contusion of the eyeball and orbital tissues of the left eye is a bruise or ecchymosis resulting from blunt force trauma.This injury causes damage to small blood vessels, leading to a subcutaneous accumulation of blood, without breaking the skin.The condition may present with redness, swelling, tenderness, pain, and discoloration. Diagnosis is based on patient history, physical examination, assessment of visual acuity and eye movement, and imaging (X-rays and MRI). Treatment may include saline irrigation, ice packs, sunglasses, rest, analgesics, antibiotics, and anti-inflammatory eye drops.
Example 1: A patient presents after being hit in the left eye with a baseball.They report pain, swelling, and decreased vision.Examination reveals a contusion of the eyeball and orbital tissues, with subconjunctival hemorrhage.Imaging studies are ordered to rule out orbital fracture., A child falls and hits their left eye on a hard surface.They have a black eye and report mild pain and blurry vision.The physician examines the eye, assesses visual acuity, and finds a contusion of the eyeball and orbital tissues., An adult is involved in a motor vehicle accident and sustains a blunt force trauma to the left eye region.They present to the emergency room with significant swelling, pain, and ecchymosis of the left eye and periorbital region.An ophthalmologist is consulted to evaluate for any serious injury to the globe of the eye.
Detailed documentation should include the mechanism of injury, the extent of the contusion (involving eyeball and orbital tissues), visual acuity findings before and after treatment, results of imaging studies (if performed), the treatment provided, and the patient's response to treatment.Include a description of any associated injuries and complications.
** This code does not include injuries to the optic nerve, oculomotor nerve, or orbital bones.These would require separate coding.The severity of the contusion can range from mild to severe, requiring varying levels of treatment.
- Payment Status: Active
- Specialties:Ophthalmology, Emergency Medicine
- Place of Service:Office, Emergency Room - Hospital, Inpatient Hospital, Ambulatory Surgical Center