2025 ICD-10-CM code S05.2

Ocular laceration and rupture with prolapse or loss of intraocular tissue.

Use a secondary code from Chapter 20 (External causes of morbidity) to specify the cause of the injury.If a foreign body is retained, use an additional code from Z18.-.

Use 7th character extensions to specify the encounter type (initial encounter, subsequent encounter, or sequela).

Medical necessity is established by the presence of a full-thickness ocular laceration or rupture with associated prolapse or loss of intraocular tissue, requiring medical intervention to preserve vision and ocular integrity.

Diagnosis involves patient history, physical examination (assessing laceration and prolapse), visual acuity tests, and imaging (X-rays, MRI). Treatment includes rest, pain medication, antibiotics, and potentially surgical repair or application of a therapeutic contact lens/ocular surface prosthesis.

In simple words: A deep cut or tear in the eye, causing some of the inside parts of the eye to bulge out or be lost.

This code describes a full-thickness injury to the eye involving a laceration and rupture, resulting in the prolapse (displacement) or loss of intraocular tissue.This indicates a severe eye injury where the contents of the eye are exposed or lost due to the trauma.

Example 1: A patient presents with a deep laceration to the eye after being struck by broken glass. Examination reveals prolapse of the iris through the wound., A patient is involved in a motor vehicle accident and sustains blunt force trauma to the face, resulting in a ruptured globe with loss of vitreous humor., A child is playing with a sharp toy and accidentally punctures their eye, leading to a laceration with prolapse of intraocular tissue.

Documentation should include details of the injury mechanism, examination findings (size and location of laceration, extent of prolapse or tissue loss), visual acuity assessment, imaging results, and treatment provided.

  • Specialties:Ophthalmology
  • Place of Service:Emergency Room - Hospital, Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
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