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2025 ICD-10-CM code T15.01XA

Foreign body in cornea, right eye, initial encounter.

Use additional codes to identify the external cause of injury (from Chapter 20 of ICD-10-CM) and any retained foreign body (Z18.-).The seventh character (A, D, or S) must be added to denote the initial encounter, subsequent encounter, or sequela.The “X” in the 6th character position is a placeholder to allow for the 7th character extension.

Modifiers may be applicable depending on the circumstances of the service and the payer's guidelines.Consult your local payer's guidelines.

Medical necessity is established by the presence of a foreign body in the cornea causing symptoms (e.g., pain, visual impairment, irritation) that require medical intervention for removal.The removal is necessary to prevent further damage, infection, or visual impairment.

Ophthalmologist or other qualified eye care professional responsible for diagnosing, managing and removing foreign body from the cornea. This may involve slit lamp examination, removal using instruments such as forceps or needles, and follow-up care.

IMPORTANT:Related codes include T15.00XA (unspecified eye), T15.01XD (right eye, subsequent encounter), T15.01XS (right eye, sequela), T15.02XA (left eye, initial encounter), etc.Always specify the eye and encounter type (initial, subsequent, sequela).

In simple words: This code means a foreign object, like a piece of dust or metal, is stuck in the cornea (the clear front part of the eye) of the right eye, and this is the first time it's been treated.

This ICD-10-CM code signifies the initial encounter for a foreign body lodged in the cornea of the right eye.It's used to classify a situation where a foreign object has entered the cornea, causing injury or irritation.This code requires additional codes to specify the external cause of injury (Chapter 20, External causes of morbidity), and any retained foreign body (Z18.-).

Example 1: A patient presents to the emergency room after a piece of metal flew into their right eye while working with a power tool.Examination reveals a foreign body embedded in the cornea.Code T15.01XA is used for the initial encounter, along with codes from Chapter 20 to specify the cause of injury (e.g., W32.XXXA for accidental injury by powered hand tools)., A child rubs their eye after playing in the dirt, resulting in a small particle lodged in the cornea of their right eye. This is their first visit for this specific issue. T15.01XA is used for the initial encounter., During a routine eye examination, a small foreign body is discovered embedded in the right cornea of a patient who is unaware of the presence of any foreign body. This is coded as T15.01XA.

Detailed history of the injury, including the nature of the foreign body and mechanism of injury.Documentation should specify the eye affected (right eye).Findings from ophthalmologic examination (e.g., slit lamp biomicroscopy) documenting the presence and location of the foreign body in the cornea are crucial.Documentation of the removal procedure and any post-operative care is also needed.

  • Payment Status: Active
  • Modifier TC rule: The application of a Technical Component (TC) modifier depends on the specific procedure performed. Consult payer guidelines and CPT code descriptions to determine the correct modifier application.
  • Specialties:Ophthalmology
  • Place of Service:Office, Emergency Room - Hospital
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