{"code":"S05.8X1A","type":"code","title":"Other injuries of right eye and orbit, initial encounter","codeAlso":["for any associated infection"],"includes":["open wound of eye and orbit","injuries of ear","injuries of eye","injuries of face [any part]","injuries of gum","injuries of jaw","injuries of oral cavity","injuries of palate","injuries of periocular area","injuries of scalp","injuries of temporomandibular joint area","injuries of tongue","injuries of tooth"],"modern_v":"official26","codeFirst":[],"excludes1":[],"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)","burns and corrosions (T20-T32)","effects of foreign body in ear (T16)","effects of foreign body in larynx (T17.3)","effects of foreign body in mouth NOS (T18.0)","effects of foreign body in nose (T17.0-T17.1)","effects of foreign body in pharynx (T17.2)","effects of foreign body on external eye (T15.-)","frostbite (T33-T34)","insect bite or sting, venomous (T63.4)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Other injuries of right eye and orbit, initial encounter is a billable ICD-10-CM diagnosis code (S05.8X1A). Includes: open wound of eye and orbit; injuries of ear; injuries of eye; injuries of face [any part]; injuries of gum; injuries of jaw; injuries of oral cavity; injuries of palate; injuries of periocular area; injuries of scalp; injuries of temporomandibular joint area; injuries of tongue; injuries of tooth. Excludes2 (not included here): 2nd cranial [optic] nerve injury (S04.","officialDefinition":"Other injuries of right eye and orbit, initial encounter is a billable ICD-10-CM diagnosis code (S05.8X1A). Includes: open wound of eye and orbit; injuries of ear; injuries of eye; injuries of face [any part]; injuries of gum; injuries of jaw; injuries of oral cavity; injuries of palate; injuries of periocular area; injuries of scalp; injuries of temporomandibular joint area; injuries of tongue; injuries of tooth. Excludes2 (not included here): 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); burns and corrosions (T20-T32); effects of foreign body in ear (T16); effects of foreign body in larynx (T17.3); effects of foreign body in mouth NOS (T18.0); effects of foreign body in nose (T17.0-T17.1); effects of foreign body in pharynx (T17.2); effects of foreign body on external eye (T15.-); frostbite (T33-T34); insect bite or sting, venomous (T63.4). Code also: for any associated infection. 7th character: The appropriate 7th character is to be added to each code from category S05.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category S05"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"2nd cranial [optic] nerve injury (S04.0-)":"S05","3rd cranial [oculomotor] nerve injury (S04.1-)":"S05","open wound of eyelid and periocular area (S01.1-)":"S05","orbital bone fracture (S02.1-, S02.3-, S02.8-)":"S05","superficial injury of eyelid (S00.1-S00.2)":"S05","burns and corrosions (T20-T32)":"S05","effects of foreign body in ear (T16)":"S05","effects of foreign body in larynx (T17.3)":"S05","effects of foreign body in mouth NOS (T18.0)":"S05","effects of foreign body in nose (T17.0-T17.1)":"S05","effects of foreign body in pharynx (T17.2)":"S05","effects of foreign body on external eye (T15.-)":"S05","frostbite (T33-T34)":"S05","insect bite or sting, venomous (T63.4)":"S05","open wound of eye and orbit":"S05","injuries of ear":"S05","injuries of eye":"S05","injuries of face [any part]":"S05","injuries of gum":"S05","injuries of jaw":"S05","injuries of oral cavity":"S05","injuries of palate":"S05","injuries of periocular area":"S05","injuries of scalp":"S05","injuries of temporomandibular joint area":"S05","injuries of tongue":"S05","injuries of tooth":"S05","Lacrimal duct injury":"S05.8"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}