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Compare/H05.5 vs T15.90XA

H05.5 vs T15.90XA

H05.5 (Retained (old) foreign body following penetrating wound of orbit) compared with T15.90XA (Foreign body on external eye, part unspecified, unspecified eye, initial encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. T15.90XA carries an Excludes2 note covering H05.5: “retained (old) foreign body in penetrating wound of orbit and eye ball (H05.5-, H44.6-, H44.7-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

H05.5Retained (old) foreign body following penetrating wound of orbitT15.90XAForeign body on external eye, part unspecified, unspecified eye, initial encounter
Billing statusNon-billable header

Report instead: H05.50, H05.51, H05.52, H05.53

Billable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionRetained (old) foreign body following penetrating wound of orbit is a non-billable ICD-10-CM category code (H05.5).Foreign body on external eye, part unspecified, unspecified eye, initial encounter is a billable ICD-10-CM diagnosis code (T15.90A).
7th characterThe appropriate 7th character is to be added to each code from category T15
Includes
Retrobulbar foreign body
Use additional code
code to identify the type of retained foreign body (Z18.-)
code, if known, for foreign body entering into or through a natural orifice (W44.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources