H44.7 vs S05.50XS
H44.7 (Retained (old) intraocular foreign body, nonmagnetic) compared with S05.50XS (Penetrating wound with foreign body of unspecified eyeball, sequela), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. H44.7 carries an Excludes1 note covering S05.50XS: “current intraocular foreign body (S05.-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Yes, when both are documented. S05.50XS carries an Excludes2 note covering H44.7: “retained (old) intraocular foreign body (H44.6-, H44.7)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| H44.7Retained (old) intraocular foreign body, nonmagnetic | S05.50XSPenetrating wound with foreign body of unspecified eyeball, sequela | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | H00-H59 — Diseases of the Eye and Adnexa (H00-H59) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Retained (old) intraocular foreign body, nonmagnetic is a non-billable ICD-10-CM category code (H44.7). | Penetrating wound with foreign body of unspecified eyeball, sequela is a billable ICD-10-CM diagnosis code (S05.50S). |
| 7th character | — | The appropriate 7th character is to be added to each code from category S05 |
| Includes | disorders affecting multiple structures of eye | open wound of eye and orbit injuries of ear injuries of eye injuries of face [any part] |
| Use additional code | code to identify nonmagnetic foreign body (Z18.01-Z18.10, Z18.12, Z18.2-Z18.9) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources