S00.1 vs S05.60XS

S00.1 (Contusion of eyelid and periocular area) compared with S05.60XS (Penetrating wound without 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.

Relationship

Conflict

Excludes1 conflict

S00.1

Contusion of eyelid and periocular area

↔

S05.60XS

Penetrating wound without foreign body of unspecified eyeball, sequela

Not coded here — these two are mutually exclusive.

“injury of eye and orbit (S05.-)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Informational

Excludes2 relationship

S05.60XS

Penetrating wound without foreign body of unspecified eyeball, sequela

↔

S00.1

Contusion of eyelid and periocular area

Distinct conditions — both may be reported.

“superficial injury of eyelid (S00.1-S00.2)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

No — do not report together. S00.1 carries an Excludes1 note covering S05.60XS: “injury of eye and orbit (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. S05.60XS carries an Excludes2 note covering S00.1: “superficial injury of eyelid (S00.1-S00.2)”

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

Side by side

	S00.1Contusion of eyelid and periocular area	S05.60XSPenetrating wound without foreign body of unspecified eyeball, sequela
Billing status	Non-billable header	Billable
Classification	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
Definition	Contusion of eyelid and periocular area is a non-billable ICD-10-CM category code (S00.1).	Penetrating wound without foreign body of unspecified eyeball, sequela is a billable ICD-10-CM diagnosis code (S05.60S).
7th character	The appropriate 7th character is to be added to each code from category S00	The appropriate 7th character is to be added to each code from category S05
Includes	injuries of ear injuries of eye injuries of face [any part] injuries of gum	open wound of eye and orbit injuries of ear injuries of eye injuries of face [any part]

Edit this comparison Check a whole claim

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