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Compare/S04.1 vs S05.70

S04.1 vs S05.70

S04.1 (Injury of oculomotor nerve) compared with S05.70 (Avulsion of unspecified eye), 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. S05.70 carries an Excludes2 note covering S04.1: “3rd cranial [oculomotor] nerve injury (S04.1-)”

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

Side by side

S04.1Injury of oculomotor nerveS05.70Avulsion of unspecified eye
Billing statusNon-billable header

Report instead: S04.10XA, S04.10XD, S04.10XS, S04.11XA, S04.11XD

Non-billable header

Report instead: S05.70XA, S05.70XD, S05.70XS

ClassificationS00-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)
DefinitionInjury of oculomotor nerve is a non-billable ICD-10-CM category code (S04.1).Avulsion of unspecified eye is a non-billable ICD-10-CM category code (S05.70).
7th characterThe appropriate 7th character is to be added to each code from category S04The 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]
Code first
any associated intracranial injury (S06.-)

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