S04.1 vs S05.90XD
S04.1 (Injury of oculomotor nerve) compared with S05.90XD (Unspecified injury of unspecified eye and orbit, subsequent 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. S05.90XD 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 nerve | S05.90XDUnspecified injury of unspecified eye and orbit, subsequent encounter | |
|---|---|---|
| Billing status | Non-billable header Report instead: S04.10XA, S04.10XD, S04.10XS, S04.11XA, S04.11XD | 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 | Injury of oculomotor nerve is a non-billable ICD-10-CM category code (S04.1). | Unspecified injury of unspecified eye and orbit, subsequent encounter is a billable ICD-10-CM diagnosis code (S05.90D). |
| 7th character | The appropriate 7th character is to be added to each code from category S04 | 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] |
| 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