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S05.20 vs S05.21

S05.20 (Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye) compared with S05.21 (Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye), from the official CMS tabular data. S05.20 and S05.21 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S05.20
Unspecified
Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye
S05.21
Right
Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S05.20 and S05.21 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S05.20Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eyeS05.21Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye
Billing statusNon-billable header

Report instead: S05.20XA, S05.20XD, S05.20XS

Non-billable header

Report instead: S05.21XA, S05.21XD, S05.21XS

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)
DefinitionOcular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye is a non-billable ICD-10-CM category code (S05.20).Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye is a non-billable ICD-10-CM category code (S05.21).
7th characterThe appropriate 7th character is to be added to each code from category S05The appropriate 7th character is to be added to each code from category S05
Includes
open wound of eye and orbit
injuries of ear
injuries of eye
injuries of face [any part]
open wound of eye and orbit
injuries of ear
injuries of eye
injuries of face [any part]

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