S05.21XA vs S05.22XA

S05.21XA (Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter) compared with S05.22XA (Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter), from the official CMS tabular data. S05.21XA and S05.22XA code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S05.21XA

Right

Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter

↔

S05.22XA

Left

Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter

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. S05.21XA and S05.22XA 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

	S05.21XAOcular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter	S05.22XAOcular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter
Billing status	Billable	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	Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter is a billable ICD-10-CM diagnosis code (S05.21A).	Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter is a billable ICD-10-CM diagnosis code (S05.22A).
7th character	The appropriate 7th character is to be added to each code from category S05	The 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]

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