Skip to main content

S00.12 ICD-10-CM Code: Contusion of left eyelid and periocular area

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Contusion of left eyelid and periocular area is a non-billable ICD-10-CM category code (S00.12). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S00.12 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • injuries of ear
  • injuries of eye
  • injuries of face [any part]
  • injuries of gum
  • injuries of jaw
  • injuries of oral cavity
  • injuries of palate
  • injuries of periocular area
  • injuries of scalp
  • injuries of temporomandibular joint area
  • injuries of tongue
  • injuries of tooth

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code Also

Additional codes that may be required to fully describe the encounter.

  • for any associated infection

Frequently Compared Codes

The official Excludes notes on S00.12 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of S00.12 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]

Referenced by Excludes2 notes

  • H00 — Hordeolum and chalazion [Excludes2](via S00.1.-): “superficial injury of eyelid (S00.1-, S00.2-)” · check together
  • H00-H05 — Disorders of eyelid, lacrimal system and orbit (H00-H05) [Excludes2](via S00.1.-): “superficial injury of eyelid (S00.1-, S00.2-)” · check together
  • H01 — Other inflammation of eyelid [Excludes2](via S00.1.-): “superficial injury of eyelid (S00.1-, S00.2-)” · check together
  • H02 — Other disorders of eyelid [Excludes2](via S00.1.-): “superficial injury of eyelid (S00.1-, S00.2-)” · check together
  • H04 — Disorders of lacrimal system [Excludes2](via S00.1.-): “superficial injury of eyelid (S00.1-, S00.2-)” · check together
  • H05 — Disorders of orbit [Excludes2](via S00.1.-): “superficial injury of eyelid (S00.1-, S00.2-)” · check together
  • S05 — Injury of eye and orbit [Excludes2](via S00.1.-): “superficial injury of eyelid (S00.1-S00.2)” · check together

Referenced by Code First instructions

  • R65.1 — Systemic inflammatory response syndrome (SIRS) of non-infectious origin [Code First](via S00.-): “injury and trauma (S00-T88)” · check together

Referenced by Code Also instructions

  • G96.00 — Cerebrospinal fluid leak, unspecified [Code Also](via S00.-): “head injury (S00-S09)” · check together

Nearest codes (40)

  • S00 — Superficial injury of head [Sibling]
  • S00.05XA — Superficial foreign body of scalp, initial encounter [Sibling]
  • S00.05XD — Superficial foreign body of scalp, subsequent encounter [Sibling]
  • S00.05XS — Superficial foreign body of scalp, sequela [Sibling]
  • S00.06 — Insect bite (nonvenomous) of scalp [Sibling]
  • S00.06XA — Insect bite (nonvenomous) of scalp, initial encounter [Sibling]
  • S00.06XD — Insect bite (nonvenomous) of scalp, subsequent encounter [Sibling]
  • S00.06XS — Insect bite (nonvenomous) of scalp, sequela [Sibling]
  • and 32 more

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name S00.12 or its code family.

7 Excludes2 notes across 2 chapters: H00 (via S00.1.-), H00-H05 (via S00.1.-), H01 (via S00.1.-), H02 (via S00.1.-), H04 (via S00.1.-), H05 (via S00.1.-), S05 (via S00.1.-).

1 Code First instructions: R65.1 (via S00.-).

1 Code Also instructions: G96.00 (via S00.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S00.12 be billed directly?

No. S00.12 (Contusion of left eyelid and periocular area) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S00.12 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S00.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S00.12 in its code family, with their registry titles.

  • S00.10XS — Contusion of unspecified eyelid and periocular area, sequela
  • S00.11 — Contusion of right eyelid and periocular area
  • S00.11XA — Contusion of right eyelid and periocular area, initial encounter
  • S00.11XD — Contusion of right eyelid and periocular area, subsequent encounter
  • S00.11XS — Contusion of right eyelid and periocular area, sequela
  • S00.12XA — Contusion of left eyelid and periocular area, initial encounter
  • S00.12XD — Contusion of left eyelid and periocular area, subsequent encounter
  • S00.12XS — Contusion of left eyelid and periocular area, sequela
  • S00.2 — Other and unspecified superficial injuries of eyelid and periocular area
  • S00.20 — Unspecified superficial injury of eyelid and periocular area

View all codes in the S00 family