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ICD-10/S05.12

S05.12 ICD-10-CM Code: Contusion of eyeball and orbital tissues, left eye

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

Official Registry Overview & Definition

Contusion of eyeball and orbital tissues, left eye is a non-billable ICD-10-CM category code (S05.12). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S05.12 in the official ICD-10-CM tabular list.

Includes

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

  • open wound of eye and orbit
  • 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

Excludes2 — Not Included Here

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

  • black eye NOS (S00.1)
  • contusion of eyelid and periocular area (S00.1)
  • 2nd cranial [optic] nerve injury (S04.0-)
  • 3rd cranial [oculomotor] nerve injury (S04.1-)
  • open wound of eyelid and periocular area (S01.1-)
  • orbital bone fracture (S02.1-, S02.3-, S02.8-)
  • superficial injury of eyelid (S00.1-S00.2)
  • burns and corrosions (T20-T32)
  • effects of foreign body in ear (T16)
  • effects of foreign body in larynx (T17.3)
  • effects of foreign body in mouth NOS (T18.0)
  • effects of foreign body in nose (T17.0-T17.1)
  • effects of foreign body in pharynx (T17.2)
  • effects of foreign body on external eye (T15.-)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)

Code Also

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

  • for any associated infection

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S05.12 be billed directly?

No. S05.12 (Contusion of eyeball and orbital tissues, left eye) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S05.12 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S05.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S05.12 in its code family, with their registry titles.

  • S05.10XS — Contusion of eyeball and orbital tissues, unspecified eye, sequela
  • S05.11 — Contusion of eyeball and orbital tissues, right eye
  • S05.11XA — Contusion of eyeball and orbital tissues, right eye, initial encounter
  • S05.11XD — Contusion of eyeball and orbital tissues, right eye, subsequent encounter
  • S05.11XS — Contusion of eyeball and orbital tissues, right eye, sequela
  • S05.12XA — Contusion of eyeball and orbital tissues, left eye, initial encounter
  • S05.12XD — Contusion of eyeball and orbital tissues, left eye, subsequent encounter
  • S05.12XS — Contusion of eyeball and orbital tissues, left eye, sequela
  • S05.2 — Ocular laceration and rupture with prolapse or loss of intraocular tissue
  • S05.20 — Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye

View all codes in the S05 family