S05.20 is the authoritative medical code for Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye. This classification is used in medical billing and clinical recording to specify the clinical criteria for ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye (ICD-10-CM S05.20), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye is a non-billable ICD-10-CM category code S05.20. A more specific billable subcode must be selected for claims submission. Includes: 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): 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: for any associated infection. 7th character: The appropriate 7th character is to be added to each code from category S05.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S05.20 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.
- 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 S05.20 be billed directly?
No. S05.20 (Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S05.20 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S05.
Can S05.20 be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, S05.20 and the following are not considered part of each other and may both be reported when both conditions are present: 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-).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S05.20 in its code family, with their registry titles.
- S05 — Injury of eye and orbit
- S05.0 — Injury of conjunctiva and corneal abrasion without foreign body
- S05.00 — Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye
- S05.00XA — Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, initial encounter
- S05.00XD — Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, subsequent encounter
- S05.00XS — Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, sequela
- S05.01 — Injury of conjunctiva and corneal abrasion without foreign body, right eye
- S05.01XA — Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter
- S05.01XD — Injury of conjunctiva and corneal abrasion without foreign body, right eye, subsequent encounter
- S05.01XS — Injury of conjunctiva and corneal abrasion without foreign body, right eye, sequela
View all 40 codes in the S05 family