S05.31XA ICD-10-CM Code: Ocular laceration without prolapse or loss of intraocular tissue, right eye, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 124 — OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT (MDC 02)
- MS-DRG 125 — OTHER DISORDERS OF THE EYE WITHOUT MCC (MDC 02)
- MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
- MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
- MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S05.31XA 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
Does S05.31XA 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 S05.31XA in its code family, with their registry titles.
- S05.30 — Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye
- S05.30XA — Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, initial encounter
- S05.30XD — Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, subsequent encounter
- S05.30XS — Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, sequela
- S05.31 — Ocular laceration without prolapse or loss of intraocular tissue, right eye
- S05.31XD — Ocular laceration without prolapse or loss of intraocular tissue, right eye, subsequent encounter
- S05.31XS — Ocular laceration without prolapse or loss of intraocular tissue, right eye, sequela
- S05.32 — Ocular laceration without prolapse or loss of intraocular tissue, left eye
- S05.32XA — Ocular laceration without prolapse or loss of intraocular tissue, left eye, initial encounter
- S05.32XD — Ocular laceration without prolapse or loss of intraocular tissue, left eye, subsequent encounter