S05.42XS ICD-10-CM Code: Penetrating wound of orbit with or without foreign body, left eye, sequela
S05.42XS is the authoritative medical code for Penetrating wound of orbit with or without foreign body, left eye, sequela. This classification is used in medical billing and clinical recording to specify the clinical criteria for penetrating wound of orbit with or without foreign body, left eye, sequela (ICD-10-CM S05.42XS), ensuring healthcare documentation aligns with current federal coding standards.
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 604 — TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC (MDC 09)
- MS-DRG 605 — TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC (MDC 09)
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 S05.42XS 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.
- retained (old) foreign body following penetrating wound in orbit (H05.5-)
- 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 S05.42XS 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 S05.42XS in its code family, with their registry titles.
- S05.41XD — Penetrating wound of orbit with or without foreign body, right eye, subsequent encounter
- S05.41XS — Penetrating wound of orbit with or without foreign body, right eye, sequela
- S05.42 — Penetrating wound of orbit with or without foreign body, left eye
- S05.42XA — Penetrating wound of orbit with or without foreign body, left eye, initial encounter
- S05.42XD — Penetrating wound of orbit with or without foreign body, left eye, subsequent encounter
- S05.5 — Penetrating wound with foreign body of eyeball
- S05.50 — Penetrating wound with foreign body of unspecified eyeball
- S05.50XA — Penetrating wound with foreign body of unspecified eyeball, initial encounter
- S05.50XD — Penetrating wound with foreign body of unspecified eyeball, subsequent encounter
- S05.50XS — Penetrating wound with foreign body of unspecified eyeball, sequela