S05.7 ICD-10-CM Code: Avulsion of eye

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S05.7 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Notes without a marker are published on S05.7 itself; “inherited from” names the category or block whose note applies here.

7th Character Guide

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

• A — initial encounter
• D — subsequent encounter
• S — sequela

How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.

ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).

Variant codes in this family

S05.70XA, S05.70XD, S05.70XS, S05.71XA, S05.71XD, S05.71XS, S05.72XA, S05.72XD

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Coder workflow for S05.7

MedCoder structured workflow — derived from this code’s own official record

Before you code S05.7

1. S05.7 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

   ReviewS05.70, S05.71, S05.72

   See the relationships section · Guide: How to choose an ICD-10-CM code →

2. A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. S05.7 is not valid without one. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).

   See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →

3. Confirm the injury type, the anatomical site at the most specific level documented, laterality where the family codes it, and the encounter for the 7th character. Each injury is coded separately unless the classification provides a combination code, and a superficial injury is not coded when a more severe injury of the same site is documented. Injury chapter guidelines (Guidelines I.C.19.b, I.C.19.b.1).

   Guide: 7th characters: initial, subsequent, sequela →

Choose the right path

1. Does the documentation support one of the more specific codes beneath S05.7?
   Yes → Select that code and continue the checks below on its own page.
   No → S05.7 cannot be reported as written; query for the specificity its subcategory needs.

   ReviewS05.70, S05.71, S05.72

2. Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
   Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
   No → The code is invalid without its 7th character — query for the missing element.

Consider S05.7. Then review the Code Also note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement

Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Anatomical site

At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.

Encounter type

Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).

External cause, place and activity

For the external cause codes reported with the injury or poisoning, where documented (Guidelines I.C.20.a).

Official instructions as workflow

• Excludes2 — not part of S05.7(14 notes)

  Coding workflow: The conditions named in this note are not included in S05.7. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

  CompareS04.0, S04.1, S01.1, S02.1, S02.3, S02.8

  See the official tabular notes · Guidelines I.A.12.b

• Code Also — related condition(1 note)

  Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

  See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse S05.7 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of S05.7 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

• S05.70XA— Encounter relationship (Review)

  Same underlying diagnosis, different encounter phase.

  The same diagnosis at a different phase of care; one encounter takes one 7th character.

  What moves you there: Documentation of a initial encounter moves the case to S05.70XA.

  Full comparison: S05.7 vs S05.70XA →

• S05.70XD— Encounter relationship (Review)

  Same underlying diagnosis, different encounter phase.

  The same diagnosis at a different phase of care; one encounter takes one 7th character.

  What moves you there: Documentation of a subsequent encounter moves the case to S05.70XD.

  Full comparison: S05.7 vs S05.70XD →

• S04.0— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of 2nd cranial [optic] nerve injury adds S04.0; it is not part of this code and both may be reported when both are documented.

  Full comparison: S05.7 vs S04.0 →

• S04.1— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of 3rd cranial [oculomotor] nerve injury adds S04.1; it is not part of this code and both may be reported when both are documented.

  Full comparison: S05.7 vs S04.1 →

• S01.1— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of open wound of eyelid and periocular area adds S01.1; it is not part of this code and both may be reported when both are documented.

  Full comparison: S05.7 vs S01.1 →

• S02.1— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of orbital bone fracture adds S02.1; it is not part of this code and both may be reported when both are documented.

  Full comparison: S05.7 vs S02.1 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

1. A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
2. 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
3. 14 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

• Not billable as written — a more specific code is required: S05.70XA, S05.70XD, S05.70XS, S05.71XA, S05.71XD.
• Requires a 7th character. "The appropriate 7th character is to be added to each code from category S05" Options: S05.70XA, S05.70XD, S05.70XS, S05.71XA, S05.71XD, S05.71XS

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

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name S05.7 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 3 Excludes1 notes across 2 chapters: H44.6 — Retained (old) intraocular foreign body, magnetic (via S05.-), H44.7 — Retained (old) intraocular foreign body, nonmagnetic (via S05.-), S00 — Superficial injury of head (via S05.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Excludes2 note: S01 — Open wound of head (via S05.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 3 Code Also instructions: G96.00 — Cerebrospinal fluid leak, unspecified (via S05.-), G96.08 — Other cranial cerebrospinal fluid leak (via S05.-), G96.09 — Other spinal cerebrospinal fluid leak (via S05.-).

These codes suggest coding this condition alongside when both are present.

Related Codes

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Avulsion”, “Wound, open”; these codes share that main term but sit in a different category of the Tabular List.

S01.10 — Unspecified open wound of eyelid and periocular area (eyelid), S01.20 — Unspecified open wound of nose (nose), S01.30 — Unspecified open wound of ear (ear), S01.40 — Unspecified open wound of cheek and temporomandibular area (cheek), S01.501 — Unspecified open wound of lip (lip), S01.502 — Unspecified open wound of oral cavity (oral cavity), S01.552 — Open bite of oral cavity (oral cavity, bite), S01.80 — Unspecified open wound of other part of head (head, specified site NEC), S01.90 — Unspecified open wound of unspecified part of head (head), S03.2 — Dislocation of tooth (tooth), S08.0 — Avulsion of scalp (scalp), S08.89 — Traumatic amputation of other parts of head (head, external site NEC), S09.2 — Traumatic rupture of ear drum (ear, drum), S11.019 — Unspecified open wound of larynx (larynx), S11.021 — Laceration without foreign body of trachea (neck, involving, trachea, laceration), S11.022 — Laceration with foreign body of trachea (neck, involving, trachea, laceration, with foreign body), S11.023 — Puncture wound without foreign body of trachea (neck, involving, trachea, puncture), S11.024 — Puncture wound with foreign body of trachea (neck, involving, trachea, puncture, with foreign body), S11.029 — Unspecified open wound of trachea (neck, involving, trachea), S11.031 — Laceration without foreign body of vocal cord (vocal cord, laceration), +113 more

Contextual Map

Every relationship of S05.7 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.

Run S05.7 with these 7 related codes in Claim Check

Hierarchy

• S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S00-S09 — Injuries to the head[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Referenced by Excludes1 notes

• H44.6 — Retained (old) intraocular foreign body, magnetic[Excludes1](via S05.-): “current intraocular foreign body (S05.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• H44.7 — Retained (old) intraocular foreign body, nonmagnetic[Excludes1](via S05.-): “current intraocular foreign body (S05.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• S00 — Superficial injury of head[Excludes1](via S05.-): “injury of eye and orbit (S05.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Excludes2 notes

• S01 — Open wound of head[Excludes2](via S05.-): “injury of eye and orbit (S05.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Code Also instructions

• G96.00 — Cerebrospinal fluid leak, unspecified[Code Also](via S05.-): “head injury (S00-S09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• G96.08 — Other cranial cerebrospinal fluid leak[Code Also](via S05.-): “head injury (S00 - S09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• G96.09 — Other spinal cerebrospinal fluid leak[Code Also](via S05.-): “head injury (S00 - S09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Nearest codes (40)

• S05 — Injury of eye and orbit[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.51XA — Penetrating wound with foreign body of right eyeball, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.51XD — Penetrating wound with foreign body of right eyeball, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.51XS — Penetrating wound with foreign body of right eyeball, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.52 — Penetrating wound with foreign body of left eyeball[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.52XA — Penetrating wound with foreign body of left eyeball, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.52XD — Penetrating wound with foreign body of left eyeball, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.52XS — Penetrating wound with foreign body of left eyeball, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• and 32 more

Change history

• FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data

CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page

Claim edits Official source data

CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page

Change history and date-of-service validity Official source data

CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page

Comparisons, relationships and the contextual map MedCoder structured relationship

Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears

Summary and FAQ answers MedCoder explanation

Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S05.7 in its code family, with their registry titles.

• S05.61XS — Penetrating wound without foreign body of right eyeball, sequela
• S05.62 — Penetrating wound without foreign body of left eyeball
• S05.62XA — Penetrating wound without foreign body of left eyeball, initial encounter
• S05.62XD — Penetrating wound without foreign body of left eyeball, subsequent encounter
• S05.62XS — Penetrating wound without foreign body of left eyeball, sequela
• S05.70 — Avulsion of unspecified eye
• S05.70XA — Avulsion of unspecified eye, initial encounter
• S05.70XD — Avulsion of unspecified eye, subsequent encounter
• S05.70XS — Avulsion of unspecified eye, sequela
• S05.71 — Avulsion of right eye

View all codes in the S05 family