S05.71XA ICD-10-CM Code: Avulsion of 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, 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.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S05.71XA 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-) Compare S05.71XA vs S04.0 →
- 3rd cranial [oculomotor] nerve injury (S04.1-) Compare S05.71XA vs S04.1 →
- open wound of eyelid and periocular area (S01.1-) Compare S05.71XA vs S01.1 →
- orbital bone fracture (S02.1-, S02.3-, S02.8-) Compare S05.71XA vs S02.1 →
- superficial injury of eyelid (S00.1-S00.2) Compare S05.71XA vs S00.1 →
- burns and corrosions (T20-T32) Compare S05.71XA vs T20 →
- effects of foreign body in ear (T16) Compare S05.71XA vs T16 →
- effects of foreign body in larynx (T17.3) Compare S05.71XA vs T17.3 →
- effects of foreign body in mouth NOS (T18.0) Compare S05.71XA vs T18.0 →
- effects of foreign body in nose (T17.0-T17.1) Compare S05.71XA vs T17.0 →
- effects of foreign body in pharynx (T17.2) Compare S05.71XA vs T17.2 →
- effects of foreign body on external eye (T15.-) Compare S05.71XA vs T15 →
- frostbite (T33-T34) Compare S05.71XA vs T33 →
- insect bite or sting, venomous (T63.4) Compare S05.71XA vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- for any associated infection
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Billable — reportable as written.
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S05.71XA 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.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- S00-S09 — Injuries to the head [Hierarchy]
Referenced by Excludes1 notes
- H44.6 — Retained (old) intraocular foreign body, magnetic [Excludes1](via S05.-): “current intraocular foreign body (S05.-)” · check together
- H44.7 — Retained (old) intraocular foreign body, nonmagnetic [Excludes1](via S05.-): “current intraocular foreign body (S05.-)” · check together
- S00 — Superficial injury of head [Excludes1](via S05.-): “injury of eye and orbit (S05.-)” · check together
Referenced by Excludes2 notes
- S01 — Open wound of head [Excludes2](via S05.-): “injury of eye and orbit (S05.-)” · check together
Clinical classification (CCSR)
- INJ011 — Open wounds of head and neck, initial encounter [CCSR]
Potential MS-DRG
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”
- DRG 124 — OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT [MS-DRG]: “OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT (MDC 02)”
- DRG 125 — OTHER DISORDERS OF THE EYE WITHOUT MCC [MS-DRG]: “OTHER DISORDERS OF THE EYE WITHOUT MCC (MDC 02)”
- DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)”
- DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)”
- DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)”
MDC crossing · procedures (24157)
- MDC 02 — Diseases and Disorders of the Eye [MDC crossing]: “Diseases and Disorders of the Eye — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- MDC 24 — Multiple Significant Trauma [MDC crossing]: “Multiple Significant Trauma — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 039S0ZX — Drainage of Right Temporal Artery, Open Approach, Diagnostic [Same-MDC procedure]: “Drainage of Right Temporal Artery, Open Approach, Diagnostic — grouped in MDC 02, the procedure side of this code's crossing.” · check together
- 039S4ZX — Drainage of Right Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic [Same-MDC procedure]: “Drainage of Right Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic — grouped in MDC 02, the procedure side of this code's crossing.” · check together
- 039T0ZX — Drainage of Left Temporal Artery, Open Approach, Diagnostic [Same-MDC procedure]: “Drainage of Left Temporal Artery, Open Approach, Diagnostic — grouped in MDC 02, the procedure side of this code's crossing.” · check together
- 039T4ZX — Drainage of Left Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic [Same-MDC procedure]: “Drainage of Left Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic — grouped in MDC 02, the procedure side of this code's crossing.” · check together
- 03BS0ZX — Excision of Right Temporal Artery, Open Approach, Diagnostic [Same-MDC procedure]: “Excision of Right Temporal Artery, Open Approach, Diagnostic — grouped in MDC 02, the procedure side of this code's crossing.” · check together
- and 24152 more
Nearest codes (40)
- S05 — Injury of eye and orbit [Sibling]
- S05.52XS — Penetrating wound with foreign body of left eyeball, sequela [Sibling]
- S05.6 — Penetrating wound without foreign body of eyeball [Sibling]
- S05.60 — Penetrating wound without foreign body of unspecified eyeball [Sibling]
- S05.60XA — Penetrating wound without foreign body of unspecified eyeball, initial encounter [Sibling]
- S05.60XD — Penetrating wound without foreign body of unspecified eyeball, subsequent encounter [Sibling]
- S05.60XS — Penetrating wound without foreign body of unspecified eyeball, sequela [Sibling]
- S05.61 — Penetrating wound without foreign body of right eyeball [Sibling]
- and 32 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ011 — Open wounds of head and neck, initial encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 57 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 5 MS-DRGs: DRG 124 (MDC 02), DRG 125 (MDC 02), DRG 963 (MDC 24), DRG 964 (MDC 24), DRG 965 (MDC 24).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name S05.71XA or its code family.
3 Excludes1 notes across 2 chapters: H44.6 (via S05.-), H44.7 (via S05.-), S00 (via S05.-).
1 Excludes2 notes: S01 (via S05.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S05.71XA 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 S05.71XA in its code family, with their registry titles.
- 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
- S05.71XD — Avulsion of right eye, subsequent encounter
- S05.71XS — Avulsion of right eye, sequela
- S05.72 — Avulsion of left eye
- S05.72XA — Avulsion of left eye, initial encounter
- S05.72XD — Avulsion of left eye, subsequent encounter