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ICD-10/S05.90XD

S05.90XD ICD-10-CM Code: Unspecified injury of unspecified eye and orbit, subsequent 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.

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

Unspecified injury of unspecified eye and orbit, subsequent encounter is a billable ICD-10-CM diagnosis code (S05.90D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S05.90XD 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.

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.

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 S05.90XD 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)

  • INJ064 — Other unspecified injuries, subsequent encounter [CCSR]

Potential MS-DRG

  • DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
  • DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”

MDC crossing · procedures (1235)

  • MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services [MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — 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.”
  • F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • and 1230 more

Nearest codes (40)

  • S05 — Injury of eye and orbit [Sibling]
  • S05.62XS — Penetrating wound without foreign body of left eyeball, sequela [Sibling]
  • S05.7 — Avulsion of eye [Sibling]
  • S05.70 — Avulsion of unspecified eye [Sibling]
  • S05.70XA — Avulsion of unspecified eye, initial encounter [Sibling]
  • S05.70XD — Avulsion of unspecified eye, subsequent encounter [Sibling]
  • S05.70XS — Avulsion of unspecified eye, sequela [Sibling]
  • S05.71 — Avulsion of right eye [Sibling]
  • and 32 more

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ064 — Other unspecified injuries, subsequent 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)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).

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 S05.90XD 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 S05.90XD 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 S05.90XD in its code family, with their registry titles.

  • S05.8X9D — Other injuries of unspecified eye and orbit, subsequent encounter
  • S05.8X9S — Other injuries of unspecified eye and orbit, sequela
  • S05.9 — Unspecified injury of eye and orbit
  • S05.90 — Unspecified injury of unspecified eye and orbit
  • S05.90XA — Unspecified injury of unspecified eye and orbit, initial encounter
  • S05.90XS — Unspecified injury of unspecified eye and orbit, sequela
  • S05.91 — Unspecified injury of right eye and orbit
  • S05.91XA — Unspecified injury of right eye and orbit, initial encounter
  • S05.91XD — Unspecified injury of right eye and orbit, subsequent encounter
  • S05.91XS — Unspecified injury of right eye and orbit, sequela

View all codes in the S05 family