S05.90XS ICD-10-CM Code: Unspecified injury of unspecified eye and orbit, sequela
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 913 — TRAUMATIC INJURY WITH MCC (MDC 21)
- MS-DRG 914 — TRAUMATIC INJURY WITHOUT MCC (MDC 21)
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 S05.90XS 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 S05.90XS vs S04.0 →
- 3rd cranial [oculomotor] nerve injury (S04.1-) Compare S05.90XS vs S04.1 →
- open wound of eyelid and periocular area (S01.1-) Compare S05.90XS vs S01.1 →
- orbital bone fracture (S02.1-, S02.3-, S02.8-) Compare S05.90XS vs S02.1 →
- superficial injury of eyelid (S00.1-S00.2) Compare S05.90XS vs S00.1 →
- burns and corrosions (T20-T32) Compare S05.90XS vs T20 →
- effects of foreign body in ear (T16) Compare S05.90XS vs T16 →
- effects of foreign body in larynx (T17.3) Compare S05.90XS vs T17.3 →
- effects of foreign body in mouth NOS (T18.0) Compare S05.90XS vs T18.0 →
- effects of foreign body in nose (T17.0-T17.1) Compare S05.90XS vs T17.0 →
- effects of foreign body in pharynx (T17.2) Compare S05.90XS vs T17.2 →
- effects of foreign body on external eye (T15.-) Compare S05.90XS vs T15 →
- frostbite (T33-T34) Compare S05.90XS vs T33 →
- insect bite or sting, venomous (T63.4) Compare S05.90XS 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
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
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 S05.90XS 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)
- INJ073 — Injury, sequela [CCSR]
Potential MS-DRG
- DRG 913 — TRAUMATIC INJURY WITH MCC [MS-DRG]: “TRAUMATIC INJURY WITH MCC (MDC 21)”
- DRG 914 — TRAUMATIC INJURY WITHOUT MCC [MS-DRG]: “TRAUMATIC INJURY WITHOUT MCC (MDC 21)”
MDC crossing · procedures (32029)
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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.”
- 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- and 32024 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):INJ073 — Injury, sequela (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 913 (MDC 21), DRG 914 (MDC 21).
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 S05.90XS 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 S05.90XS 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 S05.90XS in its code family, with their registry titles.
- 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
- S05.90XD — Unspecified injury of unspecified eye and orbit, subsequent encounter
- 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
- S05.92 — Unspecified injury of left eye and orbit