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ICD-10/S05.92XA

S05.92XA ICD-10-CM Code: Unspecified injury of left eye and orbit, 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

Unspecified injury of left eye and orbit, initial encounter is a billable ICD-10-CM diagnosis code (S05.92A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S05.92XA 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

  • 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 S05.92XA 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)

  • INJ027 — Other unspecified injury [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]
  • S05.62XS — 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):INJ027 — Other unspecified injury (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 S05.92XA 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 S05.92XA 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 S05.92XA in its code family, with their registry titles.

  • 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
  • S05.90XS — 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
  • S05.92 — Unspecified injury of left eye and orbit
  • S05.92XD — Unspecified injury of left eye and orbit, subsequent encounter

View all codes in the S05 family