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

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S05.92XS in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on S05.92XS 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 (this page’s code)

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

S05.92XA, S05.92XD, S05.92XS

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.

Do Not Confuse With

Codes named in S05.92XS's own official notes, or sharing its encounter family, with what separates them. Each links to the full comparison.

• S05.92XA— Encounter relationship (Review)

  Same underlying diagnosis, different encounter phase.

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

  Full comparison: S05.92XS vs S05.92XA →

• S05.92XD— Encounter relationship (Review)

  Same underlying diagnosis, different encounter phase.

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

  Full comparison: S05.92XS vs S05.92XD →

• S04.0— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

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

  Full comparison: S05.92XS 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.

  Full comparison: S05.92XS 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.

  Full comparison: S05.92XS 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.

  Full comparison: S05.92XS vs S02.1 →

Relationships are read from this code's own official notes and its encounter family; the wording of each distinction is MedCoder editorial. 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. Laterality is coded in this family. Confirm the documented side matches the code — the opposite-side siblings are in the relationships section. See the opposite-side sibling codes
3. 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
4. 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

• 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 in Claim Check.

Relationships & Classification

Other codes that name S05.92XS 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.

MS-DRG Grouper Relationships (FY2026)

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

Potential MS-DRG participation — not a DRG assignment.

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.

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.

Related Codes

Same condition, opposite side

Same category and title, differing only in which side of the body is affected.

S05.90XS — Unspecified injury of unspecified eye and orbit, sequela (unspecified)Compare S05.92XS vs S05.90XS →, S05.91XS — Unspecified injury of right eye and orbit, sequela (right)Compare S05.92XS vs S05.91XS →

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

S05.92XA — Unspecified injury of left eye and orbit, initial encounterCompare S05.92XS vs S05.92XA →, S05.92XD — Unspecified injury of left eye and orbit, subsequent encounter

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Injury, sequela).

+7578 more

Same Index main term, other category

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

H47.611 — Cortical blindness, right side of brain (cortical, right brain), H47.612 — Cortical blindness, left side of brain (cortical, left brain), H47.619 — Cortical blindness, unspecified side of brain (cortical), H53.11 — Day blindness (day), H53.16 — Psychophysical visual disturbances (face), H53.60 — Unspecified night blindness (night), H53.61 — Abnormal dark adaptation curve (night, abnormal dark adaptation curve), H53.62 — Acquired night blindness (night, acquired), H53.63 — Congenital night blindness (night, congenital), H53.69 — Other night blindness (night, specified type NEC), H54.0X — Blindness, both eyes, different category levels, H54.10 — Blindness, one eye, low vision other eye, unspecified eyes (one eye, low vision, other eye), H54.11 — Blindness, right eye, low vision left eye (one eye, right, low vision on left), H54.12 — Blindness, left eye, low vision right eye (one eye, left, low vision on right), H54.40 — Blindness, one eye, unspecified eye (one eye), H54.41 — Blindness, right eye, normal vision left eye (one eye, right), H54.42 — Blindness, left eye, normal vision right eye (one eye, left), H54.8 — Legal blindness, as defined in USA (legal), R48.0 — Dyslexia and alexia (word, acquired), R48.8 — Other symbolic dysfunctions (mind), +4 more

Contextual Map

Every relationship of S05.92XS 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 S05.92XS 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

Clinical classification (CCSR)

• INJ073 — Injury, sequela[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)

MS-DRG Grouper

• DRG 913 — TRAUMATIC INJURY WITH MCC[MS-DRG]: “TRAUMATIC INJURY WITH MCC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• DRG 914 — TRAUMATIC INJURY WITHOUT MCC[MS-DRG]: “TRAUMATIC INJURY WITHOUT MCC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026

MDC crossing

• 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. 32,029 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Nearest codes (40)

• S05 — Injury of eye and orbit[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.62XS — Penetrating wound without foreign body of left eyeball, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.7 — Avulsion of eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.70 — Avulsion of unspecified eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.70XA — Avulsion of unspecified eye, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.70XD — Avulsion of unspecified eye, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.70XS — Avulsion of unspecified eye, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S05.71 — Avulsion of right eye[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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page

Claim edits Official source data

CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page

Inpatient payment groups Official source data

CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 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 S05.92XS 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
• S05.92XA — Unspecified injury of left eye and orbit, initial encounter

View all codes in the S05 family