T15.91XA ICD-10-CM Code: Foreign body on external eye, part unspecified, 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)
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 T15.91XA in the official ICD-10-CM tabular list.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- foreign body in penetrating wound of orbit and eye ball (S05.4-, S05.5-) Compare T15.91XA vs S05.4 →
- open wound of eyelid and periocular area (S01.1-) Compare T15.91XA vs S01.1 →
- retained foreign body in eyelid (H02.8-) Compare T15.91XA vs H02.8 →
- retained (old) foreign body in penetrating wound of orbit and eye ball (H05.5-, H44.6-, H44.7-) Compare T15.91XA vs H05.5 →
- superficial foreign body of eyelid and periocular area (S00.25-) Compare T15.91XA vs S00.25 →
- foreign body accidentally left in operation wound (T81.5-) Compare T15.91XA vs T81.5 →
- foreign body in penetrating wound - See open wound by body region
- residual foreign body in soft tissue (M79.5) Compare T15.91XA vs M79.5 →
- splinter, without open wound - See superficial injury by body region
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code, if known, for foreign body entering into or through a natural orifice (W44.-)
Frequently Compared Codes
The official Excludes notes on T15.91XA name these codes. Each comparison page covers when the two can — or must not — be reported together.
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 T15.91XA 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]
- T15-T19 — Effects of foreign body entering through natural orifice [Hierarchy]
Referenced by Excludes1 notes
- Z18 — Retained foreign body fragments [Excludes1](via T15.-): “foreign body entering through orifice (T15-T19)” · check together
Referenced by Excludes2 notes (11)
- S00 — Superficial injury of head [Excludes2](via T15.-): “effects of foreign body on external eye (T15.-)” · check together
- S00-S09 — Injuries to the head (S00-S09) [Excludes2](via T15.-): “effects of foreign body on external eye (T15.-)” · check together
- S01 — Open wound of head [Excludes2](via T15.-): “effects of foreign body on external eye (T15.-)” · check together
- S02 — Fracture of skull and facial bones [Excludes2](via T15.-): “effects of foreign body on external eye (T15.-)” · check together
- S03 — Dislocation and sprain of joints and ligaments of head [Excludes2](via T15.-): “effects of foreign body on external eye (T15.-)” · check together
- S04 — Injury of cranial nerve [Excludes2](via T15.-): “effects of foreign body on external eye (T15.-)” · check together
- S05 — Injury of eye and orbit [Excludes2](via T15.-): “effects of foreign body on external eye (T15.-)” · check together
- S06 — Intracranial injury [Excludes2](via T15.-): “effects of foreign body on external eye (T15.-)” · check together
- and 3 more
Clinical classification (CCSR)
- INJ020 — Effect of foreign body entering opening, initial encounter [CCSR]
- EXT018 — External cause codes: other specified, classifiable and NEC; initial encounter [CCSR]
- EXT020 — External cause codes: intent of injury, accidental/unintentional [CCSR]
Potential MS-DRG
- 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)”
MDC crossing · procedures (1200)
- 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.”
- 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 1195 more
Nearest codes (40)
- T15 — Foreign body on external eye [Sibling]
- T15.02XD — Foreign body in cornea, left eye, subsequent encounter [Sibling]
- T15.02XS — Foreign body in cornea, left eye, sequela [Sibling]
- T15.1 — Foreign body in conjunctival sac [Sibling]
- T15.10 — Foreign body in conjunctival sac, unspecified eye [Sibling]
- T15.10XA — Foreign body in conjunctival sac, unspecified eye, initial encounter [Sibling]
- T15.10XD — Foreign body in conjunctival sac, unspecified eye, subsequent encounter [Sibling]
- T15.10XS — Foreign body in conjunctival sac, unspecified eye, sequela [Sibling]
- and 32 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ020 — Effect of foreign body entering opening, initial encounter (default); EXT018 — External cause codes: other specified, classifiable and NEC; initial encounter; EXT020 — External cause codes: intent of injury, accidental/unintentional.
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 124 (MDC 02), DRG 125 (MDC 02).
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 T15.91XA or its code family.
1 Excludes1 notes: Z18 (via T15.-).
11 Excludes2 notes: S00 (via T15.-), S00-S09 (via T15.-), S01 (via T15.-), S02 (via T15.-), S03 (via T15.-), S04 (via T15.-), S05 (via T15.-), S06 (via T15.-), S07 (via T15.-), S08 (via T15.-) and 1 more.
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T15.91XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T15.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T15.91XA in its code family, with their registry titles.
- T15.90 — Foreign body on external eye, part unspecified, unspecified eye
- T15.90XA — Foreign body on external eye, part unspecified, unspecified eye, initial encounter
- T15.90XD — Foreign body on external eye, part unspecified, unspecified eye, subsequent encounter
- T15.90XS — Foreign body on external eye, part unspecified, unspecified eye, sequela
- T15.91 — Foreign body on external eye, part unspecified, right eye
- T15.91XD — Foreign body on external eye, part unspecified, right eye, subsequent encounter
- T15.91XS — Foreign body on external eye, part unspecified, right eye, sequela
- T15.92 — Foreign body on external eye, part unspecified, left eye
- T15.92XA — Foreign body on external eye, part unspecified, left eye, initial encounter
- T15.92XD — Foreign body on external eye, part unspecified, left eye, subsequent encounter