DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

S05 Injury of eye and orbit

  • Header · not billable
  • Codes take a 7th character

S05 is not billable. The category heads 90 billable codes in FY2027, grouped under 10 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

  • Enucleated eye (traumatic, current) → S05.7-
  • Berlin's disease or edema (traumatic) → S05.8X-
  • Injuryeye → S05.9-

Where it sits

  1. Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
  2. S00-S09 Injuries to the head (S00-S09)
  3. S05 Injury of eye and orbit
Billable codes
90
Subdivisions
10
CC / MCC codes
20 / 0
HCC V28 codes
0
New FY2027
0
Index entries
67

Codes in S05

  1. S05.0
    Injury of conjunctiva and corneal abrasion without foreign body
    Header
    Excludes1 2

    Excludes1

    • foreign body in conjunctival sac (T15.1) T15.1
    • foreign body in cornea (T15.0) T15.0
  2. S05.00
    Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  3. S05.01
    Injury of conjunctiva and corneal abrasion without foreign body, right eye +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  4. S05.02
    Injury of conjunctiva and corneal abrasion without foreign body, left eye +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  5. S05.1
    Contusion of eyeball and orbital tissues
    Header
    Inclusion terms 1, Excludes2 2

    Inclusion terms

    • Traumatic hyphema

    Excludes2

    • black eye NOS (S00.1) S00.1
    • contusion of eyelid and periocular area (S00.1) S00.1
  6. S05.10
    Contusion of eyeball and orbital tissues, unspecified eye +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  7. S05.11
    Contusion of eyeball and orbital tissues, right eye +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  8. S05.12
    Contusion of eyeball and orbital tissues, left eye +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  9. S05.2
    Ocular laceration and rupture with prolapse or loss of intraocular tissue
    Header
  10. S05.20
    Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  11. S05.21
    Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  12. S05.22
    Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  13. S05.3
    Ocular laceration without prolapse or loss of intraocular tissue
    Header
    Inclusion terms 1

    Inclusion terms

    • Laceration of eye NOS
  14. S05.30
    Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  15. S05.31
    Ocular laceration without prolapse or loss of intraocular tissue, right eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  16. S05.32
    Ocular laceration without prolapse or loss of intraocular tissue, left eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  17. S05.4
    Penetrating wound of orbit with or without foreign body
    Header
    Excludes2 1

    Excludes2

    • retained (old) foreign body following penetrating wound in orbit (H05.5-) H05.5
  18. S05.40
    Penetrating wound of orbit with or without foreign body, unspecified eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  19. S05.41
    Penetrating wound of orbit with or without foreign body, right eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  20. S05.42
    Penetrating wound of orbit with or without foreign body, left eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  21. S05.5
    Penetrating wound with foreign body of eyeball
    Header
    Excludes2 1

    Excludes2

    • retained (old) intraocular foreign body (H44.6-, H44.7) H44.6 H44.7
  22. S05.50
    Penetrating wound with foreign body of unspecified eyeball +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  23. S05.51
    Penetrating wound with foreign body of right eyeball +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  24. S05.52
    Penetrating wound with foreign body of left eyeball +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  25. S05.6
    Penetrating wound without foreign body of eyeball
    Header
    Inclusion terms 1

    Inclusion terms

    • Ocular penetration NOS
  26. S05.60
    Penetrating wound without foreign body of unspecified eyeball +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  27. S05.61
    Penetrating wound without foreign body of right eyeball +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  28. S05.62
    Penetrating wound without foreign body of left eyeball +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  29. S05.7
    Avulsion of eye
    Header
    Inclusion terms 1

    Inclusion terms

    • Traumatic enucleation
  30. S05.70
    Avulsion of unspecified eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  31. S05.71
    Avulsion of right eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  32. S05.72
    Avulsion of left eye +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  33. S05.8
    Other injuries of eye and orbit
    Header
    Inclusion terms 1

    Inclusion terms

    • Lacrimal duct injury
  34. S05.8X
    Other injuries of eye and orbit
    Header
  35. S05.8X1
    Other injuries of right eye and orbit +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  36. S05.8X2
    Other injuries of left eye and orbit +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  37. S05.8X9
    Other injuries of unspecified eye and orbit +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  38. S05.9
    Unspecified injury of eye and orbit
    Header
    Inclusion terms 1

    Inclusion terms

    • Injury of eye NOS
  39. S05.90
    Unspecified injury of unspecified eye and orbit +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  40. S05.91
    Unspecified injury of right eye and orbit +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  41. S05.92
    Unspecified injury of left eye and orbit +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At S05

Includes

  • open wound of eye and orbit

Excludes2

  • 2nd cranial [optic] nerve injury (S04.0-) S04.0
  • 3rd cranial [oculomotor] nerve injury (S04.1-) S04.1
  • open wound of eyelid and periocular area (S01.1-) S01.1
  • orbital bone fracture (S02.1-, S02.3-, S02.8-) S02.1 S02.3 S02.8
  • superficial injury of eyelid (S00.1-S00.2) S00.1 S00.2

Notes that also apply

Block S00-S09 instructions (Includes 12, Excludes2 9, Code also 1): printed on the block page.

Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.

7th characters

7th characters for S05 defined here

The appropriate 7th character is to be added to each code from category S05

7th characters for S05
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Enucleated eye (traumatic, current) → S05.7-
  • Berlin's disease or edema (traumatic) → S05.8X-
  • Abrasioncornea → S05.0-
  • Contusion (skin surface intact)conjunctiva → S05.1-
  • Contusion (skin surface intact)eyeball → S05.1-
  • Contusion (skin surface intact)orbit (region) (tissues) → S05.1-
  • Contusion (skin surface intact)subconjunctival → S05.1-
  • Hyphematraumatic → S05.1-
  • Hernia, hernial (acquired) (recurrent)ciliary body (traumatic) → S05.2-
  • Hernia, hernial (acquired) (recurrent)iris (traumatic) → S05.2-
  • Hernia, hernial (acquired) (recurrent)lens (traumatic) → S05.2-
  • Hernia, hernial (acquired) (recurrent)vitreous (into wound) → S05.2-
  • Lacerationeye (ball) → S05.3-
  • Lacerationocular NOS → S05.3-
  • Foreign bodyocular muscle → S05.4-
  • Foreign bodyorbit → S05.4-
  • Punctureorbit → S05.4-
  • Foreign bodyanterior chamber (eye) → S05.5-
  • Foreign bodyciliary body (eye) → S05.5-
  • Foreign bodyintraocular → S05.5-
  • Foreign bodyretina → S05.5-
  • Foreign bodyvitreous (humor) → S05.5-
  • Punctureeyeball → S05.6-
  • Avulsion (traumatic)eye → S05.7-
  • Blast (air) (hydraulic) (immersion) (underwater)blindness → S05.8X-
  • Blindness (acquired) (congenital) (both eyes)blast → S05.8X-
  • Blindness (acquired) (congenital) (both eyes)concussion → S05.8X-
  • Commotio, commotion (current)retinae → S05.8X-
  • Concussion (brain) (cerebral) (current)ocular → S05.8X-
  • Contusion (skin surface intact)adnexa, eye NEC → S05.8X-
  • Contusion (skin surface intact)lacrimal apparatus, gland or sac → S05.8X-
  • Edema, edematous (infectious) (pitting) (toxic)Berlin's (traumatic) → S05.8X-
  • Injuryeyeball → S05.8X-
  • Blindness (acquired) (congenital) (both eyes)due to injury (current episode) → S05.9-
  • Blindness (acquired) (congenital) (both eyes)traumatic (current episode) → S05.9-
  • Injuryeye → S05.9-
  • Injurycanthus, eye → S05.90
  • Injuryglobe (eye) → S05.90
  • Injuryvitreous (humor) → S05.90
  • Wound, openocular → S05.90

27 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy