S05.1
Non-Billable

Contusion of eyeball and orbital tissues

Non-Billable / Non-Specific Code

What is Contusion of eyeball and orbital tissues?

ICD-10-CM S05.1 is the diagnosis code for Contusion of eyeball and orbital tissues. This code falls under the section "Injuries to the head" within Chapter 19 — Injury, poisoning and certain other consequences of external causes (S00-T88). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
â„šī¸ Excludes2

Coding Guidelines for S05.1

✅ This Code Includes

  • Traumatic hyphema

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in S05.1. If the patient has both, code each condition separately:

  • black eye NOS (S00.1)
  • contusion of eyelid and periocular area (S00.1)

ICD-10-CM Code Hierarchy

Understanding where S05.1 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 3 entries
S05.10Contusion of eyeball and orbital tissues, unspecified eyeBillableS05.11Contusion of eyeball and orbital tissues, right eyeBillableS05.12Contusion of eyeball and orbital tissues, left eyeBillable
Related Codes

Frequently Asked Questions

Is S05.1 a billable ICD-10-CM code?

No, S05.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does S05.1 mean?

S05.1 is the ICD-10-CM diagnosis code for "Contusion of eyeball and orbital tissues". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of S05.1?

The parent code of S05.1 is S05 ("Injury of eye and orbit"). S05.1 provides a more specific classification within this category.

What section is S05.1 in?

S05.1 is located in Section S00-S09 — "Injuries to the head" within Chapter 19 of the ICD-10-CM Tabular List.

What are the sub-codes of S05.1?

S05.1 has 3 sub-code(s) that provide more specific detail: S05.10, S05.11, S05.12.

When should I use S05.1?

Use S05.1 when the patients documented diagnosis matches "Contusion of eyeball and orbital tissues" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Contusion of eyeball and orbital tissues?

The ICD-10-CM code for Contusion of eyeball and orbital tissues is S05.1.

Can S05.1 be used for primary diagnosis?

No, S05.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is S05.1 in?

S05.1 is in Chapter 19 of the ICD-10-CM Tabular List.

Is S05.1 valid for 2026?

Yes, S05.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousS05.02Injury of conjunctiva and corneal abrasion without foreign body, left eyeNext →S05.10Contusion of eyeball and orbital tissues, unspecified eye
Code Details
S05.1
Contusion of eyeball and orbital tissues
Non-Billable / Non-Specific Code
19 — Injury, poisoning and certain other consequences of external causes (S00-T88)
S00-S09 — Injuries to the head
2026 ICD-10-CM