S05.4
Non-Billable

Penetrating wound of orbit with or without foreign body

Non-Billable / Non-Specific Code

What is Penetrating wound of orbit with or without foreign body?

ICD-10-CM S05.4 is the diagnosis code for Penetrating wound of orbit with or without foreign body. 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.

â„šī¸ Excludes2

Coding Guidelines for S05.4

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

The following conditions are not included in S05.4. If the patient has both, code each condition separately:

  • retained (old) foreign body following penetrating wound in orbit (H05.5-)

ICD-10-CM Code Hierarchy

Understanding where S05.4 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeS05.4 — Penetrating wound of orbit with or without foreign body
Sub-Codes (3)
Sub-Codes 3 entries
S05.40Penetrating wound of orbit with or without foreign body, unspecified eyeBillableS05.41Penetrating wound of orbit with or without foreign body, right eyeBillableS05.42Penetrating wound of orbit with or without foreign body, left eyeBillable
Related Codes

Frequently Asked Questions

Is S05.4 a billable ICD-10-CM code?

No, S05.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does S05.4 mean?

S05.4 is the ICD-10-CM diagnosis code for "Penetrating wound of orbit with or without foreign body". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of S05.4?

The parent code of S05.4 is S05 ("Injury of eye and orbit"). S05.4 provides a more specific classification within this category.

What section is S05.4 in?

S05.4 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 S05.4?

S05.4 has 3 sub-code(s) that provide more specific detail: S05.40, S05.41, S05.42.

When should I use S05.4?

Use S05.4 when the patients documented diagnosis matches "Penetrating wound of orbit with or without foreign body" 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 Penetrating wound of orbit with or without foreign body?

The ICD-10-CM code for Penetrating wound of orbit with or without foreign body is S05.4.

Can S05.4 be used for primary diagnosis?

No, S05.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is S05.4 in?

S05.4 is in Chapter 19 of the ICD-10-CM Tabular List.

Is S05.4 valid for 2026?

Yes, S05.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousS05.32Ocular laceration without prolapse or loss of intraocular tissue, left eyeNext →S05.40Penetrating wound of orbit with or without foreign body, unspecified eye
Code Details
S05.4
Penetrating wound of orbit with or without foreign body
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