ICD-10 · PDGM grouping
S05 Injury of eye and orbit
All 90 codes in the S05 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
90
Can lead a claim
42
Cannot lead a claim
48
What CMS assigns to S05
42 of the 90 codes group to Wound; 48 are assigned no clinical group. None of the 90 is assigned a comorbidity subgroup. 42 of the 90 can lead a claim.
Every code in S05
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| S05.0 Injury of conjunctiva and corneal abrasion without foreign body | ||||
| S05.00 Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye | ||||
| S05.00XA | Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, initial encounterCMS: Inj conjunctiva and corneal abrasion w/o fb, unsp eye, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.00XD | Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, subsequent encounterCMS: Inj conjunctiva and corneal abrasion w/o fb, unsp eye, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.00XS | Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, sequelaCMS: Inj conjunctiva and corneal abras w/o fb, unsp eye, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.01 Injury of conjunctiva and corneal abrasion without foreign body, right eye | ||||
| S05.01XA | Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounterCMS: Inj conjunctiva and corneal abrasion w/o fb, right eye, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.01XD | Injury of conjunctiva and corneal abrasion without foreign body, right eye, subsequent encounterCMS: Inj conjunctiva and corneal abrasion w/o fb, right eye, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.01XS | Injury of conjunctiva and corneal abrasion without foreign body, right eye, sequelaCMS: Inj conjunctiva and corneal abrasion w/o fb, r eye, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.02 Injury of conjunctiva and corneal abrasion without foreign body, left eye | ||||
| S05.02XA | Injury of conjunctiva and corneal abrasion without foreign body, left eye, initial encounterCMS: Inj conjunctiva and corneal abrasion w/o fb, left eye, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.02XD | Injury of conjunctiva and corneal abrasion without foreign body, left eye, subsequent encounterCMS: Inj conjunctiva and corneal abrasion w/o fb, left eye, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.02XS | Injury of conjunctiva and corneal abrasion without foreign body, left eye, sequelaCMS: Inj conjunctiva and corneal abras w/o fb, left eye, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.1 Contusion of eyeball and orbital tissues | ||||
| S05.10 Contusion of eyeball and orbital tissues, unspecified eye | ||||
| S05.10XA | Contusion of eyeball and orbital tissues, unspecified eye, initial encounterCMS: Contusion of eyeball and orbital tissues, unsp eye, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.10XD | Contusion of eyeball and orbital tissues, unspecified eye, subsequent encounterCMS: Contusion of eyeball and orbital tissues, unsp eye, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.10XS | Contusion of eyeball and orbital tissues, unspecified eye, sequelaCMS: Contusion of eyeball and orbital tissues, unsp eye, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.11 Contusion of eyeball and orbital tissues, right eye | ||||
| S05.11XA | Contusion of eyeball and orbital tissues, right eye, initial encounterCMS: Contusion of eyeball and orbital tissues, right eye, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.11XD | Contusion of eyeball and orbital tissues, right eye, subsequent encounterCMS: Contusion of eyeball and orbital tissues, right eye, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.11XS | Contusion of eyeball and orbital tissues, right eye, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.12 Contusion of eyeball and orbital tissues, left eye | ||||
| S05.12XA | Contusion of eyeball and orbital tissues, left eye, initial encounterCMS: Contusion of eyeball and orbital tissues, left eye, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.12XD | Contusion of eyeball and orbital tissues, left eye, subsequent encounterCMS: Contusion of eyeball and orbital tissues, left eye, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.12XS | Contusion of eyeball and orbital tissues, left eye, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.2 Ocular laceration and rupture with prolapse or loss of intraocular tissue | ||||
| S05.20 Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye | ||||
| S05.20XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, initial encounterCMS: Oclr lac/rupt w prolaps/loss of intraoc tiss, unsp eye, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S05.20XD | Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, subsequent encounterCMS: Oclr lac/rupt w prolaps/loss of intraoc tiss, unsp eye, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.20XS | Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, sequelaCMS: Oclr lac/rupt w prolaps/loss of intraoc tiss, unsp eye, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.21 Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye | ||||
| S05.21XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounterCMS: Oclr lac/rupt w prolaps/loss of intraoc tissue, r eye, init | Can lead a claim | C | None |
| S05.21XD | Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, subsequent encounterCMS: Oclr lac/rupt w prolaps/loss of intraoc tissue, r eye, subs | Can lead a claim | C | None |
| S05.21XS | Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, sequelaCMS: Oclr lac/rupt w prolaps/loss of intraoc tissue, r eye, sqla | Can lead a claim | C | None |
| S05.22 Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye | ||||
| S05.22XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounterCMS: Oclr lac/rupt w prolaps/loss of intraoc tissue, l eye, init | Can lead a claim | C | None |
| S05.22XD | Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, subsequent encounterCMS: Oclr lac/rupt w prolaps/loss of intraoc tissue, l eye, subs | Can lead a claim | C | None |
| S05.22XS | Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, sequelaCMS: Oclr lac/rupt w prolaps/loss of intraoc tissue, l eye, sqla | Can lead a claim | C | None |
| S05.3 Ocular laceration without prolapse or loss of intraocular tissue | ||||
| S05.30 Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye | ||||
| S05.30XA | Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, initial encounterCMS: Oclr lac w/o prolaps/loss of intraoc tissue, unsp eye, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S05.30XD | Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, subsequent encounterCMS: Oclr lac w/o prolaps/loss of intraoc tissue, unsp eye, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.30XS | Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, sequelaCMS: Oclr lac w/o prolaps/loss of intraoc tissue, unsp eye, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.31 Ocular laceration without prolapse or loss of intraocular tissue, right eye | ||||
| S05.31XA | Ocular laceration without prolapse or loss of intraocular tissue, right eye, initial encounterCMS: Ocular lac w/o prolaps/loss of intraoc tissue, r eye, init | Can lead a claim | C | None |
| S05.31XD | Ocular laceration without prolapse or loss of intraocular tissue, right eye, subsequent encounterCMS: Ocular lac w/o prolaps/loss of intraoc tissue, r eye, subs | Can lead a claim | C | None |
| S05.31XS | Ocular laceration without prolapse or loss of intraocular tissue, right eye, sequelaCMS: Ocular lac w/o prolaps/loss of intraoc tissue, r eye, sqla | Can lead a claim | C | None |
| S05.32 Ocular laceration without prolapse or loss of intraocular tissue, left eye | ||||
| S05.32XA | Ocular laceration without prolapse or loss of intraocular tissue, left eye, initial encounterCMS: Ocular lac w/o prolaps/loss of intraoc tissue, l eye, init | Can lead a claim | C | None |
| S05.32XD | Ocular laceration without prolapse or loss of intraocular tissue, left eye, subsequent encounterCMS: Ocular lac w/o prolaps/loss of intraoc tissue, l eye, subs | Can lead a claim | C | None |
| S05.32XS | Ocular laceration without prolapse or loss of intraocular tissue, left eye, sequelaCMS: Ocular lac w/o prolaps/loss of intraoc tissue, l eye, sqla | Can lead a claim | C | None |
| S05.4 Penetrating wound of orbit with or without foreign body | ||||
| S05.40 Penetrating wound of orbit with or without foreign body, unspecified eye | ||||
| S05.40XA | Penetrating wound of orbit with or without foreign body, unspecified eye, initial encounterCMS: Penetrating wound of orbit w or w/o fb, unsp eye, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S05.40XD | Penetrating wound of orbit with or without foreign body, unspecified eye, subsequent encounterCMS: Penetrating wound of orbit w or w/o fb, unsp eye, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.40XS | Penetrating wound of orbit with or without foreign body, unspecified eye, sequelaCMS: Penetrating wound of orbit w or w/o fb, unsp eye, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.41 Penetrating wound of orbit with or without foreign body, right eye | ||||
| S05.41XA | Penetrating wound of orbit with or without foreign body, right eye, initial encounterCMS: Penetrating wound of orbit w or w/o fb, right eye, init | Can lead a claim | C | None |
| S05.41XD | Penetrating wound of orbit with or without foreign body, right eye, subsequent encounterCMS: Penetrating wound of orbit w or w/o fb, right eye, subs | Can lead a claim | C | None |
| S05.41XS | Penetrating wound of orbit with or without foreign body, right eye, sequelaCMS: Penetrating wound of orbit w or w/o fb, right eye, sequela | Can lead a claim | C | None |
| S05.42 Penetrating wound of orbit with or without foreign body, left eye | ||||
| S05.42XA | Penetrating wound of orbit with or without foreign body, left eye, initial encounterCMS: Penetrating wound of orbit w or w/o fb, left eye, init | Can lead a claim | C | None |
| S05.42XD | Penetrating wound of orbit with or without foreign body, left eye, subsequent encounterCMS: Penetrating wound of orbit w or w/o fb, left eye, subs | Can lead a claim | C | None |
| S05.42XS | Penetrating wound of orbit with or without foreign body, left eye, sequelaCMS: Penetrating wound of orbit w or w/o fb, left eye, sequela | Can lead a claim | C | None |
| S05.5 Penetrating wound with foreign body of eyeball | ||||
| S05.50 Penetrating wound with foreign body of unspecified eyeball | ||||
| S05.50XA | Penetrating wound with foreign body of unspecified eyeball, initial encounterCMS: Penetrating wound w foreign body of unsp eyeball, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S05.50XD | Penetrating wound with foreign body of unspecified eyeball, subsequent encounterCMS: Penetrating wound w foreign body of unsp eyeball, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.50XS | Penetrating wound with foreign body of unspecified eyeball, sequelaCMS: Penetrating wound with foreign body of unsp eyeball, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.51 Penetrating wound with foreign body of right eyeball | ||||
| S05.51XA | Penetrating wound with foreign body of right eyeball, initial encounterCMS: Penetrating wound w foreign body of right eyeball, init | Can lead a claim | C | None |
| S05.51XD | Penetrating wound with foreign body of right eyeball, subsequent encounterCMS: Penetrating wound w foreign body of right eyeball, subs | Can lead a claim | C | None |
| S05.51XS | Penetrating wound with foreign body of right eyeball, sequelaCMS: Penetrating wound w foreign body of right eyeball, sequela | Can lead a claim | C | None |
| S05.52 Penetrating wound with foreign body of left eyeball | ||||
| S05.52XA | Penetrating wound with foreign body of left eyeball, initial encounterCMS: Penetrating wound w foreign body of left eyeball, init | Can lead a claim | C | None |
| S05.52XD | Penetrating wound with foreign body of left eyeball, subsequent encounterCMS: Penetrating wound w foreign body of left eyeball, subs | Can lead a claim | C | None |
| S05.52XS | Penetrating wound with foreign body of left eyeball, sequela | Can lead a claim | C | None |
| S05.6 Penetrating wound without foreign body of eyeball | ||||
| S05.60 Penetrating wound without foreign body of unspecified eyeball | ||||
| S05.60XA | Penetrating wound without foreign body of unspecified eyeball, initial encounterCMS: Penetrating wound w/o foreign body of unsp eyeball, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.60XD | Penetrating wound without foreign body of unspecified eyeball, subsequent encounterCMS: Penetrating wound w/o foreign body of unsp eyeball, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.60XS | Penetrating wound without foreign body of unspecified eyeball, sequelaCMS: Penetrating wound w/o foreign body of unsp eyeball, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.61 Penetrating wound without foreign body of right eyeball | ||||
| S05.61XA | Penetrating wound without foreign body of right eyeball, initial encounterCMS: Penetrating wound w/o foreign body of right eyeball, init | Can lead a claim | C | None |
| S05.61XD | Penetrating wound without foreign body of right eyeball, subsequent encounterCMS: Penetrating wound w/o foreign body of right eyeball, subs | Can lead a claim | C | None |
| S05.61XS | Penetrating wound without foreign body of right eyeball, sequelaCMS: Penetrating wound w/o foreign body of right eyeball, sequela | Can lead a claim | C | None |
| S05.62 Penetrating wound without foreign body of left eyeball | ||||
| S05.62XA | Penetrating wound without foreign body of left eyeball, initial encounterCMS: Penetrating wound w/o foreign body of left eyeball, init | Can lead a claim | C | None |
| S05.62XD | Penetrating wound without foreign body of left eyeball, subsequent encounterCMS: Penetrating wound w/o foreign body of left eyeball, subs | Can lead a claim | C | None |
| S05.62XS | Penetrating wound without foreign body of left eyeball, sequelaCMS: Penetrating wound w/o foreign body of left eyeball, sequela | Can lead a claim | C | None |
| S05.7 Avulsion of eye | ||||
| S05.70 Avulsion of unspecified eye | ||||
| S05.70XA | Avulsion of unspecified eye, initial encounter | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S05.70XD | Avulsion of unspecified eye, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.70XS | Avulsion of unspecified eye, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.71 Avulsion of right eye | ||||
| S05.71XA | Avulsion of right eye, initial encounter | Can lead a claim | C | None |
| S05.71XD | Avulsion of right eye, subsequent encounter | Can lead a claim | C | None |
| S05.71XS | Avulsion of right eye, sequela | Can lead a claim | C | None |
| S05.72 Avulsion of left eye | ||||
| S05.72XA | Avulsion of left eye, initial encounter | Can lead a claim | C | None |
| S05.72XD | Avulsion of left eye, subsequent encounter | Can lead a claim | C | None |
| S05.72XS | Avulsion of left eye, sequela | Can lead a claim | C | None |
| S05.8 Other injuries of eye and orbit | ||||
| S05.8X Other injuries of eye and orbit | ||||
| S05.8X1 Other injuries of right eye and orbit | ||||
| S05.8X1A | Other injuries of right eye and orbit, initial encounter | Can lead a claim | C | None |
| S05.8X1D | Other injuries of right eye and orbit, subsequent encounter | Can lead a claim | C | None |
| S05.8X1S | Other injuries of right eye and orbit, sequela | Can lead a claim | C | None |
| S05.8X2 Other injuries of left eye and orbit | ||||
| S05.8X2A | Other injuries of left eye and orbit, initial encounter | Can lead a claim | C | None |
| S05.8X2D | Other injuries of left eye and orbit, subsequent encounter | Can lead a claim | C | None |
| S05.8X2S | Other injuries of left eye and orbit, sequela | Can lead a claim | C | None |
| S05.8X9 Other injuries of unspecified eye and orbit | ||||
| S05.8X9A | Other injuries of unspecified eye and orbit, initial encounterCMS: Other injuries of unspecified eye and orbit, init encntr | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S05.8X9D | Other injuries of unspecified eye and orbit, subsequent encounterCMS: Other injuries of unspecified eye and orbit, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.8X9S | Other injuries of unspecified eye and orbit, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.9 Unspecified injury of eye and orbit | ||||
| S05.90 Unspecified injury of unspecified eye and orbit | ||||
| S05.90XA | Unspecified injury of unspecified eye and orbit, initial encounterCMS: Unspecified injury of unspecified eye and orbit, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.90XD | Unspecified injury of unspecified eye and orbit, subsequent encounterCMS: Unspecified injury of unspecified eye and orbit, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.90XS | Unspecified injury of unspecified eye and orbit, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.91 Unspecified injury of right eye and orbit | ||||
| S05.91XA | Unspecified injury of right eye and orbit, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.91XD | Unspecified injury of right eye and orbit, subsequent encounterCMS: Unspecified injury of right eye and orbit, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.91XS | Unspecified injury of right eye and orbit, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.92 Unspecified injury of left eye and orbit | ||||
| S05.92XA | Unspecified injury of left eye and orbit, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.92XD | Unspecified injury of left eye and orbit, subsequent encounterCMS: Unspecified injury of left eye and orbit, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S05.92XS | Unspecified injury of left eye and orbit, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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