Injury of conjunctiva and corneal abrasion without foreign body, left eye, initial encounter. S05.02XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM S05.02XA became effective on October 1, 2018.
With proper treatment, symptoms of a mild corneal abrasion almost always improve or disappear totally within 24 to 48 hours. For more severe abrasions, symptoms often last longer. Most corneal abrasions can be prevented, especially those that happen in the workplace or during sports.
The symptoms of a corneal abrasion include:
Signs and symptoms of corneal abrasion include:
Use the following pointers to avoid making the injury worse:
ICD-10-CM Code for Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter S05. 01XA.
When coding with CPT for a corneal abrasion, you will have an office visit to code; in this case either a 920X2 or a 992XX code could be appropriate to use for describing your professional services in examining the patient, determining the primary diagnosis and developing a treatment plan.
Abrasion, unspecified lower leg, initial encounter S80. 819A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S80. 819A became effective on October 1, 2021.
•A trauma or tear to the delicate tissue on the outermost layer of the eye. •Symptoms include redness, sensitivity to light, and the sensation that something is in the eye. •Treatments include antibiotic eye drops or ointment and keeping the eye closed to heal. •Involves Ophthalmology.
H53. 141 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H53.
The CPT code for this is 92070 (Fitting of contact lens for treatment of disease, including supply of lens). Note that "lens" is singular; Medicare's physician fee schedule defines this service as unilateral and indicates that it reimburses 100% of the allowed amount for each eye.
ICD-10-CM Code for Spontaneous ecchymoses R23. 3.
2015/16 ICD-10-CM T14. 8 Other injury of unspecified body region.
A corneal abrasion is a scrape of the top layer, the epithelium, but does not go through Bowman's layer underneath this. A corneal ulcer is an open sore/erosion (from inflammation or infection) that goes through Bowman's layer into the deeper layers of the cornea.
The transparent part of the eye that covers the iris and the pupil and allows light to enter the inside. Anatomy of the eye, showing the outside and inside of the eye including the eyelid, pupil, sclera, iris, cornea, lens, ciliary body, retina, choroid, vitreous humor, and optic nerve.
Scratched cornea symptoms might include significant discomfort, red eyes, tearing, blurry vision and sensitivity to light. Anything that makes contact with the surface of the eye can cause a corneal abrasion.
Except for dystrophies, corneal ICD-10 codes have a digit for laterality:
In these examples, report laterality by replacing the dash with a 1, 2, or 3.
ICD-10’s section for hereditary corneal dystrophies lists 7 conditions. Each has only 1 code; no laterality is needed.
Excludes1 Notes flag conditions that can’t be billed in the same eye at the same patient encounter. For example, M35.01 Sjögren’s syndrome isn’t payable with H16.22 Keratoconjunctivitis sicca. Similarly, H1.21 Acute toxic conjunctivitis is not payable with T26- Burn and corrosion confined to eye and adnexa.
T15.0- Corneal foreign body, T15.1- Conjunctival foreign body, and T26.1- Burn of cornea and conjunctival sac must be submitted as 7-character codes, with the final character being an A (if an initial encounter), D (subsequent encounter), or S (sequela).
A cornea ICD-10 reference guide, along with guides for other subspecialties, can be found at www.aao.org/practice-management/coding/icd-10-cm/resources. Thanks to David B. Glasser, MD, for his contribution to this resource.