ICD-10 Coding for Right Corneal Abrasion(S05.01XA, S05.01XD, S05.01XS)
Complete ICD-10-CM coding and documentation guide for Right Corneal Abrasion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Corneal Abrasion
S05.0-S05.9Primary Range
Injury of eye and orbit
This range includes codes for injuries to the eye, including corneal abrasions.
Other specified disorders of cornea
Includes recurrent corneal erosion, which can be a sequela of corneal abrasion.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S05.01XA | Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter | Use for initial treatment of a corneal abrasion in the right eye without a foreign body. |
|
| S05.01XD | Injury of conjunctiva and corneal abrasion without foreign body, right eye, subsequent encounter | Use for follow-up visits after initial treatment of a corneal abrasion in the right eye. |
|
| S05.01XS | Injury of conjunctiva and corneal abrasion without foreign body, right eye, sequela | Use for coding late effects or complications resulting from a previous corneal abrasion. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for right corneal abrasion
Essential facts and insights about Right Corneal Abrasion
Primary ICD-10-CM Codes for right corneal abrasion
Decision Criteria
clinical Criteria
- Presence of corneal abrasion without foreign body confirmed by fluorescein staining.
coding Criteria
- Initial encounter for treatment of corneal abrasion.
Applicable To
- Right corneal abrasion without foreign body
Excludes
- Corneal abrasion with foreign body (T15.01XA)
Clinical Validation Requirements
- Positive fluorescein staining under cobalt blue light
- Absence of foreign body on slit-lamp examination
Code-Specific Risks
- Confusion with foreign body presence
- Incorrect sequencing of encounter type
Coding Notes
- Ensure documentation specifies 'right eye' and absence of foreign body.
S05.01XD - Injury of conjunctiva and corneal abrasion without foreign body, right eye, subsequent encounter
Use for follow-up visits after initial treatment of a corneal abrasion in the right eye.
Applicable To
- Follow-up for right corneal abrasion without foreign body
Excludes
- Initial treatment of corneal abrasion (S05.01XA)
Clinical Validation Requirements
- Documented improvement or follow-up of initial abrasion
- Continued absence of foreign body
Coding Notes
Ensure follow-up documentation reflects ongoing treatment or monitoring.
S05.01XS - Injury of conjunctiva and corneal abrasion without foreign body, right eye, sequela
Use for coding late effects or complications resulting from a previous corneal abrasion.
Applicable To
- Sequela of right corneal abrasion without foreign body
Excludes
- Active treatment or follow-up of corneal abrasion (S05.01XA, S05.01XD)
Clinical Validation Requirements
- Documented late effects or complications from initial abrasion
Coding Notes
Ensure documentation clearly links sequela to original injury.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Unspecified keratitis
H16.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Corneal Abrasion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S05.01XA.
Impact
Clinical: Ambiguity in treatment records., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential claim denials due to incomplete coding.
Mitigation Strategy
Always specify 'right eye' in documentation., Use templates that prompt for laterality.
Impact
Reimbursement: May result in claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use S05.01XD for subsequent encounters.
Impact
Reimbursement: Potential for claim rejection due to incomplete coding., Compliance: Failure to meet coding standards., Data Quality: Loss of important injury context in medical records.
Mitigation Strategy
Include external cause codes to specify injury mechanism and location.
Impact
Using initial encounter codes for follow-up visits.
Mitigation Strategy
Educate staff on encounter type differentiation and coding.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Right Corneal Abrasion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Corneal Abrasion
Use these documentation templates to ensure complete and accurate documentation for Right Corneal Abrasion. These templates include all required elements for proper coding and billing.
Initial Encounter for Right Corneal Abrasion
Specialty: OphthalmologyRequired Elements
- Patient history including mechanism of injury
- Visual acuity assessment
- Fluorescein staining results
- Slit-lamp examination findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right Corneal Abrasion? Ask your questions below.