2020 ICD-10-CM Diagnosis Code H05.5

Retained (old) foreign body following penetrating wound of orbit

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • H05.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Retained (old) fb following penetrating wound of orbit
  • The 2020 edition of ICD-10-CM H05.5 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of H05.5 - other international versions of ICD-10 H05.5 may differ.
Applicable To
  • Retrobulbar foreign body
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify the type of retained foreign body (
    ICD-10-CM Diagnosis Code Z18
    • Z18 Retained foreign body fragments
      • Z18.0 Retained radioactive fragments
        • Z18.01 Retained depleted uranium fragments
        • Z18.09 Other retained radioactive fragments
      • Z18.1 Retained metal fragments
        • Z18.10 …… unspecified
        • Z18.11 Retained magnetic metal fragments
        • Z18.12 Retained nonmagnetic metal fragments
      • Z18.2 Retained plastic fragments
      • Z18.3 Retained organic fragments
        • Z18.31 Retained animal quills or spines
        • Z18.32 Retained tooth
        • Z18.33 Retained wood fragments
        • Z18.39 Other retained organic fragments
      • Z18.8 Other specified retained foreign body
        • Z18.81 Retained glass fragments
        • Z18.83 Retained stone or crystalline fragments
        • Z18.89 Other specified retained foreign body fragmen...
      • Z18.9 Retained foreign body fragments, unspecified ...
    Z18.-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as H05.5. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • current penetrating wound of orbit (
    ICD-10-CM Diagnosis Code S05.4

    Penetrating wound of orbit with or without foreign body

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • retained (old) foreign body following penetrating wound in orbit (H05.5-)
    S05.4-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (H05.5) and the excluded code together.
  • retained foreign body of eyelid (
    ICD-10-CM Diagnosis Code H02.81

    Retained foreign body in eyelid

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • laceration of eyelid with foreign body (S01.12-)
    • retained intraocular foreign body (H44.6-, H44.7-)
    • superficial foreign body of eyelid and periocular area (S00.25-)
    Use Additional
    • code to identify the type of retained foreign body (Z18.-)
    H02.81-
    )
  • retained intraocular foreign body (
    ICD-10-CM Diagnosis Code H44.6

    Retained (old) intraocular foreign body, magnetic

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • current intraocular foreign body (S05.-)
    Type 2 Excludes
    • retained foreign body in eyelid (H02.81-)
    • retained (old) foreign body following penetrating wound of orbit (H05.5-)
    • retained (old) intraocular foreign body, nonmagnetic (H44.7-)
    Use Additional
    • code to identify magnetic foreign body (Z18.11)
    H44.6-
    ,
    ICD-10-CM Diagnosis Code H44.7

    Retained (old) intraocular foreign body, nonmagnetic

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • current intraocular foreign body (S05.-)
    Type 2 Excludes
    • retained foreign body in eyelid (H02.81-)
    • retained (old) foreign body following penetrating wound of orbit (H05.5-)
    • retained (old) intraocular foreign body, magnetic (H44.6-)
    Use Additional
    H44.7-
    )
The following code(s) above H05.5 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to H05.5:
  • H00-H59
    2020 ICD-10-CM Range H00-H59

    Diseases of the eye and adnexa

    Note
    • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury (trauma) of eye and orbit (S05.-)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
    Diseases of the eye and adnexa
  • H00-H05
    2020 ICD-10-CM Range H00-H05

    Disorders of eyelid, lacrimal system and orbit

    Type 2 Excludes
    Disorders of eyelid, lacrimal system and orbit
  • H05
    ICD-10-CM Diagnosis Code H05

    Disorders of orbit

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital malformation of orbit (Q10.7)
    Disorders of orbit
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to H05.5:
  • Type 2 Excludes: T15
    , S05.4
    , H44.6
    , H44.7
    ICD-10-CM Diagnosis Code T15

    Foreign body on external eye

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • foreign body in penetrating wound of orbit and eye ball (S05.4-, S05.5-)
    • open wound of eyelid and periocular area (S01.1-)
    • retained foreign body in eyelid (H02.8-)
    • retained (old) foreign body in penetrating wound of orbit and eye ball (H05.5-, H44.6-, H44.7-)
    • superficial foreign body of eyelid and periocular area (S00.25-)
    ICD-10-CM Diagnosis Code S05.4

    Penetrating wound of orbit with or without foreign body

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • retained (old) foreign body following penetrating wound in orbit (H05.5-)
    ICD-10-CM Diagnosis Code H44.6

    Retained (old) intraocular foreign body, magnetic

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • current intraocular foreign body (S05.-)
    Type 2 Excludes
    • retained foreign body in eyelid (H02.81-)
    • retained (old) foreign body following penetrating wound of orbit (H05.5-)
    • retained (old) intraocular foreign body, nonmagnetic (H44.7-)
    Use Additional
    • code to identify magnetic foreign body (Z18.11)
    ICD-10-CM Diagnosis Code H44.7

    Retained (old) intraocular foreign body, nonmagnetic

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • current intraocular foreign body (S05.-)
    Type 2 Excludes
    • retained foreign body in eyelid (H02.81-)
    • retained (old) foreign body following penetrating wound of orbit (H05.5-)
    • retained (old) intraocular foreign body, magnetic (H44.6-)
    Use Additional

Diagnosis Index entries containing back-references to H05.5:
  • Foreign body
    • orbit S05.4-
      ICD-10-CM Diagnosis Code S05.4-

      Penetrating wound of orbit with or without foreign body

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      Type 2 Excludes
      • retained (old) foreign body following penetrating wound in orbit (H05.5-)
      • old, retained H05.5-

ICD-10-CM Codes Adjacent To H05.5
H05.41 Enophthalmos due to atrophy of orbital tissue
H05.411 …… right eye
H05.412 …… left eye
H05.413 …… bilateral
H05.419 …… unspecified eye
H05.42 Enophthalmos due to trauma or surgery
H05.421 …… right eye
H05.422 …… left eye
H05.423 …… bilateral
H05.429 …… unspecified eye
H05.5 Retained (old) foreign body following penetrating wound of orbit
H05.50 Retained (old) foreign body following penetrating wound of unspecified orbit
H05.51 Retained (old) foreign body following penetrating wound of right orbit
H05.52 Retained (old) foreign body following penetrating wound of left orbit
H05.53 Retained (old) foreign body following penetrating wound of bilateral orbits
H05.8 Other disorders of orbit
H05.81 Cyst of orbit
H05.811 Cyst of right orbit
H05.812 Cyst of left orbit
H05.813 Cyst of bilateral orbits
H05.819 Cyst of unspecified orbit

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.