2020 ICD-10-CM Diagnosis Code S04.012S

Injury of optic nerve, left eye, sequela

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • S04.012S is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM S04.012S became effective on October 1, 2019.
  • This is the American ICD-10-CM version of S04.012S - other international versions of ICD-10 S04.012S may differ.
The following code(s) above S04.012S 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 S04.012S:
  • S00-T88
    2020 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S00-S09
    2020 ICD-10-CM Range S00-S09

    Injuries to the head

    Code Also
    • for any associated infection
    Includes
    • injuries of ear
    • injuries of eye
    • injuries of face [any part]
    • injuries of gum
    • injuries of jaw
    • injuries of oral cavity
    • injuries of palate
    • injuries of periocular area
    • injuries of scalp
    • injuries of temporomandibular joint area
    • injuries of tongue
    • injuries of tooth
    Type 2 Excludes
    • burns and corrosions (T20-T32)
    • effects of foreign body in ear (T16)
    • effects of foreign body in larynx (T17.3)
    • effects of foreign body in mouth NOS (T18.0)
    • effects of foreign body in nose (T17.0-T17.1)
    • effects of foreign body in pharynx (T17.2)
    • effects of foreign body on external eye (T15.-)
    • frostbite (T33-T34)
    • insect bite or sting, venomous (T63.4)
    Injuries to the head
  • S04
    ICD-10-CM Diagnosis Code S04

    Injury of cranial nerve

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • The selection of side should be based on the side of the body being affected
    Code First
    • any associated intracranial injury (S06.-)
    Code Also
    • any associated:
    • open wound of head (S01.-)
    • skull fracture (S02.-)
    Injury of cranial nerve
  • S04.0
    ICD-10-CM Diagnosis Code S04.0

    Injury of optic nerve and pathways

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify any visual field defect or blindness (H53.4-, H54.-)
    Injury of optic nerve and pathways
  • S04.01
    ICD-10-CM Diagnosis Code S04.01

    Injury of optic nerve

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Injury of 2nd cranial nerve
    Injury of optic nerve
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • S04.012S is considered exempt from POA reporting.
ICD-10-CM S04.012S is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 091 Other disorders of nervous system with mcc
  • 092 Other disorders of nervous system with cc
  • 093 Other disorders of nervous system without cc/mcc

Convert S04.012S to ICD-9-CM

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
ICD-10-CM Codes Adjacent To S04.012S
S04 Injury of cranial nerve
S04.0 Injury of optic nerve and pathways
S04.01 Injury of optic nerve
S04.011 Injury of optic nerve, right eye
S04.011A …… initial encounter
S04.011D …… subsequent encounter
S04.011S …… sequela
S04.012 Injury of optic nerve, left eye
S04.012A …… initial encounter
S04.012D …… subsequent encounter
S04.012S …… sequela
S04.019 Injury of optic nerve, unspecified eye
S04.019A …… initial encounter
S04.019D …… subsequent encounter
S04.019S …… sequela
S04.02 Injury of optic chiasm
S04.02XA …… initial encounter
S04.02XD …… subsequent encounter
S04.02XS …… sequela
S04.03 Injury of optic tract and pathways
S04.031 Injury of optic tract and pathways, right side

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