Oclr lac/rupt w prolaps/loss of intraoc tiss, unsp eye, init

This code signifies a severe traumatic injury to the eye where the integrity of the globe is compromised, leading to the extrusion or loss of internal eye structures. This includes conditions like a ruptured eyeball or a deep cut that allows intraocular contents to protrude. The "unspecified eye" indicates that the laterality of the injury is not documented.

Apply this code when documentation clearly states an ocular laceration or rupture accompanied by prolapse or loss of intraocular tissue, and the specific eye (right or left) is not identified. This is typically used for initial treatment of acute, severe eye trauma, such as after a penetrating injury from an accident or assault.

• Avoid this code if the specific eye is documented; instead, use the more specific codes for right (S05.21XA) or left (S05.22XA) eye.
• Ensure documentation explicitly mentions "prolapse or loss of intraocular tissue" to differentiate from less severe lacerations without tissue extrusion.
• Always sequence this as the primary diagnosis when it is the reason for the encounter, followed by any external cause codes (e.g., Y92, V00-Y99).