Contusion of eyeball and orbital tissues, left eye, sequela

This code signifies a bruise to the left eyeball and the surrounding soft tissues within the eye socket, indicating a long-term effect or complication from an initial injury. It represents the residual impact of a past contusion, rather than the acute injury itself.

Apply this code when documentation clearly indicates a current condition resulting from a previous contusion of the left eye and orbital tissues. This is appropriate for follow-up encounters where the patient is being treated for a chronic or late effect of the initial trauma. Documentation should specify "sequela" or describe a condition directly attributable to a past contusion.

• Always use this code with an additional code to describe the specific sequela (e.g., visual impairment, scar tissue).
• Do not use this code for the initial or acute injury; use the acute contusion code (S05.12XA, S05.12XD) for those encounters.
• Ensure the medical record explicitly states "sequela" or describes a chronic condition directly linked to a past left eye contusion.