Unspecified injury of unspecified eye and orbit, initial encounter
ICD-10 Code: S05.90XA · Body Part: Head/Brain (TBI)
QME Evaluation Process
Complete ophthalmologic examination, visual acuity and field testing. Chapter 12 visual impairment based on residual acuity and field loss.
Typical Impairment Rating
0-40% WPI depending on visual acuity and field loss
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Head/Brain (TBI) Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Unspecified injury of unspecified eye and orbit, initial encounter
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What is Unspecified injury of unspecified eye and orbit, initial encounter (S05.90XA)?
Unspecified injury of unspecified eye and orbit, initial encounter is an ICD-10 diagnosis code (S05.90XA) classified under Eye/ENT conditions. It affects the Head/Brain (TBI) and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is S05.90XA rated for impairment?
The typical whole person impairment (WPI) range for Unspecified injury of unspecified eye and orbit, initial encounter is 0-40% WPI depending on visual acuity and field loss. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for S05.90XA?
Complete ophthalmologic examination, visual acuity and field testing. Chapter 12 visual impairment based on residual acuity and field loss.
What treatments are common for Unspecified injury of unspecified eye and orbit, initial encounter?
Common treatments for Unspecified injury of unspecified eye and orbit, initial encounter include Ophthalmologic surgery as indicated, Vision rehabilitation, Protective eyewear. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.