MS-DRG v44.0 · MDC 02: Diseases and Disorders of the Eye
123 — Neurological Eye Disorders
- Relative weight
- 0.822
- Geometric mean LOS
- 2 days
- Arithmetic mean LOS
- 2.6 days
- Type
- Medical
About MS-DRG 123
MS-DRG 123, Neurological Eye Disorders, is a medical DRG in MDC 02 (Diseases and Disorders of the Eye) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.
Its FY2027 relative weight is 0.822, so Medicare's base payment for this DRG is about 0.82 times the average inpatient case (below average), before hospital-specific adjustments. The geometric mean length of stay is 2 days and the arithmetic mean is 2.6 days.
210 ICD-10-CM diagnosis codes are part of this DRG's grouping logic; they are listed below.
ICD-10-CM codes that group to DRG 123 (210)
Chapter 1: Certain infectious and parasitic diseases
Chapter 6: Diseases of the nervous system
Chapter 7: Diseases of the eye and adnexa
- H02.401Unspecified ptosis of right eyelid
- H02.402Unspecified ptosis of left eyelid
- H02.403Unspecified ptosis of bilateral eyelids
- H02.409Unspecified ptosis of unspecified eyelid
- H02.421Myogenic ptosis of right eyelid
- H02.422Myogenic ptosis of left eyelid
- H02.423Myogenic ptosis of bilateral eyelids
- H02.429Myogenic ptosis of unspecified eyelid
- H02.431Paralytic ptosis of right eyelid
- H02.432Paralytic ptosis of left eyelid
- H02.433Paralytic ptosis of bilateral eyelids
- H02.439Paralytic ptosis unspecified eyelid
- H02.59Other disorders affecting eyelid function
- H05.211Displacement (lateral) of globe, right eye
- H05.212Displacement (lateral) of globe, left eye
- H05.213Displacement (lateral) of globe, bilateral
- H05.219Displacement (lateral) of globe, unspecified eye
- H05.251Intermittent exophthalmos, right eye
- H05.252Intermittent exophthalmos, left eye
- H05.253Intermittent exophthalmos, bilateral
- H05.259Intermittent exophthalmos, unspecified eye
- H05.261Pulsating exophthalmos, right eye
- H05.262Pulsating exophthalmos, left eye
- H05.263Pulsating exophthalmos, bilateral
- H05.269Pulsating exophthalmos, unspecified eye
- H05.821Myopathy of extraocular muscles, right orbit
- H05.822Myopathy of extraocular muscles, left orbit
- H05.823Myopathy of extraocular muscles, bilateral
- H05.829Myopathy of extraocular muscles, unspecified orbit
- H34.00Transient retinal artery occlusion, unspecified eye
- H34.01Transient retinal artery occlusion, right eye
- H34.02Transient retinal artery occlusion, left eye
- H34.03Transient retinal artery occlusion, bilateral
- H34.211Partial retinal artery occlusion, right eye
- H34.212Partial retinal artery occlusion, left eye
- H34.213Partial retinal artery occlusion, bilateral
- H34.219Partial retinal artery occlusion, unspecified eye
- H34.8110Central retinal vein occlusion, right eye, with macular edema
- H34.8111Central retinal vein occlusion, right eye, with retinal neovascularization
- H34.8112Central retinal vein occlusion, right eye, stable
- H34.8120Central retinal vein occlusion, left eye, with macular edema
- H34.8121Central retinal vein occlusion, left eye, with retinal neovascularization
- H34.8122Central retinal vein occlusion, left eye, stable
- H34.8130Central retinal vein occlusion, bilateral, with macular edema
- H34.8131Central retinal vein occlusion, bilateral, with retinal neovascularization
- H34.8132Central retinal vein occlusion, bilateral, stable
- H34.8190Central retinal vein occlusion, unspecified eye, with macular edema
- H34.8191Central retinal vein occlusion, unspecified eye, with retinal neovascularization
- H34.8192Central retinal vein occlusion, unspecified eye, stable
- H34.821Venous engorgement, right eye
- H34.822Venous engorgement, left eye
- H34.823Venous engorgement, bilateral
- H34.829Venous engorgement, unspecified eye
- H34.8310Tributary (branch) retinal vein occlusion, right eye, with macular edema
- H34.8311Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization
- H34.8312Tributary (branch) retinal vein occlusion, right eye, stable
- H34.8320Tributary (branch) retinal vein occlusion, left eye, with macular edema
- H34.8321Tributary (branch) retinal vein occlusion, left eye, with retinal neovascularization
- H34.8322Tributary (branch) retinal vein occlusion, left eye, stable
- H34.8330Tributary (branch) retinal vein occlusion, bilateral, with macular edema
- H34.8331Tributary (branch) retinal vein occlusion, bilateral, with retinal neovascularization
- H34.8332Tributary (branch) retinal vein occlusion, bilateral, stable
- H34.8390Tributary (branch) retinal vein occlusion, unspecified eye, with macular edema
- H34.8391Tributary (branch) retinal vein occlusion, unspecified eye, with retinal neovascularization
- H34.8392Tributary (branch) retinal vein occlusion, unspecified eye, stable
- H34.9Unspecified retinal vascular occlusion
- H40.1210Low-tension glaucoma, right eye, stage unspecified
- H40.1211Low-tension glaucoma, right eye, mild stage
- H40.1212Low-tension glaucoma, right eye, moderate stage
- H40.1213Low-tension glaucoma, right eye, severe stage
- H40.1214Low-tension glaucoma, right eye, indeterminate stage
- H40.1220Low-tension glaucoma, left eye, stage unspecified
- H40.1221Low-tension glaucoma, left eye, mild stage
- H40.1222Low-tension glaucoma, left eye, moderate stage
- H40.1223Low-tension glaucoma, left eye, severe stage
- H40.1224Low-tension glaucoma, left eye, indeterminate stage
- H40.1230Low-tension glaucoma, bilateral, stage unspecified
- H40.1231Low-tension glaucoma, bilateral, mild stage
- H40.1232Low-tension glaucoma, bilateral, moderate stage
- H40.1233Low-tension glaucoma, bilateral, severe stage
- H40.1234Low-tension glaucoma, bilateral, indeterminate stage
- H40.1290Low-tension glaucoma, unspecified eye, stage unspecified
- H40.1291Low-tension glaucoma, unspecified eye, mild stage
- H40.1292Low-tension glaucoma, unspecified eye, moderate stage
- H40.1293Low-tension glaucoma, unspecified eye, severe stage
- H40.1294Low-tension glaucoma, unspecified eye, indeterminate stage
- H46.00Optic papillitis, unspecified eye
- H46.01Optic papillitis, right eye
- H46.02Optic papillitis, left eye
- H46.03Optic papillitis, bilateral
- H46.10Retrobulbar neuritis, unspecified eye
- H46.11Retrobulbar neuritis, right eye
- H46.12Retrobulbar neuritis, left eye
- H46.13Retrobulbar neuritis, bilateral
- H46.2Nutritional optic neuropathy
- H46.3Toxic optic neuropathy
- H46.8Other optic neuritis
- H46.9Unspecified optic neuritis
- H47.011Ischemic optic neuropathy, right eye
- H47.012Ischemic optic neuropathy, left eye
- H47.013Ischemic optic neuropathy, bilateral
- H47.019Ischemic optic neuropathy, unspecified eye
- H47.021Hemorrhage in optic nerve sheath, right eye
- H47.022Hemorrhage in optic nerve sheath, left eye
- H47.023Hemorrhage in optic nerve sheath, bilateral
- H47.029Hemorrhage in optic nerve sheath, unspecified eye
- H47.031Optic nerve hypoplasia, right eye
- H47.032Optic nerve hypoplasia, left eye
- H47.033Optic nerve hypoplasia, bilateral
- H47.039Optic nerve hypoplasia, unspecified eye
- H47.091Other disorders of optic nerve, not elsewhere classified, right eye
- H47.092Other disorders of optic nerve, not elsewhere classified, left eye
- H47.093Other disorders of optic nerve, not elsewhere classified, bilateral
- H47.099Other disorders of optic nerve, not elsewhere classified, unspecified eye
- H47.20Unspecified optic atrophy
- H47.211Primary optic atrophy, right eye
- H47.212Primary optic atrophy, left eye
- H47.213Primary optic atrophy, bilateral
- H47.219Primary optic atrophy, unspecified eye
- H47.22Hereditary optic atrophy
- H47.291Other optic atrophy, right eye
- H47.292Other optic atrophy, left eye
- H47.293Other optic atrophy, bilateral
- H47.299Other optic atrophy, unspecified eye
- H47.321Drusen of optic disc, right eye
- H47.322Drusen of optic disc, left eye
- H47.323Drusen of optic disc, bilateral
- H47.329Drusen of optic disc, unspecified eye
- H47.331Pseudopapilledema of optic disc, right eye
- H47.332Pseudopapilledema of optic disc, left eye
- H47.333Pseudopapilledema of optic disc, bilateral
- H47.339Pseudopapilledema of optic disc, unspecified eye
- H49.00Third [oculomotor] nerve palsy, unspecified eye
- H49.01Third [oculomotor] nerve palsy, right eye
- H49.02Third [oculomotor] nerve palsy, left eye
- H49.03Third [oculomotor] nerve palsy, bilateral
- H49.10Fourth [trochlear] nerve palsy, unspecified eye
- H49.11Fourth [trochlear] nerve palsy, right eye
- H49.12Fourth [trochlear] nerve palsy, left eye
- H49.13Fourth [trochlear] nerve palsy, bilateral
- H49.20Sixth [abducent] nerve palsy, unspecified eye
- H49.21Sixth [abducent] nerve palsy, right eye
- H49.22Sixth [abducent] nerve palsy, left eye
- H49.23Sixth [abducent] nerve palsy, bilateral
- H49.30Total (external) ophthalmoplegia, unspecified eye
- H49.31Total (external) ophthalmoplegia, right eye
- H49.32Total (external) ophthalmoplegia, left eye
- H49.33Total (external) ophthalmoplegia, bilateral
- H49.40Progressive external ophthalmoplegia, unspecified eye
- H49.41Progressive external ophthalmoplegia, right eye
- H49.42Progressive external ophthalmoplegia, left eye
- H49.43Progressive external ophthalmoplegia, bilateral
- H49.881Other paralytic strabismus, right eye
- H49.882Other paralytic strabismus, left eye
- H49.883Other paralytic strabismus, bilateral
- H49.889Other paralytic strabismus, unspecified eye
- H49.9Unspecified paralytic strabismus
- H50.89Other specified strabismus
- H51.8Other specified disorders of binocular movement
- H52.511Internal ophthalmoplegia (complete) (total), right eye
- H52.512Internal ophthalmoplegia (complete) (total), left eye
- H52.513Internal ophthalmoplegia (complete) (total), bilateral
- H52.519Internal ophthalmoplegia (complete) (total), unspecified eye
- H53.121Transient visual loss, right eye
- H53.122Transient visual loss, left eye
- H53.123Transient visual loss, bilateral
- H53.129Transient visual loss, unspecified eye
- H53.131Sudden visual loss, right eye
- H53.132Sudden visual loss, left eye
- H53.133Sudden visual loss, bilateral
- H53.139Sudden visual loss, unspecified eye
- H53.2Diplopia
- H53.40Unspecified visual field defects
- H53.411Scotoma involving central area, right eye
- H53.412Scotoma involving central area, left eye
- H53.413Scotoma involving central area, bilateral
- H53.419Scotoma involving central area, unspecified eye
- H53.431Sector or arcuate defects, right eye
- H53.432Sector or arcuate defects, left eye
- H53.433Sector or arcuate defects, bilateral
- H53.439Sector or arcuate defects, unspecified eye
- H53.451Other localized visual field defect, right eye
- H53.452Other localized visual field defect, left eye
- H53.453Other localized visual field defect, bilateral
- H53.459Other localized visual field defect, unspecified eye
- H53.461Homonymous bilateral field defects, right side
- H53.462Homonymous bilateral field defects, left side
- H53.469Homonymous bilateral field defects, unspecified side
- H53.47Heteronymous bilateral field defects
- H53.481Generalized contraction of visual field, right eye
- H53.482Generalized contraction of visual field, left eye
- H53.483Generalized contraction of visual field, bilateral
- H53.489Generalized contraction of visual field, unspecified eye
- H53.52Acquired color vision deficiency
- H55.00Unspecified nystagmus
- H55.02Latent nystagmus
- H55.04Dissociated nystagmus
- H55.81Deficient saccadic eye movements
- H57.00Unspecified anomaly of pupillary function
- H57.02Anisocoria
- H57.03Miosis
- H57.04Mydriasis
- H57.051Tonic pupil, right eye
- H57.052Tonic pupil, left eye
- H57.053Tonic pupil, bilateral
- H57.059Tonic pupil, unspecified eye
- H57.09Other anomalies of pupillary function
Chapter 21: Factors influencing health status and contact with health services
Common questions about DRG 123
What is the relative weight of DRG 123?
- 0.822 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 123?
- The geometric mean length of stay is 2 days; the arithmetic mean is 2.6 days.
Is DRG 123 medical or surgical?
- DRG 123 is a medical DRG.