MS-DRG 124: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
MS-DRG 124 is other disorders of the eye with mcc or thrombolytic agent, in MDC 02 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.2471, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.10 days. 2,906 ICD-10-CM principal diagnoses group into MS-DRGs 124–125 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 1.2471
- Geometric mean LOS
- 3.10
- Arithmetic mean LOS
- 4.50
- Post-acute transfer
- No
Principal diagnoses that group to MS-DRGs 124–125
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 2,906 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 124–125 the case lands in. The 24 most-searched:
- H25.13Age-related nuclear cataract, bilateral
- H04.123Dry eye syndrome of bilateral lacrimal glands
- Z96.1Presence of intraocular lens
- E11.3293Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
- E11.3513Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
- H26.9Unspecified cataract
- H35.3211Exudative age-related macular degeneration, right eye, with active choroidal neovascularization
- H53.8Other visual disturbances
- H53.9Unspecified visual disturbance
- E11.319Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
- E11.3313Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
- E11.3593Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
- E11.36Type 2 diabetes mellitus with diabetic cataract
- H16.223Keratoconjunctivitis sicca, not specified as Sjogren's, bilateral
- H26.493Other secondary cataract, bilateral
- H40.013Open angle with borderline findings, low risk, bilateral
- H40.1132Primary open-angle glaucoma, bilateral, moderate stage
- H40.9Unspecified glaucoma
- H54.7Unspecified visual loss
- E11.3511Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
- E11.3512Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
- H01.009Unspecified blepharitis unspecified eye, unspecified eyelid
- H10.45Other chronic allergic conjunctivitis
- H10.9Unspecified conjunctivitis
2,882 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.
The severity splits
Same base DRG, split by whether a secondary diagnosis is a CC or MCC. The last column is the weight change from MS-DRG 124.
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | 1.2471 | |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | 0.7702 | -0.4769 |
Choosing the principal diagnosis: Type 2 diabetes ICD-10 codes.
All FY2027 MS-DRGs · MDC 02