MS-DRG · FY 2026 v43.0

MS-DRG 114 – Orbital Procedures without CC/MCC

A Surgical DRG in MDC 02 (Diseases & Disorders of the Eye). Inpatient cases group to DRG 114 when one of the 172 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 1.3530 with a geometric mean length of stay of 2.3 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset

1.3530

Relative Weight

2.3

Geometric Mean LOS (days)

3.3

Arithmetic Mean LOS (days)

172

Procedure Codes

Severity family

DRG 113with CC/MCCWeight 2.3511 · GMLOS 4.7 daysDRG 114without CC/MCCWeight 1.3530 · GMLOS 2.3 days

How a case is assigned to DRG 114

The grouper first assigns the case to MDC 02 from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG), then applies the severity split from secondary diagnoses: with CC/MCC → 113; without CC/MCC → 114.

ICD-10-PCS

Procedure Codes 172 codes · 58 categories

172 of 172 shown

08B0 Eye, Excision3 codes

08B00ZX Excision of Right Eye, Open Approach, Diagnostic
08B03ZX Excision of Right Eye, Percutaneous Approach, Diagnostic
08B0XZX Excision of Right Eye, External Approach, Diagnostic

08B1 Eye, Excision3 codes

08B10ZX Excision of Left Eye, Open Approach, Diagnostic
08B13ZX Excision of Left Eye, Percutaneous Approach, Diagnostic
08B1XZX Excision of Left Eye, External Approach, Diagnostic

08P0 Eye, Removal2 codes

08P003Z Removal of Infusion Device from Right Eye, Open Approach
08P00JZ Removal of Synthetic Substitute from Right Eye, Open Approach

08P1 Eye, Removal2 codes

08P103Z Removal of Infusion Device from Left Eye, Open Approach
08P10JZ Removal of Synthetic Substitute from Left Eye, Open Approach

08Q0 Eye, Repair1 code

08Q0XZZ Repair Right Eye, External Approach

08Q1 Eye, Repair1 code

08Q1XZZ Repair Left Eye, External Approach

08R0 Eye, Replacement4 codes

08R007Z Replacement of Right Eye with Autologous Tissue Substitute, Open Approach
08R00JZ Replacement of Right Eye with Synthetic Substitute, Open Approach
08R037Z Replacement of Right Eye with Autologous Tissue Substitute, Percutaneous Approach
08R03KZ Replacement of Right Eye with Nonautologous Tissue Substitute, Percutaneous Approach

08R1 Eye, Replacement4 codes

08R107Z Replacement of Left Eye with Autologous Tissue Substitute, Open Approach
08R10JZ Replacement of Left Eye with Synthetic Substitute, Open Approach
08R137Z Replacement of Left Eye with Autologous Tissue Substitute, Percutaneous Approach
08R13KZ Replacement of Left Eye with Nonautologous Tissue Substitute, Percutaneous Approach

08T0 Eye, Resection1 code

08T0XZZ Resection of Right Eye, External Approach

08T1 Eye, Resection1 code

08T1XZZ Resection of Left Eye, External Approach

08W0 Eye, Revision2 codes

08W00JZ Revision of Synthetic Substitute in Right Eye, Open Approach
08W03JZ Revision of Synthetic Substitute in Right Eye, Percutaneous Approach

08W1 Eye, Revision2 codes

08W10JZ Revision of Synthetic Substitute in Left Eye, Open Approach
08W13JZ Revision of Synthetic Substitute in Left Eye, Percutaneous Approach

0J81 Subcutaneous Tissue and Fascia, Division2 codes

0J810ZZ Division of Face Subcutaneous Tissue and Fascia, Open Approach
0J813ZZ Division of Face Subcutaneous Tissue and Fascia, Percutaneous Approach

0JR1 Subcutaneous Tissue and Fascia, Replacement4 codes

0JR107Z Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach
0JR10KZ Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach
0JR137Z Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Percutaneous Approach
0JR13KZ Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Percutaneous Approach

0N8P Head and Facial Bones, Division3 codes

0N8P0ZZ Division of Right Orbit, Open Approach
0N8P3ZZ Division of Right Orbit, Percutaneous Approach
0N8P4ZZ Division of Right Orbit, Percutaneous Endoscopic Approach

0N8Q Head and Facial Bones, Division3 codes

0N8Q0ZZ Division of Left Orbit, Open Approach
0N8Q3ZZ Division of Left Orbit, Percutaneous Approach
0N8Q4ZZ Division of Left Orbit, Percutaneous Endoscopic Approach

0N9P Head and Facial Bones, Drainage7 codes

0N9P00Z Drainage of Right Orbit with Drainage Device, Open Approach
0N9P0ZX Drainage of Right Orbit, Open Approach, Diagnostic
0N9P0ZZ Drainage of Right Orbit, Open Approach
0N9P3ZX Drainage of Right Orbit, Percutaneous Approach, Diagnostic
0N9P40Z Drainage of Right Orbit with Drainage Device, Percutaneous Endoscopic Approach
0N9P4ZX Drainage of Right Orbit, Percutaneous Endoscopic Approach, Diagnostic
0N9P4ZZ Drainage of Right Orbit, Percutaneous Endoscopic Approach

0N9Q Head and Facial Bones, Drainage7 codes

0N9Q00Z Drainage of Left Orbit with Drainage Device, Open Approach
0N9Q0ZX Drainage of Left Orbit, Open Approach, Diagnostic
0N9Q0ZZ Drainage of Left Orbit, Open Approach
0N9Q3ZX Drainage of Left Orbit, Percutaneous Approach, Diagnostic
0N9Q40Z Drainage of Left Orbit with Drainage Device, Percutaneous Endoscopic Approach
0N9Q4ZX Drainage of Left Orbit, Percutaneous Endoscopic Approach, Diagnostic
0N9Q4ZZ Drainage of Left Orbit, Percutaneous Endoscopic Approach

0NBP Head and Facial Bones, Excision6 codes

0NBP0ZX Excision of Right Orbit, Open Approach, Diagnostic
0NBP0ZZ Excision of Right Orbit, Open Approach
0NBP3ZX Excision of Right Orbit, Percutaneous Approach, Diagnostic
0NBP3ZZ Excision of Right Orbit, Percutaneous Approach
0NBP4ZX Excision of Right Orbit, Percutaneous Endoscopic Approach, Diagnostic
0NBP4ZZ Excision of Right Orbit, Percutaneous Endoscopic Approach

0NBQ Head and Facial Bones, Excision6 codes

0NBQ0ZX Excision of Left Orbit, Open Approach, Diagnostic
0NBQ0ZZ Excision of Left Orbit, Open Approach
0NBQ3ZX Excision of Left Orbit, Percutaneous Approach, Diagnostic
0NBQ3ZZ Excision of Left Orbit, Percutaneous Approach
0NBQ4ZX Excision of Left Orbit, Percutaneous Endoscopic Approach, Diagnostic
0NBQ4ZZ Excision of Left Orbit, Percutaneous Endoscopic Approach

0NPW Head and Facial Bones, Removal3 codes

0NPW0JZ Removal of Synthetic Substitute from Facial Bone, Open Approach
0NPW3JZ Removal of Synthetic Substitute from Facial Bone, Percutaneous Approach
0NPW4JZ Removal of Synthetic Substitute from Facial Bone, Percutaneous Endoscopic Approach

0NQP Head and Facial Bones, Repair3 codes

0NQP0ZZ Repair Right Orbit, Open Approach
0NQP3ZZ Repair Right Orbit, Percutaneous Approach
0NQP4ZZ Repair Right Orbit, Percutaneous Endoscopic Approach

0NQQ Head and Facial Bones, Repair3 codes

0NQQ0ZZ Repair Left Orbit, Open Approach
0NQQ3ZZ Repair Left Orbit, Percutaneous Approach
0NQQ4ZZ Repair Left Orbit, Percutaneous Endoscopic Approach

0NRC Head and Facial Bones, Replacement3 codes

0NRC0JZ Replacement of Sphenoid Bone with Synthetic Substitute, Open Approach
0NRC3JZ Replacement of Sphenoid Bone with Synthetic Substitute, Percutaneous Approach
0NRC4JZ Replacement of Sphenoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRF Head and Facial Bones, Replacement3 codes

0NRF0JZ Replacement of Right Ethmoid Bone with Synthetic Substitute, Open Approach
0NRF3JZ Replacement of Right Ethmoid Bone with Synthetic Substitute, Percutaneous Approach
0NRF4JZ Replacement of Right Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRG Head and Facial Bones, Replacement3 codes

0NRG0JZ Replacement of Left Ethmoid Bone with Synthetic Substitute, Open Approach
0NRG3JZ Replacement of Left Ethmoid Bone with Synthetic Substitute, Percutaneous Approach
0NRG4JZ Replacement of Left Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRH Head and Facial Bones, Replacement3 codes

0NRH0JZ Replacement of Right Lacrimal Bone with Synthetic Substitute, Open Approach
0NRH3JZ Replacement of Right Lacrimal Bone with Synthetic Substitute, Percutaneous Approach
0NRH4JZ Replacement of Right Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRJ Head and Facial Bones, Replacement3 codes

0NRJ0JZ Replacement of Left Lacrimal Bone with Synthetic Substitute, Open Approach
0NRJ3JZ Replacement of Left Lacrimal Bone with Synthetic Substitute, Percutaneous Approach
0NRJ4JZ Replacement of Left Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRK Head and Facial Bones, Replacement3 codes

0NRK0JZ Replacement of Right Palatine Bone with Synthetic Substitute, Open Approach
0NRK3JZ Replacement of Right Palatine Bone with Synthetic Substitute, Percutaneous Approach
0NRK4JZ Replacement of Right Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRL Head and Facial Bones, Replacement3 codes

0NRL0JZ Replacement of Left Palatine Bone with Synthetic Substitute, Open Approach
0NRL3JZ Replacement of Left Palatine Bone with Synthetic Substitute, Percutaneous Approach
0NRL4JZ Replacement of Left Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRM Head and Facial Bones, Replacement3 codes

0NRM0JZ Replacement of Right Zygomatic Bone with Synthetic Substitute, Open Approach
0NRM3JZ Replacement of Right Zygomatic Bone with Synthetic Substitute, Percutaneous Approach
0NRM4JZ Replacement of Right Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRN Head and Facial Bones, Replacement3 codes

0NRN0JZ Replacement of Left Zygomatic Bone with Synthetic Substitute, Open Approach
0NRN3JZ Replacement of Left Zygomatic Bone with Synthetic Substitute, Percutaneous Approach
0NRN4JZ Replacement of Left Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRP Head and Facial Bones, Replacement6 codes

0NRP07Z Replacement of Right Orbit with Autologous Tissue Substitute, Open Approach
0NRP0JZ Replacement of Right Orbit with Synthetic Substitute, Open Approach
0NRP37Z Replacement of Right Orbit with Autologous Tissue Substitute, Percutaneous Approach
0NRP3JZ Replacement of Right Orbit with Synthetic Substitute, Percutaneous Approach
0NRP47Z Replacement of Right Orbit with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0NRP4JZ Replacement of Right Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRQ Head and Facial Bones, Replacement6 codes

0NRQ07Z Replacement of Left Orbit with Autologous Tissue Substitute, Open Approach
0NRQ0JZ Replacement of Left Orbit with Synthetic Substitute, Open Approach
0NRQ37Z Replacement of Left Orbit with Autologous Tissue Substitute, Percutaneous Approach
0NRQ3JZ Replacement of Left Orbit with Synthetic Substitute, Percutaneous Approach
0NRQ47Z Replacement of Left Orbit with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0NRQ4JZ Replacement of Left Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach

0NRX Head and Facial Bones, Replacement3 codes

0NRX0JZ Replacement of Hyoid Bone with Synthetic Substitute, Open Approach
0NRX3JZ Replacement of Hyoid Bone with Synthetic Substitute, Percutaneous Approach
0NRX4JZ Replacement of Hyoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NSC Head and Facial Bones, Reposition2 codes

0NSC04Z Reposition Sphenoid Bone with Internal Fixation Device, Open Approach
0NSC0ZZ Reposition Sphenoid Bone, Open Approach

0NSF Head and Facial Bones, Reposition2 codes

0NSF04Z Reposition Right Ethmoid Bone with Internal Fixation Device, Open Approach
0NSF0ZZ Reposition Right Ethmoid Bone, Open Approach

0NSG Head and Facial Bones, Reposition2 codes

0NSG04Z Reposition Left Ethmoid Bone with Internal Fixation Device, Open Approach
0NSG0ZZ Reposition Left Ethmoid Bone, Open Approach

0NSH Head and Facial Bones, Reposition2 codes

0NSH04Z Reposition Right Lacrimal Bone with Internal Fixation Device, Open Approach
0NSH0ZZ Reposition Right Lacrimal Bone, Open Approach

0NSJ Head and Facial Bones, Reposition2 codes

0NSJ04Z Reposition Left Lacrimal Bone with Internal Fixation Device, Open Approach
0NSJ0ZZ Reposition Left Lacrimal Bone, Open Approach

0NSK Head and Facial Bones, Reposition2 codes

0NSK04Z Reposition Right Palatine Bone with Internal Fixation Device, Open Approach
0NSK0ZZ Reposition Right Palatine Bone, Open Approach

0NSL Head and Facial Bones, Reposition2 codes

0NSL04Z Reposition Left Palatine Bone with Internal Fixation Device, Open Approach
0NSL0ZZ Reposition Left Palatine Bone, Open Approach

0NSP Head and Facial Bones, Reposition2 codes

0NSP04Z Reposition Right Orbit with Internal Fixation Device, Open Approach
0NSP0ZZ Reposition Right Orbit, Open Approach

0NSQ Head and Facial Bones, Reposition2 codes

0NSQ04Z Reposition Left Orbit with Internal Fixation Device, Open Approach
0NSQ0ZZ Reposition Left Orbit, Open Approach

0NSX Head and Facial Bones, Reposition2 codes

0NSX04Z Reposition Hyoid Bone with Internal Fixation Device, Open Approach
0NSX0ZZ Reposition Hyoid Bone, Open Approach

0NUC Head and Facial Bones, Supplement3 codes

0NUC0JZ Supplement Sphenoid Bone with Synthetic Substitute, Open Approach
0NUC3JZ Supplement Sphenoid Bone with Synthetic Substitute, Percutaneous Approach
0NUC4JZ Supplement Sphenoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUF Head and Facial Bones, Supplement3 codes

0NUF0JZ Supplement Right Ethmoid Bone with Synthetic Substitute, Open Approach
0NUF3JZ Supplement Right Ethmoid Bone with Synthetic Substitute, Percutaneous Approach
0NUF4JZ Supplement Right Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUG Head and Facial Bones, Supplement3 codes

0NUG0JZ Supplement Left Ethmoid Bone with Synthetic Substitute, Open Approach
0NUG3JZ Supplement Left Ethmoid Bone with Synthetic Substitute, Percutaneous Approach
0NUG4JZ Supplement Left Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUH Head and Facial Bones, Supplement3 codes

0NUH0JZ Supplement Right Lacrimal Bone with Synthetic Substitute, Open Approach
0NUH3JZ Supplement Right Lacrimal Bone with Synthetic Substitute, Percutaneous Approach
0NUH4JZ Supplement Right Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUJ Head and Facial Bones, Supplement3 codes

0NUJ0JZ Supplement Left Lacrimal Bone with Synthetic Substitute, Open Approach
0NUJ3JZ Supplement Left Lacrimal Bone with Synthetic Substitute, Percutaneous Approach
0NUJ4JZ Supplement Left Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUK Head and Facial Bones, Supplement3 codes

0NUK0JZ Supplement Right Palatine Bone with Synthetic Substitute, Open Approach
0NUK3JZ Supplement Right Palatine Bone with Synthetic Substitute, Percutaneous Approach
0NUK4JZ Supplement Right Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUL Head and Facial Bones, Supplement3 codes

0NUL0JZ Supplement Left Palatine Bone with Synthetic Substitute, Open Approach
0NUL3JZ Supplement Left Palatine Bone with Synthetic Substitute, Percutaneous Approach
0NUL4JZ Supplement Left Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUM Head and Facial Bones, Supplement3 codes

0NUM0JZ Supplement Right Zygomatic Bone with Synthetic Substitute, Open Approach
0NUM3JZ Supplement Right Zygomatic Bone with Synthetic Substitute, Percutaneous Approach
0NUM4JZ Supplement Right Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUN Head and Facial Bones, Supplement3 codes

0NUN0JZ Supplement Left Zygomatic Bone with Synthetic Substitute, Open Approach
0NUN3JZ Supplement Left Zygomatic Bone with Synthetic Substitute, Percutaneous Approach
0NUN4JZ Supplement Left Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUP Head and Facial Bones, Supplement3 codes

0NUP0JZ Supplement Right Orbit with Synthetic Substitute, Open Approach
0NUP3JZ Supplement Right Orbit with Synthetic Substitute, Percutaneous Approach
0NUP4JZ Supplement Right Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUQ Head and Facial Bones, Supplement3 codes

0NUQ0JZ Supplement Left Orbit with Synthetic Substitute, Open Approach
0NUQ3JZ Supplement Left Orbit with Synthetic Substitute, Percutaneous Approach
0NUQ4JZ Supplement Left Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach

0NUX Head and Facial Bones, Supplement3 codes

0NUX0JZ Supplement Hyoid Bone with Synthetic Substitute, Open Approach
0NUX3JZ Supplement Hyoid Bone with Synthetic Substitute, Percutaneous Approach
0NUX4JZ Supplement Hyoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

0WQ2 Anatomical Regions, General, Repair1 code

0WQ2XZZ Repair Face, External Approach

ICD-10-CM

Qualifying Diagnosis Codes

Diagnosis codes do not drive assignment for this DRG. Cases group here from the ICD-10-PCS procedure list below.

Frequently Asked Questions

What is MS-DRG 114?

MS-DRG 114 (Orbital Procedures without CC/MCC) is a surgical DRG in MDC 02 (Diseases & Disorders of the Eye). Its FY 2026 relative weight is 1.3530 with a geometric mean length of stay of 2.3 days.

What is the difference between DRG 113, 114?

All 2 share the same base category; the severity of secondary diagnoses separates them: 113 (with CC/MCC), 114 (without CC/MCC). A major complication or comorbidity (MCC) places the case in the highest-weighted DRG of the family; a CC in the middle; neither in the lowest.

How many procedure codes group to DRG 114?

172 ICD-10-PCS operating-room procedure codes group to this DRG.

What is the relative weight of DRG 114?

The FY 2026 relative weight of this DRG is 1.3530, meaning reimbursement of roughly 1.35 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 113 – Orbital Procedures with CC/MCC Next →DRG 115 – Extraocular Procedures Except Orbit

Source: CMS ICD-10 MS-DRG v43.0 Definitions Manual and the FY 2026 IPPS Final Rule (Table 5), effective October 1, 2025 through September 30, 2026. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.