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  3. Procedure Codes in MS-DRG 114 - Orbital Procedures Without CC/MCC

Procedure Codes in MS-DRG 114 - Orbital Procedures Without CC/MCC

The Medicare Severity Diagnosis-Related Group (MS-DRG) is a patient classification system used to categorize hospital cases based on clinical similarity and expected resource use. MS-DRGs organize all possible principal diagnoses into mutually exclusive groups known as Major Diagnostic Categories (MDCs), which help determine reimbursement under the Medicare Inpatient Prospective Payment System.

This section lists the procedure codes included in MS-DRG V42.0: Orbital Procedures without CC/MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 114

MS-DRG Title: Orbital Procedures without CC/MCC

MCD: 02

Relative Weight: Relative Weight
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Geometric LOS: Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.

Arithmetic LOS: Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

  • 08B - Eye, Excision

    • 08B00ZX - Excision of Right Eye, Open Approach, Diagnostic

    • 08B03ZX - Excision of Right Eye, Percutaneous Approach, Diagnostic

    • 08B0XZX - Excision of Right Eye, External Approach, Diagnostic

    • 08B10ZX - Excision of Left Eye, Open Approach, Diagnostic

    • 08B13ZX - Excision of Left Eye, Percutaneous Approach, Diagnostic

    • 08B1XZX - Excision of Left Eye, External Approach, Diagnostic

  • 08P - Eye, Removal

    • 08P003Z - Removal of Infusion Device from Right Eye, Open Approach

    • 08P00JZ - Removal of Synthetic Substitute from Right Eye, Open Approach

    • 08P103Z - Removal of Infusion Device from Left Eye, Open Approach

    • 08P10JZ - Removal of Synthetic Substitute from Left Eye, Open Approach

  • 08Q - Eye, Repair

    • 08Q0XZZ - Repair Right Eye, External Approach

    • 08Q1XZZ - Repair Left Eye, External Approach

  • 08R - Eye, Replacement

    • 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

    • 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

  • 08T - Eye, Resection

    • 08T0XZZ - Resection of Right Eye, External Approach

    • 08T1XZZ - Resection of Left Eye, External Approach

  • 08W - Eye, Revision

    • 08W00JZ - Revision of Synthetic Substitute in Right Eye, Open Approach

    • 08W03JZ - Revision of Synthetic Substitute in Right Eye, Percutaneous Approach

    • 08W10JZ - Revision of Synthetic Substitute in Left Eye, Open Approach

    • 08W13JZ - Revision of Synthetic Substitute in Left Eye, Percutaneous Approach

  • 0J8 - Subcutaneous Tissue and Fascia, Division

    • 0J810ZZ - Division of Face Subcutaneous Tissue and Fascia, Open Approach

    • 0J813ZZ - Division of Face Subcutaneous Tissue and Fascia, Percutaneous Approach

  • 0JR - Subcutaneous Tissue and Fascia, Replacement

    • 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

  • 0N8 - Head and Facial Bones, Division

    • 0N8P0ZZ - Division of Right Orbit, Open Approach

    • 0N8P3ZZ - Division of Right Orbit, Percutaneous Approach

    • 0N8P4ZZ - Division of Right Orbit, Percutaneous Endoscopic Approach

    • 0N8Q0ZZ - Division of Left Orbit, Open Approach

    • 0N8Q3ZZ - Division of Left Orbit, Percutaneous Approach

    • 0N8Q4ZZ - Division of Left Orbit, Percutaneous Endoscopic Approach

  • 0N9 - Head and Facial Bones, Drainage

    • 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

    • 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

  • 0NB - Head and Facial Bones, Excision

    • 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

    • 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

  • 0NP - Head and Facial Bones, Removal

    • 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

  • 0NQ - Head and Facial Bones, Repair

    • 0NQP0ZZ - Repair Right Orbit, Open Approach

    • 0NQP3ZZ - Repair Right Orbit, Percutaneous Approach

    • 0NQP4ZZ - Repair Right Orbit, Percutaneous Endoscopic Approach

    • 0NQQ0ZZ - Repair Left Orbit, Open Approach

    • 0NQQ3ZZ - Repair Left Orbit, Percutaneous Approach

    • 0NQQ4ZZ - Repair Left Orbit, Percutaneous Endoscopic Approach

  • 0NR - Head and Facial Bones, Replacement

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

  • 0NS - Head and Facial Bones, Reposition

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

    • 0NSC0ZZ - Reposition Sphenoid Bone, Open Approach

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

    • 0NSF0ZZ - Reposition Right Ethmoid Bone, Open Approach

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

    • 0NSG0ZZ - Reposition Left Ethmoid Bone, Open Approach

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

    • 0NSH0ZZ - Reposition Right Lacrimal Bone, Open Approach

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

    • 0NSJ0ZZ - Reposition Left Lacrimal Bone, Open Approach

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

    • 0NSK0ZZ - Reposition Right Palatine Bone, Open Approach

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

    • 0NSL0ZZ - Reposition Left Palatine Bone, Open Approach

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

    • 0NSP0ZZ - Reposition Right Orbit, Open Approach

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

    • 0NSQ0ZZ - Reposition Left Orbit, Open Approach

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

    • 0NSX0ZZ - Reposition Hyoid Bone, Open Approach

  • 0NU - Head and Facial Bones, Supplement

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

    • 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

  • 0WQ - Anatomical Regions, General, Repair

    • 0WQ2XZZ - Repair Face, External Approach