All ICD10 Codes

DRG 113

Surgical DRG

Orbital Procedures with CC/MCC

TypeSurgicalMDC02

What is MS-DRG 113?

MS-DRG 113 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 02 (MDC 02) with a Complication or Comorbidity (CC). For FY 2026 it carries a relative weight of 2.3511 with a geometric mean length of stay of 4.7 days and an arithmetic mean of 6.5 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Surgical DRG
Procedure-driven grouping
MDC
Major Diagnostic Category 02
Linked Codes
0 diagnosis
172 procedure

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
2.3511
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
4.7 days
Used for transfer payment calculations
Arithmetic Mean LOS
6.5 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
113Orbital Procedures with CC/MCCThis page2.35114.7 days
114Orbital Procedures without CC/MCC1.35302.3 days

Linked ICD-10-PCS Procedure Mappings

  • 08B00ZX

    Excision of Right Eye, Open Approach, Diagnostic

    BillableSection 0
  • 08B03ZX

    Excision of Right Eye, Percutaneous Approach, Diagnostic

    BillableSection 0
  • 08B0XZX

    Excision of Right Eye, External Approach, Diagnostic

    BillableSection 0
  • 08B10ZX

    Excision of Left Eye, Open Approach, Diagnostic

    BillableSection 0
  • 08B13ZX

    Excision of Left Eye, Percutaneous Approach, Diagnostic

    BillableSection 0
  • 08B1XZX

    Excision of Left Eye, External Approach, Diagnostic

    BillableSection 0
  • 08P003Z

    Removal of Infusion Device from Right Eye, Open Approach

    BillableSection 0
  • 08P00JZ

    Removal of Synthetic Substitute from Right Eye, Open Approach

    BillableSection 0
  • 08P103Z

    Removal of Infusion Device from Left Eye, Open Approach

    BillableSection 0
  • 08P10JZ

    Removal of Synthetic Substitute from Left Eye, Open Approach

    BillableSection 0
  • 08Q0XZZ

    Repair Right Eye, External Approach

    BillableSection 0
  • 08Q1XZZ

    Repair Left Eye, External Approach

    BillableSection 0
  • 08R007Z

    Replacement of Right Eye with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 08R00JZ

    Replacement of Right Eye with Synthetic Substitute, Open Approach

    BillableSection 0
  • 08R037Z

    Replacement of Right Eye with Autologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 08R03KZ

    Replacement of Right Eye with Nonautologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 08R107Z

    Replacement of Left Eye with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 08R10JZ

    Replacement of Left Eye with Synthetic Substitute, Open Approach

    BillableSection 0
  • 08R137Z

    Replacement of Left Eye with Autologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 08R13KZ

    Replacement of Left Eye with Nonautologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 08T0XZZ

    Resection of Right Eye, External Approach

    BillableSection 0
  • 08T1XZZ

    Resection of Left Eye, External Approach

    BillableSection 0
  • 08W00JZ

    Revision of Synthetic Substitute in Right Eye, Open Approach

    BillableSection 0
  • 08W03JZ

    Revision of Synthetic Substitute in Right Eye, Percutaneous Approach

    BillableSection 0
  • 08W10JZ

    Revision of Synthetic Substitute in Left Eye, Open Approach

    BillableSection 0
  • 08W13JZ

    Revision of Synthetic Substitute in Left Eye, Percutaneous Approach

    BillableSection 0
  • 0J810ZZ

    Division of Face Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0J813ZZ

    Division of Face Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JR107Z

    Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0JR10KZ

    Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0JR137Z

    Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 0JR13KZ

    Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 0N8P0ZZ

    Division of Right Orbit, Open Approach

    BillableSection 0
  • 0N8P3ZZ

    Division of Right Orbit, Percutaneous Approach

    BillableSection 0
  • 0N8P4ZZ

    Division of Right Orbit, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0N8Q0ZZ

    Division of Left Orbit, Open Approach

    BillableSection 0
  • 0N8Q3ZZ

    Division of Left Orbit, Percutaneous Approach

    BillableSection 0
  • 0N8Q4ZZ

    Division of Left Orbit, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0N9P00Z

    Drainage of Right Orbit with Drainage Device, Open Approach

    BillableSection 0
  • 0N9P0ZX

    Drainage of Right Orbit, Open Approach, Diagnostic

    BillableSection 0
  • 0N9P0ZZ

    Drainage of Right Orbit, Open Approach

    BillableSection 0
  • 0N9P3ZX

    Drainage of Right Orbit, Percutaneous Approach, Diagnostic

    BillableSection 0
  • 0N9P40Z

    Drainage of Right Orbit with Drainage Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0N9P4ZX

    Drainage of Right Orbit, Percutaneous Endoscopic Approach, Diagnostic

    BillableSection 0
  • 0N9P4ZZ

    Drainage of Right Orbit, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0N9Q00Z

    Drainage of Left Orbit with Drainage Device, Open Approach

    BillableSection 0
  • 0N9Q0ZX

    Drainage of Left Orbit, Open Approach, Diagnostic

    BillableSection 0
  • 0N9Q0ZZ

    Drainage of Left Orbit, Open Approach

    BillableSection 0
  • 0N9Q3ZX

    Drainage of Left Orbit, Percutaneous Approach, Diagnostic

    BillableSection 0
  • 0N9Q40Z

    Drainage of Left Orbit with Drainage Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0N9Q4ZX

    Drainage of Left Orbit, Percutaneous Endoscopic Approach, Diagnostic

    BillableSection 0
  • 0N9Q4ZZ

    Drainage of Left Orbit, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NBP0ZX

    Excision of Right Orbit, Open Approach, Diagnostic

    BillableSection 0
  • 0NBP0ZZ

    Excision of Right Orbit, Open Approach

    BillableSection 0
  • 0NBP3ZX

    Excision of Right Orbit, Percutaneous Approach, Diagnostic

    BillableSection 0
  • 0NBP3ZZ

    Excision of Right Orbit, Percutaneous Approach

    BillableSection 0
  • 0NBP4ZX

    Excision of Right Orbit, Percutaneous Endoscopic Approach, Diagnostic

    BillableSection 0
  • 0NBP4ZZ

    Excision of Right Orbit, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NBQ0ZX

    Excision of Left Orbit, Open Approach, Diagnostic

    BillableSection 0
  • 0NBQ0ZZ

    Excision of Left Orbit, Open Approach

    BillableSection 0
  • 0NBQ3ZX

    Excision of Left Orbit, Percutaneous Approach, Diagnostic

    BillableSection 0
  • 0NBQ3ZZ

    Excision of Left Orbit, Percutaneous Approach

    BillableSection 0
  • 0NBQ4ZX

    Excision of Left Orbit, Percutaneous Endoscopic Approach, Diagnostic

    BillableSection 0
  • 0NBQ4ZZ

    Excision of Left Orbit, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NPW0JZ

    Removal of Synthetic Substitute from Facial Bone, Open Approach

    BillableSection 0
  • 0NPW3JZ

    Removal of Synthetic Substitute from Facial Bone, Percutaneous Approach

    BillableSection 0
  • 0NPW4JZ

    Removal of Synthetic Substitute from Facial Bone, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NQP0ZZ

    Repair Right Orbit, Open Approach

    BillableSection 0
  • 0NQP3ZZ

    Repair Right Orbit, Percutaneous Approach

    BillableSection 0
  • 0NQP4ZZ

    Repair Right Orbit, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NQQ0ZZ

    Repair Left Orbit, Open Approach

    BillableSection 0
  • 0NQQ3ZZ

    Repair Left Orbit, Percutaneous Approach

    BillableSection 0
  • 0NQQ4ZZ

    Repair Left Orbit, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRC0JZ

    Replacement of Sphenoid Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRC3JZ

    Replacement of Sphenoid Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRC4JZ

    Replacement of Sphenoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRF0JZ

    Replacement of Right Ethmoid Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRF3JZ

    Replacement of Right Ethmoid Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRF4JZ

    Replacement of Right Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRG0JZ

    Replacement of Left Ethmoid Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRG3JZ

    Replacement of Left Ethmoid Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRG4JZ

    Replacement of Left Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRH0JZ

    Replacement of Right Lacrimal Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRH3JZ

    Replacement of Right Lacrimal Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRH4JZ

    Replacement of Right Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRJ0JZ

    Replacement of Left Lacrimal Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRJ3JZ

    Replacement of Left Lacrimal Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRJ4JZ

    Replacement of Left Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRK0JZ

    Replacement of Right Palatine Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRK3JZ

    Replacement of Right Palatine Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRK4JZ

    Replacement of Right Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRL0JZ

    Replacement of Left Palatine Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRL3JZ

    Replacement of Left Palatine Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRL4JZ

    Replacement of Left Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRM0JZ

    Replacement of Right Zygomatic Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRM3JZ

    Replacement of Right Zygomatic Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRM4JZ

    Replacement of Right Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRN0JZ

    Replacement of Left Zygomatic Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRN3JZ

    Replacement of Left Zygomatic Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRN4JZ

    Replacement of Left Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRP07Z

    Replacement of Right Orbit with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0NRP0JZ

    Replacement of Right Orbit with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRP37Z

    Replacement of Right Orbit with Autologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRP3JZ

    Replacement of Right Orbit with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRP47Z

    Replacement of Right Orbit with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRP4JZ

    Replacement of Right Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRQ07Z

    Replacement of Left Orbit with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0NRQ0JZ

    Replacement of Left Orbit with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRQ37Z

    Replacement of Left Orbit with Autologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRQ3JZ

    Replacement of Left Orbit with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRQ47Z

    Replacement of Left Orbit with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRQ4JZ

    Replacement of Left Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRX0JZ

    Replacement of Hyoid Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRX3JZ

    Replacement of Hyoid Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRX4JZ

    Replacement of Hyoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NSC04Z

    Reposition Sphenoid Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSC0ZZ

    Reposition Sphenoid Bone, Open Approach

    BillableSection 0
  • 0NSF04Z

    Reposition Right Ethmoid Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSF0ZZ

    Reposition Right Ethmoid Bone, Open Approach

    BillableSection 0
  • 0NSG04Z

    Reposition Left Ethmoid Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSG0ZZ

    Reposition Left Ethmoid Bone, Open Approach

    BillableSection 0
  • 0NSH04Z

    Reposition Right Lacrimal Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSH0ZZ

    Reposition Right Lacrimal Bone, Open Approach

    BillableSection 0
  • 0NSJ04Z

    Reposition Left Lacrimal Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSJ0ZZ

    Reposition Left Lacrimal Bone, Open Approach

    BillableSection 0
  • 0NSK04Z

    Reposition Right Palatine Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSK0ZZ

    Reposition Right Palatine Bone, Open Approach

    BillableSection 0
  • 0NSL04Z

    Reposition Left Palatine Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSL0ZZ

    Reposition Left Palatine Bone, Open Approach

    BillableSection 0
  • 0NSP04Z

    Reposition Right Orbit with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSP0ZZ

    Reposition Right Orbit, Open Approach

    BillableSection 0
  • 0NSQ04Z

    Reposition Left Orbit with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSQ0ZZ

    Reposition Left Orbit, Open Approach

    BillableSection 0
  • 0NSX04Z

    Reposition Hyoid Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSX0ZZ

    Reposition Hyoid Bone, Open Approach

    BillableSection 0
  • 0NUC0JZ

    Supplement Sphenoid Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUC3JZ

    Supplement Sphenoid Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUC4JZ

    Supplement Sphenoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUF0JZ

    Supplement Right Ethmoid Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUF3JZ

    Supplement Right Ethmoid Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUF4JZ

    Supplement Right Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUG0JZ

    Supplement Left Ethmoid Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUG3JZ

    Supplement Left Ethmoid Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUG4JZ

    Supplement Left Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUH0JZ

    Supplement Right Lacrimal Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUH3JZ

    Supplement Right Lacrimal Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUH4JZ

    Supplement Right Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUJ0JZ

    Supplement Left Lacrimal Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUJ3JZ

    Supplement Left Lacrimal Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUJ4JZ

    Supplement Left Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUK0JZ

    Supplement Right Palatine Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUK3JZ

    Supplement Right Palatine Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUK4JZ

    Supplement Right Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUL0JZ

    Supplement Left Palatine Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUL3JZ

    Supplement Left Palatine Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUL4JZ

    Supplement Left Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUM0JZ

    Supplement Right Zygomatic Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUM3JZ

    Supplement Right Zygomatic Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUM4JZ

    Supplement Right Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUN0JZ

    Supplement Left Zygomatic Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUN3JZ

    Supplement Left Zygomatic Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUN4JZ

    Supplement Left Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUP0JZ

    Supplement Right Orbit with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUP3JZ

    Supplement Right Orbit with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUP4JZ

    Supplement Right Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUQ0JZ

    Supplement Left Orbit with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUQ3JZ

    Supplement Left Orbit with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUQ4JZ

    Supplement Left Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NUX0JZ

    Supplement Hyoid Bone with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NUX3JZ

    Supplement Hyoid Bone with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NUX4JZ

    Supplement Hyoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0WQ2XZZ

    Repair Face, External Approach

    BillableSection 0