DRG 123
Medical DRGNeurological Eye Disorders
What is MS-DRG 123?
MS-DRG 123 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 02 (MDC 02). It maps to 210 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 0.7986 with a geometric mean length of stay of 2.1 days and an arithmetic mean of 2.6 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
FY 2026 Payment Data
Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).
Linked ICD-10-CM Diagnosis Mappings
- A39.82
Meningococcal retrobulbar neuritis
BillableChapter 1 - G45.3
Amaurosis fugax
BillableChapter 6 - H02.401
Unspecified ptosis of right eyelid
BillableChapter 7 - H02.402
Unspecified ptosis of left eyelid
BillableChapter 7 - H02.403
Unspecified ptosis of bilateral eyelids
BillableChapter 7 - H02.409
Unspecified ptosis of unspecified eyelid
BillableChapter 7 - H02.421
Myogenic ptosis of right eyelid
BillableChapter 7 - H02.422
Myogenic ptosis of left eyelid
BillableChapter 7 - H02.423
Myogenic ptosis of bilateral eyelids
BillableChapter 7 - H02.429
Myogenic ptosis of unspecified eyelid
BillableChapter 7 - H02.431
Paralytic ptosis of right eyelid
BillableChapter 7 - H02.432
Paralytic ptosis of left eyelid
BillableChapter 7 - H02.433
Paralytic ptosis of bilateral eyelids
BillableChapter 7 - H02.439
Paralytic ptosis unspecified eyelid
BillableChapter 7 - H02.59
Other disorders affecting eyelid function
BillableChapter 7 - H05.211
Displacement (lateral) of globe, right eye
BillableChapter 7 - H05.212
Displacement (lateral) of globe, left eye
BillableChapter 7 - H05.213
Displacement (lateral) of globe, bilateral
BillableChapter 7 - H05.219
Displacement (lateral) of globe, unspecified eye
BillableChapter 7 - H05.251
Intermittent exophthalmos, right eye
BillableChapter 7 - H05.252
Intermittent exophthalmos, left eye
BillableChapter 7 - H05.253
Intermittent exophthalmos, bilateral
BillableChapter 7 - H05.259
Intermittent exophthalmos, unspecified eye
BillableChapter 7 - H05.261
Pulsating exophthalmos, right eye
BillableChapter 7 - H05.262
Pulsating exophthalmos, left eye
BillableChapter 7 - H05.263
Pulsating exophthalmos, bilateral
BillableChapter 7 - H05.269
Pulsating exophthalmos, unspecified eye
BillableChapter 7 - H05.821
Myopathy of extraocular muscles, right orbit
BillableChapter 7 - H05.822
Myopathy of extraocular muscles, left orbit
BillableChapter 7 - H05.823
Myopathy of extraocular muscles, bilateral
BillableChapter 7 - H05.829
Myopathy of extraocular muscles, unspecified orbit
BillableChapter 7 - H34.00
Transient retinal artery occlusion, unspecified eye
BillableChapter 7 - H34.01
Transient retinal artery occlusion, right eye
BillableChapter 7 - H34.02
Transient retinal artery occlusion, left eye
BillableChapter 7 - H34.03
Transient retinal artery occlusion, bilateral
BillableChapter 7 - H34.211
Partial retinal artery occlusion, right eye
BillableChapter 7 - H34.212
Partial retinal artery occlusion, left eye
BillableChapter 7 - H34.213
Partial retinal artery occlusion, bilateral
BillableChapter 7 - H34.219
Partial retinal artery occlusion, unspecified eye
BillableChapter 7 - H34.8110
Central retinal vein occlusion, right eye, with macular edema
BillableChapter 7 - H34.8111
Central retinal vein occlusion, right eye, with retinal neovascularization
BillableChapter 7 - H34.8112
Central retinal vein occlusion, right eye, stable
BillableChapter 7 - H34.8120
Central retinal vein occlusion, left eye, with macular edema
BillableChapter 7 - H34.8121
Central retinal vein occlusion, left eye, with retinal neovascularization
BillableChapter 7 - H34.8122
Central retinal vein occlusion, left eye, stable
BillableChapter 7 - H34.8130
Central retinal vein occlusion, bilateral, with macular edema
BillableChapter 7 - H34.8131
Central retinal vein occlusion, bilateral, with retinal neovascularization
BillableChapter 7 - H34.8132
Central retinal vein occlusion, bilateral, stable
BillableChapter 7 - H34.8190
Central retinal vein occlusion, unspecified eye, with macular edema
BillableChapter 7 - H34.8191
Central retinal vein occlusion, unspecified eye, with retinal neovascularization
BillableChapter 7 - H34.8192
Central retinal vein occlusion, unspecified eye, stable
BillableChapter 7 - H34.821
Venous engorgement, right eye
BillableChapter 7 - H34.822
Venous engorgement, left eye
BillableChapter 7 - H34.823
Venous engorgement, bilateral
BillableChapter 7 - H34.829
Venous engorgement, unspecified eye
BillableChapter 7 - H34.8310
Tributary (branch) retinal vein occlusion, right eye, with macular edema
BillableChapter 7 - H34.8311
Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization
BillableChapter 7 - H34.8312
Tributary (branch) retinal vein occlusion, right eye, stable
BillableChapter 7 - H34.8320
Tributary (branch) retinal vein occlusion, left eye, with macular edema
BillableChapter 7 - H34.8321
Tributary (branch) retinal vein occlusion, left eye, with retinal neovascularization
BillableChapter 7 - H34.8322
Tributary (branch) retinal vein occlusion, left eye, stable
BillableChapter 7 - H34.8330
Tributary (branch) retinal vein occlusion, bilateral, with macular edema
BillableChapter 7 - H34.8331
Tributary (branch) retinal vein occlusion, bilateral, with retinal neovascularization
BillableChapter 7 - H34.8332
Tributary (branch) retinal vein occlusion, bilateral, stable
BillableChapter 7 - H34.8390
Tributary (branch) retinal vein occlusion, unspecified eye, with macular edema
BillableChapter 7 - H34.8391
Tributary (branch) retinal vein occlusion, unspecified eye, with retinal neovascularization
BillableChapter 7 - H34.8392
Tributary (branch) retinal vein occlusion, unspecified eye, stable
BillableChapter 7 - H34.9
Unspecified retinal vascular occlusion
BillableChapter 7 - H40.1210
Low-tension glaucoma, right eye, stage unspecified
BillableChapter 7 - H40.1211
Low-tension glaucoma, right eye, mild stage
BillableChapter 7 - H40.1212
Low-tension glaucoma, right eye, moderate stage
BillableChapter 7 - H40.1213
Low-tension glaucoma, right eye, severe stage
BillableChapter 7 - H40.1214
Low-tension glaucoma, right eye, indeterminate stage
BillableChapter 7 - H40.1220
Low-tension glaucoma, left eye, stage unspecified
BillableChapter 7 - H40.1221
Low-tension glaucoma, left eye, mild stage
BillableChapter 7 - H40.1222
Low-tension glaucoma, left eye, moderate stage
BillableChapter 7 - H40.1223
Low-tension glaucoma, left eye, severe stage
BillableChapter 7 - H40.1224
Low-tension glaucoma, left eye, indeterminate stage
BillableChapter 7 - H40.1230
Low-tension glaucoma, bilateral, stage unspecified
BillableChapter 7 - H40.1231
Low-tension glaucoma, bilateral, mild stage
BillableChapter 7 - H40.1232
Low-tension glaucoma, bilateral, moderate stage
BillableChapter 7 - H40.1233
Low-tension glaucoma, bilateral, severe stage
BillableChapter 7 - H40.1234
Low-tension glaucoma, bilateral, indeterminate stage
BillableChapter 7 - H40.1290
Low-tension glaucoma, unspecified eye, stage unspecified
BillableChapter 7 - H40.1291
Low-tension glaucoma, unspecified eye, mild stage
BillableChapter 7 - H40.1292
Low-tension glaucoma, unspecified eye, moderate stage
BillableChapter 7 - H40.1293
Low-tension glaucoma, unspecified eye, severe stage
BillableChapter 7 - H40.1294
Low-tension glaucoma, unspecified eye, indeterminate stage
BillableChapter 7 - H46.00
Optic papillitis, unspecified eye
BillableChapter 7 - H46.01
Optic papillitis, right eye
BillableChapter 7 - H46.02
Optic papillitis, left eye
BillableChapter 7 - H46.03
Optic papillitis, bilateral
BillableChapter 7 - H46.10
Retrobulbar neuritis, unspecified eye
BillableChapter 7 - H46.11
Retrobulbar neuritis, right eye
BillableChapter 7 - H46.12
Retrobulbar neuritis, left eye
BillableChapter 7 - H46.13
Retrobulbar neuritis, bilateral
BillableChapter 7 - H46.2
Nutritional optic neuropathy
BillableChapter 7 - H46.3
Toxic optic neuropathy
BillableChapter 7 - H46.8
Other optic neuritis
BillableChapter 7 - H46.9
Unspecified optic neuritis
BillableChapter 7 - H47.011
Ischemic optic neuropathy, right eye
BillableChapter 7 - H47.012
Ischemic optic neuropathy, left eye
BillableChapter 7 - H47.013
Ischemic optic neuropathy, bilateral
BillableChapter 7 - H47.019
Ischemic optic neuropathy, unspecified eye
BillableChapter 7 - H47.021
Hemorrhage in optic nerve sheath, right eye
BillableChapter 7 - H47.022
Hemorrhage in optic nerve sheath, left eye
BillableChapter 7 - H47.023
Hemorrhage in optic nerve sheath, bilateral
BillableChapter 7 - H47.029
Hemorrhage in optic nerve sheath, unspecified eye
BillableChapter 7 - H47.031
Optic nerve hypoplasia, right eye
BillableChapter 7 - H47.032
Optic nerve hypoplasia, left eye
BillableChapter 7 - H47.033
Optic nerve hypoplasia, bilateral
BillableChapter 7 - H47.039
Optic nerve hypoplasia, unspecified eye
BillableChapter 7 - H47.091
Other disorders of optic nerve, not elsewhere classified, right eye
BillableChapter 7 - H47.092
Other disorders of optic nerve, not elsewhere classified, left eye
BillableChapter 7 - H47.093
Other disorders of optic nerve, not elsewhere classified, bilateral
BillableChapter 7 - H47.099
Other disorders of optic nerve, not elsewhere classified, unspecified eye
BillableChapter 7 - H47.20
Unspecified optic atrophy
BillableChapter 7 - H47.211
Primary optic atrophy, right eye
BillableChapter 7 - H47.212
Primary optic atrophy, left eye
BillableChapter 7 - H47.213
Primary optic atrophy, bilateral
BillableChapter 7 - H47.219
Primary optic atrophy, unspecified eye
BillableChapter 7 - H47.22
Hereditary optic atrophy
BillableChapter 7 - H47.291
Other optic atrophy, right eye
BillableChapter 7 - H47.292
Other optic atrophy, left eye
BillableChapter 7 - H47.293
Other optic atrophy, bilateral
BillableChapter 7 - H47.299
Other optic atrophy, unspecified eye
BillableChapter 7 - H47.321
Drusen of optic disc, right eye
BillableChapter 7 - H47.322
Drusen of optic disc, left eye
BillableChapter 7 - H47.323
Drusen of optic disc, bilateral
BillableChapter 7 - H47.329
Drusen of optic disc, unspecified eye
BillableChapter 7 - H47.331
Pseudopapilledema of optic disc, right eye
BillableChapter 7 - H47.332
Pseudopapilledema of optic disc, left eye
BillableChapter 7 - H47.333
Pseudopapilledema of optic disc, bilateral
BillableChapter 7 - H47.339
Pseudopapilledema of optic disc, unspecified eye
BillableChapter 7 - H49.00
Third [oculomotor] nerve palsy, unspecified eye
BillableChapter 7 - H49.01
Third [oculomotor] nerve palsy, right eye
BillableChapter 7 - H49.02
Third [oculomotor] nerve palsy, left eye
BillableChapter 7 - H49.03
Third [oculomotor] nerve palsy, bilateral
BillableChapter 7 - H49.10
Fourth [trochlear] nerve palsy, unspecified eye
BillableChapter 7 - H49.11
Fourth [trochlear] nerve palsy, right eye
BillableChapter 7 - H49.12
Fourth [trochlear] nerve palsy, left eye
BillableChapter 7 - H49.13
Fourth [trochlear] nerve palsy, bilateral
BillableChapter 7 - H49.20
Sixth [abducent] nerve palsy, unspecified eye
BillableChapter 7 - H49.21
Sixth [abducent] nerve palsy, right eye
BillableChapter 7 - H49.22
Sixth [abducent] nerve palsy, left eye
BillableChapter 7 - H49.23
Sixth [abducent] nerve palsy, bilateral
BillableChapter 7 - H49.30
Total (external) ophthalmoplegia, unspecified eye
BillableChapter 7 - H49.31
Total (external) ophthalmoplegia, right eye
BillableChapter 7 - H49.32
Total (external) ophthalmoplegia, left eye
BillableChapter 7 - H49.33
Total (external) ophthalmoplegia, bilateral
BillableChapter 7 - H49.40
Progressive external ophthalmoplegia, unspecified eye
BillableChapter 7 - H49.41
Progressive external ophthalmoplegia, right eye
BillableChapter 7 - H49.42
Progressive external ophthalmoplegia, left eye
BillableChapter 7 - H49.43
Progressive external ophthalmoplegia, bilateral
BillableChapter 7 - H49.881
Other paralytic strabismus, right eye
BillableChapter 7 - H49.882
Other paralytic strabismus, left eye
BillableChapter 7 - H49.883
Other paralytic strabismus, bilateral
BillableChapter 7 - H49.889
Other paralytic strabismus, unspecified eye
BillableChapter 7 - H49.9
Unspecified paralytic strabismus
BillableChapter 7 - H50.89
Other specified strabismus
BillableChapter 7 - H51.8
Other specified disorders of binocular movement
BillableChapter 7 - H52.511
Internal ophthalmoplegia (complete) (total), right eye
BillableChapter 7 - H52.512
Internal ophthalmoplegia (complete) (total), left eye
BillableChapter 7 - H52.513
Internal ophthalmoplegia (complete) (total), bilateral
BillableChapter 7 - H52.519
Internal ophthalmoplegia (complete) (total), unspecified eye
BillableChapter 7 - H53.121
Transient visual loss, right eye
BillableChapter 7 - H53.122
Transient visual loss, left eye
BillableChapter 7 - H53.123
Transient visual loss, bilateral
BillableChapter 7 - H53.129
Transient visual loss, unspecified eye
BillableChapter 7 - H53.131
Sudden visual loss, right eye
BillableChapter 7 - H53.132
Sudden visual loss, left eye
BillableChapter 7 - H53.133
Sudden visual loss, bilateral
BillableChapter 7 - H53.139
Sudden visual loss, unspecified eye
BillableChapter 7 - H53.2
Diplopia
BillableChapter 7 - H53.40
Unspecified visual field defects
BillableChapter 7 - H53.411
Scotoma involving central area, right eye
BillableChapter 7 - H53.412
Scotoma involving central area, left eye
BillableChapter 7 - H53.413
Scotoma involving central area, bilateral
BillableChapter 7 - H53.419
Scotoma involving central area, unspecified eye
BillableChapter 7 - H53.431
Sector or arcuate defects, right eye
BillableChapter 7 - H53.432
Sector or arcuate defects, left eye
BillableChapter 7 - H53.433
Sector or arcuate defects, bilateral
BillableChapter 7 - H53.439
Sector or arcuate defects, unspecified eye
BillableChapter 7 - H53.451
Other localized visual field defect, right eye
BillableChapter 7 - H53.452
Other localized visual field defect, left eye
BillableChapter 7 - H53.453
Other localized visual field defect, bilateral
BillableChapter 7 - H53.459
Other localized visual field defect, unspecified eye
BillableChapter 7 - H53.461
Homonymous bilateral field defects, right side
BillableChapter 7 - H53.462
Homonymous bilateral field defects, left side
BillableChapter 7 - H53.469
Homonymous bilateral field defects, unspecified side
BillableChapter 7 - H53.47
Heteronymous bilateral field defects
BillableChapter 7 - H53.481
Generalized contraction of visual field, right eye
BillableChapter 7 - H53.482
Generalized contraction of visual field, left eye
BillableChapter 7 - H53.483
Generalized contraction of visual field, bilateral
BillableChapter 7 - H53.489
Generalized contraction of visual field, unspecified eye
BillableChapter 7 - H53.52
Acquired color vision deficiency
BillableChapter 7 - H55.00
Unspecified nystagmus
BillableChapter 7 - H55.02
Latent nystagmus
BillableChapter 7 - H55.04
Dissociated nystagmus
BillableChapter 7 - H55.81
Deficient saccadic eye movements
BillableChapter 7 - H57.00
Unspecified anomaly of pupillary function
BillableChapter 7 - H57.02
Anisocoria
BillableChapter 7 - H57.03
Miosis
BillableChapter 7 - H57.04
Mydriasis
BillableChapter 7 - H57.051
Tonic pupil, right eye
BillableChapter 7 - H57.052
Tonic pupil, left eye
BillableChapter 7 - H57.053
Tonic pupil, bilateral
BillableChapter 7 - H57.059
Tonic pupil, unspecified eye
BillableChapter 7 - H57.09
Other anomalies of pupillary function
BillableChapter 7 - Z45.31
Encounter for adjustment and management of implanted visual substitution device
BillableChapter 21
