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MS-DRGSurgical

115 MS-DRG: EXTRAOCULAR PROCEDURES EXCEPT ORBIT

MS-DRG 115 groups Medicare inpatient hospital stays for: EXTRAOCULAR PROCEDURES EXCEPT ORBIT. This is a surgical MS-DRG. It falls under MDC 02 (Diseases and Disorders of the Eye).

Payment & Classification Data

Official CMS values from the FY2027 IPPS Final Rule Table 5.

Major Diagnostic CategoryMDC 02 — Diseases and Disorders of the Eye
DRG TypeSurgical
Severity LevelN/A
Relative Weight1.4797
Relative Weight (10% Cap Applied)1.4797
Geometric Mean Length of Stay3.7 days
Arithmetic Mean Length of Stay4.9 days
Post-Acute Transfer DRGNo
Special Pay Transfer DRGNo

Defining Codes (FY2027)

722 procedure codes appear in its surgical logic (Extraocular Procedures Except Orbit: 722): 039S0ZX, 039S4ZX, 039T0ZX, 039T4ZX, 03BS0ZX, 03BS3ZX, 03BS4ZX, 03BT0ZX, 03BT3ZX, 03BT4ZX, 081X0J3, 081X0K3 and 710 more.

From the CMS MS-DRG Definitions Manual (Appendices B and E). Assignment also depends on severity, discharge status and the rest of the claim.

Surgical Precedence (FY2027)

Within MDC 02, this DRG ranks 2 of 3 in CMS's surgical-class precedence order. When a claim qualifies for more than one surgical DRG in this MDC, the highest-ranked class applies.

  • 1. Orbital Procedures (DRGs 113-114)
  • 2. Extraocular Procedures Except Orbit (DRGs 115) — this DRG
  • 3. Intraocular Procedures (DRGs 116-117)

From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 115 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Major Diagnostic Category

Defining procedures (722)

Read from: CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44. All data sources · How to read the labels · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources