116 MS-DRG: INTRAOCULAR PROCEDURES WITH CC/MCC
MS-DRG 116 groups Medicare inpatient hospital stays for: INTRAOCULAR PROCEDURES WITH CC/MCC. 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 Category | MDC 02 — Diseases and Disorders of the Eye |
| DRG Type | Surgical |
| Severity Level | CC/MCC |
| Relative Weight | 1.6005 |
| Relative Weight (10% Cap Applied) | 1.6273 |
| Geometric Mean Length of Stay | 4 days |
| Arithmetic Mean Length of Stay | 6.1 days |
| Post-Acute Transfer DRG | No |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
296 procedure codes appear in its surgical logic (Intraocular Procedures: 296): 08123J4, 08123K4, 08123Z4, 08133J4, 08133K4, 08133Z4, 08523ZZ, 08533ZZ, 08543ZZ, 08553ZZ, 085A0ZZ, 085A3ZZ and 284 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 3 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)
- 3. Intraocular Procedures (DRGs 116-117) — this DRG
From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 116 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
- MDC 02 — Diseases and Disorders of the Eye[MDC]— CMS MS-DRG Definitions Manual · FY2027
Defining procedures (296)
- 08123J4 — Bypass Right Anterior Chamber to Sclera with Synthetic Substitute, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 08123K4 — Bypass Right Anterior Chamber to Sclera with Nonautologous Tissue Substitute, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 08123Z4 — Bypass Right Anterior Chamber to Sclera, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 08133J4 — Bypass Left Anterior Chamber to Sclera with Synthetic Substitute, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 08133K4 — Bypass Left Anterior Chamber to Sclera with Nonautologous Tissue Substitute, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 08133Z4 — Bypass Left Anterior Chamber to Sclera, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 08523ZZ — Destruction of Right Anterior Chamber, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 08533ZZ — Destruction of Left Anterior Chamber, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 288 more
DRG family
- DRG 117 — INTRAOCULAR PROCEDURES WITHOUT CC/MCC[DRG family]: “INTRAOCULAR PROCEDURES WITHOUT CC/MCC — same CMS DRG family (116-117), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 116-117) · FY2027
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