Patients who qualify for Acute Major Eye Infections will be grouped into a DRG according to the logic below.
| CC or MCC | DRG | Name | Type |
|---|---|---|---|
| Yes | 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | Medical |
| No | 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | Medical |
The tables below list the codes required to qualify for this subsection according to the logic listed above. By matching the codes on a patient's account to those listed below, you can work out how a patient will be grouped by the MS-DRG grouper. However, sometimes this can be difficult to work out by hand. If you are looking for automated DRG grouping software that can be integrated into your workflow, please let us know.
| Code | Description |
|---|---|
| H04.011 |
Acute dacryoadenitis, right lacrimal gland |
| H04.012 |
Acute dacryoadenitis, left lacrimal gland |
| H04.013 |
Acute dacryoadenitis, bilateral lacrimal glands |
| H04.019 |
Acute dacryoadenitis, unspecified lacrimal gland |
| H04.321 |
Acute dacryocystitis of right lacrimal passage |
| H04.322 |
Acute dacryocystitis of left lacrimal passage |
| H04.323 |
Acute dacryocystitis of bilateral lacrimal passages |
| H04.329 |
Acute dacryocystitis of unspecified lacrimal passage |
| H04.331 |
Acute lacrimal canaliculitis of right lacrimal passage |
| H04.332 |
Acute lacrimal canaliculitis of left lacrimal passage |
| H04.333 |
Acute lacrimal canaliculitis of bilateral lacrimal passages |
| H04.339 |
Acute lacrimal canaliculitis of unspecified lacrimal passage |
| H05.011 |
Cellulitis of right orbit |
| H05.012 |
Cellulitis of left orbit |
| H05.013 |
Cellulitis of bilateral orbits |
| H05.019 |
Cellulitis of unspecified orbit |
| H05.021 |
Osteomyelitis of right orbit |
| H05.022 |
Osteomyelitis of left orbit |
| H05.023 |
Osteomyelitis of bilateral orbits |
| H05.029 |
Osteomyelitis of unspecified orbit |
| H05.031 |
Periostitis of right orbit |
| H05.032 |
Periostitis of left orbit |
| H05.033 |
Periostitis of bilateral orbits |
| H05.039 |
Periostitis of unspecified orbit |
| H05.041 |
Tenonitis of right orbit |
| H05.042 |
Tenonitis of left orbit |
| H05.043 |
Tenonitis of bilateral orbits |
| H05.049 |
Tenonitis of unspecified orbit |
| H16.001 |
Unspecified corneal ulcer, right eye |
| H16.002 |
Unspecified corneal ulcer, left eye |
| H16.003 |
Unspecified corneal ulcer, bilateral |
| H16.009 |
Unspecified corneal ulcer, unspecified eye |
| H16.011 |
Central corneal ulcer, right eye |
| H16.012 |
Central corneal ulcer, left eye |
| H16.013 |
Central corneal ulcer, bilateral |
| H16.019 |
Central corneal ulcer, unspecified eye |
| H16.031 |
Corneal ulcer with hypopyon, right eye |
| H16.032 |
Corneal ulcer with hypopyon, left eye |
| H16.033 |
Corneal ulcer with hypopyon, bilateral |
| H16.039 |
Corneal ulcer with hypopyon, unspecified eye |
| H16.061 |
Mycotic corneal ulcer, right eye |
| H16.062 |
Mycotic corneal ulcer, left eye |
| H16.063 |
Mycotic corneal ulcer, bilateral |
| H16.069 |
Mycotic corneal ulcer, unspecified eye |
| H16.071 |
Perforated corneal ulcer, right eye |
| H16.072 |
Perforated corneal ulcer, left eye |
| H16.073 |
Perforated corneal ulcer, bilateral |
| H16.079 |
Perforated corneal ulcer, unspecified eye |
| H16.311 |
Corneal abscess, right eye |
| H16.312 |
Corneal abscess, left eye |
| H16.313 |
Corneal abscess, bilateral |
| H16.319 |
Corneal abscess, unspecified eye |
| H21.331 |
Parasitic cyst of iris, ciliary body or anterior chamber, right eye |
| H21.332 |
Parasitic cyst of iris, ciliary body or anterior chamber, left eye |
| H21.333 |
Parasitic cyst of iris, ciliary body or anterior chamber, bilateral |
| H21.339 |
Parasitic cyst of iris, ciliary body or anterior chamber, unspecified eye |
| H33.121 |
Parasitic cyst of retina, right eye |
| H33.122 |
Parasitic cyst of retina, left eye |
| H33.123 |
Parasitic cyst of retina, bilateral |
| H33.129 |
Parasitic cyst of retina, unspecified eye |
| H44.001 |
Unspecified purulent endophthalmitis, right eye |
| H44.002 |
Unspecified purulent endophthalmitis, left eye |
| H44.003 |
Unspecified purulent endophthalmitis, bilateral |
| H44.009 |
Unspecified purulent endophthalmitis, unspecified eye |
| H44.011 |
Panophthalmitis (acute), right eye |
| H44.012 |
Panophthalmitis (acute), left eye |
| H44.013 |
Panophthalmitis (acute), bilateral |
| H44.019 |
Panophthalmitis (acute), unspecified eye |
| H44.021 |
Vitreous abscess (chronic), right eye |
| H44.022 |
Vitreous abscess (chronic), left eye |
| H44.023 |
Vitreous abscess (chronic), bilateral |
| H44.029 |
Vitreous abscess (chronic), unspecified eye |
| H44.121 |
Parasitic endophthalmitis, unspecified, right eye |
| H44.122 |
Parasitic endophthalmitis, unspecified, left eye |
| H44.123 |
Parasitic endophthalmitis, unspecified, bilateral |
| H44.129 |
Parasitic endophthalmitis, unspecified, unspecified eye |
| H44.19 |
Other endophthalmitis |
We build tools and machine learning systems that simplify healthcare revenue cycle operations. We were frustrated with the formatting of the MS-DRG rules, so we built our own solution.
MS-DRG rules and ICD-10 CM/PCS codes are automatically parsed from CMS's MS-DRG data files. All content is provided strictly “AS IS” and may contain parsing errors. If you spot an error, please let us know.
We have converted the MS-DRG logic into fully structured, machine-readable data. If you need structured data versions of the MS-DRG manuals, we would love to talk with you.