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See a sample rate comparisonMS-DRG 122 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of the Eye |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 122 by major payers:
$8,271.96
$10,050.47
$10,862.94
$11,195.49
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MS-DRG 122
5 of 25 sample ratesHigher to lower in this preview
The New York And Presbyterian Hospital, New York-Presbyterian Hospital
The New York And Presbyterian Hospital
$23,416.94Published rateSteward Nsmc, Inc., Psych
$12,783.91Published ratePresence Central And Suburban Hospitals Network, Presence Saint Joseph Medical Center-Rehab Unit
$8,657.13Published rateGenesis Health System, Genesis Medical Center Davenport
Genesis Health System
$7,381.93Published rateHouston County Healthcare Authority, Southeast Alabama Medical Center
$3,083.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 122 vs. Other Diseases & Disorders of the Eye Codes
The MS-DRG 122 code is part of the Diseases & Disorders of the Eye services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The MS-DRG 122 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 121-APR-DRG | High | OTHER RESPIRATORY & CHEST PROCEDURES |
| 121-MS-DRG | High | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC |
| 122-MS-DRG | High | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC |
| 123-MS-DRG | High | NEUROLOGICAL EYE DISORDERS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 122. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 122 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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