MS-DRG 080: NONTRAUMATIC STUPOR AND COMA WITH MCC

Principal diagnoses that group to MS-DRGs 080–081

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 44 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 080–081 the case lands in. The 24 most-searched:

• R40.0Somnolence
• G93.5Compression of brain
• R40.20Unspecified coma
• G93.6Cerebral edema
• R40.1Stupor
• R40.3Persistent vegetative state
• E03.5Myxedema coma
• G93.82Brain death
• R40.2110Coma scale, eyes open, never, unspecified time
• R40.2111Coma scale, eyes open, never, in the field [EMT or ambulance]
• R40.2112Coma scale, eyes open, never, at arrival to emergency department
• R40.2113Coma scale, eyes open, never, at hospital admission
• R40.2114Coma scale, eyes open, never, 24 hours or more after hospital admission
• R40.2120Coma scale, eyes open, to pain, unspecified time
• R40.2121Coma scale, eyes open, to pain, in the field [EMT or ambulance]
• R40.2122Coma scale, eyes open, to pain, at arrival to emergency department
• R40.2123Coma scale, eyes open, to pain, at hospital admission
• R40.2124Coma scale, eyes open, to pain, 24 hours or more after hospital admission
• R40.2210Coma scale, best verbal response, none, unspecified time
• R40.2211Coma scale, best verbal response, none, in the field [EMT or ambulance]
• R40.2212Coma scale, best verbal response, none, at arrival to emergency department
• R40.2213Coma scale, best verbal response, none, at hospital admission
• R40.2214Coma scale, best verbal response, none, 24 hours or more after hospital admission
• R40.2220Coma scale, best verbal response, incomprehensible words, unspecified time

20 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.

The severity splits

Same base DRG, split by whether a secondary diagnosis is a CC or MCC. The last column is the weight change from MS-DRG 080.