MS-DRG 085: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
MS-DRG 085 is traumatic stupor and coma <1 hour with mcc, in MDC 01 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 2.2450, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 4.40 days. 119 ICD-10-CM principal diagnoses group into MS-DRGs 085–087 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 2.2450
- Geometric mean LOS
- 4.40
- Arithmetic mean LOS
- 6.10
- Post-acute transfer
- Yes
This DRG is subject to the post-acute care transfer policy: a discharge to a qualifying setting below the mean length of stay is paid per diem rather than in full.
Principal diagnoses that group to MS-DRGs 085–087
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 119 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 085–087 the case lands in. The 24 most-searched:
- S06.5X0ATraumatic subdural hemorrhage without loss of consciousness, initial encounter
- S02.0XXAFracture of vault of skull, initial encounter for closed fracture
- S02.109AFracture of base of skull, unspecified side, initial encounter for closed fracture
- S02.19XAOther fracture of base of skull, initial encounter for closed fracture
- S02.91XAUnspecified fracture of skull, initial encounter for closed fracture
- S06.360ATraumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter
- S06.5X2ATraumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.6X0ATraumatic subarachnoid hemorrhage without loss of consciousness, initial encounter
- S02.0XXBFracture of vault of skull, initial encounter for open fracture
- S02.101AFracture of base of skull, right side, initial encounter for closed fracture
- S02.101BFracture of base of skull, right side, initial encounter for open fracture
- S02.102AFracture of base of skull, left side, initial encounter for closed fracture
- S02.102BFracture of base of skull, left side, initial encounter for open fracture
- S02.109BFracture of base of skull, unspecified side, initial encounter for open fracture
- S02.110AType I occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.110BType I occipital condyle fracture, unspecified side, initial encounter for open fracture
- S02.111AType II occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.111BType II occipital condyle fracture, unspecified side, initial encounter for open fracture
- S02.112AType III occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.112BType III occipital condyle fracture, unspecified side, initial encounter for open fracture
- S02.113AUnspecified occipital condyle fracture, initial encounter for closed fracture
- S02.113BUnspecified occipital condyle fracture, initial encounter for open fracture
- S02.118AOther fracture of occiput, unspecified side, initial encounter for closed fracture
- S02.118BOther fracture of occiput, unspecified side, initial encounter for open fracture
95 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 085.
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 2.2450 | |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 1.3067 | -0.9383 |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 0.9223 | -1.3227 |
All FY2027 MS-DRGs · MDC 01