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089

MS-DRG 089 — CONCUSSION WITH CC

DRGMedicalMDC 01

FY2026 payment factors

Relative weight
1.0986
Geometric mean LOS
2.50
Arithmetic mean LOS
3.30
Post-acute transfer
No

Other DRGs in MDC 01

The with-MCC, with-CC and without-CC/MCC splits usually sit next to each other here. Those are what a documentation query is actually deciding between, and the weight gap between them is why the query is worth raising.

  • 020INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC7.8688
  • 021INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC5.2938
  • 022INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC3.1774
  • 023CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR5.7303
  • 024CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC3.9119
  • 025CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC4.5467
  • 026CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC3.1092
  • 027CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC2.5229
  • 028SPINAL PROCEDURES WITH MCC6.0083
  • 029SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS3.4116
  • 030SPINAL PROCEDURES WITHOUT CC/MCC2.1952
  • 031VENTRICULAR SHUNT PROCEDURES WITH MCC4.4805
  • 032VENTRICULAR SHUNT PROCEDURES WITH CC2.1310
  • 033VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC1.6629
  • 034CAROTID ARTERY STENT PROCEDURES WITH MCC3.8707
  • 035CAROTID ARTERY STENT PROCEDURES WITH CC2.3905
  • 036CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC1.9428
  • 037EXTRACRANIAL PROCEDURES WITH MCC3.2921
  • 038EXTRACRANIAL PROCEDURES WITH CC1.6226
  • 039EXTRACRANIAL PROCEDURES WITHOUT CC/MCC1.1755
  • 040PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC3.8612
  • 041PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR2.1987
  • 042PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC1.7277
  • 052SPINAL DISORDERS AND INJURIES WITH CC/MCC1.8113
  • 053SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC0.9792
  • 054NERVOUS SYSTEM NEOPLASMS WITH MCC1.5269
  • 055NERVOUS SYSTEM NEOPLASMS WITHOUT MCC1.0196
  • 056DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC2.3231
  • 057DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC1.2956
  • 058MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC1.7095
  • 059MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC1.2409
  • 060MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC0.9198
  • 061ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC2.7571
  • 062ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC1.7572
  • 063ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC1.4038
  • 064INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC2.0110
  • 065INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS1.0103
  • 066INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC0.6844
  • 067PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC1.4687
  • 068PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC0.8644

Working the claim behind this DRG

A DRG is assigned from the diagnoses and procedures already on the claim, so the questions that decide MS-DRG 089 are coding questions. Look the principal diagnosis up in the full ICD-10-CM tabular list with its Excludes1 and “code first” notes attached, or start from the condition instead of the code in the codes-by-condition index. For the secondary diagnoses that move a case between the with-MCC, with-CC and without-CC/MCC splits, paste the whole set into the free claim scrubber and see which pairs collide before the claim goes out — no account, no card.

The supplies, drugs and devices billed alongside an inpatient stay are HCPCS Level II, listed in full at HCPCS by section. If the claim comes back rejected, the denial code index explains what each CARC actually means and what to do about it, and the decision guides walk the sequencing calls that most often cause one — sepsis and diabetes above all.

Every one of those is free and needs no account. This page is the payment table: it says what MS-DRG 089 is worth. Which medical DRG a set of diagnoses lands in is the workspace’s DRG impact check, from the CMS CC/MCC lists; it does not group surgical cases.

MS-DRG (IPPS Table 5)FY2026