Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesDiseases and Disorders of the Nervous SystemDRG 083-traumatic-stupor-and-coma-1-hour-with-cc
    Ask Trek AI about this page

    Traumatic Stupor and Coma >1 Hour with CC: Inpatient Reimbursement Overview

    DRG 083 addresses traumatic stupor and coma lasting more than one hour with a Complication or Comorbidity, encompassing severe traumatic brain injury requiring substantial hospital resources. This matters for inpatient reimbursement because it defines a higher-acuity Diagnosis-Related Group that influences Centers for Medicare & Medicaid Services payment and hospital resource recognition.

    Customize your policy alerts

    Sign up for drg 083 policy alerts

    Get alerted when payer policies referencing 083 are released or updated.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    DRG 083 Overview

    DRG 083 covers inpatient admissions for traumatic stupor and coma lasting more than one hour when a Complication or Comorbidity is present. This Diagnosis-Related Group captures severe traumatic brain injury cases requiring intensive evaluation and management, often involving neurosurgical consultation, prolonged monitoring, and complex supportive care. It matters for Centers for Medicare & Medicaid Services payment because it groups high-resource neurologic trauma admissions into a defined reimbursement category that affects inpatient payment rates and hospital case mix considerations.

    Table of contents

    Progress1 / 3

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Clinical Trials

    • Acute neuroprotective and resuscitation intervention trials: randomized controlled or adaptive platform studies investigating early neuroprotective strategies, optimized intracranial pressure management, timing and modality of decompressive craniectomy, or targeted hemodynamic protocols in the immediate post-injury period. These trials enroll adult patients admitted with traumatic stupor or coma lasting >1 hour (moderate to severe traumatic brain injury) and focus on early in-hospital interventions performed in the ICU or operating room to limit secondary brain injury. Results are highly relevant to providers for guiding acute care pathways and to payers because early interventions drive ICU length of stay, resource intensity, and short-term mortality and morbidity costs.
    • Comparative effectiveness and care pathway studies across the inpatient episode: observational cohort studies, pragmatic trials, or registry-based analyses comparing different bundles of in-hospital management such as variations in monitoring intensity (invasive ICP monitoring vs. noninvasive strategies), sedation and ventilation protocols, timing of mobilization, and multidisciplinary care models. These studies target the heterogeneous population of hospitalized patients with traumatic coma >1 hour to determine which combinations of routinely used approaches best reduce complications (pneumonia, DVT, secondary ischemia), shorten ventilator days, and improve functional discharge disposition. Findings inform clinical guidelines and resource allocation decisions for hospitals and payers by identifying cost-effective care pathways that reduce complications, readmissions, and downstream rehabilitation needs.
    • Post-discharge recovery, rehabilitation, and long-term outcomes research: longitudinal cohort studies and intervention trials assessing inpatient-to-outpatient transition models, early versus delayed intensive rehab, cognitive and functional rehabilitation modalities, and prediction models for long-term disability and healthcare utilization in survivors of traumatic coma. These studies enroll patients who survive the initial hospitalization under this DRG and examine outcomes such as functional independence, return to work, neurocognitive recovery, caregiver burden, and long-term healthcare costs over months to years. For providers and payers, this research is critical to plan rehabilitation resources, anticipate durable medical needs, design bundled-payment or case-management programs, and identify early markers during the inpatient stay that predict high-cost long-term utilization.

    Related Codes

    020-INTRACRANIAL-VASCULAR-PROCEDURES-WITH-PRINCIPAL-DIAGNOSIS-HEMORRHAGE-WITH-MCC

    Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC: Inpatient Reimbursement Overview

    021-INTRACRANIAL-VASCULAR-PROCEDURES-WITH-PRINCIPAL-DIAGNOSIS-HEMORRHAGE-WITH-CC

    Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC: Inpatient Reimbursement Overview

    022-INTRACRANIAL-VASCULAR-PROCEDURES-WITH-PRINCIPAL-DIAGNOSIS-HEMORRHAGE-WITHOUT-CC-MCC

    Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC: Inpatient Reimbursement Overview

    023-CRANIOTOMY-WITH-MAJOR-DEVICE-IMPLANT-OR-ACUTE-COMPLEX-CNS-PRINCIPAL-DIAGNOSIS-WITH-MCC-OR-ANTINEOPLASTIC-IMPLANT-OR-EPILEPSY-WITH-NEUROSTIMULATOR

    Craniotomy with Major Device Implant or Complex CNS DRG 023: Inpatient Reimbursement Overview

    024-CRANIOTOMY-WITH-MAJOR-DEVICE-IMPLANT-OR-ACUTE-COMPLEX-CNS-PRINCIPAL-DIAGNOSIS-WITHOUT-MCC

    Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC: Inpatient Reimbursement Overview

    025-CRANIOTOMY-AND-ENDOVASCULAR-INTRACRANIAL-PROCEDURES-WITH-MCC

    Craniotomy and Endovascular Intracranial Procedures with MCC: Inpatient Reimbursement Overview

    026-CRANIOTOMY-AND-ENDOVASCULAR-INTRACRANIAL-PROCEDURES-WITH-CC

    Craniotomy and Endovascular Intracranial Procedures with CC: Inpatient Reimbursement Overview

    027-CRANIOTOMY-AND-ENDOVASCULAR-INTRACRANIAL-PROCEDURES-WITHOUT-CC-MCC

    Craniotomy and Endovascular Intracranial Procedures without CC/MCC: Inpatient Reimbursement Overview

    028-SPINAL-PROCEDURES-WITH-MCC

    Spinal Procedures with MCC: Inpatient Reimbursement Overview

    029-SPINAL-PROCEDURES-WITH-CC-OR-SPINAL-NEUROSTIMULATORS

    Spinal Procedures with CC or Spinal Neurostimulators: Inpatient Reimbursement Overview

    Showing 1–10 of 71

    • More pages

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.