Find policies, billing codes, payers, states, and providers
Major Head and Neck Procedures with MCC: Inpatient Reimbursement Overview
DRG 140 applies to major head and neck surgeries accompanied by a Major Complication or Comorbidity and defines a higher resource-intensity category for inpatient cases. It matters for inpatient reimbursement because the assigned Diagnosis-Related Group determines Medicare payment levels tied to case complexity and resource consumption.
Customize your policy alerts
Sign up for Major Head and Neck Procedures with MCC: Inpatient Reimbursement Overview policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
DRG 140 Overview
DRG 140 covers major surgical procedures of the head and neck performed for significant pathology when a Major Complication or Comorbidity is present. Typical cases include extensive resections, complex reconstructions, or combined airway and oncologic procedures with significant physiologic impact. This Diagnosis-Related Group matters for Medicare payment because the presence of a Major Complication or Comorbidity increases relative resource use and influences inpatient reimbursement. Accurate coding and documentation of the Major Complication or Comorbidity are therefore central to correct payment assignment.