Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • 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.

    v1.0.30
    OpenPayerBilling CodesDiseases and Disorders of the Ear, Nose, Mouth and ThroatDRG 142-major-head-and-neck-procedures-without-cc-mcc
    Ask Trek AI about this page

    Major Head and Neck Procedures without CC/MCC: Inpatient Reimbursement Overview

    DRG 142 represents major head and neck procedures without Complication or Comorbidity or Major Complication or Comorbidity, covering extensive resections and reconstructions. Proper classification under this Diagnosis-Related Group affects inpatient reimbursement by aligning payment with expected resource use for Medicare hospital stays.

    Customize your policy alerts

    Sign up for drg 142 policy alerts

    Get alerted when payer policies referencing 142 are released or updated.

    Monitor payer policy activity

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

    DRG 142 Overview

    DRG 142 covers major head and neck surgical procedures without a Complication or Comorbidity or Major Complication or Comorbidity present, typically including extensive resections and complex reconstructive techniques for tumors or severe disease. This category groups inpatient stays with similar resource use and clinical complexity for Medicare payment purposes. Accurate clinical coding and documentation determine assignment to this Diagnosis-Related Group and therefore impact Medicare inpatient reimbursement. The classification separates higher-acuity cases with Complication or Comorbidity or Major Complication or Comorbidity into different payment tiers.

    Table of contents

    Progress1 / 3

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • Facility ComparisonBeds, revenue & payer mix
    • 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 perioperative airway management and complication reduction trials: randomized or observational studies that evaluate protocols, devices, or techniques to prevent airway compromise, hemorrhage, and aspiration during and immediately after major head and neck procedures (e.g., extensive resections, flap reconstructions, laryngectomy-related operations). These studies enroll adult surgical inpatients with complex head and neck pathology who require advanced airway plans or tracheostomy and aim to measure rates of reintubation, emergency airway interventions, perioperative bleeding, and ICU utilization. Findings inform clinicians about best practices to reduce short-term morbidity and inform payers about expected resource use and potential cost drivers in the index hospitalization.
    • Comparative effectiveness studies of reconstructive approaches and perioperative pathways: multicenter cohort or randomized studies comparing techniques such as free flap versus regional flap reconstruction, or enhanced recovery after surgery (ERAS) protocols versus standard care, for patients undergoing major oncologic head and neck resections. These trials focus on functional outcomes (swallowing, speech), length of stay, complication rates (flap failure, wound infection), and need for revision procedures in patients with cancer-related resections, and provide evidence to guide surgical decision making and bundled payment or utilization management strategies.
    • Post-discharge recovery, rehabilitation, and readmission prevention studies: prospective observational or intervention trials targeting the post-acute phase, testing structured outpatient rehabilitation programs, telehealth follow-up, nutrition/feeding tube weaning protocols, or care coordination interventions to reduce readmissions and improve long-term functional recovery. Enrolled patients are those discharged after major head and neck surgery who face complex needs (airway care, trach management, dysphagia, wound care), and results are directly relevant to providers and payers seeking to lower 30-day readmissions, optimize post-acute resource allocation, and improve quality metrics tied to this DRG.

    Related Codes

    135-SINUS-AND-MASTOID-PROCEDURES-WITH-CC-MCC

    Sinus and Mastoid Procedures with CC/MCC: Inpatient Reimbursement Overview

    136-SINUS-AND-MASTOID-PROCEDURES-WITHOUT-CC-MCC

    Sinus and Mastoid Procedures without CC/MCC: Inpatient Reimbursement Overview

    137-MOUTH-PROCEDURES-WITH-CC-MCC

    Mouth Procedures with CC/MCC: Inpatient Reimbursement Overview

    138-MOUTH-PROCEDURES-WITHOUT-CC-MCC

    Mouth Procedures without CC/MCC: Inpatient Reimbursement Overview

    139-SALIVARY-GLAND-PROCEDURES

    Salivary Gland Procedures: Inpatient Reimbursement Overview

    140-MAJOR-HEAD-AND-NECK-PROCEDURES-WITH-MCC

    Major Head and Neck Procedures with MCC: Inpatient Reimbursement Overview

    141-MAJOR-HEAD-AND-NECK-PROCEDURES-WITH-CC

    Major Head and Neck Procedures with CC: Inpatient Reimbursement Overview

    143-OTHER-EAR-NOSE-MOUTH-AND-THROAT-O-R-PROCEDURES-WITH-MCC

    Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC: Inpatient Reimbursement Overview

    144-OTHER-EAR-NOSE-MOUTH-AND-THROAT-O-R-PROCEDURES-WITH-CC

    Other Ear, Nose, Mouth and Throat O.R. Procedures with CC: Inpatient Reimbursement Overview

    145-OTHER-EAR-NOSE-MOUTH-AND-THROAT-O-R-PROCEDURES-WITHOUT-CC-MCC

    Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC: Inpatient Reimbursement Overview

    Showing 1–10 of 24

    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.