Find policies, billing codes, payers, states, and providers
Traumatic Injury with MCC: Inpatient Reimbursement Overview
DRG 913 encompasses severe traumatic injury admissions with a Major Complication or Comorbidity that drive higher clinical complexity and resource needs. Correct assignment affects inpatient reimbursement because Medicare Severity Diagnosis-Related Group payment is adjusted upward to account for increased expected costs associated with major complications or comorbidities.
Customize your policy alerts
Sign up for Traumatic Injury with MCC: Inpatient Reimbursement Overview policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
DRG 913 Overview
DRG 913 covers inpatient stays for patients admitted with severe traumatic injuries accompanied by a Major Complication or Comorbidity, reflecting high clinical complexity and resource use. This Diagnosis-Related Group groups cases where trauma care requires intensive interventions, extended monitoring, or multiple specialties. It matters for Medicare payment because classification into this DRG typically yields higher reimbursement to reflect greater expected costs and longer lengths of stay. Accurate coding and documentation of the Major Complication or Comorbidity drive appropriate assignment to this DRG.