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 CodesInjuries, Poisonings and Toxic Effects of DrugsDRG 914-traumatic-injury-without-mcc
    Ask Trek AI about this page

    Traumatic Injury without MCC: Inpatient Reimbursement Overview

    DRG 914 represents traumatic injury admissions without Major Complication or Comorbidity and encompasses a range of lower-severity orthopedic and soft-tissue trauma managed in the inpatient setting. Correct assignment matters for inpatient reimbursement because it determines the Medicare bundled payment rate for these less complex trauma cases and influences hospital revenue and resource use accounting.

    Customize your policy alerts

    Sign up for drg 914 policy alerts

    Get alerted when payer policies referencing 914 are released or updated.

    Monitor payer policy activity

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

    DRG 914 Overview

    DRG 914 covers inpatient admissions for patients with traumatic injuries who do not have Major Complication or Comorbidity. It typically includes cases where surgical or nonoperative management is provided for fractures, soft tissue injuries, or contusions without higher-severity systemic complications. This Diagnosis-Related Group matters for Medicare payment because it defines the bundled payment level for lower-severity trauma admissions and affects hospital reimbursement and coding intensity. Accurate assignment impacts payment, quality measurement, and resource tracking for trauma care.

    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 hemorrhage control and resuscitation strategies: randomized or observational studies testing different hemostatic approaches, fluid resuscitation protocols, or transfusion thresholds in adult patients presenting with traumatic injuries without major complications (no MCC). These studies focus on early in-hospital management during the initial emergency and operative phases to reduce blood loss, stabilize physiology, and shorten time in the emergency department or operating room. Results are highly relevant to providers for optimizing acute care pathways and to payers because improved early control can reduce length of stay, resource utilization, and downstream complications in this DRG.
    • Comparative effectiveness of surgical versus nonoperative management for specific blunt or penetrating injuries: prospective cohort studies and randomized trials comparing outcomes (pain, functional recovery, complication rates, and LOS) between minimally invasive or conservative treatment and traditional operative interventions in patients whose injury severity qualifies them for Traumatic Injury without MCC. These trials typically enroll subgroups such as stable patients with isolated fractures, soft-tissue injuries, or organ contusions, addressing the clinical question of when surgery confers meaningful benefit. Payers and hospital administrators use this evidence to refine care bundles, inform utilization management, and allocate surgical resources appropriately for cases captured by this DRG.
    • Post-discharge functional recovery and rehabilitation optimization: longitudinal outcome studies and pragmatic trials testing timing, intensity, and models of post-acute rehabilitation (physical therapy, occupational therapy, community-based programs) for patients discharged after traumatic injury without major complications. Research examines return-to-work, functional status, readmissions, and patient-reported outcomes over weeks to months, often stratified by age, comorbidity load, and injury type. This research informs discharge planning and case management decisions, helping providers and payers predict rehabilitation needs, prevent readmissions, and manage total episode costs for patients classified under this DRG.

    Related Codes

    901-WOUND-DEBRIDEMENTS-FOR-INJURIES-WITH-MCC

    Wound Debridements for Injuries with MCC: Inpatient Reimbursement Overview

    902-WOUND-DEBRIDEMENTS-FOR-INJURIES-WITH-CC

    Wound Debridements for Injuries with CC: Inpatient Reimbursement Overview

    903-WOUND-DEBRIDEMENTS-FOR-INJURIES-WITHOUT-CC-MCC

    Wound Debridements for Injuries without CC/MCC: Inpatient Reimbursement Overview

    904-SKIN-GRAFTS-FOR-INJURIES-WITH-CC-MCC

    Skin Grafts for Injuries with CC/MCC: Inpatient Reimbursement Overview

    905-SKIN-GRAFTS-FOR-INJURIES-WITHOUT-CC-MCC

    Skin Grafts for Injuries without CC/MCC: Inpatient Reimbursement Overview

    906-HAND-PROCEDURES-FOR-INJURIES

    Hand Procedures for Injuries: Inpatient Reimbursement Overview

    907-OTHER-O-R-PROCEDURES-FOR-INJURIES-WITH-MCC

    Other O.R. Procedures for Injuries with MCC: Inpatient Reimbursement Overview

    908-OTHER-O-R-PROCEDURES-FOR-INJURIES-WITH-CC

    Other O.R. Procedures for Injuries with CC: Inpatient Reimbursement Overview

    909-OTHER-O-R-PROCEDURES-FOR-INJURIES-WITHOUT-CC-MCC

    Other O.R. Procedures for Injuries without CC/MCC: Inpatient Reimbursement Overview

    913-TRAUMATIC-INJURY-WITH-MCC

    Traumatic Injury with MCC: Inpatient Reimbursement Overview

    Showing 1–10 of 19

    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.