Non-Extensive Burns: Inpatient Reimbursement Overview

DRG 935 addresses non-extensive burn injuries requiring inpatient hospital care, encompassing wound management and potential surgical interventions that are less complex than extensive burns. It matters for inpatient reimbursement because payment under the Diagnosis-Related Group framework is based on the documented clinical severity, procedures, and resource intensity of the burn episode.

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DRG 935 Overview

DRG 935 covers inpatient stays for non-extensive burn injuries that do not meet criteria for extensive burn classification, typically involving moderate total body surface area or localized deep burns. This Diagnosis-Related Group captures resource use related to wound care, debridement, grafting when applicable, pain management, and infection prevention. It matters for Medicare payment because reimbursement is intended to reflect the typical hospital resources required for burn care short of extensive burn complexity. Accurate clinical documentation of burn severity and procedures influences assignment to this Diagnosis-Related Group and corresponding payment.

Clinical Trials

Acute wound care intervention trials: randomized or controlled studies testing novel topical agents, dressing technologies, or adjunctive therapies (for example, enhanced antimicrobial dressings, moisture-retentive products, or negative-pressure wound therapy protocols) in hospitalized patients with non-extensive partial-thickness or mixed-depth burns. These studies enroll patients early in their inpatient course to evaluate time to epithelialization, infection rates, need for operative debridement, and length of stay. Results inform clinicians about interventions that can accelerate healing and reduce complications, and inform payers about potential reductions in resource use and readmissions.
Comparative effectiveness studies of surgical versus conservative strategies: prospective cohort or pragmatic trials comparing outcomes of early excision and grafting versus staged conservative management for patients with deeper non-extensive burns that straddle the threshold for operative treatment. These studies focus on functional outcomes, pain control, scar formation, rehabilitation needs, and total hospital costs across heterogeneous patient groups (different ages, comorbidities, and anatomic locations). Findings help providers tailor care pathways to patient risk profiles and help payers evaluate value between higher upfront procedural costs and long-term outcomes and resource utilization.
Post-discharge rehabilitation and long-term outcomes research: longitudinal observational studies or interventional trials assessing outpatient scar management, physical and occupational therapy regimens, psychosocial support interventions, and return-to-work outcomes for patients discharged after inpatient treatment of non-extensive burns. These studies target the subacute and chronic phases, measuring metrics such as range of motion, pain, scar quality, health-related quality of life, and subsequent healthcare visits or readmissions. Evidence from this research guides discharge planning, rehabilitation resource allocation, and coverage decisions aimed at reducing long-term disability and downstream costs.

Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft: Inpatient Reimbursement Overview

928-FULL-THICKNESS-BURN-WITH-SKIN-GRAFT-OR-INHALATION-INJURY-WITH-CC-MCC

DRG 928: Inpatient Reimbursement Overview

929-FULL-THICKNESS-BURN-WITH-SKIN-GRAFT-OR-INHALATION-INJURY-WITHOUT-CC-MCC

Full Thickness Burn with Skin Graft or Inhalation Injury without CC/MCC: Inpatient Reimbursement Overview

933-EXTENSIVE-BURNS-OR-FULL-THICKNESS-BURNS-WITH-MV-96-HOURS-WITHOUT-SKIN-GRAFT

Extensive Burns or Full Thickness Burns with MV >96 Hours without Skin Graft: Inpatient Reimbursement Overview

934-FULL-THICKNESS-BURN-WITHOUT-SKIN-GRAFT-OR-INHALATION-INJURY

Full Thickness Burn without Skin Graft or Inhalation Injury: Inpatient Reimbursement Overview

References

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.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.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.

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Clinical Trials

Acute wound care intervention trials: randomized or controlled studies testing novel topical agents, dressing technologies, or adjunctive therapies (for example, enhanced antimicrobial dressings, moisture-retentive products, or negative-pressure wound therapy protocols) in hospitalized patients with non-extensive partial-thickness or mixed-depth burns. These studies enroll patients early in their inpatient course to evaluate time to epithelialization, infection rates, need for operative debridement, and length of stay. Results inform clinicians about interventions that can accelerate healing and reduce complications, and inform payers about potential reductions in resource use and readmissions.
Comparative effectiveness studies of surgical versus conservative strategies: prospective cohort or pragmatic trials comparing outcomes of early excision and grafting versus staged conservative management for patients with deeper non-extensive burns that straddle the threshold for operative treatment. These studies focus on functional outcomes, pain control, scar formation, rehabilitation needs, and total hospital costs across heterogeneous patient groups (different ages, comorbidities, and anatomic locations). Findings help providers tailor care pathways to patient risk profiles and help payers evaluate value between higher upfront procedural costs and long-term outcomes and resource utilization.
Post-discharge rehabilitation and long-term outcomes research: longitudinal observational studies or interventional trials assessing outpatient scar management, physical and occupational therapy regimens, psychosocial support interventions, and return-to-work outcomes for patients discharged after inpatient treatment of non-extensive burns. These studies target the subacute and chronic phases, measuring metrics such as range of motion, pain, scar quality, health-related quality of life, and subsequent healthcare visits or readmissions. Evidence from this research guides discharge planning, rehabilitation resource allocation, and coverage decisions aimed at reducing long-term disability and downstream costs.

Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft: Inpatient Reimbursement Overview

928-FULL-THICKNESS-BURN-WITH-SKIN-GRAFT-OR-INHALATION-INJURY-WITH-CC-MCC

DRG 928: Inpatient Reimbursement Overview

929-FULL-THICKNESS-BURN-WITH-SKIN-GRAFT-OR-INHALATION-INJURY-WITHOUT-CC-MCC

Full Thickness Burn with Skin Graft or Inhalation Injury without CC/MCC: Inpatient Reimbursement Overview

933-EXTENSIVE-BURNS-OR-FULL-THICKNESS-BURNS-WITH-MV-96-HOURS-WITHOUT-SKIN-GRAFT

Extensive Burns or Full Thickness Burns with MV >96 Hours without Skin Graft: Inpatient Reimbursement Overview

934-FULL-THICKNESS-BURN-WITHOUT-SKIN-GRAFT-OR-INHALATION-INJURY

Full Thickness Burn without Skin Graft or Inhalation Injury: Inpatient Reimbursement Overview

References

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.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.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.

Non-Extensive Burns: Inpatient Reimbursement Overview

Sign up for drg 935 policy alerts

DRG 935 Overview

Non-Extensive Burns: Inpatient Reimbursement Overview

Sign up for drg 935 policy alerts

DRG 935 Overview

Clinical Trials

Related Codes

References

Clinical Trials

Related Codes

References