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    v1.0.30
    OpenPayerBilling CodesMultiple Significant TraumaDRG 958-other-o-r-procedures-for-multiple-significant-trauma-with-cc
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    Other O.R. Procedures for Multiple Significant Trauma with CC: Inpatient Reimbursement Overview

    DRG 958 pertains to patients with multiple significant trauma who undergo other operating room procedures and have at least one Complication or Comorbidity; it encompasses complex surgical and perioperative care needs. This classification matters for inpatient reimbursement because it reflects higher resource intensity and guides Centers for Medicare & Medicaid Services payment for these trauma surgical admissions.

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    DRG 958 Overview

    DRG 958 covers hospital admissions for patients with multiple significant traumatic injuries who undergo other operating room procedures and have at least one Complication or Comorbidity. This Diagnosis-Related Group groups complex surgical trauma cases to align payment with higher resource use driven by operative interventions and concurrent medical issues. It matters for Medicare payment because case-mix classification affects reimbursement amounts and influences hospital billing and documentation priorities. Accurate assignment impacts resource allocation and hospital revenue recognition.

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    Clinical Trials

    • Studies of operative techniques and perioperative protocols for emergent exploratory laparotomy, thoracotomy, and vascular repairs in multiply injured trauma patients with at least one major complication (for example, hemorrhagic shock or organ failure). These acute interventional trials focus on optimizing timing, surgical approaches, and adjunctive intraoperative measures in adult and adolescent patients who require complex O.R. procedures in the setting of multiple significant injuries; investigators examine endpoints such as intraoperative blood loss, need for reoperation, early mortality, and resource utilization. This research is relevant to surgeons, trauma programs, and payers because improvements in emergent operative care can reduce ICU length of stay, transfusion needs, and downstream costs associated with complications that drive assignment to a CC-level DRG.
    • Comparative effectiveness studies evaluating different damage-control strategies, resuscitation bundles, and bundled perioperative care pathways (including rapid control of contamination, staged repair versus definitive repair, and standardized massive transfusion protocols) in patients with multiple traumatic injuries and comorbid complications. These studies enroll heterogeneous trauma cohorts stratified by injury severity, presence of complicating conditions (for example, sepsis or significant cardiopulmonary disease), or age groups to assess outcomes such as complications, functional recovery, readmission, and cost per episode. For providers and payers, these trials help identify care pathways that balance clinical effectiveness against resource intensity for patients who fall into DRG 958, informing protocol adoption and reimbursement strategies that target high-cost drivers.
    • Post-discharge outcomes and rehabilitation trials that investigate inpatient-to-outpatient transitions, early mobility, wound and graft management, and multidisciplinary rehabilitation interventions in survivors of multiple significant trauma who underwent major O.R. procedures and experienced complications. These observational cohorts or randomized pragmatic studies follow patients through recovery to measure long-term functional status, return to work, prosthetic needs, and downstream healthcare utilization, with attention to predictors of high-cost post-acute care. Such research guides hospitals and payers on investments in inpatient discharge planning, specialized rehabilitation services, and targeted case-management programs to reduce readmissions and total cost of care for this high-risk DRG population.

    Related Codes

    955-CRANIOTOMY-FOR-MULTIPLE-SIGNIFICANT-TRAUMA

    Craniotomy for Multiple Significant Trauma: Inpatient Reimbursement Overview

    956-LIMB-REATTACHMENT-HIP-AND-FEMUR-PROCEDURES-FOR-MULTIPLE-SIGNIFICANT-TRAUMA

    Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma: Inpatient Reimbursement Overview

    957-OTHER-O-R-PROCEDURES-FOR-MULTIPLE-SIGNIFICANT-TRAUMA-WITH-MCC

    Other O.R. Procedures for Multiple Significant Trauma with MCC: Inpatient Reimbursement Overview

    959-OTHER-O-R-PROCEDURES-FOR-MULTIPLE-SIGNIFICANT-TRAUMA-WITHOUT-CC-MCC

    Other O.R. Procedures for Multiple Significant Trauma without CC/MCC: Inpatient Reimbursement Overview

    963-OTHER-MULTIPLE-SIGNIFICANT-TRAUMA-WITH-MCC

    Other Multiple Significant Trauma with MCC: Inpatient Reimbursement Overview

    964-OTHER-MULTIPLE-SIGNIFICANT-TRAUMA-WITH-CC

    Other Multiple Significant Trauma with CC: Inpatient Reimbursement Overview

    965-OTHER-MULTIPLE-SIGNIFICANT-TRAUMA-WITHOUT-CC-MCC

    Other Multiple Significant Trauma without CC/MCC: Inpatient Reimbursement Overview

    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.
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