DRG 086

Medical DRG

Traumatic Stupor and Coma <1 Hour with CC

TypeMedicalMDC01Dx Codes112

What is MS-DRG 086?

MS-DRG 086 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 01 (MDC 01) with a Complication or Comorbidity (CC). It maps to 112 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.3027 with a geometric mean length of stay of 2.9 days and an arithmetic mean of 3.6 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
112 diagnosis
Billable Dx
100%
112 of 112 shown

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
1.3027
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
2.9 days
Used for transfer payment calculations
Arithmetic Mean LOS
3.6 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
085Traumatic Stupor and Coma <1 Hour with MCC2.27194.6 days
086Traumatic Stupor and Coma <1 Hour with CCThis page1.30272.9 days
087Traumatic Stupor and Coma <1 Hour without CC/MCC0.91471.9 days

Linked ICD-10-CM Diagnosis Mappings

  • S02.0XXA

    Fracture of vault of skull, initial encounter for closed fracture

    BillableChapter 19
  • S02.0XXB

    Fracture of vault of skull, initial encounter for open fracture

    BillableChapter 19
  • S02.101A

    Fracture of base of skull, right side, initial encounter for closed fracture

    BillableChapter 19
  • S02.101B

    Fracture of base of skull, right side, initial encounter for open fracture

    BillableChapter 19
  • S02.102A

    Fracture of base of skull, left side, initial encounter for closed fracture

    BillableChapter 19
  • S02.102B

    Fracture of base of skull, left side, initial encounter for open fracture

    BillableChapter 19
  • S02.109A

    Fracture of base of skull, unspecified side, initial encounter for closed fracture

    BillableChapter 19
  • S02.109B

    Fracture of base of skull, unspecified side, initial encounter for open fracture

    BillableChapter 19
  • S02.110A

    Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture

    BillableChapter 19
  • S02.110B

    Type I occipital condyle fracture, unspecified side, initial encounter for open fracture

    BillableChapter 19
  • S02.111A

    Type II occipital condyle fracture, unspecified side, initial encounter for closed fracture

    BillableChapter 19
  • S02.111B

    Type II occipital condyle fracture, unspecified side, initial encounter for open fracture

    BillableChapter 19
  • S02.112A

    Type III occipital condyle fracture, unspecified side, initial encounter for closed fracture

    BillableChapter 19
  • S02.112B

    Type III occipital condyle fracture, unspecified side, initial encounter for open fracture

    BillableChapter 19
  • S02.113A

    Unspecified occipital condyle fracture, initial encounter for closed fracture

    BillableChapter 19
  • S02.113B

    Unspecified occipital condyle fracture, initial encounter for open fracture

    BillableChapter 19
  • S02.118A

    Other fracture of occiput, unspecified side, initial encounter for closed fracture

    BillableChapter 19
  • S02.118B

    Other fracture of occiput, unspecified side, initial encounter for open fracture

    BillableChapter 19
  • S02.119A

    Unspecified fracture of occiput, initial encounter for closed fracture

    BillableChapter 19
  • S02.119B

    Unspecified fracture of occiput, initial encounter for open fracture

    BillableChapter 19
  • S02.11AA

    Type I occipital condyle fracture, right side, initial encounter for closed fracture

    BillableChapter 19
  • S02.11AB

    Type I occipital condyle fracture, right side, initial encounter for open fracture

    BillableChapter 19
  • S02.11BA

    Type I occipital condyle fracture, left side, initial encounter for closed fracture

    BillableChapter 19
  • S02.11BB

    Type I occipital condyle fracture, left side, initial encounter for open fracture

    BillableChapter 19
  • S02.11CA

    Type II occipital condyle fracture, right side, initial encounter for closed fracture

    BillableChapter 19
  • S02.11CB

    Type II occipital condyle fracture, right side, initial encounter for open fracture

    BillableChapter 19
  • S02.11DA

    Type II occipital condyle fracture, left side, initial encounter for closed fracture

    BillableChapter 19
  • S02.11DB

    Type II occipital condyle fracture, left side, initial encounter for open fracture

    BillableChapter 19
  • S02.11EA

    Type III occipital condyle fracture, right side, initial encounter for closed fracture

    BillableChapter 19
  • S02.11EB

    Type III occipital condyle fracture, right side, initial encounter for open fracture

    BillableChapter 19
  • S02.11FA

    Type III occipital condyle fracture, left side, initial encounter for closed fracture

    BillableChapter 19
  • S02.11FB

    Type III occipital condyle fracture, left side, initial encounter for open fracture

    BillableChapter 19
  • S02.11GA

    Other fracture of occiput, right side, initial encounter for closed fracture

    BillableChapter 19
  • S02.11GB

    Other fracture of occiput, right side, initial encounter for open fracture

    BillableChapter 19
  • S02.11HA

    Other fracture of occiput, left side, initial encounter for closed fracture

    BillableChapter 19
  • S02.11HB

    Other fracture of occiput, left side, initial encounter for open fracture

    BillableChapter 19
  • S02.121A

    Fracture of orbital roof, right side, initial encounter for closed fracture

    BillableChapter 19
  • S02.121B

    Fracture of orbital roof, right side, initial encounter for open fracture

    BillableChapter 19
  • S02.122A

    Fracture of orbital roof, left side, initial encounter for closed fracture

    BillableChapter 19
  • S02.122B

    Fracture of orbital roof, left side, initial encounter for open fracture

    BillableChapter 19
  • S02.129A

    Fracture of orbital roof, unspecified side, initial encounter for closed fracture

    BillableChapter 19
  • S02.129B

    Fracture of orbital roof, unspecified side, initial encounter for open fracture

    BillableChapter 19
  • S02.19XA

    Other fracture of base of skull, initial encounter for closed fracture

    BillableChapter 19
  • S02.19XB

    Other fracture of base of skull, initial encounter for open fracture

    BillableChapter 19
  • S02.82XS

    Fracture of other specified skull and facial bones, left side, sequela

    BillableChapter 19
  • S02.831S

    Fracture of medial orbital wall, right side, sequela

    BillableChapter 19
  • S02.832S

    Fracture of medial orbital wall, left side, sequela

    BillableChapter 19
  • S02.839S

    Fracture of medial orbital wall, unspecified side, sequela

    BillableChapter 19
  • S02.841S

    Fracture of lateral orbital wall, right side, sequela

    BillableChapter 19
  • S02.842S

    Fracture of lateral orbital wall, left side, sequela

    BillableChapter 19
  • S02.849S

    Fracture of lateral orbital wall, unspecified side, sequela

    BillableChapter 19
  • S02.91XA

    Unspecified fracture of skull, initial encounter for closed fracture

    BillableChapter 19
  • S02.91XB

    Unspecified fracture of skull, initial encounter for open fracture

    BillableChapter 19
  • S06.1X0A

    Traumatic cerebral edema without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.1X1A

    Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.1X2A

    Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.2X0A

    Diffuse traumatic brain injury without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.2X1A

    Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.2X2A

    Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.300A

    Unspecified focal traumatic brain injury without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.301A

    Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.302A

    Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.310A

    Contusion and laceration of right cerebrum without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.311A

    Contusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.312A

    Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.320A

    Contusion and laceration of left cerebrum without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.321A

    Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.322A

    Contusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.330A

    Contusion and laceration of cerebrum, unspecified, without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.331A

    Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.332A

    Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.340A

    Traumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.341A

    Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.342A

    Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.350A

    Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.351A

    Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.352A

    Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.360A

    Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.361A

    Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.362A

    Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.370A

    Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.371A

    Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.372A

    Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.380A

    Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.381A

    Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.382A

    Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.4X0A

    Epidural hemorrhage without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.4X1A

    Epidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.4X2A

    Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.5X0A

    Traumatic subdural hemorrhage without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.5X1A

    Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.5X2A

    Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.6X0A

    Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.6X1A

    Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.6X2A

    Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.810A

    Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.811A

    Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.812A

    Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.820A

    Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.821A

    Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.822A

    Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.890A

    Other specified intracranial injury without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.891A

    Other specified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.892A

    Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.8A0A

    Primary blast injury of brain, not elsewhere classified without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.8A1A

    Primary blast injury of brain, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.8A2A

    Primary blast injury of brain, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.9X0A

    Unspecified intracranial injury without loss of consciousness, initial encounter

    BillableChapter 19
  • S06.9X1A

    Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter

    BillableChapter 19
  • S06.9X2A

    Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter

    BillableChapter 19
  • S06.9XAS

    Unspecified intracranial injury with loss of consciousness status unknown, sequela

    BillableChapter 19
  • S06.A0XS

    Traumatic brain compression without herniation, sequela

    BillableChapter 19