MS-DRG 022 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Diseases & Disorders of the Nervous System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 022 by major payers:
$56,295.29
$48,948.61
$60,696.75
$60,076.41
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for MS-DRG 022 | ||||||
United | 022 | $81072.10 | 1164883492 - NAVICENT HEALTH | 582149128 - MEDICAL CENTER OF CENTRAL GEORGIA INC | GA | General Acute Care Hospital (282N00000X) |
United | 022 | $19818.00 | 1497701106 - ST. PETER'S HOSPITAL OF THE CITY OF ALBANY, ST. PETER'S ADDICTION RECOVERY CENTER | 141348692 - (NY) ST PETERS HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 022 | $76733.24 | 1043380454 - MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL - REHAB | 310537504 - (OH) MIAMI VALLEY HOSPITAL | OH | Rehabilitation Hospital Unit (273Y00000X) |
United | 022 | $76436.68 | 1902432487 - UPMC HANOVER, UPMC HANOVER INFUSION SERVICES | 231360851 - (PA) UPMC HANOVER | PA | General Acute Care Hospital (282N00000X) |
United | 022 | $48266.03 | 1659375673 - THE CITY HOSPITAL ASSOCIATION, EAST LIVERPOOL CITY HOSPITAL | 340714583 - (OH) CITY HOSPITAL ASSOCIATION | OH | General Acute Care Hospital (282N00000X) |
United | 022 | $70911.00 | 1265530240 - UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, UCSF MEDICAL CENTER | 943281657 | CA | General Acute Care Hospital (282N00000X) |
United | 022 | $66223.24 | 1811739923 - INTERMOUNTAIN FRONT RANGE, INC, INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL | 841103606 - (CO) SCL HEALTH - FRONT RANGE INC | CO | General Acute Care Hospital (282N00000X) |
United | 022 | $24747.75 | 1881630036 - NOR-LEA HOSPITAL DISTRICT | 850278235 - NOR-LEA HOSPITAL DISTRICT | NM | Critical Access Hospital (282NC0060X) |
United | 022 | $63603.69 | 1922032424 - SACRED HEART HEALTH SYSTEM, INC., SACRED HEART HOSPITAL | 590634434 - SACRED HEART HEALTH SYSTEM INC | FL | General Acute Care Hospital (282N00000X) |
United | 022 | $18958.85 | 1487699203 - WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC, WASHINGTON COUNTY HOSPITAL | 636003514 | AL | Critical Access Hospital (282NC0060X) |
United | 022 | $5226.00 | 1649417643 - MANCHESTER MEMORIAL HOSPITAL | 812216981 | CT | General Acute Care Hospital (282N00000X) |
United | 022 | $5226.00 | 1649417643 - MANCHESTER MEMORIAL HOSPITAL | 812216981 | CT | General Acute Care Hospital (282N00000X) |
United | 022 | $29643.48 | 1083888515 - PEACEHEALTH, SACRED HEART-RIVERBEND | 261871008 | OR | General Acute Care Hospital (282N00000X) |
United | 022 | $27927.60 | 1750819025 - NORTH HOUSTON, HCA HOUSTON HEALTHCARE TOMBALL | 821349955 | TX | General Acute Care Hospital (282N00000X) |
United | 022 | $60455.28 | 1649246877 - ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS | 390818682 - ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC-HOSPITAL SISTERS | WI | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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MS-DRG 022 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 022 code is part of the Diseases & Disorders of the Nervous System services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The MS-DRG 022 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 021-APR-DRG | High | OPEN CRANIOTOMY EXCEPT TRAUMA |
| 021-MS-DRG | High | Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC |
| 022-MS-DRG | High | Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC |
| 023-APR-DRG | High | SPINAL PROCEDURES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 022. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 022 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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