MS-DRG 023 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 023 by major payers:
$64,609.29
$72,958.27
$89,249.30
$92,073.80
| 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 023 | ||||||
United | 023 | $146387.15 | 1083885917 - ALAMEDA HEALTH SYSTEM, JOHN GEORGE PAVILION | 943302014 | CA | Psychiatric Hospital (283Q00000X) |
United | 023 | $145143.45 | 1831220714 - INOVA HEALTH CARE SERVICES, INOVA FAIRFAX HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 023 | $29115.00 | 1902846546 - PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON, SNOQUALMIE VALLEY HOSPITAL | 910908129 - (WA) PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON | WA | Critical Access Hospital (282NC0060X) |
United | 023 | $2805.00 | 1487690400 - WELLMONT HEALTH SYSTEM, HOLSTON VALLEY MEDICAL CENTER | 621636465 - WELLMONT HEALTH SYSTEM | TN | General Acute Care Hospital (282N00000X) |
United | 023 | $130778.00 | 1306153465 - CONEY ISLAND HOSPITAL | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | Chronic Disease Hospital (281P00000X) |
United | 023 | $82588.75 | 1861943409 - THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC., THEDA CLARK MEDICAL CENTER INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 023 | $151287.84 | 1588823553 - BANNER DEL E WEBB MEDICAL CENTER | 900389312 - (AZ) BANNER DEL E WEBB MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 023 | $99719.85 | 1619975554 - ELKHART GENERAL HOSPITAL, INC., CENTER FOR BEHAVIORAL MEDICINE | 350877574 - ELKHART GENERAL HOSPITAL INC | IN | Psychiatric Hospital Unit (273R00000X) |
United | 023 | $146387.15 | 1083885917 - ALAMEDA HEALTH SYSTEM, JOHN GEORGE PAVILION | 943302014 | CA | Psychiatric Hospital (283Q00000X) |
United | 023 | $8787.00 | 1265546048 - FREEMAN-OAK HILL HEALTH SYSTEM, FREEMAN HEALTH SYSTEM | 431704371 - FREEMAN HEALTH SYSTEM | MO | General Acute Care Hospital (282N00000X) |
United | 023 | $4708.00 | 1861670903 - MOUNTAIN STATES HEALTH ALLIANCE, RUSSELL COUNTY SWING BED UNIT | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | VA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 023 | $36138.60 | 1184373268 - OCHSNER AMERICAN LEGION HOSPITAL LLC, OCHSNER AMERICAN LEGION HOSPITAL | 880907240 | LA | General Acute Care Hospital (282N00000X) |
United | 023 | $125671.93 | 1669559811 - UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, UHCMC - PSYCH | 341567805 - UNIVERSITY HOSPITALS HEALTH SYSTEM INC | OH | Psychiatric Hospital Unit (273R00000X) |
United | 023 | $41150.42 | 1073988994 - THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY, ATRIUM HEALTH STANLY | 560529945 | NC | General Acute Care Hospital (282N00000X) |
United | 023 | $88702.89 | 1639172869 - CUMBERLAND COUNTY HOSPITAL SYSTEM INC, CAPE FEAR VALLEY MEDICAL CENTER | 560845796 - CUMBERLAND COUNTY HOSPITAL SYSTEM INC | NC | 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 023 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 023 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 023 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 |
|---|---|---|
| 022-APR-DRG | High | VENTRICULAR SHUNT PROCEDURES |
| 022-MS-DRG | High | Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC |
| 023-MS-DRG | High | Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Chemotherapy Implant or Epilepsy with Neurostimulator |
| 024-APR-DRG | High | OPEN EXTRACRANIAL VASCULAR 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 023. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 023 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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