MS-DRG 024 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 024 by major payers:
$46,025.56
$49,390.44
$61,718.72
$62,263.11
| 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 024 | ||||||
United | 024 | $62720.44 | 1942334537 - SUMNER REGIONAL HEALTH SYSTEMS, INC, MIDDLE TENNESSEE REHAB AT SUMNER | 272618766 | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 024 | $54159.01 | 1164495255 - CATAWBA VALLEY MEDICAL CENTER | 560789196 | NC | General Acute Care Hospital (282N00000X) |
United | 024 | $52170.41 | 1164876546 - BBH PBMC, LLC, PRINCETON BAPTIST MEDICAL CENTER | 474775351 | AL | General Acute Care Hospital (282N00000X) |
United | 024 | $32053.66 | 1841258639 - MULTICARE HEALTH SYSTEM, MULTICARE CAPITAL MEDICAL CENTER | 911352172 - MULTICARE HEALTH SYSTEM | WA | General Acute Care Hospital (282N00000X) |
United | 024 | $10314.87 | 1275520017 - TRANSYLVANIA COMMUNITY HOSPITAL, INC, TRANSYLVANIA REGIONAL HOSPITAL | 832048854 | NC | Critical Access Hospital (282NC0060X) |
United | 024 | $77497.64 | 1902818883 - GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1, SAMARITAN HEALTHCARE | 930386906 | WA | General Acute Care Hospital (282N00000X) |
United | 024 | $10314.87 | 1275520017 - TRANSYLVANIA COMMUNITY HOSPITAL, INC, TRANSYLVANIA REGIONAL HOSPITAL | 832048854 | NC | Critical Access Hospital (282NC0060X) |
United | 024 | $82931.00 | 1821042979 - HCA HEALTHONE LLC, NORTH SUBURBAN MEDICAL CENTER | 841321373 | CO | General Acute Care Hospital (282N00000X) |
United | 024 | $67307.29 | 1912902206 - JEANES HOSPITAL | 232825878 - (PA) TEMPLE UNIVERSITY HOSPITAL INC | PA | General Acute Care Hospital (282N00000X) |
United | 024 | $5761.00 | 1992772008 - IRVING COPPELL SURGICAL HOSPITAL | 542086863 | TX | Special Hospital (284300000X) |
United | 024 | $60097.26 | 1720434806 - THEDACARE REGIONAL MEDICAL CENTER, THEDA CLARK MEDICAL CENTER, INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 024 | $87306.03 | 1114079142 - TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | 751047527 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | TX | Psychiatric Hospital Unit (273R00000X) |
United | 024 | $13524.04 | 1275815003 - PIONEER HEALTH SERVICES OF CHOCTAW COUNTY, LLC, PIONEER COMMUNITY HOSPITAL OF CHOCTAW | 471298267 | MS | Critical Access Hospital (282NC0060X) |
United | 024 | $120059.32 | 1740724780 - DE CRAIG RANCH, LLC, DIGNITY HEALTH ST ROSE DOMINICAN WEST FLAMINGO CAMPUS | 364827272 - (NV) DE CRAIG RANCH LLC | NV | General Acute Care Hospital (282N00000X) |
United | 024 | $62985.00 | 1174576698 - CHCA BAYSHORE LP, BAYSHORE MEDICAL CENTER | 621801359 | TX | 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 024 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 024 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 024 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 |
|---|---|---|
| 023-APR-DRG | High | SPINAL PROCEDURES |
| 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-MS-DRG | High | Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC |
| 025-APR-DRG | Moderate | Heart And/Or Lung Transplant |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 024. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 024 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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