MS-DRG 029 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 029 by major payers:
$38,273.20
$42,395.05
$52,341.88
$53,736.74
| 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 029 | ||||||
United | 029 | $47383.17 | 1699726695 - NORTHWEST ARKANSAS HOSPITALS, LLC, NORTHWEST MEDICAL CENTER | 205896848 | AR | General Acute Care Hospital (282N00000X) |
United | 029 | $24574.40 | 1811044878 - WILLIAM BEAUMONT HOSPITAL, WILLIAM BEAUMONT HOSPITAL | 381459362 - WILLIAM BEAUMONT HOSPITAL | MI | Hospitalist Physician (208M00000X) |
United | 029 | $26853.59 | 1366431702 - HOLMES COUNTY HOSPITAL CORP, DOCTORS MEMORIAL HOSPITAL | 596031176 - (FL) HOLMES COUNTY HOSPITAL CORP | FL | Critical Access Hospital (282NC0060X) |
United | 029 | $86940.32 | 1619967494 - COBB HOSPITAL, INC, WELLSTAR COBB HOSPITAL INPATIENT REHAB UNIT | 580968382 - COBB HOSPITAL | GA | Rehabilitation Hospital Unit (273Y00000X) |
United | 029 | $86687.00 | 1093961682 - SUTTER VALLEY HOSPITALS, SUTTER REHABILITATION INSTITUTE AT SUTTER ROSEVILLE MEDICAL CENTER | 941156621 - (CA) SUTTER VALLEY HOSPITALS | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 029 | $57248.21 | 1275552747 - NORTHSHORE REGIONAL MEDICAL CENTER, LLC, NORTHSHORE REGIONAL MEDICAL CENTER | 720502505 - (LA) OCHSNER CLINIC FOUNDATION | LA | Rehabilitation Hospital Unit (273Y00000X) |
United | 029 | $89838.71 | 1417554528 - KECK MEDICAL CENTER OF USC | 851644866 - (CA) KECK MEDICAL CENTER OF USC | CA | General Acute Care Hospital (282N00000X) |
United | 029 | $16425.00 | 1710499462 - HMH HOSPITALS CORPORATION, RIVERVIEW MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 029 | $55348.03 | 1851940035 - FLORIDA HOSPITAL WATERMAN INC, ADVENTHEALTH WATERMAN | 593140669 - (FL) FLORIDA HOSPITAL WATERMAN INC | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 029 | $59636.96 | 1811341290 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER | 474757851 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 029 | $72777.78 | 1306865357 - INTEGRIS CANADIAN VALLEY HOSPITAL, INTEGRIS CANADIAN VALLEY HOSPITAL | 731605613 | OK | General Acute Care Hospital (282N00000X) |
United | 029 | $60675.71 | 1225156888 - AURORA HEALTH CARE SOUTHERN LAKES, INC., AURORA MEDICAL CENTER KENOSHA | 390806347 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 029 | $37949.03 | 1649724261 - BAPTIST HEALTH, BAPTIST HEALTH MEDICAL CENTER - HOT SPRING COUNTY | 710236856 - (AR) BAPTIST HEALTH | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 029 | $113467.74 | 1225360910 - WASHINGTON HOSPITAL CENTER | 521272129 - (DC) WASHINGTON HOSPITAL CENTER CORPORATION | DC | General Acute Care Hospital (282N00000X) |
United | 029 | $63592.67 | 1851344907 - NORTH MEMORIAL HEALTH CARE, NORTH MEMORIAL HEALTH HOSPITAL | 410729979 - NORTH MEMORIAL HEALTH CARE | MN | 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 029 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 029 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 029 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 |
|---|---|---|
| 028-APR-DRG | Moderate | Heart And/Or Lung Transplant |
| 028-MS-DRG | High | Spinal Procedures with MCC |
| 029-MS-DRG | High | Spinal Procedures with CC or Spinal Neurostimulators |
| 030-APR-DRG | High | PERCUTANEOUS INTRA & 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 029. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 029 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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