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See a sample rate comparisonMS-DRG 029 Fee Schedule
Last Verified: October 2026
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.
SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
| 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
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MS-DRG 029
5 of 25 sample ratesHigher to lower in this preview
Washington Hospital Center
Washington Hospital Center Corporation
$113,467.74Published rateSt. Barnabas Hospital
St Barnabas Hospital
$72,199.25Published rateJefferson Regional Medical Center
Highmark Health
$50,409.60Published rateSunrise Hospital And Medical Center, LLC, Sunrise Hospital And Medical Center
$31,548.00Published rateAtlanticare Regional Medical Center
Atlanticare Health System Inc
$4,454.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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