MS-DRG 033 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 033 by major payers:
$19,291.18
$21,375.54
$26,803.61
$27,398.86
| 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 033 | ||||||
United | 033 | $17240.07 | 1093341497 - UOFL HEALTH-LOUISVILLE INC | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | General Acute Care Hospital (282N00000X) |
United | 033 | $20628.27 | 1710958582 - MERCY HOSPITAL OZARK | 710689680 - MERCY HOSPITAL OZARK | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 033 | $62519.00 | 1346345477 - UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, UCSF MEDICAL CENTER | 943281657 | CA | General Acute Care Hospital (282N00000X) |
United | 033 | $30812.49 | 1588683296 - WEST PENN ALLEGHENY HEALTH SYSTEM INC., ALLEGHENY GENERAL HOSPITAL | 250969492 - (PA) HIGHMARK HEALTH | PA | Psychiatric Hospital Unit (273R00000X) |
United | 033 | $15178.98 | 1326079534 - CHILDRESS COUNTY HOSPITAL DISTRICT, CHILDRESS REGIONAL MEDICAL CENTER | 751228349 | TX | General Acute Care Hospital (282N00000X) |
United | 033 | $38808.94 | 1912280298 - DR FATHIMA SYED MD PLLC | 591113901 - (FL) UNIVERSITY COMMUNITY HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 033 | $23112.83 | 1548681091 - RCHP OTTUMWA LLC, SENIOR BEHAVIORAL CARE CENTER | 272200283 | IA | Psychiatric Hospital Unit (273R00000X) |
United | 033 | $23112.83 | 1548681091 - RCHP OTTUMWA LLC, SENIOR BEHAVIORAL CARE CENTER | 272200283 | IA | Psychiatric Hospital Unit (273R00000X) |
United | 033 | $42960.42 | 1427145176 - MEDSTAR, GEORGETOWN UNIVERSITY HOSPITAL | 522218584 - (DC) MEDSTAR-GEORGETOWN MEDICAL CENTER INC | DC | General Acute Care Hospital (282N00000X) |
United | 033 | $51822.00 | 1639523004 - SUTTER BAY HOSPITALS, ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMPUS | 940562680 - (CA) SUTTER BAY HOSPITALS | CA | General Acute Care Hospital (282N00000X) |
United | 033 | $10460.09 | 1255788014 - CORRY MEMORIAL HOSPITAL ASSOCIATION, CORRY MEMORIAL HOSPITAL ER PHYSICIAN GROUP | 250987222 - CORRY MEMORIAL HOSPITAL ASSOCIATION | PA | Critical Access Hospital (282NC0060X) |
United | 033 | $58029.25 | 1801821376 - JOHN MUIR HEALTH, JOHN MUIR HEALTH MEDICAL CENTER, CONCORD CAMPUS | 680396600 | CA | General Acute Care Hospital (282N00000X) |
United | 033 | $18110.51 | 1831620632 - MACNEAL HOSPITAL | 363332852 - (IL) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 033 | $16035.87 | 1487605168 - OAKWOOD HEALTHCARE, INC., BEAUMONT HOSPITAL - TAYLOR | 381405141 - (MI) OAKWOOD HEALTHCARE INC | MI | General Acute Care Hospital (282N00000X) |
United | 033 | $2000.00 | 1275029480 - JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC, CHAMBERS MEMORIAL HOSPITAL | 716044543 - (AR) JOHN ED CHAMBERS MEMORIAL HOSPITAL | AR | Psychiatric Hospital Unit (273R00000X) |
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 033 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 033 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 033 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 |
|---|---|---|
| 032-APR-DRG | Moderate | Bone Marrow Transplant |
| 032-MS-DRG | High | Ventricular Shunt Procedures with CC |
| 033-MS-DRG | High | Ventricular Shunt Procedures without CC/MCC |
| 034-APR-DRG | Moderate | Bone Marrow 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 033. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 033 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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