MS-DRG 039 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 039 by major payers:
$13,797.05
$15,273.13
$19,697.26
$19,675.71
| 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 039 | ||||||
United | 039 | $19841.09 | 1902822992 - NASSAU HEALTHCARE CORPORATION, NASSAU DEPARTMENT OF PSYCHIATRY AND PSYCHOLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 039 | $28120.36 | 1386267714 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH CCMC INFUSION OUTPATIENT | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 039 | $13810.91 | 1174601397 - PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA, JACKSON SOUTH COMMUNITY HOSPITAL | 591713947 - (FL) PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY FLORIDA | FL | General Acute Care Hospital (282N00000X) |
United | 039 | $13857.45 | 1992133714 - MERCY HOSPITAL BOONEVILLE | 463851119 - MERCY HOSPITAL BOONEVILLE | AR | Critical Access Hospital (282NC0060X) |
United | 039 | $5156.41 | 1760568752 - PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY, MASON HEALTH-MASON GENERAL HOSPITAL | 910836763 - (WA) PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY | WA | Critical Access Hospital (282NC0060X) |
United | 039 | $5729.77 | 1487639175 - KNOX COUNTY HOSPITAL DISTRICT, KNOX COUNTY HOSPITAL DISTRICT | 750808798 | TX | General Acute Care Hospital (282N00000X) |
United | 039 | $24261.00 | 1033164926 - FORT WALTON BEACH MEDICAL CENTER, INC., HCA FL NORTHWEST REHABILITATION CTR, A PART OF HCA FL FT WALTON HOSP | 611259833 - (FL) FORT WALTON BEACH MEDICAL CENTER INC | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 039 | $12355.16 | 1821103516 - PONTOTOC HEALTH SERVICES, INC., PONTOTOC HEALTH SERVICES CAH | 640751410 - (MS) PONTOTOC HEALTH SERVICES INC | MS | Critical Access Hospital (282NC0060X) |
United | 039 | $15575.12 | 1174977557 - BBH CBMC, LLC, CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | General Acute Care Hospital (282N00000X) |
United | 039 | $1873.00 | 1396770004 - HOSPITAL AUTHORITY OF WASHINGTON COUNTY, WASHINGTON COUNTY REGIONAL MEDICAL CENTER | 586012329 - (GA) HOSPITAL AUTHORITY OF WASHINGTON COUNTY | GA | Rural Acute Care Hospital (282NR1301X) |
United | 039 | $19783.78 | 1639669617 - UCH-MHS, UCHEALTH EMERGENCY ROOM - MEADOWGRASS | 460796114 - (CO) UCH-MHS | CO | General Acute Care Hospital (282N00000X) |
United | 039 | $22685.00 | 1629410998 - WEST FLORIDA, HCA FLORIDA PASADENA HOSPITAL | 800935610 | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 039 | $12512.23 | 1609954395 - CARONDELET HEALTH NETWORK, CARONDELET OREILLY CARE CENTER | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 039 | $3469.47 | 1639261811 - OSBORNE COUNTY MEMORIAL HOSPITAL | 480640918 - (KS) OSBORNE COUNTY MEMORIAL HOSPITAL | KS | Critical Access Hospital (282NC0060X) |
United | 039 | $1000.00 | 1255444139 - SEQUOYAH MEMORIAL HOSPITAL | 731066229 - (OK) SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL | OK | Rural Acute Care Hospital (282NR1301X) |
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 039 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 039 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 039 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 |
|---|---|---|
| 038-MS-DRG | High | Extracranial Procedures with CC |
| 039-MS-DRG | High | Extracranial Procedures without CC/MCC |
| 040-APR-DRG | High | SPINAL DISORDERS & INJURIES |
| 040-MS-DRG | High | Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 039. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 039 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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