MS-DRG 041 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 041 by major payers:
$26,456.19
$29,508.06
$36,681.74
$37,538.87
| 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 041 | ||||||
United | 041 | $36920.94 | 1053360651 - EAST BATON ROUGE MEDICAL CENTER LLC, OCHSNER MEDICAL CENTER BATON ROUGE | 201729674 | LA | General Acute Care Hospital (282N00000X) |
United | 041 | $27627.22 | 1730730490 - US HEALTH PARTNERS, LLC | 843119330 - (TX) US HEALTH PARTNERS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 041 | $25230.43 | 1750486007 - WEBSTER HEALTH SERVICES, INC., WEBSTER GENERAL HOSPITAL SWING BED | 640819193 - (MS) WEBSTER HEALTH SERVICES INC | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 041 | $45665.42 | 1588243117 - INTEGRIS HEALTH EDMOND, INC, INTEGRIS HEALTH JIM THORPE REHABILITATION HOSPITAL EDMOND | 451027361 - (OK) INTEGRIS HEALTH EDMOND INC | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 041 | $24370.49 | 1093712655 - CHATHAM HOSPITAL INC | 560611546 - (NC) CHATHAM HOSPITAL INC | NC | Critical Access Hospital (282NC0060X) |
United | 041 | $56836.87 | 1841843455 - HCN EP HORIZON CITY, LLC, THE HOSPITALS OF PROVIDENCE EMERGENCY ROOM MONTWOOD | 813935393 - (TX) HCN EP HORIZON CITY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 041 | $13905.36 | 1356375307 - KITTITAS COUNTY PUBLIC HOSPITAL DIST 1, KITTITAS VALLEY COMMUNITY HOSPITAL | 910757683 | WA | Critical Access Hospital (282NC0060X) |
United | 041 | $12970.00 | 1477592566 - HCA HEALTHONE LLC, THE MEDICAL CENTER OF AURORA | 841321373 | CO | Psychiatric Hospital Unit (273R00000X) |
United | 041 | $61892.75 | 1336696335 - ORLANDO HEALTH CENTRAL | 800764192 - (FL) ORLANDO HEALTH CENTRAL INC | FL | Chronic Disease Hospital (281P00000X) |
United | 041 | $44701.07 | 1750399192 - MARYVIEW HOSPITAL LLC, BON SECOURS MARYVIEW MEDICAL CENTER | 540506463 | VA | General Acute Care Hospital (282N00000X) |
United | 041 | $21967.14 | 1922009448 - PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY, WHITMAN HOSPITAL & MEDICAL CLINICS | 911451777 - (WA) PUBLIC HOSPITAL DISTRICT NO 3 OF | WA | Critical Access Hospital (282NC0060X) |
United | 041 | $36920.94 | 1053360651 - EAST BATON ROUGE MEDICAL CENTER LLC, OCHSNER MEDICAL CENTER BATON ROUGE | 201729674 | LA | General Acute Care Hospital (282N00000X) |
United | 041 | $45480.14 | 1891895835 - UNIVERSITY OF WASHINGTON, UNIVERSITY OF WASHINGTON MEDICAL CENTER | 916001537 | WA | Psychiatric Hospital Unit (273R00000X) |
United | 041 | $33830.89 | 1538382239 - MEMORIAL HERMANN HEALTH SYSTEM, MEMORIAL HERMANN MEMORIAL CITY CICD | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | General Acute Care Hospital (282N00000X) |
United | 041 | $23880.47 | 1427050376 - SCHUYLKILL MEDICAL CENTER, GOOD SAMARITAN REGIONAL MEDICAL CENTER | 231352202 - (PA) LEHIGH VALLEY HOSPITAL - SCHUYKILL | PA | 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 041 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 041 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 041 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 |
|---|---|---|
| 040-APR-DRG | High | SPINAL DISORDERS & INJURIES |
| 040-MS-DRG | High | Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC |
| 041-MS-DRG | High | Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator |
| 042-APR-DRG | High | DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 041. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 041 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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