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See a sample rate comparisonMS-DRG 061 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.
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
| 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 061 by major payers:
$33,161.25
$32,677.33
$43,361.31
$43,231.41
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MS-DRG 061
5 of 25 sample ratesHigher to lower in this preview
South Carolina Coastal Medical Center LLC
$139,895.54Published rateEmanate Health Medical Center, Citrus Valley Medical Center Inc
Emanate Health Medical Center
$43,470.67Published rateHot Springs National Park Hospital Holdings LLC, National Park Medical Center
Hot Springs National Park Hospital Holdings LLC
$30,813.34Published rateEncompass Health Methodist Rehabilitation Hospital, Lp, Encompass Health Rehabilitation Hospital Of Memphis
Encompass Health Methodist Rehabilitation Hospital Lp
$9,250.67Published rateNorth Sunflower Medical Center
$504.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 061 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 061 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 061 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 |
|---|---|---|
| 060-APR-DRG | Moderate | Pancreas Transplant |
| 060-MS-DRG | High | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC |
| 061-MS-DRG | High | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC |
| 062-APR-DRG | Moderate | Pancreas 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 061. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 061 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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