MS-DRG 062 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 062 by major payers:
$23,406.72
$21,976.78
$28,787.53
$28,758.07
| 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 062 | ||||||
United | 062 | $41317.57 | 1467469023 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, WOODHULL MEDICAL & MENTAL HEALTH CENTER | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 062 | $6893.02 | 1770556482 - ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DOTHAN, INC, ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DOTHAN | 631097851 - (AL) ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DOTHAN INC | AL | Rehabilitation Hospital (283X00000X) |
United | 062 | $46678.32 | 1467699199 - SENTARA HOSPITALS, SENTARA VIRGINIA BEACH GENERAL HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 062 | $38723.60 | 1285293274 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 062 | $26521.99 | 1538133814 - LAFAYETTE GENERAL MEDICAL CENTER INC., LAFAYETTE GENERAL SOUTHWEST | 720535375 - (LA) LAFAYETTE GENERAL MEDICAL CENTER INC | LA | Rehabilitation Hospital Unit (273Y00000X) |
United | 062 | $42575.98 | 1063072932 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 062 | $9492.12 | 1689727208 - GREAT PLAINS OF OTTAWA CO INC, OTTAWA COUNTY HEALTH CENTER | 481226856 - (KS) GREAT PLAINS OF OTTAWA CO INC | KS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 062 | $32937.75 | 1902818883 - GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1, SAMARITAN HEALTHCARE | 930386906 | WA | General Acute Care Hospital (282N00000X) |
United | 062 | $47849.21 | 1831550060 - LEXINGTON MEDICAL CENTER | 852276567 - LEXINGTON HEALTH INC | SC | General Acute Care Hospital (282N00000X) |
United | 062 | $43972.19 | 1831209048 - OCHSNER MEDICAL CENTER- WESTBANK | 720502505 - (LA) OCHSNER CLINIC FOUNDATION | LA | General Acute Care Hospital (282N00000X) |
United | 062 | $37728.37 | 1295708287 - AUGUSTA HEALTH CARE, INC | 541453954 - AUGUSTA HEALTH CARE INC | VA | Psychiatric Hospital Unit (273R00000X) |
United | 062 | $37978.66 | 1194926279 - ST JUDE HOSPITAL INC, PROVIDENCE ST. JUDE MEDICAL CENTER | 951643325 - (CA) ST JUDE HOSPITAL | CA | General Acute Care Hospital (282N00000X) |
United | 062 | $57188.26 | 1609858950 - ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC, PROVIDENCE ST. JOSEPH HOSPITAL | 814791043 - (CA) ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC | CA | General Acute Care Hospital (282N00000X) |
United | 062 | $39646.39 | 1417032145 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 062 | $40554.64 | 1235764622 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | 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 062 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 062 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 062 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 |
|---|---|---|
| 061-APR-DRG | Moderate | Pancreas Transplant |
| 061-MS-DRG | High | Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with MCC |
| 062-MS-DRG | High | Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC |
| 063-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 062. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 062 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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