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 | $7675.00 | 1912992215 - NORTHERN WESTCHESTER HOSPITAL ASSOCIATION, NORTHERN WESTCHESTER HOSPITAL | 131740118 - (NY) NORTHERN WESTCHESTER HOSPITAL ASSOCIATION | NY | General Acute Care Hospital (282N00000X) |
United | 062 | $35787.19 | 1154516755 - SWEDISH HEALTH SERVICES, SWEDISH MEDICAL CENTER, BALLARD | 910433740 - (WA) SWEDISH HEALTH SERVICES | WA | Substance Use Disorder Rehabilitation Hospital Unit (276400000X) |
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 | $52287.80 | 1053475004 - SENTARA HOSPITALS, SENTARA OBICI HOSPITAL PSYCHIATRIC UNIT | 541547408 - SENTARA HOSPITALS | VA | Psychiatric Hospital Unit (273R00000X) |
United | 062 | $16412.76 | 1588770416 - VALLEY MEDICAL FACILITIES INC, VALLEY MEDICAL FACILITIES INC DBA HERITAGE VALLEY SEWICKLEY | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | General Acute Care Hospital (282N00000X) |
United | 062 | $7323.70 | 1760696546 - ST CHARLES PARISH HOSPITAL | 726014606 | LA | General Acute Care Hospital (282N00000X) |
United | 062 | $19383.32 | 1467658278 - WASHINGTON REGIONAL MEDICAL CENTER | 710664687 - (AR) WASHINGTON REGIONAL MEDICAL CENTER | AR | General Acute Care Hospital (282N00000X) |
United | 062 | $39646.39 | 1154406254 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 062 | $31643.39 | 1225060312 - OHIOHEALTH CORPORATION, RIVERSIDE METHODIST HOSPITAL | 314394942 - OHIOHEALTH CORPORATION GRANT RIVERSIDE DOCTORS DUBLIN MET | OH | Psychiatric Hospital Unit (273R00000X) |
United | 062 | $13692.63 | 1982093837 - RIVERSIDE MEDICAL CENTER | 362414944 - (IL) RIVERSIDE MEDICAL CENTER | IL | Psychiatric Hospital Unit (273R00000X) |
United | 062 | $39876.57 | 1194368167 - STC OPCO LLC, ST CHRISTOPHER'S HOSPITAL FOR CHILDREN- ACUTE CARE | 843224793 | PA | Children's Hospital (282NC2000X) |
United | 062 | $85083.74 | 1548399736 - DOCTORS MEDICAL CENTER OF MODESTO, INC., DOCTORS BEHAVIORAL HEALTH CENTER | 952588614 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 062 | $46187.64 | 1346314192 - SENTARA HOSPITALS, SENTARA NORFOLK GENERAL REHABILITATION UNIT | 541547408 - SENTARA HOSPITALS | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 062 | $7039.00 | 1831188275 - GLENDALE ADVENTIST MEDICAL CENTER, ADVENTIST HEALTH GLENDALE | 951816017 - (CA) GLENDALE ADVENTIST MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 062 | $31004.47 | 1831169903 - ST. ANTHONY HOSPITAL, ST. ANTHONY HOSPITAL PROFEE | 730657693 - SSM HEALTH CARE OF OKLAHOMA INC | OR | Critical Access Hospital (282NC0060X) |
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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