MS-DRG 063 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 063 by major payers:
$19,932.45
$17,892.60
$22,767.77
$22,807.27
| 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 063 | ||||||
United | 063 | $16704.84 | 1396835138 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 063 | $28285.65 | 1942233028 - GREENE MEMORIAL HOSPITAL | 310809436 - (OH) GREENE MEMORIAL HOSPITAL INC | OH | General Acute Care Hospital (282N00000X) |
United | 063 | $6158.00 | 1427671098 - OHI WEST, INC, BAYFRONT HEALTH ST. PETERSBURG | 845074208 - (FL) OHI WEST INC | FL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 063 | $17929.46 | 1770678260 - PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK, PRESENCE ST. MARY'S HOSPITAL | 992195090 | IL | General Acute Care Hospital (282N00000X) |
United | 063 | $15180.26 | 1487624136 - ST JOHN DETROIT RIVERVIEW HOSPITAL | 383322109 - ASCENSION MACOMB OAKLAND HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 063 | $17929.46 | 1922177229 - PRESENCE CHICAGO HOSPITALS NETWORK, PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER | 362235165 - (IL) PRESENCE CHICAGO HOSPITALS NETWORK | IL | General Acute Care Hospital (282N00000X) |
United | 063 | $10369.00 | 1114179025 - CLARA MAASS MEDICAL CENTER | 221500556 | NJ | Psychiatric Hospital Unit (273R00000X) |
United | 063 | $18779.36 | 1003951195 - CHESTER COUNTY HOSPITAL SPU | 230469150 - (PA) CHESTER COUNTY HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 063 | $9144.00 | 1285641514 - LONG ISLAND JEWISH MEDICAL CENTER | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 063 | $25431.97 | 1063598886 - MERCY HEALTH, MERCY FRANCISCAN HOSPITAL-WESTERN HILLS(PSYCHIATRIC UNIT) | 311091597 | OH | Psychiatric Hospital Unit (273R00000X) |
United | 063 | $37661.28 | 1568759991 - VHS HARLINGEN HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER - REHAB UNIT | 452662980 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 063 | $33828.66 | 1710353339 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 063 | $11722.25 | 1932543428 - BANNER GOLDFIELD MEDICAL CENTER | 900981239 - (AZ) BANNER GOLDFIELD MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 063 | $34049.53 | 1750433793 - GOOD SAMARITAN HOSPITAL | 131740104 - (NY) BON SECOURS CHARITY HEALTH SYSTEM INC | NY | Psychiatric Hospital Unit (273R00000X) |
United | 063 | $37661.28 | 1568759991 - VHS HARLINGEN HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER - REHAB UNIT | 452662980 | TX | Rehabilitation Hospital Unit (273Y00000X) |
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 063 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 063 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 063 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 |
|---|---|---|
| 062-APR-DRG | Moderate | Pancreas Transplant |
| 062-MS-DRG | High | Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC |
| 063-MS-DRG | High | Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent without CC/MCC |
| 064-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 063. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 063 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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