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See a sample rate comparisonMS-DRG 063 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 WITHOUT CC/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 063 by major payers:
$19,932.45
$17,892.60
$22,767.77
$22,807.27
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MS-DRG 063
5 of 25 sample ratesHigher to lower in this preview
John Muir Health, John Muir Health Medical Center, Concord Campus
$69,952.92Published rateUniversity Hospital At Stony Brook
$26,767.91Published rateNorthfield Hospital, Northfield Hospital
$20,713.77Published rateSt Joseph Health System LLC, Lutheran Downtown Hospital
$15,381.16Published rateOhi West, Inc, Bayfront Health St. Petersburg
Ohi West Inc
$6,158.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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