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See a sample rate comparisonMS-DRG 070 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.
OTHER CEREBROVASCULAR DISORDERS 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 070 by major payers:
$19,586.11
$23,204.67
$27,534.30
$27,751.06
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MS-DRG 070
5 of 25 sample ratesHigher to lower in this preview
Westchester County Healthcare Corp, Act Program
Peo Mid-Hudson Valley Staffco
$61,739.57Published rateWinchester Medical Center, Winchester Medical Center
Valley Health System
$31,491.00Published rateRobert Wood Johnson University Hospital Inc, Robert Wood Johnson University Hospital Somerset
Robert Wood Johnson University Hospital
$22,376.44Published rateSt Marys Hospital Decatur Of The Hospital Sisters Of The Third Order, St. Marys Hospital
St Marys Hospital Sisters Of The Third Order Of St Francis
$14,545.05Published rateFreedom Hospital Of Magnolia LLC, Beacham Memorial Hospital
$1,000.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 070 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 070 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 070 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 |
|---|---|---|
| 069-APR-DRG | Moderate | Pancreas Transplant |
| 069-MS-DRG | High | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC |
| 070-MS-DRG | High | OTHER CEREBROVASCULAR DISORDERS WITH MCC |
| 071-APR-DRG | Moderate | Allogeneic Bone Marrow 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 070. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 070 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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