MS-DRG 071 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 071 by major payers:
$12,657.22
$15,138.23
$16,660.63
$17,033.15
| 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 071 | ||||||
United | 071 | $10321.92 | 1699757393 - EAST CAROLINA HEALTH, ECU HEALTH EDGECOMBE HOSPITAL | 562093700 - (NC) EAST CAROLINA HEALTH | NC | General Acute Care Hospital (282N00000X) |
United | 071 | $15643.75 | 1932489713 - AHS CLAREMORE REGIONAL HOSPITAL LLC, HILLCREST HOSPITAL CLAREMORE | 452652006 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 071 | $17232.55 | 1093793408 - JACKSON PARISH HOSPITAL, JACKSON PARISH HOSPITAL | 720549907 | LA | Critical Access Hospital (282NC0060X) |
United | 071 | $21228.57 | 1437192507 - LAKEWOOD HOSPITAL ASSOCIATION, LAKEWOOD HOSPITAL | 340714585 - THE CLEVELAND CLINIC FOUNDATION | OH | Psychiatric Hospital Unit (273R00000X) |
United | 071 | $12148.12 | 1588699599 - BLADEN COUNTY HOSPITAL | 800164702 | NC | Critical Access Hospital (282NC0060X) |
United | 071 | $5761.00 | 1346570710 - ARLINGTON ORTHOPEDIC AND SPINE HOSPITAL, LLC, BAYLOR SCOTT & WHITE ORTHOPEDIC AND SPINE HOSPITAL | 261578178 - (TX) ARLINGTON ORTHOPEDIC AND SPINE HOSPITAL LLC | TX | General Acute Care Hospital (282N00000X) |
United | 071 | $17001.38 | 1124163530 - ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC, ARIZONA SPECIALTY HOSPITAL | 752936470 - (AZ) ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY LLC | AZ | Special Hospital (284300000X) |
United | 071 | $13125.17 | 1306381561 - SAINT FRANCIS HOSPITAL MUSKOGEE INC, SAINT FRANCIS REGIONAL SERVICES INC | 814322087 - (OK) SAINT FRANCIS HOSPITAL MUSKOGEE INC | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 071 | $15417.79 | 1730346784 - SELECT SPECIALTY HOSPITAL | 710958380 | NC | Long Term Care Hospital (282E00000X) |
United | 071 | $10146.01 | 1114639234 - SAN MIGUEL HOSPITAL CORPORATION | 742930034 - (NM) SAN MIGUEL HOSPITAL CORPORATION | NM | Critical Access Hospital (282NC0060X) |
United | 071 | $17232.55 | 1851619241 - BASTROP REHABILITATION HOSPITAL, LLC, RIVERBEND REHABILITATION HOSPITAL | 721460782 - (LA) BASTROP REHABILITATION HOSPITAL LLC | LA | Rehabilitation Hospital (283X00000X) |
United | 071 | $9877.92 | 1730128836 - MIDWEST REGIONAL MEDICAL CENTER, LLC, ALLIANCEHEALTH MIDWEST | 730657693 - SSM HEALTH CARE OF OKLAHOMA INC | OK | General Acute Care Hospital (282N00000X) |
United | 071 | $9314.00 | 1992069967 - BROOKLYN HOSPITAL CENTER, NO | 111630755 - (NY) THE BROOKLYN HOSPITAL CENTER | NY | Substance Use Disorder Rehabilitation Hospital Unit (276400000X) |
United | 071 | $8888.00 | 1215165832 - COOPER UNIVERSITY HOSPITAL | 210634462 - (NJ) COOPER HEALTH SYSTEM A NEW JERSEY NON-PROFIT CORPORATION | NJ | General Acute Care Hospital (282N00000X) |
United | 071 | $35396.28 | 1861994808 - HCN EP HORIZON CITY, LLC, THE HOSPITALS OF PROVIDENCE NORTHEAST CAMPUS | 813935393 - (TX) HCN EP HORIZON CITY LLC | TX | 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 071 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 071 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 071 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 |
|---|---|---|
| 070-APR-DRG | High | Allogeneic Bone Marrow Transplant |
| 070-MS-DRG | High | Non-specific Cerebrovascular Disorders with MCC |
| 071-MS-DRG | High | Non-specific Cerebrovascular Disorders with CC |
| 072-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 071. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 071 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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