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 | $15417.79 | 1730346784 - SELECT SPECIALTY HOSPITAL | 710958380 | NC | Long Term Care Hospital (282E00000X) |
United | 071 | $25432.71 | 1720004450 - NORTH COLORADO MEDICAL CENTER | 841287638 | CO | General Acute Care Hospital (282N00000X) |
United | 071 | $16290.49 | 1821030842 - VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT WILSON COUNTY HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Psychiatric Hospital Unit (273R00000X) |
United | 071 | $26575.14 | 1306406285 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
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 | $15386.94 | 1750399192 - MARYVIEW HOSPITAL LLC, BON SECOURS MARYVIEW MEDICAL CENTER | 540506463 | VA | General Acute Care Hospital (282N00000X) |
United | 071 | $15386.94 | 1750399192 - MARYVIEW HOSPITAL LLC, BON SECOURS MARYVIEW MEDICAL CENTER | 540506463 | VA | General Acute Care Hospital (282N00000X) |
United | 071 | $10749.78 | 1174687040 - AITKIN COMMUNITY HOSPITAL, INC., RIVERWOOD HEALTHCARE CENTER | 410745522 - (MN) AITKIN COMMUNITY HOSPITAL INC | MN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 071 | $13777.37 | 1114473329 - EMERUS BHS SA THOUSAND OAKS LLC, BAPTIST NEIGHBORHOOD HOSPITAL SHAVANO PARK | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 071 | $14500.61 | 1366404014 - HOT SPRING COUNTY MEDICAL CENTER | 710236856 - (AR) BAPTIST HEALTH | AR | Rehabilitation Hospital Unit (273Y00000X) |
United | 071 | $9613.70 | 1225339898 - SCREVEN COUNTY HOSPITAL, LLC, OPTIM MEDICAL CENTER - SCREVEN | 273100946 | GA | Critical Access Hospital (282NC0060X) |
United | 071 | $9613.70 | 1225339898 - SCREVEN COUNTY HOSPITAL, LLC, OPTIM MEDICAL CENTER - SCREVEN | 273100946 | GA | Critical Access Hospital (282NC0060X) |
United | 071 | $16534.64 | 1790701787 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF CARDIOLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 071 | $16835.00 | 1255712766 - SAINT THOMAS STONES RIVER HOSPITAL, LLC, ASCENSION SAINT THOMAS STONES RIVER | 474063232 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 071 | $25432.71 | 1720004450 - NORTH COLORADO MEDICAL CENTER | 841287638 | CO | 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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