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See a sample rate comparisonMS-DRG 072 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 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 072 by major payers:
$9,252.29
$12,239.71
$11,961.03
$12,294.25
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MS-DRG 072
5 of 25 sample ratesHigher to lower in this preview
Valley Baptist Medical Center
$25,394.26Published rateNYU Langone Hospitals, NYU Langone Hospital Long Island
NYU Langone Hospitals
$17,032.64Published rateScott & White Hospital, Baylor Scott & White Medical Center - Round Rock
Scott & White Hospital Round Rock
$10,964.00Published rateAdvocate North Side Health Network, Advocate Illinois Masonic Medical Center
Advocate North Side Health Network
$8,238.70Published rateProsser Public Hospital District Of Benton County
$4,632.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 072 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 072 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 072 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 |
|---|---|---|
| 071-APR-DRG | Moderate | Allogeneic Bone Marrow Transplant |
| 071-MS-DRG | High | OTHER CEREBROVASCULAR DISORDERS WITH CC |
| 072-MS-DRG | High | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC |
| 073-APR-DRG | High | ORBIT & EYE PROCEDURES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 072. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 072 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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