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See a sample rate comparisonMS-DRG 074 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.
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT 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 074 by major payers:
$11,921.61
$14,066.38
$16,755.34
$16,802.89
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MS-DRG 074
5 of 25 sample ratesHigher to lower in this preview
New York City Health And Hospitals Corporation, North Central Bronx Hospital
New York City Health And Hospitals Corporation
$34,132.35Published rateMethodist Healthcare
Methodist Healthcare-Olive Branch Hospital
$14,876.90Published rateSt Luke'S Methodist Hospital
St Lukes Methodist Hospital
$11,303.58Published rateSoutheast Texas Medical Ventures, LLC, Townsen Memorial Surgery Center - Kingwood
Southeast Texas Medical Ventures LLC Dba Townsen Memorial Hospital
$9,173.12Published rateLower Bucks Hospital
Prime Healthcare Services Lower Bucks, LLC
$2,536.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 074 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 074 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 074 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 |
|---|---|---|
| 073-APR-DRG | High | ORBIT & EYE PROCEDURES |
| 073-MS-DRG | High | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC |
| 074-MS-DRG | High | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC |
| 075-MS-DRG | High | VIRAL MENINGITIS WITH CC/MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 074. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 074 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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