MS-DRG 077 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 077 by major payers:
$18,055.01
$20,189.60
$24,319.91
$24,737.88
| 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 077 | ||||||
United | 077 | $20868.85 | 1194789818 - BAPTIST MEMORIAL HOSPITAL-DESOTO, INC, | 640682111 - (MS) BAPTIST MEMORIAL HOSPITAL-DESOTO INC | MS | General Acute Care Hospital (282N00000X) |
United | 077 | $2954.00 | 1174553598 - WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC, HAWKINS COUNTY MEMORIAL HOSPITAL | 621816368 - (TN) WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC | TN | General Acute Care Hospital (282N00000X) |
United | 077 | $2337.00 | 1548593189 - SPRINGHILL HOSPITALS, INC, SPRINGHILL MEMORIAL HOSPITAL | 630784458 - (AL) SPRINGHILL HOSPITALS INC | AL | General Acute Care Hospital (282N00000X) |
United | 077 | $17080.42 | 1386679512 - MERCY MEDICAL CENTER-DUBUQUE, MERCYONE DUBUQUE MEDICAL CENTER-REHAB UNIT | 421437483 - (IA) MERCY MEDICAL CENTER-DUBUQUE | IA | Rehabilitation Hospital Unit (273Y00000X) |
United | 077 | $11842.16 | 1952560914 - BANNER BOSWELL MEDICAL CENTER | 900389314 | AZ | General Acute Care Hospital (282N00000X) |
United | 077 | $28584.90 | 1235966276 - HSA HH LLC | 862669849 | FL | General Acute Care Hospital (282N00000X) |
United | 077 | $18867.94 | 1710051941 - FRANCISCAN HEALTH MICHIGAN CITY, FRANCISCAN ST. ANTHONY HEALTH - MICHIGAN CITY | 350876394 - (IN) FRANCISCAN HEALTH MICHIGAN CITY | IN | General Acute Care Hospital (282N00000X) |
United | 077 | $10123.00 | 1205018439 - LAKE POINTE OPERATING COMPANY, LLC, BAYLOR SCOTT & WHITE MEDICAL CENTER LAKE POINTE | 260194016 - (TX) LAKE POINTE OPERATING COMPANY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 077 | $11829.20 | 1467447508 - BROADLAWNS MEDICAL CENTER, BROADLAWNS MEDICAL CENTER | 426005830 - (IA) BROADLAWNS MEDICAL CENTER | IA | General Acute Care Hospital (282N00000X) |
United | 077 | $27963.28 | 1427085232 - WARREN MEMORIAL HOSPITAL, INC. | 540488103 - VALLEY HEALTH SYSTEM | VA | General Acute Care Hospital (282N00000X) |
United | 077 | $23949.08 | 1558309401 - LUTHERAN HOSPITAL | 340714684 - (OH) LUTHERAN HOSPITAL | OH | Rehabilitation Hospital Unit (273Y00000X) |
United | 077 | $2065.00 | 1164750840 - CENTRAL LOUISIANA SURGICAL HOSPITAL LLC, CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | 264732898 - (LA) CENTRAL LOUISIANA SURGICAL HOSPITAL, LLC | LA | General Acute Care Hospital (282N00000X) |
United | 077 | $8241.00 | 1932296316 - JOHN T. MATHER MEMORIAL HOSPITAL | 111639818 - (NY) JOHN T MATHER MEMORIAL HOSPITAL | NY | Hospitalist Physician (208M00000X) |
United | 077 | $16527.33 | 1518042605 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 077 | $44438.58 | 1104856095 - DESERT REGIONAL MEDICAL CENTER, INC., DESERT REGIONAL MEDICAL CENTER | 752694137 | CA | 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 077 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 077 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 077 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 |
|---|---|---|
| 076-APR-DRG | Moderate | Allogeneic Bone Marrow Transplant |
| 076-MS-DRG | High | Viral Meningitis without CC/MCC |
| 077-MS-DRG | High | Hypertensive Encephalopathy with MCC |
| 078-MS-DRG | High | Hypertensive Encephalopathy with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 077. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 077 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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