MS-DRG 082 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 082 by major payers:
$25,724.11
$29,186.00
$36,257.03
$36,678.38
| 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 082 | ||||||
United | 082 | $24758.84 | 1316413313 - RESILIENCE HEALTHCARE, LOUIS A. WEISS MEMORIAL HOSPITAL | 352637418 | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 082 | $5982.00 | 1154399749 - OHI WEST, INC, BAYFRONT HEALTH ST PETERSBURG | 845074208 - (FL) OHI WEST INC | FL | General Acute Care Hospital (282N00000X) |
United | 082 | $31433.71 | 1871711010 - MARYMOUNT HOSPITAL | 340714458 - (OH) MARYMOUNT HOSPITAL INC | OH | Critical Access Hospital (282NC0060X) |
United | 082 | $28496.98 | 1831116441 - BRONSON METHODIST HOSPITAL | 381359087 - (MI) BRONSON METHODIST HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 082 | $46455.03 | 1285684829 - ST. VINCENT JENNINGS HOSPITAL, INC. | 743107055 - (IN) ST VINCENT CARMEL HOSPITAL INC | IN | Critical Access Hospital (282NC0060X) |
United | 082 | $36000.00 | 1548207640 - SUNRISE HOSPITAL AND MEDICAL CENTER, LLC, SUNRISE HOSPITAL AND MEDICAL CENTER | 621762537 | NV | General Acute Care Hospital (282N00000X) |
United | 082 | $6361.00 | 1841241841 - WESLEY HEALTH SYSTEM LLC, MERIT HEALTH WESLEY | 522050792 | MS | General Acute Care Hospital (282N00000X) |
United | 082 | $33960.76 | 1942651401 - THEDACARE MEDICAL CENTER-BERLIN, INC. | 390806359 - (WI) THEDACARE MEDICAL CENTER-BERLIN INC | WI | Rural Acute Care Hospital (282NR1301X) |
United | 082 | $34297.19 | 1467504555 - THE METHODIST HOSPITALS, INC | 350868133 - METHODIST HOSPITALS INC | IN | General Acute Care Hospital (282N00000X) |
United | 082 | $22494.65 | 1104830900 - VAL VERDE HOSPITAL CORPORATION, VAL VERDE REGIONAL MEDICAL CENTER | 742941598 - VAL VERDE HOSPITAL CORPORATION | TX | General Acute Care Hospital (282N00000X) |
United | 082 | $34494.41 | 1538199617 - MARIAN HEALTH CENTER-SMHC, MERCYONE SIOUXLAND MEDICAL CENTER | 311407377 | IA | General Acute Care Hospital (282N00000X) |
United | 082 | $13186.00 | 1649223645 - ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP, ROUND ROCK MEDICAL CENTER | 742781812 | TX | General Acute Care Hospital (282N00000X) |
United | 082 | $34494.41 | 1538199617 - MARIAN HEALTH CENTER-SMHC, MERCYONE SIOUXLAND MEDICAL CENTER | 311407377 | IA | General Acute Care Hospital (282N00000X) |
United | 082 | $2200.00 | 1548364961 - HOMER MEMORIAL HOSPITAL, CLAIBORNE MEMORIAL MEDICAL CENTER | 720396868 - (LA) HOMER MEMORIAL HOSPITAL | LA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 082 | $23202.00 | 1013379528 - BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION, THE MEDICAL CENTER AT ALBANY | 610920842 - (KY) BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION | KY | Critical Access Hospital (282NC0060X) |
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 082 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 082 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 082 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 |
|---|---|---|
| 081-APR-DRG | Moderate | Autologous Bone Marrow Transplant |
| 081-MS-DRG | High | Non-traumatic Stupor and Coma without MCC |
| 082-MS-DRG | High | Traumatic Stupor and Coma >1 Hour with MCC |
| 083-APR-DRG | Moderate | Autologous 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 082. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 082 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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