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See a sample rate comparisonMS-DRG 087 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.
TRAUMATIC STUPOR AND COMA <1 HOUR 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 087 by major payers:
$9,866.42
$11,530.19
$13,984.33
$14,329.03
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MS-DRG 087
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Stephenville
$25,989.59Published rateUnited Health Services Hospitals, Inc
United Health Services Hospitals Inc
$18,585.22Published rateThedacare Regional Medical Center-Neenah, Inc., Theda Clark Medical Center Inc.
Thedacare Regional Medical Center - Neenah Inc
$12,864.84Published rateSoutheast Alabama Regional Healthcare Authority, Medical Center Barbour Senior Care Center
$4,534.74Published rateSelect Specialty Hospital
$2,709.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 087 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 087 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 087 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 |
|---|---|---|
| 086-APR-DRG | Moderate | Autologous Bone Marrow Transplant |
| 086-MS-DRG | High | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC |
| 087-MS-DRG | High | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC |
| 088-MS-DRG | High | CONCUSSION WITH 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 087. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 087 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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