MS-DRG 092 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 092 by major payers:
$12,272.22
$15,140.89
$16,706.98
$17,065.12
| 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 092 | ||||||
United | 092 | $17347.40 | 1639261811 - OSBORNE COUNTY MEMORIAL HOSPITAL | 480640918 - (KS) OSBORNE COUNTY MEMORIAL HOSPITAL | KS | Critical Access Hospital (282NC0060X) |
United | 092 | $20075.07 | 1851568687 - DIGNITY HEALTH, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 721561134 - (AZ) ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 092 | $11626.63 | 1073781225 - ADVOCATE HOPE CHILDREN'S HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Children's Hospital (282NC2000X) |
United | 092 | $2703.00 | 1639797913 - SINGING RIVER GULFPORT | 851538878 | MS | General Acute Care Hospital (282N00000X) |
United | 092 | $6706.00 | 1851396576 - DESERT VALLEY HOSPITAL, LLC, DESERT VALLEY HOSPITAL | 330502805 - (CA) DESERT VALLEY HOSPITAL LLC | CA | General Acute Care Hospital (282N00000X) |
United | 092 | $19958.66 | 1619163854 - COMMUNITY HEALTH NETWORK, INC, COMMUNITY HOSPITAL NORTH | 743230935 | IN | General Acute Care Hospital (282N00000X) |
United | 092 | $19958.66 | 1619163854 - COMMUNITY HEALTH NETWORK, INC, COMMUNITY HOSPITAL NORTH | 743230935 | IN | General Acute Care Hospital (282N00000X) |
United | 092 | $25652.93 | 1154516755 - SWEDISH HEALTH SERVICES, SWEDISH MEDICAL CENTER, BALLARD | 910433740 - (WA) SWEDISH HEALTH SERVICES | WA | Substance Use Disorder Rehabilitation Hospital Unit (276400000X) |
United | 092 | $15672.99 | 1609860659 - FORT LOUDOUN MEDICAL CENTER | 621373691 - (TN) FORT LOUDOUN MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 092 | $13062.24 | 1700864352 - GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | 363332852 - (IL) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | IL | Psychiatric Hospital Unit (273R00000X) |
United | 092 | $31549.25 | 1538657267 - PALMETTO HEALTH | 582296052 - (SC) PRISMA HEALTH-MIDLANDS | SC | Hospitalist Physician (208M00000X) |
United | 092 | $28672.63 | 1205960903 - HARRIS METHODIST FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 092 | $106908.50 | 1306849617 - WEST ASCENSION PARISH HOSPITAL SERVICE DISTRICT, PREVOST MEMORIAL HOSPITAL | 720637478 | LA | Critical Access Hospital (282NC0060X) |
United | 092 | $9994.12 | 1487993630 - LUBBOCK COUNTY HOSPITAL DISTRICT, UMC MEDICAL PROFESSIONAL SERVICES | 751301362 - LUBBOCK COUNTY HOSPITAL DISTRICT | TX | Hospitalist Physician (208M00000X) |
United | 092 | $11078.24 | 1720419583 - STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, UMMC GRENADA EKG/EEG SERVICES | 646008520 | MS | 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 092 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 092 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 092 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 |
|---|---|---|
| 091-APR-DRG | High | OTHER MAJOR HEAD & NECK PROCEDURES |
| 091-MS-DRG | High | Other Disorders of Nervous System with MCC |
| 092-MS-DRG | High | Other Disorders of Nervous System with CC |
| 093-APR-DRG | High | Extracorporeal Membrane Oxygenation (Ecmo) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 092. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 092 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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