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See a sample rate comparisonMS-DRG 093 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.
OTHER DISORDERS OF NERVOUS SYSTEM 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 093 by major payers:
$9,475.87
$10,808.54
$12,577.53
$12,883.13
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MS-DRG 093
5 of 25 sample ratesHigher to lower in this preview
Peacehealth, St Joseph Medical Center
Peacehealth St Joseph Medical Center
$27,345.30Published rateVanderbilt Coffee Hospital, LLC, Vanderbilt Tullahoma-Harton Hospital
$12,533.29Published rateErlanger Health
$9,704.44Published rateKittson Memorial Hospital Association, Kittson Memorial Hospital Association
Kittson Memorial Hospital Association
$7,342.08Published rateSinging River Health System, Behavorial Health Services
Singing River Health System
$2,703.00Published rate
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See a sample payer proposalMS-DRG 093 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 093 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 093 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 |
|---|---|---|
| 092-APR-DRG | High | FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES |
| 092-MS-DRG | High | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC |
| 093-MS-DRG | High | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC |
| 094-APR-DRG | Moderate | 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 093. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 093 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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