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See a sample rate comparisonMS-DRG 100 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.
SEIZURES WITH 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 100 by major payers:
$20,798.96
$24,358.09
$31,010.79
$31,558.65
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MS-DRG 100
5 of 25 sample ratesHigher to lower in this preview
Hcn Ep Horizon City, LLC, The Hospitals Of Providence Emergency Room Montwood
Hcn Ep Horizon City LLC
$60,242.23Published rateOhiohealth Corporation, Dublin Methodist Hospital
Ohiohealth Corporation Grant Riverside Doctors Dublin Met
$36,702.23Published rateSt. Alexius Medical Center, Chi St. Alexius Health
St Alexius Medical Center
$25,772.50Published rateOakwood Healthcare, Inc., Corewell Health Taylor Hospital Rehabilitation
Oakwood Healthcare Inc
$19,589.08Published rateClhg-Dequincy, LLC
Clhgdequincy LLC
$2,000.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 100 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 100 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 100 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 |
|---|---|---|
| 099-MS-DRG | High | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC |
| 100-MS-DRG | High | SEIZURES WITH MCC |
| 101-APR-DRG | Moderate | Head Trauma With Deep Coma |
| 101-MS-DRG | High | SEIZURES WITHOUT 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 100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 100 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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