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See a sample rate comparisonMS-DRG 101 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 WITHOUT 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 101 by major payers:
$10,291.84
$12,262.08
$14,603.69
$14,957.60
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MS-DRG 101
5 of 25 sample ratesHigher to lower in this preview
The New York And Presbyterian Hospital, New York-Presbyterian Hospital
The New York And Presbyterian Hospital
$28,543.25Published rateCommunity Health Network, Inc.., Hook Rehabilitation Center
Community Health Network Inc
$19,293.01Published rateUniversity Of Iowa Hospital And Clinics
$12,340.40Published rateRawlins County Health Center
$8,795.09Published rateNatchitoches Parish Hospital Service District, Natchitoches Regional Medical Center
Natchitoches Regional Medical Center
$1,829.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 101 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 101 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 101 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 |
|---|---|---|
| 100-MS-DRG | High | SEIZURES WITH MCC |
| 101-MS-DRG | High | SEIZURES WITHOUT MCC |
| 102-APR-DRG | Moderate | Head Trauma With Deep Coma |
| 102-MS-DRG | High | HEADACHES 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 101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 101 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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