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MS-DRG 140 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.

MAJOR HEAD AND NECK PROCEDURES WITH MCC
Key FactDetail
Service Type

Diseases & Disorders of the Ear, Nose, Mouth & Throat

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 140 by major payers:

bcbs

$46,799.60

uhc

$54,569.48

aetna

$65,493.99

cigna

$67,854.70

Compare published rates across providers.

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MS-DRG 140
5 of 25 sample ratesHigher to lower in this preview
  1. East Cooper Community Hospital, Inc., East Cooper Medical Center

    SCGeneral Acute Care HospitalNPI 1821026816Tax ID 95-3931540

    $127,442.86Published rate
  2. Emory University, Emory University Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1588640692Tax ID 58-0566256

    $62,706.10Published rate
  3. Elmhurst Memorial Healthcare

    ILGeneral Acute Care HospitalNPI 1093996654Tax ID 36-2167784

    $51,600.46Published rate
  4. Banner

    AZGeneral Acute Care HospitalNPI 1841224870Tax ID 27-0036499

    $35,635.53Published rate
  5. Forrest County General Hospital, Perry County General Hospital Snf

    Forrest County General Hospital

    MSMedicare Defined Swing Bed Hospital UnitNPI 1982864526Tax ID 64-6001587

    $1,350.00Published rate

National sample. Rates vary by location, specialty, and contract.

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MS-DRG 140 vs. Other Diseases & Disorders of the Ear, Nose, Mouth & Throat Codes

The MS-DRG 140 code is part of the Diseases & Disorders of the Ear, Nose, Mouth & Throat 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 140 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.

CodeComplexityDescription
139-APR-DRGHighOTHER PNEUMONIA
139-MS-DRGHighSALIVARY GLAND PROCEDURES
140-MS-DRGHighMAJOR HEAD AND NECK PROCEDURES WITH MCC
141-APR-DRGHighASTHMA

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 140. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 140 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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