MS-DRG 140 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 Ear, Nose, Mouth & Throat |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 140 by major payers:
$46,799.60
$54,569.48
$65,493.99
$67,854.70
| 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 140 | ||||||
United | 140 | $79297.50 | 1548734205 - PEACEHEALTH SOUTHWEST MEDICAL CENTER | 916068143 - PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 140 | $38631.19 | 1053359729 - HARBORVIEW MEDICAL CENTER | 911631806 | WA | General Acute Care Hospital (282N00000X) |
United | 140 | $51600.46 | 1093996654 - ELMHURST MEMORIAL HEALTHCARE | 362167784 - (IL) ELMHURST MEMORIAL HEALTHCARE | IL | General Acute Care Hospital (282N00000X) |
United | 140 | $52272.91 | 1598717480 - HURLEY MEDICAL CENTER | 386005601 | MI | General Acute Care Hospital (282N00000X) |
United | 140 | $35635.53 | 1841224870 - BANNER | 270036499 | AZ | General Acute Care Hospital (282N00000X) |
United | 140 | $54709.37 | 1821030842 - VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT WILSON COUNTY HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Psychiatric Hospital Unit (273R00000X) |
United | 140 | $36772.25 | 1295777324 - LONE STAR HMA L P, DALLAS REGIONAL MEDICAL CENTER | 472177648 | TX | General Acute Care Hospital (282N00000X) |
United | 140 | $25133.15 | 1871827311 - TYRONE HOSPITAL | 231440116 - (PA) TYRONE HOSPITAL | PA | Critical Access Hospital (282NC0060X) |
United | 140 | $4120.00 | 1487832200 - SMYTH COUNTY COMMUNITY HOSPITAL, SMYTH COUNTY COMMUNITY HOSPITAL SWING BED UNIT | 540794913 - (VA) SMYTH COUNTY COMMUNITY HOSPITAL | VA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 140 | $35635.53 | 1841224870 - BANNER | 270036499 | AZ | General Acute Care Hospital (282N00000X) |
United | 140 | $2772.00 | 1518580893 - CLEVELAND TENNESSEE HOSPITAL COMPANY LLC, TENNOVA HEALTHCARE-CLEVELAND | 992892769 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 140 | $1350.00 | 1982864526 - FORREST COUNTY GENERAL HOSPITAL, PERRY COUNTY GENERAL HOSPITAL SNF | 646001587 - FORREST COUNTY GENERAL HOSPITAL | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 140 | $70578.68 | 1902466840 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 140 | $127442.86 | 1821026816 - EAST COOPER COMMUNITY HOSPITAL, INC., EAST COOPER MEDICAL CENTER | 953931540 | SC | General Acute Care Hospital (282N00000X) |
United | 140 | $2772.00 | 1518580893 - CLEVELAND TENNESSEE HOSPITAL COMPANY LLC, TENNOVA HEALTHCARE-CLEVELAND | 992892769 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 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.
| Code | Complexity | Description |
|---|---|---|
| 139-APR-DRG | High | OTHER PNEUMONIA |
| 139-MS-DRG | High | Salivary Gland Procedures |
| 140-MS-DRG | High | Major Head and Neck Procedures with MCC |
| 141-APR-DRG | High | ASTHMA |
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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