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See a sample rate comparisonMS-DRG 192 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.
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 192 by major payers:
$8,511.91
$9,766.00
$10,630.09
$10,843.02
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MS-DRG 192
5 of 25 sample ratesHigher to lower in this preview
Jfk Memorial Hospital, Inc., John F. Kennedy Memorial Hospital
$28,151.25Published rateRichmond University Medical Center
Richmond Medical Center
$11,389.58Published rateBaptist Memorial Hospital North Mississippi, Inc, Bmh-North Mississippi
Baptist Memorial Hospital-North Mississippi Inc
$7,748.27Published rateOrthopedic And Surgical Specialty Company, LLC, Arizona Specialty Hospital
Orthopedic And Surgical Specialty Company LLC
$6,474.70Published rateHouston County Community Hospital
$500.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 192 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 192 code is part of the Diseases & Disorders of the Respiratory 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 192 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 |
|---|---|---|
| 191-APR-DRG | High | CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
| 191-MS-DRG | High | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC |
| 192-MS-DRG | High | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC |
| 193-APR-DRG | High | ACUTE & SUBACUTE ENDOCARDITIS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 192. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 192 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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