MS-DRG 202 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 Respiratory System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 202 by major payers:
$11,248.41
$13,237.52
$15,237.75
$15,689.55
| 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 202 | ||||||
United | 202 | $4904.00 | 1316030083 - NEWBERRY COUNTY MEMORIAL HOSPITAL | 570324929 - (SC) NEWBERRY COUNTY MEMORIAL HOSPITAL | SC | General Acute Care Hospital (282N00000X) |
United | 202 | $10897.58 | 1255404281 - FRANKFORD HOSPITAL | 230596940 - (PA) JEFFERSON HEALTH-NORTHEAST | PA | General Acute Care Hospital (282N00000X) |
United | 202 | $18699.31 | 1912567892 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 202 | $8442.83 | 1992738959 - FISHER-TITUS MEDICAL CENTER | 344430716 - (OH) FISHER TITUS MEDICAL CENTER | OH | General Acute Care Hospital (282N00000X) |
United | 202 | $9668.92 | 1629132949 - WHITE COUNTY MEDICAL CENTER, WHITE COUNTY MEDICAL CENTER REHAB UNIT | 710772737 - WHITE COUNTY MEDICAL CENTER | AR | Rehabilitation Hospital Unit (273Y00000X) |
United | 202 | $22013.68 | 1235764622 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 202 | $6361.00 | 1841241841 - WESLEY HEALTH SYSTEM LLC, MERIT HEALTH WESLEY | 522050792 | MS | General Acute Care Hospital (282N00000X) |
United | 202 | $4640.16 | 1326349986 - MID COAST MEDICAL CENTER, MID COAST MEDICAL CENTER - CENTRAL | 273026151 - (TX) MID COAST MEDICAL CENTER-CENTRAL | TX | Critical Access Hospital (282NC0060X) |
United | 202 | $6361.00 | 1841241841 - WESLEY HEALTH SYSTEM LLC, MERIT HEALTH WESLEY | 522050792 | MS | General Acute Care Hospital (282N00000X) |
United | 202 | $15205.33 | 1730288663 - SSM HEALTH CARE OF OKLAHOMA, INC., SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY | 730657693 - SSM HEALTH CARE OF OKLAHOMA INC | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 202 | $11274.57 | 1235129214 - EMANUEL COUNTY HOSPITAL AUTHORITY, EMANUEL MEDICAL CENTER | 586002922 | GA | Rural Acute Care Hospital (282NR1301X) |
United | 202 | $16560.80 | 1124503636 - GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST HACKETTSTOWN COMMUNITY HOS | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 202 | $11274.57 | 1235129214 - EMANUEL COUNTY HOSPITAL AUTHORITY, EMANUEL MEDICAL CENTER | 586002922 | GA | Rural Acute Care Hospital (282NR1301X) |
United | 202 | $15591.90 | 1730710898 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL | 843381796 | WI | General Acute Care Hospital (282N00000X) |
United | 202 | $2737.00 | 1275782039 - ST. BARNABAS HOSPITAL-FTMHC | 131740122 - (NY) ST BARNABAS HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
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 202 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 202 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 202 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 |
|---|---|---|
| 201-APR-DRG | High | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
| 201-MS-DRG | High | Pneumothorax without CC/MCC |
| 202-MS-DRG | High | Bronchitis and Asthma with CC/MCC |
| 203-APR-DRG | High | CHEST PAIN |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 202. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 202 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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