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See a sample rate comparisonMS-DRG 203 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.
BRONCHITIS AND ASTHMA 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 203 by major payers:
$8,191.45
$9,795.95
$11,088.20
$11,446.41
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MS-DRG 203
5 of 25 sample ratesHigher to lower in this preview
Physicians Medical Center, LLC, Texas Health Center For Diagnostics And Surgery Plano
Physicians Medical Center, LLC Dba Texas Health Center For Diagnostics
$20,480.03Published rateDignity Community Care, Chandler Regional Medical Center
$14,521.32Published rateColumbia St. Mary'S Hospital Milwaukee Inc
Columbia St Marys Hospital Milwaukee Inc
$11,712.94Published rateJackson County Schneck Memorial Hospital, Schneck Medical Center
Jackson County Schneck Memorial Hospital
$6,621.00Published rateUpper San Juan Health Service District, Pagosa Springs Medical Center
Upper San Juan Health Service District
$4,914.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 203 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 203 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 203 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 |
|---|---|---|
| 202-APR-DRG | Moderate | Open Craniotomy For Trauma |
| 202-MS-DRG | High | BRONCHITIS AND ASTHMA WITH CC/MCC |
| 203-MS-DRG | High | BRONCHITIS AND ASTHMA WITHOUT CC/MCC |
| 204-APR-DRG | High | SYNCOPE & COLLAPSE |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 203. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 203 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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