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See a sample rate comparisonMS-DRG 229 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.
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of the Circulatory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 229 by major payers:
$44,676.97
$42,852.17
$58,509.57
$53,799.78
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MS-DRG 229
5 of 25 sample ratesHigher to lower in this preview
Desert Regional Medical Center, Inc., Desert Regional Medical Center
$93,161.03Published rateProvidence Health & Services Oregon, Providence Portland Medical Center
$66,496.56Published rateBoston Medical Center Corporation, Bmc Brockton Behavioral Health Center
Boston Medical Center Corporation
$51,754.80Published ratePresence Central And Suburban Hospitals Network, Presence St. Joseph Medical Center
$39,645.71Published rateBaton Rouge General Medical Center
$3,757.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 229 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 229 code is part of the Diseases & Disorders of the Circulatory 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 229 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 |
|---|---|---|
| 228-APR-DRG | High | INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
| 228-MS-DRG | High | OTHER CARDIOTHORACIC PROCEDURES WITH MCC |
| 229-MS-DRG | High | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC |
| 231-APR-DRG | High | MAJOR LARGE BOWEL PROCEDURES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 229. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 229 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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