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See a sample rate comparisonMS-DRG 232 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.
CORONARY BYPASS WITH PTCA 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 232 by major payers:
$70,718.33
$74,813.74
$94,661.91
$97,268.90
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MS-DRG 232
5 of 25 sample ratesHigher to lower in this preview
Mount Sinai Hospital, Mount Sinai Of Queens
Mount Sinai Hospital
$161,665.09Published rateShawnee Mission Medical Center Inc, Adventhealth Shawnee Mission
Shawnee Mission Medical Center Inc
$105,515.57Published rateUniversity Of North Carolina Hospitals At Chapel Hill, Unc Hospitals Psych Unit
$88,933.11Published ratePrime Healthcare Foundation, Southern Regional Medical Center
$60,493.50Published rateIra Davenport Memorial Hospital, Inc.
Ira Davenport Memorial Hospital Inc
$4,346.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 232 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 232 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 232 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 |
|---|---|---|
| 231-APR-DRG | High | MAJOR LARGE BOWEL PROCEDURES |
| 231-MS-DRG | High | CORONARY BYPASS WITH PTCA WITH MCC |
| 232-MS-DRG | High | CORONARY BYPASS WITH PTCA WITHOUT MCC |
| 233-APR-DRG | High | APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 232. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 232 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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