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See a sample rate comparisonMS-DRG 263 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.
VEIN LIGATION AND STRIPPING
| 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 263 by major payers:
$28,446.79
$32,976.37
$41,867.75
$43,226.68
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MS-DRG 263
5 of 25 sample ratesHigher to lower in this preview
Doctors Medical Center Of Modesto, Inc., Doctors Behavioral Health Center
$155,085.48Published rateSt. Mary'S Medical Center
$50,345.05Published rateClaiborne County Hospital Claiborne County Ambulance, Claiborne County Hospital
Claiborne Medical Center
$37,959.25Published rateMonroe Health Services, Inc.
Monroe Health Services Inc
$27,862.78Published rateAdair County Health Center, Inc, Memorial Hospital
Adair County Health Center Inc
$1,000.00Published rate
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See a sample payer proposalMS-DRG 263 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 263 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 263 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 |
|---|---|---|
| 262-APR-DRG | High | Other Nervous System And Related Procedures |
| 262-MS-DRG | High | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC |
| 263-MS-DRG | High | VEIN LIGATION AND STRIPPING |
| 264-APR-DRG | High | OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL 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 263. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 263 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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