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See a sample rate comparisonMS-DRG 272 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 MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/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 272 by major payers:
$30,852.39
$33,122.81
$45,706.24
$42,246.79
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MS-DRG 272
5 of 25 sample ratesHigher to lower in this preview
Inova Health Care Services, Inova Mount Vernon Hospital
Inova Health Care Services
$63,658.46Published rateUniversity Hospital, Ltd., Hca Florida Woodmont Hospital Physical Rehabilitation Center
$50,861.00Published rateMvhs Inc, Wynn Hospital
Faxton-St Lukes Healthcare
$40,558.35Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
$24,847.00Published rateSt Marys Hospital Decatur Of The Hospital Sisters Of The Third Order, St Marys Hospital
St Marys Hospital Sisters Of The Third Order Of St Francis
$18,720.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 272 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 272 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 272 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 |
|---|---|---|
| 271-APR-DRG | Moderate | Other Open Craniotomy |
| 271-MS-DRG | High | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC |
| 272-MS-DRG | High | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC |
| 273-APR-DRG | Moderate | Other Open Craniotomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 272. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 272 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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