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See a sample rate comparisonMS-DRG 322 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.
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE 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 322 by major payers:
$20,507.23
$29,027.25
$31,177.91
$30,918.02
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MS-DRG 322
5 of 25 sample ratesHigher to lower in this preview
Texas Institute For Surgery, LLP, Texas Institute For Surgery At Texas Health Presbyterian Dallas
Texas Institute For Surgery, LLP
$53,190.48Published rateSaint Joseph Hospital, Inc
Saint Joseph Hospital
$32,824.85Published rateAscension Seton, Ascension Seton Medical Center Austin
Ascension Seton
$28,000.00Published rateInsight Chicago, Inc., Insight Hospital & Medical Center Chicago
Insight Chicago Inc
$19,472.41Published rateHeritage Park Surgical Hospital LLC, Baylor Scott & White Surgical Hospital At Sherman
$5,185.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 322 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 322 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 322 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 |
|---|---|---|
| 321-APR-DRG | High | CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
| 321-MS-DRG | High | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES |
| 322-MS-DRG | High | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC |
| 323-APR-DRG | High | Non-Elective Or Complex Hip Joint Replacement |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 322. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 322 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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