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See a sample rate comparisonMS-DRG 323 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 INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH 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 323 by major payers:
$45,649.18
$62,428.72
$60,611.61
$69,032.76
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MS-DRG 323
5 of 25 sample ratesHigher to lower in this preview
Tenet Hospitals Limited, The Hospitals Of Providence Transmountain Campus
$144,031.60Published rateUPMC Hanover, Hanover Hospital, Inc
UPMC Hanover
$92,220.27Published ratePrime Healthcare Services-Lehigh Acres LLC
$63,422.46Published rateCarondelet Health Network, St Mary'S Hospital
$44,616.78Published rateClhg-Winn, LLC, Winn Parish Medical Center
$2,500.00Published rate
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See a sample payer proposalMS-DRG 323 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 323 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 323 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 |
|---|---|---|
| 322-APR-DRG | High | SHOULDER & ELBOW JOINT REPLACEMENT |
| 322-MS-DRG | High | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC |
| 323-MS-DRG | High | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC |
| 324-APR-DRG | High | Elective 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 323. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 323 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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