MS-DRG 349 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Diseases & Disorders of the Digestive System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 349 by major payers:
$11,344.81
$12,343.97
$14,101.64
$14,625.16
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for MS-DRG 349 | ||||||
United | 349 | $12760.98 | 1528175981 - OTTUMWA REGIONAL HEALTH CENTER INC | 272200283 | IA | General Acute Care Hospital (282N00000X) |
United | 349 | $46180.30 | 1912937624 - HILTON HEAD HEALTH SYSTEM, L.P., HILTON HEAD HOSPITAL | 934604680 | SC | General Acute Care Hospital (282N00000X) |
United | 349 | $17083.28 | 1497804249 - PENN PRESBYTERIAN MEDICAL CENTER | 232810852 - PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 349 | $14190.16 | 1790701787 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF CARDIOLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 349 | $12074.50 | 1477978476 - PROSPECT CHARTERCARE RWMC, LLC, ROGER WILLIAMS MEDICAL CENTER | 464648465 | RI | Psychiatric Hospital Unit (273R00000X) |
United | 349 | $4958.00 | 1073519377 - SMYTH COUNTY COMMUNITY HOSPITAL | 540794913 - (VA) SMYTH COUNTY COMMUNITY HOSPITAL | VA | General Acute Care Hospital (282N00000X) |
United | 349 | $44408.30 | 1275558819 - SIERRA VISTA HOSPITAL, INC., SIERRA VISTA REGIONAL MEDICAL CENTER | 952588614 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 349 | $14738.48 | 1871713495 - SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | 60646813 - (CT) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | CT | General Acute Care Hospital (282N00000X) |
United | 349 | $11341.58 | 1760421713 - THE UNITY HOSPITAL OF ROCHESTER, PARK RIDGE HOSPITAL | 237221763 - THE UNITY HOSPITAL OF ROCHESTER | NY | General Acute Care Hospital (282N00000X) |
United | 349 | $19610.59 | 1164507133 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 349 | $15769.87 | 1114189636 - PHELPS MEMORIAL HOSPITAL ASSOCIATION, REHABILITATION SUB PROVIDER HOSPITAL | 131725076 - (NY) PHELPS MEMORIAL HOSPITAL ASSOCIATION | NY | Rehabilitation Hospital (283X00000X) |
United | 349 | $6098.00 | 1568669380 - IJKG OPCO LLC, BAYONNE HOSPITAL CENTER | 261442063 - (NJ) CAREPOINT HEALTH BAYONNE MEDICAL CENTER | NJ | Psychiatric Hospital Unit (273R00000X) |
United | 349 | $16109.90 | 1063175578 - MERCY HEALTH, MERCY HEALTH - ST. ANNE HOSPITAL | 344428250 - MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC | OH | General Acute Care Hospital (282N00000X) |
United | 349 | $12512.29 | 1831170232 - GOTTLIEB MEMORIAL HOSPITAL | 362379649 - (IL) GOTTLIEB MEMORIAL HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 349 | $11459.55 | 1487639175 - KNOX COUNTY HOSPITAL DISTRICT, KNOX COUNTY HOSPITAL DISTRICT | 750808798 | TX | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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MS-DRG 349 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 349 code is part of the Diseases & Disorders of the Digestive 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 349 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 |
|---|---|---|
| 348-MS-DRG | High | Anal and Stomal Procedures with CC |
| 349-MS-DRG | High | Anal and Stomal Procedures without CC/MCC |
| 350-MS-DRG | High | Inguinal and Femoral Hernia Procedures with MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 349. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 349 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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