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See a sample rate comparisonMS-DRG 393 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 DIGESTIVE SYSTEM DIAGNOSES WITH MCC
| 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 393 by major payers:
$18,926.01
$21,354.40
$26,015.24
$26,458.30
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MS-DRG 393
5 of 25 sample ratesHigher to lower in this preview
Usc University Hospital, Inc., Usc Hospital
Keck Medical Center Of Usc
$64,721.44Published rateCommunity Memorial Hospital Of Menomonee Falls Inc
$27,191.46Published rateBbh Wbmc, LLC, Walker Baptist Medical Center
$22,649.10Published rateRush Oak Park Hospital Inc
$17,301.89Published rateThe Shriners' Hospital For Children
Shriners Hospitals For Children
$3,665.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 393 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 393 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 393 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 |
|---|---|---|
| 392-MS-DRG | High | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC |
| 393-MS-DRG | High | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC |
| 394-MS-DRG | High | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 393. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 393 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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