MS-DRG 393 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 393 by major payers:
$18,926.01
$21,354.40
$26,015.24
$26,458.30
| 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 393 | ||||||
United | 393 | $21135.52 | 1003976713 - PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK, PRESENCE ST. JOSEPH MEDICAL CENTER - PSYCHIATRIC UNIT | 992141118 | IL | Psychiatric Hospital Unit (273R00000X) |
United | 393 | $17899.69 | 1801889969 - INDIANA REGIONAL MEDICAL CENTER | 250965404 - (PA) INDIANA REGIONAL MEDICAL CENTER | PA | Psychiatric Hospital Unit (273R00000X) |
United | 393 | $19017.50 | 1952307027 - NORTON HOSPITALS, INC, NORTON AUDUBON HOSPITAL | 610703799 - (KY) NORTON HOSPITALS INC | KY | General Acute Care Hospital (282N00000X) |
United | 393 | $5148.00 | 1659319796 - VICKSBURG HEALTHCARE LLC, RIVER REGION HEALTH SYSTEM | 621752111 - (MS) VICKSBURG HEALTHCARE LLC | MS | Rehabilitation Hospital Unit (273Y00000X) |
United | 393 | $50761.37 | 1124274436 - ST. MARYS HOSPITAL AND MEDICAL CENTER INC, ST. MARY'S MEDICAL CENTER | 840425720 - (CO) ST MARYS HOSPITAL AND MEDICAL CENTER INC | CO | Rehabilitation Hospital Unit (273Y00000X) |
United | 393 | $29745.07 | 1871592113 - DUKE UNIVERSITY HEALTH SYSTEM, INC., DURHAM REGIONAL HOSPITAL | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | NC | General Acute Care Hospital (282N00000X) |
United | 393 | $18277.26 | 1124272547 - ADVOCATE CONDELL MEDICAL CENTER | 262525968 - (IL) ADVOCATE HEALTH CARE NETWORK | IL | General Acute Care Hospital (282N00000X) |
United | 393 | $38092.96 | 1780134270 - HIGHLAND HOSPITAL, ALAMEDA HEALTH SYSTEM | 943302014 | CA | General Acute Care Hospital (282N00000X) |
United | 393 | $28342.43 | 1376564302 - INOVA HEALTH CARE SERVICES, INOVA LOUDOUN HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 393 | $18131.53 | 1023060472 - ST. JOSEPH HEALTH SYSTEM, LLC, LUTHERAN DOWNTOWN HOSPITAL | 510382045 | IN | General Acute Care Hospital (282N00000X) |
United | 393 | $21135.52 | 1003976713 - PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK, PRESENCE ST. JOSEPH MEDICAL CENTER - PSYCHIATRIC UNIT | 992141118 | IL | Psychiatric Hospital Unit (273R00000X) |
United | 393 | $50680.21 | 1801212410 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 393 | $16362.94 | 1295785285 - OAKWOOD HEALTHCARE, INC., COREWELL HEALTH WAYNE HOSPITAL | 381405141 - (MI) OAKWOOD HEALTHCARE INC | MI | General Acute Care Hospital (282N00000X) |
United | 393 | $17321.75 | 1558071894 - CHI ST VINCENT HOSPITAL HOT SPRINGS | 710236913 - CHI ST VINCENT HOSPITAL HOT SPRINGS | AR | Substance Use Disorder Rehabilitation Hospital Unit (276400000X) |
United | 393 | $27062.36 | 1669752234 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | 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 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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