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See a sample rate comparisonMS-DRG 447 Fee Schedule
Last Verified: September 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.
MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of the Musculoskeletal System & Connective Tissue |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 447 by major payers:
$63,666.64
$93,580.77
$94,289.34
$105,784.46
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MS-DRG 447
5 of 25 sample ratesHigher to lower in this preview
Integris Bass Baptist Health Center, Integris Bass Behavioral Health Center
$158,160.79Published rateProvidence Health & Services, Prov Scred Hrt Med Ctr & Chlds Hos
$131,257.90Published rateViera Hospital Inc, Viera Hospital Inc
Viera Hospital Inc
$112,310.42Published rateForest Health Medical Center LLC, Forest Health Medical Center
Forest Health Medical Center LLC
$47,375.41Published rateTrophy Club Medical Center Lp, Baylor Scott & White Medical Center - Trophy Club
Trophy Club Medical Center Lp
$5,185.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 447 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 447 code is part of the Diseases & Disorders of the Musculoskeletal System & Connective Tissue 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 447 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 |
|---|---|---|
| 447-MS-DRG | High | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE |
| 448-MS-DRG | High | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 447. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 447 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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