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See a sample rate comparisonMS-DRG 463 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.
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC
| 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 463 by major payers:
$60,119.11
$68,791.05
$84,408.68
$86,272.86
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MS-DRG 463
5 of 25 sample ratesHigher to lower in this preview
University Hospital At Stony Brook, Stony Brook Eastern Long Island Hospital Psych Unit
$200,438.34Published rateDecatur Memorial Hospital
$116,823.63Published rateNorth Broward Hospital District, Broward Health Imperial Point
North Broward Hospital District
$84,741.68Published rateSaline Hospital LLC, Saline Memorial Hospital
$46,875.28Published rateFreeman-Oak Hill Health System
Freeman Health System
$8,106.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 463 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 463 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 463 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 |
|---|---|---|
| 462-APR-DRG | High | NEPHRITIS & NEPHROSIS |
| 462-MS-DRG | High | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC |
| 463-MS-DRG | High | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC |
| 464-APR-DRG | Moderate | Nonspecific Cva And Precerebral Occlusion Without Infarction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 463. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 463 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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