MS-DRG 482 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 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 482 by major payers:
$19,546.00
$21,796.56
$26,232.61
$26,801.08
| 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 482 | ||||||
United | 482 | $20938.39 | 1619442266 - RESILIENCE HEALTHCARE-WEST SUBURBAN MEDICAL CENTER, LLC, WEST SUBURBAN MEDICAL CENTER | 611899386 | IL | General Acute Care Hospital (282N00000X) |
United | 482 | $27335.25 | 1447575832 - PRESBYTARIAN HOSPITAL | 850105601 - PRESBYTERIAN HEALTHCARE SERVICES | NM | General Acute Care Hospital (282N00000X) |
United | 482 | $40218.28 | 1043279565 - ST. FRANCIS HOSPITAL | 112050523 - (NY) ST FRANCIS HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 482 | $18924.16 | 1376596569 - WOMENS CENTER OF NORTHWEST ARKANSAS LLC, WILLOW CREEK WOMEN'S HOSPITAL | 205896848 | AR | General Acute Care Hospital (282N00000X) |
United | 482 | $28851.85 | 1720085137 - NAPLES COMMUNITY HOSPITAL INC, NCH HEALTHCARE SYSTEM INC | 590694358 - (FL) NAPLES COMMUNITY HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 482 | $22051.16 | 1023305034 - LEGACY MERIDIAN PARK HOSPITAL | 930618975 - LEGACY MERIDIAN PARK HOSPITAL | OR | Hospitalist Physician (208M00000X) |
United | 482 | $21928.81 | 1790752236 - WAKEMED, WAKEMED RALEIGH CAMPUS REHABILITATION UNIT | 566017737 - WAKEMED | NC | Rehabilitation Hospital Unit (273Y00000X) |
United | 482 | $14342.00 | 1750819025 - NORTH HOUSTON, HCA HOUSTON HEALTHCARE TOMBALL | 821349955 | TX | General Acute Care Hospital (282N00000X) |
United | 482 | $49035.00 | 1134172406 - COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP, MEDICAL CITY ARLINGTON | 621682201 - COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 482 | $53791.64 | 1184687790 - BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC, BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND PSYCHIATRIC UNIT | 540793767 - BON SECOURS ST MARYS HOSPITAL OF RICHMOND LLC | VA | Psychiatric Hospital Unit (273R00000X) |
United | 482 | $26740.35 | 1699748996 - ST MARYS HOSPITAL | 463499370 | NJ | General Acute Care Hospital (282N00000X) |
United | 482 | $10935.05 | 1134585656 - T J HEALTH COLUMBIA INC, T J HEALTH COLUMBIA | 810893103 - (KY) T J HEALTH COLUMBIA INC | KY | General Acute Care Hospital (282N00000X) |
United | 482 | $26267.60 | 1316536253 - ADVENTHEALTH SOUTH OVERLAND PARK, INC. | 364595806 - (KS) ADVENTHEALTH SOUTH OVERLAND PARK INC | KS | General Acute Care Hospital (282N00000X) |
United | 482 | $14814.83 | 1265423917 - KINGMAN HEALTHCARE, INC, KINGMAN HOSPITAL, INC | 942916102 - KINGMAN HEALTHCARE INC | AZ | General Acute Care Hospital (282N00000X) |
United | 482 | $21576.63 | 1467594432 - MUSKOGEE REGIONAL MEDICAL CENTER LLC, MUSKOGEE REGIONAL MEDICAL CENTER PSYCHIATRIC UNIT | 814322087 - (OK) SAINT FRANCIS HOSPITAL MUSKOGEE INC | OK | Psychiatric Hospital Unit (273R00000X) |
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 482 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 482 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 482 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 |
|---|---|---|
| 481-APR-DRG | High | Peripheral, Cranial And Autonomic Nerve Disorders |
| 481-MS-DRG | High | Hip and Femur Procedures except Major Joint with CC |
| 482-MS-DRG | High | Hip and Femur Procedures except Major Joint without CC/MCC |
| 483-APR-DRG | High | PENIS, TESTES & SCROTAL PROCEDURES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 482. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 482 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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