MS-DRG 502 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 502 by major payers:
$15,817.42
$18,340.15
$22,099.12
$22,753.06
| 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 502 | ||||||
United | 502 | $11072.80 | 1952087546 - MERCY HOSPITAL PERRY | 923065473 | MO | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 502 | $8889.45 | 1770147118 - KPC PROMISE HOSPITAL OF PHOENIX LLC | 834169286 | AZ | Long Term Care Hospital (282E00000X) |
United | 502 | $26891.53 | 1336794312 - INSPIRA MEDICAL CENTERS, INC. | 210634484 - (NJ) INSPIRA MEDICAL CENTERS INC | NJ | Substance Use Disorder Rehabilitation Hospital Unit (276400000X) |
United | 502 | $21347.82 | 1598766495 - OUR LADY OF LOURDES REGIONAL MEDICAL CENTER,INC | 720423635 - OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC | LA | General Acute Care Hospital (282N00000X) |
United | 502 | $32959.30 | 1144236571 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BAPTIST HEALTH CENTER | 730612674 | OK | General Acute Care Hospital (282N00000X) |
United | 502 | $12078.79 | 1912218843 - RCHP, SHOALS HOSPITAL | 272451336 | AL | Rehabilitation Hospital Unit (273Y00000X) |
United | 502 | $17182.61 | 1851611990 - MERCY MEDICAL CENTER-DUBUQUE | 421437483 - (IA) MERCY MEDICAL CENTER-DUBUQUE | IA | General Acute Care Hospital (282N00000X) |
United | 502 | $25838.41 | 1407184013 - MERCY HOSPITAL | 160756336 - (NY) MERCY HOSPITAL OF BUFFALO | NY | Critical Access Hospital (282NC0060X) |
United | 502 | $24196.71 | 1295772259 - LAKEVIEW MEDICAL CENTER, LLC, LAKEVIEW REGIONAL MEDICAL CENTER | 621596506 | LA | General Acute Care Hospital (282N00000X) |
United | 502 | $16415.69 | 1285681841 - ROH LLC, MERIT HEALTH WOMEN'S HOSPITAL | 640780035 | MS | Women's Hospital (282NW0100X) |
United | 502 | $6776.00 | 1568657583 - DOCTORS HOSPITAL AT RENAISSANCE, LTD, HOSPITAL - PSYCHIATRIC UNIT | 742802643 - (TX) DOCTORS HOSPITAL AT RENAISSANCE | TX | Psychiatric Hospital Unit (273R00000X) |
United | 502 | $14941.45 | 1033180765 - ASCENSION MACOMB OAKLAND HOSPITAL, ST. JOHN MACOMB OAKLAND HOSPITAL-WARREN CAMPUS | 383322109 - ASCENSION MACOMB OAKLAND HOSPITAL | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 502 | $25440.22 | 1295225274 - UCH-MHS, UCHEALTH EMERGENCY ROOM - FOUNTAIN | 460796114 - (CO) UCH-MHS | CO | General Acute Care Hospital (282N00000X) |
United | 502 | $10373.80 | 1659323772 - COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP, MEDICAL CITY FORT WORTH | 621682202 - (TX) COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 502 | $19862.59 | 1407962046 - DLP HARRIS REGIONAL HOSPITAL LLC, HARRIS REGIONAL HOSPITAL | 383932775 | NC | 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 502 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 502 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 502 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 |
|---|---|---|
| 501-APR-DRG | High | MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
| 501-MS-DRG | High | Soft Tissue Procedures with CC |
| 502-MS-DRG | High | Soft Tissue Procedures without CC/MCC |
| 503-APR-DRG | Moderate | Non-Bacterial Infections Of Nervous System Except Viral Meningitis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 502. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 502 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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