MS-DRG 510 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 510 by major payers:
$30,176.51
$35,933.40
$44,437.22
$46,251.78
| 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 510 | ||||||
United | 510 | $88849.35 | 1912969064 - BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC, MEMORIAL REGIONAL MEDICAL CENTER | 541744931 - BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC | VA | General Acute Care Hospital (282N00000X) |
United | 510 | $21403.71 | 1881602357 - MERCY HOSPITAL JEFFERSON | 430687077 - (MO) MERCY HOSPITAL JEFFERSON | MO | Psychiatric Hospital Unit (273R00000X) |
United | 510 | $38013.17 | 1881048221 - BBH CBMC, LLC, CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 510 | $19203.00 | 1356828172 - HMH HOSPITALS CORPORATION, RARITAN BAY MEDICAL CENTER-OLD BRIDGE | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 510 | $35649.07 | 1205801362 - AUBURN COMMUNITY HOSPITAL | 150532054 - AUBURN COMMUNITY HOSPITAL | NY | Psychiatric Hospital Unit (273R00000X) |
United | 510 | $24396.74 | 1083696454 - MERCY HEALTH SYSTEM, INC., MERCY MEDICAL CENTER | 452528414 | TN | General Acute Care Hospital (282N00000X) |
United | 510 | $13786.04 | 1134655731 - WEST TENNESSEE REHABILITATION HOSPITAL, LLC, WEST TN HEALTH REHAB HOSP CANE CREEK, A PARTNER WITH ENCOMPASS HEALTH | 475297151 - (TN) WEST TENNESSEE REHABILITATION HOSPITAL LLC | TN | Rehabilitation Hospital (283X00000X) |
United | 510 | $28203.73 | 1407573132 - DEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC, RED BUD REGIONAL HOSPITAL | 884142509 | IL | Critical Access Hospital (282NC0060X) |
United | 510 | $31639.16 | 1487218509 - SMSJ TUCSON HOLDINGS, LLC, CARONDELET MARANA HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 510 | $29244.90 | 1073954186 - NORTHWEST HOSPITAL LLC, NORTHWEST MEDICAL CENTER | 621762430 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 510 | $65767.81 | 1235764622 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 510 | $38911.37 | 1508247016 - SAINT THOMAS RIVER PARK HOSPITAL, LLC, ASCENSION SAINT THOMAS RIVER PARK | 474063149 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 510 | $116353.25 | 1710945910 - PEACEHEALTH, ST JOSEPH MEDICAL CENTER | 910565889 - PEACEHEALTH ST JOSEPH MEDICAL CENTER | WA | Psychiatric Hospital Unit (273R00000X) |
United | 510 | $38013.17 | 1881048221 - BBH CBMC, LLC, CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 510 | $36074.94 | 1740312552 - CALDWELL MEMORIAL HOSPITAL, INC. | 560554202 - CALDWELL MEMORIAL HOSPITAL INC | 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 510 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 510 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 510 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 |
|---|---|---|
| 509-MS-DRG | High | Arthroscopy |
| 510-MS-DRG | High | Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with MCC |
| 511-APR-DRG | High | UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY |
| 511-MS-DRG | High | Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 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 510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 510 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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