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See a sample rate comparisonMS-DRG 576 Fee Schedule
Last Verified: October 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.
SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 576 by major payers:
$55,027.49
$69,334.12
$84,218.79
$86,545.38
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MS-DRG 576
5 of 25 sample ratesHigher to lower in this preview
Grant County Public Hospital District 1, Samaritan Healthcare
$156,075.23Published rateSt. Mary'S Health, Inc., Ascension St. Vincent Evansville
United States Catholic Conference
$105,077.04Published rateMadison Hma LLC, Merit Health Madison
Madison Hma LLC
$74,511.11Published rateGood Samaritan Hospital Medical Center
Good Samaritan Hosptial Medical Center
$58,830.35Published rateChildren'S Hospital Colorado, Children'S Hospital Colorado Urgent/Outpatient Specialty Care Wheatrid
Childrens Hospital Colorado
$10,278.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 576 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 576 code is part of the Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast 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 576 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 |
|---|---|---|
| 575-MS-DRG | High | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC |
| 576-MS-DRG | High | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC |
| 577-MS-DRG | High | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS 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 576. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 576 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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