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See a sample rate comparisonMS-DRG 578 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 WITHOUT CC/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 578 by major payers:
$18,286.45
$21,808.58
$26,722.91
$27,545.23
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MS-DRG 578
5 of 25 sample ratesHigher to lower in this preview
General Conference Of Seventh Day Adventist Hackettstown Community Hos
Atlantic Health System Inc
$43,818.55Published rateCarondelet Health Network, St Mary'S Hospital
$36,642.35Published rateIntegris Grove Hospital
$24,466.60Published rateAscension Macomb Oakland Hospital, St. John Macomb Oakland Hospital-Warren Campus
Ascension Macomb Oakland Hospital
$18,266.46Published rateSelect Specialty Hospital Tucson, LLC, Curahealth Tucson
$9,357.79Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 578 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 578 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 578 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 |
|---|---|---|
| 577-MS-DRG | High | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC |
| 578-MS-DRG | High | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC |
| 579-APR-DRG | Moderate | Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Coma < 1 Hour Or No Coma |
| 579-MS-DRG | High | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 578. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 578 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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