MS-DRG 593 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 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 593 by major payers:
$13,971.55
$16,987.19
$19,213.24
$19,661.15
| 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 593 | ||||||
United | 593 | $59332.73 | 1841687787 - JOHN MUIR MEDICAL CENTER | 680396600 | CA | General Acute Care Hospital (282N00000X) |
United | 593 | $18937.17 | 1083696710 - MEDINA HOSPITAL | 340733166 - (OH) MEDINA HOSPITAL | OH | General Acute Care Hospital (282N00000X) |
United | 593 | $17793.94 | 1023472842 - THEDACARE REGIONAL MEDICAL CENTER, THEDA CLARK MEDICAL CENTER, INC. | 390830664 - (WI) THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC | WI | General Acute Care Hospital (282N00000X) |
United | 593 | $14027.15 | 1427097716 - GENESIS HEALTH SYSTEM, GENESIS MEDICAL CENTER DAVENPORT | 421418847 - GENESIS HEALTH SYSTEM | IA | Rehabilitation Hospital Unit (273Y00000X) |
United | 593 | $14291.33 | 1700901873 - EAST TEXAS MEDICAL CENTER REHABILITATION HOSPITAL | 823913174 | TX | Rehabilitation Hospital (283X00000X) |
United | 593 | $8951.38 | 1073861530 - WILLIAM BEAUMONT HOSPITAL | 381459362 - WILLIAM BEAUMONT HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 593 | $17467.49 | 1841442274 - OKLAHOMA HEART HOSPITAL SOUTH LLC | 261131647 - (OK) OKLAHOMA HEART HOSPITAL SOUTH LLC | OK | General Acute Care Hospital (282N00000X) |
United | 593 | $9869.59 | 1205868627 - TYLER HOLMES MEMORIAL HOSPITAL | 646010221 | MS | Critical Access Hospital (282NC0060X) |
United | 593 | $41065.60 | 1861994808 - HCN EP HORIZON CITY, LLC, THE HOSPITALS OF PROVIDENCE NORTHEAST CAMPUS | 813935393 - (TX) HCN EP HORIZON CITY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 593 | $17896.66 | 1073799664 - THEDACARE MEDICAL CENTER, RIVERSIDE MEDICAL CENTER, INC. | 390871113 - (WI) THEDACARE MEDICAL CENTER-WAUPACA INC | WI | Critical Access Hospital (282NC0060X) |
United | 593 | $4829.00 | 1487706214 - IASIS GLENWOOD REGIONAL MEDICAL CENTER LP | 994786140 | LA | General Acute Care Hospital (282N00000X) |
United | 593 | $6978.70 | 1588631311 - SURGICAL SPECIALTY CENTER OF BATON ROUGE, LLC, SURGICAL SPECIALTY CENTER OF BATON ROUGE | 263120962 - (LA) SURGICAL SPECIALTY CENTER OF BATON ROUGE, LLC | LA | General Acute Care Hospital (282N00000X) |
United | 593 | $18369.83 | 1083617005 - OKLAHOMA HEART HOSPITAL, LLC | 731575187 - (OK) OKLAHOMA HEART HOSPITAL, LLC | OK | General Acute Care Hospital (282N00000X) |
United | 593 | $21574.53 | 1497796296 - ST FRANCIS HOSPITAL INC, ST. FRANCIS EASTSIDE | 582504530 - (SC) ST FRANCIS HOSPITAL INC | SC | General Acute Care Hospital (282N00000X) |
United | 593 | $23865.88 | 1568458297 - DISTRICT HOSPITAL PARTNERS L P, THE GEORGE WASHINGTON UNIVERSITY HOSPITAL | 232896725 | DC | 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 593 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 593 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 593 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 |
|---|---|---|
| 592-APR-DRG | Moderate | Anoxic And Other Severe Brain Damage |
| 592-MS-DRG | High | Skin Ulcers with MCC |
| 593-MS-DRG | High | Skin Ulcers with CC |
| 594-APR-DRG | Moderate | Anoxic And Other Severe Brain Damage |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 593. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 593 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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