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See a sample rate comparisonMS-DRG 594 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 ULCERS 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 594 by major payers:
$10,035.67
$18,731.96
$13,372.27
$13,811.18
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MS-DRG 594
5 of 25 sample ratesHigher to lower in this preview
Scott Regional Medical Center, Inc., Ochsner Scott Regional
Scott Regional Medical Center Inc
$47,727.71Published rateMchs Hospitals Inc, Marshfield Medical Center
Mchs Hospitals Inc
$17,299.05Published rateDignity Health, St. Joseph'S Westgate Medical Center
Dignity Health
$13,488.29Published rateIdaho Falls Community Hospital LLC
Idaho Falls Community Hospital
$10,236.20Published rateJohnson Memorial Hospital, Johnson Memorial Hospital
Johnson Memorial Hospital
$7,282.04Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 594 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 594 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 594 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 |
|---|---|---|
| 593-APR-DRG | High | NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE |
| 593-MS-DRG | High | SKIN ULCERS WITH CC |
| 594-MS-DRG | High | SKIN ULCERS WITHOUT CC/MCC |
| 595-MS-DRG | High | MAJOR SKIN DISORDERS 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 594. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 594 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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