MS-DRG 599 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 599 by major payers:
$9,136.20
$11,476.68
$13,343.52
$13,832.59
| 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 599 | ||||||
United | 599 | $29071.73 | 1598181091 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | General Acute Care Hospital (282N00000X) |
United | 599 | $15100.95 | 1790860856 - CARONDELET HEALTH NETWORK, ST JOSEPH'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 599 | $7830.72 | 1043659816 - ORO VALLEY HOSPITAL LLC, ORO VALLEY HOSPITAL | 621762430 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 599 | $13814.59 | 1154314789 - ASCENSION VIA CHRISTI HOSPITALS WICHITA INC. | 481172106 - ASCENSION VIA CHRISTI HOSPITALS WICHITA INC | KS | General Acute Care Hospital (282N00000X) |
United | 599 | $6501.02 | 1902881295 - SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC, THE CORE INSTITUTE SPECIALTY HOSPITAL | 202615543 - (AZ) SURGICAL SPECIALTY HOSPITAL OF ARIZONA | AZ | Special Hospital (284300000X) |
United | 599 | $10164.75 | 1841886074 - PORTER HOSPITAL LLC, NORTHWEST HEALTH-PORTER | 208473972 | IN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 599 | $14057.87 | 1427064310 - MARY IMMACULATE HOSPITAL LLC, MARY IMMACULATE HOSPITAL | 540548200 | VA | General Acute Care Hospital (282N00000X) |
United | 599 | $16059.16 | 1295764553 - PREFERRED HOSPITAL LEASING ELDORADO, INC., SCHLEICHER COUNTY MEDICAL CENTER | 203662596 - (TX) PREFERRED HOSPITAL LEASING ELDORADO INC | TX | Critical Access Hospital (282NC0060X) |
United | 599 | $11392.67 | 1215979190 - VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT WILSON COUNTY HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 599 | $5406.62 | 1780677039 - CIBOLA GENERAL HOSPITAL CORPORATION, CIBOLA GENERAL HOSPITAL | 850141285 - (NM) CIBOLA GENERAL HOSPITAL CORPORATION | NM | Critical Access Hospital (282NC0060X) |
United | 599 | $1000.00 | 1699965103 - LAWRENCE MEMORIAL HOSPITAL | 731547175 - (AR) LAWRENCE MEMORIAL HEALTH FOUNDATION | AR | Critical Access Hospital (282NC0060X) |
United | 599 | $6431.60 | 1073598439 - VALLEY MEDICAL FACILITIES, INC., HERITAGE VALLEY KENNEDY | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | General Acute Care Hospital (282N00000X) |
United | 599 | $9364.50 | 1700267218 - SAINT THOMAS STONES RIVER HOSPITAL, LLC | 474063232 | TN | Psychiatric Hospital Unit (273R00000X) |
United | 599 | $3385.00 | 1861670903 - MOUNTAIN STATES HEALTH ALLIANCE, RUSSELL COUNTY SWING BED UNIT | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | VA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 599 | $9364.50 | 1700267218 - SAINT THOMAS STONES RIVER HOSPITAL, LLC | 474063232 | TN | 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 599 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 599 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 599 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 |
|---|---|---|
| 598-APR-DRG | Moderate | Anoxic And Other Severe Brain Damage |
| 598-MS-DRG | High | Malignant Breast Disorders with CC |
| 599-MS-DRG | High | Malignant Breast Disorders without CC/MCC |
| 600-MS-DRG | High | Non-malignant Breast Disorders with CC/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 599. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 599 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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