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See a sample rate comparisonMS-DRG 618 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.
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
| Key Fact | Detail |
|---|---|
| Service Type | Endocrine, Nutritional & Metabolic Diseases & Disorders |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 618 by major payers:
$17,474.21
$17,066.46
$19,614.03
$20,371.10
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MS-DRG 618
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Kaufman
$36,605.94Published rateHanover Hospital Inc., Center For Acute Rehabilitative Medicine
UPMC Hanover
$26,957.66Published rateThedacare Medical Center, Community Health Network, Inc. And Berlin Memorial Hospital
Community Health Network Inc
$17,087.98Published rateSsm Health Care St. Louis, Ssm Health St. Clare Hospital - Fenton
Ssm Health Care St Louis
$13,650.03Published rateSabine Medical Center
$1,200.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 618 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 618 code is part of the Endocrine, Nutritional & Metabolic Diseases & Disorders 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 618 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 |
|---|---|---|
| 617-MS-DRG | High | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC |
| 618-MS-DRG | High | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC |
| 619-MS-DRG | High | O.R. PROCEDURES FOR OBESITY 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 618. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 618 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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