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See a sample rate comparisonMS-DRG 620 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.
O.R. PROCEDURES FOR OBESITY WITH CC
| 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 620 by major payers:
$20,658.80
$22,619.36
$26,781.29
$26,970.59
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MS-DRG 620
5 of 25 sample ratesHigher to lower in this preview
The New York And Presbyterian Hospital, Newyork-Presbyterian Hospital
The New York And Presbyterian Hospital
$55,133.23Published rateNorthside Hospital, Inc., Northside Hospital Gwinnett
Northside Hospital Inc
$31,767.00Published rateSsm Health Care St. Louis, Ssm Health Depaul Hospital - St. Louis
Ssm Health Care St Louis
$20,959.02Published rateMercy Hospital Rogers, Mercy Hospital Northwest Arkansas
Mercy Hospital Rogers
$16,217.54Published rateColumbia County Hospital District, Medicare Defined Swing Bed
$10,730.84Published rate
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See a sample payer proposalMS-DRG 620 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 620 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 620 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 |
|---|---|---|
| 619-MS-DRG | High | O.R. PROCEDURES FOR OBESITY WITH MCC |
| 620-MS-DRG | High | O.R. PROCEDURES FOR OBESITY WITH CC |
| 621-APR-DRG | High | NEONATE BWT 2000-2499G W MAJOR ANOMALY |
| 621-MS-DRG | High | O.R. PROCEDURES FOR OBESITY WITHOUT 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 620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 620 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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