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See a sample rate comparisonAPR-DRG 622 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.
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND
| Key Fact | Detail |
|---|---|
| Common Place of Service | 21 - Inpatient Hospital None |
| Common Modifiers | None |
| Complexity Level | High |
National average reimbursement for APR-DRG 622 by major payers:
$74,056.40
$N/A
$N/A
$N/A
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APR-DRG 622
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See a sample payer proposalAPR-DRG 622 vs. Other Codes
The APR-DRG 622 code is part of the null 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 APR-DRG 622 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 |
|---|---|---|
| 621-APR-DRG | High | NEONATE BWT 2000-2499G W MAJOR ANOMALY |
| 621-MS-DRG | High | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC |
| 622-APR-DRG | High | NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND |
| 623-APR-DRG | High | NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including APR-DRG 622. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 622 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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