MS-DRG 622 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 | • 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 622 by major payers:
$43,880.31
$49,992.11
$58,933.75
$60,263.97
| 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 622 | ||||||
United | 622 | $50206.55 | 1780971127 - VHS BROWNSVILLE HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER PSYCH | 452663071 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 622 | $58832.01 | 1518995505 - FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER, FOUNTAIN VALLEY REGIONAL HOSPITAL | 952768729 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 622 | $29407.19 | 1245643576 - NEWMAN MEMORIAL COUNTY HOSPITAL, NEWMAN REGIONAL HEALTH | 486026835 | KS | Critical Access Hospital (282NC0060X) |
United | 622 | $50206.55 | 1780971127 - VHS BROWNSVILLE HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER PSYCH | 452663071 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 622 | $49809.76 | 1760794044 - VHS SINAI-GRACE HOSPITAL INC, SINAI-GRACE HOSPITAL | 272844632 | MI | General Acute Care Hospital (282N00000X) |
United | 622 | $65475.14 | 1376564302 - INOVA HEALTH CARE SERVICES, INOVA LOUDOUN HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 622 | $80939.46 | 1881729036 - TAYLORVILLE MEMORIAL CHILDRENS HOSPITAL | 370661250 - (IL) MEMORIAL HEALTH SYSTEM | IL | Children's Hospital (282NC2000X) |
United | 622 | $111511.60 | 1558576280 - PRISMA HEALTH-MIDLANDS | 582296052 - (SC) PRISMA HEALTH-MIDLANDS | SC | General Acute Care Hospital (282N00000X) |
United | 622 | $29776.05 | 1114998911 - GRANBURY HOSPITAL CORPORATION, LAKE GRANBURY MEDICAL CENTER | 752682017 - (TX) GRANBURY HOSPITAL CORPORATION | TX | General Acute Care Hospital (282N00000X) |
United | 622 | $96655.85 | 1699019216 - WILLAMETTE VALLEY MEDICAL CENTER LLC, SENIOR BEHAVIORAL HEALTH UNIT | 621762552 - (OR) WILLAMETTE VALLEY MEDICAL CENTER LLC | OR | Psychiatric Hospital Unit (273R00000X) |
United | 622 | $11736.00 | 1619041399 - JERSEY CITY MEDICAL CENTER | 222783298 - (NJ) JERSEY CITY MEDICAL CENTER | NJ | General Acute Care Hospital (282N00000X) |
United | 622 | $41228.48 | 1801971916 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 622 | $82443.74 | 1982604021 - GEORGETOWN MEMORIAL HOSPITAL, TIDELANDS GEORGETOWN MEMORIAL HOSPITAL | 570341194 - GEORGETOWN MEMORIAL HOSPITAL | SC | General Acute Care Hospital (282N00000X) |
United | 622 | $76079.71 | 1326148669 - ST. BARNABAS HOSPITAL | 131740122 - (NY) ST BARNABAS HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 622 | $99230.35 | 1972139004 - BANNER HEALTH, BANNER OCOTILLO MEDICAL CENTER | 450233470 - BANNER HEALTH | AZ | General Acute Care Hospital (282N00000X) |
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 622 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 622 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 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-MS-DRG | High | Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with MCC |
| 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 MS-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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