MS-DRG 623 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 623 by major payers:
$23,086.68
$25,952.42
$30,015.05
$31,047.62
| 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 623 | ||||||
United | 623 | $38002.33 | 1356307581 - NEBRASKA MEDICAL CENTER, THE NEBRASKA MEDICAL CENTER - NEBRASKA MEDICINE | 911858433 - (NE) THE NEBRASKA MEDICAL CENTER | NE | General Acute Care Hospital (282N00000X) |
United | 623 | $56236.32 | 1598880940 - HARRIS METHODIST SOUTHWEST | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | General Acute Care Hospital (282N00000X) |
United | 623 | $41968.73 | 1225049372 - CHENANGO MEMORIAL HOSPITAL, INC, SWING | 150532180 - (NY) CHENANGO MEMORIAL HOSPITAL INC | NY | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 623 | $24831.97 | 1588615033 - THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, HUNTSVILLE HOSPITAL | 630845288 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 623 | $23827.75 | 1669870937 - VHS OF PHOENIX INC, ABRAZO CENTRAL CAMPUS | 621809851 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 623 | $20176.21 | 1962594622 - NORTHWEST IOWA HOSPITAL CORPORATION, ST LUKES REGIONAL MEDICAL CENTER | 421019872 - (IA) NORTHWEST IOWA HOSPITAL CORPORATION | IA | General Acute Care Hospital (282N00000X) |
United | 623 | $32235.73 | 1417032673 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 623 | $40294.62 | 1821259185 - BANNER DEL E WEBB MEDICAL CENTER | 900389312 - (AZ) BANNER DEL E WEBB MEDICAL CENTER | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 623 | $28329.31 | 1477657773 - ST. LUKES' QUAKERTOWN HOSPITAL | 844475996 - (PA) ST LUKES HOSPITAL-EASTON CAMPUS | PA | Psychiatric Hospital Unit (273R00000X) |
United | 623 | $24784.36 | 1699357368 - VHS ACQUISITION SUBSIDIARY NUMBER 1 INC, ABRAZO CAVE CREEK HOSPITAL | 621861138 - (AZ) VHS ACQUISITION SUBSIDIARY NUMBER 1 INC | AZ | General Acute Care Hospital (282N00000X) |
United | 623 | $33361.14 | 1770527236 - ENDEAVOR HEALTH CLINICAL OPERATIONS, HIGHLAND PARK HOSPITAL-PSYCH UNIT | 362167060 - (IL) NORTHSHORE UNIVERSITY HEALTHSYSTEM | IL | Psychiatric Hospital Unit (273R00000X) |
United | 623 | $41574.71 | 1073688354 - MIAMI VALLEY HOSPITAL | 310537504 - (OH) MIAMI VALLEY HOSPITAL | OH | General Acute Care Hospital (282N00000X) |
United | 623 | $19332.66 | 1629171129 - ST. VINCENT'S EAST, ST. VINCENT'S EAST REHABILITATION CENTER | 630578923 - (AL) ST VINCENTS EAST | AL | Rehabilitation Hospital Unit (273Y00000X) |
United | 623 | $41414.03 | 1427165125 - PINNACLE HEALTH HOSPITALS, PINNACLE HEALTH REHAB UNIT | 251778644 - (PA) UPMC PINNACLE HOSPITALS | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 623 | $26473.15 | 1326075193 - MADISON HMA LLC, MERIT HEALTH MADISON | 30400182 - (MS) MADISON HMA LLC | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 623 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 623 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 623 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 |
|---|---|---|
| 622-APR-DRG | High | NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND |
| 622-MS-DRG | High | Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with MCC |
| 623-MS-DRG | High | Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with CC |
| 624-MS-DRG | High | Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 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 623. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 623 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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