MS-DRG 629 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 629 by major payers:
$26,768.17
$30,476.31
$35,290.01
$36,473.93
| 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 629 | ||||||
United | 629 | $19148.83 | 1851601850 - GRAHAM REGIONAL MEDICAL CENTER | 463113489 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 629 | $14610.15 | 1861870024 - KAPLAN GENERAL HOSPITAL, INC. | 472540179 - (LA) KAPLAN GENERAL HOSPITAL INC | LA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 629 | $46734.76 | 1043270564 - THE MEDICAL CENTER OF CENTRAL GEORGIA INC, ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | 582149128 - MEDICAL CENTER OF CENTRAL GEORGIA INC | GA | General Acute Care Hospital (282N00000X) |
United | 629 | $19148.83 | 1851601850 - GRAHAM REGIONAL MEDICAL CENTER | 463113489 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 629 | $18604.74 | 1194907493 - SOUTHEAST HOSPITAL, MERCY HOSPITAL SOUTHEAST | 430654874 - (MO) SOUTHEAST HOSPITAL | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 629 | $55825.73 | 1700247301 - CHILDREN'S HOSPITAL COLORADO, CHILDREN'S HOSPITAL COLORADO ORTHOPEDIC CARE | 840166760 - CHILDRENS HOSPITAL COLORADO | CO | Children's Hospital (282NC2000X) |
United | 629 | $44493.94 | 1710752183 - MOUNT CARMEL HEALTH SYSTEM, MOUNT CARMEL DUBLIN | 311439334 - MOUNT CARMEL HEALTH SYSTEM | OH | General Acute Care Hospital (282N00000X) |
United | 629 | $35445.30 | 1942475074 - FLAGLER HOSPITAL | 590675143 - (FL) FLAGLER HOSPITAL INC | FL | Psychiatric Hospital Unit (273R00000X) |
United | 629 | $37105.64 | 1942334537 - SUMNER REGIONAL HEALTH SYSTEMS, INC, MIDDLE TENNESSEE REHAB AT SUMNER | 272618766 | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 629 | $38095.23 | 1992880058 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 629 | $17992.80 | 1316279839 - ALLIANCE COMMUNITY HOSPITAL | 340714581 - (OH) AULTMAN HEALTH FOUNDATION | OH | Rehabilitation Hospital Unit (273Y00000X) |
United | 629 | $37672.42 | 1063294197 - TAMPA GENERAL HOSPITAL HERNANDO LLC | 933085834 - (FL) HERNANDO HMA LLC | FL | General Acute Care Hospital (282N00000X) |
United | 629 | $61222.07 | 1912939703 - CHILDREN'S HOSPITAL | 530196580 - CHILDRENS HOSPITAL | DC | Children's Hospital (282NC2000X) |
United | 629 | $66784.46 | 1821216391 - DELRAY MEDICAL CENTER, INC., PINECREST REHABILITATION HOSPITAL | 752922687 | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 629 | $44613.48 | 1508453754 - NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC, NOVANT HEALTH NEW HANOVER REHABILITATION HOSPITAL | 853777599 | NC | Rehabilitation Hospital (283X00000X) |
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 629 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 629 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 629 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 |
|---|---|---|
| 628-MS-DRG | High | Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC |
| 629-MS-DRG | High | Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC |
| 630-APR-DRG | High | NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE |
| 630-MS-DRG | High | Other Endocrine, Nutritional and Metabolic O.R. Procedures 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 629. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 629 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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