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See a sample rate comparisonMS-DRG 640 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.
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC
| 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 640 by major payers:
$14,628.49
$17,707.58
$20,859.14
$21,299.70
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MS-DRG 640
5 of 25 sample ratesHigher to lower in this preview
Scripps Health, Scripps Memorial Hospital La Jolla
Scripps Health
$44,440.19Published rateSt. Luke'S Hospital Of Duluth, Aspirus St Lukes Superior Surgery Center
St Lukes Hospital Of Duluth
$23,921.25Published rateAppalachian Regional Healthcare, Inc., Hazard Arh Regional Medical Center
Appalachian Regional Healthcare Inc
$21,986.36Published rateAhs Hospital Corp., Morristown Medical Center
Atlantic Health System Inc
$16,080.63Published rateMountain States Health Alliance, Russell County Psychiatric Unit
Mountain States Health Alliance
$4,158.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 640 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 640 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 640 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 |
|---|---|---|
| 639-APR-DRG | High | NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
| 639-MS-DRG | High | DIABETES WITHOUT CC/MCC |
| 640-MS-DRG | High | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC |
| 641-MS-DRG | High | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT 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 640. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 640 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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