MS-DRG 693 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 | • Diseases & Disorders of the Kidney & Urinary Tract |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 693 by major payers:
$15,784.00
$18,467.20
$22,828.19
$23,184.30
| 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 693 | ||||||
United | 693 | $28512.52 | 1326002049 - UNIVERSITY OF WASHINGTON, UNIVERSITY OF WASHINGTON MEDICAL CENTER | 916001537 | WA | General Acute Care Hospital (282N00000X) |
United | 693 | $20306.22 | 1518634864 - VHS SAN ANTONIO PARTNERS, LLC, MISSION TRAIL BAPTIST HOSPITAL | 760714523 | TX | General Acute Care Hospital (282N00000X) |
United | 693 | $23049.99 | 1184776338 - DETROIT MEDICAL CENTER DETROIT RECEIVING HOSPITAL, DMC PHARMACY DRH | 272844942 | MI | General Acute Care Hospital (282N00000X) |
United | 693 | $66841.43 | 1407016793 - DOCTORS MEDICAL CENTER, DOCTORS BEHAVIORAL HEALTH | 952588614 | CA | Psychiatric Hospital (283Q00000X) |
United | 693 | $6520.00 | 1427428986 - JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. | 730606129 - JANE PHILLIPS MEMORIAL MEDICAL CENTER INC | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 693 | $2696.00 | 1225450588 - PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS, NEW ORLEANS EAST HOSPITAL | 273335876 | LA | General Acute Care Hospital (282N00000X) |
United | 693 | $44569.28 | 1093777492 - MAIMONIDES MEDICAL CENTER | 111635081 - (NY) MAIMONIDES MEDICAL CENTER- | NY | General Acute Care Hospital (282N00000X) |
United | 693 | $12000.00 | 1184661282 - SUNRISE HOSPITAL AND MEDICAL CENTER, LLC, SUNRISE HOSPITAL AND MEDICAL CENTER | 621762537 | NV | Rehabilitation Hospital Unit (273Y00000X) |
United | 693 | $15890.45 | 1841406667 - COX WALNUT LAWN PHARMACY | 440577118 - LESTER E COX MEDICAL CENTER | MO | General Acute Care Hospital (282N00000X) |
United | 693 | $33529.53 | 1487226106 - STEWARD NSMC, INC., PSYCH | 862695690 | FL | Psychiatric Hospital (283Q00000X) |
United | 693 | $28512.52 | 1326002049 - UNIVERSITY OF WASHINGTON, UNIVERSITY OF WASHINGTON MEDICAL CENTER | 916001537 | WA | General Acute Care Hospital (282N00000X) |
United | 693 | $11689.67 | 1730134123 - RIVERVIEW REGIONAL MEDICAL CENTER LLC, RIVERVIEW REGIONAL MEDICAL CENTER | 472228529 | AL | General Acute Care Hospital (282N00000X) |
United | 693 | $11689.67 | 1730134123 - RIVERVIEW REGIONAL MEDICAL CENTER LLC, RIVERVIEW REGIONAL MEDICAL CENTER | 472228529 | AL | General Acute Care Hospital (282N00000X) |
United | 693 | $23049.99 | 1184776338 - DETROIT MEDICAL CENTER DETROIT RECEIVING HOSPITAL, DMC PHARMACY DRH | 272844942 | MI | General Acute Care Hospital (282N00000X) |
United | 693 | $20430.39 | 1760472799 - MANATEE MEMORIAL HOSPITAL L P, MANATEE MEMORIAL HOSPITAL | 232798290 - (FL) MANATEE MEMORIAL HOSPITAL, L.P. | FL | 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 693 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 693 code is part of the Diseases & Disorders of the Kidney & Urinary Tract 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 693 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 |
|---|---|---|
| 690-APR-DRG | High | ACUTE LEUKEMIA |
| 690-MS-DRG | High | Kidney and Urological Tract Infections without MCC |
| 693-MS-DRG | High | Urinary Stones with MCC |
| 694-APR-DRG | High | LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 693. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 693 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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