MS-DRG 699 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 699 by major payers:
$12,398.54
$13,916.93
$16,193.59
$16,535.96
| 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 699 | ||||||
United | 699 | $3775.00 | 1255461075 - SHRINERS HOSPITALS FOR CHILDREN | 362193608 - SHRINERS HOSPITALS FOR CHILDREN | UT | Children's Hospital (282NC2000X) |
United | 699 | $24795.81 | 1487821237 - UNIVERSITY HOSPITAL @ SYRACUSE | 161469571 | NY | Critical Access Hospital (282NC0060X) |
United | 699 | $24795.81 | 1487821237 - UNIVERSITY HOSPITAL @ SYRACUSE | 161469571 | NY | Critical Access Hospital (282NC0060X) |
United | 699 | $18835.50 | 1972628006 - AURORA HEALTH CARE SOUTHERN LAKES, INC., AURORA LAKELAND MEDICAL CENTER | 390806347 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 699 | $28722.41 | 1952333205 - ST. MARY'S MEDICAL CENTER, INC, ST. MARY'S MEDICAL CENTER | 752932830 | FL | General Acute Care Hospital (282N00000X) |
United | 699 | $19448.47 | 1043579238 - ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC | 743107055 - (IN) ST VINCENT CARMEL HOSPITAL INC | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 699 | $13436.63 | 1033284666 - FRANCISCAN HEALTH MICHIGAN CITY, FRANCISCAN ST. ANTHONY HEALTH - MICHIGAN CITY | 350876394 - (IN) FRANCISCAN HEALTH MICHIGAN CITY | IN | Psychiatric Hospital Unit (273R00000X) |
United | 699 | $36418.05 | 1073920898 - YALE NEW HAVEN HOSPITAL | 60646652 - YALE NEW HAVEN HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 699 | $1000.00 | 1417969700 - SOUTH PIKE HOSPITAL ASSOCIATION, INC., BEACHAM MEMORIAL HOSPITAL | 811097331 | MS | Rural Acute Care Hospital (282NR1301X) |
United | 699 | $1000.00 | 1417969700 - SOUTH PIKE HOSPITAL ASSOCIATION, INC., BEACHAM MEMORIAL HOSPITAL | 811097331 | MS | Rural Acute Care Hospital (282NR1301X) |
United | 699 | $9859.00 | 1285395889 - CHILDREN'S HOSPITAL COLORADO, CHILDREN'S HOSPITAL COLORADO - TELSTAR | 840166760 - CHILDRENS HOSPITAL COLORADO | CO | Children's Hospital (282NC2000X) |
United | 699 | $5761.00 | 1386647717 - MSH PARTNERS, LLC, BAYLOR SCOTT & WHITE MEDICAL CENTER - UPTOWN | 752829613 | TX | General Acute Care Hospital (282N00000X) |
United | 699 | $6034.00 | 1356410351 - PRIME HEALTHCARE PARADISE VALLEY LLC, PARADISE VALLEY HOSPITAL | 205837239 | CA | General Acute Care Hospital (282N00000X) |
United | 699 | $6706.00 | 1104005990 - PRIME HEALTHCARE CENTINELA LLC, CENTINELA HOSPITAL MEDICAL CENTER | 261150758 - (CA) PRIME HEALTHCARE CENTINELA LLC | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 699 | $19273.50 | 1649615220 - PROVIDENCE HEALTH & SERVICES-WA, PROVIDENCE REGIONAL MEDICAL CENTER EVERETT | 352346161 | WA | Hospitalist Physician (208M00000X) |
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 699 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 699 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 699 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 |
|---|---|---|
| 698-MS-DRG | High | Other Kidney and Urological Tract Diagnoses with MCC |
| 699-MS-DRG | High | Other Kidney and Urological Tract Diagnoses with CC |
| 700-MS-DRG | High | Other Kidney and Urological Tract Diagnoses 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 699. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 699 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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