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 | $16280.63 | 1972544856 - JEWISH HOSPITAL OF CINCINNATI, INC. | 271408630 - (OH) JEWISH HOSPITAL LLC | OH | General Acute Care Hospital (282N00000X) |
United | 699 | $19273.50 | 1649615220 - PROVIDENCE HEALTH & SERVICES-WA, PROVIDENCE REGIONAL MEDICAL CENTER EVERETT | 352346161 | WA | Hospitalist Physician (208M00000X) |
United | 699 | $2703.00 | 1124136593 - SINGING RIVER HEALTH SYSTEM | 646000515 - SINGING RIVER HEALTH SYSTEM | MS | General Acute Care Hospital (282N00000X) |
United | 699 | $21940.30 | 1548216880 - NEW HANOVER REGIONAL MEDICAL CENTER | 853777599 | NC | General Acute Care Hospital (282N00000X) |
United | 699 | $15552.45 | 1306281126 - UNIVERSITY HOSPITAL & CLINICS, INC., OCHSNER UNIVERSITY HOSPITAL & CLINICS | 462605366 - (LA) UNIVERSITY HOSPITAL & CLINICS INC | LA | General Acute Care Hospital (282N00000X) |
United | 699 | $20408.84 | 1437192507 - LAKEWOOD HOSPITAL ASSOCIATION, LAKEWOOD HOSPITAL | 340714585 - THE CLEVELAND CLINIC FOUNDATION | OH | Psychiatric Hospital Unit (273R00000X) |
United | 699 | $10612.59 | 1396849303 - HUDSON HOSPITAL, INC., HUDSON HOSPITAL & CLINICS | 390804125 - HUDSON HOSPITAL INC | WI | Critical Access Hospital (282NC0060X) |
United | 699 | $24795.81 | 1487821237 - UNIVERSITY HOSPITAL @ SYRACUSE | 161469571 | NY | Critical Access Hospital (282NC0060X) |
United | 699 | $24927.00 | 1619341716 - NYU LANGONE HOSPITALS | 133971298 - NYU LANGONE HOSPITALS | NY | General Acute Care Hospital (282N00000X) |
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 | $17678.21 | 1659456994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 699 | $19264.89 | 1396747960 - ST. JOSEPH MEDICAL CENTER | 471669781 - (MO) PRIME HEALTHCARE SERVICES - KANSAS CITY LLC | MO | General Acute Care Hospital (282N00000X) |
United | 699 | $9196.95 | 1841237807 - CHCA MAINLAND, L.P., MAINLAND MEDICAL CENTER | 621801360 | TX | General Acute Care Hospital (282N00000X) |
United | 699 | $14442.79 | 1184644023 - CARLE EUREKA HOSPITAL, ADVOCATE EUREKA HOSPITAL | 850688306 - (IL) CARLE EUREKA HOSPITAL | IL | Critical Access Hospital (282NC0060X) |
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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