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See a sample rate comparisonMS-DRG 709 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.
PENIS PROCEDURES WITH CC/MCC
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of the Male Reproductive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 709 by major payers:
$25,405.38
$28,508.46
$35,165.26
$36,368.53
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MS-DRG 709
5 of 25 sample ratesHigher to lower in this preview
Emanuel Medical Center, Inc., Emanuel Specialty Care - Surgery
$58,154.94Published rateLee Memorial Health System, Lee Pharmacy #1
$39,710.75Published rateSouthcrest LLC, Southcrest Hospital
$35,297.21Published rateChatham Hospital Inc
$22,699.33Published rateJohnston Memorial Hospital, Inc
Johnston Memorial Hospital Inc
$4,158.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 709 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 709 code is part of the Diseases & Disorders of the Male Reproductive System 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 709 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 |
|---|---|---|
| 708-MS-DRG | High | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC |
| 709-MS-DRG | High | PENIS PROCEDURES WITH CC/MCC |
| 710-APR-DRG | High | INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
| 710-MS-DRG | High | PENIS 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 709. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 709 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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