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See a sample rate comparisonAPR-DRG 721 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.
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
| Key Fact | Detail |
|---|---|
| Common Place of Service | 21 - Inpatient Hospital None |
| Common Modifiers | None |
| Complexity Level | High |
National average reimbursement for APR-DRG 721 by major payers:
$26,602.76
$N/A
$N/A
$N/A
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APR-DRG 721
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See a sample payer proposalAPR-DRG 721 vs. Other Codes
The APR-DRG 721 code is part of the null 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 APR-DRG 721 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 |
|---|---|---|
| 720-APR-DRG | High | SEPTICEMIA & DISSEMINATED INFECTIONS |
| 721-APR-DRG | High | POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
| 722-APR-DRG | High | FEVER & INFLAMMATORY CONDITIONS |
| 722-MS-DRG | High | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including APR-DRG 721. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 721 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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