MS-DRG 729 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 Male Reproductive System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 729 by major payers:
$12,356.74
$14,753.63
$17,279.38
$17,743.20
| 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 729 | ||||||
United | 729 | $1273.00 | 1417978982 - WAYNE GENERAL HOSPITAL, WAYNE GENERAL SWINGBED | 646001528 - (MS) WAYNE GENERAL HOSPITAL | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 729 | $20361.15 | 1639108434 - WILLAMETTE FALLS HOSPITAL, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER | 611659489 | OR | General Acute Care Hospital (282N00000X) |
United | 729 | $3083.00 | 1164403861 - HOUSTON COUNTY HEALTHCARE AUTHORITY, SOUTHEAST HEALTH MEDICAL CENTER | 636004476 | AL | General Acute Care Hospital (282N00000X) |
United | 729 | $24531.34 | 1962583823 - SAINT CATHERINE OF SIENA MEDICAL CENTER | 61562701 - (NY) ST CATHERINE OF SIENA MEDICAL CENTER | NY | Rural Acute Care Hospital (282NR1301X) |
United | 729 | $16449.65 | 1396760989 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF SURGERY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 729 | $20361.15 | 1639108434 - WILLAMETTE FALLS HOSPITAL, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER | 611659489 | OR | General Acute Care Hospital (282N00000X) |
United | 729 | $21378.05 | 1649383035 - INTEGRIS BASS BAPTIST HEALTH CENTER | 730612674 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 729 | $10599.00 | 1629069638 - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON | 210634572 - (NJ) RWJ BARNABAS HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 729 | $12552.76 | 1447898622 - VHS OF ARROWHEAD, INC., ABRAZO SURPRISE HOSPITAL | 621811285 | AZ | General Acute Care Hospital (282N00000X) |
United | 729 | $15615.16 | 1689635526 - HARPER-HUTZEL HOSPITAL | 272844767 | MI | General Acute Care Hospital (282N00000X) |
United | 729 | $26306.93 | 1407479975 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH CCMC RADIATION ONCOLOGY OP | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 729 | $3083.00 | 1164403861 - HOUSTON COUNTY HEALTHCARE AUTHORITY, SOUTHEAST HEALTH MEDICAL CENTER | 636004476 | AL | General Acute Care Hospital (282N00000X) |
United | 729 | $26513.88 | 1770696643 - HARTFORD HOSPITAL | 60646668 - HARTFORD HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 729 | $26537.18 | 1467506857 - BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX | 270036499 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 729 | $5226.00 | 1457399198 - MANCHESTER MEMORIAL HOSPITAL | 812216981 | CT | 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 729 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 729 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 729 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 |
|---|---|---|
| 728-MS-DRG | High | Inflammation of the Male Reproductive System without MCC |
| 729-MS-DRG | High | Other Male Reproductive System Diagnoses with CC/MCC |
| 730-MS-DRG | High | Other Male Reproductive System 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 729. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 729 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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