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See a sample rate comparisonMS-DRG 843 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.
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
| Key Fact | Detail |
|---|---|
| Service Type | Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 843 by major payers:
$22,158.11
$24,989.18
$29,680.44
$30,194.48
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MS-DRG 843
5 of 25 sample ratesHigher to lower in this preview
NYU
NYU Langone Hospitals
$63,202.14Published rateTrustees Of Mease Hospital Inc, Mease Dunedin Hospital
Trustees Of Mease Hospital Inc
$36,030.51Published rateBladen Healthcare, LLC, Cape Fear Valley Bma Hospitalists
$21,143.85Published rateGraham Regional Medical Center
$16,441.41Published rateSmyth County Community Hospital, Smyth County Community Hospital Swing Bed Unit
Smyth County Community Hospital
$4,158.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 843 vs. Other Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms Codes
The MS-DRG 843 code is part of the Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms 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 843 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 |
|---|---|---|
| 842-APR-DRG | High | BURNS W SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS |
| 842-MS-DRG | High | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC |
| 843-MS-DRG | High | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC |
| 844-APR-DRG | High | PARTIAL THICKNESS BURNS W/O SKIN GRAFT |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 843. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 843 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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