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See a sample rate comparisonMS-DRG 858 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.
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC
| Key Fact | Detail |
|---|---|
| Service Type | Infectious & Parasitic Diseases, Systemic or Unspecified Sites |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 858 by major payers:
$18,189.39
$18,173.62
$20,575.12
$21,262.14
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MS-DRG 858
5 of 25 sample ratesHigher to lower in this preview
Harborview Medical Center
$55,314.87Published rateScripps Health, Scripps Memorial Hospital Encinitas Rehab Unit
Scripps Health
$23,642.14Published rateFranciscan Health Dyer & Hammond, Franciscan Health Dyer
$18,388.39Published rateIndian River Memorial Hospital Inc, Cleveland Clinic Indian River Hospital
Indian River Memorial Hospital Inc
$14,794.70Published rateTakoma Regional Hospital Inc, Ballad Health Medical Associates
Takoma Regional Hospital Inc
$2,765.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 858 vs. Other Infectious & Parasitic Diseases, Systemic or Unspecified Sites Codes
The MS-DRG 858 code is part of the Infectious & Parasitic Diseases, Systemic or Unspecified Sites 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 858 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 |
|---|---|---|
| 857-MS-DRG | High | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC |
| 858-MS-DRG | High | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC |
| 862-APR-DRG | High | OTHER AFTERCARE & CONVALESCENCE |
| 862-MS-DRG | High | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH 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 858. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 858 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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