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See a sample rate comparisonMS-DRG 886 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.
BEHAVIORAL AND DEVELOPMENTAL DISORDERS
| Key Fact | Detail |
|---|---|
| Service Type | Mental Diseases & Disorders |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 886 by major payers:
$11,463.55
$23,289.61
$28,036.77
$28,151.85
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MS-DRG 886
5 of 25 sample ratesHigher to lower in this preview
Westchester County Health Care Corporation, Westchester Medical Center
Peo Mid-Hudson Valley Staffco
$59,197.51Published rateHcn Ep Horizon City, LLC, The Hospitals Of Providence Emergency Room Montwood
Hcn Ep Horizon City LLC
$34,298.78Published rateOklahoma Center For Orthopaedic & Multi-Specialty Surgery, LLC
Oklahoma Center For Orthopaedic Multispecialty Surgery LLC
$21,032.24Published rateClarksdale Hma LLC, Northwest Mississippi Regional Medical Center
$16,540.38Published rateVanderbilt University Medical Center, Vanderbilt Wilson County Hospital
$1,787.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 886 vs. Other Mental Diseases & Disorders Codes
The MS-DRG 886 code is part of the Mental Diseases & Disorders 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 886 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 |
|---|---|---|
| 885-MS-DRG | High | PSYCHOSES |
| 886-MS-DRG | High | BEHAVIORAL AND DEVELOPMENTAL DISORDERS |
| 887-MS-DRG | High | OTHER MENTAL DISORDER DIAGNOSES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 886. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 886 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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