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See a sample rate comparisonMS-DRG 894 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.
ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 894 by major payers:
$5,215.10
$9,461.45
$9,919.32
$10,467.41
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MS-DRG 894
5 of 25 sample ratesHigher to lower in this preview
Children'S Hospital
Childrens Hospital
$19,849.50Published ratePiedmont Athens Regional Medical Center, Inc.
Piedmont Athens Regional Medical Center Inc
$13,891.21Published rateProvidence Health & Services, Prov Scred Hrt Med Ctr & Chlds Hos
$10,318.58Published rateSt Catherine Hospital Inc
$7,760.06Published rateTerrebonne Parish Hospital Service District #1, Terrebonne General Medical Center
Terrebonne Hospital Service District No 1
$4,003.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 894 vs. Other Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders Codes
The MS-DRG 894 code is part of the Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental 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 894 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 |
|---|---|---|
| 894-MS-DRG | High | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA |
| 895-MS-DRG | High | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 894. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 894 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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