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MS-DRG 903 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.

WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC
Key FactDetail
Service Type

Injuries, Poisonings & Toxic Effects of Drugs

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 903 by major payers:

bcbs

$15,577.96

uhc

$16,314.21

aetna

$19,217.52

cigna

$19,964.57

Compare published rates across providers.

Choose a payer to see a sample of rates for MS-DRG 903.

MS-DRG 903
5 of 25 sample ratesHigher to lower in this preview
  1. Coastal Carolina Medical Center, Inc., Coastal Carolina Hospital- Rehabilitation Unit

    SCRehabilitation Hospital UnitNPI 1396818209Tax ID 93-4580630

    $63,085.98Published rate
  2. St. Anthonys Hospital, Inc., St. Anthonys Hospital

    St Anthonys Hospital Inc

    FLGeneral Acute Care HospitalNPI 1427024942Tax ID 59-2043026

    $26,648.80Published rate
  3. Fairview Health Services, Fairview Diagnostic Laboratory

    Fairview Health Services

    MNGeneral Acute Care HospitalNPI 1932260833Tax ID 41-0991680

    $18,556.13Published rate
  4. Brookville Hospital, Ip Psychiatric Unit

    Brookville Hospital

    PAPsychiatric Hospital UnitNPI 1164490660Tax ID 25-0984595

    $14,300.04Published rate
  5. Ebd Bemc Burleson, LLC, Baylor Scott & White Emergency Hospital Grand Prairie

    TXGeneral Acute Care HospitalNPI 1831629526Tax ID 36-4755936

    $5,761.00Published rate

National sample. Rates vary by location, specialty, and contract.

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MS-DRG 903 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes

The MS-DRG 903 code is part of the Injuries, Poisonings & Toxic Effects of Drugs 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 903 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.

CodeComplexityDescription
902-APR-DRGModerateMajor Larynx & Trachea Procedures
902-MS-DRGHighWOUND DEBRIDEMENTS FOR INJURIES WITH CC
903-MS-DRGHighWOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC
904-APR-DRGModerateMajor Larynx & Trachea Procedures

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 903. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 903 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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