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See a sample rate comparisonMS-DRG 907 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 O.R. PROCEDURES FOR INJURIES WITH MCC
| Key Fact | Detail |
|---|---|
| Service Type | Injuries, Poisonings & Toxic Effects of Drugs |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 907 by major payers:
$43,511.01
$50,981.53
$62,338.75
$63,985.76
Compare published rates across providers.
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MS-DRG 907
5 of 25 sample ratesHigher to lower in this preview
Emanuel Medical Center, Inc., Emanuel Specialty Care - Cardiovascular Medicine
$125,121.10Published rateKatherine Shaw Bethea Hospital
Osf Healthcare System
$54,787.82Published rateAdvocate North Side Health Network, Advocate Illinois Masonic Medical Center Psych Unit
Advocate North Side Health Network
$46,167.10Published rateHospital Service District Of The Parish Of St. Bernard, State Of Louis, St. Bernard Parish Hospital
Hospital Service District Of The Parish Of St Bernard State Of Louis
$33,538.73Published rateSequoyah County City Of Sallisaw Hospital Authority, Sequoyah Memorial Hospital And Home Health
Sequoyah County-City Of Sallisaw Hospital
$1,000.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 907 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 907 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 907 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 |
|---|---|---|
| 906-MS-DRG | High | HAND PROCEDURES FOR INJURIES |
| 907-MS-DRG | High | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC |
| 908-MS-DRG | High | OTHER O.R. PROCEDURES FOR INJURIES WITH CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 907. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 907 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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