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See a sample rate comparisonMS-DRG 909 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 WITHOUT CC/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 909 by major payers:
$16,093.20
$17,010.44
$20,237.26
$20,796.74
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MS-DRG 909
5 of 25 sample ratesHigher to lower in this preview
John Muir Health, John Muir Walnut Creek I/P Rehab Unit
John Muir Health
$47,505.44Published rateBon Secours St. Mary'S Hospital Of Richmond LLC, Bon Secours St Mary'S Hospital Of Richmond Pro Fee Services
Bon Secours St Marys Hospital Of Richmond LLC
$29,888.75Published rateClaremore Regional Hospital LLC, Claremore Regional Hospital
$18,860.15Published rateSoutheast Hospital, Southeast Missouri Hospital Association
Southeast Hospital
$15,421.25Published rateValley Medical Facilities, Inc., Heritage Valley Kennedy
Heritage Valley Health System
$8,914.12Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 909 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 909 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 909 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 |
|---|---|---|
| 908-MS-DRG | High | OTHER O.R. PROCEDURES FOR INJURIES WITH CC |
| 909-MS-DRG | High | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC |
| 913-APR-DRG | Moderate | Other Major Head And Neck Procedures |
| 913-MS-DRG | High | TRAUMATIC INJURY 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 909. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 909 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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