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See a sample rate comparisonMS-DRG 915 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.
ALLERGIC REACTIONS 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 915 by major payers:
$18,442.53
$21,836.54
$27,260.67
$27,724.85
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MS-DRG 915
5 of 25 sample ratesHigher to lower in this preview
Doctors Medical Center, Doctors Behavioral Health
$101,317.68Published rateSmsj Tucson Holdings LLC, St. Marys Hospital
$30,901.66Published rateEmerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Schertz
Emerus Bhs Sa Thousand Oaks LLC
$22,720.00Published rateThe Charlotte-Mecklenburg Hospital Authority, Atrium Health Cabarrus
$13,559.33Published rateWyoming County, Wyoming County Community Hospital Psych
$2,771.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 915 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 915 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 915 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 |
|---|---|---|
| 914-APR-DRG | Moderate | Other Major Head And Neck Procedures |
| 914-MS-DRG | High | TRAUMATIC INJURY WITHOUT MCC |
| 915-MS-DRG | High | ALLERGIC REACTIONS WITH MCC |
| 916-APR-DRG | Moderate | Other Major Head And Neck 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 915. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 915 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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