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See a sample rate comparisonMS-DRG 920 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.
COMPLICATIONS OF TREATMENT WITH CC
| 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 920 by major payers:
$12,271.11
$13,870.43
$16,113.37
$16,454.20
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MS-DRG 920
5 of 25 sample ratesHigher to lower in this preview
Hcn Ep Horizon City, LLC, The Hospitals Of Providence Horizon City Campus
Hcn Ep Horizon City LLC
$30,426.14Published rateKnox County Hospital District, Knox County Hospital District
$17,189.33Published rateDameron Hospital Association
$13,006.57Published rateAnderson Regional Medical Center, Professional Fees-Hospitalist/Cvsurg
Anderson Regional Medical Center
$9,392.07Published rateSavoy Medical Management Group, Inc., Savoy Medical Center-Rehab Unit
Savoy Medical Management Group Inc
$2,893.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 920 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 920 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 920 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 |
|---|---|---|
| 919-APR-DRG | Moderate | Other Major Head And Neck Procedures |
| 919-MS-DRG | High | COMPLICATIONS OF TREATMENT WITH MCC |
| 920-MS-DRG | High | COMPLICATIONS OF TREATMENT WITH CC |
| 921-APR-DRG | Moderate | Facial Bone Procedures Except Major Cranial Or Facial Bone 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 920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 920 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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