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See a sample rate comparisonMS-DRG 922 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 INJURY, POISONING AND TOXIC EFFECT DIAGNOSES 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 922 by major payers:
$18,334.77
$21,224.68
$26,531.83
$26,973.26
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MS-DRG 922
5 of 25 sample ratesHigher to lower in this preview
Community Memorial Hospital Of Menomonee Falls Inc, Froedtert Menomonee Falls Hospital
Community Memorial Hospital Of Menomonee Falls Inc
$49,776.48Published rateMcallen Hospitals L P, South Texas Health System
$25,136.58Published rateGottlieb Community Health Services Corporation, Macneal Hospital
Gottlieb Community Health Services Corporation
$20,843.82Published rateBaptist Healthcare System, Inc
Baptist Healthcare System Inc
$14,263.57Published rateThe Hospital Authority Of Habersham County
$7,345.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 922 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 922 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 922 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 |
|---|---|---|
| 921-APR-DRG | Moderate | Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures |
| 921-MS-DRG | High | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC |
| 922-MS-DRG | High | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC |
| 923-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 922. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 922 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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