MS-DRG 922 Fee Schedule
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.
| 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
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for MS-DRG 922 | ||||||
United | 922 | $22200.41 | 1275585150 - CATAWBA VALLEY MEDICAL CENTER | 560789196 | NC | Psychiatric Hospital Unit (273R00000X) |
United | 922 | $8698.71 | 1174522494 - CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1, OMNIPOINT HEALTH HOSPITAL | 760153629 | TX | Critical Access Hospital (282NC0060X) |
United | 922 | $18965.15 | 1417106907 - OVERLOOK HOSPITAL | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 922 | $32740.57 | 1194744805 - WEST PENN ALLEGHENY HEALTH SYSTEM INC, THE WESTERN PENNSYLVANIA HOSPITAL | 250969492 - (PA) HIGHMARK HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 922 | $14263.57 | 1730264128 - BAPTIST HEALTHCARE SYSTEM, INC | 610444707 - BAPTIST HEALTHCARE SYSTEM INC | KY | General Acute Care Hospital (282N00000X) |
United | 922 | $17752.03 | 1538667035 - CARTHAGE HOSPITAL, LLC | 824005981 | TX | General Acute Care Hospital (282N00000X) |
United | 922 | $40722.98 | 1467506857 - BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX | 270036499 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 922 | $30505.50 | 1558479212 - ADVOCATE HEALTH AND HOSPITALS CORPORATION, ADVOCATE SOUTHLAND HEALTH NETWORK | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 922 | $14932.61 | 1326288770 - DECATUR GENERAL HOSPITAL, THE HEALTHCARE AUTHORITY OF MORGAN COUNTY | 460928982 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 922 | $7345.00 | 1689736282 - THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY | 922451946 | GA | Rural Acute Care Hospital (282NR1301X) |
United | 922 | $9579.29 | 1083624647 - SCOTLAND COUNTY MEMORIAL HOSPITAL | 430915648 | MO | Critical Access Hospital (282NC0060X) |
United | 922 | $21901.38 | 1851927669 - NORTHWEST SAHUARITA HOSPITAL LLC, NORTHWEST MEDICAL CENTER SAHUARITA | 384088744 - (AZ) NORTHWEST SAHUARITA HOSPITAL LLC | AZ | General Acute Care Hospital (282N00000X) |
United | 922 | $22200.41 | 1275585150 - CATAWBA VALLEY MEDICAL CENTER | 560789196 | NC | Psychiatric Hospital Unit (273R00000X) |
United | 922 | $18351.94 | 1952613416 - STEWARD NORWOOD HOSPITAL, INC. | 272473602 - (MA) STEWARD NORWOOD HOSPITAL, INC. | MA | General Acute Care Hospital (282N00000X) |
United | 922 | $25136.58 | 1770573586 - MCALLEN HOSPITALS L P, SOUTH TEXAS HEALTH SYSTEM | 233069260 | TX | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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MS-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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