MS-DRG 923 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 923 by major payers:
$10,635.86
$13,326.94
$16,018.10
$16,451.57
| 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 923 | ||||||
United | 923 | $24755.00 | 1093945412 - MISSION HOSPITAL REGIONAL MEDICAL CENTER, PROVIDENCE MISSION HOSPITAL | 951643360 - (CA) MISSION HOSPITAL REGIONAL MEDICAL CENTER | CA | Psychiatric Hospital Unit (273R00000X) |
United | 923 | $6042.83 | 1134280860 - NELSON COUNTY HEALTH SYSTEM | 450119890 - (ND) NELSON COUNTY HEALTH SYSTEM | ND | Critical Access Hospital (282NC0060X) |
United | 923 | $31183.43 | 1063072932 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 923 | $1688.00 | 1265549646 - NORTH MISSISSIPPI MEDICAL CENTER, INC., NORTH MS MED PSYCH UNIT | 640662976 - NORTH MISSISSIPPI MEDICAL CENTER INC | MS | Psychiatric Hospital Unit (273R00000X) |
United | 923 | $11218.90 | 1063990901 - FARMERS UNION HOSPITAL ASSOCIATION, GREAT PLAINS REGIONAL MEDICAL CENTER INPATIENT REHAB | 730579295 - (OK) FARMERS UNION HOSPITAL ASSOCIATION | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 923 | $20491.83 | 1023194271 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | Psychiatric Hospital Unit (273R00000X) |
United | 923 | $2772.00 | 1831160753 - CLEVELAND TENNESSEE HOSPITAL COMPANY LLC, SKYRIDGE MEDICAL CENTER | 992892769 | TN | Psychiatric Hospital Unit (273R00000X) |
United | 923 | $13764.57 | 1194789818 - BAPTIST MEMORIAL HOSPITAL-DESOTO, INC, | 640682111 - (MS) BAPTIST MEMORIAL HOSPITAL-DESOTO INC | MS | General Acute Care Hospital (282N00000X) |
United | 923 | $5829.97 | 1013999705 - EAST CAROLINA HEALTH-BERTIE, VIDANT BERTIE HOSPITAL | 562072002 - (NC) EAST CAROLINA HEALTH | NC | Critical Access Hospital (282NC0060X) |
United | 923 | $20491.83 | 1841376092 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | Rehabilitation Hospital Unit (273Y00000X) |
United | 923 | $11211.75 | 1285719385 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 923 | $12544.76 | 1841233640 - UNIVERSITY OF KENTUCKY | 616001218 | KY | Critical Access Hospital (282NC0060X) |
United | 923 | $15806.00 | 1194900654 - HUNTINGTON HOSPITAL ASSOCIATION | 111630914 - (NY) HUNTINGTON HOSPITAL ASSOCIATION | NY | Psychiatric Hospital Unit (273R00000X) |
United | 923 | $17793.17 | 1831970532 - VHS SAN ANTONIO PARTNERS, LLC | 760714523 | TX | General Acute Care Hospital (282N00000X) |
United | 923 | $30816.27 | 1346391323 - SOUTHAMPTON HOSPITAL, SPORTS REHAB EAST HAMPOTN | 113243405 | NY | Rehabilitation Hospital (283X00000X) |
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 923 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 923 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 923 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 |
|---|---|---|
| 922-APR-DRG | Moderate | Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures |
| 922-MS-DRG | High | Other Injury, Poisoning and Toxic Effect Diagnoses with MCC |
| 923-MS-DRG | High | Other Injury, Poisoning and Toxic Effect Diagnoses without 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 923. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 923 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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