MS-DRG 929 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 | • Burns |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 929 by major payers:
$25,452.83
$41,251.27
$49,653.44
$50,826.17
| 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 929 | ||||||
United | 929 | $34952.48 | 1396927117 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST. JOSEPH HOSPITAL - ST, CHARLES | 431343281 - SSM HEALTH CARE ST LOUIS | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 929 | $44894.53 | 1699726695 - NORTHWEST ARKANSAS HOSPITALS, LLC, NORTHWEST MEDICAL CENTER | 205896848 | AR | General Acute Care Hospital (282N00000X) |
United | 929 | $50501.57 | 1487253449 - VANDERBILT BEDFORD HOSPITAL, LLC, VANDERBILT BEDFORD HOSPITAL | 853419620 | TN | General Acute Care Hospital (282N00000X) |
United | 929 | $25965.77 | 1699884858 - BANNER GATEWAY MEDICAL CENTER | 900220728 | AZ | General Acute Care Hospital (282N00000X) |
United | 929 | $68474.07 | 1124346754 - INTEGRIS BAPTIST MEDICAL CENTER INC, INTEGRIS MENTAL HEALTH CENTER | 731034824 - (OK) INTEGRIS BAPTIST MEDICAL CENTER INC | OK | Psychiatric Hospital Unit (273R00000X) |
United | 929 | $38877.21 | 1760549562 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION, COX MEDICAL CENTER BRANSON | 440584290 - (MO) SKAGGS COMMUNITY HOSPITAL ASSOCIATION | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 929 | $76679.43 | 1962579250 - HIGHLINE MEDICAL CENTER, HIGHLINE MEDICAL CENTER REHAB | 910712166 - (WA) HIGHLINE MEDICAL CENTER | WA | Rehabilitation Hospital (283X00000X) |
United | 929 | $18547.00 | 1588631311 - SURGICAL SPECIALTY CENTER OF BATON ROUGE, LLC, SURGICAL SPECIALTY CENTER OF BATON ROUGE | 263120962 - (LA) SURGICAL SPECIALTY CENTER OF BATON ROUGE, LLC | LA | General Acute Care Hospital (282N00000X) |
United | 929 | $40591.44 | 1467290809 - ST MARYS HOSPITAL | 992195090 | IL | General Acute Care Hospital (282N00000X) |
United | 929 | $16531.72 | 1801309711 - THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA, MEDICAL CENTER BARBOUR SWING BED | 208104245 | AL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 929 | $62581.75 | 1902913999 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BAPTIST HLTH CTR GENERATIONS GEROPSYCH UNIT | 730612674 | OK | Psychiatric Hospital Unit (273R00000X) |
United | 929 | $32223.93 | 1609258656 - UNIVERSITY OF NEW MEXICO | 616001218 | NM | Special Hospital (284300000X) |
United | 929 | $70802.06 | 1992880058 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 929 | $85110.67 | 1740233840 - MARGARETVILLE MEMORIAL HOSPITAL | 150552726 - (NY) MARGARETVILLE MEMORIAL HOSPITAL | NY | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 929 | $40947.64 | 1417005372 - THE UNITY HOSPITAL OF ROCHESTER, PSYCHIATRIC INPATIENT UNIT | 237221763 - THE UNITY HOSPITAL OF ROCHESTER | NY | Psychiatric Hospital Unit (273R00000X) |
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 929 vs. Other Burns Codes
The MS-DRG 929 code is part of the Burns 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 929 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 |
|---|---|---|
| 928-MS-DRG | High | Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCC |
| 929-MS-DRG | High | Full Thickness Burn with Skin Graft or Inhalation Injury without CC/MCC |
| 933-APR-DRG | Moderate | Sinus & Mastoid Procedures |
| 933-MS-DRG | High | Extensive Burns or Full Thickness Burns with MV >96 Hours without Skin Graft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 929. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 929 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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