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See a sample rate comparisonMS-DRG 940 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.
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC
| Key Fact | Detail |
|---|---|
| Service Type | Factors Influencing Health Status & Other Contacts with Health Services |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 940 by major payers:
$25,070.10
$27,515.40
$33,094.65
$34,233.28
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MS-DRG 940
5 of 25 sample ratesHigher to lower in this preview
University Of California Irvine, Uci Medical Center
Regents Of The University Of California At Irvine
$219,695.39Published rateBoston Medical Center Corporation
$34,545.53Published rateHenry Ford Wyandotte Hospital
Henry Ford Wyandotte Hospital Corporation
$24,865.96Published ratePreferred Hospital Leasing Inc., Collingsworth General Hospital
$14,967.62Published rateIra Davenport Memorial Hospital, Inc.
Ira Davenport Memorial Hospital Inc
$4,346.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 940 vs. Other Factors Influencing Health Status & Other Contacts with Health Services Codes
The MS-DRG 940 code is part of the Factors Influencing Health Status & Other Contacts with Health Services 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 940 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 |
|---|---|---|
| 939-MS-DRG | High | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC |
| 940-MS-DRG | High | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC |
| 941-MS-DRG | High | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/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 940. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 940 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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