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See a sample rate comparisonMS-DRG 959 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 O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
| Key Fact | Detail |
|---|---|
| Service Type | Multiple Significant Trauma |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 959 by major payers:
$32,616.91
$34,477.43
$41,449.98
$43,585.89
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MS-DRG 959
5 of 25 sample ratesHigher to lower in this preview
North Colorado Medical Center
$83,317.21Published rateGreene Memorial Hospital
Greene Memorial Hospital Inc
$48,794.28Published rateAscension Macomb Oakland Hospital, St. John Macomb Oakland Hospital-Warren Campus
Ascension Macomb Oakland Hospital
$27,757.36Published rateMary Rutan Hospital
$16,751.83Published rateEbd Bemc Burleson, LLC, Baylor Emergency Medical Center At Mansfield
$5,761.00Published rate
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See a sample payer proposalMS-DRG 959 vs. Other Multiple Significant Trauma Codes
The MS-DRG 959 code is part of the Multiple Significant Trauma 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 959 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 |
|---|---|---|
| 958-MS-DRG | High | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC |
| 959-MS-DRG | High | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC |
| 963-MS-DRG | High | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH 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 959. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 959 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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