MS-DRG 988 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 | • O.R. Procedure Unrelated To Principal Diagnosis With or Without CC / MCC |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 988 by major payers:
$20,372.30
$23,183.70
$27,053.71
$27,886.37
| 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 988 | ||||||
United | 988 | $19427.16 | 1760533731 - PHC, TECHE REGIONAL MEDICAL CENTER | 842237042 | LA | Psychiatric Hospital Unit (273R00000X) |
United | 988 | $31093.91 | 1245330281 - UNIVERSITY OF WASHINGTON, UNIVERSITY OF WASHINGTON MEDICAL CENTER | 916001537 | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 988 | $29853.25 | 1912527193 - ASCENSION NE WISCONSIN, INC, ASCENSION NE WISCONSIN-MERCY CAMPUS | 390816818 - ASCENSION NE WISCONSIN INC | WI | General Acute Care Hospital (282N00000X) |
United | 988 | $34483.01 | 1902355654 - SWEDISH HEALTH SERVICES, SWEDISH MEDICAL CENTER-BALLARD PSYCH | 910433740 - (WA) SWEDISH HEALTH SERVICES | WA | Psychiatric Hospital Unit (273R00000X) |
United | 988 | $26452.64 | 1366428161 - MARY GREELEY MEDICAL CENTER | 421347891 | IA | Psychiatric Hospital Unit (273R00000X) |
United | 988 | $29717.68 | 1982650206 - LAKEVIEW MEDICAL CENTER, LLC, LAKEVIEW REGIONAL MEDICAL CENTER | 621596506 | LA | Psychiatric Hospital Unit (273R00000X) |
United | 988 | $19427.16 | 1760533731 - PHC, TECHE REGIONAL MEDICAL CENTER | 842237042 | LA | Psychiatric Hospital Unit (273R00000X) |
United | 988 | $32175.00 | 1134178999 - PEACEHEALTH | 916068143 - PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | General Acute Care Hospital (282N00000X) |
United | 988 | $22879.34 | 1881631471 - THE METROHEALTH SYSTEM, METROHEALTH MEDICAL CENTER | 346004382 | OH | Psychiatric Hospital Unit (273R00000X) |
United | 988 | $30287.00 | 1073708392 - MONTEFIORE MEDICAL CENTER | 131740114 - MONTEFIORE MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 988 | $19550.39 | 1659884476 - OSF HEALTHCARE SYSTEM, OSF HEART OF MARY MEDICAL CENTER | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | General Acute Care Hospital (282N00000X) |
United | 988 | $37921.16 | 1215961248 - BANNER HEART HOSPITAL | 861035549 - (AZ) BANNER HEART HOSPITAL | AZ | Special Hospital (284300000X) |
United | 988 | $29254.36 | 1861687907 - BRYAN LGH HOSPITAL | 470376552 - BRYAN MEDICAL CENTER | NE | General Acute Care Hospital (282N00000X) |
United | 988 | $14025.70 | 1235111071 - SALINE HOSPITAL LLC, SALINE MEMORIAL HOSPITAL | 812816675 | AR | General Acute Care Hospital (282N00000X) |
United | 988 | $43689.35 | 1568918662 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CANCER INST-LAURENS | 811723202 - PRISMA HEALTH - UPSTATE | SC | 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 988 vs. Other O.R. Procedure Unrelated To Principal Diagnosis With or Without CC / MCC Codes
The MS-DRG 988 code is part of the O.R. Procedure Unrelated To Principal Diagnosis With or Without CC / MCC 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 988 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 |
|---|---|---|
| 987-APR-DRG | Moderate | Other Ear, Nose, Mouth And Throat Procedures |
| 987-MS-DRG | High | Non-extensive O.R. Procedures unrelated to Principal Diagnosis with MCC |
| 988-MS-DRG | High | Non-extensive O.R. Procedures unrelated to Principal Diagnosis with CC |
| 989-APR-DRG | Moderate | Other Ear, Nose, Mouth And Throat 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 988. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 988 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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