MS-DRG 989 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 989 by major payers:
$14,316.70
$15,548.15
$18,166.62
$18,909.70
| 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 989 | ||||||
United | 989 | $14491.12 | 1851496152 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST. CLARE HOSPITAL - FENTON | 431343281 - SSM HEALTH CARE ST LOUIS | MO | General Acute Care Hospital (282N00000X) |
United | 989 | $14083.23 | 1134826894 - PROCTOR COMMUNITY HOSPITAL | 370681540 - PROCTOR COMMUNITY HOSPITAL | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 989 | $2765.00 | 1245260660 - WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC., HAWKINS COUNTY MEMORIAL HOSPITAL SWING BED | 621816368 - (TN) WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 989 | $14046.78 | 1104909654 - DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC, MEMORIAL MEDICAL CENTER - CRICHTON REHABILITATION CENTER | 611739000 | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 989 | $14124.83 | 1033313861 - LESTER E. COX MEDICAL CENTER, COXHEALTH SYSTEM | 440577118 - LESTER E COX MEDICAL CENTER | MO | General Acute Care Hospital (282N00000X) |
United | 989 | $3783.00 | 1386657161 - WELLMONT HEALTH SYSTEM, NORTON COMMUNITY REHABILITAION UNIT | 621636465 - WELLMONT HEALTH SYSTEM | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 989 | $9547.00 | 1063468072 - UNIVERSITY OF SOUTH ALABAMA, USA HEALTH UNIVERSITY HOSPITAL | 630477348 - UNIVERSITY OF SOUTH ALABAMA | AL | General Acute Care Hospital (282N00000X) |
United | 989 | $18740.80 | 1932123452 - SANFORD MEDICAL CENTER, SANFORD USD MEDICAL CENTER - IP REHAB UNIT | 460227855 - SANFORD | SD | Rehabilitation Hospital Unit (273Y00000X) |
United | 989 | $13294.67 | 1023053477 - MERCY ST. FRANCIS HOSPITAL, MERCY ST. FRANCIS HOSPITAL | 440607149 - (MO) MERCY ST FRANCIS HOSPITAL | MO | Critical Access Hospital (282NC0060X) |
United | 989 | $3593.00 | 1174553598 - WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC, HAWKINS COUNTY MEMORIAL HOSPITAL | 621816368 - (TN) WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC | TN | General Acute Care Hospital (282N00000X) |
United | 989 | $14582.41 | 1326064452 - SOLIS HEALTHCARE, LP, ROXBOROUGH MEMORIAL HOSPITAL | 454246163 - (PA) PRIME HEALTHCARE SERVICES ROXBOROUGH, LLC | PA | Psychiatric Hospital Unit (273R00000X) |
United | 989 | $15874.55 | 1427065499 - MEMORIAL MEDICAL CENTER, CENTEGRA HOSPITAL WOODSTOCK | 362338884 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatric Hospital Unit (273R00000X) |
United | 989 | $18651.38 | 1629369681 - UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, UNIVERSITY OF KANSAS HOSPITAL / UNIVERSITY OF KANSAS CANCER CENTER | 481202402 - UNIVERSITY OF KANSAS HOSPITAL AUTHORITY | KS | General Acute Care Hospital (282N00000X) |
United | 989 | $28530.44 | 1831209048 - OCHSNER MEDICAL CENTER- WESTBANK | 720502505 - (LA) OCHSNER CLINIC FOUNDATION | LA | General Acute Care Hospital (282N00000X) |
United | 989 | $10226.17 | 1134222565 - LAFAYETTE SURGICAL HOSPITAL LLC, LAFAYETTE SURGICAL SPECIALTY HOSPITAL | 900021727 - (LA) LAFAYETTE SURGICAL SPECIALTY HOSPITAL | LA | 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 989 vs. Other O.R. Procedure Unrelated To Principal Diagnosis With or Without CC / MCC Codes
The MS-DRG 989 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 989 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 |
|---|---|---|
| 988-APR-DRG | Moderate | Other Ear, Nose, Mouth And Throat Procedures |
| 988-MS-DRG | High | Non-extensive O.R. Procedures unrelated to Principal Diagnosis with CC |
| 989-MS-DRG | High | Non-extensive O.R. Procedures unrelated to Principal Diagnosis 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 989. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 989 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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