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    v1.0.30
    OpenPayerBilling CodesMental Diseases and DisordersDRG 882-neuroses-except-depressive
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    Neuroses Except Depressive: Inpatient Reimbursement Overview

    DRG 882 encompasses inpatient stays for nondepressive neuroses such as anxiety and somatoform disorders and defines the clinical grouping used to assign payment. This grouping matters for inpatient reimbursement because it determines the Diagnosis-Related Group payment relative to expected resource use and any documented complications or comorbidities.

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    DRG 882 Overview

    DRG 882 covers inpatient admissions for primary diagnoses of anxiety disorders, phobic disorders, somatoform disorders, and other nonpsychotic neuroses excluding primary depressive disorders. This Diagnosis-Related Group captures cases where the principal reason for hospitalization is management of these neurotic conditions, often involving stabilization, medication adjustment, and assessment of psychosocial risk. It matters for Medicare payment because grouping determines payment assignment based on clinical category and resource use intensity rather than specific therapies. Accurate coding and documentation of principal diagnosis and any concurrent complications or comorbidities influence reimbursement under Medicare rules.

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    National Payment Rates

    Across commercial payers the observed rate range spans roughly $390 to $28K, with Anthem and BCBS showing lower median levels and Aetna/Cigna having higher medians. The widest spread is between Anthem (min $390, max $20K) and Aetna/Cigna (max $28K), indicating substantial variation across payers; see the table and chart below for payer-specific percentiles. Blue Cross Blue Shield, UnitedHealth Group, Cigna, Aetna, and Anthem are shown in the comparison.

    The CMS 2023 national data reflects Medicare fee-for-service inpatient payments reported under the CMS Provider Utilization and Payment Data program. The table below shows average total payment ($8.9k), average submitted covered charges ($36.1k), average Medicare payment amount ($6.7k), and total discharges (1.3k).

    Average Total PaymentAverage Submitted ChargesAverage Medicare PaymentTotal Discharges
    $8.9K$36K$6.7K1.3K

    Patient Population

    This DRG’s population skews toward a mixed-age group but includes a significant share of Medicare-age patients, reflecting notable utilization by older adults as well as working-age individuals. Payer mix therefore typically includes both Medicare fee-for-service and private/commercial coverage rather than being confined to a single age cohort. The distribution suggests neither exclusively Medicare-age nor exclusively working-age dominance.

    State Payment Rates

    State: Alaska1 / 49

    Alaska Benchmarks

    Alaska’s DRG 882 reimbursements span from roughly $2.5K at the low end up to $30K at the high end across payers, with most payers clustering in the $12K–$20K range. Cigna stands out with a notably higher mean ($20K) and median ($17K) compared with Blue Cross Blue Shield and Anthem, which both show medians near ~$12K. This produces a wider top-end deviation versus national medians. See the table and chart below for payer-level detail.

    Key Insights for Alaska

    • Blue Cross Blue Shield is among the lowest-paying payers in Alaska (median ~$12K) while Cigna is the highest-paying payer (median ~$17K; mean ~$20K).
    • Anthem’s Alaska benchmarks mirror Blue Cross Blue Shield’s (median ~$12K), producing a payer spread from about $2.5K–$30K across payers with Alaska means skewed slightly above some national medians.
    • The state’s Cigna mean (~$20K) meaningfully exceeds several national payer medians, indicating higher reimbursement at the top end in Alaska.

    Clinical Trials

    • Acute inpatient intervention trials testing short-term psychotherapy or structured behavioral programs delivered during hospitalization to reduce severity of anxiety, panic, dissociative, or somatoform symptoms. These studies enroll patients admitted for acute exacerbations of neuroses (excluding major depressive disorder) and compare different intensive therapy formats or adjunctive noninvasive neuromodulation during the brief stay; findings help hospitals identify effective, resource-feasible interventions that shorten length of stay and reduce symptom burden. This is relevant to providers and payers because improved acute management can lower inpatient days, reduce readmissions, and guide allocation of inpatient behavioral health staffing.
    • Comparative effectiveness studies conducted in mixed inpatient–outpatient cohorts that evaluate different care pathways (for example, stepped-care models, early discharge with coordinated outpatient follow-up, or integrated primary care behavioral health) for patients with anxiety disorders, conversion/somatoform presentations, and related neuroses. These trials focus on which systems of care produce the best functional outcomes and lowest total cost of care across the 30–90 day post-discharge period, enrolling patients with varying severity and comorbidity to reflect real-world populations. Results inform payers and health systems about which models reduce downstream utilization and improve continuity of care for this DRG population.
    • Longitudinal outcomes and health services research assessing post-discharge trajectories, relapse rates, healthcare utilization, and work or functional outcomes in patients hospitalized with neuroses except depressive. These observational or pragmatic studies follow patients after discharge to identify predictors of readmission, adherence to outpatient therapy, and the impact of comorbid medical conditions or psychotropic medication patterns on long-term costs and outcomes. Such research is important for designing discharge planning, case management, and reimbursement policies that target high-risk patients to prevent avoidable readmissions and optimize resource use.

    Related Codes

    876-O-R-PROCEDURES-WITH-PRINCIPAL-DIAGNOSIS-OF-MENTAL-ILLNESS

    O.R. Procedures with Principal Diagnosis of Mental Illness: Inpatient Reimbursement Overview

    880-ACUTE-ADJUSTMENT-REACTION-AND-PSYCHOSOCIAL-DYSFUNCTION

    Acute Adjustment Reaction and Psychosocial Dysfunction: Inpatient Reimbursement Overview

    881-DEPRESSIVE-NEUROSES

    Depressive Neuroses: Inpatient Reimbursement Overview

    883-DISORDERS-OF-PERSONALITY-AND-IMPULSE-CONTROL

    Disorders of Personality and Impulse Control: Inpatient Reimbursement Overview

    884-ORGANIC-DISTURBANCES-AND-INTELLECTUAL-DISABILITY

    Organic Disturbances and Intellectual Disability: Inpatient Reimbursement Overview

    885-PSYCHOSES

    Psychoses: Inpatient Reimbursement Overview

    886-BEHAVIORAL-AND-DEVELOPMENTAL-DISORDERS

    Behavioral and Developmental Disorders: Inpatient Reimbursement Overview

    887-OTHER-MENTAL-DISORDER-DIAGNOSES

    Other Mental Disorder Diagnoses: Inpatient Reimbursement Overview

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    Mean Rates by Payer — National — DRG 882
    Mean Rates by Payer — Alaska — DRG 882