MS-DRG v44.0 · MDC 15: Newborns and Other Neonates with Conditions Originating in the Perinatal Period
795 — Normal Newborn
- Relative weight
- 0.2022
- Geometric mean LOS
- 3.1 days
- Arithmetic mean LOS
- 3.1 days
- Type
- Medical
About MS-DRG 795
MS-DRG 795, Normal Newborn, is a medical DRG in MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.
Its FY2027 relative weight is 0.2022, so Medicare's base payment for this DRG is about 0.20 times the average inpatient case (below average), before hospital-specific adjustments. The geometric mean length of stay is 3.1 days and the arithmetic mean is 3.1 days.
224 ICD-10-CM diagnosis codes are part of this DRG's grouping logic; they are listed below.
ICD-10-CM codes that group to DRG 795 (224)
Chapter 10: Diseases of the respiratory system
- J34.0Abscess, furuncle and carbuncle of nose
- J34.1Cyst and mucocele of nose and nasal sinus
- J34.81Nasal mucositis (ulcerative)
- J34.8200Internal nasal valve collapse, unspecified
- J34.8201Internal nasal valve collapse, static
- J34.8202Internal nasal valve collapse, dynamic
- J34.8210External nasal valve collapse, unspecified
- J34.8211External nasal valve collapse, static
- J34.8212External nasal valve collapse, dynamic
- J34.829Nasal valve collapse, unspecified
- J34.830Odontogenic sinusitis, maxillary sinus
- J34.831Odontogenic sinusitis, ethmoid sinus
- J34.832Odontogenic sinusitis, frontal sinus
- J34.833Odontogenic sinusitis, sphenoid sinus
- J34.839Odontogenic sinusitis, unspecified
- J34.89Other specified disorders of nose and nasal sinuses
- J34.9Unspecified disorder of nose and nasal sinuses
Chapter 11: Diseases of the digestive system
Chapter 12: Diseases of the skin and subcutaneous tissue
- L08.9Local infection of the skin and subcutaneous tissue, unspecified
- L22Diaper dermatitis
- L57.3Poikiloderma of Civatte
- L80Vitiligo
- L81.0Postinflammatory hyperpigmentation
- L81.1Chloasma
- L81.2Freckles
- L81.3Cafe au lait spots
- L81.4Other melanin hyperpigmentation
- L81.5Leukoderma, not elsewhere classified
- L81.6Other disorders of diminished melanin formation
- L81.7Pigmented purpuric dermatosis
- L81.8Other specified disorders of pigmentation
- L81.9Disorder of pigmentation, unspecified
Chapter 14: Diseases of the genitourinary system
Chapter 16: Certain conditions originating in the perinatal period
- P00.2Newborn affected by maternal infectious and parasitic diseases
- P00.3Newborn affected by other maternal circulatory and respiratory diseases
- P00.82Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
- P00.89Newborn affected by other maternal conditions
- P00.9Newborn affected by unspecified maternal condition
- P02.4Newborn affected by prolapsed cord
- P02.5Newborn affected by other compression of umbilical cord
- P02.60Newborn affected by unspecified conditions of umbilical cord
- P02.69Newborn affected by other conditions of umbilical cord
- P03.0Newborn affected by breech delivery and extraction
- P03.1Newborn affected by other malpresentation, malposition and disproportion during labor and delivery
- P03.2Newborn affected by forceps delivery
- P03.3Newborn affected by delivery by vacuum extractor [ventouse]
- P03.5Newborn affected by precipitate delivery
- P03.9Newborn affected by complication of labor and delivery, unspecified
- P05.08Newborn light for gestational age, 2000-2499 grams
- P05.18Newborn small for gestational age, 2000-2499 grams
- P05.19Newborn small for gestational age, other
- P08.0Exceptionally large newborn baby
- P08.1Other heavy for gestational age newborn
- P08.21Post-term newborn
- P08.22Prolonged gestation of newborn
- P12.0Cephalhematoma due to birth injury
- P12.1Chignon (from vacuum extraction) due to birth injury
- P12.3Bruising of scalp due to birth injury
- P12.4Injury of scalp of newborn due to monitoring equipment
- P12.81Caput succedaneum
- P12.89Other birth injuries to scalp
- P12.9Birth injury to scalp, unspecified
- P54.5Neonatal cutaneous hemorrhage
- P59.3Neonatal jaundice from breast milk inhibitor
- P59.8Neonatal jaundice from other specified causes
- P59.9Neonatal jaundice, unspecified
- P83.1Neonatal erythema toxicum
- P83.6Umbilical polyp of newborn
- P83.81Umbilical granuloma
- P83.88Other specified conditions of integument specific to newborn
- P92.09Other vomiting of newborn
- P92.1Regurgitation and rumination of newborn
- P92.2Slow feeding of newborn
- P92.3Underfeeding of newborn
- P92.4Overfeeding of newborn
- P92.5Neonatal difficulty in feeding at breast
- P92.8Other feeding problems of newborn
- P92.9Feeding problem of newborn, unspecified
- P96.82Delayed separation of umbilical cord
Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
- Q17.0Accessory auricle
- Q38.1Ankyloglossia
- Q53.00Ectopic testis, unspecified
- Q53.01Ectopic testis, unilateral
- Q53.02Ectopic testes, bilateral
- Q53.10Unspecified undescended testicle, unilateral
- Q53.111Unilateral intraabdominal testis
- Q53.112Unilateral inguinal testis
- Q53.12Ectopic perineal testis, unilateral
- Q53.13Unilateral high scrotal testis
- Q53.20Undescended testicle, unspecified, bilateral
- Q53.211Bilateral intraabdominal testes
- Q53.212Bilateral inguinal testes
- Q53.22Ectopic perineal testis, bilateral
- Q53.23Bilateral high scrotal testes
- Q53.9Undescended testicle, unspecified
- Q55.22Retractile testis
- Q66.50Congenital pes planus, unspecified foot
- Q66.51Congenital pes planus, right foot
- Q66.52Congenital pes planus, left foot
- Q66.80Congenital vertical talus deformity, unspecified foot
- Q66.81Congenital vertical talus deformity, right foot
- Q66.82Congenital vertical talus deformity, left foot
- Q82.1Xeroderma pigmentosum
- Q82.2Congenital cutaneous mastocytosis
- Q82.3Incontinentia pigmenti
- Q82.5Congenital non-neoplastic nevus
- Q82.6Congenital sacral dimple
- Q82.8Other specified congenital malformations of skin
- Q82.9Congenital malformation of skin, unspecified
Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
- R09.81Nasal congestion
- R87.618Other abnormal cytological findings on specimens from cervix uteri
- R87.619Unspecified abnormal cytological findings in specimens from cervix uteri
- R87.629Unspecified abnormal cytological findings in specimens from vagina
- R89.7Abnormal histological findings in specimens from other organs, systems and tissues
- R94.120Abnormal auditory function study
Chapter 21: Factors influencing health status and contact with health services
- Z00.110Health examination for newborn under 8 days old
- Z00.111Health examination for newborn 8 to 28 days old
- Z00.121Encounter for routine child health examination with abnormal findings
- Z00.129Encounter for routine child health examination without abnormal findings
- Z01.10Encounter for examination of ears and hearing without abnormal findings
- Z01.110Encounter for hearing examination following failed hearing screening
- Z01.118Encounter for examination of ears and hearing with other abnormal findings
- Z01.12Encounter for hearing conservation and treatment
- Z02.6Encounter for examination for insurance purposes
- Z02.82Encounter for adoption services
- Z02.84Encounter for child welfare exam
- Z02.89Encounter for other administrative examinations
- Z05.0Observation and evaluation of newborn for suspected cardiac condition ruled out
- Z05.1Observation and evaluation of newborn for suspected infectious condition ruled out
- Z05.2Observation and evaluation of newborn for suspected neurological condition ruled out
- Z05.3Observation and evaluation of newborn for suspected respiratory condition ruled out
- Z05.41Observation and evaluation of newborn for suspected genetic condition ruled out
- Z05.42Observation and evaluation of newborn for suspected metabolic condition ruled out
- Z05.43Observation and evaluation of newborn for suspected immunologic condition ruled out
- Z05.5Observation and evaluation of newborn for suspected gastrointestinal condition ruled out
- Z05.6Observation and evaluation of newborn for suspected genitourinary condition ruled out
- Z05.71Observation and evaluation of newborn for suspected skin and subcutaneous tissue condition ruled out
- Z05.72Observation and evaluation of newborn for suspected musculoskeletal condition ruled out
- Z05.73Observation and evaluation of newborn for suspected connective tissue condition ruled out
- Z05.81Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out
- Z05.89Observation and evaluation of newborn for other specified suspected condition ruled out
- Z05.9Observation and evaluation of newborn for unspecified suspected condition ruled out
- Z13.228Encounter for screening for other metabolic disorders
- Z20.01Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli)
- Z20.09Contact with and (suspected) exposure to other intestinal infectious diseases
- Z20.1Contact with and (suspected) exposure to tuberculosis
- Z20.2Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
- Z20.3Contact with and (suspected) exposure to rabies
- Z20.4Contact with and (suspected) exposure to rubella
- Z20.5Contact with and (suspected) exposure to viral hepatitis
- Z20.6Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
- Z20.7Contact with and (suspected) exposure to pediculosis, acariasis and other infestations
- Z20.810Contact with and (suspected) exposure to anthrax
- Z20.811Contact with and (suspected) exposure to meningococcus
- Z20.818Contact with and (suspected) exposure to other bacterial communicable diseases
- Z20.820Contact with and (suspected) exposure to varicella
- Z20.821Contact with and (suspected) exposure to Zika virus
- Z20.822Contact with and (suspected) exposure to COVID-19
- Z20.828Contact with and (suspected) exposure to other viral communicable diseases
- Z20.89Contact with and (suspected) exposure to other communicable diseases
- Z20.9Contact with and (suspected) exposure to unspecified communicable disease
- Z23Encounter for immunization
- Z28.01Immunization not carried out because of acute illness of patient
- Z28.02Immunization not carried out because of chronic illness or condition of patient
- Z28.03Immunization not carried out because of immune compromised state of patient
- Z28.04Immunization not carried out because of patient allergy to vaccine or component
- Z28.09Immunization not carried out because of other contraindication
- Z28.1Immunization not carried out because of patient decision for reasons of belief or group pressure
- Z28.20Immunization not carried out because of patient decision for unspecified reason
- Z28.21Immunization not carried out because of patient refusal
- Z28.29Immunization not carried out because of patient decision for other reason
- Z28.81Immunization not carried out due to patient having had the disease
- Z28.82Immunization not carried out because of caregiver refusal
- Z28.83Immunization not carried out due to unavailability of vaccine
- Z28.89Immunization not carried out for other reason
- Z28.9Immunization not carried out for unspecified reason
- Z38.00Single liveborn infant, delivered vaginally
- Z38.01Single liveborn infant, delivered by cesarean
- Z38.1Single liveborn infant, born outside hospital
- Z38.2Single liveborn infant, unspecified as to place of birth
- Z38.30Twin liveborn infant, delivered vaginally
- Z38.31Twin liveborn infant, delivered by cesarean
- Z38.4Twin liveborn infant, born outside hospital
- Z38.5Twin liveborn infant, unspecified as to place of birth
- Z38.61Triplet liveborn infant, delivered vaginally
- Z38.62Triplet liveborn infant, delivered by cesarean
- Z38.63Quadruplet liveborn infant, delivered vaginally
- Z38.64Quadruplet liveborn infant, delivered by cesarean
- Z38.65Quintuplet liveborn infant, delivered vaginally
- Z38.66Quintuplet liveborn infant, delivered by cesarean
- Z38.68Other multiple liveborn infant, delivered vaginally
- Z38.69Other multiple liveborn infant, delivered by cesarean
- Z38.7Other multiple liveborn infant, born outside hospital
- Z38.8Other multiple liveborn infant, unspecified as to place of birth
- Z41.2Encounter for routine and ritual male circumcision
- Z41.3Encounter for ear piercing
- Z53.01Procedure and treatment not carried out due to patient smoking
- Z53.09Procedure and treatment not carried out because of other contraindication
- Z53.1Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
- Z53.20Procedure and treatment not carried out because of patient's decision for unspecified reasons
- Z53.21Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
- Z53.29Procedure and treatment not carried out because of patient's decision for other reasons
- Z53.8Procedure and treatment not carried out for other reasons
- Z53.9Procedure and treatment not carried out, unspecified reason
- Z76.2Encounter for health supervision and care of other healthy infant and child
- Z81.8Family history of other mental and behavioral disorders
- Z82.0Family history of epilepsy and other diseases of the nervous system
- Z82.49Family history of ischemic heart disease and other diseases of the circulatory system
- Z83.1Family history of other infectious and parasitic diseases
- Z83.3Family history of diabetes mellitus
- Z83.42Family history of familial hypercholesterolemia
- Z83.430Family history of elevated lipoprotein(a)
- Z83.438Family history of other disorder of lipoprotein metabolism and other lipidemia
- Z83.49Family history of other endocrine, nutritional and metabolic diseases
Common questions about DRG 795
What is the relative weight of DRG 795?
- 0.2022 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 795?
- The geometric mean length of stay is 3.1 days; the arithmetic mean is 3.1 days.
Is DRG 795 medical or surgical?
- DRG 795 is a medical DRG.