DRG 794
Medical DRGNeonate with Other Significant Problems
What is MS-DRG 794?
MS-DRG 794 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 15 (MDC 15). It maps to 201 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.4759 with a geometric mean length of stay of 3.4 days and an arithmetic mean of 3.4 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
FY 2026 Payment Data
Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).
Linked ICD-10-CM Diagnosis Mappings
- A33
Tetanus neonatorum
BillableChapter 1 - P00.0
Newborn affected by maternal hypertensive disorders
BillableChapter 16 - P00.1
Newborn affected by maternal renal and urinary tract diseases
BillableChapter 16 - P00.4
Newborn affected by maternal nutritional disorders
BillableChapter 16 - P00.5
Newborn affected by maternal injury
BillableChapter 16 - P00.6
Newborn affected by surgical procedure on mother
BillableChapter 16 - P00.7
Newborn affected by other medical procedures on mother, not elsewhere classified
BillableChapter 16 - P00.81
Newborn affected by periodontal disease in mother
BillableChapter 16 - P01.0
Newborn affected by incompetent cervix
BillableChapter 16 - P01.1
Newborn affected by premature rupture of membranes
BillableChapter 16 - P01.2
Newborn affected by oligohydramnios
BillableChapter 16 - P01.3
Newborn affected by polyhydramnios
BillableChapter 16 - P01.4
Newborn affected by ectopic pregnancy
BillableChapter 16 - P01.5
Newborn affected by multiple pregnancy
BillableChapter 16 - P01.6
Newborn affected by maternal death
BillableChapter 16 - P01.7
Newborn affected by malpresentation before labor
BillableChapter 16 - P01.8
Newborn affected by other maternal complications of pregnancy
BillableChapter 16 - P01.9
Newborn affected by maternal complication of pregnancy, unspecified
BillableChapter 16 - P02.0
Newborn affected by placenta previa
BillableChapter 16 - P02.1
Newborn affected by other forms of placental separation and hemorrhage
BillableChapter 16 - P02.20
Newborn affected by unspecified morphological and functional abnormalities of placenta
BillableChapter 16 - P02.29
Newborn affected by other morphological and functional abnormalities of placenta
BillableChapter 16 - P02.3
Newborn affected by placental transfusion syndromes
BillableChapter 16 - P02.70
Newborn affected by fetal inflammatory response syndrome
BillableChapter 16 - P02.78
Newborn affected by other conditions from chorioamnionitis
BillableChapter 16 - P02.8
Newborn affected by other abnormalities of membranes
BillableChapter 16 - P02.9
Newborn affected by abnormality of membranes, unspecified
BillableChapter 16 - P03.6
Newborn affected by abnormal uterine contractions
BillableChapter 16 - P03.810
Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm before the onset of labor
BillableChapter 16 - P03.811
Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor
BillableChapter 16 - P03.819
Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm, unspecified as to time of onset
BillableChapter 16 - P03.82
Meconium passage during delivery
BillableChapter 16 - P03.89
Newborn affected by other specified complications of labor and delivery
BillableChapter 16 - P04.0
Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
BillableChapter 16 - P04.11
Newborn affected by maternal antineoplastic chemotherapy
BillableChapter 16 - P04.12
Newborn affected by maternal cytotoxic drugs
BillableChapter 16 - P04.13
Newborn affected by maternal use of anticonvulsants
BillableChapter 16 - P04.14
Newborn affected by maternal use of opiates
BillableChapter 16 - P04.15
Newborn affected by maternal use of antidepressants
BillableChapter 16 - P04.16
Newborn affected by maternal use of amphetamines
BillableChapter 16 - P04.17
Newborn affected by maternal use of sedative-hypnotics
BillableChapter 16 - P04.18
Newborn affected by other maternal medication
BillableChapter 16 - P04.19
Newborn affected by maternal use of unspecified medication
BillableChapter 16 - P04.1A
Newborn affected by maternal use of anxiolytics
BillableChapter 16 - P04.2
Newborn affected by maternal use of tobacco
BillableChapter 16 - P04.3
Newborn affected by maternal use of alcohol
BillableChapter 16 - P04.40
Newborn affected by maternal use of unspecified drugs of addiction
BillableChapter 16 - P04.41
Newborn affected by maternal use of cocaine
BillableChapter 16 - P04.42
Newborn affected by maternal use of hallucinogens
BillableChapter 16 - P04.49
Newborn affected by maternal use of other drugs of addiction
BillableChapter 16 - P04.5
Newborn affected by maternal use of nutritional chemical substances
BillableChapter 16 - P04.6
Newborn affected by maternal exposure to environmental chemical substances
BillableChapter 16 - P04.81
Newborn affected by maternal use of cannabis
BillableChapter 16 - P04.89
Newborn affected by other maternal noxious substances
BillableChapter 16 - P04.9
Newborn affected by maternal noxious substance, unspecified
BillableChapter 16 - P05.00
Newborn light for gestational age, unspecified weight
BillableChapter 16 - P05.01
Newborn light for gestational age, less than 500 grams
BillableChapter 16 - P05.02
Newborn light for gestational age, 500-749 grams
BillableChapter 16 - P05.03
Newborn light for gestational age, 750-999 grams
BillableChapter 16 - P05.04
Newborn light for gestational age, 1000-1249 grams
BillableChapter 16 - P05.05
Newborn light for gestational age, 1250-1499 grams
BillableChapter 16 - P05.06
Newborn light for gestational age, 1500-1749 grams
BillableChapter 16 - P05.07
Newborn light for gestational age, 1750-1999 grams
BillableChapter 16 - P05.09
Newborn light for gestational age, 2500 grams and over
BillableChapter 16 - P05.10
Newborn small for gestational age, unspecified weight
BillableChapter 16 - P05.9
Newborn affected by slow intrauterine growth, unspecified
BillableChapter 16 - P11.1
Other specified brain damage due to birth injury
BillableChapter 16 - P11.3
Birth injury to facial nerve
BillableChapter 16 - P13.0
Fracture of skull due to birth injury
BillableChapter 16 - P13.1
Other birth injuries to skull
BillableChapter 16 - P13.2
Birth injury to femur
BillableChapter 16 - P13.3
Birth injury to other long bones
BillableChapter 16 - P13.4
Fracture of clavicle due to birth injury
BillableChapter 16 - P13.8
Birth injuries to other parts of skeleton
BillableChapter 16 - P13.9
Birth injury to skeleton, unspecified
BillableChapter 16 - P14.0
Erb's paralysis due to birth injury
BillableChapter 16 - P14.1
Klumpke's paralysis due to birth injury
BillableChapter 16 - P14.3
Other brachial plexus birth injuries
BillableChapter 16 - P15.0
Birth injury to liver
BillableChapter 16 - P15.1
Birth injury to spleen
BillableChapter 16 - P15.2
Sternomastoid injury due to birth injury
BillableChapter 16 - P15.3
Birth injury to eye
BillableChapter 16 - P15.4
Birth injury to face
BillableChapter 16 - P15.5
Birth injury to external genitalia
BillableChapter 16 - P15.6
Subcutaneous fat necrosis due to birth injury
BillableChapter 16 - P15.8
Other specified birth injuries
BillableChapter 16 - P15.9
Birth injury, unspecified
BillableChapter 16 - P19.0
Metabolic acidemia in newborn first noted before onset of labor
BillableChapter 16 - P19.1
Metabolic acidemia in newborn first noted during labor
BillableChapter 16 - P19.2
Metabolic acidemia noted at birth
BillableChapter 16 - P19.9
Metabolic acidemia in newborn, unspecified
BillableChapter 16 - P22.1
Transient tachypnea of newborn
BillableChapter 16 - P22.8
Other respiratory distress of newborn
BillableChapter 16 - P22.9
Respiratory distress of newborn, unspecified
BillableChapter 16 - P28.10
Unspecified atelectasis of newborn
BillableChapter 16 - P28.11
Resorption atelectasis without respiratory distress syndrome
BillableChapter 16 - P28.19
Other atelectasis of newborn
BillableChapter 16 - P28.2
Cyanotic attacks of newborn
BillableChapter 16 - P28.30
Primary sleep apnea of newborn, unspecified
BillableChapter 16 - P28.31
Primary central sleep apnea of newborn
BillableChapter 16 - P28.32
Primary obstructive sleep apnea of newborn
BillableChapter 16 - P28.33
Primary mixed sleep apnea of newborn
BillableChapter 16 - P28.39
Other primary sleep apnea of newborn
BillableChapter 16 - P28.40
Unspecified apnea of newborn
BillableChapter 16 - P28.41
Central neonatal apnea of newborn
BillableChapter 16 - P28.42
Obstructive apnea of newborn
BillableChapter 16 - P28.43
Mixed neonatal apnea of newborn
BillableChapter 16 - P28.49
Other apnea of newborn
BillableChapter 16 - P28.81
Respiratory arrest of newborn
BillableChapter 16 - P28.89
Other specified respiratory conditions of newborn
BillableChapter 16 - P28.9
Respiratory condition of newborn, unspecified
BillableChapter 16 - P29.0
Neonatal cardiac failure
BillableChapter 16 - P29.11
Neonatal tachycardia
BillableChapter 16 - P29.12
Neonatal bradycardia
BillableChapter 16 - P29.2
Neonatal hypertension
BillableChapter 16 - P29.4
Transient myocardial ischemia in newborn
BillableChapter 16 - P29.89
Other cardiovascular disorders originating in the perinatal period
BillableChapter 16 - P29.9
Cardiovascular disorder originating in the perinatal period, unspecified
BillableChapter 16 - P37.5
Neonatal candidiasis
BillableChapter 16 - P39.1
Neonatal conjunctivitis and dacryocystitis
BillableChapter 16 - P51.0
Massive umbilical hemorrhage of newborn
BillableChapter 16 - P51.8
Other umbilical hemorrhages of newborn
BillableChapter 16 - P51.9
Umbilical hemorrhage of newborn, unspecified
BillableChapter 16 - P54.0
Neonatal hematemesis
BillableChapter 16 - P54.6
Neonatal vaginal hemorrhage
BillableChapter 16 - P54.8
Other specified neonatal hemorrhages
BillableChapter 16 - P54.9
Neonatal hemorrhage, unspecified
BillableChapter 16 - P55.0
Rh isoimmunization of newborn
BillableChapter 16 - P55.1
ABO isoimmunization of newborn
BillableChapter 16 - P58.0
Neonatal jaundice due to bruising
BillableChapter 16 - P58.1
Neonatal jaundice due to bleeding
BillableChapter 16 - P58.2
Neonatal jaundice due to infection
BillableChapter 16 - P58.3
Neonatal jaundice due to polycythemia
BillableChapter 16 - P58.41
Neonatal jaundice due to drugs or toxins transmitted from mother
BillableChapter 16 - P58.42
Neonatal jaundice due to drugs or toxins given to newborn
BillableChapter 16 - P58.5
Neonatal jaundice due to swallowed maternal blood
BillableChapter 16 - P58.8
Neonatal jaundice due to other specified excessive hemolysis
BillableChapter 16 - P58.9
Neonatal jaundice due to excessive hemolysis, unspecified
BillableChapter 16 - P59.0
Neonatal jaundice associated with preterm delivery
BillableChapter 16 - P61.1
Polycythemia neonatorum
BillableChapter 16 - P61.3
Congenital anemia from fetal blood loss
BillableChapter 16 - P61.4
Other congenital anemias, not elsewhere classified
BillableChapter 16 - P61.5
Transient neonatal neutropenia
BillableChapter 16 - P61.8
Other specified perinatal hematological disorders
BillableChapter 16 - P61.9
Perinatal hematological disorder, unspecified
BillableChapter 16 - P70.0
Syndrome of infant of mother with gestational diabetes
BillableChapter 16 - P70.1
Syndrome of infant of a diabetic mother
BillableChapter 16 - P70.8
Other transitory disorders of carbohydrate metabolism of newborn
BillableChapter 16 - P70.9
Transitory disorder of carbohydrate metabolism of newborn, unspecified
BillableChapter 16 - P72.0
Neonatal goiter, not elsewhere classified
BillableChapter 16 - P72.2
Other transitory neonatal disorders of thyroid function, not elsewhere classified
BillableChapter 16 - P72.8
Other specified transitory neonatal endocrine disorders
BillableChapter 16 - P72.9
Transitory neonatal endocrine disorder, unspecified
BillableChapter 16 - P74.41
Alkalosis of newborn
BillableChapter 16 - P74.5
Transitory tyrosinemia of newborn
BillableChapter 16 - P74.6
Transitory hyperammonemia of newborn
BillableChapter 16 - P74.8
Other transitory metabolic disturbances of newborn
BillableChapter 16 - P74.9
Transitory metabolic disturbance of newborn, unspecified
BillableChapter 16 - P76.1
Transitory ileus of newborn
BillableChapter 16 - P76.8
Other specified intestinal obstruction of newborn
BillableChapter 16 - P76.9
Intestinal obstruction of newborn, unspecified
BillableChapter 16 - P78.1
Other neonatal peritonitis
BillableChapter 16 - P78.2
Neonatal hematemesis and melena due to swallowed maternal blood
BillableChapter 16 - P78.3
Noninfective neonatal diarrhea
BillableChapter 16 - P78.81
Congenital cirrhosis (of liver)
BillableChapter 16 - P78.82
Peptic ulcer of newborn
BillableChapter 16 - P78.83
Newborn esophageal reflux
BillableChapter 16 - P78.84
Gestational alloimmune liver disease
BillableChapter 16 - P78.89
Other specified perinatal digestive system disorders
BillableChapter 16 - P78.9
Perinatal digestive system disorder, unspecified
BillableChapter 16 - P80.0
Cold injury syndrome
BillableChapter 16 - P80.8
Other hypothermia of newborn
BillableChapter 16 - P80.9
Hypothermia of newborn, unspecified
BillableChapter 16 - P81.0
Environmental hyperthermia of newborn
BillableChapter 16 - P81.8
Other specified disturbances of temperature regulation of newborn
BillableChapter 16 - P81.9
Disturbance of temperature regulation of newborn, unspecified
BillableChapter 16 - P83.0
Sclerema neonatorum
BillableChapter 16 - P83.30
Unspecified edema specific to newborn
BillableChapter 16 - P83.39
Other edema specific to newborn
BillableChapter 16 - P83.4
Breast engorgement of newborn
BillableChapter 16 - P83.5
Congenital hydrocele
BillableChapter 16 - P83.9
Condition of the integument specific to newborn, unspecified
BillableChapter 16 - P84
Other problems with newborn
BillableChapter 16 - P91.60
Hypoxic ischemic encephalopathy [HIE], unspecified
BillableChapter 16 - P91.61
Mild hypoxic ischemic encephalopathy [HIE]
BillableChapter 16 - P94.1
Congenital hypertonia
BillableChapter 16 - P94.2
Congenital hypotonia
BillableChapter 16 - P94.8
Other disorders of muscle tone of newborn
BillableChapter 16 - P94.9
Disorder of muscle tone of newborn, unspecified
BillableChapter 16 - P95
Stillbirth
BillableChapter 16 - P96.0
Congenital renal failure
BillableChapter 16 - P96.3
Wide cranial sutures of newborn
BillableChapter 16 - P96.5
Complication to newborn due to (fetal) intrauterine procedure
BillableChapter 16 - P96.81
Exposure to (parental) (environmental) tobacco smoke in the perinatal period
BillableChapter 16 - P96.83
Meconium staining
BillableChapter 16 - P96.89
Other specified conditions originating in the perinatal period
BillableChapter 16 - P96.9
Condition originating in the perinatal period, unspecified
BillableChapter 16 - Q86.0
Fetal alcohol syndrome (dysmorphic)
BillableChapter 17 - Q86.1
Fetal hydantoin syndrome
BillableChapter 17 - Q86.2
Dysmorphism due to warfarin
BillableChapter 17 - Q86.8
Other congenital malformation syndromes due to known exogenous causes
BillableChapter 17
