DRG 794

Medical DRG

Neonate with Other Significant Problems

TypeMedicalMDC15Dx Codes201

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.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
201 diagnosis
Billable Dx
100%
201 of 201 shown

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
1.4759
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
3.4 days
Used for transfer payment calculations
Arithmetic Mean LOS
3.4 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

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