DRG 795

Medical DRG

Normal Newborn

TypeMedicalMDC15Dx Codes217

What is MS-DRG 795?

MS-DRG 795 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 15 (MDC 15). It maps to 217 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 0.1998 with a geometric mean length of stay of 3.1 days and an arithmetic mean of 3.1 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
217 diagnosis
Billable Dx
100%
217 of 217 shown

FY 2026 Payment Data

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

Relative Weight
0.1998
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
3.1 days
Used for transfer payment calculations
Arithmetic Mean LOS
3.1 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

Linked ICD-10-CM Diagnosis Mappings

  • J34.0

    Abscess, furuncle and carbuncle of nose

    BillableChapter 10
  • J34.1

    Cyst and mucocele of nose and nasal sinus

    BillableChapter 10
  • J34.81

    Nasal mucositis (ulcerative)

    BillableChapter 10
  • J34.8200

    Internal nasal valve collapse, unspecified

    BillableChapter 10
  • J34.8201

    Internal nasal valve collapse, static

    BillableChapter 10
  • J34.8202

    Internal nasal valve collapse, dynamic

    BillableChapter 10
  • J34.8210

    External nasal valve collapse, unspecified

    BillableChapter 10
  • J34.8211

    External nasal valve collapse, static

    BillableChapter 10
  • J34.8212

    External nasal valve collapse, dynamic

    BillableChapter 10
  • J34.829

    Nasal valve collapse, unspecified

    BillableChapter 10
  • J34.89

    Other specified disorders of nose and nasal sinuses

    BillableChapter 10
  • J34.9

    Unspecified disorder of nose and nasal sinuses

    BillableChapter 10
  • J99

    Respiratory disorders in diseases classified elsewhere

    BillableChapter 10
  • L08.9

    Local infection of the skin and subcutaneous tissue, unspecified

    BillableChapter 12
  • L22

    Diaper dermatitis

    BillableChapter 12
  • L57.3

    Poikiloderma of Civatte

    BillableChapter 12
  • L80

    Vitiligo

    BillableChapter 12
  • L81.0

    Postinflammatory hyperpigmentation

    BillableChapter 12
  • L81.1

    Chloasma

    BillableChapter 12
  • L81.2

    Freckles

    BillableChapter 12
  • L81.3

    Cafe au lait spots

    BillableChapter 12
  • L81.4

    Other melanin hyperpigmentation

    BillableChapter 12
  • L81.5

    Leukoderma, not elsewhere classified

    BillableChapter 12
  • L81.6

    Other disorders of diminished melanin formation

    BillableChapter 12
  • L81.7

    Pigmented purpuric dermatosis

    BillableChapter 12
  • L81.8

    Other specified disorders of pigmentation

    BillableChapter 12
  • L81.9

    Disorder of pigmentation, unspecified

    BillableChapter 12
  • N47.0

    Adherent prepuce, newborn

    BillableChapter 14
  • N47.1

    Phimosis

    BillableChapter 14
  • N47.2

    Paraphimosis

    BillableChapter 14
  • N47.3

    Deficient foreskin

    BillableChapter 14
  • N47.4

    Benign cyst of prepuce

    BillableChapter 14
  • N47.5

    Adhesions of prepuce and glans penis

    BillableChapter 14
  • N47.7

    Other inflammatory diseases of prepuce

    BillableChapter 14
  • N47.8

    Other disorders of prepuce

    BillableChapter 14
  • N89.8

    Other specified noninflammatory disorders of vagina

    BillableChapter 14
  • P00.2

    Newborn affected by maternal infectious and parasitic diseases

    BillableChapter 16
  • P00.3

    Newborn affected by other maternal circulatory and respiratory diseases

    BillableChapter 16
  • P00.82

    Newborn affected by (positive) maternal group B streptococcus (GBS) colonization

    BillableChapter 16
  • P00.89

    Newborn affected by other maternal conditions

    BillableChapter 16
  • P00.9

    Newborn affected by unspecified maternal condition

    BillableChapter 16
  • P02.4

    Newborn affected by prolapsed cord

    BillableChapter 16
  • P02.5

    Newborn affected by other compression of umbilical cord

    BillableChapter 16
  • P02.60

    Newborn affected by unspecified conditions of umbilical cord

    BillableChapter 16
  • P02.69

    Newborn affected by other conditions of umbilical cord

    BillableChapter 16
  • P03.0

    Newborn affected by breech delivery and extraction

    BillableChapter 16
  • P03.1

    Newborn affected by other malpresentation, malposition and disproportion during labor and delivery

    BillableChapter 16
  • P03.2

    Newborn affected by forceps delivery

    BillableChapter 16
  • P03.3

    Newborn affected by delivery by vacuum extractor [ventouse]

    BillableChapter 16
  • P03.5

    Newborn affected by precipitate delivery

    BillableChapter 16
  • P03.9

    Newborn affected by complication of labor and delivery, unspecified

    BillableChapter 16
  • P05.08

    Newborn light for gestational age, 2000-2499 grams

    BillableChapter 16
  • P05.18

    Newborn small for gestational age, 2000-2499 grams

    BillableChapter 16
  • P05.19

    Newborn small for gestational age, other

    BillableChapter 16
  • P08.0

    Exceptionally large newborn baby

    BillableChapter 16
  • P08.1

    Other heavy for gestational age newborn

    BillableChapter 16
  • P08.21

    Post-term newborn

    BillableChapter 16
  • P08.22

    Prolonged gestation of newborn

    BillableChapter 16
  • P12.0

    Cephalhematoma due to birth injury

    BillableChapter 16
  • P12.1

    Chignon (from vacuum extraction) due to birth injury

    BillableChapter 16
  • P12.3

    Bruising of scalp due to birth injury

    BillableChapter 16
  • P12.4

    Injury of scalp of newborn due to monitoring equipment

    BillableChapter 16
  • P12.81

    Caput succedaneum

    BillableChapter 16
  • P12.89

    Other birth injuries to scalp

    BillableChapter 16
  • P12.9

    Birth injury to scalp, unspecified

    BillableChapter 16
  • P54.5

    Neonatal cutaneous hemorrhage

    BillableChapter 16
  • P59.3

    Neonatal jaundice from breast milk inhibitor

    BillableChapter 16
  • P59.8

    Neonatal jaundice from other specified causes

    BillableChapter 16
  • P59.9

    Neonatal jaundice, unspecified

    BillableChapter 16
  • P83.1

    Neonatal erythema toxicum

    BillableChapter 16
  • P83.6

    Umbilical polyp of newborn

    BillableChapter 16
  • P83.81

    Umbilical granuloma

    BillableChapter 16
  • P83.88

    Other specified conditions of integument specific to newborn

    BillableChapter 16
  • P92.09

    Other vomiting of newborn

    BillableChapter 16
  • P92.1

    Regurgitation and rumination of newborn

    BillableChapter 16
  • P92.2

    Slow feeding of newborn

    BillableChapter 16
  • P92.3

    Underfeeding of newborn

    BillableChapter 16
  • P92.4

    Overfeeding of newborn

    BillableChapter 16
  • P92.5

    Neonatal difficulty in feeding at breast

    BillableChapter 16
  • P92.8

    Other feeding problems of newborn

    BillableChapter 16
  • P92.9

    Feeding problem of newborn, unspecified

    BillableChapter 16
  • P96.82

    Delayed separation of umbilical cord

    BillableChapter 16
  • Q17.0

    Accessory auricle

    BillableChapter 17
  • Q34.9

    Congenital malformation of respiratory system, unspecified

    BillableChapter 17
  • Q53.00

    Ectopic testis, unspecified

    BillableChapter 17
  • Q53.01

    Ectopic testis, unilateral

    BillableChapter 17
  • Q53.02

    Ectopic testes, bilateral

    BillableChapter 17
  • Q53.10

    Unspecified undescended testicle, unilateral

    BillableChapter 17
  • Q53.111

    Unilateral intraabdominal testis

    BillableChapter 17
  • Q53.112

    Unilateral inguinal testis

    BillableChapter 17
  • Q53.12

    Ectopic perineal testis, unilateral

    BillableChapter 17
  • Q53.13

    Unilateral high scrotal testis

    BillableChapter 17
  • Q53.20

    Undescended testicle, unspecified, bilateral

    BillableChapter 17
  • Q53.211

    Bilateral intraabdominal testes

    BillableChapter 17
  • Q53.212

    Bilateral inguinal testes

    BillableChapter 17
  • Q53.22

    Ectopic perineal testis, bilateral

    BillableChapter 17
  • Q53.23

    Bilateral high scrotal testes

    BillableChapter 17
  • Q53.9

    Undescended testicle, unspecified

    BillableChapter 17
  • Q55.22

    Retractile testis

    BillableChapter 17
  • Q66.50

    Congenital pes planus, unspecified foot

    BillableChapter 17
  • Q66.51

    Congenital pes planus, right foot

    BillableChapter 17
  • Q66.52

    Congenital pes planus, left foot

    BillableChapter 17
  • Q66.80

    Congenital vertical talus deformity, unspecified foot

    BillableChapter 17
  • Q66.81

    Congenital vertical talus deformity, right foot

    BillableChapter 17
  • Q66.82

    Congenital vertical talus deformity, left foot

    BillableChapter 17
  • Q82.1

    Xeroderma pigmentosum

    BillableChapter 17
  • Q82.2

    Congenital cutaneous mastocytosis

    BillableChapter 17
  • Q82.3

    Incontinentia pigmenti

    BillableChapter 17
  • Q82.5

    Congenital non-neoplastic nevus

    BillableChapter 17
  • Q82.6

    Congenital sacral dimple

    BillableChapter 17
  • Q82.8

    Other specified congenital malformations of skin

    BillableChapter 17
  • Q82.9

    Congenital malformation of skin, unspecified

    BillableChapter 17
  • R09.81

    Nasal congestion

    BillableChapter 18
  • R87.618

    Other abnormal cytological findings on specimens from cervix uteri

    BillableChapter 18
  • R87.619

    Unspecified abnormal cytological findings in specimens from cervix uteri

    BillableChapter 18
  • R87.629

    Unspecified abnormal cytological findings in specimens from vagina

    BillableChapter 18
  • R89.7

    Abnormal histological findings in specimens from other organs, systems and tissues

    BillableChapter 18
  • R94.120

    Abnormal auditory function study

    BillableChapter 18
  • Z00.110

    Health examination for newborn under 8 days old

    BillableChapter 21
  • Z00.111

    Health examination for newborn 8 to 28 days old

    BillableChapter 21
  • Z00.121

    Encounter for routine child health examination with abnormal findings

    BillableChapter 21
  • Z00.129

    Encounter for routine child health examination without abnormal findings

    BillableChapter 21
  • Z01.10

    Encounter for examination of ears and hearing without abnormal findings

    BillableChapter 21
  • Z01.110

    Encounter for hearing examination following failed hearing screening

    BillableChapter 21
  • Z01.118

    Encounter for examination of ears and hearing with other abnormal findings

    BillableChapter 21
  • Z01.12

    Encounter for hearing conservation and treatment

    BillableChapter 21
  • Z02.6

    Encounter for examination for insurance purposes

    BillableChapter 21
  • Z02.82

    Encounter for adoption services

    BillableChapter 21
  • Z02.84

    Encounter for child welfare exam

    BillableChapter 21
  • Z02.89

    Encounter for other administrative examinations

    BillableChapter 21
  • Z05.0

    Observation and evaluation of newborn for suspected cardiac condition ruled out

    BillableChapter 21
  • Z05.1

    Observation and evaluation of newborn for suspected infectious condition ruled out

    BillableChapter 21
  • Z05.2

    Observation and evaluation of newborn for suspected neurological condition ruled out

    BillableChapter 21
  • Z05.3

    Observation and evaluation of newborn for suspected respiratory condition ruled out

    BillableChapter 21
  • Z05.41

    Observation and evaluation of newborn for suspected genetic condition ruled out

    BillableChapter 21
  • Z05.42

    Observation and evaluation of newborn for suspected metabolic condition ruled out

    BillableChapter 21
  • Z05.43

    Observation and evaluation of newborn for suspected immunologic condition ruled out

    BillableChapter 21
  • Z05.5

    Observation and evaluation of newborn for suspected gastrointestinal condition ruled out

    BillableChapter 21
  • Z05.6

    Observation and evaluation of newborn for suspected genitourinary condition ruled out

    BillableChapter 21
  • Z05.71

    Observation and evaluation of newborn for suspected skin and subcutaneous tissue condition ruled out

    BillableChapter 21
  • Z05.72

    Observation and evaluation of newborn for suspected musculoskeletal condition ruled out

    BillableChapter 21
  • Z05.73

    Observation and evaluation of newborn for suspected connective tissue condition ruled out

    BillableChapter 21
  • Z05.81

    Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out

    BillableChapter 21
  • Z05.89

    Observation and evaluation of newborn for other specified suspected condition ruled out

    BillableChapter 21
  • Z05.9

    Observation and evaluation of newborn for unspecified suspected condition ruled out

    BillableChapter 21
  • Z13.228

    Encounter for screening for other metabolic disorders

    BillableChapter 21
  • Z20.01

    Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli)

    BillableChapter 21
  • Z20.09

    Contact with and (suspected) exposure to other intestinal infectious diseases

    BillableChapter 21
  • Z20.1

    Contact with and (suspected) exposure to tuberculosis

    BillableChapter 21
  • Z20.2

    Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission

    BillableChapter 21
  • Z20.3

    Contact with and (suspected) exposure to rabies

    BillableChapter 21
  • Z20.4

    Contact with and (suspected) exposure to rubella

    BillableChapter 21
  • Z20.5

    Contact with and (suspected) exposure to viral hepatitis

    BillableChapter 21
  • Z20.6

    Contact with and (suspected) exposure to human immunodeficiency virus [HIV]

    BillableChapter 21
  • Z20.7

    Contact with and (suspected) exposure to pediculosis, acariasis and other infestations

    BillableChapter 21
  • Z20.810

    Contact with and (suspected) exposure to anthrax

    BillableChapter 21
  • Z20.811

    Contact with and (suspected) exposure to meningococcus

    BillableChapter 21
  • Z20.818

    Contact with and (suspected) exposure to other bacterial communicable diseases

    BillableChapter 21
  • Z20.820

    Contact with and (suspected) exposure to varicella

    BillableChapter 21
  • Z20.821

    Contact with and (suspected) exposure to Zika virus

    BillableChapter 21
  • Z20.822

    Contact with and (suspected) exposure to COVID-19

    BillableChapter 21
  • Z20.828

    Contact with and (suspected) exposure to other viral communicable diseases

    BillableChapter 21
  • Z20.89

    Contact with and (suspected) exposure to other communicable diseases

    BillableChapter 21
  • Z20.9

    Contact with and (suspected) exposure to unspecified communicable disease

    BillableChapter 21
  • Z23

    Encounter for immunization

    BillableChapter 21
  • Z28.01

    Immunization not carried out because of acute illness of patient

    BillableChapter 21
  • Z28.02

    Immunization not carried out because of chronic illness or condition of patient

    BillableChapter 21
  • Z28.03

    Immunization not carried out because of immune compromised state of patient

    BillableChapter 21
  • Z28.04

    Immunization not carried out because of patient allergy to vaccine or component

    BillableChapter 21
  • Z28.09

    Immunization not carried out because of other contraindication

    BillableChapter 21
  • Z28.1

    Immunization not carried out because of patient decision for reasons of belief or group pressure

    BillableChapter 21
  • Z28.20

    Immunization not carried out because of patient decision for unspecified reason

    BillableChapter 21
  • Z28.21

    Immunization not carried out because of patient refusal

    BillableChapter 21
  • Z28.29

    Immunization not carried out because of patient decision for other reason

    BillableChapter 21
  • Z28.81

    Immunization not carried out due to patient having had the disease

    BillableChapter 21
  • Z28.82

    Immunization not carried out because of caregiver refusal

    BillableChapter 21
  • Z28.83

    Immunization not carried out due to unavailability of vaccine

    BillableChapter 21
  • Z28.89

    Immunization not carried out for other reason

    BillableChapter 21
  • Z28.9

    Immunization not carried out for unspecified reason

    BillableChapter 21
  • Z38.00

    Single liveborn infant, delivered vaginally

    BillableChapter 21
  • Z38.01

    Single liveborn infant, delivered by cesarean

    BillableChapter 21
  • Z38.1

    Single liveborn infant, born outside hospital

    BillableChapter 21
  • Z38.2

    Single liveborn infant, unspecified as to place of birth

    BillableChapter 21
  • Z38.30

    Twin liveborn infant, delivered vaginally

    BillableChapter 21
  • Z38.31

    Twin liveborn infant, delivered by cesarean

    BillableChapter 21
  • Z38.4

    Twin liveborn infant, born outside hospital

    BillableChapter 21
  • Z38.5

    Twin liveborn infant, unspecified as to place of birth

    BillableChapter 21
  • Z38.61

    Triplet liveborn infant, delivered vaginally

    BillableChapter 21
  • Z38.62

    Triplet liveborn infant, delivered by cesarean

    BillableChapter 21
  • Z38.63

    Quadruplet liveborn infant, delivered vaginally

    BillableChapter 21
  • Z38.64

    Quadruplet liveborn infant, delivered by cesarean

    BillableChapter 21
  • Z38.65

    Quintuplet liveborn infant, delivered vaginally

    BillableChapter 21
  • Z38.66

    Quintuplet liveborn infant, delivered by cesarean

    BillableChapter 21
  • Z38.68

    Other multiple liveborn infant, delivered vaginally

    BillableChapter 21
  • Z38.69

    Other multiple liveborn infant, delivered by cesarean

    BillableChapter 21
  • Z38.7

    Other multiple liveborn infant, born outside hospital

    BillableChapter 21
  • Z38.8

    Other multiple liveborn infant, unspecified as to place of birth

    BillableChapter 21
  • Z41.2

    Encounter for routine and ritual male circumcision

    BillableChapter 21
  • Z41.3

    Encounter for ear piercing

    BillableChapter 21
  • Z53.01

    Procedure and treatment not carried out due to patient smoking

    BillableChapter 21
  • Z53.09

    Procedure and treatment not carried out because of other contraindication

    BillableChapter 21
  • Z53.1

    Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure

    BillableChapter 21
  • Z53.20

    Procedure and treatment not carried out because of patient's decision for unspecified reasons

    BillableChapter 21
  • Z53.21

    Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider

    BillableChapter 21
  • Z53.29

    Procedure and treatment not carried out because of patient's decision for other reasons

    BillableChapter 21
  • Z53.8

    Procedure and treatment not carried out for other reasons

    BillableChapter 21
  • Z53.9

    Procedure and treatment not carried out, unspecified reason

    BillableChapter 21
  • Z76.2

    Encounter for health supervision and care of other healthy infant and child

    BillableChapter 21
  • Z81.8

    Family history of other mental and behavioral disorders

    BillableChapter 21
  • Z82.0

    Family history of epilepsy and other diseases of the nervous system

    BillableChapter 21
  • Z82.49

    Family history of ischemic heart disease and other diseases of the circulatory system

    BillableChapter 21
  • Z83.1

    Family history of other infectious and parasitic diseases

    BillableChapter 21
  • Z83.3

    Family history of diabetes mellitus

    BillableChapter 21
  • Z83.42

    Family history of familial hypercholesterolemia

    BillableChapter 21
  • Z83.430

    Family history of elevated lipoprotein(a)

    BillableChapter 21
  • Z83.438

    Family history of other disorder of lipoprotein metabolism and other lipidemia

    BillableChapter 21
  • Z83.49

    Family history of other endocrine, nutritional and metabolic diseases

    BillableChapter 21