DRG 795
Medical DRGNormal Newborn
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.
FY 2026 Payment Data
Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).
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
