MS-DRG 792: PREMATURITY WITHOUT MAJOR PROBLEMS

DRGMedicalMDC 15

MS-DRG 792 is prematurity without major problems, in MDC 15 (a medical DRG). Its FY2027 relative weight is 2.4785, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 8.60 days. 16 ICD-10-CM principal diagnoses group into MS-DRGs 791–792 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight: 2.4785
Geometric mean LOS: 8.60
Arithmetic mean LOS: 8.60
Post-acute transfer: No

Principal diagnoses that group to MS-DRGs 791–792

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 16 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 791–792 the case lands in. The 16 most-searched:

P07.30Preterm newborn, unspecified weeks of gestation
P07.37Preterm newborn, gestational age 34 completed weeks
P07.38Preterm newborn, gestational age 35 completed weeks
P07.39Preterm newborn, gestational age 36 completed weeks
P07.32Preterm newborn, gestational age 29 completed weeks
P07.33Preterm newborn, gestational age 30 completed weeks
P07.35Preterm newborn, gestational age 32 completed weeks
P07.10Other low birth weight newborn, unspecified weight
P07.14Other low birth weight newborn, 1000-1249 grams
P07.15Other low birth weight newborn, 1250-1499 grams
P07.16Other low birth weight newborn, 1500-1749 grams
P07.17Other low birth weight newborn, 1750-1999 grams
P07.18Other low birth weight newborn, 2000-2499 grams
P07.31Preterm newborn, gestational age 28 completed weeks
P07.34Preterm newborn, gestational age 31 completed weeks
P07.36Preterm newborn, gestational age 33 completed weeks

All FY2027 MS-DRGs · MDC 15