MCMedicalCodingSoftware
794

MS-DRG 794: NEONATE WITH OTHER SIGNIFICANT PROBLEMS

DRGMedicalMDC 15

MS-DRG 794 is neonate with other significant problems, in MDC 15 (a medical DRG). Its FY2027 relative weight is 1.4935, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.40 days. 201 ICD-10-CM principal diagnoses group into MS-DRG 794 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.4935
Geometric mean LOS
3.40
Arithmetic mean LOS
3.40
Post-acute transfer
No

Principal diagnoses that group to MS-DRG 794

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 201 ICD-10-CM codes route here. The 24 most-searched:

  • P84Other problems with newborn
  • P94.2Congenital hypotonia
  • P22.9Respiratory distress of newborn, unspecified
  • P91.60Hypoxic ischemic encephalopathy [HIE], unspecified
  • P96.89Other specified conditions originating in the perinatal period
  • P05.10Newborn small for gestational age, unspecified weight
  • P22.1Transient tachypnea of newborn
  • P28.89Other specified respiratory conditions of newborn
  • P55.1ABO isoimmunization of newborn
  • P00.0Newborn affected by maternal hypertensive disorders
  • P01.7Newborn affected by malpresentation before labor
  • P03.810Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm before the onset of labor
  • P03.811Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor
  • P04.49Newborn affected by maternal use of other drugs of addiction
  • P05.9Newborn affected by slow intrauterine growth, unspecified
  • P14.0Erb's paralysis due to birth injury
  • P28.2Cyanotic attacks of newborn
  • P55.0Rh isoimmunization of newborn
  • P59.0Neonatal jaundice associated with preterm delivery
  • P61.4Other congenital anemias, not elsewhere classified
  • P70.0Syndrome of infant of mother with gestational diabetes
  • P70.1Syndrome of infant of a diabetic mother
  • P78.83Newborn esophageal reflux
  • P95Stillbirth

177 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.

All FY2027 MS-DRGs · MDC 15

MS-DRG (IPPS Table 5)FY2027