MS-DRG · FY 2026 v43.0

MS-DRG 790 – Extreme Immaturity or Respiratory Distress Syndrome, Neonate

A Medical DRG in MDC 15 (Newborns & Other Neonates with Conditions Originating in Perinatal Period). Inpatient cases group to DRG 790 when the ICD-10-CM principal diagnosis is one of the 12 codes listed below. Its FY 2026 relative weight is 5.9435 with a geometric mean length of stay of 17.9 days.

Medical DRG – assigned by principal diagnosis✓ Official CMS v43.0 dataset
5.9435
Relative Weight
17.9
Geometric Mean LOS (days)
17.9
Arithmetic Mean LOS (days)
12
Principal Diagnosis Codes
How a case is assigned to DRG 790

The grouper first assigns the case to MDC 15 from the principal diagnosis and finds no qualifying operating-room procedure (this is a Medical DRG; ICD-10-PCS codes do not drive assignment here).

ICD-10-CM

Principal Diagnosis Codes 12 codes · 2 categories

P07 Disorders of newborn related to short gestation and low birth weight, not elsewhere classified11 codes
  • P07.00 Extremely low birth weight newborn, unspecified weight
  • P07.01 Extremely low birth weight newborn, less than 500 grams
  • P07.02 Extremely low birth weight newborn, 500-749 grams
  • P07.03 Extremely low birth weight newborn, 750-999 grams
  • P07.20 Extreme immaturity of newborn, unspecified weeks of gestation
  • P07.21 Extreme immaturity of newborn, gestational age less than 23 completed weeks
  • P07.22 Extreme immaturity of newborn, gestational age 23 completed weeks
  • P07.23 Extreme immaturity of newborn, gestational age 24 completed weeks
  • P07.24 Extreme immaturity of newborn, gestational age 25 completed weeks
  • P07.25 Extreme immaturity of newborn, gestational age 26 completed weeks
  • P07.26 Extreme immaturity of newborn, gestational age 27 completed weeks
P22 Respiratory distress of newborn1 code
  • P22.0 Respiratory distress syndrome of newborn
ICD-10-PCS

Procedure Codes

Procedure codes do not drive assignment for this DRG. DRG 790 is a Medical DRG, assigned from the principal diagnosis above.

Frequently Asked Questions

What is MS-DRG 790?

MS-DRG 790 (Extreme Immaturity or Respiratory Distress Syndrome, Neonate) is a medical DRG in MDC 15 (Newborns & Other Neonates with Conditions Originating in Perinatal Period). Its FY 2026 relative weight is 5.9435 with a geometric mean length of stay of 17.9 days.

How many diagnosis codes group to DRG 790?

12 ICD-10-CM principal diagnosis codes group to this DRG, spanning 2 three-character categories.

What is the relative weight of DRG 790?

The FY 2026 relative weight of this DRG is 5.9435, meaning reimbursement of roughly 5.94 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 789 – Neonates, Died or Transferred to Another Acute Care Facility
Source: CMS ICD-10 MS-DRG v43.0 Definitions Manual and the FY 2026 IPPS Final Rule (Table 5), effective October 1, 2025 through September 30, 2026. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.