MS-DRG · FY 2026 v43.0
MS-DRG 795 – Normal Newborn
A Medical DRG in MDC 15 (Newborns & Other Neonates with Conditions Originating in Perinatal Period). Inpatient cases group to DRG 795 when the ICD-10-CM principal diagnosis is one of the 219 codes listed below. Its FY 2026 relative weight is 0.1998 with a geometric mean length of stay of 3.1 days.
Medical DRG – assigned by principal diagnosis✓ Official CMS v43.0 dataset
0.1998
Relative Weight
3.1
Geometric Mean LOS (days)
3.1
Arithmetic Mean LOS (days)
219
Principal Diagnosis Codes
How a case is assigned to DRG 795
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 219 codes · 46 categories
219 of 219 shown
J34 Other and unspecified disorders of nose and nasal sinuses12 codes
- J34.0 Abscess, furuncle and carbuncle of nose
- J34.1 Cyst and mucocele of nose and nasal sinus
- J34.81 Nasal mucositis (ulcerative)
- J34.8200 Internal nasal valve collapse, unspecified
- J34.8201 Internal nasal valve collapse, static
- J34.8202 Internal nasal valve collapse, dynamic
- J34.8210 External nasal valve collapse, unspecified
- J34.8211 External nasal valve collapse, static
- J34.8212 External nasal valve collapse, dynamic
- J34.829 Nasal valve collapse, unspecified
- J34.89 Other specified disorders of nose and nasal sinuses
- J34.9 Unspecified disorder of nose and nasal sinuses
K00 Disorders of tooth development and eruption1 code
- K00.6 Disturbances in tooth eruption
L08 Other local infections of skin and subcutaneous tissue1 code
- L08.9 Local infection of the skin and subcutaneous tissue, unspecified
L22 Diaper dermatitis1 code
- L22 Diaper dermatitis
L57 Skin changes due to chronic exposure to nonionizing radiation1 code
- L57.3 Poikiloderma of Civatte
L80 Vitiligo1 code
- L80 Vitiligo
L81 Other disorders of pigmentation10 codes
- L81.0 Postinflammatory hyperpigmentation
- L81.1 Chloasma
- L81.2 Freckles
- L81.3 Cafe au lait spots
- L81.4 Other melanin hyperpigmentation
- L81.5 Leukoderma, not elsewhere classified
- L81.6 Other disorders of diminished melanin formation
- L81.7 Pigmented purpuric dermatosis
- L81.8 Other specified disorders of pigmentation
- L81.9 Disorder of pigmentation, unspecified
N47 Disorders of prepuce8 codes
N89 Other noninflammatory disorders of vagina1 code
- N89.8 Other specified noninflammatory disorders of vagina
P00 Newborn affected by maternal conditions that may be unrelated to present pregnancy5 codes
- P00.2 Newborn affected by maternal infectious and parasitic diseases
- P00.3 Newborn affected by other maternal circulatory and respiratory diseases
- P00.82 Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
- P00.89 Newborn affected by other maternal conditions
- P00.9 Newborn affected by unspecified maternal condition
P02 Newborn affected by complications of placenta, cord and membranes4 codes
P03 Newborn affected by other complications of labor and delivery6 codes
- P03.0 Newborn affected by breech delivery and extraction
- P03.1 Newborn affected by other malpresentation, malposition and disproportion during labor and delivery
- P03.2 Newborn affected by forceps delivery
- P03.3 Newborn affected by delivery by vacuum extractor [ventouse]
- P03.5 Newborn affected by precipitate delivery
- P03.9 Newborn affected by complication of labor and delivery, unspecified
P05 Disorders of newborn related to slow fetal growth and fetal malnutrition3 codes
P08 Disorders of newborn related to long gestation and high birth weight4 codes
P12 Birth injury to scalp7 codes
- P12.0 Cephalhematoma due to birth injury
- P12.1 Chignon (from vacuum extraction) due to birth injury
- P12.3 Bruising of scalp due to birth injury
- P12.4 Injury of scalp of newborn due to monitoring equipment
- P12.81 Caput succedaneum
- P12.89 Other birth injuries to scalp
- P12.9 Birth injury to scalp, unspecified
P54 Other neonatal hemorrhages1 code
- P54.5 Neonatal cutaneous hemorrhage
P59 Neonatal jaundice from other and unspecified causes3 codes
P83 Other conditions of integument specific to newborn4 codes
P92 Feeding problems of newborn8 codes
P96 Other conditions originating in the perinatal period1 code
- P96.82 Delayed separation of umbilical cord
Q17 Other congenital malformations of ear1 code
- Q17.0 Accessory auricle
Q38 Other congenital malformations of tongue, mouth and pharynx1 code
- Q38.1 Ankyloglossia
Q53 Undescended and ectopic testicle14 codes
- Q53.00 Ectopic testis, unspecified
- Q53.01 Ectopic testis, unilateral
- Q53.02 Ectopic testes, bilateral
- Q53.10 Unspecified undescended testicle, unilateral
- Q53.111 Unilateral intraabdominal testis
- Q53.112 Unilateral inguinal testis
- Q53.12 Ectopic perineal testis, unilateral
- Q53.13 Unilateral high scrotal testis
- Q53.20 Undescended testicle, unspecified, bilateral
- Q53.211 Bilateral intraabdominal testes
- Q53.212 Bilateral inguinal testes
- Q53.22 Ectopic perineal testis, bilateral
- Q53.23 Bilateral high scrotal testes
- Q53.9 Undescended testicle, unspecified
Q55 Other congenital malformations of male genital organs1 code
- Q55.22 Retractile testis
Q66 Congenital deformities of feet6 codes
Q82 Other congenital malformations of skin7 codes
R09 Other symptoms and signs involving the circulatory and respiratory system1 code
- R09.81 Nasal congestion
R87 Abnormal findings in specimens from female genital organs3 codes
R89 Abnormal findings in specimens from other organs, systems and tissues1 code
- R89.7 Abnormal histological findings in specimens from other organs, systems and tissues
R94 Abnormal results of function studies1 code
- R94.120 Abnormal auditory function study
Z00 Encounter for general examination without complaint, suspected or reported diagnosis4 codes
Z01 Encounter for other special examination without complaint, suspected or reported diagnosis4 codes
Z02 Encounter for administrative examination4 codes
Z05 Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out15 codes
- Z05.0 Observation and evaluation of newborn for suspected cardiac condition ruled out
- Z05.1 Observation and evaluation of newborn for suspected infectious condition ruled out
- Z05.2 Observation and evaluation of newborn for suspected neurological condition ruled out
- Z05.3 Observation and evaluation of newborn for suspected respiratory condition ruled out
- Z05.41 Observation and evaluation of newborn for suspected genetic condition ruled out
- Z05.42 Observation and evaluation of newborn for suspected metabolic condition ruled out
- Z05.43 Observation and evaluation of newborn for suspected immunologic condition ruled out
- Z05.5 Observation and evaluation of newborn for suspected gastrointestinal condition ruled out
- Z05.6 Observation and evaluation of newborn for suspected genitourinary condition ruled out
- Z05.71 Observation and evaluation of newborn for suspected skin and subcutaneous tissue condition ruled out
- Z05.72 Observation and evaluation of newborn for suspected musculoskeletal condition ruled out
- Z05.73 Observation and evaluation of newborn for suspected connective tissue condition ruled out
- Z05.81 Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out
- Z05.89 Observation and evaluation of newborn for other specified suspected condition ruled out
- Z05.9 Observation and evaluation of newborn for unspecified suspected condition ruled out
Z13 Encounter for screening for other diseases and disorders1 code
- Z13.228 Encounter for screening for other metabolic disorders
Z20 Contact with and (suspected) exposure to communicable diseases18 codes
- Z20.01 Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli)
- Z20.09 Contact with and (suspected) exposure to other intestinal infectious diseases
- Z20.1 Contact with and (suspected) exposure to tuberculosis
- Z20.2 Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
- Z20.3 Contact with and (suspected) exposure to rabies
- Z20.4 Contact with and (suspected) exposure to rubella
- Z20.5 Contact with and (suspected) exposure to viral hepatitis
- Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
- Z20.7 Contact with and (suspected) exposure to pediculosis, acariasis and other infestations
- Z20.810 Contact with and (suspected) exposure to anthrax
- Z20.811 Contact with and (suspected) exposure to meningococcus
- Z20.818 Contact with and (suspected) exposure to other bacterial communicable diseases
- Z20.820 Contact with and (suspected) exposure to varicella
- Z20.821 Contact with and (suspected) exposure to Zika virus
- Z20.822 Contact with and (suspected) exposure to COVID-19
- Z20.828 Contact with and (suspected) exposure to other viral communicable diseases
- Z20.89 Contact with and (suspected) exposure to other communicable diseases
- Z20.9 Contact with and (suspected) exposure to unspecified communicable disease
Z23 Encounter for immunization1 code
- Z23 Encounter for immunization
Z28 Immunization not carried out and underimmunization status14 codes
- Z28.01 Immunization not carried out because of acute illness of patient
- Z28.02 Immunization not carried out because of chronic illness or condition of patient
- Z28.03 Immunization not carried out because of immune compromised state of patient
- Z28.04 Immunization not carried out because of patient allergy to vaccine or component
- Z28.09 Immunization not carried out because of other contraindication
- Z28.1 Immunization not carried out because of patient decision for reasons of belief or group pressure
- Z28.20 Immunization not carried out because of patient decision for unspecified reason
- Z28.21 Immunization not carried out because of patient refusal
- Z28.29 Immunization not carried out because of patient decision for other reason
- Z28.81 Immunization not carried out due to patient having had the disease
- Z28.82 Immunization not carried out because of caregiver refusal
- Z28.83 Immunization not carried out due to unavailability of vaccine
- Z28.89 Immunization not carried out for other reason
- Z28.9 Immunization not carried out for unspecified reason
Z38 Liveborn infants according to place of birth and type of delivery18 codes
- Z38.00 Single liveborn infant, delivered vaginally
- Z38.01 Single liveborn infant, delivered by cesarean
- Z38.1 Single liveborn infant, born outside hospital
- Z38.2 Single liveborn infant, unspecified as to place of birth
- Z38.30 Twin liveborn infant, delivered vaginally
- Z38.31 Twin liveborn infant, delivered by cesarean
- Z38.4 Twin liveborn infant, born outside hospital
- Z38.5 Twin liveborn infant, unspecified as to place of birth
- Z38.61 Triplet liveborn infant, delivered vaginally
- Z38.62 Triplet liveborn infant, delivered by cesarean
- Z38.63 Quadruplet liveborn infant, delivered vaginally
- Z38.64 Quadruplet liveborn infant, delivered by cesarean
- Z38.65 Quintuplet liveborn infant, delivered vaginally
- Z38.66 Quintuplet liveborn infant, delivered by cesarean
- Z38.68 Other multiple liveborn infant, delivered vaginally
- Z38.69 Other multiple liveborn infant, delivered by cesarean
- Z38.7 Other multiple liveborn infant, born outside hospital
- Z38.8 Other multiple liveborn infant, unspecified as to place of birth
Z41 Encounter for procedures for purposes other than remedying health state2 codes
Z53 Persons encountering health services for specific procedures and treatment, not carried out8 codes
- Z53.01 Procedure and treatment not carried out due to patient smoking
- Z53.09 Procedure and treatment not carried out because of other contraindication
- Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
- Z53.20 Procedure and treatment not carried out because of patient's decision for unspecified reasons
- Z53.21 Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
- Z53.29 Procedure and treatment not carried out because of patient's decision for other reasons
- Z53.8 Procedure and treatment not carried out for other reasons
- Z53.9 Procedure and treatment not carried out, unspecified reason
Z76 Persons encountering health services in other circumstances1 code
- Z76.2 Encounter for health supervision and care of other healthy infant and child
Z81 Family history of mental and behavioral disorders1 code
- Z81.8 Family history of other mental and behavioral disorders
Z82 Family history of certain disabilities and chronic diseases (leading to disablement)2 codes
Z83 Family history of other specific disorders6 codes
- Z83.1 Family history of other infectious and parasitic diseases
- Z83.3 Family history of diabetes mellitus
- Z83.42 Family history of familial hypercholesterolemia
- Z83.430 Family history of elevated lipoprotein(a)
- Z83.438 Family history of other disorder of lipoprotein metabolism and other lipidemia
- Z83.49 Family history of other endocrine, nutritional and metabolic diseases
ICD-10-PCS
Procedure Codes
Procedure codes do not drive assignment for this DRG. DRG 795 is a Medical DRG, assigned from the principal diagnosis above.
Frequently Asked Questions
What is MS-DRG 795?
MS-DRG 795 (Normal Newborn) is a medical DRG in MDC 15 (Newborns & Other Neonates with Conditions Originating in Perinatal Period). Its FY 2026 relative weight is 0.1998 with a geometric mean length of stay of 3.1 days.
How many diagnosis codes group to DRG 795?
219 ICD-10-CM principal diagnosis codes group to this DRG, spanning 46 three-character categories.
What is the relative weight of DRG 795?
The FY 2026 relative weight of this DRG is 0.1998, meaning reimbursement of roughly 0.20 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.
← PreviousDRG 794 – Neonate with Other Significant ProblemsNext →DRG 796 – Vaginal Delivery with Sterilization and/or D&C with MCC
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.
