MDC 15 Newborns & Other Neonates with Conditions Originating in Perinatal Period is broken down into subgroups, listed here from most to least resource intensive. If a patient received qualifying treatment in listed in more than one subgroup, the first one listed will determine the DRG assigned to the patient.
To determine if a patient qualifies for a subgroup, click on the subgroup name and check the requirements listed. Typically, each subgroup requires one of a serious of ICD-10-CM diagnostic codes or PCS codes to have been assigned to the patient.
To qualify for any subsection in this MDC, the patient's primary diagnostic code must be included in this list.
All patients who qualify for the subsection Neonates, Died or Transferred to Another Acute Care Facility will be automatically grouped into DRG 789 - NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY.
View the requirements to qualify for this subsection.
All patients who qualify for the subsection Normal Newborn will be automatically grouped into DRG 795 - NORMAL NEWBORN.
View the requirements to qualify for this subsection.
DRG | Name | Type |
---|---|---|
795 | NORMAL NEWBORN | Medical |
All patients who qualify for the subsection Extreme Immaturity or Respiratory Distress Syndrome, Neonate will be automatically grouped into DRG 790 - EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE.
View the requirements to qualify for this subsection.
Patients who qualify for Prematurity will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
Major Problems | DRG | Name | Type |
---|---|---|---|
Yes | 791 | PREMATURITY WITH MAJOR PROBLEMS | Medical |
No | 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | Medical |
All patients who qualify for the subsection Full Term Neonate with Major Problems will be automatically grouped into DRG 793 - FULL TERM NEONATE WITH MAJOR PROBLEMS.
View the requirements to qualify for this subsection.
DRG | Name | Type |
---|---|---|
793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | Medical |
All patients who qualify for the subsection Neonate with Other Significant Problems will be automatically grouped into DRG 794 - NEONATE WITH OTHER SIGNIFICANT PROBLEMS.
View the requirements to qualify for this subsection.
DRG | Name | Type |
---|---|---|
794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | Medical |