All patients who qualify for 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 |
The tables below list the codes required to qualify for this subsection according to the logic listed above. By matching the codes on a patient's account to those listed below, you can work out how a patient will be grouped by the MS-DRG grouper. However, sometimes this can be difficult to work out by hand. If you are looking for automated DRG grouping software that can be integrated into your workflow, please let us know.
| Code | Description |
|---|---|
| P00.3 |
Newborn affected by other maternal circulatory and respiratory diseases |
| P00.9 |
Newborn affected by unspecified maternal condition |
| P02.4 |
Newborn affected by prolapsed cord |
| P02.5 |
Newborn affected by other compression of umbilical cord |
| P02.60 |
Newborn affected by unspecified conditions of umbilical cord |
| P02.69 |
Newborn affected by other conditions of umbilical cord |
| 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 |
| P05.08 |
Newborn light for gestational age, 2000-2499 grams |
| P05.18 |
Newborn small for gestational age, 2000-2499 grams |
| P07.20 |
Extreme immaturity of newborn, unspecified weeks of gestation |
| P08.0 |
Exceptionally large newborn baby |
| P08.1 |
Other heavy for gestational age newborn |
| P08.21 |
Post-term newborn |
| P08.22 |
Prolonged gestation of newborn |
| 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 |
| P54.5 |
Neonatal cutaneous hemorrhage |
| P59.3 |
Neonatal jaundice from breast milk inhibitor |
| P59.8 |
Neonatal jaundice from other specified causes |
| P59.9 |
Neonatal jaundice, unspecified |
| P83.1 |
Neonatal erythema toxicum |
| P83.6 |
Umbilical polyp of newborn |
| P83.81 |
Umbilical granuloma |
| P83.88 |
Other specified conditions of integument specific to newborn |
| P92.09 |
Other vomiting of newborn |
| P92.1 |
Regurgitation and rumination of newborn |
| P92.2 |
Slow feeding of newborn |
| P92.3 |
Underfeeding of newborn |
| P92.4 |
Overfeeding of newborn |
| P92.5 |
Neonatal difficulty in feeding at breast |
| P92.8 |
Other feeding problems of newborn |
| P92.9 |
Feeding problem of newborn, unspecified |
| P96.82 |
Delayed separation of umbilical cord |
| 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 |
| Code | Description |
|---|---|
| J34.0 |
Abscess, furuncle and carbuncle of nose |
| J34.1 |
Cyst and mucocele of nose and nasal sinus |
| J34.81 |
Nasal mucositis (ulcerative) |
| J34.89 |
Other specified disorders of nose and nasal sinuses |
| J34.9 |
Unspecified disorder of nose and nasal sinuses |
| K00.6 |
Disturbances in tooth eruption |
| K01.0 |
Embedded teeth |
| K01.1 |
Impacted teeth |
| L08.9 |
Local infection of the skin and subcutaneous tissue, unspecified |
| L22 |
Diaper dermatitis |
| L57.3 |
Poikiloderma of Civatte |
| L80 |
Vitiligo |
| L81.0 |
Postinflammatory hyperpigmentation |
| L81.1 |
Chloasma |
| L81.2 |
Freckles |
| L81.3 |
Café 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 |
| N47.0 |
Adherent prepuce, newborn |
| N47.1 |
Phimosis |
| N47.2 |
Paraphimosis |
| N47.3 |
Deficient foreskin |
| N47.4 |
Benign cyst of prepuce |
| N47.5 |
Adhesions of prepuce and glans penis |
| N47.7 |
Other inflammatory diseases of prepuce |
| N47.8 |
Other disorders of prepuce |
| N89.8 |
Other specified noninflammatory disorders of vagina |
| P00.2 |
Newborn affected by maternal infectious and parasitic diseases |
| P00.89 |
Newborn affected by other maternal conditions |
| Q17.0 |
Accessory auricle |
| 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 |
| Q55.22 |
Retractile testis |
| Q66.50 |
Congenital pes planus, unspecified foot |
| Q66.51 |
Congenital pes planus, right foot |
| Q66.52 |
Congenital pes planus, left foot |
| Q66.80 |
Congenital vertical talus deformity, unspecified foot |
| Q66.81 |
Congenital vertical talus deformity, right foot |
| Q66.82 |
Congenital vertical talus deformity, left foot |
| Q81.0 |
Epidermolysis bullosa simplex |
| Q81.1 |
Epidermolysis bullosa letalis |
| Q81.2 |
Epidermolysis bullosa dystrophica |
| Q81.8 |
Other epidermolysis bullosa |
| Q81.9 |
Epidermolysis bullosa, unspecified |
| Q82.1 |
Xeroderma pigmentosum |
| Q82.2 |
Congenital cutaneous mastocytosis |
| Q82.3 |
Incontinentia pigmenti |
| Q82.6 |
Congenital sacral dimple |
| Q82.8 |
Other specified congenital malformations of skin |
| Q82.9 |
Congenital malformation of skin, unspecified |
| R09.81 |
Nasal congestion |
| R87.618 |
Other abnormal cytological findings on specimens from cervix uteri |
| R87.619 |
Unspecified abnormal cytological findings in specimens from cervix uteri |
| R87.629 |
Unspecified abnormal cytological findings in specimens from vagina |
| R89.7 |
Abnormal histological findings in specimens from other organs, systems and tissues |
| R94.120 |
Abnormal auditory function study |
| Z00.110 |
Health examination for newborn under 8 days old |
| Z00.111 |
Health examination for newborn 8 to 28 days old |
| Z00.121 |
Encounter for routine child health examination with abnormal findings |
| Z00.129 |
Encounter for routine child health examination without abnormal findings |
| Z01.10 |
Encounter for examination of ears and hearing without abnormal findings |
| Z01.110 |
Encounter for hearing examination following failed hearing screening |
| Z01.118 |
Encounter for examination of ears and hearing with other abnormal findings |
| Z01.12 |
Encounter for hearing conservation and treatment |
| Z02.6 |
Encounter for examination for insurance purposes |
| Z02.82 |
Encounter for adoption services |
| Z02.89 |
Encounter for other administrative examinations |
| 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 |
| Z05.8 |
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 |
| Z13.228 |
Encounter for screening for other metabolic disorders |
| Z20.09 |
Contact with and (suspected) exposure to other intestinal infectious diseases |
| Z20.7 |
Contact with and (suspected) exposure to pediculosis, acariasis and other infestations |
| Z20.810 |
Contact with and (suspected) exposure to anthrax |
| Z20.818 |
Contact with and (suspected) exposure to other bacterial communicable diseases |
| Z20.89 |
Contact with and (suspected) exposure to other communicable diseases |
| Z23 |
Encounter for immunization |
| 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 |
| Z41.2 |
Encounter for routine and ritual male circumcision |
| Z41.3 |
Encounter for ear piercing |
| 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 |
| Z76.2 |
Encounter for health supervision and care of other healthy infant and child |
| Z81.8 |
Family history of other mental and behavioral disorders |
| Z82.0 |
Family history of epilepsy and other diseases of the nervous system |
| Z82.49 |
Family history of ischemic heart disease and other diseases of the circulatory system |
| 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 |
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MS-DRG rules and ICD-10 CM/PCS codes are automatically parsed from CMS's MS-DRG data files. All content is provided strictly “AS IS” and may contain parsing errors. If you spot an error, please let us know.
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