795

MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period

Relative weight by grouper version

CMS publishes classification in the Definitions Manual and weights in Table 5 of the IPPS rule, one spreadsheet per year. These are the 9 versions this grouper supports.

Range 0.1998 to 0.2024. A dash means the DRG did not exist in that version.

Codes that reach this DRG

222 ICD-10-CM diagnoses. Each maps here on its own; procedure clusters can also reach this DRG through combinations, listed separately below.

Diagnoses

• J340 Abscess, furuncle and carbuncle of nose
• J341 Cyst and mucocele of nose and nasal sinus
• J3481 Nasal mucositis (ulcerative)
• J348200 Internal nasal valve collapse, unspecified
• J348201 Internal nasal valve collapse, static
• J348202 Internal nasal valve collapse, dynamic
• J348210 External nasal valve collapse, unspecified
• J348211 External nasal valve collapse, static
• J348212 External nasal valve collapse, dynamic
• J34829 Nasal valve collapse, unspecified
• J34830 Odontogenic sinusitis, maxillary sinus
• J34831 Odontogenic sinusitis, ethmoid sinus
• J34832 Odontogenic sinusitis, frontal sinus
• J34833 Odontogenic sinusitis, sphenoid sinus
• J34839 Odontogenic sinusitis, unspecified
• J3489 Other specified disorders of nose and nasal sinuses
• J349 Unspecified disorder of nose and nasal sinuses
• J99 Respiratory disorders in diseases classified elsewhere
• L089 Local infection of the skin and subcutaneous tissue, unsp
• L22 Diaper dermatitis
• L573 Poikiloderma of Civatte
• L80 Vitiligo
• L810 Postinflammatory hyperpigmentation
• L811 Chloasma
• L812 Freckles
• L813 Cafe au lait spots
• L814 Other melanin hyperpigmentation
• L815 Leukoderma, not elsewhere classified
• L816 Other disorders of diminished melanin formation
• L817 Pigmented purpuric dermatosis
• L818 Other specified disorders of pigmentation
• L819 Disorder of pigmentation, unspecified
• N470 Adherent prepuce, newborn
• N471 Phimosis
• N472 Paraphimosis
• N473 Deficient foreskin
• N474 Benign cyst of prepuce
• N475 Adhesions of prepuce and glans penis
• N477 Other inflammatory diseases of prepuce
• N478 Other disorders of prepuce
• N898 Other specified noninflammatory disorders of vagina
• P002 Newborn affected by maternal infec/parastc diseases
• P003 Newborn affected by other maternal circ and resp diseases
• P0082 NB aff by (positive) matern group B strep (GBS) colonization
• P0089 Newborn affected by other maternal conditions
• P009 Newborn affected by unspecified maternal condition
• P024 Newborn affected by prolapsed cord
• P025 Newborn affected by other compression of umbilical cord
• P0260 Newborn affected by unspecified conditions of umbilical cord
• P0269 Newborn affected by other conditions of umbilical cord
• P030 Newborn affected by breech delivery and extraction
• P031 NB aff by oth malpresent, malpos & disproprtn dur labr & del
• P032 Newborn affected by forceps delivery
• P033 Newborn affected by delivery by vacuum extractor [ventouse]
• P035 Newborn affected by precipitate delivery
• P039 Newborn affected by comp of labor and delivery, unspecified
• P0508 Newborn light for gestational age, 2000-2499 grams
• P0518 Newborn small for gestational age, 2000-2499 grams
• P0519 Newborn small for gestational age, other
• P080 Exceptionally large newborn baby
• P081 Other heavy for gestational age newborn
• P0821 Post-term newborn
• P0822 Prolonged gestation of newborn
• P120 Cephalhematoma due to birth injury
• P121 Chignon (from vacuum extraction) due to birth injury
• P123 Bruising of scalp due to birth injury
• P124 Injury of scalp of newborn due to monitoring equipment
• P1281 Caput succedaneum
• P1289 Other birth injuries to scalp
• P129 Birth injury to scalp, unspecified
• P545 Neonatal cutaneous hemorrhage
• P593 Neonatal jaundice from breast milk inhibitor
• P598 Neonatal jaundice from other specified causes
• P599 Neonatal jaundice, unspecified
• P831 Neonatal erythema toxicum
• P836 Umbilical polyp of newborn
• P8381 Umbilical granuloma
• P8388 Other specified conditions of integument specific to newborn
• P9209 Other vomiting of newborn
• P921 Regurgitation and rumination of newborn
• P922 Slow feeding of newborn
• P923 Underfeeding of newborn
• P924 Overfeeding of newborn
• P925 Neonatal difficulty in feeding at breast
• P928 Other feeding problems of newborn
• P929 Feeding problem of newborn, unspecified
• P9682 Delayed separation of umbilical cord
• Q170 Accessory auricle
• Q349 Congenital malformation of respiratory system, unspecified
• Q5300 Ectopic testis, unspecified
• Q5301 Ectopic testis, unilateral
• Q5302 Ectopic testes, bilateral
• Q5310 Unspecified undescended testicle, unilateral
• Q53111 Unilateral intraabdominal testis
• Q53112 Unilateral inguinal testis
• Q5312 Ectopic perineal testis, unilateral
• Q5313 Unilateral high scrotal testis
• Q5320 Undescended testicle, unspecified, bilateral
• Q53211 Bilateral intraabdominal testes
• Q53212 Bilateral inguinal testes
• Q5322 Ectopic perineal testis, bilateral
• Q5323 Bilateral high scrotal testes
• Q539 Undescended testicle, unspecified
• Q5522 Retractile testis
• Q6650 Congenital pes planus, unspecified foot
• Q6651 Congenital pes planus, right foot
• Q6652 Congenital pes planus, left foot
• Q6680 Congenital vertical talus deformity, unspecified foot
• Q6681 Congenital vertical talus deformity, right foot
• Q6682 Congenital vertical talus deformity, left foot
• Q821 Xeroderma pigmentosum
• Q822 Congenital cutaneous mastocytosis
• Q823 Incontinentia pigmenti
• Q825 Congenital non-neoplastic nevus
• Q826 Congenital sacral dimple
• Q828 Other specified congenital malformations of skin
• Q829 Congenital malformation of skin, unspecified
• R0981 Nasal congestion
• R87618 Oth abnormal cytolog findings on specimens from cervix uteri
• R87619 Unsp abnormal cytolog findings in specmn from cervix uteri
• R87629 Unsp abnormal cytological findings in specimens from vagina
• R897 Abnormal histolog findings in specimens from oth org/tiss
• R94120 Abnormal auditory function study
• Z00110 Health examination for newborn under 8 days old
• Z00111 Health examination for newborn 8 to 28 days old
• Z00121 Encounter for routine child health exam w abnormal findings
• Z00129 Encntr for routine child health exam w/o abnormal findings
• Z0110 Encounter for exam of ears and hearing w/o abnormal findings
• Z01110 Encounter for hearing exam following failed hear screening
• Z01118 Encntr for exam of ears and hearing w oth abnormal findings
• Z0112 Encounter for hearing conservation and treatment
• Z026 Encounter for examination for insurance purposes
• Z0282 Encounter for adoption services
• Z0284 Encounter for child welfare exam
• Z0289 Encounter for other administrative examinations
• Z050 Obs & eval of NB for suspected cardiac condition ruled out
• Z051 Obs & eval of NB for suspected infect condition ruled out
• Z052 Obs & eval of NB for suspected neuro condition ruled out
• Z053 Obs & eval of NB for suspected resp condition ruled out
• Z0541 Obs & eval of NB for suspected genetic condition ruled out
• Z0542 Obs & eval of NB for suspected metabolic condition ruled out
• Z0543 Obs & eval of NB for suspected immunologic cond ruled out
• Z055 Obs & eval of NB for suspected GI condition ruled out
• Z056 Obs & eval of NB for suspected GU condition ruled out
• Z0571 Obs & eval of NB for suspected skin, subcu cond ruled out
• Z0572 Obs & eval of NB for suspected ms condition ruled out
• Z0573 Obs & eval of NB for suspected conn tiss condition ruled out
• Z0581 Obs & eval NB for susp cond rel to home physio mon dev R/O
• Z0589 Obs & eval of NB for oth suspected condition ruled out
• Z059 Obs & eval of NB for unsp suspected condition ruled out
• Z13228 Encounter for screening for other metabolic disorders
• Z2001 Cntct w and expsr to intestnl infct dis d/t E coli (E. coli)
• Z2009 Contact w and exposure to oth intestinal infectious diseases
• Z201 Contact with and (suspected) exposure to tuberculosis
• Z202 Contact w and exposure to infect w a sexl mode of transmiss
• Z203 Contact with and (suspected) exposure to rabies
• Z204 Contact with and (suspected) exposure to rubella
• Z205 Contact with and (suspected) exposure to viral hepatitis
• Z206 Contact w and (suspected) exposure to human immunodef virus
• Z207 Cntct w & expsr to pediculosis, acariasis & oth infestations
• Z20810 Contact with and (suspected) exposure to anthrax
• Z20811 Contact with and (suspected) exposure to meningococcus
• Z20818 Contact w and exposure to oth bact communicable diseases
• Z20820 Contact with and (suspected) exposure to varicella
• Z20821 Contact with and (suspected) exposure to Zika virus
• Z20822 Contact with and (suspected) exposure to COVID-19
• Z20828 Contact w and exposure to oth viral communicable diseases
• Z2089 Contact w and exposure to oth communicable diseases
• Z209 Contact w and exposure to unsp communicable disease
• Z23 Encounter for immunization
• Z2801 Immunization not crd out because of acute illness of patient
• Z2802 Immuniz not crd out bec chronic illness or cond of patient
• Z2803 Immuniz not crd out bec immune compromised state of patient
• Z2804 Immuniz not crd out bec patient allergy to vaccine or cmpnt
• Z2809 Immunization not carried out because of oth contraindication
• Z281 Immuniz not crd out because of patient belief/grp pressr
• Z2820 Immuniz not crd out bec patient decision for unsp reason
• Z2821 Immunization not carried out because of patient refusal
• Z2829 Immuniz not crd out bec patient decision for oth reason
• Z2881 Immuniz not crd out due to patient having had the disease
• Z2882 Immunization not carried out because of caregiver refusal
• Z2883 Immunization not crd out due to unavailability of vaccine
• Z2889 Immunization not carried out for other reason
• Z289 Immunization not carried out for unspecified reason
• Z3800 Single liveborn infant, delivered vaginally
• Z3801 Single liveborn infant, delivered by cesarean
• Z381 Single liveborn infant, born outside hospital
• Z382 Single liveborn infant, unspecified as to place of birth
• Z3830 Twin liveborn infant, delivered vaginally
• Z3831 Twin liveborn infant, delivered by cesarean
• Z384 Twin liveborn infant, born outside hospital
• Z385 Twin liveborn infant, unspecified as to place of birth
• Z3861 Triplet liveborn infant, delivered vaginally
• Z3862 Triplet liveborn infant, delivered by cesarean
• Z3863 Quadruplet liveborn infant, delivered vaginally
• Z3864 Quadruplet liveborn infant, delivered by cesarean
• Z3865 Quintuplet liveborn infant, delivered vaginally
• Z3866 Quintuplet liveborn infant, delivered by cesarean
• Z3868 Other multiple liveborn infant, delivered vaginally
• Z3869 Other multiple liveborn infant, delivered by cesarean
• Z387 Other multiple liveborn infant, born outside hospital
• Z388 Other multiple liveborn infant, unsp as to place of birth
• Z412 Encounter for routine and ritual male circumcision
• Z413 Encounter for ear piercing
• Z5301 Proc/trtmt not carried out due to patient smoking
• Z5309 Proc/trtmt not carried out because of contraindication
• Z531 Proc/trtmt not crd out bec pt belief and group pressure
• Z5320 Proc/trtmt not crd out bec pt decision for unsp reasons
• Z5321 Proc/trtmt not crd out d/t pt lv bef seen by hlth care prov
• Z5329 Proc/trtmt not crd out bec pt decision for oth reasons
• Z538 Procedure and treatment not carried out for other reasons
• Z539 Procedure and treatment not carried out, unspecified reason
• Z762 Encntr for hlth suprvsn and care of healthy infant and child
• Z818 Family history of other mental and behavioral disorders
• Z820 Family history of epilepsy and oth dis of the nervous sys
• Z8249 Family hx of ischem heart dis and oth dis of the circ sys
• Z831 Family history of other infectious and parasitic diseases
• Z833 Family history of diabetes mellitus
• Z8342 Family history of familial hypercholesterolemia
• Z83430 Family history of elevated lipoprotein(a)
• Z83438 Fam hx of disord of lipoprotein metab and other lipidemia
• Z8349 Family history of endo, nutritional and metabolic diseases