ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 13 of 70 |
| A000 B399 C770 C84Z7 D49511 E113399 F1529 H00016 H26031 H5361 I6051 I82593 K266 L608 M06072 M2200 M4810 M71542 M84573P M90512 N904 O3103X3 O368229 O665 P399 R061 S01119A S04892D S1017XD S15009D S22048B S29022S S32129A S35411A S40241A S42301A S43393S S50829S S52224F S52356G S53025D S58922D S61101A S62163A S62512D S63228A S65590A S6990XA S72109N S72354D S7292XM S80821A S82141D S82422D S82863D S86011D S90931D S92209K S93134D S99102D T22042A T23752S T34532D T421X6S T472X1S T550X2D T654X2D T82591A Z048 Z91041 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| K266 | 06 | 377-379 | K661 | 06 | 393-395 | L02621 | 09 | 602-603 | ||
| K267 | 06 | 380-384 | K661 | 15 | 793 | L02622 | 09 | 602-603 | ||
| K269 | 06 | 380-384 | K668 | 06 | 393-395 | L02629 | 09 | 602-603 | ||
| K270 | 06 | 377-379 | K669 | 06 | 393-395 | L02631 | 09 | 602-603 | ||
| K271 | 06 | 380-384 | K67 | 06 | 371-373 | L02632 | 09 | 602-603 | ||
| K272 | 06 | 377-379 | K67 | 15 | 793 | L02639 | 09 | 602-603 | ||
| K273 | 06 | 380-384 | K6811 | 15 | 793 | L02811 | 09 | 573-578 | ||
| K274 | 06 | 377-379 | K6811 | 18 | 853-855 | L02811 | 09 | 602-603 | ||
| K275 | 06 | 380-384 | K6811 | 18 | 856-858 | L02811 | 15 | 793 | ||
| K276 | 06 | 377-379 | K6811 | 18 | 862-863 | L02818 | 09 | 573-578 | ||
| K277 | 06 | 380-384 | K6812 | 06 | 371-373 | L02818 | 09 | 602-603 | ||
| K279 | 06 | 380-384 | K6812 | 15 | 793 | L02818 | 15 | 793 | ||
| K280 | 06 | 377-379 | K6819 | 06 | 371-373 | L02821 | 09 | 602-603 | ||
| K281 | 06 | 380-384 | K6819 | 15 | 793 | L02828 | 09 | 602-603 | ||
| K282 | 06 | 377-379 | K689 | 06 | 371-373 | L02831 | 09 | 602-603 | ||
| K283 | 06 | 380-384 | K689 | 15 | 793 | L02838 | 09 | 602-603 | ||
| K284 | 06 | 377-379 | K700 | 07 | 441-443 | L0291 | 09 | 573-578 | ||
| K285 | 06 | 380-384 | K7010 | 07 | 432-434 | L0291 | 09 | 602-603 | ||
| K286 | 06 | 377-379 | K7011 | 07 | 432-434 | L0291 | 15 | 793 | ||
| K287 | 06 | 380-384 | K702 | 07 | 432-434 | L0292 | 09 | 602-603 | ||
| K289 | 06 | 380-384 | K7030 | 07 | 432-434 | L0293 | 09 | 602-603 | ||
| K2900 | 06 | 391-392 | K7031 | 07 | 432-434 | L03011 | 09 | 573-578 | ||
| K2901 | 06 | 377-379 | K7040 | 07 | 432-434 | L03011 | 09 | 602-603 | ||
| K2920 | 06 | 391-392 | K7041 | 07 | 432-434 | L03012 | 09 | 573-578 | ||
| K2921 | 06 | 377-379 | K709 | 07 | 432-434 | L03012 | 09 | 602-603 | ||
| K2930 | 06 | 391-392 | K710 | 07 | 441-443 | L03019 | 09 | 573-578 | ||
| K2931 | 06 | 377-379 | K710 | 15 | 793 | L03019 | 09 | 602-603 | ||
| K2940 | 06 | 391-392 | K7110 | 07 | 441-443 | L03021 | 09 | 573-578 | ||
| K2941 | 06 | 377-379 | K7110 | 15 | 793 | L03021 | 09 | 602-603 | ||
| K2950 | 06 | 391-392 | K7111 | 07 | 441-443 | L03022 | 09 | 573-578 | ||
| K2951 | 06 | 377-379 | K7111 | 15 | 793 | L03022 | 09 | 602-603 | ||
| K2960 | 06 | 391-392 | K712 | 07 | 441-443 | L03029 | 09 | 573-578 | ||
| K2961 | 06 | 377-379 | K712 | 15 | 793 | L03029 | 09 | 602-603 | ||
| K2970 | 06 | 391-392 | K713 | 07 | 441-443 | L03031 | 09 | 573-578 | ||
| K2971 | 06 | 377-379 | K713 | 15 | 793 | L03031 | 09 | 602-603 | ||
| K2980 | 06 | 391-392 | K714 | 07 | 441-443 | L03032 | 09 | 573-578 | ||
| K2981 | 06 | 377-379 | K714 | 15 | 793 | L03032 | 09 | 602-603 | ||
| K2990 | 06 | 391-392 | K7150 | 07 | 441-443 | L03039 | 09 | 573-578 | ||
| K2991 | 06 | 377-379 | K7150 | 15 | 793 | L03039 | 09 | 602-603 | ||
| K30 | 06 | 391-392 | K7151 | 07 | 441-443 | L03041 | 09 | 573-578 | ||
| K310 | 06 | 391-392 | K7151 | 15 | 793 | L03041 | 09 | 602-603 | ||
| K310 | 15 | 793 | K716 | 07 | 441-443 | L03042 | 09 | 573-578 | ||
| K311 | 06 | 380-384 | K716 | 15 | 793 | L03042 | 09 | 602-603 | ||
| K312 | 06 | 391-392 | K717 | 07 | 441-443 | L03049 | 09 | 573-578 | ||
| K313 | 06 | 391-392 | K717 | 15 | 793 | L03049 | 09 | 602-603 | ||
| K314 | 06 | 391-392 | K718 | 07 | 441-443 | L03111 | 09 | 573-578 | ||
| K315 | 06 | 380-384 | K718 | 15 | 793 | L03111 | 09 | 602-603 | ||
| K316 | 06 | 391-392 | K719 | 07 | 441-443 | L03111 | 15 | 793 | ||
| K317 | 06 | 393-395 | K719 | 15 | 793 | L03112 | 09 | 573-578 | ||
| K31811 | 06 | 377-379 | K7200 | 07 | 441-443 | L03112 | 09 | 602-603 | ||
| K31819 | 06 | 391-392 | K7200 | 15 | 793 | L03112 | 15 | 793 | ||
| K3182 | 06 | 377-379 | K7201 | 07 | 441-443 | L03113 | 09 | 573-578 | ||
| K3183 | 06 | 391-392 | K7201 | 15 | 793 | L03113 | 09 | 602-603 | ||
| K3184 | 06 | 391-392 | K7210 | 07 | 441-443 | L03113 | 15 | 793 | ||
| K3189 | 06 | 391-392 | K7211 | 07 | 441-443 | L03114 | 09 | 573-578 | ||
| K319 | 06 | 391-392 | K7290 | 07 | 441-443 | L03114 | 09 | 602-603 | ||
| K352 | 06 | 338-343 | K7290 | 15 | 793 | L03114 | 15 | 793 | ||
| K352 | 06 | 371-373 | K7291 | 07 | 441-443 | L03115 | 09 | 573-578 | ||
| K353 | 06 | 338-343 | K7291 | 15 | 793 | L03115 | 09 | 602-603 | ||
| K353 | 06 | 371-373 | K730 | 07 | 441-443 | L03115 | 15 | 793 | ||
| K3580 | 06 | 393-395 | K731 | 07 | 441-443 | L03116 | 09 | 573-578 | ||
| K3589 | 06 | 393-395 | K732 | 07 | 441-443 | L03116 | 09 | 602-603 | ||
| K36 | 06 | 393-395 | K738 | 07 | 441-443 | L03116 | 15 | 793 | ||
| K37 | 06 | 393-395 | K739 | 07 | 441-443 | L03119 | 09 | 573-578 | ||
| K380 | 06 | 393-395 | K740 | 07 | 432-434 | L03119 | 09 | 602-603 | ||
| K381 | 06 | 393-395 | K741 | 07 | 441-443 | L03119 | 15 | 793 | ||
| K382 | 06 | 393-395 | K742 | 07 | 441-443 | L03121 | 09 | 573-578 | ||
| K383 | 06 | 393-395 | K743 | 07 | 432-434 | L03121 | 09 | 602-603 | ||
| K388 | 06 | 393-395 | K744 | 07 | 432-434 | L03121 | 15 | 793 | ||
| K389 | 06 | 393-395 | K745 | 07 | 432-434 | L03122 | 09 | 573-578 | ||
| K4000 | 06 | 393-395 | K7460 | 07 | 432-434 | L03122 | 09 | 602-603 | ||
| K4000 | 15 | 793 | K7469 | 07 | 432-434 | L03122 | 15 | 793 | ||
| K4001 | 06 | 393-395 | K750 | 07 | 441-443 | L03123 | 09 | 573-578 | ||
| K4010 | 06 | 393-395 | K750 | 15 | 793 | L03123 | 09 | 602-603 | ||
| K4010 | 15 | 793 | K751 | 07 | 441-443 | L03123 | 15 | 793 | ||
| K4011 | 06 | 393-395 | K751 | 15 | 793 | L03124 | 09 | 573-578 | ||
| K4020 | 06 | 393-395 | K752 | 07 | 441-443 | L03124 | 09 | 602-603 | ||
| K4021 | 06 | 393-395 | K752 | 15 | 793 | L03124 | 15 | 793 | ||
| K4030 | 06 | 393-395 | K753 | 07 | 441-443 | L03125 | 09 | 573-578 | ||
| K4030 | 15 | 793 | K753 | 15 | 793 | L03125 | 09 | 602-603 | ||
| K4031 | 06 | 393-395 | K754 | 07 | 441-443 | L03125 | 15 | 793 | ||
| K4040 | 06 | 393-395 | K7581 | 07 | 441-443 | L03126 | 09 | 573-578 | ||
| K4040 | 15 | 793 | K7581 | 15 | 793 | L03126 | 09 | 602-603 | ||
| K4041 | 06 | 393-395 | K7589 | 07 | 441-443 | L03126 | 15 | 793 | ||
| K4090 | 06 | 393-395 | K7589 | 15 | 793 | L03129 | 09 | 573-578 | ||
| K4091 | 06 | 393-395 | K759 | 07 | 441-443 | L03129 | 09 | 602-603 | ||
| K4100 | 06 | 393-395 | K759 | 15 | 793 | L03129 | 15 | 793 | ||
| K4100 | 15 | 793 | K760 | 07 | 441-443 | L03211 | Pre | 011-013 | ||
| K4101 | 06 | 393-395 | K761 | 07 | 441-443 | L03211 | 09 | 573-578 | ||
| K4110 | 06 | 393-395 | K762 | 07 | 441-443 | L03211 | 09 | 602-603 | ||
| K4110 | 15 | 793 | K762 | 15 | 793 | L03211 | 15 | 793 | ||
| K4111 | 06 | 393-395 | K763 | 07 | 441-443 | L03212 | Pre | 011-013 | ||
| K4120 | 06 | 393-395 | K763 | 15 | 793 | L03212 | 09 | 573-578 | ||
| K4121 | 06 | 393-395 | K764 | 07 | 441-443 | L03212 | 09 | 602-603 | ||
| K4130 | 06 | 393-395 | K764 | 15 | 793 | L03212 | 15 | 793 | ||
| K4130 | 15 | 793 | K765 | 07 | 441-443 | L03213 | Pre | 011-013 | ||
| K4131 | 06 | 393-395 | K766 | 07 | 441-443 | L03213 | 09 | 573-578 | ||
| K4140 | 06 | 393-395 | K767 | 07 | 441-443 | L03213 | 09 | 602-603 | ||
| K4140 | 15 | 793 | K767 | 15 | 793 | L03213 | 15 | 793 | ||
| K4141 | 06 | 393-395 | K7681 | 04 | 205-206 | L03221 | Pre | 011-013 | ||
| K4190 | 06 | 393-395 | K7689 | 07 | 441-443 | L03221 | 09 | 573-578 | ||
| K4191 | 06 | 393-395 | K769 | 07 | 441-443 | L03221 | 09 | 602-603 | ||
| K420 | 06 | 393-395 | K77 | 07 | 441-443 | L03221 | 15 | 793 | ||
| K420 | 15 | 793 | K8000 | 07 | 444-446 | L03222 | Pre | 011-013 | ||
| K421 | 06 | 393-395 | K8001 | 07 | 444-446 | L03222 | 09 | 573-578 | ||
| K421 | 15 | 793 | K8010 | 07 | 444-446 | L03222 | 09 | 602-603 | ||
| K429 | 06 | 393-395 | K8011 | 07 | 444-446 | L03222 | 15 | 793 | ||
| K430 | 06 | 393-395 | K8012 | 07 | 444-446 | L03311 | 09 | 573-578 | ||
| K430 | 15 | 793 | K8013 | 07 | 444-446 | L03311 | 09 | 602-603 | ||
| K431 | 06 | 393-395 | K8018 | 07 | 444-446 | L03311 | 15 | 793 | ||
| K431 | 15 | 793 | K8019 | 07 | 444-446 | L03312 | 09 | 573-578 | ||
| K432 | 06 | 393-395 | K8020 | 07 | 444-446 | L03312 | 09 | 602-603 | ||
| K433 | 06 | 393-395 | K8021 | 07 | 444-446 | L03312 | 15 | 793 | ||
| K433 | 15 | 793 | K8030 | 07 | 444-446 | L03313 | 09 | 573-578 | ||
| K434 | 06 | 393-395 | K8031 | 07 | 444-446 | L03313 | 09 | 602-603 | ||
| K434 | 15 | 793 | K8032 | 07 | 444-446 | L03313 | 15 | 793 | ||
| K435 | 06 | 393-395 | K8033 | 07 | 444-446 | L03314 | 09 | 573-578 | ||
| K436 | 06 | 393-395 | K8034 | 07 | 444-446 | L03314 | 09 | 602-603 | ||
| K436 | 15 | 793 | K8035 | 07 | 444-446 | L03314 | 15 | 793 | ||
| K437 | 06 | 393-395 | K8036 | 07 | 444-446 | L03315 | 09 | 573-578 | ||
| K437 | 15 | 793 | K8037 | 07 | 444-446 | L03315 | 09 | 602-603 | ||
| K439 | 06 | 393-395 | K8040 | 07 | 444-446 | L03315 | 15 | 793 | ||
| K440 | 06 | 391-392 | K8041 | 07 | 444-446 | L03316 | 09 | 573-578 | ||
| K440 | 15 | 793 | K8042 | 07 | 444-446 | L03316 | 09 | 602-603 | ||
| K441 | 06 | 393-395 | K8043 | 07 | 444-446 | L03316 | 15 | 793 | ||
| K441 | 15 | 793 | K8044 | 07 | 444-446 | L03317 | 09 | 573-578 | ||
| K449 | 06 | 391-392 | K8045 | 07 | 444-446 | L03317 | 09 | 602-603 | ||
| K450 | 06 | 393-395 | K8046 | 07 | 444-446 | L03317 | 15 | 793 | ||
| K450 | 15 | 793 | K8047 | 07 | 444-446 | L03319 | 09 | 573-578 | ||
| K451 | 06 | 393-395 | K8050 | 07 | 444-446 | L03319 | 09 | 602-603 | ||
| K451 | 15 | 793 | K8051 | 07 | 444-446 | L03319 | 15 | 793 | ||
| K458 | 06 | 393-395 | K8060 | 07 | 444-446 | L03321 | 09 | 573-578 | ||
| K460 | 06 | 393-395 | K8061 | 07 | 444-446 | L03321 | 09 | 602-603 | ||
| K460 | 15 | 793 | K8062 | 07 | 444-446 | L03321 | 15 | 793 | ||
| K461 | 06 | 393-395 | K8063 | 07 | 444-446 | L03322 | 09 | 573-578 | ||
| K461 | 15 | 793 | K8064 | 07 | 444-446 | L03322 | 09 | 602-603 | ||
| K469 | 06 | 393-395 | K8065 | 07 | 444-446 | L03322 | 15 | 793 | ||
| K5000 | 06 | 385-387 | K8066 | 07 | 444-446 | L03323 | 09 | 573-578 | ||
| K50011 | 06 | 385-387 | K8067 | 07 | 444-446 | L03323 | 09 | 602-603 | ||
| K50012 | 06 | 385-387 | K8070 | 07 | 444-446 | L03323 | 15 | 793 | ||
| K50013 | 06 | 385-387 | K8071 | 07 | 444-446 | L03324 | 09 | 573-578 | ||
| K50014 | 06 | 385-387 | K8080 | 07 | 444-446 | L03324 | 09 | 602-603 | ||
| K50018 | 06 | 385-387 | K8081 | 07 | 444-446 | L03324 | 15 | 793 | ||
| K50019 | 06 | 385-387 | K810 | 07 | 444-446 | L03325 | 09 | 573-578 | ||
| K5010 | 06 | 385-387 | K811 | 07 | 444-446 | L03325 | 09 | 602-603 | ||
| K50111 | 06 | 385-387 | K812 | 07 | 444-446 | L03325 | 15 | 793 | ||
| K50112 | 06 | 385-387 | K819 | 07 | 444-446 | L03326 | 09 | 573-578 | ||
| K50113 | 06 | 385-387 | K820 | 07 | 444-446 | L03326 | 09 | 602-603 | ||
| K50114 | 06 | 385-387 | K821 | 07 | 444-446 | L03326 | 15 | 793 | ||
| K50118 | 06 | 385-387 | K822 | 07 | 444-446 | L03327 | 09 | 573-578 | ||
| K50119 | 06 | 385-387 | K823 | 07 | 444-446 | L03327 | 09 | 602-603 | ||
| K5080 | 06 | 385-387 | K824 | 07 | 444-446 | L03327 | 15 | 793 | ||
| K50811 | 06 | 385-387 | K828 | 07 | 444-446 | L03329 | 09 | 573-578 | ||
| K50812 | 06 | 385-387 | K829 | 07 | 444-446 | L03329 | 09 | 602-603 | ||
| K50813 | 06 | 385-387 | K830 | 07 | 444-446 | L03329 | 15 | 793 | ||
| K50814 | 06 | 385-387 | K830 | 15 | 793 | L03811 | 09 | 573-578 | ||
| K50818 | 06 | 385-387 | K831 | 07 | 444-446 | L03811 | 09 | 602-603 | ||
| K50819 | 06 | 385-387 | K832 | 07 | 444-446 | L03811 | 15 | 793 | ||
| K5090 | 06 | 385-387 | K833 | 07 | 444-446 | L03818 | 09 | 573-578 | ||
| K50911 | 06 | 385-387 | K834 | 07 | 444-446 | L03818 | 09 | 602-603 | ||
| K50912 | 06 | 385-387 | K835 | 07 | 444-446 | L03818 | 15 | 793 | ||
| K50913 | 06 | 385-387 | K838 | 07 | 444-446 | L03891 | 09 | 573-578 | ||
| K50914 | 06 | 385-387 | K839 | 07 | 444-446 | L03891 | 09 | 602-603 | ||
| K50918 | 06 | 385-387 | K8500 | 07 | 438-440 | L03891 | 15 | 793 | ||
| K50919 | 06 | 385-387 | K8500 | 15 | 793 | L03898 | 09 | 573-578 | ||
| K5100 | 06 | 385-387 | K8501 | 07 | 438-440 | L03898 | 09 | 602-603 | ||
| K51011 | 06 | 385-387 | K8501 | 15 | 793 | L03898 | 15 | 793 | ||
| K51012 | 06 | 385-387 | K8502 | 07 | 438-440 | L0390 | 09 | 573-578 | ||
| K51013 | 06 | 385-387 | K8502 | 15 | 793 | L0390 | 09 | 602-603 | ||
| K51014 | 06 | 385-387 | K8510 | 07 | 438-440 | L0390 | 15 | 793 | ||
| K51018 | 06 | 385-387 | K8510 | 15 | 793 | L0391 | 09 | 573-578 | ||
| K51019 | 06 | 385-387 | K8511 | 07 | 438-440 | L0391 | 09 | 602-603 | ||
| K5120 | 06 | 385-387 | K8511 | 15 | 793 | L0391 | 15 | 793 | ||
| K51211 | 06 | 385-387 | K8512 | 07 | 438-440 | L040 | 15 | 793 | ||
| K51212 | 06 | 385-387 | K8512 | 15 | 793 | L040 | 16 | 814-816 | ||
| K51213 | 06 | 385-387 | K8520 | 07 | 438-440 | L041 | 15 | 793 | ||
| K51214 | 06 | 385-387 | K8520 | 15 | 793 | L041 | 16 | 814-816 | ||
| K51218 | 06 | 385-387 | K8521 | 07 | 438-440 | L042 | 15 | 793 | ||
| K51219 | 06 | 385-387 | K8521 | 15 | 793 | L042 | 16 | 814-816 | ||
| K5130 | 06 | 385-387 | K8522 | 07 | 438-440 | L043 | 15 | 793 | ||
| K51311 | 06 | 385-387 | K8522 | 15 | 793 | L043 | 16 | 814-816 | ||
| K51312 | 06 | 385-387 | K8530 | 07 | 438-440 | L048 | 15 | 793 | ||
| K51313 | 06 | 385-387 | K8530 | 15 | 793 | L048 | 16 | 814-816 | ||
| K51314 | 06 | 385-387 | K8531 | 07 | 438-440 | L049 | 15 | 793 | ||
| K51318 | 06 | 385-387 | K8531 | 15 | 793 | L049 | 16 | 814-816 | ||
| K51319 | 06 | 385-387 | K8532 | 07 | 438-440 | L0501 | 09 | 602-603 | ||
| K5140 | 06 | 385-387 | K8532 | 15 | 793 | L0502 | 09 | 602-603 | ||
| K51411 | 06 | 385-387 | K8580 | 07 | 438-440 | L0591 | 09 | 602-603 | ||
| K51412 | 06 | 385-387 | K8580 | 15 | 793 | L0592 | 09 | 602-603 | ||
| K51413 | 06 | 385-387 | K8581 | 07 | 438-440 | L080 | 09 | 602-603 | ||
| K51414 | 06 | 385-387 | K8581 | 15 | 793 | L081 | 09 | 606-607 | ||
| K51418 | 06 | 385-387 | K8582 | 07 | 438-440 | L081 | 25 | 974-976 | ||
| K51419 | 06 | 385-387 | K8582 | 15 | 793 | L0881 | 09 | 602-603 | ||
| K5150 | 06 | 385-387 | K8590 | 07 | 438-440 | L0882 | 09 | 602-603 | ||
| K51511 | 06 | 385-387 | K8590 | 15 | 793 | L0889 | 09 | 602-603 | ||
| K51512 | 06 | 385-387 | K8591 | 07 | 438-440 | L089 | 09 | 602-603 | ||
| K51513 | 06 | 385-387 | K8591 | 15 | 793 | L089 | 15 | 795 | ||
| K51514 | 06 | 385-387 | K8592 | 07 | 438-440 | L100 | 09 | 595-596 | ||
| K51518 | 06 | 385-387 | K8592 | 15 | 793 | L101 | 09 | 595-596 | ||
| K51519 | 06 | 385-387 | K860 | 07 | 438-440 | L102 | 09 | 595-596 | ||
| K5180 | 06 | 385-387 | K861 | 07 | 438-440 | L103 | 09 | 595-596 | ||
| K51811 | 06 | 385-387 | K862 | 07 | 438-440 | L104 | 09 | 595-596 | ||
| K51812 | 06 | 385-387 | K862 | 15 | 793 | L105 | 09 | 595-596 | ||
| K51813 | 06 | 385-387 | K863 | 07 | 438-440 | L1081 | 09 | 595-596 | ||
| K51814 | 06 | 385-387 | K863 | 15 | 793 | L1089 | 09 | 595-596 | ||
| K51818 | 06 | 385-387 | K8681 | 07 | 438-440 | L109 | 09 | 595-596 | ||
| K51819 | 06 | 385-387 | K8689 | 07 | 438-440 | L110 | 09 | 606-607 | ||
| K5190 | 06 | 385-387 | K869 | 07 | 438-440 | L111 | 09 | 606-607 | ||
| K51911 | 06 | 385-387 | K87 | 07 | 444-446 | L118 | 09 | 606-607 | ||
| K51912 | 06 | 385-387 | K900 | 06 | 391-392 | L119 | 09 | 606-607 | ||
| K51913 | 06 | 385-387 | K901 | 06 | 391-392 | L120 | 09 | 595-596 | ||
| K51914 | 06 | 385-387 | K902 | 06 | 391-392 | L121 | 09 | 595-596 | ||
| K51918 | 06 | 385-387 | K903 | 06 | 391-392 | L122 | 09 | 606-607 | ||
| K51919 | 06 | 385-387 | K9041 | 06 | 391-392 | L1230 | 09 | 595-596 | ||
| K520 | 06 | 393-395 | K9049 | 06 | 391-392 | L1231 | 09 | 595-596 | ||
| K521 | 06 | 393-395 | K9081 | 06 | 393-395 | L1235 | 09 | 595-596 | ||
| K521 | 15 | 793 | K9089 | 06 | 391-392 | L128 | 09 | 595-596 | ||
| K5221 | 06 | 391-392 | K909 | 06 | 391-392 | L129 | 09 | 595-596 | ||
| K5222 | 06 | 391-392 | K910 | 06 | 391-392 | L130 | 09 | 606-607 | ||
| K5229 | 06 | 391-392 | K911 | 06 | 391-392 | L131 | 09 | 606-607 | ||
| K523 | 06 | 391-392 | K912 | 06 | 391-392 | L138 | 09 | 595-596 | ||
| K5281 | 06 | 391-392 | K912 | 15 | 793 | L139 | 09 | 595-596 | ||
| K5282 | 06 | 391-392 | K913 | 06 | 393-395 | L14 | 09 | 595-596 | ||
| K52831 | 06 | 391-392 | K913 | 15 | 793 | L200 | 09 | 606-607 | ||
| K52832 | 06 | 391-392 | K915 | 07 | 444-446 | L2081 | 09 | 606-607 | ||
| K52838 | 06 | 391-392 | K9161 | 21 | 919-921 | L2082 | 09 | 606-607 | ||
| K52839 | 06 | 391-392 | K9162 | 21 | 919-921 | L2083 | 09 | 606-607 | ||
| K5289 | 06 | 391-392 | K9171 | 15 | 793 | L2084 | 09 | 606-607 | ||
| K529 | 06 | 391-392 | K9171 | 21 | 919-921 | L2089 | 09 | 606-607 | ||
| K55011 | 06 | 393-395 | K9172 | 15 | 793 | L209 | 09 | 606-607 | ||
| K55011 | 15 | 793 | K9172 | 21 | 919-921 | L210 | 09 | 606-607 | ||
| K55012 | 06 | 393-395 | K9181 | 06 | 393-395 | L211 | 09 | 606-607 | ||
| K55012 | 15 | 793 | K9181 | 15 | 793 | L218 | 09 | 606-607 | ||
| K55019 | 06 | 393-395 | K9182 | 06 | 393-395 | L219 | 09 | 606-607 | ||
| K55019 | 15 | 793 | K9182 | 15 | 793 | L22 | 09 | 606-607 | ||
| K55021 | 06 | 393-395 | K9183 | 06 | 393-395 | L22 | 15 | 795 | ||
| K55021 | 15 | 793 | K9183 | 15 | 793 | L230 | 09 | 606-607 | ||
| K55022 | 06 | 393-395 | K91840 | 21 | 919-921 | L231 | 09 | 606-607 | ||
| K55022 | 15 | 793 | K91841 | 21 | 919-921 | L232 | 09 | 606-607 | ||
| K55029 | 06 | 393-395 | K91850 | 06 | 393-395 | L233 | 09 | 606-607 | ||
| K55029 | 15 | 793 | K91850 | 15 | 793 | L234 | 09 | 606-607 | ||
| K55031 | 06 | 393-395 | K91858 | 06 | 393-395 | L235 | 09 | 606-607 | ||
| K55031 | 15 | 793 | K91858 | 15 | 793 | L236 | 09 | 606-607 | ||
| K55032 | 06 | 393-395 | K9186 | 06 | 393-395 | L237 | 09 | 606-607 | ||
| K55032 | 15 | 793 | K9186 | 15 | 793 | L2381 | 09 | 606-607 | ||
| K55039 | 06 | 393-395 | K91870 | 21 | 919-921 | L2389 | 09 | 606-607 | ||
| K55039 | 15 | 793 | K91871 | 21 | 919-921 | L239 | 09 | 606-607 | ||
| K55041 | 06 | 393-395 | K91872 | 21 | 919-921 | L240 | 09 | 606-607 | ||
| K55041 | 15 | 793 | K91873 | 21 | 919-921 | L241 | 09 | 606-607 | ||
| K55042 | 06 | 393-395 | K9189 | 06 | 393-395 | L242 | 09 | 606-607 | ||
| K55042 | 15 | 793 | K9189 | 15 | 793 | L243 | 09 | 606-607 | ||
| K55049 | 06 | 393-395 | K920 | 06 | 377-379 | L244 | 09 | 606-607 | ||
| K55049 | 15 | 793 | K920 | 15 | 793 | L245 | 09 | 606-607 | ||
| K55051 | 06 | 393-395 | K921 | 06 | 377-379 | L246 | 09 | 606-607 | ||
| K55051 | 15 | 793 | K921 | 15 | 793 | L247 | 09 | 606-607 | ||
| K55052 | 06 | 393-395 | K922 | 06 | 377-379 | L2481 | 09 | 606-607 | ||
| K55052 | 15 | 793 | K922 | 15 | 793 | L2489 | 09 | 606-607 | ||
| K55059 | 06 | 393-395 | K9281 | 06 | 391-392 | L249 | 09 | 606-607 | ||
| K55059 | 15 | 793 | K9289 | 06 | 393-395 | L250 | 09 | 606-607 | ||
| K55061 | 06 | 393-395 | K929 | 06 | 393-395 | L251 | 09 | 606-607 | ||
| K55061 | 15 | 793 | K9400 | 06 | 393-395 | L252 | 09 | 606-607 | ||
| K55062 | 06 | 393-395 | K9401 | 06 | 393-395 | L253 | 09 | 606-607 | ||
| K55062 | 15 | 793 | K9402 | 06 | 393-395 | L254 | 09 | 606-607 | ||
| K55069 | 06 | 393-395 | K9403 | 06 | 393-395 | L255 | 09 | 606-607 | ||
| K55069 | 15 | 793 | K9409 | 06 | 393-395 | L258 | 09 | 606-607 | ||
| K551 | 06 | 393-395 | K9410 | 06 | 393-395 | L259 | 09 | 606-607 | ||
| K5520 | 06 | 393-395 | K9411 | 06 | 393-395 | L26 | 09 | 606-607 | ||
| K5521 | 06 | 377-379 | K9412 | 06 | 393-395 | L270 | 09 | 606-607 | ||
| K5530 | 06 | 393-395 | K9413 | 06 | 393-395 | L270 | 15 | 793 | ||
| K5530 | 15 | 793 | K9419 | 06 | 393-395 | L271 | 09 | 606-607 | ||
| K5531 | 06 | 393-395 | K9420 | 06 | 393-395 | L271 | 15 | 793 | ||
| K5531 | 15 | 793 | K9421 | 06 | 393-395 | L272 | 09 | 606-607 | ||
| K5532 | 06 | 393-395 | K9422 | 06 | 393-395 | L278 | 09 | 606-607 | ||
| K5532 | 15 | 793 | K9423 | 06 | 393-395 | L279 | 09 | 606-607 | ||
| K5533 | 06 | 393-395 | K9429 | 06 | 393-395 | L280 | 09 | 606-607 | ||
| K5533 | 15 | 793 | K9430 | 06 | 393-395 | L281 | 09 | 606-607 | ||
| K558 | 06 | 393-395 | K9431 | 06 | 393-395 | L282 | 09 | 606-607 | ||
| K559 | 06 | 393-395 | K9432 | 06 | 393-395 | L290 | 09 | 606-607 | ||
| K560 | 06 | 388-390 | K9433 | 06 | 393-395 | L291 | 12 | 729-730 | ||
| K560 | 15 | 793 | K9439 | 06 | 393-395 | L292 | 13 | 742-743 | ||
| K561 | 06 | 388-390 | K9501 | 06 | 393-395 | L292 | 13 | 757-759 | ||
| K561 | 15 | 793 | K9509 | 06 | 393-395 | L293 | 12 | 729-730 | ||
| K562 | 06 | 388-390 | K9581 | 06 | 393-395 | L293 | 13 | 742-743 | ||
| K562 | 15 | 793 | K9589 | 06 | 393-395 | L293 | 13 | 757-759 | ||
| K563 | 06 | 388-390 | L00 | 09 | 595-596 | L298 | 09 | 606-607 | ||
| K5641 | 06 | 388-390 | L0100 | 09 | 602-603 | L299 | 09 | 606-607 | ||
| K5641 | 15 | 793 | L0101 | 09 | 602-603 | L300 | 09 | 606-607 | ||
| K5649 | 06 | 388-390 | L0102 | 09 | 602-603 | L301 | 09 | 606-607 | ||
| K5649 | 15 | 793 | L0103 | 09 | 602-603 | L302 | 09 | 606-607 | ||
| K565 | 06 | 388-390 | L0109 | 09 | 602-603 | L303 | 09 | 606-607 | ||
| K5660 | 06 | 388-390 | L011 | 09 | 602-603 | L304 | 09 | 606-607 | ||
| K5660 | 15 | 793 | L0201 | Pre | 011-013 | L305 | 09 | 606-607 | ||
| K5669 | 06 | 388-390 | L0201 | 09 | 573-578 | L308 | 09 | 606-607 | ||
| K5669 | 15 | 793 | L0201 | 09 | 602-603 | L309 | 09 | 606-607 | ||
| K567 | 06 | 388-390 | L0201 | 15 | 793 | L400 | 09 | 595-596 | ||
| K567 | 15 | 793 | L0202 | 09 | 602-603 | L401 | 09 | 606-607 | ||
| K5700 | 06 | 391-392 | L0203 | 09 | 602-603 | L402 | 09 | 595-596 | ||
| K5701 | 06 | 377-379 | L0211 | Pre | 011-013 | L403 | 09 | 595-596 | ||
| K5710 | 06 | 391-392 | L0211 | 09 | 573-578 | L404 | 09 | 595-596 | ||
| K5711 | 06 | 377-379 | L0211 | 09 | 602-603 | L4050 | 08 | 545-547 | ||
| K5712 | 06 | 391-392 | L0211 | 15 | 793 | L4051 | 08 | 545-547 | ||
| K5713 | 06 | 377-379 | L0212 | 09 | 602-603 | L4052 | 08 | 545-547 | ||
| K5720 | 06 | 391-392 | L0213 | 09 | 602-603 | L4053 | 08 | 545-547 | ||
| K5721 | 06 | 377-379 | L02211 | 09 | 573-578 | L4054 | 08 | 545-547 | ||
| K5730 | 06 | 391-392 | L02211 | 09 | 602-603 | L4059 | 08 | 545-547 | ||
| K5731 | 06 | 377-379 | L02211 | 15 | 793 | L408 | 09 | 595-596 | ||
| K5732 | 06 | 391-392 | L02212 | 09 | 573-578 | L409 | 09 | 595-596 | ||
| K5733 | 06 | 377-379 | L02212 | 09 | 602-603 | L410 | 09 | 595-596 | ||
| K5740 | 06 | 391-392 | L02212 | 15 | 793 | L411 | 09 | 595-596 | ||
| K5741 | 06 | 377-379 | L02213 | 09 | 573-578 | L413 | 09 | 595-596 | ||
| K5750 | 06 | 391-392 | L02213 | 09 | 602-603 | L414 | 09 | 595-596 | ||
| K5751 | 06 | 377-379 | L02213 | 15 | 793 | L415 | 09 | 595-596 | ||
| K5752 | 06 | 391-392 | L02214 | 09 | 573-578 | L418 | 09 | 595-596 | ||
| K5753 | 06 | 377-379 | L02214 | 09 | 602-603 | L419 | 09 | 595-596 | ||
| K5780 | 06 | 391-392 | L02214 | 15 | 793 | L42 | 09 | 606-607 | ||
| K5781 | 06 | 377-379 | L02215 | 09 | 573-578 | L430 | 09 | 606-607 | ||
| K5790 | 06 | 391-392 | L02215 | 09 | 602-603 | L431 | 09 | 606-607 | ||
| K5791 | 06 | 377-379 | L02215 | 15 | 793 | L432 | 09 | 606-607 | ||
| K5792 | 06 | 391-392 | L02216 | 09 | 573-578 | L433 | 09 | 606-607 | ||
| K5793 | 06 | 377-379 | L02216 | 09 | 602-603 | L438 | 09 | 606-607 | ||
| K580 | 06 | 391-392 | L02216 | 15 | 793 | L439 | 09 | 606-607 | ||
| K581 | 06 | 391-392 | L02219 | 09 | 573-578 | L440 | 09 | 606-607 | ||
| K582 | 06 | 391-392 | L02219 | 09 | 602-603 | L441 | 09 | 606-607 | ||
| K588 | 06 | 391-392 | L02219 | 15 | 793 | L442 | 09 | 606-607 | ||
| K589 | 06 | 391-392 | L02221 | 09 | 602-603 | L443 | 09 | 606-607 | ||
| K5900 | 06 | 391-392 | L02222 | 09 | 602-603 | L444 | 18 | 865-866 | ||
| K5901 | 06 | 391-392 | L02223 | 09 | 602-603 | L448 | 09 | 606-607 | ||
| K5902 | 06 | 391-392 | L02224 | 09 | 602-603 | L449 | 09 | 606-607 | ||
| K5903 | 06 | 391-392 | L02225 | 09 | 602-603 | L45 | 09 | 606-607 | ||
| K5904 | 06 | 391-392 | L02226 | 09 | 602-603 | L490 | 09 | 606-607 | ||
| K5909 | 06 | 391-392 | L02229 | 09 | 602-603 | L491 | 09 | 606-607 | ||
| K591 | 06 | 391-392 | L02231 | 09 | 602-603 | L492 | 09 | 606-607 | ||
| K592 | 06 | 391-392 | L02232 | 09 | 602-603 | L493 | 09 | 606-607 | ||
| K5931 | 06 | 393-395 | L02233 | 09 | 602-603 | L494 | 09 | 606-607 | ||
| K5939 | 06 | 393-395 | L02234 | 09 | 602-603 | L495 | 09 | 606-607 | ||
| K594 | 06 | 391-392 | L02235 | 09 | 602-603 | L496 | 09 | 606-607 | ||
| K598 | 06 | 391-392 | L02236 | 09 | 602-603 | L497 | 09 | 606-607 | ||
| K599 | 06 | 391-392 | L02239 | 09 | 602-603 | L498 | 09 | 606-607 | ||
| K600 | 06 | 393-395 | L0231 | 09 | 573-578 | L499 | 09 | 606-607 | ||
| K601 | 06 | 393-395 | L0231 | 09 | 602-603 | L500 | 09 | 606-607 | ||
| K602 | 06 | 393-395 | L0231 | 15 | 793 | L500 | 15 | 793 | ||
| K603 | 06 | 393-395 | L0232 | 09 | 602-603 | L501 | 09 | 606-607 | ||
| K604 | 06 | 393-395 | L0233 | 09 | 602-603 | L502 | 09 | 606-607 | ||
| K605 | 06 | 393-395 | L02411 | 09 | 573-578 | L503 | 09 | 606-607 | ||
| K610 | 06 | 393-395 | L02411 | 09 | 602-603 | L504 | 09 | 606-607 | ||
| K610 | 15 | 793 | L02411 | 15 | 793 | L505 | 09 | 606-607 | ||
| K611 | 06 | 393-395 | L02412 | 09 | 573-578 | L506 | 09 | 606-607 | ||
| K611 | 15 | 793 | L02412 | 09 | 602-603 | L508 | 09 | 606-607 | ||
| K612 | 06 | 393-395 | L02412 | 15 | 793 | L509 | 09 | 606-607 | ||
| K612 | 15 | 793 | L02413 | 09 | 573-578 | L510 | 09 | 595-596 | ||
| K613 | 06 | 393-395 | L02413 | 09 | 602-603 | L511 | 09 | 595-596 | ||
| K613 | 15 | 793 | L02413 | 15 | 793 | L512 | 09 | 595-596 | ||
| K614 | 06 | 393-395 | L02414 | 09 | 573-578 | L513 | 09 | 595-596 | ||
| K614 | 15 | 793 | L02414 | 09 | 602-603 | L518 | 09 | 595-596 | ||
| K620 | 06 | 393-395 | L02414 | 15 | 793 | L519 | 09 | 595-596 | ||
| K621 | 06 | 393-395 | L02415 | 09 | 573-578 | L52 | 09 | 595-596 | ||
| K622 | 06 | 393-395 | L02415 | 09 | 602-603 | L530 | 09 | 595-596 | ||
| K623 | 06 | 393-395 | L02415 | 15 | 793 | L530 | 15 | 793 | ||
| K624 | 06 | 393-395 | L02416 | 09 | 573-578 | L531 | 09 | 595-596 | ||
| K625 | 06 | 377-379 | L02416 | 09 | 602-603 | L531 | 15 | 793 | ||
| K625 | 15 | 793 | L02416 | 15 | 793 | L532 | 09 | 595-596 | ||
| K626 | 06 | 393-395 | L02419 | 09 | 573-578 | L532 | 15 | 793 | ||
| K627 | 06 | 393-395 | L02419 | 09 | 602-603 | L533 | 09 | 595-596 | ||
| K6281 | 06 | 393-395 | L02419 | 15 | 793 | L533 | 15 | 793 | ||
| K6282 | 06 | 393-395 | L02421 | 09 | 602-603 | L538 | 09 | 606-607 | ||
| K6289 | 06 | 393-395 | L02422 | 09 | 602-603 | L539 | 09 | 606-607 | ||
| K629 | 06 | 393-395 | L02423 | 09 | 602-603 | L54 | 09 | 606-607 | ||
| K630 | 06 | 371-373 | L02424 | 09 | 602-603 | L550 | 09 | 606-607 | ||
| K631 | 06 | 393-395 | L02425 | 09 | 602-603 | L551 | 09 | 606-607 | ||
| K631 | 15 | 793 | L02426 | 09 | 602-603 | L552 | 09 | 606-607 | ||
| K632 | 06 | 393-395 | L02429 | 09 | 602-603 | L559 | 09 | 606-607 | ||
| K633 | 06 | 393-395 | L02431 | 09 | 602-603 | L560 | 09 | 606-607 | ||
| K634 | 06 | 393-395 | L02432 | 09 | 602-603 | L561 | 09 | 606-607 | ||
| K635 | 06 | 393-395 | L02433 | 09 | 602-603 | L562 | 09 | 606-607 | ||
| K6381 | 06 | 393-395 | L02434 | 09 | 602-603 | L563 | 09 | 606-607 | ||
| K6389 | 06 | 393-395 | L02435 | 09 | 602-603 | L564 | 09 | 606-607 | ||
| K639 | 06 | 393-395 | L02436 | 09 | 602-603 | L565 | 09 | 606-607 | ||
| K640 | 06 | 393-395 | L02439 | 09 | 602-603 | L568 | 09 | 606-607 | ||
| K641 | 06 | 393-395 | L02511 | 09 | 573-578 | L569 | 09 | 606-607 | ||
| K642 | 06 | 393-395 | L02511 | 09 | 602-603 | L570 | 09 | 606-607 | ||
| K643 | 06 | 393-395 | L02511 | 15 | 793 | L571 | 09 | 606-607 | ||
| K644 | 06 | 393-395 | L02512 | 09 | 573-578 | L572 | 09 | 606-607 | ||
| K645 | 06 | 393-395 | L02512 | 09 | 602-603 | L573 | 09 | 606-607 | ||
| K648 | 06 | 393-395 | L02512 | 15 | 793 | L573 | 15 | 795 | ||
| K649 | 06 | 393-395 | L02519 | 09 | 573-578 | L574 | 09 | 606-607 | ||
| K650 | 06 | 371-373 | L02519 | 09 | 602-603 | L575 | 09 | 606-607 | ||
| K650 | 15 | 793 | L02519 | 15 | 793 | L578 | 09 | 606-607 | ||
| K651 | 06 | 371-373 | L02521 | 09 | 602-603 | L579 | 09 | 606-607 | ||
| K651 | 15 | 793 | L02522 | 09 | 602-603 | L580 | 09 | 606-607 | ||
| K652 | 06 | 371-373 | L02529 | 09 | 602-603 | L581 | 09 | 606-607 | ||
| K652 | 15 | 793 | L02531 | 09 | 602-603 | L589 | 09 | 606-607 | ||
| K653 | 06 | 393-395 | L02532 | 09 | 602-603 | L590 | 09 | 606-607 | ||
| K653 | 15 | 793 | L02539 | 09 | 602-603 | L598 | 09 | 606-607 | ||
| K654 | 06 | 393-395 | L02611 | 09 | 573-578 | L599 | 09 | 606-607 | ||
| K654 | 15 | 793 | L02611 | 09 | 602-603 | L600 | 09 | 606-607 | ||
| K658 | 06 | 371-373 | L02611 | 15 | 793 | L601 | 09 | 606-607 | ||
| K658 | 15 | 793 | L02612 | 09 | 573-578 | L602 | 09 | 606-607 | ||
| K659 | 06 | 371-373 | L02612 | 09 | 602-603 | L603 | 09 | 606-607 | ||
| K659 | 15 | 793 | L02612 | 15 | 793 | L604 | 09 | 606-607 | ||
| K660 | 06 | 393-395 | L02619 | 09 | 573-578 | L605 | 09 | 606-607 | ||
| L02619 | 09 | 602-603 | ||||||||
| L02619 | 15 | 793 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 02 Nov 2016 09:53:07 PROD, CMS, code-revision=31, description-revision=86 |