ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 27 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S01119A | 02 | 124-125 | S02110K | 08 | 564-566 | S02621B | Pre | 011-013 | ||
S01119A | 24 | 955-965 | S02110S | 01 | 091-093 | S02621B | 03 | 157-159 | ||
S01119D | 23 | 949-950 | S02111A | 01 | 082-084 | S02621B | 24 | 955-965 | ||
S01119S | 09 | 604-605 | S02111A | 01 | 085-087 | S02621D | 08 | 559-561 | ||
S01121A | 02 | 124-125 | S02111A | 24 | 955-965 | S02621G | 08 | 559-561 | ||
S01121A | 24 | 955-965 | S02111B | 01 | 082-084 | S02621K | 08 | 564-566 | ||
S01121D | 23 | 949-950 | S02111B | 01 | 085-087 | S02621S | 01 | 091-093 | ||
S01121S | 09 | 604-605 | S02111B | 24 | 955-965 | S02622A | Pre | 011-013 | ||
S01122A | 02 | 124-125 | S02111D | 08 | 559-561 | S02622A | 03 | 157-159 | ||
S01122A | 24 | 955-965 | S02111G | 08 | 559-561 | S02622A | 24 | 955-965 | ||
S01122D | 23 | 949-950 | S02111K | 08 | 564-566 | S02622B | Pre | 011-013 | ||
S01122S | 09 | 604-605 | S02111S | 01 | 091-093 | S02622B | 03 | 157-159 | ||
S01129A | 02 | 124-125 | S02112A | 01 | 082-084 | S02622B | 24 | 955-965 | ||
S01129A | 24 | 955-965 | S02112A | 01 | 085-087 | S02622D | 08 | 559-561 | ||
S01129D | 23 | 949-950 | S02112A | 24 | 955-965 | S02622G | 08 | 559-561 | ||
S01129S | 09 | 604-605 | S02112B | 01 | 082-084 | S02622K | 08 | 564-566 | ||
S01131A | 02 | 124-125 | S02112B | 01 | 085-087 | S02622S | 01 | 091-093 | ||
S01131A | 24 | 955-965 | S02112B | 24 | 955-965 | S02630A | Pre | 011-013 | ||
S01131D | 23 | 949-950 | S02112D | 08 | 559-561 | S02630A | 03 | 157-159 | ||
S01131S | 09 | 604-605 | S02112G | 08 | 559-561 | S02630A | 24 | 955-965 | ||
S01132A | 02 | 124-125 | S02112K | 08 | 564-566 | S02630B | Pre | 011-013 | ||
S01132A | 24 | 955-965 | S02112S | 01 | 091-093 | S02630B | 03 | 157-159 | ||
S01132D | 23 | 949-950 | S02113A | 01 | 082-084 | S02630B | 24 | 955-965 | ||
S01132S | 09 | 604-605 | S02113A | 01 | 085-087 | S02630D | 08 | 559-561 | ||
S01139A | 02 | 124-125 | S02113A | 24 | 955-965 | S02630G | 08 | 559-561 | ||
S01139A | 24 | 955-965 | S02113B | 01 | 082-084 | S02630K | 08 | 564-566 | ||
S01139D | 23 | 949-950 | S02113B | 01 | 085-087 | S02630S | 01 | 091-093 | ||
S01139S | 09 | 604-605 | S02113B | 24 | 955-965 | S02631A | Pre | 011-013 | ||
S01141A | 02 | 124-125 | S02113D | 08 | 559-561 | S02631A | 03 | 157-159 | ||
S01141A | 24 | 955-965 | S02113G | 08 | 559-561 | S02631A | 24 | 955-965 | ||
S01141D | 23 | 949-950 | S02113K | 08 | 564-566 | S02631B | Pre | 011-013 | ||
S01141S | 09 | 604-605 | S02113S | 01 | 091-093 | S02631B | 03 | 157-159 | ||
S01142A | 02 | 124-125 | S02118A | 01 | 082-084 | S02631B | 24 | 955-965 | ||
S01142A | 24 | 955-965 | S02118A | 01 | 085-087 | S02631D | 08 | 559-561 | ||
S01142D | 23 | 949-950 | S02118A | 24 | 955-965 | S02631G | 08 | 559-561 | ||
S01142S | 09 | 604-605 | S02118B | 01 | 082-084 | S02631K | 08 | 564-566 | ||
S01149A | 02 | 124-125 | S02118B | 01 | 085-087 | S02631S | 01 | 091-093 | ||
S01149A | 24 | 955-965 | S02118B | 24 | 955-965 | S02632A | Pre | 011-013 | ||
S01149D | 23 | 949-950 | S02118D | 08 | 559-561 | S02632A | 03 | 157-159 | ||
S01149S | 09 | 604-605 | S02118G | 08 | 559-561 | S02632A | 24 | 955-965 | ||
S01151A | 02 | 124-125 | S02118K | 08 | 564-566 | S02632B | Pre | 011-013 | ||
S01151A | 24 | 955-965 | S02118S | 01 | 091-093 | S02632B | 03 | 157-159 | ||
S01151D | 23 | 949-950 | S02119A | 01 | 082-084 | S02632B | 24 | 955-965 | ||
S01151S | 09 | 604-605 | S02119A | 01 | 085-087 | S02632D | 08 | 559-561 | ||
S01152A | 02 | 124-125 | S02119A | 24 | 955-965 | S02632G | 08 | 559-561 | ||
S01152A | 24 | 955-965 | S02119B | 01 | 082-084 | S02632K | 08 | 564-566 | ||
S01152D | 23 | 949-950 | S02119B | 01 | 085-087 | S02632S | 01 | 091-093 | ||
S01152S | 09 | 604-605 | S02119B | 24 | 955-965 | S02640A | Pre | 011-013 | ||
S01159A | 02 | 124-125 | S02119D | 08 | 559-561 | S02640A | 03 | 157-159 | ||
S01159A | 24 | 955-965 | S02119G | 08 | 559-561 | S02640A | 24 | 955-965 | ||
S01159D | 23 | 949-950 | S02119K | 08 | 564-566 | S02640B | Pre | 011-013 | ||
S01159S | 09 | 604-605 | S02119S | 01 | 091-093 | S02640B | 03 | 157-159 | ||
S0120XA | Pre | 011-013 | S0211AA | 01 | 082-084 | S02640B | 24 | 955-965 | ||
S0120XA | 03 | 154-156 | S0211AA | 01 | 085-087 | S02640D | 08 | 559-561 | ||
S0120XA | 24 | 955-965 | S0211AA | 24 | 955-965 | S02640G | 08 | 559-561 | ||
S0120XD | 23 | 949-950 | S0211AB | 01 | 082-084 | S02640K | 08 | 564-566 | ||
S0120XS | 09 | 604-605 | S0211AB | 01 | 085-087 | S02640S | 01 | 091-093 | ||
S0121XA | Pre | 011-013 | S0211AB | 24 | 955-965 | S02641A | Pre | 011-013 | ||
S0121XA | 03 | 154-156 | S0211AD | 08 | 559-561 | S02641A | 03 | 157-159 | ||
S0121XA | 24 | 955-965 | S0211AG | 08 | 559-561 | S02641A | 24 | 955-965 | ||
S0121XD | 23 | 949-950 | S0211AK | 08 | 564-566 | S02641B | Pre | 011-013 | ||
S0121XS | 09 | 604-605 | S0211AS | 01 | 091-093 | S02641B | 03 | 157-159 | ||
S0122XA | Pre | 011-013 | S0211BA | 01 | 082-084 | S02641B | 24 | 955-965 | ||
S0122XA | 03 | 154-156 | S0211BA | 01 | 085-087 | S02641D | 08 | 559-561 | ||
S0122XA | 24 | 955-965 | S0211BA | 24 | 955-965 | S02641G | 08 | 559-561 | ||
S0122XD | 23 | 949-950 | S0211BB | 01 | 082-084 | S02641K | 08 | 564-566 | ||
S0122XS | 09 | 604-605 | S0211BB | 01 | 085-087 | S02641S | 01 | 091-093 | ||
S0123XA | Pre | 011-013 | S0211BB | 24 | 955-965 | S02642A | Pre | 011-013 | ||
S0123XA | 03 | 154-156 | S0211BD | 08 | 559-561 | S02642A | 03 | 157-159 | ||
S0123XA | 24 | 955-965 | S0211BG | 08 | 559-561 | S02642A | 24 | 955-965 | ||
S0123XD | 23 | 949-950 | S0211BK | 08 | 564-566 | S02642B | Pre | 011-013 | ||
S0123XS | 09 | 604-605 | S0211BS | 01 | 091-093 | S02642B | 03 | 157-159 | ||
S0124XA | Pre | 011-013 | S0211CA | 01 | 082-084 | S02642B | 24 | 955-965 | ||
S0124XA | 03 | 154-156 | S0211CA | 01 | 085-087 | S02642D | 08 | 559-561 | ||
S0124XA | 24 | 955-965 | S0211CA | 24 | 955-965 | S02642G | 08 | 559-561 | ||
S0124XD | 23 | 949-950 | S0211CB | 01 | 082-084 | S02642K | 08 | 564-566 | ||
S0124XS | 09 | 604-605 | S0211CB | 01 | 085-087 | S02642S | 01 | 091-093 | ||
S0125XA | Pre | 011-013 | S0211CB | 24 | 955-965 | S02650A | Pre | 011-013 | ||
S0125XA | 03 | 154-156 | S0211CD | 08 | 559-561 | S02650A | 03 | 157-159 | ||
S0125XA | 24 | 955-965 | S0211CG | 08 | 559-561 | S02650A | 24 | 955-965 | ||
S0125XD | 23 | 949-950 | S0211CK | 08 | 564-566 | S02650B | Pre | 011-013 | ||
S0125XS | 09 | 604-605 | S0211CS | 01 | 091-093 | S02650B | 03 | 157-159 | ||
S01301A | 03 | 154-156 | S0211DA | 01 | 082-084 | S02650B | 24 | 955-965 | ||
S01301A | 24 | 955-965 | S0211DA | 01 | 085-087 | S02650D | 08 | 559-561 | ||
S01301D | 23 | 949-950 | S0211DA | 24 | 955-965 | S02650G | 08 | 559-561 | ||
S01301S | 09 | 604-605 | S0211DB | 01 | 082-084 | S02650K | 08 | 564-566 | ||
S01302A | 03 | 154-156 | S0211DB | 01 | 085-087 | S02650S | 01 | 091-093 | ||
S01302A | 24 | 955-965 | S0211DB | 24 | 955-965 | S02651A | Pre | 011-013 | ||
S01302D | 23 | 949-950 | S0211DD | 08 | 559-561 | S02651A | 03 | 157-159 | ||
S01302S | 09 | 604-605 | S0211DG | 08 | 559-561 | S02651A | 24 | 955-965 | ||
S01309A | 03 | 154-156 | S0211DK | 08 | 564-566 | S02651B | Pre | 011-013 | ||
S01309A | 24 | 955-965 | S0211DS | 01 | 091-093 | S02651B | 03 | 157-159 | ||
S01309D | 23 | 949-950 | S0211EA | 01 | 082-084 | S02651B | 24 | 955-965 | ||
S01309S | 09 | 604-605 | S0211EA | 01 | 085-087 | S02651D | 08 | 559-561 | ||
S01311A | 03 | 154-156 | S0211EA | 24 | 955-965 | S02651G | 08 | 559-561 | ||
S01311A | 24 | 955-965 | S0211EB | 01 | 082-084 | S02651K | 08 | 564-566 | ||
S01311D | 23 | 949-950 | S0211EB | 01 | 085-087 | S02651S | 01 | 091-093 | ||
S01311S | 09 | 604-605 | S0211EB | 24 | 955-965 | S02652A | Pre | 011-013 | ||
S01312A | 03 | 154-156 | S0211ED | 08 | 559-561 | S02652A | 03 | 157-159 | ||
S01312A | 24 | 955-965 | S0211EG | 08 | 559-561 | S02652A | 24 | 955-965 | ||
S01312D | 23 | 949-950 | S0211EK | 08 | 564-566 | S02652B | Pre | 011-013 | ||
S01312S | 09 | 604-605 | S0211ES | 01 | 091-093 | S02652B | 03 | 157-159 | ||
S01319A | 03 | 154-156 | S0211FA | 01 | 082-084 | S02652B | 24 | 955-965 | ||
S01319A | 24 | 955-965 | S0211FA | 01 | 085-087 | S02652D | 08 | 559-561 | ||
S01319D | 23 | 949-950 | S0211FA | 24 | 955-965 | S02652G | 08 | 559-561 | ||
S01319S | 09 | 604-605 | S0211FB | 01 | 082-084 | S02652K | 08 | 564-566 | ||
S01321A | 03 | 154-156 | S0211FB | 01 | 085-087 | S02652S | 01 | 091-093 | ||
S01321A | 24 | 955-965 | S0211FB | 24 | 955-965 | S0266XA | Pre | 011-013 | ||
S01321D | 23 | 949-950 | S0211FD | 08 | 559-561 | S0266XA | 03 | 157-159 | ||
S01321S | 09 | 604-605 | S0211FG | 08 | 559-561 | S0266XA | 24 | 955-965 | ||
S01322A | 03 | 154-156 | S0211FK | 08 | 564-566 | S0266XB | Pre | 011-013 | ||
S01322A | 24 | 955-965 | S0211FS | 01 | 091-093 | S0266XB | 03 | 157-159 | ||
S01322D | 23 | 949-950 | S0211GA | 01 | 082-084 | S0266XB | 24 | 955-965 | ||
S01322S | 09 | 604-605 | S0211GA | 01 | 085-087 | S0266XD | 08 | 559-561 | ||
S01329A | 03 | 154-156 | S0211GA | 24 | 955-965 | S0266XG | 08 | 559-561 | ||
S01329A | 24 | 955-965 | S0211GB | 01 | 082-084 | S0266XK | 08 | 564-566 | ||
S01329D | 23 | 949-950 | S0211GB | 01 | 085-087 | S0266XS | 01 | 091-093 | ||
S01329S | 09 | 604-605 | S0211GB | 24 | 955-965 | S02670A | Pre | 011-013 | ||
S01331A | 03 | 154-156 | S0211GD | 08 | 559-561 | S02670A | 03 | 157-159 | ||
S01331A | 24 | 955-965 | S0211GG | 08 | 559-561 | S02670A | 24 | 955-965 | ||
S01331D | 23 | 949-950 | S0211GK | 08 | 564-566 | S02670B | Pre | 011-013 | ||
S01331S | 09 | 604-605 | S0211GS | 01 | 091-093 | S02670B | 03 | 157-159 | ||
S01332A | 03 | 154-156 | S0211HA | 01 | 082-084 | S02670B | 24 | 955-965 | ||
S01332A | 24 | 955-965 | S0211HA | 01 | 085-087 | S02670D | 08 | 559-561 | ||
S01332D | 23 | 949-950 | S0211HA | 24 | 955-965 | S02670G | 08 | 559-561 | ||
S01332S | 09 | 604-605 | S0211HB | 01 | 082-084 | S02670K | 08 | 564-566 | ||
S01339A | 03 | 154-156 | S0211HB | 01 | 085-087 | S02670S | 01 | 091-093 | ||
S01339A | 24 | 955-965 | S0211HB | 24 | 955-965 | S02671A | Pre | 011-013 | ||
S01339D | 23 | 949-950 | S0211HD | 08 | 559-561 | S02671A | 03 | 157-159 | ||
S01339S | 09 | 604-605 | S0211HG | 08 | 559-561 | S02671A | 24 | 955-965 | ||
S01341A | 03 | 154-156 | S0211HK | 08 | 564-566 | S02671B | Pre | 011-013 | ||
S01341A | 24 | 955-965 | S0211HS | 01 | 091-093 | S02671B | 03 | 157-159 | ||
S01341D | 23 | 949-950 | S0219XA | 01 | 082-084 | S02671B | 24 | 955-965 | ||
S01341S | 09 | 604-605 | S0219XA | 01 | 085-087 | S02671D | 08 | 559-561 | ||
S01342A | 03 | 154-156 | S0219XA | 24 | 955-965 | S02671G | 08 | 559-561 | ||
S01342A | 24 | 955-965 | S0219XB | 01 | 082-084 | S02671K | 08 | 564-566 | ||
S01342D | 23 | 949-950 | S0219XB | 01 | 085-087 | S02671S | 01 | 091-093 | ||
S01342S | 09 | 604-605 | S0219XB | 24 | 955-965 | S02672A | Pre | 011-013 | ||
S01349A | 03 | 154-156 | S0219XD | 08 | 559-561 | S02672A | 03 | 157-159 | ||
S01349A | 24 | 955-965 | S0219XG | 08 | 559-561 | S02672A | 24 | 955-965 | ||
S01349D | 23 | 949-950 | S0219XK | 08 | 564-566 | S02672B | Pre | 011-013 | ||
S01349S | 09 | 604-605 | S0219XS | 01 | 091-093 | S02672B | 03 | 157-159 | ||
S01351A | 03 | 154-156 | S022XXA | 03 | 154-156 | S02672B | 24 | 955-965 | ||
S01351A | 24 | 955-965 | S022XXA | 24 | 955-965 | S02672D | 08 | 559-561 | ||
S01351D | 23 | 949-950 | S022XXB | 03 | 154-156 | S02672G | 08 | 559-561 | ||
S01351S | 09 | 604-605 | S022XXB | 24 | 955-965 | S02672K | 08 | 564-566 | ||
S01352A | 03 | 154-156 | S022XXD | 08 | 559-561 | S02672S | 01 | 091-093 | ||
S01352A | 24 | 955-965 | S022XXG | 08 | 559-561 | S0269XA | Pre | 011-013 | ||
S01352D | 23 | 949-950 | S022XXK | 08 | 564-566 | S0269XA | 03 | 157-159 | ||
S01352S | 09 | 604-605 | S022XXS | 01 | 091-093 | S0269XA | 24 | 955-965 | ||
S01359A | 03 | 154-156 | S0230XA | Pre | 011-013 | S0269XB | Pre | 011-013 | ||
S01359A | 24 | 955-965 | S0230XA | 02 | 124-125 | S0269XB | 03 | 157-159 | ||
S01359D | 23 | 949-950 | S0230XA | 24 | 955-965 | S0269XB | 24 | 955-965 | ||
S01359S | 09 | 604-605 | S0230XB | Pre | 011-013 | S0269XD | 08 | 559-561 | ||
S01401A | Pre | 011-013 | S0230XB | 02 | 124-125 | S0269XG | 08 | 559-561 | ||
S01401A | 09 | 604-605 | S0230XB | 24 | 955-965 | S0269XK | 08 | 564-566 | ||
S01401A | 24 | 955-965 | S0230XD | 08 | 559-561 | S0269XS | 01 | 091-093 | ||
S01401D | 23 | 949-950 | S0230XG | 08 | 559-561 | S0280XA | Pre | 011-013 | ||
S01401S | 09 | 604-605 | S0230XK | 08 | 564-566 | S0280XA | 08 | 564-566 | ||
S01402A | Pre | 011-013 | S0230XS | 01 | 091-093 | S0280XA | 24 | 955-965 | ||
S01402A | 09 | 604-605 | S0231XA | Pre | 011-013 | S0280XB | Pre | 011-013 | ||
S01402A | 24 | 955-965 | S0231XA | 02 | 124-125 | S0280XB | 08 | 564-566 | ||
S01402D | 23 | 949-950 | S0231XA | 24 | 955-965 | S0280XB | 24 | 955-965 | ||
S01402S | 09 | 604-605 | S0231XB | Pre | 011-013 | S0280XD | 08 | 559-561 | ||
S01409A | Pre | 011-013 | S0231XB | 02 | 124-125 | S0280XG | 08 | 559-561 | ||
S01409A | 09 | 604-605 | S0231XB | 24 | 955-965 | S0280XK | 08 | 564-566 | ||
S01409A | 24 | 955-965 | S0231XD | 08 | 559-561 | S0280XS | 01 | 091-093 | ||
S01409D | 23 | 949-950 | S0231XG | 08 | 559-561 | S0281XA | Pre | 011-013 | ||
S01409S | 09 | 604-605 | S0231XK | 08 | 564-566 | S0281XA | 08 | 564-566 | ||
S01411A | Pre | 011-013 | S0231XS | 01 | 091-093 | S0281XA | 24 | 955-965 | ||
S01411A | 09 | 604-605 | S0232XA | Pre | 011-013 | S0281XB | Pre | 011-013 | ||
S01411A | 24 | 955-965 | S0232XA | 02 | 124-125 | S0281XB | 08 | 564-566 | ||
S01411D | 23 | 949-950 | S0232XA | 24 | 955-965 | S0281XB | 24 | 955-965 | ||
S01411S | 09 | 604-605 | S0232XB | Pre | 011-013 | S0281XD | 08 | 559-561 | ||
S01412A | Pre | 011-013 | S0232XB | 02 | 124-125 | S0281XG | 08 | 559-561 | ||
S01412A | 09 | 604-605 | S0232XB | 24 | 955-965 | S0281XK | 08 | 564-566 | ||
S01412A | 24 | 955-965 | S0232XD | 08 | 559-561 | S0281XS | 01 | 091-093 | ||
S01412D | 23 | 949-950 | S0232XG | 08 | 559-561 | S0282XA | Pre | 011-013 | ||
S01412S | 09 | 604-605 | S0232XK | 08 | 564-566 | S0282XA | 08 | 564-566 | ||
S01419A | Pre | 011-013 | S0232XS | 01 | 091-093 | S0282XA | 24 | 955-965 | ||
S01419A | 09 | 604-605 | S02400A | Pre | 011-013 | S0282XB | Pre | 011-013 | ||
S01419A | 24 | 955-965 | S02400A | 03 | 157-159 | S0282XB | 08 | 564-566 | ||
S01419D | 23 | 949-950 | S02400A | 24 | 955-965 | S0282XB | 24 | 955-965 | ||
S01419S | 09 | 604-605 | S02400B | Pre | 011-013 | S0282XD | 08 | 559-561 | ||
S01421A | Pre | 011-013 | S02400B | 03 | 157-159 | S0282XG | 08 | 559-561 | ||
S01421A | 09 | 604-605 | S02400B | 24 | 955-965 | S0282XK | 08 | 564-566 | ||
S01421A | 24 | 955-965 | S02400D | 08 | 559-561 | S0282XS | 01 | 091-093 | ||
S01421D | 23 | 949-950 | S02400G | 08 | 559-561 | S0291XA | 01 | 082-084 | ||
S01421S | 09 | 604-605 | S02400K | 08 | 564-566 | S0291XA | 01 | 085-087 | ||
S01422A | Pre | 011-013 | S02400S | 01 | 091-093 | S0291XA | 24 | 955-965 | ||
S01422A | 09 | 604-605 | S02401A | Pre | 011-013 | S0291XB | 01 | 082-084 | ||
S01422A | 24 | 955-965 | S02401A | 03 | 157-159 | S0291XB | 01 | 085-087 | ||
S01422D | 23 | 949-950 | S02401A | 24 | 955-965 | S0291XB | 24 | 955-965 | ||
S01422S | 09 | 604-605 | S02401B | Pre | 011-013 | S0291XD | 08 | 559-561 | ||
S01429A | Pre | 011-013 | S02401B | 03 | 157-159 | S0291XG | 08 | 559-561 | ||
S01429A | 09 | 604-605 | S02401B | 24 | 955-965 | S0291XK | 08 | 564-566 | ||
S01429A | 24 | 955-965 | S02401D | 08 | 559-561 | S0291XS | 01 | 091-093 | ||
S01429D | 23 | 949-950 | S02401G | 08 | 559-561 | S0292XA | Pre | 011-013 | ||
S01429S | 09 | 604-605 | S02401K | 08 | 564-566 | S0292XA | 08 | 564-566 | ||
S01431A | Pre | 011-013 | S02401S | 01 | 091-093 | S0292XA | 24 | 955-965 | ||
S01431A | 09 | 604-605 | S02402A | Pre | 011-013 | S0292XB | Pre | 011-013 | ||
S01431A | 24 | 955-965 | S02402A | 03 | 157-159 | S0292XB | 08 | 564-566 | ||
S01431D | 23 | 949-950 | S02402A | 24 | 955-965 | S0292XB | 24 | 955-965 | ||
S01431S | 09 | 604-605 | S02402B | Pre | 011-013 | S0292XD | 08 | 559-561 | ||
S01432A | Pre | 011-013 | S02402B | 03 | 157-159 | S0292XG | 08 | 559-561 | ||
S01432A | 09 | 604-605 | S02402B | 24 | 955-965 | S0292XK | 08 | 564-566 | ||
S01432A | 24 | 955-965 | S02402D | 08 | 559-561 | S0292XS | 01 | 091-093 | ||
S01432D | 23 | 949-950 | S02402G | 08 | 559-561 | S0300XA | Pre | 011-013 | ||
S01432S | 09 | 604-605 | S02402K | 08 | 564-566 | S0300XA | 03 | 157-159 | ||
S01439A | Pre | 011-013 | S02402S | 01 | 091-093 | S0300XA | 24 | 955-965 | ||
S01439A | 09 | 604-605 | S0240AA | Pre | 011-013 | S0300XD | 23 | 949-950 | ||
S01439A | 24 | 955-965 | S0240AA | 03 | 157-159 | S0300XS | 08 | 562-563 | ||
S01439D | 23 | 949-950 | S0240AA | 24 | 955-965 | S0301XA | Pre | 011-013 | ||
S01439S | 09 | 604-605 | S0240AB | Pre | 011-013 | S0301XA | 03 | 157-159 | ||
S01441A | Pre | 011-013 | S0240AB | 03 | 157-159 | S0301XA | 24 | 955-965 | ||
S01441A | 09 | 604-605 | S0240AB | 24 | 955-965 | S0301XD | 23 | 949-950 | ||
S01441A | 24 | 955-965 | S0240AD | 08 | 559-561 | S0301XS | 08 | 562-563 | ||
S01441D | 23 | 949-950 | S0240AG | 08 | 559-561 | S0302XA | Pre | 011-013 | ||
S01441S | 09 | 604-605 | S0240AK | 08 | 564-566 | S0302XA | 03 | 157-159 | ||
S01442A | Pre | 011-013 | S0240AS | 01 | 091-093 | S0302XA | 24 | 955-965 | ||
S01442A | 09 | 604-605 | S0240BA | Pre | 011-013 | S0302XD | 23 | 949-950 | ||
S01442A | 24 | 955-965 | S0240BA | 03 | 157-159 | S0302XS | 08 | 562-563 | ||
S01442D | 23 | 949-950 | S0240BA | 24 | 955-965 | S0303XA | Pre | 011-013 | ||
S01442S | 09 | 604-605 | S0240BB | Pre | 011-013 | S0303XA | 03 | 157-159 | ||
S01449A | Pre | 011-013 | S0240BB | 03 | 157-159 | S0303XA | 24 | 955-965 | ||
S01449A | 09 | 604-605 | S0240BB | 24 | 955-965 | S0303XD | 23 | 949-950 | ||
S01449A | 24 | 955-965 | S0240BD | 08 | 559-561 | S0303XS | 08 | 562-563 | ||
S01449D | 23 | 949-950 | S0240BG | 08 | 559-561 | S031XXA | 08 | 562-563 | ||
S01449S | 09 | 604-605 | S0240BK | 08 | 564-566 | S031XXA | 24 | 955-965 | ||
S01451A | Pre | 011-013 | S0240BS | 01 | 091-093 | S031XXD | 23 | 949-950 | ||
S01451A | 09 | 604-605 | S0240CA | Pre | 011-013 | S031XXS | 08 | 562-563 | ||
S01451A | 24 | 955-965 | S0240CA | 03 | 157-159 | S032XXA | 03 | 157-159 | ||
S01451D | 23 | 949-950 | S0240CA | 24 | 955-965 | S032XXA | 24 | 955-965 | ||
S01451S | 09 | 604-605 | S0240CB | Pre | 011-013 | S032XXD | 23 | 949-950 | ||
S01452A | Pre | 011-013 | S0240CB | 03 | 157-159 | S032XXS | 09 | 604-605 | ||
S01452A | 09 | 604-605 | S0240CB | 24 | 955-965 | S0340XA | 03 | 157-159 | ||
S01452A | 24 | 955-965 | S0240CD | 08 | 559-561 | S0340XA | 24 | 955-965 | ||
S01452D | 23 | 949-950 | S0240CG | 08 | 559-561 | S0340XD | 23 | 949-950 | ||
S01452S | 09 | 604-605 | S0240CK | 08 | 564-566 | S0340XS | 08 | 562-563 | ||
S01459A | Pre | 011-013 | S0240CS | 01 | 091-093 | S0341XA | 03 | 157-159 | ||
S01459A | 09 | 604-605 | S0240DA | Pre | 011-013 | S0341XA | 24 | 955-965 | ||
S01459A | 24 | 955-965 | S0240DA | 03 | 157-159 | S0341XD | 23 | 949-950 | ||
S01459D | 23 | 949-950 | S0240DA | 24 | 955-965 | S0341XS | 08 | 562-563 | ||
S01459S | 09 | 604-605 | S0240DB | Pre | 011-013 | S0342XA | 03 | 157-159 | ||
S01501A | Pre | 011-013 | S0240DB | 03 | 157-159 | S0342XA | 24 | 955-965 | ||
S01501A | 03 | 157-159 | S0240DB | 24 | 955-965 | S0342XD | 23 | 949-950 | ||
S01501A | 24 | 955-965 | S0240DD | 08 | 559-561 | S0342XS | 08 | 562-563 | ||
S01501D | 23 | 949-950 | S0240DG | 08 | 559-561 | S0343XA | 03 | 157-159 | ||
S01501S | 09 | 604-605 | S0240DK | 08 | 564-566 | S0343XA | 24 | 955-965 | ||
S01502A | Pre | 011-013 | S0240DS | 01 | 091-093 | S0343XD | 23 | 949-950 | ||
S01502A | 03 | 157-159 | S0240EA | Pre | 011-013 | S0343XS | 08 | 562-563 | ||
S01502A | 24 | 955-965 | S0240EA | 03 | 157-159 | S038XXA | 08 | 564-566 | ||
S01502D | 23 | 949-950 | S0240EA | 24 | 955-965 | S038XXA | 24 | 955-965 | ||
S01502S | 09 | 604-605 | S0240EB | Pre | 011-013 | S038XXD | 23 | 949-950 | ||
S01511A | Pre | 011-013 | S0240EB | 03 | 157-159 | S038XXS | 08 | 562-563 | ||
S01511A | 03 | 157-159 | S0240EB | 24 | 955-965 | S039XXA | 08 | 562-563 | ||
S01511A | 24 | 955-965 | S0240ED | 08 | 559-561 | S039XXA | 24 | 955-965 | ||
S01511D | 23 | 949-950 | S0240EG | 08 | 559-561 | S039XXD | 23 | 949-950 | ||
S01511S | 09 | 604-605 | S0240EK | 08 | 564-566 | S039XXS | 08 | 562-563 | ||
S01512A | Pre | 011-013 | S0240ES | 01 | 091-093 | S04011A | 02 | 124-125 | ||
S01512A | 03 | 157-159 | S0240FA | Pre | 011-013 | S04011A | 24 | 955-965 | ||
S01512A | 24 | 955-965 | S0240FA | 03 | 157-159 | S04011D | 23 | 949-950 | ||
S01512D | 23 | 949-950 | S0240FA | 24 | 955-965 | S04011S | 01 | 091-093 | ||
S01512S | 09 | 604-605 | S0240FB | Pre | 011-013 | S04012A | 02 | 124-125 | ||
S01521A | Pre | 011-013 | S0240FB | 03 | 157-159 | S04012A | 24 | 955-965 | ||
S01521A | 03 | 157-159 | S0240FB | 24 | 955-965 | S04012D | 23 | 949-950 | ||
S01521A | 24 | 955-965 | S0240FD | 08 | 559-561 | S04012S | 01 | 091-093 | ||
S01521D | 23 | 949-950 | S0240FG | 08 | 559-561 | S04019A | 02 | 124-125 | ||
S01521S | 09 | 604-605 | S0240FK | 08 | 564-566 | S04019A | 24 | 955-965 | ||
S01522A | Pre | 011-013 | S0240FS | 01 | 091-093 | S04019D | 23 | 949-950 | ||
S01522A | 03 | 157-159 | S02411A | Pre | 011-013 | S04019S | 01 | 091-093 | ||
S01522A | 24 | 955-965 | S02411A | 03 | 157-159 | S0402XA | 01 | 091-093 | ||
S01522D | 23 | 949-950 | S02411A | 24 | 955-965 | S0402XA | 24 | 955-965 | ||
S01522S | 09 | 604-605 | S02411B | Pre | 011-013 | S0402XD | 23 | 949-950 | ||
S01531A | Pre | 011-013 | S02411B | 03 | 157-159 | S0402XS | 01 | 091-093 | ||
S01531A | 03 | 157-159 | S02411B | 24 | 955-965 | S04031A | 01 | 091-093 | ||
S01531A | 24 | 955-965 | S02411D | 08 | 559-561 | S04031A | 24 | 955-965 | ||
S01531D | 23 | 949-950 | S02411G | 08 | 559-561 | S04031D | 23 | 949-950 | ||
S01531S | 09 | 604-605 | S02411K | 08 | 564-566 | S04031S | 01 | 091-093 | ||
S01532A | Pre | 011-013 | S02411S | 01 | 091-093 | S04032A | 01 | 091-093 | ||
S01532A | 03 | 157-159 | S02412A | Pre | 011-013 | S04032A | 24 | 955-965 | ||
S01532A | 24 | 955-965 | S02412A | 03 | 157-159 | S04032D | 23 | 949-950 | ||
S01532D | 23 | 949-950 | S02412A | 24 | 955-965 | S04032S | 01 | 091-093 | ||
S01532S | 09 | 604-605 | S02412B | Pre | 011-013 | S04039A | 01 | 091-093 | ||
S01541A | Pre | 011-013 | S02412B | 03 | 157-159 | S04039A | 24 | 955-965 | ||
S01541A | 03 | 157-159 | S02412B | 24 | 955-965 | S04039D | 23 | 949-950 | ||
S01541A | 24 | 955-965 | S02412D | 08 | 559-561 | S04039S | 01 | 091-093 | ||
S01541D | 23 | 949-950 | S02412G | 08 | 559-561 | S04041A | 01 | 091-093 | ||
S01541S | 09 | 604-605 | S02412K | 08 | 564-566 | S04041A | 24 | 955-965 | ||
S01542A | Pre | 011-013 | S02412S | 01 | 091-093 | S04041D | 23 | 949-950 | ||
S01542A | 03 | 157-159 | S02413A | Pre | 011-013 | S04041S | 01 | 091-093 | ||
S01542A | 24 | 955-965 | S02413A | 03 | 157-159 | S04042A | 01 | 091-093 | ||
S01542D | 23 | 949-950 | S02413A | 24 | 955-965 | S04042A | 24 | 955-965 | ||
S01542S | 09 | 604-605 | S02413B | Pre | 011-013 | S04042D | 23 | 949-950 | ||
S01551A | Pre | 011-013 | S02413B | 03 | 157-159 | S04042S | 01 | 091-093 | ||
S01551A | 03 | 157-159 | S02413B | 24 | 955-965 | S04049A | 01 | 091-093 | ||
S01551A | 24 | 955-965 | S02413D | 08 | 559-561 | S04049A | 24 | 955-965 | ||
S01551D | 23 | 949-950 | S02413G | 08 | 559-561 | S04049D | 23 | 949-950 | ||
S01551S | 09 | 604-605 | S02413K | 08 | 564-566 | S04049S | 01 | 091-093 | ||
S01552A | Pre | 011-013 | S02413S | 01 | 091-093 | S0410XA | 01 | 073-074 | ||
S01552A | 03 | 157-159 | S0242XA | Pre | 011-013 | S0410XA | 24 | 955-965 | ||
S01552A | 24 | 955-965 | S0242XA | 08 | 564-566 | S0410XD | 23 | 949-950 | ||
S01552D | 23 | 949-950 | S0242XA | 24 | 955-965 | S0410XS | 01 | 091-093 | ||
S01552S | 09 | 604-605 | S0242XB | Pre | 011-013 | S0411XA | 01 | 073-074 | ||
S0180XA | 09 | 604-605 | S0242XB | 08 | 564-566 | S0411XA | 24 | 955-965 | ||
S0180XA | 24 | 955-965 | S0242XB | 24 | 955-965 | S0411XD | 23 | 949-950 | ||
S0180XD | 23 | 949-950 | S0242XD | 08 | 559-561 | S0411XS | 01 | 091-093 | ||
S0180XS | 09 | 604-605 | S0242XG | 08 | 559-561 | S0412XA | 01 | 073-074 | ||
S0181XA | 09 | 604-605 | S0242XK | 08 | 564-566 | S0412XA | 24 | 955-965 | ||
S0181XA | 24 | 955-965 | S0242XS | 01 | 091-093 | S0412XD | 23 | 949-950 | ||
S0181XD | 23 | 949-950 | S025XXA | 03 | 157-159 | S0412XS | 01 | 091-093 | ||
S0181XS | 09 | 604-605 | S025XXA | 24 | 955-965 | S0420XA | 01 | 073-074 | ||
S0182XA | 09 | 604-605 | S025XXB | 03 | 157-159 | S0420XA | 24 | 955-965 | ||
S0182XA | 24 | 955-965 | S025XXB | 24 | 955-965 | S0420XD | 23 | 949-950 | ||
S0182XD | 23 | 949-950 | S025XXD | 08 | 559-561 | S0420XS | 01 | 091-093 | ||
S0182XS | 09 | 604-605 | S025XXG | 08 | 559-561 | S0421XA | 01 | 073-074 | ||
S0183XA | 09 | 604-605 | S025XXK | 08 | 564-566 | S0421XA | 24 | 955-965 | ||
S0183XA | 24 | 955-965 | S025XXS | 01 | 091-093 | S0421XD | 23 | 949-950 | ||
S0183XD | 23 | 949-950 | S02600A | Pre | 011-013 | S0421XS | 01 | 091-093 | ||
S0183XS | 09 | 604-605 | S02600A | 03 | 157-159 | S0422XA | 01 | 073-074 | ||
S0184XA | 09 | 604-605 | S02600A | 24 | 955-965 | S0422XA | 24 | 955-965 | ||
S0184XA | 24 | 955-965 | S02600B | Pre | 011-013 | S0422XD | 23 | 949-950 | ||
S0184XD | 23 | 949-950 | S02600B | 03 | 157-159 | S0422XS | 01 | 091-093 | ||
S0184XS | 09 | 604-605 | S02600B | 24 | 955-965 | S0430XA | 01 | 073-074 | ||
S0185XA | 09 | 604-605 | S02600D | 08 | 559-561 | S0430XA | 24 | 955-965 | ||
S0185XA | 24 | 955-965 | S02600G | 08 | 559-561 | S0430XD | 23 | 949-950 | ||
S0185XD | 23 | 949-950 | S02600K | 08 | 564-566 | S0430XS | 01 | 091-093 | ||
S0185XS | 09 | 604-605 | S02600S | 01 | 091-093 | S0431XA | 01 | 073-074 | ||
S0190XA | 09 | 604-605 | S02601A | Pre | 011-013 | S0431XA | 24 | 955-965 | ||
S0190XA | 24 | 955-965 | S02601A | 03 | 157-159 | S0431XD | 23 | 949-950 | ||
S0190XD | 23 | 949-950 | S02601A | 24 | 955-965 | S0431XS | 01 | 091-093 | ||
S0190XS | 09 | 604-605 | S02601B | Pre | 011-013 | S0432XA | 01 | 073-074 | ||
S0191XA | 09 | 604-605 | S02601B | 03 | 157-159 | S0432XA | 24 | 955-965 | ||
S0191XA | 24 | 955-965 | S02601B | 24 | 955-965 | S0432XD | 23 | 949-950 | ||
S0191XD | 23 | 949-950 | S02601D | 08 | 559-561 | S0432XS | 01 | 091-093 | ||
S0191XS | 09 | 604-605 | S02601G | 08 | 559-561 | S0440XA | 01 | 073-074 | ||
S0192XA | 09 | 604-605 | S02601K | 08 | 564-566 | S0440XA | 24 | 955-965 | ||
S0192XA | 24 | 955-965 | S02601S | 01 | 091-093 | S0440XD | 23 | 949-950 | ||
S0192XD | 23 | 949-950 | S02602A | Pre | 011-013 | S0440XS | 01 | 091-093 | ||
S0192XS | 09 | 604-605 | S02602A | 03 | 157-159 | S0441XA | 01 | 073-074 | ||
S0193XA | 09 | 604-605 | S02602A | 24 | 955-965 | S0441XA | 24 | 955-965 | ||
S0193XA | 24 | 955-965 | S02602B | Pre | 011-013 | S0441XD | 23 | 949-950 | ||
S0193XD | 23 | 949-950 | S02602B | 03 | 157-159 | S0441XS | 01 | 091-093 | ||
S0193XS | 09 | 604-605 | S02602B | 24 | 955-965 | S0442XA | 01 | 073-074 | ||
S0194XA | 09 | 604-605 | S02602D | 08 | 559-561 | S0442XA | 24 | 955-965 | ||
S0194XA | 24 | 955-965 | S02602G | 08 | 559-561 | S0442XD | 23 | 949-950 | ||
S0194XD | 23 | 949-950 | S02602K | 08 | 564-566 | S0442XS | 01 | 091-093 | ||
S0194XS | 09 | 604-605 | S02602S | 01 | 091-093 | S0450XA | 01 | 073-074 | ||
S0195XA | 09 | 604-605 | S02609A | Pre | 011-013 | S0450XA | 24 | 955-965 | ||
S0195XA | 24 | 955-965 | S02609A | 03 | 157-159 | S0450XD | 23 | 949-950 | ||
S0195XD | 23 | 949-950 | S02609A | 24 | 955-965 | S0450XS | 01 | 091-093 | ||
S0195XS | 09 | 604-605 | S02609B | Pre | 011-013 | S0451XA | 01 | 073-074 | ||
S020XXA | 01 | 082-084 | S02609B | 03 | 157-159 | S0451XA | 24 | 955-965 | ||
S020XXA | 01 | 085-087 | S02609B | 24 | 955-965 | S0451XD | 23 | 949-950 | ||
S020XXA | 24 | 955-965 | S02609D | 08 | 559-561 | S0451XS | 01 | 091-093 | ||
S020XXB | 01 | 082-084 | S02609G | 08 | 559-561 | S0452XA | 01 | 073-074 | ||
S020XXB | 01 | 085-087 | S02609K | 08 | 564-566 | S0452XA | 24 | 955-965 | ||
S020XXB | 24 | 955-965 | S02609S | 01 | 091-093 | S0452XD | 23 | 949-950 | ||
S020XXD | 08 | 559-561 | S02610A | Pre | 011-013 | S0452XS | 01 | 091-093 | ||
S020XXG | 08 | 559-561 | S02610A | 03 | 157-159 | S0460XA | 03 | 154-156 | ||
S020XXK | 08 | 564-566 | S02610A | 24 | 955-965 | S0460XA | 24 | 955-965 | ||
S020XXS | 01 | 091-093 | S02610B | Pre | 011-013 | S0460XD | 23 | 949-950 | ||
S02101A | 01 | 082-084 | S02610B | 03 | 157-159 | S0460XS | 01 | 091-093 | ||
S02101A | 01 | 085-087 | S02610B | 24 | 955-965 | S0461XA | 03 | 154-156 | ||
S02101A | 24 | 955-965 | S02610D | 08 | 559-561 | S0461XA | 24 | 955-965 | ||
S02101B | 01 | 082-084 | S02610G | 08 | 559-561 | S0461XD | 23 | 949-950 | ||
S02101B | 01 | 085-087 | S02610K | 08 | 564-566 | S0461XS | 01 | 091-093 | ||
S02101B | 24 | 955-965 | S02610S | 01 | 091-093 | S0462XA | 03 | 154-156 | ||
S02101D | 08 | 559-561 | S02611A | Pre | 011-013 | S0462XA | 24 | 955-965 | ||
S02101G | 08 | 559-561 | S02611A | 03 | 157-159 | S0462XD | 23 | 949-950 | ||
S02101K | 08 | 564-566 | S02611A | 24 | 955-965 | S0462XS | 01 | 091-093 | ||
S02101S | 01 | 091-093 | S02611B | Pre | 011-013 | S0470XA | 01 | 073-074 | ||
S02102A | 01 | 082-084 | S02611B | 03 | 157-159 | S0470XA | 24 | 955-965 | ||
S02102A | 01 | 085-087 | S02611B | 24 | 955-965 | S0470XD | 23 | 949-950 | ||
S02102A | 24 | 955-965 | S02611D | 08 | 559-561 | S0470XS | 01 | 091-093 | ||
S02102B | 01 | 082-084 | S02611G | 08 | 559-561 | S0471XA | 01 | 073-074 | ||
S02102B | 01 | 085-087 | S02611K | 08 | 564-566 | S0471XA | 24 | 955-965 | ||
S02102B | 24 | 955-965 | S02611S | 01 | 091-093 | S0471XD | 23 | 949-950 | ||
S02102D | 08 | 559-561 | S02612A | Pre | 011-013 | S0471XS | 01 | 091-093 | ||
S02102G | 08 | 559-561 | S02612A | 03 | 157-159 | S0472XA | 01 | 073-074 | ||
S02102K | 08 | 564-566 | S02612A | 24 | 955-965 | S0472XA | 24 | 955-965 | ||
S02102S | 01 | 091-093 | S02612B | Pre | 011-013 | S0472XD | 23 | 949-950 | ||
S02109A | 01 | 082-084 | S02612B | 03 | 157-159 | S0472XS | 01 | 091-093 | ||
S02109A | 01 | 085-087 | S02612B | 24 | 955-965 | S04811A | 01 | 073-074 | ||
S02109A | 24 | 955-965 | S02612D | 08 | 559-561 | S04811A | 24 | 955-965 | ||
S02109B | 01 | 082-084 | S02612G | 08 | 559-561 | S04811D | 23 | 949-950 | ||
S02109B | 01 | 085-087 | S02612K | 08 | 564-566 | S04811S | 01 | 091-093 | ||
S02109B | 24 | 955-965 | S02612S | 01 | 091-093 | S04812A | 01 | 073-074 | ||
S02109D | 08 | 559-561 | S02620A | Pre | 011-013 | S04812A | 24 | 955-965 | ||
S02109G | 08 | 559-561 | S02620A | 03 | 157-159 | S04812D | 23 | 949-950 | ||
S02109K | 08 | 564-566 | S02620A | 24 | 955-965 | S04812S | 01 | 091-093 | ||
S02109S | 01 | 091-093 | S02620B | Pre | 011-013 | S04819A | 01 | 073-074 | ||
S02110A | 01 | 082-084 | S02620B | 03 | 157-159 | S04819A | 24 | 955-965 | ||
S02110A | 01 | 085-087 | S02620B | 24 | 955-965 | S04819D | 23 | 949-950 | ||
S02110A | 24 | 955-965 | S02620D | 08 | 559-561 | S04819S | 01 | 091-093 | ||
S02110B | 01 | 082-084 | S02620G | 08 | 559-561 | S04891A | 01 | 073-074 | ||
S02110B | 01 | 085-087 | S02620K | 08 | 564-566 | S04891A | 24 | 955-965 | ||
S02110B | 24 | 955-965 | S02620S | 01 | 091-093 | S04891D | 23 | 949-950 | ||
S02110D | 08 | 559-561 | S02621A | Pre | 011-013 | S04891S | 01 | 091-093 | ||
S02110G | 08 | 559-561 | S02621A | 03 | 157-159 | S04892A | 01 | 073-074 | ||
S02621A | 24 | 955-965 | S04892A | 24 | 955-965 |
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 |