ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual
![Previous Page [Alt-p]](bakpg.png){kind=small}
![Up a level [Alt-u]](uptop.png){kind=small}
![Next Page [Alt-n]](fwdpg.png){kind=small}
ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual |
||||
| Skip to content | |
|
|
| Diagnosis Code/MDC/MS-DRG Index |
| Page 31 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S22048B | 08 | 551-552 | S2329XD | 23 | 949-950 | S25519D | 23 | 949-950 | ||
| S22048B | 24 | 955-965 | S2329XS | 08 | 562-563 | S25519S | 05 | 299-301 | ||
| S22048D | 08 | 559-561 | S233XXA | 08 | 551-552 | S25591A | 21 | 913-914 | ||
| S22048G | 08 | 559-561 | S233XXA | 24 | 955-965 | S25591A | 24 | 955-965 | ||
| S22048K | 08 | 564-566 | S233XXD | 23 | 949-950 | S25591D | 23 | 949-950 | ||
| S22048S | 08 | 551-552 | S233XXS | 08 | 562-563 | S25591S | 05 | 299-301 | ||
| S22049A | 08 | 551-552 | S2341XA | 04 | 205-206 | S25592A | 21 | 913-914 | ||
| S22049A | 24 | 955-965 | S2341XA | 24 | 955-965 | S25592A | 24 | 955-965 | ||
| S22049B | 08 | 551-552 | S2341XD | 23 | 949-950 | S25592D | 23 | 949-950 | ||
| S22049B | 24 | 955-965 | S2341XS | 08 | 562-563 | S25592S | 05 | 299-301 | ||
| S22049D | 08 | 559-561 | S23420A | 04 | 205-206 | S25599A | 21 | 913-914 | ||
| S22049G | 08 | 559-561 | S23420A | 24 | 955-965 | S25599A | 24 | 955-965 | ||
| S22049K | 08 | 564-566 | S23420D | 23 | 949-950 | S25599D | 23 | 949-950 | ||
| S22049S | 08 | 551-552 | S23420S | 08 | 562-563 | S25599S | 05 | 299-301 | ||
| S22050A | 08 | 551-552 | S23421A | 04 | 205-206 | S25801A | 21 | 913-914 | ||
| S22050A | 24 | 955-965 | S23421A | 24 | 955-965 | S25801A | 24 | 955-965 | ||
| S22050B | 08 | 551-552 | S23421D | 23 | 949-950 | S25801D | 23 | 949-950 | ||
| S22050B | 24 | 955-965 | S23421S | 08 | 562-563 | S25801S | 05 | 299-301 | ||
| S22050D | 08 | 559-561 | S23428A | 04 | 205-206 | S25802A | 21 | 913-914 | ||
| S22050G | 08 | 559-561 | S23428A | 24 | 955-965 | S25802A | 24 | 955-965 | ||
| S22050K | 08 | 564-566 | S23428D | 23 | 949-950 | S25802D | 23 | 949-950 | ||
| S22050S | 08 | 551-552 | S23428S | 08 | 562-563 | S25802S | 05 | 299-301 | ||
| S22051A | 08 | 551-552 | S23429A | 04 | 205-206 | S25809A | 21 | 913-914 | ||
| S22051A | 24 | 955-965 | S23429A | 24 | 955-965 | S25809A | 24 | 955-965 | ||
| S22051B | 08 | 551-552 | S23429D | 23 | 949-950 | S25809D | 23 | 949-950 | ||
| S22051B | 24 | 955-965 | S23429S | 08 | 562-563 | S25809S | 05 | 299-301 | ||
| S22051D | 08 | 559-561 | S238XXA | 08 | 551-552 | S25811A | 21 | 913-914 | ||
| S22051G | 08 | 559-561 | S238XXA | 24 | 955-965 | S25811A | 24 | 955-965 | ||
| S22051K | 08 | 564-566 | S238XXD | 23 | 949-950 | S25811D | 23 | 949-950 | ||
| S22051S | 08 | 551-552 | S238XXS | 08 | 562-563 | S25811S | 05 | 299-301 | ||
| S22052A | 08 | 551-552 | S239XXA | 08 | 551-552 | S25812A | 21 | 913-914 | ||
| S22052A | 24 | 955-965 | S239XXA | 24 | 955-965 | S25812A | 24 | 955-965 | ||
| S22052B | 08 | 551-552 | S239XXD | 23 | 949-950 | S25812D | 23 | 949-950 | ||
| S22052B | 24 | 955-965 | S239XXS | 08 | 562-563 | S25812S | 05 | 299-301 | ||
| S22052D | 08 | 559-561 | S240XXA | 01 | 052-053 | S25819A | 21 | 913-914 | ||
| S22052G | 08 | 559-561 | S240XXA | 24 | 955-965 | S25819A | 24 | 955-965 | ||
| S22052K | 08 | 564-566 | S240XXD | 23 | 949-950 | S25819D | 23 | 949-950 | ||
| S22052S | 08 | 551-552 | S240XXS | 01 | 052-053 | S25819S | 05 | 299-301 | ||
| S22058A | 08 | 551-552 | S24101A | 01 | 052-053 | S25891A | 21 | 913-914 | ||
| S22058A | 24 | 955-965 | S24101A | 24 | 955-965 | S25891A | 24 | 955-965 | ||
| S22058B | 08 | 551-552 | S24101D | 23 | 949-950 | S25891D | 23 | 949-950 | ||
| S22058B | 24 | 955-965 | S24101S | 01 | 052-053 | S25891S | 05 | 299-301 | ||
| S22058D | 08 | 559-561 | S24102A | 01 | 052-053 | S25892A | 21 | 913-914 | ||
| S22058G | 08 | 559-561 | S24102A | 24 | 955-965 | S25892A | 24 | 955-965 | ||
| S22058K | 08 | 564-566 | S24102D | 23 | 949-950 | S25892D | 23 | 949-950 | ||
| S22058S | 08 | 551-552 | S24102S | 01 | 052-053 | S25892S | 05 | 299-301 | ||
| S22059A | 08 | 551-552 | S24103A | 01 | 052-053 | S25899A | 21 | 913-914 | ||
| S22059A | 24 | 955-965 | S24103A | 24 | 955-965 | S25899A | 24 | 955-965 | ||
| S22059B | 08 | 551-552 | S24103D | 23 | 949-950 | S25899D | 23 | 949-950 | ||
| S22059B | 24 | 955-965 | S24103S | 01 | 052-053 | S25899S | 05 | 299-301 | ||
| S22059D | 08 | 559-561 | S24104A | 01 | 052-053 | S2590XA | 21 | 913-914 | ||
| S22059G | 08 | 559-561 | S24104A | 24 | 955-965 | S2590XA | 24 | 955-965 | ||
| S22059K | 08 | 564-566 | S24104D | 23 | 949-950 | S2590XD | 23 | 949-950 | ||
| S22059S | 08 | 551-552 | S24104S | 01 | 052-053 | S2590XS | 05 | 299-301 | ||
| S22060A | 08 | 551-552 | S24109A | 01 | 052-053 | S2591XA | 21 | 913-914 | ||
| S22060A | 24 | 955-965 | S24109A | 24 | 955-965 | S2591XA | 24 | 955-965 | ||
| S22060B | 08 | 551-552 | S24109D | 23 | 949-950 | S2591XD | 23 | 949-950 | ||
| S22060B | 24 | 955-965 | S24109S | 01 | 052-053 | S2591XS | 05 | 299-301 | ||
| S22060D | 08 | 559-561 | S24111A | 01 | 052-053 | S2599XA | 21 | 913-914 | ||
| S22060G | 08 | 559-561 | S24111A | 24 | 955-965 | S2599XA | 24 | 955-965 | ||
| S22060K | 08 | 564-566 | S24111D | 23 | 949-950 | S2599XD | 23 | 949-950 | ||
| S22060S | 08 | 551-552 | S24111S | 01 | 052-053 | S2599XS | 05 | 299-301 | ||
| S22061A | 08 | 551-552 | S24112A | 01 | 052-053 | S2600XA | 05 | 314-316 | ||
| S22061A | 24 | 955-965 | S24112A | 24 | 955-965 | S2600XA | 24 | 955-965 | ||
| S22061B | 08 | 551-552 | S24112D | 23 | 949-950 | S2600XD | 23 | 949-950 | ||
| S22061B | 24 | 955-965 | S24112S | 01 | 052-053 | S2600XS | 04 | 205-206 | ||
| S22061D | 08 | 559-561 | S24113A | 01 | 052-053 | S2601XA | 05 | 314-316 | ||
| S22061G | 08 | 559-561 | S24113A | 24 | 955-965 | S2601XA | 24 | 955-965 | ||
| S22061K | 08 | 564-566 | S24113D | 23 | 949-950 | S2601XD | 23 | 949-950 | ||
| S22061S | 08 | 551-552 | S24113S | 01 | 052-053 | S2601XS | 04 | 205-206 | ||
| S22062A | 08 | 551-552 | S24114A | 01 | 052-053 | S26020A | 05 | 314-316 | ||
| S22062A | 24 | 955-965 | S24114A | 24 | 955-965 | S26020A | 24 | 955-965 | ||
| S22062B | 08 | 551-552 | S24114D | 23 | 949-950 | S26020D | 23 | 949-950 | ||
| S22062B | 24 | 955-965 | S24114S | 01 | 052-053 | S26020S | 04 | 205-206 | ||
| S22062D | 08 | 559-561 | S24119A | 01 | 052-053 | S26021A | 05 | 314-316 | ||
| S22062G | 08 | 559-561 | S24119A | 24 | 955-965 | S26021A | 24 | 955-965 | ||
| S22062K | 08 | 564-566 | S24119D | 23 | 949-950 | S26021D | 23 | 949-950 | ||
| S22062S | 08 | 551-552 | S24119S | 01 | 052-053 | S26021S | 04 | 205-206 | ||
| S22068A | 08 | 551-552 | S24131A | 01 | 052-053 | S26022A | 05 | 314-316 | ||
| S22068A | 24 | 955-965 | S24131A | 24 | 955-965 | S26022A | 24 | 955-965 | ||
| S22068B | 08 | 551-552 | S24131D | 23 | 949-950 | S26022D | 23 | 949-950 | ||
| S22068B | 24 | 955-965 | S24131S | 01 | 052-053 | S26022S | 04 | 205-206 | ||
| S22068D | 08 | 559-561 | S24132A | 01 | 052-053 | S2609XA | 05 | 314-316 | ||
| S22068G | 08 | 559-561 | S24132A | 24 | 955-965 | S2609XA | 24 | 955-965 | ||
| S22068K | 08 | 564-566 | S24132D | 23 | 949-950 | S2609XD | 23 | 949-950 | ||
| S22068S | 08 | 551-552 | S24132S | 01 | 052-053 | S2609XS | 04 | 205-206 | ||
| S22069A | 08 | 551-552 | S24133A | 01 | 052-053 | S2610XA | 05 | 314-316 | ||
| S22069A | 24 | 955-965 | S24133A | 24 | 955-965 | S2610XA | 24 | 955-965 | ||
| S22069B | 08 | 551-552 | S24133D | 23 | 949-950 | S2610XD | 23 | 949-950 | ||
| S22069B | 24 | 955-965 | S24133S | 01 | 052-053 | S2610XS | 04 | 205-206 | ||
| S22069D | 08 | 559-561 | S24134A | 01 | 052-053 | S2611XA | 05 | 314-316 | ||
| S22069G | 08 | 559-561 | S24134A | 24 | 955-965 | S2611XA | 24 | 955-965 | ||
| S22069K | 08 | 564-566 | S24134D | 23 | 949-950 | S2611XD | 23 | 949-950 | ||
| S22069S | 08 | 551-552 | S24134S | 01 | 052-053 | S2611XS | 04 | 205-206 | ||
| S22070A | 08 | 551-552 | S24139A | 01 | 052-053 | S2612XA | 05 | 314-316 | ||
| S22070A | 24 | 955-965 | S24139A | 24 | 955-965 | S2612XA | 24 | 955-965 | ||
| S22070B | 08 | 551-552 | S24139D | 23 | 949-950 | S2612XD | 23 | 949-950 | ||
| S22070B | 24 | 955-965 | S24139S | 01 | 052-053 | S2612XS | 04 | 205-206 | ||
| S22070D | 08 | 559-561 | S24141A | 01 | 052-053 | S2619XA | 05 | 314-316 | ||
| S22070G | 08 | 559-561 | S24141A | 24 | 955-965 | S2619XA | 24 | 955-965 | ||
| S22070K | 08 | 564-566 | S24141D | 23 | 949-950 | S2619XD | 23 | 949-950 | ||
| S22070S | 08 | 551-552 | S24141S | 01 | 052-053 | S2619XS | 04 | 205-206 | ||
| S22071A | 08 | 551-552 | S24142A | 01 | 052-053 | S2690XA | 05 | 314-316 | ||
| S22071A | 24 | 955-965 | S24142A | 24 | 955-965 | S2690XA | 24 | 955-965 | ||
| S22071B | 08 | 551-552 | S24142D | 23 | 949-950 | S2690XD | 23 | 949-950 | ||
| S22071B | 24 | 955-965 | S24142S | 01 | 052-053 | S2690XS | 04 | 205-206 | ||
| S22071D | 08 | 559-561 | S24143A | 01 | 052-053 | S2691XA | 05 | 314-316 | ||
| S22071G | 08 | 559-561 | S24143A | 24 | 955-965 | S2691XA | 24 | 955-965 | ||
| S22071K | 08 | 564-566 | S24143D | 23 | 949-950 | S2691XD | 23 | 949-950 | ||
| S22071S | 08 | 551-552 | S24143S | 01 | 052-053 | S2691XS | 04 | 205-206 | ||
| S22072A | 08 | 551-552 | S24144A | 01 | 052-053 | S2692XA | 05 | 314-316 | ||
| S22072A | 24 | 955-965 | S24144A | 24 | 955-965 | S2692XA | 24 | 955-965 | ||
| S22072B | 08 | 551-552 | S24144D | 23 | 949-950 | S2692XD | 23 | 949-950 | ||
| S22072B | 24 | 955-965 | S24144S | 01 | 052-053 | S2692XS | 04 | 205-206 | ||
| S22072D | 08 | 559-561 | S24149A | 01 | 052-053 | S2699XA | 05 | 314-316 | ||
| S22072G | 08 | 559-561 | S24149A | 24 | 955-965 | S2699XA | 24 | 955-965 | ||
| S22072K | 08 | 564-566 | S24149D | 23 | 949-950 | S2699XD | 23 | 949-950 | ||
| S22072S | 08 | 551-552 | S24149S | 01 | 052-053 | S2699XS | 04 | 205-206 | ||
| S22078A | 08 | 551-552 | S24151A | 01 | 052-053 | S270XXA | 04 | 199-201 | ||
| S22078A | 24 | 955-965 | S24151A | 24 | 955-965 | S270XXA | 15 | 793 | ||
| S22078B | 08 | 551-552 | S24151D | 23 | 949-950 | S270XXA | 24 | 955-965 | ||
| S22078B | 24 | 955-965 | S24151S | 01 | 052-053 | S270XXD | 23 | 949-950 | ||
| S22078D | 08 | 559-561 | S24152A | 01 | 052-053 | S270XXS | 04 | 205-206 | ||
| S22078G | 08 | 559-561 | S24152A | 24 | 955-965 | S271XXA | 04 | 199-201 | ||
| S22078K | 08 | 564-566 | S24152D | 23 | 949-950 | S271XXA | 15 | 793 | ||
| S22078S | 08 | 551-552 | S24152S | 01 | 052-053 | S271XXA | 24 | 955-965 | ||
| S22079A | 08 | 551-552 | S24153A | 01 | 052-053 | S271XXD | 23 | 949-950 | ||
| S22079A | 24 | 955-965 | S24153A | 24 | 955-965 | S271XXS | 04 | 205-206 | ||
| S22079B | 08 | 551-552 | S24153D | 23 | 949-950 | S272XXA | 04 | 199-201 | ||
| S22079B | 24 | 955-965 | S24153S | 01 | 052-053 | S272XXA | 15 | 793 | ||
| S22079D | 08 | 559-561 | S24154A | 01 | 052-053 | S272XXA | 24 | 955-965 | ||
| S22079G | 08 | 559-561 | S24154A | 24 | 955-965 | S272XXD | 23 | 949-950 | ||
| S22079K | 08 | 564-566 | S24154D | 23 | 949-950 | S272XXS | 04 | 205-206 | ||
| S22079S | 08 | 551-552 | S24154S | 01 | 052-053 | S27301A | 04 | 205-206 | ||
| S22080A | 08 | 551-552 | S24159A | 01 | 052-053 | S27301A | 24 | 955-965 | ||
| S22080A | 24 | 955-965 | S24159A | 24 | 955-965 | S27301D | 23 | 949-950 | ||
| S22080B | 08 | 551-552 | S24159D | 23 | 949-950 | S27301S | 04 | 205-206 | ||
| S22080B | 24 | 955-965 | S24159S | 01 | 052-053 | S27302A | 04 | 205-206 | ||
| S22080D | 08 | 559-561 | S242XXA | 01 | 073-074 | S27302A | 24 | 955-965 | ||
| S22080G | 08 | 559-561 | S242XXA | 24 | 955-965 | S27302D | 23 | 949-950 | ||
| S22080K | 08 | 564-566 | S242XXD | 23 | 949-950 | S27302S | 04 | 205-206 | ||
| S22080S | 08 | 551-552 | S242XXS | 01 | 091-093 | S27309A | 04 | 205-206 | ||
| S22081A | 08 | 551-552 | S243XXA | 01 | 073-074 | S27309A | 24 | 955-965 | ||
| S22081A | 24 | 955-965 | S243XXA | 24 | 955-965 | S27309D | 23 | 949-950 | ||
| S22081B | 08 | 551-552 | S243XXD | 23 | 949-950 | S27309S | 04 | 205-206 | ||
| S22081B | 24 | 955-965 | S243XXS | 01 | 091-093 | S27311A | 04 | 205-206 | ||
| S22081D | 08 | 559-561 | S244XXA | 01 | 073-074 | S27311A | 24 | 955-965 | ||
| S22081G | 08 | 559-561 | S244XXA | 24 | 955-965 | S27311D | 23 | 949-950 | ||
| S22081K | 08 | 564-566 | S244XXD | 23 | 949-950 | S27311S | 04 | 205-206 | ||
| S22081S | 08 | 551-552 | S244XXS | 01 | 091-093 | S27312A | 04 | 205-206 | ||
| S22082A | 08 | 551-552 | S248XXA | 01 | 073-074 | S27312A | 24 | 955-965 | ||
| S22082A | 24 | 955-965 | S248XXA | 24 | 955-965 | S27312D | 23 | 949-950 | ||
| S22082B | 08 | 551-552 | S248XXD | 23 | 949-950 | S27312S | 04 | 205-206 | ||
| S22082B | 24 | 955-965 | S248XXS | 01 | 091-093 | S27319A | 04 | 205-206 | ||
| S22082D | 08 | 559-561 | S249XXA | 01 | 073-074 | S27319A | 24 | 955-965 | ||
| S22082G | 08 | 559-561 | S249XXA | 24 | 955-965 | S27319D | 23 | 949-950 | ||
| S22082K | 08 | 564-566 | S249XXD | 23 | 949-950 | S27319S | 04 | 205-206 | ||
| S22082S | 08 | 551-552 | S249XXS | 01 | 091-093 | S27321A | 04 | 205-206 | ||
| S22088A | 08 | 551-552 | S2500XA | 15 | 793 | S27321A | 24 | 955-965 | ||
| S22088A | 24 | 955-965 | S2500XA | 21 | 913-914 | S27321D | 23 | 949-950 | ||
| S22088B | 08 | 551-552 | S2500XA | 24 | 955-965 | S27321S | 04 | 205-206 | ||
| S22088B | 24 | 955-965 | S2500XD | 23 | 949-950 | S27322A | 04 | 205-206 | ||
| S22088D | 08 | 559-561 | S2500XS | 05 | 299-301 | S27322A | 24 | 955-965 | ||
| S22088G | 08 | 559-561 | S2501XA | 15 | 793 | S27322D | 23 | 949-950 | ||
| S22088K | 08 | 564-566 | S2501XA | 21 | 913-914 | S27322S | 04 | 205-206 | ||
| S22088S | 08 | 551-552 | S2501XA | 24 | 955-965 | S27329A | 04 | 205-206 | ||
| S22089A | 08 | 551-552 | S2501XD | 23 | 949-950 | S27329A | 24 | 955-965 | ||
| S22089A | 24 | 955-965 | S2501XS | 05 | 299-301 | S27329D | 23 | 949-950 | ||
| S22089B | 08 | 551-552 | S2502XA | 15 | 793 | S27329S | 04 | 205-206 | ||
| S22089B | 24 | 955-965 | S2502XA | 21 | 913-914 | S27331A | 04 | 183-185 | ||
| S22089D | 08 | 559-561 | S2502XA | 24 | 955-965 | S27331A | 24 | 955-965 | ||
| S22089G | 08 | 559-561 | S2502XD | 23 | 949-950 | S27331D | 23 | 949-950 | ||
| S22089K | 08 | 564-566 | S2502XS | 05 | 299-301 | S27331S | 04 | 205-206 | ||
| S22089S | 08 | 551-552 | S2509XA | 15 | 793 | S27332A | 04 | 183-185 | ||
| S2220XA | 04 | 183-185 | S2509XA | 21 | 913-914 | S27332A | 24 | 955-965 | ||
| S2220XA | 24 | 955-965 | S2509XA | 24 | 955-965 | S27332D | 23 | 949-950 | ||
| S2220XB | 04 | 183-185 | S2509XD | 23 | 949-950 | S27332S | 04 | 205-206 | ||
| S2220XB | 24 | 955-965 | S2509XS | 05 | 299-301 | S27339A | 04 | 183-185 | ||
| S2220XD | 08 | 559-561 | S25101A | 15 | 793 | S27339A | 24 | 955-965 | ||
| S2220XG | 08 | 559-561 | S25101A | 21 | 913-914 | S27339D | 23 | 949-950 | ||
| S2220XK | 08 | 564-566 | S25101A | 24 | 955-965 | S27339S | 04 | 205-206 | ||
| S2220XS | 08 | 551-552 | S25101D | 23 | 949-950 | S27391A | 04 | 205-206 | ||
| S2221XA | 04 | 183-185 | S25101S | 05 | 299-301 | S27391A | 24 | 955-965 | ||
| S2221XA | 24 | 955-965 | S25102A | 15 | 793 | S27391D | 23 | 949-950 | ||
| S2221XB | 04 | 183-185 | S25102A | 21 | 913-914 | S27391S | 04 | 205-206 | ||
| S2221XB | 24 | 955-965 | S25102A | 24 | 955-965 | S27392A | 04 | 205-206 | ||
| S2221XD | 08 | 559-561 | S25102D | 23 | 949-950 | S27392A | 24 | 955-965 | ||
| S2221XG | 08 | 559-561 | S25102S | 05 | 299-301 | S27392D | 23 | 949-950 | ||
| S2221XK | 08 | 564-566 | S25109A | 15 | 793 | S27392S | 04 | 205-206 | ||
| S2221XS | 08 | 551-552 | S25109A | 21 | 913-914 | S27399A | 04 | 205-206 | ||
| S2222XA | 04 | 183-185 | S25109A | 24 | 955-965 | S27399A | 24 | 955-965 | ||
| S2222XA | 24 | 955-965 | S25109D | 23 | 949-950 | S27399D | 23 | 949-950 | ||
| S2222XB | 04 | 183-185 | S25109S | 05 | 299-301 | S27399S | 04 | 205-206 | ||
| S2222XB | 24 | 955-965 | S25111A | 15 | 793 | S27401A | 04 | 183-185 | ||
| S2222XD | 08 | 559-561 | S25111A | 21 | 913-914 | S27401A | 24 | 955-965 | ||
| S2222XG | 08 | 559-561 | S25111A | 24 | 955-965 | S27401D | 23 | 949-950 | ||
| S2222XK | 08 | 564-566 | S25111D | 23 | 949-950 | S27401S | 04 | 205-206 | ||
| S2222XS | 08 | 551-552 | S25111S | 05 | 299-301 | S27402A | 04 | 183-185 | ||
| S2223XA | 04 | 183-185 | S25112A | 15 | 793 | S27402A | 24 | 955-965 | ||
| S2223XA | 24 | 955-965 | S25112A | 21 | 913-914 | S27402D | 23 | 949-950 | ||
| S2223XB | 04 | 183-185 | S25112A | 24 | 955-965 | S27402S | 04 | 205-206 | ||
| S2223XB | 24 | 955-965 | S25112D | 23 | 949-950 | S27409A | 04 | 183-185 | ||
| S2223XD | 08 | 559-561 | S25112S | 05 | 299-301 | S27409A | 24 | 955-965 | ||
| S2223XG | 08 | 559-561 | S25119A | 15 | 793 | S27409D | 23 | 949-950 | ||
| S2223XK | 08 | 564-566 | S25119A | 21 | 913-914 | S27409S | 04 | 205-206 | ||
| S2223XS | 08 | 551-552 | S25119A | 24 | 955-965 | S27411A | 04 | 183-185 | ||
| S2224XA | 04 | 183-185 | S25119D | 23 | 949-950 | S27411A | 24 | 955-965 | ||
| S2224XA | 24 | 955-965 | S25119S | 05 | 299-301 | S27411D | 23 | 949-950 | ||
| S2224XB | 04 | 183-185 | S25121A | 15 | 793 | S27411S | 04 | 205-206 | ||
| S2224XB | 24 | 955-965 | S25121A | 21 | 913-914 | S27412A | 04 | 183-185 | ||
| S2224XD | 08 | 559-561 | S25121A | 24 | 955-965 | S27412A | 24 | 955-965 | ||
| S2224XG | 08 | 559-561 | S25121D | 23 | 949-950 | S27412D | 23 | 949-950 | ||
| S2224XK | 08 | 564-566 | S25121S | 05 | 299-301 | S27412S | 04 | 205-206 | ||
| S2224XS | 08 | 551-552 | S25122A | 15 | 793 | S27419A | 04 | 183-185 | ||
| S2231XA | 04 | 205-206 | S25122A | 21 | 913-914 | S27419A | 24 | 955-965 | ||
| S2231XA | 24 | 955-965 | S25122A | 24 | 955-965 | S27419D | 23 | 949-950 | ||
| S2231XB | 04 | 183-185 | S25122D | 23 | 949-950 | S27419S | 04 | 205-206 | ||
| S2231XB | 24 | 955-965 | S25122S | 05 | 299-301 | S27421A | 04 | 183-185 | ||
| S2231XD | 08 | 559-561 | S25129A | 15 | 793 | S27421A | 24 | 955-965 | ||
| S2231XG | 08 | 559-561 | S25129A | 21 | 913-914 | S27421D | 23 | 949-950 | ||
| S2231XK | 08 | 564-566 | S25129A | 24 | 955-965 | S27421S | 04 | 205-206 | ||
| S2231XS | 08 | 551-552 | S25129D | 23 | 949-950 | S27422A | 04 | 183-185 | ||
| S2232XA | 04 | 205-206 | S25129S | 05 | 299-301 | S27422A | 24 | 955-965 | ||
| S2232XA | 24 | 955-965 | S25191A | 15 | 793 | S27422D | 23 | 949-950 | ||
| S2232XB | 04 | 183-185 | S25191A | 21 | 913-914 | S27422S | 04 | 205-206 | ||
| S2232XB | 24 | 955-965 | S25191A | 24 | 955-965 | S27429A | 04 | 183-185 | ||
| S2232XD | 08 | 559-561 | S25191D | 23 | 949-950 | S27429A | 24 | 955-965 | ||
| S2232XG | 08 | 559-561 | S25191S | 05 | 299-301 | S27429D | 23 | 949-950 | ||
| S2232XK | 08 | 564-566 | S25192A | 15 | 793 | S27429S | 04 | 205-206 | ||
| S2232XS | 08 | 551-552 | S25192A | 21 | 913-914 | S27431A | 04 | 183-185 | ||
| S2239XA | 04 | 205-206 | S25192A | 24 | 955-965 | S27431A | 24 | 955-965 | ||
| S2239XA | 24 | 955-965 | S25192D | 23 | 949-950 | S27431D | 23 | 949-950 | ||
| S2239XB | 04 | 183-185 | S25192S | 05 | 299-301 | S27431S | 04 | 205-206 | ||
| S2239XB | 24 | 955-965 | S25199A | 15 | 793 | S27432A | 04 | 183-185 | ||
| S2239XD | 08 | 559-561 | S25199A | 21 | 913-914 | S27432A | 24 | 955-965 | ||
| S2239XG | 08 | 559-561 | S25199A | 24 | 955-965 | S27432D | 23 | 949-950 | ||
| S2239XK | 08 | 564-566 | S25199D | 23 | 949-950 | S27432S | 04 | 205-206 | ||
| S2239XS | 08 | 551-552 | S25199S | 05 | 299-301 | S27439A | 04 | 183-185 | ||
| S2241XA | 04 | 183-185 | S2520XA | 15 | 793 | S27439A | 24 | 955-965 | ||
| S2241XA | 24 | 955-965 | S2520XA | 21 | 913-914 | S27439D | 23 | 949-950 | ||
| S2241XB | 04 | 183-185 | S2520XA | 24 | 955-965 | S27439S | 04 | 205-206 | ||
| S2241XB | 24 | 955-965 | S2520XD | 23 | 949-950 | S27491A | 04 | 183-185 | ||
| S2241XD | 08 | 559-561 | S2520XS | 05 | 299-301 | S27491A | 24 | 955-965 | ||
| S2241XG | 08 | 559-561 | S2521XA | 15 | 793 | S27491D | 23 | 949-950 | ||
| S2241XK | 08 | 564-566 | S2521XA | 21 | 913-914 | S27491S | 04 | 205-206 | ||
| S2241XS | 08 | 551-552 | S2521XA | 24 | 955-965 | S27492A | 04 | 183-185 | ||
| S2242XA | 04 | 183-185 | S2521XD | 23 | 949-950 | S27492A | 24 | 955-965 | ||
| S2242XA | 24 | 955-965 | S2521XS | 05 | 299-301 | S27492D | 23 | 949-950 | ||
| S2242XB | 04 | 183-185 | S2522XA | 15 | 793 | S27492S | 04 | 205-206 | ||
| S2242XB | 24 | 955-965 | S2522XA | 21 | 913-914 | S27499A | 04 | 183-185 | ||
| S2242XD | 08 | 559-561 | S2522XA | 24 | 955-965 | S27499A | 24 | 955-965 | ||
| S2242XG | 08 | 559-561 | S2522XD | 23 | 949-950 | S27499D | 23 | 949-950 | ||
| S2242XK | 08 | 564-566 | S2522XS | 05 | 299-301 | S27499S | 04 | 205-206 | ||
| S2242XS | 08 | 551-552 | S2529XA | 15 | 793 | S2750XA | 04 | 205-206 | ||
| S2243XA | 04 | 183-185 | S2529XA | 21 | 913-914 | S2750XA | 24 | 955-965 | ||
| S2243XA | 24 | 955-965 | S2529XA | 24 | 955-965 | S2750XD | 23 | 949-950 | ||
| S2243XB | 04 | 183-185 | S2529XD | 23 | 949-950 | S2750XS | 04 | 205-206 | ||
| S2243XB | 24 | 955-965 | S2529XS | 05 | 299-301 | S2751XA | 04 | 205-206 | ||
| S2243XD | 08 | 559-561 | S25301A | 15 | 793 | S2751XA | 24 | 955-965 | ||
| S2243XG | 08 | 559-561 | S25301A | 21 | 913-914 | S2751XD | 23 | 949-950 | ||
| S2243XK | 08 | 564-566 | S25301A | 24 | 955-965 | S2751XS | 04 | 205-206 | ||
| S2243XS | 08 | 551-552 | S25301D | 23 | 949-950 | S2752XA | 04 | 205-206 | ||
| S2249XA | 04 | 183-185 | S25301S | 05 | 299-301 | S2752XA | 24 | 955-965 | ||
| S2249XA | 24 | 955-965 | S25302A | 15 | 793 | S2752XD | 23 | 949-950 | ||
| S2249XB | 04 | 183-185 | S25302A | 21 | 913-914 | S2752XS | 04 | 205-206 | ||
| S2249XB | 24 | 955-965 | S25302A | 24 | 955-965 | S2753XA | 04 | 205-206 | ||
| S2249XD | 08 | 559-561 | S25302D | 23 | 949-950 | S2753XA | 24 | 955-965 | ||
| S2249XG | 08 | 559-561 | S25302S | 05 | 299-301 | S2753XD | 23 | 949-950 | ||
| S2249XK | 08 | 564-566 | S25309A | 15 | 793 | S2753XS | 04 | 205-206 | ||
| S2249XS | 08 | 551-552 | S25309A | 21 | 913-914 | S2759XA | 04 | 205-206 | ||
| S225XXA | 04 | 183-185 | S25309A | 24 | 955-965 | S2759XA | 24 | 955-965 | ||
| S225XXA | 24 | 955-965 | S25309D | 23 | 949-950 | S2759XD | 23 | 949-950 | ||
| S225XXB | 04 | 183-185 | S25309S | 05 | 299-301 | S2759XS | 04 | 205-206 | ||
| S225XXB | 24 | 955-965 | S25311A | 15 | 793 | S2760XA | 04 | 205-206 | ||
| S225XXD | 08 | 559-561 | S25311A | 21 | 913-914 | S2760XA | 24 | 955-965 | ||
| S225XXG | 08 | 559-561 | S25311A | 24 | 955-965 | S2760XD | 23 | 949-950 | ||
| S225XXK | 08 | 564-566 | S25311D | 23 | 949-950 | S2760XS | 04 | 205-206 | ||
| S225XXS | 08 | 551-552 | S25311S | 05 | 299-301 | S2763XA | 04 | 205-206 | ||
| S229XXA | 08 | 564-566 | S25312A | 15 | 793 | S2763XA | 24 | 955-965 | ||
| S229XXA | 24 | 955-965 | S25312A | 21 | 913-914 | S2763XD | 23 | 949-950 | ||
| S229XXB | 08 | 564-566 | S25312A | 24 | 955-965 | S2763XS | 04 | 205-206 | ||
| S229XXB | 24 | 955-965 | S25312D | 23 | 949-950 | S2769XA | 04 | 205-206 | ||
| S229XXD | 08 | 559-561 | S25312S | 05 | 299-301 | S2769XA | 24 | 955-965 | ||
| S229XXG | 08 | 559-561 | S25319A | 15 | 793 | S2769XD | 23 | 949-950 | ||
| S229XXK | 08 | 564-566 | S25319A | 21 | 913-914 | S2769XS | 04 | 205-206 | ||
| S229XXS | 08 | 551-552 | S25319A | 24 | 955-965 | S27802A | 04 | 183-185 | ||
| S230XXA | 08 | 551-552 | S25319D | 23 | 949-950 | S27802A | 24 | 955-965 | ||
| S230XXA | 24 | 955-965 | S25319S | 05 | 299-301 | S27802D | 23 | 949-950 | ||
| S230XXD | 23 | 949-950 | S25321A | 15 | 793 | S27802S | 04 | 205-206 | ||
| S230XXS | 08 | 562-563 | S25321A | 21 | 913-914 | S27803A | 04 | 183-185 | ||
| S23100A | 08 | 551-552 | S25321A | 24 | 955-965 | S27803A | 24 | 955-965 | ||
| S23100A | 24 | 955-965 | S25321D | 23 | 949-950 | S27803D | 23 | 949-950 | ||
| S23100D | 23 | 949-950 | S25321S | 05 | 299-301 | S27803S | 04 | 205-206 | ||
| S23100S | 08 | 562-563 | S25322A | 15 | 793 | S27808A | 04 | 183-185 | ||
| S23101A | 08 | 551-552 | S25322A | 21 | 913-914 | S27808A | 24 | 955-965 | ||
| S23101A | 24 | 955-965 | S25322A | 24 | 955-965 | S27808D | 23 | 949-950 | ||
| S23101D | 23 | 949-950 | S25322D | 23 | 949-950 | S27808S | 04 | 205-206 | ||
| S23101S | 08 | 562-563 | S25322S | 05 | 299-301 | S27809A | 04 | 183-185 | ||
| S23110A | 08 | 551-552 | S25329A | 15 | 793 | S27809A | 24 | 955-965 | ||
| S23110A | 24 | 955-965 | S25329A | 21 | 913-914 | S27809D | 23 | 949-950 | ||
| S23110D | 23 | 949-950 | S25329A | 24 | 955-965 | S27809S | 04 | 205-206 | ||
| S23110S | 08 | 562-563 | S25329D | 23 | 949-950 | S27812A | 06 | 368-370 | ||
| S23111A | 08 | 551-552 | S25329S | 05 | 299-301 | S27812A | 24 | 955-965 | ||
| S23111A | 24 | 955-965 | S25391A | 15 | 793 | S27812D | 23 | 949-950 | ||
| S23111D | 23 | 949-950 | S25391A | 21 | 913-914 | S27812S | 04 | 205-206 | ||
| S23111S | 08 | 562-563 | S25391A | 24 | 955-965 | S27813A | 06 | 368-370 | ||
| S23120A | 08 | 551-552 | S25391D | 23 | 949-950 | S27813A | 24 | 955-965 | ||
| S23120A | 24 | 955-965 | S25391S | 05 | 299-301 | S27813D | 23 | 949-950 | ||
| S23120D | 23 | 949-950 | S25392A | 15 | 793 | S27813S | 04 | 205-206 | ||
| S23120S | 08 | 562-563 | S25392A | 21 | 913-914 | S27818A | 06 | 368-370 | ||
| S23121A | 08 | 551-552 | S25392A | 24 | 955-965 | S27818A | 24 | 955-965 | ||
| S23121A | 24 | 955-965 | S25392D | 23 | 949-950 | S27818D | 23 | 949-950 | ||
| S23121D | 23 | 949-950 | S25392S | 05 | 299-301 | S27818S | 04 | 205-206 | ||
| S23121S | 08 | 562-563 | S25399A | 15 | 793 | S27819A | 06 | 368-370 | ||
| S23122A | 08 | 551-552 | S25399A | 21 | 913-914 | S27819A | 24 | 955-965 | ||
| S23122A | 24 | 955-965 | S25399A | 24 | 955-965 | S27819D | 23 | 949-950 | ||
| S23122D | 23 | 949-950 | S25399D | 23 | 949-950 | S27819S | 04 | 205-206 | ||
| S23122S | 08 | 562-563 | S25399S | 05 | 299-301 | S27892A | 04 | 205-206 | ||
| S23123A | 08 | 551-552 | S25401A | 15 | 793 | S27892A | 24 | 955-965 | ||
| S23123A | 24 | 955-965 | S25401A | 21 | 913-914 | S27892D | 23 | 949-950 | ||
| S23123D | 23 | 949-950 | S25401A | 24 | 955-965 | S27892S | 04 | 205-206 | ||
| S23123S | 08 | 562-563 | S25401D | 23 | 949-950 | S27893A | 04 | 205-206 | ||
| S23130A | 08 | 551-552 | S25401S | 05 | 299-301 | S27893A | 24 | 955-965 | ||
| S23130A | 24 | 955-965 | S25402A | 15 | 793 | S27893D | 23 | 949-950 | ||
| S23130D | 23 | 949-950 | S25402A | 21 | 913-914 | S27893S | 04 | 205-206 | ||
| S23130S | 08 | 562-563 | S25402A | 24 | 955-965 | S27898A | 04 | 205-206 | ||
| S23131A | 08 | 551-552 | S25402D | 23 | 949-950 | S27898A | 24 | 955-965 | ||
| S23131A | 24 | 955-965 | S25402S | 05 | 299-301 | S27898D | 23 | 949-950 | ||
| S23131D | 23 | 949-950 | S25409A | 15 | 793 | S27898S | 04 | 205-206 | ||
| S23131S | 08 | 562-563 | S25409A | 21 | 913-914 | S27899A | 04 | 205-206 | ||
| S23132A | 08 | 551-552 | S25409A | 24 | 955-965 | S27899A | 24 | 955-965 | ||
| S23132A | 24 | 955-965 | S25409D | 23 | 949-950 | S27899D | 23 | 949-950 | ||
| S23132D | 23 | 949-950 | S25409S | 05 | 299-301 | S27899S | 04 | 205-206 | ||
| S23132S | 08 | 562-563 | S25411A | 15 | 793 | S279XXA | 21 | 913-914 | ||
| S23133A | 08 | 551-552 | S25411A | 21 | 913-914 | S279XXA | 24 | 955-965 | ||
| S23133A | 24 | 955-965 | S25411A | 24 | 955-965 | S279XXD | 23 | 949-950 | ||
| S23133D | 23 | 949-950 | S25411D | 23 | 949-950 | S279XXS | 04 | 205-206 | ||
| S23133S | 08 | 562-563 | S25411S | 05 | 299-301 | S280XXA | 21 | 913-914 | ||
| S23140A | 08 | 551-552 | S25412A | 15 | 793 | S280XXA | 24 | 955-965 | ||
| S23140A | 24 | 955-965 | S25412A | 21 | 913-914 | S280XXD | 23 | 949-950 | ||
| S23140D | 23 | 949-950 | S25412A | 24 | 955-965 | S280XXS | 09 | 604-605 | ||
| S23140S | 08 | 562-563 | S25412D | 23 | 949-950 | S281XXA | 09 | 604-605 | ||
| S23141A | 08 | 551-552 | S25412S | 05 | 299-301 | S281XXA | 24 | 955-965 | ||
| S23141A | 24 | 955-965 | S25419A | 15 | 793 | S281XXD | 23 | 949-950 | ||
| S23141D | 23 | 949-950 | S25419A | 21 | 913-914 | S281XXS | 09 | 604-605 | ||
| S23141S | 08 | 562-563 | S25419A | 24 | 955-965 | S28211A | 09 | 604-605 | ||
| S23142A | 08 | 551-552 | S25419D | 23 | 949-950 | S28211A | 24 | 955-965 | ||
| S23142A | 24 | 955-965 | S25419S | 05 | 299-301 | S28211D | 23 | 949-950 | ||
| S23142D | 23 | 949-950 | S25421A | 15 | 793 | S28211S | 09 | 604-605 | ||
| S23142S | 08 | 562-563 | S25421A | 21 | 913-914 | S28212A | 09 | 604-605 | ||
| S23143A | 08 | 551-552 | S25421A | 24 | 955-965 | S28212A | 24 | 955-965 | ||
| S23143A | 24 | 955-965 | S25421D | 23 | 949-950 | S28212D | 23 | 949-950 | ||
| S23143D | 23 | 949-950 | S25421S | 05 | 299-301 | S28212S | 09 | 604-605 | ||
| S23143S | 08 | 562-563 | S25422A | 15 | 793 | S28219A | 09 | 604-605 | ||
| S23150A | 08 | 551-552 | S25422A | 21 | 913-914 | S28219A | 24 | 955-965 | ||
| S23150A | 24 | 955-965 | S25422A | 24 | 955-965 | S28219D | 23 | 949-950 | ||
| S23150D | 23 | 949-950 | S25422D | 23 | 949-950 | S28219S | 09 | 604-605 | ||
| S23150S | 08 | 562-563 | S25422S | 05 | 299-301 | S28221A | 09 | 604-605 | ||
| S23151A | 08 | 551-552 | S25429A | 15 | 793 | S28221A | 24 | 955-965 | ||
| S23151A | 24 | 955-965 | S25429A | 21 | 913-914 | S28221D | 23 | 949-950 | ||
| S23151D | 23 | 949-950 | S25429A | 24 | 955-965 | S28221S | 09 | 604-605 | ||
| S23151S | 08 | 562-563 | S25429D | 23 | 949-950 | S28222A | 09 | 604-605 | ||
| S23152A | 08 | 551-552 | S25429S | 05 | 299-301 | S28222A | 24 | 955-965 | ||
| S23152A | 24 | 955-965 | S25491A | 15 | 793 | S28222D | 23 | 949-950 | ||
| S23152D | 23 | 949-950 | S25491A | 21 | 913-914 | S28222S | 09 | 604-605 | ||
| S23152S | 08 | 562-563 | S25491A | 24 | 955-965 | S28229A | 09 | 604-605 | ||
| S23153A | 08 | 551-552 | S25491D | 23 | 949-950 | S28229A | 24 | 955-965 | ||
| S23153A | 24 | 955-965 | S25491S | 05 | 299-301 | S28229D | 23 | 949-950 | ||
| S23153D | 23 | 949-950 | S25492A | 15 | 793 | S28229S | 09 | 604-605 | ||
| S23153S | 08 | 562-563 | S25492A | 21 | 913-914 | S29001A | 21 | 913-914 | ||
| S23160A | 08 | 551-552 | S25492A | 24 | 955-965 | S29001A | 24 | 955-965 | ||
| S23160A | 24 | 955-965 | S25492D | 23 | 949-950 | S29001D | 23 | 949-950 | ||
| S23160D | 23 | 949-950 | S25492S | 05 | 299-301 | S29001S | 21 | 913-914 | ||
| S23160S | 08 | 562-563 | S25499A | 15 | 793 | S29002A | 21 | 913-914 | ||
| S23161A | 08 | 551-552 | S25499A | 21 | 913-914 | S29002A | 24 | 955-965 | ||
| S23161A | 24 | 955-965 | S25499A | 24 | 955-965 | S29002D | 23 | 949-950 | ||
| S23161D | 23 | 949-950 | S25499D | 23 | 949-950 | S29002S | 21 | 913-914 | ||
| S23161S | 08 | 562-563 | S25499S | 05 | 299-301 | S29009A | 21 | 913-914 | ||
| S23162A | 08 | 551-552 | S25501A | 21 | 913-914 | S29009A | 24 | 955-965 | ||
| S23162A | 24 | 955-965 | S25501A | 24 | 955-965 | S29009D | 23 | 949-950 | ||
| S23162D | 23 | 949-950 | S25501D | 23 | 949-950 | S29009S | 21 | 913-914 | ||
| S23162S | 08 | 562-563 | S25501S | 05 | 299-301 | S29011A | 08 | 562-563 | ||
| S23163A | 08 | 551-552 | S25502A | 21 | 913-914 | S29011A | 24 | 955-965 | ||
| S23163A | 24 | 955-965 | S25502A | 24 | 955-965 | S29011D | 23 | 949-950 | ||
| S23163D | 23 | 949-950 | S25502D | 23 | 949-950 | S29011S | 08 | 562-563 | ||
| S23163S | 08 | 562-563 | S25502S | 05 | 299-301 | S29012A | 08 | 562-563 | ||
| S23170A | 08 | 551-552 | S25509A | 21 | 913-914 | S29012A | 24 | 955-965 | ||
| S23170A | 24 | 955-965 | S25509A | 24 | 955-965 | S29012D | 23 | 949-950 | ||
| S23170D | 23 | 949-950 | S25509D | 23 | 949-950 | S29012S | 08 | 562-563 | ||
| S23170S | 08 | 562-563 | S25509S | 05 | 299-301 | S29019A | 08 | 562-563 | ||
| S23171A | 08 | 551-552 | S25511A | 21 | 913-914 | S29019A | 24 | 955-965 | ||
| S23171A | 24 | 955-965 | S25511A | 24 | 955-965 | S29019D | 23 | 949-950 | ||
| S23171D | 23 | 949-950 | S25511D | 23 | 949-950 | S29019S | 08 | 562-563 | ||
| S23171S | 08 | 562-563 | S25511S | 05 | 299-301 | S29021A | 09 | 604-605 | ||
| S2320XA | 08 | 551-552 | S25512A | 21 | 913-914 | S29021A | 24 | 955-965 | ||
| S2320XA | 24 | 955-965 | S25512A | 24 | 955-965 | S29021D | 23 | 949-950 | ||
| S2320XD | 23 | 949-950 | S25512D | 23 | 949-950 | S29021S | 09 | 604-605 | ||
| S2320XS | 08 | 562-563 | S25512S | 05 | 299-301 | S29022A | 09 | 604-605 | ||
| S2329XA | 08 | 551-552 | S25519A | 21 | 913-914 | S29022A | 24 | 955-965 | ||
| S2329XA | 24 | 955-965 | S25519A | 24 | 955-965 | S29022D | 23 | 949-950 |
|
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 |