ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 60 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S99102D | 23 | 949-950 | T1592XA | 02 | 124-125 | T20419D | 23 | 949-950 | ||
S99102G | 23 | 949-950 | T1592XD | 23 | 949-950 | T20419S | 09 | 604-605 | ||
S99102K | 23 | 949-950 | T1592XS | 21 | 913-914 | T2042XA | 22 | 935 | ||
S99102P | 23 | 949-950 | T161XXA | 03 | 154-156 | T2042XD | 23 | 949-950 | ||
S99102S | 21 | 913-914 | T161XXD | 23 | 949-950 | T2042XS | 09 | 604-605 | ||
S99109A | 21 | 913-914 | T161XXS | 21 | 913-914 | T2043XA | 22 | 935 | ||
S99109A | 24 | 955-965 | T162XXA | 03 | 154-156 | T2043XD | 23 | 949-950 | ||
S99109B | 21 | 913-914 | T162XXD | 23 | 949-950 | T2043XS | 09 | 604-605 | ||
S99109B | 24 | 955-965 | T162XXS | 21 | 913-914 | T2044XA | 22 | 935 | ||
S99109D | 23 | 949-950 | T169XXA | 03 | 154-156 | T2044XD | 23 | 949-950 | ||
S99109G | 23 | 949-950 | T169XXD | 23 | 949-950 | T2044XS | 09 | 604-605 | ||
S99109K | 23 | 949-950 | T169XXS | 21 | 913-914 | T2045XA | 22 | 935 | ||
S99109P | 23 | 949-950 | T170XXA | 03 | 154-156 | T2045XD | 23 | 949-950 | ||
S99109S | 21 | 913-914 | T170XXD | 23 | 949-950 | T2045XS | 09 | 604-605 | ||
S99111A | 21 | 913-914 | T170XXS | 21 | 913-914 | T2046XA | 22 | 935 | ||
S99111A | 24 | 955-965 | T171XXA | 03 | 154-156 | T2046XD | 23 | 949-950 | ||
S99111B | 21 | 913-914 | T171XXD | 23 | 949-950 | T2046XS | 09 | 604-605 | ||
S99111B | 24 | 955-965 | T171XXS | 21 | 913-914 | T2047XA | 22 | 935 | ||
S99111D | 23 | 949-950 | T17200A | Pre | 011-013 | T2047XD | 23 | 949-950 | ||
S99111G | 23 | 949-950 | T17200A | 03 | 154-156 | T2047XS | 09 | 604-605 | ||
S99111K | 23 | 949-950 | T17200D | 23 | 949-950 | T2049XA | 22 | 935 | ||
S99111P | 23 | 949-950 | T17200S | 21 | 913-914 | T2049XD | 23 | 949-950 | ||
S99111S | 21 | 913-914 | T17208A | Pre | 011-013 | T2049XS | 09 | 604-605 | ||
S99112A | 21 | 913-914 | T17208A | 03 | 154-156 | T2050XA | 22 | 935 | ||
S99112A | 24 | 955-965 | T17208D | 23 | 949-950 | T2050XD | 23 | 949-950 | ||
S99112B | 21 | 913-914 | T17208S | 21 | 913-914 | T2050XS | 09 | 604-605 | ||
S99112B | 24 | 955-965 | T17210A | Pre | 011-013 | T20511A | 22 | 935 | ||
S99112D | 23 | 949-950 | T17210A | 03 | 154-156 | T20511D | 23 | 949-950 | ||
S99112G | 23 | 949-950 | T17210D | 23 | 949-950 | T20511S | 09 | 604-605 | ||
S99112K | 23 | 949-950 | T17210S | 21 | 913-914 | T20512A | 22 | 935 | ||
S99112P | 23 | 949-950 | T17218A | Pre | 011-013 | T20512D | 23 | 949-950 | ||
S99112S | 21 | 913-914 | T17218A | 03 | 154-156 | T20512S | 09 | 604-605 | ||
S99119A | 21 | 913-914 | T17218D | 23 | 949-950 | T20519A | 22 | 935 | ||
S99119A | 24 | 955-965 | T17218S | 21 | 913-914 | T20519D | 23 | 949-950 | ||
S99119B | 21 | 913-914 | T17220A | Pre | 011-013 | T20519S | 09 | 604-605 | ||
S99119B | 24 | 955-965 | T17220A | 03 | 154-156 | T2052XA | 22 | 935 | ||
S99119D | 23 | 949-950 | T17220D | 23 | 949-950 | T2052XD | 23 | 949-950 | ||
S99119G | 23 | 949-950 | T17220S | 21 | 913-914 | T2052XS | 09 | 604-605 | ||
S99119K | 23 | 949-950 | T17228A | Pre | 011-013 | T2053XA | 22 | 935 | ||
S99119P | 23 | 949-950 | T17228A | 03 | 154-156 | T2053XD | 23 | 949-950 | ||
S99119S | 21 | 913-914 | T17228D | 23 | 949-950 | T2053XS | 09 | 604-605 | ||
S99121A | 21 | 913-914 | T17228S | 21 | 913-914 | T2054XA | 22 | 935 | ||
S99121A | 24 | 955-965 | T17290A | Pre | 011-013 | T2054XD | 23 | 949-950 | ||
S99121B | 21 | 913-914 | T17290A | 03 | 154-156 | T2054XS | 09 | 604-605 | ||
S99121B | 24 | 955-965 | T17290D | 23 | 949-950 | T2055XA | 22 | 935 | ||
S99121D | 23 | 949-950 | T17290S | 21 | 913-914 | T2055XD | 23 | 949-950 | ||
S99121G | 23 | 949-950 | T17298A | Pre | 011-013 | T2055XS | 09 | 604-605 | ||
S99121K | 23 | 949-950 | T17298A | 03 | 154-156 | T2056XA | 22 | 935 | ||
S99121P | 23 | 949-950 | T17298D | 23 | 949-950 | T2056XD | 23 | 949-950 | ||
S99121S | 21 | 913-914 | T17298S | 21 | 913-914 | T2056XS | 09 | 604-605 | ||
S99122A | 21 | 913-914 | T17300A | Pre | 011-013 | T2057XA | 22 | 935 | ||
S99122A | 24 | 955-965 | T17300A | 03 | 154-156 | T2057XD | 23 | 949-950 | ||
S99122B | 21 | 913-914 | T17300D | 23 | 949-950 | T2057XS | 09 | 604-605 | ||
S99122B | 24 | 955-965 | T17300S | 21 | 913-914 | T2059XA | 22 | 935 | ||
S99122D | 23 | 949-950 | T17308A | Pre | 011-013 | T2059XD | 23 | 949-950 | ||
S99122G | 23 | 949-950 | T17308A | 03 | 154-156 | T2059XS | 09 | 604-605 | ||
S99122K | 23 | 949-950 | T17308D | 23 | 949-950 | T2060XA | 22 | 935 | ||
S99122P | 23 | 949-950 | T17308S | 21 | 913-914 | T2060XD | 23 | 949-950 | ||
S99122S | 21 | 913-914 | T17310A | Pre | 011-013 | T2060XS | 09 | 604-605 | ||
S99129A | 21 | 913-914 | T17310A | 03 | 154-156 | T20611A | 22 | 935 | ||
S99129A | 24 | 955-965 | T17310D | 23 | 949-950 | T20611D | 23 | 949-950 | ||
S99129B | 21 | 913-914 | T17310S | 21 | 913-914 | T20611S | 09 | 604-605 | ||
S99129B | 24 | 955-965 | T17318A | Pre | 011-013 | T20612A | 22 | 935 | ||
S99129D | 23 | 949-950 | T17318A | 03 | 154-156 | T20612D | 23 | 949-950 | ||
S99129G | 23 | 949-950 | T17318D | 23 | 949-950 | T20612S | 09 | 604-605 | ||
S99129K | 23 | 949-950 | T17318S | 21 | 913-914 | T20619A | 22 | 935 | ||
S99129P | 23 | 949-950 | T17320A | Pre | 011-013 | T20619D | 23 | 949-950 | ||
S99129S | 21 | 913-914 | T17320A | 03 | 154-156 | T20619S | 09 | 604-605 | ||
S99131A | 21 | 913-914 | T17320D | 23 | 949-950 | T2062XA | 22 | 935 | ||
S99131A | 24 | 955-965 | T17320S | 21 | 913-914 | T2062XD | 23 | 949-950 | ||
S99131B | 21 | 913-914 | T17328A | Pre | 011-013 | T2062XS | 09 | 604-605 | ||
S99131B | 24 | 955-965 | T17328A | 03 | 154-156 | T2063XA | 22 | 935 | ||
S99131D | 23 | 949-950 | T17328D | 23 | 949-950 | T2063XD | 23 | 949-950 | ||
S99131G | 23 | 949-950 | T17328S | 21 | 913-914 | T2063XS | 09 | 604-605 | ||
S99131K | 23 | 949-950 | T17390A | Pre | 011-013 | T2064XA | 22 | 935 | ||
S99131P | 23 | 949-950 | T17390A | 03 | 154-156 | T2064XD | 23 | 949-950 | ||
S99131S | 21 | 913-914 | T17390D | 23 | 949-950 | T2064XS | 09 | 604-605 | ||
S99132A | 21 | 913-914 | T17390S | 21 | 913-914 | T2065XA | 22 | 935 | ||
S99132A | 24 | 955-965 | T17398A | Pre | 011-013 | T2065XD | 23 | 949-950 | ||
S99132B | 21 | 913-914 | T17398A | 03 | 154-156 | T2065XS | 09 | 604-605 | ||
S99132B | 24 | 955-965 | T17398D | 23 | 949-950 | T2066XA | 22 | 935 | ||
S99132D | 23 | 949-950 | T17398S | 21 | 913-914 | T2066XD | 23 | 949-950 | ||
S99132G | 23 | 949-950 | T17400A | 04 | 205-206 | T2066XS | 09 | 604-605 | ||
S99132K | 23 | 949-950 | T17400D | 23 | 949-950 | T2067XA | 22 | 935 | ||
S99132P | 23 | 949-950 | T17400S | 21 | 913-914 | T2067XD | 23 | 949-950 | ||
S99132S | 21 | 913-914 | T17408A | 04 | 205-206 | T2067XS | 09 | 604-605 | ||
S99139A | 21 | 913-914 | T17408D | 23 | 949-950 | T2069XA | 22 | 935 | ||
S99139A | 24 | 955-965 | T17408S | 21 | 913-914 | T2069XD | 23 | 949-950 | ||
S99139B | 21 | 913-914 | T17410A | 04 | 205-206 | T2069XS | 09 | 604-605 | ||
S99139B | 24 | 955-965 | T17410D | 23 | 949-950 | T2070XA | 22 | 927,933 | ||
S99139D | 23 | 949-950 | T17410S | 21 | 913-914 | T2070XA | 22 | 928-929,934 | ||
S99139G | 23 | 949-950 | T17418A | 04 | 205-206 | T2070XD | 23 | 949-950 | ||
S99139K | 23 | 949-950 | T17418D | 23 | 949-950 | T2070XS | 09 | 604-605 | ||
S99139P | 23 | 949-950 | T17418S | 21 | 913-914 | T20711A | 22 | 927,933 | ||
S99139S | 21 | 913-914 | T17420A | 04 | 205-206 | T20711A | 22 | 928-929,934 | ||
S99141A | 21 | 913-914 | T17420D | 23 | 949-950 | T20711D | 23 | 949-950 | ||
S99141A | 24 | 955-965 | T17420S | 21 | 913-914 | T20711S | 09 | 604-605 | ||
S99141B | 21 | 913-914 | T17428A | 04 | 205-206 | T20712A | 22 | 927,933 | ||
S99141B | 24 | 955-965 | T17428D | 23 | 949-950 | T20712A | 22 | 928-929,934 | ||
S99141D | 23 | 949-950 | T17428S | 21 | 913-914 | T20712D | 23 | 949-950 | ||
S99141G | 23 | 949-950 | T17490A | 04 | 205-206 | T20712S | 09 | 604-605 | ||
S99141K | 23 | 949-950 | T17490D | 23 | 949-950 | T20719A | 22 | 927,933 | ||
S99141P | 23 | 949-950 | T17490S | 21 | 913-914 | T20719A | 22 | 928-929,934 | ||
S99141S | 21 | 913-914 | T17498A | 04 | 205-206 | T20719D | 23 | 949-950 | ||
S99142A | 21 | 913-914 | T17498D | 23 | 949-950 | T20719S | 09 | 604-605 | ||
S99142A | 24 | 955-965 | T17498S | 21 | 913-914 | T2072XA | 22 | 927,933 | ||
S99142B | 21 | 913-914 | T17500A | 04 | 205-206 | T2072XA | 22 | 928-929,934 | ||
S99142B | 24 | 955-965 | T17500D | 23 | 949-950 | T2072XD | 23 | 949-950 | ||
S99142D | 23 | 949-950 | T17500S | 21 | 913-914 | T2072XS | 09 | 604-605 | ||
S99142G | 23 | 949-950 | T17508A | 04 | 205-206 | T2073XA | 22 | 927,933 | ||
S99142K | 23 | 949-950 | T17508D | 23 | 949-950 | T2073XA | 22 | 928-929,934 | ||
S99142P | 23 | 949-950 | T17508S | 21 | 913-914 | T2073XD | 23 | 949-950 | ||
S99142S | 21 | 913-914 | T17510A | 04 | 205-206 | T2073XS | 09 | 604-605 | ||
S99149A | 21 | 913-914 | T17510D | 23 | 949-950 | T2074XA | 22 | 927,933 | ||
S99149A | 24 | 955-965 | T17510S | 21 | 913-914 | T2074XA | 22 | 928-929,934 | ||
S99149B | 21 | 913-914 | T17518A | 04 | 205-206 | T2074XD | 23 | 949-950 | ||
S99149B | 24 | 955-965 | T17518D | 23 | 949-950 | T2074XS | 09 | 604-605 | ||
S99149D | 23 | 949-950 | T17518S | 21 | 913-914 | T2075XA | 22 | 927,933 | ||
S99149G | 23 | 949-950 | T17520A | 04 | 205-206 | T2075XA | 22 | 928-929,934 | ||
S99149K | 23 | 949-950 | T17520D | 23 | 949-950 | T2075XD | 23 | 949-950 | ||
S99149P | 23 | 949-950 | T17520S | 21 | 913-914 | T2075XS | 09 | 604-605 | ||
S99149S | 21 | 913-914 | T17528A | 04 | 205-206 | T2076XA | 22 | 927,933 | ||
S99191A | 21 | 913-914 | T17528D | 23 | 949-950 | T2076XA | 22 | 928-929,934 | ||
S99191A | 24 | 955-965 | T17528S | 21 | 913-914 | T2076XD | 23 | 949-950 | ||
S99191B | 21 | 913-914 | T17590A | 04 | 205-206 | T2076XS | 09 | 604-605 | ||
S99191B | 24 | 955-965 | T17590D | 23 | 949-950 | T2077XA | 22 | 927,933 | ||
S99191D | 23 | 949-950 | T17590S | 21 | 913-914 | T2077XA | 22 | 928-929,934 | ||
S99191G | 23 | 949-950 | T17598A | 04 | 205-206 | T2077XD | 23 | 949-950 | ||
S99191K | 23 | 949-950 | T17598D | 23 | 949-950 | T2077XS | 09 | 604-605 | ||
S99191P | 23 | 949-950 | T17598S | 21 | 913-914 | T2079XA | 22 | 927,933 | ||
S99191S | 21 | 913-914 | T17800A | 04 | 205-206 | T2079XA | 22 | 928-929,934 | ||
S99192A | 21 | 913-914 | T17800D | 23 | 949-950 | T2079XD | 23 | 949-950 | ||
S99192A | 24 | 955-965 | T17800S | 21 | 913-914 | T2079XS | 09 | 604-605 | ||
S99192B | 21 | 913-914 | T17808A | 04 | 205-206 | T2100XA | 22 | 935 | ||
S99192B | 24 | 955-965 | T17808D | 23 | 949-950 | T2100XD | 23 | 949-950 | ||
S99192D | 23 | 949-950 | T17808S | 21 | 913-914 | T2100XS | 09 | 604-605 | ||
S99192G | 23 | 949-950 | T17810A | 04 | 205-206 | T2101XA | 22 | 935 | ||
S99192K | 23 | 949-950 | T17810D | 23 | 949-950 | T2101XD | 23 | 949-950 | ||
S99192P | 23 | 949-950 | T17810S | 21 | 913-914 | T2101XS | 09 | 604-605 | ||
S99192S | 21 | 913-914 | T17818A | 04 | 205-206 | T2102XA | 22 | 935 | ||
S99199A | 21 | 913-914 | T17818D | 23 | 949-950 | T2102XD | 23 | 949-950 | ||
S99199A | 24 | 955-965 | T17818S | 21 | 913-914 | T2102XS | 09 | 604-605 | ||
S99199B | 21 | 913-914 | T17820A | 04 | 205-206 | T2103XA | 22 | 935 | ||
S99199B | 24 | 955-965 | T17820D | 23 | 949-950 | T2103XD | 23 | 949-950 | ||
S99199D | 23 | 949-950 | T17820S | 21 | 913-914 | T2103XS | 09 | 604-605 | ||
S99199G | 23 | 949-950 | T17828A | 04 | 205-206 | T2104XA | 22 | 935 | ||
S99199K | 23 | 949-950 | T17828D | 23 | 949-950 | T2104XD | 23 | 949-950 | ||
S99199P | 23 | 949-950 | T17828S | 21 | 913-914 | T2104XS | 09 | 604-605 | ||
S99199S | 21 | 913-914 | T17890A | 04 | 205-206 | T2105XA | 22 | 935 | ||
S99201A | 21 | 913-914 | T17890D | 23 | 949-950 | T2105XD | 23 | 949-950 | ||
S99201A | 24 | 955-965 | T17890S | 21 | 913-914 | T2105XS | 09 | 604-605 | ||
S99201B | 21 | 913-914 | T17898A | 04 | 205-206 | T2106XA | 22 | 935 | ||
S99201B | 24 | 955-965 | T17898D | 23 | 949-950 | T2106XD | 23 | 949-950 | ||
S99201D | 23 | 949-950 | T17898S | 21 | 913-914 | T2106XS | 09 | 604-605 | ||
S99201G | 23 | 949-950 | T17900A | 04 | 205-206 | T2107XA | 22 | 935 | ||
S99201K | 23 | 949-950 | T17900D | 23 | 949-950 | T2107XD | 23 | 949-950 | ||
S99201P | 23 | 949-950 | T17900S | 21 | 913-914 | T2107XS | 09 | 604-605 | ||
S99201S | 21 | 913-914 | T17908A | 04 | 205-206 | T2109XA | 22 | 935 | ||
S99202A | 21 | 913-914 | T17908D | 23 | 949-950 | T2109XD | 23 | 949-950 | ||
S99202A | 24 | 955-965 | T17908S | 21 | 913-914 | T2109XS | 09 | 604-605 | ||
S99202B | 21 | 913-914 | T17910A | 04 | 205-206 | T2110XA | 22 | 935 | ||
S99202B | 24 | 955-965 | T17910D | 23 | 949-950 | T2110XD | 23 | 949-950 | ||
S99202D | 23 | 949-950 | T17910S | 21 | 913-914 | T2110XS | 09 | 604-605 | ||
S99202G | 23 | 949-950 | T17918A | 04 | 205-206 | T2111XA | 22 | 935 | ||
S99202K | 23 | 949-950 | T17918D | 23 | 949-950 | T2111XD | 23 | 949-950 | ||
S99202P | 23 | 949-950 | T17918S | 21 | 913-914 | T2111XS | 09 | 604-605 | ||
S99202S | 21 | 913-914 | T17920A | 04 | 205-206 | T2112XA | 22 | 935 | ||
S99209A | 21 | 913-914 | T17920D | 23 | 949-950 | T2112XD | 23 | 949-950 | ||
S99209A | 24 | 955-965 | T17920S | 21 | 913-914 | T2112XS | 09 | 604-605 | ||
S99209B | 21 | 913-914 | T17928A | 04 | 205-206 | T2113XA | 22 | 935 | ||
S99209B | 24 | 955-965 | T17928D | 23 | 949-950 | T2113XD | 23 | 949-950 | ||
S99209D | 23 | 949-950 | T17928S | 21 | 913-914 | T2113XS | 09 | 604-605 | ||
S99209G | 23 | 949-950 | T17990A | 04 | 205-206 | T2114XA | 22 | 935 | ||
S99209K | 23 | 949-950 | T17990D | 23 | 949-950 | T2114XD | 23 | 949-950 | ||
S99209P | 23 | 949-950 | T17990S | 21 | 913-914 | T2114XS | 09 | 604-605 | ||
S99209S | 21 | 913-914 | T17998A | 04 | 205-206 | T2115XA | 22 | 935 | ||
S99211A | 21 | 913-914 | T17998D | 23 | 949-950 | T2115XD | 23 | 949-950 | ||
S99211A | 24 | 955-965 | T17998S | 21 | 913-914 | T2115XS | 09 | 604-605 | ||
S99211B | 21 | 913-914 | T180XXA | Pre | 011-013 | T2116XA | 22 | 935 | ||
S99211B | 24 | 955-965 | T180XXA | 03 | 157-159 | T2116XD | 23 | 949-950 | ||
S99211D | 23 | 949-950 | T180XXD | 23 | 949-950 | T2116XS | 09 | 604-605 | ||
S99211G | 23 | 949-950 | T180XXS | 21 | 913-914 | T2117XA | 22 | 935 | ||
S99211K | 23 | 949-950 | T18100A | 06 | 393-395 | T2117XD | 23 | 949-950 | ||
S99211P | 23 | 949-950 | T18100D | 23 | 949-950 | T2117XS | 09 | 604-605 | ||
S99211S | 21 | 913-914 | T18100S | 21 | 913-914 | T2119XA | 22 | 935 | ||
S99212A | 21 | 913-914 | T18108A | 06 | 393-395 | T2119XD | 23 | 949-950 | ||
S99212A | 24 | 955-965 | T18108D | 23 | 949-950 | T2119XS | 09 | 604-605 | ||
S99212B | 21 | 913-914 | T18108S | 21 | 913-914 | T2120XA | 22 | 935 | ||
S99212B | 24 | 955-965 | T18110A | 06 | 393-395 | T2120XD | 23 | 949-950 | ||
S99212D | 23 | 949-950 | T18110D | 23 | 949-950 | T2120XS | 09 | 604-605 | ||
S99212G | 23 | 949-950 | T18110S | 21 | 913-914 | T2121XA | 22 | 935 | ||
S99212K | 23 | 949-950 | T18118A | 06 | 393-395 | T2121XD | 23 | 949-950 | ||
S99212P | 23 | 949-950 | T18118D | 23 | 949-950 | T2121XS | 09 | 604-605 | ||
S99212S | 21 | 913-914 | T18118S | 21 | 913-914 | T2122XA | 22 | 935 | ||
S99219A | 21 | 913-914 | T18120A | 06 | 393-395 | T2122XD | 23 | 949-950 | ||
S99219A | 24 | 955-965 | T18120D | 23 | 949-950 | T2122XS | 09 | 604-605 | ||
S99219B | 21 | 913-914 | T18120S | 21 | 913-914 | T2123XA | 22 | 935 | ||
S99219B | 24 | 955-965 | T18128A | 06 | 393-395 | T2123XD | 23 | 949-950 | ||
S99219D | 23 | 949-950 | T18128D | 23 | 949-950 | T2123XS | 09 | 604-605 | ||
S99219G | 23 | 949-950 | T18128S | 21 | 913-914 | T2124XA | 22 | 935 | ||
S99219K | 23 | 949-950 | T18190A | 06 | 393-395 | T2124XD | 23 | 949-950 | ||
S99219P | 23 | 949-950 | T18190D | 23 | 949-950 | T2124XS | 09 | 604-605 | ||
S99219S | 21 | 913-914 | T18190S | 21 | 913-914 | T2125XA | 22 | 935 | ||
S99221A | 21 | 913-914 | T18198A | 06 | 393-395 | T2125XD | 23 | 949-950 | ||
S99221A | 24 | 955-965 | T18198D | 23 | 949-950 | T2125XS | 09 | 604-605 | ||
S99221B | 21 | 913-914 | T18198S | 21 | 913-914 | T2126XA | 22 | 935 | ||
S99221B | 24 | 955-965 | T182XXA | 06 | 393-395 | T2126XD | 23 | 949-950 | ||
S99221D | 23 | 949-950 | T182XXD | 23 | 949-950 | T2126XS | 09 | 604-605 | ||
S99221G | 23 | 949-950 | T182XXS | 21 | 913-914 | T2127XA | 22 | 935 | ||
S99221K | 23 | 949-950 | T183XXA | 06 | 393-395 | T2127XD | 23 | 949-950 | ||
S99221P | 23 | 949-950 | T183XXD | 23 | 949-950 | T2127XS | 09 | 604-605 | ||
S99221S | 21 | 913-914 | T183XXS | 21 | 913-914 | T2129XA | 22 | 935 | ||
S99222A | 21 | 913-914 | T184XXA | 06 | 393-395 | T2129XD | 23 | 949-950 | ||
S99222A | 24 | 955-965 | T184XXD | 23 | 949-950 | T2129XS | 09 | 604-605 | ||
S99222B | 21 | 913-914 | T184XXS | 21 | 913-914 | T2130XA | 22 | 927,933 | ||
S99222B | 24 | 955-965 | T185XXA | 06 | 393-395 | T2130XA | 22 | 928-929,934 | ||
S99222D | 23 | 949-950 | T185XXD | 23 | 949-950 | T2130XD | 23 | 949-950 | ||
S99222G | 23 | 949-950 | T185XXS | 21 | 913-914 | T2130XS | 09 | 604-605 | ||
S99222K | 23 | 949-950 | T188XXA | 06 | 393-395 | T2131XA | 22 | 927,933 | ||
S99222P | 23 | 949-950 | T188XXD | 23 | 949-950 | T2131XA | 22 | 928-929,934 | ||
S99222S | 21 | 913-914 | T188XXS | 21 | 913-914 | T2131XD | 23 | 949-950 | ||
S99229A | 21 | 913-914 | T189XXA | 06 | 393-395 | T2131XS | 09 | 604-605 | ||
S99229A | 24 | 955-965 | T189XXD | 23 | 949-950 | T2132XA | 22 | 927,933 | ||
S99229B | 21 | 913-914 | T189XXS | 21 | 913-914 | T2132XA | 22 | 928-929,934 | ||
S99229B | 24 | 955-965 | T190XXA | 11 | 698-700 | T2132XD | 23 | 949-950 | ||
S99229D | 23 | 949-950 | T190XXD | 23 | 949-950 | T2132XS | 09 | 604-605 | ||
S99229G | 23 | 949-950 | T190XXS | 21 | 913-914 | T2133XA | 22 | 927,933 | ||
S99229K | 23 | 949-950 | T191XXA | 11 | 698-700 | T2133XA | 22 | 928-929,934 | ||
S99229P | 23 | 949-950 | T191XXD | 23 | 949-950 | T2133XD | 23 | 949-950 | ||
S99229S | 21 | 913-914 | T191XXS | 21 | 913-914 | T2133XS | 09 | 604-605 | ||
S99231A | 21 | 913-914 | T192XXA | 13 | 742-743 | T2134XA | 22 | 927,933 | ||
S99231A | 24 | 955-965 | T192XXA | 13 | 760-761 | T2134XA | 22 | 928-929,934 | ||
S99231B | 21 | 913-914 | T192XXD | 23 | 949-950 | T2134XD | 23 | 949-950 | ||
S99231B | 24 | 955-965 | T192XXS | 21 | 913-914 | T2134XS | 09 | 604-605 | ||
S99231D | 23 | 949-950 | T193XXA | 13 | 742-743 | T2135XA | 22 | 927,933 | ||
S99231G | 23 | 949-950 | T193XXA | 13 | 760-761 | T2135XA | 22 | 928-929,934 | ||
S99231K | 23 | 949-950 | T193XXD | 23 | 949-950 | T2135XD | 23 | 949-950 | ||
S99231P | 23 | 949-950 | T193XXS | 21 | 913-914 | T2135XS | 09 | 604-605 | ||
S99231S | 21 | 913-914 | T194XXA | 12 | 729-730 | T2136XA | 22 | 927,933 | ||
S99232A | 21 | 913-914 | T194XXD | 23 | 949-950 | T2136XA | 22 | 928-929,934 | ||
S99232A | 24 | 955-965 | T194XXS | 21 | 913-914 | T2136XD | 23 | 949-950 | ||
S99232B | 21 | 913-914 | T198XXA | 11 | 698-700 | T2136XS | 09 | 604-605 | ||
S99232B | 24 | 955-965 | T198XXD | 23 | 949-950 | T2137XA | 22 | 927,933 | ||
S99232D | 23 | 949-950 | T198XXS | 21 | 913-914 | T2137XA | 22 | 928-929,934 | ||
S99232G | 23 | 949-950 | T199XXA | 11 | 698-700 | T2137XD | 23 | 949-950 | ||
S99232K | 23 | 949-950 | T199XXD | 23 | 949-950 | T2137XS | 09 | 604-605 | ||
S99232P | 23 | 949-950 | T199XXS | 21 | 913-914 | T2139XA | 22 | 927,933 | ||
S99232S | 21 | 913-914 | T2000XA | 22 | 935 | T2139XA | 22 | 928-929,934 | ||
S99239A | 21 | 913-914 | T2000XD | 23 | 949-950 | T2139XD | 23 | 949-950 | ||
S99239A | 24 | 955-965 | T2000XS | 09 | 604-605 | T2139XS | 09 | 604-605 | ||
S99239B | 21 | 913-914 | T20011A | 22 | 935 | T2140XA | 22 | 935 | ||
S99239B | 24 | 955-965 | T20011D | 23 | 949-950 | T2140XD | 23 | 949-950 | ||
S99239D | 23 | 949-950 | T20011S | 09 | 604-605 | T2140XS | 09 | 604-605 | ||
S99239G | 23 | 949-950 | T20012A | 22 | 935 | T2141XA | 22 | 935 | ||
S99239K | 23 | 949-950 | T20012D | 23 | 949-950 | T2141XD | 23 | 949-950 | ||
S99239P | 23 | 949-950 | T20012S | 09 | 604-605 | T2141XS | 09 | 604-605 | ||
S99239S | 21 | 913-914 | T20019A | 22 | 935 | T2142XA | 22 | 935 | ||
S99241A | 21 | 913-914 | T20019D | 23 | 949-950 | T2142XD | 23 | 949-950 | ||
S99241A | 24 | 955-965 | T20019S | 09 | 604-605 | T2142XS | 09 | 604-605 | ||
S99241B | 21 | 913-914 | T2002XA | 22 | 935 | T2143XA | 22 | 935 | ||
S99241B | 24 | 955-965 | T2002XD | 23 | 949-950 | T2143XD | 23 | 949-950 | ||
S99241D | 23 | 949-950 | T2002XS | 09 | 604-605 | T2143XS | 09 | 604-605 | ||
S99241G | 23 | 949-950 | T2003XA | 22 | 935 | T2144XA | 22 | 935 | ||
S99241K | 23 | 949-950 | T2003XD | 23 | 949-950 | T2144XD | 23 | 949-950 | ||
S99241P | 23 | 949-950 | T2003XS | 09 | 604-605 | T2144XS | 09 | 604-605 | ||
S99241S | 21 | 913-914 | T2004XA | 22 | 935 | T2145XA | 22 | 935 | ||
S99242A | 21 | 913-914 | T2004XD | 23 | 949-950 | T2145XD | 23 | 949-950 | ||
S99242A | 24 | 955-965 | T2004XS | 09 | 604-605 | T2145XS | 09 | 604-605 | ||
S99242B | 21 | 913-914 | T2005XA | 22 | 935 | T2146XA | 22 | 935 | ||
S99242B | 24 | 955-965 | T2005XD | 23 | 949-950 | T2146XD | 23 | 949-950 | ||
S99242D | 23 | 949-950 | T2005XS | 09 | 604-605 | T2146XS | 09 | 604-605 | ||
S99242G | 23 | 949-950 | T2006XA | 22 | 935 | T2147XA | 22 | 935 | ||
S99242K | 23 | 949-950 | T2006XD | 23 | 949-950 | T2147XD | 23 | 949-950 | ||
S99242P | 23 | 949-950 | T2006XS | 09 | 604-605 | T2147XS | 09 | 604-605 | ||
S99242S | 21 | 913-914 | T2007XA | 22 | 935 | T2149XA | 22 | 935 | ||
S99249A | 21 | 913-914 | T2007XD | 23 | 949-950 | T2149XD | 23 | 949-950 | ||
S99249A | 24 | 955-965 | T2007XS | 09 | 604-605 | T2149XS | 09 | 604-605 | ||
S99249B | 21 | 913-914 | T2009XA | 22 | 935 | T2150XA | 22 | 935 | ||
S99249B | 24 | 955-965 | T2009XD | 23 | 949-950 | T2150XD | 23 | 949-950 | ||
S99249D | 23 | 949-950 | T2009XS | 09 | 604-605 | T2150XS | 09 | 604-605 | ||
S99249G | 23 | 949-950 | T2010XA | 22 | 935 | T2151XA | 22 | 935 | ||
S99249K | 23 | 949-950 | T2010XD | 23 | 949-950 | T2151XD | 23 | 949-950 | ||
S99249P | 23 | 949-950 | T2010XS | 09 | 604-605 | T2151XS | 09 | 604-605 | ||
S99249S | 21 | 913-914 | T20111A | 22 | 935 | T2152XA | 22 | 935 | ||
S99291A | 21 | 913-914 | T20111D | 23 | 949-950 | T2152XD | 23 | 949-950 | ||
S99291A | 24 | 955-965 | T20111S | 09 | 604-605 | T2152XS | 09 | 604-605 | ||
S99291B | 21 | 913-914 | T20112A | 22 | 935 | T2153XA | 22 | 935 | ||
S99291B | 24 | 955-965 | T20112D | 23 | 949-950 | T2153XD | 23 | 949-950 | ||
S99291D | 23 | 949-950 | T20112S | 09 | 604-605 | T2153XS | 09 | 604-605 | ||
S99291G | 23 | 949-950 | T20119A | 22 | 935 | T2154XA | 22 | 935 | ||
S99291K | 23 | 949-950 | T20119D | 23 | 949-950 | T2154XD | 23 | 949-950 | ||
S99291P | 23 | 949-950 | T20119S | 09 | 604-605 | T2154XS | 09 | 604-605 | ||
S99291S | 21 | 913-914 | T2012XA | 22 | 935 | T2155XA | 22 | 935 | ||
S99292A | 21 | 913-914 | T2012XD | 23 | 949-950 | T2155XD | 23 | 949-950 | ||
S99292A | 24 | 955-965 | T2012XS | 09 | 604-605 | T2155XS | 09 | 604-605 | ||
S99292B | 21 | 913-914 | T2013XA | 22 | 935 | T2156XA | 22 | 935 | ||
S99292B | 24 | 955-965 | T2013XD | 23 | 949-950 | T2156XD | 23 | 949-950 | ||
S99292D | 23 | 949-950 | T2013XS | 09 | 604-605 | T2156XS | 09 | 604-605 | ||
S99292G | 23 | 949-950 | T2014XA | 22 | 935 | T2157XA | 22 | 935 | ||
S99292K | 23 | 949-950 | T2014XD | 23 | 949-950 | T2157XD | 23 | 949-950 | ||
S99292P | 23 | 949-950 | T2014XS | 09 | 604-605 | T2157XS | 09 | 604-605 | ||
S99292S | 21 | 913-914 | T2015XA | 22 | 935 | T2159XA | 22 | 935 | ||
S99299A | 21 | 913-914 | T2015XD | 23 | 949-950 | T2159XD | 23 | 949-950 | ||
S99299A | 24 | 955-965 | T2015XS | 09 | 604-605 | T2159XS | 09 | 604-605 | ||
S99299B | 21 | 913-914 | T2016XA | 22 | 935 | T2160XA | 22 | 935 | ||
S99299B | 24 | 955-965 | T2016XD | 23 | 949-950 | T2160XD | 23 | 949-950 | ||
S99299D | 23 | 949-950 | T2016XS | 09 | 604-605 | T2160XS | 09 | 604-605 | ||
S99299G | 23 | 949-950 | T2017XA | 22 | 935 | T2161XA | 22 | 935 | ||
S99299K | 23 | 949-950 | T2017XD | 23 | 949-950 | T2161XD | 23 | 949-950 | ||
S99299P | 23 | 949-950 | T2017XS | 09 | 604-605 | T2161XS | 09 | 604-605 | ||
S99299S | 21 | 913-914 | T2019XA | 22 | 935 | T2162XA | 22 | 935 | ||
S99811A | 21 | 913-914 | T2019XD | 23 | 949-950 | T2162XD | 23 | 949-950 | ||
S99811A | 24 | 955-965 | T2019XS | 09 | 604-605 | T2162XS | 09 | 604-605 | ||
S99811D | 23 | 949-950 | T2020XA | 22 | 935 | T2163XA | 22 | 935 | ||
S99811S | 21 | 913-914 | T2020XD | 23 | 949-950 | T2163XD | 23 | 949-950 | ||
S99812A | 21 | 913-914 | T2020XS | 09 | 604-605 | T2163XS | 09 | 604-605 | ||
S99812A | 24 | 955-965 | T20211A | 22 | 935 | T2164XA | 22 | 935 | ||
S99812D | 23 | 949-950 | T20211D | 23 | 949-950 | T2164XD | 23 | 949-950 | ||
S99812S | 21 | 913-914 | T20211S | 09 | 604-605 | T2164XS | 09 | 604-605 | ||
S99819A | 21 | 913-914 | T20212A | 22 | 935 | T2165XA | 22 | 935 | ||
S99819A | 24 | 955-965 | T20212D | 23 | 949-950 | T2165XD | 23 | 949-950 | ||
S99819D | 23 | 949-950 | T20212S | 09 | 604-605 | T2165XS | 09 | 604-605 | ||
S99819S | 21 | 913-914 | T20219A | 22 | 935 | T2166XA | 22 | 935 | ||
S99821A | 21 | 913-914 | T20219D | 23 | 949-950 | T2166XD | 23 | 949-950 | ||
S99821A | 24 | 955-965 | T20219S | 09 | 604-605 | T2166XS | 09 | 604-605 | ||
S99821D | 23 | 949-950 | T2022XA | 22 | 935 | T2167XA | 22 | 935 | ||
S99821S | 21 | 913-914 | T2022XD | 23 | 949-950 | T2167XD | 23 | 949-950 | ||
S99822A | 21 | 913-914 | T2022XS | 09 | 604-605 | T2167XS | 09 | 604-605 | ||
S99822A | 24 | 955-965 | T2023XA | 22 | 935 | T2169XA | 22 | 935 | ||
S99822D | 23 | 949-950 | T2023XD | 23 | 949-950 | T2169XD | 23 | 949-950 | ||
S99822S | 21 | 913-914 | T2023XS | 09 | 604-605 | T2169XS | 09 | 604-605 | ||
S99829A | 21 | 913-914 | T2024XA | 22 | 935 | T2170XA | 22 | 927,933 | ||
S99829A | 24 | 955-965 | T2024XD | 23 | 949-950 | T2170XA | 22 | 928-929,934 | ||
S99829D | 23 | 949-950 | T2024XS | 09 | 604-605 | T2170XD | 23 | 949-950 | ||
S99829S | 21 | 913-914 | T2025XA | 22 | 935 | T2170XS | 09 | 604-605 | ||
S99911A | 21 | 913-914 | T2025XD | 23 | 949-950 | T2171XA | 22 | 927,933 | ||
S99911A | 24 | 955-965 | T2025XS | 09 | 604-605 | T2171XA | 22 | 928-929,934 | ||
S99911D | 23 | 949-950 | T2026XA | 22 | 935 | T2171XD | 23 | 949-950 | ||
S99911S | 21 | 913-914 | T2026XD | 23 | 949-950 | T2171XS | 09 | 604-605 | ||
S99912A | 21 | 913-914 | T2026XS | 09 | 604-605 | T2172XA | 22 | 927,933 | ||
S99912A | 24 | 955-965 | T2027XA | 22 | 935 | T2172XA | 22 | 928-929,934 | ||
S99912D | 23 | 949-950 | T2027XD | 23 | 949-950 | T2172XD | 23 | 949-950 | ||
S99912S | 21 | 913-914 | T2027XS | 09 | 604-605 | T2172XS | 09 | 604-605 | ||
S99919A | 21 | 913-914 | T2029XA | 22 | 935 | T2173XA | 22 | 927,933 | ||
S99919A | 24 | 955-965 | T2029XD | 23 | 949-950 | T2173XA | 22 | 928-929,934 | ||
S99919D | 23 | 949-950 | T2029XS | 09 | 604-605 | T2173XD | 23 | 949-950 | ||
S99919S | 21 | 913-914 | T2030XA | 22 | 927,933 | T2173XS | 09 | 604-605 | ||
S99921A | 21 | 913-914 | T2030XA | 22 | 928-929,934 | T2174XA | 22 | 927,933 | ||
S99921A | 24 | 955-965 | T2030XD | 23 | 949-950 | T2174XA | 22 | 928-929,934 | ||
S99921D | 23 | 949-950 | T2030XS | 09 | 604-605 | T2174XD | 23 | 949-950 | ||
S99921S | 21 | 913-914 | T20311A | 22 | 927,933 | T2174XS | 09 | 604-605 | ||
S99922A | 21 | 913-914 | T20311A | 22 | 928-929,934 | T2175XA | 22 | 927,933 | ||
S99922A | 24 | 955-965 | T20311D | 23 | 949-950 | T2175XA | 22 | 928-929,934 | ||
S99922D | 23 | 949-950 | T20311S | 09 | 604-605 | T2175XD | 23 | 949-950 | ||
S99922S | 21 | 913-914 | T20312A | 22 | 927,933 | T2175XS | 09 | 604-605 | ||
S99929A | 21 | 913-914 | T20312A | 22 | 928-929,934 | T2176XA | 22 | 927,933 | ||
S99929A | 24 | 955-965 | T20312D | 23 | 949-950 | T2176XA | 22 | 928-929,934 | ||
S99929D | 23 | 949-950 | T20312S | 09 | 604-605 | T2176XD | 23 | 949-950 | ||
S99929S | 21 | 913-914 | T20319A | 22 | 927,933 | T2176XS | 09 | 604-605 | ||
T07 | 09 | 604-605 | T20319A | 22 | 928-929,934 | T2177XA | 22 | 927,933 | ||
T07 | 24 | 955-965 | T20319D | 23 | 949-950 | T2177XA | 22 | 928-929,934 | ||
T148 | 09 | 604-605 | T20319S | 09 | 604-605 | T2177XD | 23 | 949-950 | ||
T148 | 24 | 955-965 | T2032XA | 22 | 927,933 | T2177XS | 09 | 604-605 | ||
T1490 | 21 | 913-914 | T2032XA | 22 | 928-929,934 | T2179XA | 22 | 927,933 | ||
T1490 | 24 | 955-965 | T2032XD | 23 | 949-950 | T2179XA | 22 | 928-929,934 | ||
T1491 | 21 | 913-914 | T2032XS | 09 | 604-605 | T2179XD | 23 | 949-950 | ||
T1491 | 24 | 955-965 | T2033XA | 22 | 927,933 | T2179XS | 09 | 604-605 | ||
T1500XA | 02 | 124-125 | T2033XA | 22 | 928-929,934 | T2200XA | 22 | 935 | ||
T1500XD | 23 | 949-950 | T2033XD | 23 | 949-950 | T2200XD | 23 | 949-950 | ||
T1500XS | 21 | 913-914 | T2033XS | 09 | 604-605 | T2200XS | 09 | 604-605 | ||
T1501XA | 02 | 124-125 | T2034XA | 22 | 927,933 | T22011A | 22 | 935 | ||
T1501XD | 23 | 949-950 | T2034XA | 22 | 928-929,934 | T22011D | 23 | 949-950 | ||
T1501XS | 21 | 913-914 | T2034XD | 23 | 949-950 | T22011S | 09 | 604-605 | ||
T1502XA | 02 | 124-125 | T2034XS | 09 | 604-605 | T22012A | 22 | 935 | ||
T1502XD | 23 | 949-950 | T2035XA | 22 | 927,933 | T22012D | 23 | 949-950 | ||
T1502XS | 21 | 913-914 | T2035XA | 22 | 928-929,934 | T22012S | 09 | 604-605 | ||
T1510XA | 02 | 124-125 | T2035XD | 23 | 949-950 | T22019A | 22 | 935 | ||
T1510XD | 23 | 949-950 | T2035XS | 09 | 604-605 | T22019D | 23 | 949-950 | ||
T1510XS | 21 | 913-914 | T2036XA | 22 | 927,933 | T22019S | 09 | 604-605 | ||
T1511XA | 02 | 124-125 | T2036XA | 22 | 928-929,934 | T22021A | 22 | 935 | ||
T1511XD | 23 | 949-950 | T2036XD | 23 | 949-950 | T22021D | 23 | 949-950 | ||
T1511XS | 21 | 913-914 | T2036XS | 09 | 604-605 | T22021S | 09 | 604-605 | ||
T1512XA | 02 | 124-125 | T2037XA | 22 | 927,933 | T22022A | 22 | 935 | ||
T1512XD | 23 | 949-950 | T2037XA | 22 | 928-929,934 | T22022D | 23 | 949-950 | ||
T1512XS | 21 | 913-914 | T2037XD | 23 | 949-950 | T22022S | 09 | 604-605 | ||
T1580XA | 02 | 124-125 | T2037XS | 09 | 604-605 | T22029A | 22 | 935 | ||
T1580XD | 23 | 949-950 | T2039XA | 22 | 927,933 | T22029D | 23 | 949-950 | ||
T1580XS | 21 | 913-914 | T2039XA | 22 | 928-929,934 | T22029S | 09 | 604-605 | ||
T1581XA | 02 | 124-125 | T2039XD | 23 | 949-950 | T22031A | 22 | 935 | ||
T1581XD | 23 | 949-950 | T2039XS | 09 | 604-605 | T22031D | 23 | 949-950 | ||
T1581XS | 21 | 913-914 | T2040XA | 22 | 935 | T22031S | 09 | 604-605 | ||
T1582XA | 02 | 124-125 | T2040XD | 23 | 949-950 | T22032A | 22 | 935 | ||
T1582XD | 23 | 949-950 | T2040XS | 09 | 604-605 | T22032D | 23 | 949-950 | ||
T1582XS | 21 | 913-914 | T20411A | 22 | 935 | T22032S | 09 | 604-605 | ||
T1590XA | 02 | 124-125 | T20411D | 23 | 949-950 | T22039A | 22 | 935 | ||
T1590XD | 23 | 949-950 | T20411S | 09 | 604-605 | T22039D | 23 | 949-950 | ||
T1590XS | 21 | 913-914 | T20412A | 22 | 935 | T22039S | 09 | 604-605 | ||
T1591XA | 02 | 124-125 | T20412D | 23 | 949-950 | T22041A | 22 | 935 | ||
T1591XD | 23 | 949-950 | T20412S | 09 | 604-605 | T22041D | 23 | 949-950 | ||
T1591XS | 21 | 913-914 | T20419A | 22 | 935 | T22041S | 09 | 604-605 |
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 |