ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 23 of 75 |
| A000 B302 C577 C8442 D309 E093393 E1344 F19280 G9761 H21341 H52203 I369 I70221 J682 K7031 L89200 M06812 M23203 M4841XS M71811 M84529D M87842 N468 O1214 O336XX3 O368234 O714 P913 R062 S0092XA S0303XA S069X2A S14106D S21312S S25809S S31811D S32499S S37012A S42123D S42449D S46329S S52045R S52291A S52552B S56112S S60359A S61509A S62321G S62660D S63637S S66529S S72024G S72114B S72326D S72451B S7711XD S82045J S82251P S8261XA S83521A S89309D S92044S S92426G S96802A T20219S T23229S T25739S T391X5S T444X2S T498X3S T602X4S T7805XS T83728S Z315 Z96641 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| N468 | 12 | 729-730 | N80A61 | 11 | 698-700 | N99522 | 11 | 698-700 | ||
| N469 | 12 | 729-730 | N80A62 | 11 | 698-700 | N99522 | 15 | 791 | ||
| N470 | 12 | 727-728 | N80A63 | 11 | 698-700 | N99522 | 15 | 793 | ||
| N470 | 15 | 795 | N80A69 | 11 | 698-700 | N99523 | 11 | 698-700 | ||
| N471 | 12 | 727-728 | N80B1 | 04 | 205-206 | N99523 | 15 | 791 | ||
| N471 | 15 | 795 | N80B2 | 04 | 205-206 | N99523 | 15 | 793 | ||
| N472 | 12 | 727-728 | N80B31 | 04 | 205-206 | N99524 | 11 | 698-700 | ||
| N472 | 15 | 795 | N80B32 | 04 | 205-206 | N99524 | 15 | 791 | ||
| N473 | 12 | 727-728 | N80B39 | 04 | 205-206 | N99524 | 15 | 793 | ||
| N473 | 15 | 795 | N80B4 | 13 | 742-743 | N99528 | 11 | 698-700 | ||
| N474 | 12 | 727-728 | N80B4 | 13 | 760-761 | N99528 | 15 | 791 | ||
| N474 | 15 | 795 | N80B5 | 13 | 742-743 | N99528 | 15 | 793 | ||
| N475 | 12 | 727-728 | N80B5 | 13 | 760-761 | N99530 | 11 | 698-700 | ||
| N475 | 15 | 795 | N80B6 | 13 | 742-743 | N99530 | 15 | 791 | ||
| N476 | 12 | 727-728 | N80B6 | 13 | 760-761 | N99530 | 15 | 793 | ||
| N477 | 12 | 727-728 | N80C0 | 13 | 742-743 | N99531 | 11 | 698-700 | ||
| N477 | 15 | 795 | N80C0 | 13 | 760-761 | N99531 | 15 | 791 | ||
| N478 | 12 | 727-728 | N80C10 | 13 | 742-743 | N99531 | 15 | 793 | ||
| N478 | 15 | 795 | N80C10 | 13 | 760-761 | N99532 | 11 | 698-700 | ||
| N480 | 12 | 729-730 | N80C11 | 13 | 742-743 | N99532 | 15 | 791 | ||
| N481 | 12 | 727-728 | N80C11 | 13 | 760-761 | N99532 | 15 | 793 | ||
| N4821 | 12 | 727-728 | N80C19 | 13 | 742-743 | N99533 | 11 | 698-700 | ||
| N4822 | 12 | 727-728 | N80C19 | 13 | 760-761 | N99533 | 15 | 791 | ||
| N4829 | 12 | 727-728 | N80C2 | 13 | 742-743 | N99533 | 15 | 793 | ||
| N4830 | 12 | 729-730 | N80C2 | 13 | 760-761 | N99534 | 11 | 698-700 | ||
| N4831 | 12 | 729-730 | N80C3 | 13 | 742-743 | N99534 | 15 | 791 | ||
| N4832 | 12 | 729-730 | N80C3 | 13 | 760-761 | N99534 | 15 | 793 | ||
| N4833 | 12 | 729-730 | N80C4 | 13 | 742-743 | N99538 | 11 | 698-700 | ||
| N4839 | 12 | 729-730 | N80C4 | 13 | 760-761 | N99538 | 15 | 791 | ||
| N485 | 12 | 729-730 | N80C9 | 13 | 742-743 | N99538 | 15 | 793 | ||
| N486 | 12 | 729-730 | N80C9 | 13 | 760-761 | N9961 | 21 | 919-921 | ||
| N4881 | 12 | 729-730 | N80D0 | 13 | 742-743 | N9962 | 21 | 919-921 | ||
| N4882 | 12 | 729-730 | N80D0 | 13 | 760-761 | N9971 | 15 | 791 | ||
| N4883 | 12 | 729-730 | N80D1 | 13 | 742-743 | N9971 | 15 | 793 | ||
| N4889 | 12 | 729-730 | N80D1 | 13 | 760-761 | N9971 | 21 | 919-921 | ||
| N489 | 12 | 729-730 | N80D2 | 13 | 742-743 | N9972 | 15 | 791 | ||
| N490 | 12 | 727-728 | N80D2 | 13 | 760-761 | N9972 | 15 | 793 | ||
| N491 | 12 | 727-728 | N80D3 | 13 | 742-743 | N9972 | 21 | 919-921 | ||
| N492 | 12 | 727-728 | N80D3 | 13 | 760-761 | N9981 | 11 | 698-700 | ||
| N493 | 12 | 727-728 | N80D4 | 13 | 742-743 | N9981 | 15 | 791 | ||
| N498 | 12 | 727-728 | N80D4 | 13 | 760-761 | N9981 | 15 | 793 | ||
| N499 | 12 | 727-728 | N80D5 | 13 | 742-743 | N99820 | 21 | 919-921 | ||
| N500 | 12 | 729-730 | N80D5 | 13 | 760-761 | N99821 | 21 | 919-921 | ||
| N501 | 12 | 729-730 | N80D6 | 13 | 742-743 | N9983 | 13 | 742-743 | ||
| N503 | 12 | 729-730 | N80D6 | 13 | 760-761 | N9983 | 13 | 760-761 | ||
| N50811 | 12 | 729-730 | N80D9 | 13 | 742-743 | N99840 | 21 | 919-921 | ||
| N50812 | 12 | 729-730 | N80D9 | 13 | 760-761 | N99841 | 21 | 919-921 | ||
| N50819 | 12 | 729-730 | N810 | 13 | 742-743 | N99842 | 21 | 919-921 | ||
| N5082 | 12 | 729-730 | N810 | 13 | 760-761 | N99843 | 21 | 919-921 | ||
| N5089 | 12 | 729-730 | N8110 | 13 | 742-743 | N9985 | 13 | 760-761 | ||
| N509 | 12 | 729-730 | N8110 | 13 | 760-761 | N9989 | 11 | 698-700 | ||
| N51 | 12 | 729-730 | N8111 | 13 | 742-743 | N9989 | 15 | 791 | ||
| N5201 | 12 | 729-730 | N8111 | 13 | 760-761 | N9989 | 15 | 793 | ||
| N5202 | 12 | 729-730 | N8112 | 13 | 742-743 | O0000 | 14 | 817-819 | ||
| N5203 | 12 | 729-730 | N8112 | 13 | 760-761 | O0000 | 14 | 831-833 | ||
| N521 | 12 | 729-730 | N812 | 13 | 742-743 | O0001 | 14 | 817-819 | ||
| N522 | 12 | 729-730 | N812 | 13 | 760-761 | O0001 | 14 | 831-833 | ||
| N5231 | 12 | 729-730 | N813 | 13 | 742-743 | O00101 | 14 | 817-819 | ||
| N5232 | 12 | 729-730 | N813 | 13 | 760-761 | O00101 | 14 | 831-833 | ||
| N5233 | 12 | 729-730 | N814 | 13 | 742-743 | O00102 | 14 | 817-819 | ||
| N5234 | 12 | 729-730 | N814 | 13 | 760-761 | O00102 | 14 | 831-833 | ||
| N5235 | 12 | 729-730 | N815 | 13 | 742-743 | O00109 | 14 | 817-819 | ||
| N5236 | 12 | 729-730 | N815 | 13 | 760-761 | O00109 | 14 | 831-833 | ||
| N5237 | 12 | 729-730 | N816 | 13 | 742-743 | O00111 | 14 | 817-819 | ||
| N5239 | 12 | 729-730 | N816 | 13 | 760-761 | O00111 | 14 | 831-833 | ||
| N528 | 12 | 729-730 | N8181 | 13 | 742-743 | O00112 | 14 | 817-819 | ||
| N529 | 12 | 729-730 | N8181 | 13 | 760-761 | O00112 | 14 | 831-833 | ||
| N5311 | 12 | 729-730 | N8182 | 13 | 742-743 | O00119 | 14 | 817-819 | ||
| N5312 | 12 | 729-730 | N8182 | 13 | 760-761 | O00119 | 14 | 831-833 | ||
| N5313 | 12 | 729-730 | N8183 | 13 | 742-743 | O00201 | 14 | 817-819 | ||
| N5314 | 12 | 729-730 | N8183 | 13 | 760-761 | O00201 | 14 | 831-833 | ||
| N5319 | 12 | 729-730 | N8184 | 13 | 742-743 | O00202 | 14 | 817-819 | ||
| N538 | 12 | 729-730 | N8184 | 13 | 760-761 | O00202 | 14 | 831-833 | ||
| N539 | 12 | 729-730 | N8185 | 13 | 742-743 | O00209 | 14 | 817-819 | ||
| N6001 | 09 | 600-601 | N8185 | 13 | 760-761 | O00209 | 14 | 831-833 | ||
| N6002 | 09 | 600-601 | N8189 | 13 | 742-743 | O00211 | 14 | 817-819 | ||
| N6009 | 09 | 600-601 | N8189 | 13 | 760-761 | O00211 | 14 | 831-833 | ||
| N6011 | 09 | 600-601 | N819 | 13 | 742-743 | O00212 | 14 | 817-819 | ||
| N6012 | 09 | 600-601 | N819 | 13 | 760-761 | O00212 | 14 | 831-833 | ||
| N6019 | 09 | 600-601 | N820 | 13 | 742-743 | O00219 | 14 | 817-819 | ||
| N6021 | 09 | 600-601 | N820 | 13 | 760-761 | O00219 | 14 | 831-833 | ||
| N6022 | 09 | 600-601 | N821 | 13 | 742-743 | O0080 | 14 | 817-819 | ||
| N6029 | 09 | 600-601 | N821 | 13 | 760-761 | O0080 | 14 | 831-833 | ||
| N6031 | 09 | 600-601 | N822 | 06 | 393-395 | O0081 | 14 | 817-819 | ||
| N6032 | 09 | 600-601 | N822 | 15 | 791 | O0081 | 14 | 831-833 | ||
| N6039 | 09 | 600-601 | N822 | 15 | 793 | O0090 | 14 | 817-819 | ||
| N6041 | 09 | 600-601 | N823 | 06 | 393-395 | O0090 | 14 | 831-833 | ||
| N6042 | 09 | 600-601 | N823 | 15 | 791 | O0091 | 14 | 817-819 | ||
| N6049 | 09 | 600-601 | N823 | 15 | 793 | O0091 | 14 | 831-833 | ||
| N6081 | 09 | 600-601 | N824 | 06 | 393-395 | O010 | 14 | 817-819 | ||
| N6082 | 09 | 600-601 | N824 | 15 | 791 | O010 | 14 | 831-833 | ||
| N6089 | 09 | 600-601 | N824 | 15 | 793 | O011 | 14 | 817-819 | ||
| N6091 | 09 | 600-601 | N825 | 13 | 742-743 | O011 | 14 | 831-833 | ||
| N6092 | 09 | 600-601 | N825 | 13 | 760-761 | O019 | 14 | 817-819 | ||
| N6099 | 09 | 600-601 | N828 | 13 | 742-743 | O019 | 14 | 831-833 | ||
| N610 | 09 | 600-601 | N828 | 13 | 760-761 | O020 | 14 | 817-819 | ||
| N611 | 09 | 600-601 | N828 | 15 | 791 | O020 | 14 | 831-833 | ||
| N6120 | 09 | 600-601 | N828 | 15 | 793 | O021 | 14 | 770 | ||
| N6121 | 09 | 600-601 | N829 | 13 | 742-743 | O021 | 14 | 779 | ||
| N6122 | 09 | 600-601 | N829 | 13 | 760-761 | O0281 | 14 | 817-819 | ||
| N6123 | 09 | 600-601 | N8300 | 13 | 742-743 | O0281 | 14 | 831-833 | ||
| N62 | 09 | 600-601 | N8300 | 13 | 760-761 | O0289 | 14 | 817-819 | ||
| N630 | 09 | 600-601 | N8301 | 13 | 742-743 | O0289 | 14 | 831-833 | ||
| N6310 | 09 | 600-601 | N8301 | 13 | 760-761 | O029 | 14 | 817-819 | ||
| N6311 | 09 | 600-601 | N8302 | 13 | 742-743 | O029 | 14 | 831-833 | ||
| N6312 | 09 | 600-601 | N8302 | 13 | 760-761 | O030 | 14 | 770 | ||
| N6313 | 09 | 600-601 | N8310 | 13 | 742-743 | O030 | 14 | 779 | ||
| N6314 | 09 | 600-601 | N8310 | 13 | 760-761 | O031 | 14 | 770 | ||
| N6315 | 09 | 600-601 | N8311 | 13 | 742-743 | O031 | 14 | 779 | ||
| N6320 | 09 | 600-601 | N8311 | 13 | 760-761 | O032 | 14 | 770 | ||
| N6321 | 09 | 600-601 | N8312 | 13 | 742-743 | O032 | 14 | 779 | ||
| N6322 | 09 | 600-601 | N8312 | 13 | 760-761 | O0330 | 14 | 770 | ||
| N6323 | 09 | 600-601 | N83201 | 13 | 742-743 | O0330 | 14 | 779 | ||
| N6324 | 09 | 600-601 | N83201 | 13 | 760-761 | O0331 | 14 | 770 | ||
| N6325 | 09 | 600-601 | N83202 | 13 | 742-743 | O0331 | 14 | 779 | ||
| N6331 | 09 | 600-601 | N83202 | 13 | 760-761 | O0332 | 14 | 770 | ||
| N6332 | 09 | 600-601 | N83209 | 13 | 742-743 | O0332 | 14 | 779 | ||
| N6341 | 09 | 600-601 | N83209 | 13 | 760-761 | O0333 | 14 | 770 | ||
| N6342 | 09 | 600-601 | N83291 | 13 | 742-743 | O0333 | 14 | 779 | ||
| N640 | 09 | 600-601 | N83291 | 13 | 760-761 | O0334 | 14 | 770 | ||
| N641 | 09 | 600-601 | N83292 | 13 | 742-743 | O0334 | 14 | 779 | ||
| N642 | 09 | 600-601 | N83292 | 13 | 760-761 | O0335 | 14 | 770 | ||
| N643 | 09 | 600-601 | N83299 | 13 | 742-743 | O0335 | 14 | 779 | ||
| N644 | 09 | 600-601 | N83299 | 13 | 760-761 | O0336 | 14 | 770 | ||
| N6451 | 09 | 600-601 | N83311 | 13 | 742-743 | O0336 | 14 | 779 | ||
| N6452 | 09 | 600-601 | N83311 | 13 | 760-761 | O0337 | 14 | 770 | ||
| N6453 | 09 | 600-601 | N83312 | 13 | 742-743 | O0337 | 14 | 779 | ||
| N6459 | 09 | 600-601 | N83312 | 13 | 760-761 | O0338 | 14 | 770 | ||
| N6481 | 09 | 600-601 | N83319 | 13 | 742-743 | O0338 | 14 | 779 | ||
| N6482 | 09 | 600-601 | N83319 | 13 | 760-761 | O0339 | 14 | 770 | ||
| N6489 | 09 | 600-601 | N83321 | 13 | 742-743 | O0339 | 14 | 779 | ||
| N649 | 09 | 600-601 | N83321 | 13 | 760-761 | O034 | 14 | 770 | ||
| N650 | 09 | 600-601 | N83322 | 13 | 742-743 | O034 | 14 | 779 | ||
| N651 | 09 | 600-601 | N83322 | 13 | 760-761 | O035 | 14 | 770 | ||
| N7001 | 13 | 742-743 | N83329 | 13 | 742-743 | O035 | 14 | 779 | ||
| N7001 | 13 | 757-759 | N83329 | 13 | 760-761 | O036 | 14 | 770 | ||
| N7002 | 13 | 742-743 | N83331 | 13 | 742-743 | O036 | 14 | 779 | ||
| N7002 | 13 | 757-759 | N83331 | 13 | 760-761 | O037 | 14 | 770 | ||
| N7003 | 13 | 742-743 | N83332 | 13 | 742-743 | O037 | 14 | 779 | ||
| N7003 | 13 | 757-759 | N83332 | 13 | 760-761 | O0380 | 14 | 770 | ||
| N7011 | 13 | 742-743 | N83339 | 13 | 742-743 | O0380 | 14 | 779 | ||
| N7011 | 13 | 757-759 | N83339 | 13 | 760-761 | O0381 | 14 | 770 | ||
| N7012 | 13 | 742-743 | N8340 | 13 | 742-743 | O0381 | 14 | 779 | ||
| N7012 | 13 | 757-759 | N8340 | 13 | 760-761 | O0382 | 14 | 770 | ||
| N7013 | 13 | 742-743 | N8341 | 13 | 742-743 | O0382 | 14 | 779 | ||
| N7013 | 13 | 757-759 | N8341 | 13 | 760-761 | O0383 | 14 | 770 | ||
| N7091 | 13 | 742-743 | N8342 | 13 | 742-743 | O0383 | 14 | 779 | ||
| N7091 | 13 | 757-759 | N8342 | 13 | 760-761 | O0384 | 14 | 770 | ||
| N7092 | 13 | 742-743 | N83511 | 13 | 742-743 | O0384 | 14 | 779 | ||
| N7092 | 13 | 757-759 | N83511 | 13 | 760-761 | O0385 | 14 | 770 | ||
| N7093 | 13 | 742-743 | N83512 | 13 | 742-743 | O0385 | 14 | 779 | ||
| N7093 | 13 | 757-759 | N83512 | 13 | 760-761 | O0386 | 14 | 770 | ||
| N710 | 13 | 742-743 | N83519 | 13 | 742-743 | O0386 | 14 | 779 | ||
| N710 | 13 | 757-759 | N83519 | 13 | 760-761 | O0387 | 14 | 770 | ||
| N711 | 13 | 742-743 | N83521 | 13 | 742-743 | O0387 | 14 | 779 | ||
| N711 | 13 | 757-759 | N83521 | 13 | 760-761 | O0388 | 14 | 770 | ||
| N719 | 13 | 742-743 | N83522 | 13 | 742-743 | O0388 | 14 | 779 | ||
| N719 | 13 | 757-759 | N83522 | 13 | 760-761 | O0389 | 14 | 770 | ||
| N72 | 13 | 742-743 | N83529 | 13 | 742-743 | O0389 | 14 | 779 | ||
| N72 | 13 | 757-759 | N83529 | 13 | 760-761 | O039 | 14 | 770 | ||
| N730 | 13 | 742-743 | N8353 | 13 | 742-743 | O039 | 14 | 779 | ||
| N730 | 13 | 757-759 | N8353 | 13 | 760-761 | O045 | 14 | 770 | ||
| N731 | 13 | 742-743 | N836 | 13 | 742-743 | O045 | 14 | 779 | ||
| N731 | 13 | 757-759 | N836 | 13 | 760-761 | O046 | 14 | 770 | ||
| N732 | 13 | 742-743 | N837 | 13 | 742-743 | O046 | 14 | 779 | ||
| N732 | 13 | 757-759 | N837 | 13 | 760-761 | O047 | 14 | 770 | ||
| N733 | 13 | 742-743 | N837 | 15 | 791 | O047 | 14 | 779 | ||
| N733 | 13 | 757-759 | N837 | 15 | 793 | O0480 | 14 | 770 | ||
| N734 | 13 | 742-743 | N838 | 13 | 742-743 | O0480 | 14 | 779 | ||
| N734 | 13 | 757-759 | N838 | 13 | 760-761 | O0481 | 14 | 770 | ||
| N735 | 13 | 742-743 | N839 | 13 | 742-743 | O0481 | 14 | 779 | ||
| N735 | 13 | 757-759 | N839 | 13 | 760-761 | O0482 | 14 | 770 | ||
| N736 | 13 | 742-743 | N840 | 13 | 742-743 | O0482 | 14 | 779 | ||
| N736 | 13 | 760-761 | N840 | 13 | 760-761 | O0483 | 14 | 770 | ||
| N738 | 13 | 742-743 | N841 | 13 | 742-743 | O0483 | 14 | 779 | ||
| N738 | 13 | 757-759 | N841 | 13 | 760-761 | O0484 | 14 | 770 | ||
| N739 | 13 | 742-743 | N842 | 13 | 742-743 | O0484 | 14 | 779 | ||
| N739 | 13 | 757-759 | N842 | 13 | 760-761 | O0485 | 14 | 770 | ||
| N74 | 13 | 742-743 | N843 | 13 | 742-743 | O0485 | 14 | 779 | ||
| N74 | 13 | 757-759 | N843 | 13 | 760-761 | O0486 | 14 | 770 | ||
| N750 | 13 | 742-743 | N848 | 13 | 742-743 | O0486 | 14 | 779 | ||
| N750 | 13 | 760-761 | N848 | 13 | 760-761 | O0487 | 14 | 770 | ||
| N751 | 13 | 742-743 | N849 | 13 | 742-743 | O0487 | 14 | 779 | ||
| N751 | 13 | 757-759 | N849 | 13 | 760-761 | O0488 | 14 | 770 | ||
| N758 | 13 | 742-743 | N8500 | 13 | 742-743 | O0488 | 14 | 779 | ||
| N758 | 13 | 760-761 | N8500 | 13 | 760-761 | O0489 | 14 | 770 | ||
| N759 | 13 | 742-743 | N8501 | 13 | 742-743 | O0489 | 14 | 779 | ||
| N759 | 13 | 757-759 | N8501 | 13 | 760-761 | O070 | 14 | 770 | ||
| N760 | 13 | 742-743 | N8502 | 13 | 742-743 | O070 | 14 | 779 | ||
| N760 | 13 | 757-759 | N8502 | 13 | 760-761 | O071 | 14 | 770 | ||
| N761 | 13 | 742-743 | N852 | 13 | 742-743 | O071 | 14 | 779 | ||
| N761 | 13 | 757-759 | N852 | 13 | 760-761 | O072 | 14 | 770 | ||
| N762 | 13 | 742-743 | N853 | 13 | 742-743 | O072 | 14 | 779 | ||
| N762 | 13 | 757-759 | N853 | 13 | 760-761 | O0730 | 14 | 770 | ||
| N763 | 13 | 742-743 | N854 | 13 | 742-743 | O0730 | 14 | 779 | ||
| N763 | 13 | 757-759 | N854 | 13 | 760-761 | O0731 | 14 | 770 | ||
| N764 | 13 | 742-743 | N855 | 13 | 742-743 | O0731 | 14 | 779 | ||
| N764 | 13 | 757-759 | N855 | 13 | 760-761 | O0732 | 14 | 770 | ||
| N765 | 13 | 742-743 | N856 | 13 | 742-743 | O0732 | 14 | 779 | ||
| N765 | 13 | 757-759 | N856 | 13 | 760-761 | O0733 | 14 | 770 | ||
| N766 | 13 | 742-743 | N857 | 13 | 742-743 | O0733 | 14 | 779 | ||
| N766 | 13 | 760-761 | N857 | 13 | 760-761 | O0734 | 14 | 770 | ||
| N7681 | 13 | 742-743 | N858 | 13 | 742-743 | O0734 | 14 | 779 | ||
| N7681 | 13 | 757-759 | N858 | 13 | 760-761 | O0735 | 14 | 770 | ||
| N7682 | 13 | 742-743 | N859 | 13 | 742-743 | O0735 | 14 | 779 | ||
| N7682 | 13 | 757-759 | N859 | 13 | 760-761 | O0736 | 14 | 770 | ||
| N7689 | 13 | 742-743 | N85A | 13 | 742-743 | O0736 | 14 | 779 | ||
| N7689 | 13 | 757-759 | N85A | 13 | 760-761 | O0737 | 14 | 770 | ||
| N770 | 13 | 742-743 | N86 | 13 | 742-743 | O0737 | 14 | 779 | ||
| N770 | 13 | 760-761 | N86 | 13 | 760-761 | O0738 | 14 | 770 | ||
| N771 | 13 | 742-743 | N870 | 13 | 742-743 | O0738 | 14 | 779 | ||
| N771 | 13 | 757-759 | N870 | 13 | 760-761 | O0739 | 14 | 770 | ||
| N8000 | 13 | 742-743 | N871 | 13 | 742-743 | O0739 | 14 | 779 | ||
| N8000 | 13 | 760-761 | N871 | 13 | 760-761 | O074 | 14 | 770 | ||
| N8001 | 13 | 742-743 | N879 | 13 | 742-743 | O074 | 14 | 779 | ||
| N8001 | 13 | 760-761 | N879 | 13 | 760-761 | O080 | 14 | 769 | ||
| N8002 | 13 | 742-743 | N880 | 13 | 742-743 | O080 | 14 | 776 | ||
| N8002 | 13 | 760-761 | N880 | 13 | 760-761 | O081 | 14 | 769 | ||
| N8003 | 13 | 742-743 | N881 | 13 | 742-743 | O081 | 14 | 776 | ||
| N8003 | 13 | 760-761 | N881 | 13 | 760-761 | O082 | 14 | 769 | ||
| N80101 | 13 | 742-743 | N882 | 13 | 742-743 | O082 | 14 | 776 | ||
| N80101 | 13 | 760-761 | N882 | 13 | 760-761 | O083 | 14 | 769 | ||
| N80102 | 13 | 742-743 | N883 | 13 | 742-743 | O083 | 14 | 776 | ||
| N80102 | 13 | 760-761 | N883 | 13 | 760-761 | O084 | 14 | 769 | ||
| N80103 | 13 | 742-743 | N884 | 13 | 742-743 | O084 | 14 | 776 | ||
| N80103 | 13 | 760-761 | N884 | 13 | 760-761 | O085 | 14 | 769 | ||
| N80109 | 13 | 742-743 | N888 | 13 | 742-743 | O085 | 14 | 776 | ||
| N80109 | 13 | 760-761 | N888 | 13 | 760-761 | O086 | 14 | 769 | ||
| N80111 | 13 | 742-743 | N889 | 13 | 742-743 | O086 | 14 | 776 | ||
| N80111 | 13 | 760-761 | N889 | 13 | 760-761 | O087 | 14 | 769 | ||
| N80112 | 13 | 742-743 | N890 | 13 | 742-743 | O087 | 14 | 776 | ||
| N80112 | 13 | 760-761 | N890 | 13 | 760-761 | O0881 | 14 | 769 | ||
| N80113 | 13 | 742-743 | N891 | 13 | 742-743 | O0881 | 14 | 776 | ||
| N80113 | 13 | 760-761 | N891 | 13 | 760-761 | O0882 | 14 | 769 | ||
| N80119 | 13 | 742-743 | N893 | 13 | 742-743 | O0882 | 14 | 776 | ||
| N80119 | 13 | 760-761 | N893 | 13 | 760-761 | O0883 | 14 | 769 | ||
| N80121 | 13 | 742-743 | N894 | 13 | 742-743 | O0883 | 14 | 776 | ||
| N80121 | 13 | 760-761 | N894 | 13 | 760-761 | O0889 | 14 | 769 | ||
| N80122 | 13 | 742-743 | N895 | 13 | 742-743 | O0889 | 14 | 776 | ||
| N80122 | 13 | 760-761 | N895 | 13 | 760-761 | O089 | 14 | 769 | ||
| N80123 | 13 | 742-743 | N896 | 13 | 742-743 | O089 | 14 | 776 | ||
| N80123 | 13 | 760-761 | N896 | 13 | 760-761 | O0900 | 14 | 998 | ||
| N80129 | 13 | 742-743 | N897 | 13 | 742-743 | O0901 | 14 | 998 | ||
| N80129 | 13 | 760-761 | N897 | 13 | 760-761 | O0902 | 14 | 998 | ||
| N80201 | 13 | 742-743 | N898 | 13 | 742-743 | O0903 | 14 | 998 | ||
| N80201 | 13 | 760-761 | N898 | 13 | 760-761 | O0910 | 14 | 998 | ||
| N80202 | 13 | 742-743 | N898 | 15 | 795 | O0911 | 14 | 998 | ||
| N80202 | 13 | 760-761 | N899 | 13 | 742-743 | O0912 | 14 | 998 | ||
| N80203 | 13 | 742-743 | N899 | 13 | 760-761 | O0913 | 14 | 998 | ||
| N80203 | 13 | 760-761 | N900 | 13 | 742-743 | O09211 | 14 | 998 | ||
| N80209 | 13 | 742-743 | N900 | 13 | 760-761 | O09212 | 14 | 998 | ||
| N80209 | 13 | 760-761 | N901 | 13 | 742-743 | O09213 | 14 | 998 | ||
| N80211 | 13 | 742-743 | N901 | 13 | 760-761 | O09219 | 14 | 998 | ||
| N80211 | 13 | 760-761 | N903 | 13 | 742-743 | O09291 | 14 | 998 | ||
| N80212 | 13 | 742-743 | N903 | 13 | 760-761 | O09292 | 14 | 998 | ||
| N80212 | 13 | 760-761 | N904 | 13 | 742-743 | O09293 | 14 | 998 | ||
| N80213 | 13 | 742-743 | N904 | 13 | 760-761 | O09299 | 14 | 998 | ||
| N80213 | 13 | 760-761 | N905 | 13 | 742-743 | O0930 | 14 | 998 | ||
| N80219 | 13 | 742-743 | N905 | 13 | 760-761 | O0931 | 14 | 998 | ||
| N80219 | 13 | 760-761 | N9060 | 13 | 742-743 | O0932 | 14 | 998 | ||
| N80221 | 13 | 742-743 | N9060 | 13 | 760-761 | O0933 | 14 | 998 | ||
| N80221 | 13 | 760-761 | N9061 | 13 | 742-743 | O0940 | 14 | 998 | ||
| N80222 | 13 | 742-743 | N9061 | 13 | 760-761 | O0941 | 14 | 998 | ||
| N80222 | 13 | 760-761 | N9069 | 13 | 742-743 | O0942 | 14 | 998 | ||
| N80223 | 13 | 742-743 | N9069 | 13 | 760-761 | O0943 | 14 | 998 | ||
| N80223 | 13 | 760-761 | N907 | 13 | 742-743 | O09511 | 14 | 998 | ||
| N80229 | 13 | 742-743 | N907 | 13 | 760-761 | O09512 | 14 | 998 | ||
| N80229 | 13 | 760-761 | N90810 | 13 | 742-743 | O09513 | 14 | 998 | ||
| N8030 | 13 | 742-743 | N90810 | 13 | 760-761 | O09519 | 14 | 998 | ||
| N8030 | 13 | 760-761 | N90811 | 13 | 742-743 | O09521 | 14 | 998 | ||
| N80311 | 13 | 742-743 | N90811 | 13 | 760-761 | O09522 | 14 | 998 | ||
| N80311 | 13 | 760-761 | N90812 | 13 | 742-743 | O09523 | 14 | 998 | ||
| N80312 | 13 | 742-743 | N90812 | 13 | 760-761 | O09529 | 14 | 998 | ||
| N80312 | 13 | 760-761 | N90813 | 13 | 742-743 | O09611 | 14 | 998 | ||
| N80319 | 13 | 742-743 | N90813 | 13 | 760-761 | O09612 | 14 | 998 | ||
| N80319 | 13 | 760-761 | N90818 | 13 | 742-743 | O09613 | 14 | 998 | ||
| N80321 | 13 | 742-743 | N90818 | 13 | 760-761 | O09619 | 14 | 998 | ||
| N80321 | 13 | 760-761 | N9089 | 13 | 742-743 | O09621 | 14 | 998 | ||
| N80322 | 13 | 742-743 | N9089 | 13 | 760-761 | O09622 | 14 | 998 | ||
| N80322 | 13 | 760-761 | N909 | 13 | 742-743 | O09623 | 14 | 998 | ||
| N80329 | 13 | 742-743 | N909 | 13 | 760-761 | O09629 | 14 | 998 | ||
| N80329 | 13 | 760-761 | N910 | 13 | 742-743 | O0970 | 14 | 998 | ||
| N80331 | 13 | 742-743 | N910 | 13 | 760-761 | O0971 | 14 | 998 | ||
| N80331 | 13 | 760-761 | N911 | 13 | 742-743 | O0972 | 14 | 998 | ||
| N80332 | 13 | 742-743 | N911 | 13 | 760-761 | O0973 | 14 | 998 | ||
| N80332 | 13 | 760-761 | N912 | 13 | 742-743 | O09811 | 14 | 998 | ||
| N80333 | 13 | 742-743 | N912 | 13 | 760-761 | O09812 | 14 | 998 | ||
| N80333 | 13 | 760-761 | N913 | 13 | 742-743 | O09813 | 14 | 998 | ||
| N80339 | 13 | 742-743 | N913 | 13 | 760-761 | O09819 | 14 | 998 | ||
| N80339 | 13 | 760-761 | N914 | 13 | 742-743 | O09821 | 14 | 998 | ||
| N80341 | 13 | 742-743 | N914 | 13 | 760-761 | O09822 | 14 | 998 | ||
| N80341 | 13 | 760-761 | N915 | 13 | 742-743 | O09823 | 14 | 998 | ||
| N80342 | 13 | 742-743 | N915 | 13 | 760-761 | O09829 | 14 | 998 | ||
| N80342 | 13 | 760-761 | N920 | 13 | 742-743 | O09891 | 14 | 998 | ||
| N80343 | 13 | 742-743 | N920 | 13 | 760-761 | O09892 | 14 | 998 | ||
| N80343 | 13 | 760-761 | N921 | 13 | 742-743 | O09893 | 14 | 998 | ||
| N80349 | 13 | 742-743 | N921 | 13 | 760-761 | O09899 | 14 | 998 | ||
| N80349 | 13 | 760-761 | N922 | 13 | 742-743 | O0990 | 14 | 998 | ||
| N80351 | 13 | 742-743 | N922 | 13 | 760-761 | O0991 | 14 | 998 | ||
| N80351 | 13 | 760-761 | N923 | 13 | 742-743 | O0992 | 14 | 998 | ||
| N80352 | 13 | 742-743 | N923 | 13 | 760-761 | O0993 | 14 | 998 | ||
| N80352 | 13 | 760-761 | N924 | 13 | 742-743 | O09A0 | 14 | 998 | ||
| N80353 | 13 | 742-743 | N924 | 13 | 760-761 | O09A1 | 14 | 998 | ||
| N80353 | 13 | 760-761 | N925 | 13 | 742-743 | O09A2 | 14 | 998 | ||
| N80359 | 13 | 742-743 | N925 | 13 | 760-761 | O09A3 | 14 | 998 | ||
| N80359 | 13 | 760-761 | N926 | 13 | 742-743 | O10011 | 14 | 817-819 | ||
| N80361 | 13 | 742-743 | N926 | 13 | 760-761 | O10011 | 14 | 831-833 | ||
| N80361 | 13 | 760-761 | N930 | 13 | 742-743 | O10012 | 14 | 817-819 | ||
| N80362 | 13 | 742-743 | N930 | 13 | 760-761 | O10012 | 14 | 831-833 | ||
| N80362 | 13 | 760-761 | N931 | 13 | 742-743 | O10013 | 14 | 817-819 | ||
| N80363 | 13 | 742-743 | N931 | 13 | 760-761 | O10013 | 14 | 831-833 | ||
| N80363 | 13 | 760-761 | N938 | 13 | 742-743 | O10019 | 14 | 817-819 | ||
| N80369 | 13 | 742-743 | N938 | 13 | 760-761 | O10019 | 14 | 831-833 | ||
| N80369 | 13 | 760-761 | N939 | 13 | 742-743 | O1002 | 14 | 998 | ||
| N80371 | 13 | 742-743 | N939 | 13 | 760-761 | O1003 | 14 | 769 | ||
| N80371 | 13 | 760-761 | N940 | 13 | 742-743 | O1003 | 14 | 776 | ||
| N80372 | 13 | 742-743 | N940 | 13 | 760-761 | O10111 | 14 | 817-819 | ||
| N80372 | 13 | 760-761 | N9410 | 13 | 742-743 | O10111 | 14 | 831-833 | ||
| N80373 | 13 | 742-743 | N9410 | 13 | 760-761 | O10112 | 14 | 817-819 | ||
| N80373 | 13 | 760-761 | N9411 | 13 | 742-743 | O10112 | 14 | 831-833 | ||
| N80379 | 13 | 742-743 | N9411 | 13 | 760-761 | O10113 | 14 | 817-819 | ||
| N80379 | 13 | 760-761 | N9412 | 13 | 742-743 | O10113 | 14 | 831-833 | ||
| N80381 | 13 | 742-743 | N9412 | 13 | 760-761 | O10119 | 14 | 817-819 | ||
| N80381 | 13 | 760-761 | N9419 | 13 | 742-743 | O10119 | 14 | 831-833 | ||
| N80382 | 13 | 742-743 | N9419 | 13 | 760-761 | O1012 | 14 | 998 | ||
| N80382 | 13 | 760-761 | N942 | 13 | 742-743 | O1013 | 14 | 769 | ||
| N80383 | 13 | 742-743 | N942 | 13 | 760-761 | O1013 | 14 | 776 | ||
| N80383 | 13 | 760-761 | N943 | 13 | 742-743 | O10211 | 14 | 817-819 | ||
| N80389 | 13 | 742-743 | N943 | 13 | 760-761 | O10211 | 14 | 831-833 | ||
| N80389 | 13 | 760-761 | N944 | 13 | 742-743 | O10212 | 14 | 817-819 | ||
| N80391 | 13 | 742-743 | N944 | 13 | 760-761 | O10212 | 14 | 831-833 | ||
| N80391 | 13 | 760-761 | N945 | 13 | 742-743 | O10213 | 14 | 817-819 | ||
| N80392 | 13 | 742-743 | N945 | 13 | 760-761 | O10213 | 14 | 831-833 | ||
| N80392 | 13 | 760-761 | N946 | 13 | 742-743 | O10219 | 14 | 817-819 | ||
| N80399 | 13 | 742-743 | N946 | 13 | 760-761 | O10219 | 14 | 831-833 | ||
| N80399 | 13 | 760-761 | N94810 | 13 | 742-743 | O1022 | 14 | 998 | ||
| N803A1 | 13 | 742-743 | N94810 | 13 | 757-759 | O1023 | 14 | 769 | ||
| N803A1 | 13 | 760-761 | N94818 | 13 | 742-743 | O1023 | 14 | 776 | ||
| N803A2 | 13 | 742-743 | N94818 | 13 | 760-761 | O10311 | 14 | 817-819 | ||
| N803A2 | 13 | 760-761 | N94819 | 13 | 742-743 | O10311 | 14 | 831-833 | ||
| N803A3 | 13 | 742-743 | N94819 | 13 | 760-761 | O10312 | 14 | 817-819 | ||
| N803A3 | 13 | 760-761 | N9489 | 13 | 742-743 | O10312 | 14 | 831-833 | ||
| N803A9 | 13 | 742-743 | N9489 | 13 | 760-761 | O10313 | 14 | 817-819 | ||
| N803A9 | 13 | 760-761 | N949 | 13 | 742-743 | O10313 | 14 | 831-833 | ||
| N803B1 | 13 | 742-743 | N949 | 13 | 760-761 | O10319 | 14 | 817-819 | ||
| N803B1 | 13 | 760-761 | N950 | 13 | 742-743 | O10319 | 14 | 831-833 | ||
| N803B2 | 13 | 742-743 | N950 | 13 | 760-761 | O1032 | 14 | 998 | ||
| N803B2 | 13 | 760-761 | N951 | 13 | 742-743 | O1033 | 14 | 769 | ||
| N803B3 | 13 | 742-743 | N951 | 13 | 760-761 | O1033 | 14 | 776 | ||
| N803B3 | 13 | 760-761 | N952 | 13 | 742-743 | O10411 | 14 | 817-819 | ||
| N803B9 | 13 | 742-743 | N952 | 13 | 760-761 | O10411 | 14 | 831-833 | ||
| N803B9 | 13 | 760-761 | N958 | 13 | 742-743 | O10412 | 14 | 817-819 | ||
| N803C1 | 13 | 742-743 | N958 | 13 | 760-761 | O10412 | 14 | 831-833 | ||
| N803C1 | 13 | 760-761 | N959 | 13 | 742-743 | O10413 | 14 | 817-819 | ||
| N803C2 | 13 | 742-743 | N959 | 13 | 760-761 | O10413 | 14 | 831-833 | ||
| N803C2 | 13 | 760-761 | N96 | 13 | 742-743 | O10419 | 14 | 817-819 | ||
| N803C3 | 13 | 742-743 | N96 | 13 | 760-761 | O10419 | 14 | 831-833 | ||
| N803C3 | 13 | 760-761 | N970 | 13 | 742-743 | O1042 | 14 | 998 | ||
| N803C9 | 13 | 742-743 | N970 | 13 | 760-761 | O1043 | 14 | 769 | ||
| N803C9 | 13 | 760-761 | N971 | 13 | 742-743 | O1043 | 14 | 776 | ||
| N8040 | 13 | 742-743 | N971 | 13 | 760-761 | O10911 | 14 | 817-819 | ||
| N8040 | 13 | 760-761 | N972 | 13 | 742-743 | O10911 | 14 | 831-833 | ||
| N8041 | 13 | 742-743 | N972 | 13 | 760-761 | O10912 | 14 | 817-819 | ||
| N8041 | 13 | 760-761 | N978 | 13 | 742-743 | O10912 | 14 | 831-833 | ||
| N8042 | 13 | 742-743 | N978 | 13 | 760-761 | O10913 | 14 | 817-819 | ||
| N8042 | 13 | 760-761 | N979 | 13 | 742-743 | O10913 | 14 | 831-833 | ||
| N8050 | 06 | 391-392 | N979 | 13 | 760-761 | O10919 | 14 | 817-819 | ||
| N80511 | 06 | 391-392 | N980 | 15 | 791 | O10919 | 14 | 831-833 | ||
| N80512 | 06 | 391-392 | N980 | 15 | 793 | O1092 | 14 | 998 | ||
| N80519 | 06 | 391-392 | N980 | 18 | 856-858 | O1093 | 14 | 769 | ||
| N80521 | 06 | 391-392 | N980 | 18 | 867-869 | O1093 | 14 | 776 | ||
| N80522 | 06 | 391-392 | N981 | 21 | 919-921 | O111 | 14 | 817-819 | ||
| N80529 | 06 | 391-392 | N982 | 21 | 919-921 | O111 | 14 | 831-833 | ||
| N80531 | 06 | 391-392 | N983 | 21 | 919-921 | O112 | 14 | 817-819 | ||
| N80532 | 06 | 391-392 | N988 | 21 | 919-921 | O112 | 14 | 831-833 | ||
| N80539 | 06 | 391-392 | N989 | 21 | 919-921 | O113 | 14 | 817-819 | ||
| N80541 | 06 | 391-392 | N990 | 11 | 698-700 | O113 | 14 | 831-833 | ||
| N80542 | 06 | 391-392 | N990 | 15 | 791 | O114 | 14 | 998 | ||
| N80549 | 06 | 391-392 | N990 | 15 | 793 | O115 | 14 | 769 | ||
| N80551 | 06 | 391-392 | N99110 | 11 | 697 | O115 | 14 | 776 | ||
| N80552 | 06 | 391-392 | N99111 | 11 | 697 | O119 | 14 | 817-819 | ||
| N80559 | 06 | 391-392 | N99112 | 11 | 697 | O119 | 14 | 831-833 | ||
| N80561 | 06 | 391-392 | N99113 | 11 | 697 | O1200 | 14 | 817-819 | ||
| N80562 | 06 | 391-392 | N99114 | 11 | 697 | O1200 | 14 | 831-833 | ||
| N80569 | 06 | 391-392 | N99115 | 11 | 697 | O1201 | 14 | 817-819 | ||
| N806 | 09 | 606-607 | N99116 | 11 | 697 | O1201 | 14 | 831-833 | ||
| N808 | 13 | 742-743 | N9912 | 11 | 697 | O1202 | 14 | 817-819 | ||
| N808 | 13 | 760-761 | N992 | 13 | 742-743 | O1202 | 14 | 831-833 | ||
| N809 | 13 | 742-743 | N992 | 13 | 760-761 | O1203 | 14 | 817-819 | ||
| N809 | 13 | 760-761 | N993 | 13 | 742-743 | O1203 | 14 | 831-833 | ||
| N80A0 | 11 | 698-700 | N993 | 13 | 760-761 | O1204 | 14 | 998 | ||
| N80A1 | 11 | 698-700 | N994 | 06 | 393-395 | O1205 | 14 | 769 | ||
| N80A2 | 11 | 698-700 | N99510 | 11 | 698-700 | O1205 | 14 | 776 | ||
| N80A41 | 11 | 698-700 | N99511 | 11 | 698-700 | O1210 | 14 | 817-819 | ||
| N80A42 | 11 | 698-700 | N99512 | 11 | 698-700 | O1210 | 14 | 831-833 | ||
| N80A43 | 11 | 698-700 | N99518 | 11 | 698-700 | O1211 | 14 | 817-819 | ||
| N80A49 | 11 | 698-700 | N99520 | 11 | 698-700 | O1211 | 14 | 831-833 | ||
| N80A51 | 11 | 698-700 | N99520 | 15 | 791 | O1212 | 14 | 817-819 | ||
| N80A52 | 11 | 698-700 | N99520 | 15 | 793 | O1212 | 14 | 831-833 | ||
| N80A53 | 11 | 698-700 | N99521 | 11 | 698-700 | O1213 | 14 | 817-819 | ||
| N80A59 | 11 | 698-700 | N99521 | 15 | 791 | O1213 | 14 | 831-833 | ||
| N99521 | 15 | 793 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Aug 2022 07:55:53 CMS, code-revision=335, description-revision=1339 |