ICD-10-CM/PCS MS-DRG v40.0 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 v40.0 Definitions Manual |
||||
| Skip to content | |
|
|
| Diagnosis Code/MDC/MS-DRG Index |
| Page 27 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| O714 | 14 | 769 | O99111 | 14 | 817-819 | P138 | 15 | 794 | ||
| O714 | 14 | 776 | O99111 | 14 | 831-833 | P139 | 15 | 794 | ||
| O715 | 14 | 769 | O99112 | 14 | 817-819 | P140 | 15 | 794 | ||
| O715 | 14 | 776 | O99112 | 14 | 831-833 | P141 | 15 | 794 | ||
| O716 | 14 | 769 | O99113 | 14 | 817-819 | P142 | 15 | 791 | ||
| O716 | 14 | 776 | O99113 | 14 | 831-833 | P142 | 15 | 793 | ||
| O717 | 14 | 769 | O99119 | 14 | 817-819 | P143 | 15 | 794 | ||
| O717 | 14 | 776 | O99119 | 14 | 831-833 | P148 | 15 | 791 | ||
| O7181 | 14 | 817-819 | O9912 | 14 | 998 | P148 | 15 | 793 | ||
| O7181 | 14 | 831-833 | O9913 | 14 | 769 | P149 | 15 | 791 | ||
| O7182 | 14 | 769 | O9913 | 14 | 776 | P149 | 15 | 793 | ||
| O7182 | 14 | 776 | O99210 | 14 | 817-819 | P150 | 15 | 794 | ||
| O7189 | 14 | 769 | O99210 | 14 | 831-833 | P151 | 15 | 794 | ||
| O7189 | 14 | 776 | O99211 | 14 | 817-819 | P152 | 15 | 794 | ||
| O719 | 14 | 769 | O99211 | 14 | 831-833 | P153 | 15 | 794 | ||
| O719 | 14 | 776 | O99212 | 14 | 817-819 | P154 | 15 | 794 | ||
| O720 | 14 | 769 | O99212 | 14 | 831-833 | P155 | 15 | 794 | ||
| O720 | 14 | 776 | O99213 | 14 | 817-819 | P156 | 15 | 794 | ||
| O721 | 14 | 769 | O99213 | 14 | 831-833 | P158 | 15 | 794 | ||
| O721 | 14 | 776 | O99214 | 14 | 998 | P159 | 15 | 794 | ||
| O722 | 14 | 769 | O99215 | 14 | 769 | P190 | 15 | 794 | ||
| O722 | 14 | 776 | O99215 | 14 | 776 | P191 | 15 | 794 | ||
| O723 | 14 | 769 | O99280 | 14 | 817-819 | P192 | 15 | 794 | ||
| O723 | 14 | 776 | O99280 | 14 | 831-833 | P199 | 15 | 794 | ||
| O730 | 14 | 769 | O99281 | 14 | 817-819 | P220 | 15 | 790 | ||
| O730 | 14 | 776 | O99281 | 14 | 831-833 | P221 | 15 | 794 | ||
| O731 | 14 | 769 | O99282 | 14 | 817-819 | P228 | 15 | 794 | ||
| O731 | 14 | 776 | O99282 | 14 | 831-833 | P229 | 15 | 794 | ||
| O740 | 14 | 998 | O99283 | 14 | 817-819 | P230 | 15 | 791 | ||
| O741 | 14 | 998 | O99283 | 14 | 831-833 | P230 | 15 | 793 | ||
| O742 | 14 | 998 | O99284 | 14 | 998 | P231 | 15 | 791 | ||
| O743 | 14 | 998 | O99285 | 14 | 769 | P231 | 15 | 793 | ||
| O744 | 14 | 998 | O99285 | 14 | 776 | P232 | 15 | 791 | ||
| O745 | 14 | 998 | O99310 | 14 | 817-819 | P232 | 15 | 793 | ||
| O746 | 14 | 998 | O99310 | 14 | 831-833 | P233 | 15 | 791 | ||
| O747 | 14 | 998 | O99311 | 14 | 817-819 | P233 | 15 | 793 | ||
| O748 | 14 | 998 | O99311 | 14 | 831-833 | P234 | 15 | 791 | ||
| O749 | 14 | 998 | O99312 | 14 | 817-819 | P234 | 15 | 793 | ||
| O750 | 14 | 998 | O99312 | 14 | 831-833 | P235 | 15 | 791 | ||
| O751 | 14 | 998 | O99313 | 14 | 817-819 | P235 | 15 | 793 | ||
| O752 | 14 | 817-819 | O99313 | 14 | 831-833 | P236 | 15 | 791 | ||
| O752 | 14 | 831-833 | O99314 | 14 | 998 | P236 | 15 | 793 | ||
| O753 | 14 | 817-819 | O99315 | 14 | 769 | P238 | 15 | 791 | ||
| O753 | 14 | 831-833 | O99315 | 14 | 776 | P238 | 15 | 793 | ||
| O754 | 14 | 769 | O99320 | 14 | 817-819 | P239 | 15 | 791 | ||
| O754 | 14 | 776 | O99320 | 14 | 831-833 | P239 | 15 | 793 | ||
| O755 | 14 | 998 | O99321 | 14 | 817-819 | P2400 | 15 | 791 | ||
| O7581 | 14 | 998 | O99321 | 14 | 831-833 | P2400 | 15 | 793 | ||
| O7582 | 14 | 998 | O99322 | 14 | 817-819 | P2401 | 15 | 791 | ||
| O7589 | 14 | 998 | O99322 | 14 | 831-833 | P2401 | 15 | 793 | ||
| O759 | 14 | 998 | O99323 | 14 | 817-819 | P2410 | 15 | 791 | ||
| O76 | 14 | 998 | O99323 | 14 | 831-833 | P2410 | 15 | 793 | ||
| O770 | 14 | 998 | O99324 | 14 | 998 | P2411 | 15 | 791 | ||
| O771 | 14 | 998 | O99325 | 14 | 769 | P2411 | 15 | 793 | ||
| O778 | 14 | 998 | O99325 | 14 | 776 | P2420 | 15 | 791 | ||
| O779 | 14 | 998 | O99330 | 14 | 817-819 | P2420 | 15 | 793 | ||
| O80 | 14 | 998 | O99330 | 14 | 831-833 | P2421 | 15 | 791 | ||
| O82 | 14 | 998 | O99331 | 14 | 817-819 | P2421 | 15 | 793 | ||
| O85 | 14 | 769 | O99331 | 14 | 831-833 | P2430 | 15 | 791 | ||
| O85 | 14 | 776 | O99332 | 14 | 817-819 | P2430 | 15 | 793 | ||
| O8600 | 14 | 769 | O99332 | 14 | 831-833 | P2431 | 15 | 791 | ||
| O8600 | 14 | 776 | O99333 | 14 | 817-819 | P2431 | 15 | 793 | ||
| O8601 | 14 | 769 | O99333 | 14 | 831-833 | P2480 | 15 | 791 | ||
| O8601 | 14 | 776 | O99334 | 14 | 998 | P2480 | 15 | 793 | ||
| O8602 | 14 | 769 | O99335 | 14 | 769 | P2481 | 15 | 791 | ||
| O8602 | 14 | 776 | O99335 | 14 | 776 | P2481 | 15 | 793 | ||
| O8603 | 14 | 769 | O99340 | 14 | 817-819 | P249 | 15 | 791 | ||
| O8603 | 14 | 776 | O99340 | 14 | 831-833 | P249 | 15 | 793 | ||
| O8604 | 14 | 769 | O99341 | 14 | 817-819 | P250 | 15 | 791 | ||
| O8604 | 14 | 776 | O99341 | 14 | 831-833 | P250 | 15 | 793 | ||
| O8609 | 14 | 769 | O99342 | 14 | 817-819 | P251 | 15 | 791 | ||
| O8609 | 14 | 776 | O99342 | 14 | 831-833 | P251 | 15 | 793 | ||
| O8611 | 14 | 769 | O99343 | 14 | 817-819 | P252 | 15 | 791 | ||
| O8611 | 14 | 776 | O99343 | 14 | 831-833 | P252 | 15 | 793 | ||
| O8612 | 14 | 769 | O99344 | 14 | 998 | P253 | 15 | 791 | ||
| O8612 | 14 | 776 | O99345 | 14 | 769 | P253 | 15 | 793 | ||
| O8613 | 14 | 769 | O99345 | 14 | 776 | P258 | 15 | 791 | ||
| O8613 | 14 | 776 | O99350 | 14 | 817-819 | P258 | 15 | 793 | ||
| O8619 | 14 | 769 | O99350 | 14 | 831-833 | P260 | 15 | 791 | ||
| O8619 | 14 | 776 | O99351 | 14 | 817-819 | P260 | 15 | 793 | ||
| O8620 | 14 | 769 | O99351 | 14 | 831-833 | P261 | 15 | 791 | ||
| O8620 | 14 | 776 | O99352 | 14 | 817-819 | P261 | 15 | 793 | ||
| O8621 | 14 | 769 | O99352 | 14 | 831-833 | P268 | 15 | 791 | ||
| O8621 | 14 | 776 | O99353 | 14 | 817-819 | P268 | 15 | 793 | ||
| O8622 | 14 | 769 | O99353 | 14 | 831-833 | P269 | 15 | 791 | ||
| O8622 | 14 | 776 | O99354 | 14 | 998 | P269 | 15 | 793 | ||
| O8629 | 14 | 769 | O99355 | 14 | 769 | P270 | 04 | 196-198 | ||
| O8629 | 14 | 776 | O99355 | 14 | 776 | P271 | 04 | 196-198 | ||
| O864 | 14 | 769 | O99411 | 14 | 817-819 | P278 | 04 | 196-198 | ||
| O864 | 14 | 776 | O99411 | 14 | 831-833 | P279 | 04 | 196-198 | ||
| O8681 | 14 | 769 | O99412 | 14 | 817-819 | P280 | 15 | 791 | ||
| O8681 | 14 | 776 | O99412 | 14 | 831-833 | P280 | 15 | 793 | ||
| O8689 | 14 | 769 | O99413 | 14 | 817-819 | P2810 | 15 | 794 | ||
| O8689 | 14 | 776 | O99413 | 14 | 831-833 | P2811 | 15 | 794 | ||
| O870 | 14 | 769 | O99419 | 14 | 817-819 | P2819 | 15 | 794 | ||
| O870 | 14 | 776 | O99419 | 14 | 831-833 | P282 | 15 | 794 | ||
| O871 | 14 | 769 | O9942 | 14 | 998 | P2830 | 15 | 794 | ||
| O871 | 14 | 776 | O9943 | 14 | 769 | P2831 | 15 | 794 | ||
| O872 | 14 | 769 | O9943 | 14 | 776 | P2832 | 15 | 794 | ||
| O872 | 14 | 776 | O99511 | 14 | 817-819 | P2833 | 15 | 794 | ||
| O873 | 14 | 769 | O99511 | 14 | 831-833 | P2839 | 15 | 794 | ||
| O873 | 14 | 776 | O99512 | 14 | 817-819 | P2840 | 15 | 794 | ||
| O874 | 14 | 769 | O99512 | 14 | 831-833 | P2841 | 15 | 794 | ||
| O874 | 14 | 776 | O99513 | 14 | 817-819 | P2842 | 15 | 794 | ||
| O878 | 14 | 769 | O99513 | 14 | 831-833 | P2843 | 15 | 794 | ||
| O878 | 14 | 776 | O99519 | 14 | 817-819 | P2849 | 15 | 794 | ||
| O879 | 14 | 769 | O99519 | 14 | 831-833 | P285 | 15 | 791 | ||
| O879 | 14 | 776 | O9952 | 14 | 998 | P285 | 15 | 793 | ||
| O88011 | 14 | 817-819 | O9953 | 14 | 769 | P2881 | 15 | 794 | ||
| O88011 | 14 | 831-833 | O9953 | 14 | 776 | P2889 | 15 | 794 | ||
| O88012 | 14 | 817-819 | O99611 | 14 | 817-819 | P289 | 15 | 794 | ||
| O88012 | 14 | 831-833 | O99611 | 14 | 831-833 | P290 | 15 | 794 | ||
| O88013 | 14 | 817-819 | O99612 | 14 | 817-819 | P2911 | 15 | 794 | ||
| O88013 | 14 | 831-833 | O99612 | 14 | 831-833 | P2912 | 15 | 794 | ||
| O88019 | 14 | 817-819 | O99613 | 14 | 817-819 | P292 | 15 | 794 | ||
| O88019 | 14 | 831-833 | O99613 | 14 | 831-833 | P2930 | 15 | 791 | ||
| O8802 | 14 | 998 | O99619 | 14 | 817-819 | P2930 | 15 | 793 | ||
| O8803 | 14 | 769 | O99619 | 14 | 831-833 | P2938 | 15 | 791 | ||
| O8803 | 14 | 776 | O9962 | 14 | 998 | P2938 | 15 | 793 | ||
| O88111 | 14 | 817-819 | O9963 | 14 | 769 | P294 | 15 | 794 | ||
| O88111 | 14 | 831-833 | O9963 | 14 | 776 | P2981 | 15 | 791 | ||
| O88112 | 14 | 817-819 | O99711 | 14 | 817-819 | P2981 | 15 | 793 | ||
| O88112 | 14 | 831-833 | O99711 | 14 | 831-833 | P2989 | 15 | 794 | ||
| O88113 | 14 | 817-819 | O99712 | 14 | 817-819 | P299 | 15 | 794 | ||
| O88113 | 14 | 831-833 | O99712 | 14 | 831-833 | P350 | 15 | 791 | ||
| O88119 | 14 | 817-819 | O99713 | 14 | 817-819 | P350 | 15 | 793 | ||
| O88119 | 14 | 831-833 | O99713 | 14 | 831-833 | P351 | 15 | 791 | ||
| O8812 | 14 | 998 | O99719 | 14 | 817-819 | P351 | 15 | 793 | ||
| O8813 | 14 | 769 | O99719 | 14 | 831-833 | P352 | 15 | 791 | ||
| O8813 | 14 | 776 | O9972 | 14 | 998 | P352 | 15 | 793 | ||
| O88211 | 14 | 817-819 | O9973 | 14 | 769 | P353 | 15 | 791 | ||
| O88211 | 14 | 831-833 | O9973 | 14 | 776 | P353 | 15 | 793 | ||
| O88212 | 14 | 817-819 | O99810 | 14 | 817-819 | P354 | 15 | 791 | ||
| O88212 | 14 | 831-833 | O99810 | 14 | 831-833 | P354 | 15 | 793 | ||
| O88213 | 14 | 817-819 | O99814 | 14 | 998 | P358 | 15 | 791 | ||
| O88213 | 14 | 831-833 | O99815 | 14 | 769 | P358 | 15 | 793 | ||
| O88219 | 14 | 817-819 | O99815 | 14 | 776 | P359 | 15 | 791 | ||
| O88219 | 14 | 831-833 | O99820 | 14 | 817-819 | P359 | 15 | 793 | ||
| O8822 | 14 | 998 | O99820 | 14 | 831-833 | P360 | 15 | 791 | ||
| O8823 | 14 | 769 | O99824 | 14 | 998 | P360 | 15 | 793 | ||
| O8823 | 14 | 776 | O99825 | 14 | 769 | P3610 | 15 | 791 | ||
| O88311 | 14 | 817-819 | O99825 | 14 | 776 | P3610 | 15 | 793 | ||
| O88311 | 14 | 831-833 | O99830 | 14 | 817-819 | P3619 | 15 | 791 | ||
| O88312 | 14 | 817-819 | O99830 | 14 | 831-833 | P3619 | 15 | 793 | ||
| O88312 | 14 | 831-833 | O99834 | 14 | 998 | P362 | 15 | 791 | ||
| O88313 | 14 | 817-819 | O99835 | 14 | 769 | P362 | 15 | 793 | ||
| O88313 | 14 | 831-833 | O99835 | 14 | 776 | P3630 | 15 | 791 | ||
| O88319 | 14 | 817-819 | O99840 | 14 | 817-819 | P3630 | 15 | 793 | ||
| O88319 | 14 | 831-833 | O99840 | 14 | 831-833 | P3639 | 15 | 791 | ||
| O8832 | 14 | 998 | O99841 | 14 | 817-819 | P3639 | 15 | 793 | ||
| O8833 | 14 | 769 | O99841 | 14 | 831-833 | P364 | 15 | 791 | ||
| O8833 | 14 | 776 | O99842 | 14 | 817-819 | P364 | 15 | 793 | ||
| O88811 | 14 | 817-819 | O99842 | 14 | 831-833 | P365 | 15 | 791 | ||
| O88811 | 14 | 831-833 | O99843 | 14 | 817-819 | P365 | 15 | 793 | ||
| O88812 | 14 | 817-819 | O99843 | 14 | 831-833 | P368 | 15 | 791 | ||
| O88812 | 14 | 831-833 | O99844 | 14 | 998 | P368 | 15 | 793 | ||
| O88813 | 14 | 817-819 | O99845 | 14 | 769 | P369 | 15 | 791 | ||
| O88813 | 14 | 831-833 | O99845 | 14 | 776 | P369 | 15 | 793 | ||
| O88819 | 14 | 817-819 | O99891 | 14 | 817-819 | P370 | 15 | 791 | ||
| O88819 | 14 | 831-833 | O99891 | 14 | 831-833 | P370 | 15 | 793 | ||
| O8882 | 14 | 998 | O99892 | 14 | 998 | P371 | 15 | 791 | ||
| O8883 | 14 | 769 | O99893 | 14 | 769 | P371 | 15 | 793 | ||
| O8883 | 14 | 776 | O99893 | 14 | 776 | P372 | 15 | 791 | ||
| O8901 | 14 | 769 | O9A111 | 14 | 817-819 | P372 | 15 | 793 | ||
| O8901 | 14 | 776 | O9A111 | 14 | 831-833 | P373 | 15 | 791 | ||
| O8909 | 14 | 769 | O9A112 | 14 | 817-819 | P373 | 15 | 793 | ||
| O8909 | 14 | 776 | O9A112 | 14 | 831-833 | P374 | 15 | 791 | ||
| O891 | 14 | 769 | O9A113 | 14 | 817-819 | P374 | 15 | 793 | ||
| O891 | 14 | 776 | O9A113 | 14 | 831-833 | P375 | 15 | 794 | ||
| O892 | 14 | 769 | O9A119 | 14 | 817-819 | P378 | 15 | 791 | ||
| O892 | 14 | 776 | O9A119 | 14 | 831-833 | P378 | 15 | 793 | ||
| O893 | 14 | 769 | O9A12 | 14 | 998 | P379 | 15 | 791 | ||
| O893 | 14 | 776 | O9A13 | 14 | 769 | P379 | 15 | 793 | ||
| O894 | 14 | 769 | O9A13 | 14 | 776 | P381 | 15 | 791 | ||
| O894 | 14 | 776 | O9A211 | 14 | 817-819 | P381 | 15 | 793 | ||
| O895 | 14 | 769 | O9A211 | 14 | 831-833 | P389 | 15 | 791 | ||
| O895 | 14 | 776 | O9A212 | 14 | 817-819 | P389 | 15 | 793 | ||
| O896 | 14 | 769 | O9A212 | 14 | 831-833 | P390 | 15 | 791 | ||
| O896 | 14 | 776 | O9A213 | 14 | 817-819 | P390 | 15 | 793 | ||
| O898 | 14 | 769 | O9A213 | 14 | 831-833 | P391 | 15 | 794 | ||
| O898 | 14 | 776 | O9A219 | 14 | 817-819 | P392 | 15 | 791 | ||
| O899 | 14 | 769 | O9A219 | 14 | 831-833 | P392 | 15 | 793 | ||
| O899 | 14 | 776 | O9A22 | 14 | 998 | P393 | 15 | 791 | ||
| O900 | 14 | 769 | O9A23 | 14 | 769 | P393 | 15 | 793 | ||
| O900 | 14 | 776 | O9A23 | 14 | 776 | P394 | 15 | 791 | ||
| O901 | 14 | 769 | O9A311 | 14 | 817-819 | P394 | 15 | 793 | ||
| O901 | 14 | 776 | O9A311 | 14 | 831-833 | P398 | 15 | 791 | ||
| O902 | 14 | 769 | O9A312 | 14 | 817-819 | P398 | 15 | 793 | ||
| O902 | 14 | 776 | O9A312 | 14 | 831-833 | P399 | 15 | 791 | ||
| O903 | 14 | 769 | O9A313 | 14 | 817-819 | P399 | 15 | 793 | ||
| O903 | 14 | 776 | O9A313 | 14 | 831-833 | P500 | 15 | 791 | ||
| O904 | 14 | 769 | O9A319 | 14 | 817-819 | P500 | 15 | 793 | ||
| O904 | 14 | 776 | O9A319 | 14 | 831-833 | P501 | 15 | 791 | ||
| O905 | 14 | 769 | O9A32 | 14 | 998 | P501 | 15 | 793 | ||
| O905 | 14 | 776 | O9A33 | 14 | 769 | P502 | 15 | 791 | ||
| O906 | 14 | 769 | O9A33 | 14 | 776 | P502 | 15 | 793 | ||
| O906 | 14 | 776 | O9A411 | 14 | 817-819 | P503 | 15 | 791 | ||
| O9081 | 14 | 769 | O9A411 | 14 | 831-833 | P503 | 15 | 793 | ||
| O9081 | 14 | 776 | O9A412 | 14 | 817-819 | P504 | 15 | 791 | ||
| O9089 | 14 | 769 | O9A412 | 14 | 831-833 | P504 | 15 | 793 | ||
| O9089 | 14 | 776 | O9A413 | 14 | 817-819 | P505 | 15 | 791 | ||
| O909 | 14 | 769 | O9A413 | 14 | 831-833 | P505 | 15 | 793 | ||
| O909 | 14 | 776 | O9A419 | 14 | 817-819 | P508 | 15 | 791 | ||
| O91011 | 14 | 817-819 | O9A419 | 14 | 831-833 | P508 | 15 | 793 | ||
| O91011 | 14 | 831-833 | O9A42 | 14 | 998 | P509 | 15 | 791 | ||
| O91012 | 14 | 817-819 | O9A43 | 14 | 769 | P509 | 15 | 793 | ||
| O91012 | 14 | 831-833 | O9A43 | 14 | 776 | P510 | 15 | 794 | ||
| O91013 | 14 | 817-819 | O9A511 | 14 | 817-819 | P518 | 15 | 794 | ||
| O91013 | 14 | 831-833 | O9A511 | 14 | 831-833 | P519 | 15 | 794 | ||
| O91019 | 14 | 817-819 | O9A512 | 14 | 817-819 | P520 | 15 | 791 | ||
| O91019 | 14 | 831-833 | O9A512 | 14 | 831-833 | P520 | 15 | 793 | ||
| O9102 | 14 | 769 | O9A513 | 14 | 817-819 | P521 | 15 | 791 | ||
| O9102 | 14 | 776 | O9A513 | 14 | 831-833 | P521 | 15 | 793 | ||
| O9103 | 14 | 769 | O9A519 | 14 | 817-819 | P5221 | 15 | 791 | ||
| O9103 | 14 | 776 | O9A519 | 14 | 831-833 | P5221 | 15 | 793 | ||
| O91111 | 14 | 817-819 | O9A52 | 14 | 998 | P5222 | 15 | 791 | ||
| O91111 | 14 | 831-833 | O9A53 | 14 | 769 | P5222 | 15 | 793 | ||
| O91112 | 14 | 817-819 | O9A53 | 14 | 776 | P523 | 15 | 791 | ||
| O91112 | 14 | 831-833 | P000 | 15 | 794 | P523 | 15 | 793 | ||
| O91113 | 14 | 817-819 | P001 | 15 | 794 | P524 | 15 | 791 | ||
| O91113 | 14 | 831-833 | P002 | 15 | 795 | P524 | 15 | 793 | ||
| O91119 | 14 | 817-819 | P002 | 23 | 951 | P525 | 15 | 791 | ||
| O91119 | 14 | 831-833 | P003 | 15 | 795 | P525 | 15 | 793 | ||
| O9112 | 14 | 769 | P004 | 15 | 794 | P526 | 15 | 791 | ||
| O9112 | 14 | 776 | P005 | 15 | 794 | P526 | 15 | 793 | ||
| O9113 | 14 | 769 | P006 | 15 | 794 | P528 | 15 | 791 | ||
| O9113 | 14 | 776 | P007 | 15 | 794 | P528 | 15 | 793 | ||
| O91211 | 14 | 817-819 | P0081 | 15 | 794 | P529 | 15 | 791 | ||
| O91211 | 14 | 831-833 | P0082 | 15 | 795 | P529 | 15 | 793 | ||
| O91212 | 14 | 817-819 | P0082 | 23 | 951 | P53 | 15 | 791 | ||
| O91212 | 14 | 831-833 | P0089 | 15 | 795 | P53 | 15 | 793 | ||
| O91213 | 14 | 817-819 | P0089 | 23 | 951 | P540 | 15 | 794 | ||
| O91213 | 14 | 831-833 | P009 | 15 | 795 | P541 | 15 | 791 | ||
| O91219 | 14 | 817-819 | P010 | 15 | 794 | P541 | 15 | 793 | ||
| O91219 | 14 | 831-833 | P011 | 15 | 794 | P542 | 15 | 791 | ||
| O9122 | 14 | 769 | P012 | 15 | 794 | P542 | 15 | 793 | ||
| O9122 | 14 | 776 | P013 | 15 | 794 | P543 | 15 | 791 | ||
| O9123 | 14 | 769 | P014 | 15 | 794 | P543 | 15 | 793 | ||
| O9123 | 14 | 776 | P015 | 15 | 794 | P544 | 15 | 791 | ||
| O92011 | 14 | 817-819 | P016 | 15 | 794 | P544 | 15 | 793 | ||
| O92011 | 14 | 831-833 | P017 | 15 | 794 | P545 | 15 | 795 | ||
| O92012 | 14 | 817-819 | P018 | 15 | 794 | P546 | 15 | 794 | ||
| O92012 | 14 | 831-833 | P019 | 15 | 794 | P548 | 15 | 794 | ||
| O92013 | 14 | 817-819 | P020 | 15 | 794 | P549 | 15 | 794 | ||
| O92013 | 14 | 831-833 | P021 | 15 | 794 | P550 | 15 | 794 | ||
| O92019 | 14 | 817-819 | P0220 | 15 | 794 | P551 | 15 | 794 | ||
| O92019 | 14 | 831-833 | P0229 | 15 | 794 | P558 | 15 | 791 | ||
| O9202 | 14 | 769 | P023 | 15 | 794 | P558 | 15 | 793 | ||
| O9202 | 14 | 776 | P024 | 15 | 795 | P559 | 15 | 791 | ||
| O9203 | 14 | 769 | P025 | 15 | 795 | P559 | 15 | 793 | ||
| O9203 | 14 | 776 | P0260 | 15 | 795 | P560 | 15 | 791 | ||
| O92111 | 14 | 817-819 | P0269 | 15 | 795 | P560 | 15 | 793 | ||
| O92111 | 14 | 831-833 | P0270 | 15 | 794 | P5690 | 15 | 791 | ||
| O92112 | 14 | 817-819 | P0278 | 15 | 794 | P5690 | 15 | 793 | ||
| O92112 | 14 | 831-833 | P028 | 15 | 794 | P5699 | 15 | 791 | ||
| O92113 | 14 | 817-819 | P029 | 15 | 794 | P5699 | 15 | 793 | ||
| O92113 | 14 | 831-833 | P030 | 15 | 795 | P570 | 15 | 791 | ||
| O92119 | 14 | 817-819 | P031 | 15 | 795 | P570 | 15 | 793 | ||
| O92119 | 14 | 831-833 | P032 | 15 | 795 | P578 | 15 | 791 | ||
| O9212 | 14 | 769 | P033 | 15 | 795 | P578 | 15 | 793 | ||
| O9212 | 14 | 776 | P034 | 15 | 791 | P579 | 15 | 791 | ||
| O9213 | 14 | 769 | P034 | 15 | 793 | P579 | 15 | 793 | ||
| O9213 | 14 | 776 | P035 | 15 | 795 | P580 | 15 | 794 | ||
| O9220 | 14 | 769 | P036 | 15 | 794 | P581 | 15 | 794 | ||
| O9220 | 14 | 776 | P03810 | 15 | 794 | P582 | 15 | 794 | ||
| O9229 | 14 | 769 | P03811 | 15 | 794 | P583 | 15 | 794 | ||
| O9229 | 14 | 776 | P03819 | 15 | 794 | P5841 | 15 | 794 | ||
| O923 | 14 | 769 | P0382 | 15 | 794 | P5842 | 15 | 794 | ||
| O923 | 14 | 776 | P0389 | 15 | 794 | P585 | 15 | 794 | ||
| O924 | 14 | 769 | P039 | 15 | 795 | P588 | 15 | 794 | ||
| O924 | 14 | 776 | P040 | 15 | 794 | P589 | 15 | 794 | ||
| O925 | 14 | 769 | P0411 | 15 | 794 | P590 | 15 | 794 | ||
| O925 | 14 | 776 | P0412 | 15 | 794 | P591 | 15 | 791 | ||
| O926 | 14 | 769 | P0413 | 15 | 794 | P591 | 15 | 793 | ||
| O926 | 14 | 776 | P0414 | 15 | 794 | P5920 | 15 | 791 | ||
| O9270 | 14 | 769 | P0415 | 15 | 794 | P5920 | 15 | 793 | ||
| O9270 | 14 | 776 | P0416 | 15 | 794 | P5929 | 15 | 791 | ||
| O9279 | 14 | 769 | P0417 | 15 | 794 | P5929 | 15 | 793 | ||
| O9279 | 14 | 776 | P0418 | 15 | 794 | P593 | 15 | 795 | ||
| O94 | 14 | 769 | P0419 | 15 | 794 | P598 | 15 | 795 | ||
| O94 | 14 | 776 | P041A | 15 | 794 | P599 | 15 | 795 | ||
| O98011 | 14 | 817-819 | P042 | 15 | 794 | P60 | 15 | 791 | ||
| O98011 | 14 | 831-833 | P043 | 15 | 794 | P60 | 15 | 793 | ||
| O98012 | 14 | 817-819 | P0440 | 15 | 794 | P610 | 15 | 791 | ||
| O98012 | 14 | 831-833 | P0441 | 15 | 794 | P610 | 15 | 793 | ||
| O98013 | 14 | 817-819 | P0442 | 15 | 794 | P611 | 15 | 794 | ||
| O98013 | 14 | 831-833 | P0449 | 15 | 794 | P612 | 15 | 791 | ||
| O98019 | 14 | 817-819 | P045 | 15 | 794 | P612 | 15 | 793 | ||
| O98019 | 14 | 831-833 | P046 | 15 | 794 | P613 | 15 | 794 | ||
| O9802 | 14 | 998 | P0481 | 15 | 794 | P614 | 15 | 794 | ||
| O9803 | 14 | 769 | P0489 | 15 | 794 | P615 | 15 | 794 | ||
| O9803 | 14 | 776 | P049 | 15 | 794 | P616 | 15 | 791 | ||
| O98111 | 14 | 817-819 | P0500 | 15 | 794 | P616 | 15 | 793 | ||
| O98111 | 14 | 831-833 | P0501 | 15 | 794 | P618 | 15 | 794 | ||
| O98112 | 14 | 817-819 | P0502 | 15 | 794 | P619 | 15 | 794 | ||
| O98112 | 14 | 831-833 | P0503 | 15 | 794 | P700 | 15 | 794 | ||
| O98113 | 14 | 817-819 | P0504 | 15 | 794 | P701 | 15 | 794 | ||
| O98113 | 14 | 831-833 | P0505 | 15 | 794 | P702 | 15 | 791 | ||
| O98119 | 14 | 817-819 | P0506 | 15 | 794 | P702 | 15 | 793 | ||
| O98119 | 14 | 831-833 | P0507 | 15 | 794 | P703 | 15 | 791 | ||
| O9812 | 14 | 998 | P0508 | 15 | 795 | P703 | 15 | 793 | ||
| O9813 | 14 | 769 | P0509 | 15 | 794 | P704 | 15 | 791 | ||
| O9813 | 14 | 776 | P0510 | 15 | 794 | P704 | 15 | 793 | ||
| O98211 | 14 | 817-819 | P0511 | 15 | 791 | P708 | 15 | 794 | ||
| O98211 | 14 | 831-833 | P0511 | 15 | 793 | P709 | 15 | 794 | ||
| O98212 | 14 | 817-819 | P0512 | 15 | 791 | P710 | 15 | 791 | ||
| O98212 | 14 | 831-833 | P0512 | 15 | 793 | P710 | 15 | 793 | ||
| O98213 | 14 | 817-819 | P0513 | 15 | 791 | P711 | 15 | 791 | ||
| O98213 | 14 | 831-833 | P0513 | 15 | 793 | P711 | 15 | 793 | ||
| O98219 | 14 | 817-819 | P0514 | 15 | 791 | P712 | 15 | 791 | ||
| O98219 | 14 | 831-833 | P0514 | 15 | 793 | P712 | 15 | 793 | ||
| O9822 | 14 | 998 | P0515 | 15 | 791 | P713 | 15 | 791 | ||
| O9823 | 14 | 769 | P0515 | 15 | 793 | P713 | 15 | 793 | ||
| O9823 | 14 | 776 | P0516 | 15 | 791 | P714 | 15 | 791 | ||
| O98311 | 14 | 817-819 | P0516 | 15 | 793 | P714 | 15 | 793 | ||
| O98311 | 14 | 831-833 | P0517 | 15 | 791 | P718 | 15 | 791 | ||
| O98312 | 14 | 817-819 | P0517 | 15 | 793 | P718 | 15 | 793 | ||
| O98312 | 14 | 831-833 | P0518 | 15 | 795 | P719 | 15 | 791 | ||
| O98313 | 14 | 817-819 | P0519 | 15 | 794 | P719 | 15 | 793 | ||
| O98313 | 14 | 831-833 | P052 | 15 | 791 | P720 | 15 | 794 | ||
| O98319 | 14 | 817-819 | P052 | 15 | 793 | P721 | 15 | 791 | ||
| O98319 | 14 | 831-833 | P059 | 15 | 794 | P721 | 15 | 793 | ||
| O9832 | 14 | 998 | P0700 | 15 | 790 | P722 | 15 | 794 | ||
| O9833 | 14 | 769 | P0701 | 15 | 790 | P728 | 15 | 794 | ||
| O9833 | 14 | 776 | P0702 | 15 | 790 | P729 | 15 | 794 | ||
| O98411 | 14 | 817-819 | P0703 | 15 | 790 | P740 | 15 | 791 | ||
| O98411 | 14 | 831-833 | P0710 | 15 | 791-792 | P740 | 15 | 793 | ||
| O98412 | 14 | 817-819 | P0714 | 15 | 791-792 | P741 | 15 | 791 | ||
| O98412 | 14 | 831-833 | P0715 | 15 | 791-792 | P741 | 15 | 793 | ||
| O98413 | 14 | 817-819 | P0716 | 15 | 791-792 | P7421 | 15 | 791 | ||
| O98413 | 14 | 831-833 | P0717 | 15 | 791-792 | P7421 | 15 | 793 | ||
| O98419 | 14 | 817-819 | P0718 | 15 | 791-792 | P7422 | 15 | 791 | ||
| O98419 | 14 | 831-833 | P0720 | 15 | 790 | P7422 | 15 | 793 | ||
| O9842 | 14 | 998 | P0721 | 15 | 790 | P7431 | 15 | 791 | ||
| O9843 | 14 | 769 | P0722 | 15 | 790 | P7431 | 15 | 793 | ||
| O9843 | 14 | 776 | P0723 | 15 | 790 | P7432 | 15 | 791 | ||
| O98511 | 14 | 817-819 | P0724 | 15 | 790 | P7432 | 15 | 793 | ||
| O98511 | 14 | 831-833 | P0725 | 15 | 790 | P7441 | 15 | 794 | ||
| O98512 | 14 | 817-819 | P0726 | 15 | 790 | P74421 | 15 | 791 | ||
| O98512 | 14 | 831-833 | P0730 | 15 | 791-792 | P74421 | 15 | 793 | ||
| O98513 | 14 | 817-819 | P0731 | 15 | 791-792 | P74422 | 15 | 791 | ||
| O98513 | 14 | 831-833 | P0732 | 15 | 791-792 | P74422 | 15 | 793 | ||
| O98519 | 14 | 817-819 | P0733 | 15 | 791-792 | P7449 | 15 | 791 | ||
| O98519 | 14 | 831-833 | P0734 | 15 | 791-792 | P7449 | 15 | 793 | ||
| O9852 | 14 | 998 | P0735 | 15 | 791-792 | P745 | 15 | 794 | ||
| O9853 | 14 | 769 | P0736 | 15 | 791-792 | P746 | 15 | 794 | ||
| O9853 | 14 | 776 | P0737 | 15 | 791-792 | P748 | 15 | 794 | ||
| O98611 | 14 | 817-819 | P0738 | 15 | 791-792 | P749 | 15 | 794 | ||
| O98611 | 14 | 831-833 | P0739 | 15 | 791-792 | P760 | 15 | 791 | ||
| O98612 | 14 | 817-819 | P080 | 15 | 795 | P760 | 15 | 793 | ||
| O98612 | 14 | 831-833 | P081 | 15 | 795 | P761 | 15 | 794 | ||
| O98613 | 14 | 817-819 | P0821 | 15 | 795 | P762 | 15 | 791 | ||
| O98613 | 14 | 831-833 | P0822 | 15 | 795 | P762 | 15 | 793 | ||
| O98619 | 14 | 817-819 | P091 | 23 | 947-948 | P768 | 15 | 794 | ||
| O98619 | 14 | 831-833 | P092 | 23 | 947-948 | P769 | 15 | 794 | ||
| O9862 | 14 | 998 | P093 | 23 | 947-948 | P771 | 15 | 791 | ||
| O9863 | 14 | 769 | P094 | 23 | 947-948 | P771 | 15 | 793 | ||
| O9863 | 14 | 776 | P095 | 23 | 947-948 | P772 | 15 | 791 | ||
| O98711 | 14 | 817-819 | P096 | 23 | 947-948 | P772 | 15 | 793 | ||
| O98711 | 14 | 831-833 | P098 | 23 | 947-948 | P773 | 15 | 791 | ||
| O98712 | 14 | 817-819 | P099 | 23 | 947-948 | P773 | 15 | 793 | ||
| O98712 | 14 | 831-833 | P100 | 15 | 791 | P779 | 15 | 791 | ||
| O98713 | 14 | 817-819 | P100 | 15 | 793 | P779 | 15 | 793 | ||
| O98713 | 14 | 831-833 | P101 | 15 | 791 | P780 | 15 | 791 | ||
| O98719 | 14 | 817-819 | P101 | 15 | 793 | P780 | 15 | 793 | ||
| O98719 | 14 | 831-833 | P102 | 15 | 791 | P781 | 15 | 794 | ||
| O9872 | 14 | 998 | P102 | 15 | 793 | P782 | 15 | 794 | ||
| O9873 | 14 | 769 | P103 | 15 | 791 | P783 | 15 | 794 | ||
| O9873 | 14 | 776 | P103 | 15 | 793 | P7881 | 15 | 794 | ||
| O98811 | 14 | 817-819 | P104 | 15 | 791 | P7882 | 15 | 794 | ||
| O98811 | 14 | 831-833 | P104 | 15 | 793 | P7883 | 15 | 794 | ||
| O98812 | 14 | 817-819 | P108 | 15 | 791 | P7884 | 15 | 794 | ||
| O98812 | 14 | 831-833 | P108 | 15 | 793 | P7889 | 15 | 794 | ||
| O98813 | 14 | 817-819 | P109 | 15 | 791 | P789 | 15 | 794 | ||
| O98813 | 14 | 831-833 | P109 | 15 | 793 | P800 | 15 | 794 | ||
| O98819 | 14 | 817-819 | P110 | 15 | 791 | P808 | 15 | 794 | ||
| O98819 | 14 | 831-833 | P110 | 15 | 793 | P809 | 15 | 794 | ||
| O9882 | 14 | 998 | P111 | 15 | 794 | P810 | 15 | 794 | ||
| O9883 | 14 | 769 | P112 | 15 | 791 | P818 | 15 | 794 | ||
| O9883 | 14 | 776 | P112 | 15 | 793 | P819 | 15 | 794 | ||
| O98911 | 14 | 817-819 | P113 | 15 | 794 | P830 | 15 | 794 | ||
| O98911 | 14 | 831-833 | P114 | 15 | 791 | P831 | 15 | 795 | ||
| O98912 | 14 | 817-819 | P114 | 15 | 793 | P832 | 15 | 791 | ||
| O98912 | 14 | 831-833 | P115 | 15 | 791 | P832 | 15 | 793 | ||
| O98913 | 14 | 817-819 | P115 | 15 | 793 | P8330 | 15 | 794 | ||
| O98913 | 14 | 831-833 | P119 | 15 | 791 | P8339 | 15 | 794 | ||
| O98919 | 14 | 817-819 | P119 | 15 | 793 | P834 | 15 | 794 | ||
| O98919 | 14 | 831-833 | P120 | 15 | 795 | P835 | 15 | 794 | ||
| O9892 | 14 | 998 | P121 | 15 | 795 | P836 | 15 | 795 | ||
| O9893 | 14 | 769 | P122 | 15 | 791 | P8381 | 15 | 795 | ||
| O9893 | 14 | 776 | P122 | 15 | 793 | P8388 | 15 | 795 | ||
| O99011 | 14 | 817-819 | P123 | 15 | 795 | P839 | 15 | 794 | ||
| O99011 | 14 | 831-833 | P124 | 15 | 795 | P84 | 15 | 794 | ||
| O99012 | 14 | 817-819 | P1281 | 15 | 795 | P90 | 15 | 791 | ||
| O99012 | 14 | 831-833 | P1289 | 15 | 795 | P90 | 15 | 793 | ||
| O99013 | 14 | 817-819 | P129 | 15 | 795 | P910 | 15 | 791 | ||
| O99013 | 14 | 831-833 | P130 | 15 | 794 | P910 | 15 | 793 | ||
| O99019 | 14 | 817-819 | P131 | 15 | 794 | P911 | 15 | 791 | ||
| O99019 | 14 | 831-833 | P132 | 15 | 794 | P911 | 15 | 793 | ||
| O9902 | 14 | 998 | P133 | 15 | 794 | P912 | 01 | 091-093 | ||
| O9903 | 14 | 769 | P134 | 15 | 794 | P912 | 15 | 791 | ||
| O9903 | 14 | 776 | P912 | 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 |