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 43 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S52291A | 08 | 562-563 | S52343A | 08 | 562-563 | S52389B | 08 | 562-563 | ||
| S52291A | 24 | 963-965 | S52343A | 24 | 963-965 | S52389B | 24 | 963-965 | ||
| S52291B | 08 | 562-563 | S52343B | 08 | 562-563 | S52389C | 08 | 562-563 | ||
| S52291B | 24 | 963-965 | S52343B | 24 | 963-965 | S52389C | 24 | 963-965 | ||
| S52291C | 08 | 562-563 | S52343C | 08 | 562-563 | S52389D | 08 | 559-561 | ||
| S52291C | 24 | 963-965 | S52343C | 24 | 963-965 | S52389E | 08 | 559-561 | ||
| S52291D | 08 | 559-561 | S52343D | 08 | 559-561 | S52389F | 08 | 559-561 | ||
| S52291E | 08 | 559-561 | S52343E | 08 | 559-561 | S52389G | 08 | 559-561 | ||
| S52291F | 08 | 559-561 | S52343F | 08 | 559-561 | S52389H | 08 | 559-561 | ||
| S52291G | 08 | 559-561 | S52343G | 08 | 559-561 | S52389J | 08 | 559-561 | ||
| S52291H | 08 | 559-561 | S52343H | 08 | 559-561 | S52389K | 08 | 564-566 | ||
| S52291J | 08 | 559-561 | S52343J | 08 | 559-561 | S52389M | 08 | 564-566 | ||
| S52291K | 08 | 564-566 | S52343K | 08 | 564-566 | S52389N | 08 | 564-566 | ||
| S52291M | 08 | 564-566 | S52343M | 08 | 564-566 | S52389P | 08 | 564-566 | ||
| S52291N | 08 | 564-566 | S52343N | 08 | 564-566 | S52389Q | 08 | 564-566 | ||
| S52291P | 08 | 564-566 | S52343P | 08 | 564-566 | S52389R | 08 | 564-566 | ||
| S52291Q | 08 | 564-566 | S52343Q | 08 | 564-566 | S52389S | 08 | 559-561 | ||
| S52291R | 08 | 564-566 | S52343R | 08 | 564-566 | S52391A | 08 | 562-563 | ||
| S52291S | 08 | 559-561 | S52343S | 08 | 559-561 | S52391A | 24 | 963-965 | ||
| S52292A | 08 | 562-563 | S52344A | 08 | 562-563 | S52391B | 08 | 562-563 | ||
| S52292A | 24 | 963-965 | S52344A | 24 | 963-965 | S52391B | 24 | 963-965 | ||
| S52292B | 08 | 562-563 | S52344B | 08 | 562-563 | S52391C | 08 | 562-563 | ||
| S52292B | 24 | 963-965 | S52344B | 24 | 963-965 | S52391C | 24 | 963-965 | ||
| S52292C | 08 | 562-563 | S52344C | 08 | 562-563 | S52391D | 08 | 559-561 | ||
| S52292C | 24 | 963-965 | S52344C | 24 | 963-965 | S52391E | 08 | 559-561 | ||
| S52292D | 08 | 559-561 | S52344D | 08 | 559-561 | S52391F | 08 | 559-561 | ||
| S52292E | 08 | 559-561 | S52344E | 08 | 559-561 | S52391G | 08 | 559-561 | ||
| S52292F | 08 | 559-561 | S52344F | 08 | 559-561 | S52391H | 08 | 559-561 | ||
| S52292G | 08 | 559-561 | S52344G | 08 | 559-561 | S52391J | 08 | 559-561 | ||
| S52292H | 08 | 559-561 | S52344H | 08 | 559-561 | S52391K | 08 | 564-566 | ||
| S52292J | 08 | 559-561 | S52344J | 08 | 559-561 | S52391M | 08 | 564-566 | ||
| S52292K | 08 | 564-566 | S52344K | 08 | 564-566 | S52391N | 08 | 564-566 | ||
| S52292M | 08 | 564-566 | S52344M | 08 | 564-566 | S52391P | 08 | 564-566 | ||
| S52292N | 08 | 564-566 | S52344N | 08 | 564-566 | S52391Q | 08 | 564-566 | ||
| S52292P | 08 | 564-566 | S52344P | 08 | 564-566 | S52391R | 08 | 564-566 | ||
| S52292Q | 08 | 564-566 | S52344Q | 08 | 564-566 | S52391S | 08 | 559-561 | ||
| S52292R | 08 | 564-566 | S52344R | 08 | 564-566 | S52392A | 08 | 562-563 | ||
| S52292S | 08 | 559-561 | S52344S | 08 | 559-561 | S52392A | 24 | 963-965 | ||
| S52299A | 08 | 562-563 | S52345A | 08 | 562-563 | S52392B | 08 | 562-563 | ||
| S52299A | 24 | 963-965 | S52345A | 24 | 963-965 | S52392B | 24 | 963-965 | ||
| S52299B | 08 | 562-563 | S52345B | 08 | 562-563 | S52392C | 08 | 562-563 | ||
| S52299B | 24 | 963-965 | S52345B | 24 | 963-965 | S52392C | 24 | 963-965 | ||
| S52299C | 08 | 562-563 | S52345C | 08 | 562-563 | S52392D | 08 | 559-561 | ||
| S52299C | 24 | 963-965 | S52345C | 24 | 963-965 | S52392E | 08 | 559-561 | ||
| S52299D | 08 | 559-561 | S52345D | 08 | 559-561 | S52392F | 08 | 559-561 | ||
| S52299E | 08 | 559-561 | S52345E | 08 | 559-561 | S52392G | 08 | 559-561 | ||
| S52299F | 08 | 559-561 | S52345F | 08 | 559-561 | S52392H | 08 | 559-561 | ||
| S52299G | 08 | 559-561 | S52345G | 08 | 559-561 | S52392J | 08 | 559-561 | ||
| S52299H | 08 | 559-561 | S52345H | 08 | 559-561 | S52392K | 08 | 564-566 | ||
| S52299J | 08 | 559-561 | S52345J | 08 | 559-561 | S52392M | 08 | 564-566 | ||
| S52299K | 08 | 564-566 | S52345K | 08 | 564-566 | S52392N | 08 | 564-566 | ||
| S52299M | 08 | 564-566 | S52345M | 08 | 564-566 | S52392P | 08 | 564-566 | ||
| S52299N | 08 | 564-566 | S52345N | 08 | 564-566 | S52392Q | 08 | 564-566 | ||
| S52299P | 08 | 564-566 | S52345P | 08 | 564-566 | S52392R | 08 | 564-566 | ||
| S52299Q | 08 | 564-566 | S52345Q | 08 | 564-566 | S52392S | 08 | 559-561 | ||
| S52299R | 08 | 564-566 | S52345R | 08 | 564-566 | S52399A | 08 | 562-563 | ||
| S52299S | 08 | 559-561 | S52345S | 08 | 559-561 | S52399A | 24 | 963-965 | ||
| S52301A | 08 | 562-563 | S52346A | 08 | 562-563 | S52399B | 08 | 562-563 | ||
| S52301A | 24 | 963-965 | S52346A | 24 | 963-965 | S52399B | 24 | 963-965 | ||
| S52301B | 08 | 562-563 | S52346B | 08 | 562-563 | S52399C | 08 | 562-563 | ||
| S52301B | 24 | 963-965 | S52346B | 24 | 963-965 | S52399C | 24 | 963-965 | ||
| S52301C | 08 | 562-563 | S52346C | 08 | 562-563 | S52399D | 08 | 559-561 | ||
| S52301C | 24 | 963-965 | S52346C | 24 | 963-965 | S52399E | 08 | 559-561 | ||
| S52301D | 08 | 559-561 | S52346D | 08 | 559-561 | S52399F | 08 | 559-561 | ||
| S52301E | 08 | 559-561 | S52346E | 08 | 559-561 | S52399G | 08 | 559-561 | ||
| S52301F | 08 | 559-561 | S52346F | 08 | 559-561 | S52399H | 08 | 559-561 | ||
| S52301G | 08 | 559-561 | S52346G | 08 | 559-561 | S52399J | 08 | 559-561 | ||
| S52301H | 08 | 559-561 | S52346H | 08 | 559-561 | S52399K | 08 | 564-566 | ||
| S52301J | 08 | 559-561 | S52346J | 08 | 559-561 | S52399M | 08 | 564-566 | ||
| S52301K | 08 | 564-566 | S52346K | 08 | 564-566 | S52399N | 08 | 564-566 | ||
| S52301M | 08 | 564-566 | S52346M | 08 | 564-566 | S52399P | 08 | 564-566 | ||
| S52301N | 08 | 564-566 | S52346N | 08 | 564-566 | S52399Q | 08 | 564-566 | ||
| S52301P | 08 | 564-566 | S52346P | 08 | 564-566 | S52399R | 08 | 564-566 | ||
| S52301Q | 08 | 564-566 | S52346Q | 08 | 564-566 | S52399S | 08 | 559-561 | ||
| S52301R | 08 | 564-566 | S52346R | 08 | 564-566 | S52501A | 08 | 562-563 | ||
| S52301S | 08 | 559-561 | S52346S | 08 | 559-561 | S52501A | 24 | 963-965 | ||
| S52302A | 08 | 562-563 | S52351A | 08 | 562-563 | S52501B | 08 | 562-563 | ||
| S52302A | 24 | 963-965 | S52351A | 24 | 963-965 | S52501B | 24 | 963-965 | ||
| S52302B | 08 | 562-563 | S52351B | 08 | 562-563 | S52501C | 08 | 562-563 | ||
| S52302B | 24 | 963-965 | S52351B | 24 | 963-965 | S52501C | 24 | 963-965 | ||
| S52302C | 08 | 562-563 | S52351C | 08 | 562-563 | S52501D | 08 | 559-561 | ||
| S52302C | 24 | 963-965 | S52351C | 24 | 963-965 | S52501E | 08 | 559-561 | ||
| S52302D | 08 | 559-561 | S52351D | 08 | 559-561 | S52501F | 08 | 559-561 | ||
| S52302E | 08 | 559-561 | S52351E | 08 | 559-561 | S52501G | 08 | 559-561 | ||
| S52302F | 08 | 559-561 | S52351F | 08 | 559-561 | S52501H | 08 | 559-561 | ||
| S52302G | 08 | 559-561 | S52351G | 08 | 559-561 | S52501J | 08 | 559-561 | ||
| S52302H | 08 | 559-561 | S52351H | 08 | 559-561 | S52501K | 08 | 564-566 | ||
| S52302J | 08 | 559-561 | S52351J | 08 | 559-561 | S52501M | 08 | 564-566 | ||
| S52302K | 08 | 564-566 | S52351K | 08 | 564-566 | S52501N | 08 | 564-566 | ||
| S52302M | 08 | 564-566 | S52351M | 08 | 564-566 | S52501P | 08 | 564-566 | ||
| S52302N | 08 | 564-566 | S52351N | 08 | 564-566 | S52501Q | 08 | 564-566 | ||
| S52302P | 08 | 564-566 | S52351P | 08 | 564-566 | S52501R | 08 | 564-566 | ||
| S52302Q | 08 | 564-566 | S52351Q | 08 | 564-566 | S52501S | 08 | 559-561 | ||
| S52302R | 08 | 564-566 | S52351R | 08 | 564-566 | S52502A | 08 | 562-563 | ||
| S52302S | 08 | 559-561 | S52351S | 08 | 559-561 | S52502A | 24 | 963-965 | ||
| S52309A | 08 | 562-563 | S52352A | 08 | 562-563 | S52502B | 08 | 562-563 | ||
| S52309A | 24 | 963-965 | S52352A | 24 | 963-965 | S52502B | 24 | 963-965 | ||
| S52309B | 08 | 562-563 | S52352B | 08 | 562-563 | S52502C | 08 | 562-563 | ||
| S52309B | 24 | 963-965 | S52352B | 24 | 963-965 | S52502C | 24 | 963-965 | ||
| S52309C | 08 | 562-563 | S52352C | 08 | 562-563 | S52502D | 08 | 559-561 | ||
| S52309C | 24 | 963-965 | S52352C | 24 | 963-965 | S52502E | 08 | 559-561 | ||
| S52309D | 08 | 559-561 | S52352D | 08 | 559-561 | S52502F | 08 | 559-561 | ||
| S52309E | 08 | 559-561 | S52352E | 08 | 559-561 | S52502G | 08 | 559-561 | ||
| S52309F | 08 | 559-561 | S52352F | 08 | 559-561 | S52502H | 08 | 559-561 | ||
| S52309G | 08 | 559-561 | S52352G | 08 | 559-561 | S52502J | 08 | 559-561 | ||
| S52309H | 08 | 559-561 | S52352H | 08 | 559-561 | S52502K | 08 | 564-566 | ||
| S52309J | 08 | 559-561 | S52352J | 08 | 559-561 | S52502M | 08 | 564-566 | ||
| S52309K | 08 | 564-566 | S52352K | 08 | 564-566 | S52502N | 08 | 564-566 | ||
| S52309M | 08 | 564-566 | S52352M | 08 | 564-566 | S52502P | 08 | 564-566 | ||
| S52309N | 08 | 564-566 | S52352N | 08 | 564-566 | S52502Q | 08 | 564-566 | ||
| S52309P | 08 | 564-566 | S52352P | 08 | 564-566 | S52502R | 08 | 564-566 | ||
| S52309Q | 08 | 564-566 | S52352Q | 08 | 564-566 | S52502S | 08 | 559-561 | ||
| S52309R | 08 | 564-566 | S52352R | 08 | 564-566 | S52509A | 08 | 562-563 | ||
| S52309S | 08 | 559-561 | S52352S | 08 | 559-561 | S52509A | 24 | 963-965 | ||
| S52311A | 08 | 562-563 | S52353A | 08 | 562-563 | S52509B | 08 | 562-563 | ||
| S52311A | 24 | 963-965 | S52353A | 24 | 963-965 | S52509B | 24 | 963-965 | ||
| S52311D | 08 | 559-561 | S52353B | 08 | 562-563 | S52509C | 08 | 562-563 | ||
| S52311G | 08 | 559-561 | S52353B | 24 | 963-965 | S52509C | 24 | 963-965 | ||
| S52311K | 08 | 564-566 | S52353C | 08 | 562-563 | S52509D | 08 | 559-561 | ||
| S52311P | 08 | 564-566 | S52353C | 24 | 963-965 | S52509E | 08 | 559-561 | ||
| S52311S | 08 | 559-561 | S52353D | 08 | 559-561 | S52509F | 08 | 559-561 | ||
| S52312A | 08 | 562-563 | S52353E | 08 | 559-561 | S52509G | 08 | 559-561 | ||
| S52312A | 24 | 963-965 | S52353F | 08 | 559-561 | S52509H | 08 | 559-561 | ||
| S52312D | 08 | 559-561 | S52353G | 08 | 559-561 | S52509J | 08 | 559-561 | ||
| S52312G | 08 | 559-561 | S52353H | 08 | 559-561 | S52509K | 08 | 564-566 | ||
| S52312K | 08 | 564-566 | S52353J | 08 | 559-561 | S52509M | 08 | 564-566 | ||
| S52312P | 08 | 564-566 | S52353K | 08 | 564-566 | S52509N | 08 | 564-566 | ||
| S52312S | 08 | 559-561 | S52353M | 08 | 564-566 | S52509P | 08 | 564-566 | ||
| S52319A | 08 | 562-563 | S52353N | 08 | 564-566 | S52509Q | 08 | 564-566 | ||
| S52319A | 24 | 963-965 | S52353P | 08 | 564-566 | S52509R | 08 | 564-566 | ||
| S52319D | 08 | 559-561 | S52353Q | 08 | 564-566 | S52509S | 08 | 559-561 | ||
| S52319G | 08 | 559-561 | S52353R | 08 | 564-566 | S52511A | 08 | 562-563 | ||
| S52319K | 08 | 564-566 | S52353S | 08 | 559-561 | S52511A | 24 | 963-965 | ||
| S52319P | 08 | 564-566 | S52354A | 08 | 562-563 | S52511B | 08 | 562-563 | ||
| S52319S | 08 | 559-561 | S52354A | 24 | 963-965 | S52511B | 24 | 963-965 | ||
| S52321A | 08 | 562-563 | S52354B | 08 | 562-563 | S52511C | 08 | 562-563 | ||
| S52321A | 24 | 963-965 | S52354B | 24 | 963-965 | S52511C | 24 | 963-965 | ||
| S52321B | 08 | 562-563 | S52354C | 08 | 562-563 | S52511D | 08 | 559-561 | ||
| S52321B | 24 | 963-965 | S52354C | 24 | 963-965 | S52511E | 08 | 559-561 | ||
| S52321C | 08 | 562-563 | S52354D | 08 | 559-561 | S52511F | 08 | 559-561 | ||
| S52321C | 24 | 963-965 | S52354E | 08 | 559-561 | S52511G | 08 | 559-561 | ||
| S52321D | 08 | 559-561 | S52354F | 08 | 559-561 | S52511H | 08 | 559-561 | ||
| S52321E | 08 | 559-561 | S52354G | 08 | 559-561 | S52511J | 08 | 559-561 | ||
| S52321F | 08 | 559-561 | S52354H | 08 | 559-561 | S52511K | 08 | 564-566 | ||
| S52321G | 08 | 559-561 | S52354J | 08 | 559-561 | S52511M | 08 | 564-566 | ||
| S52321H | 08 | 559-561 | S52354K | 08 | 564-566 | S52511N | 08 | 564-566 | ||
| S52321J | 08 | 559-561 | S52354M | 08 | 564-566 | S52511P | 08 | 564-566 | ||
| S52321K | 08 | 564-566 | S52354N | 08 | 564-566 | S52511Q | 08 | 564-566 | ||
| S52321M | 08 | 564-566 | S52354P | 08 | 564-566 | S52511R | 08 | 564-566 | ||
| S52321N | 08 | 564-566 | S52354Q | 08 | 564-566 | S52511S | 08 | 559-561 | ||
| S52321P | 08 | 564-566 | S52354R | 08 | 564-566 | S52512A | 08 | 562-563 | ||
| S52321Q | 08 | 564-566 | S52354S | 08 | 559-561 | S52512A | 24 | 963-965 | ||
| S52321R | 08 | 564-566 | S52355A | 08 | 562-563 | S52512B | 08 | 562-563 | ||
| S52321S | 08 | 559-561 | S52355A | 24 | 963-965 | S52512B | 24 | 963-965 | ||
| S52322A | 08 | 562-563 | S52355B | 08 | 562-563 | S52512C | 08 | 562-563 | ||
| S52322A | 24 | 963-965 | S52355B | 24 | 963-965 | S52512C | 24 | 963-965 | ||
| S52322B | 08 | 562-563 | S52355C | 08 | 562-563 | S52512D | 08 | 559-561 | ||
| S52322B | 24 | 963-965 | S52355C | 24 | 963-965 | S52512E | 08 | 559-561 | ||
| S52322C | 08 | 562-563 | S52355D | 08 | 559-561 | S52512F | 08 | 559-561 | ||
| S52322C | 24 | 963-965 | S52355E | 08 | 559-561 | S52512G | 08 | 559-561 | ||
| S52322D | 08 | 559-561 | S52355F | 08 | 559-561 | S52512H | 08 | 559-561 | ||
| S52322E | 08 | 559-561 | S52355G | 08 | 559-561 | S52512J | 08 | 559-561 | ||
| S52322F | 08 | 559-561 | S52355H | 08 | 559-561 | S52512K | 08 | 564-566 | ||
| S52322G | 08 | 559-561 | S52355J | 08 | 559-561 | S52512M | 08 | 564-566 | ||
| S52322H | 08 | 559-561 | S52355K | 08 | 564-566 | S52512N | 08 | 564-566 | ||
| S52322J | 08 | 559-561 | S52355M | 08 | 564-566 | S52512P | 08 | 564-566 | ||
| S52322K | 08 | 564-566 | S52355N | 08 | 564-566 | S52512Q | 08 | 564-566 | ||
| S52322M | 08 | 564-566 | S52355P | 08 | 564-566 | S52512R | 08 | 564-566 | ||
| S52322N | 08 | 564-566 | S52355Q | 08 | 564-566 | S52512S | 08 | 559-561 | ||
| S52322P | 08 | 564-566 | S52355R | 08 | 564-566 | S52513A | 08 | 562-563 | ||
| S52322Q | 08 | 564-566 | S52355S | 08 | 559-561 | S52513A | 24 | 963-965 | ||
| S52322R | 08 | 564-566 | S52356A | 08 | 562-563 | S52513B | 08 | 562-563 | ||
| S52322S | 08 | 559-561 | S52356A | 24 | 963-965 | S52513B | 24 | 963-965 | ||
| S52323A | 08 | 562-563 | S52356B | 08 | 562-563 | S52513C | 08 | 562-563 | ||
| S52323A | 24 | 963-965 | S52356B | 24 | 963-965 | S52513C | 24 | 963-965 | ||
| S52323B | 08 | 562-563 | S52356C | 08 | 562-563 | S52513D | 08 | 559-561 | ||
| S52323B | 24 | 963-965 | S52356C | 24 | 963-965 | S52513E | 08 | 559-561 | ||
| S52323C | 08 | 562-563 | S52356D | 08 | 559-561 | S52513F | 08 | 559-561 | ||
| S52323C | 24 | 963-965 | S52356E | 08 | 559-561 | S52513G | 08 | 559-561 | ||
| S52323D | 08 | 559-561 | S52356F | 08 | 559-561 | S52513H | 08 | 559-561 | ||
| S52323E | 08 | 559-561 | S52356G | 08 | 559-561 | S52513J | 08 | 559-561 | ||
| S52323F | 08 | 559-561 | S52356H | 08 | 559-561 | S52513K | 08 | 564-566 | ||
| S52323G | 08 | 559-561 | S52356J | 08 | 559-561 | S52513M | 08 | 564-566 | ||
| S52323H | 08 | 559-561 | S52356K | 08 | 564-566 | S52513N | 08 | 564-566 | ||
| S52323J | 08 | 559-561 | S52356M | 08 | 564-566 | S52513P | 08 | 564-566 | ||
| S52323K | 08 | 564-566 | S52356N | 08 | 564-566 | S52513Q | 08 | 564-566 | ||
| S52323M | 08 | 564-566 | S52356P | 08 | 564-566 | S52513R | 08 | 564-566 | ||
| S52323N | 08 | 564-566 | S52356Q | 08 | 564-566 | S52513S | 08 | 559-561 | ||
| S52323P | 08 | 564-566 | S52356R | 08 | 564-566 | S52514A | 08 | 562-563 | ||
| S52323Q | 08 | 564-566 | S52356S | 08 | 559-561 | S52514A | 24 | 963-965 | ||
| S52323R | 08 | 564-566 | S52361A | 08 | 562-563 | S52514B | 08 | 562-563 | ||
| S52323S | 08 | 559-561 | S52361A | 24 | 963-965 | S52514B | 24 | 963-965 | ||
| S52324A | 08 | 562-563 | S52361B | 08 | 562-563 | S52514C | 08 | 562-563 | ||
| S52324A | 24 | 963-965 | S52361B | 24 | 963-965 | S52514C | 24 | 963-965 | ||
| S52324B | 08 | 562-563 | S52361C | 08 | 562-563 | S52514D | 08 | 559-561 | ||
| S52324B | 24 | 963-965 | S52361C | 24 | 963-965 | S52514E | 08 | 559-561 | ||
| S52324C | 08 | 562-563 | S52361D | 08 | 559-561 | S52514F | 08 | 559-561 | ||
| S52324C | 24 | 963-965 | S52361E | 08 | 559-561 | S52514G | 08 | 559-561 | ||
| S52324D | 08 | 559-561 | S52361F | 08 | 559-561 | S52514H | 08 | 559-561 | ||
| S52324E | 08 | 559-561 | S52361G | 08 | 559-561 | S52514J | 08 | 559-561 | ||
| S52324F | 08 | 559-561 | S52361H | 08 | 559-561 | S52514K | 08 | 564-566 | ||
| S52324G | 08 | 559-561 | S52361J | 08 | 559-561 | S52514M | 08 | 564-566 | ||
| S52324H | 08 | 559-561 | S52361K | 08 | 564-566 | S52514N | 08 | 564-566 | ||
| S52324J | 08 | 559-561 | S52361M | 08 | 564-566 | S52514P | 08 | 564-566 | ||
| S52324K | 08 | 564-566 | S52361N | 08 | 564-566 | S52514Q | 08 | 564-566 | ||
| S52324M | 08 | 564-566 | S52361P | 08 | 564-566 | S52514R | 08 | 564-566 | ||
| S52324N | 08 | 564-566 | S52361Q | 08 | 564-566 | S52514S | 08 | 559-561 | ||
| S52324P | 08 | 564-566 | S52361R | 08 | 564-566 | S52515A | 08 | 562-563 | ||
| S52324Q | 08 | 564-566 | S52361S | 08 | 559-561 | S52515A | 24 | 963-965 | ||
| S52324R | 08 | 564-566 | S52362A | 08 | 562-563 | S52515B | 08 | 562-563 | ||
| S52324S | 08 | 559-561 | S52362A | 24 | 963-965 | S52515B | 24 | 963-965 | ||
| S52325A | 08 | 562-563 | S52362B | 08 | 562-563 | S52515C | 08 | 562-563 | ||
| S52325A | 24 | 963-965 | S52362B | 24 | 963-965 | S52515C | 24 | 963-965 | ||
| S52325B | 08 | 562-563 | S52362C | 08 | 562-563 | S52515D | 08 | 559-561 | ||
| S52325B | 24 | 963-965 | S52362C | 24 | 963-965 | S52515E | 08 | 559-561 | ||
| S52325C | 08 | 562-563 | S52362D | 08 | 559-561 | S52515F | 08 | 559-561 | ||
| S52325C | 24 | 963-965 | S52362E | 08 | 559-561 | S52515G | 08 | 559-561 | ||
| S52325D | 08 | 559-561 | S52362F | 08 | 559-561 | S52515H | 08 | 559-561 | ||
| S52325E | 08 | 559-561 | S52362G | 08 | 559-561 | S52515J | 08 | 559-561 | ||
| S52325F | 08 | 559-561 | S52362H | 08 | 559-561 | S52515K | 08 | 564-566 | ||
| S52325G | 08 | 559-561 | S52362J | 08 | 559-561 | S52515M | 08 | 564-566 | ||
| S52325H | 08 | 559-561 | S52362K | 08 | 564-566 | S52515N | 08 | 564-566 | ||
| S52325J | 08 | 559-561 | S52362M | 08 | 564-566 | S52515P | 08 | 564-566 | ||
| S52325K | 08 | 564-566 | S52362N | 08 | 564-566 | S52515Q | 08 | 564-566 | ||
| S52325M | 08 | 564-566 | S52362P | 08 | 564-566 | S52515R | 08 | 564-566 | ||
| S52325N | 08 | 564-566 | S52362Q | 08 | 564-566 | S52515S | 08 | 559-561 | ||
| S52325P | 08 | 564-566 | S52362R | 08 | 564-566 | S52516A | 08 | 562-563 | ||
| S52325Q | 08 | 564-566 | S52362S | 08 | 559-561 | S52516A | 24 | 963-965 | ||
| S52325R | 08 | 564-566 | S52363A | 08 | 562-563 | S52516B | 08 | 562-563 | ||
| S52325S | 08 | 559-561 | S52363A | 24 | 963-965 | S52516B | 24 | 963-965 | ||
| S52326A | 08 | 562-563 | S52363B | 08 | 562-563 | S52516C | 08 | 562-563 | ||
| S52326A | 24 | 963-965 | S52363B | 24 | 963-965 | S52516C | 24 | 963-965 | ||
| S52326B | 08 | 562-563 | S52363C | 08 | 562-563 | S52516D | 08 | 559-561 | ||
| S52326B | 24 | 963-965 | S52363C | 24 | 963-965 | S52516E | 08 | 559-561 | ||
| S52326C | 08 | 562-563 | S52363D | 08 | 559-561 | S52516F | 08 | 559-561 | ||
| S52326C | 24 | 963-965 | S52363E | 08 | 559-561 | S52516G | 08 | 559-561 | ||
| S52326D | 08 | 559-561 | S52363F | 08 | 559-561 | S52516H | 08 | 559-561 | ||
| S52326E | 08 | 559-561 | S52363G | 08 | 559-561 | S52516J | 08 | 559-561 | ||
| S52326F | 08 | 559-561 | S52363H | 08 | 559-561 | S52516K | 08 | 564-566 | ||
| S52326G | 08 | 559-561 | S52363J | 08 | 559-561 | S52516M | 08 | 564-566 | ||
| S52326H | 08 | 559-561 | S52363K | 08 | 564-566 | S52516N | 08 | 564-566 | ||
| S52326J | 08 | 559-561 | S52363M | 08 | 564-566 | S52516P | 08 | 564-566 | ||
| S52326K | 08 | 564-566 | S52363N | 08 | 564-566 | S52516Q | 08 | 564-566 | ||
| S52326M | 08 | 564-566 | S52363P | 08 | 564-566 | S52516R | 08 | 564-566 | ||
| S52326N | 08 | 564-566 | S52363Q | 08 | 564-566 | S52516S | 08 | 559-561 | ||
| S52326P | 08 | 564-566 | S52363R | 08 | 564-566 | S52521A | 08 | 562-563 | ||
| S52326Q | 08 | 564-566 | S52363S | 08 | 559-561 | S52521A | 24 | 963-965 | ||
| S52326R | 08 | 564-566 | S52364A | 08 | 562-563 | S52521D | 08 | 559-561 | ||
| S52326S | 08 | 559-561 | S52364A | 24 | 963-965 | S52521G | 08 | 559-561 | ||
| S52331A | 08 | 562-563 | S52364B | 08 | 562-563 | S52521K | 08 | 564-566 | ||
| S52331A | 24 | 963-965 | S52364B | 24 | 963-965 | S52521P | 08 | 564-566 | ||
| S52331B | 08 | 562-563 | S52364C | 08 | 562-563 | S52521S | 08 | 559-561 | ||
| S52331B | 24 | 963-965 | S52364C | 24 | 963-965 | S52522A | 08 | 562-563 | ||
| S52331C | 08 | 562-563 | S52364D | 08 | 559-561 | S52522A | 24 | 963-965 | ||
| S52331C | 24 | 963-965 | S52364E | 08 | 559-561 | S52522D | 08 | 559-561 | ||
| S52331D | 08 | 559-561 | S52364F | 08 | 559-561 | S52522G | 08 | 559-561 | ||
| S52331E | 08 | 559-561 | S52364G | 08 | 559-561 | S52522K | 08 | 564-566 | ||
| S52331F | 08 | 559-561 | S52364H | 08 | 559-561 | S52522P | 08 | 564-566 | ||
| S52331G | 08 | 559-561 | S52364J | 08 | 559-561 | S52522S | 08 | 559-561 | ||
| S52331H | 08 | 559-561 | S52364K | 08 | 564-566 | S52529A | 08 | 562-563 | ||
| S52331J | 08 | 559-561 | S52364M | 08 | 564-566 | S52529A | 24 | 963-965 | ||
| S52331K | 08 | 564-566 | S52364N | 08 | 564-566 | S52529D | 08 | 559-561 | ||
| S52331M | 08 | 564-566 | S52364P | 08 | 564-566 | S52529G | 08 | 559-561 | ||
| S52331N | 08 | 564-566 | S52364Q | 08 | 564-566 | S52529K | 08 | 564-566 | ||
| S52331P | 08 | 564-566 | S52364R | 08 | 564-566 | S52529P | 08 | 564-566 | ||
| S52331Q | 08 | 564-566 | S52364S | 08 | 559-561 | S52529S | 08 | 559-561 | ||
| S52331R | 08 | 564-566 | S52365A | 08 | 562-563 | S52531A | 08 | 562-563 | ||
| S52331S | 08 | 559-561 | S52365A | 24 | 963-965 | S52531A | 24 | 963-965 | ||
| S52332A | 08 | 562-563 | S52365B | 08 | 562-563 | S52531B | 08 | 562-563 | ||
| S52332A | 24 | 963-965 | S52365B | 24 | 963-965 | S52531B | 24 | 963-965 | ||
| S52332B | 08 | 562-563 | S52365C | 08 | 562-563 | S52531C | 08 | 562-563 | ||
| S52332B | 24 | 963-965 | S52365C | 24 | 963-965 | S52531C | 24 | 963-965 | ||
| S52332C | 08 | 562-563 | S52365D | 08 | 559-561 | S52531D | 08 | 559-561 | ||
| S52332C | 24 | 963-965 | S52365E | 08 | 559-561 | S52531E | 08 | 559-561 | ||
| S52332D | 08 | 559-561 | S52365F | 08 | 559-561 | S52531F | 08 | 559-561 | ||
| S52332E | 08 | 559-561 | S52365G | 08 | 559-561 | S52531G | 08 | 559-561 | ||
| S52332F | 08 | 559-561 | S52365H | 08 | 559-561 | S52531H | 08 | 559-561 | ||
| S52332G | 08 | 559-561 | S52365J | 08 | 559-561 | S52531J | 08 | 559-561 | ||
| S52332H | 08 | 559-561 | S52365K | 08 | 564-566 | S52531K | 08 | 564-566 | ||
| S52332J | 08 | 559-561 | S52365M | 08 | 564-566 | S52531M | 08 | 564-566 | ||
| S52332K | 08 | 564-566 | S52365N | 08 | 564-566 | S52531N | 08 | 564-566 | ||
| S52332M | 08 | 564-566 | S52365P | 08 | 564-566 | S52531P | 08 | 564-566 | ||
| S52332N | 08 | 564-566 | S52365Q | 08 | 564-566 | S52531Q | 08 | 564-566 | ||
| S52332P | 08 | 564-566 | S52365R | 08 | 564-566 | S52531R | 08 | 564-566 | ||
| S52332Q | 08 | 564-566 | S52365S | 08 | 559-561 | S52531S | 08 | 559-561 | ||
| S52332R | 08 | 564-566 | S52366A | 08 | 562-563 | S52532A | 08 | 562-563 | ||
| S52332S | 08 | 559-561 | S52366A | 24 | 963-965 | S52532A | 24 | 963-965 | ||
| S52333A | 08 | 562-563 | S52366B | 08 | 562-563 | S52532B | 08 | 562-563 | ||
| S52333A | 24 | 963-965 | S52366B | 24 | 963-965 | S52532B | 24 | 963-965 | ||
| S52333B | 08 | 562-563 | S52366C | 08 | 562-563 | S52532C | 08 | 562-563 | ||
| S52333B | 24 | 963-965 | S52366C | 24 | 963-965 | S52532C | 24 | 963-965 | ||
| S52333C | 08 | 562-563 | S52366D | 08 | 559-561 | S52532D | 08 | 559-561 | ||
| S52333C | 24 | 963-965 | S52366E | 08 | 559-561 | S52532E | 08 | 559-561 | ||
| S52333D | 08 | 559-561 | S52366F | 08 | 559-561 | S52532F | 08 | 559-561 | ||
| S52333E | 08 | 559-561 | S52366G | 08 | 559-561 | S52532G | 08 | 559-561 | ||
| S52333F | 08 | 559-561 | S52366H | 08 | 559-561 | S52532H | 08 | 559-561 | ||
| S52333G | 08 | 559-561 | S52366J | 08 | 559-561 | S52532J | 08 | 559-561 | ||
| S52333H | 08 | 559-561 | S52366K | 08 | 564-566 | S52532K | 08 | 564-566 | ||
| S52333J | 08 | 559-561 | S52366M | 08 | 564-566 | S52532M | 08 | 564-566 | ||
| S52333K | 08 | 564-566 | S52366N | 08 | 564-566 | S52532N | 08 | 564-566 | ||
| S52333M | 08 | 564-566 | S52366P | 08 | 564-566 | S52532P | 08 | 564-566 | ||
| S52333N | 08 | 564-566 | S52366Q | 08 | 564-566 | S52532Q | 08 | 564-566 | ||
| S52333P | 08 | 564-566 | S52366R | 08 | 564-566 | S52532R | 08 | 564-566 | ||
| S52333Q | 08 | 564-566 | S52366S | 08 | 559-561 | S52532S | 08 | 559-561 | ||
| S52333R | 08 | 564-566 | S52371A | 08 | 562-563 | S52539A | 08 | 562-563 | ||
| S52333S | 08 | 559-561 | S52371A | 24 | 963-965 | S52539A | 24 | 963-965 | ||
| S52334A | 08 | 562-563 | S52371B | 08 | 562-563 | S52539B | 08 | 562-563 | ||
| S52334A | 24 | 963-965 | S52371B | 24 | 963-965 | S52539B | 24 | 963-965 | ||
| S52334B | 08 | 562-563 | S52371C | 08 | 562-563 | S52539C | 08 | 562-563 | ||
| S52334B | 24 | 963-965 | S52371C | 24 | 963-965 | S52539C | 24 | 963-965 | ||
| S52334C | 08 | 562-563 | S52371D | 08 | 559-561 | S52539D | 08 | 559-561 | ||
| S52334C | 24 | 963-965 | S52371E | 08 | 559-561 | S52539E | 08 | 559-561 | ||
| S52334D | 08 | 559-561 | S52371F | 08 | 559-561 | S52539F | 08 | 559-561 | ||
| S52334E | 08 | 559-561 | S52371G | 08 | 559-561 | S52539G | 08 | 559-561 | ||
| S52334F | 08 | 559-561 | S52371H | 08 | 559-561 | S52539H | 08 | 559-561 | ||
| S52334G | 08 | 559-561 | S52371J | 08 | 559-561 | S52539J | 08 | 559-561 | ||
| S52334H | 08 | 559-561 | S52371K | 08 | 564-566 | S52539K | 08 | 564-566 | ||
| S52334J | 08 | 559-561 | S52371M | 08 | 564-566 | S52539M | 08 | 564-566 | ||
| S52334K | 08 | 564-566 | S52371N | 08 | 564-566 | S52539N | 08 | 564-566 | ||
| S52334M | 08 | 564-566 | S52371P | 08 | 564-566 | S52539P | 08 | 564-566 | ||
| S52334N | 08 | 564-566 | S52371Q | 08 | 564-566 | S52539Q | 08 | 564-566 | ||
| S52334P | 08 | 564-566 | S52371R | 08 | 564-566 | S52539R | 08 | 564-566 | ||
| S52334Q | 08 | 564-566 | S52371S | 08 | 559-561 | S52539S | 08 | 559-561 | ||
| S52334R | 08 | 564-566 | S52372A | 08 | 562-563 | S52541A | 08 | 562-563 | ||
| S52334S | 08 | 559-561 | S52372A | 24 | 963-965 | S52541A | 24 | 963-965 | ||
| S52335A | 08 | 562-563 | S52372B | 08 | 562-563 | S52541B | 08 | 562-563 | ||
| S52335A | 24 | 963-965 | S52372B | 24 | 963-965 | S52541B | 24 | 963-965 | ||
| S52335B | 08 | 562-563 | S52372C | 08 | 562-563 | S52541C | 08 | 562-563 | ||
| S52335B | 24 | 963-965 | S52372C | 24 | 963-965 | S52541C | 24 | 963-965 | ||
| S52335C | 08 | 562-563 | S52372D | 08 | 559-561 | S52541D | 08 | 559-561 | ||
| S52335C | 24 | 963-965 | S52372E | 08 | 559-561 | S52541E | 08 | 559-561 | ||
| S52335D | 08 | 559-561 | S52372F | 08 | 559-561 | S52541F | 08 | 559-561 | ||
| S52335E | 08 | 559-561 | S52372G | 08 | 559-561 | S52541G | 08 | 559-561 | ||
| S52335F | 08 | 559-561 | S52372H | 08 | 559-561 | S52541H | 08 | 559-561 | ||
| S52335G | 08 | 559-561 | S52372J | 08 | 559-561 | S52541J | 08 | 559-561 | ||
| S52335H | 08 | 559-561 | S52372K | 08 | 564-566 | S52541K | 08 | 564-566 | ||
| S52335J | 08 | 559-561 | S52372M | 08 | 564-566 | S52541M | 08 | 564-566 | ||
| S52335K | 08 | 564-566 | S52372N | 08 | 564-566 | S52541N | 08 | 564-566 | ||
| S52335M | 08 | 564-566 | S52372P | 08 | 564-566 | S52541P | 08 | 564-566 | ||
| S52335N | 08 | 564-566 | S52372Q | 08 | 564-566 | S52541Q | 08 | 564-566 | ||
| S52335P | 08 | 564-566 | S52372R | 08 | 564-566 | S52541R | 08 | 564-566 | ||
| S52335Q | 08 | 564-566 | S52372S | 08 | 559-561 | S52541S | 08 | 559-561 | ||
| S52335R | 08 | 564-566 | S52379A | 08 | 562-563 | S52542A | 08 | 562-563 | ||
| S52335S | 08 | 559-561 | S52379A | 24 | 963-965 | S52542A | 24 | 963-965 | ||
| S52336A | 08 | 562-563 | S52379B | 08 | 562-563 | S52542B | 08 | 562-563 | ||
| S52336A | 24 | 963-965 | S52379B | 24 | 963-965 | S52542B | 24 | 963-965 | ||
| S52336B | 08 | 562-563 | S52379C | 08 | 562-563 | S52542C | 08 | 562-563 | ||
| S52336B | 24 | 963-965 | S52379C | 24 | 963-965 | S52542C | 24 | 963-965 | ||
| S52336C | 08 | 562-563 | S52379D | 08 | 559-561 | S52542D | 08 | 559-561 | ||
| S52336C | 24 | 963-965 | S52379E | 08 | 559-561 | S52542E | 08 | 559-561 | ||
| S52336D | 08 | 559-561 | S52379F | 08 | 559-561 | S52542F | 08 | 559-561 | ||
| S52336E | 08 | 559-561 | S52379G | 08 | 559-561 | S52542G | 08 | 559-561 | ||
| S52336F | 08 | 559-561 | S52379H | 08 | 559-561 | S52542H | 08 | 559-561 | ||
| S52336G | 08 | 559-561 | S52379J | 08 | 559-561 | S52542J | 08 | 559-561 | ||
| S52336H | 08 | 559-561 | S52379K | 08 | 564-566 | S52542K | 08 | 564-566 | ||
| S52336J | 08 | 559-561 | S52379M | 08 | 564-566 | S52542M | 08 | 564-566 | ||
| S52336K | 08 | 564-566 | S52379N | 08 | 564-566 | S52542N | 08 | 564-566 | ||
| S52336M | 08 | 564-566 | S52379P | 08 | 564-566 | S52542P | 08 | 564-566 | ||
| S52336N | 08 | 564-566 | S52379Q | 08 | 564-566 | S52542Q | 08 | 564-566 | ||
| S52336P | 08 | 564-566 | S52379R | 08 | 564-566 | S52542R | 08 | 564-566 | ||
| S52336Q | 08 | 564-566 | S52379S | 08 | 559-561 | S52542S | 08 | 559-561 | ||
| S52336R | 08 | 564-566 | S52381A | 08 | 562-563 | S52549A | 08 | 562-563 | ||
| S52336S | 08 | 559-561 | S52381A | 24 | 963-965 | S52549A | 24 | 963-965 | ||
| S52341A | 08 | 562-563 | S52381B | 08 | 562-563 | S52549B | 08 | 562-563 | ||
| S52341A | 24 | 963-965 | S52381B | 24 | 963-965 | S52549B | 24 | 963-965 | ||
| S52341B | 08 | 562-563 | S52381C | 08 | 562-563 | S52549C | 08 | 562-563 | ||
| S52341B | 24 | 963-965 | S52381C | 24 | 963-965 | S52549C | 24 | 963-965 | ||
| S52341C | 08 | 562-563 | S52381D | 08 | 559-561 | S52549D | 08 | 559-561 | ||
| S52341C | 24 | 963-965 | S52381E | 08 | 559-561 | S52549E | 08 | 559-561 | ||
| S52341D | 08 | 559-561 | S52381F | 08 | 559-561 | S52549F | 08 | 559-561 | ||
| S52341E | 08 | 559-561 | S52381G | 08 | 559-561 | S52549G | 08 | 559-561 | ||
| S52341F | 08 | 559-561 | S52381H | 08 | 559-561 | S52549H | 08 | 559-561 | ||
| S52341G | 08 | 559-561 | S52381J | 08 | 559-561 | S52549J | 08 | 559-561 | ||
| S52341H | 08 | 559-561 | S52381K | 08 | 564-566 | S52549K | 08 | 564-566 | ||
| S52341J | 08 | 559-561 | S52381M | 08 | 564-566 | S52549M | 08 | 564-566 | ||
| S52341K | 08 | 564-566 | S52381N | 08 | 564-566 | S52549N | 08 | 564-566 | ||
| S52341M | 08 | 564-566 | S52381P | 08 | 564-566 | S52549P | 08 | 564-566 | ||
| S52341N | 08 | 564-566 | S52381Q | 08 | 564-566 | S52549Q | 08 | 564-566 | ||
| S52341P | 08 | 564-566 | S52381R | 08 | 564-566 | S52549R | 08 | 564-566 | ||
| S52341Q | 08 | 564-566 | S52381S | 08 | 559-561 | S52549S | 08 | 559-561 | ||
| S52341R | 08 | 564-566 | S52382A | 08 | 562-563 | S52551A | 08 | 562-563 | ||
| S52341S | 08 | 559-561 | S52382A | 24 | 963-965 | S52551A | 24 | 963-965 | ||
| S52342A | 08 | 562-563 | S52382B | 08 | 562-563 | S52551B | 08 | 562-563 | ||
| S52342A | 24 | 963-965 | S52382B | 24 | 963-965 | S52551B | 24 | 963-965 | ||
| S52342B | 08 | 562-563 | S52382C | 08 | 562-563 | S52551C | 08 | 562-563 | ||
| S52342B | 24 | 963-965 | S52382C | 24 | 963-965 | S52551C | 24 | 963-965 | ||
| S52342C | 08 | 562-563 | S52382D | 08 | 559-561 | S52551D | 08 | 559-561 | ||
| S52342C | 24 | 963-965 | S52382E | 08 | 559-561 | S52551E | 08 | 559-561 | ||
| S52342D | 08 | 559-561 | S52382F | 08 | 559-561 | S52551F | 08 | 559-561 | ||
| S52342E | 08 | 559-561 | S52382G | 08 | 559-561 | S52551G | 08 | 559-561 | ||
| S52342F | 08 | 559-561 | S52382H | 08 | 559-561 | S52551H | 08 | 559-561 | ||
| S52342G | 08 | 559-561 | S52382J | 08 | 559-561 | S52551J | 08 | 559-561 | ||
| S52342H | 08 | 559-561 | S52382K | 08 | 564-566 | S52551K | 08 | 564-566 | ||
| S52342J | 08 | 559-561 | S52382M | 08 | 564-566 | S52551M | 08 | 564-566 | ||
| S52342K | 08 | 564-566 | S52382N | 08 | 564-566 | S52551N | 08 | 564-566 | ||
| S52342M | 08 | 564-566 | S52382P | 08 | 564-566 | S52551P | 08 | 564-566 | ||
| S52342N | 08 | 564-566 | S52382Q | 08 | 564-566 | S52551Q | 08 | 564-566 | ||
| S52342P | 08 | 564-566 | S52382R | 08 | 564-566 | S52551R | 08 | 564-566 | ||
| S52342Q | 08 | 564-566 | S52382S | 08 | 559-561 | S52551S | 08 | 559-561 | ||
| S52342R | 08 | 564-566 | S52389A | 08 | 562-563 | S52552A | 08 | 562-563 | ||
| S52342S | 08 | 559-561 | S52389A | 24 | 963-965 | S52552A | 24 | 963-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Aug 2022 07:55:53 CMS, code-revision=335, description-revision=1339 |