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 66 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| T23229S | 09 | 604-605 | T23692D | 23 | 949-950 | T24602A | 22 | 935 | ||
| T23231A | 22 | 935 | T23692S | 09 | 604-605 | T24602D | 23 | 949-950 | ||
| T23231D | 23 | 949-950 | T23699A | 22 | 935 | T24602S | 09 | 604-605 | ||
| T23231S | 09 | 604-605 | T23699D | 23 | 949-950 | T24609A | 22 | 935 | ||
| T23232A | 22 | 935 | T23699S | 09 | 604-605 | T24609D | 23 | 949-950 | ||
| T23232D | 23 | 949-950 | T23701A | 22 | 927,933 | T24609S | 09 | 604-605 | ||
| T23232S | 09 | 604-605 | T23701A | 22 | 928-929,934 | T24611A | 22 | 935 | ||
| T23239A | 22 | 935 | T23701D | 23 | 949-950 | T24611D | 23 | 949-950 | ||
| T23239D | 23 | 949-950 | T23701S | 09 | 604-605 | T24611S | 09 | 604-605 | ||
| T23239S | 09 | 604-605 | T23702A | 22 | 927,933 | T24612A | 22 | 935 | ||
| T23241A | 22 | 935 | T23702A | 22 | 928-929,934 | T24612D | 23 | 949-950 | ||
| T23241D | 23 | 949-950 | T23702D | 23 | 949-950 | T24612S | 09 | 604-605 | ||
| T23241S | 09 | 604-605 | T23702S | 09 | 604-605 | T24619A | 22 | 935 | ||
| T23242A | 22 | 935 | T23709A | 22 | 927,933 | T24619D | 23 | 949-950 | ||
| T23242D | 23 | 949-950 | T23709A | 22 | 928-929,934 | T24619S | 09 | 604-605 | ||
| T23242S | 09 | 604-605 | T23709D | 23 | 949-950 | T24621A | 22 | 935 | ||
| T23249A | 22 | 935 | T23709S | 09 | 604-605 | T24621D | 23 | 949-950 | ||
| T23249D | 23 | 949-950 | T23711A | 22 | 927,933 | T24621S | 09 | 604-605 | ||
| T23249S | 09 | 604-605 | T23711A | 22 | 928-929,934 | T24622A | 22 | 935 | ||
| T23251A | 22 | 935 | T23711D | 23 | 949-950 | T24622D | 23 | 949-950 | ||
| T23251D | 23 | 949-950 | T23711S | 09 | 604-605 | T24622S | 09 | 604-605 | ||
| T23251S | 09 | 604-605 | T23712A | 22 | 927,933 | T24629A | 22 | 935 | ||
| T23252A | 22 | 935 | T23712A | 22 | 928-929,934 | T24629D | 23 | 949-950 | ||
| T23252D | 23 | 949-950 | T23712D | 23 | 949-950 | T24629S | 09 | 604-605 | ||
| T23252S | 09 | 604-605 | T23712S | 09 | 604-605 | T24631A | 22 | 935 | ||
| T23259A | 22 | 935 | T23719A | 22 | 927,933 | T24631D | 23 | 949-950 | ||
| T23259D | 23 | 949-950 | T23719A | 22 | 928-929,934 | T24631S | 09 | 604-605 | ||
| T23259S | 09 | 604-605 | T23719D | 23 | 949-950 | T24632A | 22 | 935 | ||
| T23261A | 22 | 935 | T23719S | 09 | 604-605 | T24632D | 23 | 949-950 | ||
| T23261D | 23 | 949-950 | T23721A | 22 | 927,933 | T24632S | 09 | 604-605 | ||
| T23261S | 09 | 604-605 | T23721A | 22 | 928-929,934 | T24639A | 22 | 935 | ||
| T23262A | 22 | 935 | T23721D | 23 | 949-950 | T24639D | 23 | 949-950 | ||
| T23262D | 23 | 949-950 | T23721S | 09 | 604-605 | T24639S | 09 | 604-605 | ||
| T23262S | 09 | 604-605 | T23722A | 22 | 927,933 | T24691A | 22 | 935 | ||
| T23269A | 22 | 935 | T23722A | 22 | 928-929,934 | T24691D | 23 | 949-950 | ||
| T23269D | 23 | 949-950 | T23722D | 23 | 949-950 | T24691S | 09 | 604-605 | ||
| T23269S | 09 | 604-605 | T23722S | 09 | 604-605 | T24692A | 22 | 935 | ||
| T23271A | 22 | 935 | T23729A | 22 | 927,933 | T24692D | 23 | 949-950 | ||
| T23271D | 23 | 949-950 | T23729A | 22 | 928-929,934 | T24692S | 09 | 604-605 | ||
| T23271S | 09 | 604-605 | T23729D | 23 | 949-950 | T24699A | 22 | 935 | ||
| T23272A | 22 | 935 | T23729S | 09 | 604-605 | T24699D | 23 | 949-950 | ||
| T23272D | 23 | 949-950 | T23731A | 22 | 927,933 | T24699S | 09 | 604-605 | ||
| T23272S | 09 | 604-605 | T23731A | 22 | 928-929,934 | T24701A | 22 | 927,933 | ||
| T23279A | 22 | 935 | T23731D | 23 | 949-950 | T24701A | 22 | 928-929,934 | ||
| T23279D | 23 | 949-950 | T23731S | 09 | 604-605 | T24701D | 23 | 949-950 | ||
| T23279S | 09 | 604-605 | T23732A | 22 | 927,933 | T24701S | 09 | 604-605 | ||
| T23291A | 22 | 935 | T23732A | 22 | 928-929,934 | T24702A | 22 | 927,933 | ||
| T23291D | 23 | 949-950 | T23732D | 23 | 949-950 | T24702A | 22 | 928-929,934 | ||
| T23291S | 09 | 604-605 | T23732S | 09 | 604-605 | T24702D | 23 | 949-950 | ||
| T23292A | 22 | 935 | T23739A | 22 | 927,933 | T24702S | 09 | 604-605 | ||
| T23292D | 23 | 949-950 | T23739A | 22 | 928-929,934 | T24709A | 22 | 927,933 | ||
| T23292S | 09 | 604-605 | T23739D | 23 | 949-950 | T24709A | 22 | 928-929,934 | ||
| T23299A | 22 | 935 | T23739S | 09 | 604-605 | T24709D | 23 | 949-950 | ||
| T23299D | 23 | 949-950 | T23741A | 22 | 927,933 | T24709S | 09 | 604-605 | ||
| T23299S | 09 | 604-605 | T23741A | 22 | 928-929,934 | T24711A | 22 | 927,933 | ||
| T23301A | 22 | 927,933 | T23741D | 23 | 949-950 | T24711A | 22 | 928-929,934 | ||
| T23301A | 22 | 928-929,934 | T23741S | 09 | 604-605 | T24711D | 23 | 949-950 | ||
| T23301D | 23 | 949-950 | T23742A | 22 | 927,933 | T24711S | 09 | 604-605 | ||
| T23301S | 09 | 604-605 | T23742A | 22 | 928-929,934 | T24712A | 22 | 927,933 | ||
| T23302A | 22 | 927,933 | T23742D | 23 | 949-950 | T24712A | 22 | 928-929,934 | ||
| T23302A | 22 | 928-929,934 | T23742S | 09 | 604-605 | T24712D | 23 | 949-950 | ||
| T23302D | 23 | 949-950 | T23749A | 22 | 927,933 | T24712S | 09 | 604-605 | ||
| T23302S | 09 | 604-605 | T23749A | 22 | 928-929,934 | T24719A | 22 | 927,933 | ||
| T23309A | 22 | 927,933 | T23749D | 23 | 949-950 | T24719A | 22 | 928-929,934 | ||
| T23309A | 22 | 928-929,934 | T23749S | 09 | 604-605 | T24719D | 23 | 949-950 | ||
| T23309D | 23 | 949-950 | T23751A | 22 | 927,933 | T24719S | 09 | 604-605 | ||
| T23309S | 09 | 604-605 | T23751A | 22 | 928-929,934 | T24721A | 22 | 927,933 | ||
| T23311A | 22 | 927,933 | T23751D | 23 | 949-950 | T24721A | 22 | 928-929,934 | ||
| T23311A | 22 | 928-929,934 | T23751S | 09 | 604-605 | T24721D | 23 | 949-950 | ||
| T23311D | 23 | 949-950 | T23752A | 22 | 927,933 | T24721S | 09 | 604-605 | ||
| T23311S | 09 | 604-605 | T23752A | 22 | 928-929,934 | T24722A | 22 | 927,933 | ||
| T23312A | 22 | 927,933 | T23752D | 23 | 949-950 | T24722A | 22 | 928-929,934 | ||
| T23312A | 22 | 928-929,934 | T23752S | 09 | 604-605 | T24722D | 23 | 949-950 | ||
| T23312D | 23 | 949-950 | T23759A | 22 | 927,933 | T24722S | 09 | 604-605 | ||
| T23312S | 09 | 604-605 | T23759A | 22 | 928-929,934 | T24729A | 22 | 927,933 | ||
| T23319A | 22 | 927,933 | T23759D | 23 | 949-950 | T24729A | 22 | 928-929,934 | ||
| T23319A | 22 | 928-929,934 | T23759S | 09 | 604-605 | T24729D | 23 | 949-950 | ||
| T23319D | 23 | 949-950 | T23761A | 22 | 927,933 | T24729S | 09 | 604-605 | ||
| T23319S | 09 | 604-605 | T23761A | 22 | 928-929,934 | T24731A | 22 | 927,933 | ||
| T23321A | 22 | 927,933 | T23761D | 23 | 949-950 | T24731A | 22 | 928-929,934 | ||
| T23321A | 22 | 928-929,934 | T23761S | 09 | 604-605 | T24731D | 23 | 949-950 | ||
| T23321D | 23 | 949-950 | T23762A | 22 | 927,933 | T24731S | 09 | 604-605 | ||
| T23321S | 09 | 604-605 | T23762A | 22 | 928-929,934 | T24732A | 22 | 927,933 | ||
| T23322A | 22 | 927,933 | T23762D | 23 | 949-950 | T24732A | 22 | 928-929,934 | ||
| T23322A | 22 | 928-929,934 | T23762S | 09 | 604-605 | T24732D | 23 | 949-950 | ||
| T23322D | 23 | 949-950 | T23769A | 22 | 927,933 | T24732S | 09 | 604-605 | ||
| T23322S | 09 | 604-605 | T23769A | 22 | 928-929,934 | T24739A | 22 | 927,933 | ||
| T23329A | 22 | 927,933 | T23769D | 23 | 949-950 | T24739A | 22 | 928-929,934 | ||
| T23329A | 22 | 928-929,934 | T23769S | 09 | 604-605 | T24739D | 23 | 949-950 | ||
| T23329D | 23 | 949-950 | T23771A | 22 | 927,933 | T24739S | 09 | 604-605 | ||
| T23329S | 09 | 604-605 | T23771A | 22 | 928-929,934 | T24791A | 22 | 927,933 | ||
| T23331A | 22 | 927,933 | T23771D | 23 | 949-950 | T24791A | 22 | 928-929,934 | ||
| T23331A | 22 | 928-929,934 | T23771S | 09 | 604-605 | T24791D | 23 | 949-950 | ||
| T23331D | 23 | 949-950 | T23772A | 22 | 927,933 | T24791S | 09 | 604-605 | ||
| T23331S | 09 | 604-605 | T23772A | 22 | 928-929,934 | T24792A | 22 | 927,933 | ||
| T23332A | 22 | 927,933 | T23772D | 23 | 949-950 | T24792A | 22 | 928-929,934 | ||
| T23332A | 22 | 928-929,934 | T23772S | 09 | 604-605 | T24792D | 23 | 949-950 | ||
| T23332D | 23 | 949-950 | T23779A | 22 | 927,933 | T24792S | 09 | 604-605 | ||
| T23332S | 09 | 604-605 | T23779A | 22 | 928-929,934 | T24799A | 22 | 927,933 | ||
| T23339A | 22 | 927,933 | T23779D | 23 | 949-950 | T24799A | 22 | 928-929,934 | ||
| T23339A | 22 | 928-929,934 | T23779S | 09 | 604-605 | T24799D | 23 | 949-950 | ||
| T23339D | 23 | 949-950 | T23791A | 22 | 927,933 | T24799S | 09 | 604-605 | ||
| T23339S | 09 | 604-605 | T23791A | 22 | 928-929,934 | T25011A | 22 | 935 | ||
| T23341A | 22 | 927,933 | T23791D | 23 | 949-950 | T25011D | 23 | 949-950 | ||
| T23341A | 22 | 928-929,934 | T23791S | 09 | 604-605 | T25011S | 09 | 604-605 | ||
| T23341D | 23 | 949-950 | T23792A | 22 | 927,933 | T25012A | 22 | 935 | ||
| T23341S | 09 | 604-605 | T23792A | 22 | 928-929,934 | T25012D | 23 | 949-950 | ||
| T23342A | 22 | 927,933 | T23792D | 23 | 949-950 | T25012S | 09 | 604-605 | ||
| T23342A | 22 | 928-929,934 | T23792S | 09 | 604-605 | T25019A | 22 | 935 | ||
| T23342D | 23 | 949-950 | T23799A | 22 | 927,933 | T25019D | 23 | 949-950 | ||
| T23342S | 09 | 604-605 | T23799A | 22 | 928-929,934 | T25019S | 09 | 604-605 | ||
| T23349A | 22 | 927,933 | T23799D | 23 | 949-950 | T25021A | 22 | 935 | ||
| T23349A | 22 | 928-929,934 | T23799S | 09 | 604-605 | T25021D | 23 | 949-950 | ||
| T23349D | 23 | 949-950 | T24001A | 22 | 935 | T25021S | 09 | 604-605 | ||
| T23349S | 09 | 604-605 | T24001D | 23 | 949-950 | T25022A | 22 | 935 | ||
| T23351A | 22 | 927,933 | T24001S | 09 | 604-605 | T25022D | 23 | 949-950 | ||
| T23351A | 22 | 928-929,934 | T24002A | 22 | 935 | T25022S | 09 | 604-605 | ||
| T23351D | 23 | 949-950 | T24002D | 23 | 949-950 | T25029A | 22 | 935 | ||
| T23351S | 09 | 604-605 | T24002S | 09 | 604-605 | T25029D | 23 | 949-950 | ||
| T23352A | 22 | 927,933 | T24009A | 22 | 935 | T25029S | 09 | 604-605 | ||
| T23352A | 22 | 928-929,934 | T24009D | 23 | 949-950 | T25031A | 22 | 935 | ||
| T23352D | 23 | 949-950 | T24009S | 09 | 604-605 | T25031D | 23 | 949-950 | ||
| T23352S | 09 | 604-605 | T24011A | 22 | 935 | T25031S | 09 | 604-605 | ||
| T23359A | 22 | 927,933 | T24011D | 23 | 949-950 | T25032A | 22 | 935 | ||
| T23359A | 22 | 928-929,934 | T24011S | 09 | 604-605 | T25032D | 23 | 949-950 | ||
| T23359D | 23 | 949-950 | T24012A | 22 | 935 | T25032S | 09 | 604-605 | ||
| T23359S | 09 | 604-605 | T24012D | 23 | 949-950 | T25039A | 22 | 935 | ||
| T23361A | 22 | 927,933 | T24012S | 09 | 604-605 | T25039D | 23 | 949-950 | ||
| T23361A | 22 | 928-929,934 | T24019A | 22 | 935 | T25039S | 09 | 604-605 | ||
| T23361D | 23 | 949-950 | T24019D | 23 | 949-950 | T25091A | 22 | 935 | ||
| T23361S | 09 | 604-605 | T24019S | 09 | 604-605 | T25091D | 23 | 949-950 | ||
| T23362A | 22 | 927,933 | T24021A | 22 | 935 | T25091S | 09 | 604-605 | ||
| T23362A | 22 | 928-929,934 | T24021D | 23 | 949-950 | T25092A | 22 | 935 | ||
| T23362D | 23 | 949-950 | T24021S | 09 | 604-605 | T25092D | 23 | 949-950 | ||
| T23362S | 09 | 604-605 | T24022A | 22 | 935 | T25092S | 09 | 604-605 | ||
| T23369A | 22 | 927,933 | T24022D | 23 | 949-950 | T25099A | 22 | 935 | ||
| T23369A | 22 | 928-929,934 | T24022S | 09 | 604-605 | T25099D | 23 | 949-950 | ||
| T23369D | 23 | 949-950 | T24029A | 22 | 935 | T25099S | 09 | 604-605 | ||
| T23369S | 09 | 604-605 | T24029D | 23 | 949-950 | T25111A | 22 | 935 | ||
| T23371A | 22 | 927,933 | T24029S | 09 | 604-605 | T25111D | 23 | 949-950 | ||
| T23371A | 22 | 928-929,934 | T24031A | 22 | 935 | T25111S | 09 | 604-605 | ||
| T23371D | 23 | 949-950 | T24031D | 23 | 949-950 | T25112A | 22 | 935 | ||
| T23371S | 09 | 604-605 | T24031S | 09 | 604-605 | T25112D | 23 | 949-950 | ||
| T23372A | 22 | 927,933 | T24032A | 22 | 935 | T25112S | 09 | 604-605 | ||
| T23372A | 22 | 928-929,934 | T24032D | 23 | 949-950 | T25119A | 22 | 935 | ||
| T23372D | 23 | 949-950 | T24032S | 09 | 604-605 | T25119D | 23 | 949-950 | ||
| T23372S | 09 | 604-605 | T24039A | 22 | 935 | T25119S | 09 | 604-605 | ||
| T23379A | 22 | 927,933 | T24039D | 23 | 949-950 | T25121A | 22 | 935 | ||
| T23379A | 22 | 928-929,934 | T24039S | 09 | 604-605 | T25121D | 23 | 949-950 | ||
| T23379D | 23 | 949-950 | T24091A | 22 | 935 | T25121S | 09 | 604-605 | ||
| T23379S | 09 | 604-605 | T24091D | 23 | 949-950 | T25122A | 22 | 935 | ||
| T23391A | 22 | 927,933 | T24091S | 09 | 604-605 | T25122D | 23 | 949-950 | ||
| T23391A | 22 | 928-929,934 | T24092A | 22 | 935 | T25122S | 09 | 604-605 | ||
| T23391D | 23 | 949-950 | T24092D | 23 | 949-950 | T25129A | 22 | 935 | ||
| T23391S | 09 | 604-605 | T24092S | 09 | 604-605 | T25129D | 23 | 949-950 | ||
| T23392A | 22 | 927,933 | T24099A | 22 | 935 | T25129S | 09 | 604-605 | ||
| T23392A | 22 | 928-929,934 | T24099D | 23 | 949-950 | T25131A | 22 | 935 | ||
| T23392D | 23 | 949-950 | T24099S | 09 | 604-605 | T25131D | 23 | 949-950 | ||
| T23392S | 09 | 604-605 | T24101A | 22 | 935 | T25131S | 09 | 604-605 | ||
| T23399A | 22 | 927,933 | T24101D | 23 | 949-950 | T25132A | 22 | 935 | ||
| T23399A | 22 | 928-929,934 | T24101S | 09 | 604-605 | T25132D | 23 | 949-950 | ||
| T23399D | 23 | 949-950 | T24102A | 22 | 935 | T25132S | 09 | 604-605 | ||
| T23399S | 09 | 604-605 | T24102D | 23 | 949-950 | T25139A | 22 | 935 | ||
| T23401A | 22 | 935 | T24102S | 09 | 604-605 | T25139D | 23 | 949-950 | ||
| T23401D | 23 | 949-950 | T24109A | 22 | 935 | T25139S | 09 | 604-605 | ||
| T23401S | 09 | 604-605 | T24109D | 23 | 949-950 | T25191A | 22 | 935 | ||
| T23402A | 22 | 935 | T24109S | 09 | 604-605 | T25191D | 23 | 949-950 | ||
| T23402D | 23 | 949-950 | T24111A | 22 | 935 | T25191S | 09 | 604-605 | ||
| T23402S | 09 | 604-605 | T24111D | 23 | 949-950 | T25192A | 22 | 935 | ||
| T23409A | 22 | 935 | T24111S | 09 | 604-605 | T25192D | 23 | 949-950 | ||
| T23409D | 23 | 949-950 | T24112A | 22 | 935 | T25192S | 09 | 604-605 | ||
| T23409S | 09 | 604-605 | T24112D | 23 | 949-950 | T25199A | 22 | 935 | ||
| T23411A | 22 | 935 | T24112S | 09 | 604-605 | T25199D | 23 | 949-950 | ||
| T23411D | 23 | 949-950 | T24119A | 22 | 935 | T25199S | 09 | 604-605 | ||
| T23411S | 09 | 604-605 | T24119D | 23 | 949-950 | T25211A | 22 | 935 | ||
| T23412A | 22 | 935 | T24119S | 09 | 604-605 | T25211D | 23 | 949-950 | ||
| T23412D | 23 | 949-950 | T24121A | 22 | 935 | T25211S | 09 | 604-605 | ||
| T23412S | 09 | 604-605 | T24121D | 23 | 949-950 | T25212A | 22 | 935 | ||
| T23419A | 22 | 935 | T24121S | 09 | 604-605 | T25212D | 23 | 949-950 | ||
| T23419D | 23 | 949-950 | T24122A | 22 | 935 | T25212S | 09 | 604-605 | ||
| T23419S | 09 | 604-605 | T24122D | 23 | 949-950 | T25219A | 22 | 935 | ||
| T23421A | 22 | 935 | T24122S | 09 | 604-605 | T25219D | 23 | 949-950 | ||
| T23421D | 23 | 949-950 | T24129A | 22 | 935 | T25219S | 09 | 604-605 | ||
| T23421S | 09 | 604-605 | T24129D | 23 | 949-950 | T25221A | 22 | 935 | ||
| T23422A | 22 | 935 | T24129S | 09 | 604-605 | T25221D | 23 | 949-950 | ||
| T23422D | 23 | 949-950 | T24131A | 22 | 935 | T25221S | 09 | 604-605 | ||
| T23422S | 09 | 604-605 | T24131D | 23 | 949-950 | T25222A | 22 | 935 | ||
| T23429A | 22 | 935 | T24131S | 09 | 604-605 | T25222D | 23 | 949-950 | ||
| T23429D | 23 | 949-950 | T24132A | 22 | 935 | T25222S | 09 | 604-605 | ||
| T23429S | 09 | 604-605 | T24132D | 23 | 949-950 | T25229A | 22 | 935 | ||
| T23431A | 22 | 935 | T24132S | 09 | 604-605 | T25229D | 23 | 949-950 | ||
| T23431D | 23 | 949-950 | T24139A | 22 | 935 | T25229S | 09 | 604-605 | ||
| T23431S | 09 | 604-605 | T24139D | 23 | 949-950 | T25231A | 22 | 935 | ||
| T23432A | 22 | 935 | T24139S | 09 | 604-605 | T25231D | 23 | 949-950 | ||
| T23432D | 23 | 949-950 | T24191A | 22 | 935 | T25231S | 09 | 604-605 | ||
| T23432S | 09 | 604-605 | T24191D | 23 | 949-950 | T25232A | 22 | 935 | ||
| T23439A | 22 | 935 | T24191S | 09 | 604-605 | T25232D | 23 | 949-950 | ||
| T23439D | 23 | 949-950 | T24192A | 22 | 935 | T25232S | 09 | 604-605 | ||
| T23439S | 09 | 604-605 | T24192D | 23 | 949-950 | T25239A | 22 | 935 | ||
| T23441A | 22 | 935 | T24192S | 09 | 604-605 | T25239D | 23 | 949-950 | ||
| T23441D | 23 | 949-950 | T24199A | 22 | 935 | T25239S | 09 | 604-605 | ||
| T23441S | 09 | 604-605 | T24199D | 23 | 949-950 | T25291A | 22 | 935 | ||
| T23442A | 22 | 935 | T24199S | 09 | 604-605 | T25291D | 23 | 949-950 | ||
| T23442D | 23 | 949-950 | T24201A | 22 | 935 | T25291S | 09 | 604-605 | ||
| T23442S | 09 | 604-605 | T24201D | 23 | 949-950 | T25292A | 22 | 935 | ||
| T23449A | 22 | 935 | T24201S | 09 | 604-605 | T25292D | 23 | 949-950 | ||
| T23449D | 23 | 949-950 | T24202A | 22 | 935 | T25292S | 09 | 604-605 | ||
| T23449S | 09 | 604-605 | T24202D | 23 | 949-950 | T25299A | 22 | 935 | ||
| T23451A | 22 | 935 | T24202S | 09 | 604-605 | T25299D | 23 | 949-950 | ||
| T23451D | 23 | 949-950 | T24209A | 22 | 935 | T25299S | 09 | 604-605 | ||
| T23451S | 09 | 604-605 | T24209D | 23 | 949-950 | T25311A | 22 | 927,933 | ||
| T23452A | 22 | 935 | T24209S | 09 | 604-605 | T25311A | 22 | 928-929,934 | ||
| T23452D | 23 | 949-950 | T24211A | 22 | 935 | T25311D | 23 | 949-950 | ||
| T23452S | 09 | 604-605 | T24211D | 23 | 949-950 | T25311S | 09 | 604-605 | ||
| T23459A | 22 | 935 | T24211S | 09 | 604-605 | T25312A | 22 | 927,933 | ||
| T23459D | 23 | 949-950 | T24212A | 22 | 935 | T25312A | 22 | 928-929,934 | ||
| T23459S | 09 | 604-605 | T24212D | 23 | 949-950 | T25312D | 23 | 949-950 | ||
| T23461A | 22 | 935 | T24212S | 09 | 604-605 | T25312S | 09 | 604-605 | ||
| T23461D | 23 | 949-950 | T24219A | 22 | 935 | T25319A | 22 | 927,933 | ||
| T23461S | 09 | 604-605 | T24219D | 23 | 949-950 | T25319A | 22 | 928-929,934 | ||
| T23462A | 22 | 935 | T24219S | 09 | 604-605 | T25319D | 23 | 949-950 | ||
| T23462D | 23 | 949-950 | T24221A | 22 | 935 | T25319S | 09 | 604-605 | ||
| T23462S | 09 | 604-605 | T24221D | 23 | 949-950 | T25321A | 22 | 927,933 | ||
| T23469A | 22 | 935 | T24221S | 09 | 604-605 | T25321A | 22 | 928-929,934 | ||
| T23469D | 23 | 949-950 | T24222A | 22 | 935 | T25321D | 23 | 949-950 | ||
| T23469S | 09 | 604-605 | T24222D | 23 | 949-950 | T25321S | 09 | 604-605 | ||
| T23471A | 22 | 935 | T24222S | 09 | 604-605 | T25322A | 22 | 927,933 | ||
| T23471D | 23 | 949-950 | T24229A | 22 | 935 | T25322A | 22 | 928-929,934 | ||
| T23471S | 09 | 604-605 | T24229D | 23 | 949-950 | T25322D | 23 | 949-950 | ||
| T23472A | 22 | 935 | T24229S | 09 | 604-605 | T25322S | 09 | 604-605 | ||
| T23472D | 23 | 949-950 | T24231A | 22 | 935 | T25329A | 22 | 927,933 | ||
| T23472S | 09 | 604-605 | T24231D | 23 | 949-950 | T25329A | 22 | 928-929,934 | ||
| T23479A | 22 | 935 | T24231S | 09 | 604-605 | T25329D | 23 | 949-950 | ||
| T23479D | 23 | 949-950 | T24232A | 22 | 935 | T25329S | 09 | 604-605 | ||
| T23479S | 09 | 604-605 | T24232D | 23 | 949-950 | T25331A | 22 | 927,933 | ||
| T23491A | 22 | 935 | T24232S | 09 | 604-605 | T25331A | 22 | 928-929,934 | ||
| T23491D | 23 | 949-950 | T24239A | 22 | 935 | T25331D | 23 | 949-950 | ||
| T23491S | 09 | 604-605 | T24239D | 23 | 949-950 | T25331S | 09 | 604-605 | ||
| T23492A | 22 | 935 | T24239S | 09 | 604-605 | T25332A | 22 | 927,933 | ||
| T23492D | 23 | 949-950 | T24291A | 22 | 935 | T25332A | 22 | 928-929,934 | ||
| T23492S | 09 | 604-605 | T24291D | 23 | 949-950 | T25332D | 23 | 949-950 | ||
| T23499A | 22 | 935 | T24291S | 09 | 604-605 | T25332S | 09 | 604-605 | ||
| T23499D | 23 | 949-950 | T24292A | 22 | 935 | T25339A | 22 | 927,933 | ||
| T23499S | 09 | 604-605 | T24292D | 23 | 949-950 | T25339A | 22 | 928-929,934 | ||
| T23501A | 22 | 935 | T24292S | 09 | 604-605 | T25339D | 23 | 949-950 | ||
| T23501D | 23 | 949-950 | T24299A | 22 | 935 | T25339S | 09 | 604-605 | ||
| T23501S | 09 | 604-605 | T24299D | 23 | 949-950 | T25391A | 22 | 927,933 | ||
| T23502A | 22 | 935 | T24299S | 09 | 604-605 | T25391A | 22 | 928-929,934 | ||
| T23502D | 23 | 949-950 | T24301A | 22 | 927,933 | T25391D | 23 | 949-950 | ||
| T23502S | 09 | 604-605 | T24301A | 22 | 928-929,934 | T25391S | 09 | 604-605 | ||
| T23509A | 22 | 935 | T24301D | 23 | 949-950 | T25392A | 22 | 927,933 | ||
| T23509D | 23 | 949-950 | T24301S | 09 | 604-605 | T25392A | 22 | 928-929,934 | ||
| T23509S | 09 | 604-605 | T24302A | 22 | 927,933 | T25392D | 23 | 949-950 | ||
| T23511A | 22 | 935 | T24302A | 22 | 928-929,934 | T25392S | 09 | 604-605 | ||
| T23511D | 23 | 949-950 | T24302D | 23 | 949-950 | T25399A | 22 | 927,933 | ||
| T23511S | 09 | 604-605 | T24302S | 09 | 604-605 | T25399A | 22 | 928-929,934 | ||
| T23512A | 22 | 935 | T24309A | 22 | 927,933 | T25399D | 23 | 949-950 | ||
| T23512D | 23 | 949-950 | T24309A | 22 | 928-929,934 | T25399S | 09 | 604-605 | ||
| T23512S | 09 | 604-605 | T24309D | 23 | 949-950 | T25411A | 22 | 935 | ||
| T23519A | 22 | 935 | T24309S | 09 | 604-605 | T25411D | 23 | 949-950 | ||
| T23519D | 23 | 949-950 | T24311A | 22 | 927,933 | T25411S | 09 | 604-605 | ||
| T23519S | 09 | 604-605 | T24311A | 22 | 928-929,934 | T25412A | 22 | 935 | ||
| T23521A | 22 | 935 | T24311D | 23 | 949-950 | T25412D | 23 | 949-950 | ||
| T23521D | 23 | 949-950 | T24311S | 09 | 604-605 | T25412S | 09 | 604-605 | ||
| T23521S | 09 | 604-605 | T24312A | 22 | 927,933 | T25419A | 22 | 935 | ||
| T23522A | 22 | 935 | T24312A | 22 | 928-929,934 | T25419D | 23 | 949-950 | ||
| T23522D | 23 | 949-950 | T24312D | 23 | 949-950 | T25419S | 09 | 604-605 | ||
| T23522S | 09 | 604-605 | T24312S | 09 | 604-605 | T25421A | 22 | 935 | ||
| T23529A | 22 | 935 | T24319A | 22 | 927,933 | T25421D | 23 | 949-950 | ||
| T23529D | 23 | 949-950 | T24319A | 22 | 928-929,934 | T25421S | 09 | 604-605 | ||
| T23529S | 09 | 604-605 | T24319D | 23 | 949-950 | T25422A | 22 | 935 | ||
| T23531A | 22 | 935 | T24319S | 09 | 604-605 | T25422D | 23 | 949-950 | ||
| T23531D | 23 | 949-950 | T24321A | 22 | 927,933 | T25422S | 09 | 604-605 | ||
| T23531S | 09 | 604-605 | T24321A | 22 | 928-929,934 | T25429A | 22 | 935 | ||
| T23532A | 22 | 935 | T24321D | 23 | 949-950 | T25429D | 23 | 949-950 | ||
| T23532D | 23 | 949-950 | T24321S | 09 | 604-605 | T25429S | 09 | 604-605 | ||
| T23532S | 09 | 604-605 | T24322A | 22 | 927,933 | T25431A | 22 | 935 | ||
| T23539A | 22 | 935 | T24322A | 22 | 928-929,934 | T25431D | 23 | 949-950 | ||
| T23539D | 23 | 949-950 | T24322D | 23 | 949-950 | T25431S | 09 | 604-605 | ||
| T23539S | 09 | 604-605 | T24322S | 09 | 604-605 | T25432A | 22 | 935 | ||
| T23541A | 22 | 935 | T24329A | 22 | 927,933 | T25432D | 23 | 949-950 | ||
| T23541D | 23 | 949-950 | T24329A | 22 | 928-929,934 | T25432S | 09 | 604-605 | ||
| T23541S | 09 | 604-605 | T24329D | 23 | 949-950 | T25439A | 22 | 935 | ||
| T23542A | 22 | 935 | T24329S | 09 | 604-605 | T25439D | 23 | 949-950 | ||
| T23542D | 23 | 949-950 | T24331A | 22 | 927,933 | T25439S | 09 | 604-605 | ||
| T23542S | 09 | 604-605 | T24331A | 22 | 928-929,934 | T25491A | 22 | 935 | ||
| T23549A | 22 | 935 | T24331D | 23 | 949-950 | T25491D | 23 | 949-950 | ||
| T23549D | 23 | 949-950 | T24331S | 09 | 604-605 | T25491S | 09 | 604-605 | ||
| T23549S | 09 | 604-605 | T24332A | 22 | 927,933 | T25492A | 22 | 935 | ||
| T23551A | 22 | 935 | T24332A | 22 | 928-929,934 | T25492D | 23 | 949-950 | ||
| T23551D | 23 | 949-950 | T24332D | 23 | 949-950 | T25492S | 09 | 604-605 | ||
| T23551S | 09 | 604-605 | T24332S | 09 | 604-605 | T25499A | 22 | 935 | ||
| T23552A | 22 | 935 | T24339A | 22 | 927,933 | T25499D | 23 | 949-950 | ||
| T23552D | 23 | 949-950 | T24339A | 22 | 928-929,934 | T25499S | 09 | 604-605 | ||
| T23552S | 09 | 604-605 | T24339D | 23 | 949-950 | T25511A | 22 | 935 | ||
| T23559A | 22 | 935 | T24339S | 09 | 604-605 | T25511D | 23 | 949-950 | ||
| T23559D | 23 | 949-950 | T24391A | 22 | 927,933 | T25511S | 09 | 604-605 | ||
| T23559S | 09 | 604-605 | T24391A | 22 | 928-929,934 | T25512A | 22 | 935 | ||
| T23561A | 22 | 935 | T24391D | 23 | 949-950 | T25512D | 23 | 949-950 | ||
| T23561D | 23 | 949-950 | T24391S | 09 | 604-605 | T25512S | 09 | 604-605 | ||
| T23561S | 09 | 604-605 | T24392A | 22 | 927,933 | T25519A | 22 | 935 | ||
| T23562A | 22 | 935 | T24392A | 22 | 928-929,934 | T25519D | 23 | 949-950 | ||
| T23562D | 23 | 949-950 | T24392D | 23 | 949-950 | T25519S | 09 | 604-605 | ||
| T23562S | 09 | 604-605 | T24392S | 09 | 604-605 | T25521A | 22 | 935 | ||
| T23569A | 22 | 935 | T24399A | 22 | 927,933 | T25521D | 23 | 949-950 | ||
| T23569D | 23 | 949-950 | T24399A | 22 | 928-929,934 | T25521S | 09 | 604-605 | ||
| T23569S | 09 | 604-605 | T24399D | 23 | 949-950 | T25522A | 22 | 935 | ||
| T23571A | 22 | 935 | T24399S | 09 | 604-605 | T25522D | 23 | 949-950 | ||
| T23571D | 23 | 949-950 | T24401A | 22 | 935 | T25522S | 09 | 604-605 | ||
| T23571S | 09 | 604-605 | T24401D | 23 | 949-950 | T25529A | 22 | 935 | ||
| T23572A | 22 | 935 | T24401S | 09 | 604-605 | T25529D | 23 | 949-950 | ||
| T23572D | 23 | 949-950 | T24402A | 22 | 935 | T25529S | 09 | 604-605 | ||
| T23572S | 09 | 604-605 | T24402D | 23 | 949-950 | T25531A | 22 | 935 | ||
| T23579A | 22 | 935 | T24402S | 09 | 604-605 | T25531D | 23 | 949-950 | ||
| T23579D | 23 | 949-950 | T24409A | 22 | 935 | T25531S | 09 | 604-605 | ||
| T23579S | 09 | 604-605 | T24409D | 23 | 949-950 | T25532A | 22 | 935 | ||
| T23591A | 22 | 935 | T24409S | 09 | 604-605 | T25532D | 23 | 949-950 | ||
| T23591D | 23 | 949-950 | T24411A | 22 | 935 | T25532S | 09 | 604-605 | ||
| T23591S | 09 | 604-605 | T24411D | 23 | 949-950 | T25539A | 22 | 935 | ||
| T23592A | 22 | 935 | T24411S | 09 | 604-605 | T25539D | 23 | 949-950 | ||
| T23592D | 23 | 949-950 | T24412A | 22 | 935 | T25539S | 09 | 604-605 | ||
| T23592S | 09 | 604-605 | T24412D | 23 | 949-950 | T25591A | 22 | 935 | ||
| T23599A | 22 | 935 | T24412S | 09 | 604-605 | T25591D | 23 | 949-950 | ||
| T23599D | 23 | 949-950 | T24419A | 22 | 935 | T25591S | 09 | 604-605 | ||
| T23599S | 09 | 604-605 | T24419D | 23 | 949-950 | T25592A | 22 | 935 | ||
| T23601A | 22 | 935 | T24419S | 09 | 604-605 | T25592D | 23 | 949-950 | ||
| T23601D | 23 | 949-950 | T24421A | 22 | 935 | T25592S | 09 | 604-605 | ||
| T23601S | 09 | 604-605 | T24421D | 23 | 949-950 | T25599A | 22 | 935 | ||
| T23602A | 22 | 935 | T24421S | 09 | 604-605 | T25599D | 23 | 949-950 | ||
| T23602D | 23 | 949-950 | T24422A | 22 | 935 | T25599S | 09 | 604-605 | ||
| T23602S | 09 | 604-605 | T24422D | 23 | 949-950 | T25611A | 22 | 935 | ||
| T23609A | 22 | 935 | T24422S | 09 | 604-605 | T25611D | 23 | 949-950 | ||
| T23609D | 23 | 949-950 | T24429A | 22 | 935 | T25611S | 09 | 604-605 | ||
| T23609S | 09 | 604-605 | T24429D | 23 | 949-950 | T25612A | 22 | 935 | ||
| T23611A | 22 | 935 | T24429S | 09 | 604-605 | T25612D | 23 | 949-950 | ||
| T23611D | 23 | 949-950 | T24431A | 22 | 935 | T25612S | 09 | 604-605 | ||
| T23611S | 09 | 604-605 | T24431D | 23 | 949-950 | T25619A | 22 | 935 | ||
| T23612A | 22 | 935 | T24431S | 09 | 604-605 | T25619D | 23 | 949-950 | ||
| T23612D | 23 | 949-950 | T24432A | 22 | 935 | T25619S | 09 | 604-605 | ||
| T23612S | 09 | 604-605 | T24432D | 23 | 949-950 | T25621A | 22 | 935 | ||
| T23619A | 22 | 935 | T24432S | 09 | 604-605 | T25621D | 23 | 949-950 | ||
| T23619D | 23 | 949-950 | T24439A | 22 | 935 | T25621S | 09 | 604-605 | ||
| T23619S | 09 | 604-605 | T24439D | 23 | 949-950 | T25622A | 22 | 935 | ||
| T23621A | 22 | 935 | T24439S | 09 | 604-605 | T25622D | 23 | 949-950 | ||
| T23621D | 23 | 949-950 | T24491A | 22 | 935 | T25622S | 09 | 604-605 | ||
| T23621S | 09 | 604-605 | T24491D | 23 | 949-950 | T25629A | 22 | 935 | ||
| T23622A | 22 | 935 | T24491S | 09 | 604-605 | T25629D | 23 | 949-950 | ||
| T23622D | 23 | 949-950 | T24492A | 22 | 935 | T25629S | 09 | 604-605 | ||
| T23622S | 09 | 604-605 | T24492D | 23 | 949-950 | T25631A | 22 | 935 | ||
| T23629A | 22 | 935 | T24492S | 09 | 604-605 | T25631D | 23 | 949-950 | ||
| T23629D | 23 | 949-950 | T24499A | 22 | 935 | T25631S | 09 | 604-605 | ||
| T23629S | 09 | 604-605 | T24499D | 23 | 949-950 | T25632A | 22 | 935 | ||
| T23631A | 22 | 935 | T24499S | 09 | 604-605 | T25632D | 23 | 949-950 | ||
| T23631D | 23 | 949-950 | T24501A | 22 | 935 | T25632S | 09 | 604-605 | ||
| T23631S | 09 | 604-605 | T24501D | 23 | 949-950 | T25639A | 22 | 935 | ||
| T23632A | 22 | 935 | T24501S | 09 | 604-605 | T25639D | 23 | 949-950 | ||
| T23632D | 23 | 949-950 | T24502A | 22 | 935 | T25639S | 09 | 604-605 | ||
| T23632S | 09 | 604-605 | T24502D | 23 | 949-950 | T25691A | 22 | 935 | ||
| T23639A | 22 | 935 | T24502S | 09 | 604-605 | T25691D | 23 | 949-950 | ||
| T23639D | 23 | 949-950 | T24509A | 22 | 935 | T25691S | 09 | 604-605 | ||
| T23639S | 09 | 604-605 | T24509D | 23 | 949-950 | T25692A | 22 | 935 | ||
| T23641A | 22 | 935 | T24509S | 09 | 604-605 | T25692D | 23 | 949-950 | ||
| T23641D | 23 | 949-950 | T24511A | 22 | 935 | T25692S | 09 | 604-605 | ||
| T23641S | 09 | 604-605 | T24511D | 23 | 949-950 | T25699A | 22 | 935 | ||
| T23642A | 22 | 935 | T24511S | 09 | 604-605 | T25699D | 23 | 949-950 | ||
| T23642D | 23 | 949-950 | T24512A | 22 | 935 | T25699S | 09 | 604-605 | ||
| T23642S | 09 | 604-605 | T24512D | 23 | 949-950 | T25711A | 22 | 927,933 | ||
| T23649A | 22 | 935 | T24512S | 09 | 604-605 | T25711A | 22 | 928-929,934 | ||
| T23649D | 23 | 949-950 | T24519A | 22 | 935 | T25711D | 23 | 949-950 | ||
| T23649S | 09 | 604-605 | T24519D | 23 | 949-950 | T25711S | 09 | 604-605 | ||
| T23651A | 22 | 935 | T24519S | 09 | 604-605 | T25712A | 22 | 927,933 | ||
| T23651D | 23 | 949-950 | T24521A | 22 | 935 | T25712A | 22 | 928-929,934 | ||
| T23651S | 09 | 604-605 | T24521D | 23 | 949-950 | T25712D | 23 | 949-950 | ||
| T23652A | 22 | 935 | T24521S | 09 | 604-605 | T25712S | 09 | 604-605 | ||
| T23652D | 23 | 949-950 | T24522A | 22 | 935 | T25719A | 22 | 927,933 | ||
| T23652S | 09 | 604-605 | T24522D | 23 | 949-950 | T25719A | 22 | 928-929,934 | ||
| T23659A | 22 | 935 | T24522S | 09 | 604-605 | T25719D | 23 | 949-950 | ||
| T23659D | 23 | 949-950 | T24529A | 22 | 935 | T25719S | 09 | 604-605 | ||
| T23659S | 09 | 604-605 | T24529D | 23 | 949-950 | T25721A | 22 | 927,933 | ||
| T23661A | 22 | 935 | T24529S | 09 | 604-605 | T25721A | 22 | 928-929,934 | ||
| T23661D | 23 | 949-950 | T24531A | 22 | 935 | T25721D | 23 | 949-950 | ||
| T23661S | 09 | 604-605 | T24531D | 23 | 949-950 | T25721S | 09 | 604-605 | ||
| T23662A | 22 | 935 | T24531S | 09 | 604-605 | T25722A | 22 | 927,933 | ||
| T23662D | 23 | 949-950 | T24532A | 22 | 935 | T25722A | 22 | 928-929,934 | ||
| T23662S | 09 | 604-605 | T24532D | 23 | 949-950 | T25722D | 23 | 949-950 | ||
| T23669A | 22 | 935 | T24532S | 09 | 604-605 | T25722S | 09 | 604-605 | ||
| T23669D | 23 | 949-950 | T24539A | 22 | 935 | T25729A | 22 | 927,933 | ||
| T23669S | 09 | 604-605 | T24539D | 23 | 949-950 | T25729A | 22 | 928-929,934 | ||
| T23671A | 22 | 935 | T24539S | 09 | 604-605 | T25729D | 23 | 949-950 | ||
| T23671D | 23 | 949-950 | T24591A | 22 | 935 | T25729S | 09 | 604-605 | ||
| T23671S | 09 | 604-605 | T24591D | 23 | 949-950 | T25731A | 22 | 927,933 | ||
| T23672A | 22 | 935 | T24591S | 09 | 604-605 | T25731A | 22 | 928-929,934 | ||
| T23672D | 23 | 949-950 | T24592A | 22 | 935 | T25731D | 23 | 949-950 | ||
| T23672S | 09 | 604-605 | T24592D | 23 | 949-950 | T25731S | 09 | 604-605 | ||
| T23679A | 22 | 935 | T24592S | 09 | 604-605 | T25732A | 22 | 927,933 | ||
| T23679D | 23 | 949-950 | T24599A | 22 | 935 | T25732A | 22 | 928-929,934 | ||
| T23679S | 09 | 604-605 | T24599D | 23 | 949-950 | T25732D | 23 | 949-950 | ||
| T23691A | 22 | 935 | T24599S | 09 | 604-605 | T25732S | 09 | 604-605 | ||
| T23691D | 23 | 949-950 | T24601A | 22 | 935 | T25739A | 22 | 927,933 | ||
| T23691S | 09 | 604-605 | T24601D | 23 | 949-950 | T25739A | 22 | 928-929,934 | ||
| T23692A | 22 | 935 | T24601S | 09 | 604-605 | T25739D | 23 | 949-950 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Aug 2022 07:55:53 CMS, code-revision=335, description-revision=1339 |