ICD-10-CM/PCS MS-DRG v40.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v40.1 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 14 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 T7801XS T83722D Z309 Z960 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| J682 | 04 | 205-206 | K08109 | Pre | 011-013 | K421 | 06 | 393-395 | ||
| J683 | 04 | 205-206 | K08109 | 03 | 157-159 | K421 | 15 | 791 | ||
| J684 | 04 | 190-192 | K08111 | Pre | 011-013 | K421 | 15 | 793 | ||
| J688 | 04 | 190-192 | K08111 | 03 | 157-159 | K429 | 06 | 393-395 | ||
| J689 | 04 | 190-192 | K08112 | Pre | 011-013 | K430 | 06 | 393-395 | ||
| J690 | 04 | 177-179 | K08112 | 03 | 157-159 | K430 | 15 | 791 | ||
| J690 | 15 | 791 | K08113 | Pre | 011-013 | K430 | 15 | 793 | ||
| J690 | 15 | 793 | K08113 | 03 | 157-159 | K431 | 06 | 393-395 | ||
| J691 | 04 | 177-179 | K08114 | Pre | 011-013 | K431 | 15 | 791 | ||
| J698 | 04 | 177-179 | K08114 | 03 | 157-159 | K431 | 15 | 793 | ||
| J698 | 15 | 791 | K08119 | Pre | 011-013 | K432 | 06 | 393-395 | ||
| J698 | 15 | 793 | K08119 | 03 | 157-159 | K433 | 06 | 393-395 | ||
| J700 | 04 | 205-206 | K08121 | Pre | 011-013 | K433 | 15 | 791 | ||
| J700 | 15 | 791 | K08121 | 03 | 157-159 | K433 | 15 | 793 | ||
| J700 | 15 | 793 | K08122 | Pre | 011-013 | K434 | 06 | 393-395 | ||
| J701 | 04 | 196-198 | K08122 | 03 | 157-159 | K434 | 15 | 791 | ||
| J702 | 04 | 205-206 | K08123 | Pre | 011-013 | K434 | 15 | 793 | ||
| J703 | 04 | 205-206 | K08123 | 03 | 157-159 | K435 | 06 | 393-395 | ||
| J704 | 04 | 205-206 | K08124 | Pre | 011-013 | K436 | 06 | 393-395 | ||
| J705 | 04 | 205-206 | K08124 | 03 | 157-159 | K436 | 15 | 791 | ||
| J705 | 22 | 928-929,934 | K08129 | Pre | 011-013 | K436 | 15 | 793 | ||
| J708 | 04 | 205-206 | K08129 | 03 | 157-159 | K437 | 06 | 393-395 | ||
| J709 | 04 | 205-206 | K08131 | Pre | 011-013 | K437 | 15 | 791 | ||
| J80 | 04 | 189 | K08131 | 03 | 157-159 | K437 | 15 | 793 | ||
| J810 | 04 | 189 | K08132 | Pre | 011-013 | K439 | 06 | 393-395 | ||
| J810 | 15 | 791 | K08132 | 03 | 157-159 | K440 | 06 | 391-392 | ||
| J810 | 15 | 793 | K08133 | Pre | 011-013 | K440 | 15 | 791 | ||
| J811 | 04 | 189 | K08133 | 03 | 157-159 | K440 | 15 | 793 | ||
| J8281 | 04 | 196-198 | K08134 | Pre | 011-013 | K441 | 06 | 393-395 | ||
| J8282 | 04 | 196-198 | K08134 | 03 | 157-159 | K441 | 15 | 791 | ||
| J8283 | 04 | 196-198 | K08139 | Pre | 011-013 | K441 | 15 | 793 | ||
| J8289 | 04 | 196-198 | K08139 | 03 | 157-159 | K449 | 06 | 391-392 | ||
| J8401 | 04 | 196-198 | K08191 | Pre | 011-013 | K450 | 06 | 393-395 | ||
| J8402 | 04 | 196-198 | K08191 | 03 | 157-159 | K450 | 15 | 791 | ||
| J8403 | 04 | 196-198 | K08192 | Pre | 011-013 | K450 | 15 | 793 | ||
| J8409 | 04 | 196-198 | K08192 | 03 | 157-159 | K451 | 06 | 393-395 | ||
| J8410 | 04 | 196-198 | K08193 | Pre | 011-013 | K451 | 15 | 791 | ||
| J84111 | 04 | 196-198 | K08193 | 03 | 157-159 | K451 | 15 | 793 | ||
| J84112 | 04 | 196-198 | K08194 | Pre | 011-013 | K458 | 06 | 393-395 | ||
| J84113 | 04 | 196-198 | K08194 | 03 | 157-159 | K460 | 06 | 393-395 | ||
| J84114 | 04 | 196-198 | K08199 | Pre | 011-013 | K460 | 15 | 791 | ||
| J84115 | 04 | 196-198 | K08199 | 03 | 157-159 | K460 | 15 | 793 | ||
| J84116 | 04 | 196-198 | K0820 | Pre | 011-013 | K461 | 06 | 393-395 | ||
| J84117 | 04 | 196-198 | K0820 | 03 | 157-159 | K461 | 15 | 791 | ||
| J84170 | 04 | 196-198 | K0821 | Pre | 011-013 | K461 | 15 | 793 | ||
| J84178 | 04 | 196-198 | K0821 | 03 | 157-159 | K469 | 06 | 393-395 | ||
| J842 | 04 | 196-198 | K0822 | Pre | 011-013 | K5000 | 06 | 385-387 | ||
| J8481 | 04 | 196-198 | K0822 | 03 | 157-159 | K50011 | 06 | 385-387 | ||
| J8482 | 04 | 196-198 | K0823 | Pre | 011-013 | K50012 | 06 | 385-387 | ||
| J8483 | 04 | 196-198 | K0823 | 03 | 157-159 | K50013 | 06 | 385-387 | ||
| J8483 | 15 | 791 | K0824 | Pre | 011-013 | K50014 | 06 | 385-387 | ||
| J8483 | 15 | 793 | K0824 | 03 | 157-159 | K50018 | 06 | 385-387 | ||
| J84841 | 04 | 196-198 | K0825 | Pre | 011-013 | K50019 | 06 | 385-387 | ||
| J84841 | 15 | 791 | K0825 | 03 | 157-159 | K5010 | 06 | 385-387 | ||
| J84841 | 15 | 793 | K0826 | Pre | 011-013 | K50111 | 06 | 385-387 | ||
| J84842 | 04 | 196-198 | K0826 | 03 | 157-159 | K50112 | 06 | 385-387 | ||
| J84842 | 15 | 791 | K083 | Pre | 011-013 | K50113 | 06 | 385-387 | ||
| J84842 | 15 | 793 | K083 | 03 | 157-159 | K50114 | 06 | 385-387 | ||
| J84843 | 04 | 196-198 | K08401 | Pre | 011-013 | K50118 | 06 | 385-387 | ||
| J84843 | 15 | 791 | K08401 | 03 | 157-159 | K50119 | 06 | 385-387 | ||
| J84843 | 15 | 793 | K08402 | Pre | 011-013 | K5080 | 06 | 385-387 | ||
| J84848 | 04 | 196-198 | K08402 | 03 | 157-159 | K50811 | 06 | 385-387 | ||
| J84848 | 15 | 791 | K08403 | Pre | 011-013 | K50812 | 06 | 385-387 | ||
| J84848 | 15 | 793 | K08403 | 03 | 157-159 | K50813 | 06 | 385-387 | ||
| J8489 | 04 | 196-198 | K08404 | Pre | 011-013 | K50814 | 06 | 385-387 | ||
| J849 | 04 | 196-198 | K08404 | 03 | 157-159 | K50818 | 06 | 385-387 | ||
| J850 | 04 | 177-179 | K08409 | Pre | 011-013 | K50819 | 06 | 385-387 | ||
| J850 | 15 | 791 | K08409 | 03 | 157-159 | K5090 | 06 | 385-387 | ||
| J850 | 15 | 793 | K08411 | Pre | 011-013 | K50911 | 06 | 385-387 | ||
| J851 | 04 | 177-179 | K08411 | 03 | 157-159 | K50912 | 06 | 385-387 | ||
| J851 | 15 | 791 | K08412 | Pre | 011-013 | K50913 | 06 | 385-387 | ||
| J851 | 15 | 793 | K08412 | 03 | 157-159 | K50914 | 06 | 385-387 | ||
| J852 | 04 | 177-179 | K08413 | Pre | 011-013 | K50918 | 06 | 385-387 | ||
| J852 | 15 | 791 | K08413 | 03 | 157-159 | K50919 | 06 | 385-387 | ||
| J852 | 15 | 793 | K08414 | Pre | 011-013 | K5100 | 06 | 385-387 | ||
| J853 | 04 | 177-179 | K08414 | 03 | 157-159 | K51011 | 06 | 385-387 | ||
| J853 | 15 | 791 | K08419 | Pre | 011-013 | K51012 | 06 | 385-387 | ||
| J853 | 15 | 793 | K08419 | 03 | 157-159 | K51013 | 06 | 385-387 | ||
| J860 | 04 | 177-179 | K08421 | Pre | 011-013 | K51014 | 06 | 385-387 | ||
| J860 | 15 | 791 | K08421 | 03 | 157-159 | K51018 | 06 | 385-387 | ||
| J860 | 15 | 793 | K08422 | Pre | 011-013 | K51019 | 06 | 385-387 | ||
| J869 | 04 | 177-179 | K08422 | 03 | 157-159 | K5120 | 06 | 385-387 | ||
| J869 | 15 | 791 | K08423 | Pre | 011-013 | K51211 | 06 | 385-387 | ||
| J869 | 15 | 793 | K08423 | 03 | 157-159 | K51212 | 06 | 385-387 | ||
| J90 | 04 | 186-188 | K08424 | Pre | 011-013 | K51213 | 06 | 385-387 | ||
| J90 | 15 | 791 | K08424 | 03 | 157-159 | K51214 | 06 | 385-387 | ||
| J90 | 15 | 793 | K08429 | Pre | 011-013 | K51218 | 06 | 385-387 | ||
| J910 | 04 | 180-182 | K08429 | 03 | 157-159 | K51219 | 06 | 385-387 | ||
| J918 | 04 | 186-188 | K08431 | Pre | 011-013 | K5130 | 06 | 385-387 | ||
| J918 | 15 | 791 | K08431 | 03 | 157-159 | K51311 | 06 | 385-387 | ||
| J918 | 15 | 793 | K08432 | Pre | 011-013 | K51312 | 06 | 385-387 | ||
| J920 | 04 | 193-195 | K08432 | 03 | 157-159 | K51313 | 06 | 385-387 | ||
| J929 | 04 | 193-195 | K08433 | Pre | 011-013 | K51314 | 06 | 385-387 | ||
| J930 | 04 | 199-201 | K08433 | 03 | 157-159 | K51318 | 06 | 385-387 | ||
| J9311 | 04 | 199-201 | K08434 | Pre | 011-013 | K51319 | 06 | 385-387 | ||
| J9312 | 04 | 199-201 | K08434 | 03 | 157-159 | K5140 | 06 | 385-387 | ||
| J9381 | 04 | 199-201 | K08439 | Pre | 011-013 | K51411 | 06 | 385-387 | ||
| J9382 | 04 | 199-201 | K08439 | 03 | 157-159 | K51412 | 06 | 385-387 | ||
| J9383 | 04 | 199-201 | K08491 | Pre | 011-013 | K51413 | 06 | 385-387 | ||
| J939 | 04 | 199-201 | K08491 | 03 | 157-159 | K51414 | 06 | 385-387 | ||
| J940 | 04 | 186-188 | K08492 | Pre | 011-013 | K51418 | 06 | 385-387 | ||
| J940 | 15 | 791 | K08492 | 03 | 157-159 | K51419 | 06 | 385-387 | ||
| J940 | 15 | 793 | K08493 | Pre | 011-013 | K5150 | 06 | 385-387 | ||
| J941 | 04 | 193-195 | K08493 | 03 | 157-159 | K51511 | 06 | 385-387 | ||
| J942 | 04 | 186-188 | K08494 | Pre | 011-013 | K51512 | 06 | 385-387 | ||
| J942 | 15 | 791 | K08494 | 03 | 157-159 | K51513 | 06 | 385-387 | ||
| J942 | 15 | 793 | K08499 | Pre | 011-013 | K51514 | 06 | 385-387 | ||
| J948 | 04 | 186-188 | K08499 | 03 | 157-159 | K51518 | 06 | 385-387 | ||
| J948 | 15 | 791 | K0850 | Pre | 011-013 | K51519 | 06 | 385-387 | ||
| J948 | 15 | 793 | K0850 | 03 | 157-159 | K5180 | 06 | 385-387 | ||
| J949 | 04 | 193-195 | K0851 | Pre | 011-013 | K51811 | 06 | 385-387 | ||
| J9500 | Pre | 011-013 | K0851 | 03 | 157-159 | K51812 | 06 | 385-387 | ||
| J9500 | 04 | 205-206 | K0852 | Pre | 011-013 | K51813 | 06 | 385-387 | ||
| J9501 | Pre | 011-013 | K0852 | 03 | 157-159 | K51814 | 06 | 385-387 | ||
| J9501 | 04 | 205-206 | K08530 | Pre | 011-013 | K51818 | 06 | 385-387 | ||
| J9502 | Pre | 011-013 | K08530 | 03 | 157-159 | K51819 | 06 | 385-387 | ||
| J9502 | 04 | 205-206 | K08531 | Pre | 011-013 | K5190 | 06 | 385-387 | ||
| J9503 | Pre | 011-013 | K08531 | 03 | 157-159 | K51911 | 06 | 385-387 | ||
| J9503 | 04 | 205-206 | K08539 | Pre | 011-013 | K51912 | 06 | 385-387 | ||
| J9504 | Pre | 011-013 | K08539 | 03 | 157-159 | K51913 | 06 | 385-387 | ||
| J9504 | 04 | 205-206 | K0854 | Pre | 011-013 | K51914 | 06 | 385-387 | ||
| J9509 | Pre | 011-013 | K0854 | 03 | 157-159 | K51918 | 06 | 385-387 | ||
| J9509 | 04 | 205-206 | K0855 | Pre | 011-013 | K51919 | 06 | 385-387 | ||
| J951 | 04 | 189 | K0855 | 03 | 157-159 | K520 | 06 | 393-395 | ||
| J951 | 15 | 791 | K0856 | Pre | 011-013 | K521 | 06 | 393-395 | ||
| J951 | 15 | 793 | K0856 | 03 | 157-159 | K521 | 15 | 791 | ||
| J951 | 22 | 928-929,934 | K0859 | Pre | 011-013 | K521 | 15 | 793 | ||
| J952 | 04 | 189 | K0859 | 03 | 157-159 | K5221 | 06 | 391-392 | ||
| J952 | 15 | 791 | K0881 | Pre | 011-013 | K5222 | 06 | 391-392 | ||
| J952 | 15 | 793 | K0881 | 03 | 157-159 | K5229 | 06 | 391-392 | ||
| J952 | 22 | 928-929,934 | K0882 | Pre | 011-013 | K523 | 06 | 391-392 | ||
| J953 | 04 | 189 | K0882 | 03 | 157-159 | K5281 | 06 | 391-392 | ||
| J953 | 15 | 791 | K0889 | Pre | 011-013 | K5282 | 06 | 391-392 | ||
| J953 | 15 | 793 | K0889 | 03 | 157-159 | K52831 | 06 | 391-392 | ||
| J953 | 22 | 928-929,934 | K089 | Pre | 011-013 | K52832 | 06 | 391-392 | ||
| J954 | 04 | 205-206 | K089 | 03 | 157-159 | K52838 | 06 | 391-392 | ||
| J954 | 15 | 791 | K090 | Pre | 011-013 | K52839 | 06 | 391-392 | ||
| J954 | 15 | 793 | K090 | 03 | 157-159 | K5289 | 06 | 391-392 | ||
| J955 | 04 | 205-206 | K091 | Pre | 011-013 | K529 | 06 | 391-392 | ||
| J955 | 15 | 791 | K091 | 03 | 157-159 | K55011 | 06 | 393-395 | ||
| J955 | 15 | 793 | K098 | Pre | 011-013 | K55011 | 15 | 791 | ||
| J9561 | 21 | 919-921 | K098 | 03 | 157-159 | K55011 | 15 | 793 | ||
| J9562 | 21 | 919-921 | K099 | Pre | 011-013 | K55012 | 06 | 393-395 | ||
| J9571 | 15 | 791 | K099 | 03 | 157-159 | K55012 | 15 | 791 | ||
| J9571 | 15 | 793 | K110 | Pre | 011-013 | K55012 | 15 | 793 | ||
| J9571 | 21 | 919-921 | K110 | 03 | 154-156 | K55019 | 06 | 393-395 | ||
| J9572 | 15 | 791 | K111 | Pre | 011-013 | K55019 | 15 | 791 | ||
| J9572 | 15 | 793 | K111 | 03 | 154-156 | K55019 | 15 | 793 | ||
| J9572 | 21 | 919-921 | K1120 | Pre | 011-013 | K55021 | 06 | 393-395 | ||
| J95811 | 04 | 199-201 | K1120 | 03 | 154-156 | K55021 | 15 | 791 | ||
| J95812 | 04 | 199-201 | K1121 | Pre | 011-013 | K55021 | 15 | 793 | ||
| J95821 | 04 | 189 | K1121 | 03 | 154-156 | K55022 | 06 | 393-395 | ||
| J95821 | 22 | 928-929,934 | K1122 | Pre | 011-013 | K55022 | 15 | 791 | ||
| J95822 | 04 | 189 | K1122 | 03 | 154-156 | K55022 | 15 | 793 | ||
| J95822 | 22 | 928-929,934 | K1123 | Pre | 011-013 | K55029 | 06 | 393-395 | ||
| J95830 | 21 | 919-921 | K1123 | 03 | 154-156 | K55029 | 15 | 791 | ||
| J95831 | 21 | 919-921 | K113 | Pre | 011-013 | K55029 | 15 | 793 | ||
| J9584 | 04 | 205-206 | K113 | 03 | 154-156 | K55031 | 06 | 393-395 | ||
| J95850 | 23 | 951 | K114 | Pre | 011-013 | K55031 | 15 | 791 | ||
| J95851 | 04 | 205-206 | K114 | 03 | 154-156 | K55031 | 15 | 793 | ||
| J95851 | 15 | 791 | K115 | Pre | 011-013 | K55032 | 06 | 393-395 | ||
| J95851 | 15 | 793 | K115 | 03 | 154-156 | K55032 | 15 | 791 | ||
| J95859 | 04 | 205-206 | K116 | Pre | 011-013 | K55032 | 15 | 793 | ||
| J95859 | 15 | 791 | K116 | 03 | 154-156 | K55039 | 06 | 393-395 | ||
| J95859 | 15 | 793 | K117 | Pre | 011-013 | K55039 | 15 | 791 | ||
| J95860 | 21 | 919-921 | K117 | 03 | 154-156 | K55039 | 15 | 793 | ||
| J95861 | 21 | 919-921 | K118 | Pre | 011-013 | K55041 | 06 | 393-395 | ||
| J95862 | 21 | 919-921 | K118 | 03 | 154-156 | K55041 | 15 | 791 | ||
| J95863 | 21 | 919-921 | K119 | Pre | 011-013 | K55041 | 15 | 793 | ||
| J9587 | 04 | 205-206 | K119 | 03 | 154-156 | K55042 | 06 | 393-395 | ||
| J9587 | 15 | 791 | K120 | Pre | 011-013 | K55042 | 15 | 791 | ||
| J9587 | 15 | 793 | K120 | 03 | 157-159 | K55042 | 15 | 793 | ||
| J9588 | 04 | 205-206 | K121 | Pre | 011-013 | K55049 | 06 | 393-395 | ||
| J9588 | 15 | 791 | K121 | 03 | 157-159 | K55049 | 15 | 791 | ||
| J9588 | 15 | 793 | K122 | Pre | 011-013 | K55049 | 15 | 793 | ||
| J9589 | 04 | 205-206 | K122 | 03 | 157-159 | K55051 | 06 | 393-395 | ||
| J9589 | 15 | 791 | K1230 | Pre | 011-013 | K55051 | 15 | 791 | ||
| J9589 | 15 | 793 | K1230 | 03 | 157-159 | K55051 | 15 | 793 | ||
| J9600 | 04 | 189 | K1231 | Pre | 011-013 | K55052 | 06 | 393-395 | ||
| J9600 | 22 | 928-929,934 | K1231 | 03 | 157-159 | K55052 | 15 | 791 | ||
| J9601 | 04 | 189 | K1232 | Pre | 011-013 | K55052 | 15 | 793 | ||
| J9601 | 22 | 928-929,934 | K1232 | 03 | 157-159 | K55059 | 06 | 393-395 | ||
| J9602 | 04 | 189 | K1233 | Pre | 011-013 | K55059 | 15 | 791 | ||
| J9602 | 22 | 928-929,934 | K1233 | 03 | 157-159 | K55059 | 15 | 793 | ||
| J9610 | 04 | 189 | K1239 | Pre | 011-013 | K55061 | 06 | 393-395 | ||
| J9611 | 04 | 189 | K1239 | 03 | 157-159 | K55061 | 15 | 791 | ||
| J9612 | 04 | 189 | K130 | Pre | 011-013 | K55061 | 15 | 793 | ||
| J9620 | 04 | 189 | K130 | 03 | 157-159 | K55062 | 06 | 393-395 | ||
| J9620 | 22 | 928-929,934 | K131 | Pre | 011-013 | K55062 | 15 | 791 | ||
| J9621 | 04 | 189 | K131 | 03 | 157-159 | K55062 | 15 | 793 | ||
| J9621 | 22 | 928-929,934 | K1321 | Pre | 011-013 | K55069 | 06 | 393-395 | ||
| J9622 | 04 | 189 | K1321 | 03 | 157-159 | K55069 | 15 | 791 | ||
| J9622 | 22 | 928-929,934 | K1322 | Pre | 011-013 | K55069 | 15 | 793 | ||
| J9690 | 04 | 189 | K1322 | 03 | 157-159 | K551 | 06 | 393-395 | ||
| J9690 | 22 | 928-929,934 | K1323 | Pre | 011-013 | K5520 | 06 | 393-395 | ||
| J9691 | 04 | 189 | K1323 | 03 | 157-159 | K5521 | 06 | 377-379 | ||
| J9691 | 22 | 928-929,934 | K1324 | Pre | 011-013 | K5530 | 06 | 393-395 | ||
| J9692 | 04 | 189 | K1324 | 03 | 157-159 | K5530 | 15 | 791 | ||
| J9692 | 22 | 928-929,934 | K1329 | Pre | 011-013 | K5530 | 15 | 793 | ||
| J9801 | Pre | 011-013 | K1329 | 03 | 157-159 | K5531 | 06 | 393-395 | ||
| J9801 | 04 | 202-203 | K133 | Pre | 011-013 | K5531 | 15 | 791 | ||
| J9809 | Pre | 011-013 | K133 | 03 | 157-159 | K5531 | 15 | 793 | ||
| J9809 | 04 | 202-203 | K134 | Pre | 011-013 | K5532 | 06 | 393-395 | ||
| J9811 | 04 | 205-206 | K134 | 03 | 157-159 | K5532 | 15 | 791 | ||
| J9811 | 15 | 791 | K135 | Pre | 011-013 | K5532 | 15 | 793 | ||
| J9811 | 15 | 793 | K135 | 03 | 157-159 | K5533 | 06 | 393-395 | ||
| J9819 | 04 | 205-206 | K136 | Pre | 011-013 | K5533 | 15 | 791 | ||
| J9819 | 15 | 791 | K136 | 03 | 157-159 | K5533 | 15 | 793 | ||
| J9819 | 15 | 793 | K1370 | Pre | 011-013 | K558 | 06 | 393-395 | ||
| J982 | 04 | 199-201 | K1370 | 03 | 157-159 | K559 | 06 | 393-395 | ||
| J982 | 15 | 791 | K1379 | Pre | 011-013 | K560 | 06 | 388-390 | ||
| J982 | 15 | 793 | K1379 | 03 | 157-159 | K560 | 15 | 791 | ||
| J983 | 04 | 205-206 | K140 | Pre | 011-013 | K560 | 15 | 793 | ||
| J984 | 04 | 205-206 | K140 | 03 | 157-159 | K561 | 06 | 388-390 | ||
| J9851 | 04 | 177-179 | K141 | Pre | 011-013 | K561 | 15 | 791 | ||
| J9851 | 15 | 791 | K141 | 03 | 157-159 | K561 | 15 | 793 | ||
| J9851 | 15 | 793 | K142 | Pre | 011-013 | K562 | 06 | 388-390 | ||
| J9859 | 04 | 177-179 | K142 | 03 | 157-159 | K562 | 15 | 791 | ||
| J9859 | 15 | 791 | K143 | Pre | 011-013 | K562 | 15 | 793 | ||
| J9859 | 15 | 793 | K143 | 03 | 157-159 | K563 | 06 | 388-390 | ||
| J986 | 04 | 205-206 | K144 | Pre | 011-013 | K5641 | 06 | 388-390 | ||
| J988 | 04 | 205-206 | K144 | 03 | 157-159 | K5641 | 15 | 791 | ||
| J989 | 04 | 205-206 | K145 | Pre | 011-013 | K5641 | 15 | 793 | ||
| J99 | 04 | 196-198 | K145 | 03 | 157-159 | K5649 | 06 | 388-390 | ||
| K000 | Pre | 011-013 | K146 | Pre | 011-013 | K5649 | 15 | 791 | ||
| K000 | 03 | 157-159 | K146 | 03 | 157-159 | K5649 | 15 | 793 | ||
| K001 | Pre | 011-013 | K148 | Pre | 011-013 | K5650 | 06 | 388-390 | ||
| K001 | 03 | 157-159 | K148 | 03 | 157-159 | K5651 | 06 | 388-390 | ||
| K002 | Pre | 011-013 | K149 | Pre | 011-013 | K5652 | 06 | 388-390 | ||
| K002 | 03 | 157-159 | K149 | 03 | 157-159 | K56600 | 06 | 388-390 | ||
| K003 | Pre | 011-013 | K200 | 06 | 391-392 | K56600 | 15 | 791 | ||
| K003 | 03 | 157-159 | K2080 | 06 | 391-392 | K56600 | 15 | 793 | ||
| K004 | Pre | 011-013 | K2081 | 06 | 368-370 | K56601 | 06 | 388-390 | ||
| K004 | 03 | 157-159 | K2090 | 06 | 391-392 | K56601 | 15 | 791 | ||
| K005 | Pre | 011-013 | K2091 | 06 | 368-370 | K56601 | 15 | 793 | ||
| K005 | 03 | 157-159 | K2100 | 06 | 391-392 | K56609 | 06 | 388-390 | ||
| K006 | Pre | 011-013 | K2101 | 06 | 368-370 | K56609 | 15 | 791 | ||
| K006 | 03 | 157-159 | K219 | 06 | 391-392 | K56609 | 15 | 793 | ||
| K006 | 15 | 795 | K220 | 06 | 391-392 | K56690 | 06 | 388-390 | ||
| K007 | Pre | 011-013 | K2210 | 06 | 380-382 | K56690 | 15 | 791 | ||
| K007 | 03 | 157-159 | K2211 | 06 | 380-382 | K56690 | 15 | 793 | ||
| K008 | Pre | 011-013 | K222 | 06 | 391-392 | K56691 | 06 | 388-390 | ||
| K008 | 03 | 157-159 | K223 | 06 | 368-370 | K56691 | 15 | 791 | ||
| K009 | Pre | 011-013 | K223 | 15 | 791 | K56691 | 15 | 793 | ||
| K009 | 03 | 157-159 | K223 | 15 | 793 | K56699 | 06 | 388-390 | ||
| K010 | Pre | 011-013 | K224 | 06 | 391-392 | K56699 | 15 | 791 | ||
| K010 | 03 | 157-159 | K225 | 06 | 391-392 | K56699 | 15 | 793 | ||
| K010 | 15 | 795 | K226 | 06 | 368-370 | K567 | 06 | 388-390 | ||
| K011 | Pre | 011-013 | K2270 | 06 | 380-382 | K567 | 15 | 791 | ||
| K011 | 03 | 157-159 | K22710 | 06 | 380-382 | K567 | 15 | 793 | ||
| K011 | 15 | 795 | K22711 | 06 | 380-382 | K5700 | 06 | 391-392 | ||
| K023 | Pre | 011-013 | K22719 | 06 | 380-382 | K5701 | 06 | 377-379 | ||
| K023 | 03 | 157-159 | K2281 | 06 | 391-392 | K5710 | 06 | 391-392 | ||
| K0251 | Pre | 011-013 | K2282 | 06 | 391-392 | K5711 | 06 | 377-379 | ||
| K0251 | 03 | 157-159 | K2289 | 06 | 391-392 | K5712 | 06 | 391-392 | ||
| K0252 | Pre | 011-013 | K229 | 06 | 391-392 | K5713 | 06 | 377-379 | ||
| K0252 | 03 | 157-159 | K23 | 06 | 391-392 | K5720 | 06 | 391-392 | ||
| K0253 | Pre | 011-013 | K250 | 06 | 377-379 | K5721 | 06 | 377-379 | ||
| K0253 | 03 | 157-159 | K251 | 06 | 380-382 | K5730 | 06 | 391-392 | ||
| K0261 | Pre | 011-013 | K252 | 06 | 377-379 | K5731 | 06 | 377-379 | ||
| K0261 | 03 | 157-159 | K253 | 06 | 380-384 | K5732 | 06 | 391-392 | ||
| K0262 | Pre | 011-013 | K254 | 06 | 377-379 | K5733 | 06 | 377-379 | ||
| K0262 | 03 | 157-159 | K255 | 06 | 380-382 | K5740 | 06 | 391-392 | ||
| K0263 | Pre | 011-013 | K256 | 06 | 377-379 | K5741 | 06 | 377-379 | ||
| K0263 | 03 | 157-159 | K257 | 06 | 380-384 | K5750 | 06 | 391-392 | ||
| K027 | Pre | 011-013 | K259 | 06 | 380-384 | K5751 | 06 | 377-379 | ||
| K027 | 03 | 157-159 | K260 | 06 | 377-379 | K5752 | 06 | 391-392 | ||
| K029 | Pre | 011-013 | K261 | 06 | 380-382 | K5753 | 06 | 377-379 | ||
| K029 | 03 | 157-159 | K262 | 06 | 377-379 | K5780 | 06 | 391-392 | ||
| K030 | Pre | 011-013 | K263 | 06 | 380-384 | K5781 | 06 | 377-379 | ||
| K030 | 03 | 157-159 | K264 | 06 | 377-379 | K5790 | 06 | 391-392 | ||
| K031 | Pre | 011-013 | K265 | 06 | 380-382 | K5791 | 06 | 377-379 | ||
| K031 | 03 | 157-159 | K266 | 06 | 377-379 | K5792 | 06 | 391-392 | ||
| K032 | Pre | 011-013 | K267 | 06 | 380-384 | K5793 | 06 | 377-379 | ||
| K032 | 03 | 157-159 | K269 | 06 | 380-384 | K580 | 06 | 391-392 | ||
| K033 | Pre | 011-013 | K270 | 06 | 377-379 | K581 | 06 | 391-392 | ||
| K033 | 03 | 157-159 | K271 | 06 | 380-382 | K582 | 06 | 391-392 | ||
| K034 | Pre | 011-013 | K272 | 06 | 377-379 | K588 | 06 | 391-392 | ||
| K034 | 03 | 157-159 | K273 | 06 | 380-384 | K589 | 06 | 391-392 | ||
| K035 | Pre | 011-013 | K274 | 06 | 377-379 | K5900 | 06 | 391-392 | ||
| K035 | 03 | 157-159 | K275 | 06 | 380-382 | K5901 | 06 | 391-392 | ||
| K036 | Pre | 011-013 | K276 | 06 | 377-379 | K5902 | 06 | 391-392 | ||
| K036 | 03 | 157-159 | K277 | 06 | 380-384 | K5903 | 06 | 391-392 | ||
| K037 | Pre | 011-013 | K279 | 06 | 380-384 | K5904 | 06 | 391-392 | ||
| K037 | 03 | 157-159 | K280 | 06 | 377-379 | K5909 | 06 | 391-392 | ||
| K0381 | Pre | 011-013 | K281 | 06 | 380-382 | K591 | 06 | 391-392 | ||
| K0381 | 03 | 157-159 | K282 | 06 | 377-379 | K592 | 06 | 391-392 | ||
| K0389 | Pre | 011-013 | K283 | 06 | 380-382 | K5931 | 06 | 393-395 | ||
| K0389 | 03 | 157-159 | K284 | 06 | 377-379 | K5939 | 06 | 393-395 | ||
| K039 | Pre | 011-013 | K285 | 06 | 380-382 | K594 | 06 | 391-392 | ||
| K039 | 03 | 157-159 | K286 | 06 | 377-379 | K5981 | 06 | 391-392 | ||
| K0401 | Pre | 011-013 | K287 | 06 | 380-382 | K5989 | 06 | 391-392 | ||
| K0401 | 03 | 157-159 | K289 | 06 | 380-382 | K599 | 06 | 391-392 | ||
| K0402 | Pre | 011-013 | K2900 | 06 | 391-392 | K600 | 06 | 393-395 | ||
| K0402 | 03 | 157-159 | K2901 | 06 | 377-379 | K601 | 06 | 393-395 | ||
| K041 | Pre | 011-013 | K2920 | 06 | 391-392 | K602 | 06 | 393-395 | ||
| K041 | 03 | 157-159 | K2921 | 06 | 377-379 | K603 | 06 | 393-395 | ||
| K042 | Pre | 011-013 | K2930 | 06 | 391-392 | K604 | 06 | 393-395 | ||
| K042 | 03 | 157-159 | K2931 | 06 | 377-379 | K605 | 06 | 393-395 | ||
| K043 | Pre | 011-013 | K2940 | 06 | 391-392 | K610 | 06 | 393-395 | ||
| K043 | 03 | 157-159 | K2941 | 06 | 377-379 | K610 | 15 | 791 | ||
| K044 | Pre | 011-013 | K2950 | 06 | 391-392 | K610 | 15 | 793 | ||
| K044 | 03 | 157-159 | K2951 | 06 | 377-379 | K611 | 06 | 393-395 | ||
| K045 | Pre | 011-013 | K2960 | 06 | 391-392 | K611 | 15 | 791 | ||
| K045 | 03 | 157-159 | K2961 | 06 | 377-379 | K611 | 15 | 793 | ||
| K046 | Pre | 011-013 | K2970 | 06 | 391-392 | K612 | 06 | 393-395 | ||
| K046 | 03 | 157-159 | K2971 | 06 | 377-379 | K612 | 15 | 791 | ||
| K047 | Pre | 011-013 | K2980 | 06 | 391-392 | K612 | 15 | 793 | ||
| K047 | 03 | 157-159 | K2981 | 06 | 377-379 | K6131 | 06 | 393-395 | ||
| K048 | Pre | 011-013 | K2990 | 06 | 391-392 | K6131 | 15 | 791 | ||
| K048 | 03 | 157-159 | K2991 | 06 | 377-379 | K6131 | 15 | 793 | ||
| K0490 | Pre | 011-013 | K30 | 06 | 391-392 | K6139 | 06 | 393-395 | ||
| K0490 | 03 | 157-159 | K310 | 06 | 391-392 | K6139 | 15 | 791 | ||
| K0499 | Pre | 011-013 | K310 | 15 | 791 | K6139 | 15 | 793 | ||
| K0499 | 03 | 157-159 | K310 | 15 | 793 | K614 | 06 | 393-395 | ||
| K0500 | Pre | 011-013 | K311 | 06 | 380-382 | K614 | 15 | 791 | ||
| K0500 | 03 | 157-159 | K312 | 06 | 391-392 | K614 | 15 | 793 | ||
| K0501 | Pre | 011-013 | K313 | 06 | 391-392 | K615 | 06 | 393-395 | ||
| K0501 | 03 | 157-159 | K314 | 06 | 391-392 | K615 | 15 | 791 | ||
| K0510 | Pre | 011-013 | K315 | 06 | 380-382 | K615 | 15 | 793 | ||
| K0510 | 03 | 157-159 | K316 | 06 | 391-392 | K620 | 06 | 393-395 | ||
| K0511 | Pre | 011-013 | K317 | 06 | 393-395 | K621 | 06 | 393-395 | ||
| K0511 | 03 | 157-159 | K31811 | 06 | 377-379 | K622 | 06 | 393-395 | ||
| K0520 | Pre | 011-013 | K31819 | 06 | 391-392 | K623 | 06 | 393-395 | ||
| K0520 | 03 | 157-159 | K3182 | 06 | 377-379 | K624 | 06 | 393-395 | ||
| K05211 | Pre | 011-013 | K3183 | 06 | 391-392 | K625 | 06 | 377-379 | ||
| K05211 | 03 | 157-159 | K3184 | 06 | 391-392 | K625 | 15 | 791 | ||
| K05212 | Pre | 011-013 | K3189 | 06 | 391-392 | K625 | 15 | 793 | ||
| K05212 | 03 | 157-159 | K319 | 06 | 391-392 | K626 | 06 | 393-395 | ||
| K05213 | Pre | 011-013 | K31A0 | 06 | 391-392 | K627 | 06 | 393-395 | ||
| K05213 | 03 | 157-159 | K31A11 | 06 | 391-392 | K6281 | 06 | 393-395 | ||
| K05219 | Pre | 011-013 | K31A12 | 06 | 391-392 | K6282 | 06 | 393-395 | ||
| K05219 | 03 | 157-159 | K31A13 | 06 | 391-392 | K6289 | 06 | 393-395 | ||
| K05221 | Pre | 011-013 | K31A14 | 06 | 391-392 | K629 | 06 | 393-395 | ||
| K05221 | 03 | 157-159 | K31A15 | 06 | 391-392 | K630 | 06 | 371-373 | ||
| K05222 | Pre | 011-013 | K31A19 | 06 | 391-392 | K631 | 06 | 393-395 | ||
| K05222 | 03 | 157-159 | K31A21 | 06 | 391-392 | K631 | 15 | 791 | ||
| K05223 | Pre | 011-013 | K31A22 | 06 | 391-392 | K631 | 15 | 793 | ||
| K05223 | 03 | 157-159 | K31A29 | 06 | 391-392 | K632 | 06 | 393-395 | ||
| K05229 | Pre | 011-013 | K3520 | 06 | 371-373 | K633 | 06 | 393-395 | ||
| K05229 | 03 | 157-159 | K3521 | 06 | 338-340 | K634 | 06 | 393-395 | ||
| K0530 | Pre | 011-013 | K3521 | 06 | 371-373 | K635 | 06 | 393-395 | ||
| K0530 | 03 | 157-159 | K3530 | 06 | 371-373 | K6381 | 06 | 393-395 | ||
| K05311 | Pre | 011-013 | K3531 | 06 | 371-373 | K6389 | 06 | 393-395 | ||
| K05311 | 03 | 157-159 | K3532 | 06 | 338-340 | K639 | 06 | 393-395 | ||
| K05312 | Pre | 011-013 | K3532 | 06 | 371-373 | K640 | 06 | 393-395 | ||
| K05312 | 03 | 157-159 | K3533 | 06 | 338-340 | K641 | 06 | 393-395 | ||
| K05313 | Pre | 011-013 | K3533 | 06 | 371-373 | K642 | 06 | 393-395 | ||
| K05313 | 03 | 157-159 | K3580 | 06 | 393-395 | K643 | 06 | 393-395 | ||
| K05319 | Pre | 011-013 | K35890 | 06 | 371-373 | K644 | 06 | 393-395 | ||
| K05319 | 03 | 157-159 | K35891 | 06 | 371-373 | K645 | 06 | 393-395 | ||
| K05321 | Pre | 011-013 | K36 | 06 | 393-395 | K648 | 06 | 393-395 | ||
| K05321 | 03 | 157-159 | K37 | 06 | 393-395 | K649 | 06 | 393-395 | ||
| K05322 | Pre | 011-013 | K380 | 06 | 393-395 | K650 | 06 | 371-373 | ||
| K05322 | 03 | 157-159 | K381 | 06 | 393-395 | K650 | 15 | 791 | ||
| K05323 | Pre | 011-013 | K382 | 06 | 393-395 | K650 | 15 | 793 | ||
| K05323 | 03 | 157-159 | K383 | 06 | 393-395 | K651 | 06 | 371-373 | ||
| K05329 | Pre | 011-013 | K388 | 06 | 393-395 | K651 | 15 | 791 | ||
| K05329 | 03 | 157-159 | K389 | 06 | 393-395 | K651 | 15 | 793 | ||
| K054 | Pre | 011-013 | K4000 | 06 | 393-395 | K652 | 06 | 371-373 | ||
| K054 | 03 | 157-159 | K4000 | 15 | 791 | K652 | 15 | 791 | ||
| K055 | Pre | 011-013 | K4000 | 15 | 793 | K652 | 15 | 793 | ||
| K055 | 03 | 157-159 | K4001 | 06 | 393-395 | K653 | 06 | 393-395 | ||
| K056 | Pre | 011-013 | K4010 | 06 | 393-395 | K653 | 15 | 791 | ||
| K056 | 03 | 157-159 | K4010 | 15 | 791 | K653 | 15 | 793 | ||
| K06010 | Pre | 011-013 | K4010 | 15 | 793 | K654 | 06 | 393-395 | ||
| K06010 | 03 | 157-159 | K4011 | 06 | 393-395 | K654 | 15 | 791 | ||
| K06011 | Pre | 011-013 | K4020 | 06 | 393-395 | K654 | 15 | 793 | ||
| K06011 | 03 | 157-159 | K4021 | 06 | 393-395 | K658 | 06 | 371-373 | ||
| K06012 | Pre | 011-013 | K4030 | 06 | 393-395 | K658 | 15 | 791 | ||
| K06012 | 03 | 157-159 | K4030 | 15 | 791 | K658 | 15 | 793 | ||
| K06013 | Pre | 011-013 | K4030 | 15 | 793 | K659 | 06 | 371-373 | ||
| K06013 | 03 | 157-159 | K4031 | 06 | 393-395 | K659 | 15 | 791 | ||
| K06020 | Pre | 011-013 | K4040 | 06 | 393-395 | K659 | 15 | 793 | ||
| K06020 | 03 | 157-159 | K4040 | 15 | 791 | K660 | 06 | 393-395 | ||
| K06021 | Pre | 011-013 | K4040 | 15 | 793 | K661 | 06 | 393-395 | ||
| K06021 | 03 | 157-159 | K4041 | 06 | 393-395 | K661 | 15 | 791 | ||
| K06022 | Pre | 011-013 | K4090 | 06 | 393-395 | K661 | 15 | 793 | ||
| K06022 | 03 | 157-159 | K4091 | 06 | 393-395 | K668 | 06 | 393-395 | ||
| K06023 | Pre | 011-013 | K4100 | 06 | 393-395 | K669 | 06 | 393-395 | ||
| K06023 | 03 | 157-159 | K4100 | 15 | 791 | K67 | 06 | 371-373 | ||
| K061 | Pre | 011-013 | K4100 | 15 | 793 | K67 | 15 | 791 | ||
| K061 | 03 | 157-159 | K4101 | 06 | 393-395 | K67 | 15 | 793 | ||
| K062 | Pre | 011-013 | K4110 | 06 | 393-395 | K6811 | 15 | 791 | ||
| K062 | 03 | 157-159 | K4110 | 15 | 791 | K6811 | 15 | 793 | ||
| K063 | Pre | 011-013 | K4110 | 15 | 793 | K6811 | 18 | 856-858 | ||
| K063 | 03 | 157-159 | K4111 | 06 | 393-395 | K6811 | 18 | 862-863 | ||
| K068 | Pre | 011-013 | K4120 | 06 | 393-395 | K6812 | 06 | 371-373 | ||
| K068 | 03 | 157-159 | K4121 | 06 | 393-395 | K6812 | 15 | 791 | ||
| K069 | Pre | 011-013 | K4130 | 06 | 393-395 | K6812 | 15 | 793 | ||
| K069 | 03 | 157-159 | K4130 | 15 | 791 | K6819 | 06 | 371-373 | ||
| K080 | Pre | 011-013 | K4130 | 15 | 793 | K6819 | 15 | 791 | ||
| K080 | 03 | 157-159 | K4131 | 06 | 393-395 | K6819 | 15 | 793 | ||
| K08101 | Pre | 011-013 | K4140 | 06 | 393-395 | K689 | 06 | 371-373 | ||
| K08101 | 03 | 157-159 | K4140 | 15 | 791 | K689 | 15 | 791 | ||
| K08102 | Pre | 011-013 | K4140 | 15 | 793 | K689 | 15 | 793 | ||
| K08102 | 03 | 157-159 | K4141 | 06 | 393-395 | K700 | 07 | 441-443 | ||
| K08103 | Pre | 011-013 | K4190 | 06 | 393-395 | K7010 | 07 | 432-434 | ||
| K08103 | 03 | 157-159 | K4191 | 06 | 393-395 | K7011 | 07 | 432-434 | ||
| K08104 | Pre | 011-013 | K420 | 06 | 393-395 | K702 | 07 | 432-434 | ||
| K08104 | 03 | 157-159 | K420 | 15 | 791 | K7030 | 07 | 432-434 | ||
| K420 | 15 | 793 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 18 Jan 2023 08:46:59 CMS, code-revision=337, description-revision=1351 |