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 46 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S60359A | 09 | 604-605 | S60861D | 23 | 949-950 | S61239S | 09 | 604-605 | ||
| S60359A | 24 | 963-965 | S60861S | 09 | 604-605 | S61240A | 21 | 913-914 | ||
| S60359D | 23 | 949-950 | S60862A | 09 | 606-607 | S61240A | 24 | 963-965 | ||
| S60359S | 09 | 604-605 | S60862A | 24 | 963-965 | S61240D | 23 | 949-950 | ||
| S60361A | 09 | 606-607 | S60862D | 23 | 949-950 | S61240S | 09 | 604-605 | ||
| S60361A | 24 | 963-965 | S60862S | 09 | 604-605 | S61241A | 21 | 913-914 | ||
| S60361D | 23 | 949-950 | S60869A | 09 | 606-607 | S61241A | 24 | 963-965 | ||
| S60361S | 09 | 604-605 | S60869A | 24 | 963-965 | S61241D | 23 | 949-950 | ||
| S60362A | 09 | 606-607 | S60869D | 23 | 949-950 | S61241S | 09 | 604-605 | ||
| S60362A | 24 | 963-965 | S60869S | 09 | 604-605 | S61242A | 21 | 913-914 | ||
| S60362D | 23 | 949-950 | S60871A | 09 | 604-605 | S61242A | 24 | 963-965 | ||
| S60362S | 09 | 604-605 | S60871A | 24 | 963-965 | S61242D | 23 | 949-950 | ||
| S60369A | 09 | 606-607 | S60871D | 23 | 949-950 | S61242S | 09 | 604-605 | ||
| S60369A | 24 | 963-965 | S60871S | 09 | 604-605 | S61243A | 21 | 913-914 | ||
| S60369D | 23 | 949-950 | S60872A | 09 | 604-605 | S61243A | 24 | 963-965 | ||
| S60369S | 09 | 604-605 | S60872A | 24 | 963-965 | S61243D | 23 | 949-950 | ||
| S60371A | 09 | 604-605 | S60872D | 23 | 949-950 | S61243S | 09 | 604-605 | ||
| S60371A | 24 | 963-965 | S60872S | 09 | 604-605 | S61244A | 21 | 913-914 | ||
| S60371D | 23 | 949-950 | S60879A | 09 | 604-605 | S61244A | 24 | 963-965 | ||
| S60371S | 09 | 604-605 | S60879A | 24 | 963-965 | S61244D | 23 | 949-950 | ||
| S60372A | 09 | 604-605 | S60879D | 23 | 949-950 | S61244S | 09 | 604-605 | ||
| S60372A | 24 | 963-965 | S60879S | 09 | 604-605 | S61245A | 21 | 913-914 | ||
| S60372D | 23 | 949-950 | S60911A | 09 | 604-605 | S61245A | 24 | 963-965 | ||
| S60372S | 09 | 604-605 | S60911A | 24 | 963-965 | S61245D | 23 | 949-950 | ||
| S60379A | 09 | 604-605 | S60911D | 23 | 949-950 | S61245S | 09 | 604-605 | ||
| S60379A | 24 | 963-965 | S60911S | 09 | 604-605 | S61246A | 21 | 913-914 | ||
| S60379D | 23 | 949-950 | S60912A | 09 | 604-605 | S61246A | 24 | 963-965 | ||
| S60379S | 09 | 604-605 | S60912A | 24 | 963-965 | S61246D | 23 | 949-950 | ||
| S60391A | 09 | 604-605 | S60912D | 23 | 949-950 | S61246S | 09 | 604-605 | ||
| S60391A | 24 | 963-965 | S60912S | 09 | 604-605 | S61247A | 21 | 913-914 | ||
| S60391D | 23 | 949-950 | S60919A | 09 | 604-605 | S61247A | 24 | 963-965 | ||
| S60391S | 09 | 604-605 | S60919A | 24 | 963-965 | S61247D | 23 | 949-950 | ||
| S60392A | 09 | 604-605 | S60919D | 23 | 949-950 | S61247S | 09 | 604-605 | ||
| S60392A | 24 | 963-965 | S60919S | 09 | 604-605 | S61248A | 21 | 913-914 | ||
| S60392D | 23 | 949-950 | S60921A | 09 | 604-605 | S61248A | 24 | 963-965 | ||
| S60392S | 09 | 604-605 | S60921A | 24 | 963-965 | S61248D | 23 | 949-950 | ||
| S60399A | 09 | 604-605 | S60921D | 23 | 949-950 | S61248S | 09 | 604-605 | ||
| S60399A | 24 | 963-965 | S60921S | 09 | 604-605 | S61249A | 21 | 913-914 | ||
| S60399D | 23 | 949-950 | S60922A | 09 | 604-605 | S61249A | 24 | 963-965 | ||
| S60399S | 09 | 604-605 | S60922A | 24 | 963-965 | S61249D | 23 | 949-950 | ||
| S60410A | 09 | 604-605 | S60922D | 23 | 949-950 | S61249S | 09 | 604-605 | ||
| S60410A | 24 | 963-965 | S60922S | 09 | 604-605 | S61250A | 09 | 604-605 | ||
| S60410D | 23 | 949-950 | S60929A | 09 | 604-605 | S61250A | 24 | 963-965 | ||
| S60410S | 09 | 604-605 | S60929A | 24 | 963-965 | S61250D | 23 | 949-950 | ||
| S60411A | 09 | 604-605 | S60929D | 23 | 949-950 | S61250S | 09 | 604-605 | ||
| S60411A | 24 | 963-965 | S60929S | 09 | 604-605 | S61251A | 09 | 604-605 | ||
| S60411D | 23 | 949-950 | S60931A | 09 | 604-605 | S61251A | 24 | 963-965 | ||
| S60411S | 09 | 604-605 | S60931A | 24 | 963-965 | S61251D | 23 | 949-950 | ||
| S60412A | 09 | 604-605 | S60931D | 23 | 949-950 | S61251S | 09 | 604-605 | ||
| S60412A | 24 | 963-965 | S60931S | 09 | 604-605 | S61252A | 09 | 604-605 | ||
| S60412D | 23 | 949-950 | S60932A | 09 | 604-605 | S61252A | 24 | 963-965 | ||
| S60412S | 09 | 604-605 | S60932A | 24 | 963-965 | S61252D | 23 | 949-950 | ||
| S60413A | 09 | 604-605 | S60932D | 23 | 949-950 | S61252S | 09 | 604-605 | ||
| S60413A | 24 | 963-965 | S60932S | 09 | 604-605 | S61253A | 09 | 604-605 | ||
| S60413D | 23 | 949-950 | S60939A | 09 | 604-605 | S61253A | 24 | 963-965 | ||
| S60413S | 09 | 604-605 | S60939A | 24 | 963-965 | S61253D | 23 | 949-950 | ||
| S60414A | 09 | 604-605 | S60939D | 23 | 949-950 | S61253S | 09 | 604-605 | ||
| S60414A | 24 | 963-965 | S60939S | 09 | 604-605 | S61254A | 09 | 604-605 | ||
| S60414D | 23 | 949-950 | S60940A | 09 | 604-605 | S61254A | 24 | 963-965 | ||
| S60414S | 09 | 604-605 | S60940A | 24 | 963-965 | S61254D | 23 | 949-950 | ||
| S60415A | 09 | 604-605 | S60940D | 23 | 949-950 | S61254S | 09 | 604-605 | ||
| S60415A | 24 | 963-965 | S60940S | 09 | 604-605 | S61255A | 09 | 604-605 | ||
| S60415D | 23 | 949-950 | S60941A | 09 | 604-605 | S61255A | 24 | 963-965 | ||
| S60415S | 09 | 604-605 | S60941A | 24 | 963-965 | S61255D | 23 | 949-950 | ||
| S60416A | 09 | 604-605 | S60941D | 23 | 949-950 | S61255S | 09 | 604-605 | ||
| S60416A | 24 | 963-965 | S60941S | 09 | 604-605 | S61256A | 09 | 604-605 | ||
| S60416D | 23 | 949-950 | S60942A | 09 | 604-605 | S61256A | 24 | 963-965 | ||
| S60416S | 09 | 604-605 | S60942A | 24 | 963-965 | S61256D | 23 | 949-950 | ||
| S60417A | 09 | 604-605 | S60942D | 23 | 949-950 | S61256S | 09 | 604-605 | ||
| S60417A | 24 | 963-965 | S60942S | 09 | 604-605 | S61257A | 09 | 604-605 | ||
| S60417D | 23 | 949-950 | S60943A | 09 | 604-605 | S61257A | 24 | 963-965 | ||
| S60417S | 09 | 604-605 | S60943A | 24 | 963-965 | S61257D | 23 | 949-950 | ||
| S60418A | 09 | 604-605 | S60943D | 23 | 949-950 | S61257S | 09 | 604-605 | ||
| S60418A | 24 | 963-965 | S60943S | 09 | 604-605 | S61258A | 09 | 604-605 | ||
| S60418D | 23 | 949-950 | S60944A | 09 | 604-605 | S61258A | 24 | 963-965 | ||
| S60418S | 09 | 604-605 | S60944A | 24 | 963-965 | S61258D | 23 | 949-950 | ||
| S60419A | 09 | 604-605 | S60944D | 23 | 949-950 | S61258S | 09 | 604-605 | ||
| S60419A | 24 | 963-965 | S60944S | 09 | 604-605 | S61259A | 09 | 604-605 | ||
| S60419D | 23 | 949-950 | S60945A | 09 | 604-605 | S61259A | 24 | 963-965 | ||
| S60419S | 09 | 604-605 | S60945A | 24 | 963-965 | S61259D | 23 | 949-950 | ||
| S60420A | 09 | 606-607 | S60945D | 23 | 949-950 | S61259S | 09 | 604-605 | ||
| S60420A | 24 | 963-965 | S60945S | 09 | 604-605 | S61300A | 09 | 604-605 | ||
| S60420D | 23 | 949-950 | S60946A | 09 | 604-605 | S61300A | 24 | 963-965 | ||
| S60420S | 09 | 604-605 | S60946A | 24 | 963-965 | S61300D | 23 | 949-950 | ||
| S60421A | 09 | 606-607 | S60946D | 23 | 949-950 | S61300S | 09 | 604-605 | ||
| S60421A | 24 | 963-965 | S60946S | 09 | 604-605 | S61301A | 09 | 604-605 | ||
| S60421D | 23 | 949-950 | S60947A | 09 | 604-605 | S61301A | 24 | 963-965 | ||
| S60421S | 09 | 604-605 | S60947A | 24 | 963-965 | S61301D | 23 | 949-950 | ||
| S60422A | 09 | 606-607 | S60947D | 23 | 949-950 | S61301S | 09 | 604-605 | ||
| S60422A | 24 | 963-965 | S60947S | 09 | 604-605 | S61302A | 09 | 604-605 | ||
| S60422D | 23 | 949-950 | S60948A | 09 | 604-605 | S61302A | 24 | 963-965 | ||
| S60422S | 09 | 604-605 | S60948A | 24 | 963-965 | S61302D | 23 | 949-950 | ||
| S60423A | 09 | 606-607 | S60948D | 23 | 949-950 | S61302S | 09 | 604-605 | ||
| S60423A | 24 | 963-965 | S60948S | 09 | 604-605 | S61303A | 09 | 604-605 | ||
| S60423D | 23 | 949-950 | S60949A | 09 | 604-605 | S61303A | 24 | 963-965 | ||
| S60423S | 09 | 604-605 | S60949A | 24 | 963-965 | S61303D | 23 | 949-950 | ||
| S60424A | 09 | 606-607 | S60949D | 23 | 949-950 | S61303S | 09 | 604-605 | ||
| S60424A | 24 | 963-965 | S60949S | 09 | 604-605 | S61304A | 09 | 604-605 | ||
| S60424D | 23 | 949-950 | S61001A | 09 | 604-605 | S61304A | 24 | 963-965 | ||
| S60424S | 09 | 604-605 | S61001A | 24 | 963-965 | S61304D | 23 | 949-950 | ||
| S60425A | 09 | 606-607 | S61001D | 23 | 949-950 | S61304S | 09 | 604-605 | ||
| S60425A | 24 | 963-965 | S61001S | 09 | 604-605 | S61305A | 09 | 604-605 | ||
| S60425D | 23 | 949-950 | S61002A | 09 | 604-605 | S61305A | 24 | 963-965 | ||
| S60425S | 09 | 604-605 | S61002A | 24 | 963-965 | S61305D | 23 | 949-950 | ||
| S60426A | 09 | 606-607 | S61002D | 23 | 949-950 | S61305S | 09 | 604-605 | ||
| S60426A | 24 | 963-965 | S61002S | 09 | 604-605 | S61306A | 09 | 604-605 | ||
| S60426D | 23 | 949-950 | S61009A | 09 | 604-605 | S61306A | 24 | 963-965 | ||
| S60426S | 09 | 604-605 | S61009A | 24 | 963-965 | S61306D | 23 | 949-950 | ||
| S60427A | 09 | 606-607 | S61009D | 23 | 949-950 | S61306S | 09 | 604-605 | ||
| S60427A | 24 | 963-965 | S61009S | 09 | 604-605 | S61307A | 09 | 604-605 | ||
| S60427D | 23 | 949-950 | S61011A | 09 | 604-605 | S61307A | 24 | 963-965 | ||
| S60427S | 09 | 604-605 | S61011A | 24 | 963-965 | S61307D | 23 | 949-950 | ||
| S60428A | 09 | 606-607 | S61011D | 23 | 949-950 | S61307S | 09 | 604-605 | ||
| S60428A | 24 | 963-965 | S61011S | 09 | 604-605 | S61308A | 09 | 604-605 | ||
| S60428D | 23 | 949-950 | S61012A | 09 | 604-605 | S61308A | 24 | 963-965 | ||
| S60428S | 09 | 604-605 | S61012A | 24 | 963-965 | S61308D | 23 | 949-950 | ||
| S60429A | 09 | 606-607 | S61012D | 23 | 949-950 | S61308S | 09 | 604-605 | ||
| S60429A | 24 | 963-965 | S61012S | 09 | 604-605 | S61309A | 09 | 604-605 | ||
| S60429D | 23 | 949-950 | S61019A | 09 | 604-605 | S61309A | 24 | 963-965 | ||
| S60429S | 09 | 604-605 | S61019A | 24 | 963-965 | S61309D | 23 | 949-950 | ||
| S60440A | 09 | 604-605 | S61019D | 23 | 949-950 | S61309S | 09 | 604-605 | ||
| S60440A | 24 | 963-965 | S61019S | 09 | 604-605 | S61310A | 09 | 604-605 | ||
| S60440D | 23 | 949-950 | S61021A | 21 | 913-914 | S61310A | 24 | 963-965 | ||
| S60440S | 09 | 604-605 | S61021A | 24 | 963-965 | S61310D | 23 | 949-950 | ||
| S60441A | 09 | 604-605 | S61021D | 23 | 949-950 | S61310S | 09 | 604-605 | ||
| S60441A | 24 | 963-965 | S61021S | 09 | 604-605 | S61311A | 09 | 604-605 | ||
| S60441D | 23 | 949-950 | S61022A | 21 | 913-914 | S61311A | 24 | 963-965 | ||
| S60441S | 09 | 604-605 | S61022A | 24 | 963-965 | S61311D | 23 | 949-950 | ||
| S60442A | 09 | 604-605 | S61022D | 23 | 949-950 | S61311S | 09 | 604-605 | ||
| S60442A | 24 | 963-965 | S61022S | 09 | 604-605 | S61312A | 09 | 604-605 | ||
| S60442D | 23 | 949-950 | S61029A | 21 | 913-914 | S61312A | 24 | 963-965 | ||
| S60442S | 09 | 604-605 | S61029A | 24 | 963-965 | S61312D | 23 | 949-950 | ||
| S60443A | 09 | 604-605 | S61029D | 23 | 949-950 | S61312S | 09 | 604-605 | ||
| S60443A | 24 | 963-965 | S61029S | 09 | 604-605 | S61313A | 09 | 604-605 | ||
| S60443D | 23 | 949-950 | S61031A | 09 | 604-605 | S61313A | 24 | 963-965 | ||
| S60443S | 09 | 604-605 | S61031A | 24 | 963-965 | S61313D | 23 | 949-950 | ||
| S60444A | 09 | 604-605 | S61031D | 23 | 949-950 | S61313S | 09 | 604-605 | ||
| S60444A | 24 | 963-965 | S61031S | 09 | 604-605 | S61314A | 09 | 604-605 | ||
| S60444D | 23 | 949-950 | S61032A | 09 | 604-605 | S61314A | 24 | 963-965 | ||
| S60444S | 09 | 604-605 | S61032A | 24 | 963-965 | S61314D | 23 | 949-950 | ||
| S60445A | 09 | 604-605 | S61032D | 23 | 949-950 | S61314S | 09 | 604-605 | ||
| S60445A | 24 | 963-965 | S61032S | 09 | 604-605 | S61315A | 09 | 604-605 | ||
| S60445D | 23 | 949-950 | S61039A | 09 | 604-605 | S61315A | 24 | 963-965 | ||
| S60445S | 09 | 604-605 | S61039A | 24 | 963-965 | S61315D | 23 | 949-950 | ||
| S60446A | 09 | 604-605 | S61039D | 23 | 949-950 | S61315S | 09 | 604-605 | ||
| S60446A | 24 | 963-965 | S61039S | 09 | 604-605 | S61316A | 09 | 604-605 | ||
| S60446D | 23 | 949-950 | S61041A | 21 | 913-914 | S61316A | 24 | 963-965 | ||
| S60446S | 09 | 604-605 | S61041A | 24 | 963-965 | S61316D | 23 | 949-950 | ||
| S60447A | 09 | 604-605 | S61041D | 23 | 949-950 | S61316S | 09 | 604-605 | ||
| S60447A | 24 | 963-965 | S61041S | 09 | 604-605 | S61317A | 09 | 604-605 | ||
| S60447D | 23 | 949-950 | S61042A | 21 | 913-914 | S61317A | 24 | 963-965 | ||
| S60447S | 09 | 604-605 | S61042A | 24 | 963-965 | S61317D | 23 | 949-950 | ||
| S60448A | 09 | 604-605 | S61042D | 23 | 949-950 | S61317S | 09 | 604-605 | ||
| S60448A | 24 | 963-965 | S61042S | 09 | 604-605 | S61318A | 09 | 604-605 | ||
| S60448D | 23 | 949-950 | S61049A | 21 | 913-914 | S61318A | 24 | 963-965 | ||
| S60448S | 09 | 604-605 | S61049A | 24 | 963-965 | S61318D | 23 | 949-950 | ||
| S60449A | 09 | 604-605 | S61049D | 23 | 949-950 | S61318S | 09 | 604-605 | ||
| S60449A | 24 | 963-965 | S61049S | 09 | 604-605 | S61319A | 09 | 604-605 | ||
| S60449D | 23 | 949-950 | S61051A | 09 | 604-605 | S61319A | 24 | 963-965 | ||
| S60449S | 09 | 604-605 | S61051A | 24 | 963-965 | S61319D | 23 | 949-950 | ||
| S60450A | 09 | 604-605 | S61051D | 23 | 949-950 | S61319S | 09 | 604-605 | ||
| S60450A | 24 | 963-965 | S61051S | 09 | 604-605 | S61320A | 21 | 913-914 | ||
| S60450D | 23 | 949-950 | S61052A | 09 | 604-605 | S61320A | 24 | 963-965 | ||
| S60450S | 09 | 604-605 | S61052A | 24 | 963-965 | S61320D | 23 | 949-950 | ||
| S60451A | 09 | 604-605 | S61052D | 23 | 949-950 | S61320S | 09 | 604-605 | ||
| S60451A | 24 | 963-965 | S61052S | 09 | 604-605 | S61321A | 21 | 913-914 | ||
| S60451D | 23 | 949-950 | S61059A | 09 | 604-605 | S61321A | 24 | 963-965 | ||
| S60451S | 09 | 604-605 | S61059A | 24 | 963-965 | S61321D | 23 | 949-950 | ||
| S60452A | 09 | 604-605 | S61059D | 23 | 949-950 | S61321S | 09 | 604-605 | ||
| S60452A | 24 | 963-965 | S61059S | 09 | 604-605 | S61322A | 21 | 913-914 | ||
| S60452D | 23 | 949-950 | S61101A | 09 | 604-605 | S61322A | 24 | 963-965 | ||
| S60452S | 09 | 604-605 | S61101A | 24 | 963-965 | S61322D | 23 | 949-950 | ||
| S60453A | 09 | 604-605 | S61101D | 23 | 949-950 | S61322S | 09 | 604-605 | ||
| S60453A | 24 | 963-965 | S61101S | 09 | 604-605 | S61323A | 21 | 913-914 | ||
| S60453D | 23 | 949-950 | S61102A | 09 | 604-605 | S61323A | 24 | 963-965 | ||
| S60453S | 09 | 604-605 | S61102A | 24 | 963-965 | S61323D | 23 | 949-950 | ||
| S60454A | 09 | 604-605 | S61102D | 23 | 949-950 | S61323S | 09 | 604-605 | ||
| S60454A | 24 | 963-965 | S61102S | 09 | 604-605 | S61324A | 21 | 913-914 | ||
| S60454D | 23 | 949-950 | S61109A | 09 | 604-605 | S61324A | 24 | 963-965 | ||
| S60454S | 09 | 604-605 | S61109A | 24 | 963-965 | S61324D | 23 | 949-950 | ||
| S60455A | 09 | 604-605 | S61109D | 23 | 949-950 | S61324S | 09 | 604-605 | ||
| S60455A | 24 | 963-965 | S61109S | 09 | 604-605 | S61325A | 21 | 913-914 | ||
| S60455D | 23 | 949-950 | S61111A | 09 | 604-605 | S61325A | 24 | 963-965 | ||
| S60455S | 09 | 604-605 | S61111A | 24 | 963-965 | S61325D | 23 | 949-950 | ||
| S60456A | 09 | 604-605 | S61111D | 23 | 949-950 | S61325S | 09 | 604-605 | ||
| S60456A | 24 | 963-965 | S61111S | 09 | 604-605 | S61326A | 21 | 913-914 | ||
| S60456D | 23 | 949-950 | S61112A | 09 | 604-605 | S61326A | 24 | 963-965 | ||
| S60456S | 09 | 604-605 | S61112A | 24 | 963-965 | S61326D | 23 | 949-950 | ||
| S60457A | 09 | 604-605 | S61112D | 23 | 949-950 | S61326S | 09 | 604-605 | ||
| S60457A | 24 | 963-965 | S61112S | 09 | 604-605 | S61327A | 21 | 913-914 | ||
| S60457D | 23 | 949-950 | S61119A | 09 | 604-605 | S61327A | 24 | 963-965 | ||
| S60457S | 09 | 604-605 | S61119A | 24 | 963-965 | S61327D | 23 | 949-950 | ||
| S60458A | 09 | 604-605 | S61119D | 23 | 949-950 | S61327S | 09 | 604-605 | ||
| S60458A | 24 | 963-965 | S61119S | 09 | 604-605 | S61328A | 21 | 913-914 | ||
| S60458D | 23 | 949-950 | S61121A | 21 | 913-914 | S61328A | 24 | 963-965 | ||
| S60458S | 09 | 604-605 | S61121A | 24 | 963-965 | S61328D | 23 | 949-950 | ||
| S60459A | 09 | 604-605 | S61121D | 23 | 949-950 | S61328S | 09 | 604-605 | ||
| S60459A | 24 | 963-965 | S61121S | 09 | 604-605 | S61329A | 21 | 913-914 | ||
| S60459D | 23 | 949-950 | S61122A | 21 | 913-914 | S61329A | 24 | 963-965 | ||
| S60459S | 09 | 604-605 | S61122A | 24 | 963-965 | S61329D | 23 | 949-950 | ||
| S60460A | 09 | 606-607 | S61122D | 23 | 949-950 | S61329S | 09 | 604-605 | ||
| S60460A | 24 | 963-965 | S61122S | 09 | 604-605 | S61330A | 09 | 604-605 | ||
| S60460D | 23 | 949-950 | S61129A | 21 | 913-914 | S61330A | 24 | 963-965 | ||
| S60460S | 09 | 604-605 | S61129A | 24 | 963-965 | S61330D | 23 | 949-950 | ||
| S60461A | 09 | 606-607 | S61129D | 23 | 949-950 | S61330S | 09 | 604-605 | ||
| S60461A | 24 | 963-965 | S61129S | 09 | 604-605 | S61331A | 09 | 604-605 | ||
| S60461D | 23 | 949-950 | S61131A | 09 | 604-605 | S61331A | 24 | 963-965 | ||
| S60461S | 09 | 604-605 | S61131A | 24 | 963-965 | S61331D | 23 | 949-950 | ||
| S60462A | 09 | 606-607 | S61131D | 23 | 949-950 | S61331S | 09 | 604-605 | ||
| S60462A | 24 | 963-965 | S61131S | 09 | 604-605 | S61332A | 09 | 604-605 | ||
| S60462D | 23 | 949-950 | S61132A | 09 | 604-605 | S61332A | 24 | 963-965 | ||
| S60462S | 09 | 604-605 | S61132A | 24 | 963-965 | S61332D | 23 | 949-950 | ||
| S60463A | 09 | 606-607 | S61132D | 23 | 949-950 | S61332S | 09 | 604-605 | ||
| S60463A | 24 | 963-965 | S61132S | 09 | 604-605 | S61333A | 09 | 604-605 | ||
| S60463D | 23 | 949-950 | S61139A | 09 | 604-605 | S61333A | 24 | 963-965 | ||
| S60463S | 09 | 604-605 | S61139A | 24 | 963-965 | S61333D | 23 | 949-950 | ||
| S60464A | 09 | 606-607 | S61139D | 23 | 949-950 | S61333S | 09 | 604-605 | ||
| S60464A | 24 | 963-965 | S61139S | 09 | 604-605 | S61334A | 09 | 604-605 | ||
| S60464D | 23 | 949-950 | S61141A | 21 | 913-914 | S61334A | 24 | 963-965 | ||
| S60464S | 09 | 604-605 | S61141A | 24 | 963-965 | S61334D | 23 | 949-950 | ||
| S60465A | 09 | 606-607 | S61141D | 23 | 949-950 | S61334S | 09 | 604-605 | ||
| S60465A | 24 | 963-965 | S61141S | 09 | 604-605 | S61335A | 09 | 604-605 | ||
| S60465D | 23 | 949-950 | S61142A | 21 | 913-914 | S61335A | 24 | 963-965 | ||
| S60465S | 09 | 604-605 | S61142A | 24 | 963-965 | S61335D | 23 | 949-950 | ||
| S60466A | 09 | 606-607 | S61142D | 23 | 949-950 | S61335S | 09 | 604-605 | ||
| S60466A | 24 | 963-965 | S61142S | 09 | 604-605 | S61336A | 09 | 604-605 | ||
| S60466D | 23 | 949-950 | S61149A | 21 | 913-914 | S61336A | 24 | 963-965 | ||
| S60466S | 09 | 604-605 | S61149A | 24 | 963-965 | S61336D | 23 | 949-950 | ||
| S60467A | 09 | 606-607 | S61149D | 23 | 949-950 | S61336S | 09 | 604-605 | ||
| S60467A | 24 | 963-965 | S61149S | 09 | 604-605 | S61337A | 09 | 604-605 | ||
| S60467D | 23 | 949-950 | S61151A | 09 | 604-605 | S61337A | 24 | 963-965 | ||
| S60467S | 09 | 604-605 | S61151A | 24 | 963-965 | S61337D | 23 | 949-950 | ||
| S60468A | 09 | 606-607 | S61151D | 23 | 949-950 | S61337S | 09 | 604-605 | ||
| S60468A | 24 | 963-965 | S61151S | 09 | 604-605 | S61338A | 09 | 604-605 | ||
| S60468D | 23 | 949-950 | S61152A | 09 | 604-605 | S61338A | 24 | 963-965 | ||
| S60468S | 09 | 604-605 | S61152A | 24 | 963-965 | S61338D | 23 | 949-950 | ||
| S60469A | 09 | 606-607 | S61152D | 23 | 949-950 | S61338S | 09 | 604-605 | ||
| S60469A | 24 | 963-965 | S61152S | 09 | 604-605 | S61339A | 09 | 604-605 | ||
| S60469D | 23 | 949-950 | S61159A | 09 | 604-605 | S61339A | 24 | 963-965 | ||
| S60469S | 09 | 604-605 | S61159A | 24 | 963-965 | S61339D | 23 | 949-950 | ||
| S60470A | 09 | 604-605 | S61159D | 23 | 949-950 | S61339S | 09 | 604-605 | ||
| S60470A | 24 | 963-965 | S61159S | 09 | 604-605 | S61340A | 21 | 913-914 | ||
| S60470D | 23 | 949-950 | S61200A | 09 | 604-605 | S61340A | 24 | 963-965 | ||
| S60470S | 09 | 604-605 | S61200A | 24 | 963-965 | S61340D | 23 | 949-950 | ||
| S60471A | 09 | 604-605 | S61200D | 23 | 949-950 | S61340S | 09 | 604-605 | ||
| S60471A | 24 | 963-965 | S61200S | 09 | 604-605 | S61341A | 21 | 913-914 | ||
| S60471D | 23 | 949-950 | S61201A | 09 | 604-605 | S61341A | 24 | 963-965 | ||
| S60471S | 09 | 604-605 | S61201A | 24 | 963-965 | S61341D | 23 | 949-950 | ||
| S60472A | 09 | 604-605 | S61201D | 23 | 949-950 | S61341S | 09 | 604-605 | ||
| S60472A | 24 | 963-965 | S61201S | 09 | 604-605 | S61342A | 21 | 913-914 | ||
| S60472D | 23 | 949-950 | S61202A | 09 | 604-605 | S61342A | 24 | 963-965 | ||
| S60472S | 09 | 604-605 | S61202A | 24 | 963-965 | S61342D | 23 | 949-950 | ||
| S60473A | 09 | 604-605 | S61202D | 23 | 949-950 | S61342S | 09 | 604-605 | ||
| S60473A | 24 | 963-965 | S61202S | 09 | 604-605 | S61343A | 21 | 913-914 | ||
| S60473D | 23 | 949-950 | S61203A | 09 | 604-605 | S61343A | 24 | 963-965 | ||
| S60473S | 09 | 604-605 | S61203A | 24 | 963-965 | S61343D | 23 | 949-950 | ||
| S60474A | 09 | 604-605 | S61203D | 23 | 949-950 | S61343S | 09 | 604-605 | ||
| S60474A | 24 | 963-965 | S61203S | 09 | 604-605 | S61344A | 21 | 913-914 | ||
| S60474D | 23 | 949-950 | S61204A | 09 | 604-605 | S61344A | 24 | 963-965 | ||
| S60474S | 09 | 604-605 | S61204A | 24 | 963-965 | S61344D | 23 | 949-950 | ||
| S60475A | 09 | 604-605 | S61204D | 23 | 949-950 | S61344S | 09 | 604-605 | ||
| S60475A | 24 | 963-965 | S61204S | 09 | 604-605 | S61345A | 21 | 913-914 | ||
| S60475D | 23 | 949-950 | S61205A | 09 | 604-605 | S61345A | 24 | 963-965 | ||
| S60475S | 09 | 604-605 | S61205A | 24 | 963-965 | S61345D | 23 | 949-950 | ||
| S60476A | 09 | 604-605 | S61205D | 23 | 949-950 | S61345S | 09 | 604-605 | ||
| S60476A | 24 | 963-965 | S61205S | 09 | 604-605 | S61346A | 21 | 913-914 | ||
| S60476D | 23 | 949-950 | S61206A | 09 | 604-605 | S61346A | 24 | 963-965 | ||
| S60476S | 09 | 604-605 | S61206A | 24 | 963-965 | S61346D | 23 | 949-950 | ||
| S60477A | 09 | 604-605 | S61206D | 23 | 949-950 | S61346S | 09 | 604-605 | ||
| S60477A | 24 | 963-965 | S61206S | 09 | 604-605 | S61347A | 21 | 913-914 | ||
| S60477D | 23 | 949-950 | S61207A | 09 | 604-605 | S61347A | 24 | 963-965 | ||
| S60477S | 09 | 604-605 | S61207A | 24 | 963-965 | S61347D | 23 | 949-950 | ||
| S60478A | 09 | 604-605 | S61207D | 23 | 949-950 | S61347S | 09 | 604-605 | ||
| S60478A | 24 | 963-965 | S61207S | 09 | 604-605 | S61348A | 21 | 913-914 | ||
| S60478D | 23 | 949-950 | S61208A | 09 | 604-605 | S61348A | 24 | 963-965 | ||
| S60478S | 09 | 604-605 | S61208A | 24 | 963-965 | S61348D | 23 | 949-950 | ||
| S60479A | 09 | 604-605 | S61208D | 23 | 949-950 | S61348S | 09 | 604-605 | ||
| S60479A | 24 | 963-965 | S61208S | 09 | 604-605 | S61349A | 21 | 913-914 | ||
| S60479D | 23 | 949-950 | S61209A | 09 | 604-605 | S61349A | 24 | 963-965 | ||
| S60479S | 09 | 604-605 | S61209A | 24 | 963-965 | S61349D | 23 | 949-950 | ||
| S60511A | 09 | 604-605 | S61209D | 23 | 949-950 | S61349S | 09 | 604-605 | ||
| S60511A | 24 | 963-965 | S61209S | 09 | 604-605 | S61350A | 09 | 604-605 | ||
| S60511D | 23 | 949-950 | S61210A | 09 | 604-605 | S61350A | 24 | 963-965 | ||
| S60511S | 09 | 604-605 | S61210A | 24 | 963-965 | S61350D | 23 | 949-950 | ||
| S60512A | 09 | 604-605 | S61210D | 23 | 949-950 | S61350S | 09 | 604-605 | ||
| S60512A | 24 | 963-965 | S61210S | 09 | 604-605 | S61351A | 09 | 604-605 | ||
| S60512D | 23 | 949-950 | S61211A | 09 | 604-605 | S61351A | 24 | 963-965 | ||
| S60512S | 09 | 604-605 | S61211A | 24 | 963-965 | S61351D | 23 | 949-950 | ||
| S60519A | 09 | 604-605 | S61211D | 23 | 949-950 | S61351S | 09 | 604-605 | ||
| S60519A | 24 | 963-965 | S61211S | 09 | 604-605 | S61352A | 09 | 604-605 | ||
| S60519D | 23 | 949-950 | S61212A | 09 | 604-605 | S61352A | 24 | 963-965 | ||
| S60519S | 09 | 604-605 | S61212A | 24 | 963-965 | S61352D | 23 | 949-950 | ||
| S60521A | 09 | 606-607 | S61212D | 23 | 949-950 | S61352S | 09 | 604-605 | ||
| S60521A | 24 | 963-965 | S61212S | 09 | 604-605 | S61353A | 09 | 604-605 | ||
| S60521D | 23 | 949-950 | S61213A | 09 | 604-605 | S61353A | 24 | 963-965 | ||
| S60521S | 09 | 604-605 | S61213A | 24 | 963-965 | S61353D | 23 | 949-950 | ||
| S60522A | 09 | 606-607 | S61213D | 23 | 949-950 | S61353S | 09 | 604-605 | ||
| S60522A | 24 | 963-965 | S61213S | 09 | 604-605 | S61354A | 09 | 604-605 | ||
| S60522D | 23 | 949-950 | S61214A | 09 | 604-605 | S61354A | 24 | 963-965 | ||
| S60522S | 09 | 604-605 | S61214A | 24 | 963-965 | S61354D | 23 | 949-950 | ||
| S60529A | 09 | 606-607 | S61214D | 23 | 949-950 | S61354S | 09 | 604-605 | ||
| S60529A | 24 | 963-965 | S61214S | 09 | 604-605 | S61355A | 09 | 604-605 | ||
| S60529D | 23 | 949-950 | S61215A | 09 | 604-605 | S61355A | 24 | 963-965 | ||
| S60529S | 09 | 604-605 | S61215A | 24 | 963-965 | S61355D | 23 | 949-950 | ||
| S60541A | 09 | 604-605 | S61215D | 23 | 949-950 | S61355S | 09 | 604-605 | ||
| S60541A | 24 | 963-965 | S61215S | 09 | 604-605 | S61356A | 09 | 604-605 | ||
| S60541D | 23 | 949-950 | S61216A | 09 | 604-605 | S61356A | 24 | 963-965 | ||
| S60541S | 09 | 604-605 | S61216A | 24 | 963-965 | S61356D | 23 | 949-950 | ||
| S60542A | 09 | 604-605 | S61216D | 23 | 949-950 | S61356S | 09 | 604-605 | ||
| S60542A | 24 | 963-965 | S61216S | 09 | 604-605 | S61357A | 09 | 604-605 | ||
| S60542D | 23 | 949-950 | S61217A | 09 | 604-605 | S61357A | 24 | 963-965 | ||
| S60542S | 09 | 604-605 | S61217A | 24 | 963-965 | S61357D | 23 | 949-950 | ||
| S60549A | 09 | 604-605 | S61217D | 23 | 949-950 | S61357S | 09 | 604-605 | ||
| S60549A | 24 | 963-965 | S61217S | 09 | 604-605 | S61358A | 09 | 604-605 | ||
| S60549D | 23 | 949-950 | S61218A | 09 | 604-605 | S61358A | 24 | 963-965 | ||
| S60549S | 09 | 604-605 | S61218A | 24 | 963-965 | S61358D | 23 | 949-950 | ||
| S60551A | 09 | 604-605 | S61218D | 23 | 949-950 | S61358S | 09 | 604-605 | ||
| S60551A | 24 | 963-965 | S61218S | 09 | 604-605 | S61359A | 09 | 604-605 | ||
| S60551D | 23 | 949-950 | S61219A | 09 | 604-605 | S61359A | 24 | 963-965 | ||
| S60551S | 09 | 604-605 | S61219A | 24 | 963-965 | S61359D | 23 | 949-950 | ||
| S60552A | 09 | 604-605 | S61219D | 23 | 949-950 | S61359S | 09 | 604-605 | ||
| S60552A | 24 | 963-965 | S61219S | 09 | 604-605 | S61401A | 09 | 604-605 | ||
| S60552D | 23 | 949-950 | S61220A | 21 | 913-914 | S61401A | 24 | 963-965 | ||
| S60552S | 09 | 604-605 | S61220A | 24 | 963-965 | S61401D | 23 | 949-950 | ||
| S60559A | 09 | 604-605 | S61220D | 23 | 949-950 | S61401S | 09 | 604-605 | ||
| S60559A | 24 | 963-965 | S61220S | 09 | 604-605 | S61402A | 09 | 604-605 | ||
| S60559D | 23 | 949-950 | S61221A | 21 | 913-914 | S61402A | 24 | 963-965 | ||
| S60559S | 09 | 604-605 | S61221A | 24 | 963-965 | S61402D | 23 | 949-950 | ||
| S60561A | 09 | 606-607 | S61221D | 23 | 949-950 | S61402S | 09 | 604-605 | ||
| S60561A | 24 | 963-965 | S61221S | 09 | 604-605 | S61409A | 09 | 604-605 | ||
| S60561D | 23 | 949-950 | S61222A | 21 | 913-914 | S61409A | 24 | 963-965 | ||
| S60561S | 09 | 604-605 | S61222A | 24 | 963-965 | S61409D | 23 | 949-950 | ||
| S60562A | 09 | 606-607 | S61222D | 23 | 949-950 | S61409S | 09 | 604-605 | ||
| S60562A | 24 | 963-965 | S61222S | 09 | 604-605 | S61411A | 09 | 604-605 | ||
| S60562D | 23 | 949-950 | S61223A | 21 | 913-914 | S61411A | 24 | 963-965 | ||
| S60562S | 09 | 604-605 | S61223A | 24 | 963-965 | S61411D | 23 | 949-950 | ||
| S60569A | 09 | 606-607 | S61223D | 23 | 949-950 | S61411S | 09 | 604-605 | ||
| S60569A | 24 | 963-965 | S61223S | 09 | 604-605 | S61412A | 09 | 604-605 | ||
| S60569D | 23 | 949-950 | S61224A | 21 | 913-914 | S61412A | 24 | 963-965 | ||
| S60569S | 09 | 604-605 | S61224A | 24 | 963-965 | S61412D | 23 | 949-950 | ||
| S60571A | 09 | 604-605 | S61224D | 23 | 949-950 | S61412S | 09 | 604-605 | ||
| S60571A | 24 | 963-965 | S61224S | 09 | 604-605 | S61419A | 09 | 604-605 | ||
| S60571D | 23 | 949-950 | S61225A | 21 | 913-914 | S61419A | 24 | 963-965 | ||
| S60571S | 09 | 604-605 | S61225A | 24 | 963-965 | S61419D | 23 | 949-950 | ||
| S60572A | 09 | 604-605 | S61225D | 23 | 949-950 | S61419S | 09 | 604-605 | ||
| S60572A | 24 | 963-965 | S61225S | 09 | 604-605 | S61421A | 21 | 913-914 | ||
| S60572D | 23 | 949-950 | S61226A | 21 | 913-914 | S61421A | 24 | 963-965 | ||
| S60572S | 09 | 604-605 | S61226A | 24 | 963-965 | S61421D | 23 | 949-950 | ||
| S60579A | 09 | 604-605 | S61226D | 23 | 949-950 | S61421S | 09 | 604-605 | ||
| S60579A | 24 | 963-965 | S61226S | 09 | 604-605 | S61422A | 21 | 913-914 | ||
| S60579D | 23 | 949-950 | S61227A | 21 | 913-914 | S61422A | 24 | 963-965 | ||
| S60579S | 09 | 604-605 | S61227A | 24 | 963-965 | S61422D | 23 | 949-950 | ||
| S60811A | 09 | 604-605 | S61227D | 23 | 949-950 | S61422S | 09 | 604-605 | ||
| S60811A | 24 | 963-965 | S61227S | 09 | 604-605 | S61429A | 21 | 913-914 | ||
| S60811D | 23 | 949-950 | S61228A | 21 | 913-914 | S61429A | 24 | 963-965 | ||
| S60811S | 09 | 604-605 | S61228A | 24 | 963-965 | S61429D | 23 | 949-950 | ||
| S60812A | 09 | 604-605 | S61228D | 23 | 949-950 | S61429S | 09 | 604-605 | ||
| S60812A | 24 | 963-965 | S61228S | 09 | 604-605 | S61431A | 09 | 604-605 | ||
| S60812D | 23 | 949-950 | S61229A | 21 | 913-914 | S61431A | 24 | 963-965 | ||
| S60812S | 09 | 604-605 | S61229A | 24 | 963-965 | S61431D | 23 | 949-950 | ||
| S60819A | 09 | 604-605 | S61229D | 23 | 949-950 | S61431S | 09 | 604-605 | ||
| S60819A | 24 | 963-965 | S61229S | 09 | 604-605 | S61432A | 09 | 604-605 | ||
| S60819D | 23 | 949-950 | S61230A | 09 | 604-605 | S61432A | 24 | 963-965 | ||
| S60819S | 09 | 604-605 | S61230A | 24 | 963-965 | S61432D | 23 | 949-950 | ||
| S60821A | 09 | 606-607 | S61230D | 23 | 949-950 | S61432S | 09 | 604-605 | ||
| S60821A | 24 | 963-965 | S61230S | 09 | 604-605 | S61439A | 09 | 604-605 | ||
| S60821D | 23 | 949-950 | S61231A | 09 | 604-605 | S61439A | 24 | 963-965 | ||
| S60821S | 09 | 604-605 | S61231A | 24 | 963-965 | S61439D | 23 | 949-950 | ||
| S60822A | 09 | 606-607 | S61231D | 23 | 949-950 | S61439S | 09 | 604-605 | ||
| S60822A | 24 | 963-965 | S61231S | 09 | 604-605 | S61441A | 21 | 913-914 | ||
| S60822D | 23 | 949-950 | S61232A | 09 | 604-605 | S61441A | 24 | 963-965 | ||
| S60822S | 09 | 604-605 | S61232A | 24 | 963-965 | S61441D | 23 | 949-950 | ||
| S60829A | 09 | 606-607 | S61232D | 23 | 949-950 | S61441S | 09 | 604-605 | ||
| S60829A | 24 | 963-965 | S61232S | 09 | 604-605 | S61442A | 21 | 913-914 | ||
| S60829D | 23 | 949-950 | S61233A | 09 | 604-605 | S61442A | 24 | 963-965 | ||
| S60829S | 09 | 604-605 | S61233A | 24 | 963-965 | S61442D | 23 | 949-950 | ||
| S60841A | 09 | 604-605 | S61233D | 23 | 949-950 | S61442S | 09 | 604-605 | ||
| S60841A | 24 | 963-965 | S61233S | 09 | 604-605 | S61449A | 21 | 913-914 | ||
| S60841D | 23 | 949-950 | S61234A | 09 | 604-605 | S61449A | 24 | 963-965 | ||
| S60841S | 09 | 604-605 | S61234A | 24 | 963-965 | S61449D | 23 | 949-950 | ||
| S60842A | 09 | 604-605 | S61234D | 23 | 949-950 | S61449S | 09 | 604-605 | ||
| S60842A | 24 | 963-965 | S61234S | 09 | 604-605 | S61451A | 09 | 604-605 | ||
| S60842D | 23 | 949-950 | S61235A | 09 | 604-605 | S61451A | 24 | 963-965 | ||
| S60842S | 09 | 604-605 | S61235A | 24 | 963-965 | S61451D | 23 | 949-950 | ||
| S60849A | 09 | 604-605 | S61235D | 23 | 949-950 | S61451S | 09 | 604-605 | ||
| S60849A | 24 | 963-965 | S61235S | 09 | 604-605 | S61452A | 09 | 604-605 | ||
| S60849D | 23 | 949-950 | S61236A | 09 | 604-605 | S61452A | 24 | 963-965 | ||
| S60849S | 09 | 604-605 | S61236A | 24 | 963-965 | S61452D | 23 | 949-950 | ||
| S60851A | 09 | 604-605 | S61236D | 23 | 949-950 | S61452S | 09 | 604-605 | ||
| S60851A | 24 | 963-965 | S61236S | 09 | 604-605 | S61459A | 09 | 604-605 | ||
| S60851D | 23 | 949-950 | S61237A | 09 | 604-605 | S61459A | 24 | 963-965 | ||
| S60851S | 09 | 604-605 | S61237A | 24 | 963-965 | S61459D | 23 | 949-950 | ||
| S60852A | 09 | 604-605 | S61237D | 23 | 949-950 | S61459S | 09 | 604-605 | ||
| S60852A | 24 | 963-965 | S61237S | 09 | 604-605 | S61501A | 09 | 604-605 | ||
| S60852D | 23 | 949-950 | S61238A | 09 | 604-605 | S61501A | 24 | 963-965 | ||
| S60852S | 09 | 604-605 | S61238A | 24 | 963-965 | S61501D | 23 | 949-950 | ||
| S60859A | 09 | 604-605 | S61238D | 23 | 949-950 | S61501S | 09 | 604-605 | ||
| S60859A | 24 | 963-965 | S61238S | 09 | 604-605 | S61502A | 09 | 604-605 | ||
| S60859D | 23 | 949-950 | S61239A | 09 | 604-605 | S61502A | 24 | 963-965 | ||
| S60859S | 09 | 604-605 | S61239A | 24 | 963-965 | S61502D | 23 | 949-950 | ||
| S60861A | 09 | 606-607 | S61239D | 23 | 949-950 | S61502S | 09 | 604-605 | ||
| S60861A | 24 | 963-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 18 Jan 2023 08:46:59 CMS, code-revision=337, description-revision=1351 |