ICD-10-CM/PCS MS-DRG v40.1 Definitions Manual

Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
Appendix C: Principal diagnoses which convert CC/MCC to non-CC
Page 1021 of 1270
PDX Collection 5641 (continued)
H59012Keratopathy (bullous aphakic) following cataract surgery, left eye
H59013Keratopathy (bullous aphakic) following cataract surgery, bilateral
H59019Keratopathy (bullous aphakic) following cataract surgery, unspecified eye
H59031Cystoid macular edema following cataract surgery, right eye
H59032Cystoid macular edema following cataract surgery, left eye
H59033Cystoid macular edema following cataract surgery, bilateral
H59039Cystoid macular edema following cataract surgery, unspecified eye
H59091Other disorders of the right eye following cataract surgery
H59092Other disorders of the left eye following cataract surgery
H59093Other disorders of the eye following cataract surgery, bilateral
H59099Other disorders of unspecified eye following cataract surgery
H59811Chorioretinal scars after surgery for detachment, right eye
H59812Chorioretinal scars after surgery for detachment, left eye
H59813Chorioretinal scars after surgery for detachment, bilateral
H59819Chorioretinal scars after surgery for detachment, unspecified eye
H5988Other intraoperative complications of eye and adnexa, not elsewhere classified
H5989Other postprocedural complications and disorders of eye and adnexa, not elsewhere classified
H95811Postprocedural stenosis of right external ear canal
H95812Postprocedural stenosis of left external ear canal
H95813Postprocedural stenosis of external ear canal, bilateral
H95819Postprocedural stenosis of unspecified external ear canal
H9588Other intraoperative complications and disorders of the ear and mastoid process, not elsewhere classified
H9589Other postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified
I973Postprocedural hypertension
J954Chemical pneumonitis due to anesthesia
J955Postprocedural subglottic stenosis
J9584Transfusion-related acute lung injury (TRALI)
J95851Ventilator associated pneumonia
J95859Other complication of respirator [ventilator]
J9587Transfusion-associated dyspnea (TAD)
J9588Other intraoperative complications of respiratory system, not elsewhere classified
J9589Other postprocedural complications and disorders of respiratory system, not elsewhere classified
L7681Other intraoperative complications of skin and subcutaneous tissue
L7682Other postprocedural complications of skin and subcutaneous tissue
M9689Other intraoperative and postprocedural complications and disorders of the musculoskeletal system
N981Hyperstimulation of ovaries
N982Complications of attempted introduction of fertilized ovum following in vitro fertilization
N983Complications of attempted introduction of embryo in embryo transfer
N988Other complications associated with artificial fertilization
N989Complication associated with artificial fertilization, unspecified
T8182XAEmphysema (subcutaneous) resulting from a procedure, initial encounter
T8189XAOther complications of procedures, not elsewhere classified, initial encounter
T819XXAUnspecified complication of procedure, initial encounter
 
PDX Collection 5642
M96A4Flail chest associated with chest compression and cardiopulmonary resuscitation
S038XXASprain of joints and ligaments of other parts of head, initial encounter
S039XXASprain of joints and ligaments of unspecified parts of head, initial encounter
S2231XAFracture of one rib, right side, initial encounter for closed fracture
S2231XBFracture of one rib, right side, initial encounter for open fracture
S2232XAFracture of one rib, left side, initial encounter for closed fracture
S2232XBFracture of one rib, left side, initial encounter for open fracture
S2239XAFracture of one rib, unspecified side, initial encounter for closed fracture
S2239XBFracture of one rib, unspecified side, initial encounter for open fracture
S2241XAMultiple fractures of ribs, right side, initial encounter for closed fracture
S2241XBMultiple fractures of ribs, right side, initial encounter for open fracture
S2242XAMultiple fractures of ribs, left side, initial encounter for closed fracture
S2242XBMultiple fractures of ribs, left side, initial encounter for open fracture
S2243XAMultiple fractures of ribs, bilateral, initial encounter for closed fracture
S2243XBMultiple fractures of ribs, bilateral, initial encounter for open fracture
S2249XAMultiple fractures of ribs, unspecified side, initial encounter for closed fracture
S225XXAFlail chest, initial encounter for closed fracture
S225XXBFlail chest, initial encounter for open fracture
S29011AStrain of muscle and tendon of front wall of thorax, initial encounter
S29012AStrain of muscle and tendon of back wall of thorax, initial encounter
S29019AStrain of muscle and tendon of unspecified wall of thorax, initial encounter
S383XXATransection (partial) of abdomen, initial encounter
S39011AStrain of muscle, fascia and tendon of abdomen, initial encounter
S39012AStrain of muscle, fascia and tendon of lower back, initial encounter
S39013AStrain of muscle, fascia and tendon of pelvis, initial encounter
T07XXXAUnspecified multiple injuries, initial encounter
T148XXAOther injury of unspecified body region, initial encounter
T1490XAInjury, unspecified, initial encounter
T1491XASuicide attempt, initial encounter
T798XXAOther early complications of trauma, initial encounter
T799XXAUnspecified early complication of trauma, initial encounter
T79A0XACompartment syndrome, unspecified, initial encounter
T79A11ATraumatic compartment syndrome of right upper extremity, initial encounter
T79A12ATraumatic compartment syndrome of left upper extremity, initial encounter
T79A19ATraumatic compartment syndrome of unspecified upper extremity, initial encounter
T79A21ATraumatic compartment syndrome of right lower extremity, initial encounter
T79A22ATraumatic compartment syndrome of left lower extremity, initial encounter
T79A29ATraumatic compartment syndrome of unspecified lower extremity, initial encounter
T79A3XATraumatic compartment syndrome of abdomen, initial encounter
T79A9XATraumatic compartment syndrome of other sites, initial encounter
 
PDX Collection 5643
F01511Vascular dementia, unspecified severity, with agitation
F01518Vascular dementia, unspecified severity, with other behavioral disturbance
F0152Vascular dementia, unspecified severity, with psychotic disturbance
F0153Vascular dementia, unspecified severity, with mood disturbance
F0154Vascular dementia, unspecified severity, with anxiety
F01A11Vascular dementia, mild, with agitation
F01A18Vascular dementia, mild, with other behavioral disturbance
F01A2Vascular dementia, mild, with psychotic disturbance
F01A3Vascular dementia, mild, with mood disturbance
F01A4Vascular dementia, mild, with anxiety
F01B11Vascular dementia, moderate, with agitation
F01B18Vascular dementia, moderate, with other behavioral disturbance
F01B2Vascular dementia, moderate, with psychotic disturbance
F01B3Vascular dementia, moderate, with mood disturbance
F01B4Vascular dementia, moderate, with anxiety
F01C11Vascular dementia, severe, with agitation
F01C18Vascular dementia, severe, with other behavioral disturbance
F01C2Vascular dementia, severe, with psychotic disturbance
F01C3Vascular dementia, severe, with mood disturbance
F01C4Vascular dementia, severe, with anxiety
F03911Unspecified dementia, unspecified severity, with agitation
F03918Unspecified dementia, unspecified severity, with other behavioral disturbance
F0392Unspecified dementia, unspecified severity, with psychotic disturbance
F0393Unspecified dementia, unspecified severity, with mood disturbance
F0394Unspecified dementia, unspecified severity, with anxiety
F03A11Unspecified dementia, mild, with agitation
F03A18Unspecified dementia, mild, with other behavioral disturbance
F03A2Unspecified dementia, mild, with psychotic disturbance
F03A3Unspecified dementia, mild, with mood disturbance
F03A4Unspecified dementia, mild, with anxiety
F03B11Unspecified dementia, moderate, with agitation
F03B18Unspecified dementia, moderate, with other behavioral disturbance
F03B2Unspecified dementia, moderate, with psychotic disturbance
F03B3Unspecified dementia, moderate, with mood disturbance
F03B4Unspecified dementia, moderate, with anxiety
F03C11Unspecified dementia, severe, with agitation
F03C18Unspecified dementia, severe, with other behavioral disturbance
F03C2Unspecified dementia, severe, with psychotic disturbance
F03C3Unspecified dementia, severe, with mood disturbance
F03C4Unspecified dementia, severe, with anxiety
 
PDX Collection 5644
A150Tuberculosis of lung
A154Tuberculosis of intrathoracic lymph nodes
A155Tuberculosis of larynx, trachea and bronchus
A156Tuberculous pleurisy
A158Other respiratory tuberculosis
A159Respiratory tuberculosis unspecified
A179Tuberculosis of nervous system, unspecified
A1882Tuberculosis of other endocrine glands
A1884Tuberculosis of heart
A1889Tuberculosis of other sites
A212Pulmonary tularemia
A221Pulmonary anthrax
A310Pulmonary mycobacterial infection
A3701Whooping cough due to Bordetella pertussis with pneumonia
A3711Whooping cough due to Bordetella parapertussis with pneumonia
A3781Whooping cough due to other Bordetella species with pneumonia
A3791Whooping cough, unspecified species with pneumonia
A420Pulmonary actinomycosis
A430Pulmonary nocardiosis
A481Legionnaires' disease
B250Cytomegaloviral pneumonitis
B390Acute pulmonary histoplasmosis capsulati
B391Chronic pulmonary histoplasmosis capsulati
B392Pulmonary histoplasmosis capsulati, unspecified
B440Invasive pulmonary aspergillosis
B583Pulmonary toxoplasmosis
B59Pneumocystosis
B671Echinococcus granulosus infection of lung
J09X1Influenza due to identified novel influenza A virus with pneumonia
J09X2Influenza due to identified novel influenza A virus with other respiratory manifestations
J1000Influenza due to other identified influenza virus with unspecified type of pneumonia
J1001Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia
J1008Influenza due to other identified influenza virus with other specified pneumonia
J101Influenza due to other identified influenza virus with other respiratory manifestations
J1100Influenza due to unidentified influenza virus with unspecified type of pneumonia
J1108Influenza due to unidentified influenza virus with specified pneumonia
J111Influenza due to unidentified influenza virus with other respiratory manifestations
J120Adenoviral pneumonia
J121Respiratory syncytial virus pneumonia
J122Parainfluenza virus pneumonia
J123Human metapneumovirus pneumonia
J1289Other viral pneumonia
J129Viral pneumonia, unspecified
J13Pneumonia due to Streptococcus pneumoniae
J14Pneumonia due to Hemophilus influenzae
J150Pneumonia due to Klebsiella pneumoniae
J151Pneumonia due to Pseudomonas
J1520Pneumonia due to staphylococcus, unspecified
J15211Pneumonia due to Methicillin susceptible Staphylococcus aureus
J15212Pneumonia due to Methicillin resistant Staphylococcus aureus
J1529Pneumonia due to other staphylococcus
J153Pneumonia due to streptococcus, group B
J154Pneumonia due to other streptococci
J155Pneumonia due to Escherichia coli
J156Pneumonia due to other Gram-negative bacteria
J157Pneumonia due to Mycoplasma pneumoniae
J158Pneumonia due to other specified bacteria
J159Unspecified bacterial pneumonia
J160Chlamydial pneumonia
J168Pneumonia due to other specified infectious organisms
J17Pneumonia in diseases classified elsewhere
J180Bronchopneumonia, unspecified organism
J181Lobar pneumonia, unspecified organism
J188Other pneumonia, unspecified organism
J189Pneumonia, unspecified organism
J22Unspecified acute lower respiratory infection
J449Chronic obstructive pulmonary disease, unspecified
J470Bronchiectasis with acute lower respiratory infection
J471Bronchiectasis with (acute) exacerbation
J479Bronchiectasis, uncomplicated
J60Coalworker's pneumoconiosis
J61Pneumoconiosis due to asbestos and other mineral fibers
J620Pneumoconiosis due to talc dust
J628Pneumoconiosis due to other dust containing silica
J630Aluminosis (of lung)
J631Bauxite fibrosis (of lung)
J632Berylliosis
J633Graphite fibrosis (of lung)
J634Siderosis
J635Stannosis
J636Pneumoconiosis due to other specified inorganic dusts
J64Unspecified pneumoconiosis
J65Pneumoconiosis associated with tuberculosis
J660Byssinosis
J661Flax-dressers' disease
J662Cannabinosis
J668Airway disease due to other specific organic dusts
J670Farmer's lung
J671Bagassosis
J672Bird fancier's lung
J673Suberosis
J674Maltworker's lung
J675Mushroom-worker's lung
J676Maple-bark-stripper's lung
J677Air conditioner and humidifier lung
J678Hypersensitivity pneumonitis due to other organic dusts
J679Hypersensitivity pneumonitis due to unspecified organic dust
J680Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors
J681Pulmonary edema due to chemicals, gases, fumes and vapors
J682Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified
J683Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors
J684Chronic respiratory conditions due to chemicals, gases, fumes and vapors
J688Other respiratory conditions due to chemicals, gases, fumes and vapors
J689Unspecified respiratory condition due to chemicals, gases, fumes and vapors
J690Pneumonitis due to inhalation of food and vomit
J691Pneumonitis due to inhalation of oils and essences
J698Pneumonitis due to inhalation of other solids and liquids
J700Acute pulmonary manifestations due to radiation
J701Chronic and other pulmonary manifestations due to radiation
J702Acute drug-induced interstitial lung disorders
J703Chronic drug-induced interstitial lung disorders
J704Drug-induced interstitial lung disorders, unspecified
J708Respiratory conditions due to other specified external agents
J709Respiratory conditions due to unspecified external agent
J984Other disorders of lung
J988Other specified respiratory disorders
J989Respiratory disorder, unspecified
J99Respiratory disorders in diseases classified elsewhere
N80B1Endometriosis of pleura
N80B2Endometriosis of lung
N80B31Superficial endometriosis of diaphragm
N80B32Deep endometriosis of diaphragm
N80B39Endometriosis of diaphragm, unspecified depth
Q334Congenital bronchiectasis
R911Solitary pulmonary nodule
 
PDX Collection 5645
S0190XAUnspecified open wound of unspecified part of head, initial encounter
S0191XALaceration without foreign body of unspecified part of head, initial encounter
S0192XALaceration with foreign body of unspecified part of head, initial encounter
S0193XAPuncture wound without foreign body of unspecified part of head, initial encounter
S0194XAPuncture wound with foreign body of unspecified part of head, initial encounter
S0195XAOpen bite of unspecified part of head, initial encounter
S020XXAFracture of vault of skull, initial encounter for closed fracture
S020XXBFracture of vault of skull, initial encounter for open fracture
S020XXSFracture of vault of skull, sequela
S02101AFracture of base of skull, right side, initial encounter for closed fracture
S02101BFracture of base of skull, right side, initial encounter for open fracture
S02101SFracture of base of skull, right side, sequela
S02102AFracture of base of skull, left side, initial encounter for closed fracture
S02102BFracture of base of skull, left side, initial encounter for open fracture
S02102SFracture of base of skull, left side, sequela
S02109AFracture of base of skull, unspecified side, initial encounter for closed fracture
S02109BFracture of base of skull, unspecified side, initial encounter for open fracture
S02109SFracture of base of skull, unspecified side, sequela
S02110AType I occipital condyle fracture, unspecified side, initial encounter for closed fracture
S02110BType I occipital condyle fracture, unspecified side, initial encounter for open fracture
S02110SType I occipital condyle fracture, unspecified side, sequela
S02111AType II occipital condyle fracture, unspecified side, initial encounter for closed fracture
S02111BType II occipital condyle fracture, unspecified side, initial encounter for open fracture
S02111SType II occipital condyle fracture, unspecified side, sequela
S02112AType III occipital condyle fracture, unspecified side, initial encounter for closed fracture
S02112BType III occipital condyle fracture, unspecified side, initial encounter for open fracture
S02112SType III occipital condyle fracture, unspecified side, sequela
S02113AUnspecified occipital condyle fracture, initial encounter for closed fracture
S02113BUnspecified occipital condyle fracture, initial encounter for open fracture
S02113SUnspecified occipital condyle fracture, sequela
S02118AOther fracture of occiput, unspecified side, initial encounter for closed fracture
S02118BOther fracture of occiput, unspecified side, initial encounter for open fracture
S02118SOther fracture of occiput, unspecified side, sequela
S02119AUnspecified fracture of occiput, initial encounter for closed fracture
S02119BUnspecified fracture of occiput, initial encounter for open fracture
S02119SUnspecified fracture of occiput, sequela
S0211AAType I occipital condyle fracture, right side, initial encounter for closed fracture
S0211ABType I occipital condyle fracture, right side, initial encounter for open fracture
S0211ASType I occipital condyle fracture, right side, sequela
S0211BAType I occipital condyle fracture, left side, initial encounter for closed fracture
S0211BBType I occipital condyle fracture, left side, initial encounter for open fracture
S0211BSType I occipital condyle fracture, left side, sequela
S0211CAType II occipital condyle fracture, right side, initial encounter for closed fracture
S0211CBType II occipital condyle fracture, right side, initial encounter for open fracture
S0211CSType II occipital condyle fracture, right side, sequela
S0211DAType II occipital condyle fracture, left side, initial encounter for closed fracture
S0211DBType II occipital condyle fracture, left side, initial encounter for open fracture
S0211DSType II occipital condyle fracture, left side, sequela
S0211EAType III occipital condyle fracture, right side, initial encounter for closed fracture
S0211EBType III occipital condyle fracture, right side, initial encounter for open fracture
S0211ESType III occipital condyle fracture, right side, sequela
S0211FAType III occipital condyle fracture, left side, initial encounter for closed fracture
S0211FBType III occipital condyle fracture, left side, initial encounter for open fracture
S0211FSType III occipital condyle fracture, left side, sequela
S0211GAOther fracture of occiput, right side, initial encounter for closed fracture
S0211GBOther fracture of occiput, right side, initial encounter for open fracture
S0211GSOther fracture of occiput, right side, sequela
S0211HAOther fracture of occiput, left side, initial encounter for closed fracture
S0211HBOther fracture of occiput, left side, initial encounter for open fracture
S0211HSOther fracture of occiput, left side, sequela
S02121AFracture of orbital roof, right side, initial encounter for closed fracture
S02121BFracture of orbital roof, right side, initial encounter for open fracture
S02121SFracture of orbital roof, right side, sequela
S02122AFracture of orbital roof, left side, initial encounter for closed fracture
S02122BFracture of orbital roof, left side, initial encounter for open fracture
S02122SFracture of orbital roof, left side, sequela
S02129AFracture of orbital roof, unspecified side, initial encounter for closed fracture
S02129BFracture of orbital roof, unspecified side, initial encounter for open fracture
S02129SFracture of orbital roof, unspecified side, sequela
S0219XAOther fracture of base of skull, initial encounter for closed fracture
S0219XBOther fracture of base of skull, initial encounter for open fracture
S0219XSOther fracture of base of skull, sequela
S022XXSFracture of nasal bones, sequela
S0230XSFracture of orbital floor, unspecified side, sequela
S0231XSFracture of orbital floor, right side, sequela
S0232XSFracture of orbital floor, left side, sequela
S02400SMalar fracture, unspecified side, sequela
S02401SMaxillary fracture, unspecified side, sequela
S02402SZygomatic fracture, unspecified side, sequela
S0240ASMalar fracture, right side, sequela
S0240BSMalar fracture, left side, sequela
S0240CSMaxillary fracture, right side, sequela
S0240DSMaxillary fracture, left side, sequela
S0240ESZygomatic fracture, right side, sequela
S0240FSZygomatic fracture, left side, sequela
S02411SLeFort I fracture, sequela
S02412SLeFort II fracture, sequela
S02413SLeFort III fracture, sequela
S0242XSFracture of alveolus of maxilla, sequela
S025XXSFracture of tooth (traumatic), sequela
S02600SFracture of unspecified part of body of mandible, unspecified side, sequela
S02601SFracture of unspecified part of body of right mandible, sequela
S02602SFracture of unspecified part of body of left mandible, sequela
S02609SFracture of mandible, unspecified, sequela
S02610SFracture of condylar process of mandible, unspecified side, sequela
S02611SFracture of condylar process of right mandible, sequela
S02612SFracture of condylar process of left mandible, sequela
S02620SFracture of subcondylar process of mandible, unspecified side, sequela
S02621SFracture of subcondylar process of right mandible, sequela
S02622SFracture of subcondylar process of left mandible, sequela
S02630SFracture of coronoid process of mandible, unspecified side, sequela
S02631SFracture of coronoid process of right mandible, sequela
S02632SFracture of coronoid process of left mandible, sequela
S02640SFracture of ramus of mandible, unspecified side, sequela
S02641SFracture of ramus of right mandible, sequela
S02642SFracture of ramus of left mandible, sequela
S02650SFracture of angle of mandible, unspecified side, sequela
S02651SFracture of angle of right mandible, sequela
S02652SFracture of angle of left mandible, sequela
S0266XSFracture of symphysis of mandible, sequela
S02670SFracture of alveolus of mandible, unspecified side, sequela
S02671SFracture of alveolus of right mandible, sequela
S02672SFracture of alveolus of left mandible, sequela
S0269XSFracture of mandible of other specified site, sequela
S0280XSFracture of other specified skull and facial bones, unspecified side, sequela
S0281XSFracture of other specified skull and facial bones, right side, sequela
S0282XSFracture of other specified skull and facial bones, left side, sequela
S02831SFracture of medial orbital wall, right side, sequela
S02832SFracture of medial orbital wall, left side, sequela
S02839SFracture of medial orbital wall, unspecified side, sequela
S02841SFracture of lateral orbital wall, right side, sequela
S02842SFracture of lateral orbital wall, left side, sequela
S02849SFracture of lateral orbital wall, unspecified side, sequela
S0285XSFracture of orbit, unspecified, sequela
S0291XAUnspecified fracture of skull, initial encounter for closed fracture
S0291XBUnspecified fracture of skull, initial encounter for open fracture
S0291XSUnspecified fracture of skull, sequela
S0292XSUnspecified fracture of facial bones, sequela
S060X0AConcussion without loss of consciousness, initial encounter
S060X1AConcussion with loss of consciousness of 30 minutes or less, initial encounter
S060X9AConcussion with loss of consciousness of unspecified duration, initial encounter
S060XAAConcussion with loss of consciousness status unknown, initial encounter
S061X0ATraumatic cerebral edema without loss of consciousness, initial encounter
S061X1ATraumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter
S061X2ATraumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S061X3ATraumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S061X4ATraumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter
S061X5ATraumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S061X6ATraumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S061X7ATraumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S061X8ATraumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S061X9ATraumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter
S061XAATraumatic cerebral edema with loss of consciousness status unknown, initial encounter
S062X0ADiffuse traumatic brain injury without loss of consciousness, initial encounter
S062X1ADiffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter
S062X2ADiffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S062X3ADiffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S062X4ADiffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter
S062X5ADiffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, initial encounter
S062X6ADiffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S062X7ADiffuse traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S062X8ADiffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S062X9ADiffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
18 Jan 2023 08:46:59
CMS, code-revision=337, description-revision=1351