ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 24 of 75 |
| A000 B2792 C573 C8442 D308 E093311 E1337X9 F19122 G9342 H20042 H4941 I25798 I69823 J392 K614 L89019 M05819 M216X2 M4690 M71071 M84461P M87061 N2885 O084 O318X34 O3661X2 O644XX5 P5222 Q819 S0031XS S02650B S066X1D S12590B S21009S S25192D S31531A S32463B S36428D S42018G S42412K S45891S S52026B S52261C S52513F S55109S S59819D S61324D S62291A S62635P S63430A S66326A S72011F S72101B S7226XK S72431D S76129D S82025Q S82232B S82464D S83192D S89101G S92001A S92345P S95299S T17498A T22751S T25219A T384X5S T43615S T486X3D T5803XA T71152A T82857A Z059 Z8674 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| O084 | 14 | 769 | O23593 | 14 | 817-819 | O30042 | 14 | 817-819 | ||
| O084 | 14 | 776 | O23593 | 14 | 831-833 | O30042 | 14 | 831-833 | ||
| O085 | 14 | 769 | O23599 | 14 | 817-819 | O30043 | 14 | 817-819 | ||
| O085 | 14 | 776 | O23599 | 14 | 831-833 | O30043 | 14 | 831-833 | ||
| O086 | 14 | 769 | O2390 | 14 | 817-819 | O30049 | 14 | 817-819 | ||
| O086 | 14 | 776 | O2390 | 14 | 831-833 | O30049 | 14 | 831-833 | ||
| O087 | 14 | 769 | O2391 | 14 | 817-819 | O30091 | 14 | 817-819 | ||
| O087 | 14 | 776 | O2391 | 14 | 831-833 | O30091 | 14 | 831-833 | ||
| O0881 | 14 | 769 | O2392 | 14 | 817-819 | O30092 | 14 | 817-819 | ||
| O0881 | 14 | 776 | O2392 | 14 | 831-833 | O30092 | 14 | 831-833 | ||
| O0882 | 14 | 769 | O2393 | 14 | 817-819 | O30093 | 14 | 817-819 | ||
| O0882 | 14 | 776 | O2393 | 14 | 831-833 | O30093 | 14 | 831-833 | ||
| O0883 | 14 | 769 | O24011 | 14 | 817-819 | O30099 | 14 | 817-819 | ||
| O0883 | 14 | 776 | O24011 | 14 | 831-833 | O30099 | 14 | 831-833 | ||
| O0889 | 14 | 769 | O24012 | 14 | 817-819 | O30101 | 14 | 817-819 | ||
| O0889 | 14 | 776 | O24012 | 14 | 831-833 | O30101 | 14 | 831-833 | ||
| O089 | 14 | 769 | O24013 | 14 | 817-819 | O30102 | 14 | 817-819 | ||
| O089 | 14 | 776 | O24013 | 14 | 831-833 | O30102 | 14 | 831-833 | ||
| O0900 | 14 | 998 | O24019 | 14 | 817-819 | O30103 | 14 | 817-819 | ||
| O0901 | 14 | 998 | O24019 | 14 | 831-833 | O30103 | 14 | 831-833 | ||
| O0902 | 14 | 998 | O2402 | 14 | 998 | O30109 | 14 | 817-819 | ||
| O0903 | 14 | 998 | O2403 | 14 | 769 | O30109 | 14 | 831-833 | ||
| O0910 | 14 | 998 | O2403 | 14 | 776 | O30111 | 14 | 817-819 | ||
| O0911 | 14 | 998 | O24111 | 14 | 817-819 | O30111 | 14 | 831-833 | ||
| O0912 | 14 | 998 | O24111 | 14 | 831-833 | O30112 | 14 | 817-819 | ||
| O0913 | 14 | 998 | O24112 | 14 | 817-819 | O30112 | 14 | 831-833 | ||
| O09211 | 14 | 998 | O24112 | 14 | 831-833 | O30113 | 14 | 817-819 | ||
| O09212 | 14 | 998 | O24113 | 14 | 817-819 | O30113 | 14 | 831-833 | ||
| O09213 | 14 | 998 | O24113 | 14 | 831-833 | O30119 | 14 | 817-819 | ||
| O09219 | 14 | 998 | O24119 | 14 | 817-819 | O30119 | 14 | 831-833 | ||
| O09291 | 14 | 998 | O24119 | 14 | 831-833 | O30121 | 14 | 817-819 | ||
| O09292 | 14 | 998 | O2412 | 14 | 998 | O30121 | 14 | 831-833 | ||
| O09293 | 14 | 998 | O2413 | 14 | 769 | O30122 | 14 | 817-819 | ||
| O09299 | 14 | 998 | O2413 | 14 | 776 | O30122 | 14 | 831-833 | ||
| O0930 | 14 | 998 | O24311 | 14 | 817-819 | O30123 | 14 | 817-819 | ||
| O0931 | 14 | 998 | O24311 | 14 | 831-833 | O30123 | 14 | 831-833 | ||
| O0932 | 14 | 998 | O24312 | 14 | 817-819 | O30129 | 14 | 817-819 | ||
| O0933 | 14 | 998 | O24312 | 14 | 831-833 | O30129 | 14 | 831-833 | ||
| O0940 | 14 | 998 | O24313 | 14 | 817-819 | O30131 | 14 | 817-819 | ||
| O0941 | 14 | 998 | O24313 | 14 | 831-833 | O30131 | 14 | 831-833 | ||
| O0942 | 14 | 998 | O24319 | 14 | 817-819 | O30132 | 14 | 817-819 | ||
| O0943 | 14 | 998 | O24319 | 14 | 831-833 | O30132 | 14 | 831-833 | ||
| O09511 | 14 | 998 | O2432 | 14 | 998 | O30133 | 14 | 817-819 | ||
| O09512 | 14 | 998 | O2433 | 14 | 769 | O30133 | 14 | 831-833 | ||
| O09513 | 14 | 998 | O2433 | 14 | 776 | O30139 | 14 | 817-819 | ||
| O09519 | 14 | 998 | O24410 | 14 | 817-819 | O30139 | 14 | 831-833 | ||
| O09521 | 14 | 998 | O24410 | 14 | 831-833 | O30191 | 14 | 817-819 | ||
| O09522 | 14 | 998 | O24414 | 14 | 817-819 | O30191 | 14 | 831-833 | ||
| O09523 | 14 | 998 | O24414 | 14 | 831-833 | O30192 | 14 | 817-819 | ||
| O09529 | 14 | 998 | O24415 | 14 | 817-819 | O30192 | 14 | 831-833 | ||
| O09611 | 14 | 998 | O24415 | 14 | 831-833 | O30193 | 14 | 817-819 | ||
| O09612 | 14 | 998 | O24419 | 14 | 817-819 | O30193 | 14 | 831-833 | ||
| O09613 | 14 | 998 | O24419 | 14 | 831-833 | O30199 | 14 | 817-819 | ||
| O09619 | 14 | 998 | O24420 | 14 | 998 | O30199 | 14 | 831-833 | ||
| O09621 | 14 | 998 | O24424 | 14 | 998 | O30201 | 14 | 817-819 | ||
| O09622 | 14 | 998 | O24425 | 14 | 998 | O30201 | 14 | 831-833 | ||
| O09623 | 14 | 998 | O24429 | 14 | 998 | O30202 | 14 | 817-819 | ||
| O09629 | 14 | 998 | O24430 | 14 | 769 | O30202 | 14 | 831-833 | ||
| O0970 | 14 | 998 | O24430 | 14 | 776 | O30203 | 14 | 817-819 | ||
| O0971 | 14 | 998 | O24434 | 14 | 769 | O30203 | 14 | 831-833 | ||
| O0972 | 14 | 998 | O24434 | 14 | 776 | O30209 | 14 | 817-819 | ||
| O0973 | 14 | 998 | O24435 | 14 | 769 | O30209 | 14 | 831-833 | ||
| O09811 | 14 | 998 | O24435 | 14 | 776 | O30211 | 14 | 817-819 | ||
| O09812 | 14 | 998 | O24439 | 14 | 769 | O30211 | 14 | 831-833 | ||
| O09813 | 14 | 998 | O24439 | 14 | 776 | O30212 | 14 | 817-819 | ||
| O09819 | 14 | 998 | O24811 | 14 | 817-819 | O30212 | 14 | 831-833 | ||
| O09821 | 14 | 998 | O24811 | 14 | 831-833 | O30213 | 14 | 817-819 | ||
| O09822 | 14 | 998 | O24812 | 14 | 817-819 | O30213 | 14 | 831-833 | ||
| O09823 | 14 | 998 | O24812 | 14 | 831-833 | O30219 | 14 | 817-819 | ||
| O09829 | 14 | 998 | O24813 | 14 | 817-819 | O30219 | 14 | 831-833 | ||
| O09891 | 14 | 998 | O24813 | 14 | 831-833 | O30221 | 14 | 817-819 | ||
| O09892 | 14 | 998 | O24819 | 14 | 817-819 | O30221 | 14 | 831-833 | ||
| O09893 | 14 | 998 | O24819 | 14 | 831-833 | O30222 | 14 | 817-819 | ||
| O09899 | 14 | 998 | O2482 | 14 | 998 | O30222 | 14 | 831-833 | ||
| O0990 | 14 | 998 | O2483 | 14 | 769 | O30223 | 14 | 817-819 | ||
| O0991 | 14 | 998 | O2483 | 14 | 776 | O30223 | 14 | 831-833 | ||
| O0992 | 14 | 998 | O24911 | 14 | 817-819 | O30229 | 14 | 817-819 | ||
| O0993 | 14 | 998 | O24911 | 14 | 831-833 | O30229 | 14 | 831-833 | ||
| O09A0 | 14 | 998 | O24912 | 14 | 817-819 | O30231 | 14 | 817-819 | ||
| O09A1 | 14 | 998 | O24912 | 14 | 831-833 | O30231 | 14 | 831-833 | ||
| O09A2 | 14 | 998 | O24913 | 14 | 817-819 | O30232 | 14 | 817-819 | ||
| O09A3 | 14 | 998 | O24913 | 14 | 831-833 | O30232 | 14 | 831-833 | ||
| O10011 | 14 | 817-819 | O24919 | 14 | 817-819 | O30233 | 14 | 817-819 | ||
| O10011 | 14 | 831-833 | O24919 | 14 | 831-833 | O30233 | 14 | 831-833 | ||
| O10012 | 14 | 817-819 | O2492 | 14 | 998 | O30239 | 14 | 817-819 | ||
| O10012 | 14 | 831-833 | O2493 | 14 | 769 | O30239 | 14 | 831-833 | ||
| O10013 | 14 | 817-819 | O2493 | 14 | 776 | O30291 | 14 | 817-819 | ||
| O10013 | 14 | 831-833 | O2510 | 14 | 817-819 | O30291 | 14 | 831-833 | ||
| O10019 | 14 | 817-819 | O2510 | 14 | 831-833 | O30292 | 14 | 817-819 | ||
| O10019 | 14 | 831-833 | O2511 | 14 | 817-819 | O30292 | 14 | 831-833 | ||
| O1002 | 14 | 998 | O2511 | 14 | 831-833 | O30293 | 14 | 817-819 | ||
| O1003 | 14 | 769 | O2512 | 14 | 817-819 | O30293 | 14 | 831-833 | ||
| O1003 | 14 | 776 | O2512 | 14 | 831-833 | O30299 | 14 | 817-819 | ||
| O10111 | 14 | 817-819 | O2513 | 14 | 817-819 | O30299 | 14 | 831-833 | ||
| O10111 | 14 | 831-833 | O2513 | 14 | 831-833 | O30801 | 14 | 817-819 | ||
| O10112 | 14 | 817-819 | O252 | 14 | 998 | O30801 | 14 | 831-833 | ||
| O10112 | 14 | 831-833 | O253 | 14 | 769 | O30802 | 14 | 817-819 | ||
| O10113 | 14 | 817-819 | O253 | 14 | 776 | O30802 | 14 | 831-833 | ||
| O10113 | 14 | 831-833 | O2600 | 14 | 817-819 | O30803 | 14 | 817-819 | ||
| O10119 | 14 | 817-819 | O2600 | 14 | 831-833 | O30803 | 14 | 831-833 | ||
| O10119 | 14 | 831-833 | O2601 | 14 | 817-819 | O30809 | 14 | 817-819 | ||
| O1012 | 14 | 998 | O2601 | 14 | 831-833 | O30809 | 14 | 831-833 | ||
| O1013 | 14 | 769 | O2602 | 14 | 817-819 | O30811 | 14 | 817-819 | ||
| O1013 | 14 | 776 | O2602 | 14 | 831-833 | O30811 | 14 | 831-833 | ||
| O10211 | 14 | 817-819 | O2603 | 14 | 817-819 | O30812 | 14 | 817-819 | ||
| O10211 | 14 | 831-833 | O2603 | 14 | 831-833 | O30812 | 14 | 831-833 | ||
| O10212 | 14 | 817-819 | O2610 | 14 | 817-819 | O30813 | 14 | 817-819 | ||
| O10212 | 14 | 831-833 | O2610 | 14 | 831-833 | O30813 | 14 | 831-833 | ||
| O10213 | 14 | 817-819 | O2611 | 14 | 817-819 | O30819 | 14 | 817-819 | ||
| O10213 | 14 | 831-833 | O2611 | 14 | 831-833 | O30819 | 14 | 831-833 | ||
| O10219 | 14 | 817-819 | O2612 | 14 | 817-819 | O30821 | 14 | 817-819 | ||
| O10219 | 14 | 831-833 | O2612 | 14 | 831-833 | O30821 | 14 | 831-833 | ||
| O1022 | 14 | 998 | O2613 | 14 | 817-819 | O30822 | 14 | 817-819 | ||
| O1023 | 14 | 769 | O2613 | 14 | 831-833 | O30822 | 14 | 831-833 | ||
| O1023 | 14 | 776 | O2620 | 14 | 817-819 | O30823 | 14 | 817-819 | ||
| O10311 | 14 | 817-819 | O2620 | 14 | 831-833 | O30823 | 14 | 831-833 | ||
| O10311 | 14 | 831-833 | O2621 | 14 | 817-819 | O30829 | 14 | 817-819 | ||
| O10312 | 14 | 817-819 | O2621 | 14 | 831-833 | O30829 | 14 | 831-833 | ||
| O10312 | 14 | 831-833 | O2622 | 14 | 817-819 | O30831 | 14 | 817-819 | ||
| O10313 | 14 | 817-819 | O2622 | 14 | 831-833 | O30831 | 14 | 831-833 | ||
| O10313 | 14 | 831-833 | O2623 | 14 | 817-819 | O30832 | 14 | 817-819 | ||
| O10319 | 14 | 817-819 | O2623 | 14 | 831-833 | O30832 | 14 | 831-833 | ||
| O10319 | 14 | 831-833 | O2630 | 14 | 817-819 | O30833 | 14 | 817-819 | ||
| O1032 | 14 | 998 | O2630 | 14 | 831-833 | O30833 | 14 | 831-833 | ||
| O1033 | 14 | 769 | O2631 | 14 | 817-819 | O30839 | 14 | 817-819 | ||
| O1033 | 14 | 776 | O2631 | 14 | 831-833 | O30839 | 14 | 831-833 | ||
| O10411 | 14 | 817-819 | O2632 | 14 | 817-819 | O30891 | 14 | 817-819 | ||
| O10411 | 14 | 831-833 | O2632 | 14 | 831-833 | O30891 | 14 | 831-833 | ||
| O10412 | 14 | 817-819 | O2633 | 14 | 817-819 | O30892 | 14 | 817-819 | ||
| O10412 | 14 | 831-833 | O2633 | 14 | 831-833 | O30892 | 14 | 831-833 | ||
| O10413 | 14 | 817-819 | O2640 | 14 | 817-819 | O30893 | 14 | 817-819 | ||
| O10413 | 14 | 831-833 | O2640 | 14 | 831-833 | O30893 | 14 | 831-833 | ||
| O10419 | 14 | 817-819 | O2641 | 14 | 817-819 | O30899 | 14 | 817-819 | ||
| O10419 | 14 | 831-833 | O2641 | 14 | 831-833 | O30899 | 14 | 831-833 | ||
| O1042 | 14 | 998 | O2642 | 14 | 817-819 | O3090 | 14 | 817-819 | ||
| O1043 | 14 | 769 | O2642 | 14 | 831-833 | O3090 | 14 | 831-833 | ||
| O1043 | 14 | 776 | O2643 | 14 | 817-819 | O3091 | 14 | 817-819 | ||
| O10911 | 14 | 817-819 | O2643 | 14 | 831-833 | O3091 | 14 | 831-833 | ||
| O10911 | 14 | 831-833 | O2650 | 14 | 817-819 | O3092 | 14 | 817-819 | ||
| O10912 | 14 | 817-819 | O2650 | 14 | 831-833 | O3092 | 14 | 831-833 | ||
| O10912 | 14 | 831-833 | O2651 | 14 | 817-819 | O3093 | 14 | 817-819 | ||
| O10913 | 14 | 817-819 | O2651 | 14 | 831-833 | O3093 | 14 | 831-833 | ||
| O10913 | 14 | 831-833 | O2652 | 14 | 817-819 | O3100X0 | 14 | 817-819 | ||
| O10919 | 14 | 817-819 | O2652 | 14 | 831-833 | O3100X0 | 14 | 831-833 | ||
| O10919 | 14 | 831-833 | O2653 | 14 | 817-819 | O3100X1 | 14 | 817-819 | ||
| O1092 | 14 | 998 | O2653 | 14 | 831-833 | O3100X1 | 14 | 831-833 | ||
| O1093 | 14 | 769 | O26611 | 14 | 817-819 | O3100X2 | 14 | 817-819 | ||
| O1093 | 14 | 776 | O26611 | 14 | 831-833 | O3100X2 | 14 | 831-833 | ||
| O111 | 14 | 817-819 | O26612 | 14 | 817-819 | O3100X3 | 14 | 817-819 | ||
| O111 | 14 | 831-833 | O26612 | 14 | 831-833 | O3100X3 | 14 | 831-833 | ||
| O112 | 14 | 817-819 | O26613 | 14 | 817-819 | O3100X4 | 14 | 817-819 | ||
| O112 | 14 | 831-833 | O26613 | 14 | 831-833 | O3100X4 | 14 | 831-833 | ||
| O113 | 14 | 817-819 | O26619 | 14 | 817-819 | O3100X5 | 14 | 817-819 | ||
| O113 | 14 | 831-833 | O26619 | 14 | 831-833 | O3100X5 | 14 | 831-833 | ||
| O114 | 14 | 998 | O2662 | 14 | 998 | O3100X9 | 14 | 817-819 | ||
| O115 | 14 | 769 | O2663 | 14 | 769 | O3100X9 | 14 | 831-833 | ||
| O115 | 14 | 776 | O2663 | 14 | 776 | O3101X0 | 14 | 817-819 | ||
| O119 | 14 | 817-819 | O26641 | 14 | 817-819 | O3101X0 | 14 | 831-833 | ||
| O119 | 14 | 831-833 | O26641 | 14 | 831-833 | O3101X1 | 14 | 817-819 | ||
| O1200 | 14 | 817-819 | O26642 | 14 | 817-819 | O3101X1 | 14 | 831-833 | ||
| O1200 | 14 | 831-833 | O26642 | 14 | 831-833 | O3101X2 | 14 | 817-819 | ||
| O1201 | 14 | 817-819 | O26643 | 14 | 817-819 | O3101X2 | 14 | 831-833 | ||
| O1201 | 14 | 831-833 | O26643 | 14 | 831-833 | O3101X3 | 14 | 817-819 | ||
| O1202 | 14 | 817-819 | O26649 | 14 | 817-819 | O3101X3 | 14 | 831-833 | ||
| O1202 | 14 | 831-833 | O26649 | 14 | 831-833 | O3101X4 | 14 | 817-819 | ||
| O1203 | 14 | 817-819 | O26711 | 14 | 817-819 | O3101X4 | 14 | 831-833 | ||
| O1203 | 14 | 831-833 | O26711 | 14 | 831-833 | O3101X5 | 14 | 817-819 | ||
| O1204 | 14 | 998 | O26712 | 14 | 817-819 | O3101X5 | 14 | 831-833 | ||
| O1205 | 14 | 769 | O26712 | 14 | 831-833 | O3101X9 | 14 | 817-819 | ||
| O1205 | 14 | 776 | O26713 | 14 | 817-819 | O3101X9 | 14 | 831-833 | ||
| O1210 | 14 | 817-819 | O26713 | 14 | 831-833 | O3102X0 | 14 | 817-819 | ||
| O1210 | 14 | 831-833 | O26719 | 14 | 817-819 | O3102X0 | 14 | 831-833 | ||
| O1211 | 14 | 817-819 | O26719 | 14 | 831-833 | O3102X1 | 14 | 817-819 | ||
| O1211 | 14 | 831-833 | O2672 | 14 | 998 | O3102X1 | 14 | 831-833 | ||
| O1212 | 14 | 817-819 | O2673 | 14 | 769 | O3102X2 | 14 | 817-819 | ||
| O1212 | 14 | 831-833 | O2673 | 14 | 776 | O3102X2 | 14 | 831-833 | ||
| O1213 | 14 | 817-819 | O26811 | 14 | 817-819 | O3102X3 | 14 | 817-819 | ||
| O1213 | 14 | 831-833 | O26811 | 14 | 831-833 | O3102X3 | 14 | 831-833 | ||
| O1214 | 14 | 998 | O26812 | 14 | 817-819 | O3102X4 | 14 | 817-819 | ||
| O1215 | 14 | 769 | O26812 | 14 | 831-833 | O3102X4 | 14 | 831-833 | ||
| O1215 | 14 | 776 | O26813 | 14 | 817-819 | O3102X5 | 14 | 817-819 | ||
| O1220 | 14 | 817-819 | O26813 | 14 | 831-833 | O3102X5 | 14 | 831-833 | ||
| O1220 | 14 | 831-833 | O26819 | 14 | 817-819 | O3102X9 | 14 | 817-819 | ||
| O1221 | 14 | 817-819 | O26819 | 14 | 831-833 | O3102X9 | 14 | 831-833 | ||
| O1221 | 14 | 831-833 | O26821 | 14 | 817-819 | O3103X0 | 14 | 817-819 | ||
| O1222 | 14 | 817-819 | O26821 | 14 | 831-833 | O3103X0 | 14 | 831-833 | ||
| O1222 | 14 | 831-833 | O26822 | 14 | 817-819 | O3103X1 | 14 | 817-819 | ||
| O1223 | 14 | 817-819 | O26822 | 14 | 831-833 | O3103X1 | 14 | 831-833 | ||
| O1223 | 14 | 831-833 | O26823 | 14 | 817-819 | O3103X2 | 14 | 817-819 | ||
| O1224 | 14 | 998 | O26823 | 14 | 831-833 | O3103X2 | 14 | 831-833 | ||
| O1225 | 14 | 769 | O26829 | 14 | 817-819 | O3103X3 | 14 | 817-819 | ||
| O1225 | 14 | 776 | O26829 | 14 | 831-833 | O3103X3 | 14 | 831-833 | ||
| O131 | 14 | 817-819 | O26831 | 14 | 817-819 | O3103X4 | 14 | 817-819 | ||
| O131 | 14 | 831-833 | O26831 | 14 | 831-833 | O3103X4 | 14 | 831-833 | ||
| O132 | 14 | 817-819 | O26832 | 14 | 817-819 | O3103X5 | 14 | 817-819 | ||
| O132 | 14 | 831-833 | O26832 | 14 | 831-833 | O3103X5 | 14 | 831-833 | ||
| O133 | 14 | 817-819 | O26833 | 14 | 817-819 | O3103X9 | 14 | 817-819 | ||
| O133 | 14 | 831-833 | O26833 | 14 | 831-833 | O3103X9 | 14 | 831-833 | ||
| O134 | 14 | 998 | O26839 | 14 | 817-819 | O3110X0 | 14 | 817-819 | ||
| O135 | 14 | 769 | O26839 | 14 | 831-833 | O3110X0 | 14 | 831-833 | ||
| O135 | 14 | 776 | O26841 | 14 | 817-819 | O3110X1 | 14 | 817-819 | ||
| O139 | 14 | 817-819 | O26841 | 14 | 831-833 | O3110X1 | 14 | 831-833 | ||
| O139 | 14 | 831-833 | O26842 | 14 | 817-819 | O3110X2 | 14 | 817-819 | ||
| O1400 | 14 | 817-819 | O26842 | 14 | 831-833 | O3110X2 | 14 | 831-833 | ||
| O1400 | 14 | 831-833 | O26843 | 14 | 817-819 | O3110X3 | 14 | 817-819 | ||
| O1402 | 14 | 817-819 | O26843 | 14 | 831-833 | O3110X3 | 14 | 831-833 | ||
| O1402 | 14 | 831-833 | O26849 | 14 | 817-819 | O3110X4 | 14 | 817-819 | ||
| O1403 | 14 | 817-819 | O26849 | 14 | 831-833 | O3110X4 | 14 | 831-833 | ||
| O1403 | 14 | 831-833 | O26851 | 14 | 817-819 | O3110X5 | 14 | 817-819 | ||
| O1404 | 14 | 998 | O26851 | 14 | 831-833 | O3110X5 | 14 | 831-833 | ||
| O1405 | 14 | 769 | O26852 | 14 | 817-819 | O3110X9 | 14 | 817-819 | ||
| O1405 | 14 | 776 | O26852 | 14 | 831-833 | O3110X9 | 14 | 831-833 | ||
| O1410 | 14 | 817-819 | O26853 | 14 | 817-819 | O3111X0 | 14 | 817-819 | ||
| O1410 | 14 | 831-833 | O26853 | 14 | 831-833 | O3111X0 | 14 | 831-833 | ||
| O1412 | 14 | 817-819 | O26859 | 14 | 817-819 | O3111X1 | 14 | 817-819 | ||
| O1412 | 14 | 831-833 | O26859 | 14 | 831-833 | O3111X1 | 14 | 831-833 | ||
| O1413 | 14 | 817-819 | O2686 | 14 | 817-819 | O3111X2 | 14 | 817-819 | ||
| O1413 | 14 | 831-833 | O2686 | 14 | 831-833 | O3111X2 | 14 | 831-833 | ||
| O1414 | 14 | 998 | O26872 | 14 | 817-819 | O3111X3 | 14 | 817-819 | ||
| O1415 | 14 | 769 | O26872 | 14 | 831-833 | O3111X3 | 14 | 831-833 | ||
| O1415 | 14 | 776 | O26873 | 14 | 817-819 | O3111X4 | 14 | 817-819 | ||
| O1420 | 14 | 817-819 | O26873 | 14 | 831-833 | O3111X4 | 14 | 831-833 | ||
| O1420 | 14 | 831-833 | O26879 | 14 | 817-819 | O3111X5 | 14 | 817-819 | ||
| O1422 | 14 | 817-819 | O26879 | 14 | 831-833 | O3111X5 | 14 | 831-833 | ||
| O1422 | 14 | 831-833 | O26891 | 14 | 817-819 | O3111X9 | 14 | 817-819 | ||
| O1423 | 14 | 817-819 | O26891 | 14 | 831-833 | O3111X9 | 14 | 831-833 | ||
| O1423 | 14 | 831-833 | O26892 | 14 | 817-819 | O3112X0 | 14 | 817-819 | ||
| O1424 | 14 | 998 | O26892 | 14 | 831-833 | O3112X0 | 14 | 831-833 | ||
| O1425 | 14 | 769 | O26893 | 14 | 817-819 | O3112X1 | 14 | 817-819 | ||
| O1425 | 14 | 776 | O26893 | 14 | 831-833 | O3112X1 | 14 | 831-833 | ||
| O1490 | 14 | 817-819 | O26899 | 14 | 817-819 | O3112X2 | 14 | 817-819 | ||
| O1490 | 14 | 831-833 | O26899 | 14 | 831-833 | O3112X2 | 14 | 831-833 | ||
| O1492 | 14 | 817-819 | O2690 | 14 | 817-819 | O3112X3 | 14 | 817-819 | ||
| O1492 | 14 | 831-833 | O2690 | 14 | 831-833 | O3112X3 | 14 | 831-833 | ||
| O1493 | 14 | 817-819 | O2691 | 14 | 817-819 | O3112X4 | 14 | 817-819 | ||
| O1493 | 14 | 831-833 | O2691 | 14 | 831-833 | O3112X4 | 14 | 831-833 | ||
| O1494 | 14 | 998 | O2692 | 14 | 817-819 | O3112X5 | 14 | 817-819 | ||
| O1495 | 14 | 769 | O2692 | 14 | 831-833 | O3112X5 | 14 | 831-833 | ||
| O1495 | 14 | 776 | O2693 | 14 | 817-819 | O3112X9 | 14 | 817-819 | ||
| O1500 | 14 | 817-819 | O2693 | 14 | 831-833 | O3112X9 | 14 | 831-833 | ||
| O1500 | 14 | 831-833 | O280 | 14 | 817-819 | O3113X0 | 14 | 817-819 | ||
| O1502 | 14 | 817-819 | O280 | 14 | 831-833 | O3113X0 | 14 | 831-833 | ||
| O1502 | 14 | 831-833 | O281 | 14 | 817-819 | O3113X1 | 14 | 817-819 | ||
| O1503 | 14 | 817-819 | O281 | 14 | 831-833 | O3113X1 | 14 | 831-833 | ||
| O1503 | 14 | 831-833 | O282 | 14 | 817-819 | O3113X2 | 14 | 817-819 | ||
| O151 | 14 | 817-819 | O282 | 14 | 831-833 | O3113X2 | 14 | 831-833 | ||
| O151 | 14 | 831-833 | O283 | 14 | 817-819 | O3113X3 | 14 | 817-819 | ||
| O152 | 14 | 769 | O283 | 14 | 831-833 | O3113X3 | 14 | 831-833 | ||
| O152 | 14 | 776 | O284 | 14 | 817-819 | O3113X4 | 14 | 817-819 | ||
| O159 | 14 | 817-819 | O284 | 14 | 831-833 | O3113X4 | 14 | 831-833 | ||
| O159 | 14 | 831-833 | O285 | 14 | 817-819 | O3113X5 | 14 | 817-819 | ||
| O161 | 14 | 817-819 | O285 | 14 | 831-833 | O3113X5 | 14 | 831-833 | ||
| O161 | 14 | 831-833 | O288 | 14 | 817-819 | O3113X9 | 14 | 817-819 | ||
| O162 | 14 | 817-819 | O288 | 14 | 831-833 | O3113X9 | 14 | 831-833 | ||
| O162 | 14 | 831-833 | O289 | 14 | 817-819 | O3120X0 | 14 | 817-819 | ||
| O163 | 14 | 817-819 | O289 | 14 | 831-833 | O3120X0 | 14 | 831-833 | ||
| O163 | 14 | 831-833 | O29011 | 14 | 817-819 | O3120X1 | 14 | 817-819 | ||
| O164 | 14 | 998 | O29011 | 14 | 831-833 | O3120X1 | 14 | 831-833 | ||
| O165 | 14 | 769 | O29012 | 14 | 817-819 | O3120X2 | 14 | 817-819 | ||
| O165 | 14 | 776 | O29012 | 14 | 831-833 | O3120X2 | 14 | 831-833 | ||
| O169 | 14 | 817-819 | O29013 | 14 | 817-819 | O3120X3 | 14 | 817-819 | ||
| O169 | 14 | 831-833 | O29013 | 14 | 831-833 | O3120X3 | 14 | 831-833 | ||
| O200 | 14 | 817-819 | O29019 | 14 | 817-819 | O3120X4 | 14 | 817-819 | ||
| O200 | 14 | 831-833 | O29019 | 14 | 831-833 | O3120X4 | 14 | 831-833 | ||
| O208 | 14 | 817-819 | O29021 | 14 | 817-819 | O3120X5 | 14 | 817-819 | ||
| O208 | 14 | 831-833 | O29021 | 14 | 831-833 | O3120X5 | 14 | 831-833 | ||
| O209 | 14 | 817-819 | O29022 | 14 | 817-819 | O3120X9 | 14 | 817-819 | ||
| O209 | 14 | 831-833 | O29022 | 14 | 831-833 | O3120X9 | 14 | 831-833 | ||
| O210 | 14 | 817-819 | O29023 | 14 | 817-819 | O3121X0 | 14 | 817-819 | ||
| O210 | 14 | 831-833 | O29023 | 14 | 831-833 | O3121X0 | 14 | 831-833 | ||
| O211 | 14 | 817-819 | O29029 | 14 | 817-819 | O3121X1 | 14 | 817-819 | ||
| O211 | 14 | 831-833 | O29029 | 14 | 831-833 | O3121X1 | 14 | 831-833 | ||
| O212 | 14 | 817-819 | O29091 | 14 | 817-819 | O3121X2 | 14 | 817-819 | ||
| O212 | 14 | 831-833 | O29091 | 14 | 831-833 | O3121X2 | 14 | 831-833 | ||
| O218 | 14 | 817-819 | O29092 | 14 | 817-819 | O3121X3 | 14 | 817-819 | ||
| O218 | 14 | 831-833 | O29092 | 14 | 831-833 | O3121X3 | 14 | 831-833 | ||
| O219 | 14 | 817-819 | O29093 | 14 | 817-819 | O3121X4 | 14 | 817-819 | ||
| O219 | 14 | 831-833 | O29093 | 14 | 831-833 | O3121X4 | 14 | 831-833 | ||
| O2200 | 14 | 817-819 | O29099 | 14 | 817-819 | O3121X5 | 14 | 817-819 | ||
| O2200 | 14 | 831-833 | O29099 | 14 | 831-833 | O3121X5 | 14 | 831-833 | ||
| O2201 | 14 | 817-819 | O29111 | 14 | 817-819 | O3121X9 | 14 | 817-819 | ||
| O2201 | 14 | 831-833 | O29111 | 14 | 831-833 | O3121X9 | 14 | 831-833 | ||
| O2202 | 14 | 817-819 | O29112 | 14 | 817-819 | O3122X0 | 14 | 817-819 | ||
| O2202 | 14 | 831-833 | O29112 | 14 | 831-833 | O3122X0 | 14 | 831-833 | ||
| O2203 | 14 | 817-819 | O29113 | 14 | 817-819 | O3122X1 | 14 | 817-819 | ||
| O2203 | 14 | 831-833 | O29113 | 14 | 831-833 | O3122X1 | 14 | 831-833 | ||
| O2210 | 14 | 817-819 | O29119 | 14 | 817-819 | O3122X2 | 14 | 817-819 | ||
| O2210 | 14 | 831-833 | O29119 | 14 | 831-833 | O3122X2 | 14 | 831-833 | ||
| O2211 | 14 | 817-819 | O29121 | 14 | 817-819 | O3122X3 | 14 | 817-819 | ||
| O2211 | 14 | 831-833 | O29121 | 14 | 831-833 | O3122X3 | 14 | 831-833 | ||
| O2212 | 14 | 817-819 | O29122 | 14 | 817-819 | O3122X4 | 14 | 817-819 | ||
| O2212 | 14 | 831-833 | O29122 | 14 | 831-833 | O3122X4 | 14 | 831-833 | ||
| O2213 | 14 | 817-819 | O29123 | 14 | 817-819 | O3122X5 | 14 | 817-819 | ||
| O2213 | 14 | 831-833 | O29123 | 14 | 831-833 | O3122X5 | 14 | 831-833 | ||
| O2220 | 14 | 817-819 | O29129 | 14 | 817-819 | O3122X9 | 14 | 817-819 | ||
| O2220 | 14 | 831-833 | O29129 | 14 | 831-833 | O3122X9 | 14 | 831-833 | ||
| O2221 | 14 | 817-819 | O29191 | 14 | 817-819 | O3123X0 | 14 | 817-819 | ||
| O2221 | 14 | 831-833 | O29191 | 14 | 831-833 | O3123X0 | 14 | 831-833 | ||
| O2222 | 14 | 817-819 | O29192 | 14 | 817-819 | O3123X1 | 14 | 817-819 | ||
| O2222 | 14 | 831-833 | O29192 | 14 | 831-833 | O3123X1 | 14 | 831-833 | ||
| O2223 | 14 | 817-819 | O29193 | 14 | 817-819 | O3123X2 | 14 | 817-819 | ||
| O2223 | 14 | 831-833 | O29193 | 14 | 831-833 | O3123X2 | 14 | 831-833 | ||
| O2230 | 14 | 817-819 | O29199 | 14 | 817-819 | O3123X3 | 14 | 817-819 | ||
| O2230 | 14 | 831-833 | O29199 | 14 | 831-833 | O3123X3 | 14 | 831-833 | ||
| O2231 | 14 | 817-819 | O29211 | 14 | 817-819 | O3123X4 | 14 | 817-819 | ||
| O2231 | 14 | 831-833 | O29211 | 14 | 831-833 | O3123X4 | 14 | 831-833 | ||
| O2232 | 14 | 817-819 | O29212 | 14 | 817-819 | O3123X5 | 14 | 817-819 | ||
| O2232 | 14 | 831-833 | O29212 | 14 | 831-833 | O3123X5 | 14 | 831-833 | ||
| O2233 | 14 | 817-819 | O29213 | 14 | 817-819 | O3123X9 | 14 | 817-819 | ||
| O2233 | 14 | 831-833 | O29213 | 14 | 831-833 | O3123X9 | 14 | 831-833 | ||
| O2240 | 14 | 817-819 | O29219 | 14 | 817-819 | O3130X0 | 14 | 817-819 | ||
| O2240 | 14 | 831-833 | O29219 | 14 | 831-833 | O3130X0 | 14 | 831-833 | ||
| O2241 | 14 | 817-819 | O29291 | 14 | 817-819 | O3130X1 | 14 | 817-819 | ||
| O2241 | 14 | 831-833 | O29291 | 14 | 831-833 | O3130X1 | 14 | 831-833 | ||
| O2242 | 14 | 817-819 | O29292 | 14 | 817-819 | O3130X2 | 14 | 817-819 | ||
| O2242 | 14 | 831-833 | O29292 | 14 | 831-833 | O3130X2 | 14 | 831-833 | ||
| O2243 | 14 | 817-819 | O29293 | 14 | 817-819 | O3130X3 | 14 | 817-819 | ||
| O2243 | 14 | 831-833 | O29293 | 14 | 831-833 | O3130X3 | 14 | 831-833 | ||
| O2250 | 14 | 817-819 | O29299 | 14 | 817-819 | O3130X4 | 14 | 817-819 | ||
| O2250 | 14 | 831-833 | O29299 | 14 | 831-833 | O3130X4 | 14 | 831-833 | ||
| O2251 | 14 | 817-819 | O293X1 | 14 | 817-819 | O3130X5 | 14 | 817-819 | ||
| O2251 | 14 | 831-833 | O293X1 | 14 | 831-833 | O3130X5 | 14 | 831-833 | ||
| O2252 | 14 | 817-819 | O293X2 | 14 | 817-819 | O3130X9 | 14 | 817-819 | ||
| O2252 | 14 | 831-833 | O293X2 | 14 | 831-833 | O3130X9 | 14 | 831-833 | ||
| O2253 | 14 | 817-819 | O293X3 | 14 | 817-819 | O3131X0 | 14 | 817-819 | ||
| O2253 | 14 | 831-833 | O293X3 | 14 | 831-833 | O3131X0 | 14 | 831-833 | ||
| O228X1 | 14 | 817-819 | O293X9 | 14 | 817-819 | O3131X1 | 14 | 817-819 | ||
| O228X1 | 14 | 831-833 | O293X9 | 14 | 831-833 | O3131X1 | 14 | 831-833 | ||
| O228X2 | 14 | 817-819 | O2940 | 14 | 817-819 | O3131X2 | 14 | 817-819 | ||
| O228X2 | 14 | 831-833 | O2940 | 14 | 831-833 | O3131X2 | 14 | 831-833 | ||
| O228X3 | 14 | 817-819 | O2941 | 14 | 817-819 | O3131X3 | 14 | 817-819 | ||
| O228X3 | 14 | 831-833 | O2941 | 14 | 831-833 | O3131X3 | 14 | 831-833 | ||
| O228X9 | 14 | 817-819 | O2942 | 14 | 817-819 | O3131X4 | 14 | 817-819 | ||
| O228X9 | 14 | 831-833 | O2942 | 14 | 831-833 | O3131X4 | 14 | 831-833 | ||
| O2290 | 14 | 817-819 | O2943 | 14 | 817-819 | O3131X5 | 14 | 817-819 | ||
| O2290 | 14 | 831-833 | O2943 | 14 | 831-833 | O3131X5 | 14 | 831-833 | ||
| O2291 | 14 | 817-819 | O295X1 | 14 | 817-819 | O3131X9 | 14 | 817-819 | ||
| O2291 | 14 | 831-833 | O295X1 | 14 | 831-833 | O3131X9 | 14 | 831-833 | ||
| O2292 | 14 | 817-819 | O295X2 | 14 | 817-819 | O3132X0 | 14 | 817-819 | ||
| O2292 | 14 | 831-833 | O295X2 | 14 | 831-833 | O3132X0 | 14 | 831-833 | ||
| O2293 | 14 | 817-819 | O295X3 | 14 | 817-819 | O3132X1 | 14 | 817-819 | ||
| O2293 | 14 | 831-833 | O295X3 | 14 | 831-833 | O3132X1 | 14 | 831-833 | ||
| O2300 | 14 | 817-819 | O295X9 | 14 | 817-819 | O3132X2 | 14 | 817-819 | ||
| O2300 | 14 | 831-833 | O295X9 | 14 | 831-833 | O3132X2 | 14 | 831-833 | ||
| O2301 | 14 | 817-819 | O2960 | 14 | 817-819 | O3132X3 | 14 | 817-819 | ||
| O2301 | 14 | 831-833 | O2960 | 14 | 831-833 | O3132X3 | 14 | 831-833 | ||
| O2302 | 14 | 817-819 | O2961 | 14 | 817-819 | O3132X4 | 14 | 817-819 | ||
| O2302 | 14 | 831-833 | O2961 | 14 | 831-833 | O3132X4 | 14 | 831-833 | ||
| O2303 | 14 | 817-819 | O2962 | 14 | 817-819 | O3132X5 | 14 | 817-819 | ||
| O2303 | 14 | 831-833 | O2962 | 14 | 831-833 | O3132X5 | 14 | 831-833 | ||
| O2310 | 14 | 817-819 | O2963 | 14 | 817-819 | O3132X9 | 14 | 817-819 | ||
| O2310 | 14 | 831-833 | O2963 | 14 | 831-833 | O3132X9 | 14 | 831-833 | ||
| O2311 | 14 | 817-819 | O298X1 | 14 | 817-819 | O3133X0 | 14 | 817-819 | ||
| O2311 | 14 | 831-833 | O298X1 | 14 | 831-833 | O3133X0 | 14 | 831-833 | ||
| O2312 | 14 | 817-819 | O298X2 | 14 | 817-819 | O3133X1 | 14 | 817-819 | ||
| O2312 | 14 | 831-833 | O298X2 | 14 | 831-833 | O3133X1 | 14 | 831-833 | ||
| O2313 | 14 | 817-819 | O298X3 | 14 | 817-819 | O3133X2 | 14 | 817-819 | ||
| O2313 | 14 | 831-833 | O298X3 | 14 | 831-833 | O3133X2 | 14 | 831-833 | ||
| O2320 | 14 | 817-819 | O298X9 | 14 | 817-819 | O3133X3 | 14 | 817-819 | ||
| O2320 | 14 | 831-833 | O298X9 | 14 | 831-833 | O3133X3 | 14 | 831-833 | ||
| O2321 | 14 | 817-819 | O2990 | 14 | 817-819 | O3133X4 | 14 | 817-819 | ||
| O2321 | 14 | 831-833 | O2990 | 14 | 831-833 | O3133X4 | 14 | 831-833 | ||
| O2322 | 14 | 817-819 | O2991 | 14 | 817-819 | O3133X5 | 14 | 817-819 | ||
| O2322 | 14 | 831-833 | O2991 | 14 | 831-833 | O3133X5 | 14 | 831-833 | ||
| O2323 | 14 | 817-819 | O2992 | 14 | 817-819 | O3133X9 | 14 | 817-819 | ||
| O2323 | 14 | 831-833 | O2992 | 14 | 831-833 | O3133X9 | 14 | 831-833 | ||
| O2330 | 14 | 817-819 | O2993 | 14 | 817-819 | O318X10 | 14 | 817-819 | ||
| O2330 | 14 | 831-833 | O2993 | 14 | 831-833 | O318X10 | 14 | 831-833 | ||
| O2331 | 14 | 817-819 | O30001 | 14 | 817-819 | O318X11 | 14 | 817-819 | ||
| O2331 | 14 | 831-833 | O30001 | 14 | 831-833 | O318X11 | 14 | 831-833 | ||
| O2332 | 14 | 817-819 | O30002 | 14 | 817-819 | O318X12 | 14 | 817-819 | ||
| O2332 | 14 | 831-833 | O30002 | 14 | 831-833 | O318X12 | 14 | 831-833 | ||
| O2333 | 14 | 817-819 | O30003 | 14 | 817-819 | O318X13 | 14 | 817-819 | ||
| O2333 | 14 | 831-833 | O30003 | 14 | 831-833 | O318X13 | 14 | 831-833 | ||
| O2340 | 14 | 817-819 | O30009 | 14 | 817-819 | O318X14 | 14 | 817-819 | ||
| O2340 | 14 | 831-833 | O30009 | 14 | 831-833 | O318X14 | 14 | 831-833 | ||
| O2341 | 14 | 817-819 | O30011 | 14 | 817-819 | O318X15 | 14 | 817-819 | ||
| O2341 | 14 | 831-833 | O30011 | 14 | 831-833 | O318X15 | 14 | 831-833 | ||
| O2342 | 14 | 817-819 | O30012 | 14 | 817-819 | O318X19 | 14 | 817-819 | ||
| O2342 | 14 | 831-833 | O30012 | 14 | 831-833 | O318X19 | 14 | 831-833 | ||
| O2343 | 14 | 817-819 | O30013 | 14 | 817-819 | O318X20 | 14 | 817-819 | ||
| O2343 | 14 | 831-833 | O30013 | 14 | 831-833 | O318X20 | 14 | 831-833 | ||
| O23511 | 14 | 817-819 | O30019 | 14 | 817-819 | O318X21 | 14 | 817-819 | ||
| O23511 | 14 | 831-833 | O30019 | 14 | 831-833 | O318X21 | 14 | 831-833 | ||
| O23512 | 14 | 817-819 | O30021 | 14 | 817-819 | O318X22 | 14 | 817-819 | ||
| O23512 | 14 | 831-833 | O30021 | 14 | 831-833 | O318X22 | 14 | 831-833 | ||
| O23513 | 14 | 817-819 | O30022 | 14 | 817-819 | O318X23 | 14 | 817-819 | ||
| O23513 | 14 | 831-833 | O30022 | 14 | 831-833 | O318X23 | 14 | 831-833 | ||
| O23519 | 14 | 817-819 | O30023 | 14 | 817-819 | O318X24 | 14 | 817-819 | ||
| O23519 | 14 | 831-833 | O30023 | 14 | 831-833 | O318X24 | 14 | 831-833 | ||
| O23521 | 14 | 817-819 | O30029 | 14 | 817-819 | O318X25 | 14 | 817-819 | ||
| O23521 | 14 | 831-833 | O30029 | 14 | 831-833 | O318X25 | 14 | 831-833 | ||
| O23522 | 14 | 817-819 | O30031 | 14 | 817-819 | O318X29 | 14 | 817-819 | ||
| O23522 | 14 | 831-833 | O30031 | 14 | 831-833 | O318X29 | 14 | 831-833 | ||
| O23523 | 14 | 817-819 | O30032 | 14 | 817-819 | O318X30 | 14 | 817-819 | ||
| O23523 | 14 | 831-833 | O30032 | 14 | 831-833 | O318X30 | 14 | 831-833 | ||
| O23529 | 14 | 817-819 | O30033 | 14 | 817-819 | O318X31 | 14 | 817-819 | ||
| O23529 | 14 | 831-833 | O30033 | 14 | 831-833 | O318X31 | 14 | 831-833 | ||
| O23591 | 14 | 817-819 | O30039 | 14 | 817-819 | O318X32 | 14 | 817-819 | ||
| O23591 | 14 | 831-833 | O30039 | 14 | 831-833 | O318X32 | 14 | 831-833 | ||
| O23592 | 14 | 817-819 | O30041 | 14 | 817-819 | O318X33 | 14 | 817-819 | ||
| O23592 | 14 | 831-833 | O30041 | 14 | 831-833 | O318X33 | 14 | 831-833 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |