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 37 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S32463B | 08 | 521-522 | S32811A | 08 | 535-536 | S35403D | 23 | 949-950 | ||
| S32463B | 08 | 535-536 | S32811A | 24 | 963-965 | S35403S | 05 | 299-301 | ||
| S32463B | 24 | 963-965 | S32811B | 08 | 535-536 | S35404A | 21 | 913-914 | ||
| S32463D | 08 | 559-561 | S32811B | 24 | 963-965 | S35404A | 24 | 963-965 | ||
| S32463G | 08 | 521-522 | S32811D | 08 | 559-561 | S35404D | 23 | 949-950 | ||
| S32463G | 08 | 559-561 | S32811G | 08 | 559-561 | S35404S | 05 | 299-301 | ||
| S32463K | 08 | 521-522 | S32811K | 08 | 564-566 | S35405A | 21 | 913-914 | ||
| S32463K | 08 | 564-566 | S32811S | 08 | 551-552 | S35405A | 24 | 963-965 | ||
| S32463S | 08 | 551-552 | S3282XA | 08 | 535-536 | S35405D | 23 | 949-950 | ||
| S32464A | 08 | 521-522 | S3282XA | 24 | 963-965 | S35405S | 05 | 299-301 | ||
| S32464A | 08 | 535-536 | S3282XB | 08 | 535-536 | S35406A | 21 | 913-914 | ||
| S32464A | 24 | 963-965 | S3282XB | 24 | 963-965 | S35406A | 24 | 963-965 | ||
| S32464B | 08 | 521-522 | S3282XD | 08 | 559-561 | S35406D | 23 | 949-950 | ||
| S32464B | 08 | 535-536 | S3282XG | 08 | 559-561 | S35406S | 05 | 299-301 | ||
| S32464B | 24 | 963-965 | S3282XK | 08 | 564-566 | S35411A | 21 | 913-914 | ||
| S32464D | 08 | 559-561 | S3282XS | 08 | 551-552 | S35411A | 24 | 963-965 | ||
| S32464G | 08 | 521-522 | S3289XA | 08 | 535-536 | S35411D | 23 | 949-950 | ||
| S32464G | 08 | 559-561 | S3289XA | 24 | 963-965 | S35411S | 05 | 299-301 | ||
| S32464K | 08 | 521-522 | S3289XB | 08 | 535-536 | S35412A | 21 | 913-914 | ||
| S32464K | 08 | 564-566 | S3289XB | 24 | 963-965 | S35412A | 24 | 963-965 | ||
| S32464S | 08 | 551-552 | S3289XD | 08 | 559-561 | S35412D | 23 | 949-950 | ||
| S32465A | 08 | 521-522 | S3289XG | 08 | 559-561 | S35412S | 05 | 299-301 | ||
| S32465A | 08 | 535-536 | S3289XK | 08 | 564-566 | S35413A | 21 | 913-914 | ||
| S32465A | 24 | 963-965 | S3289XS | 08 | 551-552 | S35413A | 24 | 963-965 | ||
| S32465B | 08 | 521-522 | S329XXA | 08 | 535-536 | S35413D | 23 | 949-950 | ||
| S32465B | 08 | 535-536 | S329XXA | 24 | 963-965 | S35413S | 05 | 299-301 | ||
| S32465B | 24 | 963-965 | S329XXB | 08 | 535-536 | S35414A | 21 | 913-914 | ||
| S32465D | 08 | 559-561 | S329XXB | 24 | 963-965 | S35414A | 24 | 963-965 | ||
| S32465G | 08 | 521-522 | S329XXD | 08 | 559-561 | S35414D | 23 | 949-950 | ||
| S32465G | 08 | 559-561 | S329XXG | 08 | 559-561 | S35414S | 05 | 299-301 | ||
| S32465K | 08 | 521-522 | S329XXK | 08 | 564-566 | S35415A | 21 | 913-914 | ||
| S32465K | 08 | 564-566 | S329XXS | 08 | 551-552 | S35415A | 24 | 963-965 | ||
| S32465S | 08 | 551-552 | S330XXA | 08 | 551-552 | S35415D | 23 | 949-950 | ||
| S32466A | 08 | 521-522 | S330XXA | 24 | 963-965 | S35415S | 05 | 299-301 | ||
| S32466A | 08 | 535-536 | S330XXD | 23 | 949-950 | S35416A | 21 | 913-914 | ||
| S32466A | 24 | 963-965 | S330XXS | 08 | 562-563 | S35416A | 24 | 963-965 | ||
| S32466B | 08 | 521-522 | S33100A | 08 | 551-552 | S35416D | 23 | 949-950 | ||
| S32466B | 08 | 535-536 | S33100A | 24 | 963-965 | S35416S | 05 | 299-301 | ||
| S32466B | 24 | 963-965 | S33100D | 23 | 949-950 | S35491A | 21 | 913-914 | ||
| S32466D | 08 | 559-561 | S33100S | 08 | 562-563 | S35491A | 24 | 963-965 | ||
| S32466G | 08 | 521-522 | S33101A | 08 | 551-552 | S35491D | 23 | 949-950 | ||
| S32466G | 08 | 559-561 | S33101A | 24 | 963-965 | S35491S | 05 | 299-301 | ||
| S32466K | 08 | 521-522 | S33101D | 23 | 949-950 | S35492A | 21 | 913-914 | ||
| S32466K | 08 | 564-566 | S33101S | 08 | 562-563 | S35492A | 24 | 963-965 | ||
| S32466S | 08 | 551-552 | S33110A | 08 | 551-552 | S35492D | 23 | 949-950 | ||
| S32471A | 08 | 521-522 | S33110A | 24 | 963-965 | S35492S | 05 | 299-301 | ||
| S32471A | 08 | 535-536 | S33110D | 23 | 949-950 | S35493A | 21 | 913-914 | ||
| S32471A | 24 | 963-965 | S33110S | 08 | 562-563 | S35493A | 24 | 963-965 | ||
| S32471B | 08 | 521-522 | S33111A | 08 | 551-552 | S35493D | 23 | 949-950 | ||
| S32471B | 08 | 535-536 | S33111A | 24 | 963-965 | S35493S | 05 | 299-301 | ||
| S32471B | 24 | 963-965 | S33111D | 23 | 949-950 | S35494A | 21 | 913-914 | ||
| S32471D | 08 | 559-561 | S33111S | 08 | 562-563 | S35494A | 24 | 963-965 | ||
| S32471G | 08 | 521-522 | S33120A | 08 | 551-552 | S35494D | 23 | 949-950 | ||
| S32471G | 08 | 559-561 | S33120A | 24 | 963-965 | S35494S | 05 | 299-301 | ||
| S32471K | 08 | 521-522 | S33120D | 23 | 949-950 | S35495A | 21 | 913-914 | ||
| S32471K | 08 | 564-566 | S33120S | 08 | 562-563 | S35495A | 24 | 963-965 | ||
| S32471S | 08 | 551-552 | S33121A | 08 | 551-552 | S35495D | 23 | 949-950 | ||
| S32472A | 08 | 521-522 | S33121A | 24 | 963-965 | S35495S | 05 | 299-301 | ||
| S32472A | 08 | 535-536 | S33121D | 23 | 949-950 | S35496A | 21 | 913-914 | ||
| S32472A | 24 | 963-965 | S33121S | 08 | 562-563 | S35496A | 24 | 963-965 | ||
| S32472B | 08 | 521-522 | S33130A | 08 | 551-552 | S35496D | 23 | 949-950 | ||
| S32472B | 08 | 535-536 | S33130A | 24 | 963-965 | S35496S | 05 | 299-301 | ||
| S32472B | 24 | 963-965 | S33130D | 23 | 949-950 | S3550XA | 21 | 913-914 | ||
| S32472D | 08 | 559-561 | S33130S | 08 | 562-563 | S3550XA | 24 | 963-965 | ||
| S32472G | 08 | 521-522 | S33131A | 08 | 551-552 | S3550XD | 23 | 949-950 | ||
| S32472G | 08 | 559-561 | S33131A | 24 | 963-965 | S3550XS | 05 | 299-301 | ||
| S32472K | 08 | 521-522 | S33131D | 23 | 949-950 | S35511A | 21 | 913-914 | ||
| S32472K | 08 | 564-566 | S33131S | 08 | 562-563 | S35511A | 24 | 963-965 | ||
| S32472S | 08 | 551-552 | S33140A | 08 | 551-552 | S35511D | 23 | 949-950 | ||
| S32473A | 08 | 521-522 | S33140A | 24 | 963-965 | S35511S | 05 | 299-301 | ||
| S32473A | 08 | 535-536 | S33140D | 23 | 949-950 | S35512A | 21 | 913-914 | ||
| S32473A | 24 | 963-965 | S33140S | 08 | 562-563 | S35512A | 24 | 963-965 | ||
| S32473B | 08 | 521-522 | S33141A | 08 | 551-552 | S35512D | 23 | 949-950 | ||
| S32473B | 08 | 535-536 | S33141A | 24 | 963-965 | S35512S | 05 | 299-301 | ||
| S32473B | 24 | 963-965 | S33141D | 23 | 949-950 | S35513A | 21 | 913-914 | ||
| S32473D | 08 | 559-561 | S33141S | 08 | 562-563 | S35513A | 24 | 963-965 | ||
| S32473G | 08 | 521-522 | S332XXA | 08 | 551-552 | S35513D | 23 | 949-950 | ||
| S32473G | 08 | 559-561 | S332XXA | 24 | 963-965 | S35513S | 05 | 299-301 | ||
| S32473K | 08 | 521-522 | S332XXD | 23 | 949-950 | S35514A | 21 | 913-914 | ||
| S32473K | 08 | 564-566 | S332XXS | 08 | 562-563 | S35514A | 24 | 963-965 | ||
| S32473S | 08 | 551-552 | S3330XA | 08 | 562-563 | S35514D | 23 | 949-950 | ||
| S32474A | 08 | 521-522 | S3330XA | 24 | 963-965 | S35514S | 05 | 299-301 | ||
| S32474A | 08 | 535-536 | S3330XD | 23 | 949-950 | S35515A | 21 | 913-914 | ||
| S32474A | 24 | 963-965 | S3330XS | 08 | 562-563 | S35515A | 24 | 963-965 | ||
| S32474B | 08 | 521-522 | S3339XA | 08 | 562-563 | S35515D | 23 | 949-950 | ||
| S32474B | 08 | 535-536 | S3339XA | 24 | 963-965 | S35515S | 05 | 299-301 | ||
| S32474B | 24 | 963-965 | S3339XD | 23 | 949-950 | S35516A | 21 | 913-914 | ||
| S32474D | 08 | 559-561 | S3339XS | 08 | 562-563 | S35516A | 24 | 963-965 | ||
| S32474G | 08 | 521-522 | S334XXA | 08 | 537-538 | S35516D | 23 | 949-950 | ||
| S32474G | 08 | 559-561 | S334XXA | 24 | 963-965 | S35516S | 05 | 299-301 | ||
| S32474K | 08 | 521-522 | S334XXD | 23 | 949-950 | S35531A | 21 | 913-914 | ||
| S32474K | 08 | 564-566 | S334XXS | 08 | 562-563 | S35531A | 24 | 963-965 | ||
| S32474S | 08 | 551-552 | S335XXA | 08 | 551-552 | S35531D | 23 | 949-950 | ||
| S32475A | 08 | 521-522 | S335XXA | 24 | 963-965 | S35531S | 05 | 299-301 | ||
| S32475A | 08 | 535-536 | S335XXD | 23 | 949-950 | S35532A | 21 | 913-914 | ||
| S32475A | 24 | 963-965 | S335XXS | 08 | 562-563 | S35532A | 24 | 963-965 | ||
| S32475B | 08 | 521-522 | S336XXA | 08 | 551-552 | S35532D | 23 | 949-950 | ||
| S32475B | 08 | 535-536 | S336XXA | 24 | 963-965 | S35532S | 05 | 299-301 | ||
| S32475B | 24 | 963-965 | S336XXD | 23 | 949-950 | S35533A | 21 | 913-914 | ||
| S32475D | 08 | 559-561 | S336XXS | 08 | 562-563 | S35533A | 24 | 963-965 | ||
| S32475G | 08 | 521-522 | S338XXA | 08 | 551-552 | S35533D | 23 | 949-950 | ||
| S32475G | 08 | 559-561 | S338XXA | 24 | 963-965 | S35533S | 05 | 299-301 | ||
| S32475K | 08 | 521-522 | S338XXD | 23 | 949-950 | S35534A | 21 | 913-914 | ||
| S32475K | 08 | 564-566 | S338XXS | 08 | 562-563 | S35534A | 24 | 963-965 | ||
| S32475S | 08 | 551-552 | S339XXA | 08 | 551-552 | S35534D | 23 | 949-950 | ||
| S32476A | 08 | 521-522 | S339XXA | 24 | 963-965 | S35534S | 05 | 299-301 | ||
| S32476A | 08 | 535-536 | S339XXD | 23 | 949-950 | S35535A | 21 | 913-914 | ||
| S32476A | 24 | 963-965 | S339XXS | 08 | 562-563 | S35535A | 24 | 963-965 | ||
| S32476B | 08 | 521-522 | S3401XA | 01 | 052-053 | S35535D | 23 | 949-950 | ||
| S32476B | 08 | 535-536 | S3401XA | 24 | 963-965 | S35535S | 05 | 299-301 | ||
| S32476B | 24 | 963-965 | S3401XD | 23 | 949-950 | S35536A | 21 | 913-914 | ||
| S32476D | 08 | 559-561 | S3401XS | 01 | 052-053 | S35536A | 24 | 963-965 | ||
| S32476G | 08 | 521-522 | S3402XA | 01 | 052-053 | S35536D | 23 | 949-950 | ||
| S32476G | 08 | 559-561 | S3402XA | 24 | 963-965 | S35536S | 05 | 299-301 | ||
| S32476K | 08 | 521-522 | S3402XD | 23 | 949-950 | S3559XA | 21 | 913-914 | ||
| S32476K | 08 | 564-566 | S3402XS | 01 | 052-053 | S3559XA | 24 | 963-965 | ||
| S32476S | 08 | 551-552 | S34101A | 01 | 052-053 | S3559XD | 23 | 949-950 | ||
| S32481A | 08 | 521-522 | S34101A | 24 | 963-965 | S3559XS | 05 | 299-301 | ||
| S32481A | 08 | 535-536 | S34101D | 23 | 949-950 | S358X1A | 21 | 913-914 | ||
| S32481A | 24 | 963-965 | S34101S | 01 | 052-053 | S358X1A | 24 | 963-965 | ||
| S32481B | 08 | 521-522 | S34102A | 01 | 052-053 | S358X1D | 23 | 949-950 | ||
| S32481B | 08 | 535-536 | S34102A | 24 | 963-965 | S358X1S | 05 | 299-301 | ||
| S32481B | 24 | 963-965 | S34102D | 23 | 949-950 | S358X8A | 21 | 913-914 | ||
| S32481D | 08 | 559-561 | S34102S | 01 | 052-053 | S358X8A | 24 | 963-965 | ||
| S32481G | 08 | 521-522 | S34103A | 01 | 052-053 | S358X8D | 23 | 949-950 | ||
| S32481G | 08 | 559-561 | S34103A | 24 | 963-965 | S358X8S | 05 | 299-301 | ||
| S32481K | 08 | 521-522 | S34103D | 23 | 949-950 | S358X9A | 21 | 913-914 | ||
| S32481K | 08 | 564-566 | S34103S | 01 | 052-053 | S358X9A | 24 | 963-965 | ||
| S32481S | 08 | 551-552 | S34104A | 01 | 052-053 | S358X9D | 23 | 949-950 | ||
| S32482A | 08 | 521-522 | S34104A | 24 | 963-965 | S358X9S | 05 | 299-301 | ||
| S32482A | 08 | 535-536 | S34104D | 23 | 949-950 | S3590XA | 21 | 913-914 | ||
| S32482A | 24 | 963-965 | S34104S | 01 | 052-053 | S3590XA | 24 | 963-965 | ||
| S32482B | 08 | 521-522 | S34105A | 01 | 052-053 | S3590XD | 23 | 949-950 | ||
| S32482B | 08 | 535-536 | S34105A | 24 | 963-965 | S3590XS | 05 | 299-301 | ||
| S32482B | 24 | 963-965 | S34105D | 23 | 949-950 | S3591XA | 21 | 913-914 | ||
| S32482D | 08 | 559-561 | S34105S | 01 | 052-053 | S3591XA | 24 | 963-965 | ||
| S32482G | 08 | 521-522 | S34109A | 01 | 052-053 | S3591XD | 23 | 949-950 | ||
| S32482G | 08 | 559-561 | S34109A | 24 | 963-965 | S3591XS | 05 | 299-301 | ||
| S32482K | 08 | 521-522 | S34109D | 23 | 949-950 | S3599XA | 21 | 913-914 | ||
| S32482K | 08 | 564-566 | S34109S | 01 | 052-053 | S3599XA | 24 | 963-965 | ||
| S32482S | 08 | 551-552 | S34111A | 01 | 052-053 | S3599XD | 23 | 949-950 | ||
| S32483A | 08 | 521-522 | S34111A | 24 | 963-965 | S3599XS | 05 | 299-301 | ||
| S32483A | 08 | 535-536 | S34111D | 23 | 949-950 | S3600XA | 15 | 791 | ||
| S32483A | 24 | 963-965 | S34111S | 01 | 052-053 | S3600XA | 15 | 793 | ||
| S32483B | 08 | 521-522 | S34112A | 01 | 052-053 | S3600XA | 16 | 814-816 | ||
| S32483B | 08 | 535-536 | S34112A | 24 | 963-965 | S3600XA | 24 | 963-965 | ||
| S32483B | 24 | 963-965 | S34112D | 23 | 949-950 | S3600XD | 23 | 949-950 | ||
| S32483D | 08 | 559-561 | S34112S | 01 | 052-053 | S3600XS | 06 | 393-395 | ||
| S32483G | 08 | 521-522 | S34113A | 01 | 052-053 | S36020A | 15 | 791 | ||
| S32483G | 08 | 559-561 | S34113A | 24 | 963-965 | S36020A | 15 | 793 | ||
| S32483K | 08 | 521-522 | S34113D | 23 | 949-950 | S36020A | 16 | 814-816 | ||
| S32483K | 08 | 564-566 | S34113S | 01 | 052-053 | S36020A | 24 | 963-965 | ||
| S32483S | 08 | 551-552 | S34114A | 01 | 052-053 | S36020D | 23 | 949-950 | ||
| S32484A | 08 | 521-522 | S34114A | 24 | 963-965 | S36020S | 06 | 393-395 | ||
| S32484A | 08 | 535-536 | S34114D | 23 | 949-950 | S36021A | 15 | 791 | ||
| S32484A | 24 | 963-965 | S34114S | 01 | 052-053 | S36021A | 15 | 793 | ||
| S32484B | 08 | 521-522 | S34115A | 01 | 052-053 | S36021A | 16 | 814-816 | ||
| S32484B | 08 | 535-536 | S34115A | 24 | 963-965 | S36021A | 24 | 963-965 | ||
| S32484B | 24 | 963-965 | S34115D | 23 | 949-950 | S36021D | 23 | 949-950 | ||
| S32484D | 08 | 559-561 | S34115S | 01 | 052-053 | S36021S | 06 | 393-395 | ||
| S32484G | 08 | 521-522 | S34119A | 01 | 052-053 | S36029A | 15 | 791 | ||
| S32484G | 08 | 559-561 | S34119A | 24 | 963-965 | S36029A | 15 | 793 | ||
| S32484K | 08 | 521-522 | S34119D | 23 | 949-950 | S36029A | 16 | 814-816 | ||
| S32484K | 08 | 564-566 | S34119S | 01 | 052-053 | S36029A | 24 | 963-965 | ||
| S32484S | 08 | 551-552 | S34121A | 01 | 052-053 | S36029D | 23 | 949-950 | ||
| S32485A | 08 | 521-522 | S34121A | 24 | 963-965 | S36029S | 06 | 393-395 | ||
| S32485A | 08 | 535-536 | S34121D | 23 | 949-950 | S36030A | 15 | 791 | ||
| S32485A | 24 | 963-965 | S34121S | 01 | 052-053 | S36030A | 15 | 793 | ||
| S32485B | 08 | 521-522 | S34122A | 01 | 052-053 | S36030A | 16 | 814-816 | ||
| S32485B | 08 | 535-536 | S34122A | 24 | 963-965 | S36030A | 24 | 963-965 | ||
| S32485B | 24 | 963-965 | S34122D | 23 | 949-950 | S36030D | 23 | 949-950 | ||
| S32485D | 08 | 559-561 | S34122S | 01 | 052-053 | S36030S | 06 | 393-395 | ||
| S32485G | 08 | 521-522 | S34123A | 01 | 052-053 | S36031A | 15 | 791 | ||
| S32485G | 08 | 559-561 | S34123A | 24 | 963-965 | S36031A | 15 | 793 | ||
| S32485K | 08 | 521-522 | S34123D | 23 | 949-950 | S36031A | 16 | 814-816 | ||
| S32485K | 08 | 564-566 | S34123S | 01 | 052-053 | S36031A | 24 | 963-965 | ||
| S32485S | 08 | 551-552 | S34124A | 01 | 052-053 | S36031D | 23 | 949-950 | ||
| S32486A | 08 | 521-522 | S34124A | 24 | 963-965 | S36031S | 06 | 393-395 | ||
| S32486A | 08 | 535-536 | S34124D | 23 | 949-950 | S36032A | 15 | 791 | ||
| S32486A | 24 | 963-965 | S34124S | 01 | 052-053 | S36032A | 15 | 793 | ||
| S32486B | 08 | 521-522 | S34125A | 01 | 052-053 | S36032A | 16 | 814-816 | ||
| S32486B | 08 | 535-536 | S34125A | 24 | 963-965 | S36032A | 24 | 963-965 | ||
| S32486B | 24 | 963-965 | S34125D | 23 | 949-950 | S36032D | 23 | 949-950 | ||
| S32486D | 08 | 559-561 | S34125S | 01 | 052-053 | S36032S | 06 | 393-395 | ||
| S32486G | 08 | 521-522 | S34129A | 01 | 052-053 | S36039A | 15 | 791 | ||
| S32486G | 08 | 559-561 | S34129A | 24 | 963-965 | S36039A | 15 | 793 | ||
| S32486K | 08 | 521-522 | S34129D | 23 | 949-950 | S36039A | 16 | 814-816 | ||
| S32486K | 08 | 564-566 | S34129S | 01 | 052-053 | S36039A | 24 | 963-965 | ||
| S32486S | 08 | 551-552 | S34131A | 01 | 052-053 | S36039D | 23 | 949-950 | ||
| S32491A | 08 | 521-522 | S34131A | 24 | 963-965 | S36039S | 06 | 393-395 | ||
| S32491A | 08 | 535-536 | S34131D | 23 | 949-950 | S3609XA | 15 | 791 | ||
| S32491A | 24 | 963-965 | S34131S | 01 | 052-053 | S3609XA | 15 | 793 | ||
| S32491B | 08 | 521-522 | S34132A | 01 | 052-053 | S3609XA | 16 | 814-816 | ||
| S32491B | 08 | 535-536 | S34132A | 24 | 963-965 | S3609XA | 24 | 963-965 | ||
| S32491B | 24 | 963-965 | S34132D | 23 | 949-950 | S3609XD | 23 | 949-950 | ||
| S32491D | 08 | 559-561 | S34132S | 01 | 052-053 | S3609XS | 06 | 393-395 | ||
| S32491G | 08 | 521-522 | S34139A | 01 | 052-053 | S36112A | 07 | 441-443 | ||
| S32491G | 08 | 559-561 | S34139A | 24 | 963-965 | S36112A | 24 | 963-965 | ||
| S32491K | 08 | 521-522 | S34139D | 23 | 949-950 | S36112D | 23 | 949-950 | ||
| S32491K | 08 | 564-566 | S34139S | 01 | 052-053 | S36112S | 06 | 393-395 | ||
| S32491S | 08 | 551-552 | S3421XA | 01 | 073-074 | S36113A | 07 | 441-443 | ||
| S32492A | 08 | 521-522 | S3421XA | 24 | 963-965 | S36113A | 24 | 963-965 | ||
| S32492A | 08 | 535-536 | S3421XD | 23 | 949-950 | S36113D | 23 | 949-950 | ||
| S32492A | 24 | 963-965 | S3421XS | 01 | 091-093 | S36113S | 06 | 393-395 | ||
| S32492B | 08 | 521-522 | S3422XA | 01 | 073-074 | S36114A | 07 | 441-443 | ||
| S32492B | 08 | 535-536 | S3422XA | 24 | 963-965 | S36114A | 24 | 963-965 | ||
| S32492B | 24 | 963-965 | S3422XD | 23 | 949-950 | S36114D | 23 | 949-950 | ||
| S32492D | 08 | 559-561 | S3422XS | 01 | 091-093 | S36114S | 06 | 393-395 | ||
| S32492G | 08 | 521-522 | S343XXA | 01 | 052-053 | S36115A | 07 | 441-443 | ||
| S32492G | 08 | 559-561 | S343XXA | 24 | 963-965 | S36115A | 24 | 963-965 | ||
| S32492K | 08 | 521-522 | S343XXD | 23 | 949-950 | S36115D | 23 | 949-950 | ||
| S32492K | 08 | 564-566 | S343XXS | 01 | 091-093 | S36115S | 06 | 393-395 | ||
| S32492S | 08 | 551-552 | S344XXA | 01 | 073-074 | S36116A | 07 | 441-443 | ||
| S32499A | 08 | 521-522 | S344XXA | 24 | 963-965 | S36116A | 24 | 963-965 | ||
| S32499A | 08 | 535-536 | S344XXD | 23 | 949-950 | S36116D | 23 | 949-950 | ||
| S32499A | 24 | 963-965 | S344XXS | 01 | 091-093 | S36116S | 06 | 393-395 | ||
| S32499B | 08 | 521-522 | S345XXA | 01 | 073-074 | S36118A | 07 | 441-443 | ||
| S32499B | 08 | 535-536 | S345XXA | 24 | 963-965 | S36118A | 24 | 963-965 | ||
| S32499B | 24 | 963-965 | S345XXD | 23 | 949-950 | S36118D | 23 | 949-950 | ||
| S32499D | 08 | 559-561 | S345XXS | 01 | 091-093 | S36118S | 06 | 393-395 | ||
| S32499G | 08 | 521-522 | S346XXA | 01 | 073-074 | S36119A | 07 | 441-443 | ||
| S32499G | 08 | 559-561 | S346XXA | 24 | 963-965 | S36119A | 24 | 963-965 | ||
| S32499K | 08 | 521-522 | S346XXD | 23 | 949-950 | S36119D | 23 | 949-950 | ||
| S32499K | 08 | 564-566 | S346XXS | 01 | 091-093 | S36119S | 06 | 393-395 | ||
| S32499S | 08 | 551-552 | S348XXA | 01 | 073-074 | S36122A | 07 | 444-446 | ||
| S32501A | 08 | 535-536 | S348XXA | 24 | 963-965 | S36122A | 24 | 963-965 | ||
| S32501A | 24 | 963-965 | S348XXD | 23 | 949-950 | S36122D | 23 | 949-950 | ||
| S32501B | 08 | 535-536 | S348XXS | 01 | 091-093 | S36122S | 06 | 393-395 | ||
| S32501B | 24 | 963-965 | S349XXA | 01 | 073-074 | S36123A | 07 | 444-446 | ||
| S32501D | 08 | 559-561 | S349XXA | 24 | 963-965 | S36123A | 24 | 963-965 | ||
| S32501G | 08 | 559-561 | S349XXD | 23 | 949-950 | S36123D | 23 | 949-950 | ||
| S32501K | 08 | 564-566 | S349XXS | 01 | 091-093 | S36123S | 06 | 393-395 | ||
| S32501S | 08 | 551-552 | S3500XA | 15 | 791 | S36128A | 07 | 444-446 | ||
| S32502A | 08 | 535-536 | S3500XA | 15 | 793 | S36128A | 24 | 963-965 | ||
| S32502A | 24 | 963-965 | S3500XA | 21 | 913-914 | S36128D | 23 | 949-950 | ||
| S32502B | 08 | 535-536 | S3500XA | 24 | 963-965 | S36128S | 06 | 393-395 | ||
| S32502B | 24 | 963-965 | S3500XD | 23 | 949-950 | S36129A | 07 | 444-446 | ||
| S32502D | 08 | 559-561 | S3500XS | 05 | 299-301 | S36129A | 24 | 963-965 | ||
| S32502G | 08 | 559-561 | S3501XA | 15 | 791 | S36129D | 23 | 949-950 | ||
| S32502K | 08 | 564-566 | S3501XA | 15 | 793 | S36129S | 06 | 393-395 | ||
| S32502S | 08 | 551-552 | S3501XA | 21 | 913-914 | S3613XA | 07 | 444-446 | ||
| S32509A | 08 | 535-536 | S3501XA | 24 | 963-965 | S3613XA | 24 | 963-965 | ||
| S32509A | 24 | 963-965 | S3501XD | 23 | 949-950 | S3613XD | 23 | 949-950 | ||
| S32509B | 08 | 535-536 | S3501XS | 05 | 299-301 | S3613XS | 06 | 393-395 | ||
| S32509B | 24 | 963-965 | S3502XA | 15 | 791 | S36200A | 07 | 438-440 | ||
| S32509D | 08 | 559-561 | S3502XA | 15 | 793 | S36200A | 24 | 963-965 | ||
| S32509G | 08 | 559-561 | S3502XA | 21 | 913-914 | S36200D | 23 | 949-950 | ||
| S32509K | 08 | 564-566 | S3502XA | 24 | 963-965 | S36200S | 06 | 393-395 | ||
| S32509S | 08 | 551-552 | S3502XD | 23 | 949-950 | S36201A | 07 | 438-440 | ||
| S32511A | 08 | 535-536 | S3502XS | 05 | 299-301 | S36201A | 24 | 963-965 | ||
| S32511A | 24 | 963-965 | S3509XA | 15 | 791 | S36201D | 23 | 949-950 | ||
| S32511B | 08 | 535-536 | S3509XA | 15 | 793 | S36201S | 06 | 393-395 | ||
| S32511B | 24 | 963-965 | S3509XA | 21 | 913-914 | S36202A | 07 | 438-440 | ||
| S32511D | 08 | 559-561 | S3509XA | 24 | 963-965 | S36202A | 24 | 963-965 | ||
| S32511G | 08 | 559-561 | S3509XD | 23 | 949-950 | S36202D | 23 | 949-950 | ||
| S32511K | 08 | 564-566 | S3509XS | 05 | 299-301 | S36202S | 06 | 393-395 | ||
| S32511S | 08 | 551-552 | S3510XA | 15 | 791 | S36209A | 07 | 438-440 | ||
| S32512A | 08 | 535-536 | S3510XA | 15 | 793 | S36209A | 24 | 963-965 | ||
| S32512A | 24 | 963-965 | S3510XA | 21 | 913-914 | S36209D | 23 | 949-950 | ||
| S32512B | 08 | 535-536 | S3510XA | 24 | 963-965 | S36209S | 06 | 393-395 | ||
| S32512B | 24 | 963-965 | S3510XD | 23 | 949-950 | S36220A | 07 | 438-440 | ||
| S32512D | 08 | 559-561 | S3510XS | 05 | 299-301 | S36220A | 24 | 963-965 | ||
| S32512G | 08 | 559-561 | S3511XA | 15 | 791 | S36220D | 23 | 949-950 | ||
| S32512K | 08 | 564-566 | S3511XA | 15 | 793 | S36220S | 06 | 393-395 | ||
| S32512S | 08 | 551-552 | S3511XA | 21 | 913-914 | S36221A | 07 | 438-440 | ||
| S32519A | 08 | 535-536 | S3511XA | 24 | 963-965 | S36221A | 24 | 963-965 | ||
| S32519A | 24 | 963-965 | S3511XD | 23 | 949-950 | S36221D | 23 | 949-950 | ||
| S32519B | 08 | 535-536 | S3511XS | 05 | 299-301 | S36221S | 06 | 393-395 | ||
| S32519B | 24 | 963-965 | S3512XA | 15 | 791 | S36222A | 07 | 438-440 | ||
| S32519D | 08 | 559-561 | S3512XA | 15 | 793 | S36222A | 24 | 963-965 | ||
| S32519G | 08 | 559-561 | S3512XA | 21 | 913-914 | S36222D | 23 | 949-950 | ||
| S32519K | 08 | 564-566 | S3512XA | 24 | 963-965 | S36222S | 06 | 393-395 | ||
| S32519S | 08 | 551-552 | S3512XD | 23 | 949-950 | S36229A | 07 | 438-440 | ||
| S32591A | 08 | 535-536 | S3512XS | 05 | 299-301 | S36229A | 24 | 963-965 | ||
| S32591A | 24 | 963-965 | S3519XA | 15 | 791 | S36229D | 23 | 949-950 | ||
| S32591B | 08 | 535-536 | S3519XA | 15 | 793 | S36229S | 06 | 393-395 | ||
| S32591B | 24 | 963-965 | S3519XA | 21 | 913-914 | S36230A | 07 | 438-440 | ||
| S32591D | 08 | 559-561 | S3519XA | 24 | 963-965 | S36230A | 24 | 963-965 | ||
| S32591G | 08 | 559-561 | S3519XD | 23 | 949-950 | S36230D | 23 | 949-950 | ||
| S32591K | 08 | 564-566 | S3519XS | 05 | 299-301 | S36230S | 06 | 393-395 | ||
| S32591S | 08 | 551-552 | S35211A | 21 | 913-914 | S36231A | 07 | 438-440 | ||
| S32592A | 08 | 535-536 | S35211A | 24 | 963-965 | S36231A | 24 | 963-965 | ||
| S32592A | 24 | 963-965 | S35211D | 23 | 949-950 | S36231D | 23 | 949-950 | ||
| S32592B | 08 | 535-536 | S35211S | 05 | 299-301 | S36231S | 06 | 393-395 | ||
| S32592B | 24 | 963-965 | S35212A | 21 | 913-914 | S36232A | 07 | 438-440 | ||
| S32592D | 08 | 559-561 | S35212A | 24 | 963-965 | S36232A | 24 | 963-965 | ||
| S32592G | 08 | 559-561 | S35212D | 23 | 949-950 | S36232D | 23 | 949-950 | ||
| S32592K | 08 | 564-566 | S35212S | 05 | 299-301 | S36232S | 06 | 393-395 | ||
| S32592S | 08 | 551-552 | S35218A | 21 | 913-914 | S36239A | 07 | 438-440 | ||
| S32599A | 08 | 535-536 | S35218A | 24 | 963-965 | S36239A | 24 | 963-965 | ||
| S32599A | 24 | 963-965 | S35218D | 23 | 949-950 | S36239D | 23 | 949-950 | ||
| S32599B | 08 | 535-536 | S35218S | 05 | 299-301 | S36239S | 06 | 393-395 | ||
| S32599B | 24 | 963-965 | S35219A | 21 | 913-914 | S36240A | 07 | 438-440 | ||
| S32599D | 08 | 559-561 | S35219A | 24 | 963-965 | S36240A | 24 | 963-965 | ||
| S32599G | 08 | 559-561 | S35219D | 23 | 949-950 | S36240D | 23 | 949-950 | ||
| S32599K | 08 | 564-566 | S35219S | 05 | 299-301 | S36240S | 06 | 393-395 | ||
| S32599S | 08 | 551-552 | S35221A | 21 | 913-914 | S36241A | 07 | 438-440 | ||
| S32601A | 08 | 535-536 | S35221A | 24 | 963-965 | S36241A | 24 | 963-965 | ||
| S32601A | 24 | 963-965 | S35221D | 23 | 949-950 | S36241D | 23 | 949-950 | ||
| S32601B | 08 | 535-536 | S35221S | 05 | 299-301 | S36241S | 06 | 393-395 | ||
| S32601B | 24 | 963-965 | S35222A | 21 | 913-914 | S36242A | 07 | 438-440 | ||
| S32601D | 08 | 559-561 | S35222A | 24 | 963-965 | S36242A | 24 | 963-965 | ||
| S32601G | 08 | 559-561 | S35222D | 23 | 949-950 | S36242D | 23 | 949-950 | ||
| S32601K | 08 | 564-566 | S35222S | 05 | 299-301 | S36242S | 06 | 393-395 | ||
| S32601S | 08 | 551-552 | S35228A | 21 | 913-914 | S36249A | 07 | 438-440 | ||
| S32602A | 08 | 535-536 | S35228A | 24 | 963-965 | S36249A | 24 | 963-965 | ||
| S32602A | 24 | 963-965 | S35228D | 23 | 949-950 | S36249D | 23 | 949-950 | ||
| S32602B | 08 | 535-536 | S35228S | 05 | 299-301 | S36249S | 06 | 393-395 | ||
| S32602B | 24 | 963-965 | S35229A | 21 | 913-914 | S36250A | 07 | 438-440 | ||
| S32602D | 08 | 559-561 | S35229A | 24 | 963-965 | S36250A | 24 | 963-965 | ||
| S32602G | 08 | 559-561 | S35229D | 23 | 949-950 | S36250D | 23 | 949-950 | ||
| S32602K | 08 | 564-566 | S35229S | 05 | 299-301 | S36250S | 06 | 393-395 | ||
| S32602S | 08 | 551-552 | S35231A | 21 | 913-914 | S36251A | 07 | 438-440 | ||
| S32609A | 08 | 535-536 | S35231A | 24 | 963-965 | S36251A | 24 | 963-965 | ||
| S32609A | 24 | 963-965 | S35231D | 23 | 949-950 | S36251D | 23 | 949-950 | ||
| S32609B | 08 | 535-536 | S35231S | 05 | 299-301 | S36251S | 06 | 393-395 | ||
| S32609B | 24 | 963-965 | S35232A | 21 | 913-914 | S36252A | 07 | 438-440 | ||
| S32609D | 08 | 559-561 | S35232A | 24 | 963-965 | S36252A | 24 | 963-965 | ||
| S32609G | 08 | 559-561 | S35232D | 23 | 949-950 | S36252D | 23 | 949-950 | ||
| S32609K | 08 | 564-566 | S35232S | 05 | 299-301 | S36252S | 06 | 393-395 | ||
| S32609S | 08 | 551-552 | S35238A | 21 | 913-914 | S36259A | 07 | 438-440 | ||
| S32611A | 08 | 535-536 | S35238A | 24 | 963-965 | S36259A | 24 | 963-965 | ||
| S32611A | 24 | 963-965 | S35238D | 23 | 949-950 | S36259D | 23 | 949-950 | ||
| S32611B | 08 | 535-536 | S35238S | 05 | 299-301 | S36259S | 06 | 393-395 | ||
| S32611B | 24 | 963-965 | S35239A | 21 | 913-914 | S36260A | 07 | 438-440 | ||
| S32611D | 08 | 559-561 | S35239A | 24 | 963-965 | S36260A | 24 | 963-965 | ||
| S32611G | 08 | 559-561 | S35239D | 23 | 949-950 | S36260D | 23 | 949-950 | ||
| S32611K | 08 | 564-566 | S35239S | 05 | 299-301 | S36260S | 06 | 393-395 | ||
| S32611S | 08 | 551-552 | S35291A | 21 | 913-914 | S36261A | 07 | 438-440 | ||
| S32612A | 08 | 535-536 | S35291A | 24 | 963-965 | S36261A | 24 | 963-965 | ||
| S32612A | 24 | 963-965 | S35291D | 23 | 949-950 | S36261D | 23 | 949-950 | ||
| S32612B | 08 | 535-536 | S35291S | 05 | 299-301 | S36261S | 06 | 393-395 | ||
| S32612B | 24 | 963-965 | S35292A | 21 | 913-914 | S36262A | 07 | 438-440 | ||
| S32612D | 08 | 559-561 | S35292A | 24 | 963-965 | S36262A | 24 | 963-965 | ||
| S32612G | 08 | 559-561 | S35292D | 23 | 949-950 | S36262D | 23 | 949-950 | ||
| S32612K | 08 | 564-566 | S35292S | 05 | 299-301 | S36262S | 06 | 393-395 | ||
| S32612S | 08 | 551-552 | S35298A | 21 | 913-914 | S36269A | 07 | 438-440 | ||
| S32613A | 08 | 535-536 | S35298A | 24 | 963-965 | S36269A | 24 | 963-965 | ||
| S32613A | 24 | 963-965 | S35298D | 23 | 949-950 | S36269D | 23 | 949-950 | ||
| S32613B | 08 | 535-536 | S35298S | 05 | 299-301 | S36269S | 06 | 393-395 | ||
| S32613B | 24 | 963-965 | S35299A | 21 | 913-914 | S36290A | 07 | 438-440 | ||
| S32613D | 08 | 559-561 | S35299A | 24 | 963-965 | S36290A | 24 | 963-965 | ||
| S32613G | 08 | 559-561 | S35299D | 23 | 949-950 | S36290D | 23 | 949-950 | ||
| S32613K | 08 | 564-566 | S35299S | 05 | 299-301 | S36290S | 06 | 393-395 | ||
| S32613S | 08 | 551-552 | S35311A | 21 | 913-914 | S36291A | 07 | 438-440 | ||
| S32614A | 08 | 535-536 | S35311A | 24 | 963-965 | S36291A | 24 | 963-965 | ||
| S32614A | 24 | 963-965 | S35311D | 23 | 949-950 | S36291D | 23 | 949-950 | ||
| S32614B | 08 | 535-536 | S35311S | 05 | 299-301 | S36291S | 06 | 393-395 | ||
| S32614B | 24 | 963-965 | S35318A | 21 | 913-914 | S36292A | 07 | 438-440 | ||
| S32614D | 08 | 559-561 | S35318A | 24 | 963-965 | S36292A | 24 | 963-965 | ||
| S32614G | 08 | 559-561 | S35318D | 23 | 949-950 | S36292D | 23 | 949-950 | ||
| S32614K | 08 | 564-566 | S35318S | 05 | 299-301 | S36292S | 06 | 393-395 | ||
| S32614S | 08 | 551-552 | S35319A | 21 | 913-914 | S36299A | 07 | 438-440 | ||
| S32615A | 08 | 535-536 | S35319A | 24 | 963-965 | S36299A | 24 | 963-965 | ||
| S32615A | 24 | 963-965 | S35319D | 23 | 949-950 | S36299D | 23 | 949-950 | ||
| S32615B | 08 | 535-536 | S35319S | 05 | 299-301 | S36299S | 06 | 393-395 | ||
| S32615B | 24 | 963-965 | S35321A | 21 | 913-914 | S3630XA | 06 | 393-395 | ||
| S32615D | 08 | 559-561 | S35321A | 24 | 963-965 | S3630XA | 24 | 963-965 | ||
| S32615G | 08 | 559-561 | S35321D | 23 | 949-950 | S3630XD | 23 | 949-950 | ||
| S32615K | 08 | 564-566 | S35321S | 05 | 299-301 | S3630XS | 06 | 393-395 | ||
| S32615S | 08 | 551-552 | S35328A | 21 | 913-914 | S3632XA | 06 | 393-395 | ||
| S32616A | 08 | 535-536 | S35328A | 24 | 963-965 | S3632XA | 24 | 963-965 | ||
| S32616A | 24 | 963-965 | S35328D | 23 | 949-950 | S3632XD | 23 | 949-950 | ||
| S32616B | 08 | 535-536 | S35328S | 05 | 299-301 | S3632XS | 06 | 393-395 | ||
| S32616B | 24 | 963-965 | S35329A | 21 | 913-914 | S3633XA | 06 | 393-395 | ||
| S32616D | 08 | 559-561 | S35329A | 24 | 963-965 | S3633XA | 24 | 963-965 | ||
| S32616G | 08 | 559-561 | S35329D | 23 | 949-950 | S3633XD | 23 | 949-950 | ||
| S32616K | 08 | 564-566 | S35329S | 05 | 299-301 | S3633XS | 06 | 393-395 | ||
| S32616S | 08 | 551-552 | S35331A | 21 | 913-914 | S3639XA | 06 | 393-395 | ||
| S32691A | 08 | 535-536 | S35331A | 24 | 963-965 | S3639XA | 24 | 963-965 | ||
| S32691A | 24 | 963-965 | S35331D | 23 | 949-950 | S3639XD | 23 | 949-950 | ||
| S32691B | 08 | 535-536 | S35331S | 05 | 299-301 | S3639XS | 06 | 393-395 | ||
| S32691B | 24 | 963-965 | S35338A | 21 | 913-914 | S36400A | 06 | 393-395 | ||
| S32691D | 08 | 559-561 | S35338A | 24 | 963-965 | S36400A | 24 | 963-965 | ||
| S32691G | 08 | 559-561 | S35338D | 23 | 949-950 | S36400D | 23 | 949-950 | ||
| S32691K | 08 | 564-566 | S35338S | 05 | 299-301 | S36400S | 06 | 393-395 | ||
| S32691S | 08 | 551-552 | S35339A | 21 | 913-914 | S36408A | 06 | 393-395 | ||
| S32692A | 08 | 535-536 | S35339A | 24 | 963-965 | S36408A | 24 | 963-965 | ||
| S32692A | 24 | 963-965 | S35339D | 23 | 949-950 | S36408D | 23 | 949-950 | ||
| S32692B | 08 | 535-536 | S35339S | 05 | 299-301 | S36408S | 06 | 393-395 | ||
| S32692B | 24 | 963-965 | S35341A | 21 | 913-914 | S36409A | 06 | 393-395 | ||
| S32692D | 08 | 559-561 | S35341A | 24 | 963-965 | S36409A | 24 | 963-965 | ||
| S32692G | 08 | 559-561 | S35341D | 23 | 949-950 | S36409D | 23 | 949-950 | ||
| S32692K | 08 | 564-566 | S35341S | 05 | 299-301 | S36409S | 06 | 393-395 | ||
| S32692S | 08 | 551-552 | S35348A | 21 | 913-914 | S36410A | 06 | 393-395 | ||
| S32699A | 08 | 535-536 | S35348A | 24 | 963-965 | S36410A | 24 | 963-965 | ||
| S32699A | 24 | 963-965 | S35348D | 23 | 949-950 | S36410D | 23 | 949-950 | ||
| S32699B | 08 | 535-536 | S35348S | 05 | 299-301 | S36410S | 06 | 393-395 | ||
| S32699B | 24 | 963-965 | S35349A | 21 | 913-914 | S36418A | 06 | 393-395 | ||
| S32699D | 08 | 559-561 | S35349A | 24 | 963-965 | S36418A | 24 | 963-965 | ||
| S32699G | 08 | 559-561 | S35349D | 23 | 949-950 | S36418D | 23 | 949-950 | ||
| S32699K | 08 | 564-566 | S35349S | 05 | 299-301 | S36418S | 06 | 393-395 | ||
| S32699S | 08 | 551-552 | S35401A | 21 | 913-914 | S36419A | 06 | 393-395 | ||
| S32810A | 08 | 535-536 | S35401A | 24 | 963-965 | S36419A | 24 | 963-965 | ||
| S32810A | 24 | 963-965 | S35401D | 23 | 949-950 | S36419D | 23 | 949-950 | ||
| S32810B | 08 | 535-536 | S35401S | 05 | 299-301 | S36419S | 06 | 393-395 | ||
| S32810B | 24 | 963-965 | S35402A | 21 | 913-914 | S36420A | 06 | 393-395 | ||
| S32810D | 08 | 559-561 | S35402A | 24 | 963-965 | S36420A | 24 | 963-965 | ||
| S32810G | 08 | 559-561 | S35402D | 23 | 949-950 | S36420D | 23 | 949-950 | ||
| S32810K | 08 | 564-566 | S35402S | 05 | 299-301 | S36420S | 06 | 393-395 | ||
| S32810S | 08 | 551-552 | S35403A | 21 | 913-914 | S36428A | 06 | 393-395 | ||
| S35403A | 24 | 963-965 | S36428A | 24 | 963-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |