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ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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Appendix C: Principal diagnoses which convert CC/MCC to non-CC |
Page 1272 of 1375 |
PDX Collection 6682 (continued) | |
B9620 | Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
B9621 | Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere |
B9622 | Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
B9623 | Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
B9629 | Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
B963 | Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere |
B964 | Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere |
B965 | Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere |
B966 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
B967 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
B9681 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
B9682 | Vibrio vulnificus as the cause of diseases classified elsewhere |
B9689 | Other specified bacterial agents as the cause of diseases classified elsewhere |
R6510 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction |
R6511 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction |
R6520 | Severe sepsis without septic shock |
Z1610 | Resistance to unspecified beta lactam antibiotics |
Z1611 | Resistance to penicillins |
Z1612 | Extended spectrum beta lactamase (ESBL) resistance |
Z1619 | Resistance to other specified beta lactam antibiotics |
Z1620 | Resistance to unspecified antibiotic |
Z1621 | Resistance to vancomycin |
Z1622 | Resistance to vancomycin related antibiotics |
Z1623 | Resistance to quinolones and fluoroquinolones |
Z1624 | Resistance to multiple antibiotics |
Z1629 | Resistance to other single specified antibiotic |
Z1630 | Resistance to unspecified antimicrobial drugs |
Z1631 | Resistance to antiparasitic drug(s) |
Z1632 | Resistance to antifungal drug(s) |
Z1633 | Resistance to antiviral drug(s) |
Z16341 | Resistance to single antimycobacterial drug |
Z16342 | Resistance to multiple antimycobacterial drugs |
Z1635 | Resistance to multiple antimicrobial drugs |
Z1639 | Resistance to other specified antimicrobial drug |
PDX Collection 6683 | |
A021 | Salmonella sepsis |
A207 | Septicemic plague |
A227 | Anthrax sepsis |
A267 | Erysipelothrix sepsis |
A327 | Listerial sepsis |
A392 | Acute meningococcemia |
A393 | Chronic meningococcemia |
A394 | Meningococcemia, unspecified |
A400 | Sepsis due to streptococcus, group A |
A401 | Sepsis due to streptococcus, group B |
A408 | Other streptococcal sepsis |
A409 | Streptococcal sepsis, unspecified |
A4101 | Sepsis due to Methicillin susceptible Staphylococcus aureus |
A4102 | Sepsis due to Methicillin resistant Staphylococcus aureus |
A411 | Sepsis due to other specified staphylococcus |
A412 | Sepsis due to unspecified staphylococcus |
A413 | Sepsis due to Hemophilus influenzae |
A414 | Sepsis due to anaerobes |
A4150 | Gram-negative sepsis, unspecified |
A4151 | Sepsis due to Escherichia coli [E. coli] |
A4152 | Sepsis due to Pseudomonas |
A4153 | Sepsis due to Serratia |
A4154 | Sepsis due to Acinetobacter baumannii |
A4159 | Other Gram-negative sepsis |
A4181 | Sepsis due to Enterococcus |
A4189 | Other specified sepsis |
A419 | Sepsis, unspecified organism |
A427 | Actinomycotic sepsis |
A482 | Nonpneumonic Legionnaires' disease [Pontiac fever] |
A483 | Toxic shock syndrome |
A484 | Brazilian purpuric fever |
A488 | Other specified bacterial diseases |
A4901 | Methicillin susceptible Staphylococcus aureus infection, unspecified site |
A4902 | Methicillin resistant Staphylococcus aureus infection, unspecified site |
A491 | Streptococcal infection, unspecified site |
A492 | Hemophilus influenzae infection, unspecified site |
A493 | Mycoplasma infection, unspecified site |
A498 | Other bacterial infections of unspecified site |
A499 | Bacterial infection, unspecified |
A5486 | Gonococcal sepsis |
B007 | Disseminated herpesviral disease |
B377 | Candidal sepsis |
B92 | Sequelae of leprosy |
B942 | Sequelae of viral hepatitis |
B948 | Sequelae of other specified infectious and parasitic diseases |
B949 | Sequelae of unspecified infectious and parasitic disease |
B950 | Streptococcus, group A, as the cause of diseases classified elsewhere |
B951 | Streptococcus, group B, as the cause of diseases classified elsewhere |
B952 | Enterococcus as the cause of diseases classified elsewhere |
B953 | Streptococcus pneumoniae as the cause of diseases classified elsewhere |
B954 | Other streptococcus as the cause of diseases classified elsewhere |
B955 | Unspecified streptococcus as the cause of diseases classified elsewhere |
B9561 | Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere |
B9562 | Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere |
B957 | Other staphylococcus as the cause of diseases classified elsewhere |
B958 | Unspecified staphylococcus as the cause of diseases classified elsewhere |
B960 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
B961 | Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere |
B9620 | Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
B9621 | Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere |
B9622 | Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
B9623 | Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
B9629 | Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
B963 | Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere |
B964 | Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere |
B965 | Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere |
B966 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
B967 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
B9681 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
B9682 | Vibrio vulnificus as the cause of diseases classified elsewhere |
B9689 | Other specified bacterial agents as the cause of diseases classified elsewhere |
R6510 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction |
R6511 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction |
R6520 | Severe sepsis without septic shock |
Z1610 | Resistance to unspecified beta lactam antibiotics |
Z1611 | Resistance to penicillins |
Z1612 | Extended spectrum beta lactamase (ESBL) resistance |
Z1619 | Resistance to other specified beta lactam antibiotics |
Z1620 | Resistance to unspecified antibiotic |
Z1621 | Resistance to vancomycin |
Z1622 | Resistance to vancomycin related antibiotics |
Z1623 | Resistance to quinolones and fluoroquinolones |
Z1624 | Resistance to multiple antibiotics |
Z1629 | Resistance to other single specified antibiotic |
Z1630 | Resistance to unspecified antimicrobial drugs |
Z1631 | Resistance to antiparasitic drug(s) |
Z1632 | Resistance to antifungal drug(s) |
Z1633 | Resistance to antiviral drug(s) |
Z16341 | Resistance to single antimycobacterial drug |
Z16342 | Resistance to multiple antimycobacterial drugs |
Z1635 | Resistance to multiple antimicrobial drugs |
Z1639 | Resistance to other specified antimicrobial drug |
PDX Collection 6684 | |
E7871 | Barth syndrome |
E7872 | Smith-Lemli-Opitz syndrome |
G901 | Familial dysautonomia [Riley-Day] |
Q050 | Cervical spina bifida with hydrocephalus |
Q051 | Thoracic spina bifida with hydrocephalus |
Q052 | Lumbar spina bifida with hydrocephalus |
Q053 | Sacral spina bifida with hydrocephalus |
Q054 | Unspecified spina bifida with hydrocephalus |
Q055 | Cervical spina bifida without hydrocephalus |
Q056 | Thoracic spina bifida without hydrocephalus |
Q057 | Lumbar spina bifida without hydrocephalus |
Q058 | Sacral spina bifida without hydrocephalus |
Q059 | Spina bifida, unspecified |
Q060 | Amyelia |
Q061 | Hypoplasia and dysplasia of spinal cord |
Q063 | Other congenital cauda equina malformations |
Q068 | Other specified congenital malformations of spinal cord |
Q069 | Congenital malformation of spinal cord, unspecified |
Q0700 | Arnold-Chiari syndrome without spina bifida or hydrocephalus |
Q0701 | Arnold-Chiari syndrome with spina bifida |
Q0702 | Arnold-Chiari syndrome with hydrocephalus |
Q0703 | Arnold-Chiari syndrome with spina bifida and hydrocephalus |
Q078 | Other specified congenital malformations of nervous system |
Q079 | Congenital malformation of nervous system, unspecified |
Q8711 | Prader-Willi syndrome |
Q8719 | Other congenital malformation syndromes predominantly associated with short stature |
Q872 | Congenital malformation syndromes predominantly involving limbs |
Q873 | Congenital malformation syndromes involving early overgrowth |
Q8740 | Marfan syndrome, unspecified |
Q87410 | Marfan syndrome with aortic dilation |
Q87418 | Marfan syndrome with other cardiovascular manifestations |
Q8742 | Marfan syndrome with ocular manifestations |
Q8743 | Marfan syndrome with skeletal manifestation |
Q875 | Other congenital malformation syndromes with other skeletal changes |
Q8781 | Alport syndrome |
Q8782 | Arterial tortuosity syndrome |
Q8783 | Bardet-Biedl syndrome |
Q8784 | Laurence-Moon syndrome |
Q8785 | MED13L syndrome |
Q8789 | Other specified congenital malformation syndromes, not elsewhere classified |
Q897 | Multiple congenital malformations, not elsewhere classified |
Q898 | Other specified congenital malformations |
Q992 | Fragile X chromosome |
PDX Collection 6685 | |
E7871 | Barth syndrome |
E7872 | Smith-Lemli-Opitz syndrome |
G901 | Familial dysautonomia [Riley-Day] |
Q050 | Cervical spina bifida with hydrocephalus |
Q051 | Thoracic spina bifida with hydrocephalus |
Q052 | Lumbar spina bifida with hydrocephalus |
Q053 | Sacral spina bifida with hydrocephalus |
Q054 | Unspecified spina bifida with hydrocephalus |
Q055 | Cervical spina bifida without hydrocephalus |
Q056 | Thoracic spina bifida without hydrocephalus |
Q057 | Lumbar spina bifida without hydrocephalus |
Q058 | Sacral spina bifida without hydrocephalus |
Q059 | Spina bifida, unspecified |
Q060 | Amyelia |
Q061 | Hypoplasia and dysplasia of spinal cord |
Q063 | Other congenital cauda equina malformations |
Q068 | Other specified congenital malformations of spinal cord |
Q069 | Congenital malformation of spinal cord, unspecified |
Q0700 | Arnold-Chiari syndrome without spina bifida or hydrocephalus |
Q0701 | Arnold-Chiari syndrome with spina bifida |
Q0702 | Arnold-Chiari syndrome with hydrocephalus |
Q0703 | Arnold-Chiari syndrome with spina bifida and hydrocephalus |
Q078 | Other specified congenital malformations of nervous system |
Q079 | Congenital malformation of nervous system, unspecified |
Q8711 | Prader-Willi syndrome |
Q8719 | Other congenital malformation syndromes predominantly associated with short stature |
Q872 | Congenital malformation syndromes predominantly involving limbs |
Q873 | Congenital malformation syndromes involving early overgrowth |
Q8740 | Marfan syndrome, unspecified |
Q87410 | Marfan syndrome with aortic dilation |
Q87418 | Marfan syndrome with other cardiovascular manifestations |
Q8742 | Marfan syndrome with ocular manifestations |
Q8743 | Marfan syndrome with skeletal manifestation |
Q875 | Other congenital malformation syndromes with other skeletal changes |
Q8781 | Alport syndrome |
Q8782 | Arterial tortuosity syndrome |
Q8783 | Bardet-Biedl syndrome |
Q8784 | Laurence-Moon syndrome |
Q8785 | MED13L syndrome |
Q8789 | Other specified congenital malformation syndromes, not elsewhere classified |
Q897 | Multiple congenital malformations, not elsewhere classified |
Q898 | Other specified congenital malformations |
Q992 | Fragile X chromosome |
PDX Collection 6686 | |
E7871 | Barth syndrome |
E7872 | Smith-Lemli-Opitz syndrome |
G901 | Familial dysautonomia [Riley-Day] |
Q050 | Cervical spina bifida with hydrocephalus |
Q051 | Thoracic spina bifida with hydrocephalus |
Q052 | Lumbar spina bifida with hydrocephalus |
Q053 | Sacral spina bifida with hydrocephalus |
Q054 | Unspecified spina bifida with hydrocephalus |
Q055 | Cervical spina bifida without hydrocephalus |
Q056 | Thoracic spina bifida without hydrocephalus |
Q057 | Lumbar spina bifida without hydrocephalus |
Q058 | Sacral spina bifida without hydrocephalus |
Q059 | Spina bifida, unspecified |
Q060 | Amyelia |
Q061 | Hypoplasia and dysplasia of spinal cord |
Q063 | Other congenital cauda equina malformations |
Q068 | Other specified congenital malformations of spinal cord |
Q069 | Congenital malformation of spinal cord, unspecified |
Q0700 | Arnold-Chiari syndrome without spina bifida or hydrocephalus |
Q0701 | Arnold-Chiari syndrome with spina bifida |
Q0702 | Arnold-Chiari syndrome with hydrocephalus |
Q0703 | Arnold-Chiari syndrome with spina bifida and hydrocephalus |
Q078 | Other specified congenital malformations of nervous system |
Q079 | Congenital malformation of nervous system, unspecified |
Q8711 | Prader-Willi syndrome |
Q8719 | Other congenital malformation syndromes predominantly associated with short stature |
Q872 | Congenital malformation syndromes predominantly involving limbs |
Q873 | Congenital malformation syndromes involving early overgrowth |
Q8740 | Marfan syndrome, unspecified |
Q87410 | Marfan syndrome with aortic dilation |
Q87418 | Marfan syndrome with other cardiovascular manifestations |
Q8742 | Marfan syndrome with ocular manifestations |
Q8743 | Marfan syndrome with skeletal manifestation |
Q875 | Other congenital malformation syndromes with other skeletal changes |
Q8781 | Alport syndrome |
Q8782 | Arterial tortuosity syndrome |
Q8783 | Bardet-Biedl syndrome |
Q8784 | Laurence-Moon syndrome |
Q8785 | MED13L syndrome |
Q8789 | Other specified congenital malformation syndromes, not elsewhere classified |
Q897 | Multiple congenital malformations, not elsewhere classified |
Q898 | Other specified congenital malformations |
Q992 | Fragile X chromosome |
PDX Collection 6687 | |
E7871 | Barth syndrome |
E7872 | Smith-Lemli-Opitz syndrome |
G901 | Familial dysautonomia [Riley-Day] |
Q050 | Cervical spina bifida with hydrocephalus |
Q051 | Thoracic spina bifida with hydrocephalus |
Q052 | Lumbar spina bifida with hydrocephalus |
Q053 | Sacral spina bifida with hydrocephalus |
Q054 | Unspecified spina bifida with hydrocephalus |
Q055 | Cervical spina bifida without hydrocephalus |
Q056 | Thoracic spina bifida without hydrocephalus |
Q057 | Lumbar spina bifida without hydrocephalus |
Q058 | Sacral spina bifida without hydrocephalus |
Q059 | Spina bifida, unspecified |
Q060 | Amyelia |
Q061 | Hypoplasia and dysplasia of spinal cord |
Q063 | Other congenital cauda equina malformations |
Q068 | Other specified congenital malformations of spinal cord |
Q069 | Congenital malformation of spinal cord, unspecified |
Q0700 | Arnold-Chiari syndrome without spina bifida or hydrocephalus |
Q0701 | Arnold-Chiari syndrome with spina bifida |
Q0702 | Arnold-Chiari syndrome with hydrocephalus |
Q0703 | Arnold-Chiari syndrome with spina bifida and hydrocephalus |
Q078 | Other specified congenital malformations of nervous system |
Q079 | Congenital malformation of nervous system, unspecified |
Q8711 | Prader-Willi syndrome |
Q8719 | Other congenital malformation syndromes predominantly associated with short stature |
Q872 | Congenital malformation syndromes predominantly involving limbs |
Q873 | Congenital malformation syndromes involving early overgrowth |
Q8740 | Marfan syndrome, unspecified |
Q87410 | Marfan syndrome with aortic dilation |
Q87418 | Marfan syndrome with other cardiovascular manifestations |
Q8742 | Marfan syndrome with ocular manifestations |
Q8743 | Marfan syndrome with skeletal manifestation |
Q875 | Other congenital malformation syndromes with other skeletal changes |
Q8781 | Alport syndrome |
Q8782 | Arterial tortuosity syndrome |
Q8783 | Bardet-Biedl syndrome |
Q8784 | Laurence-Moon syndrome |
Q8785 | MED13L syndrome |
Q8789 | Other specified congenital malformation syndromes, not elsewhere classified |
Q897 | Multiple congenital malformations, not elsewhere classified |
Q898 | Other specified congenital malformations |
Q992 | Fragile X chromosome |
PDX Collection 6688 | |
E7871 | Barth syndrome |
E7872 | Smith-Lemli-Opitz syndrome |
G901 | Familial dysautonomia [Riley-Day] |
Q050 | Cervical spina bifida with hydrocephalus |
Q051 | Thoracic spina bifida with hydrocephalus |
Q052 | Lumbar spina bifida with hydrocephalus |
Q053 | Sacral spina bifida with hydrocephalus |
Q054 | Unspecified spina bifida with hydrocephalus |
Q055 | Cervical spina bifida without hydrocephalus |
Q056 | Thoracic spina bifida without hydrocephalus |
Q057 | Lumbar spina bifida without hydrocephalus |
Q058 | Sacral spina bifida without hydrocephalus |
Q059 | Spina bifida, unspecified |
Q060 | Amyelia |
Q061 | Hypoplasia and dysplasia of spinal cord |
Q063 | Other congenital cauda equina malformations |
Q068 | Other specified congenital malformations of spinal cord |
Q069 | Congenital malformation of spinal cord, unspecified |
Q0700 | Arnold-Chiari syndrome without spina bifida or hydrocephalus |
Q0701 | Arnold-Chiari syndrome with spina bifida |
Q0702 | Arnold-Chiari syndrome with hydrocephalus |
Q0703 | Arnold-Chiari syndrome with spina bifida and hydrocephalus |
Q078 | Other specified congenital malformations of nervous system |
Q079 | Congenital malformation of nervous system, unspecified |
Q8711 | Prader-Willi syndrome |
Q8719 | Other congenital malformation syndromes predominantly associated with short stature |
Q872 | Congenital malformation syndromes predominantly involving limbs |
Q873 | Congenital malformation syndromes involving early overgrowth |
Q8740 | Marfan syndrome, unspecified |
Q87410 | Marfan syndrome with aortic dilation |
Q87418 | Marfan syndrome with other cardiovascular manifestations |
Q8742 | Marfan syndrome with ocular manifestations |
Q8743 | Marfan syndrome with skeletal manifestation |
Q875 | Other congenital malformation syndromes with other skeletal changes |
Q8781 | Alport syndrome |
Q8782 | Arterial tortuosity syndrome |
Q8783 | Bardet-Biedl syndrome |
Q8784 | Laurence-Moon syndrome |
Q8785 | MED13L syndrome |
Q8789 | Other specified congenital malformation syndromes, not elsewhere classified |
Q897 | Multiple congenital malformations, not elsewhere classified |
Q898 | Other specified congenital malformations |
Q992 | Fragile X chromosome |
PDX Collection 6689 | |
D800 | Hereditary hypogammaglobulinemia |
D803 | Selective deficiency of immunoglobulin G [IgG] subclasses |
D804 | Selective deficiency of immunoglobulin M [IgM] |
D805 | Immunodeficiency with increased immunoglobulin M [IgM] |
D806 | Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia |
D807 | Transient hypogammaglobulinemia of infancy |
D808 | Other immunodeficiencies with predominantly antibody defects |
D809 | Immunodeficiency with predominantly antibody defects, unspecified |
D810 | Severe combined immunodeficiency [SCID] with reticular dysgenesis |
D811 | Severe combined immunodeficiency [SCID] with low T- and B-cell numbers |
D812 | Severe combined immunodeficiency [SCID] with low or normal B-cell numbers |
D814 | Nezelof's syndrome |
D816 | Major histocompatibility complex class I deficiency |
D817 | Major histocompatibility complex class II deficiency |
D8182 | Activated Phosphoinositide 3-kinase Delta Syndrome [APDS] |
D8189 | Other combined immunodeficiencies |
D819 | Combined immunodeficiency, unspecified |
D820 | Wiskott-Aldrich syndrome |
D821 | Di George's syndrome |
D822 | Immunodeficiency with short-limbed stature |
D823 | Immunodeficiency following hereditary defective response to Epstein-Barr virus |
D824 | Hyperimmunoglobulin E [IgE] syndrome |
D828 | Immunodeficiency associated with other specified major defects |
D829 | Immunodeficiency associated with major defect, unspecified |
D830 | Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function |
D831 | Common variable immunodeficiency with predominant immunoregulatory T-cell disorders |
D832 | Common variable immunodeficiency with autoantibodies to B- or T-cells |
D838 | Other common variable immunodeficiencies |
D839 | Common variable immunodeficiency, unspecified |
D840 | Lymphocyte function antigen-1 [LFA-1] defect |
D8481 | Immunodeficiency due to conditions classified elsewhere |
D84821 | Immunodeficiency due to drugs |
D84822 | Immunodeficiency due to external causes |
D8489 | Other immunodeficiencies |
D849 | Immunodeficiency, unspecified |
D893 | Immune reconstitution syndrome |
D8940 | Mast cell activation, unspecified |
D8941 | Monoclonal mast cell activation syndrome |
D8942 | Idiopathic mast cell activation syndrome |
D8943 | Secondary mast cell activation |
D8949 | Other mast cell activation disorder |
D8982 | Autoimmune lymphoproliferative syndrome [ALPS] |
D8984 | IgG4-related disease |
D8989 | Other specified disorders involving the immune mechanism, not elsewhere classified |
D899 | Disorder involving the immune mechanism, unspecified |
PDX Collection 6690 | |
D8130 | Adenosine deaminase deficiency, unspecified |
D8131 | Severe combined immunodeficiency due to adenosine deaminase deficiency |
D8132 | Adenosine deaminase 2 deficiency |
D8139 | Other adenosine deaminase deficiency |
D815 | Purine nucleoside phosphorylase [PNP] deficiency |
D81810 | Biotinidase deficiency |
D841 | Defects in the complement system |
E7601 | Hurler's syndrome |
E7602 | Hurler-Scheie syndrome |
E7603 | Scheie's syndrome |
E761 | Mucopolysaccharidosis, type II |
E76210 | Morquio A mucopolysaccharidoses |
E76211 | Morquio B mucopolysaccharidoses |
E76219 | Morquio mucopolysaccharidoses, unspecified |
E7622 | Sanfilippo mucopolysaccharidoses |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |