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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| Appendix C: Principal diagnoses which convert CC/MCC to non-CC |
| Page 1347 of 1375 |
| PDX Collection 6944 (continued) | |
| N398 | Other specified disorders of urinary system |
| N399 | Disorder of urinary system, unspecified |
| N80A0 | Endometriosis of bladder, unspecified depth |
| N80A1 | Superficial endometriosis of bladder |
| N80A2 | Deep endometriosis of bladder |
| N80A41 | Superficial endometriosis of right ureter |
| N80A42 | Superficial endometriosis of left ureter |
| N80A43 | Superficial endometriosis of bilateral ureters |
| N80A49 | Superficial endometriosis of unspecified ureter |
| N80A51 | Deep endometriosis of right ureter |
| N80A52 | Deep endometriosis of left ureter |
| N80A53 | Deep endometriosis of bilateral ureters |
| N80A59 | Deep endometriosis of unspecified ureter |
| N80A61 | Endometriosis of right ureter, unspecified depth |
| N80A62 | Endometriosis of left ureter, unspecified depth |
| N80A63 | Endometriosis of bilateral ureters, unspecified depth |
| N80A69 | Endometriosis of unspecified ureter, unspecified depth |
| R310 | Gross hematuria |
| R311 | Benign essential microscopic hematuria |
| R3121 | Asymptomatic microscopic hematuria |
| R3129 | Other microscopic hematuria |
| R319 | Hematuria, unspecified |
| PDX Collection 6945 | |
| G041 | Tropical spastic paraplegia |
| G110 | Congenital nonprogressive ataxia |
| G1110 | Early-onset cerebellar ataxia, unspecified |
| G1111 | Friedreich ataxia |
| G1119 | Other early-onset cerebellar ataxia |
| G112 | Late-onset cerebellar ataxia |
| G113 | Cerebellar ataxia with defective DNA repair |
| G114 | Hereditary spastic paraplegia |
| G115 | Hypomyelination - hypogonadotropic hypogonadism - hypodontia |
| G116 | Leukodystrophy with vanishing white matter disease |
| G118 | Other hereditary ataxias |
| G119 | Hereditary ataxia, unspecified |
| G120 | Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] |
| G121 | Other inherited spinal muscular atrophy |
| G1220 | Motor neuron disease, unspecified |
| G1221 | Amyotrophic lateral sclerosis |
| G1222 | Progressive bulbar palsy |
| G1223 | Primary lateral sclerosis |
| G1224 | Familial motor neuron disease |
| G1225 | Progressive spinal muscle atrophy |
| G1229 | Other motor neuron disease |
| G128 | Other spinal muscular atrophies and related syndromes |
| G129 | Spinal muscular atrophy, unspecified |
| G320 | Subacute combined degeneration of spinal cord in diseases classified elsewhere |
| G3281 | Cerebellar ataxia in diseases classified elsewhere |
| G3289 | Other specified degenerative disorders of nervous system in diseases classified elsewhere |
| G35 | Multiple sclerosis |
| G360 | Neuromyelitis optica [Devic] |
| G361 | Acute and subacute hemorrhagic leukoencephalitis [Hurst] |
| G368 | Other specified acute disseminated demyelination |
| G369 | Acute disseminated demyelination, unspecified |
| G370 | Diffuse sclerosis of central nervous system |
| G371 | Central demyelination of corpus callosum |
| G372 | Central pontine myelinolysis |
| G373 | Acute transverse myelitis in demyelinating disease of central nervous system |
| G375 | Concentric sclerosis [Balo] of central nervous system |
| G3781 | Myelin oligodendrocyte glycoprotein antibody disease |
| G3789 | Other specified demyelinating diseases of central nervous system |
| G379 | Demyelinating disease of central nervous system, unspecified |
| G800 | Spastic quadriplegic cerebral palsy |
| G801 | Spastic diplegic cerebral palsy |
| G802 | Spastic hemiplegic cerebral palsy |
| G804 | Ataxic cerebral palsy |
| G808 | Other cerebral palsy |
| G809 | Cerebral palsy, unspecified |
| G8100 | Flaccid hemiplegia affecting unspecified side |
| G8101 | Flaccid hemiplegia affecting right dominant side |
| G8102 | Flaccid hemiplegia affecting left dominant side |
| G8103 | Flaccid hemiplegia affecting right nondominant side |
| G8104 | Flaccid hemiplegia affecting left nondominant side |
| G8110 | Spastic hemiplegia affecting unspecified side |
| G8111 | Spastic hemiplegia affecting right dominant side |
| G8112 | Spastic hemiplegia affecting left dominant side |
| G8113 | Spastic hemiplegia affecting right nondominant side |
| G8114 | Spastic hemiplegia affecting left nondominant side |
| G8190 | Hemiplegia, unspecified affecting unspecified side |
| G8191 | Hemiplegia, unspecified affecting right dominant side |
| G8192 | Hemiplegia, unspecified affecting left dominant side |
| G8193 | Hemiplegia, unspecified affecting right nondominant side |
| G8194 | Hemiplegia, unspecified affecting left nondominant side |
| G8220 | Paraplegia, unspecified |
| G8221 | Paraplegia, complete |
| G8222 | Paraplegia, incomplete |
| G8250 | Quadriplegia, unspecified |
| G8251 | Quadriplegia, C1-C4 complete |
| G8252 | Quadriplegia, C1-C4 incomplete |
| G8253 | Quadriplegia, C5-C7 complete |
| G8254 | Quadriplegia, C5-C7 incomplete |
| G830 | Diplegia of upper limbs |
| G8310 | Monoplegia of lower limb affecting unspecified side |
| G8311 | Monoplegia of lower limb affecting right dominant side |
| G8312 | Monoplegia of lower limb affecting left dominant side |
| G8313 | Monoplegia of lower limb affecting right nondominant side |
| G8314 | Monoplegia of lower limb affecting left nondominant side |
| G8320 | Monoplegia of upper limb affecting unspecified side |
| G8321 | Monoplegia of upper limb affecting right dominant side |
| G8322 | Monoplegia of upper limb affecting left dominant side |
| G8323 | Monoplegia of upper limb affecting right nondominant side |
| G8324 | Monoplegia of upper limb affecting left nondominant side |
| G8330 | Monoplegia, unspecified affecting unspecified side |
| G8331 | Monoplegia, unspecified affecting right dominant side |
| G8332 | Monoplegia, unspecified affecting left dominant side |
| G8333 | Monoplegia, unspecified affecting right nondominant side |
| G8334 | Monoplegia, unspecified affecting left nondominant side |
| G834 | Cauda equina syndrome |
| G835 | Locked-in state |
| G8381 | Brown-Sequard syndrome |
| G8382 | Anterior cord syndrome |
| G8383 | Posterior cord syndrome |
| G8384 | Todd's paralysis (postepileptic) |
| G8389 | Other specified paralytic syndromes |
| G839 | Paralytic syndrome, unspecified |
| G9001 | Carotid sinus syncope |
| G9009 | Other idiopathic peripheral autonomic neuropathy |
| G902 | Horner's syndrome |
| G904 | Autonomic dysreflexia |
| G9050 | Complex regional pain syndrome I, unspecified |
| G90511 | Complex regional pain syndrome I of right upper limb |
| G90512 | Complex regional pain syndrome I of left upper limb |
| G90513 | Complex regional pain syndrome I of upper limb, bilateral |
| G90519 | Complex regional pain syndrome I of unspecified upper limb |
| G90521 | Complex regional pain syndrome I of right lower limb |
| G90522 | Complex regional pain syndrome I of left lower limb |
| G90523 | Complex regional pain syndrome I of lower limb, bilateral |
| G90529 | Complex regional pain syndrome I of unspecified lower limb |
| G9059 | Complex regional pain syndrome I of other specified site |
| G908 | Other disorders of autonomic nervous system |
| G909 | Disorder of the autonomic nervous system, unspecified |
| G90B | LMNB1-related autosomal dominant leukodystrophy |
| G9340 | Encephalopathy, unspecified |
| G9341 | Metabolic encephalopathy |
| G9342 | Megaloencephalic leukoencephalopathy with subcortical cysts |
| G9343 | Leukoencephalopathy with calcifications and cysts |
| G9344 | Adult-onset leukodystrophy with axonal spheroids |
| G9349 | Other encephalopathy |
| G9381 | Temporal sclerosis |
| G9389 | Other specified disorders of brain |
| G939 | Disorder of brain, unspecified |
| G950 | Syringomyelia and syringobulbia |
| G9511 | Acute infarction of spinal cord (embolic) (nonembolic) |
| G9519 | Other vascular myelopathies |
| G9520 | Unspecified cord compression |
| G9529 | Other cord compression |
| G9581 | Conus medullaris syndrome |
| G9589 | Other specified diseases of spinal cord |
| G959 | Disease of spinal cord, unspecified |
| G969 | Disorder of central nervous system, unspecified |
| G980 | Neurogenic arthritis, not elsewhere classified |
| G988 | Other disorders of nervous system |
| G990 | Autonomic neuropathy in diseases classified elsewhere |
| G992 | Myelopathy in diseases classified elsewhere |
| G998 | Other specified disorders of nervous system in diseases classified elsewhere |
| I6783 | Posterior reversible encephalopathy syndrome |
| R532 | Functional quadriplegia |
| PDX Collection 6946 | |
| A150 | Tuberculosis of lung |
| A154 | Tuberculosis of intrathoracic lymph nodes |
| A155 | Tuberculosis of larynx, trachea and bronchus |
| A156 | Tuberculous pleurisy |
| A158 | Other respiratory tuberculosis |
| A159 | Respiratory tuberculosis unspecified |
| A179 | Tuberculosis of nervous system, unspecified |
| A1882 | Tuberculosis of other endocrine glands |
| A1884 | Tuberculosis of heart |
| A1889 | Tuberculosis of other sites |
| A212 | Pulmonary tularemia |
| A221 | Pulmonary anthrax |
| A310 | Pulmonary mycobacterial infection |
| A3701 | Whooping cough due to Bordetella pertussis with pneumonia |
| A3711 | Whooping cough due to Bordetella parapertussis with pneumonia |
| A3781 | Whooping cough due to other Bordetella species with pneumonia |
| A3791 | Whooping cough, unspecified species with pneumonia |
| A420 | Pulmonary actinomycosis |
| A430 | Pulmonary nocardiosis |
| A481 | Legionnaires' disease |
| B250 | Cytomegaloviral pneumonitis |
| B390 | Acute pulmonary histoplasmosis capsulati |
| B391 | Chronic pulmonary histoplasmosis capsulati |
| B392 | Pulmonary histoplasmosis capsulati, unspecified |
| B440 | Invasive pulmonary aspergillosis |
| B583 | Pulmonary toxoplasmosis |
| B59 | Pneumocystosis |
| B671 | Echinococcus granulosus infection of lung |
| J09X1 | Influenza due to identified novel influenza A virus with pneumonia |
| J09X2 | Influenza due to identified novel influenza A virus with other respiratory manifestations |
| J1000 | Influenza due to other identified influenza virus with unspecified type of pneumonia |
| J1001 | Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia |
| J1008 | Influenza due to other identified influenza virus with other specified pneumonia |
| J101 | Influenza due to other identified influenza virus with other respiratory manifestations |
| J1100 | Influenza due to unidentified influenza virus with unspecified type of pneumonia |
| J1108 | Influenza due to unidentified influenza virus with specified pneumonia |
| J111 | Influenza due to unidentified influenza virus with other respiratory manifestations |
| J120 | Adenoviral pneumonia |
| J121 | Respiratory syncytial virus pneumonia |
| J122 | Parainfluenza virus pneumonia |
| J123 | Human metapneumovirus pneumonia |
| J1289 | Other viral pneumonia |
| J129 | Viral pneumonia, unspecified |
| J13 | Pneumonia due to Streptococcus pneumoniae |
| J14 | Pneumonia due to Hemophilus influenzae |
| J150 | Pneumonia due to Klebsiella pneumoniae |
| J151 | Pneumonia due to Pseudomonas |
| J1520 | Pneumonia due to staphylococcus, unspecified |
| J15211 | Pneumonia due to Methicillin susceptible Staphylococcus aureus |
| J15212 | Pneumonia due to Methicillin resistant Staphylococcus aureus |
| J1529 | Pneumonia due to other staphylococcus |
| J153 | Pneumonia due to streptococcus, group B |
| J154 | Pneumonia due to other streptococci |
| J155 | Pneumonia due to Escherichia coli |
| J1561 | Pneumonia due to Acinetobacter baumannii |
| J1569 | Pneumonia due to other Gram-negative bacteria |
| J157 | Pneumonia due to Mycoplasma pneumoniae |
| J158 | Pneumonia due to other specified bacteria |
| J159 | Unspecified bacterial pneumonia |
| J160 | Chlamydial pneumonia |
| J168 | Pneumonia due to other specified infectious organisms |
| J17 | Pneumonia in diseases classified elsewhere |
| J180 | Bronchopneumonia, unspecified organism |
| J181 | Lobar pneumonia, unspecified organism |
| J188 | Other pneumonia, unspecified organism |
| J189 | Pneumonia, unspecified organism |
| J22 | Unspecified acute lower respiratory infection |
| J4481 | Bronchiolitis obliterans and bronchiolitis obliterans syndrome |
| J4489 | Other specified chronic obstructive pulmonary disease |
| J449 | Chronic obstructive pulmonary disease, unspecified |
| J470 | Bronchiectasis with acute lower respiratory infection |
| J471 | Bronchiectasis with (acute) exacerbation |
| J479 | Bronchiectasis, uncomplicated |
| J4A0 | Restrictive allograft syndrome |
| J4A8 | Other chronic lung allograft dysfunction |
| J4A9 | Chronic lung allograft dysfunction, unspecified |
| J60 | Coalworker's pneumoconiosis |
| J61 | Pneumoconiosis due to asbestos and other mineral fibers |
| J620 | Pneumoconiosis due to talc dust |
| J628 | Pneumoconiosis due to other dust containing silica |
| J630 | Aluminosis (of lung) |
| J631 | Bauxite fibrosis (of lung) |
| J632 | Berylliosis |
| J633 | Graphite fibrosis (of lung) |
| J634 | Siderosis |
| J635 | Stannosis |
| J636 | Pneumoconiosis due to other specified inorganic dusts |
| J64 | Unspecified pneumoconiosis |
| J65 | Pneumoconiosis associated with tuberculosis |
| J660 | Byssinosis |
| J661 | Flax-dressers' disease |
| J662 | Cannabinosis |
| J668 | Airway disease due to other specific organic dusts |
| J670 | Farmer's lung |
| J671 | Bagassosis |
| J672 | Bird fancier's lung |
| J673 | Suberosis |
| J674 | Maltworker's lung |
| J675 | Mushroom-worker's lung |
| J676 | Maple-bark-stripper's lung |
| J677 | Air conditioner and humidifier lung |
| J678 | Hypersensitivity pneumonitis due to other organic dusts |
| J679 | Hypersensitivity pneumonitis due to unspecified organic dust |
| J680 | Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors |
| J681 | Pulmonary edema due to chemicals, gases, fumes and vapors |
| J682 | Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified |
| J683 | Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors |
| J684 | Chronic respiratory conditions due to chemicals, gases, fumes and vapors |
| J688 | Other respiratory conditions due to chemicals, gases, fumes and vapors |
| J689 | Unspecified respiratory condition due to chemicals, gases, fumes and vapors |
| J690 | Pneumonitis due to inhalation of food and vomit |
| J691 | Pneumonitis due to inhalation of oils and essences |
| J698 | Pneumonitis due to inhalation of other solids and liquids |
| J700 | Acute pulmonary manifestations due to radiation |
| J701 | Chronic and other pulmonary manifestations due to radiation |
| J702 | Acute drug-induced interstitial lung disorders |
| J703 | Chronic drug-induced interstitial lung disorders |
| J704 | Drug-induced interstitial lung disorders, unspecified |
| J708 | Respiratory conditions due to other specified external agents |
| J709 | Respiratory conditions due to unspecified external agent |
| J984 | Other disorders of lung |
| J988 | Other specified respiratory disorders |
| J989 | Respiratory disorder, unspecified |
| J99 | Respiratory disorders in diseases classified elsewhere |
| N80B1 | Endometriosis of pleura |
| N80B2 | Endometriosis of lung |
| N80B31 | Superficial endometriosis of diaphragm |
| N80B32 | Deep endometriosis of diaphragm |
| N80B39 | Endometriosis of diaphragm, unspecified depth |
| Q334 | Congenital bronchiectasis |
| R911 | Solitary pulmonary nodule |
| PDX Collection 6947 | |
| A179 | Tuberculosis of nervous system, unspecified |
| A1810 | Tuberculosis of genitourinary system, unspecified |
| A1811 | Tuberculosis of kidney and ureter |
| A1813 | Tuberculosis of other urinary organs |
| A1882 | Tuberculosis of other endocrine glands |
| A1884 | Tuberculosis of heart |
| A1889 | Tuberculosis of other sites |
| A5421 | Gonococcal infection of kidney and ureter |
| A5429 | Other gonococcal genitourinary infections |
| A5482 | Gonococcal brain abscess |
| A5484 | Gonococcal pneumonia |
| A5489 | Other gonococcal infections |
| A549 | Gonococcal infection, unspecified |
| A5900 | Urogenital trichomoniasis, unspecified |
| A598 | Trichomoniasis of other sites |
| A599 | Trichomoniasis, unspecified |
| B3741 | Candidal cystitis and urethritis |
| B3742 | Candidal balanitis |
| B3749 | Other urogenital candidiasis |
| E0821 | Diabetes mellitus due to underlying condition with diabetic nephropathy |
| E0822 | Diabetes mellitus due to underlying condition with diabetic chronic kidney disease |
| E0829 | Diabetes mellitus due to underlying condition with other diabetic kidney complication |
| E08618 | Diabetes mellitus due to underlying condition with other diabetic arthropathy |
| E08620 | Diabetes mellitus due to underlying condition with diabetic dermatitis |
| E08621 | Diabetes mellitus due to underlying condition with foot ulcer |
| E08622 | Diabetes mellitus due to underlying condition with other skin ulcer |
| E08628 | Diabetes mellitus due to underlying condition with other skin complications |
| E08630 | Diabetes mellitus due to underlying condition with periodontal disease |
| E08638 | Diabetes mellitus due to underlying condition with other oral complications |
| E08649 | Diabetes mellitus due to underlying condition with hypoglycemia without coma |
| E0865 | Diabetes mellitus due to underlying condition with hyperglycemia |
| E0869 | Diabetes mellitus due to underlying condition with other specified complication |
| E088 | Diabetes mellitus due to underlying condition with unspecified complications |
| E0921 | Drug or chemical induced diabetes mellitus with diabetic nephropathy |
| E0922 | Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease |
| E0929 | Drug or chemical induced diabetes mellitus with other diabetic kidney complication |
| E09618 | Drug or chemical induced diabetes mellitus with other diabetic arthropathy |
| E09620 | Drug or chemical induced diabetes mellitus with diabetic dermatitis |
| E09621 | Drug or chemical induced diabetes mellitus with foot ulcer |
| E09622 | Drug or chemical induced diabetes mellitus with other skin ulcer |
| E09628 | Drug or chemical induced diabetes mellitus with other skin complications |
| E09630 | Drug or chemical induced diabetes mellitus with periodontal disease |
| E09638 | Drug or chemical induced diabetes mellitus with other oral complications |
| E09649 | Drug or chemical induced diabetes mellitus with hypoglycemia without coma |
| E0965 | Drug or chemical induced diabetes mellitus with hyperglycemia |
| E0969 | Drug or chemical induced diabetes mellitus with other specified complication |
| E098 | Drug or chemical induced diabetes mellitus with unspecified complications |
| E1021 | Type 1 diabetes mellitus with diabetic nephropathy |
| E1022 | Type 1 diabetes mellitus with diabetic chronic kidney disease |
| E1029 | Type 1 diabetes mellitus with other diabetic kidney complication |
| E10618 | Type 1 diabetes mellitus with other diabetic arthropathy |
| E10620 | Type 1 diabetes mellitus with diabetic dermatitis |
| E10621 | Type 1 diabetes mellitus with foot ulcer |
| E10622 | Type 1 diabetes mellitus with other skin ulcer |
| E10628 | Type 1 diabetes mellitus with other skin complications |
| E10630 | Type 1 diabetes mellitus with periodontal disease |
| E10638 | Type 1 diabetes mellitus with other oral complications |
| E10649 | Type 1 diabetes mellitus with hypoglycemia without coma |
| E1069 | Type 1 diabetes mellitus with other specified complication |
| E108 | Type 1 diabetes mellitus with unspecified complications |
| E1121 | Type 2 diabetes mellitus with diabetic nephropathy |
| E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease |
| E1129 | Type 2 diabetes mellitus with other diabetic kidney complication |
| E11618 | Type 2 diabetes mellitus with other diabetic arthropathy |
| E11620 | Type 2 diabetes mellitus with diabetic dermatitis |
| E11621 | Type 2 diabetes mellitus with foot ulcer |
| E11622 | Type 2 diabetes mellitus with other skin ulcer |
| E11628 | Type 2 diabetes mellitus with other skin complications |
| E11630 | Type 2 diabetes mellitus with periodontal disease |
| E11638 | Type 2 diabetes mellitus with other oral complications |
| E11649 | Type 2 diabetes mellitus with hypoglycemia without coma |
| E1169 | Type 2 diabetes mellitus with other specified complication |
| E118 | Type 2 diabetes mellitus with unspecified complications |
| E1321 | Other specified diabetes mellitus with diabetic nephropathy |
| E1322 | Other specified diabetes mellitus with diabetic chronic kidney disease |
| E1329 | Other specified diabetes mellitus with other diabetic kidney complication |
| E13618 | Other specified diabetes mellitus with other diabetic arthropathy |
| E13620 | Other specified diabetes mellitus with diabetic dermatitis |
| E13621 | Other specified diabetes mellitus with foot ulcer |
| E13622 | Other specified diabetes mellitus with other skin ulcer |
| E13628 | Other specified diabetes mellitus with other skin complications |
| E13630 | Other specified diabetes mellitus with periodontal disease |
| E13638 | Other specified diabetes mellitus with other oral complications |
| E13649 | Other specified diabetes mellitus with hypoglycemia without coma |
| E1365 | Other specified diabetes mellitus with hyperglycemia |
| E1369 | Other specified diabetes mellitus with other specified complication |
| E138 | Other specified diabetes mellitus with unspecified complications |
| E883 | Tumor lysis syndrome |
| M1030 | Gout due to renal impairment, unspecified site |
| M10311 | Gout due to renal impairment, right shoulder |
| M10312 | Gout due to renal impairment, left shoulder |
| M10319 | Gout due to renal impairment, unspecified shoulder |
| M10321 | Gout due to renal impairment, right elbow |
| M10322 | Gout due to renal impairment, left elbow |
| M10329 | Gout due to renal impairment, unspecified elbow |
| M10331 | Gout due to renal impairment, right wrist |
| M10332 | Gout due to renal impairment, left wrist |
| M10339 | Gout due to renal impairment, unspecified wrist |
| M10341 | Gout due to renal impairment, right hand |
| M10342 | Gout due to renal impairment, left hand |
| M10349 | Gout due to renal impairment, unspecified hand |
| M10351 | Gout due to renal impairment, right hip |
| M10352 | Gout due to renal impairment, left hip |
| M10359 | Gout due to renal impairment, unspecified hip |
| M10361 | Gout due to renal impairment, right knee |
| M10362 | Gout due to renal impairment, left knee |
| M10369 | Gout due to renal impairment, unspecified knee |
| M10371 | Gout due to renal impairment, right ankle and foot |
| M10372 | Gout due to renal impairment, left ankle and foot |
| M10379 | Gout due to renal impairment, unspecified ankle and foot |
| M1038 | Gout due to renal impairment, vertebrae |
| M1039 | Gout due to renal impairment, multiple sites |
| N000 | Acute nephritic syndrome with minor glomerular abnormality |
| N001 | Acute nephritic syndrome with focal and segmental glomerular lesions |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |