ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 27 of 75 |
| A000 B2781 C5712 C8418 D3002 E093219 E133599 F18251 G9204 H18811 H47529 I2541 I69315 J3503 K5731 L812 M05539 M21069 M45A7 M7070 M84444P M86559 N158 O0380 O3130X1 O365133 O6023X0 P2889 Q738 S0005XS S02610G S06384S S12400D S20374D S24144D S31149D S32443D S36209D S41119A S42354A S45012D S52001S S52244P S52389Q S53421A S59149K S61240D S62225A S62615D S63298D S66190D S71102D S72064P S7221XC S72412K S75192S S82009N S82192P S82444Q S8291XP S8700XD S91204D S92301D S93526S S99249B T22422D T24439A T370X5A T43013S T474X5S T5492XD T65292D T82111D T8613 Z808 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| O6023X0 | 14 | 998 | O88019 | 14 | 817-819 | O99611 | 14 | 817-819 | ||
| O6023X1 | 14 | 998 | O88019 | 14 | 831-833 | O99611 | 14 | 831-833 | ||
| O6023X2 | 14 | 998 | O8802 | 14 | 998 | O99612 | 14 | 817-819 | ||
| O6023X3 | 14 | 998 | O8803 | 14 | 769 | O99612 | 14 | 831-833 | ||
| O6023X4 | 14 | 998 | O8803 | 14 | 776 | O99613 | 14 | 817-819 | ||
| O6023X5 | 14 | 998 | O88111 | 14 | 817-819 | O99613 | 14 | 831-833 | ||
| O6023X9 | 14 | 998 | O88111 | 14 | 831-833 | O99619 | 14 | 817-819 | ||
| O610 | 14 | 817-819 | O88112 | 14 | 817-819 | O99619 | 14 | 831-833 | ||
| O610 | 14 | 831-833 | O88112 | 14 | 831-833 | O9962 | 14 | 998 | ||
| O611 | 14 | 817-819 | O88113 | 14 | 817-819 | O9963 | 14 | 769 | ||
| O611 | 14 | 831-833 | O88113 | 14 | 831-833 | O9963 | 14 | 776 | ||
| O618 | 14 | 817-819 | O88119 | 14 | 817-819 | O99711 | 14 | 817-819 | ||
| O618 | 14 | 831-833 | O88119 | 14 | 831-833 | O99711 | 14 | 831-833 | ||
| O619 | 14 | 817-819 | O8812 | 14 | 998 | O99712 | 14 | 817-819 | ||
| O619 | 14 | 831-833 | O8813 | 14 | 769 | O99712 | 14 | 831-833 | ||
| O620 | 14 | 817-819 | O8813 | 14 | 776 | O99713 | 14 | 817-819 | ||
| O620 | 14 | 831-833 | O88211 | 14 | 817-819 | O99713 | 14 | 831-833 | ||
| O621 | 14 | 817-819 | O88211 | 14 | 831-833 | O99719 | 14 | 817-819 | ||
| O621 | 14 | 831-833 | O88212 | 14 | 817-819 | O99719 | 14 | 831-833 | ||
| O622 | 14 | 817-819 | O88212 | 14 | 831-833 | O9972 | 14 | 998 | ||
| O622 | 14 | 831-833 | O88213 | 14 | 817-819 | O9973 | 14 | 769 | ||
| O623 | 14 | 817-819 | O88213 | 14 | 831-833 | O9973 | 14 | 776 | ||
| O623 | 14 | 831-833 | O88219 | 14 | 817-819 | O99810 | 14 | 817-819 | ||
| O624 | 14 | 817-819 | O88219 | 14 | 831-833 | O99810 | 14 | 831-833 | ||
| O624 | 14 | 831-833 | O8822 | 14 | 998 | O99814 | 14 | 998 | ||
| O628 | 14 | 817-819 | O8823 | 14 | 769 | O99815 | 14 | 769 | ||
| O628 | 14 | 831-833 | O8823 | 14 | 776 | O99815 | 14 | 776 | ||
| O629 | 14 | 817-819 | O88311 | 14 | 817-819 | O99820 | 14 | 817-819 | ||
| O629 | 14 | 831-833 | O88311 | 14 | 831-833 | O99820 | 14 | 831-833 | ||
| O630 | 14 | 817-819 | O88312 | 14 | 817-819 | O99824 | 14 | 998 | ||
| O630 | 14 | 831-833 | O88312 | 14 | 831-833 | O99825 | 14 | 769 | ||
| O631 | 14 | 817-819 | O88313 | 14 | 817-819 | O99825 | 14 | 776 | ||
| O631 | 14 | 831-833 | O88313 | 14 | 831-833 | O99830 | 14 | 817-819 | ||
| O632 | 14 | 998 | O88319 | 14 | 817-819 | O99830 | 14 | 831-833 | ||
| O639 | 14 | 817-819 | O88319 | 14 | 831-833 | O99834 | 14 | 998 | ||
| O639 | 14 | 831-833 | O8832 | 14 | 998 | O99835 | 14 | 769 | ||
| O640XX0 | 14 | 817-819 | O8833 | 14 | 769 | O99835 | 14 | 776 | ||
| O640XX0 | 14 | 831-833 | O8833 | 14 | 776 | O99840 | 14 | 817-819 | ||
| O640XX1 | 14 | 817-819 | O88811 | 14 | 817-819 | O99840 | 14 | 831-833 | ||
| O640XX1 | 14 | 831-833 | O88811 | 14 | 831-833 | O99841 | 14 | 817-819 | ||
| O640XX2 | 14 | 817-819 | O88812 | 14 | 817-819 | O99841 | 14 | 831-833 | ||
| O640XX2 | 14 | 831-833 | O88812 | 14 | 831-833 | O99842 | 14 | 817-819 | ||
| O640XX3 | 14 | 817-819 | O88813 | 14 | 817-819 | O99842 | 14 | 831-833 | ||
| O640XX3 | 14 | 831-833 | O88813 | 14 | 831-833 | O99843 | 14 | 817-819 | ||
| O640XX4 | 14 | 817-819 | O88819 | 14 | 817-819 | O99843 | 14 | 831-833 | ||
| O640XX4 | 14 | 831-833 | O88819 | 14 | 831-833 | O99844 | 14 | 998 | ||
| O640XX5 | 14 | 817-819 | O8882 | 14 | 998 | O99845 | 14 | 769 | ||
| O640XX5 | 14 | 831-833 | O8883 | 14 | 769 | O99845 | 14 | 776 | ||
| O640XX9 | 14 | 817-819 | O8883 | 14 | 776 | O99891 | 14 | 817-819 | ||
| O640XX9 | 14 | 831-833 | O8901 | 14 | 769 | O99891 | 14 | 831-833 | ||
| O641XX0 | 14 | 817-819 | O8901 | 14 | 776 | O99892 | 14 | 998 | ||
| O641XX0 | 14 | 831-833 | O8909 | 14 | 769 | O99893 | 14 | 769 | ||
| O641XX1 | 14 | 817-819 | O8909 | 14 | 776 | O99893 | 14 | 776 | ||
| O641XX1 | 14 | 831-833 | O891 | 14 | 769 | O9A111 | 14 | 817-819 | ||
| O641XX2 | 14 | 817-819 | O891 | 14 | 776 | O9A111 | 14 | 831-833 | ||
| O641XX2 | 14 | 831-833 | O892 | 14 | 769 | O9A112 | 14 | 817-819 | ||
| O641XX3 | 14 | 817-819 | O892 | 14 | 776 | O9A112 | 14 | 831-833 | ||
| O641XX3 | 14 | 831-833 | O893 | 14 | 769 | O9A113 | 14 | 817-819 | ||
| O641XX4 | 14 | 817-819 | O893 | 14 | 776 | O9A113 | 14 | 831-833 | ||
| O641XX4 | 14 | 831-833 | O894 | 14 | 769 | O9A119 | 14 | 817-819 | ||
| O641XX5 | 14 | 817-819 | O894 | 14 | 776 | O9A119 | 14 | 831-833 | ||
| O641XX5 | 14 | 831-833 | O895 | 14 | 769 | O9A12 | 14 | 998 | ||
| O641XX9 | 14 | 817-819 | O895 | 14 | 776 | O9A13 | 14 | 769 | ||
| O641XX9 | 14 | 831-833 | O896 | 14 | 769 | O9A13 | 14 | 776 | ||
| O642XX0 | 14 | 817-819 | O896 | 14 | 776 | O9A211 | 14 | 817-819 | ||
| O642XX0 | 14 | 831-833 | O898 | 14 | 769 | O9A211 | 14 | 831-833 | ||
| O642XX1 | 14 | 817-819 | O898 | 14 | 776 | O9A212 | 14 | 817-819 | ||
| O642XX1 | 14 | 831-833 | O899 | 14 | 769 | O9A212 | 14 | 831-833 | ||
| O642XX2 | 14 | 817-819 | O899 | 14 | 776 | O9A213 | 14 | 817-819 | ||
| O642XX2 | 14 | 831-833 | O900 | 14 | 769 | O9A213 | 14 | 831-833 | ||
| O642XX3 | 14 | 817-819 | O900 | 14 | 776 | O9A219 | 14 | 817-819 | ||
| O642XX3 | 14 | 831-833 | O901 | 14 | 769 | O9A219 | 14 | 831-833 | ||
| O642XX4 | 14 | 817-819 | O901 | 14 | 776 | O9A22 | 14 | 998 | ||
| O642XX4 | 14 | 831-833 | O902 | 14 | 769 | O9A23 | 14 | 769 | ||
| O642XX5 | 14 | 817-819 | O902 | 14 | 776 | O9A23 | 14 | 776 | ||
| O642XX5 | 14 | 831-833 | O903 | 14 | 769 | O9A311 | 14 | 817-819 | ||
| O642XX9 | 14 | 817-819 | O903 | 14 | 776 | O9A311 | 14 | 831-833 | ||
| O642XX9 | 14 | 831-833 | O9041 | 14 | 769 | O9A312 | 14 | 817-819 | ||
| O643XX0 | 14 | 817-819 | O9041 | 14 | 776 | O9A312 | 14 | 831-833 | ||
| O643XX0 | 14 | 831-833 | O9049 | 14 | 769 | O9A313 | 14 | 817-819 | ||
| O643XX1 | 14 | 817-819 | O9049 | 14 | 776 | O9A313 | 14 | 831-833 | ||
| O643XX1 | 14 | 831-833 | O905 | 14 | 769 | O9A319 | 14 | 817-819 | ||
| O643XX2 | 14 | 817-819 | O905 | 14 | 776 | O9A319 | 14 | 831-833 | ||
| O643XX2 | 14 | 831-833 | O906 | 14 | 769 | O9A32 | 14 | 998 | ||
| O643XX3 | 14 | 817-819 | O906 | 14 | 776 | O9A33 | 14 | 769 | ||
| O643XX3 | 14 | 831-833 | O9081 | 14 | 769 | O9A33 | 14 | 776 | ||
| O643XX4 | 14 | 817-819 | O9081 | 14 | 776 | O9A411 | 14 | 817-819 | ||
| O643XX4 | 14 | 831-833 | O9089 | 14 | 769 | O9A411 | 14 | 831-833 | ||
| O643XX5 | 14 | 817-819 | O9089 | 14 | 776 | O9A412 | 14 | 817-819 | ||
| O643XX5 | 14 | 831-833 | O909 | 14 | 769 | O9A412 | 14 | 831-833 | ||
| O643XX9 | 14 | 817-819 | O909 | 14 | 776 | O9A413 | 14 | 817-819 | ||
| O643XX9 | 14 | 831-833 | O91011 | 14 | 817-819 | O9A413 | 14 | 831-833 | ||
| O644XX0 | 14 | 817-819 | O91011 | 14 | 831-833 | O9A419 | 14 | 817-819 | ||
| O644XX0 | 14 | 831-833 | O91012 | 14 | 817-819 | O9A419 | 14 | 831-833 | ||
| O644XX1 | 14 | 817-819 | O91012 | 14 | 831-833 | O9A42 | 14 | 998 | ||
| O644XX1 | 14 | 831-833 | O91013 | 14 | 817-819 | O9A43 | 14 | 769 | ||
| O644XX2 | 14 | 817-819 | O91013 | 14 | 831-833 | O9A43 | 14 | 776 | ||
| O644XX2 | 14 | 831-833 | O91019 | 14 | 817-819 | O9A511 | 14 | 817-819 | ||
| O644XX3 | 14 | 817-819 | O91019 | 14 | 831-833 | O9A511 | 14 | 831-833 | ||
| O644XX3 | 14 | 831-833 | O9102 | 14 | 769 | O9A512 | 14 | 817-819 | ||
| O644XX4 | 14 | 817-819 | O9102 | 14 | 776 | O9A512 | 14 | 831-833 | ||
| O644XX4 | 14 | 831-833 | O9103 | 14 | 769 | O9A513 | 14 | 817-819 | ||
| O644XX5 | 14 | 817-819 | O9103 | 14 | 776 | O9A513 | 14 | 831-833 | ||
| O644XX5 | 14 | 831-833 | O91111 | 14 | 817-819 | O9A519 | 14 | 817-819 | ||
| O644XX9 | 14 | 817-819 | O91111 | 14 | 831-833 | O9A519 | 14 | 831-833 | ||
| O644XX9 | 14 | 831-833 | O91112 | 14 | 817-819 | O9A52 | 14 | 998 | ||
| O645XX0 | 14 | 817-819 | O91112 | 14 | 831-833 | O9A53 | 14 | 769 | ||
| O645XX0 | 14 | 831-833 | O91113 | 14 | 817-819 | O9A53 | 14 | 776 | ||
| O645XX1 | 14 | 817-819 | O91113 | 14 | 831-833 | P000 | 15 | 794 | ||
| O645XX1 | 14 | 831-833 | O91119 | 14 | 817-819 | P001 | 15 | 794 | ||
| O645XX2 | 14 | 817-819 | O91119 | 14 | 831-833 | P002 | 15 | 795 | ||
| O645XX2 | 14 | 831-833 | O9112 | 14 | 769 | P002 | 23 | 951 | ||
| O645XX3 | 14 | 817-819 | O9112 | 14 | 776 | P003 | 15 | 795 | ||
| O645XX3 | 14 | 831-833 | O9113 | 14 | 769 | P004 | 15 | 794 | ||
| O645XX4 | 14 | 817-819 | O9113 | 14 | 776 | P005 | 15 | 794 | ||
| O645XX4 | 14 | 831-833 | O91211 | 14 | 817-819 | P006 | 15 | 794 | ||
| O645XX5 | 14 | 817-819 | O91211 | 14 | 831-833 | P007 | 15 | 794 | ||
| O645XX5 | 14 | 831-833 | O91212 | 14 | 817-819 | P0081 | 15 | 794 | ||
| O645XX9 | 14 | 817-819 | O91212 | 14 | 831-833 | P0082 | 15 | 795 | ||
| O645XX9 | 14 | 831-833 | O91213 | 14 | 817-819 | P0082 | 23 | 951 | ||
| O648XX0 | 14 | 817-819 | O91213 | 14 | 831-833 | P0089 | 15 | 795 | ||
| O648XX0 | 14 | 831-833 | O91219 | 14 | 817-819 | P0089 | 23 | 951 | ||
| O648XX1 | 14 | 817-819 | O91219 | 14 | 831-833 | P009 | 15 | 795 | ||
| O648XX1 | 14 | 831-833 | O9122 | 14 | 769 | P010 | 15 | 794 | ||
| O648XX2 | 14 | 817-819 | O9122 | 14 | 776 | P011 | 15 | 794 | ||
| O648XX2 | 14 | 831-833 | O9123 | 14 | 769 | P012 | 15 | 794 | ||
| O648XX3 | 14 | 817-819 | O9123 | 14 | 776 | P013 | 15 | 794 | ||
| O648XX3 | 14 | 831-833 | O92011 | 14 | 817-819 | P014 | 15 | 794 | ||
| O648XX4 | 14 | 817-819 | O92011 | 14 | 831-833 | P015 | 15 | 794 | ||
| O648XX4 | 14 | 831-833 | O92012 | 14 | 817-819 | P016 | 15 | 794 | ||
| O648XX5 | 14 | 817-819 | O92012 | 14 | 831-833 | P017 | 15 | 794 | ||
| O648XX5 | 14 | 831-833 | O92013 | 14 | 817-819 | P018 | 15 | 794 | ||
| O648XX9 | 14 | 817-819 | O92013 | 14 | 831-833 | P019 | 15 | 794 | ||
| O648XX9 | 14 | 831-833 | O92019 | 14 | 817-819 | P020 | 15 | 794 | ||
| O649XX0 | 14 | 817-819 | O92019 | 14 | 831-833 | P021 | 15 | 794 | ||
| O649XX0 | 14 | 831-833 | O9202 | 14 | 769 | P0220 | 15 | 794 | ||
| O649XX1 | 14 | 817-819 | O9202 | 14 | 776 | P0229 | 15 | 794 | ||
| O649XX1 | 14 | 831-833 | O9203 | 14 | 769 | P023 | 15 | 794 | ||
| O649XX2 | 14 | 817-819 | O9203 | 14 | 776 | P024 | 15 | 795 | ||
| O649XX2 | 14 | 831-833 | O92111 | 14 | 817-819 | P025 | 15 | 795 | ||
| O649XX3 | 14 | 817-819 | O92111 | 14 | 831-833 | P0260 | 15 | 795 | ||
| O649XX3 | 14 | 831-833 | O92112 | 14 | 817-819 | P0269 | 15 | 795 | ||
| O649XX4 | 14 | 817-819 | O92112 | 14 | 831-833 | P0270 | 15 | 794 | ||
| O649XX4 | 14 | 831-833 | O92113 | 14 | 817-819 | P0278 | 15 | 794 | ||
| O649XX5 | 14 | 817-819 | O92113 | 14 | 831-833 | P028 | 15 | 794 | ||
| O649XX5 | 14 | 831-833 | O92119 | 14 | 817-819 | P029 | 15 | 794 | ||
| O649XX9 | 14 | 817-819 | O92119 | 14 | 831-833 | P030 | 15 | 795 | ||
| O649XX9 | 14 | 831-833 | O9212 | 14 | 769 | P031 | 15 | 795 | ||
| O650 | 14 | 817-819 | O9212 | 14 | 776 | P032 | 15 | 795 | ||
| O650 | 14 | 831-833 | O9213 | 14 | 769 | P033 | 15 | 795 | ||
| O651 | 14 | 817-819 | O9213 | 14 | 776 | P034 | 15 | 791 | ||
| O651 | 14 | 831-833 | O9220 | 14 | 769 | P034 | 15 | 793 | ||
| O652 | 14 | 817-819 | O9220 | 14 | 776 | P035 | 15 | 795 | ||
| O652 | 14 | 831-833 | O9229 | 14 | 769 | P036 | 15 | 794 | ||
| O653 | 14 | 817-819 | O9229 | 14 | 776 | P03810 | 15 | 794 | ||
| O653 | 14 | 831-833 | O923 | 14 | 769 | P03811 | 15 | 794 | ||
| O654 | 14 | 817-819 | O923 | 14 | 776 | P03819 | 15 | 794 | ||
| O654 | 14 | 831-833 | O924 | 14 | 769 | P0382 | 15 | 794 | ||
| O655 | 14 | 817-819 | O924 | 14 | 776 | P0389 | 15 | 794 | ||
| O655 | 14 | 831-833 | O925 | 14 | 769 | P039 | 15 | 795 | ||
| O658 | 14 | 817-819 | O925 | 14 | 776 | P040 | 15 | 794 | ||
| O658 | 14 | 831-833 | O926 | 14 | 769 | P0411 | 15 | 794 | ||
| O659 | 14 | 817-819 | O926 | 14 | 776 | P0412 | 15 | 794 | ||
| O659 | 14 | 831-833 | O9270 | 14 | 769 | P0413 | 15 | 794 | ||
| O660 | 14 | 817-819 | O9270 | 14 | 776 | P0414 | 15 | 794 | ||
| O660 | 14 | 831-833 | O9279 | 14 | 769 | P0415 | 15 | 794 | ||
| O661 | 14 | 817-819 | O9279 | 14 | 776 | P0416 | 15 | 794 | ||
| O661 | 14 | 831-833 | O94 | 14 | 769 | P0417 | 15 | 794 | ||
| O662 | 14 | 817-819 | O94 | 14 | 776 | P0418 | 15 | 794 | ||
| O662 | 14 | 831-833 | O98011 | 14 | 817-819 | P0419 | 15 | 794 | ||
| O663 | 14 | 817-819 | O98011 | 14 | 831-833 | P041A | 15 | 794 | ||
| O663 | 14 | 831-833 | O98012 | 14 | 817-819 | P042 | 15 | 794 | ||
| O6640 | 14 | 817-819 | O98012 | 14 | 831-833 | P043 | 15 | 794 | ||
| O6640 | 14 | 831-833 | O98013 | 14 | 817-819 | P0440 | 15 | 794 | ||
| O6641 | 14 | 998 | O98013 | 14 | 831-833 | P0441 | 15 | 794 | ||
| O665 | 14 | 817-819 | O98019 | 14 | 817-819 | P0442 | 15 | 794 | ||
| O665 | 14 | 831-833 | O98019 | 14 | 831-833 | P0449 | 15 | 794 | ||
| O666 | 14 | 817-819 | O9802 | 14 | 998 | P045 | 15 | 794 | ||
| O666 | 14 | 831-833 | O9803 | 14 | 769 | P046 | 15 | 794 | ||
| O668 | 14 | 817-819 | O9803 | 14 | 776 | P0481 | 15 | 794 | ||
| O668 | 14 | 831-833 | O98111 | 14 | 817-819 | P0489 | 15 | 794 | ||
| O669 | 14 | 817-819 | O98111 | 14 | 831-833 | P049 | 15 | 794 | ||
| O669 | 14 | 831-833 | O98112 | 14 | 817-819 | P0500 | 15 | 794 | ||
| O670 | 14 | 998 | O98112 | 14 | 831-833 | P0501 | 15 | 794 | ||
| O678 | 14 | 998 | O98113 | 14 | 817-819 | P0502 | 15 | 794 | ||
| O679 | 14 | 998 | O98113 | 14 | 831-833 | P0503 | 15 | 794 | ||
| O68 | 14 | 998 | O98119 | 14 | 817-819 | P0504 | 15 | 794 | ||
| O690XX0 | 14 | 998 | O98119 | 14 | 831-833 | P0505 | 15 | 794 | ||
| O690XX1 | 14 | 998 | O9812 | 14 | 998 | P0506 | 15 | 794 | ||
| O690XX2 | 14 | 998 | O9813 | 14 | 769 | P0507 | 15 | 794 | ||
| O690XX3 | 14 | 998 | O9813 | 14 | 776 | P0508 | 15 | 795 | ||
| O690XX4 | 14 | 998 | O98211 | 14 | 817-819 | P0509 | 15 | 794 | ||
| O690XX5 | 14 | 998 | O98211 | 14 | 831-833 | P0510 | 15 | 794 | ||
| O690XX9 | 14 | 998 | O98212 | 14 | 817-819 | P0511 | 15 | 791 | ||
| O691XX0 | 14 | 998 | O98212 | 14 | 831-833 | P0511 | 15 | 793 | ||
| O691XX1 | 14 | 998 | O98213 | 14 | 817-819 | P0512 | 15 | 791 | ||
| O691XX2 | 14 | 998 | O98213 | 14 | 831-833 | P0512 | 15 | 793 | ||
| O691XX3 | 14 | 998 | O98219 | 14 | 817-819 | P0513 | 15 | 791 | ||
| O691XX4 | 14 | 998 | O98219 | 14 | 831-833 | P0513 | 15 | 793 | ||
| O691XX5 | 14 | 998 | O9822 | 14 | 998 | P0514 | 15 | 791 | ||
| O691XX9 | 14 | 998 | O9823 | 14 | 769 | P0514 | 15 | 793 | ||
| O692XX0 | 14 | 998 | O9823 | 14 | 776 | P0515 | 15 | 791 | ||
| O692XX1 | 14 | 998 | O98311 | 14 | 817-819 | P0515 | 15 | 793 | ||
| O692XX2 | 14 | 998 | O98311 | 14 | 831-833 | P0516 | 15 | 791 | ||
| O692XX3 | 14 | 998 | O98312 | 14 | 817-819 | P0516 | 15 | 793 | ||
| O692XX4 | 14 | 998 | O98312 | 14 | 831-833 | P0517 | 15 | 791 | ||
| O692XX5 | 14 | 998 | O98313 | 14 | 817-819 | P0517 | 15 | 793 | ||
| O692XX9 | 14 | 998 | O98313 | 14 | 831-833 | P0518 | 15 | 795 | ||
| O693XX0 | 14 | 998 | O98319 | 14 | 817-819 | P0519 | 15 | 794 | ||
| O693XX1 | 14 | 998 | O98319 | 14 | 831-833 | P052 | 15 | 791 | ||
| O693XX2 | 14 | 998 | O9832 | 14 | 998 | P052 | 15 | 793 | ||
| O693XX3 | 14 | 998 | O9833 | 14 | 769 | P059 | 15 | 794 | ||
| O693XX4 | 14 | 998 | O9833 | 14 | 776 | P0700 | 15 | 790 | ||
| O693XX5 | 14 | 998 | O98411 | 14 | 817-819 | P0701 | 15 | 790 | ||
| O693XX9 | 14 | 998 | O98411 | 14 | 831-833 | P0702 | 15 | 790 | ||
| O694XX0 | 14 | 998 | O98412 | 14 | 817-819 | P0703 | 15 | 790 | ||
| O694XX1 | 14 | 998 | O98412 | 14 | 831-833 | P0710 | 15 | 791-792 | ||
| O694XX2 | 14 | 998 | O98413 | 14 | 817-819 | P0714 | 15 | 791-792 | ||
| O694XX3 | 14 | 998 | O98413 | 14 | 831-833 | P0715 | 15 | 791-792 | ||
| O694XX4 | 14 | 998 | O98419 | 14 | 817-819 | P0716 | 15 | 791-792 | ||
| O694XX5 | 14 | 998 | O98419 | 14 | 831-833 | P0717 | 15 | 791-792 | ||
| O694XX9 | 14 | 998 | O9842 | 14 | 998 | P0718 | 15 | 791-792 | ||
| O695XX0 | 14 | 998 | O9843 | 14 | 769 | P0720 | 15 | 790 | ||
| O695XX1 | 14 | 998 | O9843 | 14 | 776 | P0721 | 15 | 790 | ||
| O695XX2 | 14 | 998 | O98511 | 14 | 817-819 | P0722 | 15 | 790 | ||
| O695XX3 | 14 | 998 | O98511 | 14 | 831-833 | P0723 | 15 | 790 | ||
| O695XX4 | 14 | 998 | O98512 | 14 | 817-819 | P0724 | 15 | 790 | ||
| O695XX5 | 14 | 998 | O98512 | 14 | 831-833 | P0725 | 15 | 790 | ||
| O695XX9 | 14 | 998 | O98513 | 14 | 817-819 | P0726 | 15 | 790 | ||
| O6981X0 | 14 | 998 | O98513 | 14 | 831-833 | P0730 | 15 | 791-792 | ||
| O6981X1 | 14 | 998 | O98519 | 14 | 817-819 | P0731 | 15 | 791-792 | ||
| O6981X2 | 14 | 998 | O98519 | 14 | 831-833 | P0732 | 15 | 791-792 | ||
| O6981X3 | 14 | 998 | O9852 | 14 | 998 | P0733 | 15 | 791-792 | ||
| O6981X4 | 14 | 998 | O9853 | 14 | 769 | P0734 | 15 | 791-792 | ||
| O6981X5 | 14 | 998 | O9853 | 14 | 776 | P0735 | 15 | 791-792 | ||
| O6981X9 | 14 | 998 | O98611 | 14 | 817-819 | P0736 | 15 | 791-792 | ||
| O6982X0 | 14 | 998 | O98611 | 14 | 831-833 | P0737 | 15 | 791-792 | ||
| O6982X1 | 14 | 998 | O98612 | 14 | 817-819 | P0738 | 15 | 791-792 | ||
| O6982X2 | 14 | 998 | O98612 | 14 | 831-833 | P0739 | 15 | 791-792 | ||
| O6982X3 | 14 | 998 | O98613 | 14 | 817-819 | P080 | 15 | 795 | ||
| O6982X4 | 14 | 998 | O98613 | 14 | 831-833 | P081 | 15 | 795 | ||
| O6982X5 | 14 | 998 | O98619 | 14 | 817-819 | P0821 | 15 | 795 | ||
| O6982X9 | 14 | 998 | O98619 | 14 | 831-833 | P0822 | 15 | 795 | ||
| O6989X0 | 14 | 998 | O9862 | 14 | 998 | P091 | 23 | 947-948 | ||
| O6989X1 | 14 | 998 | O9863 | 14 | 769 | P092 | 23 | 947-948 | ||
| O6989X2 | 14 | 998 | O9863 | 14 | 776 | P093 | 23 | 947-948 | ||
| O6989X3 | 14 | 998 | O98711 | 14 | 817-819 | P094 | 23 | 947-948 | ||
| O6989X4 | 14 | 998 | O98711 | 14 | 831-833 | P095 | 23 | 947-948 | ||
| O6989X5 | 14 | 998 | O98712 | 14 | 817-819 | P096 | 23 | 947-948 | ||
| O6989X9 | 14 | 998 | O98712 | 14 | 831-833 | P098 | 23 | 947-948 | ||
| O699XX0 | 14 | 998 | O98713 | 14 | 817-819 | P099 | 23 | 947-948 | ||
| O699XX1 | 14 | 998 | O98713 | 14 | 831-833 | P100 | 15 | 791 | ||
| O699XX2 | 14 | 998 | O98719 | 14 | 817-819 | P100 | 15 | 793 | ||
| O699XX3 | 14 | 998 | O98719 | 14 | 831-833 | P101 | 15 | 791 | ||
| O699XX4 | 14 | 998 | O9872 | 14 | 998 | P101 | 15 | 793 | ||
| O699XX5 | 14 | 998 | O9873 | 14 | 769 | P102 | 15 | 791 | ||
| O699XX9 | 14 | 998 | O9873 | 14 | 776 | P102 | 15 | 793 | ||
| O700 | 14 | 769 | O98811 | 14 | 817-819 | P103 | 15 | 791 | ||
| O700 | 14 | 776 | O98811 | 14 | 831-833 | P103 | 15 | 793 | ||
| O701 | 14 | 769 | O98812 | 14 | 817-819 | P104 | 15 | 791 | ||
| O701 | 14 | 776 | O98812 | 14 | 831-833 | P104 | 15 | 793 | ||
| O7020 | 14 | 769 | O98813 | 14 | 817-819 | P108 | 15 | 791 | ||
| O7020 | 14 | 776 | O98813 | 14 | 831-833 | P108 | 15 | 793 | ||
| O7021 | 14 | 769 | O98819 | 14 | 817-819 | P109 | 15 | 791 | ||
| O7021 | 14 | 776 | O98819 | 14 | 831-833 | P109 | 15 | 793 | ||
| O7022 | 14 | 769 | O9882 | 14 | 998 | P110 | 15 | 791 | ||
| O7022 | 14 | 776 | O9883 | 14 | 769 | P110 | 15 | 793 | ||
| O7023 | 14 | 769 | O9883 | 14 | 776 | P111 | 15 | 794 | ||
| O7023 | 14 | 776 | O98911 | 14 | 817-819 | P112 | 15 | 791 | ||
| O703 | 14 | 769 | O98911 | 14 | 831-833 | P112 | 15 | 793 | ||
| O703 | 14 | 776 | O98912 | 14 | 817-819 | P113 | 15 | 794 | ||
| O704 | 14 | 769 | O98912 | 14 | 831-833 | P114 | 15 | 791 | ||
| O704 | 14 | 776 | O98913 | 14 | 817-819 | P114 | 15 | 793 | ||
| O709 | 14 | 769 | O98913 | 14 | 831-833 | P115 | 15 | 791 | ||
| O709 | 14 | 776 | O98919 | 14 | 817-819 | P115 | 15 | 793 | ||
| O7100 | 14 | 817-819 | O98919 | 14 | 831-833 | P119 | 15 | 791 | ||
| O7100 | 14 | 831-833 | O9892 | 14 | 998 | P119 | 15 | 793 | ||
| O7102 | 14 | 817-819 | O9893 | 14 | 769 | P120 | 15 | 795 | ||
| O7102 | 14 | 831-833 | O9893 | 14 | 776 | P121 | 15 | 795 | ||
| O7103 | 14 | 817-819 | O99011 | 14 | 817-819 | P122 | 15 | 791 | ||
| O7103 | 14 | 831-833 | O99011 | 14 | 831-833 | P122 | 15 | 793 | ||
| O711 | 14 | 817-819 | O99012 | 14 | 817-819 | P123 | 15 | 795 | ||
| O711 | 14 | 831-833 | O99012 | 14 | 831-833 | P124 | 15 | 795 | ||
| O712 | 14 | 769 | O99013 | 14 | 817-819 | P1281 | 15 | 795 | ||
| O712 | 14 | 776 | O99013 | 14 | 831-833 | P1289 | 15 | 795 | ||
| O713 | 14 | 769 | O99019 | 14 | 817-819 | P129 | 15 | 795 | ||
| O713 | 14 | 776 | O99019 | 14 | 831-833 | P130 | 15 | 794 | ||
| O714 | 14 | 769 | O9902 | 14 | 998 | P131 | 15 | 794 | ||
| O714 | 14 | 776 | O9903 | 14 | 769 | P132 | 15 | 794 | ||
| O715 | 14 | 769 | O9903 | 14 | 776 | P133 | 15 | 794 | ||
| O715 | 14 | 776 | O99111 | 14 | 817-819 | P134 | 15 | 794 | ||
| O716 | 14 | 769 | O99111 | 14 | 831-833 | P138 | 15 | 794 | ||
| O716 | 14 | 776 | O99112 | 14 | 817-819 | P139 | 15 | 794 | ||
| O717 | 14 | 769 | O99112 | 14 | 831-833 | P140 | 15 | 794 | ||
| O717 | 14 | 776 | O99113 | 14 | 817-819 | P141 | 15 | 794 | ||
| O7181 | 14 | 817-819 | O99113 | 14 | 831-833 | P142 | 15 | 791 | ||
| O7181 | 14 | 831-833 | O99119 | 14 | 817-819 | P142 | 15 | 793 | ||
| O7182 | 14 | 769 | O99119 | 14 | 831-833 | P143 | 15 | 794 | ||
| O7182 | 14 | 776 | O9912 | 14 | 998 | P148 | 15 | 791 | ||
| O7189 | 14 | 769 | O9913 | 14 | 769 | P148 | 15 | 793 | ||
| O7189 | 14 | 776 | O9913 | 14 | 776 | P149 | 15 | 791 | ||
| O719 | 14 | 769 | O99210 | 14 | 817-819 | P149 | 15 | 793 | ||
| O719 | 14 | 776 | O99210 | 14 | 831-833 | P150 | 15 | 794 | ||
| O720 | 14 | 769 | O99211 | 14 | 817-819 | P151 | 15 | 794 | ||
| O720 | 14 | 776 | O99211 | 14 | 831-833 | P152 | 15 | 794 | ||
| O721 | 14 | 769 | O99212 | 14 | 817-819 | P153 | 15 | 794 | ||
| O721 | 14 | 776 | O99212 | 14 | 831-833 | P154 | 15 | 794 | ||
| O722 | 14 | 769 | O99213 | 14 | 817-819 | P155 | 15 | 794 | ||
| O722 | 14 | 776 | O99213 | 14 | 831-833 | P156 | 15 | 794 | ||
| O723 | 14 | 769 | O99214 | 14 | 998 | P158 | 15 | 794 | ||
| O723 | 14 | 776 | O99215 | 14 | 769 | P159 | 15 | 794 | ||
| O730 | 14 | 769 | O99215 | 14 | 776 | P190 | 15 | 794 | ||
| O730 | 14 | 776 | O99280 | 14 | 817-819 | P191 | 15 | 794 | ||
| O731 | 14 | 769 | O99280 | 14 | 831-833 | P192 | 15 | 794 | ||
| O731 | 14 | 776 | O99281 | 14 | 817-819 | P199 | 15 | 794 | ||
| O740 | 14 | 998 | O99281 | 14 | 831-833 | P220 | 15 | 790 | ||
| O741 | 14 | 998 | O99282 | 14 | 817-819 | P221 | 15 | 794 | ||
| O742 | 14 | 998 | O99282 | 14 | 831-833 | P228 | 15 | 794 | ||
| O743 | 14 | 998 | O99283 | 14 | 817-819 | P229 | 15 | 794 | ||
| O744 | 14 | 998 | O99283 | 14 | 831-833 | P230 | 15 | 791 | ||
| O745 | 14 | 998 | O99284 | 14 | 998 | P230 | 15 | 793 | ||
| O746 | 14 | 998 | O99285 | 14 | 769 | P231 | 15 | 791 | ||
| O747 | 14 | 998 | O99285 | 14 | 776 | P231 | 15 | 793 | ||
| O748 | 14 | 998 | O99310 | 14 | 817-819 | P232 | 15 | 791 | ||
| O749 | 14 | 998 | O99310 | 14 | 831-833 | P232 | 15 | 793 | ||
| O750 | 14 | 998 | O99311 | 14 | 817-819 | P233 | 15 | 791 | ||
| O751 | 14 | 998 | O99311 | 14 | 831-833 | P233 | 15 | 793 | ||
| O752 | 14 | 817-819 | O99312 | 14 | 817-819 | P234 | 15 | 791 | ||
| O752 | 14 | 831-833 | O99312 | 14 | 831-833 | P234 | 15 | 793 | ||
| O753 | 14 | 817-819 | O99313 | 14 | 817-819 | P235 | 15 | 791 | ||
| O753 | 14 | 831-833 | O99313 | 14 | 831-833 | P235 | 15 | 793 | ||
| O754 | 14 | 769 | O99314 | 14 | 998 | P236 | 15 | 791 | ||
| O754 | 14 | 776 | O99315 | 14 | 769 | P236 | 15 | 793 | ||
| O755 | 14 | 998 | O99315 | 14 | 776 | P238 | 15 | 791 | ||
| O7581 | 14 | 998 | O99320 | 14 | 817-819 | P238 | 15 | 793 | ||
| O7582 | 14 | 998 | O99320 | 14 | 831-833 | P239 | 15 | 791 | ||
| O7589 | 14 | 998 | O99321 | 14 | 817-819 | P239 | 15 | 793 | ||
| O759 | 14 | 998 | O99321 | 14 | 831-833 | P2400 | 15 | 791 | ||
| O76 | 14 | 998 | O99322 | 14 | 817-819 | P2400 | 15 | 793 | ||
| O770 | 14 | 998 | O99322 | 14 | 831-833 | P2401 | 15 | 791 | ||
| O771 | 14 | 998 | O99323 | 14 | 817-819 | P2401 | 15 | 793 | ||
| O778 | 14 | 998 | O99323 | 14 | 831-833 | P2410 | 15 | 791 | ||
| O779 | 14 | 998 | O99324 | 14 | 998 | P2410 | 15 | 793 | ||
| O80 | 14 | 998 | O99325 | 14 | 769 | P2411 | 15 | 791 | ||
| O82 | 14 | 998 | O99325 | 14 | 776 | P2411 | 15 | 793 | ||
| O85 | 14 | 769 | O99330 | 14 | 817-819 | P2420 | 15 | 791 | ||
| O85 | 14 | 776 | O99330 | 14 | 831-833 | P2420 | 15 | 793 | ||
| O8600 | 14 | 769 | O99331 | 14 | 817-819 | P2421 | 15 | 791 | ||
| O8600 | 14 | 776 | O99331 | 14 | 831-833 | P2421 | 15 | 793 | ||
| O8601 | 14 | 769 | O99332 | 14 | 817-819 | P2430 | 15 | 791 | ||
| O8601 | 14 | 776 | O99332 | 14 | 831-833 | P2430 | 15 | 793 | ||
| O8602 | 14 | 769 | O99333 | 14 | 817-819 | P2431 | 15 | 791 | ||
| O8602 | 14 | 776 | O99333 | 14 | 831-833 | P2431 | 15 | 793 | ||
| O8603 | 14 | 769 | O99334 | 14 | 998 | P2480 | 15 | 791 | ||
| O8603 | 14 | 776 | O99335 | 14 | 769 | P2480 | 15 | 793 | ||
| O8604 | 14 | 769 | O99335 | 14 | 776 | P2481 | 15 | 791 | ||
| O8604 | 14 | 776 | O99340 | 14 | 817-819 | P2481 | 15 | 793 | ||
| O8609 | 14 | 769 | O99340 | 14 | 831-833 | P249 | 15 | 791 | ||
| O8609 | 14 | 776 | O99341 | 14 | 817-819 | P249 | 15 | 793 | ||
| O8611 | 14 | 769 | O99341 | 14 | 831-833 | P250 | 15 | 791 | ||
| O8611 | 14 | 776 | O99342 | 14 | 817-819 | P250 | 15 | 793 | ||
| O8612 | 14 | 769 | O99342 | 14 | 831-833 | P251 | 15 | 791 | ||
| O8612 | 14 | 776 | O99343 | 14 | 817-819 | P251 | 15 | 793 | ||
| O8613 | 14 | 769 | O99343 | 14 | 831-833 | P252 | 15 | 791 | ||
| O8613 | 14 | 776 | O99344 | 14 | 998 | P252 | 15 | 793 | ||
| O8619 | 14 | 769 | O99345 | 14 | 769 | P253 | 15 | 791 | ||
| O8619 | 14 | 776 | O99345 | 14 | 776 | P253 | 15 | 793 | ||
| O8620 | 14 | 769 | O99350 | 14 | 817-819 | P258 | 15 | 791 | ||
| O8620 | 14 | 776 | O99350 | 14 | 831-833 | P258 | 15 | 793 | ||
| O8621 | 14 | 769 | O99351 | 14 | 817-819 | P260 | 15 | 791 | ||
| O8621 | 14 | 776 | O99351 | 14 | 831-833 | P260 | 15 | 793 | ||
| O8622 | 14 | 769 | O99352 | 14 | 817-819 | P261 | 15 | 791 | ||
| O8622 | 14 | 776 | O99352 | 14 | 831-833 | P261 | 15 | 793 | ||
| O8629 | 14 | 769 | O99353 | 14 | 817-819 | P268 | 15 | 791 | ||
| O8629 | 14 | 776 | O99353 | 14 | 831-833 | P268 | 15 | 793 | ||
| O864 | 14 | 769 | O99354 | 14 | 998 | P269 | 15 | 791 | ||
| O864 | 14 | 776 | O99355 | 14 | 769 | P269 | 15 | 793 | ||
| O8681 | 14 | 769 | O99355 | 14 | 776 | P270 | 04 | 196-198 | ||
| O8681 | 14 | 776 | O99411 | 14 | 817-819 | P271 | 04 | 196-198 | ||
| O8689 | 14 | 769 | O99411 | 14 | 831-833 | P278 | 04 | 196-198 | ||
| O8689 | 14 | 776 | O99412 | 14 | 817-819 | P279 | 04 | 196-198 | ||
| O870 | 14 | 769 | O99412 | 14 | 831-833 | P280 | 15 | 791 | ||
| O870 | 14 | 776 | O99413 | 14 | 817-819 | P280 | 15 | 793 | ||
| O871 | 14 | 769 | O99413 | 14 | 831-833 | P2810 | 15 | 794 | ||
| O871 | 14 | 776 | O99419 | 14 | 817-819 | P2811 | 15 | 794 | ||
| O872 | 14 | 769 | O99419 | 14 | 831-833 | P2819 | 15 | 794 | ||
| O872 | 14 | 776 | O9942 | 14 | 998 | P282 | 15 | 794 | ||
| O873 | 14 | 769 | O9943 | 14 | 769 | P2830 | 15 | 794 | ||
| O873 | 14 | 776 | O9943 | 14 | 776 | P2831 | 15 | 794 | ||
| O874 | 14 | 769 | O99511 | 14 | 817-819 | P2832 | 15 | 794 | ||
| O874 | 14 | 776 | O99511 | 14 | 831-833 | P2833 | 15 | 794 | ||
| O878 | 14 | 769 | O99512 | 14 | 817-819 | P2839 | 15 | 794 | ||
| O878 | 14 | 776 | O99512 | 14 | 831-833 | P2840 | 15 | 794 | ||
| O879 | 14 | 769 | O99513 | 14 | 817-819 | P2841 | 15 | 794 | ||
| O879 | 14 | 776 | O99513 | 14 | 831-833 | P2842 | 15 | 794 | ||
| O88011 | 14 | 817-819 | O99519 | 14 | 817-819 | P2843 | 15 | 794 | ||
| O88011 | 14 | 831-833 | O99519 | 14 | 831-833 | P2849 | 15 | 794 | ||
| O88012 | 14 | 817-819 | O9952 | 14 | 998 | P285 | 15 | 791 | ||
| O88012 | 14 | 831-833 | O9953 | 14 | 769 | P285 | 15 | 793 | ||
| O88013 | 14 | 817-819 | O9953 | 14 | 776 | P2881 | 15 | 794 | ||
| O88013 | 14 | 831-833 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 13 Oct 2023 12:52:35 CMS, code-revision=349, description-revision=1375 |