ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 69 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T43013S | 21 | 922-923 | T440X5S | 21 | 922-923 | T45625S | 21 | 922-923 | ||
T43014A | 21 | 917-918 | T440X6A | 23 | 951 | T45626A | 23 | 951 | ||
T43014D | 23 | 949-950 | T440X6D | 23 | 949-950 | T45626D | 23 | 949-950 | ||
T43014S | 21 | 922-923 | T440X6S | 23 | 949-950 | T45626S | 23 | 949-950 | ||
T43015A | 15 | 791 | T441X1A | 21 | 917-918 | T45691A | 21 | 917-918 | ||
T43015A | 15 | 793 | T441X1D | 23 | 949-950 | T45691D | 23 | 949-950 | ||
T43015A | 21 | 917-918 | T441X1S | 21 | 922-923 | T45691S | 21 | 922-923 | ||
T43015D | 23 | 949-950 | T441X2A | 21 | 917-918 | T45692A | 21 | 917-918 | ||
T43015S | 21 | 922-923 | T441X2D | 23 | 949-950 | T45692D | 23 | 949-950 | ||
T43016A | 23 | 951 | T441X2S | 21 | 922-923 | T45692S | 21 | 922-923 | ||
T43016D | 23 | 949-950 | T441X3A | 21 | 917-918 | T45693A | 21 | 917-918 | ||
T43016S | 23 | 949-950 | T441X3D | 23 | 949-950 | T45693D | 23 | 949-950 | ||
T43021A | 21 | 917-918 | T441X3S | 21 | 922-923 | T45693S | 21 | 922-923 | ||
T43021D | 23 | 949-950 | T441X4A | 21 | 917-918 | T45694A | 21 | 917-918 | ||
T43021S | 21 | 922-923 | T441X4D | 23 | 949-950 | T45694D | 23 | 949-950 | ||
T43022A | 21 | 917-918 | T441X4S | 21 | 922-923 | T45694S | 21 | 922-923 | ||
T43022D | 23 | 949-950 | T441X5A | 15 | 791 | T45695A | 15 | 791 | ||
T43022S | 21 | 922-923 | T441X5A | 15 | 793 | T45695A | 15 | 793 | ||
T43023A | 21 | 917-918 | T441X5A | 21 | 917-918 | T45695A | 21 | 917-918 | ||
T43023D | 23 | 949-950 | T441X5D | 23 | 949-950 | T45695D | 23 | 949-950 | ||
T43023S | 21 | 922-923 | T441X5S | 21 | 922-923 | T45695S | 21 | 922-923 | ||
T43024A | 21 | 917-918 | T441X6A | 23 | 951 | T45696A | 23 | 951 | ||
T43024D | 23 | 949-950 | T441X6D | 23 | 949-950 | T45696D | 23 | 949-950 | ||
T43024S | 21 | 922-923 | T441X6S | 23 | 949-950 | T45696S | 23 | 949-950 | ||
T43025A | 15 | 791 | T442X1A | 21 | 917-918 | T457X1A | 21 | 917-918 | ||
T43025A | 15 | 793 | T442X1D | 23 | 949-950 | T457X1D | 23 | 949-950 | ||
T43025A | 21 | 917-918 | T442X1S | 21 | 922-923 | T457X1S | 21 | 922-923 | ||
T43025D | 23 | 949-950 | T442X2A | 21 | 917-918 | T457X2A | 21 | 917-918 | ||
T43025S | 21 | 922-923 | T442X2D | 23 | 949-950 | T457X2D | 23 | 949-950 | ||
T43026A | 23 | 951 | T442X2S | 21 | 922-923 | T457X2S | 21 | 922-923 | ||
T43026D | 23 | 949-950 | T442X3A | 21 | 917-918 | T457X3A | 21 | 917-918 | ||
T43026S | 23 | 949-950 | T442X3D | 23 | 949-950 | T457X3D | 23 | 949-950 | ||
T431X1A | 21 | 917-918 | T442X3S | 21 | 922-923 | T457X3S | 21 | 922-923 | ||
T431X1D | 23 | 949-950 | T442X4A | 21 | 917-918 | T457X4A | 21 | 917-918 | ||
T431X1S | 21 | 922-923 | T442X4D | 23 | 949-950 | T457X4D | 23 | 949-950 | ||
T431X2A | 21 | 917-918 | T442X4S | 21 | 922-923 | T457X4S | 21 | 922-923 | ||
T431X2D | 23 | 949-950 | T442X5A | 15 | 791 | T457X5A | 15 | 791 | ||
T431X2S | 21 | 922-923 | T442X5A | 15 | 793 | T457X5A | 15 | 793 | ||
T431X3A | 21 | 917-918 | T442X5A | 21 | 917-918 | T457X5A | 21 | 917-918 | ||
T431X3D | 23 | 949-950 | T442X5D | 23 | 949-950 | T457X5D | 23 | 949-950 | ||
T431X3S | 21 | 922-923 | T442X5S | 21 | 922-923 | T457X5S | 21 | 922-923 | ||
T431X4A | 21 | 917-918 | T442X6A | 23 | 951 | T457X6A | 23 | 951 | ||
T431X4D | 23 | 949-950 | T442X6D | 23 | 949-950 | T457X6D | 23 | 949-950 | ||
T431X4S | 21 | 922-923 | T442X6S | 23 | 949-950 | T457X6S | 23 | 949-950 | ||
T431X5A | 15 | 791 | T443X1A | 21 | 917-918 | T458X1A | 21 | 917-918 | ||
T431X5A | 15 | 793 | T443X1D | 23 | 949-950 | T458X1D | 23 | 949-950 | ||
T431X5A | 21 | 917-918 | T443X1S | 21 | 922-923 | T458X1S | 21 | 922-923 | ||
T431X5D | 23 | 949-950 | T443X2A | 21 | 917-918 | T458X2A | 21 | 917-918 | ||
T431X5S | 21 | 922-923 | T443X2D | 23 | 949-950 | T458X2D | 23 | 949-950 | ||
T431X6A | 23 | 951 | T443X2S | 21 | 922-923 | T458X2S | 21 | 922-923 | ||
T431X6D | 23 | 949-950 | T443X3A | 21 | 917-918 | T458X3A | 21 | 917-918 | ||
T431X6S | 23 | 949-950 | T443X3D | 23 | 949-950 | T458X3D | 23 | 949-950 | ||
T43201A | 21 | 917-918 | T443X3S | 21 | 922-923 | T458X3S | 21 | 922-923 | ||
T43201D | 23 | 949-950 | T443X4A | 21 | 917-918 | T458X4A | 21 | 917-918 | ||
T43201S | 21 | 922-923 | T443X4D | 23 | 949-950 | T458X4D | 23 | 949-950 | ||
T43202A | 21 | 917-918 | T443X4S | 21 | 922-923 | T458X4S | 21 | 922-923 | ||
T43202D | 23 | 949-950 | T443X5A | 15 | 791 | T458X5A | 15 | 791 | ||
T43202S | 21 | 922-923 | T443X5A | 15 | 793 | T458X5A | 15 | 793 | ||
T43203A | 21 | 917-918 | T443X5A | 21 | 917-918 | T458X5A | 21 | 917-918 | ||
T43203D | 23 | 949-950 | T443X5D | 23 | 949-950 | T458X5D | 23 | 949-950 | ||
T43203S | 21 | 922-923 | T443X5S | 21 | 922-923 | T458X5S | 21 | 922-923 | ||
T43204A | 21 | 917-918 | T443X6A | 23 | 951 | T458X6A | 23 | 951 | ||
T43204D | 23 | 949-950 | T443X6D | 23 | 949-950 | T458X6D | 23 | 949-950 | ||
T43204S | 21 | 922-923 | T443X6S | 23 | 949-950 | T458X6S | 23 | 949-950 | ||
T43205A | 15 | 791 | T444X1A | 21 | 917-918 | T4591XA | 21 | 917-918 | ||
T43205A | 15 | 793 | T444X1D | 23 | 949-950 | T4591XD | 23 | 949-950 | ||
T43205A | 21 | 917-918 | T444X1S | 21 | 922-923 | T4591XS | 21 | 922-923 | ||
T43205D | 23 | 949-950 | T444X2A | 21 | 917-918 | T4592XA | 21 | 917-918 | ||
T43205S | 21 | 922-923 | T444X2D | 23 | 949-950 | T4592XD | 23 | 949-950 | ||
T43206A | 23 | 951 | T444X2S | 21 | 922-923 | T4592XS | 21 | 922-923 | ||
T43206D | 23 | 949-950 | T444X3A | 21 | 917-918 | T4593XA | 21 | 917-918 | ||
T43206S | 23 | 949-950 | T444X3D | 23 | 949-950 | T4593XD | 23 | 949-950 | ||
T43211A | 21 | 917-918 | T444X3S | 21 | 922-923 | T4593XS | 21 | 922-923 | ||
T43211D | 23 | 949-950 | T444X4A | 21 | 917-918 | T4594XA | 21 | 917-918 | ||
T43211S | 21 | 922-923 | T444X4D | 23 | 949-950 | T4594XD | 23 | 949-950 | ||
T43212A | 21 | 917-918 | T444X4S | 21 | 922-923 | T4594XS | 21 | 922-923 | ||
T43212D | 23 | 949-950 | T444X5A | 15 | 791 | T4595XA | 15 | 791 | ||
T43212S | 21 | 922-923 | T444X5A | 15 | 793 | T4595XA | 15 | 793 | ||
T43213A | 21 | 917-918 | T444X5A | 21 | 917-918 | T4595XA | 21 | 917-918 | ||
T43213D | 23 | 949-950 | T444X5D | 23 | 949-950 | T4595XD | 23 | 949-950 | ||
T43213S | 21 | 922-923 | T444X5S | 21 | 922-923 | T4595XS | 21 | 922-923 | ||
T43214A | 21 | 917-918 | T444X6A | 23 | 951 | T4596XA | 23 | 951 | ||
T43214D | 23 | 949-950 | T444X6D | 23 | 949-950 | T4596XD | 23 | 949-950 | ||
T43214S | 21 | 922-923 | T444X6S | 23 | 949-950 | T4596XS | 23 | 949-950 | ||
T43215A | 15 | 791 | T445X1A | 21 | 917-918 | T460X1A | 21 | 917-918 | ||
T43215A | 15 | 793 | T445X1D | 23 | 949-950 | T460X1D | 23 | 949-950 | ||
T43215A | 21 | 917-918 | T445X1S | 21 | 922-923 | T460X1S | 21 | 922-923 | ||
T43215D | 23 | 949-950 | T445X2A | 21 | 917-918 | T460X2A | 21 | 917-918 | ||
T43215S | 21 | 922-923 | T445X2D | 23 | 949-950 | T460X2D | 23 | 949-950 | ||
T43216A | 23 | 951 | T445X2S | 21 | 922-923 | T460X2S | 21 | 922-923 | ||
T43216D | 23 | 949-950 | T445X3A | 21 | 917-918 | T460X3A | 21 | 917-918 | ||
T43216S | 23 | 949-950 | T445X3D | 23 | 949-950 | T460X3D | 23 | 949-950 | ||
T43221A | 21 | 917-918 | T445X3S | 21 | 922-923 | T460X3S | 21 | 922-923 | ||
T43221D | 23 | 949-950 | T445X4A | 21 | 917-918 | T460X4A | 21 | 917-918 | ||
T43221S | 21 | 922-923 | T445X4D | 23 | 949-950 | T460X4D | 23 | 949-950 | ||
T43222A | 21 | 917-918 | T445X4S | 21 | 922-923 | T460X4S | 21 | 922-923 | ||
T43222D | 23 | 949-950 | T445X5A | 15 | 791 | T460X5A | 15 | 791 | ||
T43222S | 21 | 922-923 | T445X5A | 15 | 793 | T460X5A | 15 | 793 | ||
T43223A | 21 | 917-918 | T445X5A | 21 | 917-918 | T460X5A | 21 | 917-918 | ||
T43223D | 23 | 949-950 | T445X5D | 23 | 949-950 | T460X5D | 23 | 949-950 | ||
T43223S | 21 | 922-923 | T445X5S | 21 | 922-923 | T460X5S | 21 | 922-923 | ||
T43224A | 21 | 917-918 | T445X6A | 23 | 951 | T460X6A | 23 | 951 | ||
T43224D | 23 | 949-950 | T445X6D | 23 | 949-950 | T460X6D | 23 | 949-950 | ||
T43224S | 21 | 922-923 | T445X6S | 23 | 949-950 | T460X6S | 23 | 949-950 | ||
T43225A | 15 | 791 | T446X1A | 21 | 917-918 | T461X1A | 21 | 917-918 | ||
T43225A | 15 | 793 | T446X1D | 23 | 949-950 | T461X1D | 23 | 949-950 | ||
T43225A | 21 | 917-918 | T446X1S | 21 | 922-923 | T461X1S | 21 | 922-923 | ||
T43225D | 23 | 949-950 | T446X2A | 21 | 917-918 | T461X2A | 21 | 917-918 | ||
T43225S | 21 | 922-923 | T446X2D | 23 | 949-950 | T461X2D | 23 | 949-950 | ||
T43226A | 23 | 951 | T446X2S | 21 | 922-923 | T461X2S | 21 | 922-923 | ||
T43226D | 23 | 949-950 | T446X3A | 21 | 917-918 | T461X3A | 21 | 917-918 | ||
T43226S | 23 | 949-950 | T446X3D | 23 | 949-950 | T461X3D | 23 | 949-950 | ||
T43291A | 21 | 917-918 | T446X3S | 21 | 922-923 | T461X3S | 21 | 922-923 | ||
T43291D | 23 | 949-950 | T446X4A | 21 | 917-918 | T461X4A | 21 | 917-918 | ||
T43291S | 21 | 922-923 | T446X4D | 23 | 949-950 | T461X4D | 23 | 949-950 | ||
T43292A | 21 | 917-918 | T446X4S | 21 | 922-923 | T461X4S | 21 | 922-923 | ||
T43292D | 23 | 949-950 | T446X5A | 15 | 791 | T461X5A | 15 | 791 | ||
T43292S | 21 | 922-923 | T446X5A | 15 | 793 | T461X5A | 15 | 793 | ||
T43293A | 21 | 917-918 | T446X5A | 21 | 917-918 | T461X5A | 21 | 917-918 | ||
T43293D | 23 | 949-950 | T446X5D | 23 | 949-950 | T461X5D | 23 | 949-950 | ||
T43293S | 21 | 922-923 | T446X5S | 21 | 922-923 | T461X5S | 21 | 922-923 | ||
T43294A | 21 | 917-918 | T446X6A | 23 | 951 | T461X6A | 23 | 951 | ||
T43294D | 23 | 949-950 | T446X6D | 23 | 949-950 | T461X6D | 23 | 949-950 | ||
T43294S | 21 | 922-923 | T446X6S | 23 | 949-950 | T461X6S | 23 | 949-950 | ||
T43295A | 15 | 791 | T447X1A | 21 | 917-918 | T462X1A | 21 | 917-918 | ||
T43295A | 15 | 793 | T447X1D | 23 | 949-950 | T462X1D | 23 | 949-950 | ||
T43295A | 21 | 917-918 | T447X1S | 21 | 922-923 | T462X1S | 21 | 922-923 | ||
T43295D | 23 | 949-950 | T447X2A | 21 | 917-918 | T462X2A | 21 | 917-918 | ||
T43295S | 21 | 922-923 | T447X2D | 23 | 949-950 | T462X2D | 23 | 949-950 | ||
T43296A | 23 | 951 | T447X2S | 21 | 922-923 | T462X2S | 21 | 922-923 | ||
T43296D | 23 | 949-950 | T447X3A | 21 | 917-918 | T462X3A | 21 | 917-918 | ||
T43296S | 23 | 949-950 | T447X3D | 23 | 949-950 | T462X3D | 23 | 949-950 | ||
T433X1A | 21 | 917-918 | T447X3S | 21 | 922-923 | T462X3S | 21 | 922-923 | ||
T433X1D | 23 | 949-950 | T447X4A | 21 | 917-918 | T462X4A | 21 | 917-918 | ||
T433X1S | 21 | 922-923 | T447X4D | 23 | 949-950 | T462X4D | 23 | 949-950 | ||
T433X2A | 21 | 917-918 | T447X4S | 21 | 922-923 | T462X4S | 21 | 922-923 | ||
T433X2D | 23 | 949-950 | T447X5A | 15 | 791 | T462X5A | 15 | 791 | ||
T433X2S | 21 | 922-923 | T447X5A | 15 | 793 | T462X5A | 15 | 793 | ||
T433X3A | 21 | 917-918 | T447X5A | 21 | 917-918 | T462X5A | 21 | 917-918 | ||
T433X3D | 23 | 949-950 | T447X5D | 23 | 949-950 | T462X5D | 23 | 949-950 | ||
T433X3S | 21 | 922-923 | T447X5S | 21 | 922-923 | T462X5S | 21 | 922-923 | ||
T433X4A | 21 | 917-918 | T447X6A | 23 | 951 | T462X6A | 23 | 951 | ||
T433X4D | 23 | 949-950 | T447X6D | 23 | 949-950 | T462X6D | 23 | 949-950 | ||
T433X4S | 21 | 922-923 | T447X6S | 23 | 949-950 | T462X6S | 23 | 949-950 | ||
T433X5A | 15 | 791 | T448X1A | 21 | 917-918 | T463X1A | 21 | 917-918 | ||
T433X5A | 15 | 793 | T448X1D | 23 | 949-950 | T463X1D | 23 | 949-950 | ||
T433X5A | 21 | 917-918 | T448X1S | 21 | 922-923 | T463X1S | 21 | 922-923 | ||
T433X5D | 23 | 949-950 | T448X2A | 21 | 917-918 | T463X2A | 21 | 917-918 | ||
T433X5S | 21 | 922-923 | T448X2D | 23 | 949-950 | T463X2D | 23 | 949-950 | ||
T433X6A | 23 | 951 | T448X2S | 21 | 922-923 | T463X2S | 21 | 922-923 | ||
T433X6D | 23 | 949-950 | T448X3A | 21 | 917-918 | T463X3A | 21 | 917-918 | ||
T433X6S | 23 | 949-950 | T448X3D | 23 | 949-950 | T463X3D | 23 | 949-950 | ||
T434X1A | 21 | 917-918 | T448X3S | 21 | 922-923 | T463X3S | 21 | 922-923 | ||
T434X1D | 23 | 949-950 | T448X4A | 21 | 917-918 | T463X4A | 21 | 917-918 | ||
T434X1S | 21 | 922-923 | T448X4D | 23 | 949-950 | T463X4D | 23 | 949-950 | ||
T434X2A | 21 | 917-918 | T448X4S | 21 | 922-923 | T463X4S | 21 | 922-923 | ||
T434X2D | 23 | 949-950 | T448X5A | 15 | 791 | T463X5A | 15 | 791 | ||
T434X2S | 21 | 922-923 | T448X5A | 15 | 793 | T463X5A | 15 | 793 | ||
T434X3A | 21 | 917-918 | T448X5A | 21 | 917-918 | T463X5A | 21 | 917-918 | ||
T434X3D | 23 | 949-950 | T448X5D | 23 | 949-950 | T463X5D | 23 | 949-950 | ||
T434X3S | 21 | 922-923 | T448X5S | 21 | 922-923 | T463X5S | 21 | 922-923 | ||
T434X4A | 21 | 917-918 | T448X6A | 23 | 951 | T463X6A | 23 | 951 | ||
T434X4D | 23 | 949-950 | T448X6D | 23 | 949-950 | T463X6D | 23 | 949-950 | ||
T434X4S | 21 | 922-923 | T448X6S | 23 | 949-950 | T463X6S | 23 | 949-950 | ||
T434X5A | 15 | 791 | T44901A | 21 | 917-918 | T464X1A | 21 | 917-918 | ||
T434X5A | 15 | 793 | T44901D | 23 | 949-950 | T464X1D | 23 | 949-950 | ||
T434X5A | 21 | 917-918 | T44901S | 21 | 922-923 | T464X1S | 21 | 922-923 | ||
T434X5D | 23 | 949-950 | T44902A | 21 | 917-918 | T464X2A | 21 | 917-918 | ||
T434X5S | 21 | 922-923 | T44902D | 23 | 949-950 | T464X2D | 23 | 949-950 | ||
T434X6A | 23 | 951 | T44902S | 21 | 922-923 | T464X2S | 21 | 922-923 | ||
T434X6D | 23 | 949-950 | T44903A | 21 | 917-918 | T464X3A | 21 | 917-918 | ||
T434X6S | 23 | 949-950 | T44903D | 23 | 949-950 | T464X3D | 23 | 949-950 | ||
T43501A | 21 | 917-918 | T44903S | 21 | 922-923 | T464X3S | 21 | 922-923 | ||
T43501D | 23 | 949-950 | T44904A | 21 | 917-918 | T464X4A | 21 | 917-918 | ||
T43501S | 21 | 922-923 | T44904D | 23 | 949-950 | T464X4D | 23 | 949-950 | ||
T43502A | 21 | 917-918 | T44904S | 21 | 922-923 | T464X4S | 21 | 922-923 | ||
T43502D | 23 | 949-950 | T44905A | 15 | 791 | T464X5A | 15 | 791 | ||
T43502S | 21 | 922-923 | T44905A | 15 | 793 | T464X5A | 15 | 793 | ||
T43503A | 21 | 917-918 | T44905A | 21 | 917-918 | T464X5A | 21 | 917-918 | ||
T43503D | 23 | 949-950 | T44905D | 23 | 949-950 | T464X5D | 23 | 949-950 | ||
T43503S | 21 | 922-923 | T44905S | 21 | 922-923 | T464X5S | 21 | 922-923 | ||
T43504A | 21 | 917-918 | T44906A | 23 | 951 | T464X6A | 23 | 951 | ||
T43504D | 23 | 949-950 | T44906D | 23 | 949-950 | T464X6D | 23 | 949-950 | ||
T43504S | 21 | 922-923 | T44906S | 23 | 949-950 | T464X6S | 23 | 949-950 | ||
T43505A | 15 | 791 | T44991A | 21 | 917-918 | T465X1A | 21 | 917-918 | ||
T43505A | 15 | 793 | T44991D | 23 | 949-950 | T465X1D | 23 | 949-950 | ||
T43505A | 21 | 917-918 | T44991S | 21 | 922-923 | T465X1S | 21 | 922-923 | ||
T43505D | 23 | 949-950 | T44992A | 21 | 917-918 | T465X2A | 21 | 917-918 | ||
T43505S | 21 | 922-923 | T44992D | 23 | 949-950 | T465X2D | 23 | 949-950 | ||
T43506A | 23 | 951 | T44992S | 21 | 922-923 | T465X2S | 21 | 922-923 | ||
T43506D | 23 | 949-950 | T44993A | 21 | 917-918 | T465X3A | 21 | 917-918 | ||
T43506S | 23 | 949-950 | T44993D | 23 | 949-950 | T465X3D | 23 | 949-950 | ||
T43591A | 21 | 917-918 | T44993S | 21 | 922-923 | T465X3S | 21 | 922-923 | ||
T43591D | 23 | 949-950 | T44994A | 21 | 917-918 | T465X4A | 21 | 917-918 | ||
T43591S | 21 | 922-923 | T44994D | 23 | 949-950 | T465X4D | 23 | 949-950 | ||
T43592A | 21 | 917-918 | T44994S | 21 | 922-923 | T465X4S | 21 | 922-923 | ||
T43592D | 23 | 949-950 | T44995A | 15 | 791 | T465X5A | 15 | 791 | ||
T43592S | 21 | 922-923 | T44995A | 15 | 793 | T465X5A | 15 | 793 | ||
T43593A | 21 | 917-918 | T44995A | 21 | 917-918 | T465X5A | 21 | 917-918 | ||
T43593D | 23 | 949-950 | T44995D | 23 | 949-950 | T465X5D | 23 | 949-950 | ||
T43593S | 21 | 922-923 | T44995S | 21 | 922-923 | T465X5S | 21 | 922-923 | ||
T43594A | 21 | 917-918 | T44996A | 23 | 951 | T465X6A | 23 | 951 | ||
T43594D | 23 | 949-950 | T44996D | 23 | 949-950 | T465X6D | 23 | 949-950 | ||
T43594S | 21 | 922-923 | T44996S | 23 | 949-950 | T465X6S | 23 | 949-950 | ||
T43595A | 15 | 791 | T450X1A | 21 | 917-918 | T466X1A | 21 | 917-918 | ||
T43595A | 15 | 793 | T450X1D | 23 | 949-950 | T466X1D | 23 | 949-950 | ||
T43595A | 21 | 917-918 | T450X1S | 21 | 922-923 | T466X1S | 21 | 922-923 | ||
T43595D | 23 | 949-950 | T450X2A | 21 | 917-918 | T466X2A | 21 | 917-918 | ||
T43595S | 21 | 922-923 | T450X2D | 23 | 949-950 | T466X2D | 23 | 949-950 | ||
T43596A | 23 | 951 | T450X2S | 21 | 922-923 | T466X2S | 21 | 922-923 | ||
T43596D | 23 | 949-950 | T450X3A | 21 | 917-918 | T466X3A | 21 | 917-918 | ||
T43596S | 23 | 949-950 | T450X3D | 23 | 949-950 | T466X3D | 23 | 949-950 | ||
T43601A | 21 | 917-918 | T450X3S | 21 | 922-923 | T466X3S | 21 | 922-923 | ||
T43601D | 23 | 949-950 | T450X4A | 21 | 917-918 | T466X4A | 21 | 917-918 | ||
T43601S | 21 | 922-923 | T450X4D | 23 | 949-950 | T466X4D | 23 | 949-950 | ||
T43602A | 21 | 917-918 | T450X4S | 21 | 922-923 | T466X4S | 21 | 922-923 | ||
T43602D | 23 | 949-950 | T450X5A | 15 | 791 | T466X5A | 15 | 791 | ||
T43602S | 21 | 922-923 | T450X5A | 15 | 793 | T466X5A | 15 | 793 | ||
T43603A | 21 | 917-918 | T450X5A | 21 | 917-918 | T466X5A | 21 | 917-918 | ||
T43603D | 23 | 949-950 | T450X5D | 23 | 949-950 | T466X5D | 23 | 949-950 | ||
T43603S | 21 | 922-923 | T450X5S | 21 | 922-923 | T466X5S | 21 | 922-923 | ||
T43604A | 21 | 917-918 | T450X6A | 23 | 951 | T466X6A | 23 | 951 | ||
T43604D | 23 | 949-950 | T450X6D | 23 | 949-950 | T466X6D | 23 | 949-950 | ||
T43604S | 21 | 922-923 | T450X6S | 23 | 949-950 | T466X6S | 23 | 949-950 | ||
T43605A | 15 | 791 | T451X1A | 21 | 917-918 | T467X1A | 21 | 917-918 | ||
T43605A | 15 | 793 | T451X1D | 23 | 949-950 | T467X1D | 23 | 949-950 | ||
T43605A | 21 | 917-918 | T451X1S | 21 | 922-923 | T467X1S | 21 | 922-923 | ||
T43605D | 23 | 949-950 | T451X2A | 21 | 917-918 | T467X2A | 21 | 917-918 | ||
T43605S | 21 | 922-923 | T451X2D | 23 | 949-950 | T467X2D | 23 | 949-950 | ||
T43606A | 23 | 951 | T451X2S | 21 | 922-923 | T467X2S | 21 | 922-923 | ||
T43606D | 23 | 949-950 | T451X3A | 21 | 917-918 | T467X3A | 21 | 917-918 | ||
T43606S | 23 | 949-950 | T451X3D | 23 | 949-950 | T467X3D | 23 | 949-950 | ||
T43611A | 21 | 917-918 | T451X3S | 21 | 922-923 | T467X3S | 21 | 922-923 | ||
T43611D | 23 | 949-950 | T451X4A | 21 | 917-918 | T467X4A | 21 | 917-918 | ||
T43611S | 21 | 922-923 | T451X4D | 23 | 949-950 | T467X4D | 23 | 949-950 | ||
T43612A | 21 | 917-918 | T451X4S | 21 | 922-923 | T467X4S | 21 | 922-923 | ||
T43612D | 23 | 949-950 | T451X5A | 15 | 791 | T467X5A | 15 | 791 | ||
T43612S | 21 | 922-923 | T451X5A | 15 | 793 | T467X5A | 15 | 793 | ||
T43613A | 21 | 917-918 | T451X5A | 21 | 917-918 | T467X5A | 21 | 917-918 | ||
T43613D | 23 | 949-950 | T451X5D | 23 | 949-950 | T467X5D | 23 | 949-950 | ||
T43613S | 21 | 922-923 | T451X5S | 21 | 922-923 | T467X5S | 21 | 922-923 | ||
T43614A | 21 | 917-918 | T451X6A | 23 | 951 | T467X6A | 23 | 951 | ||
T43614D | 23 | 949-950 | T451X6D | 23 | 949-950 | T467X6D | 23 | 949-950 | ||
T43614S | 21 | 922-923 | T451X6S | 23 | 949-950 | T467X6S | 23 | 949-950 | ||
T43615A | 15 | 791 | T452X1A | 21 | 917-918 | T468X1A | 21 | 917-918 | ||
T43615A | 15 | 793 | T452X1D | 23 | 949-950 | T468X1D | 23 | 949-950 | ||
T43615A | 21 | 917-918 | T452X1S | 21 | 922-923 | T468X1S | 21 | 922-923 | ||
T43615D | 23 | 949-950 | T452X2A | 21 | 917-918 | T468X2A | 21 | 917-918 | ||
T43615S | 21 | 922-923 | T452X2D | 23 | 949-950 | T468X2D | 23 | 949-950 | ||
T43616A | 23 | 951 | T452X2S | 21 | 922-923 | T468X2S | 21 | 922-923 | ||
T43616D | 23 | 949-950 | T452X3A | 21 | 917-918 | T468X3A | 21 | 917-918 | ||
T43616S | 23 | 949-950 | T452X3D | 23 | 949-950 | T468X3D | 23 | 949-950 | ||
T43621A | 21 | 917-918 | T452X3S | 21 | 922-923 | T468X3S | 21 | 922-923 | ||
T43621D | 23 | 949-950 | T452X4A | 21 | 917-918 | T468X4A | 21 | 917-918 | ||
T43621S | 21 | 922-923 | T452X4D | 23 | 949-950 | T468X4D | 23 | 949-950 | ||
T43622A | 21 | 917-918 | T452X4S | 21 | 922-923 | T468X4S | 21 | 922-923 | ||
T43622D | 23 | 949-950 | T452X5A | 15 | 791 | T468X5A | 15 | 791 | ||
T43622S | 21 | 922-923 | T452X5A | 15 | 793 | T468X5A | 15 | 793 | ||
T43623A | 21 | 917-918 | T452X5A | 21 | 917-918 | T468X5A | 21 | 917-918 | ||
T43623D | 23 | 949-950 | T452X5D | 23 | 949-950 | T468X5D | 23 | 949-950 | ||
T43623S | 21 | 922-923 | T452X5S | 21 | 922-923 | T468X5S | 21 | 922-923 | ||
T43624A | 21 | 917-918 | T452X6A | 23 | 951 | T468X6A | 23 | 951 | ||
T43624D | 23 | 949-950 | T452X6D | 23 | 949-950 | T468X6D | 23 | 949-950 | ||
T43624S | 21 | 922-923 | T452X6S | 23 | 949-950 | T468X6S | 23 | 949-950 | ||
T43625A | 15 | 791 | T453X1A | 21 | 917-918 | T46901A | 21 | 917-918 | ||
T43625A | 15 | 793 | T453X1D | 23 | 949-950 | T46901D | 23 | 949-950 | ||
T43625A | 21 | 917-918 | T453X1S | 21 | 922-923 | T46901S | 21 | 922-923 | ||
T43625D | 23 | 949-950 | T453X2A | 21 | 917-918 | T46902A | 21 | 917-918 | ||
T43625S | 21 | 922-923 | T453X2D | 23 | 949-950 | T46902D | 23 | 949-950 | ||
T43626A | 23 | 951 | T453X2S | 21 | 922-923 | T46902S | 21 | 922-923 | ||
T43626D | 23 | 949-950 | T453X3A | 21 | 917-918 | T46903A | 21 | 917-918 | ||
T43626S | 23 | 949-950 | T453X3D | 23 | 949-950 | T46903D | 23 | 949-950 | ||
T43631A | 21 | 917-918 | T453X3S | 21 | 922-923 | T46903S | 21 | 922-923 | ||
T43631D | 23 | 949-950 | T453X4A | 21 | 917-918 | T46904A | 21 | 917-918 | ||
T43631S | 21 | 922-923 | T453X4D | 23 | 949-950 | T46904D | 23 | 949-950 | ||
T43632A | 21 | 917-918 | T453X4S | 21 | 922-923 | T46904S | 21 | 922-923 | ||
T43632D | 23 | 949-950 | T453X5A | 15 | 791 | T46905A | 15 | 791 | ||
T43632S | 21 | 922-923 | T453X5A | 15 | 793 | T46905A | 15 | 793 | ||
T43633A | 21 | 917-918 | T453X5A | 21 | 917-918 | T46905A | 21 | 917-918 | ||
T43633D | 23 | 949-950 | T453X5D | 23 | 949-950 | T46905D | 23 | 949-950 | ||
T43633S | 21 | 922-923 | T453X5S | 21 | 922-923 | T46905S | 21 | 922-923 | ||
T43634A | 21 | 917-918 | T453X6A | 23 | 951 | T46906A | 23 | 951 | ||
T43634D | 23 | 949-950 | T453X6D | 23 | 949-950 | T46906D | 23 | 949-950 | ||
T43634S | 21 | 922-923 | T453X6S | 23 | 949-950 | T46906S | 23 | 949-950 | ||
T43635A | 15 | 791 | T454X1A | 21 | 917-918 | T46991A | 21 | 917-918 | ||
T43635A | 15 | 793 | T454X1D | 23 | 949-950 | T46991D | 23 | 949-950 | ||
T43635A | 21 | 917-918 | T454X1S | 21 | 922-923 | T46991S | 21 | 922-923 | ||
T43635D | 23 | 949-950 | T454X2A | 21 | 917-918 | T46992A | 21 | 917-918 | ||
T43635S | 21 | 922-923 | T454X2D | 23 | 949-950 | T46992D | 23 | 949-950 | ||
T43636A | 23 | 951 | T454X2S | 21 | 922-923 | T46992S | 21 | 922-923 | ||
T43636D | 23 | 949-950 | T454X3A | 21 | 917-918 | T46993A | 21 | 917-918 | ||
T43636S | 23 | 949-950 | T454X3D | 23 | 949-950 | T46993D | 23 | 949-950 | ||
T43641A | 21 | 917-918 | T454X3S | 21 | 922-923 | T46993S | 21 | 922-923 | ||
T43641D | 23 | 949-950 | T454X4A | 21 | 917-918 | T46994A | 21 | 917-918 | ||
T43641S | 21 | 922-923 | T454X4D | 23 | 949-950 | T46994D | 23 | 949-950 | ||
T43642A | 21 | 917-918 | T454X4S | 21 | 922-923 | T46994S | 21 | 922-923 | ||
T43642D | 23 | 949-950 | T454X5A | 15 | 791 | T46995A | 15 | 791 | ||
T43642S | 21 | 922-923 | T454X5A | 15 | 793 | T46995A | 15 | 793 | ||
T43643A | 21 | 917-918 | T454X5A | 21 | 917-918 | T46995A | 21 | 917-918 | ||
T43643D | 23 | 949-950 | T454X5D | 23 | 949-950 | T46995D | 23 | 949-950 | ||
T43643S | 21 | 922-923 | T454X5S | 21 | 922-923 | T46995S | 21 | 922-923 | ||
T43644A | 21 | 917-918 | T454X6A | 23 | 951 | T46996A | 23 | 951 | ||
T43644D | 23 | 949-950 | T454X6D | 23 | 949-950 | T46996D | 23 | 949-950 | ||
T43644S | 21 | 922-923 | T454X6S | 23 | 949-950 | T46996S | 23 | 949-950 | ||
T43651A | 21 | 917-918 | T45511A | 21 | 917-918 | T470X1A | 21 | 917-918 | ||
T43651D | 23 | 949-950 | T45511D | 23 | 949-950 | T470X1D | 23 | 949-950 | ||
T43651S | 21 | 922-923 | T45511S | 21 | 922-923 | T470X1S | 21 | 922-923 | ||
T43652A | 21 | 917-918 | T45512A | 21 | 917-918 | T470X2A | 21 | 917-918 | ||
T43652D | 23 | 949-950 | T45512D | 23 | 949-950 | T470X2D | 23 | 949-950 | ||
T43652S | 21 | 922-923 | T45512S | 21 | 922-923 | T470X2S | 21 | 922-923 | ||
T43653A | 21 | 917-918 | T45513A | 21 | 917-918 | T470X3A | 21 | 917-918 | ||
T43653D | 23 | 949-950 | T45513D | 23 | 949-950 | T470X3D | 23 | 949-950 | ||
T43653S | 21 | 922-923 | T45513S | 21 | 922-923 | T470X3S | 21 | 922-923 | ||
T43654A | 21 | 917-918 | T45514A | 21 | 917-918 | T470X4A | 21 | 917-918 | ||
T43654D | 23 | 949-950 | T45514D | 23 | 949-950 | T470X4D | 23 | 949-950 | ||
T43654S | 21 | 922-923 | T45514S | 21 | 922-923 | T470X4S | 21 | 922-923 | ||
T43655A | 15 | 791 | T45515A | 15 | 791 | T470X5A | 15 | 791 | ||
T43655A | 15 | 793 | T45515A | 15 | 793 | T470X5A | 15 | 793 | ||
T43655A | 21 | 917-918 | T45515A | 21 | 917-918 | T470X5A | 21 | 917-918 | ||
T43655D | 23 | 949-950 | T45515D | 23 | 949-950 | T470X5D | 23 | 949-950 | ||
T43655S | 21 | 922-923 | T45515S | 21 | 922-923 | T470X5S | 21 | 922-923 | ||
T43656A | 23 | 951 | T45516A | 23 | 951 | T470X6A | 23 | 951 | ||
T43656D | 23 | 949-950 | T45516D | 23 | 949-950 | T470X6D | 23 | 949-950 | ||
T43656S | 23 | 949-950 | T45516S | 23 | 949-950 | T470X6S | 23 | 949-950 | ||
T43691A | 21 | 917-918 | T45521A | 21 | 917-918 | T471X1A | 21 | 917-918 | ||
T43691D | 23 | 949-950 | T45521D | 23 | 949-950 | T471X1D | 23 | 949-950 | ||
T43691S | 21 | 922-923 | T45521S | 21 | 922-923 | T471X1S | 21 | 922-923 | ||
T43692A | 21 | 917-918 | T45522A | 21 | 917-918 | T471X2A | 21 | 917-918 | ||
T43692D | 23 | 949-950 | T45522D | 23 | 949-950 | T471X2D | 23 | 949-950 | ||
T43692S | 21 | 922-923 | T45522S | 21 | 922-923 | T471X2S | 21 | 922-923 | ||
T43693A | 21 | 917-918 | T45523A | 21 | 917-918 | T471X3A | 21 | 917-918 | ||
T43693D | 23 | 949-950 | T45523D | 23 | 949-950 | T471X3D | 23 | 949-950 | ||
T43693S | 21 | 922-923 | T45523S | 21 | 922-923 | T471X3S | 21 | 922-923 | ||
T43694A | 21 | 917-918 | T45524A | 21 | 917-918 | T471X4A | 21 | 917-918 | ||
T43694D | 23 | 949-950 | T45524D | 23 | 949-950 | T471X4D | 23 | 949-950 | ||
T43694S | 21 | 922-923 | T45524S | 21 | 922-923 | T471X4S | 21 | 922-923 | ||
T43695A | 15 | 791 | T45525A | 15 | 791 | T471X5A | 15 | 791 | ||
T43695A | 15 | 793 | T45525A | 15 | 793 | T471X5A | 15 | 793 | ||
T43695A | 21 | 917-918 | T45525A | 21 | 917-918 | T471X5A | 21 | 917-918 | ||
T43695D | 23 | 949-950 | T45525D | 23 | 949-950 | T471X5D | 23 | 949-950 | ||
T43695S | 21 | 922-923 | T45525S | 21 | 922-923 | T471X5S | 21 | 922-923 | ||
T43696A | 23 | 951 | T45526A | 23 | 951 | T471X6A | 23 | 951 | ||
T43696D | 23 | 949-950 | T45526D | 23 | 949-950 | T471X6D | 23 | 949-950 | ||
T43696S | 23 | 949-950 | T45526S | 23 | 949-950 | T471X6S | 23 | 949-950 | ||
T438X1A | 21 | 917-918 | T45601A | 21 | 917-918 | T472X1A | 21 | 917-918 | ||
T438X1D | 23 | 949-950 | T45601D | 23 | 949-950 | T472X1D | 23 | 949-950 | ||
T438X1S | 21 | 922-923 | T45601S | 21 | 922-923 | T472X1S | 21 | 922-923 | ||
T438X2A | 21 | 917-918 | T45602A | 21 | 917-918 | T472X2A | 21 | 917-918 | ||
T438X2D | 23 | 949-950 | T45602D | 23 | 949-950 | T472X2D | 23 | 949-950 | ||
T438X2S | 21 | 922-923 | T45602S | 21 | 922-923 | T472X2S | 21 | 922-923 | ||
T438X3A | 21 | 917-918 | T45603A | 21 | 917-918 | T472X3A | 21 | 917-918 | ||
T438X3D | 23 | 949-950 | T45603D | 23 | 949-950 | T472X3D | 23 | 949-950 | ||
T438X3S | 21 | 922-923 | T45603S | 21 | 922-923 | T472X3S | 21 | 922-923 | ||
T438X4A | 21 | 917-918 | T45604A | 21 | 917-918 | T472X4A | 21 | 917-918 | ||
T438X4D | 23 | 949-950 | T45604D | 23 | 949-950 | T472X4D | 23 | 949-950 | ||
T438X4S | 21 | 922-923 | T45604S | 21 | 922-923 | T472X4S | 21 | 922-923 | ||
T438X5A | 15 | 791 | T45605A | 15 | 791 | T472X5A | 15 | 791 | ||
T438X5A | 15 | 793 | T45605A | 15 | 793 | T472X5A | 15 | 793 | ||
T438X5A | 21 | 917-918 | T45605A | 21 | 917-918 | T472X5A | 21 | 917-918 | ||
T438X5D | 23 | 949-950 | T45605D | 23 | 949-950 | T472X5D | 23 | 949-950 | ||
T438X5S | 21 | 922-923 | T45605S | 21 | 922-923 | T472X5S | 21 | 922-923 | ||
T438X6A | 23 | 951 | T45606A | 23 | 951 | T472X6A | 23 | 951 | ||
T438X6D | 23 | 949-950 | T45606D | 23 | 949-950 | T472X6D | 23 | 949-950 | ||
T438X6S | 23 | 949-950 | T45606S | 23 | 949-950 | T472X6S | 23 | 949-950 | ||
T4391XA | 21 | 917-918 | T45611A | 21 | 917-918 | T473X1A | 21 | 917-918 | ||
T4391XD | 23 | 949-950 | T45611D | 23 | 949-950 | T473X1D | 23 | 949-950 | ||
T4391XS | 21 | 922-923 | T45611S | 21 | 922-923 | T473X1S | 21 | 922-923 | ||
T4392XA | 21 | 917-918 | T45612A | 21 | 917-918 | T473X2A | 21 | 917-918 | ||
T4392XD | 23 | 949-950 | T45612D | 23 | 949-950 | T473X2D | 23 | 949-950 | ||
T4392XS | 21 | 922-923 | T45612S | 21 | 922-923 | T473X2S | 21 | 922-923 | ||
T4393XA | 21 | 917-918 | T45613A | 21 | 917-918 | T473X3A | 21 | 917-918 | ||
T4393XD | 23 | 949-950 | T45613D | 23 | 949-950 | T473X3D | 23 | 949-950 | ||
T4393XS | 21 | 922-923 | T45613S | 21 | 922-923 | T473X3S | 21 | 922-923 | ||
T4394XA | 21 | 917-918 | T45614A | 21 | 917-918 | T473X4A | 21 | 917-918 | ||
T4394XD | 23 | 949-950 | T45614D | 23 | 949-950 | T473X4D | 23 | 949-950 | ||
T4394XS | 21 | 922-923 | T45614S | 21 | 922-923 | T473X4S | 21 | 922-923 | ||
T4395XA | 15 | 791 | T45615A | 15 | 791 | T473X5A | 15 | 791 | ||
T4395XA | 15 | 793 | T45615A | 15 | 793 | T473X5A | 15 | 793 | ||
T4395XA | 21 | 917-918 | T45615A | 21 | 917-918 | T473X5A | 21 | 917-918 | ||
T4395XD | 23 | 949-950 | T45615D | 23 | 949-950 | T473X5D | 23 | 949-950 | ||
T4395XS | 21 | 922-923 | T45615S | 21 | 922-923 | T473X5S | 21 | 922-923 | ||
T4396XA | 23 | 951 | T45616A | 23 | 951 | T473X6A | 23 | 951 | ||
T4396XD | 23 | 949-950 | T45616D | 23 | 949-950 | T473X6D | 23 | 949-950 | ||
T4396XS | 23 | 949-950 | T45616S | 23 | 949-950 | T473X6S | 23 | 949-950 | ||
T440X1A | 21 | 917-918 | T45621A | 21 | 917-918 | T474X1A | 21 | 917-918 | ||
T440X1D | 23 | 949-950 | T45621D | 23 | 949-950 | T474X1D | 23 | 949-950 | ||
T440X1S | 21 | 922-923 | T45621S | 21 | 922-923 | T474X1S | 21 | 922-923 | ||
T440X2A | 21 | 917-918 | T45622A | 21 | 917-918 | T474X2A | 21 | 917-918 | ||
T440X2D | 23 | 949-950 | T45622D | 23 | 949-950 | T474X2D | 23 | 949-950 | ||
T440X2S | 21 | 922-923 | T45622S | 21 | 922-923 | T474X2S | 21 | 922-923 | ||
T440X3A | 21 | 917-918 | T45623A | 21 | 917-918 | T474X3A | 21 | 917-918 | ||
T440X3D | 23 | 949-950 | T45623D | 23 | 949-950 | T474X3D | 23 | 949-950 | ||
T440X3S | 21 | 922-923 | T45623S | 21 | 922-923 | T474X3S | 21 | 922-923 | ||
T440X4A | 21 | 917-918 | T45624A | 21 | 917-918 | T474X4A | 21 | 917-918 | ||
T440X4D | 23 | 949-950 | T45624D | 23 | 949-950 | T474X4D | 23 | 949-950 | ||
T440X4S | 21 | 922-923 | T45624S | 21 | 922-923 | T474X4S | 21 | 922-923 | ||
T440X5A | 15 | 791 | T45625A | 15 | 791 | T474X5A | 15 | 791 | ||
T440X5A | 15 | 793 | T45625A | 15 | 793 | T474X5A | 15 | 793 | ||
T440X5A | 21 | 917-918 | T45625A | 21 | 917-918 | T474X5A | 21 | 917-918 | ||
T440X5D | 23 | 949-950 | T45625D | 23 | 949-950 | T474X5D | 23 | 949-950 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 13 Oct 2023 12:52:35 CMS, code-revision=349, description-revision=1375 |