ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 31 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S02610G | 08 | 559-561 | S04032D | 23 | 949-950 | S06310S | 01 | 091-093 | ||
S02610K | 08 | 564-566 | S04032S | 01 | 091-093 | S06311A | 01 | 023-024 | ||
S02610S | 01 | 091-093 | S04039A | 01 | 091-093 | S06311A | 01 | 082-084 | ||
S02611A | Pre | 011-013 | S04039A | 24 | 963-965 | S06311A | 01 | 085-087 | ||
S02611A | 03 | 157-159 | S04039D | 23 | 949-950 | S06311A | 24 | 963-965 | ||
S02611A | 24 | 963-965 | S04039S | 01 | 091-093 | S06311D | 23 | 949-950 | ||
S02611B | Pre | 011-013 | S04041A | 01 | 091-093 | S06311S | 01 | 091-093 | ||
S02611B | 03 | 157-159 | S04041A | 24 | 963-965 | S06312A | 01 | 023-024 | ||
S02611B | 24 | 963-965 | S04041D | 23 | 949-950 | S06312A | 01 | 082-084 | ||
S02611D | 08 | 559-561 | S04041S | 01 | 091-093 | S06312A | 01 | 085-087 | ||
S02611G | 08 | 559-561 | S04042A | 01 | 091-093 | S06312A | 24 | 963-965 | ||
S02611K | 08 | 564-566 | S04042A | 24 | 963-965 | S06312D | 23 | 949-950 | ||
S02611S | 01 | 091-093 | S04042D | 23 | 949-950 | S06312S | 01 | 091-093 | ||
S02612A | Pre | 011-013 | S04042S | 01 | 091-093 | S06313A | 01 | 023-024 | ||
S02612A | 03 | 157-159 | S04049A | 01 | 091-093 | S06313A | 01 | 082-084 | ||
S02612A | 24 | 963-965 | S04049A | 24 | 963-965 | S06313A | 24 | 963-965 | ||
S02612B | Pre | 011-013 | S04049D | 23 | 949-950 | S06313D | 23 | 949-950 | ||
S02612B | 03 | 157-159 | S04049S | 01 | 091-093 | S06313S | 01 | 091-093 | ||
S02612B | 24 | 963-965 | S0410XA | 01 | 073-074 | S06314A | 01 | 023-024 | ||
S02612D | 08 | 559-561 | S0410XA | 24 | 963-965 | S06314A | 01 | 082-084 | ||
S02612G | 08 | 559-561 | S0410XD | 23 | 949-950 | S06314A | 24 | 963-965 | ||
S02612K | 08 | 564-566 | S0410XS | 01 | 091-093 | S06314D | 23 | 949-950 | ||
S02612S | 01 | 091-093 | S0411XA | 01 | 073-074 | S06314S | 01 | 091-093 | ||
S02620A | Pre | 011-013 | S0411XA | 24 | 963-965 | S06315A | 01 | 023-024 | ||
S02620A | 03 | 157-159 | S0411XD | 23 | 949-950 | S06315A | 01 | 082-084 | ||
S02620A | 24 | 963-965 | S0411XS | 01 | 091-093 | S06315A | 24 | 963-965 | ||
S02620B | Pre | 011-013 | S0412XA | 01 | 073-074 | S06315D | 23 | 949-950 | ||
S02620B | 03 | 157-159 | S0412XA | 24 | 963-965 | S06315S | 01 | 091-093 | ||
S02620B | 24 | 963-965 | S0412XD | 23 | 949-950 | S06316A | 01 | 023-024 | ||
S02620D | 08 | 559-561 | S0412XS | 01 | 091-093 | S06316A | 01 | 082-084 | ||
S02620G | 08 | 559-561 | S0420XA | 01 | 073-074 | S06316A | 24 | 963-965 | ||
S02620K | 08 | 564-566 | S0420XA | 24 | 963-965 | S06316D | 23 | 949-950 | ||
S02620S | 01 | 091-093 | S0420XD | 23 | 949-950 | S06316S | 01 | 091-093 | ||
S02621A | Pre | 011-013 | S0420XS | 01 | 091-093 | S06317A | 01 | 023-024 | ||
S02621A | 03 | 157-159 | S0421XA | 01 | 073-074 | S06317A | 01 | 082-084 | ||
S02621A | 24 | 963-965 | S0421XA | 24 | 963-965 | S06317A | 24 | 963-965 | ||
S02621B | Pre | 011-013 | S0421XD | 23 | 949-950 | S06318A | 01 | 023-024 | ||
S02621B | 03 | 157-159 | S0421XS | 01 | 091-093 | S06318A | 01 | 082-084 | ||
S02621B | 24 | 963-965 | S0422XA | 01 | 073-074 | S06318A | 24 | 963-965 | ||
S02621D | 08 | 559-561 | S0422XA | 24 | 963-965 | S06319A | 01 | 023-024 | ||
S02621G | 08 | 559-561 | S0422XD | 23 | 949-950 | S06319A | 01 | 082-084 | ||
S02621K | 08 | 564-566 | S0422XS | 01 | 091-093 | S06319A | 24 | 963-965 | ||
S02621S | 01 | 091-093 | S0430XA | 01 | 073-074 | S06319D | 23 | 949-950 | ||
S02622A | Pre | 011-013 | S0430XA | 24 | 963-965 | S06319S | 01 | 091-093 | ||
S02622A | 03 | 157-159 | S0430XD | 23 | 949-950 | S0631AA | 01 | 023-024 | ||
S02622A | 24 | 963-965 | S0430XS | 01 | 091-093 | S0631AA | 01 | 082-084 | ||
S02622B | Pre | 011-013 | S0431XA | 01 | 073-074 | S0631AA | 24 | 963-965 | ||
S02622B | 03 | 157-159 | S0431XA | 24 | 963-965 | S0631AD | 23 | 949-950 | ||
S02622B | 24 | 963-965 | S0431XD | 23 | 949-950 | S0631AS | 01 | 091-093 | ||
S02622D | 08 | 559-561 | S0431XS | 01 | 091-093 | S06320A | 01 | 023-024 | ||
S02622G | 08 | 559-561 | S0432XA | 01 | 073-074 | S06320A | 01 | 082-084 | ||
S02622K | 08 | 564-566 | S0432XA | 24 | 963-965 | S06320A | 01 | 085-087 | ||
S02622S | 01 | 091-093 | S0432XD | 23 | 949-950 | S06320A | 24 | 963-965 | ||
S02630A | Pre | 011-013 | S0432XS | 01 | 091-093 | S06320D | 23 | 949-950 | ||
S02630A | 03 | 157-159 | S0440XA | 01 | 073-074 | S06320S | 01 | 091-093 | ||
S02630A | 24 | 963-965 | S0440XA | 24 | 963-965 | S06321A | 01 | 023-024 | ||
S02630B | Pre | 011-013 | S0440XD | 23 | 949-950 | S06321A | 01 | 082-084 | ||
S02630B | 03 | 157-159 | S0440XS | 01 | 091-093 | S06321A | 01 | 085-087 | ||
S02630B | 24 | 963-965 | S0441XA | 01 | 073-074 | S06321A | 24 | 963-965 | ||
S02630D | 08 | 559-561 | S0441XA | 24 | 963-965 | S06321D | 23 | 949-950 | ||
S02630G | 08 | 559-561 | S0441XD | 23 | 949-950 | S06321S | 01 | 091-093 | ||
S02630K | 08 | 564-566 | S0441XS | 01 | 091-093 | S06322A | 01 | 023-024 | ||
S02630S | 01 | 091-093 | S0442XA | 01 | 073-074 | S06322A | 01 | 082-084 | ||
S02631A | Pre | 011-013 | S0442XA | 24 | 963-965 | S06322A | 01 | 085-087 | ||
S02631A | 03 | 157-159 | S0442XD | 23 | 949-950 | S06322A | 24 | 963-965 | ||
S02631A | 24 | 963-965 | S0442XS | 01 | 091-093 | S06322D | 23 | 949-950 | ||
S02631B | Pre | 011-013 | S0450XA | 01 | 073-074 | S06322S | 01 | 091-093 | ||
S02631B | 03 | 157-159 | S0450XA | 24 | 963-965 | S06323A | 01 | 023-024 | ||
S02631B | 24 | 963-965 | S0450XD | 23 | 949-950 | S06323A | 01 | 082-084 | ||
S02631D | 08 | 559-561 | S0450XS | 01 | 091-093 | S06323A | 24 | 963-965 | ||
S02631G | 08 | 559-561 | S0451XA | 01 | 073-074 | S06323D | 23 | 949-950 | ||
S02631K | 08 | 564-566 | S0451XA | 24 | 963-965 | S06323S | 01 | 091-093 | ||
S02631S | 01 | 091-093 | S0451XD | 23 | 949-950 | S06324A | 01 | 023-024 | ||
S02632A | Pre | 011-013 | S0451XS | 01 | 091-093 | S06324A | 01 | 082-084 | ||
S02632A | 03 | 157-159 | S0452XA | 01 | 073-074 | S06324A | 24 | 963-965 | ||
S02632A | 24 | 963-965 | S0452XA | 24 | 963-965 | S06324D | 23 | 949-950 | ||
S02632B | Pre | 011-013 | S0452XD | 23 | 949-950 | S06324S | 01 | 091-093 | ||
S02632B | 03 | 157-159 | S0452XS | 01 | 091-093 | S06325A | 01 | 023-024 | ||
S02632B | 24 | 963-965 | S0460XA | 03 | 154-156 | S06325A | 01 | 082-084 | ||
S02632D | 08 | 559-561 | S0460XA | 24 | 963-965 | S06325A | 24 | 963-965 | ||
S02632G | 08 | 559-561 | S0460XD | 23 | 949-950 | S06325D | 23 | 949-950 | ||
S02632K | 08 | 564-566 | S0460XS | 01 | 091-093 | S06325S | 01 | 091-093 | ||
S02632S | 01 | 091-093 | S0461XA | 03 | 154-156 | S06326A | 01 | 023-024 | ||
S02640A | Pre | 011-013 | S0461XA | 24 | 963-965 | S06326A | 01 | 082-084 | ||
S02640A | 03 | 157-159 | S0461XD | 23 | 949-950 | S06326A | 24 | 963-965 | ||
S02640A | 24 | 963-965 | S0461XS | 01 | 091-093 | S06326D | 23 | 949-950 | ||
S02640B | Pre | 011-013 | S0462XA | 03 | 154-156 | S06326S | 01 | 091-093 | ||
S02640B | 03 | 157-159 | S0462XA | 24 | 963-965 | S06327A | 01 | 023-024 | ||
S02640B | 24 | 963-965 | S0462XD | 23 | 949-950 | S06327A | 01 | 082-084 | ||
S02640D | 08 | 559-561 | S0462XS | 01 | 091-093 | S06327A | 24 | 963-965 | ||
S02640G | 08 | 559-561 | S0470XA | 01 | 073-074 | S06328A | 01 | 023-024 | ||
S02640K | 08 | 564-566 | S0470XA | 24 | 963-965 | S06328A | 01 | 082-084 | ||
S02640S | 01 | 091-093 | S0470XD | 23 | 949-950 | S06328A | 24 | 963-965 | ||
S02641A | Pre | 011-013 | S0470XS | 01 | 091-093 | S06329A | 01 | 023-024 | ||
S02641A | 03 | 157-159 | S0471XA | 01 | 073-074 | S06329A | 01 | 082-084 | ||
S02641A | 24 | 963-965 | S0471XA | 24 | 963-965 | S06329A | 24 | 963-965 | ||
S02641B | Pre | 011-013 | S0471XD | 23 | 949-950 | S06329D | 23 | 949-950 | ||
S02641B | 03 | 157-159 | S0471XS | 01 | 091-093 | S06329S | 01 | 091-093 | ||
S02641B | 24 | 963-965 | S0472XA | 01 | 073-074 | S0632AA | 01 | 023-024 | ||
S02641D | 08 | 559-561 | S0472XA | 24 | 963-965 | S0632AA | 01 | 082-084 | ||
S02641G | 08 | 559-561 | S0472XD | 23 | 949-950 | S0632AA | 24 | 963-965 | ||
S02641K | 08 | 564-566 | S0472XS | 01 | 091-093 | S0632AD | 23 | 949-950 | ||
S02641S | 01 | 091-093 | S04811A | 01 | 073-074 | S0632AS | 01 | 091-093 | ||
S02642A | Pre | 011-013 | S04811A | 24 | 963-965 | S06330A | 01 | 023-024 | ||
S02642A | 03 | 157-159 | S04811D | 23 | 949-950 | S06330A | 01 | 082-084 | ||
S02642A | 24 | 963-965 | S04811S | 01 | 091-093 | S06330A | 01 | 085-087 | ||
S02642B | Pre | 011-013 | S04812A | 01 | 073-074 | S06330A | 24 | 963-965 | ||
S02642B | 03 | 157-159 | S04812A | 24 | 963-965 | S06330D | 23 | 949-950 | ||
S02642B | 24 | 963-965 | S04812D | 23 | 949-950 | S06330S | 01 | 091-093 | ||
S02642D | 08 | 559-561 | S04812S | 01 | 091-093 | S06331A | 01 | 023-024 | ||
S02642G | 08 | 559-561 | S04819A | 01 | 073-074 | S06331A | 01 | 082-084 | ||
S02642K | 08 | 564-566 | S04819A | 24 | 963-965 | S06331A | 01 | 085-087 | ||
S02642S | 01 | 091-093 | S04819D | 23 | 949-950 | S06331A | 24 | 963-965 | ||
S02650A | Pre | 011-013 | S04819S | 01 | 091-093 | S06331D | 23 | 949-950 | ||
S02650A | 03 | 157-159 | S04891A | 01 | 073-074 | S06331S | 01 | 091-093 | ||
S02650A | 24 | 963-965 | S04891A | 24 | 963-965 | S06332A | 01 | 023-024 | ||
S02650B | Pre | 011-013 | S04891D | 23 | 949-950 | S06332A | 01 | 082-084 | ||
S02650B | 03 | 157-159 | S04891S | 01 | 091-093 | S06332A | 01 | 085-087 | ||
S02650B | 24 | 963-965 | S04892A | 01 | 073-074 | S06332A | 24 | 963-965 | ||
S02650D | 08 | 559-561 | S04892A | 24 | 963-965 | S06332D | 23 | 949-950 | ||
S02650G | 08 | 559-561 | S04892D | 23 | 949-950 | S06332S | 01 | 091-093 | ||
S02650K | 08 | 564-566 | S04892S | 01 | 091-093 | S06333A | 01 | 023-024 | ||
S02650S | 01 | 091-093 | S04899A | 01 | 073-074 | S06333A | 01 | 082-084 | ||
S02651A | Pre | 011-013 | S04899A | 24 | 963-965 | S06333A | 24 | 963-965 | ||
S02651A | 03 | 157-159 | S04899D | 23 | 949-950 | S06333D | 23 | 949-950 | ||
S02651A | 24 | 963-965 | S04899S | 01 | 091-093 | S06333S | 01 | 091-093 | ||
S02651B | Pre | 011-013 | S049XXA | 01 | 073-074 | S06334A | 01 | 023-024 | ||
S02651B | 03 | 157-159 | S049XXA | 24 | 963-965 | S06334A | 01 | 082-084 | ||
S02651B | 24 | 963-965 | S049XXD | 23 | 949-950 | S06334A | 24 | 963-965 | ||
S02651D | 08 | 559-561 | S049XXS | 01 | 091-093 | S06334D | 23 | 949-950 | ||
S02651G | 08 | 559-561 | S0500XA | 02 | 124-125 | S06334S | 01 | 091-093 | ||
S02651K | 08 | 564-566 | S0500XA | 24 | 963-965 | S06335A | 01 | 023-024 | ||
S02651S | 01 | 091-093 | S0500XD | 23 | 949-950 | S06335A | 01 | 082-084 | ||
S02652A | Pre | 011-013 | S0500XS | 09 | 604-605 | S06335A | 24 | 963-965 | ||
S02652A | 03 | 157-159 | S0501XA | 02 | 124-125 | S06335D | 23 | 949-950 | ||
S02652A | 24 | 963-965 | S0501XA | 24 | 963-965 | S06335S | 01 | 091-093 | ||
S02652B | Pre | 011-013 | S0501XD | 23 | 949-950 | S06336A | 01 | 023-024 | ||
S02652B | 03 | 157-159 | S0501XS | 09 | 604-605 | S06336A | 01 | 082-084 | ||
S02652B | 24 | 963-965 | S0502XA | 02 | 124-125 | S06336A | 24 | 963-965 | ||
S02652D | 08 | 559-561 | S0502XA | 24 | 963-965 | S06336D | 23 | 949-950 | ||
S02652G | 08 | 559-561 | S0502XD | 23 | 949-950 | S06336S | 01 | 091-093 | ||
S02652K | 08 | 564-566 | S0502XS | 09 | 604-605 | S06337A | 01 | 023-024 | ||
S02652S | 01 | 091-093 | S0510XA | 02 | 124-125 | S06337A | 01 | 082-084 | ||
S0266XA | Pre | 011-013 | S0510XA | 24 | 963-965 | S06337A | 24 | 963-965 | ||
S0266XA | 03 | 157-159 | S0510XD | 23 | 949-950 | S06338A | 01 | 023-024 | ||
S0266XA | 24 | 963-965 | S0510XS | 09 | 604-605 | S06338A | 01 | 082-084 | ||
S0266XB | Pre | 011-013 | S0511XA | 02 | 124-125 | S06338A | 24 | 963-965 | ||
S0266XB | 03 | 157-159 | S0511XA | 24 | 963-965 | S06339A | 01 | 023-024 | ||
S0266XB | 24 | 963-965 | S0511XD | 23 | 949-950 | S06339A | 01 | 082-084 | ||
S0266XD | 08 | 559-561 | S0511XS | 09 | 604-605 | S06339A | 24 | 963-965 | ||
S0266XG | 08 | 559-561 | S0512XA | 02 | 124-125 | S06339D | 23 | 949-950 | ||
S0266XK | 08 | 564-566 | S0512XA | 24 | 963-965 | S06339S | 01 | 091-093 | ||
S0266XS | 01 | 091-093 | S0512XD | 23 | 949-950 | S0633AA | 01 | 023-024 | ||
S02670A | Pre | 011-013 | S0512XS | 09 | 604-605 | S0633AA | 01 | 082-084 | ||
S02670A | 03 | 157-159 | S0520XA | 02 | 124-125 | S0633AA | 24 | 963-965 | ||
S02670A | 24 | 963-965 | S0520XA | 24 | 963-965 | S0633AD | 23 | 949-950 | ||
S02670B | Pre | 011-013 | S0520XD | 23 | 949-950 | S0633AS | 01 | 091-093 | ||
S02670B | 03 | 157-159 | S0520XS | 09 | 604-605 | S06340A | 01 | 023-024 | ||
S02670B | 24 | 963-965 | S0521XA | 02 | 124-125 | S06340A | 01 | 082-084 | ||
S02670D | 08 | 559-561 | S0521XA | 24 | 963-965 | S06340A | 01 | 085-087 | ||
S02670G | 08 | 559-561 | S0521XD | 23 | 949-950 | S06340A | 24 | 963-965 | ||
S02670K | 08 | 564-566 | S0521XS | 09 | 604-605 | S06340D | 23 | 949-950 | ||
S02670S | 01 | 091-093 | S0522XA | 02 | 124-125 | S06340S | 01 | 091-093 | ||
S02671A | Pre | 011-013 | S0522XA | 24 | 963-965 | S06341A | 01 | 023-024 | ||
S02671A | 03 | 157-159 | S0522XD | 23 | 949-950 | S06341A | 01 | 082-084 | ||
S02671A | 24 | 963-965 | S0522XS | 09 | 604-605 | S06341A | 01 | 085-087 | ||
S02671B | Pre | 011-013 | S0530XA | 02 | 124-125 | S06341A | 24 | 963-965 | ||
S02671B | 03 | 157-159 | S0530XA | 24 | 963-965 | S06341D | 23 | 949-950 | ||
S02671B | 24 | 963-965 | S0530XD | 23 | 949-950 | S06341S | 01 | 091-093 | ||
S02671D | 08 | 559-561 | S0530XS | 09 | 604-605 | S06342A | 01 | 023-024 | ||
S02671G | 08 | 559-561 | S0531XA | 02 | 124-125 | S06342A | 01 | 082-084 | ||
S02671K | 08 | 564-566 | S0531XA | 24 | 963-965 | S06342A | 01 | 085-087 | ||
S02671S | 01 | 091-093 | S0531XD | 23 | 949-950 | S06342A | 24 | 963-965 | ||
S02672A | Pre | 011-013 | S0531XS | 09 | 604-605 | S06342D | 23 | 949-950 | ||
S02672A | 03 | 157-159 | S0532XA | 02 | 124-125 | S06342S | 01 | 091-093 | ||
S02672A | 24 | 963-965 | S0532XA | 24 | 963-965 | S06343A | 01 | 023-024 | ||
S02672B | Pre | 011-013 | S0532XD | 23 | 949-950 | S06343A | 01 | 082-084 | ||
S02672B | 03 | 157-159 | S0532XS | 09 | 604-605 | S06343A | 24 | 963-965 | ||
S02672B | 24 | 963-965 | S0540XA | 02 | 124-125 | S06343D | 23 | 949-950 | ||
S02672D | 08 | 559-561 | S0540XA | 24 | 963-965 | S06343S | 01 | 091-093 | ||
S02672G | 08 | 559-561 | S0540XD | 23 | 949-950 | S06344A | 01 | 023-024 | ||
S02672K | 08 | 564-566 | S0540XS | 09 | 604-605 | S06344A | 01 | 082-084 | ||
S02672S | 01 | 091-093 | S0541XA | 02 | 124-125 | S06344A | 24 | 963-965 | ||
S0269XA | Pre | 011-013 | S0541XA | 24 | 963-965 | S06344D | 23 | 949-950 | ||
S0269XA | 03 | 157-159 | S0541XD | 23 | 949-950 | S06344S | 01 | 091-093 | ||
S0269XA | 24 | 963-965 | S0541XS | 09 | 604-605 | S06345A | 01 | 023-024 | ||
S0269XB | Pre | 011-013 | S0542XA | 02 | 124-125 | S06345A | 01 | 082-084 | ||
S0269XB | 03 | 157-159 | S0542XA | 24 | 963-965 | S06345A | 24 | 963-965 | ||
S0269XB | 24 | 963-965 | S0542XD | 23 | 949-950 | S06345D | 23 | 949-950 | ||
S0269XD | 08 | 559-561 | S0542XS | 09 | 604-605 | S06345S | 01 | 091-093 | ||
S0269XG | 08 | 559-561 | S0550XA | 02 | 124-125 | S06346A | 01 | 023-024 | ||
S0269XK | 08 | 564-566 | S0550XA | 24 | 963-965 | S06346A | 01 | 082-084 | ||
S0269XS | 01 | 091-093 | S0550XD | 23 | 949-950 | S06346A | 24 | 963-965 | ||
S0280XA | Pre | 011-013 | S0550XS | 09 | 604-605 | S06346D | 23 | 949-950 | ||
S0280XA | 08 | 564-566 | S0551XA | 02 | 124-125 | S06346S | 01 | 091-093 | ||
S0280XA | 24 | 963-965 | S0551XA | 24 | 963-965 | S06347A | 01 | 023-024 | ||
S0280XB | Pre | 011-013 | S0551XD | 23 | 949-950 | S06347A | 01 | 082-084 | ||
S0280XB | 08 | 564-566 | S0551XS | 09 | 604-605 | S06347A | 24 | 963-965 | ||
S0280XB | 24 | 963-965 | S0552XA | 02 | 124-125 | S06348A | 01 | 023-024 | ||
S0280XD | 08 | 559-561 | S0552XA | 24 | 963-965 | S06348A | 01 | 082-084 | ||
S0280XG | 08 | 559-561 | S0552XD | 23 | 949-950 | S06348A | 24 | 963-965 | ||
S0280XK | 08 | 564-566 | S0552XS | 09 | 604-605 | S06349A | 01 | 023-024 | ||
S0280XS | 01 | 091-093 | S0560XA | 02 | 124-125 | S06349A | 01 | 082-084 | ||
S0281XA | Pre | 011-013 | S0560XA | 24 | 963-965 | S06349A | 24 | 963-965 | ||
S0281XA | 08 | 564-566 | S0560XD | 23 | 949-950 | S06349D | 23 | 949-950 | ||
S0281XA | 24 | 963-965 | S0560XS | 09 | 604-605 | S06349S | 01 | 091-093 | ||
S0281XB | Pre | 011-013 | S0561XA | 02 | 124-125 | S0634AA | 01 | 023-024 | ||
S0281XB | 08 | 564-566 | S0561XA | 24 | 963-965 | S0634AA | 01 | 082-084 | ||
S0281XB | 24 | 963-965 | S0561XD | 23 | 949-950 | S0634AA | 24 | 963-965 | ||
S0281XD | 08 | 559-561 | S0561XS | 09 | 604-605 | S0634AD | 23 | 949-950 | ||
S0281XG | 08 | 559-561 | S0562XA | 02 | 124-125 | S0634AS | 01 | 091-093 | ||
S0281XK | 08 | 564-566 | S0562XA | 24 | 963-965 | S06350A | 01 | 023-024 | ||
S0281XS | 01 | 091-093 | S0562XD | 23 | 949-950 | S06350A | 01 | 082-084 | ||
S0282XA | Pre | 011-013 | S0562XS | 09 | 604-605 | S06350A | 01 | 085-087 | ||
S0282XA | 08 | 564-566 | S0570XA | 02 | 124-125 | S06350A | 24 | 963-965 | ||
S0282XA | 24 | 963-965 | S0570XA | 24 | 963-965 | S06350D | 23 | 949-950 | ||
S0282XB | Pre | 011-013 | S0570XD | 23 | 949-950 | S06350S | 01 | 091-093 | ||
S0282XB | 08 | 564-566 | S0570XS | 21 | 913-914 | S06351A | 01 | 023-024 | ||
S0282XB | 24 | 963-965 | S0571XA | 02 | 124-125 | S06351A | 01 | 082-084 | ||
S0282XD | 08 | 559-561 | S0571XA | 24 | 963-965 | S06351A | 01 | 085-087 | ||
S0282XG | 08 | 559-561 | S0571XD | 23 | 949-950 | S06351A | 24 | 963-965 | ||
S0282XK | 08 | 564-566 | S0571XS | 21 | 913-914 | S06351D | 23 | 949-950 | ||
S0282XS | 01 | 091-093 | S0572XA | 02 | 124-125 | S06351S | 01 | 091-093 | ||
S02831A | Pre | 011-013 | S0572XA | 24 | 963-965 | S06352A | 01 | 023-024 | ||
S02831A | 01 | 082-084 | S0572XD | 23 | 949-950 | S06352A | 01 | 082-084 | ||
S02831A | 01 | 085-087 | S0572XS | 21 | 913-914 | S06352A | 01 | 085-087 | ||
S02831A | 24 | 963-965 | S058X1A | 02 | 124-125 | S06352A | 24 | 963-965 | ||
S02831B | Pre | 011-013 | S058X1A | 24 | 963-965 | S06352D | 23 | 949-950 | ||
S02831B | 01 | 082-084 | S058X1D | 23 | 949-950 | S06352S | 01 | 091-093 | ||
S02831B | 01 | 085-087 | S058X1S | 21 | 913-914 | S06353A | 01 | 023-024 | ||
S02831B | 24 | 963-965 | S058X2A | 02 | 124-125 | S06353A | 01 | 082-084 | ||
S02831D | 23 | 949-950 | S058X2A | 24 | 963-965 | S06353A | 24 | 963-965 | ||
S02831G | 23 | 949-950 | S058X2D | 23 | 949-950 | S06353D | 23 | 949-950 | ||
S02831K | 23 | 949-950 | S058X2S | 21 | 913-914 | S06353S | 01 | 091-093 | ||
S02831S | 21 | 922-923 | S058X9A | 02 | 124-125 | S06354A | 01 | 023-024 | ||
S02832A | Pre | 011-013 | S058X9A | 24 | 963-965 | S06354A | 01 | 082-084 | ||
S02832A | 01 | 082-084 | S058X9D | 23 | 949-950 | S06354A | 24 | 963-965 | ||
S02832A | 01 | 085-087 | S058X9S | 21 | 913-914 | S06354D | 23 | 949-950 | ||
S02832A | 24 | 963-965 | S0590XA | 02 | 124-125 | S06354S | 01 | 091-093 | ||
S02832B | Pre | 011-013 | S0590XA | 24 | 963-965 | S06355A | 01 | 023-024 | ||
S02832B | 01 | 082-084 | S0590XD | 23 | 949-950 | S06355A | 01 | 082-084 | ||
S02832B | 01 | 085-087 | S0590XS | 21 | 913-914 | S06355A | 24 | 963-965 | ||
S02832B | 24 | 963-965 | S0591XA | 02 | 124-125 | S06355D | 23 | 949-950 | ||
S02832D | 23 | 949-950 | S0591XA | 24 | 963-965 | S06355S | 01 | 091-093 | ||
S02832G | 23 | 949-950 | S0591XD | 23 | 949-950 | S06356A | 01 | 023-024 | ||
S02832K | 23 | 949-950 | S0591XS | 21 | 913-914 | S06356A | 01 | 082-084 | ||
S02832S | 21 | 922-923 | S0592XA | 02 | 124-125 | S06356A | 24 | 963-965 | ||
S02839A | Pre | 011-013 | S0592XA | 24 | 963-965 | S06356D | 23 | 949-950 | ||
S02839A | 01 | 082-084 | S0592XD | 23 | 949-950 | S06356S | 01 | 091-093 | ||
S02839A | 01 | 085-087 | S0592XS | 21 | 913-914 | S06357A | 01 | 023-024 | ||
S02839A | 24 | 963-965 | S060X0A | 01 | 088-090 | S06357A | 01 | 082-084 | ||
S02839B | Pre | 011-013 | S060X0A | 24 | 963-965 | S06357A | 24 | 963-965 | ||
S02839B | 01 | 082-084 | S060X0D | 23 | 949-950 | S06358A | 01 | 023-024 | ||
S02839B | 01 | 085-087 | S060X0S | 01 | 091-093 | S06358A | 01 | 082-084 | ||
S02839B | 24 | 963-965 | S060X1A | 01 | 088-090 | S06358A | 24 | 963-965 | ||
S02839D | 23 | 949-950 | S060X1A | 24 | 963-965 | S06359A | 01 | 023-024 | ||
S02839G | 23 | 949-950 | S060X1D | 23 | 949-950 | S06359A | 01 | 082-084 | ||
S02839K | 23 | 949-950 | S060X1S | 01 | 091-093 | S06359A | 24 | 963-965 | ||
S02839S | 21 | 922-923 | S060X9A | 01 | 088-090 | S06359D | 23 | 949-950 | ||
S02841A | Pre | 011-013 | S060X9A | 24 | 963-965 | S06359S | 01 | 091-093 | ||
S02841A | 01 | 082-084 | S060X9D | 23 | 949-950 | S0635AA | 01 | 023-024 | ||
S02841A | 01 | 085-087 | S060X9S | 01 | 091-093 | S0635AA | 01 | 082-084 | ||
S02841A | 24 | 963-965 | S060XAA | 01 | 088-090 | S0635AA | 24 | 963-965 | ||
S02841B | Pre | 011-013 | S060XAA | 24 | 963-965 | S0635AD | 23 | 949-950 | ||
S02841B | 01 | 082-084 | S060XAD | 23 | 949-950 | S0635AS | 01 | 091-093 | ||
S02841B | 01 | 085-087 | S060XAS | 01 | 091-093 | S06360A | 01 | 023-024 | ||
S02841B | 24 | 963-965 | S061X0A | 01 | 082-084 | S06360A | 01 | 082-084 | ||
S02841D | 23 | 949-950 | S061X0A | 01 | 085-087 | S06360A | 01 | 085-087 | ||
S02841G | 23 | 949-950 | S061X0A | 24 | 963-965 | S06360A | 24 | 963-965 | ||
S02841K | 23 | 949-950 | S061X0D | 23 | 949-950 | S06360D | 23 | 949-950 | ||
S02841S | 21 | 922-923 | S061X0S | 01 | 091-093 | S06360S | 01 | 091-093 | ||
S02842A | Pre | 011-013 | S061X1A | 01 | 082-084 | S06361A | 01 | 023-024 | ||
S02842A | 01 | 082-084 | S061X1A | 01 | 085-087 | S06361A | 01 | 082-084 | ||
S02842A | 01 | 085-087 | S061X1A | 24 | 963-965 | S06361A | 01 | 085-087 | ||
S02842A | 24 | 963-965 | S061X1D | 23 | 949-950 | S06361A | 24 | 963-965 | ||
S02842B | Pre | 011-013 | S061X1S | 01 | 091-093 | S06361D | 23 | 949-950 | ||
S02842B | 01 | 082-084 | S061X2A | 01 | 082-084 | S06361S | 01 | 091-093 | ||
S02842B | 01 | 085-087 | S061X2A | 01 | 085-087 | S06362A | 01 | 023-024 | ||
S02842B | 24 | 963-965 | S061X2A | 24 | 963-965 | S06362A | 01 | 082-084 | ||
S02842D | 23 | 949-950 | S061X2D | 23 | 949-950 | S06362A | 01 | 085-087 | ||
S02842G | 23 | 949-950 | S061X2S | 01 | 091-093 | S06362A | 24 | 963-965 | ||
S02842K | 23 | 949-950 | S061X3A | 01 | 082-084 | S06362D | 23 | 949-950 | ||
S02842S | 21 | 922-923 | S061X3A | 24 | 963-965 | S06362S | 01 | 091-093 | ||
S02849A | Pre | 011-013 | S061X3D | 23 | 949-950 | S06363A | 01 | 023-024 | ||
S02849A | 01 | 082-084 | S061X3S | 01 | 091-093 | S06363A | 01 | 082-084 | ||
S02849A | 01 | 085-087 | S061X4A | 01 | 082-084 | S06363A | 24 | 963-965 | ||
S02849A | 24 | 963-965 | S061X4A | 24 | 963-965 | S06363D | 23 | 949-950 | ||
S02849B | Pre | 011-013 | S061X4D | 23 | 949-950 | S06363S | 01 | 091-093 | ||
S02849B | 01 | 082-084 | S061X4S | 01 | 091-093 | S06364A | 01 | 023-024 | ||
S02849B | 01 | 085-087 | S061X5A | 01 | 082-084 | S06364A | 01 | 082-084 | ||
S02849B | 24 | 963-965 | S061X5A | 24 | 963-965 | S06364A | 24 | 963-965 | ||
S02849D | 23 | 949-950 | S061X5D | 23 | 949-950 | S06364D | 23 | 949-950 | ||
S02849G | 23 | 949-950 | S061X5S | 01 | 091-093 | S06364S | 01 | 091-093 | ||
S02849K | 23 | 949-950 | S061X6A | 01 | 082-084 | S06365A | 01 | 023-024 | ||
S02849S | 21 | 922-923 | S061X6A | 24 | 963-965 | S06365A | 01 | 082-084 | ||
S0285XA | Pre | 011-013 | S061X6D | 23 | 949-950 | S06365A | 24 | 963-965 | ||
S0285XA | 01 | 082-084 | S061X6S | 01 | 091-093 | S06365D | 23 | 949-950 | ||
S0285XA | 01 | 085-087 | S061X7A | 01 | 082-084 | S06365S | 01 | 091-093 | ||
S0285XA | 24 | 963-965 | S061X7A | 24 | 963-965 | S06366A | 01 | 023-024 | ||
S0285XB | Pre | 011-013 | S061X8A | 01 | 082-084 | S06366A | 01 | 082-084 | ||
S0285XB | 01 | 082-084 | S061X8A | 24 | 963-965 | S06366A | 24 | 963-965 | ||
S0285XB | 01 | 085-087 | S061X9A | 01 | 082-084 | S06366D | 23 | 949-950 | ||
S0285XB | 24 | 963-965 | S061X9A | 24 | 963-965 | S06366S | 01 | 091-093 | ||
S0285XD | 23 | 949-950 | S061X9D | 23 | 949-950 | S06367A | 01 | 023-024 | ||
S0285XG | 23 | 949-950 | S061X9S | 01 | 091-093 | S06367A | 01 | 082-084 | ||
S0285XK | 23 | 949-950 | S061XAA | 01 | 082-084 | S06367A | 24 | 963-965 | ||
S0285XS | 21 | 922-923 | S061XAA | 24 | 963-965 | S06368A | 01 | 023-024 | ||
S0291XA | 01 | 082-084 | S061XAD | 23 | 949-950 | S06368A | 01 | 082-084 | ||
S0291XA | 01 | 085-087 | S061XAS | 01 | 091-093 | S06368A | 24 | 963-965 | ||
S0291XA | 24 | 963-965 | S062X0A | 01 | 082-084 | S06369A | 01 | 023-024 | ||
S0291XB | 01 | 082-084 | S062X0A | 01 | 085-087 | S06369A | 01 | 082-084 | ||
S0291XB | 01 | 085-087 | S062X0A | 24 | 963-965 | S06369A | 24 | 963-965 | ||
S0291XB | 24 | 963-965 | S062X0D | 23 | 949-950 | S06369D | 23 | 949-950 | ||
S0291XD | 08 | 559-561 | S062X0S | 01 | 091-093 | S06369S | 01 | 091-093 | ||
S0291XG | 08 | 559-561 | S062X1A | 01 | 082-084 | S0636AA | 01 | 023-024 | ||
S0291XK | 08 | 564-566 | S062X1A | 01 | 085-087 | S0636AA | 01 | 082-084 | ||
S0291XS | 01 | 091-093 | S062X1A | 24 | 963-965 | S0636AA | 24 | 963-965 | ||
S0292XA | Pre | 011-013 | S062X1D | 23 | 949-950 | S0636AD | 23 | 949-950 | ||
S0292XA | 08 | 564-566 | S062X1S | 01 | 091-093 | S0636AS | 01 | 091-093 | ||
S0292XA | 24 | 963-965 | S062X2A | 01 | 082-084 | S06370A | 01 | 023-024 | ||
S0292XB | Pre | 011-013 | S062X2A | 01 | 085-087 | S06370A | 01 | 082-084 | ||
S0292XB | 08 | 564-566 | S062X2A | 24 | 963-965 | S06370A | 01 | 085-087 | ||
S0292XB | 24 | 963-965 | S062X2D | 23 | 949-950 | S06370A | 24 | 963-965 | ||
S0292XD | 08 | 559-561 | S062X2S | 01 | 091-093 | S06370D | 23 | 949-950 | ||
S0292XG | 08 | 559-561 | S062X3A | 01 | 082-084 | S06370S | 01 | 091-093 | ||
S0292XK | 08 | 564-566 | S062X3A | 24 | 963-965 | S06371A | 01 | 023-024 | ||
S0292XS | 01 | 091-093 | S062X3D | 23 | 949-950 | S06371A | 01 | 082-084 | ||
S0300XA | Pre | 011-013 | S062X3S | 01 | 091-093 | S06371A | 01 | 085-087 | ||
S0300XA | 03 | 157-159 | S062X4A | 01 | 082-084 | S06371A | 24 | 963-965 | ||
S0300XA | 24 | 963-965 | S062X4A | 24 | 963-965 | S06371D | 23 | 949-950 | ||
S0300XD | 23 | 949-950 | S062X4D | 23 | 949-950 | S06371S | 01 | 091-093 | ||
S0300XS | 08 | 562-563 | S062X4S | 01 | 091-093 | S06372A | 01 | 023-024 | ||
S0301XA | Pre | 011-013 | S062X5A | 01 | 082-084 | S06372A | 01 | 082-084 | ||
S0301XA | 03 | 157-159 | S062X5A | 24 | 963-965 | S06372A | 01 | 085-087 | ||
S0301XA | 24 | 963-965 | S062X5D | 23 | 949-950 | S06372A | 24 | 963-965 | ||
S0301XD | 23 | 949-950 | S062X5S | 01 | 091-093 | S06372D | 23 | 949-950 | ||
S0301XS | 08 | 562-563 | S062X6A | 01 | 082-084 | S06372S | 01 | 091-093 | ||
S0302XA | Pre | 011-013 | S062X6A | 24 | 963-965 | S06373A | 01 | 023-024 | ||
S0302XA | 03 | 157-159 | S062X6D | 23 | 949-950 | S06373A | 01 | 082-084 | ||
S0302XA | 24 | 963-965 | S062X6S | 01 | 091-093 | S06373A | 24 | 963-965 | ||
S0302XD | 23 | 949-950 | S062X7A | 01 | 082-084 | S06373D | 23 | 949-950 | ||
S0302XS | 08 | 562-563 | S062X7A | 24 | 963-965 | S06373S | 01 | 091-093 | ||
S0303XA | Pre | 011-013 | S062X8A | 01 | 082-084 | S06374A | 01 | 023-024 | ||
S0303XA | 03 | 157-159 | S062X8A | 24 | 963-965 | S06374A | 01 | 082-084 | ||
S0303XA | 24 | 963-965 | S062X9A | 01 | 082-084 | S06374A | 24 | 963-965 | ||
S0303XD | 23 | 949-950 | S062X9A | 24 | 963-965 | S06374D | 23 | 949-950 | ||
S0303XS | 08 | 562-563 | S062X9D | 23 | 949-950 | S06374S | 01 | 091-093 | ||
S031XXA | 08 | 562-563 | S062X9S | 01 | 091-093 | S06375A | 01 | 023-024 | ||
S031XXA | 24 | 963-965 | S062XAA | 01 | 082-084 | S06375A | 01 | 082-084 | ||
S031XXD | 23 | 949-950 | S062XAA | 24 | 963-965 | S06375A | 24 | 963-965 | ||
S031XXS | 08 | 562-563 | S062XAD | 23 | 949-950 | S06375D | 23 | 949-950 | ||
S032XXA | 03 | 157-159 | S062XAS | 01 | 091-093 | S06375S | 01 | 091-093 | ||
S032XXA | 24 | 963-965 | S06300A | 01 | 082-084 | S06376A | 01 | 023-024 | ||
S032XXD | 23 | 949-950 | S06300A | 01 | 085-087 | S06376A | 01 | 082-084 | ||
S032XXS | 09 | 604-605 | S06300A | 24 | 963-965 | S06376A | 24 | 963-965 | ||
S0340XA | 03 | 157-159 | S06300D | 23 | 949-950 | S06376D | 23 | 949-950 | ||
S0340XA | 24 | 963-965 | S06300S | 01 | 091-093 | S06376S | 01 | 091-093 | ||
S0340XD | 23 | 949-950 | S06301A | 01 | 082-084 | S06377A | 01 | 023-024 | ||
S0340XS | 08 | 562-563 | S06301A | 01 | 085-087 | S06377A | 01 | 082-084 | ||
S0341XA | 03 | 157-159 | S06301A | 24 | 963-965 | S06377A | 24 | 963-965 | ||
S0341XA | 24 | 963-965 | S06301D | 23 | 949-950 | S06378A | 01 | 023-024 | ||
S0341XD | 23 | 949-950 | S06301S | 01 | 091-093 | S06378A | 01 | 082-084 | ||
S0341XS | 08 | 562-563 | S06302A | 01 | 082-084 | S06378A | 24 | 963-965 | ||
S0342XA | 03 | 157-159 | S06302A | 01 | 085-087 | S06379A | 01 | 023-024 | ||
S0342XA | 24 | 963-965 | S06302A | 24 | 963-965 | S06379A | 01 | 082-084 | ||
S0342XD | 23 | 949-950 | S06302D | 23 | 949-950 | S06379A | 24 | 963-965 | ||
S0342XS | 08 | 562-563 | S06302S | 01 | 091-093 | S06379D | 23 | 949-950 | ||
S0343XA | 03 | 157-159 | S06303A | 01 | 082-084 | S06379S | 01 | 091-093 | ||
S0343XA | 24 | 963-965 | S06303A | 24 | 963-965 | S0637AA | 01 | 023-024 | ||
S0343XD | 23 | 949-950 | S06303D | 23 | 949-950 | S0637AA | 01 | 082-084 | ||
S0343XS | 08 | 562-563 | S06303S | 01 | 091-093 | S0637AA | 24 | 963-965 | ||
S038XXA | 08 | 564-566 | S06304A | 01 | 082-084 | S0637AD | 23 | 949-950 | ||
S038XXA | 24 | 963-965 | S06304A | 24 | 963-965 | S0637AS | 01 | 091-093 | ||
S038XXD | 23 | 949-950 | S06304D | 23 | 949-950 | S06380A | 01 | 023-024 | ||
S038XXS | 08 | 562-563 | S06304S | 01 | 091-093 | S06380A | 01 | 082-084 | ||
S039XXA | 08 | 562-563 | S06305A | 01 | 082-084 | S06380A | 01 | 085-087 | ||
S039XXA | 24 | 963-965 | S06305A | 24 | 963-965 | S06380A | 24 | 963-965 | ||
S039XXD | 23 | 949-950 | S06305D | 23 | 949-950 | S06380D | 23 | 949-950 | ||
S039XXS | 08 | 562-563 | S06305S | 01 | 091-093 | S06380S | 01 | 091-093 | ||
S04011A | 02 | 124-125 | S06306A | 01 | 082-084 | S06381A | 01 | 023-024 | ||
S04011A | 24 | 963-965 | S06306A | 24 | 963-965 | S06381A | 01 | 082-084 | ||
S04011D | 23 | 949-950 | S06306D | 23 | 949-950 | S06381A | 01 | 085-087 | ||
S04011S | 01 | 091-093 | S06306S | 01 | 091-093 | S06381A | 24 | 963-965 | ||
S04012A | 02 | 124-125 | S06307A | 01 | 082-084 | S06381D | 23 | 949-950 | ||
S04012A | 24 | 963-965 | S06307A | 24 | 963-965 | S06381S | 01 | 091-093 | ||
S04012D | 23 | 949-950 | S06308A | 01 | 082-084 | S06382A | 01 | 023-024 | ||
S04012S | 01 | 091-093 | S06308A | 24 | 963-965 | S06382A | 01 | 082-084 | ||
S04019A | 02 | 124-125 | S06309A | 01 | 082-084 | S06382A | 01 | 085-087 | ||
S04019A | 24 | 963-965 | S06309A | 24 | 963-965 | S06382A | 24 | 963-965 | ||
S04019D | 23 | 949-950 | S06309D | 23 | 949-950 | S06382D | 23 | 949-950 | ||
S04019S | 01 | 091-093 | S06309S | 01 | 091-093 | S06382S | 01 | 091-093 | ||
S0402XA | 01 | 091-093 | S0630AA | 01 | 082-084 | S06383A | 01 | 023-024 | ||
S0402XA | 24 | 963-965 | S0630AA | 24 | 963-965 | S06383A | 01 | 082-084 | ||
S0402XD | 23 | 949-950 | S0630AD | 23 | 949-950 | S06383A | 24 | 963-965 | ||
S0402XS | 01 | 091-093 | S0630AS | 01 | 091-093 | S06383D | 23 | 949-950 | ||
S04031A | 01 | 091-093 | S06310A | 01 | 023-024 | S06383S | 01 | 091-093 | ||
S04031A | 24 | 963-965 | S06310A | 01 | 082-084 | S06384A | 01 | 023-024 | ||
S04031D | 23 | 949-950 | S06310A | 01 | 085-087 | S06384A | 01 | 082-084 | ||
S04031S | 01 | 091-093 | S06310A | 24 | 963-965 | S06384A | 24 | 963-965 | ||
S04032A | 01 | 091-093 | S06310D | 23 | 949-950 | S06384D | 23 | 949-950 | ||
S04032A | 24 | 963-965 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2024 10:29:37 CMS, code-revision=359, description-revision=1383 |