ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 38 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S36209D | 23 | 949-950 | S37041D | 23 | 949-950 | S381XXD | 23 | 949-950 | ||
| S36209S | 06 | 393-395 | S37041S | 06 | 393-395 | S381XXS | 09 | 604-605 | ||
| S36220A | 07 | 438-440 | S37042A | 11 | 698-700 | S38211A | 13 | 742-743 | ||
| S36220A | 24 | 963-965 | S37042A | 24 | 963-965 | S38211A | 13 | 760-761 | ||
| S36220D | 23 | 949-950 | S37042D | 23 | 949-950 | S38211A | 24 | 963-965 | ||
| S36220S | 06 | 393-395 | S37042S | 06 | 393-395 | S38211D | 23 | 949-950 | ||
| S36221A | 07 | 438-440 | S37049A | 11 | 698-700 | S38211S | 09 | 604-605 | ||
| S36221A | 24 | 963-965 | S37049A | 24 | 963-965 | S38212A | 13 | 742-743 | ||
| S36221D | 23 | 949-950 | S37049D | 23 | 949-950 | S38212A | 13 | 760-761 | ||
| S36221S | 06 | 393-395 | S37049S | 06 | 393-395 | S38212A | 24 | 963-965 | ||
| S36222A | 07 | 438-440 | S37051A | 11 | 698-700 | S38212D | 23 | 949-950 | ||
| S36222A | 24 | 963-965 | S37051A | 24 | 963-965 | S38212S | 09 | 604-605 | ||
| S36222D | 23 | 949-950 | S37051D | 23 | 949-950 | S38221A | 12 | 729-730 | ||
| S36222S | 06 | 393-395 | S37051S | 06 | 393-395 | S38221A | 24 | 963-965 | ||
| S36229A | 07 | 438-440 | S37052A | 11 | 698-700 | S38221D | 23 | 949-950 | ||
| S36229A | 24 | 963-965 | S37052A | 24 | 963-965 | S38221S | 09 | 604-605 | ||
| S36229D | 23 | 949-950 | S37052D | 23 | 949-950 | S38222A | 12 | 729-730 | ||
| S36229S | 06 | 393-395 | S37052S | 06 | 393-395 | S38222A | 24 | 963-965 | ||
| S36230A | 07 | 438-440 | S37059A | 11 | 698-700 | S38222D | 23 | 949-950 | ||
| S36230A | 24 | 963-965 | S37059A | 24 | 963-965 | S38222S | 09 | 604-605 | ||
| S36230D | 23 | 949-950 | S37059D | 23 | 949-950 | S38231A | 12 | 729-730 | ||
| S36230S | 06 | 393-395 | S37059S | 06 | 393-395 | S38231A | 24 | 963-965 | ||
| S36231A | 07 | 438-440 | S37061A | 11 | 698-700 | S38231D | 23 | 949-950 | ||
| S36231A | 24 | 963-965 | S37061A | 24 | 963-965 | S38231S | 09 | 604-605 | ||
| S36231D | 23 | 949-950 | S37061D | 23 | 949-950 | S38232A | 12 | 729-730 | ||
| S36231S | 06 | 393-395 | S37061S | 06 | 393-395 | S38232A | 24 | 963-965 | ||
| S36232A | 07 | 438-440 | S37062A | 11 | 698-700 | S38232D | 23 | 949-950 | ||
| S36232A | 24 | 963-965 | S37062A | 24 | 963-965 | S38232S | 09 | 604-605 | ||
| S36232D | 23 | 949-950 | S37062D | 23 | 949-950 | S383XXA | 09 | 604-605 | ||
| S36232S | 06 | 393-395 | S37062S | 06 | 393-395 | S383XXA | 24 | 963-965 | ||
| S36239A | 07 | 438-440 | S37069A | 11 | 698-700 | S383XXD | 23 | 949-950 | ||
| S36239A | 24 | 963-965 | S37069A | 24 | 963-965 | S383XXS | 09 | 604-605 | ||
| S36239D | 23 | 949-950 | S37069D | 23 | 949-950 | S39001A | 21 | 913-914 | ||
| S36239S | 06 | 393-395 | S37069S | 06 | 393-395 | S39001A | 24 | 963-965 | ||
| S36240A | 07 | 438-440 | S37091A | 11 | 698-700 | S39001D | 23 | 949-950 | ||
| S36240A | 24 | 963-965 | S37091A | 24 | 963-965 | S39001S | 21 | 913-914 | ||
| S36240D | 23 | 949-950 | S37091D | 23 | 949-950 | S39002A | 21 | 913-914 | ||
| S36240S | 06 | 393-395 | S37091S | 06 | 393-395 | S39002A | 24 | 963-965 | ||
| S36241A | 07 | 438-440 | S37092A | 11 | 698-700 | S39002D | 23 | 949-950 | ||
| S36241A | 24 | 963-965 | S37092A | 24 | 963-965 | S39002S | 21 | 913-914 | ||
| S36241D | 23 | 949-950 | S37092D | 23 | 949-950 | S39003A | 21 | 913-914 | ||
| S36241S | 06 | 393-395 | S37092S | 06 | 393-395 | S39003A | 24 | 963-965 | ||
| S36242A | 07 | 438-440 | S37099A | 11 | 698-700 | S39003D | 23 | 949-950 | ||
| S36242A | 24 | 963-965 | S37099A | 24 | 963-965 | S39003S | 21 | 913-914 | ||
| S36242D | 23 | 949-950 | S37099D | 23 | 949-950 | S39011A | 08 | 562-563 | ||
| S36242S | 06 | 393-395 | S37099S | 06 | 393-395 | S39011A | 24 | 963-965 | ||
| S36249A | 07 | 438-440 | S3710XA | 11 | 698-700 | S39011D | 23 | 949-950 | ||
| S36249A | 24 | 963-965 | S3710XA | 24 | 963-965 | S39011S | 08 | 562-563 | ||
| S36249D | 23 | 949-950 | S3710XD | 23 | 949-950 | S39012A | 08 | 562-563 | ||
| S36249S | 06 | 393-395 | S3710XS | 12 | 729-730 | S39012A | 24 | 963-965 | ||
| S36250A | 07 | 438-440 | S3710XS | 13 | 742-743 | S39012D | 23 | 949-950 | ||
| S36250A | 24 | 963-965 | S3710XS | 13 | 760-761 | S39012S | 08 | 562-563 | ||
| S36250D | 23 | 949-950 | S3712XA | 11 | 698-700 | S39013A | 08 | 562-563 | ||
| S36250S | 06 | 393-395 | S3712XA | 24 | 963-965 | S39013A | 24 | 963-965 | ||
| S36251A | 07 | 438-440 | S3712XD | 23 | 949-950 | S39013D | 23 | 949-950 | ||
| S36251A | 24 | 963-965 | S3712XS | 12 | 729-730 | S39013S | 08 | 562-563 | ||
| S36251D | 23 | 949-950 | S3712XS | 13 | 742-743 | S39021A | 09 | 604-605 | ||
| S36251S | 06 | 393-395 | S3712XS | 13 | 760-761 | S39021A | 24 | 963-965 | ||
| S36252A | 07 | 438-440 | S3713XA | 11 | 698-700 | S39021D | 23 | 949-950 | ||
| S36252A | 24 | 963-965 | S3713XA | 24 | 963-965 | S39021S | 09 | 604-605 | ||
| S36252D | 23 | 949-950 | S3713XD | 23 | 949-950 | S39022A | 09 | 604-605 | ||
| S36252S | 06 | 393-395 | S3713XS | 12 | 729-730 | S39022A | 24 | 963-965 | ||
| S36259A | 07 | 438-440 | S3713XS | 13 | 742-743 | S39022D | 23 | 949-950 | ||
| S36259A | 24 | 963-965 | S3713XS | 13 | 760-761 | S39022S | 09 | 604-605 | ||
| S36259D | 23 | 949-950 | S3719XA | 11 | 698-700 | S39023A | 09 | 604-605 | ||
| S36259S | 06 | 393-395 | S3719XA | 24 | 963-965 | S39023A | 24 | 963-965 | ||
| S36260A | 07 | 438-440 | S3719XD | 23 | 949-950 | S39023D | 23 | 949-950 | ||
| S36260A | 24 | 963-965 | S3719XS | 12 | 729-730 | S39023S | 09 | 604-605 | ||
| S36260D | 23 | 949-950 | S3719XS | 13 | 742-743 | S39091A | 21 | 913-914 | ||
| S36260S | 06 | 393-395 | S3719XS | 13 | 760-761 | S39091A | 24 | 963-965 | ||
| S36261A | 07 | 438-440 | S3720XA | 11 | 698-700 | S39091D | 23 | 949-950 | ||
| S36261A | 24 | 963-965 | S3720XA | 24 | 963-965 | S39091S | 21 | 913-914 | ||
| S36261D | 23 | 949-950 | S3720XD | 23 | 949-950 | S39092A | 21 | 913-914 | ||
| S36261S | 06 | 393-395 | S3720XS | 12 | 729-730 | S39092A | 24 | 963-965 | ||
| S36262A | 07 | 438-440 | S3720XS | 13 | 742-743 | S39092D | 23 | 949-950 | ||
| S36262A | 24 | 963-965 | S3720XS | 13 | 760-761 | S39092S | 21 | 913-914 | ||
| S36262D | 23 | 949-950 | S3722XA | 11 | 698-700 | S39093A | 21 | 913-914 | ||
| S36262S | 06 | 393-395 | S3722XA | 24 | 963-965 | S39093A | 24 | 963-965 | ||
| S36269A | 07 | 438-440 | S3722XD | 23 | 949-950 | S39093D | 23 | 949-950 | ||
| S36269A | 24 | 963-965 | S3722XS | 12 | 729-730 | S39093S | 21 | 913-914 | ||
| S36269D | 23 | 949-950 | S3722XS | 13 | 742-743 | S3981XA | 21 | 913-914 | ||
| S36269S | 06 | 393-395 | S3722XS | 13 | 760-761 | S3981XA | 24 | 963-965 | ||
| S36290A | 07 | 438-440 | S3723XA | 11 | 698-700 | S3981XD | 23 | 949-950 | ||
| S36290A | 24 | 963-965 | S3723XA | 24 | 963-965 | S3981XS | 21 | 913-914 | ||
| S36290D | 23 | 949-950 | S3723XD | 23 | 949-950 | S3982XA | 21 | 913-914 | ||
| S36290S | 06 | 393-395 | S3723XS | 12 | 729-730 | S3982XA | 24 | 963-965 | ||
| S36291A | 07 | 438-440 | S3723XS | 13 | 742-743 | S3982XD | 23 | 949-950 | ||
| S36291A | 24 | 963-965 | S3723XS | 13 | 760-761 | S3982XS | 21 | 913-914 | ||
| S36291D | 23 | 949-950 | S3729XA | 11 | 698-700 | S3983XA | 21 | 913-914 | ||
| S36291S | 06 | 393-395 | S3729XA | 24 | 963-965 | S3983XA | 24 | 963-965 | ||
| S36292A | 07 | 438-440 | S3729XD | 23 | 949-950 | S3983XD | 23 | 949-950 | ||
| S36292A | 24 | 963-965 | S3729XS | 12 | 729-730 | S3983XS | 21 | 913-914 | ||
| S36292D | 23 | 949-950 | S3729XS | 13 | 742-743 | S39840A | 21 | 913-914 | ||
| S36292S | 06 | 393-395 | S3729XS | 13 | 760-761 | S39840A | 24 | 963-965 | ||
| S36299A | 07 | 438-440 | S3730XA | 11 | 698-700 | S39840D | 23 | 949-950 | ||
| S36299A | 24 | 963-965 | S3730XA | 24 | 963-965 | S39840S | 21 | 913-914 | ||
| S36299D | 23 | 949-950 | S3730XD | 23 | 949-950 | S39848A | 21 | 913-914 | ||
| S36299S | 06 | 393-395 | S3730XS | 12 | 729-730 | S39848A | 24 | 963-965 | ||
| S3630XA | 06 | 393-395 | S3730XS | 13 | 742-743 | S39848D | 23 | 949-950 | ||
| S3630XA | 24 | 963-965 | S3730XS | 13 | 760-761 | S39848S | 21 | 913-914 | ||
| S3630XD | 23 | 949-950 | S3732XA | 11 | 698-700 | S3991XA | 21 | 913-914 | ||
| S3630XS | 06 | 393-395 | S3732XA | 24 | 963-965 | S3991XA | 24 | 963-965 | ||
| S3632XA | 06 | 393-395 | S3732XD | 23 | 949-950 | S3991XD | 23 | 949-950 | ||
| S3632XA | 24 | 963-965 | S3732XS | 12 | 729-730 | S3991XS | 21 | 913-914 | ||
| S3632XD | 23 | 949-950 | S3732XS | 13 | 742-743 | S3992XA | 21 | 913-914 | ||
| S3632XS | 06 | 393-395 | S3732XS | 13 | 760-761 | S3992XA | 24 | 963-965 | ||
| S3633XA | 06 | 393-395 | S3733XA | 11 | 698-700 | S3992XD | 23 | 949-950 | ||
| S3633XA | 24 | 963-965 | S3733XA | 24 | 963-965 | S3992XS | 21 | 913-914 | ||
| S3633XD | 23 | 949-950 | S3733XD | 23 | 949-950 | S3993XA | 21 | 913-914 | ||
| S3633XS | 06 | 393-395 | S3733XS | 12 | 729-730 | S3993XA | 24 | 963-965 | ||
| S3639XA | 06 | 393-395 | S3733XS | 13 | 742-743 | S3993XD | 23 | 949-950 | ||
| S3639XA | 24 | 963-965 | S3733XS | 13 | 760-761 | S3993XS | 21 | 913-914 | ||
| S3639XD | 23 | 949-950 | S3739XA | 11 | 698-700 | S3994XA | 21 | 913-914 | ||
| S3639XS | 06 | 393-395 | S3739XA | 24 | 963-965 | S3994XA | 24 | 963-965 | ||
| S36400A | 06 | 393-395 | S3739XD | 23 | 949-950 | S3994XD | 23 | 949-950 | ||
| S36400A | 24 | 963-965 | S3739XS | 12 | 729-730 | S3994XS | 21 | 913-914 | ||
| S36400D | 23 | 949-950 | S3739XS | 13 | 742-743 | S40011A | 09 | 604-605 | ||
| S36400S | 06 | 393-395 | S3739XS | 13 | 760-761 | S40011A | 24 | 963-965 | ||
| S36408A | 06 | 393-395 | S37401A | 13 | 742-743 | S40011D | 23 | 949-950 | ||
| S36408A | 24 | 963-965 | S37401A | 13 | 760-761 | S40011S | 09 | 604-605 | ||
| S36408D | 23 | 949-950 | S37401D | 23 | 949-950 | S40012A | 09 | 604-605 | ||
| S36408S | 06 | 393-395 | S37401S | 13 | 742-743 | S40012A | 24 | 963-965 | ||
| S36409A | 06 | 393-395 | S37401S | 13 | 760-761 | S40012D | 23 | 949-950 | ||
| S36409A | 24 | 963-965 | S37402A | 13 | 742-743 | S40012S | 09 | 604-605 | ||
| S36409D | 23 | 949-950 | S37402A | 13 | 760-761 | S40019A | 09 | 604-605 | ||
| S36409S | 06 | 393-395 | S37402D | 23 | 949-950 | S40019A | 24 | 963-965 | ||
| S36410A | 06 | 393-395 | S37402S | 13 | 742-743 | S40019D | 23 | 949-950 | ||
| S36410A | 24 | 963-965 | S37402S | 13 | 760-761 | S40019S | 09 | 604-605 | ||
| S36410D | 23 | 949-950 | S37409A | 13 | 742-743 | S40021A | 09 | 604-605 | ||
| S36410S | 06 | 393-395 | S37409A | 13 | 760-761 | S40021A | 24 | 963-965 | ||
| S36418A | 06 | 393-395 | S37409D | 23 | 949-950 | S40021D | 23 | 949-950 | ||
| S36418A | 24 | 963-965 | S37409S | 13 | 742-743 | S40021S | 09 | 604-605 | ||
| S36418D | 23 | 949-950 | S37409S | 13 | 760-761 | S40022A | 09 | 604-605 | ||
| S36418S | 06 | 393-395 | S37421A | 13 | 742-743 | S40022A | 24 | 963-965 | ||
| S36419A | 06 | 393-395 | S37421A | 13 | 760-761 | S40022D | 23 | 949-950 | ||
| S36419A | 24 | 963-965 | S37421D | 23 | 949-950 | S40022S | 09 | 604-605 | ||
| S36419D | 23 | 949-950 | S37421S | 13 | 742-743 | S40029A | 09 | 604-605 | ||
| S36419S | 06 | 393-395 | S37421S | 13 | 760-761 | S40029A | 24 | 963-965 | ||
| S36420A | 06 | 393-395 | S37422A | 13 | 742-743 | S40029D | 23 | 949-950 | ||
| S36420A | 24 | 963-965 | S37422A | 13 | 760-761 | S40029S | 09 | 604-605 | ||
| S36420D | 23 | 949-950 | S37422D | 23 | 949-950 | S40211A | 09 | 604-605 | ||
| S36420S | 06 | 393-395 | S37422S | 13 | 742-743 | S40211A | 24 | 963-965 | ||
| S36428A | 06 | 393-395 | S37422S | 13 | 760-761 | S40211D | 23 | 949-950 | ||
| S36428A | 24 | 963-965 | S37429A | 13 | 742-743 | S40211S | 09 | 604-605 | ||
| S36428D | 23 | 949-950 | S37429A | 13 | 760-761 | S40212A | 09 | 604-605 | ||
| S36428S | 06 | 393-395 | S37429D | 23 | 949-950 | S40212A | 24 | 963-965 | ||
| S36429A | 06 | 393-395 | S37429S | 13 | 742-743 | S40212D | 23 | 949-950 | ||
| S36429A | 24 | 963-965 | S37429S | 13 | 760-761 | S40212S | 09 | 604-605 | ||
| S36429D | 23 | 949-950 | S37431A | 13 | 742-743 | S40219A | 09 | 604-605 | ||
| S36429S | 06 | 393-395 | S37431A | 13 | 760-761 | S40219A | 24 | 963-965 | ||
| S36430A | 06 | 393-395 | S37431D | 23 | 949-950 | S40219D | 23 | 949-950 | ||
| S36430A | 24 | 963-965 | S37431S | 13 | 742-743 | S40219S | 09 | 604-605 | ||
| S36430D | 23 | 949-950 | S37431S | 13 | 760-761 | S40221A | 09 | 604-605 | ||
| S36430S | 06 | 393-395 | S37432A | 13 | 742-743 | S40221A | 24 | 963-965 | ||
| S36438A | 06 | 393-395 | S37432A | 13 | 760-761 | S40221D | 23 | 949-950 | ||
| S36438A | 24 | 963-965 | S37432D | 23 | 949-950 | S40221S | 09 | 604-605 | ||
| S36438D | 23 | 949-950 | S37432S | 13 | 742-743 | S40222A | 09 | 604-605 | ||
| S36438S | 06 | 393-395 | S37432S | 13 | 760-761 | S40222A | 24 | 963-965 | ||
| S36439A | 06 | 393-395 | S37439A | 13 | 742-743 | S40222D | 23 | 949-950 | ||
| S36439A | 24 | 963-965 | S37439A | 13 | 760-761 | S40222S | 09 | 604-605 | ||
| S36439D | 23 | 949-950 | S37439D | 23 | 949-950 | S40229A | 09 | 604-605 | ||
| S36439S | 06 | 393-395 | S37439S | 13 | 742-743 | S40229A | 24 | 963-965 | ||
| S36490A | 06 | 393-395 | S37439S | 13 | 760-761 | S40229D | 23 | 949-950 | ||
| S36490A | 24 | 963-965 | S37491A | 13 | 742-743 | S40229S | 09 | 604-605 | ||
| S36490D | 23 | 949-950 | S37491A | 13 | 760-761 | S40241A | 09 | 604-605 | ||
| S36490S | 06 | 393-395 | S37491D | 23 | 949-950 | S40241A | 24 | 963-965 | ||
| S36498A | 06 | 393-395 | S37491S | 13 | 742-743 | S40241D | 23 | 949-950 | ||
| S36498A | 24 | 963-965 | S37491S | 13 | 760-761 | S40241S | 09 | 604-605 | ||
| S36498D | 23 | 949-950 | S37492A | 13 | 742-743 | S40242A | 09 | 604-605 | ||
| S36498S | 06 | 393-395 | S37492A | 13 | 760-761 | S40242A | 24 | 963-965 | ||
| S36499A | 06 | 393-395 | S37492D | 23 | 949-950 | S40242D | 23 | 949-950 | ||
| S36499A | 24 | 963-965 | S37492S | 13 | 742-743 | S40242S | 09 | 604-605 | ||
| S36499D | 23 | 949-950 | S37492S | 13 | 760-761 | S40249A | 09 | 604-605 | ||
| S36499S | 06 | 393-395 | S37499A | 13 | 742-743 | S40249A | 24 | 963-965 | ||
| S36500A | 06 | 393-395 | S37499A | 13 | 760-761 | S40249D | 23 | 949-950 | ||
| S36500A | 24 | 963-965 | S37499D | 23 | 949-950 | S40249S | 09 | 604-605 | ||
| S36500D | 23 | 949-950 | S37499S | 13 | 742-743 | S40251A | 09 | 604-605 | ||
| S36500S | 06 | 393-395 | S37499S | 13 | 760-761 | S40251A | 24 | 963-965 | ||
| S36501A | 06 | 393-395 | S37501A | 13 | 742-743 | S40251D | 23 | 949-950 | ||
| S36501A | 24 | 963-965 | S37501A | 13 | 760-761 | S40251S | 09 | 604-605 | ||
| S36501D | 23 | 949-950 | S37501D | 23 | 949-950 | S40252A | 09 | 604-605 | ||
| S36501S | 06 | 393-395 | S37501S | 13 | 742-743 | S40252A | 24 | 963-965 | ||
| S36502A | 06 | 393-395 | S37501S | 13 | 760-761 | S40252D | 23 | 949-950 | ||
| S36502A | 24 | 963-965 | S37502A | 13 | 742-743 | S40252S | 09 | 604-605 | ||
| S36502D | 23 | 949-950 | S37502A | 13 | 760-761 | S40259A | 09 | 604-605 | ||
| S36502S | 06 | 393-395 | S37502D | 23 | 949-950 | S40259A | 24 | 963-965 | ||
| S36503A | 06 | 393-395 | S37502S | 13 | 742-743 | S40259D | 23 | 949-950 | ||
| S36503A | 24 | 963-965 | S37502S | 13 | 760-761 | S40259S | 09 | 604-605 | ||
| S36503D | 23 | 949-950 | S37509A | 13 | 742-743 | S40261A | 09 | 606-607 | ||
| S36503S | 06 | 393-395 | S37509A | 13 | 760-761 | S40261A | 24 | 963-965 | ||
| S36508A | 06 | 393-395 | S37509D | 23 | 949-950 | S40261D | 23 | 949-950 | ||
| S36508A | 24 | 963-965 | S37509S | 13 | 742-743 | S40261S | 09 | 604-605 | ||
| S36508D | 23 | 949-950 | S37509S | 13 | 760-761 | S40262A | 09 | 606-607 | ||
| S36508S | 06 | 393-395 | S37511A | 13 | 742-743 | S40262A | 24 | 963-965 | ||
| S36509A | 06 | 393-395 | S37511A | 13 | 760-761 | S40262D | 23 | 949-950 | ||
| S36509A | 24 | 963-965 | S37511D | 23 | 949-950 | S40262S | 09 | 604-605 | ||
| S36509D | 23 | 949-950 | S37511S | 13 | 742-743 | S40269A | 09 | 606-607 | ||
| S36509S | 06 | 393-395 | S37511S | 13 | 760-761 | S40269A | 24 | 963-965 | ||
| S36510A | 06 | 393-395 | S37512A | 13 | 742-743 | S40269D | 23 | 949-950 | ||
| S36510A | 24 | 963-965 | S37512A | 13 | 760-761 | S40269S | 09 | 604-605 | ||
| S36510D | 23 | 949-950 | S37512D | 23 | 949-950 | S40271A | 09 | 604-605 | ||
| S36510S | 06 | 393-395 | S37512S | 13 | 742-743 | S40271A | 24 | 963-965 | ||
| S36511A | 06 | 393-395 | S37512S | 13 | 760-761 | S40271D | 23 | 949-950 | ||
| S36511A | 24 | 963-965 | S37519A | 13 | 742-743 | S40271S | 09 | 604-605 | ||
| S36511D | 23 | 949-950 | S37519A | 13 | 760-761 | S40272A | 09 | 604-605 | ||
| S36511S | 06 | 393-395 | S37519D | 23 | 949-950 | S40272A | 24 | 963-965 | ||
| S36512A | 06 | 393-395 | S37519S | 13 | 742-743 | S40272D | 23 | 949-950 | ||
| S36512A | 24 | 963-965 | S37519S | 13 | 760-761 | S40272S | 09 | 604-605 | ||
| S36512D | 23 | 949-950 | S37521A | 13 | 742-743 | S40279A | 09 | 604-605 | ||
| S36512S | 06 | 393-395 | S37521A | 13 | 760-761 | S40279A | 24 | 963-965 | ||
| S36513A | 06 | 393-395 | S37521D | 23 | 949-950 | S40279D | 23 | 949-950 | ||
| S36513A | 24 | 963-965 | S37521S | 13 | 742-743 | S40279S | 09 | 604-605 | ||
| S36513D | 23 | 949-950 | S37521S | 13 | 760-761 | S40811A | 09 | 604-605 | ||
| S36513S | 06 | 393-395 | S37522A | 13 | 742-743 | S40811A | 24 | 963-965 | ||
| S36518A | 06 | 393-395 | S37522A | 13 | 760-761 | S40811D | 23 | 949-950 | ||
| S36518A | 24 | 963-965 | S37522D | 23 | 949-950 | S40811S | 09 | 604-605 | ||
| S36518D | 23 | 949-950 | S37522S | 13 | 742-743 | S40812A | 09 | 604-605 | ||
| S36518S | 06 | 393-395 | S37522S | 13 | 760-761 | S40812A | 24 | 963-965 | ||
| S36519A | 06 | 393-395 | S37529A | 13 | 742-743 | S40812D | 23 | 949-950 | ||
| S36519A | 24 | 963-965 | S37529A | 13 | 760-761 | S40812S | 09 | 604-605 | ||
| S36519D | 23 | 949-950 | S37529D | 23 | 949-950 | S40819A | 09 | 604-605 | ||
| S36519S | 06 | 393-395 | S37529S | 13 | 742-743 | S40819A | 24 | 963-965 | ||
| S36520A | 06 | 393-395 | S37529S | 13 | 760-761 | S40819D | 23 | 949-950 | ||
| S36520A | 24 | 963-965 | S37531A | 13 | 742-743 | S40819S | 09 | 604-605 | ||
| S36520D | 23 | 949-950 | S37531A | 13 | 760-761 | S40821A | 09 | 604-605 | ||
| S36520S | 06 | 393-395 | S37531D | 23 | 949-950 | S40821A | 24 | 963-965 | ||
| S36521A | 06 | 393-395 | S37531S | 13 | 742-743 | S40821D | 23 | 949-950 | ||
| S36521A | 24 | 963-965 | S37531S | 13 | 760-761 | S40821S | 09 | 604-605 | ||
| S36521D | 23 | 949-950 | S37532A | 13 | 742-743 | S40822A | 09 | 604-605 | ||
| S36521S | 06 | 393-395 | S37532A | 13 | 760-761 | S40822A | 24 | 963-965 | ||
| S36522A | 06 | 393-395 | S37532D | 23 | 949-950 | S40822D | 23 | 949-950 | ||
| S36522A | 24 | 963-965 | S37532S | 13 | 742-743 | S40822S | 09 | 604-605 | ||
| S36522D | 23 | 949-950 | S37532S | 13 | 760-761 | S40829A | 09 | 604-605 | ||
| S36522S | 06 | 393-395 | S37539A | 13 | 742-743 | S40829A | 24 | 963-965 | ||
| S36523A | 06 | 393-395 | S37539A | 13 | 760-761 | S40829D | 23 | 949-950 | ||
| S36523A | 24 | 963-965 | S37539D | 23 | 949-950 | S40829S | 09 | 604-605 | ||
| S36523D | 23 | 949-950 | S37539S | 13 | 742-743 | S40841A | 09 | 604-605 | ||
| S36523S | 06 | 393-395 | S37539S | 13 | 760-761 | S40841A | 24 | 963-965 | ||
| S36528A | 06 | 393-395 | S37591A | 13 | 742-743 | S40841D | 23 | 949-950 | ||
| S36528A | 24 | 963-965 | S37591A | 13 | 760-761 | S40841S | 09 | 604-605 | ||
| S36528D | 23 | 949-950 | S37591D | 23 | 949-950 | S40842A | 09 | 604-605 | ||
| S36528S | 06 | 393-395 | S37591S | 13 | 742-743 | S40842A | 24 | 963-965 | ||
| S36529A | 06 | 393-395 | S37591S | 13 | 760-761 | S40842D | 23 | 949-950 | ||
| S36529A | 24 | 963-965 | S37592A | 13 | 742-743 | S40842S | 09 | 604-605 | ||
| S36529D | 23 | 949-950 | S37592A | 13 | 760-761 | S40849A | 09 | 604-605 | ||
| S36529S | 06 | 393-395 | S37592D | 23 | 949-950 | S40849A | 24 | 963-965 | ||
| S36530A | 06 | 393-395 | S37592S | 13 | 742-743 | S40849D | 23 | 949-950 | ||
| S36530A | 24 | 963-965 | S37592S | 13 | 760-761 | S40849S | 09 | 604-605 | ||
| S36530D | 23 | 949-950 | S37599A | 13 | 742-743 | S40851A | 09 | 604-605 | ||
| S36530S | 06 | 393-395 | S37599A | 13 | 760-761 | S40851A | 24 | 963-965 | ||
| S36531A | 06 | 393-395 | S37599D | 23 | 949-950 | S40851D | 23 | 949-950 | ||
| S36531A | 24 | 963-965 | S37599S | 13 | 742-743 | S40851S | 09 | 604-605 | ||
| S36531D | 23 | 949-950 | S37599S | 13 | 760-761 | S40852A | 09 | 604-605 | ||
| S36531S | 06 | 393-395 | S3760XA | 13 | 742-743 | S40852A | 24 | 963-965 | ||
| S36532A | 06 | 393-395 | S3760XA | 13 | 760-761 | S40852D | 23 | 949-950 | ||
| S36532A | 24 | 963-965 | S3760XA | 24 | 963-965 | S40852S | 09 | 604-605 | ||
| S36532D | 23 | 949-950 | S3760XD | 23 | 949-950 | S40859A | 09 | 604-605 | ||
| S36532S | 06 | 393-395 | S3760XS | 13 | 742-743 | S40859A | 24 | 963-965 | ||
| S36533A | 06 | 393-395 | S3760XS | 13 | 760-761 | S40859D | 23 | 949-950 | ||
| S36533A | 24 | 963-965 | S3762XA | 13 | 742-743 | S40859S | 09 | 604-605 | ||
| S36533D | 23 | 949-950 | S3762XA | 13 | 760-761 | S40861A | 09 | 606-607 | ||
| S36533S | 06 | 393-395 | S3762XA | 24 | 963-965 | S40861A | 24 | 963-965 | ||
| S36538A | 06 | 393-395 | S3762XD | 23 | 949-950 | S40861D | 23 | 949-950 | ||
| S36538A | 24 | 963-965 | S3762XS | 13 | 742-743 | S40861S | 09 | 604-605 | ||
| S36538D | 23 | 949-950 | S3762XS | 13 | 760-761 | S40862A | 09 | 606-607 | ||
| S36538S | 06 | 393-395 | S3763XA | 13 | 742-743 | S40862A | 24 | 963-965 | ||
| S36539A | 06 | 393-395 | S3763XA | 13 | 760-761 | S40862D | 23 | 949-950 | ||
| S36539A | 24 | 963-965 | S3763XA | 24 | 963-965 | S40862S | 09 | 604-605 | ||
| S36539D | 23 | 949-950 | S3763XD | 23 | 949-950 | S40869A | 09 | 606-607 | ||
| S36539S | 06 | 393-395 | S3763XS | 13 | 742-743 | S40869A | 24 | 963-965 | ||
| S36590A | 06 | 393-395 | S3763XS | 13 | 760-761 | S40869D | 23 | 949-950 | ||
| S36590A | 24 | 963-965 | S3769XA | 13 | 742-743 | S40869S | 09 | 604-605 | ||
| S36590D | 23 | 949-950 | S3769XA | 13 | 760-761 | S40871A | 09 | 604-605 | ||
| S36590S | 06 | 393-395 | S3769XA | 24 | 963-965 | S40871A | 24 | 963-965 | ||
| S36591A | 06 | 393-395 | S3769XD | 23 | 949-950 | S40871D | 23 | 949-950 | ||
| S36591A | 24 | 963-965 | S3769XS | 13 | 742-743 | S40871S | 09 | 604-605 | ||
| S36591D | 23 | 949-950 | S3769XS | 13 | 760-761 | S40872A | 09 | 604-605 | ||
| S36591S | 06 | 393-395 | S37812A | 10 | 643-645 | S40872A | 24 | 963-965 | ||
| S36592A | 06 | 393-395 | S37812A | 24 | 963-965 | S40872D | 23 | 949-950 | ||
| S36592A | 24 | 963-965 | S37812D | 23 | 949-950 | S40872S | 09 | 604-605 | ||
| S36592D | 23 | 949-950 | S37812S | 12 | 729-730 | S40879A | 09 | 604-605 | ||
| S36592S | 06 | 393-395 | S37812S | 13 | 742-743 | S40879A | 24 | 963-965 | ||
| S36593A | 06 | 393-395 | S37812S | 13 | 760-761 | S40879D | 23 | 949-950 | ||
| S36593A | 24 | 963-965 | S37813A | 10 | 643-645 | S40879S | 09 | 604-605 | ||
| S36593D | 23 | 949-950 | S37813A | 24 | 963-965 | S40911A | 09 | 604-605 | ||
| S36593S | 06 | 393-395 | S37813D | 23 | 949-950 | S40911A | 24 | 963-965 | ||
| S36598A | 06 | 393-395 | S37813S | 12 | 729-730 | S40911D | 23 | 949-950 | ||
| S36598A | 24 | 963-965 | S37813S | 13 | 742-743 | S40911S | 09 | 604-605 | ||
| S36598D | 23 | 949-950 | S37813S | 13 | 760-761 | S40912A | 09 | 604-605 | ||
| S36598S | 06 | 393-395 | S37818A | 10 | 643-645 | S40912A | 24 | 963-965 | ||
| S36599A | 06 | 393-395 | S37818A | 24 | 963-965 | S40912D | 23 | 949-950 | ||
| S36599A | 24 | 963-965 | S37818D | 23 | 949-950 | S40912S | 09 | 604-605 | ||
| S36599D | 23 | 949-950 | S37818S | 12 | 729-730 | S40919A | 09 | 604-605 | ||
| S36599S | 06 | 393-395 | S37818S | 13 | 742-743 | S40919A | 24 | 963-965 | ||
| S3660XA | 06 | 393-395 | S37818S | 13 | 760-761 | S40919D | 23 | 949-950 | ||
| S3660XA | 24 | 963-965 | S37819A | 10 | 643-645 | S40919S | 09 | 604-605 | ||
| S3660XD | 23 | 949-950 | S37819A | 24 | 963-965 | S40921A | 09 | 604-605 | ||
| S3660XS | 06 | 393-395 | S37819D | 23 | 949-950 | S40921A | 24 | 963-965 | ||
| S3661XA | 06 | 393-395 | S37819S | 12 | 729-730 | S40921D | 23 | 949-950 | ||
| S3661XA | 24 | 963-965 | S37819S | 13 | 742-743 | S40921S | 09 | 604-605 | ||
| S3661XD | 23 | 949-950 | S37819S | 13 | 760-761 | S40922A | 09 | 604-605 | ||
| S3661XS | 06 | 393-395 | S37822A | 12 | 729-730 | S40922A | 24 | 963-965 | ||
| S3662XA | 06 | 393-395 | S37822D | 23 | 949-950 | S40922D | 23 | 949-950 | ||
| S3662XA | 24 | 963-965 | S37822S | 12 | 729-730 | S40922S | 09 | 604-605 | ||
| S3662XD | 23 | 949-950 | S37823A | 12 | 729-730 | S40929A | 09 | 604-605 | ||
| S3662XS | 06 | 393-395 | S37823D | 23 | 949-950 | S40929A | 24 | 963-965 | ||
| S3663XA | 06 | 393-395 | S37823S | 12 | 729-730 | S40929D | 23 | 949-950 | ||
| S3663XA | 24 | 963-965 | S37828A | 12 | 729-730 | S40929S | 09 | 604-605 | ||
| S3663XD | 23 | 949-950 | S37828D | 23 | 949-950 | S41001A | 09 | 604-605 | ||
| S3663XS | 06 | 393-395 | S37828S | 12 | 729-730 | S41001A | 24 | 963-965 | ||
| S3669XA | 06 | 393-395 | S37829A | 12 | 729-730 | S41001D | 23 | 949-950 | ||
| S3669XA | 24 | 963-965 | S37829D | 23 | 949-950 | S41001S | 09 | 604-605 | ||
| S3669XD | 23 | 949-950 | S37829S | 12 | 729-730 | S41002A | 09 | 604-605 | ||
| S3669XS | 06 | 393-395 | S37892A | 12 | 729-730 | S41002A | 24 | 963-965 | ||
| S3681XA | 06 | 393-395 | S37892A | 13 | 742-743 | S41002D | 23 | 949-950 | ||
| S3681XA | 24 | 963-965 | S37892A | 13 | 760-761 | S41002S | 09 | 604-605 | ||
| S3681XD | 23 | 949-950 | S37892A | 24 | 963-965 | S41009A | 09 | 604-605 | ||
| S3681XS | 06 | 393-395 | S37892D | 23 | 949-950 | S41009A | 24 | 963-965 | ||
| S36892A | 21 | 913-914 | S37892S | 12 | 729-730 | S41009D | 23 | 949-950 | ||
| S36892A | 24 | 963-965 | S37892S | 13 | 742-743 | S41009S | 09 | 604-605 | ||
| S36892D | 23 | 949-950 | S37892S | 13 | 760-761 | S41011A | 09 | 604-605 | ||
| S36892S | 06 | 393-395 | S37893A | 12 | 729-730 | S41011A | 24 | 963-965 | ||
| S36893A | 21 | 913-914 | S37893A | 13 | 742-743 | S41011D | 23 | 949-950 | ||
| S36893A | 24 | 963-965 | S37893A | 13 | 760-761 | S41011S | 09 | 604-605 | ||
| S36893D | 23 | 949-950 | S37893A | 24 | 963-965 | S41012A | 09 | 604-605 | ||
| S36893S | 06 | 393-395 | S37893D | 23 | 949-950 | S41012A | 24 | 963-965 | ||
| S36898A | 21 | 913-914 | S37893S | 12 | 729-730 | S41012D | 23 | 949-950 | ||
| S36898A | 24 | 963-965 | S37893S | 13 | 742-743 | S41012S | 09 | 604-605 | ||
| S36898D | 23 | 949-950 | S37893S | 13 | 760-761 | S41019A | 09 | 604-605 | ||
| S36898S | 06 | 393-395 | S37898A | 12 | 729-730 | S41019A | 24 | 963-965 | ||
| S36899A | 21 | 913-914 | S37898A | 13 | 742-743 | S41019D | 23 | 949-950 | ||
| S36899A | 24 | 963-965 | S37898A | 13 | 760-761 | S41019S | 09 | 604-605 | ||
| S36899D | 23 | 949-950 | S37898A | 24 | 963-965 | S41021A | 21 | 913-914 | ||
| S36899S | 06 | 393-395 | S37898D | 23 | 949-950 | S41021A | 24 | 963-965 | ||
| S3690XA | 06 | 393-395 | S37898S | 12 | 729-730 | S41021D | 23 | 949-950 | ||
| S3690XA | 24 | 963-965 | S37898S | 13 | 742-743 | S41021S | 09 | 604-605 | ||
| S3690XD | 23 | 949-950 | S37898S | 13 | 760-761 | S41022A | 21 | 913-914 | ||
| S3690XS | 06 | 393-395 | S37899A | 12 | 729-730 | S41022A | 24 | 963-965 | ||
| S3692XA | 06 | 393-395 | S37899A | 13 | 742-743 | S41022D | 23 | 949-950 | ||
| S3692XA | 24 | 963-965 | S37899A | 13 | 760-761 | S41022S | 09 | 604-605 | ||
| S3692XD | 23 | 949-950 | S37899A | 24 | 963-965 | S41029A | 21 | 913-914 | ||
| S3692XS | 06 | 393-395 | S37899D | 23 | 949-950 | S41029A | 24 | 963-965 | ||
| S3693XA | 06 | 393-395 | S37899S | 12 | 729-730 | S41029D | 23 | 949-950 | ||
| S3693XA | 24 | 963-965 | S37899S | 13 | 742-743 | S41029S | 09 | 604-605 | ||
| S3693XD | 23 | 949-950 | S37899S | 13 | 760-761 | S41031A | 09 | 604-605 | ||
| S3693XS | 06 | 393-395 | S3790XA | 12 | 729-730 | S41031A | 24 | 963-965 | ||
| S3699XA | 06 | 393-395 | S3790XA | 13 | 742-743 | S41031D | 23 | 949-950 | ||
| S3699XA | 24 | 963-965 | S3790XA | 13 | 760-761 | S41031S | 09 | 604-605 | ||
| S3699XD | 23 | 949-950 | S3790XA | 24 | 963-965 | S41032A | 09 | 604-605 | ||
| S3699XS | 06 | 393-395 | S3790XD | 23 | 949-950 | S41032A | 24 | 963-965 | ||
| S37001A | 11 | 698-700 | S3790XS | 12 | 729-730 | S41032D | 23 | 949-950 | ||
| S37001A | 24 | 963-965 | S3790XS | 13 | 742-743 | S41032S | 09 | 604-605 | ||
| S37001D | 23 | 949-950 | S3790XS | 13 | 760-761 | S41039A | 09 | 604-605 | ||
| S37001S | 06 | 393-395 | S3792XA | 12 | 729-730 | S41039A | 24 | 963-965 | ||
| S37002A | 11 | 698-700 | S3792XA | 13 | 742-743 | S41039D | 23 | 949-950 | ||
| S37002A | 24 | 963-965 | S3792XA | 13 | 760-761 | S41039S | 09 | 604-605 | ||
| S37002D | 23 | 949-950 | S3792XA | 24 | 963-965 | S41041A | 21 | 913-914 | ||
| S37002S | 06 | 393-395 | S3792XD | 23 | 949-950 | S41041A | 24 | 963-965 | ||
| S37009A | 11 | 698-700 | S3792XS | 12 | 729-730 | S41041D | 23 | 949-950 | ||
| S37009A | 24 | 963-965 | S3792XS | 13 | 742-743 | S41041S | 09 | 604-605 | ||
| S37009D | 23 | 949-950 | S3792XS | 13 | 760-761 | S41042A | 21 | 913-914 | ||
| S37009S | 06 | 393-395 | S3793XA | 12 | 729-730 | S41042A | 24 | 963-965 | ||
| S37011A | 11 | 698-700 | S3793XA | 13 | 742-743 | S41042D | 23 | 949-950 | ||
| S37011A | 24 | 963-965 | S3793XA | 13 | 760-761 | S41042S | 09 | 604-605 | ||
| S37011D | 23 | 949-950 | S3793XA | 24 | 963-965 | S41049A | 21 | 913-914 | ||
| S37011S | 06 | 393-395 | S3793XD | 23 | 949-950 | S41049A | 24 | 963-965 | ||
| S37012A | 11 | 698-700 | S3793XS | 12 | 729-730 | S41049D | 23 | 949-950 | ||
| S37012A | 24 | 963-965 | S3793XS | 13 | 742-743 | S41049S | 09 | 604-605 | ||
| S37012D | 23 | 949-950 | S3793XS | 13 | 760-761 | S41051A | 09 | 604-605 | ||
| S37012S | 06 | 393-395 | S3799XA | 12 | 729-730 | S41051A | 24 | 963-965 | ||
| S37019A | 11 | 698-700 | S3799XA | 13 | 742-743 | S41051D | 23 | 949-950 | ||
| S37019A | 24 | 963-965 | S3799XA | 13 | 760-761 | S41051S | 09 | 604-605 | ||
| S37019D | 23 | 949-950 | S3799XA | 24 | 963-965 | S41052A | 09 | 604-605 | ||
| S37019S | 06 | 393-395 | S3799XD | 23 | 949-950 | S41052A | 24 | 963-965 | ||
| S37021A | 11 | 698-700 | S3799XS | 12 | 729-730 | S41052D | 23 | 949-950 | ||
| S37021A | 24 | 963-965 | S3799XS | 13 | 742-743 | S41052S | 09 | 604-605 | ||
| S37021D | 23 | 949-950 | S3799XS | 13 | 760-761 | S41059A | 09 | 604-605 | ||
| S37021S | 06 | 393-395 | S38001A | 12 | 729-730 | S41059A | 24 | 963-965 | ||
| S37022A | 11 | 698-700 | S38001A | 24 | 963-965 | S41059D | 23 | 949-950 | ||
| S37022A | 24 | 963-965 | S38001D | 23 | 949-950 | S41059S | 09 | 604-605 | ||
| S37022D | 23 | 949-950 | S38001S | 09 | 604-605 | S41101A | 09 | 604-605 | ||
| S37022S | 06 | 393-395 | S38002A | 13 | 742-743 | S41101A | 24 | 963-965 | ||
| S37029A | 11 | 698-700 | S38002A | 13 | 760-761 | S41101D | 23 | 949-950 | ||
| S37029A | 24 | 963-965 | S38002A | 24 | 963-965 | S41101S | 09 | 604-605 | ||
| S37029D | 23 | 949-950 | S38002D | 23 | 949-950 | S41102A | 09 | 604-605 | ||
| S37029S | 06 | 393-395 | S38002S | 09 | 604-605 | S41102A | 24 | 963-965 | ||
| S37031A | 11 | 698-700 | S3801XA | 12 | 729-730 | S41102D | 23 | 949-950 | ||
| S37031A | 24 | 963-965 | S3801XA | 24 | 963-965 | S41102S | 09 | 604-605 | ||
| S37031D | 23 | 949-950 | S3801XD | 23 | 949-950 | S41109A | 09 | 604-605 | ||
| S37031S | 06 | 393-395 | S3801XS | 09 | 604-605 | S41109A | 24 | 963-965 | ||
| S37032A | 11 | 698-700 | S3802XA | 12 | 729-730 | S41109D | 23 | 949-950 | ||
| S37032A | 24 | 963-965 | S3802XA | 24 | 963-965 | S41109S | 09 | 604-605 | ||
| S37032D | 23 | 949-950 | S3802XD | 23 | 949-950 | S41111A | 09 | 604-605 | ||
| S37032S | 06 | 393-395 | S3802XS | 09 | 604-605 | S41111A | 24 | 963-965 | ||
| S37039A | 11 | 698-700 | S3803XA | 13 | 742-743 | S41111D | 23 | 949-950 | ||
| S37039A | 24 | 963-965 | S3803XA | 13 | 760-761 | S41111S | 09 | 604-605 | ||
| S37039D | 23 | 949-950 | S3803XA | 24 | 963-965 | S41112A | 09 | 604-605 | ||
| S37039S | 06 | 393-395 | S3803XD | 23 | 949-950 | S41112A | 24 | 963-965 | ||
| S37041A | 11 | 698-700 | S3803XS | 09 | 604-605 | S41112D | 23 | 949-950 | ||
| S37041A | 24 | 963-965 | S381XXA | 21 | 913-914 | S41112S | 09 | 604-605 | ||
| S381XXA | 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 |