ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 41 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S45012D | 23 | 949-950 | S46809D | 23 | 949-950 | S49149S | 08 | 559-561 | ||
S45012S | 05 | 299-301 | S46809S | 21 | 913-914 | S49191A | 08 | 562-563 | ||
S45019A | 21 | 913-914 | S46811A | 08 | 562-563 | S49191A | 24 | 963-965 | ||
S45019A | 24 | 963-965 | S46811A | 24 | 963-965 | S49191D | 08 | 559-561 | ||
S45019D | 23 | 949-950 | S46811D | 23 | 949-950 | S49191G | 08 | 559-561 | ||
S45019S | 05 | 299-301 | S46811S | 08 | 562-563 | S49191K | 08 | 564-566 | ||
S45091A | 21 | 913-914 | S46812A | 08 | 562-563 | S49191P | 08 | 564-566 | ||
S45091A | 24 | 963-965 | S46812A | 24 | 963-965 | S49191S | 08 | 559-561 | ||
S45091D | 23 | 949-950 | S46812D | 23 | 949-950 | S49192A | 08 | 562-563 | ||
S45091S | 05 | 299-301 | S46812S | 08 | 562-563 | S49192A | 24 | 963-965 | ||
S45092A | 21 | 913-914 | S46819A | 08 | 562-563 | S49192D | 08 | 559-561 | ||
S45092A | 24 | 963-965 | S46819A | 24 | 963-965 | S49192G | 08 | 559-561 | ||
S45092D | 23 | 949-950 | S46819D | 23 | 949-950 | S49192K | 08 | 564-566 | ||
S45092S | 05 | 299-301 | S46819S | 08 | 562-563 | S49192P | 08 | 564-566 | ||
S45099A | 21 | 913-914 | S46821A | 08 | 564-566 | S49192S | 08 | 559-561 | ||
S45099A | 24 | 963-965 | S46821A | 24 | 963-965 | S49199A | 08 | 562-563 | ||
S45099D | 23 | 949-950 | S46821D | 23 | 949-950 | S49199A | 24 | 963-965 | ||
S45099S | 05 | 299-301 | S46821S | 09 | 604-605 | S49199D | 08 | 559-561 | ||
S45101A | 21 | 913-914 | S46822A | 08 | 564-566 | S49199G | 08 | 559-561 | ||
S45101A | 24 | 963-965 | S46822A | 24 | 963-965 | S49199K | 08 | 564-566 | ||
S45101D | 23 | 949-950 | S46822D | 23 | 949-950 | S49199P | 08 | 564-566 | ||
S45101S | 05 | 299-301 | S46822S | 09 | 604-605 | S49199S | 08 | 559-561 | ||
S45102A | 21 | 913-914 | S46829A | 08 | 564-566 | S4980XA | 21 | 913-914 | ||
S45102A | 24 | 963-965 | S46829A | 24 | 963-965 | S4980XA | 24 | 963-965 | ||
S45102D | 23 | 949-950 | S46829D | 23 | 949-950 | S4980XD | 23 | 949-950 | ||
S45102S | 05 | 299-301 | S46829S | 09 | 604-605 | S4980XS | 21 | 913-914 | ||
S45109A | 21 | 913-914 | S46891A | 21 | 913-914 | S4981XA | 21 | 913-914 | ||
S45109A | 24 | 963-965 | S46891A | 24 | 963-965 | S4981XA | 24 | 963-965 | ||
S45109D | 23 | 949-950 | S46891D | 23 | 949-950 | S4981XD | 23 | 949-950 | ||
S45109S | 05 | 299-301 | S46891S | 21 | 913-914 | S4981XS | 21 | 913-914 | ||
S45111A | 21 | 913-914 | S46892A | 21 | 913-914 | S4982XA | 21 | 913-914 | ||
S45111A | 24 | 963-965 | S46892A | 24 | 963-965 | S4982XA | 24 | 963-965 | ||
S45111D | 23 | 949-950 | S46892D | 23 | 949-950 | S4982XD | 23 | 949-950 | ||
S45111S | 05 | 299-301 | S46892S | 21 | 913-914 | S4982XS | 21 | 913-914 | ||
S45112A | 21 | 913-914 | S46899A | 21 | 913-914 | S4990XA | 21 | 913-914 | ||
S45112A | 24 | 963-965 | S46899A | 24 | 963-965 | S4990XA | 24 | 963-965 | ||
S45112D | 23 | 949-950 | S46899D | 23 | 949-950 | S4990XD | 23 | 949-950 | ||
S45112S | 05 | 299-301 | S46899S | 21 | 913-914 | S4990XS | 21 | 913-914 | ||
S45119A | 21 | 913-914 | S46901A | 21 | 913-914 | S4991XA | 21 | 913-914 | ||
S45119A | 24 | 963-965 | S46901A | 24 | 963-965 | S4991XA | 24 | 963-965 | ||
S45119D | 23 | 949-950 | S46901D | 23 | 949-950 | S4991XD | 23 | 949-950 | ||
S45119S | 05 | 299-301 | S46901S | 21 | 913-914 | S4991XS | 21 | 913-914 | ||
S45191A | 21 | 913-914 | S46902A | 21 | 913-914 | S4992XA | 21 | 913-914 | ||
S45191A | 24 | 963-965 | S46902A | 24 | 963-965 | S4992XA | 24 | 963-965 | ||
S45191D | 23 | 949-950 | S46902D | 23 | 949-950 | S4992XD | 23 | 949-950 | ||
S45191S | 05 | 299-301 | S46902S | 21 | 913-914 | S4992XS | 21 | 913-914 | ||
S45192A | 21 | 913-914 | S46909A | 21 | 913-914 | S5000XA | 09 | 604-605 | ||
S45192A | 24 | 963-965 | S46909A | 24 | 963-965 | S5000XA | 24 | 963-965 | ||
S45192D | 23 | 949-950 | S46909D | 23 | 949-950 | S5000XD | 23 | 949-950 | ||
S45192S | 05 | 299-301 | S46909S | 21 | 913-914 | S5000XS | 09 | 604-605 | ||
S45199A | 21 | 913-914 | S46911A | 08 | 562-563 | S5001XA | 09 | 604-605 | ||
S45199A | 24 | 963-965 | S46911A | 24 | 963-965 | S5001XA | 24 | 963-965 | ||
S45199D | 23 | 949-950 | S46911D | 23 | 949-950 | S5001XD | 23 | 949-950 | ||
S45199S | 05 | 299-301 | S46911S | 08 | 562-563 | S5001XS | 09 | 604-605 | ||
S45201A | 21 | 913-914 | S46912A | 08 | 562-563 | S5002XA | 09 | 604-605 | ||
S45201A | 24 | 963-965 | S46912A | 24 | 963-965 | S5002XA | 24 | 963-965 | ||
S45201D | 23 | 949-950 | S46912D | 23 | 949-950 | S5002XD | 23 | 949-950 | ||
S45201S | 05 | 299-301 | S46912S | 08 | 562-563 | S5002XS | 09 | 604-605 | ||
S45202A | 21 | 913-914 | S46919A | 08 | 562-563 | S5010XA | 09 | 604-605 | ||
S45202A | 24 | 963-965 | S46919A | 24 | 963-965 | S5010XA | 24 | 963-965 | ||
S45202D | 23 | 949-950 | S46919D | 23 | 949-950 | S5010XD | 23 | 949-950 | ||
S45202S | 05 | 299-301 | S46919S | 08 | 562-563 | S5010XS | 09 | 604-605 | ||
S45209A | 21 | 913-914 | S46921A | 08 | 564-566 | S5011XA | 09 | 604-605 | ||
S45209A | 24 | 963-965 | S46921A | 24 | 963-965 | S5011XA | 24 | 963-965 | ||
S45209D | 23 | 949-950 | S46921D | 23 | 949-950 | S5011XD | 23 | 949-950 | ||
S45209S | 05 | 299-301 | S46921S | 09 | 604-605 | S5011XS | 09 | 604-605 | ||
S45211A | 21 | 913-914 | S46922A | 08 | 564-566 | S5012XA | 09 | 604-605 | ||
S45211A | 24 | 963-965 | S46922A | 24 | 963-965 | S5012XA | 24 | 963-965 | ||
S45211D | 23 | 949-950 | S46922D | 23 | 949-950 | S5012XD | 23 | 949-950 | ||
S45211S | 05 | 299-301 | S46922S | 09 | 604-605 | S5012XS | 09 | 604-605 | ||
S45212A | 21 | 913-914 | S46929A | 08 | 564-566 | S50311A | 09 | 604-605 | ||
S45212A | 24 | 963-965 | S46929A | 24 | 963-965 | S50311A | 24 | 963-965 | ||
S45212D | 23 | 949-950 | S46929D | 23 | 949-950 | S50311D | 23 | 949-950 | ||
S45212S | 05 | 299-301 | S46929S | 09 | 604-605 | S50311S | 09 | 604-605 | ||
S45219A | 21 | 913-914 | S46991A | 21 | 913-914 | S50312A | 09 | 604-605 | ||
S45219A | 24 | 963-965 | S46991A | 24 | 963-965 | S50312A | 24 | 963-965 | ||
S45219D | 23 | 949-950 | S46991D | 23 | 949-950 | S50312D | 23 | 949-950 | ||
S45219S | 05 | 299-301 | S46991S | 21 | 913-914 | S50312S | 09 | 604-605 | ||
S45291A | 21 | 913-914 | S46992A | 21 | 913-914 | S50319A | 09 | 604-605 | ||
S45291A | 24 | 963-965 | S46992A | 24 | 963-965 | S50319A | 24 | 963-965 | ||
S45291D | 23 | 949-950 | S46992D | 23 | 949-950 | S50319D | 23 | 949-950 | ||
S45291S | 05 | 299-301 | S46992S | 21 | 913-914 | S50319S | 09 | 604-605 | ||
S45292A | 21 | 913-914 | S46999A | 21 | 913-914 | S50321A | 09 | 606-607 | ||
S45292A | 24 | 963-965 | S46999A | 24 | 963-965 | S50321A | 24 | 963-965 | ||
S45292D | 23 | 949-950 | S46999D | 23 | 949-950 | S50321D | 23 | 949-950 | ||
S45292S | 05 | 299-301 | S46999S | 21 | 913-914 | S50321S | 09 | 604-605 | ||
S45299A | 21 | 913-914 | S471XXA | 21 | 913-914 | S50322A | 09 | 606-607 | ||
S45299A | 24 | 963-965 | S471XXA | 24 | 963-965 | S50322A | 24 | 963-965 | ||
S45299D | 23 | 949-950 | S471XXD | 23 | 949-950 | S50322D | 23 | 949-950 | ||
S45299S | 05 | 299-301 | S471XXS | 09 | 604-605 | S50322S | 09 | 604-605 | ||
S45301A | 21 | 913-914 | S472XXA | 21 | 913-914 | S50329A | 09 | 606-607 | ||
S45301A | 24 | 963-965 | S472XXA | 24 | 963-965 | S50329A | 24 | 963-965 | ||
S45301D | 23 | 949-950 | S472XXD | 23 | 949-950 | S50329D | 23 | 949-950 | ||
S45301S | 05 | 299-301 | S472XXS | 09 | 604-605 | S50329S | 09 | 604-605 | ||
S45302A | 21 | 913-914 | S479XXA | 21 | 913-914 | S50341A | 09 | 604-605 | ||
S45302A | 24 | 963-965 | S479XXA | 24 | 963-965 | S50341A | 24 | 963-965 | ||
S45302D | 23 | 949-950 | S479XXD | 23 | 949-950 | S50341D | 23 | 949-950 | ||
S45302S | 05 | 299-301 | S479XXS | 09 | 604-605 | S50341S | 09 | 604-605 | ||
S45309A | 21 | 913-914 | S48011A | 21 | 913-914 | S50342A | 09 | 604-605 | ||
S45309A | 24 | 963-965 | S48011A | 24 | 963-965 | S50342A | 24 | 963-965 | ||
S45309D | 23 | 949-950 | S48011D | 23 | 949-950 | S50342D | 23 | 949-950 | ||
S45309S | 05 | 299-301 | S48011S | 08 | 559-561 | S50342S | 09 | 604-605 | ||
S45311A | 21 | 913-914 | S48012A | 21 | 913-914 | S50349A | 09 | 604-605 | ||
S45311A | 24 | 963-965 | S48012A | 24 | 963-965 | S50349A | 24 | 963-965 | ||
S45311D | 23 | 949-950 | S48012D | 23 | 949-950 | S50349D | 23 | 949-950 | ||
S45311S | 05 | 299-301 | S48012S | 08 | 559-561 | S50349S | 09 | 604-605 | ||
S45312A | 21 | 913-914 | S48019A | 21 | 913-914 | S50351A | 09 | 604-605 | ||
S45312A | 24 | 963-965 | S48019A | 24 | 963-965 | S50351A | 24 | 963-965 | ||
S45312D | 23 | 949-950 | S48019D | 23 | 949-950 | S50351D | 23 | 949-950 | ||
S45312S | 05 | 299-301 | S48019S | 08 | 559-561 | S50351S | 09 | 604-605 | ||
S45319A | 21 | 913-914 | S48021A | 21 | 913-914 | S50352A | 09 | 604-605 | ||
S45319A | 24 | 963-965 | S48021A | 24 | 963-965 | S50352A | 24 | 963-965 | ||
S45319D | 23 | 949-950 | S48021D | 23 | 949-950 | S50352D | 23 | 949-950 | ||
S45319S | 05 | 299-301 | S48021S | 08 | 559-561 | S50352S | 09 | 604-605 | ||
S45391A | 21 | 913-914 | S48022A | 21 | 913-914 | S50359A | 09 | 604-605 | ||
S45391A | 24 | 963-965 | S48022A | 24 | 963-965 | S50359A | 24 | 963-965 | ||
S45391D | 23 | 949-950 | S48022D | 23 | 949-950 | S50359D | 23 | 949-950 | ||
S45391S | 05 | 299-301 | S48022S | 08 | 559-561 | S50359S | 09 | 604-605 | ||
S45392A | 21 | 913-914 | S48029A | 21 | 913-914 | S50361A | 09 | 606-607 | ||
S45392A | 24 | 963-965 | S48029A | 24 | 963-965 | S50361A | 24 | 963-965 | ||
S45392D | 23 | 949-950 | S48029D | 23 | 949-950 | S50361D | 23 | 949-950 | ||
S45392S | 05 | 299-301 | S48029S | 08 | 559-561 | S50361S | 09 | 604-605 | ||
S45399A | 21 | 913-914 | S48111A | 21 | 913-914 | S50362A | 09 | 606-607 | ||
S45399A | 24 | 963-965 | S48111A | 24 | 963-965 | S50362A | 24 | 963-965 | ||
S45399D | 23 | 949-950 | S48111D | 23 | 949-950 | S50362D | 23 | 949-950 | ||
S45399S | 05 | 299-301 | S48111S | 08 | 559-561 | S50362S | 09 | 604-605 | ||
S45801A | 21 | 913-914 | S48112A | 21 | 913-914 | S50369A | 09 | 606-607 | ||
S45801A | 24 | 963-965 | S48112A | 24 | 963-965 | S50369A | 24 | 963-965 | ||
S45801D | 23 | 949-950 | S48112D | 23 | 949-950 | S50369D | 23 | 949-950 | ||
S45801S | 05 | 299-301 | S48112S | 08 | 559-561 | S50369S | 09 | 604-605 | ||
S45802A | 21 | 913-914 | S48119A | 21 | 913-914 | S50371A | 09 | 604-605 | ||
S45802A | 24 | 963-965 | S48119A | 24 | 963-965 | S50371A | 24 | 963-965 | ||
S45802D | 23 | 949-950 | S48119D | 23 | 949-950 | S50371D | 23 | 949-950 | ||
S45802S | 05 | 299-301 | S48119S | 08 | 559-561 | S50371S | 09 | 604-605 | ||
S45809A | 21 | 913-914 | S48121A | 21 | 913-914 | S50372A | 09 | 604-605 | ||
S45809A | 24 | 963-965 | S48121A | 24 | 963-965 | S50372A | 24 | 963-965 | ||
S45809D | 23 | 949-950 | S48121D | 23 | 949-950 | S50372D | 23 | 949-950 | ||
S45809S | 05 | 299-301 | S48121S | 08 | 559-561 | S50372S | 09 | 604-605 | ||
S45811A | 21 | 913-914 | S48122A | 21 | 913-914 | S50379A | 09 | 604-605 | ||
S45811A | 24 | 963-965 | S48122A | 24 | 963-965 | S50379A | 24 | 963-965 | ||
S45811D | 23 | 949-950 | S48122D | 23 | 949-950 | S50379D | 23 | 949-950 | ||
S45811S | 05 | 299-301 | S48122S | 08 | 559-561 | S50379S | 09 | 604-605 | ||
S45812A | 21 | 913-914 | S48129A | 21 | 913-914 | S50811A | 09 | 604-605 | ||
S45812A | 24 | 963-965 | S48129A | 24 | 963-965 | S50811A | 24 | 963-965 | ||
S45812D | 23 | 949-950 | S48129D | 23 | 949-950 | S50811D | 23 | 949-950 | ||
S45812S | 05 | 299-301 | S48129S | 08 | 559-561 | S50811S | 09 | 604-605 | ||
S45819A | 21 | 913-914 | S48911A | 21 | 913-914 | S50812A | 09 | 604-605 | ||
S45819A | 24 | 963-965 | S48911A | 24 | 963-965 | S50812A | 24 | 963-965 | ||
S45819D | 23 | 949-950 | S48911D | 23 | 949-950 | S50812D | 23 | 949-950 | ||
S45819S | 05 | 299-301 | S48911S | 08 | 559-561 | S50812S | 09 | 604-605 | ||
S45891A | 21 | 913-914 | S48912A | 21 | 913-914 | S50819A | 09 | 604-605 | ||
S45891A | 24 | 963-965 | S48912A | 24 | 963-965 | S50819A | 24 | 963-965 | ||
S45891D | 23 | 949-950 | S48912D | 23 | 949-950 | S50819D | 23 | 949-950 | ||
S45891S | 05 | 299-301 | S48912S | 08 | 559-561 | S50819S | 09 | 604-605 | ||
S45892A | 21 | 913-914 | S48919A | 21 | 913-914 | S50821A | 09 | 606-607 | ||
S45892A | 24 | 963-965 | S48919A | 24 | 963-965 | S50821A | 24 | 963-965 | ||
S45892D | 23 | 949-950 | S48919D | 23 | 949-950 | S50821D | 23 | 949-950 | ||
S45892S | 05 | 299-301 | S48919S | 08 | 559-561 | S50821S | 09 | 604-605 | ||
S45899A | 21 | 913-914 | S48921A | 21 | 913-914 | S50822A | 09 | 606-607 | ||
S45899A | 24 | 963-965 | S48921A | 24 | 963-965 | S50822A | 24 | 963-965 | ||
S45899D | 23 | 949-950 | S48921D | 23 | 949-950 | S50822D | 23 | 949-950 | ||
S45899S | 05 | 299-301 | S48921S | 08 | 559-561 | S50822S | 09 | 604-605 | ||
S45901A | 21 | 913-914 | S48922A | 21 | 913-914 | S50829A | 09 | 606-607 | ||
S45901A | 24 | 963-965 | S48922A | 24 | 963-965 | S50829A | 24 | 963-965 | ||
S45901D | 23 | 949-950 | S48922D | 23 | 949-950 | S50829D | 23 | 949-950 | ||
S45901S | 05 | 299-301 | S48922S | 08 | 559-561 | S50829S | 09 | 604-605 | ||
S45902A | 21 | 913-914 | S48929A | 21 | 913-914 | S50841A | 09 | 604-605 | ||
S45902A | 24 | 963-965 | S48929A | 24 | 963-965 | S50841A | 24 | 963-965 | ||
S45902D | 23 | 949-950 | S48929D | 23 | 949-950 | S50841D | 23 | 949-950 | ||
S45902S | 05 | 299-301 | S48929S | 08 | 559-561 | S50841S | 09 | 604-605 | ||
S45909A | 21 | 913-914 | S49001A | 08 | 562-563 | S50842A | 09 | 604-605 | ||
S45909A | 24 | 963-965 | S49001A | 24 | 963-965 | S50842A | 24 | 963-965 | ||
S45909D | 23 | 949-950 | S49001D | 08 | 559-561 | S50842D | 23 | 949-950 | ||
S45909S | 05 | 299-301 | S49001G | 08 | 559-561 | S50842S | 09 | 604-605 | ||
S45911A | 21 | 913-914 | S49001K | 08 | 564-566 | S50849A | 09 | 604-605 | ||
S45911A | 24 | 963-965 | S49001P | 08 | 564-566 | S50849A | 24 | 963-965 | ||
S45911D | 23 | 949-950 | S49001S | 08 | 559-561 | S50849D | 23 | 949-950 | ||
S45911S | 05 | 299-301 | S49002A | 08 | 562-563 | S50849S | 09 | 604-605 | ||
S45912A | 21 | 913-914 | S49002A | 24 | 963-965 | S50851A | 09 | 604-605 | ||
S45912A | 24 | 963-965 | S49002D | 08 | 559-561 | S50851A | 24 | 963-965 | ||
S45912D | 23 | 949-950 | S49002G | 08 | 559-561 | S50851D | 23 | 949-950 | ||
S45912S | 05 | 299-301 | S49002K | 08 | 564-566 | S50851S | 09 | 604-605 | ||
S45919A | 21 | 913-914 | S49002P | 08 | 564-566 | S50852A | 09 | 604-605 | ||
S45919A | 24 | 963-965 | S49002S | 08 | 559-561 | S50852A | 24 | 963-965 | ||
S45919D | 23 | 949-950 | S49009A | 08 | 562-563 | S50852D | 23 | 949-950 | ||
S45919S | 05 | 299-301 | S49009A | 24 | 963-965 | S50852S | 09 | 604-605 | ||
S45991A | 21 | 913-914 | S49009D | 08 | 559-561 | S50859A | 09 | 604-605 | ||
S45991A | 24 | 963-965 | S49009G | 08 | 559-561 | S50859A | 24 | 963-965 | ||
S45991D | 23 | 949-950 | S49009K | 08 | 564-566 | S50859D | 23 | 949-950 | ||
S45991S | 05 | 299-301 | S49009P | 08 | 564-566 | S50859S | 09 | 604-605 | ||
S45992A | 21 | 913-914 | S49009S | 08 | 559-561 | S50861A | 09 | 606-607 | ||
S45992A | 24 | 963-965 | S49011A | 08 | 562-563 | S50861A | 24 | 963-965 | ||
S45992D | 23 | 949-950 | S49011A | 24 | 963-965 | S50861D | 23 | 949-950 | ||
S45992S | 05 | 299-301 | S49011D | 08 | 559-561 | S50861S | 09 | 604-605 | ||
S45999A | 21 | 913-914 | S49011G | 08 | 559-561 | S50862A | 09 | 606-607 | ||
S45999A | 24 | 963-965 | S49011K | 08 | 564-566 | S50862A | 24 | 963-965 | ||
S45999D | 23 | 949-950 | S49011P | 08 | 564-566 | S50862D | 23 | 949-950 | ||
S45999S | 05 | 299-301 | S49011S | 08 | 559-561 | S50862S | 09 | 604-605 | ||
S46001A | 21 | 913-914 | S49012A | 08 | 562-563 | S50869A | 09 | 606-607 | ||
S46001A | 24 | 963-965 | S49012A | 24 | 963-965 | S50869A | 24 | 963-965 | ||
S46001D | 23 | 949-950 | S49012D | 08 | 559-561 | S50869D | 23 | 949-950 | ||
S46001S | 21 | 913-914 | S49012G | 08 | 559-561 | S50869S | 09 | 604-605 | ||
S46002A | 21 | 913-914 | S49012K | 08 | 564-566 | S50871A | 09 | 604-605 | ||
S46002A | 24 | 963-965 | S49012P | 08 | 564-566 | S50871A | 24 | 963-965 | ||
S46002D | 23 | 949-950 | S49012S | 08 | 559-561 | S50871D | 23 | 949-950 | ||
S46002S | 21 | 913-914 | S49019A | 08 | 562-563 | S50871S | 09 | 604-605 | ||
S46009A | 21 | 913-914 | S49019A | 24 | 963-965 | S50872A | 09 | 604-605 | ||
S46009A | 24 | 963-965 | S49019D | 08 | 559-561 | S50872A | 24 | 963-965 | ||
S46009D | 23 | 949-950 | S49019G | 08 | 559-561 | S50872D | 23 | 949-950 | ||
S46009S | 21 | 913-914 | S49019K | 08 | 564-566 | S50872S | 09 | 604-605 | ||
S46011A | 08 | 562-563 | S49019P | 08 | 564-566 | S50879A | 09 | 604-605 | ||
S46011A | 24 | 963-965 | S49019S | 08 | 559-561 | S50879A | 24 | 963-965 | ||
S46011D | 23 | 949-950 | S49021A | 08 | 562-563 | S50879D | 23 | 949-950 | ||
S46011S | 08 | 562-563 | S49021A | 24 | 963-965 | S50879S | 09 | 604-605 | ||
S46012A | 08 | 562-563 | S49021D | 08 | 559-561 | S50901A | 09 | 604-605 | ||
S46012A | 24 | 963-965 | S49021G | 08 | 559-561 | S50901A | 24 | 963-965 | ||
S46012D | 23 | 949-950 | S49021K | 08 | 564-566 | S50901D | 23 | 949-950 | ||
S46012S | 08 | 562-563 | S49021P | 08 | 564-566 | S50901S | 09 | 604-605 | ||
S46019A | 08 | 562-563 | S49021S | 08 | 559-561 | S50902A | 09 | 604-605 | ||
S46019A | 24 | 963-965 | S49022A | 08 | 562-563 | S50902A | 24 | 963-965 | ||
S46019D | 23 | 949-950 | S49022A | 24 | 963-965 | S50902D | 23 | 949-950 | ||
S46019S | 08 | 562-563 | S49022D | 08 | 559-561 | S50902S | 09 | 604-605 | ||
S46021A | 08 | 564-566 | S49022G | 08 | 559-561 | S50909A | 09 | 604-605 | ||
S46021A | 24 | 963-965 | S49022K | 08 | 564-566 | S50909A | 24 | 963-965 | ||
S46021D | 23 | 949-950 | S49022P | 08 | 564-566 | S50909D | 23 | 949-950 | ||
S46021S | 09 | 604-605 | S49022S | 08 | 559-561 | S50909S | 09 | 604-605 | ||
S46022A | 08 | 564-566 | S49029A | 08 | 562-563 | S50911A | 09 | 604-605 | ||
S46022A | 24 | 963-965 | S49029A | 24 | 963-965 | S50911A | 24 | 963-965 | ||
S46022D | 23 | 949-950 | S49029D | 08 | 559-561 | S50911D | 23 | 949-950 | ||
S46022S | 09 | 604-605 | S49029G | 08 | 559-561 | S50911S | 09 | 604-605 | ||
S46029A | 08 | 564-566 | S49029K | 08 | 564-566 | S50912A | 09 | 604-605 | ||
S46029A | 24 | 963-965 | S49029P | 08 | 564-566 | S50912A | 24 | 963-965 | ||
S46029D | 23 | 949-950 | S49029S | 08 | 559-561 | S50912D | 23 | 949-950 | ||
S46029S | 09 | 604-605 | S49031A | 08 | 562-563 | S50912S | 09 | 604-605 | ||
S46091A | 21 | 913-914 | S49031A | 24 | 963-965 | S50919A | 09 | 604-605 | ||
S46091A | 24 | 963-965 | S49031D | 08 | 559-561 | S50919A | 24 | 963-965 | ||
S46091D | 23 | 949-950 | S49031G | 08 | 559-561 | S50919D | 23 | 949-950 | ||
S46091S | 21 | 913-914 | S49031K | 08 | 564-566 | S50919S | 09 | 604-605 | ||
S46092A | 21 | 913-914 | S49031P | 08 | 564-566 | S51001A | 09 | 604-605 | ||
S46092A | 24 | 963-965 | S49031S | 08 | 559-561 | S51001A | 24 | 963-965 | ||
S46092D | 23 | 949-950 | S49032A | 08 | 562-563 | S51001D | 23 | 949-950 | ||
S46092S | 21 | 913-914 | S49032A | 24 | 963-965 | S51001S | 09 | 604-605 | ||
S46099A | 21 | 913-914 | S49032D | 08 | 559-561 | S51002A | 09 | 604-605 | ||
S46099A | 24 | 963-965 | S49032G | 08 | 559-561 | S51002A | 24 | 963-965 | ||
S46099D | 23 | 949-950 | S49032K | 08 | 564-566 | S51002D | 23 | 949-950 | ||
S46099S | 21 | 913-914 | S49032P | 08 | 564-566 | S51002S | 09 | 604-605 | ||
S46101A | 21 | 913-914 | S49032S | 08 | 559-561 | S51009A | 09 | 604-605 | ||
S46101A | 24 | 963-965 | S49039A | 08 | 562-563 | S51009A | 24 | 963-965 | ||
S46101D | 23 | 949-950 | S49039A | 24 | 963-965 | S51009D | 23 | 949-950 | ||
S46101S | 21 | 913-914 | S49039D | 08 | 559-561 | S51009S | 09 | 604-605 | ||
S46102A | 21 | 913-914 | S49039G | 08 | 559-561 | S51011A | 09 | 604-605 | ||
S46102A | 24 | 963-965 | S49039K | 08 | 564-566 | S51011A | 24 | 963-965 | ||
S46102D | 23 | 949-950 | S49039P | 08 | 564-566 | S51011D | 23 | 949-950 | ||
S46102S | 21 | 913-914 | S49039S | 08 | 559-561 | S51011S | 09 | 604-605 | ||
S46109A | 21 | 913-914 | S49041A | 08 | 562-563 | S51012A | 09 | 604-605 | ||
S46109A | 24 | 963-965 | S49041A | 24 | 963-965 | S51012A | 24 | 963-965 | ||
S46109D | 23 | 949-950 | S49041D | 08 | 559-561 | S51012D | 23 | 949-950 | ||
S46109S | 21 | 913-914 | S49041G | 08 | 559-561 | S51012S | 09 | 604-605 | ||
S46111A | 08 | 562-563 | S49041K | 08 | 564-566 | S51019A | 09 | 604-605 | ||
S46111A | 24 | 963-965 | S49041P | 08 | 564-566 | S51019A | 24 | 963-965 | ||
S46111D | 23 | 949-950 | S49041S | 08 | 559-561 | S51019D | 23 | 949-950 | ||
S46111S | 08 | 562-563 | S49042A | 08 | 562-563 | S51019S | 09 | 604-605 | ||
S46112A | 08 | 562-563 | S49042A | 24 | 963-965 | S51021A | 21 | 913-914 | ||
S46112A | 24 | 963-965 | S49042D | 08 | 559-561 | S51021A | 24 | 963-965 | ||
S46112D | 23 | 949-950 | S49042G | 08 | 559-561 | S51021D | 23 | 949-950 | ||
S46112S | 08 | 562-563 | S49042K | 08 | 564-566 | S51021S | 09 | 604-605 | ||
S46119A | 08 | 562-563 | S49042P | 08 | 564-566 | S51022A | 21 | 913-914 | ||
S46119A | 24 | 963-965 | S49042S | 08 | 559-561 | S51022A | 24 | 963-965 | ||
S46119D | 23 | 949-950 | S49049A | 08 | 562-563 | S51022D | 23 | 949-950 | ||
S46119S | 08 | 562-563 | S49049A | 24 | 963-965 | S51022S | 09 | 604-605 | ||
S46121A | 08 | 564-566 | S49049D | 08 | 559-561 | S51029A | 21 | 913-914 | ||
S46121A | 24 | 963-965 | S49049G | 08 | 559-561 | S51029A | 24 | 963-965 | ||
S46121D | 23 | 949-950 | S49049K | 08 | 564-566 | S51029D | 23 | 949-950 | ||
S46121S | 09 | 604-605 | S49049P | 08 | 564-566 | S51029S | 09 | 604-605 | ||
S46122A | 08 | 564-566 | S49049S | 08 | 559-561 | S51031A | 09 | 604-605 | ||
S46122A | 24 | 963-965 | S49091A | 08 | 562-563 | S51031A | 24 | 963-965 | ||
S46122D | 23 | 949-950 | S49091A | 24 | 963-965 | S51031D | 23 | 949-950 | ||
S46122S | 09 | 604-605 | S49091D | 08 | 559-561 | S51031S | 09 | 604-605 | ||
S46129A | 08 | 564-566 | S49091G | 08 | 559-561 | S51032A | 09 | 604-605 | ||
S46129A | 24 | 963-965 | S49091K | 08 | 564-566 | S51032A | 24 | 963-965 | ||
S46129D | 23 | 949-950 | S49091P | 08 | 564-566 | S51032D | 23 | 949-950 | ||
S46129S | 09 | 604-605 | S49091S | 08 | 559-561 | S51032S | 09 | 604-605 | ||
S46191A | 21 | 913-914 | S49092A | 08 | 562-563 | S51039A | 09 | 604-605 | ||
S46191A | 24 | 963-965 | S49092A | 24 | 963-965 | S51039A | 24 | 963-965 | ||
S46191D | 23 | 949-950 | S49092D | 08 | 559-561 | S51039D | 23 | 949-950 | ||
S46191S | 21 | 913-914 | S49092G | 08 | 559-561 | S51039S | 09 | 604-605 | ||
S46192A | 21 | 913-914 | S49092K | 08 | 564-566 | S51041A | 21 | 913-914 | ||
S46192A | 24 | 963-965 | S49092P | 08 | 564-566 | S51041A | 24 | 963-965 | ||
S46192D | 23 | 949-950 | S49092S | 08 | 559-561 | S51041D | 23 | 949-950 | ||
S46192S | 21 | 913-914 | S49099A | 08 | 562-563 | S51041S | 09 | 604-605 | ||
S46199A | 21 | 913-914 | S49099A | 24 | 963-965 | S51042A | 21 | 913-914 | ||
S46199A | 24 | 963-965 | S49099D | 08 | 559-561 | S51042A | 24 | 963-965 | ||
S46199D | 23 | 949-950 | S49099G | 08 | 559-561 | S51042D | 23 | 949-950 | ||
S46199S | 21 | 913-914 | S49099K | 08 | 564-566 | S51042S | 09 | 604-605 | ||
S46201A | 21 | 913-914 | S49099P | 08 | 564-566 | S51049A | 21 | 913-914 | ||
S46201A | 24 | 963-965 | S49099S | 08 | 559-561 | S51049A | 24 | 963-965 | ||
S46201D | 23 | 949-950 | S49101A | 08 | 562-563 | S51049D | 23 | 949-950 | ||
S46201S | 21 | 913-914 | S49101A | 24 | 963-965 | S51049S | 09 | 604-605 | ||
S46202A | 21 | 913-914 | S49101D | 08 | 559-561 | S51051A | 09 | 604-605 | ||
S46202A | 24 | 963-965 | S49101G | 08 | 559-561 | S51051A | 24 | 963-965 | ||
S46202D | 23 | 949-950 | S49101K | 08 | 564-566 | S51051D | 23 | 949-950 | ||
S46202S | 21 | 913-914 | S49101P | 08 | 564-566 | S51051S | 09 | 604-605 | ||
S46209A | 21 | 913-914 | S49101S | 08 | 559-561 | S51052A | 09 | 604-605 | ||
S46209A | 24 | 963-965 | S49102A | 08 | 562-563 | S51052A | 24 | 963-965 | ||
S46209D | 23 | 949-950 | S49102A | 24 | 963-965 | S51052D | 23 | 949-950 | ||
S46209S | 21 | 913-914 | S49102D | 08 | 559-561 | S51052S | 09 | 604-605 | ||
S46211A | 08 | 562-563 | S49102G | 08 | 559-561 | S51059A | 09 | 604-605 | ||
S46211A | 24 | 963-965 | S49102K | 08 | 564-566 | S51059A | 24 | 963-965 | ||
S46211D | 23 | 949-950 | S49102P | 08 | 564-566 | S51059D | 23 | 949-950 | ||
S46211S | 08 | 562-563 | S49102S | 08 | 559-561 | S51059S | 09 | 604-605 | ||
S46212A | 08 | 562-563 | S49109A | 08 | 562-563 | S51801A | 09 | 604-605 | ||
S46212A | 24 | 963-965 | S49109A | 24 | 963-965 | S51801A | 24 | 963-965 | ||
S46212D | 23 | 949-950 | S49109D | 08 | 559-561 | S51801D | 23 | 949-950 | ||
S46212S | 08 | 562-563 | S49109G | 08 | 559-561 | S51801S | 09 | 604-605 | ||
S46219A | 08 | 562-563 | S49109K | 08 | 564-566 | S51802A | 09 | 604-605 | ||
S46219A | 24 | 963-965 | S49109P | 08 | 564-566 | S51802A | 24 | 963-965 | ||
S46219D | 23 | 949-950 | S49109S | 08 | 559-561 | S51802D | 23 | 949-950 | ||
S46219S | 08 | 562-563 | S49111A | 08 | 562-563 | S51802S | 09 | 604-605 | ||
S46221A | 08 | 564-566 | S49111A | 24 | 963-965 | S51809A | 09 | 604-605 | ||
S46221A | 24 | 963-965 | S49111D | 08 | 559-561 | S51809A | 24 | 963-965 | ||
S46221D | 23 | 949-950 | S49111G | 08 | 559-561 | S51809D | 23 | 949-950 | ||
S46221S | 09 | 604-605 | S49111K | 08 | 564-566 | S51809S | 09 | 604-605 | ||
S46222A | 08 | 564-566 | S49111P | 08 | 564-566 | S51811A | 09 | 604-605 | ||
S46222A | 24 | 963-965 | S49111S | 08 | 559-561 | S51811A | 24 | 963-965 | ||
S46222D | 23 | 949-950 | S49112A | 08 | 562-563 | S51811D | 23 | 949-950 | ||
S46222S | 09 | 604-605 | S49112A | 24 | 963-965 | S51811S | 09 | 604-605 | ||
S46229A | 08 | 564-566 | S49112D | 08 | 559-561 | S51812A | 09 | 604-605 | ||
S46229A | 24 | 963-965 | S49112G | 08 | 559-561 | S51812A | 24 | 963-965 | ||
S46229D | 23 | 949-950 | S49112K | 08 | 564-566 | S51812D | 23 | 949-950 | ||
S46229S | 09 | 604-605 | S49112P | 08 | 564-566 | S51812S | 09 | 604-605 | ||
S46291A | 21 | 913-914 | S49112S | 08 | 559-561 | S51819A | 09 | 604-605 | ||
S46291A | 24 | 963-965 | S49119A | 08 | 562-563 | S51819A | 24 | 963-965 | ||
S46291D | 23 | 949-950 | S49119A | 24 | 963-965 | S51819D | 23 | 949-950 | ||
S46291S | 21 | 913-914 | S49119D | 08 | 559-561 | S51819S | 09 | 604-605 | ||
S46292A | 21 | 913-914 | S49119G | 08 | 559-561 | S51821A | 21 | 913-914 | ||
S46292A | 24 | 963-965 | S49119K | 08 | 564-566 | S51821A | 24 | 963-965 | ||
S46292D | 23 | 949-950 | S49119P | 08 | 564-566 | S51821D | 23 | 949-950 | ||
S46292S | 21 | 913-914 | S49119S | 08 | 559-561 | S51821S | 09 | 604-605 | ||
S46299A | 21 | 913-914 | S49121A | 08 | 562-563 | S51822A | 21 | 913-914 | ||
S46299A | 24 | 963-965 | S49121A | 24 | 963-965 | S51822A | 24 | 963-965 | ||
S46299D | 23 | 949-950 | S49121D | 08 | 559-561 | S51822D | 23 | 949-950 | ||
S46299S | 21 | 913-914 | S49121G | 08 | 559-561 | S51822S | 09 | 604-605 | ||
S46301A | 21 | 913-914 | S49121K | 08 | 564-566 | S51829A | 21 | 913-914 | ||
S46301A | 24 | 963-965 | S49121P | 08 | 564-566 | S51829A | 24 | 963-965 | ||
S46301D | 23 | 949-950 | S49121S | 08 | 559-561 | S51829D | 23 | 949-950 | ||
S46301S | 21 | 913-914 | S49122A | 08 | 562-563 | S51829S | 09 | 604-605 | ||
S46302A | 21 | 913-914 | S49122A | 24 | 963-965 | S51831A | 09 | 604-605 | ||
S46302A | 24 | 963-965 | S49122D | 08 | 559-561 | S51831A | 24 | 963-965 | ||
S46302D | 23 | 949-950 | S49122G | 08 | 559-561 | S51831D | 23 | 949-950 | ||
S46302S | 21 | 913-914 | S49122K | 08 | 564-566 | S51831S | 09 | 604-605 | ||
S46309A | 21 | 913-914 | S49122P | 08 | 564-566 | S51832A | 09 | 604-605 | ||
S46309A | 24 | 963-965 | S49122S | 08 | 559-561 | S51832A | 24 | 963-965 | ||
S46309D | 23 | 949-950 | S49129A | 08 | 562-563 | S51832D | 23 | 949-950 | ||
S46309S | 21 | 913-914 | S49129A | 24 | 963-965 | S51832S | 09 | 604-605 | ||
S46311A | 08 | 562-563 | S49129D | 08 | 559-561 | S51839A | 09 | 604-605 | ||
S46311A | 24 | 963-965 | S49129G | 08 | 559-561 | S51839A | 24 | 963-965 | ||
S46311D | 23 | 949-950 | S49129K | 08 | 564-566 | S51839D | 23 | 949-950 | ||
S46311S | 08 | 562-563 | S49129P | 08 | 564-566 | S51839S | 09 | 604-605 | ||
S46312A | 08 | 562-563 | S49129S | 08 | 559-561 | S51841A | 21 | 913-914 | ||
S46312A | 24 | 963-965 | S49131A | 08 | 562-563 | S51841A | 24 | 963-965 | ||
S46312D | 23 | 949-950 | S49131A | 24 | 963-965 | S51841D | 23 | 949-950 | ||
S46312S | 08 | 562-563 | S49131D | 08 | 559-561 | S51841S | 09 | 604-605 | ||
S46319A | 08 | 562-563 | S49131G | 08 | 559-561 | S51842A | 21 | 913-914 | ||
S46319A | 24 | 963-965 | S49131K | 08 | 564-566 | S51842A | 24 | 963-965 | ||
S46319D | 23 | 949-950 | S49131P | 08 | 564-566 | S51842D | 23 | 949-950 | ||
S46319S | 08 | 562-563 | S49131S | 08 | 559-561 | S51842S | 09 | 604-605 | ||
S46321A | 08 | 564-566 | S49132A | 08 | 562-563 | S51849A | 21 | 913-914 | ||
S46321A | 24 | 963-965 | S49132A | 24 | 963-965 | S51849A | 24 | 963-965 | ||
S46321D | 23 | 949-950 | S49132D | 08 | 559-561 | S51849D | 23 | 949-950 | ||
S46321S | 09 | 604-605 | S49132G | 08 | 559-561 | S51849S | 09 | 604-605 | ||
S46322A | 08 | 564-566 | S49132K | 08 | 564-566 | S51851A | 09 | 604-605 | ||
S46322A | 24 | 963-965 | S49132P | 08 | 564-566 | S51851A | 24 | 963-965 | ||
S46322D | 23 | 949-950 | S49132S | 08 | 559-561 | S51851D | 23 | 949-950 | ||
S46322S | 09 | 604-605 | S49139A | 08 | 562-563 | S51851S | 09 | 604-605 | ||
S46329A | 08 | 564-566 | S49139A | 24 | 963-965 | S51852A | 09 | 604-605 | ||
S46329A | 24 | 963-965 | S49139D | 08 | 559-561 | S51852A | 24 | 963-965 | ||
S46329D | 23 | 949-950 | S49139G | 08 | 559-561 | S51852D | 23 | 949-950 | ||
S46329S | 09 | 604-605 | S49139K | 08 | 564-566 | S51852S | 09 | 604-605 | ||
S46391A | 21 | 913-914 | S49139P | 08 | 564-566 | S51859A | 09 | 604-605 | ||
S46391A | 24 | 963-965 | S49139S | 08 | 559-561 | S51859A | 24 | 963-965 | ||
S46391D | 23 | 949-950 | S49141A | 08 | 562-563 | S51859D | 23 | 949-950 | ||
S46391S | 21 | 913-914 | S49141A | 24 | 963-965 | S51859S | 09 | 604-605 | ||
S46392A | 21 | 913-914 | S49141D | 08 | 559-561 | S52001A | 08 | 562-563 | ||
S46392A | 24 | 963-965 | S49141G | 08 | 559-561 | S52001A | 24 | 963-965 | ||
S46392D | 23 | 949-950 | S49141K | 08 | 564-566 | S52001B | 08 | 562-563 | ||
S46392S | 21 | 913-914 | S49141P | 08 | 564-566 | S52001B | 24 | 963-965 | ||
S46399A | 21 | 913-914 | S49141S | 08 | 559-561 | S52001C | 08 | 562-563 | ||
S46399A | 24 | 963-965 | S49142A | 08 | 562-563 | S52001C | 24 | 963-965 | ||
S46399D | 23 | 949-950 | S49142A | 24 | 963-965 | S52001D | 08 | 559-561 | ||
S46399S | 21 | 913-914 | S49142D | 08 | 559-561 | S52001E | 08 | 559-561 | ||
S46801A | 21 | 913-914 | S49142G | 08 | 559-561 | S52001F | 08 | 559-561 | ||
S46801A | 24 | 963-965 | S49142K | 08 | 564-566 | S52001G | 08 | 559-561 | ||
S46801D | 23 | 949-950 | S49142P | 08 | 564-566 | S52001H | 08 | 559-561 | ||
S46801S | 21 | 913-914 | S49142S | 08 | 559-561 | S52001J | 08 | 559-561 | ||
S46802A | 21 | 913-914 | S49149A | 08 | 562-563 | S52001K | 08 | 564-566 | ||
S46802A | 24 | 963-965 | S49149A | 24 | 963-965 | S52001M | 08 | 564-566 | ||
S46802D | 23 | 949-950 | S49149D | 08 | 559-561 | S52001N | 08 | 564-566 | ||
S46802S | 21 | 913-914 | S49149G | 08 | 559-561 | S52001P | 08 | 564-566 | ||
S46809A | 21 | 913-914 | S49149K | 08 | 564-566 | S52001Q | 08 | 564-566 | ||
S46809A | 24 | 963-965 | S49149P | 08 | 564-566 | S52001R | 08 | 564-566 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2024 10:29:37 CMS, code-revision=359, description-revision=1383 |