ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 51 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S66190D | 23 | 949-950 | S66526D | 23 | 949-950 | S68529D | 23 | 949-950 | ||
S66190S | 21 | 913-914 | S66526S | 09 | 604-605 | S68529S | 08 | 559-561 | ||
S66191A | 21 | 913-914 | S66527A | 08 | 564-566 | S68610A | 21 | 913-914 | ||
S66191A | 24 | 963-965 | S66527A | 24 | 963-965 | S68610A | 24 | 963-965 | ||
S66191D | 23 | 949-950 | S66527D | 23 | 949-950 | S68610D | 23 | 949-950 | ||
S66191S | 21 | 913-914 | S66527S | 09 | 604-605 | S68610S | 08 | 559-561 | ||
S66192A | 21 | 913-914 | S66528A | 08 | 564-566 | S68611A | 21 | 913-914 | ||
S66192A | 24 | 963-965 | S66528A | 24 | 963-965 | S68611A | 24 | 963-965 | ||
S66192D | 23 | 949-950 | S66528D | 23 | 949-950 | S68611D | 23 | 949-950 | ||
S66192S | 21 | 913-914 | S66528S | 09 | 604-605 | S68611S | 08 | 559-561 | ||
S66193A | 21 | 913-914 | S66529A | 08 | 564-566 | S68612A | 21 | 913-914 | ||
S66193A | 24 | 963-965 | S66529A | 24 | 963-965 | S68612A | 24 | 963-965 | ||
S66193D | 23 | 949-950 | S66529D | 23 | 949-950 | S68612D | 23 | 949-950 | ||
S66193S | 21 | 913-914 | S66529S | 09 | 604-605 | S68612S | 08 | 559-561 | ||
S66194A | 21 | 913-914 | S66590A | 21 | 913-914 | S68613A | 21 | 913-914 | ||
S66194A | 24 | 963-965 | S66590A | 24 | 963-965 | S68613A | 24 | 963-965 | ||
S66194D | 23 | 949-950 | S66590D | 23 | 949-950 | S68613D | 23 | 949-950 | ||
S66194S | 21 | 913-914 | S66590S | 21 | 913-914 | S68613S | 08 | 559-561 | ||
S66195A | 21 | 913-914 | S66591A | 21 | 913-914 | S68614A | 21 | 913-914 | ||
S66195A | 24 | 963-965 | S66591A | 24 | 963-965 | S68614A | 24 | 963-965 | ||
S66195D | 23 | 949-950 | S66591D | 23 | 949-950 | S68614D | 23 | 949-950 | ||
S66195S | 21 | 913-914 | S66591S | 21 | 913-914 | S68614S | 08 | 559-561 | ||
S66196A | 21 | 913-914 | S66592A | 21 | 913-914 | S68615A | 21 | 913-914 | ||
S66196A | 24 | 963-965 | S66592A | 24 | 963-965 | S68615A | 24 | 963-965 | ||
S66196D | 23 | 949-950 | S66592D | 23 | 949-950 | S68615D | 23 | 949-950 | ||
S66196S | 21 | 913-914 | S66592S | 21 | 913-914 | S68615S | 08 | 559-561 | ||
S66197A | 21 | 913-914 | S66593A | 21 | 913-914 | S68616A | 21 | 913-914 | ||
S66197A | 24 | 963-965 | S66593A | 24 | 963-965 | S68616A | 24 | 963-965 | ||
S66197D | 23 | 949-950 | S66593D | 23 | 949-950 | S68616D | 23 | 949-950 | ||
S66197S | 21 | 913-914 | S66593S | 21 | 913-914 | S68616S | 08 | 559-561 | ||
S66198A | 21 | 913-914 | S66594A | 21 | 913-914 | S68617A | 21 | 913-914 | ||
S66198A | 24 | 963-965 | S66594A | 24 | 963-965 | S68617A | 24 | 963-965 | ||
S66198D | 23 | 949-950 | S66594D | 23 | 949-950 | S68617D | 23 | 949-950 | ||
S66198S | 21 | 913-914 | S66594S | 21 | 913-914 | S68617S | 08 | 559-561 | ||
S66199A | 21 | 913-914 | S66595A | 21 | 913-914 | S68618A | 21 | 913-914 | ||
S66199A | 24 | 963-965 | S66595A | 24 | 963-965 | S68618A | 24 | 963-965 | ||
S66199D | 23 | 949-950 | S66595D | 23 | 949-950 | S68618D | 23 | 949-950 | ||
S66199S | 21 | 913-914 | S66595S | 21 | 913-914 | S68618S | 08 | 559-561 | ||
S66201A | 21 | 913-914 | S66596A | 21 | 913-914 | S68619A | 21 | 913-914 | ||
S66201A | 24 | 963-965 | S66596A | 24 | 963-965 | S68619A | 24 | 963-965 | ||
S66201D | 23 | 949-950 | S66596D | 23 | 949-950 | S68619D | 23 | 949-950 | ||
S66201S | 21 | 913-914 | S66596S | 21 | 913-914 | S68619S | 08 | 559-561 | ||
S66202A | 21 | 913-914 | S66597A | 21 | 913-914 | S68620A | 21 | 913-914 | ||
S66202A | 24 | 963-965 | S66597A | 24 | 963-965 | S68620A | 24 | 963-965 | ||
S66202D | 23 | 949-950 | S66597D | 23 | 949-950 | S68620D | 23 | 949-950 | ||
S66202S | 21 | 913-914 | S66597S | 21 | 913-914 | S68620S | 08 | 559-561 | ||
S66209A | 21 | 913-914 | S66598A | 21 | 913-914 | S68621A | 21 | 913-914 | ||
S66209A | 24 | 963-965 | S66598A | 24 | 963-965 | S68621A | 24 | 963-965 | ||
S66209D | 23 | 949-950 | S66598D | 23 | 949-950 | S68621D | 23 | 949-950 | ||
S66209S | 21 | 913-914 | S66598S | 21 | 913-914 | S68621S | 08 | 559-561 | ||
S66211A | 08 | 562-563 | S66599A | 21 | 913-914 | S68622A | 21 | 913-914 | ||
S66211A | 24 | 963-965 | S66599A | 24 | 963-965 | S68622A | 24 | 963-965 | ||
S66211D | 23 | 949-950 | S66599D | 23 | 949-950 | S68622D | 23 | 949-950 | ||
S66211S | 08 | 562-563 | S66599S | 21 | 913-914 | S68622S | 08 | 559-561 | ||
S66212A | 08 | 562-563 | S66801A | 21 | 913-914 | S68623A | 21 | 913-914 | ||
S66212A | 24 | 963-965 | S66801A | 24 | 963-965 | S68623A | 24 | 963-965 | ||
S66212D | 23 | 949-950 | S66801D | 23 | 949-950 | S68623D | 23 | 949-950 | ||
S66212S | 08 | 562-563 | S66801S | 21 | 913-914 | S68623S | 08 | 559-561 | ||
S66219A | 08 | 562-563 | S66802A | 21 | 913-914 | S68624A | 21 | 913-914 | ||
S66219A | 24 | 963-965 | S66802A | 24 | 963-965 | S68624A | 24 | 963-965 | ||
S66219D | 23 | 949-950 | S66802D | 23 | 949-950 | S68624D | 23 | 949-950 | ||
S66219S | 08 | 562-563 | S66802S | 21 | 913-914 | S68624S | 08 | 559-561 | ||
S66221A | 08 | 564-566 | S66809A | 21 | 913-914 | S68625A | 21 | 913-914 | ||
S66221A | 24 | 963-965 | S66809A | 24 | 963-965 | S68625A | 24 | 963-965 | ||
S66221D | 23 | 949-950 | S66809D | 23 | 949-950 | S68625D | 23 | 949-950 | ||
S66221S | 09 | 604-605 | S66809S | 21 | 913-914 | S68625S | 08 | 559-561 | ||
S66222A | 08 | 564-566 | S66811A | 08 | 562-563 | S68626A | 21 | 913-914 | ||
S66222A | 24 | 963-965 | S66811A | 24 | 963-965 | S68626A | 24 | 963-965 | ||
S66222D | 23 | 949-950 | S66811D | 23 | 949-950 | S68626D | 23 | 949-950 | ||
S66222S | 09 | 604-605 | S66811S | 08 | 562-563 | S68626S | 08 | 559-561 | ||
S66229A | 08 | 564-566 | S66812A | 08 | 562-563 | S68627A | 21 | 913-914 | ||
S66229A | 24 | 963-965 | S66812A | 24 | 963-965 | S68627A | 24 | 963-965 | ||
S66229D | 23 | 949-950 | S66812D | 23 | 949-950 | S68627D | 23 | 949-950 | ||
S66229S | 09 | 604-605 | S66812S | 08 | 562-563 | S68627S | 08 | 559-561 | ||
S66291A | 21 | 913-914 | S66819A | 08 | 562-563 | S68628A | 21 | 913-914 | ||
S66291A | 24 | 963-965 | S66819A | 24 | 963-965 | S68628A | 24 | 963-965 | ||
S66291D | 23 | 949-950 | S66819D | 23 | 949-950 | S68628D | 23 | 949-950 | ||
S66291S | 21 | 913-914 | S66819S | 08 | 562-563 | S68628S | 08 | 559-561 | ||
S66292A | 21 | 913-914 | S66821A | 08 | 564-566 | S68629A | 21 | 913-914 | ||
S66292A | 24 | 963-965 | S66821A | 24 | 963-965 | S68629A | 24 | 963-965 | ||
S66292D | 23 | 949-950 | S66821D | 23 | 949-950 | S68629D | 23 | 949-950 | ||
S66292S | 21 | 913-914 | S66821S | 09 | 604-605 | S68629S | 08 | 559-561 | ||
S66299A | 21 | 913-914 | S66822A | 08 | 564-566 | S68711A | 21 | 913-914 | ||
S66299A | 24 | 963-965 | S66822A | 24 | 963-965 | S68711A | 24 | 963-965 | ||
S66299D | 23 | 949-950 | S66822D | 23 | 949-950 | S68711D | 23 | 949-950 | ||
S66299S | 21 | 913-914 | S66822S | 09 | 604-605 | S68711S | 08 | 559-561 | ||
S66300A | 21 | 913-914 | S66829A | 08 | 564-566 | S68712A | 21 | 913-914 | ||
S66300A | 24 | 963-965 | S66829A | 24 | 963-965 | S68712A | 24 | 963-965 | ||
S66300D | 23 | 949-950 | S66829D | 23 | 949-950 | S68712D | 23 | 949-950 | ||
S66300S | 21 | 913-914 | S66829S | 09 | 604-605 | S68712S | 08 | 559-561 | ||
S66301A | 21 | 913-914 | S66891A | 21 | 913-914 | S68719A | 21 | 913-914 | ||
S66301A | 24 | 963-965 | S66891A | 24 | 963-965 | S68719A | 24 | 963-965 | ||
S66301D | 23 | 949-950 | S66891D | 23 | 949-950 | S68719D | 23 | 949-950 | ||
S66301S | 21 | 913-914 | S66891S | 21 | 913-914 | S68719S | 08 | 559-561 | ||
S66302A | 21 | 913-914 | S66892A | 21 | 913-914 | S68721A | 21 | 913-914 | ||
S66302A | 24 | 963-965 | S66892A | 24 | 963-965 | S68721A | 24 | 963-965 | ||
S66302D | 23 | 949-950 | S66892D | 23 | 949-950 | S68721D | 23 | 949-950 | ||
S66302S | 21 | 913-914 | S66892S | 21 | 913-914 | S68721S | 08 | 559-561 | ||
S66303A | 21 | 913-914 | S66899A | 21 | 913-914 | S68722A | 21 | 913-914 | ||
S66303A | 24 | 963-965 | S66899A | 24 | 963-965 | S68722A | 24 | 963-965 | ||
S66303D | 23 | 949-950 | S66899D | 23 | 949-950 | S68722D | 23 | 949-950 | ||
S66303S | 21 | 913-914 | S66899S | 21 | 913-914 | S68722S | 08 | 559-561 | ||
S66304A | 21 | 913-914 | S66901A | 21 | 913-914 | S68729A | 21 | 913-914 | ||
S66304A | 24 | 963-965 | S66901A | 24 | 963-965 | S68729A | 24 | 963-965 | ||
S66304D | 23 | 949-950 | S66901D | 23 | 949-950 | S68729D | 23 | 949-950 | ||
S66304S | 21 | 913-914 | S66901S | 21 | 913-914 | S68729S | 08 | 559-561 | ||
S66305A | 21 | 913-914 | S66902A | 21 | 913-914 | S6980XA | 21 | 913-914 | ||
S66305A | 24 | 963-965 | S66902A | 24 | 963-965 | S6980XA | 24 | 963-965 | ||
S66305D | 23 | 949-950 | S66902D | 23 | 949-950 | S6980XD | 23 | 949-950 | ||
S66305S | 21 | 913-914 | S66902S | 21 | 913-914 | S6980XS | 21 | 913-914 | ||
S66306A | 21 | 913-914 | S66909A | 21 | 913-914 | S6981XA | 21 | 913-914 | ||
S66306A | 24 | 963-965 | S66909A | 24 | 963-965 | S6981XA | 24 | 963-965 | ||
S66306D | 23 | 949-950 | S66909D | 23 | 949-950 | S6981XD | 23 | 949-950 | ||
S66306S | 21 | 913-914 | S66909S | 21 | 913-914 | S6981XS | 21 | 913-914 | ||
S66307A | 21 | 913-914 | S66911A | 08 | 562-563 | S6982XA | 21 | 913-914 | ||
S66307A | 24 | 963-965 | S66911A | 24 | 963-965 | S6982XA | 24 | 963-965 | ||
S66307D | 23 | 949-950 | S66911D | 23 | 949-950 | S6982XD | 23 | 949-950 | ||
S66307S | 21 | 913-914 | S66911S | 08 | 562-563 | S6982XS | 21 | 913-914 | ||
S66308A | 21 | 913-914 | S66912A | 08 | 562-563 | S6990XA | 21 | 913-914 | ||
S66308A | 24 | 963-965 | S66912A | 24 | 963-965 | S6990XA | 24 | 963-965 | ||
S66308D | 23 | 949-950 | S66912D | 23 | 949-950 | S6990XD | 23 | 949-950 | ||
S66308S | 21 | 913-914 | S66912S | 08 | 562-563 | S6990XS | 21 | 913-914 | ||
S66309A | 21 | 913-914 | S66919A | 08 | 562-563 | S6991XA | 21 | 913-914 | ||
S66309A | 24 | 963-965 | S66919A | 24 | 963-965 | S6991XA | 24 | 963-965 | ||
S66309D | 23 | 949-950 | S66919D | 23 | 949-950 | S6991XD | 23 | 949-950 | ||
S66309S | 21 | 913-914 | S66919S | 08 | 562-563 | S6991XS | 21 | 913-914 | ||
S66310A | 08 | 562-563 | S66921A | 08 | 564-566 | S6992XA | 21 | 913-914 | ||
S66310A | 24 | 963-965 | S66921A | 24 | 963-965 | S6992XA | 24 | 963-965 | ||
S66310D | 23 | 949-950 | S66921D | 23 | 949-950 | S6992XD | 23 | 949-950 | ||
S66310S | 08 | 562-563 | S66921S | 09 | 604-605 | S6992XS | 21 | 913-914 | ||
S66311A | 08 | 562-563 | S66922A | 08 | 564-566 | S7000XA | 09 | 604-605 | ||
S66311A | 24 | 963-965 | S66922A | 24 | 963-965 | S7000XA | 24 | 963-965 | ||
S66311D | 23 | 949-950 | S66922D | 23 | 949-950 | S7000XD | 23 | 949-950 | ||
S66311S | 08 | 562-563 | S66922S | 09 | 604-605 | S7000XS | 09 | 604-605 | ||
S66312A | 08 | 562-563 | S66929A | 08 | 564-566 | S7001XA | 09 | 604-605 | ||
S66312A | 24 | 963-965 | S66929A | 24 | 963-965 | S7001XA | 24 | 963-965 | ||
S66312D | 23 | 949-950 | S66929D | 23 | 949-950 | S7001XD | 23 | 949-950 | ||
S66312S | 08 | 562-563 | S66929S | 09 | 604-605 | S7001XS | 09 | 604-605 | ||
S66313A | 08 | 562-563 | S66991A | 21 | 913-914 | S7002XA | 09 | 604-605 | ||
S66313A | 24 | 963-965 | S66991A | 24 | 963-965 | S7002XA | 24 | 963-965 | ||
S66313D | 23 | 949-950 | S66991D | 23 | 949-950 | S7002XD | 23 | 949-950 | ||
S66313S | 08 | 562-563 | S66991S | 21 | 913-914 | S7002XS | 09 | 604-605 | ||
S66314A | 08 | 562-563 | S66992A | 21 | 913-914 | S7010XA | 09 | 604-605 | ||
S66314A | 24 | 963-965 | S66992A | 24 | 963-965 | S7010XA | 24 | 963-965 | ||
S66314D | 23 | 949-950 | S66992D | 23 | 949-950 | S7010XD | 23 | 949-950 | ||
S66314S | 08 | 562-563 | S66992S | 21 | 913-914 | S7010XS | 09 | 604-605 | ||
S66315A | 08 | 562-563 | S66999A | 21 | 913-914 | S7011XA | 09 | 604-605 | ||
S66315A | 24 | 963-965 | S66999A | 24 | 963-965 | S7011XA | 24 | 963-965 | ||
S66315D | 23 | 949-950 | S66999D | 23 | 949-950 | S7011XD | 23 | 949-950 | ||
S66315S | 08 | 562-563 | S66999S | 21 | 913-914 | S7011XS | 09 | 604-605 | ||
S66316A | 08 | 562-563 | S6700XA | 21 | 913-914 | S7012XA | 09 | 604-605 | ||
S66316A | 24 | 963-965 | S6700XA | 24 | 963-965 | S7012XA | 24 | 963-965 | ||
S66316D | 23 | 949-950 | S6700XD | 23 | 949-950 | S7012XD | 23 | 949-950 | ||
S66316S | 08 | 562-563 | S6700XS | 09 | 604-605 | S7012XS | 09 | 604-605 | ||
S66317A | 08 | 562-563 | S6701XA | 21 | 913-914 | S70211A | 09 | 604-605 | ||
S66317A | 24 | 963-965 | S6701XA | 24 | 963-965 | S70211A | 24 | 963-965 | ||
S66317D | 23 | 949-950 | S6701XD | 23 | 949-950 | S70211D | 23 | 949-950 | ||
S66317S | 08 | 562-563 | S6701XS | 09 | 604-605 | S70211S | 09 | 604-605 | ||
S66318A | 08 | 562-563 | S6702XA | 21 | 913-914 | S70212A | 09 | 604-605 | ||
S66318A | 24 | 963-965 | S6702XA | 24 | 963-965 | S70212A | 24 | 963-965 | ||
S66318D | 23 | 949-950 | S6702XD | 23 | 949-950 | S70212D | 23 | 949-950 | ||
S66318S | 08 | 562-563 | S6702XS | 09 | 604-605 | S70212S | 09 | 604-605 | ||
S66319A | 08 | 562-563 | S6710XA | 21 | 913-914 | S70219A | 09 | 604-605 | ||
S66319A | 24 | 963-965 | S6710XA | 24 | 963-965 | S70219A | 24 | 963-965 | ||
S66319D | 23 | 949-950 | S6710XD | 23 | 949-950 | S70219D | 23 | 949-950 | ||
S66319S | 08 | 562-563 | S6710XS | 09 | 604-605 | S70219S | 09 | 604-605 | ||
S66320A | 08 | 564-566 | S67190A | 21 | 913-914 | S70221A | 09 | 606-607 | ||
S66320A | 24 | 963-965 | S67190A | 24 | 963-965 | S70221A | 24 | 963-965 | ||
S66320D | 23 | 949-950 | S67190D | 23 | 949-950 | S70221D | 23 | 949-950 | ||
S66320S | 09 | 604-605 | S67190S | 09 | 604-605 | S70221S | 09 | 604-605 | ||
S66321A | 08 | 564-566 | S67191A | 21 | 913-914 | S70222A | 09 | 606-607 | ||
S66321A | 24 | 963-965 | S67191A | 24 | 963-965 | S70222A | 24 | 963-965 | ||
S66321D | 23 | 949-950 | S67191D | 23 | 949-950 | S70222D | 23 | 949-950 | ||
S66321S | 09 | 604-605 | S67191S | 09 | 604-605 | S70222S | 09 | 604-605 | ||
S66322A | 08 | 564-566 | S67192A | 21 | 913-914 | S70229A | 09 | 606-607 | ||
S66322A | 24 | 963-965 | S67192A | 24 | 963-965 | S70229A | 24 | 963-965 | ||
S66322D | 23 | 949-950 | S67192D | 23 | 949-950 | S70229D | 23 | 949-950 | ||
S66322S | 09 | 604-605 | S67192S | 09 | 604-605 | S70229S | 09 | 604-605 | ||
S66323A | 08 | 564-566 | S67193A | 21 | 913-914 | S70241A | 09 | 604-605 | ||
S66323A | 24 | 963-965 | S67193A | 24 | 963-965 | S70241A | 24 | 963-965 | ||
S66323D | 23 | 949-950 | S67193D | 23 | 949-950 | S70241D | 23 | 949-950 | ||
S66323S | 09 | 604-605 | S67193S | 09 | 604-605 | S70241S | 09 | 604-605 | ||
S66324A | 08 | 564-566 | S67194A | 21 | 913-914 | S70242A | 09 | 604-605 | ||
S66324A | 24 | 963-965 | S67194A | 24 | 963-965 | S70242A | 24 | 963-965 | ||
S66324D | 23 | 949-950 | S67194D | 23 | 949-950 | S70242D | 23 | 949-950 | ||
S66324S | 09 | 604-605 | S67194S | 09 | 604-605 | S70242S | 09 | 604-605 | ||
S66325A | 08 | 564-566 | S67195A | 21 | 913-914 | S70249A | 09 | 604-605 | ||
S66325A | 24 | 963-965 | S67195A | 24 | 963-965 | S70249A | 24 | 963-965 | ||
S66325D | 23 | 949-950 | S67195D | 23 | 949-950 | S70249D | 23 | 949-950 | ||
S66325S | 09 | 604-605 | S67195S | 09 | 604-605 | S70249S | 09 | 604-605 | ||
S66326A | 08 | 564-566 | S67196A | 21 | 913-914 | S70251A | 09 | 604-605 | ||
S66326A | 24 | 963-965 | S67196A | 24 | 963-965 | S70251A | 24 | 963-965 | ||
S66326D | 23 | 949-950 | S67196D | 23 | 949-950 | S70251D | 23 | 949-950 | ||
S66326S | 09 | 604-605 | S67196S | 09 | 604-605 | S70251S | 09 | 604-605 | ||
S66327A | 08 | 564-566 | S67197A | 21 | 913-914 | S70252A | 09 | 604-605 | ||
S66327A | 24 | 963-965 | S67197A | 24 | 963-965 | S70252A | 24 | 963-965 | ||
S66327D | 23 | 949-950 | S67197D | 23 | 949-950 | S70252D | 23 | 949-950 | ||
S66327S | 09 | 604-605 | S67197S | 09 | 604-605 | S70252S | 09 | 604-605 | ||
S66328A | 08 | 564-566 | S67198A | 21 | 913-914 | S70259A | 09 | 604-605 | ||
S66328A | 24 | 963-965 | S67198A | 24 | 963-965 | S70259A | 24 | 963-965 | ||
S66328D | 23 | 949-950 | S67198D | 23 | 949-950 | S70259D | 23 | 949-950 | ||
S66328S | 09 | 604-605 | S67198S | 09 | 604-605 | S70259S | 09 | 604-605 | ||
S66329A | 08 | 564-566 | S6720XA | 21 | 913-914 | S70261A | 09 | 606-607 | ||
S66329A | 24 | 963-965 | S6720XA | 24 | 963-965 | S70261A | 24 | 963-965 | ||
S66329D | 23 | 949-950 | S6720XD | 23 | 949-950 | S70261D | 23 | 949-950 | ||
S66329S | 09 | 604-605 | S6720XS | 09 | 604-605 | S70261S | 09 | 604-605 | ||
S66390A | 21 | 913-914 | S6721XA | 21 | 913-914 | S70262A | 09 | 606-607 | ||
S66390A | 24 | 963-965 | S6721XA | 24 | 963-965 | S70262A | 24 | 963-965 | ||
S66390D | 23 | 949-950 | S6721XD | 23 | 949-950 | S70262D | 23 | 949-950 | ||
S66390S | 21 | 913-914 | S6721XS | 09 | 604-605 | S70262S | 09 | 604-605 | ||
S66391A | 21 | 913-914 | S6722XA | 21 | 913-914 | S70269A | 09 | 606-607 | ||
S66391A | 24 | 963-965 | S6722XA | 24 | 963-965 | S70269A | 24 | 963-965 | ||
S66391D | 23 | 949-950 | S6722XD | 23 | 949-950 | S70269D | 23 | 949-950 | ||
S66391S | 21 | 913-914 | S6722XS | 09 | 604-605 | S70269S | 09 | 604-605 | ||
S66392A | 21 | 913-914 | S6730XA | 21 | 913-914 | S70271A | 09 | 604-605 | ||
S66392A | 24 | 963-965 | S6730XA | 24 | 963-965 | S70271A | 24 | 963-965 | ||
S66392D | 23 | 949-950 | S6730XD | 23 | 949-950 | S70271D | 23 | 949-950 | ||
S66392S | 21 | 913-914 | S6730XS | 09 | 604-605 | S70271S | 09 | 604-605 | ||
S66393A | 21 | 913-914 | S6731XA | 21 | 913-914 | S70272A | 09 | 604-605 | ||
S66393A | 24 | 963-965 | S6731XA | 24 | 963-965 | S70272A | 24 | 963-965 | ||
S66393D | 23 | 949-950 | S6731XD | 23 | 949-950 | S70272D | 23 | 949-950 | ||
S66393S | 21 | 913-914 | S6731XS | 09 | 604-605 | S70272S | 09 | 604-605 | ||
S66394A | 21 | 913-914 | S6732XA | 21 | 913-914 | S70279A | 09 | 604-605 | ||
S66394A | 24 | 963-965 | S6732XA | 24 | 963-965 | S70279A | 24 | 963-965 | ||
S66394D | 23 | 949-950 | S6732XD | 23 | 949-950 | S70279D | 23 | 949-950 | ||
S66394S | 21 | 913-914 | S6732XS | 09 | 604-605 | S70279S | 09 | 604-605 | ||
S66395A | 21 | 913-914 | S6740XA | 21 | 913-914 | S70311A | 09 | 604-605 | ||
S66395A | 24 | 963-965 | S6740XA | 24 | 963-965 | S70311A | 24 | 963-965 | ||
S66395D | 23 | 949-950 | S6740XD | 23 | 949-950 | S70311D | 23 | 949-950 | ||
S66395S | 21 | 913-914 | S6740XS | 09 | 604-605 | S70311S | 09 | 604-605 | ||
S66396A | 21 | 913-914 | S6741XA | 21 | 913-914 | S70312A | 09 | 604-605 | ||
S66396A | 24 | 963-965 | S6741XA | 24 | 963-965 | S70312A | 24 | 963-965 | ||
S66396D | 23 | 949-950 | S6741XD | 23 | 949-950 | S70312D | 23 | 949-950 | ||
S66396S | 21 | 913-914 | S6741XS | 09 | 604-605 | S70312S | 09 | 604-605 | ||
S66397A | 21 | 913-914 | S6742XA | 21 | 913-914 | S70319A | 09 | 604-605 | ||
S66397A | 24 | 963-965 | S6742XA | 24 | 963-965 | S70319A | 24 | 963-965 | ||
S66397D | 23 | 949-950 | S6742XD | 23 | 949-950 | S70319D | 23 | 949-950 | ||
S66397S | 21 | 913-914 | S6742XS | 09 | 604-605 | S70319S | 09 | 604-605 | ||
S66398A | 21 | 913-914 | S6790XA | 21 | 913-914 | S70321A | 09 | 606-607 | ||
S66398A | 24 | 963-965 | S6790XA | 24 | 963-965 | S70321A | 24 | 963-965 | ||
S66398D | 23 | 949-950 | S6790XD | 23 | 949-950 | S70321D | 23 | 949-950 | ||
S66398S | 21 | 913-914 | S6790XS | 09 | 604-605 | S70321S | 09 | 604-605 | ||
S66399A | 21 | 913-914 | S6791XA | 21 | 913-914 | S70322A | 09 | 606-607 | ||
S66399A | 24 | 963-965 | S6791XA | 24 | 963-965 | S70322A | 24 | 963-965 | ||
S66399D | 23 | 949-950 | S6791XD | 23 | 949-950 | S70322D | 23 | 949-950 | ||
S66399S | 21 | 913-914 | S6791XS | 09 | 604-605 | S70322S | 09 | 604-605 | ||
S66401A | 21 | 913-914 | S6792XA | 21 | 913-914 | S70329A | 09 | 606-607 | ||
S66401A | 24 | 963-965 | S6792XA | 24 | 963-965 | S70329A | 24 | 963-965 | ||
S66401D | 23 | 949-950 | S6792XD | 23 | 949-950 | S70329D | 23 | 949-950 | ||
S66401S | 21 | 913-914 | S6792XS | 09 | 604-605 | S70329S | 09 | 604-605 | ||
S66402A | 21 | 913-914 | S68011A | 21 | 913-914 | S70341A | 09 | 604-605 | ||
S66402A | 24 | 963-965 | S68011A | 24 | 963-965 | S70341A | 24 | 963-965 | ||
S66402D | 23 | 949-950 | S68011D | 23 | 949-950 | S70341D | 23 | 949-950 | ||
S66402S | 21 | 913-914 | S68011S | 08 | 559-561 | S70341S | 09 | 604-605 | ||
S66409A | 21 | 913-914 | S68012A | 21 | 913-914 | S70342A | 09 | 604-605 | ||
S66409A | 24 | 963-965 | S68012A | 24 | 963-965 | S70342A | 24 | 963-965 | ||
S66409D | 23 | 949-950 | S68012D | 23 | 949-950 | S70342D | 23 | 949-950 | ||
S66409S | 21 | 913-914 | S68012S | 08 | 559-561 | S70342S | 09 | 604-605 | ||
S66411A | 08 | 562-563 | S68019A | 21 | 913-914 | S70349A | 09 | 604-605 | ||
S66411A | 24 | 963-965 | S68019A | 24 | 963-965 | S70349A | 24 | 963-965 | ||
S66411D | 23 | 949-950 | S68019D | 23 | 949-950 | S70349D | 23 | 949-950 | ||
S66411S | 08 | 562-563 | S68019S | 08 | 559-561 | S70349S | 09 | 604-605 | ||
S66412A | 08 | 562-563 | S68021A | 21 | 913-914 | S70351A | 09 | 604-605 | ||
S66412A | 24 | 963-965 | S68021A | 24 | 963-965 | S70351A | 24 | 963-965 | ||
S66412D | 23 | 949-950 | S68021D | 23 | 949-950 | S70351D | 23 | 949-950 | ||
S66412S | 08 | 562-563 | S68021S | 08 | 559-561 | S70351S | 09 | 604-605 | ||
S66419A | 08 | 562-563 | S68022A | 21 | 913-914 | S70352A | 09 | 604-605 | ||
S66419A | 24 | 963-965 | S68022A | 24 | 963-965 | S70352A | 24 | 963-965 | ||
S66419D | 23 | 949-950 | S68022D | 23 | 949-950 | S70352D | 23 | 949-950 | ||
S66419S | 08 | 562-563 | S68022S | 08 | 559-561 | S70352S | 09 | 604-605 | ||
S66421A | 08 | 564-566 | S68029A | 21 | 913-914 | S70359A | 09 | 604-605 | ||
S66421A | 24 | 963-965 | S68029A | 24 | 963-965 | S70359A | 24 | 963-965 | ||
S66421D | 23 | 949-950 | S68029D | 23 | 949-950 | S70359D | 23 | 949-950 | ||
S66421S | 09 | 604-605 | S68029S | 08 | 559-561 | S70359S | 09 | 604-605 | ||
S66422A | 08 | 564-566 | S68110A | 21 | 913-914 | S70361A | 09 | 606-607 | ||
S66422A | 24 | 963-965 | S68110A | 24 | 963-965 | S70361A | 24 | 963-965 | ||
S66422D | 23 | 949-950 | S68110D | 23 | 949-950 | S70361D | 23 | 949-950 | ||
S66422S | 09 | 604-605 | S68110S | 08 | 559-561 | S70361S | 09 | 604-605 | ||
S66429A | 08 | 564-566 | S68111A | 21 | 913-914 | S70362A | 09 | 606-607 | ||
S66429A | 24 | 963-965 | S68111A | 24 | 963-965 | S70362A | 24 | 963-965 | ||
S66429D | 23 | 949-950 | S68111D | 23 | 949-950 | S70362D | 23 | 949-950 | ||
S66429S | 09 | 604-605 | S68111S | 08 | 559-561 | S70362S | 09 | 604-605 | ||
S66491A | 21 | 913-914 | S68112A | 21 | 913-914 | S70369A | 09 | 606-607 | ||
S66491A | 24 | 963-965 | S68112A | 24 | 963-965 | S70369A | 24 | 963-965 | ||
S66491D | 23 | 949-950 | S68112D | 23 | 949-950 | S70369D | 23 | 949-950 | ||
S66491S | 21 | 913-914 | S68112S | 08 | 559-561 | S70369S | 09 | 604-605 | ||
S66492A | 21 | 913-914 | S68113A | 21 | 913-914 | S70371A | 09 | 604-605 | ||
S66492A | 24 | 963-965 | S68113A | 24 | 963-965 | S70371A | 24 | 963-965 | ||
S66492D | 23 | 949-950 | S68113D | 23 | 949-950 | S70371D | 23 | 949-950 | ||
S66492S | 21 | 913-914 | S68113S | 08 | 559-561 | S70371S | 09 | 604-605 | ||
S66499A | 21 | 913-914 | S68114A | 21 | 913-914 | S70372A | 09 | 604-605 | ||
S66499A | 24 | 963-965 | S68114A | 24 | 963-965 | S70372A | 24 | 963-965 | ||
S66499D | 23 | 949-950 | S68114D | 23 | 949-950 | S70372D | 23 | 949-950 | ||
S66499S | 21 | 913-914 | S68114S | 08 | 559-561 | S70372S | 09 | 604-605 | ||
S66500A | 21 | 913-914 | S68115A | 21 | 913-914 | S70379A | 09 | 604-605 | ||
S66500A | 24 | 963-965 | S68115A | 24 | 963-965 | S70379A | 24 | 963-965 | ||
S66500D | 23 | 949-950 | S68115D | 23 | 949-950 | S70379D | 23 | 949-950 | ||
S66500S | 21 | 913-914 | S68115S | 08 | 559-561 | S70379S | 09 | 604-605 | ||
S66501A | 21 | 913-914 | S68116A | 21 | 913-914 | S70911A | 09 | 604-605 | ||
S66501A | 24 | 963-965 | S68116A | 24 | 963-965 | S70911A | 24 | 963-965 | ||
S66501D | 23 | 949-950 | S68116D | 23 | 949-950 | S70911D | 23 | 949-950 | ||
S66501S | 21 | 913-914 | S68116S | 08 | 559-561 | S70911S | 09 | 604-605 | ||
S66502A | 21 | 913-914 | S68117A | 21 | 913-914 | S70912A | 09 | 604-605 | ||
S66502A | 24 | 963-965 | S68117A | 24 | 963-965 | S70912A | 24 | 963-965 | ||
S66502D | 23 | 949-950 | S68117D | 23 | 949-950 | S70912D | 23 | 949-950 | ||
S66502S | 21 | 913-914 | S68117S | 08 | 559-561 | S70912S | 09 | 604-605 | ||
S66503A | 21 | 913-914 | S68118A | 21 | 913-914 | S70919A | 09 | 604-605 | ||
S66503A | 24 | 963-965 | S68118A | 24 | 963-965 | S70919A | 24 | 963-965 | ||
S66503D | 23 | 949-950 | S68118D | 23 | 949-950 | S70919D | 23 | 949-950 | ||
S66503S | 21 | 913-914 | S68118S | 08 | 559-561 | S70919S | 09 | 604-605 | ||
S66504A | 21 | 913-914 | S68119A | 21 | 913-914 | S70921A | 09 | 604-605 | ||
S66504A | 24 | 963-965 | S68119A | 24 | 963-965 | S70921A | 24 | 963-965 | ||
S66504D | 23 | 949-950 | S68119D | 23 | 949-950 | S70921D | 23 | 949-950 | ||
S66504S | 21 | 913-914 | S68119S | 08 | 559-561 | S70921S | 09 | 604-605 | ||
S66505A | 21 | 913-914 | S68120A | 21 | 913-914 | S70922A | 09 | 604-605 | ||
S66505A | 24 | 963-965 | S68120A | 24 | 963-965 | S70922A | 24 | 963-965 | ||
S66505D | 23 | 949-950 | S68120D | 23 | 949-950 | S70922D | 23 | 949-950 | ||
S66505S | 21 | 913-914 | S68120S | 08 | 559-561 | S70922S | 09 | 604-605 | ||
S66506A | 21 | 913-914 | S68121A | 21 | 913-914 | S70929A | 09 | 604-605 | ||
S66506A | 24 | 963-965 | S68121A | 24 | 963-965 | S70929A | 24 | 963-965 | ||
S66506D | 23 | 949-950 | S68121D | 23 | 949-950 | S70929D | 23 | 949-950 | ||
S66506S | 21 | 913-914 | S68121S | 08 | 559-561 | S70929S | 09 | 604-605 | ||
S66507A | 21 | 913-914 | S68122A | 21 | 913-914 | S71001A | 09 | 604-605 | ||
S66507A | 24 | 963-965 | S68122A | 24 | 963-965 | S71001A | 24 | 963-965 | ||
S66507D | 23 | 949-950 | S68122D | 23 | 949-950 | S71001D | 23 | 949-950 | ||
S66507S | 21 | 913-914 | S68122S | 08 | 559-561 | S71001S | 09 | 604-605 | ||
S66508A | 21 | 913-914 | S68123A | 21 | 913-914 | S71002A | 09 | 604-605 | ||
S66508A | 24 | 963-965 | S68123A | 24 | 963-965 | S71002A | 24 | 963-965 | ||
S66508D | 23 | 949-950 | S68123D | 23 | 949-950 | S71002D | 23 | 949-950 | ||
S66508S | 21 | 913-914 | S68123S | 08 | 559-561 | S71002S | 09 | 604-605 | ||
S66509A | 21 | 913-914 | S68124A | 21 | 913-914 | S71009A | 09 | 604-605 | ||
S66509A | 24 | 963-965 | S68124A | 24 | 963-965 | S71009A | 24 | 963-965 | ||
S66509D | 23 | 949-950 | S68124D | 23 | 949-950 | S71009D | 23 | 949-950 | ||
S66509S | 21 | 913-914 | S68124S | 08 | 559-561 | S71009S | 09 | 604-605 | ||
S66510A | 08 | 562-563 | S68125A | 21 | 913-914 | S71011A | 09 | 604-605 | ||
S66510A | 24 | 963-965 | S68125A | 24 | 963-965 | S71011A | 24 | 963-965 | ||
S66510D | 23 | 949-950 | S68125D | 23 | 949-950 | S71011D | 23 | 949-950 | ||
S66510S | 08 | 562-563 | S68125S | 08 | 559-561 | S71011S | 09 | 604-605 | ||
S66511A | 08 | 562-563 | S68126A | 21 | 913-914 | S71012A | 09 | 604-605 | ||
S66511A | 24 | 963-965 | S68126A | 24 | 963-965 | S71012A | 24 | 963-965 | ||
S66511D | 23 | 949-950 | S68126D | 23 | 949-950 | S71012D | 23 | 949-950 | ||
S66511S | 08 | 562-563 | S68126S | 08 | 559-561 | S71012S | 09 | 604-605 | ||
S66512A | 08 | 562-563 | S68127A | 21 | 913-914 | S71019A | 09 | 604-605 | ||
S66512A | 24 | 963-965 | S68127A | 24 | 963-965 | S71019A | 24 | 963-965 | ||
S66512D | 23 | 949-950 | S68127D | 23 | 949-950 | S71019D | 23 | 949-950 | ||
S66512S | 08 | 562-563 | S68127S | 08 | 559-561 | S71019S | 09 | 604-605 | ||
S66513A | 08 | 562-563 | S68128A | 21 | 913-914 | S71021A | 21 | 913-914 | ||
S66513A | 24 | 963-965 | S68128A | 24 | 963-965 | S71021A | 24 | 963-965 | ||
S66513D | 23 | 949-950 | S68128D | 23 | 949-950 | S71021D | 23 | 949-950 | ||
S66513S | 08 | 562-563 | S68128S | 08 | 559-561 | S71021S | 09 | 604-605 | ||
S66514A | 08 | 562-563 | S68129A | 21 | 913-914 | S71022A | 21 | 913-914 | ||
S66514A | 24 | 963-965 | S68129A | 24 | 963-965 | S71022A | 24 | 963-965 | ||
S66514D | 23 | 949-950 | S68129D | 23 | 949-950 | S71022D | 23 | 949-950 | ||
S66514S | 08 | 562-563 | S68129S | 08 | 559-561 | S71022S | 09 | 604-605 | ||
S66515A | 08 | 562-563 | S68411A | 21 | 913-914 | S71029A | 21 | 913-914 | ||
S66515A | 24 | 963-965 | S68411A | 24 | 963-965 | S71029A | 24 | 963-965 | ||
S66515D | 23 | 949-950 | S68411D | 23 | 949-950 | S71029D | 23 | 949-950 | ||
S66515S | 08 | 562-563 | S68411S | 08 | 559-561 | S71029S | 09 | 604-605 | ||
S66516A | 08 | 562-563 | S68412A | 21 | 913-914 | S71031A | 09 | 604-605 | ||
S66516A | 24 | 963-965 | S68412A | 24 | 963-965 | S71031A | 24 | 963-965 | ||
S66516D | 23 | 949-950 | S68412D | 23 | 949-950 | S71031D | 23 | 949-950 | ||
S66516S | 08 | 562-563 | S68412S | 08 | 559-561 | S71031S | 09 | 604-605 | ||
S66517A | 08 | 562-563 | S68419A | 21 | 913-914 | S71032A | 09 | 604-605 | ||
S66517A | 24 | 963-965 | S68419A | 24 | 963-965 | S71032A | 24 | 963-965 | ||
S66517D | 23 | 949-950 | S68419D | 23 | 949-950 | S71032D | 23 | 949-950 | ||
S66517S | 08 | 562-563 | S68419S | 08 | 559-561 | S71032S | 09 | 604-605 | ||
S66518A | 08 | 562-563 | S68421A | 21 | 913-914 | S71039A | 09 | 604-605 | ||
S66518A | 24 | 963-965 | S68421A | 24 | 963-965 | S71039A | 24 | 963-965 | ||
S66518D | 23 | 949-950 | S68421D | 23 | 949-950 | S71039D | 23 | 949-950 | ||
S66518S | 08 | 562-563 | S68421S | 08 | 559-561 | S71039S | 09 | 604-605 | ||
S66519A | 08 | 562-563 | S68422A | 21 | 913-914 | S71041A | 21 | 913-914 | ||
S66519A | 24 | 963-965 | S68422A | 24 | 963-965 | S71041A | 24 | 963-965 | ||
S66519D | 23 | 949-950 | S68422D | 23 | 949-950 | S71041D | 23 | 949-950 | ||
S66519S | 08 | 562-563 | S68422S | 08 | 559-561 | S71041S | 09 | 604-605 | ||
S66520A | 08 | 564-566 | S68429A | 21 | 913-914 | S71042A | 21 | 913-914 | ||
S66520A | 24 | 963-965 | S68429A | 24 | 963-965 | S71042A | 24 | 963-965 | ||
S66520D | 23 | 949-950 | S68429D | 23 | 949-950 | S71042D | 23 | 949-950 | ||
S66520S | 09 | 604-605 | S68429S | 08 | 559-561 | S71042S | 09 | 604-605 | ||
S66521A | 08 | 564-566 | S68511A | 21 | 913-914 | S71049A | 21 | 913-914 | ||
S66521A | 24 | 963-965 | S68511A | 24 | 963-965 | S71049A | 24 | 963-965 | ||
S66521D | 23 | 949-950 | S68511D | 23 | 949-950 | S71049D | 23 | 949-950 | ||
S66521S | 09 | 604-605 | S68511S | 08 | 559-561 | S71049S | 09 | 604-605 | ||
S66522A | 08 | 564-566 | S68512A | 21 | 913-914 | S71051A | 09 | 604-605 | ||
S66522A | 24 | 963-965 | S68512A | 24 | 963-965 | S71051A | 24 | 963-965 | ||
S66522D | 23 | 949-950 | S68512D | 23 | 949-950 | S71051D | 23 | 949-950 | ||
S66522S | 09 | 604-605 | S68512S | 08 | 559-561 | S71051S | 09 | 604-605 | ||
S66523A | 08 | 564-566 | S68519A | 21 | 913-914 | S71052A | 09 | 604-605 | ||
S66523A | 24 | 963-965 | S68519A | 24 | 963-965 | S71052A | 24 | 963-965 | ||
S66523D | 23 | 949-950 | S68519D | 23 | 949-950 | S71052D | 23 | 949-950 | ||
S66523S | 09 | 604-605 | S68519S | 08 | 559-561 | S71052S | 09 | 604-605 | ||
S66524A | 08 | 564-566 | S68521A | 21 | 913-914 | S71059A | 09 | 604-605 | ||
S66524A | 24 | 963-965 | S68521A | 24 | 963-965 | S71059A | 24 | 963-965 | ||
S66524D | 23 | 949-950 | S68521D | 23 | 949-950 | S71059D | 23 | 949-950 | ||
S66524S | 09 | 604-605 | S68521S | 08 | 559-561 | S71059S | 09 | 604-605 | ||
S66525A | 08 | 564-566 | S68522A | 21 | 913-914 | S71101A | 09 | 604-605 | ||
S66525A | 24 | 963-965 | S68522A | 24 | 963-965 | S71101A | 24 | 963-965 | ||
S66525D | 23 | 949-950 | S68522D | 23 | 949-950 | S71101D | 23 | 949-950 | ||
S66525S | 09 | 604-605 | S68522S | 08 | 559-561 | S71101S | 09 | 604-605 | ||
S66526A | 08 | 564-566 | S68529A | 21 | 913-914 | S71102A | 09 | 604-605 | ||
S66526A | 24 | 963-965 | S68529A | 24 | 963-965 | S71102A | 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 |