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 54 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S7221XC | 08 | 521-522 | S72325E | 08 | 559-561 | S72353E | 08 | 559-561 | ||
| S7221XC | 08 | 535-536 | S72325F | 08 | 559-561 | S72353F | 08 | 559-561 | ||
| S7221XC | 15 | 791 | S72325G | 08 | 559-561 | S72353G | 08 | 559-561 | ||
| S7221XC | 15 | 793 | S72325H | 08 | 559-561 | S72353H | 08 | 559-561 | ||
| S7221XC | 24 | 963-965 | S72325J | 08 | 559-561 | S72353J | 08 | 559-561 | ||
| S7221XD | 08 | 559-561 | S72325K | 08 | 564-566 | S72353K | 08 | 564-566 | ||
| S7221XE | 08 | 559-561 | S72325M | 08 | 564-566 | S72353M | 08 | 564-566 | ||
| S7221XF | 08 | 559-561 | S72325N | 08 | 564-566 | S72353N | 08 | 564-566 | ||
| S7221XG | 08 | 521-522 | S72325P | 08 | 564-566 | S72353P | 08 | 564-566 | ||
| S7221XG | 08 | 559-561 | S72325Q | 08 | 564-566 | S72353Q | 08 | 564-566 | ||
| S7221XH | 08 | 521-522 | S72325R | 08 | 564-566 | S72353R | 08 | 564-566 | ||
| S7221XH | 08 | 559-561 | S72325S | 08 | 559-561 | S72353S | 08 | 559-561 | ||
| S7221XJ | 08 | 521-522 | S72326A | 08 | 533-534 | S72354A | 08 | 533-534 | ||
| S7221XJ | 08 | 559-561 | S72326A | 15 | 791 | S72354A | 15 | 791 | ||
| S7221XK | 08 | 521-522 | S72326A | 15 | 793 | S72354A | 15 | 793 | ||
| S7221XK | 08 | 564-566 | S72326A | 24 | 963-965 | S72354A | 24 | 963-965 | ||
| S7221XM | 08 | 521-522 | S72326B | 08 | 533-534 | S72354B | 08 | 533-534 | ||
| S7221XM | 08 | 564-566 | S72326B | 15 | 791 | S72354B | 15 | 791 | ||
| S7221XN | 08 | 521-522 | S72326B | 15 | 793 | S72354B | 15 | 793 | ||
| S7221XN | 08 | 564-566 | S72326B | 24 | 963-965 | S72354B | 24 | 963-965 | ||
| S7221XP | 08 | 521-522 | S72326C | 08 | 533-534 | S72354C | 08 | 533-534 | ||
| S7221XP | 08 | 564-566 | S72326C | 15 | 791 | S72354C | 15 | 791 | ||
| S7221XQ | 08 | 521-522 | S72326C | 15 | 793 | S72354C | 15 | 793 | ||
| S7221XQ | 08 | 564-566 | S72326C | 24 | 963-965 | S72354C | 24 | 963-965 | ||
| S7221XR | 08 | 521-522 | S72326D | 08 | 559-561 | S72354D | 08 | 559-561 | ||
| S7221XR | 08 | 564-566 | S72326E | 08 | 559-561 | S72354E | 08 | 559-561 | ||
| S7221XS | 08 | 559-561 | S72326F | 08 | 559-561 | S72354F | 08 | 559-561 | ||
| S7222XA | 08 | 521-522 | S72326G | 08 | 559-561 | S72354G | 08 | 559-561 | ||
| S7222XA | 08 | 535-536 | S72326H | 08 | 559-561 | S72354H | 08 | 559-561 | ||
| S7222XA | 15 | 791 | S72326J | 08 | 559-561 | S72354J | 08 | 559-561 | ||
| S7222XA | 15 | 793 | S72326K | 08 | 564-566 | S72354K | 08 | 564-566 | ||
| S7222XA | 24 | 963-965 | S72326M | 08 | 564-566 | S72354M | 08 | 564-566 | ||
| S7222XB | 08 | 521-522 | S72326N | 08 | 564-566 | S72354N | 08 | 564-566 | ||
| S7222XB | 08 | 535-536 | S72326P | 08 | 564-566 | S72354P | 08 | 564-566 | ||
| S7222XB | 15 | 791 | S72326Q | 08 | 564-566 | S72354Q | 08 | 564-566 | ||
| S7222XB | 15 | 793 | S72326R | 08 | 564-566 | S72354R | 08 | 564-566 | ||
| S7222XB | 24 | 963-965 | S72326S | 08 | 559-561 | S72354S | 08 | 559-561 | ||
| S7222XC | 08 | 521-522 | S72331A | 08 | 533-534 | S72355A | 08 | 533-534 | ||
| S7222XC | 08 | 535-536 | S72331A | 15 | 791 | S72355A | 15 | 791 | ||
| S7222XC | 15 | 791 | S72331A | 15 | 793 | S72355A | 15 | 793 | ||
| S7222XC | 15 | 793 | S72331A | 24 | 963-965 | S72355A | 24 | 963-965 | ||
| S7222XC | 24 | 963-965 | S72331B | 08 | 533-534 | S72355B | 08 | 533-534 | ||
| S7222XD | 08 | 559-561 | S72331B | 15 | 791 | S72355B | 15 | 791 | ||
| S7222XE | 08 | 559-561 | S72331B | 15 | 793 | S72355B | 15 | 793 | ||
| S7222XF | 08 | 559-561 | S72331B | 24 | 963-965 | S72355B | 24 | 963-965 | ||
| S7222XG | 08 | 521-522 | S72331C | 08 | 533-534 | S72355C | 08 | 533-534 | ||
| S7222XG | 08 | 559-561 | S72331C | 15 | 791 | S72355C | 15 | 791 | ||
| S7222XH | 08 | 521-522 | S72331C | 15 | 793 | S72355C | 15 | 793 | ||
| S7222XH | 08 | 559-561 | S72331C | 24 | 963-965 | S72355C | 24 | 963-965 | ||
| S7222XJ | 08 | 521-522 | S72331D | 08 | 559-561 | S72355D | 08 | 559-561 | ||
| S7222XJ | 08 | 559-561 | S72331E | 08 | 559-561 | S72355E | 08 | 559-561 | ||
| S7222XK | 08 | 521-522 | S72331F | 08 | 559-561 | S72355F | 08 | 559-561 | ||
| S7222XK | 08 | 564-566 | S72331G | 08 | 559-561 | S72355G | 08 | 559-561 | ||
| S7222XM | 08 | 521-522 | S72331H | 08 | 559-561 | S72355H | 08 | 559-561 | ||
| S7222XM | 08 | 564-566 | S72331J | 08 | 559-561 | S72355J | 08 | 559-561 | ||
| S7222XN | 08 | 521-522 | S72331K | 08 | 564-566 | S72355K | 08 | 564-566 | ||
| S7222XN | 08 | 564-566 | S72331M | 08 | 564-566 | S72355M | 08 | 564-566 | ||
| S7222XP | 08 | 521-522 | S72331N | 08 | 564-566 | S72355N | 08 | 564-566 | ||
| S7222XP | 08 | 564-566 | S72331P | 08 | 564-566 | S72355P | 08 | 564-566 | ||
| S7222XQ | 08 | 521-522 | S72331Q | 08 | 564-566 | S72355Q | 08 | 564-566 | ||
| S7222XQ | 08 | 564-566 | S72331R | 08 | 564-566 | S72355R | 08 | 564-566 | ||
| S7222XR | 08 | 521-522 | S72331S | 08 | 559-561 | S72355S | 08 | 559-561 | ||
| S7222XR | 08 | 564-566 | S72332A | 08 | 533-534 | S72356A | 08 | 533-534 | ||
| S7222XS | 08 | 559-561 | S72332A | 15 | 791 | S72356A | 15 | 791 | ||
| S7223XA | 08 | 521-522 | S72332A | 15 | 793 | S72356A | 15 | 793 | ||
| S7223XA | 08 | 535-536 | S72332A | 24 | 963-965 | S72356A | 24 | 963-965 | ||
| S7223XA | 15 | 791 | S72332B | 08 | 533-534 | S72356B | 08 | 533-534 | ||
| S7223XA | 15 | 793 | S72332B | 15 | 791 | S72356B | 15 | 791 | ||
| S7223XA | 24 | 963-965 | S72332B | 15 | 793 | S72356B | 15 | 793 | ||
| S7223XB | 08 | 521-522 | S72332B | 24 | 963-965 | S72356B | 24 | 963-965 | ||
| S7223XB | 08 | 535-536 | S72332C | 08 | 533-534 | S72356C | 08 | 533-534 | ||
| S7223XB | 15 | 791 | S72332C | 15 | 791 | S72356C | 15 | 791 | ||
| S7223XB | 15 | 793 | S72332C | 15 | 793 | S72356C | 15 | 793 | ||
| S7223XB | 24 | 963-965 | S72332C | 24 | 963-965 | S72356C | 24 | 963-965 | ||
| S7223XC | 08 | 521-522 | S72332D | 08 | 559-561 | S72356D | 08 | 559-561 | ||
| S7223XC | 08 | 535-536 | S72332E | 08 | 559-561 | S72356E | 08 | 559-561 | ||
| S7223XC | 15 | 791 | S72332F | 08 | 559-561 | S72356F | 08 | 559-561 | ||
| S7223XC | 15 | 793 | S72332G | 08 | 559-561 | S72356G | 08 | 559-561 | ||
| S7223XC | 24 | 963-965 | S72332H | 08 | 559-561 | S72356H | 08 | 559-561 | ||
| S7223XD | 08 | 559-561 | S72332J | 08 | 559-561 | S72356J | 08 | 559-561 | ||
| S7223XE | 08 | 559-561 | S72332K | 08 | 564-566 | S72356K | 08 | 564-566 | ||
| S7223XF | 08 | 559-561 | S72332M | 08 | 564-566 | S72356M | 08 | 564-566 | ||
| S7223XG | 08 | 521-522 | S72332N | 08 | 564-566 | S72356N | 08 | 564-566 | ||
| S7223XG | 08 | 559-561 | S72332P | 08 | 564-566 | S72356P | 08 | 564-566 | ||
| S7223XH | 08 | 521-522 | S72332Q | 08 | 564-566 | S72356Q | 08 | 564-566 | ||
| S7223XH | 08 | 559-561 | S72332R | 08 | 564-566 | S72356R | 08 | 564-566 | ||
| S7223XJ | 08 | 521-522 | S72332S | 08 | 559-561 | S72356S | 08 | 559-561 | ||
| S7223XJ | 08 | 559-561 | S72333A | 08 | 533-534 | S72361A | 08 | 533-534 | ||
| S7223XK | 08 | 521-522 | S72333A | 15 | 791 | S72361A | 15 | 791 | ||
| S7223XK | 08 | 564-566 | S72333A | 15 | 793 | S72361A | 15 | 793 | ||
| S7223XM | 08 | 521-522 | S72333A | 24 | 963-965 | S72361A | 24 | 963-965 | ||
| S7223XM | 08 | 564-566 | S72333B | 08 | 533-534 | S72361B | 08 | 533-534 | ||
| S7223XN | 08 | 521-522 | S72333B | 15 | 791 | S72361B | 15 | 791 | ||
| S7223XN | 08 | 564-566 | S72333B | 15 | 793 | S72361B | 15 | 793 | ||
| S7223XP | 08 | 521-522 | S72333B | 24 | 963-965 | S72361B | 24 | 963-965 | ||
| S7223XP | 08 | 564-566 | S72333C | 08 | 533-534 | S72361C | 08 | 533-534 | ||
| S7223XQ | 08 | 521-522 | S72333C | 15 | 791 | S72361C | 15 | 791 | ||
| S7223XQ | 08 | 564-566 | S72333C | 15 | 793 | S72361C | 15 | 793 | ||
| S7223XR | 08 | 521-522 | S72333C | 24 | 963-965 | S72361C | 24 | 963-965 | ||
| S7223XR | 08 | 564-566 | S72333D | 08 | 559-561 | S72361D | 08 | 559-561 | ||
| S7223XS | 08 | 559-561 | S72333E | 08 | 559-561 | S72361E | 08 | 559-561 | ||
| S7224XA | 08 | 521-522 | S72333F | 08 | 559-561 | S72361F | 08 | 559-561 | ||
| S7224XA | 08 | 535-536 | S72333G | 08 | 559-561 | S72361G | 08 | 559-561 | ||
| S7224XA | 15 | 791 | S72333H | 08 | 559-561 | S72361H | 08 | 559-561 | ||
| S7224XA | 15 | 793 | S72333J | 08 | 559-561 | S72361J | 08 | 559-561 | ||
| S7224XA | 24 | 963-965 | S72333K | 08 | 564-566 | S72361K | 08 | 564-566 | ||
| S7224XB | 08 | 521-522 | S72333M | 08 | 564-566 | S72361M | 08 | 564-566 | ||
| S7224XB | 08 | 535-536 | S72333N | 08 | 564-566 | S72361N | 08 | 564-566 | ||
| S7224XB | 15 | 791 | S72333P | 08 | 564-566 | S72361P | 08 | 564-566 | ||
| S7224XB | 15 | 793 | S72333Q | 08 | 564-566 | S72361Q | 08 | 564-566 | ||
| S7224XB | 24 | 963-965 | S72333R | 08 | 564-566 | S72361R | 08 | 564-566 | ||
| S7224XC | 08 | 521-522 | S72333S | 08 | 559-561 | S72361S | 08 | 559-561 | ||
| S7224XC | 08 | 535-536 | S72334A | 08 | 533-534 | S72362A | 08 | 533-534 | ||
| S7224XC | 15 | 791 | S72334A | 15 | 791 | S72362A | 15 | 791 | ||
| S7224XC | 15 | 793 | S72334A | 15 | 793 | S72362A | 15 | 793 | ||
| S7224XC | 24 | 963-965 | S72334A | 24 | 963-965 | S72362A | 24 | 963-965 | ||
| S7224XD | 08 | 559-561 | S72334B | 08 | 533-534 | S72362B | 08 | 533-534 | ||
| S7224XE | 08 | 559-561 | S72334B | 15 | 791 | S72362B | 15 | 791 | ||
| S7224XF | 08 | 559-561 | S72334B | 15 | 793 | S72362B | 15 | 793 | ||
| S7224XG | 08 | 521-522 | S72334B | 24 | 963-965 | S72362B | 24 | 963-965 | ||
| S7224XG | 08 | 559-561 | S72334C | 08 | 533-534 | S72362C | 08 | 533-534 | ||
| S7224XH | 08 | 521-522 | S72334C | 15 | 791 | S72362C | 15 | 791 | ||
| S7224XH | 08 | 559-561 | S72334C | 15 | 793 | S72362C | 15 | 793 | ||
| S7224XJ | 08 | 521-522 | S72334C | 24 | 963-965 | S72362C | 24 | 963-965 | ||
| S7224XJ | 08 | 559-561 | S72334D | 08 | 559-561 | S72362D | 08 | 559-561 | ||
| S7224XK | 08 | 521-522 | S72334E | 08 | 559-561 | S72362E | 08 | 559-561 | ||
| S7224XK | 08 | 564-566 | S72334F | 08 | 559-561 | S72362F | 08 | 559-561 | ||
| S7224XM | 08 | 521-522 | S72334G | 08 | 559-561 | S72362G | 08 | 559-561 | ||
| S7224XM | 08 | 564-566 | S72334H | 08 | 559-561 | S72362H | 08 | 559-561 | ||
| S7224XN | 08 | 521-522 | S72334J | 08 | 559-561 | S72362J | 08 | 559-561 | ||
| S7224XN | 08 | 564-566 | S72334K | 08 | 564-566 | S72362K | 08 | 564-566 | ||
| S7224XP | 08 | 521-522 | S72334M | 08 | 564-566 | S72362M | 08 | 564-566 | ||
| S7224XP | 08 | 564-566 | S72334N | 08 | 564-566 | S72362N | 08 | 564-566 | ||
| S7224XQ | 08 | 521-522 | S72334P | 08 | 564-566 | S72362P | 08 | 564-566 | ||
| S7224XQ | 08 | 564-566 | S72334Q | 08 | 564-566 | S72362Q | 08 | 564-566 | ||
| S7224XR | 08 | 521-522 | S72334R | 08 | 564-566 | S72362R | 08 | 564-566 | ||
| S7224XR | 08 | 564-566 | S72334S | 08 | 559-561 | S72362S | 08 | 559-561 | ||
| S7224XS | 08 | 559-561 | S72335A | 08 | 533-534 | S72363A | 08 | 533-534 | ||
| S7225XA | 08 | 521-522 | S72335A | 15 | 791 | S72363A | 15 | 791 | ||
| S7225XA | 08 | 535-536 | S72335A | 15 | 793 | S72363A | 15 | 793 | ||
| S7225XA | 15 | 791 | S72335A | 24 | 963-965 | S72363A | 24 | 963-965 | ||
| S7225XA | 15 | 793 | S72335B | 08 | 533-534 | S72363B | 08 | 533-534 | ||
| S7225XA | 24 | 963-965 | S72335B | 15 | 791 | S72363B | 15 | 791 | ||
| S7225XB | 08 | 521-522 | S72335B | 15 | 793 | S72363B | 15 | 793 | ||
| S7225XB | 08 | 535-536 | S72335B | 24 | 963-965 | S72363B | 24 | 963-965 | ||
| S7225XB | 15 | 791 | S72335C | 08 | 533-534 | S72363C | 08 | 533-534 | ||
| S7225XB | 15 | 793 | S72335C | 15 | 791 | S72363C | 15 | 791 | ||
| S7225XB | 24 | 963-965 | S72335C | 15 | 793 | S72363C | 15 | 793 | ||
| S7225XC | 08 | 521-522 | S72335C | 24 | 963-965 | S72363C | 24 | 963-965 | ||
| S7225XC | 08 | 535-536 | S72335D | 08 | 559-561 | S72363D | 08 | 559-561 | ||
| S7225XC | 15 | 791 | S72335E | 08 | 559-561 | S72363E | 08 | 559-561 | ||
| S7225XC | 15 | 793 | S72335F | 08 | 559-561 | S72363F | 08 | 559-561 | ||
| S7225XC | 24 | 963-965 | S72335G | 08 | 559-561 | S72363G | 08 | 559-561 | ||
| S7225XD | 08 | 559-561 | S72335H | 08 | 559-561 | S72363H | 08 | 559-561 | ||
| S7225XE | 08 | 559-561 | S72335J | 08 | 559-561 | S72363J | 08 | 559-561 | ||
| S7225XF | 08 | 559-561 | S72335K | 08 | 564-566 | S72363K | 08 | 564-566 | ||
| S7225XG | 08 | 521-522 | S72335M | 08 | 564-566 | S72363M | 08 | 564-566 | ||
| S7225XG | 08 | 559-561 | S72335N | 08 | 564-566 | S72363N | 08 | 564-566 | ||
| S7225XH | 08 | 521-522 | S72335P | 08 | 564-566 | S72363P | 08 | 564-566 | ||
| S7225XH | 08 | 559-561 | S72335Q | 08 | 564-566 | S72363Q | 08 | 564-566 | ||
| S7225XJ | 08 | 521-522 | S72335R | 08 | 564-566 | S72363R | 08 | 564-566 | ||
| S7225XJ | 08 | 559-561 | S72335S | 08 | 559-561 | S72363S | 08 | 559-561 | ||
| S7225XK | 08 | 521-522 | S72336A | 08 | 533-534 | S72364A | 08 | 533-534 | ||
| S7225XK | 08 | 564-566 | S72336A | 15 | 791 | S72364A | 15 | 791 | ||
| S7225XM | 08 | 521-522 | S72336A | 15 | 793 | S72364A | 15 | 793 | ||
| S7225XM | 08 | 564-566 | S72336A | 24 | 963-965 | S72364A | 24 | 963-965 | ||
| S7225XN | 08 | 521-522 | S72336B | 08 | 533-534 | S72364B | 08 | 533-534 | ||
| S7225XN | 08 | 564-566 | S72336B | 15 | 791 | S72364B | 15 | 791 | ||
| S7225XP | 08 | 521-522 | S72336B | 15 | 793 | S72364B | 15 | 793 | ||
| S7225XP | 08 | 564-566 | S72336B | 24 | 963-965 | S72364B | 24 | 963-965 | ||
| S7225XQ | 08 | 521-522 | S72336C | 08 | 533-534 | S72364C | 08 | 533-534 | ||
| S7225XQ | 08 | 564-566 | S72336C | 15 | 791 | S72364C | 15 | 791 | ||
| S7225XR | 08 | 521-522 | S72336C | 15 | 793 | S72364C | 15 | 793 | ||
| S7225XR | 08 | 564-566 | S72336C | 24 | 963-965 | S72364C | 24 | 963-965 | ||
| S7225XS | 08 | 559-561 | S72336D | 08 | 559-561 | S72364D | 08 | 559-561 | ||
| S7226XA | 08 | 521-522 | S72336E | 08 | 559-561 | S72364E | 08 | 559-561 | ||
| S7226XA | 08 | 535-536 | S72336F | 08 | 559-561 | S72364F | 08 | 559-561 | ||
| S7226XA | 15 | 791 | S72336G | 08 | 559-561 | S72364G | 08 | 559-561 | ||
| S7226XA | 15 | 793 | S72336H | 08 | 559-561 | S72364H | 08 | 559-561 | ||
| S7226XA | 24 | 963-965 | S72336J | 08 | 559-561 | S72364J | 08 | 559-561 | ||
| S7226XB | 08 | 521-522 | S72336K | 08 | 564-566 | S72364K | 08 | 564-566 | ||
| S7226XB | 08 | 535-536 | S72336M | 08 | 564-566 | S72364M | 08 | 564-566 | ||
| S7226XB | 15 | 791 | S72336N | 08 | 564-566 | S72364N | 08 | 564-566 | ||
| S7226XB | 15 | 793 | S72336P | 08 | 564-566 | S72364P | 08 | 564-566 | ||
| S7226XB | 24 | 963-965 | S72336Q | 08 | 564-566 | S72364Q | 08 | 564-566 | ||
| S7226XC | 08 | 521-522 | S72336R | 08 | 564-566 | S72364R | 08 | 564-566 | ||
| S7226XC | 08 | 535-536 | S72336S | 08 | 559-561 | S72364S | 08 | 559-561 | ||
| S7226XC | 15 | 791 | S72341A | 08 | 533-534 | S72365A | 08 | 533-534 | ||
| S7226XC | 15 | 793 | S72341A | 15 | 791 | S72365A | 15 | 791 | ||
| S7226XC | 24 | 963-965 | S72341A | 15 | 793 | S72365A | 15 | 793 | ||
| S7226XD | 08 | 559-561 | S72341A | 24 | 963-965 | S72365A | 24 | 963-965 | ||
| S7226XE | 08 | 559-561 | S72341B | 08 | 533-534 | S72365B | 08 | 533-534 | ||
| S7226XF | 08 | 559-561 | S72341B | 15 | 791 | S72365B | 15 | 791 | ||
| S7226XG | 08 | 521-522 | S72341B | 15 | 793 | S72365B | 15 | 793 | ||
| S7226XG | 08 | 559-561 | S72341B | 24 | 963-965 | S72365B | 24 | 963-965 | ||
| S7226XH | 08 | 521-522 | S72341C | 08 | 533-534 | S72365C | 08 | 533-534 | ||
| S7226XH | 08 | 559-561 | S72341C | 15 | 791 | S72365C | 15 | 791 | ||
| S7226XJ | 08 | 521-522 | S72341C | 15 | 793 | S72365C | 15 | 793 | ||
| S7226XJ | 08 | 559-561 | S72341C | 24 | 963-965 | S72365C | 24 | 963-965 | ||
| S7226XK | 08 | 521-522 | S72341D | 08 | 559-561 | S72365D | 08 | 559-561 | ||
| S7226XK | 08 | 564-566 | S72341E | 08 | 559-561 | S72365E | 08 | 559-561 | ||
| S7226XM | 08 | 521-522 | S72341F | 08 | 559-561 | S72365F | 08 | 559-561 | ||
| S7226XM | 08 | 564-566 | S72341G | 08 | 559-561 | S72365G | 08 | 559-561 | ||
| S7226XN | 08 | 521-522 | S72341H | 08 | 559-561 | S72365H | 08 | 559-561 | ||
| S7226XN | 08 | 564-566 | S72341J | 08 | 559-561 | S72365J | 08 | 559-561 | ||
| S7226XP | 08 | 521-522 | S72341K | 08 | 564-566 | S72365K | 08 | 564-566 | ||
| S7226XP | 08 | 564-566 | S72341M | 08 | 564-566 | S72365M | 08 | 564-566 | ||
| S7226XQ | 08 | 521-522 | S72341N | 08 | 564-566 | S72365N | 08 | 564-566 | ||
| S7226XQ | 08 | 564-566 | S72341P | 08 | 564-566 | S72365P | 08 | 564-566 | ||
| S7226XR | 08 | 521-522 | S72341Q | 08 | 564-566 | S72365Q | 08 | 564-566 | ||
| S7226XR | 08 | 564-566 | S72341R | 08 | 564-566 | S72365R | 08 | 564-566 | ||
| S7226XS | 08 | 559-561 | S72341S | 08 | 559-561 | S72365S | 08 | 559-561 | ||
| S72301A | 08 | 533-534 | S72342A | 08 | 533-534 | S72366A | 08 | 533-534 | ||
| S72301A | 15 | 791 | S72342A | 15 | 791 | S72366A | 15 | 791 | ||
| S72301A | 15 | 793 | S72342A | 15 | 793 | S72366A | 15 | 793 | ||
| S72301A | 24 | 963-965 | S72342A | 24 | 963-965 | S72366A | 24 | 963-965 | ||
| S72301B | 08 | 533-534 | S72342B | 08 | 533-534 | S72366B | 08 | 533-534 | ||
| S72301B | 15 | 791 | S72342B | 15 | 791 | S72366B | 15 | 791 | ||
| S72301B | 15 | 793 | S72342B | 15 | 793 | S72366B | 15 | 793 | ||
| S72301B | 24 | 963-965 | S72342B | 24 | 963-965 | S72366B | 24 | 963-965 | ||
| S72301C | 08 | 533-534 | S72342C | 08 | 533-534 | S72366C | 08 | 533-534 | ||
| S72301C | 15 | 791 | S72342C | 15 | 791 | S72366C | 15 | 791 | ||
| S72301C | 15 | 793 | S72342C | 15 | 793 | S72366C | 15 | 793 | ||
| S72301C | 24 | 963-965 | S72342C | 24 | 963-965 | S72366C | 24 | 963-965 | ||
| S72301D | 08 | 559-561 | S72342D | 08 | 559-561 | S72366D | 08 | 559-561 | ||
| S72301E | 08 | 559-561 | S72342E | 08 | 559-561 | S72366E | 08 | 559-561 | ||
| S72301F | 08 | 559-561 | S72342F | 08 | 559-561 | S72366F | 08 | 559-561 | ||
| S72301G | 08 | 559-561 | S72342G | 08 | 559-561 | S72366G | 08 | 559-561 | ||
| S72301H | 08 | 559-561 | S72342H | 08 | 559-561 | S72366H | 08 | 559-561 | ||
| S72301J | 08 | 559-561 | S72342J | 08 | 559-561 | S72366J | 08 | 559-561 | ||
| S72301K | 08 | 564-566 | S72342K | 08 | 564-566 | S72366K | 08 | 564-566 | ||
| S72301M | 08 | 564-566 | S72342M | 08 | 564-566 | S72366M | 08 | 564-566 | ||
| S72301N | 08 | 564-566 | S72342N | 08 | 564-566 | S72366N | 08 | 564-566 | ||
| S72301P | 08 | 564-566 | S72342P | 08 | 564-566 | S72366P | 08 | 564-566 | ||
| S72301Q | 08 | 564-566 | S72342Q | 08 | 564-566 | S72366Q | 08 | 564-566 | ||
| S72301R | 08 | 564-566 | S72342R | 08 | 564-566 | S72366R | 08 | 564-566 | ||
| S72301S | 08 | 559-561 | S72342S | 08 | 559-561 | S72366S | 08 | 559-561 | ||
| S72302A | 08 | 533-534 | S72343A | 08 | 533-534 | S72391A | 08 | 533-534 | ||
| S72302A | 15 | 791 | S72343A | 15 | 791 | S72391A | 15 | 791 | ||
| S72302A | 15 | 793 | S72343A | 15 | 793 | S72391A | 15 | 793 | ||
| S72302A | 24 | 963-965 | S72343A | 24 | 963-965 | S72391A | 24 | 963-965 | ||
| S72302B | 08 | 533-534 | S72343B | 08 | 533-534 | S72391B | 08 | 533-534 | ||
| S72302B | 15 | 791 | S72343B | 15 | 791 | S72391B | 15 | 791 | ||
| S72302B | 15 | 793 | S72343B | 15 | 793 | S72391B | 15 | 793 | ||
| S72302B | 24 | 963-965 | S72343B | 24 | 963-965 | S72391B | 24 | 963-965 | ||
| S72302C | 08 | 533-534 | S72343C | 08 | 533-534 | S72391C | 08 | 533-534 | ||
| S72302C | 15 | 791 | S72343C | 15 | 791 | S72391C | 15 | 791 | ||
| S72302C | 15 | 793 | S72343C | 15 | 793 | S72391C | 15 | 793 | ||
| S72302C | 24 | 963-965 | S72343C | 24 | 963-965 | S72391C | 24 | 963-965 | ||
| S72302D | 08 | 559-561 | S72343D | 08 | 559-561 | S72391D | 08 | 559-561 | ||
| S72302E | 08 | 559-561 | S72343E | 08 | 559-561 | S72391E | 08 | 559-561 | ||
| S72302F | 08 | 559-561 | S72343F | 08 | 559-561 | S72391F | 08 | 559-561 | ||
| S72302G | 08 | 559-561 | S72343G | 08 | 559-561 | S72391G | 08 | 559-561 | ||
| S72302H | 08 | 559-561 | S72343H | 08 | 559-561 | S72391H | 08 | 559-561 | ||
| S72302J | 08 | 559-561 | S72343J | 08 | 559-561 | S72391J | 08 | 559-561 | ||
| S72302K | 08 | 564-566 | S72343K | 08 | 564-566 | S72391K | 08 | 564-566 | ||
| S72302M | 08 | 564-566 | S72343M | 08 | 564-566 | S72391M | 08 | 564-566 | ||
| S72302N | 08 | 564-566 | S72343N | 08 | 564-566 | S72391N | 08 | 564-566 | ||
| S72302P | 08 | 564-566 | S72343P | 08 | 564-566 | S72391P | 08 | 564-566 | ||
| S72302Q | 08 | 564-566 | S72343Q | 08 | 564-566 | S72391Q | 08 | 564-566 | ||
| S72302R | 08 | 564-566 | S72343R | 08 | 564-566 | S72391R | 08 | 564-566 | ||
| S72302S | 08 | 559-561 | S72343S | 08 | 559-561 | S72391S | 08 | 559-561 | ||
| S72309A | 08 | 533-534 | S72344A | 08 | 533-534 | S72392A | 08 | 533-534 | ||
| S72309A | 15 | 791 | S72344A | 15 | 791 | S72392A | 15 | 791 | ||
| S72309A | 15 | 793 | S72344A | 15 | 793 | S72392A | 15 | 793 | ||
| S72309A | 24 | 963-965 | S72344A | 24 | 963-965 | S72392A | 24 | 963-965 | ||
| S72309B | 08 | 533-534 | S72344B | 08 | 533-534 | S72392B | 08 | 533-534 | ||
| S72309B | 15 | 791 | S72344B | 15 | 791 | S72392B | 15 | 791 | ||
| S72309B | 15 | 793 | S72344B | 15 | 793 | S72392B | 15 | 793 | ||
| S72309B | 24 | 963-965 | S72344B | 24 | 963-965 | S72392B | 24 | 963-965 | ||
| S72309C | 08 | 533-534 | S72344C | 08 | 533-534 | S72392C | 08 | 533-534 | ||
| S72309C | 15 | 791 | S72344C | 15 | 791 | S72392C | 15 | 791 | ||
| S72309C | 15 | 793 | S72344C | 15 | 793 | S72392C | 15 | 793 | ||
| S72309C | 24 | 963-965 | S72344C | 24 | 963-965 | S72392C | 24 | 963-965 | ||
| S72309D | 08 | 559-561 | S72344D | 08 | 559-561 | S72392D | 08 | 559-561 | ||
| S72309E | 08 | 559-561 | S72344E | 08 | 559-561 | S72392E | 08 | 559-561 | ||
| S72309F | 08 | 559-561 | S72344F | 08 | 559-561 | S72392F | 08 | 559-561 | ||
| S72309G | 08 | 559-561 | S72344G | 08 | 559-561 | S72392G | 08 | 559-561 | ||
| S72309H | 08 | 559-561 | S72344H | 08 | 559-561 | S72392H | 08 | 559-561 | ||
| S72309J | 08 | 559-561 | S72344J | 08 | 559-561 | S72392J | 08 | 559-561 | ||
| S72309K | 08 | 564-566 | S72344K | 08 | 564-566 | S72392K | 08 | 564-566 | ||
| S72309M | 08 | 564-566 | S72344M | 08 | 564-566 | S72392M | 08 | 564-566 | ||
| S72309N | 08 | 564-566 | S72344N | 08 | 564-566 | S72392N | 08 | 564-566 | ||
| S72309P | 08 | 564-566 | S72344P | 08 | 564-566 | S72392P | 08 | 564-566 | ||
| S72309Q | 08 | 564-566 | S72344Q | 08 | 564-566 | S72392Q | 08 | 564-566 | ||
| S72309R | 08 | 564-566 | S72344R | 08 | 564-566 | S72392R | 08 | 564-566 | ||
| S72309S | 08 | 559-561 | S72344S | 08 | 559-561 | S72392S | 08 | 559-561 | ||
| S72321A | 08 | 533-534 | S72345A | 08 | 533-534 | S72399A | 08 | 533-534 | ||
| S72321A | 15 | 791 | S72345A | 15 | 791 | S72399A | 15 | 791 | ||
| S72321A | 15 | 793 | S72345A | 15 | 793 | S72399A | 15 | 793 | ||
| S72321A | 24 | 963-965 | S72345A | 24 | 963-965 | S72399A | 24 | 963-965 | ||
| S72321B | 08 | 533-534 | S72345B | 08 | 533-534 | S72399B | 08 | 533-534 | ||
| S72321B | 15 | 791 | S72345B | 15 | 791 | S72399B | 15 | 791 | ||
| S72321B | 15 | 793 | S72345B | 15 | 793 | S72399B | 15 | 793 | ||
| S72321B | 24 | 963-965 | S72345B | 24 | 963-965 | S72399B | 24 | 963-965 | ||
| S72321C | 08 | 533-534 | S72345C | 08 | 533-534 | S72399C | 08 | 533-534 | ||
| S72321C | 15 | 791 | S72345C | 15 | 791 | S72399C | 15 | 791 | ||
| S72321C | 15 | 793 | S72345C | 15 | 793 | S72399C | 15 | 793 | ||
| S72321C | 24 | 963-965 | S72345C | 24 | 963-965 | S72399C | 24 | 963-965 | ||
| S72321D | 08 | 559-561 | S72345D | 08 | 559-561 | S72399D | 08 | 559-561 | ||
| S72321E | 08 | 559-561 | S72345E | 08 | 559-561 | S72399E | 08 | 559-561 | ||
| S72321F | 08 | 559-561 | S72345F | 08 | 559-561 | S72399F | 08 | 559-561 | ||
| S72321G | 08 | 559-561 | S72345G | 08 | 559-561 | S72399G | 08 | 559-561 | ||
| S72321H | 08 | 559-561 | S72345H | 08 | 559-561 | S72399H | 08 | 559-561 | ||
| S72321J | 08 | 559-561 | S72345J | 08 | 559-561 | S72399J | 08 | 559-561 | ||
| S72321K | 08 | 564-566 | S72345K | 08 | 564-566 | S72399K | 08 | 564-566 | ||
| S72321M | 08 | 564-566 | S72345M | 08 | 564-566 | S72399M | 08 | 564-566 | ||
| S72321N | 08 | 564-566 | S72345N | 08 | 564-566 | S72399N | 08 | 564-566 | ||
| S72321P | 08 | 564-566 | S72345P | 08 | 564-566 | S72399P | 08 | 564-566 | ||
| S72321Q | 08 | 564-566 | S72345Q | 08 | 564-566 | S72399Q | 08 | 564-566 | ||
| S72321R | 08 | 564-566 | S72345R | 08 | 564-566 | S72399R | 08 | 564-566 | ||
| S72321S | 08 | 559-561 | S72345S | 08 | 559-561 | S72399S | 08 | 559-561 | ||
| S72322A | 08 | 533-534 | S72346A | 08 | 533-534 | S72401A | 08 | 533-534 | ||
| S72322A | 15 | 791 | S72346A | 15 | 791 | S72401A | 24 | 963-965 | ||
| S72322A | 15 | 793 | S72346A | 15 | 793 | S72401B | 08 | 533-534 | ||
| S72322A | 24 | 963-965 | S72346A | 24 | 963-965 | S72401B | 24 | 963-965 | ||
| S72322B | 08 | 533-534 | S72346B | 08 | 533-534 | S72401C | 08 | 533-534 | ||
| S72322B | 15 | 791 | S72346B | 15 | 791 | S72401C | 24 | 963-965 | ||
| S72322B | 15 | 793 | S72346B | 15 | 793 | S72401D | 08 | 559-561 | ||
| S72322B | 24 | 963-965 | S72346B | 24 | 963-965 | S72401E | 08 | 559-561 | ||
| S72322C | 08 | 533-534 | S72346C | 08 | 533-534 | S72401F | 08 | 559-561 | ||
| S72322C | 15 | 791 | S72346C | 15 | 791 | S72401G | 08 | 559-561 | ||
| S72322C | 15 | 793 | S72346C | 15 | 793 | S72401H | 08 | 559-561 | ||
| S72322C | 24 | 963-965 | S72346C | 24 | 963-965 | S72401J | 08 | 559-561 | ||
| S72322D | 08 | 559-561 | S72346D | 08 | 559-561 | S72401K | 08 | 564-566 | ||
| S72322E | 08 | 559-561 | S72346E | 08 | 559-561 | S72401M | 08 | 564-566 | ||
| S72322F | 08 | 559-561 | S72346F | 08 | 559-561 | S72401N | 08 | 564-566 | ||
| S72322G | 08 | 559-561 | S72346G | 08 | 559-561 | S72401P | 08 | 564-566 | ||
| S72322H | 08 | 559-561 | S72346H | 08 | 559-561 | S72401Q | 08 | 564-566 | ||
| S72322J | 08 | 559-561 | S72346J | 08 | 559-561 | S72401R | 08 | 564-566 | ||
| S72322K | 08 | 564-566 | S72346K | 08 | 564-566 | S72401S | 08 | 559-561 | ||
| S72322M | 08 | 564-566 | S72346M | 08 | 564-566 | S72402A | 08 | 533-534 | ||
| S72322N | 08 | 564-566 | S72346N | 08 | 564-566 | S72402A | 24 | 963-965 | ||
| S72322P | 08 | 564-566 | S72346P | 08 | 564-566 | S72402B | 08 | 533-534 | ||
| S72322Q | 08 | 564-566 | S72346Q | 08 | 564-566 | S72402B | 24 | 963-965 | ||
| S72322R | 08 | 564-566 | S72346R | 08 | 564-566 | S72402C | 08 | 533-534 | ||
| S72322S | 08 | 559-561 | S72346S | 08 | 559-561 | S72402C | 24 | 963-965 | ||
| S72323A | 08 | 533-534 | S72351A | 08 | 533-534 | S72402D | 08 | 559-561 | ||
| S72323A | 15 | 791 | S72351A | 15 | 791 | S72402E | 08 | 559-561 | ||
| S72323A | 15 | 793 | S72351A | 15 | 793 | S72402F | 08 | 559-561 | ||
| S72323A | 24 | 963-965 | S72351A | 24 | 963-965 | S72402G | 08 | 559-561 | ||
| S72323B | 08 | 533-534 | S72351B | 08 | 533-534 | S72402H | 08 | 559-561 | ||
| S72323B | 15 | 791 | S72351B | 15 | 791 | S72402J | 08 | 559-561 | ||
| S72323B | 15 | 793 | S72351B | 15 | 793 | S72402K | 08 | 564-566 | ||
| S72323B | 24 | 963-965 | S72351B | 24 | 963-965 | S72402M | 08 | 564-566 | ||
| S72323C | 08 | 533-534 | S72351C | 08 | 533-534 | S72402N | 08 | 564-566 | ||
| S72323C | 15 | 791 | S72351C | 15 | 791 | S72402P | 08 | 564-566 | ||
| S72323C | 15 | 793 | S72351C | 15 | 793 | S72402Q | 08 | 564-566 | ||
| S72323C | 24 | 963-965 | S72351C | 24 | 963-965 | S72402R | 08 | 564-566 | ||
| S72323D | 08 | 559-561 | S72351D | 08 | 559-561 | S72402S | 08 | 559-561 | ||
| S72323E | 08 | 559-561 | S72351E | 08 | 559-561 | S72409A | 08 | 533-534 | ||
| S72323F | 08 | 559-561 | S72351F | 08 | 559-561 | S72409A | 24 | 963-965 | ||
| S72323G | 08 | 559-561 | S72351G | 08 | 559-561 | S72409B | 08 | 533-534 | ||
| S72323H | 08 | 559-561 | S72351H | 08 | 559-561 | S72409B | 24 | 963-965 | ||
| S72323J | 08 | 559-561 | S72351J | 08 | 559-561 | S72409C | 08 | 533-534 | ||
| S72323K | 08 | 564-566 | S72351K | 08 | 564-566 | S72409C | 24 | 963-965 | ||
| S72323M | 08 | 564-566 | S72351M | 08 | 564-566 | S72409D | 08 | 559-561 | ||
| S72323N | 08 | 564-566 | S72351N | 08 | 564-566 | S72409E | 08 | 559-561 | ||
| S72323P | 08 | 564-566 | S72351P | 08 | 564-566 | S72409F | 08 | 559-561 | ||
| S72323Q | 08 | 564-566 | S72351Q | 08 | 564-566 | S72409G | 08 | 559-561 | ||
| S72323R | 08 | 564-566 | S72351R | 08 | 564-566 | S72409H | 08 | 559-561 | ||
| S72323S | 08 | 559-561 | S72351S | 08 | 559-561 | S72409J | 08 | 559-561 | ||
| S72324A | 08 | 533-534 | S72352A | 08 | 533-534 | S72409K | 08 | 564-566 | ||
| S72324A | 15 | 791 | S72352A | 15 | 791 | S72409M | 08 | 564-566 | ||
| S72324A | 15 | 793 | S72352A | 15 | 793 | S72409N | 08 | 564-566 | ||
| S72324A | 24 | 963-965 | S72352A | 24 | 963-965 | S72409P | 08 | 564-566 | ||
| S72324B | 08 | 533-534 | S72352B | 08 | 533-534 | S72409Q | 08 | 564-566 | ||
| S72324B | 15 | 791 | S72352B | 15 | 791 | S72409R | 08 | 564-566 | ||
| S72324B | 15 | 793 | S72352B | 15 | 793 | S72409S | 08 | 559-561 | ||
| S72324B | 24 | 963-965 | S72352B | 24 | 963-965 | S72411A | 08 | 533-534 | ||
| S72324C | 08 | 533-534 | S72352C | 08 | 533-534 | S72411A | 24 | 963-965 | ||
| S72324C | 15 | 791 | S72352C | 15 | 791 | S72411B | 08 | 533-534 | ||
| S72324C | 15 | 793 | S72352C | 15 | 793 | S72411B | 24 | 963-965 | ||
| S72324C | 24 | 963-965 | S72352C | 24 | 963-965 | S72411C | 08 | 533-534 | ||
| S72324D | 08 | 559-561 | S72352D | 08 | 559-561 | S72411C | 24 | 963-965 | ||
| S72324E | 08 | 559-561 | S72352E | 08 | 559-561 | S72411D | 08 | 559-561 | ||
| S72324F | 08 | 559-561 | S72352F | 08 | 559-561 | S72411E | 08 | 559-561 | ||
| S72324G | 08 | 559-561 | S72352G | 08 | 559-561 | S72411F | 08 | 559-561 | ||
| S72324H | 08 | 559-561 | S72352H | 08 | 559-561 | S72411G | 08 | 559-561 | ||
| S72324J | 08 | 559-561 | S72352J | 08 | 559-561 | S72411H | 08 | 559-561 | ||
| S72324K | 08 | 564-566 | S72352K | 08 | 564-566 | S72411J | 08 | 559-561 | ||
| S72324M | 08 | 564-566 | S72352M | 08 | 564-566 | S72411K | 08 | 564-566 | ||
| S72324N | 08 | 564-566 | S72352N | 08 | 564-566 | S72411M | 08 | 564-566 | ||
| S72324P | 08 | 564-566 | S72352P | 08 | 564-566 | S72411N | 08 | 564-566 | ||
| S72324Q | 08 | 564-566 | S72352Q | 08 | 564-566 | S72411P | 08 | 564-566 | ||
| S72324R | 08 | 564-566 | S72352R | 08 | 564-566 | S72411Q | 08 | 564-566 | ||
| S72324S | 08 | 559-561 | S72352S | 08 | 559-561 | S72411R | 08 | 564-566 | ||
| S72325A | 08 | 533-534 | S72353A | 08 | 533-534 | S72411S | 08 | 559-561 | ||
| S72325A | 15 | 791 | S72353A | 15 | 791 | S72412A | 08 | 533-534 | ||
| S72325A | 15 | 793 | S72353A | 15 | 793 | S72412A | 24 | 963-965 | ||
| S72325A | 24 | 963-965 | S72353A | 24 | 963-965 | S72412B | 08 | 533-534 | ||
| S72325B | 08 | 533-534 | S72353B | 08 | 533-534 | S72412B | 24 | 963-965 | ||
| S72325B | 15 | 791 | S72353B | 15 | 791 | S72412C | 08 | 533-534 | ||
| S72325B | 15 | 793 | S72353B | 15 | 793 | S72412C | 24 | 963-965 | ||
| S72325B | 24 | 963-965 | S72353B | 24 | 963-965 | S72412D | 08 | 559-561 | ||
| S72325C | 08 | 533-534 | S72353C | 08 | 533-534 | S72412E | 08 | 559-561 | ||
| S72325C | 15 | 791 | S72353C | 15 | 791 | S72412F | 08 | 559-561 | ||
| S72325C | 15 | 793 | S72353C | 15 | 793 | S72412G | 08 | 559-561 | ||
| S72325C | 24 | 963-965 | S72353C | 24 | 963-965 | S72412H | 08 | 559-561 | ||
| S72325D | 08 | 559-561 | S72353D | 08 | 559-561 | S72412J | 08 | 559-561 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2024 10:29:37 CMS, code-revision=359, description-revision=1383 |