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 66 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| T22422D | 23 | 949-950 | T23152D | 23 | 949-950 | T23619S | 09 | 604-605 | ||
| T22422S | 09 | 604-605 | T23152S | 09 | 604-605 | T23621A | 22 | 935 | ||
| T22429A | 22 | 935 | T23159A | 22 | 935 | T23621D | 23 | 949-950 | ||
| T22429D | 23 | 949-950 | T23159D | 23 | 949-950 | T23621S | 09 | 604-605 | ||
| T22429S | 09 | 604-605 | T23159S | 09 | 604-605 | T23622A | 22 | 935 | ||
| T22431A | 22 | 935 | T23161A | 22 | 935 | T23622D | 23 | 949-950 | ||
| T22431D | 23 | 949-950 | T23161D | 23 | 949-950 | T23622S | 09 | 604-605 | ||
| T22431S | 09 | 604-605 | T23161S | 09 | 604-605 | T23629A | 22 | 935 | ||
| T22432A | 22 | 935 | T23162A | 22 | 935 | T23629D | 23 | 949-950 | ||
| T22432D | 23 | 949-950 | T23162D | 23 | 949-950 | T23629S | 09 | 604-605 | ||
| T22432S | 09 | 604-605 | T23162S | 09 | 604-605 | T23631A | 22 | 935 | ||
| T22439A | 22 | 935 | T23169A | 22 | 935 | T23631D | 23 | 949-950 | ||
| T22439D | 23 | 949-950 | T23169D | 23 | 949-950 | T23631S | 09 | 604-605 | ||
| T22439S | 09 | 604-605 | T23169S | 09 | 604-605 | T23632A | 22 | 935 | ||
| T22441A | 22 | 935 | T23171A | 22 | 935 | T23632D | 23 | 949-950 | ||
| T22441D | 23 | 949-950 | T23171D | 23 | 949-950 | T23632S | 09 | 604-605 | ||
| T22441S | 09 | 604-605 | T23171S | 09 | 604-605 | T23639A | 22 | 935 | ||
| T22442A | 22 | 935 | T23172A | 22 | 935 | T23639D | 23 | 949-950 | ||
| T22442D | 23 | 949-950 | T23172D | 23 | 949-950 | T23639S | 09 | 604-605 | ||
| T22442S | 09 | 604-605 | T23172S | 09 | 604-605 | T23641A | 22 | 935 | ||
| T22449A | 22 | 935 | T23179A | 22 | 935 | T23641D | 23 | 949-950 | ||
| T22449D | 23 | 949-950 | T23179D | 23 | 949-950 | T23641S | 09 | 604-605 | ||
| T22449S | 09 | 604-605 | T23179S | 09 | 604-605 | T23642A | 22 | 935 | ||
| T22451A | 22 | 935 | T23191A | 22 | 935 | T23642D | 23 | 949-950 | ||
| T22451D | 23 | 949-950 | T23191D | 23 | 949-950 | T23642S | 09 | 604-605 | ||
| T22451S | 09 | 604-605 | T23191S | 09 | 604-605 | T23649A | 22 | 935 | ||
| T22452A | 22 | 935 | T23192A | 22 | 935 | T23649D | 23 | 949-950 | ||
| T22452D | 23 | 949-950 | T23192D | 23 | 949-950 | T23649S | 09 | 604-605 | ||
| T22452S | 09 | 604-605 | T23192S | 09 | 604-605 | T23651A | 22 | 935 | ||
| T22459A | 22 | 935 | T23199A | 22 | 935 | T23651D | 23 | 949-950 | ||
| T22459D | 23 | 949-950 | T23199D | 23 | 949-950 | T23651S | 09 | 604-605 | ||
| T22459S | 09 | 604-605 | T23199S | 09 | 604-605 | T23652A | 22 | 935 | ||
| T22461A | 22 | 935 | T23201A | 22 | 935 | T23652D | 23 | 949-950 | ||
| T22461D | 23 | 949-950 | T23201D | 23 | 949-950 | T23652S | 09 | 604-605 | ||
| T22461S | 09 | 604-605 | T23201S | 09 | 604-605 | T23659A | 22 | 935 | ||
| T22462A | 22 | 935 | T23202A | 22 | 935 | T23659D | 23 | 949-950 | ||
| T22462D | 23 | 949-950 | T23202D | 23 | 949-950 | T23659S | 09 | 604-605 | ||
| T22462S | 09 | 604-605 | T23202S | 09 | 604-605 | T23661A | 22 | 935 | ||
| T22469A | 22 | 935 | T23209A | 22 | 935 | T23661D | 23 | 949-950 | ||
| T22469D | 23 | 949-950 | T23209D | 23 | 949-950 | T23661S | 09 | 604-605 | ||
| T22469S | 09 | 604-605 | T23209S | 09 | 604-605 | T23662A | 22 | 935 | ||
| T22491A | 22 | 935 | T23211A | 22 | 935 | T23662D | 23 | 949-950 | ||
| T22491D | 23 | 949-950 | T23211D | 23 | 949-950 | T23662S | 09 | 604-605 | ||
| T22491S | 09 | 604-605 | T23211S | 09 | 604-605 | T23669A | 22 | 935 | ||
| T22492A | 22 | 935 | T23212A | 22 | 935 | T23669D | 23 | 949-950 | ||
| T22492D | 23 | 949-950 | T23212D | 23 | 949-950 | T23669S | 09 | 604-605 | ||
| T22492S | 09 | 604-605 | T23212S | 09 | 604-605 | T23671A | 22 | 935 | ||
| T22499A | 22 | 935 | T23219A | 22 | 935 | T23671D | 23 | 949-950 | ||
| T22499D | 23 | 949-950 | T23219D | 23 | 949-950 | T23671S | 09 | 604-605 | ||
| T22499S | 09 | 604-605 | T23219S | 09 | 604-605 | T23672A | 22 | 935 | ||
| T2250XA | 22 | 935 | T23221A | 22 | 935 | T23672D | 23 | 949-950 | ||
| T2250XD | 23 | 949-950 | T23221D | 23 | 949-950 | T23672S | 09 | 604-605 | ||
| T2250XS | 09 | 604-605 | T23221S | 09 | 604-605 | T23679A | 22 | 935 | ||
| T22511A | 22 | 935 | T23222A | 22 | 935 | T23679D | 23 | 949-950 | ||
| T22511D | 23 | 949-950 | T23222D | 23 | 949-950 | T23679S | 09 | 604-605 | ||
| T22511S | 09 | 604-605 | T23222S | 09 | 604-605 | T23691A | 22 | 935 | ||
| T22512A | 22 | 935 | T23229A | 22 | 935 | T23691D | 23 | 949-950 | ||
| T22512D | 23 | 949-950 | T23229D | 23 | 949-950 | T23691S | 09 | 604-605 | ||
| T22512S | 09 | 604-605 | T23229S | 09 | 604-605 | T23692A | 22 | 935 | ||
| T22519A | 22 | 935 | T23231A | 22 | 935 | T23692D | 23 | 949-950 | ||
| T22519D | 23 | 949-950 | T23231D | 23 | 949-950 | T23692S | 09 | 604-605 | ||
| T22519S | 09 | 604-605 | T23231S | 09 | 604-605 | T23699A | 22 | 935 | ||
| T22521A | 22 | 935 | T23232A | 22 | 935 | T23699D | 23 | 949-950 | ||
| T22521D | 23 | 949-950 | T23232D | 23 | 949-950 | T23699S | 09 | 604-605 | ||
| T22521S | 09 | 604-605 | T23232S | 09 | 604-605 | T23701A | 22 | 927,933 | ||
| T22522A | 22 | 935 | T23239A | 22 | 935 | T23701A | 22 | 928-929,934 | ||
| T22522D | 23 | 949-950 | T23239D | 23 | 949-950 | T23701D | 23 | 949-950 | ||
| T22522S | 09 | 604-605 | T23239S | 09 | 604-605 | T23701S | 09 | 604-605 | ||
| T22529A | 22 | 935 | T23241A | 22 | 935 | T23702A | 22 | 927,933 | ||
| T22529D | 23 | 949-950 | T23241D | 23 | 949-950 | T23702A | 22 | 928-929,934 | ||
| T22529S | 09 | 604-605 | T23241S | 09 | 604-605 | T23702D | 23 | 949-950 | ||
| T22531A | 22 | 935 | T23242A | 22 | 935 | T23702S | 09 | 604-605 | ||
| T22531D | 23 | 949-950 | T23242D | 23 | 949-950 | T23709A | 22 | 927,933 | ||
| T22531S | 09 | 604-605 | T23242S | 09 | 604-605 | T23709A | 22 | 928-929,934 | ||
| T22532A | 22 | 935 | T23249A | 22 | 935 | T23709D | 23 | 949-950 | ||
| T22532D | 23 | 949-950 | T23249D | 23 | 949-950 | T23709S | 09 | 604-605 | ||
| T22532S | 09 | 604-605 | T23249S | 09 | 604-605 | T23711A | 22 | 927,933 | ||
| T22539A | 22 | 935 | T23251A | 22 | 935 | T23711A | 22 | 928-929,934 | ||
| T22539D | 23 | 949-950 | T23251D | 23 | 949-950 | T23711D | 23 | 949-950 | ||
| T22539S | 09 | 604-605 | T23251S | 09 | 604-605 | T23711S | 09 | 604-605 | ||
| T22541A | 22 | 935 | T23252A | 22 | 935 | T23712A | 22 | 927,933 | ||
| T22541D | 23 | 949-950 | T23252D | 23 | 949-950 | T23712A | 22 | 928-929,934 | ||
| T22541S | 09 | 604-605 | T23252S | 09 | 604-605 | T23712D | 23 | 949-950 | ||
| T22542A | 22 | 935 | T23259A | 22 | 935 | T23712S | 09 | 604-605 | ||
| T22542D | 23 | 949-950 | T23259D | 23 | 949-950 | T23719A | 22 | 927,933 | ||
| T22542S | 09 | 604-605 | T23259S | 09 | 604-605 | T23719A | 22 | 928-929,934 | ||
| T22549A | 22 | 935 | T23261A | 22 | 935 | T23719D | 23 | 949-950 | ||
| T22549D | 23 | 949-950 | T23261D | 23 | 949-950 | T23719S | 09 | 604-605 | ||
| T22549S | 09 | 604-605 | T23261S | 09 | 604-605 | T23721A | 22 | 927,933 | ||
| T22551A | 22 | 935 | T23262A | 22 | 935 | T23721A | 22 | 928-929,934 | ||
| T22551D | 23 | 949-950 | T23262D | 23 | 949-950 | T23721D | 23 | 949-950 | ||
| T22551S | 09 | 604-605 | T23262S | 09 | 604-605 | T23721S | 09 | 604-605 | ||
| T22552A | 22 | 935 | T23269A | 22 | 935 | T23722A | 22 | 927,933 | ||
| T22552D | 23 | 949-950 | T23269D | 23 | 949-950 | T23722A | 22 | 928-929,934 | ||
| T22552S | 09 | 604-605 | T23269S | 09 | 604-605 | T23722D | 23 | 949-950 | ||
| T22559A | 22 | 935 | T23271A | 22 | 935 | T23722S | 09 | 604-605 | ||
| T22559D | 23 | 949-950 | T23271D | 23 | 949-950 | T23729A | 22 | 927,933 | ||
| T22559S | 09 | 604-605 | T23271S | 09 | 604-605 | T23729A | 22 | 928-929,934 | ||
| T22561A | 22 | 935 | T23272A | 22 | 935 | T23729D | 23 | 949-950 | ||
| T22561D | 23 | 949-950 | T23272D | 23 | 949-950 | T23729S | 09 | 604-605 | ||
| T22561S | 09 | 604-605 | T23272S | 09 | 604-605 | T23731A | 22 | 927,933 | ||
| T22562A | 22 | 935 | T23279A | 22 | 935 | T23731A | 22 | 928-929,934 | ||
| T22562D | 23 | 949-950 | T23279D | 23 | 949-950 | T23731D | 23 | 949-950 | ||
| T22562S | 09 | 604-605 | T23279S | 09 | 604-605 | T23731S | 09 | 604-605 | ||
| T22569A | 22 | 935 | T23291A | 22 | 935 | T23732A | 22 | 927,933 | ||
| T22569D | 23 | 949-950 | T23291D | 23 | 949-950 | T23732A | 22 | 928-929,934 | ||
| T22569S | 09 | 604-605 | T23291S | 09 | 604-605 | T23732D | 23 | 949-950 | ||
| T22591A | 22 | 935 | T23292A | 22 | 935 | T23732S | 09 | 604-605 | ||
| T22591D | 23 | 949-950 | T23292D | 23 | 949-950 | T23739A | 22 | 927,933 | ||
| T22591S | 09 | 604-605 | T23292S | 09 | 604-605 | T23739A | 22 | 928-929,934 | ||
| T22592A | 22 | 935 | T23299A | 22 | 935 | T23739D | 23 | 949-950 | ||
| T22592D | 23 | 949-950 | T23299D | 23 | 949-950 | T23739S | 09 | 604-605 | ||
| T22592S | 09 | 604-605 | T23299S | 09 | 604-605 | T23741A | 22 | 927,933 | ||
| T22599A | 22 | 935 | T23301A | 22 | 927,933 | T23741A | 22 | 928-929,934 | ||
| T22599D | 23 | 949-950 | T23301A | 22 | 928-929,934 | T23741D | 23 | 949-950 | ||
| T22599S | 09 | 604-605 | T23301D | 23 | 949-950 | T23741S | 09 | 604-605 | ||
| T2260XA | 22 | 935 | T23301S | 09 | 604-605 | T23742A | 22 | 927,933 | ||
| T2260XD | 23 | 949-950 | T23302A | 22 | 927,933 | T23742A | 22 | 928-929,934 | ||
| T2260XS | 09 | 604-605 | T23302A | 22 | 928-929,934 | T23742D | 23 | 949-950 | ||
| T22611A | 22 | 935 | T23302D | 23 | 949-950 | T23742S | 09 | 604-605 | ||
| T22611D | 23 | 949-950 | T23302S | 09 | 604-605 | T23749A | 22 | 927,933 | ||
| T22611S | 09 | 604-605 | T23309A | 22 | 927,933 | T23749A | 22 | 928-929,934 | ||
| T22612A | 22 | 935 | T23309A | 22 | 928-929,934 | T23749D | 23 | 949-950 | ||
| T22612D | 23 | 949-950 | T23309D | 23 | 949-950 | T23749S | 09 | 604-605 | ||
| T22612S | 09 | 604-605 | T23309S | 09 | 604-605 | T23751A | 22 | 927,933 | ||
| T22619A | 22 | 935 | T23311A | 22 | 927,933 | T23751A | 22 | 928-929,934 | ||
| T22619D | 23 | 949-950 | T23311A | 22 | 928-929,934 | T23751D | 23 | 949-950 | ||
| T22619S | 09 | 604-605 | T23311D | 23 | 949-950 | T23751S | 09 | 604-605 | ||
| T22621A | 22 | 935 | T23311S | 09 | 604-605 | T23752A | 22 | 927,933 | ||
| T22621D | 23 | 949-950 | T23312A | 22 | 927,933 | T23752A | 22 | 928-929,934 | ||
| T22621S | 09 | 604-605 | T23312A | 22 | 928-929,934 | T23752D | 23 | 949-950 | ||
| T22622A | 22 | 935 | T23312D | 23 | 949-950 | T23752S | 09 | 604-605 | ||
| T22622D | 23 | 949-950 | T23312S | 09 | 604-605 | T23759A | 22 | 927,933 | ||
| T22622S | 09 | 604-605 | T23319A | 22 | 927,933 | T23759A | 22 | 928-929,934 | ||
| T22629A | 22 | 935 | T23319A | 22 | 928-929,934 | T23759D | 23 | 949-950 | ||
| T22629D | 23 | 949-950 | T23319D | 23 | 949-950 | T23759S | 09 | 604-605 | ||
| T22629S | 09 | 604-605 | T23319S | 09 | 604-605 | T23761A | 22 | 927,933 | ||
| T22631A | 22 | 935 | T23321A | 22 | 927,933 | T23761A | 22 | 928-929,934 | ||
| T22631D | 23 | 949-950 | T23321A | 22 | 928-929,934 | T23761D | 23 | 949-950 | ||
| T22631S | 09 | 604-605 | T23321D | 23 | 949-950 | T23761S | 09 | 604-605 | ||
| T22632A | 22 | 935 | T23321S | 09 | 604-605 | T23762A | 22 | 927,933 | ||
| T22632D | 23 | 949-950 | T23322A | 22 | 927,933 | T23762A | 22 | 928-929,934 | ||
| T22632S | 09 | 604-605 | T23322A | 22 | 928-929,934 | T23762D | 23 | 949-950 | ||
| T22639A | 22 | 935 | T23322D | 23 | 949-950 | T23762S | 09 | 604-605 | ||
| T22639D | 23 | 949-950 | T23322S | 09 | 604-605 | T23769A | 22 | 927,933 | ||
| T22639S | 09 | 604-605 | T23329A | 22 | 927,933 | T23769A | 22 | 928-929,934 | ||
| T22641A | 22 | 935 | T23329A | 22 | 928-929,934 | T23769D | 23 | 949-950 | ||
| T22641D | 23 | 949-950 | T23329D | 23 | 949-950 | T23769S | 09 | 604-605 | ||
| T22641S | 09 | 604-605 | T23329S | 09 | 604-605 | T23771A | 22 | 927,933 | ||
| T22642A | 22 | 935 | T23331A | 22 | 927,933 | T23771A | 22 | 928-929,934 | ||
| T22642D | 23 | 949-950 | T23331A | 22 | 928-929,934 | T23771D | 23 | 949-950 | ||
| T22642S | 09 | 604-605 | T23331D | 23 | 949-950 | T23771S | 09 | 604-605 | ||
| T22649A | 22 | 935 | T23331S | 09 | 604-605 | T23772A | 22 | 927,933 | ||
| T22649D | 23 | 949-950 | T23332A | 22 | 927,933 | T23772A | 22 | 928-929,934 | ||
| T22649S | 09 | 604-605 | T23332A | 22 | 928-929,934 | T23772D | 23 | 949-950 | ||
| T22651A | 22 | 935 | T23332D | 23 | 949-950 | T23772S | 09 | 604-605 | ||
| T22651D | 23 | 949-950 | T23332S | 09 | 604-605 | T23779A | 22 | 927,933 | ||
| T22651S | 09 | 604-605 | T23339A | 22 | 927,933 | T23779A | 22 | 928-929,934 | ||
| T22652A | 22 | 935 | T23339A | 22 | 928-929,934 | T23779D | 23 | 949-950 | ||
| T22652D | 23 | 949-950 | T23339D | 23 | 949-950 | T23779S | 09 | 604-605 | ||
| T22652S | 09 | 604-605 | T23339S | 09 | 604-605 | T23791A | 22 | 927,933 | ||
| T22659A | 22 | 935 | T23341A | 22 | 927,933 | T23791A | 22 | 928-929,934 | ||
| T22659D | 23 | 949-950 | T23341A | 22 | 928-929,934 | T23791D | 23 | 949-950 | ||
| T22659S | 09 | 604-605 | T23341D | 23 | 949-950 | T23791S | 09 | 604-605 | ||
| T22661A | 22 | 935 | T23341S | 09 | 604-605 | T23792A | 22 | 927,933 | ||
| T22661D | 23 | 949-950 | T23342A | 22 | 927,933 | T23792A | 22 | 928-929,934 | ||
| T22661S | 09 | 604-605 | T23342A | 22 | 928-929,934 | T23792D | 23 | 949-950 | ||
| T22662A | 22 | 935 | T23342D | 23 | 949-950 | T23792S | 09 | 604-605 | ||
| T22662D | 23 | 949-950 | T23342S | 09 | 604-605 | T23799A | 22 | 927,933 | ||
| T22662S | 09 | 604-605 | T23349A | 22 | 927,933 | T23799A | 22 | 928-929,934 | ||
| T22669A | 22 | 935 | T23349A | 22 | 928-929,934 | T23799D | 23 | 949-950 | ||
| T22669D | 23 | 949-950 | T23349D | 23 | 949-950 | T23799S | 09 | 604-605 | ||
| T22669S | 09 | 604-605 | T23349S | 09 | 604-605 | T24001A | 22 | 935 | ||
| T22691A | 22 | 935 | T23351A | 22 | 927,933 | T24001D | 23 | 949-950 | ||
| T22691D | 23 | 949-950 | T23351A | 22 | 928-929,934 | T24001S | 09 | 604-605 | ||
| T22691S | 09 | 604-605 | T23351D | 23 | 949-950 | T24002A | 22 | 935 | ||
| T22692A | 22 | 935 | T23351S | 09 | 604-605 | T24002D | 23 | 949-950 | ||
| T22692D | 23 | 949-950 | T23352A | 22 | 927,933 | T24002S | 09 | 604-605 | ||
| T22692S | 09 | 604-605 | T23352A | 22 | 928-929,934 | T24009A | 22 | 935 | ||
| T22699A | 22 | 935 | T23352D | 23 | 949-950 | T24009D | 23 | 949-950 | ||
| T22699D | 23 | 949-950 | T23352S | 09 | 604-605 | T24009S | 09 | 604-605 | ||
| T22699S | 09 | 604-605 | T23359A | 22 | 927,933 | T24011A | 22 | 935 | ||
| T2270XA | 22 | 927,933 | T23359A | 22 | 928-929,934 | T24011D | 23 | 949-950 | ||
| T2270XA | 22 | 928-929,934 | T23359D | 23 | 949-950 | T24011S | 09 | 604-605 | ||
| T2270XD | 23 | 949-950 | T23359S | 09 | 604-605 | T24012A | 22 | 935 | ||
| T2270XS | 09 | 604-605 | T23361A | 22 | 927,933 | T24012D | 23 | 949-950 | ||
| T22711A | 22 | 927,933 | T23361A | 22 | 928-929,934 | T24012S | 09 | 604-605 | ||
| T22711A | 22 | 928-929,934 | T23361D | 23 | 949-950 | T24019A | 22 | 935 | ||
| T22711D | 23 | 949-950 | T23361S | 09 | 604-605 | T24019D | 23 | 949-950 | ||
| T22711S | 09 | 604-605 | T23362A | 22 | 927,933 | T24019S | 09 | 604-605 | ||
| T22712A | 22 | 927,933 | T23362A | 22 | 928-929,934 | T24021A | 22 | 935 | ||
| T22712A | 22 | 928-929,934 | T23362D | 23 | 949-950 | T24021D | 23 | 949-950 | ||
| T22712D | 23 | 949-950 | T23362S | 09 | 604-605 | T24021S | 09 | 604-605 | ||
| T22712S | 09 | 604-605 | T23369A | 22 | 927,933 | T24022A | 22 | 935 | ||
| T22719A | 22 | 927,933 | T23369A | 22 | 928-929,934 | T24022D | 23 | 949-950 | ||
| T22719A | 22 | 928-929,934 | T23369D | 23 | 949-950 | T24022S | 09 | 604-605 | ||
| T22719D | 23 | 949-950 | T23369S | 09 | 604-605 | T24029A | 22 | 935 | ||
| T22719S | 09 | 604-605 | T23371A | 22 | 927,933 | T24029D | 23 | 949-950 | ||
| T22721A | 22 | 927,933 | T23371A | 22 | 928-929,934 | T24029S | 09 | 604-605 | ||
| T22721A | 22 | 928-929,934 | T23371D | 23 | 949-950 | T24031A | 22 | 935 | ||
| T22721D | 23 | 949-950 | T23371S | 09 | 604-605 | T24031D | 23 | 949-950 | ||
| T22721S | 09 | 604-605 | T23372A | 22 | 927,933 | T24031S | 09 | 604-605 | ||
| T22722A | 22 | 927,933 | T23372A | 22 | 928-929,934 | T24032A | 22 | 935 | ||
| T22722A | 22 | 928-929,934 | T23372D | 23 | 949-950 | T24032D | 23 | 949-950 | ||
| T22722D | 23 | 949-950 | T23372S | 09 | 604-605 | T24032S | 09 | 604-605 | ||
| T22722S | 09 | 604-605 | T23379A | 22 | 927,933 | T24039A | 22 | 935 | ||
| T22729A | 22 | 927,933 | T23379A | 22 | 928-929,934 | T24039D | 23 | 949-950 | ||
| T22729A | 22 | 928-929,934 | T23379D | 23 | 949-950 | T24039S | 09 | 604-605 | ||
| T22729D | 23 | 949-950 | T23379S | 09 | 604-605 | T24091A | 22 | 935 | ||
| T22729S | 09 | 604-605 | T23391A | 22 | 927,933 | T24091D | 23 | 949-950 | ||
| T22731A | 22 | 927,933 | T23391A | 22 | 928-929,934 | T24091S | 09 | 604-605 | ||
| T22731A | 22 | 928-929,934 | T23391D | 23 | 949-950 | T24092A | 22 | 935 | ||
| T22731D | 23 | 949-950 | T23391S | 09 | 604-605 | T24092D | 23 | 949-950 | ||
| T22731S | 09 | 604-605 | T23392A | 22 | 927,933 | T24092S | 09 | 604-605 | ||
| T22732A | 22 | 927,933 | T23392A | 22 | 928-929,934 | T24099A | 22 | 935 | ||
| T22732A | 22 | 928-929,934 | T23392D | 23 | 949-950 | T24099D | 23 | 949-950 | ||
| T22732D | 23 | 949-950 | T23392S | 09 | 604-605 | T24099S | 09 | 604-605 | ||
| T22732S | 09 | 604-605 | T23399A | 22 | 927,933 | T24101A | 22 | 935 | ||
| T22739A | 22 | 927,933 | T23399A | 22 | 928-929,934 | T24101D | 23 | 949-950 | ||
| T22739A | 22 | 928-929,934 | T23399D | 23 | 949-950 | T24101S | 09 | 604-605 | ||
| T22739D | 23 | 949-950 | T23399S | 09 | 604-605 | T24102A | 22 | 935 | ||
| T22739S | 09 | 604-605 | T23401A | 22 | 935 | T24102D | 23 | 949-950 | ||
| T22741A | 22 | 927,933 | T23401D | 23 | 949-950 | T24102S | 09 | 604-605 | ||
| T22741A | 22 | 928-929,934 | T23401S | 09 | 604-605 | T24109A | 22 | 935 | ||
| T22741D | 23 | 949-950 | T23402A | 22 | 935 | T24109D | 23 | 949-950 | ||
| T22741S | 09 | 604-605 | T23402D | 23 | 949-950 | T24109S | 09 | 604-605 | ||
| T22742A | 22 | 927,933 | T23402S | 09 | 604-605 | T24111A | 22 | 935 | ||
| T22742A | 22 | 928-929,934 | T23409A | 22 | 935 | T24111D | 23 | 949-950 | ||
| T22742D | 23 | 949-950 | T23409D | 23 | 949-950 | T24111S | 09 | 604-605 | ||
| T22742S | 09 | 604-605 | T23409S | 09 | 604-605 | T24112A | 22 | 935 | ||
| T22749A | 22 | 927,933 | T23411A | 22 | 935 | T24112D | 23 | 949-950 | ||
| T22749A | 22 | 928-929,934 | T23411D | 23 | 949-950 | T24112S | 09 | 604-605 | ||
| T22749D | 23 | 949-950 | T23411S | 09 | 604-605 | T24119A | 22 | 935 | ||
| T22749S | 09 | 604-605 | T23412A | 22 | 935 | T24119D | 23 | 949-950 | ||
| T22751A | 22 | 927,933 | T23412D | 23 | 949-950 | T24119S | 09 | 604-605 | ||
| T22751A | 22 | 928-929,934 | T23412S | 09 | 604-605 | T24121A | 22 | 935 | ||
| T22751D | 23 | 949-950 | T23419A | 22 | 935 | T24121D | 23 | 949-950 | ||
| T22751S | 09 | 604-605 | T23419D | 23 | 949-950 | T24121S | 09 | 604-605 | ||
| T22752A | 22 | 927,933 | T23419S | 09 | 604-605 | T24122A | 22 | 935 | ||
| T22752A | 22 | 928-929,934 | T23421A | 22 | 935 | T24122D | 23 | 949-950 | ||
| T22752D | 23 | 949-950 | T23421D | 23 | 949-950 | T24122S | 09 | 604-605 | ||
| T22752S | 09 | 604-605 | T23421S | 09 | 604-605 | T24129A | 22 | 935 | ||
| T22759A | 22 | 927,933 | T23422A | 22 | 935 | T24129D | 23 | 949-950 | ||
| T22759A | 22 | 928-929,934 | T23422D | 23 | 949-950 | T24129S | 09 | 604-605 | ||
| T22759D | 23 | 949-950 | T23422S | 09 | 604-605 | T24131A | 22 | 935 | ||
| T22759S | 09 | 604-605 | T23429A | 22 | 935 | T24131D | 23 | 949-950 | ||
| T22761A | 22 | 927,933 | T23429D | 23 | 949-950 | T24131S | 09 | 604-605 | ||
| T22761A | 22 | 928-929,934 | T23429S | 09 | 604-605 | T24132A | 22 | 935 | ||
| T22761D | 23 | 949-950 | T23431A | 22 | 935 | T24132D | 23 | 949-950 | ||
| T22761S | 09 | 604-605 | T23431D | 23 | 949-950 | T24132S | 09 | 604-605 | ||
| T22762A | 22 | 927,933 | T23431S | 09 | 604-605 | T24139A | 22 | 935 | ||
| T22762A | 22 | 928-929,934 | T23432A | 22 | 935 | T24139D | 23 | 949-950 | ||
| T22762D | 23 | 949-950 | T23432D | 23 | 949-950 | T24139S | 09 | 604-605 | ||
| T22762S | 09 | 604-605 | T23432S | 09 | 604-605 | T24191A | 22 | 935 | ||
| T22769A | 22 | 927,933 | T23439A | 22 | 935 | T24191D | 23 | 949-950 | ||
| T22769A | 22 | 928-929,934 | T23439D | 23 | 949-950 | T24191S | 09 | 604-605 | ||
| T22769D | 23 | 949-950 | T23439S | 09 | 604-605 | T24192A | 22 | 935 | ||
| T22769S | 09 | 604-605 | T23441A | 22 | 935 | T24192D | 23 | 949-950 | ||
| T22791A | 22 | 927,933 | T23441D | 23 | 949-950 | T24192S | 09 | 604-605 | ||
| T22791A | 22 | 928-929,934 | T23441S | 09 | 604-605 | T24199A | 22 | 935 | ||
| T22791D | 23 | 949-950 | T23442A | 22 | 935 | T24199D | 23 | 949-950 | ||
| T22791S | 09 | 604-605 | T23442D | 23 | 949-950 | T24199S | 09 | 604-605 | ||
| T22792A | 22 | 927,933 | T23442S | 09 | 604-605 | T24201A | 22 | 935 | ||
| T22792A | 22 | 928-929,934 | T23449A | 22 | 935 | T24201D | 23 | 949-950 | ||
| T22792D | 23 | 949-950 | T23449D | 23 | 949-950 | T24201S | 09 | 604-605 | ||
| T22792S | 09 | 604-605 | T23449S | 09 | 604-605 | T24202A | 22 | 935 | ||
| T22799A | 22 | 927,933 | T23451A | 22 | 935 | T24202D | 23 | 949-950 | ||
| T22799A | 22 | 928-929,934 | T23451D | 23 | 949-950 | T24202S | 09 | 604-605 | ||
| T22799D | 23 | 949-950 | T23451S | 09 | 604-605 | T24209A | 22 | 935 | ||
| T22799S | 09 | 604-605 | T23452A | 22 | 935 | T24209D | 23 | 949-950 | ||
| T23001A | 22 | 935 | T23452D | 23 | 949-950 | T24209S | 09 | 604-605 | ||
| T23001D | 23 | 949-950 | T23452S | 09 | 604-605 | T24211A | 22 | 935 | ||
| T23001S | 09 | 604-605 | T23459A | 22 | 935 | T24211D | 23 | 949-950 | ||
| T23002A | 22 | 935 | T23459D | 23 | 949-950 | T24211S | 09 | 604-605 | ||
| T23002D | 23 | 949-950 | T23459S | 09 | 604-605 | T24212A | 22 | 935 | ||
| T23002S | 09 | 604-605 | T23461A | 22 | 935 | T24212D | 23 | 949-950 | ||
| T23009A | 22 | 935 | T23461D | 23 | 949-950 | T24212S | 09 | 604-605 | ||
| T23009D | 23 | 949-950 | T23461S | 09 | 604-605 | T24219A | 22 | 935 | ||
| T23009S | 09 | 604-605 | T23462A | 22 | 935 | T24219D | 23 | 949-950 | ||
| T23011A | 22 | 935 | T23462D | 23 | 949-950 | T24219S | 09 | 604-605 | ||
| T23011D | 23 | 949-950 | T23462S | 09 | 604-605 | T24221A | 22 | 935 | ||
| T23011S | 09 | 604-605 | T23469A | 22 | 935 | T24221D | 23 | 949-950 | ||
| T23012A | 22 | 935 | T23469D | 23 | 949-950 | T24221S | 09 | 604-605 | ||
| T23012D | 23 | 949-950 | T23469S | 09 | 604-605 | T24222A | 22 | 935 | ||
| T23012S | 09 | 604-605 | T23471A | 22 | 935 | T24222D | 23 | 949-950 | ||
| T23019A | 22 | 935 | T23471D | 23 | 949-950 | T24222S | 09 | 604-605 | ||
| T23019D | 23 | 949-950 | T23471S | 09 | 604-605 | T24229A | 22 | 935 | ||
| T23019S | 09 | 604-605 | T23472A | 22 | 935 | T24229D | 23 | 949-950 | ||
| T23021A | 22 | 935 | T23472D | 23 | 949-950 | T24229S | 09 | 604-605 | ||
| T23021D | 23 | 949-950 | T23472S | 09 | 604-605 | T24231A | 22 | 935 | ||
| T23021S | 09 | 604-605 | T23479A | 22 | 935 | T24231D | 23 | 949-950 | ||
| T23022A | 22 | 935 | T23479D | 23 | 949-950 | T24231S | 09 | 604-605 | ||
| T23022D | 23 | 949-950 | T23479S | 09 | 604-605 | T24232A | 22 | 935 | ||
| T23022S | 09 | 604-605 | T23491A | 22 | 935 | T24232D | 23 | 949-950 | ||
| T23029A | 22 | 935 | T23491D | 23 | 949-950 | T24232S | 09 | 604-605 | ||
| T23029D | 23 | 949-950 | T23491S | 09 | 604-605 | T24239A | 22 | 935 | ||
| T23029S | 09 | 604-605 | T23492A | 22 | 935 | T24239D | 23 | 949-950 | ||
| T23031A | 22 | 935 | T23492D | 23 | 949-950 | T24239S | 09 | 604-605 | ||
| T23031D | 23 | 949-950 | T23492S | 09 | 604-605 | T24291A | 22 | 935 | ||
| T23031S | 09 | 604-605 | T23499A | 22 | 935 | T24291D | 23 | 949-950 | ||
| T23032A | 22 | 935 | T23499D | 23 | 949-950 | T24291S | 09 | 604-605 | ||
| T23032D | 23 | 949-950 | T23499S | 09 | 604-605 | T24292A | 22 | 935 | ||
| T23032S | 09 | 604-605 | T23501A | 22 | 935 | T24292D | 23 | 949-950 | ||
| T23039A | 22 | 935 | T23501D | 23 | 949-950 | T24292S | 09 | 604-605 | ||
| T23039D | 23 | 949-950 | T23501S | 09 | 604-605 | T24299A | 22 | 935 | ||
| T23039S | 09 | 604-605 | T23502A | 22 | 935 | T24299D | 23 | 949-950 | ||
| T23041A | 22 | 935 | T23502D | 23 | 949-950 | T24299S | 09 | 604-605 | ||
| T23041D | 23 | 949-950 | T23502S | 09 | 604-605 | T24301A | 22 | 927,933 | ||
| T23041S | 09 | 604-605 | T23509A | 22 | 935 | T24301A | 22 | 928-929,934 | ||
| T23042A | 22 | 935 | T23509D | 23 | 949-950 | T24301D | 23 | 949-950 | ||
| T23042D | 23 | 949-950 | T23509S | 09 | 604-605 | T24301S | 09 | 604-605 | ||
| T23042S | 09 | 604-605 | T23511A | 22 | 935 | T24302A | 22 | 927,933 | ||
| T23049A | 22 | 935 | T23511D | 23 | 949-950 | T24302A | 22 | 928-929,934 | ||
| T23049D | 23 | 949-950 | T23511S | 09 | 604-605 | T24302D | 23 | 949-950 | ||
| T23049S | 09 | 604-605 | T23512A | 22 | 935 | T24302S | 09 | 604-605 | ||
| T23051A | 22 | 935 | T23512D | 23 | 949-950 | T24309A | 22 | 927,933 | ||
| T23051D | 23 | 949-950 | T23512S | 09 | 604-605 | T24309A | 22 | 928-929,934 | ||
| T23051S | 09 | 604-605 | T23519A | 22 | 935 | T24309D | 23 | 949-950 | ||
| T23052A | 22 | 935 | T23519D | 23 | 949-950 | T24309S | 09 | 604-605 | ||
| T23052D | 23 | 949-950 | T23519S | 09 | 604-605 | T24311A | 22 | 927,933 | ||
| T23052S | 09 | 604-605 | T23521A | 22 | 935 | T24311A | 22 | 928-929,934 | ||
| T23059A | 22 | 935 | T23521D | 23 | 949-950 | T24311D | 23 | 949-950 | ||
| T23059D | 23 | 949-950 | T23521S | 09 | 604-605 | T24311S | 09 | 604-605 | ||
| T23059S | 09 | 604-605 | T23522A | 22 | 935 | T24312A | 22 | 927,933 | ||
| T23061A | 22 | 935 | T23522D | 23 | 949-950 | T24312A | 22 | 928-929,934 | ||
| T23061D | 23 | 949-950 | T23522S | 09 | 604-605 | T24312D | 23 | 949-950 | ||
| T23061S | 09 | 604-605 | T23529A | 22 | 935 | T24312S | 09 | 604-605 | ||
| T23062A | 22 | 935 | T23529D | 23 | 949-950 | T24319A | 22 | 927,933 | ||
| T23062D | 23 | 949-950 | T23529S | 09 | 604-605 | T24319A | 22 | 928-929,934 | ||
| T23062S | 09 | 604-605 | T23531A | 22 | 935 | T24319D | 23 | 949-950 | ||
| T23069A | 22 | 935 | T23531D | 23 | 949-950 | T24319S | 09 | 604-605 | ||
| T23069D | 23 | 949-950 | T23531S | 09 | 604-605 | T24321A | 22 | 927,933 | ||
| T23069S | 09 | 604-605 | T23532A | 22 | 935 | T24321A | 22 | 928-929,934 | ||
| T23071A | 22 | 935 | T23532D | 23 | 949-950 | T24321D | 23 | 949-950 | ||
| T23071D | 23 | 949-950 | T23532S | 09 | 604-605 | T24321S | 09 | 604-605 | ||
| T23071S | 09 | 604-605 | T23539A | 22 | 935 | T24322A | 22 | 927,933 | ||
| T23072A | 22 | 935 | T23539D | 23 | 949-950 | T24322A | 22 | 928-929,934 | ||
| T23072D | 23 | 949-950 | T23539S | 09 | 604-605 | T24322D | 23 | 949-950 | ||
| T23072S | 09 | 604-605 | T23541A | 22 | 935 | T24322S | 09 | 604-605 | ||
| T23079A | 22 | 935 | T23541D | 23 | 949-950 | T24329A | 22 | 927,933 | ||
| T23079D | 23 | 949-950 | T23541S | 09 | 604-605 | T24329A | 22 | 928-929,934 | ||
| T23079S | 09 | 604-605 | T23542A | 22 | 935 | T24329D | 23 | 949-950 | ||
| T23091A | 22 | 935 | T23542D | 23 | 949-950 | T24329S | 09 | 604-605 | ||
| T23091D | 23 | 949-950 | T23542S | 09 | 604-605 | T24331A | 22 | 927,933 | ||
| T23091S | 09 | 604-605 | T23549A | 22 | 935 | T24331A | 22 | 928-929,934 | ||
| T23092A | 22 | 935 | T23549D | 23 | 949-950 | T24331D | 23 | 949-950 | ||
| T23092D | 23 | 949-950 | T23549S | 09 | 604-605 | T24331S | 09 | 604-605 | ||
| T23092S | 09 | 604-605 | T23551A | 22 | 935 | T24332A | 22 | 927,933 | ||
| T23099A | 22 | 935 | T23551D | 23 | 949-950 | T24332A | 22 | 928-929,934 | ||
| T23099D | 23 | 949-950 | T23551S | 09 | 604-605 | T24332D | 23 | 949-950 | ||
| T23099S | 09 | 604-605 | T23552A | 22 | 935 | T24332S | 09 | 604-605 | ||
| T23101A | 22 | 935 | T23552D | 23 | 949-950 | T24339A | 22 | 927,933 | ||
| T23101D | 23 | 949-950 | T23552S | 09 | 604-605 | T24339A | 22 | 928-929,934 | ||
| T23101S | 09 | 604-605 | T23559A | 22 | 935 | T24339D | 23 | 949-950 | ||
| T23102A | 22 | 935 | T23559D | 23 | 949-950 | T24339S | 09 | 604-605 | ||
| T23102D | 23 | 949-950 | T23559S | 09 | 604-605 | T24391A | 22 | 927,933 | ||
| T23102S | 09 | 604-605 | T23561A | 22 | 935 | T24391A | 22 | 928-929,934 | ||
| T23109A | 22 | 935 | T23561D | 23 | 949-950 | T24391D | 23 | 949-950 | ||
| T23109D | 23 | 949-950 | T23561S | 09 | 604-605 | T24391S | 09 | 604-605 | ||
| T23109S | 09 | 604-605 | T23562A | 22 | 935 | T24392A | 22 | 927,933 | ||
| T23111A | 22 | 935 | T23562D | 23 | 949-950 | T24392A | 22 | 928-929,934 | ||
| T23111D | 23 | 949-950 | T23562S | 09 | 604-605 | T24392D | 23 | 949-950 | ||
| T23111S | 09 | 604-605 | T23569A | 22 | 935 | T24392S | 09 | 604-605 | ||
| T23112A | 22 | 935 | T23569D | 23 | 949-950 | T24399A | 22 | 927,933 | ||
| T23112D | 23 | 949-950 | T23569S | 09 | 604-605 | T24399A | 22 | 928-929,934 | ||
| T23112S | 09 | 604-605 | T23571A | 22 | 935 | T24399D | 23 | 949-950 | ||
| T23119A | 22 | 935 | T23571D | 23 | 949-950 | T24399S | 09 | 604-605 | ||
| T23119D | 23 | 949-950 | T23571S | 09 | 604-605 | T24401A | 22 | 935 | ||
| T23119S | 09 | 604-605 | T23572A | 22 | 935 | T24401D | 23 | 949-950 | ||
| T23121A | 22 | 935 | T23572D | 23 | 949-950 | T24401S | 09 | 604-605 | ||
| T23121D | 23 | 949-950 | T23572S | 09 | 604-605 | T24402A | 22 | 935 | ||
| T23121S | 09 | 604-605 | T23579A | 22 | 935 | T24402D | 23 | 949-950 | ||
| T23122A | 22 | 935 | T23579D | 23 | 949-950 | T24402S | 09 | 604-605 | ||
| T23122D | 23 | 949-950 | T23579S | 09 | 604-605 | T24409A | 22 | 935 | ||
| T23122S | 09 | 604-605 | T23591A | 22 | 935 | T24409D | 23 | 949-950 | ||
| T23129A | 22 | 935 | T23591D | 23 | 949-950 | T24409S | 09 | 604-605 | ||
| T23129D | 23 | 949-950 | T23591S | 09 | 604-605 | T24411A | 22 | 935 | ||
| T23129S | 09 | 604-605 | T23592A | 22 | 935 | T24411D | 23 | 949-950 | ||
| T23131A | 22 | 935 | T23592D | 23 | 949-950 | T24411S | 09 | 604-605 | ||
| T23131D | 23 | 949-950 | T23592S | 09 | 604-605 | T24412A | 22 | 935 | ||
| T23131S | 09 | 604-605 | T23599A | 22 | 935 | T24412D | 23 | 949-950 | ||
| T23132A | 22 | 935 | T23599D | 23 | 949-950 | T24412S | 09 | 604-605 | ||
| T23132D | 23 | 949-950 | T23599S | 09 | 604-605 | T24419A | 22 | 935 | ||
| T23132S | 09 | 604-605 | T23601A | 22 | 935 | T24419D | 23 | 949-950 | ||
| T23139A | 22 | 935 | T23601D | 23 | 949-950 | T24419S | 09 | 604-605 | ||
| T23139D | 23 | 949-950 | T23601S | 09 | 604-605 | T24421A | 22 | 935 | ||
| T23139S | 09 | 604-605 | T23602A | 22 | 935 | T24421D | 23 | 949-950 | ||
| T23141A | 22 | 935 | T23602D | 23 | 949-950 | T24421S | 09 | 604-605 | ||
| T23141D | 23 | 949-950 | T23602S | 09 | 604-605 | T24422A | 22 | 935 | ||
| T23141S | 09 | 604-605 | T23609A | 22 | 935 | T24422D | 23 | 949-950 | ||
| T23142A | 22 | 935 | T23609D | 23 | 949-950 | T24422S | 09 | 604-605 | ||
| T23142D | 23 | 949-950 | T23609S | 09 | 604-605 | T24429A | 22 | 935 | ||
| T23142S | 09 | 604-605 | T23611A | 22 | 935 | T24429D | 23 | 949-950 | ||
| T23149A | 22 | 935 | T23611D | 23 | 949-950 | T24429S | 09 | 604-605 | ||
| T23149D | 23 | 949-950 | T23611S | 09 | 604-605 | T24431A | 22 | 935 | ||
| T23149S | 09 | 604-605 | T23612A | 22 | 935 | T24431D | 23 | 949-950 | ||
| T23151A | 22 | 935 | T23612D | 23 | 949-950 | T24431S | 09 | 604-605 | ||
| T23151D | 23 | 949-950 | T23612S | 09 | 604-605 | T24432A | 22 | 935 | ||
| T23151S | 09 | 604-605 | T23619A | 22 | 935 | T24432D | 23 | 949-950 | ||
| T23152A | 22 | 935 | T23619D | 23 | 949-950 | T24432S | 09 | 604-605 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2024 10:29:37 CMS, code-revision=359, description-revision=1383 |