ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 15 of 75 |
| A000 B2781 C5712 C8395 D107 E083542 E1301 F13259 G543 H16041 H4303 H8393 I63541 I97610 K4020 L0882 M00239 M19072 M314 M6519 M84311S M84759P M96830 N8501 O2990 O35GXX1 O4192X9 O99845 Q51818 R502 S02118D S06319D S1192XA S15399D S22082B S30823D S32309A S35221D S39002D S42261D S43202A S4991XA S52201Q S52345P S52699N S56909D S60929A S62136P S62390B S63208D S65500D S68619D S72043S S72133F S72355A S7291XC S80211S S82132R S82399Q S82854P S85801A S90821D S92153B S93103D S99032A T2161XA T23661D T3371XA T40903A T457X5D T50B15D T632X3D T8112XD T8454XD Z4801 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| K4020 | 06 | 393-395 | K635 | 06 | 393-395 | K9413 | 06 | 393-395 | ||
| K4021 | 06 | 393-395 | K6381 | 06 | 393-395 | K9419 | 06 | 393-395 | ||
| K4030 | 06 | 393-395 | K638211 | 06 | 393-395 | K9420 | 06 | 393-395 | ||
| K4030 | 15 | 791 | K638212 | 06 | 393-395 | K9421 | 06 | 393-395 | ||
| K4030 | 15 | 793 | K638219 | 06 | 393-395 | K9422 | 06 | 393-395 | ||
| K4031 | 06 | 393-395 | K63822 | 06 | 393-395 | K9423 | 06 | 393-395 | ||
| K4040 | 06 | 393-395 | K63829 | 06 | 393-395 | K9429 | 06 | 393-395 | ||
| K4040 | 15 | 791 | K6389 | 06 | 393-395 | K9430 | 06 | 393-395 | ||
| K4040 | 15 | 793 | K639 | 06 | 393-395 | K9431 | 06 | 393-395 | ||
| K4041 | 06 | 393-395 | K640 | 06 | 393-395 | K9432 | 06 | 393-395 | ||
| K4090 | 06 | 393-395 | K641 | 06 | 393-395 | K9433 | 06 | 393-395 | ||
| K4091 | 06 | 393-395 | K642 | 06 | 393-395 | K9439 | 06 | 393-395 | ||
| K4100 | 06 | 393-395 | K643 | 06 | 393-395 | K9501 | 06 | 393-395 | ||
| K4100 | 15 | 791 | K644 | 06 | 393-395 | K9509 | 06 | 393-395 | ||
| K4100 | 15 | 793 | K645 | 06 | 393-395 | K9581 | 06 | 393-395 | ||
| K4101 | 06 | 393-395 | K648 | 06 | 393-395 | K9589 | 06 | 393-395 | ||
| K4110 | 06 | 393-395 | K649 | 06 | 393-395 | L00 | 09 | 595-596 | ||
| K4110 | 15 | 791 | K650 | 06 | 371-373 | L0100 | 09 | 602-603 | ||
| K4110 | 15 | 793 | K650 | 15 | 791 | L0101 | 09 | 602-603 | ||
| K4111 | 06 | 393-395 | K650 | 15 | 793 | L0102 | 09 | 602-603 | ||
| K4120 | 06 | 393-395 | K651 | 06 | 371-373 | L0103 | 09 | 602-603 | ||
| K4121 | 06 | 393-395 | K651 | 15 | 791 | L0109 | 09 | 602-603 | ||
| K4130 | 06 | 393-395 | K651 | 15 | 793 | L011 | 09 | 602-603 | ||
| K4130 | 15 | 791 | K652 | 06 | 371-373 | L0201 | Pre | 011-013 | ||
| K4130 | 15 | 793 | K652 | 15 | 791 | L0201 | 09 | 573-575 | ||
| K4131 | 06 | 393-395 | K652 | 15 | 793 | L0201 | 09 | 602-603 | ||
| K4140 | 06 | 393-395 | K653 | 06 | 393-395 | L0201 | 15 | 791 | ||
| K4140 | 15 | 791 | K653 | 15 | 791 | L0201 | 15 | 793 | ||
| K4140 | 15 | 793 | K653 | 15 | 793 | L0202 | 09 | 602-603 | ||
| K4141 | 06 | 393-395 | K654 | 06 | 393-395 | L0203 | 09 | 602-603 | ||
| K4190 | 06 | 393-395 | K654 | 15 | 791 | L0211 | Pre | 011-013 | ||
| K4191 | 06 | 393-395 | K654 | 15 | 793 | L0211 | 09 | 573-575 | ||
| K420 | 06 | 393-395 | K658 | 06 | 371-373 | L0211 | 09 | 602-603 | ||
| K420 | 15 | 791 | K658 | 15 | 791 | L0211 | 15 | 791 | ||
| K420 | 15 | 793 | K658 | 15 | 793 | L0211 | 15 | 793 | ||
| K421 | 06 | 393-395 | K659 | 06 | 371-373 | L0212 | 09 | 602-603 | ||
| K421 | 15 | 791 | K659 | 15 | 791 | L0213 | 09 | 602-603 | ||
| K421 | 15 | 793 | K659 | 15 | 793 | L02211 | 09 | 573-575 | ||
| K429 | 06 | 393-395 | K660 | 06 | 393-395 | L02211 | 09 | 602-603 | ||
| K430 | 06 | 393-395 | K661 | 06 | 393-395 | L02211 | 15 | 791 | ||
| K430 | 15 | 791 | K661 | 15 | 791 | L02211 | 15 | 793 | ||
| K430 | 15 | 793 | K661 | 15 | 793 | L02212 | 09 | 573-575 | ||
| K431 | 06 | 393-395 | K668 | 06 | 393-395 | L02212 | 09 | 602-603 | ||
| K431 | 15 | 791 | K669 | 06 | 393-395 | L02212 | 15 | 791 | ||
| K431 | 15 | 793 | K67 | 06 | 371-373 | L02212 | 15 | 793 | ||
| K432 | 06 | 393-395 | K67 | 15 | 791 | L02213 | 09 | 573-575 | ||
| K433 | 06 | 393-395 | K67 | 15 | 793 | L02213 | 09 | 602-603 | ||
| K433 | 15 | 791 | K6811 | 15 | 791 | L02213 | 15 | 791 | ||
| K433 | 15 | 793 | K6811 | 15 | 793 | L02213 | 15 | 793 | ||
| K434 | 06 | 393-395 | K6811 | 18 | 856-858 | L02214 | 09 | 573-575 | ||
| K434 | 15 | 791 | K6811 | 18 | 862-863 | L02214 | 09 | 602-603 | ||
| K434 | 15 | 793 | K6812 | 06 | 371-373 | L02214 | 15 | 791 | ||
| K435 | 06 | 393-395 | K6812 | 15 | 791 | L02214 | 15 | 793 | ||
| K436 | 06 | 393-395 | K6812 | 15 | 793 | L02215 | 09 | 573-575 | ||
| K436 | 15 | 791 | K6819 | 06 | 371-373 | L02215 | 09 | 602-603 | ||
| K436 | 15 | 793 | K6819 | 15 | 791 | L02215 | 15 | 791 | ||
| K437 | 06 | 393-395 | K6819 | 15 | 793 | L02215 | 15 | 793 | ||
| K437 | 15 | 791 | K682 | 06 | 371-373 | L02216 | 09 | 573-575 | ||
| K437 | 15 | 793 | K682 | 15 | 791 | L02216 | 09 | 602-603 | ||
| K439 | 06 | 393-395 | K682 | 15 | 793 | L02216 | 15 | 791 | ||
| K440 | 06 | 391-392 | K683 | 06 | 371-373 | L02216 | 15 | 793 | ||
| K440 | 15 | 791 | K683 | 15 | 791 | L02219 | 09 | 573-575 | ||
| K440 | 15 | 793 | K683 | 15 | 793 | L02219 | 09 | 602-603 | ||
| K441 | 06 | 393-395 | K689 | 06 | 371-373 | L02219 | 15 | 791 | ||
| K441 | 15 | 791 | K689 | 15 | 791 | L02219 | 15 | 793 | ||
| K441 | 15 | 793 | K689 | 15 | 793 | L02221 | 09 | 602-603 | ||
| K449 | 06 | 391-392 | K700 | 07 | 441-443 | L02222 | 09 | 602-603 | ||
| K450 | 06 | 393-395 | K7010 | 07 | 432-434 | L02223 | 09 | 602-603 | ||
| K450 | 15 | 791 | K7011 | 07 | 432-434 | L02224 | 09 | 602-603 | ||
| K450 | 15 | 793 | K702 | 07 | 432-434 | L02225 | 09 | 602-603 | ||
| K451 | 06 | 393-395 | K7030 | 07 | 432-434 | L02226 | 09 | 602-603 | ||
| K451 | 15 | 791 | K7031 | 07 | 432-434 | L02229 | 09 | 602-603 | ||
| K451 | 15 | 793 | K7040 | 07 | 432-434 | L02231 | 09 | 602-603 | ||
| K458 | 06 | 393-395 | K7041 | 07 | 432-434 | L02232 | 09 | 602-603 | ||
| K460 | 06 | 393-395 | K709 | 07 | 432-434 | L02233 | 09 | 602-603 | ||
| K460 | 15 | 791 | K710 | 07 | 441-443 | L02234 | 09 | 602-603 | ||
| K460 | 15 | 793 | K710 | 15 | 791 | L02235 | 09 | 602-603 | ||
| K461 | 06 | 393-395 | K710 | 15 | 793 | L02236 | 09 | 602-603 | ||
| K461 | 15 | 791 | K7110 | 07 | 441-443 | L02239 | 09 | 602-603 | ||
| K461 | 15 | 793 | K7110 | 15 | 791 | L0231 | 09 | 573-575 | ||
| K469 | 06 | 393-395 | K7110 | 15 | 793 | L0231 | 09 | 602-603 | ||
| K5000 | 06 | 385-387 | K7111 | 07 | 441-443 | L0231 | 15 | 791 | ||
| K50011 | 06 | 385-387 | K7111 | 15 | 791 | L0231 | 15 | 793 | ||
| K50012 | 06 | 385-387 | K7111 | 15 | 793 | L0232 | 09 | 602-603 | ||
| K50013 | 06 | 385-387 | K712 | 07 | 441-443 | L0233 | 09 | 602-603 | ||
| K50014 | 06 | 385-387 | K712 | 15 | 791 | L02411 | 09 | 573-575 | ||
| K50018 | 06 | 385-387 | K712 | 15 | 793 | L02411 | 09 | 602-603 | ||
| K50019 | 06 | 385-387 | K713 | 07 | 441-443 | L02411 | 15 | 791 | ||
| K5010 | 06 | 385-387 | K713 | 15 | 791 | L02411 | 15 | 793 | ||
| K50111 | 06 | 385-387 | K713 | 15 | 793 | L02412 | 09 | 573-575 | ||
| K50112 | 06 | 385-387 | K714 | 07 | 441-443 | L02412 | 09 | 602-603 | ||
| K50113 | 06 | 385-387 | K714 | 15 | 791 | L02412 | 15 | 791 | ||
| K50114 | 06 | 385-387 | K714 | 15 | 793 | L02412 | 15 | 793 | ||
| K50118 | 06 | 385-387 | K7150 | 07 | 441-443 | L02413 | 09 | 573-575 | ||
| K50119 | 06 | 385-387 | K7150 | 15 | 791 | L02413 | 09 | 602-603 | ||
| K5080 | 06 | 385-387 | K7150 | 15 | 793 | L02413 | 15 | 791 | ||
| K50811 | 06 | 385-387 | K7151 | 07 | 441-443 | L02413 | 15 | 793 | ||
| K50812 | 06 | 385-387 | K7151 | 15 | 791 | L02414 | 09 | 573-575 | ||
| K50813 | 06 | 385-387 | K7151 | 15 | 793 | L02414 | 09 | 602-603 | ||
| K50814 | 06 | 385-387 | K716 | 07 | 441-443 | L02414 | 15 | 791 | ||
| K50818 | 06 | 385-387 | K716 | 15 | 791 | L02414 | 15 | 793 | ||
| K50819 | 06 | 385-387 | K716 | 15 | 793 | L02415 | 09 | 573-575 | ||
| K5090 | 06 | 385-387 | K717 | 07 | 441-443 | L02415 | 09 | 602-603 | ||
| K50911 | 06 | 385-387 | K717 | 15 | 791 | L02415 | 15 | 791 | ||
| K50912 | 06 | 385-387 | K717 | 15 | 793 | L02415 | 15 | 793 | ||
| K50913 | 06 | 385-387 | K718 | 07 | 441-443 | L02416 | 09 | 573-575 | ||
| K50914 | 06 | 385-387 | K718 | 15 | 791 | L02416 | 09 | 602-603 | ||
| K50918 | 06 | 385-387 | K718 | 15 | 793 | L02416 | 15 | 791 | ||
| K50919 | 06 | 385-387 | K719 | 07 | 441-443 | L02416 | 15 | 793 | ||
| K5100 | 06 | 385-387 | K719 | 15 | 791 | L02419 | 09 | 573-575 | ||
| K51011 | 06 | 385-387 | K719 | 15 | 793 | L02419 | 09 | 602-603 | ||
| K51012 | 06 | 385-387 | K7200 | 07 | 441-443 | L02419 | 15 | 791 | ||
| K51013 | 06 | 385-387 | K7200 | 15 | 791 | L02419 | 15 | 793 | ||
| K51014 | 06 | 385-387 | K7200 | 15 | 793 | L02421 | 09 | 602-603 | ||
| K51018 | 06 | 385-387 | K7201 | 07 | 441-443 | L02422 | 09 | 602-603 | ||
| K51019 | 06 | 385-387 | K7201 | 15 | 791 | L02423 | 09 | 602-603 | ||
| K5120 | 06 | 385-387 | K7201 | 15 | 793 | L02424 | 09 | 602-603 | ||
| K51211 | 06 | 385-387 | K7210 | 07 | 441-443 | L02425 | 09 | 602-603 | ||
| K51212 | 06 | 385-387 | K7211 | 07 | 441-443 | L02426 | 09 | 602-603 | ||
| K51213 | 06 | 385-387 | K7290 | 07 | 441-443 | L02429 | 09 | 602-603 | ||
| K51214 | 06 | 385-387 | K7290 | 15 | 791 | L02431 | 09 | 602-603 | ||
| K51218 | 06 | 385-387 | K7290 | 15 | 793 | L02432 | 09 | 602-603 | ||
| K51219 | 06 | 385-387 | K7291 | 07 | 441-443 | L02433 | 09 | 602-603 | ||
| K5130 | 06 | 385-387 | K7291 | 15 | 791 | L02434 | 09 | 602-603 | ||
| K51311 | 06 | 385-387 | K7291 | 15 | 793 | L02435 | 09 | 602-603 | ||
| K51312 | 06 | 385-387 | K730 | 07 | 441-443 | L02436 | 09 | 602-603 | ||
| K51313 | 06 | 385-387 | K731 | 07 | 441-443 | L02439 | 09 | 602-603 | ||
| K51314 | 06 | 385-387 | K732 | 07 | 441-443 | L02511 | 09 | 573-575 | ||
| K51318 | 06 | 385-387 | K738 | 07 | 441-443 | L02511 | 09 | 602-603 | ||
| K51319 | 06 | 385-387 | K739 | 07 | 441-443 | L02511 | 15 | 791 | ||
| K5140 | 06 | 385-387 | K7400 | 07 | 432-434 | L02511 | 15 | 793 | ||
| K51411 | 06 | 385-387 | K7401 | 07 | 432-434 | L02512 | 09 | 573-575 | ||
| K51412 | 06 | 385-387 | K7402 | 07 | 432-434 | L02512 | 09 | 602-603 | ||
| K51413 | 06 | 385-387 | K741 | 07 | 441-443 | L02512 | 15 | 791 | ||
| K51414 | 06 | 385-387 | K742 | 07 | 441-443 | L02512 | 15 | 793 | ||
| K51418 | 06 | 385-387 | K743 | 07 | 432-434 | L02519 | 09 | 573-575 | ||
| K51419 | 06 | 385-387 | K744 | 07 | 432-434 | L02519 | 09 | 602-603 | ||
| K5150 | 06 | 385-387 | K745 | 07 | 432-434 | L02519 | 15 | 791 | ||
| K51511 | 06 | 385-387 | K7460 | 07 | 432-434 | L02519 | 15 | 793 | ||
| K51512 | 06 | 385-387 | K7469 | 07 | 432-434 | L02521 | 09 | 602-603 | ||
| K51513 | 06 | 385-387 | K750 | 07 | 441-443 | L02522 | 09 | 602-603 | ||
| K51514 | 06 | 385-387 | K750 | 15 | 791 | L02529 | 09 | 602-603 | ||
| K51518 | 06 | 385-387 | K750 | 15 | 793 | L02531 | 09 | 602-603 | ||
| K51519 | 06 | 385-387 | K751 | 07 | 441-443 | L02532 | 09 | 602-603 | ||
| K5180 | 06 | 385-387 | K751 | 15 | 791 | L02539 | 09 | 602-603 | ||
| K51811 | 06 | 385-387 | K751 | 15 | 793 | L02611 | 09 | 573-575 | ||
| K51812 | 06 | 385-387 | K752 | 07 | 441-443 | L02611 | 09 | 602-603 | ||
| K51813 | 06 | 385-387 | K752 | 15 | 791 | L02611 | 15 | 791 | ||
| K51814 | 06 | 385-387 | K752 | 15 | 793 | L02611 | 15 | 793 | ||
| K51818 | 06 | 385-387 | K753 | 07 | 441-443 | L02612 | 09 | 573-575 | ||
| K51819 | 06 | 385-387 | K753 | 15 | 791 | L02612 | 09 | 602-603 | ||
| K5190 | 06 | 385-387 | K753 | 15 | 793 | L02612 | 15 | 791 | ||
| K51911 | 06 | 385-387 | K754 | 07 | 441-443 | L02612 | 15 | 793 | ||
| K51912 | 06 | 385-387 | K7581 | 07 | 441-443 | L02619 | 09 | 573-575 | ||
| K51913 | 06 | 385-387 | K7581 | 15 | 791 | L02619 | 09 | 602-603 | ||
| K51914 | 06 | 385-387 | K7581 | 15 | 793 | L02619 | 15 | 791 | ||
| K51918 | 06 | 385-387 | K7589 | 07 | 441-443 | L02619 | 15 | 793 | ||
| K51919 | 06 | 385-387 | K7589 | 15 | 791 | L02621 | 09 | 602-603 | ||
| K520 | 06 | 393-395 | K7589 | 15 | 793 | L02622 | 09 | 602-603 | ||
| K521 | 06 | 393-395 | K759 | 07 | 441-443 | L02629 | 09 | 602-603 | ||
| K521 | 15 | 791 | K759 | 15 | 791 | L02631 | 09 | 602-603 | ||
| K521 | 15 | 793 | K759 | 15 | 793 | L02632 | 09 | 602-603 | ||
| K5221 | 06 | 391-392 | K760 | 07 | 441-443 | L02639 | 09 | 602-603 | ||
| K5222 | 06 | 391-392 | K761 | 07 | 441-443 | L02811 | 09 | 573-575 | ||
| K5229 | 06 | 391-392 | K762 | 07 | 441-443 | L02811 | 09 | 602-603 | ||
| K523 | 06 | 391-392 | K762 | 15 | 791 | L02811 | 15 | 791 | ||
| K5281 | 06 | 391-392 | K762 | 15 | 793 | L02811 | 15 | 793 | ||
| K5282 | 06 | 391-392 | K763 | 07 | 441-443 | L02818 | 09 | 573-575 | ||
| K52831 | 06 | 391-392 | K763 | 15 | 791 | L02818 | 09 | 602-603 | ||
| K52832 | 06 | 391-392 | K763 | 15 | 793 | L02818 | 15 | 791 | ||
| K52838 | 06 | 391-392 | K764 | 07 | 441-443 | L02818 | 15 | 793 | ||
| K52839 | 06 | 391-392 | K764 | 15 | 791 | L02821 | 09 | 602-603 | ||
| K5289 | 06 | 391-392 | K764 | 15 | 793 | L02828 | 09 | 602-603 | ||
| K529 | 06 | 391-392 | K765 | 07 | 441-443 | L02831 | 09 | 602-603 | ||
| K55011 | 06 | 393-395 | K766 | 07 | 441-443 | L02838 | 09 | 602-603 | ||
| K55011 | 15 | 791 | K767 | 07 | 441-443 | L0291 | 09 | 573-575 | ||
| K55011 | 15 | 793 | K767 | 15 | 791 | L0291 | 09 | 602-603 | ||
| K55012 | 06 | 393-395 | K767 | 15 | 793 | L0291 | 15 | 791 | ||
| K55012 | 15 | 791 | K7681 | 04 | 205-206 | L0291 | 15 | 793 | ||
| K55012 | 15 | 793 | K7682 | 07 | 441-443 | L0292 | 09 | 602-603 | ||
| K55019 | 06 | 393-395 | K7682 | 15 | 791 | L0293 | 09 | 602-603 | ||
| K55019 | 15 | 791 | K7682 | 15 | 793 | L03011 | 09 | 573-575 | ||
| K55019 | 15 | 793 | K7689 | 07 | 441-443 | L03011 | 09 | 602-603 | ||
| K55021 | 06 | 393-395 | K769 | 07 | 441-443 | L03012 | 09 | 573-575 | ||
| K55021 | 15 | 791 | K77 | 07 | 441-443 | L03012 | 09 | 602-603 | ||
| K55021 | 15 | 793 | K8000 | 07 | 444-446 | L03019 | 09 | 573-575 | ||
| K55022 | 06 | 393-395 | K8001 | 07 | 444-446 | L03019 | 09 | 602-603 | ||
| K55022 | 15 | 791 | K8010 | 07 | 444-446 | L03021 | 09 | 573-575 | ||
| K55022 | 15 | 793 | K8011 | 07 | 444-446 | L03021 | 09 | 602-603 | ||
| K55029 | 06 | 393-395 | K8012 | 07 | 444-446 | L03022 | 09 | 573-575 | ||
| K55029 | 15 | 791 | K8013 | 07 | 444-446 | L03022 | 09 | 602-603 | ||
| K55029 | 15 | 793 | K8018 | 07 | 444-446 | L03029 | 09 | 573-575 | ||
| K55031 | 06 | 393-395 | K8019 | 07 | 444-446 | L03029 | 09 | 602-603 | ||
| K55031 | 15 | 791 | K8020 | 07 | 444-446 | L03031 | 09 | 573-575 | ||
| K55031 | 15 | 793 | K8021 | 07 | 444-446 | L03031 | 09 | 602-603 | ||
| K55032 | 06 | 393-395 | K8030 | 07 | 444-446 | L03032 | 09 | 573-575 | ||
| K55032 | 15 | 791 | K8031 | 07 | 444-446 | L03032 | 09 | 602-603 | ||
| K55032 | 15 | 793 | K8032 | 07 | 444-446 | L03039 | 09 | 573-575 | ||
| K55039 | 06 | 393-395 | K8033 | 07 | 444-446 | L03039 | 09 | 602-603 | ||
| K55039 | 15 | 791 | K8034 | 07 | 444-446 | L03041 | 09 | 573-575 | ||
| K55039 | 15 | 793 | K8035 | 07 | 444-446 | L03041 | 09 | 602-603 | ||
| K55041 | 06 | 393-395 | K8036 | 07 | 444-446 | L03042 | 09 | 573-575 | ||
| K55041 | 15 | 791 | K8037 | 07 | 444-446 | L03042 | 09 | 602-603 | ||
| K55041 | 15 | 793 | K8040 | 07 | 444-446 | L03049 | 09 | 573-575 | ||
| K55042 | 06 | 393-395 | K8041 | 07 | 444-446 | L03049 | 09 | 602-603 | ||
| K55042 | 15 | 791 | K8042 | 07 | 444-446 | L03111 | 09 | 573-575 | ||
| K55042 | 15 | 793 | K8043 | 07 | 444-446 | L03111 | 09 | 602-603 | ||
| K55049 | 06 | 393-395 | K8044 | 07 | 444-446 | L03111 | 15 | 791 | ||
| K55049 | 15 | 791 | K8045 | 07 | 444-446 | L03111 | 15 | 793 | ||
| K55049 | 15 | 793 | K8046 | 07 | 444-446 | L03112 | 09 | 573-575 | ||
| K55051 | 06 | 393-395 | K8047 | 07 | 444-446 | L03112 | 09 | 602-603 | ||
| K55051 | 15 | 791 | K8050 | 07 | 444-446 | L03112 | 15 | 791 | ||
| K55051 | 15 | 793 | K8051 | 07 | 444-446 | L03112 | 15 | 793 | ||
| K55052 | 06 | 393-395 | K8060 | 07 | 444-446 | L03113 | 09 | 573-575 | ||
| K55052 | 15 | 791 | K8061 | 07 | 444-446 | L03113 | 09 | 602-603 | ||
| K55052 | 15 | 793 | K8062 | 07 | 444-446 | L03113 | 15 | 791 | ||
| K55059 | 06 | 393-395 | K8063 | 07 | 444-446 | L03113 | 15 | 793 | ||
| K55059 | 15 | 791 | K8064 | 07 | 444-446 | L03114 | 09 | 573-575 | ||
| K55059 | 15 | 793 | K8065 | 07 | 444-446 | L03114 | 09 | 602-603 | ||
| K55061 | 06 | 393-395 | K8066 | 07 | 444-446 | L03114 | 15 | 791 | ||
| K55061 | 15 | 791 | K8067 | 07 | 444-446 | L03114 | 15 | 793 | ||
| K55061 | 15 | 793 | K8070 | 07 | 444-446 | L03115 | 09 | 573-575 | ||
| K55062 | 06 | 393-395 | K8071 | 07 | 444-446 | L03115 | 09 | 602-603 | ||
| K55062 | 15 | 791 | K8080 | 07 | 444-446 | L03115 | 15 | 791 | ||
| K55062 | 15 | 793 | K8081 | 07 | 444-446 | L03115 | 15 | 793 | ||
| K55069 | 06 | 393-395 | K810 | 07 | 444-446 | L03116 | 09 | 573-575 | ||
| K55069 | 15 | 791 | K811 | 07 | 444-446 | L03116 | 09 | 602-603 | ||
| K55069 | 15 | 793 | K812 | 07 | 444-446 | L03116 | 15 | 791 | ||
| K551 | 06 | 393-395 | K819 | 07 | 444-446 | L03116 | 15 | 793 | ||
| K5520 | 06 | 393-395 | K820 | 07 | 444-446 | L03119 | 09 | 573-575 | ||
| K5521 | 06 | 377-379 | K821 | 07 | 444-446 | L03119 | 09 | 602-603 | ||
| K5530 | 06 | 393-395 | K822 | 07 | 444-446 | L03119 | 15 | 791 | ||
| K5530 | 15 | 791 | K823 | 07 | 444-446 | L03119 | 15 | 793 | ||
| K5530 | 15 | 793 | K824 | 07 | 444-446 | L03121 | 09 | 573-575 | ||
| K5531 | 06 | 393-395 | K828 | 07 | 444-446 | L03121 | 09 | 602-603 | ||
| K5531 | 15 | 791 | K829 | 07 | 444-446 | L03121 | 15 | 791 | ||
| K5531 | 15 | 793 | K82A1 | 07 | 444-446 | L03121 | 15 | 793 | ||
| K5532 | 06 | 393-395 | K82A2 | 07 | 444-446 | L03122 | 09 | 573-575 | ||
| K5532 | 15 | 791 | K8301 | 07 | 444-446 | L03122 | 09 | 602-603 | ||
| K5532 | 15 | 793 | K8301 | 15 | 791 | L03122 | 15 | 791 | ||
| K5533 | 06 | 393-395 | K8301 | 15 | 793 | L03122 | 15 | 793 | ||
| K5533 | 15 | 791 | K8309 | 07 | 444-446 | L03123 | 09 | 573-575 | ||
| K5533 | 15 | 793 | K8309 | 15 | 791 | L03123 | 09 | 602-603 | ||
| K558 | 06 | 393-395 | K8309 | 15 | 793 | L03123 | 15 | 791 | ||
| K559 | 06 | 393-395 | K831 | 07 | 444-446 | L03123 | 15 | 793 | ||
| K560 | 06 | 388-390 | K832 | 07 | 444-446 | L03124 | 09 | 573-575 | ||
| K560 | 15 | 791 | K833 | 07 | 444-446 | L03124 | 09 | 602-603 | ||
| K560 | 15 | 793 | K834 | 07 | 444-446 | L03124 | 15 | 791 | ||
| K561 | 06 | 388-390 | K835 | 07 | 444-446 | L03124 | 15 | 793 | ||
| K561 | 15 | 791 | K838 | 07 | 444-446 | L03125 | 09 | 573-575 | ||
| K561 | 15 | 793 | K839 | 07 | 444-446 | L03125 | 09 | 602-603 | ||
| K562 | 06 | 388-390 | K8500 | 07 | 438-440 | L03125 | 15 | 791 | ||
| K562 | 15 | 791 | K8500 | 15 | 791 | L03125 | 15 | 793 | ||
| K562 | 15 | 793 | K8500 | 15 | 793 | L03126 | 09 | 573-575 | ||
| K563 | 06 | 388-390 | K8501 | 07 | 438-440 | L03126 | 09 | 602-603 | ||
| K5641 | 06 | 388-390 | K8501 | 15 | 791 | L03126 | 15 | 791 | ||
| K5641 | 15 | 791 | K8501 | 15 | 793 | L03126 | 15 | 793 | ||
| K5641 | 15 | 793 | K8502 | 07 | 438-440 | L03129 | 09 | 573-575 | ||
| K5649 | 06 | 388-390 | K8502 | 15 | 791 | L03129 | 09 | 602-603 | ||
| K5649 | 15 | 791 | K8502 | 15 | 793 | L03129 | 15 | 791 | ||
| K5649 | 15 | 793 | K8510 | 07 | 438-440 | L03129 | 15 | 793 | ||
| K5650 | 06 | 388-390 | K8510 | 15 | 791 | L03211 | Pre | 011-013 | ||
| K5651 | 06 | 388-390 | K8510 | 15 | 793 | L03211 | 09 | 573-575 | ||
| K5652 | 06 | 388-390 | K8511 | 07 | 438-440 | L03211 | 09 | 602-603 | ||
| K56600 | 06 | 388-390 | K8511 | 15 | 791 | L03211 | 15 | 791 | ||
| K56600 | 15 | 791 | K8511 | 15 | 793 | L03211 | 15 | 793 | ||
| K56600 | 15 | 793 | K8512 | 07 | 438-440 | L03212 | Pre | 011-013 | ||
| K56601 | 06 | 388-390 | K8512 | 15 | 791 | L03212 | 09 | 573-575 | ||
| K56601 | 15 | 791 | K8512 | 15 | 793 | L03212 | 09 | 602-603 | ||
| K56601 | 15 | 793 | K8520 | 07 | 438-440 | L03212 | 15 | 791 | ||
| K56609 | 06 | 388-390 | K8520 | 15 | 791 | L03212 | 15 | 793 | ||
| K56609 | 15 | 791 | K8520 | 15 | 793 | L03213 | Pre | 011-013 | ||
| K56609 | 15 | 793 | K8521 | 07 | 438-440 | L03213 | 09 | 573-575 | ||
| K56690 | 06 | 388-390 | K8521 | 15 | 791 | L03213 | 09 | 602-603 | ||
| K56690 | 15 | 791 | K8521 | 15 | 793 | L03213 | 15 | 791 | ||
| K56690 | 15 | 793 | K8522 | 07 | 438-440 | L03213 | 15 | 793 | ||
| K56691 | 06 | 388-390 | K8522 | 15 | 791 | L03221 | Pre | 011-013 | ||
| K56691 | 15 | 791 | K8522 | 15 | 793 | L03221 | 09 | 573-575 | ||
| K56691 | 15 | 793 | K8530 | 07 | 438-440 | L03221 | 09 | 602-603 | ||
| K56699 | 06 | 388-390 | K8530 | 15 | 791 | L03221 | 15 | 791 | ||
| K56699 | 15 | 791 | K8530 | 15 | 793 | L03221 | 15 | 793 | ||
| K56699 | 15 | 793 | K8531 | 07 | 438-440 | L03222 | Pre | 011-013 | ||
| K567 | 06 | 388-390 | K8531 | 15 | 791 | L03222 | 09 | 573-575 | ||
| K567 | 15 | 791 | K8531 | 15 | 793 | L03222 | 09 | 602-603 | ||
| K567 | 15 | 793 | K8532 | 07 | 438-440 | L03222 | 15 | 791 | ||
| K5700 | 06 | 391-392 | K8532 | 15 | 791 | L03222 | 15 | 793 | ||
| K5701 | 06 | 377-379 | K8532 | 15 | 793 | L03311 | 09 | 573-575 | ||
| K5710 | 06 | 391-392 | K8580 | 07 | 438-440 | L03311 | 09 | 602-603 | ||
| K5711 | 06 | 377-379 | K8580 | 15 | 791 | L03311 | 15 | 791 | ||
| K5712 | 06 | 391-392 | K8580 | 15 | 793 | L03311 | 15 | 793 | ||
| K5713 | 06 | 377-379 | K8581 | 07 | 438-440 | L03312 | 09 | 573-575 | ||
| K5720 | 06 | 391-392 | K8581 | 15 | 791 | L03312 | 09 | 602-603 | ||
| K5721 | 06 | 377-379 | K8581 | 15 | 793 | L03312 | 15 | 791 | ||
| K5730 | 06 | 391-392 | K8582 | 07 | 438-440 | L03312 | 15 | 793 | ||
| K5731 | 06 | 377-379 | K8582 | 15 | 791 | L03313 | 09 | 573-575 | ||
| K5732 | 06 | 391-392 | K8582 | 15 | 793 | L03313 | 09 | 602-603 | ||
| K5733 | 06 | 377-379 | K8590 | 07 | 438-440 | L03313 | 15 | 791 | ||
| K5740 | 06 | 391-392 | K8590 | 15 | 791 | L03313 | 15 | 793 | ||
| K5741 | 06 | 377-379 | K8590 | 15 | 793 | L03314 | 09 | 573-575 | ||
| K5750 | 06 | 391-392 | K8591 | 07 | 438-440 | L03314 | 09 | 602-603 | ||
| K5751 | 06 | 377-379 | K8591 | 15 | 791 | L03314 | 15 | 791 | ||
| K5752 | 06 | 391-392 | K8591 | 15 | 793 | L03314 | 15 | 793 | ||
| K5753 | 06 | 377-379 | K8592 | 07 | 438-440 | L03315 | 09 | 573-575 | ||
| K5780 | 06 | 391-392 | K8592 | 15 | 791 | L03315 | 09 | 602-603 | ||
| K5781 | 06 | 377-379 | K8592 | 15 | 793 | L03315 | 15 | 791 | ||
| K5790 | 06 | 391-392 | K860 | 07 | 438-440 | L03315 | 15 | 793 | ||
| K5791 | 06 | 377-379 | K861 | 07 | 438-440 | L03316 | 09 | 573-575 | ||
| K5792 | 06 | 391-392 | K862 | 07 | 438-440 | L03316 | 09 | 602-603 | ||
| K5793 | 06 | 377-379 | K862 | 15 | 791 | L03316 | 15 | 791 | ||
| K580 | 06 | 391-392 | K862 | 15 | 793 | L03316 | 15 | 793 | ||
| K581 | 06 | 391-392 | K863 | 07 | 438-440 | L03317 | 09 | 573-575 | ||
| K582 | 06 | 391-392 | K863 | 15 | 791 | L03317 | 09 | 602-603 | ||
| K588 | 06 | 391-392 | K863 | 15 | 793 | L03317 | 15 | 791 | ||
| K589 | 06 | 391-392 | K8681 | 07 | 438-440 | L03317 | 15 | 793 | ||
| K5900 | 06 | 391-392 | K8689 | 07 | 438-440 | L03319 | 09 | 573-575 | ||
| K5901 | 06 | 391-392 | K869 | 07 | 438-440 | L03319 | 09 | 602-603 | ||
| K5902 | 06 | 391-392 | K87 | 07 | 444-446 | L03319 | 15 | 791 | ||
| K5903 | 06 | 391-392 | K900 | 06 | 391-392 | L03319 | 15 | 793 | ||
| K5904 | 06 | 391-392 | K901 | 06 | 391-392 | L03321 | 09 | 573-575 | ||
| K5909 | 06 | 391-392 | K902 | 06 | 391-392 | L03321 | 09 | 602-603 | ||
| K591 | 06 | 391-392 | K903 | 06 | 391-392 | L03321 | 15 | 791 | ||
| K592 | 06 | 391-392 | K9041 | 06 | 391-392 | L03321 | 15 | 793 | ||
| K5931 | 06 | 393-395 | K9049 | 06 | 391-392 | L03322 | 09 | 573-575 | ||
| K5939 | 06 | 393-395 | K9081 | 06 | 393-395 | L03322 | 09 | 602-603 | ||
| K594 | 06 | 391-392 | K90821 | 06 | 391-392 | L03322 | 15 | 791 | ||
| K5981 | 06 | 391-392 | K90822 | 06 | 391-392 | L03322 | 15 | 793 | ||
| K5989 | 06 | 391-392 | K90829 | 06 | 391-392 | L03323 | 09 | 573-575 | ||
| K599 | 06 | 391-392 | K9083 | 06 | 391-392 | L03323 | 09 | 602-603 | ||
| K600 | 06 | 393-395 | K9089 | 06 | 391-392 | L03323 | 15 | 791 | ||
| K601 | 06 | 393-395 | K909 | 06 | 391-392 | L03323 | 15 | 793 | ||
| K602 | 06 | 393-395 | K910 | 06 | 391-392 | L03324 | 09 | 573-575 | ||
| K6030 | 06 | 393-395 | K911 | 06 | 391-392 | L03324 | 09 | 602-603 | ||
| K60311 | 06 | 393-395 | K912 | 06 | 391-392 | L03324 | 15 | 791 | ||
| K60312 | 06 | 393-395 | K912 | 15 | 791 | L03324 | 15 | 793 | ||
| K60313 | 06 | 393-395 | K912 | 15 | 793 | L03325 | 09 | 573-575 | ||
| K60319 | 06 | 393-395 | K9130 | 06 | 388-390 | L03325 | 09 | 602-603 | ||
| K60321 | 06 | 393-395 | K9130 | 15 | 791 | L03325 | 15 | 791 | ||
| K60322 | 06 | 393-395 | K9130 | 15 | 793 | L03325 | 15 | 793 | ||
| K60323 | 06 | 393-395 | K9131 | 06 | 388-390 | L03326 | 09 | 573-575 | ||
| K60329 | 06 | 393-395 | K9131 | 15 | 791 | L03326 | 09 | 602-603 | ||
| K6040 | 06 | 393-395 | K9131 | 15 | 793 | L03326 | 15 | 791 | ||
| K60411 | 06 | 393-395 | K9132 | 06 | 388-390 | L03326 | 15 | 793 | ||
| K60412 | 06 | 393-395 | K9132 | 15 | 791 | L03327 | 09 | 573-575 | ||
| K60413 | 06 | 393-395 | K9132 | 15 | 793 | L03327 | 09 | 602-603 | ||
| K60419 | 06 | 393-395 | K915 | 07 | 444-446 | L03327 | 15 | 791 | ||
| K60421 | 06 | 393-395 | K9161 | 21 | 919-921 | L03327 | 15 | 793 | ||
| K60422 | 06 | 393-395 | K9162 | 21 | 919-921 | L03329 | 09 | 573-575 | ||
| K60423 | 06 | 393-395 | K9171 | 15 | 791 | L03329 | 09 | 602-603 | ||
| K60429 | 06 | 393-395 | K9171 | 15 | 793 | L03329 | 15 | 791 | ||
| K6050 | 06 | 393-395 | K9171 | 21 | 919-921 | L03329 | 15 | 793 | ||
| K60511 | 06 | 393-395 | K9172 | 15 | 791 | L03811 | 09 | 573-575 | ||
| K60512 | 06 | 393-395 | K9172 | 15 | 793 | L03811 | 09 | 602-603 | ||
| K60513 | 06 | 393-395 | K9172 | 21 | 919-921 | L03811 | 15 | 791 | ||
| K60519 | 06 | 393-395 | K9181 | 06 | 393-395 | L03811 | 15 | 793 | ||
| K60521 | 06 | 393-395 | K9181 | 15 | 791 | L03818 | 09 | 573-575 | ||
| K60522 | 06 | 393-395 | K9181 | 15 | 793 | L03818 | 09 | 602-603 | ||
| K60523 | 06 | 393-395 | K9182 | 06 | 393-395 | L03818 | 15 | 791 | ||
| K60529 | 06 | 393-395 | K9182 | 15 | 791 | L03818 | 15 | 793 | ||
| K610 | 06 | 393-395 | K9182 | 15 | 793 | L03891 | 09 | 573-575 | ||
| K610 | 15 | 791 | K9183 | 06 | 393-395 | L03891 | 09 | 602-603 | ||
| K610 | 15 | 793 | K9183 | 15 | 791 | L03891 | 15 | 791 | ||
| K611 | 06 | 393-395 | K9183 | 15 | 793 | L03891 | 15 | 793 | ||
| K611 | 15 | 791 | K91840 | 21 | 919-921 | L03898 | 09 | 573-575 | ||
| K611 | 15 | 793 | K91841 | 21 | 919-921 | L03898 | 09 | 602-603 | ||
| K612 | 06 | 393-395 | K91850 | 06 | 393-395 | L03898 | 15 | 791 | ||
| K612 | 15 | 791 | K91850 | 15 | 791 | L03898 | 15 | 793 | ||
| K612 | 15 | 793 | K91850 | 15 | 793 | L0390 | 09 | 573-575 | ||
| K6131 | 06 | 393-395 | K91858 | 06 | 393-395 | L0390 | 09 | 602-603 | ||
| K6131 | 15 | 791 | K91858 | 15 | 791 | L0390 | 15 | 791 | ||
| K6131 | 15 | 793 | K91858 | 15 | 793 | L0390 | 15 | 793 | ||
| K6139 | 06 | 393-395 | K9186 | 06 | 393-395 | L0391 | 09 | 573-575 | ||
| K6139 | 15 | 791 | K9186 | 15 | 791 | L0391 | 09 | 602-603 | ||
| K6139 | 15 | 793 | K9186 | 15 | 793 | L0391 | 15 | 791 | ||
| K614 | 06 | 393-395 | K91870 | 21 | 919-921 | L0391 | 15 | 793 | ||
| K614 | 15 | 791 | K91871 | 21 | 919-921 | L040 | 15 | 791 | ||
| K614 | 15 | 793 | K91872 | 21 | 919-921 | L040 | 15 | 793 | ||
| K615 | 06 | 393-395 | K91873 | 21 | 919-921 | L040 | 16 | 814-816 | ||
| K615 | 15 | 791 | K9189 | 06 | 393-395 | L041 | 15 | 791 | ||
| K615 | 15 | 793 | K9189 | 15 | 791 | L041 | 15 | 793 | ||
| K620 | 06 | 393-395 | K9189 | 15 | 793 | L041 | 16 | 814-816 | ||
| K621 | 06 | 393-395 | K920 | 06 | 377-379 | L042 | 15 | 791 | ||
| K622 | 06 | 393-395 | K920 | 15 | 791 | L042 | 15 | 793 | ||
| K623 | 06 | 393-395 | K920 | 15 | 793 | L042 | 16 | 814-816 | ||
| K624 | 06 | 393-395 | K921 | 06 | 377-379 | L043 | 15 | 791 | ||
| K625 | 06 | 377-379 | K921 | 15 | 791 | L043 | 15 | 793 | ||
| K625 | 15 | 791 | K921 | 15 | 793 | L043 | 16 | 814-816 | ||
| K625 | 15 | 793 | K922 | 06 | 377-379 | L048 | 15 | 791 | ||
| K626 | 06 | 393-395 | K922 | 15 | 791 | L048 | 15 | 793 | ||
| K627 | 06 | 393-395 | K922 | 15 | 793 | L048 | 16 | 814-816 | ||
| K6281 | 06 | 393-395 | K9281 | 06 | 391-392 | L049 | 15 | 791 | ||
| K6282 | 06 | 393-395 | K9289 | 06 | 393-395 | L049 | 15 | 793 | ||
| K6289 | 06 | 393-395 | K929 | 06 | 393-395 | L049 | 16 | 814-816 | ||
| K629 | 06 | 393-395 | K9400 | 06 | 393-395 | L0501 | 09 | 602-603 | ||
| K630 | 06 | 371-373 | K9401 | 06 | 393-395 | L0502 | 09 | 602-603 | ||
| K631 | 06 | 393-395 | K9402 | 06 | 393-395 | L0591 | 09 | 602-603 | ||
| K631 | 15 | 791 | K9403 | 06 | 393-395 | L0592 | 09 | 602-603 | ||
| K631 | 15 | 793 | K9409 | 06 | 393-395 | L080 | 09 | 602-603 | ||
| K632 | 06 | 393-395 | K9410 | 06 | 393-395 | L081 | 09 | 606-607 | ||
| K633 | 06 | 393-395 | K9411 | 06 | 393-395 | L081 | 25 | 974-976 | ||
| K634 | 06 | 393-395 | K9412 | 06 | 393-395 | L0881 | 09 | 602-603 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |