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 21 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| M84311S | 08 | 559-561 | M84453G | 08 | 559-561 | M84576D | 08 | 559-561 | ||
| M84312A | 08 | 542-544 | M84453K | 08 | 521-522 | M84576G | 08 | 559-561 | ||
| M84312D | 08 | 559-561 | M84453K | 08 | 564-566 | M84576K | 08 | 564-566 | ||
| M84312G | 08 | 559-561 | M84453P | 08 | 521-522 | M84576P | 08 | 564-566 | ||
| M84312K | 08 | 564-566 | M84453P | 08 | 564-566 | M84576S | 08 | 559-561 | ||
| M84312P | 08 | 564-566 | M84453S | 08 | 559-561 | M8458XA | 08 | 456-458 | ||
| M84312S | 08 | 559-561 | M84454A | 08 | 542-544 | M8458XA | 08 | 542-544 | ||
| M84319A | 08 | 542-544 | M84454A | 15 | 791 | M8458XA | 15 | 791 | ||
| M84319D | 08 | 559-561 | M84454A | 15 | 793 | M8458XA | 15 | 793 | ||
| M84319G | 08 | 559-561 | M84454D | 08 | 559-561 | M8458XD | 08 | 559-561 | ||
| M84319K | 08 | 564-566 | M84454G | 08 | 559-561 | M8458XG | 08 | 559-561 | ||
| M84319P | 08 | 564-566 | M84454K | 08 | 564-566 | M8458XK | 08 | 564-566 | ||
| M84319S | 08 | 559-561 | M84454P | 08 | 564-566 | M8458XP | 08 | 564-566 | ||
| M84321A | 08 | 542-544 | M84454S | 08 | 551-552 | M8458XS | 08 | 551-552 | ||
| M84321D | 08 | 559-561 | M84459A | 08 | 521-522 | M8460XA | 08 | 542-544 | ||
| M84321G | 08 | 559-561 | M84459A | 08 | 542-544 | M8460XA | 15 | 791 | ||
| M84321K | 08 | 564-566 | M84459A | 15 | 791 | M8460XA | 15 | 793 | ||
| M84321P | 08 | 564-566 | M84459A | 15 | 793 | M8460XD | 08 | 559-561 | ||
| M84321S | 08 | 559-561 | M84459D | 08 | 559-561 | M8460XG | 08 | 559-561 | ||
| M84322A | 08 | 542-544 | M84459G | 08 | 559-561 | M8460XK | 08 | 564-566 | ||
| M84322D | 08 | 559-561 | M84459K | 08 | 521-522 | M8460XP | 08 | 564-566 | ||
| M84322G | 08 | 559-561 | M84459K | 08 | 564-566 | M8460XS | 08 | 559-561 | ||
| M84322K | 08 | 564-566 | M84459P | 08 | 521-522 | M84611A | 08 | 542-544 | ||
| M84322P | 08 | 564-566 | M84459P | 08 | 564-566 | M84611A | 15 | 791 | ||
| M84322S | 08 | 559-561 | M84459S | 08 | 559-561 | M84611A | 15 | 793 | ||
| M84329A | 08 | 542-544 | M84461A | 08 | 542-544 | M84611D | 08 | 559-561 | ||
| M84329D | 08 | 559-561 | M84461A | 15 | 791 | M84611G | 08 | 559-561 | ||
| M84329G | 08 | 559-561 | M84461A | 15 | 793 | M84611K | 08 | 564-566 | ||
| M84329K | 08 | 564-566 | M84461D | 08 | 559-561 | M84611P | 08 | 564-566 | ||
| M84329P | 08 | 564-566 | M84461G | 08 | 559-561 | M84611S | 08 | 559-561 | ||
| M84329S | 08 | 559-561 | M84461K | 08 | 564-566 | M84612A | 08 | 542-544 | ||
| M84331A | 08 | 542-544 | M84461P | 08 | 564-566 | M84612A | 15 | 791 | ||
| M84331D | 08 | 559-561 | M84461S | 08 | 559-561 | M84612A | 15 | 793 | ||
| M84331G | 08 | 559-561 | M84462A | 08 | 542-544 | M84612D | 08 | 559-561 | ||
| M84331K | 08 | 564-566 | M84462A | 15 | 791 | M84612G | 08 | 559-561 | ||
| M84331P | 08 | 564-566 | M84462A | 15 | 793 | M84612K | 08 | 564-566 | ||
| M84331S | 08 | 559-561 | M84462D | 08 | 559-561 | M84612P | 08 | 564-566 | ||
| M84332A | 08 | 542-544 | M84462G | 08 | 559-561 | M84612S | 08 | 559-561 | ||
| M84332D | 08 | 559-561 | M84462K | 08 | 564-566 | M84619A | 08 | 542-544 | ||
| M84332G | 08 | 559-561 | M84462P | 08 | 564-566 | M84619A | 15 | 791 | ||
| M84332K | 08 | 564-566 | M84462S | 08 | 559-561 | M84619A | 15 | 793 | ||
| M84332P | 08 | 564-566 | M84463A | 08 | 542-544 | M84619D | 08 | 559-561 | ||
| M84332S | 08 | 559-561 | M84463A | 15 | 791 | M84619G | 08 | 559-561 | ||
| M84333A | 08 | 542-544 | M84463A | 15 | 793 | M84619K | 08 | 564-566 | ||
| M84333D | 08 | 559-561 | M84463D | 08 | 559-561 | M84619P | 08 | 564-566 | ||
| M84333G | 08 | 559-561 | M84463G | 08 | 559-561 | M84619S | 08 | 559-561 | ||
| M84333K | 08 | 564-566 | M84463K | 08 | 564-566 | M84621A | 08 | 542-544 | ||
| M84333P | 08 | 564-566 | M84463P | 08 | 564-566 | M84621A | 15 | 791 | ||
| M84333S | 08 | 559-561 | M84463S | 08 | 559-561 | M84621A | 15 | 793 | ||
| M84334A | 08 | 542-544 | M84464A | 08 | 542-544 | M84621D | 08 | 559-561 | ||
| M84334D | 08 | 559-561 | M84464A | 15 | 791 | M84621G | 08 | 559-561 | ||
| M84334G | 08 | 559-561 | M84464A | 15 | 793 | M84621K | 08 | 564-566 | ||
| M84334K | 08 | 564-566 | M84464D | 08 | 559-561 | M84621P | 08 | 564-566 | ||
| M84334P | 08 | 564-566 | M84464G | 08 | 559-561 | M84621S | 08 | 559-561 | ||
| M84334S | 08 | 559-561 | M84464K | 08 | 564-566 | M84622A | 08 | 542-544 | ||
| M84339A | 08 | 542-544 | M84464P | 08 | 564-566 | M84622A | 15 | 791 | ||
| M84339D | 08 | 559-561 | M84464S | 08 | 559-561 | M84622A | 15 | 793 | ||
| M84339G | 08 | 559-561 | M84469A | 08 | 542-544 | M84622D | 08 | 559-561 | ||
| M84339K | 08 | 564-566 | M84469A | 15 | 791 | M84622G | 08 | 559-561 | ||
| M84339P | 08 | 564-566 | M84469A | 15 | 793 | M84622K | 08 | 564-566 | ||
| M84339S | 08 | 559-561 | M84469D | 08 | 559-561 | M84622P | 08 | 564-566 | ||
| M84341A | 08 | 542-544 | M84469G | 08 | 559-561 | M84622S | 08 | 559-561 | ||
| M84341D | 08 | 559-561 | M84469K | 08 | 564-566 | M84629A | 08 | 542-544 | ||
| M84341G | 08 | 559-561 | M84469P | 08 | 564-566 | M84629A | 15 | 791 | ||
| M84341K | 08 | 564-566 | M84469S | 08 | 559-561 | M84629A | 15 | 793 | ||
| M84341P | 08 | 564-566 | M84471A | 08 | 542-544 | M84629D | 08 | 559-561 | ||
| M84341S | 08 | 559-561 | M84471A | 15 | 791 | M84629G | 08 | 559-561 | ||
| M84342A | 08 | 542-544 | M84471A | 15 | 793 | M84629K | 08 | 564-566 | ||
| M84342D | 08 | 559-561 | M84471D | 08 | 559-561 | M84629P | 08 | 564-566 | ||
| M84342G | 08 | 559-561 | M84471G | 08 | 559-561 | M84629S | 08 | 559-561 | ||
| M84342K | 08 | 564-566 | M84471K | 08 | 564-566 | M84631A | 08 | 542-544 | ||
| M84342P | 08 | 564-566 | M84471P | 08 | 564-566 | M84631A | 15 | 791 | ||
| M84342S | 08 | 559-561 | M84471S | 08 | 559-561 | M84631A | 15 | 793 | ||
| M84343A | 08 | 542-544 | M84472A | 08 | 542-544 | M84631D | 08 | 559-561 | ||
| M84343D | 08 | 559-561 | M84472A | 15 | 791 | M84631G | 08 | 559-561 | ||
| M84343G | 08 | 559-561 | M84472A | 15 | 793 | M84631K | 08 | 564-566 | ||
| M84343K | 08 | 564-566 | M84472D | 08 | 559-561 | M84631P | 08 | 564-566 | ||
| M84343P | 08 | 564-566 | M84472G | 08 | 559-561 | M84631S | 08 | 559-561 | ||
| M84343S | 08 | 559-561 | M84472K | 08 | 564-566 | M84632A | 08 | 542-544 | ||
| M84344A | 08 | 542-544 | M84472P | 08 | 564-566 | M84632A | 15 | 791 | ||
| M84344D | 08 | 559-561 | M84472S | 08 | 559-561 | M84632A | 15 | 793 | ||
| M84344G | 08 | 559-561 | M84473A | 08 | 542-544 | M84632D | 08 | 559-561 | ||
| M84344K | 08 | 564-566 | M84473A | 15 | 791 | M84632G | 08 | 559-561 | ||
| M84344P | 08 | 564-566 | M84473A | 15 | 793 | M84632K | 08 | 564-566 | ||
| M84344S | 08 | 559-561 | M84473D | 08 | 559-561 | M84632P | 08 | 564-566 | ||
| M84345A | 08 | 542-544 | M84473G | 08 | 559-561 | M84632S | 08 | 559-561 | ||
| M84345D | 08 | 559-561 | M84473K | 08 | 564-566 | M84633A | 08 | 542-544 | ||
| M84345G | 08 | 559-561 | M84473P | 08 | 564-566 | M84633A | 15 | 791 | ||
| M84345K | 08 | 564-566 | M84473S | 08 | 559-561 | M84633A | 15 | 793 | ||
| M84345P | 08 | 564-566 | M84474A | 08 | 542-544 | M84633D | 08 | 559-561 | ||
| M84345S | 08 | 559-561 | M84474A | 15 | 791 | M84633G | 08 | 559-561 | ||
| M84346A | 08 | 542-544 | M84474A | 15 | 793 | M84633K | 08 | 564-566 | ||
| M84346D | 08 | 559-561 | M84474D | 08 | 559-561 | M84633P | 08 | 564-566 | ||
| M84346G | 08 | 559-561 | M84474G | 08 | 559-561 | M84633S | 08 | 559-561 | ||
| M84346K | 08 | 564-566 | M84474K | 08 | 564-566 | M84634A | 08 | 542-544 | ||
| M84346P | 08 | 564-566 | M84474P | 08 | 564-566 | M84634A | 15 | 791 | ||
| M84346S | 08 | 559-561 | M84474S | 08 | 559-561 | M84634A | 15 | 793 | ||
| M84350A | 08 | 542-544 | M84475A | 08 | 542-544 | M84634D | 08 | 559-561 | ||
| M84350D | 08 | 559-561 | M84475A | 15 | 791 | M84634G | 08 | 559-561 | ||
| M84350G | 08 | 559-561 | M84475A | 15 | 793 | M84634K | 08 | 564-566 | ||
| M84350K | 08 | 564-566 | M84475D | 08 | 559-561 | M84634P | 08 | 564-566 | ||
| M84350P | 08 | 564-566 | M84475G | 08 | 559-561 | M84634S | 08 | 559-561 | ||
| M84350S | 08 | 551-552 | M84475K | 08 | 564-566 | M84639A | 08 | 542-544 | ||
| M84351A | 08 | 521-522 | M84475P | 08 | 564-566 | M84639A | 15 | 791 | ||
| M84351A | 08 | 542-544 | M84475S | 08 | 559-561 | M84639A | 15 | 793 | ||
| M84351D | 08 | 559-561 | M84476A | 08 | 542-544 | M84639D | 08 | 559-561 | ||
| M84351G | 08 | 559-561 | M84476A | 15 | 791 | M84639G | 08 | 559-561 | ||
| M84351K | 08 | 521-522 | M84476A | 15 | 793 | M84639K | 08 | 564-566 | ||
| M84351K | 08 | 564-566 | M84476D | 08 | 559-561 | M84639P | 08 | 564-566 | ||
| M84351P | 08 | 521-522 | M84476G | 08 | 559-561 | M84639S | 08 | 559-561 | ||
| M84351P | 08 | 564-566 | M84476K | 08 | 564-566 | M84641A | 08 | 542-544 | ||
| M84351S | 08 | 559-561 | M84476P | 08 | 564-566 | M84641A | 15 | 791 | ||
| M84352A | 08 | 521-522 | M84476S | 08 | 559-561 | M84641A | 15 | 793 | ||
| M84352A | 08 | 542-544 | M84477A | 08 | 542-544 | M84641D | 08 | 559-561 | ||
| M84352D | 08 | 559-561 | M84477A | 15 | 791 | M84641G | 08 | 559-561 | ||
| M84352G | 08 | 559-561 | M84477A | 15 | 793 | M84641K | 08 | 564-566 | ||
| M84352K | 08 | 521-522 | M84477D | 08 | 559-561 | M84641P | 08 | 564-566 | ||
| M84352K | 08 | 564-566 | M84477G | 08 | 559-561 | M84641S | 08 | 559-561 | ||
| M84352P | 08 | 521-522 | M84477K | 08 | 564-566 | M84642A | 08 | 542-544 | ||
| M84352P | 08 | 564-566 | M84477P | 08 | 564-566 | M84642A | 15 | 791 | ||
| M84352S | 08 | 559-561 | M84477S | 08 | 559-561 | M84642A | 15 | 793 | ||
| M84353A | 08 | 521-522 | M84478A | 08 | 542-544 | M84642D | 08 | 559-561 | ||
| M84353A | 08 | 542-544 | M84478A | 15 | 791 | M84642G | 08 | 559-561 | ||
| M84353D | 08 | 559-561 | M84478A | 15 | 793 | M84642K | 08 | 564-566 | ||
| M84353G | 08 | 559-561 | M84478D | 08 | 559-561 | M84642P | 08 | 564-566 | ||
| M84353K | 08 | 521-522 | M84478G | 08 | 559-561 | M84642S | 08 | 559-561 | ||
| M84353K | 08 | 564-566 | M84478K | 08 | 564-566 | M84649A | 08 | 542-544 | ||
| M84353P | 08 | 521-522 | M84478P | 08 | 564-566 | M84649A | 15 | 791 | ||
| M84353P | 08 | 564-566 | M84478S | 08 | 559-561 | M84649A | 15 | 793 | ||
| M84353S | 08 | 559-561 | M84479A | 08 | 542-544 | M84649D | 08 | 559-561 | ||
| M84359A | 08 | 521-522 | M84479A | 15 | 791 | M84649G | 08 | 559-561 | ||
| M84359A | 08 | 542-544 | M84479A | 15 | 793 | M84649K | 08 | 564-566 | ||
| M84359D | 08 | 559-561 | M84479D | 08 | 559-561 | M84649P | 08 | 564-566 | ||
| M84359G | 08 | 559-561 | M84479G | 08 | 559-561 | M84649S | 08 | 559-561 | ||
| M84359K | 08 | 521-522 | M84479K | 08 | 564-566 | M84650A | 08 | 542-544 | ||
| M84359K | 08 | 564-566 | M84479P | 08 | 564-566 | M84650A | 15 | 791 | ||
| M84359P | 08 | 521-522 | M84479S | 08 | 559-561 | M84650A | 15 | 793 | ||
| M84359P | 08 | 564-566 | M8448XA | 08 | 542-544 | M84650D | 08 | 559-561 | ||
| M84359S | 08 | 559-561 | M8448XA | 15 | 791 | M84650G | 08 | 559-561 | ||
| M84361A | 08 | 542-544 | M8448XA | 15 | 793 | M84650K | 08 | 564-566 | ||
| M84361D | 08 | 559-561 | M8448XD | 08 | 559-561 | M84650P | 08 | 564-566 | ||
| M84361G | 08 | 559-561 | M8448XG | 08 | 559-561 | M84650S | 08 | 551-552 | ||
| M84361K | 08 | 564-566 | M8448XK | 08 | 564-566 | M84651A | 08 | 521-522 | ||
| M84361P | 08 | 564-566 | M8448XP | 08 | 564-566 | M84651A | 08 | 542-544 | ||
| M84361S | 08 | 559-561 | M8448XS | 08 | 559-561 | M84651A | 15 | 791 | ||
| M84362A | 08 | 542-544 | M8450XA | 08 | 542-544 | M84651A | 15 | 793 | ||
| M84362D | 08 | 559-561 | M8450XA | 15 | 791 | M84651D | 08 | 559-561 | ||
| M84362G | 08 | 559-561 | M8450XA | 15 | 793 | M84651G | 08 | 559-561 | ||
| M84362K | 08 | 564-566 | M8450XD | 08 | 559-561 | M84651K | 08 | 521-522 | ||
| M84362P | 08 | 564-566 | M8450XG | 08 | 559-561 | M84651K | 08 | 564-566 | ||
| M84362S | 08 | 559-561 | M8450XK | 08 | 564-566 | M84651P | 08 | 521-522 | ||
| M84363A | 08 | 542-544 | M8450XP | 08 | 564-566 | M84651P | 08 | 564-566 | ||
| M84363D | 08 | 559-561 | M8450XS | 08 | 559-561 | M84651S | 08 | 559-561 | ||
| M84363G | 08 | 559-561 | M84511A | 08 | 542-544 | M84652A | 08 | 521-522 | ||
| M84363K | 08 | 564-566 | M84511A | 15 | 791 | M84652A | 08 | 542-544 | ||
| M84363P | 08 | 564-566 | M84511A | 15 | 793 | M84652A | 15 | 791 | ||
| M84363S | 08 | 559-561 | M84511D | 08 | 559-561 | M84652A | 15 | 793 | ||
| M84364A | 08 | 542-544 | M84511G | 08 | 559-561 | M84652D | 08 | 559-561 | ||
| M84364D | 08 | 559-561 | M84511K | 08 | 564-566 | M84652G | 08 | 559-561 | ||
| M84364G | 08 | 559-561 | M84511P | 08 | 564-566 | M84652K | 08 | 521-522 | ||
| M84364K | 08 | 564-566 | M84511S | 08 | 559-561 | M84652K | 08 | 564-566 | ||
| M84364P | 08 | 564-566 | M84512A | 08 | 542-544 | M84652P | 08 | 521-522 | ||
| M84364S | 08 | 559-561 | M84512A | 15 | 791 | M84652P | 08 | 564-566 | ||
| M84369A | 08 | 542-544 | M84512A | 15 | 793 | M84652S | 08 | 559-561 | ||
| M84369D | 08 | 559-561 | M84512D | 08 | 559-561 | M84653A | 08 | 521-522 | ||
| M84369G | 08 | 559-561 | M84512G | 08 | 559-561 | M84653A | 08 | 542-544 | ||
| M84369K | 08 | 564-566 | M84512K | 08 | 564-566 | M84653A | 15 | 791 | ||
| M84369P | 08 | 564-566 | M84512P | 08 | 564-566 | M84653A | 15 | 793 | ||
| M84369S | 08 | 559-561 | M84512S | 08 | 559-561 | M84653D | 08 | 559-561 | ||
| M84371A | 08 | 542-544 | M84519A | 08 | 542-544 | M84653G | 08 | 559-561 | ||
| M84371D | 08 | 559-561 | M84519A | 15 | 791 | M84653K | 08 | 521-522 | ||
| M84371G | 08 | 559-561 | M84519A | 15 | 793 | M84653K | 08 | 564-566 | ||
| M84371K | 08 | 564-566 | M84519D | 08 | 559-561 | M84653P | 08 | 521-522 | ||
| M84371P | 08 | 564-566 | M84519G | 08 | 559-561 | M84653P | 08 | 564-566 | ||
| M84371S | 08 | 559-561 | M84519K | 08 | 564-566 | M84653S | 08 | 559-561 | ||
| M84372A | 08 | 542-544 | M84519P | 08 | 564-566 | M84659A | 08 | 521-522 | ||
| M84372D | 08 | 559-561 | M84519S | 08 | 559-561 | M84659A | 08 | 542-544 | ||
| M84372G | 08 | 559-561 | M84521A | 08 | 542-544 | M84659A | 15 | 791 | ||
| M84372K | 08 | 564-566 | M84521A | 15 | 791 | M84659A | 15 | 793 | ||
| M84372P | 08 | 564-566 | M84521A | 15 | 793 | M84659D | 08 | 559-561 | ||
| M84372S | 08 | 559-561 | M84521D | 08 | 559-561 | M84659G | 08 | 559-561 | ||
| M84373A | 08 | 542-544 | M84521G | 08 | 559-561 | M84659K | 08 | 521-522 | ||
| M84373D | 08 | 559-561 | M84521K | 08 | 564-566 | M84659K | 08 | 564-566 | ||
| M84373G | 08 | 559-561 | M84521P | 08 | 564-566 | M84659P | 08 | 521-522 | ||
| M84373K | 08 | 564-566 | M84521S | 08 | 559-561 | M84659P | 08 | 564-566 | ||
| M84373P | 08 | 564-566 | M84522A | 08 | 542-544 | M84659S | 08 | 559-561 | ||
| M84373S | 08 | 559-561 | M84522A | 15 | 791 | M84661A | 08 | 542-544 | ||
| M84374A | 08 | 542-544 | M84522A | 15 | 793 | M84661A | 15 | 791 | ||
| M84374D | 08 | 559-561 | M84522D | 08 | 559-561 | M84661A | 15 | 793 | ||
| M84374G | 08 | 559-561 | M84522G | 08 | 559-561 | M84661D | 08 | 559-561 | ||
| M84374K | 08 | 564-566 | M84522K | 08 | 564-566 | M84661G | 08 | 559-561 | ||
| M84374P | 08 | 564-566 | M84522P | 08 | 564-566 | M84661K | 08 | 564-566 | ||
| M84374S | 08 | 559-561 | M84522S | 08 | 559-561 | M84661P | 08 | 564-566 | ||
| M84375A | 08 | 542-544 | M84529A | 08 | 542-544 | M84661S | 08 | 559-561 | ||
| M84375D | 08 | 559-561 | M84529A | 15 | 791 | M84662A | 08 | 542-544 | ||
| M84375G | 08 | 559-561 | M84529A | 15 | 793 | M84662A | 15 | 791 | ||
| M84375K | 08 | 564-566 | M84529D | 08 | 559-561 | M84662A | 15 | 793 | ||
| M84375P | 08 | 564-566 | M84529G | 08 | 559-561 | M84662D | 08 | 559-561 | ||
| M84375S | 08 | 559-561 | M84529K | 08 | 564-566 | M84662G | 08 | 559-561 | ||
| M84376A | 08 | 542-544 | M84529P | 08 | 564-566 | M84662K | 08 | 564-566 | ||
| M84376D | 08 | 559-561 | M84529S | 08 | 559-561 | M84662P | 08 | 564-566 | ||
| M84376G | 08 | 559-561 | M84531A | 08 | 542-544 | M84662S | 08 | 559-561 | ||
| M84376K | 08 | 564-566 | M84531A | 15 | 791 | M84663A | 08 | 542-544 | ||
| M84376P | 08 | 564-566 | M84531A | 15 | 793 | M84663A | 15 | 791 | ||
| M84376S | 08 | 559-561 | M84531D | 08 | 559-561 | M84663A | 15 | 793 | ||
| M84377A | 08 | 542-544 | M84531G | 08 | 559-561 | M84663D | 08 | 559-561 | ||
| M84377D | 08 | 559-561 | M84531K | 08 | 564-566 | M84663G | 08 | 559-561 | ||
| M84377G | 08 | 559-561 | M84531P | 08 | 564-566 | M84663K | 08 | 564-566 | ||
| M84377K | 08 | 564-566 | M84531S | 08 | 559-561 | M84663P | 08 | 564-566 | ||
| M84377P | 08 | 564-566 | M84532A | 08 | 542-544 | M84663S | 08 | 559-561 | ||
| M84377S | 08 | 559-561 | M84532A | 15 | 791 | M84664A | 08 | 542-544 | ||
| M84378A | 08 | 542-544 | M84532A | 15 | 793 | M84664A | 15 | 791 | ||
| M84378D | 08 | 559-561 | M84532D | 08 | 559-561 | M84664A | 15 | 793 | ||
| M84378G | 08 | 559-561 | M84532G | 08 | 559-561 | M84664D | 08 | 559-561 | ||
| M84378K | 08 | 564-566 | M84532K | 08 | 564-566 | M84664G | 08 | 559-561 | ||
| M84378P | 08 | 564-566 | M84532P | 08 | 564-566 | M84664K | 08 | 564-566 | ||
| M84378S | 08 | 559-561 | M84532S | 08 | 559-561 | M84664P | 08 | 564-566 | ||
| M84379A | 08 | 542-544 | M84533A | 08 | 542-544 | M84664S | 08 | 559-561 | ||
| M84379D | 08 | 559-561 | M84533A | 15 | 791 | M84669A | 08 | 542-544 | ||
| M84379G | 08 | 559-561 | M84533A | 15 | 793 | M84669A | 15 | 791 | ||
| M84379K | 08 | 564-566 | M84533D | 08 | 559-561 | M84669A | 15 | 793 | ||
| M84379P | 08 | 564-566 | M84533G | 08 | 559-561 | M84669D | 08 | 559-561 | ||
| M84379S | 08 | 559-561 | M84533K | 08 | 564-566 | M84669G | 08 | 559-561 | ||
| M8438XA | 08 | 542-544 | M84533P | 08 | 564-566 | M84669K | 08 | 564-566 | ||
| M8438XD | 08 | 559-561 | M84533S | 08 | 559-561 | M84669P | 08 | 564-566 | ||
| M8438XG | 08 | 559-561 | M84534A | 08 | 542-544 | M84669S | 08 | 559-561 | ||
| M8438XK | 08 | 564-566 | M84534A | 15 | 791 | M84671A | 08 | 542-544 | ||
| M8438XP | 08 | 564-566 | M84534A | 15 | 793 | M84671A | 15 | 791 | ||
| M8438XS | 08 | 559-561 | M84534D | 08 | 559-561 | M84671A | 15 | 793 | ||
| M8440XA | 08 | 542-544 | M84534G | 08 | 559-561 | M84671D | 08 | 559-561 | ||
| M8440XA | 15 | 791 | M84534K | 08 | 564-566 | M84671G | 08 | 559-561 | ||
| M8440XA | 15 | 793 | M84534P | 08 | 564-566 | M84671K | 08 | 564-566 | ||
| M8440XD | 08 | 559-561 | M84534S | 08 | 559-561 | M84671P | 08 | 564-566 | ||
| M8440XG | 08 | 559-561 | M84539A | 08 | 542-544 | M84671S | 08 | 559-561 | ||
| M8440XK | 08 | 564-566 | M84539A | 15 | 791 | M84672A | 08 | 542-544 | ||
| M8440XP | 08 | 564-566 | M84539A | 15 | 793 | M84672A | 15 | 791 | ||
| M8440XS | 08 | 559-561 | M84539D | 08 | 559-561 | M84672A | 15 | 793 | ||
| M84411A | 08 | 542-544 | M84539G | 08 | 559-561 | M84672D | 08 | 559-561 | ||
| M84411A | 15 | 791 | M84539K | 08 | 564-566 | M84672G | 08 | 559-561 | ||
| M84411A | 15 | 793 | M84539P | 08 | 564-566 | M84672K | 08 | 564-566 | ||
| M84411D | 08 | 559-561 | M84539S | 08 | 559-561 | M84672P | 08 | 564-566 | ||
| M84411G | 08 | 559-561 | M84541A | 08 | 542-544 | M84672S | 08 | 559-561 | ||
| M84411K | 08 | 564-566 | M84541A | 15 | 791 | M84673A | 08 | 542-544 | ||
| M84411P | 08 | 564-566 | M84541A | 15 | 793 | M84673A | 15 | 791 | ||
| M84411S | 08 | 559-561 | M84541D | 08 | 559-561 | M84673A | 15 | 793 | ||
| M84412A | 08 | 542-544 | M84541G | 08 | 559-561 | M84673D | 08 | 559-561 | ||
| M84412A | 15 | 791 | M84541K | 08 | 564-566 | M84673G | 08 | 559-561 | ||
| M84412A | 15 | 793 | M84541P | 08 | 564-566 | M84673K | 08 | 564-566 | ||
| M84412D | 08 | 559-561 | M84541S | 08 | 559-561 | M84673P | 08 | 564-566 | ||
| M84412G | 08 | 559-561 | M84542A | 08 | 542-544 | M84673S | 08 | 559-561 | ||
| M84412K | 08 | 564-566 | M84542A | 15 | 791 | M84674A | 08 | 542-544 | ||
| M84412P | 08 | 564-566 | M84542A | 15 | 793 | M84674A | 15 | 791 | ||
| M84412S | 08 | 559-561 | M84542D | 08 | 559-561 | M84674A | 15 | 793 | ||
| M84419A | 08 | 542-544 | M84542G | 08 | 559-561 | M84674D | 08 | 559-561 | ||
| M84419A | 15 | 791 | M84542K | 08 | 564-566 | M84674G | 08 | 559-561 | ||
| M84419A | 15 | 793 | M84542P | 08 | 564-566 | M84674K | 08 | 564-566 | ||
| M84419D | 08 | 559-561 | M84542S | 08 | 559-561 | M84674P | 08 | 564-566 | ||
| M84419G | 08 | 559-561 | M84549A | 08 | 542-544 | M84674S | 08 | 559-561 | ||
| M84419K | 08 | 564-566 | M84549A | 15 | 791 | M84675A | 08 | 542-544 | ||
| M84419P | 08 | 564-566 | M84549A | 15 | 793 | M84675A | 15 | 791 | ||
| M84419S | 08 | 559-561 | M84549D | 08 | 559-561 | M84675A | 15 | 793 | ||
| M84421A | 08 | 542-544 | M84549G | 08 | 559-561 | M84675D | 08 | 559-561 | ||
| M84421A | 15 | 791 | M84549K | 08 | 564-566 | M84675G | 08 | 559-561 | ||
| M84421A | 15 | 793 | M84549P | 08 | 564-566 | M84675K | 08 | 564-566 | ||
| M84421D | 08 | 559-561 | M84549S | 08 | 559-561 | M84675P | 08 | 564-566 | ||
| M84421G | 08 | 559-561 | M84550A | 08 | 542-544 | M84675S | 08 | 559-561 | ||
| M84421K | 08 | 564-566 | M84550A | 15 | 791 | M84676A | 08 | 542-544 | ||
| M84421P | 08 | 564-566 | M84550A | 15 | 793 | M84676A | 15 | 791 | ||
| M84421S | 08 | 559-561 | M84550D | 08 | 559-561 | M84676A | 15 | 793 | ||
| M84422A | 08 | 542-544 | M84550G | 08 | 559-561 | M84676D | 08 | 559-561 | ||
| M84422A | 15 | 791 | M84550K | 08 | 564-566 | M84676G | 08 | 559-561 | ||
| M84422A | 15 | 793 | M84550P | 08 | 564-566 | M84676K | 08 | 564-566 | ||
| M84422D | 08 | 559-561 | M84550S | 08 | 551-552 | M84676P | 08 | 564-566 | ||
| M84422G | 08 | 559-561 | M84551A | 08 | 521-522 | M84676S | 08 | 559-561 | ||
| M84422K | 08 | 564-566 | M84551A | 08 | 542-544 | M8468XA | 08 | 456-458 | ||
| M84422P | 08 | 564-566 | M84551A | 15 | 791 | M8468XA | 08 | 542-544 | ||
| M84422S | 08 | 559-561 | M84551A | 15 | 793 | M8468XA | 15 | 791 | ||
| M84429A | 08 | 542-544 | M84551D | 08 | 559-561 | M8468XA | 15 | 793 | ||
| M84429A | 15 | 791 | M84551G | 08 | 559-561 | M8468XD | 08 | 559-561 | ||
| M84429A | 15 | 793 | M84551K | 08 | 521-522 | M8468XG | 08 | 559-561 | ||
| M84429D | 08 | 559-561 | M84551K | 08 | 564-566 | M8468XK | 08 | 564-566 | ||
| M84429G | 08 | 559-561 | M84551P | 08 | 521-522 | M8468XP | 08 | 564-566 | ||
| M84429K | 08 | 564-566 | M84551P | 08 | 564-566 | M8468XS | 08 | 559-561 | ||
| M84429P | 08 | 564-566 | M84551S | 08 | 559-561 | M84750A | 08 | 521-522 | ||
| M84429S | 08 | 559-561 | M84552A | 08 | 521-522 | M84750A | 08 | 542-544 | ||
| M84431A | 08 | 542-544 | M84552A | 08 | 542-544 | M84750A | 15 | 791 | ||
| M84431A | 15 | 791 | M84552A | 15 | 791 | M84750A | 15 | 793 | ||
| M84431A | 15 | 793 | M84552A | 15 | 793 | M84750D | 08 | 559-561 | ||
| M84431D | 08 | 559-561 | M84552D | 08 | 559-561 | M84750G | 08 | 521-522 | ||
| M84431G | 08 | 559-561 | M84552G | 08 | 559-561 | M84750G | 08 | 559-561 | ||
| M84431K | 08 | 564-566 | M84552K | 08 | 521-522 | M84750K | 08 | 521-522 | ||
| M84431P | 08 | 564-566 | M84552K | 08 | 564-566 | M84750K | 08 | 564-566 | ||
| M84431S | 08 | 559-561 | M84552P | 08 | 521-522 | M84750P | 08 | 521-522 | ||
| M84432A | 08 | 542-544 | M84552P | 08 | 564-566 | M84750P | 08 | 564-566 | ||
| M84432A | 15 | 791 | M84552S | 08 | 559-561 | M84750S | 08 | 559-561 | ||
| M84432A | 15 | 793 | M84553A | 08 | 521-522 | M84751A | 08 | 521-522 | ||
| M84432D | 08 | 559-561 | M84553A | 08 | 542-544 | M84751A | 08 | 542-544 | ||
| M84432G | 08 | 559-561 | M84553A | 15 | 791 | M84751A | 15 | 791 | ||
| M84432K | 08 | 564-566 | M84553A | 15 | 793 | M84751A | 15 | 793 | ||
| M84432P | 08 | 564-566 | M84553D | 08 | 559-561 | M84751D | 08 | 559-561 | ||
| M84432S | 08 | 559-561 | M84553G | 08 | 559-561 | M84751G | 08 | 521-522 | ||
| M84433A | 08 | 542-544 | M84553K | 08 | 521-522 | M84751G | 08 | 559-561 | ||
| M84433A | 15 | 791 | M84553K | 08 | 564-566 | M84751K | 08 | 521-522 | ||
| M84433A | 15 | 793 | M84553P | 08 | 521-522 | M84751K | 08 | 564-566 | ||
| M84433D | 08 | 559-561 | M84553P | 08 | 564-566 | M84751P | 08 | 521-522 | ||
| M84433G | 08 | 559-561 | M84553S | 08 | 559-561 | M84751P | 08 | 564-566 | ||
| M84433K | 08 | 564-566 | M84559A | 08 | 521-522 | M84751S | 08 | 559-561 | ||
| M84433P | 08 | 564-566 | M84559A | 08 | 542-544 | M84752A | 08 | 521-522 | ||
| M84433S | 08 | 559-561 | M84559A | 15 | 791 | M84752A | 08 | 542-544 | ||
| M84434A | 08 | 542-544 | M84559A | 15 | 793 | M84752A | 15 | 791 | ||
| M84434A | 15 | 791 | M84559D | 08 | 559-561 | M84752A | 15 | 793 | ||
| M84434A | 15 | 793 | M84559G | 08 | 559-561 | M84752D | 08 | 559-561 | ||
| M84434D | 08 | 559-561 | M84559K | 08 | 521-522 | M84752G | 08 | 521-522 | ||
| M84434G | 08 | 559-561 | M84559K | 08 | 564-566 | M84752G | 08 | 559-561 | ||
| M84434K | 08 | 564-566 | M84559P | 08 | 521-522 | M84752K | 08 | 521-522 | ||
| M84434P | 08 | 564-566 | M84559P | 08 | 564-566 | M84752K | 08 | 564-566 | ||
| M84434S | 08 | 559-561 | M84559S | 08 | 559-561 | M84752P | 08 | 521-522 | ||
| M84439A | 08 | 542-544 | M84561A | 08 | 542-544 | M84752P | 08 | 564-566 | ||
| M84439A | 15 | 791 | M84561A | 15 | 791 | M84752S | 08 | 559-561 | ||
| M84439A | 15 | 793 | M84561A | 15 | 793 | M84753A | 08 | 521-522 | ||
| M84439D | 08 | 559-561 | M84561D | 08 | 559-561 | M84753A | 08 | 542-544 | ||
| M84439G | 08 | 559-561 | M84561G | 08 | 559-561 | M84753A | 15 | 791 | ||
| M84439K | 08 | 564-566 | M84561K | 08 | 564-566 | M84753A | 15 | 793 | ||
| M84439P | 08 | 564-566 | M84561P | 08 | 564-566 | M84753D | 08 | 559-561 | ||
| M84439S | 08 | 559-561 | M84561S | 08 | 559-561 | M84753G | 08 | 521-522 | ||
| M84441A | 08 | 542-544 | M84562A | 08 | 542-544 | M84753G | 08 | 559-561 | ||
| M84441A | 15 | 791 | M84562A | 15 | 791 | M84753K | 08 | 521-522 | ||
| M84441A | 15 | 793 | M84562A | 15 | 793 | M84753K | 08 | 564-566 | ||
| M84441D | 08 | 559-561 | M84562D | 08 | 559-561 | M84753P | 08 | 521-522 | ||
| M84441G | 08 | 559-561 | M84562G | 08 | 559-561 | M84753P | 08 | 564-566 | ||
| M84441K | 08 | 564-566 | M84562K | 08 | 564-566 | M84753S | 08 | 559-561 | ||
| M84441P | 08 | 564-566 | M84562P | 08 | 564-566 | M84754A | 08 | 521-522 | ||
| M84441S | 08 | 559-561 | M84562S | 08 | 559-561 | M84754A | 08 | 542-544 | ||
| M84442A | 08 | 542-544 | M84563A | 08 | 542-544 | M84754A | 15 | 791 | ||
| M84442A | 15 | 791 | M84563A | 15 | 791 | M84754A | 15 | 793 | ||
| M84442A | 15 | 793 | M84563A | 15 | 793 | M84754D | 08 | 559-561 | ||
| M84442D | 08 | 559-561 | M84563D | 08 | 559-561 | M84754G | 08 | 521-522 | ||
| M84442G | 08 | 559-561 | M84563G | 08 | 559-561 | M84754G | 08 | 559-561 | ||
| M84442K | 08 | 564-566 | M84563K | 08 | 564-566 | M84754K | 08 | 521-522 | ||
| M84442P | 08 | 564-566 | M84563P | 08 | 564-566 | M84754K | 08 | 564-566 | ||
| M84442S | 08 | 559-561 | M84563S | 08 | 559-561 | M84754P | 08 | 521-522 | ||
| M84443A | 08 | 542-544 | M84564A | 08 | 542-544 | M84754P | 08 | 564-566 | ||
| M84443A | 15 | 791 | M84564A | 15 | 791 | M84754S | 08 | 559-561 | ||
| M84443A | 15 | 793 | M84564A | 15 | 793 | M84755A | 08 | 521-522 | ||
| M84443D | 08 | 559-561 | M84564D | 08 | 559-561 | M84755A | 08 | 542-544 | ||
| M84443G | 08 | 559-561 | M84564G | 08 | 559-561 | M84755A | 15 | 791 | ||
| M84443K | 08 | 564-566 | M84564K | 08 | 564-566 | M84755A | 15 | 793 | ||
| M84443P | 08 | 564-566 | M84564P | 08 | 564-566 | M84755D | 08 | 559-561 | ||
| M84443S | 08 | 559-561 | M84564S | 08 | 559-561 | M84755G | 08 | 521-522 | ||
| M84444A | 08 | 542-544 | M84569A | 08 | 542-544 | M84755G | 08 | 559-561 | ||
| M84444A | 15 | 791 | M84569A | 15 | 791 | M84755K | 08 | 521-522 | ||
| M84444A | 15 | 793 | M84569A | 15 | 793 | M84755K | 08 | 564-566 | ||
| M84444D | 08 | 559-561 | M84569D | 08 | 559-561 | M84755P | 08 | 521-522 | ||
| M84444G | 08 | 559-561 | M84569G | 08 | 559-561 | M84755P | 08 | 564-566 | ||
| M84444K | 08 | 564-566 | M84569K | 08 | 564-566 | M84755S | 08 | 559-561 | ||
| M84444P | 08 | 564-566 | M84569P | 08 | 564-566 | M84756A | 08 | 521-522 | ||
| M84444S | 08 | 559-561 | M84569S | 08 | 559-561 | M84756A | 08 | 542-544 | ||
| M84445A | 08 | 542-544 | M84571A | 08 | 542-544 | M84756A | 15 | 791 | ||
| M84445A | 15 | 791 | M84571A | 15 | 791 | M84756A | 15 | 793 | ||
| M84445A | 15 | 793 | M84571A | 15 | 793 | M84756D | 08 | 559-561 | ||
| M84445D | 08 | 559-561 | M84571D | 08 | 559-561 | M84756G | 08 | 521-522 | ||
| M84445G | 08 | 559-561 | M84571G | 08 | 559-561 | M84756G | 08 | 559-561 | ||
| M84445K | 08 | 564-566 | M84571K | 08 | 564-566 | M84756K | 08 | 521-522 | ||
| M84445P | 08 | 564-566 | M84571P | 08 | 564-566 | M84756K | 08 | 564-566 | ||
| M84445S | 08 | 559-561 | M84571S | 08 | 559-561 | M84756P | 08 | 521-522 | ||
| M84446A | 08 | 542-544 | M84572A | 08 | 542-544 | M84756P | 08 | 564-566 | ||
| M84446A | 15 | 791 | M84572A | 15 | 791 | M84756S | 08 | 559-561 | ||
| M84446A | 15 | 793 | M84572A | 15 | 793 | M84757A | 08 | 521-522 | ||
| M84446D | 08 | 559-561 | M84572D | 08 | 559-561 | M84757A | 08 | 542-544 | ||
| M84446G | 08 | 559-561 | M84572G | 08 | 559-561 | M84757A | 15 | 791 | ||
| M84446K | 08 | 564-566 | M84572K | 08 | 564-566 | M84757A | 15 | 793 | ||
| M84446P | 08 | 564-566 | M84572P | 08 | 564-566 | M84757D | 08 | 559-561 | ||
| M84446S | 08 | 559-561 | M84572S | 08 | 559-561 | M84757G | 08 | 521-522 | ||
| M84451A | 08 | 521-522 | M84573A | 08 | 542-544 | M84757G | 08 | 559-561 | ||
| M84451A | 08 | 542-544 | M84573A | 15 | 791 | M84757K | 08 | 521-522 | ||
| M84451A | 15 | 791 | M84573A | 15 | 793 | M84757K | 08 | 564-566 | ||
| M84451A | 15 | 793 | M84573D | 08 | 559-561 | M84757P | 08 | 521-522 | ||
| M84451D | 08 | 559-561 | M84573G | 08 | 559-561 | M84757P | 08 | 564-566 | ||
| M84451G | 08 | 559-561 | M84573K | 08 | 564-566 | M84757S | 08 | 559-561 | ||
| M84451K | 08 | 521-522 | M84573P | 08 | 564-566 | M84758A | 08 | 521-522 | ||
| M84451K | 08 | 564-566 | M84573S | 08 | 559-561 | M84758A | 08 | 542-544 | ||
| M84451P | 08 | 521-522 | M84574A | 08 | 542-544 | M84758A | 15 | 791 | ||
| M84451P | 08 | 564-566 | M84574A | 15 | 791 | M84758A | 15 | 793 | ||
| M84451S | 08 | 559-561 | M84574A | 15 | 793 | M84758D | 08 | 559-561 | ||
| M84452A | 08 | 521-522 | M84574D | 08 | 559-561 | M84758G | 08 | 521-522 | ||
| M84452A | 08 | 542-544 | M84574G | 08 | 559-561 | M84758G | 08 | 559-561 | ||
| M84452A | 15 | 791 | M84574K | 08 | 564-566 | M84758K | 08 | 521-522 | ||
| M84452A | 15 | 793 | M84574P | 08 | 564-566 | M84758K | 08 | 564-566 | ||
| M84452D | 08 | 559-561 | M84574S | 08 | 559-561 | M84758P | 08 | 521-522 | ||
| M84452G | 08 | 559-561 | M84575A | 08 | 542-544 | M84758P | 08 | 564-566 | ||
| M84452K | 08 | 521-522 | M84575A | 15 | 791 | M84758S | 08 | 559-561 | ||
| M84452K | 08 | 564-566 | M84575A | 15 | 793 | M84759A | 08 | 521-522 | ||
| M84452P | 08 | 521-522 | M84575D | 08 | 559-561 | M84759A | 08 | 542-544 | ||
| M84452P | 08 | 564-566 | M84575G | 08 | 559-561 | M84759A | 15 | 791 | ||
| M84452S | 08 | 559-561 | M84575K | 08 | 564-566 | M84759A | 15 | 793 | ||
| M84453A | 08 | 521-522 | M84575P | 08 | 564-566 | M84759D | 08 | 559-561 | ||
| M84453A | 08 | 542-544 | M84575S | 08 | 559-561 | M84759G | 08 | 521-522 | ||
| M84453A | 15 | 791 | M84576A | 08 | 542-544 | M84759G | 08 | 559-561 | ||
| M84453A | 15 | 793 | M84576A | 15 | 791 | M84759K | 08 | 521-522 | ||
| M84453D | 08 | 559-561 | M84576A | 15 | 793 | M84759K | 08 | 564-566 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |