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 24 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| N8501 | 13 | 742-743 | O0489 | 14 | 770 | O2322 | 14 | 817-819 | ||
| N8501 | 13 | 760-761 | O0489 | 14 | 779 | O2322 | 14 | 831-833 | ||
| N8502 | 13 | 742-743 | O070 | 14 | 770 | O2323 | 14 | 817-819 | ||
| N8502 | 13 | 760-761 | O070 | 14 | 779 | O2323 | 14 | 831-833 | ||
| N852 | 13 | 742-743 | O071 | 14 | 770 | O2330 | 14 | 817-819 | ||
| N852 | 13 | 760-761 | O071 | 14 | 779 | O2330 | 14 | 831-833 | ||
| N853 | 13 | 742-743 | O072 | 14 | 770 | O2331 | 14 | 817-819 | ||
| N853 | 13 | 760-761 | O072 | 14 | 779 | O2331 | 14 | 831-833 | ||
| N854 | 13 | 742-743 | O0730 | 14 | 770 | O2332 | 14 | 817-819 | ||
| N854 | 13 | 760-761 | O0730 | 14 | 779 | O2332 | 14 | 831-833 | ||
| N855 | 13 | 742-743 | O0731 | 14 | 770 | O2333 | 14 | 817-819 | ||
| N855 | 13 | 760-761 | O0731 | 14 | 779 | O2333 | 14 | 831-833 | ||
| N856 | 13 | 742-743 | O0732 | 14 | 770 | O2340 | 14 | 817-819 | ||
| N856 | 13 | 760-761 | O0732 | 14 | 779 | O2340 | 14 | 831-833 | ||
| N857 | 13 | 742-743 | O0733 | 14 | 770 | O2341 | 14 | 817-819 | ||
| N857 | 13 | 760-761 | O0733 | 14 | 779 | O2341 | 14 | 831-833 | ||
| N858 | 13 | 742-743 | O0734 | 14 | 770 | O2342 | 14 | 817-819 | ||
| N858 | 13 | 760-761 | O0734 | 14 | 779 | O2342 | 14 | 831-833 | ||
| N859 | 13 | 742-743 | O0735 | 14 | 770 | O2343 | 14 | 817-819 | ||
| N859 | 13 | 760-761 | O0735 | 14 | 779 | O2343 | 14 | 831-833 | ||
| N85A | 13 | 742-743 | O0736 | 14 | 770 | O23511 | 14 | 817-819 | ||
| N85A | 13 | 760-761 | O0736 | 14 | 779 | O23511 | 14 | 831-833 | ||
| N86 | 13 | 742-743 | O0737 | 14 | 770 | O23512 | 14 | 817-819 | ||
| N86 | 13 | 760-761 | O0737 | 14 | 779 | O23512 | 14 | 831-833 | ||
| N870 | 13 | 742-743 | O0738 | 14 | 770 | O23513 | 14 | 817-819 | ||
| N870 | 13 | 760-761 | O0738 | 14 | 779 | O23513 | 14 | 831-833 | ||
| N871 | 13 | 742-743 | O0739 | 14 | 770 | O23519 | 14 | 817-819 | ||
| N871 | 13 | 760-761 | O0739 | 14 | 779 | O23519 | 14 | 831-833 | ||
| N879 | 13 | 742-743 | O074 | 14 | 770 | O23521 | 14 | 817-819 | ||
| N879 | 13 | 760-761 | O074 | 14 | 779 | O23521 | 14 | 831-833 | ||
| N880 | 13 | 742-743 | O080 | 14 | 769 | O23522 | 14 | 817-819 | ||
| N880 | 13 | 760-761 | O080 | 14 | 776 | O23522 | 14 | 831-833 | ||
| N881 | 13 | 742-743 | O081 | 14 | 769 | O23523 | 14 | 817-819 | ||
| N881 | 13 | 760-761 | O081 | 14 | 776 | O23523 | 14 | 831-833 | ||
| N882 | 13 | 742-743 | O082 | 14 | 769 | O23529 | 14 | 817-819 | ||
| N882 | 13 | 760-761 | O082 | 14 | 776 | O23529 | 14 | 831-833 | ||
| N883 | 13 | 742-743 | O083 | 14 | 769 | O23591 | 14 | 817-819 | ||
| N883 | 13 | 760-761 | O083 | 14 | 776 | O23591 | 14 | 831-833 | ||
| N884 | 13 | 742-743 | O084 | 14 | 769 | O23592 | 14 | 817-819 | ||
| N884 | 13 | 760-761 | O084 | 14 | 776 | O23592 | 14 | 831-833 | ||
| N888 | 13 | 742-743 | O085 | 14 | 769 | O23593 | 14 | 817-819 | ||
| N888 | 13 | 760-761 | O085 | 14 | 776 | O23593 | 14 | 831-833 | ||
| N889 | 13 | 742-743 | O086 | 14 | 769 | O23599 | 14 | 817-819 | ||
| N889 | 13 | 760-761 | O086 | 14 | 776 | O23599 | 14 | 831-833 | ||
| N890 | 13 | 742-743 | O087 | 14 | 769 | O2390 | 14 | 817-819 | ||
| N890 | 13 | 760-761 | O087 | 14 | 776 | O2390 | 14 | 831-833 | ||
| N891 | 13 | 742-743 | O0881 | 14 | 769 | O2391 | 14 | 817-819 | ||
| N891 | 13 | 760-761 | O0881 | 14 | 776 | O2391 | 14 | 831-833 | ||
| N893 | 13 | 742-743 | O0882 | 14 | 769 | O2392 | 14 | 817-819 | ||
| N893 | 13 | 760-761 | O0882 | 14 | 776 | O2392 | 14 | 831-833 | ||
| N894 | 13 | 742-743 | O0883 | 14 | 769 | O2393 | 14 | 817-819 | ||
| N894 | 13 | 760-761 | O0883 | 14 | 776 | O2393 | 14 | 831-833 | ||
| N895 | 13 | 742-743 | O0889 | 14 | 769 | O24011 | 14 | 817-819 | ||
| N895 | 13 | 760-761 | O0889 | 14 | 776 | O24011 | 14 | 831-833 | ||
| N896 | 13 | 742-743 | O089 | 14 | 769 | O24012 | 14 | 817-819 | ||
| N896 | 13 | 760-761 | O089 | 14 | 776 | O24012 | 14 | 831-833 | ||
| N897 | 13 | 742-743 | O0900 | 14 | 998 | O24013 | 14 | 817-819 | ||
| N897 | 13 | 760-761 | O0901 | 14 | 998 | O24013 | 14 | 831-833 | ||
| N898 | 13 | 742-743 | O0902 | 14 | 998 | O24019 | 14 | 817-819 | ||
| N898 | 13 | 760-761 | O0903 | 14 | 998 | O24019 | 14 | 831-833 | ||
| N898 | 15 | 795 | O0910 | 14 | 998 | O2402 | 14 | 998 | ||
| N899 | 13 | 742-743 | O0911 | 14 | 998 | O2403 | 14 | 769 | ||
| N899 | 13 | 760-761 | O0912 | 14 | 998 | O2403 | 14 | 776 | ||
| N900 | 13 | 742-743 | O0913 | 14 | 998 | O24111 | 14 | 817-819 | ||
| N900 | 13 | 760-761 | O09211 | 14 | 998 | O24111 | 14 | 831-833 | ||
| N901 | 13 | 742-743 | O09212 | 14 | 998 | O24112 | 14 | 817-819 | ||
| N901 | 13 | 760-761 | O09213 | 14 | 998 | O24112 | 14 | 831-833 | ||
| N903 | 13 | 742-743 | O09219 | 14 | 998 | O24113 | 14 | 817-819 | ||
| N903 | 13 | 760-761 | O09291 | 14 | 998 | O24113 | 14 | 831-833 | ||
| N904 | 13 | 742-743 | O09292 | 14 | 998 | O24119 | 14 | 817-819 | ||
| N904 | 13 | 760-761 | O09293 | 14 | 998 | O24119 | 14 | 831-833 | ||
| N905 | 13 | 742-743 | O09299 | 14 | 998 | O2412 | 14 | 998 | ||
| N905 | 13 | 760-761 | O0930 | 14 | 998 | O2413 | 14 | 769 | ||
| N9060 | 13 | 742-743 | O0931 | 14 | 998 | O2413 | 14 | 776 | ||
| N9060 | 13 | 760-761 | O0932 | 14 | 998 | O24311 | 14 | 817-819 | ||
| N9061 | 13 | 742-743 | O0933 | 14 | 998 | O24311 | 14 | 831-833 | ||
| N9061 | 13 | 760-761 | O0940 | 14 | 998 | O24312 | 14 | 817-819 | ||
| N9069 | 13 | 742-743 | O0941 | 14 | 998 | O24312 | 14 | 831-833 | ||
| N9069 | 13 | 760-761 | O0942 | 14 | 998 | O24313 | 14 | 817-819 | ||
| N907 | 13 | 742-743 | O0943 | 14 | 998 | O24313 | 14 | 831-833 | ||
| N907 | 13 | 760-761 | O09511 | 14 | 998 | O24319 | 14 | 817-819 | ||
| N90810 | 13 | 742-743 | O09512 | 14 | 998 | O24319 | 14 | 831-833 | ||
| N90810 | 13 | 760-761 | O09513 | 14 | 998 | O2432 | 14 | 998 | ||
| N90811 | 13 | 742-743 | O09519 | 14 | 998 | O2433 | 14 | 769 | ||
| N90811 | 13 | 760-761 | O09521 | 14 | 998 | O2433 | 14 | 776 | ||
| N90812 | 13 | 742-743 | O09522 | 14 | 998 | O24410 | 14 | 817-819 | ||
| N90812 | 13 | 760-761 | O09523 | 14 | 998 | O24410 | 14 | 831-833 | ||
| N90813 | 13 | 742-743 | O09529 | 14 | 998 | O24414 | 14 | 817-819 | ||
| N90813 | 13 | 760-761 | O09611 | 14 | 998 | O24414 | 14 | 831-833 | ||
| N90818 | 13 | 742-743 | O09612 | 14 | 998 | O24415 | 14 | 817-819 | ||
| N90818 | 13 | 760-761 | O09613 | 14 | 998 | O24415 | 14 | 831-833 | ||
| N9089 | 13 | 742-743 | O09619 | 14 | 998 | O24419 | 14 | 817-819 | ||
| N9089 | 13 | 760-761 | O09621 | 14 | 998 | O24419 | 14 | 831-833 | ||
| N909 | 13 | 742-743 | O09622 | 14 | 998 | O24420 | 14 | 998 | ||
| N909 | 13 | 760-761 | O09623 | 14 | 998 | O24424 | 14 | 998 | ||
| N910 | 13 | 742-743 | O09629 | 14 | 998 | O24425 | 14 | 998 | ||
| N910 | 13 | 760-761 | O0970 | 14 | 998 | O24429 | 14 | 998 | ||
| N911 | 13 | 742-743 | O0971 | 14 | 998 | O24430 | 14 | 769 | ||
| N911 | 13 | 760-761 | O0972 | 14 | 998 | O24430 | 14 | 776 | ||
| N912 | 13 | 742-743 | O0973 | 14 | 998 | O24434 | 14 | 769 | ||
| N912 | 13 | 760-761 | O09811 | 14 | 998 | O24434 | 14 | 776 | ||
| N913 | 13 | 742-743 | O09812 | 14 | 998 | O24435 | 14 | 769 | ||
| N913 | 13 | 760-761 | O09813 | 14 | 998 | O24435 | 14 | 776 | ||
| N914 | 13 | 742-743 | O09819 | 14 | 998 | O24439 | 14 | 769 | ||
| N914 | 13 | 760-761 | O09821 | 14 | 998 | O24439 | 14 | 776 | ||
| N915 | 13 | 742-743 | O09822 | 14 | 998 | O24811 | 14 | 817-819 | ||
| N915 | 13 | 760-761 | O09823 | 14 | 998 | O24811 | 14 | 831-833 | ||
| N920 | 13 | 742-743 | O09829 | 14 | 998 | O24812 | 14 | 817-819 | ||
| N920 | 13 | 760-761 | O09891 | 14 | 998 | O24812 | 14 | 831-833 | ||
| N921 | 13 | 742-743 | O09892 | 14 | 998 | O24813 | 14 | 817-819 | ||
| N921 | 13 | 760-761 | O09893 | 14 | 998 | O24813 | 14 | 831-833 | ||
| N922 | 13 | 742-743 | O09899 | 14 | 998 | O24819 | 14 | 817-819 | ||
| N922 | 13 | 760-761 | O0990 | 14 | 998 | O24819 | 14 | 831-833 | ||
| N923 | 13 | 742-743 | O0991 | 14 | 998 | O2482 | 14 | 998 | ||
| N923 | 13 | 760-761 | O0992 | 14 | 998 | O2483 | 14 | 769 | ||
| N924 | 13 | 742-743 | O0993 | 14 | 998 | O2483 | 14 | 776 | ||
| N924 | 13 | 760-761 | O09A0 | 14 | 998 | O24911 | 14 | 817-819 | ||
| N925 | 13 | 742-743 | O09A1 | 14 | 998 | O24911 | 14 | 831-833 | ||
| N925 | 13 | 760-761 | O09A2 | 14 | 998 | O24912 | 14 | 817-819 | ||
| N926 | 13 | 742-743 | O09A3 | 14 | 998 | O24912 | 14 | 831-833 | ||
| N926 | 13 | 760-761 | O10011 | 14 | 817-819 | O24913 | 14 | 817-819 | ||
| N930 | 13 | 742-743 | O10011 | 14 | 831-833 | O24913 | 14 | 831-833 | ||
| N930 | 13 | 760-761 | O10012 | 14 | 817-819 | O24919 | 14 | 817-819 | ||
| N931 | 13 | 742-743 | O10012 | 14 | 831-833 | O24919 | 14 | 831-833 | ||
| N931 | 13 | 760-761 | O10013 | 14 | 817-819 | O2492 | 14 | 998 | ||
| N938 | 13 | 742-743 | O10013 | 14 | 831-833 | O2493 | 14 | 769 | ||
| N938 | 13 | 760-761 | O10019 | 14 | 817-819 | O2493 | 14 | 776 | ||
| N939 | 13 | 742-743 | O10019 | 14 | 831-833 | O2510 | 14 | 817-819 | ||
| N939 | 13 | 760-761 | O1002 | 14 | 998 | O2510 | 14 | 831-833 | ||
| N940 | 13 | 742-743 | O1003 | 14 | 769 | O2511 | 14 | 817-819 | ||
| N940 | 13 | 760-761 | O1003 | 14 | 776 | O2511 | 14 | 831-833 | ||
| N9410 | 13 | 742-743 | O10111 | 14 | 817-819 | O2512 | 14 | 817-819 | ||
| N9410 | 13 | 760-761 | O10111 | 14 | 831-833 | O2512 | 14 | 831-833 | ||
| N9411 | 13 | 742-743 | O10112 | 14 | 817-819 | O2513 | 14 | 817-819 | ||
| N9411 | 13 | 760-761 | O10112 | 14 | 831-833 | O2513 | 14 | 831-833 | ||
| N9412 | 13 | 742-743 | O10113 | 14 | 817-819 | O252 | 14 | 998 | ||
| N9412 | 13 | 760-761 | O10113 | 14 | 831-833 | O253 | 14 | 769 | ||
| N9419 | 13 | 742-743 | O10119 | 14 | 817-819 | O253 | 14 | 776 | ||
| N9419 | 13 | 760-761 | O10119 | 14 | 831-833 | O2600 | 14 | 817-819 | ||
| N942 | 13 | 742-743 | O1012 | 14 | 998 | O2600 | 14 | 831-833 | ||
| N942 | 13 | 760-761 | O1013 | 14 | 769 | O2601 | 14 | 817-819 | ||
| N943 | 13 | 742-743 | O1013 | 14 | 776 | O2601 | 14 | 831-833 | ||
| N943 | 13 | 760-761 | O10211 | 14 | 817-819 | O2602 | 14 | 817-819 | ||
| N944 | 13 | 742-743 | O10211 | 14 | 831-833 | O2602 | 14 | 831-833 | ||
| N944 | 13 | 760-761 | O10212 | 14 | 817-819 | O2603 | 14 | 817-819 | ||
| N945 | 13 | 742-743 | O10212 | 14 | 831-833 | O2603 | 14 | 831-833 | ||
| N945 | 13 | 760-761 | O10213 | 14 | 817-819 | O2610 | 14 | 817-819 | ||
| N946 | 13 | 742-743 | O10213 | 14 | 831-833 | O2610 | 14 | 831-833 | ||
| N946 | 13 | 760-761 | O10219 | 14 | 817-819 | O2611 | 14 | 817-819 | ||
| N94810 | 13 | 742-743 | O10219 | 14 | 831-833 | O2611 | 14 | 831-833 | ||
| N94810 | 13 | 757-759 | O1022 | 14 | 998 | O2612 | 14 | 817-819 | ||
| N94818 | 13 | 742-743 | O1023 | 14 | 769 | O2612 | 14 | 831-833 | ||
| N94818 | 13 | 760-761 | O1023 | 14 | 776 | O2613 | 14 | 817-819 | ||
| N94819 | 13 | 742-743 | O10311 | 14 | 817-819 | O2613 | 14 | 831-833 | ||
| N94819 | 13 | 760-761 | O10311 | 14 | 831-833 | O2620 | 14 | 817-819 | ||
| N9489 | 13 | 742-743 | O10312 | 14 | 817-819 | O2620 | 14 | 831-833 | ||
| N9489 | 13 | 760-761 | O10312 | 14 | 831-833 | O2621 | 14 | 817-819 | ||
| N949 | 13 | 742-743 | O10313 | 14 | 817-819 | O2621 | 14 | 831-833 | ||
| N949 | 13 | 760-761 | O10313 | 14 | 831-833 | O2622 | 14 | 817-819 | ||
| N950 | 13 | 742-743 | O10319 | 14 | 817-819 | O2622 | 14 | 831-833 | ||
| N950 | 13 | 760-761 | O10319 | 14 | 831-833 | O2623 | 14 | 817-819 | ||
| N951 | 13 | 742-743 | O1032 | 14 | 998 | O2623 | 14 | 831-833 | ||
| N951 | 13 | 760-761 | O1033 | 14 | 769 | O2630 | 14 | 817-819 | ||
| N952 | 13 | 742-743 | O1033 | 14 | 776 | O2630 | 14 | 831-833 | ||
| N952 | 13 | 760-761 | O10411 | 14 | 817-819 | O2631 | 14 | 817-819 | ||
| N958 | 13 | 742-743 | O10411 | 14 | 831-833 | O2631 | 14 | 831-833 | ||
| N958 | 13 | 760-761 | O10412 | 14 | 817-819 | O2632 | 14 | 817-819 | ||
| N959 | 13 | 742-743 | O10412 | 14 | 831-833 | O2632 | 14 | 831-833 | ||
| N959 | 13 | 760-761 | O10413 | 14 | 817-819 | O2633 | 14 | 817-819 | ||
| N96 | 13 | 742-743 | O10413 | 14 | 831-833 | O2633 | 14 | 831-833 | ||
| N96 | 13 | 760-761 | O10419 | 14 | 817-819 | O2640 | 14 | 817-819 | ||
| N970 | 13 | 742-743 | O10419 | 14 | 831-833 | O2640 | 14 | 831-833 | ||
| N970 | 13 | 760-761 | O1042 | 14 | 998 | O2641 | 14 | 817-819 | ||
| N971 | 13 | 742-743 | O1043 | 14 | 769 | O2641 | 14 | 831-833 | ||
| N971 | 13 | 760-761 | O1043 | 14 | 776 | O2642 | 14 | 817-819 | ||
| N972 | 13 | 742-743 | O10911 | 14 | 817-819 | O2642 | 14 | 831-833 | ||
| N972 | 13 | 760-761 | O10911 | 14 | 831-833 | O2643 | 14 | 817-819 | ||
| N978 | 13 | 742-743 | O10912 | 14 | 817-819 | O2643 | 14 | 831-833 | ||
| N978 | 13 | 760-761 | O10912 | 14 | 831-833 | O2650 | 14 | 817-819 | ||
| N979 | 13 | 742-743 | O10913 | 14 | 817-819 | O2650 | 14 | 831-833 | ||
| N979 | 13 | 760-761 | O10913 | 14 | 831-833 | O2651 | 14 | 817-819 | ||
| N980 | 15 | 791 | O10919 | 14 | 817-819 | O2651 | 14 | 831-833 | ||
| N980 | 15 | 793 | O10919 | 14 | 831-833 | O2652 | 14 | 817-819 | ||
| N980 | 18 | 856-858 | O1092 | 14 | 998 | O2652 | 14 | 831-833 | ||
| N980 | 18 | 867-869 | O1093 | 14 | 769 | O2653 | 14 | 817-819 | ||
| N981 | 21 | 919-921 | O1093 | 14 | 776 | O2653 | 14 | 831-833 | ||
| N982 | 21 | 919-921 | O111 | 14 | 817-819 | O26611 | 14 | 817-819 | ||
| N983 | 21 | 919-921 | O111 | 14 | 831-833 | O26611 | 14 | 831-833 | ||
| N988 | 21 | 919-921 | O112 | 14 | 817-819 | O26612 | 14 | 817-819 | ||
| N989 | 21 | 919-921 | O112 | 14 | 831-833 | O26612 | 14 | 831-833 | ||
| N990 | 11 | 698-700 | O113 | 14 | 817-819 | O26613 | 14 | 817-819 | ||
| N990 | 15 | 791 | O113 | 14 | 831-833 | O26613 | 14 | 831-833 | ||
| N990 | 15 | 793 | O114 | 14 | 998 | O26619 | 14 | 817-819 | ||
| N99110 | 11 | 697 | O115 | 14 | 769 | O26619 | 14 | 831-833 | ||
| N99111 | 11 | 697 | O115 | 14 | 776 | O2662 | 14 | 998 | ||
| N99112 | 11 | 697 | O119 | 14 | 817-819 | O2663 | 14 | 769 | ||
| N99113 | 11 | 697 | O119 | 14 | 831-833 | O2663 | 14 | 776 | ||
| N99114 | 11 | 697 | O1200 | 14 | 817-819 | O26641 | 14 | 817-819 | ||
| N99115 | 11 | 697 | O1200 | 14 | 831-833 | O26641 | 14 | 831-833 | ||
| N99116 | 11 | 697 | O1201 | 14 | 817-819 | O26642 | 14 | 817-819 | ||
| N9912 | 11 | 697 | O1201 | 14 | 831-833 | O26642 | 14 | 831-833 | ||
| N992 | 13 | 742-743 | O1202 | 14 | 817-819 | O26643 | 14 | 817-819 | ||
| N992 | 13 | 760-761 | O1202 | 14 | 831-833 | O26643 | 14 | 831-833 | ||
| N993 | 13 | 742-743 | O1203 | 14 | 817-819 | O26649 | 14 | 817-819 | ||
| N993 | 13 | 760-761 | O1203 | 14 | 831-833 | O26649 | 14 | 831-833 | ||
| N994 | 06 | 393-395 | O1204 | 14 | 998 | O26711 | 14 | 817-819 | ||
| N99510 | 11 | 698-700 | O1205 | 14 | 769 | O26711 | 14 | 831-833 | ||
| N99511 | 11 | 698-700 | O1205 | 14 | 776 | O26712 | 14 | 817-819 | ||
| N99512 | 11 | 698-700 | O1210 | 14 | 817-819 | O26712 | 14 | 831-833 | ||
| N99518 | 11 | 698-700 | O1210 | 14 | 831-833 | O26713 | 14 | 817-819 | ||
| N99520 | 11 | 698-700 | O1211 | 14 | 817-819 | O26713 | 14 | 831-833 | ||
| N99520 | 15 | 791 | O1211 | 14 | 831-833 | O26719 | 14 | 817-819 | ||
| N99520 | 15 | 793 | O1212 | 14 | 817-819 | O26719 | 14 | 831-833 | ||
| N99521 | 11 | 698-700 | O1212 | 14 | 831-833 | O2672 | 14 | 998 | ||
| N99521 | 15 | 791 | O1213 | 14 | 817-819 | O2673 | 14 | 769 | ||
| N99521 | 15 | 793 | O1213 | 14 | 831-833 | O2673 | 14 | 776 | ||
| N99522 | 11 | 698-700 | O1214 | 14 | 998 | O26811 | 14 | 817-819 | ||
| N99522 | 15 | 791 | O1215 | 14 | 769 | O26811 | 14 | 831-833 | ||
| N99522 | 15 | 793 | O1215 | 14 | 776 | O26812 | 14 | 817-819 | ||
| N99523 | 11 | 698-700 | O1220 | 14 | 817-819 | O26812 | 14 | 831-833 | ||
| N99523 | 15 | 791 | O1220 | 14 | 831-833 | O26813 | 14 | 817-819 | ||
| N99523 | 15 | 793 | O1221 | 14 | 817-819 | O26813 | 14 | 831-833 | ||
| N99524 | 11 | 698-700 | O1221 | 14 | 831-833 | O26819 | 14 | 817-819 | ||
| N99524 | 15 | 791 | O1222 | 14 | 817-819 | O26819 | 14 | 831-833 | ||
| N99524 | 15 | 793 | O1222 | 14 | 831-833 | O26821 | 14 | 817-819 | ||
| N99528 | 11 | 698-700 | O1223 | 14 | 817-819 | O26821 | 14 | 831-833 | ||
| N99528 | 15 | 791 | O1223 | 14 | 831-833 | O26822 | 14 | 817-819 | ||
| N99528 | 15 | 793 | O1224 | 14 | 998 | O26822 | 14 | 831-833 | ||
| N99530 | 11 | 698-700 | O1225 | 14 | 769 | O26823 | 14 | 817-819 | ||
| N99530 | 15 | 791 | O1225 | 14 | 776 | O26823 | 14 | 831-833 | ||
| N99530 | 15 | 793 | O131 | 14 | 817-819 | O26829 | 14 | 817-819 | ||
| N99531 | 11 | 698-700 | O131 | 14 | 831-833 | O26829 | 14 | 831-833 | ||
| N99531 | 15 | 791 | O132 | 14 | 817-819 | O26831 | 14 | 817-819 | ||
| N99531 | 15 | 793 | O132 | 14 | 831-833 | O26831 | 14 | 831-833 | ||
| N99532 | 11 | 698-700 | O133 | 14 | 817-819 | O26832 | 14 | 817-819 | ||
| N99532 | 15 | 791 | O133 | 14 | 831-833 | O26832 | 14 | 831-833 | ||
| N99532 | 15 | 793 | O134 | 14 | 998 | O26833 | 14 | 817-819 | ||
| N99533 | 11 | 698-700 | O135 | 14 | 769 | O26833 | 14 | 831-833 | ||
| N99533 | 15 | 791 | O135 | 14 | 776 | O26839 | 14 | 817-819 | ||
| N99533 | 15 | 793 | O139 | 14 | 817-819 | O26839 | 14 | 831-833 | ||
| N99534 | 11 | 698-700 | O139 | 14 | 831-833 | O26841 | 14 | 817-819 | ||
| N99534 | 15 | 791 | O1400 | 14 | 817-819 | O26841 | 14 | 831-833 | ||
| N99534 | 15 | 793 | O1400 | 14 | 831-833 | O26842 | 14 | 817-819 | ||
| N99538 | 11 | 698-700 | O1402 | 14 | 817-819 | O26842 | 14 | 831-833 | ||
| N99538 | 15 | 791 | O1402 | 14 | 831-833 | O26843 | 14 | 817-819 | ||
| N99538 | 15 | 793 | O1403 | 14 | 817-819 | O26843 | 14 | 831-833 | ||
| N9961 | 21 | 919-921 | O1403 | 14 | 831-833 | O26849 | 14 | 817-819 | ||
| N9962 | 21 | 919-921 | O1404 | 14 | 998 | O26849 | 14 | 831-833 | ||
| N9971 | 15 | 791 | O1405 | 14 | 769 | O26851 | 14 | 817-819 | ||
| N9971 | 15 | 793 | O1405 | 14 | 776 | O26851 | 14 | 831-833 | ||
| N9971 | 21 | 919-921 | O1410 | 14 | 817-819 | O26852 | 14 | 817-819 | ||
| N9972 | 15 | 791 | O1410 | 14 | 831-833 | O26852 | 14 | 831-833 | ||
| N9972 | 15 | 793 | O1412 | 14 | 817-819 | O26853 | 14 | 817-819 | ||
| N9972 | 21 | 919-921 | O1412 | 14 | 831-833 | O26853 | 14 | 831-833 | ||
| N9981 | 11 | 698-700 | O1413 | 14 | 817-819 | O26859 | 14 | 817-819 | ||
| N9981 | 15 | 791 | O1413 | 14 | 831-833 | O26859 | 14 | 831-833 | ||
| N9981 | 15 | 793 | O1414 | 14 | 998 | O2686 | 14 | 817-819 | ||
| N99820 | 21 | 919-921 | O1415 | 14 | 769 | O2686 | 14 | 831-833 | ||
| N99821 | 21 | 919-921 | O1415 | 14 | 776 | O26872 | 14 | 817-819 | ||
| N9983 | 13 | 742-743 | O1420 | 14 | 817-819 | O26872 | 14 | 831-833 | ||
| N9983 | 13 | 760-761 | O1420 | 14 | 831-833 | O26873 | 14 | 817-819 | ||
| N99840 | 21 | 919-921 | O1422 | 14 | 817-819 | O26873 | 14 | 831-833 | ||
| N99841 | 21 | 919-921 | O1422 | 14 | 831-833 | O26879 | 14 | 817-819 | ||
| N99842 | 21 | 919-921 | O1423 | 14 | 817-819 | O26879 | 14 | 831-833 | ||
| N99843 | 21 | 919-921 | O1423 | 14 | 831-833 | O26891 | 14 | 817-819 | ||
| N9985 | 13 | 760-761 | O1424 | 14 | 998 | O26891 | 14 | 831-833 | ||
| N9989 | 11 | 698-700 | O1425 | 14 | 769 | O26892 | 14 | 817-819 | ||
| N9989 | 15 | 791 | O1425 | 14 | 776 | O26892 | 14 | 831-833 | ||
| N9989 | 15 | 793 | O1490 | 14 | 817-819 | O26893 | 14 | 817-819 | ||
| O0000 | 14 | 817-819 | O1490 | 14 | 831-833 | O26893 | 14 | 831-833 | ||
| O0000 | 14 | 831-833 | O1492 | 14 | 817-819 | O26899 | 14 | 817-819 | ||
| O0001 | 14 | 817-819 | O1492 | 14 | 831-833 | O26899 | 14 | 831-833 | ||
| O0001 | 14 | 831-833 | O1493 | 14 | 817-819 | O2690 | 14 | 817-819 | ||
| O00101 | 14 | 817-819 | O1493 | 14 | 831-833 | O2690 | 14 | 831-833 | ||
| O00101 | 14 | 831-833 | O1494 | 14 | 998 | O2691 | 14 | 817-819 | ||
| O00102 | 14 | 817-819 | O1495 | 14 | 769 | O2691 | 14 | 831-833 | ||
| O00102 | 14 | 831-833 | O1495 | 14 | 776 | O2692 | 14 | 817-819 | ||
| O00109 | 14 | 817-819 | O1500 | 14 | 817-819 | O2692 | 14 | 831-833 | ||
| O00109 | 14 | 831-833 | O1500 | 14 | 831-833 | O2693 | 14 | 817-819 | ||
| O00111 | 14 | 817-819 | O1502 | 14 | 817-819 | O2693 | 14 | 831-833 | ||
| O00111 | 14 | 831-833 | O1502 | 14 | 831-833 | O280 | 14 | 817-819 | ||
| O00112 | 14 | 817-819 | O1503 | 14 | 817-819 | O280 | 14 | 831-833 | ||
| O00112 | 14 | 831-833 | O1503 | 14 | 831-833 | O281 | 14 | 817-819 | ||
| O00119 | 14 | 817-819 | O151 | 14 | 817-819 | O281 | 14 | 831-833 | ||
| O00119 | 14 | 831-833 | O151 | 14 | 831-833 | O282 | 14 | 817-819 | ||
| O00201 | 14 | 817-819 | O152 | 14 | 769 | O282 | 14 | 831-833 | ||
| O00201 | 14 | 831-833 | O152 | 14 | 776 | O283 | 14 | 817-819 | ||
| O00202 | 14 | 817-819 | O159 | 14 | 817-819 | O283 | 14 | 831-833 | ||
| O00202 | 14 | 831-833 | O159 | 14 | 831-833 | O284 | 14 | 817-819 | ||
| O00209 | 14 | 817-819 | O161 | 14 | 817-819 | O284 | 14 | 831-833 | ||
| O00209 | 14 | 831-833 | O161 | 14 | 831-833 | O285 | 14 | 817-819 | ||
| O00211 | 14 | 817-819 | O162 | 14 | 817-819 | O285 | 14 | 831-833 | ||
| O00211 | 14 | 831-833 | O162 | 14 | 831-833 | O288 | 14 | 817-819 | ||
| O00212 | 14 | 817-819 | O163 | 14 | 817-819 | O288 | 14 | 831-833 | ||
| O00212 | 14 | 831-833 | O163 | 14 | 831-833 | O289 | 14 | 817-819 | ||
| O00219 | 14 | 817-819 | O164 | 14 | 998 | O289 | 14 | 831-833 | ||
| O00219 | 14 | 831-833 | O165 | 14 | 769 | O29011 | 14 | 817-819 | ||
| O0080 | 14 | 817-819 | O165 | 14 | 776 | O29011 | 14 | 831-833 | ||
| O0080 | 14 | 831-833 | O169 | 14 | 817-819 | O29012 | 14 | 817-819 | ||
| O0081 | 14 | 817-819 | O169 | 14 | 831-833 | O29012 | 14 | 831-833 | ||
| O0081 | 14 | 831-833 | O200 | 14 | 817-819 | O29013 | 14 | 817-819 | ||
| O0090 | 14 | 817-819 | O200 | 14 | 831-833 | O29013 | 14 | 831-833 | ||
| O0090 | 14 | 831-833 | O208 | 14 | 817-819 | O29019 | 14 | 817-819 | ||
| O0091 | 14 | 817-819 | O208 | 14 | 831-833 | O29019 | 14 | 831-833 | ||
| O0091 | 14 | 831-833 | O209 | 14 | 817-819 | O29021 | 14 | 817-819 | ||
| O010 | 14 | 817-819 | O209 | 14 | 831-833 | O29021 | 14 | 831-833 | ||
| O010 | 14 | 831-833 | O210 | 14 | 817-819 | O29022 | 14 | 817-819 | ||
| O011 | 14 | 817-819 | O210 | 14 | 831-833 | O29022 | 14 | 831-833 | ||
| O011 | 14 | 831-833 | O211 | 14 | 817-819 | O29023 | 14 | 817-819 | ||
| O019 | 14 | 817-819 | O211 | 14 | 831-833 | O29023 | 14 | 831-833 | ||
| O019 | 14 | 831-833 | O212 | 14 | 817-819 | O29029 | 14 | 817-819 | ||
| O020 | 14 | 817-819 | O212 | 14 | 831-833 | O29029 | 14 | 831-833 | ||
| O020 | 14 | 831-833 | O218 | 14 | 817-819 | O29091 | 14 | 817-819 | ||
| O021 | 14 | 770 | O218 | 14 | 831-833 | O29091 | 14 | 831-833 | ||
| O021 | 14 | 779 | O219 | 14 | 817-819 | O29092 | 14 | 817-819 | ||
| O0281 | 14 | 817-819 | O219 | 14 | 831-833 | O29092 | 14 | 831-833 | ||
| O0281 | 14 | 831-833 | O2200 | 14 | 817-819 | O29093 | 14 | 817-819 | ||
| O0289 | 14 | 817-819 | O2200 | 14 | 831-833 | O29093 | 14 | 831-833 | ||
| O0289 | 14 | 831-833 | O2201 | 14 | 817-819 | O29099 | 14 | 817-819 | ||
| O029 | 14 | 817-819 | O2201 | 14 | 831-833 | O29099 | 14 | 831-833 | ||
| O029 | 14 | 831-833 | O2202 | 14 | 817-819 | O29111 | 14 | 817-819 | ||
| O030 | 14 | 770 | O2202 | 14 | 831-833 | O29111 | 14 | 831-833 | ||
| O030 | 14 | 779 | O2203 | 14 | 817-819 | O29112 | 14 | 817-819 | ||
| O031 | 14 | 770 | O2203 | 14 | 831-833 | O29112 | 14 | 831-833 | ||
| O031 | 14 | 779 | O2210 | 14 | 817-819 | O29113 | 14 | 817-819 | ||
| O032 | 14 | 770 | O2210 | 14 | 831-833 | O29113 | 14 | 831-833 | ||
| O032 | 14 | 779 | O2211 | 14 | 817-819 | O29119 | 14 | 817-819 | ||
| O0330 | 14 | 770 | O2211 | 14 | 831-833 | O29119 | 14 | 831-833 | ||
| O0330 | 14 | 779 | O2212 | 14 | 817-819 | O29121 | 14 | 817-819 | ||
| O0331 | 14 | 770 | O2212 | 14 | 831-833 | O29121 | 14 | 831-833 | ||
| O0331 | 14 | 779 | O2213 | 14 | 817-819 | O29122 | 14 | 817-819 | ||
| O0332 | 14 | 770 | O2213 | 14 | 831-833 | O29122 | 14 | 831-833 | ||
| O0332 | 14 | 779 | O2220 | 14 | 817-819 | O29123 | 14 | 817-819 | ||
| O0333 | 14 | 770 | O2220 | 14 | 831-833 | O29123 | 14 | 831-833 | ||
| O0333 | 14 | 779 | O2221 | 14 | 817-819 | O29129 | 14 | 817-819 | ||
| O0334 | 14 | 770 | O2221 | 14 | 831-833 | O29129 | 14 | 831-833 | ||
| O0334 | 14 | 779 | O2222 | 14 | 817-819 | O29191 | 14 | 817-819 | ||
| O0335 | 14 | 770 | O2222 | 14 | 831-833 | O29191 | 14 | 831-833 | ||
| O0335 | 14 | 779 | O2223 | 14 | 817-819 | O29192 | 14 | 817-819 | ||
| O0336 | 14 | 770 | O2223 | 14 | 831-833 | O29192 | 14 | 831-833 | ||
| O0336 | 14 | 779 | O2230 | 14 | 817-819 | O29193 | 14 | 817-819 | ||
| O0337 | 14 | 770 | O2230 | 14 | 831-833 | O29193 | 14 | 831-833 | ||
| O0337 | 14 | 779 | O2231 | 14 | 817-819 | O29199 | 14 | 817-819 | ||
| O0338 | 14 | 770 | O2231 | 14 | 831-833 | O29199 | 14 | 831-833 | ||
| O0338 | 14 | 779 | O2232 | 14 | 817-819 | O29211 | 14 | 817-819 | ||
| O0339 | 14 | 770 | O2232 | 14 | 831-833 | O29211 | 14 | 831-833 | ||
| O0339 | 14 | 779 | O2233 | 14 | 817-819 | O29212 | 14 | 817-819 | ||
| O034 | 14 | 770 | O2233 | 14 | 831-833 | O29212 | 14 | 831-833 | ||
| O034 | 14 | 779 | O2240 | 14 | 817-819 | O29213 | 14 | 817-819 | ||
| O035 | 14 | 770 | O2240 | 14 | 831-833 | O29213 | 14 | 831-833 | ||
| O035 | 14 | 779 | O2241 | 14 | 817-819 | O29219 | 14 | 817-819 | ||
| O036 | 14 | 770 | O2241 | 14 | 831-833 | O29219 | 14 | 831-833 | ||
| O036 | 14 | 779 | O2242 | 14 | 817-819 | O29291 | 14 | 817-819 | ||
| O037 | 14 | 770 | O2242 | 14 | 831-833 | O29291 | 14 | 831-833 | ||
| O037 | 14 | 779 | O2243 | 14 | 817-819 | O29292 | 14 | 817-819 | ||
| O0380 | 14 | 770 | O2243 | 14 | 831-833 | O29292 | 14 | 831-833 | ||
| O0380 | 14 | 779 | O2250 | 14 | 817-819 | O29293 | 14 | 817-819 | ||
| O0381 | 14 | 770 | O2250 | 14 | 831-833 | O29293 | 14 | 831-833 | ||
| O0381 | 14 | 779 | O2251 | 14 | 817-819 | O29299 | 14 | 817-819 | ||
| O0382 | 14 | 770 | O2251 | 14 | 831-833 | O29299 | 14 | 831-833 | ||
| O0382 | 14 | 779 | O2252 | 14 | 817-819 | O293X1 | 14 | 817-819 | ||
| O0383 | 14 | 770 | O2252 | 14 | 831-833 | O293X1 | 14 | 831-833 | ||
| O0383 | 14 | 779 | O2253 | 14 | 817-819 | O293X2 | 14 | 817-819 | ||
| O0384 | 14 | 770 | O2253 | 14 | 831-833 | O293X2 | 14 | 831-833 | ||
| O0384 | 14 | 779 | O228X1 | 14 | 817-819 | O293X3 | 14 | 817-819 | ||
| O0385 | 14 | 770 | O228X1 | 14 | 831-833 | O293X3 | 14 | 831-833 | ||
| O0385 | 14 | 779 | O228X2 | 14 | 817-819 | O293X9 | 14 | 817-819 | ||
| O0386 | 14 | 770 | O228X2 | 14 | 831-833 | O293X9 | 14 | 831-833 | ||
| O0386 | 14 | 779 | O228X3 | 14 | 817-819 | O2940 | 14 | 817-819 | ||
| O0387 | 14 | 770 | O228X3 | 14 | 831-833 | O2940 | 14 | 831-833 | ||
| O0387 | 14 | 779 | O228X9 | 14 | 817-819 | O2941 | 14 | 817-819 | ||
| O0388 | 14 | 770 | O228X9 | 14 | 831-833 | O2941 | 14 | 831-833 | ||
| O0388 | 14 | 779 | O2290 | 14 | 817-819 | O2942 | 14 | 817-819 | ||
| O0389 | 14 | 770 | O2290 | 14 | 831-833 | O2942 | 14 | 831-833 | ||
| O0389 | 14 | 779 | O2291 | 14 | 817-819 | O2943 | 14 | 817-819 | ||
| O039 | 14 | 770 | O2291 | 14 | 831-833 | O2943 | 14 | 831-833 | ||
| O039 | 14 | 779 | O2292 | 14 | 817-819 | O295X1 | 14 | 817-819 | ||
| O045 | 14 | 770 | O2292 | 14 | 831-833 | O295X1 | 14 | 831-833 | ||
| O045 | 14 | 779 | O2293 | 14 | 817-819 | O295X2 | 14 | 817-819 | ||
| O046 | 14 | 770 | O2293 | 14 | 831-833 | O295X2 | 14 | 831-833 | ||
| O046 | 14 | 779 | O2300 | 14 | 817-819 | O295X3 | 14 | 817-819 | ||
| O047 | 14 | 770 | O2300 | 14 | 831-833 | O295X3 | 14 | 831-833 | ||
| O047 | 14 | 779 | O2301 | 14 | 817-819 | O295X9 | 14 | 817-819 | ||
| O0480 | 14 | 770 | O2301 | 14 | 831-833 | O295X9 | 14 | 831-833 | ||
| O0480 | 14 | 779 | O2302 | 14 | 817-819 | O2960 | 14 | 817-819 | ||
| O0481 | 14 | 770 | O2302 | 14 | 831-833 | O2960 | 14 | 831-833 | ||
| O0481 | 14 | 779 | O2303 | 14 | 817-819 | O2961 | 14 | 817-819 | ||
| O0482 | 14 | 770 | O2303 | 14 | 831-833 | O2961 | 14 | 831-833 | ||
| O0482 | 14 | 779 | O2310 | 14 | 817-819 | O2962 | 14 | 817-819 | ||
| O0483 | 14 | 770 | O2310 | 14 | 831-833 | O2962 | 14 | 831-833 | ||
| O0483 | 14 | 779 | O2311 | 14 | 817-819 | O2963 | 14 | 817-819 | ||
| O0484 | 14 | 770 | O2311 | 14 | 831-833 | O2963 | 14 | 831-833 | ||
| O0484 | 14 | 779 | O2312 | 14 | 817-819 | O298X1 | 14 | 817-819 | ||
| O0485 | 14 | 770 | O2312 | 14 | 831-833 | O298X1 | 14 | 831-833 | ||
| O0485 | 14 | 779 | O2313 | 14 | 817-819 | O298X2 | 14 | 817-819 | ||
| O0486 | 14 | 770 | O2313 | 14 | 831-833 | O298X2 | 14 | 831-833 | ||
| O0486 | 14 | 779 | O2320 | 14 | 817-819 | O298X3 | 14 | 817-819 | ||
| O0487 | 14 | 770 | O2320 | 14 | 831-833 | O298X3 | 14 | 831-833 | ||
| O0487 | 14 | 779 | O2321 | 14 | 817-819 | O298X9 | 14 | 817-819 | ||
| O0488 | 14 | 770 | O2321 | 14 | 831-833 | O298X9 | 14 | 831-833 | ||
| O0488 | 14 | 779 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |