ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 31 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S02118D | 08 | 559-561 | S02622A | Pre | 011-013 | S0430XA | 01 | 073-074 | ||
S02118G | 08 | 559-561 | S02622A | 03 | 157-159 | S0430XA | 24 | 963-965 | ||
S02118K | 08 | 564-566 | S02622A | 24 | 963-965 | S0430XD | 23 | 949-950 | ||
S02118S | 01 | 091-093 | S02622B | Pre | 011-013 | S0430XS | 01 | 091-093 | ||
S02119A | 01 | 082-084 | S02622B | 03 | 157-159 | S0431XA | 01 | 073-074 | ||
S02119A | 01 | 085-087 | S02622B | 24 | 963-965 | S0431XA | 24 | 963-965 | ||
S02119A | 24 | 963-965 | S02622D | 08 | 559-561 | S0431XD | 23 | 949-950 | ||
S02119B | 01 | 082-084 | S02622G | 08 | 559-561 | S0431XS | 01 | 091-093 | ||
S02119B | 01 | 085-087 | S02622K | 08 | 564-566 | S0432XA | 01 | 073-074 | ||
S02119B | 24 | 963-965 | S02622S | 01 | 091-093 | S0432XA | 24 | 963-965 | ||
S02119D | 08 | 559-561 | S02630A | Pre | 011-013 | S0432XD | 23 | 949-950 | ||
S02119G | 08 | 559-561 | S02630A | 03 | 157-159 | S0432XS | 01 | 091-093 | ||
S02119K | 08 | 564-566 | S02630A | 24 | 963-965 | S0440XA | 01 | 073-074 | ||
S02119S | 01 | 091-093 | S02630B | Pre | 011-013 | S0440XA | 24 | 963-965 | ||
S0211AA | 01 | 082-084 | S02630B | 03 | 157-159 | S0440XD | 23 | 949-950 | ||
S0211AA | 01 | 085-087 | S02630B | 24 | 963-965 | S0440XS | 01 | 091-093 | ||
S0211AA | 24 | 963-965 | S02630D | 08 | 559-561 | S0441XA | 01 | 073-074 | ||
S0211AB | 01 | 082-084 | S02630G | 08 | 559-561 | S0441XA | 24 | 963-965 | ||
S0211AB | 01 | 085-087 | S02630K | 08 | 564-566 | S0441XD | 23 | 949-950 | ||
S0211AB | 24 | 963-965 | S02630S | 01 | 091-093 | S0441XS | 01 | 091-093 | ||
S0211AD | 08 | 559-561 | S02631A | Pre | 011-013 | S0442XA | 01 | 073-074 | ||
S0211AG | 08 | 559-561 | S02631A | 03 | 157-159 | S0442XA | 24 | 963-965 | ||
S0211AK | 08 | 564-566 | S02631A | 24 | 963-965 | S0442XD | 23 | 949-950 | ||
S0211AS | 01 | 091-093 | S02631B | Pre | 011-013 | S0442XS | 01 | 091-093 | ||
S0211BA | 01 | 082-084 | S02631B | 03 | 157-159 | S0450XA | 01 | 073-074 | ||
S0211BA | 01 | 085-087 | S02631B | 24 | 963-965 | S0450XA | 24 | 963-965 | ||
S0211BA | 24 | 963-965 | S02631D | 08 | 559-561 | S0450XD | 23 | 949-950 | ||
S0211BB | 01 | 082-084 | S02631G | 08 | 559-561 | S0450XS | 01 | 091-093 | ||
S0211BB | 01 | 085-087 | S02631K | 08 | 564-566 | S0451XA | 01 | 073-074 | ||
S0211BB | 24 | 963-965 | S02631S | 01 | 091-093 | S0451XA | 24 | 963-965 | ||
S0211BD | 08 | 559-561 | S02632A | Pre | 011-013 | S0451XD | 23 | 949-950 | ||
S0211BG | 08 | 559-561 | S02632A | 03 | 157-159 | S0451XS | 01 | 091-093 | ||
S0211BK | 08 | 564-566 | S02632A | 24 | 963-965 | S0452XA | 01 | 073-074 | ||
S0211BS | 01 | 091-093 | S02632B | Pre | 011-013 | S0452XA | 24 | 963-965 | ||
S0211CA | 01 | 082-084 | S02632B | 03 | 157-159 | S0452XD | 23 | 949-950 | ||
S0211CA | 01 | 085-087 | S02632B | 24 | 963-965 | S0452XS | 01 | 091-093 | ||
S0211CA | 24 | 963-965 | S02632D | 08 | 559-561 | S0460XA | 03 | 154-156 | ||
S0211CB | 01 | 082-084 | S02632G | 08 | 559-561 | S0460XA | 24 | 963-965 | ||
S0211CB | 01 | 085-087 | S02632K | 08 | 564-566 | S0460XD | 23 | 949-950 | ||
S0211CB | 24 | 963-965 | S02632S | 01 | 091-093 | S0460XS | 01 | 091-093 | ||
S0211CD | 08 | 559-561 | S02640A | Pre | 011-013 | S0461XA | 03 | 154-156 | ||
S0211CG | 08 | 559-561 | S02640A | 03 | 157-159 | S0461XA | 24 | 963-965 | ||
S0211CK | 08 | 564-566 | S02640A | 24 | 963-965 | S0461XD | 23 | 949-950 | ||
S0211CS | 01 | 091-093 | S02640B | Pre | 011-013 | S0461XS | 01 | 091-093 | ||
S0211DA | 01 | 082-084 | S02640B | 03 | 157-159 | S0462XA | 03 | 154-156 | ||
S0211DA | 01 | 085-087 | S02640B | 24 | 963-965 | S0462XA | 24 | 963-965 | ||
S0211DA | 24 | 963-965 | S02640D | 08 | 559-561 | S0462XD | 23 | 949-950 | ||
S0211DB | 01 | 082-084 | S02640G | 08 | 559-561 | S0462XS | 01 | 091-093 | ||
S0211DB | 01 | 085-087 | S02640K | 08 | 564-566 | S0470XA | 01 | 073-074 | ||
S0211DB | 24 | 963-965 | S02640S | 01 | 091-093 | S0470XA | 24 | 963-965 | ||
S0211DD | 08 | 559-561 | S02641A | Pre | 011-013 | S0470XD | 23 | 949-950 | ||
S0211DG | 08 | 559-561 | S02641A | 03 | 157-159 | S0470XS | 01 | 091-093 | ||
S0211DK | 08 | 564-566 | S02641A | 24 | 963-965 | S0471XA | 01 | 073-074 | ||
S0211DS | 01 | 091-093 | S02641B | Pre | 011-013 | S0471XA | 24 | 963-965 | ||
S0211EA | 01 | 082-084 | S02641B | 03 | 157-159 | S0471XD | 23 | 949-950 | ||
S0211EA | 01 | 085-087 | S02641B | 24 | 963-965 | S0471XS | 01 | 091-093 | ||
S0211EA | 24 | 963-965 | S02641D | 08 | 559-561 | S0472XA | 01 | 073-074 | ||
S0211EB | 01 | 082-084 | S02641G | 08 | 559-561 | S0472XA | 24 | 963-965 | ||
S0211EB | 01 | 085-087 | S02641K | 08 | 564-566 | S0472XD | 23 | 949-950 | ||
S0211EB | 24 | 963-965 | S02641S | 01 | 091-093 | S0472XS | 01 | 091-093 | ||
S0211ED | 08 | 559-561 | S02642A | Pre | 011-013 | S04811A | 01 | 073-074 | ||
S0211EG | 08 | 559-561 | S02642A | 03 | 157-159 | S04811A | 24 | 963-965 | ||
S0211EK | 08 | 564-566 | S02642A | 24 | 963-965 | S04811D | 23 | 949-950 | ||
S0211ES | 01 | 091-093 | S02642B | Pre | 011-013 | S04811S | 01 | 091-093 | ||
S0211FA | 01 | 082-084 | S02642B | 03 | 157-159 | S04812A | 01 | 073-074 | ||
S0211FA | 01 | 085-087 | S02642B | 24 | 963-965 | S04812A | 24 | 963-965 | ||
S0211FA | 24 | 963-965 | S02642D | 08 | 559-561 | S04812D | 23 | 949-950 | ||
S0211FB | 01 | 082-084 | S02642G | 08 | 559-561 | S04812S | 01 | 091-093 | ||
S0211FB | 01 | 085-087 | S02642K | 08 | 564-566 | S04819A | 01 | 073-074 | ||
S0211FB | 24 | 963-965 | S02642S | 01 | 091-093 | S04819A | 24 | 963-965 | ||
S0211FD | 08 | 559-561 | S02650A | Pre | 011-013 | S04819D | 23 | 949-950 | ||
S0211FG | 08 | 559-561 | S02650A | 03 | 157-159 | S04819S | 01 | 091-093 | ||
S0211FK | 08 | 564-566 | S02650A | 24 | 963-965 | S04891A | 01 | 073-074 | ||
S0211FS | 01 | 091-093 | S02650B | Pre | 011-013 | S04891A | 24 | 963-965 | ||
S0211GA | 01 | 082-084 | S02650B | 03 | 157-159 | S04891D | 23 | 949-950 | ||
S0211GA | 01 | 085-087 | S02650B | 24 | 963-965 | S04891S | 01 | 091-093 | ||
S0211GA | 24 | 963-965 | S02650D | 08 | 559-561 | S04892A | 01 | 073-074 | ||
S0211GB | 01 | 082-084 | S02650G | 08 | 559-561 | S04892A | 24 | 963-965 | ||
S0211GB | 01 | 085-087 | S02650K | 08 | 564-566 | S04892D | 23 | 949-950 | ||
S0211GB | 24 | 963-965 | S02650S | 01 | 091-093 | S04892S | 01 | 091-093 | ||
S0211GD | 08 | 559-561 | S02651A | Pre | 011-013 | S04899A | 01 | 073-074 | ||
S0211GG | 08 | 559-561 | S02651A | 03 | 157-159 | S04899A | 24 | 963-965 | ||
S0211GK | 08 | 564-566 | S02651A | 24 | 963-965 | S04899D | 23 | 949-950 | ||
S0211GS | 01 | 091-093 | S02651B | Pre | 011-013 | S04899S | 01 | 091-093 | ||
S0211HA | 01 | 082-084 | S02651B | 03 | 157-159 | S049XXA | 01 | 073-074 | ||
S0211HA | 01 | 085-087 | S02651B | 24 | 963-965 | S049XXA | 24 | 963-965 | ||
S0211HA | 24 | 963-965 | S02651D | 08 | 559-561 | S049XXD | 23 | 949-950 | ||
S0211HB | 01 | 082-084 | S02651G | 08 | 559-561 | S049XXS | 01 | 091-093 | ||
S0211HB | 01 | 085-087 | S02651K | 08 | 564-566 | S0500XA | 02 | 124-125 | ||
S0211HB | 24 | 963-965 | S02651S | 01 | 091-093 | S0500XA | 24 | 963-965 | ||
S0211HD | 08 | 559-561 | S02652A | Pre | 011-013 | S0500XD | 23 | 949-950 | ||
S0211HG | 08 | 559-561 | S02652A | 03 | 157-159 | S0500XS | 09 | 604-605 | ||
S0211HK | 08 | 564-566 | S02652A | 24 | 963-965 | S0501XA | 02 | 124-125 | ||
S0211HS | 01 | 091-093 | S02652B | Pre | 011-013 | S0501XA | 24 | 963-965 | ||
S02121A | 01 | 082-084 | S02652B | 03 | 157-159 | S0501XD | 23 | 949-950 | ||
S02121A | 01 | 085-087 | S02652B | 24 | 963-965 | S0501XS | 09 | 604-605 | ||
S02121A | 24 | 963-965 | S02652D | 08 | 559-561 | S0502XA | 02 | 124-125 | ||
S02121B | 01 | 082-084 | S02652G | 08 | 559-561 | S0502XA | 24 | 963-965 | ||
S02121B | 01 | 085-087 | S02652K | 08 | 564-566 | S0502XD | 23 | 949-950 | ||
S02121B | 24 | 963-965 | S02652S | 01 | 091-093 | S0502XS | 09 | 604-605 | ||
S02121D | 23 | 949-950 | S0266XA | Pre | 011-013 | S0510XA | 02 | 124-125 | ||
S02121G | 23 | 949-950 | S0266XA | 03 | 157-159 | S0510XA | 24 | 963-965 | ||
S02121K | 23 | 949-950 | S0266XA | 24 | 963-965 | S0510XD | 23 | 949-950 | ||
S02121S | 21 | 922-923 | S0266XB | Pre | 011-013 | S0510XS | 09 | 604-605 | ||
S02122A | 01 | 082-084 | S0266XB | 03 | 157-159 | S0511XA | 02 | 124-125 | ||
S02122A | 01 | 085-087 | S0266XB | 24 | 963-965 | S0511XA | 24 | 963-965 | ||
S02122A | 24 | 963-965 | S0266XD | 08 | 559-561 | S0511XD | 23 | 949-950 | ||
S02122B | 01 | 082-084 | S0266XG | 08 | 559-561 | S0511XS | 09 | 604-605 | ||
S02122B | 01 | 085-087 | S0266XK | 08 | 564-566 | S0512XA | 02 | 124-125 | ||
S02122B | 24 | 963-965 | S0266XS | 01 | 091-093 | S0512XA | 24 | 963-965 | ||
S02122D | 23 | 949-950 | S02670A | Pre | 011-013 | S0512XD | 23 | 949-950 | ||
S02122G | 23 | 949-950 | S02670A | 03 | 157-159 | S0512XS | 09 | 604-605 | ||
S02122K | 23 | 949-950 | S02670A | 24 | 963-965 | S0520XA | 02 | 124-125 | ||
S02122S | 21 | 922-923 | S02670B | Pre | 011-013 | S0520XA | 24 | 963-965 | ||
S02129A | 01 | 082-084 | S02670B | 03 | 157-159 | S0520XD | 23 | 949-950 | ||
S02129A | 01 | 085-087 | S02670B | 24 | 963-965 | S0520XS | 09 | 604-605 | ||
S02129A | 24 | 963-965 | S02670D | 08 | 559-561 | S0521XA | 02 | 124-125 | ||
S02129B | 01 | 082-084 | S02670G | 08 | 559-561 | S0521XA | 24 | 963-965 | ||
S02129B | 01 | 085-087 | S02670K | 08 | 564-566 | S0521XD | 23 | 949-950 | ||
S02129B | 24 | 963-965 | S02670S | 01 | 091-093 | S0521XS | 09 | 604-605 | ||
S02129D | 23 | 949-950 | S02671A | Pre | 011-013 | S0522XA | 02 | 124-125 | ||
S02129G | 23 | 949-950 | S02671A | 03 | 157-159 | S0522XA | 24 | 963-965 | ||
S02129K | 23 | 949-950 | S02671A | 24 | 963-965 | S0522XD | 23 | 949-950 | ||
S02129S | 21 | 922-923 | S02671B | Pre | 011-013 | S0522XS | 09 | 604-605 | ||
S0219XA | 01 | 082-084 | S02671B | 03 | 157-159 | S0530XA | 02 | 124-125 | ||
S0219XA | 01 | 085-087 | S02671B | 24 | 963-965 | S0530XA | 24 | 963-965 | ||
S0219XA | 24 | 963-965 | S02671D | 08 | 559-561 | S0530XD | 23 | 949-950 | ||
S0219XB | 01 | 082-084 | S02671G | 08 | 559-561 | S0530XS | 09 | 604-605 | ||
S0219XB | 01 | 085-087 | S02671K | 08 | 564-566 | S0531XA | 02 | 124-125 | ||
S0219XB | 24 | 963-965 | S02671S | 01 | 091-093 | S0531XA | 24 | 963-965 | ||
S0219XD | 08 | 559-561 | S02672A | Pre | 011-013 | S0531XD | 23 | 949-950 | ||
S0219XG | 08 | 559-561 | S02672A | 03 | 157-159 | S0531XS | 09 | 604-605 | ||
S0219XK | 08 | 564-566 | S02672A | 24 | 963-965 | S0532XA | 02 | 124-125 | ||
S0219XS | 01 | 091-093 | S02672B | Pre | 011-013 | S0532XA | 24 | 963-965 | ||
S022XXA | 03 | 154-156 | S02672B | 03 | 157-159 | S0532XD | 23 | 949-950 | ||
S022XXA | 24 | 963-965 | S02672B | 24 | 963-965 | S0532XS | 09 | 604-605 | ||
S022XXB | 03 | 154-156 | S02672D | 08 | 559-561 | S0540XA | 02 | 124-125 | ||
S022XXB | 24 | 963-965 | S02672G | 08 | 559-561 | S0540XA | 24 | 963-965 | ||
S022XXD | 08 | 559-561 | S02672K | 08 | 564-566 | S0540XD | 23 | 949-950 | ||
S022XXG | 08 | 559-561 | S02672S | 01 | 091-093 | S0540XS | 09 | 604-605 | ||
S022XXK | 08 | 564-566 | S0269XA | Pre | 011-013 | S0541XA | 02 | 124-125 | ||
S022XXS | 01 | 091-093 | S0269XA | 03 | 157-159 | S0541XA | 24 | 963-965 | ||
S0230XA | Pre | 011-013 | S0269XA | 24 | 963-965 | S0541XD | 23 | 949-950 | ||
S0230XA | 02 | 124-125 | S0269XB | Pre | 011-013 | S0541XS | 09 | 604-605 | ||
S0230XA | 24 | 963-965 | S0269XB | 03 | 157-159 | S0542XA | 02 | 124-125 | ||
S0230XB | Pre | 011-013 | S0269XB | 24 | 963-965 | S0542XA | 24 | 963-965 | ||
S0230XB | 02 | 124-125 | S0269XD | 08 | 559-561 | S0542XD | 23 | 949-950 | ||
S0230XB | 24 | 963-965 | S0269XG | 08 | 559-561 | S0542XS | 09 | 604-605 | ||
S0230XD | 08 | 559-561 | S0269XK | 08 | 564-566 | S0550XA | 02 | 124-125 | ||
S0230XG | 08 | 559-561 | S0269XS | 01 | 091-093 | S0550XA | 24 | 963-965 | ||
S0230XK | 08 | 564-566 | S0280XA | Pre | 011-013 | S0550XD | 23 | 949-950 | ||
S0230XS | 01 | 091-093 | S0280XA | 08 | 564-566 | S0550XS | 09 | 604-605 | ||
S0231XA | Pre | 011-013 | S0280XA | 24 | 963-965 | S0551XA | 02 | 124-125 | ||
S0231XA | 02 | 124-125 | S0280XB | Pre | 011-013 | S0551XA | 24 | 963-965 | ||
S0231XA | 24 | 963-965 | S0280XB | 08 | 564-566 | S0551XD | 23 | 949-950 | ||
S0231XB | Pre | 011-013 | S0280XB | 24 | 963-965 | S0551XS | 09 | 604-605 | ||
S0231XB | 02 | 124-125 | S0280XD | 08 | 559-561 | S0552XA | 02 | 124-125 | ||
S0231XB | 24 | 963-965 | S0280XG | 08 | 559-561 | S0552XA | 24 | 963-965 | ||
S0231XD | 08 | 559-561 | S0280XK | 08 | 564-566 | S0552XD | 23 | 949-950 | ||
S0231XG | 08 | 559-561 | S0280XS | 01 | 091-093 | S0552XS | 09 | 604-605 | ||
S0231XK | 08 | 564-566 | S0281XA | Pre | 011-013 | S0560XA | 02 | 124-125 | ||
S0231XS | 01 | 091-093 | S0281XA | 08 | 564-566 | S0560XA | 24 | 963-965 | ||
S0232XA | Pre | 011-013 | S0281XA | 24 | 963-965 | S0560XD | 23 | 949-950 | ||
S0232XA | 02 | 124-125 | S0281XB | Pre | 011-013 | S0560XS | 09 | 604-605 | ||
S0232XA | 24 | 963-965 | S0281XB | 08 | 564-566 | S0561XA | 02 | 124-125 | ||
S0232XB | Pre | 011-013 | S0281XB | 24 | 963-965 | S0561XA | 24 | 963-965 | ||
S0232XB | 02 | 124-125 | S0281XD | 08 | 559-561 | S0561XD | 23 | 949-950 | ||
S0232XB | 24 | 963-965 | S0281XG | 08 | 559-561 | S0561XS | 09 | 604-605 | ||
S0232XD | 08 | 559-561 | S0281XK | 08 | 564-566 | S0562XA | 02 | 124-125 | ||
S0232XG | 08 | 559-561 | S0281XS | 01 | 091-093 | S0562XA | 24 | 963-965 | ||
S0232XK | 08 | 564-566 | S0282XA | Pre | 011-013 | S0562XD | 23 | 949-950 | ||
S0232XS | 01 | 091-093 | S0282XA | 08 | 564-566 | S0562XS | 09 | 604-605 | ||
S02400A | Pre | 011-013 | S0282XA | 24 | 963-965 | S0570XA | 02 | 124-125 | ||
S02400A | 03 | 157-159 | S0282XB | Pre | 011-013 | S0570XA | 24 | 963-965 | ||
S02400A | 24 | 963-965 | S0282XB | 08 | 564-566 | S0570XD | 23 | 949-950 | ||
S02400B | Pre | 011-013 | S0282XB | 24 | 963-965 | S0570XS | 21 | 913-914 | ||
S02400B | 03 | 157-159 | S0282XD | 08 | 559-561 | S0571XA | 02 | 124-125 | ||
S02400B | 24 | 963-965 | S0282XG | 08 | 559-561 | S0571XA | 24 | 963-965 | ||
S02400D | 08 | 559-561 | S0282XK | 08 | 564-566 | S0571XD | 23 | 949-950 | ||
S02400G | 08 | 559-561 | S0282XS | 01 | 091-093 | S0571XS | 21 | 913-914 | ||
S02400K | 08 | 564-566 | S02831A | Pre | 011-013 | S0572XA | 02 | 124-125 | ||
S02400S | 01 | 091-093 | S02831A | 01 | 082-084 | S0572XA | 24 | 963-965 | ||
S02401A | Pre | 011-013 | S02831A | 01 | 085-087 | S0572XD | 23 | 949-950 | ||
S02401A | 03 | 157-159 | S02831A | 24 | 963-965 | S0572XS | 21 | 913-914 | ||
S02401A | 24 | 963-965 | S02831B | Pre | 011-013 | S058X1A | 02 | 124-125 | ||
S02401B | Pre | 011-013 | S02831B | 01 | 082-084 | S058X1A | 24 | 963-965 | ||
S02401B | 03 | 157-159 | S02831B | 01 | 085-087 | S058X1D | 23 | 949-950 | ||
S02401B | 24 | 963-965 | S02831B | 24 | 963-965 | S058X1S | 21 | 913-914 | ||
S02401D | 08 | 559-561 | S02831D | 23 | 949-950 | S058X2A | 02 | 124-125 | ||
S02401G | 08 | 559-561 | S02831G | 23 | 949-950 | S058X2A | 24 | 963-965 | ||
S02401K | 08 | 564-566 | S02831K | 23 | 949-950 | S058X2D | 23 | 949-950 | ||
S02401S | 01 | 091-093 | S02831S | 21 | 922-923 | S058X2S | 21 | 913-914 | ||
S02402A | Pre | 011-013 | S02832A | Pre | 011-013 | S058X9A | 02 | 124-125 | ||
S02402A | 03 | 157-159 | S02832A | 01 | 082-084 | S058X9A | 24 | 963-965 | ||
S02402A | 24 | 963-965 | S02832A | 01 | 085-087 | S058X9D | 23 | 949-950 | ||
S02402B | Pre | 011-013 | S02832A | 24 | 963-965 | S058X9S | 21 | 913-914 | ||
S02402B | 03 | 157-159 | S02832B | Pre | 011-013 | S0590XA | 02 | 124-125 | ||
S02402B | 24 | 963-965 | S02832B | 01 | 082-084 | S0590XA | 24 | 963-965 | ||
S02402D | 08 | 559-561 | S02832B | 01 | 085-087 | S0590XD | 23 | 949-950 | ||
S02402G | 08 | 559-561 | S02832B | 24 | 963-965 | S0590XS | 21 | 913-914 | ||
S02402K | 08 | 564-566 | S02832D | 23 | 949-950 | S0591XA | 02 | 124-125 | ||
S02402S | 01 | 091-093 | S02832G | 23 | 949-950 | S0591XA | 24 | 963-965 | ||
S0240AA | Pre | 011-013 | S02832K | 23 | 949-950 | S0591XD | 23 | 949-950 | ||
S0240AA | 03 | 157-159 | S02832S | 21 | 922-923 | S0591XS | 21 | 913-914 | ||
S0240AA | 24 | 963-965 | S02839A | Pre | 011-013 | S0592XA | 02 | 124-125 | ||
S0240AB | Pre | 011-013 | S02839A | 01 | 082-084 | S0592XA | 24 | 963-965 | ||
S0240AB | 03 | 157-159 | S02839A | 01 | 085-087 | S0592XD | 23 | 949-950 | ||
S0240AB | 24 | 963-965 | S02839A | 24 | 963-965 | S0592XS | 21 | 913-914 | ||
S0240AD | 08 | 559-561 | S02839B | Pre | 011-013 | S060X0A | 01 | 088-090 | ||
S0240AG | 08 | 559-561 | S02839B | 01 | 082-084 | S060X0A | 24 | 963-965 | ||
S0240AK | 08 | 564-566 | S02839B | 01 | 085-087 | S060X0D | 23 | 949-950 | ||
S0240AS | 01 | 091-093 | S02839B | 24 | 963-965 | S060X0S | 01 | 091-093 | ||
S0240BA | Pre | 011-013 | S02839D | 23 | 949-950 | S060X1A | 01 | 088-090 | ||
S0240BA | 03 | 157-159 | S02839G | 23 | 949-950 | S060X1A | 24 | 963-965 | ||
S0240BA | 24 | 963-965 | S02839K | 23 | 949-950 | S060X1D | 23 | 949-950 | ||
S0240BB | Pre | 011-013 | S02839S | 21 | 922-923 | S060X1S | 01 | 091-093 | ||
S0240BB | 03 | 157-159 | S02841A | Pre | 011-013 | S060X9A | 01 | 088-090 | ||
S0240BB | 24 | 963-965 | S02841A | 01 | 082-084 | S060X9A | 24 | 963-965 | ||
S0240BD | 08 | 559-561 | S02841A | 01 | 085-087 | S060X9D | 23 | 949-950 | ||
S0240BG | 08 | 559-561 | S02841A | 24 | 963-965 | S060X9S | 01 | 091-093 | ||
S0240BK | 08 | 564-566 | S02841B | Pre | 011-013 | S060XAA | 01 | 088-090 | ||
S0240BS | 01 | 091-093 | S02841B | 01 | 082-084 | S060XAA | 24 | 963-965 | ||
S0240CA | Pre | 011-013 | S02841B | 01 | 085-087 | S060XAD | 23 | 949-950 | ||
S0240CA | 03 | 157-159 | S02841B | 24 | 963-965 | S060XAS | 01 | 091-093 | ||
S0240CA | 24 | 963-965 | S02841D | 23 | 949-950 | S061X0A | 01 | 082-084 | ||
S0240CB | Pre | 011-013 | S02841G | 23 | 949-950 | S061X0A | 01 | 085-087 | ||
S0240CB | 03 | 157-159 | S02841K | 23 | 949-950 | S061X0A | 24 | 963-965 | ||
S0240CB | 24 | 963-965 | S02841S | 21 | 922-923 | S061X0D | 23 | 949-950 | ||
S0240CD | 08 | 559-561 | S02842A | Pre | 011-013 | S061X0S | 01 | 091-093 | ||
S0240CG | 08 | 559-561 | S02842A | 01 | 082-084 | S061X1A | 01 | 082-084 | ||
S0240CK | 08 | 564-566 | S02842A | 01 | 085-087 | S061X1A | 01 | 085-087 | ||
S0240CS | 01 | 091-093 | S02842A | 24 | 963-965 | S061X1A | 24 | 963-965 | ||
S0240DA | Pre | 011-013 | S02842B | Pre | 011-013 | S061X1D | 23 | 949-950 | ||
S0240DA | 03 | 157-159 | S02842B | 01 | 082-084 | S061X1S | 01 | 091-093 | ||
S0240DA | 24 | 963-965 | S02842B | 01 | 085-087 | S061X2A | 01 | 082-084 | ||
S0240DB | Pre | 011-013 | S02842B | 24 | 963-965 | S061X2A | 01 | 085-087 | ||
S0240DB | 03 | 157-159 | S02842D | 23 | 949-950 | S061X2A | 24 | 963-965 | ||
S0240DB | 24 | 963-965 | S02842G | 23 | 949-950 | S061X2D | 23 | 949-950 | ||
S0240DD | 08 | 559-561 | S02842K | 23 | 949-950 | S061X2S | 01 | 091-093 | ||
S0240DG | 08 | 559-561 | S02842S | 21 | 922-923 | S061X3A | 01 | 082-084 | ||
S0240DK | 08 | 564-566 | S02849A | Pre | 011-013 | S061X3A | 24 | 963-965 | ||
S0240DS | 01 | 091-093 | S02849A | 01 | 082-084 | S061X3D | 23 | 949-950 | ||
S0240EA | Pre | 011-013 | S02849A | 01 | 085-087 | S061X3S | 01 | 091-093 | ||
S0240EA | 03 | 157-159 | S02849A | 24 | 963-965 | S061X4A | 01 | 082-084 | ||
S0240EA | 24 | 963-965 | S02849B | Pre | 011-013 | S061X4A | 24 | 963-965 | ||
S0240EB | Pre | 011-013 | S02849B | 01 | 082-084 | S061X4D | 23 | 949-950 | ||
S0240EB | 03 | 157-159 | S02849B | 01 | 085-087 | S061X4S | 01 | 091-093 | ||
S0240EB | 24 | 963-965 | S02849B | 24 | 963-965 | S061X5A | 01 | 082-084 | ||
S0240ED | 08 | 559-561 | S02849D | 23 | 949-950 | S061X5A | 24 | 963-965 | ||
S0240EG | 08 | 559-561 | S02849G | 23 | 949-950 | S061X5D | 23 | 949-950 | ||
S0240EK | 08 | 564-566 | S02849K | 23 | 949-950 | S061X5S | 01 | 091-093 | ||
S0240ES | 01 | 091-093 | S02849S | 21 | 922-923 | S061X6A | 01 | 082-084 | ||
S0240FA | Pre | 011-013 | S0285XA | Pre | 011-013 | S061X6A | 24 | 963-965 | ||
S0240FA | 03 | 157-159 | S0285XA | 01 | 082-084 | S061X6D | 23 | 949-950 | ||
S0240FA | 24 | 963-965 | S0285XA | 01 | 085-087 | S061X6S | 01 | 091-093 | ||
S0240FB | Pre | 011-013 | S0285XA | 24 | 963-965 | S061X7A | 01 | 082-084 | ||
S0240FB | 03 | 157-159 | S0285XB | Pre | 011-013 | S061X7A | 24 | 963-965 | ||
S0240FB | 24 | 963-965 | S0285XB | 01 | 082-084 | S061X8A | 01 | 082-084 | ||
S0240FD | 08 | 559-561 | S0285XB | 01 | 085-087 | S061X8A | 24 | 963-965 | ||
S0240FG | 08 | 559-561 | S0285XB | 24 | 963-965 | S061X9A | 01 | 082-084 | ||
S0240FK | 08 | 564-566 | S0285XD | 23 | 949-950 | S061X9A | 24 | 963-965 | ||
S0240FS | 01 | 091-093 | S0285XG | 23 | 949-950 | S061X9D | 23 | 949-950 | ||
S02411A | Pre | 011-013 | S0285XK | 23 | 949-950 | S061X9S | 01 | 091-093 | ||
S02411A | 03 | 157-159 | S0285XS | 21 | 922-923 | S061XAA | 01 | 082-084 | ||
S02411A | 24 | 963-965 | S0291XA | 01 | 082-084 | S061XAA | 24 | 963-965 | ||
S02411B | Pre | 011-013 | S0291XA | 01 | 085-087 | S061XAD | 23 | 949-950 | ||
S02411B | 03 | 157-159 | S0291XA | 24 | 963-965 | S061XAS | 01 | 091-093 | ||
S02411B | 24 | 963-965 | S0291XB | 01 | 082-084 | S062X0A | 01 | 082-084 | ||
S02411D | 08 | 559-561 | S0291XB | 01 | 085-087 | S062X0A | 01 | 085-087 | ||
S02411G | 08 | 559-561 | S0291XB | 24 | 963-965 | S062X0A | 24 | 963-965 | ||
S02411K | 08 | 564-566 | S0291XD | 08 | 559-561 | S062X0D | 23 | 949-950 | ||
S02411S | 01 | 091-093 | S0291XG | 08 | 559-561 | S062X0S | 01 | 091-093 | ||
S02412A | Pre | 011-013 | S0291XK | 08 | 564-566 | S062X1A | 01 | 082-084 | ||
S02412A | 03 | 157-159 | S0291XS | 01 | 091-093 | S062X1A | 01 | 085-087 | ||
S02412A | 24 | 963-965 | S0292XA | Pre | 011-013 | S062X1A | 24 | 963-965 | ||
S02412B | Pre | 011-013 | S0292XA | 08 | 564-566 | S062X1D | 23 | 949-950 | ||
S02412B | 03 | 157-159 | S0292XA | 24 | 963-965 | S062X1S | 01 | 091-093 | ||
S02412B | 24 | 963-965 | S0292XB | Pre | 011-013 | S062X2A | 01 | 082-084 | ||
S02412D | 08 | 559-561 | S0292XB | 08 | 564-566 | S062X2A | 01 | 085-087 | ||
S02412G | 08 | 559-561 | S0292XB | 24 | 963-965 | S062X2A | 24 | 963-965 | ||
S02412K | 08 | 564-566 | S0292XD | 08 | 559-561 | S062X2D | 23 | 949-950 | ||
S02412S | 01 | 091-093 | S0292XG | 08 | 559-561 | S062X2S | 01 | 091-093 | ||
S02413A | Pre | 011-013 | S0292XK | 08 | 564-566 | S062X3A | 01 | 082-084 | ||
S02413A | 03 | 157-159 | S0292XS | 01 | 091-093 | S062X3A | 24 | 963-965 | ||
S02413A | 24 | 963-965 | S0300XA | Pre | 011-013 | S062X3D | 23 | 949-950 | ||
S02413B | Pre | 011-013 | S0300XA | 03 | 157-159 | S062X3S | 01 | 091-093 | ||
S02413B | 03 | 157-159 | S0300XA | 24 | 963-965 | S062X4A | 01 | 082-084 | ||
S02413B | 24 | 963-965 | S0300XD | 23 | 949-950 | S062X4A | 24 | 963-965 | ||
S02413D | 08 | 559-561 | S0300XS | 08 | 562-563 | S062X4D | 23 | 949-950 | ||
S02413G | 08 | 559-561 | S0301XA | Pre | 011-013 | S062X4S | 01 | 091-093 | ||
S02413K | 08 | 564-566 | S0301XA | 03 | 157-159 | S062X5A | 01 | 082-084 | ||
S02413S | 01 | 091-093 | S0301XA | 24 | 963-965 | S062X5A | 24 | 963-965 | ||
S0242XA | Pre | 011-013 | S0301XD | 23 | 949-950 | S062X5D | 23 | 949-950 | ||
S0242XA | 08 | 564-566 | S0301XS | 08 | 562-563 | S062X5S | 01 | 091-093 | ||
S0242XA | 24 | 963-965 | S0302XA | Pre | 011-013 | S062X6A | 01 | 082-084 | ||
S0242XB | Pre | 011-013 | S0302XA | 03 | 157-159 | S062X6A | 24 | 963-965 | ||
S0242XB | 08 | 564-566 | S0302XA | 24 | 963-965 | S062X6D | 23 | 949-950 | ||
S0242XB | 24 | 963-965 | S0302XD | 23 | 949-950 | S062X6S | 01 | 091-093 | ||
S0242XD | 08 | 559-561 | S0302XS | 08 | 562-563 | S062X7A | 01 | 082-084 | ||
S0242XG | 08 | 559-561 | S0303XA | Pre | 011-013 | S062X7A | 24 | 963-965 | ||
S0242XK | 08 | 564-566 | S0303XA | 03 | 157-159 | S062X8A | 01 | 082-084 | ||
S0242XS | 01 | 091-093 | S0303XA | 24 | 963-965 | S062X8A | 24 | 963-965 | ||
S025XXA | 03 | 157-159 | S0303XD | 23 | 949-950 | S062X9A | 01 | 082-084 | ||
S025XXA | 24 | 963-965 | S0303XS | 08 | 562-563 | S062X9A | 24 | 963-965 | ||
S025XXB | 03 | 157-159 | S031XXA | 08 | 562-563 | S062X9D | 23 | 949-950 | ||
S025XXB | 24 | 963-965 | S031XXA | 24 | 963-965 | S062X9S | 01 | 091-093 | ||
S025XXD | 08 | 559-561 | S031XXD | 23 | 949-950 | S062XAA | 01 | 082-084 | ||
S025XXG | 08 | 559-561 | S031XXS | 08 | 562-563 | S062XAA | 24 | 963-965 | ||
S025XXK | 08 | 564-566 | S032XXA | 03 | 157-159 | S062XAD | 23 | 949-950 | ||
S025XXS | 01 | 091-093 | S032XXA | 24 | 963-965 | S062XAS | 01 | 091-093 | ||
S02600A | Pre | 011-013 | S032XXD | 23 | 949-950 | S06300A | 01 | 082-084 | ||
S02600A | 03 | 157-159 | S032XXS | 09 | 604-605 | S06300A | 01 | 085-087 | ||
S02600A | 24 | 963-965 | S0340XA | 03 | 157-159 | S06300A | 24 | 963-965 | ||
S02600B | Pre | 011-013 | S0340XA | 24 | 963-965 | S06300D | 23 | 949-950 | ||
S02600B | 03 | 157-159 | S0340XD | 23 | 949-950 | S06300S | 01 | 091-093 | ||
S02600B | 24 | 963-965 | S0340XS | 08 | 562-563 | S06301A | 01 | 082-084 | ||
S02600D | 08 | 559-561 | S0341XA | 03 | 157-159 | S06301A | 01 | 085-087 | ||
S02600G | 08 | 559-561 | S0341XA | 24 | 963-965 | S06301A | 24 | 963-965 | ||
S02600K | 08 | 564-566 | S0341XD | 23 | 949-950 | S06301D | 23 | 949-950 | ||
S02600S | 01 | 091-093 | S0341XS | 08 | 562-563 | S06301S | 01 | 091-093 | ||
S02601A | Pre | 011-013 | S0342XA | 03 | 157-159 | S06302A | 01 | 082-084 | ||
S02601A | 03 | 157-159 | S0342XA | 24 | 963-965 | S06302A | 01 | 085-087 | ||
S02601A | 24 | 963-965 | S0342XD | 23 | 949-950 | S06302A | 24 | 963-965 | ||
S02601B | Pre | 011-013 | S0342XS | 08 | 562-563 | S06302D | 23 | 949-950 | ||
S02601B | 03 | 157-159 | S0343XA | 03 | 157-159 | S06302S | 01 | 091-093 | ||
S02601B | 24 | 963-965 | S0343XA | 24 | 963-965 | S06303A | 01 | 082-084 | ||
S02601D | 08 | 559-561 | S0343XD | 23 | 949-950 | S06303A | 24 | 963-965 | ||
S02601G | 08 | 559-561 | S0343XS | 08 | 562-563 | S06303D | 23 | 949-950 | ||
S02601K | 08 | 564-566 | S038XXA | 08 | 564-566 | S06303S | 01 | 091-093 | ||
S02601S | 01 | 091-093 | S038XXA | 24 | 963-965 | S06304A | 01 | 082-084 | ||
S02602A | Pre | 011-013 | S038XXD | 23 | 949-950 | S06304A | 24 | 963-965 | ||
S02602A | 03 | 157-159 | S038XXS | 08 | 562-563 | S06304D | 23 | 949-950 | ||
S02602A | 24 | 963-965 | S039XXA | 08 | 562-563 | S06304S | 01 | 091-093 | ||
S02602B | Pre | 011-013 | S039XXA | 24 | 963-965 | S06305A | 01 | 082-084 | ||
S02602B | 03 | 157-159 | S039XXD | 23 | 949-950 | S06305A | 24 | 963-965 | ||
S02602B | 24 | 963-965 | S039XXS | 08 | 562-563 | S06305D | 23 | 949-950 | ||
S02602D | 08 | 559-561 | S04011A | 02 | 124-125 | S06305S | 01 | 091-093 | ||
S02602G | 08 | 559-561 | S04011A | 24 | 963-965 | S06306A | 01 | 082-084 | ||
S02602K | 08 | 564-566 | S04011D | 23 | 949-950 | S06306A | 24 | 963-965 | ||
S02602S | 01 | 091-093 | S04011S | 01 | 091-093 | S06306D | 23 | 949-950 | ||
S02609A | Pre | 011-013 | S04012A | 02 | 124-125 | S06306S | 01 | 091-093 | ||
S02609A | 03 | 157-159 | S04012A | 24 | 963-965 | S06307A | 01 | 082-084 | ||
S02609A | 24 | 963-965 | S04012D | 23 | 949-950 | S06307A | 24 | 963-965 | ||
S02609B | Pre | 011-013 | S04012S | 01 | 091-093 | S06308A | 01 | 082-084 | ||
S02609B | 03 | 157-159 | S04019A | 02 | 124-125 | S06308A | 24 | 963-965 | ||
S02609B | 24 | 963-965 | S04019A | 24 | 963-965 | S06309A | 01 | 082-084 | ||
S02609D | 08 | 559-561 | S04019D | 23 | 949-950 | S06309A | 24 | 963-965 | ||
S02609G | 08 | 559-561 | S04019S | 01 | 091-093 | S06309D | 23 | 949-950 | ||
S02609K | 08 | 564-566 | S0402XA | 01 | 091-093 | S06309S | 01 | 091-093 | ||
S02609S | 01 | 091-093 | S0402XA | 24 | 963-965 | S0630AA | 01 | 082-084 | ||
S02610A | Pre | 011-013 | S0402XD | 23 | 949-950 | S0630AA | 24 | 963-965 | ||
S02610A | 03 | 157-159 | S0402XS | 01 | 091-093 | S0630AD | 23 | 949-950 | ||
S02610A | 24 | 963-965 | S04031A | 01 | 091-093 | S0630AS | 01 | 091-093 | ||
S02610B | Pre | 011-013 | S04031A | 24 | 963-965 | S06310A | 01 | 023-024 | ||
S02610B | 03 | 157-159 | S04031D | 23 | 949-950 | S06310A | 01 | 082-084 | ||
S02610B | 24 | 963-965 | S04031S | 01 | 091-093 | S06310A | 01 | 085-087 | ||
S02610D | 08 | 559-561 | S04032A | 01 | 091-093 | S06310A | 24 | 963-965 | ||
S02610G | 08 | 559-561 | S04032A | 24 | 963-965 | S06310D | 23 | 949-950 | ||
S02610K | 08 | 564-566 | S04032D | 23 | 949-950 | S06310S | 01 | 091-093 | ||
S02610S | 01 | 091-093 | S04032S | 01 | 091-093 | S06311A | 01 | 023-024 | ||
S02611A | Pre | 011-013 | S04039A | 01 | 091-093 | S06311A | 01 | 082-084 | ||
S02611A | 03 | 157-159 | S04039A | 24 | 963-965 | S06311A | 01 | 085-087 | ||
S02611A | 24 | 963-965 | S04039D | 23 | 949-950 | S06311A | 24 | 963-965 | ||
S02611B | Pre | 011-013 | S04039S | 01 | 091-093 | S06311D | 23 | 949-950 | ||
S02611B | 03 | 157-159 | S04041A | 01 | 091-093 | S06311S | 01 | 091-093 | ||
S02611B | 24 | 963-965 | S04041A | 24 | 963-965 | S06312A | 01 | 023-024 | ||
S02611D | 08 | 559-561 | S04041D | 23 | 949-950 | S06312A | 01 | 082-084 | ||
S02611G | 08 | 559-561 | S04041S | 01 | 091-093 | S06312A | 01 | 085-087 | ||
S02611K | 08 | 564-566 | S04042A | 01 | 091-093 | S06312A | 24 | 963-965 | ||
S02611S | 01 | 091-093 | S04042A | 24 | 963-965 | S06312D | 23 | 949-950 | ||
S02612A | Pre | 011-013 | S04042D | 23 | 949-950 | S06312S | 01 | 091-093 | ||
S02612A | 03 | 157-159 | S04042S | 01 | 091-093 | S06313A | 01 | 023-024 | ||
S02612A | 24 | 963-965 | S04049A | 01 | 091-093 | S06313A | 01 | 082-084 | ||
S02612B | Pre | 011-013 | S04049A | 24 | 963-965 | S06313A | 24 | 963-965 | ||
S02612B | 03 | 157-159 | S04049D | 23 | 949-950 | S06313D | 23 | 949-950 | ||
S02612B | 24 | 963-965 | S04049S | 01 | 091-093 | S06313S | 01 | 091-093 | ||
S02612D | 08 | 559-561 | S0410XA | 01 | 073-074 | S06314A | 01 | 023-024 | ||
S02612G | 08 | 559-561 | S0410XA | 24 | 963-965 | S06314A | 01 | 082-084 | ||
S02612K | 08 | 564-566 | S0410XD | 23 | 949-950 | S06314A | 24 | 963-965 | ||
S02612S | 01 | 091-093 | S0410XS | 01 | 091-093 | S06314D | 23 | 949-950 | ||
S02620A | Pre | 011-013 | S0411XA | 01 | 073-074 | S06314S | 01 | 091-093 | ||
S02620A | 03 | 157-159 | S0411XA | 24 | 963-965 | S06315A | 01 | 023-024 | ||
S02620A | 24 | 963-965 | S0411XD | 23 | 949-950 | S06315A | 01 | 082-084 | ||
S02620B | Pre | 011-013 | S0411XS | 01 | 091-093 | S06315A | 24 | 963-965 | ||
S02620B | 03 | 157-159 | S0412XA | 01 | 073-074 | S06315D | 23 | 949-950 | ||
S02620B | 24 | 963-965 | S0412XA | 24 | 963-965 | S06315S | 01 | 091-093 | ||
S02620D | 08 | 559-561 | S0412XD | 23 | 949-950 | S06316A | 01 | 023-024 | ||
S02620G | 08 | 559-561 | S0412XS | 01 | 091-093 | S06316A | 01 | 082-084 | ||
S02620K | 08 | 564-566 | S0420XA | 01 | 073-074 | S06316A | 24 | 963-965 | ||
S02620S | 01 | 091-093 | S0420XA | 24 | 963-965 | S06316D | 23 | 949-950 | ||
S02621A | Pre | 011-013 | S0420XD | 23 | 949-950 | S06316S | 01 | 091-093 | ||
S02621A | 03 | 157-159 | S0420XS | 01 | 091-093 | S06317A | 01 | 023-024 | ||
S02621A | 24 | 963-965 | S0421XA | 01 | 073-074 | S06317A | 01 | 082-084 | ||
S02621B | Pre | 011-013 | S0421XA | 24 | 963-965 | S06317A | 24 | 963-965 | ||
S02621B | 03 | 157-159 | S0421XD | 23 | 949-950 | S06318A | 01 | 023-024 | ||
S02621B | 24 | 963-965 | S0421XS | 01 | 091-093 | S06318A | 01 | 082-084 | ||
S02621D | 08 | 559-561 | S0422XA | 01 | 073-074 | S06318A | 24 | 963-965 | ||
S02621G | 08 | 559-561 | S0422XA | 24 | 963-965 | S06319A | 01 | 023-024 | ||
S02621K | 08 | 564-566 | S0422XD | 23 | 949-950 | S06319A | 01 | 082-084 | ||
S02621S | 01 | 091-093 | S0422XS | 01 | 091-093 | S06319A | 24 | 963-965 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |