ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 35 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S22082B | 08 | 551-552 | S248XXD | 23 | 949-950 | S2691XD | 23 | 949-950 | ||
S22082B | 24 | 963-965 | S248XXS | 01 | 091-093 | S2691XS | 04 | 205-206 | ||
S22082D | 08 | 559-561 | S249XXA | 01 | 073-074 | S2692XA | 05 | 314-316 | ||
S22082G | 08 | 559-561 | S249XXA | 24 | 963-965 | S2692XA | 24 | 963-965 | ||
S22082K | 08 | 564-566 | S249XXD | 23 | 949-950 | S2692XD | 23 | 949-950 | ||
S22082S | 08 | 551-552 | S249XXS | 01 | 091-093 | S2692XS | 04 | 205-206 | ||
S22088A | 08 | 551-552 | S2500XA | 15 | 791 | S2699XA | 05 | 314-316 | ||
S22088A | 24 | 963-965 | S2500XA | 15 | 793 | S2699XA | 24 | 963-965 | ||
S22088B | 08 | 551-552 | S2500XA | 21 | 913-914 | S2699XD | 23 | 949-950 | ||
S22088B | 24 | 963-965 | S2500XA | 24 | 963-965 | S2699XS | 04 | 205-206 | ||
S22088D | 08 | 559-561 | S2500XD | 23 | 949-950 | S270XXA | 04 | 199-201 | ||
S22088G | 08 | 559-561 | S2500XS | 05 | 299-301 | S270XXA | 15 | 791 | ||
S22088K | 08 | 564-566 | S2501XA | 15 | 791 | S270XXA | 15 | 793 | ||
S22088S | 08 | 551-552 | S2501XA | 15 | 793 | S270XXA | 24 | 963-965 | ||
S22089A | 08 | 551-552 | S2501XA | 21 | 913-914 | S270XXD | 23 | 949-950 | ||
S22089A | 24 | 963-965 | S2501XA | 24 | 963-965 | S270XXS | 04 | 205-206 | ||
S22089B | 08 | 551-552 | S2501XD | 23 | 949-950 | S271XXA | 04 | 199-201 | ||
S22089B | 24 | 963-965 | S2501XS | 05 | 299-301 | S271XXA | 15 | 791 | ||
S22089D | 08 | 559-561 | S2502XA | 15 | 791 | S271XXA | 15 | 793 | ||
S22089G | 08 | 559-561 | S2502XA | 15 | 793 | S271XXA | 24 | 963-965 | ||
S22089K | 08 | 564-566 | S2502XA | 21 | 913-914 | S271XXD | 23 | 949-950 | ||
S22089S | 08 | 551-552 | S2502XA | 24 | 963-965 | S271XXS | 04 | 205-206 | ||
S2220XA | 08 | 564-566 | S2502XD | 23 | 949-950 | S272XXA | 04 | 199-201 | ||
S2220XA | 24 | 963-965 | S2502XS | 05 | 299-301 | S272XXA | 15 | 791 | ||
S2220XB | 08 | 564-566 | S2509XA | 15 | 791 | S272XXA | 15 | 793 | ||
S2220XB | 24 | 963-965 | S2509XA | 15 | 793 | S272XXA | 24 | 963-965 | ||
S2220XD | 08 | 559-561 | S2509XA | 21 | 913-914 | S272XXD | 23 | 949-950 | ||
S2220XG | 08 | 559-561 | S2509XA | 24 | 963-965 | S272XXS | 04 | 205-206 | ||
S2220XK | 08 | 564-566 | S2509XD | 23 | 949-950 | S27301A | 04 | 205-206 | ||
S2220XS | 08 | 551-552 | S2509XS | 05 | 299-301 | S27301A | 24 | 963-965 | ||
S2221XA | 08 | 564-566 | S25101A | 15 | 791 | S27301D | 23 | 949-950 | ||
S2221XA | 24 | 963-965 | S25101A | 15 | 793 | S27301S | 04 | 205-206 | ||
S2221XB | 08 | 564-566 | S25101A | 21 | 913-914 | S27302A | 04 | 205-206 | ||
S2221XB | 24 | 963-965 | S25101A | 24 | 963-965 | S27302A | 24 | 963-965 | ||
S2221XD | 08 | 559-561 | S25101D | 23 | 949-950 | S27302D | 23 | 949-950 | ||
S2221XG | 08 | 559-561 | S25101S | 05 | 299-301 | S27302S | 04 | 205-206 | ||
S2221XK | 08 | 564-566 | S25102A | 15 | 791 | S27309A | 04 | 205-206 | ||
S2221XS | 08 | 551-552 | S25102A | 15 | 793 | S27309A | 24 | 963-965 | ||
S2222XA | 08 | 564-566 | S25102A | 21 | 913-914 | S27309D | 23 | 949-950 | ||
S2222XA | 24 | 963-965 | S25102A | 24 | 963-965 | S27309S | 04 | 205-206 | ||
S2222XB | 08 | 564-566 | S25102D | 23 | 949-950 | S27311A | 04 | 205-206 | ||
S2222XB | 24 | 963-965 | S25102S | 05 | 299-301 | S27311A | 24 | 963-965 | ||
S2222XD | 08 | 559-561 | S25109A | 15 | 791 | S27311D | 23 | 949-950 | ||
S2222XG | 08 | 559-561 | S25109A | 15 | 793 | S27311S | 04 | 205-206 | ||
S2222XK | 08 | 564-566 | S25109A | 21 | 913-914 | S27312A | 04 | 205-206 | ||
S2222XS | 08 | 551-552 | S25109A | 24 | 963-965 | S27312A | 24 | 963-965 | ||
S2223XA | 08 | 564-566 | S25109D | 23 | 949-950 | S27312D | 23 | 949-950 | ||
S2223XA | 24 | 963-965 | S25109S | 05 | 299-301 | S27312S | 04 | 205-206 | ||
S2223XB | 08 | 564-566 | S25111A | 15 | 791 | S27319A | 04 | 205-206 | ||
S2223XB | 24 | 963-965 | S25111A | 15 | 793 | S27319A | 24 | 963-965 | ||
S2223XD | 08 | 559-561 | S25111A | 21 | 913-914 | S27319D | 23 | 949-950 | ||
S2223XG | 08 | 559-561 | S25111A | 24 | 963-965 | S27319S | 04 | 205-206 | ||
S2223XK | 08 | 564-566 | S25111D | 23 | 949-950 | S27321A | 04 | 205-206 | ||
S2223XS | 08 | 551-552 | S25111S | 05 | 299-301 | S27321A | 24 | 963-965 | ||
S2224XA | 08 | 564-566 | S25112A | 15 | 791 | S27321D | 23 | 949-950 | ||
S2224XA | 24 | 963-965 | S25112A | 15 | 793 | S27321S | 04 | 205-206 | ||
S2224XB | 08 | 564-566 | S25112A | 21 | 913-914 | S27322A | 04 | 205-206 | ||
S2224XB | 24 | 963-965 | S25112A | 24 | 963-965 | S27322A | 24 | 963-965 | ||
S2224XD | 08 | 559-561 | S25112D | 23 | 949-950 | S27322D | 23 | 949-950 | ||
S2224XG | 08 | 559-561 | S25112S | 05 | 299-301 | S27322S | 04 | 205-206 | ||
S2224XK | 08 | 564-566 | S25119A | 15 | 791 | S27329A | 04 | 205-206 | ||
S2224XS | 08 | 551-552 | S25119A | 15 | 793 | S27329A | 24 | 963-965 | ||
S2231XA | 04 | 205-206 | S25119A | 21 | 913-914 | S27329D | 23 | 949-950 | ||
S2231XA | 24 | 963-965 | S25119A | 24 | 963-965 | S27329S | 04 | 205-206 | ||
S2231XB | 04 | 183-185 | S25119D | 23 | 949-950 | S27331A | 04 | 183-185 | ||
S2231XB | 24 | 963-965 | S25119S | 05 | 299-301 | S27331A | 24 | 963-965 | ||
S2231XD | 08 | 559-561 | S25121A | 15 | 791 | S27331D | 23 | 949-950 | ||
S2231XG | 08 | 559-561 | S25121A | 15 | 793 | S27331S | 04 | 205-206 | ||
S2231XK | 08 | 564-566 | S25121A | 21 | 913-914 | S27332A | 04 | 183-185 | ||
S2231XS | 08 | 551-552 | S25121A | 24 | 963-965 | S27332A | 24 | 963-965 | ||
S2232XA | 04 | 205-206 | S25121D | 23 | 949-950 | S27332D | 23 | 949-950 | ||
S2232XA | 24 | 963-965 | S25121S | 05 | 299-301 | S27332S | 04 | 205-206 | ||
S2232XB | 04 | 183-185 | S25122A | 15 | 791 | S27339A | 04 | 183-185 | ||
S2232XB | 24 | 963-965 | S25122A | 15 | 793 | S27339A | 24 | 963-965 | ||
S2232XD | 08 | 559-561 | S25122A | 21 | 913-914 | S27339D | 23 | 949-950 | ||
S2232XG | 08 | 559-561 | S25122A | 24 | 963-965 | S27339S | 04 | 205-206 | ||
S2232XK | 08 | 564-566 | S25122D | 23 | 949-950 | S27391A | 04 | 205-206 | ||
S2232XS | 08 | 551-552 | S25122S | 05 | 299-301 | S27391A | 24 | 963-965 | ||
S2239XA | 04 | 205-206 | S25129A | 15 | 791 | S27391D | 23 | 949-950 | ||
S2239XA | 24 | 963-965 | S25129A | 15 | 793 | S27391S | 04 | 205-206 | ||
S2239XB | 04 | 183-185 | S25129A | 21 | 913-914 | S27392A | 04 | 205-206 | ||
S2239XB | 24 | 963-965 | S25129A | 24 | 963-965 | S27392A | 24 | 963-965 | ||
S2239XD | 08 | 559-561 | S25129D | 23 | 949-950 | S27392D | 23 | 949-950 | ||
S2239XG | 08 | 559-561 | S25129S | 05 | 299-301 | S27392S | 04 | 205-206 | ||
S2239XK | 08 | 564-566 | S25191A | 15 | 791 | S27399A | 04 | 205-206 | ||
S2239XS | 08 | 551-552 | S25191A | 15 | 793 | S27399A | 24 | 963-965 | ||
S2241XA | 04 | 183-185 | S25191A | 21 | 913-914 | S27399D | 23 | 949-950 | ||
S2241XA | 24 | 963-965 | S25191A | 24 | 963-965 | S27399S | 04 | 205-206 | ||
S2241XB | 04 | 183-185 | S25191D | 23 | 949-950 | S27401A | 04 | 183-185 | ||
S2241XB | 24 | 963-965 | S25191S | 05 | 299-301 | S27401A | 24 | 963-965 | ||
S2241XD | 08 | 559-561 | S25192A | 15 | 791 | S27401D | 23 | 949-950 | ||
S2241XG | 08 | 559-561 | S25192A | 15 | 793 | S27401S | 04 | 205-206 | ||
S2241XK | 08 | 564-566 | S25192A | 21 | 913-914 | S27402A | 04 | 183-185 | ||
S2241XS | 08 | 551-552 | S25192A | 24 | 963-965 | S27402A | 24 | 963-965 | ||
S2242XA | 04 | 183-185 | S25192D | 23 | 949-950 | S27402D | 23 | 949-950 | ||
S2242XA | 24 | 963-965 | S25192S | 05 | 299-301 | S27402S | 04 | 205-206 | ||
S2242XB | 04 | 183-185 | S25199A | 15 | 791 | S27409A | 04 | 183-185 | ||
S2242XB | 24 | 963-965 | S25199A | 15 | 793 | S27409A | 24 | 963-965 | ||
S2242XD | 08 | 559-561 | S25199A | 21 | 913-914 | S27409D | 23 | 949-950 | ||
S2242XG | 08 | 559-561 | S25199A | 24 | 963-965 | S27409S | 04 | 205-206 | ||
S2242XK | 08 | 564-566 | S25199D | 23 | 949-950 | S27411A | 04 | 183-185 | ||
S2242XS | 08 | 551-552 | S25199S | 05 | 299-301 | S27411A | 24 | 963-965 | ||
S2243XA | 04 | 183-185 | S2520XA | 15 | 791 | S27411D | 23 | 949-950 | ||
S2243XA | 24 | 963-965 | S2520XA | 15 | 793 | S27411S | 04 | 205-206 | ||
S2243XB | 04 | 183-185 | S2520XA | 21 | 913-914 | S27412A | 04 | 183-185 | ||
S2243XB | 24 | 963-965 | S2520XA | 24 | 963-965 | S27412A | 24 | 963-965 | ||
S2243XD | 08 | 559-561 | S2520XD | 23 | 949-950 | S27412D | 23 | 949-950 | ||
S2243XG | 08 | 559-561 | S2520XS | 05 | 299-301 | S27412S | 04 | 205-206 | ||
S2243XK | 08 | 564-566 | S2521XA | 15 | 791 | S27419A | 04 | 183-185 | ||
S2243XS | 08 | 551-552 | S2521XA | 15 | 793 | S27419A | 24 | 963-965 | ||
S2249XA | 04 | 183-185 | S2521XA | 21 | 913-914 | S27419D | 23 | 949-950 | ||
S2249XA | 24 | 963-965 | S2521XA | 24 | 963-965 | S27419S | 04 | 205-206 | ||
S2249XB | 04 | 183-185 | S2521XD | 23 | 949-950 | S27421A | 04 | 183-185 | ||
S2249XB | 24 | 963-965 | S2521XS | 05 | 299-301 | S27421A | 24 | 963-965 | ||
S2249XD | 08 | 559-561 | S2522XA | 15 | 791 | S27421D | 23 | 949-950 | ||
S2249XG | 08 | 559-561 | S2522XA | 15 | 793 | S27421S | 04 | 205-206 | ||
S2249XK | 08 | 564-566 | S2522XA | 21 | 913-914 | S27422A | 04 | 183-185 | ||
S2249XS | 08 | 551-552 | S2522XA | 24 | 963-965 | S27422A | 24 | 963-965 | ||
S225XXA | 04 | 183-185 | S2522XD | 23 | 949-950 | S27422D | 23 | 949-950 | ||
S225XXA | 24 | 963-965 | S2522XS | 05 | 299-301 | S27422S | 04 | 205-206 | ||
S225XXB | 04 | 183-185 | S2529XA | 15 | 791 | S27429A | 04 | 183-185 | ||
S225XXB | 24 | 963-965 | S2529XA | 15 | 793 | S27429A | 24 | 963-965 | ||
S225XXD | 08 | 559-561 | S2529XA | 21 | 913-914 | S27429D | 23 | 949-950 | ||
S225XXG | 08 | 559-561 | S2529XA | 24 | 963-965 | S27429S | 04 | 205-206 | ||
S225XXK | 08 | 564-566 | S2529XD | 23 | 949-950 | S27431A | 04 | 183-185 | ||
S225XXS | 08 | 551-552 | S2529XS | 05 | 299-301 | S27431A | 24 | 963-965 | ||
S229XXA | 08 | 564-566 | S25301A | 15 | 791 | S27431D | 23 | 949-950 | ||
S229XXA | 24 | 963-965 | S25301A | 15 | 793 | S27431S | 04 | 205-206 | ||
S229XXB | 08 | 564-566 | S25301A | 21 | 913-914 | S27432A | 04 | 183-185 | ||
S229XXB | 24 | 963-965 | S25301A | 24 | 963-965 | S27432A | 24 | 963-965 | ||
S229XXD | 08 | 559-561 | S25301D | 23 | 949-950 | S27432D | 23 | 949-950 | ||
S229XXG | 08 | 559-561 | S25301S | 05 | 299-301 | S27432S | 04 | 205-206 | ||
S229XXK | 08 | 564-566 | S25302A | 15 | 791 | S27439A | 04 | 183-185 | ||
S229XXS | 08 | 551-552 | S25302A | 15 | 793 | S27439A | 24 | 963-965 | ||
S230XXA | 08 | 551-552 | S25302A | 21 | 913-914 | S27439D | 23 | 949-950 | ||
S230XXA | 24 | 963-965 | S25302A | 24 | 963-965 | S27439S | 04 | 205-206 | ||
S230XXD | 23 | 949-950 | S25302D | 23 | 949-950 | S27491A | 04 | 183-185 | ||
S230XXS | 08 | 562-563 | S25302S | 05 | 299-301 | S27491A | 24 | 963-965 | ||
S23100A | 08 | 551-552 | S25309A | 15 | 791 | S27491D | 23 | 949-950 | ||
S23100A | 24 | 963-965 | S25309A | 15 | 793 | S27491S | 04 | 205-206 | ||
S23100D | 23 | 949-950 | S25309A | 21 | 913-914 | S27492A | 04 | 183-185 | ||
S23100S | 08 | 562-563 | S25309A | 24 | 963-965 | S27492A | 24 | 963-965 | ||
S23101A | 08 | 551-552 | S25309D | 23 | 949-950 | S27492D | 23 | 949-950 | ||
S23101A | 24 | 963-965 | S25309S | 05 | 299-301 | S27492S | 04 | 205-206 | ||
S23101D | 23 | 949-950 | S25311A | 15 | 791 | S27499A | 04 | 183-185 | ||
S23101S | 08 | 562-563 | S25311A | 15 | 793 | S27499A | 24 | 963-965 | ||
S23110A | 08 | 551-552 | S25311A | 21 | 913-914 | S27499D | 23 | 949-950 | ||
S23110A | 24 | 963-965 | S25311A | 24 | 963-965 | S27499S | 04 | 205-206 | ||
S23110D | 23 | 949-950 | S25311D | 23 | 949-950 | S2750XA | 04 | 205-206 | ||
S23110S | 08 | 562-563 | S25311S | 05 | 299-301 | S2750XA | 24 | 963-965 | ||
S23111A | 08 | 551-552 | S25312A | 15 | 791 | S2750XD | 23 | 949-950 | ||
S23111A | 24 | 963-965 | S25312A | 15 | 793 | S2750XS | 04 | 205-206 | ||
S23111D | 23 | 949-950 | S25312A | 21 | 913-914 | S2751XA | 04 | 205-206 | ||
S23111S | 08 | 562-563 | S25312A | 24 | 963-965 | S2751XA | 24 | 963-965 | ||
S23120A | 08 | 551-552 | S25312D | 23 | 949-950 | S2751XD | 23 | 949-950 | ||
S23120A | 24 | 963-965 | S25312S | 05 | 299-301 | S2751XS | 04 | 205-206 | ||
S23120D | 23 | 949-950 | S25319A | 15 | 791 | S2752XA | 04 | 205-206 | ||
S23120S | 08 | 562-563 | S25319A | 15 | 793 | S2752XA | 24 | 963-965 | ||
S23121A | 08 | 551-552 | S25319A | 21 | 913-914 | S2752XD | 23 | 949-950 | ||
S23121A | 24 | 963-965 | S25319A | 24 | 963-965 | S2752XS | 04 | 205-206 | ||
S23121D | 23 | 949-950 | S25319D | 23 | 949-950 | S2753XA | 04 | 205-206 | ||
S23121S | 08 | 562-563 | S25319S | 05 | 299-301 | S2753XA | 24 | 963-965 | ||
S23122A | 08 | 551-552 | S25321A | 15 | 791 | S2753XD | 23 | 949-950 | ||
S23122A | 24 | 963-965 | S25321A | 15 | 793 | S2753XS | 04 | 205-206 | ||
S23122D | 23 | 949-950 | S25321A | 21 | 913-914 | S2759XA | 04 | 205-206 | ||
S23122S | 08 | 562-563 | S25321A | 24 | 963-965 | S2759XA | 24 | 963-965 | ||
S23123A | 08 | 551-552 | S25321D | 23 | 949-950 | S2759XD | 23 | 949-950 | ||
S23123A | 24 | 963-965 | S25321S | 05 | 299-301 | S2759XS | 04 | 205-206 | ||
S23123D | 23 | 949-950 | S25322A | 15 | 791 | S2760XA | 04 | 205-206 | ||
S23123S | 08 | 562-563 | S25322A | 15 | 793 | S2760XA | 24 | 963-965 | ||
S23130A | 08 | 551-552 | S25322A | 21 | 913-914 | S2760XD | 23 | 949-950 | ||
S23130A | 24 | 963-965 | S25322A | 24 | 963-965 | S2760XS | 04 | 205-206 | ||
S23130D | 23 | 949-950 | S25322D | 23 | 949-950 | S2763XA | 04 | 205-206 | ||
S23130S | 08 | 562-563 | S25322S | 05 | 299-301 | S2763XA | 24 | 963-965 | ||
S23131A | 08 | 551-552 | S25329A | 15 | 791 | S2763XD | 23 | 949-950 | ||
S23131A | 24 | 963-965 | S25329A | 15 | 793 | S2763XS | 04 | 205-206 | ||
S23131D | 23 | 949-950 | S25329A | 21 | 913-914 | S2769XA | 04 | 205-206 | ||
S23131S | 08 | 562-563 | S25329A | 24 | 963-965 | S2769XA | 24 | 963-965 | ||
S23132A | 08 | 551-552 | S25329D | 23 | 949-950 | S2769XD | 23 | 949-950 | ||
S23132A | 24 | 963-965 | S25329S | 05 | 299-301 | S2769XS | 04 | 205-206 | ||
S23132D | 23 | 949-950 | S25391A | 15 | 791 | S27802A | 04 | 183-185 | ||
S23132S | 08 | 562-563 | S25391A | 15 | 793 | S27802A | 24 | 963-965 | ||
S23133A | 08 | 551-552 | S25391A | 21 | 913-914 | S27802D | 23 | 949-950 | ||
S23133A | 24 | 963-965 | S25391A | 24 | 963-965 | S27802S | 04 | 205-206 | ||
S23133D | 23 | 949-950 | S25391D | 23 | 949-950 | S27803A | 04 | 183-185 | ||
S23133S | 08 | 562-563 | S25391S | 05 | 299-301 | S27803A | 24 | 963-965 | ||
S23140A | 08 | 551-552 | S25392A | 15 | 791 | S27803D | 23 | 949-950 | ||
S23140A | 24 | 963-965 | S25392A | 15 | 793 | S27803S | 04 | 205-206 | ||
S23140D | 23 | 949-950 | S25392A | 21 | 913-914 | S27808A | 04 | 183-185 | ||
S23140S | 08 | 562-563 | S25392A | 24 | 963-965 | S27808A | 24 | 963-965 | ||
S23141A | 08 | 551-552 | S25392D | 23 | 949-950 | S27808D | 23 | 949-950 | ||
S23141A | 24 | 963-965 | S25392S | 05 | 299-301 | S27808S | 04 | 205-206 | ||
S23141D | 23 | 949-950 | S25399A | 15 | 791 | S27809A | 04 | 183-185 | ||
S23141S | 08 | 562-563 | S25399A | 15 | 793 | S27809A | 24 | 963-965 | ||
S23142A | 08 | 551-552 | S25399A | 21 | 913-914 | S27809D | 23 | 949-950 | ||
S23142A | 24 | 963-965 | S25399A | 24 | 963-965 | S27809S | 04 | 205-206 | ||
S23142D | 23 | 949-950 | S25399D | 23 | 949-950 | S27812A | 06 | 368-370 | ||
S23142S | 08 | 562-563 | S25399S | 05 | 299-301 | S27812A | 24 | 963-965 | ||
S23143A | 08 | 551-552 | S25401A | 15 | 791 | S27812D | 23 | 949-950 | ||
S23143A | 24 | 963-965 | S25401A | 15 | 793 | S27812S | 04 | 205-206 | ||
S23143D | 23 | 949-950 | S25401A | 21 | 913-914 | S27813A | 06 | 368-370 | ||
S23143S | 08 | 562-563 | S25401A | 24 | 963-965 | S27813A | 24 | 963-965 | ||
S23150A | 08 | 551-552 | S25401D | 23 | 949-950 | S27813D | 23 | 949-950 | ||
S23150A | 24 | 963-965 | S25401S | 05 | 299-301 | S27813S | 04 | 205-206 | ||
S23150D | 23 | 949-950 | S25402A | 15 | 791 | S27818A | 06 | 368-370 | ||
S23150S | 08 | 562-563 | S25402A | 15 | 793 | S27818A | 24 | 963-965 | ||
S23151A | 08 | 551-552 | S25402A | 21 | 913-914 | S27818D | 23 | 949-950 | ||
S23151A | 24 | 963-965 | S25402A | 24 | 963-965 | S27818S | 04 | 205-206 | ||
S23151D | 23 | 949-950 | S25402D | 23 | 949-950 | S27819A | 06 | 368-370 | ||
S23151S | 08 | 562-563 | S25402S | 05 | 299-301 | S27819A | 24 | 963-965 | ||
S23152A | 08 | 551-552 | S25409A | 15 | 791 | S27819D | 23 | 949-950 | ||
S23152A | 24 | 963-965 | S25409A | 15 | 793 | S27819S | 04 | 205-206 | ||
S23152D | 23 | 949-950 | S25409A | 21 | 913-914 | S27892A | 04 | 205-206 | ||
S23152S | 08 | 562-563 | S25409A | 24 | 963-965 | S27892A | 24 | 963-965 | ||
S23153A | 08 | 551-552 | S25409D | 23 | 949-950 | S27892D | 23 | 949-950 | ||
S23153A | 24 | 963-965 | S25409S | 05 | 299-301 | S27892S | 04 | 205-206 | ||
S23153D | 23 | 949-950 | S25411A | 15 | 791 | S27893A | 04 | 205-206 | ||
S23153S | 08 | 562-563 | S25411A | 15 | 793 | S27893A | 24 | 963-965 | ||
S23160A | 08 | 551-552 | S25411A | 21 | 913-914 | S27893D | 23 | 949-950 | ||
S23160A | 24 | 963-965 | S25411A | 24 | 963-965 | S27893S | 04 | 205-206 | ||
S23160D | 23 | 949-950 | S25411D | 23 | 949-950 | S27898A | 04 | 205-206 | ||
S23160S | 08 | 562-563 | S25411S | 05 | 299-301 | S27898A | 24 | 963-965 | ||
S23161A | 08 | 551-552 | S25412A | 15 | 791 | S27898D | 23 | 949-950 | ||
S23161A | 24 | 963-965 | S25412A | 15 | 793 | S27898S | 04 | 205-206 | ||
S23161D | 23 | 949-950 | S25412A | 21 | 913-914 | S27899A | 04 | 205-206 | ||
S23161S | 08 | 562-563 | S25412A | 24 | 963-965 | S27899A | 24 | 963-965 | ||
S23162A | 08 | 551-552 | S25412D | 23 | 949-950 | S27899D | 23 | 949-950 | ||
S23162A | 24 | 963-965 | S25412S | 05 | 299-301 | S27899S | 04 | 205-206 | ||
S23162D | 23 | 949-950 | S25419A | 15 | 791 | S279XXA | 21 | 913-914 | ||
S23162S | 08 | 562-563 | S25419A | 15 | 793 | S279XXA | 24 | 963-965 | ||
S23163A | 08 | 551-552 | S25419A | 21 | 913-914 | S279XXD | 23 | 949-950 | ||
S23163A | 24 | 963-965 | S25419A | 24 | 963-965 | S279XXS | 04 | 205-206 | ||
S23163D | 23 | 949-950 | S25419D | 23 | 949-950 | S280XXA | 21 | 913-914 | ||
S23163S | 08 | 562-563 | S25419S | 05 | 299-301 | S280XXA | 24 | 963-965 | ||
S23170A | 08 | 551-552 | S25421A | 15 | 791 | S280XXD | 23 | 949-950 | ||
S23170A | 24 | 963-965 | S25421A | 15 | 793 | S280XXS | 09 | 604-605 | ||
S23170D | 23 | 949-950 | S25421A | 21 | 913-914 | S281XXA | 09 | 604-605 | ||
S23170S | 08 | 562-563 | S25421A | 24 | 963-965 | S281XXA | 24 | 963-965 | ||
S23171A | 08 | 551-552 | S25421D | 23 | 949-950 | S281XXD | 23 | 949-950 | ||
S23171A | 24 | 963-965 | S25421S | 05 | 299-301 | S281XXS | 09 | 604-605 | ||
S23171D | 23 | 949-950 | S25422A | 15 | 791 | S28211A | 09 | 604-605 | ||
S23171S | 08 | 562-563 | S25422A | 15 | 793 | S28211A | 24 | 963-965 | ||
S2320XA | 08 | 551-552 | S25422A | 21 | 913-914 | S28211D | 23 | 949-950 | ||
S2320XA | 24 | 963-965 | S25422A | 24 | 963-965 | S28211S | 09 | 604-605 | ||
S2320XD | 23 | 949-950 | S25422D | 23 | 949-950 | S28212A | 09 | 604-605 | ||
S2320XS | 08 | 562-563 | S25422S | 05 | 299-301 | S28212A | 24 | 963-965 | ||
S2329XA | 08 | 551-552 | S25429A | 15 | 791 | S28212D | 23 | 949-950 | ||
S2329XA | 24 | 963-965 | S25429A | 15 | 793 | S28212S | 09 | 604-605 | ||
S2329XD | 23 | 949-950 | S25429A | 21 | 913-914 | S28219A | 09 | 604-605 | ||
S2329XS | 08 | 562-563 | S25429A | 24 | 963-965 | S28219A | 24 | 963-965 | ||
S233XXA | 08 | 551-552 | S25429D | 23 | 949-950 | S28219D | 23 | 949-950 | ||
S233XXA | 24 | 963-965 | S25429S | 05 | 299-301 | S28219S | 09 | 604-605 | ||
S233XXD | 23 | 949-950 | S25491A | 15 | 791 | S28221A | 09 | 604-605 | ||
S233XXS | 08 | 562-563 | S25491A | 15 | 793 | S28221A | 24 | 963-965 | ||
S2341XA | 04 | 205-206 | S25491A | 21 | 913-914 | S28221D | 23 | 949-950 | ||
S2341XA | 24 | 963-965 | S25491A | 24 | 963-965 | S28221S | 09 | 604-605 | ||
S2341XD | 23 | 949-950 | S25491D | 23 | 949-950 | S28222A | 09 | 604-605 | ||
S2341XS | 08 | 562-563 | S25491S | 05 | 299-301 | S28222A | 24 | 963-965 | ||
S23420A | 04 | 205-206 | S25492A | 15 | 791 | S28222D | 23 | 949-950 | ||
S23420A | 24 | 963-965 | S25492A | 15 | 793 | S28222S | 09 | 604-605 | ||
S23420D | 23 | 949-950 | S25492A | 21 | 913-914 | S28229A | 09 | 604-605 | ||
S23420S | 08 | 562-563 | S25492A | 24 | 963-965 | S28229A | 24 | 963-965 | ||
S23421A | 04 | 205-206 | S25492D | 23 | 949-950 | S28229D | 23 | 949-950 | ||
S23421A | 24 | 963-965 | S25492S | 05 | 299-301 | S28229S | 09 | 604-605 | ||
S23421D | 23 | 949-950 | S25499A | 15 | 791 | S29001A | 21 | 913-914 | ||
S23421S | 08 | 562-563 | S25499A | 15 | 793 | S29001A | 24 | 963-965 | ||
S23428A | 04 | 205-206 | S25499A | 21 | 913-914 | S29001D | 23 | 949-950 | ||
S23428A | 24 | 963-965 | S25499A | 24 | 963-965 | S29001S | 21 | 913-914 | ||
S23428D | 23 | 949-950 | S25499D | 23 | 949-950 | S29002A | 21 | 913-914 | ||
S23428S | 08 | 562-563 | S25499S | 05 | 299-301 | S29002A | 24 | 963-965 | ||
S23429A | 04 | 205-206 | S25501A | 21 | 913-914 | S29002D | 23 | 949-950 | ||
S23429A | 24 | 963-965 | S25501A | 24 | 963-965 | S29002S | 21 | 913-914 | ||
S23429D | 23 | 949-950 | S25501D | 23 | 949-950 | S29009A | 21 | 913-914 | ||
S23429S | 08 | 562-563 | S25501S | 05 | 299-301 | S29009A | 24 | 963-965 | ||
S238XXA | 08 | 551-552 | S25502A | 21 | 913-914 | S29009D | 23 | 949-950 | ||
S238XXA | 24 | 963-965 | S25502A | 24 | 963-965 | S29009S | 21 | 913-914 | ||
S238XXD | 23 | 949-950 | S25502D | 23 | 949-950 | S29011A | 08 | 562-563 | ||
S238XXS | 08 | 562-563 | S25502S | 05 | 299-301 | S29011A | 24 | 963-965 | ||
S239XXA | 08 | 551-552 | S25509A | 21 | 913-914 | S29011D | 23 | 949-950 | ||
S239XXA | 24 | 963-965 | S25509A | 24 | 963-965 | S29011S | 08 | 562-563 | ||
S239XXD | 23 | 949-950 | S25509D | 23 | 949-950 | S29012A | 08 | 562-563 | ||
S239XXS | 08 | 562-563 | S25509S | 05 | 299-301 | S29012A | 24 | 963-965 | ||
S240XXA | 01 | 052-053 | S25511A | 21 | 913-914 | S29012D | 23 | 949-950 | ||
S240XXA | 24 | 963-965 | S25511A | 24 | 963-965 | S29012S | 08 | 562-563 | ||
S240XXD | 23 | 949-950 | S25511D | 23 | 949-950 | S29019A | 08 | 562-563 | ||
S240XXS | 01 | 052-053 | S25511S | 05 | 299-301 | S29019A | 24 | 963-965 | ||
S24101A | 01 | 052-053 | S25512A | 21 | 913-914 | S29019D | 23 | 949-950 | ||
S24101A | 24 | 963-965 | S25512A | 24 | 963-965 | S29019S | 08 | 562-563 | ||
S24101D | 23 | 949-950 | S25512D | 23 | 949-950 | S29021A | 09 | 604-605 | ||
S24101S | 01 | 052-053 | S25512S | 05 | 299-301 | S29021A | 24 | 963-965 | ||
S24102A | 01 | 052-053 | S25519A | 21 | 913-914 | S29021D | 23 | 949-950 | ||
S24102A | 24 | 963-965 | S25519A | 24 | 963-965 | S29021S | 09 | 604-605 | ||
S24102D | 23 | 949-950 | S25519D | 23 | 949-950 | S29022A | 09 | 604-605 | ||
S24102S | 01 | 052-053 | S25519S | 05 | 299-301 | S29022A | 24 | 963-965 | ||
S24103A | 01 | 052-053 | S25591A | 21 | 913-914 | S29022D | 23 | 949-950 | ||
S24103A | 24 | 963-965 | S25591A | 24 | 963-965 | S29022S | 09 | 604-605 | ||
S24103D | 23 | 949-950 | S25591D | 23 | 949-950 | S29029A | 09 | 604-605 | ||
S24103S | 01 | 052-053 | S25591S | 05 | 299-301 | S29029A | 24 | 963-965 | ||
S24104A | 01 | 052-053 | S25592A | 21 | 913-914 | S29029D | 23 | 949-950 | ||
S24104A | 24 | 963-965 | S25592A | 24 | 963-965 | S29029S | 09 | 604-605 | ||
S24104D | 23 | 949-950 | S25592D | 23 | 949-950 | S29091A | 21 | 913-914 | ||
S24104S | 01 | 052-053 | S25592S | 05 | 299-301 | S29091A | 24 | 963-965 | ||
S24109A | 01 | 052-053 | S25599A | 21 | 913-914 | S29091D | 23 | 949-950 | ||
S24109A | 24 | 963-965 | S25599A | 24 | 963-965 | S29091S | 21 | 913-914 | ||
S24109D | 23 | 949-950 | S25599D | 23 | 949-950 | S29092A | 21 | 913-914 | ||
S24109S | 01 | 052-053 | S25599S | 05 | 299-301 | S29092A | 24 | 963-965 | ||
S24111A | 01 | 052-053 | S25801A | 21 | 913-914 | S29092D | 23 | 949-950 | ||
S24111A | 24 | 963-965 | S25801A | 24 | 963-965 | S29092S | 21 | 913-914 | ||
S24111D | 23 | 949-950 | S25801D | 23 | 949-950 | S29099A | 21 | 913-914 | ||
S24111S | 01 | 052-053 | S25801S | 05 | 299-301 | S29099A | 24 | 963-965 | ||
S24112A | 01 | 052-053 | S25802A | 21 | 913-914 | S29099D | 23 | 949-950 | ||
S24112A | 24 | 963-965 | S25802A | 24 | 963-965 | S29099S | 21 | 913-914 | ||
S24112D | 23 | 949-950 | S25802D | 23 | 949-950 | S298XXA | 21 | 913-914 | ||
S24112S | 01 | 052-053 | S25802S | 05 | 299-301 | S298XXA | 24 | 963-965 | ||
S24113A | 01 | 052-053 | S25809A | 21 | 913-914 | S298XXD | 23 | 949-950 | ||
S24113A | 24 | 963-965 | S25809A | 24 | 963-965 | S298XXS | 21 | 913-914 | ||
S24113D | 23 | 949-950 | S25809D | 23 | 949-950 | S299XXA | 21 | 913-914 | ||
S24113S | 01 | 052-053 | S25809S | 05 | 299-301 | S299XXA | 24 | 963-965 | ||
S24114A | 01 | 052-053 | S25811A | 21 | 913-914 | S299XXD | 23 | 949-950 | ||
S24114A | 24 | 963-965 | S25811A | 24 | 963-965 | S299XXS | 21 | 913-914 | ||
S24114D | 23 | 949-950 | S25811D | 23 | 949-950 | S300XXA | 09 | 604-605 | ||
S24114S | 01 | 052-053 | S25811S | 05 | 299-301 | S300XXA | 24 | 963-965 | ||
S24119A | 01 | 052-053 | S25812A | 21 | 913-914 | S300XXD | 23 | 949-950 | ||
S24119A | 24 | 963-965 | S25812A | 24 | 963-965 | S300XXS | 09 | 604-605 | ||
S24119D | 23 | 949-950 | S25812D | 23 | 949-950 | S301XXA | 09 | 604-605 | ||
S24119S | 01 | 052-053 | S25812S | 05 | 299-301 | S301XXA | 24 | 963-965 | ||
S24131A | 01 | 052-053 | S25819A | 21 | 913-914 | S301XXD | 23 | 949-950 | ||
S24131A | 24 | 963-965 | S25819A | 24 | 963-965 | S301XXS | 09 | 604-605 | ||
S24131D | 23 | 949-950 | S25819D | 23 | 949-950 | S30201A | 12 | 729-730 | ||
S24131S | 01 | 052-053 | S25819S | 05 | 299-301 | S30201A | 24 | 963-965 | ||
S24132A | 01 | 052-053 | S25891A | 21 | 913-914 | S30201D | 23 | 949-950 | ||
S24132A | 24 | 963-965 | S25891A | 24 | 963-965 | S30201S | 09 | 604-605 | ||
S24132D | 23 | 949-950 | S25891D | 23 | 949-950 | S30202A | 13 | 742-743 | ||
S24132S | 01 | 052-053 | S25891S | 05 | 299-301 | S30202A | 13 | 760-761 | ||
S24133A | 01 | 052-053 | S25892A | 21 | 913-914 | S30202A | 24 | 963-965 | ||
S24133A | 24 | 963-965 | S25892A | 24 | 963-965 | S30202D | 23 | 949-950 | ||
S24133D | 23 | 949-950 | S25892D | 23 | 949-950 | S30202S | 09 | 604-605 | ||
S24133S | 01 | 052-053 | S25892S | 05 | 299-301 | S3021XA | 12 | 729-730 | ||
S24134A | 01 | 052-053 | S25899A | 21 | 913-914 | S3021XA | 24 | 963-965 | ||
S24134A | 24 | 963-965 | S25899A | 24 | 963-965 | S3021XD | 23 | 949-950 | ||
S24134D | 23 | 949-950 | S25899D | 23 | 949-950 | S3021XS | 09 | 604-605 | ||
S24134S | 01 | 052-053 | S25899S | 05 | 299-301 | S3022XA | 12 | 729-730 | ||
S24139A | 01 | 052-053 | S2590XA | 21 | 913-914 | S3022XA | 24 | 963-965 | ||
S24139A | 24 | 963-965 | S2590XA | 24 | 963-965 | S3022XD | 23 | 949-950 | ||
S24139D | 23 | 949-950 | S2590XD | 23 | 949-950 | S3022XS | 09 | 604-605 | ||
S24139S | 01 | 052-053 | S2590XS | 05 | 299-301 | S3023XA | 13 | 742-743 | ||
S24141A | 01 | 052-053 | S2591XA | 21 | 913-914 | S3023XA | 13 | 760-761 | ||
S24141A | 24 | 963-965 | S2591XA | 24 | 963-965 | S3023XA | 24 | 963-965 | ||
S24141D | 23 | 949-950 | S2591XD | 23 | 949-950 | S3023XD | 23 | 949-950 | ||
S24141S | 01 | 052-053 | S2591XS | 05 | 299-301 | S3023XS | 09 | 604-605 | ||
S24142A | 01 | 052-053 | S2599XA | 21 | 913-914 | S303XXA | 09 | 604-605 | ||
S24142A | 24 | 963-965 | S2599XA | 24 | 963-965 | S303XXA | 24 | 963-965 | ||
S24142D | 23 | 949-950 | S2599XD | 23 | 949-950 | S303XXD | 23 | 949-950 | ||
S24142S | 01 | 052-053 | S2599XS | 05 | 299-301 | S303XXS | 09 | 604-605 | ||
S24143A | 01 | 052-053 | S2600XA | 05 | 314-316 | S30810A | 09 | 604-605 | ||
S24143A | 24 | 963-965 | S2600XA | 24 | 963-965 | S30810A | 24 | 963-965 | ||
S24143D | 23 | 949-950 | S2600XD | 23 | 949-950 | S30810D | 23 | 949-950 | ||
S24143S | 01 | 052-053 | S2600XS | 04 | 205-206 | S30810S | 09 | 604-605 | ||
S24144A | 01 | 052-053 | S2601XA | 05 | 314-316 | S30811A | 09 | 604-605 | ||
S24144A | 24 | 963-965 | S2601XA | 24 | 963-965 | S30811A | 24 | 963-965 | ||
S24144D | 23 | 949-950 | S2601XD | 23 | 949-950 | S30811D | 23 | 949-950 | ||
S24144S | 01 | 052-053 | S2601XS | 04 | 205-206 | S30811S | 09 | 604-605 | ||
S24149A | 01 | 052-053 | S26020A | 05 | 314-316 | S30812A | 09 | 604-605 | ||
S24149A | 24 | 963-965 | S26020A | 24 | 963-965 | S30812A | 24 | 963-965 | ||
S24149D | 23 | 949-950 | S26020D | 23 | 949-950 | S30812D | 23 | 949-950 | ||
S24149S | 01 | 052-053 | S26020S | 04 | 205-206 | S30812S | 09 | 604-605 | ||
S24151A | 01 | 052-053 | S26021A | 05 | 314-316 | S30813A | 09 | 604-605 | ||
S24151A | 24 | 963-965 | S26021A | 24 | 963-965 | S30813A | 24 | 963-965 | ||
S24151D | 23 | 949-950 | S26021D | 23 | 949-950 | S30813D | 23 | 949-950 | ||
S24151S | 01 | 052-053 | S26021S | 04 | 205-206 | S30813S | 09 | 604-605 | ||
S24152A | 01 | 052-053 | S26022A | 05 | 314-316 | S30814A | 09 | 604-605 | ||
S24152A | 24 | 963-965 | S26022A | 24 | 963-965 | S30814A | 24 | 963-965 | ||
S24152D | 23 | 949-950 | S26022D | 23 | 949-950 | S30814D | 23 | 949-950 | ||
S24152S | 01 | 052-053 | S26022S | 04 | 205-206 | S30814S | 09 | 604-605 | ||
S24153A | 01 | 052-053 | S2609XA | 05 | 314-316 | S30815A | 09 | 604-605 | ||
S24153A | 24 | 963-965 | S2609XA | 24 | 963-965 | S30815A | 24 | 963-965 | ||
S24153D | 23 | 949-950 | S2609XD | 23 | 949-950 | S30815D | 23 | 949-950 | ||
S24153S | 01 | 052-053 | S2609XS | 04 | 205-206 | S30815S | 09 | 604-605 | ||
S24154A | 01 | 052-053 | S2610XA | 05 | 314-316 | S30816A | 09 | 604-605 | ||
S24154A | 24 | 963-965 | S2610XA | 24 | 963-965 | S30816A | 24 | 963-965 | ||
S24154D | 23 | 949-950 | S2610XD | 23 | 949-950 | S30816D | 23 | 949-950 | ||
S24154S | 01 | 052-053 | S2610XS | 04 | 205-206 | S30816S | 09 | 604-605 | ||
S24159A | 01 | 052-053 | S2611XA | 05 | 314-316 | S30817A | 09 | 604-605 | ||
S24159A | 24 | 963-965 | S2611XA | 24 | 963-965 | S30817A | 24 | 963-965 | ||
S24159D | 23 | 949-950 | S2611XD | 23 | 949-950 | S30817D | 23 | 949-950 | ||
S24159S | 01 | 052-053 | S2611XS | 04 | 205-206 | S30817S | 09 | 604-605 | ||
S242XXA | 01 | 073-074 | S2612XA | 05 | 314-316 | S30820A | 09 | 606-607 | ||
S242XXA | 24 | 963-965 | S2612XA | 24 | 963-965 | S30820A | 24 | 963-965 | ||
S242XXD | 23 | 949-950 | S2612XD | 23 | 949-950 | S30820D | 23 | 949-950 | ||
S242XXS | 01 | 091-093 | S2612XS | 04 | 205-206 | S30820S | 09 | 604-605 | ||
S243XXA | 01 | 073-074 | S2619XA | 05 | 314-316 | S30821A | 09 | 606-607 | ||
S243XXA | 24 | 963-965 | S2619XA | 24 | 963-965 | S30821A | 24 | 963-965 | ||
S243XXD | 23 | 949-950 | S2619XD | 23 | 949-950 | S30821D | 23 | 949-950 | ||
S243XXS | 01 | 091-093 | S2619XS | 04 | 205-206 | S30821S | 09 | 604-605 | ||
S244XXA | 01 | 073-074 | S2690XA | 05 | 314-316 | S30822A | 09 | 606-607 | ||
S244XXA | 24 | 963-965 | S2690XA | 24 | 963-965 | S30822A | 24 | 963-965 | ||
S244XXD | 23 | 949-950 | S2690XD | 23 | 949-950 | S30822D | 23 | 949-950 | ||
S244XXS | 01 | 091-093 | S2690XS | 04 | 205-206 | S30822S | 09 | 604-605 | ||
S248XXA | 01 | 073-074 | S2691XA | 05 | 314-316 | S30823A | 09 | 606-607 | ||
S248XXA | 24 | 963-965 | S2691XA | 24 | 963-965 | S30823A | 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 |