ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
![Previous Page [Alt-p]](bakpg.png){kind=small}
![Up a level [Alt-u]](uptop.png){kind=small}
![Next Page [Alt-n]](fwdpg.png){kind=small}
ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
||||
| Skip to content | |
|
|
| Diagnosis Code/MDC/MS-DRG Index |
| Page 37 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S32309A | 08 | 535-536 | S32446K | 08 | 521-522 | S32601B | 08 | 535-536 | ||
| S32309A | 24 | 963-965 | S32446K | 08 | 564-566 | S32601B | 24 | 963-965 | ||
| S32309B | 08 | 535-536 | S32446S | 08 | 551-552 | S32601D | 08 | 559-561 | ||
| S32309B | 24 | 963-965 | S32451A | 08 | 521-522 | S32601G | 08 | 559-561 | ||
| S32309D | 08 | 559-561 | S32451A | 08 | 535-536 | S32601K | 08 | 564-566 | ||
| S32309G | 08 | 559-561 | S32451A | 24 | 963-965 | S32601S | 08 | 551-552 | ||
| S32309K | 08 | 564-566 | S32451B | 08 | 521-522 | S32602A | 08 | 535-536 | ||
| S32309S | 08 | 551-552 | S32451B | 08 | 535-536 | S32602A | 24 | 963-965 | ||
| S32311A | 08 | 535-536 | S32451B | 24 | 963-965 | S32602B | 08 | 535-536 | ||
| S32311A | 24 | 963-965 | S32451D | 08 | 559-561 | S32602B | 24 | 963-965 | ||
| S32311B | 08 | 535-536 | S32451G | 08 | 521-522 | S32602D | 08 | 559-561 | ||
| S32311B | 24 | 963-965 | S32451G | 08 | 559-561 | S32602G | 08 | 559-561 | ||
| S32311D | 08 | 559-561 | S32451K | 08 | 521-522 | S32602K | 08 | 564-566 | ||
| S32311G | 08 | 559-561 | S32451K | 08 | 564-566 | S32602S | 08 | 551-552 | ||
| S32311K | 08 | 564-566 | S32451S | 08 | 551-552 | S32609A | 08 | 535-536 | ||
| S32311S | 08 | 551-552 | S32452A | 08 | 521-522 | S32609A | 24 | 963-965 | ||
| S32312A | 08 | 535-536 | S32452A | 08 | 535-536 | S32609B | 08 | 535-536 | ||
| S32312A | 24 | 963-965 | S32452A | 24 | 963-965 | S32609B | 24 | 963-965 | ||
| S32312B | 08 | 535-536 | S32452B | 08 | 521-522 | S32609D | 08 | 559-561 | ||
| S32312B | 24 | 963-965 | S32452B | 08 | 535-536 | S32609G | 08 | 559-561 | ||
| S32312D | 08 | 559-561 | S32452B | 24 | 963-965 | S32609K | 08 | 564-566 | ||
| S32312G | 08 | 559-561 | S32452D | 08 | 559-561 | S32609S | 08 | 551-552 | ||
| S32312K | 08 | 564-566 | S32452G | 08 | 521-522 | S32611A | 08 | 535-536 | ||
| S32312S | 08 | 551-552 | S32452G | 08 | 559-561 | S32611A | 24 | 963-965 | ||
| S32313A | 08 | 535-536 | S32452K | 08 | 521-522 | S32611B | 08 | 535-536 | ||
| S32313A | 24 | 963-965 | S32452K | 08 | 564-566 | S32611B | 24 | 963-965 | ||
| S32313B | 08 | 535-536 | S32452S | 08 | 551-552 | S32611D | 08 | 559-561 | ||
| S32313B | 24 | 963-965 | S32453A | 08 | 521-522 | S32611G | 08 | 559-561 | ||
| S32313D | 08 | 559-561 | S32453A | 08 | 535-536 | S32611K | 08 | 564-566 | ||
| S32313G | 08 | 559-561 | S32453A | 24 | 963-965 | S32611S | 08 | 551-552 | ||
| S32313K | 08 | 564-566 | S32453B | 08 | 521-522 | S32612A | 08 | 535-536 | ||
| S32313S | 08 | 551-552 | S32453B | 08 | 535-536 | S32612A | 24 | 963-965 | ||
| S32314A | 08 | 535-536 | S32453B | 24 | 963-965 | S32612B | 08 | 535-536 | ||
| S32314A | 24 | 963-965 | S32453D | 08 | 559-561 | S32612B | 24 | 963-965 | ||
| S32314B | 08 | 535-536 | S32453G | 08 | 521-522 | S32612D | 08 | 559-561 | ||
| S32314B | 24 | 963-965 | S32453G | 08 | 559-561 | S32612G | 08 | 559-561 | ||
| S32314D | 08 | 559-561 | S32453K | 08 | 521-522 | S32612K | 08 | 564-566 | ||
| S32314G | 08 | 559-561 | S32453K | 08 | 564-566 | S32612S | 08 | 551-552 | ||
| S32314K | 08 | 564-566 | S32453S | 08 | 551-552 | S32613A | 08 | 535-536 | ||
| S32314S | 08 | 551-552 | S32454A | 08 | 521-522 | S32613A | 24 | 963-965 | ||
| S32315A | 08 | 535-536 | S32454A | 08 | 535-536 | S32613B | 08 | 535-536 | ||
| S32315A | 24 | 963-965 | S32454A | 24 | 963-965 | S32613B | 24 | 963-965 | ||
| S32315B | 08 | 535-536 | S32454B | 08 | 521-522 | S32613D | 08 | 559-561 | ||
| S32315B | 24 | 963-965 | S32454B | 08 | 535-536 | S32613G | 08 | 559-561 | ||
| S32315D | 08 | 559-561 | S32454B | 24 | 963-965 | S32613K | 08 | 564-566 | ||
| S32315G | 08 | 559-561 | S32454D | 08 | 559-561 | S32613S | 08 | 551-552 | ||
| S32315K | 08 | 564-566 | S32454G | 08 | 521-522 | S32614A | 08 | 535-536 | ||
| S32315S | 08 | 551-552 | S32454G | 08 | 559-561 | S32614A | 24 | 963-965 | ||
| S32316A | 08 | 535-536 | S32454K | 08 | 521-522 | S32614B | 08 | 535-536 | ||
| S32316A | 24 | 963-965 | S32454K | 08 | 564-566 | S32614B | 24 | 963-965 | ||
| S32316B | 08 | 535-536 | S32454S | 08 | 551-552 | S32614D | 08 | 559-561 | ||
| S32316B | 24 | 963-965 | S32455A | 08 | 521-522 | S32614G | 08 | 559-561 | ||
| S32316D | 08 | 559-561 | S32455A | 08 | 535-536 | S32614K | 08 | 564-566 | ||
| S32316G | 08 | 559-561 | S32455A | 24 | 963-965 | S32614S | 08 | 551-552 | ||
| S32316K | 08 | 564-566 | S32455B | 08 | 521-522 | S32615A | 08 | 535-536 | ||
| S32316S | 08 | 551-552 | S32455B | 08 | 535-536 | S32615A | 24 | 963-965 | ||
| S32391A | 08 | 535-536 | S32455B | 24 | 963-965 | S32615B | 08 | 535-536 | ||
| S32391A | 24 | 963-965 | S32455D | 08 | 559-561 | S32615B | 24 | 963-965 | ||
| S32391B | 08 | 535-536 | S32455G | 08 | 521-522 | S32615D | 08 | 559-561 | ||
| S32391B | 24 | 963-965 | S32455G | 08 | 559-561 | S32615G | 08 | 559-561 | ||
| S32391D | 08 | 559-561 | S32455K | 08 | 521-522 | S32615K | 08 | 564-566 | ||
| S32391G | 08 | 559-561 | S32455K | 08 | 564-566 | S32615S | 08 | 551-552 | ||
| S32391K | 08 | 564-566 | S32455S | 08 | 551-552 | S32616A | 08 | 535-536 | ||
| S32391S | 08 | 551-552 | S32456A | 08 | 521-522 | S32616A | 24 | 963-965 | ||
| S32392A | 08 | 535-536 | S32456A | 08 | 535-536 | S32616B | 08 | 535-536 | ||
| S32392A | 24 | 963-965 | S32456A | 24 | 963-965 | S32616B | 24 | 963-965 | ||
| S32392B | 08 | 535-536 | S32456B | 08 | 521-522 | S32616D | 08 | 559-561 | ||
| S32392B | 24 | 963-965 | S32456B | 08 | 535-536 | S32616G | 08 | 559-561 | ||
| S32392D | 08 | 559-561 | S32456B | 24 | 963-965 | S32616K | 08 | 564-566 | ||
| S32392G | 08 | 559-561 | S32456D | 08 | 559-561 | S32616S | 08 | 551-552 | ||
| S32392K | 08 | 564-566 | S32456G | 08 | 521-522 | S32691A | 08 | 535-536 | ||
| S32392S | 08 | 551-552 | S32456G | 08 | 559-561 | S32691A | 24 | 963-965 | ||
| S32399A | 08 | 535-536 | S32456K | 08 | 521-522 | S32691B | 08 | 535-536 | ||
| S32399A | 24 | 963-965 | S32456K | 08 | 564-566 | S32691B | 24 | 963-965 | ||
| S32399B | 08 | 535-536 | S32456S | 08 | 551-552 | S32691D | 08 | 559-561 | ||
| S32399B | 24 | 963-965 | S32461A | 08 | 521-522 | S32691G | 08 | 559-561 | ||
| S32399D | 08 | 559-561 | S32461A | 08 | 535-536 | S32691K | 08 | 564-566 | ||
| S32399G | 08 | 559-561 | S32461A | 24 | 963-965 | S32691S | 08 | 551-552 | ||
| S32399K | 08 | 564-566 | S32461B | 08 | 521-522 | S32692A | 08 | 535-536 | ||
| S32399S | 08 | 551-552 | S32461B | 08 | 535-536 | S32692A | 24 | 963-965 | ||
| S32401A | 08 | 521-522 | S32461B | 24 | 963-965 | S32692B | 08 | 535-536 | ||
| S32401A | 08 | 535-536 | S32461D | 08 | 559-561 | S32692B | 24 | 963-965 | ||
| S32401A | 24 | 963-965 | S32461G | 08 | 521-522 | S32692D | 08 | 559-561 | ||
| S32401B | 08 | 521-522 | S32461G | 08 | 559-561 | S32692G | 08 | 559-561 | ||
| S32401B | 08 | 535-536 | S32461K | 08 | 521-522 | S32692K | 08 | 564-566 | ||
| S32401B | 24 | 963-965 | S32461K | 08 | 564-566 | S32692S | 08 | 551-552 | ||
| S32401D | 08 | 559-561 | S32461S | 08 | 551-552 | S32699A | 08 | 535-536 | ||
| S32401G | 08 | 521-522 | S32462A | 08 | 521-522 | S32699A | 24 | 963-965 | ||
| S32401G | 08 | 559-561 | S32462A | 08 | 535-536 | S32699B | 08 | 535-536 | ||
| S32401K | 08 | 521-522 | S32462A | 24 | 963-965 | S32699B | 24 | 963-965 | ||
| S32401K | 08 | 564-566 | S32462B | 08 | 521-522 | S32699D | 08 | 559-561 | ||
| S32401S | 08 | 551-552 | S32462B | 08 | 535-536 | S32699G | 08 | 559-561 | ||
| S32402A | 08 | 521-522 | S32462B | 24 | 963-965 | S32699K | 08 | 564-566 | ||
| S32402A | 08 | 535-536 | S32462D | 08 | 559-561 | S32699S | 08 | 551-552 | ||
| S32402A | 24 | 963-965 | S32462G | 08 | 521-522 | S32810A | 08 | 535-536 | ||
| S32402B | 08 | 521-522 | S32462G | 08 | 559-561 | S32810A | 24 | 963-965 | ||
| S32402B | 08 | 535-536 | S32462K | 08 | 521-522 | S32810B | 08 | 535-536 | ||
| S32402B | 24 | 963-965 | S32462K | 08 | 564-566 | S32810B | 24 | 963-965 | ||
| S32402D | 08 | 559-561 | S32462S | 08 | 551-552 | S32810D | 08 | 559-561 | ||
| S32402G | 08 | 521-522 | S32463A | 08 | 521-522 | S32810G | 08 | 559-561 | ||
| S32402G | 08 | 559-561 | S32463A | 08 | 535-536 | S32810K | 08 | 564-566 | ||
| S32402K | 08 | 521-522 | S32463A | 24 | 963-965 | S32810S | 08 | 551-552 | ||
| S32402K | 08 | 564-566 | S32463B | 08 | 521-522 | S32811A | 08 | 535-536 | ||
| S32402S | 08 | 551-552 | S32463B | 08 | 535-536 | S32811A | 24 | 963-965 | ||
| S32409A | 08 | 521-522 | S32463B | 24 | 963-965 | S32811B | 08 | 535-536 | ||
| S32409A | 08 | 535-536 | S32463D | 08 | 559-561 | S32811B | 24 | 963-965 | ||
| S32409A | 24 | 963-965 | S32463G | 08 | 521-522 | S32811D | 08 | 559-561 | ||
| S32409B | 08 | 521-522 | S32463G | 08 | 559-561 | S32811G | 08 | 559-561 | ||
| S32409B | 08 | 535-536 | S32463K | 08 | 521-522 | S32811K | 08 | 564-566 | ||
| S32409B | 24 | 963-965 | S32463K | 08 | 564-566 | S32811S | 08 | 551-552 | ||
| S32409D | 08 | 559-561 | S32463S | 08 | 551-552 | S3282XA | 08 | 535-536 | ||
| S32409G | 08 | 521-522 | S32464A | 08 | 521-522 | S3282XA | 24 | 963-965 | ||
| S32409G | 08 | 559-561 | S32464A | 08 | 535-536 | S3282XB | 08 | 535-536 | ||
| S32409K | 08 | 521-522 | S32464A | 24 | 963-965 | S3282XB | 24 | 963-965 | ||
| S32409K | 08 | 564-566 | S32464B | 08 | 521-522 | S3282XD | 08 | 559-561 | ||
| S32409S | 08 | 551-552 | S32464B | 08 | 535-536 | S3282XG | 08 | 559-561 | ||
| S32411A | 08 | 521-522 | S32464B | 24 | 963-965 | S3282XK | 08 | 564-566 | ||
| S32411A | 08 | 535-536 | S32464D | 08 | 559-561 | S3282XS | 08 | 551-552 | ||
| S32411A | 24 | 963-965 | S32464G | 08 | 521-522 | S3289XA | 08 | 535-536 | ||
| S32411B | 08 | 521-522 | S32464G | 08 | 559-561 | S3289XA | 24 | 963-965 | ||
| S32411B | 08 | 535-536 | S32464K | 08 | 521-522 | S3289XB | 08 | 535-536 | ||
| S32411B | 24 | 963-965 | S32464K | 08 | 564-566 | S3289XB | 24 | 963-965 | ||
| S32411D | 08 | 559-561 | S32464S | 08 | 551-552 | S3289XD | 08 | 559-561 | ||
| S32411G | 08 | 521-522 | S32465A | 08 | 521-522 | S3289XG | 08 | 559-561 | ||
| S32411G | 08 | 559-561 | S32465A | 08 | 535-536 | S3289XK | 08 | 564-566 | ||
| S32411K | 08 | 521-522 | S32465A | 24 | 963-965 | S3289XS | 08 | 551-552 | ||
| S32411K | 08 | 564-566 | S32465B | 08 | 521-522 | S329XXA | 08 | 535-536 | ||
| S32411S | 08 | 551-552 | S32465B | 08 | 535-536 | S329XXA | 24 | 963-965 | ||
| S32412A | 08 | 521-522 | S32465B | 24 | 963-965 | S329XXB | 08 | 535-536 | ||
| S32412A | 08 | 535-536 | S32465D | 08 | 559-561 | S329XXB | 24 | 963-965 | ||
| S32412A | 24 | 963-965 | S32465G | 08 | 521-522 | S329XXD | 08 | 559-561 | ||
| S32412B | 08 | 521-522 | S32465G | 08 | 559-561 | S329XXG | 08 | 559-561 | ||
| S32412B | 08 | 535-536 | S32465K | 08 | 521-522 | S329XXK | 08 | 564-566 | ||
| S32412B | 24 | 963-965 | S32465K | 08 | 564-566 | S329XXS | 08 | 551-552 | ||
| S32412D | 08 | 559-561 | S32465S | 08 | 551-552 | S330XXA | 08 | 551-552 | ||
| S32412G | 08 | 521-522 | S32466A | 08 | 521-522 | S330XXA | 24 | 963-965 | ||
| S32412G | 08 | 559-561 | S32466A | 08 | 535-536 | S330XXD | 23 | 949-950 | ||
| S32412K | 08 | 521-522 | S32466A | 24 | 963-965 | S330XXS | 08 | 562-563 | ||
| S32412K | 08 | 564-566 | S32466B | 08 | 521-522 | S33100A | 08 | 551-552 | ||
| S32412S | 08 | 551-552 | S32466B | 08 | 535-536 | S33100A | 24 | 963-965 | ||
| S32413A | 08 | 521-522 | S32466B | 24 | 963-965 | S33100D | 23 | 949-950 | ||
| S32413A | 08 | 535-536 | S32466D | 08 | 559-561 | S33100S | 08 | 562-563 | ||
| S32413A | 24 | 963-965 | S32466G | 08 | 521-522 | S33101A | 08 | 551-552 | ||
| S32413B | 08 | 521-522 | S32466G | 08 | 559-561 | S33101A | 24 | 963-965 | ||
| S32413B | 08 | 535-536 | S32466K | 08 | 521-522 | S33101D | 23 | 949-950 | ||
| S32413B | 24 | 963-965 | S32466K | 08 | 564-566 | S33101S | 08 | 562-563 | ||
| S32413D | 08 | 559-561 | S32466S | 08 | 551-552 | S33110A | 08 | 551-552 | ||
| S32413G | 08 | 521-522 | S32471A | 08 | 521-522 | S33110A | 24 | 963-965 | ||
| S32413G | 08 | 559-561 | S32471A | 08 | 535-536 | S33110D | 23 | 949-950 | ||
| S32413K | 08 | 521-522 | S32471A | 24 | 963-965 | S33110S | 08 | 562-563 | ||
| S32413K | 08 | 564-566 | S32471B | 08 | 521-522 | S33111A | 08 | 551-552 | ||
| S32413S | 08 | 551-552 | S32471B | 08 | 535-536 | S33111A | 24 | 963-965 | ||
| S32414A | 08 | 521-522 | S32471B | 24 | 963-965 | S33111D | 23 | 949-950 | ||
| S32414A | 08 | 535-536 | S32471D | 08 | 559-561 | S33111S | 08 | 562-563 | ||
| S32414A | 24 | 963-965 | S32471G | 08 | 521-522 | S33120A | 08 | 551-552 | ||
| S32414B | 08 | 521-522 | S32471G | 08 | 559-561 | S33120A | 24 | 963-965 | ||
| S32414B | 08 | 535-536 | S32471K | 08 | 521-522 | S33120D | 23 | 949-950 | ||
| S32414B | 24 | 963-965 | S32471K | 08 | 564-566 | S33120S | 08 | 562-563 | ||
| S32414D | 08 | 559-561 | S32471S | 08 | 551-552 | S33121A | 08 | 551-552 | ||
| S32414G | 08 | 521-522 | S32472A | 08 | 521-522 | S33121A | 24 | 963-965 | ||
| S32414G | 08 | 559-561 | S32472A | 08 | 535-536 | S33121D | 23 | 949-950 | ||
| S32414K | 08 | 521-522 | S32472A | 24 | 963-965 | S33121S | 08 | 562-563 | ||
| S32414K | 08 | 564-566 | S32472B | 08 | 521-522 | S33130A | 08 | 551-552 | ||
| S32414S | 08 | 551-552 | S32472B | 08 | 535-536 | S33130A | 24 | 963-965 | ||
| S32415A | 08 | 521-522 | S32472B | 24 | 963-965 | S33130D | 23 | 949-950 | ||
| S32415A | 08 | 535-536 | S32472D | 08 | 559-561 | S33130S | 08 | 562-563 | ||
| S32415A | 24 | 963-965 | S32472G | 08 | 521-522 | S33131A | 08 | 551-552 | ||
| S32415B | 08 | 521-522 | S32472G | 08 | 559-561 | S33131A | 24 | 963-965 | ||
| S32415B | 08 | 535-536 | S32472K | 08 | 521-522 | S33131D | 23 | 949-950 | ||
| S32415B | 24 | 963-965 | S32472K | 08 | 564-566 | S33131S | 08 | 562-563 | ||
| S32415D | 08 | 559-561 | S32472S | 08 | 551-552 | S33140A | 08 | 551-552 | ||
| S32415G | 08 | 521-522 | S32473A | 08 | 521-522 | S33140A | 24 | 963-965 | ||
| S32415G | 08 | 559-561 | S32473A | 08 | 535-536 | S33140D | 23 | 949-950 | ||
| S32415K | 08 | 521-522 | S32473A | 24 | 963-965 | S33140S | 08 | 562-563 | ||
| S32415K | 08 | 564-566 | S32473B | 08 | 521-522 | S33141A | 08 | 551-552 | ||
| S32415S | 08 | 551-552 | S32473B | 08 | 535-536 | S33141A | 24 | 963-965 | ||
| S32416A | 08 | 521-522 | S32473B | 24 | 963-965 | S33141D | 23 | 949-950 | ||
| S32416A | 08 | 535-536 | S32473D | 08 | 559-561 | S33141S | 08 | 562-563 | ||
| S32416A | 24 | 963-965 | S32473G | 08 | 521-522 | S332XXA | 08 | 551-552 | ||
| S32416B | 08 | 521-522 | S32473G | 08 | 559-561 | S332XXA | 24 | 963-965 | ||
| S32416B | 08 | 535-536 | S32473K | 08 | 521-522 | S332XXD | 23 | 949-950 | ||
| S32416B | 24 | 963-965 | S32473K | 08 | 564-566 | S332XXS | 08 | 562-563 | ||
| S32416D | 08 | 559-561 | S32473S | 08 | 551-552 | S3330XA | 08 | 562-563 | ||
| S32416G | 08 | 521-522 | S32474A | 08 | 521-522 | S3330XA | 24 | 963-965 | ||
| S32416G | 08 | 559-561 | S32474A | 08 | 535-536 | S3330XD | 23 | 949-950 | ||
| S32416K | 08 | 521-522 | S32474A | 24 | 963-965 | S3330XS | 08 | 562-563 | ||
| S32416K | 08 | 564-566 | S32474B | 08 | 521-522 | S3339XA | 08 | 562-563 | ||
| S32416S | 08 | 551-552 | S32474B | 08 | 535-536 | S3339XA | 24 | 963-965 | ||
| S32421A | 08 | 521-522 | S32474B | 24 | 963-965 | S3339XD | 23 | 949-950 | ||
| S32421A | 08 | 535-536 | S32474D | 08 | 559-561 | S3339XS | 08 | 562-563 | ||
| S32421A | 24 | 963-965 | S32474G | 08 | 521-522 | S334XXA | 08 | 537-538 | ||
| S32421B | 08 | 521-522 | S32474G | 08 | 559-561 | S334XXA | 24 | 963-965 | ||
| S32421B | 08 | 535-536 | S32474K | 08 | 521-522 | S334XXD | 23 | 949-950 | ||
| S32421B | 24 | 963-965 | S32474K | 08 | 564-566 | S334XXS | 08 | 562-563 | ||
| S32421D | 08 | 559-561 | S32474S | 08 | 551-552 | S335XXA | 08 | 551-552 | ||
| S32421G | 08 | 521-522 | S32475A | 08 | 521-522 | S335XXA | 24 | 963-965 | ||
| S32421G | 08 | 559-561 | S32475A | 08 | 535-536 | S335XXD | 23 | 949-950 | ||
| S32421K | 08 | 521-522 | S32475A | 24 | 963-965 | S335XXS | 08 | 562-563 | ||
| S32421K | 08 | 564-566 | S32475B | 08 | 521-522 | S336XXA | 08 | 551-552 | ||
| S32421S | 08 | 551-552 | S32475B | 08 | 535-536 | S336XXA | 24 | 963-965 | ||
| S32422A | 08 | 521-522 | S32475B | 24 | 963-965 | S336XXD | 23 | 949-950 | ||
| S32422A | 08 | 535-536 | S32475D | 08 | 559-561 | S336XXS | 08 | 562-563 | ||
| S32422A | 24 | 963-965 | S32475G | 08 | 521-522 | S338XXA | 08 | 551-552 | ||
| S32422B | 08 | 521-522 | S32475G | 08 | 559-561 | S338XXA | 24 | 963-965 | ||
| S32422B | 08 | 535-536 | S32475K | 08 | 521-522 | S338XXD | 23 | 949-950 | ||
| S32422B | 24 | 963-965 | S32475K | 08 | 564-566 | S338XXS | 08 | 562-563 | ||
| S32422D | 08 | 559-561 | S32475S | 08 | 551-552 | S339XXA | 08 | 551-552 | ||
| S32422G | 08 | 521-522 | S32476A | 08 | 521-522 | S339XXA | 24 | 963-965 | ||
| S32422G | 08 | 559-561 | S32476A | 08 | 535-536 | S339XXD | 23 | 949-950 | ||
| S32422K | 08 | 521-522 | S32476A | 24 | 963-965 | S339XXS | 08 | 562-563 | ||
| S32422K | 08 | 564-566 | S32476B | 08 | 521-522 | S3401XA | 01 | 052-053 | ||
| S32422S | 08 | 551-552 | S32476B | 08 | 535-536 | S3401XA | 24 | 963-965 | ||
| S32423A | 08 | 521-522 | S32476B | 24 | 963-965 | S3401XD | 23 | 949-950 | ||
| S32423A | 08 | 535-536 | S32476D | 08 | 559-561 | S3401XS | 01 | 052-053 | ||
| S32423A | 24 | 963-965 | S32476G | 08 | 521-522 | S3402XA | 01 | 052-053 | ||
| S32423B | 08 | 521-522 | S32476G | 08 | 559-561 | S3402XA | 24 | 963-965 | ||
| S32423B | 08 | 535-536 | S32476K | 08 | 521-522 | S3402XD | 23 | 949-950 | ||
| S32423B | 24 | 963-965 | S32476K | 08 | 564-566 | S3402XS | 01 | 052-053 | ||
| S32423D | 08 | 559-561 | S32476S | 08 | 551-552 | S34101A | 01 | 052-053 | ||
| S32423G | 08 | 521-522 | S32481A | 08 | 521-522 | S34101A | 24 | 963-965 | ||
| S32423G | 08 | 559-561 | S32481A | 08 | 535-536 | S34101D | 23 | 949-950 | ||
| S32423K | 08 | 521-522 | S32481A | 24 | 963-965 | S34101S | 01 | 052-053 | ||
| S32423K | 08 | 564-566 | S32481B | 08 | 521-522 | S34102A | 01 | 052-053 | ||
| S32423S | 08 | 551-552 | S32481B | 08 | 535-536 | S34102A | 24 | 963-965 | ||
| S32424A | 08 | 521-522 | S32481B | 24 | 963-965 | S34102D | 23 | 949-950 | ||
| S32424A | 08 | 535-536 | S32481D | 08 | 559-561 | S34102S | 01 | 052-053 | ||
| S32424A | 24 | 963-965 | S32481G | 08 | 521-522 | S34103A | 01 | 052-053 | ||
| S32424B | 08 | 521-522 | S32481G | 08 | 559-561 | S34103A | 24 | 963-965 | ||
| S32424B | 08 | 535-536 | S32481K | 08 | 521-522 | S34103D | 23 | 949-950 | ||
| S32424B | 24 | 963-965 | S32481K | 08 | 564-566 | S34103S | 01 | 052-053 | ||
| S32424D | 08 | 559-561 | S32481S | 08 | 551-552 | S34104A | 01 | 052-053 | ||
| S32424G | 08 | 521-522 | S32482A | 08 | 521-522 | S34104A | 24 | 963-965 | ||
| S32424G | 08 | 559-561 | S32482A | 08 | 535-536 | S34104D | 23 | 949-950 | ||
| S32424K | 08 | 521-522 | S32482A | 24 | 963-965 | S34104S | 01 | 052-053 | ||
| S32424K | 08 | 564-566 | S32482B | 08 | 521-522 | S34105A | 01 | 052-053 | ||
| S32424S | 08 | 551-552 | S32482B | 08 | 535-536 | S34105A | 24 | 963-965 | ||
| S32425A | 08 | 521-522 | S32482B | 24 | 963-965 | S34105D | 23 | 949-950 | ||
| S32425A | 08 | 535-536 | S32482D | 08 | 559-561 | S34105S | 01 | 052-053 | ||
| S32425A | 24 | 963-965 | S32482G | 08 | 521-522 | S34109A | 01 | 052-053 | ||
| S32425B | 08 | 521-522 | S32482G | 08 | 559-561 | S34109A | 24 | 963-965 | ||
| S32425B | 08 | 535-536 | S32482K | 08 | 521-522 | S34109D | 23 | 949-950 | ||
| S32425B | 24 | 963-965 | S32482K | 08 | 564-566 | S34109S | 01 | 052-053 | ||
| S32425D | 08 | 559-561 | S32482S | 08 | 551-552 | S34111A | 01 | 052-053 | ||
| S32425G | 08 | 521-522 | S32483A | 08 | 521-522 | S34111A | 24 | 963-965 | ||
| S32425G | 08 | 559-561 | S32483A | 08 | 535-536 | S34111D | 23 | 949-950 | ||
| S32425K | 08 | 521-522 | S32483A | 24 | 963-965 | S34111S | 01 | 052-053 | ||
| S32425K | 08 | 564-566 | S32483B | 08 | 521-522 | S34112A | 01 | 052-053 | ||
| S32425S | 08 | 551-552 | S32483B | 08 | 535-536 | S34112A | 24 | 963-965 | ||
| S32426A | 08 | 521-522 | S32483B | 24 | 963-965 | S34112D | 23 | 949-950 | ||
| S32426A | 08 | 535-536 | S32483D | 08 | 559-561 | S34112S | 01 | 052-053 | ||
| S32426A | 24 | 963-965 | S32483G | 08 | 521-522 | S34113A | 01 | 052-053 | ||
| S32426B | 08 | 521-522 | S32483G | 08 | 559-561 | S34113A | 24 | 963-965 | ||
| S32426B | 08 | 535-536 | S32483K | 08 | 521-522 | S34113D | 23 | 949-950 | ||
| S32426B | 24 | 963-965 | S32483K | 08 | 564-566 | S34113S | 01 | 052-053 | ||
| S32426D | 08 | 559-561 | S32483S | 08 | 551-552 | S34114A | 01 | 052-053 | ||
| S32426G | 08 | 521-522 | S32484A | 08 | 521-522 | S34114A | 24 | 963-965 | ||
| S32426G | 08 | 559-561 | S32484A | 08 | 535-536 | S34114D | 23 | 949-950 | ||
| S32426K | 08 | 521-522 | S32484A | 24 | 963-965 | S34114S | 01 | 052-053 | ||
| S32426K | 08 | 564-566 | S32484B | 08 | 521-522 | S34115A | 01 | 052-053 | ||
| S32426S | 08 | 551-552 | S32484B | 08 | 535-536 | S34115A | 24 | 963-965 | ||
| S32431A | 08 | 521-522 | S32484B | 24 | 963-965 | S34115D | 23 | 949-950 | ||
| S32431A | 08 | 535-536 | S32484D | 08 | 559-561 | S34115S | 01 | 052-053 | ||
| S32431A | 24 | 963-965 | S32484G | 08 | 521-522 | S34119A | 01 | 052-053 | ||
| S32431B | 08 | 521-522 | S32484G | 08 | 559-561 | S34119A | 24 | 963-965 | ||
| S32431B | 08 | 535-536 | S32484K | 08 | 521-522 | S34119D | 23 | 949-950 | ||
| S32431B | 24 | 963-965 | S32484K | 08 | 564-566 | S34119S | 01 | 052-053 | ||
| S32431D | 08 | 559-561 | S32484S | 08 | 551-552 | S34121A | 01 | 052-053 | ||
| S32431G | 08 | 521-522 | S32485A | 08 | 521-522 | S34121A | 24 | 963-965 | ||
| S32431G | 08 | 559-561 | S32485A | 08 | 535-536 | S34121D | 23 | 949-950 | ||
| S32431K | 08 | 521-522 | S32485A | 24 | 963-965 | S34121S | 01 | 052-053 | ||
| S32431K | 08 | 564-566 | S32485B | 08 | 521-522 | S34122A | 01 | 052-053 | ||
| S32431S | 08 | 551-552 | S32485B | 08 | 535-536 | S34122A | 24 | 963-965 | ||
| S32432A | 08 | 521-522 | S32485B | 24 | 963-965 | S34122D | 23 | 949-950 | ||
| S32432A | 08 | 535-536 | S32485D | 08 | 559-561 | S34122S | 01 | 052-053 | ||
| S32432A | 24 | 963-965 | S32485G | 08 | 521-522 | S34123A | 01 | 052-053 | ||
| S32432B | 08 | 521-522 | S32485G | 08 | 559-561 | S34123A | 24 | 963-965 | ||
| S32432B | 08 | 535-536 | S32485K | 08 | 521-522 | S34123D | 23 | 949-950 | ||
| S32432B | 24 | 963-965 | S32485K | 08 | 564-566 | S34123S | 01 | 052-053 | ||
| S32432D | 08 | 559-561 | S32485S | 08 | 551-552 | S34124A | 01 | 052-053 | ||
| S32432G | 08 | 521-522 | S32486A | 08 | 521-522 | S34124A | 24 | 963-965 | ||
| S32432G | 08 | 559-561 | S32486A | 08 | 535-536 | S34124D | 23 | 949-950 | ||
| S32432K | 08 | 521-522 | S32486A | 24 | 963-965 | S34124S | 01 | 052-053 | ||
| S32432K | 08 | 564-566 | S32486B | 08 | 521-522 | S34125A | 01 | 052-053 | ||
| S32432S | 08 | 551-552 | S32486B | 08 | 535-536 | S34125A | 24 | 963-965 | ||
| S32433A | 08 | 521-522 | S32486B | 24 | 963-965 | S34125D | 23 | 949-950 | ||
| S32433A | 08 | 535-536 | S32486D | 08 | 559-561 | S34125S | 01 | 052-053 | ||
| S32433A | 24 | 963-965 | S32486G | 08 | 521-522 | S34129A | 01 | 052-053 | ||
| S32433B | 08 | 521-522 | S32486G | 08 | 559-561 | S34129A | 24 | 963-965 | ||
| S32433B | 08 | 535-536 | S32486K | 08 | 521-522 | S34129D | 23 | 949-950 | ||
| S32433B | 24 | 963-965 | S32486K | 08 | 564-566 | S34129S | 01 | 052-053 | ||
| S32433D | 08 | 559-561 | S32486S | 08 | 551-552 | S34131A | 01 | 052-053 | ||
| S32433G | 08 | 521-522 | S32491A | 08 | 521-522 | S34131A | 24 | 963-965 | ||
| S32433G | 08 | 559-561 | S32491A | 08 | 535-536 | S34131D | 23 | 949-950 | ||
| S32433K | 08 | 521-522 | S32491A | 24 | 963-965 | S34131S | 01 | 052-053 | ||
| S32433K | 08 | 564-566 | S32491B | 08 | 521-522 | S34132A | 01 | 052-053 | ||
| S32433S | 08 | 551-552 | S32491B | 08 | 535-536 | S34132A | 24 | 963-965 | ||
| S32434A | 08 | 521-522 | S32491B | 24 | 963-965 | S34132D | 23 | 949-950 | ||
| S32434A | 08 | 535-536 | S32491D | 08 | 559-561 | S34132S | 01 | 052-053 | ||
| S32434A | 24 | 963-965 | S32491G | 08 | 521-522 | S34139A | 01 | 052-053 | ||
| S32434B | 08 | 521-522 | S32491G | 08 | 559-561 | S34139A | 24 | 963-965 | ||
| S32434B | 08 | 535-536 | S32491K | 08 | 521-522 | S34139D | 23 | 949-950 | ||
| S32434B | 24 | 963-965 | S32491K | 08 | 564-566 | S34139S | 01 | 052-053 | ||
| S32434D | 08 | 559-561 | S32491S | 08 | 551-552 | S3421XA | 01 | 073-074 | ||
| S32434G | 08 | 521-522 | S32492A | 08 | 521-522 | S3421XA | 24 | 963-965 | ||
| S32434G | 08 | 559-561 | S32492A | 08 | 535-536 | S3421XD | 23 | 949-950 | ||
| S32434K | 08 | 521-522 | S32492A | 24 | 963-965 | S3421XS | 01 | 091-093 | ||
| S32434K | 08 | 564-566 | S32492B | 08 | 521-522 | S3422XA | 01 | 073-074 | ||
| S32434S | 08 | 551-552 | S32492B | 08 | 535-536 | S3422XA | 24 | 963-965 | ||
| S32435A | 08 | 521-522 | S32492B | 24 | 963-965 | S3422XD | 23 | 949-950 | ||
| S32435A | 08 | 535-536 | S32492D | 08 | 559-561 | S3422XS | 01 | 091-093 | ||
| S32435A | 24 | 963-965 | S32492G | 08 | 521-522 | S343XXA | 01 | 052-053 | ||
| S32435B | 08 | 521-522 | S32492G | 08 | 559-561 | S343XXA | 24 | 963-965 | ||
| S32435B | 08 | 535-536 | S32492K | 08 | 521-522 | S343XXD | 23 | 949-950 | ||
| S32435B | 24 | 963-965 | S32492K | 08 | 564-566 | S343XXS | 01 | 091-093 | ||
| S32435D | 08 | 559-561 | S32492S | 08 | 551-552 | S344XXA | 01 | 073-074 | ||
| S32435G | 08 | 521-522 | S32499A | 08 | 521-522 | S344XXA | 24 | 963-965 | ||
| S32435G | 08 | 559-561 | S32499A | 08 | 535-536 | S344XXD | 23 | 949-950 | ||
| S32435K | 08 | 521-522 | S32499A | 24 | 963-965 | S344XXS | 01 | 091-093 | ||
| S32435K | 08 | 564-566 | S32499B | 08 | 521-522 | S345XXA | 01 | 073-074 | ||
| S32435S | 08 | 551-552 | S32499B | 08 | 535-536 | S345XXA | 24 | 963-965 | ||
| S32436A | 08 | 521-522 | S32499B | 24 | 963-965 | S345XXD | 23 | 949-950 | ||
| S32436A | 08 | 535-536 | S32499D | 08 | 559-561 | S345XXS | 01 | 091-093 | ||
| S32436A | 24 | 963-965 | S32499G | 08 | 521-522 | S346XXA | 01 | 073-074 | ||
| S32436B | 08 | 521-522 | S32499G | 08 | 559-561 | S346XXA | 24 | 963-965 | ||
| S32436B | 08 | 535-536 | S32499K | 08 | 521-522 | S346XXD | 23 | 949-950 | ||
| S32436B | 24 | 963-965 | S32499K | 08 | 564-566 | S346XXS | 01 | 091-093 | ||
| S32436D | 08 | 559-561 | S32499S | 08 | 551-552 | S348XXA | 01 | 073-074 | ||
| S32436G | 08 | 521-522 | S32501A | 08 | 535-536 | S348XXA | 24 | 963-965 | ||
| S32436G | 08 | 559-561 | S32501A | 24 | 963-965 | S348XXD | 23 | 949-950 | ||
| S32436K | 08 | 521-522 | S32501B | 08 | 535-536 | S348XXS | 01 | 091-093 | ||
| S32436K | 08 | 564-566 | S32501B | 24 | 963-965 | S349XXA | 01 | 073-074 | ||
| S32436S | 08 | 551-552 | S32501D | 08 | 559-561 | S349XXA | 24 | 963-965 | ||
| S32441A | 08 | 521-522 | S32501G | 08 | 559-561 | S349XXD | 23 | 949-950 | ||
| S32441A | 08 | 535-536 | S32501K | 08 | 564-566 | S349XXS | 01 | 091-093 | ||
| S32441A | 24 | 963-965 | S32501S | 08 | 551-552 | S3500XA | 15 | 791 | ||
| S32441B | 08 | 521-522 | S32502A | 08 | 535-536 | S3500XA | 15 | 793 | ||
| S32441B | 08 | 535-536 | S32502A | 24 | 963-965 | S3500XA | 21 | 913-914 | ||
| S32441B | 24 | 963-965 | S32502B | 08 | 535-536 | S3500XA | 24 | 963-965 | ||
| S32441D | 08 | 559-561 | S32502B | 24 | 963-965 | S3500XD | 23 | 949-950 | ||
| S32441G | 08 | 521-522 | S32502D | 08 | 559-561 | S3500XS | 05 | 299-301 | ||
| S32441G | 08 | 559-561 | S32502G | 08 | 559-561 | S3501XA | 15 | 791 | ||
| S32441K | 08 | 521-522 | S32502K | 08 | 564-566 | S3501XA | 15 | 793 | ||
| S32441K | 08 | 564-566 | S32502S | 08 | 551-552 | S3501XA | 21 | 913-914 | ||
| S32441S | 08 | 551-552 | S32509A | 08 | 535-536 | S3501XA | 24 | 963-965 | ||
| S32442A | 08 | 521-522 | S32509A | 24 | 963-965 | S3501XD | 23 | 949-950 | ||
| S32442A | 08 | 535-536 | S32509B | 08 | 535-536 | S3501XS | 05 | 299-301 | ||
| S32442A | 24 | 963-965 | S32509B | 24 | 963-965 | S3502XA | 15 | 791 | ||
| S32442B | 08 | 521-522 | S32509D | 08 | 559-561 | S3502XA | 15 | 793 | ||
| S32442B | 08 | 535-536 | S32509G | 08 | 559-561 | S3502XA | 21 | 913-914 | ||
| S32442B | 24 | 963-965 | S32509K | 08 | 564-566 | S3502XA | 24 | 963-965 | ||
| S32442D | 08 | 559-561 | S32509S | 08 | 551-552 | S3502XD | 23 | 949-950 | ||
| S32442G | 08 | 521-522 | S32511A | 08 | 535-536 | S3502XS | 05 | 299-301 | ||
| S32442G | 08 | 559-561 | S32511A | 24 | 963-965 | S3509XA | 15 | 791 | ||
| S32442K | 08 | 521-522 | S32511B | 08 | 535-536 | S3509XA | 15 | 793 | ||
| S32442K | 08 | 564-566 | S32511B | 24 | 963-965 | S3509XA | 21 | 913-914 | ||
| S32442S | 08 | 551-552 | S32511D | 08 | 559-561 | S3509XA | 24 | 963-965 | ||
| S32443A | 08 | 521-522 | S32511G | 08 | 559-561 | S3509XD | 23 | 949-950 | ||
| S32443A | 08 | 535-536 | S32511K | 08 | 564-566 | S3509XS | 05 | 299-301 | ||
| S32443A | 24 | 963-965 | S32511S | 08 | 551-552 | S3510XA | 15 | 791 | ||
| S32443B | 08 | 521-522 | S32512A | 08 | 535-536 | S3510XA | 15 | 793 | ||
| S32443B | 08 | 535-536 | S32512A | 24 | 963-965 | S3510XA | 21 | 913-914 | ||
| S32443B | 24 | 963-965 | S32512B | 08 | 535-536 | S3510XA | 24 | 963-965 | ||
| S32443D | 08 | 559-561 | S32512B | 24 | 963-965 | S3510XD | 23 | 949-950 | ||
| S32443G | 08 | 521-522 | S32512D | 08 | 559-561 | S3510XS | 05 | 299-301 | ||
| S32443G | 08 | 559-561 | S32512G | 08 | 559-561 | S3511XA | 15 | 791 | ||
| S32443K | 08 | 521-522 | S32512K | 08 | 564-566 | S3511XA | 15 | 793 | ||
| S32443K | 08 | 564-566 | S32512S | 08 | 551-552 | S3511XA | 21 | 913-914 | ||
| S32443S | 08 | 551-552 | S32519A | 08 | 535-536 | S3511XA | 24 | 963-965 | ||
| S32444A | 08 | 521-522 | S32519A | 24 | 963-965 | S3511XD | 23 | 949-950 | ||
| S32444A | 08 | 535-536 | S32519B | 08 | 535-536 | S3511XS | 05 | 299-301 | ||
| S32444A | 24 | 963-965 | S32519B | 24 | 963-965 | S3512XA | 15 | 791 | ||
| S32444B | 08 | 521-522 | S32519D | 08 | 559-561 | S3512XA | 15 | 793 | ||
| S32444B | 08 | 535-536 | S32519G | 08 | 559-561 | S3512XA | 21 | 913-914 | ||
| S32444B | 24 | 963-965 | S32519K | 08 | 564-566 | S3512XA | 24 | 963-965 | ||
| S32444D | 08 | 559-561 | S32519S | 08 | 551-552 | S3512XD | 23 | 949-950 | ||
| S32444G | 08 | 521-522 | S32591A | 08 | 535-536 | S3512XS | 05 | 299-301 | ||
| S32444G | 08 | 559-561 | S32591A | 24 | 963-965 | S3519XA | 15 | 791 | ||
| S32444K | 08 | 521-522 | S32591B | 08 | 535-536 | S3519XA | 15 | 793 | ||
| S32444K | 08 | 564-566 | S32591B | 24 | 963-965 | S3519XA | 21 | 913-914 | ||
| S32444S | 08 | 551-552 | S32591D | 08 | 559-561 | S3519XA | 24 | 963-965 | ||
| S32445A | 08 | 521-522 | S32591G | 08 | 559-561 | S3519XD | 23 | 949-950 | ||
| S32445A | 08 | 535-536 | S32591K | 08 | 564-566 | S3519XS | 05 | 299-301 | ||
| S32445A | 24 | 963-965 | S32591S | 08 | 551-552 | S35211A | 21 | 913-914 | ||
| S32445B | 08 | 521-522 | S32592A | 08 | 535-536 | S35211A | 24 | 963-965 | ||
| S32445B | 08 | 535-536 | S32592A | 24 | 963-965 | S35211D | 23 | 949-950 | ||
| S32445B | 24 | 963-965 | S32592B | 08 | 535-536 | S35211S | 05 | 299-301 | ||
| S32445D | 08 | 559-561 | S32592B | 24 | 963-965 | S35212A | 21 | 913-914 | ||
| S32445G | 08 | 521-522 | S32592D | 08 | 559-561 | S35212A | 24 | 963-965 | ||
| S32445G | 08 | 559-561 | S32592G | 08 | 559-561 | S35212D | 23 | 949-950 | ||
| S32445K | 08 | 521-522 | S32592K | 08 | 564-566 | S35212S | 05 | 299-301 | ||
| S32445K | 08 | 564-566 | S32592S | 08 | 551-552 | S35218A | 21 | 913-914 | ||
| S32445S | 08 | 551-552 | S32599A | 08 | 535-536 | S35218A | 24 | 963-965 | ||
| S32446A | 08 | 521-522 | S32599A | 24 | 963-965 | S35218D | 23 | 949-950 | ||
| S32446A | 08 | 535-536 | S32599B | 08 | 535-536 | S35218S | 05 | 299-301 | ||
| S32446A | 24 | 963-965 | S32599B | 24 | 963-965 | S35219A | 21 | 913-914 | ||
| S32446B | 08 | 521-522 | S32599D | 08 | 559-561 | S35219A | 24 | 963-965 | ||
| S32446B | 08 | 535-536 | S32599G | 08 | 559-561 | S35219D | 23 | 949-950 | ||
| S32446B | 24 | 963-965 | S32599K | 08 | 564-566 | S35219S | 05 | 299-301 | ||
| S32446D | 08 | 559-561 | S32599S | 08 | 551-552 | S35221A | 21 | 913-914 | ||
| S32446G | 08 | 521-522 | S32601A | 08 | 535-536 | S35221A | 24 | 963-965 | ||
| S32446G | 08 | 559-561 | S32601A | 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 |