ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 44 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S52345P | 08 | 564-566 | S52392Q | 08 | 564-566 | S52561P | 08 | 564-566 | ||
| S52345Q | 08 | 564-566 | S52392R | 08 | 564-566 | S52561Q | 08 | 564-566 | ||
| S52345R | 08 | 564-566 | S52392S | 08 | 559-561 | S52561R | 08 | 564-566 | ||
| S52345S | 08 | 559-561 | S52399A | 08 | 562-563 | S52561S | 08 | 559-561 | ||
| S52346A | 08 | 562-563 | S52399A | 24 | 963-965 | S52562A | 08 | 562-563 | ||
| S52346A | 24 | 963-965 | S52399B | 08 | 562-563 | S52562A | 24 | 963-965 | ||
| S52346B | 08 | 562-563 | S52399B | 24 | 963-965 | S52562B | 08 | 562-563 | ||
| S52346B | 24 | 963-965 | S52399C | 08 | 562-563 | S52562B | 24 | 963-965 | ||
| S52346C | 08 | 562-563 | S52399C | 24 | 963-965 | S52562C | 08 | 562-563 | ||
| S52346C | 24 | 963-965 | S52399D | 08 | 559-561 | S52562C | 24 | 963-965 | ||
| S52346D | 08 | 559-561 | S52399E | 08 | 559-561 | S52562D | 08 | 559-561 | ||
| S52346E | 08 | 559-561 | S52399F | 08 | 559-561 | S52562E | 08 | 559-561 | ||
| S52346F | 08 | 559-561 | S52399G | 08 | 559-561 | S52562F | 08 | 559-561 | ||
| S52346G | 08 | 559-561 | S52399H | 08 | 559-561 | S52562G | 08 | 559-561 | ||
| S52346H | 08 | 559-561 | S52399J | 08 | 559-561 | S52562H | 08 | 559-561 | ||
| S52346J | 08 | 559-561 | S52399K | 08 | 564-566 | S52562J | 08 | 559-561 | ||
| S52346K | 08 | 564-566 | S52399M | 08 | 564-566 | S52562K | 08 | 564-566 | ||
| S52346M | 08 | 564-566 | S52399N | 08 | 564-566 | S52562M | 08 | 564-566 | ||
| S52346N | 08 | 564-566 | S52399P | 08 | 564-566 | S52562N | 08 | 564-566 | ||
| S52346P | 08 | 564-566 | S52399Q | 08 | 564-566 | S52562P | 08 | 564-566 | ||
| S52346Q | 08 | 564-566 | S52399R | 08 | 564-566 | S52562Q | 08 | 564-566 | ||
| S52346R | 08 | 564-566 | S52399S | 08 | 559-561 | S52562R | 08 | 564-566 | ||
| S52346S | 08 | 559-561 | S52501A | 08 | 562-563 | S52562S | 08 | 559-561 | ||
| S52351A | 08 | 562-563 | S52501A | 24 | 963-965 | S52569A | 08 | 562-563 | ||
| S52351A | 24 | 963-965 | S52501B | 08 | 562-563 | S52569A | 24 | 963-965 | ||
| S52351B | 08 | 562-563 | S52501B | 24 | 963-965 | S52569B | 08 | 562-563 | ||
| S52351B | 24 | 963-965 | S52501C | 08 | 562-563 | S52569B | 24 | 963-965 | ||
| S52351C | 08 | 562-563 | S52501C | 24 | 963-965 | S52569C | 08 | 562-563 | ||
| S52351C | 24 | 963-965 | S52501D | 08 | 559-561 | S52569C | 24 | 963-965 | ||
| S52351D | 08 | 559-561 | S52501E | 08 | 559-561 | S52569D | 08 | 559-561 | ||
| S52351E | 08 | 559-561 | S52501F | 08 | 559-561 | S52569E | 08 | 559-561 | ||
| S52351F | 08 | 559-561 | S52501G | 08 | 559-561 | S52569F | 08 | 559-561 | ||
| S52351G | 08 | 559-561 | S52501H | 08 | 559-561 | S52569G | 08 | 559-561 | ||
| S52351H | 08 | 559-561 | S52501J | 08 | 559-561 | S52569H | 08 | 559-561 | ||
| S52351J | 08 | 559-561 | S52501K | 08 | 564-566 | S52569J | 08 | 559-561 | ||
| S52351K | 08 | 564-566 | S52501M | 08 | 564-566 | S52569K | 08 | 564-566 | ||
| S52351M | 08 | 564-566 | S52501N | 08 | 564-566 | S52569M | 08 | 564-566 | ||
| S52351N | 08 | 564-566 | S52501P | 08 | 564-566 | S52569N | 08 | 564-566 | ||
| S52351P | 08 | 564-566 | S52501Q | 08 | 564-566 | S52569P | 08 | 564-566 | ||
| S52351Q | 08 | 564-566 | S52501R | 08 | 564-566 | S52569Q | 08 | 564-566 | ||
| S52351R | 08 | 564-566 | S52501S | 08 | 559-561 | S52569R | 08 | 564-566 | ||
| S52351S | 08 | 559-561 | S52502A | 08 | 562-563 | S52569S | 08 | 559-561 | ||
| S52352A | 08 | 562-563 | S52502A | 24 | 963-965 | S52571A | 08 | 562-563 | ||
| S52352A | 24 | 963-965 | S52502B | 08 | 562-563 | S52571A | 24 | 963-965 | ||
| S52352B | 08 | 562-563 | S52502B | 24 | 963-965 | S52571B | 08 | 562-563 | ||
| S52352B | 24 | 963-965 | S52502C | 08 | 562-563 | S52571B | 24 | 963-965 | ||
| S52352C | 08 | 562-563 | S52502C | 24 | 963-965 | S52571C | 08 | 562-563 | ||
| S52352C | 24 | 963-965 | S52502D | 08 | 559-561 | S52571C | 24 | 963-965 | ||
| S52352D | 08 | 559-561 | S52502E | 08 | 559-561 | S52571D | 08 | 559-561 | ||
| S52352E | 08 | 559-561 | S52502F | 08 | 559-561 | S52571E | 08 | 559-561 | ||
| S52352F | 08 | 559-561 | S52502G | 08 | 559-561 | S52571F | 08 | 559-561 | ||
| S52352G | 08 | 559-561 | S52502H | 08 | 559-561 | S52571G | 08 | 559-561 | ||
| S52352H | 08 | 559-561 | S52502J | 08 | 559-561 | S52571H | 08 | 559-561 | ||
| S52352J | 08 | 559-561 | S52502K | 08 | 564-566 | S52571J | 08 | 559-561 | ||
| S52352K | 08 | 564-566 | S52502M | 08 | 564-566 | S52571K | 08 | 564-566 | ||
| S52352M | 08 | 564-566 | S52502N | 08 | 564-566 | S52571M | 08 | 564-566 | ||
| S52352N | 08 | 564-566 | S52502P | 08 | 564-566 | S52571N | 08 | 564-566 | ||
| S52352P | 08 | 564-566 | S52502Q | 08 | 564-566 | S52571P | 08 | 564-566 | ||
| S52352Q | 08 | 564-566 | S52502R | 08 | 564-566 | S52571Q | 08 | 564-566 | ||
| S52352R | 08 | 564-566 | S52502S | 08 | 559-561 | S52571R | 08 | 564-566 | ||
| S52352S | 08 | 559-561 | S52509A | 08 | 562-563 | S52571S | 08 | 559-561 | ||
| S52353A | 08 | 562-563 | S52509A | 24 | 963-965 | S52572A | 08 | 562-563 | ||
| S52353A | 24 | 963-965 | S52509B | 08 | 562-563 | S52572A | 24 | 963-965 | ||
| S52353B | 08 | 562-563 | S52509B | 24 | 963-965 | S52572B | 08 | 562-563 | ||
| S52353B | 24 | 963-965 | S52509C | 08 | 562-563 | S52572B | 24 | 963-965 | ||
| S52353C | 08 | 562-563 | S52509C | 24 | 963-965 | S52572C | 08 | 562-563 | ||
| S52353C | 24 | 963-965 | S52509D | 08 | 559-561 | S52572C | 24 | 963-965 | ||
| S52353D | 08 | 559-561 | S52509E | 08 | 559-561 | S52572D | 08 | 559-561 | ||
| S52353E | 08 | 559-561 | S52509F | 08 | 559-561 | S52572E | 08 | 559-561 | ||
| S52353F | 08 | 559-561 | S52509G | 08 | 559-561 | S52572F | 08 | 559-561 | ||
| S52353G | 08 | 559-561 | S52509H | 08 | 559-561 | S52572G | 08 | 559-561 | ||
| S52353H | 08 | 559-561 | S52509J | 08 | 559-561 | S52572H | 08 | 559-561 | ||
| S52353J | 08 | 559-561 | S52509K | 08 | 564-566 | S52572J | 08 | 559-561 | ||
| S52353K | 08 | 564-566 | S52509M | 08 | 564-566 | S52572K | 08 | 564-566 | ||
| S52353M | 08 | 564-566 | S52509N | 08 | 564-566 | S52572M | 08 | 564-566 | ||
| S52353N | 08 | 564-566 | S52509P | 08 | 564-566 | S52572N | 08 | 564-566 | ||
| S52353P | 08 | 564-566 | S52509Q | 08 | 564-566 | S52572P | 08 | 564-566 | ||
| S52353Q | 08 | 564-566 | S52509R | 08 | 564-566 | S52572Q | 08 | 564-566 | ||
| S52353R | 08 | 564-566 | S52509S | 08 | 559-561 | S52572R | 08 | 564-566 | ||
| S52353S | 08 | 559-561 | S52511A | 08 | 562-563 | S52572S | 08 | 559-561 | ||
| S52354A | 08 | 562-563 | S52511A | 24 | 963-965 | S52579A | 08 | 562-563 | ||
| S52354A | 24 | 963-965 | S52511B | 08 | 562-563 | S52579A | 24 | 963-965 | ||
| S52354B | 08 | 562-563 | S52511B | 24 | 963-965 | S52579B | 08 | 562-563 | ||
| S52354B | 24 | 963-965 | S52511C | 08 | 562-563 | S52579B | 24 | 963-965 | ||
| S52354C | 08 | 562-563 | S52511C | 24 | 963-965 | S52579C | 08 | 562-563 | ||
| S52354C | 24 | 963-965 | S52511D | 08 | 559-561 | S52579C | 24 | 963-965 | ||
| S52354D | 08 | 559-561 | S52511E | 08 | 559-561 | S52579D | 08 | 559-561 | ||
| S52354E | 08 | 559-561 | S52511F | 08 | 559-561 | S52579E | 08 | 559-561 | ||
| S52354F | 08 | 559-561 | S52511G | 08 | 559-561 | S52579F | 08 | 559-561 | ||
| S52354G | 08 | 559-561 | S52511H | 08 | 559-561 | S52579G | 08 | 559-561 | ||
| S52354H | 08 | 559-561 | S52511J | 08 | 559-561 | S52579H | 08 | 559-561 | ||
| S52354J | 08 | 559-561 | S52511K | 08 | 564-566 | S52579J | 08 | 559-561 | ||
| S52354K | 08 | 564-566 | S52511M | 08 | 564-566 | S52579K | 08 | 564-566 | ||
| S52354M | 08 | 564-566 | S52511N | 08 | 564-566 | S52579M | 08 | 564-566 | ||
| S52354N | 08 | 564-566 | S52511P | 08 | 564-566 | S52579N | 08 | 564-566 | ||
| S52354P | 08 | 564-566 | S52511Q | 08 | 564-566 | S52579P | 08 | 564-566 | ||
| S52354Q | 08 | 564-566 | S52511R | 08 | 564-566 | S52579Q | 08 | 564-566 | ||
| S52354R | 08 | 564-566 | S52511S | 08 | 559-561 | S52579R | 08 | 564-566 | ||
| S52354S | 08 | 559-561 | S52512A | 08 | 562-563 | S52579S | 08 | 559-561 | ||
| S52355A | 08 | 562-563 | S52512A | 24 | 963-965 | S52591A | 08 | 562-563 | ||
| S52355A | 24 | 963-965 | S52512B | 08 | 562-563 | S52591A | 24 | 963-965 | ||
| S52355B | 08 | 562-563 | S52512B | 24 | 963-965 | S52591B | 08 | 562-563 | ||
| S52355B | 24 | 963-965 | S52512C | 08 | 562-563 | S52591B | 24 | 963-965 | ||
| S52355C | 08 | 562-563 | S52512C | 24 | 963-965 | S52591C | 08 | 562-563 | ||
| S52355C | 24 | 963-965 | S52512D | 08 | 559-561 | S52591C | 24 | 963-965 | ||
| S52355D | 08 | 559-561 | S52512E | 08 | 559-561 | S52591D | 08 | 559-561 | ||
| S52355E | 08 | 559-561 | S52512F | 08 | 559-561 | S52591E | 08 | 559-561 | ||
| S52355F | 08 | 559-561 | S52512G | 08 | 559-561 | S52591F | 08 | 559-561 | ||
| S52355G | 08 | 559-561 | S52512H | 08 | 559-561 | S52591G | 08 | 559-561 | ||
| S52355H | 08 | 559-561 | S52512J | 08 | 559-561 | S52591H | 08 | 559-561 | ||
| S52355J | 08 | 559-561 | S52512K | 08 | 564-566 | S52591J | 08 | 559-561 | ||
| S52355K | 08 | 564-566 | S52512M | 08 | 564-566 | S52591K | 08 | 564-566 | ||
| S52355M | 08 | 564-566 | S52512N | 08 | 564-566 | S52591M | 08 | 564-566 | ||
| S52355N | 08 | 564-566 | S52512P | 08 | 564-566 | S52591N | 08 | 564-566 | ||
| S52355P | 08 | 564-566 | S52512Q | 08 | 564-566 | S52591P | 08 | 564-566 | ||
| S52355Q | 08 | 564-566 | S52512R | 08 | 564-566 | S52591Q | 08 | 564-566 | ||
| S52355R | 08 | 564-566 | S52512S | 08 | 559-561 | S52591R | 08 | 564-566 | ||
| S52355S | 08 | 559-561 | S52513A | 08 | 562-563 | S52591S | 08 | 559-561 | ||
| S52356A | 08 | 562-563 | S52513A | 24 | 963-965 | S52592A | 08 | 562-563 | ||
| S52356A | 24 | 963-965 | S52513B | 08 | 562-563 | S52592A | 24 | 963-965 | ||
| S52356B | 08 | 562-563 | S52513B | 24 | 963-965 | S52592B | 08 | 562-563 | ||
| S52356B | 24 | 963-965 | S52513C | 08 | 562-563 | S52592B | 24 | 963-965 | ||
| S52356C | 08 | 562-563 | S52513C | 24 | 963-965 | S52592C | 08 | 562-563 | ||
| S52356C | 24 | 963-965 | S52513D | 08 | 559-561 | S52592C | 24 | 963-965 | ||
| S52356D | 08 | 559-561 | S52513E | 08 | 559-561 | S52592D | 08 | 559-561 | ||
| S52356E | 08 | 559-561 | S52513F | 08 | 559-561 | S52592E | 08 | 559-561 | ||
| S52356F | 08 | 559-561 | S52513G | 08 | 559-561 | S52592F | 08 | 559-561 | ||
| S52356G | 08 | 559-561 | S52513H | 08 | 559-561 | S52592G | 08 | 559-561 | ||
| S52356H | 08 | 559-561 | S52513J | 08 | 559-561 | S52592H | 08 | 559-561 | ||
| S52356J | 08 | 559-561 | S52513K | 08 | 564-566 | S52592J | 08 | 559-561 | ||
| S52356K | 08 | 564-566 | S52513M | 08 | 564-566 | S52592K | 08 | 564-566 | ||
| S52356M | 08 | 564-566 | S52513N | 08 | 564-566 | S52592M | 08 | 564-566 | ||
| S52356N | 08 | 564-566 | S52513P | 08 | 564-566 | S52592N | 08 | 564-566 | ||
| S52356P | 08 | 564-566 | S52513Q | 08 | 564-566 | S52592P | 08 | 564-566 | ||
| S52356Q | 08 | 564-566 | S52513R | 08 | 564-566 | S52592Q | 08 | 564-566 | ||
| S52356R | 08 | 564-566 | S52513S | 08 | 559-561 | S52592R | 08 | 564-566 | ||
| S52356S | 08 | 559-561 | S52514A | 08 | 562-563 | S52592S | 08 | 559-561 | ||
| S52361A | 08 | 562-563 | S52514A | 24 | 963-965 | S52599A | 08 | 562-563 | ||
| S52361A | 24 | 963-965 | S52514B | 08 | 562-563 | S52599A | 24 | 963-965 | ||
| S52361B | 08 | 562-563 | S52514B | 24 | 963-965 | S52599B | 08 | 562-563 | ||
| S52361B | 24 | 963-965 | S52514C | 08 | 562-563 | S52599B | 24 | 963-965 | ||
| S52361C | 08 | 562-563 | S52514C | 24 | 963-965 | S52599C | 08 | 562-563 | ||
| S52361C | 24 | 963-965 | S52514D | 08 | 559-561 | S52599C | 24 | 963-965 | ||
| S52361D | 08 | 559-561 | S52514E | 08 | 559-561 | S52599D | 08 | 559-561 | ||
| S52361E | 08 | 559-561 | S52514F | 08 | 559-561 | S52599E | 08 | 559-561 | ||
| S52361F | 08 | 559-561 | S52514G | 08 | 559-561 | S52599F | 08 | 559-561 | ||
| S52361G | 08 | 559-561 | S52514H | 08 | 559-561 | S52599G | 08 | 559-561 | ||
| S52361H | 08 | 559-561 | S52514J | 08 | 559-561 | S52599H | 08 | 559-561 | ||
| S52361J | 08 | 559-561 | S52514K | 08 | 564-566 | S52599J | 08 | 559-561 | ||
| S52361K | 08 | 564-566 | S52514M | 08 | 564-566 | S52599K | 08 | 564-566 | ||
| S52361M | 08 | 564-566 | S52514N | 08 | 564-566 | S52599M | 08 | 564-566 | ||
| S52361N | 08 | 564-566 | S52514P | 08 | 564-566 | S52599N | 08 | 564-566 | ||
| S52361P | 08 | 564-566 | S52514Q | 08 | 564-566 | S52599P | 08 | 564-566 | ||
| S52361Q | 08 | 564-566 | S52514R | 08 | 564-566 | S52599Q | 08 | 564-566 | ||
| S52361R | 08 | 564-566 | S52514S | 08 | 559-561 | S52599R | 08 | 564-566 | ||
| S52361S | 08 | 559-561 | S52515A | 08 | 562-563 | S52599S | 08 | 559-561 | ||
| S52362A | 08 | 562-563 | S52515A | 24 | 963-965 | S52601A | 08 | 562-563 | ||
| S52362A | 24 | 963-965 | S52515B | 08 | 562-563 | S52601A | 24 | 963-965 | ||
| S52362B | 08 | 562-563 | S52515B | 24 | 963-965 | S52601B | 08 | 562-563 | ||
| S52362B | 24 | 963-965 | S52515C | 08 | 562-563 | S52601B | 24 | 963-965 | ||
| S52362C | 08 | 562-563 | S52515C | 24 | 963-965 | S52601C | 08 | 562-563 | ||
| S52362C | 24 | 963-965 | S52515D | 08 | 559-561 | S52601C | 24 | 963-965 | ||
| S52362D | 08 | 559-561 | S52515E | 08 | 559-561 | S52601D | 08 | 559-561 | ||
| S52362E | 08 | 559-561 | S52515F | 08 | 559-561 | S52601E | 08 | 559-561 | ||
| S52362F | 08 | 559-561 | S52515G | 08 | 559-561 | S52601F | 08 | 559-561 | ||
| S52362G | 08 | 559-561 | S52515H | 08 | 559-561 | S52601G | 08 | 559-561 | ||
| S52362H | 08 | 559-561 | S52515J | 08 | 559-561 | S52601H | 08 | 559-561 | ||
| S52362J | 08 | 559-561 | S52515K | 08 | 564-566 | S52601J | 08 | 559-561 | ||
| S52362K | 08 | 564-566 | S52515M | 08 | 564-566 | S52601K | 08 | 564-566 | ||
| S52362M | 08 | 564-566 | S52515N | 08 | 564-566 | S52601M | 08 | 564-566 | ||
| S52362N | 08 | 564-566 | S52515P | 08 | 564-566 | S52601N | 08 | 564-566 | ||
| S52362P | 08 | 564-566 | S52515Q | 08 | 564-566 | S52601P | 08 | 564-566 | ||
| S52362Q | 08 | 564-566 | S52515R | 08 | 564-566 | S52601Q | 08 | 564-566 | ||
| S52362R | 08 | 564-566 | S52515S | 08 | 559-561 | S52601R | 08 | 564-566 | ||
| S52362S | 08 | 559-561 | S52516A | 08 | 562-563 | S52601S | 08 | 559-561 | ||
| S52363A | 08 | 562-563 | S52516A | 24 | 963-965 | S52602A | 08 | 562-563 | ||
| S52363A | 24 | 963-965 | S52516B | 08 | 562-563 | S52602A | 24 | 963-965 | ||
| S52363B | 08 | 562-563 | S52516B | 24 | 963-965 | S52602B | 08 | 562-563 | ||
| S52363B | 24 | 963-965 | S52516C | 08 | 562-563 | S52602B | 24 | 963-965 | ||
| S52363C | 08 | 562-563 | S52516C | 24 | 963-965 | S52602C | 08 | 562-563 | ||
| S52363C | 24 | 963-965 | S52516D | 08 | 559-561 | S52602C | 24 | 963-965 | ||
| S52363D | 08 | 559-561 | S52516E | 08 | 559-561 | S52602D | 08 | 559-561 | ||
| S52363E | 08 | 559-561 | S52516F | 08 | 559-561 | S52602E | 08 | 559-561 | ||
| S52363F | 08 | 559-561 | S52516G | 08 | 559-561 | S52602F | 08 | 559-561 | ||
| S52363G | 08 | 559-561 | S52516H | 08 | 559-561 | S52602G | 08 | 559-561 | ||
| S52363H | 08 | 559-561 | S52516J | 08 | 559-561 | S52602H | 08 | 559-561 | ||
| S52363J | 08 | 559-561 | S52516K | 08 | 564-566 | S52602J | 08 | 559-561 | ||
| S52363K | 08 | 564-566 | S52516M | 08 | 564-566 | S52602K | 08 | 564-566 | ||
| S52363M | 08 | 564-566 | S52516N | 08 | 564-566 | S52602M | 08 | 564-566 | ||
| S52363N | 08 | 564-566 | S52516P | 08 | 564-566 | S52602N | 08 | 564-566 | ||
| S52363P | 08 | 564-566 | S52516Q | 08 | 564-566 | S52602P | 08 | 564-566 | ||
| S52363Q | 08 | 564-566 | S52516R | 08 | 564-566 | S52602Q | 08 | 564-566 | ||
| S52363R | 08 | 564-566 | S52516S | 08 | 559-561 | S52602R | 08 | 564-566 | ||
| S52363S | 08 | 559-561 | S52521A | 08 | 562-563 | S52602S | 08 | 559-561 | ||
| S52364A | 08 | 562-563 | S52521A | 24 | 963-965 | S52609A | 08 | 562-563 | ||
| S52364A | 24 | 963-965 | S52521D | 08 | 559-561 | S52609A | 24 | 963-965 | ||
| S52364B | 08 | 562-563 | S52521G | 08 | 559-561 | S52609B | 08 | 562-563 | ||
| S52364B | 24 | 963-965 | S52521K | 08 | 564-566 | S52609B | 24 | 963-965 | ||
| S52364C | 08 | 562-563 | S52521P | 08 | 564-566 | S52609C | 08 | 562-563 | ||
| S52364C | 24 | 963-965 | S52521S | 08 | 559-561 | S52609C | 24 | 963-965 | ||
| S52364D | 08 | 559-561 | S52522A | 08 | 562-563 | S52609D | 08 | 559-561 | ||
| S52364E | 08 | 559-561 | S52522A | 24 | 963-965 | S52609E | 08 | 559-561 | ||
| S52364F | 08 | 559-561 | S52522D | 08 | 559-561 | S52609F | 08 | 559-561 | ||
| S52364G | 08 | 559-561 | S52522G | 08 | 559-561 | S52609G | 08 | 559-561 | ||
| S52364H | 08 | 559-561 | S52522K | 08 | 564-566 | S52609H | 08 | 559-561 | ||
| S52364J | 08 | 559-561 | S52522P | 08 | 564-566 | S52609J | 08 | 559-561 | ||
| S52364K | 08 | 564-566 | S52522S | 08 | 559-561 | S52609K | 08 | 564-566 | ||
| S52364M | 08 | 564-566 | S52529A | 08 | 562-563 | S52609M | 08 | 564-566 | ||
| S52364N | 08 | 564-566 | S52529A | 24 | 963-965 | S52609N | 08 | 564-566 | ||
| S52364P | 08 | 564-566 | S52529D | 08 | 559-561 | S52609P | 08 | 564-566 | ||
| S52364Q | 08 | 564-566 | S52529G | 08 | 559-561 | S52609Q | 08 | 564-566 | ||
| S52364R | 08 | 564-566 | S52529K | 08 | 564-566 | S52609R | 08 | 564-566 | ||
| S52364S | 08 | 559-561 | S52529P | 08 | 564-566 | S52609S | 08 | 559-561 | ||
| S52365A | 08 | 562-563 | S52529S | 08 | 559-561 | S52611A | 08 | 562-563 | ||
| S52365A | 24 | 963-965 | S52531A | 08 | 562-563 | S52611A | 24 | 963-965 | ||
| S52365B | 08 | 562-563 | S52531A | 24 | 963-965 | S52611B | 08 | 562-563 | ||
| S52365B | 24 | 963-965 | S52531B | 08 | 562-563 | S52611B | 24 | 963-965 | ||
| S52365C | 08 | 562-563 | S52531B | 24 | 963-965 | S52611C | 08 | 562-563 | ||
| S52365C | 24 | 963-965 | S52531C | 08 | 562-563 | S52611C | 24 | 963-965 | ||
| S52365D | 08 | 559-561 | S52531C | 24 | 963-965 | S52611D | 08 | 559-561 | ||
| S52365E | 08 | 559-561 | S52531D | 08 | 559-561 | S52611E | 08 | 559-561 | ||
| S52365F | 08 | 559-561 | S52531E | 08 | 559-561 | S52611F | 08 | 559-561 | ||
| S52365G | 08 | 559-561 | S52531F | 08 | 559-561 | S52611G | 08 | 559-561 | ||
| S52365H | 08 | 559-561 | S52531G | 08 | 559-561 | S52611H | 08 | 559-561 | ||
| S52365J | 08 | 559-561 | S52531H | 08 | 559-561 | S52611J | 08 | 559-561 | ||
| S52365K | 08 | 564-566 | S52531J | 08 | 559-561 | S52611K | 08 | 564-566 | ||
| S52365M | 08 | 564-566 | S52531K | 08 | 564-566 | S52611M | 08 | 564-566 | ||
| S52365N | 08 | 564-566 | S52531M | 08 | 564-566 | S52611N | 08 | 564-566 | ||
| S52365P | 08 | 564-566 | S52531N | 08 | 564-566 | S52611P | 08 | 564-566 | ||
| S52365Q | 08 | 564-566 | S52531P | 08 | 564-566 | S52611Q | 08 | 564-566 | ||
| S52365R | 08 | 564-566 | S52531Q | 08 | 564-566 | S52611R | 08 | 564-566 | ||
| S52365S | 08 | 559-561 | S52531R | 08 | 564-566 | S52611S | 08 | 559-561 | ||
| S52366A | 08 | 562-563 | S52531S | 08 | 559-561 | S52612A | 08 | 562-563 | ||
| S52366A | 24 | 963-965 | S52532A | 08 | 562-563 | S52612A | 24 | 963-965 | ||
| S52366B | 08 | 562-563 | S52532A | 24 | 963-965 | S52612B | 08 | 562-563 | ||
| S52366B | 24 | 963-965 | S52532B | 08 | 562-563 | S52612B | 24 | 963-965 | ||
| S52366C | 08 | 562-563 | S52532B | 24 | 963-965 | S52612C | 08 | 562-563 | ||
| S52366C | 24 | 963-965 | S52532C | 08 | 562-563 | S52612C | 24 | 963-965 | ||
| S52366D | 08 | 559-561 | S52532C | 24 | 963-965 | S52612D | 08 | 559-561 | ||
| S52366E | 08 | 559-561 | S52532D | 08 | 559-561 | S52612E | 08 | 559-561 | ||
| S52366F | 08 | 559-561 | S52532E | 08 | 559-561 | S52612F | 08 | 559-561 | ||
| S52366G | 08 | 559-561 | S52532F | 08 | 559-561 | S52612G | 08 | 559-561 | ||
| S52366H | 08 | 559-561 | S52532G | 08 | 559-561 | S52612H | 08 | 559-561 | ||
| S52366J | 08 | 559-561 | S52532H | 08 | 559-561 | S52612J | 08 | 559-561 | ||
| S52366K | 08 | 564-566 | S52532J | 08 | 559-561 | S52612K | 08 | 564-566 | ||
| S52366M | 08 | 564-566 | S52532K | 08 | 564-566 | S52612M | 08 | 564-566 | ||
| S52366N | 08 | 564-566 | S52532M | 08 | 564-566 | S52612N | 08 | 564-566 | ||
| S52366P | 08 | 564-566 | S52532N | 08 | 564-566 | S52612P | 08 | 564-566 | ||
| S52366Q | 08 | 564-566 | S52532P | 08 | 564-566 | S52612Q | 08 | 564-566 | ||
| S52366R | 08 | 564-566 | S52532Q | 08 | 564-566 | S52612R | 08 | 564-566 | ||
| S52366S | 08 | 559-561 | S52532R | 08 | 564-566 | S52612S | 08 | 559-561 | ||
| S52371A | 08 | 562-563 | S52532S | 08 | 559-561 | S52613A | 08 | 562-563 | ||
| S52371A | 24 | 963-965 | S52539A | 08 | 562-563 | S52613A | 24 | 963-965 | ||
| S52371B | 08 | 562-563 | S52539A | 24 | 963-965 | S52613B | 08 | 562-563 | ||
| S52371B | 24 | 963-965 | S52539B | 08 | 562-563 | S52613B | 24 | 963-965 | ||
| S52371C | 08 | 562-563 | S52539B | 24 | 963-965 | S52613C | 08 | 562-563 | ||
| S52371C | 24 | 963-965 | S52539C | 08 | 562-563 | S52613C | 24 | 963-965 | ||
| S52371D | 08 | 559-561 | S52539C | 24 | 963-965 | S52613D | 08 | 559-561 | ||
| S52371E | 08 | 559-561 | S52539D | 08 | 559-561 | S52613E | 08 | 559-561 | ||
| S52371F | 08 | 559-561 | S52539E | 08 | 559-561 | S52613F | 08 | 559-561 | ||
| S52371G | 08 | 559-561 | S52539F | 08 | 559-561 | S52613G | 08 | 559-561 | ||
| S52371H | 08 | 559-561 | S52539G | 08 | 559-561 | S52613H | 08 | 559-561 | ||
| S52371J | 08 | 559-561 | S52539H | 08 | 559-561 | S52613J | 08 | 559-561 | ||
| S52371K | 08 | 564-566 | S52539J | 08 | 559-561 | S52613K | 08 | 564-566 | ||
| S52371M | 08 | 564-566 | S52539K | 08 | 564-566 | S52613M | 08 | 564-566 | ||
| S52371N | 08 | 564-566 | S52539M | 08 | 564-566 | S52613N | 08 | 564-566 | ||
| S52371P | 08 | 564-566 | S52539N | 08 | 564-566 | S52613P | 08 | 564-566 | ||
| S52371Q | 08 | 564-566 | S52539P | 08 | 564-566 | S52613Q | 08 | 564-566 | ||
| S52371R | 08 | 564-566 | S52539Q | 08 | 564-566 | S52613R | 08 | 564-566 | ||
| S52371S | 08 | 559-561 | S52539R | 08 | 564-566 | S52613S | 08 | 559-561 | ||
| S52372A | 08 | 562-563 | S52539S | 08 | 559-561 | S52614A | 08 | 562-563 | ||
| S52372A | 24 | 963-965 | S52541A | 08 | 562-563 | S52614A | 24 | 963-965 | ||
| S52372B | 08 | 562-563 | S52541A | 24 | 963-965 | S52614B | 08 | 562-563 | ||
| S52372B | 24 | 963-965 | S52541B | 08 | 562-563 | S52614B | 24 | 963-965 | ||
| S52372C | 08 | 562-563 | S52541B | 24 | 963-965 | S52614C | 08 | 562-563 | ||
| S52372C | 24 | 963-965 | S52541C | 08 | 562-563 | S52614C | 24 | 963-965 | ||
| S52372D | 08 | 559-561 | S52541C | 24 | 963-965 | S52614D | 08 | 559-561 | ||
| S52372E | 08 | 559-561 | S52541D | 08 | 559-561 | S52614E | 08 | 559-561 | ||
| S52372F | 08 | 559-561 | S52541E | 08 | 559-561 | S52614F | 08 | 559-561 | ||
| S52372G | 08 | 559-561 | S52541F | 08 | 559-561 | S52614G | 08 | 559-561 | ||
| S52372H | 08 | 559-561 | S52541G | 08 | 559-561 | S52614H | 08 | 559-561 | ||
| S52372J | 08 | 559-561 | S52541H | 08 | 559-561 | S52614J | 08 | 559-561 | ||
| S52372K | 08 | 564-566 | S52541J | 08 | 559-561 | S52614K | 08 | 564-566 | ||
| S52372M | 08 | 564-566 | S52541K | 08 | 564-566 | S52614M | 08 | 564-566 | ||
| S52372N | 08 | 564-566 | S52541M | 08 | 564-566 | S52614N | 08 | 564-566 | ||
| S52372P | 08 | 564-566 | S52541N | 08 | 564-566 | S52614P | 08 | 564-566 | ||
| S52372Q | 08 | 564-566 | S52541P | 08 | 564-566 | S52614Q | 08 | 564-566 | ||
| S52372R | 08 | 564-566 | S52541Q | 08 | 564-566 | S52614R | 08 | 564-566 | ||
| S52372S | 08 | 559-561 | S52541R | 08 | 564-566 | S52614S | 08 | 559-561 | ||
| S52379A | 08 | 562-563 | S52541S | 08 | 559-561 | S52615A | 08 | 562-563 | ||
| S52379A | 24 | 963-965 | S52542A | 08 | 562-563 | S52615A | 24 | 963-965 | ||
| S52379B | 08 | 562-563 | S52542A | 24 | 963-965 | S52615B | 08 | 562-563 | ||
| S52379B | 24 | 963-965 | S52542B | 08 | 562-563 | S52615B | 24 | 963-965 | ||
| S52379C | 08 | 562-563 | S52542B | 24 | 963-965 | S52615C | 08 | 562-563 | ||
| S52379C | 24 | 963-965 | S52542C | 08 | 562-563 | S52615C | 24 | 963-965 | ||
| S52379D | 08 | 559-561 | S52542C | 24 | 963-965 | S52615D | 08 | 559-561 | ||
| S52379E | 08 | 559-561 | S52542D | 08 | 559-561 | S52615E | 08 | 559-561 | ||
| S52379F | 08 | 559-561 | S52542E | 08 | 559-561 | S52615F | 08 | 559-561 | ||
| S52379G | 08 | 559-561 | S52542F | 08 | 559-561 | S52615G | 08 | 559-561 | ||
| S52379H | 08 | 559-561 | S52542G | 08 | 559-561 | S52615H | 08 | 559-561 | ||
| S52379J | 08 | 559-561 | S52542H | 08 | 559-561 | S52615J | 08 | 559-561 | ||
| S52379K | 08 | 564-566 | S52542J | 08 | 559-561 | S52615K | 08 | 564-566 | ||
| S52379M | 08 | 564-566 | S52542K | 08 | 564-566 | S52615M | 08 | 564-566 | ||
| S52379N | 08 | 564-566 | S52542M | 08 | 564-566 | S52615N | 08 | 564-566 | ||
| S52379P | 08 | 564-566 | S52542N | 08 | 564-566 | S52615P | 08 | 564-566 | ||
| S52379Q | 08 | 564-566 | S52542P | 08 | 564-566 | S52615Q | 08 | 564-566 | ||
| S52379R | 08 | 564-566 | S52542Q | 08 | 564-566 | S52615R | 08 | 564-566 | ||
| S52379S | 08 | 559-561 | S52542R | 08 | 564-566 | S52615S | 08 | 559-561 | ||
| S52381A | 08 | 562-563 | S52542S | 08 | 559-561 | S52616A | 08 | 562-563 | ||
| S52381A | 24 | 963-965 | S52549A | 08 | 562-563 | S52616A | 24 | 963-965 | ||
| S52381B | 08 | 562-563 | S52549A | 24 | 963-965 | S52616B | 08 | 562-563 | ||
| S52381B | 24 | 963-965 | S52549B | 08 | 562-563 | S52616B | 24 | 963-965 | ||
| S52381C | 08 | 562-563 | S52549B | 24 | 963-965 | S52616C | 08 | 562-563 | ||
| S52381C | 24 | 963-965 | S52549C | 08 | 562-563 | S52616C | 24 | 963-965 | ||
| S52381D | 08 | 559-561 | S52549C | 24 | 963-965 | S52616D | 08 | 559-561 | ||
| S52381E | 08 | 559-561 | S52549D | 08 | 559-561 | S52616E | 08 | 559-561 | ||
| S52381F | 08 | 559-561 | S52549E | 08 | 559-561 | S52616F | 08 | 559-561 | ||
| S52381G | 08 | 559-561 | S52549F | 08 | 559-561 | S52616G | 08 | 559-561 | ||
| S52381H | 08 | 559-561 | S52549G | 08 | 559-561 | S52616H | 08 | 559-561 | ||
| S52381J | 08 | 559-561 | S52549H | 08 | 559-561 | S52616J | 08 | 559-561 | ||
| S52381K | 08 | 564-566 | S52549J | 08 | 559-561 | S52616K | 08 | 564-566 | ||
| S52381M | 08 | 564-566 | S52549K | 08 | 564-566 | S52616M | 08 | 564-566 | ||
| S52381N | 08 | 564-566 | S52549M | 08 | 564-566 | S52616N | 08 | 564-566 | ||
| S52381P | 08 | 564-566 | S52549N | 08 | 564-566 | S52616P | 08 | 564-566 | ||
| S52381Q | 08 | 564-566 | S52549P | 08 | 564-566 | S52616Q | 08 | 564-566 | ||
| S52381R | 08 | 564-566 | S52549Q | 08 | 564-566 | S52616R | 08 | 564-566 | ||
| S52381S | 08 | 559-561 | S52549R | 08 | 564-566 | S52616S | 08 | 559-561 | ||
| S52382A | 08 | 562-563 | S52549S | 08 | 559-561 | S52621A | 08 | 562-563 | ||
| S52382A | 24 | 963-965 | S52551A | 08 | 562-563 | S52621A | 24 | 963-965 | ||
| S52382B | 08 | 562-563 | S52551A | 24 | 963-965 | S52621D | 08 | 559-561 | ||
| S52382B | 24 | 963-965 | S52551B | 08 | 562-563 | S52621G | 08 | 559-561 | ||
| S52382C | 08 | 562-563 | S52551B | 24 | 963-965 | S52621K | 08 | 564-566 | ||
| S52382C | 24 | 963-965 | S52551C | 08 | 562-563 | S52621P | 08 | 564-566 | ||
| S52382D | 08 | 559-561 | S52551C | 24 | 963-965 | S52621S | 08 | 559-561 | ||
| S52382E | 08 | 559-561 | S52551D | 08 | 559-561 | S52622A | 08 | 562-563 | ||
| S52382F | 08 | 559-561 | S52551E | 08 | 559-561 | S52622A | 24 | 963-965 | ||
| S52382G | 08 | 559-561 | S52551F | 08 | 559-561 | S52622D | 08 | 559-561 | ||
| S52382H | 08 | 559-561 | S52551G | 08 | 559-561 | S52622G | 08 | 559-561 | ||
| S52382J | 08 | 559-561 | S52551H | 08 | 559-561 | S52622K | 08 | 564-566 | ||
| S52382K | 08 | 564-566 | S52551J | 08 | 559-561 | S52622P | 08 | 564-566 | ||
| S52382M | 08 | 564-566 | S52551K | 08 | 564-566 | S52622S | 08 | 559-561 | ||
| S52382N | 08 | 564-566 | S52551M | 08 | 564-566 | S52629A | 08 | 562-563 | ||
| S52382P | 08 | 564-566 | S52551N | 08 | 564-566 | S52629A | 24 | 963-965 | ||
| S52382Q | 08 | 564-566 | S52551P | 08 | 564-566 | S52629D | 08 | 559-561 | ||
| S52382R | 08 | 564-566 | S52551Q | 08 | 564-566 | S52629G | 08 | 559-561 | ||
| S52382S | 08 | 559-561 | S52551R | 08 | 564-566 | S52629K | 08 | 564-566 | ||
| S52389A | 08 | 562-563 | S52551S | 08 | 559-561 | S52629P | 08 | 564-566 | ||
| S52389A | 24 | 963-965 | S52552A | 08 | 562-563 | S52629S | 08 | 559-561 | ||
| S52389B | 08 | 562-563 | S52552A | 24 | 963-965 | S52691A | 08 | 562-563 | ||
| S52389B | 24 | 963-965 | S52552B | 08 | 562-563 | S52691A | 24 | 963-965 | ||
| S52389C | 08 | 562-563 | S52552B | 24 | 963-965 | S52691B | 08 | 562-563 | ||
| S52389C | 24 | 963-965 | S52552C | 08 | 562-563 | S52691B | 24 | 963-965 | ||
| S52389D | 08 | 559-561 | S52552C | 24 | 963-965 | S52691C | 08 | 562-563 | ||
| S52389E | 08 | 559-561 | S52552D | 08 | 559-561 | S52691C | 24 | 963-965 | ||
| S52389F | 08 | 559-561 | S52552E | 08 | 559-561 | S52691D | 08 | 559-561 | ||
| S52389G | 08 | 559-561 | S52552F | 08 | 559-561 | S52691E | 08 | 559-561 | ||
| S52389H | 08 | 559-561 | S52552G | 08 | 559-561 | S52691F | 08 | 559-561 | ||
| S52389J | 08 | 559-561 | S52552H | 08 | 559-561 | S52691G | 08 | 559-561 | ||
| S52389K | 08 | 564-566 | S52552J | 08 | 559-561 | S52691H | 08 | 559-561 | ||
| S52389M | 08 | 564-566 | S52552K | 08 | 564-566 | S52691J | 08 | 559-561 | ||
| S52389N | 08 | 564-566 | S52552M | 08 | 564-566 | S52691K | 08 | 564-566 | ||
| S52389P | 08 | 564-566 | S52552N | 08 | 564-566 | S52691M | 08 | 564-566 | ||
| S52389Q | 08 | 564-566 | S52552P | 08 | 564-566 | S52691N | 08 | 564-566 | ||
| S52389R | 08 | 564-566 | S52552Q | 08 | 564-566 | S52691P | 08 | 564-566 | ||
| S52389S | 08 | 559-561 | S52552R | 08 | 564-566 | S52691Q | 08 | 564-566 | ||
| S52391A | 08 | 562-563 | S52552S | 08 | 559-561 | S52691R | 08 | 564-566 | ||
| S52391A | 24 | 963-965 | S52559A | 08 | 562-563 | S52691S | 08 | 559-561 | ||
| S52391B | 08 | 562-563 | S52559A | 24 | 963-965 | S52692A | 08 | 562-563 | ||
| S52391B | 24 | 963-965 | S52559B | 08 | 562-563 | S52692A | 24 | 963-965 | ||
| S52391C | 08 | 562-563 | S52559B | 24 | 963-965 | S52692B | 08 | 562-563 | ||
| S52391C | 24 | 963-965 | S52559C | 08 | 562-563 | S52692B | 24 | 963-965 | ||
| S52391D | 08 | 559-561 | S52559C | 24 | 963-965 | S52692C | 08 | 562-563 | ||
| S52391E | 08 | 559-561 | S52559D | 08 | 559-561 | S52692C | 24 | 963-965 | ||
| S52391F | 08 | 559-561 | S52559E | 08 | 559-561 | S52692D | 08 | 559-561 | ||
| S52391G | 08 | 559-561 | S52559F | 08 | 559-561 | S52692E | 08 | 559-561 | ||
| S52391H | 08 | 559-561 | S52559G | 08 | 559-561 | S52692F | 08 | 559-561 | ||
| S52391J | 08 | 559-561 | S52559H | 08 | 559-561 | S52692G | 08 | 559-561 | ||
| S52391K | 08 | 564-566 | S52559J | 08 | 559-561 | S52692H | 08 | 559-561 | ||
| S52391M | 08 | 564-566 | S52559K | 08 | 564-566 | S52692J | 08 | 559-561 | ||
| S52391N | 08 | 564-566 | S52559M | 08 | 564-566 | S52692K | 08 | 564-566 | ||
| S52391P | 08 | 564-566 | S52559N | 08 | 564-566 | S52692M | 08 | 564-566 | ||
| S52391Q | 08 | 564-566 | S52559P | 08 | 564-566 | S52692N | 08 | 564-566 | ||
| S52391R | 08 | 564-566 | S52559Q | 08 | 564-566 | S52692P | 08 | 564-566 | ||
| S52391S | 08 | 559-561 | S52559R | 08 | 564-566 | S52692Q | 08 | 564-566 | ||
| S52392A | 08 | 562-563 | S52559S | 08 | 559-561 | S52692R | 08 | 564-566 | ||
| S52392A | 24 | 963-965 | S52561A | 08 | 562-563 | S52692S | 08 | 559-561 | ||
| S52392B | 08 | 562-563 | S52561A | 24 | 963-965 | S52699A | 08 | 562-563 | ||
| S52392B | 24 | 963-965 | S52561B | 08 | 562-563 | S52699A | 24 | 963-965 | ||
| S52392C | 08 | 562-563 | S52561B | 24 | 963-965 | S52699B | 08 | 562-563 | ||
| S52392C | 24 | 963-965 | S52561C | 08 | 562-563 | S52699B | 24 | 963-965 | ||
| S52392D | 08 | 559-561 | S52561C | 24 | 963-965 | S52699C | 08 | 562-563 | ||
| S52392E | 08 | 559-561 | S52561D | 08 | 559-561 | S52699C | 24 | 963-965 | ||
| S52392F | 08 | 559-561 | S52561E | 08 | 559-561 | S52699D | 08 | 559-561 | ||
| S52392G | 08 | 559-561 | S52561F | 08 | 559-561 | S52699E | 08 | 559-561 | ||
| S52392H | 08 | 559-561 | S52561G | 08 | 559-561 | S52699F | 08 | 559-561 | ||
| S52392J | 08 | 559-561 | S52561H | 08 | 559-561 | S52699G | 08 | 559-561 | ||
| S52392K | 08 | 564-566 | S52561J | 08 | 559-561 | S52699H | 08 | 559-561 | ||
| S52392M | 08 | 564-566 | S52561K | 08 | 564-566 | S52699J | 08 | 559-561 | ||
| S52392N | 08 | 564-566 | S52561M | 08 | 564-566 | S52699K | 08 | 564-566 | ||
| S52392P | 08 | 564-566 | S52561N | 08 | 564-566 | S52699M | 08 | 564-566 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |