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 48 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S62136P | 08 | 564-566 | S62233B | 08 | 562-563 | S62325K | 08 | 564-566 | ||
| S62136S | 08 | 559-561 | S62233B | 24 | 963-965 | S62325P | 08 | 564-566 | ||
| S62141A | 08 | 562-563 | S62233D | 08 | 559-561 | S62325S | 08 | 559-561 | ||
| S62141A | 24 | 963-965 | S62233G | 08 | 559-561 | S62326A | 08 | 562-563 | ||
| S62141B | 08 | 562-563 | S62233K | 08 | 564-566 | S62326A | 24 | 963-965 | ||
| S62141B | 24 | 963-965 | S62233P | 08 | 564-566 | S62326B | 08 | 562-563 | ||
| S62141D | 08 | 559-561 | S62233S | 08 | 559-561 | S62326B | 24 | 963-965 | ||
| S62141G | 08 | 559-561 | S62234A | 08 | 562-563 | S62326D | 08 | 559-561 | ||
| S62141K | 08 | 564-566 | S62234A | 24 | 963-965 | S62326G | 08 | 559-561 | ||
| S62141P | 08 | 564-566 | S62234B | 08 | 562-563 | S62326K | 08 | 564-566 | ||
| S62141S | 08 | 559-561 | S62234B | 24 | 963-965 | S62326P | 08 | 564-566 | ||
| S62142A | 08 | 562-563 | S62234D | 08 | 559-561 | S62326S | 08 | 559-561 | ||
| S62142A | 24 | 963-965 | S62234G | 08 | 559-561 | S62327A | 08 | 562-563 | ||
| S62142B | 08 | 562-563 | S62234K | 08 | 564-566 | S62327A | 24 | 963-965 | ||
| S62142B | 24 | 963-965 | S62234P | 08 | 564-566 | S62327B | 08 | 562-563 | ||
| S62142D | 08 | 559-561 | S62234S | 08 | 559-561 | S62327B | 24 | 963-965 | ||
| S62142G | 08 | 559-561 | S62235A | 08 | 562-563 | S62327D | 08 | 559-561 | ||
| S62142K | 08 | 564-566 | S62235A | 24 | 963-965 | S62327G | 08 | 559-561 | ||
| S62142P | 08 | 564-566 | S62235B | 08 | 562-563 | S62327K | 08 | 564-566 | ||
| S62142S | 08 | 559-561 | S62235B | 24 | 963-965 | S62327P | 08 | 564-566 | ||
| S62143A | 08 | 562-563 | S62235D | 08 | 559-561 | S62327S | 08 | 559-561 | ||
| S62143A | 24 | 963-965 | S62235G | 08 | 559-561 | S62328A | 08 | 562-563 | ||
| S62143B | 08 | 562-563 | S62235K | 08 | 564-566 | S62328A | 24 | 963-965 | ||
| S62143B | 24 | 963-965 | S62235P | 08 | 564-566 | S62328B | 08 | 562-563 | ||
| S62143D | 08 | 559-561 | S62235S | 08 | 559-561 | S62328B | 24 | 963-965 | ||
| S62143G | 08 | 559-561 | S62236A | 08 | 562-563 | S62328D | 08 | 559-561 | ||
| S62143K | 08 | 564-566 | S62236A | 24 | 963-965 | S62328G | 08 | 559-561 | ||
| S62143P | 08 | 564-566 | S62236B | 08 | 562-563 | S62328K | 08 | 564-566 | ||
| S62143S | 08 | 559-561 | S62236B | 24 | 963-965 | S62328P | 08 | 564-566 | ||
| S62144A | 08 | 562-563 | S62236D | 08 | 559-561 | S62328S | 08 | 559-561 | ||
| S62144A | 24 | 963-965 | S62236G | 08 | 559-561 | S62329A | 08 | 562-563 | ||
| S62144B | 08 | 562-563 | S62236K | 08 | 564-566 | S62329A | 24 | 963-965 | ||
| S62144B | 24 | 963-965 | S62236P | 08 | 564-566 | S62329B | 08 | 562-563 | ||
| S62144D | 08 | 559-561 | S62236S | 08 | 559-561 | S62329B | 24 | 963-965 | ||
| S62144G | 08 | 559-561 | S62241A | 08 | 562-563 | S62329D | 08 | 559-561 | ||
| S62144K | 08 | 564-566 | S62241A | 24 | 963-965 | S62329G | 08 | 559-561 | ||
| S62144P | 08 | 564-566 | S62241B | 08 | 562-563 | S62329K | 08 | 564-566 | ||
| S62144S | 08 | 559-561 | S62241B | 24 | 963-965 | S62329P | 08 | 564-566 | ||
| S62145A | 08 | 562-563 | S62241D | 08 | 559-561 | S62329S | 08 | 559-561 | ||
| S62145A | 24 | 963-965 | S62241G | 08 | 559-561 | S62330A | 08 | 562-563 | ||
| S62145B | 08 | 562-563 | S62241K | 08 | 564-566 | S62330A | 24 | 963-965 | ||
| S62145B | 24 | 963-965 | S62241P | 08 | 564-566 | S62330B | 08 | 562-563 | ||
| S62145D | 08 | 559-561 | S62241S | 08 | 559-561 | S62330B | 24 | 963-965 | ||
| S62145G | 08 | 559-561 | S62242A | 08 | 562-563 | S62330D | 08 | 559-561 | ||
| S62145K | 08 | 564-566 | S62242A | 24 | 963-965 | S62330G | 08 | 559-561 | ||
| S62145P | 08 | 564-566 | S62242B | 08 | 562-563 | S62330K | 08 | 564-566 | ||
| S62145S | 08 | 559-561 | S62242B | 24 | 963-965 | S62330P | 08 | 564-566 | ||
| S62146A | 08 | 562-563 | S62242D | 08 | 559-561 | S62330S | 08 | 559-561 | ||
| S62146A | 24 | 963-965 | S62242G | 08 | 559-561 | S62331A | 08 | 562-563 | ||
| S62146B | 08 | 562-563 | S62242K | 08 | 564-566 | S62331A | 24 | 963-965 | ||
| S62146B | 24 | 963-965 | S62242P | 08 | 564-566 | S62331B | 08 | 562-563 | ||
| S62146D | 08 | 559-561 | S62242S | 08 | 559-561 | S62331B | 24 | 963-965 | ||
| S62146G | 08 | 559-561 | S62243A | 08 | 562-563 | S62331D | 08 | 559-561 | ||
| S62146K | 08 | 564-566 | S62243A | 24 | 963-965 | S62331G | 08 | 559-561 | ||
| S62146P | 08 | 564-566 | S62243B | 08 | 562-563 | S62331K | 08 | 564-566 | ||
| S62146S | 08 | 559-561 | S62243B | 24 | 963-965 | S62331P | 08 | 564-566 | ||
| S62151A | 08 | 562-563 | S62243D | 08 | 559-561 | S62331S | 08 | 559-561 | ||
| S62151A | 24 | 963-965 | S62243G | 08 | 559-561 | S62332A | 08 | 562-563 | ||
| S62151B | 08 | 562-563 | S62243K | 08 | 564-566 | S62332A | 24 | 963-965 | ||
| S62151B | 24 | 963-965 | S62243P | 08 | 564-566 | S62332B | 08 | 562-563 | ||
| S62151D | 08 | 559-561 | S62243S | 08 | 559-561 | S62332B | 24 | 963-965 | ||
| S62151G | 08 | 559-561 | S62244A | 08 | 562-563 | S62332D | 08 | 559-561 | ||
| S62151K | 08 | 564-566 | S62244A | 24 | 963-965 | S62332G | 08 | 559-561 | ||
| S62151P | 08 | 564-566 | S62244B | 08 | 562-563 | S62332K | 08 | 564-566 | ||
| S62151S | 08 | 559-561 | S62244B | 24 | 963-965 | S62332P | 08 | 564-566 | ||
| S62152A | 08 | 562-563 | S62244D | 08 | 559-561 | S62332S | 08 | 559-561 | ||
| S62152A | 24 | 963-965 | S62244G | 08 | 559-561 | S62333A | 08 | 562-563 | ||
| S62152B | 08 | 562-563 | S62244K | 08 | 564-566 | S62333A | 24 | 963-965 | ||
| S62152B | 24 | 963-965 | S62244P | 08 | 564-566 | S62333B | 08 | 562-563 | ||
| S62152D | 08 | 559-561 | S62244S | 08 | 559-561 | S62333B | 24 | 963-965 | ||
| S62152G | 08 | 559-561 | S62245A | 08 | 562-563 | S62333D | 08 | 559-561 | ||
| S62152K | 08 | 564-566 | S62245A | 24 | 963-965 | S62333G | 08 | 559-561 | ||
| S62152P | 08 | 564-566 | S62245B | 08 | 562-563 | S62333K | 08 | 564-566 | ||
| S62152S | 08 | 559-561 | S62245B | 24 | 963-965 | S62333P | 08 | 564-566 | ||
| S62153A | 08 | 562-563 | S62245D | 08 | 559-561 | S62333S | 08 | 559-561 | ||
| S62153A | 24 | 963-965 | S62245G | 08 | 559-561 | S62334A | 08 | 562-563 | ||
| S62153B | 08 | 562-563 | S62245K | 08 | 564-566 | S62334A | 24 | 963-965 | ||
| S62153B | 24 | 963-965 | S62245P | 08 | 564-566 | S62334B | 08 | 562-563 | ||
| S62153D | 08 | 559-561 | S62245S | 08 | 559-561 | S62334B | 24 | 963-965 | ||
| S62153G | 08 | 559-561 | S62246A | 08 | 562-563 | S62334D | 08 | 559-561 | ||
| S62153K | 08 | 564-566 | S62246A | 24 | 963-965 | S62334G | 08 | 559-561 | ||
| S62153P | 08 | 564-566 | S62246B | 08 | 562-563 | S62334K | 08 | 564-566 | ||
| S62153S | 08 | 559-561 | S62246B | 24 | 963-965 | S62334P | 08 | 564-566 | ||
| S62154A | 08 | 562-563 | S62246D | 08 | 559-561 | S62334S | 08 | 559-561 | ||
| S62154A | 24 | 963-965 | S62246G | 08 | 559-561 | S62335A | 08 | 562-563 | ||
| S62154B | 08 | 562-563 | S62246K | 08 | 564-566 | S62335A | 24 | 963-965 | ||
| S62154B | 24 | 963-965 | S62246P | 08 | 564-566 | S62335B | 08 | 562-563 | ||
| S62154D | 08 | 559-561 | S62246S | 08 | 559-561 | S62335B | 24 | 963-965 | ||
| S62154G | 08 | 559-561 | S62251A | 08 | 562-563 | S62335D | 08 | 559-561 | ||
| S62154K | 08 | 564-566 | S62251A | 24 | 963-965 | S62335G | 08 | 559-561 | ||
| S62154P | 08 | 564-566 | S62251B | 08 | 562-563 | S62335K | 08 | 564-566 | ||
| S62154S | 08 | 559-561 | S62251B | 24 | 963-965 | S62335P | 08 | 564-566 | ||
| S62155A | 08 | 562-563 | S62251D | 08 | 559-561 | S62335S | 08 | 559-561 | ||
| S62155A | 24 | 963-965 | S62251G | 08 | 559-561 | S62336A | 08 | 562-563 | ||
| S62155B | 08 | 562-563 | S62251K | 08 | 564-566 | S62336A | 24 | 963-965 | ||
| S62155B | 24 | 963-965 | S62251P | 08 | 564-566 | S62336B | 08 | 562-563 | ||
| S62155D | 08 | 559-561 | S62251S | 08 | 559-561 | S62336B | 24 | 963-965 | ||
| S62155G | 08 | 559-561 | S62252A | 08 | 562-563 | S62336D | 08 | 559-561 | ||
| S62155K | 08 | 564-566 | S62252A | 24 | 963-965 | S62336G | 08 | 559-561 | ||
| S62155P | 08 | 564-566 | S62252B | 08 | 562-563 | S62336K | 08 | 564-566 | ||
| S62155S | 08 | 559-561 | S62252B | 24 | 963-965 | S62336P | 08 | 564-566 | ||
| S62156A | 08 | 562-563 | S62252D | 08 | 559-561 | S62336S | 08 | 559-561 | ||
| S62156A | 24 | 963-965 | S62252G | 08 | 559-561 | S62337A | 08 | 562-563 | ||
| S62156B | 08 | 562-563 | S62252K | 08 | 564-566 | S62337A | 24 | 963-965 | ||
| S62156B | 24 | 963-965 | S62252P | 08 | 564-566 | S62337B | 08 | 562-563 | ||
| S62156D | 08 | 559-561 | S62252S | 08 | 559-561 | S62337B | 24 | 963-965 | ||
| S62156G | 08 | 559-561 | S62253A | 08 | 562-563 | S62337D | 08 | 559-561 | ||
| S62156K | 08 | 564-566 | S62253A | 24 | 963-965 | S62337G | 08 | 559-561 | ||
| S62156P | 08 | 564-566 | S62253B | 08 | 562-563 | S62337K | 08 | 564-566 | ||
| S62156S | 08 | 559-561 | S62253B | 24 | 963-965 | S62337P | 08 | 564-566 | ||
| S62161A | 08 | 562-563 | S62253D | 08 | 559-561 | S62337S | 08 | 559-561 | ||
| S62161A | 24 | 963-965 | S62253G | 08 | 559-561 | S62338A | 08 | 562-563 | ||
| S62161B | 08 | 562-563 | S62253K | 08 | 564-566 | S62338A | 24 | 963-965 | ||
| S62161B | 24 | 963-965 | S62253P | 08 | 564-566 | S62338B | 08 | 562-563 | ||
| S62161D | 08 | 559-561 | S62253S | 08 | 559-561 | S62338B | 24 | 963-965 | ||
| S62161G | 08 | 559-561 | S62254A | 08 | 562-563 | S62338D | 08 | 559-561 | ||
| S62161K | 08 | 564-566 | S62254A | 24 | 963-965 | S62338G | 08 | 559-561 | ||
| S62161P | 08 | 564-566 | S62254B | 08 | 562-563 | S62338K | 08 | 564-566 | ||
| S62161S | 08 | 559-561 | S62254B | 24 | 963-965 | S62338P | 08 | 564-566 | ||
| S62162A | 08 | 562-563 | S62254D | 08 | 559-561 | S62338S | 08 | 559-561 | ||
| S62162A | 24 | 963-965 | S62254G | 08 | 559-561 | S62339A | 08 | 562-563 | ||
| S62162B | 08 | 562-563 | S62254K | 08 | 564-566 | S62339A | 24 | 963-965 | ||
| S62162B | 24 | 963-965 | S62254P | 08 | 564-566 | S62339B | 08 | 562-563 | ||
| S62162D | 08 | 559-561 | S62254S | 08 | 559-561 | S62339B | 24 | 963-965 | ||
| S62162G | 08 | 559-561 | S62255A | 08 | 562-563 | S62339D | 08 | 559-561 | ||
| S62162K | 08 | 564-566 | S62255A | 24 | 963-965 | S62339G | 08 | 559-561 | ||
| S62162P | 08 | 564-566 | S62255B | 08 | 562-563 | S62339K | 08 | 564-566 | ||
| S62162S | 08 | 559-561 | S62255B | 24 | 963-965 | S62339P | 08 | 564-566 | ||
| S62163A | 08 | 562-563 | S62255D | 08 | 559-561 | S62339S | 08 | 559-561 | ||
| S62163A | 24 | 963-965 | S62255G | 08 | 559-561 | S62340A | 08 | 562-563 | ||
| S62163B | 08 | 562-563 | S62255K | 08 | 564-566 | S62340A | 24 | 963-965 | ||
| S62163B | 24 | 963-965 | S62255P | 08 | 564-566 | S62340B | 08 | 562-563 | ||
| S62163D | 08 | 559-561 | S62255S | 08 | 559-561 | S62340B | 24 | 963-965 | ||
| S62163G | 08 | 559-561 | S62256A | 08 | 562-563 | S62340D | 08 | 559-561 | ||
| S62163K | 08 | 564-566 | S62256A | 24 | 963-965 | S62340G | 08 | 559-561 | ||
| S62163P | 08 | 564-566 | S62256B | 08 | 562-563 | S62340K | 08 | 564-566 | ||
| S62163S | 08 | 559-561 | S62256B | 24 | 963-965 | S62340P | 08 | 564-566 | ||
| S62164A | 08 | 562-563 | S62256D | 08 | 559-561 | S62340S | 08 | 559-561 | ||
| S62164A | 24 | 963-965 | S62256G | 08 | 559-561 | S62341A | 08 | 562-563 | ||
| S62164B | 08 | 562-563 | S62256K | 08 | 564-566 | S62341A | 24 | 963-965 | ||
| S62164B | 24 | 963-965 | S62256P | 08 | 564-566 | S62341B | 08 | 562-563 | ||
| S62164D | 08 | 559-561 | S62256S | 08 | 559-561 | S62341B | 24 | 963-965 | ||
| S62164G | 08 | 559-561 | S62291A | 08 | 562-563 | S62341D | 08 | 559-561 | ||
| S62164K | 08 | 564-566 | S62291A | 24 | 963-965 | S62341G | 08 | 559-561 | ||
| S62164P | 08 | 564-566 | S62291B | 08 | 562-563 | S62341K | 08 | 564-566 | ||
| S62164S | 08 | 559-561 | S62291B | 24 | 963-965 | S62341P | 08 | 564-566 | ||
| S62165A | 08 | 562-563 | S62291D | 08 | 559-561 | S62341S | 08 | 559-561 | ||
| S62165A | 24 | 963-965 | S62291G | 08 | 559-561 | S62342A | 08 | 562-563 | ||
| S62165B | 08 | 562-563 | S62291K | 08 | 564-566 | S62342A | 24 | 963-965 | ||
| S62165B | 24 | 963-965 | S62291P | 08 | 564-566 | S62342B | 08 | 562-563 | ||
| S62165D | 08 | 559-561 | S62291S | 08 | 559-561 | S62342B | 24 | 963-965 | ||
| S62165G | 08 | 559-561 | S62292A | 08 | 562-563 | S62342D | 08 | 559-561 | ||
| S62165K | 08 | 564-566 | S62292A | 24 | 963-965 | S62342G | 08 | 559-561 | ||
| S62165P | 08 | 564-566 | S62292B | 08 | 562-563 | S62342K | 08 | 564-566 | ||
| S62165S | 08 | 559-561 | S62292B | 24 | 963-965 | S62342P | 08 | 564-566 | ||
| S62166A | 08 | 562-563 | S62292D | 08 | 559-561 | S62342S | 08 | 559-561 | ||
| S62166A | 24 | 963-965 | S62292G | 08 | 559-561 | S62343A | 08 | 562-563 | ||
| S62166B | 08 | 562-563 | S62292K | 08 | 564-566 | S62343A | 24 | 963-965 | ||
| S62166B | 24 | 963-965 | S62292P | 08 | 564-566 | S62343B | 08 | 562-563 | ||
| S62166D | 08 | 559-561 | S62292S | 08 | 559-561 | S62343B | 24 | 963-965 | ||
| S62166G | 08 | 559-561 | S62299A | 08 | 562-563 | S62343D | 08 | 559-561 | ||
| S62166K | 08 | 564-566 | S62299A | 24 | 963-965 | S62343G | 08 | 559-561 | ||
| S62166P | 08 | 564-566 | S62299B | 08 | 562-563 | S62343K | 08 | 564-566 | ||
| S62166S | 08 | 559-561 | S62299B | 24 | 963-965 | S62343P | 08 | 564-566 | ||
| S62171A | 08 | 562-563 | S62299D | 08 | 559-561 | S62343S | 08 | 559-561 | ||
| S62171A | 24 | 963-965 | S62299G | 08 | 559-561 | S62344A | 08 | 562-563 | ||
| S62171B | 08 | 562-563 | S62299K | 08 | 564-566 | S62344A | 24 | 963-965 | ||
| S62171B | 24 | 963-965 | S62299P | 08 | 564-566 | S62344B | 08 | 562-563 | ||
| S62171D | 08 | 559-561 | S62299S | 08 | 559-561 | S62344B | 24 | 963-965 | ||
| S62171G | 08 | 559-561 | S62300A | 08 | 562-563 | S62344D | 08 | 559-561 | ||
| S62171K | 08 | 564-566 | S62300A | 24 | 963-965 | S62344G | 08 | 559-561 | ||
| S62171P | 08 | 564-566 | S62300B | 08 | 562-563 | S62344K | 08 | 564-566 | ||
| S62171S | 08 | 559-561 | S62300B | 24 | 963-965 | S62344P | 08 | 564-566 | ||
| S62172A | 08 | 562-563 | S62300D | 08 | 559-561 | S62344S | 08 | 559-561 | ||
| S62172A | 24 | 963-965 | S62300G | 08 | 559-561 | S62345A | 08 | 562-563 | ||
| S62172B | 08 | 562-563 | S62300K | 08 | 564-566 | S62345A | 24 | 963-965 | ||
| S62172B | 24 | 963-965 | S62300P | 08 | 564-566 | S62345B | 08 | 562-563 | ||
| S62172D | 08 | 559-561 | S62300S | 08 | 559-561 | S62345B | 24 | 963-965 | ||
| S62172G | 08 | 559-561 | S62301A | 08 | 562-563 | S62345D | 08 | 559-561 | ||
| S62172K | 08 | 564-566 | S62301A | 24 | 963-965 | S62345G | 08 | 559-561 | ||
| S62172P | 08 | 564-566 | S62301B | 08 | 562-563 | S62345K | 08 | 564-566 | ||
| S62172S | 08 | 559-561 | S62301B | 24 | 963-965 | S62345P | 08 | 564-566 | ||
| S62173A | 08 | 562-563 | S62301D | 08 | 559-561 | S62345S | 08 | 559-561 | ||
| S62173A | 24 | 963-965 | S62301G | 08 | 559-561 | S62346A | 08 | 562-563 | ||
| S62173B | 08 | 562-563 | S62301K | 08 | 564-566 | S62346A | 24 | 963-965 | ||
| S62173B | 24 | 963-965 | S62301P | 08 | 564-566 | S62346B | 08 | 562-563 | ||
| S62173D | 08 | 559-561 | S62301S | 08 | 559-561 | S62346B | 24 | 963-965 | ||
| S62173G | 08 | 559-561 | S62302A | 08 | 562-563 | S62346D | 08 | 559-561 | ||
| S62173K | 08 | 564-566 | S62302A | 24 | 963-965 | S62346G | 08 | 559-561 | ||
| S62173P | 08 | 564-566 | S62302B | 08 | 562-563 | S62346K | 08 | 564-566 | ||
| S62173S | 08 | 559-561 | S62302B | 24 | 963-965 | S62346P | 08 | 564-566 | ||
| S62174A | 08 | 562-563 | S62302D | 08 | 559-561 | S62346S | 08 | 559-561 | ||
| S62174A | 24 | 963-965 | S62302G | 08 | 559-561 | S62347A | 08 | 562-563 | ||
| S62174B | 08 | 562-563 | S62302K | 08 | 564-566 | S62347A | 24 | 963-965 | ||
| S62174B | 24 | 963-965 | S62302P | 08 | 564-566 | S62347B | 08 | 562-563 | ||
| S62174D | 08 | 559-561 | S62302S | 08 | 559-561 | S62347B | 24 | 963-965 | ||
| S62174G | 08 | 559-561 | S62303A | 08 | 562-563 | S62347D | 08 | 559-561 | ||
| S62174K | 08 | 564-566 | S62303A | 24 | 963-965 | S62347G | 08 | 559-561 | ||
| S62174P | 08 | 564-566 | S62303B | 08 | 562-563 | S62347K | 08 | 564-566 | ||
| S62174S | 08 | 559-561 | S62303B | 24 | 963-965 | S62347P | 08 | 564-566 | ||
| S62175A | 08 | 562-563 | S62303D | 08 | 559-561 | S62347S | 08 | 559-561 | ||
| S62175A | 24 | 963-965 | S62303G | 08 | 559-561 | S62348A | 08 | 562-563 | ||
| S62175B | 08 | 562-563 | S62303K | 08 | 564-566 | S62348A | 24 | 963-965 | ||
| S62175B | 24 | 963-965 | S62303P | 08 | 564-566 | S62348B | 08 | 562-563 | ||
| S62175D | 08 | 559-561 | S62303S | 08 | 559-561 | S62348B | 24 | 963-965 | ||
| S62175G | 08 | 559-561 | S62304A | 08 | 562-563 | S62348D | 08 | 559-561 | ||
| S62175K | 08 | 564-566 | S62304A | 24 | 963-965 | S62348G | 08 | 559-561 | ||
| S62175P | 08 | 564-566 | S62304B | 08 | 562-563 | S62348K | 08 | 564-566 | ||
| S62175S | 08 | 559-561 | S62304B | 24 | 963-965 | S62348P | 08 | 564-566 | ||
| S62176A | 08 | 562-563 | S62304D | 08 | 559-561 | S62348S | 08 | 559-561 | ||
| S62176A | 24 | 963-965 | S62304G | 08 | 559-561 | S62349A | 08 | 562-563 | ||
| S62176B | 08 | 562-563 | S62304K | 08 | 564-566 | S62349A | 24 | 963-965 | ||
| S62176B | 24 | 963-965 | S62304P | 08 | 564-566 | S62349B | 08 | 562-563 | ||
| S62176D | 08 | 559-561 | S62304S | 08 | 559-561 | S62349B | 24 | 963-965 | ||
| S62176G | 08 | 559-561 | S62305A | 08 | 562-563 | S62349D | 08 | 559-561 | ||
| S62176K | 08 | 564-566 | S62305A | 24 | 963-965 | S62349G | 08 | 559-561 | ||
| S62176P | 08 | 564-566 | S62305B | 08 | 562-563 | S62349K | 08 | 564-566 | ||
| S62176S | 08 | 559-561 | S62305B | 24 | 963-965 | S62349P | 08 | 564-566 | ||
| S62181A | 08 | 562-563 | S62305D | 08 | 559-561 | S62349S | 08 | 559-561 | ||
| S62181A | 24 | 963-965 | S62305G | 08 | 559-561 | S62350A | 08 | 562-563 | ||
| S62181B | 08 | 562-563 | S62305K | 08 | 564-566 | S62350A | 24 | 963-965 | ||
| S62181B | 24 | 963-965 | S62305P | 08 | 564-566 | S62350B | 08 | 562-563 | ||
| S62181D | 08 | 559-561 | S62305S | 08 | 559-561 | S62350B | 24 | 963-965 | ||
| S62181G | 08 | 559-561 | S62306A | 08 | 562-563 | S62350D | 08 | 559-561 | ||
| S62181K | 08 | 564-566 | S62306A | 24 | 963-965 | S62350G | 08 | 559-561 | ||
| S62181P | 08 | 564-566 | S62306B | 08 | 562-563 | S62350K | 08 | 564-566 | ||
| S62181S | 08 | 559-561 | S62306B | 24 | 963-965 | S62350P | 08 | 564-566 | ||
| S62182A | 08 | 562-563 | S62306D | 08 | 559-561 | S62350S | 08 | 559-561 | ||
| S62182A | 24 | 963-965 | S62306G | 08 | 559-561 | S62351A | 08 | 562-563 | ||
| S62182B | 08 | 562-563 | S62306K | 08 | 564-566 | S62351A | 24 | 963-965 | ||
| S62182B | 24 | 963-965 | S62306P | 08 | 564-566 | S62351B | 08 | 562-563 | ||
| S62182D | 08 | 559-561 | S62306S | 08 | 559-561 | S62351B | 24 | 963-965 | ||
| S62182G | 08 | 559-561 | S62307A | 08 | 562-563 | S62351D | 08 | 559-561 | ||
| S62182K | 08 | 564-566 | S62307A | 24 | 963-965 | S62351G | 08 | 559-561 | ||
| S62182P | 08 | 564-566 | S62307B | 08 | 562-563 | S62351K | 08 | 564-566 | ||
| S62182S | 08 | 559-561 | S62307B | 24 | 963-965 | S62351P | 08 | 564-566 | ||
| S62183A | 08 | 562-563 | S62307D | 08 | 559-561 | S62351S | 08 | 559-561 | ||
| S62183A | 24 | 963-965 | S62307G | 08 | 559-561 | S62352A | 08 | 562-563 | ||
| S62183B | 08 | 562-563 | S62307K | 08 | 564-566 | S62352A | 24 | 963-965 | ||
| S62183B | 24 | 963-965 | S62307P | 08 | 564-566 | S62352B | 08 | 562-563 | ||
| S62183D | 08 | 559-561 | S62307S | 08 | 559-561 | S62352B | 24 | 963-965 | ||
| S62183G | 08 | 559-561 | S62308A | 08 | 562-563 | S62352D | 08 | 559-561 | ||
| S62183K | 08 | 564-566 | S62308A | 24 | 963-965 | S62352G | 08 | 559-561 | ||
| S62183P | 08 | 564-566 | S62308B | 08 | 562-563 | S62352K | 08 | 564-566 | ||
| S62183S | 08 | 559-561 | S62308B | 24 | 963-965 | S62352P | 08 | 564-566 | ||
| S62184A | 08 | 562-563 | S62308D | 08 | 559-561 | S62352S | 08 | 559-561 | ||
| S62184A | 24 | 963-965 | S62308G | 08 | 559-561 | S62353A | 08 | 562-563 | ||
| S62184B | 08 | 562-563 | S62308K | 08 | 564-566 | S62353A | 24 | 963-965 | ||
| S62184B | 24 | 963-965 | S62308P | 08 | 564-566 | S62353B | 08 | 562-563 | ||
| S62184D | 08 | 559-561 | S62308S | 08 | 559-561 | S62353B | 24 | 963-965 | ||
| S62184G | 08 | 559-561 | S62309A | 08 | 562-563 | S62353D | 08 | 559-561 | ||
| S62184K | 08 | 564-566 | S62309A | 24 | 963-965 | S62353G | 08 | 559-561 | ||
| S62184P | 08 | 564-566 | S62309B | 08 | 562-563 | S62353K | 08 | 564-566 | ||
| S62184S | 08 | 559-561 | S62309B | 24 | 963-965 | S62353P | 08 | 564-566 | ||
| S62185A | 08 | 562-563 | S62309D | 08 | 559-561 | S62353S | 08 | 559-561 | ||
| S62185A | 24 | 963-965 | S62309G | 08 | 559-561 | S62354A | 08 | 562-563 | ||
| S62185B | 08 | 562-563 | S62309K | 08 | 564-566 | S62354A | 24 | 963-965 | ||
| S62185B | 24 | 963-965 | S62309P | 08 | 564-566 | S62354B | 08 | 562-563 | ||
| S62185D | 08 | 559-561 | S62309S | 08 | 559-561 | S62354B | 24 | 963-965 | ||
| S62185G | 08 | 559-561 | S62310A | 08 | 562-563 | S62354D | 08 | 559-561 | ||
| S62185K | 08 | 564-566 | S62310A | 24 | 963-965 | S62354G | 08 | 559-561 | ||
| S62185P | 08 | 564-566 | S62310B | 08 | 562-563 | S62354K | 08 | 564-566 | ||
| S62185S | 08 | 559-561 | S62310B | 24 | 963-965 | S62354P | 08 | 564-566 | ||
| S62186A | 08 | 562-563 | S62310D | 08 | 559-561 | S62354S | 08 | 559-561 | ||
| S62186A | 24 | 963-965 | S62310G | 08 | 559-561 | S62355A | 08 | 562-563 | ||
| S62186B | 08 | 562-563 | S62310K | 08 | 564-566 | S62355A | 24 | 963-965 | ||
| S62186B | 24 | 963-965 | S62310P | 08 | 564-566 | S62355B | 08 | 562-563 | ||
| S62186D | 08 | 559-561 | S62310S | 08 | 559-561 | S62355B | 24 | 963-965 | ||
| S62186G | 08 | 559-561 | S62311A | 08 | 562-563 | S62355D | 08 | 559-561 | ||
| S62186K | 08 | 564-566 | S62311A | 24 | 963-965 | S62355G | 08 | 559-561 | ||
| S62186P | 08 | 564-566 | S62311B | 08 | 562-563 | S62355K | 08 | 564-566 | ||
| S62186S | 08 | 559-561 | S62311B | 24 | 963-965 | S62355P | 08 | 564-566 | ||
| S62201A | 08 | 562-563 | S62311D | 08 | 559-561 | S62355S | 08 | 559-561 | ||
| S62201A | 24 | 963-965 | S62311G | 08 | 559-561 | S62356A | 08 | 562-563 | ||
| S62201B | 08 | 562-563 | S62311K | 08 | 564-566 | S62356A | 24 | 963-965 | ||
| S62201B | 24 | 963-965 | S62311P | 08 | 564-566 | S62356B | 08 | 562-563 | ||
| S62201D | 08 | 559-561 | S62311S | 08 | 559-561 | S62356B | 24 | 963-965 | ||
| S62201G | 08 | 559-561 | S62312A | 08 | 562-563 | S62356D | 08 | 559-561 | ||
| S62201K | 08 | 564-566 | S62312A | 24 | 963-965 | S62356G | 08 | 559-561 | ||
| S62201P | 08 | 564-566 | S62312B | 08 | 562-563 | S62356K | 08 | 564-566 | ||
| S62201S | 08 | 559-561 | S62312B | 24 | 963-965 | S62356P | 08 | 564-566 | ||
| S62202A | 08 | 562-563 | S62312D | 08 | 559-561 | S62356S | 08 | 559-561 | ||
| S62202A | 24 | 963-965 | S62312G | 08 | 559-561 | S62357A | 08 | 562-563 | ||
| S62202B | 08 | 562-563 | S62312K | 08 | 564-566 | S62357A | 24 | 963-965 | ||
| S62202B | 24 | 963-965 | S62312P | 08 | 564-566 | S62357B | 08 | 562-563 | ||
| S62202D | 08 | 559-561 | S62312S | 08 | 559-561 | S62357B | 24 | 963-965 | ||
| S62202G | 08 | 559-561 | S62313A | 08 | 562-563 | S62357D | 08 | 559-561 | ||
| S62202K | 08 | 564-566 | S62313A | 24 | 963-965 | S62357G | 08 | 559-561 | ||
| S62202P | 08 | 564-566 | S62313B | 08 | 562-563 | S62357K | 08 | 564-566 | ||
| S62202S | 08 | 559-561 | S62313B | 24 | 963-965 | S62357P | 08 | 564-566 | ||
| S62209A | 08 | 562-563 | S62313D | 08 | 559-561 | S62357S | 08 | 559-561 | ||
| S62209A | 24 | 963-965 | S62313G | 08 | 559-561 | S62358A | 08 | 562-563 | ||
| S62209B | 08 | 562-563 | S62313K | 08 | 564-566 | S62358A | 24 | 963-965 | ||
| S62209B | 24 | 963-965 | S62313P | 08 | 564-566 | S62358B | 08 | 562-563 | ||
| S62209D | 08 | 559-561 | S62313S | 08 | 559-561 | S62358B | 24 | 963-965 | ||
| S62209G | 08 | 559-561 | S62314A | 08 | 562-563 | S62358D | 08 | 559-561 | ||
| S62209K | 08 | 564-566 | S62314A | 24 | 963-965 | S62358G | 08 | 559-561 | ||
| S62209P | 08 | 564-566 | S62314B | 08 | 562-563 | S62358K | 08 | 564-566 | ||
| S62209S | 08 | 559-561 | S62314B | 24 | 963-965 | S62358P | 08 | 564-566 | ||
| S62211A | 08 | 562-563 | S62314D | 08 | 559-561 | S62358S | 08 | 559-561 | ||
| S62211A | 24 | 963-965 | S62314G | 08 | 559-561 | S62359A | 08 | 562-563 | ||
| S62211B | 08 | 562-563 | S62314K | 08 | 564-566 | S62359A | 24 | 963-965 | ||
| S62211B | 24 | 963-965 | S62314P | 08 | 564-566 | S62359B | 08 | 562-563 | ||
| S62211D | 08 | 559-561 | S62314S | 08 | 559-561 | S62359B | 24 | 963-965 | ||
| S62211G | 08 | 559-561 | S62315A | 08 | 562-563 | S62359D | 08 | 559-561 | ||
| S62211K | 08 | 564-566 | S62315A | 24 | 963-965 | S62359G | 08 | 559-561 | ||
| S62211P | 08 | 564-566 | S62315B | 08 | 562-563 | S62359K | 08 | 564-566 | ||
| S62211S | 08 | 559-561 | S62315B | 24 | 963-965 | S62359P | 08 | 564-566 | ||
| S62212A | 08 | 562-563 | S62315D | 08 | 559-561 | S62359S | 08 | 559-561 | ||
| S62212A | 24 | 963-965 | S62315G | 08 | 559-561 | S62360A | 08 | 562-563 | ||
| S62212B | 08 | 562-563 | S62315K | 08 | 564-566 | S62360A | 24 | 963-965 | ||
| S62212B | 24 | 963-965 | S62315P | 08 | 564-566 | S62360B | 08 | 562-563 | ||
| S62212D | 08 | 559-561 | S62315S | 08 | 559-561 | S62360B | 24 | 963-965 | ||
| S62212G | 08 | 559-561 | S62316A | 08 | 562-563 | S62360D | 08 | 559-561 | ||
| S62212K | 08 | 564-566 | S62316A | 24 | 963-965 | S62360G | 08 | 559-561 | ||
| S62212P | 08 | 564-566 | S62316B | 08 | 562-563 | S62360K | 08 | 564-566 | ||
| S62212S | 08 | 559-561 | S62316B | 24 | 963-965 | S62360P | 08 | 564-566 | ||
| S62213A | 08 | 562-563 | S62316D | 08 | 559-561 | S62360S | 08 | 559-561 | ||
| S62213A | 24 | 963-965 | S62316G | 08 | 559-561 | S62361A | 08 | 562-563 | ||
| S62213B | 08 | 562-563 | S62316K | 08 | 564-566 | S62361A | 24 | 963-965 | ||
| S62213B | 24 | 963-965 | S62316P | 08 | 564-566 | S62361B | 08 | 562-563 | ||
| S62213D | 08 | 559-561 | S62316S | 08 | 559-561 | S62361B | 24 | 963-965 | ||
| S62213G | 08 | 559-561 | S62317A | 08 | 562-563 | S62361D | 08 | 559-561 | ||
| S62213K | 08 | 564-566 | S62317A | 24 | 963-965 | S62361G | 08 | 559-561 | ||
| S62213P | 08 | 564-566 | S62317B | 08 | 562-563 | S62361K | 08 | 564-566 | ||
| S62213S | 08 | 559-561 | S62317B | 24 | 963-965 | S62361P | 08 | 564-566 | ||
| S62221A | 08 | 562-563 | S62317D | 08 | 559-561 | S62361S | 08 | 559-561 | ||
| S62221A | 24 | 963-965 | S62317G | 08 | 559-561 | S62362A | 08 | 562-563 | ||
| S62221B | 08 | 562-563 | S62317K | 08 | 564-566 | S62362A | 24 | 963-965 | ||
| S62221B | 24 | 963-965 | S62317P | 08 | 564-566 | S62362B | 08 | 562-563 | ||
| S62221D | 08 | 559-561 | S62317S | 08 | 559-561 | S62362B | 24 | 963-965 | ||
| S62221G | 08 | 559-561 | S62318A | 08 | 562-563 | S62362D | 08 | 559-561 | ||
| S62221K | 08 | 564-566 | S62318A | 24 | 963-965 | S62362G | 08 | 559-561 | ||
| S62221P | 08 | 564-566 | S62318B | 08 | 562-563 | S62362K | 08 | 564-566 | ||
| S62221S | 08 | 559-561 | S62318B | 24 | 963-965 | S62362P | 08 | 564-566 | ||
| S62222A | 08 | 562-563 | S62318D | 08 | 559-561 | S62362S | 08 | 559-561 | ||
| S62222A | 24 | 963-965 | S62318G | 08 | 559-561 | S62363A | 08 | 562-563 | ||
| S62222B | 08 | 562-563 | S62318K | 08 | 564-566 | S62363A | 24 | 963-965 | ||
| S62222B | 24 | 963-965 | S62318P | 08 | 564-566 | S62363B | 08 | 562-563 | ||
| S62222D | 08 | 559-561 | S62318S | 08 | 559-561 | S62363B | 24 | 963-965 | ||
| S62222G | 08 | 559-561 | S62319A | 08 | 562-563 | S62363D | 08 | 559-561 | ||
| S62222K | 08 | 564-566 | S62319A | 24 | 963-965 | S62363G | 08 | 559-561 | ||
| S62222P | 08 | 564-566 | S62319B | 08 | 562-563 | S62363K | 08 | 564-566 | ||
| S62222S | 08 | 559-561 | S62319B | 24 | 963-965 | S62363P | 08 | 564-566 | ||
| S62223A | 08 | 562-563 | S62319D | 08 | 559-561 | S62363S | 08 | 559-561 | ||
| S62223A | 24 | 963-965 | S62319G | 08 | 559-561 | S62364A | 08 | 562-563 | ||
| S62223B | 08 | 562-563 | S62319K | 08 | 564-566 | S62364A | 24 | 963-965 | ||
| S62223B | 24 | 963-965 | S62319P | 08 | 564-566 | S62364B | 08 | 562-563 | ||
| S62223D | 08 | 559-561 | S62319S | 08 | 559-561 | S62364B | 24 | 963-965 | ||
| S62223G | 08 | 559-561 | S62320A | 08 | 562-563 | S62364D | 08 | 559-561 | ||
| S62223K | 08 | 564-566 | S62320A | 24 | 963-965 | S62364G | 08 | 559-561 | ||
| S62223P | 08 | 564-566 | S62320B | 08 | 562-563 | S62364K | 08 | 564-566 | ||
| S62223S | 08 | 559-561 | S62320B | 24 | 963-965 | S62364P | 08 | 564-566 | ||
| S62224A | 08 | 562-563 | S62320D | 08 | 559-561 | S62364S | 08 | 559-561 | ||
| S62224A | 24 | 963-965 | S62320G | 08 | 559-561 | S62365A | 08 | 562-563 | ||
| S62224B | 08 | 562-563 | S62320K | 08 | 564-566 | S62365A | 24 | 963-965 | ||
| S62224B | 24 | 963-965 | S62320P | 08 | 564-566 | S62365B | 08 | 562-563 | ||
| S62224D | 08 | 559-561 | S62320S | 08 | 559-561 | S62365B | 24 | 963-965 | ||
| S62224G | 08 | 559-561 | S62321A | 08 | 562-563 | S62365D | 08 | 559-561 | ||
| S62224K | 08 | 564-566 | S62321A | 24 | 963-965 | S62365G | 08 | 559-561 | ||
| S62224P | 08 | 564-566 | S62321B | 08 | 562-563 | S62365K | 08 | 564-566 | ||
| S62224S | 08 | 559-561 | S62321B | 24 | 963-965 | S62365P | 08 | 564-566 | ||
| S62225A | 08 | 562-563 | S62321D | 08 | 559-561 | S62365S | 08 | 559-561 | ||
| S62225A | 24 | 963-965 | S62321G | 08 | 559-561 | S62366A | 08 | 562-563 | ||
| S62225B | 08 | 562-563 | S62321K | 08 | 564-566 | S62366A | 24 | 963-965 | ||
| S62225B | 24 | 963-965 | S62321P | 08 | 564-566 | S62366B | 08 | 562-563 | ||
| S62225D | 08 | 559-561 | S62321S | 08 | 559-561 | S62366B | 24 | 963-965 | ||
| S62225G | 08 | 559-561 | S62322A | 08 | 562-563 | S62366D | 08 | 559-561 | ||
| S62225K | 08 | 564-566 | S62322A | 24 | 963-965 | S62366G | 08 | 559-561 | ||
| S62225P | 08 | 564-566 | S62322B | 08 | 562-563 | S62366K | 08 | 564-566 | ||
| S62225S | 08 | 559-561 | S62322B | 24 | 963-965 | S62366P | 08 | 564-566 | ||
| S62226A | 08 | 562-563 | S62322D | 08 | 559-561 | S62366S | 08 | 559-561 | ||
| S62226A | 24 | 963-965 | S62322G | 08 | 559-561 | S62367A | 08 | 562-563 | ||
| S62226B | 08 | 562-563 | S62322K | 08 | 564-566 | S62367A | 24 | 963-965 | ||
| S62226B | 24 | 963-965 | S62322P | 08 | 564-566 | S62367B | 08 | 562-563 | ||
| S62226D | 08 | 559-561 | S62322S | 08 | 559-561 | S62367B | 24 | 963-965 | ||
| S62226G | 08 | 559-561 | S62323A | 08 | 562-563 | S62367D | 08 | 559-561 | ||
| S62226K | 08 | 564-566 | S62323A | 24 | 963-965 | S62367G | 08 | 559-561 | ||
| S62226P | 08 | 564-566 | S62323B | 08 | 562-563 | S62367K | 08 | 564-566 | ||
| S62226S | 08 | 559-561 | S62323B | 24 | 963-965 | S62367P | 08 | 564-566 | ||
| S62231A | 08 | 562-563 | S62323D | 08 | 559-561 | S62367S | 08 | 559-561 | ||
| S62231A | 24 | 963-965 | S62323G | 08 | 559-561 | S62368A | 08 | 562-563 | ||
| S62231B | 08 | 562-563 | S62323K | 08 | 564-566 | S62368A | 24 | 963-965 | ||
| S62231B | 24 | 963-965 | S62323P | 08 | 564-566 | S62368B | 08 | 562-563 | ||
| S62231D | 08 | 559-561 | S62323S | 08 | 559-561 | S62368B | 24 | 963-965 | ||
| S62231G | 08 | 559-561 | S62324A | 08 | 562-563 | S62368D | 08 | 559-561 | ||
| S62231K | 08 | 564-566 | S62324A | 24 | 963-965 | S62368G | 08 | 559-561 | ||
| S62231P | 08 | 564-566 | S62324B | 08 | 562-563 | S62368K | 08 | 564-566 | ||
| S62231S | 08 | 559-561 | S62324B | 24 | 963-965 | S62368P | 08 | 564-566 | ||
| S62232A | 08 | 562-563 | S62324D | 08 | 559-561 | S62368S | 08 | 559-561 | ||
| S62232A | 24 | 963-965 | S62324G | 08 | 559-561 | S62369A | 08 | 562-563 | ||
| S62232B | 08 | 562-563 | S62324K | 08 | 564-566 | S62369A | 24 | 963-965 | ||
| S62232B | 24 | 963-965 | S62324P | 08 | 564-566 | S62369B | 08 | 562-563 | ||
| S62232D | 08 | 559-561 | S62324S | 08 | 559-561 | S62369B | 24 | 963-965 | ||
| S62232G | 08 | 559-561 | S62325A | 08 | 562-563 | S62369D | 08 | 559-561 | ||
| S62232K | 08 | 564-566 | S62325A | 24 | 963-965 | S62369G | 08 | 559-561 | ||
| S62232P | 08 | 564-566 | S62325B | 08 | 562-563 | S62369K | 08 | 564-566 | ||
| S62232S | 08 | 559-561 | S62325B | 24 | 963-965 | S62369P | 08 | 564-566 | ||
| S62233A | 08 | 562-563 | S62325D | 08 | 559-561 | S62369S | 08 | 559-561 | ||
| S62233A | 24 | 963-965 | S62325G | 08 | 559-561 | S62390A | 08 | 562-563 | ||
| S62390A | 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 |