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 49 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S62390B | 08 | 562-563 | S62619K | 08 | 564-566 | S62664B | 08 | 562-563 | ||
| S62390B | 24 | 963-965 | S62619P | 08 | 564-566 | S62664B | 24 | 963-965 | ||
| S62390D | 08 | 559-561 | S62619S | 08 | 559-561 | S62664D | 08 | 559-561 | ||
| S62390G | 08 | 559-561 | S62620A | 08 | 562-563 | S62664G | 08 | 559-561 | ||
| S62390K | 08 | 564-566 | S62620A | 24 | 963-965 | S62664K | 08 | 564-566 | ||
| S62390P | 08 | 564-566 | S62620B | 08 | 562-563 | S62664P | 08 | 564-566 | ||
| S62390S | 08 | 559-561 | S62620B | 24 | 963-965 | S62664S | 08 | 559-561 | ||
| S62391A | 08 | 562-563 | S62620D | 08 | 559-561 | S62665A | 08 | 562-563 | ||
| S62391A | 24 | 963-965 | S62620G | 08 | 559-561 | S62665A | 24 | 963-965 | ||
| S62391B | 08 | 562-563 | S62620K | 08 | 564-566 | S62665B | 08 | 562-563 | ||
| S62391B | 24 | 963-965 | S62620P | 08 | 564-566 | S62665B | 24 | 963-965 | ||
| S62391D | 08 | 559-561 | S62620S | 08 | 559-561 | S62665D | 08 | 559-561 | ||
| S62391G | 08 | 559-561 | S62621A | 08 | 562-563 | S62665G | 08 | 559-561 | ||
| S62391K | 08 | 564-566 | S62621A | 24 | 963-965 | S62665K | 08 | 564-566 | ||
| S62391P | 08 | 564-566 | S62621B | 08 | 562-563 | S62665P | 08 | 564-566 | ||
| S62391S | 08 | 559-561 | S62621B | 24 | 963-965 | S62665S | 08 | 559-561 | ||
| S62392A | 08 | 562-563 | S62621D | 08 | 559-561 | S62666A | 08 | 562-563 | ||
| S62392A | 24 | 963-965 | S62621G | 08 | 559-561 | S62666A | 24 | 963-965 | ||
| S62392B | 08 | 562-563 | S62621K | 08 | 564-566 | S62666B | 08 | 562-563 | ||
| S62392B | 24 | 963-965 | S62621P | 08 | 564-566 | S62666B | 24 | 963-965 | ||
| S62392D | 08 | 559-561 | S62621S | 08 | 559-561 | S62666D | 08 | 559-561 | ||
| S62392G | 08 | 559-561 | S62622A | 08 | 562-563 | S62666G | 08 | 559-561 | ||
| S62392K | 08 | 564-566 | S62622A | 24 | 963-965 | S62666K | 08 | 564-566 | ||
| S62392P | 08 | 564-566 | S62622B | 08 | 562-563 | S62666P | 08 | 564-566 | ||
| S62392S | 08 | 559-561 | S62622B | 24 | 963-965 | S62666S | 08 | 559-561 | ||
| S62393A | 08 | 562-563 | S62622D | 08 | 559-561 | S62667A | 08 | 562-563 | ||
| S62393A | 24 | 963-965 | S62622G | 08 | 559-561 | S62667A | 24 | 963-965 | ||
| S62393B | 08 | 562-563 | S62622K | 08 | 564-566 | S62667B | 08 | 562-563 | ||
| S62393B | 24 | 963-965 | S62622P | 08 | 564-566 | S62667B | 24 | 963-965 | ||
| S62393D | 08 | 559-561 | S62622S | 08 | 559-561 | S62667D | 08 | 559-561 | ||
| S62393G | 08 | 559-561 | S62623A | 08 | 562-563 | S62667G | 08 | 559-561 | ||
| S62393K | 08 | 564-566 | S62623A | 24 | 963-965 | S62667K | 08 | 564-566 | ||
| S62393P | 08 | 564-566 | S62623B | 08 | 562-563 | S62667P | 08 | 564-566 | ||
| S62393S | 08 | 559-561 | S62623B | 24 | 963-965 | S62667S | 08 | 559-561 | ||
| S62394A | 08 | 562-563 | S62623D | 08 | 559-561 | S62668A | 08 | 562-563 | ||
| S62394A | 24 | 963-965 | S62623G | 08 | 559-561 | S62668A | 24 | 963-965 | ||
| S62394B | 08 | 562-563 | S62623K | 08 | 564-566 | S62668B | 08 | 562-563 | ||
| S62394B | 24 | 963-965 | S62623P | 08 | 564-566 | S62668B | 24 | 963-965 | ||
| S62394D | 08 | 559-561 | S62623S | 08 | 559-561 | S62668D | 08 | 559-561 | ||
| S62394G | 08 | 559-561 | S62624A | 08 | 562-563 | S62668G | 08 | 559-561 | ||
| S62394K | 08 | 564-566 | S62624A | 24 | 963-965 | S62668K | 08 | 564-566 | ||
| S62394P | 08 | 564-566 | S62624B | 08 | 562-563 | S62668P | 08 | 564-566 | ||
| S62394S | 08 | 559-561 | S62624B | 24 | 963-965 | S62668S | 08 | 559-561 | ||
| S62395A | 08 | 562-563 | S62624D | 08 | 559-561 | S62669A | 08 | 562-563 | ||
| S62395A | 24 | 963-965 | S62624G | 08 | 559-561 | S62669A | 24 | 963-965 | ||
| S62395B | 08 | 562-563 | S62624K | 08 | 564-566 | S62669B | 08 | 562-563 | ||
| S62395B | 24 | 963-965 | S62624P | 08 | 564-566 | S62669B | 24 | 963-965 | ||
| S62395D | 08 | 559-561 | S62624S | 08 | 559-561 | S62669D | 08 | 559-561 | ||
| S62395G | 08 | 559-561 | S62625A | 08 | 562-563 | S62669G | 08 | 559-561 | ||
| S62395K | 08 | 564-566 | S62625A | 24 | 963-965 | S62669K | 08 | 564-566 | ||
| S62395P | 08 | 564-566 | S62625B | 08 | 562-563 | S62669P | 08 | 564-566 | ||
| S62395S | 08 | 559-561 | S62625B | 24 | 963-965 | S62669S | 08 | 559-561 | ||
| S62396A | 08 | 562-563 | S62625D | 08 | 559-561 | S6290XA | 08 | 562-563 | ||
| S62396A | 24 | 963-965 | S62625G | 08 | 559-561 | S6290XA | 24 | 963-965 | ||
| S62396B | 08 | 562-563 | S62625K | 08 | 564-566 | S6290XB | 08 | 562-563 | ||
| S62396B | 24 | 963-965 | S62625P | 08 | 564-566 | S6290XB | 24 | 963-965 | ||
| S62396D | 08 | 559-561 | S62625S | 08 | 559-561 | S6290XD | 08 | 559-561 | ||
| S62396G | 08 | 559-561 | S62626A | 08 | 562-563 | S6290XG | 08 | 559-561 | ||
| S62396K | 08 | 564-566 | S62626A | 24 | 963-965 | S6290XK | 08 | 564-566 | ||
| S62396P | 08 | 564-566 | S62626B | 08 | 562-563 | S6290XP | 08 | 564-566 | ||
| S62396S | 08 | 559-561 | S62626B | 24 | 963-965 | S6290XS | 08 | 559-561 | ||
| S62397A | 08 | 562-563 | S62626D | 08 | 559-561 | S6291XA | 08 | 562-563 | ||
| S62397A | 24 | 963-965 | S62626G | 08 | 559-561 | S6291XA | 24 | 963-965 | ||
| S62397B | 08 | 562-563 | S62626K | 08 | 564-566 | S6291XB | 08 | 562-563 | ||
| S62397B | 24 | 963-965 | S62626P | 08 | 564-566 | S6291XB | 24 | 963-965 | ||
| S62397D | 08 | 559-561 | S62626S | 08 | 559-561 | S6291XD | 08 | 559-561 | ||
| S62397G | 08 | 559-561 | S62627A | 08 | 562-563 | S6291XG | 08 | 559-561 | ||
| S62397K | 08 | 564-566 | S62627A | 24 | 963-965 | S6291XK | 08 | 564-566 | ||
| S62397P | 08 | 564-566 | S62627B | 08 | 562-563 | S6291XP | 08 | 564-566 | ||
| S62397S | 08 | 559-561 | S62627B | 24 | 963-965 | S6291XS | 08 | 559-561 | ||
| S62398A | 08 | 562-563 | S62627D | 08 | 559-561 | S6292XA | 08 | 562-563 | ||
| S62398A | 24 | 963-965 | S62627G | 08 | 559-561 | S6292XA | 24 | 963-965 | ||
| S62398B | 08 | 562-563 | S62627K | 08 | 564-566 | S6292XB | 08 | 562-563 | ||
| S62398B | 24 | 963-965 | S62627P | 08 | 564-566 | S6292XB | 24 | 963-965 | ||
| S62398D | 08 | 559-561 | S62627S | 08 | 559-561 | S6292XD | 08 | 559-561 | ||
| S62398G | 08 | 559-561 | S62628A | 08 | 562-563 | S6292XG | 08 | 559-561 | ||
| S62398K | 08 | 564-566 | S62628A | 24 | 963-965 | S6292XK | 08 | 564-566 | ||
| S62398P | 08 | 564-566 | S62628B | 08 | 562-563 | S6292XP | 08 | 564-566 | ||
| S62398S | 08 | 559-561 | S62628B | 24 | 963-965 | S6292XS | 08 | 559-561 | ||
| S62399A | 08 | 562-563 | S62628D | 08 | 559-561 | S63001A | 08 | 562-563 | ||
| S62399A | 24 | 963-965 | S62628G | 08 | 559-561 | S63001A | 24 | 963-965 | ||
| S62399B | 08 | 562-563 | S62628K | 08 | 564-566 | S63001D | 23 | 949-950 | ||
| S62399B | 24 | 963-965 | S62628P | 08 | 564-566 | S63001S | 08 | 562-563 | ||
| S62399D | 08 | 559-561 | S62628S | 08 | 559-561 | S63002A | 08 | 562-563 | ||
| S62399G | 08 | 559-561 | S62629A | 08 | 562-563 | S63002A | 24 | 963-965 | ||
| S62399K | 08 | 564-566 | S62629A | 24 | 963-965 | S63002D | 23 | 949-950 | ||
| S62399P | 08 | 564-566 | S62629B | 08 | 562-563 | S63002S | 08 | 562-563 | ||
| S62399S | 08 | 559-561 | S62629B | 24 | 963-965 | S63003A | 08 | 562-563 | ||
| S62501A | 08 | 562-563 | S62629D | 08 | 559-561 | S63003A | 24 | 963-965 | ||
| S62501A | 24 | 963-965 | S62629G | 08 | 559-561 | S63003D | 23 | 949-950 | ||
| S62501B | 08 | 562-563 | S62629K | 08 | 564-566 | S63003S | 08 | 562-563 | ||
| S62501B | 24 | 963-965 | S62629P | 08 | 564-566 | S63004A | 08 | 562-563 | ||
| S62501D | 08 | 559-561 | S62629S | 08 | 559-561 | S63004A | 24 | 963-965 | ||
| S62501G | 08 | 559-561 | S62630A | 08 | 562-563 | S63004D | 23 | 949-950 | ||
| S62501K | 08 | 564-566 | S62630A | 24 | 963-965 | S63004S | 08 | 562-563 | ||
| S62501P | 08 | 564-566 | S62630B | 08 | 562-563 | S63005A | 08 | 562-563 | ||
| S62501S | 08 | 559-561 | S62630B | 24 | 963-965 | S63005A | 24 | 963-965 | ||
| S62502A | 08 | 562-563 | S62630D | 08 | 559-561 | S63005D | 23 | 949-950 | ||
| S62502A | 24 | 963-965 | S62630G | 08 | 559-561 | S63005S | 08 | 562-563 | ||
| S62502B | 08 | 562-563 | S62630K | 08 | 564-566 | S63006A | 08 | 562-563 | ||
| S62502B | 24 | 963-965 | S62630P | 08 | 564-566 | S63006A | 24 | 963-965 | ||
| S62502D | 08 | 559-561 | S62630S | 08 | 559-561 | S63006D | 23 | 949-950 | ||
| S62502G | 08 | 559-561 | S62631A | 08 | 562-563 | S63006S | 08 | 562-563 | ||
| S62502K | 08 | 564-566 | S62631A | 24 | 963-965 | S63011A | 08 | 562-563 | ||
| S62502P | 08 | 564-566 | S62631B | 08 | 562-563 | S63011A | 24 | 963-965 | ||
| S62502S | 08 | 559-561 | S62631B | 24 | 963-965 | S63011D | 23 | 949-950 | ||
| S62509A | 08 | 562-563 | S62631D | 08 | 559-561 | S63011S | 08 | 562-563 | ||
| S62509A | 24 | 963-965 | S62631G | 08 | 559-561 | S63012A | 08 | 562-563 | ||
| S62509B | 08 | 562-563 | S62631K | 08 | 564-566 | S63012A | 24 | 963-965 | ||
| S62509B | 24 | 963-965 | S62631P | 08 | 564-566 | S63012D | 23 | 949-950 | ||
| S62509D | 08 | 559-561 | S62631S | 08 | 559-561 | S63012S | 08 | 562-563 | ||
| S62509G | 08 | 559-561 | S62632A | 08 | 562-563 | S63013A | 08 | 562-563 | ||
| S62509K | 08 | 564-566 | S62632A | 24 | 963-965 | S63013A | 24 | 963-965 | ||
| S62509P | 08 | 564-566 | S62632B | 08 | 562-563 | S63013D | 23 | 949-950 | ||
| S62509S | 08 | 559-561 | S62632B | 24 | 963-965 | S63013S | 08 | 562-563 | ||
| S62511A | 08 | 562-563 | S62632D | 08 | 559-561 | S63014A | 08 | 562-563 | ||
| S62511A | 24 | 963-965 | S62632G | 08 | 559-561 | S63014A | 24 | 963-965 | ||
| S62511B | 08 | 562-563 | S62632K | 08 | 564-566 | S63014D | 23 | 949-950 | ||
| S62511B | 24 | 963-965 | S62632P | 08 | 564-566 | S63014S | 08 | 562-563 | ||
| S62511D | 08 | 559-561 | S62632S | 08 | 559-561 | S63015A | 08 | 562-563 | ||
| S62511G | 08 | 559-561 | S62633A | 08 | 562-563 | S63015A | 24 | 963-965 | ||
| S62511K | 08 | 564-566 | S62633A | 24 | 963-965 | S63015D | 23 | 949-950 | ||
| S62511P | 08 | 564-566 | S62633B | 08 | 562-563 | S63015S | 08 | 562-563 | ||
| S62511S | 08 | 559-561 | S62633B | 24 | 963-965 | S63016A | 08 | 562-563 | ||
| S62512A | 08 | 562-563 | S62633D | 08 | 559-561 | S63016A | 24 | 963-965 | ||
| S62512A | 24 | 963-965 | S62633G | 08 | 559-561 | S63016D | 23 | 949-950 | ||
| S62512B | 08 | 562-563 | S62633K | 08 | 564-566 | S63016S | 08 | 562-563 | ||
| S62512B | 24 | 963-965 | S62633P | 08 | 564-566 | S63021A | 08 | 562-563 | ||
| S62512D | 08 | 559-561 | S62633S | 08 | 559-561 | S63021A | 24 | 963-965 | ||
| S62512G | 08 | 559-561 | S62634A | 08 | 562-563 | S63021D | 23 | 949-950 | ||
| S62512K | 08 | 564-566 | S62634A | 24 | 963-965 | S63021S | 08 | 562-563 | ||
| S62512P | 08 | 564-566 | S62634B | 08 | 562-563 | S63022A | 08 | 562-563 | ||
| S62512S | 08 | 559-561 | S62634B | 24 | 963-965 | S63022A | 24 | 963-965 | ||
| S62513A | 08 | 562-563 | S62634D | 08 | 559-561 | S63022D | 23 | 949-950 | ||
| S62513A | 24 | 963-965 | S62634G | 08 | 559-561 | S63022S | 08 | 562-563 | ||
| S62513B | 08 | 562-563 | S62634K | 08 | 564-566 | S63023A | 08 | 562-563 | ||
| S62513B | 24 | 963-965 | S62634P | 08 | 564-566 | S63023A | 24 | 963-965 | ||
| S62513D | 08 | 559-561 | S62634S | 08 | 559-561 | S63023D | 23 | 949-950 | ||
| S62513G | 08 | 559-561 | S62635A | 08 | 562-563 | S63023S | 08 | 562-563 | ||
| S62513K | 08 | 564-566 | S62635A | 24 | 963-965 | S63024A | 08 | 562-563 | ||
| S62513P | 08 | 564-566 | S62635B | 08 | 562-563 | S63024A | 24 | 963-965 | ||
| S62513S | 08 | 559-561 | S62635B | 24 | 963-965 | S63024D | 23 | 949-950 | ||
| S62514A | 08 | 562-563 | S62635D | 08 | 559-561 | S63024S | 08 | 562-563 | ||
| S62514A | 24 | 963-965 | S62635G | 08 | 559-561 | S63025A | 08 | 562-563 | ||
| S62514B | 08 | 562-563 | S62635K | 08 | 564-566 | S63025A | 24 | 963-965 | ||
| S62514B | 24 | 963-965 | S62635P | 08 | 564-566 | S63025D | 23 | 949-950 | ||
| S62514D | 08 | 559-561 | S62635S | 08 | 559-561 | S63025S | 08 | 562-563 | ||
| S62514G | 08 | 559-561 | S62636A | 08 | 562-563 | S63026A | 08 | 562-563 | ||
| S62514K | 08 | 564-566 | S62636A | 24 | 963-965 | S63026A | 24 | 963-965 | ||
| S62514P | 08 | 564-566 | S62636B | 08 | 562-563 | S63026D | 23 | 949-950 | ||
| S62514S | 08 | 559-561 | S62636B | 24 | 963-965 | S63026S | 08 | 562-563 | ||
| S62515A | 08 | 562-563 | S62636D | 08 | 559-561 | S63031A | 08 | 562-563 | ||
| S62515A | 24 | 963-965 | S62636G | 08 | 559-561 | S63031A | 24 | 963-965 | ||
| S62515B | 08 | 562-563 | S62636K | 08 | 564-566 | S63031D | 23 | 949-950 | ||
| S62515B | 24 | 963-965 | S62636P | 08 | 564-566 | S63031S | 08 | 562-563 | ||
| S62515D | 08 | 559-561 | S62636S | 08 | 559-561 | S63032A | 08 | 562-563 | ||
| S62515G | 08 | 559-561 | S62637A | 08 | 562-563 | S63032A | 24 | 963-965 | ||
| S62515K | 08 | 564-566 | S62637A | 24 | 963-965 | S63032D | 23 | 949-950 | ||
| S62515P | 08 | 564-566 | S62637B | 08 | 562-563 | S63032S | 08 | 562-563 | ||
| S62515S | 08 | 559-561 | S62637B | 24 | 963-965 | S63033A | 08 | 562-563 | ||
| S62516A | 08 | 562-563 | S62637D | 08 | 559-561 | S63033A | 24 | 963-965 | ||
| S62516A | 24 | 963-965 | S62637G | 08 | 559-561 | S63033D | 23 | 949-950 | ||
| S62516B | 08 | 562-563 | S62637K | 08 | 564-566 | S63033S | 08 | 562-563 | ||
| S62516B | 24 | 963-965 | S62637P | 08 | 564-566 | S63034A | 08 | 562-563 | ||
| S62516D | 08 | 559-561 | S62637S | 08 | 559-561 | S63034A | 24 | 963-965 | ||
| S62516G | 08 | 559-561 | S62638A | 08 | 562-563 | S63034D | 23 | 949-950 | ||
| S62516K | 08 | 564-566 | S62638A | 24 | 963-965 | S63034S | 08 | 562-563 | ||
| S62516P | 08 | 564-566 | S62638B | 08 | 562-563 | S63035A | 08 | 562-563 | ||
| S62516S | 08 | 559-561 | S62638B | 24 | 963-965 | S63035A | 24 | 963-965 | ||
| S62521A | 08 | 562-563 | S62638D | 08 | 559-561 | S63035D | 23 | 949-950 | ||
| S62521A | 24 | 963-965 | S62638G | 08 | 559-561 | S63035S | 08 | 562-563 | ||
| S62521B | 08 | 562-563 | S62638K | 08 | 564-566 | S63036A | 08 | 562-563 | ||
| S62521B | 24 | 963-965 | S62638P | 08 | 564-566 | S63036A | 24 | 963-965 | ||
| S62521D | 08 | 559-561 | S62638S | 08 | 559-561 | S63036D | 23 | 949-950 | ||
| S62521G | 08 | 559-561 | S62639A | 08 | 562-563 | S63036S | 08 | 562-563 | ||
| S62521K | 08 | 564-566 | S62639A | 24 | 963-965 | S63041A | 08 | 562-563 | ||
| S62521P | 08 | 564-566 | S62639B | 08 | 562-563 | S63041A | 24 | 963-965 | ||
| S62521S | 08 | 559-561 | S62639B | 24 | 963-965 | S63041D | 23 | 949-950 | ||
| S62522A | 08 | 562-563 | S62639D | 08 | 559-561 | S63041S | 08 | 562-563 | ||
| S62522A | 24 | 963-965 | S62639G | 08 | 559-561 | S63042A | 08 | 562-563 | ||
| S62522B | 08 | 562-563 | S62639K | 08 | 564-566 | S63042A | 24 | 963-965 | ||
| S62522B | 24 | 963-965 | S62639P | 08 | 564-566 | S63042D | 23 | 949-950 | ||
| S62522D | 08 | 559-561 | S62639S | 08 | 559-561 | S63042S | 08 | 562-563 | ||
| S62522G | 08 | 559-561 | S62640A | 08 | 562-563 | S63043A | 08 | 562-563 | ||
| S62522K | 08 | 564-566 | S62640A | 24 | 963-965 | S63043A | 24 | 963-965 | ||
| S62522P | 08 | 564-566 | S62640B | 08 | 562-563 | S63043D | 23 | 949-950 | ||
| S62522S | 08 | 559-561 | S62640B | 24 | 963-965 | S63043S | 08 | 562-563 | ||
| S62523A | 08 | 562-563 | S62640D | 08 | 559-561 | S63044A | 08 | 562-563 | ||
| S62523A | 24 | 963-965 | S62640G | 08 | 559-561 | S63044A | 24 | 963-965 | ||
| S62523B | 08 | 562-563 | S62640K | 08 | 564-566 | S63044D | 23 | 949-950 | ||
| S62523B | 24 | 963-965 | S62640P | 08 | 564-566 | S63044S | 08 | 562-563 | ||
| S62523D | 08 | 559-561 | S62640S | 08 | 559-561 | S63045A | 08 | 562-563 | ||
| S62523G | 08 | 559-561 | S62641A | 08 | 562-563 | S63045A | 24 | 963-965 | ||
| S62523K | 08 | 564-566 | S62641A | 24 | 963-965 | S63045D | 23 | 949-950 | ||
| S62523P | 08 | 564-566 | S62641B | 08 | 562-563 | S63045S | 08 | 562-563 | ||
| S62523S | 08 | 559-561 | S62641B | 24 | 963-965 | S63046A | 08 | 562-563 | ||
| S62524A | 08 | 562-563 | S62641D | 08 | 559-561 | S63046A | 24 | 963-965 | ||
| S62524A | 24 | 963-965 | S62641G | 08 | 559-561 | S63046D | 23 | 949-950 | ||
| S62524B | 08 | 562-563 | S62641K | 08 | 564-566 | S63046S | 08 | 562-563 | ||
| S62524B | 24 | 963-965 | S62641P | 08 | 564-566 | S63051A | 08 | 562-563 | ||
| S62524D | 08 | 559-561 | S62641S | 08 | 559-561 | S63051A | 24 | 963-965 | ||
| S62524G | 08 | 559-561 | S62642A | 08 | 562-563 | S63051D | 23 | 949-950 | ||
| S62524K | 08 | 564-566 | S62642A | 24 | 963-965 | S63051S | 08 | 562-563 | ||
| S62524P | 08 | 564-566 | S62642B | 08 | 562-563 | S63052A | 08 | 562-563 | ||
| S62524S | 08 | 559-561 | S62642B | 24 | 963-965 | S63052A | 24 | 963-965 | ||
| S62525A | 08 | 562-563 | S62642D | 08 | 559-561 | S63052D | 23 | 949-950 | ||
| S62525A | 24 | 963-965 | S62642G | 08 | 559-561 | S63052S | 08 | 562-563 | ||
| S62525B | 08 | 562-563 | S62642K | 08 | 564-566 | S63053A | 08 | 562-563 | ||
| S62525B | 24 | 963-965 | S62642P | 08 | 564-566 | S63053A | 24 | 963-965 | ||
| S62525D | 08 | 559-561 | S62642S | 08 | 559-561 | S63053D | 23 | 949-950 | ||
| S62525G | 08 | 559-561 | S62643A | 08 | 562-563 | S63053S | 08 | 562-563 | ||
| S62525K | 08 | 564-566 | S62643A | 24 | 963-965 | S63054A | 08 | 562-563 | ||
| S62525P | 08 | 564-566 | S62643B | 08 | 562-563 | S63054A | 24 | 963-965 | ||
| S62525S | 08 | 559-561 | S62643B | 24 | 963-965 | S63054D | 23 | 949-950 | ||
| S62526A | 08 | 562-563 | S62643D | 08 | 559-561 | S63054S | 08 | 562-563 | ||
| S62526A | 24 | 963-965 | S62643G | 08 | 559-561 | S63055A | 08 | 562-563 | ||
| S62526B | 08 | 562-563 | S62643K | 08 | 564-566 | S63055A | 24 | 963-965 | ||
| S62526B | 24 | 963-965 | S62643P | 08 | 564-566 | S63055D | 23 | 949-950 | ||
| S62526D | 08 | 559-561 | S62643S | 08 | 559-561 | S63055S | 08 | 562-563 | ||
| S62526G | 08 | 559-561 | S62644A | 08 | 562-563 | S63056A | 08 | 562-563 | ||
| S62526K | 08 | 564-566 | S62644A | 24 | 963-965 | S63056A | 24 | 963-965 | ||
| S62526P | 08 | 564-566 | S62644B | 08 | 562-563 | S63056D | 23 | 949-950 | ||
| S62526S | 08 | 559-561 | S62644B | 24 | 963-965 | S63056S | 08 | 562-563 | ||
| S62600A | 08 | 562-563 | S62644D | 08 | 559-561 | S63061A | 08 | 562-563 | ||
| S62600A | 24 | 963-965 | S62644G | 08 | 559-561 | S63061A | 24 | 963-965 | ||
| S62600B | 08 | 562-563 | S62644K | 08 | 564-566 | S63061D | 23 | 949-950 | ||
| S62600B | 24 | 963-965 | S62644P | 08 | 564-566 | S63061S | 08 | 562-563 | ||
| S62600D | 08 | 559-561 | S62644S | 08 | 559-561 | S63062A | 08 | 562-563 | ||
| S62600G | 08 | 559-561 | S62645A | 08 | 562-563 | S63062A | 24 | 963-965 | ||
| S62600K | 08 | 564-566 | S62645A | 24 | 963-965 | S63062D | 23 | 949-950 | ||
| S62600P | 08 | 564-566 | S62645B | 08 | 562-563 | S63062S | 08 | 562-563 | ||
| S62600S | 08 | 559-561 | S62645B | 24 | 963-965 | S63063A | 08 | 562-563 | ||
| S62601A | 08 | 562-563 | S62645D | 08 | 559-561 | S63063A | 24 | 963-965 | ||
| S62601A | 24 | 963-965 | S62645G | 08 | 559-561 | S63063D | 23 | 949-950 | ||
| S62601B | 08 | 562-563 | S62645K | 08 | 564-566 | S63063S | 08 | 562-563 | ||
| S62601B | 24 | 963-965 | S62645P | 08 | 564-566 | S63064A | 08 | 562-563 | ||
| S62601D | 08 | 559-561 | S62645S | 08 | 559-561 | S63064A | 24 | 963-965 | ||
| S62601G | 08 | 559-561 | S62646A | 08 | 562-563 | S63064D | 23 | 949-950 | ||
| S62601K | 08 | 564-566 | S62646A | 24 | 963-965 | S63064S | 08 | 562-563 | ||
| S62601P | 08 | 564-566 | S62646B | 08 | 562-563 | S63065A | 08 | 562-563 | ||
| S62601S | 08 | 559-561 | S62646B | 24 | 963-965 | S63065A | 24 | 963-965 | ||
| S62602A | 08 | 562-563 | S62646D | 08 | 559-561 | S63065D | 23 | 949-950 | ||
| S62602A | 24 | 963-965 | S62646G | 08 | 559-561 | S63065S | 08 | 562-563 | ||
| S62602B | 08 | 562-563 | S62646K | 08 | 564-566 | S63066A | 08 | 562-563 | ||
| S62602B | 24 | 963-965 | S62646P | 08 | 564-566 | S63066A | 24 | 963-965 | ||
| S62602D | 08 | 559-561 | S62646S | 08 | 559-561 | S63066D | 23 | 949-950 | ||
| S62602G | 08 | 559-561 | S62647A | 08 | 562-563 | S63066S | 08 | 562-563 | ||
| S62602K | 08 | 564-566 | S62647A | 24 | 963-965 | S63071A | 08 | 562-563 | ||
| S62602P | 08 | 564-566 | S62647B | 08 | 562-563 | S63071A | 24 | 963-965 | ||
| S62602S | 08 | 559-561 | S62647B | 24 | 963-965 | S63071D | 23 | 949-950 | ||
| S62603A | 08 | 562-563 | S62647D | 08 | 559-561 | S63071S | 08 | 562-563 | ||
| S62603A | 24 | 963-965 | S62647G | 08 | 559-561 | S63072A | 08 | 562-563 | ||
| S62603B | 08 | 562-563 | S62647K | 08 | 564-566 | S63072A | 24 | 963-965 | ||
| S62603B | 24 | 963-965 | S62647P | 08 | 564-566 | S63072D | 23 | 949-950 | ||
| S62603D | 08 | 559-561 | S62647S | 08 | 559-561 | S63072S | 08 | 562-563 | ||
| S62603G | 08 | 559-561 | S62648A | 08 | 562-563 | S63073A | 08 | 562-563 | ||
| S62603K | 08 | 564-566 | S62648A | 24 | 963-965 | S63073A | 24 | 963-965 | ||
| S62603P | 08 | 564-566 | S62648B | 08 | 562-563 | S63073D | 23 | 949-950 | ||
| S62603S | 08 | 559-561 | S62648B | 24 | 963-965 | S63073S | 08 | 562-563 | ||
| S62604A | 08 | 562-563 | S62648D | 08 | 559-561 | S63074A | 08 | 562-563 | ||
| S62604A | 24 | 963-965 | S62648G | 08 | 559-561 | S63074A | 24 | 963-965 | ||
| S62604B | 08 | 562-563 | S62648K | 08 | 564-566 | S63074D | 23 | 949-950 | ||
| S62604B | 24 | 963-965 | S62648P | 08 | 564-566 | S63074S | 08 | 562-563 | ||
| S62604D | 08 | 559-561 | S62648S | 08 | 559-561 | S63075A | 08 | 562-563 | ||
| S62604G | 08 | 559-561 | S62649A | 08 | 562-563 | S63075A | 24 | 963-965 | ||
| S62604K | 08 | 564-566 | S62649A | 24 | 963-965 | S63075D | 23 | 949-950 | ||
| S62604P | 08 | 564-566 | S62649B | 08 | 562-563 | S63075S | 08 | 562-563 | ||
| S62604S | 08 | 559-561 | S62649B | 24 | 963-965 | S63076A | 08 | 562-563 | ||
| S62605A | 08 | 562-563 | S62649D | 08 | 559-561 | S63076A | 24 | 963-965 | ||
| S62605A | 24 | 963-965 | S62649G | 08 | 559-561 | S63076D | 23 | 949-950 | ||
| S62605B | 08 | 562-563 | S62649K | 08 | 564-566 | S63076S | 08 | 562-563 | ||
| S62605B | 24 | 963-965 | S62649P | 08 | 564-566 | S63091A | 08 | 562-563 | ||
| S62605D | 08 | 559-561 | S62649S | 08 | 559-561 | S63091A | 24 | 963-965 | ||
| S62605G | 08 | 559-561 | S62650A | 08 | 562-563 | S63091D | 23 | 949-950 | ||
| S62605K | 08 | 564-566 | S62650A | 24 | 963-965 | S63091S | 08 | 562-563 | ||
| S62605P | 08 | 564-566 | S62650B | 08 | 562-563 | S63092A | 08 | 562-563 | ||
| S62605S | 08 | 559-561 | S62650B | 24 | 963-965 | S63092A | 24 | 963-965 | ||
| S62606A | 08 | 562-563 | S62650D | 08 | 559-561 | S63092D | 23 | 949-950 | ||
| S62606A | 24 | 963-965 | S62650G | 08 | 559-561 | S63092S | 08 | 562-563 | ||
| S62606B | 08 | 562-563 | S62650K | 08 | 564-566 | S63093A | 08 | 562-563 | ||
| S62606B | 24 | 963-965 | S62650P | 08 | 564-566 | S63093A | 24 | 963-965 | ||
| S62606D | 08 | 559-561 | S62650S | 08 | 559-561 | S63093D | 23 | 949-950 | ||
| S62606G | 08 | 559-561 | S62651A | 08 | 562-563 | S63093S | 08 | 562-563 | ||
| S62606K | 08 | 564-566 | S62651A | 24 | 963-965 | S63094A | 08 | 562-563 | ||
| S62606P | 08 | 564-566 | S62651B | 08 | 562-563 | S63094A | 24 | 963-965 | ||
| S62606S | 08 | 559-561 | S62651B | 24 | 963-965 | S63094D | 23 | 949-950 | ||
| S62607A | 08 | 562-563 | S62651D | 08 | 559-561 | S63094S | 08 | 562-563 | ||
| S62607A | 24 | 963-965 | S62651G | 08 | 559-561 | S63095A | 08 | 562-563 | ||
| S62607B | 08 | 562-563 | S62651K | 08 | 564-566 | S63095A | 24 | 963-965 | ||
| S62607B | 24 | 963-965 | S62651P | 08 | 564-566 | S63095D | 23 | 949-950 | ||
| S62607D | 08 | 559-561 | S62651S | 08 | 559-561 | S63095S | 08 | 562-563 | ||
| S62607G | 08 | 559-561 | S62652A | 08 | 562-563 | S63096A | 08 | 562-563 | ||
| S62607K | 08 | 564-566 | S62652A | 24 | 963-965 | S63096A | 24 | 963-965 | ||
| S62607P | 08 | 564-566 | S62652B | 08 | 562-563 | S63096D | 23 | 949-950 | ||
| S62607S | 08 | 559-561 | S62652B | 24 | 963-965 | S63096S | 08 | 562-563 | ||
| S62608A | 08 | 562-563 | S62652D | 08 | 559-561 | S63101A | 08 | 562-563 | ||
| S62608A | 24 | 963-965 | S62652G | 08 | 559-561 | S63101A | 24 | 963-965 | ||
| S62608B | 08 | 562-563 | S62652K | 08 | 564-566 | S63101D | 23 | 949-950 | ||
| S62608B | 24 | 963-965 | S62652P | 08 | 564-566 | S63101S | 08 | 562-563 | ||
| S62608D | 08 | 559-561 | S62652S | 08 | 559-561 | S63102A | 08 | 562-563 | ||
| S62608G | 08 | 559-561 | S62653A | 08 | 562-563 | S63102A | 24 | 963-965 | ||
| S62608K | 08 | 564-566 | S62653A | 24 | 963-965 | S63102D | 23 | 949-950 | ||
| S62608P | 08 | 564-566 | S62653B | 08 | 562-563 | S63102S | 08 | 562-563 | ||
| S62608S | 08 | 559-561 | S62653B | 24 | 963-965 | S63103A | 08 | 562-563 | ||
| S62609A | 08 | 562-563 | S62653D | 08 | 559-561 | S63103A | 24 | 963-965 | ||
| S62609A | 24 | 963-965 | S62653G | 08 | 559-561 | S63103D | 23 | 949-950 | ||
| S62609B | 08 | 562-563 | S62653K | 08 | 564-566 | S63103S | 08 | 562-563 | ||
| S62609B | 24 | 963-965 | S62653P | 08 | 564-566 | S63104A | 08 | 562-563 | ||
| S62609D | 08 | 559-561 | S62653S | 08 | 559-561 | S63104A | 24 | 963-965 | ||
| S62609G | 08 | 559-561 | S62654A | 08 | 562-563 | S63104D | 23 | 949-950 | ||
| S62609K | 08 | 564-566 | S62654A | 24 | 963-965 | S63104S | 08 | 562-563 | ||
| S62609P | 08 | 564-566 | S62654B | 08 | 562-563 | S63105A | 08 | 562-563 | ||
| S62609S | 08 | 559-561 | S62654B | 24 | 963-965 | S63105A | 24 | 963-965 | ||
| S62610A | 08 | 562-563 | S62654D | 08 | 559-561 | S63105D | 23 | 949-950 | ||
| S62610A | 24 | 963-965 | S62654G | 08 | 559-561 | S63105S | 08 | 562-563 | ||
| S62610B | 08 | 562-563 | S62654K | 08 | 564-566 | S63106A | 08 | 562-563 | ||
| S62610B | 24 | 963-965 | S62654P | 08 | 564-566 | S63106A | 24 | 963-965 | ||
| S62610D | 08 | 559-561 | S62654S | 08 | 559-561 | S63106D | 23 | 949-950 | ||
| S62610G | 08 | 559-561 | S62655A | 08 | 562-563 | S63106S | 08 | 562-563 | ||
| S62610K | 08 | 564-566 | S62655A | 24 | 963-965 | S63111A | 08 | 562-563 | ||
| S62610P | 08 | 564-566 | S62655B | 08 | 562-563 | S63111A | 24 | 963-965 | ||
| S62610S | 08 | 559-561 | S62655B | 24 | 963-965 | S63111D | 23 | 949-950 | ||
| S62611A | 08 | 562-563 | S62655D | 08 | 559-561 | S63111S | 08 | 562-563 | ||
| S62611A | 24 | 963-965 | S62655G | 08 | 559-561 | S63112A | 08 | 562-563 | ||
| S62611B | 08 | 562-563 | S62655K | 08 | 564-566 | S63112A | 24 | 963-965 | ||
| S62611B | 24 | 963-965 | S62655P | 08 | 564-566 | S63112D | 23 | 949-950 | ||
| S62611D | 08 | 559-561 | S62655S | 08 | 559-561 | S63112S | 08 | 562-563 | ||
| S62611G | 08 | 559-561 | S62656A | 08 | 562-563 | S63113A | 08 | 562-563 | ||
| S62611K | 08 | 564-566 | S62656A | 24 | 963-965 | S63113A | 24 | 963-965 | ||
| S62611P | 08 | 564-566 | S62656B | 08 | 562-563 | S63113D | 23 | 949-950 | ||
| S62611S | 08 | 559-561 | S62656B | 24 | 963-965 | S63113S | 08 | 562-563 | ||
| S62612A | 08 | 562-563 | S62656D | 08 | 559-561 | S63114A | 08 | 562-563 | ||
| S62612A | 24 | 963-965 | S62656G | 08 | 559-561 | S63114A | 24 | 963-965 | ||
| S62612B | 08 | 562-563 | S62656K | 08 | 564-566 | S63114D | 23 | 949-950 | ||
| S62612B | 24 | 963-965 | S62656P | 08 | 564-566 | S63114S | 08 | 562-563 | ||
| S62612D | 08 | 559-561 | S62656S | 08 | 559-561 | S63115A | 08 | 562-563 | ||
| S62612G | 08 | 559-561 | S62657A | 08 | 562-563 | S63115A | 24 | 963-965 | ||
| S62612K | 08 | 564-566 | S62657A | 24 | 963-965 | S63115D | 23 | 949-950 | ||
| S62612P | 08 | 564-566 | S62657B | 08 | 562-563 | S63115S | 08 | 562-563 | ||
| S62612S | 08 | 559-561 | S62657B | 24 | 963-965 | S63116A | 08 | 562-563 | ||
| S62613A | 08 | 562-563 | S62657D | 08 | 559-561 | S63116A | 24 | 963-965 | ||
| S62613A | 24 | 963-965 | S62657G | 08 | 559-561 | S63116D | 23 | 949-950 | ||
| S62613B | 08 | 562-563 | S62657K | 08 | 564-566 | S63116S | 08 | 562-563 | ||
| S62613B | 24 | 963-965 | S62657P | 08 | 564-566 | S63121A | 08 | 562-563 | ||
| S62613D | 08 | 559-561 | S62657S | 08 | 559-561 | S63121A | 24 | 963-965 | ||
| S62613G | 08 | 559-561 | S62658A | 08 | 562-563 | S63121D | 23 | 949-950 | ||
| S62613K | 08 | 564-566 | S62658A | 24 | 963-965 | S63121S | 08 | 562-563 | ||
| S62613P | 08 | 564-566 | S62658B | 08 | 562-563 | S63122A | 08 | 562-563 | ||
| S62613S | 08 | 559-561 | S62658B | 24 | 963-965 | S63122A | 24 | 963-965 | ||
| S62614A | 08 | 562-563 | S62658D | 08 | 559-561 | S63122D | 23 | 949-950 | ||
| S62614A | 24 | 963-965 | S62658G | 08 | 559-561 | S63122S | 08 | 562-563 | ||
| S62614B | 08 | 562-563 | S62658K | 08 | 564-566 | S63123A | 08 | 562-563 | ||
| S62614B | 24 | 963-965 | S62658P | 08 | 564-566 | S63123A | 24 | 963-965 | ||
| S62614D | 08 | 559-561 | S62658S | 08 | 559-561 | S63123D | 23 | 949-950 | ||
| S62614G | 08 | 559-561 | S62659A | 08 | 562-563 | S63123S | 08 | 562-563 | ||
| S62614K | 08 | 564-566 | S62659A | 24 | 963-965 | S63124A | 08 | 562-563 | ||
| S62614P | 08 | 564-566 | S62659B | 08 | 562-563 | S63124A | 24 | 963-965 | ||
| S62614S | 08 | 559-561 | S62659B | 24 | 963-965 | S63124D | 23 | 949-950 | ||
| S62615A | 08 | 562-563 | S62659D | 08 | 559-561 | S63124S | 08 | 562-563 | ||
| S62615A | 24 | 963-965 | S62659G | 08 | 559-561 | S63125A | 08 | 562-563 | ||
| S62615B | 08 | 562-563 | S62659K | 08 | 564-566 | S63125A | 24 | 963-965 | ||
| S62615B | 24 | 963-965 | S62659P | 08 | 564-566 | S63125D | 23 | 949-950 | ||
| S62615D | 08 | 559-561 | S62659S | 08 | 559-561 | S63125S | 08 | 562-563 | ||
| S62615G | 08 | 559-561 | S62660A | 08 | 562-563 | S63126A | 08 | 562-563 | ||
| S62615K | 08 | 564-566 | S62660A | 24 | 963-965 | S63126A | 24 | 963-965 | ||
| S62615P | 08 | 564-566 | S62660B | 08 | 562-563 | S63126D | 23 | 949-950 | ||
| S62615S | 08 | 559-561 | S62660B | 24 | 963-965 | S63126S | 08 | 562-563 | ||
| S62616A | 08 | 562-563 | S62660D | 08 | 559-561 | S63200A | 08 | 562-563 | ||
| S62616A | 24 | 963-965 | S62660G | 08 | 559-561 | S63200A | 24 | 963-965 | ||
| S62616B | 08 | 562-563 | S62660K | 08 | 564-566 | S63200D | 23 | 949-950 | ||
| S62616B | 24 | 963-965 | S62660P | 08 | 564-566 | S63200S | 08 | 562-563 | ||
| S62616D | 08 | 559-561 | S62660S | 08 | 559-561 | S63201A | 08 | 562-563 | ||
| S62616G | 08 | 559-561 | S62661A | 08 | 562-563 | S63201A | 24 | 963-965 | ||
| S62616K | 08 | 564-566 | S62661A | 24 | 963-965 | S63201D | 23 | 949-950 | ||
| S62616P | 08 | 564-566 | S62661B | 08 | 562-563 | S63201S | 08 | 562-563 | ||
| S62616S | 08 | 559-561 | S62661B | 24 | 963-965 | S63202A | 08 | 562-563 | ||
| S62617A | 08 | 562-563 | S62661D | 08 | 559-561 | S63202A | 24 | 963-965 | ||
| S62617A | 24 | 963-965 | S62661G | 08 | 559-561 | S63202D | 23 | 949-950 | ||
| S62617B | 08 | 562-563 | S62661K | 08 | 564-566 | S63202S | 08 | 562-563 | ||
| S62617B | 24 | 963-965 | S62661P | 08 | 564-566 | S63203A | 08 | 562-563 | ||
| S62617D | 08 | 559-561 | S62661S | 08 | 559-561 | S63203A | 24 | 963-965 | ||
| S62617G | 08 | 559-561 | S62662A | 08 | 562-563 | S63203D | 23 | 949-950 | ||
| S62617K | 08 | 564-566 | S62662A | 24 | 963-965 | S63203S | 08 | 562-563 | ||
| S62617P | 08 | 564-566 | S62662B | 08 | 562-563 | S63204A | 08 | 562-563 | ||
| S62617S | 08 | 559-561 | S62662B | 24 | 963-965 | S63204A | 24 | 963-965 | ||
| S62618A | 08 | 562-563 | S62662D | 08 | 559-561 | S63204D | 23 | 949-950 | ||
| S62618A | 24 | 963-965 | S62662G | 08 | 559-561 | S63204S | 08 | 562-563 | ||
| S62618B | 08 | 562-563 | S62662K | 08 | 564-566 | S63205A | 08 | 562-563 | ||
| S62618B | 24 | 963-965 | S62662P | 08 | 564-566 | S63205A | 24 | 963-965 | ||
| S62618D | 08 | 559-561 | S62662S | 08 | 559-561 | S63205D | 23 | 949-950 | ||
| S62618G | 08 | 559-561 | S62663A | 08 | 562-563 | S63205S | 08 | 562-563 | ||
| S62618K | 08 | 564-566 | S62663A | 24 | 963-965 | S63206A | 08 | 562-563 | ||
| S62618P | 08 | 564-566 | S62663B | 08 | 562-563 | S63206A | 24 | 963-965 | ||
| S62618S | 08 | 559-561 | S62663B | 24 | 963-965 | S63206D | 23 | 949-950 | ||
| S62619A | 08 | 562-563 | S62663D | 08 | 559-561 | S63206S | 08 | 562-563 | ||
| S62619A | 24 | 963-965 | S62663G | 08 | 559-561 | S63207A | 08 | 562-563 | ||
| S62619B | 08 | 562-563 | S62663K | 08 | 564-566 | S63207A | 24 | 963-965 | ||
| S62619B | 24 | 963-965 | S62663P | 08 | 564-566 | S63207D | 23 | 949-950 | ||
| S62619D | 08 | 559-561 | S62663S | 08 | 559-561 | S63207S | 08 | 562-563 | ||
| S62619G | 08 | 559-561 | S62664A | 08 | 562-563 | S63208A | 08 | 562-563 | ||
| S62664A | 24 | 963-965 | S63208A | 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 |