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 55 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S72355A | 08 | 533-534 | S72414J | 08 | 559-561 | S72451K | 08 | 564-566 | ||
| S72355A | 15 | 791 | S72414K | 08 | 564-566 | S72451M | 08 | 564-566 | ||
| S72355A | 15 | 793 | S72414M | 08 | 564-566 | S72451N | 08 | 564-566 | ||
| S72355A | 24 | 963-965 | S72414N | 08 | 564-566 | S72451P | 08 | 564-566 | ||
| S72355B | 08 | 533-534 | S72414P | 08 | 564-566 | S72451Q | 08 | 564-566 | ||
| S72355B | 15 | 791 | S72414Q | 08 | 564-566 | S72451R | 08 | 564-566 | ||
| S72355B | 15 | 793 | S72414R | 08 | 564-566 | S72451S | 08 | 559-561 | ||
| S72355B | 24 | 963-965 | S72414S | 08 | 559-561 | S72452A | 08 | 533-534 | ||
| S72355C | 08 | 533-534 | S72415A | 08 | 533-534 | S72452A | 24 | 963-965 | ||
| S72355C | 15 | 791 | S72415A | 24 | 963-965 | S72452B | 08 | 533-534 | ||
| S72355C | 15 | 793 | S72415B | 08 | 533-534 | S72452B | 24 | 963-965 | ||
| S72355C | 24 | 963-965 | S72415B | 24 | 963-965 | S72452C | 08 | 533-534 | ||
| S72355D | 08 | 559-561 | S72415C | 08 | 533-534 | S72452C | 24 | 963-965 | ||
| S72355E | 08 | 559-561 | S72415C | 24 | 963-965 | S72452D | 08 | 559-561 | ||
| S72355F | 08 | 559-561 | S72415D | 08 | 559-561 | S72452E | 08 | 559-561 | ||
| S72355G | 08 | 559-561 | S72415E | 08 | 559-561 | S72452F | 08 | 559-561 | ||
| S72355H | 08 | 559-561 | S72415F | 08 | 559-561 | S72452G | 08 | 559-561 | ||
| S72355J | 08 | 559-561 | S72415G | 08 | 559-561 | S72452H | 08 | 559-561 | ||
| S72355K | 08 | 564-566 | S72415H | 08 | 559-561 | S72452J | 08 | 559-561 | ||
| S72355M | 08 | 564-566 | S72415J | 08 | 559-561 | S72452K | 08 | 564-566 | ||
| S72355N | 08 | 564-566 | S72415K | 08 | 564-566 | S72452M | 08 | 564-566 | ||
| S72355P | 08 | 564-566 | S72415M | 08 | 564-566 | S72452N | 08 | 564-566 | ||
| S72355Q | 08 | 564-566 | S72415N | 08 | 564-566 | S72452P | 08 | 564-566 | ||
| S72355R | 08 | 564-566 | S72415P | 08 | 564-566 | S72452Q | 08 | 564-566 | ||
| S72355S | 08 | 559-561 | S72415Q | 08 | 564-566 | S72452R | 08 | 564-566 | ||
| S72356A | 08 | 533-534 | S72415R | 08 | 564-566 | S72452S | 08 | 559-561 | ||
| S72356A | 15 | 791 | S72415S | 08 | 559-561 | S72453A | 08 | 533-534 | ||
| S72356A | 15 | 793 | S72416A | 08 | 533-534 | S72453A | 24 | 963-965 | ||
| S72356A | 24 | 963-965 | S72416A | 24 | 963-965 | S72453B | 08 | 533-534 | ||
| S72356B | 08 | 533-534 | S72416B | 08 | 533-534 | S72453B | 24 | 963-965 | ||
| S72356B | 15 | 791 | S72416B | 24 | 963-965 | S72453C | 08 | 533-534 | ||
| S72356B | 15 | 793 | S72416C | 08 | 533-534 | S72453C | 24 | 963-965 | ||
| S72356B | 24 | 963-965 | S72416C | 24 | 963-965 | S72453D | 08 | 559-561 | ||
| S72356C | 08 | 533-534 | S72416D | 08 | 559-561 | S72453E | 08 | 559-561 | ||
| S72356C | 15 | 791 | S72416E | 08 | 559-561 | S72453F | 08 | 559-561 | ||
| S72356C | 15 | 793 | S72416F | 08 | 559-561 | S72453G | 08 | 559-561 | ||
| S72356C | 24 | 963-965 | S72416G | 08 | 559-561 | S72453H | 08 | 559-561 | ||
| S72356D | 08 | 559-561 | S72416H | 08 | 559-561 | S72453J | 08 | 559-561 | ||
| S72356E | 08 | 559-561 | S72416J | 08 | 559-561 | S72453K | 08 | 564-566 | ||
| S72356F | 08 | 559-561 | S72416K | 08 | 564-566 | S72453M | 08 | 564-566 | ||
| S72356G | 08 | 559-561 | S72416M | 08 | 564-566 | S72453N | 08 | 564-566 | ||
| S72356H | 08 | 559-561 | S72416N | 08 | 564-566 | S72453P | 08 | 564-566 | ||
| S72356J | 08 | 559-561 | S72416P | 08 | 564-566 | S72453Q | 08 | 564-566 | ||
| S72356K | 08 | 564-566 | S72416Q | 08 | 564-566 | S72453R | 08 | 564-566 | ||
| S72356M | 08 | 564-566 | S72416R | 08 | 564-566 | S72453S | 08 | 559-561 | ||
| S72356N | 08 | 564-566 | S72416S | 08 | 559-561 | S72454A | 08 | 533-534 | ||
| S72356P | 08 | 564-566 | S72421A | 08 | 533-534 | S72454A | 24 | 963-965 | ||
| S72356Q | 08 | 564-566 | S72421A | 24 | 963-965 | S72454B | 08 | 533-534 | ||
| S72356R | 08 | 564-566 | S72421B | 08 | 533-534 | S72454B | 24 | 963-965 | ||
| S72356S | 08 | 559-561 | S72421B | 24 | 963-965 | S72454C | 08 | 533-534 | ||
| S72361A | 08 | 533-534 | S72421C | 08 | 533-534 | S72454C | 24 | 963-965 | ||
| S72361A | 15 | 791 | S72421C | 24 | 963-965 | S72454D | 08 | 559-561 | ||
| S72361A | 15 | 793 | S72421D | 08 | 559-561 | S72454E | 08 | 559-561 | ||
| S72361A | 24 | 963-965 | S72421E | 08 | 559-561 | S72454F | 08 | 559-561 | ||
| S72361B | 08 | 533-534 | S72421F | 08 | 559-561 | S72454G | 08 | 559-561 | ||
| S72361B | 15 | 791 | S72421G | 08 | 559-561 | S72454H | 08 | 559-561 | ||
| S72361B | 15 | 793 | S72421H | 08 | 559-561 | S72454J | 08 | 559-561 | ||
| S72361B | 24 | 963-965 | S72421J | 08 | 559-561 | S72454K | 08 | 564-566 | ||
| S72361C | 08 | 533-534 | S72421K | 08 | 564-566 | S72454M | 08 | 564-566 | ||
| S72361C | 15 | 791 | S72421M | 08 | 564-566 | S72454N | 08 | 564-566 | ||
| S72361C | 15 | 793 | S72421N | 08 | 564-566 | S72454P | 08 | 564-566 | ||
| S72361C | 24 | 963-965 | S72421P | 08 | 564-566 | S72454Q | 08 | 564-566 | ||
| S72361D | 08 | 559-561 | S72421Q | 08 | 564-566 | S72454R | 08 | 564-566 | ||
| S72361E | 08 | 559-561 | S72421R | 08 | 564-566 | S72454S | 08 | 559-561 | ||
| S72361F | 08 | 559-561 | S72421S | 08 | 559-561 | S72455A | 08 | 533-534 | ||
| S72361G | 08 | 559-561 | S72422A | 08 | 533-534 | S72455A | 24 | 963-965 | ||
| S72361H | 08 | 559-561 | S72422A | 24 | 963-965 | S72455B | 08 | 533-534 | ||
| S72361J | 08 | 559-561 | S72422B | 08 | 533-534 | S72455B | 24 | 963-965 | ||
| S72361K | 08 | 564-566 | S72422B | 24 | 963-965 | S72455C | 08 | 533-534 | ||
| S72361M | 08 | 564-566 | S72422C | 08 | 533-534 | S72455C | 24 | 963-965 | ||
| S72361N | 08 | 564-566 | S72422C | 24 | 963-965 | S72455D | 08 | 559-561 | ||
| S72361P | 08 | 564-566 | S72422D | 08 | 559-561 | S72455E | 08 | 559-561 | ||
| S72361Q | 08 | 564-566 | S72422E | 08 | 559-561 | S72455F | 08 | 559-561 | ||
| S72361R | 08 | 564-566 | S72422F | 08 | 559-561 | S72455G | 08 | 559-561 | ||
| S72361S | 08 | 559-561 | S72422G | 08 | 559-561 | S72455H | 08 | 559-561 | ||
| S72362A | 08 | 533-534 | S72422H | 08 | 559-561 | S72455J | 08 | 559-561 | ||
| S72362A | 15 | 791 | S72422J | 08 | 559-561 | S72455K | 08 | 564-566 | ||
| S72362A | 15 | 793 | S72422K | 08 | 564-566 | S72455M | 08 | 564-566 | ||
| S72362A | 24 | 963-965 | S72422M | 08 | 564-566 | S72455N | 08 | 564-566 | ||
| S72362B | 08 | 533-534 | S72422N | 08 | 564-566 | S72455P | 08 | 564-566 | ||
| S72362B | 15 | 791 | S72422P | 08 | 564-566 | S72455Q | 08 | 564-566 | ||
| S72362B | 15 | 793 | S72422Q | 08 | 564-566 | S72455R | 08 | 564-566 | ||
| S72362B | 24 | 963-965 | S72422R | 08 | 564-566 | S72455S | 08 | 559-561 | ||
| S72362C | 08 | 533-534 | S72422S | 08 | 559-561 | S72456A | 08 | 533-534 | ||
| S72362C | 15 | 791 | S72423A | 08 | 533-534 | S72456A | 24 | 963-965 | ||
| S72362C | 15 | 793 | S72423A | 24 | 963-965 | S72456B | 08 | 533-534 | ||
| S72362C | 24 | 963-965 | S72423B | 08 | 533-534 | S72456B | 24 | 963-965 | ||
| S72362D | 08 | 559-561 | S72423B | 24 | 963-965 | S72456C | 08 | 533-534 | ||
| S72362E | 08 | 559-561 | S72423C | 08 | 533-534 | S72456C | 24 | 963-965 | ||
| S72362F | 08 | 559-561 | S72423C | 24 | 963-965 | S72456D | 08 | 559-561 | ||
| S72362G | 08 | 559-561 | S72423D | 08 | 559-561 | S72456E | 08 | 559-561 | ||
| S72362H | 08 | 559-561 | S72423E | 08 | 559-561 | S72456F | 08 | 559-561 | ||
| S72362J | 08 | 559-561 | S72423F | 08 | 559-561 | S72456G | 08 | 559-561 | ||
| S72362K | 08 | 564-566 | S72423G | 08 | 559-561 | S72456H | 08 | 559-561 | ||
| S72362M | 08 | 564-566 | S72423H | 08 | 559-561 | S72456J | 08 | 559-561 | ||
| S72362N | 08 | 564-566 | S72423J | 08 | 559-561 | S72456K | 08 | 564-566 | ||
| S72362P | 08 | 564-566 | S72423K | 08 | 564-566 | S72456M | 08 | 564-566 | ||
| S72362Q | 08 | 564-566 | S72423M | 08 | 564-566 | S72456N | 08 | 564-566 | ||
| S72362R | 08 | 564-566 | S72423N | 08 | 564-566 | S72456P | 08 | 564-566 | ||
| S72362S | 08 | 559-561 | S72423P | 08 | 564-566 | S72456Q | 08 | 564-566 | ||
| S72363A | 08 | 533-534 | S72423Q | 08 | 564-566 | S72456R | 08 | 564-566 | ||
| S72363A | 15 | 791 | S72423R | 08 | 564-566 | S72456S | 08 | 559-561 | ||
| S72363A | 15 | 793 | S72423S | 08 | 559-561 | S72461A | 08 | 533-534 | ||
| S72363A | 24 | 963-965 | S72424A | 08 | 533-534 | S72461A | 24 | 963-965 | ||
| S72363B | 08 | 533-534 | S72424A | 24 | 963-965 | S72461B | 08 | 533-534 | ||
| S72363B | 15 | 791 | S72424B | 08 | 533-534 | S72461B | 24 | 963-965 | ||
| S72363B | 15 | 793 | S72424B | 24 | 963-965 | S72461C | 08 | 533-534 | ||
| S72363B | 24 | 963-965 | S72424C | 08 | 533-534 | S72461C | 24 | 963-965 | ||
| S72363C | 08 | 533-534 | S72424C | 24 | 963-965 | S72461D | 08 | 559-561 | ||
| S72363C | 15 | 791 | S72424D | 08 | 559-561 | S72461E | 08 | 559-561 | ||
| S72363C | 15 | 793 | S72424E | 08 | 559-561 | S72461F | 08 | 559-561 | ||
| S72363C | 24 | 963-965 | S72424F | 08 | 559-561 | S72461G | 08 | 559-561 | ||
| S72363D | 08 | 559-561 | S72424G | 08 | 559-561 | S72461H | 08 | 559-561 | ||
| S72363E | 08 | 559-561 | S72424H | 08 | 559-561 | S72461J | 08 | 559-561 | ||
| S72363F | 08 | 559-561 | S72424J | 08 | 559-561 | S72461K | 08 | 564-566 | ||
| S72363G | 08 | 559-561 | S72424K | 08 | 564-566 | S72461M | 08 | 564-566 | ||
| S72363H | 08 | 559-561 | S72424M | 08 | 564-566 | S72461N | 08 | 564-566 | ||
| S72363J | 08 | 559-561 | S72424N | 08 | 564-566 | S72461P | 08 | 564-566 | ||
| S72363K | 08 | 564-566 | S72424P | 08 | 564-566 | S72461Q | 08 | 564-566 | ||
| S72363M | 08 | 564-566 | S72424Q | 08 | 564-566 | S72461R | 08 | 564-566 | ||
| S72363N | 08 | 564-566 | S72424R | 08 | 564-566 | S72461S | 08 | 559-561 | ||
| S72363P | 08 | 564-566 | S72424S | 08 | 559-561 | S72462A | 08 | 533-534 | ||
| S72363Q | 08 | 564-566 | S72425A | 08 | 533-534 | S72462A | 24 | 963-965 | ||
| S72363R | 08 | 564-566 | S72425A | 24 | 963-965 | S72462B | 08 | 533-534 | ||
| S72363S | 08 | 559-561 | S72425B | 08 | 533-534 | S72462B | 24 | 963-965 | ||
| S72364A | 08 | 533-534 | S72425B | 24 | 963-965 | S72462C | 08 | 533-534 | ||
| S72364A | 15 | 791 | S72425C | 08 | 533-534 | S72462C | 24 | 963-965 | ||
| S72364A | 15 | 793 | S72425C | 24 | 963-965 | S72462D | 08 | 559-561 | ||
| S72364A | 24 | 963-965 | S72425D | 08 | 559-561 | S72462E | 08 | 559-561 | ||
| S72364B | 08 | 533-534 | S72425E | 08 | 559-561 | S72462F | 08 | 559-561 | ||
| S72364B | 15 | 791 | S72425F | 08 | 559-561 | S72462G | 08 | 559-561 | ||
| S72364B | 15 | 793 | S72425G | 08 | 559-561 | S72462H | 08 | 559-561 | ||
| S72364B | 24 | 963-965 | S72425H | 08 | 559-561 | S72462J | 08 | 559-561 | ||
| S72364C | 08 | 533-534 | S72425J | 08 | 559-561 | S72462K | 08 | 564-566 | ||
| S72364C | 15 | 791 | S72425K | 08 | 564-566 | S72462M | 08 | 564-566 | ||
| S72364C | 15 | 793 | S72425M | 08 | 564-566 | S72462N | 08 | 564-566 | ||
| S72364C | 24 | 963-965 | S72425N | 08 | 564-566 | S72462P | 08 | 564-566 | ||
| S72364D | 08 | 559-561 | S72425P | 08 | 564-566 | S72462Q | 08 | 564-566 | ||
| S72364E | 08 | 559-561 | S72425Q | 08 | 564-566 | S72462R | 08 | 564-566 | ||
| S72364F | 08 | 559-561 | S72425R | 08 | 564-566 | S72462S | 08 | 559-561 | ||
| S72364G | 08 | 559-561 | S72425S | 08 | 559-561 | S72463A | 08 | 533-534 | ||
| S72364H | 08 | 559-561 | S72426A | 08 | 533-534 | S72463A | 24 | 963-965 | ||
| S72364J | 08 | 559-561 | S72426A | 24 | 963-965 | S72463B | 08 | 533-534 | ||
| S72364K | 08 | 564-566 | S72426B | 08 | 533-534 | S72463B | 24 | 963-965 | ||
| S72364M | 08 | 564-566 | S72426B | 24 | 963-965 | S72463C | 08 | 533-534 | ||
| S72364N | 08 | 564-566 | S72426C | 08 | 533-534 | S72463C | 24 | 963-965 | ||
| S72364P | 08 | 564-566 | S72426C | 24 | 963-965 | S72463D | 08 | 559-561 | ||
| S72364Q | 08 | 564-566 | S72426D | 08 | 559-561 | S72463E | 08 | 559-561 | ||
| S72364R | 08 | 564-566 | S72426E | 08 | 559-561 | S72463F | 08 | 559-561 | ||
| S72364S | 08 | 559-561 | S72426F | 08 | 559-561 | S72463G | 08 | 559-561 | ||
| S72365A | 08 | 533-534 | S72426G | 08 | 559-561 | S72463H | 08 | 559-561 | ||
| S72365A | 15 | 791 | S72426H | 08 | 559-561 | S72463J | 08 | 559-561 | ||
| S72365A | 15 | 793 | S72426J | 08 | 559-561 | S72463K | 08 | 564-566 | ||
| S72365A | 24 | 963-965 | S72426K | 08 | 564-566 | S72463M | 08 | 564-566 | ||
| S72365B | 08 | 533-534 | S72426M | 08 | 564-566 | S72463N | 08 | 564-566 | ||
| S72365B | 15 | 791 | S72426N | 08 | 564-566 | S72463P | 08 | 564-566 | ||
| S72365B | 15 | 793 | S72426P | 08 | 564-566 | S72463Q | 08 | 564-566 | ||
| S72365B | 24 | 963-965 | S72426Q | 08 | 564-566 | S72463R | 08 | 564-566 | ||
| S72365C | 08 | 533-534 | S72426R | 08 | 564-566 | S72463S | 08 | 559-561 | ||
| S72365C | 15 | 791 | S72426S | 08 | 559-561 | S72464A | 08 | 533-534 | ||
| S72365C | 15 | 793 | S72431A | 08 | 533-534 | S72464A | 24 | 963-965 | ||
| S72365C | 24 | 963-965 | S72431A | 24 | 963-965 | S72464B | 08 | 533-534 | ||
| S72365D | 08 | 559-561 | S72431B | 08 | 533-534 | S72464B | 24 | 963-965 | ||
| S72365E | 08 | 559-561 | S72431B | 24 | 963-965 | S72464C | 08 | 533-534 | ||
| S72365F | 08 | 559-561 | S72431C | 08 | 533-534 | S72464C | 24 | 963-965 | ||
| S72365G | 08 | 559-561 | S72431C | 24 | 963-965 | S72464D | 08 | 559-561 | ||
| S72365H | 08 | 559-561 | S72431D | 08 | 559-561 | S72464E | 08 | 559-561 | ||
| S72365J | 08 | 559-561 | S72431E | 08 | 559-561 | S72464F | 08 | 559-561 | ||
| S72365K | 08 | 564-566 | S72431F | 08 | 559-561 | S72464G | 08 | 559-561 | ||
| S72365M | 08 | 564-566 | S72431G | 08 | 559-561 | S72464H | 08 | 559-561 | ||
| S72365N | 08 | 564-566 | S72431H | 08 | 559-561 | S72464J | 08 | 559-561 | ||
| S72365P | 08 | 564-566 | S72431J | 08 | 559-561 | S72464K | 08 | 564-566 | ||
| S72365Q | 08 | 564-566 | S72431K | 08 | 564-566 | S72464M | 08 | 564-566 | ||
| S72365R | 08 | 564-566 | S72431M | 08 | 564-566 | S72464N | 08 | 564-566 | ||
| S72365S | 08 | 559-561 | S72431N | 08 | 564-566 | S72464P | 08 | 564-566 | ||
| S72366A | 08 | 533-534 | S72431P | 08 | 564-566 | S72464Q | 08 | 564-566 | ||
| S72366A | 15 | 791 | S72431Q | 08 | 564-566 | S72464R | 08 | 564-566 | ||
| S72366A | 15 | 793 | S72431R | 08 | 564-566 | S72464S | 08 | 559-561 | ||
| S72366A | 24 | 963-965 | S72431S | 08 | 559-561 | S72465A | 08 | 533-534 | ||
| S72366B | 08 | 533-534 | S72432A | 08 | 533-534 | S72465A | 24 | 963-965 | ||
| S72366B | 15 | 791 | S72432A | 24 | 963-965 | S72465B | 08 | 533-534 | ||
| S72366B | 15 | 793 | S72432B | 08 | 533-534 | S72465B | 24 | 963-965 | ||
| S72366B | 24 | 963-965 | S72432B | 24 | 963-965 | S72465C | 08 | 533-534 | ||
| S72366C | 08 | 533-534 | S72432C | 08 | 533-534 | S72465C | 24 | 963-965 | ||
| S72366C | 15 | 791 | S72432C | 24 | 963-965 | S72465D | 08 | 559-561 | ||
| S72366C | 15 | 793 | S72432D | 08 | 559-561 | S72465E | 08 | 559-561 | ||
| S72366C | 24 | 963-965 | S72432E | 08 | 559-561 | S72465F | 08 | 559-561 | ||
| S72366D | 08 | 559-561 | S72432F | 08 | 559-561 | S72465G | 08 | 559-561 | ||
| S72366E | 08 | 559-561 | S72432G | 08 | 559-561 | S72465H | 08 | 559-561 | ||
| S72366F | 08 | 559-561 | S72432H | 08 | 559-561 | S72465J | 08 | 559-561 | ||
| S72366G | 08 | 559-561 | S72432J | 08 | 559-561 | S72465K | 08 | 564-566 | ||
| S72366H | 08 | 559-561 | S72432K | 08 | 564-566 | S72465M | 08 | 564-566 | ||
| S72366J | 08 | 559-561 | S72432M | 08 | 564-566 | S72465N | 08 | 564-566 | ||
| S72366K | 08 | 564-566 | S72432N | 08 | 564-566 | S72465P | 08 | 564-566 | ||
| S72366M | 08 | 564-566 | S72432P | 08 | 564-566 | S72465Q | 08 | 564-566 | ||
| S72366N | 08 | 564-566 | S72432Q | 08 | 564-566 | S72465R | 08 | 564-566 | ||
| S72366P | 08 | 564-566 | S72432R | 08 | 564-566 | S72465S | 08 | 559-561 | ||
| S72366Q | 08 | 564-566 | S72432S | 08 | 559-561 | S72466A | 08 | 533-534 | ||
| S72366R | 08 | 564-566 | S72433A | 08 | 533-534 | S72466A | 24 | 963-965 | ||
| S72366S | 08 | 559-561 | S72433A | 24 | 963-965 | S72466B | 08 | 533-534 | ||
| S72391A | 08 | 533-534 | S72433B | 08 | 533-534 | S72466B | 24 | 963-965 | ||
| S72391A | 15 | 791 | S72433B | 24 | 963-965 | S72466C | 08 | 533-534 | ||
| S72391A | 15 | 793 | S72433C | 08 | 533-534 | S72466C | 24 | 963-965 | ||
| S72391A | 24 | 963-965 | S72433C | 24 | 963-965 | S72466D | 08 | 559-561 | ||
| S72391B | 08 | 533-534 | S72433D | 08 | 559-561 | S72466E | 08 | 559-561 | ||
| S72391B | 15 | 791 | S72433E | 08 | 559-561 | S72466F | 08 | 559-561 | ||
| S72391B | 15 | 793 | S72433F | 08 | 559-561 | S72466G | 08 | 559-561 | ||
| S72391B | 24 | 963-965 | S72433G | 08 | 559-561 | S72466H | 08 | 559-561 | ||
| S72391C | 08 | 533-534 | S72433H | 08 | 559-561 | S72466J | 08 | 559-561 | ||
| S72391C | 15 | 791 | S72433J | 08 | 559-561 | S72466K | 08 | 564-566 | ||
| S72391C | 15 | 793 | S72433K | 08 | 564-566 | S72466M | 08 | 564-566 | ||
| S72391C | 24 | 963-965 | S72433M | 08 | 564-566 | S72466N | 08 | 564-566 | ||
| S72391D | 08 | 559-561 | S72433N | 08 | 564-566 | S72466P | 08 | 564-566 | ||
| S72391E | 08 | 559-561 | S72433P | 08 | 564-566 | S72466Q | 08 | 564-566 | ||
| S72391F | 08 | 559-561 | S72433Q | 08 | 564-566 | S72466R | 08 | 564-566 | ||
| S72391G | 08 | 559-561 | S72433R | 08 | 564-566 | S72466S | 08 | 559-561 | ||
| S72391H | 08 | 559-561 | S72433S | 08 | 559-561 | S72471A | 08 | 533-534 | ||
| S72391J | 08 | 559-561 | S72434A | 08 | 533-534 | S72471A | 24 | 963-965 | ||
| S72391K | 08 | 564-566 | S72434A | 24 | 963-965 | S72471D | 08 | 559-561 | ||
| S72391M | 08 | 564-566 | S72434B | 08 | 533-534 | S72471G | 08 | 559-561 | ||
| S72391N | 08 | 564-566 | S72434B | 24 | 963-965 | S72471K | 08 | 564-566 | ||
| S72391P | 08 | 564-566 | S72434C | 08 | 533-534 | S72471P | 08 | 564-566 | ||
| S72391Q | 08 | 564-566 | S72434C | 24 | 963-965 | S72471S | 08 | 559-561 | ||
| S72391R | 08 | 564-566 | S72434D | 08 | 559-561 | S72472A | 08 | 533-534 | ||
| S72391S | 08 | 559-561 | S72434E | 08 | 559-561 | S72472A | 24 | 963-965 | ||
| S72392A | 08 | 533-534 | S72434F | 08 | 559-561 | S72472D | 08 | 559-561 | ||
| S72392A | 15 | 791 | S72434G | 08 | 559-561 | S72472G | 08 | 559-561 | ||
| S72392A | 15 | 793 | S72434H | 08 | 559-561 | S72472K | 08 | 564-566 | ||
| S72392A | 24 | 963-965 | S72434J | 08 | 559-561 | S72472P | 08 | 564-566 | ||
| S72392B | 08 | 533-534 | S72434K | 08 | 564-566 | S72472S | 08 | 559-561 | ||
| S72392B | 15 | 791 | S72434M | 08 | 564-566 | S72479A | 08 | 533-534 | ||
| S72392B | 15 | 793 | S72434N | 08 | 564-566 | S72479A | 24 | 963-965 | ||
| S72392B | 24 | 963-965 | S72434P | 08 | 564-566 | S72479D | 08 | 559-561 | ||
| S72392C | 08 | 533-534 | S72434Q | 08 | 564-566 | S72479G | 08 | 559-561 | ||
| S72392C | 15 | 791 | S72434R | 08 | 564-566 | S72479K | 08 | 564-566 | ||
| S72392C | 15 | 793 | S72434S | 08 | 559-561 | S72479P | 08 | 564-566 | ||
| S72392C | 24 | 963-965 | S72435A | 08 | 533-534 | S72479S | 08 | 559-561 | ||
| S72392D | 08 | 559-561 | S72435A | 24 | 963-965 | S72491A | 08 | 533-534 | ||
| S72392E | 08 | 559-561 | S72435B | 08 | 533-534 | S72491A | 24 | 963-965 | ||
| S72392F | 08 | 559-561 | S72435B | 24 | 963-965 | S72491B | 08 | 533-534 | ||
| S72392G | 08 | 559-561 | S72435C | 08 | 533-534 | S72491B | 24 | 963-965 | ||
| S72392H | 08 | 559-561 | S72435C | 24 | 963-965 | S72491C | 08 | 533-534 | ||
| S72392J | 08 | 559-561 | S72435D | 08 | 559-561 | S72491C | 24 | 963-965 | ||
| S72392K | 08 | 564-566 | S72435E | 08 | 559-561 | S72491D | 08 | 559-561 | ||
| S72392M | 08 | 564-566 | S72435F | 08 | 559-561 | S72491E | 08 | 559-561 | ||
| S72392N | 08 | 564-566 | S72435G | 08 | 559-561 | S72491F | 08 | 559-561 | ||
| S72392P | 08 | 564-566 | S72435H | 08 | 559-561 | S72491G | 08 | 559-561 | ||
| S72392Q | 08 | 564-566 | S72435J | 08 | 559-561 | S72491H | 08 | 559-561 | ||
| S72392R | 08 | 564-566 | S72435K | 08 | 564-566 | S72491J | 08 | 559-561 | ||
| S72392S | 08 | 559-561 | S72435M | 08 | 564-566 | S72491K | 08 | 564-566 | ||
| S72399A | 08 | 533-534 | S72435N | 08 | 564-566 | S72491M | 08 | 564-566 | ||
| S72399A | 15 | 791 | S72435P | 08 | 564-566 | S72491N | 08 | 564-566 | ||
| S72399A | 15 | 793 | S72435Q | 08 | 564-566 | S72491P | 08 | 564-566 | ||
| S72399A | 24 | 963-965 | S72435R | 08 | 564-566 | S72491Q | 08 | 564-566 | ||
| S72399B | 08 | 533-534 | S72435S | 08 | 559-561 | S72491R | 08 | 564-566 | ||
| S72399B | 15 | 791 | S72436A | 08 | 533-534 | S72491S | 08 | 559-561 | ||
| S72399B | 15 | 793 | S72436A | 24 | 963-965 | S72492A | 08 | 533-534 | ||
| S72399B | 24 | 963-965 | S72436B | 08 | 533-534 | S72492A | 24 | 963-965 | ||
| S72399C | 08 | 533-534 | S72436B | 24 | 963-965 | S72492B | 08 | 533-534 | ||
| S72399C | 15 | 791 | S72436C | 08 | 533-534 | S72492B | 24 | 963-965 | ||
| S72399C | 15 | 793 | S72436C | 24 | 963-965 | S72492C | 08 | 533-534 | ||
| S72399C | 24 | 963-965 | S72436D | 08 | 559-561 | S72492C | 24 | 963-965 | ||
| S72399D | 08 | 559-561 | S72436E | 08 | 559-561 | S72492D | 08 | 559-561 | ||
| S72399E | 08 | 559-561 | S72436F | 08 | 559-561 | S72492E | 08 | 559-561 | ||
| S72399F | 08 | 559-561 | S72436G | 08 | 559-561 | S72492F | 08 | 559-561 | ||
| S72399G | 08 | 559-561 | S72436H | 08 | 559-561 | S72492G | 08 | 559-561 | ||
| S72399H | 08 | 559-561 | S72436J | 08 | 559-561 | S72492H | 08 | 559-561 | ||
| S72399J | 08 | 559-561 | S72436K | 08 | 564-566 | S72492J | 08 | 559-561 | ||
| S72399K | 08 | 564-566 | S72436M | 08 | 564-566 | S72492K | 08 | 564-566 | ||
| S72399M | 08 | 564-566 | S72436N | 08 | 564-566 | S72492M | 08 | 564-566 | ||
| S72399N | 08 | 564-566 | S72436P | 08 | 564-566 | S72492N | 08 | 564-566 | ||
| S72399P | 08 | 564-566 | S72436Q | 08 | 564-566 | S72492P | 08 | 564-566 | ||
| S72399Q | 08 | 564-566 | S72436R | 08 | 564-566 | S72492Q | 08 | 564-566 | ||
| S72399R | 08 | 564-566 | S72436S | 08 | 559-561 | S72492R | 08 | 564-566 | ||
| S72399S | 08 | 559-561 | S72441A | 08 | 533-534 | S72492S | 08 | 559-561 | ||
| S72401A | 08 | 533-534 | S72441A | 24 | 963-965 | S72499A | 08 | 533-534 | ||
| S72401A | 24 | 963-965 | S72441B | 08 | 533-534 | S72499A | 24 | 963-965 | ||
| S72401B | 08 | 533-534 | S72441B | 24 | 963-965 | S72499B | 08 | 533-534 | ||
| S72401B | 24 | 963-965 | S72441C | 08 | 533-534 | S72499B | 24 | 963-965 | ||
| S72401C | 08 | 533-534 | S72441C | 24 | 963-965 | S72499C | 08 | 533-534 | ||
| S72401C | 24 | 963-965 | S72441D | 08 | 559-561 | S72499C | 24 | 963-965 | ||
| S72401D | 08 | 559-561 | S72441E | 08 | 559-561 | S72499D | 08 | 559-561 | ||
| S72401E | 08 | 559-561 | S72441F | 08 | 559-561 | S72499E | 08 | 559-561 | ||
| S72401F | 08 | 559-561 | S72441G | 08 | 559-561 | S72499F | 08 | 559-561 | ||
| S72401G | 08 | 559-561 | S72441H | 08 | 559-561 | S72499G | 08 | 559-561 | ||
| S72401H | 08 | 559-561 | S72441J | 08 | 559-561 | S72499H | 08 | 559-561 | ||
| S72401J | 08 | 559-561 | S72441K | 08 | 564-566 | S72499J | 08 | 559-561 | ||
| S72401K | 08 | 564-566 | S72441M | 08 | 564-566 | S72499K | 08 | 564-566 | ||
| S72401M | 08 | 564-566 | S72441N | 08 | 564-566 | S72499M | 08 | 564-566 | ||
| S72401N | 08 | 564-566 | S72441P | 08 | 564-566 | S72499N | 08 | 564-566 | ||
| S72401P | 08 | 564-566 | S72441Q | 08 | 564-566 | S72499P | 08 | 564-566 | ||
| S72401Q | 08 | 564-566 | S72441R | 08 | 564-566 | S72499Q | 08 | 564-566 | ||
| S72401R | 08 | 564-566 | S72441S | 08 | 559-561 | S72499R | 08 | 564-566 | ||
| S72401S | 08 | 559-561 | S72442A | 08 | 533-534 | S72499S | 08 | 559-561 | ||
| S72402A | 08 | 533-534 | S72442A | 24 | 963-965 | S728X1A | 08 | 533-534 | ||
| S72402A | 24 | 963-965 | S72442B | 08 | 533-534 | S728X1A | 15 | 791 | ||
| S72402B | 08 | 533-534 | S72442B | 24 | 963-965 | S728X1A | 15 | 793 | ||
| S72402B | 24 | 963-965 | S72442C | 08 | 533-534 | S728X1A | 24 | 963-965 | ||
| S72402C | 08 | 533-534 | S72442C | 24 | 963-965 | S728X1B | 08 | 533-534 | ||
| S72402C | 24 | 963-965 | S72442D | 08 | 559-561 | S728X1B | 15 | 791 | ||
| S72402D | 08 | 559-561 | S72442E | 08 | 559-561 | S728X1B | 15 | 793 | ||
| S72402E | 08 | 559-561 | S72442F | 08 | 559-561 | S728X1B | 24 | 963-965 | ||
| S72402F | 08 | 559-561 | S72442G | 08 | 559-561 | S728X1C | 08 | 533-534 | ||
| S72402G | 08 | 559-561 | S72442H | 08 | 559-561 | S728X1C | 15 | 791 | ||
| S72402H | 08 | 559-561 | S72442J | 08 | 559-561 | S728X1C | 15 | 793 | ||
| S72402J | 08 | 559-561 | S72442K | 08 | 564-566 | S728X1C | 24 | 963-965 | ||
| S72402K | 08 | 564-566 | S72442M | 08 | 564-566 | S728X1D | 08 | 559-561 | ||
| S72402M | 08 | 564-566 | S72442N | 08 | 564-566 | S728X1E | 08 | 559-561 | ||
| S72402N | 08 | 564-566 | S72442P | 08 | 564-566 | S728X1F | 08 | 559-561 | ||
| S72402P | 08 | 564-566 | S72442Q | 08 | 564-566 | S728X1G | 08 | 559-561 | ||
| S72402Q | 08 | 564-566 | S72442R | 08 | 564-566 | S728X1H | 08 | 559-561 | ||
| S72402R | 08 | 564-566 | S72442S | 08 | 559-561 | S728X1J | 08 | 559-561 | ||
| S72402S | 08 | 559-561 | S72443A | 08 | 533-534 | S728X1K | 08 | 564-566 | ||
| S72409A | 08 | 533-534 | S72443A | 24 | 963-965 | S728X1M | 08 | 564-566 | ||
| S72409A | 24 | 963-965 | S72443B | 08 | 533-534 | S728X1N | 08 | 564-566 | ||
| S72409B | 08 | 533-534 | S72443B | 24 | 963-965 | S728X1P | 08 | 564-566 | ||
| S72409B | 24 | 963-965 | S72443C | 08 | 533-534 | S728X1Q | 08 | 564-566 | ||
| S72409C | 08 | 533-534 | S72443C | 24 | 963-965 | S728X1R | 08 | 564-566 | ||
| S72409C | 24 | 963-965 | S72443D | 08 | 559-561 | S728X1S | 08 | 559-561 | ||
| S72409D | 08 | 559-561 | S72443E | 08 | 559-561 | S728X2A | 08 | 533-534 | ||
| S72409E | 08 | 559-561 | S72443F | 08 | 559-561 | S728X2A | 15 | 791 | ||
| S72409F | 08 | 559-561 | S72443G | 08 | 559-561 | S728X2A | 15 | 793 | ||
| S72409G | 08 | 559-561 | S72443H | 08 | 559-561 | S728X2A | 24 | 963-965 | ||
| S72409H | 08 | 559-561 | S72443J | 08 | 559-561 | S728X2B | 08 | 533-534 | ||
| S72409J | 08 | 559-561 | S72443K | 08 | 564-566 | S728X2B | 15 | 791 | ||
| S72409K | 08 | 564-566 | S72443M | 08 | 564-566 | S728X2B | 15 | 793 | ||
| S72409M | 08 | 564-566 | S72443N | 08 | 564-566 | S728X2B | 24 | 963-965 | ||
| S72409N | 08 | 564-566 | S72443P | 08 | 564-566 | S728X2C | 08 | 533-534 | ||
| S72409P | 08 | 564-566 | S72443Q | 08 | 564-566 | S728X2C | 15 | 791 | ||
| S72409Q | 08 | 564-566 | S72443R | 08 | 564-566 | S728X2C | 15 | 793 | ||
| S72409R | 08 | 564-566 | S72443S | 08 | 559-561 | S728X2C | 24 | 963-965 | ||
| S72409S | 08 | 559-561 | S72444A | 08 | 533-534 | S728X2D | 08 | 559-561 | ||
| S72411A | 08 | 533-534 | S72444A | 24 | 963-965 | S728X2E | 08 | 559-561 | ||
| S72411A | 24 | 963-965 | S72444B | 08 | 533-534 | S728X2F | 08 | 559-561 | ||
| S72411B | 08 | 533-534 | S72444B | 24 | 963-965 | S728X2G | 08 | 559-561 | ||
| S72411B | 24 | 963-965 | S72444C | 08 | 533-534 | S728X2H | 08 | 559-561 | ||
| S72411C | 08 | 533-534 | S72444C | 24 | 963-965 | S728X2J | 08 | 559-561 | ||
| S72411C | 24 | 963-965 | S72444D | 08 | 559-561 | S728X2K | 08 | 564-566 | ||
| S72411D | 08 | 559-561 | S72444E | 08 | 559-561 | S728X2M | 08 | 564-566 | ||
| S72411E | 08 | 559-561 | S72444F | 08 | 559-561 | S728X2N | 08 | 564-566 | ||
| S72411F | 08 | 559-561 | S72444G | 08 | 559-561 | S728X2P | 08 | 564-566 | ||
| S72411G | 08 | 559-561 | S72444H | 08 | 559-561 | S728X2Q | 08 | 564-566 | ||
| S72411H | 08 | 559-561 | S72444J | 08 | 559-561 | S728X2R | 08 | 564-566 | ||
| S72411J | 08 | 559-561 | S72444K | 08 | 564-566 | S728X2S | 08 | 559-561 | ||
| S72411K | 08 | 564-566 | S72444M | 08 | 564-566 | S728X9A | 08 | 533-534 | ||
| S72411M | 08 | 564-566 | S72444N | 08 | 564-566 | S728X9A | 15 | 791 | ||
| S72411N | 08 | 564-566 | S72444P | 08 | 564-566 | S728X9A | 15 | 793 | ||
| S72411P | 08 | 564-566 | S72444Q | 08 | 564-566 | S728X9A | 24 | 963-965 | ||
| S72411Q | 08 | 564-566 | S72444R | 08 | 564-566 | S728X9B | 08 | 533-534 | ||
| S72411R | 08 | 564-566 | S72444S | 08 | 559-561 | S728X9B | 15 | 791 | ||
| S72411S | 08 | 559-561 | S72445A | 08 | 533-534 | S728X9B | 15 | 793 | ||
| S72412A | 08 | 533-534 | S72445A | 24 | 963-965 | S728X9B | 24 | 963-965 | ||
| S72412A | 24 | 963-965 | S72445B | 08 | 533-534 | S728X9C | 08 | 533-534 | ||
| S72412B | 08 | 533-534 | S72445B | 24 | 963-965 | S728X9C | 15 | 791 | ||
| S72412B | 24 | 963-965 | S72445C | 08 | 533-534 | S728X9C | 15 | 793 | ||
| S72412C | 08 | 533-534 | S72445C | 24 | 963-965 | S728X9C | 24 | 963-965 | ||
| S72412C | 24 | 963-965 | S72445D | 08 | 559-561 | S728X9D | 08 | 559-561 | ||
| S72412D | 08 | 559-561 | S72445E | 08 | 559-561 | S728X9E | 08 | 559-561 | ||
| S72412E | 08 | 559-561 | S72445F | 08 | 559-561 | S728X9F | 08 | 559-561 | ||
| S72412F | 08 | 559-561 | S72445G | 08 | 559-561 | S728X9G | 08 | 559-561 | ||
| S72412G | 08 | 559-561 | S72445H | 08 | 559-561 | S728X9H | 08 | 559-561 | ||
| S72412H | 08 | 559-561 | S72445J | 08 | 559-561 | S728X9J | 08 | 559-561 | ||
| S72412J | 08 | 559-561 | S72445K | 08 | 564-566 | S728X9K | 08 | 564-566 | ||
| S72412K | 08 | 564-566 | S72445M | 08 | 564-566 | S728X9M | 08 | 564-566 | ||
| S72412M | 08 | 564-566 | S72445N | 08 | 564-566 | S728X9N | 08 | 564-566 | ||
| S72412N | 08 | 564-566 | S72445P | 08 | 564-566 | S728X9P | 08 | 564-566 | ||
| S72412P | 08 | 564-566 | S72445Q | 08 | 564-566 | S728X9Q | 08 | 564-566 | ||
| S72412Q | 08 | 564-566 | S72445R | 08 | 564-566 | S728X9R | 08 | 564-566 | ||
| S72412R | 08 | 564-566 | S72445S | 08 | 559-561 | S728X9S | 08 | 559-561 | ||
| S72412S | 08 | 559-561 | S72446A | 08 | 533-534 | S7290XA | 08 | 533-534 | ||
| S72413A | 08 | 533-534 | S72446A | 24 | 963-965 | S7290XA | 15 | 791 | ||
| S72413A | 24 | 963-965 | S72446B | 08 | 533-534 | S7290XA | 15 | 793 | ||
| S72413B | 08 | 533-534 | S72446B | 24 | 963-965 | S7290XA | 24 | 963-965 | ||
| S72413B | 24 | 963-965 | S72446C | 08 | 533-534 | S7290XB | 08 | 533-534 | ||
| S72413C | 08 | 533-534 | S72446C | 24 | 963-965 | S7290XB | 15 | 791 | ||
| S72413C | 24 | 963-965 | S72446D | 08 | 559-561 | S7290XB | 15 | 793 | ||
| S72413D | 08 | 559-561 | S72446E | 08 | 559-561 | S7290XB | 24 | 963-965 | ||
| S72413E | 08 | 559-561 | S72446F | 08 | 559-561 | S7290XC | 08 | 533-534 | ||
| S72413F | 08 | 559-561 | S72446G | 08 | 559-561 | S7290XC | 15 | 791 | ||
| S72413G | 08 | 559-561 | S72446H | 08 | 559-561 | S7290XC | 15 | 793 | ||
| S72413H | 08 | 559-561 | S72446J | 08 | 559-561 | S7290XC | 24 | 963-965 | ||
| S72413J | 08 | 559-561 | S72446K | 08 | 564-566 | S7290XD | 08 | 559-561 | ||
| S72413K | 08 | 564-566 | S72446M | 08 | 564-566 | S7290XE | 08 | 559-561 | ||
| S72413M | 08 | 564-566 | S72446N | 08 | 564-566 | S7290XF | 08 | 559-561 | ||
| S72413N | 08 | 564-566 | S72446P | 08 | 564-566 | S7290XG | 08 | 559-561 | ||
| S72413P | 08 | 564-566 | S72446Q | 08 | 564-566 | S7290XH | 08 | 559-561 | ||
| S72413Q | 08 | 564-566 | S72446R | 08 | 564-566 | S7290XJ | 08 | 559-561 | ||
| S72413R | 08 | 564-566 | S72446S | 08 | 559-561 | S7290XK | 08 | 564-566 | ||
| S72413S | 08 | 559-561 | S72451A | 08 | 533-534 | S7290XM | 08 | 564-566 | ||
| S72414A | 08 | 533-534 | S72451A | 24 | 963-965 | S7290XN | 08 | 564-566 | ||
| S72414A | 24 | 963-965 | S72451B | 08 | 533-534 | S7290XP | 08 | 564-566 | ||
| S72414B | 08 | 533-534 | S72451B | 24 | 963-965 | S7290XQ | 08 | 564-566 | ||
| S72414B | 24 | 963-965 | S72451C | 08 | 533-534 | S7290XR | 08 | 564-566 | ||
| S72414C | 08 | 533-534 | S72451C | 24 | 963-965 | S7290XS | 08 | 559-561 | ||
| S72414C | 24 | 963-965 | S72451D | 08 | 559-561 | S7291XA | 08 | 533-534 | ||
| S72414D | 08 | 559-561 | S72451E | 08 | 559-561 | S7291XA | 15 | 791 | ||
| S72414E | 08 | 559-561 | S72451F | 08 | 559-561 | S7291XA | 15 | 793 | ||
| S72414F | 08 | 559-561 | S72451G | 08 | 559-561 | S7291XA | 24 | 963-965 | ||
| S72414G | 08 | 559-561 | S72451H | 08 | 559-561 | S7291XB | 08 | 533-534 | ||
| S72414H | 08 | 559-561 | S72451J | 08 | 559-561 | S7291XB | 15 | 791 | ||
| S7291XB | 15 | 793 | ||||||||
| S7291XB | 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 |