ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 60 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S82854P | 08 | 564-566 | S83005A | 08 | 562-563 | S83519A | 08 | 562-563 | ||
S82854Q | 08 | 564-566 | S83005A | 24 | 963-965 | S83519A | 24 | 963-965 | ||
S82854R | 08 | 564-566 | S83005D | 23 | 949-950 | S83519D | 23 | 949-950 | ||
S82854S | 08 | 559-561 | S83005S | 08 | 562-563 | S83519S | 08 | 562-563 | ||
S82855A | 08 | 562-563 | S83006A | 08 | 562-563 | S83521A | 08 | 562-563 | ||
S82855A | 24 | 963-965 | S83006A | 24 | 963-965 | S83521A | 24 | 963-965 | ||
S82855B | 08 | 562-563 | S83006D | 23 | 949-950 | S83521D | 23 | 949-950 | ||
S82855B | 24 | 963-965 | S83006S | 08 | 562-563 | S83521S | 08 | 562-563 | ||
S82855C | 08 | 562-563 | S83011A | 08 | 562-563 | S83522A | 08 | 562-563 | ||
S82855C | 24 | 963-965 | S83011A | 24 | 963-965 | S83522A | 24 | 963-965 | ||
S82855D | 08 | 559-561 | S83011D | 23 | 949-950 | S83522D | 23 | 949-950 | ||
S82855E | 08 | 559-561 | S83011S | 08 | 562-563 | S83522S | 08 | 562-563 | ||
S82855F | 08 | 559-561 | S83012A | 08 | 562-563 | S83529A | 08 | 562-563 | ||
S82855G | 08 | 559-561 | S83012A | 24 | 963-965 | S83529A | 24 | 963-965 | ||
S82855H | 08 | 559-561 | S83012D | 23 | 949-950 | S83529D | 23 | 949-950 | ||
S82855J | 08 | 559-561 | S83012S | 08 | 562-563 | S83529S | 08 | 562-563 | ||
S82855K | 08 | 564-566 | S83013A | 08 | 562-563 | S8360XA | 08 | 562-563 | ||
S82855M | 08 | 564-566 | S83013A | 24 | 963-965 | S8360XA | 24 | 963-965 | ||
S82855N | 08 | 564-566 | S83013D | 23 | 949-950 | S8360XD | 23 | 949-950 | ||
S82855P | 08 | 564-566 | S83013S | 08 | 562-563 | S8360XS | 08 | 562-563 | ||
S82855Q | 08 | 564-566 | S83014A | 08 | 562-563 | S8361XA | 08 | 562-563 | ||
S82855R | 08 | 564-566 | S83014A | 24 | 963-965 | S8361XA | 24 | 963-965 | ||
S82855S | 08 | 559-561 | S83014D | 23 | 949-950 | S8361XD | 23 | 949-950 | ||
S82856A | 08 | 562-563 | S83014S | 08 | 562-563 | S8361XS | 08 | 562-563 | ||
S82856A | 24 | 963-965 | S83015A | 08 | 562-563 | S8362XA | 08 | 562-563 | ||
S82856B | 08 | 562-563 | S83015A | 24 | 963-965 | S8362XA | 24 | 963-965 | ||
S82856B | 24 | 963-965 | S83015D | 23 | 949-950 | S8362XD | 23 | 949-950 | ||
S82856C | 08 | 562-563 | S83015S | 08 | 562-563 | S8362XS | 08 | 562-563 | ||
S82856C | 24 | 963-965 | S83016A | 08 | 562-563 | S838X1A | 08 | 562-563 | ||
S82856D | 08 | 559-561 | S83016A | 24 | 963-965 | S838X1A | 24 | 963-965 | ||
S82856E | 08 | 559-561 | S83016D | 23 | 949-950 | S838X1D | 23 | 949-950 | ||
S82856F | 08 | 559-561 | S83016S | 08 | 562-563 | S838X1S | 08 | 562-563 | ||
S82856G | 08 | 559-561 | S83091A | 08 | 562-563 | S838X2A | 08 | 562-563 | ||
S82856H | 08 | 559-561 | S83091A | 24 | 963-965 | S838X2A | 24 | 963-965 | ||
S82856J | 08 | 559-561 | S83091D | 23 | 949-950 | S838X2D | 23 | 949-950 | ||
S82856K | 08 | 564-566 | S83091S | 08 | 562-563 | S838X2S | 08 | 562-563 | ||
S82856M | 08 | 564-566 | S83092A | 08 | 562-563 | S838X9A | 08 | 562-563 | ||
S82856N | 08 | 564-566 | S83092A | 24 | 963-965 | S838X9A | 24 | 963-965 | ||
S82856P | 08 | 564-566 | S83092D | 23 | 949-950 | S838X9D | 23 | 949-950 | ||
S82856Q | 08 | 564-566 | S83092S | 08 | 562-563 | S838X9S | 08 | 562-563 | ||
S82856R | 08 | 564-566 | S83093A | 08 | 562-563 | S8390XA | 08 | 562-563 | ||
S82856S | 08 | 559-561 | S83093A | 24 | 963-965 | S8390XA | 24 | 963-965 | ||
S82861A | 08 | 562-563 | S83093D | 23 | 949-950 | S8390XD | 23 | 949-950 | ||
S82861A | 24 | 963-965 | S83093S | 08 | 562-563 | S8390XS | 08 | 562-563 | ||
S82861B | 08 | 562-563 | S83094A | 08 | 562-563 | S8391XA | 08 | 562-563 | ||
S82861B | 24 | 963-965 | S83094A | 24 | 963-965 | S8391XA | 24 | 963-965 | ||
S82861C | 08 | 562-563 | S83094D | 23 | 949-950 | S8391XD | 23 | 949-950 | ||
S82861C | 24 | 963-965 | S83094S | 08 | 562-563 | S8391XS | 08 | 562-563 | ||
S82861D | 08 | 559-561 | S83095A | 08 | 562-563 | S8392XA | 08 | 562-563 | ||
S82861E | 08 | 559-561 | S83095A | 24 | 963-965 | S8392XA | 24 | 963-965 | ||
S82861F | 08 | 559-561 | S83095D | 23 | 949-950 | S8392XD | 23 | 949-950 | ||
S82861G | 08 | 559-561 | S83095S | 08 | 562-563 | S8392XS | 08 | 562-563 | ||
S82861H | 08 | 559-561 | S83096A | 08 | 562-563 | S8400XA | 01 | 073-074 | ||
S82861J | 08 | 559-561 | S83096A | 24 | 963-965 | S8400XA | 24 | 963-965 | ||
S82861K | 08 | 564-566 | S83096D | 23 | 949-950 | S8400XD | 23 | 949-950 | ||
S82861M | 08 | 564-566 | S83096S | 08 | 562-563 | S8400XS | 01 | 091-093 | ||
S82861N | 08 | 564-566 | S83101A | 08 | 562-563 | S8401XA | 01 | 073-074 | ||
S82861P | 08 | 564-566 | S83101A | 24 | 963-965 | S8401XA | 24 | 963-965 | ||
S82861Q | 08 | 564-566 | S83101D | 23 | 949-950 | S8401XD | 23 | 949-950 | ||
S82861R | 08 | 564-566 | S83101S | 08 | 562-563 | S8401XS | 01 | 091-093 | ||
S82861S | 08 | 559-561 | S83102A | 08 | 562-563 | S8402XA | 01 | 073-074 | ||
S82862A | 08 | 562-563 | S83102A | 24 | 963-965 | S8402XA | 24 | 963-965 | ||
S82862A | 24 | 963-965 | S83102D | 23 | 949-950 | S8402XD | 23 | 949-950 | ||
S82862B | 08 | 562-563 | S83102S | 08 | 562-563 | S8402XS | 01 | 091-093 | ||
S82862B | 24 | 963-965 | S83103A | 08 | 562-563 | S8410XA | 01 | 073-074 | ||
S82862C | 08 | 562-563 | S83103A | 24 | 963-965 | S8410XA | 24 | 963-965 | ||
S82862C | 24 | 963-965 | S83103D | 23 | 949-950 | S8410XD | 23 | 949-950 | ||
S82862D | 08 | 559-561 | S83103S | 08 | 562-563 | S8410XS | 01 | 091-093 | ||
S82862E | 08 | 559-561 | S83104A | 08 | 562-563 | S8411XA | 01 | 073-074 | ||
S82862F | 08 | 559-561 | S83104A | 24 | 963-965 | S8411XA | 24 | 963-965 | ||
S82862G | 08 | 559-561 | S83104D | 23 | 949-950 | S8411XD | 23 | 949-950 | ||
S82862H | 08 | 559-561 | S83104S | 08 | 562-563 | S8411XS | 01 | 091-093 | ||
S82862J | 08 | 559-561 | S83105A | 08 | 562-563 | S8412XA | 01 | 073-074 | ||
S82862K | 08 | 564-566 | S83105A | 24 | 963-965 | S8412XA | 24 | 963-965 | ||
S82862M | 08 | 564-566 | S83105D | 23 | 949-950 | S8412XD | 23 | 949-950 | ||
S82862N | 08 | 564-566 | S83105S | 08 | 562-563 | S8412XS | 01 | 091-093 | ||
S82862P | 08 | 564-566 | S83106A | 08 | 562-563 | S8420XA | 01 | 073-074 | ||
S82862Q | 08 | 564-566 | S83106A | 24 | 963-965 | S8420XA | 24 | 963-965 | ||
S82862R | 08 | 564-566 | S83106D | 23 | 949-950 | S8420XD | 23 | 949-950 | ||
S82862S | 08 | 559-561 | S83106S | 08 | 562-563 | S8420XS | 01 | 091-093 | ||
S82863A | 08 | 562-563 | S83111A | 08 | 562-563 | S8421XA | 01 | 073-074 | ||
S82863A | 24 | 963-965 | S83111A | 24 | 963-965 | S8421XA | 24 | 963-965 | ||
S82863B | 08 | 562-563 | S83111D | 23 | 949-950 | S8421XD | 23 | 949-950 | ||
S82863B | 24 | 963-965 | S83111S | 08 | 562-563 | S8421XS | 01 | 091-093 | ||
S82863C | 08 | 562-563 | S83112A | 08 | 562-563 | S8422XA | 01 | 073-074 | ||
S82863C | 24 | 963-965 | S83112A | 24 | 963-965 | S8422XA | 24 | 963-965 | ||
S82863D | 08 | 559-561 | S83112D | 23 | 949-950 | S8422XD | 23 | 949-950 | ||
S82863E | 08 | 559-561 | S83112S | 08 | 562-563 | S8422XS | 01 | 091-093 | ||
S82863F | 08 | 559-561 | S83113A | 08 | 562-563 | S84801A | 01 | 073-074 | ||
S82863G | 08 | 559-561 | S83113A | 24 | 963-965 | S84801A | 24 | 963-965 | ||
S82863H | 08 | 559-561 | S83113D | 23 | 949-950 | S84801D | 23 | 949-950 | ||
S82863J | 08 | 559-561 | S83113S | 08 | 562-563 | S84801S | 01 | 091-093 | ||
S82863K | 08 | 564-566 | S83114A | 08 | 562-563 | S84802A | 01 | 073-074 | ||
S82863M | 08 | 564-566 | S83114A | 24 | 963-965 | S84802A | 24 | 963-965 | ||
S82863N | 08 | 564-566 | S83114D | 23 | 949-950 | S84802D | 23 | 949-950 | ||
S82863P | 08 | 564-566 | S83114S | 08 | 562-563 | S84802S | 01 | 091-093 | ||
S82863Q | 08 | 564-566 | S83115A | 08 | 562-563 | S84809A | 01 | 073-074 | ||
S82863R | 08 | 564-566 | S83115A | 24 | 963-965 | S84809A | 24 | 963-965 | ||
S82863S | 08 | 559-561 | S83115D | 23 | 949-950 | S84809D | 23 | 949-950 | ||
S82864A | 08 | 562-563 | S83115S | 08 | 562-563 | S84809S | 01 | 091-093 | ||
S82864A | 24 | 963-965 | S83116A | 08 | 562-563 | S8490XA | 01 | 073-074 | ||
S82864B | 08 | 562-563 | S83116A | 24 | 963-965 | S8490XA | 24 | 963-965 | ||
S82864B | 24 | 963-965 | S83116D | 23 | 949-950 | S8490XD | 23 | 949-950 | ||
S82864C | 08 | 562-563 | S83116S | 08 | 562-563 | S8490XS | 01 | 091-093 | ||
S82864C | 24 | 963-965 | S83121A | 08 | 562-563 | S8491XA | 01 | 073-074 | ||
S82864D | 08 | 559-561 | S83121A | 24 | 963-965 | S8491XA | 24 | 963-965 | ||
S82864E | 08 | 559-561 | S83121D | 23 | 949-950 | S8491XD | 23 | 949-950 | ||
S82864F | 08 | 559-561 | S83121S | 08 | 562-563 | S8491XS | 01 | 091-093 | ||
S82864G | 08 | 559-561 | S83122A | 08 | 562-563 | S8492XA | 01 | 073-074 | ||
S82864H | 08 | 559-561 | S83122A | 24 | 963-965 | S8492XA | 24 | 963-965 | ||
S82864J | 08 | 559-561 | S83122D | 23 | 949-950 | S8492XD | 23 | 949-950 | ||
S82864K | 08 | 564-566 | S83122S | 08 | 562-563 | S8492XS | 01 | 091-093 | ||
S82864M | 08 | 564-566 | S83123A | 08 | 562-563 | S85001A | 21 | 913-914 | ||
S82864N | 08 | 564-566 | S83123A | 24 | 963-965 | S85001A | 24 | 963-965 | ||
S82864P | 08 | 564-566 | S83123D | 23 | 949-950 | S85001D | 23 | 949-950 | ||
S82864Q | 08 | 564-566 | S83123S | 08 | 562-563 | S85001S | 05 | 299-301 | ||
S82864R | 08 | 564-566 | S83124A | 08 | 562-563 | S85002A | 21 | 913-914 | ||
S82864S | 08 | 559-561 | S83124A | 24 | 963-965 | S85002A | 24 | 963-965 | ||
S82865A | 08 | 562-563 | S83124D | 23 | 949-950 | S85002D | 23 | 949-950 | ||
S82865A | 24 | 963-965 | S83124S | 08 | 562-563 | S85002S | 05 | 299-301 | ||
S82865B | 08 | 562-563 | S83125A | 08 | 562-563 | S85009A | 21 | 913-914 | ||
S82865B | 24 | 963-965 | S83125A | 24 | 963-965 | S85009A | 24 | 963-965 | ||
S82865C | 08 | 562-563 | S83125D | 23 | 949-950 | S85009D | 23 | 949-950 | ||
S82865C | 24 | 963-965 | S83125S | 08 | 562-563 | S85009S | 05 | 299-301 | ||
S82865D | 08 | 559-561 | S83126A | 08 | 562-563 | S85011A | 21 | 913-914 | ||
S82865E | 08 | 559-561 | S83126A | 24 | 963-965 | S85011A | 24 | 963-965 | ||
S82865F | 08 | 559-561 | S83126D | 23 | 949-950 | S85011D | 23 | 949-950 | ||
S82865G | 08 | 559-561 | S83126S | 08 | 562-563 | S85011S | 05 | 299-301 | ||
S82865H | 08 | 559-561 | S83131A | 08 | 562-563 | S85012A | 21 | 913-914 | ||
S82865J | 08 | 559-561 | S83131A | 24 | 963-965 | S85012A | 24 | 963-965 | ||
S82865K | 08 | 564-566 | S83131D | 23 | 949-950 | S85012D | 23 | 949-950 | ||
S82865M | 08 | 564-566 | S83131S | 08 | 562-563 | S85012S | 05 | 299-301 | ||
S82865N | 08 | 564-566 | S83132A | 08 | 562-563 | S85019A | 21 | 913-914 | ||
S82865P | 08 | 564-566 | S83132A | 24 | 963-965 | S85019A | 24 | 963-965 | ||
S82865Q | 08 | 564-566 | S83132D | 23 | 949-950 | S85019D | 23 | 949-950 | ||
S82865R | 08 | 564-566 | S83132S | 08 | 562-563 | S85019S | 05 | 299-301 | ||
S82865S | 08 | 559-561 | S83133A | 08 | 562-563 | S85091A | 21 | 913-914 | ||
S82866A | 08 | 562-563 | S83133A | 24 | 963-965 | S85091A | 24 | 963-965 | ||
S82866A | 24 | 963-965 | S83133D | 23 | 949-950 | S85091D | 23 | 949-950 | ||
S82866B | 08 | 562-563 | S83133S | 08 | 562-563 | S85091S | 05 | 299-301 | ||
S82866B | 24 | 963-965 | S83134A | 08 | 562-563 | S85092A | 21 | 913-914 | ||
S82866C | 08 | 562-563 | S83134A | 24 | 963-965 | S85092A | 24 | 963-965 | ||
S82866C | 24 | 963-965 | S83134D | 23 | 949-950 | S85092D | 23 | 949-950 | ||
S82866D | 08 | 559-561 | S83134S | 08 | 562-563 | S85092S | 05 | 299-301 | ||
S82866E | 08 | 559-561 | S83135A | 08 | 562-563 | S85099A | 21 | 913-914 | ||
S82866F | 08 | 559-561 | S83135A | 24 | 963-965 | S85099A | 24 | 963-965 | ||
S82866G | 08 | 559-561 | S83135D | 23 | 949-950 | S85099D | 23 | 949-950 | ||
S82866H | 08 | 559-561 | S83135S | 08 | 562-563 | S85099S | 05 | 299-301 | ||
S82866J | 08 | 559-561 | S83136A | 08 | 562-563 | S85101A | 21 | 913-914 | ||
S82866K | 08 | 564-566 | S83136A | 24 | 963-965 | S85101A | 24 | 963-965 | ||
S82866M | 08 | 564-566 | S83136D | 23 | 949-950 | S85101D | 23 | 949-950 | ||
S82866N | 08 | 564-566 | S83136S | 08 | 562-563 | S85101S | 05 | 299-301 | ||
S82866P | 08 | 564-566 | S83141A | 08 | 562-563 | S85102A | 21 | 913-914 | ||
S82866Q | 08 | 564-566 | S83141A | 24 | 963-965 | S85102A | 24 | 963-965 | ||
S82866R | 08 | 564-566 | S83141D | 23 | 949-950 | S85102D | 23 | 949-950 | ||
S82866S | 08 | 559-561 | S83141S | 08 | 562-563 | S85102S | 05 | 299-301 | ||
S82871A | 08 | 562-563 | S83142A | 08 | 562-563 | S85109A | 21 | 913-914 | ||
S82871A | 24 | 963-965 | S83142A | 24 | 963-965 | S85109A | 24 | 963-965 | ||
S82871B | 08 | 562-563 | S83142D | 23 | 949-950 | S85109D | 23 | 949-950 | ||
S82871B | 24 | 963-965 | S83142S | 08 | 562-563 | S85109S | 05 | 299-301 | ||
S82871C | 08 | 562-563 | S83143A | 08 | 562-563 | S85111A | 21 | 913-914 | ||
S82871C | 24 | 963-965 | S83143A | 24 | 963-965 | S85111A | 24 | 963-965 | ||
S82871D | 08 | 559-561 | S83143D | 23 | 949-950 | S85111D | 23 | 949-950 | ||
S82871E | 08 | 559-561 | S83143S | 08 | 562-563 | S85111S | 05 | 299-301 | ||
S82871F | 08 | 559-561 | S83144A | 08 | 562-563 | S85112A | 21 | 913-914 | ||
S82871G | 08 | 559-561 | S83144A | 24 | 963-965 | S85112A | 24 | 963-965 | ||
S82871H | 08 | 559-561 | S83144D | 23 | 949-950 | S85112D | 23 | 949-950 | ||
S82871J | 08 | 559-561 | S83144S | 08 | 562-563 | S85112S | 05 | 299-301 | ||
S82871K | 08 | 564-566 | S83145A | 08 | 562-563 | S85119A | 21 | 913-914 | ||
S82871M | 08 | 564-566 | S83145A | 24 | 963-965 | S85119A | 24 | 963-965 | ||
S82871N | 08 | 564-566 | S83145D | 23 | 949-950 | S85119D | 23 | 949-950 | ||
S82871P | 08 | 564-566 | S83145S | 08 | 562-563 | S85119S | 05 | 299-301 | ||
S82871Q | 08 | 564-566 | S83146A | 08 | 562-563 | S85121A | 21 | 913-914 | ||
S82871R | 08 | 564-566 | S83146A | 24 | 963-965 | S85121A | 24 | 963-965 | ||
S82871S | 08 | 559-561 | S83146D | 23 | 949-950 | S85121D | 23 | 949-950 | ||
S82872A | 08 | 562-563 | S83146S | 08 | 562-563 | S85121S | 05 | 299-301 | ||
S82872A | 24 | 963-965 | S83191A | 08 | 562-563 | S85122A | 21 | 913-914 | ||
S82872B | 08 | 562-563 | S83191A | 24 | 963-965 | S85122A | 24 | 963-965 | ||
S82872B | 24 | 963-965 | S83191D | 23 | 949-950 | S85122D | 23 | 949-950 | ||
S82872C | 08 | 562-563 | S83191S | 08 | 562-563 | S85122S | 05 | 299-301 | ||
S82872C | 24 | 963-965 | S83192A | 08 | 562-563 | S85129A | 21 | 913-914 | ||
S82872D | 08 | 559-561 | S83192A | 24 | 963-965 | S85129A | 24 | 963-965 | ||
S82872E | 08 | 559-561 | S83192D | 23 | 949-950 | S85129D | 23 | 949-950 | ||
S82872F | 08 | 559-561 | S83192S | 08 | 562-563 | S85129S | 05 | 299-301 | ||
S82872G | 08 | 559-561 | S83193A | 08 | 562-563 | S85131A | 21 | 913-914 | ||
S82872H | 08 | 559-561 | S83193A | 24 | 963-965 | S85131A | 24 | 963-965 | ||
S82872J | 08 | 559-561 | S83193D | 23 | 949-950 | S85131D | 23 | 949-950 | ||
S82872K | 08 | 564-566 | S83193S | 08 | 562-563 | S85131S | 05 | 299-301 | ||
S82872M | 08 | 564-566 | S83194A | 08 | 562-563 | S85132A | 21 | 913-914 | ||
S82872N | 08 | 564-566 | S83194A | 24 | 963-965 | S85132A | 24 | 963-965 | ||
S82872P | 08 | 564-566 | S83194D | 23 | 949-950 | S85132D | 23 | 949-950 | ||
S82872Q | 08 | 564-566 | S83194S | 08 | 562-563 | S85132S | 05 | 299-301 | ||
S82872R | 08 | 564-566 | S83195A | 08 | 562-563 | S85139A | 21 | 913-914 | ||
S82872S | 08 | 559-561 | S83195A | 24 | 963-965 | S85139A | 24 | 963-965 | ||
S82873A | 08 | 562-563 | S83195D | 23 | 949-950 | S85139D | 23 | 949-950 | ||
S82873A | 24 | 963-965 | S83195S | 08 | 562-563 | S85139S | 05 | 299-301 | ||
S82873B | 08 | 562-563 | S83196A | 08 | 562-563 | S85141A | 21 | 913-914 | ||
S82873B | 24 | 963-965 | S83196A | 24 | 963-965 | S85141A | 24 | 963-965 | ||
S82873C | 08 | 562-563 | S83196D | 23 | 949-950 | S85141D | 23 | 949-950 | ||
S82873C | 24 | 963-965 | S83196S | 08 | 562-563 | S85141S | 05 | 299-301 | ||
S82873D | 08 | 559-561 | S83200A | 08 | 562-563 | S85142A | 21 | 913-914 | ||
S82873E | 08 | 559-561 | S83200A | 24 | 963-965 | S85142A | 24 | 963-965 | ||
S82873F | 08 | 559-561 | S83200D | 23 | 949-950 | S85142D | 23 | 949-950 | ||
S82873G | 08 | 559-561 | S83200S | 08 | 562-563 | S85142S | 05 | 299-301 | ||
S82873H | 08 | 559-561 | S83201A | 08 | 562-563 | S85149A | 21 | 913-914 | ||
S82873J | 08 | 559-561 | S83201A | 24 | 963-965 | S85149A | 24 | 963-965 | ||
S82873K | 08 | 564-566 | S83201D | 23 | 949-950 | S85149D | 23 | 949-950 | ||
S82873M | 08 | 564-566 | S83201S | 08 | 562-563 | S85149S | 05 | 299-301 | ||
S82873N | 08 | 564-566 | S83202A | 08 | 562-563 | S85151A | 21 | 913-914 | ||
S82873P | 08 | 564-566 | S83202A | 24 | 963-965 | S85151A | 24 | 963-965 | ||
S82873Q | 08 | 564-566 | S83202D | 23 | 949-950 | S85151D | 23 | 949-950 | ||
S82873R | 08 | 564-566 | S83202S | 08 | 562-563 | S85151S | 05 | 299-301 | ||
S82873S | 08 | 559-561 | S83203A | 08 | 562-563 | S85152A | 21 | 913-914 | ||
S82874A | 08 | 562-563 | S83203A | 24 | 963-965 | S85152A | 24 | 963-965 | ||
S82874A | 24 | 963-965 | S83203D | 23 | 949-950 | S85152D | 23 | 949-950 | ||
S82874B | 08 | 562-563 | S83203S | 08 | 562-563 | S85152S | 05 | 299-301 | ||
S82874B | 24 | 963-965 | S83204A | 08 | 562-563 | S85159A | 21 | 913-914 | ||
S82874C | 08 | 562-563 | S83204A | 24 | 963-965 | S85159A | 24 | 963-965 | ||
S82874C | 24 | 963-965 | S83204D | 23 | 949-950 | S85159D | 23 | 949-950 | ||
S82874D | 08 | 559-561 | S83204S | 08 | 562-563 | S85159S | 05 | 299-301 | ||
S82874E | 08 | 559-561 | S83205A | 08 | 562-563 | S85161A | 21 | 913-914 | ||
S82874F | 08 | 559-561 | S83205A | 24 | 963-965 | S85161A | 24 | 963-965 | ||
S82874G | 08 | 559-561 | S83205D | 23 | 949-950 | S85161D | 23 | 949-950 | ||
S82874H | 08 | 559-561 | S83205S | 08 | 562-563 | S85161S | 05 | 299-301 | ||
S82874J | 08 | 559-561 | S83206A | 08 | 562-563 | S85162A | 21 | 913-914 | ||
S82874K | 08 | 564-566 | S83206A | 24 | 963-965 | S85162A | 24 | 963-965 | ||
S82874M | 08 | 564-566 | S83206D | 23 | 949-950 | S85162D | 23 | 949-950 | ||
S82874N | 08 | 564-566 | S83206S | 08 | 562-563 | S85162S | 05 | 299-301 | ||
S82874P | 08 | 564-566 | S83207A | 08 | 562-563 | S85169A | 21 | 913-914 | ||
S82874Q | 08 | 564-566 | S83207A | 24 | 963-965 | S85169A | 24 | 963-965 | ||
S82874R | 08 | 564-566 | S83207D | 23 | 949-950 | S85169D | 23 | 949-950 | ||
S82874S | 08 | 559-561 | S83207S | 08 | 562-563 | S85169S | 05 | 299-301 | ||
S82875A | 08 | 562-563 | S83209A | 08 | 562-563 | S85171A | 21 | 913-914 | ||
S82875A | 24 | 963-965 | S83209A | 24 | 963-965 | S85171A | 24 | 963-965 | ||
S82875B | 08 | 562-563 | S83209D | 23 | 949-950 | S85171D | 23 | 949-950 | ||
S82875B | 24 | 963-965 | S83209S | 08 | 562-563 | S85171S | 05 | 299-301 | ||
S82875C | 08 | 562-563 | S83211A | 08 | 562-563 | S85172A | 21 | 913-914 | ||
S82875C | 24 | 963-965 | S83211A | 24 | 963-965 | S85172A | 24 | 963-965 | ||
S82875D | 08 | 559-561 | S83211D | 23 | 949-950 | S85172D | 23 | 949-950 | ||
S82875E | 08 | 559-561 | S83211S | 08 | 562-563 | S85172S | 05 | 299-301 | ||
S82875F | 08 | 559-561 | S83212A | 08 | 562-563 | S85179A | 21 | 913-914 | ||
S82875G | 08 | 559-561 | S83212A | 24 | 963-965 | S85179A | 24 | 963-965 | ||
S82875H | 08 | 559-561 | S83212D | 23 | 949-950 | S85179D | 23 | 949-950 | ||
S82875J | 08 | 559-561 | S83212S | 08 | 562-563 | S85179S | 05 | 299-301 | ||
S82875K | 08 | 564-566 | S83219A | 08 | 562-563 | S85181A | 21 | 913-914 | ||
S82875M | 08 | 564-566 | S83219A | 24 | 963-965 | S85181A | 24 | 963-965 | ||
S82875N | 08 | 564-566 | S83219D | 23 | 949-950 | S85181D | 23 | 949-950 | ||
S82875P | 08 | 564-566 | S83219S | 08 | 562-563 | S85181S | 05 | 299-301 | ||
S82875Q | 08 | 564-566 | S83221A | 08 | 562-563 | S85182A | 21 | 913-914 | ||
S82875R | 08 | 564-566 | S83221A | 24 | 963-965 | S85182A | 24 | 963-965 | ||
S82875S | 08 | 559-561 | S83221D | 23 | 949-950 | S85182D | 23 | 949-950 | ||
S82876A | 08 | 562-563 | S83221S | 08 | 562-563 | S85182S | 05 | 299-301 | ||
S82876A | 24 | 963-965 | S83222A | 08 | 562-563 | S85189A | 21 | 913-914 | ||
S82876B | 08 | 562-563 | S83222A | 24 | 963-965 | S85189A | 24 | 963-965 | ||
S82876B | 24 | 963-965 | S83222D | 23 | 949-950 | S85189D | 23 | 949-950 | ||
S82876C | 08 | 562-563 | S83222S | 08 | 562-563 | S85189S | 05 | 299-301 | ||
S82876C | 24 | 963-965 | S83229A | 08 | 562-563 | S85201A | 21 | 913-914 | ||
S82876D | 08 | 559-561 | S83229A | 24 | 963-965 | S85201A | 24 | 963-965 | ||
S82876E | 08 | 559-561 | S83229D | 23 | 949-950 | S85201D | 23 | 949-950 | ||
S82876F | 08 | 559-561 | S83229S | 08 | 562-563 | S85201S | 05 | 299-301 | ||
S82876G | 08 | 559-561 | S83231A | 08 | 562-563 | S85202A | 21 | 913-914 | ||
S82876H | 08 | 559-561 | S83231A | 24 | 963-965 | S85202A | 24 | 963-965 | ||
S82876J | 08 | 559-561 | S83231D | 23 | 949-950 | S85202D | 23 | 949-950 | ||
S82876K | 08 | 564-566 | S83231S | 08 | 562-563 | S85202S | 05 | 299-301 | ||
S82876M | 08 | 564-566 | S83232A | 08 | 562-563 | S85209A | 21 | 913-914 | ||
S82876N | 08 | 564-566 | S83232A | 24 | 963-965 | S85209A | 24 | 963-965 | ||
S82876P | 08 | 564-566 | S83232D | 23 | 949-950 | S85209D | 23 | 949-950 | ||
S82876Q | 08 | 564-566 | S83232S | 08 | 562-563 | S85209S | 05 | 299-301 | ||
S82876R | 08 | 564-566 | S83239A | 08 | 562-563 | S85211A | 21 | 913-914 | ||
S82876S | 08 | 559-561 | S83239A | 24 | 963-965 | S85211A | 24 | 963-965 | ||
S82891A | 08 | 562-563 | S83239D | 23 | 949-950 | S85211D | 23 | 949-950 | ||
S82891A | 24 | 963-965 | S83239S | 08 | 562-563 | S85211S | 05 | 299-301 | ||
S82891B | 08 | 562-563 | S83241A | 08 | 562-563 | S85212A | 21 | 913-914 | ||
S82891B | 24 | 963-965 | S83241A | 24 | 963-965 | S85212A | 24 | 963-965 | ||
S82891C | 08 | 562-563 | S83241D | 23 | 949-950 | S85212D | 23 | 949-950 | ||
S82891C | 24 | 963-965 | S83241S | 08 | 562-563 | S85212S | 05 | 299-301 | ||
S82891D | 08 | 559-561 | S83242A | 08 | 562-563 | S85219A | 21 | 913-914 | ||
S82891E | 08 | 559-561 | S83242A | 24 | 963-965 | S85219A | 24 | 963-965 | ||
S82891F | 08 | 559-561 | S83242D | 23 | 949-950 | S85219D | 23 | 949-950 | ||
S82891G | 08 | 559-561 | S83242S | 08 | 562-563 | S85219S | 05 | 299-301 | ||
S82891H | 08 | 559-561 | S83249A | 08 | 562-563 | S85291A | 21 | 913-914 | ||
S82891J | 08 | 559-561 | S83249A | 24 | 963-965 | S85291A | 24 | 963-965 | ||
S82891K | 08 | 564-566 | S83249D | 23 | 949-950 | S85291D | 23 | 949-950 | ||
S82891M | 08 | 564-566 | S83249S | 08 | 562-563 | S85291S | 05 | 299-301 | ||
S82891N | 08 | 564-566 | S83251A | 08 | 562-563 | S85292A | 21 | 913-914 | ||
S82891P | 08 | 564-566 | S83251A | 24 | 963-965 | S85292A | 24 | 963-965 | ||
S82891Q | 08 | 564-566 | S83251D | 23 | 949-950 | S85292D | 23 | 949-950 | ||
S82891R | 08 | 564-566 | S83251S | 08 | 562-563 | S85292S | 05 | 299-301 | ||
S82891S | 08 | 559-561 | S83252A | 08 | 562-563 | S85299A | 21 | 913-914 | ||
S82892A | 08 | 562-563 | S83252A | 24 | 963-965 | S85299A | 24 | 963-965 | ||
S82892A | 24 | 963-965 | S83252D | 23 | 949-950 | S85299D | 23 | 949-950 | ||
S82892B | 08 | 562-563 | S83252S | 08 | 562-563 | S85299S | 05 | 299-301 | ||
S82892B | 24 | 963-965 | S83259A | 08 | 562-563 | S85301A | 21 | 913-914 | ||
S82892C | 08 | 562-563 | S83259A | 24 | 963-965 | S85301A | 24 | 963-965 | ||
S82892C | 24 | 963-965 | S83259D | 23 | 949-950 | S85301D | 23 | 949-950 | ||
S82892D | 08 | 559-561 | S83259S | 08 | 562-563 | S85301S | 05 | 299-301 | ||
S82892E | 08 | 559-561 | S83261A | 08 | 562-563 | S85302A | 21 | 913-914 | ||
S82892F | 08 | 559-561 | S83261A | 24 | 963-965 | S85302A | 24 | 963-965 | ||
S82892G | 08 | 559-561 | S83261D | 23 | 949-950 | S85302D | 23 | 949-950 | ||
S82892H | 08 | 559-561 | S83261S | 08 | 562-563 | S85302S | 05 | 299-301 | ||
S82892J | 08 | 559-561 | S83262A | 08 | 562-563 | S85309A | 21 | 913-914 | ||
S82892K | 08 | 564-566 | S83262A | 24 | 963-965 | S85309A | 24 | 963-965 | ||
S82892M | 08 | 564-566 | S83262D | 23 | 949-950 | S85309D | 23 | 949-950 | ||
S82892N | 08 | 564-566 | S83262S | 08 | 562-563 | S85309S | 05 | 299-301 | ||
S82892P | 08 | 564-566 | S83269A | 08 | 562-563 | S85311A | 21 | 913-914 | ||
S82892Q | 08 | 564-566 | S83269A | 24 | 963-965 | S85311A | 24 | 963-965 | ||
S82892R | 08 | 564-566 | S83269D | 23 | 949-950 | S85311D | 23 | 949-950 | ||
S82892S | 08 | 559-561 | S83269S | 08 | 562-563 | S85311S | 05 | 299-301 | ||
S82899A | 08 | 562-563 | S83271A | 08 | 562-563 | S85312A | 21 | 913-914 | ||
S82899A | 24 | 963-965 | S83271A | 24 | 963-965 | S85312A | 24 | 963-965 | ||
S82899B | 08 | 562-563 | S83271D | 23 | 949-950 | S85312D | 23 | 949-950 | ||
S82899B | 24 | 963-965 | S83271S | 08 | 562-563 | S85312S | 05 | 299-301 | ||
S82899C | 08 | 562-563 | S83272A | 08 | 562-563 | S85319A | 21 | 913-914 | ||
S82899C | 24 | 963-965 | S83272A | 24 | 963-965 | S85319A | 24 | 963-965 | ||
S82899D | 08 | 559-561 | S83272D | 23 | 949-950 | S85319D | 23 | 949-950 | ||
S82899E | 08 | 559-561 | S83272S | 08 | 562-563 | S85319S | 05 | 299-301 | ||
S82899F | 08 | 559-561 | S83279A | 08 | 562-563 | S85391A | 21 | 913-914 | ||
S82899G | 08 | 559-561 | S83279A | 24 | 963-965 | S85391A | 24 | 963-965 | ||
S82899H | 08 | 559-561 | S83279D | 23 | 949-950 | S85391D | 23 | 949-950 | ||
S82899J | 08 | 559-561 | S83279S | 08 | 562-563 | S85391S | 05 | 299-301 | ||
S82899K | 08 | 564-566 | S83281A | 08 | 562-563 | S85392A | 21 | 913-914 | ||
S82899M | 08 | 564-566 | S83281A | 24 | 963-965 | S85392A | 24 | 963-965 | ||
S82899N | 08 | 564-566 | S83281D | 23 | 949-950 | S85392D | 23 | 949-950 | ||
S82899P | 08 | 564-566 | S83281S | 08 | 562-563 | S85392S | 05 | 299-301 | ||
S82899Q | 08 | 564-566 | S83282A | 08 | 562-563 | S85399A | 21 | 913-914 | ||
S82899R | 08 | 564-566 | S83282A | 24 | 963-965 | S85399A | 24 | 963-965 | ||
S82899S | 08 | 559-561 | S83282D | 23 | 949-950 | S85399D | 23 | 949-950 | ||
S8290XA | 08 | 562-563 | S83282S | 08 | 562-563 | S85399S | 05 | 299-301 | ||
S8290XA | 24 | 963-965 | S83289A | 08 | 562-563 | S85401A | 21 | 913-914 | ||
S8290XB | 08 | 562-563 | S83289A | 24 | 963-965 | S85401A | 24 | 963-965 | ||
S8290XB | 24 | 963-965 | S83289D | 23 | 949-950 | S85401D | 23 | 949-950 | ||
S8290XC | 08 | 562-563 | S83289S | 08 | 562-563 | S85401S | 05 | 299-301 | ||
S8290XC | 24 | 963-965 | S8330XA | 08 | 562-563 | S85402A | 21 | 913-914 | ||
S8290XD | 08 | 559-561 | S8330XA | 24 | 963-965 | S85402A | 24 | 963-965 | ||
S8290XE | 08 | 559-561 | S8330XD | 23 | 949-950 | S85402D | 23 | 949-950 | ||
S8290XF | 08 | 559-561 | S8330XS | 08 | 562-563 | S85402S | 05 | 299-301 | ||
S8290XG | 08 | 559-561 | S8331XA | 08 | 562-563 | S85409A | 21 | 913-914 | ||
S8290XH | 08 | 559-561 | S8331XA | 24 | 963-965 | S85409A | 24 | 963-965 | ||
S8290XJ | 08 | 559-561 | S8331XD | 23 | 949-950 | S85409D | 23 | 949-950 | ||
S8290XK | 08 | 564-566 | S8331XS | 08 | 562-563 | S85409S | 05 | 299-301 | ||
S8290XM | 08 | 564-566 | S8332XA | 08 | 562-563 | S85411A | 21 | 913-914 | ||
S8290XN | 08 | 564-566 | S8332XA | 24 | 963-965 | S85411A | 24 | 963-965 | ||
S8290XP | 08 | 564-566 | S8332XD | 23 | 949-950 | S85411D | 23 | 949-950 | ||
S8290XQ | 08 | 564-566 | S8332XS | 08 | 562-563 | S85411S | 05 | 299-301 | ||
S8290XR | 08 | 564-566 | S83401A | 08 | 562-563 | S85412A | 21 | 913-914 | ||
S8290XS | 08 | 559-561 | S83401A | 24 | 963-965 | S85412A | 24 | 963-965 | ||
S8291XA | 08 | 562-563 | S83401D | 23 | 949-950 | S85412D | 23 | 949-950 | ||
S8291XA | 24 | 963-965 | S83401S | 08 | 562-563 | S85412S | 05 | 299-301 | ||
S8291XB | 08 | 562-563 | S83402A | 08 | 562-563 | S85419A | 21 | 913-914 | ||
S8291XB | 24 | 963-965 | S83402A | 24 | 963-965 | S85419A | 24 | 963-965 | ||
S8291XC | 08 | 562-563 | S83402D | 23 | 949-950 | S85419D | 23 | 949-950 | ||
S8291XC | 24 | 963-965 | S83402S | 08 | 562-563 | S85419S | 05 | 299-301 | ||
S8291XD | 08 | 559-561 | S83409A | 08 | 562-563 | S85491A | 21 | 913-914 | ||
S8291XE | 08 | 559-561 | S83409A | 24 | 963-965 | S85491A | 24 | 963-965 | ||
S8291XF | 08 | 559-561 | S83409D | 23 | 949-950 | S85491D | 23 | 949-950 | ||
S8291XG | 08 | 559-561 | S83409S | 08 | 562-563 | S85491S | 05 | 299-301 | ||
S8291XH | 08 | 559-561 | S83411A | 08 | 562-563 | S85492A | 21 | 913-914 | ||
S8291XJ | 08 | 559-561 | S83411A | 24 | 963-965 | S85492A | 24 | 963-965 | ||
S8291XK | 08 | 564-566 | S83411D | 23 | 949-950 | S85492D | 23 | 949-950 | ||
S8291XM | 08 | 564-566 | S83411S | 08 | 562-563 | S85492S | 05 | 299-301 | ||
S8291XN | 08 | 564-566 | S83412A | 08 | 562-563 | S85499A | 21 | 913-914 | ||
S8291XP | 08 | 564-566 | S83412A | 24 | 963-965 | S85499A | 24 | 963-965 | ||
S8291XQ | 08 | 564-566 | S83412D | 23 | 949-950 | S85499D | 23 | 949-950 | ||
S8291XR | 08 | 564-566 | S83412S | 08 | 562-563 | S85499S | 05 | 299-301 | ||
S8291XS | 08 | 559-561 | S83419A | 08 | 562-563 | S85501A | 21 | 913-914 | ||
S8292XA | 08 | 562-563 | S83419A | 24 | 963-965 | S85501A | 24 | 963-965 | ||
S8292XA | 24 | 963-965 | S83419D | 23 | 949-950 | S85501D | 23 | 949-950 | ||
S8292XB | 08 | 562-563 | S83419S | 08 | 562-563 | S85501S | 05 | 299-301 | ||
S8292XB | 24 | 963-965 | S83421A | 08 | 562-563 | S85502A | 21 | 913-914 | ||
S8292XC | 08 | 562-563 | S83421A | 24 | 963-965 | S85502A | 24 | 963-965 | ||
S8292XC | 24 | 963-965 | S83421D | 23 | 949-950 | S85502D | 23 | 949-950 | ||
S8292XD | 08 | 559-561 | S83421S | 08 | 562-563 | S85502S | 05 | 299-301 | ||
S8292XE | 08 | 559-561 | S83422A | 08 | 562-563 | S85509A | 21 | 913-914 | ||
S8292XF | 08 | 559-561 | S83422A | 24 | 963-965 | S85509A | 24 | 963-965 | ||
S8292XG | 08 | 559-561 | S83422D | 23 | 949-950 | S85509D | 23 | 949-950 | ||
S8292XH | 08 | 559-561 | S83422S | 08 | 562-563 | S85509S | 05 | 299-301 | ||
S8292XJ | 08 | 559-561 | S83429A | 08 | 562-563 | S85511A | 21 | 913-914 | ||
S8292XK | 08 | 564-566 | S83429A | 24 | 963-965 | S85511A | 24 | 963-965 | ||
S8292XM | 08 | 564-566 | S83429D | 23 | 949-950 | S85511D | 23 | 949-950 | ||
S8292XN | 08 | 564-566 | S83429S | 08 | 562-563 | S85511S | 05 | 299-301 | ||
S8292XP | 08 | 564-566 | S83501A | 08 | 562-563 | S85512A | 21 | 913-914 | ||
S8292XQ | 08 | 564-566 | S83501A | 24 | 963-965 | S85512A | 24 | 963-965 | ||
S8292XR | 08 | 564-566 | S83501D | 23 | 949-950 | S85512D | 23 | 949-950 | ||
S8292XS | 08 | 559-561 | S83501S | 08 | 562-563 | S85512S | 05 | 299-301 | ||
S83001A | 08 | 562-563 | S83502A | 08 | 562-563 | S85519A | 21 | 913-914 | ||
S83001A | 24 | 963-965 | S83502A | 24 | 963-965 | S85519A | 24 | 963-965 | ||
S83001D | 23 | 949-950 | S83502D | 23 | 949-950 | S85519D | 23 | 949-950 | ||
S83001S | 08 | 562-563 | S83502S | 08 | 562-563 | S85519S | 05 | 299-301 | ||
S83002A | 08 | 562-563 | S83509A | 08 | 562-563 | S85591A | 21 | 913-914 | ||
S83002A | 24 | 963-965 | S83509A | 24 | 963-965 | S85591A | 24 | 963-965 | ||
S83002D | 23 | 949-950 | S83509D | 23 | 949-950 | S85591D | 23 | 949-950 | ||
S83002S | 08 | 562-563 | S83509S | 08 | 562-563 | S85591S | 05 | 299-301 | ||
S83003A | 08 | 562-563 | S83511A | 08 | 562-563 | S85592A | 21 | 913-914 | ||
S83003A | 24 | 963-965 | S83511A | 24 | 963-965 | S85592A | 24 | 963-965 | ||
S83003D | 23 | 949-950 | S83511D | 23 | 949-950 | S85592D | 23 | 949-950 | ||
S83003S | 08 | 562-563 | S83511S | 08 | 562-563 | S85592S | 05 | 299-301 | ||
S83004A | 08 | 562-563 | S83512A | 08 | 562-563 | S85599A | 21 | 913-914 | ||
S83004A | 24 | 963-965 | S83512A | 24 | 963-965 | S85599A | 24 | 963-965 | ||
S83004D | 23 | 949-950 | S83512D | 23 | 949-950 | S85599D | 23 | 949-950 | ||
S83004S | 08 | 562-563 | S83512S | 08 | 562-563 | S85599S | 05 | 299-301 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |