ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
Diagnosis Code/MDC/MS-DRG Index
Page 65 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
DXMDCMS-DRG  DXMDCMS-DRG  DXMDCMS-DRG
S99032A21913-914 S99812A21913-914 T2017XA22935
S99032A24963-965 S99812A24963-965 T2017XD23949-950
S99032B21913-914 S99812D23949-950 T2017XS09604-605
S99032B24963-965 S99812S21913-914 T2019XA22935
S99032D23949-950 S99819A21913-914 T2019XD23949-950
S99032G23949-950 S99819A24963-965 T2019XS09604-605
S99032K23949-950 S99819D23949-950 T2020XA22935
S99032P23949-950 S99819S21913-914 T2020XD23949-950
S99032S21913-914 S99821A21913-914 T2020XS09604-605
S99039A21913-914 S99821A24963-965 T20211A22935
S99039A24963-965 S99821D23949-950 T20211D23949-950
S99039B21913-914 S99821S21913-914 T20211S09604-605
S99039B24963-965 S99822A21913-914 T20212A22935
S99039D23949-950 S99822A24963-965 T20212D23949-950
S99039G23949-950 S99822D23949-950 T20212S09604-605
S99039K23949-950 S99822S21913-914 T20219A22935
S99039P23949-950 S99829A21913-914 T20219D23949-950
S99039S21913-914 S99829A24963-965 T20219S09604-605
S99041A21913-914 S99829D23949-950 T2022XA22935
S99041A24963-965 S99829S21913-914 T2022XD23949-950
S99041B21913-914 S99911A21913-914 T2022XS09604-605
S99041B24963-965 S99911A24963-965 T2023XA22935
S99041D23949-950 S99911D23949-950 T2023XD23949-950
S99041G23949-950 S99911S21913-914 T2023XS09604-605
S99041K23949-950 S99912A21913-914 T2024XA22935
S99041P23949-950 S99912A24963-965 T2024XD23949-950
S99041S21913-914 S99912D23949-950 T2024XS09604-605
S99042A21913-914 S99912S21913-914 T2025XA22935
S99042A24963-965 S99919A21913-914 T2025XD23949-950
S99042B21913-914 S99919A24963-965 T2025XS09604-605
S99042B24963-965 S99919D23949-950 T2026XA22935
S99042D23949-950 S99919S21913-914 T2026XD23949-950
S99042G23949-950 S99921A21913-914 T2026XS09604-605
S99042K23949-950 S99921A24963-965 T2027XA22935
S99042P23949-950 S99921D23949-950 T2027XD23949-950
S99042S21913-914 S99921S21913-914 T2027XS09604-605
S99049A21913-914 S99922A21913-914 T2029XA22935
S99049A24963-965 S99922A24963-965 T2029XD23949-950
S99049B21913-914 S99922D23949-950 T2029XS09604-605
S99049B24963-965 S99922S21913-914 T2030XA22927,933
S99049D23949-950 S99929A21913-914 T2030XA22928-929,934
S99049G23949-950 S99929A24963-965 T2030XD23949-950
S99049K23949-950 S99929D23949-950 T2030XS09604-605
S99049P23949-950 S99929S21913-914 T20311A22927,933
S99049S21913-914 T07XXXA21913-914 T20311A22928-929,934
S99091A21913-914 T07XXXA24963-965 T20311D23949-950
S99091A24963-965 T07XXXD23949-950 T20311S09604-605
S99091B21913-914 T07XXXS21913-914 T20312A22927,933
S99091B24963-965 T148XXA21913-914 T20312A22928-929,934
S99091D23949-950 T148XXA24963-965 T20312D23949-950
S99091G23949-950 T148XXD23949-950 T20312S09604-605
S99091K23949-950 T148XXS21913-914 T20319A22927,933
S99091P23949-950 T1490XA21913-914 T20319A22928-929,934
S99091S21913-914 T1490XA24963-965 T20319D23949-950
S99092A21913-914 T1490XD23949-950 T20319S09604-605
S99092A24963-965 T1490XS21913-914 T2032XA22927,933
S99092B21913-914 T1491XA21913-914 T2032XA22928-929,934
S99092B24963-965 T1491XA24963-965 T2032XD23949-950
S99092D23949-950 T1491XD23949-950 T2032XS09604-605
S99092G23949-950 T1491XS21913-914 T2033XA22927,933
S99092K23949-950 T1500XA02124-125 T2033XA22928-929,934
S99092P23949-950 T1500XD23949-950 T2033XD23949-950
S99092S21913-914 T1500XS21913-914 T2033XS09604-605
S99099A21913-914 T1501XA02124-125 T2034XA22927,933
S99099A24963-965 T1501XD23949-950 T2034XA22928-929,934
S99099B21913-914 T1501XS21913-914 T2034XD23949-950
S99099B24963-965 T1502XA02124-125 T2034XS09604-605
S99099D23949-950 T1502XD23949-950 T2035XA22927,933
S99099G23949-950 T1502XS21913-914 T2035XA22928-929,934
S99099K23949-950 T1510XA02124-125 T2035XD23949-950
S99099P23949-950 T1510XD23949-950 T2035XS09604-605
S99099S21913-914 T1510XS21913-914 T2036XA22927,933
S99101A21913-914 T1511XA02124-125 T2036XA22928-929,934
S99101A24963-965 T1511XD23949-950 T2036XD23949-950
S99101B21913-914 T1511XS21913-914 T2036XS09604-605
S99101B24963-965 T1512XA02124-125 T2037XA22927,933
S99101D23949-950 T1512XD23949-950 T2037XA22928-929,934
S99101G23949-950 T1512XS21913-914 T2037XD23949-950
S99101K23949-950 T1580XA02124-125 T2037XS09604-605
S99101P23949-950 T1580XD23949-950 T2039XA22927,933
S99101S21913-914 T1580XS21913-914 T2039XA22928-929,934
S99102A21913-914 T1581XA02124-125 T2039XD23949-950
S99102A24963-965 T1581XD23949-950 T2039XS09604-605
S99102B21913-914 T1581XS21913-914 T2040XA22935
S99102B24963-965 T1582XA02124-125 T2040XD23949-950
S99102D23949-950 T1582XD23949-950 T2040XS09604-605
S99102G23949-950 T1582XS21913-914 T20411A22935
S99102K23949-950 T1590XA02124-125 T20411D23949-950
S99102P23949-950 T1590XD23949-950 T20411S09604-605
S99102S21913-914 T1590XS21913-914 T20412A22935
S99109A21913-914 T1591XA02124-125 T20412D23949-950
S99109A24963-965 T1591XD23949-950 T20412S09604-605
S99109B21913-914 T1591XS21913-914 T20419A22935
S99109B24963-965 T1592XA02124-125 T20419D23949-950
S99109D23949-950 T1592XD23949-950 T20419S09604-605
S99109G23949-950 T1592XS21913-914 T2042XA22935
S99109K23949-950 T161XXA03154-156 T2042XD23949-950
S99109P23949-950 T161XXD23949-950 T2042XS09604-605
S99109S21913-914 T161XXS21913-914 T2043XA22935
S99111A21913-914 T162XXA03154-156 T2043XD23949-950
S99111A24963-965 T162XXD23949-950 T2043XS09604-605
S99111B21913-914 T162XXS21913-914 T2044XA22935
S99111B24963-965 T169XXA03154-156 T2044XD23949-950
S99111D23949-950 T169XXD23949-950 T2044XS09604-605
S99111G23949-950 T169XXS21913-914 T2045XA22935
S99111K23949-950 T170XXA03154-156 T2045XD23949-950
S99111P23949-950 T170XXD23949-950 T2045XS09604-605
S99111S21913-914 T170XXS21913-914 T2046XA22935
S99112A21913-914 T171XXA03154-156 T2046XD23949-950
S99112A24963-965 T171XXD23949-950 T2046XS09604-605
S99112B21913-914 T171XXS21913-914 T2047XA22935
S99112B24963-965 T17200APre011-013 T2047XD23949-950
S99112D23949-950 T17200A03154-156 T2047XS09604-605
S99112G23949-950 T17200D23949-950 T2049XA22935
S99112K23949-950 T17200S21913-914 T2049XD23949-950
S99112P23949-950 T17208APre011-013 T2049XS09604-605
S99112S21913-914 T17208A03154-156 T2050XA22935
S99119A21913-914 T17208D23949-950 T2050XD23949-950
S99119A24963-965 T17208S21913-914 T2050XS09604-605
S99119B21913-914 T17210APre011-013 T20511A22935
S99119B24963-965 T17210A03154-156 T20511D23949-950
S99119D23949-950 T17210D23949-950 T20511S09604-605
S99119G23949-950 T17210S21913-914 T20512A22935
S99119K23949-950 T17218APre011-013 T20512D23949-950
S99119P23949-950 T17218A03154-156 T20512S09604-605
S99119S21913-914 T17218D23949-950 T20519A22935
S99121A21913-914 T17218S21913-914 T20519D23949-950
S99121A24963-965 T17220APre011-013 T20519S09604-605
S99121B21913-914 T17220A03154-156 T2052XA22935
S99121B24963-965 T17220D23949-950 T2052XD23949-950
S99121D23949-950 T17220S21913-914 T2052XS09604-605
S99121G23949-950 T17228APre011-013 T2053XA22935
S99121K23949-950 T17228A03154-156 T2053XD23949-950
S99121P23949-950 T17228D23949-950 T2053XS09604-605
S99121S21913-914 T17228S21913-914 T2054XA22935
S99122A21913-914 T17290APre011-013 T2054XD23949-950
S99122A24963-965 T17290A03154-156 T2054XS09604-605
S99122B21913-914 T17290D23949-950 T2055XA22935
S99122B24963-965 T17290S21913-914 T2055XD23949-950
S99122D23949-950 T17298APre011-013 T2055XS09604-605
S99122G23949-950 T17298A03154-156 T2056XA22935
S99122K23949-950 T17298D23949-950 T2056XD23949-950
S99122P23949-950 T17298S21913-914 T2056XS09604-605
S99122S21913-914 T17300APre011-013 T2057XA22935
S99129A21913-914 T17300A03154-156 T2057XD23949-950
S99129A24963-965 T17300D23949-950 T2057XS09604-605
S99129B21913-914 T17300S21913-914 T2059XA22935
S99129B24963-965 T17308APre011-013 T2059XD23949-950
S99129D23949-950 T17308A03154-156 T2059XS09604-605
S99129G23949-950 T17308D23949-950 T2060XA22935
S99129K23949-950 T17308S21913-914 T2060XD23949-950
S99129P23949-950 T17310APre011-013 T2060XS09604-605
S99129S21913-914 T17310A03154-156 T20611A22935
S99131A21913-914 T17310D23949-950 T20611D23949-950
S99131A24963-965 T17310S21913-914 T20611S09604-605
S99131B21913-914 T17318APre011-013 T20612A22935
S99131B24963-965 T17318A03154-156 T20612D23949-950
S99131D23949-950 T17318D23949-950 T20612S09604-605
S99131G23949-950 T17318S21913-914 T20619A22935
S99131K23949-950 T17320APre011-013 T20619D23949-950
S99131P23949-950 T17320A03154-156 T20619S09604-605
S99131S21913-914 T17320D23949-950 T2062XA22935
S99132A21913-914 T17320S21913-914 T2062XD23949-950
S99132A24963-965 T17328APre011-013 T2062XS09604-605
S99132B21913-914 T17328A03154-156 T2063XA22935
S99132B24963-965 T17328D23949-950 T2063XD23949-950
S99132D23949-950 T17328S21913-914 T2063XS09604-605
S99132G23949-950 T17390APre011-013 T2064XA22935
S99132K23949-950 T17390A03154-156 T2064XD23949-950
S99132P23949-950 T17390D23949-950 T2064XS09604-605
S99132S21913-914 T17390S21913-914 T2065XA22935
S99139A21913-914 T17398APre011-013 T2065XD23949-950
S99139A24963-965 T17398A03154-156 T2065XS09604-605
S99139B21913-914 T17398D23949-950 T2066XA22935
S99139B24963-965 T17398S21913-914 T2066XD23949-950
S99139D23949-950 T17400A04205-206 T2066XS09604-605
S99139G23949-950 T17400D23949-950 T2067XA22935
S99139K23949-950 T17400S21913-914 T2067XD23949-950
S99139P23949-950 T17408A04205-206 T2067XS09604-605
S99139S21913-914 T17408D23949-950 T2069XA22935
S99141A21913-914 T17408S21913-914 T2069XD23949-950
S99141A24963-965 T17410A04205-206 T2069XS09604-605
S99141B21913-914 T17410D23949-950 T2070XA22927,933
S99141B24963-965 T17410S21913-914 T2070XA22928-929,934
S99141D23949-950 T17418A04205-206 T2070XD23949-950
S99141G23949-950 T17418D23949-950 T2070XS09604-605
S99141K23949-950 T17418S21913-914 T20711A22927,933
S99141P23949-950 T17420A04205-206 T20711A22928-929,934
S99141S21913-914 T17420D23949-950 T20711D23949-950
S99142A21913-914 T17420S21913-914 T20711S09604-605
S99142A24963-965 T17428A04205-206 T20712A22927,933
S99142B21913-914 T17428D23949-950 T20712A22928-929,934
S99142B24963-965 T17428S21913-914 T20712D23949-950
S99142D23949-950 T17490A04205-206 T20712S09604-605
S99142G23949-950 T17490D23949-950 T20719A22927,933
S99142K23949-950 T17490S21913-914 T20719A22928-929,934
S99142P23949-950 T17498A04205-206 T20719D23949-950
S99142S21913-914 T17498D23949-950 T20719S09604-605
S99149A21913-914 T17498S21913-914 T2072XA22927,933
S99149A24963-965 T17500A04205-206 T2072XA22928-929,934
S99149B21913-914 T17500D23949-950 T2072XD23949-950
S99149B24963-965 T17500S21913-914 T2072XS09604-605
S99149D23949-950 T17508A04205-206 T2073XA22927,933
S99149G23949-950 T17508D23949-950 T2073XA22928-929,934
S99149K23949-950 T17508S21913-914 T2073XD23949-950
S99149P23949-950 T17510A04205-206 T2073XS09604-605
S99149S21913-914 T17510D23949-950 T2074XA22927,933
S99191A21913-914 T17510S21913-914 T2074XA22928-929,934
S99191A24963-965 T17518A04205-206 T2074XD23949-950
S99191B21913-914 T17518D23949-950 T2074XS09604-605
S99191B24963-965 T17518S21913-914 T2075XA22927,933
S99191D23949-950 T17520A04205-206 T2075XA22928-929,934
S99191G23949-950 T17520D23949-950 T2075XD23949-950
S99191K23949-950 T17520S21913-914 T2075XS09604-605
S99191P23949-950 T17528A04205-206 T2076XA22927,933
S99191S21913-914 T17528D23949-950 T2076XA22928-929,934
S99192A21913-914 T17528S21913-914 T2076XD23949-950
S99192A24963-965 T17590A04205-206 T2076XS09604-605
S99192B21913-914 T17590D23949-950 T2077XA22927,933
S99192B24963-965 T17590S21913-914 T2077XA22928-929,934
S99192D23949-950 T17598A04205-206 T2077XD23949-950
S99192G23949-950 T17598D23949-950 T2077XS09604-605
S99192K23949-950 T17598S21913-914 T2079XA22927,933
S99192P23949-950 T17800A04205-206 T2079XA22928-929,934
S99192S21913-914 T17800D23949-950 T2079XD23949-950
S99199A21913-914 T17800S21913-914 T2079XS09604-605
S99199A24963-965 T17808A04205-206 T2100XA22935
S99199B21913-914 T17808D23949-950 T2100XD23949-950
S99199B24963-965 T17808S21913-914 T2100XS09604-605
S99199D23949-950 T17810A04205-206 T2101XA22935
S99199G23949-950 T17810D23949-950 T2101XD23949-950
S99199K23949-950 T17810S21913-914 T2101XS09604-605
S99199P23949-950 T17818A04205-206 T2102XA22935
S99199S21913-914 T17818D23949-950 T2102XD23949-950
S99201A21913-914 T17818S21913-914 T2102XS09604-605
S99201A24963-965 T17820A04205-206 T2103XA22935
S99201B21913-914 T17820D23949-950 T2103XD23949-950
S99201B24963-965 T17820S21913-914 T2103XS09604-605
S99201D23949-950 T17828A04205-206 T2104XA22935
S99201G23949-950 T17828D23949-950 T2104XD23949-950
S99201K23949-950 T17828S21913-914 T2104XS09604-605
S99201P23949-950 T17890A04205-206 T2105XA22935
S99201S21913-914 T17890D23949-950 T2105XD23949-950
S99202A21913-914 T17890S21913-914 T2105XS09604-605
S99202A24963-965 T17898A04205-206 T2106XA22935
S99202B21913-914 T17898D23949-950 T2106XD23949-950
S99202B24963-965 T17898S21913-914 T2106XS09604-605
S99202D23949-950 T17900A04205-206 T2107XA22935
S99202G23949-950 T17900D23949-950 T2107XD23949-950
S99202K23949-950 T17900S21913-914 T2107XS09604-605
S99202P23949-950 T17908A04205-206 T2109XA22935
S99202S21913-914 T17908D23949-950 T2109XD23949-950
S99209A21913-914 T17908S21913-914 T2109XS09604-605
S99209A24963-965 T17910A04205-206 T2110XA22935
S99209B21913-914 T17910D23949-950 T2110XD23949-950
S99209B24963-965 T17910S21913-914 T2110XS09604-605
S99209D23949-950 T17918A04205-206 T2111XA22935
S99209G23949-950 T17918D23949-950 T2111XD23949-950
S99209K23949-950 T17918S21913-914 T2111XS09604-605
S99209P23949-950 T17920A04205-206 T2112XA22935
S99209S21913-914 T17920D23949-950 T2112XD23949-950
S99211A21913-914 T17920S21913-914 T2112XS09604-605
S99211A24963-965 T17928A04205-206 T2113XA22935
S99211B21913-914 T17928D23949-950 T2113XD23949-950
S99211B24963-965 T17928S21913-914 T2113XS09604-605
S99211D23949-950 T17990A04205-206 T2114XA22935
S99211G23949-950 T17990D23949-950 T2114XD23949-950
S99211K23949-950 T17990S21913-914 T2114XS09604-605
S99211P23949-950 T17998A04205-206 T2115XA22935
S99211S21913-914 T17998D23949-950 T2115XD23949-950
S99212A21913-914 T17998S21913-914 T2115XS09604-605
S99212A24963-965 T180XXAPre011-013 T2116XA22935
S99212B21913-914 T180XXA03157-159 T2116XD23949-950
S99212B24963-965 T180XXD23949-950 T2116XS09604-605
S99212D23949-950 T180XXS21913-914 T2117XA22935
S99212G23949-950 T18100A06393-395 T2117XD23949-950
S99212K23949-950 T18100D23949-950 T2117XS09604-605
S99212P23949-950 T18100S21913-914 T2119XA22935
S99212S21913-914 T18108A06393-395 T2119XD23949-950
S99219A21913-914 T18108D23949-950 T2119XS09604-605
S99219A24963-965 T18108S21913-914 T2120XA22935
S99219B21913-914 T18110A06393-395 T2120XD23949-950
S99219B24963-965 T18110D23949-950 T2120XS09604-605
S99219D23949-950 T18110S21913-914 T2121XA22935
S99219G23949-950 T18118A06393-395 T2121XD23949-950
S99219K23949-950 T18118D23949-950 T2121XS09604-605
S99219P23949-950 T18118S21913-914 T2122XA22935
S99219S21913-914 T18120A06393-395 T2122XD23949-950
S99221A21913-914 T18120D23949-950 T2122XS09604-605
S99221A24963-965 T18120S21913-914 T2123XA22935
S99221B21913-914 T18128A06393-395 T2123XD23949-950
S99221B24963-965 T18128D23949-950 T2123XS09604-605
S99221D23949-950 T18128S21913-914 T2124XA22935
S99221G23949-950 T18190A06393-395 T2124XD23949-950
S99221K23949-950 T18190D23949-950 T2124XS09604-605
S99221P23949-950 T18190S21913-914 T2125XA22935
S99221S21913-914 T18198A06393-395 T2125XD23949-950
S99222A21913-914 T18198D23949-950 T2125XS09604-605
S99222A24963-965 T18198S21913-914 T2126XA22935
S99222B21913-914 T182XXA06393-395 T2126XD23949-950
S99222B24963-965 T182XXD23949-950 T2126XS09604-605
S99222D23949-950 T182XXS21913-914 T2127XA22935
S99222G23949-950 T183XXA06393-395 T2127XD23949-950
S99222K23949-950 T183XXD23949-950 T2127XS09604-605
S99222P23949-950 T183XXS21913-914 T2129XA22935
S99222S21913-914 T184XXA06393-395 T2129XD23949-950
S99229A21913-914 T184XXD23949-950 T2129XS09604-605
S99229A24963-965 T184XXS21913-914 T2130XA22927,933
S99229B21913-914 T185XXA06393-395 T2130XA22928-929,934
S99229B24963-965 T185XXD23949-950 T2130XD23949-950
S99229D23949-950 T185XXS21913-914 T2130XS09604-605
S99229G23949-950 T188XXA06393-395 T2131XA22927,933
S99229K23949-950 T188XXD23949-950 T2131XA22928-929,934
S99229P23949-950 T188XXS21913-914 T2131XD23949-950
S99229S21913-914 T189XXA06393-395 T2131XS09604-605
S99231A21913-914 T189XXD23949-950 T2132XA22927,933
S99231A24963-965 T189XXS21913-914 T2132XA22928-929,934
S99231B21913-914 T190XXA11698-700 T2132XD23949-950
S99231B24963-965 T190XXD23949-950 T2132XS09604-605
S99231D23949-950 T190XXS21913-914 T2133XA22927,933
S99231G23949-950 T191XXA11698-700 T2133XA22928-929,934
S99231K23949-950 T191XXD23949-950 T2133XD23949-950
S99231P23949-950 T191XXS21913-914 T2133XS09604-605
S99231S21913-914 T192XXA13742-743 T2134XA22927,933
S99232A21913-914 T192XXA13760-761 T2134XA22928-929,934
S99232A24963-965 T192XXD23949-950 T2134XD23949-950
S99232B21913-914 T192XXS21913-914 T2134XS09604-605
S99232B24963-965 T193XXA13742-743 T2135XA22927,933
S99232D23949-950 T193XXA13760-761 T2135XA22928-929,934
S99232G23949-950 T193XXD23949-950 T2135XD23949-950
S99232K23949-950 T193XXS21913-914 T2135XS09604-605
S99232P23949-950 T194XXA12729-730 T2136XA22927,933
S99232S21913-914 T194XXD23949-950 T2136XA22928-929,934
S99239A21913-914 T194XXS21913-914 T2136XD23949-950
S99239A24963-965 T198XXA11698-700 T2136XS09604-605
S99239B21913-914 T198XXD23949-950 T2137XA22927,933
S99239B24963-965 T198XXS21913-914 T2137XA22928-929,934
S99239D23949-950 T199XXA11698-700 T2137XD23949-950
S99239G23949-950 T199XXD23949-950 T2137XS09604-605
S99239K23949-950 T199XXS21913-914 T2139XA22927,933
S99239P23949-950 T2000XA22935 T2139XA22928-929,934
S99239S21913-914 T2000XD23949-950 T2139XD23949-950
S99241A21913-914 T2000XS09604-605 T2139XS09604-605
S99241A24963-965 T20011A22935 T2140XA22935
S99241B21913-914 T20011D23949-950 T2140XD23949-950
S99241B24963-965 T20011S09604-605 T2140XS09604-605
S99241D23949-950 T20012A22935 T2141XA22935
S99241G23949-950 T20012D23949-950 T2141XD23949-950
S99241K23949-950 T20012S09604-605 T2141XS09604-605
S99241P23949-950 T20019A22935 T2142XA22935
S99241S21913-914 T20019D23949-950 T2142XD23949-950
S99242A21913-914 T20019S09604-605 T2142XS09604-605
S99242A24963-965 T2002XA22935 T2143XA22935
S99242B21913-914 T2002XD23949-950 T2143XD23949-950
S99242B24963-965 T2002XS09604-605 T2143XS09604-605
S99242D23949-950 T2003XA22935 T2144XA22935
S99242G23949-950 T2003XD23949-950 T2144XD23949-950
S99242K23949-950 T2003XS09604-605 T2144XS09604-605
S99242P23949-950 T2004XA22935 T2145XA22935
S99242S21913-914 T2004XD23949-950 T2145XD23949-950
S99249A21913-914 T2004XS09604-605 T2145XS09604-605
S99249A24963-965 T2005XA22935 T2146XA22935
S99249B21913-914 T2005XD23949-950 T2146XD23949-950
S99249B24963-965 T2005XS09604-605 T2146XS09604-605
S99249D23949-950 T2006XA22935 T2147XA22935
S99249G23949-950 T2006XD23949-950 T2147XD23949-950
S99249K23949-950 T2006XS09604-605 T2147XS09604-605
S99249P23949-950 T2007XA22935 T2149XA22935
S99249S21913-914 T2007XD23949-950 T2149XD23949-950
S99291A21913-914 T2007XS09604-605 T2149XS09604-605
S99291A24963-965 T2009XA22935 T2150XA22935
S99291B21913-914 T2009XD23949-950 T2150XD23949-950
S99291B24963-965 T2009XS09604-605 T2150XS09604-605
S99291D23949-950 T2010XA22935 T2151XA22935
S99291G23949-950 T2010XD23949-950 T2151XD23949-950
S99291K23949-950 T2010XS09604-605 T2151XS09604-605
S99291P23949-950 T20111A22935 T2152XA22935
S99291S21913-914 T20111D23949-950 T2152XD23949-950
S99292A21913-914 T20111S09604-605 T2152XS09604-605
S99292A24963-965 T20112A22935 T2153XA22935
S99292B21913-914 T20112D23949-950 T2153XD23949-950
S99292B24963-965 T20112S09604-605 T2153XS09604-605
S99292D23949-950 T20119A22935 T2154XA22935
S99292G23949-950 T20119D23949-950 T2154XD23949-950
S99292K23949-950 T20119S09604-605 T2154XS09604-605
S99292P23949-950 T2012XA22935 T2155XA22935
S99292S21913-914 T2012XD23949-950 T2155XD23949-950
S99299A21913-914 T2012XS09604-605 T2155XS09604-605
S99299A24963-965 T2013XA22935 T2156XA22935
S99299B21913-914 T2013XD23949-950 T2156XD23949-950
S99299B24963-965 T2013XS09604-605 T2156XS09604-605
S99299D23949-950 T2014XA22935 T2157XA22935
S99299G23949-950 T2014XD23949-950 T2157XD23949-950
S99299K23949-950 T2014XS09604-605 T2157XS09604-605
S99299P23949-950 T2015XA22935 T2159XA22935
S99299S21913-914 T2015XD23949-950 T2159XD23949-950
S99811A21913-914 T2015XS09604-605 T2159XS09604-605
S99811A24963-965 T2016XA22935 T2160XA22935
S99811D23949-950 T2016XD23949-950 T2160XD23949-950
S99811S21913-914 T2016XS09604-605 T2160XS09604-605



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
29 Mar 2024 17:03:46
CMS, code-revision=361, description-revision=1397