ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 68 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T3371XA | 21 | 922-923 | T372X4D | 23 | 949-950 | T39094D | 23 | 949-950 | ||
T3371XD | 23 | 949-950 | T372X4S | 21 | 922-923 | T39094S | 21 | 922-923 | ||
T3371XS | 21 | 922-923 | T372X5A | 15 | 791 | T39095A | 15 | 791 | ||
T3372XA | 21 | 922-923 | T372X5A | 15 | 793 | T39095A | 15 | 793 | ||
T3372XD | 23 | 949-950 | T372X5A | 21 | 917-918 | T39095A | 21 | 917-918 | ||
T3372XS | 21 | 922-923 | T372X5D | 23 | 949-950 | T39095D | 23 | 949-950 | ||
T33811A | 21 | 922-923 | T372X5S | 21 | 922-923 | T39095S | 21 | 922-923 | ||
T33811D | 23 | 949-950 | T372X6A | 23 | 951 | T39096A | 23 | 951 | ||
T33811S | 21 | 922-923 | T372X6D | 23 | 949-950 | T39096D | 23 | 949-950 | ||
T33812A | 21 | 922-923 | T372X6S | 23 | 949-950 | T39096S | 23 | 949-950 | ||
T33812D | 23 | 949-950 | T373X1A | 21 | 917-918 | T391X1A | 21 | 917-918 | ||
T33812S | 21 | 922-923 | T373X1D | 23 | 949-950 | T391X1D | 23 | 949-950 | ||
T33819A | 21 | 922-923 | T373X1S | 21 | 922-923 | T391X1S | 21 | 922-923 | ||
T33819D | 23 | 949-950 | T373X2A | 21 | 917-918 | T391X2A | 21 | 917-918 | ||
T33819S | 21 | 922-923 | T373X2D | 23 | 949-950 | T391X2D | 23 | 949-950 | ||
T33821A | 21 | 922-923 | T373X2S | 21 | 922-923 | T391X2S | 21 | 922-923 | ||
T33821D | 23 | 949-950 | T373X3A | 21 | 917-918 | T391X3A | 21 | 917-918 | ||
T33821S | 21 | 922-923 | T373X3D | 23 | 949-950 | T391X3D | 23 | 949-950 | ||
T33822A | 21 | 922-923 | T373X3S | 21 | 922-923 | T391X3S | 21 | 922-923 | ||
T33822D | 23 | 949-950 | T373X4A | 21 | 917-918 | T391X4A | 21 | 917-918 | ||
T33822S | 21 | 922-923 | T373X4D | 23 | 949-950 | T391X4D | 23 | 949-950 | ||
T33829A | 21 | 922-923 | T373X4S | 21 | 922-923 | T391X4S | 21 | 922-923 | ||
T33829D | 23 | 949-950 | T373X5A | 15 | 791 | T391X5A | 15 | 791 | ||
T33829S | 21 | 922-923 | T373X5A | 15 | 793 | T391X5A | 15 | 793 | ||
T33831A | 21 | 922-923 | T373X5A | 21 | 917-918 | T391X5A | 21 | 917-918 | ||
T33831D | 23 | 949-950 | T373X5D | 23 | 949-950 | T391X5D | 23 | 949-950 | ||
T33831S | 21 | 922-923 | T373X5S | 21 | 922-923 | T391X5S | 21 | 922-923 | ||
T33832A | 21 | 922-923 | T373X6A | 23 | 951 | T391X6A | 23 | 951 | ||
T33832D | 23 | 949-950 | T373X6D | 23 | 949-950 | T391X6D | 23 | 949-950 | ||
T33832S | 21 | 922-923 | T373X6S | 23 | 949-950 | T391X6S | 23 | 949-950 | ||
T33839A | 21 | 922-923 | T374X1A | 21 | 917-918 | T392X1A | 21 | 917-918 | ||
T33839D | 23 | 949-950 | T374X1D | 23 | 949-950 | T392X1D | 23 | 949-950 | ||
T33839S | 21 | 922-923 | T374X1S | 21 | 922-923 | T392X1S | 21 | 922-923 | ||
T3390XA | 21 | 922-923 | T374X2A | 21 | 917-918 | T392X2A | 21 | 917-918 | ||
T3390XD | 23 | 949-950 | T374X2D | 23 | 949-950 | T392X2D | 23 | 949-950 | ||
T3390XS | 21 | 922-923 | T374X2S | 21 | 922-923 | T392X2S | 21 | 922-923 | ||
T3399XA | 21 | 922-923 | T374X3A | 21 | 917-918 | T392X3A | 21 | 917-918 | ||
T3399XD | 23 | 949-950 | T374X3D | 23 | 949-950 | T392X3D | 23 | 949-950 | ||
T3399XS | 21 | 922-923 | T374X3S | 21 | 922-923 | T392X3S | 21 | 922-923 | ||
T34011A | 21 | 922-923 | T374X4A | 21 | 917-918 | T392X4A | 21 | 917-918 | ||
T34011D | 23 | 949-950 | T374X4D | 23 | 949-950 | T392X4D | 23 | 949-950 | ||
T34011S | 21 | 922-923 | T374X4S | 21 | 922-923 | T392X4S | 21 | 922-923 | ||
T34012A | 21 | 922-923 | T374X5A | 15 | 791 | T392X5A | 15 | 791 | ||
T34012D | 23 | 949-950 | T374X5A | 15 | 793 | T392X5A | 15 | 793 | ||
T34012S | 21 | 922-923 | T374X5A | 21 | 917-918 | T392X5A | 21 | 917-918 | ||
T34019A | 21 | 922-923 | T374X5D | 23 | 949-950 | T392X5D | 23 | 949-950 | ||
T34019D | 23 | 949-950 | T374X5S | 21 | 922-923 | T392X5S | 21 | 922-923 | ||
T34019S | 21 | 922-923 | T374X6A | 23 | 951 | T392X6A | 23 | 951 | ||
T3402XA | 21 | 922-923 | T374X6D | 23 | 949-950 | T392X6D | 23 | 949-950 | ||
T3402XD | 23 | 949-950 | T374X6S | 23 | 949-950 | T392X6S | 23 | 949-950 | ||
T3402XS | 21 | 922-923 | T375X1A | 21 | 917-918 | T39311A | 21 | 917-918 | ||
T3409XA | 21 | 922-923 | T375X1D | 23 | 949-950 | T39311D | 23 | 949-950 | ||
T3409XD | 23 | 949-950 | T375X1S | 21 | 922-923 | T39311S | 21 | 922-923 | ||
T3409XS | 21 | 922-923 | T375X2A | 21 | 917-918 | T39312A | 21 | 917-918 | ||
T341XXA | 21 | 922-923 | T375X2D | 23 | 949-950 | T39312D | 23 | 949-950 | ||
T341XXD | 23 | 949-950 | T375X2S | 21 | 922-923 | T39312S | 21 | 922-923 | ||
T341XXS | 21 | 922-923 | T375X3A | 21 | 917-918 | T39313A | 21 | 917-918 | ||
T342XXA | 21 | 922-923 | T375X3D | 23 | 949-950 | T39313D | 23 | 949-950 | ||
T342XXD | 23 | 949-950 | T375X3S | 21 | 922-923 | T39313S | 21 | 922-923 | ||
T342XXS | 21 | 922-923 | T375X4A | 21 | 917-918 | T39314A | 21 | 917-918 | ||
T343XXA | 21 | 922-923 | T375X4D | 23 | 949-950 | T39314D | 23 | 949-950 | ||
T343XXD | 23 | 949-950 | T375X4S | 21 | 922-923 | T39314S | 21 | 922-923 | ||
T343XXS | 21 | 922-923 | T375X5A | 15 | 791 | T39315A | 15 | 791 | ||
T3440XA | 21 | 922-923 | T375X5A | 15 | 793 | T39315A | 15 | 793 | ||
T3440XD | 23 | 949-950 | T375X5A | 21 | 917-918 | T39315A | 21 | 917-918 | ||
T3440XS | 21 | 922-923 | T375X5D | 23 | 949-950 | T39315D | 23 | 949-950 | ||
T3441XA | 21 | 922-923 | T375X5S | 21 | 922-923 | T39315S | 21 | 922-923 | ||
T3441XD | 23 | 949-950 | T375X6A | 23 | 951 | T39316A | 23 | 951 | ||
T3441XS | 21 | 922-923 | T375X6D | 23 | 949-950 | T39316D | 23 | 949-950 | ||
T3442XA | 21 | 922-923 | T375X6S | 23 | 949-950 | T39316S | 23 | 949-950 | ||
T3442XD | 23 | 949-950 | T378X1A | 21 | 917-918 | T39391A | 21 | 917-918 | ||
T3442XS | 21 | 922-923 | T378X1D | 23 | 949-950 | T39391D | 23 | 949-950 | ||
T34511A | 21 | 922-923 | T378X1S | 21 | 922-923 | T39391S | 21 | 922-923 | ||
T34511D | 23 | 949-950 | T378X2A | 21 | 917-918 | T39392A | 21 | 917-918 | ||
T34511S | 21 | 922-923 | T378X2D | 23 | 949-950 | T39392D | 23 | 949-950 | ||
T34512A | 21 | 922-923 | T378X2S | 21 | 922-923 | T39392S | 21 | 922-923 | ||
T34512D | 23 | 949-950 | T378X3A | 21 | 917-918 | T39393A | 21 | 917-918 | ||
T34512S | 21 | 922-923 | T378X3D | 23 | 949-950 | T39393D | 23 | 949-950 | ||
T34519A | 21 | 922-923 | T378X3S | 21 | 922-923 | T39393S | 21 | 922-923 | ||
T34519D | 23 | 949-950 | T378X4A | 21 | 917-918 | T39394A | 21 | 917-918 | ||
T34519S | 21 | 922-923 | T378X4D | 23 | 949-950 | T39394D | 23 | 949-950 | ||
T34521A | 21 | 922-923 | T378X4S | 21 | 922-923 | T39394S | 21 | 922-923 | ||
T34521D | 23 | 949-950 | T378X5A | 15 | 791 | T39395A | 15 | 791 | ||
T34521S | 21 | 922-923 | T378X5A | 15 | 793 | T39395A | 15 | 793 | ||
T34522A | 21 | 922-923 | T378X5A | 21 | 917-918 | T39395A | 21 | 917-918 | ||
T34522D | 23 | 949-950 | T378X5D | 23 | 949-950 | T39395D | 23 | 949-950 | ||
T34522S | 21 | 922-923 | T378X5S | 21 | 922-923 | T39395S | 21 | 922-923 | ||
T34529A | 21 | 922-923 | T378X6A | 23 | 951 | T39396A | 23 | 951 | ||
T34529D | 23 | 949-950 | T378X6D | 23 | 949-950 | T39396D | 23 | 949-950 | ||
T34529S | 21 | 922-923 | T378X6S | 23 | 949-950 | T39396S | 23 | 949-950 | ||
T34531A | 21 | 922-923 | T3791XA | 21 | 917-918 | T394X1A | 21 | 917-918 | ||
T34531D | 23 | 949-950 | T3791XD | 23 | 949-950 | T394X1D | 23 | 949-950 | ||
T34531S | 21 | 922-923 | T3791XS | 21 | 922-923 | T394X1S | 21 | 922-923 | ||
T34532A | 21 | 922-923 | T3792XA | 21 | 917-918 | T394X2A | 21 | 917-918 | ||
T34532D | 23 | 949-950 | T3792XD | 23 | 949-950 | T394X2D | 23 | 949-950 | ||
T34532S | 21 | 922-923 | T3792XS | 21 | 922-923 | T394X2S | 21 | 922-923 | ||
T34539A | 21 | 922-923 | T3793XA | 21 | 917-918 | T394X3A | 21 | 917-918 | ||
T34539D | 23 | 949-950 | T3793XD | 23 | 949-950 | T394X3D | 23 | 949-950 | ||
T34539S | 21 | 922-923 | T3793XS | 21 | 922-923 | T394X3S | 21 | 922-923 | ||
T3460XA | 21 | 922-923 | T3794XA | 21 | 917-918 | T394X4A | 21 | 917-918 | ||
T3460XD | 23 | 949-950 | T3794XD | 23 | 949-950 | T394X4D | 23 | 949-950 | ||
T3460XS | 21 | 922-923 | T3794XS | 21 | 922-923 | T394X4S | 21 | 922-923 | ||
T3461XA | 21 | 922-923 | T3795XA | 15 | 791 | T394X5A | 15 | 791 | ||
T3461XD | 23 | 949-950 | T3795XA | 15 | 793 | T394X5A | 15 | 793 | ||
T3461XS | 21 | 922-923 | T3795XA | 21 | 917-918 | T394X5A | 21 | 917-918 | ||
T3462XA | 21 | 922-923 | T3795XD | 23 | 949-950 | T394X5D | 23 | 949-950 | ||
T3462XD | 23 | 949-950 | T3795XS | 21 | 922-923 | T394X5S | 21 | 922-923 | ||
T3462XS | 21 | 922-923 | T3796XA | 23 | 951 | T394X6A | 23 | 951 | ||
T3470XA | 21 | 922-923 | T3796XD | 23 | 949-950 | T394X6D | 23 | 949-950 | ||
T3470XD | 23 | 949-950 | T3796XS | 23 | 949-950 | T394X6S | 23 | 949-950 | ||
T3470XS | 21 | 922-923 | T380X1A | 21 | 917-918 | T398X1A | 21 | 917-918 | ||
T3471XA | 21 | 922-923 | T380X1D | 23 | 949-950 | T398X1D | 23 | 949-950 | ||
T3471XD | 23 | 949-950 | T380X1S | 21 | 922-923 | T398X1S | 21 | 922-923 | ||
T3471XS | 21 | 922-923 | T380X2A | 21 | 917-918 | T398X2A | 21 | 917-918 | ||
T3472XA | 21 | 922-923 | T380X2D | 23 | 949-950 | T398X2D | 23 | 949-950 | ||
T3472XD | 23 | 949-950 | T380X2S | 21 | 922-923 | T398X2S | 21 | 922-923 | ||
T3472XS | 21 | 922-923 | T380X3A | 21 | 917-918 | T398X3A | 21 | 917-918 | ||
T34811A | 21 | 922-923 | T380X3D | 23 | 949-950 | T398X3D | 23 | 949-950 | ||
T34811D | 23 | 949-950 | T380X3S | 21 | 922-923 | T398X3S | 21 | 922-923 | ||
T34811S | 21 | 922-923 | T380X4A | 21 | 917-918 | T398X4A | 21 | 917-918 | ||
T34812A | 21 | 922-923 | T380X4D | 23 | 949-950 | T398X4D | 23 | 949-950 | ||
T34812D | 23 | 949-950 | T380X4S | 21 | 922-923 | T398X4S | 21 | 922-923 | ||
T34812S | 21 | 922-923 | T380X5A | 15 | 791 | T398X5A | 15 | 791 | ||
T34819A | 21 | 922-923 | T380X5A | 15 | 793 | T398X5A | 15 | 793 | ||
T34819D | 23 | 949-950 | T380X5A | 21 | 917-918 | T398X5A | 21 | 917-918 | ||
T34819S | 21 | 922-923 | T380X5D | 23 | 949-950 | T398X5D | 23 | 949-950 | ||
T34821A | 21 | 922-923 | T380X5S | 21 | 922-923 | T398X5S | 21 | 922-923 | ||
T34821D | 23 | 949-950 | T380X6A | 23 | 951 | T398X6A | 23 | 951 | ||
T34821S | 21 | 922-923 | T380X6D | 23 | 949-950 | T398X6D | 23 | 949-950 | ||
T34822A | 21 | 922-923 | T380X6S | 23 | 949-950 | T398X6S | 23 | 949-950 | ||
T34822D | 23 | 949-950 | T381X1A | 21 | 917-918 | T3991XA | 21 | 917-918 | ||
T34822S | 21 | 922-923 | T381X1D | 23 | 949-950 | T3991XD | 23 | 949-950 | ||
T34829A | 21 | 922-923 | T381X1S | 21 | 922-923 | T3991XS | 21 | 922-923 | ||
T34829D | 23 | 949-950 | T381X2A | 21 | 917-918 | T3992XA | 21 | 917-918 | ||
T34829S | 21 | 922-923 | T381X2D | 23 | 949-950 | T3992XD | 23 | 949-950 | ||
T34831A | 21 | 922-923 | T381X2S | 21 | 922-923 | T3992XS | 21 | 922-923 | ||
T34831D | 23 | 949-950 | T381X3A | 21 | 917-918 | T3993XA | 21 | 917-918 | ||
T34831S | 21 | 922-923 | T381X3D | 23 | 949-950 | T3993XD | 23 | 949-950 | ||
T34832A | 21 | 922-923 | T381X3S | 21 | 922-923 | T3993XS | 21 | 922-923 | ||
T34832D | 23 | 949-950 | T381X4A | 21 | 917-918 | T3994XA | 21 | 917-918 | ||
T34832S | 21 | 922-923 | T381X4D | 23 | 949-950 | T3994XD | 23 | 949-950 | ||
T34839A | 21 | 922-923 | T381X4S | 21 | 922-923 | T3994XS | 21 | 922-923 | ||
T34839D | 23 | 949-950 | T381X5A | 15 | 791 | T3995XA | 15 | 791 | ||
T34839S | 21 | 922-923 | T381X5A | 15 | 793 | T3995XA | 15 | 793 | ||
T3490XA | 21 | 922-923 | T381X5A | 21 | 917-918 | T3995XA | 21 | 917-918 | ||
T3490XD | 23 | 949-950 | T381X5D | 23 | 949-950 | T3995XD | 23 | 949-950 | ||
T3490XS | 21 | 922-923 | T381X5S | 21 | 922-923 | T3995XS | 21 | 922-923 | ||
T3499XA | 21 | 922-923 | T381X6A | 23 | 951 | T3996XA | 23 | 951 | ||
T3499XD | 23 | 949-950 | T381X6D | 23 | 949-950 | T3996XD | 23 | 949-950 | ||
T3499XS | 21 | 922-923 | T381X6S | 23 | 949-950 | T3996XS | 23 | 949-950 | ||
T360X1A | 21 | 917-918 | T382X1A | 21 | 917-918 | T400X1A | 21 | 917-918 | ||
T360X1D | 23 | 949-950 | T382X1D | 23 | 949-950 | T400X1D | 23 | 949-950 | ||
T360X1S | 21 | 922-923 | T382X1S | 21 | 922-923 | T400X1S | 21 | 922-923 | ||
T360X2A | 21 | 917-918 | T382X2A | 21 | 917-918 | T400X2A | 21 | 917-918 | ||
T360X2D | 23 | 949-950 | T382X2D | 23 | 949-950 | T400X2D | 23 | 949-950 | ||
T360X2S | 21 | 922-923 | T382X2S | 21 | 922-923 | T400X2S | 21 | 922-923 | ||
T360X3A | 21 | 917-918 | T382X3A | 21 | 917-918 | T400X3A | 21 | 917-918 | ||
T360X3D | 23 | 949-950 | T382X3D | 23 | 949-950 | T400X3D | 23 | 949-950 | ||
T360X3S | 21 | 922-923 | T382X3S | 21 | 922-923 | T400X3S | 21 | 922-923 | ||
T360X4A | 21 | 917-918 | T382X4A | 21 | 917-918 | T400X4A | 21 | 917-918 | ||
T360X4D | 23 | 949-950 | T382X4D | 23 | 949-950 | T400X4D | 23 | 949-950 | ||
T360X4S | 21 | 922-923 | T382X4S | 21 | 922-923 | T400X4S | 21 | 922-923 | ||
T360X5A | 15 | 791 | T382X5A | 15 | 791 | T400X5A | 15 | 791 | ||
T360X5A | 15 | 793 | T382X5A | 15 | 793 | T400X5A | 15 | 793 | ||
T360X5A | 21 | 917-918 | T382X5A | 21 | 917-918 | T400X5A | 21 | 917-918 | ||
T360X5D | 23 | 949-950 | T382X5D | 23 | 949-950 | T400X5D | 23 | 949-950 | ||
T360X5S | 21 | 922-923 | T382X5S | 21 | 922-923 | T400X5S | 21 | 922-923 | ||
T360X6A | 23 | 951 | T382X6A | 23 | 951 | T400X6A | 23 | 951 | ||
T360X6D | 23 | 949-950 | T382X6D | 23 | 949-950 | T400X6D | 23 | 949-950 | ||
T360X6S | 23 | 949-950 | T382X6S | 23 | 949-950 | T400X6S | 23 | 949-950 | ||
T361X1A | 21 | 917-918 | T383X1A | 21 | 917-918 | T401X1A | 21 | 917-918 | ||
T361X1D | 23 | 949-950 | T383X1D | 23 | 949-950 | T401X1D | 23 | 949-950 | ||
T361X1S | 21 | 922-923 | T383X1S | 21 | 922-923 | T401X1S | 21 | 922-923 | ||
T361X2A | 21 | 917-918 | T383X2A | 21 | 917-918 | T401X2A | 21 | 917-918 | ||
T361X2D | 23 | 949-950 | T383X2D | 23 | 949-950 | T401X2D | 23 | 949-950 | ||
T361X2S | 21 | 922-923 | T383X2S | 21 | 922-923 | T401X2S | 21 | 922-923 | ||
T361X3A | 21 | 917-918 | T383X3A | 21 | 917-918 | T401X3A | 21 | 917-918 | ||
T361X3D | 23 | 949-950 | T383X3D | 23 | 949-950 | T401X3D | 23 | 949-950 | ||
T361X3S | 21 | 922-923 | T383X3S | 21 | 922-923 | T401X3S | 21 | 922-923 | ||
T361X4A | 21 | 917-918 | T383X4A | 21 | 917-918 | T401X4A | 21 | 917-918 | ||
T361X4D | 23 | 949-950 | T383X4D | 23 | 949-950 | T401X4D | 23 | 949-950 | ||
T361X4S | 21 | 922-923 | T383X4S | 21 | 922-923 | T401X4S | 21 | 922-923 | ||
T361X5A | 15 | 791 | T383X5A | 15 | 791 | T402X1A | 21 | 917-918 | ||
T361X5A | 15 | 793 | T383X5A | 15 | 793 | T402X1D | 23 | 949-950 | ||
T361X5A | 21 | 917-918 | T383X5A | 21 | 917-918 | T402X1S | 21 | 922-923 | ||
T361X5D | 23 | 949-950 | T383X5D | 23 | 949-950 | T402X2A | 21 | 917-918 | ||
T361X5S | 21 | 922-923 | T383X5S | 21 | 922-923 | T402X2D | 23 | 949-950 | ||
T361X6A | 23 | 951 | T383X6A | 23 | 951 | T402X2S | 21 | 922-923 | ||
T361X6D | 23 | 949-950 | T383X6D | 23 | 949-950 | T402X3A | 21 | 917-918 | ||
T361X6S | 23 | 949-950 | T383X6S | 23 | 949-950 | T402X3D | 23 | 949-950 | ||
T362X1A | 21 | 917-918 | T384X1A | 21 | 917-918 | T402X3S | 21 | 922-923 | ||
T362X1D | 23 | 949-950 | T384X1D | 23 | 949-950 | T402X4A | 21 | 917-918 | ||
T362X1S | 21 | 922-923 | T384X1S | 21 | 922-923 | T402X4D | 23 | 949-950 | ||
T362X2A | 21 | 917-918 | T384X2A | 21 | 917-918 | T402X4S | 21 | 922-923 | ||
T362X2D | 23 | 949-950 | T384X2D | 23 | 949-950 | T402X5A | 15 | 791 | ||
T362X2S | 21 | 922-923 | T384X2S | 21 | 922-923 | T402X5A | 15 | 793 | ||
T362X3A | 21 | 917-918 | T384X3A | 21 | 917-918 | T402X5A | 21 | 917-918 | ||
T362X3D | 23 | 949-950 | T384X3D | 23 | 949-950 | T402X5D | 23 | 949-950 | ||
T362X3S | 21 | 922-923 | T384X3S | 21 | 922-923 | T402X5S | 21 | 922-923 | ||
T362X4A | 21 | 917-918 | T384X4A | 21 | 917-918 | T402X6A | 23 | 951 | ||
T362X4D | 23 | 949-950 | T384X4D | 23 | 949-950 | T402X6D | 23 | 949-950 | ||
T362X4S | 21 | 922-923 | T384X4S | 21 | 922-923 | T402X6S | 23 | 949-950 | ||
T362X5A | 15 | 791 | T384X5A | 15 | 791 | T403X1A | 21 | 917-918 | ||
T362X5A | 15 | 793 | T384X5A | 15 | 793 | T403X1D | 23 | 949-950 | ||
T362X5A | 21 | 917-918 | T384X5A | 21 | 917-918 | T403X1S | 21 | 922-923 | ||
T362X5D | 23 | 949-950 | T384X5D | 23 | 949-950 | T403X2A | 21 | 917-918 | ||
T362X5S | 21 | 922-923 | T384X5S | 21 | 922-923 | T403X2D | 23 | 949-950 | ||
T362X6A | 23 | 951 | T384X6A | 23 | 951 | T403X2S | 21 | 922-923 | ||
T362X6D | 23 | 949-950 | T384X6D | 23 | 949-950 | T403X3A | 21 | 917-918 | ||
T362X6S | 23 | 949-950 | T384X6S | 23 | 949-950 | T403X3D | 23 | 949-950 | ||
T363X1A | 21 | 917-918 | T385X1A | 21 | 917-918 | T403X3S | 21 | 922-923 | ||
T363X1D | 23 | 949-950 | T385X1D | 23 | 949-950 | T403X4A | 21 | 917-918 | ||
T363X1S | 21 | 922-923 | T385X1S | 21 | 922-923 | T403X4D | 23 | 949-950 | ||
T363X2A | 21 | 917-918 | T385X2A | 21 | 917-918 | T403X4S | 21 | 922-923 | ||
T363X2D | 23 | 949-950 | T385X2D | 23 | 949-950 | T403X5A | 15 | 791 | ||
T363X2S | 21 | 922-923 | T385X2S | 21 | 922-923 | T403X5A | 15 | 793 | ||
T363X3A | 21 | 917-918 | T385X3A | 21 | 917-918 | T403X5A | 21 | 917-918 | ||
T363X3D | 23 | 949-950 | T385X3D | 23 | 949-950 | T403X5D | 23 | 949-950 | ||
T363X3S | 21 | 922-923 | T385X3S | 21 | 922-923 | T403X5S | 21 | 922-923 | ||
T363X4A | 21 | 917-918 | T385X4A | 21 | 917-918 | T403X6A | 23 | 951 | ||
T363X4D | 23 | 949-950 | T385X4D | 23 | 949-950 | T403X6D | 23 | 949-950 | ||
T363X4S | 21 | 922-923 | T385X4S | 21 | 922-923 | T403X6S | 23 | 949-950 | ||
T363X5A | 15 | 791 | T385X5A | 15 | 791 | T40411A | 21 | 917-918 | ||
T363X5A | 15 | 793 | T385X5A | 15 | 793 | T40411D | 23 | 949-950 | ||
T363X5A | 21 | 917-918 | T385X5A | 21 | 917-918 | T40411S | 21 | 922-923 | ||
T363X5D | 23 | 949-950 | T385X5D | 23 | 949-950 | T40412A | 21 | 917-918 | ||
T363X5S | 21 | 922-923 | T385X5S | 21 | 922-923 | T40412D | 23 | 949-950 | ||
T363X6A | 23 | 951 | T385X6A | 23 | 951 | T40412S | 21 | 922-923 | ||
T363X6D | 23 | 949-950 | T385X6D | 23 | 949-950 | T40413A | 21 | 917-918 | ||
T363X6S | 23 | 949-950 | T385X6S | 23 | 949-950 | T40413D | 23 | 949-950 | ||
T364X1A | 21 | 917-918 | T386X1A | 21 | 917-918 | T40413S | 21 | 922-923 | ||
T364X1D | 23 | 949-950 | T386X1D | 23 | 949-950 | T40414A | 21 | 917-918 | ||
T364X1S | 21 | 922-923 | T386X1S | 21 | 922-923 | T40414D | 23 | 949-950 | ||
T364X2A | 21 | 917-918 | T386X2A | 21 | 917-918 | T40414S | 21 | 922-923 | ||
T364X2D | 23 | 949-950 | T386X2D | 23 | 949-950 | T40415A | 15 | 791 | ||
T364X2S | 21 | 922-923 | T386X2S | 21 | 922-923 | T40415A | 15 | 793 | ||
T364X3A | 21 | 917-918 | T386X3A | 21 | 917-918 | T40415A | 21 | 917-918 | ||
T364X3D | 23 | 949-950 | T386X3D | 23 | 949-950 | T40415D | 23 | 949-950 | ||
T364X3S | 21 | 922-923 | T386X3S | 21 | 922-923 | T40415S | 21 | 922-923 | ||
T364X4A | 21 | 917-918 | T386X4A | 21 | 917-918 | T40416A | 23 | 951 | ||
T364X4D | 23 | 949-950 | T386X4D | 23 | 949-950 | T40416D | 23 | 949-950 | ||
T364X4S | 21 | 922-923 | T386X4S | 21 | 922-923 | T40416S | 23 | 949-950 | ||
T364X5A | 15 | 791 | T386X5A | 15 | 791 | T40421A | 21 | 917-918 | ||
T364X5A | 15 | 793 | T386X5A | 15 | 793 | T40421D | 23 | 949-950 | ||
T364X5A | 21 | 917-918 | T386X5A | 21 | 917-918 | T40421S | 21 | 922-923 | ||
T364X5D | 23 | 949-950 | T386X5D | 23 | 949-950 | T40422A | 21 | 917-918 | ||
T364X5S | 21 | 922-923 | T386X5S | 21 | 922-923 | T40422D | 23 | 949-950 | ||
T364X6A | 23 | 951 | T386X6A | 23 | 951 | T40422S | 21 | 922-923 | ||
T364X6D | 23 | 949-950 | T386X6D | 23 | 949-950 | T40423A | 21 | 917-918 | ||
T364X6S | 23 | 949-950 | T386X6S | 23 | 949-950 | T40423D | 23 | 949-950 | ||
T365X1A | 21 | 917-918 | T387X1A | 21 | 917-918 | T40423S | 21 | 922-923 | ||
T365X1D | 23 | 949-950 | T387X1D | 23 | 949-950 | T40424A | 21 | 917-918 | ||
T365X1S | 21 | 922-923 | T387X1S | 21 | 922-923 | T40424D | 23 | 949-950 | ||
T365X2A | 21 | 917-918 | T387X2A | 21 | 917-918 | T40424S | 21 | 922-923 | ||
T365X2D | 23 | 949-950 | T387X2D | 23 | 949-950 | T40425A | 15 | 791 | ||
T365X2S | 21 | 922-923 | T387X2S | 21 | 922-923 | T40425A | 15 | 793 | ||
T365X3A | 21 | 917-918 | T387X3A | 21 | 917-918 | T40425A | 21 | 917-918 | ||
T365X3D | 23 | 949-950 | T387X3D | 23 | 949-950 | T40425D | 23 | 949-950 | ||
T365X3S | 21 | 922-923 | T387X3S | 21 | 922-923 | T40425S | 21 | 922-923 | ||
T365X4A | 21 | 917-918 | T387X4A | 21 | 917-918 | T40426A | 23 | 951 | ||
T365X4D | 23 | 949-950 | T387X4D | 23 | 949-950 | T40426D | 23 | 949-950 | ||
T365X4S | 21 | 922-923 | T387X4S | 21 | 922-923 | T40426S | 23 | 949-950 | ||
T365X5A | 15 | 791 | T387X5A | 15 | 791 | T40491A | 21 | 917-918 | ||
T365X5A | 15 | 793 | T387X5A | 15 | 793 | T40491D | 23 | 949-950 | ||
T365X5A | 21 | 917-918 | T387X5A | 21 | 917-918 | T40491S | 21 | 922-923 | ||
T365X5D | 23 | 949-950 | T387X5D | 23 | 949-950 | T40492A | 21 | 917-918 | ||
T365X5S | 21 | 922-923 | T387X5S | 21 | 922-923 | T40492D | 23 | 949-950 | ||
T365X6A | 23 | 951 | T387X6A | 23 | 951 | T40492S | 21 | 922-923 | ||
T365X6D | 23 | 949-950 | T387X6D | 23 | 949-950 | T40493A | 21 | 917-918 | ||
T365X6S | 23 | 949-950 | T387X6S | 23 | 949-950 | T40493D | 23 | 949-950 | ||
T366X1A | 21 | 917-918 | T38801A | 21 | 917-918 | T40493S | 21 | 922-923 | ||
T366X1D | 23 | 949-950 | T38801D | 23 | 949-950 | T40494A | 21 | 917-918 | ||
T366X1S | 21 | 922-923 | T38801S | 21 | 922-923 | T40494D | 23 | 949-950 | ||
T366X2A | 21 | 917-918 | T38802A | 21 | 917-918 | T40494S | 21 | 922-923 | ||
T366X2D | 23 | 949-950 | T38802D | 23 | 949-950 | T40495A | 15 | 791 | ||
T366X2S | 21 | 922-923 | T38802S | 21 | 922-923 | T40495A | 15 | 793 | ||
T366X3A | 21 | 917-918 | T38803A | 21 | 917-918 | T40495A | 21 | 917-918 | ||
T366X3D | 23 | 949-950 | T38803D | 23 | 949-950 | T40495D | 23 | 949-950 | ||
T366X3S | 21 | 922-923 | T38803S | 21 | 922-923 | T40495S | 21 | 922-923 | ||
T366X4A | 21 | 917-918 | T38804A | 21 | 917-918 | T40496A | 23 | 951 | ||
T366X4D | 23 | 949-950 | T38804D | 23 | 949-950 | T40496D | 23 | 949-950 | ||
T366X4S | 21 | 922-923 | T38804S | 21 | 922-923 | T40496S | 23 | 949-950 | ||
T366X5A | 15 | 791 | T38805A | 15 | 791 | T405X1A | 21 | 917-918 | ||
T366X5A | 15 | 793 | T38805A | 15 | 793 | T405X1D | 23 | 949-950 | ||
T366X5A | 21 | 917-918 | T38805A | 21 | 917-918 | T405X1S | 21 | 922-923 | ||
T366X5D | 23 | 949-950 | T38805D | 23 | 949-950 | T405X2A | 21 | 917-918 | ||
T366X5S | 21 | 922-923 | T38805S | 21 | 922-923 | T405X2D | 23 | 949-950 | ||
T366X6A | 23 | 951 | T38806A | 23 | 951 | T405X2S | 21 | 922-923 | ||
T366X6D | 23 | 949-950 | T38806D | 23 | 949-950 | T405X3A | 21 | 917-918 | ||
T366X6S | 23 | 949-950 | T38806S | 23 | 949-950 | T405X3D | 23 | 949-950 | ||
T367X1A | 21 | 917-918 | T38811A | 21 | 917-918 | T405X3S | 21 | 922-923 | ||
T367X1D | 23 | 949-950 | T38811D | 23 | 949-950 | T405X4A | 21 | 917-918 | ||
T367X1S | 21 | 922-923 | T38811S | 21 | 922-923 | T405X4D | 23 | 949-950 | ||
T367X2A | 21 | 917-918 | T38812A | 21 | 917-918 | T405X4S | 21 | 922-923 | ||
T367X2D | 23 | 949-950 | T38812D | 23 | 949-950 | T405X5A | 15 | 791 | ||
T367X2S | 21 | 922-923 | T38812S | 21 | 922-923 | T405X5A | 15 | 793 | ||
T367X3A | 21 | 917-918 | T38813A | 21 | 917-918 | T405X5A | 21 | 917-918 | ||
T367X3D | 23 | 949-950 | T38813D | 23 | 949-950 | T405X5D | 23 | 949-950 | ||
T367X3S | 21 | 922-923 | T38813S | 21 | 922-923 | T405X5S | 21 | 922-923 | ||
T367X4A | 21 | 917-918 | T38814A | 21 | 917-918 | T405X6A | 23 | 951 | ||
T367X4D | 23 | 949-950 | T38814D | 23 | 949-950 | T405X6D | 23 | 949-950 | ||
T367X4S | 21 | 922-923 | T38814S | 21 | 922-923 | T405X6S | 23 | 949-950 | ||
T367X5A | 15 | 791 | T38815A | 15 | 791 | T40601A | 21 | 917-918 | ||
T367X5A | 15 | 793 | T38815A | 15 | 793 | T40601D | 23 | 949-950 | ||
T367X5A | 21 | 917-918 | T38815A | 21 | 917-918 | T40601S | 21 | 922-923 | ||
T367X5D | 23 | 949-950 | T38815D | 23 | 949-950 | T40602A | 21 | 917-918 | ||
T367X5S | 21 | 922-923 | T38815S | 21 | 922-923 | T40602D | 23 | 949-950 | ||
T367X6A | 23 | 951 | T38816A | 23 | 951 | T40602S | 21 | 922-923 | ||
T367X6D | 23 | 949-950 | T38816D | 23 | 949-950 | T40603A | 21 | 917-918 | ||
T367X6S | 23 | 949-950 | T38816S | 23 | 949-950 | T40603D | 23 | 949-950 | ||
T368X1A | 21 | 917-918 | T38891A | 21 | 917-918 | T40603S | 21 | 922-923 | ||
T368X1D | 23 | 949-950 | T38891D | 23 | 949-950 | T40604A | 21 | 917-918 | ||
T368X1S | 21 | 922-923 | T38891S | 21 | 922-923 | T40604D | 23 | 949-950 | ||
T368X2A | 21 | 917-918 | T38892A | 21 | 917-918 | T40604S | 21 | 922-923 | ||
T368X2D | 23 | 949-950 | T38892D | 23 | 949-950 | T40605A | 15 | 791 | ||
T368X2S | 21 | 922-923 | T38892S | 21 | 922-923 | T40605A | 15 | 793 | ||
T368X3A | 21 | 917-918 | T38893A | 21 | 917-918 | T40605A | 21 | 917-918 | ||
T368X3D | 23 | 949-950 | T38893D | 23 | 949-950 | T40605D | 23 | 949-950 | ||
T368X3S | 21 | 922-923 | T38893S | 21 | 922-923 | T40605S | 21 | 922-923 | ||
T368X4A | 21 | 917-918 | T38894A | 21 | 917-918 | T40606A | 23 | 951 | ||
T368X4D | 23 | 949-950 | T38894D | 23 | 949-950 | T40606D | 23 | 949-950 | ||
T368X4S | 21 | 922-923 | T38894S | 21 | 922-923 | T40606S | 23 | 949-950 | ||
T368X5A | 15 | 791 | T38895A | 15 | 791 | T40691A | 21 | 917-918 | ||
T368X5A | 15 | 793 | T38895A | 15 | 793 | T40691D | 23 | 949-950 | ||
T368X5A | 21 | 917-918 | T38895A | 21 | 917-918 | T40691S | 21 | 922-923 | ||
T368X5D | 23 | 949-950 | T38895D | 23 | 949-950 | T40692A | 21 | 917-918 | ||
T368X5S | 21 | 922-923 | T38895S | 21 | 922-923 | T40692D | 23 | 949-950 | ||
T368X6A | 23 | 951 | T38896A | 23 | 951 | T40692S | 21 | 922-923 | ||
T368X6D | 23 | 949-950 | T38896D | 23 | 949-950 | T40693A | 21 | 917-918 | ||
T368X6S | 23 | 949-950 | T38896S | 23 | 949-950 | T40693D | 23 | 949-950 | ||
T3691XA | 21 | 917-918 | T38901A | 21 | 917-918 | T40693S | 21 | 922-923 | ||
T3691XD | 23 | 949-950 | T38901D | 23 | 949-950 | T40694A | 21 | 917-918 | ||
T3691XS | 21 | 922-923 | T38901S | 21 | 922-923 | T40694D | 23 | 949-950 | ||
T3692XA | 21 | 917-918 | T38902A | 21 | 917-918 | T40694S | 21 | 922-923 | ||
T3692XD | 23 | 949-950 | T38902D | 23 | 949-950 | T40695A | 15 | 791 | ||
T3692XS | 21 | 922-923 | T38902S | 21 | 922-923 | T40695A | 15 | 793 | ||
T3693XA | 21 | 917-918 | T38903A | 21 | 917-918 | T40695A | 21 | 917-918 | ||
T3693XD | 23 | 949-950 | T38903D | 23 | 949-950 | T40695D | 23 | 949-950 | ||
T3693XS | 21 | 922-923 | T38903S | 21 | 922-923 | T40695S | 21 | 922-923 | ||
T3694XA | 21 | 917-918 | T38904A | 21 | 917-918 | T40696A | 23 | 951 | ||
T3694XD | 23 | 949-950 | T38904D | 23 | 949-950 | T40696D | 23 | 949-950 | ||
T3694XS | 21 | 922-923 | T38904S | 21 | 922-923 | T40696S | 23 | 949-950 | ||
T3695XA | 15 | 791 | T38905A | 15 | 791 | T40711A | 21 | 917-918 | ||
T3695XA | 15 | 793 | T38905A | 15 | 793 | T40711D | 23 | 949-950 | ||
T3695XA | 21 | 917-918 | T38905A | 21 | 917-918 | T40711S | 21 | 922-923 | ||
T3695XD | 23 | 949-950 | T38905D | 23 | 949-950 | T40712A | 21 | 917-918 | ||
T3695XS | 21 | 922-923 | T38905S | 21 | 922-923 | T40712D | 23 | 949-950 | ||
T3696XA | 23 | 951 | T38906A | 23 | 951 | T40712S | 21 | 922-923 | ||
T3696XD | 23 | 949-950 | T38906D | 23 | 949-950 | T40713A | 21 | 917-918 | ||
T3696XS | 23 | 949-950 | T38906S | 23 | 949-950 | T40713D | 23 | 949-950 | ||
T370X1A | 21 | 917-918 | T38991A | 21 | 917-918 | T40713S | 21 | 922-923 | ||
T370X1D | 23 | 949-950 | T38991D | 23 | 949-950 | T40714A | 21 | 917-918 | ||
T370X1S | 21 | 922-923 | T38991S | 21 | 922-923 | T40714D | 23 | 949-950 | ||
T370X2A | 21 | 917-918 | T38992A | 21 | 917-918 | T40714S | 21 | 922-923 | ||
T370X2D | 23 | 949-950 | T38992D | 23 | 949-950 | T40715A | 15 | 791 | ||
T370X2S | 21 | 922-923 | T38992S | 21 | 922-923 | T40715A | 15 | 793 | ||
T370X3A | 21 | 917-918 | T38993A | 21 | 917-918 | T40715A | 21 | 917-918 | ||
T370X3D | 23 | 949-950 | T38993D | 23 | 949-950 | T40715D | 23 | 949-950 | ||
T370X3S | 21 | 922-923 | T38993S | 21 | 922-923 | T40715S | 21 | 922-923 | ||
T370X4A | 21 | 917-918 | T38994A | 21 | 917-918 | T40716A | 23 | 951 | ||
T370X4D | 23 | 949-950 | T38994D | 23 | 949-950 | T40716D | 23 | 949-950 | ||
T370X4S | 21 | 922-923 | T38994S | 21 | 922-923 | T40716S | 23 | 949-950 | ||
T370X5A | 15 | 791 | T38995A | 15 | 791 | T40721A | 21 | 917-918 | ||
T370X5A | 15 | 793 | T38995A | 15 | 793 | T40721D | 23 | 949-950 | ||
T370X5A | 21 | 917-918 | T38995A | 21 | 917-918 | T40721S | 21 | 922-923 | ||
T370X5D | 23 | 949-950 | T38995D | 23 | 949-950 | T40722A | 21 | 917-918 | ||
T370X5S | 21 | 922-923 | T38995S | 21 | 922-923 | T40722D | 23 | 949-950 | ||
T370X6A | 23 | 951 | T38996A | 23 | 951 | T40722S | 21 | 922-923 | ||
T370X6D | 23 | 949-950 | T38996D | 23 | 949-950 | T40723A | 21 | 917-918 | ||
T370X6S | 23 | 949-950 | T38996S | 23 | 949-950 | T40723D | 23 | 949-950 | ||
T371X1A | 21 | 917-918 | T39011A | 21 | 917-918 | T40723S | 21 | 922-923 | ||
T371X1D | 23 | 949-950 | T39011D | 23 | 949-950 | T40724A | 21 | 917-918 | ||
T371X1S | 21 | 922-923 | T39011S | 21 | 922-923 | T40724D | 23 | 949-950 | ||
T371X2A | 21 | 917-918 | T39012A | 21 | 917-918 | T40724S | 21 | 922-923 | ||
T371X2D | 23 | 949-950 | T39012D | 23 | 949-950 | T40725A | 15 | 791 | ||
T371X2S | 21 | 922-923 | T39012S | 21 | 922-923 | T40725A | 15 | 793 | ||
T371X3A | 21 | 917-918 | T39013A | 21 | 917-918 | T40725A | 21 | 917-918 | ||
T371X3D | 23 | 949-950 | T39013D | 23 | 949-950 | T40725D | 23 | 949-950 | ||
T371X3S | 21 | 922-923 | T39013S | 21 | 922-923 | T40725S | 21 | 922-923 | ||
T371X4A | 21 | 917-918 | T39014A | 21 | 917-918 | T40726A | 23 | 951 | ||
T371X4D | 23 | 949-950 | T39014D | 23 | 949-950 | T40726D | 23 | 949-950 | ||
T371X4S | 21 | 922-923 | T39014S | 21 | 922-923 | T40726S | 23 | 949-950 | ||
T371X5A | 15 | 791 | T39015A | 15 | 791 | T408X1A | 21 | 917-918 | ||
T371X5A | 15 | 793 | T39015A | 15 | 793 | T408X1D | 23 | 949-950 | ||
T371X5A | 21 | 917-918 | T39015A | 21 | 917-918 | T408X1S | 21 | 922-923 | ||
T371X5D | 23 | 949-950 | T39015D | 23 | 949-950 | T408X2A | 21 | 917-918 | ||
T371X5S | 21 | 922-923 | T39015S | 21 | 922-923 | T408X2D | 23 | 949-950 | ||
T371X6A | 23 | 951 | T39016A | 23 | 951 | T408X2S | 21 | 922-923 | ||
T371X6D | 23 | 949-950 | T39016D | 23 | 949-950 | T408X3A | 21 | 917-918 | ||
T371X6S | 23 | 949-950 | T39016S | 23 | 949-950 | T408X3D | 23 | 949-950 | ||
T372X1A | 21 | 917-918 | T39091A | 21 | 917-918 | T408X3S | 21 | 922-923 | ||
T372X1D | 23 | 949-950 | T39091D | 23 | 949-950 | T408X4A | 21 | 917-918 | ||
T372X1S | 21 | 922-923 | T39091S | 21 | 922-923 | T408X4D | 23 | 949-950 | ||
T372X2A | 21 | 917-918 | T39092A | 21 | 917-918 | T408X4S | 21 | 922-923 | ||
T372X2D | 23 | 949-950 | T39092D | 23 | 949-950 | T40901A | 21 | 917-918 | ||
T372X2S | 21 | 922-923 | T39092S | 21 | 922-923 | T40901D | 23 | 949-950 | ||
T372X3A | 21 | 917-918 | T39093A | 21 | 917-918 | T40901S | 21 | 922-923 | ||
T372X3D | 23 | 949-950 | T39093D | 23 | 949-950 | T40902A | 21 | 917-918 | ||
T372X3S | 21 | 922-923 | T39093S | 21 | 922-923 | T40902D | 23 | 949-950 | ||
T372X4A | 21 | 917-918 | T39094A | 21 | 917-918 | T40902S | 21 | 922-923 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |