ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual

Diagnosis Code/MDC/MS-DRG Index

Page 74 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
T8454XD	23	949-950	T8631	05	314-316	Z207	15	795
T8454XS	21	922-923	T8632	05	314-316	Z207	23	951
T8459XA	08	559-561	T8633	05	314-316	Z20810	15	795
T8459XD	23	949-950	T8639	05	314-316	Z20810	23	951
T8459XS	21	922-923	T8640	07	441-443	Z20811	15	795
T8460XA	08	559-561	T8641	07	441-443	Z20811	23	951
T8460XD	23	949-950	T8642	07	441-443	Z20818	15	795
T8460XS	21	922-923	T8643	07	441-443	Z20818	23	951
T84610A	08	559-561	T8649	07	441-443	Z20820	15	795
T84610D	23	949-950	T865	21	919-921	Z20820	23	951
T84610S	21	922-923	T86810	04	205-206	Z20821	15	795
T84611A	08	559-561	T86811	04	205-206	Z20821	23	951
T84611D	23	949-950	T86812	04	205-206	Z20822	15	795
T84611S	21	922-923	T86818	04	205-206	Z20822	23	951
T84612A	08	559-561	T86819	04	205-206	Z20828	15	795
T84612D	23	949-950	T86820	21	919-921	Z20828	23	951
T84612S	21	922-923	T86821	21	919-921	Z2089	15	795
T84613A	08	559-561	T86822	21	919-921	Z2089	23	951
T84613D	23	949-950	T86828	21	919-921	Z209	15	795
T84613S	21	922-923	T86829	21	919-921	Z209	23	951
T84614A	08	559-561	T86830	21	919-921	Z21	18	865-866
T84614D	23	949-950	T86831	21	919-921	Z220	23	951
T84614S	21	922-923	T86832	21	919-921	Z221	23	951
T84615A	08	559-561	T86838	21	919-921	Z222	23	951
T84615D	23	949-950	T86839	21	919-921	Z2231	23	951
T84615S	21	922-923	T868401	02	124-125	Z22321	23	951
T84619A	08	559-561	T868402	02	124-125	Z22322	23	951
T84619D	23	949-950	T868403	02	124-125	Z22330	23	951
T84619S	21	922-923	T868409	02	124-125	Z22338	23	951
T84620A	08	485-487	T868411	02	124-125	Z22340	23	951
T84620A	08	559-561	T868412	02	124-125	Z22341	23	951
T84620D	23	949-950	T868413	02	124-125	Z22349	23	951
T84620S	21	922-923	T868419	02	124-125	Z22350	23	951
T84621A	08	485-487	T868421	21	919-921	Z22358	23	951
T84621A	08	559-561	T868422	21	919-921	Z22359	23	951
T84621D	23	949-950	T868423	21	919-921	Z2239	23	951
T84621S	21	922-923	T868429	21	919-921	Z224	23	951
T84622A	08	485-487	T868481	21	919-921	Z226	23	951
T84622A	08	559-561	T868482	21	919-921	Z227	23	951
T84622D	23	949-950	T868483	21	919-921	Z228	23	951
T84622S	21	922-923	T868489	21	919-921	Z229	23	951
T84623A	08	485-487	T868491	21	919-921	Z23	15	795
T84623A	08	559-561	T868492	21	919-921	Z23	23	951
T84623D	23	949-950	T868493	21	919-921	Z2801	15	795
T84623S	21	922-923	T868499	21	919-921	Z2801	23	951
T84624A	08	485-487	T86850	21	919-921	Z2802	15	795
T84624A	08	559-561	T86851	21	919-921	Z2802	23	951
T84624D	23	949-950	T86852	21	919-921	Z2803	15	795
T84624S	21	922-923	T86858	21	919-921	Z2803	23	951
T84625A	08	485-487	T86859	21	919-921	Z2804	15	795
T84625A	08	559-561	T86890	07	438-440	Z2804	23	951
T84625D	23	949-950	T86891	07	438-440	Z2809	15	795
T84625S	21	922-923	T86892	07	438-440	Z2809	23	951
T84629A	08	485-487	T86898	07	438-440	Z281	15	795
T84629A	08	559-561	T86899	07	438-440	Z281	23	951
T84629D	23	949-950	T8690	21	919-921	Z2820	15	795
T84629S	21	922-923	T8691	21	919-921	Z2820	23	951
T8463XA	08	559-561	T8692	21	919-921	Z2821	15	795
T8463XD	23	949-950	T8693	21	919-921	Z2821	23	951
T8463XS	21	922-923	T8699	21	919-921	Z2829	15	795
T8469XA	08	559-561	T870X1	08	559-561	Z2829	23	951
T8469XD	23	949-950	T870X2	08	559-561	Z28310	23	951
T8469XS	21	922-923	T870X9	08	559-561	Z28311	23	951
T847XXA	08	485-487	T871X1	08	559-561	Z2839	23	951
T847XXA	08	559-561	T871X2	08	559-561	Z2881	15	795
T847XXD	23	949-950	T871X9	08	559-561	Z2881	23	951
T847XXS	21	922-923	T872	08	559-561	Z2882	15	795
T8481XA	08	559-561	T8730	08	564-566	Z2882	23	951
T8481XD	23	949-950	T8731	08	564-566	Z2883	15	795
T8481XS	21	922-923	T8732	08	564-566	Z2883	23	951
T8482XA	08	559-561	T8733	08	564-566	Z2889	15	795
T8482XD	23	949-950	T8734	08	564-566	Z2889	23	951
T8482XS	21	922-923	T8740	08	564-566	Z289	15	795
T8483XA	08	559-561	T8741	08	564-566	Z289	23	951
T8483XD	23	949-950	T8742	08	564-566	Z2911	23	951
T8483XS	21	922-923	T8743	08	564-566	Z2912	23	951
T8484XA	08	559-561	T8744	08	564-566	Z2913	23	951
T8484XD	23	949-950	T8750	08	564-566	Z2914	23	951
T8484XS	21	922-923	T8751	08	564-566	Z293	23	951
T8485XA	08	559-561	T8752	08	564-566	Z2981	23	951
T8485XD	23	949-950	T8753	08	564-566	Z2989	23	951
T8485XS	21	922-923	T8754	08	564-566	Z299	23	951
T8486XA	08	559-561	T8781	08	564-566	Z30011	23	951
T8486XD	23	949-950	T8789	08	564-566	Z30012	23	951
T8486XS	21	922-923	T879	08	564-566	Z30013	23	951
T8489XA	08	559-561	T880XXA	15	791	Z30014	23	951
T8489XD	23	949-950	T880XXA	15	793	Z30015	23	951
T8489XS	21	922-923	T880XXA	18	856-858	Z30016	23	951
T849XXA	08	559-561	T880XXA	18	867-869	Z30017	23	951
T849XXD	23	949-950	T880XXD	23	949-950	Z30018	23	951
T849XXS	21	922-923	T880XXS	21	922-923	Z30019	23	951
T8501XA	01	091-093	T881XXA	18	865-866	Z3002	23	951
T8501XD	23	949-950	T881XXD	23	949-950	Z3009	23	951
T8501XS	21	922-923	T881XXS	21	922-923	Z302	12	729-730
T8502XA	01	091-093	T882XXA	15	791	Z302	13	742-743
T8502XD	23	949-950	T882XXA	15	793	Z302	13	760-761
T8502XS	21	922-923	T882XXA	21	922-923	Z3040	23	951
T8503XA	01	091-093	T882XXD	23	949-950	Z3041	23	951
T8503XD	23	949-950	T882XXS	21	922-923	Z3042	23	951
T8503XS	21	922-923	T883XXA	21	922-923	Z30430	23	951
T8509XA	01	091-093	T883XXD	23	949-950	Z30431	23	951
T8509XD	23	949-950	T883XXS	21	922-923	Z30432	23	951
T8509XS	21	922-923	T884XXA	21	919-921	Z30433	23	951
T85110A	01	091-093	T884XXD	23	949-950	Z3044	23	951
T85110D	23	949-950	T884XXS	21	922-923	Z3045	23	951
T85110S	21	922-923	T8851XA	21	922-923	Z3046	23	951
T85111A	01	091-093	T8851XD	23	949-950	Z3049	23	951
T85111D	23	949-950	T8851XS	21	922-923	Z308	23	951
T85111S	21	922-923	T8852XA	21	917-918	Z309	23	951
T85112A	01	091-093	T8852XD	23	949-950	Z310	12	729-730
T85112D	23	949-950	T8852XS	21	922-923	Z310	13	742-743
T85112S	21	922-923	T8853XA	15	791	Z310	13	760-761
T85113A	01	091-093	T8853XA	15	793	Z3141	23	951
T85113D	23	949-950	T8853XA	21	917-918	Z3142	23	951
T85113S	21	922-923	T8853XD	23	949-950	Z31430	23	951
T85118A	01	091-093	T8853XS	21	922-923	Z31438	23	951
T85118D	23	949-950	T8859XA	15	791	Z31440	23	951
T85118S	21	922-923	T8859XA	15	793	Z31441	23	951
T85120A	01	091-093	T8859XA	21	917-918	Z31448	23	951
T85120D	23	949-950	T8859XD	23	949-950	Z3149	23	951
T85120S	21	922-923	T8859XS	21	922-923	Z315	23	951
T85121A	01	091-093	T886XXA	21	915-916	Z3161	23	951
T85121D	23	949-950	T886XXD	23	949-950	Z3162	23	951
T85121S	21	922-923	T886XXS	21	922-923	Z3169	23	951
T85122A	01	091-093	T887XXA	21	919-921	Z317	23	951
T85122D	23	949-950	T887XXD	23	949-950	Z3181	23	951
T85122S	21	922-923	T887XXS	21	922-923	Z3182	23	951
T85123A	01	091-093	T888XXA	21	919-921	Z3183	23	951
T85123D	23	949-950	T888XXD	23	949-950	Z3184	23	951
T85123S	21	922-923	T888XXS	21	922-923	Z3189	23	951
T85128A	01	091-093	T889XXA	21	919-921	Z319	23	951
T85128D	23	949-950	T889XXD	23	949-950	Z3200	23	951
T85128S	21	922-923	T889XXS	21	922-923	Z3201	23	951
T85190A	01	091-093	U070	04	205-206	Z3202	23	951
T85190D	23	949-950	U071	04	177-179	Z322	23	951
T85190S	21	922-923	U071	15	791	Z323	23	951
T85191A	01	091-093	U071	15	793	Z331	23	951
T85191D	23	949-950	U071	25	974-976	Z332	14	770
T85191S	21	922-923	U099	23	951	Z332	14	779
T85192A	01	091-093	Z0000	23	951	Z333	23	951
T85192D	23	949-950	Z0001	23	951	Z3400	23	951
T85192S	21	922-923	Z00110	15	795	Z3401	23	951
T85193A	01	091-093	Z00110	23	951	Z3402	23	951
T85193D	23	949-950	Z00111	15	795	Z3403	23	951
T85193S	21	922-923	Z00111	23	951	Z3480	23	951
T85199A	01	091-093	Z00121	15	795	Z3481	23	951
T85199D	23	949-950	Z00121	23	951	Z3482	23	951
T85199S	21	922-923	Z00129	15	795	Z3483	23	951
T8521XA	02	124-125	Z00129	23	951	Z3490	23	951
T8521XD	23	949-950	Z002	23	951	Z3491	23	951
T8521XS	21	922-923	Z003	23	951	Z3492	23	951
T8522XA	02	124-125	Z005	23	951	Z3493	23	951
T8522XD	23	949-950	Z006	23	951	Z360	23	951
T8522XS	21	922-923	Z0070	23	951	Z361	23	951
T8529XA	02	124-125	Z0071	23	951	Z362	23	951
T8529XD	23	949-950	Z008	23	951	Z363	23	951
T8529XS	21	922-923	Z0100	23	951	Z364	23	951
T85310A	21	919-921	Z0101	23	951	Z365	23	951
T85310D	23	949-950	Z01020	23	951	Z3681	23	951
T85310S	21	922-923	Z01021	23	951	Z3682	23	951
T85311A	21	919-921	Z0110	15	795	Z3683	23	951
T85311D	23	949-950	Z0110	23	951	Z3684	23	951
T85311S	21	922-923	Z01110	15	795	Z3685	23	951
T85318A	02	124-125	Z01110	23	951	Z3686	23	951
T85318D	23	949-950	Z01118	15	795	Z3687	23	951
T85318S	21	922-923	Z01118	23	951	Z3688	23	951
T85320A	21	919-921	Z0112	15	795	Z3689	23	951
T85320D	23	949-950	Z0112	23	951	Z368A	23	951
T85320S	21	922-923	Z0120	23	951	Z369	23	951
T85321A	21	919-921	Z0121	23	951	Z370	14	768
T85321D	23	949-950	Z0130	23	951	Z370	14	796-798
T85321S	21	922-923	Z0131	23	951	Z370	14	805-807
T85328A	02	124-125	Z01411	23	951	Z370	23	951
T85328D	23	949-950	Z01419	23	951	Z371	14	768
T85328S	21	922-923	Z0142	23	951	Z371	14	796-798
T85390A	21	919-921	Z01810	23	951	Z371	14	805-807
T85390D	23	949-950	Z01811	23	951	Z371	23	951
T85390S	21	922-923	Z01812	23	951	Z372	14	768
T85391A	21	919-921	Z01818	23	951	Z372	14	796-798
T85391D	23	949-950	Z0182	23	951	Z372	14	805-807
T85391S	21	922-923	Z0183	23	951	Z372	23	951
T85398A	02	124-125	Z0184	23	951	Z373	14	768
T85398D	23	949-950	Z0189	23	951	Z373	14	796-798
T85398S	21	922-923	Z020	23	951	Z373	14	805-807
T8541XA	09	600-601	Z021	23	951	Z373	23	951
T8541XD	23	949-950	Z022	23	951	Z374	14	768
T8541XS	21	922-923	Z023	23	951	Z374	14	796-798
T8542XA	09	600-601	Z024	23	951	Z374	14	805-807
T8542XD	23	949-950	Z025	23	951	Z374	23	951
T8542XS	21	922-923	Z026	15	795	Z3750	14	768
T8543XA	09	600-601	Z026	23	951	Z3750	14	796-798
T8543XD	23	949-950	Z0271	23	951	Z3750	14	805-807
T8543XS	21	922-923	Z0279	23	951	Z3750	23	951
T8544XA	09	600-601	Z0281	23	951	Z3751	14	768
T8544XD	23	949-950	Z0282	15	795	Z3751	14	796-798
T8544XS	21	922-923	Z0282	23	951	Z3751	14	805-807
T8549XA	09	600-601	Z0283	23	951	Z3751	23	951
T8549XD	23	949-950	Z0284	15	795	Z3752	14	768
T8549XS	21	922-923	Z0284	23	951	Z3752	14	796-798
T85510A	21	919-921	Z0289	15	795	Z3752	14	805-807
T85510D	23	949-950	Z0289	23	951	Z3752	23	951
T85510S	21	922-923	Z029	23	951	Z3753	14	768
T85511A	21	919-921	Z036	23	951	Z3753	14	796-798
T85511D	23	949-950	Z0371	23	951	Z3753	14	805-807
T85511S	21	922-923	Z0372	23	951	Z3753	23	951
T85518A	21	919-921	Z0373	23	951	Z3754	14	768
T85518D	23	949-950	Z0374	23	951	Z3754	14	796-798
T85518S	21	922-923	Z0375	23	951	Z3754	14	805-807
T85520A	21	919-921	Z0379	23	951	Z3754	23	951
T85520D	23	949-950	Z03810	23	951	Z3759	14	768
T85520S	21	922-923	Z03818	23	951	Z3759	14	796-798
T85521A	21	919-921	Z03821	23	951	Z3759	14	805-807
T85521D	23	949-950	Z03822	23	951	Z3759	23	951
T85521S	21	922-923	Z03823	23	951	Z3760	14	768
T85528A	21	919-921	Z0383	23	951	Z3760	14	796-798
T85528D	23	949-950	Z0389	23	951	Z3760	14	805-807
T85528S	21	922-923	Z041	21	922-923	Z3760	23	951
T85590A	21	919-921	Z042	21	922-923	Z3761	14	768
T85590D	23	949-950	Z043	21	922-923	Z3761	14	796-798
T85590S	21	922-923	Z0441	23	951	Z3761	14	805-807
T85591A	21	919-921	Z0442	23	951	Z3761	23	951
T85591D	23	949-950	Z046	23	951	Z3762	14	768
T85591S	21	922-923	Z0471	23	951	Z3762	14	796-798
T85598A	21	919-921	Z0472	23	951	Z3762	14	805-807
T85598D	23	949-950	Z0481	23	951	Z3762	23	951
T85598S	21	922-923	Z0482	23	951	Z3763	14	768
T85610A	01	091-093	Z0489	23	951	Z3763	14	796-798
T85610D	23	949-950	Z049	23	951	Z3763	14	805-807
T85610S	21	922-923	Z050	15	795	Z3763	23	951
T85611A	21	919-921	Z050	23	951	Z3764	14	768
T85611D	23	949-950	Z051	15	795	Z3764	14	796-798
T85611S	21	922-923	Z051	23	951	Z3764	14	805-807
T85612A	21	919-921	Z052	15	795	Z3764	23	951
T85612D	23	949-950	Z052	23	951	Z3769	14	768
T85612S	21	922-923	Z053	15	795	Z3769	14	796-798
T85613A	21	919-921	Z053	23	951	Z3769	14	805-807
T85613D	23	949-950	Z0541	15	795	Z3769	23	951
T85613S	21	922-923	Z0541	23	951	Z377	14	768
T85614A	21	919-921	Z0542	15	795	Z377	14	796-798
T85614D	23	949-950	Z0542	23	951	Z377	14	805-807
T85614S	21	922-923	Z0543	15	795	Z377	23	951
T85615A	01	091-093	Z0543	23	951	Z379	14	768
T85615D	23	949-950	Z055	15	795	Z379	14	796-798
T85615S	21	922-923	Z055	23	951	Z379	14	805-807
T85618A	21	919-921	Z056	15	795	Z379	23	951
T85618D	23	949-950	Z056	23	951	Z3800	15	795
T85618S	21	922-923	Z0571	15	795	Z3801	15	795
T85620A	01	091-093	Z0571	23	951	Z381	15	795
T85620D	23	949-950	Z0572	15	795	Z382	15	795
T85620S	21	922-923	Z0572	23	951	Z3830	15	795
T85621A	21	919-921	Z0573	15	795	Z3831	15	795
T85621D	23	949-950	Z0573	23	951	Z384	15	795
T85621S	21	922-923	Z0581	15	795	Z385	15	795
T85622A	21	919-921	Z0581	23	951	Z3861	15	795
T85622D	23	949-950	Z0589	15	795	Z3862	15	795
T85622S	21	922-923	Z0589	23	951	Z3863	15	795
T85623A	21	919-921	Z059	15	795	Z3864	15	795
T85623D	23	949-950	Z059	23	951	Z3865	15	795
T85623S	21	922-923	Z08	17	826-828	Z3866	15	795
T85624A	21	919-921	Z08	17	829-830	Z3868	15	795
T85624D	23	949-950	Z08	17	837-839	Z3869	15	795
T85624S	21	922-923	Z08	17	846-848	Z387	15	795
T85625A	01	091-093	Z09	23	951	Z388	15	795
T85625D	23	949-950	Z110	23	951	Z390	14	769
T85625S	21	922-923	Z111	23	951	Z390	14	776
T85628A	21	919-921	Z112	23	951	Z391	23	951
T85628D	23	949-950	Z113	23	951	Z392	23	951
T85628S	21	922-923	Z114	23	951	Z3A00	23	951
T85630A	01	091-093	Z1151	23	951	Z3A01	23	951
T85630D	23	949-950	Z1152	23	951	Z3A08	23	951
T85630S	21	922-923	Z1159	23	951	Z3A09	23	951
T85631A	21	919-921	Z116	23	951	Z3A10	23	951
T85631D	23	949-950	Z117	23	951	Z3A11	23	951
T85631S	21	922-923	Z118	23	951	Z3A12	23	951
T85633A	21	919-921	Z119	23	951	Z3A13	23	951
T85633D	23	949-950	Z120	23	951	Z3A14	23	951
T85633S	21	922-923	Z1210	23	951	Z3A15	23	951
T85635A	01	091-093	Z1211	23	951	Z3A16	23	951
T85635D	23	949-950	Z1212	23	951	Z3A17	23	951
T85635S	21	922-923	Z1213	23	951	Z3A18	23	951
T85638A	21	919-921	Z122	23	951	Z3A19	23	951
T85638D	23	949-950	Z1231	23	951	Z3A20	23	951
T85638S	21	922-923	Z1239	23	951	Z3A21	23	951
T85690A	01	091-093	Z124	23	951	Z3A22	23	951
T85690D	23	949-950	Z125	23	951	Z3A23	23	951
T85690S	21	922-923	Z126	23	951	Z3A24	23	951
T85691A	21	919-921	Z1271	23	951	Z3A25	23	951
T85691D	23	949-950	Z1272	23	951	Z3A26	23	951
T85691S	21	922-923	Z1273	23	951	Z3A27	23	951
T85692A	21	919-921	Z1279	23	951	Z3A28	23	951
T85692D	23	949-950	Z1281	23	951	Z3A29	23	951
T85692S	21	922-923	Z1282	23	951	Z3A30	23	951
T85693A	21	919-921	Z1283	23	951	Z3A31	23	951
T85693D	23	949-950	Z1289	23	951	Z3A32	23	951
T85693S	21	922-923	Z129	23	951	Z3A33	23	951
T85694A	21	919-921	Z130	23	951	Z3A34	23	951
T85694D	23	949-950	Z131	23	951	Z3A35	23	951
T85694S	21	922-923	Z1321	23	951	Z3A36	23	951
T85695A	01	091-093	Z13220	23	951	Z3A37	23	951
T85695D	23	949-950	Z13228	15	795	Z3A38	23	951
T85695S	21	922-923	Z13228	23	951	Z3A39	23	951
T85698A	21	919-921	Z1329	23	951	Z3A40	23	951
T85698D	23	949-950	Z1330	23	951	Z3A41	23	951
T85698S	21	922-923	Z1331	23	951	Z3A42	23	951
T8571XA	21	919-921	Z1332	23	951	Z3A49	23	951
T8571XD	23	949-950	Z1339	23	951	Z4000	23	951
T8571XS	21	922-923	Z1340	23	951	Z4001	09	600-601
T8572XA	21	919-921	Z1341	23	951	Z4002	13	742-743
T8572XD	23	949-950	Z1342	23	951	Z4002	13	760-761
T8572XS	21	922-923	Z1349	23	951	Z4003	13	742-743
T85730A	01	091-093	Z135	23	951	Z4003	13	760-761
T85730D	23	949-950	Z136	23	951	Z4009	23	951
T85730S	21	922-923	Z1371	23	951	Z408	23	951
T85731A	01	091-093	Z1379	23	951	Z409	23	951
T85731D	23	949-950	Z13810	23	951	Z411	09	606-607
T85731S	21	922-923	Z13811	23	951	Z412	12	727-728
T85732A	01	091-093	Z13818	23	951	Z412	15	795
T85732D	23	949-950	Z13820	23	951	Z413	15	795
T85732S	21	922-923	Z13828	23	951	Z413	23	951
T85733A	01	091-093	Z1383	23	951	Z418	23	951
T85733D	23	949-950	Z1384	23	951	Z419	23	951
T85733S	21	922-923	Z13850	23	951	Z421	09	606-607
T85734A	01	091-093	Z13858	23	951	Z428	09	606-607
T85734D	23	949-950	Z1388	23	951	Z430	04	205-206
T85734S	21	922-923	Z1389	23	951	Z431	06	393-395
T85735A	01	091-093	Z139	23	951	Z432	06	393-395
T85735D	23	949-950	Z1401	23	951	Z433	06	393-395
T85735S	21	922-923	Z1402	23	951	Z434	06	393-395
T85738A	01	091-093	Z141	23	951	Z435	11	698-700
T85738D	23	949-950	Z148	23	951	Z436	11	698-700
T85738S	21	922-923	Z1501	23	951	Z437	13	742-743
T8579XA	21	919-921	Z1502	23	951	Z437	13	760-761
T8579XD	23	949-950	Z1503	23	951	Z438	23	951
T8579XS	21	922-923	Z1504	23	951	Z439	23	951
T85810A	01	091-093	Z1509	23	951	Z44001	08	559-561
T85810D	23	949-950	Z151	23	951	Z44002	08	559-561
T85810S	21	922-923	Z152	23	951	Z44009	08	559-561
T85818A	21	919-921	Z1581	23	951	Z44011	08	559-561
T85818D	23	949-950	Z1589	23	951	Z44012	08	559-561
T85818S	21	922-923	Z1610	18	867-869	Z44019	08	559-561
T85820A	01	091-093	Z1611	18	867-869	Z44021	08	559-561
T85820D	23	949-950	Z1612	18	867-869	Z44022	08	559-561
T85820S	21	922-923	Z1613	18	867-869	Z44029	08	559-561
T85828A	21	919-921	Z1619	18	867-869	Z44101	08	559-561
T85828D	23	949-950	Z1620	18	867-869	Z44102	08	559-561
T85828S	21	922-923	Z1621	18	867-869	Z44109	08	559-561
T85830A	01	091-093	Z1622	18	867-869	Z44111	08	559-561
T85830D	23	949-950	Z1623	18	867-869	Z44112	08	559-561
T85830S	21	922-923	Z1624	18	867-869	Z44119	08	559-561
T85838A	21	919-921	Z1629	18	867-869	Z44121	08	559-561
T85838D	23	949-950	Z1630	18	867-869	Z44122	08	559-561
T85838S	21	922-923	Z1631	18	867-869	Z44129	08	559-561
T85840A	01	091-093	Z1632	18	867-869	Z4420	23	951
T85840D	23	949-950	Z1633	18	867-869	Z4421	23	951
T85840S	21	922-923	Z16341	18	867-869	Z4422	23	951
T85848A	21	919-921	Z16342	18	867-869	Z4430	23	951
T85848D	23	949-950	Z1635	18	867-869	Z4431	23	951
T85848S	21	922-923	Z1639	18	867-869	Z4432	23	951
T85850A	01	091-093	Z170	23	951	Z448	23	945-946
T85850D	23	949-950	Z171	23	951	Z449	23	945-946
T85850S	21	922-923	Z1721	23	947-948	Z45010	05	314-316
T85858A	21	919-921	Z1722	23	947-948	Z45018	05	314-316
T85858D	23	949-950	Z1731	23	951	Z4502	05	314-316
T85858S	21	922-923	Z1732	23	951	Z4509	05	314-316
T85860A	01	091-093	Z17410	23	951	Z451	23	949-950
T85860D	23	949-950	Z17411	23	951	Z452	23	949-950
T85860S	21	922-923	Z17420	23	951	Z4531	01	091-093
T85868A	21	919-921	Z17421	23	951	Z45320	01	091-093
T85868D	23	949-950	Z1801	23	951	Z45321	01	091-093
T85868S	21	922-923	Z1809	23	951	Z45328	01	091-093
T85890A	01	091-093	Z1810	23	951	Z4541	01	091-093
T85890D	23	949-950	Z1811	23	951	Z4542	01	091-093
T85890S	21	922-923	Z1812	23	951	Z4549	01	091-093
T85898A	21	919-921	Z182	23	951	Z45811	23	951
T85898D	23	949-950	Z1831	23	951	Z45812	23	951
T85898S	21	922-923	Z1832	23	951	Z45819	23	951
T859XXA	21	919-921	Z1833	23	951	Z4582	23	951
T859XXD	23	949-950	Z1839	23	951	Z4589	23	951
T859XXS	21	922-923	Z1881	23	951	Z459	23	951
T8600	16	808-810	Z1883	23	951	Z460	23	951
T8601	16	808-810	Z1889	23	951	Z461	23	951
T8602	16	808-810	Z189	23	951	Z462	01	091-093
T8603	16	808-810	Z191	23	951	Z463	23	951
T8609	16	808-810	Z192	23	951	Z464	23	951
T8610	11	698-700	Z2001	15	795	Z4651	06	393-395
T8611	11	673-675	Z2001	23	951	Z4659	06	393-395
T8611	11	698-700	Z2009	15	795	Z466	11	698-700
T8612	11	673-675	Z2009	23	951	Z4681	23	951
T8612	11	698-700	Z201	15	795	Z4682	23	949-950
T8613	11	673-675	Z201	23	951	Z4689	23	951
T8613	11	698-700	Z202	15	795	Z469	23	951
T8619	11	673-675	Z202	23	951	Z471	08	559-561
T8619	11	698-700	Z203	15	795	Z472	08	559-561
T8620	05	314-316	Z203	23	951	Z4731	08	559-561
T8621	05	314-316	Z204	15	795	Z4732	08	559-561
T8622	05	314-316	Z204	23	951	Z4733	08	559-561
T8623	05	314-316	Z205	15	795	Z4781	08	559-561
T86290	05	314-316	Z205	23	951	Z4782	08	559-561
T86298	05	314-316	Z206	15	795	Z4789	08	559-561
T8630	05	314-316	Z206	23	951	Z4800	23	951

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