ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 14 of 75 |
| A000 B2781 C5712 C8418 D3002 E093219 E133599 F18251 G9204 H18811 H47529 I2541 I69315 J3503 K5731 L812 M05539 M21069 M45A7 M7070 M84444P M86559 N158 O0380 O3130X1 O365133 O6023X0 P2889 Q738 S0005XS S02610G S06384S S12400D S20374D S24144D S31149D S32443D S36209D S41119A S42354A S45012D S52001S S52244P S52389Q S53421A S59149K S61240D S62225A S62615D S63298D S66190D S71102D S72064P S7221XC S72412K S75192S S82009N S82192P S82444Q S8291XP S8700XD S91204D S92301D S93526S S99249B T22422D T24439A T370X5A T43013S T474X5S T5492XD T65292D T82111D T8613 Z808 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| J3503 | Pre | 011-013 | K0263 | Pre | 011-013 | K255 | 06 | 380-382 | ||
| J3503 | 03 | 152-153 | K0263 | 03 | 157-159 | K256 | 06 | 377-379 | ||
| J351 | Pre | 011-013 | K027 | Pre | 011-013 | K257 | 06 | 380-384 | ||
| J351 | 03 | 154-156 | K027 | 03 | 157-159 | K259 | 06 | 380-384 | ||
| J352 | Pre | 011-013 | K029 | Pre | 011-013 | K260 | 06 | 377-379 | ||
| J352 | 03 | 154-156 | K029 | 03 | 157-159 | K261 | 06 | 380-382 | ||
| J353 | Pre | 011-013 | K030 | Pre | 011-013 | K262 | 06 | 377-379 | ||
| J353 | 03 | 154-156 | K030 | 03 | 157-159 | K263 | 06 | 380-384 | ||
| J358 | Pre | 011-013 | K031 | Pre | 011-013 | K264 | 06 | 377-379 | ||
| J358 | 03 | 154-156 | K031 | 03 | 157-159 | K265 | 06 | 380-382 | ||
| J359 | Pre | 011-013 | K032 | Pre | 011-013 | K266 | 06 | 377-379 | ||
| J359 | 03 | 154-156 | K032 | 03 | 157-159 | K267 | 06 | 380-384 | ||
| J36 | Pre | 011-013 | K033 | Pre | 011-013 | K269 | 06 | 380-384 | ||
| J36 | 03 | 152-153 | K033 | 03 | 157-159 | K270 | 06 | 377-379 | ||
| J370 | Pre | 011-013 | K034 | Pre | 011-013 | K271 | 06 | 380-382 | ||
| J370 | 03 | 152-153 | K034 | 03 | 157-159 | K272 | 06 | 377-379 | ||
| J371 | Pre | 011-013 | K035 | Pre | 011-013 | K273 | 06 | 380-384 | ||
| J371 | 03 | 152-153 | K035 | 03 | 157-159 | K274 | 06 | 377-379 | ||
| J3800 | Pre | 011-013 | K036 | Pre | 011-013 | K275 | 06 | 380-382 | ||
| J3800 | 03 | 154-156 | K036 | 03 | 157-159 | K276 | 06 | 377-379 | ||
| J3800 | 15 | 791 | K037 | Pre | 011-013 | K277 | 06 | 380-384 | ||
| J3800 | 15 | 793 | K037 | 03 | 157-159 | K279 | 06 | 380-384 | ||
| J3801 | Pre | 011-013 | K0381 | Pre | 011-013 | K280 | 06 | 377-379 | ||
| J3801 | 03 | 154-156 | K0381 | 03 | 157-159 | K281 | 06 | 380-382 | ||
| J3801 | 15 | 791 | K0389 | Pre | 011-013 | K282 | 06 | 377-379 | ||
| J3801 | 15 | 793 | K0389 | 03 | 157-159 | K283 | 06 | 380-382 | ||
| J3802 | Pre | 011-013 | K039 | Pre | 011-013 | K284 | 06 | 377-379 | ||
| J3802 | 03 | 154-156 | K039 | 03 | 157-159 | K285 | 06 | 380-382 | ||
| J3802 | 15 | 791 | K0401 | Pre | 011-013 | K286 | 06 | 377-379 | ||
| J3802 | 15 | 793 | K0401 | 03 | 157-159 | K287 | 06 | 380-382 | ||
| J381 | Pre | 011-013 | K0402 | Pre | 011-013 | K289 | 06 | 380-382 | ||
| J381 | 03 | 154-156 | K0402 | 03 | 157-159 | K2900 | 06 | 391-392 | ||
| J382 | Pre | 011-013 | K041 | Pre | 011-013 | K2901 | 06 | 377-379 | ||
| J382 | 03 | 154-156 | K041 | 03 | 157-159 | K2920 | 06 | 391-392 | ||
| J383 | Pre | 011-013 | K042 | Pre | 011-013 | K2921 | 06 | 377-379 | ||
| J383 | 03 | 154-156 | K042 | 03 | 157-159 | K2930 | 06 | 391-392 | ||
| J384 | Pre | 011-013 | K043 | Pre | 011-013 | K2931 | 06 | 377-379 | ||
| J384 | 03 | 154-156 | K043 | 03 | 157-159 | K2940 | 06 | 391-392 | ||
| J385 | Pre | 011-013 | K044 | Pre | 011-013 | K2941 | 06 | 377-379 | ||
| J385 | 03 | 154-156 | K044 | 03 | 157-159 | K2950 | 06 | 391-392 | ||
| J385 | 15 | 791 | K045 | Pre | 011-013 | K2951 | 06 | 377-379 | ||
| J385 | 15 | 793 | K045 | 03 | 157-159 | K2960 | 06 | 391-392 | ||
| J386 | Pre | 011-013 | K046 | Pre | 011-013 | K2961 | 06 | 377-379 | ||
| J386 | 03 | 154-156 | K046 | 03 | 157-159 | K2970 | 06 | 391-392 | ||
| J387 | Pre | 011-013 | K047 | Pre | 011-013 | K2971 | 06 | 377-379 | ||
| J387 | 03 | 154-156 | K047 | 03 | 157-159 | K2980 | 06 | 391-392 | ||
| J390 | Pre | 011-013 | K048 | Pre | 011-013 | K2981 | 06 | 377-379 | ||
| J390 | 03 | 152-153 | K048 | 03 | 157-159 | K2990 | 06 | 391-392 | ||
| J390 | 15 | 791 | K0490 | Pre | 011-013 | K2991 | 06 | 377-379 | ||
| J390 | 15 | 793 | K0490 | 03 | 157-159 | K30 | 06 | 391-392 | ||
| J391 | Pre | 011-013 | K0499 | Pre | 011-013 | K310 | 06 | 391-392 | ||
| J391 | 03 | 152-153 | K0499 | 03 | 157-159 | K310 | 15 | 791 | ||
| J392 | Pre | 011-013 | K0500 | Pre | 011-013 | K310 | 15 | 793 | ||
| J392 | 03 | 154-156 | K0500 | 03 | 157-159 | K311 | 06 | 380-382 | ||
| J393 | Pre | 011-013 | K0501 | Pre | 011-013 | K312 | 06 | 391-392 | ||
| J393 | 03 | 152-153 | K0501 | 03 | 157-159 | K313 | 06 | 391-392 | ||
| J398 | Pre | 011-013 | K0510 | Pre | 011-013 | K314 | 06 | 391-392 | ||
| J398 | 04 | 202-203 | K0510 | 03 | 157-159 | K315 | 06 | 380-382 | ||
| J399 | Pre | 011-013 | K0511 | Pre | 011-013 | K316 | 06 | 391-392 | ||
| J399 | 03 | 152-153 | K0511 | 03 | 157-159 | K317 | 06 | 393-395 | ||
| J40 | 04 | 202-203 | K0520 | Pre | 011-013 | K31811 | 06 | 377-379 | ||
| J410 | 04 | 202-203 | K0520 | 03 | 157-159 | K31819 | 06 | 391-392 | ||
| J411 | 04 | 190-192 | K05211 | Pre | 011-013 | K3182 | 06 | 377-379 | ||
| J418 | 04 | 190-192 | K05211 | 03 | 157-159 | K3183 | 06 | 391-392 | ||
| J42 | 04 | 190-192 | K05212 | Pre | 011-013 | K3184 | 06 | 391-392 | ||
| J430 | 04 | 190-192 | K05212 | 03 | 157-159 | K3189 | 06 | 391-392 | ||
| J431 | 04 | 190-192 | K05213 | Pre | 011-013 | K319 | 06 | 391-392 | ||
| J432 | 04 | 190-192 | K05213 | 03 | 157-159 | K31A0 | 06 | 391-392 | ||
| J438 | 04 | 190-192 | K05219 | Pre | 011-013 | K31A11 | 06 | 391-392 | ||
| J439 | 04 | 190-192 | K05219 | 03 | 157-159 | K31A12 | 06 | 391-392 | ||
| J440 | 04 | 190-192 | K05221 | Pre | 011-013 | K31A13 | 06 | 391-392 | ||
| J441 | 04 | 190-192 | K05221 | 03 | 157-159 | K31A14 | 06 | 391-392 | ||
| J4481 | 04 | 190-192 | K05222 | Pre | 011-013 | K31A15 | 06 | 391-392 | ||
| J4489 | 04 | 190-192 | K05222 | 03 | 157-159 | K31A19 | 06 | 391-392 | ||
| J449 | 04 | 190-192 | K05223 | Pre | 011-013 | K31A21 | 06 | 391-392 | ||
| J4520 | 04 | 202-203 | K05223 | 03 | 157-159 | K31A22 | 06 | 391-392 | ||
| J4521 | 04 | 202-203 | K05229 | Pre | 011-013 | K31A29 | 06 | 391-392 | ||
| J4522 | 04 | 202-203 | K05229 | 03 | 157-159 | K35200 | 06 | 371-373 | ||
| J4522 | 15 | 791 | K0530 | Pre | 011-013 | K35201 | 06 | 371-373 | ||
| J4522 | 15 | 793 | K0530 | 03 | 157-159 | K35209 | 06 | 371-373 | ||
| J4530 | 04 | 202-203 | K05311 | Pre | 011-013 | K35210 | 06 | 371-373 | ||
| J4531 | 04 | 202-203 | K05311 | 03 | 157-159 | K35211 | 06 | 371-373 | ||
| J4532 | 04 | 202-203 | K05312 | Pre | 011-013 | K35219 | 06 | 371-373 | ||
| J4532 | 15 | 791 | K05312 | 03 | 157-159 | K3530 | 06 | 371-373 | ||
| J4532 | 15 | 793 | K05313 | Pre | 011-013 | K3531 | 06 | 371-373 | ||
| J4540 | 04 | 202-203 | K05313 | 03 | 157-159 | K3532 | 06 | 371-373 | ||
| J4541 | 04 | 202-203 | K05319 | Pre | 011-013 | K3533 | 06 | 371-373 | ||
| J4542 | 04 | 202-203 | K05319 | 03 | 157-159 | K3580 | 06 | 393-395 | ||
| J4542 | 15 | 791 | K05321 | Pre | 011-013 | K35890 | 06 | 371-373 | ||
| J4542 | 15 | 793 | K05321 | 03 | 157-159 | K35891 | 06 | 371-373 | ||
| J4550 | 04 | 202-203 | K05322 | Pre | 011-013 | K36 | 06 | 393-395 | ||
| J4551 | 04 | 202-203 | K05322 | 03 | 157-159 | K37 | 06 | 393-395 | ||
| J4552 | 04 | 202-203 | K05323 | Pre | 011-013 | K380 | 06 | 393-395 | ||
| J4552 | 15 | 791 | K05323 | 03 | 157-159 | K381 | 06 | 393-395 | ||
| J4552 | 15 | 793 | K05329 | Pre | 011-013 | K382 | 06 | 393-395 | ||
| J45901 | 04 | 202-203 | K05329 | 03 | 157-159 | K383 | 06 | 393-395 | ||
| J45902 | 04 | 202-203 | K054 | Pre | 011-013 | K388 | 06 | 393-395 | ||
| J45902 | 15 | 791 | K054 | 03 | 157-159 | K389 | 06 | 393-395 | ||
| J45902 | 15 | 793 | K055 | Pre | 011-013 | K4000 | 06 | 393-395 | ||
| J45909 | 04 | 202-203 | K055 | 03 | 157-159 | K4000 | 15 | 791 | ||
| J45990 | 04 | 202-203 | K056 | Pre | 011-013 | K4000 | 15 | 793 | ||
| J45991 | 04 | 202-203 | K056 | 03 | 157-159 | K4001 | 06 | 393-395 | ||
| J45998 | 04 | 202-203 | K06010 | Pre | 011-013 | K4010 | 06 | 393-395 | ||
| J470 | 04 | 190-192 | K06010 | 03 | 157-159 | K4010 | 15 | 791 | ||
| J471 | 04 | 190-192 | K06011 | Pre | 011-013 | K4010 | 15 | 793 | ||
| J479 | 04 | 190-192 | K06011 | 03 | 157-159 | K4011 | 06 | 393-395 | ||
| J4A0 | 04 | 190-192 | K06012 | Pre | 011-013 | K4020 | 06 | 393-395 | ||
| J4A8 | 04 | 190-192 | K06012 | 03 | 157-159 | K4021 | 06 | 393-395 | ||
| J4A9 | 04 | 190-192 | K06013 | Pre | 011-013 | K4030 | 06 | 393-395 | ||
| J60 | 04 | 196-198 | K06013 | 03 | 157-159 | K4030 | 15 | 791 | ||
| J61 | 04 | 196-198 | K06020 | Pre | 011-013 | K4030 | 15 | 793 | ||
| J620 | 04 | 196-198 | K06020 | 03 | 157-159 | K4031 | 06 | 393-395 | ||
| J628 | 04 | 196-198 | K06021 | Pre | 011-013 | K4040 | 06 | 393-395 | ||
| J630 | 04 | 196-198 | K06021 | 03 | 157-159 | K4040 | 15 | 791 | ||
| J631 | 04 | 196-198 | K06022 | Pre | 011-013 | K4040 | 15 | 793 | ||
| J632 | 04 | 196-198 | K06022 | 03 | 157-159 | K4041 | 06 | 393-395 | ||
| J633 | 04 | 196-198 | K06023 | Pre | 011-013 | K4090 | 06 | 393-395 | ||
| J634 | 04 | 196-198 | K06023 | 03 | 157-159 | K4091 | 06 | 393-395 | ||
| J635 | 04 | 196-198 | K061 | Pre | 011-013 | K4100 | 06 | 393-395 | ||
| J636 | 04 | 196-198 | K061 | 03 | 157-159 | K4100 | 15 | 791 | ||
| J64 | 04 | 196-198 | K062 | Pre | 011-013 | K4100 | 15 | 793 | ||
| J65 | 04 | 196-198 | K062 | 03 | 157-159 | K4101 | 06 | 393-395 | ||
| J660 | 04 | 196-198 | K063 | Pre | 011-013 | K4110 | 06 | 393-395 | ||
| J661 | 04 | 196-198 | K063 | 03 | 157-159 | K4110 | 15 | 791 | ||
| J662 | 04 | 196-198 | K068 | Pre | 011-013 | K4110 | 15 | 793 | ||
| J668 | 04 | 196-198 | K068 | 03 | 157-159 | K4111 | 06 | 393-395 | ||
| J670 | 04 | 196-198 | K069 | Pre | 011-013 | K4120 | 06 | 393-395 | ||
| J671 | 04 | 196-198 | K069 | 03 | 157-159 | K4121 | 06 | 393-395 | ||
| J672 | 04 | 196-198 | K080 | Pre | 011-013 | K4130 | 06 | 393-395 | ||
| J673 | 04 | 196-198 | K080 | 03 | 157-159 | K4130 | 15 | 791 | ||
| J674 | 04 | 196-198 | K08101 | Pre | 011-013 | K4130 | 15 | 793 | ||
| J675 | 04 | 196-198 | K08101 | 03 | 157-159 | K4131 | 06 | 393-395 | ||
| J676 | 04 | 196-198 | K08102 | Pre | 011-013 | K4140 | 06 | 393-395 | ||
| J677 | 04 | 196-198 | K08102 | 03 | 157-159 | K4140 | 15 | 791 | ||
| J678 | 04 | 196-198 | K08103 | Pre | 011-013 | K4140 | 15 | 793 | ||
| J679 | 04 | 196-198 | K08103 | 03 | 157-159 | K4141 | 06 | 393-395 | ||
| J680 | 04 | 205-206 | K08104 | Pre | 011-013 | K4190 | 06 | 393-395 | ||
| J681 | 04 | 189 | K08104 | 03 | 157-159 | K4191 | 06 | 393-395 | ||
| J682 | 04 | 205-206 | K08109 | Pre | 011-013 | K420 | 06 | 393-395 | ||
| J683 | 04 | 205-206 | K08109 | 03 | 157-159 | K420 | 15 | 791 | ||
| J684 | 04 | 190-192 | K08111 | Pre | 011-013 | K420 | 15 | 793 | ||
| J688 | 04 | 190-192 | K08111 | 03 | 157-159 | K421 | 06 | 393-395 | ||
| J689 | 04 | 190-192 | K08112 | Pre | 011-013 | K421 | 15 | 791 | ||
| J690 | 04 | 177-179 | K08112 | 03 | 157-159 | K421 | 15 | 793 | ||
| J690 | 15 | 791 | K08113 | Pre | 011-013 | K429 | 06 | 393-395 | ||
| J690 | 15 | 793 | K08113 | 03 | 157-159 | K430 | 06 | 393-395 | ||
| J691 | 04 | 177-179 | K08114 | Pre | 011-013 | K430 | 15 | 791 | ||
| J698 | 04 | 177-179 | K08114 | 03 | 157-159 | K430 | 15 | 793 | ||
| J698 | 15 | 791 | K08119 | Pre | 011-013 | K431 | 06 | 393-395 | ||
| J698 | 15 | 793 | K08119 | 03 | 157-159 | K431 | 15 | 791 | ||
| J700 | 04 | 205-206 | K08121 | Pre | 011-013 | K431 | 15 | 793 | ||
| J700 | 15 | 791 | K08121 | 03 | 157-159 | K432 | 06 | 393-395 | ||
| J700 | 15 | 793 | K08122 | Pre | 011-013 | K433 | 06 | 393-395 | ||
| J701 | 04 | 196-198 | K08122 | 03 | 157-159 | K433 | 15 | 791 | ||
| J702 | 04 | 205-206 | K08123 | Pre | 011-013 | K433 | 15 | 793 | ||
| J703 | 04 | 205-206 | K08123 | 03 | 157-159 | K434 | 06 | 393-395 | ||
| J704 | 04 | 205-206 | K08124 | Pre | 011-013 | K434 | 15 | 791 | ||
| J705 | 04 | 205-206 | K08124 | 03 | 157-159 | K434 | 15 | 793 | ||
| J705 | 22 | 928-929,934 | K08129 | Pre | 011-013 | K435 | 06 | 393-395 | ||
| J708 | 04 | 205-206 | K08129 | 03 | 157-159 | K436 | 06 | 393-395 | ||
| J709 | 04 | 205-206 | K08131 | Pre | 011-013 | K436 | 15 | 791 | ||
| J80 | 04 | 189 | K08131 | 03 | 157-159 | K436 | 15 | 793 | ||
| J810 | 04 | 189 | K08132 | Pre | 011-013 | K437 | 06 | 393-395 | ||
| J810 | 15 | 791 | K08132 | 03 | 157-159 | K437 | 15 | 791 | ||
| J810 | 15 | 793 | K08133 | Pre | 011-013 | K437 | 15 | 793 | ||
| J811 | 04 | 189 | K08133 | 03 | 157-159 | K439 | 06 | 393-395 | ||
| J8281 | 04 | 196-198 | K08134 | Pre | 011-013 | K440 | 06 | 391-392 | ||
| J8282 | 04 | 196-198 | K08134 | 03 | 157-159 | K440 | 15 | 791 | ||
| J8283 | 04 | 196-198 | K08139 | Pre | 011-013 | K440 | 15 | 793 | ||
| J8289 | 04 | 196-198 | K08139 | 03 | 157-159 | K441 | 06 | 393-395 | ||
| J8401 | 04 | 196-198 | K08191 | Pre | 011-013 | K441 | 15 | 791 | ||
| J8402 | 04 | 196-198 | K08191 | 03 | 157-159 | K441 | 15 | 793 | ||
| J8403 | 04 | 196-198 | K08192 | Pre | 011-013 | K449 | 06 | 391-392 | ||
| J8409 | 04 | 196-198 | K08192 | 03 | 157-159 | K450 | 06 | 393-395 | ||
| J8410 | 04 | 196-198 | K08193 | Pre | 011-013 | K450 | 15 | 791 | ||
| J84111 | 04 | 196-198 | K08193 | 03 | 157-159 | K450 | 15 | 793 | ||
| J84112 | 04 | 196-198 | K08194 | Pre | 011-013 | K451 | 06 | 393-395 | ||
| J84113 | 04 | 196-198 | K08194 | 03 | 157-159 | K451 | 15 | 791 | ||
| J84114 | 04 | 196-198 | K08199 | Pre | 011-013 | K451 | 15 | 793 | ||
| J84115 | 04 | 196-198 | K08199 | 03 | 157-159 | K458 | 06 | 393-395 | ||
| J84116 | 04 | 196-198 | K0820 | Pre | 011-013 | K460 | 06 | 393-395 | ||
| J84117 | 04 | 196-198 | K0820 | 03 | 157-159 | K460 | 15 | 791 | ||
| J84170 | 04 | 196-198 | K0821 | Pre | 011-013 | K460 | 15 | 793 | ||
| J84178 | 04 | 196-198 | K0821 | 03 | 157-159 | K461 | 06 | 393-395 | ||
| J842 | 04 | 196-198 | K0822 | Pre | 011-013 | K461 | 15 | 791 | ||
| J8481 | 04 | 196-198 | K0822 | 03 | 157-159 | K461 | 15 | 793 | ||
| J8482 | 04 | 196-198 | K0823 | Pre | 011-013 | K469 | 06 | 393-395 | ||
| J8483 | 04 | 196-198 | K0823 | 03 | 157-159 | K5000 | 06 | 385-387 | ||
| J8483 | 15 | 791 | K0824 | Pre | 011-013 | K50011 | 06 | 385-387 | ||
| J8483 | 15 | 793 | K0824 | 03 | 157-159 | K50012 | 06 | 385-387 | ||
| J84841 | 04 | 196-198 | K0825 | Pre | 011-013 | K50013 | 06 | 385-387 | ||
| J84841 | 15 | 791 | K0825 | 03 | 157-159 | K50014 | 06 | 385-387 | ||
| J84841 | 15 | 793 | K0826 | Pre | 011-013 | K50018 | 06 | 385-387 | ||
| J84842 | 04 | 196-198 | K0826 | 03 | 157-159 | K50019 | 06 | 385-387 | ||
| J84842 | 15 | 791 | K083 | Pre | 011-013 | K5010 | 06 | 385-387 | ||
| J84842 | 15 | 793 | K083 | 03 | 157-159 | K50111 | 06 | 385-387 | ||
| J84843 | 04 | 196-198 | K08401 | Pre | 011-013 | K50112 | 06 | 385-387 | ||
| J84843 | 15 | 791 | K08401 | 03 | 157-159 | K50113 | 06 | 385-387 | ||
| J84843 | 15 | 793 | K08402 | Pre | 011-013 | K50114 | 06 | 385-387 | ||
| J84848 | 04 | 196-198 | K08402 | 03 | 157-159 | K50118 | 06 | 385-387 | ||
| J84848 | 15 | 791 | K08403 | Pre | 011-013 | K50119 | 06 | 385-387 | ||
| J84848 | 15 | 793 | K08403 | 03 | 157-159 | K5080 | 06 | 385-387 | ||
| J8489 | 04 | 196-198 | K08404 | Pre | 011-013 | K50811 | 06 | 385-387 | ||
| J849 | 04 | 196-198 | K08404 | 03 | 157-159 | K50812 | 06 | 385-387 | ||
| J850 | 04 | 177-179 | K08409 | Pre | 011-013 | K50813 | 06 | 385-387 | ||
| J850 | 15 | 791 | K08409 | 03 | 157-159 | K50814 | 06 | 385-387 | ||
| J850 | 15 | 793 | K08411 | Pre | 011-013 | K50818 | 06 | 385-387 | ||
| J851 | 04 | 177-179 | K08411 | 03 | 157-159 | K50819 | 06 | 385-387 | ||
| J851 | 15 | 791 | K08412 | Pre | 011-013 | K5090 | 06 | 385-387 | ||
| J851 | 15 | 793 | K08412 | 03 | 157-159 | K50911 | 06 | 385-387 | ||
| J852 | 04 | 177-179 | K08413 | Pre | 011-013 | K50912 | 06 | 385-387 | ||
| J852 | 15 | 791 | K08413 | 03 | 157-159 | K50913 | 06 | 385-387 | ||
| J852 | 15 | 793 | K08414 | Pre | 011-013 | K50914 | 06 | 385-387 | ||
| J853 | 04 | 177-179 | K08414 | 03 | 157-159 | K50918 | 06 | 385-387 | ||
| J853 | 15 | 791 | K08419 | Pre | 011-013 | K50919 | 06 | 385-387 | ||
| J853 | 15 | 793 | K08419 | 03 | 157-159 | K5100 | 06 | 385-387 | ||
| J860 | 04 | 177-179 | K08421 | Pre | 011-013 | K51011 | 06 | 385-387 | ||
| J860 | 15 | 791 | K08421 | 03 | 157-159 | K51012 | 06 | 385-387 | ||
| J860 | 15 | 793 | K08422 | Pre | 011-013 | K51013 | 06 | 385-387 | ||
| J869 | 04 | 177-179 | K08422 | 03 | 157-159 | K51014 | 06 | 385-387 | ||
| J869 | 15 | 791 | K08423 | Pre | 011-013 | K51018 | 06 | 385-387 | ||
| J869 | 15 | 793 | K08423 | 03 | 157-159 | K51019 | 06 | 385-387 | ||
| J90 | 04 | 186-188 | K08424 | Pre | 011-013 | K5120 | 06 | 385-387 | ||
| J90 | 15 | 791 | K08424 | 03 | 157-159 | K51211 | 06 | 385-387 | ||
| J90 | 15 | 793 | K08429 | Pre | 011-013 | K51212 | 06 | 385-387 | ||
| J910 | 04 | 180-182 | K08429 | 03 | 157-159 | K51213 | 06 | 385-387 | ||
| J918 | 04 | 186-188 | K08431 | Pre | 011-013 | K51214 | 06 | 385-387 | ||
| J918 | 15 | 791 | K08431 | 03 | 157-159 | K51218 | 06 | 385-387 | ||
| J918 | 15 | 793 | K08432 | Pre | 011-013 | K51219 | 06 | 385-387 | ||
| J920 | 04 | 193-195 | K08432 | 03 | 157-159 | K5130 | 06 | 385-387 | ||
| J929 | 04 | 193-195 | K08433 | Pre | 011-013 | K51311 | 06 | 385-387 | ||
| J930 | 04 | 199-201 | K08433 | 03 | 157-159 | K51312 | 06 | 385-387 | ||
| J9311 | 04 | 199-201 | K08434 | Pre | 011-013 | K51313 | 06 | 385-387 | ||
| J9312 | 04 | 199-201 | K08434 | 03 | 157-159 | K51314 | 06 | 385-387 | ||
| J9381 | 04 | 199-201 | K08439 | Pre | 011-013 | K51318 | 06 | 385-387 | ||
| J9382 | 04 | 199-201 | K08439 | 03 | 157-159 | K51319 | 06 | 385-387 | ||
| J9383 | 04 | 199-201 | K08491 | Pre | 011-013 | K5140 | 06 | 385-387 | ||
| J939 | 04 | 199-201 | K08491 | 03 | 157-159 | K51411 | 06 | 385-387 | ||
| J940 | 04 | 186-188 | K08492 | Pre | 011-013 | K51412 | 06 | 385-387 | ||
| J940 | 15 | 791 | K08492 | 03 | 157-159 | K51413 | 06 | 385-387 | ||
| J940 | 15 | 793 | K08493 | Pre | 011-013 | K51414 | 06 | 385-387 | ||
| J941 | 04 | 193-195 | K08493 | 03 | 157-159 | K51418 | 06 | 385-387 | ||
| J942 | 04 | 186-188 | K08494 | Pre | 011-013 | K51419 | 06 | 385-387 | ||
| J942 | 15 | 791 | K08494 | 03 | 157-159 | K5150 | 06 | 385-387 | ||
| J942 | 15 | 793 | K08499 | Pre | 011-013 | K51511 | 06 | 385-387 | ||
| J948 | 04 | 186-188 | K08499 | 03 | 157-159 | K51512 | 06 | 385-387 | ||
| J948 | 15 | 791 | K0850 | Pre | 011-013 | K51513 | 06 | 385-387 | ||
| J948 | 15 | 793 | K0850 | 03 | 157-159 | K51514 | 06 | 385-387 | ||
| J949 | 04 | 193-195 | K0851 | Pre | 011-013 | K51518 | 06 | 385-387 | ||
| J9500 | Pre | 011-013 | K0851 | 03 | 157-159 | K51519 | 06 | 385-387 | ||
| J9500 | 04 | 205-206 | K0852 | Pre | 011-013 | K5180 | 06 | 385-387 | ||
| J9501 | Pre | 011-013 | K0852 | 03 | 157-159 | K51811 | 06 | 385-387 | ||
| J9501 | 04 | 205-206 | K08530 | Pre | 011-013 | K51812 | 06 | 385-387 | ||
| J9502 | Pre | 011-013 | K08530 | 03 | 157-159 | K51813 | 06 | 385-387 | ||
| J9502 | 04 | 205-206 | K08531 | Pre | 011-013 | K51814 | 06 | 385-387 | ||
| J9503 | Pre | 011-013 | K08531 | 03 | 157-159 | K51818 | 06 | 385-387 | ||
| J9503 | 04 | 205-206 | K08539 | Pre | 011-013 | K51819 | 06 | 385-387 | ||
| J9504 | Pre | 011-013 | K08539 | 03 | 157-159 | K5190 | 06 | 385-387 | ||
| J9504 | 04 | 205-206 | K0854 | Pre | 011-013 | K51911 | 06 | 385-387 | ||
| J9509 | Pre | 011-013 | K0854 | 03 | 157-159 | K51912 | 06 | 385-387 | ||
| J9509 | 04 | 205-206 | K0855 | Pre | 011-013 | K51913 | 06 | 385-387 | ||
| J951 | 04 | 189 | K0855 | 03 | 157-159 | K51914 | 06 | 385-387 | ||
| J951 | 15 | 791 | K0856 | Pre | 011-013 | K51918 | 06 | 385-387 | ||
| J951 | 15 | 793 | K0856 | 03 | 157-159 | K51919 | 06 | 385-387 | ||
| J951 | 22 | 928-929,934 | K0859 | Pre | 011-013 | K520 | 06 | 393-395 | ||
| J952 | 04 | 189 | K0859 | 03 | 157-159 | K521 | 06 | 393-395 | ||
| J952 | 15 | 791 | K0881 | Pre | 011-013 | K521 | 15 | 791 | ||
| J952 | 15 | 793 | K0881 | 03 | 157-159 | K521 | 15 | 793 | ||
| J952 | 22 | 928-929,934 | K0882 | Pre | 011-013 | K5221 | 06 | 391-392 | ||
| J953 | 04 | 189 | K0882 | 03 | 157-159 | K5222 | 06 | 391-392 | ||
| J953 | 15 | 791 | K0889 | Pre | 011-013 | K5229 | 06 | 391-392 | ||
| J953 | 15 | 793 | K0889 | 03 | 157-159 | K523 | 06 | 391-392 | ||
| J953 | 22 | 928-929,934 | K089 | Pre | 011-013 | K5281 | 06 | 391-392 | ||
| J954 | 04 | 205-206 | K089 | 03 | 157-159 | K5282 | 06 | 391-392 | ||
| J954 | 15 | 791 | K090 | Pre | 011-013 | K52831 | 06 | 391-392 | ||
| J954 | 15 | 793 | K090 | 03 | 157-159 | K52832 | 06 | 391-392 | ||
| J955 | 04 | 205-206 | K091 | Pre | 011-013 | K52838 | 06 | 391-392 | ||
| J955 | 15 | 791 | K091 | 03 | 157-159 | K52839 | 06 | 391-392 | ||
| J955 | 15 | 793 | K098 | Pre | 011-013 | K5289 | 06 | 391-392 | ||
| J9561 | 21 | 919-921 | K098 | 03 | 157-159 | K529 | 06 | 391-392 | ||
| J9562 | 21 | 919-921 | K099 | Pre | 011-013 | K55011 | 06 | 393-395 | ||
| J9571 | 15 | 791 | K099 | 03 | 157-159 | K55011 | 15 | 791 | ||
| J9571 | 15 | 793 | K110 | Pre | 011-013 | K55011 | 15 | 793 | ||
| J9571 | 21 | 919-921 | K110 | 03 | 154-156 | K55012 | 06 | 393-395 | ||
| J9572 | 15 | 791 | K111 | Pre | 011-013 | K55012 | 15 | 791 | ||
| J9572 | 15 | 793 | K111 | 03 | 154-156 | K55012 | 15 | 793 | ||
| J9572 | 21 | 919-921 | K1120 | Pre | 011-013 | K55019 | 06 | 393-395 | ||
| J95811 | 04 | 199-201 | K1120 | 03 | 154-156 | K55019 | 15 | 791 | ||
| J95812 | 04 | 199-201 | K1121 | Pre | 011-013 | K55019 | 15 | 793 | ||
| J95821 | 04 | 189 | K1121 | 03 | 154-156 | K55021 | 06 | 393-395 | ||
| J95821 | 22 | 928-929,934 | K1122 | Pre | 011-013 | K55021 | 15 | 791 | ||
| J95822 | 04 | 189 | K1122 | 03 | 154-156 | K55021 | 15 | 793 | ||
| J95822 | 22 | 928-929,934 | K1123 | Pre | 011-013 | K55022 | 06 | 393-395 | ||
| J95830 | 21 | 919-921 | K1123 | 03 | 154-156 | K55022 | 15 | 791 | ||
| J95831 | 21 | 919-921 | K113 | Pre | 011-013 | K55022 | 15 | 793 | ||
| J9584 | 04 | 205-206 | K113 | 03 | 154-156 | K55029 | 06 | 393-395 | ||
| J95850 | 23 | 951 | K114 | Pre | 011-013 | K55029 | 15 | 791 | ||
| J95851 | 04 | 205-206 | K114 | 03 | 154-156 | K55029 | 15 | 793 | ||
| J95851 | 15 | 791 | K115 | Pre | 011-013 | K55031 | 06 | 393-395 | ||
| J95851 | 15 | 793 | K115 | 03 | 154-156 | K55031 | 15 | 791 | ||
| J95859 | 04 | 205-206 | K116 | Pre | 011-013 | K55031 | 15 | 793 | ||
| J95859 | 15 | 791 | K116 | 03 | 154-156 | K55032 | 06 | 393-395 | ||
| J95859 | 15 | 793 | K117 | Pre | 011-013 | K55032 | 15 | 791 | ||
| J95860 | 21 | 919-921 | K117 | 03 | 154-156 | K55032 | 15 | 793 | ||
| J95861 | 21 | 919-921 | K118 | Pre | 011-013 | K55039 | 06 | 393-395 | ||
| J95862 | 21 | 919-921 | K118 | 03 | 154-156 | K55039 | 15 | 791 | ||
| J95863 | 21 | 919-921 | K119 | Pre | 011-013 | K55039 | 15 | 793 | ||
| J9587 | 04 | 205-206 | K119 | 03 | 154-156 | K55041 | 06 | 393-395 | ||
| J9587 | 15 | 791 | K120 | Pre | 011-013 | K55041 | 15 | 791 | ||
| J9587 | 15 | 793 | K120 | 03 | 157-159 | K55041 | 15 | 793 | ||
| J9588 | 04 | 205-206 | K121 | Pre | 011-013 | K55042 | 06 | 393-395 | ||
| J9588 | 15 | 791 | K121 | 03 | 157-159 | K55042 | 15 | 791 | ||
| J9588 | 15 | 793 | K122 | Pre | 011-013 | K55042 | 15 | 793 | ||
| J9589 | 04 | 205-206 | K122 | 03 | 157-159 | K55049 | 06 | 393-395 | ||
| J9589 | 15 | 791 | K1230 | Pre | 011-013 | K55049 | 15 | 791 | ||
| J9589 | 15 | 793 | K1230 | 03 | 157-159 | K55049 | 15 | 793 | ||
| J9600 | 04 | 189 | K1231 | Pre | 011-013 | K55051 | 06 | 393-395 | ||
| J9600 | 22 | 928-929,934 | K1231 | 03 | 157-159 | K55051 | 15 | 791 | ||
| J9601 | 04 | 189 | K1232 | Pre | 011-013 | K55051 | 15 | 793 | ||
| J9601 | 22 | 928-929,934 | K1232 | 03 | 157-159 | K55052 | 06 | 393-395 | ||
| J9602 | 04 | 189 | K1233 | Pre | 011-013 | K55052 | 15 | 791 | ||
| J9602 | 22 | 928-929,934 | K1233 | 03 | 157-159 | K55052 | 15 | 793 | ||
| J9610 | 04 | 189 | K1239 | Pre | 011-013 | K55059 | 06 | 393-395 | ||
| J9611 | 04 | 189 | K1239 | 03 | 157-159 | K55059 | 15 | 791 | ||
| J9612 | 04 | 189 | K130 | Pre | 011-013 | K55059 | 15 | 793 | ||
| J9620 | 04 | 189 | K130 | 03 | 157-159 | K55061 | 06 | 393-395 | ||
| J9620 | 22 | 928-929,934 | K131 | Pre | 011-013 | K55061 | 15 | 791 | ||
| J9621 | 04 | 189 | K131 | 03 | 157-159 | K55061 | 15 | 793 | ||
| J9621 | 22 | 928-929,934 | K1321 | Pre | 011-013 | K55062 | 06 | 393-395 | ||
| J9622 | 04 | 189 | K1321 | 03 | 157-159 | K55062 | 15 | 791 | ||
| J9622 | 22 | 928-929,934 | K1322 | Pre | 011-013 | K55062 | 15 | 793 | ||
| J9690 | 04 | 189 | K1322 | 03 | 157-159 | K55069 | 06 | 393-395 | ||
| J9690 | 22 | 928-929,934 | K1323 | Pre | 011-013 | K55069 | 15 | 791 | ||
| J9691 | 04 | 189 | K1323 | 03 | 157-159 | K55069 | 15 | 793 | ||
| J9691 | 22 | 928-929,934 | K1324 | Pre | 011-013 | K551 | 06 | 393-395 | ||
| J9692 | 04 | 189 | K1324 | 03 | 157-159 | K5520 | 06 | 393-395 | ||
| J9692 | 22 | 928-929,934 | K1329 | Pre | 011-013 | K5521 | 06 | 377-379 | ||
| J9801 | Pre | 011-013 | K1329 | 03 | 157-159 | K5530 | 06 | 393-395 | ||
| J9801 | 04 | 202-203 | K133 | Pre | 011-013 | K5530 | 15 | 791 | ||
| J9809 | Pre | 011-013 | K133 | 03 | 157-159 | K5530 | 15 | 793 | ||
| J9809 | 04 | 202-203 | K134 | Pre | 011-013 | K5531 | 06 | 393-395 | ||
| J9811 | 04 | 205-206 | K134 | 03 | 157-159 | K5531 | 15 | 791 | ||
| J9811 | 15 | 791 | K135 | Pre | 011-013 | K5531 | 15 | 793 | ||
| J9811 | 15 | 793 | K135 | 03 | 157-159 | K5532 | 06 | 393-395 | ||
| J9819 | 04 | 205-206 | K136 | Pre | 011-013 | K5532 | 15 | 791 | ||
| J9819 | 15 | 791 | K136 | 03 | 157-159 | K5532 | 15 | 793 | ||
| J9819 | 15 | 793 | K1370 | Pre | 011-013 | K5533 | 06 | 393-395 | ||
| J982 | 04 | 199-201 | K1370 | 03 | 157-159 | K5533 | 15 | 791 | ||
| J982 | 15 | 791 | K1379 | Pre | 011-013 | K5533 | 15 | 793 | ||
| J982 | 15 | 793 | K1379 | 03 | 157-159 | K558 | 06 | 393-395 | ||
| J983 | 04 | 205-206 | K140 | Pre | 011-013 | K559 | 06 | 393-395 | ||
| J984 | 04 | 205-206 | K140 | 03 | 157-159 | K560 | 06 | 388-390 | ||
| J9851 | 04 | 177-179 | K141 | Pre | 011-013 | K560 | 15 | 791 | ||
| J9851 | 15 | 791 | K141 | 03 | 157-159 | K560 | 15 | 793 | ||
| J9851 | 15 | 793 | K142 | Pre | 011-013 | K561 | 06 | 388-390 | ||
| J9859 | 04 | 177-179 | K142 | 03 | 157-159 | K561 | 15 | 791 | ||
| J9859 | 15 | 791 | K143 | Pre | 011-013 | K561 | 15 | 793 | ||
| J9859 | 15 | 793 | K143 | 03 | 157-159 | K562 | 06 | 388-390 | ||
| J986 | 04 | 205-206 | K144 | Pre | 011-013 | K562 | 15 | 791 | ||
| J988 | 04 | 205-206 | K144 | 03 | 157-159 | K562 | 15 | 793 | ||
| J989 | 04 | 205-206 | K145 | Pre | 011-013 | K563 | 06 | 388-390 | ||
| J99 | 04 | 196-198 | K145 | 03 | 157-159 | K5641 | 06 | 388-390 | ||
| K000 | Pre | 011-013 | K146 | Pre | 011-013 | K5641 | 15 | 791 | ||
| K000 | 03 | 157-159 | K146 | 03 | 157-159 | K5641 | 15 | 793 | ||
| K001 | Pre | 011-013 | K148 | Pre | 011-013 | K5649 | 06 | 388-390 | ||
| K001 | 03 | 157-159 | K148 | 03 | 157-159 | K5649 | 15 | 791 | ||
| K002 | Pre | 011-013 | K149 | Pre | 011-013 | K5649 | 15 | 793 | ||
| K002 | 03 | 157-159 | K149 | 03 | 157-159 | K5650 | 06 | 388-390 | ||
| K003 | Pre | 011-013 | K200 | 06 | 391-392 | K5651 | 06 | 388-390 | ||
| K003 | 03 | 157-159 | K2080 | 06 | 391-392 | K5652 | 06 | 388-390 | ||
| K004 | Pre | 011-013 | K2081 | 06 | 368-370 | K56600 | 06 | 388-390 | ||
| K004 | 03 | 157-159 | K2090 | 06 | 391-392 | K56600 | 15 | 791 | ||
| K005 | Pre | 011-013 | K2091 | 06 | 368-370 | K56600 | 15 | 793 | ||
| K005 | 03 | 157-159 | K2100 | 06 | 391-392 | K56601 | 06 | 388-390 | ||
| K006 | Pre | 011-013 | K2101 | 06 | 368-370 | K56601 | 15 | 791 | ||
| K006 | 03 | 157-159 | K219 | 06 | 391-392 | K56601 | 15 | 793 | ||
| K006 | 15 | 795 | K220 | 06 | 391-392 | K56609 | 06 | 388-390 | ||
| K007 | Pre | 011-013 | K2210 | 06 | 380-382 | K56609 | 15 | 791 | ||
| K007 | 03 | 157-159 | K2211 | 06 | 380-382 | K56609 | 15 | 793 | ||
| K008 | Pre | 011-013 | K222 | 06 | 391-392 | K56690 | 06 | 388-390 | ||
| K008 | 03 | 157-159 | K223 | 06 | 368-370 | K56690 | 15 | 791 | ||
| K009 | Pre | 011-013 | K223 | 15 | 791 | K56690 | 15 | 793 | ||
| K009 | 03 | 157-159 | K223 | 15 | 793 | K56691 | 06 | 388-390 | ||
| K010 | Pre | 011-013 | K224 | 06 | 391-392 | K56691 | 15 | 791 | ||
| K010 | 03 | 157-159 | K225 | 06 | 391-392 | K56691 | 15 | 793 | ||
| K010 | 15 | 795 | K226 | 06 | 368-370 | K56699 | 06 | 388-390 | ||
| K011 | Pre | 011-013 | K2270 | 06 | 380-382 | K56699 | 15 | 791 | ||
| K011 | 03 | 157-159 | K22710 | 06 | 380-382 | K56699 | 15 | 793 | ||
| K011 | 15 | 795 | K22711 | 06 | 380-382 | K567 | 06 | 388-390 | ||
| K023 | Pre | 011-013 | K22719 | 06 | 380-382 | K567 | 15 | 791 | ||
| K023 | 03 | 157-159 | K2281 | 06 | 391-392 | K567 | 15 | 793 | ||
| K0251 | Pre | 011-013 | K2282 | 06 | 391-392 | K5700 | 06 | 391-392 | ||
| K0251 | 03 | 157-159 | K2289 | 06 | 391-392 | K5701 | 06 | 377-379 | ||
| K0252 | Pre | 011-013 | K229 | 06 | 391-392 | K5710 | 06 | 391-392 | ||
| K0252 | 03 | 157-159 | K23 | 06 | 391-392 | K5711 | 06 | 377-379 | ||
| K0253 | Pre | 011-013 | K250 | 06 | 377-379 | K5712 | 06 | 391-392 | ||
| K0253 | 03 | 157-159 | K251 | 06 | 380-382 | K5713 | 06 | 377-379 | ||
| K0261 | Pre | 011-013 | K252 | 06 | 377-379 | K5720 | 06 | 391-392 | ||
| K0261 | 03 | 157-159 | K253 | 06 | 380-384 | K5721 | 06 | 377-379 | ||
| K0262 | Pre | 011-013 | K254 | 06 | 377-379 | K5730 | 06 | 391-392 | ||
| K0262 | 03 | 157-159 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 13 Oct 2023 12:52:35 CMS, code-revision=349, description-revision=1375 |