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 49 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S62615D | 08 | 559-561 | S62659S | 08 | 559-561 | S63125D | 23 | 949-950 | ||
| S62615G | 08 | 559-561 | S62660A | 08 | 562-563 | S63125S | 08 | 562-563 | ||
| S62615K | 08 | 564-566 | S62660A | 24 | 963-965 | S63126A | 08 | 562-563 | ||
| S62615P | 08 | 564-566 | S62660B | 08 | 562-563 | S63126A | 24 | 963-965 | ||
| S62615S | 08 | 559-561 | S62660B | 24 | 963-965 | S63126D | 23 | 949-950 | ||
| S62616A | 08 | 562-563 | S62660D | 08 | 559-561 | S63126S | 08 | 562-563 | ||
| S62616A | 24 | 963-965 | S62660G | 08 | 559-561 | S63200A | 08 | 562-563 | ||
| S62616B | 08 | 562-563 | S62660K | 08 | 564-566 | S63200A | 24 | 963-965 | ||
| S62616B | 24 | 963-965 | S62660P | 08 | 564-566 | S63200D | 23 | 949-950 | ||
| S62616D | 08 | 559-561 | S62660S | 08 | 559-561 | S63200S | 08 | 562-563 | ||
| S62616G | 08 | 559-561 | S62661A | 08 | 562-563 | S63201A | 08 | 562-563 | ||
| S62616K | 08 | 564-566 | S62661A | 24 | 963-965 | S63201A | 24 | 963-965 | ||
| S62616P | 08 | 564-566 | S62661B | 08 | 562-563 | S63201D | 23 | 949-950 | ||
| S62616S | 08 | 559-561 | S62661B | 24 | 963-965 | S63201S | 08 | 562-563 | ||
| S62617A | 08 | 562-563 | S62661D | 08 | 559-561 | S63202A | 08 | 562-563 | ||
| S62617A | 24 | 963-965 | S62661G | 08 | 559-561 | S63202A | 24 | 963-965 | ||
| S62617B | 08 | 562-563 | S62661K | 08 | 564-566 | S63202D | 23 | 949-950 | ||
| S62617B | 24 | 963-965 | S62661P | 08 | 564-566 | S63202S | 08 | 562-563 | ||
| S62617D | 08 | 559-561 | S62661S | 08 | 559-561 | S63203A | 08 | 562-563 | ||
| S62617G | 08 | 559-561 | S62662A | 08 | 562-563 | S63203A | 24 | 963-965 | ||
| S62617K | 08 | 564-566 | S62662A | 24 | 963-965 | S63203D | 23 | 949-950 | ||
| S62617P | 08 | 564-566 | S62662B | 08 | 562-563 | S63203S | 08 | 562-563 | ||
| S62617S | 08 | 559-561 | S62662B | 24 | 963-965 | S63204A | 08 | 562-563 | ||
| S62618A | 08 | 562-563 | S62662D | 08 | 559-561 | S63204A | 24 | 963-965 | ||
| S62618A | 24 | 963-965 | S62662G | 08 | 559-561 | S63204D | 23 | 949-950 | ||
| S62618B | 08 | 562-563 | S62662K | 08 | 564-566 | S63204S | 08 | 562-563 | ||
| S62618B | 24 | 963-965 | S62662P | 08 | 564-566 | S63205A | 08 | 562-563 | ||
| S62618D | 08 | 559-561 | S62662S | 08 | 559-561 | S63205A | 24 | 963-965 | ||
| S62618G | 08 | 559-561 | S62663A | 08 | 562-563 | S63205D | 23 | 949-950 | ||
| S62618K | 08 | 564-566 | S62663A | 24 | 963-965 | S63205S | 08 | 562-563 | ||
| S62618P | 08 | 564-566 | S62663B | 08 | 562-563 | S63206A | 08 | 562-563 | ||
| S62618S | 08 | 559-561 | S62663B | 24 | 963-965 | S63206A | 24 | 963-965 | ||
| S62619A | 08 | 562-563 | S62663D | 08 | 559-561 | S63206D | 23 | 949-950 | ||
| S62619A | 24 | 963-965 | S62663G | 08 | 559-561 | S63206S | 08 | 562-563 | ||
| S62619B | 08 | 562-563 | S62663K | 08 | 564-566 | S63207A | 08 | 562-563 | ||
| S62619B | 24 | 963-965 | S62663P | 08 | 564-566 | S63207A | 24 | 963-965 | ||
| S62619D | 08 | 559-561 | S62663S | 08 | 559-561 | S63207D | 23 | 949-950 | ||
| S62619G | 08 | 559-561 | S62664A | 08 | 562-563 | S63207S | 08 | 562-563 | ||
| S62619K | 08 | 564-566 | S62664A | 24 | 963-965 | S63208A | 08 | 562-563 | ||
| S62619P | 08 | 564-566 | S62664B | 08 | 562-563 | S63208A | 24 | 963-965 | ||
| S62619S | 08 | 559-561 | S62664B | 24 | 963-965 | S63208D | 23 | 949-950 | ||
| S62620A | 08 | 562-563 | S62664D | 08 | 559-561 | S63208S | 08 | 562-563 | ||
| S62620A | 24 | 963-965 | S62664G | 08 | 559-561 | S63209A | 08 | 562-563 | ||
| S62620B | 08 | 562-563 | S62664K | 08 | 564-566 | S63209A | 24 | 963-965 | ||
| S62620B | 24 | 963-965 | S62664P | 08 | 564-566 | S63209D | 23 | 949-950 | ||
| S62620D | 08 | 559-561 | S62664S | 08 | 559-561 | S63209S | 08 | 562-563 | ||
| S62620G | 08 | 559-561 | S62665A | 08 | 562-563 | S63210A | 08 | 562-563 | ||
| S62620K | 08 | 564-566 | S62665A | 24 | 963-965 | S63210A | 24 | 963-965 | ||
| S62620P | 08 | 564-566 | S62665B | 08 | 562-563 | S63210D | 23 | 949-950 | ||
| S62620S | 08 | 559-561 | S62665B | 24 | 963-965 | S63210S | 08 | 562-563 | ||
| S62621A | 08 | 562-563 | S62665D | 08 | 559-561 | S63211A | 08 | 562-563 | ||
| S62621A | 24 | 963-965 | S62665G | 08 | 559-561 | S63211A | 24 | 963-965 | ||
| S62621B | 08 | 562-563 | S62665K | 08 | 564-566 | S63211D | 23 | 949-950 | ||
| S62621B | 24 | 963-965 | S62665P | 08 | 564-566 | S63211S | 08 | 562-563 | ||
| S62621D | 08 | 559-561 | S62665S | 08 | 559-561 | S63212A | 08 | 562-563 | ||
| S62621G | 08 | 559-561 | S62666A | 08 | 562-563 | S63212A | 24 | 963-965 | ||
| S62621K | 08 | 564-566 | S62666A | 24 | 963-965 | S63212D | 23 | 949-950 | ||
| S62621P | 08 | 564-566 | S62666B | 08 | 562-563 | S63212S | 08 | 562-563 | ||
| S62621S | 08 | 559-561 | S62666B | 24 | 963-965 | S63213A | 08 | 562-563 | ||
| S62622A | 08 | 562-563 | S62666D | 08 | 559-561 | S63213A | 24 | 963-965 | ||
| S62622A | 24 | 963-965 | S62666G | 08 | 559-561 | S63213D | 23 | 949-950 | ||
| S62622B | 08 | 562-563 | S62666K | 08 | 564-566 | S63213S | 08 | 562-563 | ||
| S62622B | 24 | 963-965 | S62666P | 08 | 564-566 | S63214A | 08 | 562-563 | ||
| S62622D | 08 | 559-561 | S62666S | 08 | 559-561 | S63214A | 24 | 963-965 | ||
| S62622G | 08 | 559-561 | S62667A | 08 | 562-563 | S63214D | 23 | 949-950 | ||
| S62622K | 08 | 564-566 | S62667A | 24 | 963-965 | S63214S | 08 | 562-563 | ||
| S62622P | 08 | 564-566 | S62667B | 08 | 562-563 | S63215A | 08 | 562-563 | ||
| S62622S | 08 | 559-561 | S62667B | 24 | 963-965 | S63215A | 24 | 963-965 | ||
| S62623A | 08 | 562-563 | S62667D | 08 | 559-561 | S63215D | 23 | 949-950 | ||
| S62623A | 24 | 963-965 | S62667G | 08 | 559-561 | S63215S | 08 | 562-563 | ||
| S62623B | 08 | 562-563 | S62667K | 08 | 564-566 | S63216A | 08 | 562-563 | ||
| S62623B | 24 | 963-965 | S62667P | 08 | 564-566 | S63216A | 24 | 963-965 | ||
| S62623D | 08 | 559-561 | S62667S | 08 | 559-561 | S63216D | 23 | 949-950 | ||
| S62623G | 08 | 559-561 | S62668A | 08 | 562-563 | S63216S | 08 | 562-563 | ||
| S62623K | 08 | 564-566 | S62668A | 24 | 963-965 | S63217A | 08 | 562-563 | ||
| S62623P | 08 | 564-566 | S62668B | 08 | 562-563 | S63217A | 24 | 963-965 | ||
| S62623S | 08 | 559-561 | S62668B | 24 | 963-965 | S63217D | 23 | 949-950 | ||
| S62624A | 08 | 562-563 | S62668D | 08 | 559-561 | S63217S | 08 | 562-563 | ||
| S62624A | 24 | 963-965 | S62668G | 08 | 559-561 | S63218A | 08 | 562-563 | ||
| S62624B | 08 | 562-563 | S62668K | 08 | 564-566 | S63218A | 24 | 963-965 | ||
| S62624B | 24 | 963-965 | S62668P | 08 | 564-566 | S63218D | 23 | 949-950 | ||
| S62624D | 08 | 559-561 | S62668S | 08 | 559-561 | S63218S | 08 | 562-563 | ||
| S62624G | 08 | 559-561 | S62669A | 08 | 562-563 | S63219A | 08 | 562-563 | ||
| S62624K | 08 | 564-566 | S62669A | 24 | 963-965 | S63219A | 24 | 963-965 | ||
| S62624P | 08 | 564-566 | S62669B | 08 | 562-563 | S63219D | 23 | 949-950 | ||
| S62624S | 08 | 559-561 | S62669B | 24 | 963-965 | S63219S | 08 | 562-563 | ||
| S62625A | 08 | 562-563 | S62669D | 08 | 559-561 | S63220A | 08 | 562-563 | ||
| S62625A | 24 | 963-965 | S62669G | 08 | 559-561 | S63220A | 24 | 963-965 | ||
| S62625B | 08 | 562-563 | S62669K | 08 | 564-566 | S63220D | 23 | 949-950 | ||
| S62625B | 24 | 963-965 | S62669P | 08 | 564-566 | S63220S | 08 | 562-563 | ||
| S62625D | 08 | 559-561 | S62669S | 08 | 559-561 | S63221A | 08 | 562-563 | ||
| S62625G | 08 | 559-561 | S6290XA | 08 | 562-563 | S63221A | 24 | 963-965 | ||
| S62625K | 08 | 564-566 | S6290XA | 24 | 963-965 | S63221D | 23 | 949-950 | ||
| S62625P | 08 | 564-566 | S6290XB | 08 | 562-563 | S63221S | 08 | 562-563 | ||
| S62625S | 08 | 559-561 | S6290XB | 24 | 963-965 | S63222A | 08 | 562-563 | ||
| S62626A | 08 | 562-563 | S6290XD | 08 | 559-561 | S63222A | 24 | 963-965 | ||
| S62626A | 24 | 963-965 | S6290XG | 08 | 559-561 | S63222D | 23 | 949-950 | ||
| S62626B | 08 | 562-563 | S6290XK | 08 | 564-566 | S63222S | 08 | 562-563 | ||
| S62626B | 24 | 963-965 | S6290XP | 08 | 564-566 | S63223A | 08 | 562-563 | ||
| S62626D | 08 | 559-561 | S6290XS | 08 | 559-561 | S63223A | 24 | 963-965 | ||
| S62626G | 08 | 559-561 | S6291XA | 08 | 562-563 | S63223D | 23 | 949-950 | ||
| S62626K | 08 | 564-566 | S6291XA | 24 | 963-965 | S63223S | 08 | 562-563 | ||
| S62626P | 08 | 564-566 | S6291XB | 08 | 562-563 | S63224A | 08 | 562-563 | ||
| S62626S | 08 | 559-561 | S6291XB | 24 | 963-965 | S63224A | 24 | 963-965 | ||
| S62627A | 08 | 562-563 | S6291XD | 08 | 559-561 | S63224D | 23 | 949-950 | ||
| S62627A | 24 | 963-965 | S6291XG | 08 | 559-561 | S63224S | 08 | 562-563 | ||
| S62627B | 08 | 562-563 | S6291XK | 08 | 564-566 | S63225A | 08 | 562-563 | ||
| S62627B | 24 | 963-965 | S6291XP | 08 | 564-566 | S63225A | 24 | 963-965 | ||
| S62627D | 08 | 559-561 | S6291XS | 08 | 559-561 | S63225D | 23 | 949-950 | ||
| S62627G | 08 | 559-561 | S6292XA | 08 | 562-563 | S63225S | 08 | 562-563 | ||
| S62627K | 08 | 564-566 | S6292XA | 24 | 963-965 | S63226A | 08 | 562-563 | ||
| S62627P | 08 | 564-566 | S6292XB | 08 | 562-563 | S63226A | 24 | 963-965 | ||
| S62627S | 08 | 559-561 | S6292XB | 24 | 963-965 | S63226D | 23 | 949-950 | ||
| S62628A | 08 | 562-563 | S6292XD | 08 | 559-561 | S63226S | 08 | 562-563 | ||
| S62628A | 24 | 963-965 | S6292XG | 08 | 559-561 | S63227A | 08 | 562-563 | ||
| S62628B | 08 | 562-563 | S6292XK | 08 | 564-566 | S63227A | 24 | 963-965 | ||
| S62628B | 24 | 963-965 | S6292XP | 08 | 564-566 | S63227D | 23 | 949-950 | ||
| S62628D | 08 | 559-561 | S6292XS | 08 | 559-561 | S63227S | 08 | 562-563 | ||
| S62628G | 08 | 559-561 | S63001A | 08 | 562-563 | S63228A | 08 | 562-563 | ||
| S62628K | 08 | 564-566 | S63001A | 24 | 963-965 | S63228A | 24 | 963-965 | ||
| S62628P | 08 | 564-566 | S63001D | 23 | 949-950 | S63228D | 23 | 949-950 | ||
| S62628S | 08 | 559-561 | S63001S | 08 | 562-563 | S63228S | 08 | 562-563 | ||
| S62629A | 08 | 562-563 | S63002A | 08 | 562-563 | S63229A | 08 | 562-563 | ||
| S62629A | 24 | 963-965 | S63002A | 24 | 963-965 | S63229A | 24 | 963-965 | ||
| S62629B | 08 | 562-563 | S63002D | 23 | 949-950 | S63229D | 23 | 949-950 | ||
| S62629B | 24 | 963-965 | S63002S | 08 | 562-563 | S63229S | 08 | 562-563 | ||
| S62629D | 08 | 559-561 | S63003A | 08 | 562-563 | S63230A | 08 | 562-563 | ||
| S62629G | 08 | 559-561 | S63003A | 24 | 963-965 | S63230A | 24 | 963-965 | ||
| S62629K | 08 | 564-566 | S63003D | 23 | 949-950 | S63230D | 23 | 949-950 | ||
| S62629P | 08 | 564-566 | S63003S | 08 | 562-563 | S63230S | 08 | 562-563 | ||
| S62629S | 08 | 559-561 | S63004A | 08 | 562-563 | S63231A | 08 | 562-563 | ||
| S62630A | 08 | 562-563 | S63004A | 24 | 963-965 | S63231A | 24 | 963-965 | ||
| S62630A | 24 | 963-965 | S63004D | 23 | 949-950 | S63231D | 23 | 949-950 | ||
| S62630B | 08 | 562-563 | S63004S | 08 | 562-563 | S63231S | 08 | 562-563 | ||
| S62630B | 24 | 963-965 | S63005A | 08 | 562-563 | S63232A | 08 | 562-563 | ||
| S62630D | 08 | 559-561 | S63005A | 24 | 963-965 | S63232A | 24 | 963-965 | ||
| S62630G | 08 | 559-561 | S63005D | 23 | 949-950 | S63232D | 23 | 949-950 | ||
| S62630K | 08 | 564-566 | S63005S | 08 | 562-563 | S63232S | 08 | 562-563 | ||
| S62630P | 08 | 564-566 | S63006A | 08 | 562-563 | S63233A | 08 | 562-563 | ||
| S62630S | 08 | 559-561 | S63006A | 24 | 963-965 | S63233A | 24 | 963-965 | ||
| S62631A | 08 | 562-563 | S63006D | 23 | 949-950 | S63233D | 23 | 949-950 | ||
| S62631A | 24 | 963-965 | S63006S | 08 | 562-563 | S63233S | 08 | 562-563 | ||
| S62631B | 08 | 562-563 | S63011A | 08 | 562-563 | S63234A | 08 | 562-563 | ||
| S62631B | 24 | 963-965 | S63011A | 24 | 963-965 | S63234A | 24 | 963-965 | ||
| S62631D | 08 | 559-561 | S63011D | 23 | 949-950 | S63234D | 23 | 949-950 | ||
| S62631G | 08 | 559-561 | S63011S | 08 | 562-563 | S63234S | 08 | 562-563 | ||
| S62631K | 08 | 564-566 | S63012A | 08 | 562-563 | S63235A | 08 | 562-563 | ||
| S62631P | 08 | 564-566 | S63012A | 24 | 963-965 | S63235A | 24 | 963-965 | ||
| S62631S | 08 | 559-561 | S63012D | 23 | 949-950 | S63235D | 23 | 949-950 | ||
| S62632A | 08 | 562-563 | S63012S | 08 | 562-563 | S63235S | 08 | 562-563 | ||
| S62632A | 24 | 963-965 | S63013A | 08 | 562-563 | S63236A | 08 | 562-563 | ||
| S62632B | 08 | 562-563 | S63013A | 24 | 963-965 | S63236A | 24 | 963-965 | ||
| S62632B | 24 | 963-965 | S63013D | 23 | 949-950 | S63236D | 23 | 949-950 | ||
| S62632D | 08 | 559-561 | S63013S | 08 | 562-563 | S63236S | 08 | 562-563 | ||
| S62632G | 08 | 559-561 | S63014A | 08 | 562-563 | S63237A | 08 | 562-563 | ||
| S62632K | 08 | 564-566 | S63014A | 24 | 963-965 | S63237A | 24 | 963-965 | ||
| S62632P | 08 | 564-566 | S63014D | 23 | 949-950 | S63237D | 23 | 949-950 | ||
| S62632S | 08 | 559-561 | S63014S | 08 | 562-563 | S63237S | 08 | 562-563 | ||
| S62633A | 08 | 562-563 | S63015A | 08 | 562-563 | S63238A | 08 | 562-563 | ||
| S62633A | 24 | 963-965 | S63015A | 24 | 963-965 | S63238A | 24 | 963-965 | ||
| S62633B | 08 | 562-563 | S63015D | 23 | 949-950 | S63238D | 23 | 949-950 | ||
| S62633B | 24 | 963-965 | S63015S | 08 | 562-563 | S63238S | 08 | 562-563 | ||
| S62633D | 08 | 559-561 | S63016A | 08 | 562-563 | S63239A | 08 | 562-563 | ||
| S62633G | 08 | 559-561 | S63016A | 24 | 963-965 | S63239A | 24 | 963-965 | ||
| S62633K | 08 | 564-566 | S63016D | 23 | 949-950 | S63239D | 23 | 949-950 | ||
| S62633P | 08 | 564-566 | S63016S | 08 | 562-563 | S63239S | 08 | 562-563 | ||
| S62633S | 08 | 559-561 | S63021A | 08 | 562-563 | S63240A | 08 | 562-563 | ||
| S62634A | 08 | 562-563 | S63021A | 24 | 963-965 | S63240A | 24 | 963-965 | ||
| S62634A | 24 | 963-965 | S63021D | 23 | 949-950 | S63240D | 23 | 949-950 | ||
| S62634B | 08 | 562-563 | S63021S | 08 | 562-563 | S63240S | 08 | 562-563 | ||
| S62634B | 24 | 963-965 | S63022A | 08 | 562-563 | S63241A | 08 | 562-563 | ||
| S62634D | 08 | 559-561 | S63022A | 24 | 963-965 | S63241A | 24 | 963-965 | ||
| S62634G | 08 | 559-561 | S63022D | 23 | 949-950 | S63241D | 23 | 949-950 | ||
| S62634K | 08 | 564-566 | S63022S | 08 | 562-563 | S63241S | 08 | 562-563 | ||
| S62634P | 08 | 564-566 | S63023A | 08 | 562-563 | S63242A | 08 | 562-563 | ||
| S62634S | 08 | 559-561 | S63023A | 24 | 963-965 | S63242A | 24 | 963-965 | ||
| S62635A | 08 | 562-563 | S63023D | 23 | 949-950 | S63242D | 23 | 949-950 | ||
| S62635A | 24 | 963-965 | S63023S | 08 | 562-563 | S63242S | 08 | 562-563 | ||
| S62635B | 08 | 562-563 | S63024A | 08 | 562-563 | S63243A | 08 | 562-563 | ||
| S62635B | 24 | 963-965 | S63024A | 24 | 963-965 | S63243A | 24 | 963-965 | ||
| S62635D | 08 | 559-561 | S63024D | 23 | 949-950 | S63243D | 23 | 949-950 | ||
| S62635G | 08 | 559-561 | S63024S | 08 | 562-563 | S63243S | 08 | 562-563 | ||
| S62635K | 08 | 564-566 | S63025A | 08 | 562-563 | S63244A | 08 | 562-563 | ||
| S62635P | 08 | 564-566 | S63025A | 24 | 963-965 | S63244A | 24 | 963-965 | ||
| S62635S | 08 | 559-561 | S63025D | 23 | 949-950 | S63244D | 23 | 949-950 | ||
| S62636A | 08 | 562-563 | S63025S | 08 | 562-563 | S63244S | 08 | 562-563 | ||
| S62636A | 24 | 963-965 | S63026A | 08 | 562-563 | S63245A | 08 | 562-563 | ||
| S62636B | 08 | 562-563 | S63026A | 24 | 963-965 | S63245A | 24 | 963-965 | ||
| S62636B | 24 | 963-965 | S63026D | 23 | 949-950 | S63245D | 23 | 949-950 | ||
| S62636D | 08 | 559-561 | S63026S | 08 | 562-563 | S63245S | 08 | 562-563 | ||
| S62636G | 08 | 559-561 | S63031A | 08 | 562-563 | S63246A | 08 | 562-563 | ||
| S62636K | 08 | 564-566 | S63031A | 24 | 963-965 | S63246A | 24 | 963-965 | ||
| S62636P | 08 | 564-566 | S63031D | 23 | 949-950 | S63246D | 23 | 949-950 | ||
| S62636S | 08 | 559-561 | S63031S | 08 | 562-563 | S63246S | 08 | 562-563 | ||
| S62637A | 08 | 562-563 | S63032A | 08 | 562-563 | S63247A | 08 | 562-563 | ||
| S62637A | 24 | 963-965 | S63032A | 24 | 963-965 | S63247A | 24 | 963-965 | ||
| S62637B | 08 | 562-563 | S63032D | 23 | 949-950 | S63247D | 23 | 949-950 | ||
| S62637B | 24 | 963-965 | S63032S | 08 | 562-563 | S63247S | 08 | 562-563 | ||
| S62637D | 08 | 559-561 | S63033A | 08 | 562-563 | S63248A | 08 | 562-563 | ||
| S62637G | 08 | 559-561 | S63033A | 24 | 963-965 | S63248A | 24 | 963-965 | ||
| S62637K | 08 | 564-566 | S63033D | 23 | 949-950 | S63248D | 23 | 949-950 | ||
| S62637P | 08 | 564-566 | S63033S | 08 | 562-563 | S63248S | 08 | 562-563 | ||
| S62637S | 08 | 559-561 | S63034A | 08 | 562-563 | S63249A | 08 | 562-563 | ||
| S62638A | 08 | 562-563 | S63034A | 24 | 963-965 | S63249A | 24 | 963-965 | ||
| S62638A | 24 | 963-965 | S63034D | 23 | 949-950 | S63249D | 23 | 949-950 | ||
| S62638B | 08 | 562-563 | S63034S | 08 | 562-563 | S63249S | 08 | 562-563 | ||
| S62638B | 24 | 963-965 | S63035A | 08 | 562-563 | S63250A | 08 | 562-563 | ||
| S62638D | 08 | 559-561 | S63035A | 24 | 963-965 | S63250A | 24 | 963-965 | ||
| S62638G | 08 | 559-561 | S63035D | 23 | 949-950 | S63250D | 23 | 949-950 | ||
| S62638K | 08 | 564-566 | S63035S | 08 | 562-563 | S63250S | 08 | 562-563 | ||
| S62638P | 08 | 564-566 | S63036A | 08 | 562-563 | S63251A | 08 | 562-563 | ||
| S62638S | 08 | 559-561 | S63036A | 24 | 963-965 | S63251A | 24 | 963-965 | ||
| S62639A | 08 | 562-563 | S63036D | 23 | 949-950 | S63251D | 23 | 949-950 | ||
| S62639A | 24 | 963-965 | S63036S | 08 | 562-563 | S63251S | 08 | 562-563 | ||
| S62639B | 08 | 562-563 | S63041A | 08 | 562-563 | S63252A | 08 | 562-563 | ||
| S62639B | 24 | 963-965 | S63041A | 24 | 963-965 | S63252A | 24 | 963-965 | ||
| S62639D | 08 | 559-561 | S63041D | 23 | 949-950 | S63252D | 23 | 949-950 | ||
| S62639G | 08 | 559-561 | S63041S | 08 | 562-563 | S63252S | 08 | 562-563 | ||
| S62639K | 08 | 564-566 | S63042A | 08 | 562-563 | S63253A | 08 | 562-563 | ||
| S62639P | 08 | 564-566 | S63042A | 24 | 963-965 | S63253A | 24 | 963-965 | ||
| S62639S | 08 | 559-561 | S63042D | 23 | 949-950 | S63253D | 23 | 949-950 | ||
| S62640A | 08 | 562-563 | S63042S | 08 | 562-563 | S63253S | 08 | 562-563 | ||
| S62640A | 24 | 963-965 | S63043A | 08 | 562-563 | S63254A | 08 | 562-563 | ||
| S62640B | 08 | 562-563 | S63043A | 24 | 963-965 | S63254A | 24 | 963-965 | ||
| S62640B | 24 | 963-965 | S63043D | 23 | 949-950 | S63254D | 23 | 949-950 | ||
| S62640D | 08 | 559-561 | S63043S | 08 | 562-563 | S63254S | 08 | 562-563 | ||
| S62640G | 08 | 559-561 | S63044A | 08 | 562-563 | S63255A | 08 | 562-563 | ||
| S62640K | 08 | 564-566 | S63044A | 24 | 963-965 | S63255A | 24 | 963-965 | ||
| S62640P | 08 | 564-566 | S63044D | 23 | 949-950 | S63255D | 23 | 949-950 | ||
| S62640S | 08 | 559-561 | S63044S | 08 | 562-563 | S63255S | 08 | 562-563 | ||
| S62641A | 08 | 562-563 | S63045A | 08 | 562-563 | S63256A | 08 | 562-563 | ||
| S62641A | 24 | 963-965 | S63045A | 24 | 963-965 | S63256A | 24 | 963-965 | ||
| S62641B | 08 | 562-563 | S63045D | 23 | 949-950 | S63256D | 23 | 949-950 | ||
| S62641B | 24 | 963-965 | S63045S | 08 | 562-563 | S63256S | 08 | 562-563 | ||
| S62641D | 08 | 559-561 | S63046A | 08 | 562-563 | S63257A | 08 | 562-563 | ||
| S62641G | 08 | 559-561 | S63046A | 24 | 963-965 | S63257A | 24 | 963-965 | ||
| S62641K | 08 | 564-566 | S63046D | 23 | 949-950 | S63257D | 23 | 949-950 | ||
| S62641P | 08 | 564-566 | S63046S | 08 | 562-563 | S63257S | 08 | 562-563 | ||
| S62641S | 08 | 559-561 | S63051A | 08 | 562-563 | S63258A | 08 | 562-563 | ||
| S62642A | 08 | 562-563 | S63051A | 24 | 963-965 | S63258A | 24 | 963-965 | ||
| S62642A | 24 | 963-965 | S63051D | 23 | 949-950 | S63258D | 23 | 949-950 | ||
| S62642B | 08 | 562-563 | S63051S | 08 | 562-563 | S63258S | 08 | 562-563 | ||
| S62642B | 24 | 963-965 | S63052A | 08 | 562-563 | S63259A | 08 | 562-563 | ||
| S62642D | 08 | 559-561 | S63052A | 24 | 963-965 | S63259A | 24 | 963-965 | ||
| S62642G | 08 | 559-561 | S63052D | 23 | 949-950 | S63259D | 23 | 949-950 | ||
| S62642K | 08 | 564-566 | S63052S | 08 | 562-563 | S63259S | 08 | 562-563 | ||
| S62642P | 08 | 564-566 | S63053A | 08 | 562-563 | S63260A | 08 | 562-563 | ||
| S62642S | 08 | 559-561 | S63053A | 24 | 963-965 | S63260A | 24 | 963-965 | ||
| S62643A | 08 | 562-563 | S63053D | 23 | 949-950 | S63260D | 23 | 949-950 | ||
| S62643A | 24 | 963-965 | S63053S | 08 | 562-563 | S63260S | 08 | 562-563 | ||
| S62643B | 08 | 562-563 | S63054A | 08 | 562-563 | S63261A | 08 | 562-563 | ||
| S62643B | 24 | 963-965 | S63054A | 24 | 963-965 | S63261A | 24 | 963-965 | ||
| S62643D | 08 | 559-561 | S63054D | 23 | 949-950 | S63261D | 23 | 949-950 | ||
| S62643G | 08 | 559-561 | S63054S | 08 | 562-563 | S63261S | 08 | 562-563 | ||
| S62643K | 08 | 564-566 | S63055A | 08 | 562-563 | S63262A | 08 | 562-563 | ||
| S62643P | 08 | 564-566 | S63055A | 24 | 963-965 | S63262A | 24 | 963-965 | ||
| S62643S | 08 | 559-561 | S63055D | 23 | 949-950 | S63262D | 23 | 949-950 | ||
| S62644A | 08 | 562-563 | S63055S | 08 | 562-563 | S63262S | 08 | 562-563 | ||
| S62644A | 24 | 963-965 | S63056A | 08 | 562-563 | S63263A | 08 | 562-563 | ||
| S62644B | 08 | 562-563 | S63056A | 24 | 963-965 | S63263A | 24 | 963-965 | ||
| S62644B | 24 | 963-965 | S63056D | 23 | 949-950 | S63263D | 23 | 949-950 | ||
| S62644D | 08 | 559-561 | S63056S | 08 | 562-563 | S63263S | 08 | 562-563 | ||
| S62644G | 08 | 559-561 | S63061A | 08 | 562-563 | S63264A | 08 | 562-563 | ||
| S62644K | 08 | 564-566 | S63061A | 24 | 963-965 | S63264A | 24 | 963-965 | ||
| S62644P | 08 | 564-566 | S63061D | 23 | 949-950 | S63264D | 23 | 949-950 | ||
| S62644S | 08 | 559-561 | S63061S | 08 | 562-563 | S63264S | 08 | 562-563 | ||
| S62645A | 08 | 562-563 | S63062A | 08 | 562-563 | S63265A | 08 | 562-563 | ||
| S62645A | 24 | 963-965 | S63062A | 24 | 963-965 | S63265A | 24 | 963-965 | ||
| S62645B | 08 | 562-563 | S63062D | 23 | 949-950 | S63265D | 23 | 949-950 | ||
| S62645B | 24 | 963-965 | S63062S | 08 | 562-563 | S63265S | 08 | 562-563 | ||
| S62645D | 08 | 559-561 | S63063A | 08 | 562-563 | S63266A | 08 | 562-563 | ||
| S62645G | 08 | 559-561 | S63063A | 24 | 963-965 | S63266A | 24 | 963-965 | ||
| S62645K | 08 | 564-566 | S63063D | 23 | 949-950 | S63266D | 23 | 949-950 | ||
| S62645P | 08 | 564-566 | S63063S | 08 | 562-563 | S63266S | 08 | 562-563 | ||
| S62645S | 08 | 559-561 | S63064A | 08 | 562-563 | S63267A | 08 | 562-563 | ||
| S62646A | 08 | 562-563 | S63064A | 24 | 963-965 | S63267A | 24 | 963-965 | ||
| S62646A | 24 | 963-965 | S63064D | 23 | 949-950 | S63267D | 23 | 949-950 | ||
| S62646B | 08 | 562-563 | S63064S | 08 | 562-563 | S63267S | 08 | 562-563 | ||
| S62646B | 24 | 963-965 | S63065A | 08 | 562-563 | S63268A | 08 | 562-563 | ||
| S62646D | 08 | 559-561 | S63065A | 24 | 963-965 | S63268A | 24 | 963-965 | ||
| S62646G | 08 | 559-561 | S63065D | 23 | 949-950 | S63268D | 23 | 949-950 | ||
| S62646K | 08 | 564-566 | S63065S | 08 | 562-563 | S63268S | 08 | 562-563 | ||
| S62646P | 08 | 564-566 | S63066A | 08 | 562-563 | S63269A | 08 | 562-563 | ||
| S62646S | 08 | 559-561 | S63066A | 24 | 963-965 | S63269A | 24 | 963-965 | ||
| S62647A | 08 | 562-563 | S63066D | 23 | 949-950 | S63269D | 23 | 949-950 | ||
| S62647A | 24 | 963-965 | S63066S | 08 | 562-563 | S63269S | 08 | 562-563 | ||
| S62647B | 08 | 562-563 | S63071A | 08 | 562-563 | S63270A | 08 | 562-563 | ||
| S62647B | 24 | 963-965 | S63071A | 24 | 963-965 | S63270A | 24 | 963-965 | ||
| S62647D | 08 | 559-561 | S63071D | 23 | 949-950 | S63270D | 23 | 949-950 | ||
| S62647G | 08 | 559-561 | S63071S | 08 | 562-563 | S63270S | 08 | 562-563 | ||
| S62647K | 08 | 564-566 | S63072A | 08 | 562-563 | S63271A | 08 | 562-563 | ||
| S62647P | 08 | 564-566 | S63072A | 24 | 963-965 | S63271A | 24 | 963-965 | ||
| S62647S | 08 | 559-561 | S63072D | 23 | 949-950 | S63271D | 23 | 949-950 | ||
| S62648A | 08 | 562-563 | S63072S | 08 | 562-563 | S63271S | 08 | 562-563 | ||
| S62648A | 24 | 963-965 | S63073A | 08 | 562-563 | S63272A | 08 | 562-563 | ||
| S62648B | 08 | 562-563 | S63073A | 24 | 963-965 | S63272A | 24 | 963-965 | ||
| S62648B | 24 | 963-965 | S63073D | 23 | 949-950 | S63272D | 23 | 949-950 | ||
| S62648D | 08 | 559-561 | S63073S | 08 | 562-563 | S63272S | 08 | 562-563 | ||
| S62648G | 08 | 559-561 | S63074A | 08 | 562-563 | S63273A | 08 | 562-563 | ||
| S62648K | 08 | 564-566 | S63074A | 24 | 963-965 | S63273A | 24 | 963-965 | ||
| S62648P | 08 | 564-566 | S63074D | 23 | 949-950 | S63273D | 23 | 949-950 | ||
| S62648S | 08 | 559-561 | S63074S | 08 | 562-563 | S63273S | 08 | 562-563 | ||
| S62649A | 08 | 562-563 | S63075A | 08 | 562-563 | S63274A | 08 | 562-563 | ||
| S62649A | 24 | 963-965 | S63075A | 24 | 963-965 | S63274A | 24 | 963-965 | ||
| S62649B | 08 | 562-563 | S63075D | 23 | 949-950 | S63274D | 23 | 949-950 | ||
| S62649B | 24 | 963-965 | S63075S | 08 | 562-563 | S63274S | 08 | 562-563 | ||
| S62649D | 08 | 559-561 | S63076A | 08 | 562-563 | S63275A | 08 | 562-563 | ||
| S62649G | 08 | 559-561 | S63076A | 24 | 963-965 | S63275A | 24 | 963-965 | ||
| S62649K | 08 | 564-566 | S63076D | 23 | 949-950 | S63275D | 23 | 949-950 | ||
| S62649P | 08 | 564-566 | S63076S | 08 | 562-563 | S63275S | 08 | 562-563 | ||
| S62649S | 08 | 559-561 | S63091A | 08 | 562-563 | S63276A | 08 | 562-563 | ||
| S62650A | 08 | 562-563 | S63091A | 24 | 963-965 | S63276A | 24 | 963-965 | ||
| S62650A | 24 | 963-965 | S63091D | 23 | 949-950 | S63276D | 23 | 949-950 | ||
| S62650B | 08 | 562-563 | S63091S | 08 | 562-563 | S63276S | 08 | 562-563 | ||
| S62650B | 24 | 963-965 | S63092A | 08 | 562-563 | S63277A | 08 | 562-563 | ||
| S62650D | 08 | 559-561 | S63092A | 24 | 963-965 | S63277A | 24 | 963-965 | ||
| S62650G | 08 | 559-561 | S63092D | 23 | 949-950 | S63277D | 23 | 949-950 | ||
| S62650K | 08 | 564-566 | S63092S | 08 | 562-563 | S63277S | 08 | 562-563 | ||
| S62650P | 08 | 564-566 | S63093A | 08 | 562-563 | S63278A | 08 | 562-563 | ||
| S62650S | 08 | 559-561 | S63093A | 24 | 963-965 | S63278A | 24 | 963-965 | ||
| S62651A | 08 | 562-563 | S63093D | 23 | 949-950 | S63278D | 23 | 949-950 | ||
| S62651A | 24 | 963-965 | S63093S | 08 | 562-563 | S63278S | 08 | 562-563 | ||
| S62651B | 08 | 562-563 | S63094A | 08 | 562-563 | S63279A | 08 | 562-563 | ||
| S62651B | 24 | 963-965 | S63094A | 24 | 963-965 | S63279A | 24 | 963-965 | ||
| S62651D | 08 | 559-561 | S63094D | 23 | 949-950 | S63279D | 23 | 949-950 | ||
| S62651G | 08 | 559-561 | S63094S | 08 | 562-563 | S63279S | 08 | 562-563 | ||
| S62651K | 08 | 564-566 | S63095A | 08 | 562-563 | S63280A | 08 | 562-563 | ||
| S62651P | 08 | 564-566 | S63095A | 24 | 963-965 | S63280A | 24 | 963-965 | ||
| S62651S | 08 | 559-561 | S63095D | 23 | 949-950 | S63280D | 23 | 949-950 | ||
| S62652A | 08 | 562-563 | S63095S | 08 | 562-563 | S63280S | 08 | 562-563 | ||
| S62652A | 24 | 963-965 | S63096A | 08 | 562-563 | S63281A | 08 | 562-563 | ||
| S62652B | 08 | 562-563 | S63096A | 24 | 963-965 | S63281A | 24 | 963-965 | ||
| S62652B | 24 | 963-965 | S63096D | 23 | 949-950 | S63281D | 23 | 949-950 | ||
| S62652D | 08 | 559-561 | S63096S | 08 | 562-563 | S63281S | 08 | 562-563 | ||
| S62652G | 08 | 559-561 | S63101A | 08 | 562-563 | S63282A | 08 | 562-563 | ||
| S62652K | 08 | 564-566 | S63101A | 24 | 963-965 | S63282A | 24 | 963-965 | ||
| S62652P | 08 | 564-566 | S63101D | 23 | 949-950 | S63282D | 23 | 949-950 | ||
| S62652S | 08 | 559-561 | S63101S | 08 | 562-563 | S63282S | 08 | 562-563 | ||
| S62653A | 08 | 562-563 | S63102A | 08 | 562-563 | S63283A | 08 | 562-563 | ||
| S62653A | 24 | 963-965 | S63102A | 24 | 963-965 | S63283A | 24 | 963-965 | ||
| S62653B | 08 | 562-563 | S63102D | 23 | 949-950 | S63283D | 23 | 949-950 | ||
| S62653B | 24 | 963-965 | S63102S | 08 | 562-563 | S63283S | 08 | 562-563 | ||
| S62653D | 08 | 559-561 | S63103A | 08 | 562-563 | S63284A | 08 | 562-563 | ||
| S62653G | 08 | 559-561 | S63103A | 24 | 963-965 | S63284A | 24 | 963-965 | ||
| S62653K | 08 | 564-566 | S63103D | 23 | 949-950 | S63284D | 23 | 949-950 | ||
| S62653P | 08 | 564-566 | S63103S | 08 | 562-563 | S63284S | 08 | 562-563 | ||
| S62653S | 08 | 559-561 | S63104A | 08 | 562-563 | S63285A | 08 | 562-563 | ||
| S62654A | 08 | 562-563 | S63104A | 24 | 963-965 | S63285A | 24 | 963-965 | ||
| S62654A | 24 | 963-965 | S63104D | 23 | 949-950 | S63285D | 23 | 949-950 | ||
| S62654B | 08 | 562-563 | S63104S | 08 | 562-563 | S63285S | 08 | 562-563 | ||
| S62654B | 24 | 963-965 | S63105A | 08 | 562-563 | S63286A | 08 | 562-563 | ||
| S62654D | 08 | 559-561 | S63105A | 24 | 963-965 | S63286A | 24 | 963-965 | ||
| S62654G | 08 | 559-561 | S63105D | 23 | 949-950 | S63286D | 23 | 949-950 | ||
| S62654K | 08 | 564-566 | S63105S | 08 | 562-563 | S63286S | 08 | 562-563 | ||
| S62654P | 08 | 564-566 | S63106A | 08 | 562-563 | S63287A | 08 | 562-563 | ||
| S62654S | 08 | 559-561 | S63106A | 24 | 963-965 | S63287A | 24 | 963-965 | ||
| S62655A | 08 | 562-563 | S63106D | 23 | 949-950 | S63287D | 23 | 949-950 | ||
| S62655A | 24 | 963-965 | S63106S | 08 | 562-563 | S63287S | 08 | 562-563 | ||
| S62655B | 08 | 562-563 | S63111A | 08 | 562-563 | S63288A | 08 | 562-563 | ||
| S62655B | 24 | 963-965 | S63111A | 24 | 963-965 | S63288A | 24 | 963-965 | ||
| S62655D | 08 | 559-561 | S63111D | 23 | 949-950 | S63288D | 23 | 949-950 | ||
| S62655G | 08 | 559-561 | S63111S | 08 | 562-563 | S63288S | 08 | 562-563 | ||
| S62655K | 08 | 564-566 | S63112A | 08 | 562-563 | S63289A | 08 | 562-563 | ||
| S62655P | 08 | 564-566 | S63112A | 24 | 963-965 | S63289A | 24 | 963-965 | ||
| S62655S | 08 | 559-561 | S63112D | 23 | 949-950 | S63289D | 23 | 949-950 | ||
| S62656A | 08 | 562-563 | S63112S | 08 | 562-563 | S63289S | 08 | 562-563 | ||
| S62656A | 24 | 963-965 | S63113A | 08 | 562-563 | S63290A | 08 | 562-563 | ||
| S62656B | 08 | 562-563 | S63113A | 24 | 963-965 | S63290A | 24 | 963-965 | ||
| S62656B | 24 | 963-965 | S63113D | 23 | 949-950 | S63290D | 23 | 949-950 | ||
| S62656D | 08 | 559-561 | S63113S | 08 | 562-563 | S63290S | 08 | 562-563 | ||
| S62656G | 08 | 559-561 | S63114A | 08 | 562-563 | S63291A | 08 | 562-563 | ||
| S62656K | 08 | 564-566 | S63114A | 24 | 963-965 | S63291A | 24 | 963-965 | ||
| S62656P | 08 | 564-566 | S63114D | 23 | 949-950 | S63291D | 23 | 949-950 | ||
| S62656S | 08 | 559-561 | S63114S | 08 | 562-563 | S63291S | 08 | 562-563 | ||
| S62657A | 08 | 562-563 | S63115A | 08 | 562-563 | S63292A | 08 | 562-563 | ||
| S62657A | 24 | 963-965 | S63115A | 24 | 963-965 | S63292A | 24 | 963-965 | ||
| S62657B | 08 | 562-563 | S63115D | 23 | 949-950 | S63292D | 23 | 949-950 | ||
| S62657B | 24 | 963-965 | S63115S | 08 | 562-563 | S63292S | 08 | 562-563 | ||
| S62657D | 08 | 559-561 | S63116A | 08 | 562-563 | S63293A | 08 | 562-563 | ||
| S62657G | 08 | 559-561 | S63116A | 24 | 963-965 | S63293A | 24 | 963-965 | ||
| S62657K | 08 | 564-566 | S63116D | 23 | 949-950 | S63293D | 23 | 949-950 | ||
| S62657P | 08 | 564-566 | S63116S | 08 | 562-563 | S63293S | 08 | 562-563 | ||
| S62657S | 08 | 559-561 | S63121A | 08 | 562-563 | S63294A | 08 | 562-563 | ||
| S62658A | 08 | 562-563 | S63121A | 24 | 963-965 | S63294A | 24 | 963-965 | ||
| S62658A | 24 | 963-965 | S63121D | 23 | 949-950 | S63294D | 23 | 949-950 | ||
| S62658B | 08 | 562-563 | S63121S | 08 | 562-563 | S63294S | 08 | 562-563 | ||
| S62658B | 24 | 963-965 | S63122A | 08 | 562-563 | S63295A | 08 | 562-563 | ||
| S62658D | 08 | 559-561 | S63122A | 24 | 963-965 | S63295A | 24 | 963-965 | ||
| S62658G | 08 | 559-561 | S63122D | 23 | 949-950 | S63295D | 23 | 949-950 | ||
| S62658K | 08 | 564-566 | S63122S | 08 | 562-563 | S63295S | 08 | 562-563 | ||
| S62658P | 08 | 564-566 | S63123A | 08 | 562-563 | S63296A | 08 | 562-563 | ||
| S62658S | 08 | 559-561 | S63123A | 24 | 963-965 | S63296A | 24 | 963-965 | ||
| S62659A | 08 | 562-563 | S63123D | 23 | 949-950 | S63296D | 23 | 949-950 | ||
| S62659A | 24 | 963-965 | S63123S | 08 | 562-563 | S63296S | 08 | 562-563 | ||
| S62659B | 08 | 562-563 | S63124A | 08 | 562-563 | S63297A | 08 | 562-563 | ||
| S62659B | 24 | 963-965 | S63124A | 24 | 963-965 | S63297A | 24 | 963-965 | ||
| S62659D | 08 | 559-561 | S63124D | 23 | 949-950 | S63297D | 23 | 949-950 | ||
| S62659G | 08 | 559-561 | S63124S | 08 | 562-563 | S63297S | 08 | 562-563 | ||
| S62659K | 08 | 564-566 | S63125A | 08 | 562-563 | S63298A | 08 | 562-563 | ||
| S62659P | 08 | 564-566 | S63125A | 24 | 963-965 | S63298A | 24 | 963-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 13 Oct 2023 12:52:35 CMS, code-revision=349, description-revision=1375 |