ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
||||
Skip to content |
Diagnosis Code/MDC/MS-DRG Index |
Page 72 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T65292D | 23 | 949-950 | T7501XS | 21 | 922-923 | T80A19D | 23 | 949-950 | ||
T65292S | 21 | 922-923 | T7509XA | 21 | 922-923 | T80A19S | 21 | 922-923 | ||
T65293A | 21 | 917-918 | T7509XD | 23 | 949-950 | T80A9XA | 15 | 791 | ||
T65293D | 23 | 949-950 | T7509XS | 21 | 922-923 | T80A9XA | 15 | 793 | ||
T65293S | 21 | 922-923 | T751XXA | 21 | 922-923 | T80A9XA | 16 | 811-812 | ||
T65294A | 21 | 917-918 | T751XXD | 23 | 949-950 | T80A9XD | 23 | 949-950 | ||
T65294D | 23 | 949-950 | T751XXS | 21 | 922-923 | T80A9XS | 21 | 922-923 | ||
T65294S | 21 | 922-923 | T7520XA | 21 | 922-923 | T8110XA | 15 | 791 | ||
T653X1A | 21 | 917-918 | T7520XD | 23 | 949-950 | T8110XA | 15 | 793 | ||
T653X1D | 23 | 949-950 | T7520XS | 21 | 922-923 | T8110XA | 21 | 919-921 | ||
T653X1S | 21 | 922-923 | T7521XA | 21 | 922-923 | T8110XD | 23 | 949-950 | ||
T653X2A | 21 | 917-918 | T7521XD | 23 | 949-950 | T8110XS | 21 | 922-923 | ||
T653X2D | 23 | 949-950 | T7521XS | 21 | 922-923 | T8111XA | 15 | 791 | ||
T653X2S | 21 | 922-923 | T7522XA | 21 | 922-923 | T8111XA | 15 | 793 | ||
T653X3A | 21 | 917-918 | T7522XD | 23 | 949-950 | T8111XA | 21 | 919-921 | ||
T653X3D | 23 | 949-950 | T7522XS | 21 | 922-923 | T8111XD | 23 | 949-950 | ||
T653X3S | 21 | 922-923 | T7523XA | 21 | 922-923 | T8111XS | 21 | 922-923 | ||
T653X4A | 21 | 917-918 | T7523XD | 23 | 949-950 | T8112XA | 15 | 791 | ||
T653X4D | 23 | 949-950 | T7523XS | 21 | 922-923 | T8112XA | 15 | 793 | ||
T653X4S | 21 | 922-923 | T7529XA | 21 | 922-923 | T8112XA | 21 | 919-921 | ||
T654X1A | 21 | 917-918 | T7529XD | 23 | 949-950 | T8112XD | 23 | 949-950 | ||
T654X1D | 23 | 949-950 | T7529XS | 21 | 922-923 | T8112XS | 21 | 922-923 | ||
T654X1S | 21 | 922-923 | T753XXA | 03 | 149 | T8119XA | 15 | 791 | ||
T654X2A | 21 | 917-918 | T753XXD | 23 | 949-950 | T8119XA | 15 | 793 | ||
T654X2D | 23 | 949-950 | T753XXS | 21 | 922-923 | T8119XA | 21 | 919-921 | ||
T654X2S | 21 | 922-923 | T754XXA | 21 | 922-923 | T8119XD | 23 | 949-950 | ||
T654X3A | 21 | 917-918 | T754XXD | 23 | 949-950 | T8119XS | 21 | 922-923 | ||
T654X3D | 23 | 949-950 | T754XXS | 21 | 922-923 | T8130XA | 21 | 919-921 | ||
T654X3S | 21 | 922-923 | T7581XA | 21 | 922-923 | T8130XD | 23 | 949-950 | ||
T654X4A | 21 | 917-918 | T7581XD | 23 | 949-950 | T8130XS | 21 | 922-923 | ||
T654X4D | 23 | 949-950 | T7581XS | 21 | 922-923 | T8131XA | 21 | 919-921 | ||
T654X4S | 21 | 922-923 | T7582XA | 21 | 922-923 | T8131XD | 23 | 949-950 | ||
T655X1A | 21 | 917-918 | T7582XD | 23 | 949-950 | T8131XS | 21 | 922-923 | ||
T655X1D | 23 | 949-950 | T7582XS | 21 | 922-923 | T8132XA | 21 | 919-921 | ||
T655X1S | 21 | 922-923 | T7589XA | 21 | 922-923 | T8132XD | 23 | 949-950 | ||
T655X2A | 21 | 917-918 | T7589XD | 23 | 949-950 | T8132XS | 21 | 922-923 | ||
T655X2D | 23 | 949-950 | T7589XS | 21 | 922-923 | T8133XA | 21 | 919-921 | ||
T655X2S | 21 | 922-923 | T7601XA | 21 | 922-923 | T8133XD | 23 | 949-950 | ||
T655X3A | 21 | 917-918 | T7601XD | 23 | 949-950 | T8133XS | 21 | 922-923 | ||
T655X3D | 23 | 949-950 | T7601XS | 21 | 922-923 | T8140XA | 15 | 791 | ||
T655X3S | 21 | 922-923 | T7602XA | 21 | 922-923 | T8140XA | 15 | 793 | ||
T655X4A | 21 | 917-918 | T7602XD | 23 | 949-950 | T8140XA | 18 | 856-858 | ||
T655X4D | 23 | 949-950 | T7602XS | 21 | 922-923 | T8140XA | 18 | 862-863 | ||
T655X4S | 21 | 922-923 | T7611XA | 21 | 922-923 | T8140XD | 23 | 949-950 | ||
T656X1A | 21 | 917-918 | T7611XD | 23 | 949-950 | T8140XS | 21 | 922-923 | ||
T656X1D | 23 | 949-950 | T7611XS | 21 | 922-923 | T8141XA | 15 | 791 | ||
T656X1S | 21 | 922-923 | T7612XA | 21 | 922-923 | T8141XA | 15 | 793 | ||
T656X2A | 21 | 917-918 | T7612XD | 23 | 949-950 | T8141XA | 18 | 856-858 | ||
T656X2D | 23 | 949-950 | T7612XS | 21 | 922-923 | T8141XA | 18 | 862-863 | ||
T656X2S | 21 | 922-923 | T7621XA | 21 | 922-923 | T8141XD | 23 | 949-950 | ||
T656X3A | 21 | 917-918 | T7621XD | 23 | 949-950 | T8141XS | 21 | 922-923 | ||
T656X3D | 23 | 949-950 | T7621XS | 21 | 922-923 | T8142XA | 15 | 791 | ||
T656X3S | 21 | 922-923 | T7622XA | 21 | 922-923 | T8142XA | 15 | 793 | ||
T656X4A | 21 | 917-918 | T7622XD | 23 | 949-950 | T8142XA | 18 | 856-858 | ||
T656X4D | 23 | 949-950 | T7622XS | 21 | 922-923 | T8142XA | 18 | 862-863 | ||
T656X4S | 21 | 922-923 | T7631XA | 21 | 922-923 | T8142XD | 23 | 949-950 | ||
T65811A | 21 | 917-918 | T7631XD | 23 | 949-950 | T8142XS | 21 | 922-923 | ||
T65811D | 23 | 949-950 | T7631XS | 21 | 922-923 | T8143XA | 15 | 791 | ||
T65811S | 21 | 922-923 | T7632XA | 21 | 922-923 | T8143XA | 15 | 793 | ||
T65812A | 21 | 917-918 | T7632XD | 23 | 949-950 | T8143XA | 18 | 856-858 | ||
T65812D | 23 | 949-950 | T7632XS | 21 | 922-923 | T8143XA | 18 | 862-863 | ||
T65812S | 21 | 922-923 | T7651XA | 21 | 922-923 | T8143XD | 23 | 949-950 | ||
T65813A | 21 | 917-918 | T7651XD | 23 | 949-950 | T8143XS | 21 | 922-923 | ||
T65813D | 23 | 949-950 | T7651XS | 21 | 922-923 | T8144XA | 15 | 791 | ||
T65813S | 21 | 922-923 | T7652XA | 21 | 922-923 | T8144XA | 15 | 793 | ||
T65814A | 21 | 917-918 | T7652XD | 23 | 949-950 | T8144XA | 18 | 856-858 | ||
T65814D | 23 | 949-950 | T7652XS | 21 | 922-923 | T8144XA | 18 | 862-863 | ||
T65814S | 21 | 922-923 | T7661XA | 21 | 922-923 | T8144XD | 23 | 949-950 | ||
T65821A | 21 | 917-918 | T7661XD | 23 | 949-950 | T8144XS | 21 | 922-923 | ||
T65821D | 23 | 949-950 | T7661XS | 21 | 922-923 | T8149XA | 15 | 791 | ||
T65821S | 21 | 922-923 | T7662XA | 21 | 922-923 | T8149XA | 15 | 793 | ||
T65822A | 21 | 917-918 | T7662XD | 23 | 949-950 | T8149XA | 18 | 856-858 | ||
T65822D | 23 | 949-950 | T7662XS | 21 | 922-923 | T8149XA | 18 | 862-863 | ||
T65822S | 21 | 922-923 | T7691XA | 21 | 922-923 | T8149XD | 23 | 949-950 | ||
T65823A | 21 | 917-918 | T7691XD | 23 | 949-950 | T8149XS | 21 | 922-923 | ||
T65823D | 23 | 949-950 | T7691XS | 21 | 922-923 | T81500A | 15 | 791 | ||
T65823S | 21 | 922-923 | T7692XA | 21 | 922-923 | T81500A | 15 | 793 | ||
T65824A | 21 | 917-918 | T7692XD | 23 | 949-950 | T81500A | 21 | 919-921 | ||
T65824D | 23 | 949-950 | T7692XS | 21 | 922-923 | T81500D | 23 | 949-950 | ||
T65824S | 21 | 922-923 | T76A1XA | 21 | 922-923 | T81500S | 21 | 922-923 | ||
T65831A | 21 | 917-918 | T76A1XD | 23 | 949-950 | T81501A | 15 | 791 | ||
T65831D | 23 | 949-950 | T76A1XS | 21 | 922-923 | T81501A | 15 | 793 | ||
T65831S | 21 | 922-923 | T76A2XA | 21 | 922-923 | T81501A | 21 | 919-921 | ||
T65832A | 21 | 917-918 | T76A2XD | 23 | 949-950 | T81501D | 23 | 949-950 | ||
T65832D | 23 | 949-950 | T76A2XS | 21 | 922-923 | T81501S | 21 | 922-923 | ||
T65832S | 21 | 922-923 | T7800XA | 21 | 915-916 | T81502A | 15 | 791 | ||
T65833A | 21 | 917-918 | T7800XD | 23 | 949-950 | T81502A | 15 | 793 | ||
T65833D | 23 | 949-950 | T7800XS | 21 | 922-923 | T81502A | 21 | 919-921 | ||
T65833S | 21 | 922-923 | T7801XA | 21 | 915-916 | T81502D | 23 | 949-950 | ||
T65834A | 21 | 917-918 | T7801XD | 23 | 949-950 | T81502S | 21 | 922-923 | ||
T65834D | 23 | 949-950 | T7801XS | 21 | 922-923 | T81503A | 15 | 791 | ||
T65834S | 21 | 922-923 | T7802XA | 21 | 915-916 | T81503A | 15 | 793 | ||
T65891A | 21 | 917-918 | T7802XD | 23 | 949-950 | T81503A | 21 | 919-921 | ||
T65891D | 23 | 949-950 | T7802XS | 21 | 922-923 | T81503D | 23 | 949-950 | ||
T65891S | 21 | 922-923 | T7803XA | 21 | 915-916 | T81503S | 21 | 922-923 | ||
T65892A | 21 | 917-918 | T7803XD | 23 | 949-950 | T81504A | 15 | 791 | ||
T65892D | 23 | 949-950 | T7803XS | 21 | 922-923 | T81504A | 15 | 793 | ||
T65892S | 21 | 922-923 | T7804XA | 21 | 915-916 | T81504A | 21 | 919-921 | ||
T65893A | 21 | 917-918 | T7804XD | 23 | 949-950 | T81504D | 23 | 949-950 | ||
T65893D | 23 | 949-950 | T7804XS | 21 | 922-923 | T81504S | 21 | 922-923 | ||
T65893S | 21 | 922-923 | T7805XA | 21 | 915-916 | T81505A | 15 | 791 | ||
T65894A | 21 | 917-918 | T7805XD | 23 | 949-950 | T81505A | 15 | 793 | ||
T65894D | 23 | 949-950 | T7805XS | 21 | 922-923 | T81505A | 21 | 919-921 | ||
T65894S | 21 | 922-923 | T7806XA | 21 | 915-916 | T81505D | 23 | 949-950 | ||
T6591XA | 21 | 917-918 | T7806XD | 23 | 949-950 | T81505S | 21 | 922-923 | ||
T6591XD | 23 | 949-950 | T7806XS | 21 | 922-923 | T81506A | 15 | 791 | ||
T6591XS | 21 | 922-923 | T7807XA | 21 | 915-916 | T81506A | 15 | 793 | ||
T6592XA | 21 | 917-918 | T7807XD | 23 | 949-950 | T81506A | 21 | 919-921 | ||
T6592XD | 23 | 949-950 | T7807XS | 21 | 922-923 | T81506D | 23 | 949-950 | ||
T6592XS | 21 | 922-923 | T7808XA | 21 | 915-916 | T81506S | 21 | 922-923 | ||
T6593XA | 21 | 917-918 | T7808XD | 23 | 949-950 | T81507A | 15 | 791 | ||
T6593XD | 23 | 949-950 | T7808XS | 21 | 922-923 | T81507A | 15 | 793 | ||
T6593XS | 21 | 922-923 | T7809XA | 21 | 915-916 | T81507A | 21 | 919-921 | ||
T6594XA | 21 | 917-918 | T7809XD | 23 | 949-950 | T81507D | 23 | 949-950 | ||
T6594XD | 23 | 949-950 | T7809XS | 21 | 922-923 | T81507S | 21 | 922-923 | ||
T6594XS | 21 | 922-923 | T781XXA | 21 | 922-923 | T81508A | 15 | 791 | ||
T66XXXA | 21 | 922-923 | T781XXD | 23 | 949-950 | T81508A | 15 | 793 | ||
T66XXXD | 23 | 949-950 | T781XXS | 21 | 922-923 | T81508A | 21 | 919-921 | ||
T66XXXS | 21 | 922-923 | T782XXA | 21 | 915-916 | T81508D | 23 | 949-950 | ||
T6701XA | 21 | 922-923 | T782XXD | 23 | 949-950 | T81508S | 21 | 922-923 | ||
T6701XD | 23 | 949-950 | T782XXS | 21 | 922-923 | T81509A | 15 | 791 | ||
T6701XS | 21 | 922-923 | T783XXA | 21 | 915-916 | T81509A | 15 | 793 | ||
T6702XA | 21 | 922-923 | T783XXD | 23 | 949-950 | T81509A | 21 | 919-921 | ||
T6702XD | 23 | 949-950 | T783XXS | 21 | 922-923 | T81509D | 23 | 949-950 | ||
T6702XS | 21 | 922-923 | T7840XA | 21 | 915-916 | T81509S | 21 | 922-923 | ||
T6709XA | 21 | 922-923 | T7840XD | 23 | 949-950 | T81510A | 15 | 791 | ||
T6709XD | 23 | 949-950 | T7840XS | 21 | 922-923 | T81510A | 15 | 793 | ||
T6709XS | 21 | 922-923 | T7841XA | 15 | 791 | T81510A | 21 | 919-921 | ||
T671XXA | 21 | 922-923 | T7841XA | 15 | 793 | T81510D | 23 | 949-950 | ||
T671XXD | 23 | 949-950 | T7841XA | 21 | 917-918 | T81510S | 21 | 922-923 | ||
T671XXS | 21 | 922-923 | T7841XD | 23 | 949-950 | T81511A | 15 | 791 | ||
T672XXA | 21 | 922-923 | T7841XS | 21 | 922-923 | T81511A | 15 | 793 | ||
T672XXD | 23 | 949-950 | T7849XA | 21 | 915-916 | T81511A | 21 | 919-921 | ||
T672XXS | 21 | 922-923 | T7849XD | 23 | 949-950 | T81511D | 23 | 949-950 | ||
T673XXA | 21 | 922-923 | T7849XS | 21 | 922-923 | T81511S | 21 | 922-923 | ||
T673XXD | 23 | 949-950 | T788XXA | 21 | 922-923 | T81512A | 15 | 791 | ||
T673XXS | 21 | 922-923 | T788XXD | 23 | 949-950 | T81512A | 15 | 793 | ||
T674XXA | 21 | 922-923 | T788XXS | 21 | 922-923 | T81512A | 21 | 919-921 | ||
T674XXD | 23 | 949-950 | T790XXA | 04 | 175-176 | T81512D | 23 | 949-950 | ||
T674XXS | 21 | 922-923 | T790XXA | 15 | 791 | T81512S | 21 | 922-923 | ||
T675XXA | 21 | 922-923 | T790XXA | 15 | 793 | T81513A | 15 | 791 | ||
T675XXD | 23 | 949-950 | T790XXA | 24 | 963-965 | T81513A | 15 | 793 | ||
T675XXS | 21 | 922-923 | T790XXD | 23 | 949-950 | T81513A | 21 | 919-921 | ||
T676XXA | 21 | 922-923 | T790XXS | 21 | 913-914 | T81513D | 23 | 949-950 | ||
T676XXD | 23 | 949-950 | T791XXA | 04 | 175-176 | T81513S | 21 | 922-923 | ||
T676XXS | 21 | 922-923 | T791XXA | 15 | 791 | T81514A | 15 | 791 | ||
T677XXA | 21 | 922-923 | T791XXA | 15 | 793 | T81514A | 15 | 793 | ||
T677XXD | 23 | 949-950 | T791XXA | 24 | 963-965 | T81514A | 21 | 919-921 | ||
T677XXS | 21 | 922-923 | T791XXD | 23 | 949-950 | T81514D | 23 | 949-950 | ||
T678XXA | 21 | 922-923 | T791XXS | 21 | 913-914 | T81514S | 21 | 922-923 | ||
T678XXD | 23 | 949-950 | T792XXA | 15 | 791 | T81515A | 15 | 791 | ||
T678XXS | 21 | 922-923 | T792XXA | 15 | 793 | T81515A | 15 | 793 | ||
T679XXA | 21 | 922-923 | T792XXA | 21 | 922-923 | T81515A | 21 | 919-921 | ||
T679XXD | 23 | 949-950 | T792XXA | 24 | 963-965 | T81515D | 23 | 949-950 | ||
T679XXS | 21 | 922-923 | T792XXD | 23 | 949-950 | T81515S | 21 | 922-923 | ||
T68XXXA | 21 | 922-923 | T792XXS | 21 | 913-914 | T81516A | 15 | 791 | ||
T68XXXD | 23 | 949-950 | T794XXA | 15 | 791 | T81516A | 15 | 793 | ||
T68XXXS | 21 | 922-923 | T794XXA | 15 | 793 | T81516A | 21 | 919-921 | ||
T69011A | 21 | 922-923 | T794XXA | 21 | 922-923 | T81516D | 23 | 949-950 | ||
T69011D | 23 | 949-950 | T794XXA | 24 | 963-965 | T81516S | 21 | 922-923 | ||
T69011S | 21 | 922-923 | T794XXD | 23 | 949-950 | T81517A | 15 | 791 | ||
T69012A | 21 | 922-923 | T794XXS | 21 | 913-914 | T81517A | 15 | 793 | ||
T69012D | 23 | 949-950 | T795XXA | 11 | 673-675 | T81517A | 21 | 919-921 | ||
T69012S | 21 | 922-923 | T795XXA | 11 | 682-684 | T81517D | 23 | 949-950 | ||
T69019A | 21 | 922-923 | T795XXA | 15 | 791 | T81517S | 21 | 922-923 | ||
T69019D | 23 | 949-950 | T795XXA | 15 | 793 | T81518A | 15 | 791 | ||
T69019S | 21 | 922-923 | T795XXA | 24 | 963-965 | T81518A | 15 | 793 | ||
T69021A | 21 | 922-923 | T795XXD | 23 | 949-950 | T81518A | 21 | 919-921 | ||
T69021D | 23 | 949-950 | T795XXS | 21 | 913-914 | T81518D | 23 | 949-950 | ||
T69021S | 21 | 922-923 | T796XXA | 08 | 564-566 | T81518S | 21 | 922-923 | ||
T69022A | 21 | 922-923 | T796XXA | 24 | 963-965 | T81519A | 15 | 791 | ||
T69022D | 23 | 949-950 | T796XXD | 23 | 949-950 | T81519A | 15 | 793 | ||
T69022S | 21 | 922-923 | T796XXS | 21 | 913-914 | T81519A | 21 | 919-921 | ||
T69029A | 21 | 922-923 | T797XXA | 04 | 199-201 | T81519D | 23 | 949-950 | ||
T69029D | 23 | 949-950 | T797XXA | 15 | 791 | T81519S | 21 | 922-923 | ||
T69029S | 21 | 922-923 | T797XXA | 15 | 793 | T81520A | 15 | 791 | ||
T691XXA | 21 | 922-923 | T797XXA | 24 | 963-965 | T81520A | 15 | 793 | ||
T691XXD | 23 | 949-950 | T797XXD | 23 | 949-950 | T81520A | 21 | 919-921 | ||
T691XXS | 21 | 922-923 | T797XXS | 21 | 913-914 | T81520D | 23 | 949-950 | ||
T698XXA | 21 | 922-923 | T798XXA | 21 | 922-923 | T81520S | 21 | 922-923 | ||
T698XXD | 23 | 949-950 | T798XXA | 24 | 963-965 | T81521A | 15 | 791 | ||
T698XXS | 21 | 922-923 | T798XXD | 23 | 949-950 | T81521A | 15 | 793 | ||
T699XXA | 21 | 922-923 | T798XXS | 21 | 913-914 | T81521A | 21 | 919-921 | ||
T699XXD | 23 | 949-950 | T799XXA | 21 | 922-923 | T81521D | 23 | 949-950 | ||
T699XXS | 21 | 922-923 | T799XXA | 24 | 963-965 | T81521S | 21 | 922-923 | ||
T700XXA | 03 | 152-153 | T799XXD | 23 | 949-950 | T81522A | 15 | 791 | ||
T700XXD | 23 | 949-950 | T799XXS | 21 | 913-914 | T81522A | 15 | 793 | ||
T700XXS | 21 | 922-923 | T79A0XA | 21 | 922-923 | T81522A | 21 | 919-921 | ||
T701XXA | 03 | 152-153 | T79A0XA | 24 | 963-965 | T81522D | 23 | 949-950 | ||
T701XXD | 23 | 949-950 | T79A0XD | 23 | 949-950 | T81522S | 21 | 922-923 | ||
T701XXS | 21 | 922-923 | T79A0XS | 21 | 913-914 | T81523A | 15 | 791 | ||
T7020XA | 21 | 922-923 | T79A11A | 21 | 922-923 | T81523A | 15 | 793 | ||
T7020XD | 23 | 949-950 | T79A11A | 24 | 963-965 | T81523A | 21 | 919-921 | ||
T7020XS | 21 | 922-923 | T79A11D | 23 | 949-950 | T81523D | 23 | 949-950 | ||
T7029XA | 21 | 922-923 | T79A11S | 21 | 913-914 | T81523S | 21 | 922-923 | ||
T7029XD | 23 | 949-950 | T79A12A | 21 | 922-923 | T81524A | 15 | 791 | ||
T7029XS | 21 | 922-923 | T79A12A | 24 | 963-965 | T81524A | 15 | 793 | ||
T703XXA | 21 | 922-923 | T79A12D | 23 | 949-950 | T81524A | 21 | 919-921 | ||
T703XXD | 23 | 949-950 | T79A12S | 21 | 913-914 | T81524D | 23 | 949-950 | ||
T703XXS | 21 | 922-923 | T79A19A | 21 | 922-923 | T81524S | 21 | 922-923 | ||
T704XXA | 21 | 922-923 | T79A19A | 24 | 963-965 | T81525A | 15 | 791 | ||
T704XXD | 23 | 949-950 | T79A19D | 23 | 949-950 | T81525A | 15 | 793 | ||
T704XXS | 21 | 922-923 | T79A19S | 21 | 913-914 | T81525A | 21 | 919-921 | ||
T708XXA | 21 | 922-923 | T79A21A | 21 | 922-923 | T81525D | 23 | 949-950 | ||
T708XXD | 23 | 949-950 | T79A21A | 24 | 963-965 | T81525S | 21 | 922-923 | ||
T708XXS | 21 | 922-923 | T79A21D | 23 | 949-950 | T81526A | 15 | 791 | ||
T709XXA | 21 | 922-923 | T79A21S | 21 | 913-914 | T81526A | 15 | 793 | ||
T709XXD | 23 | 949-950 | T79A22A | 21 | 922-923 | T81526A | 21 | 919-921 | ||
T709XXS | 21 | 922-923 | T79A22A | 24 | 963-965 | T81526D | 23 | 949-950 | ||
T71111A | 21 | 922-923 | T79A22D | 23 | 949-950 | T81526S | 21 | 922-923 | ||
T71111D | 23 | 949-950 | T79A22S | 21 | 913-914 | T81527A | 15 | 791 | ||
T71111S | 21 | 922-923 | T79A29A | 21 | 922-923 | T81527A | 15 | 793 | ||
T71112A | 21 | 922-923 | T79A29A | 24 | 963-965 | T81527A | 21 | 919-921 | ||
T71112D | 23 | 949-950 | T79A29D | 23 | 949-950 | T81527D | 23 | 949-950 | ||
T71112S | 21 | 922-923 | T79A29S | 21 | 913-914 | T81527S | 21 | 922-923 | ||
T71113A | 21 | 922-923 | T79A3XA | 21 | 922-923 | T81528A | 15 | 791 | ||
T71113D | 23 | 949-950 | T79A3XA | 24 | 963-965 | T81528A | 15 | 793 | ||
T71113S | 21 | 922-923 | T79A3XD | 23 | 949-950 | T81528A | 21 | 919-921 | ||
T71114A | 21 | 922-923 | T79A3XS | 21 | 913-914 | T81528D | 23 | 949-950 | ||
T71114D | 23 | 949-950 | T79A9XA | 21 | 922-923 | T81528S | 21 | 922-923 | ||
T71114S | 21 | 922-923 | T79A9XA | 24 | 963-965 | T81529A | 15 | 791 | ||
T71121A | 21 | 922-923 | T79A9XD | 23 | 949-950 | T81529A | 15 | 793 | ||
T71121D | 23 | 949-950 | T79A9XS | 21 | 913-914 | T81529A | 21 | 919-921 | ||
T71121S | 21 | 922-923 | T800XXA | 04 | 175-176 | T81529D | 23 | 949-950 | ||
T71122A | 21 | 922-923 | T800XXA | 15 | 791 | T81529S | 21 | 922-923 | ||
T71122D | 23 | 949-950 | T800XXA | 15 | 793 | T81530A | 15 | 791 | ||
T71122S | 21 | 922-923 | T800XXD | 23 | 949-950 | T81530A | 15 | 793 | ||
T71123A | 21 | 922-923 | T800XXS | 21 | 922-923 | T81530A | 21 | 919-921 | ||
T71123D | 23 | 949-950 | T801XXA | 05 | 314-316 | T81530D | 23 | 949-950 | ||
T71123S | 21 | 922-923 | T801XXA | 15 | 791 | T81530S | 21 | 922-923 | ||
T71124A | 21 | 922-923 | T801XXA | 15 | 793 | T81531A | 15 | 791 | ||
T71124D | 23 | 949-950 | T801XXD | 23 | 949-950 | T81531A | 15 | 793 | ||
T71124S | 21 | 922-923 | T801XXS | 21 | 922-923 | T81531A | 21 | 919-921 | ||
T71131A | 21 | 922-923 | T80211A | 05 | 314-316 | T81531D | 23 | 949-950 | ||
T71131D | 23 | 949-950 | T80211D | 23 | 949-950 | T81531S | 21 | 922-923 | ||
T71131S | 21 | 922-923 | T80211S | 21 | 922-923 | T81532A | 15 | 791 | ||
T71132A | 21 | 922-923 | T80212A | 05 | 314-316 | T81532A | 15 | 793 | ||
T71132D | 23 | 949-950 | T80212D | 23 | 949-950 | T81532A | 21 | 919-921 | ||
T71132S | 21 | 922-923 | T80212S | 21 | 922-923 | T81532D | 23 | 949-950 | ||
T71133A | 21 | 922-923 | T80218A | 05 | 314-316 | T81532S | 21 | 922-923 | ||
T71133D | 23 | 949-950 | T80218D | 23 | 949-950 | T81533A | 15 | 791 | ||
T71133S | 21 | 922-923 | T80218S | 21 | 922-923 | T81533A | 15 | 793 | ||
T71134A | 21 | 922-923 | T80219A | 05 | 314-316 | T81533A | 21 | 919-921 | ||
T71134D | 23 | 949-950 | T80219D | 23 | 949-950 | T81533D | 23 | 949-950 | ||
T71134S | 21 | 922-923 | T80219S | 21 | 922-923 | T81533S | 21 | 922-923 | ||
T71141A | 21 | 922-923 | T8022XA | 15 | 791 | T81534A | 15 | 791 | ||
T71141D | 23 | 949-950 | T8022XA | 15 | 793 | T81534A | 15 | 793 | ||
T71141S | 21 | 922-923 | T8022XA | 18 | 856-858 | T81534A | 21 | 919-921 | ||
T71143A | 21 | 922-923 | T8022XA | 18 | 867-869 | T81534D | 23 | 949-950 | ||
T71143D | 23 | 949-950 | T8022XD | 23 | 949-950 | T81534S | 21 | 922-923 | ||
T71143S | 21 | 922-923 | T8022XS | 21 | 922-923 | T81535A | 15 | 791 | ||
T71144A | 21 | 922-923 | T8029XA | 15 | 791 | T81535A | 15 | 793 | ||
T71144D | 23 | 949-950 | T8029XA | 15 | 793 | T81535A | 21 | 919-921 | ||
T71144S | 21 | 922-923 | T8029XA | 18 | 856-858 | T81535D | 23 | 949-950 | ||
T71151A | 21 | 922-923 | T8029XA | 18 | 867-869 | T81535S | 21 | 922-923 | ||
T71151D | 23 | 949-950 | T8029XD | 23 | 949-950 | T81536A | 15 | 791 | ||
T71151S | 21 | 922-923 | T8029XS | 21 | 922-923 | T81536A | 15 | 793 | ||
T71152A | 21 | 922-923 | T8030XA | 15 | 791 | T81536A | 21 | 919-921 | ||
T71152D | 23 | 949-950 | T8030XA | 15 | 793 | T81536D | 23 | 949-950 | ||
T71152S | 21 | 922-923 | T8030XA | 16 | 811-812 | T81536S | 21 | 922-923 | ||
T71153A | 21 | 922-923 | T8030XD | 23 | 949-950 | T81537A | 15 | 791 | ||
T71153D | 23 | 949-950 | T8030XS | 21 | 922-923 | T81537A | 15 | 793 | ||
T71153S | 21 | 922-923 | T80310A | 15 | 791 | T81537A | 21 | 919-921 | ||
T71154A | 21 | 922-923 | T80310A | 15 | 793 | T81537D | 23 | 949-950 | ||
T71154D | 23 | 949-950 | T80310A | 16 | 811-812 | T81537S | 21 | 922-923 | ||
T71154S | 21 | 922-923 | T80310D | 23 | 949-950 | T81538A | 15 | 791 | ||
T71161A | 21 | 922-923 | T80310S | 21 | 922-923 | T81538A | 15 | 793 | ||
T71161D | 23 | 949-950 | T80311A | 15 | 791 | T81538A | 21 | 919-921 | ||
T71161S | 21 | 922-923 | T80311A | 15 | 793 | T81538D | 23 | 949-950 | ||
T71162A | 21 | 922-923 | T80311A | 16 | 811-812 | T81538S | 21 | 922-923 | ||
T71162D | 23 | 949-950 | T80311D | 23 | 949-950 | T81539A | 15 | 791 | ||
T71162S | 21 | 922-923 | T80311S | 21 | 922-923 | T81539A | 15 | 793 | ||
T71163A | 21 | 922-923 | T80319A | 15 | 791 | T81539A | 21 | 919-921 | ||
T71163D | 23 | 949-950 | T80319A | 15 | 793 | T81539D | 23 | 949-950 | ||
T71163S | 21 | 922-923 | T80319A | 16 | 811-812 | T81539S | 21 | 922-923 | ||
T71164A | 21 | 922-923 | T80319D | 23 | 949-950 | T81590A | 15 | 791 | ||
T71164D | 23 | 949-950 | T80319S | 21 | 922-923 | T81590A | 15 | 793 | ||
T71164S | 21 | 922-923 | T8039XA | 15 | 791 | T81590A | 21 | 919-921 | ||
T71191A | 21 | 922-923 | T8039XA | 15 | 793 | T81590D | 23 | 949-950 | ||
T71191D | 23 | 949-950 | T8039XA | 16 | 811-812 | T81590S | 21 | 922-923 | ||
T71191S | 21 | 922-923 | T8039XD | 23 | 949-950 | T81591A | 15 | 791 | ||
T71192A | 21 | 922-923 | T8039XS | 21 | 922-923 | T81591A | 15 | 793 | ||
T71192D | 23 | 949-950 | T8040XA | 15 | 791 | T81591A | 21 | 919-921 | ||
T71192S | 21 | 922-923 | T8040XA | 15 | 793 | T81591D | 23 | 949-950 | ||
T71193A | 21 | 922-923 | T8040XA | 16 | 811-812 | T81591S | 21 | 922-923 | ||
T71193D | 23 | 949-950 | T8040XD | 23 | 949-950 | T81592A | 15 | 791 | ||
T71193S | 21 | 922-923 | T8040XS | 21 | 922-923 | T81592A | 15 | 793 | ||
T71194A | 21 | 922-923 | T80410A | 15 | 791 | T81592A | 21 | 919-921 | ||
T71194D | 23 | 949-950 | T80410A | 15 | 793 | T81592D | 23 | 949-950 | ||
T71194S | 21 | 922-923 | T80410A | 16 | 811-812 | T81592S | 21 | 922-923 | ||
T7120XA | 21 | 922-923 | T80410D | 23 | 949-950 | T81593A | 15 | 791 | ||
T7120XD | 23 | 949-950 | T80410S | 21 | 922-923 | T81593A | 15 | 793 | ||
T7120XS | 21 | 922-923 | T80411A | 15 | 791 | T81593A | 21 | 919-921 | ||
T7121XA | 21 | 922-923 | T80411A | 15 | 793 | T81593D | 23 | 949-950 | ||
T7121XD | 23 | 949-950 | T80411A | 16 | 811-812 | T81593S | 21 | 922-923 | ||
T7121XS | 21 | 922-923 | T80411D | 23 | 949-950 | T81594A | 15 | 791 | ||
T71221A | 21 | 922-923 | T80411S | 21 | 922-923 | T81594A | 15 | 793 | ||
T71221D | 23 | 949-950 | T80419A | 15 | 791 | T81594A | 21 | 919-921 | ||
T71221S | 21 | 922-923 | T80419A | 15 | 793 | T81594D | 23 | 949-950 | ||
T71222A | 21 | 922-923 | T80419A | 16 | 811-812 | T81594S | 21 | 922-923 | ||
T71222D | 23 | 949-950 | T80419D | 23 | 949-950 | T81595A | 15 | 791 | ||
T71222S | 21 | 922-923 | T80419S | 21 | 922-923 | T81595A | 15 | 793 | ||
T71223A | 21 | 922-923 | T8049XA | 15 | 791 | T81595A | 21 | 919-921 | ||
T71223D | 23 | 949-950 | T8049XA | 15 | 793 | T81595D | 23 | 949-950 | ||
T71223S | 21 | 922-923 | T8049XA | 16 | 811-812 | T81595S | 21 | 922-923 | ||
T71224A | 21 | 922-923 | T8049XD | 23 | 949-950 | T81596A | 15 | 791 | ||
T71224D | 23 | 949-950 | T8049XS | 21 | 922-923 | T81596A | 15 | 793 | ||
T71224S | 21 | 922-923 | T8051XA | 15 | 791 | T81596A | 21 | 919-921 | ||
T71231A | 21 | 922-923 | T8051XA | 15 | 793 | T81596D | 23 | 949-950 | ||
T71231D | 23 | 949-950 | T8051XA | 21 | 915-916 | T81596S | 21 | 922-923 | ||
T71231S | 21 | 922-923 | T8051XD | 23 | 949-950 | T81597A | 15 | 791 | ||
T71232A | 21 | 922-923 | T8051XS | 21 | 922-923 | T81597A | 15 | 793 | ||
T71232D | 23 | 949-950 | T8052XA | 15 | 791 | T81597A | 21 | 919-921 | ||
T71232S | 21 | 922-923 | T8052XA | 15 | 793 | T81597D | 23 | 949-950 | ||
T71233A | 21 | 922-923 | T8052XA | 21 | 915-916 | T81597S | 21 | 922-923 | ||
T71233D | 23 | 949-950 | T8052XD | 23 | 949-950 | T81598A | 15 | 791 | ||
T71233S | 21 | 922-923 | T8052XS | 21 | 922-923 | T81598A | 15 | 793 | ||
T71234A | 21 | 922-923 | T8059XA | 15 | 791 | T81598A | 21 | 919-921 | ||
T71234D | 23 | 949-950 | T8059XA | 15 | 793 | T81598D | 23 | 949-950 | ||
T71234S | 21 | 922-923 | T8059XA | 21 | 915-916 | T81598S | 21 | 922-923 | ||
T7129XA | 21 | 922-923 | T8059XD | 23 | 949-950 | T81599A | 15 | 791 | ||
T7129XD | 23 | 949-950 | T8059XS | 21 | 922-923 | T81599A | 15 | 793 | ||
T7129XS | 21 | 922-923 | T8061XA | 15 | 791 | T81599A | 21 | 919-921 | ||
T719XXA | 21 | 922-923 | T8061XA | 15 | 793 | T81599D | 23 | 949-950 | ||
T719XXD | 23 | 949-950 | T8061XA | 21 | 915-916 | T81599S | 21 | 922-923 | ||
T719XXS | 21 | 922-923 | T8061XD | 23 | 949-950 | T8160XA | 15 | 791 | ||
T730XXA | 21 | 922-923 | T8061XS | 21 | 922-923 | T8160XA | 15 | 793 | ||
T730XXD | 23 | 949-950 | T8062XA | 15 | 791 | T8160XA | 21 | 919-921 | ||
T730XXS | 21 | 922-923 | T8062XA | 15 | 793 | T8160XD | 23 | 949-950 | ||
T731XXA | 21 | 922-923 | T8062XA | 21 | 915-916 | T8160XS | 21 | 922-923 | ||
T731XXD | 23 | 949-950 | T8062XD | 23 | 949-950 | T8161XA | 15 | 791 | ||
T731XXS | 21 | 922-923 | T8062XS | 21 | 922-923 | T8161XA | 15 | 793 | ||
T732XXA | 21 | 922-923 | T8069XA | 15 | 791 | T8161XA | 21 | 919-921 | ||
T732XXD | 23 | 949-950 | T8069XA | 15 | 793 | T8161XD | 23 | 949-950 | ||
T732XXS | 21 | 922-923 | T8069XA | 21 | 915-916 | T8161XS | 21 | 922-923 | ||
T733XXA | 21 | 922-923 | T8069XD | 23 | 949-950 | T8169XA | 15 | 791 | ||
T733XXD | 23 | 949-950 | T8069XS | 21 | 922-923 | T8169XA | 15 | 793 | ||
T733XXS | 21 | 922-923 | T80810A | 05 | 314-316 | T8169XA | 21 | 919-921 | ||
T738XXA | 21 | 922-923 | T80810A | 15 | 791 | T8169XD | 23 | 949-950 | ||
T738XXD | 23 | 949-950 | T80810A | 15 | 793 | T8169XS | 21 | 922-923 | ||
T738XXS | 21 | 922-923 | T80810D | 23 | 949-950 | T81710A | 06 | 393-395 | ||
T739XXA | 21 | 922-923 | T80810S | 21 | 922-923 | T81710A | 15 | 791 | ||
T739XXD | 23 | 949-950 | T80818A | 05 | 314-316 | T81710A | 15 | 793 | ||
T739XXS | 21 | 922-923 | T80818A | 15 | 791 | T81710D | 23 | 949-950 | ||
T7401XA | 21 | 922-923 | T80818A | 15 | 793 | T81710S | 21 | 922-923 | ||
T7401XD | 23 | 949-950 | T80818D | 23 | 949-950 | T81711A | 11 | 698-700 | ||
T7401XS | 21 | 922-923 | T80818S | 21 | 922-923 | T81711A | 15 | 791 | ||
T7402XA | 21 | 922-923 | T8082XA | 15 | 791 | T81711A | 15 | 793 | ||
T7402XD | 23 | 949-950 | T8082XA | 15 | 793 | T81711D | 23 | 949-950 | ||
T7402XS | 21 | 922-923 | T8082XA | 16 | 814-816 | T81711S | 21 | 922-923 | ||
T7411XA | 21 | 922-923 | T8082XD | 23 | 949-950 | T81718A | 05 | 299-301 | ||
T7411XD | 23 | 949-950 | T8082XS | 21 | 922-923 | T81718A | 15 | 791 | ||
T7411XS | 21 | 922-923 | T8089XA | 15 | 791 | T81718A | 15 | 793 | ||
T7412XA | 21 | 922-923 | T8089XA | 15 | 793 | T81718D | 23 | 949-950 | ||
T7412XD | 23 | 949-950 | T8089XA | 16 | 811-812 | T81718S | 21 | 922-923 | ||
T7412XS | 21 | 922-923 | T8089XD | 23 | 949-950 | T81719A | 05 | 299-301 | ||
T7421XA | 21 | 922-923 | T8089XS | 21 | 922-923 | T81719A | 15 | 791 | ||
T7421XD | 23 | 949-950 | T8090XA | 05 | 314-316 | T81719A | 15 | 793 | ||
T7421XS | 21 | 922-923 | T8090XA | 15 | 791 | T81719D | 23 | 949-950 | ||
T7422XA | 21 | 922-923 | T8090XA | 15 | 793 | T81719S | 21 | 922-923 | ||
T7422XD | 23 | 949-950 | T8090XD | 23 | 949-950 | T8172XA | 05 | 299-301 | ||
T7422XS | 21 | 922-923 | T8090XS | 21 | 922-923 | T8172XA | 15 | 791 | ||
T7431XA | 21 | 922-923 | T80910A | 15 | 791 | T8172XA | 15 | 793 | ||
T7431XD | 23 | 949-950 | T80910A | 15 | 793 | T8172XD | 23 | 949-950 | ||
T7431XS | 21 | 922-923 | T80910A | 16 | 811-812 | T8172XS | 21 | 922-923 | ||
T7432XA | 21 | 922-923 | T80910D | 23 | 949-950 | T8181XA | 21 | 919-921 | ||
T7432XD | 23 | 949-950 | T80910S | 21 | 922-923 | T8181XD | 23 | 949-950 | ||
T7432XS | 21 | 922-923 | T80911A | 15 | 791 | T8181XS | 21 | 922-923 | ||
T744XXA | 21 | 922-923 | T80911A | 15 | 793 | T8182XA | 21 | 919-921 | ||
T744XXD | 23 | 949-950 | T80911A | 16 | 811-812 | T8182XD | 23 | 949-950 | ||
T744XXS | 21 | 922-923 | T80911D | 23 | 949-950 | T8182XS | 21 | 922-923 | ||
T7451XA | 21 | 922-923 | T80911S | 21 | 922-923 | T8183XA | 15 | 791 | ||
T7451XD | 23 | 949-950 | T80919A | 15 | 791 | T8183XA | 15 | 793 | ||
T7451XS | 21 | 922-923 | T80919A | 15 | 793 | T8183XA | 21 | 919-921 | ||
T7452XA | 21 | 922-923 | T80919A | 16 | 811-812 | T8183XD | 23 | 949-950 | ||
T7452XD | 23 | 949-950 | T80919D | 23 | 949-950 | T8183XS | 21 | 922-923 | ||
T7452XS | 21 | 922-923 | T80919S | 21 | 922-923 | T8189XA | 21 | 919-921 | ||
T7461XA | 21 | 922-923 | T8092XA | 15 | 791 | T8189XD | 23 | 949-950 | ||
T7461XD | 23 | 949-950 | T8092XA | 15 | 793 | T8189XS | 21 | 922-923 | ||
T7461XS | 21 | 922-923 | T8092XA | 16 | 811-812 | T819XXA | 15 | 791 | ||
T7462XA | 21 | 922-923 | T8092XD | 23 | 949-950 | T819XXA | 15 | 793 | ||
T7462XD | 23 | 949-950 | T8092XS | 21 | 922-923 | T819XXA | 21 | 919-921 | ||
T7462XS | 21 | 922-923 | T80A0XA | 15 | 791 | T819XXD | 23 | 949-950 | ||
T7491XA | 21 | 922-923 | T80A0XA | 15 | 793 | T819XXS | 21 | 922-923 | ||
T7491XD | 23 | 949-950 | T80A0XA | 16 | 811-812 | T8201XA | 05 | 306-307 | ||
T7491XS | 21 | 922-923 | T80A0XD | 23 | 949-950 | T8201XD | 23 | 949-950 | ||
T7492XA | 21 | 922-923 | T80A0XS | 21 | 922-923 | T8201XS | 21 | 922-923 | ||
T7492XD | 23 | 949-950 | T80A10A | 15 | 791 | T8202XA | 05 | 306-307 | ||
T7492XS | 21 | 922-923 | T80A10A | 15 | 793 | T8202XD | 23 | 949-950 | ||
T74A1XA | 21 | 922-923 | T80A10A | 16 | 811-812 | T8202XS | 21 | 922-923 | ||
T74A1XD | 23 | 949-950 | T80A10D | 23 | 949-950 | T8203XA | 05 | 306-307 | ||
T74A1XS | 21 | 922-923 | T80A10S | 21 | 922-923 | T8203XD | 23 | 949-950 | ||
T74A2XA | 21 | 922-923 | T80A11A | 15 | 791 | T8203XS | 21 | 922-923 | ||
T74A2XD | 23 | 949-950 | T80A11A | 15 | 793 | T8209XA | 05 | 306-307 | ||
T74A2XS | 21 | 922-923 | T80A11A | 16 | 811-812 | T8209XD | 23 | 949-950 | ||
T7500XA | 21 | 922-923 | T80A11D | 23 | 949-950 | T8209XS | 21 | 922-923 | ||
T7500XD | 23 | 949-950 | T80A11S | 21 | 922-923 | T82110A | 05 | 308-310 | ||
T7500XS | 21 | 922-923 | T80A19A | 15 | 791 | T82110D | 23 | 949-950 | ||
T7501XA | 21 | 922-923 | T80A19A | 15 | 793 | T82110S | 21 | 922-923 | ||
T7501XD | 23 | 949-950 | T80A19A | 16 | 811-812 | T82111A | 05 | 308-310 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 13 Oct 2023 12:52:35 CMS, code-revision=349, description-revision=1375 |