ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 12 of 75 |
| A000 B2781 C5712 C8395 D107 E083542 E1301 F13259 G543 H16041 H4303 H8393 I63541 I97610 K4020 L0882 M00239 M19072 M314 M6519 M84311S M84759P M96830 N8501 O2990 O35GXX1 O4192X9 O99845 Q51818 R502 S02118D S06319D S1192XA S15399D S22082B S30823D S32309A S35221D S39002D S42261D S43202A S4991XA S52201Q S52345P S52699N S56909D S60929A S62136P S62390B S63208D S65500D S68619D S72043S S72133F S72355A S7291XC S80211S S82132R S82399Q S82854P S85801A S90821D S92153B S93103D S99032A T2161XA T23661D T3371XA T40903A T457X5D T50B15D T632X3D T8112XD T8454XD Z4801 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| H8393 | 03 | 149 | I339 | 05 | 288-290 | I63012 | 01 | 023-024 | ||
| H900 | 03 | 154-156 | I339 | 15 | 791 | I63012 | 01 | 061-063 | ||
| H9011 | 03 | 154-156 | I339 | 15 | 793 | I63012 | 01 | 064-066 | ||
| H9012 | 03 | 154-156 | I339 | 25 | 974-976 | I63012 | 15 | 791 | ||
| H902 | 03 | 154-156 | I340 | 05 | 306-307 | I63012 | 15 | 793 | ||
| H903 | 03 | 154-156 | I341 | 05 | 306-307 | I63013 | 01 | 023-024 | ||
| H9041 | 03 | 154-156 | I342 | 05 | 306-307 | I63013 | 01 | 061-063 | ||
| H9042 | 03 | 154-156 | I3481 | 05 | 306-307 | I63013 | 01 | 064-066 | ||
| H905 | 03 | 154-156 | I3489 | 05 | 306-307 | I63013 | 15 | 791 | ||
| H906 | 03 | 154-156 | I349 | 05 | 306-307 | I63013 | 15 | 793 | ||
| H9071 | 03 | 154-156 | I350 | 05 | 306-307 | I63019 | 01 | 023-024 | ||
| H9072 | 03 | 154-156 | I351 | 05 | 306-307 | I63019 | 01 | 061-063 | ||
| H908 | 03 | 154-156 | I352 | 05 | 306-307 | I63019 | 01 | 064-066 | ||
| H90A11 | 03 | 154-156 | I358 | 05 | 306-307 | I63019 | 15 | 791 | ||
| H90A12 | 03 | 154-156 | I359 | 05 | 306-307 | I63019 | 15 | 793 | ||
| H90A21 | 03 | 154-156 | I360 | 05 | 306-307 | I6302 | 01 | 023-024 | ||
| H90A22 | 03 | 154-156 | I361 | 05 | 306-307 | I6302 | 01 | 061-063 | ||
| H90A31 | 03 | 154-156 | I362 | 05 | 306-307 | I6302 | 01 | 064-066 | ||
| H90A32 | 03 | 154-156 | I368 | 05 | 306-307 | I6302 | 15 | 791 | ||
| H9101 | 03 | 154-156 | I369 | 05 | 306-307 | I6302 | 15 | 793 | ||
| H9102 | 03 | 154-156 | I370 | 05 | 306-307 | I63031 | 01 | 023-024 | ||
| H9103 | 03 | 154-156 | I371 | 05 | 306-307 | I63031 | 01 | 061-063 | ||
| H9109 | 03 | 154-156 | I372 | 05 | 306-307 | I63031 | 01 | 064-066 | ||
| H9110 | 03 | 154-156 | I378 | 05 | 306-307 | I63031 | 15 | 791 | ||
| H9111 | 03 | 154-156 | I379 | 05 | 306-307 | I63031 | 15 | 793 | ||
| H9112 | 03 | 154-156 | I38 | 05 | 306-307 | I63032 | 01 | 023-024 | ||
| H9113 | 03 | 154-156 | I38 | 15 | 791 | I63032 | 01 | 061-063 | ||
| H9120 | 03 | 154-156 | I38 | 15 | 793 | I63032 | 01 | 064-066 | ||
| H9121 | 03 | 154-156 | I39 | 05 | 306-307 | I63032 | 15 | 791 | ||
| H9122 | 03 | 154-156 | I39 | 15 | 791 | I63032 | 15 | 793 | ||
| H9123 | 03 | 154-156 | I39 | 15 | 793 | I63033 | 01 | 023-024 | ||
| H913 | 03 | 154-156 | I400 | 05 | 314-316 | I63033 | 01 | 061-063 | ||
| H918X1 | 03 | 154-156 | I400 | 15 | 791 | I63033 | 01 | 064-066 | ||
| H918X2 | 03 | 154-156 | I400 | 15 | 793 | I63033 | 15 | 791 | ||
| H918X3 | 03 | 154-156 | I400 | 25 | 974-976 | I63033 | 15 | 793 | ||
| H918X9 | 03 | 154-156 | I401 | 05 | 314-316 | I63039 | 01 | 023-024 | ||
| H9190 | 03 | 154-156 | I401 | 25 | 974-976 | I63039 | 01 | 061-063 | ||
| H9191 | 03 | 154-156 | I408 | 05 | 314-316 | I63039 | 01 | 064-066 | ||
| H9192 | 03 | 154-156 | I408 | 25 | 974-976 | I63039 | 15 | 791 | ||
| H9193 | 03 | 154-156 | I409 | 05 | 314-316 | I63039 | 15 | 793 | ||
| H9201 | 03 | 154-156 | I409 | 25 | 974-976 | I6309 | 01 | 023-024 | ||
| H9202 | 03 | 154-156 | I41 | 05 | 314-316 | I6309 | 01 | 061-063 | ||
| H9203 | 03 | 154-156 | I41 | 15 | 791 | I6309 | 01 | 064-066 | ||
| H9209 | 03 | 154-156 | I41 | 15 | 793 | I6309 | 15 | 791 | ||
| H9210 | 03 | 154-156 | I420 | 05 | 314-316 | I6309 | 15 | 793 | ||
| H9211 | 03 | 154-156 | I421 | 05 | 314-316 | I6310 | 01 | 023-024 | ||
| H9212 | 03 | 154-156 | I422 | 05 | 314-316 | I6310 | 01 | 061-063 | ||
| H9213 | 03 | 154-156 | I423 | 05 | 314-316 | I6310 | 01 | 064-066 | ||
| H9220 | 03 | 154-156 | I424 | 05 | 314-316 | I6310 | 15 | 791 | ||
| H9221 | 03 | 154-156 | I425 | 05 | 314-316 | I6310 | 15 | 793 | ||
| H9222 | 03 | 154-156 | I426 | 05 | 314-316 | I63111 | 01 | 023-024 | ||
| H9223 | 03 | 154-156 | I427 | 05 | 314-316 | I63111 | 01 | 061-063 | ||
| H93011 | 03 | 154-156 | I428 | 05 | 314-316 | I63111 | 01 | 064-066 | ||
| H93012 | 03 | 154-156 | I429 | 05 | 314-316 | I63111 | 15 | 791 | ||
| H93013 | 03 | 154-156 | I43 | 05 | 314-316 | I63111 | 15 | 793 | ||
| H93019 | 03 | 154-156 | I43 | 15 | 791 | I63112 | 01 | 023-024 | ||
| H93091 | 03 | 154-156 | I43 | 15 | 793 | I63112 | 01 | 061-063 | ||
| H93092 | 03 | 154-156 | I440 | 05 | 308-310 | I63112 | 01 | 064-066 | ||
| H93093 | 03 | 154-156 | I441 | 05 | 308-310 | I63112 | 15 | 791 | ||
| H93099 | 03 | 154-156 | I442 | 05 | 308-310 | I63112 | 15 | 793 | ||
| H9311 | 03 | 154-156 | I442 | 15 | 791 | I63113 | 01 | 023-024 | ||
| H9312 | 03 | 154-156 | I442 | 15 | 793 | I63113 | 01 | 061-063 | ||
| H9313 | 03 | 154-156 | I4430 | 05 | 308-310 | I63113 | 01 | 064-066 | ||
| H9319 | 03 | 154-156 | I4439 | 05 | 308-310 | I63113 | 15 | 791 | ||
| H93211 | 03 | 154-156 | I444 | 05 | 308-310 | I63113 | 15 | 793 | ||
| H93212 | 03 | 154-156 | I445 | 05 | 308-310 | I63119 | 01 | 023-024 | ||
| H93213 | 03 | 154-156 | I4460 | 05 | 308-310 | I63119 | 01 | 061-063 | ||
| H93219 | 03 | 154-156 | I4469 | 05 | 308-310 | I63119 | 01 | 064-066 | ||
| H93221 | 03 | 154-156 | I447 | 05 | 308-310 | I63119 | 15 | 791 | ||
| H93222 | 03 | 154-156 | I450 | 05 | 308-310 | I63119 | 15 | 793 | ||
| H93223 | 03 | 154-156 | I4510 | 05 | 308-310 | I6312 | 01 | 023-024 | ||
| H93229 | 03 | 154-156 | I4519 | 05 | 308-310 | I6312 | 01 | 061-063 | ||
| H93231 | 03 | 154-156 | I452 | 05 | 308-310 | I6312 | 01 | 064-066 | ||
| H93232 | 03 | 154-156 | I452 | 15 | 791 | I6312 | 15 | 791 | ||
| H93233 | 03 | 154-156 | I452 | 15 | 793 | I6312 | 15 | 793 | ||
| H93239 | 03 | 154-156 | I453 | 05 | 308-310 | I63131 | 01 | 023-024 | ||
| H93241 | 03 | 154-156 | I453 | 15 | 791 | I63131 | 01 | 061-063 | ||
| H93242 | 03 | 154-156 | I453 | 15 | 793 | I63131 | 01 | 064-066 | ||
| H93243 | 03 | 154-156 | I454 | 05 | 308-310 | I63131 | 15 | 791 | ||
| H93249 | 03 | 154-156 | I455 | 05 | 308-310 | I63131 | 15 | 793 | ||
| H9325 | 19 | 886 | I456 | 05 | 308-310 | I63132 | 01 | 023-024 | ||
| H93291 | 03 | 154-156 | I456 | 15 | 791 | I63132 | 01 | 061-063 | ||
| H93292 | 03 | 154-156 | I456 | 15 | 793 | I63132 | 01 | 064-066 | ||
| H93293 | 03 | 154-156 | I4581 | 05 | 308-310 | I63132 | 15 | 791 | ||
| H93299 | 03 | 154-156 | I4589 | 05 | 308-310 | I63132 | 15 | 793 | ||
| H933X1 | 03 | 154-156 | I4589 | 15 | 791 | I63133 | 01 | 023-024 | ||
| H933X2 | 03 | 154-156 | I4589 | 15 | 793 | I63133 | 01 | 061-063 | ||
| H933X3 | 03 | 154-156 | I459 | 05 | 308-310 | I63133 | 01 | 064-066 | ||
| H933X9 | 03 | 154-156 | I462 | 05 | 296-298 | I63133 | 15 | 791 | ||
| H938X1 | 03 | 154-156 | I462 | 15 | 791 | I63133 | 15 | 793 | ||
| H938X2 | 03 | 154-156 | I462 | 15 | 793 | I63139 | 01 | 023-024 | ||
| H938X3 | 03 | 154-156 | I468 | 05 | 296-298 | I63139 | 01 | 061-063 | ||
| H938X9 | 03 | 154-156 | I468 | 15 | 791 | I63139 | 01 | 064-066 | ||
| H9390 | 03 | 154-156 | I468 | 15 | 793 | I63139 | 15 | 791 | ||
| H9391 | 03 | 154-156 | I469 | 05 | 296-298 | I63139 | 15 | 793 | ||
| H9392 | 03 | 154-156 | I469 | 15 | 791 | I6319 | 01 | 023-024 | ||
| H9393 | 03 | 154-156 | I469 | 15 | 793 | I6319 | 01 | 061-063 | ||
| H93A1 | 03 | 154-156 | I470 | 05 | 308-310 | I6319 | 01 | 064-066 | ||
| H93A2 | 03 | 154-156 | I470 | 15 | 791 | I6319 | 15 | 791 | ||
| H93A3 | 03 | 154-156 | I470 | 15 | 793 | I6319 | 15 | 793 | ||
| H93A9 | 03 | 154-156 | I4710 | 05 | 308-310 | I6320 | 01 | 023-024 | ||
| H9400 | 03 | 154-156 | I4711 | 05 | 308-310 | I6320 | 01 | 061-063 | ||
| H9401 | 03 | 154-156 | I4719 | 05 | 308-310 | I6320 | 01 | 064-066 | ||
| H9402 | 03 | 154-156 | I4720 | 05 | 308-310 | I6320 | 15 | 791 | ||
| H9403 | 03 | 154-156 | I4720 | 15 | 791 | I6320 | 15 | 793 | ||
| H9480 | 03 | 154-156 | I4720 | 15 | 793 | I63211 | 01 | 023-024 | ||
| H9481 | 03 | 154-156 | I4721 | 05 | 308-310 | I63211 | 01 | 061-063 | ||
| H9482 | 03 | 154-156 | I4721 | 15 | 791 | I63211 | 01 | 064-066 | ||
| H9483 | 03 | 154-156 | I4721 | 15 | 793 | I63211 | 15 | 791 | ||
| H9500 | 03 | 154-156 | I4729 | 05 | 308-310 | I63211 | 15 | 793 | ||
| H9501 | 03 | 154-156 | I4729 | 15 | 791 | I63212 | 01 | 023-024 | ||
| H9502 | 03 | 154-156 | I4729 | 15 | 793 | I63212 | 01 | 061-063 | ||
| H9503 | 03 | 154-156 | I479 | 05 | 308-310 | I63212 | 01 | 064-066 | ||
| H95111 | 03 | 154-156 | I480 | 05 | 308-310 | I63212 | 15 | 791 | ||
| H95112 | 03 | 154-156 | I480 | 15 | 791 | I63212 | 15 | 793 | ||
| H95113 | 03 | 154-156 | I480 | 15 | 793 | I63213 | 01 | 023-024 | ||
| H95119 | 03 | 154-156 | I4811 | 05 | 308-310 | I63213 | 01 | 061-063 | ||
| H95121 | 03 | 154-156 | I4819 | 05 | 308-310 | I63213 | 01 | 064-066 | ||
| H95122 | 03 | 154-156 | I4819 | 15 | 791 | I63213 | 15 | 791 | ||
| H95123 | 03 | 154-156 | I4819 | 15 | 793 | I63213 | 15 | 793 | ||
| H95129 | 03 | 154-156 | I4820 | 05 | 308-310 | I63219 | 01 | 023-024 | ||
| H95131 | 03 | 154-156 | I4821 | 05 | 308-310 | I63219 | 01 | 061-063 | ||
| H95132 | 03 | 154-156 | I4821 | 15 | 791 | I63219 | 01 | 064-066 | ||
| H95133 | 03 | 154-156 | I4821 | 15 | 793 | I63219 | 15 | 791 | ||
| H95139 | 03 | 154-156 | I483 | 05 | 308-310 | I63219 | 15 | 793 | ||
| H95191 | 03 | 154-156 | I483 | 15 | 791 | I6322 | 01 | 023-024 | ||
| H95192 | 03 | 154-156 | I483 | 15 | 793 | I6322 | 01 | 061-063 | ||
| H95193 | 03 | 154-156 | I484 | 05 | 308-310 | I6322 | 01 | 064-066 | ||
| H95199 | 03 | 154-156 | I484 | 15 | 791 | I6322 | 15 | 791 | ||
| H9521 | 21 | 919-921 | I484 | 15 | 793 | I6322 | 15 | 793 | ||
| H9522 | 21 | 919-921 | I4891 | 05 | 308-310 | I63231 | 01 | 023-024 | ||
| H9531 | 15 | 791 | I4891 | 15 | 791 | I63231 | 01 | 061-063 | ||
| H9531 | 15 | 793 | I4891 | 15 | 793 | I63231 | 01 | 064-066 | ||
| H9531 | 21 | 919-921 | I4892 | 05 | 308-310 | I63231 | 15 | 791 | ||
| H9532 | 15 | 791 | I4892 | 15 | 791 | I63231 | 15 | 793 | ||
| H9532 | 15 | 793 | I4892 | 15 | 793 | I63232 | 01 | 023-024 | ||
| H9532 | 21 | 919-921 | I4901 | 05 | 308-310 | I63232 | 01 | 061-063 | ||
| H9541 | 21 | 919-921 | I4901 | 15 | 791 | I63232 | 01 | 064-066 | ||
| H9542 | 21 | 919-921 | I4901 | 15 | 793 | I63232 | 15 | 791 | ||
| H9551 | 21 | 919-921 | I4902 | 05 | 308-310 | I63232 | 15 | 793 | ||
| H9552 | 21 | 919-921 | I4902 | 15 | 791 | I63233 | 01 | 023-024 | ||
| H9553 | 21 | 919-921 | I4902 | 15 | 793 | I63233 | 01 | 061-063 | ||
| H9554 | 21 | 919-921 | I491 | 05 | 308-310 | I63233 | 01 | 064-066 | ||
| H95811 | 21 | 919-921 | I492 | 05 | 308-310 | I63233 | 15 | 791 | ||
| H95812 | 21 | 919-921 | I493 | 05 | 308-310 | I63233 | 15 | 793 | ||
| H95813 | 21 | 919-921 | I4940 | 05 | 308-310 | I63239 | 01 | 023-024 | ||
| H95819 | 21 | 919-921 | I4949 | 05 | 308-310 | I63239 | 01 | 061-063 | ||
| H9588 | 21 | 919-921 | I495 | 05 | 308-310 | I63239 | 01 | 064-066 | ||
| H9589 | 21 | 919-921 | I498 | 05 | 308-310 | I63239 | 15 | 791 | ||
| I00 | 08 | 545-547 | I499 | 05 | 308-310 | I63239 | 15 | 793 | ||
| I010 | 05 | 314-316 | I501 | 05 | 291-293 | I6329 | 01 | 023-024 | ||
| I011 | 05 | 306-307 | I501 | 15 | 791 | I6329 | 01 | 061-063 | ||
| I012 | 05 | 314-316 | I501 | 15 | 793 | I6329 | 01 | 064-066 | ||
| I018 | 05 | 314-316 | I5020 | 05 | 291-293 | I6329 | 15 | 791 | ||
| I019 | 05 | 314-316 | I5020 | 15 | 791 | I6329 | 15 | 793 | ||
| I020 | 05 | 314-316 | I5020 | 15 | 793 | I6330 | 01 | 023-024 | ||
| I029 | 05 | 314-316 | I5021 | 05 | 291-293 | I6330 | 01 | 061-063 | ||
| I050 | 05 | 306-307 | I5021 | 15 | 791 | I6330 | 01 | 064-066 | ||
| I051 | 05 | 306-307 | I5021 | 15 | 793 | I6330 | 15 | 791 | ||
| I052 | 05 | 306-307 | I5022 | 05 | 291-293 | I6330 | 15 | 793 | ||
| I058 | 05 | 306-307 | I5022 | 15 | 791 | I63311 | 01 | 023-024 | ||
| I059 | 05 | 306-307 | I5022 | 15 | 793 | I63311 | 01 | 061-063 | ||
| I060 | 05 | 306-307 | I5023 | 05 | 291-293 | I63311 | 01 | 064-066 | ||
| I061 | 05 | 306-307 | I5023 | 15 | 791 | I63311 | 15 | 791 | ||
| I062 | 05 | 306-307 | I5023 | 15 | 793 | I63311 | 15 | 793 | ||
| I068 | 05 | 306-307 | I5030 | 05 | 291-293 | I63312 | 01 | 023-024 | ||
| I069 | 05 | 306-307 | I5030 | 15 | 791 | I63312 | 01 | 061-063 | ||
| I070 | 05 | 306-307 | I5030 | 15 | 793 | I63312 | 01 | 064-066 | ||
| I071 | 05 | 306-307 | I5031 | 05 | 291-293 | I63312 | 15 | 791 | ||
| I072 | 05 | 306-307 | I5031 | 15 | 791 | I63312 | 15 | 793 | ||
| I078 | 05 | 306-307 | I5031 | 15 | 793 | I63313 | 01 | 023-024 | ||
| I079 | 05 | 306-307 | I5032 | 05 | 291-293 | I63313 | 01 | 061-063 | ||
| I080 | 05 | 306-307 | I5032 | 15 | 791 | I63313 | 01 | 064-066 | ||
| I081 | 05 | 306-307 | I5032 | 15 | 793 | I63313 | 15 | 791 | ||
| I082 | 05 | 306-307 | I5033 | 05 | 291-293 | I63313 | 15 | 793 | ||
| I083 | 05 | 306-307 | I5033 | 15 | 791 | I63319 | 01 | 023-024 | ||
| I088 | 05 | 306-307 | I5033 | 15 | 793 | I63319 | 01 | 061-063 | ||
| I089 | 05 | 306-307 | I5040 | 05 | 291-293 | I63319 | 01 | 064-066 | ||
| I090 | 05 | 314-316 | I5040 | 15 | 791 | I63319 | 15 | 791 | ||
| I091 | 05 | 306-307 | I5040 | 15 | 793 | I63319 | 15 | 793 | ||
| I092 | 05 | 314-316 | I5041 | 05 | 291-293 | I63321 | 01 | 023-024 | ||
| I0981 | 05 | 291-293 | I5041 | 15 | 791 | I63321 | 01 | 061-063 | ||
| I0981 | 15 | 791 | I5041 | 15 | 793 | I63321 | 01 | 064-066 | ||
| I0981 | 15 | 793 | I5042 | 05 | 291-293 | I63321 | 15 | 791 | ||
| I0989 | 05 | 306-307 | I5042 | 15 | 791 | I63321 | 15 | 793 | ||
| I099 | 05 | 314-316 | I5042 | 15 | 793 | I63322 | 01 | 023-024 | ||
| I10 | 05 | 304-305 | I5043 | 05 | 291-293 | I63322 | 01 | 061-063 | ||
| I110 | 05 | 291-293 | I5043 | 15 | 791 | I63322 | 01 | 064-066 | ||
| I110 | 15 | 791 | I5043 | 15 | 793 | I63322 | 15 | 791 | ||
| I110 | 15 | 793 | I50810 | 05 | 291-293 | I63322 | 15 | 793 | ||
| I119 | 05 | 304-305 | I50810 | 15 | 791 | I63323 | 01 | 023-024 | ||
| I120 | Pre | 008 | I50810 | 15 | 793 | I63323 | 01 | 061-063 | ||
| I120 | Pre | 019 | I50811 | 05 | 291-293 | I63323 | 01 | 064-066 | ||
| I120 | 11 | 673-675 | I50811 | 15 | 791 | I63323 | 15 | 791 | ||
| I120 | 11 | 682-684 | I50811 | 15 | 793 | I63323 | 15 | 793 | ||
| I129 | 11 | 682-684 | I50812 | 05 | 291-293 | I63329 | 01 | 023-024 | ||
| I130 | 05 | 291-293 | I50812 | 15 | 791 | I63329 | 01 | 061-063 | ||
| I130 | 15 | 791 | I50812 | 15 | 793 | I63329 | 01 | 064-066 | ||
| I130 | 15 | 793 | I50813 | 05 | 291-293 | I63329 | 15 | 791 | ||
| I1310 | 11 | 682-684 | I50813 | 15 | 791 | I63329 | 15 | 793 | ||
| I1311 | Pre | 008 | I50813 | 15 | 793 | I63331 | 01 | 023-024 | ||
| I1311 | Pre | 019 | I50814 | 05 | 291-293 | I63331 | 01 | 061-063 | ||
| I1311 | 11 | 673-675 | I50814 | 15 | 791 | I63331 | 01 | 064-066 | ||
| I1311 | 11 | 682-684 | I50814 | 15 | 793 | I63331 | 15 | 791 | ||
| I132 | Pre | 008 | I5082 | 05 | 291-293 | I63331 | 15 | 793 | ||
| I132 | Pre | 019 | I5082 | 15 | 791 | I63332 | 01 | 023-024 | ||
| I132 | 05 | 291-293 | I5082 | 15 | 793 | I63332 | 01 | 061-063 | ||
| I132 | 15 | 791 | I5083 | 05 | 291-293 | I63332 | 01 | 064-066 | ||
| I132 | 15 | 793 | I5083 | 15 | 791 | I63332 | 15 | 791 | ||
| I150 | 05 | 304-305 | I5083 | 15 | 793 | I63332 | 15 | 793 | ||
| I151 | 05 | 304-305 | I5084 | 05 | 291-293 | I63333 | 01 | 023-024 | ||
| I152 | 05 | 304-305 | I5084 | 15 | 791 | I63333 | 01 | 061-063 | ||
| I158 | 05 | 304-305 | I5084 | 15 | 793 | I63333 | 01 | 064-066 | ||
| I159 | 05 | 304-305 | I5089 | 05 | 291-293 | I63333 | 15 | 791 | ||
| I160 | 05 | 304-305 | I5089 | 15 | 791 | I63333 | 15 | 793 | ||
| I161 | 05 | 304-305 | I5089 | 15 | 793 | I63339 | 01 | 023-024 | ||
| I169 | 05 | 304-305 | I509 | 05 | 291-293 | I63339 | 01 | 061-063 | ||
| I1A0 | 05 | 304-305 | I509 | 15 | 791 | I63339 | 01 | 064-066 | ||
| I200 | 05 | 311 | I509 | 15 | 793 | I63339 | 15 | 791 | ||
| I201 | 05 | 311 | I510 | 05 | 314-316 | I63339 | 15 | 793 | ||
| I202 | 05 | 311 | I511 | 05 | 306-307 | I63341 | 01 | 023-024 | ||
| I2081 | 05 | 311 | I512 | 05 | 306-307 | I63341 | 01 | 061-063 | ||
| I2089 | 05 | 311 | I513 | 05 | 302-303 | I63341 | 01 | 064-066 | ||
| I209 | 05 | 311 | I514 | 05 | 314-316 | I63341 | 15 | 791 | ||
| I2101 | 05 | 280-285 | I515 | 05 | 314-316 | I63341 | 15 | 793 | ||
| I2102 | 05 | 280-285 | I517 | 05 | 302-303 | I63342 | 01 | 023-024 | ||
| I2109 | 05 | 280-285 | I5181 | 05 | 314-316 | I63342 | 01 | 061-063 | ||
| I2111 | 05 | 280-285 | I5189 | 05 | 302-303 | I63342 | 01 | 064-066 | ||
| I2119 | 05 | 280-285 | I519 | 05 | 302-303 | I63342 | 15 | 791 | ||
| I2121 | 05 | 280-285 | I52 | 05 | 302-303 | I63342 | 15 | 793 | ||
| I2129 | 05 | 280-285 | I5A | 05 | 314-316 | I63343 | 01 | 023-024 | ||
| I213 | 05 | 280-285 | I6000 | 01 | 020-022 | I63343 | 01 | 061-063 | ||
| I214 | 05 | 280-285 | I6000 | 01 | 023-024 | I63343 | 01 | 064-066 | ||
| I219 | 05 | 280-285 | I6000 | 01 | 064-066 | I63343 | 15 | 791 | ||
| I21A1 | 05 | 280-285 | I6000 | 15 | 791 | I63343 | 15 | 793 | ||
| I21A9 | 05 | 280-285 | I6000 | 15 | 793 | I63349 | 01 | 023-024 | ||
| I21B | 05 | 280-285 | I6001 | 01 | 020-022 | I63349 | 01 | 061-063 | ||
| I220 | 05 | 280-285 | I6001 | 01 | 023-024 | I63349 | 01 | 064-066 | ||
| I221 | 05 | 280-285 | I6001 | 01 | 064-066 | I63349 | 15 | 791 | ||
| I222 | 05 | 280-285 | I6001 | 15 | 791 | I63349 | 15 | 793 | ||
| I228 | 05 | 280-285 | I6001 | 15 | 793 | I6339 | 01 | 023-024 | ||
| I229 | 05 | 280-285 | I6002 | 01 | 020-022 | I6339 | 01 | 061-063 | ||
| I230 | 05 | 314-316 | I6002 | 01 | 023-024 | I6339 | 01 | 064-066 | ||
| I231 | 05 | 314-316 | I6002 | 01 | 064-066 | I6339 | 15 | 791 | ||
| I232 | 05 | 314-316 | I6002 | 15 | 791 | I6339 | 15 | 793 | ||
| I233 | 05 | 314-316 | I6002 | 15 | 793 | I6340 | 01 | 023-024 | ||
| I234 | 05 | 306-307 | I6010 | 01 | 020-022 | I6340 | 01 | 061-063 | ||
| I235 | 05 | 306-307 | I6010 | 01 | 023-024 | I6340 | 01 | 064-066 | ||
| I236 | 05 | 314-316 | I6010 | 01 | 064-066 | I6340 | 15 | 791 | ||
| I237 | 05 | 314-316 | I6010 | 15 | 791 | I6340 | 15 | 793 | ||
| I238 | 05 | 314-316 | I6010 | 15 | 793 | I63411 | 01 | 023-024 | ||
| I240 | 05 | 311 | I6011 | 01 | 020-022 | I63411 | 01 | 061-063 | ||
| I241 | 05 | 314-316 | I6011 | 01 | 023-024 | I63411 | 01 | 064-066 | ||
| I2481 | 05 | 311 | I6011 | 01 | 064-066 | I63411 | 15 | 791 | ||
| I2489 | 05 | 311 | I6011 | 15 | 791 | I63411 | 15 | 793 | ||
| I249 | 05 | 311 | I6011 | 15 | 793 | I63412 | 01 | 023-024 | ||
| I2510 | 05 | 302-303 | I6012 | 01 | 020-022 | I63412 | 01 | 061-063 | ||
| I25110 | 05 | 302-303 | I6012 | 01 | 023-024 | I63412 | 01 | 064-066 | ||
| I25111 | 05 | 302-303 | I6012 | 01 | 064-066 | I63412 | 15 | 791 | ||
| I25112 | 05 | 302-303 | I6012 | 15 | 791 | I63412 | 15 | 793 | ||
| I25118 | 05 | 302-303 | I6012 | 15 | 793 | I63413 | 01 | 023-024 | ||
| I25119 | 05 | 302-303 | I602 | 01 | 020-022 | I63413 | 01 | 061-063 | ||
| I252 | 05 | 302-303 | I602 | 01 | 023-024 | I63413 | 01 | 064-066 | ||
| I253 | 05 | 314-316 | I602 | 01 | 064-066 | I63413 | 15 | 791 | ||
| I253 | 15 | 791 | I602 | 15 | 791 | I63413 | 15 | 793 | ||
| I253 | 15 | 793 | I602 | 15 | 793 | I63419 | 01 | 023-024 | ||
| I2541 | 05 | 314-316 | I6030 | 01 | 020-022 | I63419 | 01 | 061-063 | ||
| I2542 | 05 | 314-316 | I6030 | 01 | 023-024 | I63419 | 01 | 064-066 | ||
| I255 | 05 | 302-303 | I6030 | 01 | 064-066 | I63419 | 15 | 791 | ||
| I256 | 05 | 302-303 | I6030 | 15 | 791 | I63419 | 15 | 793 | ||
| I25700 | 05 | 302-303 | I6030 | 15 | 793 | I63421 | 01 | 023-024 | ||
| I25701 | 05 | 302-303 | I6031 | 01 | 020-022 | I63421 | 01 | 061-063 | ||
| I25702 | 05 | 302-303 | I6031 | 01 | 023-024 | I63421 | 01 | 064-066 | ||
| I25708 | 05 | 302-303 | I6031 | 01 | 064-066 | I63421 | 15 | 791 | ||
| I25709 | 05 | 302-303 | I6031 | 15 | 791 | I63421 | 15 | 793 | ||
| I25710 | 05 | 302-303 | I6031 | 15 | 793 | I63422 | 01 | 023-024 | ||
| I25711 | 05 | 302-303 | I6032 | 01 | 020-022 | I63422 | 01 | 061-063 | ||
| I25712 | 05 | 302-303 | I6032 | 01 | 023-024 | I63422 | 01 | 064-066 | ||
| I25718 | 05 | 302-303 | I6032 | 01 | 064-066 | I63422 | 15 | 791 | ||
| I25719 | 05 | 302-303 | I6032 | 15 | 791 | I63422 | 15 | 793 | ||
| I25720 | 05 | 302-303 | I6032 | 15 | 793 | I63423 | 01 | 023-024 | ||
| I25721 | 05 | 302-303 | I604 | 01 | 020-022 | I63423 | 01 | 061-063 | ||
| I25722 | 05 | 302-303 | I604 | 01 | 023-024 | I63423 | 01 | 064-066 | ||
| I25728 | 05 | 302-303 | I604 | 01 | 064-066 | I63423 | 15 | 791 | ||
| I25729 | 05 | 302-303 | I604 | 15 | 791 | I63423 | 15 | 793 | ||
| I25730 | 05 | 302-303 | I604 | 15 | 793 | I63429 | 01 | 023-024 | ||
| I25731 | 05 | 302-303 | I6050 | 01 | 020-022 | I63429 | 01 | 061-063 | ||
| I25732 | 05 | 302-303 | I6050 | 01 | 023-024 | I63429 | 01 | 064-066 | ||
| I25738 | 05 | 302-303 | I6050 | 01 | 064-066 | I63429 | 15 | 791 | ||
| I25739 | 05 | 302-303 | I6050 | 15 | 791 | I63429 | 15 | 793 | ||
| I25750 | 05 | 302-303 | I6050 | 15 | 793 | I63431 | 01 | 023-024 | ||
| I25751 | 05 | 302-303 | I6051 | 01 | 020-022 | I63431 | 01 | 061-063 | ||
| I25752 | 05 | 302-303 | I6051 | 01 | 023-024 | I63431 | 01 | 064-066 | ||
| I25758 | 05 | 302-303 | I6051 | 01 | 064-066 | I63431 | 15 | 791 | ||
| I25759 | 05 | 302-303 | I6051 | 15 | 791 | I63431 | 15 | 793 | ||
| I25760 | 05 | 302-303 | I6051 | 15 | 793 | I63432 | 01 | 023-024 | ||
| I25761 | 05 | 302-303 | I6052 | 01 | 020-022 | I63432 | 01 | 061-063 | ||
| I25762 | 05 | 302-303 | I6052 | 01 | 023-024 | I63432 | 01 | 064-066 | ||
| I25768 | 05 | 302-303 | I6052 | 01 | 064-066 | I63432 | 15 | 791 | ||
| I25769 | 05 | 302-303 | I6052 | 15 | 791 | I63432 | 15 | 793 | ||
| I25790 | 05 | 302-303 | I6052 | 15 | 793 | I63433 | 01 | 023-024 | ||
| I25791 | 05 | 302-303 | I606 | 01 | 020-022 | I63433 | 01 | 061-063 | ||
| I25792 | 05 | 302-303 | I606 | 01 | 023-024 | I63433 | 01 | 064-066 | ||
| I25798 | 05 | 302-303 | I606 | 01 | 064-066 | I63433 | 15 | 791 | ||
| I25799 | 05 | 302-303 | I606 | 15 | 791 | I63433 | 15 | 793 | ||
| I25810 | 05 | 302-303 | I606 | 15 | 793 | I63439 | 01 | 023-024 | ||
| I25811 | 05 | 302-303 | I607 | 01 | 020-022 | I63439 | 01 | 061-063 | ||
| I25812 | 05 | 302-303 | I607 | 01 | 023-024 | I63439 | 01 | 064-066 | ||
| I2582 | 05 | 302-303 | I607 | 01 | 064-066 | I63439 | 15 | 791 | ||
| I2583 | 05 | 302-303 | I607 | 15 | 791 | I63439 | 15 | 793 | ||
| I2584 | 05 | 302-303 | I607 | 15 | 793 | I63441 | 01 | 023-024 | ||
| I2585 | 05 | 302-303 | I608 | 01 | 020-022 | I63441 | 01 | 061-063 | ||
| I2589 | 05 | 302-303 | I608 | 01 | 023-024 | I63441 | 01 | 064-066 | ||
| I259 | 05 | 302-303 | I608 | 01 | 064-066 | I63441 | 15 | 791 | ||
| I2601 | 04 | 173 | I608 | 15 | 791 | I63441 | 15 | 793 | ||
| I2601 | 04 | 175-176 | I608 | 15 | 793 | I63442 | 01 | 023-024 | ||
| I2601 | 15 | 791 | I609 | 01 | 020-022 | I63442 | 01 | 061-063 | ||
| I2601 | 15 | 793 | I609 | 01 | 023-024 | I63442 | 01 | 064-066 | ||
| I2602 | 04 | 173 | I609 | 01 | 064-066 | I63442 | 15 | 791 | ||
| I2602 | 04 | 175-176 | I609 | 15 | 791 | I63442 | 15 | 793 | ||
| I2602 | 15 | 791 | I609 | 15 | 793 | I63443 | 01 | 023-024 | ||
| I2602 | 15 | 793 | I610 | 01 | 020-022 | I63443 | 01 | 061-063 | ||
| I2603 | 04 | 173 | I610 | 01 | 023-024 | I63443 | 01 | 064-066 | ||
| I2603 | 04 | 175-176 | I610 | 01 | 064-066 | I63443 | 15 | 791 | ||
| I2603 | 15 | 791 | I610 | 15 | 791 | I63443 | 15 | 793 | ||
| I2603 | 15 | 793 | I610 | 15 | 793 | I63449 | 01 | 023-024 | ||
| I2604 | 04 | 173 | I611 | 01 | 020-022 | I63449 | 01 | 061-063 | ||
| I2604 | 04 | 175-176 | I611 | 01 | 023-024 | I63449 | 01 | 064-066 | ||
| I2604 | 15 | 791 | I611 | 01 | 064-066 | I63449 | 15 | 791 | ||
| I2604 | 15 | 793 | I611 | 15 | 791 | I63449 | 15 | 793 | ||
| I2609 | 04 | 173 | I611 | 15 | 793 | I6349 | 01 | 023-024 | ||
| I2609 | 04 | 175-176 | I612 | 01 | 020-022 | I6349 | 01 | 061-063 | ||
| I2609 | 15 | 791 | I612 | 01 | 023-024 | I6349 | 01 | 064-066 | ||
| I2609 | 15 | 793 | I612 | 01 | 064-066 | I6349 | 15 | 791 | ||
| I2690 | 04 | 173 | I612 | 15 | 791 | I6349 | 15 | 793 | ||
| I2690 | 04 | 175-176 | I612 | 15 | 793 | I6350 | 01 | 023-024 | ||
| I2690 | 15 | 791 | I613 | 01 | 020-022 | I6350 | 01 | 061-063 | ||
| I2690 | 15 | 793 | I613 | 01 | 023-024 | I6350 | 01 | 064-066 | ||
| I2692 | 04 | 173 | I613 | 01 | 064-066 | I6350 | 15 | 791 | ||
| I2692 | 04 | 175-176 | I613 | 15 | 791 | I6350 | 15 | 793 | ||
| I2692 | 15 | 791 | I613 | 15 | 793 | I63511 | 01 | 023-024 | ||
| I2692 | 15 | 793 | I614 | 01 | 020-022 | I63511 | 01 | 061-063 | ||
| I2693 | 04 | 173 | I614 | 01 | 023-024 | I63511 | 01 | 064-066 | ||
| I2693 | 04 | 175-176 | I614 | 01 | 064-066 | I63511 | 15 | 791 | ||
| I2693 | 15 | 791 | I614 | 15 | 791 | I63511 | 15 | 793 | ||
| I2693 | 15 | 793 | I614 | 15 | 793 | I63512 | 01 | 023-024 | ||
| I2694 | 04 | 173 | I615 | 01 | 020-022 | I63512 | 01 | 061-063 | ||
| I2694 | 04 | 175-176 | I615 | 01 | 023-024 | I63512 | 01 | 064-066 | ||
| I2694 | 15 | 791 | I615 | 01 | 064-066 | I63512 | 15 | 791 | ||
| I2694 | 15 | 793 | I615 | 15 | 791 | I63512 | 15 | 793 | ||
| I2695 | 04 | 173 | I615 | 15 | 793 | I63513 | 01 | 023-024 | ||
| I2695 | 04 | 175-176 | I616 | 01 | 020-022 | I63513 | 01 | 061-063 | ||
| I2695 | 15 | 791 | I616 | 01 | 023-024 | I63513 | 01 | 064-066 | ||
| I2695 | 15 | 793 | I616 | 01 | 064-066 | I63513 | 15 | 791 | ||
| I2696 | 04 | 173 | I616 | 15 | 791 | I63513 | 15 | 793 | ||
| I2696 | 04 | 175-176 | I616 | 15 | 793 | I63519 | 01 | 023-024 | ||
| I2696 | 15 | 791 | I618 | 01 | 020-022 | I63519 | 01 | 061-063 | ||
| I2696 | 15 | 793 | I618 | 01 | 023-024 | I63519 | 01 | 064-066 | ||
| I2699 | 04 | 173 | I618 | 01 | 064-066 | I63519 | 15 | 791 | ||
| I2699 | 04 | 175-176 | I618 | 15 | 791 | I63519 | 15 | 793 | ||
| I2699 | 15 | 791 | I618 | 15 | 793 | I63521 | 01 | 023-024 | ||
| I2699 | 15 | 793 | I619 | 01 | 020-022 | I63521 | 01 | 061-063 | ||
| I270 | 05 | 314-316 | I619 | 01 | 023-024 | I63521 | 01 | 064-066 | ||
| I271 | 05 | 314-316 | I619 | 01 | 064-066 | I63521 | 15 | 791 | ||
| I2720 | 05 | 314-316 | I619 | 15 | 791 | I63521 | 15 | 793 | ||
| I2721 | 05 | 314-316 | I619 | 15 | 793 | I63522 | 01 | 023-024 | ||
| I2722 | 05 | 314-316 | I6200 | 01 | 020-022 | I63522 | 01 | 061-063 | ||
| I2723 | 05 | 314-316 | I6200 | 01 | 064-066 | I63522 | 01 | 064-066 | ||
| I2724 | 05 | 314-316 | I6200 | 15 | 791 | I63522 | 15 | 791 | ||
| I2729 | 05 | 314-316 | I6200 | 15 | 793 | I63522 | 15 | 793 | ||
| I2781 | 05 | 314-316 | I6201 | 01 | 020-022 | I63523 | 01 | 023-024 | ||
| I2782 | 04 | 173 | I6201 | 01 | 064-066 | I63523 | 01 | 061-063 | ||
| I2782 | 04 | 175-176 | I6201 | 15 | 791 | I63523 | 01 | 064-066 | ||
| I2782 | 15 | 791 | I6201 | 15 | 793 | I63523 | 15 | 791 | ||
| I2782 | 15 | 793 | I6202 | 01 | 020-022 | I63523 | 15 | 793 | ||
| I2783 | 05 | 314-316 | I6202 | 01 | 064-066 | I63529 | 01 | 023-024 | ||
| I2789 | 05 | 314-316 | I6202 | 15 | 791 | I63529 | 01 | 061-063 | ||
| I279 | 05 | 314-316 | I6202 | 15 | 793 | I63529 | 01 | 064-066 | ||
| I280 | 05 | 314-316 | I6203 | 01 | 020-022 | I63529 | 15 | 791 | ||
| I281 | 05 | 314-316 | I6203 | 01 | 064-066 | I63529 | 15 | 793 | ||
| I288 | 05 | 314-316 | I6203 | 15 | 791 | I63531 | 01 | 023-024 | ||
| I289 | 05 | 314-316 | I6203 | 15 | 793 | I63531 | 01 | 061-063 | ||
| I300 | 05 | 314-316 | I621 | 01 | 020-022 | I63531 | 01 | 064-066 | ||
| I301 | 05 | 314-316 | I621 | 01 | 064-066 | I63531 | 15 | 791 | ||
| I308 | 05 | 314-316 | I621 | 15 | 791 | I63531 | 15 | 793 | ||
| I309 | 05 | 314-316 | I621 | 15 | 793 | I63532 | 01 | 023-024 | ||
| I310 | 05 | 314-316 | I629 | 01 | 020-022 | I63532 | 01 | 061-063 | ||
| I311 | 05 | 314-316 | I629 | 01 | 023-024 | I63532 | 01 | 064-066 | ||
| I312 | 05 | 314-316 | I629 | 01 | 064-066 | I63532 | 15 | 791 | ||
| I312 | 15 | 791 | I629 | 15 | 791 | I63532 | 15 | 793 | ||
| I312 | 15 | 793 | I629 | 15 | 793 | I63533 | 01 | 023-024 | ||
| I3131 | 05 | 314-316 | I6300 | 01 | 023-024 | I63533 | 01 | 061-063 | ||
| I3139 | 05 | 314-316 | I6300 | 01 | 061-063 | I63533 | 01 | 064-066 | ||
| I314 | 05 | 314-316 | I6300 | 01 | 064-066 | I63533 | 15 | 791 | ||
| I318 | 05 | 314-316 | I6300 | 15 | 791 | I63533 | 15 | 793 | ||
| I319 | 05 | 314-316 | I6300 | 15 | 793 | I63539 | 01 | 023-024 | ||
| I32 | 05 | 314-316 | I63011 | 01 | 023-024 | I63539 | 01 | 061-063 | ||
| I32 | 15 | 791 | I63011 | 01 | 061-063 | I63539 | 01 | 064-066 | ||
| I32 | 15 | 793 | I63011 | 01 | 064-066 | I63539 | 15 | 791 | ||
| I330 | 05 | 288-290 | I63011 | 15 | 791 | I63539 | 15 | 793 | ||
| I330 | 15 | 791 | I63011 | 15 | 793 | |||||
| I330 | 15 | 793 | ||||||||
| I330 | 25 | 974-976 |
| | |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 06 Sep 2024 16:41:54 CMS, code-revision=366, description-revision=1405 |