ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 5 of 72 |
| A000 B309 C601 C8445 D3142 E103293 E881 G4453 H15109 H40819 H90A12 I6381 J029 K50918 L509 M02822 M1A3190 M4205 M67841 M84461D M8719 N4231 O2330 O354XX1 O418X92 O99612 Q51818 R627 S0211FB S06336D S12191G S20301D S24101D S31123D S32451A S36430D S42019D S42413D S45899S S52026H S52261K S52513Q S55112S S59902A S61326A S62291G S62636D S63431S S66327S S72019D S72133G S72366K S73129A S81059D S82153F S82434H S82875K S86329A S91124S S92241D S93429D S99209P T22311A T24292S T365X6D T4276XA T474X3S T543X4S T653X1S T82199D T86849 Z8545 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| D3142 | 02 | 124-125 | D67 | 16 | 813 | E083559 | Pre | 008 | ||
| D3150 | 02 | 124-125 | D680 | 16 | 813 | E083559 | Pre | 010 | ||
| D3151 | 02 | 124-125 | D681 | 16 | 813 | E083559 | 02 | 124-125 | ||
| D3152 | 02 | 124-125 | D682 | 16 | 813 | E083591 | Pre | 008 | ||
| D3160 | 02 | 124-125 | D68311 | 16 | 813 | E083591 | Pre | 010 | ||
| D3161 | 02 | 124-125 | D68312 | 16 | 814-816 | E083591 | 02 | 124-125 | ||
| D3162 | 02 | 124-125 | D68318 | 16 | 813 | E083592 | Pre | 008 | ||
| D3190 | 02 | 124-125 | D6832 | 16 | 813 | E083592 | Pre | 010 | ||
| D3191 | 02 | 124-125 | D684 | 16 | 813 | E083592 | 02 | 124-125 | ||
| D3192 | 02 | 124-125 | D6851 | 16 | 814-816 | E083593 | Pre | 008 | ||
| D320 | 01 | 054-055 | D6852 | 16 | 814-816 | E083593 | Pre | 010 | ||
| D321 | 01 | 054-055 | D6859 | 16 | 814-816 | E083593 | 02 | 124-125 | ||
| D329 | 01 | 054-055 | D6861 | 16 | 814-816 | E083599 | Pre | 008 | ||
| D330 | 01 | 054-055 | D6862 | 16 | 814-816 | E083599 | Pre | 010 | ||
| D331 | 01 | 054-055 | D6869 | 16 | 814-816 | E083599 | 02 | 124-125 | ||
| D332 | 01 | 054-055 | D688 | 16 | 813 | E0836 | Pre | 008 | ||
| D333 | 01 | 054-055 | D689 | 16 | 813 | E0836 | Pre | 010 | ||
| D334 | 01 | 054-055 | D690 | 16 | 813 | E0836 | 02 | 124-125 | ||
| D337 | 01 | 054-055 | D691 | 16 | 813 | E0837X1 | Pre | 008 | ||
| D339 | 01 | 054-055 | D692 | 16 | 813 | E0837X1 | Pre | 010 | ||
| D34 | Pre | 011-013 | D693 | 16 | 813 | E0837X1 | 02 | 124-125 | ||
| D34 | 10 | 643-645 | D6941 | 16 | 813 | E0837X2 | Pre | 008 | ||
| D3500 | 10 | 643-645 | D6942 | 16 | 813 | E0837X2 | Pre | 010 | ||
| D3501 | 10 | 643-645 | D6949 | 16 | 813 | E0837X2 | 02 | 124-125 | ||
| D3502 | 10 | 643-645 | D6951 | 15 | 791 | E0837X3 | Pre | 008 | ||
| D351 | 10 | 643-645 | D6951 | 15 | 793 | E0837X3 | Pre | 010 | ||
| D352 | 10 | 643-645 | D6951 | 16 | 813 | E0837X3 | 02 | 124-125 | ||
| D353 | 10 | 643-645 | D6959 | 15 | 791 | E0837X9 | Pre | 008 | ||
| D354 | 01 | 054-055 | D6959 | 15 | 793 | E0837X9 | Pre | 010 | ||
| D355 | 01 | 054-055 | D6959 | 16 | 813 | E0837X9 | 02 | 124-125 | ||
| D356 | 01 | 054-055 | D696 | 16 | 813 | E0839 | Pre | 008 | ||
| D357 | 10 | 643-645 | D698 | 16 | 813 | E0839 | Pre | 010 | ||
| D359 | 10 | 643-645 | D699 | 16 | 813 | E0839 | 02 | 124-125 | ||
| D360 | 16 | 814-816 | D700 | 16 | 808-810 | E0840 | Pre | 008 | ||
| D3610 | 08 | 564-566 | D701 | 16 | 808-810 | E0840 | Pre | 010 | ||
| D3611 | 08 | 564-566 | D702 | 16 | 808-810 | E0840 | 01 | 073-074 | ||
| D3612 | 08 | 564-566 | D703 | 16 | 808-810 | E0841 | Pre | 008 | ||
| D3613 | 08 | 564-566 | D704 | 16 | 808-810 | E0841 | Pre | 010 | ||
| D3614 | 08 | 564-566 | D708 | 16 | 808-810 | E0841 | 01 | 073-074 | ||
| D3615 | 08 | 564-566 | D709 | 16 | 808-810 | E0842 | Pre | 008 | ||
| D3616 | 08 | 564-566 | D71 | 16 | 808-810 | E0842 | Pre | 010 | ||
| D3617 | 08 | 564-566 | D720 | 16 | 808-810 | E0842 | 01 | 073-074 | ||
| D367 | 17 | 826-828 | D721 | 16 | 814-816 | E0843 | Pre | 008 | ||
| D367 | 17 | 829-830 | D72810 | 16 | 814-816 | E0843 | Pre | 010 | ||
| D367 | 17 | 843-845 | D72818 | 16 | 814-816 | E0843 | 01 | 073-074 | ||
| D369 | 17 | 826-828 | D72819 | 16 | 814-816 | E0844 | Pre | 008 | ||
| D369 | 17 | 829-830 | D72820 | 16 | 814-816 | E0844 | Pre | 010 | ||
| D369 | 17 | 843-845 | D72821 | 16 | 814-816 | E0844 | 01 | 073-074 | ||
| D3701 | Pre | 011-013 | D72822 | 16 | 814-816 | E0849 | Pre | 008 | ||
| D3701 | 03 | 146-148 | D72823 | 16 | 814-816 | E0849 | Pre | 010 | ||
| D3702 | Pre | 011-013 | D72824 | 16 | 814-816 | E0849 | 01 | 073-074 | ||
| D3702 | 03 | 146-148 | D72825 | 16 | 814-816 | E0851 | Pre | 008 | ||
| D37030 | Pre | 011-013 | D72828 | 16 | 814-816 | E0851 | Pre | 010 | ||
| D37030 | 03 | 146-148 | D72829 | 16 | 814-816 | E0851 | 05 | 299-301 | ||
| D37031 | Pre | 011-013 | D7289 | 16 | 814-816 | E0852 | Pre | 008 | ||
| D37031 | 03 | 146-148 | D729 | 16 | 814-816 | E0852 | Pre | 010 | ||
| D37032 | Pre | 011-013 | D730 | 16 | 814-816 | E0852 | 05 | 299-301 | ||
| D37032 | 03 | 146-148 | D731 | 16 | 814-816 | E0859 | Pre | 008 | ||
| D37039 | Pre | 011-013 | D732 | 16 | 814-816 | E0859 | Pre | 010 | ||
| D37039 | 03 | 146-148 | D733 | 16 | 814-816 | E0859 | 05 | 299-301 | ||
| D3704 | Pre | 011-013 | D734 | 16 | 814-816 | E08610 | Pre | 008 | ||
| D3704 | 03 | 146-148 | D735 | 16 | 814-816 | E08610 | Pre | 010 | ||
| D3705 | Pre | 011-013 | D7381 | 16 | 814-816 | E08610 | 01 | 073-074 | ||
| D3705 | 03 | 146-148 | D7389 | 16 | 814-816 | E08618 | Pre | 008 | ||
| D3709 | Pre | 011-013 | D739 | 16 | 814-816 | E08618 | Pre | 010 | ||
| D3709 | 03 | 146-148 | D740 | 16 | 811-812 | E08618 | 10 | 637-639 | ||
| D371 | 06 | 374-376 | D748 | 16 | 811-812 | E08620 | Pre | 008 | ||
| D372 | 06 | 374-376 | D749 | 16 | 811-812 | E08620 | Pre | 010 | ||
| D373 | 06 | 374-376 | D750 | 16 | 814-816 | E08620 | 10 | 637-639 | ||
| D374 | 06 | 374-376 | D751 | 16 | 814-816 | E08621 | Pre | 008 | ||
| D375 | 06 | 374-376 | D7581 | 17 | 820-822 | E08621 | Pre | 010 | ||
| D376 | 07 | 435-437 | D7581 | 17 | 823-825 | E08621 | 10 | 637-639 | ||
| D378 | 06 | 374-376 | D7581 | 17 | 840-842 | E08622 | Pre | 008 | ||
| D379 | 06 | 374-376 | D7582 | 15 | 791 | E08622 | Pre | 010 | ||
| D380 | Pre | 011-013 | D7582 | 15 | 793 | E08622 | 10 | 637-639 | ||
| D380 | 03 | 146-148 | D7582 | 16 | 813 | E08628 | Pre | 008 | ||
| D381 | 04 | 180-182 | D7589 | 16 | 814-816 | E08628 | Pre | 010 | ||
| D382 | 04 | 180-182 | D759 | 16 | 814-816 | E08628 | 10 | 637-639 | ||
| D383 | 04 | 180-182 | D75A | 16 | 814-816 | E08630 | Pre | 008 | ||
| D384 | 04 | 180-182 | D761 | 16 | 814-816 | E08630 | Pre | 010 | ||
| D385 | 04 | 180-182 | D762 | 16 | 814-816 | E08630 | 10 | 637-639 | ||
| D386 | 04 | 180-182 | D763 | 16 | 814-816 | E08638 | Pre | 008 | ||
| D390 | 13 | 736-741 | D77 | 16 | 814-816 | E08638 | Pre | 010 | ||
| D390 | 13 | 754-756 | D7801 | 21 | 919-921 | E08638 | 10 | 637-639 | ||
| D3910 | 13 | 736-741 | D7802 | 21 | 919-921 | E08641 | Pre | 008 | ||
| D3910 | 13 | 754-756 | D7811 | 15 | 791 | E08641 | Pre | 010 | ||
| D3911 | 13 | 736-741 | D7811 | 15 | 793 | E08641 | 10 | 637-639 | ||
| D3911 | 13 | 754-756 | D7811 | 21 | 919-921 | E08649 | Pre | 008 | ||
| D3912 | 13 | 736-741 | D7812 | 15 | 791 | E08649 | Pre | 010 | ||
| D3912 | 13 | 754-756 | D7812 | 15 | 793 | E08649 | 10 | 637-639 | ||
| D392 | 13 | 736-741 | D7812 | 21 | 919-921 | E0865 | Pre | 008 | ||
| D392 | 13 | 754-756 | D7821 | 21 | 919-921 | E0865 | Pre | 010 | ||
| D398 | 13 | 736-741 | D7822 | 21 | 919-921 | E0865 | 10 | 637-639 | ||
| D398 | 13 | 754-756 | D7831 | 21 | 919-921 | E0869 | Pre | 008 | ||
| D399 | 13 | 736-741 | D7832 | 21 | 919-921 | E0869 | Pre | 010 | ||
| D399 | 13 | 754-756 | D7833 | 21 | 919-921 | E0869 | 10 | 637-639 | ||
| D3A00 | 17 | 826-828 | D7834 | 21 | 919-921 | E088 | Pre | 008 | ||
| D3A00 | 17 | 829-830 | D7881 | 21 | 919-921 | E088 | Pre | 010 | ||
| D3A00 | 17 | 843-845 | D7889 | 21 | 919-921 | E088 | 10 | 637-639 | ||
| D3A010 | 06 | 393-395 | D800 | 16 | 814-816 | E089 | Pre | 008 | ||
| D3A011 | 06 | 393-395 | D801 | 16 | 814-816 | E089 | Pre | 010 | ||
| D3A012 | 06 | 393-395 | D802 | 16 | 814-816 | E089 | 10 | 637-639 | ||
| D3A019 | 06 | 393-395 | D803 | 16 | 814-816 | E0900 | Pre | 008 | ||
| D3A020 | 06 | 393-395 | D804 | 16 | 814-816 | E0900 | Pre | 010 | ||
| D3A021 | 06 | 393-395 | D805 | 16 | 814-816 | E0900 | 10 | 637-639 | ||
| D3A022 | 06 | 393-395 | D806 | 16 | 808-810 | E0901 | Pre | 008 | ||
| D3A023 | 06 | 393-395 | D807 | 16 | 814-816 | E0901 | Pre | 010 | ||
| D3A024 | 06 | 393-395 | D808 | 16 | 808-810 | E0901 | 10 | 637-639 | ||
| D3A025 | 06 | 393-395 | D809 | 16 | 808-810 | E0910 | Pre | 008 | ||
| D3A026 | 06 | 393-395 | D810 | 16 | 808-810 | E0910 | Pre | 010 | ||
| D3A029 | 06 | 393-395 | D811 | 16 | 808-810 | E0910 | 10 | 637-639 | ||
| D3A090 | 04 | 180-182 | D812 | 16 | 808-810 | E0911 | Pre | 008 | ||
| D3A091 | 16 | 814-816 | D8130 | 10 | 642 | E0911 | Pre | 010 | ||
| D3A092 | 06 | 393-395 | D8131 | 10 | 642 | E0911 | 10 | 637-639 | ||
| D3A093 | 11 | 656-658 | D8132 | 10 | 642 | E0921 | Pre | 008 | ||
| D3A093 | 11 | 686-688 | D8139 | 10 | 642 | E0921 | Pre | 010 | ||
| D3A094 | 06 | 393-395 | D814 | 16 | 808-810 | E0921 | 11 | 698-700 | ||
| D3A095 | 06 | 393-395 | D815 | 10 | 642 | E0922 | Pre | 008 | ||
| D3A096 | 06 | 393-395 | D816 | 16 | 808-810 | E0922 | Pre | 010 | ||
| D3A098 | 17 | 826-828 | D817 | 16 | 808-810 | E0922 | 11 | 698-700 | ||
| D3A098 | 17 | 829-830 | D81810 | 10 | 642 | E0929 | Pre | 008 | ||
| D3A098 | 17 | 843-845 | D81818 | 10 | 640-641 | E0929 | Pre | 010 | ||
| D3A8 | 17 | 826-828 | D81819 | 10 | 640-641 | E0929 | 11 | 698-700 | ||
| D3A8 | 17 | 829-830 | D8189 | 16 | 808-810 | E09311 | Pre | 008 | ||
| D3A8 | 17 | 843-845 | D819 | 16 | 808-810 | E09311 | Pre | 010 | ||
| D400 | 12 | 715-716 | D820 | 16 | 808-810 | E09311 | 02 | 124-125 | ||
| D400 | 12 | 722-724 | D821 | 16 | 808-810 | E09319 | Pre | 008 | ||
| D4010 | 12 | 715-716 | D822 | 16 | 814-816 | E09319 | Pre | 010 | ||
| D4010 | 12 | 722-724 | D823 | 16 | 814-816 | E09319 | 02 | 124-125 | ||
| D4011 | 12 | 715-716 | D824 | 16 | 814-816 | E093211 | Pre | 008 | ||
| D4011 | 12 | 722-724 | D828 | 16 | 814-816 | E093211 | Pre | 010 | ||
| D4012 | 12 | 715-716 | D829 | 16 | 814-816 | E093211 | 02 | 124-125 | ||
| D4012 | 12 | 722-724 | D830 | 16 | 814-816 | E093212 | Pre | 008 | ||
| D408 | 12 | 715-716 | D831 | 16 | 814-816 | E093212 | Pre | 010 | ||
| D408 | 12 | 722-724 | D832 | 16 | 814-816 | E093212 | 02 | 124-125 | ||
| D409 | 12 | 715-716 | D838 | 16 | 814-816 | E093213 | Pre | 008 | ||
| D409 | 12 | 722-724 | D839 | 16 | 814-816 | E093213 | Pre | 010 | ||
| D4100 | 11 | 656-658 | D840 | 16 | 814-816 | E093213 | 02 | 124-125 | ||
| D4100 | 11 | 686-688 | D841 | 10 | 642 | E093219 | Pre | 008 | ||
| D4101 | 11 | 656-658 | D848 | 16 | 814-816 | E093219 | Pre | 010 | ||
| D4101 | 11 | 686-688 | D849 | 16 | 814-816 | E093219 | 02 | 124-125 | ||
| D4102 | 11 | 656-658 | D860 | 04 | 196-198 | E093291 | Pre | 008 | ||
| D4102 | 11 | 686-688 | D861 | 04 | 196-198 | E093291 | Pre | 010 | ||
| D4110 | 11 | 656-658 | D862 | 04 | 196-198 | E093291 | 02 | 124-125 | ||
| D4110 | 11 | 686-688 | D863 | 04 | 196-198 | E093292 | Pre | 008 | ||
| D4111 | 11 | 656-658 | D8681 | 04 | 196-198 | E093292 | Pre | 010 | ||
| D4111 | 11 | 686-688 | D8682 | 04 | 196-198 | E093292 | 02 | 124-125 | ||
| D4112 | 11 | 656-658 | D8683 | 04 | 196-198 | E093293 | Pre | 008 | ||
| D4112 | 11 | 686-688 | D8684 | 04 | 196-198 | E093293 | Pre | 010 | ||
| D4120 | 11 | 656-658 | D8685 | 04 | 196-198 | E093293 | 02 | 124-125 | ||
| D4120 | 11 | 686-688 | D8686 | 04 | 196-198 | E093299 | Pre | 008 | ||
| D4121 | 11 | 656-658 | D8687 | 04 | 196-198 | E093299 | Pre | 010 | ||
| D4121 | 11 | 686-688 | D8689 | 04 | 196-198 | E093299 | 02 | 124-125 | ||
| D4122 | 11 | 656-658 | D869 | 04 | 196-198 | E093311 | Pre | 008 | ||
| D4122 | 11 | 686-688 | D890 | 16 | 814-816 | E093311 | Pre | 010 | ||
| D413 | 11 | 656-658 | D891 | 17 | 820-822 | E093311 | 02 | 124-125 | ||
| D413 | 11 | 686-688 | D891 | 17 | 823-825 | E093312 | Pre | 008 | ||
| D414 | 11 | 656-658 | D891 | 17 | 840-842 | E093312 | Pre | 010 | ||
| D414 | 11 | 686-688 | D892 | 16 | 814-816 | E093312 | 02 | 124-125 | ||
| D418 | 11 | 656-658 | D893 | 16 | 814-816 | E093313 | Pre | 008 | ||
| D418 | 11 | 686-688 | D8940 | 16 | 814-816 | E093313 | Pre | 010 | ||
| D419 | 11 | 656-658 | D8941 | 16 | 814-816 | E093313 | 02 | 124-125 | ||
| D419 | 11 | 686-688 | D8942 | 16 | 814-816 | E093319 | Pre | 008 | ||
| D420 | 01 | 054-055 | D8943 | 16 | 814-816 | E093319 | Pre | 010 | ||
| D421 | 01 | 054-055 | D8949 | 16 | 814-816 | E093319 | 02 | 124-125 | ||
| D429 | 01 | 054-055 | D89810 | 16 | 808-810 | E093391 | Pre | 008 | ||
| D430 | 01 | 054-055 | D89811 | 16 | 808-810 | E093391 | Pre | 010 | ||
| D431 | 01 | 054-055 | D89812 | 16 | 808-810 | E093391 | 02 | 124-125 | ||
| D432 | 01 | 054-055 | D89813 | 16 | 808-810 | E093392 | Pre | 008 | ||
| D433 | 01 | 054-055 | D8982 | 08 | 545-547 | E093392 | Pre | 010 | ||
| D434 | 01 | 054-055 | D8989 | 16 | 814-816 | E093392 | 02 | 124-125 | ||
| D438 | 01 | 054-055 | D899 | 16 | 814-816 | E093393 | Pre | 008 | ||
| D439 | 01 | 054-055 | E000 | 10 | 643-645 | E093393 | Pre | 010 | ||
| D440 | 10 | 643-645 | E001 | 10 | 643-645 | E093393 | 02 | 124-125 | ||
| D4410 | 10 | 643-645 | E002 | 10 | 643-645 | E093399 | Pre | 008 | ||
| D4411 | 10 | 643-645 | E009 | 10 | 643-645 | E093399 | Pre | 010 | ||
| D4412 | 10 | 643-645 | E010 | 10 | 643-645 | E093399 | 02 | 124-125 | ||
| D442 | 10 | 643-645 | E011 | 10 | 643-645 | E093411 | Pre | 008 | ||
| D443 | 10 | 643-645 | E012 | 10 | 643-645 | E093411 | Pre | 010 | ||
| D444 | 10 | 643-645 | E018 | 10 | 643-645 | E093411 | 02 | 124-125 | ||
| D445 | 01 | 054-055 | E02 | 10 | 643-645 | E093412 | Pre | 008 | ||
| D446 | 01 | 054-055 | E030 | 10 | 643-645 | E093412 | Pre | 010 | ||
| D447 | 01 | 054-055 | E031 | 10 | 643-645 | E093412 | 02 | 124-125 | ||
| D449 | 10 | 643-645 | E032 | 10 | 643-645 | E093413 | Pre | 008 | ||
| D45 | 17 | 820-822 | E033 | 10 | 643-645 | E093413 | Pre | 010 | ||
| D45 | 17 | 823-825 | E034 | Pre | 011-013 | E093413 | 02 | 124-125 | ||
| D45 | 17 | 840-842 | E034 | 10 | 643-645 | E093419 | Pre | 008 | ||
| D460 | 16 | 811-812 | E035 | 01 | 080-081 | E093419 | Pre | 010 | ||
| D461 | 16 | 811-812 | E035 | 15 | 791 | E093419 | 02 | 124-125 | ||
| D4620 | 16 | 811-812 | E035 | 15 | 793 | E093491 | Pre | 008 | ||
| D4621 | 16 | 811-812 | E038 | 10 | 643-645 | E093491 | Pre | 010 | ||
| D4622 | 16 | 811-812 | E039 | 10 | 643-645 | E093491 | 02 | 124-125 | ||
| D464 | 16 | 811-812 | E040 | 10 | 643-645 | E093492 | Pre | 008 | ||
| D469 | 16 | 811-812 | E041 | Pre | 011-013 | E093492 | Pre | 010 | ||
| D46A | 16 | 811-812 | E041 | 10 | 643-645 | E093492 | 02 | 124-125 | ||
| D46B | 16 | 811-812 | E042 | 10 | 643-645 | E093493 | Pre | 008 | ||
| D46C | 16 | 811-812 | E048 | 10 | 643-645 | E093493 | Pre | 010 | ||
| D46Z | 16 | 811-812 | E049 | 10 | 643-645 | E093493 | 02 | 124-125 | ||
| D4701 | 17 | 820-822 | E0500 | Pre | 011-013 | E093499 | Pre | 008 | ||
| D4701 | 17 | 823-825 | E0500 | 10 | 643-645 | E093499 | Pre | 010 | ||
| D4701 | 17 | 840-842 | E0501 | Pre | 011-013 | E093499 | 02 | 124-125 | ||
| D4702 | 17 | 820-822 | E0501 | 10 | 643-645 | E093511 | Pre | 008 | ||
| D4702 | 17 | 823-825 | E0510 | Pre | 011-013 | E093511 | Pre | 010 | ||
| D4702 | 17 | 840-842 | E0510 | 10 | 643-645 | E093511 | 02 | 124-125 | ||
| D4709 | 17 | 820-822 | E0511 | Pre | 011-013 | E093512 | Pre | 008 | ||
| D4709 | 17 | 823-825 | E0511 | 10 | 643-645 | E093512 | Pre | 010 | ||
| D4709 | 17 | 840-842 | E0520 | Pre | 011-013 | E093512 | 02 | 124-125 | ||
| D471 | 17 | 820-822 | E0520 | 10 | 643-645 | E093513 | Pre | 008 | ||
| D471 | 17 | 823-825 | E0521 | Pre | 011-013 | E093513 | Pre | 010 | ||
| D471 | 17 | 840-842 | E0521 | 10 | 643-645 | E093513 | 02 | 124-125 | ||
| D472 | 16 | 814-816 | E0530 | Pre | 011-013 | E093519 | Pre | 008 | ||
| D473 | 16 | 814-816 | E0530 | 10 | 643-645 | E093519 | Pre | 010 | ||
| D474 | 16 | 814-816 | E0531 | Pre | 011-013 | E093519 | 02 | 124-125 | ||
| D479 | 17 | 820-822 | E0531 | 10 | 643-645 | E093521 | Pre | 008 | ||
| D479 | 17 | 823-825 | E0540 | Pre | 011-013 | E093521 | Pre | 010 | ||
| D479 | 17 | 840-842 | E0540 | 10 | 643-645 | E093521 | 02 | 124-125 | ||
| D47Z1 | 21 | 919-921 | E0541 | Pre | 011-013 | E093522 | Pre | 008 | ||
| D47Z2 | 17 | 820-822 | E0541 | 10 | 643-645 | E093522 | Pre | 010 | ||
| D47Z2 | 17 | 823-825 | E0580 | Pre | 011-013 | E093522 | 02 | 124-125 | ||
| D47Z2 | 17 | 840-842 | E0580 | 10 | 643-645 | E093523 | Pre | 008 | ||
| D47Z9 | 17 | 820-822 | E0581 | Pre | 011-013 | E093523 | Pre | 010 | ||
| D47Z9 | 17 | 823-825 | E0581 | 10 | 643-645 | E093523 | 02 | 124-125 | ||
| D47Z9 | 17 | 840-842 | E0590 | Pre | 011-013 | E093529 | Pre | 008 | ||
| D480 | 08 | 456-458 | E0590 | 10 | 643-645 | E093529 | Pre | 010 | ||
| D480 | 08 | 542-544 | E0591 | Pre | 011-013 | E093529 | 02 | 124-125 | ||
| D481 | 08 | 564-566 | E0591 | 10 | 643-645 | E093531 | Pre | 008 | ||
| D482 | 08 | 564-566 | E060 | Pre | 011-013 | E093531 | Pre | 010 | ||
| D483 | 06 | 374-376 | E060 | 10 | 643-645 | E093531 | 02 | 124-125 | ||
| D484 | 06 | 374-376 | E061 | Pre | 011-013 | E093532 | Pre | 008 | ||
| D485 | 09 | 606-607 | E061 | 10 | 643-645 | E093532 | Pre | 010 | ||
| D4860 | 09 | 582-583 | E062 | Pre | 011-013 | E093532 | 02 | 124-125 | ||
| D4860 | 09 | 597-599 | E062 | 10 | 643-645 | E093533 | Pre | 008 | ||
| D4861 | 09 | 582-583 | E063 | Pre | 011-013 | E093533 | Pre | 010 | ||
| D4861 | 09 | 597-599 | E063 | 10 | 643-645 | E093533 | 02 | 124-125 | ||
| D4862 | 09 | 582-583 | E064 | Pre | 011-013 | E093539 | Pre | 008 | ||
| D4862 | 09 | 597-599 | E064 | 10 | 643-645 | E093539 | Pre | 010 | ||
| D487 | 17 | 826-828 | E065 | Pre | 011-013 | E093539 | 02 | 124-125 | ||
| D487 | 17 | 829-830 | E065 | 10 | 643-645 | E093541 | Pre | 008 | ||
| D487 | 17 | 843-845 | E069 | Pre | 011-013 | E093541 | Pre | 010 | ||
| D489 | 17 | 826-828 | E069 | 10 | 643-645 | E093541 | 02 | 124-125 | ||
| D489 | 17 | 829-830 | E070 | 10 | 643-645 | E093542 | Pre | 008 | ||
| D489 | 17 | 843-845 | E071 | 10 | 643-645 | E093542 | Pre | 010 | ||
| D490 | 06 | 374-376 | E0781 | 23 | 947-948 | E093542 | 02 | 124-125 | ||
| D491 | 04 | 180-182 | E0789 | Pre | 011-013 | E093543 | Pre | 008 | ||
| D492 | 08 | 456-458 | E0789 | 10 | 643-645 | E093543 | Pre | 010 | ||
| D492 | 08 | 564-566 | E079 | Pre | 011-013 | E093543 | 02 | 124-125 | ||
| D493 | 09 | 597-601 | E079 | 10 | 643-645 | E093549 | Pre | 008 | ||
| D494 | 11 | 656-658 | E0800 | Pre | 008 | E093549 | Pre | 010 | ||
| D494 | 11 | 686-688 | E0800 | Pre | 010 | E093549 | 02 | 124-125 | ||
| D49511 | 11 | 656-658 | E0800 | 10 | 637-639 | E093551 | Pre | 008 | ||
| D49511 | 11 | 686-688 | E0801 | Pre | 008 | E093551 | Pre | 010 | ||
| D49512 | 11 | 656-658 | E0801 | Pre | 010 | E093551 | 02 | 124-125 | ||
| D49512 | 11 | 686-688 | E0801 | 10 | 637-639 | E093552 | Pre | 008 | ||
| D49519 | 11 | 656-658 | E0810 | Pre | 008 | E093552 | Pre | 010 | ||
| D49519 | 11 | 686-688 | E0810 | Pre | 010 | E093552 | 02 | 124-125 | ||
| D4959 | 11 | 656-658 | E0810 | 10 | 637-639 | E093553 | Pre | 008 | ||
| D4959 | 11 | 686-688 | E0811 | Pre | 008 | E093553 | Pre | 010 | ||
| D496 | 01 | 054-055 | E0811 | Pre | 010 | E093553 | 02 | 124-125 | ||
| D497 | 10 | 643-645 | E0811 | 10 | 637-639 | E093559 | Pre | 008 | ||
| D4981 | 17 | 826-828 | E0821 | Pre | 008 | E093559 | Pre | 010 | ||
| D4981 | 17 | 829-830 | E0821 | Pre | 010 | E093559 | 02 | 124-125 | ||
| D4981 | 17 | 843-845 | E0821 | 11 | 698-700 | E093591 | Pre | 008 | ||
| D4989 | 17 | 826-828 | E0822 | Pre | 008 | E093591 | Pre | 010 | ||
| D4989 | 17 | 829-830 | E0822 | Pre | 010 | E093591 | 02 | 124-125 | ||
| D4989 | 17 | 843-845 | E0822 | 11 | 698-700 | E093592 | Pre | 008 | ||
| D499 | 17 | 826-828 | E0829 | Pre | 008 | E093592 | Pre | 010 | ||
| D499 | 17 | 829-830 | E0829 | Pre | 010 | E093592 | 02 | 124-125 | ||
| D499 | 17 | 843-845 | E0829 | 11 | 698-700 | E093593 | Pre | 008 | ||
| D500 | 16 | 811-812 | E08311 | Pre | 008 | E093593 | Pre | 010 | ||
| D501 | 16 | 811-812 | E08311 | Pre | 010 | E093593 | 02 | 124-125 | ||
| D508 | 16 | 811-812 | E08311 | 02 | 124-125 | E093599 | Pre | 008 | ||
| D509 | 16 | 811-812 | E08319 | Pre | 008 | E093599 | Pre | 010 | ||
| D510 | 16 | 811-812 | E08319 | Pre | 010 | E093599 | 02 | 124-125 | ||
| D511 | 16 | 811-812 | E08319 | 02 | 124-125 | E0936 | Pre | 008 | ||
| D512 | 16 | 811-812 | E083211 | Pre | 008 | E0936 | Pre | 010 | ||
| D513 | 16 | 811-812 | E083211 | Pre | 010 | E0936 | 02 | 124-125 | ||
| D518 | 16 | 811-812 | E083211 | 02 | 124-125 | E0937X1 | Pre | 008 | ||
| D519 | 16 | 811-812 | E083212 | Pre | 008 | E0937X1 | Pre | 010 | ||
| D520 | 16 | 811-812 | E083212 | Pre | 010 | E0937X1 | 02 | 124-125 | ||
| D521 | 16 | 811-812 | E083212 | 02 | 124-125 | E0937X2 | Pre | 008 | ||
| D528 | 16 | 811-812 | E083213 | Pre | 008 | E0937X2 | Pre | 010 | ||
| D529 | 16 | 811-812 | E083213 | Pre | 010 | E0937X2 | 02 | 124-125 | ||
| D530 | 16 | 811-812 | E083213 | 02 | 124-125 | E0937X3 | Pre | 008 | ||
| D531 | 16 | 811-812 | E083219 | Pre | 008 | E0937X3 | Pre | 010 | ||
| D532 | 16 | 811-812 | E083219 | Pre | 010 | E0937X3 | 02 | 124-125 | ||
| D538 | 16 | 811-812 | E083219 | 02 | 124-125 | E0937X9 | Pre | 008 | ||
| D539 | 16 | 811-812 | E083291 | Pre | 008 | E0937X9 | Pre | 010 | ||
| D550 | 16 | 811-812 | E083291 | Pre | 010 | E0937X9 | 02 | 124-125 | ||
| D551 | 16 | 811-812 | E083291 | 02 | 124-125 | E0939 | Pre | 008 | ||
| D552 | 16 | 811-812 | E083292 | Pre | 008 | E0939 | Pre | 010 | ||
| D553 | 16 | 811-812 | E083292 | Pre | 010 | E0939 | 02 | 124-125 | ||
| D558 | 16 | 811-812 | E083292 | 02 | 124-125 | E0940 | Pre | 008 | ||
| D559 | 16 | 811-812 | E083293 | Pre | 008 | E0940 | Pre | 010 | ||
| D560 | 15 | 791 | E083293 | Pre | 010 | E0940 | 01 | 073-074 | ||
| D560 | 15 | 793 | E083293 | 02 | 124-125 | E0941 | Pre | 008 | ||
| D560 | 16 | 811-812 | E083299 | Pre | 008 | E0941 | Pre | 010 | ||
| D561 | 15 | 791 | E083299 | Pre | 010 | E0941 | 01 | 073-074 | ||
| D561 | 15 | 793 | E083299 | 02 | 124-125 | E0942 | Pre | 008 | ||
| D561 | 16 | 811-812 | E083311 | Pre | 008 | E0942 | Pre | 010 | ||
| D562 | 15 | 791 | E083311 | Pre | 010 | E0942 | 01 | 073-074 | ||
| D562 | 15 | 793 | E083311 | 02 | 124-125 | E0943 | Pre | 008 | ||
| D562 | 16 | 811-812 | E083312 | Pre | 008 | E0943 | Pre | 010 | ||
| D563 | 16 | 811-812 | E083312 | Pre | 010 | E0943 | 01 | 073-074 | ||
| D564 | 16 | 811-812 | E083312 | 02 | 124-125 | E0944 | Pre | 008 | ||
| D565 | 15 | 791 | E083313 | Pre | 008 | E0944 | Pre | 010 | ||
| D565 | 15 | 793 | E083313 | Pre | 010 | E0944 | 01 | 073-074 | ||
| D565 | 16 | 811-812 | E083313 | 02 | 124-125 | E0949 | Pre | 008 | ||
| D568 | 15 | 791 | E083319 | Pre | 008 | E0949 | Pre | 010 | ||
| D568 | 15 | 793 | E083319 | Pre | 010 | E0949 | 01 | 073-074 | ||
| D568 | 16 | 811-812 | E083319 | 02 | 124-125 | E0951 | Pre | 008 | ||
| D569 | 15 | 791 | E083391 | Pre | 008 | E0951 | Pre | 010 | ||
| D569 | 15 | 793 | E083391 | Pre | 010 | E0951 | 05 | 299-301 | ||
| D569 | 16 | 811-812 | E083391 | 02 | 124-125 | E0952 | Pre | 008 | ||
| D5700 | 16 | 811-812 | E083392 | Pre | 008 | E0952 | Pre | 010 | ||
| D5701 | 16 | 811-812 | E083392 | Pre | 010 | E0952 | 05 | 299-301 | ||
| D5702 | 16 | 811-812 | E083392 | 02 | 124-125 | E0959 | Pre | 008 | ||
| D571 | 16 | 811-812 | E083393 | Pre | 008 | E0959 | Pre | 010 | ||
| D5720 | 16 | 811-812 | E083393 | Pre | 010 | E0959 | 05 | 299-301 | ||
| D57211 | 16 | 811-812 | E083393 | 02 | 124-125 | E09610 | Pre | 008 | ||
| D57212 | 16 | 811-812 | E083399 | Pre | 008 | E09610 | Pre | 010 | ||
| D57219 | 16 | 811-812 | E083399 | Pre | 010 | E09610 | 01 | 073-074 | ||
| D573 | 16 | 811-812 | E083399 | 02 | 124-125 | E09618 | Pre | 008 | ||
| D5740 | 15 | 791 | E083411 | Pre | 008 | E09618 | Pre | 010 | ||
| D5740 | 15 | 793 | E083411 | Pre | 010 | E09618 | 10 | 637-639 | ||
| D5740 | 16 | 811-812 | E083411 | 02 | 124-125 | E09620 | Pre | 008 | ||
| D57411 | 15 | 791 | E083412 | Pre | 008 | E09620 | Pre | 010 | ||
| D57411 | 15 | 793 | E083412 | Pre | 010 | E09620 | 10 | 637-639 | ||
| D57411 | 16 | 811-812 | E083412 | 02 | 124-125 | E09621 | Pre | 008 | ||
| D57412 | 15 | 791 | E083413 | Pre | 008 | E09621 | Pre | 010 | ||
| D57412 | 15 | 793 | E083413 | Pre | 010 | E09621 | 10 | 637-639 | ||
| D57412 | 16 | 811-812 | E083413 | 02 | 124-125 | E09622 | Pre | 008 | ||
| D57419 | 15 | 791 | E083419 | Pre | 008 | E09622 | Pre | 010 | ||
| D57419 | 15 | 793 | E083419 | Pre | 010 | E09622 | 10 | 637-639 | ||
| D57419 | 16 | 811-812 | E083419 | 02 | 124-125 | E09628 | Pre | 008 | ||
| D5780 | 16 | 811-812 | E083491 | Pre | 008 | E09628 | Pre | 010 | ||
| D57811 | 16 | 811-812 | E083491 | Pre | 010 | E09628 | 10 | 637-639 | ||
| D57812 | 16 | 811-812 | E083491 | 02 | 124-125 | E09630 | Pre | 008 | ||
| D57819 | 16 | 811-812 | E083492 | Pre | 008 | E09630 | Pre | 010 | ||
| D580 | 16 | 811-812 | E083492 | Pre | 010 | E09630 | 10 | 637-639 | ||
| D581 | 16 | 811-812 | E083492 | 02 | 124-125 | E09638 | Pre | 008 | ||
| D582 | 16 | 811-812 | E083493 | Pre | 008 | E09638 | Pre | 010 | ||
| D588 | 16 | 811-812 | E083493 | Pre | 010 | E09638 | 10 | 637-639 | ||
| D589 | 16 | 811-812 | E083493 | 02 | 124-125 | E09641 | Pre | 008 | ||
| D590 | 16 | 808-810 | E083499 | Pre | 008 | E09641 | Pre | 010 | ||
| D591 | 16 | 808-810 | E083499 | Pre | 010 | E09641 | 10 | 637-639 | ||
| D592 | 15 | 791 | E083499 | 02 | 124-125 | E09649 | Pre | 008 | ||
| D592 | 15 | 793 | E083511 | Pre | 008 | E09649 | Pre | 010 | ||
| D592 | 16 | 808-810 | E083511 | Pre | 010 | E09649 | 10 | 637-639 | ||
| D593 | 15 | 791 | E083511 | 02 | 124-125 | E0965 | Pre | 008 | ||
| D593 | 15 | 793 | E083512 | Pre | 008 | E0965 | Pre | 010 | ||
| D593 | 16 | 811-812 | E083512 | Pre | 010 | E0965 | 10 | 637-639 | ||
| D594 | 15 | 791 | E083512 | 02 | 124-125 | E0969 | Pre | 008 | ||
| D594 | 15 | 793 | E083513 | Pre | 008 | E0969 | Pre | 010 | ||
| D594 | 16 | 808-810 | E083513 | Pre | 010 | E0969 | 10 | 637-639 | ||
| D595 | 15 | 791 | E083513 | 02 | 124-125 | E098 | Pre | 008 | ||
| D595 | 15 | 793 | E083519 | Pre | 008 | E098 | Pre | 010 | ||
| D595 | 16 | 808-810 | E083519 | Pre | 010 | E098 | 10 | 637-639 | ||
| D596 | 15 | 791 | E083519 | 02 | 124-125 | E099 | Pre | 008 | ||
| D596 | 15 | 793 | E083521 | Pre | 008 | E099 | Pre | 010 | ||
| D596 | 16 | 808-810 | E083521 | Pre | 010 | E099 | 10 | 637-639 | ||
| D598 | 15 | 791 | E083521 | 02 | 124-125 | E1010 | Pre | 008 | ||
| D598 | 15 | 793 | E083522 | Pre | 008 | E1010 | Pre | 010 | ||
| D598 | 16 | 808-810 | E083522 | Pre | 010 | E1010 | 10 | 637-639 | ||
| D599 | 15 | 791 | E083522 | 02 | 124-125 | E1011 | Pre | 008 | ||
| D599 | 15 | 793 | E083523 | Pre | 008 | E1011 | Pre | 010 | ||
| D599 | 16 | 808-810 | E083523 | Pre | 010 | E1011 | 10 | 637-639 | ||
| D600 | 16 | 808-810 | E083523 | 02 | 124-125 | E1021 | Pre | 008 | ||
| D601 | 16 | 808-810 | E083529 | Pre | 008 | E1021 | Pre | 010 | ||
| D608 | 16 | 808-810 | E083529 | Pre | 010 | E1021 | 11 | 673-675 | ||
| D609 | 16 | 808-810 | E083529 | 02 | 124-125 | E1021 | 11 | 698-700 | ||
| D6101 | 16 | 808-810 | E083531 | Pre | 008 | E1022 | Pre | 008 | ||
| D6109 | 16 | 808-810 | E083531 | Pre | 010 | E1022 | Pre | 010 | ||
| D611 | 16 | 808-810 | E083531 | 02 | 124-125 | E1022 | 11 | 673-675 | ||
| D612 | 16 | 808-810 | E083532 | Pre | 008 | E1022 | 11 | 698-700 | ||
| D613 | 16 | 808-810 | E083532 | Pre | 010 | E1029 | Pre | 008 | ||
| D61810 | 16 | 808-810 | E083532 | 02 | 124-125 | E1029 | Pre | 010 | ||
| D61811 | 16 | 808-810 | E083533 | Pre | 008 | E1029 | 11 | 673-675 | ||
| D61818 | 16 | 808-810 | E083533 | Pre | 010 | E1029 | 11 | 698-700 | ||
| D6182 | 17 | 820-822 | E083533 | 02 | 124-125 | E10311 | Pre | 008 | ||
| D6182 | 17 | 823-825 | E083539 | Pre | 008 | E10311 | Pre | 010 | ||
| D6182 | 17 | 840-842 | E083539 | Pre | 010 | E10311 | 02 | 124-125 | ||
| D6189 | 16 | 808-810 | E083539 | 02 | 124-125 | E10319 | Pre | 008 | ||
| D619 | 16 | 808-810 | E083541 | Pre | 008 | E10319 | Pre | 010 | ||
| D62 | 15 | 791 | E083541 | Pre | 010 | E10319 | 02 | 124-125 | ||
| D62 | 15 | 793 | E083541 | 02 | 124-125 | E103211 | Pre | 008 | ||
| D62 | 16 | 811-812 | E083542 | Pre | 008 | E103211 | Pre | 010 | ||
| D630 | 16 | 811-812 | E083542 | Pre | 010 | E103211 | 02 | 124-125 | ||
| D631 | 16 | 811-812 | E083542 | 02 | 124-125 | E103212 | Pre | 008 | ||
| D638 | 16 | 811-812 | E083543 | Pre | 008 | E103212 | Pre | 010 | ||
| D640 | 16 | 811-812 | E083543 | Pre | 010 | E103212 | 02 | 124-125 | ||
| D641 | 16 | 811-812 | E083543 | 02 | 124-125 | E103213 | Pre | 008 | ||
| D642 | 16 | 811-812 | E083549 | Pre | 008 | E103213 | Pre | 010 | ||
| D643 | 16 | 811-812 | E083549 | Pre | 010 | E103213 | 02 | 124-125 | ||
| D644 | 16 | 811-812 | E083549 | 02 | 124-125 | E103219 | Pre | 008 | ||
| D6481 | 16 | 811-812 | E083551 | Pre | 008 | E103219 | Pre | 010 | ||
| D6489 | 16 | 811-812 | E083551 | Pre | 010 | E103219 | 02 | 124-125 | ||
| D649 | 16 | 811-812 | E083551 | 02 | 124-125 | E103291 | Pre | 008 | ||
| D65 | 15 | 791 | E083552 | Pre | 008 | E103291 | Pre | 010 | ||
| D65 | 15 | 793 | E083552 | Pre | 010 | E103291 | 02 | 124-125 | ||
| D65 | 16 | 813 | E083552 | 02 | 124-125 | E103292 | Pre | 008 | ||
| D66 | 16 | 813 | E083553 | Pre | 008 | E103292 | Pre | 010 | ||
| E083553 | Pre | 010 | E103292 | 02 | 124-125 | |||||
| E083553 | 02 | 124-125 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 23 Mar 2020 12:40:01 CMS, code-revision=249, description-revision=1272 |