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 8 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| G4453 | 01 | 102-103 | G9619 | 01 | 091-093 | H04039 | 02 | 124-125 | ||
| G4459 | 01 | 102-103 | G968 | 01 | 070-072 | H04111 | 02 | 124-125 | ||
| G4481 | 01 | 102-103 | G969 | 01 | 070-072 | H04112 | 02 | 124-125 | ||
| G4482 | 01 | 102-103 | G969 | 25 | 974-976 | H04113 | 02 | 124-125 | ||
| G4483 | 01 | 102-103 | G970 | 01 | 091-093 | H04119 | 02 | 124-125 | ||
| G4484 | 01 | 102-103 | G970 | 15 | 791 | H04121 | 02 | 124-125 | ||
| G4485 | 01 | 102-103 | G970 | 15 | 793 | H04122 | 02 | 124-125 | ||
| G4489 | 01 | 102-103 | G971 | 01 | 102-103 | H04123 | 02 | 124-125 | ||
| G450 | 01 | 061-063 | G971 | 15 | 791 | H04129 | 02 | 124-125 | ||
| G450 | 01 | 069 | G971 | 15 | 793 | H04131 | 02 | 124-125 | ||
| G451 | 01 | 061-063 | G972 | 01 | 091-093 | H04132 | 02 | 124-125 | ||
| G451 | 01 | 069 | G972 | 15 | 791 | H04133 | 02 | 124-125 | ||
| G452 | 01 | 061-063 | G972 | 15 | 793 | H04139 | 02 | 124-125 | ||
| G452 | 01 | 069 | G9731 | 01 | 091-093 | H04141 | 02 | 124-125 | ||
| G453 | 02 | 123 | G9732 | 01 | 091-093 | H04142 | 02 | 124-125 | ||
| G454 | 01 | 070-072 | G9741 | 15 | 791 | H04143 | 02 | 124-125 | ||
| G458 | 01 | 061-063 | G9741 | 15 | 793 | H04149 | 02 | 124-125 | ||
| G458 | 01 | 069 | G9741 | 21 | 919-921 | H04151 | 02 | 124-125 | ||
| G459 | 01 | 061-063 | G9748 | 15 | 791 | H04152 | 02 | 124-125 | ||
| G459 | 01 | 069 | G9748 | 15 | 793 | H04153 | 02 | 124-125 | ||
| G460 | 01 | 061-063 | G9748 | 21 | 919-921 | H04159 | 02 | 124-125 | ||
| G460 | 01 | 069 | G9749 | 15 | 791 | H04161 | 02 | 124-125 | ||
| G461 | 01 | 061-063 | G9749 | 15 | 793 | H04162 | 02 | 124-125 | ||
| G461 | 01 | 069 | G9749 | 21 | 919-921 | H04163 | 02 | 124-125 | ||
| G462 | 01 | 061-063 | G9751 | 21 | 919-921 | H04169 | 02 | 124-125 | ||
| G462 | 01 | 069 | G9752 | 21 | 919-921 | H0419 | 02 | 124-125 | ||
| G463 | 01 | 070-072 | G9761 | 21 | 919-921 | H04201 | 02 | 124-125 | ||
| G464 | 01 | 070-072 | G9762 | 21 | 919-921 | H04202 | 02 | 124-125 | ||
| G465 | 01 | 070-072 | G9763 | 21 | 919-921 | H04203 | 02 | 124-125 | ||
| G466 | 01 | 070-072 | G9764 | 21 | 919-921 | H04209 | 02 | 124-125 | ||
| G467 | 01 | 070-072 | G9781 | 01 | 091-093 | H04211 | 02 | 124-125 | ||
| G468 | 01 | 070-072 | G9781 | 15 | 791 | H04212 | 02 | 124-125 | ||
| G4700 | 19 | 887 | G9781 | 15 | 793 | H04213 | 02 | 124-125 | ||
| G4701 | 19 | 887 | G9782 | 01 | 091-093 | H04219 | 02 | 124-125 | ||
| G4709 | 19 | 887 | G9782 | 15 | 791 | H04221 | 02 | 124-125 | ||
| G4710 | 19 | 887 | G9782 | 15 | 793 | H04222 | 02 | 124-125 | ||
| G4711 | 19 | 887 | G980 | 01 | 070-072 | H04223 | 02 | 124-125 | ||
| G4712 | 19 | 887 | G988 | 01 | 070-072 | H04229 | 02 | 124-125 | ||
| G4713 | 19 | 887 | G988 | 25 | 974-976 | H04301 | 02 | 124-125 | ||
| G4714 | 19 | 887 | G990 | 01 | 073-074 | H04302 | 02 | 124-125 | ||
| G4719 | 19 | 887 | G992 | 01 | 091-093 | H04303 | 02 | 124-125 | ||
| G4720 | Pre | 011-013 | G998 | 01 | 070-072 | H04309 | 02 | 124-125 | ||
| G4720 | 01 | 091-093 | H00011 | 02 | 124-125 | H04311 | 02 | 124-125 | ||
| G4721 | Pre | 011-013 | H00012 | 02 | 124-125 | H04312 | 02 | 124-125 | ||
| G4721 | 01 | 091-093 | H00013 | 02 | 124-125 | H04313 | 02 | 124-125 | ||
| G4722 | Pre | 011-013 | H00014 | 02 | 124-125 | H04319 | 02 | 124-125 | ||
| G4722 | 01 | 091-093 | H00015 | 02 | 124-125 | H04321 | 02 | 121-122 | ||
| G4723 | Pre | 011-013 | H00016 | 02 | 124-125 | H04322 | 02 | 121-122 | ||
| G4723 | 01 | 091-093 | H00019 | 02 | 124-125 | H04323 | 02 | 121-122 | ||
| G4724 | Pre | 011-013 | H00021 | 02 | 124-125 | H04329 | 02 | 121-122 | ||
| G4724 | 01 | 091-093 | H00022 | 02 | 124-125 | H04331 | 02 | 121-122 | ||
| G4725 | Pre | 011-013 | H00023 | 02 | 124-125 | H04332 | 02 | 121-122 | ||
| G4725 | 01 | 091-093 | H00024 | 02 | 124-125 | H04333 | 02 | 121-122 | ||
| G4726 | Pre | 011-013 | H00025 | 02 | 124-125 | H04339 | 02 | 121-122 | ||
| G4726 | 01 | 091-093 | H00026 | 02 | 124-125 | H04411 | 02 | 124-125 | ||
| G4727 | Pre | 011-013 | H00029 | 02 | 124-125 | H04412 | 02 | 124-125 | ||
| G4727 | 01 | 091-093 | H00031 | 02 | 124-125 | H04413 | 02 | 124-125 | ||
| G4729 | Pre | 011-013 | H00032 | 02 | 124-125 | H04419 | 02 | 124-125 | ||
| G4729 | 01 | 091-093 | H00033 | 02 | 124-125 | H04421 | 02 | 124-125 | ||
| G4730 | Pre | 011-013 | H00034 | 02 | 124-125 | H04422 | 02 | 124-125 | ||
| G4730 | 03 | 154-156 | H00035 | 02 | 124-125 | H04423 | 02 | 124-125 | ||
| G4731 | Pre | 011-013 | H00036 | 02 | 124-125 | H04429 | 02 | 124-125 | ||
| G4731 | 01 | 091-093 | H00039 | 02 | 124-125 | H04431 | 02 | 124-125 | ||
| G4732 | Pre | 011-013 | H0011 | 02 | 124-125 | H04432 | 02 | 124-125 | ||
| G4732 | 04 | 204 | H0012 | 02 | 124-125 | H04433 | 02 | 124-125 | ||
| G4733 | Pre | 011-013 | H0013 | 02 | 124-125 | H04439 | 02 | 124-125 | ||
| G4733 | 03 | 154-156 | H0014 | 02 | 124-125 | H04511 | 02 | 124-125 | ||
| G4734 | Pre | 011-013 | H0015 | 02 | 124-125 | H04512 | 02 | 124-125 | ||
| G4734 | 03 | 154-156 | H0016 | 02 | 124-125 | H04513 | 02 | 124-125 | ||
| G4735 | Pre | 011-013 | H0019 | 02 | 124-125 | H04519 | 02 | 124-125 | ||
| G4735 | 01 | 091-093 | H01001 | 02 | 124-125 | H04521 | 02 | 124-125 | ||
| G4736 | Pre | 011-013 | H01002 | 02 | 124-125 | H04522 | 02 | 124-125 | ||
| G4736 | 03 | 154-156 | H01003 | 02 | 124-125 | H04523 | 02 | 124-125 | ||
| G4737 | Pre | 011-013 | H01004 | 02 | 124-125 | H04529 | 02 | 124-125 | ||
| G4737 | 01 | 091-093 | H01005 | 02 | 124-125 | H04531 | 02 | 124-125 | ||
| G4739 | Pre | 011-013 | H01006 | 02 | 124-125 | H04532 | 02 | 124-125 | ||
| G4739 | 03 | 154-156 | H01009 | 02 | 124-125 | H04533 | 02 | 124-125 | ||
| G47411 | 01 | 091-093 | H0100A | 02 | 124-125 | H04539 | 02 | 124-125 | ||
| G47419 | 01 | 091-093 | H0100B | 02 | 124-125 | H04541 | 02 | 124-125 | ||
| G47421 | 01 | 091-093 | H01011 | 02 | 124-125 | H04542 | 02 | 124-125 | ||
| G47429 | 01 | 091-093 | H01012 | 02 | 124-125 | H04543 | 02 | 124-125 | ||
| G4750 | Pre | 011-013 | H01013 | 02 | 124-125 | H04549 | 02 | 124-125 | ||
| G4750 | 03 | 154-156 | H01014 | 02 | 124-125 | H04551 | 02 | 124-125 | ||
| G4751 | Pre | 011-013 | H01015 | 02 | 124-125 | H04552 | 02 | 124-125 | ||
| G4751 | 01 | 091-093 | H01016 | 02 | 124-125 | H04553 | 02 | 124-125 | ||
| G4752 | Pre | 011-013 | H01019 | 02 | 124-125 | H04559 | 02 | 124-125 | ||
| G4752 | 03 | 154-156 | H0101A | 02 | 124-125 | H04561 | 02 | 124-125 | ||
| G4753 | Pre | 011-013 | H0101B | 02 | 124-125 | H04562 | 02 | 124-125 | ||
| G4753 | 01 | 091-093 | H01021 | 02 | 124-125 | H04563 | 02 | 124-125 | ||
| G4754 | Pre | 011-013 | H01022 | 02 | 124-125 | H04569 | 02 | 124-125 | ||
| G4754 | 03 | 154-156 | H01023 | 02 | 124-125 | H04571 | 02 | 124-125 | ||
| G4759 | Pre | 011-013 | H01024 | 02 | 124-125 | H04572 | 02 | 124-125 | ||
| G4759 | 03 | 154-156 | H01025 | 02 | 124-125 | H04573 | 02 | 124-125 | ||
| G4761 | Pre | 011-013 | H01026 | 02 | 124-125 | H04579 | 02 | 124-125 | ||
| G4761 | 01 | 091-093 | H01029 | 02 | 124-125 | H04611 | 02 | 124-125 | ||
| G4762 | Pre | 011-013 | H0102A | 02 | 124-125 | H04612 | 02 | 124-125 | ||
| G4762 | 01 | 091-093 | H0102B | 02 | 124-125 | H04613 | 02 | 124-125 | ||
| G4763 | Pre | 011-013 | H01111 | 02 | 124-125 | H04619 | 02 | 124-125 | ||
| G4763 | 03 | 154-156 | H01112 | 02 | 124-125 | H0469 | 02 | 124-125 | ||
| G4769 | Pre | 011-013 | H01113 | 02 | 124-125 | H04811 | 02 | 124-125 | ||
| G4769 | 03 | 154-156 | H01114 | 02 | 124-125 | H04812 | 02 | 124-125 | ||
| G478 | Pre | 011-013 | H01115 | 02 | 124-125 | H04813 | 02 | 124-125 | ||
| G478 | 03 | 154-156 | H01116 | 02 | 124-125 | H04819 | 02 | 124-125 | ||
| G479 | 19 | 887 | H01119 | 02 | 124-125 | H0489 | 02 | 124-125 | ||
| G500 | 01 | 073-074 | H01121 | 02 | 124-125 | H049 | 02 | 124-125 | ||
| G501 | 01 | 073-074 | H01122 | 02 | 124-125 | H0500 | 02 | 124-125 | ||
| G508 | 01 | 073-074 | H01123 | 02 | 124-125 | H05011 | 02 | 121-122 | ||
| G509 | 01 | 073-074 | H01124 | 02 | 124-125 | H05012 | 02 | 121-122 | ||
| G510 | 01 | 073-074 | H01125 | 02 | 124-125 | H05013 | 02 | 121-122 | ||
| G511 | 01 | 073-074 | H01126 | 02 | 124-125 | H05019 | 02 | 121-122 | ||
| G512 | 01 | 073-074 | H01129 | 02 | 124-125 | H05021 | 02 | 121-122 | ||
| G5131 | 01 | 073-074 | H01131 | 02 | 124-125 | H05022 | 02 | 121-122 | ||
| G5132 | 01 | 073-074 | H01132 | 02 | 124-125 | H05023 | 02 | 121-122 | ||
| G5133 | 01 | 073-074 | H01133 | 02 | 124-125 | H05029 | 02 | 121-122 | ||
| G5139 | 01 | 073-074 | H01134 | 02 | 124-125 | H05031 | 02 | 121-122 | ||
| G514 | 01 | 073-074 | H01135 | 02 | 124-125 | H05032 | 02 | 121-122 | ||
| G518 | 01 | 073-074 | H01136 | 02 | 124-125 | H05033 | 02 | 121-122 | ||
| G519 | 01 | 073-074 | H01139 | 02 | 124-125 | H05039 | 02 | 121-122 | ||
| G520 | 01 | 073-074 | H01141 | 02 | 124-125 | H05041 | 02 | 121-122 | ||
| G521 | 01 | 073-074 | H01142 | 02 | 124-125 | H05042 | 02 | 121-122 | ||
| G522 | 01 | 073-074 | H01143 | 02 | 124-125 | H05043 | 02 | 121-122 | ||
| G523 | 01 | 073-074 | H01144 | 02 | 124-125 | H05049 | 02 | 121-122 | ||
| G527 | 01 | 073-074 | H01145 | 02 | 124-125 | H0510 | 02 | 124-125 | ||
| G528 | 01 | 073-074 | H01146 | 02 | 124-125 | H05111 | 02 | 124-125 | ||
| G529 | 01 | 073-074 | H01149 | 02 | 124-125 | H05112 | 02 | 124-125 | ||
| G53 | 01 | 073-074 | H018 | 02 | 124-125 | H05113 | 02 | 124-125 | ||
| G540 | 01 | 073-074 | H019 | 02 | 124-125 | H05119 | 02 | 124-125 | ||
| G541 | 01 | 073-074 | H02001 | 02 | 124-125 | H05121 | 02 | 124-125 | ||
| G542 | 01 | 073-074 | H02002 | 02 | 124-125 | H05122 | 02 | 124-125 | ||
| G543 | 01 | 073-074 | H02003 | 02 | 124-125 | H05123 | 02 | 124-125 | ||
| G544 | 01 | 073-074 | H02004 | 02 | 124-125 | H05129 | 02 | 124-125 | ||
| G545 | 01 | 073-074 | H02005 | 02 | 124-125 | H0520 | 02 | 124-125 | ||
| G546 | 01 | 073-074 | H02006 | 02 | 124-125 | H05211 | 02 | 123 | ||
| G547 | 01 | 073-074 | H02009 | 02 | 124-125 | H05212 | 02 | 123 | ||
| G548 | 01 | 073-074 | H02011 | 02 | 124-125 | H05213 | 02 | 123 | ||
| G549 | 01 | 073-074 | H02012 | 02 | 124-125 | H05219 | 02 | 123 | ||
| G55 | 01 | 073-074 | H02013 | 02 | 124-125 | H05221 | 02 | 124-125 | ||
| G5600 | 01 | 073-074 | H02014 | 02 | 124-125 | H05222 | 02 | 124-125 | ||
| G5601 | 01 | 073-074 | H02015 | 02 | 124-125 | H05223 | 02 | 124-125 | ||
| G5602 | 01 | 073-074 | H02016 | 02 | 124-125 | H05229 | 02 | 124-125 | ||
| G5603 | 01 | 073-074 | H02019 | 02 | 124-125 | H05231 | 02 | 124-125 | ||
| G5610 | 01 | 073-074 | H02021 | 02 | 124-125 | H05232 | 02 | 124-125 | ||
| G5611 | 01 | 073-074 | H02022 | 02 | 124-125 | H05233 | 02 | 124-125 | ||
| G5612 | 01 | 073-074 | H02023 | 02 | 124-125 | H05239 | 02 | 124-125 | ||
| G5613 | 01 | 073-074 | H02024 | 02 | 124-125 | H05241 | 02 | 124-125 | ||
| G5620 | 01 | 073-074 | H02025 | 02 | 124-125 | H05242 | 02 | 124-125 | ||
| G5621 | 01 | 073-074 | H02026 | 02 | 124-125 | H05243 | 02 | 124-125 | ||
| G5622 | 01 | 073-074 | H02029 | 02 | 124-125 | H05249 | 02 | 124-125 | ||
| G5623 | 01 | 073-074 | H02031 | 02 | 124-125 | H05251 | 02 | 123 | ||
| G5630 | 01 | 073-074 | H02032 | 02 | 124-125 | H05252 | 02 | 123 | ||
| G5631 | 01 | 073-074 | H02033 | 02 | 124-125 | H05253 | 02 | 123 | ||
| G5632 | 01 | 073-074 | H02034 | 02 | 124-125 | H05259 | 02 | 123 | ||
| G5633 | 01 | 073-074 | H02035 | 02 | 124-125 | H05261 | 02 | 123 | ||
| G5640 | 01 | 073-074 | H02036 | 02 | 124-125 | H05262 | 02 | 123 | ||
| G5641 | 01 | 073-074 | H02039 | 02 | 124-125 | H05263 | 02 | 123 | ||
| G5642 | 01 | 073-074 | H02041 | 02 | 124-125 | H05269 | 02 | 123 | ||
| G5643 | 01 | 073-074 | H02042 | 02 | 124-125 | H0530 | 02 | 124-125 | ||
| G5680 | 01 | 073-074 | H02043 | 02 | 124-125 | H05311 | 02 | 124-125 | ||
| G5681 | 01 | 073-074 | H02044 | 02 | 124-125 | H05312 | 02 | 124-125 | ||
| G5682 | 01 | 073-074 | H02045 | 02 | 124-125 | H05313 | 02 | 124-125 | ||
| G5683 | 01 | 073-074 | H02046 | 02 | 124-125 | H05319 | 02 | 124-125 | ||
| G5690 | 01 | 073-074 | H02049 | 02 | 124-125 | H05321 | 02 | 124-125 | ||
| G5691 | 01 | 073-074 | H02051 | 02 | 124-125 | H05322 | 02 | 124-125 | ||
| G5692 | 01 | 073-074 | H02052 | 02 | 124-125 | H05323 | 02 | 124-125 | ||
| G5693 | 01 | 073-074 | H02053 | 02 | 124-125 | H05329 | 02 | 124-125 | ||
| G5700 | 01 | 073-074 | H02054 | 02 | 124-125 | H05331 | 02 | 124-125 | ||
| G5701 | 01 | 073-074 | H02055 | 02 | 124-125 | H05332 | 02 | 124-125 | ||
| G5702 | 01 | 073-074 | H02056 | 02 | 124-125 | H05333 | 02 | 124-125 | ||
| G5703 | 01 | 073-074 | H02059 | 02 | 124-125 | H05339 | 02 | 124-125 | ||
| G5710 | 01 | 073-074 | H02101 | 02 | 124-125 | H05341 | 02 | 124-125 | ||
| G5711 | 01 | 073-074 | H02102 | 02 | 124-125 | H05342 | 02 | 124-125 | ||
| G5712 | 01 | 073-074 | H02103 | 02 | 124-125 | H05343 | 02 | 124-125 | ||
| G5713 | 01 | 073-074 | H02104 | 02 | 124-125 | H05349 | 02 | 124-125 | ||
| G5720 | 01 | 073-074 | H02105 | 02 | 124-125 | H05351 | 02 | 124-125 | ||
| G5721 | 01 | 073-074 | H02106 | 02 | 124-125 | H05352 | 02 | 124-125 | ||
| G5722 | 01 | 073-074 | H02109 | 02 | 124-125 | H05353 | 02 | 124-125 | ||
| G5723 | 01 | 073-074 | H02111 | 02 | 124-125 | H05359 | 02 | 124-125 | ||
| G5730 | 01 | 073-074 | H02112 | 02 | 124-125 | H05401 | 02 | 124-125 | ||
| G5731 | 01 | 073-074 | H02113 | 02 | 124-125 | H05402 | 02 | 124-125 | ||
| G5732 | 01 | 073-074 | H02114 | 02 | 124-125 | H05403 | 02 | 124-125 | ||
| G5733 | 01 | 073-074 | H02115 | 02 | 124-125 | H05409 | 02 | 124-125 | ||
| G5740 | 01 | 073-074 | H02116 | 02 | 124-125 | H05411 | 02 | 124-125 | ||
| G5741 | 01 | 073-074 | H02119 | 02 | 124-125 | H05412 | 02 | 124-125 | ||
| G5742 | 01 | 073-074 | H02121 | 02 | 124-125 | H05413 | 02 | 124-125 | ||
| G5743 | 01 | 073-074 | H02122 | 02 | 124-125 | H05419 | 02 | 124-125 | ||
| G5750 | 01 | 073-074 | H02123 | 02 | 124-125 | H05421 | 02 | 124-125 | ||
| G5751 | 01 | 073-074 | H02124 | 02 | 124-125 | H05422 | 02 | 124-125 | ||
| G5752 | 01 | 073-074 | H02125 | 02 | 124-125 | H05423 | 02 | 124-125 | ||
| G5753 | 01 | 073-074 | H02126 | 02 | 124-125 | H05429 | 02 | 124-125 | ||
| G5760 | 01 | 073-074 | H02129 | 02 | 124-125 | H0550 | 02 | 124-125 | ||
| G5761 | 01 | 073-074 | H02131 | 02 | 124-125 | H0551 | 02 | 124-125 | ||
| G5762 | 01 | 073-074 | H02132 | 02 | 124-125 | H0552 | 02 | 124-125 | ||
| G5763 | 01 | 073-074 | H02133 | 02 | 124-125 | H0553 | 02 | 124-125 | ||
| G5770 | 01 | 073-074 | H02134 | 02 | 124-125 | H05811 | 02 | 124-125 | ||
| G5771 | 01 | 073-074 | H02135 | 02 | 124-125 | H05812 | 02 | 124-125 | ||
| G5772 | 01 | 073-074 | H02136 | 02 | 124-125 | H05813 | 02 | 124-125 | ||
| G5773 | 01 | 073-074 | H02139 | 02 | 124-125 | H05819 | 02 | 124-125 | ||
| G5780 | 01 | 073-074 | H02141 | 02 | 124-125 | H05821 | 02 | 123 | ||
| G5781 | 01 | 073-074 | H02142 | 02 | 124-125 | H05822 | 02 | 123 | ||
| G5782 | 01 | 073-074 | H02143 | 02 | 124-125 | H05823 | 02 | 123 | ||
| G5783 | 01 | 073-074 | H02144 | 02 | 124-125 | H05829 | 02 | 123 | ||
| G5790 | 01 | 073-074 | H02145 | 02 | 124-125 | H0589 | 02 | 124-125 | ||
| G5791 | 01 | 073-074 | H02146 | 02 | 124-125 | H059 | 02 | 124-125 | ||
| G5792 | 01 | 073-074 | H02149 | 02 | 124-125 | H10011 | 02 | 124-125 | ||
| G5793 | 01 | 073-074 | H02151 | 02 | 124-125 | H10012 | 02 | 124-125 | ||
| G580 | 01 | 073-074 | H02152 | 02 | 124-125 | H10013 | 02 | 124-125 | ||
| G587 | 01 | 073-074 | H02153 | 02 | 124-125 | H10019 | 02 | 124-125 | ||
| G588 | 01 | 073-074 | H02154 | 02 | 124-125 | H10021 | 02 | 124-125 | ||
| G589 | 01 | 073-074 | H02155 | 02 | 124-125 | H10022 | 02 | 124-125 | ||
| G59 | 01 | 073-074 | H02156 | 02 | 124-125 | H10023 | 02 | 124-125 | ||
| G600 | 01 | 073-074 | H02159 | 02 | 124-125 | H10029 | 02 | 124-125 | ||
| G601 | 01 | 091-093 | H02201 | 02 | 124-125 | H1010 | 02 | 124-125 | ||
| G602 | 01 | 073-074 | H02202 | 02 | 124-125 | H1011 | 02 | 124-125 | ||
| G603 | 01 | 073-074 | H02203 | 02 | 124-125 | H1012 | 02 | 124-125 | ||
| G608 | 01 | 073-074 | H02204 | 02 | 124-125 | H1013 | 02 | 124-125 | ||
| G609 | 01 | 073-074 | H02205 | 02 | 124-125 | H10211 | 02 | 124-125 | ||
| G610 | 01 | 094-096 | H02206 | 02 | 124-125 | H10212 | 02 | 124-125 | ||
| G611 | 01 | 073-074 | H02209 | 02 | 124-125 | H10213 | 02 | 124-125 | ||
| G6181 | 01 | 073-074 | H0220A | 02 | 124-125 | H10219 | 02 | 124-125 | ||
| G6182 | 01 | 073-074 | H0220B | 02 | 124-125 | H10221 | 02 | 124-125 | ||
| G6189 | 01 | 073-074 | H0220C | 02 | 124-125 | H10222 | 02 | 124-125 | ||
| G619 | 01 | 073-074 | H02211 | 02 | 124-125 | H10223 | 02 | 124-125 | ||
| G620 | 01 | 073-074 | H02212 | 02 | 124-125 | H10229 | 02 | 124-125 | ||
| G621 | 01 | 073-074 | H02213 | 02 | 124-125 | H10231 | 02 | 124-125 | ||
| G622 | 01 | 073-074 | H02214 | 02 | 124-125 | H10232 | 02 | 124-125 | ||
| G6281 | 01 | 073-074 | H02215 | 02 | 124-125 | H10233 | 02 | 124-125 | ||
| G6282 | 01 | 073-074 | H02216 | 02 | 124-125 | H10239 | 02 | 124-125 | ||
| G6289 | 01 | 073-074 | H02219 | 02 | 124-125 | H1030 | 02 | 124-125 | ||
| G629 | 01 | 073-074 | H0221A | 02 | 124-125 | H1031 | 02 | 124-125 | ||
| G63 | 01 | 073-074 | H0221B | 02 | 124-125 | H1032 | 02 | 124-125 | ||
| G64 | 01 | 073-074 | H0221C | 02 | 124-125 | H1033 | 02 | 124-125 | ||
| G650 | 01 | 073-074 | H02221 | 02 | 124-125 | H10401 | 02 | 124-125 | ||
| G651 | 01 | 073-074 | H02222 | 02 | 124-125 | H10402 | 02 | 124-125 | ||
| G652 | 01 | 073-074 | H02223 | 02 | 124-125 | H10403 | 02 | 124-125 | ||
| G7000 | 01 | 056-057 | H02224 | 02 | 124-125 | H10409 | 02 | 124-125 | ||
| G7001 | 01 | 056-057 | H02225 | 02 | 124-125 | H10411 | 02 | 124-125 | ||
| G701 | 01 | 073-074 | H02226 | 02 | 124-125 | H10412 | 02 | 124-125 | ||
| G702 | 01 | 073-074 | H02229 | 02 | 124-125 | H10413 | 02 | 124-125 | ||
| G7080 | 01 | 056-057 | H0222A | 02 | 124-125 | H10419 | 02 | 124-125 | ||
| G7081 | 01 | 056-057 | H0222B | 02 | 124-125 | H10421 | 02 | 124-125 | ||
| G7089 | 01 | 073-074 | H0222C | 02 | 124-125 | H10422 | 02 | 124-125 | ||
| G709 | 01 | 073-074 | H02231 | 02 | 124-125 | H10423 | 02 | 124-125 | ||
| G7100 | 01 | 091-093 | H02232 | 02 | 124-125 | H10429 | 02 | 124-125 | ||
| G7101 | 01 | 091-093 | H02233 | 02 | 124-125 | H10431 | 02 | 124-125 | ||
| G7102 | 01 | 091-093 | H02234 | 02 | 124-125 | H10432 | 02 | 124-125 | ||
| G7109 | 01 | 091-093 | H02235 | 02 | 124-125 | H10433 | 02 | 124-125 | ||
| G7111 | 01 | 091-093 | H02236 | 02 | 124-125 | H10439 | 02 | 124-125 | ||
| G7112 | 01 | 091-093 | H02239 | 02 | 124-125 | H1044 | 02 | 124-125 | ||
| G7113 | 01 | 091-093 | H0223A | 02 | 124-125 | H1045 | 02 | 124-125 | ||
| G7114 | 01 | 091-093 | H0223B | 02 | 124-125 | H10501 | 02 | 124-125 | ||
| G7119 | 01 | 091-093 | H0223C | 02 | 124-125 | H10502 | 02 | 124-125 | ||
| G712 | 01 | 091-093 | H0230 | 02 | 124-125 | H10503 | 02 | 124-125 | ||
| G713 | 01 | 091-093 | H0231 | 02 | 124-125 | H10509 | 02 | 124-125 | ||
| G718 | 01 | 091-093 | H0232 | 02 | 124-125 | H10511 | 02 | 124-125 | ||
| G719 | 01 | 091-093 | H0233 | 02 | 124-125 | H10512 | 02 | 124-125 | ||
| G720 | 01 | 091-093 | H0234 | 02 | 124-125 | H10513 | 02 | 124-125 | ||
| G721 | 01 | 091-093 | H0235 | 02 | 124-125 | H10519 | 02 | 124-125 | ||
| G722 | 01 | 091-093 | H0236 | 02 | 124-125 | H10521 | 02 | 124-125 | ||
| G723 | 01 | 091-093 | H02401 | 02 | 123 | H10522 | 02 | 124-125 | ||
| G7241 | 08 | 545-547 | H02402 | 02 | 123 | H10523 | 02 | 124-125 | ||
| G7249 | 08 | 545-547 | H02403 | 02 | 123 | H10529 | 02 | 124-125 | ||
| G7281 | 01 | 091-093 | H02409 | 02 | 123 | H10531 | 02 | 124-125 | ||
| G7289 | 01 | 091-093 | H02411 | 02 | 124-125 | H10532 | 02 | 124-125 | ||
| G729 | 01 | 091-093 | H02412 | 02 | 124-125 | H10533 | 02 | 124-125 | ||
| G731 | 01 | 056-057 | H02413 | 02 | 124-125 | H10539 | 02 | 124-125 | ||
| G733 | 01 | 056-057 | H02419 | 02 | 124-125 | H10811 | 02 | 124-125 | ||
| G737 | 01 | 091-093 | H02421 | 02 | 123 | H10812 | 02 | 124-125 | ||
| G800 | 01 | 052-053 | H02422 | 02 | 123 | H10813 | 02 | 124-125 | ||
| G801 | 01 | 052-053 | H02423 | 02 | 123 | H10819 | 02 | 124-125 | ||
| G802 | 01 | 052-053 | H02429 | 02 | 123 | H10821 | 02 | 124-125 | ||
| G803 | 01 | 056-057 | H02431 | 02 | 123 | H10822 | 02 | 124-125 | ||
| G804 | 01 | 091-093 | H02432 | 02 | 123 | H10823 | 02 | 124-125 | ||
| G808 | 01 | 091-093 | H02433 | 02 | 123 | H10829 | 02 | 124-125 | ||
| G809 | 01 | 091-093 | H02439 | 02 | 123 | H1089 | 02 | 124-125 | ||
| G8100 | 01 | 056-057 | H02511 | 02 | 124-125 | H109 | 02 | 124-125 | ||
| G8101 | 01 | 056-057 | H02512 | 02 | 124-125 | H11001 | 02 | 124-125 | ||
| G8102 | 01 | 056-057 | H02513 | 02 | 124-125 | H11002 | 02 | 124-125 | ||
| G8103 | 01 | 056-057 | H02514 | 02 | 124-125 | H11003 | 02 | 124-125 | ||
| G8104 | 01 | 056-057 | H02515 | 02 | 124-125 | H11009 | 02 | 124-125 | ||
| G8110 | 01 | 056-057 | H02516 | 02 | 124-125 | H11011 | 02 | 124-125 | ||
| G8111 | 01 | 056-057 | H02519 | 02 | 124-125 | H11012 | 02 | 124-125 | ||
| G8112 | 01 | 056-057 | H02521 | 02 | 124-125 | H11013 | 02 | 124-125 | ||
| G8113 | 01 | 056-057 | H02522 | 02 | 124-125 | H11019 | 02 | 124-125 | ||
| G8114 | 01 | 056-057 | H02523 | 02 | 124-125 | H11021 | 02 | 124-125 | ||
| G8190 | 01 | 056-057 | H02524 | 02 | 124-125 | H11022 | 02 | 124-125 | ||
| G8191 | 01 | 056-057 | H02525 | 02 | 124-125 | H11023 | 02 | 124-125 | ||
| G8192 | 01 | 056-057 | H02526 | 02 | 124-125 | H11029 | 02 | 124-125 | ||
| G8193 | 01 | 056-057 | H02529 | 02 | 124-125 | H11031 | 02 | 124-125 | ||
| G8194 | 01 | 056-057 | H02531 | 02 | 124-125 | H11032 | 02 | 124-125 | ||
| G8220 | 01 | 052-053 | H02532 | 02 | 124-125 | H11033 | 02 | 124-125 | ||
| G8221 | 01 | 052-053 | H02533 | 02 | 124-125 | H11039 | 02 | 124-125 | ||
| G8222 | 01 | 052-053 | H02534 | 02 | 124-125 | H11041 | 02 | 124-125 | ||
| G8250 | 01 | 052-053 | H02535 | 02 | 124-125 | H11042 | 02 | 124-125 | ||
| G8251 | 01 | 052-053 | H02536 | 02 | 124-125 | H11043 | 02 | 124-125 | ||
| G8252 | 01 | 052-053 | H02539 | 02 | 124-125 | H11049 | 02 | 124-125 | ||
| G8253 | 01 | 052-053 | H0259 | 02 | 123 | H11051 | 02 | 124-125 | ||
| G8254 | 01 | 052-053 | H0260 | 09 | 606-607 | H11052 | 02 | 124-125 | ||
| G830 | 01 | 052-053 | H0261 | 09 | 606-607 | H11053 | 02 | 124-125 | ||
| G8310 | 01 | 091-093 | H0262 | 09 | 606-607 | H11059 | 02 | 124-125 | ||
| G8311 | 01 | 091-093 | H0263 | 09 | 606-607 | H11061 | 02 | 124-125 | ||
| G8312 | 01 | 091-093 | H0264 | 09 | 606-607 | H11062 | 02 | 124-125 | ||
| G8313 | 01 | 091-093 | H0265 | 09 | 606-607 | H11063 | 02 | 124-125 | ||
| G8314 | 01 | 091-093 | H0266 | 09 | 606-607 | H11069 | 02 | 124-125 | ||
| G8320 | 01 | 091-093 | H0270 | 02 | 124-125 | H1110 | 02 | 124-125 | ||
| G8321 | 01 | 091-093 | H02711 | 02 | 124-125 | H11111 | 02 | 124-125 | ||
| G8322 | 01 | 091-093 | H02712 | 02 | 124-125 | H11112 | 02 | 124-125 | ||
| G8323 | 01 | 091-093 | H02713 | 02 | 124-125 | H11113 | 02 | 124-125 | ||
| G8324 | 01 | 091-093 | H02714 | 02 | 124-125 | H11119 | 02 | 124-125 | ||
| G8330 | 01 | 091-093 | H02715 | 02 | 124-125 | H11121 | 02 | 124-125 | ||
| G8331 | 01 | 091-093 | H02716 | 02 | 124-125 | H11122 | 02 | 124-125 | ||
| G8332 | 01 | 091-093 | H02719 | 02 | 124-125 | H11123 | 02 | 124-125 | ||
| G8333 | 01 | 091-093 | H02721 | 02 | 124-125 | H11129 | 02 | 124-125 | ||
| G8334 | 01 | 091-093 | H02722 | 02 | 124-125 | H11131 | 02 | 124-125 | ||
| G834 | 01 | 073-074 | H02723 | 02 | 124-125 | H11132 | 02 | 124-125 | ||
| G835 | 01 | 091-093 | H02724 | 02 | 124-125 | H11133 | 02 | 124-125 | ||
| G8381 | 01 | 091-093 | H02725 | 02 | 124-125 | H11139 | 02 | 124-125 | ||
| G8382 | 01 | 091-093 | H02726 | 02 | 124-125 | H11141 | 02 | 124-125 | ||
| G8383 | 01 | 091-093 | H02729 | 02 | 124-125 | H11142 | 02 | 124-125 | ||
| G8384 | 01 | 091-093 | H02731 | 02 | 124-125 | H11143 | 02 | 124-125 | ||
| G8389 | 01 | 091-093 | H02732 | 02 | 124-125 | H11149 | 02 | 124-125 | ||
| G839 | 01 | 091-093 | H02733 | 02 | 124-125 | H11151 | 02 | 124-125 | ||
| G890 | 01 | 091-093 | H02734 | 02 | 124-125 | H11152 | 02 | 124-125 | ||
| G8911 | 23 | 947-948 | H02735 | 02 | 124-125 | H11153 | 02 | 124-125 | ||
| G8912 | 23 | 947-948 | H02736 | 02 | 124-125 | H11159 | 02 | 124-125 | ||
| G8918 | 23 | 947-948 | H02739 | 02 | 124-125 | H11211 | 02 | 124-125 | ||
| G8921 | 01 | 091-093 | H0279 | 02 | 124-125 | H11212 | 02 | 124-125 | ||
| G8922 | 01 | 091-093 | H02811 | 02 | 124-125 | H11213 | 02 | 124-125 | ||
| G8928 | 01 | 091-093 | H02812 | 02 | 124-125 | H11219 | 02 | 124-125 | ||
| G8929 | 01 | 091-093 | H02813 | 02 | 124-125 | H11221 | 02 | 124-125 | ||
| G893 | 23 | 947-948 | H02814 | 02 | 124-125 | H11222 | 02 | 124-125 | ||
| G894 | 01 | 091-093 | H02815 | 02 | 124-125 | H11223 | 02 | 124-125 | ||
| G9001 | 01 | 073-074 | H02816 | 02 | 124-125 | H11229 | 02 | 124-125 | ||
| G9009 | 01 | 073-074 | H02819 | 02 | 124-125 | H11231 | 02 | 124-125 | ||
| G901 | 01 | 091-093 | H02821 | 02 | 124-125 | H11232 | 02 | 124-125 | ||
| G901 | 15 | 791 | H02822 | 02 | 124-125 | H11233 | 02 | 124-125 | ||
| G901 | 15 | 793 | H02823 | 02 | 124-125 | H11239 | 02 | 124-125 | ||
| G902 | 01 | 073-074 | H02824 | 02 | 124-125 | H11241 | 02 | 124-125 | ||
| G903 | 01 | 056-057 | H02825 | 02 | 124-125 | H11242 | 02 | 124-125 | ||
| G904 | 01 | 073-074 | H02826 | 02 | 124-125 | H11243 | 02 | 124-125 | ||
| G9050 | 01 | 073-074 | H02829 | 02 | 124-125 | H11249 | 02 | 124-125 | ||
| G90511 | 01 | 073-074 | H02831 | 02 | 124-125 | H1130 | 02 | 124-125 | ||
| G90512 | 01 | 073-074 | H02832 | 02 | 124-125 | H1131 | 02 | 124-125 | ||
| G90513 | 01 | 073-074 | H02833 | 02 | 124-125 | H1132 | 02 | 124-125 | ||
| G90519 | 01 | 073-074 | H02834 | 02 | 124-125 | H1133 | 02 | 124-125 | ||
| G90521 | 01 | 073-074 | H02835 | 02 | 124-125 | H11411 | 02 | 124-125 | ||
| G90522 | 01 | 073-074 | H02836 | 02 | 124-125 | H11412 | 02 | 124-125 | ||
| G90523 | 01 | 073-074 | H02839 | 02 | 124-125 | H11413 | 02 | 124-125 | ||
| G90529 | 01 | 073-074 | H02841 | 02 | 124-125 | H11419 | 02 | 124-125 | ||
| G9059 | 01 | 073-074 | H02842 | 02 | 124-125 | H11421 | 02 | 124-125 | ||
| G908 | 01 | 073-074 | H02843 | 02 | 124-125 | H11422 | 02 | 124-125 | ||
| G909 | 01 | 073-074 | H02844 | 02 | 124-125 | H11423 | 02 | 124-125 | ||
| G910 | 01 | 056-057 | H02845 | 02 | 124-125 | H11429 | 02 | 124-125 | ||
| G911 | 01 | 056-057 | H02846 | 02 | 124-125 | H11431 | 02 | 124-125 | ||
| G912 | 01 | 056-057 | H02849 | 02 | 124-125 | H11432 | 02 | 124-125 | ||
| G913 | 01 | 056-057 | H02851 | 02 | 124-125 | H11433 | 02 | 124-125 | ||
| G914 | 01 | 056-057 | H02852 | 02 | 124-125 | H11439 | 02 | 124-125 | ||
| G918 | 01 | 056-057 | H02853 | 02 | 124-125 | H11441 | 02 | 124-125 | ||
| G919 | 01 | 056-057 | H02854 | 02 | 124-125 | H11442 | 02 | 124-125 | ||
| G92 | 01 | 023-024 | H02855 | 02 | 124-125 | H11443 | 02 | 124-125 | ||
| G92 | 01 | 091-093 | H02856 | 02 | 124-125 | H11449 | 02 | 124-125 | ||
| G92 | 15 | 791 | H02859 | 02 | 124-125 | H11811 | 02 | 124-125 | ||
| G92 | 15 | 793 | H02861 | 02 | 124-125 | H11812 | 02 | 124-125 | ||
| G930 | 01 | 091-093 | H02862 | 02 | 124-125 | H11813 | 02 | 124-125 | ||
| G931 | 01 | 091-093 | H02863 | 02 | 124-125 | H11819 | 02 | 124-125 | ||
| G931 | 15 | 791 | H02864 | 02 | 124-125 | H11821 | 02 | 124-125 | ||
| G931 | 15 | 793 | H02865 | 02 | 124-125 | H11822 | 02 | 124-125 | ||
| G932 | 01 | 102-103 | H02866 | 02 | 124-125 | H11823 | 02 | 124-125 | ||
| G933 | 23 | 947-948 | H02869 | 02 | 124-125 | H11829 | 02 | 124-125 | ||
| G9340 | 01 | 070-072 | H02871 | 02 | 124-125 | H1189 | 02 | 124-125 | ||
| G9340 | 25 | 974-976 | H02872 | 02 | 124-125 | H119 | 02 | 124-125 | ||
| G9341 | 01 | 070-072 | H02873 | 02 | 124-125 | H15001 | 02 | 124-125 | ||
| G9341 | 25 | 974-976 | H02874 | 02 | 124-125 | H15002 | 02 | 124-125 | ||
| G9349 | 01 | 070-072 | H02875 | 02 | 124-125 | H15003 | 02 | 124-125 | ||
| G9349 | 25 | 974-976 | H02876 | 02 | 124-125 | H15009 | 02 | 124-125 | ||
| G935 | 01 | 080-081 | H02879 | 02 | 124-125 | H15011 | 02 | 124-125 | ||
| G936 | 01 | 080-081 | H02881 | 02 | 124-125 | H15012 | 02 | 124-125 | ||
| G937 | 01 | 091-093 | H02882 | 02 | 124-125 | H15013 | 02 | 124-125 | ||
| G9381 | 01 | 070-072 | H02883 | 02 | 124-125 | H15019 | 02 | 124-125 | ||
| G9382 | 01 | 080-081 | H02884 | 02 | 124-125 | H15021 | 02 | 124-125 | ||
| G9389 | 01 | 070-072 | H02885 | 02 | 124-125 | H15022 | 02 | 124-125 | ||
| G939 | 01 | 070-072 | H02886 | 02 | 124-125 | H15023 | 02 | 124-125 | ||
| G939 | 25 | 974-976 | H02889 | 02 | 124-125 | H15029 | 02 | 124-125 | ||
| G94 | 01 | 056-057 | H0288A | 02 | 124-125 | H15031 | 02 | 124-125 | ||
| G950 | 01 | 056-057 | H0288B | 02 | 124-125 | H15032 | 02 | 124-125 | ||
| G9511 | 01 | 091-093 | H0289 | 02 | 124-125 | H15033 | 02 | 124-125 | ||
| G9519 | 01 | 091-093 | H029 | 02 | 124-125 | H15039 | 02 | 124-125 | ||
| G9520 | 01 | 091-093 | H04001 | 02 | 124-125 | H15041 | 02 | 124-125 | ||
| G9520 | 25 | 974-976 | H04002 | 02 | 124-125 | H15042 | 02 | 124-125 | ||
| G9529 | 01 | 091-093 | H04003 | 02 | 124-125 | H15043 | 02 | 124-125 | ||
| G9529 | 25 | 974-976 | H04009 | 02 | 124-125 | H15049 | 02 | 124-125 | ||
| G9581 | 01 | 091-093 | H04011 | 02 | 121-122 | H15051 | 02 | 124-125 | ||
| G9589 | 01 | 091-093 | H04012 | 02 | 121-122 | H15052 | 02 | 124-125 | ||
| G959 | 01 | 091-093 | H04013 | 02 | 121-122 | H15053 | 02 | 124-125 | ||
| G959 | 25 | 974-976 | H04019 | 02 | 121-122 | H15059 | 02 | 124-125 | ||
| G960 | 01 | 091-093 | H04021 | 02 | 124-125 | H15091 | 02 | 124-125 | ||
| G960 | 15 | 791 | H04022 | 02 | 124-125 | H15092 | 02 | 124-125 | ||
| G960 | 15 | 793 | H04023 | 02 | 124-125 | H15093 | 02 | 124-125 | ||
| G9611 | 15 | 791 | H04029 | 02 | 124-125 | H15099 | 02 | 124-125 | ||
| G9611 | 15 | 793 | H04031 | 02 | 124-125 | H15101 | 02 | 124-125 | ||
| G9611 | 21 | 919-921 | H04032 | 02 | 124-125 | H15102 | 02 | 124-125 | ||
| G9612 | 01 | 091-093 | H04033 | 02 | 124-125 | H15103 | 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 |