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 9 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| H15109 | 02 | 124-125 | H21342 | 02 | 124-125 | H35039 | 02 | 124-125 | ||
| H15111 | 02 | 124-125 | H21343 | 02 | 124-125 | H35041 | 02 | 124-125 | ||
| H15112 | 02 | 124-125 | H21349 | 02 | 124-125 | H35042 | 02 | 124-125 | ||
| H15113 | 02 | 124-125 | H21351 | 02 | 124-125 | H35043 | 02 | 124-125 | ||
| H15119 | 02 | 124-125 | H21352 | 02 | 124-125 | H35049 | 02 | 124-125 | ||
| H15121 | 02 | 124-125 | H21353 | 02 | 124-125 | H35051 | 02 | 124-125 | ||
| H15122 | 02 | 124-125 | H21359 | 02 | 124-125 | H35052 | 02 | 124-125 | ||
| H15123 | 02 | 124-125 | H2140 | 02 | 124-125 | H35053 | 02 | 124-125 | ||
| H15129 | 02 | 124-125 | H2141 | 02 | 124-125 | H35059 | 02 | 124-125 | ||
| H15811 | 02 | 124-125 | H2142 | 02 | 124-125 | H35061 | 02 | 124-125 | ||
| H15812 | 02 | 124-125 | H2143 | 02 | 124-125 | H35062 | 02 | 124-125 | ||
| H15813 | 02 | 124-125 | H21501 | 02 | 124-125 | H35063 | 02 | 124-125 | ||
| H15819 | 02 | 124-125 | H21502 | 02 | 124-125 | H35069 | 02 | 124-125 | ||
| H15821 | 02 | 124-125 | H21503 | 02 | 124-125 | H35071 | 02 | 124-125 | ||
| H15822 | 02 | 124-125 | H21509 | 02 | 124-125 | H35072 | 02 | 124-125 | ||
| H15823 | 02 | 124-125 | H21511 | 02 | 124-125 | H35073 | 02 | 124-125 | ||
| H15829 | 02 | 124-125 | H21512 | 02 | 124-125 | H35079 | 02 | 124-125 | ||
| H15831 | 02 | 124-125 | H21513 | 02 | 124-125 | H3509 | 02 | 124-125 | ||
| H15832 | 02 | 124-125 | H21519 | 02 | 124-125 | H35101 | 02 | 124-125 | ||
| H15833 | 02 | 124-125 | H21521 | 02 | 124-125 | H35102 | 02 | 124-125 | ||
| H15839 | 02 | 124-125 | H21522 | 02 | 124-125 | H35103 | 02 | 124-125 | ||
| H15841 | 02 | 124-125 | H21523 | 02 | 124-125 | H35109 | 02 | 124-125 | ||
| H15842 | 02 | 124-125 | H21529 | 02 | 124-125 | H35111 | 02 | 124-125 | ||
| H15843 | 02 | 124-125 | H21531 | 02 | 124-125 | H35112 | 02 | 124-125 | ||
| H15849 | 02 | 124-125 | H21532 | 02 | 124-125 | H35113 | 02 | 124-125 | ||
| H15851 | 02 | 124-125 | H21533 | 02 | 124-125 | H35119 | 02 | 124-125 | ||
| H15852 | 02 | 124-125 | H21539 | 02 | 124-125 | H35121 | 02 | 124-125 | ||
| H15853 | 02 | 124-125 | H21541 | 02 | 124-125 | H35122 | 02 | 124-125 | ||
| H15859 | 02 | 124-125 | H21542 | 02 | 124-125 | H35123 | 02 | 124-125 | ||
| H1589 | 02 | 124-125 | H21543 | 02 | 124-125 | H35129 | 02 | 124-125 | ||
| H159 | 02 | 124-125 | H21549 | 02 | 124-125 | H35131 | 02 | 124-125 | ||
| H16001 | 02 | 121-122 | H21551 | 02 | 124-125 | H35132 | 02 | 124-125 | ||
| H16002 | 02 | 121-122 | H21552 | 02 | 124-125 | H35133 | 02 | 124-125 | ||
| H16003 | 02 | 121-122 | H21553 | 02 | 124-125 | H35139 | 02 | 124-125 | ||
| H16009 | 02 | 121-122 | H21559 | 02 | 124-125 | H35141 | 02 | 124-125 | ||
| H16011 | 02 | 121-122 | H21561 | 02 | 124-125 | H35142 | 02 | 124-125 | ||
| H16012 | 02 | 121-122 | H21562 | 02 | 124-125 | H35143 | 02 | 124-125 | ||
| H16013 | 02 | 121-122 | H21563 | 02 | 124-125 | H35149 | 02 | 124-125 | ||
| H16019 | 02 | 121-122 | H21569 | 02 | 124-125 | H35151 | 02 | 124-125 | ||
| H16021 | 02 | 124-125 | H2181 | 02 | 124-125 | H35152 | 02 | 124-125 | ||
| H16022 | 02 | 124-125 | H2182 | 02 | 124-125 | H35153 | 02 | 124-125 | ||
| H16023 | 02 | 124-125 | H2189 | 02 | 124-125 | H35159 | 02 | 124-125 | ||
| H16029 | 02 | 124-125 | H219 | 02 | 124-125 | H35161 | 02 | 124-125 | ||
| H16031 | 02 | 121-122 | H22 | 02 | 124-125 | H35162 | 02 | 124-125 | ||
| H16032 | 02 | 121-122 | H25011 | 02 | 124-125 | H35163 | 02 | 124-125 | ||
| H16033 | 02 | 121-122 | H25012 | 02 | 124-125 | H35169 | 02 | 124-125 | ||
| H16039 | 02 | 121-122 | H25013 | 02 | 124-125 | H35171 | 02 | 124-125 | ||
| H16041 | 02 | 124-125 | H25019 | 02 | 124-125 | H35172 | 02 | 124-125 | ||
| H16042 | 02 | 124-125 | H25031 | 02 | 124-125 | H35173 | 02 | 124-125 | ||
| H16043 | 02 | 124-125 | H25032 | 02 | 124-125 | H35179 | 02 | 124-125 | ||
| H16049 | 02 | 124-125 | H25033 | 02 | 124-125 | H3520 | 02 | 124-125 | ||
| H16051 | 02 | 124-125 | H25039 | 02 | 124-125 | H3521 | 02 | 124-125 | ||
| H16052 | 02 | 124-125 | H25041 | 02 | 124-125 | H3522 | 02 | 124-125 | ||
| H16053 | 02 | 124-125 | H25042 | 02 | 124-125 | H3523 | 02 | 124-125 | ||
| H16059 | 02 | 124-125 | H25043 | 02 | 124-125 | H3530 | 02 | 124-125 | ||
| H16061 | 02 | 121-122 | H25049 | 02 | 124-125 | H353110 | 02 | 124-125 | ||
| H16062 | 02 | 121-122 | H25091 | 02 | 124-125 | H353111 | 02 | 124-125 | ||
| H16063 | 02 | 121-122 | H25092 | 02 | 124-125 | H353112 | 02 | 124-125 | ||
| H16069 | 02 | 121-122 | H25093 | 02 | 124-125 | H353113 | 02 | 124-125 | ||
| H16071 | 02 | 121-122 | H25099 | 02 | 124-125 | H353114 | 02 | 124-125 | ||
| H16072 | 02 | 121-122 | H2510 | 02 | 124-125 | H353120 | 02 | 124-125 | ||
| H16073 | 02 | 121-122 | H2511 | 02 | 124-125 | H353121 | 02 | 124-125 | ||
| H16079 | 02 | 121-122 | H2512 | 02 | 124-125 | H353122 | 02 | 124-125 | ||
| H16101 | 02 | 124-125 | H2513 | 02 | 124-125 | H353123 | 02 | 124-125 | ||
| H16102 | 02 | 124-125 | H2520 | 02 | 124-125 | H353124 | 02 | 124-125 | ||
| H16103 | 02 | 124-125 | H2521 | 02 | 124-125 | H353130 | 02 | 124-125 | ||
| H16109 | 02 | 124-125 | H2522 | 02 | 124-125 | H353131 | 02 | 124-125 | ||
| H16111 | 02 | 124-125 | H2523 | 02 | 124-125 | H353132 | 02 | 124-125 | ||
| H16112 | 02 | 124-125 | H25811 | 02 | 124-125 | H353133 | 02 | 124-125 | ||
| H16113 | 02 | 124-125 | H25812 | 02 | 124-125 | H353134 | 02 | 124-125 | ||
| H16119 | 02 | 124-125 | H25813 | 02 | 124-125 | H353190 | 02 | 124-125 | ||
| H16121 | 02 | 124-125 | H25819 | 02 | 124-125 | H353191 | 02 | 124-125 | ||
| H16122 | 02 | 124-125 | H2589 | 02 | 124-125 | H353192 | 02 | 124-125 | ||
| H16123 | 02 | 124-125 | H259 | 02 | 124-125 | H353193 | 02 | 124-125 | ||
| H16129 | 02 | 124-125 | H26001 | 02 | 124-125 | H353194 | 02 | 124-125 | ||
| H16131 | 02 | 124-125 | H26002 | 02 | 124-125 | H353210 | 02 | 124-125 | ||
| H16132 | 02 | 124-125 | H26003 | 02 | 124-125 | H353211 | 02 | 124-125 | ||
| H16133 | 02 | 124-125 | H26009 | 02 | 124-125 | H353212 | 02 | 124-125 | ||
| H16139 | 02 | 124-125 | H26011 | 02 | 124-125 | H353213 | 02 | 124-125 | ||
| H16141 | 02 | 124-125 | H26012 | 02 | 124-125 | H353220 | 02 | 124-125 | ||
| H16142 | 02 | 124-125 | H26013 | 02 | 124-125 | H353221 | 02 | 124-125 | ||
| H16143 | 02 | 124-125 | H26019 | 02 | 124-125 | H353222 | 02 | 124-125 | ||
| H16149 | 02 | 124-125 | H26031 | 02 | 124-125 | H353223 | 02 | 124-125 | ||
| H16201 | 02 | 124-125 | H26032 | 02 | 124-125 | H353230 | 02 | 124-125 | ||
| H16202 | 02 | 124-125 | H26033 | 02 | 124-125 | H353231 | 02 | 124-125 | ||
| H16203 | 02 | 124-125 | H26039 | 02 | 124-125 | H353232 | 02 | 124-125 | ||
| H16209 | 02 | 124-125 | H26041 | 02 | 124-125 | H353233 | 02 | 124-125 | ||
| H16211 | 02 | 124-125 | H26042 | 02 | 124-125 | H353290 | 02 | 124-125 | ||
| H16212 | 02 | 124-125 | H26043 | 02 | 124-125 | H353291 | 02 | 124-125 | ||
| H16213 | 02 | 124-125 | H26049 | 02 | 124-125 | H353292 | 02 | 124-125 | ||
| H16219 | 02 | 124-125 | H26051 | 02 | 124-125 | H353293 | 02 | 124-125 | ||
| H16221 | 02 | 124-125 | H26052 | 02 | 124-125 | H3533 | 02 | 124-125 | ||
| H16222 | 02 | 124-125 | H26053 | 02 | 124-125 | H35341 | 02 | 124-125 | ||
| H16223 | 02 | 124-125 | H26059 | 02 | 124-125 | H35342 | 02 | 124-125 | ||
| H16229 | 02 | 124-125 | H26061 | 02 | 124-125 | H35343 | 02 | 124-125 | ||
| H16231 | 02 | 124-125 | H26062 | 02 | 124-125 | H35349 | 02 | 124-125 | ||
| H16232 | 02 | 124-125 | H26063 | 02 | 124-125 | H35351 | 02 | 124-125 | ||
| H16233 | 02 | 124-125 | H26069 | 02 | 124-125 | H35352 | 02 | 124-125 | ||
| H16239 | 02 | 124-125 | H2609 | 02 | 124-125 | H35353 | 02 | 124-125 | ||
| H16241 | 02 | 124-125 | H26101 | 02 | 124-125 | H35359 | 02 | 124-125 | ||
| H16242 | 02 | 124-125 | H26102 | 02 | 124-125 | H35361 | 02 | 124-125 | ||
| H16243 | 02 | 124-125 | H26103 | 02 | 124-125 | H35362 | 02 | 124-125 | ||
| H16249 | 02 | 124-125 | H26109 | 02 | 124-125 | H35363 | 02 | 124-125 | ||
| H16251 | 02 | 124-125 | H26111 | 02 | 124-125 | H35369 | 02 | 124-125 | ||
| H16252 | 02 | 124-125 | H26112 | 02 | 124-125 | H35371 | 02 | 124-125 | ||
| H16253 | 02 | 124-125 | H26113 | 02 | 124-125 | H35372 | 02 | 124-125 | ||
| H16259 | 02 | 124-125 | H26119 | 02 | 124-125 | H35373 | 02 | 124-125 | ||
| H16261 | 02 | 124-125 | H26121 | 02 | 124-125 | H35379 | 02 | 124-125 | ||
| H16262 | 02 | 124-125 | H26122 | 02 | 124-125 | H35381 | 02 | 124-125 | ||
| H16263 | 02 | 124-125 | H26123 | 02 | 124-125 | H35382 | 02 | 124-125 | ||
| H16269 | 02 | 124-125 | H26129 | 02 | 124-125 | H35383 | 02 | 124-125 | ||
| H16291 | 02 | 124-125 | H26131 | 02 | 124-125 | H35389 | 02 | 124-125 | ||
| H16292 | 02 | 124-125 | H26132 | 02 | 124-125 | H3540 | 02 | 124-125 | ||
| H16293 | 02 | 124-125 | H26133 | 02 | 124-125 | H35411 | 02 | 124-125 | ||
| H16299 | 02 | 124-125 | H26139 | 02 | 124-125 | H35412 | 02 | 124-125 | ||
| H16301 | 02 | 124-125 | H2620 | 02 | 124-125 | H35413 | 02 | 124-125 | ||
| H16302 | 02 | 124-125 | H26211 | 02 | 124-125 | H35419 | 02 | 124-125 | ||
| H16303 | 02 | 124-125 | H26212 | 02 | 124-125 | H35421 | 02 | 124-125 | ||
| H16309 | 02 | 124-125 | H26213 | 02 | 124-125 | H35422 | 02 | 124-125 | ||
| H16311 | 02 | 121-122 | H26219 | 02 | 124-125 | H35423 | 02 | 124-125 | ||
| H16312 | 02 | 121-122 | H26221 | 02 | 124-125 | H35429 | 02 | 124-125 | ||
| H16313 | 02 | 121-122 | H26222 | 02 | 124-125 | H35431 | 02 | 124-125 | ||
| H16319 | 02 | 121-122 | H26223 | 02 | 124-125 | H35432 | 02 | 124-125 | ||
| H16321 | 02 | 124-125 | H26229 | 02 | 124-125 | H35433 | 02 | 124-125 | ||
| H16322 | 02 | 124-125 | H26231 | 02 | 124-125 | H35439 | 02 | 124-125 | ||
| H16323 | 02 | 124-125 | H26232 | 02 | 124-125 | H35441 | 02 | 124-125 | ||
| H16329 | 02 | 124-125 | H26233 | 02 | 124-125 | H35442 | 02 | 124-125 | ||
| H16331 | 02 | 124-125 | H26239 | 02 | 124-125 | H35443 | 02 | 124-125 | ||
| H16332 | 02 | 124-125 | H2630 | 02 | 124-125 | H35449 | 02 | 124-125 | ||
| H16333 | 02 | 124-125 | H2631 | 02 | 124-125 | H35451 | 02 | 124-125 | ||
| H16339 | 02 | 124-125 | H2632 | 02 | 124-125 | H35452 | 02 | 124-125 | ||
| H16391 | 02 | 124-125 | H2633 | 02 | 124-125 | H35453 | 02 | 124-125 | ||
| H16392 | 02 | 124-125 | H2640 | 02 | 124-125 | H35459 | 02 | 124-125 | ||
| H16393 | 02 | 124-125 | H26411 | 02 | 124-125 | H35461 | 02 | 124-125 | ||
| H16399 | 02 | 124-125 | H26412 | 02 | 124-125 | H35462 | 02 | 124-125 | ||
| H16401 | 02 | 124-125 | H26413 | 02 | 124-125 | H35463 | 02 | 124-125 | ||
| H16402 | 02 | 124-125 | H26419 | 02 | 124-125 | H35469 | 02 | 124-125 | ||
| H16403 | 02 | 124-125 | H26491 | 02 | 124-125 | H3550 | 02 | 124-125 | ||
| H16409 | 02 | 124-125 | H26492 | 02 | 124-125 | H3551 | 02 | 124-125 | ||
| H16411 | 02 | 124-125 | H26493 | 02 | 124-125 | H3552 | 02 | 124-125 | ||
| H16412 | 02 | 124-125 | H26499 | 02 | 124-125 | H3553 | 02 | 124-125 | ||
| H16413 | 02 | 124-125 | H268 | 02 | 124-125 | H3554 | 02 | 124-125 | ||
| H16419 | 02 | 124-125 | H269 | 02 | 124-125 | H3560 | 02 | 124-125 | ||
| H16421 | 02 | 124-125 | H2700 | 02 | 124-125 | H3561 | 02 | 124-125 | ||
| H16422 | 02 | 124-125 | H2701 | 02 | 124-125 | H3562 | 02 | 124-125 | ||
| H16423 | 02 | 124-125 | H2702 | 02 | 124-125 | H3563 | 02 | 124-125 | ||
| H16429 | 02 | 124-125 | H2703 | 02 | 124-125 | H3570 | 02 | 124-125 | ||
| H16431 | 02 | 124-125 | H2710 | 02 | 124-125 | H35711 | 02 | 124-125 | ||
| H16432 | 02 | 124-125 | H27111 | 02 | 124-125 | H35712 | 02 | 124-125 | ||
| H16433 | 02 | 124-125 | H27112 | 02 | 124-125 | H35713 | 02 | 124-125 | ||
| H16439 | 02 | 124-125 | H27113 | 02 | 124-125 | H35719 | 02 | 124-125 | ||
| H16441 | 02 | 124-125 | H27119 | 02 | 124-125 | H35721 | 02 | 124-125 | ||
| H16442 | 02 | 124-125 | H27121 | 02 | 124-125 | H35722 | 02 | 124-125 | ||
| H16443 | 02 | 124-125 | H27122 | 02 | 124-125 | H35723 | 02 | 124-125 | ||
| H16449 | 02 | 124-125 | H27123 | 02 | 124-125 | H35729 | 02 | 124-125 | ||
| H168 | 02 | 124-125 | H27129 | 02 | 124-125 | H35731 | 02 | 124-125 | ||
| H169 | 02 | 124-125 | H27131 | 02 | 124-125 | H35732 | 02 | 124-125 | ||
| H1700 | 02 | 124-125 | H27132 | 02 | 124-125 | H35733 | 02 | 124-125 | ||
| H1701 | 02 | 124-125 | H27133 | 02 | 124-125 | H35739 | 02 | 124-125 | ||
| H1702 | 02 | 124-125 | H27139 | 02 | 124-125 | H3581 | 02 | 124-125 | ||
| H1703 | 02 | 124-125 | H278 | 02 | 124-125 | H3582 | 02 | 124-125 | ||
| H1710 | 02 | 124-125 | H279 | 02 | 124-125 | H3589 | 02 | 124-125 | ||
| H1711 | 02 | 124-125 | H28 | 02 | 124-125 | H359 | 02 | 124-125 | ||
| H1712 | 02 | 124-125 | H30001 | 02 | 124-125 | H36 | 02 | 124-125 | ||
| H1713 | 02 | 124-125 | H30002 | 02 | 124-125 | H40001 | 02 | 124-125 | ||
| H17811 | 02 | 124-125 | H30003 | 02 | 124-125 | H40002 | 02 | 124-125 | ||
| H17812 | 02 | 124-125 | H30009 | 02 | 124-125 | H40003 | 02 | 124-125 | ||
| H17813 | 02 | 124-125 | H30011 | 02 | 124-125 | H40009 | 02 | 124-125 | ||
| H17819 | 02 | 124-125 | H30012 | 02 | 124-125 | H40011 | 02 | 124-125 | ||
| H17821 | 02 | 124-125 | H30013 | 02 | 124-125 | H40012 | 02 | 124-125 | ||
| H17822 | 02 | 124-125 | H30019 | 02 | 124-125 | H40013 | 02 | 124-125 | ||
| H17823 | 02 | 124-125 | H30021 | 02 | 124-125 | H40019 | 02 | 124-125 | ||
| H17829 | 02 | 124-125 | H30022 | 02 | 124-125 | H40021 | 02 | 124-125 | ||
| H1789 | 02 | 124-125 | H30023 | 02 | 124-125 | H40022 | 02 | 124-125 | ||
| H179 | 02 | 124-125 | H30029 | 02 | 124-125 | H40023 | 02 | 124-125 | ||
| H18001 | 02 | 124-125 | H30031 | 02 | 124-125 | H40029 | 02 | 124-125 | ||
| H18002 | 02 | 124-125 | H30032 | 02 | 124-125 | H40031 | 02 | 124-125 | ||
| H18003 | 02 | 124-125 | H30033 | 02 | 124-125 | H40032 | 02 | 124-125 | ||
| H18009 | 02 | 124-125 | H30039 | 02 | 124-125 | H40033 | 02 | 124-125 | ||
| H18011 | 02 | 124-125 | H30041 | 02 | 124-125 | H40039 | 02 | 124-125 | ||
| H18012 | 02 | 124-125 | H30042 | 02 | 124-125 | H40041 | 02 | 124-125 | ||
| H18013 | 02 | 124-125 | H30043 | 02 | 124-125 | H40042 | 02 | 124-125 | ||
| H18019 | 02 | 124-125 | H30049 | 02 | 124-125 | H40043 | 02 | 124-125 | ||
| H18021 | 02 | 124-125 | H30101 | 02 | 124-125 | H40049 | 02 | 124-125 | ||
| H18022 | 02 | 124-125 | H30102 | 02 | 124-125 | H40051 | 02 | 124-125 | ||
| H18023 | 02 | 124-125 | H30103 | 02 | 124-125 | H40052 | 02 | 124-125 | ||
| H18029 | 02 | 124-125 | H30109 | 02 | 124-125 | H40053 | 02 | 124-125 | ||
| H18031 | 02 | 124-125 | H30111 | 02 | 124-125 | H40059 | 02 | 124-125 | ||
| H18032 | 02 | 124-125 | H30112 | 02 | 124-125 | H40061 | 02 | 124-125 | ||
| H18033 | 02 | 124-125 | H30113 | 02 | 124-125 | H40062 | 02 | 124-125 | ||
| H18039 | 02 | 124-125 | H30119 | 02 | 124-125 | H40063 | 02 | 124-125 | ||
| H18041 | 02 | 124-125 | H30121 | 02 | 124-125 | H40069 | 02 | 124-125 | ||
| H18042 | 02 | 124-125 | H30122 | 02 | 124-125 | H4010X0 | 02 | 124-125 | ||
| H18043 | 02 | 124-125 | H30123 | 02 | 124-125 | H4010X1 | 02 | 124-125 | ||
| H18049 | 02 | 124-125 | H30129 | 02 | 124-125 | H4010X2 | 02 | 124-125 | ||
| H18051 | 02 | 124-125 | H30131 | 02 | 124-125 | H4010X3 | 02 | 124-125 | ||
| H18052 | 02 | 124-125 | H30132 | 02 | 124-125 | H4010X4 | 02 | 124-125 | ||
| H18053 | 02 | 124-125 | H30133 | 02 | 124-125 | H401110 | 02 | 124-125 | ||
| H18059 | 02 | 124-125 | H30139 | 02 | 124-125 | H401111 | 02 | 124-125 | ||
| H18061 | 02 | 124-125 | H30141 | 02 | 124-125 | H401112 | 02 | 124-125 | ||
| H18062 | 02 | 124-125 | H30142 | 02 | 124-125 | H401113 | 02 | 124-125 | ||
| H18063 | 02 | 124-125 | H30143 | 02 | 124-125 | H401114 | 02 | 124-125 | ||
| H18069 | 02 | 124-125 | H30149 | 02 | 124-125 | H401120 | 02 | 124-125 | ||
| H1810 | 02 | 124-125 | H3020 | 02 | 124-125 | H401121 | 02 | 124-125 | ||
| H1811 | 02 | 124-125 | H3021 | 02 | 124-125 | H401122 | 02 | 124-125 | ||
| H1812 | 02 | 124-125 | H3022 | 02 | 124-125 | H401123 | 02 | 124-125 | ||
| H1813 | 02 | 124-125 | H3023 | 02 | 124-125 | H401124 | 02 | 124-125 | ||
| H1820 | 02 | 124-125 | H30811 | 02 | 124-125 | H401130 | 02 | 124-125 | ||
| H18211 | 02 | 124-125 | H30812 | 02 | 124-125 | H401131 | 02 | 124-125 | ||
| H18212 | 02 | 124-125 | H30813 | 02 | 124-125 | H401132 | 02 | 124-125 | ||
| H18213 | 02 | 124-125 | H30819 | 02 | 124-125 | H401133 | 02 | 124-125 | ||
| H18219 | 02 | 124-125 | H30891 | 02 | 124-125 | H401134 | 02 | 124-125 | ||
| H18221 | 02 | 124-125 | H30892 | 02 | 124-125 | H401190 | 02 | 124-125 | ||
| H18222 | 02 | 124-125 | H30893 | 02 | 124-125 | H401191 | 02 | 124-125 | ||
| H18223 | 02 | 124-125 | H30899 | 02 | 124-125 | H401192 | 02 | 124-125 | ||
| H18229 | 02 | 124-125 | H3090 | 02 | 124-125 | H401193 | 02 | 124-125 | ||
| H18231 | 02 | 124-125 | H3091 | 02 | 124-125 | H401194 | 02 | 124-125 | ||
| H18232 | 02 | 124-125 | H3092 | 02 | 124-125 | H401210 | 02 | 123 | ||
| H18233 | 02 | 124-125 | H3093 | 02 | 124-125 | H401211 | 02 | 123 | ||
| H18239 | 02 | 124-125 | H31001 | 02 | 124-125 | H401212 | 02 | 123 | ||
| H1830 | 02 | 124-125 | H31002 | 02 | 124-125 | H401213 | 02 | 123 | ||
| H18311 | 02 | 124-125 | H31003 | 02 | 124-125 | H401214 | 02 | 123 | ||
| H18312 | 02 | 124-125 | H31009 | 02 | 124-125 | H401220 | 02 | 123 | ||
| H18313 | 02 | 124-125 | H31011 | 02 | 124-125 | H401221 | 02 | 123 | ||
| H18319 | 02 | 124-125 | H31012 | 02 | 124-125 | H401222 | 02 | 123 | ||
| H18321 | 02 | 124-125 | H31013 | 02 | 124-125 | H401223 | 02 | 123 | ||
| H18322 | 02 | 124-125 | H31019 | 02 | 124-125 | H401224 | 02 | 123 | ||
| H18323 | 02 | 124-125 | H31021 | 02 | 124-125 | H401230 | 02 | 123 | ||
| H18329 | 02 | 124-125 | H31022 | 02 | 124-125 | H401231 | 02 | 123 | ||
| H18331 | 02 | 124-125 | H31023 | 02 | 124-125 | H401232 | 02 | 123 | ||
| H18332 | 02 | 124-125 | H31029 | 02 | 124-125 | H401233 | 02 | 123 | ||
| H18333 | 02 | 124-125 | H31091 | 02 | 124-125 | H401234 | 02 | 123 | ||
| H18339 | 02 | 124-125 | H31092 | 02 | 124-125 | H401290 | 02 | 123 | ||
| H1840 | 02 | 124-125 | H31093 | 02 | 124-125 | H401291 | 02 | 123 | ||
| H18411 | 02 | 124-125 | H31099 | 02 | 124-125 | H401292 | 02 | 123 | ||
| H18412 | 02 | 124-125 | H31101 | 02 | 124-125 | H401293 | 02 | 123 | ||
| H18413 | 02 | 124-125 | H31102 | 02 | 124-125 | H401294 | 02 | 123 | ||
| H18419 | 02 | 124-125 | H31103 | 02 | 124-125 | H401310 | 02 | 124-125 | ||
| H18421 | 02 | 124-125 | H31109 | 02 | 124-125 | H401311 | 02 | 124-125 | ||
| H18422 | 02 | 124-125 | H31111 | 02 | 124-125 | H401312 | 02 | 124-125 | ||
| H18423 | 02 | 124-125 | H31112 | 02 | 124-125 | H401313 | 02 | 124-125 | ||
| H18429 | 02 | 124-125 | H31113 | 02 | 124-125 | H401314 | 02 | 124-125 | ||
| H1843 | 02 | 124-125 | H31119 | 02 | 124-125 | H401320 | 02 | 124-125 | ||
| H18441 | 02 | 124-125 | H31121 | 02 | 124-125 | H401321 | 02 | 124-125 | ||
| H18442 | 02 | 124-125 | H31122 | 02 | 124-125 | H401322 | 02 | 124-125 | ||
| H18443 | 02 | 124-125 | H31123 | 02 | 124-125 | H401323 | 02 | 124-125 | ||
| H18449 | 02 | 124-125 | H31129 | 02 | 124-125 | H401324 | 02 | 124-125 | ||
| H18451 | 02 | 124-125 | H3120 | 02 | 124-125 | H401330 | 02 | 124-125 | ||
| H18452 | 02 | 124-125 | H3121 | 02 | 124-125 | H401331 | 02 | 124-125 | ||
| H18453 | 02 | 124-125 | H3122 | 02 | 124-125 | H401332 | 02 | 124-125 | ||
| H18459 | 02 | 124-125 | H3123 | 02 | 124-125 | H401333 | 02 | 124-125 | ||
| H18461 | 02 | 124-125 | H3129 | 02 | 124-125 | H401334 | 02 | 124-125 | ||
| H18462 | 02 | 124-125 | H31301 | 02 | 124-125 | H401390 | 02 | 124-125 | ||
| H18463 | 02 | 124-125 | H31302 | 02 | 124-125 | H401391 | 02 | 124-125 | ||
| H18469 | 02 | 124-125 | H31303 | 02 | 124-125 | H401392 | 02 | 124-125 | ||
| H1849 | 02 | 124-125 | H31309 | 02 | 124-125 | H401393 | 02 | 124-125 | ||
| H1850 | 02 | 124-125 | H31311 | 02 | 124-125 | H401394 | 02 | 124-125 | ||
| H1851 | 02 | 124-125 | H31312 | 02 | 124-125 | H401410 | 02 | 124-125 | ||
| H1852 | 02 | 124-125 | H31313 | 02 | 124-125 | H401411 | 02 | 124-125 | ||
| H1853 | 02 | 124-125 | H31319 | 02 | 124-125 | H401412 | 02 | 124-125 | ||
| H1854 | 02 | 124-125 | H31321 | 02 | 124-125 | H401413 | 02 | 124-125 | ||
| H1855 | 02 | 124-125 | H31322 | 02 | 124-125 | H401414 | 02 | 124-125 | ||
| H1859 | 02 | 124-125 | H31323 | 02 | 124-125 | H401420 | 02 | 124-125 | ||
| H18601 | 02 | 124-125 | H31329 | 02 | 124-125 | H401421 | 02 | 124-125 | ||
| H18602 | 02 | 124-125 | H31401 | 02 | 124-125 | H401422 | 02 | 124-125 | ||
| H18603 | 02 | 124-125 | H31402 | 02 | 124-125 | H401423 | 02 | 124-125 | ||
| H18609 | 02 | 124-125 | H31403 | 02 | 124-125 | H401424 | 02 | 124-125 | ||
| H18611 | 02 | 124-125 | H31409 | 02 | 124-125 | H401430 | 02 | 124-125 | ||
| H18612 | 02 | 124-125 | H31411 | 02 | 124-125 | H401431 | 02 | 124-125 | ||
| H18613 | 02 | 124-125 | H31412 | 02 | 124-125 | H401432 | 02 | 124-125 | ||
| H18619 | 02 | 124-125 | H31413 | 02 | 124-125 | H401433 | 02 | 124-125 | ||
| H18621 | 02 | 124-125 | H31419 | 02 | 124-125 | H401434 | 02 | 124-125 | ||
| H18622 | 02 | 124-125 | H31421 | 02 | 124-125 | H401490 | 02 | 124-125 | ||
| H18623 | 02 | 124-125 | H31422 | 02 | 124-125 | H401491 | 02 | 124-125 | ||
| H18629 | 02 | 124-125 | H31423 | 02 | 124-125 | H401492 | 02 | 124-125 | ||
| H1870 | 02 | 124-125 | H31429 | 02 | 124-125 | H401493 | 02 | 124-125 | ||
| H18711 | 02 | 124-125 | H318 | 02 | 124-125 | H401494 | 02 | 124-125 | ||
| H18712 | 02 | 124-125 | H319 | 02 | 124-125 | H40151 | 02 | 124-125 | ||
| H18713 | 02 | 124-125 | H32 | 02 | 124-125 | H40152 | 02 | 124-125 | ||
| H18719 | 02 | 124-125 | H33001 | 02 | 124-125 | H40153 | 02 | 124-125 | ||
| H18721 | 02 | 124-125 | H33002 | 02 | 124-125 | H40159 | 02 | 124-125 | ||
| H18722 | 02 | 124-125 | H33003 | 02 | 124-125 | H4020X0 | 02 | 124-125 | ||
| H18723 | 02 | 124-125 | H33009 | 02 | 124-125 | H4020X1 | 02 | 124-125 | ||
| H18729 | 02 | 124-125 | H33011 | 02 | 124-125 | H4020X2 | 02 | 124-125 | ||
| H18731 | 02 | 124-125 | H33012 | 02 | 124-125 | H4020X3 | 02 | 124-125 | ||
| H18732 | 02 | 124-125 | H33013 | 02 | 124-125 | H4020X4 | 02 | 124-125 | ||
| H18733 | 02 | 124-125 | H33019 | 02 | 124-125 | H40211 | 02 | 124-125 | ||
| H18739 | 02 | 124-125 | H33021 | 02 | 124-125 | H40212 | 02 | 124-125 | ||
| H18791 | 02 | 124-125 | H33022 | 02 | 124-125 | H40213 | 02 | 124-125 | ||
| H18792 | 02 | 124-125 | H33023 | 02 | 124-125 | H40219 | 02 | 124-125 | ||
| H18793 | 02 | 124-125 | H33029 | 02 | 124-125 | H402210 | 02 | 124-125 | ||
| H18799 | 02 | 124-125 | H33031 | 02 | 124-125 | H402211 | 02 | 124-125 | ||
| H18811 | 02 | 124-125 | H33032 | 02 | 124-125 | H402212 | 02 | 124-125 | ||
| H18812 | 02 | 124-125 | H33033 | 02 | 124-125 | H402213 | 02 | 124-125 | ||
| H18813 | 02 | 124-125 | H33039 | 02 | 124-125 | H402214 | 02 | 124-125 | ||
| H18819 | 02 | 124-125 | H33041 | 02 | 124-125 | H402220 | 02 | 124-125 | ||
| H18821 | 02 | 124-125 | H33042 | 02 | 124-125 | H402221 | 02 | 124-125 | ||
| H18822 | 02 | 124-125 | H33043 | 02 | 124-125 | H402222 | 02 | 124-125 | ||
| H18823 | 02 | 124-125 | H33049 | 02 | 124-125 | H402223 | 02 | 124-125 | ||
| H18829 | 02 | 124-125 | H33051 | 02 | 124-125 | H402224 | 02 | 124-125 | ||
| H18831 | 02 | 124-125 | H33052 | 02 | 124-125 | H402230 | 02 | 124-125 | ||
| H18832 | 02 | 124-125 | H33053 | 02 | 124-125 | H402231 | 02 | 124-125 | ||
| H18833 | 02 | 124-125 | H33059 | 02 | 124-125 | H402232 | 02 | 124-125 | ||
| H18839 | 02 | 124-125 | H33101 | 02 | 124-125 | H402233 | 02 | 124-125 | ||
| H18891 | 02 | 124-125 | H33102 | 02 | 124-125 | H402234 | 02 | 124-125 | ||
| H18892 | 02 | 124-125 | H33103 | 02 | 124-125 | H402290 | 02 | 124-125 | ||
| H18893 | 02 | 124-125 | H33109 | 02 | 124-125 | H402291 | 02 | 124-125 | ||
| H18899 | 02 | 124-125 | H33111 | 02 | 124-125 | H402292 | 02 | 124-125 | ||
| H189 | 02 | 124-125 | H33112 | 02 | 124-125 | H402293 | 02 | 124-125 | ||
| H2000 | 02 | 124-125 | H33113 | 02 | 124-125 | H402294 | 02 | 124-125 | ||
| H20011 | 02 | 124-125 | H33119 | 02 | 124-125 | H40231 | 02 | 124-125 | ||
| H20012 | 02 | 124-125 | H33121 | 02 | 121-122 | H40232 | 02 | 124-125 | ||
| H20013 | 02 | 124-125 | H33122 | 02 | 121-122 | H40233 | 02 | 124-125 | ||
| H20019 | 02 | 124-125 | H33123 | 02 | 121-122 | H40239 | 02 | 124-125 | ||
| H20021 | 02 | 124-125 | H33129 | 02 | 121-122 | H40241 | 02 | 124-125 | ||
| H20022 | 02 | 124-125 | H33191 | 02 | 124-125 | H40242 | 02 | 124-125 | ||
| H20023 | 02 | 124-125 | H33192 | 02 | 124-125 | H40243 | 02 | 124-125 | ||
| H20029 | 02 | 124-125 | H33193 | 02 | 124-125 | H40249 | 02 | 124-125 | ||
| H20031 | 02 | 124-125 | H33199 | 02 | 124-125 | H4030X0 | 02 | 124-125 | ||
| H20032 | 02 | 124-125 | H3320 | 02 | 124-125 | H4030X1 | 02 | 124-125 | ||
| H20033 | 02 | 124-125 | H3321 | 02 | 124-125 | H4030X2 | 02 | 124-125 | ||
| H20039 | 02 | 124-125 | H3322 | 02 | 124-125 | H4030X3 | 02 | 124-125 | ||
| H20041 | 02 | 124-125 | H3323 | 02 | 124-125 | H4030X4 | 02 | 124-125 | ||
| H20042 | 02 | 124-125 | H33301 | 02 | 124-125 | H4031X0 | 02 | 124-125 | ||
| H20043 | 02 | 124-125 | H33302 | 02 | 124-125 | H4031X1 | 02 | 124-125 | ||
| H20049 | 02 | 124-125 | H33303 | 02 | 124-125 | H4031X2 | 02 | 124-125 | ||
| H20051 | 02 | 124-125 | H33309 | 02 | 124-125 | H4031X3 | 02 | 124-125 | ||
| H20052 | 02 | 124-125 | H33311 | 02 | 124-125 | H4031X4 | 02 | 124-125 | ||
| H20053 | 02 | 124-125 | H33312 | 02 | 124-125 | H4032X0 | 02 | 124-125 | ||
| H20059 | 02 | 124-125 | H33313 | 02 | 124-125 | H4032X1 | 02 | 124-125 | ||
| H2010 | 02 | 124-125 | H33319 | 02 | 124-125 | H4032X2 | 02 | 124-125 | ||
| H2011 | 02 | 124-125 | H33321 | 02 | 124-125 | H4032X3 | 02 | 124-125 | ||
| H2012 | 02 | 124-125 | H33322 | 02 | 124-125 | H4032X4 | 02 | 124-125 | ||
| H2013 | 02 | 124-125 | H33323 | 02 | 124-125 | H4033X0 | 02 | 124-125 | ||
| H2020 | 02 | 124-125 | H33329 | 02 | 124-125 | H4033X1 | 02 | 124-125 | ||
| H2021 | 02 | 124-125 | H33331 | 02 | 124-125 | H4033X2 | 02 | 124-125 | ||
| H2022 | 02 | 124-125 | H33332 | 02 | 124-125 | H4033X3 | 02 | 124-125 | ||
| H2023 | 02 | 124-125 | H33333 | 02 | 124-125 | H4033X4 | 02 | 124-125 | ||
| H20811 | 02 | 124-125 | H33339 | 02 | 124-125 | H4040X0 | 02 | 124-125 | ||
| H20812 | 02 | 124-125 | H3340 | 02 | 124-125 | H4040X1 | 02 | 124-125 | ||
| H20813 | 02 | 124-125 | H3341 | 02 | 124-125 | H4040X2 | 02 | 124-125 | ||
| H20819 | 02 | 124-125 | H3342 | 02 | 124-125 | H4040X3 | 02 | 124-125 | ||
| H20821 | 02 | 124-125 | H3343 | 02 | 124-125 | H4040X4 | 02 | 124-125 | ||
| H20822 | 02 | 124-125 | H338 | 02 | 124-125 | H4041X0 | 02 | 124-125 | ||
| H20823 | 02 | 124-125 | H3400 | 02 | 123 | H4041X1 | 02 | 124-125 | ||
| H20829 | 02 | 124-125 | H3401 | 02 | 123 | H4041X2 | 02 | 124-125 | ||
| H209 | 02 | 124-125 | H3402 | 02 | 123 | H4041X3 | 02 | 124-125 | ||
| H2100 | 02 | 124-125 | H3403 | 02 | 123 | H4041X4 | 02 | 124-125 | ||
| H2101 | 02 | 124-125 | H3410 | 02 | 123 | H4042X0 | 02 | 124-125 | ||
| H2102 | 02 | 124-125 | H3411 | 02 | 123 | H4042X1 | 02 | 124-125 | ||
| H2103 | 02 | 124-125 | H3412 | 02 | 123 | H4042X2 | 02 | 124-125 | ||
| H211X1 | 02 | 124-125 | H3413 | 02 | 123 | H4042X3 | 02 | 124-125 | ||
| H211X2 | 02 | 124-125 | H34211 | 02 | 123 | H4042X4 | 02 | 124-125 | ||
| H211X3 | 02 | 124-125 | H34212 | 02 | 123 | H4043X0 | 02 | 124-125 | ||
| H211X9 | 02 | 124-125 | H34213 | 02 | 123 | H4043X1 | 02 | 124-125 | ||
| H21211 | 02 | 124-125 | H34219 | 02 | 123 | H4043X2 | 02 | 124-125 | ||
| H21212 | 02 | 124-125 | H34231 | 02 | 123 | H4043X3 | 02 | 124-125 | ||
| H21213 | 02 | 124-125 | H34232 | 02 | 123 | H4043X4 | 02 | 124-125 | ||
| H21219 | 02 | 124-125 | H34233 | 02 | 123 | H4050X0 | 02 | 124-125 | ||
| H21221 | 02 | 124-125 | H34239 | 02 | 123 | H4050X1 | 02 | 124-125 | ||
| H21222 | 02 | 124-125 | H348110 | 02 | 123 | H4050X2 | 02 | 124-125 | ||
| H21223 | 02 | 124-125 | H348111 | 02 | 123 | H4050X3 | 02 | 124-125 | ||
| H21229 | 02 | 124-125 | H348112 | 02 | 123 | H4050X4 | 02 | 124-125 | ||
| H21231 | 02 | 124-125 | H348120 | 02 | 123 | H4051X0 | 02 | 124-125 | ||
| H21232 | 02 | 124-125 | H348121 | 02 | 123 | H4051X1 | 02 | 124-125 | ||
| H21233 | 02 | 124-125 | H348122 | 02 | 123 | H4051X2 | 02 | 124-125 | ||
| H21239 | 02 | 124-125 | H348130 | 02 | 123 | H4051X3 | 02 | 124-125 | ||
| H21241 | 02 | 124-125 | H348131 | 02 | 123 | H4051X4 | 02 | 124-125 | ||
| H21242 | 02 | 124-125 | H348132 | 02 | 123 | H4052X0 | 02 | 124-125 | ||
| H21243 | 02 | 124-125 | H348190 | 02 | 123 | H4052X1 | 02 | 124-125 | ||
| H21249 | 02 | 124-125 | H348191 | 02 | 123 | H4052X2 | 02 | 124-125 | ||
| H21251 | 02 | 124-125 | H348192 | 02 | 123 | H4052X3 | 02 | 124-125 | ||
| H21252 | 02 | 124-125 | H34821 | 02 | 123 | H4052X4 | 02 | 124-125 | ||
| H21253 | 02 | 124-125 | H34822 | 02 | 123 | H4053X0 | 02 | 124-125 | ||
| H21259 | 02 | 124-125 | H34823 | 02 | 123 | H4053X1 | 02 | 124-125 | ||
| H21261 | 02 | 124-125 | H34829 | 02 | 123 | H4053X2 | 02 | 124-125 | ||
| H21262 | 02 | 124-125 | H348310 | 02 | 123 | H4053X3 | 02 | 124-125 | ||
| H21263 | 02 | 124-125 | H348311 | 02 | 123 | H4053X4 | 02 | 124-125 | ||
| H21269 | 02 | 124-125 | H348312 | 02 | 123 | H4060X0 | 02 | 124-125 | ||
| H21271 | 02 | 124-125 | H348320 | 02 | 123 | H4060X1 | 02 | 124-125 | ||
| H21272 | 02 | 124-125 | H348321 | 02 | 123 | H4060X2 | 02 | 124-125 | ||
| H21273 | 02 | 124-125 | H348322 | 02 | 123 | H4060X3 | 02 | 124-125 | ||
| H21279 | 02 | 124-125 | H348330 | 02 | 123 | H4060X4 | 02 | 124-125 | ||
| H2129 | 02 | 124-125 | H348331 | 02 | 123 | H4061X0 | 02 | 124-125 | ||
| H21301 | 02 | 124-125 | H348332 | 02 | 123 | H4061X1 | 02 | 124-125 | ||
| H21302 | 02 | 124-125 | H348390 | 02 | 123 | H4061X2 | 02 | 124-125 | ||
| H21303 | 02 | 124-125 | H348391 | 02 | 123 | H4061X3 | 02 | 124-125 | ||
| H21309 | 02 | 124-125 | H348392 | 02 | 123 | H4061X4 | 02 | 124-125 | ||
| H21311 | 02 | 124-125 | H349 | 02 | 123 | H4062X0 | 02 | 124-125 | ||
| H21312 | 02 | 124-125 | H3500 | 02 | 124-125 | H4062X1 | 02 | 124-125 | ||
| H21313 | 02 | 124-125 | H35011 | 02 | 124-125 | H4062X2 | 02 | 124-125 | ||
| H21319 | 02 | 124-125 | H35012 | 02 | 124-125 | H4062X3 | 02 | 124-125 | ||
| H21321 | 02 | 124-125 | H35013 | 02 | 124-125 | H4062X4 | 02 | 124-125 | ||
| H21322 | 02 | 124-125 | H35019 | 02 | 124-125 | H4063X0 | 02 | 124-125 | ||
| H21323 | 02 | 124-125 | H35021 | 02 | 124-125 | H4063X1 | 02 | 124-125 | ||
| H21329 | 02 | 124-125 | H35022 | 02 | 124-125 | H4063X2 | 02 | 124-125 | ||
| H21331 | 02 | 121-122 | H35023 | 02 | 124-125 | H4063X3 | 02 | 124-125 | ||
| H21332 | 02 | 121-122 | H35029 | 02 | 124-125 | H4063X4 | 02 | 124-125 | ||
| H21333 | 02 | 121-122 | H35031 | 02 | 124-125 | H40811 | 02 | 124-125 | ||
| H21339 | 02 | 121-122 | H35032 | 02 | 124-125 | H40812 | 02 | 124-125 | ||
| H21341 | 02 | 124-125 | H35033 | 02 | 124-125 | H40813 | 02 | 124-125 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 23 Mar 2020 12:40:01 CMS, code-revision=249, description-revision=1272 |