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 25 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| O418X92 | 14 | 817-819 | O6022X4 | 14 | 998 | O88013 | 14 | 817-819 | ||
| O418X92 | 14 | 831-833 | O6022X5 | 14 | 998 | O88013 | 14 | 831-833 | ||
| O418X93 | 14 | 817-819 | O6022X9 | 14 | 998 | O88019 | 14 | 817-819 | ||
| O418X93 | 14 | 831-833 | O6023X0 | 14 | 998 | O88019 | 14 | 831-833 | ||
| O418X94 | 14 | 817-819 | O6023X1 | 14 | 998 | O8802 | 14 | 998 | ||
| O418X94 | 14 | 831-833 | O6023X2 | 14 | 998 | O8803 | 14 | 769 | ||
| O418X95 | 14 | 817-819 | O6023X3 | 14 | 998 | O8803 | 14 | 776 | ||
| O418X95 | 14 | 831-833 | O6023X4 | 14 | 998 | O88111 | 14 | 817-819 | ||
| O418X99 | 14 | 817-819 | O6023X5 | 14 | 998 | O88111 | 14 | 831-833 | ||
| O418X99 | 14 | 831-833 | O6023X9 | 14 | 998 | O88112 | 14 | 817-819 | ||
| O4190X0 | 14 | 817-819 | O610 | 14 | 817-819 | O88112 | 14 | 831-833 | ||
| O4190X0 | 14 | 831-833 | O610 | 14 | 831-833 | O88113 | 14 | 817-819 | ||
| O4190X1 | 14 | 817-819 | O611 | 14 | 817-819 | O88113 | 14 | 831-833 | ||
| O4190X1 | 14 | 831-833 | O611 | 14 | 831-833 | O88119 | 14 | 817-819 | ||
| O4190X2 | 14 | 817-819 | O618 | 14 | 817-819 | O88119 | 14 | 831-833 | ||
| O4190X2 | 14 | 831-833 | O618 | 14 | 831-833 | O8812 | 14 | 998 | ||
| O4190X3 | 14 | 817-819 | O619 | 14 | 817-819 | O8813 | 14 | 769 | ||
| O4190X3 | 14 | 831-833 | O619 | 14 | 831-833 | O8813 | 14 | 776 | ||
| O4190X4 | 14 | 817-819 | O620 | 14 | 817-819 | O88211 | 14 | 817-819 | ||
| O4190X4 | 14 | 831-833 | O620 | 14 | 831-833 | O88211 | 14 | 831-833 | ||
| O4190X5 | 14 | 817-819 | O621 | 14 | 817-819 | O88212 | 14 | 817-819 | ||
| O4190X5 | 14 | 831-833 | O621 | 14 | 831-833 | O88212 | 14 | 831-833 | ||
| O4190X9 | 14 | 817-819 | O622 | 14 | 817-819 | O88213 | 14 | 817-819 | ||
| O4190X9 | 14 | 831-833 | O622 | 14 | 831-833 | O88213 | 14 | 831-833 | ||
| O4191X0 | 14 | 817-819 | O623 | 14 | 817-819 | O88219 | 14 | 817-819 | ||
| O4191X0 | 14 | 831-833 | O623 | 14 | 831-833 | O88219 | 14 | 831-833 | ||
| O4191X1 | 14 | 817-819 | O624 | 14 | 817-819 | O8822 | 14 | 998 | ||
| O4191X1 | 14 | 831-833 | O624 | 14 | 831-833 | O8823 | 14 | 769 | ||
| O4191X2 | 14 | 817-819 | O628 | 14 | 817-819 | O8823 | 14 | 776 | ||
| O4191X2 | 14 | 831-833 | O628 | 14 | 831-833 | O88311 | 14 | 817-819 | ||
| O4191X3 | 14 | 817-819 | O629 | 14 | 817-819 | O88311 | 14 | 831-833 | ||
| O4191X3 | 14 | 831-833 | O629 | 14 | 831-833 | O88312 | 14 | 817-819 | ||
| O4191X4 | 14 | 817-819 | O630 | 14 | 817-819 | O88312 | 14 | 831-833 | ||
| O4191X4 | 14 | 831-833 | O630 | 14 | 831-833 | O88313 | 14 | 817-819 | ||
| O4191X5 | 14 | 817-819 | O631 | 14 | 817-819 | O88313 | 14 | 831-833 | ||
| O4191X5 | 14 | 831-833 | O631 | 14 | 831-833 | O88319 | 14 | 817-819 | ||
| O4191X9 | 14 | 817-819 | O632 | 14 | 998 | O88319 | 14 | 831-833 | ||
| O4191X9 | 14 | 831-833 | O639 | 14 | 817-819 | O8832 | 14 | 998 | ||
| O4192X0 | 14 | 817-819 | O639 | 14 | 831-833 | O8833 | 14 | 769 | ||
| O4192X0 | 14 | 831-833 | O640XX0 | 14 | 817-819 | O8833 | 14 | 776 | ||
| O4192X1 | 14 | 817-819 | O640XX0 | 14 | 831-833 | O88811 | 14 | 817-819 | ||
| O4192X1 | 14 | 831-833 | O640XX1 | 14 | 817-819 | O88811 | 14 | 831-833 | ||
| O4192X2 | 14 | 817-819 | O640XX1 | 14 | 831-833 | O88812 | 14 | 817-819 | ||
| O4192X2 | 14 | 831-833 | O640XX2 | 14 | 817-819 | O88812 | 14 | 831-833 | ||
| O4192X3 | 14 | 817-819 | O640XX2 | 14 | 831-833 | O88813 | 14 | 817-819 | ||
| O4192X3 | 14 | 831-833 | O640XX3 | 14 | 817-819 | O88813 | 14 | 831-833 | ||
| O4192X4 | 14 | 817-819 | O640XX3 | 14 | 831-833 | O88819 | 14 | 817-819 | ||
| O4192X4 | 14 | 831-833 | O640XX4 | 14 | 817-819 | O88819 | 14 | 831-833 | ||
| O4192X5 | 14 | 817-819 | O640XX4 | 14 | 831-833 | O8882 | 14 | 998 | ||
| O4192X5 | 14 | 831-833 | O640XX5 | 14 | 817-819 | O8883 | 14 | 769 | ||
| O4192X9 | 14 | 817-819 | O640XX5 | 14 | 831-833 | O8883 | 14 | 776 | ||
| O4192X9 | 14 | 831-833 | O640XX9 | 14 | 817-819 | O8901 | 14 | 769 | ||
| O4193X0 | 14 | 817-819 | O640XX9 | 14 | 831-833 | O8901 | 14 | 776 | ||
| O4193X0 | 14 | 831-833 | O641XX0 | 14 | 817-819 | O8909 | 14 | 769 | ||
| O4193X1 | 14 | 817-819 | O641XX0 | 14 | 831-833 | O8909 | 14 | 776 | ||
| O4193X1 | 14 | 831-833 | O641XX1 | 14 | 817-819 | O891 | 14 | 769 | ||
| O4193X2 | 14 | 817-819 | O641XX1 | 14 | 831-833 | O891 | 14 | 776 | ||
| O4193X2 | 14 | 831-833 | O641XX2 | 14 | 817-819 | O892 | 14 | 769 | ||
| O4193X3 | 14 | 817-819 | O641XX2 | 14 | 831-833 | O892 | 14 | 776 | ||
| O4193X3 | 14 | 831-833 | O641XX3 | 14 | 817-819 | O893 | 14 | 769 | ||
| O4193X4 | 14 | 817-819 | O641XX3 | 14 | 831-833 | O893 | 14 | 776 | ||
| O4193X4 | 14 | 831-833 | O641XX4 | 14 | 817-819 | O894 | 14 | 769 | ||
| O4193X5 | 14 | 817-819 | O641XX4 | 14 | 831-833 | O894 | 14 | 776 | ||
| O4193X5 | 14 | 831-833 | O641XX5 | 14 | 817-819 | O895 | 14 | 769 | ||
| O4193X9 | 14 | 817-819 | O641XX5 | 14 | 831-833 | O895 | 14 | 776 | ||
| O4193X9 | 14 | 831-833 | O641XX9 | 14 | 817-819 | O896 | 14 | 769 | ||
| O4200 | 14 | 817-819 | O641XX9 | 14 | 831-833 | O896 | 14 | 776 | ||
| O4200 | 14 | 831-833 | O642XX0 | 14 | 817-819 | O898 | 14 | 769 | ||
| O42011 | 14 | 817-819 | O642XX0 | 14 | 831-833 | O898 | 14 | 776 | ||
| O42011 | 14 | 831-833 | O642XX1 | 14 | 817-819 | O899 | 14 | 769 | ||
| O42012 | 14 | 817-819 | O642XX1 | 14 | 831-833 | O899 | 14 | 776 | ||
| O42012 | 14 | 831-833 | O642XX2 | 14 | 817-819 | O900 | 14 | 769 | ||
| O42013 | 14 | 817-819 | O642XX2 | 14 | 831-833 | O900 | 14 | 776 | ||
| O42013 | 14 | 831-833 | O642XX3 | 14 | 817-819 | O901 | 14 | 769 | ||
| O42019 | 14 | 817-819 | O642XX3 | 14 | 831-833 | O901 | 14 | 776 | ||
| O42019 | 14 | 831-833 | O642XX4 | 14 | 817-819 | O902 | 14 | 769 | ||
| O4202 | 14 | 817-819 | O642XX4 | 14 | 831-833 | O902 | 14 | 776 | ||
| O4202 | 14 | 831-833 | O642XX5 | 14 | 817-819 | O903 | 14 | 769 | ||
| O4210 | 14 | 817-819 | O642XX5 | 14 | 831-833 | O903 | 14 | 776 | ||
| O4210 | 14 | 831-833 | O642XX9 | 14 | 817-819 | O904 | 14 | 769 | ||
| O42111 | 14 | 817-819 | O642XX9 | 14 | 831-833 | O904 | 14 | 776 | ||
| O42111 | 14 | 831-833 | O643XX0 | 14 | 817-819 | O905 | 14 | 769 | ||
| O42112 | 14 | 817-819 | O643XX0 | 14 | 831-833 | O905 | 14 | 776 | ||
| O42112 | 14 | 831-833 | O643XX1 | 14 | 817-819 | O906 | 14 | 769 | ||
| O42113 | 14 | 817-819 | O643XX1 | 14 | 831-833 | O906 | 14 | 776 | ||
| O42113 | 14 | 831-833 | O643XX2 | 14 | 817-819 | O9081 | 14 | 769 | ||
| O42119 | 14 | 817-819 | O643XX2 | 14 | 831-833 | O9081 | 14 | 776 | ||
| O42119 | 14 | 831-833 | O643XX3 | 14 | 817-819 | O9089 | 14 | 769 | ||
| O4212 | 14 | 817-819 | O643XX3 | 14 | 831-833 | O9089 | 14 | 776 | ||
| O4212 | 14 | 831-833 | O643XX4 | 14 | 817-819 | O909 | 14 | 769 | ||
| O4290 | 14 | 817-819 | O643XX4 | 14 | 831-833 | O909 | 14 | 776 | ||
| O4290 | 14 | 831-833 | O643XX5 | 14 | 817-819 | O91011 | 14 | 817-819 | ||
| O42911 | 14 | 817-819 | O643XX5 | 14 | 831-833 | O91011 | 14 | 831-833 | ||
| O42911 | 14 | 831-833 | O643XX9 | 14 | 817-819 | O91012 | 14 | 817-819 | ||
| O42912 | 14 | 817-819 | O643XX9 | 14 | 831-833 | O91012 | 14 | 831-833 | ||
| O42912 | 14 | 831-833 | O644XX0 | 14 | 817-819 | O91013 | 14 | 817-819 | ||
| O42913 | 14 | 817-819 | O644XX0 | 14 | 831-833 | O91013 | 14 | 831-833 | ||
| O42913 | 14 | 831-833 | O644XX1 | 14 | 817-819 | O91019 | 14 | 817-819 | ||
| O42919 | 14 | 817-819 | O644XX1 | 14 | 831-833 | O91019 | 14 | 831-833 | ||
| O42919 | 14 | 831-833 | O644XX2 | 14 | 817-819 | O9102 | 14 | 769 | ||
| O4292 | 14 | 817-819 | O644XX2 | 14 | 831-833 | O9102 | 14 | 776 | ||
| O4292 | 14 | 831-833 | O644XX3 | 14 | 817-819 | O9103 | 14 | 769 | ||
| O43011 | 14 | 817-819 | O644XX3 | 14 | 831-833 | O9103 | 14 | 776 | ||
| O43011 | 14 | 831-833 | O644XX4 | 14 | 817-819 | O91111 | 14 | 817-819 | ||
| O43012 | 14 | 817-819 | O644XX4 | 14 | 831-833 | O91111 | 14 | 831-833 | ||
| O43012 | 14 | 831-833 | O644XX5 | 14 | 817-819 | O91112 | 14 | 817-819 | ||
| O43013 | 14 | 817-819 | O644XX5 | 14 | 831-833 | O91112 | 14 | 831-833 | ||
| O43013 | 14 | 831-833 | O644XX9 | 14 | 817-819 | O91113 | 14 | 817-819 | ||
| O43019 | 14 | 817-819 | O644XX9 | 14 | 831-833 | O91113 | 14 | 831-833 | ||
| O43019 | 14 | 831-833 | O645XX0 | 14 | 817-819 | O91119 | 14 | 817-819 | ||
| O43021 | 14 | 817-819 | O645XX0 | 14 | 831-833 | O91119 | 14 | 831-833 | ||
| O43021 | 14 | 831-833 | O645XX1 | 14 | 817-819 | O9112 | 14 | 769 | ||
| O43022 | 14 | 817-819 | O645XX1 | 14 | 831-833 | O9112 | 14 | 776 | ||
| O43022 | 14 | 831-833 | O645XX2 | 14 | 817-819 | O9113 | 14 | 769 | ||
| O43023 | 14 | 817-819 | O645XX2 | 14 | 831-833 | O9113 | 14 | 776 | ||
| O43023 | 14 | 831-833 | O645XX3 | 14 | 817-819 | O91211 | 14 | 817-819 | ||
| O43029 | 14 | 817-819 | O645XX3 | 14 | 831-833 | O91211 | 14 | 831-833 | ||
| O43029 | 14 | 831-833 | O645XX4 | 14 | 817-819 | O91212 | 14 | 817-819 | ||
| O43101 | 14 | 817-819 | O645XX4 | 14 | 831-833 | O91212 | 14 | 831-833 | ||
| O43101 | 14 | 831-833 | O645XX5 | 14 | 817-819 | O91213 | 14 | 817-819 | ||
| O43102 | 14 | 817-819 | O645XX5 | 14 | 831-833 | O91213 | 14 | 831-833 | ||
| O43102 | 14 | 831-833 | O645XX9 | 14 | 817-819 | O91219 | 14 | 817-819 | ||
| O43103 | 14 | 817-819 | O645XX9 | 14 | 831-833 | O91219 | 14 | 831-833 | ||
| O43103 | 14 | 831-833 | O648XX0 | 14 | 817-819 | O9122 | 14 | 769 | ||
| O43109 | 14 | 817-819 | O648XX0 | 14 | 831-833 | O9122 | 14 | 776 | ||
| O43109 | 14 | 831-833 | O648XX1 | 14 | 817-819 | O9123 | 14 | 769 | ||
| O43111 | 14 | 817-819 | O648XX1 | 14 | 831-833 | O9123 | 14 | 776 | ||
| O43111 | 14 | 831-833 | O648XX2 | 14 | 817-819 | O92011 | 14 | 817-819 | ||
| O43112 | 14 | 817-819 | O648XX2 | 14 | 831-833 | O92011 | 14 | 831-833 | ||
| O43112 | 14 | 831-833 | O648XX3 | 14 | 817-819 | O92012 | 14 | 817-819 | ||
| O43113 | 14 | 817-819 | O648XX3 | 14 | 831-833 | O92012 | 14 | 831-833 | ||
| O43113 | 14 | 831-833 | O648XX4 | 14 | 817-819 | O92013 | 14 | 817-819 | ||
| O43119 | 14 | 817-819 | O648XX4 | 14 | 831-833 | O92013 | 14 | 831-833 | ||
| O43119 | 14 | 831-833 | O648XX5 | 14 | 817-819 | O92019 | 14 | 817-819 | ||
| O43121 | 14 | 817-819 | O648XX5 | 14 | 831-833 | O92019 | 14 | 831-833 | ||
| O43121 | 14 | 831-833 | O648XX9 | 14 | 817-819 | O9202 | 14 | 769 | ||
| O43122 | 14 | 817-819 | O648XX9 | 14 | 831-833 | O9202 | 14 | 776 | ||
| O43122 | 14 | 831-833 | O649XX0 | 14 | 817-819 | O9203 | 14 | 769 | ||
| O43123 | 14 | 817-819 | O649XX0 | 14 | 831-833 | O9203 | 14 | 776 | ||
| O43123 | 14 | 831-833 | O649XX1 | 14 | 817-819 | O92111 | 14 | 817-819 | ||
| O43129 | 14 | 817-819 | O649XX1 | 14 | 831-833 | O92111 | 14 | 831-833 | ||
| O43129 | 14 | 831-833 | O649XX2 | 14 | 817-819 | O92112 | 14 | 817-819 | ||
| O43191 | 14 | 817-819 | O649XX2 | 14 | 831-833 | O92112 | 14 | 831-833 | ||
| O43191 | 14 | 831-833 | O649XX3 | 14 | 817-819 | O92113 | 14 | 817-819 | ||
| O43192 | 14 | 817-819 | O649XX3 | 14 | 831-833 | O92113 | 14 | 831-833 | ||
| O43192 | 14 | 831-833 | O649XX4 | 14 | 817-819 | O92119 | 14 | 817-819 | ||
| O43193 | 14 | 817-819 | O649XX4 | 14 | 831-833 | O92119 | 14 | 831-833 | ||
| O43193 | 14 | 831-833 | O649XX5 | 14 | 817-819 | O9212 | 14 | 769 | ||
| O43199 | 14 | 817-819 | O649XX5 | 14 | 831-833 | O9212 | 14 | 776 | ||
| O43199 | 14 | 831-833 | O649XX9 | 14 | 817-819 | O9213 | 14 | 769 | ||
| O43211 | 14 | 769 | O649XX9 | 14 | 831-833 | O9213 | 14 | 776 | ||
| O43211 | 14 | 776 | O650 | 14 | 817-819 | O9220 | 14 | 769 | ||
| O43212 | 14 | 769 | O650 | 14 | 831-833 | O9220 | 14 | 776 | ||
| O43212 | 14 | 776 | O651 | 14 | 817-819 | O9229 | 14 | 769 | ||
| O43213 | 14 | 769 | O651 | 14 | 831-833 | O9229 | 14 | 776 | ||
| O43213 | 14 | 776 | O652 | 14 | 817-819 | O923 | 14 | 769 | ||
| O43219 | 14 | 769 | O652 | 14 | 831-833 | O923 | 14 | 776 | ||
| O43219 | 14 | 776 | O653 | 14 | 817-819 | O924 | 14 | 769 | ||
| O43221 | 14 | 769 | O653 | 14 | 831-833 | O924 | 14 | 776 | ||
| O43221 | 14 | 776 | O654 | 14 | 817-819 | O925 | 14 | 769 | ||
| O43222 | 14 | 769 | O654 | 14 | 831-833 | O925 | 14 | 776 | ||
| O43222 | 14 | 776 | O655 | 14 | 817-819 | O926 | 14 | 769 | ||
| O43223 | 14 | 769 | O655 | 14 | 831-833 | O926 | 14 | 776 | ||
| O43223 | 14 | 776 | O658 | 14 | 817-819 | O9270 | 14 | 769 | ||
| O43229 | 14 | 769 | O658 | 14 | 831-833 | O9270 | 14 | 776 | ||
| O43229 | 14 | 776 | O659 | 14 | 817-819 | O9279 | 14 | 769 | ||
| O43231 | 14 | 769 | O659 | 14 | 831-833 | O9279 | 14 | 776 | ||
| O43231 | 14 | 776 | O660 | 14 | 817-819 | O94 | 14 | 769 | ||
| O43232 | 14 | 769 | O660 | 14 | 831-833 | O94 | 14 | 776 | ||
| O43232 | 14 | 776 | O661 | 14 | 817-819 | O98011 | 14 | 817-819 | ||
| O43233 | 14 | 769 | O661 | 14 | 831-833 | O98011 | 14 | 831-833 | ||
| O43233 | 14 | 776 | O662 | 14 | 817-819 | O98012 | 14 | 817-819 | ||
| O43239 | 14 | 769 | O662 | 14 | 831-833 | O98012 | 14 | 831-833 | ||
| O43239 | 14 | 776 | O663 | 14 | 817-819 | O98013 | 14 | 817-819 | ||
| O43811 | 14 | 817-819 | O663 | 14 | 831-833 | O98013 | 14 | 831-833 | ||
| O43811 | 14 | 831-833 | O6640 | 14 | 817-819 | O98019 | 14 | 817-819 | ||
| O43812 | 14 | 817-819 | O6640 | 14 | 831-833 | O98019 | 14 | 831-833 | ||
| O43812 | 14 | 831-833 | O6641 | 14 | 998 | O9802 | 14 | 998 | ||
| O43813 | 14 | 817-819 | O665 | 14 | 817-819 | O9803 | 14 | 769 | ||
| O43813 | 14 | 831-833 | O665 | 14 | 831-833 | O9803 | 14 | 776 | ||
| O43819 | 14 | 817-819 | O666 | 14 | 817-819 | O98111 | 14 | 817-819 | ||
| O43819 | 14 | 831-833 | O666 | 14 | 831-833 | O98111 | 14 | 831-833 | ||
| O43891 | 14 | 817-819 | O668 | 14 | 817-819 | O98112 | 14 | 817-819 | ||
| O43891 | 14 | 831-833 | O668 | 14 | 831-833 | O98112 | 14 | 831-833 | ||
| O43892 | 14 | 817-819 | O669 | 14 | 817-819 | O98113 | 14 | 817-819 | ||
| O43892 | 14 | 831-833 | O669 | 14 | 831-833 | O98113 | 14 | 831-833 | ||
| O43893 | 14 | 817-819 | O670 | 14 | 998 | O98119 | 14 | 817-819 | ||
| O43893 | 14 | 831-833 | O678 | 14 | 998 | O98119 | 14 | 831-833 | ||
| O43899 | 14 | 817-819 | O679 | 14 | 998 | O9812 | 14 | 998 | ||
| O43899 | 14 | 831-833 | O68 | 14 | 998 | O9813 | 14 | 769 | ||
| O4390 | 14 | 817-819 | O690XX0 | 14 | 998 | O9813 | 14 | 776 | ||
| O4390 | 14 | 831-833 | O690XX1 | 14 | 998 | O98211 | 14 | 817-819 | ||
| O4391 | 14 | 817-819 | O690XX2 | 14 | 998 | O98211 | 14 | 831-833 | ||
| O4391 | 14 | 831-833 | O690XX3 | 14 | 998 | O98212 | 14 | 817-819 | ||
| O4392 | 14 | 817-819 | O690XX4 | 14 | 998 | O98212 | 14 | 831-833 | ||
| O4392 | 14 | 831-833 | O690XX5 | 14 | 998 | O98213 | 14 | 817-819 | ||
| O4393 | 14 | 817-819 | O690XX9 | 14 | 998 | O98213 | 14 | 831-833 | ||
| O4393 | 14 | 831-833 | O691XX0 | 14 | 998 | O98219 | 14 | 817-819 | ||
| O4400 | 14 | 817-819 | O691XX1 | 14 | 998 | O98219 | 14 | 831-833 | ||
| O4400 | 14 | 831-833 | O691XX2 | 14 | 998 | O9822 | 14 | 998 | ||
| O4401 | 14 | 817-819 | O691XX3 | 14 | 998 | O9823 | 14 | 769 | ||
| O4401 | 14 | 831-833 | O691XX4 | 14 | 998 | O9823 | 14 | 776 | ||
| O4402 | 14 | 817-819 | O691XX5 | 14 | 998 | O98311 | 14 | 817-819 | ||
| O4402 | 14 | 831-833 | O691XX9 | 14 | 998 | O98311 | 14 | 831-833 | ||
| O4403 | 14 | 817-819 | O692XX0 | 14 | 998 | O98312 | 14 | 817-819 | ||
| O4403 | 14 | 831-833 | O692XX1 | 14 | 998 | O98312 | 14 | 831-833 | ||
| O4410 | 14 | 817-819 | O692XX2 | 14 | 998 | O98313 | 14 | 817-819 | ||
| O4410 | 14 | 831-833 | O692XX3 | 14 | 998 | O98313 | 14 | 831-833 | ||
| O4411 | 14 | 817-819 | O692XX4 | 14 | 998 | O98319 | 14 | 817-819 | ||
| O4411 | 14 | 831-833 | O692XX5 | 14 | 998 | O98319 | 14 | 831-833 | ||
| O4412 | 14 | 817-819 | O692XX9 | 14 | 998 | O9832 | 14 | 998 | ||
| O4412 | 14 | 831-833 | O693XX0 | 14 | 998 | O9833 | 14 | 769 | ||
| O4413 | 14 | 817-819 | O693XX1 | 14 | 998 | O9833 | 14 | 776 | ||
| O4413 | 14 | 831-833 | O693XX2 | 14 | 998 | O98411 | 14 | 817-819 | ||
| O4420 | 14 | 817-819 | O693XX3 | 14 | 998 | O98411 | 14 | 831-833 | ||
| O4420 | 14 | 831-833 | O693XX4 | 14 | 998 | O98412 | 14 | 817-819 | ||
| O4421 | 14 | 817-819 | O693XX5 | 14 | 998 | O98412 | 14 | 831-833 | ||
| O4421 | 14 | 831-833 | O693XX9 | 14 | 998 | O98413 | 14 | 817-819 | ||
| O4422 | 14 | 817-819 | O694XX0 | 14 | 998 | O98413 | 14 | 831-833 | ||
| O4422 | 14 | 831-833 | O694XX1 | 14 | 998 | O98419 | 14 | 817-819 | ||
| O4423 | 14 | 817-819 | O694XX2 | 14 | 998 | O98419 | 14 | 831-833 | ||
| O4423 | 14 | 831-833 | O694XX3 | 14 | 998 | O9842 | 14 | 998 | ||
| O4430 | 14 | 817-819 | O694XX4 | 14 | 998 | O9843 | 14 | 769 | ||
| O4430 | 14 | 831-833 | O694XX5 | 14 | 998 | O9843 | 14 | 776 | ||
| O4431 | 14 | 817-819 | O694XX9 | 14 | 998 | O98511 | 14 | 817-819 | ||
| O4431 | 14 | 831-833 | O695XX0 | 14 | 998 | O98511 | 14 | 831-833 | ||
| O4432 | 14 | 817-819 | O695XX1 | 14 | 998 | O98512 | 14 | 817-819 | ||
| O4432 | 14 | 831-833 | O695XX2 | 14 | 998 | O98512 | 14 | 831-833 | ||
| O4433 | 14 | 817-819 | O695XX3 | 14 | 998 | O98513 | 14 | 817-819 | ||
| O4433 | 14 | 831-833 | O695XX4 | 14 | 998 | O98513 | 14 | 831-833 | ||
| O4440 | 14 | 817-819 | O695XX5 | 14 | 998 | O98519 | 14 | 817-819 | ||
| O4440 | 14 | 831-833 | O695XX9 | 14 | 998 | O98519 | 14 | 831-833 | ||
| O4441 | 14 | 817-819 | O6981X0 | 14 | 998 | O9852 | 14 | 998 | ||
| O4441 | 14 | 831-833 | O6981X1 | 14 | 998 | O9853 | 14 | 769 | ||
| O4442 | 14 | 817-819 | O6981X2 | 14 | 998 | O9853 | 14 | 776 | ||
| O4442 | 14 | 831-833 | O6981X3 | 14 | 998 | O98611 | 14 | 817-819 | ||
| O4443 | 14 | 817-819 | O6981X4 | 14 | 998 | O98611 | 14 | 831-833 | ||
| O4443 | 14 | 831-833 | O6981X5 | 14 | 998 | O98612 | 14 | 817-819 | ||
| O4450 | 14 | 817-819 | O6981X9 | 14 | 998 | O98612 | 14 | 831-833 | ||
| O4450 | 14 | 831-833 | O6982X0 | 14 | 998 | O98613 | 14 | 817-819 | ||
| O4451 | 14 | 817-819 | O6982X1 | 14 | 998 | O98613 | 14 | 831-833 | ||
| O4451 | 14 | 831-833 | O6982X2 | 14 | 998 | O98619 | 14 | 817-819 | ||
| O4452 | 14 | 817-819 | O6982X3 | 14 | 998 | O98619 | 14 | 831-833 | ||
| O4452 | 14 | 831-833 | O6982X4 | 14 | 998 | O9862 | 14 | 998 | ||
| O4453 | 14 | 817-819 | O6982X5 | 14 | 998 | O9863 | 14 | 769 | ||
| O4453 | 14 | 831-833 | O6982X9 | 14 | 998 | O9863 | 14 | 776 | ||
| O45001 | 14 | 817-819 | O6989X0 | 14 | 998 | O98711 | 14 | 817-819 | ||
| O45001 | 14 | 831-833 | O6989X1 | 14 | 998 | O98711 | 14 | 831-833 | ||
| O45002 | 14 | 817-819 | O6989X2 | 14 | 998 | O98712 | 14 | 817-819 | ||
| O45002 | 14 | 831-833 | O6989X3 | 14 | 998 | O98712 | 14 | 831-833 | ||
| O45003 | 14 | 817-819 | O6989X4 | 14 | 998 | O98713 | 14 | 817-819 | ||
| O45003 | 14 | 831-833 | O6989X5 | 14 | 998 | O98713 | 14 | 831-833 | ||
| O45009 | 14 | 817-819 | O6989X9 | 14 | 998 | O98719 | 14 | 817-819 | ||
| O45009 | 14 | 831-833 | O699XX0 | 14 | 998 | O98719 | 14 | 831-833 | ||
| O45011 | 14 | 817-819 | O699XX1 | 14 | 998 | O9872 | 14 | 998 | ||
| O45011 | 14 | 831-833 | O699XX2 | 14 | 998 | O9873 | 14 | 769 | ||
| O45012 | 14 | 817-819 | O699XX3 | 14 | 998 | O9873 | 14 | 776 | ||
| O45012 | 14 | 831-833 | O699XX4 | 14 | 998 | O98811 | 14 | 817-819 | ||
| O45013 | 14 | 817-819 | O699XX5 | 14 | 998 | O98811 | 14 | 831-833 | ||
| O45013 | 14 | 831-833 | O699XX9 | 14 | 998 | O98812 | 14 | 817-819 | ||
| O45019 | 14 | 817-819 | O700 | 14 | 769 | O98812 | 14 | 831-833 | ||
| O45019 | 14 | 831-833 | O700 | 14 | 776 | O98813 | 14 | 817-819 | ||
| O45021 | 14 | 817-819 | O701 | 14 | 769 | O98813 | 14 | 831-833 | ||
| O45021 | 14 | 831-833 | O701 | 14 | 776 | O98819 | 14 | 817-819 | ||
| O45022 | 14 | 817-819 | O7020 | 14 | 769 | O98819 | 14 | 831-833 | ||
| O45022 | 14 | 831-833 | O7020 | 14 | 776 | O9882 | 14 | 998 | ||
| O45023 | 14 | 817-819 | O7021 | 14 | 769 | O9883 | 14 | 769 | ||
| O45023 | 14 | 831-833 | O7021 | 14 | 776 | O9883 | 14 | 776 | ||
| O45029 | 14 | 817-819 | O7022 | 14 | 769 | O98911 | 14 | 817-819 | ||
| O45029 | 14 | 831-833 | O7022 | 14 | 776 | O98911 | 14 | 831-833 | ||
| O45091 | 14 | 817-819 | O7023 | 14 | 769 | O98912 | 14 | 817-819 | ||
| O45091 | 14 | 831-833 | O7023 | 14 | 776 | O98912 | 14 | 831-833 | ||
| O45092 | 14 | 817-819 | O703 | 14 | 769 | O98913 | 14 | 817-819 | ||
| O45092 | 14 | 831-833 | O703 | 14 | 776 | O98913 | 14 | 831-833 | ||
| O45093 | 14 | 817-819 | O704 | 14 | 769 | O98919 | 14 | 817-819 | ||
| O45093 | 14 | 831-833 | O704 | 14 | 776 | O98919 | 14 | 831-833 | ||
| O45099 | 14 | 817-819 | O709 | 14 | 769 | O9892 | 14 | 998 | ||
| O45099 | 14 | 831-833 | O709 | 14 | 776 | O9893 | 14 | 769 | ||
| O458X1 | 14 | 817-819 | O7100 | 14 | 817-819 | O9893 | 14 | 776 | ||
| O458X1 | 14 | 831-833 | O7100 | 14 | 831-833 | O99011 | 14 | 817-819 | ||
| O458X2 | 14 | 817-819 | O7102 | 14 | 817-819 | O99011 | 14 | 831-833 | ||
| O458X2 | 14 | 831-833 | O7102 | 14 | 831-833 | O99012 | 14 | 817-819 | ||
| O458X3 | 14 | 817-819 | O7103 | 14 | 817-819 | O99012 | 14 | 831-833 | ||
| O458X3 | 14 | 831-833 | O7103 | 14 | 831-833 | O99013 | 14 | 817-819 | ||
| O458X9 | 14 | 817-819 | O711 | 14 | 817-819 | O99013 | 14 | 831-833 | ||
| O458X9 | 14 | 831-833 | O711 | 14 | 831-833 | O99019 | 14 | 817-819 | ||
| O4590 | 14 | 817-819 | O712 | 14 | 769 | O99019 | 14 | 831-833 | ||
| O4590 | 14 | 831-833 | O712 | 14 | 776 | O9902 | 14 | 998 | ||
| O4591 | 14 | 817-819 | O713 | 14 | 769 | O9903 | 14 | 769 | ||
| O4591 | 14 | 831-833 | O713 | 14 | 776 | O9903 | 14 | 776 | ||
| O4592 | 14 | 817-819 | O714 | 14 | 769 | O99111 | 14 | 817-819 | ||
| O4592 | 14 | 831-833 | O714 | 14 | 776 | O99111 | 14 | 831-833 | ||
| O4593 | 14 | 817-819 | O715 | 14 | 769 | O99112 | 14 | 817-819 | ||
| O4593 | 14 | 831-833 | O715 | 14 | 776 | O99112 | 14 | 831-833 | ||
| O46001 | 14 | 817-819 | O716 | 14 | 769 | O99113 | 14 | 817-819 | ||
| O46001 | 14 | 831-833 | O716 | 14 | 776 | O99113 | 14 | 831-833 | ||
| O46002 | 14 | 817-819 | O717 | 14 | 769 | O99119 | 14 | 817-819 | ||
| O46002 | 14 | 831-833 | O717 | 14 | 776 | O99119 | 14 | 831-833 | ||
| O46003 | 14 | 817-819 | O7181 | 14 | 817-819 | O9912 | 14 | 998 | ||
| O46003 | 14 | 831-833 | O7181 | 14 | 831-833 | O9913 | 14 | 769 | ||
| O46009 | 14 | 817-819 | O7182 | 14 | 769 | O9913 | 14 | 776 | ||
| O46009 | 14 | 831-833 | O7182 | 14 | 776 | O99210 | 14 | 817-819 | ||
| O46011 | 14 | 817-819 | O7189 | 14 | 769 | O99210 | 14 | 831-833 | ||
| O46011 | 14 | 831-833 | O7189 | 14 | 776 | O99211 | 14 | 817-819 | ||
| O46012 | 14 | 817-819 | O719 | 14 | 769 | O99211 | 14 | 831-833 | ||
| O46012 | 14 | 831-833 | O719 | 14 | 776 | O99212 | 14 | 817-819 | ||
| O46013 | 14 | 817-819 | O720 | 14 | 769 | O99212 | 14 | 831-833 | ||
| O46013 | 14 | 831-833 | O720 | 14 | 776 | O99213 | 14 | 817-819 | ||
| O46019 | 14 | 817-819 | O721 | 14 | 769 | O99213 | 14 | 831-833 | ||
| O46019 | 14 | 831-833 | O721 | 14 | 776 | O99214 | 14 | 998 | ||
| O46021 | 14 | 817-819 | O722 | 14 | 769 | O99215 | 14 | 769 | ||
| O46021 | 14 | 831-833 | O722 | 14 | 776 | O99215 | 14 | 776 | ||
| O46022 | 14 | 817-819 | O723 | 14 | 769 | O99280 | 14 | 817-819 | ||
| O46022 | 14 | 831-833 | O723 | 14 | 776 | O99280 | 14 | 831-833 | ||
| O46023 | 14 | 817-819 | O730 | 14 | 769 | O99281 | 14 | 817-819 | ||
| O46023 | 14 | 831-833 | O730 | 14 | 776 | O99281 | 14 | 831-833 | ||
| O46029 | 14 | 817-819 | O731 | 14 | 769 | O99282 | 14 | 817-819 | ||
| O46029 | 14 | 831-833 | O731 | 14 | 776 | O99282 | 14 | 831-833 | ||
| O46091 | 14 | 817-819 | O740 | 14 | 998 | O99283 | 14 | 817-819 | ||
| O46091 | 14 | 831-833 | O741 | 14 | 998 | O99283 | 14 | 831-833 | ||
| O46092 | 14 | 817-819 | O742 | 14 | 998 | O99284 | 14 | 998 | ||
| O46092 | 14 | 831-833 | O743 | 14 | 998 | O99285 | 14 | 769 | ||
| O46093 | 14 | 817-819 | O744 | 14 | 998 | O99285 | 14 | 776 | ||
| O46093 | 14 | 831-833 | O745 | 14 | 998 | O99310 | 14 | 817-819 | ||
| O46099 | 14 | 817-819 | O746 | 14 | 998 | O99310 | 14 | 831-833 | ||
| O46099 | 14 | 831-833 | O747 | 14 | 998 | O99311 | 14 | 817-819 | ||
| O468X1 | 14 | 817-819 | O748 | 14 | 998 | O99311 | 14 | 831-833 | ||
| O468X1 | 14 | 831-833 | O749 | 14 | 998 | O99312 | 14 | 817-819 | ||
| O468X2 | 14 | 817-819 | O750 | 14 | 998 | O99312 | 14 | 831-833 | ||
| O468X2 | 14 | 831-833 | O751 | 14 | 998 | O99313 | 14 | 817-819 | ||
| O468X3 | 14 | 817-819 | O752 | 14 | 817-819 | O99313 | 14 | 831-833 | ||
| O468X3 | 14 | 831-833 | O752 | 14 | 831-833 | O99314 | 14 | 998 | ||
| O468X9 | 14 | 817-819 | O753 | 14 | 817-819 | O99315 | 14 | 769 | ||
| O468X9 | 14 | 831-833 | O753 | 14 | 831-833 | O99315 | 14 | 776 | ||
| O4690 | 14 | 817-819 | O754 | 14 | 769 | O99320 | 14 | 817-819 | ||
| O4690 | 14 | 831-833 | O754 | 14 | 776 | O99320 | 14 | 831-833 | ||
| O4691 | 14 | 817-819 | O755 | 14 | 998 | O99321 | 14 | 817-819 | ||
| O4691 | 14 | 831-833 | O7581 | 14 | 998 | O99321 | 14 | 831-833 | ||
| O4692 | 14 | 817-819 | O7582 | 14 | 998 | O99322 | 14 | 817-819 | ||
| O4692 | 14 | 831-833 | O7589 | 14 | 998 | O99322 | 14 | 831-833 | ||
| O4693 | 14 | 817-819 | O759 | 14 | 998 | O99323 | 14 | 817-819 | ||
| O4693 | 14 | 831-833 | O76 | 14 | 998 | O99323 | 14 | 831-833 | ||
| O4700 | 14 | 817-819 | O770 | 14 | 998 | O99324 | 14 | 998 | ||
| O4700 | 14 | 831-833 | O771 | 14 | 998 | O99325 | 14 | 769 | ||
| O4702 | 14 | 817-819 | O778 | 14 | 998 | O99325 | 14 | 776 | ||
| O4702 | 14 | 831-833 | O779 | 14 | 998 | O99330 | 14 | 817-819 | ||
| O4703 | 14 | 817-819 | O80 | 14 | 998 | O99330 | 14 | 831-833 | ||
| O4703 | 14 | 831-833 | O82 | 14 | 998 | O99331 | 14 | 817-819 | ||
| O471 | 14 | 817-819 | O85 | 14 | 769 | O99331 | 14 | 831-833 | ||
| O471 | 14 | 831-833 | O85 | 14 | 776 | O99332 | 14 | 817-819 | ||
| O479 | 14 | 817-819 | O8600 | 14 | 769 | O99332 | 14 | 831-833 | ||
| O479 | 14 | 831-833 | O8600 | 14 | 776 | O99333 | 14 | 817-819 | ||
| O480 | 14 | 817-819 | O8601 | 14 | 769 | O99333 | 14 | 831-833 | ||
| O480 | 14 | 831-833 | O8601 | 14 | 776 | O99334 | 14 | 998 | ||
| O481 | 14 | 817-819 | O8602 | 14 | 769 | O99335 | 14 | 769 | ||
| O481 | 14 | 831-833 | O8602 | 14 | 776 | O99335 | 14 | 776 | ||
| O6000 | 14 | 817-819 | O8603 | 14 | 769 | O99340 | 14 | 817-819 | ||
| O6000 | 14 | 831-833 | O8603 | 14 | 776 | O99340 | 14 | 831-833 | ||
| O6002 | 14 | 817-819 | O8604 | 14 | 769 | O99341 | 14 | 817-819 | ||
| O6002 | 14 | 831-833 | O8604 | 14 | 776 | O99341 | 14 | 831-833 | ||
| O6003 | 14 | 817-819 | O8609 | 14 | 769 | O99342 | 14 | 817-819 | ||
| O6003 | 14 | 831-833 | O8609 | 14 | 776 | O99342 | 14 | 831-833 | ||
| O6010X0 | 14 | 998 | O8611 | 14 | 769 | O99343 | 14 | 817-819 | ||
| O6010X1 | 14 | 998 | O8611 | 14 | 776 | O99343 | 14 | 831-833 | ||
| O6010X2 | 14 | 998 | O8612 | 14 | 769 | O99344 | 14 | 998 | ||
| O6010X3 | 14 | 998 | O8612 | 14 | 776 | O99345 | 14 | 769 | ||
| O6010X4 | 14 | 998 | O8613 | 14 | 769 | O99345 | 14 | 776 | ||
| O6010X5 | 14 | 998 | O8613 | 14 | 776 | O99350 | 14 | 817-819 | ||
| O6010X9 | 14 | 998 | O8619 | 14 | 769 | O99350 | 14 | 831-833 | ||
| O6012X0 | 14 | 998 | O8619 | 14 | 776 | O99351 | 14 | 817-819 | ||
| O6012X1 | 14 | 998 | O8620 | 14 | 769 | O99351 | 14 | 831-833 | ||
| O6012X2 | 14 | 998 | O8620 | 14 | 776 | O99352 | 14 | 817-819 | ||
| O6012X3 | 14 | 998 | O8621 | 14 | 769 | O99352 | 14 | 831-833 | ||
| O6012X4 | 14 | 998 | O8621 | 14 | 776 | O99353 | 14 | 817-819 | ||
| O6012X5 | 14 | 998 | O8622 | 14 | 769 | O99353 | 14 | 831-833 | ||
| O6012X9 | 14 | 998 | O8622 | 14 | 776 | O99354 | 14 | 998 | ||
| O6013X0 | 14 | 998 | O8629 | 14 | 769 | O99355 | 14 | 769 | ||
| O6013X1 | 14 | 998 | O8629 | 14 | 776 | O99355 | 14 | 776 | ||
| O6013X2 | 14 | 998 | O864 | 14 | 769 | O99411 | 14 | 817-819 | ||
| O6013X3 | 14 | 998 | O864 | 14 | 776 | O99411 | 14 | 831-833 | ||
| O6013X4 | 14 | 998 | O8681 | 14 | 769 | O99412 | 14 | 817-819 | ||
| O6013X5 | 14 | 998 | O8681 | 14 | 776 | O99412 | 14 | 831-833 | ||
| O6013X9 | 14 | 998 | O8689 | 14 | 769 | O99413 | 14 | 817-819 | ||
| O6014X0 | 14 | 998 | O8689 | 14 | 776 | O99413 | 14 | 831-833 | ||
| O6014X1 | 14 | 998 | O870 | 14 | 769 | O99419 | 14 | 817-819 | ||
| O6014X2 | 14 | 998 | O870 | 14 | 776 | O99419 | 14 | 831-833 | ||
| O6014X3 | 14 | 998 | O871 | 14 | 769 | O9942 | 14 | 998 | ||
| O6014X4 | 14 | 998 | O871 | 14 | 776 | O9943 | 14 | 769 | ||
| O6014X5 | 14 | 998 | O872 | 14 | 769 | O9943 | 14 | 776 | ||
| O6014X9 | 14 | 998 | O872 | 14 | 776 | O99511 | 14 | 817-819 | ||
| O6020X0 | 14 | 998 | O873 | 14 | 769 | O99511 | 14 | 831-833 | ||
| O6020X1 | 14 | 998 | O873 | 14 | 776 | O99512 | 14 | 817-819 | ||
| O6020X2 | 14 | 998 | O874 | 14 | 769 | O99512 | 14 | 831-833 | ||
| O6020X3 | 14 | 998 | O874 | 14 | 776 | O99513 | 14 | 817-819 | ||
| O6020X4 | 14 | 998 | O878 | 14 | 769 | O99513 | 14 | 831-833 | ||
| O6020X5 | 14 | 998 | O878 | 14 | 776 | O99519 | 14 | 817-819 | ||
| O6020X9 | 14 | 998 | O879 | 14 | 769 | O99519 | 14 | 831-833 | ||
| O6022X0 | 14 | 998 | O879 | 14 | 776 | O9952 | 14 | 998 | ||
| O6022X1 | 14 | 998 | O88011 | 14 | 817-819 | O9953 | 14 | 769 | ||
| O6022X2 | 14 | 998 | O88011 | 14 | 831-833 | O9953 | 14 | 776 | ||
| O6022X3 | 14 | 998 | O88012 | 14 | 817-819 | O99611 | 14 | 817-819 | ||
| O88012 | 14 | 831-833 | O99611 | 14 | 831-833 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 23 Mar 2020 12:40:01 CMS, code-revision=249, description-revision=1272 |