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 26 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| O99612 | 14 | 817-819 | P354 | 15 | 791 | Q054 | 01 | 091-093 | ||
| O99612 | 14 | 831-833 | P354 | 15 | 793 | Q054 | 15 | 791 | ||
| O99613 | 14 | 817-819 | P358 | 15 | 791 | Q054 | 15 | 793 | ||
| O99613 | 14 | 831-833 | P358 | 15 | 793 | Q055 | 01 | 091-093 | ||
| O99619 | 14 | 817-819 | P359 | 15 | 791 | Q055 | 15 | 791 | ||
| O99619 | 14 | 831-833 | P359 | 15 | 793 | Q055 | 15 | 793 | ||
| O9962 | 14 | 998 | P360 | 15 | 791 | Q056 | 01 | 091-093 | ||
| O9963 | 14 | 769 | P360 | 15 | 793 | Q056 | 15 | 791 | ||
| O9963 | 14 | 776 | P3610 | 15 | 791 | Q056 | 15 | 793 | ||
| O99711 | 14 | 817-819 | P3610 | 15 | 793 | Q057 | 01 | 091-093 | ||
| O99711 | 14 | 831-833 | P3619 | 15 | 791 | Q057 | 15 | 791 | ||
| O99712 | 14 | 817-819 | P3619 | 15 | 793 | Q057 | 15 | 793 | ||
| O99712 | 14 | 831-833 | P362 | 15 | 791 | Q058 | 01 | 091-093 | ||
| O99713 | 14 | 817-819 | P362 | 15 | 793 | Q058 | 15 | 791 | ||
| O99713 | 14 | 831-833 | P3630 | 15 | 791 | Q058 | 15 | 793 | ||
| O99719 | 14 | 817-819 | P3630 | 15 | 793 | Q059 | 01 | 091-093 | ||
| O99719 | 14 | 831-833 | P3639 | 15 | 791 | Q059 | 15 | 791 | ||
| O9972 | 14 | 998 | P3639 | 15 | 793 | Q059 | 15 | 793 | ||
| O9973 | 14 | 769 | P364 | 15 | 791 | Q060 | 01 | 091-093 | ||
| O9973 | 14 | 776 | P364 | 15 | 793 | Q060 | 15 | 791 | ||
| O99810 | 14 | 817-819 | P365 | 15 | 791 | Q060 | 15 | 793 | ||
| O99810 | 14 | 831-833 | P365 | 15 | 793 | Q061 | 01 | 091-093 | ||
| O99814 | 14 | 998 | P368 | 15 | 791 | Q061 | 15 | 791 | ||
| O99815 | 14 | 769 | P368 | 15 | 793 | Q061 | 15 | 793 | ||
| O99815 | 14 | 776 | P369 | 15 | 791 | Q062 | 01 | 091-093 | ||
| O99820 | 14 | 817-819 | P369 | 15 | 793 | Q062 | 15 | 791 | ||
| O99820 | 14 | 831-833 | P370 | 15 | 791 | Q062 | 15 | 793 | ||
| O99824 | 14 | 998 | P370 | 15 | 793 | Q063 | 01 | 091-093 | ||
| O99825 | 14 | 769 | P371 | 15 | 791 | Q063 | 15 | 791 | ||
| O99825 | 14 | 776 | P371 | 15 | 793 | Q063 | 15 | 793 | ||
| O99830 | 14 | 817-819 | P372 | 15 | 791 | Q064 | 01 | 091-093 | ||
| O99830 | 14 | 831-833 | P372 | 15 | 793 | Q064 | 15 | 791 | ||
| O99834 | 14 | 998 | P373 | 15 | 791 | Q064 | 15 | 793 | ||
| O99835 | 14 | 769 | P373 | 15 | 793 | Q068 | 01 | 091-093 | ||
| O99835 | 14 | 776 | P374 | 15 | 791 | Q068 | 15 | 791 | ||
| O99840 | 14 | 817-819 | P374 | 15 | 793 | Q068 | 15 | 793 | ||
| O99840 | 14 | 831-833 | P375 | 15 | 794 | Q069 | 01 | 091-093 | ||
| O99841 | 14 | 817-819 | P378 | 15 | 791 | Q069 | 15 | 791 | ||
| O99841 | 14 | 831-833 | P378 | 15 | 793 | Q069 | 15 | 793 | ||
| O99842 | 14 | 817-819 | P379 | 15 | 791 | Q0700 | 01 | 091-093 | ||
| O99842 | 14 | 831-833 | P379 | 15 | 793 | Q0700 | 15 | 791 | ||
| O99843 | 14 | 817-819 | P381 | 15 | 791 | Q0700 | 15 | 793 | ||
| O99843 | 14 | 831-833 | P381 | 15 | 793 | Q0701 | 01 | 091-093 | ||
| O99844 | 14 | 998 | P389 | 15 | 791 | Q0701 | 15 | 791 | ||
| O99845 | 14 | 769 | P389 | 15 | 793 | Q0701 | 15 | 793 | ||
| O99845 | 14 | 776 | P390 | 15 | 791 | Q0702 | 01 | 091-093 | ||
| O9989 | 14 | 817-819 | P390 | 15 | 793 | Q0702 | 15 | 791 | ||
| O9989 | 14 | 831-833 | P391 | 15 | 794 | Q0702 | 15 | 793 | ||
| O9A111 | 14 | 817-819 | P392 | 15 | 791 | Q0703 | 01 | 091-093 | ||
| O9A111 | 14 | 831-833 | P392 | 15 | 793 | Q0703 | 15 | 791 | ||
| O9A112 | 14 | 817-819 | P393 | 15 | 791 | Q0703 | 15 | 793 | ||
| O9A112 | 14 | 831-833 | P393 | 15 | 793 | Q078 | 01 | 091-093 | ||
| O9A113 | 14 | 817-819 | P394 | 15 | 791 | Q078 | 15 | 791 | ||
| O9A113 | 14 | 831-833 | P394 | 15 | 793 | Q078 | 15 | 793 | ||
| O9A119 | 14 | 817-819 | P398 | 15 | 791 | Q079 | 01 | 091-093 | ||
| O9A119 | 14 | 831-833 | P398 | 15 | 793 | Q079 | 15 | 791 | ||
| O9A12 | 14 | 998 | P399 | 15 | 791 | Q079 | 15 | 793 | ||
| O9A13 | 14 | 769 | P399 | 15 | 793 | Q100 | 02 | 124-125 | ||
| O9A13 | 14 | 776 | P500 | 15 | 791 | Q101 | 02 | 124-125 | ||
| O9A211 | 14 | 817-819 | P500 | 15 | 793 | Q102 | 02 | 124-125 | ||
| O9A211 | 14 | 831-833 | P501 | 15 | 791 | Q103 | 02 | 124-125 | ||
| O9A212 | 14 | 817-819 | P501 | 15 | 793 | Q104 | 02 | 124-125 | ||
| O9A212 | 14 | 831-833 | P502 | 15 | 791 | Q105 | 02 | 124-125 | ||
| O9A213 | 14 | 817-819 | P502 | 15 | 793 | Q106 | 02 | 124-125 | ||
| O9A213 | 14 | 831-833 | P503 | 15 | 791 | Q107 | 02 | 124-125 | ||
| O9A219 | 14 | 817-819 | P503 | 15 | 793 | Q110 | 02 | 124-125 | ||
| O9A219 | 14 | 831-833 | P504 | 15 | 791 | Q111 | 02 | 124-125 | ||
| O9A22 | 14 | 998 | P504 | 15 | 793 | Q112 | 02 | 124-125 | ||
| O9A23 | 14 | 769 | P505 | 15 | 791 | Q113 | 02 | 124-125 | ||
| O9A23 | 14 | 776 | P505 | 15 | 793 | Q120 | 02 | 124-125 | ||
| O9A311 | 14 | 817-819 | P508 | 15 | 791 | Q121 | 02 | 124-125 | ||
| O9A311 | 14 | 831-833 | P508 | 15 | 793 | Q122 | 02 | 124-125 | ||
| O9A312 | 14 | 817-819 | P509 | 15 | 791 | Q123 | 02 | 124-125 | ||
| O9A312 | 14 | 831-833 | P509 | 15 | 793 | Q124 | 02 | 124-125 | ||
| O9A313 | 14 | 817-819 | P510 | 15 | 794 | Q128 | 02 | 124-125 | ||
| O9A313 | 14 | 831-833 | P518 | 15 | 794 | Q129 | 02 | 124-125 | ||
| O9A319 | 14 | 817-819 | P519 | 15 | 794 | Q130 | 02 | 124-125 | ||
| O9A319 | 14 | 831-833 | P520 | 15 | 791 | Q131 | 02 | 124-125 | ||
| O9A32 | 14 | 998 | P520 | 15 | 793 | Q132 | 02 | 124-125 | ||
| O9A33 | 14 | 769 | P521 | 15 | 791 | Q133 | 02 | 124-125 | ||
| O9A33 | 14 | 776 | P521 | 15 | 793 | Q134 | 02 | 124-125 | ||
| O9A411 | 14 | 817-819 | P5221 | 15 | 791 | Q135 | 02 | 124-125 | ||
| O9A411 | 14 | 831-833 | P5221 | 15 | 793 | Q1381 | 02 | 124-125 | ||
| O9A412 | 14 | 817-819 | P5222 | 15 | 791 | Q1389 | 02 | 124-125 | ||
| O9A412 | 14 | 831-833 | P5222 | 15 | 793 | Q139 | 02 | 124-125 | ||
| O9A413 | 14 | 817-819 | P523 | 15 | 791 | Q140 | 02 | 124-125 | ||
| O9A413 | 14 | 831-833 | P523 | 15 | 793 | Q141 | 02 | 124-125 | ||
| O9A419 | 14 | 817-819 | P524 | 15 | 791 | Q142 | 02 | 124-125 | ||
| O9A419 | 14 | 831-833 | P524 | 15 | 793 | Q143 | 02 | 124-125 | ||
| O9A42 | 14 | 998 | P525 | 15 | 791 | Q148 | 02 | 124-125 | ||
| O9A43 | 14 | 769 | P525 | 15 | 793 | Q149 | 02 | 124-125 | ||
| O9A43 | 14 | 776 | P526 | 15 | 791 | Q150 | 02 | 124-125 | ||
| O9A511 | 14 | 817-819 | P526 | 15 | 793 | Q158 | 02 | 124-125 | ||
| O9A511 | 14 | 831-833 | P528 | 15 | 791 | Q159 | 02 | 124-125 | ||
| O9A512 | 14 | 817-819 | P528 | 15 | 793 | Q160 | 03 | 154-156 | ||
| O9A512 | 14 | 831-833 | P529 | 15 | 791 | Q161 | 03 | 154-156 | ||
| O9A513 | 14 | 817-819 | P529 | 15 | 793 | Q162 | 03 | 154-156 | ||
| O9A513 | 14 | 831-833 | P53 | 15 | 791 | Q163 | 03 | 154-156 | ||
| O9A519 | 14 | 817-819 | P53 | 15 | 793 | Q164 | 03 | 154-156 | ||
| O9A519 | 14 | 831-833 | P540 | 15 | 794 | Q165 | 03 | 154-156 | ||
| O9A52 | 14 | 998 | P541 | 15 | 791 | Q169 | 03 | 154-156 | ||
| O9A53 | 14 | 769 | P541 | 15 | 793 | Q170 | 03 | 154-156 | ||
| O9A53 | 14 | 776 | P542 | 15 | 791 | Q170 | 15 | 795 | ||
| P000 | 15 | 794 | P542 | 15 | 793 | Q171 | 03 | 154-156 | ||
| P001 | 15 | 794 | P543 | 15 | 791 | Q172 | 03 | 154-156 | ||
| P002 | 15 | 795 | P543 | 15 | 793 | Q173 | 03 | 154-156 | ||
| P002 | 23 | 951 | P544 | 15 | 791 | Q174 | 03 | 154-156 | ||
| P003 | 15 | 795 | P544 | 15 | 793 | Q175 | 03 | 154-156 | ||
| P004 | 15 | 794 | P545 | 15 | 795 | Q178 | 03 | 154-156 | ||
| P005 | 15 | 794 | P546 | 15 | 794 | Q179 | 03 | 154-156 | ||
| P006 | 15 | 794 | P548 | 15 | 794 | Q180 | 03 | 154-156 | ||
| P007 | 15 | 794 | P549 | 15 | 794 | Q181 | 03 | 154-156 | ||
| P0081 | 15 | 794 | P550 | 15 | 794 | Q182 | 03 | 154-156 | ||
| P0089 | 15 | 795 | P551 | 15 | 794 | Q183 | 09 | 606-607 | ||
| P0089 | 23 | 951 | P558 | 15 | 791 | Q184 | 03 | 157-159 | ||
| P009 | 15 | 795 | P558 | 15 | 793 | Q185 | 03 | 157-159 | ||
| P010 | 15 | 794 | P559 | 15 | 791 | Q186 | 03 | 157-159 | ||
| P011 | 15 | 794 | P559 | 15 | 793 | Q187 | 03 | 157-159 | ||
| P012 | 15 | 794 | P560 | 15 | 791 | Q188 | 03 | 154-156 | ||
| P013 | 15 | 794 | P560 | 15 | 793 | Q189 | 09 | 606-607 | ||
| P014 | 15 | 794 | P5690 | 15 | 791 | Q200 | 05 | 306-307 | ||
| P015 | 15 | 794 | P5690 | 15 | 793 | Q201 | 05 | 306-307 | ||
| P016 | 15 | 794 | P5699 | 15 | 791 | Q202 | 05 | 306-307 | ||
| P017 | 15 | 794 | P5699 | 15 | 793 | Q203 | 05 | 306-307 | ||
| P018 | 15 | 794 | P570 | 15 | 791 | Q204 | 05 | 306-307 | ||
| P019 | 15 | 794 | P570 | 15 | 793 | Q205 | 05 | 306-307 | ||
| P020 | 15 | 794 | P578 | 15 | 791 | Q206 | 05 | 306-307 | ||
| P021 | 15 | 794 | P578 | 15 | 793 | Q208 | 05 | 306-307 | ||
| P0220 | 15 | 794 | P579 | 15 | 791 | Q209 | 05 | 306-307 | ||
| P0229 | 15 | 794 | P579 | 15 | 793 | Q210 | 05 | 306-307 | ||
| P023 | 15 | 794 | P580 | 15 | 794 | Q210 | 15 | 791 | ||
| P024 | 15 | 795 | P581 | 15 | 794 | Q210 | 15 | 793 | ||
| P025 | 15 | 795 | P582 | 15 | 794 | Q211 | 05 | 306-307 | ||
| P0260 | 15 | 795 | P583 | 15 | 794 | Q212 | 05 | 306-307 | ||
| P0269 | 15 | 795 | P5841 | 15 | 794 | Q213 | 05 | 306-307 | ||
| P0270 | 15 | 794 | P5842 | 15 | 794 | Q214 | 05 | 306-307 | ||
| P0278 | 15 | 794 | P585 | 15 | 794 | Q218 | 05 | 306-307 | ||
| P028 | 15 | 794 | P588 | 15 | 794 | Q219 | 05 | 306-307 | ||
| P029 | 15 | 794 | P589 | 15 | 794 | Q220 | 05 | 306-307 | ||
| P030 | 15 | 795 | P590 | 15 | 794 | Q221 | 05 | 306-307 | ||
| P031 | 15 | 795 | P591 | 15 | 791 | Q222 | 05 | 306-307 | ||
| P032 | 15 | 795 | P591 | 15 | 793 | Q223 | 05 | 306-307 | ||
| P033 | 15 | 795 | P5920 | 15 | 791 | Q224 | 05 | 306-307 | ||
| P034 | 15 | 791 | P5920 | 15 | 793 | Q225 | 05 | 306-307 | ||
| P034 | 15 | 793 | P5929 | 15 | 791 | Q226 | 05 | 306-307 | ||
| P035 | 15 | 795 | P5929 | 15 | 793 | Q228 | 05 | 306-307 | ||
| P036 | 15 | 794 | P593 | 15 | 795 | Q229 | 05 | 306-307 | ||
| P03810 | 15 | 794 | P598 | 15 | 795 | Q230 | 05 | 306-307 | ||
| P03811 | 15 | 794 | P599 | 15 | 795 | Q231 | 05 | 306-307 | ||
| P03819 | 15 | 794 | P60 | 15 | 791 | Q232 | 05 | 306-307 | ||
| P0382 | 15 | 794 | P60 | 15 | 793 | Q233 | 05 | 306-307 | ||
| P0389 | 15 | 794 | P610 | 15 | 791 | Q234 | 05 | 306-307 | ||
| P039 | 15 | 795 | P610 | 15 | 793 | Q238 | 05 | 306-307 | ||
| P040 | 15 | 794 | P611 | 15 | 794 | Q239 | 05 | 306-307 | ||
| P0411 | 15 | 794 | P612 | 15 | 791 | Q240 | 05 | 306-307 | ||
| P0412 | 15 | 794 | P612 | 15 | 793 | Q241 | 05 | 306-307 | ||
| P0413 | 15 | 794 | P613 | 15 | 794 | Q242 | 05 | 306-307 | ||
| P0414 | 15 | 794 | P614 | 15 | 794 | Q243 | 05 | 306-307 | ||
| P0415 | 15 | 794 | P615 | 15 | 794 | Q244 | 05 | 306-307 | ||
| P0416 | 15 | 794 | P616 | 15 | 791 | Q245 | 05 | 306-307 | ||
| P0417 | 15 | 794 | P616 | 15 | 793 | Q246 | 05 | 308-310 | ||
| P0418 | 15 | 794 | P618 | 15 | 794 | Q248 | 05 | 306-307 | ||
| P0419 | 15 | 794 | P619 | 15 | 794 | Q249 | 05 | 306-307 | ||
| P041A | 15 | 794 | P700 | 15 | 794 | Q250 | 05 | 306-307 | ||
| P042 | 15 | 794 | P701 | 15 | 794 | Q251 | 05 | 306-307 | ||
| P043 | 15 | 794 | P702 | 15 | 791 | Q2521 | 05 | 306-307 | ||
| P0440 | 15 | 794 | P702 | 15 | 793 | Q2529 | 05 | 306-307 | ||
| P0441 | 15 | 794 | P703 | 15 | 791 | Q253 | 05 | 306-307 | ||
| P0442 | 15 | 794 | P703 | 15 | 793 | Q2540 | 05 | 306-307 | ||
| P0449 | 15 | 794 | P704 | 15 | 791 | Q2541 | 05 | 306-307 | ||
| P045 | 15 | 794 | P704 | 15 | 793 | Q2542 | 05 | 306-307 | ||
| P046 | 15 | 794 | P708 | 15 | 794 | Q2543 | 05 | 306-307 | ||
| P0481 | 15 | 794 | P709 | 15 | 794 | Q2544 | 05 | 306-307 | ||
| P0489 | 15 | 794 | P710 | 15 | 791 | Q2545 | 05 | 306-307 | ||
| P049 | 15 | 794 | P710 | 15 | 793 | Q2546 | 05 | 306-307 | ||
| P0500 | 15 | 794 | P711 | 15 | 791 | Q2547 | 05 | 306-307 | ||
| P0501 | 15 | 794 | P711 | 15 | 793 | Q2548 | 05 | 306-307 | ||
| P0502 | 15 | 794 | P712 | 15 | 791 | Q2549 | 05 | 306-307 | ||
| P0503 | 15 | 794 | P712 | 15 | 793 | Q255 | 05 | 306-307 | ||
| P0504 | 15 | 794 | P713 | 15 | 791 | Q256 | 05 | 306-307 | ||
| P0505 | 15 | 794 | P713 | 15 | 793 | Q2571 | 05 | 306-307 | ||
| P0506 | 15 | 794 | P714 | 15 | 791 | Q2572 | 05 | 306-307 | ||
| P0507 | 15 | 794 | P714 | 15 | 793 | Q2579 | 05 | 306-307 | ||
| P0508 | 15 | 795 | P718 | 15 | 791 | Q258 | 05 | 306-307 | ||
| P0509 | 15 | 794 | P718 | 15 | 793 | Q259 | 05 | 306-307 | ||
| P0510 | 15 | 794 | P719 | 15 | 791 | Q260 | 05 | 306-307 | ||
| P0511 | 15 | 791 | P719 | 15 | 793 | Q261 | 05 | 306-307 | ||
| P0511 | 15 | 793 | P720 | 15 | 794 | Q262 | 05 | 306-307 | ||
| P0512 | 15 | 791 | P721 | 15 | 791 | Q263 | 05 | 306-307 | ||
| P0512 | 15 | 793 | P721 | 15 | 793 | Q264 | 05 | 306-307 | ||
| P0513 | 15 | 791 | P722 | 15 | 794 | Q265 | 05 | 299-301 | ||
| P0513 | 15 | 793 | P728 | 15 | 794 | Q266 | 05 | 299-301 | ||
| P0514 | 15 | 791 | P729 | 15 | 794 | Q268 | 05 | 306-307 | ||
| P0514 | 15 | 793 | P740 | 15 | 791 | Q269 | 05 | 306-307 | ||
| P0515 | 15 | 791 | P740 | 15 | 793 | Q270 | 05 | 299-301 | ||
| P0515 | 15 | 793 | P741 | 15 | 791 | Q271 | 05 | 299-301 | ||
| P0516 | 15 | 791 | P741 | 15 | 793 | Q272 | 05 | 299-301 | ||
| P0516 | 15 | 793 | P7421 | 15 | 791 | Q2730 | 05 | 299-301 | ||
| P0517 | 15 | 791 | P7421 | 15 | 793 | Q2731 | 05 | 299-301 | ||
| P0517 | 15 | 793 | P7422 | 15 | 791 | Q2732 | 05 | 299-301 | ||
| P0518 | 15 | 795 | P7422 | 15 | 793 | Q2733 | 05 | 299-301 | ||
| P0519 | 15 | 794 | P7431 | 15 | 791 | Q2734 | 05 | 299-301 | ||
| P052 | 15 | 791 | P7431 | 15 | 793 | Q2739 | 05 | 299-301 | ||
| P052 | 15 | 793 | P7432 | 15 | 791 | Q274 | 05 | 299-301 | ||
| P059 | 15 | 794 | P7432 | 15 | 793 | Q278 | 05 | 299-301 | ||
| P0700 | 15 | 791-792 | P7441 | 15 | 794 | Q279 | 05 | 299-301 | ||
| P0701 | 15 | 790 | P74421 | 15 | 791 | Q280 | 05 | 299-301 | ||
| P0702 | 15 | 790 | P74421 | 15 | 793 | Q281 | 05 | 299-301 | ||
| P0703 | 15 | 790 | P74422 | 15 | 791 | Q282 | 01 | 091-093 | ||
| P0710 | 15 | 791-792 | P74422 | 15 | 793 | Q283 | 01 | 091-093 | ||
| P0714 | 15 | 791-792 | P7449 | 15 | 791 | Q288 | 05 | 299-301 | ||
| P0715 | 15 | 791-792 | P7449 | 15 | 793 | Q289 | 05 | 299-301 | ||
| P0716 | 15 | 791-792 | P745 | 15 | 794 | Q300 | 03 | 154-156 | ||
| P0717 | 15 | 791-792 | P746 | 15 | 794 | Q301 | 03 | 154-156 | ||
| P0718 | 15 | 791-792 | P748 | 15 | 794 | Q302 | 03 | 154-156 | ||
| P0720 | 15 | 795 | P749 | 15 | 794 | Q303 | 03 | 154-156 | ||
| P0721 | 15 | 790 | P760 | 15 | 791 | Q308 | 03 | 154-156 | ||
| P0722 | 15 | 790 | P760 | 15 | 793 | Q309 | 03 | 154-156 | ||
| P0723 | 15 | 790 | P761 | 15 | 794 | Q310 | Pre | 011-013 | ||
| P0724 | 15 | 790 | P762 | 15 | 791 | Q310 | 03 | 154-156 | ||
| P0725 | 15 | 790 | P762 | 15 | 793 | Q311 | Pre | 011-013 | ||
| P0726 | 15 | 791-792 | P768 | 15 | 794 | Q311 | 03 | 154-156 | ||
| P0730 | 15 | 791-792 | P769 | 15 | 794 | Q312 | Pre | 011-013 | ||
| P0731 | 15 | 791-792 | P771 | 15 | 791 | Q312 | 03 | 154-156 | ||
| P0732 | 15 | 791-792 | P771 | 15 | 793 | Q313 | Pre | 011-013 | ||
| P0733 | 15 | 791-792 | P772 | 15 | 791 | Q313 | 03 | 154-156 | ||
| P0734 | 15 | 791-792 | P772 | 15 | 793 | Q315 | Pre | 011-013 | ||
| P0735 | 15 | 791-792 | P773 | 15 | 791 | Q315 | 03 | 154-156 | ||
| P0736 | 15 | 791-792 | P773 | 15 | 793 | Q318 | Pre | 011-013 | ||
| P0737 | 15 | 791-792 | P779 | 15 | 791 | Q318 | 03 | 154-156 | ||
| P0738 | 15 | 791-792 | P779 | 15 | 793 | Q319 | Pre | 011-013 | ||
| P0739 | 15 | 791-792 | P780 | 15 | 791 | Q319 | 03 | 154-156 | ||
| P080 | 15 | 795 | P780 | 15 | 793 | Q320 | Pre | 011-013 | ||
| P081 | 15 | 795 | P781 | 15 | 794 | Q320 | 03 | 154-156 | ||
| P0821 | 15 | 795 | P782 | 15 | 794 | Q321 | Pre | 011-013 | ||
| P0822 | 15 | 795 | P783 | 15 | 794 | Q321 | 03 | 154-156 | ||
| P09 | 23 | 947-948 | P7881 | 15 | 794 | Q322 | Pre | 011-013 | ||
| P100 | 15 | 791 | P7882 | 15 | 794 | Q322 | 03 | 154-156 | ||
| P100 | 15 | 793 | P7883 | 15 | 794 | Q323 | Pre | 011-013 | ||
| P101 | 15 | 791 | P7884 | 15 | 794 | Q323 | 03 | 154-156 | ||
| P101 | 15 | 793 | P7889 | 15 | 794 | Q324 | Pre | 011-013 | ||
| P102 | 15 | 791 | P789 | 15 | 794 | Q324 | 03 | 154-156 | ||
| P102 | 15 | 793 | P800 | 15 | 794 | Q330 | 04 | 205-206 | ||
| P103 | 15 | 791 | P808 | 15 | 794 | Q331 | 04 | 205-206 | ||
| P103 | 15 | 793 | P809 | 15 | 794 | Q332 | 04 | 205-206 | ||
| P104 | 15 | 791 | P810 | 15 | 794 | Q333 | 04 | 205-206 | ||
| P104 | 15 | 793 | P818 | 15 | 794 | Q334 | 04 | 190-192 | ||
| P108 | 15 | 791 | P819 | 15 | 794 | Q335 | 04 | 205-206 | ||
| P108 | 15 | 793 | P830 | 15 | 794 | Q336 | 04 | 205-206 | ||
| P109 | 15 | 791 | P831 | 15 | 795 | Q338 | 04 | 205-206 | ||
| P109 | 15 | 793 | P832 | 15 | 791 | Q339 | 04 | 205-206 | ||
| P110 | 15 | 791 | P832 | 15 | 793 | Q340 | 04 | 205-206 | ||
| P110 | 15 | 793 | P8330 | 15 | 794 | Q341 | 04 | 205-206 | ||
| P111 | 15 | 794 | P8339 | 15 | 794 | Q348 | 04 | 205-206 | ||
| P112 | 15 | 791 | P834 | 15 | 794 | Q349 | 04 | 205-206 | ||
| P112 | 15 | 793 | P835 | 15 | 794 | Q351 | Pre | 011-013 | ||
| P113 | 15 | 794 | P836 | 15 | 795 | Q351 | 03 | 157-159 | ||
| P114 | 15 | 791 | P8381 | 15 | 795 | Q353 | Pre | 011-013 | ||
| P114 | 15 | 793 | P8388 | 15 | 795 | Q353 | 03 | 157-159 | ||
| P115 | 15 | 791 | P839 | 15 | 794 | Q355 | Pre | 011-013 | ||
| P115 | 15 | 793 | P84 | 15 | 794 | Q355 | 03 | 157-159 | ||
| P119 | 15 | 791 | P90 | 15 | 791 | Q357 | Pre | 011-013 | ||
| P119 | 15 | 793 | P90 | 15 | 793 | Q357 | 03 | 157-159 | ||
| P120 | 15 | 795 | P910 | 15 | 791 | Q359 | Pre | 011-013 | ||
| P121 | 15 | 795 | P910 | 15 | 793 | Q359 | 03 | 157-159 | ||
| P122 | 15 | 791 | P911 | 15 | 791 | Q360 | Pre | 011-013 | ||
| P122 | 15 | 793 | P911 | 15 | 793 | Q360 | 03 | 157-159 | ||
| P123 | 15 | 795 | P912 | 01 | 091-093 | Q361 | Pre | 011-013 | ||
| P124 | 15 | 795 | P912 | 15 | 791 | Q361 | 03 | 157-159 | ||
| P1281 | 15 | 795 | P912 | 15 | 793 | Q369 | Pre | 011-013 | ||
| P1289 | 15 | 795 | P913 | 15 | 791 | Q369 | 03 | 157-159 | ||
| P129 | 15 | 795 | P913 | 15 | 793 | Q370 | Pre | 011-013 | ||
| P130 | 15 | 794 | P914 | 15 | 791 | Q370 | 03 | 157-159 | ||
| P131 | 15 | 794 | P914 | 15 | 793 | Q371 | Pre | 011-013 | ||
| P132 | 15 | 794 | P915 | 15 | 791 | Q371 | 03 | 157-159 | ||
| P133 | 15 | 794 | P915 | 15 | 793 | Q372 | Pre | 011-013 | ||
| P134 | 15 | 794 | P9160 | 15 | 794 | Q372 | 03 | 157-159 | ||
| P138 | 15 | 794 | P9161 | 15 | 794 | Q373 | Pre | 011-013 | ||
| P139 | 15 | 794 | P9162 | 15 | 791 | Q373 | 03 | 157-159 | ||
| P140 | 15 | 794 | P9162 | 15 | 793 | Q374 | Pre | 011-013 | ||
| P141 | 15 | 794 | P9163 | 15 | 791 | Q374 | 03 | 157-159 | ||
| P142 | 15 | 791 | P9163 | 15 | 793 | Q375 | Pre | 011-013 | ||
| P142 | 15 | 793 | P91811 | 15 | 791 | Q375 | 03 | 157-159 | ||
| P143 | 15 | 794 | P91811 | 15 | 793 | Q378 | Pre | 011-013 | ||
| P148 | 15 | 791 | P91819 | 15 | 791 | Q378 | 03 | 157-159 | ||
| P148 | 15 | 793 | P91819 | 15 | 793 | Q379 | Pre | 011-013 | ||
| P149 | 15 | 791 | P9188 | 15 | 791 | Q379 | 03 | 157-159 | ||
| P149 | 15 | 793 | P9188 | 15 | 793 | Q380 | Pre | 011-013 | ||
| P150 | 15 | 794 | P919 | 15 | 791 | Q380 | 03 | 157-159 | ||
| P151 | 15 | 794 | P919 | 15 | 793 | Q381 | Pre | 011-013 | ||
| P152 | 15 | 794 | P9201 | 15 | 791 | Q381 | 03 | 157-159 | ||
| P153 | 15 | 794 | P9201 | 15 | 793 | Q382 | Pre | 011-013 | ||
| P154 | 15 | 794 | P9209 | 15 | 795 | Q382 | 03 | 157-159 | ||
| P155 | 15 | 794 | P921 | 15 | 795 | Q383 | Pre | 011-013 | ||
| P156 | 15 | 794 | P922 | 15 | 795 | Q383 | 03 | 157-159 | ||
| P158 | 15 | 794 | P923 | 15 | 795 | Q384 | Pre | 011-013 | ||
| P159 | 15 | 794 | P924 | 15 | 795 | Q384 | 03 | 154-156 | ||
| P190 | 15 | 794 | P925 | 15 | 795 | Q385 | 06 | 393-395 | ||
| P191 | 15 | 794 | P926 | 10 | 640-641 | Q386 | Pre | 011-013 | ||
| P192 | 15 | 794 | P928 | 15 | 795 | Q386 | 03 | 157-159 | ||
| P199 | 15 | 794 | P929 | 15 | 795 | Q387 | Pre | 011-013 | ||
| P220 | 15 | 790 | P930 | 15 | 791 | Q387 | 03 | 154-156 | ||
| P221 | 15 | 794 | P930 | 15 | 793 | Q388 | Pre | 011-013 | ||
| P228 | 15 | 794 | P938 | 15 | 791 | Q388 | 03 | 154-156 | ||
| P229 | 15 | 794 | P938 | 15 | 793 | Q390 | 06 | 368-370 | ||
| P230 | 15 | 791 | P940 | 15 | 791 | Q391 | 06 | 368-370 | ||
| P230 | 15 | 793 | P940 | 15 | 793 | Q392 | 06 | 368-370 | ||
| P231 | 15 | 791 | P941 | 15 | 794 | Q393 | 06 | 368-370 | ||
| P231 | 15 | 793 | P942 | 15 | 794 | Q394 | 06 | 368-370 | ||
| P232 | 15 | 791 | P948 | 15 | 794 | Q395 | 06 | 368-370 | ||
| P232 | 15 | 793 | P949 | 15 | 794 | Q396 | 06 | 368-370 | ||
| P233 | 15 | 791 | P95 | 15 | 794 | Q398 | 06 | 368-370 | ||
| P233 | 15 | 793 | P960 | 15 | 794 | Q399 | 06 | 368-370 | ||
| P234 | 15 | 791 | P961 | 15 | 791 | Q400 | 06 | 393-395 | ||
| P234 | 15 | 793 | P961 | 15 | 793 | Q401 | 06 | 393-395 | ||
| P235 | 15 | 791 | P962 | 15 | 791 | Q402 | 06 | 393-395 | ||
| P235 | 15 | 793 | P962 | 15 | 793 | Q403 | 06 | 393-395 | ||
| P236 | 15 | 791 | P963 | 15 | 794 | Q408 | 06 | 393-395 | ||
| P236 | 15 | 793 | P965 | 15 | 794 | Q409 | 06 | 393-395 | ||
| P238 | 15 | 791 | P9681 | 15 | 794 | Q410 | 06 | 393-395 | ||
| P238 | 15 | 793 | P9682 | 15 | 795 | Q411 | 06 | 393-395 | ||
| P239 | 15 | 791 | P9683 | 15 | 794 | Q412 | 06 | 393-395 | ||
| P239 | 15 | 793 | P9689 | 15 | 794 | Q418 | 06 | 393-395 | ||
| P2400 | 15 | 791 | P969 | 15 | 794 | Q419 | 06 | 393-395 | ||
| P2400 | 15 | 793 | Q000 | 01 | 091-093 | Q420 | 06 | 393-395 | ||
| P2401 | 15 | 791 | Q000 | 15 | 791 | Q421 | 06 | 393-395 | ||
| P2401 | 15 | 793 | Q000 | 15 | 793 | Q422 | 06 | 393-395 | ||
| P2410 | 15 | 791 | Q001 | 01 | 091-093 | Q423 | 06 | 393-395 | ||
| P2410 | 15 | 793 | Q001 | 15 | 791 | Q428 | 06 | 393-395 | ||
| P2411 | 15 | 791 | Q001 | 15 | 793 | Q429 | 06 | 393-395 | ||
| P2411 | 15 | 793 | Q002 | 01 | 091-093 | Q430 | 06 | 380-382 | ||
| P2420 | 15 | 791 | Q002 | 15 | 791 | Q431 | 06 | 393-395 | ||
| P2420 | 15 | 793 | Q002 | 15 | 793 | Q432 | 06 | 393-395 | ||
| P2421 | 15 | 791 | Q010 | 01 | 091-093 | Q433 | 06 | 393-395 | ||
| P2421 | 15 | 793 | Q010 | 15 | 791 | Q434 | 06 | 393-395 | ||
| P2430 | 15 | 791 | Q010 | 15 | 793 | Q435 | 06 | 393-395 | ||
| P2430 | 15 | 793 | Q011 | 01 | 091-093 | Q436 | 06 | 393-395 | ||
| P2431 | 15 | 791 | Q011 | 15 | 791 | Q437 | 06 | 393-395 | ||
| P2431 | 15 | 793 | Q011 | 15 | 793 | Q438 | 06 | 393-395 | ||
| P2480 | 15 | 791 | Q012 | 01 | 091-093 | Q439 | 06 | 393-395 | ||
| P2480 | 15 | 793 | Q012 | 15 | 791 | Q440 | 07 | 441-443 | ||
| P2481 | 15 | 791 | Q012 | 15 | 793 | Q441 | 07 | 441-443 | ||
| P2481 | 15 | 793 | Q018 | 01 | 091-093 | Q442 | 07 | 444-446 | ||
| P249 | 15 | 791 | Q018 | 15 | 791 | Q443 | 07 | 444-446 | ||
| P249 | 15 | 793 | Q018 | 15 | 793 | Q444 | 07 | 441-443 | ||
| P250 | 15 | 791 | Q019 | 01 | 091-093 | Q445 | 07 | 441-443 | ||
| P250 | 15 | 793 | Q019 | 15 | 791 | Q446 | 07 | 441-443 | ||
| P251 | 15 | 791 | Q019 | 15 | 793 | Q447 | 07 | 441-443 | ||
| P251 | 15 | 793 | Q02 | 01 | 091-093 | Q450 | 07 | 438-440 | ||
| P252 | 15 | 791 | Q02 | 15 | 791 | Q451 | 07 | 438-440 | ||
| P252 | 15 | 793 | Q02 | 15 | 793 | Q452 | 07 | 438-440 | ||
| P253 | 15 | 791 | Q030 | 01 | 091-093 | Q453 | 07 | 438-440 | ||
| P253 | 15 | 793 | Q030 | 15 | 791 | Q458 | 06 | 393-395 | ||
| P258 | 15 | 791 | Q030 | 15 | 793 | Q459 | 06 | 393-395 | ||
| P258 | 15 | 793 | Q031 | 01 | 091-093 | Q5001 | 13 | 742-743 | ||
| P260 | 15 | 791 | Q031 | 15 | 791 | Q5001 | 13 | 760-761 | ||
| P260 | 15 | 793 | Q031 | 15 | 793 | Q5002 | 13 | 742-743 | ||
| P261 | 15 | 791 | Q038 | 01 | 091-093 | Q5002 | 13 | 760-761 | ||
| P261 | 15 | 793 | Q038 | 15 | 791 | Q501 | 13 | 742-743 | ||
| P268 | 15 | 791 | Q038 | 15 | 793 | Q501 | 13 | 760-761 | ||
| P268 | 15 | 793 | Q039 | 01 | 091-093 | Q502 | 13 | 742-743 | ||
| P269 | 15 | 791 | Q039 | 15 | 791 | Q502 | 13 | 760-761 | ||
| P269 | 15 | 793 | Q039 | 15 | 793 | Q5031 | 13 | 742-743 | ||
| P270 | 04 | 196-198 | Q040 | 01 | 091-093 | Q5031 | 13 | 760-761 | ||
| P271 | 04 | 196-198 | Q040 | 15 | 791 | Q5032 | 13 | 742-743 | ||
| P278 | 04 | 196-198 | Q040 | 15 | 793 | Q5032 | 13 | 760-761 | ||
| P279 | 04 | 196-198 | Q041 | 01 | 091-093 | Q5039 | 13 | 742-743 | ||
| P280 | 15 | 791 | Q041 | 15 | 791 | Q5039 | 13 | 760-761 | ||
| P280 | 15 | 793 | Q041 | 15 | 793 | Q504 | 13 | 742-743 | ||
| P2810 | 15 | 794 | Q042 | 01 | 091-093 | Q504 | 13 | 760-761 | ||
| P2811 | 15 | 794 | Q042 | 15 | 791 | Q505 | 13 | 742-743 | ||
| P2819 | 15 | 794 | Q042 | 15 | 793 | Q505 | 13 | 760-761 | ||
| P282 | 15 | 794 | Q043 | 01 | 091-093 | Q506 | 13 | 742-743 | ||
| P283 | 15 | 794 | Q043 | 15 | 791 | Q506 | 13 | 760-761 | ||
| P284 | 15 | 794 | Q043 | 15 | 793 | Q510 | 13 | 742-743 | ||
| P285 | 15 | 791 | Q044 | 01 | 091-093 | Q510 | 13 | 760-761 | ||
| P285 | 15 | 793 | Q044 | 15 | 791 | Q5110 | 13 | 742-743 | ||
| P2881 | 15 | 794 | Q044 | 15 | 793 | Q5110 | 13 | 760-761 | ||
| P2889 | 15 | 794 | Q045 | 01 | 091-093 | Q5111 | 13 | 742-743 | ||
| P289 | 15 | 794 | Q045 | 15 | 791 | Q5111 | 13 | 760-761 | ||
| P290 | 15 | 794 | Q045 | 15 | 793 | Q5120 | 13 | 742-743 | ||
| P2911 | 15 | 794 | Q046 | 01 | 091-093 | Q5120 | 13 | 760-761 | ||
| P2912 | 15 | 794 | Q046 | 15 | 791 | Q5121 | 13 | 742-743 | ||
| P292 | 15 | 794 | Q046 | 15 | 793 | Q5121 | 13 | 760-761 | ||
| P2930 | 15 | 791 | Q048 | 01 | 091-093 | Q5122 | 13 | 742-743 | ||
| P2930 | 15 | 793 | Q048 | 15 | 791 | Q5122 | 13 | 760-761 | ||
| P2938 | 15 | 791 | Q048 | 15 | 793 | Q5128 | 13 | 742-743 | ||
| P2938 | 15 | 793 | Q049 | 01 | 091-093 | Q5128 | 13 | 760-761 | ||
| P294 | 15 | 794 | Q049 | 15 | 791 | Q513 | 13 | 742-743 | ||
| P2981 | 15 | 791 | Q049 | 15 | 793 | Q513 | 13 | 760-761 | ||
| P2981 | 15 | 793 | Q050 | 01 | 091-093 | Q514 | 13 | 742-743 | ||
| P2989 | 15 | 794 | Q050 | 15 | 791 | Q514 | 13 | 760-761 | ||
| P299 | 15 | 794 | Q050 | 15 | 793 | Q515 | 13 | 742-743 | ||
| P350 | 15 | 791 | Q051 | 01 | 091-093 | Q515 | 13 | 760-761 | ||
| P350 | 15 | 793 | Q051 | 15 | 791 | Q516 | 13 | 742-743 | ||
| P351 | 15 | 791 | Q051 | 15 | 793 | Q516 | 13 | 760-761 | ||
| P351 | 15 | 793 | Q052 | 01 | 091-093 | Q517 | 13 | 742-743 | ||
| P352 | 15 | 791 | Q052 | 15 | 791 | Q517 | 13 | 760-761 | ||
| P352 | 15 | 793 | Q052 | 15 | 793 | Q51810 | 13 | 742-743 | ||
| P353 | 15 | 791 | Q053 | 01 | 091-093 | Q51810 | 13 | 760-761 | ||
| P353 | 15 | 793 | Q053 | 15 | 791 | Q51811 | 13 | 742-743 | ||
| Q053 | 15 | 793 | Q51811 | 13 | 760-761 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 23 Mar 2020 12:40:01 CMS, code-revision=249, description-revision=1272 |