ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 53 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S73129A | 08 | 537-538 | S76211D | 23 | 949-950 | S79112S | 08 | 559-561 | ||
S73129A | 24 | 955-965 | S76211S | 08 | 562-563 | S79119A | 08 | 533-534 | ||
S73129D | 23 | 949-950 | S76212A | 08 | 537-538 | S79119A | 24 | 955-965 | ||
S73129S | 08 | 562-563 | S76212A | 24 | 955-965 | S79119D | 08 | 559-561 | ||
S73191A | 08 | 537-538 | S76212D | 23 | 949-950 | S79119G | 08 | 559-561 | ||
S73191A | 24 | 955-965 | S76212S | 08 | 562-563 | S79119K | 08 | 564-566 | ||
S73191D | 23 | 949-950 | S76219A | 08 | 537-538 | S79119P | 08 | 564-566 | ||
S73191S | 08 | 562-563 | S76219A | 24 | 955-965 | S79119S | 08 | 559-561 | ||
S73192A | 08 | 537-538 | S76219D | 23 | 949-950 | S79121A | 08 | 533-534 | ||
S73192A | 24 | 955-965 | S76219S | 08 | 562-563 | S79121A | 24 | 955-965 | ||
S73192D | 23 | 949-950 | S76221A | 08 | 564-566 | S79121D | 08 | 559-561 | ||
S73192S | 08 | 562-563 | S76221A | 24 | 955-965 | S79121G | 08 | 559-561 | ||
S73199A | 08 | 537-538 | S76221D | 23 | 949-950 | S79121K | 08 | 564-566 | ||
S73199A | 24 | 955-965 | S76221S | 09 | 604-605 | S79121P | 08 | 564-566 | ||
S73199D | 23 | 949-950 | S76222A | 08 | 564-566 | S79121S | 08 | 559-561 | ||
S73199S | 08 | 562-563 | S76222A | 24 | 955-965 | S79122A | 08 | 533-534 | ||
S7400XA | 01 | 073-074 | S76222D | 23 | 949-950 | S79122A | 24 | 955-965 | ||
S7400XA | 24 | 955-965 | S76222S | 09 | 604-605 | S79122D | 08 | 559-561 | ||
S7400XD | 23 | 949-950 | S76229A | 08 | 564-566 | S79122G | 08 | 559-561 | ||
S7400XS | 01 | 091-093 | S76229A | 24 | 955-965 | S79122K | 08 | 564-566 | ||
S7401XA | 01 | 073-074 | S76229D | 23 | 949-950 | S79122P | 08 | 564-566 | ||
S7401XA | 24 | 955-965 | S76229S | 09 | 604-605 | S79122S | 08 | 559-561 | ||
S7401XD | 23 | 949-950 | S76291A | 21 | 913-914 | S79129A | 08 | 533-534 | ||
S7401XS | 01 | 091-093 | S76291A | 24 | 955-965 | S79129A | 24 | 955-965 | ||
S7402XA | 01 | 073-074 | S76291D | 23 | 949-950 | S79129D | 08 | 559-561 | ||
S7402XA | 24 | 955-965 | S76291S | 21 | 913-914 | S79129G | 08 | 559-561 | ||
S7402XD | 23 | 949-950 | S76292A | 21 | 913-914 | S79129K | 08 | 564-566 | ||
S7402XS | 01 | 091-093 | S76292A | 24 | 955-965 | S79129P | 08 | 564-566 | ||
S7410XA | 01 | 073-074 | S76292D | 23 | 949-950 | S79129S | 08 | 559-561 | ||
S7410XA | 24 | 955-965 | S76292S | 21 | 913-914 | S79131A | 08 | 533-534 | ||
S7410XD | 23 | 949-950 | S76299A | 21 | 913-914 | S79131A | 24 | 955-965 | ||
S7410XS | 01 | 091-093 | S76299A | 24 | 955-965 | S79131D | 08 | 559-561 | ||
S7411XA | 01 | 073-074 | S76299D | 23 | 949-950 | S79131G | 08 | 559-561 | ||
S7411XA | 24 | 955-965 | S76299S | 21 | 913-914 | S79131K | 08 | 564-566 | ||
S7411XD | 23 | 949-950 | S76301A | 21 | 913-914 | S79131P | 08 | 564-566 | ||
S7411XS | 01 | 091-093 | S76301A | 24 | 955-965 | S79131S | 08 | 559-561 | ||
S7412XA | 01 | 073-074 | S76301D | 23 | 949-950 | S79132A | 08 | 533-534 | ||
S7412XA | 24 | 955-965 | S76301S | 21 | 913-914 | S79132A | 24 | 955-965 | ||
S7412XD | 23 | 949-950 | S76302A | 21 | 913-914 | S79132D | 08 | 559-561 | ||
S7412XS | 01 | 091-093 | S76302A | 24 | 955-965 | S79132G | 08 | 559-561 | ||
S7420XA | 01 | 073-074 | S76302D | 23 | 949-950 | S79132K | 08 | 564-566 | ||
S7420XA | 24 | 955-965 | S76302S | 21 | 913-914 | S79132P | 08 | 564-566 | ||
S7420XD | 23 | 949-950 | S76309A | 21 | 913-914 | S79132S | 08 | 559-561 | ||
S7420XS | 01 | 091-093 | S76309A | 24 | 955-965 | S79139A | 08 | 533-534 | ||
S7421XA | 01 | 073-074 | S76309D | 23 | 949-950 | S79139A | 24 | 955-965 | ||
S7421XA | 24 | 955-965 | S76309S | 21 | 913-914 | S79139D | 08 | 559-561 | ||
S7421XD | 23 | 949-950 | S76311A | 08 | 537-538 | S79139G | 08 | 559-561 | ||
S7421XS | 01 | 091-093 | S76311A | 24 | 955-965 | S79139K | 08 | 564-566 | ||
S7422XA | 01 | 073-074 | S76311D | 23 | 949-950 | S79139P | 08 | 564-566 | ||
S7422XA | 24 | 955-965 | S76311S | 08 | 562-563 | S79139S | 08 | 559-561 | ||
S7422XD | 23 | 949-950 | S76312A | 08 | 537-538 | S79141A | 08 | 533-534 | ||
S7422XS | 01 | 091-093 | S76312A | 24 | 955-965 | S79141A | 24 | 955-965 | ||
S748X1A | 01 | 073-074 | S76312D | 23 | 949-950 | S79141D | 08 | 559-561 | ||
S748X1A | 24 | 955-965 | S76312S | 08 | 562-563 | S79141G | 08 | 559-561 | ||
S748X1D | 23 | 949-950 | S76319A | 08 | 537-538 | S79141K | 08 | 564-566 | ||
S748X1S | 01 | 091-093 | S76319A | 24 | 955-965 | S79141P | 08 | 564-566 | ||
S748X2A | 01 | 073-074 | S76319D | 23 | 949-950 | S79141S | 08 | 559-561 | ||
S748X2A | 24 | 955-965 | S76319S | 08 | 562-563 | S79142A | 08 | 533-534 | ||
S748X2D | 23 | 949-950 | S76321A | 08 | 564-566 | S79142A | 24 | 955-965 | ||
S748X2S | 01 | 091-093 | S76321A | 24 | 955-965 | S79142D | 08 | 559-561 | ||
S748X9A | 01 | 073-074 | S76321D | 23 | 949-950 | S79142G | 08 | 559-561 | ||
S748X9A | 24 | 955-965 | S76321S | 09 | 604-605 | S79142K | 08 | 564-566 | ||
S748X9D | 23 | 949-950 | S76322A | 08 | 564-566 | S79142P | 08 | 564-566 | ||
S748X9S | 01 | 091-093 | S76322A | 24 | 955-965 | S79142S | 08 | 559-561 | ||
S7490XA | 01 | 073-074 | S76322D | 23 | 949-950 | S79149A | 08 | 533-534 | ||
S7490XA | 24 | 955-965 | S76322S | 09 | 604-605 | S79149A | 24 | 955-965 | ||
S7490XD | 23 | 949-950 | S76329A | 08 | 564-566 | S79149D | 08 | 559-561 | ||
S7490XS | 01 | 091-093 | S76329A | 24 | 955-965 | S79149G | 08 | 559-561 | ||
S7491XA | 01 | 073-074 | S76329D | 23 | 949-950 | S79149K | 08 | 564-566 | ||
S7491XA | 24 | 955-965 | S76329S | 09 | 604-605 | S79149P | 08 | 564-566 | ||
S7491XD | 23 | 949-950 | S76391A | 21 | 913-914 | S79149S | 08 | 559-561 | ||
S7491XS | 01 | 091-093 | S76391A | 24 | 955-965 | S79191A | 08 | 533-534 | ||
S7492XA | 01 | 073-074 | S76391D | 23 | 949-950 | S79191A | 24 | 955-965 | ||
S7492XA | 24 | 955-965 | S76391S | 21 | 913-914 | S79191D | 08 | 559-561 | ||
S7492XD | 23 | 949-950 | S76392A | 21 | 913-914 | S79191G | 08 | 559-561 | ||
S7492XS | 01 | 091-093 | S76392A | 24 | 955-965 | S79191K | 08 | 564-566 | ||
S75001A | 21 | 913-914 | S76392D | 23 | 949-950 | S79191P | 08 | 564-566 | ||
S75001A | 24 | 955-965 | S76392S | 21 | 913-914 | S79191S | 08 | 559-561 | ||
S75001D | 23 | 949-950 | S76399A | 21 | 913-914 | S79192A | 08 | 533-534 | ||
S75001S | 05 | 299-301 | S76399A | 24 | 955-965 | S79192A | 24 | 955-965 | ||
S75002A | 21 | 913-914 | S76399D | 23 | 949-950 | S79192D | 08 | 559-561 | ||
S75002A | 24 | 955-965 | S76399S | 21 | 913-914 | S79192G | 08 | 559-561 | ||
S75002D | 23 | 949-950 | S76801A | 21 | 913-914 | S79192K | 08 | 564-566 | ||
S75002S | 05 | 299-301 | S76801A | 24 | 955-965 | S79192P | 08 | 564-566 | ||
S75009A | 21 | 913-914 | S76801D | 23 | 949-950 | S79192S | 08 | 559-561 | ||
S75009A | 24 | 955-965 | S76801S | 21 | 913-914 | S79199A | 08 | 533-534 | ||
S75009D | 23 | 949-950 | S76802A | 21 | 913-914 | S79199A | 24 | 955-965 | ||
S75009S | 05 | 299-301 | S76802A | 24 | 955-965 | S79199D | 08 | 559-561 | ||
S75011A | 21 | 913-914 | S76802D | 23 | 949-950 | S79199G | 08 | 559-561 | ||
S75011A | 24 | 955-965 | S76802S | 21 | 913-914 | S79199K | 08 | 564-566 | ||
S75011D | 23 | 949-950 | S76809A | 21 | 913-914 | S79199P | 08 | 564-566 | ||
S75011S | 05 | 299-301 | S76809A | 24 | 955-965 | S79199S | 08 | 559-561 | ||
S75012A | 21 | 913-914 | S76809D | 23 | 949-950 | S79811A | 21 | 913-914 | ||
S75012A | 24 | 955-965 | S76809S | 21 | 913-914 | S79811A | 24 | 955-965 | ||
S75012D | 23 | 949-950 | S76811A | 08 | 537-538 | S79811D | 23 | 949-950 | ||
S75012S | 05 | 299-301 | S76811A | 24 | 955-965 | S79811S | 21 | 913-914 | ||
S75019A | 21 | 913-914 | S76811D | 23 | 949-950 | S79812A | 21 | 913-914 | ||
S75019A | 24 | 955-965 | S76811S | 08 | 562-563 | S79812A | 24 | 955-965 | ||
S75019D | 23 | 949-950 | S76812A | 08 | 537-538 | S79812D | 23 | 949-950 | ||
S75019S | 05 | 299-301 | S76812A | 24 | 955-965 | S79812S | 21 | 913-914 | ||
S75021A | 21 | 913-914 | S76812D | 23 | 949-950 | S79819A | 21 | 913-914 | ||
S75021A | 24 | 955-965 | S76812S | 08 | 562-563 | S79819A | 24 | 955-965 | ||
S75021D | 23 | 949-950 | S76819A | 08 | 537-538 | S79819D | 23 | 949-950 | ||
S75021S | 05 | 299-301 | S76819A | 24 | 955-965 | S79819S | 21 | 913-914 | ||
S75022A | 21 | 913-914 | S76819D | 23 | 949-950 | S79821A | 21 | 913-914 | ||
S75022A | 24 | 955-965 | S76819S | 08 | 562-563 | S79821A | 24 | 955-965 | ||
S75022D | 23 | 949-950 | S76821A | 08 | 564-566 | S79821D | 23 | 949-950 | ||
S75022S | 05 | 299-301 | S76821A | 24 | 955-965 | S79821S | 21 | 913-914 | ||
S75029A | 21 | 913-914 | S76821D | 23 | 949-950 | S79822A | 21 | 913-914 | ||
S75029A | 24 | 955-965 | S76821S | 09 | 604-605 | S79822A | 24 | 955-965 | ||
S75029D | 23 | 949-950 | S76822A | 08 | 564-566 | S79822D | 23 | 949-950 | ||
S75029S | 05 | 299-301 | S76822A | 24 | 955-965 | S79822S | 21 | 913-914 | ||
S75091A | 21 | 913-914 | S76822D | 23 | 949-950 | S79829A | 21 | 913-914 | ||
S75091A | 24 | 955-965 | S76822S | 09 | 604-605 | S79829A | 24 | 955-965 | ||
S75091D | 23 | 949-950 | S76829A | 08 | 564-566 | S79829D | 23 | 949-950 | ||
S75091S | 05 | 299-301 | S76829A | 24 | 955-965 | S79829S | 21 | 913-914 | ||
S75092A | 21 | 913-914 | S76829D | 23 | 949-950 | S79911A | 21 | 913-914 | ||
S75092A | 24 | 955-965 | S76829S | 09 | 604-605 | S79911A | 24 | 955-965 | ||
S75092D | 23 | 949-950 | S76891A | 21 | 913-914 | S79911D | 23 | 949-950 | ||
S75092S | 05 | 299-301 | S76891A | 24 | 955-965 | S79911S | 21 | 913-914 | ||
S75099A | 21 | 913-914 | S76891D | 23 | 949-950 | S79912A | 21 | 913-914 | ||
S75099A | 24 | 955-965 | S76891S | 21 | 913-914 | S79912A | 24 | 955-965 | ||
S75099D | 23 | 949-950 | S76892A | 21 | 913-914 | S79912D | 23 | 949-950 | ||
S75099S | 05 | 299-301 | S76892A | 24 | 955-965 | S79912S | 21 | 913-914 | ||
S75101A | 21 | 913-914 | S76892D | 23 | 949-950 | S79919A | 21 | 913-914 | ||
S75101A | 24 | 955-965 | S76892S | 21 | 913-914 | S79919A | 24 | 955-965 | ||
S75101D | 23 | 949-950 | S76899A | 21 | 913-914 | S79919D | 23 | 949-950 | ||
S75101S | 05 | 299-301 | S76899A | 24 | 955-965 | S79919S | 21 | 913-914 | ||
S75102A | 21 | 913-914 | S76899D | 23 | 949-950 | S79921A | 21 | 913-914 | ||
S75102A | 24 | 955-965 | S76899S | 21 | 913-914 | S79921A | 24 | 955-965 | ||
S75102D | 23 | 949-950 | S76901A | 21 | 913-914 | S79921D | 23 | 949-950 | ||
S75102S | 05 | 299-301 | S76901A | 24 | 955-965 | S79921S | 21 | 913-914 | ||
S75109A | 21 | 913-914 | S76901D | 23 | 949-950 | S79922A | 21 | 913-914 | ||
S75109A | 24 | 955-965 | S76901S | 21 | 913-914 | S79922A | 24 | 955-965 | ||
S75109D | 23 | 949-950 | S76902A | 21 | 913-914 | S79922D | 23 | 949-950 | ||
S75109S | 05 | 299-301 | S76902A | 24 | 955-965 | S79922S | 21 | 913-914 | ||
S75111A | 21 | 913-914 | S76902D | 23 | 949-950 | S79929A | 21 | 913-914 | ||
S75111A | 24 | 955-965 | S76902S | 21 | 913-914 | S79929A | 24 | 955-965 | ||
S75111D | 23 | 949-950 | S76909A | 21 | 913-914 | S79929D | 23 | 949-950 | ||
S75111S | 05 | 299-301 | S76909A | 24 | 955-965 | S79929S | 21 | 913-914 | ||
S75112A | 21 | 913-914 | S76909D | 23 | 949-950 | S8000XA | 09 | 604-605 | ||
S75112A | 24 | 955-965 | S76909S | 21 | 913-914 | S8000XA | 24 | 955-965 | ||
S75112D | 23 | 949-950 | S76911A | 08 | 537-538 | S8000XD | 23 | 949-950 | ||
S75112S | 05 | 299-301 | S76911A | 24 | 955-965 | S8000XS | 09 | 604-605 | ||
S75119A | 21 | 913-914 | S76911D | 23 | 949-950 | S8001XA | 09 | 604-605 | ||
S75119A | 24 | 955-965 | S76911S | 08 | 562-563 | S8001XA | 24 | 955-965 | ||
S75119D | 23 | 949-950 | S76912A | 08 | 537-538 | S8001XD | 23 | 949-950 | ||
S75119S | 05 | 299-301 | S76912A | 24 | 955-965 | S8001XS | 09 | 604-605 | ||
S75121A | 21 | 913-914 | S76912D | 23 | 949-950 | S8002XA | 09 | 604-605 | ||
S75121A | 24 | 955-965 | S76912S | 08 | 562-563 | S8002XA | 24 | 955-965 | ||
S75121D | 23 | 949-950 | S76919A | 08 | 537-538 | S8002XD | 23 | 949-950 | ||
S75121S | 05 | 299-301 | S76919A | 24 | 955-965 | S8002XS | 09 | 604-605 | ||
S75122A | 21 | 913-914 | S76919D | 23 | 949-950 | S8010XA | 09 | 604-605 | ||
S75122A | 24 | 955-965 | S76919S | 08 | 562-563 | S8010XA | 24 | 955-965 | ||
S75122D | 23 | 949-950 | S76921A | 08 | 564-566 | S8010XD | 23 | 949-950 | ||
S75122S | 05 | 299-301 | S76921A | 24 | 955-965 | S8010XS | 09 | 604-605 | ||
S75129A | 21 | 913-914 | S76921D | 23 | 949-950 | S8011XA | 09 | 604-605 | ||
S75129A | 24 | 955-965 | S76921S | 09 | 604-605 | S8011XA | 24 | 955-965 | ||
S75129D | 23 | 949-950 | S76922A | 08 | 564-566 | S8011XD | 23 | 949-950 | ||
S75129S | 05 | 299-301 | S76922A | 24 | 955-965 | S8011XS | 09 | 604-605 | ||
S75191A | 21 | 913-914 | S76922D | 23 | 949-950 | S8012XA | 09 | 604-605 | ||
S75191A | 24 | 955-965 | S76922S | 09 | 604-605 | S8012XA | 24 | 955-965 | ||
S75191D | 23 | 949-950 | S76929A | 08 | 564-566 | S8012XD | 23 | 949-950 | ||
S75191S | 05 | 299-301 | S76929A | 24 | 955-965 | S8012XS | 09 | 604-605 | ||
S75192A | 21 | 913-914 | S76929D | 23 | 949-950 | S80211A | 09 | 604-605 | ||
S75192A | 24 | 955-965 | S76929S | 09 | 604-605 | S80211A | 24 | 955-965 | ||
S75192D | 23 | 949-950 | S76991A | 21 | 913-914 | S80211D | 23 | 949-950 | ||
S75192S | 05 | 299-301 | S76991A | 24 | 955-965 | S80211S | 09 | 604-605 | ||
S75199A | 21 | 913-914 | S76991D | 23 | 949-950 | S80212A | 09 | 604-605 | ||
S75199A | 24 | 955-965 | S76991S | 21 | 913-914 | S80212A | 24 | 955-965 | ||
S75199D | 23 | 949-950 | S76992A | 21 | 913-914 | S80212D | 23 | 949-950 | ||
S75199S | 05 | 299-301 | S76992A | 24 | 955-965 | S80212S | 09 | 604-605 | ||
S75201A | 21 | 913-914 | S76992D | 23 | 949-950 | S80219A | 09 | 604-605 | ||
S75201A | 24 | 955-965 | S76992S | 21 | 913-914 | S80219A | 24 | 955-965 | ||
S75201D | 23 | 949-950 | S76999A | 21 | 913-914 | S80219D | 23 | 949-950 | ||
S75201S | 05 | 299-301 | S76999A | 24 | 955-965 | S80219S | 09 | 604-605 | ||
S75202A | 21 | 913-914 | S76999D | 23 | 949-950 | S80221A | 09 | 606-607 | ||
S75202A | 24 | 955-965 | S76999S | 21 | 913-914 | S80221A | 24 | 955-965 | ||
S75202D | 23 | 949-950 | S7700XA | 21 | 913-914 | S80221D | 23 | 949-950 | ||
S75202S | 05 | 299-301 | S7700XA | 24 | 955-965 | S80221S | 09 | 604-605 | ||
S75209A | 21 | 913-914 | S7700XD | 23 | 949-950 | S80222A | 09 | 606-607 | ||
S75209A | 24 | 955-965 | S7700XS | 09 | 604-605 | S80222A | 24 | 955-965 | ||
S75209D | 23 | 949-950 | S7701XA | 21 | 913-914 | S80222D | 23 | 949-950 | ||
S75209S | 05 | 299-301 | S7701XA | 24 | 955-965 | S80222S | 09 | 604-605 | ||
S75211A | 21 | 913-914 | S7701XD | 23 | 949-950 | S80229A | 09 | 606-607 | ||
S75211A | 24 | 955-965 | S7701XS | 09 | 604-605 | S80229A | 24 | 955-965 | ||
S75211D | 23 | 949-950 | S7702XA | 21 | 913-914 | S80229D | 23 | 949-950 | ||
S75211S | 05 | 299-301 | S7702XA | 24 | 955-965 | S80229S | 09 | 604-605 | ||
S75212A | 21 | 913-914 | S7702XD | 23 | 949-950 | S80241A | 09 | 604-605 | ||
S75212A | 24 | 955-965 | S7702XS | 09 | 604-605 | S80241A | 24 | 955-965 | ||
S75212D | 23 | 949-950 | S7710XA | 21 | 913-914 | S80241D | 23 | 949-950 | ||
S75212S | 05 | 299-301 | S7710XA | 24 | 955-965 | S80241S | 09 | 604-605 | ||
S75219A | 21 | 913-914 | S7710XD | 23 | 949-950 | S80242A | 09 | 604-605 | ||
S75219A | 24 | 955-965 | S7710XS | 09 | 604-605 | S80242A | 24 | 955-965 | ||
S75219D | 23 | 949-950 | S7711XA | 21 | 913-914 | S80242D | 23 | 949-950 | ||
S75219S | 05 | 299-301 | S7711XA | 24 | 955-965 | S80242S | 09 | 604-605 | ||
S75221A | 21 | 913-914 | S7711XD | 23 | 949-950 | S80249A | 09 | 604-605 | ||
S75221A | 24 | 955-965 | S7711XS | 09 | 604-605 | S80249A | 24 | 955-965 | ||
S75221D | 23 | 949-950 | S7712XA | 21 | 913-914 | S80249D | 23 | 949-950 | ||
S75221S | 05 | 299-301 | S7712XA | 24 | 955-965 | S80249S | 09 | 604-605 | ||
S75222A | 21 | 913-914 | S7712XD | 23 | 949-950 | S80251A | 09 | 604-605 | ||
S75222A | 24 | 955-965 | S7712XS | 09 | 604-605 | S80251A | 24 | 955-965 | ||
S75222D | 23 | 949-950 | S7720XA | 21 | 913-914 | S80251D | 23 | 949-950 | ||
S75222S | 05 | 299-301 | S7720XA | 24 | 955-965 | S80251S | 09 | 604-605 | ||
S75229A | 21 | 913-914 | S7720XD | 23 | 949-950 | S80252A | 09 | 604-605 | ||
S75229A | 24 | 955-965 | S7720XS | 09 | 604-605 | S80252A | 24 | 955-965 | ||
S75229D | 23 | 949-950 | S7721XA | 21 | 913-914 | S80252D | 23 | 949-950 | ||
S75229S | 05 | 299-301 | S7721XA | 24 | 955-965 | S80252S | 09 | 604-605 | ||
S75291A | 21 | 913-914 | S7721XD | 23 | 949-950 | S80259A | 09 | 604-605 | ||
S75291A | 24 | 955-965 | S7721XS | 09 | 604-605 | S80259A | 24 | 955-965 | ||
S75291D | 23 | 949-950 | S7722XA | 21 | 913-914 | S80259D | 23 | 949-950 | ||
S75291S | 05 | 299-301 | S7722XA | 24 | 955-965 | S80259S | 09 | 604-605 | ||
S75292A | 21 | 913-914 | S7722XD | 23 | 949-950 | S80261A | 09 | 606-607 | ||
S75292A | 24 | 955-965 | S7722XS | 09 | 604-605 | S80261A | 24 | 955-965 | ||
S75292D | 23 | 949-950 | S78011A | 21 | 913-914 | S80261D | 23 | 949-950 | ||
S75292S | 05 | 299-301 | S78011A | 24 | 955-965 | S80261S | 09 | 604-605 | ||
S75299A | 21 | 913-914 | S78011D | 23 | 949-950 | S80262A | 09 | 606-607 | ||
S75299A | 24 | 955-965 | S78011S | 08 | 559-561 | S80262A | 24 | 955-965 | ||
S75299D | 23 | 949-950 | S78012A | 21 | 913-914 | S80262D | 23 | 949-950 | ||
S75299S | 05 | 299-301 | S78012A | 24 | 955-965 | S80262S | 09 | 604-605 | ||
S75801A | 21 | 913-914 | S78012D | 23 | 949-950 | S80269A | 09 | 606-607 | ||
S75801A | 24 | 955-965 | S78012S | 08 | 559-561 | S80269A | 24 | 955-965 | ||
S75801D | 23 | 949-950 | S78019A | 21 | 913-914 | S80269D | 23 | 949-950 | ||
S75801S | 05 | 299-301 | S78019A | 24 | 955-965 | S80269S | 09 | 604-605 | ||
S75802A | 21 | 913-914 | S78019D | 23 | 949-950 | S80271A | 09 | 604-605 | ||
S75802A | 24 | 955-965 | S78019S | 08 | 559-561 | S80271A | 24 | 955-965 | ||
S75802D | 23 | 949-950 | S78021A | 21 | 913-914 | S80271D | 23 | 949-950 | ||
S75802S | 05 | 299-301 | S78021A | 24 | 955-965 | S80271S | 09 | 604-605 | ||
S75809A | 21 | 913-914 | S78021D | 23 | 949-950 | S80272A | 09 | 604-605 | ||
S75809A | 24 | 955-965 | S78021S | 08 | 559-561 | S80272A | 24 | 955-965 | ||
S75809D | 23 | 949-950 | S78022A | 21 | 913-914 | S80272D | 23 | 949-950 | ||
S75809S | 05 | 299-301 | S78022A | 24 | 955-965 | S80272S | 09 | 604-605 | ||
S75811A | 21 | 913-914 | S78022D | 23 | 949-950 | S80279A | 09 | 604-605 | ||
S75811A | 24 | 955-965 | S78022S | 08 | 559-561 | S80279A | 24 | 955-965 | ||
S75811D | 23 | 949-950 | S78029A | 21 | 913-914 | S80279D | 23 | 949-950 | ||
S75811S | 05 | 299-301 | S78029A | 24 | 955-965 | S80279S | 09 | 604-605 | ||
S75812A | 21 | 913-914 | S78029D | 23 | 949-950 | S80811A | 09 | 604-605 | ||
S75812A | 24 | 955-965 | S78029S | 08 | 559-561 | S80811A | 24 | 955-965 | ||
S75812D | 23 | 949-950 | S78111A | 21 | 913-914 | S80811D | 23 | 949-950 | ||
S75812S | 05 | 299-301 | S78111A | 24 | 955-965 | S80811S | 09 | 604-605 | ||
S75819A | 21 | 913-914 | S78111D | 23 | 949-950 | S80812A | 09 | 604-605 | ||
S75819A | 24 | 955-965 | S78111S | 08 | 559-561 | S80812A | 24 | 955-965 | ||
S75819D | 23 | 949-950 | S78112A | 21 | 913-914 | S80812D | 23 | 949-950 | ||
S75819S | 05 | 299-301 | S78112A | 24 | 955-965 | S80812S | 09 | 604-605 | ||
S75891A | 21 | 913-914 | S78112D | 23 | 949-950 | S80819A | 09 | 604-605 | ||
S75891A | 24 | 955-965 | S78112S | 08 | 559-561 | S80819A | 24 | 955-965 | ||
S75891D | 23 | 949-950 | S78119A | 21 | 913-914 | S80819D | 23 | 949-950 | ||
S75891S | 05 | 299-301 | S78119A | 24 | 955-965 | S80819S | 09 | 604-605 | ||
S75892A | 21 | 913-914 | S78119D | 23 | 949-950 | S80821A | 09 | 606-607 | ||
S75892A | 24 | 955-965 | S78119S | 08 | 559-561 | S80821A | 24 | 955-965 | ||
S75892D | 23 | 949-950 | S78121A | 21 | 913-914 | S80821D | 23 | 949-950 | ||
S75892S | 05 | 299-301 | S78121A | 24 | 955-965 | S80821S | 09 | 604-605 | ||
S75899A | 21 | 913-914 | S78121D | 23 | 949-950 | S80822A | 09 | 606-607 | ||
S75899A | 24 | 955-965 | S78121S | 08 | 559-561 | S80822A | 24 | 955-965 | ||
S75899D | 23 | 949-950 | S78122A | 21 | 913-914 | S80822D | 23 | 949-950 | ||
S75899S | 05 | 299-301 | S78122A | 24 | 955-965 | S80822S | 09 | 604-605 | ||
S75901A | 21 | 913-914 | S78122D | 23 | 949-950 | S80829A | 09 | 606-607 | ||
S75901A | 24 | 955-965 | S78122S | 08 | 559-561 | S80829A | 24 | 955-965 | ||
S75901D | 23 | 949-950 | S78129A | 21 | 913-914 | S80829D | 23 | 949-950 | ||
S75901S | 05 | 299-301 | S78129A | 24 | 955-965 | S80829S | 09 | 604-605 | ||
S75902A | 21 | 913-914 | S78129D | 23 | 949-950 | S80841A | 09 | 604-605 | ||
S75902A | 24 | 955-965 | S78129S | 08 | 559-561 | S80841A | 24 | 955-965 | ||
S75902D | 23 | 949-950 | S78911A | 21 | 913-914 | S80841D | 23 | 949-950 | ||
S75902S | 05 | 299-301 | S78911A | 24 | 955-965 | S80841S | 09 | 604-605 | ||
S75909A | 21 | 913-914 | S78911D | 23 | 949-950 | S80842A | 09 | 604-605 | ||
S75909A | 24 | 955-965 | S78911S | 08 | 559-561 | S80842A | 24 | 955-965 | ||
S75909D | 23 | 949-950 | S78912A | 21 | 913-914 | S80842D | 23 | 949-950 | ||
S75909S | 05 | 299-301 | S78912A | 24 | 955-965 | S80842S | 09 | 604-605 | ||
S75911A | 21 | 913-914 | S78912D | 23 | 949-950 | S80849A | 09 | 604-605 | ||
S75911A | 24 | 955-965 | S78912S | 08 | 559-561 | S80849A | 24 | 955-965 | ||
S75911D | 23 | 949-950 | S78919A | 21 | 913-914 | S80849D | 23 | 949-950 | ||
S75911S | 05 | 299-301 | S78919A | 24 | 955-965 | S80849S | 09 | 604-605 | ||
S75912A | 21 | 913-914 | S78919D | 23 | 949-950 | S80851A | 09 | 604-605 | ||
S75912A | 24 | 955-965 | S78919S | 08 | 559-561 | S80851A | 24 | 955-965 | ||
S75912D | 23 | 949-950 | S78921A | 21 | 913-914 | S80851D | 23 | 949-950 | ||
S75912S | 05 | 299-301 | S78921A | 24 | 955-965 | S80851S | 09 | 604-605 | ||
S75919A | 21 | 913-914 | S78921D | 23 | 949-950 | S80852A | 09 | 604-605 | ||
S75919A | 24 | 955-965 | S78921S | 08 | 559-561 | S80852A | 24 | 955-965 | ||
S75919D | 23 | 949-950 | S78922A | 21 | 913-914 | S80852D | 23 | 949-950 | ||
S75919S | 05 | 299-301 | S78922A | 24 | 955-965 | S80852S | 09 | 604-605 | ||
S75991A | 21 | 913-914 | S78922D | 23 | 949-950 | S80859A | 09 | 604-605 | ||
S75991A | 24 | 955-965 | S78922S | 08 | 559-561 | S80859A | 24 | 955-965 | ||
S75991D | 23 | 949-950 | S78929A | 21 | 913-914 | S80859D | 23 | 949-950 | ||
S75991S | 05 | 299-301 | S78929A | 24 | 955-965 | S80859S | 09 | 604-605 | ||
S75992A | 21 | 913-914 | S78929D | 23 | 949-950 | S80861A | 09 | 606-607 | ||
S75992A | 24 | 955-965 | S78929S | 08 | 559-561 | S80861A | 24 | 955-965 | ||
S75992D | 23 | 949-950 | S79001A | 08 | 535-536 | S80861D | 23 | 949-950 | ||
S75992S | 05 | 299-301 | S79001A | 15 | 791 | S80861S | 09 | 604-605 | ||
S75999A | 21 | 913-914 | S79001A | 15 | 793 | S80862A | 09 | 606-607 | ||
S75999A | 24 | 955-965 | S79001A | 24 | 955-965 | S80862A | 24 | 955-965 | ||
S75999D | 23 | 949-950 | S79001D | 08 | 559-561 | S80862D | 23 | 949-950 | ||
S75999S | 05 | 299-301 | S79001G | 08 | 559-561 | S80862S | 09 | 604-605 | ||
S76001A | 21 | 913-914 | S79001K | 08 | 564-566 | S80869A | 09 | 606-607 | ||
S76001A | 24 | 955-965 | S79001P | 08 | 564-566 | S80869A | 24 | 955-965 | ||
S76001D | 23 | 949-950 | S79001S | 08 | 559-561 | S80869D | 23 | 949-950 | ||
S76001S | 21 | 913-914 | S79002A | 08 | 535-536 | S80869S | 09 | 604-605 | ||
S76002A | 21 | 913-914 | S79002A | 15 | 791 | S80871A | 09 | 604-605 | ||
S76002A | 24 | 955-965 | S79002A | 15 | 793 | S80871A | 24 | 955-965 | ||
S76002D | 23 | 949-950 | S79002A | 24 | 955-965 | S80871D | 23 | 949-950 | ||
S76002S | 21 | 913-914 | S79002D | 08 | 559-561 | S80871S | 09 | 604-605 | ||
S76009A | 21 | 913-914 | S79002G | 08 | 559-561 | S80872A | 09 | 604-605 | ||
S76009A | 24 | 955-965 | S79002K | 08 | 564-566 | S80872A | 24 | 955-965 | ||
S76009D | 23 | 949-950 | S79002P | 08 | 564-566 | S80872D | 23 | 949-950 | ||
S76009S | 21 | 913-914 | S79002S | 08 | 559-561 | S80872S | 09 | 604-605 | ||
S76011A | 08 | 537-538 | S79009A | 08 | 535-536 | S80879A | 09 | 604-605 | ||
S76011A | 24 | 955-965 | S79009A | 15 | 791 | S80879A | 24 | 955-965 | ||
S76011D | 23 | 949-950 | S79009A | 15 | 793 | S80879D | 23 | 949-950 | ||
S76011S | 08 | 562-563 | S79009A | 24 | 955-965 | S80879S | 09 | 604-605 | ||
S76012A | 08 | 537-538 | S79009D | 08 | 559-561 | S80911A | 09 | 604-605 | ||
S76012A | 24 | 955-965 | S79009G | 08 | 559-561 | S80911A | 24 | 955-965 | ||
S76012D | 23 | 949-950 | S79009K | 08 | 564-566 | S80911D | 23 | 949-950 | ||
S76012S | 08 | 562-563 | S79009P | 08 | 564-566 | S80911S | 09 | 604-605 | ||
S76019A | 08 | 537-538 | S79009S | 08 | 559-561 | S80912A | 09 | 604-605 | ||
S76019A | 24 | 955-965 | S79011A | 08 | 535-536 | S80912A | 24 | 955-965 | ||
S76019D | 23 | 949-950 | S79011A | 15 | 791 | S80912D | 23 | 949-950 | ||
S76019S | 08 | 562-563 | S79011A | 15 | 793 | S80912S | 09 | 604-605 | ||
S76021A | 08 | 564-566 | S79011A | 24 | 955-965 | S80919A | 09 | 604-605 | ||
S76021A | 24 | 955-965 | S79011D | 08 | 559-561 | S80919A | 24 | 955-965 | ||
S76021D | 23 | 949-950 | S79011G | 08 | 559-561 | S80919D | 23 | 949-950 | ||
S76021S | 09 | 604-605 | S79011K | 08 | 564-566 | S80919S | 09 | 604-605 | ||
S76022A | 08 | 564-566 | S79011P | 08 | 564-566 | S80921A | 09 | 604-605 | ||
S76022A | 24 | 955-965 | S79011S | 08 | 559-561 | S80921A | 24 | 955-965 | ||
S76022D | 23 | 949-950 | S79012A | 08 | 535-536 | S80921D | 23 | 949-950 | ||
S76022S | 09 | 604-605 | S79012A | 15 | 791 | S80921S | 09 | 604-605 | ||
S76029A | 08 | 564-566 | S79012A | 15 | 793 | S80922A | 09 | 604-605 | ||
S76029A | 24 | 955-965 | S79012A | 24 | 955-965 | S80922A | 24 | 955-965 | ||
S76029D | 23 | 949-950 | S79012D | 08 | 559-561 | S80922D | 23 | 949-950 | ||
S76029S | 09 | 604-605 | S79012G | 08 | 559-561 | S80922S | 09 | 604-605 | ||
S76091A | 21 | 913-914 | S79012K | 08 | 564-566 | S80929A | 09 | 604-605 | ||
S76091A | 24 | 955-965 | S79012P | 08 | 564-566 | S80929A | 24 | 955-965 | ||
S76091D | 23 | 949-950 | S79012S | 08 | 559-561 | S80929D | 23 | 949-950 | ||
S76091S | 21 | 913-914 | S79019A | 08 | 535-536 | S80929S | 09 | 604-605 | ||
S76092A | 21 | 913-914 | S79019A | 15 | 791 | S81001A | 09 | 604-605 | ||
S76092A | 24 | 955-965 | S79019A | 15 | 793 | S81001A | 24 | 955-965 | ||
S76092D | 23 | 949-950 | S79019A | 24 | 955-965 | S81001D | 23 | 949-950 | ||
S76092S | 21 | 913-914 | S79019D | 08 | 559-561 | S81001S | 09 | 604-605 | ||
S76099A | 21 | 913-914 | S79019G | 08 | 559-561 | S81002A | 09 | 604-605 | ||
S76099A | 24 | 955-965 | S79019K | 08 | 564-566 | S81002A | 24 | 955-965 | ||
S76099D | 23 | 949-950 | S79019P | 08 | 564-566 | S81002D | 23 | 949-950 | ||
S76099S | 21 | 913-914 | S79019S | 08 | 559-561 | S81002S | 09 | 604-605 | ||
S76101A | 21 | 913-914 | S79091A | 08 | 535-536 | S81009A | 09 | 604-605 | ||
S76101A | 24 | 955-965 | S79091A | 15 | 791 | S81009A | 24 | 955-965 | ||
S76101D | 23 | 949-950 | S79091A | 15 | 793 | S81009D | 23 | 949-950 | ||
S76101S | 21 | 913-914 | S79091A | 24 | 955-965 | S81009S | 09 | 604-605 | ||
S76102A | 21 | 913-914 | S79091D | 08 | 559-561 | S81011A | 09 | 604-605 | ||
S76102A | 24 | 955-965 | S79091G | 08 | 559-561 | S81011A | 24 | 955-965 | ||
S76102D | 23 | 949-950 | S79091K | 08 | 564-566 | S81011D | 23 | 949-950 | ||
S76102S | 21 | 913-914 | S79091P | 08 | 564-566 | S81011S | 09 | 604-605 | ||
S76109A | 21 | 913-914 | S79091S | 08 | 559-561 | S81012A | 09 | 604-605 | ||
S76109A | 24 | 955-965 | S79092A | 08 | 535-536 | S81012A | 24 | 955-965 | ||
S76109D | 23 | 949-950 | S79092A | 15 | 791 | S81012D | 23 | 949-950 | ||
S76109S | 21 | 913-914 | S79092A | 15 | 793 | S81012S | 09 | 604-605 | ||
S76111A | 08 | 537-538 | S79092A | 24 | 955-965 | S81019A | 09 | 604-605 | ||
S76111A | 24 | 955-965 | S79092D | 08 | 559-561 | S81019A | 24 | 955-965 | ||
S76111D | 23 | 949-950 | S79092G | 08 | 559-561 | S81019D | 23 | 949-950 | ||
S76111S | 08 | 562-563 | S79092K | 08 | 564-566 | S81019S | 09 | 604-605 | ||
S76112A | 08 | 537-538 | S79092P | 08 | 564-566 | S81021A | 21 | 913-914 | ||
S76112A | 24 | 955-965 | S79092S | 08 | 559-561 | S81021A | 24 | 955-965 | ||
S76112D | 23 | 949-950 | S79099A | 08 | 535-536 | S81021D | 23 | 949-950 | ||
S76112S | 08 | 562-563 | S79099A | 15 | 791 | S81021S | 09 | 604-605 | ||
S76119A | 08 | 537-538 | S79099A | 15 | 793 | S81022A | 21 | 913-914 | ||
S76119A | 24 | 955-965 | S79099A | 24 | 955-965 | S81022A | 24 | 955-965 | ||
S76119D | 23 | 949-950 | S79099D | 08 | 559-561 | S81022D | 23 | 949-950 | ||
S76119S | 08 | 562-563 | S79099G | 08 | 559-561 | S81022S | 09 | 604-605 | ||
S76121A | 08 | 564-566 | S79099K | 08 | 564-566 | S81029A | 21 | 913-914 | ||
S76121A | 24 | 955-965 | S79099P | 08 | 564-566 | S81029A | 24 | 955-965 | ||
S76121D | 23 | 949-950 | S79099S | 08 | 559-561 | S81029D | 23 | 949-950 | ||
S76121S | 09 | 604-605 | S79101A | 08 | 533-534 | S81029S | 09 | 604-605 | ||
S76122A | 08 | 564-566 | S79101A | 24 | 955-965 | S81031A | 09 | 604-605 | ||
S76122A | 24 | 955-965 | S79101D | 08 | 559-561 | S81031A | 24 | 955-965 | ||
S76122D | 23 | 949-950 | S79101G | 08 | 559-561 | S81031D | 23 | 949-950 | ||
S76122S | 09 | 604-605 | S79101K | 08 | 564-566 | S81031S | 09 | 604-605 | ||
S76129A | 08 | 564-566 | S79101P | 08 | 564-566 | S81032A | 09 | 604-605 | ||
S76129A | 24 | 955-965 | S79101S | 08 | 559-561 | S81032A | 24 | 955-965 | ||
S76129D | 23 | 949-950 | S79102A | 08 | 533-534 | S81032D | 23 | 949-950 | ||
S76129S | 09 | 604-605 | S79102A | 24 | 955-965 | S81032S | 09 | 604-605 | ||
S76191A | 21 | 913-914 | S79102D | 08 | 559-561 | S81039A | 09 | 604-605 | ||
S76191A | 24 | 955-965 | S79102G | 08 | 559-561 | S81039A | 24 | 955-965 | ||
S76191D | 23 | 949-950 | S79102K | 08 | 564-566 | S81039D | 23 | 949-950 | ||
S76191S | 21 | 913-914 | S79102P | 08 | 564-566 | S81039S | 09 | 604-605 | ||
S76192A | 21 | 913-914 | S79102S | 08 | 559-561 | S81041A | 21 | 913-914 | ||
S76192A | 24 | 955-965 | S79109A | 08 | 533-534 | S81041A | 24 | 955-965 | ||
S76192D | 23 | 949-950 | S79109A | 24 | 955-965 | S81041D | 23 | 949-950 | ||
S76192S | 21 | 913-914 | S79109D | 08 | 559-561 | S81041S | 09 | 604-605 | ||
S76199A | 21 | 913-914 | S79109G | 08 | 559-561 | S81042A | 21 | 913-914 | ||
S76199A | 24 | 955-965 | S79109K | 08 | 564-566 | S81042A | 24 | 955-965 | ||
S76199D | 23 | 949-950 | S79109P | 08 | 564-566 | S81042D | 23 | 949-950 | ||
S76199S | 21 | 913-914 | S79109S | 08 | 559-561 | S81042S | 09 | 604-605 | ||
S76201A | 21 | 913-914 | S79111A | 08 | 533-534 | S81049A | 21 | 913-914 | ||
S76201A | 24 | 955-965 | S79111A | 24 | 955-965 | S81049A | 24 | 955-965 | ||
S76201D | 23 | 949-950 | S79111D | 08 | 559-561 | S81049D | 23 | 949-950 | ||
S76201S | 21 | 913-914 | S79111G | 08 | 559-561 | S81049S | 09 | 604-605 | ||
S76202A | 21 | 913-914 | S79111K | 08 | 564-566 | S81051A | 09 | 604-605 | ||
S76202A | 24 | 955-965 | S79111P | 08 | 564-566 | S81051A | 24 | 955-965 | ||
S76202D | 23 | 949-950 | S79111S | 08 | 559-561 | S81051D | 23 | 949-950 | ||
S76202S | 21 | 913-914 | S79112A | 08 | 533-534 | S81051S | 09 | 604-605 | ||
S76209A | 21 | 913-914 | S79112A | 24 | 955-965 | S81052A | 09 | 604-605 | ||
S76209A | 24 | 955-965 | S79112D | 08 | 559-561 | S81052A | 24 | 955-965 | ||
S76209D | 23 | 949-950 | S79112G | 08 | 559-561 | S81052D | 23 | 949-950 | ||
S76209S | 21 | 913-914 | S79112K | 08 | 564-566 | S81052S | 09 | 604-605 | ||
S76211A | 08 | 537-538 | S79112P | 08 | 564-566 | S81059A | 09 | 604-605 | ||
S76211A | 24 | 955-965 | S81059A | 24 | 955-965 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 23 Mar 2020 12:40:01 CMS, code-revision=249, description-revision=1272 |