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 54 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S81059D | 23 | 949-950 | S82033C | 08 | 562-563 | S82116D | 08 | 559-561 | ||
| S81059S | 09 | 604-605 | S82033C | 24 | 955-965 | S82116E | 08 | 559-561 | ||
| S81801A | 09 | 604-605 | S82033D | 08 | 559-561 | S82116F | 08 | 559-561 | ||
| S81801A | 24 | 955-965 | S82033E | 08 | 559-561 | S82116G | 08 | 559-561 | ||
| S81801D | 23 | 949-950 | S82033F | 08 | 559-561 | S82116H | 08 | 559-561 | ||
| S81801S | 09 | 604-605 | S82033G | 08 | 559-561 | S82116J | 08 | 559-561 | ||
| S81802A | 09 | 604-605 | S82033H | 08 | 559-561 | S82116K | 08 | 564-566 | ||
| S81802A | 24 | 955-965 | S82033J | 08 | 559-561 | S82116M | 08 | 564-566 | ||
| S81802D | 23 | 949-950 | S82033K | 08 | 564-566 | S82116N | 08 | 564-566 | ||
| S81802S | 09 | 604-605 | S82033M | 08 | 564-566 | S82116P | 08 | 564-566 | ||
| S81809A | 09 | 604-605 | S82033N | 08 | 564-566 | S82116Q | 08 | 564-566 | ||
| S81809A | 24 | 955-965 | S82033P | 08 | 564-566 | S82116R | 08 | 564-566 | ||
| S81809D | 23 | 949-950 | S82033Q | 08 | 564-566 | S82116S | 08 | 559-561 | ||
| S81809S | 09 | 604-605 | S82033R | 08 | 564-566 | S82121A | 08 | 562-563 | ||
| S81811A | 09 | 604-605 | S82033S | 08 | 559-561 | S82121A | 24 | 955-965 | ||
| S81811A | 24 | 955-965 | S82034A | 08 | 562-563 | S82121B | 08 | 562-563 | ||
| S81811D | 23 | 949-950 | S82034A | 24 | 955-965 | S82121B | 24 | 955-965 | ||
| S81811S | 09 | 604-605 | S82034B | 08 | 562-563 | S82121C | 08 | 562-563 | ||
| S81812A | 09 | 604-605 | S82034B | 24 | 955-965 | S82121C | 24 | 955-965 | ||
| S81812A | 24 | 955-965 | S82034C | 08 | 562-563 | S82121D | 08 | 559-561 | ||
| S81812D | 23 | 949-950 | S82034C | 24 | 955-965 | S82121E | 08 | 559-561 | ||
| S81812S | 09 | 604-605 | S82034D | 08 | 559-561 | S82121F | 08 | 559-561 | ||
| S81819A | 09 | 604-605 | S82034E | 08 | 559-561 | S82121G | 08 | 559-561 | ||
| S81819A | 24 | 955-965 | S82034F | 08 | 559-561 | S82121H | 08 | 559-561 | ||
| S81819D | 23 | 949-950 | S82034G | 08 | 559-561 | S82121J | 08 | 559-561 | ||
| S81819S | 09 | 604-605 | S82034H | 08 | 559-561 | S82121K | 08 | 564-566 | ||
| S81821A | 21 | 913-914 | S82034J | 08 | 559-561 | S82121M | 08 | 564-566 | ||
| S81821A | 24 | 955-965 | S82034K | 08 | 564-566 | S82121N | 08 | 564-566 | ||
| S81821D | 23 | 949-950 | S82034M | 08 | 564-566 | S82121P | 08 | 564-566 | ||
| S81821S | 09 | 604-605 | S82034N | 08 | 564-566 | S82121Q | 08 | 564-566 | ||
| S81822A | 21 | 913-914 | S82034P | 08 | 564-566 | S82121R | 08 | 564-566 | ||
| S81822A | 24 | 955-965 | S82034Q | 08 | 564-566 | S82121S | 08 | 559-561 | ||
| S81822D | 23 | 949-950 | S82034R | 08 | 564-566 | S82122A | 08 | 562-563 | ||
| S81822S | 09 | 604-605 | S82034S | 08 | 559-561 | S82122A | 24 | 955-965 | ||
| S81829A | 21 | 913-914 | S82035A | 08 | 562-563 | S82122B | 08 | 562-563 | ||
| S81829A | 24 | 955-965 | S82035A | 24 | 955-965 | S82122B | 24 | 955-965 | ||
| S81829D | 23 | 949-950 | S82035B | 08 | 562-563 | S82122C | 08 | 562-563 | ||
| S81829S | 09 | 604-605 | S82035B | 24 | 955-965 | S82122C | 24 | 955-965 | ||
| S81831A | 09 | 604-605 | S82035C | 08 | 562-563 | S82122D | 08 | 559-561 | ||
| S81831A | 24 | 955-965 | S82035C | 24 | 955-965 | S82122E | 08 | 559-561 | ||
| S81831D | 23 | 949-950 | S82035D | 08 | 559-561 | S82122F | 08 | 559-561 | ||
| S81831S | 09 | 604-605 | S82035E | 08 | 559-561 | S82122G | 08 | 559-561 | ||
| S81832A | 09 | 604-605 | S82035F | 08 | 559-561 | S82122H | 08 | 559-561 | ||
| S81832A | 24 | 955-965 | S82035G | 08 | 559-561 | S82122J | 08 | 559-561 | ||
| S81832D | 23 | 949-950 | S82035H | 08 | 559-561 | S82122K | 08 | 564-566 | ||
| S81832S | 09 | 604-605 | S82035J | 08 | 559-561 | S82122M | 08 | 564-566 | ||
| S81839A | 09 | 604-605 | S82035K | 08 | 564-566 | S82122N | 08 | 564-566 | ||
| S81839A | 24 | 955-965 | S82035M | 08 | 564-566 | S82122P | 08 | 564-566 | ||
| S81839D | 23 | 949-950 | S82035N | 08 | 564-566 | S82122Q | 08 | 564-566 | ||
| S81839S | 09 | 604-605 | S82035P | 08 | 564-566 | S82122R | 08 | 564-566 | ||
| S81841A | 21 | 913-914 | S82035Q | 08 | 564-566 | S82122S | 08 | 559-561 | ||
| S81841A | 24 | 955-965 | S82035R | 08 | 564-566 | S82123A | 08 | 562-563 | ||
| S81841D | 23 | 949-950 | S82035S | 08 | 559-561 | S82123A | 24 | 955-965 | ||
| S81841S | 09 | 604-605 | S82036A | 08 | 562-563 | S82123B | 08 | 562-563 | ||
| S81842A | 21 | 913-914 | S82036A | 24 | 955-965 | S82123B | 24 | 955-965 | ||
| S81842A | 24 | 955-965 | S82036B | 08 | 562-563 | S82123C | 08 | 562-563 | ||
| S81842D | 23 | 949-950 | S82036B | 24 | 955-965 | S82123C | 24 | 955-965 | ||
| S81842S | 09 | 604-605 | S82036C | 08 | 562-563 | S82123D | 08 | 559-561 | ||
| S81849A | 21 | 913-914 | S82036C | 24 | 955-965 | S82123E | 08 | 559-561 | ||
| S81849A | 24 | 955-965 | S82036D | 08 | 559-561 | S82123F | 08 | 559-561 | ||
| S81849D | 23 | 949-950 | S82036E | 08 | 559-561 | S82123G | 08 | 559-561 | ||
| S81849S | 09 | 604-605 | S82036F | 08 | 559-561 | S82123H | 08 | 559-561 | ||
| S81851A | 09 | 604-605 | S82036G | 08 | 559-561 | S82123J | 08 | 559-561 | ||
| S81851A | 24 | 955-965 | S82036H | 08 | 559-561 | S82123K | 08 | 564-566 | ||
| S81851D | 23 | 949-950 | S82036J | 08 | 559-561 | S82123M | 08 | 564-566 | ||
| S81851S | 09 | 604-605 | S82036K | 08 | 564-566 | S82123N | 08 | 564-566 | ||
| S81852A | 09 | 604-605 | S82036M | 08 | 564-566 | S82123P | 08 | 564-566 | ||
| S81852A | 24 | 955-965 | S82036N | 08 | 564-566 | S82123Q | 08 | 564-566 | ||
| S81852D | 23 | 949-950 | S82036P | 08 | 564-566 | S82123R | 08 | 564-566 | ||
| S81852S | 09 | 604-605 | S82036Q | 08 | 564-566 | S82123S | 08 | 559-561 | ||
| S81859A | 09 | 604-605 | S82036R | 08 | 564-566 | S82124A | 08 | 562-563 | ||
| S81859A | 24 | 955-965 | S82036S | 08 | 559-561 | S82124A | 24 | 955-965 | ||
| S81859D | 23 | 949-950 | S82041A | 08 | 562-563 | S82124B | 08 | 562-563 | ||
| S81859S | 09 | 604-605 | S82041A | 24 | 955-965 | S82124B | 24 | 955-965 | ||
| S82001A | 08 | 562-563 | S82041B | 08 | 562-563 | S82124C | 08 | 562-563 | ||
| S82001A | 24 | 955-965 | S82041B | 24 | 955-965 | S82124C | 24 | 955-965 | ||
| S82001B | 08 | 562-563 | S82041C | 08 | 562-563 | S82124D | 08 | 559-561 | ||
| S82001B | 24 | 955-965 | S82041C | 24 | 955-965 | S82124E | 08 | 559-561 | ||
| S82001C | 08 | 562-563 | S82041D | 08 | 559-561 | S82124F | 08 | 559-561 | ||
| S82001C | 24 | 955-965 | S82041E | 08 | 559-561 | S82124G | 08 | 559-561 | ||
| S82001D | 08 | 559-561 | S82041F | 08 | 559-561 | S82124H | 08 | 559-561 | ||
| S82001E | 08 | 559-561 | S82041G | 08 | 559-561 | S82124J | 08 | 559-561 | ||
| S82001F | 08 | 559-561 | S82041H | 08 | 559-561 | S82124K | 08 | 564-566 | ||
| S82001G | 08 | 559-561 | S82041J | 08 | 559-561 | S82124M | 08 | 564-566 | ||
| S82001H | 08 | 559-561 | S82041K | 08 | 564-566 | S82124N | 08 | 564-566 | ||
| S82001J | 08 | 559-561 | S82041M | 08 | 564-566 | S82124P | 08 | 564-566 | ||
| S82001K | 08 | 564-566 | S82041N | 08 | 564-566 | S82124Q | 08 | 564-566 | ||
| S82001M | 08 | 564-566 | S82041P | 08 | 564-566 | S82124R | 08 | 564-566 | ||
| S82001N | 08 | 564-566 | S82041Q | 08 | 564-566 | S82124S | 08 | 559-561 | ||
| S82001P | 08 | 564-566 | S82041R | 08 | 564-566 | S82125A | 08 | 562-563 | ||
| S82001Q | 08 | 564-566 | S82041S | 08 | 559-561 | S82125A | 24 | 955-965 | ||
| S82001R | 08 | 564-566 | S82042A | 08 | 562-563 | S82125B | 08 | 562-563 | ||
| S82001S | 08 | 559-561 | S82042A | 24 | 955-965 | S82125B | 24 | 955-965 | ||
| S82002A | 08 | 562-563 | S82042B | 08 | 562-563 | S82125C | 08 | 562-563 | ||
| S82002A | 24 | 955-965 | S82042B | 24 | 955-965 | S82125C | 24 | 955-965 | ||
| S82002B | 08 | 562-563 | S82042C | 08 | 562-563 | S82125D | 08 | 559-561 | ||
| S82002B | 24 | 955-965 | S82042C | 24 | 955-965 | S82125E | 08 | 559-561 | ||
| S82002C | 08 | 562-563 | S82042D | 08 | 559-561 | S82125F | 08 | 559-561 | ||
| S82002C | 24 | 955-965 | S82042E | 08 | 559-561 | S82125G | 08 | 559-561 | ||
| S82002D | 08 | 559-561 | S82042F | 08 | 559-561 | S82125H | 08 | 559-561 | ||
| S82002E | 08 | 559-561 | S82042G | 08 | 559-561 | S82125J | 08 | 559-561 | ||
| S82002F | 08 | 559-561 | S82042H | 08 | 559-561 | S82125K | 08 | 564-566 | ||
| S82002G | 08 | 559-561 | S82042J | 08 | 559-561 | S82125M | 08 | 564-566 | ||
| S82002H | 08 | 559-561 | S82042K | 08 | 564-566 | S82125N | 08 | 564-566 | ||
| S82002J | 08 | 559-561 | S82042M | 08 | 564-566 | S82125P | 08 | 564-566 | ||
| S82002K | 08 | 564-566 | S82042N | 08 | 564-566 | S82125Q | 08 | 564-566 | ||
| S82002M | 08 | 564-566 | S82042P | 08 | 564-566 | S82125R | 08 | 564-566 | ||
| S82002N | 08 | 564-566 | S82042Q | 08 | 564-566 | S82125S | 08 | 559-561 | ||
| S82002P | 08 | 564-566 | S82042R | 08 | 564-566 | S82126A | 08 | 562-563 | ||
| S82002Q | 08 | 564-566 | S82042S | 08 | 559-561 | S82126A | 24 | 955-965 | ||
| S82002R | 08 | 564-566 | S82043A | 08 | 562-563 | S82126B | 08 | 562-563 | ||
| S82002S | 08 | 559-561 | S82043A | 24 | 955-965 | S82126B | 24 | 955-965 | ||
| S82009A | 08 | 562-563 | S82043B | 08 | 562-563 | S82126C | 08 | 562-563 | ||
| S82009A | 24 | 955-965 | S82043B | 24 | 955-965 | S82126C | 24 | 955-965 | ||
| S82009B | 08 | 562-563 | S82043C | 08 | 562-563 | S82126D | 08 | 559-561 | ||
| S82009B | 24 | 955-965 | S82043C | 24 | 955-965 | S82126E | 08 | 559-561 | ||
| S82009C | 08 | 562-563 | S82043D | 08 | 559-561 | S82126F | 08 | 559-561 | ||
| S82009C | 24 | 955-965 | S82043E | 08 | 559-561 | S82126G | 08 | 559-561 | ||
| S82009D | 08 | 559-561 | S82043F | 08 | 559-561 | S82126H | 08 | 559-561 | ||
| S82009E | 08 | 559-561 | S82043G | 08 | 559-561 | S82126J | 08 | 559-561 | ||
| S82009F | 08 | 559-561 | S82043H | 08 | 559-561 | S82126K | 08 | 564-566 | ||
| S82009G | 08 | 559-561 | S82043J | 08 | 559-561 | S82126M | 08 | 564-566 | ||
| S82009H | 08 | 559-561 | S82043K | 08 | 564-566 | S82126N | 08 | 564-566 | ||
| S82009J | 08 | 559-561 | S82043M | 08 | 564-566 | S82126P | 08 | 564-566 | ||
| S82009K | 08 | 564-566 | S82043N | 08 | 564-566 | S82126Q | 08 | 564-566 | ||
| S82009M | 08 | 564-566 | S82043P | 08 | 564-566 | S82126R | 08 | 564-566 | ||
| S82009N | 08 | 564-566 | S82043Q | 08 | 564-566 | S82126S | 08 | 559-561 | ||
| S82009P | 08 | 564-566 | S82043R | 08 | 564-566 | S82131A | 08 | 562-563 | ||
| S82009Q | 08 | 564-566 | S82043S | 08 | 559-561 | S82131A | 24 | 955-965 | ||
| S82009R | 08 | 564-566 | S82044A | 08 | 562-563 | S82131B | 08 | 562-563 | ||
| S82009S | 08 | 559-561 | S82044A | 24 | 955-965 | S82131B | 24 | 955-965 | ||
| S82011A | 08 | 562-563 | S82044B | 08 | 562-563 | S82131C | 08 | 562-563 | ||
| S82011A | 24 | 955-965 | S82044B | 24 | 955-965 | S82131C | 24 | 955-965 | ||
| S82011B | 08 | 562-563 | S82044C | 08 | 562-563 | S82131D | 08 | 559-561 | ||
| S82011B | 24 | 955-965 | S82044C | 24 | 955-965 | S82131E | 08 | 559-561 | ||
| S82011C | 08 | 562-563 | S82044D | 08 | 559-561 | S82131F | 08 | 559-561 | ||
| S82011C | 24 | 955-965 | S82044E | 08 | 559-561 | S82131G | 08 | 559-561 | ||
| S82011D | 08 | 559-561 | S82044F | 08 | 559-561 | S82131H | 08 | 559-561 | ||
| S82011E | 08 | 559-561 | S82044G | 08 | 559-561 | S82131J | 08 | 559-561 | ||
| S82011F | 08 | 559-561 | S82044H | 08 | 559-561 | S82131K | 08 | 564-566 | ||
| S82011G | 08 | 559-561 | S82044J | 08 | 559-561 | S82131M | 08 | 564-566 | ||
| S82011H | 08 | 559-561 | S82044K | 08 | 564-566 | S82131N | 08 | 564-566 | ||
| S82011J | 08 | 559-561 | S82044M | 08 | 564-566 | S82131P | 08 | 564-566 | ||
| S82011K | 08 | 564-566 | S82044N | 08 | 564-566 | S82131Q | 08 | 564-566 | ||
| S82011M | 08 | 564-566 | S82044P | 08 | 564-566 | S82131R | 08 | 564-566 | ||
| S82011N | 08 | 564-566 | S82044Q | 08 | 564-566 | S82131S | 08 | 559-561 | ||
| S82011P | 08 | 564-566 | S82044R | 08 | 564-566 | S82132A | 08 | 562-563 | ||
| S82011Q | 08 | 564-566 | S82044S | 08 | 559-561 | S82132A | 24 | 955-965 | ||
| S82011R | 08 | 564-566 | S82045A | 08 | 562-563 | S82132B | 08 | 562-563 | ||
| S82011S | 08 | 559-561 | S82045A | 24 | 955-965 | S82132B | 24 | 955-965 | ||
| S82012A | 08 | 562-563 | S82045B | 08 | 562-563 | S82132C | 08 | 562-563 | ||
| S82012A | 24 | 955-965 | S82045B | 24 | 955-965 | S82132C | 24 | 955-965 | ||
| S82012B | 08 | 562-563 | S82045C | 08 | 562-563 | S82132D | 08 | 559-561 | ||
| S82012B | 24 | 955-965 | S82045C | 24 | 955-965 | S82132E | 08 | 559-561 | ||
| S82012C | 08 | 562-563 | S82045D | 08 | 559-561 | S82132F | 08 | 559-561 | ||
| S82012C | 24 | 955-965 | S82045E | 08 | 559-561 | S82132G | 08 | 559-561 | ||
| S82012D | 08 | 559-561 | S82045F | 08 | 559-561 | S82132H | 08 | 559-561 | ||
| S82012E | 08 | 559-561 | S82045G | 08 | 559-561 | S82132J | 08 | 559-561 | ||
| S82012F | 08 | 559-561 | S82045H | 08 | 559-561 | S82132K | 08 | 564-566 | ||
| S82012G | 08 | 559-561 | S82045J | 08 | 559-561 | S82132M | 08 | 564-566 | ||
| S82012H | 08 | 559-561 | S82045K | 08 | 564-566 | S82132N | 08 | 564-566 | ||
| S82012J | 08 | 559-561 | S82045M | 08 | 564-566 | S82132P | 08 | 564-566 | ||
| S82012K | 08 | 564-566 | S82045N | 08 | 564-566 | S82132Q | 08 | 564-566 | ||
| S82012M | 08 | 564-566 | S82045P | 08 | 564-566 | S82132R | 08 | 564-566 | ||
| S82012N | 08 | 564-566 | S82045Q | 08 | 564-566 | S82132S | 08 | 559-561 | ||
| S82012P | 08 | 564-566 | S82045R | 08 | 564-566 | S82133A | 08 | 562-563 | ||
| S82012Q | 08 | 564-566 | S82045S | 08 | 559-561 | S82133A | 24 | 955-965 | ||
| S82012R | 08 | 564-566 | S82046A | 08 | 562-563 | S82133B | 08 | 562-563 | ||
| S82012S | 08 | 559-561 | S82046A | 24 | 955-965 | S82133B | 24 | 955-965 | ||
| S82013A | 08 | 562-563 | S82046B | 08 | 562-563 | S82133C | 08 | 562-563 | ||
| S82013A | 24 | 955-965 | S82046B | 24 | 955-965 | S82133C | 24 | 955-965 | ||
| S82013B | 08 | 562-563 | S82046C | 08 | 562-563 | S82133D | 08 | 559-561 | ||
| S82013B | 24 | 955-965 | S82046C | 24 | 955-965 | S82133E | 08 | 559-561 | ||
| S82013C | 08 | 562-563 | S82046D | 08 | 559-561 | S82133F | 08 | 559-561 | ||
| S82013C | 24 | 955-965 | S82046E | 08 | 559-561 | S82133G | 08 | 559-561 | ||
| S82013D | 08 | 559-561 | S82046F | 08 | 559-561 | S82133H | 08 | 559-561 | ||
| S82013E | 08 | 559-561 | S82046G | 08 | 559-561 | S82133J | 08 | 559-561 | ||
| S82013F | 08 | 559-561 | S82046H | 08 | 559-561 | S82133K | 08 | 564-566 | ||
| S82013G | 08 | 559-561 | S82046J | 08 | 559-561 | S82133M | 08 | 564-566 | ||
| S82013H | 08 | 559-561 | S82046K | 08 | 564-566 | S82133N | 08 | 564-566 | ||
| S82013J | 08 | 559-561 | S82046M | 08 | 564-566 | S82133P | 08 | 564-566 | ||
| S82013K | 08 | 564-566 | S82046N | 08 | 564-566 | S82133Q | 08 | 564-566 | ||
| S82013M | 08 | 564-566 | S82046P | 08 | 564-566 | S82133R | 08 | 564-566 | ||
| S82013N | 08 | 564-566 | S82046Q | 08 | 564-566 | S82133S | 08 | 559-561 | ||
| S82013P | 08 | 564-566 | S82046R | 08 | 564-566 | S82134A | 08 | 562-563 | ||
| S82013Q | 08 | 564-566 | S82046S | 08 | 559-561 | S82134A | 24 | 955-965 | ||
| S82013R | 08 | 564-566 | S82091A | 08 | 562-563 | S82134B | 08 | 562-563 | ||
| S82013S | 08 | 559-561 | S82091A | 24 | 955-965 | S82134B | 24 | 955-965 | ||
| S82014A | 08 | 562-563 | S82091B | 08 | 562-563 | S82134C | 08 | 562-563 | ||
| S82014A | 24 | 955-965 | S82091B | 24 | 955-965 | S82134C | 24 | 955-965 | ||
| S82014B | 08 | 562-563 | S82091C | 08 | 562-563 | S82134D | 08 | 559-561 | ||
| S82014B | 24 | 955-965 | S82091C | 24 | 955-965 | S82134E | 08 | 559-561 | ||
| S82014C | 08 | 562-563 | S82091D | 08 | 559-561 | S82134F | 08 | 559-561 | ||
| S82014C | 24 | 955-965 | S82091E | 08 | 559-561 | S82134G | 08 | 559-561 | ||
| S82014D | 08 | 559-561 | S82091F | 08 | 559-561 | S82134H | 08 | 559-561 | ||
| S82014E | 08 | 559-561 | S82091G | 08 | 559-561 | S82134J | 08 | 559-561 | ||
| S82014F | 08 | 559-561 | S82091H | 08 | 559-561 | S82134K | 08 | 564-566 | ||
| S82014G | 08 | 559-561 | S82091J | 08 | 559-561 | S82134M | 08 | 564-566 | ||
| S82014H | 08 | 559-561 | S82091K | 08 | 564-566 | S82134N | 08 | 564-566 | ||
| S82014J | 08 | 559-561 | S82091M | 08 | 564-566 | S82134P | 08 | 564-566 | ||
| S82014K | 08 | 564-566 | S82091N | 08 | 564-566 | S82134Q | 08 | 564-566 | ||
| S82014M | 08 | 564-566 | S82091P | 08 | 564-566 | S82134R | 08 | 564-566 | ||
| S82014N | 08 | 564-566 | S82091Q | 08 | 564-566 | S82134S | 08 | 559-561 | ||
| S82014P | 08 | 564-566 | S82091R | 08 | 564-566 | S82135A | 08 | 562-563 | ||
| S82014Q | 08 | 564-566 | S82091S | 08 | 559-561 | S82135A | 24 | 955-965 | ||
| S82014R | 08 | 564-566 | S82092A | 08 | 562-563 | S82135B | 08 | 562-563 | ||
| S82014S | 08 | 559-561 | S82092A | 24 | 955-965 | S82135B | 24 | 955-965 | ||
| S82015A | 08 | 562-563 | S82092B | 08 | 562-563 | S82135C | 08 | 562-563 | ||
| S82015A | 24 | 955-965 | S82092B | 24 | 955-965 | S82135C | 24 | 955-965 | ||
| S82015B | 08 | 562-563 | S82092C | 08 | 562-563 | S82135D | 08 | 559-561 | ||
| S82015B | 24 | 955-965 | S82092C | 24 | 955-965 | S82135E | 08 | 559-561 | ||
| S82015C | 08 | 562-563 | S82092D | 08 | 559-561 | S82135F | 08 | 559-561 | ||
| S82015C | 24 | 955-965 | S82092E | 08 | 559-561 | S82135G | 08 | 559-561 | ||
| S82015D | 08 | 559-561 | S82092F | 08 | 559-561 | S82135H | 08 | 559-561 | ||
| S82015E | 08 | 559-561 | S82092G | 08 | 559-561 | S82135J | 08 | 559-561 | ||
| S82015F | 08 | 559-561 | S82092H | 08 | 559-561 | S82135K | 08 | 564-566 | ||
| S82015G | 08 | 559-561 | S82092J | 08 | 559-561 | S82135M | 08 | 564-566 | ||
| S82015H | 08 | 559-561 | S82092K | 08 | 564-566 | S82135N | 08 | 564-566 | ||
| S82015J | 08 | 559-561 | S82092M | 08 | 564-566 | S82135P | 08 | 564-566 | ||
| S82015K | 08 | 564-566 | S82092N | 08 | 564-566 | S82135Q | 08 | 564-566 | ||
| S82015M | 08 | 564-566 | S82092P | 08 | 564-566 | S82135R | 08 | 564-566 | ||
| S82015N | 08 | 564-566 | S82092Q | 08 | 564-566 | S82135S | 08 | 559-561 | ||
| S82015P | 08 | 564-566 | S82092R | 08 | 564-566 | S82136A | 08 | 562-563 | ||
| S82015Q | 08 | 564-566 | S82092S | 08 | 559-561 | S82136A | 24 | 955-965 | ||
| S82015R | 08 | 564-566 | S82099A | 08 | 562-563 | S82136B | 08 | 562-563 | ||
| S82015S | 08 | 559-561 | S82099A | 24 | 955-965 | S82136B | 24 | 955-965 | ||
| S82016A | 08 | 562-563 | S82099B | 08 | 562-563 | S82136C | 08 | 562-563 | ||
| S82016A | 24 | 955-965 | S82099B | 24 | 955-965 | S82136C | 24 | 955-965 | ||
| S82016B | 08 | 562-563 | S82099C | 08 | 562-563 | S82136D | 08 | 559-561 | ||
| S82016B | 24 | 955-965 | S82099C | 24 | 955-965 | S82136E | 08 | 559-561 | ||
| S82016C | 08 | 562-563 | S82099D | 08 | 559-561 | S82136F | 08 | 559-561 | ||
| S82016C | 24 | 955-965 | S82099E | 08 | 559-561 | S82136G | 08 | 559-561 | ||
| S82016D | 08 | 559-561 | S82099F | 08 | 559-561 | S82136H | 08 | 559-561 | ||
| S82016E | 08 | 559-561 | S82099G | 08 | 559-561 | S82136J | 08 | 559-561 | ||
| S82016F | 08 | 559-561 | S82099H | 08 | 559-561 | S82136K | 08 | 564-566 | ||
| S82016G | 08 | 559-561 | S82099J | 08 | 559-561 | S82136M | 08 | 564-566 | ||
| S82016H | 08 | 559-561 | S82099K | 08 | 564-566 | S82136N | 08 | 564-566 | ||
| S82016J | 08 | 559-561 | S82099M | 08 | 564-566 | S82136P | 08 | 564-566 | ||
| S82016K | 08 | 564-566 | S82099N | 08 | 564-566 | S82136Q | 08 | 564-566 | ||
| S82016M | 08 | 564-566 | S82099P | 08 | 564-566 | S82136R | 08 | 564-566 | ||
| S82016N | 08 | 564-566 | S82099Q | 08 | 564-566 | S82136S | 08 | 559-561 | ||
| S82016P | 08 | 564-566 | S82099R | 08 | 564-566 | S82141A | 08 | 562-563 | ||
| S82016Q | 08 | 564-566 | S82099S | 08 | 559-561 | S82141A | 24 | 955-965 | ||
| S82016R | 08 | 564-566 | S82101A | 08 | 562-563 | S82141B | 08 | 562-563 | ||
| S82016S | 08 | 559-561 | S82101A | 24 | 955-965 | S82141B | 24 | 955-965 | ||
| S82021A | 08 | 562-563 | S82101B | 08 | 562-563 | S82141C | 08 | 562-563 | ||
| S82021A | 24 | 955-965 | S82101B | 24 | 955-965 | S82141C | 24 | 955-965 | ||
| S82021B | 08 | 562-563 | S82101C | 08 | 562-563 | S82141D | 08 | 559-561 | ||
| S82021B | 24 | 955-965 | S82101C | 24 | 955-965 | S82141E | 08 | 559-561 | ||
| S82021C | 08 | 562-563 | S82101D | 08 | 559-561 | S82141F | 08 | 559-561 | ||
| S82021C | 24 | 955-965 | S82101E | 08 | 559-561 | S82141G | 08 | 559-561 | ||
| S82021D | 08 | 559-561 | S82101F | 08 | 559-561 | S82141H | 08 | 559-561 | ||
| S82021E | 08 | 559-561 | S82101G | 08 | 559-561 | S82141J | 08 | 559-561 | ||
| S82021F | 08 | 559-561 | S82101H | 08 | 559-561 | S82141K | 08 | 564-566 | ||
| S82021G | 08 | 559-561 | S82101J | 08 | 559-561 | S82141M | 08 | 564-566 | ||
| S82021H | 08 | 559-561 | S82101K | 08 | 564-566 | S82141N | 08 | 564-566 | ||
| S82021J | 08 | 559-561 | S82101M | 08 | 564-566 | S82141P | 08 | 564-566 | ||
| S82021K | 08 | 564-566 | S82101N | 08 | 564-566 | S82141Q | 08 | 564-566 | ||
| S82021M | 08 | 564-566 | S82101P | 08 | 564-566 | S82141R | 08 | 564-566 | ||
| S82021N | 08 | 564-566 | S82101Q | 08 | 564-566 | S82141S | 08 | 559-561 | ||
| S82021P | 08 | 564-566 | S82101R | 08 | 564-566 | S82142A | 08 | 562-563 | ||
| S82021Q | 08 | 564-566 | S82101S | 08 | 559-561 | S82142A | 24 | 955-965 | ||
| S82021R | 08 | 564-566 | S82102A | 08 | 562-563 | S82142B | 08 | 562-563 | ||
| S82021S | 08 | 559-561 | S82102A | 24 | 955-965 | S82142B | 24 | 955-965 | ||
| S82022A | 08 | 562-563 | S82102B | 08 | 562-563 | S82142C | 08 | 562-563 | ||
| S82022A | 24 | 955-965 | S82102B | 24 | 955-965 | S82142C | 24 | 955-965 | ||
| S82022B | 08 | 562-563 | S82102C | 08 | 562-563 | S82142D | 08 | 559-561 | ||
| S82022B | 24 | 955-965 | S82102C | 24 | 955-965 | S82142E | 08 | 559-561 | ||
| S82022C | 08 | 562-563 | S82102D | 08 | 559-561 | S82142F | 08 | 559-561 | ||
| S82022C | 24 | 955-965 | S82102E | 08 | 559-561 | S82142G | 08 | 559-561 | ||
| S82022D | 08 | 559-561 | S82102F | 08 | 559-561 | S82142H | 08 | 559-561 | ||
| S82022E | 08 | 559-561 | S82102G | 08 | 559-561 | S82142J | 08 | 559-561 | ||
| S82022F | 08 | 559-561 | S82102H | 08 | 559-561 | S82142K | 08 | 564-566 | ||
| S82022G | 08 | 559-561 | S82102J | 08 | 559-561 | S82142M | 08 | 564-566 | ||
| S82022H | 08 | 559-561 | S82102K | 08 | 564-566 | S82142N | 08 | 564-566 | ||
| S82022J | 08 | 559-561 | S82102M | 08 | 564-566 | S82142P | 08 | 564-566 | ||
| S82022K | 08 | 564-566 | S82102N | 08 | 564-566 | S82142Q | 08 | 564-566 | ||
| S82022M | 08 | 564-566 | S82102P | 08 | 564-566 | S82142R | 08 | 564-566 | ||
| S82022N | 08 | 564-566 | S82102Q | 08 | 564-566 | S82142S | 08 | 559-561 | ||
| S82022P | 08 | 564-566 | S82102R | 08 | 564-566 | S82143A | 08 | 562-563 | ||
| S82022Q | 08 | 564-566 | S82102S | 08 | 559-561 | S82143A | 24 | 955-965 | ||
| S82022R | 08 | 564-566 | S82109A | 08 | 562-563 | S82143B | 08 | 562-563 | ||
| S82022S | 08 | 559-561 | S82109A | 24 | 955-965 | S82143B | 24 | 955-965 | ||
| S82023A | 08 | 562-563 | S82109B | 08 | 562-563 | S82143C | 08 | 562-563 | ||
| S82023A | 24 | 955-965 | S82109B | 24 | 955-965 | S82143C | 24 | 955-965 | ||
| S82023B | 08 | 562-563 | S82109C | 08 | 562-563 | S82143D | 08 | 559-561 | ||
| S82023B | 24 | 955-965 | S82109C | 24 | 955-965 | S82143E | 08 | 559-561 | ||
| S82023C | 08 | 562-563 | S82109D | 08 | 559-561 | S82143F | 08 | 559-561 | ||
| S82023C | 24 | 955-965 | S82109E | 08 | 559-561 | S82143G | 08 | 559-561 | ||
| S82023D | 08 | 559-561 | S82109F | 08 | 559-561 | S82143H | 08 | 559-561 | ||
| S82023E | 08 | 559-561 | S82109G | 08 | 559-561 | S82143J | 08 | 559-561 | ||
| S82023F | 08 | 559-561 | S82109H | 08 | 559-561 | S82143K | 08 | 564-566 | ||
| S82023G | 08 | 559-561 | S82109J | 08 | 559-561 | S82143M | 08 | 564-566 | ||
| S82023H | 08 | 559-561 | S82109K | 08 | 564-566 | S82143N | 08 | 564-566 | ||
| S82023J | 08 | 559-561 | S82109M | 08 | 564-566 | S82143P | 08 | 564-566 | ||
| S82023K | 08 | 564-566 | S82109N | 08 | 564-566 | S82143Q | 08 | 564-566 | ||
| S82023M | 08 | 564-566 | S82109P | 08 | 564-566 | S82143R | 08 | 564-566 | ||
| S82023N | 08 | 564-566 | S82109Q | 08 | 564-566 | S82143S | 08 | 559-561 | ||
| S82023P | 08 | 564-566 | S82109R | 08 | 564-566 | S82144A | 08 | 562-563 | ||
| S82023Q | 08 | 564-566 | S82109S | 08 | 559-561 | S82144A | 24 | 955-965 | ||
| S82023R | 08 | 564-566 | S82111A | 08 | 562-563 | S82144B | 08 | 562-563 | ||
| S82023S | 08 | 559-561 | S82111A | 24 | 955-965 | S82144B | 24 | 955-965 | ||
| S82024A | 08 | 562-563 | S82111B | 08 | 562-563 | S82144C | 08 | 562-563 | ||
| S82024A | 24 | 955-965 | S82111B | 24 | 955-965 | S82144C | 24 | 955-965 | ||
| S82024B | 08 | 562-563 | S82111C | 08 | 562-563 | S82144D | 08 | 559-561 | ||
| S82024B | 24 | 955-965 | S82111C | 24 | 955-965 | S82144E | 08 | 559-561 | ||
| S82024C | 08 | 562-563 | S82111D | 08 | 559-561 | S82144F | 08 | 559-561 | ||
| S82024C | 24 | 955-965 | S82111E | 08 | 559-561 | S82144G | 08 | 559-561 | ||
| S82024D | 08 | 559-561 | S82111F | 08 | 559-561 | S82144H | 08 | 559-561 | ||
| S82024E | 08 | 559-561 | S82111G | 08 | 559-561 | S82144J | 08 | 559-561 | ||
| S82024F | 08 | 559-561 | S82111H | 08 | 559-561 | S82144K | 08 | 564-566 | ||
| S82024G | 08 | 559-561 | S82111J | 08 | 559-561 | S82144M | 08 | 564-566 | ||
| S82024H | 08 | 559-561 | S82111K | 08 | 564-566 | S82144N | 08 | 564-566 | ||
| S82024J | 08 | 559-561 | S82111M | 08 | 564-566 | S82144P | 08 | 564-566 | ||
| S82024K | 08 | 564-566 | S82111N | 08 | 564-566 | S82144Q | 08 | 564-566 | ||
| S82024M | 08 | 564-566 | S82111P | 08 | 564-566 | S82144R | 08 | 564-566 | ||
| S82024N | 08 | 564-566 | S82111Q | 08 | 564-566 | S82144S | 08 | 559-561 | ||
| S82024P | 08 | 564-566 | S82111R | 08 | 564-566 | S82145A | 08 | 562-563 | ||
| S82024Q | 08 | 564-566 | S82111S | 08 | 559-561 | S82145A | 24 | 955-965 | ||
| S82024R | 08 | 564-566 | S82112A | 08 | 562-563 | S82145B | 08 | 562-563 | ||
| S82024S | 08 | 559-561 | S82112A | 24 | 955-965 | S82145B | 24 | 955-965 | ||
| S82025A | 08 | 562-563 | S82112B | 08 | 562-563 | S82145C | 08 | 562-563 | ||
| S82025A | 24 | 955-965 | S82112B | 24 | 955-965 | S82145C | 24 | 955-965 | ||
| S82025B | 08 | 562-563 | S82112C | 08 | 562-563 | S82145D | 08 | 559-561 | ||
| S82025B | 24 | 955-965 | S82112C | 24 | 955-965 | S82145E | 08 | 559-561 | ||
| S82025C | 08 | 562-563 | S82112D | 08 | 559-561 | S82145F | 08 | 559-561 | ||
| S82025C | 24 | 955-965 | S82112E | 08 | 559-561 | S82145G | 08 | 559-561 | ||
| S82025D | 08 | 559-561 | S82112F | 08 | 559-561 | S82145H | 08 | 559-561 | ||
| S82025E | 08 | 559-561 | S82112G | 08 | 559-561 | S82145J | 08 | 559-561 | ||
| S82025F | 08 | 559-561 | S82112H | 08 | 559-561 | S82145K | 08 | 564-566 | ||
| S82025G | 08 | 559-561 | S82112J | 08 | 559-561 | S82145M | 08 | 564-566 | ||
| S82025H | 08 | 559-561 | S82112K | 08 | 564-566 | S82145N | 08 | 564-566 | ||
| S82025J | 08 | 559-561 | S82112M | 08 | 564-566 | S82145P | 08 | 564-566 | ||
| S82025K | 08 | 564-566 | S82112N | 08 | 564-566 | S82145Q | 08 | 564-566 | ||
| S82025M | 08 | 564-566 | S82112P | 08 | 564-566 | S82145R | 08 | 564-566 | ||
| S82025N | 08 | 564-566 | S82112Q | 08 | 564-566 | S82145S | 08 | 559-561 | ||
| S82025P | 08 | 564-566 | S82112R | 08 | 564-566 | S82146A | 08 | 562-563 | ||
| S82025Q | 08 | 564-566 | S82112S | 08 | 559-561 | S82146A | 24 | 955-965 | ||
| S82025R | 08 | 564-566 | S82113A | 08 | 562-563 | S82146B | 08 | 562-563 | ||
| S82025S | 08 | 559-561 | S82113A | 24 | 955-965 | S82146B | 24 | 955-965 | ||
| S82026A | 08 | 562-563 | S82113B | 08 | 562-563 | S82146C | 08 | 562-563 | ||
| S82026A | 24 | 955-965 | S82113B | 24 | 955-965 | S82146C | 24 | 955-965 | ||
| S82026B | 08 | 562-563 | S82113C | 08 | 562-563 | S82146D | 08 | 559-561 | ||
| S82026B | 24 | 955-965 | S82113C | 24 | 955-965 | S82146E | 08 | 559-561 | ||
| S82026C | 08 | 562-563 | S82113D | 08 | 559-561 | S82146F | 08 | 559-561 | ||
| S82026C | 24 | 955-965 | S82113E | 08 | 559-561 | S82146G | 08 | 559-561 | ||
| S82026D | 08 | 559-561 | S82113F | 08 | 559-561 | S82146H | 08 | 559-561 | ||
| S82026E | 08 | 559-561 | S82113G | 08 | 559-561 | S82146J | 08 | 559-561 | ||
| S82026F | 08 | 559-561 | S82113H | 08 | 559-561 | S82146K | 08 | 564-566 | ||
| S82026G | 08 | 559-561 | S82113J | 08 | 559-561 | S82146M | 08 | 564-566 | ||
| S82026H | 08 | 559-561 | S82113K | 08 | 564-566 | S82146N | 08 | 564-566 | ||
| S82026J | 08 | 559-561 | S82113M | 08 | 564-566 | S82146P | 08 | 564-566 | ||
| S82026K | 08 | 564-566 | S82113N | 08 | 564-566 | S82146Q | 08 | 564-566 | ||
| S82026M | 08 | 564-566 | S82113P | 08 | 564-566 | S82146R | 08 | 564-566 | ||
| S82026N | 08 | 564-566 | S82113Q | 08 | 564-566 | S82146S | 08 | 559-561 | ||
| S82026P | 08 | 564-566 | S82113R | 08 | 564-566 | S82151A | 08 | 562-563 | ||
| S82026Q | 08 | 564-566 | S82113S | 08 | 559-561 | S82151A | 24 | 955-965 | ||
| S82026R | 08 | 564-566 | S82114A | 08 | 562-563 | S82151B | 08 | 562-563 | ||
| S82026S | 08 | 559-561 | S82114A | 24 | 955-965 | S82151B | 24 | 955-965 | ||
| S82031A | 08 | 562-563 | S82114B | 08 | 562-563 | S82151C | 08 | 562-563 | ||
| S82031A | 24 | 955-965 | S82114B | 24 | 955-965 | S82151C | 24 | 955-965 | ||
| S82031B | 08 | 562-563 | S82114C | 08 | 562-563 | S82151D | 08 | 559-561 | ||
| S82031B | 24 | 955-965 | S82114C | 24 | 955-965 | S82151E | 08 | 559-561 | ||
| S82031C | 08 | 562-563 | S82114D | 08 | 559-561 | S82151F | 08 | 559-561 | ||
| S82031C | 24 | 955-965 | S82114E | 08 | 559-561 | S82151G | 08 | 559-561 | ||
| S82031D | 08 | 559-561 | S82114F | 08 | 559-561 | S82151H | 08 | 559-561 | ||
| S82031E | 08 | 559-561 | S82114G | 08 | 559-561 | S82151J | 08 | 559-561 | ||
| S82031F | 08 | 559-561 | S82114H | 08 | 559-561 | S82151K | 08 | 564-566 | ||
| S82031G | 08 | 559-561 | S82114J | 08 | 559-561 | S82151M | 08 | 564-566 | ||
| S82031H | 08 | 559-561 | S82114K | 08 | 564-566 | S82151N | 08 | 564-566 | ||
| S82031J | 08 | 559-561 | S82114M | 08 | 564-566 | S82151P | 08 | 564-566 | ||
| S82031K | 08 | 564-566 | S82114N | 08 | 564-566 | S82151Q | 08 | 564-566 | ||
| S82031M | 08 | 564-566 | S82114P | 08 | 564-566 | S82151R | 08 | 564-566 | ||
| S82031N | 08 | 564-566 | S82114Q | 08 | 564-566 | S82151S | 08 | 559-561 | ||
| S82031P | 08 | 564-566 | S82114R | 08 | 564-566 | S82152A | 08 | 562-563 | ||
| S82031Q | 08 | 564-566 | S82114S | 08 | 559-561 | S82152A | 24 | 955-965 | ||
| S82031R | 08 | 564-566 | S82115A | 08 | 562-563 | S82152B | 08 | 562-563 | ||
| S82031S | 08 | 559-561 | S82115A | 24 | 955-965 | S82152B | 24 | 955-965 | ||
| S82032A | 08 | 562-563 | S82115B | 08 | 562-563 | S82152C | 08 | 562-563 | ||
| S82032A | 24 | 955-965 | S82115B | 24 | 955-965 | S82152C | 24 | 955-965 | ||
| S82032B | 08 | 562-563 | S82115C | 08 | 562-563 | S82152D | 08 | 559-561 | ||
| S82032B | 24 | 955-965 | S82115C | 24 | 955-965 | S82152E | 08 | 559-561 | ||
| S82032C | 08 | 562-563 | S82115D | 08 | 559-561 | S82152F | 08 | 559-561 | ||
| S82032C | 24 | 955-965 | S82115E | 08 | 559-561 | S82152G | 08 | 559-561 | ||
| S82032D | 08 | 559-561 | S82115F | 08 | 559-561 | S82152H | 08 | 559-561 | ||
| S82032E | 08 | 559-561 | S82115G | 08 | 559-561 | S82152J | 08 | 559-561 | ||
| S82032F | 08 | 559-561 | S82115H | 08 | 559-561 | S82152K | 08 | 564-566 | ||
| S82032G | 08 | 559-561 | S82115J | 08 | 559-561 | S82152M | 08 | 564-566 | ||
| S82032H | 08 | 559-561 | S82115K | 08 | 564-566 | S82152N | 08 | 564-566 | ||
| S82032J | 08 | 559-561 | S82115M | 08 | 564-566 | S82152P | 08 | 564-566 | ||
| S82032K | 08 | 564-566 | S82115N | 08 | 564-566 | S82152Q | 08 | 564-566 | ||
| S82032M | 08 | 564-566 | S82115P | 08 | 564-566 | S82152R | 08 | 564-566 | ||
| S82032N | 08 | 564-566 | S82115Q | 08 | 564-566 | S82152S | 08 | 559-561 | ||
| S82032P | 08 | 564-566 | S82115R | 08 | 564-566 | S82153A | 08 | 562-563 | ||
| S82032Q | 08 | 564-566 | S82115S | 08 | 559-561 | S82153A | 24 | 955-965 | ||
| S82032R | 08 | 564-566 | S82116A | 08 | 562-563 | S82153B | 08 | 562-563 | ||
| S82032S | 08 | 559-561 | S82116A | 24 | 955-965 | S82153B | 24 | 955-965 | ||
| S82033A | 08 | 562-563 | S82116B | 08 | 562-563 | S82153C | 08 | 562-563 | ||
| S82033A | 24 | 955-965 | S82116B | 24 | 955-965 | S82153C | 24 | 955-965 | ||
| S82033B | 08 | 562-563 | S82116C | 08 | 562-563 | S82153D | 08 | 559-561 | ||
| S82033B | 24 | 955-965 | S82116C | 24 | 955-965 | S82153E | 08 | 559-561 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 23 Mar 2020 12:40:01 CMS, code-revision=249, description-revision=1272 |