ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 57 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S82875K | 08 | 564-566 | S83219D | 23 | 949-950 | S85181S | 05 | 299-301 | ||
S82875M | 08 | 564-566 | S83219S | 08 | 562-563 | S85182A | 21 | 913-914 | ||
S82875N | 08 | 564-566 | S83221A | 08 | 562-563 | S85182A | 24 | 955-965 | ||
S82875P | 08 | 564-566 | S83221A | 24 | 955-965 | S85182D | 23 | 949-950 | ||
S82875Q | 08 | 564-566 | S83221D | 23 | 949-950 | S85182S | 05 | 299-301 | ||
S82875R | 08 | 564-566 | S83221S | 08 | 562-563 | S85189A | 21 | 913-914 | ||
S82875S | 08 | 559-561 | S83222A | 08 | 562-563 | S85189A | 24 | 955-965 | ||
S82876A | 08 | 562-563 | S83222A | 24 | 955-965 | S85189D | 23 | 949-950 | ||
S82876A | 24 | 955-965 | S83222D | 23 | 949-950 | S85189S | 05 | 299-301 | ||
S82876B | 08 | 562-563 | S83222S | 08 | 562-563 | S85201A | 21 | 913-914 | ||
S82876B | 24 | 955-965 | S83229A | 08 | 562-563 | S85201A | 24 | 955-965 | ||
S82876C | 08 | 562-563 | S83229A | 24 | 955-965 | S85201D | 23 | 949-950 | ||
S82876C | 24 | 955-965 | S83229D | 23 | 949-950 | S85201S | 05 | 299-301 | ||
S82876D | 08 | 559-561 | S83229S | 08 | 562-563 | S85202A | 21 | 913-914 | ||
S82876E | 08 | 559-561 | S83231A | 08 | 562-563 | S85202A | 24 | 955-965 | ||
S82876F | 08 | 559-561 | S83231A | 24 | 955-965 | S85202D | 23 | 949-950 | ||
S82876G | 08 | 559-561 | S83231D | 23 | 949-950 | S85202S | 05 | 299-301 | ||
S82876H | 08 | 559-561 | S83231S | 08 | 562-563 | S85209A | 21 | 913-914 | ||
S82876J | 08 | 559-561 | S83232A | 08 | 562-563 | S85209A | 24 | 955-965 | ||
S82876K | 08 | 564-566 | S83232A | 24 | 955-965 | S85209D | 23 | 949-950 | ||
S82876M | 08 | 564-566 | S83232D | 23 | 949-950 | S85209S | 05 | 299-301 | ||
S82876N | 08 | 564-566 | S83232S | 08 | 562-563 | S85211A | 21 | 913-914 | ||
S82876P | 08 | 564-566 | S83239A | 08 | 562-563 | S85211A | 24 | 955-965 | ||
S82876Q | 08 | 564-566 | S83239A | 24 | 955-965 | S85211D | 23 | 949-950 | ||
S82876R | 08 | 564-566 | S83239D | 23 | 949-950 | S85211S | 05 | 299-301 | ||
S82876S | 08 | 559-561 | S83239S | 08 | 562-563 | S85212A | 21 | 913-914 | ||
S82891A | 08 | 562-563 | S83241A | 08 | 562-563 | S85212A | 24 | 955-965 | ||
S82891A | 24 | 955-965 | S83241A | 24 | 955-965 | S85212D | 23 | 949-950 | ||
S82891B | 08 | 562-563 | S83241D | 23 | 949-950 | S85212S | 05 | 299-301 | ||
S82891B | 24 | 955-965 | S83241S | 08 | 562-563 | S85219A | 21 | 913-914 | ||
S82891C | 08 | 562-563 | S83242A | 08 | 562-563 | S85219A | 24 | 955-965 | ||
S82891C | 24 | 955-965 | S83242A | 24 | 955-965 | S85219D | 23 | 949-950 | ||
S82891D | 08 | 559-561 | S83242D | 23 | 949-950 | S85219S | 05 | 299-301 | ||
S82891E | 08 | 559-561 | S83242S | 08 | 562-563 | S85291A | 21 | 913-914 | ||
S82891F | 08 | 559-561 | S83249A | 08 | 562-563 | S85291A | 24 | 955-965 | ||
S82891G | 08 | 559-561 | S83249A | 24 | 955-965 | S85291D | 23 | 949-950 | ||
S82891H | 08 | 559-561 | S83249D | 23 | 949-950 | S85291S | 05 | 299-301 | ||
S82891J | 08 | 559-561 | S83249S | 08 | 562-563 | S85292A | 21 | 913-914 | ||
S82891K | 08 | 564-566 | S83251A | 08 | 562-563 | S85292A | 24 | 955-965 | ||
S82891M | 08 | 564-566 | S83251A | 24 | 955-965 | S85292D | 23 | 949-950 | ||
S82891N | 08 | 564-566 | S83251D | 23 | 949-950 | S85292S | 05 | 299-301 | ||
S82891P | 08 | 564-566 | S83251S | 08 | 562-563 | S85299A | 21 | 913-914 | ||
S82891Q | 08 | 564-566 | S83252A | 08 | 562-563 | S85299A | 24 | 955-965 | ||
S82891R | 08 | 564-566 | S83252A | 24 | 955-965 | S85299D | 23 | 949-950 | ||
S82891S | 08 | 559-561 | S83252D | 23 | 949-950 | S85299S | 05 | 299-301 | ||
S82892A | 08 | 562-563 | S83252S | 08 | 562-563 | S85301A | 21 | 913-914 | ||
S82892A | 24 | 955-965 | S83259A | 08 | 562-563 | S85301A | 24 | 955-965 | ||
S82892B | 08 | 562-563 | S83259A | 24 | 955-965 | S85301D | 23 | 949-950 | ||
S82892B | 24 | 955-965 | S83259D | 23 | 949-950 | S85301S | 05 | 299-301 | ||
S82892C | 08 | 562-563 | S83259S | 08 | 562-563 | S85302A | 21 | 913-914 | ||
S82892C | 24 | 955-965 | S83261A | 08 | 562-563 | S85302A | 24 | 955-965 | ||
S82892D | 08 | 559-561 | S83261A | 24 | 955-965 | S85302D | 23 | 949-950 | ||
S82892E | 08 | 559-561 | S83261D | 23 | 949-950 | S85302S | 05 | 299-301 | ||
S82892F | 08 | 559-561 | S83261S | 08 | 562-563 | S85309A | 21 | 913-914 | ||
S82892G | 08 | 559-561 | S83262A | 08 | 562-563 | S85309A | 24 | 955-965 | ||
S82892H | 08 | 559-561 | S83262A | 24 | 955-965 | S85309D | 23 | 949-950 | ||
S82892J | 08 | 559-561 | S83262D | 23 | 949-950 | S85309S | 05 | 299-301 | ||
S82892K | 08 | 564-566 | S83262S | 08 | 562-563 | S85311A | 21 | 913-914 | ||
S82892M | 08 | 564-566 | S83269A | 08 | 562-563 | S85311A | 24 | 955-965 | ||
S82892N | 08 | 564-566 | S83269A | 24 | 955-965 | S85311D | 23 | 949-950 | ||
S82892P | 08 | 564-566 | S83269D | 23 | 949-950 | S85311S | 05 | 299-301 | ||
S82892Q | 08 | 564-566 | S83269S | 08 | 562-563 | S85312A | 21 | 913-914 | ||
S82892R | 08 | 564-566 | S83271A | 08 | 562-563 | S85312A | 24 | 955-965 | ||
S82892S | 08 | 559-561 | S83271A | 24 | 955-965 | S85312D | 23 | 949-950 | ||
S82899A | 08 | 562-563 | S83271D | 23 | 949-950 | S85312S | 05 | 299-301 | ||
S82899A | 24 | 955-965 | S83271S | 08 | 562-563 | S85319A | 21 | 913-914 | ||
S82899B | 08 | 562-563 | S83272A | 08 | 562-563 | S85319A | 24 | 955-965 | ||
S82899B | 24 | 955-965 | S83272A | 24 | 955-965 | S85319D | 23 | 949-950 | ||
S82899C | 08 | 562-563 | S83272D | 23 | 949-950 | S85319S | 05 | 299-301 | ||
S82899C | 24 | 955-965 | S83272S | 08 | 562-563 | S85391A | 21 | 913-914 | ||
S82899D | 08 | 559-561 | S83279A | 08 | 562-563 | S85391A | 24 | 955-965 | ||
S82899E | 08 | 559-561 | S83279A | 24 | 955-965 | S85391D | 23 | 949-950 | ||
S82899F | 08 | 559-561 | S83279D | 23 | 949-950 | S85391S | 05 | 299-301 | ||
S82899G | 08 | 559-561 | S83279S | 08 | 562-563 | S85392A | 21 | 913-914 | ||
S82899H | 08 | 559-561 | S83281A | 08 | 562-563 | S85392A | 24 | 955-965 | ||
S82899J | 08 | 559-561 | S83281A | 24 | 955-965 | S85392D | 23 | 949-950 | ||
S82899K | 08 | 564-566 | S83281D | 23 | 949-950 | S85392S | 05 | 299-301 | ||
S82899M | 08 | 564-566 | S83281S | 08 | 562-563 | S85399A | 21 | 913-914 | ||
S82899N | 08 | 564-566 | S83282A | 08 | 562-563 | S85399A | 24 | 955-965 | ||
S82899P | 08 | 564-566 | S83282A | 24 | 955-965 | S85399D | 23 | 949-950 | ||
S82899Q | 08 | 564-566 | S83282D | 23 | 949-950 | S85399S | 05 | 299-301 | ||
S82899R | 08 | 564-566 | S83282S | 08 | 562-563 | S85401A | 21 | 913-914 | ||
S82899S | 08 | 559-561 | S83289A | 08 | 562-563 | S85401A | 24 | 955-965 | ||
S8290XA | 08 | 562-563 | S83289A | 24 | 955-965 | S85401D | 23 | 949-950 | ||
S8290XA | 24 | 955-965 | S83289D | 23 | 949-950 | S85401S | 05 | 299-301 | ||
S8290XB | 08 | 562-563 | S83289S | 08 | 562-563 | S85402A | 21 | 913-914 | ||
S8290XB | 24 | 955-965 | S8330XA | 08 | 562-563 | S85402A | 24 | 955-965 | ||
S8290XC | 08 | 562-563 | S8330XA | 24 | 955-965 | S85402D | 23 | 949-950 | ||
S8290XC | 24 | 955-965 | S8330XD | 23 | 949-950 | S85402S | 05 | 299-301 | ||
S8290XD | 08 | 559-561 | S8330XS | 08 | 562-563 | S85409A | 21 | 913-914 | ||
S8290XE | 08 | 559-561 | S8331XA | 08 | 562-563 | S85409A | 24 | 955-965 | ||
S8290XF | 08 | 559-561 | S8331XA | 24 | 955-965 | S85409D | 23 | 949-950 | ||
S8290XG | 08 | 559-561 | S8331XD | 23 | 949-950 | S85409S | 05 | 299-301 | ||
S8290XH | 08 | 559-561 | S8331XS | 08 | 562-563 | S85411A | 21 | 913-914 | ||
S8290XJ | 08 | 559-561 | S8332XA | 08 | 562-563 | S85411A | 24 | 955-965 | ||
S8290XK | 08 | 564-566 | S8332XA | 24 | 955-965 | S85411D | 23 | 949-950 | ||
S8290XM | 08 | 564-566 | S8332XD | 23 | 949-950 | S85411S | 05 | 299-301 | ||
S8290XN | 08 | 564-566 | S8332XS | 08 | 562-563 | S85412A | 21 | 913-914 | ||
S8290XP | 08 | 564-566 | S83401A | 08 | 562-563 | S85412A | 24 | 955-965 | ||
S8290XQ | 08 | 564-566 | S83401A | 24 | 955-965 | S85412D | 23 | 949-950 | ||
S8290XR | 08 | 564-566 | S83401D | 23 | 949-950 | S85412S | 05 | 299-301 | ||
S8290XS | 08 | 559-561 | S83401S | 08 | 562-563 | S85419A | 21 | 913-914 | ||
S8291XA | 08 | 562-563 | S83402A | 08 | 562-563 | S85419A | 24 | 955-965 | ||
S8291XA | 24 | 955-965 | S83402A | 24 | 955-965 | S85419D | 23 | 949-950 | ||
S8291XB | 08 | 562-563 | S83402D | 23 | 949-950 | S85419S | 05 | 299-301 | ||
S8291XB | 24 | 955-965 | S83402S | 08 | 562-563 | S85491A | 21 | 913-914 | ||
S8291XC | 08 | 562-563 | S83409A | 08 | 562-563 | S85491A | 24 | 955-965 | ||
S8291XC | 24 | 955-965 | S83409A | 24 | 955-965 | S85491D | 23 | 949-950 | ||
S8291XD | 08 | 559-561 | S83409D | 23 | 949-950 | S85491S | 05 | 299-301 | ||
S8291XE | 08 | 559-561 | S83409S | 08 | 562-563 | S85492A | 21 | 913-914 | ||
S8291XF | 08 | 559-561 | S83411A | 08 | 562-563 | S85492A | 24 | 955-965 | ||
S8291XG | 08 | 559-561 | S83411A | 24 | 955-965 | S85492D | 23 | 949-950 | ||
S8291XH | 08 | 559-561 | S83411D | 23 | 949-950 | S85492S | 05 | 299-301 | ||
S8291XJ | 08 | 559-561 | S83411S | 08 | 562-563 | S85499A | 21 | 913-914 | ||
S8291XK | 08 | 564-566 | S83412A | 08 | 562-563 | S85499A | 24 | 955-965 | ||
S8291XM | 08 | 564-566 | S83412A | 24 | 955-965 | S85499D | 23 | 949-950 | ||
S8291XN | 08 | 564-566 | S83412D | 23 | 949-950 | S85499S | 05 | 299-301 | ||
S8291XP | 08 | 564-566 | S83412S | 08 | 562-563 | S85501A | 21 | 913-914 | ||
S8291XQ | 08 | 564-566 | S83419A | 08 | 562-563 | S85501A | 24 | 955-965 | ||
S8291XR | 08 | 564-566 | S83419A | 24 | 955-965 | S85501D | 23 | 949-950 | ||
S8291XS | 08 | 559-561 | S83419D | 23 | 949-950 | S85501S | 05 | 299-301 | ||
S8292XA | 08 | 562-563 | S83419S | 08 | 562-563 | S85502A | 21 | 913-914 | ||
S8292XA | 24 | 955-965 | S83421A | 08 | 562-563 | S85502A | 24 | 955-965 | ||
S8292XB | 08 | 562-563 | S83421A | 24 | 955-965 | S85502D | 23 | 949-950 | ||
S8292XB | 24 | 955-965 | S83421D | 23 | 949-950 | S85502S | 05 | 299-301 | ||
S8292XC | 08 | 562-563 | S83421S | 08 | 562-563 | S85509A | 21 | 913-914 | ||
S8292XC | 24 | 955-965 | S83422A | 08 | 562-563 | S85509A | 24 | 955-965 | ||
S8292XD | 08 | 559-561 | S83422A | 24 | 955-965 | S85509D | 23 | 949-950 | ||
S8292XE | 08 | 559-561 | S83422D | 23 | 949-950 | S85509S | 05 | 299-301 | ||
S8292XF | 08 | 559-561 | S83422S | 08 | 562-563 | S85511A | 21 | 913-914 | ||
S8292XG | 08 | 559-561 | S83429A | 08 | 562-563 | S85511A | 24 | 955-965 | ||
S8292XH | 08 | 559-561 | S83429A | 24 | 955-965 | S85511D | 23 | 949-950 | ||
S8292XJ | 08 | 559-561 | S83429D | 23 | 949-950 | S85511S | 05 | 299-301 | ||
S8292XK | 08 | 564-566 | S83429S | 08 | 562-563 | S85512A | 21 | 913-914 | ||
S8292XM | 08 | 564-566 | S83501A | 08 | 562-563 | S85512A | 24 | 955-965 | ||
S8292XN | 08 | 564-566 | S83501A | 24 | 955-965 | S85512D | 23 | 949-950 | ||
S8292XP | 08 | 564-566 | S83501D | 23 | 949-950 | S85512S | 05 | 299-301 | ||
S8292XQ | 08 | 564-566 | S83501S | 08 | 562-563 | S85519A | 21 | 913-914 | ||
S8292XR | 08 | 564-566 | S83502A | 08 | 562-563 | S85519A | 24 | 955-965 | ||
S8292XS | 08 | 559-561 | S83502A | 24 | 955-965 | S85519D | 23 | 949-950 | ||
S83001A | 08 | 562-563 | S83502D | 23 | 949-950 | S85519S | 05 | 299-301 | ||
S83001A | 24 | 955-965 | S83502S | 08 | 562-563 | S85591A | 21 | 913-914 | ||
S83001D | 23 | 949-950 | S83509A | 08 | 562-563 | S85591A | 24 | 955-965 | ||
S83001S | 08 | 562-563 | S83509A | 24 | 955-965 | S85591D | 23 | 949-950 | ||
S83002A | 08 | 562-563 | S83509D | 23 | 949-950 | S85591S | 05 | 299-301 | ||
S83002A | 24 | 955-965 | S83509S | 08 | 562-563 | S85592A | 21 | 913-914 | ||
S83002D | 23 | 949-950 | S83511A | 08 | 562-563 | S85592A | 24 | 955-965 | ||
S83002S | 08 | 562-563 | S83511A | 24 | 955-965 | S85592D | 23 | 949-950 | ||
S83003A | 08 | 562-563 | S83511D | 23 | 949-950 | S85592S | 05 | 299-301 | ||
S83003A | 24 | 955-965 | S83511S | 08 | 562-563 | S85599A | 21 | 913-914 | ||
S83003D | 23 | 949-950 | S83512A | 08 | 562-563 | S85599A | 24 | 955-965 | ||
S83003S | 08 | 562-563 | S83512A | 24 | 955-965 | S85599D | 23 | 949-950 | ||
S83004A | 08 | 562-563 | S83512D | 23 | 949-950 | S85599S | 05 | 299-301 | ||
S83004A | 24 | 955-965 | S83512S | 08 | 562-563 | S85801A | 21 | 913-914 | ||
S83004D | 23 | 949-950 | S83519A | 08 | 562-563 | S85801A | 24 | 955-965 | ||
S83004S | 08 | 562-563 | S83519A | 24 | 955-965 | S85801D | 23 | 949-950 | ||
S83005A | 08 | 562-563 | S83519D | 23 | 949-950 | S85801S | 05 | 299-301 | ||
S83005A | 24 | 955-965 | S83519S | 08 | 562-563 | S85802A | 21 | 913-914 | ||
S83005D | 23 | 949-950 | S83521A | 08 | 562-563 | S85802A | 24 | 955-965 | ||
S83005S | 08 | 562-563 | S83521A | 24 | 955-965 | S85802D | 23 | 949-950 | ||
S83006A | 08 | 562-563 | S83521D | 23 | 949-950 | S85802S | 05 | 299-301 | ||
S83006A | 24 | 955-965 | S83521S | 08 | 562-563 | S85809A | 21 | 913-914 | ||
S83006D | 23 | 949-950 | S83522A | 08 | 562-563 | S85809A | 24 | 955-965 | ||
S83006S | 08 | 562-563 | S83522A | 24 | 955-965 | S85809D | 23 | 949-950 | ||
S83011A | 08 | 562-563 | S83522D | 23 | 949-950 | S85809S | 05 | 299-301 | ||
S83011A | 24 | 955-965 | S83522S | 08 | 562-563 | S85811A | 21 | 913-914 | ||
S83011D | 23 | 949-950 | S83529A | 08 | 562-563 | S85811A | 24 | 955-965 | ||
S83011S | 08 | 562-563 | S83529A | 24 | 955-965 | S85811D | 23 | 949-950 | ||
S83012A | 08 | 562-563 | S83529D | 23 | 949-950 | S85811S | 05 | 299-301 | ||
S83012A | 24 | 955-965 | S83529S | 08 | 562-563 | S85812A | 21 | 913-914 | ||
S83012D | 23 | 949-950 | S8360XA | 08 | 562-563 | S85812A | 24 | 955-965 | ||
S83012S | 08 | 562-563 | S8360XA | 24 | 955-965 | S85812D | 23 | 949-950 | ||
S83013A | 08 | 562-563 | S8360XD | 23 | 949-950 | S85812S | 05 | 299-301 | ||
S83013A | 24 | 955-965 | S8360XS | 08 | 562-563 | S85819A | 21 | 913-914 | ||
S83013D | 23 | 949-950 | S8361XA | 08 | 562-563 | S85819A | 24 | 955-965 | ||
S83013S | 08 | 562-563 | S8361XA | 24 | 955-965 | S85819D | 23 | 949-950 | ||
S83014A | 08 | 562-563 | S8361XD | 23 | 949-950 | S85819S | 05 | 299-301 | ||
S83014A | 24 | 955-965 | S8361XS | 08 | 562-563 | S85891A | 21 | 913-914 | ||
S83014D | 23 | 949-950 | S8362XA | 08 | 562-563 | S85891A | 24 | 955-965 | ||
S83014S | 08 | 562-563 | S8362XA | 24 | 955-965 | S85891D | 23 | 949-950 | ||
S83015A | 08 | 562-563 | S8362XD | 23 | 949-950 | S85891S | 05 | 299-301 | ||
S83015A | 24 | 955-965 | S8362XS | 08 | 562-563 | S85892A | 21 | 913-914 | ||
S83015D | 23 | 949-950 | S838X1A | 08 | 562-563 | S85892A | 24 | 955-965 | ||
S83015S | 08 | 562-563 | S838X1A | 24 | 955-965 | S85892D | 23 | 949-950 | ||
S83016A | 08 | 562-563 | S838X1D | 23 | 949-950 | S85892S | 05 | 299-301 | ||
S83016A | 24 | 955-965 | S838X1S | 08 | 562-563 | S85899A | 21 | 913-914 | ||
S83016D | 23 | 949-950 | S838X2A | 08 | 562-563 | S85899A | 24 | 955-965 | ||
S83016S | 08 | 562-563 | S838X2A | 24 | 955-965 | S85899D | 23 | 949-950 | ||
S83091A | 08 | 562-563 | S838X2D | 23 | 949-950 | S85899S | 05 | 299-301 | ||
S83091A | 24 | 955-965 | S838X2S | 08 | 562-563 | S85901A | 21 | 913-914 | ||
S83091D | 23 | 949-950 | S838X9A | 08 | 562-563 | S85901A | 24 | 955-965 | ||
S83091S | 08 | 562-563 | S838X9A | 24 | 955-965 | S85901D | 23 | 949-950 | ||
S83092A | 08 | 562-563 | S838X9D | 23 | 949-950 | S85901S | 05 | 299-301 | ||
S83092A | 24 | 955-965 | S838X9S | 08 | 562-563 | S85902A | 21 | 913-914 | ||
S83092D | 23 | 949-950 | S8390XA | 08 | 562-563 | S85902A | 24 | 955-965 | ||
S83092S | 08 | 562-563 | S8390XA | 24 | 955-965 | S85902D | 23 | 949-950 | ||
S83093A | 08 | 562-563 | S8390XD | 23 | 949-950 | S85902S | 05 | 299-301 | ||
S83093A | 24 | 955-965 | S8390XS | 08 | 562-563 | S85909A | 21 | 913-914 | ||
S83093D | 23 | 949-950 | S8391XA | 08 | 562-563 | S85909A | 24 | 955-965 | ||
S83093S | 08 | 562-563 | S8391XA | 24 | 955-965 | S85909D | 23 | 949-950 | ||
S83094A | 08 | 562-563 | S8391XD | 23 | 949-950 | S85909S | 05 | 299-301 | ||
S83094A | 24 | 955-965 | S8391XS | 08 | 562-563 | S85911A | 21 | 913-914 | ||
S83094D | 23 | 949-950 | S8392XA | 08 | 562-563 | S85911A | 24 | 955-965 | ||
S83094S | 08 | 562-563 | S8392XA | 24 | 955-965 | S85911D | 23 | 949-950 | ||
S83095A | 08 | 562-563 | S8392XD | 23 | 949-950 | S85911S | 05 | 299-301 | ||
S83095A | 24 | 955-965 | S8392XS | 08 | 562-563 | S85912A | 21 | 913-914 | ||
S83095D | 23 | 949-950 | S8400XA | 01 | 073-074 | S85912A | 24 | 955-965 | ||
S83095S | 08 | 562-563 | S8400XA | 24 | 955-965 | S85912D | 23 | 949-950 | ||
S83096A | 08 | 562-563 | S8400XD | 23 | 949-950 | S85912S | 05 | 299-301 | ||
S83096A | 24 | 955-965 | S8400XS | 01 | 091-093 | S85919A | 21 | 913-914 | ||
S83096D | 23 | 949-950 | S8401XA | 01 | 073-074 | S85919A | 24 | 955-965 | ||
S83096S | 08 | 562-563 | S8401XA | 24 | 955-965 | S85919D | 23 | 949-950 | ||
S83101A | 08 | 562-563 | S8401XD | 23 | 949-950 | S85919S | 05 | 299-301 | ||
S83101A | 24 | 955-965 | S8401XS | 01 | 091-093 | S85991A | 21 | 913-914 | ||
S83101D | 23 | 949-950 | S8402XA | 01 | 073-074 | S85991A | 24 | 955-965 | ||
S83101S | 08 | 562-563 | S8402XA | 24 | 955-965 | S85991D | 23 | 949-950 | ||
S83102A | 08 | 562-563 | S8402XD | 23 | 949-950 | S85991S | 05 | 299-301 | ||
S83102A | 24 | 955-965 | S8402XS | 01 | 091-093 | S85992A | 21 | 913-914 | ||
S83102D | 23 | 949-950 | S8410XA | 01 | 073-074 | S85992A | 24 | 955-965 | ||
S83102S | 08 | 562-563 | S8410XA | 24 | 955-965 | S85992D | 23 | 949-950 | ||
S83103A | 08 | 562-563 | S8410XD | 23 | 949-950 | S85992S | 05 | 299-301 | ||
S83103A | 24 | 955-965 | S8410XS | 01 | 091-093 | S85999A | 21 | 913-914 | ||
S83103D | 23 | 949-950 | S8411XA | 01 | 073-074 | S85999A | 24 | 955-965 | ||
S83103S | 08 | 562-563 | S8411XA | 24 | 955-965 | S85999D | 23 | 949-950 | ||
S83104A | 08 | 562-563 | S8411XD | 23 | 949-950 | S85999S | 05 | 299-301 | ||
S83104A | 24 | 955-965 | S8411XS | 01 | 091-093 | S86001A | 21 | 913-914 | ||
S83104D | 23 | 949-950 | S8412XA | 01 | 073-074 | S86001A | 24 | 955-965 | ||
S83104S | 08 | 562-563 | S8412XA | 24 | 955-965 | S86001D | 23 | 949-950 | ||
S83105A | 08 | 562-563 | S8412XD | 23 | 949-950 | S86001S | 21 | 913-914 | ||
S83105A | 24 | 955-965 | S8412XS | 01 | 091-093 | S86002A | 21 | 913-914 | ||
S83105D | 23 | 949-950 | S8420XA | 01 | 073-074 | S86002A | 24 | 955-965 | ||
S83105S | 08 | 562-563 | S8420XA | 24 | 955-965 | S86002D | 23 | 949-950 | ||
S83106A | 08 | 562-563 | S8420XD | 23 | 949-950 | S86002S | 21 | 913-914 | ||
S83106A | 24 | 955-965 | S8420XS | 01 | 091-093 | S86009A | 21 | 913-914 | ||
S83106D | 23 | 949-950 | S8421XA | 01 | 073-074 | S86009A | 24 | 955-965 | ||
S83106S | 08 | 562-563 | S8421XA | 24 | 955-965 | S86009D | 23 | 949-950 | ||
S83111A | 08 | 562-563 | S8421XD | 23 | 949-950 | S86009S | 21 | 913-914 | ||
S83111A | 24 | 955-965 | S8421XS | 01 | 091-093 | S86011A | 08 | 562-563 | ||
S83111D | 23 | 949-950 | S8422XA | 01 | 073-074 | S86011A | 24 | 955-965 | ||
S83111S | 08 | 562-563 | S8422XA | 24 | 955-965 | S86011D | 23 | 949-950 | ||
S83112A | 08 | 562-563 | S8422XD | 23 | 949-950 | S86011S | 08 | 562-563 | ||
S83112A | 24 | 955-965 | S8422XS | 01 | 091-093 | S86012A | 08 | 562-563 | ||
S83112D | 23 | 949-950 | S84801A | 01 | 073-074 | S86012A | 24 | 955-965 | ||
S83112S | 08 | 562-563 | S84801A | 24 | 955-965 | S86012D | 23 | 949-950 | ||
S83113A | 08 | 562-563 | S84801D | 23 | 949-950 | S86012S | 08 | 562-563 | ||
S83113A | 24 | 955-965 | S84801S | 01 | 091-093 | S86019A | 08 | 562-563 | ||
S83113D | 23 | 949-950 | S84802A | 01 | 073-074 | S86019A | 24 | 955-965 | ||
S83113S | 08 | 562-563 | S84802A | 24 | 955-965 | S86019D | 23 | 949-950 | ||
S83114A | 08 | 562-563 | S84802D | 23 | 949-950 | S86019S | 08 | 562-563 | ||
S83114A | 24 | 955-965 | S84802S | 01 | 091-093 | S86021A | 08 | 564-566 | ||
S83114D | 23 | 949-950 | S84809A | 01 | 073-074 | S86021A | 24 | 955-965 | ||
S83114S | 08 | 562-563 | S84809A | 24 | 955-965 | S86021D | 23 | 949-950 | ||
S83115A | 08 | 562-563 | S84809D | 23 | 949-950 | S86021S | 09 | 604-605 | ||
S83115A | 24 | 955-965 | S84809S | 01 | 091-093 | S86022A | 08 | 564-566 | ||
S83115D | 23 | 949-950 | S8490XA | 01 | 073-074 | S86022A | 24 | 955-965 | ||
S83115S | 08 | 562-563 | S8490XA | 24 | 955-965 | S86022D | 23 | 949-950 | ||
S83116A | 08 | 562-563 | S8490XD | 23 | 949-950 | S86022S | 09 | 604-605 | ||
S83116A | 24 | 955-965 | S8490XS | 01 | 091-093 | S86029A | 08 | 564-566 | ||
S83116D | 23 | 949-950 | S8491XA | 01 | 073-074 | S86029A | 24 | 955-965 | ||
S83116S | 08 | 562-563 | S8491XA | 24 | 955-965 | S86029D | 23 | 949-950 | ||
S83121A | 08 | 562-563 | S8491XD | 23 | 949-950 | S86029S | 09 | 604-605 | ||
S83121A | 24 | 955-965 | S8491XS | 01 | 091-093 | S86091A | 21 | 913-914 | ||
S83121D | 23 | 949-950 | S8492XA | 01 | 073-074 | S86091A | 24 | 955-965 | ||
S83121S | 08 | 562-563 | S8492XA | 24 | 955-965 | S86091D | 23 | 949-950 | ||
S83122A | 08 | 562-563 | S8492XD | 23 | 949-950 | S86091S | 21 | 913-914 | ||
S83122A | 24 | 955-965 | S8492XS | 01 | 091-093 | S86092A | 21 | 913-914 | ||
S83122D | 23 | 949-950 | S85001A | 21 | 913-914 | S86092A | 24 | 955-965 | ||
S83122S | 08 | 562-563 | S85001A | 24 | 955-965 | S86092D | 23 | 949-950 | ||
S83123A | 08 | 562-563 | S85001D | 23 | 949-950 | S86092S | 21 | 913-914 | ||
S83123A | 24 | 955-965 | S85001S | 05 | 299-301 | S86099A | 21 | 913-914 | ||
S83123D | 23 | 949-950 | S85002A | 21 | 913-914 | S86099A | 24 | 955-965 | ||
S83123S | 08 | 562-563 | S85002A | 24 | 955-965 | S86099D | 23 | 949-950 | ||
S83124A | 08 | 562-563 | S85002D | 23 | 949-950 | S86099S | 21 | 913-914 | ||
S83124A | 24 | 955-965 | S85002S | 05 | 299-301 | S86101A | 21 | 913-914 | ||
S83124D | 23 | 949-950 | S85009A | 21 | 913-914 | S86101A | 24 | 955-965 | ||
S83124S | 08 | 562-563 | S85009A | 24 | 955-965 | S86101D | 23 | 949-950 | ||
S83125A | 08 | 562-563 | S85009D | 23 | 949-950 | S86101S | 21 | 913-914 | ||
S83125A | 24 | 955-965 | S85009S | 05 | 299-301 | S86102A | 21 | 913-914 | ||
S83125D | 23 | 949-950 | S85011A | 21 | 913-914 | S86102A | 24 | 955-965 | ||
S83125S | 08 | 562-563 | S85011A | 24 | 955-965 | S86102D | 23 | 949-950 | ||
S83126A | 08 | 562-563 | S85011D | 23 | 949-950 | S86102S | 21 | 913-914 | ||
S83126A | 24 | 955-965 | S85011S | 05 | 299-301 | S86109A | 21 | 913-914 | ||
S83126D | 23 | 949-950 | S85012A | 21 | 913-914 | S86109A | 24 | 955-965 | ||
S83126S | 08 | 562-563 | S85012A | 24 | 955-965 | S86109D | 23 | 949-950 | ||
S83131A | 08 | 562-563 | S85012D | 23 | 949-950 | S86109S | 21 | 913-914 | ||
S83131A | 24 | 955-965 | S85012S | 05 | 299-301 | S86111A | 08 | 562-563 | ||
S83131D | 23 | 949-950 | S85019A | 21 | 913-914 | S86111A | 24 | 955-965 | ||
S83131S | 08 | 562-563 | S85019A | 24 | 955-965 | S86111D | 23 | 949-950 | ||
S83132A | 08 | 562-563 | S85019D | 23 | 949-950 | S86111S | 08 | 562-563 | ||
S83132A | 24 | 955-965 | S85019S | 05 | 299-301 | S86112A | 08 | 562-563 | ||
S83132D | 23 | 949-950 | S85091A | 21 | 913-914 | S86112A | 24 | 955-965 | ||
S83132S | 08 | 562-563 | S85091A | 24 | 955-965 | S86112D | 23 | 949-950 | ||
S83133A | 08 | 562-563 | S85091D | 23 | 949-950 | S86112S | 08 | 562-563 | ||
S83133A | 24 | 955-965 | S85091S | 05 | 299-301 | S86119A | 08 | 562-563 | ||
S83133D | 23 | 949-950 | S85092A | 21 | 913-914 | S86119A | 24 | 955-965 | ||
S83133S | 08 | 562-563 | S85092A | 24 | 955-965 | S86119D | 23 | 949-950 | ||
S83134A | 08 | 562-563 | S85092D | 23 | 949-950 | S86119S | 08 | 562-563 | ||
S83134A | 24 | 955-965 | S85092S | 05 | 299-301 | S86121A | 08 | 564-566 | ||
S83134D | 23 | 949-950 | S85099A | 21 | 913-914 | S86121A | 24 | 955-965 | ||
S83134S | 08 | 562-563 | S85099A | 24 | 955-965 | S86121D | 23 | 949-950 | ||
S83135A | 08 | 562-563 | S85099D | 23 | 949-950 | S86121S | 09 | 604-605 | ||
S83135A | 24 | 955-965 | S85099S | 05 | 299-301 | S86122A | 08 | 564-566 | ||
S83135D | 23 | 949-950 | S85101A | 21 | 913-914 | S86122A | 24 | 955-965 | ||
S83135S | 08 | 562-563 | S85101A | 24 | 955-965 | S86122D | 23 | 949-950 | ||
S83136A | 08 | 562-563 | S85101D | 23 | 949-950 | S86122S | 09 | 604-605 | ||
S83136A | 24 | 955-965 | S85101S | 05 | 299-301 | S86129A | 08 | 564-566 | ||
S83136D | 23 | 949-950 | S85102A | 21 | 913-914 | S86129A | 24 | 955-965 | ||
S83136S | 08 | 562-563 | S85102A | 24 | 955-965 | S86129D | 23 | 949-950 | ||
S83141A | 08 | 562-563 | S85102D | 23 | 949-950 | S86129S | 09 | 604-605 | ||
S83141A | 24 | 955-965 | S85102S | 05 | 299-301 | S86191A | 21 | 913-914 | ||
S83141D | 23 | 949-950 | S85109A | 21 | 913-914 | S86191A | 24 | 955-965 | ||
S83141S | 08 | 562-563 | S85109A | 24 | 955-965 | S86191D | 23 | 949-950 | ||
S83142A | 08 | 562-563 | S85109D | 23 | 949-950 | S86191S | 21 | 913-914 | ||
S83142A | 24 | 955-965 | S85109S | 05 | 299-301 | S86192A | 21 | 913-914 | ||
S83142D | 23 | 949-950 | S85111A | 21 | 913-914 | S86192A | 24 | 955-965 | ||
S83142S | 08 | 562-563 | S85111A | 24 | 955-965 | S86192D | 23 | 949-950 | ||
S83143A | 08 | 562-563 | S85111D | 23 | 949-950 | S86192S | 21 | 913-914 | ||
S83143A | 24 | 955-965 | S85111S | 05 | 299-301 | S86199A | 21 | 913-914 | ||
S83143D | 23 | 949-950 | S85112A | 21 | 913-914 | S86199A | 24 | 955-965 | ||
S83143S | 08 | 562-563 | S85112A | 24 | 955-965 | S86199D | 23 | 949-950 | ||
S83144A | 08 | 562-563 | S85112D | 23 | 949-950 | S86199S | 21 | 913-914 | ||
S83144A | 24 | 955-965 | S85112S | 05 | 299-301 | S86201A | 21 | 913-914 | ||
S83144D | 23 | 949-950 | S85119A | 21 | 913-914 | S86201A | 24 | 955-965 | ||
S83144S | 08 | 562-563 | S85119A | 24 | 955-965 | S86201D | 23 | 949-950 | ||
S83145A | 08 | 562-563 | S85119D | 23 | 949-950 | S86201S | 21 | 913-914 | ||
S83145A | 24 | 955-965 | S85119S | 05 | 299-301 | S86202A | 21 | 913-914 | ||
S83145D | 23 | 949-950 | S85121A | 21 | 913-914 | S86202A | 24 | 955-965 | ||
S83145S | 08 | 562-563 | S85121A | 24 | 955-965 | S86202D | 23 | 949-950 | ||
S83146A | 08 | 562-563 | S85121D | 23 | 949-950 | S86202S | 21 | 913-914 | ||
S83146A | 24 | 955-965 | S85121S | 05 | 299-301 | S86209A | 21 | 913-914 | ||
S83146D | 23 | 949-950 | S85122A | 21 | 913-914 | S86209A | 24 | 955-965 | ||
S83146S | 08 | 562-563 | S85122A | 24 | 955-965 | S86209D | 23 | 949-950 | ||
S83191A | 08 | 562-563 | S85122D | 23 | 949-950 | S86209S | 21 | 913-914 | ||
S83191A | 24 | 955-965 | S85122S | 05 | 299-301 | S86211A | 08 | 562-563 | ||
S83191D | 23 | 949-950 | S85129A | 21 | 913-914 | S86211A | 24 | 955-965 | ||
S83191S | 08 | 562-563 | S85129A | 24 | 955-965 | S86211D | 23 | 949-950 | ||
S83192A | 08 | 562-563 | S85129D | 23 | 949-950 | S86211S | 08 | 562-563 | ||
S83192A | 24 | 955-965 | S85129S | 05 | 299-301 | S86212A | 08 | 562-563 | ||
S83192D | 23 | 949-950 | S85131A | 21 | 913-914 | S86212A | 24 | 955-965 | ||
S83192S | 08 | 562-563 | S85131A | 24 | 955-965 | S86212D | 23 | 949-950 | ||
S83193A | 08 | 562-563 | S85131D | 23 | 949-950 | S86212S | 08 | 562-563 | ||
S83193A | 24 | 955-965 | S85131S | 05 | 299-301 | S86219A | 08 | 562-563 | ||
S83193D | 23 | 949-950 | S85132A | 21 | 913-914 | S86219A | 24 | 955-965 | ||
S83193S | 08 | 562-563 | S85132A | 24 | 955-965 | S86219D | 23 | 949-950 | ||
S83194A | 08 | 562-563 | S85132D | 23 | 949-950 | S86219S | 08 | 562-563 | ||
S83194A | 24 | 955-965 | S85132S | 05 | 299-301 | S86221A | 08 | 564-566 | ||
S83194D | 23 | 949-950 | S85139A | 21 | 913-914 | S86221A | 24 | 955-965 | ||
S83194S | 08 | 562-563 | S85139A | 24 | 955-965 | S86221D | 23 | 949-950 | ||
S83195A | 08 | 562-563 | S85139D | 23 | 949-950 | S86221S | 09 | 604-605 | ||
S83195A | 24 | 955-965 | S85139S | 05 | 299-301 | S86222A | 08 | 564-566 | ||
S83195D | 23 | 949-950 | S85141A | 21 | 913-914 | S86222A | 24 | 955-965 | ||
S83195S | 08 | 562-563 | S85141A | 24 | 955-965 | S86222D | 23 | 949-950 | ||
S83196A | 08 | 562-563 | S85141D | 23 | 949-950 | S86222S | 09 | 604-605 | ||
S83196A | 24 | 955-965 | S85141S | 05 | 299-301 | S86229A | 08 | 564-566 | ||
S83196D | 23 | 949-950 | S85142A | 21 | 913-914 | S86229A | 24 | 955-965 | ||
S83196S | 08 | 562-563 | S85142A | 24 | 955-965 | S86229D | 23 | 949-950 | ||
S83200A | 08 | 562-563 | S85142D | 23 | 949-950 | S86229S | 09 | 604-605 | ||
S83200A | 24 | 955-965 | S85142S | 05 | 299-301 | S86291A | 21 | 913-914 | ||
S83200D | 23 | 949-950 | S85149A | 21 | 913-914 | S86291A | 24 | 955-965 | ||
S83200S | 08 | 562-563 | S85149A | 24 | 955-965 | S86291D | 23 | 949-950 | ||
S83201A | 08 | 562-563 | S85149D | 23 | 949-950 | S86291S | 21 | 913-914 | ||
S83201A | 24 | 955-965 | S85149S | 05 | 299-301 | S86292A | 21 | 913-914 | ||
S83201D | 23 | 949-950 | S85151A | 21 | 913-914 | S86292A | 24 | 955-965 | ||
S83201S | 08 | 562-563 | S85151A | 24 | 955-965 | S86292D | 23 | 949-950 | ||
S83202A | 08 | 562-563 | S85151D | 23 | 949-950 | S86292S | 21 | 913-914 | ||
S83202A | 24 | 955-965 | S85151S | 05 | 299-301 | S86299A | 21 | 913-914 | ||
S83202D | 23 | 949-950 | S85152A | 21 | 913-914 | S86299A | 24 | 955-965 | ||
S83202S | 08 | 562-563 | S85152A | 24 | 955-965 | S86299D | 23 | 949-950 | ||
S83203A | 08 | 562-563 | S85152D | 23 | 949-950 | S86299S | 21 | 913-914 | ||
S83203A | 24 | 955-965 | S85152S | 05 | 299-301 | S86301A | 21 | 913-914 | ||
S83203D | 23 | 949-950 | S85159A | 21 | 913-914 | S86301A | 24 | 955-965 | ||
S83203S | 08 | 562-563 | S85159A | 24 | 955-965 | S86301D | 23 | 949-950 | ||
S83204A | 08 | 562-563 | S85159D | 23 | 949-950 | S86301S | 21 | 913-914 | ||
S83204A | 24 | 955-965 | S85159S | 05 | 299-301 | S86302A | 21 | 913-914 | ||
S83204D | 23 | 949-950 | S85161A | 21 | 913-914 | S86302A | 24 | 955-965 | ||
S83204S | 08 | 562-563 | S85161A | 24 | 955-965 | S86302D | 23 | 949-950 | ||
S83205A | 08 | 562-563 | S85161D | 23 | 949-950 | S86302S | 21 | 913-914 | ||
S83205A | 24 | 955-965 | S85161S | 05 | 299-301 | S86309A | 21 | 913-914 | ||
S83205D | 23 | 949-950 | S85162A | 21 | 913-914 | S86309A | 24 | 955-965 | ||
S83205S | 08 | 562-563 | S85162A | 24 | 955-965 | S86309D | 23 | 949-950 | ||
S83206A | 08 | 562-563 | S85162D | 23 | 949-950 | S86309S | 21 | 913-914 | ||
S83206A | 24 | 955-965 | S85162S | 05 | 299-301 | S86311A | 08 | 562-563 | ||
S83206D | 23 | 949-950 | S85169A | 21 | 913-914 | S86311A | 24 | 955-965 | ||
S83206S | 08 | 562-563 | S85169A | 24 | 955-965 | S86311D | 23 | 949-950 | ||
S83207A | 08 | 562-563 | S85169D | 23 | 949-950 | S86311S | 08 | 562-563 | ||
S83207A | 24 | 955-965 | S85169S | 05 | 299-301 | S86312A | 08 | 562-563 | ||
S83207D | 23 | 949-950 | S85171A | 21 | 913-914 | S86312A | 24 | 955-965 | ||
S83207S | 08 | 562-563 | S85171A | 24 | 955-965 | S86312D | 23 | 949-950 | ||
S83209A | 08 | 562-563 | S85171D | 23 | 949-950 | S86312S | 08 | 562-563 | ||
S83209A | 24 | 955-965 | S85171S | 05 | 299-301 | S86319A | 08 | 562-563 | ||
S83209D | 23 | 949-950 | S85172A | 21 | 913-914 | S86319A | 24 | 955-965 | ||
S83209S | 08 | 562-563 | S85172A | 24 | 955-965 | S86319D | 23 | 949-950 | ||
S83211A | 08 | 562-563 | S85172D | 23 | 949-950 | S86319S | 08 | 562-563 | ||
S83211A | 24 | 955-965 | S85172S | 05 | 299-301 | S86321A | 08 | 564-566 | ||
S83211D | 23 | 949-950 | S85179A | 21 | 913-914 | S86321A | 24 | 955-965 | ||
S83211S | 08 | 562-563 | S85179A | 24 | 955-965 | S86321D | 23 | 949-950 | ||
S83212A | 08 | 562-563 | S85179D | 23 | 949-950 | S86321S | 09 | 604-605 | ||
S83212A | 24 | 955-965 | S85179S | 05 | 299-301 | S86322A | 08 | 564-566 | ||
S83212D | 23 | 949-950 | S85181A | 21 | 913-914 | S86322A | 24 | 955-965 | ||
S83212S | 08 | 562-563 | S85181A | 24 | 955-965 | S86322D | 23 | 949-950 | ||
S83219A | 08 | 562-563 | S85181D | 23 | 949-950 | S86322S | 09 | 604-605 | ||
S83219A | 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 |