ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual

Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
Diagnosis Code/MDC/MS-DRG Index
Page 62 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
DXMDCMS-DRG  DXMDCMS-DRG  DXMDCMS-DRG
S99209P23949-950 T17920D23949-950 T2112XS09604-605
S99209S21913-914 T17920S21913-914 T2113XA22935
S99211A21913-914 T17928A04205-206 T2113XD23949-950
S99211A24955-965 T17928D23949-950 T2113XS09604-605
S99211B21913-914 T17928S21913-914 T2114XA22935
S99211B24955-965 T17990A04205-206 T2114XD23949-950
S99211D23949-950 T17990D23949-950 T2114XS09604-605
S99211G23949-950 T17990S21913-914 T2115XA22935
S99211K23949-950 T17998A04205-206 T2115XD23949-950
S99211P23949-950 T17998D23949-950 T2115XS09604-605
S99211S21913-914 T17998S21913-914 T2116XA22935
S99212A21913-914 T180XXAPre011-013 T2116XD23949-950
S99212A24955-965 T180XXA03157-159 T2116XS09604-605
S99212B21913-914 T180XXD23949-950 T2117XA22935
S99212B24955-965 T180XXS21913-914 T2117XD23949-950
S99212D23949-950 T18100A06393-395 T2117XS09604-605
S99212G23949-950 T18100D23949-950 T2119XA22935
S99212K23949-950 T18100S21913-914 T2119XD23949-950
S99212P23949-950 T18108A06393-395 T2119XS09604-605
S99212S21913-914 T18108D23949-950 T2120XA22935
S99219A21913-914 T18108S21913-914 T2120XD23949-950
S99219A24955-965 T18110A06393-395 T2120XS09604-605
S99219B21913-914 T18110D23949-950 T2121XA22935
S99219B24955-965 T18110S21913-914 T2121XD23949-950
S99219D23949-950 T18118A06393-395 T2121XS09604-605
S99219G23949-950 T18118D23949-950 T2122XA22935
S99219K23949-950 T18118S21913-914 T2122XD23949-950
S99219P23949-950 T18120A06393-395 T2122XS09604-605
S99219S21913-914 T18120D23949-950 T2123XA22935
S99221A21913-914 T18120S21913-914 T2123XD23949-950
S99221A24955-965 T18128A06393-395 T2123XS09604-605
S99221B21913-914 T18128D23949-950 T2124XA22935
S99221B24955-965 T18128S21913-914 T2124XD23949-950
S99221D23949-950 T18190A06393-395 T2124XS09604-605
S99221G23949-950 T18190D23949-950 T2125XA22935
S99221K23949-950 T18190S21913-914 T2125XD23949-950
S99221P23949-950 T18198A06393-395 T2125XS09604-605
S99221S21913-914 T18198D23949-950 T2126XA22935
S99222A21913-914 T18198S21913-914 T2126XD23949-950
S99222A24955-965 T182XXA06393-395 T2126XS09604-605
S99222B21913-914 T182XXD23949-950 T2127XA22935
S99222B24955-965 T182XXS21913-914 T2127XD23949-950
S99222D23949-950 T183XXA06393-395 T2127XS09604-605
S99222G23949-950 T183XXD23949-950 T2129XA22935
S99222K23949-950 T183XXS21913-914 T2129XD23949-950
S99222P23949-950 T184XXA06393-395 T2129XS09604-605
S99222S21913-914 T184XXD23949-950 T2130XA22927,933
S99229A21913-914 T184XXS21913-914 T2130XA22928-929,934
S99229A24955-965 T185XXA06393-395 T2130XD23949-950
S99229B21913-914 T185XXD23949-950 T2130XS09604-605
S99229B24955-965 T185XXS21913-914 T2131XA22927,933
S99229D23949-950 T188XXA06393-395 T2131XA22928-929,934
S99229G23949-950 T188XXD23949-950 T2131XD23949-950
S99229K23949-950 T188XXS21913-914 T2131XS09604-605
S99229P23949-950 T189XXA06393-395 T2132XA22927,933
S99229S21913-914 T189XXD23949-950 T2132XA22928-929,934
S99231A21913-914 T189XXS21913-914 T2132XD23949-950
S99231A24955-965 T190XXA11698-700 T2132XS09604-605
S99231B21913-914 T190XXD23949-950 T2133XA22927,933
S99231B24955-965 T190XXS21913-914 T2133XA22928-929,934
S99231D23949-950 T191XXA11698-700 T2133XD23949-950
S99231G23949-950 T191XXD23949-950 T2133XS09604-605
S99231K23949-950 T191XXS21913-914 T2134XA22927,933
S99231P23949-950 T192XXA13742-743 T2134XA22928-929,934
S99231S21913-914 T192XXA13760-761 T2134XD23949-950
S99232A21913-914 T192XXD23949-950 T2134XS09604-605
S99232A24955-965 T192XXS21913-914 T2135XA22927,933
S99232B21913-914 T193XXA13742-743 T2135XA22928-929,934
S99232B24955-965 T193XXA13760-761 T2135XD23949-950
S99232D23949-950 T193XXD23949-950 T2135XS09604-605
S99232G23949-950 T193XXS21913-914 T2136XA22927,933
S99232K23949-950 T194XXA12729-730 T2136XA22928-929,934
S99232P23949-950 T194XXD23949-950 T2136XD23949-950
S99232S21913-914 T194XXS21913-914 T2136XS09604-605
S99239A21913-914 T198XXA11698-700 T2137XA22927,933
S99239A24955-965 T198XXD23949-950 T2137XA22928-929,934
S99239B21913-914 T198XXS21913-914 T2137XD23949-950
S99239B24955-965 T199XXA11698-700 T2137XS09604-605
S99239D23949-950 T199XXD23949-950 T2139XA22927,933
S99239G23949-950 T199XXS21913-914 T2139XA22928-929,934
S99239K23949-950 T2000XA22935 T2139XD23949-950
S99239P23949-950 T2000XD23949-950 T2139XS09604-605
S99239S21913-914 T2000XS09604-605 T2140XA22935
S99241A21913-914 T20011A22935 T2140XD23949-950
S99241A24955-965 T20011D23949-950 T2140XS09604-605
S99241B21913-914 T20011S09604-605 T2141XA22935
S99241B24955-965 T20012A22935 T2141XD23949-950
S99241D23949-950 T20012D23949-950 T2141XS09604-605
S99241G23949-950 T20012S09604-605 T2142XA22935
S99241K23949-950 T20019A22935 T2142XD23949-950
S99241P23949-950 T20019D23949-950 T2142XS09604-605
S99241S21913-914 T20019S09604-605 T2143XA22935
S99242A21913-914 T2002XA22935 T2143XD23949-950
S99242A24955-965 T2002XD23949-950 T2143XS09604-605
S99242B21913-914 T2002XS09604-605 T2144XA22935
S99242B24955-965 T2003XA22935 T2144XD23949-950
S99242D23949-950 T2003XD23949-950 T2144XS09604-605
S99242G23949-950 T2003XS09604-605 T2145XA22935
S99242K23949-950 T2004XA22935 T2145XD23949-950
S99242P23949-950 T2004XD23949-950 T2145XS09604-605
S99242S21913-914 T2004XS09604-605 T2146XA22935
S99249A21913-914 T2005XA22935 T2146XD23949-950
S99249A24955-965 T2005XD23949-950 T2146XS09604-605
S99249B21913-914 T2005XS09604-605 T2147XA22935
S99249B24955-965 T2006XA22935 T2147XD23949-950
S99249D23949-950 T2006XD23949-950 T2147XS09604-605
S99249G23949-950 T2006XS09604-605 T2149XA22935
S99249K23949-950 T2007XA22935 T2149XD23949-950
S99249P23949-950 T2007XD23949-950 T2149XS09604-605
S99249S21913-914 T2007XS09604-605 T2150XA22935
S99291A21913-914 T2009XA22935 T2150XD23949-950
S99291A24955-965 T2009XD23949-950 T2150XS09604-605
S99291B21913-914 T2009XS09604-605 T2151XA22935
S99291B24955-965 T2010XA22935 T2151XD23949-950
S99291D23949-950 T2010XD23949-950 T2151XS09604-605
S99291G23949-950 T2010XS09604-605 T2152XA22935
S99291K23949-950 T20111A22935 T2152XD23949-950
S99291P23949-950 T20111D23949-950 T2152XS09604-605
S99291S21913-914 T20111S09604-605 T2153XA22935
S99292A21913-914 T20112A22935 T2153XD23949-950
S99292A24955-965 T20112D23949-950 T2153XS09604-605
S99292B21913-914 T20112S09604-605 T2154XA22935
S99292B24955-965 T20119A22935 T2154XD23949-950
S99292D23949-950 T20119D23949-950 T2154XS09604-605
S99292G23949-950 T20119S09604-605 T2155XA22935
S99292K23949-950 T2012XA22935 T2155XD23949-950
S99292P23949-950 T2012XD23949-950 T2155XS09604-605
S99292S21913-914 T2012XS09604-605 T2156XA22935
S99299A21913-914 T2013XA22935 T2156XD23949-950
S99299A24955-965 T2013XD23949-950 T2156XS09604-605
S99299B21913-914 T2013XS09604-605 T2157XA22935
S99299B24955-965 T2014XA22935 T2157XD23949-950
S99299D23949-950 T2014XD23949-950 T2157XS09604-605
S99299G23949-950 T2014XS09604-605 T2159XA22935
S99299K23949-950 T2015XA22935 T2159XD23949-950
S99299P23949-950 T2015XD23949-950 T2159XS09604-605
S99299S21913-914 T2015XS09604-605 T2160XA22935
S99811A21913-914 T2016XA22935 T2160XD23949-950
S99811A24955-965 T2016XD23949-950 T2160XS09604-605
S99811D23949-950 T2016XS09604-605 T2161XA22935
S99811S21913-914 T2017XA22935 T2161XD23949-950
S99812A21913-914 T2017XD23949-950 T2161XS09604-605
S99812A24955-965 T2017XS09604-605 T2162XA22935
S99812D23949-950 T2019XA22935 T2162XD23949-950
S99812S21913-914 T2019XD23949-950 T2162XS09604-605
S99819A21913-914 T2019XS09604-605 T2163XA22935
S99819A24955-965 T2020XA22935 T2163XD23949-950
S99819D23949-950 T2020XD23949-950 T2163XS09604-605
S99819S21913-914 T2020XS09604-605 T2164XA22935
S99821A21913-914 T20211A22935 T2164XD23949-950
S99821A24955-965 T20211D23949-950 T2164XS09604-605
S99821D23949-950 T20211S09604-605 T2165XA22935
S99821S21913-914 T20212A22935 T2165XD23949-950
S99822A21913-914 T20212D23949-950 T2165XS09604-605
S99822A24955-965 T20212S09604-605 T2166XA22935
S99822D23949-950 T20219A22935 T2166XD23949-950
S99822S21913-914 T20219D23949-950 T2166XS09604-605
S99829A21913-914 T20219S09604-605 T2167XA22935
S99829A24955-965 T2022XA22935 T2167XD23949-950
S99829D23949-950 T2022XD23949-950 T2167XS09604-605
S99829S21913-914 T2022XS09604-605 T2169XA22935
S99911A21913-914 T2023XA22935 T2169XD23949-950
S99911A24955-965 T2023XD23949-950 T2169XS09604-605
S99911D23949-950 T2023XS09604-605 T2170XA22927,933
S99911S21913-914 T2024XA22935 T2170XA22928-929,934
S99912A21913-914 T2024XD23949-950 T2170XD23949-950
S99912A24955-965 T2024XS09604-605 T2170XS09604-605
S99912D23949-950 T2025XA22935 T2171XA22927,933
S99912S21913-914 T2025XD23949-950 T2171XA22928-929,934
S99919A21913-914 T2025XS09604-605 T2171XD23949-950
S99919A24955-965 T2026XA22935 T2171XS09604-605
S99919D23949-950 T2026XD23949-950 T2172XA22927,933
S99919S21913-914 T2026XS09604-605 T2172XA22928-929,934
S99921A21913-914 T2027XA22935 T2172XD23949-950
S99921A24955-965 T2027XD23949-950 T2172XS09604-605
S99921D23949-950 T2027XS09604-605 T2173XA22927,933
S99921S21913-914 T2029XA22935 T2173XA22928-929,934
S99922A21913-914 T2029XD23949-950 T2173XD23949-950
S99922A24955-965 T2029XS09604-605 T2173XS09604-605
S99922D23949-950 T2030XA22927,933 T2174XA22927,933
S99922S21913-914 T2030XA22928-929,934 T2174XA22928-929,934
S99929A21913-914 T2030XD23949-950 T2174XD23949-950
S99929A24955-965 T2030XS09604-605 T2174XS09604-605
S99929D23949-950 T20311A22927,933 T2175XA22927,933
S99929S21913-914 T20311A22928-929,934 T2175XA22928-929,934
T07XXXA21913-914 T20311D23949-950 T2175XD23949-950
T07XXXA24955-965 T20311S09604-605 T2175XS09604-605
T07XXXD23949-950 T20312A22927,933 T2176XA22927,933
T07XXXS21913-914 T20312A22928-929,934 T2176XA22928-929,934
T148XXA21913-914 T20312D23949-950 T2176XD23949-950
T148XXA24955-965 T20312S09604-605 T2176XS09604-605
T148XXD23949-950 T20319A22927,933 T2177XA22927,933
T148XXS21913-914 T20319A22928-929,934 T2177XA22928-929,934
T1490XA21913-914 T20319D23949-950 T2177XD23949-950
T1490XA24955-965 T20319S09604-605 T2177XS09604-605
T1490XD23949-950 T2032XA22927,933 T2179XA22927,933
T1490XS21913-914 T2032XA22928-929,934 T2179XA22928-929,934
T1491XA21913-914 T2032XD23949-950 T2179XD23949-950
T1491XA24955-965 T2032XS09604-605 T2179XS09604-605
T1491XD23949-950 T2033XA22927,933 T2200XA22935
T1491XS21913-914 T2033XA22928-929,934 T2200XD23949-950
T1500XA02124-125 T2033XD23949-950 T2200XS09604-605
T1500XD23949-950 T2033XS09604-605 T22011A22935
T1500XS21913-914 T2034XA22927,933 T22011D23949-950
T1501XA02124-125 T2034XA22928-929,934 T22011S09604-605
T1501XD23949-950 T2034XD23949-950 T22012A22935
T1501XS21913-914 T2034XS09604-605 T22012D23949-950
T1502XA02124-125 T2035XA22927,933 T22012S09604-605
T1502XD23949-950 T2035XA22928-929,934 T22019A22935
T1502XS21913-914 T2035XD23949-950 T22019D23949-950
T1510XA02124-125 T2035XS09604-605 T22019S09604-605
T1510XD23949-950 T2036XA22927,933 T22021A22935
T1510XS21913-914 T2036XA22928-929,934 T22021D23949-950
T1511XA02124-125 T2036XD23949-950 T22021S09604-605
T1511XD23949-950 T2036XS09604-605 T22022A22935
T1511XS21913-914 T2037XA22927,933 T22022D23949-950
T1512XA02124-125 T2037XA22928-929,934 T22022S09604-605
T1512XD23949-950 T2037XD23949-950 T22029A22935
T1512XS21913-914 T2037XS09604-605 T22029D23949-950
T1580XA02124-125 T2039XA22927,933 T22029S09604-605
T1580XD23949-950 T2039XA22928-929,934 T22031A22935
T1580XS21913-914 T2039XD23949-950 T22031D23949-950
T1581XA02124-125 T2039XS09604-605 T22031S09604-605
T1581XD23949-950 T2040XA22935 T22032A22935
T1581XS21913-914 T2040XD23949-950 T22032D23949-950
T1582XA02124-125 T2040XS09604-605 T22032S09604-605
T1582XD23949-950 T20411A22935 T22039A22935
T1582XS21913-914 T20411D23949-950 T22039D23949-950
T1590XA02124-125 T20411S09604-605 T22039S09604-605
T1590XD23949-950 T20412A22935 T22041A22935
T1590XS21913-914 T20412D23949-950 T22041D23949-950
T1591XA02124-125 T20412S09604-605 T22041S09604-605
T1591XD23949-950 T20419A22935 T22042A22935
T1591XS21913-914 T20419D23949-950 T22042D23949-950
T1592XA02124-125 T20419S09604-605 T22042S09604-605
T1592XD23949-950 T2042XA22935 T22049A22935
T1592XS21913-914 T2042XD23949-950 T22049D23949-950
T161XXA03154-156 T2042XS09604-605 T22049S09604-605
T161XXD23949-950 T2043XA22935 T22051A22935
T161XXS21913-914 T2043XD23949-950 T22051D23949-950
T162XXA03154-156 T2043XS09604-605 T22051S09604-605
T162XXD23949-950 T2044XA22935 T22052A22935
T162XXS21913-914 T2044XD23949-950 T22052D23949-950
T169XXA03154-156 T2044XS09604-605 T22052S09604-605
T169XXD23949-950 T2045XA22935 T22059A22935
T169XXS21913-914 T2045XD23949-950 T22059D23949-950
T170XXA03154-156 T2045XS09604-605 T22059S09604-605
T170XXD23949-950 T2046XA22935 T22061A22935
T170XXS21913-914 T2046XD23949-950 T22061D23949-950
T171XXA03154-156 T2046XS09604-605 T22061S09604-605
T171XXD23949-950 T2047XA22935 T22062A22935
T171XXS21913-914 T2047XD23949-950 T22062D23949-950
T17200APre011-013 T2047XS09604-605 T22062S09604-605
T17200A03154-156 T2049XA22935 T22069A22935
T17200D23949-950 T2049XD23949-950 T22069D23949-950
T17200S21913-914 T2049XS09604-605 T22069S09604-605
T17208APre011-013 T2050XA22935 T22091A22935
T17208A03154-156 T2050XD23949-950 T22091D23949-950
T17208D23949-950 T2050XS09604-605 T22091S09604-605
T17208S21913-914 T20511A22935 T22092A22935
T17210APre011-013 T20511D23949-950 T22092D23949-950
T17210A03154-156 T20511S09604-605 T22092S09604-605
T17210D23949-950 T20512A22935 T22099A22935
T17210S21913-914 T20512D23949-950 T22099D23949-950
T17218APre011-013 T20512S09604-605 T22099S09604-605
T17218A03154-156 T20519A22935 T2210XA22935
T17218D23949-950 T20519D23949-950 T2210XD23949-950
T17218S21913-914 T20519S09604-605 T2210XS09604-605
T17220APre011-013 T2052XA22935 T22111A22935
T17220A03154-156 T2052XD23949-950 T22111D23949-950
T17220D23949-950 T2052XS09604-605 T22111S09604-605
T17220S21913-914 T2053XA22935 T22112A22935
T17228APre011-013 T2053XD23949-950 T22112D23949-950
T17228A03154-156 T2053XS09604-605 T22112S09604-605
T17228D23949-950 T2054XA22935 T22119A22935
T17228S21913-914 T2054XD23949-950 T22119D23949-950
T17290APre011-013 T2054XS09604-605 T22119S09604-605
T17290A03154-156 T2055XA22935 T22121A22935
T17290D23949-950 T2055XD23949-950 T22121D23949-950
T17290S21913-914 T2055XS09604-605 T22121S09604-605
T17298APre011-013 T2056XA22935 T22122A22935
T17298A03154-156 T2056XD23949-950 T22122D23949-950
T17298D23949-950 T2056XS09604-605 T22122S09604-605
T17298S21913-914 T2057XA22935 T22129A22935
T17300APre011-013 T2057XD23949-950 T22129D23949-950
T17300A03154-156 T2057XS09604-605 T22129S09604-605
T17300D23949-950 T2059XA22935 T22131A22935
T17300S21913-914 T2059XD23949-950 T22131D23949-950
T17308APre011-013 T2059XS09604-605 T22131S09604-605
T17308A03154-156 T2060XA22935 T22132A22935
T17308D23949-950 T2060XD23949-950 T22132D23949-950
T17308S21913-914 T2060XS09604-605 T22132S09604-605
T17310APre011-013 T20611A22935 T22139A22935
T17310A03154-156 T20611D23949-950 T22139D23949-950
T17310D23949-950 T20611S09604-605 T22139S09604-605
T17310S21913-914 T20612A22935 T22141A22935
T17318APre011-013 T20612D23949-950 T22141D23949-950
T17318A03154-156 T20612S09604-605 T22141S09604-605
T17318D23949-950 T20619A22935 T22142A22935
T17318S21913-914 T20619D23949-950 T22142D23949-950
T17320APre011-013 T20619S09604-605 T22142S09604-605
T17320A03154-156 T2062XA22935 T22149A22935
T17320D23949-950 T2062XD23949-950 T22149D23949-950
T17320S21913-914 T2062XS09604-605 T22149S09604-605
T17328APre011-013 T2063XA22935 T22151A22935
T17328A03154-156 T2063XD23949-950 T22151D23949-950
T17328D23949-950 T2063XS09604-605 T22151S09604-605
T17328S21913-914 T2064XA22935 T22152A22935
T17390APre011-013 T2064XD23949-950 T22152D23949-950
T17390A03154-156 T2064XS09604-605 T22152S09604-605
T17390D23949-950 T2065XA22935 T22159A22935
T17390S21913-914 T2065XD23949-950 T22159D23949-950
T17398APre011-013 T2065XS09604-605 T22159S09604-605
T17398A03154-156 T2066XA22935 T22161A22935
T17398D23949-950 T2066XD23949-950 T22161D23949-950
T17398S21913-914 T2066XS09604-605 T22161S09604-605
T17400A04205-206 T2067XA22935 T22162A22935
T17400D23949-950 T2067XD23949-950 T22162D23949-950
T17400S21913-914 T2067XS09604-605 T22162S09604-605
T17408A04205-206 T2069XA22935 T22169A22935
T17408D23949-950 T2069XD23949-950 T22169D23949-950
T17408S21913-914 T2069XS09604-605 T22169S09604-605
T17410A04205-206 T2070XA22927,933 T22191A22935
T17410D23949-950 T2070XA22928-929,934 T22191D23949-950
T17410S21913-914 T2070XD23949-950 T22191S09604-605
T17418A04205-206 T2070XS09604-605 T22192A22935
T17418D23949-950 T20711A22927,933 T22192D23949-950
T17418S21913-914 T20711A22928-929,934 T22192S09604-605
T17420A04205-206 T20711D23949-950 T22199A22935
T17420D23949-950 T20711S09604-605 T22199D23949-950
T17420S21913-914 T20712A22927,933 T22199S09604-605
T17428A04205-206 T20712A22928-929,934 T2220XA22935
T17428D23949-950 T20712D23949-950 T2220XD23949-950
T17428S21913-914 T20712S09604-605 T2220XS09604-605
T17490A04205-206 T20719A22927,933 T22211A22935
T17490D23949-950 T20719A22928-929,934 T22211D23949-950
T17490S21913-914 T20719D23949-950 T22211S09604-605
T17498A04205-206 T20719S09604-605 T22212A22935
T17498D23949-950 T2072XA22927,933 T22212D23949-950
T17498S21913-914 T2072XA22928-929,934 T22212S09604-605
T17500A04205-206 T2072XD23949-950 T22219A22935
T17500D23949-950 T2072XS09604-605 T22219D23949-950
T17500S21913-914 T2073XA22927,933 T22219S09604-605
T17508A04205-206 T2073XA22928-929,934 T22221A22935
T17508D23949-950 T2073XD23949-950 T22221D23949-950
T17508S21913-914 T2073XS09604-605 T22221S09604-605
T17510A04205-206 T2074XA22927,933 T22222A22935
T17510D23949-950 T2074XA22928-929,934 T22222D23949-950
T17510S21913-914 T2074XD23949-950 T22222S09604-605
T17518A04205-206 T2074XS09604-605 T22229A22935
T17518D23949-950 T2075XA22927,933 T22229D23949-950
T17518S21913-914 T2075XA22928-929,934 T22229S09604-605
T17520A04205-206 T2075XD23949-950 T22231A22935
T17520D23949-950 T2075XS09604-605 T22231D23949-950
T17520S21913-914 T2076XA22927,933 T22231S09604-605
T17528A04205-206 T2076XA22928-929,934 T22232A22935
T17528D23949-950 T2076XD23949-950 T22232D23949-950
T17528S21913-914 T2076XS09604-605 T22232S09604-605
T17590A04205-206 T2077XA22927,933 T22239A22935
T17590D23949-950 T2077XA22928-929,934 T22239D23949-950
T17590S21913-914 T2077XD23949-950 T22239S09604-605
T17598A04205-206 T2077XS09604-605 T22241A22935
T17598D23949-950 T2079XA22927,933 T22241D23949-950
T17598S21913-914 T2079XA22928-929,934 T22241S09604-605
T17800A04205-206 T2079XD23949-950 T22242A22935
T17800D23949-950 T2079XS09604-605 T22242D23949-950
T17800S21913-914 T2100XA22935 T22242S09604-605
T17808A04205-206 T2100XD23949-950 T22249A22935
T17808D23949-950 T2100XS09604-605 T22249D23949-950
T17808S21913-914 T2101XA22935 T22249S09604-605
T17810A04205-206 T2101XD23949-950 T22251A22935
T17810D23949-950 T2101XS09604-605 T22251D23949-950
T17810S21913-914 T2102XA22935 T22251S09604-605
T17818A04205-206 T2102XD23949-950 T22252A22935
T17818D23949-950 T2102XS09604-605 T22252D23949-950
T17818S21913-914 T2103XA22935 T22252S09604-605
T17820A04205-206 T2103XD23949-950 T22259A22935
T17820D23949-950 T2103XS09604-605 T22259D23949-950
T17820S21913-914 T2104XA22935 T22259S09604-605
T17828A04205-206 T2104XD23949-950 T22261A22935
T17828D23949-950 T2104XS09604-605 T22261D23949-950
T17828S21913-914 T2105XA22935 T22261S09604-605
T17890A04205-206 T2105XD23949-950 T22262A22935
T17890D23949-950 T2105XS09604-605 T22262D23949-950
T17890S21913-914 T2106XA22935 T22262S09604-605
T17898A04205-206 T2106XD23949-950 T22269A22935
T17898D23949-950 T2106XS09604-605 T22269D23949-950
T17898S21913-914 T2107XA22935 T22269S09604-605
T17900A04205-206 T2107XD23949-950 T22291A22935
T17900D23949-950 T2107XS09604-605 T22291D23949-950
T17900S21913-914 T2109XA22935 T22291S09604-605
T17908A04205-206 T2109XD23949-950 T22292A22935
T17908D23949-950 T2109XS09604-605 T22292D23949-950
T17908S21913-914 T2110XA22935 T22292S09604-605
T17910A04205-206 T2110XD23949-950 T22299A22935
T17910D23949-950 T2110XS09604-605 T22299D23949-950
T17910S21913-914 T2111XA22935 T22299S09604-605
T17918A04205-206 T2111XD23949-950 T2230XA22927,933
T17918D23949-950 T2111XS09604-605 T2230XA22928-929,934
T17918S21913-914 T2112XA22935 T2230XD23949-950
T17920A04205-206 T2112XD23949-950 T2230XS09604-605



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
23 Mar 2020 12:40:01
CMS, code-revision=249, description-revision=1272