ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 65 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T365X6D | 23 | 949-950 | T387X6S | 23 | 949-950 | T40603S | 21 | 922-923 | ||
T365X6S | 23 | 949-950 | T38801A | 21 | 917-918 | T40604A | 21 | 917-918 | ||
T366X1A | 21 | 917-918 | T38801D | 23 | 949-950 | T40604D | 23 | 949-950 | ||
T366X1D | 23 | 949-950 | T38801S | 21 | 922-923 | T40604S | 21 | 922-923 | ||
T366X1S | 21 | 922-923 | T38802A | 21 | 917-918 | T40605A | 15 | 791 | ||
T366X2A | 21 | 917-918 | T38802D | 23 | 949-950 | T40605A | 15 | 793 | ||
T366X2D | 23 | 949-950 | T38802S | 21 | 922-923 | T40605A | 21 | 917-918 | ||
T366X2S | 21 | 922-923 | T38803A | 21 | 917-918 | T40605D | 23 | 949-950 | ||
T366X3A | 21 | 917-918 | T38803D | 23 | 949-950 | T40605S | 21 | 922-923 | ||
T366X3D | 23 | 949-950 | T38803S | 21 | 922-923 | T40606A | 23 | 951 | ||
T366X3S | 21 | 922-923 | T38804A | 21 | 917-918 | T40606D | 23 | 949-950 | ||
T366X4A | 21 | 917-918 | T38804D | 23 | 949-950 | T40606S | 23 | 949-950 | ||
T366X4D | 23 | 949-950 | T38804S | 21 | 922-923 | T40691A | 21 | 917-918 | ||
T366X4S | 21 | 922-923 | T38805A | 15 | 791 | T40691D | 23 | 949-950 | ||
T366X5A | 15 | 791 | T38805A | 15 | 793 | T40691S | 21 | 922-923 | ||
T366X5A | 15 | 793 | T38805A | 21 | 917-918 | T40692A | 21 | 917-918 | ||
T366X5A | 21 | 917-918 | T38805D | 23 | 949-950 | T40692D | 23 | 949-950 | ||
T366X5D | 23 | 949-950 | T38805S | 21 | 922-923 | T40692S | 21 | 922-923 | ||
T366X5S | 21 | 922-923 | T38806A | 23 | 951 | T40693A | 21 | 917-918 | ||
T366X6A | 23 | 951 | T38806D | 23 | 949-950 | T40693D | 23 | 949-950 | ||
T366X6D | 23 | 949-950 | T38806S | 23 | 949-950 | T40693S | 21 | 922-923 | ||
T366X6S | 23 | 949-950 | T38811A | 21 | 917-918 | T40694A | 21 | 917-918 | ||
T367X1A | 21 | 917-918 | T38811D | 23 | 949-950 | T40694D | 23 | 949-950 | ||
T367X1D | 23 | 949-950 | T38811S | 21 | 922-923 | T40694S | 21 | 922-923 | ||
T367X1S | 21 | 922-923 | T38812A | 21 | 917-918 | T40695A | 15 | 791 | ||
T367X2A | 21 | 917-918 | T38812D | 23 | 949-950 | T40695A | 15 | 793 | ||
T367X2D | 23 | 949-950 | T38812S | 21 | 922-923 | T40695A | 21 | 917-918 | ||
T367X2S | 21 | 922-923 | T38813A | 21 | 917-918 | T40695D | 23 | 949-950 | ||
T367X3A | 21 | 917-918 | T38813D | 23 | 949-950 | T40695S | 21 | 922-923 | ||
T367X3D | 23 | 949-950 | T38813S | 21 | 922-923 | T40696A | 23 | 951 | ||
T367X3S | 21 | 922-923 | T38814A | 21 | 917-918 | T40696D | 23 | 949-950 | ||
T367X4A | 21 | 917-918 | T38814D | 23 | 949-950 | T40696S | 23 | 949-950 | ||
T367X4D | 23 | 949-950 | T38814S | 21 | 922-923 | T407X1A | 21 | 917-918 | ||
T367X4S | 21 | 922-923 | T38815A | 15 | 791 | T407X1D | 23 | 949-950 | ||
T367X5A | 15 | 791 | T38815A | 15 | 793 | T407X1S | 21 | 922-923 | ||
T367X5A | 15 | 793 | T38815A | 21 | 917-918 | T407X2A | 21 | 917-918 | ||
T367X5A | 21 | 917-918 | T38815D | 23 | 949-950 | T407X2D | 23 | 949-950 | ||
T367X5D | 23 | 949-950 | T38815S | 21 | 922-923 | T407X2S | 21 | 922-923 | ||
T367X5S | 21 | 922-923 | T38816A | 23 | 951 | T407X3A | 21 | 917-918 | ||
T367X6A | 23 | 951 | T38816D | 23 | 949-950 | T407X3D | 23 | 949-950 | ||
T367X6D | 23 | 949-950 | T38816S | 23 | 949-950 | T407X3S | 21 | 922-923 | ||
T367X6S | 23 | 949-950 | T38891A | 21 | 917-918 | T407X4A | 21 | 917-918 | ||
T368X1A | 21 | 917-918 | T38891D | 23 | 949-950 | T407X4D | 23 | 949-950 | ||
T368X1D | 23 | 949-950 | T38891S | 21 | 922-923 | T407X4S | 21 | 922-923 | ||
T368X1S | 21 | 922-923 | T38892A | 21 | 917-918 | T407X5A | 15 | 791 | ||
T368X2A | 21 | 917-918 | T38892D | 23 | 949-950 | T407X5A | 15 | 793 | ||
T368X2D | 23 | 949-950 | T38892S | 21 | 922-923 | T407X5A | 21 | 917-918 | ||
T368X2S | 21 | 922-923 | T38893A | 21 | 917-918 | T407X5D | 23 | 949-950 | ||
T368X3A | 21 | 917-918 | T38893D | 23 | 949-950 | T407X5S | 21 | 922-923 | ||
T368X3D | 23 | 949-950 | T38893S | 21 | 922-923 | T407X6A | 23 | 951 | ||
T368X3S | 21 | 922-923 | T38894A | 21 | 917-918 | T407X6D | 23 | 949-950 | ||
T368X4A | 21 | 917-918 | T38894D | 23 | 949-950 | T407X6S | 23 | 949-950 | ||
T368X4D | 23 | 949-950 | T38894S | 21 | 922-923 | T408X1A | 21 | 917-918 | ||
T368X4S | 21 | 922-923 | T38895A | 15 | 791 | T408X1D | 23 | 949-950 | ||
T368X5A | 15 | 791 | T38895A | 15 | 793 | T408X1S | 21 | 922-923 | ||
T368X5A | 15 | 793 | T38895A | 21 | 917-918 | T408X2A | 21 | 917-918 | ||
T368X5A | 21 | 917-918 | T38895D | 23 | 949-950 | T408X2D | 23 | 949-950 | ||
T368X5D | 23 | 949-950 | T38895S | 21 | 922-923 | T408X2S | 21 | 922-923 | ||
T368X5S | 21 | 922-923 | T38896A | 23 | 951 | T408X3A | 21 | 917-918 | ||
T368X6A | 23 | 951 | T38896D | 23 | 949-950 | T408X3D | 23 | 949-950 | ||
T368X6D | 23 | 949-950 | T38896S | 23 | 949-950 | T408X3S | 21 | 922-923 | ||
T368X6S | 23 | 949-950 | T38901A | 21 | 917-918 | T408X4A | 21 | 917-918 | ||
T3691XA | 21 | 917-918 | T38901D | 23 | 949-950 | T408X4D | 23 | 949-950 | ||
T3691XD | 23 | 949-950 | T38901S | 21 | 922-923 | T408X4S | 21 | 922-923 | ||
T3691XS | 21 | 922-923 | T38902A | 21 | 917-918 | T40901A | 21 | 917-918 | ||
T3692XA | 21 | 917-918 | T38902D | 23 | 949-950 | T40901D | 23 | 949-950 | ||
T3692XD | 23 | 949-950 | T38902S | 21 | 922-923 | T40901S | 21 | 922-923 | ||
T3692XS | 21 | 922-923 | T38903A | 21 | 917-918 | T40902A | 21 | 917-918 | ||
T3693XA | 21 | 917-918 | T38903D | 23 | 949-950 | T40902D | 23 | 949-950 | ||
T3693XD | 23 | 949-950 | T38903S | 21 | 922-923 | T40902S | 21 | 922-923 | ||
T3693XS | 21 | 922-923 | T38904A | 21 | 917-918 | T40903A | 21 | 917-918 | ||
T3694XA | 21 | 917-918 | T38904D | 23 | 949-950 | T40903D | 23 | 949-950 | ||
T3694XD | 23 | 949-950 | T38904S | 21 | 922-923 | T40903S | 21 | 922-923 | ||
T3694XS | 21 | 922-923 | T38905A | 15 | 791 | T40904A | 21 | 917-918 | ||
T3695XA | 15 | 791 | T38905A | 15 | 793 | T40904D | 23 | 949-950 | ||
T3695XA | 15 | 793 | T38905A | 21 | 917-918 | T40904S | 21 | 922-923 | ||
T3695XA | 21 | 917-918 | T38905D | 23 | 949-950 | T40905A | 15 | 791 | ||
T3695XD | 23 | 949-950 | T38905S | 21 | 922-923 | T40905A | 15 | 793 | ||
T3695XS | 21 | 922-923 | T38906A | 23 | 951 | T40905A | 21 | 917-918 | ||
T3696XA | 23 | 951 | T38906D | 23 | 949-950 | T40905D | 23 | 949-950 | ||
T3696XD | 23 | 949-950 | T38906S | 23 | 949-950 | T40905S | 21 | 922-923 | ||
T3696XS | 23 | 949-950 | T38991A | 21 | 917-918 | T40906A | 23 | 951 | ||
T370X1A | 21 | 917-918 | T38991D | 23 | 949-950 | T40906D | 23 | 949-950 | ||
T370X1D | 23 | 949-950 | T38991S | 21 | 922-923 | T40906S | 23 | 949-950 | ||
T370X1S | 21 | 922-923 | T38992A | 21 | 917-918 | T40991A | 21 | 917-918 | ||
T370X2A | 21 | 917-918 | T38992D | 23 | 949-950 | T40991D | 23 | 949-950 | ||
T370X2D | 23 | 949-950 | T38992S | 21 | 922-923 | T40991S | 21 | 922-923 | ||
T370X2S | 21 | 922-923 | T38993A | 21 | 917-918 | T40992A | 21 | 917-918 | ||
T370X3A | 21 | 917-918 | T38993D | 23 | 949-950 | T40992D | 23 | 949-950 | ||
T370X3D | 23 | 949-950 | T38993S | 21 | 922-923 | T40992S | 21 | 922-923 | ||
T370X3S | 21 | 922-923 | T38994A | 21 | 917-918 | T40993A | 21 | 917-918 | ||
T370X4A | 21 | 917-918 | T38994D | 23 | 949-950 | T40993D | 23 | 949-950 | ||
T370X4D | 23 | 949-950 | T38994S | 21 | 922-923 | T40993S | 21 | 922-923 | ||
T370X4S | 21 | 922-923 | T38995A | 15 | 791 | T40994A | 21 | 917-918 | ||
T370X5A | 15 | 791 | T38995A | 15 | 793 | T40994D | 23 | 949-950 | ||
T370X5A | 15 | 793 | T38995A | 21 | 917-918 | T40994S | 21 | 922-923 | ||
T370X5A | 21 | 917-918 | T38995D | 23 | 949-950 | T40995A | 15 | 791 | ||
T370X5D | 23 | 949-950 | T38995S | 21 | 922-923 | T40995A | 15 | 793 | ||
T370X5S | 21 | 922-923 | T38996A | 23 | 951 | T40995A | 21 | 917-918 | ||
T370X6A | 23 | 951 | T38996D | 23 | 949-950 | T40995D | 23 | 949-950 | ||
T370X6D | 23 | 949-950 | T38996S | 23 | 949-950 | T40995S | 21 | 922-923 | ||
T370X6S | 23 | 949-950 | T39011A | 21 | 917-918 | T40996A | 23 | 951 | ||
T371X1A | 21 | 917-918 | T39011D | 23 | 949-950 | T40996D | 23 | 949-950 | ||
T371X1D | 23 | 949-950 | T39011S | 21 | 922-923 | T40996S | 23 | 949-950 | ||
T371X1S | 21 | 922-923 | T39012A | 21 | 917-918 | T410X1A | 21 | 917-918 | ||
T371X2A | 21 | 917-918 | T39012D | 23 | 949-950 | T410X1D | 23 | 949-950 | ||
T371X2D | 23 | 949-950 | T39012S | 21 | 922-923 | T410X1S | 21 | 922-923 | ||
T371X2S | 21 | 922-923 | T39013A | 21 | 917-918 | T410X2A | 21 | 917-918 | ||
T371X3A | 21 | 917-918 | T39013D | 23 | 949-950 | T410X2D | 23 | 949-950 | ||
T371X3D | 23 | 949-950 | T39013S | 21 | 922-923 | T410X2S | 21 | 922-923 | ||
T371X3S | 21 | 922-923 | T39014A | 21 | 917-918 | T410X3A | 21 | 917-918 | ||
T371X4A | 21 | 917-918 | T39014D | 23 | 949-950 | T410X3D | 23 | 949-950 | ||
T371X4D | 23 | 949-950 | T39014S | 21 | 922-923 | T410X3S | 21 | 922-923 | ||
T371X4S | 21 | 922-923 | T39015A | 15 | 791 | T410X4A | 21 | 917-918 | ||
T371X5A | 15 | 791 | T39015A | 15 | 793 | T410X4D | 23 | 949-950 | ||
T371X5A | 15 | 793 | T39015A | 21 | 917-918 | T410X4S | 21 | 922-923 | ||
T371X5A | 21 | 917-918 | T39015D | 23 | 949-950 | T410X5A | 15 | 791 | ||
T371X5D | 23 | 949-950 | T39015S | 21 | 922-923 | T410X5A | 15 | 793 | ||
T371X5S | 21 | 922-923 | T39016A | 23 | 951 | T410X5A | 21 | 917-918 | ||
T371X6A | 23 | 951 | T39016D | 23 | 949-950 | T410X5D | 23 | 949-950 | ||
T371X6D | 23 | 949-950 | T39016S | 23 | 949-950 | T410X5S | 21 | 922-923 | ||
T371X6S | 23 | 949-950 | T39091A | 21 | 917-918 | T410X6A | 23 | 951 | ||
T372X1A | 21 | 917-918 | T39091D | 23 | 949-950 | T410X6D | 23 | 949-950 | ||
T372X1D | 23 | 949-950 | T39091S | 21 | 922-923 | T410X6S | 23 | 949-950 | ||
T372X1S | 21 | 922-923 | T39092A | 21 | 917-918 | T411X1A | 21 | 917-918 | ||
T372X2A | 21 | 917-918 | T39092D | 23 | 949-950 | T411X1D | 23 | 949-950 | ||
T372X2D | 23 | 949-950 | T39092S | 21 | 922-923 | T411X1S | 21 | 922-923 | ||
T372X2S | 21 | 922-923 | T39093A | 21 | 917-918 | T411X2A | 21 | 917-918 | ||
T372X3A | 21 | 917-918 | T39093D | 23 | 949-950 | T411X2D | 23 | 949-950 | ||
T372X3D | 23 | 949-950 | T39093S | 21 | 922-923 | T411X2S | 21 | 922-923 | ||
T372X3S | 21 | 922-923 | T39094A | 21 | 917-918 | T411X3A | 21 | 917-918 | ||
T372X4A | 21 | 917-918 | T39094D | 23 | 949-950 | T411X3D | 23 | 949-950 | ||
T372X4D | 23 | 949-950 | T39094S | 21 | 922-923 | T411X3S | 21 | 922-923 | ||
T372X4S | 21 | 922-923 | T39095A | 15 | 791 | T411X4A | 21 | 917-918 | ||
T372X5A | 15 | 791 | T39095A | 15 | 793 | T411X4D | 23 | 949-950 | ||
T372X5A | 15 | 793 | T39095A | 21 | 917-918 | T411X4S | 21 | 922-923 | ||
T372X5A | 21 | 917-918 | T39095D | 23 | 949-950 | T411X5A | 15 | 791 | ||
T372X5D | 23 | 949-950 | T39095S | 21 | 922-923 | T411X5A | 15 | 793 | ||
T372X5S | 21 | 922-923 | T39096A | 23 | 951 | T411X5A | 21 | 917-918 | ||
T372X6A | 23 | 951 | T39096D | 23 | 949-950 | T411X5D | 23 | 949-950 | ||
T372X6D | 23 | 949-950 | T39096S | 23 | 949-950 | T411X5S | 21 | 922-923 | ||
T372X6S | 23 | 949-950 | T391X1A | 21 | 917-918 | T411X6A | 23 | 951 | ||
T373X1A | 21 | 917-918 | T391X1D | 23 | 949-950 | T411X6D | 23 | 949-950 | ||
T373X1D | 23 | 949-950 | T391X1S | 21 | 922-923 | T411X6S | 23 | 949-950 | ||
T373X1S | 21 | 922-923 | T391X2A | 21 | 917-918 | T41201A | 21 | 917-918 | ||
T373X2A | 21 | 917-918 | T391X2D | 23 | 949-950 | T41201D | 23 | 949-950 | ||
T373X2D | 23 | 949-950 | T391X2S | 21 | 922-923 | T41201S | 21 | 922-923 | ||
T373X2S | 21 | 922-923 | T391X3A | 21 | 917-918 | T41202A | 21 | 917-918 | ||
T373X3A | 21 | 917-918 | T391X3D | 23 | 949-950 | T41202D | 23 | 949-950 | ||
T373X3D | 23 | 949-950 | T391X3S | 21 | 922-923 | T41202S | 21 | 922-923 | ||
T373X3S | 21 | 922-923 | T391X4A | 21 | 917-918 | T41203A | 21 | 917-918 | ||
T373X4A | 21 | 917-918 | T391X4D | 23 | 949-950 | T41203D | 23 | 949-950 | ||
T373X4D | 23 | 949-950 | T391X4S | 21 | 922-923 | T41203S | 21 | 922-923 | ||
T373X4S | 21 | 922-923 | T391X5A | 15 | 791 | T41204A | 21 | 917-918 | ||
T373X5A | 15 | 791 | T391X5A | 15 | 793 | T41204D | 23 | 949-950 | ||
T373X5A | 15 | 793 | T391X5A | 21 | 917-918 | T41204S | 21 | 922-923 | ||
T373X5A | 21 | 917-918 | T391X5D | 23 | 949-950 | T41205A | 15 | 791 | ||
T373X5D | 23 | 949-950 | T391X5S | 21 | 922-923 | T41205A | 15 | 793 | ||
T373X5S | 21 | 922-923 | T391X6A | 23 | 951 | T41205A | 21 | 917-918 | ||
T373X6A | 23 | 951 | T391X6D | 23 | 949-950 | T41205D | 23 | 949-950 | ||
T373X6D | 23 | 949-950 | T391X6S | 23 | 949-950 | T41205S | 21 | 922-923 | ||
T373X6S | 23 | 949-950 | T392X1A | 21 | 917-918 | T41206A | 23 | 951 | ||
T374X1A | 21 | 917-918 | T392X1D | 23 | 949-950 | T41206D | 23 | 949-950 | ||
T374X1D | 23 | 949-950 | T392X1S | 21 | 922-923 | T41206S | 23 | 949-950 | ||
T374X1S | 21 | 922-923 | T392X2A | 21 | 917-918 | T41291A | 21 | 917-918 | ||
T374X2A | 21 | 917-918 | T392X2D | 23 | 949-950 | T41291D | 23 | 949-950 | ||
T374X2D | 23 | 949-950 | T392X2S | 21 | 922-923 | T41291S | 21 | 922-923 | ||
T374X2S | 21 | 922-923 | T392X3A | 21 | 917-918 | T41292A | 21 | 917-918 | ||
T374X3A | 21 | 917-918 | T392X3D | 23 | 949-950 | T41292D | 23 | 949-950 | ||
T374X3D | 23 | 949-950 | T392X3S | 21 | 922-923 | T41292S | 21 | 922-923 | ||
T374X3S | 21 | 922-923 | T392X4A | 21 | 917-918 | T41293A | 21 | 917-918 | ||
T374X4A | 21 | 917-918 | T392X4D | 23 | 949-950 | T41293D | 23 | 949-950 | ||
T374X4D | 23 | 949-950 | T392X4S | 21 | 922-923 | T41293S | 21 | 922-923 | ||
T374X4S | 21 | 922-923 | T392X5A | 15 | 791 | T41294A | 21 | 917-918 | ||
T374X5A | 15 | 791 | T392X5A | 15 | 793 | T41294D | 23 | 949-950 | ||
T374X5A | 15 | 793 | T392X5A | 21 | 917-918 | T41294S | 21 | 922-923 | ||
T374X5A | 21 | 917-918 | T392X5D | 23 | 949-950 | T41295A | 15 | 791 | ||
T374X5D | 23 | 949-950 | T392X5S | 21 | 922-923 | T41295A | 15 | 793 | ||
T374X5S | 21 | 922-923 | T392X6A | 23 | 951 | T41295A | 21 | 917-918 | ||
T374X6A | 23 | 951 | T392X6D | 23 | 949-950 | T41295D | 23 | 949-950 | ||
T374X6D | 23 | 949-950 | T392X6S | 23 | 949-950 | T41295S | 21 | 922-923 | ||
T374X6S | 23 | 949-950 | T39311A | 21 | 917-918 | T41296A | 23 | 951 | ||
T375X1A | 21 | 917-918 | T39311D | 23 | 949-950 | T41296D | 23 | 949-950 | ||
T375X1D | 23 | 949-950 | T39311S | 21 | 922-923 | T41296S | 23 | 949-950 | ||
T375X1S | 21 | 922-923 | T39312A | 21 | 917-918 | T413X1A | 21 | 917-918 | ||
T375X2A | 21 | 917-918 | T39312D | 23 | 949-950 | T413X1D | 23 | 949-950 | ||
T375X2D | 23 | 949-950 | T39312S | 21 | 922-923 | T413X1S | 21 | 922-923 | ||
T375X2S | 21 | 922-923 | T39313A | 21 | 917-918 | T413X2A | 21 | 917-918 | ||
T375X3A | 21 | 917-918 | T39313D | 23 | 949-950 | T413X2D | 23 | 949-950 | ||
T375X3D | 23 | 949-950 | T39313S | 21 | 922-923 | T413X2S | 21 | 922-923 | ||
T375X3S | 21 | 922-923 | T39314A | 21 | 917-918 | T413X3A | 21 | 917-918 | ||
T375X4A | 21 | 917-918 | T39314D | 23 | 949-950 | T413X3D | 23 | 949-950 | ||
T375X4D | 23 | 949-950 | T39314S | 21 | 922-923 | T413X3S | 21 | 922-923 | ||
T375X4S | 21 | 922-923 | T39315A | 15 | 791 | T413X4A | 21 | 917-918 | ||
T375X5A | 15 | 791 | T39315A | 15 | 793 | T413X4D | 23 | 949-950 | ||
T375X5A | 15 | 793 | T39315A | 21 | 917-918 | T413X4S | 21 | 922-923 | ||
T375X5A | 21 | 917-918 | T39315D | 23 | 949-950 | T413X5A | 15 | 791 | ||
T375X5D | 23 | 949-950 | T39315S | 21 | 922-923 | T413X5A | 15 | 793 | ||
T375X5S | 21 | 922-923 | T39316A | 23 | 951 | T413X5A | 21 | 917-918 | ||
T375X6A | 23 | 951 | T39316D | 23 | 949-950 | T413X5D | 23 | 949-950 | ||
T375X6D | 23 | 949-950 | T39316S | 23 | 949-950 | T413X5S | 21 | 922-923 | ||
T375X6S | 23 | 949-950 | T39391A | 21 | 917-918 | T413X6A | 23 | 951 | ||
T378X1A | 21 | 917-918 | T39391D | 23 | 949-950 | T413X6D | 23 | 949-950 | ||
T378X1D | 23 | 949-950 | T39391S | 21 | 922-923 | T413X6S | 23 | 949-950 | ||
T378X1S | 21 | 922-923 | T39392A | 21 | 917-918 | T4141XA | 21 | 917-918 | ||
T378X2A | 21 | 917-918 | T39392D | 23 | 949-950 | T4141XD | 23 | 949-950 | ||
T378X2D | 23 | 949-950 | T39392S | 21 | 922-923 | T4141XS | 21 | 922-923 | ||
T378X2S | 21 | 922-923 | T39393A | 21 | 917-918 | T4142XA | 21 | 917-918 | ||
T378X3A | 21 | 917-918 | T39393D | 23 | 949-950 | T4142XD | 23 | 949-950 | ||
T378X3D | 23 | 949-950 | T39393S | 21 | 922-923 | T4142XS | 21 | 922-923 | ||
T378X3S | 21 | 922-923 | T39394A | 21 | 917-918 | T4143XA | 21 | 917-918 | ||
T378X4A | 21 | 917-918 | T39394D | 23 | 949-950 | T4143XD | 23 | 949-950 | ||
T378X4D | 23 | 949-950 | T39394S | 21 | 922-923 | T4143XS | 21 | 922-923 | ||
T378X4S | 21 | 922-923 | T39395A | 15 | 791 | T4144XA | 21 | 917-918 | ||
T378X5A | 15 | 791 | T39395A | 15 | 793 | T4144XD | 23 | 949-950 | ||
T378X5A | 15 | 793 | T39395A | 21 | 917-918 | T4144XS | 21 | 922-923 | ||
T378X5A | 21 | 917-918 | T39395D | 23 | 949-950 | T4145XA | 15 | 791 | ||
T378X5D | 23 | 949-950 | T39395S | 21 | 922-923 | T4145XA | 15 | 793 | ||
T378X5S | 21 | 922-923 | T39396A | 23 | 951 | T4145XA | 21 | 917-918 | ||
T378X6A | 23 | 951 | T39396D | 23 | 949-950 | T4145XD | 23 | 949-950 | ||
T378X6D | 23 | 949-950 | T39396S | 23 | 949-950 | T4145XS | 21 | 922-923 | ||
T378X6S | 23 | 949-950 | T394X1A | 21 | 917-918 | T4146XA | 23 | 951 | ||
T3791XA | 21 | 917-918 | T394X1D | 23 | 949-950 | T4146XD | 23 | 949-950 | ||
T3791XD | 23 | 949-950 | T394X1S | 21 | 922-923 | T4146XS | 23 | 949-950 | ||
T3791XS | 21 | 922-923 | T394X2A | 21 | 917-918 | T415X1A | 21 | 917-918 | ||
T3792XA | 21 | 917-918 | T394X2D | 23 | 949-950 | T415X1D | 23 | 949-950 | ||
T3792XD | 23 | 949-950 | T394X2S | 21 | 922-923 | T415X1S | 21 | 922-923 | ||
T3792XS | 21 | 922-923 | T394X3A | 21 | 917-918 | T415X2A | 21 | 917-918 | ||
T3793XA | 21 | 917-918 | T394X3D | 23 | 949-950 | T415X2D | 23 | 949-950 | ||
T3793XD | 23 | 949-950 | T394X3S | 21 | 922-923 | T415X2S | 21 | 922-923 | ||
T3793XS | 21 | 922-923 | T394X4A | 21 | 917-918 | T415X3A | 21 | 917-918 | ||
T3794XA | 21 | 917-918 | T394X4D | 23 | 949-950 | T415X3D | 23 | 949-950 | ||
T3794XD | 23 | 949-950 | T394X4S | 21 | 922-923 | T415X3S | 21 | 922-923 | ||
T3794XS | 21 | 922-923 | T394X5A | 15 | 791 | T415X4A | 21 | 917-918 | ||
T3795XA | 15 | 791 | T394X5A | 15 | 793 | T415X4D | 23 | 949-950 | ||
T3795XA | 15 | 793 | T394X5A | 21 | 917-918 | T415X4S | 21 | 922-923 | ||
T3795XA | 21 | 917-918 | T394X5D | 23 | 949-950 | T415X5A | 15 | 791 | ||
T3795XD | 23 | 949-950 | T394X5S | 21 | 922-923 | T415X5A | 15 | 793 | ||
T3795XS | 21 | 922-923 | T394X6A | 23 | 951 | T415X5A | 21 | 917-918 | ||
T3796XA | 23 | 951 | T394X6D | 23 | 949-950 | T415X5D | 23 | 949-950 | ||
T3796XD | 23 | 949-950 | T394X6S | 23 | 949-950 | T415X5S | 21 | 922-923 | ||
T3796XS | 23 | 949-950 | T398X1A | 21 | 917-918 | T415X6A | 23 | 951 | ||
T380X1A | 21 | 917-918 | T398X1D | 23 | 949-950 | T415X6D | 23 | 949-950 | ||
T380X1D | 23 | 949-950 | T398X1S | 21 | 922-923 | T415X6S | 23 | 949-950 | ||
T380X1S | 21 | 922-923 | T398X2A | 21 | 917-918 | T420X1A | 21 | 917-918 | ||
T380X2A | 21 | 917-918 | T398X2D | 23 | 949-950 | T420X1D | 23 | 949-950 | ||
T380X2D | 23 | 949-950 | T398X2S | 21 | 922-923 | T420X1S | 21 | 922-923 | ||
T380X2S | 21 | 922-923 | T398X3A | 21 | 917-918 | T420X2A | 21 | 917-918 | ||
T380X3A | 21 | 917-918 | T398X3D | 23 | 949-950 | T420X2D | 23 | 949-950 | ||
T380X3D | 23 | 949-950 | T398X3S | 21 | 922-923 | T420X2S | 21 | 922-923 | ||
T380X3S | 21 | 922-923 | T398X4A | 21 | 917-918 | T420X3A | 21 | 917-918 | ||
T380X4A | 21 | 917-918 | T398X4D | 23 | 949-950 | T420X3D | 23 | 949-950 | ||
T380X4D | 23 | 949-950 | T398X4S | 21 | 922-923 | T420X3S | 21 | 922-923 | ||
T380X4S | 21 | 922-923 | T398X5A | 15 | 791 | T420X4A | 21 | 917-918 | ||
T380X5A | 15 | 791 | T398X5A | 15 | 793 | T420X4D | 23 | 949-950 | ||
T380X5A | 15 | 793 | T398X5A | 21 | 917-918 | T420X4S | 21 | 922-923 | ||
T380X5A | 21 | 917-918 | T398X5D | 23 | 949-950 | T420X5A | 15 | 791 | ||
T380X5D | 23 | 949-950 | T398X5S | 21 | 922-923 | T420X5A | 15 | 793 | ||
T380X5S | 21 | 922-923 | T398X6A | 23 | 951 | T420X5A | 21 | 917-918 | ||
T380X6A | 23 | 951 | T398X6D | 23 | 949-950 | T420X5D | 23 | 949-950 | ||
T380X6D | 23 | 949-950 | T398X6S | 23 | 949-950 | T420X5S | 21 | 922-923 | ||
T380X6S | 23 | 949-950 | T3991XA | 21 | 917-918 | T420X6A | 23 | 951 | ||
T381X1A | 21 | 917-918 | T3991XD | 23 | 949-950 | T420X6D | 23 | 949-950 | ||
T381X1D | 23 | 949-950 | T3991XS | 21 | 922-923 | T420X6S | 23 | 949-950 | ||
T381X1S | 21 | 922-923 | T3992XA | 21 | 917-918 | T421X1A | 21 | 917-918 | ||
T381X2A | 21 | 917-918 | T3992XD | 23 | 949-950 | T421X1D | 23 | 949-950 | ||
T381X2D | 23 | 949-950 | T3992XS | 21 | 922-923 | T421X1S | 21 | 922-923 | ||
T381X2S | 21 | 922-923 | T3993XA | 21 | 917-918 | T421X2A | 21 | 917-918 | ||
T381X3A | 21 | 917-918 | T3993XD | 23 | 949-950 | T421X2D | 23 | 949-950 | ||
T381X3D | 23 | 949-950 | T3993XS | 21 | 922-923 | T421X2S | 21 | 922-923 | ||
T381X3S | 21 | 922-923 | T3994XA | 21 | 917-918 | T421X3A | 21 | 917-918 | ||
T381X4A | 21 | 917-918 | T3994XD | 23 | 949-950 | T421X3D | 23 | 949-950 | ||
T381X4D | 23 | 949-950 | T3994XS | 21 | 922-923 | T421X3S | 21 | 922-923 | ||
T381X4S | 21 | 922-923 | T3995XA | 15 | 791 | T421X4A | 21 | 917-918 | ||
T381X5A | 15 | 791 | T3995XA | 15 | 793 | T421X4D | 23 | 949-950 | ||
T381X5A | 15 | 793 | T3995XA | 21 | 917-918 | T421X4S | 21 | 922-923 | ||
T381X5A | 21 | 917-918 | T3995XD | 23 | 949-950 | T421X5A | 15 | 791 | ||
T381X5D | 23 | 949-950 | T3995XS | 21 | 922-923 | T421X5A | 15 | 793 | ||
T381X5S | 21 | 922-923 | T3996XA | 23 | 951 | T421X5A | 21 | 917-918 | ||
T381X6A | 23 | 951 | T3996XD | 23 | 949-950 | T421X5D | 23 | 949-950 | ||
T381X6D | 23 | 949-950 | T3996XS | 23 | 949-950 | T421X5S | 21 | 922-923 | ||
T381X6S | 23 | 949-950 | T400X1A | 21 | 917-918 | T421X6A | 23 | 951 | ||
T382X1A | 21 | 917-918 | T400X1D | 23 | 949-950 | T421X6D | 23 | 949-950 | ||
T382X1D | 23 | 949-950 | T400X1S | 21 | 922-923 | T421X6S | 23 | 949-950 | ||
T382X1S | 21 | 922-923 | T400X2A | 21 | 917-918 | T422X1A | 21 | 917-918 | ||
T382X2A | 21 | 917-918 | T400X2D | 23 | 949-950 | T422X1D | 23 | 949-950 | ||
T382X2D | 23 | 949-950 | T400X2S | 21 | 922-923 | T422X1S | 21 | 922-923 | ||
T382X2S | 21 | 922-923 | T400X3A | 21 | 917-918 | T422X2A | 21 | 917-918 | ||
T382X3A | 21 | 917-918 | T400X3D | 23 | 949-950 | T422X2D | 23 | 949-950 | ||
T382X3D | 23 | 949-950 | T400X3S | 21 | 922-923 | T422X2S | 21 | 922-923 | ||
T382X3S | 21 | 922-923 | T400X4A | 21 | 917-918 | T422X3A | 21 | 917-918 | ||
T382X4A | 21 | 917-918 | T400X4D | 23 | 949-950 | T422X3D | 23 | 949-950 | ||
T382X4D | 23 | 949-950 | T400X4S | 21 | 922-923 | T422X3S | 21 | 922-923 | ||
T382X4S | 21 | 922-923 | T400X5A | 15 | 791 | T422X4A | 21 | 917-918 | ||
T382X5A | 15 | 791 | T400X5A | 15 | 793 | T422X4D | 23 | 949-950 | ||
T382X5A | 15 | 793 | T400X5A | 21 | 917-918 | T422X4S | 21 | 922-923 | ||
T382X5A | 21 | 917-918 | T400X5D | 23 | 949-950 | T422X5A | 15 | 791 | ||
T382X5D | 23 | 949-950 | T400X5S | 21 | 922-923 | T422X5A | 15 | 793 | ||
T382X5S | 21 | 922-923 | T400X6A | 23 | 951 | T422X5A | 21 | 917-918 | ||
T382X6A | 23 | 951 | T400X6D | 23 | 949-950 | T422X5D | 23 | 949-950 | ||
T382X6D | 23 | 949-950 | T400X6S | 23 | 949-950 | T422X5S | 21 | 922-923 | ||
T382X6S | 23 | 949-950 | T401X1A | 21 | 917-918 | T422X6A | 23 | 951 | ||
T383X1A | 21 | 917-918 | T401X1D | 23 | 949-950 | T422X6D | 23 | 949-950 | ||
T383X1D | 23 | 949-950 | T401X1S | 21 | 922-923 | T422X6S | 23 | 949-950 | ||
T383X1S | 21 | 922-923 | T401X2A | 21 | 917-918 | T423X1A | 21 | 917-918 | ||
T383X2A | 21 | 917-918 | T401X2D | 23 | 949-950 | T423X1D | 23 | 949-950 | ||
T383X2D | 23 | 949-950 | T401X2S | 21 | 922-923 | T423X1S | 21 | 922-923 | ||
T383X2S | 21 | 922-923 | T401X3A | 21 | 917-918 | T423X2A | 21 | 917-918 | ||
T383X3A | 21 | 917-918 | T401X3D | 23 | 949-950 | T423X2D | 23 | 949-950 | ||
T383X3D | 23 | 949-950 | T401X3S | 21 | 922-923 | T423X2S | 21 | 922-923 | ||
T383X3S | 21 | 922-923 | T401X4A | 21 | 917-918 | T423X3A | 21 | 917-918 | ||
T383X4A | 21 | 917-918 | T401X4D | 23 | 949-950 | T423X3D | 23 | 949-950 | ||
T383X4D | 23 | 949-950 | T401X4S | 21 | 922-923 | T423X3S | 21 | 922-923 | ||
T383X4S | 21 | 922-923 | T402X1A | 21 | 917-918 | T423X4A | 21 | 917-918 | ||
T383X5A | 15 | 791 | T402X1D | 23 | 949-950 | T423X4D | 23 | 949-950 | ||
T383X5A | 15 | 793 | T402X1S | 21 | 922-923 | T423X4S | 21 | 922-923 | ||
T383X5A | 21 | 917-918 | T402X2A | 21 | 917-918 | T423X5A | 15 | 791 | ||
T383X5D | 23 | 949-950 | T402X2D | 23 | 949-950 | T423X5A | 15 | 793 | ||
T383X5S | 21 | 922-923 | T402X2S | 21 | 922-923 | T423X5A | 21 | 917-918 | ||
T383X6A | 23 | 951 | T402X3A | 21 | 917-918 | T423X5D | 23 | 949-950 | ||
T383X6D | 23 | 949-950 | T402X3D | 23 | 949-950 | T423X5S | 21 | 922-923 | ||
T383X6S | 23 | 949-950 | T402X3S | 21 | 922-923 | T423X6A | 23 | 951 | ||
T384X1A | 21 | 917-918 | T402X4A | 21 | 917-918 | T423X6D | 23 | 949-950 | ||
T384X1D | 23 | 949-950 | T402X4D | 23 | 949-950 | T423X6S | 23 | 949-950 | ||
T384X1S | 21 | 922-923 | T402X4S | 21 | 922-923 | T424X1A | 21 | 917-918 | ||
T384X2A | 21 | 917-918 | T402X5A | 15 | 791 | T424X1D | 23 | 949-950 | ||
T384X2D | 23 | 949-950 | T402X5A | 15 | 793 | T424X1S | 21 | 922-923 | ||
T384X2S | 21 | 922-923 | T402X5A | 21 | 917-918 | T424X2A | 21 | 917-918 | ||
T384X3A | 21 | 917-918 | T402X5D | 23 | 949-950 | T424X2D | 23 | 949-950 | ||
T384X3D | 23 | 949-950 | T402X5S | 21 | 922-923 | T424X2S | 21 | 922-923 | ||
T384X3S | 21 | 922-923 | T402X6A | 23 | 951 | T424X3A | 21 | 917-918 | ||
T384X4A | 21 | 917-918 | T402X6D | 23 | 949-950 | T424X3D | 23 | 949-950 | ||
T384X4D | 23 | 949-950 | T402X6S | 23 | 949-950 | T424X3S | 21 | 922-923 | ||
T384X4S | 21 | 922-923 | T403X1A | 21 | 917-918 | T424X4A | 21 | 917-918 | ||
T384X5A | 15 | 791 | T403X1D | 23 | 949-950 | T424X4D | 23 | 949-950 | ||
T384X5A | 15 | 793 | T403X1S | 21 | 922-923 | T424X4S | 21 | 922-923 | ||
T384X5A | 21 | 917-918 | T403X2A | 21 | 917-918 | T424X5A | 15 | 791 | ||
T384X5D | 23 | 949-950 | T403X2D | 23 | 949-950 | T424X5A | 15 | 793 | ||
T384X5S | 21 | 922-923 | T403X2S | 21 | 922-923 | T424X5A | 21 | 917-918 | ||
T384X6A | 23 | 951 | T403X3A | 21 | 917-918 | T424X5D | 23 | 949-950 | ||
T384X6D | 23 | 949-950 | T403X3D | 23 | 949-950 | T424X5S | 21 | 922-923 | ||
T384X6S | 23 | 949-950 | T403X3S | 21 | 922-923 | T424X6A | 23 | 951 | ||
T385X1A | 21 | 917-918 | T403X4A | 21 | 917-918 | T424X6D | 23 | 949-950 | ||
T385X1D | 23 | 949-950 | T403X4D | 23 | 949-950 | T424X6S | 23 | 949-950 | ||
T385X1S | 21 | 922-923 | T403X4S | 21 | 922-923 | T425X1A | 21 | 917-918 | ||
T385X2A | 21 | 917-918 | T403X5A | 15 | 791 | T425X1D | 23 | 949-950 | ||
T385X2D | 23 | 949-950 | T403X5A | 15 | 793 | T425X1S | 21 | 922-923 | ||
T385X2S | 21 | 922-923 | T403X5A | 21 | 917-918 | T425X2A | 21 | 917-918 | ||
T385X3A | 21 | 917-918 | T403X5D | 23 | 949-950 | T425X2D | 23 | 949-950 | ||
T385X3D | 23 | 949-950 | T403X5S | 21 | 922-923 | T425X2S | 21 | 922-923 | ||
T385X3S | 21 | 922-923 | T403X6A | 23 | 951 | T425X3A | 21 | 917-918 | ||
T385X4A | 21 | 917-918 | T403X6D | 23 | 949-950 | T425X3D | 23 | 949-950 | ||
T385X4D | 23 | 949-950 | T403X6S | 23 | 949-950 | T425X3S | 21 | 922-923 | ||
T385X4S | 21 | 922-923 | T404X1A | 21 | 917-918 | T425X4A | 21 | 917-918 | ||
T385X5A | 15 | 791 | T404X1D | 23 | 949-950 | T425X4D | 23 | 949-950 | ||
T385X5A | 15 | 793 | T404X1S | 21 | 922-923 | T425X4S | 21 | 922-923 | ||
T385X5A | 21 | 917-918 | T404X2A | 21 | 917-918 | T425X5A | 15 | 791 | ||
T385X5D | 23 | 949-950 | T404X2D | 23 | 949-950 | T425X5A | 15 | 793 | ||
T385X5S | 21 | 922-923 | T404X2S | 21 | 922-923 | T425X5A | 21 | 917-918 | ||
T385X6A | 23 | 951 | T404X3A | 21 | 917-918 | T425X5D | 23 | 949-950 | ||
T385X6D | 23 | 949-950 | T404X3D | 23 | 949-950 | T425X5S | 21 | 922-923 | ||
T385X6S | 23 | 949-950 | T404X3S | 21 | 922-923 | T425X6A | 23 | 951 | ||
T386X1A | 21 | 917-918 | T404X4A | 21 | 917-918 | T425X6D | 23 | 949-950 | ||
T386X1D | 23 | 949-950 | T404X4D | 23 | 949-950 | T425X6S | 23 | 949-950 | ||
T386X1S | 21 | 922-923 | T404X4S | 21 | 922-923 | T426X1A | 21 | 917-918 | ||
T386X2A | 21 | 917-918 | T404X5A | 15 | 791 | T426X1D | 23 | 949-950 | ||
T386X2D | 23 | 949-950 | T404X5A | 15 | 793 | T426X1S | 21 | 922-923 | ||
T386X2S | 21 | 922-923 | T404X5A | 21 | 917-918 | T426X2A | 21 | 917-918 | ||
T386X3A | 21 | 917-918 | T404X5D | 23 | 949-950 | T426X2D | 23 | 949-950 | ||
T386X3D | 23 | 949-950 | T404X5S | 21 | 922-923 | T426X2S | 21 | 922-923 | ||
T386X3S | 21 | 922-923 | T404X6A | 23 | 951 | T426X3A | 21 | 917-918 | ||
T386X4A | 21 | 917-918 | T404X6D | 23 | 949-950 | T426X3D | 23 | 949-950 | ||
T386X4D | 23 | 949-950 | T404X6S | 23 | 949-950 | T426X3S | 21 | 922-923 | ||
T386X4S | 21 | 922-923 | T405X1A | 21 | 917-918 | T426X4A | 21 | 917-918 | ||
T386X5A | 15 | 791 | T405X1D | 23 | 949-950 | T426X4D | 23 | 949-950 | ||
T386X5A | 15 | 793 | T405X1S | 21 | 922-923 | T426X4S | 21 | 922-923 | ||
T386X5A | 21 | 917-918 | T405X2A | 21 | 917-918 | T426X5A | 15 | 791 | ||
T386X5D | 23 | 949-950 | T405X2D | 23 | 949-950 | T426X5A | 15 | 793 | ||
T386X5S | 21 | 922-923 | T405X2S | 21 | 922-923 | T426X5A | 21 | 917-918 | ||
T386X6A | 23 | 951 | T405X3A | 21 | 917-918 | T426X5D | 23 | 949-950 | ||
T386X6D | 23 | 949-950 | T405X3D | 23 | 949-950 | T426X5S | 21 | 922-923 | ||
T386X6S | 23 | 949-950 | T405X3S | 21 | 922-923 | T426X6A | 23 | 951 | ||
T387X1A | 21 | 917-918 | T405X4A | 21 | 917-918 | T426X6D | 23 | 949-950 | ||
T387X1D | 23 | 949-950 | T405X4D | 23 | 949-950 | T426X6S | 23 | 949-950 | ||
T387X1S | 21 | 922-923 | T405X4S | 21 | 922-923 | T4271XA | 21 | 917-918 | ||
T387X2A | 21 | 917-918 | T405X5A | 15 | 791 | T4271XD | 23 | 949-950 | ||
T387X2D | 23 | 949-950 | T405X5A | 15 | 793 | T4271XS | 21 | 922-923 | ||
T387X2S | 21 | 922-923 | T405X5A | 21 | 917-918 | T4272XA | 21 | 917-918 | ||
T387X3A | 21 | 917-918 | T405X5D | 23 | 949-950 | T4272XD | 23 | 949-950 | ||
T387X3D | 23 | 949-950 | T405X5S | 21 | 922-923 | T4272XS | 21 | 922-923 | ||
T387X3S | 21 | 922-923 | T405X6A | 23 | 951 | T4273XA | 21 | 917-918 | ||
T387X4A | 21 | 917-918 | T405X6D | 23 | 949-950 | T4273XD | 23 | 949-950 | ||
T387X4D | 23 | 949-950 | T405X6S | 23 | 949-950 | T4273XS | 21 | 922-923 | ||
T387X4S | 21 | 922-923 | T40601A | 21 | 917-918 | T4274XA | 21 | 917-918 | ||
T387X5A | 15 | 791 | T40601D | 23 | 949-950 | T4274XD | 23 | 949-950 | ||
T387X5A | 15 | 793 | T40601S | 21 | 922-923 | T4274XS | 21 | 922-923 | ||
T387X5A | 21 | 917-918 | T40602A | 21 | 917-918 | T4275XA | 15 | 791 | ||
T387X5D | 23 | 949-950 | T40602D | 23 | 949-950 | T4275XA | 15 | 793 | ||
T387X5S | 21 | 922-923 | T40602S | 21 | 922-923 | T4275XA | 21 | 917-918 | ||
T387X6A | 23 | 951 | T40603A | 21 | 917-918 | T4275XD | 23 | 949-950 | ||
T387X6D | 23 | 949-950 | T40603D | 23 | 949-950 | T4275XS | 21 | 922-923 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 23 Mar 2020 12:40:01 CMS, code-revision=249, description-revision=1272 |