ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual
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Diagnosis Code/MDC/MS-DRG Index
Page 69 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
T653X1S21922-923 T7523XD23949-950 T8130XS21922-923
T653X2A21917-918 T7523XS21922-923 T8131XA21919-921
T653X2D23949-950 T7529XA21922-923 T8131XD23949-950
T653X2S21922-923 T7529XD23949-950 T8131XS21922-923
T653X3A21917-918 T7529XS21922-923 T8132XA21919-921
T653X3D23949-950 T753XXA03149 T8132XD23949-950
T653X3S21922-923 T753XXD23949-950 T8132XS21922-923
T653X4A21917-918 T753XXS21922-923 T8133XA21919-921
T653X4D23949-950 T754XXA21922-923 T8133XD23949-950
T653X4S21922-923 T754XXD23949-950 T8133XS21922-923
T654X1A21917-918 T754XXS21922-923 T8140XA15791
T654X1D23949-950 T7581XA21922-923 T8140XA15793
T654X1S21922-923 T7581XD23949-950 T8140XA18856-858
T654X2A21917-918 T7581XS21922-923 T8140XA18862-863
T654X2D23949-950 T7582XA21922-923 T8140XD23949-950
T654X2S21922-923 T7582XD23949-950 T8140XS21922-923
T654X3A21917-918 T7582XS21922-923 T8141XA15791
T654X3D23949-950 T7589XA21922-923 T8141XA15793
T654X3S21922-923 T7589XD23949-950 T8141XA18856-858
T654X4A21917-918 T7589XS21922-923 T8141XA18862-863
T654X4D23949-950 T7601XA21922-923 T8141XD23949-950
T654X4S21922-923 T7601XD23949-950 T8141XS21922-923
T655X1A21917-918 T7601XS21922-923 T8142XA15791
T655X1D23949-950 T7602XA21922-923 T8142XA15793
T655X1S21922-923 T7602XD23949-950 T8142XA18856-858
T655X2A21917-918 T7602XS21922-923 T8142XA18862-863
T655X2D23949-950 T7611XA21922-923 T8142XD23949-950
T655X2S21922-923 T7611XD23949-950 T8142XS21922-923
T655X3A21917-918 T7611XS21922-923 T8143XA15791
T655X3D23949-950 T7612XA21922-923 T8143XA15793
T655X3S21922-923 T7612XD23949-950 T8143XA18856-858
T655X4A21917-918 T7612XS21922-923 T8143XA18862-863
T655X4D23949-950 T7621XA21922-923 T8143XD23949-950
T655X4S21922-923 T7621XD23949-950 T8143XS21922-923
T656X1A21917-918 T7621XS21922-923 T8144XA15791
T656X1D23949-950 T7622XA21922-923 T8144XA15793
T656X1S21922-923 T7622XD23949-950 T8144XA18856-858
T656X2A21917-918 T7622XS21922-923 T8144XA18862-863
T656X2D23949-950 T7631XA21922-923 T8144XD23949-950
T656X2S21922-923 T7631XD23949-950 T8144XS21922-923
T656X3A21917-918 T7631XS21922-923 T8149XA15791
T656X3D23949-950 T7632XA21922-923 T8149XA15793
T656X3S21922-923 T7632XD23949-950 T8149XA18856-858
T656X4A21917-918 T7632XS21922-923 T8149XA18862-863
T656X4D23949-950 T7651XA21922-923 T8149XD23949-950
T656X4S21922-923 T7651XD23949-950 T8149XS21922-923
T65811A21917-918 T7651XS21922-923 T81500A15791
T65811D23949-950 T7652XA21922-923 T81500A15793
T65811S21922-923 T7652XD23949-950 T81500A21919-921
T65812A21917-918 T7652XS21922-923 T81500D23949-950
T65812D23949-950 T7661XA21922-923 T81500S21922-923
T65812S21922-923 T7661XD23949-950 T81501A15791
T65813A21917-918 T7661XS21922-923 T81501A15793
T65813D23949-950 T7662XA21922-923 T81501A21919-921
T65813S21922-923 T7662XD23949-950 T81501D23949-950
T65814A21917-918 T7662XS21922-923 T81501S21922-923
T65814D23949-950 T7691XA21922-923 T81502A15791
T65814S21922-923 T7691XD23949-950 T81502A15793
T65821A21917-918 T7691XS21922-923 T81502A21919-921
T65821D23949-950 T7692XA21922-923 T81502D23949-950
T65821S21922-923 T7692XD23949-950 T81502S21922-923
T65822A21917-918 T7692XS21922-923 T81503A15791
T65822D23949-950 T7800XA21915-916 T81503A15793
T65822S21922-923 T7800XD23949-950 T81503A21919-921
T65823A21917-918 T7800XS21922-923 T81503D23949-950
T65823D23949-950 T7801XA21915-916 T81503S21922-923
T65823S21922-923 T7801XD23949-950 T81504A15791
T65824A21917-918 T7801XS21922-923 T81504A15793
T65824D23949-950 T7802XA21915-916 T81504A21919-921
T65824S21922-923 T7802XD23949-950 T81504D23949-950
T65831A21917-918 T7802XS21922-923 T81504S21922-923
T65831D23949-950 T7803XA21915-916 T81505A15791
T65831S21922-923 T7803XD23949-950 T81505A15793
T65832A21917-918 T7803XS21922-923 T81505A21919-921
T65832D23949-950 T7804XA21915-916 T81505D23949-950
T65832S21922-923 T7804XD23949-950 T81505S21922-923
T65833A21917-918 T7804XS21922-923 T81506A15791
T65833D23949-950 T7805XA21915-916 T81506A15793
T65833S21922-923 T7805XD23949-950 T81506A21919-921
T65834A21917-918 T7805XS21922-923 T81506D23949-950
T65834D23949-950 T7806XA21915-916 T81506S21922-923
T65834S21922-923 T7806XD23949-950 T81507A15791
T65891A21917-918 T7806XS21922-923 T81507A15793
T65891D23949-950 T7807XA21915-916 T81507A21919-921
T65891S21922-923 T7807XD23949-950 T81507D23949-950
T65892A21917-918 T7807XS21922-923 T81507S21922-923
T65892D23949-950 T7808XA21915-916 T81508A15791
T65892S21922-923 T7808XD23949-950 T81508A15793
T65893A21917-918 T7808XS21922-923 T81508A21919-921
T65893D23949-950 T7809XA21915-916 T81508D23949-950
T65893S21922-923 T7809XD23949-950 T81508S21922-923
T65894A21917-918 T7809XS21922-923 T81509A15791
T65894D23949-950 T781XXA21922-923 T81509A15793
T65894S21922-923 T781XXD23949-950 T81509A21919-921
T6591XA21917-918 T781XXS21922-923 T81509D23949-950
T6591XD23949-950 T782XXA21915-916 T81509S21922-923
T6591XS21922-923 T782XXD23949-950 T81510A15791
T6592XA21917-918 T782XXS21922-923 T81510A15793
T6592XD23949-950 T783XXA21915-916 T81510A21919-921
T6592XS21922-923 T783XXD23949-950 T81510D23949-950
T6593XA21917-918 T783XXS21922-923 T81510S21922-923
T6593XD23949-950 T7840XA21915-916 T81511A15791
T6593XS21922-923 T7840XD23949-950 T81511A15793
T6594XA21917-918 T7840XS21922-923 T81511A21919-921
T6594XD23949-950 T7841XA15791 T81511D23949-950
T6594XS21922-923 T7841XA15793 T81511S21922-923
T66XXXA21922-923 T7841XA21917-918 T81512A15791
T66XXXD23949-950 T7841XD23949-950 T81512A15793
T66XXXS21922-923 T7841XS21922-923 T81512A21919-921
T6701XA21922-923 T7849XA21915-916 T81512D23949-950
T6701XD23949-950 T7849XD23949-950 T81512S21922-923
T6701XS21922-923 T7849XS21922-923 T81513A15791
T6702XA21922-923 T788XXA21922-923 T81513A15793
T6702XD23949-950 T788XXD23949-950 T81513A21919-921
T6702XS21922-923 T788XXS21922-923 T81513D23949-950
T6709XA21922-923 T790XXA04175-176 T81513S21922-923
T6709XD23949-950 T790XXA15791 T81514A15791
T6709XS21922-923 T790XXA15793 T81514A15793
T671XXA21922-923 T790XXA24955-965 T81514A21919-921
T671XXD23949-950 T790XXD23949-950 T81514D23949-950
T671XXS21922-923 T790XXS21913-914 T81514S21922-923
T672XXA21922-923 T791XXA04175-176 T81515A15791
T672XXD23949-950 T791XXA15791 T81515A15793
T672XXS21922-923 T791XXA15793 T81515A21919-921
T673XXA21922-923 T791XXA24955-965 T81515D23949-950
T673XXD23949-950 T791XXD23949-950 T81515S21922-923
T673XXS21922-923 T791XXS21913-914 T81516A15791
T674XXA21922-923 T792XXA15791 T81516A15793
T674XXD23949-950 T792XXA15793 T81516A21919-921
T674XXS21922-923 T792XXA21922-923 T81516D23949-950
T675XXA21922-923 T792XXA24955-965 T81516S21922-923
T675XXD23949-950 T792XXD23949-950 T81517A15791
T675XXS21922-923 T792XXS21913-914 T81517A15793
T676XXA21922-923 T794XXA15791 T81517A21919-921
T676XXD23949-950 T794XXA15793 T81517D23949-950
T676XXS21922-923 T794XXA21922-923 T81517S21922-923
T677XXA21922-923 T794XXA24955-965 T81518A15791
T677XXD23949-950 T794XXD23949-950 T81518A15793
T677XXS21922-923 T794XXS21913-914 T81518A21919-921
T678XXA21922-923 T795XXA11673-675 T81518D23949-950
T678XXD23949-950 T795XXA11682-684 T81518S21922-923
T678XXS21922-923 T795XXA15791 T81519A15791
T679XXA21922-923 T795XXA15793 T81519A15793
T679XXD23949-950 T795XXA24955-965 T81519A21919-921
T679XXS21922-923 T795XXD23949-950 T81519D23949-950
T68XXXA21922-923 T795XXS21913-914 T81519S21922-923
T68XXXD23949-950 T796XXA08564-566 T81520A15791
T68XXXS21922-923 T796XXA24955-965 T81520A15793
T69011A21922-923 T796XXD23949-950 T81520A21919-921
T69011D23949-950 T796XXS21913-914 T81520D23949-950
T69011S21922-923 T797XXA04199-201 T81520S21922-923
T69012A21922-923 T797XXA15791 T81521A15791
T69012D23949-950 T797XXA15793 T81521A15793
T69012S21922-923 T797XXA24955-965 T81521A21919-921
T69019A21922-923 T797XXD23949-950 T81521D23949-950
T69019D23949-950 T797XXS21913-914 T81521S21922-923
T69019S21922-923 T798XXA21922-923 T81522A15791
T69021A21922-923 T798XXA24955-965 T81522A15793
T69021D23949-950 T798XXD23949-950 T81522A21919-921
T69021S21922-923 T798XXS21913-914 T81522D23949-950
T69022A21922-923 T799XXA21922-923 T81522S21922-923
T69022D23949-950 T799XXA24955-965 T81523A15791
T69022S21922-923 T799XXD23949-950 T81523A15793
T69029A21922-923 T799XXS21913-914 T81523A21919-921
T69029D23949-950 T79A0XA21922-923 T81523D23949-950
T69029S21922-923 T79A0XA24955-965 T81523S21922-923
T691XXA21922-923 T79A0XD23949-950 T81524A15791
T691XXD23949-950 T79A0XS21913-914 T81524A15793
T691XXS21922-923 T79A11A21922-923 T81524A21919-921
T698XXA21922-923 T79A11A24955-965 T81524D23949-950
T698XXD23949-950 T79A11D23949-950 T81524S21922-923
T698XXS21922-923 T79A11S21913-914 T81525A15791
T699XXA21922-923 T79A12A21922-923 T81525A15793
T699XXD23949-950 T79A12A24955-965 T81525A21919-921
T699XXS21922-923 T79A12D23949-950 T81525D23949-950
T700XXA03152-153 T79A12S21913-914 T81525S21922-923
T700XXD23949-950 T79A19A21922-923 T81526A15791
T700XXS21922-923 T79A19A24955-965 T81526A15793
T701XXA03152-153 T79A19D23949-950 T81526A21919-921
T701XXD23949-950 T79A19S21913-914 T81526D23949-950
T701XXS21922-923 T79A21A21922-923 T81526S21922-923
T7020XA21922-923 T79A21A24955-965 T81527A15791
T7020XD23949-950 T79A21D23949-950 T81527A15793
T7020XS21922-923 T79A21S21913-914 T81527A21919-921
T7029XA21922-923 T79A22A21922-923 T81527D23949-950
T7029XD23949-950 T79A22A24955-965 T81527S21922-923
T7029XS21922-923 T79A22D23949-950 T81528A15791
T703XXA21922-923 T79A22S21913-914 T81528A15793
T703XXD23949-950 T79A29A21922-923 T81528A21919-921
T703XXS21922-923 T79A29A24955-965 T81528D23949-950
T704XXA21922-923 T79A29D23949-950 T81528S21922-923
T704XXD23949-950 T79A29S21913-914 T81529A15791
T704XXS21922-923 T79A3XA21922-923 T81529A15793
T708XXA21922-923 T79A3XA24955-965 T81529A21919-921
T708XXD23949-950 T79A3XD23949-950 T81529D23949-950
T708XXS21922-923 T79A3XS21913-914 T81529S21922-923
T709XXA21922-923 T79A9XA21922-923 T81530A15791
T709XXD23949-950 T79A9XA24955-965 T81530A15793
T709XXS21922-923 T79A9XD23949-950 T81530A21919-921
T71111A21922-923 T79A9XS21913-914 T81530D23949-950
T71111D23949-950 T800XXA04175-176 T81530S21922-923
T71111S21922-923 T800XXA15791 T81531A15791
T71112A21922-923 T800XXA15793 T81531A15793
T71112D23949-950 T800XXD23949-950 T81531A21919-921
T71112S21922-923 T800XXS21922-923 T81531D23949-950
T71113A21922-923 T801XXA05314-316 T81531S21922-923
T71113D23949-950 T801XXA15791 T81532A15791
T71113S21922-923 T801XXA15793 T81532A15793
T71114A21922-923 T801XXD23949-950 T81532A21919-921
T71114D23949-950 T801XXS21922-923 T81532D23949-950
T71114S21922-923 T80211A05314-316 T81532S21922-923
T71121A21922-923 T80211D23949-950 T81533A15791
T71121D23949-950 T80211S21922-923 T81533A15793
T71121S21922-923 T80212A05314-316 T81533A21919-921
T71122A21922-923 T80212D23949-950 T81533D23949-950
T71122D23949-950 T80212S21922-923 T81533S21922-923
T71122S21922-923 T80218A05314-316 T81534A15791
T71123A21922-923 T80218D23949-950 T81534A15793
T71123D23949-950 T80218S21922-923 T81534A21919-921
T71123S21922-923 T80219A05314-316 T81534D23949-950
T71124A21922-923 T80219D23949-950 T81534S21922-923
T71124D23949-950 T80219S21922-923 T81535A15791
T71124S21922-923 T8022XA15791 T81535A15793
T71131A21922-923 T8022XA15793 T81535A21919-921
T71131D23949-950 T8022XA18856-858 T81535D23949-950
T71131S21922-923 T8022XA18867-869 T81535S21922-923
T71132A21922-923 T8022XD23949-950 T81536A15791
T71132D23949-950 T8022XS21922-923 T81536A15793
T71132S21922-923 T8029XA15791 T81536A21919-921
T71133A21922-923 T8029XA15793 T81536D23949-950
T71133D23949-950 T8029XA18856-858 T81536S21922-923
T71133S21922-923 T8029XA18867-869 T81537A15791
T71134A21922-923 T8029XD23949-950 T81537A15793
T71134D23949-950 T8029XS21922-923 T81537A21919-921
T71134S21922-923 T8030XA15791 T81537D23949-950
T71141A21922-923 T8030XA15793 T81537S21922-923
T71141D23949-950 T8030XA16811-812 T81538A15791
T71141S21922-923 T8030XD23949-950 T81538A15793
T71143A21922-923 T8030XS21922-923 T81538A21919-921
T71143D23949-950 T80310A15791 T81538D23949-950
T71143S21922-923 T80310A15793 T81538S21922-923
T71144A21922-923 T80310A16811-812 T81539A15791
T71144D23949-950 T80310D23949-950 T81539A15793
T71144S21922-923 T80310S21922-923 T81539A21919-921
T71151A21922-923 T80311A15791 T81539D23949-950
T71151D23949-950 T80311A15793 T81539S21922-923
T71151S21922-923 T80311A16811-812 T81590A15791
T71152A21922-923 T80311D23949-950 T81590A15793
T71152D23949-950 T80311S21922-923 T81590A21919-921
T71152S21922-923 T80319A15791 T81590D23949-950
T71153A21922-923 T80319A15793 T81590S21922-923
T71153D23949-950 T80319A16811-812 T81591A15791
T71153S21922-923 T80319D23949-950 T81591A15793
T71154A21922-923 T80319S21922-923 T81591A21919-921
T71154D23949-950 T8039XA15791 T81591D23949-950
T71154S21922-923 T8039XA15793 T81591S21922-923
T71161A21922-923 T8039XA16811-812 T81592A15791
T71161D23949-950 T8039XD23949-950 T81592A15793
T71161S21922-923 T8039XS21922-923 T81592A21919-921
T71162A21922-923 T8040XA15791 T81592D23949-950
T71162D23949-950 T8040XA15793 T81592S21922-923
T71162S21922-923 T8040XA16811-812 T81593A15791
T71163A21922-923 T8040XD23949-950 T81593A15793
T71163D23949-950 T8040XS21922-923 T81593A21919-921
T71163S21922-923 T80410A15791 T81593D23949-950
T71164A21922-923 T80410A15793 T81593S21922-923
T71164D23949-950 T80410A16811-812 T81594A15791
T71164S21922-923 T80410D23949-950 T81594A15793
T71191A21922-923 T80410S21922-923 T81594A21919-921
T71191D23949-950 T80411A15791 T81594D23949-950
T71191S21922-923 T80411A15793 T81594S21922-923
T71192A21922-923 T80411A16811-812 T81595A15791
T71192D23949-950 T80411D23949-950 T81595A15793
T71192S21922-923 T80411S21922-923 T81595A21919-921
T71193A21922-923 T80419A15791 T81595D23949-950
T71193D23949-950 T80419A15793 T81595S21922-923
T71193S21922-923 T80419A16811-812 T81596A15791
T71194A21922-923 T80419D23949-950 T81596A15793
T71194D23949-950 T80419S21922-923 T81596A21919-921
T71194S21922-923 T8049XA15791 T81596D23949-950
T7120XA21922-923 T8049XA15793 T81596S21922-923
T7120XD23949-950 T8049XA16811-812 T81597A15791
T7120XS21922-923 T8049XD23949-950 T81597A15793
T7121XA21922-923 T8049XS21922-923 T81597A21919-921
T7121XD23949-950 T8051XA15791 T81597D23949-950
T7121XS21922-923 T8051XA15793 T81597S21922-923
T71221A21922-923 T8051XA21915-916 T81598A15791
T71221D23949-950 T8051XD23949-950 T81598A15793
T71221S21922-923 T8051XS21922-923 T81598A21919-921
T71222A21922-923 T8052XA15791 T81598D23949-950
T71222D23949-950 T8052XA15793 T81598S21922-923
T71222S21922-923 T8052XA21915-916 T81599A15791
T71223A21922-923 T8052XD23949-950 T81599A15793
T71223D23949-950 T8052XS21922-923 T81599A21919-921
T71223S21922-923 T8059XA15791 T81599D23949-950
T71224A21922-923 T8059XA15793 T81599S21922-923
T71224D23949-950 T8059XA21915-916 T8160XA15791
T71224S21922-923 T8059XD23949-950 T8160XA15793
T71231A21922-923 T8059XS21922-923 T8160XA21919-921
T71231D23949-950 T8061XA15791 T8160XD23949-950
T71231S21922-923 T8061XA15793 T8160XS21922-923
T71232A21922-923 T8061XA21915-916 T8161XA15791
T71232D23949-950 T8061XD23949-950 T8161XA15793
T71232S21922-923 T8061XS21922-923 T8161XA21919-921
T71233A21922-923 T8062XA15791 T8161XD23949-950
T71233D23949-950 T8062XA15793 T8161XS21922-923
T71233S21922-923 T8062XA21915-916 T8169XA15791
T71234A21922-923 T8062XD23949-950 T8169XA15793
T71234D23949-950 T8062XS21922-923 T8169XA21919-921
T71234S21922-923 T8069XA15791 T8169XD23949-950
T7129XA21922-923 T8069XA15793 T8169XS21922-923
T7129XD23949-950 T8069XA21915-916 T81710A06393-395
T7129XS21922-923 T8069XD23949-950 T81710A15791
T719XXA21922-923 T8069XS21922-923 T81710A15793
T719XXD23949-950 T80810A05314-316 T81710D23949-950
T719XXS21922-923 T80810A15791 T81710S21922-923
T730XXA21922-923 T80810A15793 T81711A11698-700
T730XXD23949-950 T80810D23949-950 T81711A15791
T730XXS21922-923 T80810S21922-923 T81711A15793
T731XXA21922-923 T80818A05314-316 T81711D23949-950
T731XXD23949-950 T80818A15791 T81711S21922-923
T731XXS21922-923 T80818A15793 T81718A05299-301
T732XXA21922-923 T80818D23949-950 T81718A15791
T732XXD23949-950 T80818S21922-923 T81718A15793
T732XXS21922-923 T8089XA15791 T81718D23949-950
T733XXA21922-923 T8089XA15793 T81718S21922-923
T733XXD23949-950 T8089XA16811-812 T81719A05299-301
T733XXS21922-923 T8089XD23949-950 T81719A15791
T738XXA21922-923 T8089XS21922-923 T81719A15793
T738XXD23949-950 T8090XA05314-316 T81719D23949-950
T738XXS21922-923 T8090XA15791 T81719S21922-923
T739XXA21922-923 T8090XA15793 T8172XA05299-301
T739XXD23949-950 T8090XD23949-950 T8172XA15791
T739XXS21922-923 T8090XS21922-923 T8172XA15793
T7401XA21922-923 T80910A15791 T8172XD23949-950
T7401XD23949-950 T80910A15793 T8172XS21922-923
T7401XS21922-923 T80910A16811-812 T8181XA21919-921
T7402XA21922-923 T80910D23949-950 T8181XD23949-950
T7402XD23949-950 T80910S21922-923 T8181XS21922-923
T7402XS21922-923 T80911A15791 T8182XA21919-921
T7411XA21922-923 T80911A15793 T8182XD23949-950
T7411XD23949-950 T80911A16811-812 T8182XS21922-923
T7411XS21922-923 T80911D23949-950 T8183XA15791
T7412XA21922-923 T80911S21922-923 T8183XA15793
T7412XD23949-950 T80919A15791 T8183XA21919-921
T7412XS21922-923 T80919A15793 T8183XD23949-950
T7421XA21922-923 T80919A16811-812 T8183XS21922-923
T7421XD23949-950 T80919D23949-950 T8189XA21919-921
T7421XS21922-923 T80919S21922-923 T8189XD23949-950
T7422XA21922-923 T8092XA15791 T8189XS21922-923
T7422XD23949-950 T8092XA15793 T819XXA15791
T7422XS21922-923 T8092XA16811-812 T819XXA15793
T7431XA21922-923 T8092XD23949-950 T819XXA21919-921
T7431XD23949-950 T8092XS21922-923 T819XXD23949-950
T7431XS21922-923 T80A0XA15791 T819XXS21922-923
T7432XA21922-923 T80A0XA15793 T8201XA05306-307
T7432XD23949-950 T80A0XA16811-812 T8201XD23949-950
T7432XS21922-923 T80A0XD23949-950 T8201XS21922-923
T744XXA21922-923 T80A0XS21922-923 T8202XA05306-307
T744XXD23949-950 T80A10A15791 T8202XD23949-950
T744XXS21922-923 T80A10A15793 T8202XS21922-923
T7451XA21922-923 T80A10A16811-812 T8203XA05306-307
T7451XD23949-950 T80A10D23949-950 T8203XD23949-950
T7451XS21922-923 T80A10S21922-923 T8203XS21922-923
T7452XA21922-923 T80A11A15791 T8209XA05306-307
T7452XD23949-950 T80A11A15793 T8209XD23949-950
T7452XS21922-923 T80A11A16811-812 T8209XS21922-923
T7461XA21922-923 T80A11D23949-950 T82110A05308-310
T7461XD23949-950 T80A11S21922-923 T82110D23949-950
T7461XS21922-923 T80A19A15791 T82110S21922-923
T7462XA21922-923 T80A19A15793 T82111A05308-310
T7462XD23949-950 T80A19A16811-812 T82111D23949-950
T7462XS21922-923 T80A19D23949-950 T82111S21922-923
T7491XA21922-923 T80A19S21922-923 T82118A05314-316
T7491XD23949-950 T80A9XA15791 T82118D23949-950
T7491XS21922-923 T80A9XA15793 T82118S21922-923
T7492XA21922-923 T80A9XA16811-812 T82119A05314-316
T7492XD23949-950 T80A9XD23949-950 T82119D23949-950
T7492XS21922-923 T80A9XS21922-923 T82119S21922-923
T7500XA21922-923 T8110XA15791 T82120A05308-310
T7500XD23949-950 T8110XA15793 T82120D23949-950
T7500XS21922-923 T8110XA21919-921 T82120S21922-923
T7501XA21922-923 T8110XD23949-950 T82121A05308-310
T7501XD23949-950 T8110XS21922-923 T82121D23949-950
T7501XS21922-923 T8111XA15791 T82121S21922-923
T7509XA21922-923 T8111XA15793 T82128A05314-316
T7509XD23949-950 T8111XA21919-921 T82128D23949-950
T7509XS21922-923 T8111XD23949-950 T82128S21922-923
T751XXA21922-923 T8111XS21922-923 T82129A05314-316
T751XXD23949-950 T8112XA15791 T82129D23949-950
T751XXS21922-923 T8112XA15793 T82129S21922-923
T7520XA21922-923 T8112XA21919-921 T82190A05308-310
T7520XD23949-950 T8112XD23949-950 T82190D23949-950
T7520XS21922-923 T8112XS21922-923 T82190S21922-923
T7521XA21922-923 T8119XA15791 T82191A05308-310
T7521XD23949-950 T8119XA15793 T82191D23949-950
T7521XS21922-923 T8119XA21919-921 T82191S21922-923
T7522XA21922-923 T8119XD23949-950 T82198A05314-316
T7522XD23949-950 T8119XS21922-923 T82198D23949-950
T7522XS21922-923 T8130XA21919-921 T82198S21922-923
T7523XA21922-923 T8130XD23949-950 T82199A05314-316



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