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| Skip to content | ICD-10-CM/PCS MS-DRGv33 Definitions Manual | ![Previous Page [Alt-p]](bakpg.png){kind=small} |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 10 of 67 |
| A B C D E F G H I J K L M N O P Q R S T X Z |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| H9531 | 21 | 919-921 | I6020 | 01 | 023-027 | I6503 | 01 | 067-068 | ||
| H9532 | 15 | 793 | I6020 | 01 | 064-066 | I6509 | 01 | 067-068 | ||
| H9532 | 21 | 919-921 | I6020 | 15 | 793 | I651 | 01 | 067-068 | ||
| H9541 | 21 | 919-921 | I6021 | 01 | 020-022 | I6521 | 01 | 067-068 | ||
| H9542 | 21 | 919-921 | I6021 | 01 | 023-027 | I6522 | 01 | 067-068 | ||
| H95811 | 21 | 919-921 | I6021 | 01 | 064-066 | I6523 | 01 | 067-068 | ||
| H95812 | 21 | 919-921 | I6021 | 15 | 793 | I6529 | 01 | 067-068 | ||
| H95813 | 21 | 919-921 | I6022 | 01 | 020-022 | I658 | 01 | 067-068 | ||
| H95819 | 21 | 919-921 | I6022 | 01 | 023-027 | I659 | 01 | 067-068 | ||
| H9588 | 21 | 919-921 | I6022 | 01 | 064-066 | I6601 | 01 | 067-068 | ||
| H9589 | 21 | 919-921 | I6022 | 15 | 793 | I6601 | 15 | 793 | ||
| I00 | 08 | 545-547 | I6030 | 01 | 020-022 | I6602 | 01 | 067-068 | ||
| I010 | 05 | 314-316 | I6030 | 01 | 023-027 | I6602 | 15 | 793 | ||
| I011 | 05 | 306-307 | I6030 | 01 | 064-066 | I6603 | 01 | 067-068 | ||
| I012 | 05 | 314-316 | I6030 | 15 | 793 | I6603 | 15 | 793 | ||
| I018 | 05 | 314-316 | I6031 | 01 | 020-022 | I6609 | 01 | 067-068 | ||
| I019 | 05 | 314-316 | I6031 | 01 | 023-027 | I6609 | 15 | 793 | ||
| I020 | 05 | 314-316 | I6031 | 01 | 064-066 | I6611 | 01 | 067-068 | ||
| I029 | 05 | 314-316 | I6031 | 15 | 793 | I6611 | 15 | 793 | ||
| I050 | 05 | 306-307 | I6032 | 01 | 020-022 | I6612 | 01 | 067-068 | ||
| I051 | 05 | 306-307 | I6032 | 01 | 023-027 | I6612 | 15 | 793 | ||
| I052 | 05 | 306-307 | I6032 | 01 | 064-066 | I6613 | 01 | 067-068 | ||
| I058 | 05 | 306-307 | I6032 | 15 | 793 | I6613 | 15 | 793 | ||
| I059 | 05 | 306-307 | I604 | 01 | 020-022 | I6619 | 01 | 067-068 | ||
| I060 | 05 | 306-307 | I604 | 01 | 023-027 | I6619 | 15 | 793 | ||
| I061 | 05 | 306-307 | I604 | 01 | 064-066 | I6621 | 01 | 067-068 | ||
| I062 | 05 | 306-307 | I604 | 15 | 793 | I6621 | 15 | 793 | ||
| I068 | 05 | 306-307 | I6050 | 01 | 020-022 | I6622 | 01 | 067-068 | ||
| I069 | 05 | 306-307 | I6050 | 01 | 023-027 | I6622 | 15 | 793 | ||
| I070 | 05 | 306-307 | I6050 | 01 | 064-066 | I6623 | 01 | 067-068 | ||
| I071 | 05 | 306-307 | I6050 | 15 | 793 | I6623 | 15 | 793 | ||
| I072 | 05 | 306-307 | I6051 | 01 | 020-022 | I6629 | 01 | 067-068 | ||
| I078 | 05 | 306-307 | I6051 | 01 | 023-027 | I6629 | 15 | 793 | ||
| I079 | 05 | 306-307 | I6051 | 01 | 064-066 | I663 | 01 | 067-068 | ||
| I080 | 05 | 306-307 | I6051 | 15 | 793 | I663 | 15 | 793 | ||
| I081 | 05 | 306-307 | I6052 | 01 | 020-022 | I668 | 01 | 067-068 | ||
| I082 | 05 | 306-307 | I6052 | 01 | 023-027 | I668 | 15 | 793 | ||
| I083 | 05 | 306-307 | I6052 | 01 | 064-066 | I669 | 01 | 067-068 | ||
| I088 | 05 | 306-307 | I6052 | 15 | 793 | I669 | 15 | 793 | ||
| I089 | 05 | 306-307 | I606 | 01 | 020-022 | I670 | 05 | 299-301 | ||
| I090 | 05 | 314-316 | I606 | 01 | 023-027 | I671 | 01 | 091-093 | ||
| I091 | 05 | 306-307 | I606 | 01 | 064-066 | I672 | 01 | 070-072 | ||
| I092 | 05 | 314-316 | I606 | 15 | 793 | I673 | 01 | 056-057 | ||
| I0981 | 05 | 222-227 | I607 | 01 | 020-022 | I673 | 25 | 974-976 | ||
| I0981 | 05 | 291-293 | I607 | 01 | 023-027 | I674 | 01 | 077-079 | ||
| I0981 | 15 | 793 | I607 | 01 | 064-066 | I675 | 01 | 091-093 | ||
| I0989 | 05 | 306-307 | I607 | 15 | 793 | I676 | 01 | 091-093 | ||
| I099 | 05 | 314-316 | I608 | 01 | 020-022 | I677 | 01 | 102-103 | ||
| I10 | 05 | 304-305 | I608 | 01 | 023-027 | I6781 | 01 | 069 | ||
| I110 | 05 | 222-227 | I608 | 01 | 064-066 | I6782 | 01 | 069 | ||
| I110 | 05 | 291-293 | I608 | 15 | 793 | I6783 | 01 | 070-072 | ||
| I110 | 15 | 793 | I609 | 01 | 020-022 | I6783 | 25 | 974-976 | ||
| I119 | 05 | 304-305 | I609 | 01 | 023-027 | I67841 | 01 | 069 | ||
| I120 | Pre | 008 | I609 | 01 | 064-066 | I67848 | 01 | 069 | ||
| I120 | 11 | 673-675 | I609 | 15 | 793 | I6789 | 01 | 069 | ||
| I120 | 11 | 682-684 | I610 | 01 | 020-022 | I679 | 01 | 070-072 | ||
| I129 | 11 | 673-675 | I610 | 01 | 023-027 | I680 | 01 | 070-072 | ||
| I129 | 11 | 682-684 | I610 | 01 | 064-066 | I682 | 01 | 102-103 | ||
| I130 | 05 | 222-227 | I610 | 15 | 793 | I688 | 01 | 070-072 | ||
| I130 | 05 | 291-293 | I611 | 01 | 020-022 | I6900 | 01 | 056-057 | ||
| I130 | 15 | 793 | I611 | 01 | 023-027 | I6901 | 01 | 056-057 | ||
| I1310 | 05 | 304-305 | I611 | 01 | 064-066 | I69020 | 01 | 056-057 | ||
| I1311 | Pre | 008 | I611 | 15 | 793 | I69021 | 01 | 056-057 | ||
| I1311 | 11 | 673-675 | I612 | 01 | 020-022 | I69022 | 01 | 056-057 | ||
| I1311 | 11 | 682-684 | I612 | 01 | 023-027 | I69023 | 01 | 056-057 | ||
| I132 | Pre | 008 | I612 | 01 | 064-066 | I69028 | 01 | 056-057 | ||
| I132 | 05 | 222-227 | I612 | 15 | 793 | I69031 | 01 | 056-057 | ||
| I132 | 05 | 291-293 | I613 | 01 | 020-022 | I69032 | 01 | 056-057 | ||
| I132 | 15 | 793 | I613 | 01 | 023-027 | I69033 | 01 | 056-057 | ||
| I150 | 05 | 304-305 | I613 | 01 | 064-066 | I69034 | 01 | 056-057 | ||
| I151 | 05 | 304-305 | I613 | 15 | 793 | I69039 | 01 | 056-057 | ||
| I152 | 05 | 304-305 | I614 | 01 | 020-022 | I69041 | 01 | 056-057 | ||
| I158 | 05 | 304-305 | I614 | 01 | 023-027 | I69042 | 01 | 056-057 | ||
| I159 | 05 | 304-305 | I614 | 01 | 064-066 | I69043 | 01 | 056-057 | ||
| I200 | 05 | 311 | I614 | 15 | 793 | I69044 | 01 | 056-057 | ||
| I201 | 05 | 311 | I615 | 01 | 020-022 | I69049 | 01 | 056-057 | ||
| I208 | 05 | 311 | I615 | 01 | 023-027 | I69051 | 01 | 056-057 | ||
| I209 | 05 | 311 | I615 | 01 | 064-066 | I69052 | 01 | 056-057 | ||
| I2101 | 05 | 222-227 | I615 | 15 | 793 | I69053 | 01 | 056-057 | ||
| I2101 | 05 | 280-285 | I616 | 01 | 020-022 | I69054 | 01 | 056-057 | ||
| I2102 | 05 | 222-227 | I616 | 01 | 023-027 | I69059 | 01 | 056-057 | ||
| I2102 | 05 | 280-285 | I616 | 01 | 064-066 | I69061 | 01 | 056-057 | ||
| I2109 | 05 | 222-227 | I616 | 15 | 793 | I69062 | 01 | 056-057 | ||
| I2109 | 05 | 280-285 | I618 | 01 | 020-022 | I69063 | 01 | 056-057 | ||
| I2111 | 05 | 222-227 | I618 | 01 | 023-027 | I69064 | 01 | 056-057 | ||
| I2111 | 05 | 280-285 | I618 | 01 | 064-066 | I69065 | 01 | 056-057 | ||
| I2119 | 05 | 222-227 | I618 | 15 | 793 | I69069 | 01 | 056-057 | ||
| I2119 | 05 | 280-285 | I619 | 01 | 020-022 | I69090 | 01 | 056-057 | ||
| I2121 | 05 | 222-227 | I619 | 01 | 023-027 | I69091 | 01 | 056-057 | ||
| I2121 | 05 | 280-285 | I619 | 01 | 064-066 | I69092 | 01 | 056-057 | ||
| I2129 | 05 | 222-227 | I619 | 15 | 793 | I69093 | 01 | 056-057 | ||
| I2129 | 05 | 280-285 | I6200 | 01 | 020-022 | I69098 | 01 | 056-057 | ||
| I213 | 05 | 222-227 | I6200 | 01 | 064-066 | I6910 | 01 | 056-057 | ||
| I213 | 05 | 280-285 | I6200 | 15 | 793 | I6911 | 01 | 056-057 | ||
| I214 | 05 | 222-227 | I6201 | 01 | 020-022 | I69120 | 01 | 056-057 | ||
| I214 | 05 | 280-285 | I6201 | 01 | 064-066 | I69121 | 01 | 056-057 | ||
| I220 | 05 | 222-227 | I6201 | 15 | 793 | I69122 | 01 | 056-057 | ||
| I220 | 05 | 280-285 | I6202 | 01 | 020-022 | I69123 | 01 | 056-057 | ||
| I221 | 05 | 222-227 | I6202 | 01 | 064-066 | I69128 | 01 | 056-057 | ||
| I221 | 05 | 280-285 | I6202 | 15 | 793 | I69131 | 01 | 056-057 | ||
| I222 | 05 | 222-227 | I6203 | 01 | 020-022 | I69132 | 01 | 056-057 | ||
| I222 | 05 | 280-285 | I6203 | 01 | 064-066 | I69133 | 01 | 056-057 | ||
| I228 | 05 | 222-227 | I6203 | 15 | 793 | I69134 | 01 | 056-057 | ||
| I228 | 05 | 280-285 | I621 | 01 | 020-022 | I69139 | 01 | 056-057 | ||
| I229 | 05 | 222-227 | I621 | 01 | 064-066 | I69141 | 01 | 056-057 | ||
| I229 | 05 | 280-285 | I621 | 15 | 793 | I69142 | 01 | 056-057 | ||
| I230 | 05 | 314-316 | I629 | 01 | 020-022 | I69143 | 01 | 056-057 | ||
| I231 | 05 | 314-316 | I629 | 01 | 023-027 | I69144 | 01 | 056-057 | ||
| I232 | 05 | 314-316 | I629 | 01 | 064-066 | I69149 | 01 | 056-057 | ||
| I233 | 05 | 314-316 | I629 | 15 | 793 | I69151 | 01 | 056-057 | ||
| I234 | 05 | 306-307 | I6300 | 01 | 023-027 | I69152 | 01 | 056-057 | ||
| I235 | 05 | 306-307 | I6300 | 01 | 061-063 | I69153 | 01 | 056-057 | ||
| I236 | 05 | 314-316 | I6300 | 01 | 064-066 | I69154 | 01 | 056-057 | ||
| I237 | 05 | 314-316 | I6300 | 15 | 793 | I69159 | 01 | 056-057 | ||
| I238 | 05 | 314-316 | I63011 | 01 | 023-027 | I69161 | 01 | 056-057 | ||
| I240 | 05 | 311 | I63011 | 01 | 061-063 | I69162 | 01 | 056-057 | ||
| I241 | 05 | 314-316 | I63011 | 01 | 064-066 | I69163 | 01 | 056-057 | ||
| I248 | 05 | 311 | I63011 | 15 | 793 | I69164 | 01 | 056-057 | ||
| I249 | 05 | 311 | I63012 | 01 | 023-027 | I69165 | 01 | 056-057 | ||
| I2510 | 05 | 302-303 | I63012 | 01 | 061-063 | I69169 | 01 | 056-057 | ||
| I25110 | 05 | 302-303 | I63012 | 01 | 064-066 | I69190 | 01 | 056-057 | ||
| I25111 | 05 | 302-303 | I63012 | 15 | 793 | I69191 | 01 | 056-057 | ||
| I25118 | 05 | 302-303 | I63019 | 01 | 023-027 | I69192 | 01 | 056-057 | ||
| I25119 | 05 | 302-303 | I63019 | 01 | 061-063 | I69193 | 01 | 056-057 | ||
| I252 | 05 | 302-303 | I63019 | 01 | 064-066 | I69198 | 01 | 056-057 | ||
| I253 | 05 | 314-316 | I63019 | 15 | 793 | I6920 | 01 | 056-057 | ||
| I253 | 15 | 793 | I6302 | 01 | 023-027 | I6921 | 01 | 056-057 | ||
| I2541 | 05 | 314-316 | I6302 | 01 | 061-063 | I69220 | 01 | 056-057 | ||
| I2542 | 05 | 314-316 | I6302 | 01 | 064-066 | I69221 | 01 | 056-057 | ||
| I255 | 05 | 302-303 | I6302 | 15 | 793 | I69222 | 01 | 056-057 | ||
| I256 | 05 | 302-303 | I63031 | 01 | 023-027 | I69223 | 01 | 056-057 | ||
| I25700 | 05 | 302-303 | I63031 | 01 | 061-063 | I69228 | 01 | 056-057 | ||
| I25701 | 05 | 302-303 | I63031 | 01 | 064-066 | I69231 | 01 | 056-057 | ||
| I25708 | 05 | 302-303 | I63031 | 15 | 793 | I69232 | 01 | 056-057 | ||
| I25709 | 05 | 302-303 | I63032 | 01 | 023-027 | I69233 | 01 | 056-057 | ||
| I25710 | 05 | 302-303 | I63032 | 01 | 061-063 | I69234 | 01 | 056-057 | ||
| I25711 | 05 | 302-303 | I63032 | 01 | 064-066 | I69239 | 01 | 056-057 | ||
| I25718 | 05 | 302-303 | I63032 | 15 | 793 | I69241 | 01 | 056-057 | ||
| I25719 | 05 | 302-303 | I63039 | 01 | 023-027 | I69242 | 01 | 056-057 | ||
| I25720 | 05 | 302-303 | I63039 | 01 | 061-063 | I69243 | 01 | 056-057 | ||
| I25721 | 05 | 302-303 | I63039 | 01 | 064-066 | I69244 | 01 | 056-057 | ||
| I25728 | 05 | 302-303 | I63039 | 15 | 793 | I69249 | 01 | 056-057 | ||
| I25729 | 05 | 302-303 | I6309 | 01 | 023-027 | I69251 | 01 | 056-057 | ||
| I25730 | 05 | 302-303 | I6309 | 01 | 061-063 | I69252 | 01 | 056-057 | ||
| I25731 | 05 | 302-303 | I6309 | 01 | 064-066 | I69253 | 01 | 056-057 | ||
| I25738 | 05 | 302-303 | I6309 | 15 | 793 | I69254 | 01 | 056-057 | ||
| I25739 | 05 | 302-303 | I6310 | 01 | 023-027 | I69259 | 01 | 056-057 | ||
| I25750 | 05 | 302-303 | I6310 | 01 | 061-063 | I69261 | 01 | 056-057 | ||
| I25751 | 05 | 302-303 | I6310 | 01 | 064-066 | I69262 | 01 | 056-057 | ||
| I25758 | 05 | 302-303 | I6310 | 15 | 793 | I69263 | 01 | 056-057 | ||
| I25759 | 05 | 302-303 | I63111 | 01 | 023-027 | I69264 | 01 | 056-057 | ||
| I25760 | 05 | 302-303 | I63111 | 01 | 061-063 | I69265 | 01 | 056-057 | ||
| I25761 | 05 | 302-303 | I63111 | 01 | 064-066 | I69269 | 01 | 056-057 | ||
| I25768 | 05 | 302-303 | I63111 | 15 | 793 | I69290 | 01 | 056-057 | ||
| I25769 | 05 | 302-303 | I63112 | 01 | 023-027 | I69291 | 01 | 056-057 | ||
| I25790 | 05 | 302-303 | I63112 | 01 | 061-063 | I69292 | 01 | 056-057 | ||
| I25791 | 05 | 302-303 | I63112 | 01 | 064-066 | I69293 | 01 | 056-057 | ||
| I25798 | 05 | 302-303 | I63112 | 15 | 793 | I69298 | 01 | 056-057 | ||
| I25799 | 05 | 302-303 | I63119 | 01 | 023-027 | I6930 | 01 | 056-057 | ||
| I25810 | 05 | 302-303 | I63119 | 01 | 061-063 | I6931 | 01 | 056-057 | ||
| I25811 | 05 | 302-303 | I63119 | 01 | 064-066 | I69320 | 01 | 056-057 | ||
| I25812 | 05 | 302-303 | I63119 | 15 | 793 | I69321 | 01 | 056-057 | ||
| I2582 | 05 | 302-303 | I6312 | 01 | 023-027 | I69322 | 01 | 056-057 | ||
| I2583 | 05 | 302-303 | I6312 | 01 | 061-063 | I69323 | 01 | 056-057 | ||
| I2584 | 05 | 302-303 | I6312 | 01 | 064-066 | I69328 | 01 | 056-057 | ||
| I2589 | 05 | 302-303 | I6312 | 15 | 793 | I69331 | 01 | 056-057 | ||
| I259 | 05 | 302-303 | I63131 | 01 | 023-027 | I69332 | 01 | 056-057 | ||
| I2601 | 04 | 175-176 | I63131 | 01 | 061-063 | I69333 | 01 | 056-057 | ||
| I2601 | 15 | 793 | I63131 | 01 | 064-066 | I69334 | 01 | 056-057 | ||
| I2602 | 04 | 175-176 | I63131 | 15 | 793 | I69339 | 01 | 056-057 | ||
| I2602 | 15 | 793 | I63132 | 01 | 023-027 | I69341 | 01 | 056-057 | ||
| I2609 | 04 | 175-176 | I63132 | 01 | 061-063 | I69342 | 01 | 056-057 | ||
| I2609 | 15 | 793 | I63132 | 01 | 064-066 | I69343 | 01 | 056-057 | ||
| I2690 | 04 | 175-176 | I63132 | 15 | 793 | I69344 | 01 | 056-057 | ||
| I2690 | 15 | 793 | I63139 | 01 | 023-027 | I69349 | 01 | 056-057 | ||
| I2692 | 04 | 175-176 | I63139 | 01 | 061-063 | I69351 | 01 | 056-057 | ||
| I2692 | 15 | 793 | I63139 | 01 | 064-066 | I69352 | 01 | 056-057 | ||
| I2699 | 04 | 175-176 | I63139 | 15 | 793 | I69353 | 01 | 056-057 | ||
| I2699 | 15 | 793 | I6319 | 01 | 023-027 | I69354 | 01 | 056-057 | ||
| I270 | 05 | 314-316 | I6319 | 01 | 061-063 | I69359 | 01 | 056-057 | ||
| I271 | 05 | 314-316 | I6319 | 01 | 064-066 | I69361 | 01 | 056-057 | ||
| I272 | 05 | 314-316 | I6319 | 15 | 793 | I69362 | 01 | 056-057 | ||
| I2781 | 05 | 314-316 | I6320 | 01 | 023-027 | I69363 | 01 | 056-057 | ||
| I2782 | 04 | 175-176 | I6320 | 01 | 061-063 | I69364 | 01 | 056-057 | ||
| I2782 | 15 | 793 | I6320 | 01 | 064-066 | I69365 | 01 | 056-057 | ||
| I2789 | 05 | 314-316 | I6320 | 15 | 793 | I69369 | 01 | 056-057 | ||
| I279 | 05 | 314-316 | I63211 | 01 | 023-027 | I69390 | 01 | 056-057 | ||
| I280 | 05 | 314-316 | I63211 | 01 | 061-063 | I69391 | 01 | 056-057 | ||
| I281 | 05 | 314-316 | I63211 | 01 | 064-066 | I69392 | 01 | 056-057 | ||
| I288 | 05 | 314-316 | I63211 | 15 | 793 | I69393 | 01 | 056-057 | ||
| I289 | 05 | 314-316 | I63212 | 01 | 023-027 | I69398 | 01 | 056-057 | ||
| I300 | 05 | 314-316 | I63212 | 01 | 061-063 | I6980 | 01 | 056-057 | ||
| I301 | 05 | 314-316 | I63212 | 01 | 064-066 | I6981 | 01 | 056-057 | ||
| I308 | 05 | 314-316 | I63212 | 15 | 793 | I69820 | 01 | 056-057 | ||
| I309 | 05 | 314-316 | I63219 | 01 | 023-027 | I69821 | 01 | 056-057 | ||
| I310 | 05 | 314-316 | I63219 | 01 | 061-063 | I69822 | 01 | 056-057 | ||
| I311 | 05 | 314-316 | I63219 | 01 | 064-066 | I69823 | 01 | 056-057 | ||
| I312 | 05 | 314-316 | I63219 | 15 | 793 | I69828 | 01 | 056-057 | ||
| I312 | 15 | 793 | I6322 | 01 | 023-027 | I69831 | 01 | 056-057 | ||
| I313 | 05 | 314-316 | I6322 | 01 | 061-063 | I69832 | 01 | 056-057 | ||
| I314 | 05 | 314-316 | I6322 | 01 | 064-066 | I69833 | 01 | 056-057 | ||
| I318 | 05 | 314-316 | I6322 | 15 | 793 | I69834 | 01 | 056-057 | ||
| I319 | 05 | 314-316 | I63231 | 01 | 023-027 | I69839 | 01 | 056-057 | ||
| I32 | 05 | 314-316 | I63231 | 01 | 061-063 | I69841 | 01 | 056-057 | ||
| I32 | 15 | 793 | I63231 | 01 | 064-066 | I69842 | 01 | 056-057 | ||
| I330 | 05 | 288-290 | I63231 | 15 | 793 | I69843 | 01 | 056-057 | ||
| I330 | 15 | 793 | I63232 | 01 | 023-027 | I69844 | 01 | 056-057 | ||
| I330 | 25 | 974-976 | I63232 | 01 | 061-063 | I69849 | 01 | 056-057 | ||
| I339 | 05 | 288-290 | I63232 | 01 | 064-066 | I69851 | 01 | 056-057 | ||
| I339 | 15 | 793 | I63232 | 15 | 793 | I69852 | 01 | 056-057 | ||
| I339 | 25 | 974-976 | I63239 | 01 | 023-027 | I69853 | 01 | 056-057 | ||
| I340 | 05 | 306-307 | I63239 | 01 | 061-063 | I69854 | 01 | 056-057 | ||
| I341 | 05 | 306-307 | I63239 | 01 | 064-066 | I69859 | 01 | 056-057 | ||
| I342 | 05 | 306-307 | I63239 | 15 | 793 | I69861 | 01 | 056-057 | ||
| I348 | 05 | 306-307 | I6329 | 01 | 023-027 | I69862 | 01 | 056-057 | ||
| I349 | 05 | 306-307 | I6329 | 01 | 061-063 | I69863 | 01 | 056-057 | ||
| I350 | 05 | 306-307 | I6329 | 01 | 064-066 | I69864 | 01 | 056-057 | ||
| I351 | 05 | 306-307 | I6329 | 15 | 793 | I69865 | 01 | 056-057 | ||
| I352 | 05 | 306-307 | I6330 | 01 | 023-027 | I69869 | 01 | 056-057 | ||
| I358 | 05 | 306-307 | I6330 | 01 | 061-063 | I69890 | 01 | 056-057 | ||
| I359 | 05 | 306-307 | I6330 | 01 | 064-066 | I69891 | 01 | 056-057 | ||
| I360 | 05 | 306-307 | I6330 | 15 | 793 | I69892 | 01 | 056-057 | ||
| I361 | 05 | 306-307 | I63311 | 01 | 023-027 | I69893 | 01 | 056-057 | ||
| I362 | 05 | 306-307 | I63311 | 01 | 061-063 | I69898 | 01 | 056-057 | ||
| I368 | 05 | 306-307 | I63311 | 01 | 064-066 | I6990 | 01 | 056-057 | ||
| I369 | 05 | 306-307 | I63311 | 15 | 793 | I6991 | 01 | 056-057 | ||
| I370 | 05 | 306-307 | I63312 | 01 | 023-027 | I69920 | 01 | 056-057 | ||
| I371 | 05 | 306-307 | I63312 | 01 | 061-063 | I69921 | 01 | 056-057 | ||
| I372 | 05 | 306-307 | I63312 | 01 | 064-066 | I69922 | 01 | 056-057 | ||
| I378 | 05 | 306-307 | I63312 | 15 | 793 | I69923 | 01 | 056-057 | ||
| I379 | 05 | 306-307 | I63319 | 01 | 023-027 | I69928 | 01 | 056-057 | ||
| I38 | 05 | 306-307 | I63319 | 01 | 061-063 | I69931 | 01 | 056-057 | ||
| I38 | 15 | 793 | I63319 | 01 | 064-066 | I69932 | 01 | 056-057 | ||
| I39 | 05 | 306-307 | I63319 | 15 | 793 | I69933 | 01 | 056-057 | ||
| I39 | 15 | 793 | I63321 | 01 | 023-027 | I69934 | 01 | 056-057 | ||
| I400 | 05 | 314-316 | I63321 | 01 | 061-063 | I69939 | 01 | 056-057 | ||
| I400 | 15 | 793 | I63321 | 01 | 064-066 | I69941 | 01 | 056-057 | ||
| I400 | 25 | 974-976 | I63321 | 15 | 793 | I69942 | 01 | 056-057 | ||
| I401 | 05 | 314-316 | I63322 | 01 | 023-027 | I69943 | 01 | 056-057 | ||
| I401 | 25 | 974-976 | I63322 | 01 | 061-063 | I69944 | 01 | 056-057 | ||
| I408 | 05 | 314-316 | I63322 | 01 | 064-066 | I69949 | 01 | 056-057 | ||
| I408 | 25 | 974-976 | I63322 | 15 | 793 | I69951 | 01 | 056-057 | ||
| I409 | 05 | 314-316 | I63329 | 01 | 023-027 | I69952 | 01 | 056-057 | ||
| I409 | 25 | 974-976 | I63329 | 01 | 061-063 | I69953 | 01 | 056-057 | ||
| I41 | 05 | 314-316 | I63329 | 01 | 064-066 | I69954 | 01 | 056-057 | ||
| I41 | 15 | 793 | I63329 | 15 | 793 | I69959 | 01 | 056-057 | ||
| I420 | 05 | 314-316 | I63331 | 01 | 023-027 | I69961 | 01 | 056-057 | ||
| I421 | 05 | 314-316 | I63331 | 01 | 061-063 | I69962 | 01 | 056-057 | ||
| I422 | 05 | 314-316 | I63331 | 01 | 064-066 | I69963 | 01 | 056-057 | ||
| I423 | 05 | 314-316 | I63331 | 15 | 793 | I69964 | 01 | 056-057 | ||
| I424 | 05 | 314-316 | I63332 | 01 | 023-027 | I69965 | 01 | 056-057 | ||
| I425 | 05 | 314-316 | I63332 | 01 | 061-063 | I69969 | 01 | 056-057 | ||
| I426 | 05 | 314-316 | I63332 | 01 | 064-066 | I69990 | 01 | 056-057 | ||
| I427 | 05 | 314-316 | I63332 | 15 | 793 | I69991 | 01 | 056-057 | ||
| I428 | 05 | 314-316 | I63339 | 01 | 023-027 | I69992 | 01 | 056-057 | ||
| I429 | 05 | 314-316 | I63339 | 01 | 061-063 | I69993 | 01 | 056-057 | ||
| I43 | 05 | 314-316 | I63339 | 01 | 064-066 | I69998 | 01 | 056-057 | ||
| I43 | 15 | 793 | I63339 | 15 | 793 | I700 | 05 | 299-301 | ||
| I440 | 05 | 308-310 | I63341 | 01 | 023-027 | I701 | 11 | 698-700 | ||
| I441 | 05 | 308-310 | I63341 | 01 | 061-063 | I70201 | 05 | 299-301 | ||
| I442 | 05 | 308-310 | I63341 | 01 | 064-066 | I70202 | 05 | 299-301 | ||
| I442 | 15 | 793 | I63341 | 15 | 793 | I70203 | 05 | 299-301 | ||
| I4430 | 05 | 308-310 | I63342 | 01 | 023-027 | I70208 | 05 | 299-301 | ||
| I4439 | 05 | 308-310 | I63342 | 01 | 061-063 | I70209 | 05 | 299-301 | ||
| I444 | 05 | 308-310 | I63342 | 01 | 064-066 | I70211 | 05 | 299-301 | ||
| I445 | 05 | 308-310 | I63342 | 15 | 793 | I70212 | 05 | 299-301 | ||
| I4460 | 05 | 308-310 | I63349 | 01 | 023-027 | I70213 | 05 | 299-301 | ||
| I4469 | 05 | 308-310 | I63349 | 01 | 061-063 | I70218 | 05 | 299-301 | ||
| I447 | 05 | 308-310 | I63349 | 01 | 064-066 | I70219 | 05 | 299-301 | ||
| I450 | 05 | 308-310 | I63349 | 15 | 793 | I70221 | 05 | 299-301 | ||
| I4510 | 05 | 308-310 | I6339 | 01 | 023-027 | I70222 | 05 | 299-301 | ||
| I4519 | 05 | 308-310 | I6339 | 01 | 061-063 | I70223 | 05 | 299-301 | ||
| I452 | 05 | 308-310 | I6339 | 01 | 064-066 | I70228 | 05 | 299-301 | ||
| I452 | 15 | 793 | I6339 | 15 | 793 | I70229 | 05 | 299-301 | ||
| I453 | 05 | 308-310 | I6340 | 01 | 023-027 | I70231 | 05 | 299-301 | ||
| I453 | 15 | 793 | I6340 | 01 | 061-063 | I70232 | 05 | 299-301 | ||
| I454 | 05 | 308-310 | I6340 | 01 | 064-066 | I70233 | 05 | 299-301 | ||
| I455 | 05 | 308-310 | I6340 | 15 | 793 | I70234 | 05 | 299-301 | ||
| I456 | 05 | 308-310 | I63411 | 01 | 023-027 | I70235 | 05 | 299-301 | ||
| I456 | 15 | 793 | I63411 | 01 | 061-063 | I70238 | 05 | 299-301 | ||
| I4581 | 05 | 308-310 | I63411 | 01 | 064-066 | I70239 | 05 | 299-301 | ||
| I4589 | 05 | 308-310 | I63411 | 15 | 793 | I70241 | 05 | 299-301 | ||
| I4589 | 15 | 793 | I63412 | 01 | 023-027 | I70242 | 05 | 299-301 | ||
| I459 | 05 | 308-310 | I63412 | 01 | 061-063 | I70243 | 05 | 299-301 | ||
| I462 | 05 | 296-298 | I63412 | 01 | 064-066 | I70244 | 05 | 299-301 | ||
| I462 | 15 | 793 | I63412 | 15 | 793 | I70245 | 05 | 299-301 | ||
| I468 | 05 | 296-298 | I63419 | 01 | 023-027 | I70248 | 05 | 299-301 | ||
| I468 | 15 | 793 | I63419 | 01 | 061-063 | I70249 | 05 | 299-301 | ||
| I469 | 05 | 296-298 | I63419 | 01 | 064-066 | I7025 | 05 | 299-301 | ||
| I469 | 15 | 793 | I63419 | 15 | 793 | I70261 | 05 | 299-301 | ||
| I470 | 05 | 308-310 | I63421 | 01 | 023-027 | I70261 | 15 | 793 | ||
| I470 | 15 | 793 | I63421 | 01 | 061-063 | I70262 | 05 | 299-301 | ||
| I471 | 05 | 308-310 | I63421 | 01 | 064-066 | I70262 | 15 | 793 | ||
| I472 | 05 | 308-310 | I63421 | 15 | 793 | I70263 | 05 | 299-301 | ||
| I472 | 15 | 793 | I63422 | 01 | 023-027 | I70263 | 15 | 793 | ||
| I479 | 05 | 308-310 | I63422 | 01 | 061-063 | I70268 | 05 | 299-301 | ||
| I480 | 05 | 308-310 | I63422 | 01 | 064-066 | I70268 | 15 | 793 | ||
| I480 | 15 | 793 | I63422 | 15 | 793 | I70269 | 05 | 299-301 | ||
| I481 | 05 | 308-310 | I63429 | 01 | 023-027 | I70269 | 15 | 793 | ||
| I481 | 15 | 793 | I63429 | 01 | 061-063 | I70291 | 05 | 299-301 | ||
| I482 | 05 | 308-310 | I63429 | 01 | 064-066 | I70292 | 05 | 299-301 | ||
| I482 | 15 | 793 | I63429 | 15 | 793 | I70293 | 05 | 299-301 | ||
| I483 | 05 | 308-310 | I63431 | 01 | 023-027 | I70298 | 05 | 299-301 | ||
| I483 | 15 | 793 | I63431 | 01 | 061-063 | I70299 | 05 | 299-301 | ||
| I484 | 05 | 308-310 | I63431 | 01 | 064-066 | I70301 | 05 | 299-301 | ||
| I484 | 15 | 793 | I63431 | 15 | 793 | I70302 | 05 | 299-301 | ||
| I4891 | 05 | 308-310 | I63432 | 01 | 023-027 | I70303 | 05 | 299-301 | ||
| I4891 | 15 | 793 | I63432 | 01 | 061-063 | I70308 | 05 | 299-301 | ||
| I4892 | 05 | 308-310 | I63432 | 01 | 064-066 | I70309 | 05 | 299-301 | ||
| I4892 | 15 | 793 | I63432 | 15 | 793 | I70311 | 05 | 299-301 | ||
| I4901 | 05 | 308-310 | I63439 | 01 | 023-027 | I70312 | 05 | 299-301 | ||
| I4901 | 15 | 793 | I63439 | 01 | 061-063 | I70313 | 05 | 299-301 | ||
| I4902 | 05 | 308-310 | I63439 | 01 | 064-066 | I70318 | 05 | 299-301 | ||
| I4902 | 15 | 793 | I63439 | 15 | 793 | I70319 | 05 | 299-301 | ||
| I491 | 05 | 308-310 | I63441 | 01 | 023-027 | I70321 | 05 | 299-301 | ||
| I492 | 05 | 308-310 | I63441 | 01 | 061-063 | I70322 | 05 | 299-301 | ||
| I493 | 05 | 308-310 | I63441 | 01 | 064-066 | I70323 | 05 | 299-301 | ||
| I4940 | 05 | 308-310 | I63441 | 15 | 793 | I70328 | 05 | 299-301 | ||
| I4949 | 05 | 308-310 | I63442 | 01 | 023-027 | I70329 | 05 | 299-301 | ||
| I495 | 05 | 308-310 | I63442 | 01 | 061-063 | I70331 | 05 | 299-301 | ||
| I498 | 05 | 308-310 | I63442 | 01 | 064-066 | I70332 | 05 | 299-301 | ||
| I499 | 05 | 308-310 | I63442 | 15 | 793 | I70333 | 05 | 299-301 | ||
| I501 | 05 | 222-227 | I63449 | 01 | 023-027 | I70334 | 05 | 299-301 | ||
| I501 | 05 | 291-293 | I63449 | 01 | 061-063 | I70335 | 05 | 299-301 | ||
| I501 | 15 | 793 | I63449 | 01 | 064-066 | I70338 | 05 | 299-301 | ||
| I5020 | 05 | 222-227 | I63449 | 15 | 793 | I70339 | 05 | 299-301 | ||
| I5020 | 05 | 291-293 | I6349 | 01 | 023-027 | I70341 | 05 | 299-301 | ||
| I5020 | 15 | 793 | I6349 | 01 | 061-063 | I70342 | 05 | 299-301 | ||
| I5021 | 05 | 222-227 | I6349 | 01 | 064-066 | I70343 | 05 | 299-301 | ||
| I5021 | 05 | 291-293 | I6349 | 15 | 793 | I70344 | 05 | 299-301 | ||
| I5021 | 15 | 793 | I6350 | 01 | 023-027 | I70345 | 05 | 299-301 | ||
| I5022 | 05 | 222-227 | I6350 | 01 | 061-063 | I70348 | 05 | 299-301 | ||
| I5022 | 05 | 291-293 | I6350 | 01 | 064-066 | I70349 | 05 | 299-301 | ||
| I5022 | 15 | 793 | I6350 | 15 | 793 | I7035 | 05 | 299-301 | ||
| I5023 | 05 | 222-227 | I63511 | 01 | 023-027 | I70361 | 05 | 299-301 | ||
| I5023 | 05 | 291-293 | I63511 | 01 | 061-063 | I70362 | 05 | 299-301 | ||
| I5023 | 15 | 793 | I63511 | 01 | 064-066 | I70363 | 05 | 299-301 | ||
| I5030 | 05 | 222-227 | I63511 | 15 | 793 | I70368 | 05 | 299-301 | ||
| I5030 | 05 | 291-293 | I63512 | 01 | 023-027 | I70369 | 05 | 299-301 | ||
| I5030 | 15 | 793 | I63512 | 01 | 061-063 | I70391 | 05 | 299-301 | ||
| I5031 | 05 | 222-227 | I63512 | 01 | 064-066 | I70392 | 05 | 299-301 | ||
| I5031 | 05 | 291-293 | I63512 | 15 | 793 | I70393 | 05 | 299-301 | ||
| I5031 | 15 | 793 | I63519 | 01 | 023-027 | I70398 | 05 | 299-301 | ||
| I5032 | 05 | 222-227 | I63519 | 01 | 061-063 | I70399 | 05 | 299-301 | ||
| I5032 | 05 | 291-293 | I63519 | 01 | 064-066 | I70401 | 05 | 299-301 | ||
| I5032 | 15 | 793 | I63519 | 15 | 793 | I70402 | 05 | 299-301 | ||
| I5033 | 05 | 222-227 | I63521 | 01 | 023-027 | I70403 | 05 | 299-301 | ||
| I5033 | 05 | 291-293 | I63521 | 01 | 061-063 | I70408 | 05 | 299-301 | ||
| I5033 | 15 | 793 | I63521 | 01 | 064-066 | I70409 | 05 | 299-301 | ||
| I5040 | 05 | 222-227 | I63521 | 15 | 793 | I70411 | 05 | 299-301 | ||
| I5040 | 05 | 291-293 | I63522 | 01 | 023-027 | I70412 | 05 | 299-301 | ||
| I5040 | 15 | 793 | I63522 | 01 | 061-063 | I70413 | 05 | 299-301 | ||
| I5041 | 05 | 222-227 | I63522 | 01 | 064-066 | I70418 | 05 | 299-301 | ||
| I5041 | 05 | 291-293 | I63522 | 15 | 793 | I70419 | 05 | 299-301 | ||
| I5041 | 15 | 793 | I63529 | 01 | 023-027 | I70421 | 05 | 299-301 | ||
| I5042 | 05 | 222-227 | I63529 | 01 | 061-063 | I70422 | 05 | 299-301 | ||
| I5042 | 05 | 291-293 | I63529 | 01 | 064-066 | I70423 | 05 | 299-301 | ||
| I5042 | 15 | 793 | I63529 | 15 | 793 | I70428 | 05 | 299-301 | ||
| I5043 | 05 | 222-227 | I63531 | 01 | 023-027 | I70429 | 05 | 299-301 | ||
| I5043 | 05 | 291-293 | I63531 | 01 | 061-063 | I70431 | 05 | 299-301 | ||
| I5043 | 15 | 793 | I63531 | 01 | 064-066 | I70432 | 05 | 299-301 | ||
| I509 | 05 | 222-227 | I63531 | 15 | 793 | I70433 | 05 | 299-301 | ||
| I509 | 05 | 291-293 | I63532 | 01 | 023-027 | I70434 | 05 | 299-301 | ||
| I509 | 15 | 793 | I63532 | 01 | 061-063 | I70435 | 05 | 299-301 | ||
| I510 | 05 | 314-316 | I63532 | 01 | 064-066 | I70438 | 05 | 299-301 | ||
| I511 | 05 | 306-307 | I63532 | 15 | 793 | I70439 | 05 | 299-301 | ||
| I512 | 05 | 306-307 | I63539 | 01 | 023-027 | I70441 | 05 | 299-301 | ||
| I513 | 05 | 302-303 | I63539 | 01 | 061-063 | I70442 | 05 | 299-301 | ||
| I514 | 05 | 314-316 | I63539 | 01 | 064-066 | I70443 | 05 | 299-301 | ||
| I515 | 05 | 314-316 | I63539 | 15 | 793 | I70444 | 05 | 299-301 | ||
| I517 | 05 | 302-303 | I63541 | 01 | 023-027 | I70445 | 05 | 299-301 | ||
| I5181 | 05 | 314-316 | I63541 | 01 | 061-063 | I70448 | 05 | 299-301 | ||
| I5189 | 05 | 302-303 | I63541 | 01 | 064-066 | I70449 | 05 | 299-301 | ||
| I519 | 05 | 302-303 | I63541 | 15 | 793 | I7045 | 05 | 299-301 | ||
| I52 | 05 | 302-303 | I63542 | 01 | 023-027 | I70461 | 05 | 299-301 | ||
| I6000 | 01 | 020-022 | I63542 | 01 | 061-063 | I70462 | 05 | 299-301 | ||
| I6000 | 01 | 023-027 | I63542 | 01 | 064-066 | I70463 | 05 | 299-301 | ||
| I6000 | 01 | 064-066 | I63542 | 15 | 793 | I70468 | 05 | 299-301 | ||
| I6000 | 15 | 793 | I63549 | 01 | 023-027 | I70469 | 05 | 299-301 | ||
| I6001 | 01 | 020-022 | I63549 | 01 | 061-063 | I70491 | 05 | 299-301 | ||
| I6001 | 01 | 023-027 | I63549 | 01 | 064-066 | I70492 | 05 | 299-301 | ||
| I6001 | 01 | 064-066 | I63549 | 15 | 793 | I70493 | 05 | 299-301 | ||
| I6001 | 15 | 793 | I6359 | 01 | 023-027 | I70498 | 05 | 299-301 | ||
| I6002 | 01 | 020-022 | I6359 | 01 | 061-063 | I70499 | 05 | 299-301 | ||
| I6002 | 01 | 023-027 | I6359 | 01 | 064-066 | I70501 | 05 | 299-301 | ||
| I6002 | 01 | 064-066 | I6359 | 15 | 793 | I70502 | 05 | 299-301 | ||
| I6002 | 15 | 793 | I636 | 01 | 023-027 | I70503 | 05 | 299-301 | ||
| I6010 | 01 | 020-022 | I636 | 01 | 061-063 | I70508 | 05 | 299-301 | ||
| I6010 | 01 | 023-027 | I636 | 01 | 064-066 | I70509 | 05 | 299-301 | ||
| I6010 | 01 | 064-066 | I636 | 15 | 793 | I70511 | 05 | 299-301 | ||
| I6010 | 15 | 793 | I638 | 01 | 023-027 | I70512 | 05 | 299-301 | ||
| I6011 | 01 | 020-022 | I638 | 01 | 061-063 | I70513 | 05 | 299-301 | ||
| I6011 | 01 | 023-027 | I638 | 01 | 064-066 | I70518 | 05 | 299-301 | ||
| I6011 | 01 | 064-066 | I638 | 15 | 793 | I70519 | 05 | 299-301 | ||
| I6011 | 15 | 793 | I639 | 01 | 023-027 | I70521 | 05 | 299-301 | ||
| I6012 | 01 | 020-022 | I639 | 01 | 061-063 | I70522 | 05 | 299-301 | ||
| I6012 | 01 | 023-027 | I639 | 01 | 064-066 | I70523 | 05 | 299-301 | ||
| I6012 | 01 | 064-066 | I639 | 15 | 793 | I70528 | 05 | 299-301 | ||
| I6012 | 15 | 793 | I6501 | 01 | 067-068 | I70529 | 05 | 299-301 | ||
| I6020 | 01 | 020-022 | I6502 | 01 | 067-068 | I70531 | 05 | 299-301 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
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