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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 18 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| M84534A | 15 | 793 | M84864 | 08 | 564-566 | M87038 | 08 | 553-554 | ||
| M84534D | 08 | 559-561 | M84869 | 08 | 564-566 | M87039 | 08 | 553-554 | ||
| M84534G | 08 | 559-561 | M84871 | 08 | 564-566 | M87041 | 08 | 553-554 | ||
| M84534K | 08 | 564-566 | M84872 | 08 | 564-566 | M87042 | 08 | 553-554 | ||
| M84534P | 08 | 564-566 | M84879 | 08 | 564-566 | M87043 | 08 | 553-554 | ||
| M84534S | 08 | 559-561 | M8488 | 08 | 564-566 | M87044 | 08 | 553-554 | ||
| M84539A | 08 | 542-544 | M849 | 08 | 564-566 | M87045 | 08 | 553-554 | ||
| M84539A | 15 | 793 | M8500 | 08 | 553-554 | M87046 | 08 | 553-554 | ||
| M84539D | 08 | 559-561 | M85011 | 08 | 553-554 | M87050 | 08 | 553-554 | ||
| M84539G | 08 | 559-561 | M85012 | 08 | 553-554 | M87051 | 08 | 553-554 | ||
| M84539K | 08 | 564-566 | M85019 | 08 | 553-554 | M87052 | 08 | 553-554 | ||
| M84539P | 08 | 564-566 | M85021 | 08 | 553-554 | M87059 | 08 | 553-554 | ||
| M84539S | 08 | 559-561 | M85022 | 08 | 553-554 | M87061 | 08 | 553-554 | ||
| M84541A | 08 | 542-544 | M85029 | 08 | 553-554 | M87062 | 08 | 553-554 | ||
| M84541A | 15 | 793 | M85031 | 08 | 553-554 | M87063 | 08 | 553-554 | ||
| M84541D | 08 | 559-561 | M85032 | 08 | 553-554 | M87064 | 08 | 553-554 | ||
| M84541G | 08 | 559-561 | M85039 | 08 | 553-554 | M87065 | 08 | 553-554 | ||
| M84541K | 08 | 564-566 | M85041 | 08 | 553-554 | M87066 | 08 | 553-554 | ||
| M84541P | 08 | 564-566 | M85042 | 08 | 553-554 | M87071 | 08 | 553-554 | ||
| M84541S | 08 | 559-561 | M85049 | 08 | 553-554 | M87072 | 08 | 553-554 | ||
| M84542A | 08 | 542-544 | M85051 | 08 | 553-554 | M87073 | 08 | 553-554 | ||
| M84542A | 15 | 793 | M85052 | 08 | 553-554 | M87074 | 08 | 553-554 | ||
| M84542D | 08 | 559-561 | M85059 | 08 | 553-554 | M87075 | 08 | 553-554 | ||
| M84542G | 08 | 559-561 | M85061 | 08 | 553-554 | M87076 | 08 | 553-554 | ||
| M84542K | 08 | 564-566 | M85062 | 08 | 553-554 | M87077 | 08 | 553-554 | ||
| M84542P | 08 | 564-566 | M85069 | 08 | 553-554 | M87078 | 08 | 553-554 | ||
| M84542S | 08 | 559-561 | M85071 | 08 | 553-554 | M87079 | 08 | 553-554 | ||
| M84549A | 08 | 542-544 | M85072 | 08 | 553-554 | M8708 | 08 | 553-554 | ||
| M84549A | 15 | 793 | M85079 | 08 | 553-554 | M8709 | 08 | 553-554 | ||
| M84549D | 08 | 559-561 | M8508 | 08 | 553-554 | M8710 | 08 | 553-554 | ||
| M84549G | 08 | 559-561 | M8509 | 08 | 553-554 | M87111 | 08 | 553-554 | ||
| M84549K | 08 | 564-566 | M8510 | 08 | 564-566 | M87112 | 08 | 553-554 | ||
| M84549P | 08 | 564-566 | M85111 | 08 | 564-566 | M87119 | 08 | 553-554 | ||
| M84549S | 08 | 559-561 | M85112 | 08 | 564-566 | M87121 | 08 | 553-554 | ||
| M84550A | 08 | 542-544 | M85119 | 08 | 564-566 | M87122 | 08 | 553-554 | ||
| M84550A | 15 | 793 | M85121 | 08 | 564-566 | M87129 | 08 | 553-554 | ||
| M84550D | 08 | 559-561 | M85122 | 08 | 564-566 | M87131 | 08 | 553-554 | ||
| M84550G | 08 | 559-561 | M85129 | 08 | 564-566 | M87132 | 08 | 553-554 | ||
| M84550K | 08 | 564-566 | M85131 | 08 | 564-566 | M87133 | 08 | 553-554 | ||
| M84550P | 08 | 564-566 | M85132 | 08 | 564-566 | M87134 | 08 | 553-554 | ||
| M84550S | 08 | 551-552 | M85139 | 08 | 564-566 | M87135 | 08 | 553-554 | ||
| M84551A | 08 | 542-544 | M85141 | 08 | 564-566 | M87136 | 08 | 553-554 | ||
| M84551A | 15 | 793 | M85142 | 08 | 564-566 | M87137 | 08 | 553-554 | ||
| M84551D | 08 | 559-561 | M85149 | 08 | 564-566 | M87138 | 08 | 553-554 | ||
| M84551G | 08 | 559-561 | M85151 | 08 | 564-566 | M87139 | 08 | 553-554 | ||
| M84551K | 08 | 564-566 | M85152 | 08 | 564-566 | M87141 | 08 | 553-554 | ||
| M84551P | 08 | 564-566 | M85159 | 08 | 564-566 | M87142 | 08 | 553-554 | ||
| M84551S | 08 | 559-561 | M85161 | 08 | 564-566 | M87143 | 08 | 553-554 | ||
| M84552A | 08 | 542-544 | M85162 | 08 | 564-566 | M87144 | 08 | 553-554 | ||
| M84552A | 15 | 793 | M85169 | 08 | 564-566 | M87145 | 08 | 553-554 | ||
| M84552D | 08 | 559-561 | M85171 | 08 | 564-566 | M87146 | 08 | 553-554 | ||
| M84552G | 08 | 559-561 | M85172 | 08 | 564-566 | M87150 | 08 | 553-554 | ||
| M84552K | 08 | 564-566 | M85179 | 08 | 564-566 | M87151 | 08 | 553-554 | ||
| M84552P | 08 | 564-566 | M8518 | 08 | 564-566 | M87152 | 08 | 553-554 | ||
| M84552S | 08 | 559-561 | M8519 | 08 | 564-566 | M87159 | 08 | 553-554 | ||
| M84553A | 08 | 542-544 | M852 | 08 | 564-566 | M87161 | 08 | 553-554 | ||
| M84553A | 15 | 793 | M8530 | 08 | 553-554 | M87162 | 08 | 553-554 | ||
| M84553D | 08 | 559-561 | M85311 | 08 | 553-554 | M87163 | 08 | 553-554 | ||
| M84553G | 08 | 559-561 | M85312 | 08 | 553-554 | M87164 | 08 | 553-554 | ||
| M84553K | 08 | 564-566 | M85319 | 08 | 553-554 | M87165 | 08 | 553-554 | ||
| M84553P | 08 | 564-566 | M85321 | 08 | 553-554 | M87166 | 08 | 553-554 | ||
| M84553S | 08 | 559-561 | M85322 | 08 | 553-554 | M87171 | 08 | 553-554 | ||
| M84559A | 08 | 542-544 | M85329 | 08 | 553-554 | M87172 | 08 | 553-554 | ||
| M84559A | 15 | 793 | M85331 | 08 | 553-554 | M87173 | 08 | 553-554 | ||
| M84559D | 08 | 559-561 | M85332 | 08 | 553-554 | M87174 | 08 | 553-554 | ||
| M84559G | 08 | 559-561 | M85339 | 08 | 553-554 | M87175 | 08 | 553-554 | ||
| M84559K | 08 | 564-566 | M85341 | 08 | 553-554 | M87176 | 08 | 553-554 | ||
| M84559P | 08 | 564-566 | M85342 | 08 | 553-554 | M87177 | 08 | 553-554 | ||
| M84559S | 08 | 559-561 | M85349 | 08 | 553-554 | M87178 | 08 | 553-554 | ||
| M84561A | 08 | 542-544 | M85351 | 08 | 553-554 | M87179 | 08 | 553-554 | ||
| M84561A | 15 | 793 | M85352 | 08 | 553-554 | M87180 | 08 | 553-554 | ||
| M84561D | 08 | 559-561 | M85359 | 08 | 553-554 | M87188 | 08 | 553-554 | ||
| M84561G | 08 | 559-561 | M85361 | 08 | 553-554 | M8719 | 08 | 553-554 | ||
| M84561K | 08 | 564-566 | M85362 | 08 | 553-554 | M8720 | 08 | 553-554 | ||
| M84561P | 08 | 564-566 | M85369 | 08 | 553-554 | M87211 | 08 | 553-554 | ||
| M84561S | 08 | 559-561 | M85371 | 08 | 553-554 | M87212 | 08 | 553-554 | ||
| M84562A | 08 | 542-544 | M85372 | 08 | 553-554 | M87219 | 08 | 553-554 | ||
| M84562A | 15 | 793 | M85379 | 08 | 553-554 | M87221 | 08 | 553-554 | ||
| M84562D | 08 | 559-561 | M8538 | 08 | 553-554 | M87222 | 08 | 553-554 | ||
| M84562G | 08 | 559-561 | M8539 | 08 | 553-554 | M87229 | 08 | 553-554 | ||
| M84562K | 08 | 564-566 | M8540 | 08 | 553-554 | M87231 | 08 | 553-554 | ||
| M84562P | 08 | 564-566 | M85411 | 08 | 553-554 | M87232 | 08 | 553-554 | ||
| M84562S | 08 | 559-561 | M85412 | 08 | 553-554 | M87233 | 08 | 553-554 | ||
| M84563A | 08 | 542-544 | M85419 | 08 | 553-554 | M87234 | 08 | 553-554 | ||
| M84563A | 15 | 793 | M85421 | 08 | 553-554 | M87235 | 08 | 553-554 | ||
| M84563D | 08 | 559-561 | M85422 | 08 | 553-554 | M87236 | 08 | 553-554 | ||
| M84563G | 08 | 559-561 | M85429 | 08 | 553-554 | M87237 | 08 | 553-554 | ||
| M84563K | 08 | 564-566 | M85431 | 08 | 553-554 | M87238 | 08 | 553-554 | ||
| M84563P | 08 | 564-566 | M85432 | 08 | 553-554 | M87239 | 08 | 553-554 | ||
| M84563S | 08 | 559-561 | M85439 | 08 | 553-554 | M87241 | 08 | 553-554 | ||
| M84564A | 08 | 542-544 | M85441 | 08 | 553-554 | M87242 | 08 | 553-554 | ||
| M84564A | 15 | 793 | M85442 | 08 | 553-554 | M87243 | 08 | 553-554 | ||
| M84564D | 08 | 559-561 | M85449 | 08 | 553-554 | M87244 | 08 | 553-554 | ||
| M84564G | 08 | 559-561 | M85451 | 08 | 553-554 | M87245 | 08 | 553-554 | ||
| M84564K | 08 | 564-566 | M85452 | 08 | 553-554 | M87246 | 08 | 553-554 | ||
| M84564P | 08 | 564-566 | M85459 | 08 | 553-554 | M87250 | 08 | 553-554 | ||
| M84564S | 08 | 559-561 | M85461 | 08 | 553-554 | M87251 | 08 | 553-554 | ||
| M84569A | 08 | 542-544 | M85462 | 08 | 553-554 | M87252 | 08 | 553-554 | ||
| M84569A | 15 | 793 | M85469 | 08 | 553-554 | M87256 | 08 | 553-554 | ||
| M84569D | 08 | 559-561 | M85471 | 08 | 553-554 | M87261 | 08 | 553-554 | ||
| M84569G | 08 | 559-561 | M85472 | 08 | 553-554 | M87262 | 08 | 553-554 | ||
| M84569K | 08 | 564-566 | M85479 | 08 | 553-554 | M87263 | 08 | 553-554 | ||
| M84569P | 08 | 564-566 | M8548 | 08 | 553-554 | M87264 | 08 | 553-554 | ||
| M84569S | 08 | 559-561 | M8550 | 08 | 553-554 | M87265 | 08 | 553-554 | ||
| M84571A | 08 | 542-544 | M85511 | 08 | 553-554 | M87266 | 08 | 553-554 | ||
| M84571A | 15 | 793 | M85512 | 08 | 553-554 | M87271 | 08 | 553-554 | ||
| M84571D | 08 | 559-561 | M85519 | 08 | 553-554 | M87272 | 08 | 553-554 | ||
| M84571G | 08 | 559-561 | M85521 | 08 | 553-554 | M87273 | 08 | 553-554 | ||
| M84571K | 08 | 564-566 | M85522 | 08 | 553-554 | M87274 | 08 | 553-554 | ||
| M84571P | 08 | 564-566 | M85529 | 08 | 553-554 | M87275 | 08 | 553-554 | ||
| M84571S | 08 | 559-561 | M85531 | 08 | 553-554 | M87276 | 08 | 553-554 | ||
| M84572A | 08 | 542-544 | M85532 | 08 | 553-554 | M87277 | 08 | 553-554 | ||
| M84572A | 15 | 793 | M85539 | 08 | 553-554 | M87278 | 08 | 553-554 | ||
| M84572D | 08 | 559-561 | M85541 | 08 | 553-554 | M87279 | 08 | 553-554 | ||
| M84572G | 08 | 559-561 | M85542 | 08 | 553-554 | M8728 | 08 | 553-554 | ||
| M84572K | 08 | 564-566 | M85549 | 08 | 553-554 | M8729 | 08 | 553-554 | ||
| M84572P | 08 | 564-566 | M85551 | 08 | 553-554 | M8730 | 08 | 553-554 | ||
| M84572S | 08 | 559-561 | M85552 | 08 | 553-554 | M87311 | 08 | 553-554 | ||
| M84573A | 08 | 542-544 | M85559 | 08 | 553-554 | M87312 | 08 | 553-554 | ||
| M84573A | 15 | 793 | M85561 | 08 | 553-554 | M87319 | 08 | 553-554 | ||
| M84573D | 08 | 559-561 | M85562 | 08 | 553-554 | M87321 | 08 | 553-554 | ||
| M84573G | 08 | 559-561 | M85569 | 08 | 553-554 | M87322 | 08 | 553-554 | ||
| M84573K | 08 | 564-566 | M85571 | 08 | 553-554 | M87329 | 08 | 553-554 | ||
| M84573P | 08 | 564-566 | M85572 | 08 | 553-554 | M87331 | 08 | 553-554 | ||
| M84573S | 08 | 559-561 | M85579 | 08 | 553-554 | M87332 | 08 | 553-554 | ||
| M84574A | 08 | 542-544 | M8558 | 08 | 553-554 | M87333 | 08 | 553-554 | ||
| M84574A | 15 | 793 | M8559 | 08 | 553-554 | M87334 | 08 | 553-554 | ||
| M84574D | 08 | 559-561 | M8560 | 08 | 553-554 | M87335 | 08 | 553-554 | ||
| M84574G | 08 | 559-561 | M85611 | 08 | 553-554 | M87336 | 08 | 553-554 | ||
| M84574K | 08 | 564-566 | M85612 | 08 | 553-554 | M87337 | 08 | 553-554 | ||
| M84574P | 08 | 564-566 | M85619 | 08 | 553-554 | M87338 | 08 | 553-554 | ||
| M84574S | 08 | 559-561 | M85621 | 08 | 553-554 | M87339 | 08 | 553-554 | ||
| M84575A | 08 | 542-544 | M85622 | 08 | 553-554 | M87341 | 08 | 553-554 | ||
| M84575A | 15 | 793 | M85629 | 08 | 553-554 | M87342 | 08 | 553-554 | ||
| M84575D | 08 | 559-561 | M85631 | 08 | 553-554 | M87343 | 08 | 553-554 | ||
| M84575G | 08 | 559-561 | M85632 | 08 | 553-554 | M87344 | 08 | 553-554 | ||
| M84575K | 08 | 564-566 | M85639 | 08 | 553-554 | M87345 | 08 | 553-554 | ||
| M84575P | 08 | 564-566 | M85641 | 08 | 553-554 | M87346 | 08 | 553-554 | ||
| M84575S | 08 | 559-561 | M85642 | 08 | 553-554 | M87350 | 08 | 553-554 | ||
| M84576A | 08 | 542-544 | M85649 | 08 | 553-554 | M87351 | 08 | 553-554 | ||
| M84576A | 15 | 793 | M85651 | 08 | 553-554 | M87352 | 08 | 553-554 | ||
| M84576D | 08 | 559-561 | M85652 | 08 | 553-554 | M87353 | 08 | 553-554 | ||
| M84576G | 08 | 559-561 | M85659 | 08 | 553-554 | M87361 | 08 | 553-554 | ||
| M84576K | 08 | 564-566 | M85661 | 08 | 553-554 | M87362 | 08 | 553-554 | ||
| M84576P | 08 | 564-566 | M85662 | 08 | 553-554 | M87363 | 08 | 553-554 | ||
| M84576S | 08 | 559-561 | M85669 | 08 | 553-554 | M87364 | 08 | 553-554 | ||
| M8458XA | 08 | 456-458 | M85671 | 08 | 553-554 | M87365 | 08 | 553-554 | ||
| M8458XA | 08 | 542-544 | M85672 | 08 | 553-554 | M87366 | 08 | 553-554 | ||
| M8458XA | 15 | 793 | M85679 | 08 | 553-554 | M87371 | 08 | 553-554 | ||
| M8458XD | 08 | 559-561 | M8568 | 08 | 553-554 | M87372 | 08 | 553-554 | ||
| M8458XG | 08 | 559-561 | M8569 | 08 | 553-554 | M87373 | 08 | 553-554 | ||
| M8458XK | 08 | 564-566 | M8580 | 08 | 564-566 | M87374 | 08 | 553-554 | ||
| M8458XP | 08 | 564-566 | M85811 | 08 | 564-566 | M87375 | 08 | 553-554 | ||
| M8458XS | 08 | 551-552 | M85812 | 08 | 564-566 | M87376 | 08 | 553-554 | ||
| M8460XA | 08 | 542-544 | M85819 | 08 | 564-566 | M87377 | 08 | 553-554 | ||
| M8460XA | 15 | 793 | M85821 | 08 | 564-566 | M87378 | 08 | 553-554 | ||
| M8460XD | 08 | 559-561 | M85822 | 08 | 564-566 | M87379 | 08 | 553-554 | ||
| M8460XG | 08 | 559-561 | M85829 | 08 | 564-566 | M8738 | 08 | 553-554 | ||
| M8460XK | 08 | 564-566 | M85831 | 08 | 564-566 | M8739 | 08 | 553-554 | ||
| M8460XP | 08 | 564-566 | M85832 | 08 | 564-566 | M8780 | 08 | 553-554 | ||
| M8460XS | 08 | 559-561 | M85839 | 08 | 564-566 | M87811 | 08 | 553-554 | ||
| M84611A | 08 | 542-544 | M85841 | 08 | 564-566 | M87812 | 08 | 553-554 | ||
| M84611A | 15 | 793 | M85842 | 08 | 564-566 | M87819 | 08 | 553-554 | ||
| M84611D | 08 | 559-561 | M85849 | 08 | 564-566 | M87821 | 08 | 553-554 | ||
| M84611G | 08 | 559-561 | M85851 | 08 | 564-566 | M87822 | 08 | 553-554 | ||
| M84611K | 08 | 564-566 | M85852 | 08 | 564-566 | M87829 | 08 | 553-554 | ||
| M84611P | 08 | 564-566 | M85859 | 08 | 564-566 | M87831 | 08 | 553-554 | ||
| M84611S | 08 | 559-561 | M85861 | 08 | 564-566 | M87832 | 08 | 553-554 | ||
| M84612A | 08 | 542-544 | M85862 | 08 | 564-566 | M87833 | 08 | 553-554 | ||
| M84612A | 15 | 793 | M85869 | 08 | 564-566 | M87834 | 08 | 553-554 | ||
| M84612D | 08 | 559-561 | M85871 | 08 | 564-566 | M87835 | 08 | 553-554 | ||
| M84612G | 08 | 559-561 | M85872 | 08 | 564-566 | M87836 | 08 | 553-554 | ||
| M84612K | 08 | 564-566 | M85879 | 08 | 564-566 | M87837 | 08 | 553-554 | ||
| M84612P | 08 | 564-566 | M8588 | 08 | 564-566 | M87838 | 08 | 553-554 | ||
| M84612S | 08 | 559-561 | M8589 | 08 | 564-566 | M87839 | 08 | 553-554 | ||
| M84619A | 08 | 542-544 | M859 | 08 | 564-566 | M87841 | 08 | 553-554 | ||
| M84619A | 15 | 793 | M8600 | 08 | 539-541 | M87842 | 08 | 553-554 | ||
| M84619D | 08 | 559-561 | M86011 | 08 | 539-541 | M87843 | 08 | 553-554 | ||
| M84619G | 08 | 559-561 | M86012 | 08 | 539-541 | M87844 | 08 | 553-554 | ||
| M84619K | 08 | 564-566 | M86019 | 08 | 539-541 | M87845 | 08 | 553-554 | ||
| M84619P | 08 | 564-566 | M86021 | 08 | 539-541 | M87849 | 08 | 553-554 | ||
| M84619S | 08 | 559-561 | M86022 | 08 | 539-541 | M87850 | 08 | 553-554 | ||
| M84621A | 08 | 542-544 | M86029 | 08 | 539-541 | M87851 | 08 | 553-554 | ||
| M84621A | 15 | 793 | M86031 | 08 | 539-541 | M87852 | 08 | 553-554 | ||
| M84621D | 08 | 559-561 | M86032 | 08 | 539-541 | M87859 | 08 | 553-554 | ||
| M84621G | 08 | 559-561 | M86039 | 08 | 539-541 | M87861 | 08 | 553-554 | ||
| M84621K | 08 | 564-566 | M86041 | 08 | 539-541 | M87862 | 08 | 553-554 | ||
| M84621P | 08 | 564-566 | M86042 | 08 | 539-541 | M87863 | 08 | 553-554 | ||
| M84621S | 08 | 559-561 | M86049 | 08 | 539-541 | M87864 | 08 | 553-554 | ||
| M84622A | 08 | 542-544 | M86051 | 08 | 539-541 | M87865 | 08 | 553-554 | ||
| M84622A | 15 | 793 | M86052 | 08 | 539-541 | M87869 | 08 | 553-554 | ||
| M84622D | 08 | 559-561 | M86059 | 08 | 539-541 | M87871 | 08 | 553-554 | ||
| M84622G | 08 | 559-561 | M86061 | 08 | 485-489 | M87872 | 08 | 553-554 | ||
| M84622K | 08 | 564-566 | M86061 | 08 | 539-541 | M87873 | 08 | 553-554 | ||
| M84622P | 08 | 564-566 | M86062 | 08 | 485-489 | M87874 | 08 | 553-554 | ||
| M84622S | 08 | 559-561 | M86062 | 08 | 539-541 | M87875 | 08 | 553-554 | ||
| M84629A | 08 | 542-544 | M86069 | 08 | 485-489 | M87876 | 08 | 553-554 | ||
| M84629A | 15 | 793 | M86069 | 08 | 539-541 | M87877 | 08 | 553-554 | ||
| M84629D | 08 | 559-561 | M86071 | 08 | 539-541 | M87878 | 08 | 553-554 | ||
| M84629G | 08 | 559-561 | M86072 | 08 | 539-541 | M87879 | 08 | 553-554 | ||
| M84629K | 08 | 564-566 | M86079 | 08 | 539-541 | M8788 | 08 | 553-554 | ||
| M84629P | 08 | 564-566 | M8608 | 08 | 456-458 | M8789 | 08 | 553-554 | ||
| M84629S | 08 | 559-561 | M8608 | 08 | 539-541 | M879 | 08 | 553-554 | ||
| M84631A | 08 | 542-544 | M8609 | 08 | 539-541 | M880 | 08 | 553-554 | ||
| M84631A | 15 | 793 | M8610 | 08 | 539-541 | M881 | 08 | 553-554 | ||
| M84631D | 08 | 559-561 | M86111 | 08 | 539-541 | M88811 | 08 | 553-554 | ||
| M84631G | 08 | 559-561 | M86112 | 08 | 539-541 | M88812 | 08 | 553-554 | ||
| M84631K | 08 | 564-566 | M86119 | 08 | 539-541 | M88819 | 08 | 553-554 | ||
| M84631P | 08 | 564-566 | M86121 | 08 | 539-541 | M88821 | 08 | 553-554 | ||
| M84631S | 08 | 559-561 | M86122 | 08 | 539-541 | M88822 | 08 | 553-554 | ||
| M84632A | 08 | 542-544 | M86129 | 08 | 539-541 | M88829 | 08 | 553-554 | ||
| M84632A | 15 | 793 | M86131 | 08 | 539-541 | M88831 | 08 | 553-554 | ||
| M84632D | 08 | 559-561 | M86132 | 08 | 539-541 | M88832 | 08 | 553-554 | ||
| M84632G | 08 | 559-561 | M86139 | 08 | 539-541 | M88839 | 08 | 553-554 | ||
| M84632K | 08 | 564-566 | M86141 | 08 | 539-541 | M88841 | 08 | 553-554 | ||
| M84632P | 08 | 564-566 | M86142 | 08 | 539-541 | M88842 | 08 | 553-554 | ||
| M84632S | 08 | 559-561 | M86149 | 08 | 539-541 | M88849 | 08 | 553-554 | ||
| M84633A | 08 | 542-544 | M86151 | 08 | 539-541 | M88851 | 08 | 553-554 | ||
| M84633A | 15 | 793 | M86152 | 08 | 539-541 | M88852 | 08 | 553-554 | ||
| M84633D | 08 | 559-561 | M86159 | 08 | 539-541 | M88859 | 08 | 553-554 | ||
| M84633G | 08 | 559-561 | M86161 | 08 | 485-489 | M88861 | 08 | 553-554 | ||
| M84633K | 08 | 564-566 | M86161 | 08 | 539-541 | M88862 | 08 | 553-554 | ||
| M84633P | 08 | 564-566 | M86162 | 08 | 485-489 | M88869 | 08 | 553-554 | ||
| M84633S | 08 | 559-561 | M86162 | 08 | 539-541 | M88871 | 08 | 553-554 | ||
| M84634A | 08 | 542-544 | M86169 | 08 | 485-489 | M88872 | 08 | 553-554 | ||
| M84634A | 15 | 793 | M86169 | 08 | 539-541 | M88879 | 08 | 553-554 | ||
| M84634D | 08 | 559-561 | M86171 | 08 | 539-541 | M8888 | 08 | 553-554 | ||
| M84634G | 08 | 559-561 | M86172 | 08 | 539-541 | M8889 | 08 | 553-554 | ||
| M84634K | 08 | 564-566 | M86179 | 08 | 539-541 | M889 | 08 | 553-554 | ||
| M84634P | 08 | 564-566 | M8618 | 08 | 456-458 | M8900 | 08 | 564-566 | ||
| M84634S | 08 | 559-561 | M8618 | 08 | 539-541 | M89011 | 08 | 564-566 | ||
| M84639A | 08 | 542-544 | M8619 | 08 | 539-541 | M89012 | 08 | 564-566 | ||
| M84639A | 15 | 793 | M8620 | 08 | 539-541 | M89019 | 08 | 564-566 | ||
| M84639D | 08 | 559-561 | M86211 | 08 | 539-541 | M89021 | 08 | 564-566 | ||
| M84639G | 08 | 559-561 | M86212 | 08 | 539-541 | M89022 | 08 | 564-566 | ||
| M84639K | 08 | 564-566 | M86219 | 08 | 539-541 | M89029 | 08 | 564-566 | ||
| M84639P | 08 | 564-566 | M86221 | 08 | 539-541 | M89031 | 08 | 564-566 | ||
| M84639S | 08 | 559-561 | M86222 | 08 | 539-541 | M89032 | 08 | 564-566 | ||
| M84641A | 08 | 542-544 | M86229 | 08 | 539-541 | M89039 | 08 | 564-566 | ||
| M84641A | 15 | 793 | M86231 | 08 | 539-541 | M89041 | 08 | 564-566 | ||
| M84641D | 08 | 559-561 | M86232 | 08 | 539-541 | M89042 | 08 | 564-566 | ||
| M84641G | 08 | 559-561 | M86239 | 08 | 539-541 | M89049 | 08 | 564-566 | ||
| M84641K | 08 | 564-566 | M86241 | 08 | 539-541 | M89051 | 08 | 564-566 | ||
| M84641P | 08 | 564-566 | M86242 | 08 | 539-541 | M89052 | 08 | 564-566 | ||
| M84641S | 08 | 559-561 | M86249 | 08 | 539-541 | M89059 | 08 | 564-566 | ||
| M84642A | 08 | 542-544 | M86251 | 08 | 539-541 | M89061 | 08 | 564-566 | ||
| M84642A | 15 | 793 | M86252 | 08 | 539-541 | M89062 | 08 | 564-566 | ||
| M84642D | 08 | 559-561 | M86259 | 08 | 539-541 | M89069 | 08 | 564-566 | ||
| M84642G | 08 | 559-561 | M86261 | 08 | 485-489 | M89071 | 08 | 564-566 | ||
| M84642K | 08 | 564-566 | M86261 | 08 | 539-541 | M89072 | 08 | 564-566 | ||
| M84642P | 08 | 564-566 | M86262 | 08 | 485-489 | M89079 | 08 | 564-566 | ||
| M84642S | 08 | 559-561 | M86262 | 08 | 539-541 | M8908 | 08 | 564-566 | ||
| M84649A | 08 | 542-544 | M86269 | 08 | 485-489 | M8909 | 08 | 564-566 | ||
| M84649A | 15 | 793 | M86269 | 08 | 539-541 | M89121 | 08 | 564-566 | ||
| M84649D | 08 | 559-561 | M86271 | 08 | 539-541 | M89122 | 08 | 564-566 | ||
| M84649G | 08 | 559-561 | M86272 | 08 | 539-541 | M89123 | 08 | 564-566 | ||
| M84649K | 08 | 564-566 | M86279 | 08 | 539-541 | M89124 | 08 | 564-566 | ||
| M84649P | 08 | 564-566 | M8628 | 08 | 456-458 | M89125 | 08 | 564-566 | ||
| M84649S | 08 | 559-561 | M8628 | 08 | 539-541 | M89126 | 08 | 564-566 | ||
| M84650A | 08 | 542-544 | M8629 | 08 | 539-541 | M89127 | 08 | 564-566 | ||
| M84650A | 15 | 793 | M8630 | 08 | 539-541 | M89128 | 08 | 564-566 | ||
| M84650D | 08 | 559-561 | M86311 | 08 | 539-541 | M89129 | 08 | 564-566 | ||
| M84650G | 08 | 559-561 | M86312 | 08 | 539-541 | M89131 | 08 | 564-566 | ||
| M84650K | 08 | 564-566 | M86319 | 08 | 539-541 | M89132 | 08 | 564-566 | ||
| M84650P | 08 | 564-566 | M86321 | 08 | 539-541 | M89133 | 08 | 564-566 | ||
| M84650S | 08 | 551-552 | M86322 | 08 | 539-541 | M89134 | 08 | 564-566 | ||
| M84651A | 08 | 542-544 | M86329 | 08 | 539-541 | M89138 | 08 | 564-566 | ||
| M84651A | 15 | 793 | M86331 | 08 | 539-541 | M89139 | 08 | 564-566 | ||
| M84651D | 08 | 559-561 | M86332 | 08 | 539-541 | M89151 | 08 | 564-566 | ||
| M84651G | 08 | 559-561 | M86339 | 08 | 539-541 | M89152 | 08 | 564-566 | ||
| M84651K | 08 | 564-566 | M86341 | 08 | 539-541 | M89153 | 08 | 564-566 | ||
| M84651P | 08 | 564-566 | M86342 | 08 | 539-541 | M89154 | 08 | 564-566 | ||
| M84651S | 08 | 559-561 | M86349 | 08 | 539-541 | M89155 | 08 | 564-566 | ||
| M84652A | 08 | 542-544 | M86351 | 08 | 539-541 | M89156 | 08 | 564-566 | ||
| M84652A | 15 | 793 | M86352 | 08 | 539-541 | M89157 | 08 | 564-566 | ||
| M84652D | 08 | 559-561 | M86359 | 08 | 539-541 | M89158 | 08 | 564-566 | ||
| M84652G | 08 | 559-561 | M86361 | 08 | 485-489 | M89159 | 08 | 564-566 | ||
| M84652K | 08 | 564-566 | M86361 | 08 | 539-541 | M89160 | 08 | 564-566 | ||
| M84652P | 08 | 564-566 | M86362 | 08 | 485-489 | M89161 | 08 | 564-566 | ||
| M84652S | 08 | 559-561 | M86362 | 08 | 539-541 | M89162 | 08 | 564-566 | ||
| M84653A | 08 | 542-544 | M86369 | 08 | 485-489 | M89163 | 08 | 564-566 | ||
| M84653A | 15 | 793 | M86369 | 08 | 539-541 | M89164 | 08 | 564-566 | ||
| M84653D | 08 | 559-561 | M86371 | 08 | 539-541 | M89165 | 08 | 564-566 | ||
| M84653G | 08 | 559-561 | M86372 | 08 | 539-541 | M89166 | 08 | 564-566 | ||
| M84653K | 08 | 564-566 | M86379 | 08 | 539-541 | M89167 | 08 | 564-566 | ||
| M84653P | 08 | 564-566 | M8638 | 08 | 456-458 | M89168 | 08 | 564-566 | ||
| M84653S | 08 | 559-561 | M8638 | 08 | 539-541 | M89169 | 08 | 564-566 | ||
| M84659A | 08 | 542-544 | M8639 | 08 | 539-541 | M8918 | 08 | 564-566 | ||
| M84659A | 15 | 793 | M8640 | 08 | 539-541 | M8920 | 08 | 564-566 | ||
| M84659D | 08 | 559-561 | M86411 | 08 | 539-541 | M89211 | 08 | 564-566 | ||
| M84659G | 08 | 559-561 | M86412 | 08 | 539-541 | M89212 | 08 | 564-566 | ||
| M84659K | 08 | 564-566 | M86419 | 08 | 539-541 | M89219 | 08 | 564-566 | ||
| M84659P | 08 | 564-566 | M86421 | 08 | 539-541 | M89221 | 08 | 564-566 | ||
| M84659S | 08 | 559-561 | M86422 | 08 | 539-541 | M89222 | 08 | 564-566 | ||
| M84661A | 08 | 542-544 | M86429 | 08 | 539-541 | M89229 | 08 | 564-566 | ||
| M84661A | 15 | 793 | M86431 | 08 | 539-541 | M89231 | 08 | 564-566 | ||
| M84661D | 08 | 559-561 | M86432 | 08 | 539-541 | M89232 | 08 | 564-566 | ||
| M84661G | 08 | 559-561 | M86439 | 08 | 539-541 | M89233 | 08 | 564-566 | ||
| M84661K | 08 | 564-566 | M86441 | 08 | 539-541 | M89234 | 08 | 564-566 | ||
| M84661P | 08 | 564-566 | M86442 | 08 | 539-541 | M89239 | 08 | 564-566 | ||
| M84661S | 08 | 559-561 | M86449 | 08 | 539-541 | M89241 | 08 | 564-566 | ||
| M84662A | 08 | 542-544 | M86451 | 08 | 539-541 | M89242 | 08 | 564-566 | ||
| M84662A | 15 | 793 | M86452 | 08 | 539-541 | M89249 | 08 | 564-566 | ||
| M84662D | 08 | 559-561 | M86459 | 08 | 539-541 | M89251 | 08 | 564-566 | ||
| M84662G | 08 | 559-561 | M86461 | 08 | 485-489 | M89252 | 08 | 564-566 | ||
| M84662K | 08 | 564-566 | M86461 | 08 | 539-541 | M89259 | 08 | 564-566 | ||
| M84662P | 08 | 564-566 | M86462 | 08 | 485-489 | M89261 | 08 | 564-566 | ||
| M84662S | 08 | 559-561 | M86462 | 08 | 539-541 | M89262 | 08 | 564-566 | ||
| M84663A | 08 | 542-544 | M86469 | 08 | 485-489 | M89263 | 08 | 564-566 | ||
| M84663A | 15 | 793 | M86469 | 08 | 539-541 | M89264 | 08 | 564-566 | ||
| M84663D | 08 | 559-561 | M86471 | 08 | 539-541 | M89269 | 08 | 564-566 | ||
| M84663G | 08 | 559-561 | M86472 | 08 | 539-541 | M89271 | 08 | 564-566 | ||
| M84663K | 08 | 564-566 | M86479 | 08 | 539-541 | M89272 | 08 | 564-566 | ||
| M84663P | 08 | 564-566 | M8648 | 08 | 456-458 | M89279 | 08 | 564-566 | ||
| M84663S | 08 | 559-561 | M8648 | 08 | 539-541 | M8928 | 08 | 564-566 | ||
| M84664A | 08 | 542-544 | M8649 | 08 | 539-541 | M8929 | 08 | 564-566 | ||
| M84664A | 15 | 793 | M8650 | 08 | 539-541 | M8930 | 08 | 564-566 | ||
| M84664D | 08 | 559-561 | M86511 | 08 | 539-541 | M89311 | 08 | 564-566 | ||
| M84664G | 08 | 559-561 | M86512 | 08 | 539-541 | M89312 | 08 | 564-566 | ||
| M84664K | 08 | 564-566 | M86519 | 08 | 539-541 | M89319 | 08 | 564-566 | ||
| M84664P | 08 | 564-566 | M86521 | 08 | 539-541 | M89321 | 08 | 564-566 | ||
| M84664S | 08 | 559-561 | M86522 | 08 | 539-541 | M89322 | 08 | 564-566 | ||
| M84669A | 08 | 542-544 | M86529 | 08 | 539-541 | M89329 | 08 | 564-566 | ||
| M84669A | 15 | 793 | M86531 | 08 | 539-541 | M89331 | 08 | 564-566 | ||
| M84669D | 08 | 559-561 | M86532 | 08 | 539-541 | M89332 | 08 | 564-566 | ||
| M84669G | 08 | 559-561 | M86539 | 08 | 539-541 | M89333 | 08 | 564-566 | ||
| M84669K | 08 | 564-566 | M86541 | 08 | 539-541 | M89334 | 08 | 564-566 | ||
| M84669P | 08 | 564-566 | M86542 | 08 | 539-541 | M89339 | 08 | 564-566 | ||
| M84669S | 08 | 559-561 | M86549 | 08 | 539-541 | M89341 | 08 | 564-566 | ||
| M84671A | 08 | 542-544 | M86551 | 08 | 539-541 | M89342 | 08 | 564-566 | ||
| M84671A | 15 | 793 | M86552 | 08 | 539-541 | M89349 | 08 | 564-566 | ||
| M84671D | 08 | 559-561 | M86559 | 08 | 539-541 | M89351 | 08 | 564-566 | ||
| M84671G | 08 | 559-561 | M86561 | 08 | 485-489 | M89352 | 08 | 564-566 | ||
| M84671K | 08 | 564-566 | M86561 | 08 | 539-541 | M89359 | 08 | 564-566 | ||
| M84671P | 08 | 564-566 | M86562 | 08 | 485-489 | M89361 | 08 | 564-566 | ||
| M84671S | 08 | 559-561 | M86562 | 08 | 539-541 | M89362 | 08 | 564-566 | ||
| M84672A | 08 | 542-544 | M86569 | 08 | 485-489 | M89363 | 08 | 564-566 | ||
| M84672A | 15 | 793 | M86569 | 08 | 539-541 | M89364 | 08 | 564-566 | ||
| M84672D | 08 | 559-561 | M86571 | 08 | 539-541 | M89369 | 08 | 564-566 | ||
| M84672G | 08 | 559-561 | M86572 | 08 | 539-541 | M89371 | 08 | 564-566 | ||
| M84672K | 08 | 564-566 | M86579 | 08 | 539-541 | M89372 | 08 | 564-566 | ||
| M84672P | 08 | 564-566 | M8658 | 08 | 456-458 | M89379 | 08 | 564-566 | ||
| M84672S | 08 | 559-561 | M8658 | 08 | 539-541 | M8938 | 08 | 564-566 | ||
| M84673A | 08 | 542-544 | M8659 | 08 | 539-541 | M8939 | 08 | 564-566 | ||
| M84673A | 15 | 793 | M8660 | 08 | 539-541 | M8940 | 08 | 553-554 | ||
| M84673D | 08 | 559-561 | M86611 | 08 | 539-541 | M89411 | 08 | 553-554 | ||
| M84673G | 08 | 559-561 | M86612 | 08 | 539-541 | M89412 | 08 | 553-554 | ||
| M84673K | 08 | 564-566 | M86619 | 08 | 539-541 | M89419 | 08 | 553-554 | ||
| M84673P | 08 | 564-566 | M86621 | 08 | 539-541 | M89421 | 08 | 553-554 | ||
| M84673S | 08 | 559-561 | M86622 | 08 | 539-541 | M89422 | 08 | 553-554 | ||
| M84674A | 08 | 542-544 | M86629 | 08 | 539-541 | M89429 | 08 | 553-554 | ||
| M84674A | 15 | 793 | M86631 | 08 | 539-541 | M89431 | 08 | 553-554 | ||
| M84674D | 08 | 559-561 | M86632 | 08 | 539-541 | M89432 | 08 | 553-554 | ||
| M84674G | 08 | 559-561 | M86639 | 08 | 539-541 | M89439 | 08 | 553-554 | ||
| M84674K | 08 | 564-566 | M86641 | 08 | 539-541 | M89441 | 08 | 553-554 | ||
| M84674P | 08 | 564-566 | M86642 | 08 | 539-541 | M89442 | 08 | 553-554 | ||
| M84674S | 08 | 559-561 | M86649 | 08 | 539-541 | M89449 | 08 | 553-554 | ||
| M84675A | 08 | 542-544 | M86651 | 08 | 539-541 | M89451 | 08 | 553-554 | ||
| M84675A | 15 | 793 | M86652 | 08 | 539-541 | M89452 | 08 | 553-554 | ||
| M84675D | 08 | 559-561 | M86659 | 08 | 539-541 | M89459 | 08 | 553-554 | ||
| M84675G | 08 | 559-561 | M86661 | 08 | 485-489 | M89461 | 08 | 553-554 | ||
| M84675K | 08 | 564-566 | M86661 | 08 | 539-541 | M89462 | 08 | 553-554 | ||
| M84675P | 08 | 564-566 | M86662 | 08 | 485-489 | M89469 | 08 | 553-554 | ||
| M84675S | 08 | 559-561 | M86662 | 08 | 539-541 | M89471 | 08 | 553-554 | ||
| M84676A | 08 | 542-544 | M86669 | 08 | 485-489 | M89472 | 08 | 553-554 | ||
| M84676A | 15 | 793 | M86669 | 08 | 539-541 | M89479 | 08 | 553-554 | ||
| M84676D | 08 | 559-561 | M86671 | 08 | 539-541 | M8948 | 08 | 553-554 | ||
| M84676G | 08 | 559-561 | M86672 | 08 | 539-541 | M8949 | 08 | 553-554 | ||
| M84676K | 08 | 564-566 | M86679 | 08 | 539-541 | M8950 | 08 | 564-566 | ||
| M84676P | 08 | 564-566 | M8668 | 08 | 456-458 | M89511 | 08 | 564-566 | ||
| M84676S | 08 | 559-561 | M8668 | 08 | 539-541 | M89512 | 08 | 564-566 | ||
| M8468XA | 08 | 456-458 | M8669 | 08 | 539-541 | M89519 | 08 | 564-566 | ||
| M8468XA | 08 | 542-544 | M868X0 | 08 | 539-541 | M89521 | 08 | 564-566 | ||
| M8468XA | 15 | 793 | M868X1 | 08 | 539-541 | M89522 | 08 | 564-566 | ||
| M8468XD | 08 | 559-561 | M868X2 | 08 | 539-541 | M89529 | 08 | 564-566 | ||
| M8468XG | 08 | 559-561 | M868X3 | 08 | 539-541 | M89531 | 08 | 564-566 | ||
| M8468XK | 08 | 564-566 | M868X4 | 08 | 539-541 | M89532 | 08 | 564-566 | ||
| M8468XP | 08 | 564-566 | M868X5 | 08 | 539-541 | M89539 | 08 | 564-566 | ||
| M8468XS | 08 | 559-561 | M868X6 | 08 | 485-489 | M89541 | 08 | 564-566 | ||
| M8480 | 08 | 564-566 | M868X6 | 08 | 539-541 | M89542 | 08 | 564-566 | ||
| M84811 | 08 | 564-566 | M868X7 | 08 | 539-541 | M89549 | 08 | 564-566 | ||
| M84812 | 08 | 564-566 | M868X8 | 08 | 456-458 | M89551 | 08 | 564-566 | ||
| M84819 | 08 | 564-566 | M868X8 | 08 | 539-541 | M89552 | 08 | 564-566 | ||
| M84821 | 08 | 564-566 | M868X9 | 08 | 539-541 | M89559 | 08 | 564-566 | ||
| M84822 | 08 | 564-566 | M869 | 08 | 485-489 | M89561 | 08 | 564-566 | ||
| M84829 | 08 | 564-566 | M869 | 08 | 539-541 | M89562 | 08 | 564-566 | ||
| M84831 | 08 | 564-566 | M8700 | 08 | 553-554 | M89569 | 08 | 564-566 | ||
| M84832 | 08 | 564-566 | M87011 | 08 | 553-554 | M89571 | 08 | 564-566 | ||
| M84833 | 08 | 564-566 | M87012 | 08 | 553-554 | M89572 | 08 | 564-566 | ||
| M84834 | 08 | 564-566 | M87019 | 08 | 553-554 | M89579 | 08 | 564-566 | ||
| M84839 | 08 | 564-566 | M87021 | 08 | 553-554 | M8958 | 08 | 564-566 | ||
| M84841 | 08 | 564-566 | M87022 | 08 | 553-554 | M8959 | 08 | 564-566 | ||
| M84842 | 08 | 564-566 | M87029 | 08 | 553-554 | M8960 | 08 | 564-566 | ||
| M84849 | 08 | 564-566 | M87031 | 08 | 553-554 | M89611 | 08 | 564-566 | ||
| M84851 | 08 | 564-566 | M87032 | 08 | 553-554 | M89612 | 08 | 564-566 | ||
| M84852 | 08 | 564-566 | M87033 | 08 | 553-554 | M89619 | 08 | 564-566 | ||
| M84859 | 08 | 564-566 | M87034 | 08 | 553-554 | M89621 | 08 | 564-566 | ||
| M84861 | 08 | 564-566 | M87035 | 08 | 553-554 | M89622 | 08 | 564-566 | ||
| M84862 | 08 | 564-566 | M87036 | 08 | 553-554 | M89629 | 08 | 564-566 | ||
| M84863 | 08 | 564-566 | M87037 | 08 | 553-554 | M89631 | 08 | 564-566 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
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