U S Department of Health and Human Services www.hhs.gov
Centers for Medicare & Medicaid Services
ICD-10-CM/PCS MS-DRGv33 Definitions Manual Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
Diagnosis Code/MDC/MS-DRG Index
Page 27 of 67
A B C D E F G H I J K L M N O P Q R S T X Z
DXMDCMS-DRG  DXMDCMS-DRG  DXMDCMS-DRG
S065X0D23949-950 S09399A24955-965 S12041K08564-566
S065X0S01091-093 S09399D23949-950 S12041S08551-552
S065X1A01082-084 S09399S21913-914 S12090A08551-552
S065X1A01085-087 S098XXAPre011-013 S12090A24955-965
S065X1A24955-965 S098XXA21913-914 S12090B08551-552
S065X1D23949-950 S098XXA24955-965 S12090B24955-965
S065X1S01091-093 S098XXD23949-950 S12090D08559-561
S065X2A01082-084 S098XXS21913-914 S12090G08559-561
S065X2A01085-087 S0990XAPre011-013 S12090K08564-566
S065X2A24955-965 S0990XA21913-914 S12090S08551-552
S065X2D23949-950 S0990XA24955-965 S12091A08551-552
S065X2S01091-093 S0990XD23949-950 S12091A24955-965
S065X3A01082-084 S0990XS21913-914 S12091B08551-552
S065X3A24955-965 S0991XA03154-156 S12091B24955-965
S065X3D23949-950 S0991XA24955-965 S12091D08559-561
S065X3S01091-093 S0991XD23949-950 S12091G08559-561
S065X4A01082-084 S0991XS21913-914 S12091K08564-566
S065X4A24955-965 S0992XAPre011-013 S12091S08551-552
S065X4D23949-950 S0992XA21913-914 S12100A08551-552
S065X4S01091-093 S0992XA24955-965 S12100A24955-965
S065X5A01082-084 S0992XD23949-950 S12100B08551-552
S065X5A24955-965 S0992XS21913-914 S12100B24955-965
S065X5D23949-950 S0993XAPre011-013 S12100D08559-561
S065X5S01091-093 S0993XA21913-914 S12100G08559-561
S065X6A01082-084 S0993XA24955-965 S12100K08564-566
S065X6A24955-965 S0993XD23949-950 S12100S08551-552
S065X6D23949-950 S0993XS21913-914 S12101A08551-552
S065X6S01091-093 S100XXA09604-605 S12101A24955-965
S065X7A01082-084 S100XXA24955-965 S12101B08551-552
S065X7A24955-965 S100XXD23949-950 S12101B24955-965
S065X7D23949-950 S100XXS09604-605 S12101D08559-561
S065X7S01091-093 S1010XA09604-605 S12101G08559-561
S065X8A01082-084 S1010XA24955-965 S12101K08564-566
S065X8A24955-965 S1010XD23949-950 S12101S08551-552
S065X8D23949-950 S1010XS09604-605 S12110A08551-552
S065X8S01091-093 S1011XA09604-605 S12110A24955-965
S065X9A01082-084 S1011XA24955-965 S12110B08551-552
S065X9A24955-965 S1011XD23949-950 S12110B24955-965
S065X9D23949-950 S1011XS09604-605 S12110D08559-561
S065X9S01091-093 S1012XA09606-607 S12110G08559-561
S066X0A01023-027 S1012XA24955-965 S12110K08564-566
S066X0A01082-084 S1012XD23949-950 S12110S08551-552
S066X0A01085-087 S1012XS09604-605 S12111A08551-552
S066X0A24955-965 S1014XA09604-605 S12111A24955-965
S066X0D23949-950 S1014XA24955-965 S12111B08551-552
S066X0S01091-093 S1014XD23949-950 S12111B24955-965
S066X1A01023-027 S1014XS09604-605 S12111D08559-561
S066X1A01082-084 S1015XA09604-605 S12111G08559-561
S066X1A01085-087 S1015XA24955-965 S12111K08564-566
S066X1A24955-965 S1015XD23949-950 S12111S08551-552
S066X1D23949-950 S1015XS09604-605 S12112A08551-552
S066X1S01091-093 S1016XA09606-607 S12112A24955-965
S066X2A01023-027 S1016XA24955-965 S12112B08551-552
S066X2A01082-084 S1016XD23949-950 S12112B24955-965
S066X2A01085-087 S1016XS09604-605 S12112D08559-561
S066X2A24955-965 S1017XA09604-605 S12112G08559-561
S066X2D23949-950 S1017XA24955-965 S12112K08564-566
S066X2S01091-093 S1017XD23949-950 S12112S08551-552
S066X3A01023-027 S1017XS09604-605 S12120A08551-552
S066X3A01082-084 S1080XA09604-605 S12120A24955-965
S066X3A24955-965 S1080XA24955-965 S12120B08551-552
S066X3D23949-950 S1080XD23949-950 S12120B24955-965
S066X3S01091-093 S1080XS09604-605 S12120D08559-561
S066X4A01023-027 S1081XA09604-605 S12120G08559-561
S066X4A01082-084 S1081XA24955-965 S12120K08564-566
S066X4A24955-965 S1081XD23949-950 S12120S08551-552
S066X4D23949-950 S1081XS09604-605 S12121A08551-552
S066X4S01091-093 S1082XA09606-607 S12121A24955-965
S066X5A01023-027 S1082XA24955-965 S12121B08551-552
S066X5A01082-084 S1082XD23949-950 S12121B24955-965
S066X5A24955-965 S1082XS09604-605 S12121D08559-561
S066X5D23949-950 S1083XA09604-605 S12121G08559-561
S066X5S01091-093 S1083XA24955-965 S12121K08564-566
S066X6A01023-027 S1083XD23949-950 S12121S08551-552
S066X6A01082-084 S1083XS09604-605 S12130A08551-552
S066X6A24955-965 S1084XA09604-605 S12130A24955-965
S066X6D23949-950 S1084XA24955-965 S12130B08551-552
S066X6S01091-093 S1084XD23949-950 S12130B24955-965
S066X7A01023-027 S1084XS09604-605 S12130D08559-561
S066X7A01082-084 S1085XA09604-605 S12130G08559-561
S066X7A24955-965 S1085XA24955-965 S12130K08564-566
S066X7D23949-950 S1085XD23949-950 S12130S08551-552
S066X7S01091-093 S1085XS09604-605 S12131A08551-552
S066X8A01023-027 S1086XA09606-607 S12131A24955-965
S066X8A01082-084 S1086XA24955-965 S12131B08551-552
S066X8A24955-965 S1086XD23949-950 S12131B24955-965
S066X8D23949-950 S1086XS09604-605 S12131D08559-561
S066X8S01091-093 S1087XA09604-605 S12131G08559-561
S066X9A01023-027 S1087XA24955-965 S12131K08564-566
S066X9A01082-084 S1087XD23949-950 S12131S08551-552
S066X9A24955-965 S1087XS09604-605 S1214XA08551-552
S066X9D23949-950 S1090XA09604-605 S1214XA24955-965
S066X9S01091-093 S1090XA24955-965 S1214XB08551-552
S06810A01082-084 S1090XD23949-950 S1214XB24955-965
S06810A01085-087 S1090XS09604-605 S1214XD08559-561
S06810A24955-965 S1091XA09604-605 S1214XG08559-561
S06810D23949-950 S1091XA24955-965 S1214XK08564-566
S06810S01091-093 S1091XD23949-950 S1214XS08551-552
S06811A01082-084 S1091XS09604-605 S12150A08551-552
S06811A01085-087 S1092XA09606-607 S12150A24955-965
S06811A24955-965 S1092XA24955-965 S12150B08551-552
S06811D23949-950 S1092XD23949-950 S12150B24955-965
S06811S01091-093 S1092XS09604-605 S12150D08559-561
S06812A01082-084 S1093XA09604-605 S12150G08559-561
S06812A01085-087 S1093XA24955-965 S12150K08564-566
S06812A24955-965 S1093XD23949-950 S12150S08551-552
S06812D23949-950 S1093XS09604-605 S12151A08551-552
S06812S01091-093 S1094XA09604-605 S12151A24955-965
S06813A01082-084 S1094XA24955-965 S12151B08551-552
S06813A24955-965 S1094XD23949-950 S12151B24955-965
S06813D23949-950 S1094XS09604-605 S12151D08559-561
S06813S01091-093 S1095XA09604-605 S12151G08559-561
S06814A01082-084 S1095XA24955-965 S12151K08564-566
S06814A24955-965 S1095XD23949-950 S12151S08551-552
S06814D23949-950 S1095XS09604-605 S12190A08551-552
S06814S01091-093 S1096XA09606-607 S12190A24955-965
S06815A01082-084 S1096XA24955-965 S12190B08551-552
S06815A24955-965 S1096XD23949-950 S12190B24955-965
S06815D23949-950 S1096XS09604-605 S12190D08559-561
S06815S01091-093 S1097XA09604-605 S12190G08559-561
S06816A01082-084 S1097XA24955-965 S12190K08564-566
S06816A24955-965 S1097XD23949-950 S12190S08551-552
S06816D23949-950 S1097XS09604-605 S12191A08551-552
S06816S01091-093 S11011APre011-013 S12191A24955-965
S06817A01082-084 S11011A03154-156 S12191B08551-552
S06817A24955-965 S11011A24955-965 S12191B24955-965
S06817D23949-950 S11011D23949-950 S12191D08559-561
S06817S01091-093 S11011S09604-605 S12191G08559-561
S06818A01082-084 S11012APre011-013 S12191K08564-566
S06818A24955-965 S11012A03154-156 S12191S08551-552
S06818D23949-950 S11012A24955-965 S12200A08551-552
S06818S01091-093 S11012D23949-950 S12200A24955-965
S06819A01082-084 S11012S09604-605 S12200B08551-552
S06819A24955-965 S11013APre011-013 S12200B24955-965
S06819D23949-950 S11013A03154-156 S12200D08559-561
S06819S01091-093 S11013A24955-965 S12200G08559-561
S06820A01082-084 S11013D23949-950 S12200K08564-566
S06820A01085-087 S11013S09604-605 S12200S08551-552
S06820A24955-965 S11014APre011-013 S12201A08551-552
S06820D23949-950 S11014A03154-156 S12201A24955-965
S06820S01091-093 S11014A24955-965 S12201B08551-552
S06821A01082-084 S11014D23949-950 S12201B24955-965
S06821A01085-087 S11014S09604-605 S12201D08559-561
S06821A24955-965 S11015APre011-013 S12201G08559-561
S06821D23949-950 S11015A03154-156 S12201K08564-566
S06821S01091-093 S11015A24955-965 S12201S08551-552
S06822A01082-084 S11015D23949-950 S12230A08551-552
S06822A01085-087 S11015S09604-605 S12230A24955-965
S06822A24955-965 S11019APre011-013 S12230B08551-552
S06822D23949-950 S11019A03154-156 S12230B24955-965
S06822S01091-093 S11019A24955-965 S12230D08559-561
S06823A01082-084 S11019D23949-950 S12230G08559-561
S06823A24955-965 S11019S09604-605 S12230K08564-566
S06823D23949-950 S11021APre011-013 S12230S08551-552
S06823S01091-093 S11021A04183-185 S12231A08551-552
S06824A01082-084 S11021A24955-965 S12231A24955-965
S06824A24955-965 S11021D23949-950 S12231B08551-552
S06824D23949-950 S11021S09604-605 S12231B24955-965
S06824S01091-093 S11022APre011-013 S12231D08559-561
S06825A01082-084 S11022A04183-185 S12231G08559-561
S06825A24955-965 S11022A24955-965 S12231K08564-566
S06825D23949-950 S11022D23949-950 S12231S08551-552
S06825S01091-093 S11022S09604-605 S1224XA08551-552
S06826A01082-084 S11023APre011-013 S1224XA24955-965
S06826A24955-965 S11023A04183-185 S1224XB08551-552
S06826D23949-950 S11023A24955-965 S1224XB24955-965
S06826S01091-093 S11023D23949-950 S1224XD08559-561
S06827A01082-084 S11023S09604-605 S1224XG08559-561
S06827A24955-965 S11024APre011-013 S1224XK08564-566
S06827D23949-950 S11024A04183-185 S1224XS08551-552
S06827S01091-093 S11024A24955-965 S12250A08551-552
S06828A01082-084 S11024D23949-950 S12250A24955-965
S06828A24955-965 S11024S09604-605 S12250B08551-552
S06828D23949-950 S11025APre011-013 S12250B24955-965
S06828S01091-093 S11025A04183-185 S12250D08559-561
S06829A01082-084 S11025A24955-965 S12250G08559-561
S06829A24955-965 S11025D23949-950 S12250K08564-566
S06829D23949-950 S11025S09604-605 S12250S08551-552
S06829S01091-093 S11029APre011-013 S12251A08551-552
S06890A01082-084 S11029A04183-185 S12251A24955-965
S06890A01085-087 S11029A24955-965 S12251B08551-552
S06890A24955-965 S11029D23949-950 S12251B24955-965
S06890D23949-950 S11029S09604-605 S12251D08559-561
S06890S01091-093 S11031APre011-013 S12251G08559-561
S06891A01082-084 S11031A03154-156 S12251K08564-566
S06891A01085-087 S11031A24955-965 S12251S08551-552
S06891A24955-965 S11031D23949-950 S12290A08551-552
S06891D23949-950 S11031S09604-605 S12290A24955-965
S06891S01091-093 S11032APre011-013 S12290B08551-552
S06892A01082-084 S11032A03154-156 S12290B24955-965
S06892A01085-087 S11032A24955-965 S12290D08559-561
S06892A24955-965 S11032D23949-950 S12290G08559-561
S06892D23949-950 S11032S09604-605 S12290K08564-566
S06892S01091-093 S11033APre011-013 S12290S08551-552
S06893A01082-084 S11033A03154-156 S12291A08551-552
S06893A24955-965 S11033A24955-965 S12291A24955-965
S06893D23949-950 S11033D23949-950 S12291B08551-552
S06893S01091-093 S11033S09604-605 S12291B24955-965
S06894A01082-084 S11034APre011-013 S12291D08559-561
S06894A24955-965 S11034A03154-156 S12291G08559-561
S06894D23949-950 S11034A24955-965 S12291K08564-566
S06894S01091-093 S11034D23949-950 S12291S08551-552
S06895A01082-084 S11034S09604-605 S12300A08551-552
S06895A24955-965 S11035APre011-013 S12300A24955-965
S06895D23949-950 S11035A03154-156 S12300B08551-552
S06895S01091-093 S11035A24955-965 S12300B24955-965
S06896A01082-084 S11035D23949-950 S12300D08559-561
S06896A24955-965 S11035S09604-605 S12300G08559-561
S06896D23949-950 S11039APre011-013 S12300K08564-566
S06896S01091-093 S11039A03154-156 S12300S08551-552
S06897A01082-084 S11039A24955-965 S12301A08551-552
S06897A24955-965 S11039D23949-950 S12301A24955-965
S06897D23949-950 S11039S09604-605 S12301B08551-552
S06897S01091-093 S1110XAPre011-013 S12301B24955-965
S06898A01082-084 S1110XA10643-645 S12301D08559-561
S06898A24955-965 S1110XA24955-965 S12301G08559-561
S06898D23949-950 S1110XD23949-950 S12301K08564-566
S06898S01091-093 S1110XS09604-605 S12301S08551-552
S06899A01082-084 S1111XAPre011-013 S12330A08551-552
S06899A24955-965 S1111XA10643-645 S12330A24955-965
S06899D23949-950 S1111XA24955-965 S12330B08551-552
S06899S01091-093 S1111XD23949-950 S12330B24955-965
S069X0A01082-084 S1111XS09604-605 S12330D08559-561
S069X0A01085-087 S1112XAPre011-013 S12330G08559-561
S069X0A24955-965 S1112XA10643-645 S12330K08564-566
S069X0D23949-950 S1112XA24955-965 S12330S08551-552
S069X0S01091-093 S1112XD23949-950 S12331A08551-552
S069X1A01082-084 S1112XS09604-605 S12331A24955-965
S069X1A01085-087 S1113XAPre011-013 S12331B08551-552
S069X1A24955-965 S1113XA10643-645 S12331B24955-965
S069X1D23949-950 S1113XA24955-965 S12331D08559-561
S069X1S01091-093 S1113XD23949-950 S12331G08559-561
S069X2A01082-084 S1113XS09604-605 S12331K08564-566
S069X2A01085-087 S1114XAPre011-013 S12331S08551-552
S069X2A24955-965 S1114XA10643-645 S1234XA08551-552
S069X2D23949-950 S1114XA24955-965 S1234XA24955-965
S069X2S01091-093 S1114XD23949-950 S1234XB08551-552
S069X3A01082-084 S1114XS09604-605 S1234XB24955-965
S069X3A24955-965 S1115XAPre011-013 S1234XD08559-561
S069X3D23949-950 S1115XA10643-645 S1234XG08559-561
S069X3S01091-093 S1115XA24955-965 S1234XK08564-566
S069X4A01082-084 S1115XD23949-950 S1234XS08551-552
S069X4A24955-965 S1115XS09604-605 S12350A08551-552
S069X4D23949-950 S1120XAPre011-013 S12350A24955-965
S069X4S01091-093 S1120XA03154-156 S12350B08551-552
S069X5A01082-084 S1120XA24955-965 S12350B24955-965
S069X5A24955-965 S1120XD23949-950 S12350D08559-561
S069X5D23949-950 S1120XS09604-605 S12350G08559-561
S069X5S01091-093 S1121XAPre011-013 S12350K08564-566
S069X6A01082-084 S1121XA03154-156 S12350S08551-552
S069X6A24955-965 S1121XA24955-965 S12351A08551-552
S069X6D23949-950 S1121XD23949-950 S12351A24955-965
S069X6S01091-093 S1121XS09604-605 S12351B08551-552
S069X7A01082-084 S1122XAPre011-013 S12351B24955-965
S069X7A24955-965 S1122XA03154-156 S12351D08559-561
S069X7D23949-950 S1122XA24955-965 S12351G08559-561
S069X7S01091-093 S1122XD23949-950 S12351K08564-566
S069X8A01082-084 S1122XS09604-605 S12351S08551-552
S069X8A24955-965 S1123XAPre011-013 S12390A08551-552
S069X8D23949-950 S1123XA03154-156 S12390A24955-965
S069X8S01091-093 S1123XA24955-965 S12390B08551-552
S069X9A01082-084 S1123XD23949-950 S12390B24955-965
S069X9A24955-965 S1123XS09604-605 S12390D08559-561
S069X9D23949-950 S1124XAPre011-013 S12390G08559-561
S069X9S01091-093 S1124XA03154-156 S12390K08564-566
S070XXAPre011-013 S1124XA24955-965 S12390S08551-552
S070XXA21913-914 S1124XD23949-950 S12391A08551-552
S070XXA24955-965 S1124XS09604-605 S12391A24955-965
S070XXD23949-950 S1125XAPre011-013 S12391B08551-552
S070XXS09604-605 S1125XA03154-156 S12391B24955-965
S071XXAPre011-013 S1125XA24955-965 S12391D08559-561
S071XXA21913-914 S1125XD23949-950 S12391G08559-561
S071XXA24955-965 S1125XS09604-605 S12391K08564-566
S071XXD23949-950 S1180XAPre011-013 S12391S08551-552
S071XXS09604-605 S1180XA09604-605 S12400A08551-552
S078XXAPre011-013 S1180XA24955-965 S12400A24955-965
S078XXA21913-914 S1180XD23949-950 S12400B08551-552
S078XXA24955-965 S1180XS09604-605 S12400B24955-965
S078XXD23949-950 S1181XAPre011-013 S12400D08559-561
S078XXS09604-605 S1181XA09604-605 S12400G08559-561
S079XXAPre011-013 S1181XA24955-965 S12400K08564-566
S079XXA21913-914 S1181XD23949-950 S12400S08551-552
S079XXA24955-965 S1181XS09604-605 S12401A08551-552
S079XXD23949-950 S1182XAPre011-013 S12401A24955-965
S079XXS09604-605 S1182XA09604-605 S12401B08551-552
S080XXA09604-605 S1182XA24955-965 S12401B24955-965
S080XXA24955-965 S1182XD23949-950 S12401D08559-561
S080XXD23949-950 S1182XS09604-605 S12401G08559-561
S080XXS09604-605 S1183XAPre011-013 S12401K08564-566
S08111A03154-156 S1183XA09604-605 S12401S08551-552
S08111A24955-965 S1183XA24955-965 S12430A08551-552
S08111D23949-950 S1183XD23949-950 S12430A24955-965
S08111S09604-605 S1183XS09604-605 S12430B08551-552
S08112A03154-156 S1184XAPre011-013 S12430B24955-965
S08112A24955-965 S1184XA09604-605 S12430D08559-561
S08112D23949-950 S1184XA24955-965 S12430G08559-561
S08112S09604-605 S1184XD23949-950 S12430K08564-566
S08119A03154-156 S1184XS09604-605 S12430S08551-552
S08119A24955-965 S1185XAPre011-013 S12431A08551-552
S08119D23949-950 S1185XA09604-605 S12431A24955-965
S08119S09604-605 S1185XA24955-965 S12431B08551-552
S08121A03154-156 S1185XD23949-950 S12431B24955-965
S08121A24955-965 S1185XS09604-605 S12431D08559-561
S08121D23949-950 S1189XAPre011-013 S12431G08559-561
S08121S09604-605 S1189XA09604-605 S12431K08564-566
S08122A03154-156 S1189XA24955-965 S12431S08551-552
S08122A24955-965 S1189XD23949-950 S1244XA08551-552
S08122D23949-950 S1189XS09604-605 S1244XA24955-965
S08122S09604-605 S1190XAPre011-013 S1244XB08551-552
S08129A03154-156 S1190XA09604-605 S1244XB24955-965
S08129A24955-965 S1190XA24955-965 S1244XD08559-561
S08129D23949-950 S1190XD23949-950 S1244XG08559-561
S08129S09604-605 S1190XS09604-605 S1244XK08564-566
S08811APre011-013 S1191XAPre011-013 S1244XS08551-552
S08811A03154-156 S1191XA09604-605 S12450A08551-552
S08811A24955-965 S1191XA24955-965 S12450A24955-965
S08811D23949-950 S1191XD23949-950 S12450B08551-552
S08811S09604-605 S1191XS09604-605 S12450B24955-965
S08812APre011-013 S1192XAPre011-013 S12450D08559-561
S08812A03154-156 S1192XA09604-605 S12450G08559-561
S08812A24955-965 S1192XA24955-965 S12450K08564-566
S08812D23949-950 S1192XD23949-950 S12450S08551-552
S08812S09604-605 S1192XS09604-605 S12451A08551-552
S0889XA09604-605 S1193XAPre011-013 S12451A24955-965
S0889XA24955-965 S1193XA09604-605 S12451B08551-552
S0889XD23949-950 S1193XA24955-965 S12451B24955-965
S0889XS09604-605 S1193XD23949-950 S12451D08559-561
S090XXAPre011-013 S1193XS09604-605 S12451G08559-561
S090XXA21913-914 S1194XAPre011-013 S12451K08564-566
S090XXA24955-965 S1194XA09604-605 S12451S08551-552
S090XXD23949-950 S1194XA24955-965 S12490A08551-552
S090XXS05299-301 S1194XD23949-950 S12490A24955-965
S0910XAPre011-013 S1194XS09604-605 S12490B08551-552
S0910XA21913-914 S1195XAPre011-013 S12490B24955-965
S0910XA24955-965 S1195XA09604-605 S12490D08559-561
S0910XD23949-950 S1195XA24955-965 S12490G08559-561
S0910XS21913-914 S1195XD23949-950 S12490K08564-566
S0911XAPre011-013 S1195XS09604-605 S12490S08551-552
S0911XA21913-914 S12000A08551-552 S12491A08551-552
S0911XA24955-965 S12000A24955-965 S12491A24955-965
S0911XD23949-950 S12000B08551-552 S12491B08551-552
S0911XS08562-563 S12000B24955-965 S12491B24955-965
S0912XA09604-605 S12000D08559-561 S12491D08559-561
S0912XA24955-965 S12000G08559-561 S12491G08559-561
S0912XD23949-950 S12000K08564-566 S12491K08564-566
S0912XS09604-605 S12000S08551-552 S12491S08551-552
S0919XAPre011-013 S12001A08551-552 S12500A08551-552
S0919XA21913-914 S12001A24955-965 S12500A24955-965
S0919XA24955-965 S12001B08551-552 S12500B08551-552
S0919XD23949-950 S12001B24955-965 S12500B24955-965
S0919XS21913-914 S12001D08559-561 S12500D08559-561
S0920XA03154-156 S12001G08559-561 S12500G08559-561
S0920XA24955-965 S12001K08564-566 S12500K08564-566
S0920XD23949-950 S12001S08551-552 S12500S08551-552
S0920XS21913-914 S1201XA08551-552 S12501A08551-552
S0921XA03154-156 S1201XA24955-965 S12501A24955-965
S0921XA24955-965 S1201XB08551-552 S12501B08551-552
S0921XD23949-950 S1201XB24955-965 S12501B24955-965
S0921XS09604-605 S1201XD08559-561 S12501D08559-561
S0922XA03154-156 S1201XG08559-561 S12501G08559-561
S0922XA24955-965 S1201XK08564-566 S12501K08564-566
S0922XD23949-950 S1201XS08551-552 S12501S08551-552
S0922XS09604-605 S1202XA08551-552 S12530A08551-552
S09301A03154-156 S1202XA24955-965 S12530A24955-965
S09301A24955-965 S1202XB08551-552 S12530B08551-552
S09301D23949-950 S1202XB24955-965 S12530B24955-965
S09301S21913-914 S1202XD08559-561 S12530D08559-561
S09302A03154-156 S1202XG08559-561 S12530G08559-561
S09302A24955-965 S1202XK08564-566 S12530K08564-566
S09302D23949-950 S1202XS08551-552 S12530S08551-552
S09302S21913-914 S12030A08551-552 S12531A08551-552
S09309A03154-156 S12030A24955-965 S12531A24955-965
S09309A24955-965 S12030B08551-552 S12531B08551-552
S09309D23949-950 S12030B24955-965 S12531B24955-965
S09309S21913-914 S12030D08559-561 S12531D08559-561
S09311A03154-156 S12030G08559-561 S12531G08559-561
S09311A24955-965 S12030K08564-566 S12531K08564-566
S09311D23949-950 S12030S08551-552 S12531S08551-552
S09311S09604-605 S12031A08551-552 S1254XA08551-552
S09312A03154-156 S12031A24955-965 S1254XA24955-965
S09312A24955-965 S12031B08551-552 S1254XB08551-552
S09312D23949-950 S12031B24955-965 S1254XB24955-965
S09312S09604-605 S12031D08559-561 S1254XD08559-561
S09313A03154-156 S12031G08559-561 S1254XG08559-561
S09313A24955-965 S12031K08564-566 S1254XK08564-566
S09313D23949-950 S12031S08551-552 S1254XS08551-552
S09313S09604-605 S12040A08551-552 S12550A08551-552
S09319A03154-156 S12040A24955-965 S12550A24955-965
S09319A24955-965 S12040B08551-552 S12550B08551-552
S09319D23949-950 S12040B24955-965 S12550B24955-965
S09319S09604-605 S12040D08559-561 S12550D08559-561
S09391A03154-156 S12040G08559-561 S12550G08559-561
S09391A24955-965 S12040K08564-566 S12550K08564-566
S09391D23949-950 S12040S08551-552 S12550S08551-552
S09391S21913-914 S12041A08551-552 S12551A08551-552
S09392A03154-156 S12041A24955-965 S12551A24955-965
S09392A24955-965 S12041B08551-552 S12551B08551-552
S09392D23949-950 S12041B24955-965 S12551B24955-965
S09392S21913-914 S12041D08559-561 S12551D08559-561
S09399A03154-156 S12041G08559-561 S12551G08559-561



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244