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| Diagnosis Code/MDC/MS-DRG Index |
| Page 47 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S72036K | 08 | 564-566 | S72099Q | 08 | 564-566 | S72134A | 15 | 793 | ||
| S72036M | 08 | 564-566 | S72099R | 08 | 564-566 | S72134A | 24 | 955-965 | ||
| S72036N | 08 | 564-566 | S72099S | 08 | 559-561 | S72134B | 08 | 535-536 | ||
| S72036P | 08 | 564-566 | S72101A | 08 | 535-536 | S72134B | 15 | 793 | ||
| S72036Q | 08 | 564-566 | S72101A | 15 | 793 | S72134B | 24 | 955-965 | ||
| S72036R | 08 | 564-566 | S72101A | 24 | 955-965 | S72134C | 08 | 535-536 | ||
| S72036S | 08 | 559-561 | S72101B | 08 | 535-536 | S72134C | 15 | 793 | ||
| S72041A | 08 | 535-536 | S72101B | 15 | 793 | S72134C | 24 | 955-965 | ||
| S72041A | 15 | 793 | S72101B | 24 | 955-965 | S72134D | 08 | 559-561 | ||
| S72041A | 24 | 955-965 | S72101C | 08 | 535-536 | S72134E | 08 | 559-561 | ||
| S72041B | 08 | 535-536 | S72101C | 15 | 793 | S72134F | 08 | 559-561 | ||
| S72041B | 15 | 793 | S72101C | 24 | 955-965 | S72134G | 08 | 559-561 | ||
| S72041B | 24 | 955-965 | S72101D | 08 | 559-561 | S72134H | 08 | 559-561 | ||
| S72041C | 08 | 535-536 | S72101E | 08 | 559-561 | S72134J | 08 | 559-561 | ||
| S72041C | 15 | 793 | S72101F | 08 | 559-561 | S72134K | 08 | 564-566 | ||
| S72041C | 24 | 955-965 | S72101G | 08 | 559-561 | S72134M | 08 | 564-566 | ||
| S72041D | 08 | 559-561 | S72101H | 08 | 559-561 | S72134N | 08 | 564-566 | ||
| S72041E | 08 | 559-561 | S72101J | 08 | 559-561 | S72134P | 08 | 564-566 | ||
| S72041F | 08 | 559-561 | S72101K | 08 | 564-566 | S72134Q | 08 | 564-566 | ||
| S72041G | 08 | 559-561 | S72101M | 08 | 564-566 | S72134R | 08 | 564-566 | ||
| S72041H | 08 | 559-561 | S72101N | 08 | 564-566 | S72134S | 08 | 559-561 | ||
| S72041J | 08 | 559-561 | S72101P | 08 | 564-566 | S72135A | 08 | 535-536 | ||
| S72041K | 08 | 564-566 | S72101Q | 08 | 564-566 | S72135A | 15 | 793 | ||
| S72041M | 08 | 564-566 | S72101R | 08 | 564-566 | S72135A | 24 | 955-965 | ||
| S72041N | 08 | 564-566 | S72101S | 08 | 559-561 | S72135B | 08 | 535-536 | ||
| S72041P | 08 | 564-566 | S72102A | 08 | 535-536 | S72135B | 15 | 793 | ||
| S72041Q | 08 | 564-566 | S72102A | 15 | 793 | S72135B | 24 | 955-965 | ||
| S72041R | 08 | 564-566 | S72102A | 24 | 955-965 | S72135C | 08 | 535-536 | ||
| S72041S | 08 | 559-561 | S72102B | 08 | 535-536 | S72135C | 15 | 793 | ||
| S72042A | 08 | 535-536 | S72102B | 15 | 793 | S72135C | 24 | 955-965 | ||
| S72042A | 15 | 793 | S72102B | 24 | 955-965 | S72135D | 08 | 559-561 | ||
| S72042A | 24 | 955-965 | S72102C | 08 | 535-536 | S72135E | 08 | 559-561 | ||
| S72042B | 08 | 535-536 | S72102C | 15 | 793 | S72135F | 08 | 559-561 | ||
| S72042B | 15 | 793 | S72102C | 24 | 955-965 | S72135G | 08 | 559-561 | ||
| S72042B | 24 | 955-965 | S72102D | 08 | 559-561 | S72135H | 08 | 559-561 | ||
| S72042C | 08 | 535-536 | S72102E | 08 | 559-561 | S72135J | 08 | 559-561 | ||
| S72042C | 15 | 793 | S72102F | 08 | 559-561 | S72135K | 08 | 564-566 | ||
| S72042C | 24 | 955-965 | S72102G | 08 | 559-561 | S72135M | 08 | 564-566 | ||
| S72042D | 08 | 559-561 | S72102H | 08 | 559-561 | S72135N | 08 | 564-566 | ||
| S72042E | 08 | 559-561 | S72102J | 08 | 559-561 | S72135P | 08 | 564-566 | ||
| S72042F | 08 | 559-561 | S72102K | 08 | 564-566 | S72135Q | 08 | 564-566 | ||
| S72042G | 08 | 559-561 | S72102M | 08 | 564-566 | S72135R | 08 | 564-566 | ||
| S72042H | 08 | 559-561 | S72102N | 08 | 564-566 | S72135S | 08 | 559-561 | ||
| S72042J | 08 | 559-561 | S72102P | 08 | 564-566 | S72136A | 08 | 535-536 | ||
| S72042K | 08 | 564-566 | S72102Q | 08 | 564-566 | S72136A | 15 | 793 | ||
| S72042M | 08 | 564-566 | S72102R | 08 | 564-566 | S72136A | 24 | 955-965 | ||
| S72042N | 08 | 564-566 | S72102S | 08 | 559-561 | S72136B | 08 | 535-536 | ||
| S72042P | 08 | 564-566 | S72109A | 08 | 535-536 | S72136B | 15 | 793 | ||
| S72042Q | 08 | 564-566 | S72109A | 15 | 793 | S72136B | 24 | 955-965 | ||
| S72042R | 08 | 564-566 | S72109A | 24 | 955-965 | S72136C | 08 | 535-536 | ||
| S72042S | 08 | 559-561 | S72109B | 08 | 535-536 | S72136C | 15 | 793 | ||
| S72043A | 08 | 535-536 | S72109B | 15 | 793 | S72136C | 24 | 955-965 | ||
| S72043A | 15 | 793 | S72109B | 24 | 955-965 | S72136D | 08 | 559-561 | ||
| S72043A | 24 | 955-965 | S72109C | 08 | 535-536 | S72136E | 08 | 559-561 | ||
| S72043B | 08 | 535-536 | S72109C | 15 | 793 | S72136F | 08 | 559-561 | ||
| S72043B | 15 | 793 | S72109C | 24 | 955-965 | S72136G | 08 | 559-561 | ||
| S72043B | 24 | 955-965 | S72109D | 08 | 559-561 | S72136H | 08 | 559-561 | ||
| S72043C | 08 | 535-536 | S72109E | 08 | 559-561 | S72136J | 08 | 559-561 | ||
| S72043C | 15 | 793 | S72109F | 08 | 559-561 | S72136K | 08 | 564-566 | ||
| S72043C | 24 | 955-965 | S72109G | 08 | 559-561 | S72136M | 08 | 564-566 | ||
| S72043D | 08 | 559-561 | S72109H | 08 | 559-561 | S72136N | 08 | 564-566 | ||
| S72043E | 08 | 559-561 | S72109J | 08 | 559-561 | S72136P | 08 | 564-566 | ||
| S72043F | 08 | 559-561 | S72109K | 08 | 564-566 | S72136Q | 08 | 564-566 | ||
| S72043G | 08 | 559-561 | S72109M | 08 | 564-566 | S72136R | 08 | 564-566 | ||
| S72043H | 08 | 559-561 | S72109N | 08 | 564-566 | S72136S | 08 | 559-561 | ||
| S72043J | 08 | 559-561 | S72109P | 08 | 564-566 | S72141A | 08 | 535-536 | ||
| S72043K | 08 | 564-566 | S72109Q | 08 | 564-566 | S72141A | 15 | 793 | ||
| S72043M | 08 | 564-566 | S72109R | 08 | 564-566 | S72141A | 24 | 955-965 | ||
| S72043N | 08 | 564-566 | S72109S | 08 | 559-561 | S72141B | 08 | 535-536 | ||
| S72043P | 08 | 564-566 | S72111A | 08 | 535-536 | S72141B | 15 | 793 | ||
| S72043Q | 08 | 564-566 | S72111A | 15 | 793 | S72141B | 24 | 955-965 | ||
| S72043R | 08 | 564-566 | S72111A | 24 | 955-965 | S72141C | 08 | 535-536 | ||
| S72043S | 08 | 559-561 | S72111B | 08 | 535-536 | S72141C | 15 | 793 | ||
| S72044A | 08 | 535-536 | S72111B | 15 | 793 | S72141C | 24 | 955-965 | ||
| S72044A | 15 | 793 | S72111B | 24 | 955-965 | S72141D | 08 | 559-561 | ||
| S72044A | 24 | 955-965 | S72111C | 08 | 535-536 | S72141E | 08 | 559-561 | ||
| S72044B | 08 | 535-536 | S72111C | 15 | 793 | S72141F | 08 | 559-561 | ||
| S72044B | 15 | 793 | S72111C | 24 | 955-965 | S72141G | 08 | 559-561 | ||
| S72044B | 24 | 955-965 | S72111D | 08 | 559-561 | S72141H | 08 | 559-561 | ||
| S72044C | 08 | 535-536 | S72111E | 08 | 559-561 | S72141J | 08 | 559-561 | ||
| S72044C | 15 | 793 | S72111F | 08 | 559-561 | S72141K | 08 | 564-566 | ||
| S72044C | 24 | 955-965 | S72111G | 08 | 559-561 | S72141M | 08 | 564-566 | ||
| S72044D | 08 | 559-561 | S72111H | 08 | 559-561 | S72141N | 08 | 564-566 | ||
| S72044E | 08 | 559-561 | S72111J | 08 | 559-561 | S72141P | 08 | 564-566 | ||
| S72044F | 08 | 559-561 | S72111K | 08 | 564-566 | S72141Q | 08 | 564-566 | ||
| S72044G | 08 | 559-561 | S72111M | 08 | 564-566 | S72141R | 08 | 564-566 | ||
| S72044H | 08 | 559-561 | S72111N | 08 | 564-566 | S72141S | 08 | 559-561 | ||
| S72044J | 08 | 559-561 | S72111P | 08 | 564-566 | S72142A | 08 | 535-536 | ||
| S72044K | 08 | 564-566 | S72111Q | 08 | 564-566 | S72142A | 15 | 793 | ||
| S72044M | 08 | 564-566 | S72111R | 08 | 564-566 | S72142A | 24 | 955-965 | ||
| S72044N | 08 | 564-566 | S72111S | 08 | 559-561 | S72142B | 08 | 535-536 | ||
| S72044P | 08 | 564-566 | S72112A | 08 | 535-536 | S72142B | 15 | 793 | ||
| S72044Q | 08 | 564-566 | S72112A | 15 | 793 | S72142B | 24 | 955-965 | ||
| S72044R | 08 | 564-566 | S72112A | 24 | 955-965 | S72142C | 08 | 535-536 | ||
| S72044S | 08 | 559-561 | S72112B | 08 | 535-536 | S72142C | 15 | 793 | ||
| S72045A | 08 | 535-536 | S72112B | 15 | 793 | S72142C | 24 | 955-965 | ||
| S72045A | 15 | 793 | S72112B | 24 | 955-965 | S72142D | 08 | 559-561 | ||
| S72045A | 24 | 955-965 | S72112C | 08 | 535-536 | S72142E | 08 | 559-561 | ||
| S72045B | 08 | 535-536 | S72112C | 15 | 793 | S72142F | 08 | 559-561 | ||
| S72045B | 15 | 793 | S72112C | 24 | 955-965 | S72142G | 08 | 559-561 | ||
| S72045B | 24 | 955-965 | S72112D | 08 | 559-561 | S72142H | 08 | 559-561 | ||
| S72045C | 08 | 535-536 | S72112E | 08 | 559-561 | S72142J | 08 | 559-561 | ||
| S72045C | 15 | 793 | S72112F | 08 | 559-561 | S72142K | 08 | 564-566 | ||
| S72045C | 24 | 955-965 | S72112G | 08 | 559-561 | S72142M | 08 | 564-566 | ||
| S72045D | 08 | 559-561 | S72112H | 08 | 559-561 | S72142N | 08 | 564-566 | ||
| S72045E | 08 | 559-561 | S72112J | 08 | 559-561 | S72142P | 08 | 564-566 | ||
| S72045F | 08 | 559-561 | S72112K | 08 | 564-566 | S72142Q | 08 | 564-566 | ||
| S72045G | 08 | 559-561 | S72112M | 08 | 564-566 | S72142R | 08 | 564-566 | ||
| S72045H | 08 | 559-561 | S72112N | 08 | 564-566 | S72142S | 08 | 559-561 | ||
| S72045J | 08 | 559-561 | S72112P | 08 | 564-566 | S72143A | 08 | 535-536 | ||
| S72045K | 08 | 564-566 | S72112Q | 08 | 564-566 | S72143A | 15 | 793 | ||
| S72045M | 08 | 564-566 | S72112R | 08 | 564-566 | S72143A | 24 | 955-965 | ||
| S72045N | 08 | 564-566 | S72112S | 08 | 559-561 | S72143B | 08 | 535-536 | ||
| S72045P | 08 | 564-566 | S72113A | 08 | 535-536 | S72143B | 15 | 793 | ||
| S72045Q | 08 | 564-566 | S72113A | 15 | 793 | S72143B | 24 | 955-965 | ||
| S72045R | 08 | 564-566 | S72113A | 24 | 955-965 | S72143C | 08 | 535-536 | ||
| S72045S | 08 | 559-561 | S72113B | 08 | 535-536 | S72143C | 15 | 793 | ||
| S72046A | 08 | 535-536 | S72113B | 15 | 793 | S72143C | 24 | 955-965 | ||
| S72046A | 15 | 793 | S72113B | 24 | 955-965 | S72143D | 08 | 559-561 | ||
| S72046A | 24 | 955-965 | S72113C | 08 | 535-536 | S72143E | 08 | 559-561 | ||
| S72046B | 08 | 535-536 | S72113C | 15 | 793 | S72143F | 08 | 559-561 | ||
| S72046B | 15 | 793 | S72113C | 24 | 955-965 | S72143G | 08 | 559-561 | ||
| S72046B | 24 | 955-965 | S72113D | 08 | 559-561 | S72143H | 08 | 559-561 | ||
| S72046C | 08 | 535-536 | S72113E | 08 | 559-561 | S72143J | 08 | 559-561 | ||
| S72046C | 15 | 793 | S72113F | 08 | 559-561 | S72143K | 08 | 564-566 | ||
| S72046C | 24 | 955-965 | S72113G | 08 | 559-561 | S72143M | 08 | 564-566 | ||
| S72046D | 08 | 559-561 | S72113H | 08 | 559-561 | S72143N | 08 | 564-566 | ||
| S72046E | 08 | 559-561 | S72113J | 08 | 559-561 | S72143P | 08 | 564-566 | ||
| S72046F | 08 | 559-561 | S72113K | 08 | 564-566 | S72143Q | 08 | 564-566 | ||
| S72046G | 08 | 559-561 | S72113M | 08 | 564-566 | S72143R | 08 | 564-566 | ||
| S72046H | 08 | 559-561 | S72113N | 08 | 564-566 | S72143S | 08 | 559-561 | ||
| S72046J | 08 | 559-561 | S72113P | 08 | 564-566 | S72144A | 08 | 535-536 | ||
| S72046K | 08 | 564-566 | S72113Q | 08 | 564-566 | S72144A | 15 | 793 | ||
| S72046M | 08 | 564-566 | S72113R | 08 | 564-566 | S72144A | 24 | 955-965 | ||
| S72046N | 08 | 564-566 | S72113S | 08 | 559-561 | S72144B | 08 | 535-536 | ||
| S72046P | 08 | 564-566 | S72114A | 08 | 535-536 | S72144B | 15 | 793 | ||
| S72046Q | 08 | 564-566 | S72114A | 15 | 793 | S72144B | 24 | 955-965 | ||
| S72046R | 08 | 564-566 | S72114A | 24 | 955-965 | S72144C | 08 | 535-536 | ||
| S72046S | 08 | 559-561 | S72114B | 08 | 535-536 | S72144C | 15 | 793 | ||
| S72051A | 08 | 535-536 | S72114B | 15 | 793 | S72144C | 24 | 955-965 | ||
| S72051A | 15 | 793 | S72114B | 24 | 955-965 | S72144D | 08 | 559-561 | ||
| S72051A | 24 | 955-965 | S72114C | 08 | 535-536 | S72144E | 08 | 559-561 | ||
| S72051B | 08 | 535-536 | S72114C | 15 | 793 | S72144F | 08 | 559-561 | ||
| S72051B | 15 | 793 | S72114C | 24 | 955-965 | S72144G | 08 | 559-561 | ||
| S72051B | 24 | 955-965 | S72114D | 08 | 559-561 | S72144H | 08 | 559-561 | ||
| S72051C | 08 | 535-536 | S72114E | 08 | 559-561 | S72144J | 08 | 559-561 | ||
| S72051C | 15 | 793 | S72114F | 08 | 559-561 | S72144K | 08 | 564-566 | ||
| S72051C | 24 | 955-965 | S72114G | 08 | 559-561 | S72144M | 08 | 564-566 | ||
| S72051D | 08 | 559-561 | S72114H | 08 | 559-561 | S72144N | 08 | 564-566 | ||
| S72051E | 08 | 559-561 | S72114J | 08 | 559-561 | S72144P | 08 | 564-566 | ||
| S72051F | 08 | 559-561 | S72114K | 08 | 564-566 | S72144Q | 08 | 564-566 | ||
| S72051G | 08 | 559-561 | S72114M | 08 | 564-566 | S72144R | 08 | 564-566 | ||
| S72051H | 08 | 559-561 | S72114N | 08 | 564-566 | S72144S | 08 | 559-561 | ||
| S72051J | 08 | 559-561 | S72114P | 08 | 564-566 | S72145A | 08 | 535-536 | ||
| S72051K | 08 | 564-566 | S72114Q | 08 | 564-566 | S72145A | 15 | 793 | ||
| S72051M | 08 | 564-566 | S72114R | 08 | 564-566 | S72145A | 24 | 955-965 | ||
| S72051N | 08 | 564-566 | S72114S | 08 | 559-561 | S72145B | 08 | 535-536 | ||
| S72051P | 08 | 564-566 | S72115A | 08 | 535-536 | S72145B | 15 | 793 | ||
| S72051Q | 08 | 564-566 | S72115A | 15 | 793 | S72145B | 24 | 955-965 | ||
| S72051R | 08 | 564-566 | S72115A | 24 | 955-965 | S72145C | 08 | 535-536 | ||
| S72051S | 08 | 559-561 | S72115B | 08 | 535-536 | S72145C | 15 | 793 | ||
| S72052A | 08 | 535-536 | S72115B | 15 | 793 | S72145C | 24 | 955-965 | ||
| S72052A | 15 | 793 | S72115B | 24 | 955-965 | S72145D | 08 | 559-561 | ||
| S72052A | 24 | 955-965 | S72115C | 08 | 535-536 | S72145E | 08 | 559-561 | ||
| S72052B | 08 | 535-536 | S72115C | 15 | 793 | S72145F | 08 | 559-561 | ||
| S72052B | 15 | 793 | S72115C | 24 | 955-965 | S72145G | 08 | 559-561 | ||
| S72052B | 24 | 955-965 | S72115D | 08 | 559-561 | S72145H | 08 | 559-561 | ||
| S72052C | 08 | 535-536 | S72115E | 08 | 559-561 | S72145J | 08 | 559-561 | ||
| S72052C | 15 | 793 | S72115F | 08 | 559-561 | S72145K | 08 | 564-566 | ||
| S72052C | 24 | 955-965 | S72115G | 08 | 559-561 | S72145M | 08 | 564-566 | ||
| S72052D | 08 | 559-561 | S72115H | 08 | 559-561 | S72145N | 08 | 564-566 | ||
| S72052E | 08 | 559-561 | S72115J | 08 | 559-561 | S72145P | 08 | 564-566 | ||
| S72052F | 08 | 559-561 | S72115K | 08 | 564-566 | S72145Q | 08 | 564-566 | ||
| S72052G | 08 | 559-561 | S72115M | 08 | 564-566 | S72145R | 08 | 564-566 | ||
| S72052H | 08 | 559-561 | S72115N | 08 | 564-566 | S72145S | 08 | 559-561 | ||
| S72052J | 08 | 559-561 | S72115P | 08 | 564-566 | S72146A | 08 | 535-536 | ||
| S72052K | 08 | 564-566 | S72115Q | 08 | 564-566 | S72146A | 15 | 793 | ||
| S72052M | 08 | 564-566 | S72115R | 08 | 564-566 | S72146A | 24 | 955-965 | ||
| S72052N | 08 | 564-566 | S72115S | 08 | 559-561 | S72146B | 08 | 535-536 | ||
| S72052P | 08 | 564-566 | S72116A | 08 | 535-536 | S72146B | 15 | 793 | ||
| S72052Q | 08 | 564-566 | S72116A | 15 | 793 | S72146B | 24 | 955-965 | ||
| S72052R | 08 | 564-566 | S72116A | 24 | 955-965 | S72146C | 08 | 535-536 | ||
| S72052S | 08 | 559-561 | S72116B | 08 | 535-536 | S72146C | 15 | 793 | ||
| S72059A | 08 | 535-536 | S72116B | 15 | 793 | S72146C | 24 | 955-965 | ||
| S72059A | 15 | 793 | S72116B | 24 | 955-965 | S72146D | 08 | 559-561 | ||
| S72059A | 24 | 955-965 | S72116C | 08 | 535-536 | S72146E | 08 | 559-561 | ||
| S72059B | 08 | 535-536 | S72116C | 15 | 793 | S72146F | 08 | 559-561 | ||
| S72059B | 15 | 793 | S72116C | 24 | 955-965 | S72146G | 08 | 559-561 | ||
| S72059B | 24 | 955-965 | S72116D | 08 | 559-561 | S72146H | 08 | 559-561 | ||
| S72059C | 08 | 535-536 | S72116E | 08 | 559-561 | S72146J | 08 | 559-561 | ||
| S72059C | 15 | 793 | S72116F | 08 | 559-561 | S72146K | 08 | 564-566 | ||
| S72059C | 24 | 955-965 | S72116G | 08 | 559-561 | S72146M | 08 | 564-566 | ||
| S72059D | 08 | 559-561 | S72116H | 08 | 559-561 | S72146N | 08 | 564-566 | ||
| S72059E | 08 | 559-561 | S72116J | 08 | 559-561 | S72146P | 08 | 564-566 | ||
| S72059F | 08 | 559-561 | S72116K | 08 | 564-566 | S72146Q | 08 | 564-566 | ||
| S72059G | 08 | 559-561 | S72116M | 08 | 564-566 | S72146R | 08 | 564-566 | ||
| S72059H | 08 | 559-561 | S72116N | 08 | 564-566 | S72146S | 08 | 559-561 | ||
| S72059J | 08 | 559-561 | S72116P | 08 | 564-566 | S7221XA | 08 | 535-536 | ||
| S72059K | 08 | 564-566 | S72116Q | 08 | 564-566 | S7221XA | 15 | 793 | ||
| S72059M | 08 | 564-566 | S72116R | 08 | 564-566 | S7221XA | 24 | 955-965 | ||
| S72059N | 08 | 564-566 | S72116S | 08 | 559-561 | S7221XB | 08 | 535-536 | ||
| S72059P | 08 | 564-566 | S72121A | 08 | 535-536 | S7221XB | 15 | 793 | ||
| S72059Q | 08 | 564-566 | S72121A | 15 | 793 | S7221XB | 24 | 955-965 | ||
| S72059R | 08 | 564-566 | S72121A | 24 | 955-965 | S7221XC | 08 | 535-536 | ||
| S72059S | 08 | 559-561 | S72121B | 08 | 535-536 | S7221XC | 15 | 793 | ||
| S72061A | 08 | 535-536 | S72121B | 15 | 793 | S7221XC | 24 | 955-965 | ||
| S72061A | 15 | 793 | S72121B | 24 | 955-965 | S7221XD | 08 | 559-561 | ||
| S72061A | 24 | 955-965 | S72121C | 08 | 535-536 | S7221XE | 08 | 559-561 | ||
| S72061B | 08 | 535-536 | S72121C | 15 | 793 | S7221XF | 08 | 559-561 | ||
| S72061B | 15 | 793 | S72121C | 24 | 955-965 | S7221XG | 08 | 559-561 | ||
| S72061B | 24 | 955-965 | S72121D | 08 | 559-561 | S7221XH | 08 | 559-561 | ||
| S72061C | 08 | 535-536 | S72121E | 08 | 559-561 | S7221XJ | 08 | 559-561 | ||
| S72061C | 15 | 793 | S72121F | 08 | 559-561 | S7221XK | 08 | 564-566 | ||
| S72061C | 24 | 955-965 | S72121G | 08 | 559-561 | S7221XM | 08 | 564-566 | ||
| S72061D | 08 | 559-561 | S72121H | 08 | 559-561 | S7221XN | 08 | 564-566 | ||
| S72061E | 08 | 559-561 | S72121J | 08 | 559-561 | S7221XP | 08 | 564-566 | ||
| S72061F | 08 | 559-561 | S72121K | 08 | 564-566 | S7221XQ | 08 | 564-566 | ||
| S72061G | 08 | 559-561 | S72121M | 08 | 564-566 | S7221XR | 08 | 564-566 | ||
| S72061H | 08 | 559-561 | S72121N | 08 | 564-566 | S7221XS | 08 | 559-561 | ||
| S72061J | 08 | 559-561 | S72121P | 08 | 564-566 | S7222XA | 08 | 535-536 | ||
| S72061K | 08 | 564-566 | S72121Q | 08 | 564-566 | S7222XA | 15 | 793 | ||
| S72061M | 08 | 564-566 | S72121R | 08 | 564-566 | S7222XA | 24 | 955-965 | ||
| S72061N | 08 | 564-566 | S72121S | 08 | 559-561 | S7222XB | 08 | 535-536 | ||
| S72061P | 08 | 564-566 | S72122A | 08 | 535-536 | S7222XB | 15 | 793 | ||
| S72061Q | 08 | 564-566 | S72122A | 15 | 793 | S7222XB | 24 | 955-965 | ||
| S72061R | 08 | 564-566 | S72122A | 24 | 955-965 | S7222XC | 08 | 535-536 | ||
| S72061S | 08 | 559-561 | S72122B | 08 | 535-536 | S7222XC | 15 | 793 | ||
| S72062A | 08 | 535-536 | S72122B | 15 | 793 | S7222XC | 24 | 955-965 | ||
| S72062A | 15 | 793 | S72122B | 24 | 955-965 | S7222XD | 08 | 559-561 | ||
| S72062A | 24 | 955-965 | S72122C | 08 | 535-536 | S7222XE | 08 | 559-561 | ||
| S72062B | 08 | 535-536 | S72122C | 15 | 793 | S7222XF | 08 | 559-561 | ||
| S72062B | 15 | 793 | S72122C | 24 | 955-965 | S7222XG | 08 | 559-561 | ||
| S72062B | 24 | 955-965 | S72122D | 08 | 559-561 | S7222XH | 08 | 559-561 | ||
| S72062C | 08 | 535-536 | S72122E | 08 | 559-561 | S7222XJ | 08 | 559-561 | ||
| S72062C | 15 | 793 | S72122F | 08 | 559-561 | S7222XK | 08 | 564-566 | ||
| S72062C | 24 | 955-965 | S72122G | 08 | 559-561 | S7222XM | 08 | 564-566 | ||
| S72062D | 08 | 559-561 | S72122H | 08 | 559-561 | S7222XN | 08 | 564-566 | ||
| S72062E | 08 | 559-561 | S72122J | 08 | 559-561 | S7222XP | 08 | 564-566 | ||
| S72062F | 08 | 559-561 | S72122K | 08 | 564-566 | S7222XQ | 08 | 564-566 | ||
| S72062G | 08 | 559-561 | S72122M | 08 | 564-566 | S7222XR | 08 | 564-566 | ||
| S72062H | 08 | 559-561 | S72122N | 08 | 564-566 | S7222XS | 08 | 559-561 | ||
| S72062J | 08 | 559-561 | S72122P | 08 | 564-566 | S7223XA | 08 | 535-536 | ||
| S72062K | 08 | 564-566 | S72122Q | 08 | 564-566 | S7223XA | 15 | 793 | ||
| S72062M | 08 | 564-566 | S72122R | 08 | 564-566 | S7223XA | 24 | 955-965 | ||
| S72062N | 08 | 564-566 | S72122S | 08 | 559-561 | S7223XB | 08 | 535-536 | ||
| S72062P | 08 | 564-566 | S72123A | 08 | 535-536 | S7223XB | 15 | 793 | ||
| S72062Q | 08 | 564-566 | S72123A | 15 | 793 | S7223XB | 24 | 955-965 | ||
| S72062R | 08 | 564-566 | S72123A | 24 | 955-965 | S7223XC | 08 | 535-536 | ||
| S72062S | 08 | 559-561 | S72123B | 08 | 535-536 | S7223XC | 15 | 793 | ||
| S72063A | 08 | 535-536 | S72123B | 15 | 793 | S7223XC | 24 | 955-965 | ||
| S72063A | 15 | 793 | S72123B | 24 | 955-965 | S7223XD | 08 | 559-561 | ||
| S72063A | 24 | 955-965 | S72123C | 08 | 535-536 | S7223XE | 08 | 559-561 | ||
| S72063B | 08 | 535-536 | S72123C | 15 | 793 | S7223XF | 08 | 559-561 | ||
| S72063B | 15 | 793 | S72123C | 24 | 955-965 | S7223XG | 08 | 559-561 | ||
| S72063B | 24 | 955-965 | S72123D | 08 | 559-561 | S7223XH | 08 | 559-561 | ||
| S72063C | 08 | 535-536 | S72123E | 08 | 559-561 | S7223XJ | 08 | 559-561 | ||
| S72063C | 15 | 793 | S72123F | 08 | 559-561 | S7223XK | 08 | 564-566 | ||
| S72063C | 24 | 955-965 | S72123G | 08 | 559-561 | S7223XM | 08 | 564-566 | ||
| S72063D | 08 | 559-561 | S72123H | 08 | 559-561 | S7223XN | 08 | 564-566 | ||
| S72063E | 08 | 559-561 | S72123J | 08 | 559-561 | S7223XP | 08 | 564-566 | ||
| S72063F | 08 | 559-561 | S72123K | 08 | 564-566 | S7223XQ | 08 | 564-566 | ||
| S72063G | 08 | 559-561 | S72123M | 08 | 564-566 | S7223XR | 08 | 564-566 | ||
| S72063H | 08 | 559-561 | S72123N | 08 | 564-566 | S7223XS | 08 | 559-561 | ||
| S72063J | 08 | 559-561 | S72123P | 08 | 564-566 | S7224XA | 08 | 535-536 | ||
| S72063K | 08 | 564-566 | S72123Q | 08 | 564-566 | S7224XA | 15 | 793 | ||
| S72063M | 08 | 564-566 | S72123R | 08 | 564-566 | S7224XA | 24 | 955-965 | ||
| S72063N | 08 | 564-566 | S72123S | 08 | 559-561 | S7224XB | 08 | 535-536 | ||
| S72063P | 08 | 564-566 | S72124A | 08 | 535-536 | S7224XB | 15 | 793 | ||
| S72063Q | 08 | 564-566 | S72124A | 15 | 793 | S7224XB | 24 | 955-965 | ||
| S72063R | 08 | 564-566 | S72124A | 24 | 955-965 | S7224XC | 08 | 535-536 | ||
| S72063S | 08 | 559-561 | S72124B | 08 | 535-536 | S7224XC | 15 | 793 | ||
| S72064A | 08 | 535-536 | S72124B | 15 | 793 | S7224XC | 24 | 955-965 | ||
| S72064A | 15 | 793 | S72124B | 24 | 955-965 | S7224XD | 08 | 559-561 | ||
| S72064A | 24 | 955-965 | S72124C | 08 | 535-536 | S7224XE | 08 | 559-561 | ||
| S72064B | 08 | 535-536 | S72124C | 15 | 793 | S7224XF | 08 | 559-561 | ||
| S72064B | 15 | 793 | S72124C | 24 | 955-965 | S7224XG | 08 | 559-561 | ||
| S72064B | 24 | 955-965 | S72124D | 08 | 559-561 | S7224XH | 08 | 559-561 | ||
| S72064C | 08 | 535-536 | S72124E | 08 | 559-561 | S7224XJ | 08 | 559-561 | ||
| S72064C | 15 | 793 | S72124F | 08 | 559-561 | S7224XK | 08 | 564-566 | ||
| S72064C | 24 | 955-965 | S72124G | 08 | 559-561 | S7224XM | 08 | 564-566 | ||
| S72064D | 08 | 559-561 | S72124H | 08 | 559-561 | S7224XN | 08 | 564-566 | ||
| S72064E | 08 | 559-561 | S72124J | 08 | 559-561 | S7224XP | 08 | 564-566 | ||
| S72064F | 08 | 559-561 | S72124K | 08 | 564-566 | S7224XQ | 08 | 564-566 | ||
| S72064G | 08 | 559-561 | S72124M | 08 | 564-566 | S7224XR | 08 | 564-566 | ||
| S72064H | 08 | 559-561 | S72124N | 08 | 564-566 | S7224XS | 08 | 559-561 | ||
| S72064J | 08 | 559-561 | S72124P | 08 | 564-566 | S7225XA | 08 | 535-536 | ||
| S72064K | 08 | 564-566 | S72124Q | 08 | 564-566 | S7225XA | 15 | 793 | ||
| S72064M | 08 | 564-566 | S72124R | 08 | 564-566 | S7225XA | 24 | 955-965 | ||
| S72064N | 08 | 564-566 | S72124S | 08 | 559-561 | S7225XB | 08 | 535-536 | ||
| S72064P | 08 | 564-566 | S72125A | 08 | 535-536 | S7225XB | 15 | 793 | ||
| S72064Q | 08 | 564-566 | S72125A | 15 | 793 | S7225XB | 24 | 955-965 | ||
| S72064R | 08 | 564-566 | S72125A | 24 | 955-965 | S7225XC | 08 | 535-536 | ||
| S72064S | 08 | 559-561 | S72125B | 08 | 535-536 | S7225XC | 15 | 793 | ||
| S72065A | 08 | 535-536 | S72125B | 15 | 793 | S7225XC | 24 | 955-965 | ||
| S72065A | 15 | 793 | S72125B | 24 | 955-965 | S7225XD | 08 | 559-561 | ||
| S72065A | 24 | 955-965 | S72125C | 08 | 535-536 | S7225XE | 08 | 559-561 | ||
| S72065B | 08 | 535-536 | S72125C | 15 | 793 | S7225XF | 08 | 559-561 | ||
| S72065B | 15 | 793 | S72125C | 24 | 955-965 | S7225XG | 08 | 559-561 | ||
| S72065B | 24 | 955-965 | S72125D | 08 | 559-561 | S7225XH | 08 | 559-561 | ||
| S72065C | 08 | 535-536 | S72125E | 08 | 559-561 | S7225XJ | 08 | 559-561 | ||
| S72065C | 15 | 793 | S72125F | 08 | 559-561 | S7225XK | 08 | 564-566 | ||
| S72065C | 24 | 955-965 | S72125G | 08 | 559-561 | S7225XM | 08 | 564-566 | ||
| S72065D | 08 | 559-561 | S72125H | 08 | 559-561 | S7225XN | 08 | 564-566 | ||
| S72065E | 08 | 559-561 | S72125J | 08 | 559-561 | S7225XP | 08 | 564-566 | ||
| S72065F | 08 | 559-561 | S72125K | 08 | 564-566 | S7225XQ | 08 | 564-566 | ||
| S72065G | 08 | 559-561 | S72125M | 08 | 564-566 | S7225XR | 08 | 564-566 | ||
| S72065H | 08 | 559-561 | S72125N | 08 | 564-566 | S7225XS | 08 | 559-561 | ||
| S72065J | 08 | 559-561 | S72125P | 08 | 564-566 | S7226XA | 08 | 535-536 | ||
| S72065K | 08 | 564-566 | S72125Q | 08 | 564-566 | S7226XA | 15 | 793 | ||
| S72065M | 08 | 564-566 | S72125R | 08 | 564-566 | S7226XA | 24 | 955-965 | ||
| S72065N | 08 | 564-566 | S72125S | 08 | 559-561 | S7226XB | 08 | 535-536 | ||
| S72065P | 08 | 564-566 | S72126A | 08 | 535-536 | S7226XB | 15 | 793 | ||
| S72065Q | 08 | 564-566 | S72126A | 15 | 793 | S7226XB | 24 | 955-965 | ||
| S72065R | 08 | 564-566 | S72126A | 24 | 955-965 | S7226XC | 08 | 535-536 | ||
| S72065S | 08 | 559-561 | S72126B | 08 | 535-536 | S7226XC | 15 | 793 | ||
| S72066A | 08 | 535-536 | S72126B | 15 | 793 | S7226XC | 24 | 955-965 | ||
| S72066A | 15 | 793 | S72126B | 24 | 955-965 | S7226XD | 08 | 559-561 | ||
| S72066A | 24 | 955-965 | S72126C | 08 | 535-536 | S7226XE | 08 | 559-561 | ||
| S72066B | 08 | 535-536 | S72126C | 15 | 793 | S7226XF | 08 | 559-561 | ||
| S72066B | 15 | 793 | S72126C | 24 | 955-965 | S7226XG | 08 | 559-561 | ||
| S72066B | 24 | 955-965 | S72126D | 08 | 559-561 | S7226XH | 08 | 559-561 | ||
| S72066C | 08 | 535-536 | S72126E | 08 | 559-561 | S7226XJ | 08 | 559-561 | ||
| S72066C | 15 | 793 | S72126F | 08 | 559-561 | S7226XK | 08 | 564-566 | ||
| S72066C | 24 | 955-965 | S72126G | 08 | 559-561 | S7226XM | 08 | 564-566 | ||
| S72066D | 08 | 559-561 | S72126H | 08 | 559-561 | S7226XN | 08 | 564-566 | ||
| S72066E | 08 | 559-561 | S72126J | 08 | 559-561 | S7226XP | 08 | 564-566 | ||
| S72066F | 08 | 559-561 | S72126K | 08 | 564-566 | S7226XQ | 08 | 564-566 | ||
| S72066G | 08 | 559-561 | S72126M | 08 | 564-566 | S7226XR | 08 | 564-566 | ||
| S72066H | 08 | 559-561 | S72126N | 08 | 564-566 | S7226XS | 08 | 559-561 | ||
| S72066J | 08 | 559-561 | S72126P | 08 | 564-566 | S72301A | 08 | 533-534 | ||
| S72066K | 08 | 564-566 | S72126Q | 08 | 564-566 | S72301A | 15 | 793 | ||
| S72066M | 08 | 564-566 | S72126R | 08 | 564-566 | S72301A | 24 | 955-965 | ||
| S72066N | 08 | 564-566 | S72126S | 08 | 559-561 | S72301B | 08 | 533-534 | ||
| S72066P | 08 | 564-566 | S72131A | 08 | 535-536 | S72301B | 15 | 793 | ||
| S72066Q | 08 | 564-566 | S72131A | 15 | 793 | S72301B | 24 | 955-965 | ||
| S72066R | 08 | 564-566 | S72131A | 24 | 955-965 | S72301C | 08 | 533-534 | ||
| S72066S | 08 | 559-561 | S72131B | 08 | 535-536 | S72301C | 15 | 793 | ||
| S72091A | 08 | 535-536 | S72131B | 15 | 793 | S72301C | 24 | 955-965 | ||
| S72091A | 15 | 793 | S72131B | 24 | 955-965 | S72301D | 08 | 559-561 | ||
| S72091A | 24 | 955-965 | S72131C | 08 | 535-536 | S72301E | 08 | 559-561 | ||
| S72091B | 08 | 535-536 | S72131C | 15 | 793 | S72301F | 08 | 559-561 | ||
| S72091B | 15 | 793 | S72131C | 24 | 955-965 | S72301G | 08 | 559-561 | ||
| S72091B | 24 | 955-965 | S72131D | 08 | 559-561 | S72301H | 08 | 559-561 | ||
| S72091C | 08 | 535-536 | S72131E | 08 | 559-561 | S72301J | 08 | 559-561 | ||
| S72091C | 15 | 793 | S72131F | 08 | 559-561 | S72301K | 08 | 564-566 | ||
| S72091C | 24 | 955-965 | S72131G | 08 | 559-561 | S72301M | 08 | 564-566 | ||
| S72091D | 08 | 559-561 | S72131H | 08 | 559-561 | S72301N | 08 | 564-566 | ||
| S72091E | 08 | 559-561 | S72131J | 08 | 559-561 | S72301P | 08 | 564-566 | ||
| S72091F | 08 | 559-561 | S72131K | 08 | 564-566 | S72301Q | 08 | 564-566 | ||
| S72091G | 08 | 559-561 | S72131M | 08 | 564-566 | S72301R | 08 | 564-566 | ||
| S72091H | 08 | 559-561 | S72131N | 08 | 564-566 | S72301S | 08 | 559-561 | ||
| S72091J | 08 | 559-561 | S72131P | 08 | 564-566 | S72302A | 08 | 533-534 | ||
| S72091K | 08 | 564-566 | S72131Q | 08 | 564-566 | S72302A | 15 | 793 | ||
| S72091M | 08 | 564-566 | S72131R | 08 | 564-566 | S72302A | 24 | 955-965 | ||
| S72091N | 08 | 564-566 | S72131S | 08 | 559-561 | S72302B | 08 | 533-534 | ||
| S72091P | 08 | 564-566 | S72132A | 08 | 535-536 | S72302B | 15 | 793 | ||
| S72091Q | 08 | 564-566 | S72132A | 15 | 793 | S72302B | 24 | 955-965 | ||
| S72091R | 08 | 564-566 | S72132A | 24 | 955-965 | S72302C | 08 | 533-534 | ||
| S72091S | 08 | 559-561 | S72132B | 08 | 535-536 | S72302C | 15 | 793 | ||
| S72092A | 08 | 535-536 | S72132B | 15 | 793 | S72302C | 24 | 955-965 | ||
| S72092A | 15 | 793 | S72132B | 24 | 955-965 | S72302D | 08 | 559-561 | ||
| S72092A | 24 | 955-965 | S72132C | 08 | 535-536 | S72302E | 08 | 559-561 | ||
| S72092B | 08 | 535-536 | S72132C | 15 | 793 | S72302F | 08 | 559-561 | ||
| S72092B | 15 | 793 | S72132C | 24 | 955-965 | S72302G | 08 | 559-561 | ||
| S72092B | 24 | 955-965 | S72132D | 08 | 559-561 | S72302H | 08 | 559-561 | ||
| S72092C | 08 | 535-536 | S72132E | 08 | 559-561 | S72302J | 08 | 559-561 | ||
| S72092C | 15 | 793 | S72132F | 08 | 559-561 | S72302K | 08 | 564-566 | ||
| S72092C | 24 | 955-965 | S72132G | 08 | 559-561 | S72302M | 08 | 564-566 | ||
| S72092D | 08 | 559-561 | S72132H | 08 | 559-561 | S72302N | 08 | 564-566 | ||
| S72092E | 08 | 559-561 | S72132J | 08 | 559-561 | S72302P | 08 | 564-566 | ||
| S72092F | 08 | 559-561 | S72132K | 08 | 564-566 | S72302Q | 08 | 564-566 | ||
| S72092G | 08 | 559-561 | S72132M | 08 | 564-566 | S72302R | 08 | 564-566 | ||
| S72092H | 08 | 559-561 | S72132N | 08 | 564-566 | S72302S | 08 | 559-561 | ||
| S72092J | 08 | 559-561 | S72132P | 08 | 564-566 | S72309A | 08 | 533-534 | ||
| S72092K | 08 | 564-566 | S72132Q | 08 | 564-566 | S72309A | 15 | 793 | ||
| S72092M | 08 | 564-566 | S72132R | 08 | 564-566 | S72309A | 24 | 955-965 | ||
| S72092N | 08 | 564-566 | S72132S | 08 | 559-561 | S72309B | 08 | 533-534 | ||
| S72092P | 08 | 564-566 | S72133A | 08 | 535-536 | S72309B | 15 | 793 | ||
| S72092Q | 08 | 564-566 | S72133A | 15 | 793 | S72309B | 24 | 955-965 | ||
| S72092R | 08 | 564-566 | S72133A | 24 | 955-965 | S72309C | 08 | 533-534 | ||
| S72092S | 08 | 559-561 | S72133B | 08 | 535-536 | S72309C | 15 | 793 | ||
| S72099A | 08 | 535-536 | S72133B | 15 | 793 | S72309C | 24 | 955-965 | ||
| S72099A | 15 | 793 | S72133B | 24 | 955-965 | S72309D | 08 | 559-561 | ||
| S72099A | 24 | 955-965 | S72133C | 08 | 535-536 | S72309E | 08 | 559-561 | ||
| S72099B | 08 | 535-536 | S72133C | 15 | 793 | S72309F | 08 | 559-561 | ||
| S72099B | 15 | 793 | S72133C | 24 | 955-965 | S72309G | 08 | 559-561 | ||
| S72099B | 24 | 955-965 | S72133D | 08 | 559-561 | S72309H | 08 | 559-561 | ||
| S72099C | 08 | 535-536 | S72133E | 08 | 559-561 | S72309J | 08 | 559-561 | ||
| S72099C | 15 | 793 | S72133F | 08 | 559-561 | S72309K | 08 | 564-566 | ||
| S72099C | 24 | 955-965 | S72133G | 08 | 559-561 | S72309M | 08 | 564-566 | ||
| S72099D | 08 | 559-561 | S72133H | 08 | 559-561 | S72309N | 08 | 564-566 | ||
| S72099E | 08 | 559-561 | S72133J | 08 | 559-561 | S72309P | 08 | 564-566 | ||
| S72099F | 08 | 559-561 | S72133K | 08 | 564-566 | S72309Q | 08 | 564-566 | ||
| S72099G | 08 | 559-561 | S72133M | 08 | 564-566 | S72309R | 08 | 564-566 | ||
| S72099H | 08 | 559-561 | S72133N | 08 | 564-566 | S72309S | 08 | 559-561 | ||
| S72099J | 08 | 559-561 | S72133P | 08 | 564-566 | S72321A | 08 | 533-534 | ||
| S72099K | 08 | 564-566 | S72133Q | 08 | 564-566 | S72321A | 15 | 793 | ||
| S72099M | 08 | 564-566 | S72133R | 08 | 564-566 | S72321A | 24 | 955-965 | ||
| S72099N | 08 | 564-566 | S72133S | 08 | 559-561 | S72321B | 08 | 533-534 | ||
| S72099P | 08 | 564-566 | S72134A | 08 | 535-536 | S72321B | 15 | 793 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
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