ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 18 of 70 |
| A000 B400 C771 C84Z9 D490 E113319 F15188 G930 H2143 H52512 I479 I7401 K08411 L101 M02049 M1A1291 M4104 M66822 M84451D M87332 N6019 O2652 O361915 O43811 O92113 Q512 R791 S02400A S06375A S1244XS S21022D S25302A S31611D S32591K S37092A S42135B S42462B S46909A S52099H S52301K S52562N S56191S S60417A S62001D S62329B S62668A S63682S S66821S S72042A S72322M S72451B S7722XS S82092Q S82255B S8264XD S8410XS S89399D S92055S S92504G S96919A T2039XD T23309D T2652XD T3991XA T45521D T50B13D T63303D T81519D T85510S Z7389 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| M66822 | 08 | 557-558 | M7550 | 08 | 557-558 | M80869D | 08 | 559-561 | ||
| M66829 | 08 | 557-558 | M7551 | 08 | 557-558 | M80869G | 08 | 559-561 | ||
| M66831 | 08 | 557-558 | M7552 | 08 | 557-558 | M80869K | 08 | 564-566 | ||
| M66832 | 08 | 557-558 | M7580 | 08 | 557-558 | M80869P | 08 | 564-566 | ||
| M66839 | 08 | 557-558 | M7581 | 08 | 557-558 | M80869S | 08 | 559-561 | ||
| M66841 | 08 | 557-558 | M7582 | 08 | 557-558 | M80871A | 08 | 542-544 | ||
| M66842 | 08 | 557-558 | M7590 | 08 | 557-558 | M80871A | 15 | 793 | ||
| M66849 | 08 | 557-558 | M7591 | 08 | 557-558 | M80871D | 08 | 559-561 | ||
| M66851 | 08 | 557-558 | M7592 | 08 | 557-558 | M80871G | 08 | 559-561 | ||
| M66852 | 08 | 557-558 | M7600 | 08 | 557-558 | M80871K | 08 | 564-566 | ||
| M66859 | 08 | 557-558 | M7601 | 08 | 557-558 | M80871P | 08 | 564-566 | ||
| M66861 | 08 | 557-558 | M7602 | 08 | 557-558 | M80871S | 08 | 559-561 | ||
| M66862 | 08 | 557-558 | M7610 | 08 | 557-558 | M80872A | 08 | 542-544 | ||
| M66869 | 08 | 557-558 | M7611 | 08 | 557-558 | M80872A | 15 | 793 | ||
| M66871 | 08 | 557-558 | M7612 | 08 | 557-558 | M80872D | 08 | 559-561 | ||
| M66872 | 08 | 557-558 | M7620 | 08 | 557-558 | M80872G | 08 | 559-561 | ||
| M66879 | 08 | 557-558 | M7621 | 08 | 557-558 | M80872K | 08 | 564-566 | ||
| M6688 | 08 | 557-558 | M7622 | 08 | 557-558 | M80872P | 08 | 564-566 | ||
| M6689 | 08 | 557-558 | M7630 | 08 | 557-558 | M80872S | 08 | 559-561 | ||
| M669 | 08 | 557-558 | M7631 | 08 | 557-558 | M80879A | 08 | 542-544 | ||
| M6700 | 08 | 557-558 | M7632 | 08 | 557-558 | M80879A | 15 | 793 | ||
| M6701 | 08 | 557-558 | M7640 | 08 | 557-558 | M80879D | 08 | 559-561 | ||
| M6702 | 08 | 557-558 | M7641 | 08 | 557-558 | M80879G | 08 | 559-561 | ||
| M6720 | 08 | 557-558 | M7642 | 08 | 557-558 | M80879K | 08 | 564-566 | ||
| M67211 | 08 | 557-558 | M7650 | 08 | 557-558 | M80879P | 08 | 564-566 | ||
| M67212 | 08 | 557-558 | M7651 | 08 | 557-558 | M80879S | 08 | 559-561 | ||
| M67219 | 08 | 557-558 | M7652 | 08 | 557-558 | M8088XA | 08 | 456-458 | ||
| M67221 | 08 | 557-558 | M7660 | 08 | 557-558 | M8088XA | 08 | 542-544 | ||
| M67222 | 08 | 557-558 | M7661 | 08 | 557-558 | M8088XA | 15 | 793 | ||
| M67229 | 08 | 557-558 | M7662 | 08 | 557-558 | M8088XD | 08 | 559-561 | ||
| M67231 | 08 | 557-558 | M7670 | 08 | 557-558 | M8088XG | 08 | 559-561 | ||
| M67232 | 08 | 557-558 | M7671 | 08 | 557-558 | M8088XK | 08 | 564-566 | ||
| M67239 | 08 | 557-558 | M7672 | 08 | 557-558 | M8088XP | 08 | 564-566 | ||
| M67241 | 08 | 557-558 | M76811 | 08 | 557-558 | M8088XS | 08 | 551-552 | ||
| M67242 | 08 | 557-558 | M76812 | 08 | 557-558 | M810 | 08 | 553-554 | ||
| M67249 | 08 | 557-558 | M76819 | 08 | 557-558 | M816 | 08 | 553-554 | ||
| M67251 | 08 | 557-558 | M76821 | 08 | 557-558 | M818 | 08 | 553-554 | ||
| M67252 | 08 | 557-558 | M76822 | 08 | 557-558 | M830 | 08 | 553-554 | ||
| M67259 | 08 | 557-558 | M76829 | 08 | 557-558 | M831 | 08 | 553-554 | ||
| M67261 | 08 | 557-558 | M76891 | 08 | 557-558 | M832 | 08 | 553-554 | ||
| M67262 | 08 | 557-558 | M76892 | 08 | 557-558 | M833 | 08 | 553-554 | ||
| M67269 | 08 | 557-558 | M76899 | 08 | 557-558 | M834 | 08 | 553-554 | ||
| M67271 | 08 | 557-558 | M769 | 08 | 557-558 | M835 | 08 | 553-554 | ||
| M67272 | 08 | 557-558 | M7700 | 08 | 557-558 | M838 | 08 | 553-554 | ||
| M67279 | 08 | 557-558 | M7701 | 08 | 557-558 | M839 | 08 | 553-554 | ||
| M6728 | 08 | 557-558 | M7702 | 08 | 557-558 | M8430XA | 08 | 542-544 | ||
| M6729 | 08 | 557-558 | M7710 | 08 | 557-558 | M8430XD | 08 | 559-561 | ||
| M6730 | 08 | 557-558 | M7711 | 08 | 557-558 | M8430XG | 08 | 559-561 | ||
| M67311 | 08 | 557-558 | M7712 | 08 | 557-558 | M8430XK | 08 | 564-566 | ||
| M67312 | 08 | 557-558 | M7720 | 08 | 557-558 | M8430XP | 08 | 564-566 | ||
| M67319 | 08 | 557-558 | M7721 | 08 | 557-558 | M8430XS | 08 | 559-561 | ||
| M67321 | 08 | 557-558 | M7722 | 08 | 557-558 | M84311A | 08 | 542-544 | ||
| M67322 | 08 | 557-558 | M7730 | 08 | 564-566 | M84311D | 08 | 559-561 | ||
| M67329 | 08 | 557-558 | M7731 | 08 | 564-566 | M84311G | 08 | 559-561 | ||
| M67331 | 08 | 557-558 | M7732 | 08 | 564-566 | M84311K | 08 | 564-566 | ||
| M67332 | 08 | 557-558 | M7740 | 08 | 557-558 | M84311P | 08 | 564-566 | ||
| M67339 | 08 | 557-558 | M7741 | 08 | 557-558 | M84311S | 08 | 559-561 | ||
| M67341 | 08 | 557-558 | M7742 | 08 | 557-558 | M84312A | 08 | 542-544 | ||
| M67342 | 08 | 557-558 | M7750 | 08 | 557-558 | M84312D | 08 | 559-561 | ||
| M67349 | 08 | 557-558 | M7751 | 08 | 557-558 | M84312G | 08 | 559-561 | ||
| M67351 | 08 | 557-558 | M7752 | 08 | 557-558 | M84312K | 08 | 564-566 | ||
| M67352 | 08 | 557-558 | M778 | 08 | 557-558 | M84312P | 08 | 564-566 | ||
| M67359 | 08 | 557-558 | M779 | 08 | 557-558 | M84312S | 08 | 559-561 | ||
| M67361 | 08 | 557-558 | M790 | 08 | 555-556 | M84319A | 08 | 542-544 | ||
| M67362 | 08 | 557-558 | M791 | 08 | 555-556 | M84319D | 08 | 559-561 | ||
| M67369 | 08 | 557-558 | M792 | 01 | 073-074 | M84319G | 08 | 559-561 | ||
| M67371 | 08 | 557-558 | M793 | 09 | 606-607 | M84319K | 08 | 564-566 | ||
| M67372 | 08 | 557-558 | M794 | 09 | 606-607 | M84319P | 08 | 564-566 | ||
| M67379 | 08 | 557-558 | M795 | 08 | 564-566 | M84319S | 08 | 559-561 | ||
| M6738 | 08 | 557-558 | M79601 | 08 | 555-556 | M84321A | 08 | 542-544 | ||
| M6739 | 08 | 557-558 | M79602 | 08 | 555-556 | M84321D | 08 | 559-561 | ||
| M6740 | 08 | 557-558 | M79603 | 08 | 555-556 | M84321G | 08 | 559-561 | ||
| M67411 | 08 | 557-558 | M79604 | 08 | 555-556 | M84321K | 08 | 564-566 | ||
| M67412 | 08 | 557-558 | M79605 | 08 | 555-556 | M84321P | 08 | 564-566 | ||
| M67419 | 08 | 557-558 | M79606 | 08 | 555-556 | M84321S | 08 | 559-561 | ||
| M67421 | 08 | 557-558 | M79609 | 08 | 555-556 | M84322A | 08 | 542-544 | ||
| M67422 | 08 | 557-558 | M79621 | 08 | 555-556 | M84322D | 08 | 559-561 | ||
| M67429 | 08 | 557-558 | M79622 | 08 | 555-556 | M84322G | 08 | 559-561 | ||
| M67431 | 08 | 557-558 | M79629 | 08 | 555-556 | M84322K | 08 | 564-566 | ||
| M67432 | 08 | 557-558 | M79631 | 08 | 555-556 | M84322P | 08 | 564-566 | ||
| M67439 | 08 | 557-558 | M79632 | 08 | 555-556 | M84322S | 08 | 559-561 | ||
| M67441 | 08 | 557-558 | M79639 | 08 | 555-556 | M84329A | 08 | 542-544 | ||
| M67442 | 08 | 557-558 | M79641 | 08 | 555-556 | M84329D | 08 | 559-561 | ||
| M67449 | 08 | 557-558 | M79642 | 08 | 555-556 | M84329G | 08 | 559-561 | ||
| M67451 | 08 | 557-558 | M79643 | 08 | 555-556 | M84329K | 08 | 564-566 | ||
| M67452 | 08 | 557-558 | M79644 | 08 | 555-556 | M84329P | 08 | 564-566 | ||
| M67459 | 08 | 557-558 | M79645 | 08 | 555-556 | M84329S | 08 | 559-561 | ||
| M67461 | 08 | 557-558 | M79646 | 08 | 555-556 | M84331A | 08 | 542-544 | ||
| M67462 | 08 | 557-558 | M79651 | 08 | 555-556 | M84331D | 08 | 559-561 | ||
| M67469 | 08 | 557-558 | M79652 | 08 | 555-556 | M84331G | 08 | 559-561 | ||
| M67471 | 08 | 557-558 | M79659 | 08 | 555-556 | M84331K | 08 | 564-566 | ||
| M67472 | 08 | 557-558 | M79661 | 08 | 555-556 | M84331P | 08 | 564-566 | ||
| M67479 | 08 | 557-558 | M79662 | 08 | 555-556 | M84331S | 08 | 559-561 | ||
| M6748 | 08 | 557-558 | M79669 | 08 | 555-556 | M84332A | 08 | 542-544 | ||
| M6749 | 08 | 557-558 | M79671 | 08 | 555-556 | M84332D | 08 | 559-561 | ||
| M6750 | 08 | 557-558 | M79672 | 08 | 555-556 | M84332G | 08 | 559-561 | ||
| M6751 | 08 | 557-558 | M79673 | 08 | 555-556 | M84332K | 08 | 564-566 | ||
| M6752 | 08 | 557-558 | M79674 | 08 | 555-556 | M84332P | 08 | 564-566 | ||
| M6780 | 08 | 557-558 | M79675 | 08 | 555-556 | M84332S | 08 | 559-561 | ||
| M67811 | 08 | 557-558 | M79676 | 08 | 555-556 | M84333A | 08 | 542-544 | ||
| M67812 | 08 | 557-558 | M797 | 08 | 555-556 | M84333D | 08 | 559-561 | ||
| M67813 | 08 | 557-558 | M7981 | 08 | 555-556 | M84333G | 08 | 559-561 | ||
| M67814 | 08 | 557-558 | M7989 | 08 | 555-556 | M84333K | 08 | 564-566 | ||
| M67819 | 08 | 557-558 | M799 | 08 | 555-556 | M84333P | 08 | 564-566 | ||
| M67821 | 08 | 557-558 | M79A11 | 08 | 557-558 | M84333S | 08 | 559-561 | ||
| M67822 | 08 | 557-558 | M79A12 | 08 | 557-558 | M84334A | 08 | 542-544 | ||
| M67823 | 08 | 557-558 | M79A19 | 08 | 557-558 | M84334D | 08 | 559-561 | ||
| M67824 | 08 | 557-558 | M79A21 | 08 | 557-558 | M84334G | 08 | 559-561 | ||
| M67829 | 08 | 557-558 | M79A22 | 08 | 557-558 | M84334K | 08 | 564-566 | ||
| M67831 | 08 | 557-558 | M79A29 | 08 | 557-558 | M84334P | 08 | 564-566 | ||
| M67832 | 08 | 557-558 | M79A3 | 08 | 557-558 | M84334S | 08 | 559-561 | ||
| M67833 | 08 | 557-558 | M79A9 | 08 | 557-558 | M84339A | 08 | 542-544 | ||
| M67834 | 08 | 557-558 | M8000XA | 08 | 542-544 | M84339D | 08 | 559-561 | ||
| M67839 | 08 | 557-558 | M8000XA | 15 | 793 | M84339G | 08 | 559-561 | ||
| M67841 | 08 | 557-558 | M8000XD | 08 | 559-561 | M84339K | 08 | 564-566 | ||
| M67842 | 08 | 557-558 | M8000XG | 08 | 559-561 | M84339P | 08 | 564-566 | ||
| M67843 | 08 | 557-558 | M8000XK | 08 | 564-566 | M84339S | 08 | 559-561 | ||
| M67844 | 08 | 557-558 | M8000XP | 08 | 564-566 | M84341A | 08 | 542-544 | ||
| M67849 | 08 | 557-558 | M8000XS | 08 | 559-561 | M84341D | 08 | 559-561 | ||
| M67851 | 08 | 557-558 | M80011A | 08 | 542-544 | M84341G | 08 | 559-561 | ||
| M67852 | 08 | 557-558 | M80011A | 15 | 793 | M84341K | 08 | 564-566 | ||
| M67853 | 08 | 557-558 | M80011D | 08 | 559-561 | M84341P | 08 | 564-566 | ||
| M67854 | 08 | 557-558 | M80011G | 08 | 559-561 | M84341S | 08 | 559-561 | ||
| M67859 | 08 | 557-558 | M80011K | 08 | 564-566 | M84342A | 08 | 542-544 | ||
| M67861 | 08 | 557-558 | M80011P | 08 | 564-566 | M84342D | 08 | 559-561 | ||
| M67862 | 08 | 557-558 | M80011S | 08 | 559-561 | M84342G | 08 | 559-561 | ||
| M67863 | 08 | 557-558 | M80012A | 08 | 542-544 | M84342K | 08 | 564-566 | ||
| M67864 | 08 | 557-558 | M80012A | 15 | 793 | M84342P | 08 | 564-566 | ||
| M67869 | 08 | 557-558 | M80012D | 08 | 559-561 | M84342S | 08 | 559-561 | ||
| M67871 | 08 | 557-558 | M80012G | 08 | 559-561 | M84343A | 08 | 542-544 | ||
| M67872 | 08 | 557-558 | M80012K | 08 | 564-566 | M84343D | 08 | 559-561 | ||
| M67873 | 08 | 557-558 | M80012P | 08 | 564-566 | M84343G | 08 | 559-561 | ||
| M67874 | 08 | 557-558 | M80012S | 08 | 559-561 | M84343K | 08 | 564-566 | ||
| M67879 | 08 | 557-558 | M80019A | 08 | 542-544 | M84343P | 08 | 564-566 | ||
| M6788 | 08 | 557-558 | M80019A | 15 | 793 | M84343S | 08 | 559-561 | ||
| M6789 | 08 | 557-558 | M80019D | 08 | 559-561 | M84344A | 08 | 542-544 | ||
| M6790 | 08 | 557-558 | M80019G | 08 | 559-561 | M84344D | 08 | 559-561 | ||
| M67911 | 08 | 557-558 | M80019K | 08 | 564-566 | M84344G | 08 | 559-561 | ||
| M67912 | 08 | 557-558 | M80019P | 08 | 564-566 | M84344K | 08 | 564-566 | ||
| M67919 | 08 | 557-558 | M80019S | 08 | 559-561 | M84344P | 08 | 564-566 | ||
| M67921 | 08 | 557-558 | M80021A | 08 | 542-544 | M84344S | 08 | 559-561 | ||
| M67922 | 08 | 557-558 | M80021A | 15 | 793 | M84345A | 08 | 542-544 | ||
| M67929 | 08 | 557-558 | M80021D | 08 | 559-561 | M84345D | 08 | 559-561 | ||
| M67931 | 08 | 557-558 | M80021G | 08 | 559-561 | M84345G | 08 | 559-561 | ||
| M67932 | 08 | 557-558 | M80021K | 08 | 564-566 | M84345K | 08 | 564-566 | ||
| M67939 | 08 | 557-558 | M80021P | 08 | 564-566 | M84345P | 08 | 564-566 | ||
| M67941 | 08 | 557-558 | M80021S | 08 | 559-561 | M84345S | 08 | 559-561 | ||
| M67942 | 08 | 557-558 | M80022A | 08 | 542-544 | M84346A | 08 | 542-544 | ||
| M67949 | 08 | 557-558 | M80022A | 15 | 793 | M84346D | 08 | 559-561 | ||
| M67951 | 08 | 557-558 | M80022D | 08 | 559-561 | M84346G | 08 | 559-561 | ||
| M67952 | 08 | 557-558 | M80022G | 08 | 559-561 | M84346K | 08 | 564-566 | ||
| M67959 | 08 | 557-558 | M80022K | 08 | 564-566 | M84346P | 08 | 564-566 | ||
| M67961 | 08 | 557-558 | M80022P | 08 | 564-566 | M84346S | 08 | 559-561 | ||
| M67962 | 08 | 557-558 | M80022S | 08 | 559-561 | M84350A | 08 | 542-544 | ||
| M67969 | 08 | 557-558 | M80029A | 08 | 542-544 | M84350D | 08 | 559-561 | ||
| M67971 | 08 | 557-558 | M80029A | 15 | 793 | M84350G | 08 | 559-561 | ||
| M67972 | 08 | 557-558 | M80029D | 08 | 559-561 | M84350K | 08 | 564-566 | ||
| M67979 | 08 | 557-558 | M80029G | 08 | 559-561 | M84350P | 08 | 564-566 | ||
| M6798 | 08 | 557-558 | M80029K | 08 | 564-566 | M84350S | 08 | 551-552 | ||
| M6799 | 08 | 557-558 | M80029P | 08 | 564-566 | M84351A | 08 | 542-544 | ||
| M70031 | 08 | 557-558 | M80029S | 08 | 559-561 | M84351D | 08 | 559-561 | ||
| M70032 | 08 | 557-558 | M80031A | 08 | 542-544 | M84351G | 08 | 559-561 | ||
| M70039 | 08 | 557-558 | M80031A | 15 | 793 | M84351K | 08 | 564-566 | ||
| M70041 | 08 | 557-558 | M80031D | 08 | 559-561 | M84351P | 08 | 564-566 | ||
| M70042 | 08 | 557-558 | M80031G | 08 | 559-561 | M84351S | 08 | 559-561 | ||
| M70049 | 08 | 557-558 | M80031K | 08 | 564-566 | M84352A | 08 | 542-544 | ||
| M7010 | 08 | 557-558 | M80031P | 08 | 564-566 | M84352D | 08 | 559-561 | ||
| M7011 | 08 | 557-558 | M80031S | 08 | 559-561 | M84352G | 08 | 559-561 | ||
| M7012 | 08 | 557-558 | M80032A | 08 | 542-544 | M84352K | 08 | 564-566 | ||
| M7020 | 08 | 557-558 | M80032A | 15 | 793 | M84352P | 08 | 564-566 | ||
| M7021 | 08 | 557-558 | M80032D | 08 | 559-561 | M84352S | 08 | 559-561 | ||
| M7022 | 08 | 557-558 | M80032G | 08 | 559-561 | M84353A | 08 | 542-544 | ||
| M7030 | 08 | 557-558 | M80032K | 08 | 564-566 | M84353D | 08 | 559-561 | ||
| M7031 | 08 | 557-558 | M80032P | 08 | 564-566 | M84353G | 08 | 559-561 | ||
| M7032 | 08 | 557-558 | M80032S | 08 | 559-561 | M84353K | 08 | 564-566 | ||
| M7040 | 08 | 557-558 | M80039A | 08 | 542-544 | M84353P | 08 | 564-566 | ||
| M7041 | 08 | 557-558 | M80039A | 15 | 793 | M84353S | 08 | 559-561 | ||
| M7042 | 08 | 557-558 | M80039D | 08 | 559-561 | M84359A | 08 | 542-544 | ||
| M7050 | 08 | 557-558 | M80039G | 08 | 559-561 | M84359D | 08 | 559-561 | ||
| M7051 | 08 | 557-558 | M80039K | 08 | 564-566 | M84359G | 08 | 559-561 | ||
| M7052 | 08 | 557-558 | M80039P | 08 | 564-566 | M84359K | 08 | 564-566 | ||
| M7060 | 08 | 557-558 | M80039S | 08 | 559-561 | M84359P | 08 | 564-566 | ||
| M7061 | 08 | 557-558 | M80041A | 08 | 542-544 | M84359S | 08 | 559-561 | ||
| M7062 | 08 | 557-558 | M80041A | 15 | 793 | M84361A | 08 | 542-544 | ||
| M7070 | 08 | 557-558 | M80041D | 08 | 559-561 | M84361D | 08 | 559-561 | ||
| M7071 | 08 | 557-558 | M80041G | 08 | 559-561 | M84361G | 08 | 559-561 | ||
| M7072 | 08 | 557-558 | M80041K | 08 | 564-566 | M84361K | 08 | 564-566 | ||
| M7080 | 08 | 555-556 | M80041P | 08 | 564-566 | M84361P | 08 | 564-566 | ||
| M70811 | 08 | 555-556 | M80041S | 08 | 559-561 | M84361S | 08 | 559-561 | ||
| M70812 | 08 | 555-556 | M80042A | 08 | 542-544 | M84362A | 08 | 542-544 | ||
| M70819 | 08 | 555-556 | M80042A | 15 | 793 | M84362D | 08 | 559-561 | ||
| M70821 | 08 | 555-556 | M80042D | 08 | 559-561 | M84362G | 08 | 559-561 | ||
| M70822 | 08 | 555-556 | M80042G | 08 | 559-561 | M84362K | 08 | 564-566 | ||
| M70829 | 08 | 555-556 | M80042K | 08 | 564-566 | M84362P | 08 | 564-566 | ||
| M70831 | 08 | 555-556 | M80042P | 08 | 564-566 | M84362S | 08 | 559-561 | ||
| M70832 | 08 | 555-556 | M80042S | 08 | 559-561 | M84363A | 08 | 542-544 | ||
| M70839 | 08 | 555-556 | M80049A | 08 | 542-544 | M84363D | 08 | 559-561 | ||
| M70841 | 08 | 555-556 | M80049A | 15 | 793 | M84363G | 08 | 559-561 | ||
| M70842 | 08 | 555-556 | M80049D | 08 | 559-561 | M84363K | 08 | 564-566 | ||
| M70849 | 08 | 555-556 | M80049G | 08 | 559-561 | M84363P | 08 | 564-566 | ||
| M70851 | 08 | 555-556 | M80049K | 08 | 564-566 | M84363S | 08 | 559-561 | ||
| M70852 | 08 | 555-556 | M80049P | 08 | 564-566 | M84364A | 08 | 542-544 | ||
| M70859 | 08 | 555-556 | M80049S | 08 | 559-561 | M84364D | 08 | 559-561 | ||
| M70861 | 08 | 555-556 | M80051A | 08 | 542-544 | M84364G | 08 | 559-561 | ||
| M70862 | 08 | 555-556 | M80051A | 15 | 793 | M84364K | 08 | 564-566 | ||
| M70869 | 08 | 555-556 | M80051D | 08 | 559-561 | M84364P | 08 | 564-566 | ||
| M70871 | 08 | 555-556 | M80051G | 08 | 559-561 | M84364S | 08 | 559-561 | ||
| M70872 | 08 | 555-556 | M80051K | 08 | 564-566 | M84369A | 08 | 542-544 | ||
| M70879 | 08 | 555-556 | M80051P | 08 | 564-566 | M84369D | 08 | 559-561 | ||
| M7088 | 08 | 555-556 | M80051S | 08 | 559-561 | M84369G | 08 | 559-561 | ||
| M7089 | 08 | 555-556 | M80052A | 08 | 542-544 | M84369K | 08 | 564-566 | ||
| M7090 | 08 | 555-556 | M80052A | 15 | 793 | M84369P | 08 | 564-566 | ||
| M70911 | 08 | 555-556 | M80052D | 08 | 559-561 | M84369S | 08 | 559-561 | ||
| M70912 | 08 | 555-556 | M80052G | 08 | 559-561 | M84371A | 08 | 542-544 | ||
| M70919 | 08 | 555-556 | M80052K | 08 | 564-566 | M84371D | 08 | 559-561 | ||
| M70921 | 08 | 555-556 | M80052P | 08 | 564-566 | M84371G | 08 | 559-561 | ||
| M70922 | 08 | 555-556 | M80052S | 08 | 559-561 | M84371K | 08 | 564-566 | ||
| M70929 | 08 | 555-556 | M80059A | 08 | 542-544 | M84371P | 08 | 564-566 | ||
| M70931 | 08 | 555-556 | M80059A | 15 | 793 | M84371S | 08 | 559-561 | ||
| M70932 | 08 | 555-556 | M80059D | 08 | 559-561 | M84372A | 08 | 542-544 | ||
| M70939 | 08 | 555-556 | M80059G | 08 | 559-561 | M84372D | 08 | 559-561 | ||
| M70941 | 08 | 555-556 | M80059K | 08 | 564-566 | M84372G | 08 | 559-561 | ||
| M70942 | 08 | 555-556 | M80059P | 08 | 564-566 | M84372K | 08 | 564-566 | ||
| M70949 | 08 | 555-556 | M80059S | 08 | 559-561 | M84372P | 08 | 564-566 | ||
| M70951 | 08 | 555-556 | M80061A | 08 | 542-544 | M84372S | 08 | 559-561 | ||
| M70952 | 08 | 555-556 | M80061A | 15 | 793 | M84373A | 08 | 542-544 | ||
| M70959 | 08 | 555-556 | M80061D | 08 | 559-561 | M84373D | 08 | 559-561 | ||
| M70961 | 08 | 555-556 | M80061G | 08 | 559-561 | M84373G | 08 | 559-561 | ||
| M70962 | 08 | 555-556 | M80061K | 08 | 564-566 | M84373K | 08 | 564-566 | ||
| M70969 | 08 | 555-556 | M80061P | 08 | 564-566 | M84373P | 08 | 564-566 | ||
| M70971 | 08 | 555-556 | M80061S | 08 | 559-561 | M84373S | 08 | 559-561 | ||
| M70972 | 08 | 555-556 | M80062A | 08 | 542-544 | M84374A | 08 | 542-544 | ||
| M70979 | 08 | 555-556 | M80062A | 15 | 793 | M84374D | 08 | 559-561 | ||
| M7098 | 08 | 555-556 | M80062D | 08 | 559-561 | M84374G | 08 | 559-561 | ||
| M7099 | 08 | 555-556 | M80062G | 08 | 559-561 | M84374K | 08 | 564-566 | ||
| M7100 | 08 | 557-558 | M80062K | 08 | 564-566 | M84374P | 08 | 564-566 | ||
| M71011 | 08 | 557-558 | M80062P | 08 | 564-566 | M84374S | 08 | 559-561 | ||
| M71012 | 08 | 557-558 | M80062S | 08 | 559-561 | M84375A | 08 | 542-544 | ||
| M71019 | 08 | 557-558 | M80069A | 08 | 542-544 | M84375D | 08 | 559-561 | ||
| M71021 | 08 | 557-558 | M80069A | 15 | 793 | M84375G | 08 | 559-561 | ||
| M71022 | 08 | 557-558 | M80069D | 08 | 559-561 | M84375K | 08 | 564-566 | ||
| M71029 | 08 | 557-558 | M80069G | 08 | 559-561 | M84375P | 08 | 564-566 | ||
| M71031 | 08 | 557-558 | M80069K | 08 | 564-566 | M84375S | 08 | 559-561 | ||
| M71032 | 08 | 557-558 | M80069P | 08 | 564-566 | M84376A | 08 | 542-544 | ||
| M71039 | 08 | 557-558 | M80069S | 08 | 559-561 | M84376D | 08 | 559-561 | ||
| M71041 | 08 | 557-558 | M80071A | 08 | 542-544 | M84376G | 08 | 559-561 | ||
| M71042 | 08 | 557-558 | M80071A | 15 | 793 | M84376K | 08 | 564-566 | ||
| M71049 | 08 | 557-558 | M80071D | 08 | 559-561 | M84376P | 08 | 564-566 | ||
| M71051 | 08 | 557-558 | M80071G | 08 | 559-561 | M84376S | 08 | 559-561 | ||
| M71052 | 08 | 557-558 | M80071K | 08 | 564-566 | M84377A | 08 | 542-544 | ||
| M71059 | 08 | 557-558 | M80071P | 08 | 564-566 | M84377D | 08 | 559-561 | ||
| M71061 | 08 | 557-558 | M80071S | 08 | 559-561 | M84377G | 08 | 559-561 | ||
| M71062 | 08 | 557-558 | M80072A | 08 | 542-544 | M84377K | 08 | 564-566 | ||
| M71069 | 08 | 557-558 | M80072A | 15 | 793 | M84377P | 08 | 564-566 | ||
| M71071 | 08 | 557-558 | M80072D | 08 | 559-561 | M84377S | 08 | 559-561 | ||
| M71072 | 08 | 557-558 | M80072G | 08 | 559-561 | M84378A | 08 | 542-544 | ||
| M71079 | 08 | 557-558 | M80072K | 08 | 564-566 | M84378D | 08 | 559-561 | ||
| M7108 | 08 | 557-558 | M80072P | 08 | 564-566 | M84378G | 08 | 559-561 | ||
| M7109 | 08 | 557-558 | M80072S | 08 | 559-561 | M84378K | 08 | 564-566 | ||
| M7110 | 08 | 557-558 | M80079A | 08 | 542-544 | M84378P | 08 | 564-566 | ||
| M71111 | 08 | 557-558 | M80079A | 15 | 793 | M84378S | 08 | 559-561 | ||
| M71112 | 08 | 557-558 | M80079D | 08 | 559-561 | M84379A | 08 | 542-544 | ||
| M71119 | 08 | 557-558 | M80079G | 08 | 559-561 | M84379D | 08 | 559-561 | ||
| M71121 | 08 | 557-558 | M80079K | 08 | 564-566 | M84379G | 08 | 559-561 | ||
| M71122 | 08 | 557-558 | M80079P | 08 | 564-566 | M84379K | 08 | 564-566 | ||
| M71129 | 08 | 557-558 | M80079S | 08 | 559-561 | M84379P | 08 | 564-566 | ||
| M71131 | 08 | 557-558 | M8008XA | 08 | 456-458 | M84379S | 08 | 559-561 | ||
| M71132 | 08 | 557-558 | M8008XA | 08 | 542-544 | M8438XA | 08 | 542-544 | ||
| M71139 | 08 | 557-558 | M8008XA | 15 | 793 | M8438XD | 08 | 559-561 | ||
| M71141 | 08 | 557-558 | M8008XD | 08 | 559-561 | M8438XG | 08 | 559-561 | ||
| M71142 | 08 | 557-558 | M8008XG | 08 | 559-561 | M8438XK | 08 | 564-566 | ||
| M71149 | 08 | 557-558 | M8008XK | 08 | 564-566 | M8438XP | 08 | 564-566 | ||
| M71151 | 08 | 557-558 | M8008XP | 08 | 564-566 | M8438XS | 08 | 559-561 | ||
| M71152 | 08 | 557-558 | M8008XS | 08 | 551-552 | M8440XA | 08 | 542-544 | ||
| M71159 | 08 | 557-558 | M8080XA | 08 | 542-544 | M8440XA | 15 | 793 | ||
| M71161 | 08 | 557-558 | M8080XA | 15 | 793 | M8440XD | 08 | 559-561 | ||
| M71162 | 08 | 557-558 | M8080XD | 08 | 559-561 | M8440XG | 08 | 559-561 | ||
| M71169 | 08 | 557-558 | M8080XG | 08 | 559-561 | M8440XK | 08 | 564-566 | ||
| M71171 | 08 | 557-558 | M8080XK | 08 | 564-566 | M8440XP | 08 | 564-566 | ||
| M71172 | 08 | 557-558 | M8080XP | 08 | 564-566 | M8440XS | 08 | 559-561 | ||
| M71179 | 08 | 557-558 | M8080XS | 08 | 559-561 | M84411A | 08 | 542-544 | ||
| M7118 | 08 | 557-558 | M80811A | 08 | 542-544 | M84411A | 15 | 793 | ||
| M7119 | 08 | 557-558 | M80811A | 15 | 793 | M84411D | 08 | 559-561 | ||
| M7120 | 08 | 557-558 | M80811D | 08 | 559-561 | M84411G | 08 | 559-561 | ||
| M7121 | 08 | 557-558 | M80811G | 08 | 559-561 | M84411K | 08 | 564-566 | ||
| M7122 | 08 | 557-558 | M80811K | 08 | 564-566 | M84411P | 08 | 564-566 | ||
| M7130 | 08 | 557-558 | M80811P | 08 | 564-566 | M84411S | 08 | 559-561 | ||
| M71311 | 08 | 557-558 | M80811S | 08 | 559-561 | M84412A | 08 | 542-544 | ||
| M71312 | 08 | 557-558 | M80812A | 08 | 542-544 | M84412A | 15 | 793 | ||
| M71319 | 08 | 557-558 | M80812A | 15 | 793 | M84412D | 08 | 559-561 | ||
| M71321 | 08 | 557-558 | M80812D | 08 | 559-561 | M84412G | 08 | 559-561 | ||
| M71322 | 08 | 557-558 | M80812G | 08 | 559-561 | M84412K | 08 | 564-566 | ||
| M71329 | 08 | 557-558 | M80812K | 08 | 564-566 | M84412P | 08 | 564-566 | ||
| M71331 | 08 | 557-558 | M80812P | 08 | 564-566 | M84412S | 08 | 559-561 | ||
| M71332 | 08 | 557-558 | M80812S | 08 | 559-561 | M84419A | 08 | 542-544 | ||
| M71339 | 08 | 557-558 | M80819A | 08 | 542-544 | M84419A | 15 | 793 | ||
| M71341 | 08 | 557-558 | M80819A | 15 | 793 | M84419D | 08 | 559-561 | ||
| M71342 | 08 | 557-558 | M80819D | 08 | 559-561 | M84419G | 08 | 559-561 | ||
| M71349 | 08 | 557-558 | M80819G | 08 | 559-561 | M84419K | 08 | 564-566 | ||
| M71351 | 08 | 557-558 | M80819K | 08 | 564-566 | M84419P | 08 | 564-566 | ||
| M71352 | 08 | 557-558 | M80819P | 08 | 564-566 | M84419S | 08 | 559-561 | ||
| M71359 | 08 | 557-558 | M80819S | 08 | 559-561 | M84421A | 08 | 542-544 | ||
| M71371 | 08 | 557-558 | M80821A | 08 | 542-544 | M84421A | 15 | 793 | ||
| M71372 | 08 | 557-558 | M80821A | 15 | 793 | M84421D | 08 | 559-561 | ||
| M71379 | 08 | 557-558 | M80821D | 08 | 559-561 | M84421G | 08 | 559-561 | ||
| M7138 | 08 | 557-558 | M80821G | 08 | 559-561 | M84421K | 08 | 564-566 | ||
| M7139 | 08 | 557-558 | M80821K | 08 | 564-566 | M84421P | 08 | 564-566 | ||
| M7140 | 08 | 557-558 | M80821P | 08 | 564-566 | M84421S | 08 | 559-561 | ||
| M71421 | 08 | 557-558 | M80821S | 08 | 559-561 | M84422A | 08 | 542-544 | ||
| M71422 | 08 | 557-558 | M80822A | 08 | 542-544 | M84422A | 15 | 793 | ||
| M71429 | 08 | 557-558 | M80822A | 15 | 793 | M84422D | 08 | 559-561 | ||
| M71431 | 08 | 557-558 | M80822D | 08 | 559-561 | M84422G | 08 | 559-561 | ||
| M71432 | 08 | 557-558 | M80822G | 08 | 559-561 | M84422K | 08 | 564-566 | ||
| M71439 | 08 | 557-558 | M80822K | 08 | 564-566 | M84422P | 08 | 564-566 | ||
| M71441 | 08 | 557-558 | M80822P | 08 | 564-566 | M84422S | 08 | 559-561 | ||
| M71442 | 08 | 557-558 | M80822S | 08 | 559-561 | M84429A | 08 | 542-544 | ||
| M71449 | 08 | 557-558 | M80829A | 08 | 542-544 | M84429A | 15 | 793 | ||
| M71451 | 08 | 557-558 | M80829A | 15 | 793 | M84429D | 08 | 559-561 | ||
| M71452 | 08 | 557-558 | M80829D | 08 | 559-561 | M84429G | 08 | 559-561 | ||
| M71459 | 08 | 557-558 | M80829G | 08 | 559-561 | M84429K | 08 | 564-566 | ||
| M71461 | 08 | 557-558 | M80829K | 08 | 564-566 | M84429P | 08 | 564-566 | ||
| M71462 | 08 | 557-558 | M80829P | 08 | 564-566 | M84429S | 08 | 559-561 | ||
| M71469 | 08 | 557-558 | M80829S | 08 | 559-561 | M84431A | 08 | 542-544 | ||
| M71471 | 08 | 557-558 | M80831A | 08 | 542-544 | M84431A | 15 | 793 | ||
| M71472 | 08 | 557-558 | M80831A | 15 | 793 | M84431D | 08 | 559-561 | ||
| M71479 | 08 | 557-558 | M80831D | 08 | 559-561 | M84431G | 08 | 559-561 | ||
| M7148 | 08 | 557-558 | M80831G | 08 | 559-561 | M84431K | 08 | 564-566 | ||
| M7149 | 08 | 557-558 | M80831K | 08 | 564-566 | M84431P | 08 | 564-566 | ||
| M7150 | 08 | 557-558 | M80831P | 08 | 564-566 | M84431S | 08 | 559-561 | ||
| M71521 | 08 | 557-558 | M80831S | 08 | 559-561 | M84432A | 08 | 542-544 | ||
| M71522 | 08 | 557-558 | M80832A | 08 | 542-544 | M84432A | 15 | 793 | ||
| M71529 | 08 | 557-558 | M80832A | 15 | 793 | M84432D | 08 | 559-561 | ||
| M71531 | 08 | 557-558 | M80832D | 08 | 559-561 | M84432G | 08 | 559-561 | ||
| M71532 | 08 | 557-558 | M80832G | 08 | 559-561 | M84432K | 08 | 564-566 | ||
| M71539 | 08 | 557-558 | M80832K | 08 | 564-566 | M84432P | 08 | 564-566 | ||
| M71541 | 08 | 557-558 | M80832P | 08 | 564-566 | M84432S | 08 | 559-561 | ||
| M71542 | 08 | 557-558 | M80832S | 08 | 559-561 | M84433A | 08 | 542-544 | ||
| M71549 | 08 | 557-558 | M80839A | 08 | 542-544 | M84433A | 15 | 793 | ||
| M71551 | 08 | 557-558 | M80839A | 15 | 793 | M84433D | 08 | 559-561 | ||
| M71552 | 08 | 557-558 | M80839D | 08 | 559-561 | M84433G | 08 | 559-561 | ||
| M71559 | 08 | 557-558 | M80839G | 08 | 559-561 | M84433K | 08 | 564-566 | ||
| M71561 | 08 | 557-558 | M80839K | 08 | 564-566 | M84433P | 08 | 564-566 | ||
| M71562 | 08 | 557-558 | M80839P | 08 | 564-566 | M84433S | 08 | 559-561 | ||
| M71569 | 08 | 557-558 | M80839S | 08 | 559-561 | M84434A | 08 | 542-544 | ||
| M71571 | 08 | 557-558 | M80841A | 08 | 542-544 | M84434A | 15 | 793 | ||
| M71572 | 08 | 557-558 | M80841A | 15 | 793 | M84434D | 08 | 559-561 | ||
| M71579 | 08 | 557-558 | M80841D | 08 | 559-561 | M84434G | 08 | 559-561 | ||
| M7158 | 08 | 557-558 | M80841G | 08 | 559-561 | M84434K | 08 | 564-566 | ||
| M7180 | 08 | 557-558 | M80841K | 08 | 564-566 | M84434P | 08 | 564-566 | ||
| M71811 | 08 | 557-558 | M80841P | 08 | 564-566 | M84434S | 08 | 559-561 | ||
| M71812 | 08 | 557-558 | M80841S | 08 | 559-561 | M84439A | 08 | 542-544 | ||
| M71819 | 08 | 557-558 | M80842A | 08 | 542-544 | M84439A | 15 | 793 | ||
| M71821 | 08 | 557-558 | M80842A | 15 | 793 | M84439D | 08 | 559-561 | ||
| M71822 | 08 | 557-558 | M80842D | 08 | 559-561 | M84439G | 08 | 559-561 | ||
| M71829 | 08 | 557-558 | M80842G | 08 | 559-561 | M84439K | 08 | 564-566 | ||
| M71831 | 08 | 557-558 | M80842K | 08 | 564-566 | M84439P | 08 | 564-566 | ||
| M71832 | 08 | 557-558 | M80842P | 08 | 564-566 | M84439S | 08 | 559-561 | ||
| M71839 | 08 | 557-558 | M80842S | 08 | 559-561 | M84441A | 08 | 542-544 | ||
| M71841 | 08 | 557-558 | M80849A | 08 | 542-544 | M84441A | 15 | 793 | ||
| M71842 | 08 | 557-558 | M80849A | 15 | 793 | M84441D | 08 | 559-561 | ||
| M71849 | 08 | 557-558 | M80849D | 08 | 559-561 | M84441G | 08 | 559-561 | ||
| M71851 | 08 | 557-558 | M80849G | 08 | 559-561 | M84441K | 08 | 564-566 | ||
| M71852 | 08 | 557-558 | M80849K | 08 | 564-566 | M84441P | 08 | 564-566 | ||
| M71859 | 08 | 557-558 | M80849P | 08 | 564-566 | M84441S | 08 | 559-561 | ||
| M71861 | 08 | 557-558 | M80849S | 08 | 559-561 | M84442A | 08 | 542-544 | ||
| M71862 | 08 | 557-558 | M80851A | 08 | 542-544 | M84442A | 15 | 793 | ||
| M71869 | 08 | 557-558 | M80851A | 15 | 793 | M84442D | 08 | 559-561 | ||
| M71871 | 08 | 557-558 | M80851D | 08 | 559-561 | M84442G | 08 | 559-561 | ||
| M71872 | 08 | 557-558 | M80851G | 08 | 559-561 | M84442K | 08 | 564-566 | ||
| M71879 | 08 | 557-558 | M80851K | 08 | 564-566 | M84442P | 08 | 564-566 | ||
| M7188 | 08 | 557-558 | M80851P | 08 | 564-566 | M84442S | 08 | 559-561 | ||
| M7189 | 08 | 557-558 | M80851S | 08 | 559-561 | M84443A | 08 | 542-544 | ||
| M719 | 08 | 557-558 | M80852A | 08 | 542-544 | M84443A | 15 | 793 | ||
| M720 | 08 | 557-558 | M80852A | 15 | 793 | M84443D | 08 | 559-561 | ||
| M721 | 08 | 557-558 | M80852D | 08 | 559-561 | M84443G | 08 | 559-561 | ||
| M722 | 08 | 557-558 | M80852G | 08 | 559-561 | M84443K | 08 | 564-566 | ||
| M724 | 08 | 557-558 | M80852K | 08 | 564-566 | M84443P | 08 | 564-566 | ||
| M726 | 08 | 557-558 | M80852P | 08 | 564-566 | M84443S | 08 | 559-561 | ||
| M728 | 08 | 557-558 | M80852S | 08 | 559-561 | M84444A | 08 | 542-544 | ||
| M729 | 08 | 557-558 | M80859A | 08 | 542-544 | M84444A | 15 | 793 | ||
| M7500 | 08 | 557-558 | M80859A | 15 | 793 | M84444D | 08 | 559-561 | ||
| M7501 | 08 | 557-558 | M80859D | 08 | 559-561 | M84444G | 08 | 559-561 | ||
| M7502 | 08 | 557-558 | M80859G | 08 | 559-561 | M84444K | 08 | 564-566 | ||
| M75100 | 08 | 557-558 | M80859K | 08 | 564-566 | M84444P | 08 | 564-566 | ||
| M75101 | 08 | 557-558 | M80859P | 08 | 564-566 | M84444S | 08 | 559-561 | ||
| M75102 | 08 | 557-558 | M80859S | 08 | 559-561 | M84445A | 08 | 542-544 | ||
| M75110 | 08 | 557-558 | M80861A | 08 | 542-544 | M84445A | 15 | 793 | ||
| M75111 | 08 | 557-558 | M80861A | 15 | 793 | M84445D | 08 | 559-561 | ||
| M75112 | 08 | 557-558 | M80861D | 08 | 559-561 | M84445G | 08 | 559-561 | ||
| M75120 | 08 | 557-558 | M80861G | 08 | 559-561 | M84445K | 08 | 564-566 | ||
| M75121 | 08 | 557-558 | M80861K | 08 | 564-566 | M84445P | 08 | 564-566 | ||
| M75122 | 08 | 557-558 | M80861P | 08 | 564-566 | M84445S | 08 | 559-561 | ||
| M7520 | 08 | 557-558 | M80861S | 08 | 559-561 | M84446A | 08 | 542-544 | ||
| M7521 | 08 | 557-558 | M80862A | 08 | 542-544 | M84446A | 15 | 793 | ||
| M7522 | 08 | 557-558 | M80862A | 15 | 793 | M84446D | 08 | 559-561 | ||
| M7530 | 08 | 557-558 | M80862D | 08 | 559-561 | M84446G | 08 | 559-561 | ||
| M7531 | 08 | 557-558 | M80862G | 08 | 559-561 | M84446K | 08 | 564-566 | ||
| M7532 | 08 | 557-558 | M80862K | 08 | 564-566 | M84446P | 08 | 564-566 | ||
| M7540 | 08 | 557-558 | M80862P | 08 | 564-566 | M84446S | 08 | 559-561 | ||
| M7541 | 08 | 557-558 | M80862S | 08 | 559-561 | M84451A | 08 | 542-544 | ||
| M7542 | 08 | 557-558 | M80869A | 08 | 542-544 | M84451A | 15 | 793 | ||
| M80869A | 15 | 793 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Aug 2017 11:52:25 CMS, code-revision=63, description-revision=616 |