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 33 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S31611D | 23 | 949-950 | S32041D | 08 | 559-561 | S32422G | 08 | 559-561 | ||
| S31611S | 09 | 604-605 | S32041G | 08 | 559-561 | S32422K | 08 | 564-566 | ||
| S31612A | 06 | 393-395 | S32041K | 08 | 564-566 | S32422S | 08 | 551-552 | ||
| S31612A | 24 | 955-965 | S32041S | 08 | 551-552 | S32423A | 08 | 535-536 | ||
| S31612D | 23 | 949-950 | S32042A | 08 | 551-552 | S32423A | 24 | 955-965 | ||
| S31612S | 09 | 604-605 | S32042A | 24 | 955-965 | S32423B | 08 | 535-536 | ||
| S31613A | 06 | 393-395 | S32042B | 08 | 551-552 | S32423B | 24 | 955-965 | ||
| S31613A | 24 | 955-965 | S32042B | 24 | 955-965 | S32423D | 08 | 559-561 | ||
| S31613D | 23 | 949-950 | S32042D | 08 | 559-561 | S32423G | 08 | 559-561 | ||
| S31613S | 09 | 604-605 | S32042G | 08 | 559-561 | S32423K | 08 | 564-566 | ||
| S31614A | 06 | 393-395 | S32042K | 08 | 564-566 | S32423S | 08 | 551-552 | ||
| S31614A | 24 | 955-965 | S32042S | 08 | 551-552 | S32424A | 08 | 535-536 | ||
| S31614D | 23 | 949-950 | S32048A | 08 | 551-552 | S32424A | 24 | 955-965 | ||
| S31614S | 09 | 604-605 | S32048A | 24 | 955-965 | S32424B | 08 | 535-536 | ||
| S31615A | 06 | 393-395 | S32048B | 08 | 551-552 | S32424B | 24 | 955-965 | ||
| S31615A | 24 | 955-965 | S32048B | 24 | 955-965 | S32424D | 08 | 559-561 | ||
| S31615D | 23 | 949-950 | S32048D | 08 | 559-561 | S32424G | 08 | 559-561 | ||
| S31615S | 09 | 604-605 | S32048G | 08 | 559-561 | S32424K | 08 | 564-566 | ||
| S31619A | 06 | 393-395 | S32048K | 08 | 564-566 | S32424S | 08 | 551-552 | ||
| S31619A | 24 | 955-965 | S32048S | 08 | 551-552 | S32425A | 08 | 535-536 | ||
| S31619D | 23 | 949-950 | S32049A | 08 | 551-552 | S32425A | 24 | 955-965 | ||
| S31619S | 09 | 604-605 | S32049A | 24 | 955-965 | S32425B | 08 | 535-536 | ||
| S31620A | 06 | 393-395 | S32049B | 08 | 551-552 | S32425B | 24 | 955-965 | ||
| S31620A | 24 | 955-965 | S32049B | 24 | 955-965 | S32425D | 08 | 559-561 | ||
| S31620D | 23 | 949-950 | S32049D | 08 | 559-561 | S32425G | 08 | 559-561 | ||
| S31620S | 09 | 604-605 | S32049G | 08 | 559-561 | S32425K | 08 | 564-566 | ||
| S31621A | 06 | 393-395 | S32049K | 08 | 564-566 | S32425S | 08 | 551-552 | ||
| S31621A | 24 | 955-965 | S32049S | 08 | 551-552 | S32426A | 08 | 535-536 | ||
| S31621D | 23 | 949-950 | S32050A | 08 | 551-552 | S32426A | 24 | 955-965 | ||
| S31621S | 09 | 604-605 | S32050A | 24 | 955-965 | S32426B | 08 | 535-536 | ||
| S31622A | 06 | 393-395 | S32050B | 08 | 551-552 | S32426B | 24 | 955-965 | ||
| S31622A | 24 | 955-965 | S32050B | 24 | 955-965 | S32426D | 08 | 559-561 | ||
| S31622D | 23 | 949-950 | S32050D | 08 | 559-561 | S32426G | 08 | 559-561 | ||
| S31622S | 09 | 604-605 | S32050G | 08 | 559-561 | S32426K | 08 | 564-566 | ||
| S31623A | 06 | 393-395 | S32050K | 08 | 564-566 | S32426S | 08 | 551-552 | ||
| S31623A | 24 | 955-965 | S32050S | 08 | 551-552 | S32431A | 08 | 535-536 | ||
| S31623D | 23 | 949-950 | S32051A | 08 | 551-552 | S32431A | 24 | 955-965 | ||
| S31623S | 09 | 604-605 | S32051A | 24 | 955-965 | S32431B | 08 | 535-536 | ||
| S31624A | 06 | 393-395 | S32051B | 08 | 551-552 | S32431B | 24 | 955-965 | ||
| S31624A | 24 | 955-965 | S32051B | 24 | 955-965 | S32431D | 08 | 559-561 | ||
| S31624D | 23 | 949-950 | S32051D | 08 | 559-561 | S32431G | 08 | 559-561 | ||
| S31624S | 09 | 604-605 | S32051G | 08 | 559-561 | S32431K | 08 | 564-566 | ||
| S31625A | 06 | 393-395 | S32051K | 08 | 564-566 | S32431S | 08 | 551-552 | ||
| S31625A | 24 | 955-965 | S32051S | 08 | 551-552 | S32432A | 08 | 535-536 | ||
| S31625D | 23 | 949-950 | S32052A | 08 | 551-552 | S32432A | 24 | 955-965 | ||
| S31625S | 09 | 604-605 | S32052A | 24 | 955-965 | S32432B | 08 | 535-536 | ||
| S31629A | 06 | 393-395 | S32052B | 08 | 551-552 | S32432B | 24 | 955-965 | ||
| S31629A | 24 | 955-965 | S32052B | 24 | 955-965 | S32432D | 08 | 559-561 | ||
| S31629D | 23 | 949-950 | S32052D | 08 | 559-561 | S32432G | 08 | 559-561 | ||
| S31629S | 09 | 604-605 | S32052G | 08 | 559-561 | S32432K | 08 | 564-566 | ||
| S31630A | 06 | 393-395 | S32052K | 08 | 564-566 | S32432S | 08 | 551-552 | ||
| S31630A | 24 | 955-965 | S32052S | 08 | 551-552 | S32433A | 08 | 535-536 | ||
| S31630D | 23 | 949-950 | S32058A | 08 | 551-552 | S32433A | 24 | 955-965 | ||
| S31630S | 09 | 604-605 | S32058A | 24 | 955-965 | S32433B | 08 | 535-536 | ||
| S31631A | 06 | 393-395 | S32058B | 08 | 551-552 | S32433B | 24 | 955-965 | ||
| S31631A | 24 | 955-965 | S32058B | 24 | 955-965 | S32433D | 08 | 559-561 | ||
| S31631D | 23 | 949-950 | S32058D | 08 | 559-561 | S32433G | 08 | 559-561 | ||
| S31631S | 09 | 604-605 | S32058G | 08 | 559-561 | S32433K | 08 | 564-566 | ||
| S31632A | 06 | 393-395 | S32058K | 08 | 564-566 | S32433S | 08 | 551-552 | ||
| S31632A | 24 | 955-965 | S32058S | 08 | 551-552 | S32434A | 08 | 535-536 | ||
| S31632D | 23 | 949-950 | S32059A | 08 | 551-552 | S32434A | 24 | 955-965 | ||
| S31632S | 09 | 604-605 | S32059A | 24 | 955-965 | S32434B | 08 | 535-536 | ||
| S31633A | 06 | 393-395 | S32059B | 08 | 551-552 | S32434B | 24 | 955-965 | ||
| S31633A | 24 | 955-965 | S32059B | 24 | 955-965 | S32434D | 08 | 559-561 | ||
| S31633D | 23 | 949-950 | S32059D | 08 | 559-561 | S32434G | 08 | 559-561 | ||
| S31633S | 09 | 604-605 | S32059G | 08 | 559-561 | S32434K | 08 | 564-566 | ||
| S31634A | 06 | 393-395 | S32059K | 08 | 564-566 | S32434S | 08 | 551-552 | ||
| S31634A | 24 | 955-965 | S32059S | 08 | 551-552 | S32435A | 08 | 535-536 | ||
| S31634D | 23 | 949-950 | S3210XA | 08 | 551-552 | S32435A | 24 | 955-965 | ||
| S31634S | 09 | 604-605 | S3210XA | 24 | 955-965 | S32435B | 08 | 535-536 | ||
| S31635A | 06 | 393-395 | S3210XB | 08 | 551-552 | S32435B | 24 | 955-965 | ||
| S31635A | 24 | 955-965 | S3210XB | 24 | 955-965 | S32435D | 08 | 559-561 | ||
| S31635D | 23 | 949-950 | S3210XD | 08 | 559-561 | S32435G | 08 | 559-561 | ||
| S31635S | 09 | 604-605 | S3210XG | 08 | 559-561 | S32435K | 08 | 564-566 | ||
| S31639A | 06 | 393-395 | S3210XK | 08 | 564-566 | S32435S | 08 | 551-552 | ||
| S31639A | 24 | 955-965 | S3210XS | 08 | 551-552 | S32436A | 08 | 535-536 | ||
| S31639D | 23 | 949-950 | S32110A | 08 | 551-552 | S32436A | 24 | 955-965 | ||
| S31639S | 09 | 604-605 | S32110A | 24 | 955-965 | S32436B | 08 | 535-536 | ||
| S31640A | 06 | 393-395 | S32110B | 08 | 551-552 | S32436B | 24 | 955-965 | ||
| S31640A | 24 | 955-965 | S32110B | 24 | 955-965 | S32436D | 08 | 559-561 | ||
| S31640D | 23 | 949-950 | S32110D | 08 | 559-561 | S32436G | 08 | 559-561 | ||
| S31640S | 09 | 604-605 | S32110G | 08 | 559-561 | S32436K | 08 | 564-566 | ||
| S31641A | 06 | 393-395 | S32110K | 08 | 564-566 | S32436S | 08 | 551-552 | ||
| S31641A | 24 | 955-965 | S32110S | 08 | 551-552 | S32441A | 08 | 535-536 | ||
| S31641D | 23 | 949-950 | S32111A | 08 | 551-552 | S32441A | 24 | 955-965 | ||
| S31641S | 09 | 604-605 | S32111A | 24 | 955-965 | S32441B | 08 | 535-536 | ||
| S31642A | 06 | 393-395 | S32111B | 08 | 551-552 | S32441B | 24 | 955-965 | ||
| S31642A | 24 | 955-965 | S32111B | 24 | 955-965 | S32441D | 08 | 559-561 | ||
| S31642D | 23 | 949-950 | S32111D | 08 | 559-561 | S32441G | 08 | 559-561 | ||
| S31642S | 09 | 604-605 | S32111G | 08 | 559-561 | S32441K | 08 | 564-566 | ||
| S31643A | 06 | 393-395 | S32111K | 08 | 564-566 | S32441S | 08 | 551-552 | ||
| S31643A | 24 | 955-965 | S32111S | 08 | 551-552 | S32442A | 08 | 535-536 | ||
| S31643D | 23 | 949-950 | S32112A | 08 | 551-552 | S32442A | 24 | 955-965 | ||
| S31643S | 09 | 604-605 | S32112A | 24 | 955-965 | S32442B | 08 | 535-536 | ||
| S31644A | 06 | 393-395 | S32112B | 08 | 551-552 | S32442B | 24 | 955-965 | ||
| S31644A | 24 | 955-965 | S32112B | 24 | 955-965 | S32442D | 08 | 559-561 | ||
| S31644D | 23 | 949-950 | S32112D | 08 | 559-561 | S32442G | 08 | 559-561 | ||
| S31644S | 09 | 604-605 | S32112G | 08 | 559-561 | S32442K | 08 | 564-566 | ||
| S31645A | 06 | 393-395 | S32112K | 08 | 564-566 | S32442S | 08 | 551-552 | ||
| S31645A | 24 | 955-965 | S32112S | 08 | 551-552 | S32443A | 08 | 535-536 | ||
| S31645D | 23 | 949-950 | S32119A | 08 | 551-552 | S32443A | 24 | 955-965 | ||
| S31645S | 09 | 604-605 | S32119A | 24 | 955-965 | S32443B | 08 | 535-536 | ||
| S31649A | 06 | 393-395 | S32119B | 08 | 551-552 | S32443B | 24 | 955-965 | ||
| S31649A | 24 | 955-965 | S32119B | 24 | 955-965 | S32443D | 08 | 559-561 | ||
| S31649D | 23 | 949-950 | S32119D | 08 | 559-561 | S32443G | 08 | 559-561 | ||
| S31649S | 09 | 604-605 | S32119G | 08 | 559-561 | S32443K | 08 | 564-566 | ||
| S31650A | 06 | 393-395 | S32119K | 08 | 564-566 | S32443S | 08 | 551-552 | ||
| S31650A | 24 | 955-965 | S32119S | 08 | 551-552 | S32444A | 08 | 535-536 | ||
| S31650D | 23 | 949-950 | S32120A | 08 | 551-552 | S32444A | 24 | 955-965 | ||
| S31650S | 09 | 604-605 | S32120A | 24 | 955-965 | S32444B | 08 | 535-536 | ||
| S31651A | 06 | 393-395 | S32120B | 08 | 551-552 | S32444B | 24 | 955-965 | ||
| S31651A | 24 | 955-965 | S32120B | 24 | 955-965 | S32444D | 08 | 559-561 | ||
| S31651D | 23 | 949-950 | S32120D | 08 | 559-561 | S32444G | 08 | 559-561 | ||
| S31651S | 09 | 604-605 | S32120G | 08 | 559-561 | S32444K | 08 | 564-566 | ||
| S31652A | 06 | 393-395 | S32120K | 08 | 564-566 | S32444S | 08 | 551-552 | ||
| S31652A | 24 | 955-965 | S32120S | 08 | 551-552 | S32445A | 08 | 535-536 | ||
| S31652D | 23 | 949-950 | S32121A | 08 | 551-552 | S32445A | 24 | 955-965 | ||
| S31652S | 09 | 604-605 | S32121A | 24 | 955-965 | S32445B | 08 | 535-536 | ||
| S31653A | 06 | 393-395 | S32121B | 08 | 551-552 | S32445B | 24 | 955-965 | ||
| S31653A | 24 | 955-965 | S32121B | 24 | 955-965 | S32445D | 08 | 559-561 | ||
| S31653D | 23 | 949-950 | S32121D | 08 | 559-561 | S32445G | 08 | 559-561 | ||
| S31653S | 09 | 604-605 | S32121G | 08 | 559-561 | S32445K | 08 | 564-566 | ||
| S31654A | 06 | 393-395 | S32121K | 08 | 564-566 | S32445S | 08 | 551-552 | ||
| S31654A | 24 | 955-965 | S32121S | 08 | 551-552 | S32446A | 08 | 535-536 | ||
| S31654D | 23 | 949-950 | S32122A | 08 | 551-552 | S32446A | 24 | 955-965 | ||
| S31654S | 09 | 604-605 | S32122A | 24 | 955-965 | S32446B | 08 | 535-536 | ||
| S31655A | 06 | 393-395 | S32122B | 08 | 551-552 | S32446B | 24 | 955-965 | ||
| S31655A | 24 | 955-965 | S32122B | 24 | 955-965 | S32446D | 08 | 559-561 | ||
| S31655D | 23 | 949-950 | S32122D | 08 | 559-561 | S32446G | 08 | 559-561 | ||
| S31655S | 09 | 604-605 | S32122G | 08 | 559-561 | S32446K | 08 | 564-566 | ||
| S31659A | 06 | 393-395 | S32122K | 08 | 564-566 | S32446S | 08 | 551-552 | ||
| S31659A | 24 | 955-965 | S32122S | 08 | 551-552 | S32451A | 08 | 535-536 | ||
| S31659D | 23 | 949-950 | S32129A | 08 | 551-552 | S32451A | 24 | 955-965 | ||
| S31659S | 09 | 604-605 | S32129A | 24 | 955-965 | S32451B | 08 | 535-536 | ||
| S31801A | 09 | 604-605 | S32129B | 08 | 551-552 | S32451B | 24 | 955-965 | ||
| S31801A | 24 | 955-965 | S32129B | 24 | 955-965 | S32451D | 08 | 559-561 | ||
| S31801D | 23 | 949-950 | S32129D | 08 | 559-561 | S32451G | 08 | 559-561 | ||
| S31801S | 09 | 604-605 | S32129G | 08 | 559-561 | S32451K | 08 | 564-566 | ||
| S31802A | 09 | 604-605 | S32129K | 08 | 564-566 | S32451S | 08 | 551-552 | ||
| S31802A | 24 | 955-965 | S32129S | 08 | 551-552 | S32452A | 08 | 535-536 | ||
| S31802D | 23 | 949-950 | S32130A | 08 | 551-552 | S32452A | 24 | 955-965 | ||
| S31802S | 09 | 604-605 | S32130A | 24 | 955-965 | S32452B | 08 | 535-536 | ||
| S31803A | 09 | 604-605 | S32130B | 08 | 551-552 | S32452B | 24 | 955-965 | ||
| S31803A | 24 | 955-965 | S32130B | 24 | 955-965 | S32452D | 08 | 559-561 | ||
| S31803D | 23 | 949-950 | S32130D | 08 | 559-561 | S32452G | 08 | 559-561 | ||
| S31803S | 09 | 604-605 | S32130G | 08 | 559-561 | S32452K | 08 | 564-566 | ||
| S31804A | 09 | 604-605 | S32130K | 08 | 564-566 | S32452S | 08 | 551-552 | ||
| S31804A | 24 | 955-965 | S32130S | 08 | 551-552 | S32453A | 08 | 535-536 | ||
| S31804D | 23 | 949-950 | S32131A | 08 | 551-552 | S32453A | 24 | 955-965 | ||
| S31804S | 09 | 604-605 | S32131A | 24 | 955-965 | S32453B | 08 | 535-536 | ||
| S31805A | 09 | 604-605 | S32131B | 08 | 551-552 | S32453B | 24 | 955-965 | ||
| S31805A | 24 | 955-965 | S32131B | 24 | 955-965 | S32453D | 08 | 559-561 | ||
| S31805D | 23 | 949-950 | S32131D | 08 | 559-561 | S32453G | 08 | 559-561 | ||
| S31805S | 09 | 604-605 | S32131G | 08 | 559-561 | S32453K | 08 | 564-566 | ||
| S31809A | 09 | 604-605 | S32131K | 08 | 564-566 | S32453S | 08 | 551-552 | ||
| S31809A | 24 | 955-965 | S32131S | 08 | 551-552 | S32454A | 08 | 535-536 | ||
| S31809D | 23 | 949-950 | S32132A | 08 | 551-552 | S32454A | 24 | 955-965 | ||
| S31809S | 09 | 604-605 | S32132A | 24 | 955-965 | S32454B | 08 | 535-536 | ||
| S31811A | 09 | 604-605 | S32132B | 08 | 551-552 | S32454B | 24 | 955-965 | ||
| S31811A | 24 | 955-965 | S32132B | 24 | 955-965 | S32454D | 08 | 559-561 | ||
| S31811D | 23 | 949-950 | S32132D | 08 | 559-561 | S32454G | 08 | 559-561 | ||
| S31811S | 09 | 604-605 | S32132G | 08 | 559-561 | S32454K | 08 | 564-566 | ||
| S31812A | 09 | 604-605 | S32132K | 08 | 564-566 | S32454S | 08 | 551-552 | ||
| S31812A | 24 | 955-965 | S32132S | 08 | 551-552 | S32455A | 08 | 535-536 | ||
| S31812D | 23 | 949-950 | S32139A | 08 | 551-552 | S32455A | 24 | 955-965 | ||
| S31812S | 09 | 604-605 | S32139A | 24 | 955-965 | S32455B | 08 | 535-536 | ||
| S31813A | 09 | 604-605 | S32139B | 08 | 551-552 | S32455B | 24 | 955-965 | ||
| S31813A | 24 | 955-965 | S32139B | 24 | 955-965 | S32455D | 08 | 559-561 | ||
| S31813D | 23 | 949-950 | S32139D | 08 | 559-561 | S32455G | 08 | 559-561 | ||
| S31813S | 09 | 604-605 | S32139G | 08 | 559-561 | S32455K | 08 | 564-566 | ||
| S31814A | 09 | 604-605 | S32139K | 08 | 564-566 | S32455S | 08 | 551-552 | ||
| S31814A | 24 | 955-965 | S32139S | 08 | 551-552 | S32456A | 08 | 535-536 | ||
| S31814D | 23 | 949-950 | S3214XA | 08 | 551-552 | S32456A | 24 | 955-965 | ||
| S31814S | 09 | 604-605 | S3214XA | 24 | 955-965 | S32456B | 08 | 535-536 | ||
| S31815A | 09 | 604-605 | S3214XB | 08 | 551-552 | S32456B | 24 | 955-965 | ||
| S31815A | 24 | 955-965 | S3214XB | 24 | 955-965 | S32456D | 08 | 559-561 | ||
| S31815D | 23 | 949-950 | S3214XD | 08 | 559-561 | S32456G | 08 | 559-561 | ||
| S31815S | 09 | 604-605 | S3214XG | 08 | 559-561 | S32456K | 08 | 564-566 | ||
| S31819A | 09 | 604-605 | S3214XK | 08 | 564-566 | S32456S | 08 | 551-552 | ||
| S31819A | 24 | 955-965 | S3214XS | 08 | 551-552 | S32461A | 08 | 535-536 | ||
| S31819D | 23 | 949-950 | S3215XA | 08 | 551-552 | S32461A | 24 | 955-965 | ||
| S31819S | 09 | 604-605 | S3215XA | 24 | 955-965 | S32461B | 08 | 535-536 | ||
| S31821A | 09 | 604-605 | S3215XB | 08 | 551-552 | S32461B | 24 | 955-965 | ||
| S31821A | 24 | 955-965 | S3215XB | 24 | 955-965 | S32461D | 08 | 559-561 | ||
| S31821D | 23 | 949-950 | S3215XD | 08 | 559-561 | S32461G | 08 | 559-561 | ||
| S31821S | 09 | 604-605 | S3215XG | 08 | 559-561 | S32461K | 08 | 564-566 | ||
| S31822A | 09 | 604-605 | S3215XK | 08 | 564-566 | S32461S | 08 | 551-552 | ||
| S31822A | 24 | 955-965 | S3215XS | 08 | 551-552 | S32462A | 08 | 535-536 | ||
| S31822D | 23 | 949-950 | S3216XA | 08 | 551-552 | S32462A | 24 | 955-965 | ||
| S31822S | 09 | 604-605 | S3216XA | 24 | 955-965 | S32462B | 08 | 535-536 | ||
| S31823A | 09 | 604-605 | S3216XB | 08 | 551-552 | S32462B | 24 | 955-965 | ||
| S31823A | 24 | 955-965 | S3216XB | 24 | 955-965 | S32462D | 08 | 559-561 | ||
| S31823D | 23 | 949-950 | S3216XD | 08 | 559-561 | S32462G | 08 | 559-561 | ||
| S31823S | 09 | 604-605 | S3216XG | 08 | 559-561 | S32462K | 08 | 564-566 | ||
| S31824A | 09 | 604-605 | S3216XK | 08 | 564-566 | S32462S | 08 | 551-552 | ||
| S31824A | 24 | 955-965 | S3216XS | 08 | 551-552 | S32463A | 08 | 535-536 | ||
| S31824D | 23 | 949-950 | S3217XA | 08 | 551-552 | S32463A | 24 | 955-965 | ||
| S31824S | 09 | 604-605 | S3217XA | 24 | 955-965 | S32463B | 08 | 535-536 | ||
| S31825A | 09 | 604-605 | S3217XB | 08 | 551-552 | S32463B | 24 | 955-965 | ||
| S31825A | 24 | 955-965 | S3217XB | 24 | 955-965 | S32463D | 08 | 559-561 | ||
| S31825D | 23 | 949-950 | S3217XD | 08 | 559-561 | S32463G | 08 | 559-561 | ||
| S31825S | 09 | 604-605 | S3217XG | 08 | 559-561 | S32463K | 08 | 564-566 | ||
| S31829A | 09 | 604-605 | S3217XK | 08 | 564-566 | S32463S | 08 | 551-552 | ||
| S31829A | 24 | 955-965 | S3217XS | 08 | 551-552 | S32464A | 08 | 535-536 | ||
| S31829D | 23 | 949-950 | S3219XA | 08 | 551-552 | S32464A | 24 | 955-965 | ||
| S31829S | 09 | 604-605 | S3219XA | 24 | 955-965 | S32464B | 08 | 535-536 | ||
| S31831A | 09 | 604-605 | S3219XB | 08 | 551-552 | S32464B | 24 | 955-965 | ||
| S31831A | 24 | 955-965 | S3219XB | 24 | 955-965 | S32464D | 08 | 559-561 | ||
| S31831D | 23 | 949-950 | S3219XD | 08 | 559-561 | S32464G | 08 | 559-561 | ||
| S31831S | 09 | 604-605 | S3219XG | 08 | 559-561 | S32464K | 08 | 564-566 | ||
| S31832A | 21 | 913-914 | S3219XK | 08 | 564-566 | S32464S | 08 | 551-552 | ||
| S31832A | 24 | 955-965 | S3219XS | 08 | 551-552 | S32465A | 08 | 535-536 | ||
| S31832D | 23 | 949-950 | S322XXA | 08 | 551-552 | S32465A | 24 | 955-965 | ||
| S31832S | 09 | 604-605 | S322XXA | 24 | 955-965 | S32465B | 08 | 535-536 | ||
| S31833A | 09 | 604-605 | S322XXB | 08 | 551-552 | S32465B | 24 | 955-965 | ||
| S31833A | 24 | 955-965 | S322XXB | 24 | 955-965 | S32465D | 08 | 559-561 | ||
| S31833D | 23 | 949-950 | S322XXD | 08 | 559-561 | S32465G | 08 | 559-561 | ||
| S31833S | 09 | 604-605 | S322XXG | 08 | 559-561 | S32465K | 08 | 564-566 | ||
| S31834A | 21 | 913-914 | S322XXK | 08 | 564-566 | S32465S | 08 | 551-552 | ||
| S31834A | 24 | 955-965 | S322XXS | 08 | 551-552 | S32466A | 08 | 535-536 | ||
| S31834D | 23 | 949-950 | S32301A | 08 | 535-536 | S32466A | 24 | 955-965 | ||
| S31834S | 09 | 604-605 | S32301A | 24 | 955-965 | S32466B | 08 | 535-536 | ||
| S31835A | 09 | 604-605 | S32301B | 08 | 535-536 | S32466B | 24 | 955-965 | ||
| S31835A | 24 | 955-965 | S32301B | 24 | 955-965 | S32466D | 08 | 559-561 | ||
| S31835D | 23 | 949-950 | S32301D | 08 | 559-561 | S32466G | 08 | 559-561 | ||
| S31835S | 09 | 604-605 | S32301G | 08 | 559-561 | S32466K | 08 | 564-566 | ||
| S31839A | 09 | 604-605 | S32301K | 08 | 564-566 | S32466S | 08 | 551-552 | ||
| S31839A | 24 | 955-965 | S32301S | 08 | 551-552 | S32471A | 08 | 535-536 | ||
| S31839D | 23 | 949-950 | S32302A | 08 | 535-536 | S32471A | 24 | 955-965 | ||
| S31839S | 09 | 604-605 | S32302A | 24 | 955-965 | S32471B | 08 | 535-536 | ||
| S32000A | 08 | 551-552 | S32302B | 08 | 535-536 | S32471B | 24 | 955-965 | ||
| S32000A | 24 | 955-965 | S32302B | 24 | 955-965 | S32471D | 08 | 559-561 | ||
| S32000B | 08 | 551-552 | S32302D | 08 | 559-561 | S32471G | 08 | 559-561 | ||
| S32000B | 24 | 955-965 | S32302G | 08 | 559-561 | S32471K | 08 | 564-566 | ||
| S32000D | 08 | 559-561 | S32302K | 08 | 564-566 | S32471S | 08 | 551-552 | ||
| S32000G | 08 | 559-561 | S32302S | 08 | 551-552 | S32472A | 08 | 535-536 | ||
| S32000K | 08 | 564-566 | S32309A | 08 | 535-536 | S32472A | 24 | 955-965 | ||
| S32000S | 08 | 551-552 | S32309A | 24 | 955-965 | S32472B | 08 | 535-536 | ||
| S32001A | 08 | 551-552 | S32309B | 08 | 535-536 | S32472B | 24 | 955-965 | ||
| S32001A | 24 | 955-965 | S32309B | 24 | 955-965 | S32472D | 08 | 559-561 | ||
| S32001B | 08 | 551-552 | S32309D | 08 | 559-561 | S32472G | 08 | 559-561 | ||
| S32001B | 24 | 955-965 | S32309G | 08 | 559-561 | S32472K | 08 | 564-566 | ||
| S32001D | 08 | 559-561 | S32309K | 08 | 564-566 | S32472S | 08 | 551-552 | ||
| S32001G | 08 | 559-561 | S32309S | 08 | 551-552 | S32473A | 08 | 535-536 | ||
| S32001K | 08 | 564-566 | S32311A | 08 | 535-536 | S32473A | 24 | 955-965 | ||
| S32001S | 08 | 551-552 | S32311A | 24 | 955-965 | S32473B | 08 | 535-536 | ||
| S32002A | 08 | 551-552 | S32311B | 08 | 535-536 | S32473B | 24 | 955-965 | ||
| S32002A | 24 | 955-965 | S32311B | 24 | 955-965 | S32473D | 08 | 559-561 | ||
| S32002B | 08 | 551-552 | S32311D | 08 | 559-561 | S32473G | 08 | 559-561 | ||
| S32002B | 24 | 955-965 | S32311G | 08 | 559-561 | S32473K | 08 | 564-566 | ||
| S32002D | 08 | 559-561 | S32311K | 08 | 564-566 | S32473S | 08 | 551-552 | ||
| S32002G | 08 | 559-561 | S32311S | 08 | 551-552 | S32474A | 08 | 535-536 | ||
| S32002K | 08 | 564-566 | S32312A | 08 | 535-536 | S32474A | 24 | 955-965 | ||
| S32002S | 08 | 551-552 | S32312A | 24 | 955-965 | S32474B | 08 | 535-536 | ||
| S32008A | 08 | 551-552 | S32312B | 08 | 535-536 | S32474B | 24 | 955-965 | ||
| S32008A | 24 | 955-965 | S32312B | 24 | 955-965 | S32474D | 08 | 559-561 | ||
| S32008B | 08 | 551-552 | S32312D | 08 | 559-561 | S32474G | 08 | 559-561 | ||
| S32008B | 24 | 955-965 | S32312G | 08 | 559-561 | S32474K | 08 | 564-566 | ||
| S32008D | 08 | 559-561 | S32312K | 08 | 564-566 | S32474S | 08 | 551-552 | ||
| S32008G | 08 | 559-561 | S32312S | 08 | 551-552 | S32475A | 08 | 535-536 | ||
| S32008K | 08 | 564-566 | S32313A | 08 | 535-536 | S32475A | 24 | 955-965 | ||
| S32008S | 08 | 551-552 | S32313A | 24 | 955-965 | S32475B | 08 | 535-536 | ||
| S32009A | 08 | 551-552 | S32313B | 08 | 535-536 | S32475B | 24 | 955-965 | ||
| S32009A | 24 | 955-965 | S32313B | 24 | 955-965 | S32475D | 08 | 559-561 | ||
| S32009B | 08 | 551-552 | S32313D | 08 | 559-561 | S32475G | 08 | 559-561 | ||
| S32009B | 24 | 955-965 | S32313G | 08 | 559-561 | S32475K | 08 | 564-566 | ||
| S32009D | 08 | 559-561 | S32313K | 08 | 564-566 | S32475S | 08 | 551-552 | ||
| S32009G | 08 | 559-561 | S32313S | 08 | 551-552 | S32476A | 08 | 535-536 | ||
| S32009K | 08 | 564-566 | S32314A | 08 | 535-536 | S32476A | 24 | 955-965 | ||
| S32009S | 08 | 551-552 | S32314A | 24 | 955-965 | S32476B | 08 | 535-536 | ||
| S32010A | 08 | 551-552 | S32314B | 08 | 535-536 | S32476B | 24 | 955-965 | ||
| S32010A | 24 | 955-965 | S32314B | 24 | 955-965 | S32476D | 08 | 559-561 | ||
| S32010B | 08 | 551-552 | S32314D | 08 | 559-561 | S32476G | 08 | 559-561 | ||
| S32010B | 24 | 955-965 | S32314G | 08 | 559-561 | S32476K | 08 | 564-566 | ||
| S32010D | 08 | 559-561 | S32314K | 08 | 564-566 | S32476S | 08 | 551-552 | ||
| S32010G | 08 | 559-561 | S32314S | 08 | 551-552 | S32481A | 08 | 535-536 | ||
| S32010K | 08 | 564-566 | S32315A | 08 | 535-536 | S32481A | 24 | 955-965 | ||
| S32010S | 08 | 551-552 | S32315A | 24 | 955-965 | S32481B | 08 | 535-536 | ||
| S32011A | 08 | 551-552 | S32315B | 08 | 535-536 | S32481B | 24 | 955-965 | ||
| S32011A | 24 | 955-965 | S32315B | 24 | 955-965 | S32481D | 08 | 559-561 | ||
| S32011B | 08 | 551-552 | S32315D | 08 | 559-561 | S32481G | 08 | 559-561 | ||
| S32011B | 24 | 955-965 | S32315G | 08 | 559-561 | S32481K | 08 | 564-566 | ||
| S32011D | 08 | 559-561 | S32315K | 08 | 564-566 | S32481S | 08 | 551-552 | ||
| S32011G | 08 | 559-561 | S32315S | 08 | 551-552 | S32482A | 08 | 535-536 | ||
| S32011K | 08 | 564-566 | S32316A | 08 | 535-536 | S32482A | 24 | 955-965 | ||
| S32011S | 08 | 551-552 | S32316A | 24 | 955-965 | S32482B | 08 | 535-536 | ||
| S32012A | 08 | 551-552 | S32316B | 08 | 535-536 | S32482B | 24 | 955-965 | ||
| S32012A | 24 | 955-965 | S32316B | 24 | 955-965 | S32482D | 08 | 559-561 | ||
| S32012B | 08 | 551-552 | S32316D | 08 | 559-561 | S32482G | 08 | 559-561 | ||
| S32012B | 24 | 955-965 | S32316G | 08 | 559-561 | S32482K | 08 | 564-566 | ||
| S32012D | 08 | 559-561 | S32316K | 08 | 564-566 | S32482S | 08 | 551-552 | ||
| S32012G | 08 | 559-561 | S32316S | 08 | 551-552 | S32483A | 08 | 535-536 | ||
| S32012K | 08 | 564-566 | S32391A | 08 | 535-536 | S32483A | 24 | 955-965 | ||
| S32012S | 08 | 551-552 | S32391A | 24 | 955-965 | S32483B | 08 | 535-536 | ||
| S32018A | 08 | 551-552 | S32391B | 08 | 535-536 | S32483B | 24 | 955-965 | ||
| S32018A | 24 | 955-965 | S32391B | 24 | 955-965 | S32483D | 08 | 559-561 | ||
| S32018B | 08 | 551-552 | S32391D | 08 | 559-561 | S32483G | 08 | 559-561 | ||
| S32018B | 24 | 955-965 | S32391G | 08 | 559-561 | S32483K | 08 | 564-566 | ||
| S32018D | 08 | 559-561 | S32391K | 08 | 564-566 | S32483S | 08 | 551-552 | ||
| S32018G | 08 | 559-561 | S32391S | 08 | 551-552 | S32484A | 08 | 535-536 | ||
| S32018K | 08 | 564-566 | S32392A | 08 | 535-536 | S32484A | 24 | 955-965 | ||
| S32018S | 08 | 551-552 | S32392A | 24 | 955-965 | S32484B | 08 | 535-536 | ||
| S32019A | 08 | 551-552 | S32392B | 08 | 535-536 | S32484B | 24 | 955-965 | ||
| S32019A | 24 | 955-965 | S32392B | 24 | 955-965 | S32484D | 08 | 559-561 | ||
| S32019B | 08 | 551-552 | S32392D | 08 | 559-561 | S32484G | 08 | 559-561 | ||
| S32019B | 24 | 955-965 | S32392G | 08 | 559-561 | S32484K | 08 | 564-566 | ||
| S32019D | 08 | 559-561 | S32392K | 08 | 564-566 | S32484S | 08 | 551-552 | ||
| S32019G | 08 | 559-561 | S32392S | 08 | 551-552 | S32485A | 08 | 535-536 | ||
| S32019K | 08 | 564-566 | S32399A | 08 | 535-536 | S32485A | 24 | 955-965 | ||
| S32019S | 08 | 551-552 | S32399A | 24 | 955-965 | S32485B | 08 | 535-536 | ||
| S32020A | 08 | 551-552 | S32399B | 08 | 535-536 | S32485B | 24 | 955-965 | ||
| S32020A | 24 | 955-965 | S32399B | 24 | 955-965 | S32485D | 08 | 559-561 | ||
| S32020B | 08 | 551-552 | S32399D | 08 | 559-561 | S32485G | 08 | 559-561 | ||
| S32020B | 24 | 955-965 | S32399G | 08 | 559-561 | S32485K | 08 | 564-566 | ||
| S32020D | 08 | 559-561 | S32399K | 08 | 564-566 | S32485S | 08 | 551-552 | ||
| S32020G | 08 | 559-561 | S32399S | 08 | 551-552 | S32486A | 08 | 535-536 | ||
| S32020K | 08 | 564-566 | S32401A | 08 | 535-536 | S32486A | 24 | 955-965 | ||
| S32020S | 08 | 551-552 | S32401A | 24 | 955-965 | S32486B | 08 | 535-536 | ||
| S32021A | 08 | 551-552 | S32401B | 08 | 535-536 | S32486B | 24 | 955-965 | ||
| S32021A | 24 | 955-965 | S32401B | 24 | 955-965 | S32486D | 08 | 559-561 | ||
| S32021B | 08 | 551-552 | S32401D | 08 | 559-561 | S32486G | 08 | 559-561 | ||
| S32021B | 24 | 955-965 | S32401G | 08 | 559-561 | S32486K | 08 | 564-566 | ||
| S32021D | 08 | 559-561 | S32401K | 08 | 564-566 | S32486S | 08 | 551-552 | ||
| S32021G | 08 | 559-561 | S32401S | 08 | 551-552 | S32491A | 08 | 535-536 | ||
| S32021K | 08 | 564-566 | S32402A | 08 | 535-536 | S32491A | 24 | 955-965 | ||
| S32021S | 08 | 551-552 | S32402A | 24 | 955-965 | S32491B | 08 | 535-536 | ||
| S32022A | 08 | 551-552 | S32402B | 08 | 535-536 | S32491B | 24 | 955-965 | ||
| S32022A | 24 | 955-965 | S32402B | 24 | 955-965 | S32491D | 08 | 559-561 | ||
| S32022B | 08 | 551-552 | S32402D | 08 | 559-561 | S32491G | 08 | 559-561 | ||
| S32022B | 24 | 955-965 | S32402G | 08 | 559-561 | S32491K | 08 | 564-566 | ||
| S32022D | 08 | 559-561 | S32402K | 08 | 564-566 | S32491S | 08 | 551-552 | ||
| S32022G | 08 | 559-561 | S32402S | 08 | 551-552 | S32492A | 08 | 535-536 | ||
| S32022K | 08 | 564-566 | S32409A | 08 | 535-536 | S32492A | 24 | 955-965 | ||
| S32022S | 08 | 551-552 | S32409A | 24 | 955-965 | S32492B | 08 | 535-536 | ||
| S32028A | 08 | 551-552 | S32409B | 08 | 535-536 | S32492B | 24 | 955-965 | ||
| S32028A | 24 | 955-965 | S32409B | 24 | 955-965 | S32492D | 08 | 559-561 | ||
| S32028B | 08 | 551-552 | S32409D | 08 | 559-561 | S32492G | 08 | 559-561 | ||
| S32028B | 24 | 955-965 | S32409G | 08 | 559-561 | S32492K | 08 | 564-566 | ||
| S32028D | 08 | 559-561 | S32409K | 08 | 564-566 | S32492S | 08 | 551-552 | ||
| S32028G | 08 | 559-561 | S32409S | 08 | 551-552 | S32499A | 08 | 535-536 | ||
| S32028K | 08 | 564-566 | S32411A | 08 | 535-536 | S32499A | 24 | 955-965 | ||
| S32028S | 08 | 551-552 | S32411A | 24 | 955-965 | S32499B | 08 | 535-536 | ||
| S32029A | 08 | 551-552 | S32411B | 08 | 535-536 | S32499B | 24 | 955-965 | ||
| S32029A | 24 | 955-965 | S32411B | 24 | 955-965 | S32499D | 08 | 559-561 | ||
| S32029B | 08 | 551-552 | S32411D | 08 | 559-561 | S32499G | 08 | 559-561 | ||
| S32029B | 24 | 955-965 | S32411G | 08 | 559-561 | S32499K | 08 | 564-566 | ||
| S32029D | 08 | 559-561 | S32411K | 08 | 564-566 | S32499S | 08 | 551-552 | ||
| S32029G | 08 | 559-561 | S32411S | 08 | 551-552 | S32501A | 08 | 535-536 | ||
| S32029K | 08 | 564-566 | S32412A | 08 | 535-536 | S32501A | 24 | 955-965 | ||
| S32029S | 08 | 551-552 | S32412A | 24 | 955-965 | S32501B | 08 | 535-536 | ||
| S32030A | 08 | 551-552 | S32412B | 08 | 535-536 | S32501B | 24 | 955-965 | ||
| S32030A | 24 | 955-965 | S32412B | 24 | 955-965 | S32501D | 08 | 559-561 | ||
| S32030B | 08 | 551-552 | S32412D | 08 | 559-561 | S32501G | 08 | 559-561 | ||
| S32030B | 24 | 955-965 | S32412G | 08 | 559-561 | S32501K | 08 | 564-566 | ||
| S32030D | 08 | 559-561 | S32412K | 08 | 564-566 | S32501S | 08 | 551-552 | ||
| S32030G | 08 | 559-561 | S32412S | 08 | 551-552 | S32502A | 08 | 535-536 | ||
| S32030K | 08 | 564-566 | S32413A | 08 | 535-536 | S32502A | 24 | 955-965 | ||
| S32030S | 08 | 551-552 | S32413A | 24 | 955-965 | S32502B | 08 | 535-536 | ||
| S32031A | 08 | 551-552 | S32413B | 08 | 535-536 | S32502B | 24 | 955-965 | ||
| S32031A | 24 | 955-965 | S32413B | 24 | 955-965 | S32502D | 08 | 559-561 | ||
| S32031B | 08 | 551-552 | S32413D | 08 | 559-561 | S32502G | 08 | 559-561 | ||
| S32031B | 24 | 955-965 | S32413G | 08 | 559-561 | S32502K | 08 | 564-566 | ||
| S32031D | 08 | 559-561 | S32413K | 08 | 564-566 | S32502S | 08 | 551-552 | ||
| S32031G | 08 | 559-561 | S32413S | 08 | 551-552 | S32509A | 08 | 535-536 | ||
| S32031K | 08 | 564-566 | S32414A | 08 | 535-536 | S32509A | 24 | 955-965 | ||
| S32031S | 08 | 551-552 | S32414A | 24 | 955-965 | S32509B | 08 | 535-536 | ||
| S32032A | 08 | 551-552 | S32414B | 08 | 535-536 | S32509B | 24 | 955-965 | ||
| S32032A | 24 | 955-965 | S32414B | 24 | 955-965 | S32509D | 08 | 559-561 | ||
| S32032B | 08 | 551-552 | S32414D | 08 | 559-561 | S32509G | 08 | 559-561 | ||
| S32032B | 24 | 955-965 | S32414G | 08 | 559-561 | S32509K | 08 | 564-566 | ||
| S32032D | 08 | 559-561 | S32414K | 08 | 564-566 | S32509S | 08 | 551-552 | ||
| S32032G | 08 | 559-561 | S32414S | 08 | 551-552 | S32511A | 08 | 535-536 | ||
| S32032K | 08 | 564-566 | S32415A | 08 | 535-536 | S32511A | 24 | 955-965 | ||
| S32032S | 08 | 551-552 | S32415A | 24 | 955-965 | S32511B | 08 | 535-536 | ||
| S32038A | 08 | 551-552 | S32415B | 08 | 535-536 | S32511B | 24 | 955-965 | ||
| S32038A | 24 | 955-965 | S32415B | 24 | 955-965 | S32511D | 08 | 559-561 | ||
| S32038B | 08 | 551-552 | S32415D | 08 | 559-561 | S32511G | 08 | 559-561 | ||
| S32038B | 24 | 955-965 | S32415G | 08 | 559-561 | S32511K | 08 | 564-566 | ||
| S32038D | 08 | 559-561 | S32415K | 08 | 564-566 | S32511S | 08 | 551-552 | ||
| S32038G | 08 | 559-561 | S32415S | 08 | 551-552 | S32512A | 08 | 535-536 | ||
| S32038K | 08 | 564-566 | S32416A | 08 | 535-536 | S32512A | 24 | 955-965 | ||
| S32038S | 08 | 551-552 | S32416A | 24 | 955-965 | S32512B | 08 | 535-536 | ||
| S32039A | 08 | 551-552 | S32416B | 08 | 535-536 | S32512B | 24 | 955-965 | ||
| S32039A | 24 | 955-965 | S32416B | 24 | 955-965 | S32512D | 08 | 559-561 | ||
| S32039B | 08 | 551-552 | S32416D | 08 | 559-561 | S32512G | 08 | 559-561 | ||
| S32039B | 24 | 955-965 | S32416G | 08 | 559-561 | S32512K | 08 | 564-566 | ||
| S32039D | 08 | 559-561 | S32416K | 08 | 564-566 | S32512S | 08 | 551-552 | ||
| S32039G | 08 | 559-561 | S32416S | 08 | 551-552 | S32519A | 08 | 535-536 | ||
| S32039K | 08 | 564-566 | S32421A | 08 | 535-536 | S32519A | 24 | 955-965 | ||
| S32039S | 08 | 551-552 | S32421A | 24 | 955-965 | S32519B | 08 | 535-536 | ||
| S32040A | 08 | 551-552 | S32421B | 08 | 535-536 | S32519B | 24 | 955-965 | ||
| S32040A | 24 | 955-965 | S32421B | 24 | 955-965 | S32519D | 08 | 559-561 | ||
| S32040B | 08 | 551-552 | S32421D | 08 | 559-561 | S32519G | 08 | 559-561 | ||
| S32040B | 24 | 955-965 | S32421G | 08 | 559-561 | S32519K | 08 | 564-566 | ||
| S32040D | 08 | 559-561 | S32421K | 08 | 564-566 | S32519S | 08 | 551-552 | ||
| S32040G | 08 | 559-561 | S32421S | 08 | 551-552 | S32591A | 08 | 535-536 | ||
| S32040K | 08 | 564-566 | S32422A | 08 | 535-536 | S32591A | 24 | 955-965 | ||
| S32040S | 08 | 551-552 | S32422A | 24 | 955-965 | S32591B | 08 | 535-536 | ||
| S32041A | 08 | 551-552 | S32422B | 08 | 535-536 | S32591B | 24 | 955-965 | ||
| S32041A | 24 | 955-965 | S32422B | 24 | 955-965 | S32591D | 08 | 559-561 | ||
| S32041B | 08 | 551-552 | S32422D | 08 | 559-561 | S32591G | 08 | 559-561 | ||
| S32041B | 24 | 955-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Aug 2017 11:52:25 CMS, code-revision=63, description-revision=616 |