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 39 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S52099H | 08 | 559-561 | S52202H | 08 | 559-561 | S52251H | 08 | 559-561 | ||
| S52099J | 08 | 559-561 | S52202J | 08 | 559-561 | S52251J | 08 | 559-561 | ||
| S52099K | 08 | 564-566 | S52202K | 08 | 564-566 | S52251K | 08 | 564-566 | ||
| S52099M | 08 | 564-566 | S52202M | 08 | 564-566 | S52251M | 08 | 564-566 | ||
| S52099N | 08 | 564-566 | S52202N | 08 | 564-566 | S52251N | 08 | 564-566 | ||
| S52099P | 08 | 564-566 | S52202P | 08 | 564-566 | S52251P | 08 | 564-566 | ||
| S52099Q | 08 | 564-566 | S52202Q | 08 | 564-566 | S52251Q | 08 | 564-566 | ||
| S52099R | 08 | 564-566 | S52202R | 08 | 564-566 | S52251R | 08 | 564-566 | ||
| S52099S | 08 | 559-561 | S52202S | 08 | 559-561 | S52251S | 08 | 559-561 | ||
| S52101A | 08 | 562-563 | S52209A | 08 | 562-563 | S52252A | 08 | 562-563 | ||
| S52101A | 24 | 955-965 | S52209A | 24 | 955-965 | S52252A | 24 | 955-965 | ||
| S52101B | 08 | 562-563 | S52209B | 08 | 562-563 | S52252B | 08 | 562-563 | ||
| S52101B | 24 | 955-965 | S52209B | 24 | 955-965 | S52252B | 24 | 955-965 | ||
| S52101C | 08 | 562-563 | S52209C | 08 | 562-563 | S52252C | 08 | 562-563 | ||
| S52101C | 24 | 955-965 | S52209C | 24 | 955-965 | S52252C | 24 | 955-965 | ||
| S52101D | 08 | 559-561 | S52209D | 08 | 559-561 | S52252D | 08 | 559-561 | ||
| S52101E | 08 | 559-561 | S52209E | 08 | 559-561 | S52252E | 08 | 559-561 | ||
| S52101F | 08 | 559-561 | S52209F | 08 | 559-561 | S52252F | 08 | 559-561 | ||
| S52101G | 08 | 559-561 | S52209G | 08 | 559-561 | S52252G | 08 | 559-561 | ||
| S52101H | 08 | 559-561 | S52209H | 08 | 559-561 | S52252H | 08 | 559-561 | ||
| S52101J | 08 | 559-561 | S52209J | 08 | 559-561 | S52252J | 08 | 559-561 | ||
| S52101K | 08 | 564-566 | S52209K | 08 | 564-566 | S52252K | 08 | 564-566 | ||
| S52101M | 08 | 564-566 | S52209M | 08 | 564-566 | S52252M | 08 | 564-566 | ||
| S52101N | 08 | 564-566 | S52209N | 08 | 564-566 | S52252N | 08 | 564-566 | ||
| S52101P | 08 | 564-566 | S52209P | 08 | 564-566 | S52252P | 08 | 564-566 | ||
| S52101Q | 08 | 564-566 | S52209Q | 08 | 564-566 | S52252Q | 08 | 564-566 | ||
| S52101R | 08 | 564-566 | S52209R | 08 | 564-566 | S52252R | 08 | 564-566 | ||
| S52101S | 08 | 559-561 | S52209S | 08 | 559-561 | S52252S | 08 | 559-561 | ||
| S52102A | 08 | 562-563 | S52211A | 08 | 562-563 | S52253A | 08 | 562-563 | ||
| S52102A | 24 | 955-965 | S52211A | 24 | 955-965 | S52253A | 24 | 955-965 | ||
| S52102B | 08 | 562-563 | S52211D | 08 | 559-561 | S52253B | 08 | 562-563 | ||
| S52102B | 24 | 955-965 | S52211G | 08 | 559-561 | S52253B | 24 | 955-965 | ||
| S52102C | 08 | 562-563 | S52211K | 08 | 564-566 | S52253C | 08 | 562-563 | ||
| S52102C | 24 | 955-965 | S52211P | 08 | 564-566 | S52253C | 24 | 955-965 | ||
| S52102D | 08 | 559-561 | S52211S | 08 | 559-561 | S52253D | 08 | 559-561 | ||
| S52102E | 08 | 559-561 | S52212A | 08 | 562-563 | S52253E | 08 | 559-561 | ||
| S52102F | 08 | 559-561 | S52212A | 24 | 955-965 | S52253F | 08 | 559-561 | ||
| S52102G | 08 | 559-561 | S52212D | 08 | 559-561 | S52253G | 08 | 559-561 | ||
| S52102H | 08 | 559-561 | S52212G | 08 | 559-561 | S52253H | 08 | 559-561 | ||
| S52102J | 08 | 559-561 | S52212K | 08 | 564-566 | S52253J | 08 | 559-561 | ||
| S52102K | 08 | 564-566 | S52212P | 08 | 564-566 | S52253K | 08 | 564-566 | ||
| S52102M | 08 | 564-566 | S52212S | 08 | 559-561 | S52253M | 08 | 564-566 | ||
| S52102N | 08 | 564-566 | S52219A | 08 | 562-563 | S52253N | 08 | 564-566 | ||
| S52102P | 08 | 564-566 | S52219A | 24 | 955-965 | S52253P | 08 | 564-566 | ||
| S52102Q | 08 | 564-566 | S52219D | 08 | 559-561 | S52253Q | 08 | 564-566 | ||
| S52102R | 08 | 564-566 | S52219G | 08 | 559-561 | S52253R | 08 | 564-566 | ||
| S52102S | 08 | 559-561 | S52219K | 08 | 564-566 | S52253S | 08 | 559-561 | ||
| S52109A | 08 | 562-563 | S52219P | 08 | 564-566 | S52254A | 08 | 562-563 | ||
| S52109A | 24 | 955-965 | S52219S | 08 | 559-561 | S52254A | 24 | 955-965 | ||
| S52109B | 08 | 562-563 | S52221A | 08 | 562-563 | S52254B | 08 | 562-563 | ||
| S52109B | 24 | 955-965 | S52221A | 24 | 955-965 | S52254B | 24 | 955-965 | ||
| S52109C | 08 | 562-563 | S52221B | 08 | 562-563 | S52254C | 08 | 562-563 | ||
| S52109C | 24 | 955-965 | S52221B | 24 | 955-965 | S52254C | 24 | 955-965 | ||
| S52109D | 08 | 559-561 | S52221C | 08 | 562-563 | S52254D | 08 | 559-561 | ||
| S52109E | 08 | 559-561 | S52221C | 24 | 955-965 | S52254E | 08 | 559-561 | ||
| S52109F | 08 | 559-561 | S52221D | 08 | 559-561 | S52254F | 08 | 559-561 | ||
| S52109G | 08 | 559-561 | S52221E | 08 | 559-561 | S52254G | 08 | 559-561 | ||
| S52109H | 08 | 559-561 | S52221F | 08 | 559-561 | S52254H | 08 | 559-561 | ||
| S52109J | 08 | 559-561 | S52221G | 08 | 559-561 | S52254J | 08 | 559-561 | ||
| S52109K | 08 | 564-566 | S52221H | 08 | 559-561 | S52254K | 08 | 564-566 | ||
| S52109M | 08 | 564-566 | S52221J | 08 | 559-561 | S52254M | 08 | 564-566 | ||
| S52109N | 08 | 564-566 | S52221K | 08 | 564-566 | S52254N | 08 | 564-566 | ||
| S52109P | 08 | 564-566 | S52221M | 08 | 564-566 | S52254P | 08 | 564-566 | ||
| S52109Q | 08 | 564-566 | S52221N | 08 | 564-566 | S52254Q | 08 | 564-566 | ||
| S52109R | 08 | 564-566 | S52221P | 08 | 564-566 | S52254R | 08 | 564-566 | ||
| S52109S | 08 | 559-561 | S52221Q | 08 | 564-566 | S52254S | 08 | 559-561 | ||
| S52111A | 08 | 562-563 | S52221R | 08 | 564-566 | S52255A | 08 | 562-563 | ||
| S52111A | 24 | 955-965 | S52221S | 08 | 559-561 | S52255A | 24 | 955-965 | ||
| S52111D | 08 | 559-561 | S52222A | 08 | 562-563 | S52255B | 08 | 562-563 | ||
| S52111G | 08 | 559-561 | S52222A | 24 | 955-965 | S52255B | 24 | 955-965 | ||
| S52111K | 08 | 564-566 | S52222B | 08 | 562-563 | S52255C | 08 | 562-563 | ||
| S52111P | 08 | 564-566 | S52222B | 24 | 955-965 | S52255C | 24 | 955-965 | ||
| S52111S | 08 | 559-561 | S52222C | 08 | 562-563 | S52255D | 08 | 559-561 | ||
| S52112A | 08 | 562-563 | S52222C | 24 | 955-965 | S52255E | 08 | 559-561 | ||
| S52112A | 24 | 955-965 | S52222D | 08 | 559-561 | S52255F | 08 | 559-561 | ||
| S52112D | 08 | 559-561 | S52222E | 08 | 559-561 | S52255G | 08 | 559-561 | ||
| S52112G | 08 | 559-561 | S52222F | 08 | 559-561 | S52255H | 08 | 559-561 | ||
| S52112K | 08 | 564-566 | S52222G | 08 | 559-561 | S52255J | 08 | 559-561 | ||
| S52112P | 08 | 564-566 | S52222H | 08 | 559-561 | S52255K | 08 | 564-566 | ||
| S52112S | 08 | 559-561 | S52222J | 08 | 559-561 | S52255M | 08 | 564-566 | ||
| S52119A | 08 | 562-563 | S52222K | 08 | 564-566 | S52255N | 08 | 564-566 | ||
| S52119A | 24 | 955-965 | S52222M | 08 | 564-566 | S52255P | 08 | 564-566 | ||
| S52119D | 08 | 559-561 | S52222N | 08 | 564-566 | S52255Q | 08 | 564-566 | ||
| S52119G | 08 | 559-561 | S52222P | 08 | 564-566 | S52255R | 08 | 564-566 | ||
| S52119K | 08 | 564-566 | S52222Q | 08 | 564-566 | S52255S | 08 | 559-561 | ||
| S52119P | 08 | 564-566 | S52222R | 08 | 564-566 | S52256A | 08 | 562-563 | ||
| S52119S | 08 | 559-561 | S52222S | 08 | 559-561 | S52256A | 24 | 955-965 | ||
| S52121A | 08 | 562-563 | S52223A | 08 | 562-563 | S52256B | 08 | 562-563 | ||
| S52121A | 24 | 955-965 | S52223A | 24 | 955-965 | S52256B | 24 | 955-965 | ||
| S52121B | 08 | 562-563 | S52223B | 08 | 562-563 | S52256C | 08 | 562-563 | ||
| S52121B | 24 | 955-965 | S52223B | 24 | 955-965 | S52256C | 24 | 955-965 | ||
| S52121C | 08 | 562-563 | S52223C | 08 | 562-563 | S52256D | 08 | 559-561 | ||
| S52121C | 24 | 955-965 | S52223C | 24 | 955-965 | S52256E | 08 | 559-561 | ||
| S52121D | 08 | 559-561 | S52223D | 08 | 559-561 | S52256F | 08 | 559-561 | ||
| S52121E | 08 | 559-561 | S52223E | 08 | 559-561 | S52256G | 08 | 559-561 | ||
| S52121F | 08 | 559-561 | S52223F | 08 | 559-561 | S52256H | 08 | 559-561 | ||
| S52121G | 08 | 559-561 | S52223G | 08 | 559-561 | S52256J | 08 | 559-561 | ||
| S52121H | 08 | 559-561 | S52223H | 08 | 559-561 | S52256K | 08 | 564-566 | ||
| S52121J | 08 | 559-561 | S52223J | 08 | 559-561 | S52256M | 08 | 564-566 | ||
| S52121K | 08 | 564-566 | S52223K | 08 | 564-566 | S52256N | 08 | 564-566 | ||
| S52121M | 08 | 564-566 | S52223M | 08 | 564-566 | S52256P | 08 | 564-566 | ||
| S52121N | 08 | 564-566 | S52223N | 08 | 564-566 | S52256Q | 08 | 564-566 | ||
| S52121P | 08 | 564-566 | S52223P | 08 | 564-566 | S52256R | 08 | 564-566 | ||
| S52121Q | 08 | 564-566 | S52223Q | 08 | 564-566 | S52256S | 08 | 559-561 | ||
| S52121R | 08 | 564-566 | S52223R | 08 | 564-566 | S52261A | 08 | 562-563 | ||
| S52121S | 08 | 559-561 | S52223S | 08 | 559-561 | S52261A | 24 | 955-965 | ||
| S52122A | 08 | 562-563 | S52224A | 08 | 562-563 | S52261B | 08 | 562-563 | ||
| S52122A | 24 | 955-965 | S52224A | 24 | 955-965 | S52261B | 24 | 955-965 | ||
| S52122B | 08 | 562-563 | S52224B | 08 | 562-563 | S52261C | 08 | 562-563 | ||
| S52122B | 24 | 955-965 | S52224B | 24 | 955-965 | S52261C | 24 | 955-965 | ||
| S52122C | 08 | 562-563 | S52224C | 08 | 562-563 | S52261D | 08 | 559-561 | ||
| S52122C | 24 | 955-965 | S52224C | 24 | 955-965 | S52261E | 08 | 559-561 | ||
| S52122D | 08 | 559-561 | S52224D | 08 | 559-561 | S52261F | 08 | 559-561 | ||
| S52122E | 08 | 559-561 | S52224E | 08 | 559-561 | S52261G | 08 | 559-561 | ||
| S52122F | 08 | 559-561 | S52224F | 08 | 559-561 | S52261H | 08 | 559-561 | ||
| S52122G | 08 | 559-561 | S52224G | 08 | 559-561 | S52261J | 08 | 559-561 | ||
| S52122H | 08 | 559-561 | S52224H | 08 | 559-561 | S52261K | 08 | 564-566 | ||
| S52122J | 08 | 559-561 | S52224J | 08 | 559-561 | S52261M | 08 | 564-566 | ||
| S52122K | 08 | 564-566 | S52224K | 08 | 564-566 | S52261N | 08 | 564-566 | ||
| S52122M | 08 | 564-566 | S52224M | 08 | 564-566 | S52261P | 08 | 564-566 | ||
| S52122N | 08 | 564-566 | S52224N | 08 | 564-566 | S52261Q | 08 | 564-566 | ||
| S52122P | 08 | 564-566 | S52224P | 08 | 564-566 | S52261R | 08 | 564-566 | ||
| S52122Q | 08 | 564-566 | S52224Q | 08 | 564-566 | S52261S | 08 | 559-561 | ||
| S52122R | 08 | 564-566 | S52224R | 08 | 564-566 | S52262A | 08 | 562-563 | ||
| S52122S | 08 | 559-561 | S52224S | 08 | 559-561 | S52262A | 24 | 955-965 | ||
| S52123A | 08 | 562-563 | S52225A | 08 | 562-563 | S52262B | 08 | 562-563 | ||
| S52123A | 24 | 955-965 | S52225A | 24 | 955-965 | S52262B | 24 | 955-965 | ||
| S52123B | 08 | 562-563 | S52225B | 08 | 562-563 | S52262C | 08 | 562-563 | ||
| S52123B | 24 | 955-965 | S52225B | 24 | 955-965 | S52262C | 24 | 955-965 | ||
| S52123C | 08 | 562-563 | S52225C | 08 | 562-563 | S52262D | 08 | 559-561 | ||
| S52123C | 24 | 955-965 | S52225C | 24 | 955-965 | S52262E | 08 | 559-561 | ||
| S52123D | 08 | 559-561 | S52225D | 08 | 559-561 | S52262F | 08 | 559-561 | ||
| S52123E | 08 | 559-561 | S52225E | 08 | 559-561 | S52262G | 08 | 559-561 | ||
| S52123F | 08 | 559-561 | S52225F | 08 | 559-561 | S52262H | 08 | 559-561 | ||
| S52123G | 08 | 559-561 | S52225G | 08 | 559-561 | S52262J | 08 | 559-561 | ||
| S52123H | 08 | 559-561 | S52225H | 08 | 559-561 | S52262K | 08 | 564-566 | ||
| S52123J | 08 | 559-561 | S52225J | 08 | 559-561 | S52262M | 08 | 564-566 | ||
| S52123K | 08 | 564-566 | S52225K | 08 | 564-566 | S52262N | 08 | 564-566 | ||
| S52123M | 08 | 564-566 | S52225M | 08 | 564-566 | S52262P | 08 | 564-566 | ||
| S52123N | 08 | 564-566 | S52225N | 08 | 564-566 | S52262Q | 08 | 564-566 | ||
| S52123P | 08 | 564-566 | S52225P | 08 | 564-566 | S52262R | 08 | 564-566 | ||
| S52123Q | 08 | 564-566 | S52225Q | 08 | 564-566 | S52262S | 08 | 559-561 | ||
| S52123R | 08 | 564-566 | S52225R | 08 | 564-566 | S52263A | 08 | 562-563 | ||
| S52123S | 08 | 559-561 | S52225S | 08 | 559-561 | S52263A | 24 | 955-965 | ||
| S52124A | 08 | 562-563 | S52226A | 08 | 562-563 | S52263B | 08 | 562-563 | ||
| S52124A | 24 | 955-965 | S52226A | 24 | 955-965 | S52263B | 24 | 955-965 | ||
| S52124B | 08 | 562-563 | S52226B | 08 | 562-563 | S52263C | 08 | 562-563 | ||
| S52124B | 24 | 955-965 | S52226B | 24 | 955-965 | S52263C | 24 | 955-965 | ||
| S52124C | 08 | 562-563 | S52226C | 08 | 562-563 | S52263D | 08 | 559-561 | ||
| S52124C | 24 | 955-965 | S52226C | 24 | 955-965 | S52263E | 08 | 559-561 | ||
| S52124D | 08 | 559-561 | S52226D | 08 | 559-561 | S52263F | 08 | 559-561 | ||
| S52124E | 08 | 559-561 | S52226E | 08 | 559-561 | S52263G | 08 | 559-561 | ||
| S52124F | 08 | 559-561 | S52226F | 08 | 559-561 | S52263H | 08 | 559-561 | ||
| S52124G | 08 | 559-561 | S52226G | 08 | 559-561 | S52263J | 08 | 559-561 | ||
| S52124H | 08 | 559-561 | S52226H | 08 | 559-561 | S52263K | 08 | 564-566 | ||
| S52124J | 08 | 559-561 | S52226J | 08 | 559-561 | S52263M | 08 | 564-566 | ||
| S52124K | 08 | 564-566 | S52226K | 08 | 564-566 | S52263N | 08 | 564-566 | ||
| S52124M | 08 | 564-566 | S52226M | 08 | 564-566 | S52263P | 08 | 564-566 | ||
| S52124N | 08 | 564-566 | S52226N | 08 | 564-566 | S52263Q | 08 | 564-566 | ||
| S52124P | 08 | 564-566 | S52226P | 08 | 564-566 | S52263R | 08 | 564-566 | ||
| S52124Q | 08 | 564-566 | S52226Q | 08 | 564-566 | S52263S | 08 | 559-561 | ||
| S52124R | 08 | 564-566 | S52226R | 08 | 564-566 | S52264A | 08 | 562-563 | ||
| S52124S | 08 | 559-561 | S52226S | 08 | 559-561 | S52264A | 24 | 955-965 | ||
| S52125A | 08 | 562-563 | S52231A | 08 | 562-563 | S52264B | 08 | 562-563 | ||
| S52125A | 24 | 955-965 | S52231A | 24 | 955-965 | S52264B | 24 | 955-965 | ||
| S52125B | 08 | 562-563 | S52231B | 08 | 562-563 | S52264C | 08 | 562-563 | ||
| S52125B | 24 | 955-965 | S52231B | 24 | 955-965 | S52264C | 24 | 955-965 | ||
| S52125C | 08 | 562-563 | S52231C | 08 | 562-563 | S52264D | 08 | 559-561 | ||
| S52125C | 24 | 955-965 | S52231C | 24 | 955-965 | S52264E | 08 | 559-561 | ||
| S52125D | 08 | 559-561 | S52231D | 08 | 559-561 | S52264F | 08 | 559-561 | ||
| S52125E | 08 | 559-561 | S52231E | 08 | 559-561 | S52264G | 08 | 559-561 | ||
| S52125F | 08 | 559-561 | S52231F | 08 | 559-561 | S52264H | 08 | 559-561 | ||
| S52125G | 08 | 559-561 | S52231G | 08 | 559-561 | S52264J | 08 | 559-561 | ||
| S52125H | 08 | 559-561 | S52231H | 08 | 559-561 | S52264K | 08 | 564-566 | ||
| S52125J | 08 | 559-561 | S52231J | 08 | 559-561 | S52264M | 08 | 564-566 | ||
| S52125K | 08 | 564-566 | S52231K | 08 | 564-566 | S52264N | 08 | 564-566 | ||
| S52125M | 08 | 564-566 | S52231M | 08 | 564-566 | S52264P | 08 | 564-566 | ||
| S52125N | 08 | 564-566 | S52231N | 08 | 564-566 | S52264Q | 08 | 564-566 | ||
| S52125P | 08 | 564-566 | S52231P | 08 | 564-566 | S52264R | 08 | 564-566 | ||
| S52125Q | 08 | 564-566 | S52231Q | 08 | 564-566 | S52264S | 08 | 559-561 | ||
| S52125R | 08 | 564-566 | S52231R | 08 | 564-566 | S52265A | 08 | 562-563 | ||
| S52125S | 08 | 559-561 | S52231S | 08 | 559-561 | S52265A | 24 | 955-965 | ||
| S52126A | 08 | 562-563 | S52232A | 08 | 562-563 | S52265B | 08 | 562-563 | ||
| S52126A | 24 | 955-965 | S52232A | 24 | 955-965 | S52265B | 24 | 955-965 | ||
| S52126B | 08 | 562-563 | S52232B | 08 | 562-563 | S52265C | 08 | 562-563 | ||
| S52126B | 24 | 955-965 | S52232B | 24 | 955-965 | S52265C | 24 | 955-965 | ||
| S52126C | 08 | 562-563 | S52232C | 08 | 562-563 | S52265D | 08 | 559-561 | ||
| S52126C | 24 | 955-965 | S52232C | 24 | 955-965 | S52265E | 08 | 559-561 | ||
| S52126D | 08 | 559-561 | S52232D | 08 | 559-561 | S52265F | 08 | 559-561 | ||
| S52126E | 08 | 559-561 | S52232E | 08 | 559-561 | S52265G | 08 | 559-561 | ||
| S52126F | 08 | 559-561 | S52232F | 08 | 559-561 | S52265H | 08 | 559-561 | ||
| S52126G | 08 | 559-561 | S52232G | 08 | 559-561 | S52265J | 08 | 559-561 | ||
| S52126H | 08 | 559-561 | S52232H | 08 | 559-561 | S52265K | 08 | 564-566 | ||
| S52126J | 08 | 559-561 | S52232J | 08 | 559-561 | S52265M | 08 | 564-566 | ||
| S52126K | 08 | 564-566 | S52232K | 08 | 564-566 | S52265N | 08 | 564-566 | ||
| S52126M | 08 | 564-566 | S52232M | 08 | 564-566 | S52265P | 08 | 564-566 | ||
| S52126N | 08 | 564-566 | S52232N | 08 | 564-566 | S52265Q | 08 | 564-566 | ||
| S52126P | 08 | 564-566 | S52232P | 08 | 564-566 | S52265R | 08 | 564-566 | ||
| S52126Q | 08 | 564-566 | S52232Q | 08 | 564-566 | S52265S | 08 | 559-561 | ||
| S52126R | 08 | 564-566 | S52232R | 08 | 564-566 | S52266A | 08 | 562-563 | ||
| S52126S | 08 | 559-561 | S52232S | 08 | 559-561 | S52266A | 24 | 955-965 | ||
| S52131A | 08 | 562-563 | S52233A | 08 | 562-563 | S52266B | 08 | 562-563 | ||
| S52131A | 24 | 955-965 | S52233A | 24 | 955-965 | S52266B | 24 | 955-965 | ||
| S52131B | 08 | 562-563 | S52233B | 08 | 562-563 | S52266C | 08 | 562-563 | ||
| S52131B | 24 | 955-965 | S52233B | 24 | 955-965 | S52266C | 24 | 955-965 | ||
| S52131C | 08 | 562-563 | S52233C | 08 | 562-563 | S52266D | 08 | 559-561 | ||
| S52131C | 24 | 955-965 | S52233C | 24 | 955-965 | S52266E | 08 | 559-561 | ||
| S52131D | 08 | 559-561 | S52233D | 08 | 559-561 | S52266F | 08 | 559-561 | ||
| S52131E | 08 | 559-561 | S52233E | 08 | 559-561 | S52266G | 08 | 559-561 | ||
| S52131F | 08 | 559-561 | S52233F | 08 | 559-561 | S52266H | 08 | 559-561 | ||
| S52131G | 08 | 559-561 | S52233G | 08 | 559-561 | S52266J | 08 | 559-561 | ||
| S52131H | 08 | 559-561 | S52233H | 08 | 559-561 | S52266K | 08 | 564-566 | ||
| S52131J | 08 | 559-561 | S52233J | 08 | 559-561 | S52266M | 08 | 564-566 | ||
| S52131K | 08 | 564-566 | S52233K | 08 | 564-566 | S52266N | 08 | 564-566 | ||
| S52131M | 08 | 564-566 | S52233M | 08 | 564-566 | S52266P | 08 | 564-566 | ||
| S52131N | 08 | 564-566 | S52233N | 08 | 564-566 | S52266Q | 08 | 564-566 | ||
| S52131P | 08 | 564-566 | S52233P | 08 | 564-566 | S52266R | 08 | 564-566 | ||
| S52131Q | 08 | 564-566 | S52233Q | 08 | 564-566 | S52266S | 08 | 559-561 | ||
| S52131R | 08 | 564-566 | S52233R | 08 | 564-566 | S52271A | 08 | 562-563 | ||
| S52131S | 08 | 559-561 | S52233S | 08 | 559-561 | S52271A | 24 | 955-965 | ||
| S52132A | 08 | 562-563 | S52234A | 08 | 562-563 | S52271B | 08 | 562-563 | ||
| S52132A | 24 | 955-965 | S52234A | 24 | 955-965 | S52271B | 24 | 955-965 | ||
| S52132B | 08 | 562-563 | S52234B | 08 | 562-563 | S52271C | 08 | 562-563 | ||
| S52132B | 24 | 955-965 | S52234B | 24 | 955-965 | S52271C | 24 | 955-965 | ||
| S52132C | 08 | 562-563 | S52234C | 08 | 562-563 | S52271D | 08 | 559-561 | ||
| S52132C | 24 | 955-965 | S52234C | 24 | 955-965 | S52271E | 08 | 559-561 | ||
| S52132D | 08 | 559-561 | S52234D | 08 | 559-561 | S52271F | 08 | 559-561 | ||
| S52132E | 08 | 559-561 | S52234E | 08 | 559-561 | S52271G | 08 | 559-561 | ||
| S52132F | 08 | 559-561 | S52234F | 08 | 559-561 | S52271H | 08 | 559-561 | ||
| S52132G | 08 | 559-561 | S52234G | 08 | 559-561 | S52271J | 08 | 559-561 | ||
| S52132H | 08 | 559-561 | S52234H | 08 | 559-561 | S52271K | 08 | 564-566 | ||
| S52132J | 08 | 559-561 | S52234J | 08 | 559-561 | S52271M | 08 | 564-566 | ||
| S52132K | 08 | 564-566 | S52234K | 08 | 564-566 | S52271N | 08 | 564-566 | ||
| S52132M | 08 | 564-566 | S52234M | 08 | 564-566 | S52271P | 08 | 564-566 | ||
| S52132N | 08 | 564-566 | S52234N | 08 | 564-566 | S52271Q | 08 | 564-566 | ||
| S52132P | 08 | 564-566 | S52234P | 08 | 564-566 | S52271R | 08 | 564-566 | ||
| S52132Q | 08 | 564-566 | S52234Q | 08 | 564-566 | S52271S | 08 | 559-561 | ||
| S52132R | 08 | 564-566 | S52234R | 08 | 564-566 | S52272A | 08 | 562-563 | ||
| S52132S | 08 | 559-561 | S52234S | 08 | 559-561 | S52272A | 24 | 955-965 | ||
| S52133A | 08 | 562-563 | S52235A | 08 | 562-563 | S52272B | 08 | 562-563 | ||
| S52133A | 24 | 955-965 | S52235A | 24 | 955-965 | S52272B | 24 | 955-965 | ||
| S52133B | 08 | 562-563 | S52235B | 08 | 562-563 | S52272C | 08 | 562-563 | ||
| S52133B | 24 | 955-965 | S52235B | 24 | 955-965 | S52272C | 24 | 955-965 | ||
| S52133C | 08 | 562-563 | S52235C | 08 | 562-563 | S52272D | 08 | 559-561 | ||
| S52133C | 24 | 955-965 | S52235C | 24 | 955-965 | S52272E | 08 | 559-561 | ||
| S52133D | 08 | 559-561 | S52235D | 08 | 559-561 | S52272F | 08 | 559-561 | ||
| S52133E | 08 | 559-561 | S52235E | 08 | 559-561 | S52272G | 08 | 559-561 | ||
| S52133F | 08 | 559-561 | S52235F | 08 | 559-561 | S52272H | 08 | 559-561 | ||
| S52133G | 08 | 559-561 | S52235G | 08 | 559-561 | S52272J | 08 | 559-561 | ||
| S52133H | 08 | 559-561 | S52235H | 08 | 559-561 | S52272K | 08 | 564-566 | ||
| S52133J | 08 | 559-561 | S52235J | 08 | 559-561 | S52272M | 08 | 564-566 | ||
| S52133K | 08 | 564-566 | S52235K | 08 | 564-566 | S52272N | 08 | 564-566 | ||
| S52133M | 08 | 564-566 | S52235M | 08 | 564-566 | S52272P | 08 | 564-566 | ||
| S52133N | 08 | 564-566 | S52235N | 08 | 564-566 | S52272Q | 08 | 564-566 | ||
| S52133P | 08 | 564-566 | S52235P | 08 | 564-566 | S52272R | 08 | 564-566 | ||
| S52133Q | 08 | 564-566 | S52235Q | 08 | 564-566 | S52272S | 08 | 559-561 | ||
| S52133R | 08 | 564-566 | S52235R | 08 | 564-566 | S52279A | 08 | 562-563 | ||
| S52133S | 08 | 559-561 | S52235S | 08 | 559-561 | S52279A | 24 | 955-965 | ||
| S52134A | 08 | 562-563 | S52236A | 08 | 562-563 | S52279B | 08 | 562-563 | ||
| S52134A | 24 | 955-965 | S52236A | 24 | 955-965 | S52279B | 24 | 955-965 | ||
| S52134B | 08 | 562-563 | S52236B | 08 | 562-563 | S52279C | 08 | 562-563 | ||
| S52134B | 24 | 955-965 | S52236B | 24 | 955-965 | S52279C | 24 | 955-965 | ||
| S52134C | 08 | 562-563 | S52236C | 08 | 562-563 | S52279D | 08 | 559-561 | ||
| S52134C | 24 | 955-965 | S52236C | 24 | 955-965 | S52279E | 08 | 559-561 | ||
| S52134D | 08 | 559-561 | S52236D | 08 | 559-561 | S52279F | 08 | 559-561 | ||
| S52134E | 08 | 559-561 | S52236E | 08 | 559-561 | S52279G | 08 | 559-561 | ||
| S52134F | 08 | 559-561 | S52236F | 08 | 559-561 | S52279H | 08 | 559-561 | ||
| S52134G | 08 | 559-561 | S52236G | 08 | 559-561 | S52279J | 08 | 559-561 | ||
| S52134H | 08 | 559-561 | S52236H | 08 | 559-561 | S52279K | 08 | 564-566 | ||
| S52134J | 08 | 559-561 | S52236J | 08 | 559-561 | S52279M | 08 | 564-566 | ||
| S52134K | 08 | 564-566 | S52236K | 08 | 564-566 | S52279N | 08 | 564-566 | ||
| S52134M | 08 | 564-566 | S52236M | 08 | 564-566 | S52279P | 08 | 564-566 | ||
| S52134N | 08 | 564-566 | S52236N | 08 | 564-566 | S52279Q | 08 | 564-566 | ||
| S52134P | 08 | 564-566 | S52236P | 08 | 564-566 | S52279R | 08 | 564-566 | ||
| S52134Q | 08 | 564-566 | S52236Q | 08 | 564-566 | S52279S | 08 | 559-561 | ||
| S52134R | 08 | 564-566 | S52236R | 08 | 564-566 | S52281A | 08 | 562-563 | ||
| S52134S | 08 | 559-561 | S52236S | 08 | 559-561 | S52281A | 24 | 955-965 | ||
| S52135A | 08 | 562-563 | S52241A | 08 | 562-563 | S52281B | 08 | 562-563 | ||
| S52135A | 24 | 955-965 | S52241A | 24 | 955-965 | S52281B | 24 | 955-965 | ||
| S52135B | 08 | 562-563 | S52241B | 08 | 562-563 | S52281C | 08 | 562-563 | ||
| S52135B | 24 | 955-965 | S52241B | 24 | 955-965 | S52281C | 24 | 955-965 | ||
| S52135C | 08 | 562-563 | S52241C | 08 | 562-563 | S52281D | 08 | 559-561 | ||
| S52135C | 24 | 955-965 | S52241C | 24 | 955-965 | S52281E | 08 | 559-561 | ||
| S52135D | 08 | 559-561 | S52241D | 08 | 559-561 | S52281F | 08 | 559-561 | ||
| S52135E | 08 | 559-561 | S52241E | 08 | 559-561 | S52281G | 08 | 559-561 | ||
| S52135F | 08 | 559-561 | S52241F | 08 | 559-561 | S52281H | 08 | 559-561 | ||
| S52135G | 08 | 559-561 | S52241G | 08 | 559-561 | S52281J | 08 | 559-561 | ||
| S52135H | 08 | 559-561 | S52241H | 08 | 559-561 | S52281K | 08 | 564-566 | ||
| S52135J | 08 | 559-561 | S52241J | 08 | 559-561 | S52281M | 08 | 564-566 | ||
| S52135K | 08 | 564-566 | S52241K | 08 | 564-566 | S52281N | 08 | 564-566 | ||
| S52135M | 08 | 564-566 | S52241M | 08 | 564-566 | S52281P | 08 | 564-566 | ||
| S52135N | 08 | 564-566 | S52241N | 08 | 564-566 | S52281Q | 08 | 564-566 | ||
| S52135P | 08 | 564-566 | S52241P | 08 | 564-566 | S52281R | 08 | 564-566 | ||
| S52135Q | 08 | 564-566 | S52241Q | 08 | 564-566 | S52281S | 08 | 559-561 | ||
| S52135R | 08 | 564-566 | S52241R | 08 | 564-566 | S52282A | 08 | 562-563 | ||
| S52135S | 08 | 559-561 | S52241S | 08 | 559-561 | S52282A | 24 | 955-965 | ||
| S52136A | 08 | 562-563 | S52242A | 08 | 562-563 | S52282B | 08 | 562-563 | ||
| S52136A | 24 | 955-965 | S52242A | 24 | 955-965 | S52282B | 24 | 955-965 | ||
| S52136B | 08 | 562-563 | S52242B | 08 | 562-563 | S52282C | 08 | 562-563 | ||
| S52136B | 24 | 955-965 | S52242B | 24 | 955-965 | S52282C | 24 | 955-965 | ||
| S52136C | 08 | 562-563 | S52242C | 08 | 562-563 | S52282D | 08 | 559-561 | ||
| S52136C | 24 | 955-965 | S52242C | 24 | 955-965 | S52282E | 08 | 559-561 | ||
| S52136D | 08 | 559-561 | S52242D | 08 | 559-561 | S52282F | 08 | 559-561 | ||
| S52136E | 08 | 559-561 | S52242E | 08 | 559-561 | S52282G | 08 | 559-561 | ||
| S52136F | 08 | 559-561 | S52242F | 08 | 559-561 | S52282H | 08 | 559-561 | ||
| S52136G | 08 | 559-561 | S52242G | 08 | 559-561 | S52282J | 08 | 559-561 | ||
| S52136H | 08 | 559-561 | S52242H | 08 | 559-561 | S52282K | 08 | 564-566 | ||
| S52136J | 08 | 559-561 | S52242J | 08 | 559-561 | S52282M | 08 | 564-566 | ||
| S52136K | 08 | 564-566 | S52242K | 08 | 564-566 | S52282N | 08 | 564-566 | ||
| S52136M | 08 | 564-566 | S52242M | 08 | 564-566 | S52282P | 08 | 564-566 | ||
| S52136N | 08 | 564-566 | S52242N | 08 | 564-566 | S52282Q | 08 | 564-566 | ||
| S52136P | 08 | 564-566 | S52242P | 08 | 564-566 | S52282R | 08 | 564-566 | ||
| S52136Q | 08 | 564-566 | S52242Q | 08 | 564-566 | S52282S | 08 | 559-561 | ||
| S52136R | 08 | 564-566 | S52242R | 08 | 564-566 | S52283A | 08 | 562-563 | ||
| S52136S | 08 | 559-561 | S52242S | 08 | 559-561 | S52283A | 24 | 955-965 | ||
| S52181A | 08 | 562-563 | S52243A | 08 | 562-563 | S52283B | 08 | 562-563 | ||
| S52181A | 24 | 955-965 | S52243A | 24 | 955-965 | S52283B | 24 | 955-965 | ||
| S52181B | 08 | 562-563 | S52243B | 08 | 562-563 | S52283C | 08 | 562-563 | ||
| S52181B | 24 | 955-965 | S52243B | 24 | 955-965 | S52283C | 24 | 955-965 | ||
| S52181C | 08 | 562-563 | S52243C | 08 | 562-563 | S52283D | 08 | 559-561 | ||
| S52181C | 24 | 955-965 | S52243C | 24 | 955-965 | S52283E | 08 | 559-561 | ||
| S52181D | 08 | 559-561 | S52243D | 08 | 559-561 | S52283F | 08 | 559-561 | ||
| S52181E | 08 | 559-561 | S52243E | 08 | 559-561 | S52283G | 08 | 559-561 | ||
| S52181F | 08 | 559-561 | S52243F | 08 | 559-561 | S52283H | 08 | 559-561 | ||
| S52181G | 08 | 559-561 | S52243G | 08 | 559-561 | S52283J | 08 | 559-561 | ||
| S52181H | 08 | 559-561 | S52243H | 08 | 559-561 | S52283K | 08 | 564-566 | ||
| S52181J | 08 | 559-561 | S52243J | 08 | 559-561 | S52283M | 08 | 564-566 | ||
| S52181K | 08 | 564-566 | S52243K | 08 | 564-566 | S52283N | 08 | 564-566 | ||
| S52181M | 08 | 564-566 | S52243M | 08 | 564-566 | S52283P | 08 | 564-566 | ||
| S52181N | 08 | 564-566 | S52243N | 08 | 564-566 | S52283Q | 08 | 564-566 | ||
| S52181P | 08 | 564-566 | S52243P | 08 | 564-566 | S52283R | 08 | 564-566 | ||
| S52181Q | 08 | 564-566 | S52243Q | 08 | 564-566 | S52283S | 08 | 559-561 | ||
| S52181R | 08 | 564-566 | S52243R | 08 | 564-566 | S52291A | 08 | 562-563 | ||
| S52181S | 08 | 559-561 | S52243S | 08 | 559-561 | S52291A | 24 | 955-965 | ||
| S52182A | 08 | 562-563 | S52244A | 08 | 562-563 | S52291B | 08 | 562-563 | ||
| S52182A | 24 | 955-965 | S52244A | 24 | 955-965 | S52291B | 24 | 955-965 | ||
| S52182B | 08 | 562-563 | S52244B | 08 | 562-563 | S52291C | 08 | 562-563 | ||
| S52182B | 24 | 955-965 | S52244B | 24 | 955-965 | S52291C | 24 | 955-965 | ||
| S52182C | 08 | 562-563 | S52244C | 08 | 562-563 | S52291D | 08 | 559-561 | ||
| S52182C | 24 | 955-965 | S52244C | 24 | 955-965 | S52291E | 08 | 559-561 | ||
| S52182D | 08 | 559-561 | S52244D | 08 | 559-561 | S52291F | 08 | 559-561 | ||
| S52182E | 08 | 559-561 | S52244E | 08 | 559-561 | S52291G | 08 | 559-561 | ||
| S52182F | 08 | 559-561 | S52244F | 08 | 559-561 | S52291H | 08 | 559-561 | ||
| S52182G | 08 | 559-561 | S52244G | 08 | 559-561 | S52291J | 08 | 559-561 | ||
| S52182H | 08 | 559-561 | S52244H | 08 | 559-561 | S52291K | 08 | 564-566 | ||
| S52182J | 08 | 559-561 | S52244J | 08 | 559-561 | S52291M | 08 | 564-566 | ||
| S52182K | 08 | 564-566 | S52244K | 08 | 564-566 | S52291N | 08 | 564-566 | ||
| S52182M | 08 | 564-566 | S52244M | 08 | 564-566 | S52291P | 08 | 564-566 | ||
| S52182N | 08 | 564-566 | S52244N | 08 | 564-566 | S52291Q | 08 | 564-566 | ||
| S52182P | 08 | 564-566 | S52244P | 08 | 564-566 | S52291R | 08 | 564-566 | ||
| S52182Q | 08 | 564-566 | S52244Q | 08 | 564-566 | S52291S | 08 | 559-561 | ||
| S52182R | 08 | 564-566 | S52244R | 08 | 564-566 | S52292A | 08 | 562-563 | ||
| S52182S | 08 | 559-561 | S52244S | 08 | 559-561 | S52292A | 24 | 955-965 | ||
| S52189A | 08 | 562-563 | S52245A | 08 | 562-563 | S52292B | 08 | 562-563 | ||
| S52189A | 24 | 955-965 | S52245A | 24 | 955-965 | S52292B | 24 | 955-965 | ||
| S52189B | 08 | 562-563 | S52245B | 08 | 562-563 | S52292C | 08 | 562-563 | ||
| S52189B | 24 | 955-965 | S52245B | 24 | 955-965 | S52292C | 24 | 955-965 | ||
| S52189C | 08 | 562-563 | S52245C | 08 | 562-563 | S52292D | 08 | 559-561 | ||
| S52189C | 24 | 955-965 | S52245C | 24 | 955-965 | S52292E | 08 | 559-561 | ||
| S52189D | 08 | 559-561 | S52245D | 08 | 559-561 | S52292F | 08 | 559-561 | ||
| S52189E | 08 | 559-561 | S52245E | 08 | 559-561 | S52292G | 08 | 559-561 | ||
| S52189F | 08 | 559-561 | S52245F | 08 | 559-561 | S52292H | 08 | 559-561 | ||
| S52189G | 08 | 559-561 | S52245G | 08 | 559-561 | S52292J | 08 | 559-561 | ||
| S52189H | 08 | 559-561 | S52245H | 08 | 559-561 | S52292K | 08 | 564-566 | ||
| S52189J | 08 | 559-561 | S52245J | 08 | 559-561 | S52292M | 08 | 564-566 | ||
| S52189K | 08 | 564-566 | S52245K | 08 | 564-566 | S52292N | 08 | 564-566 | ||
| S52189M | 08 | 564-566 | S52245M | 08 | 564-566 | S52292P | 08 | 564-566 | ||
| S52189N | 08 | 564-566 | S52245N | 08 | 564-566 | S52292Q | 08 | 564-566 | ||
| S52189P | 08 | 564-566 | S52245P | 08 | 564-566 | S52292R | 08 | 564-566 | ||
| S52189Q | 08 | 564-566 | S52245Q | 08 | 564-566 | S52292S | 08 | 559-561 | ||
| S52189R | 08 | 564-566 | S52245R | 08 | 564-566 | S52299A | 08 | 562-563 | ||
| S52189S | 08 | 559-561 | S52245S | 08 | 559-561 | S52299A | 24 | 955-965 | ||
| S52201A | 08 | 562-563 | S52246A | 08 | 562-563 | S52299B | 08 | 562-563 | ||
| S52201A | 24 | 955-965 | S52246A | 24 | 955-965 | S52299B | 24 | 955-965 | ||
| S52201B | 08 | 562-563 | S52246B | 08 | 562-563 | S52299C | 08 | 562-563 | ||
| S52201B | 24 | 955-965 | S52246B | 24 | 955-965 | S52299C | 24 | 955-965 | ||
| S52201C | 08 | 562-563 | S52246C | 08 | 562-563 | S52299D | 08 | 559-561 | ||
| S52201C | 24 | 955-965 | S52246C | 24 | 955-965 | S52299E | 08 | 559-561 | ||
| S52201D | 08 | 559-561 | S52246D | 08 | 559-561 | S52299F | 08 | 559-561 | ||
| S52201E | 08 | 559-561 | S52246E | 08 | 559-561 | S52299G | 08 | 559-561 | ||
| S52201F | 08 | 559-561 | S52246F | 08 | 559-561 | S52299H | 08 | 559-561 | ||
| S52201G | 08 | 559-561 | S52246G | 08 | 559-561 | S52299J | 08 | 559-561 | ||
| S52201H | 08 | 559-561 | S52246H | 08 | 559-561 | S52299K | 08 | 564-566 | ||
| S52201J | 08 | 559-561 | S52246J | 08 | 559-561 | S52299M | 08 | 564-566 | ||
| S52201K | 08 | 564-566 | S52246K | 08 | 564-566 | S52299N | 08 | 564-566 | ||
| S52201M | 08 | 564-566 | S52246M | 08 | 564-566 | S52299P | 08 | 564-566 | ||
| S52201N | 08 | 564-566 | S52246N | 08 | 564-566 | S52299Q | 08 | 564-566 | ||
| S52201P | 08 | 564-566 | S52246P | 08 | 564-566 | S52299R | 08 | 564-566 | ||
| S52201Q | 08 | 564-566 | S52246Q | 08 | 564-566 | S52299S | 08 | 559-561 | ||
| S52201R | 08 | 564-566 | S52246R | 08 | 564-566 | S52301A | 08 | 562-563 | ||
| S52201S | 08 | 559-561 | S52246S | 08 | 559-561 | S52301A | 24 | 955-965 | ||
| S52202A | 08 | 562-563 | S52251A | 08 | 562-563 | S52301B | 08 | 562-563 | ||
| S52202A | 24 | 955-965 | S52251A | 24 | 955-965 | S52301B | 24 | 955-965 | ||
| S52202B | 08 | 562-563 | S52251B | 08 | 562-563 | S52301C | 08 | 562-563 | ||
| S52202B | 24 | 955-965 | S52251B | 24 | 955-965 | S52301C | 24 | 955-965 | ||
| S52202C | 08 | 562-563 | S52251C | 08 | 562-563 | S52301D | 08 | 559-561 | ||
| S52202C | 24 | 955-965 | S52251C | 24 | 955-965 | S52301E | 08 | 559-561 | ||
| S52202D | 08 | 559-561 | S52251D | 08 | 559-561 | S52301F | 08 | 559-561 | ||
| S52202E | 08 | 559-561 | S52251E | 08 | 559-561 | S52301G | 08 | 559-561 | ||
| S52202F | 08 | 559-561 | S52251F | 08 | 559-561 | S52301H | 08 | 559-561 | ||
| S52202G | 08 | 559-561 | S52251G | 08 | 559-561 | S52301J | 08 | 559-561 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Aug 2017 11:52:25 CMS, code-revision=63, description-revision=616 |