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 50 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S72322M | 08 | 564-566 | S72352S | 08 | 559-561 | S72414A | 08 | 533-534 | ||
| S72322N | 08 | 564-566 | S72353A | 08 | 533-534 | S72414A | 24 | 955-965 | ||
| S72322P | 08 | 564-566 | S72353A | 15 | 793 | S72414B | 08 | 533-534 | ||
| S72322Q | 08 | 564-566 | S72353A | 24 | 955-965 | S72414B | 24 | 955-965 | ||
| S72322R | 08 | 564-566 | S72353B | 08 | 533-534 | S72414C | 08 | 533-534 | ||
| S72322S | 08 | 559-561 | S72353B | 15 | 793 | S72414C | 24 | 955-965 | ||
| S72323A | 08 | 533-534 | S72353B | 24 | 955-965 | S72414D | 08 | 559-561 | ||
| S72323A | 15 | 793 | S72353C | 08 | 533-534 | S72414E | 08 | 559-561 | ||
| S72323A | 24 | 955-965 | S72353C | 15 | 793 | S72414F | 08 | 559-561 | ||
| S72323B | 08 | 533-534 | S72353C | 24 | 955-965 | S72414G | 08 | 559-561 | ||
| S72323B | 15 | 793 | S72353D | 08 | 559-561 | S72414H | 08 | 559-561 | ||
| S72323B | 24 | 955-965 | S72353E | 08 | 559-561 | S72414J | 08 | 559-561 | ||
| S72323C | 08 | 533-534 | S72353F | 08 | 559-561 | S72414K | 08 | 564-566 | ||
| S72323C | 15 | 793 | S72353G | 08 | 559-561 | S72414M | 08 | 564-566 | ||
| S72323C | 24 | 955-965 | S72353H | 08 | 559-561 | S72414N | 08 | 564-566 | ||
| S72323D | 08 | 559-561 | S72353J | 08 | 559-561 | S72414P | 08 | 564-566 | ||
| S72323E | 08 | 559-561 | S72353K | 08 | 564-566 | S72414Q | 08 | 564-566 | ||
| S72323F | 08 | 559-561 | S72353M | 08 | 564-566 | S72414R | 08 | 564-566 | ||
| S72323G | 08 | 559-561 | S72353N | 08 | 564-566 | S72414S | 08 | 559-561 | ||
| S72323H | 08 | 559-561 | S72353P | 08 | 564-566 | S72415A | 08 | 533-534 | ||
| S72323J | 08 | 559-561 | S72353Q | 08 | 564-566 | S72415A | 24 | 955-965 | ||
| S72323K | 08 | 564-566 | S72353R | 08 | 564-566 | S72415B | 08 | 533-534 | ||
| S72323M | 08 | 564-566 | S72353S | 08 | 559-561 | S72415B | 24 | 955-965 | ||
| S72323N | 08 | 564-566 | S72354A | 08 | 533-534 | S72415C | 08 | 533-534 | ||
| S72323P | 08 | 564-566 | S72354A | 15 | 793 | S72415C | 24 | 955-965 | ||
| S72323Q | 08 | 564-566 | S72354A | 24 | 955-965 | S72415D | 08 | 559-561 | ||
| S72323R | 08 | 564-566 | S72354B | 08 | 533-534 | S72415E | 08 | 559-561 | ||
| S72323S | 08 | 559-561 | S72354B | 15 | 793 | S72415F | 08 | 559-561 | ||
| S72324A | 08 | 533-534 | S72354B | 24 | 955-965 | S72415G | 08 | 559-561 | ||
| S72324A | 15 | 793 | S72354C | 08 | 533-534 | S72415H | 08 | 559-561 | ||
| S72324A | 24 | 955-965 | S72354C | 15 | 793 | S72415J | 08 | 559-561 | ||
| S72324B | 08 | 533-534 | S72354C | 24 | 955-965 | S72415K | 08 | 564-566 | ||
| S72324B | 15 | 793 | S72354D | 08 | 559-561 | S72415M | 08 | 564-566 | ||
| S72324B | 24 | 955-965 | S72354E | 08 | 559-561 | S72415N | 08 | 564-566 | ||
| S72324C | 08 | 533-534 | S72354F | 08 | 559-561 | S72415P | 08 | 564-566 | ||
| S72324C | 15 | 793 | S72354G | 08 | 559-561 | S72415Q | 08 | 564-566 | ||
| S72324C | 24 | 955-965 | S72354H | 08 | 559-561 | S72415R | 08 | 564-566 | ||
| S72324D | 08 | 559-561 | S72354J | 08 | 559-561 | S72415S | 08 | 559-561 | ||
| S72324E | 08 | 559-561 | S72354K | 08 | 564-566 | S72416A | 08 | 533-534 | ||
| S72324F | 08 | 559-561 | S72354M | 08 | 564-566 | S72416A | 24 | 955-965 | ||
| S72324G | 08 | 559-561 | S72354N | 08 | 564-566 | S72416B | 08 | 533-534 | ||
| S72324H | 08 | 559-561 | S72354P | 08 | 564-566 | S72416B | 24 | 955-965 | ||
| S72324J | 08 | 559-561 | S72354Q | 08 | 564-566 | S72416C | 08 | 533-534 | ||
| S72324K | 08 | 564-566 | S72354R | 08 | 564-566 | S72416C | 24 | 955-965 | ||
| S72324M | 08 | 564-566 | S72354S | 08 | 559-561 | S72416D | 08 | 559-561 | ||
| S72324N | 08 | 564-566 | S72355A | 08 | 533-534 | S72416E | 08 | 559-561 | ||
| S72324P | 08 | 564-566 | S72355A | 15 | 793 | S72416F | 08 | 559-561 | ||
| S72324Q | 08 | 564-566 | S72355A | 24 | 955-965 | S72416G | 08 | 559-561 | ||
| S72324R | 08 | 564-566 | S72355B | 08 | 533-534 | S72416H | 08 | 559-561 | ||
| S72324S | 08 | 559-561 | S72355B | 15 | 793 | S72416J | 08 | 559-561 | ||
| S72325A | 08 | 533-534 | S72355B | 24 | 955-965 | S72416K | 08 | 564-566 | ||
| S72325A | 15 | 793 | S72355C | 08 | 533-534 | S72416M | 08 | 564-566 | ||
| S72325A | 24 | 955-965 | S72355C | 15 | 793 | S72416N | 08 | 564-566 | ||
| S72325B | 08 | 533-534 | S72355C | 24 | 955-965 | S72416P | 08 | 564-566 | ||
| S72325B | 15 | 793 | S72355D | 08 | 559-561 | S72416Q | 08 | 564-566 | ||
| S72325B | 24 | 955-965 | S72355E | 08 | 559-561 | S72416R | 08 | 564-566 | ||
| S72325C | 08 | 533-534 | S72355F | 08 | 559-561 | S72416S | 08 | 559-561 | ||
| S72325C | 15 | 793 | S72355G | 08 | 559-561 | S72421A | 08 | 533-534 | ||
| S72325C | 24 | 955-965 | S72355H | 08 | 559-561 | S72421A | 24 | 955-965 | ||
| S72325D | 08 | 559-561 | S72355J | 08 | 559-561 | S72421B | 08 | 533-534 | ||
| S72325E | 08 | 559-561 | S72355K | 08 | 564-566 | S72421B | 24 | 955-965 | ||
| S72325F | 08 | 559-561 | S72355M | 08 | 564-566 | S72421C | 08 | 533-534 | ||
| S72325G | 08 | 559-561 | S72355N | 08 | 564-566 | S72421C | 24 | 955-965 | ||
| S72325H | 08 | 559-561 | S72355P | 08 | 564-566 | S72421D | 08 | 559-561 | ||
| S72325J | 08 | 559-561 | S72355Q | 08 | 564-566 | S72421E | 08 | 559-561 | ||
| S72325K | 08 | 564-566 | S72355R | 08 | 564-566 | S72421F | 08 | 559-561 | ||
| S72325M | 08 | 564-566 | S72355S | 08 | 559-561 | S72421G | 08 | 559-561 | ||
| S72325N | 08 | 564-566 | S72356A | 08 | 533-534 | S72421H | 08 | 559-561 | ||
| S72325P | 08 | 564-566 | S72356A | 15 | 793 | S72421J | 08 | 559-561 | ||
| S72325Q | 08 | 564-566 | S72356A | 24 | 955-965 | S72421K | 08 | 564-566 | ||
| S72325R | 08 | 564-566 | S72356B | 08 | 533-534 | S72421M | 08 | 564-566 | ||
| S72325S | 08 | 559-561 | S72356B | 15 | 793 | S72421N | 08 | 564-566 | ||
| S72326A | 08 | 533-534 | S72356B | 24 | 955-965 | S72421P | 08 | 564-566 | ||
| S72326A | 15 | 793 | S72356C | 08 | 533-534 | S72421Q | 08 | 564-566 | ||
| S72326A | 24 | 955-965 | S72356C | 15 | 793 | S72421R | 08 | 564-566 | ||
| S72326B | 08 | 533-534 | S72356C | 24 | 955-965 | S72421S | 08 | 559-561 | ||
| S72326B | 15 | 793 | S72356D | 08 | 559-561 | S72422A | 08 | 533-534 | ||
| S72326B | 24 | 955-965 | S72356E | 08 | 559-561 | S72422A | 24 | 955-965 | ||
| S72326C | 08 | 533-534 | S72356F | 08 | 559-561 | S72422B | 08 | 533-534 | ||
| S72326C | 15 | 793 | S72356G | 08 | 559-561 | S72422B | 24 | 955-965 | ||
| S72326C | 24 | 955-965 | S72356H | 08 | 559-561 | S72422C | 08 | 533-534 | ||
| S72326D | 08 | 559-561 | S72356J | 08 | 559-561 | S72422C | 24 | 955-965 | ||
| S72326E | 08 | 559-561 | S72356K | 08 | 564-566 | S72422D | 08 | 559-561 | ||
| S72326F | 08 | 559-561 | S72356M | 08 | 564-566 | S72422E | 08 | 559-561 | ||
| S72326G | 08 | 559-561 | S72356N | 08 | 564-566 | S72422F | 08 | 559-561 | ||
| S72326H | 08 | 559-561 | S72356P | 08 | 564-566 | S72422G | 08 | 559-561 | ||
| S72326J | 08 | 559-561 | S72356Q | 08 | 564-566 | S72422H | 08 | 559-561 | ||
| S72326K | 08 | 564-566 | S72356R | 08 | 564-566 | S72422J | 08 | 559-561 | ||
| S72326M | 08 | 564-566 | S72356S | 08 | 559-561 | S72422K | 08 | 564-566 | ||
| S72326N | 08 | 564-566 | S72361A | 08 | 533-534 | S72422M | 08 | 564-566 | ||
| S72326P | 08 | 564-566 | S72361A | 15 | 793 | S72422N | 08 | 564-566 | ||
| S72326Q | 08 | 564-566 | S72361A | 24 | 955-965 | S72422P | 08 | 564-566 | ||
| S72326R | 08 | 564-566 | S72361B | 08 | 533-534 | S72422Q | 08 | 564-566 | ||
| S72326S | 08 | 559-561 | S72361B | 15 | 793 | S72422R | 08 | 564-566 | ||
| S72331A | 08 | 533-534 | S72361B | 24 | 955-965 | S72422S | 08 | 559-561 | ||
| S72331A | 15 | 793 | S72361C | 08 | 533-534 | S72423A | 08 | 533-534 | ||
| S72331A | 24 | 955-965 | S72361C | 15 | 793 | S72423A | 24 | 955-965 | ||
| S72331B | 08 | 533-534 | S72361C | 24 | 955-965 | S72423B | 08 | 533-534 | ||
| S72331B | 15 | 793 | S72361D | 08 | 559-561 | S72423B | 24 | 955-965 | ||
| S72331B | 24 | 955-965 | S72361E | 08 | 559-561 | S72423C | 08 | 533-534 | ||
| S72331C | 08 | 533-534 | S72361F | 08 | 559-561 | S72423C | 24 | 955-965 | ||
| S72331C | 15 | 793 | S72361G | 08 | 559-561 | S72423D | 08 | 559-561 | ||
| S72331C | 24 | 955-965 | S72361H | 08 | 559-561 | S72423E | 08 | 559-561 | ||
| S72331D | 08 | 559-561 | S72361J | 08 | 559-561 | S72423F | 08 | 559-561 | ||
| S72331E | 08 | 559-561 | S72361K | 08 | 564-566 | S72423G | 08 | 559-561 | ||
| S72331F | 08 | 559-561 | S72361M | 08 | 564-566 | S72423H | 08 | 559-561 | ||
| S72331G | 08 | 559-561 | S72361N | 08 | 564-566 | S72423J | 08 | 559-561 | ||
| S72331H | 08 | 559-561 | S72361P | 08 | 564-566 | S72423K | 08 | 564-566 | ||
| S72331J | 08 | 559-561 | S72361Q | 08 | 564-566 | S72423M | 08 | 564-566 | ||
| S72331K | 08 | 564-566 | S72361R | 08 | 564-566 | S72423N | 08 | 564-566 | ||
| S72331M | 08 | 564-566 | S72361S | 08 | 559-561 | S72423P | 08 | 564-566 | ||
| S72331N | 08 | 564-566 | S72362A | 08 | 533-534 | S72423Q | 08 | 564-566 | ||
| S72331P | 08 | 564-566 | S72362A | 15 | 793 | S72423R | 08 | 564-566 | ||
| S72331Q | 08 | 564-566 | S72362A | 24 | 955-965 | S72423S | 08 | 559-561 | ||
| S72331R | 08 | 564-566 | S72362B | 08 | 533-534 | S72424A | 08 | 533-534 | ||
| S72331S | 08 | 559-561 | S72362B | 15 | 793 | S72424A | 24 | 955-965 | ||
| S72332A | 08 | 533-534 | S72362B | 24 | 955-965 | S72424B | 08 | 533-534 | ||
| S72332A | 15 | 793 | S72362C | 08 | 533-534 | S72424B | 24 | 955-965 | ||
| S72332A | 24 | 955-965 | S72362C | 15 | 793 | S72424C | 08 | 533-534 | ||
| S72332B | 08 | 533-534 | S72362C | 24 | 955-965 | S72424C | 24 | 955-965 | ||
| S72332B | 15 | 793 | S72362D | 08 | 559-561 | S72424D | 08 | 559-561 | ||
| S72332B | 24 | 955-965 | S72362E | 08 | 559-561 | S72424E | 08 | 559-561 | ||
| S72332C | 08 | 533-534 | S72362F | 08 | 559-561 | S72424F | 08 | 559-561 | ||
| S72332C | 15 | 793 | S72362G | 08 | 559-561 | S72424G | 08 | 559-561 | ||
| S72332C | 24 | 955-965 | S72362H | 08 | 559-561 | S72424H | 08 | 559-561 | ||
| S72332D | 08 | 559-561 | S72362J | 08 | 559-561 | S72424J | 08 | 559-561 | ||
| S72332E | 08 | 559-561 | S72362K | 08 | 564-566 | S72424K | 08 | 564-566 | ||
| S72332F | 08 | 559-561 | S72362M | 08 | 564-566 | S72424M | 08 | 564-566 | ||
| S72332G | 08 | 559-561 | S72362N | 08 | 564-566 | S72424N | 08 | 564-566 | ||
| S72332H | 08 | 559-561 | S72362P | 08 | 564-566 | S72424P | 08 | 564-566 | ||
| S72332J | 08 | 559-561 | S72362Q | 08 | 564-566 | S72424Q | 08 | 564-566 | ||
| S72332K | 08 | 564-566 | S72362R | 08 | 564-566 | S72424R | 08 | 564-566 | ||
| S72332M | 08 | 564-566 | S72362S | 08 | 559-561 | S72424S | 08 | 559-561 | ||
| S72332N | 08 | 564-566 | S72363A | 08 | 533-534 | S72425A | 08 | 533-534 | ||
| S72332P | 08 | 564-566 | S72363A | 15 | 793 | S72425A | 24 | 955-965 | ||
| S72332Q | 08 | 564-566 | S72363A | 24 | 955-965 | S72425B | 08 | 533-534 | ||
| S72332R | 08 | 564-566 | S72363B | 08 | 533-534 | S72425B | 24 | 955-965 | ||
| S72332S | 08 | 559-561 | S72363B | 15 | 793 | S72425C | 08 | 533-534 | ||
| S72333A | 08 | 533-534 | S72363B | 24 | 955-965 | S72425C | 24 | 955-965 | ||
| S72333A | 15 | 793 | S72363C | 08 | 533-534 | S72425D | 08 | 559-561 | ||
| S72333A | 24 | 955-965 | S72363C | 15 | 793 | S72425E | 08 | 559-561 | ||
| S72333B | 08 | 533-534 | S72363C | 24 | 955-965 | S72425F | 08 | 559-561 | ||
| S72333B | 15 | 793 | S72363D | 08 | 559-561 | S72425G | 08 | 559-561 | ||
| S72333B | 24 | 955-965 | S72363E | 08 | 559-561 | S72425H | 08 | 559-561 | ||
| S72333C | 08 | 533-534 | S72363F | 08 | 559-561 | S72425J | 08 | 559-561 | ||
| S72333C | 15 | 793 | S72363G | 08 | 559-561 | S72425K | 08 | 564-566 | ||
| S72333C | 24 | 955-965 | S72363H | 08 | 559-561 | S72425M | 08 | 564-566 | ||
| S72333D | 08 | 559-561 | S72363J | 08 | 559-561 | S72425N | 08 | 564-566 | ||
| S72333E | 08 | 559-561 | S72363K | 08 | 564-566 | S72425P | 08 | 564-566 | ||
| S72333F | 08 | 559-561 | S72363M | 08 | 564-566 | S72425Q | 08 | 564-566 | ||
| S72333G | 08 | 559-561 | S72363N | 08 | 564-566 | S72425R | 08 | 564-566 | ||
| S72333H | 08 | 559-561 | S72363P | 08 | 564-566 | S72425S | 08 | 559-561 | ||
| S72333J | 08 | 559-561 | S72363Q | 08 | 564-566 | S72426A | 08 | 533-534 | ||
| S72333K | 08 | 564-566 | S72363R | 08 | 564-566 | S72426A | 24 | 955-965 | ||
| S72333M | 08 | 564-566 | S72363S | 08 | 559-561 | S72426B | 08 | 533-534 | ||
| S72333N | 08 | 564-566 | S72364A | 08 | 533-534 | S72426B | 24 | 955-965 | ||
| S72333P | 08 | 564-566 | S72364A | 15 | 793 | S72426C | 08 | 533-534 | ||
| S72333Q | 08 | 564-566 | S72364A | 24 | 955-965 | S72426C | 24 | 955-965 | ||
| S72333R | 08 | 564-566 | S72364B | 08 | 533-534 | S72426D | 08 | 559-561 | ||
| S72333S | 08 | 559-561 | S72364B | 15 | 793 | S72426E | 08 | 559-561 | ||
| S72334A | 08 | 533-534 | S72364B | 24 | 955-965 | S72426F | 08 | 559-561 | ||
| S72334A | 15 | 793 | S72364C | 08 | 533-534 | S72426G | 08 | 559-561 | ||
| S72334A | 24 | 955-965 | S72364C | 15 | 793 | S72426H | 08 | 559-561 | ||
| S72334B | 08 | 533-534 | S72364C | 24 | 955-965 | S72426J | 08 | 559-561 | ||
| S72334B | 15 | 793 | S72364D | 08 | 559-561 | S72426K | 08 | 564-566 | ||
| S72334B | 24 | 955-965 | S72364E | 08 | 559-561 | S72426M | 08 | 564-566 | ||
| S72334C | 08 | 533-534 | S72364F | 08 | 559-561 | S72426N | 08 | 564-566 | ||
| S72334C | 15 | 793 | S72364G | 08 | 559-561 | S72426P | 08 | 564-566 | ||
| S72334C | 24 | 955-965 | S72364H | 08 | 559-561 | S72426Q | 08 | 564-566 | ||
| S72334D | 08 | 559-561 | S72364J | 08 | 559-561 | S72426R | 08 | 564-566 | ||
| S72334E | 08 | 559-561 | S72364K | 08 | 564-566 | S72426S | 08 | 559-561 | ||
| S72334F | 08 | 559-561 | S72364M | 08 | 564-566 | S72431A | 08 | 533-534 | ||
| S72334G | 08 | 559-561 | S72364N | 08 | 564-566 | S72431A | 24 | 955-965 | ||
| S72334H | 08 | 559-561 | S72364P | 08 | 564-566 | S72431B | 08 | 533-534 | ||
| S72334J | 08 | 559-561 | S72364Q | 08 | 564-566 | S72431B | 24 | 955-965 | ||
| S72334K | 08 | 564-566 | S72364R | 08 | 564-566 | S72431C | 08 | 533-534 | ||
| S72334M | 08 | 564-566 | S72364S | 08 | 559-561 | S72431C | 24 | 955-965 | ||
| S72334N | 08 | 564-566 | S72365A | 08 | 533-534 | S72431D | 08 | 559-561 | ||
| S72334P | 08 | 564-566 | S72365A | 15 | 793 | S72431E | 08 | 559-561 | ||
| S72334Q | 08 | 564-566 | S72365A | 24 | 955-965 | S72431F | 08 | 559-561 | ||
| S72334R | 08 | 564-566 | S72365B | 08 | 533-534 | S72431G | 08 | 559-561 | ||
| S72334S | 08 | 559-561 | S72365B | 15 | 793 | S72431H | 08 | 559-561 | ||
| S72335A | 08 | 533-534 | S72365B | 24 | 955-965 | S72431J | 08 | 559-561 | ||
| S72335A | 15 | 793 | S72365C | 08 | 533-534 | S72431K | 08 | 564-566 | ||
| S72335A | 24 | 955-965 | S72365C | 15 | 793 | S72431M | 08 | 564-566 | ||
| S72335B | 08 | 533-534 | S72365C | 24 | 955-965 | S72431N | 08 | 564-566 | ||
| S72335B | 15 | 793 | S72365D | 08 | 559-561 | S72431P | 08 | 564-566 | ||
| S72335B | 24 | 955-965 | S72365E | 08 | 559-561 | S72431Q | 08 | 564-566 | ||
| S72335C | 08 | 533-534 | S72365F | 08 | 559-561 | S72431R | 08 | 564-566 | ||
| S72335C | 15 | 793 | S72365G | 08 | 559-561 | S72431S | 08 | 559-561 | ||
| S72335C | 24 | 955-965 | S72365H | 08 | 559-561 | S72432A | 08 | 533-534 | ||
| S72335D | 08 | 559-561 | S72365J | 08 | 559-561 | S72432A | 24 | 955-965 | ||
| S72335E | 08 | 559-561 | S72365K | 08 | 564-566 | S72432B | 08 | 533-534 | ||
| S72335F | 08 | 559-561 | S72365M | 08 | 564-566 | S72432B | 24 | 955-965 | ||
| S72335G | 08 | 559-561 | S72365N | 08 | 564-566 | S72432C | 08 | 533-534 | ||
| S72335H | 08 | 559-561 | S72365P | 08 | 564-566 | S72432C | 24 | 955-965 | ||
| S72335J | 08 | 559-561 | S72365Q | 08 | 564-566 | S72432D | 08 | 559-561 | ||
| S72335K | 08 | 564-566 | S72365R | 08 | 564-566 | S72432E | 08 | 559-561 | ||
| S72335M | 08 | 564-566 | S72365S | 08 | 559-561 | S72432F | 08 | 559-561 | ||
| S72335N | 08 | 564-566 | S72366A | 08 | 533-534 | S72432G | 08 | 559-561 | ||
| S72335P | 08 | 564-566 | S72366A | 15 | 793 | S72432H | 08 | 559-561 | ||
| S72335Q | 08 | 564-566 | S72366A | 24 | 955-965 | S72432J | 08 | 559-561 | ||
| S72335R | 08 | 564-566 | S72366B | 08 | 533-534 | S72432K | 08 | 564-566 | ||
| S72335S | 08 | 559-561 | S72366B | 15 | 793 | S72432M | 08 | 564-566 | ||
| S72336A | 08 | 533-534 | S72366B | 24 | 955-965 | S72432N | 08 | 564-566 | ||
| S72336A | 15 | 793 | S72366C | 08 | 533-534 | S72432P | 08 | 564-566 | ||
| S72336A | 24 | 955-965 | S72366C | 15 | 793 | S72432Q | 08 | 564-566 | ||
| S72336B | 08 | 533-534 | S72366C | 24 | 955-965 | S72432R | 08 | 564-566 | ||
| S72336B | 15 | 793 | S72366D | 08 | 559-561 | S72432S | 08 | 559-561 | ||
| S72336B | 24 | 955-965 | S72366E | 08 | 559-561 | S72433A | 08 | 533-534 | ||
| S72336C | 08 | 533-534 | S72366F | 08 | 559-561 | S72433A | 24 | 955-965 | ||
| S72336C | 15 | 793 | S72366G | 08 | 559-561 | S72433B | 08 | 533-534 | ||
| S72336C | 24 | 955-965 | S72366H | 08 | 559-561 | S72433B | 24 | 955-965 | ||
| S72336D | 08 | 559-561 | S72366J | 08 | 559-561 | S72433C | 08 | 533-534 | ||
| S72336E | 08 | 559-561 | S72366K | 08 | 564-566 | S72433C | 24 | 955-965 | ||
| S72336F | 08 | 559-561 | S72366M | 08 | 564-566 | S72433D | 08 | 559-561 | ||
| S72336G | 08 | 559-561 | S72366N | 08 | 564-566 | S72433E | 08 | 559-561 | ||
| S72336H | 08 | 559-561 | S72366P | 08 | 564-566 | S72433F | 08 | 559-561 | ||
| S72336J | 08 | 559-561 | S72366Q | 08 | 564-566 | S72433G | 08 | 559-561 | ||
| S72336K | 08 | 564-566 | S72366R | 08 | 564-566 | S72433H | 08 | 559-561 | ||
| S72336M | 08 | 564-566 | S72366S | 08 | 559-561 | S72433J | 08 | 559-561 | ||
| S72336N | 08 | 564-566 | S72391A | 08 | 533-534 | S72433K | 08 | 564-566 | ||
| S72336P | 08 | 564-566 | S72391A | 15 | 793 | S72433M | 08 | 564-566 | ||
| S72336Q | 08 | 564-566 | S72391A | 24 | 955-965 | S72433N | 08 | 564-566 | ||
| S72336R | 08 | 564-566 | S72391B | 08 | 533-534 | S72433P | 08 | 564-566 | ||
| S72336S | 08 | 559-561 | S72391B | 15 | 793 | S72433Q | 08 | 564-566 | ||
| S72341A | 08 | 533-534 | S72391B | 24 | 955-965 | S72433R | 08 | 564-566 | ||
| S72341A | 15 | 793 | S72391C | 08 | 533-534 | S72433S | 08 | 559-561 | ||
| S72341A | 24 | 955-965 | S72391C | 15 | 793 | S72434A | 08 | 533-534 | ||
| S72341B | 08 | 533-534 | S72391C | 24 | 955-965 | S72434A | 24 | 955-965 | ||
| S72341B | 15 | 793 | S72391D | 08 | 559-561 | S72434B | 08 | 533-534 | ||
| S72341B | 24 | 955-965 | S72391E | 08 | 559-561 | S72434B | 24 | 955-965 | ||
| S72341C | 08 | 533-534 | S72391F | 08 | 559-561 | S72434C | 08 | 533-534 | ||
| S72341C | 15 | 793 | S72391G | 08 | 559-561 | S72434C | 24 | 955-965 | ||
| S72341C | 24 | 955-965 | S72391H | 08 | 559-561 | S72434D | 08 | 559-561 | ||
| S72341D | 08 | 559-561 | S72391J | 08 | 559-561 | S72434E | 08 | 559-561 | ||
| S72341E | 08 | 559-561 | S72391K | 08 | 564-566 | S72434F | 08 | 559-561 | ||
| S72341F | 08 | 559-561 | S72391M | 08 | 564-566 | S72434G | 08 | 559-561 | ||
| S72341G | 08 | 559-561 | S72391N | 08 | 564-566 | S72434H | 08 | 559-561 | ||
| S72341H | 08 | 559-561 | S72391P | 08 | 564-566 | S72434J | 08 | 559-561 | ||
| S72341J | 08 | 559-561 | S72391Q | 08 | 564-566 | S72434K | 08 | 564-566 | ||
| S72341K | 08 | 564-566 | S72391R | 08 | 564-566 | S72434M | 08 | 564-566 | ||
| S72341M | 08 | 564-566 | S72391S | 08 | 559-561 | S72434N | 08 | 564-566 | ||
| S72341N | 08 | 564-566 | S72392A | 08 | 533-534 | S72434P | 08 | 564-566 | ||
| S72341P | 08 | 564-566 | S72392A | 15 | 793 | S72434Q | 08 | 564-566 | ||
| S72341Q | 08 | 564-566 | S72392A | 24 | 955-965 | S72434R | 08 | 564-566 | ||
| S72341R | 08 | 564-566 | S72392B | 08 | 533-534 | S72434S | 08 | 559-561 | ||
| S72341S | 08 | 559-561 | S72392B | 15 | 793 | S72435A | 08 | 533-534 | ||
| S72342A | 08 | 533-534 | S72392B | 24 | 955-965 | S72435A | 24 | 955-965 | ||
| S72342A | 15 | 793 | S72392C | 08 | 533-534 | S72435B | 08 | 533-534 | ||
| S72342A | 24 | 955-965 | S72392C | 15 | 793 | S72435B | 24 | 955-965 | ||
| S72342B | 08 | 533-534 | S72392C | 24 | 955-965 | S72435C | 08 | 533-534 | ||
| S72342B | 15 | 793 | S72392D | 08 | 559-561 | S72435C | 24 | 955-965 | ||
| S72342B | 24 | 955-965 | S72392E | 08 | 559-561 | S72435D | 08 | 559-561 | ||
| S72342C | 08 | 533-534 | S72392F | 08 | 559-561 | S72435E | 08 | 559-561 | ||
| S72342C | 15 | 793 | S72392G | 08 | 559-561 | S72435F | 08 | 559-561 | ||
| S72342C | 24 | 955-965 | S72392H | 08 | 559-561 | S72435G | 08 | 559-561 | ||
| S72342D | 08 | 559-561 | S72392J | 08 | 559-561 | S72435H | 08 | 559-561 | ||
| S72342E | 08 | 559-561 | S72392K | 08 | 564-566 | S72435J | 08 | 559-561 | ||
| S72342F | 08 | 559-561 | S72392M | 08 | 564-566 | S72435K | 08 | 564-566 | ||
| S72342G | 08 | 559-561 | S72392N | 08 | 564-566 | S72435M | 08 | 564-566 | ||
| S72342H | 08 | 559-561 | S72392P | 08 | 564-566 | S72435N | 08 | 564-566 | ||
| S72342J | 08 | 559-561 | S72392Q | 08 | 564-566 | S72435P | 08 | 564-566 | ||
| S72342K | 08 | 564-566 | S72392R | 08 | 564-566 | S72435Q | 08 | 564-566 | ||
| S72342M | 08 | 564-566 | S72392S | 08 | 559-561 | S72435R | 08 | 564-566 | ||
| S72342N | 08 | 564-566 | S72399A | 08 | 533-534 | S72435S | 08 | 559-561 | ||
| S72342P | 08 | 564-566 | S72399A | 15 | 793 | S72436A | 08 | 533-534 | ||
| S72342Q | 08 | 564-566 | S72399A | 24 | 955-965 | S72436A | 24 | 955-965 | ||
| S72342R | 08 | 564-566 | S72399B | 08 | 533-534 | S72436B | 08 | 533-534 | ||
| S72342S | 08 | 559-561 | S72399B | 15 | 793 | S72436B | 24 | 955-965 | ||
| S72343A | 08 | 533-534 | S72399B | 24 | 955-965 | S72436C | 08 | 533-534 | ||
| S72343A | 15 | 793 | S72399C | 08 | 533-534 | S72436C | 24 | 955-965 | ||
| S72343A | 24 | 955-965 | S72399C | 15 | 793 | S72436D | 08 | 559-561 | ||
| S72343B | 08 | 533-534 | S72399C | 24 | 955-965 | S72436E | 08 | 559-561 | ||
| S72343B | 15 | 793 | S72399D | 08 | 559-561 | S72436F | 08 | 559-561 | ||
| S72343B | 24 | 955-965 | S72399E | 08 | 559-561 | S72436G | 08 | 559-561 | ||
| S72343C | 08 | 533-534 | S72399F | 08 | 559-561 | S72436H | 08 | 559-561 | ||
| S72343C | 15 | 793 | S72399G | 08 | 559-561 | S72436J | 08 | 559-561 | ||
| S72343C | 24 | 955-965 | S72399H | 08 | 559-561 | S72436K | 08 | 564-566 | ||
| S72343D | 08 | 559-561 | S72399J | 08 | 559-561 | S72436M | 08 | 564-566 | ||
| S72343E | 08 | 559-561 | S72399K | 08 | 564-566 | S72436N | 08 | 564-566 | ||
| S72343F | 08 | 559-561 | S72399M | 08 | 564-566 | S72436P | 08 | 564-566 | ||
| S72343G | 08 | 559-561 | S72399N | 08 | 564-566 | S72436Q | 08 | 564-566 | ||
| S72343H | 08 | 559-561 | S72399P | 08 | 564-566 | S72436R | 08 | 564-566 | ||
| S72343J | 08 | 559-561 | S72399Q | 08 | 564-566 | S72436S | 08 | 559-561 | ||
| S72343K | 08 | 564-566 | S72399R | 08 | 564-566 | S72441A | 08 | 533-534 | ||
| S72343M | 08 | 564-566 | S72399S | 08 | 559-561 | S72441A | 24 | 955-965 | ||
| S72343N | 08 | 564-566 | S72401A | 08 | 533-534 | S72441B | 08 | 533-534 | ||
| S72343P | 08 | 564-566 | S72401A | 24 | 955-965 | S72441B | 24 | 955-965 | ||
| S72343Q | 08 | 564-566 | S72401B | 08 | 533-534 | S72441C | 08 | 533-534 | ||
| S72343R | 08 | 564-566 | S72401B | 24 | 955-965 | S72441C | 24 | 955-965 | ||
| S72343S | 08 | 559-561 | S72401C | 08 | 533-534 | S72441D | 08 | 559-561 | ||
| S72344A | 08 | 533-534 | S72401C | 24 | 955-965 | S72441E | 08 | 559-561 | ||
| S72344A | 15 | 793 | S72401D | 08 | 559-561 | S72441F | 08 | 559-561 | ||
| S72344A | 24 | 955-965 | S72401E | 08 | 559-561 | S72441G | 08 | 559-561 | ||
| S72344B | 08 | 533-534 | S72401F | 08 | 559-561 | S72441H | 08 | 559-561 | ||
| S72344B | 15 | 793 | S72401G | 08 | 559-561 | S72441J | 08 | 559-561 | ||
| S72344B | 24 | 955-965 | S72401H | 08 | 559-561 | S72441K | 08 | 564-566 | ||
| S72344C | 08 | 533-534 | S72401J | 08 | 559-561 | S72441M | 08 | 564-566 | ||
| S72344C | 15 | 793 | S72401K | 08 | 564-566 | S72441N | 08 | 564-566 | ||
| S72344C | 24 | 955-965 | S72401M | 08 | 564-566 | S72441P | 08 | 564-566 | ||
| S72344D | 08 | 559-561 | S72401N | 08 | 564-566 | S72441Q | 08 | 564-566 | ||
| S72344E | 08 | 559-561 | S72401P | 08 | 564-566 | S72441R | 08 | 564-566 | ||
| S72344F | 08 | 559-561 | S72401Q | 08 | 564-566 | S72441S | 08 | 559-561 | ||
| S72344G | 08 | 559-561 | S72401R | 08 | 564-566 | S72442A | 08 | 533-534 | ||
| S72344H | 08 | 559-561 | S72401S | 08 | 559-561 | S72442A | 24 | 955-965 | ||
| S72344J | 08 | 559-561 | S72402A | 08 | 533-534 | S72442B | 08 | 533-534 | ||
| S72344K | 08 | 564-566 | S72402A | 24 | 955-965 | S72442B | 24 | 955-965 | ||
| S72344M | 08 | 564-566 | S72402B | 08 | 533-534 | S72442C | 08 | 533-534 | ||
| S72344N | 08 | 564-566 | S72402B | 24 | 955-965 | S72442C | 24 | 955-965 | ||
| S72344P | 08 | 564-566 | S72402C | 08 | 533-534 | S72442D | 08 | 559-561 | ||
| S72344Q | 08 | 564-566 | S72402C | 24 | 955-965 | S72442E | 08 | 559-561 | ||
| S72344R | 08 | 564-566 | S72402D | 08 | 559-561 | S72442F | 08 | 559-561 | ||
| S72344S | 08 | 559-561 | S72402E | 08 | 559-561 | S72442G | 08 | 559-561 | ||
| S72345A | 08 | 533-534 | S72402F | 08 | 559-561 | S72442H | 08 | 559-561 | ||
| S72345A | 15 | 793 | S72402G | 08 | 559-561 | S72442J | 08 | 559-561 | ||
| S72345A | 24 | 955-965 | S72402H | 08 | 559-561 | S72442K | 08 | 564-566 | ||
| S72345B | 08 | 533-534 | S72402J | 08 | 559-561 | S72442M | 08 | 564-566 | ||
| S72345B | 15 | 793 | S72402K | 08 | 564-566 | S72442N | 08 | 564-566 | ||
| S72345B | 24 | 955-965 | S72402M | 08 | 564-566 | S72442P | 08 | 564-566 | ||
| S72345C | 08 | 533-534 | S72402N | 08 | 564-566 | S72442Q | 08 | 564-566 | ||
| S72345C | 15 | 793 | S72402P | 08 | 564-566 | S72442R | 08 | 564-566 | ||
| S72345C | 24 | 955-965 | S72402Q | 08 | 564-566 | S72442S | 08 | 559-561 | ||
| S72345D | 08 | 559-561 | S72402R | 08 | 564-566 | S72443A | 08 | 533-534 | ||
| S72345E | 08 | 559-561 | S72402S | 08 | 559-561 | S72443A | 24 | 955-965 | ||
| S72345F | 08 | 559-561 | S72409A | 08 | 533-534 | S72443B | 08 | 533-534 | ||
| S72345G | 08 | 559-561 | S72409A | 24 | 955-965 | S72443B | 24 | 955-965 | ||
| S72345H | 08 | 559-561 | S72409B | 08 | 533-534 | S72443C | 08 | 533-534 | ||
| S72345J | 08 | 559-561 | S72409B | 24 | 955-965 | S72443C | 24 | 955-965 | ||
| S72345K | 08 | 564-566 | S72409C | 08 | 533-534 | S72443D | 08 | 559-561 | ||
| S72345M | 08 | 564-566 | S72409C | 24 | 955-965 | S72443E | 08 | 559-561 | ||
| S72345N | 08 | 564-566 | S72409D | 08 | 559-561 | S72443F | 08 | 559-561 | ||
| S72345P | 08 | 564-566 | S72409E | 08 | 559-561 | S72443G | 08 | 559-561 | ||
| S72345Q | 08 | 564-566 | S72409F | 08 | 559-561 | S72443H | 08 | 559-561 | ||
| S72345R | 08 | 564-566 | S72409G | 08 | 559-561 | S72443J | 08 | 559-561 | ||
| S72345S | 08 | 559-561 | S72409H | 08 | 559-561 | S72443K | 08 | 564-566 | ||
| S72346A | 08 | 533-534 | S72409J | 08 | 559-561 | S72443M | 08 | 564-566 | ||
| S72346A | 15 | 793 | S72409K | 08 | 564-566 | S72443N | 08 | 564-566 | ||
| S72346A | 24 | 955-965 | S72409M | 08 | 564-566 | S72443P | 08 | 564-566 | ||
| S72346B | 08 | 533-534 | S72409N | 08 | 564-566 | S72443Q | 08 | 564-566 | ||
| S72346B | 15 | 793 | S72409P | 08 | 564-566 | S72443R | 08 | 564-566 | ||
| S72346B | 24 | 955-965 | S72409Q | 08 | 564-566 | S72443S | 08 | 559-561 | ||
| S72346C | 08 | 533-534 | S72409R | 08 | 564-566 | S72444A | 08 | 533-534 | ||
| S72346C | 15 | 793 | S72409S | 08 | 559-561 | S72444A | 24 | 955-965 | ||
| S72346C | 24 | 955-965 | S72411A | 08 | 533-534 | S72444B | 08 | 533-534 | ||
| S72346D | 08 | 559-561 | S72411A | 24 | 955-965 | S72444B | 24 | 955-965 | ||
| S72346E | 08 | 559-561 | S72411B | 08 | 533-534 | S72444C | 08 | 533-534 | ||
| S72346F | 08 | 559-561 | S72411B | 24 | 955-965 | S72444C | 24 | 955-965 | ||
| S72346G | 08 | 559-561 | S72411C | 08 | 533-534 | S72444D | 08 | 559-561 | ||
| S72346H | 08 | 559-561 | S72411C | 24 | 955-965 | S72444E | 08 | 559-561 | ||
| S72346J | 08 | 559-561 | S72411D | 08 | 559-561 | S72444F | 08 | 559-561 | ||
| S72346K | 08 | 564-566 | S72411E | 08 | 559-561 | S72444G | 08 | 559-561 | ||
| S72346M | 08 | 564-566 | S72411F | 08 | 559-561 | S72444H | 08 | 559-561 | ||
| S72346N | 08 | 564-566 | S72411G | 08 | 559-561 | S72444J | 08 | 559-561 | ||
| S72346P | 08 | 564-566 | S72411H | 08 | 559-561 | S72444K | 08 | 564-566 | ||
| S72346Q | 08 | 564-566 | S72411J | 08 | 559-561 | S72444M | 08 | 564-566 | ||
| S72346R | 08 | 564-566 | S72411K | 08 | 564-566 | S72444N | 08 | 564-566 | ||
| S72346S | 08 | 559-561 | S72411M | 08 | 564-566 | S72444P | 08 | 564-566 | ||
| S72351A | 08 | 533-534 | S72411N | 08 | 564-566 | S72444Q | 08 | 564-566 | ||
| S72351A | 15 | 793 | S72411P | 08 | 564-566 | S72444R | 08 | 564-566 | ||
| S72351A | 24 | 955-965 | S72411Q | 08 | 564-566 | S72444S | 08 | 559-561 | ||
| S72351B | 08 | 533-534 | S72411R | 08 | 564-566 | S72445A | 08 | 533-534 | ||
| S72351B | 15 | 793 | S72411S | 08 | 559-561 | S72445A | 24 | 955-965 | ||
| S72351B | 24 | 955-965 | S72412A | 08 | 533-534 | S72445B | 08 | 533-534 | ||
| S72351C | 08 | 533-534 | S72412A | 24 | 955-965 | S72445B | 24 | 955-965 | ||
| S72351C | 15 | 793 | S72412B | 08 | 533-534 | S72445C | 08 | 533-534 | ||
| S72351C | 24 | 955-965 | S72412B | 24 | 955-965 | S72445C | 24 | 955-965 | ||
| S72351D | 08 | 559-561 | S72412C | 08 | 533-534 | S72445D | 08 | 559-561 | ||
| S72351E | 08 | 559-561 | S72412C | 24 | 955-965 | S72445E | 08 | 559-561 | ||
| S72351F | 08 | 559-561 | S72412D | 08 | 559-561 | S72445F | 08 | 559-561 | ||
| S72351G | 08 | 559-561 | S72412E | 08 | 559-561 | S72445G | 08 | 559-561 | ||
| S72351H | 08 | 559-561 | S72412F | 08 | 559-561 | S72445H | 08 | 559-561 | ||
| S72351J | 08 | 559-561 | S72412G | 08 | 559-561 | S72445J | 08 | 559-561 | ||
| S72351K | 08 | 564-566 | S72412H | 08 | 559-561 | S72445K | 08 | 564-566 | ||
| S72351M | 08 | 564-566 | S72412J | 08 | 559-561 | S72445M | 08 | 564-566 | ||
| S72351N | 08 | 564-566 | S72412K | 08 | 564-566 | S72445N | 08 | 564-566 | ||
| S72351P | 08 | 564-566 | S72412M | 08 | 564-566 | S72445P | 08 | 564-566 | ||
| S72351Q | 08 | 564-566 | S72412N | 08 | 564-566 | S72445Q | 08 | 564-566 | ||
| S72351R | 08 | 564-566 | S72412P | 08 | 564-566 | S72445R | 08 | 564-566 | ||
| S72351S | 08 | 559-561 | S72412Q | 08 | 564-566 | S72445S | 08 | 559-561 | ||
| S72352A | 08 | 533-534 | S72412R | 08 | 564-566 | S72446A | 08 | 533-534 | ||
| S72352A | 15 | 793 | S72412S | 08 | 559-561 | S72446A | 24 | 955-965 | ||
| S72352A | 24 | 955-965 | S72413A | 08 | 533-534 | S72446B | 08 | 533-534 | ||
| S72352B | 08 | 533-534 | S72413A | 24 | 955-965 | S72446B | 24 | 955-965 | ||
| S72352B | 15 | 793 | S72413B | 08 | 533-534 | S72446C | 08 | 533-534 | ||
| S72352B | 24 | 955-965 | S72413B | 24 | 955-965 | S72446C | 24 | 955-965 | ||
| S72352C | 08 | 533-534 | S72413C | 08 | 533-534 | S72446D | 08 | 559-561 | ||
| S72352C | 15 | 793 | S72413C | 24 | 955-965 | S72446E | 08 | 559-561 | ||
| S72352C | 24 | 955-965 | S72413D | 08 | 559-561 | S72446F | 08 | 559-561 | ||
| S72352D | 08 | 559-561 | S72413E | 08 | 559-561 | S72446G | 08 | 559-561 | ||
| S72352E | 08 | 559-561 | S72413F | 08 | 559-561 | S72446H | 08 | 559-561 | ||
| S72352F | 08 | 559-561 | S72413G | 08 | 559-561 | S72446J | 08 | 559-561 | ||
| S72352G | 08 | 559-561 | S72413H | 08 | 559-561 | S72446K | 08 | 564-566 | ||
| S72352H | 08 | 559-561 | S72413J | 08 | 559-561 | S72446M | 08 | 564-566 | ||
| S72352J | 08 | 559-561 | S72413K | 08 | 564-566 | S72446N | 08 | 564-566 | ||
| S72352K | 08 | 564-566 | S72413M | 08 | 564-566 | S72446P | 08 | 564-566 | ||
| S72352M | 08 | 564-566 | S72413N | 08 | 564-566 | S72446Q | 08 | 564-566 | ||
| S72352N | 08 | 564-566 | S72413P | 08 | 564-566 | S72446R | 08 | 564-566 | ||
| S72352P | 08 | 564-566 | S72413Q | 08 | 564-566 | S72446S | 08 | 559-561 | ||
| S72352Q | 08 | 564-566 | S72413R | 08 | 564-566 | S72451A | 08 | 533-534 | ||
| S72352R | 08 | 564-566 | S72413S | 08 | 559-561 | S72451A | 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 |