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 53 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S82092Q | 08 | 564-566 | S82135S | 08 | 559-561 | S82221S | 08 | 559-561 | ||
| S82092R | 08 | 564-566 | S82136A | 08 | 562-563 | S82222A | 08 | 562-563 | ||
| S82092S | 08 | 559-561 | S82136A | 24 | 955-965 | S82222A | 24 | 955-965 | ||
| S82099A | 08 | 562-563 | S82136B | 08 | 562-563 | S82222B | 08 | 562-563 | ||
| S82099A | 24 | 955-965 | S82136B | 24 | 955-965 | S82222B | 24 | 955-965 | ||
| S82099B | 08 | 562-563 | S82136C | 08 | 562-563 | S82222C | 08 | 562-563 | ||
| S82099B | 24 | 955-965 | S82136C | 24 | 955-965 | S82222C | 24 | 955-965 | ||
| S82099C | 08 | 562-563 | S82136D | 08 | 559-561 | S82222D | 08 | 559-561 | ||
| S82099C | 24 | 955-965 | S82136E | 08 | 559-561 | S82222E | 08 | 559-561 | ||
| S82099D | 08 | 559-561 | S82136F | 08 | 559-561 | S82222F | 08 | 559-561 | ||
| S82099E | 08 | 559-561 | S82136G | 08 | 559-561 | S82222G | 08 | 559-561 | ||
| S82099F | 08 | 559-561 | S82136H | 08 | 559-561 | S82222H | 08 | 559-561 | ||
| S82099G | 08 | 559-561 | S82136J | 08 | 559-561 | S82222J | 08 | 559-561 | ||
| S82099H | 08 | 559-561 | S82136K | 08 | 564-566 | S82222K | 08 | 564-566 | ||
| S82099J | 08 | 559-561 | S82136M | 08 | 564-566 | S82222M | 08 | 564-566 | ||
| S82099K | 08 | 564-566 | S82136N | 08 | 564-566 | S82222N | 08 | 564-566 | ||
| S82099M | 08 | 564-566 | S82136P | 08 | 564-566 | S82222P | 08 | 564-566 | ||
| S82099N | 08 | 564-566 | S82136Q | 08 | 564-566 | S82222Q | 08 | 564-566 | ||
| S82099P | 08 | 564-566 | S82136R | 08 | 564-566 | S82222R | 08 | 564-566 | ||
| S82099Q | 08 | 564-566 | S82136S | 08 | 559-561 | S82222S | 08 | 559-561 | ||
| S82099R | 08 | 564-566 | S82141A | 08 | 562-563 | S82223A | 08 | 562-563 | ||
| S82099S | 08 | 559-561 | S82141A | 24 | 955-965 | S82223A | 24 | 955-965 | ||
| S82101A | 08 | 562-563 | S82141B | 08 | 562-563 | S82223B | 08 | 562-563 | ||
| S82101A | 24 | 955-965 | S82141B | 24 | 955-965 | S82223B | 24 | 955-965 | ||
| S82101B | 08 | 562-563 | S82141C | 08 | 562-563 | S82223C | 08 | 562-563 | ||
| S82101B | 24 | 955-965 | S82141C | 24 | 955-965 | S82223C | 24 | 955-965 | ||
| S82101C | 08 | 562-563 | S82141D | 08 | 559-561 | S82223D | 08 | 559-561 | ||
| S82101C | 24 | 955-965 | S82141E | 08 | 559-561 | S82223E | 08 | 559-561 | ||
| S82101D | 08 | 559-561 | S82141F | 08 | 559-561 | S82223F | 08 | 559-561 | ||
| S82101E | 08 | 559-561 | S82141G | 08 | 559-561 | S82223G | 08 | 559-561 | ||
| S82101F | 08 | 559-561 | S82141H | 08 | 559-561 | S82223H | 08 | 559-561 | ||
| S82101G | 08 | 559-561 | S82141J | 08 | 559-561 | S82223J | 08 | 559-561 | ||
| S82101H | 08 | 559-561 | S82141K | 08 | 564-566 | S82223K | 08 | 564-566 | ||
| S82101J | 08 | 559-561 | S82141M | 08 | 564-566 | S82223M | 08 | 564-566 | ||
| S82101K | 08 | 564-566 | S82141N | 08 | 564-566 | S82223N | 08 | 564-566 | ||
| S82101M | 08 | 564-566 | S82141P | 08 | 564-566 | S82223P | 08 | 564-566 | ||
| S82101N | 08 | 564-566 | S82141Q | 08 | 564-566 | S82223Q | 08 | 564-566 | ||
| S82101P | 08 | 564-566 | S82141R | 08 | 564-566 | S82223R | 08 | 564-566 | ||
| S82101Q | 08 | 564-566 | S82141S | 08 | 559-561 | S82223S | 08 | 559-561 | ||
| S82101R | 08 | 564-566 | S82142A | 08 | 562-563 | S82224A | 08 | 562-563 | ||
| S82101S | 08 | 559-561 | S82142A | 24 | 955-965 | S82224A | 24 | 955-965 | ||
| S82102A | 08 | 562-563 | S82142B | 08 | 562-563 | S82224B | 08 | 562-563 | ||
| S82102A | 24 | 955-965 | S82142B | 24 | 955-965 | S82224B | 24 | 955-965 | ||
| S82102B | 08 | 562-563 | S82142C | 08 | 562-563 | S82224C | 08 | 562-563 | ||
| S82102B | 24 | 955-965 | S82142C | 24 | 955-965 | S82224C | 24 | 955-965 | ||
| S82102C | 08 | 562-563 | S82142D | 08 | 559-561 | S82224D | 08 | 559-561 | ||
| S82102C | 24 | 955-965 | S82142E | 08 | 559-561 | S82224E | 08 | 559-561 | ||
| S82102D | 08 | 559-561 | S82142F | 08 | 559-561 | S82224F | 08 | 559-561 | ||
| S82102E | 08 | 559-561 | S82142G | 08 | 559-561 | S82224G | 08 | 559-561 | ||
| S82102F | 08 | 559-561 | S82142H | 08 | 559-561 | S82224H | 08 | 559-561 | ||
| S82102G | 08 | 559-561 | S82142J | 08 | 559-561 | S82224J | 08 | 559-561 | ||
| S82102H | 08 | 559-561 | S82142K | 08 | 564-566 | S82224K | 08 | 564-566 | ||
| S82102J | 08 | 559-561 | S82142M | 08 | 564-566 | S82224M | 08 | 564-566 | ||
| S82102K | 08 | 564-566 | S82142N | 08 | 564-566 | S82224N | 08 | 564-566 | ||
| S82102M | 08 | 564-566 | S82142P | 08 | 564-566 | S82224P | 08 | 564-566 | ||
| S82102N | 08 | 564-566 | S82142Q | 08 | 564-566 | S82224Q | 08 | 564-566 | ||
| S82102P | 08 | 564-566 | S82142R | 08 | 564-566 | S82224R | 08 | 564-566 | ||
| S82102Q | 08 | 564-566 | S82142S | 08 | 559-561 | S82224S | 08 | 559-561 | ||
| S82102R | 08 | 564-566 | S82143A | 08 | 562-563 | S82225A | 08 | 562-563 | ||
| S82102S | 08 | 559-561 | S82143A | 24 | 955-965 | S82225A | 24 | 955-965 | ||
| S82109A | 08 | 562-563 | S82143B | 08 | 562-563 | S82225B | 08 | 562-563 | ||
| S82109A | 24 | 955-965 | S82143B | 24 | 955-965 | S82225B | 24 | 955-965 | ||
| S82109B | 08 | 562-563 | S82143C | 08 | 562-563 | S82225C | 08 | 562-563 | ||
| S82109B | 24 | 955-965 | S82143C | 24 | 955-965 | S82225C | 24 | 955-965 | ||
| S82109C | 08 | 562-563 | S82143D | 08 | 559-561 | S82225D | 08 | 559-561 | ||
| S82109C | 24 | 955-965 | S82143E | 08 | 559-561 | S82225E | 08 | 559-561 | ||
| S82109D | 08 | 559-561 | S82143F | 08 | 559-561 | S82225F | 08 | 559-561 | ||
| S82109E | 08 | 559-561 | S82143G | 08 | 559-561 | S82225G | 08 | 559-561 | ||
| S82109F | 08 | 559-561 | S82143H | 08 | 559-561 | S82225H | 08 | 559-561 | ||
| S82109G | 08 | 559-561 | S82143J | 08 | 559-561 | S82225J | 08 | 559-561 | ||
| S82109H | 08 | 559-561 | S82143K | 08 | 564-566 | S82225K | 08 | 564-566 | ||
| S82109J | 08 | 559-561 | S82143M | 08 | 564-566 | S82225M | 08 | 564-566 | ||
| S82109K | 08 | 564-566 | S82143N | 08 | 564-566 | S82225N | 08 | 564-566 | ||
| S82109M | 08 | 564-566 | S82143P | 08 | 564-566 | S82225P | 08 | 564-566 | ||
| S82109N | 08 | 564-566 | S82143Q | 08 | 564-566 | S82225Q | 08 | 564-566 | ||
| S82109P | 08 | 564-566 | S82143R | 08 | 564-566 | S82225R | 08 | 564-566 | ||
| S82109Q | 08 | 564-566 | S82143S | 08 | 559-561 | S82225S | 08 | 559-561 | ||
| S82109R | 08 | 564-566 | S82144A | 08 | 562-563 | S82226A | 08 | 562-563 | ||
| S82109S | 08 | 559-561 | S82144A | 24 | 955-965 | S82226A | 24 | 955-965 | ||
| S82111A | 08 | 562-563 | S82144B | 08 | 562-563 | S82226B | 08 | 562-563 | ||
| S82111A | 24 | 955-965 | S82144B | 24 | 955-965 | S82226B | 24 | 955-965 | ||
| S82111B | 08 | 562-563 | S82144C | 08 | 562-563 | S82226C | 08 | 562-563 | ||
| S82111B | 24 | 955-965 | S82144C | 24 | 955-965 | S82226C | 24 | 955-965 | ||
| S82111C | 08 | 562-563 | S82144D | 08 | 559-561 | S82226D | 08 | 559-561 | ||
| S82111C | 24 | 955-965 | S82144E | 08 | 559-561 | S82226E | 08 | 559-561 | ||
| S82111D | 08 | 559-561 | S82144F | 08 | 559-561 | S82226F | 08 | 559-561 | ||
| S82111E | 08 | 559-561 | S82144G | 08 | 559-561 | S82226G | 08 | 559-561 | ||
| S82111F | 08 | 559-561 | S82144H | 08 | 559-561 | S82226H | 08 | 559-561 | ||
| S82111G | 08 | 559-561 | S82144J | 08 | 559-561 | S82226J | 08 | 559-561 | ||
| S82111H | 08 | 559-561 | S82144K | 08 | 564-566 | S82226K | 08 | 564-566 | ||
| S82111J | 08 | 559-561 | S82144M | 08 | 564-566 | S82226M | 08 | 564-566 | ||
| S82111K | 08 | 564-566 | S82144N | 08 | 564-566 | S82226N | 08 | 564-566 | ||
| S82111M | 08 | 564-566 | S82144P | 08 | 564-566 | S82226P | 08 | 564-566 | ||
| S82111N | 08 | 564-566 | S82144Q | 08 | 564-566 | S82226Q | 08 | 564-566 | ||
| S82111P | 08 | 564-566 | S82144R | 08 | 564-566 | S82226R | 08 | 564-566 | ||
| S82111Q | 08 | 564-566 | S82144S | 08 | 559-561 | S82226S | 08 | 559-561 | ||
| S82111R | 08 | 564-566 | S82145A | 08 | 562-563 | S82231A | 08 | 562-563 | ||
| S82111S | 08 | 559-561 | S82145A | 24 | 955-965 | S82231A | 24 | 955-965 | ||
| S82112A | 08 | 562-563 | S82145B | 08 | 562-563 | S82231B | 08 | 562-563 | ||
| S82112A | 24 | 955-965 | S82145B | 24 | 955-965 | S82231B | 24 | 955-965 | ||
| S82112B | 08 | 562-563 | S82145C | 08 | 562-563 | S82231C | 08 | 562-563 | ||
| S82112B | 24 | 955-965 | S82145C | 24 | 955-965 | S82231C | 24 | 955-965 | ||
| S82112C | 08 | 562-563 | S82145D | 08 | 559-561 | S82231D | 08 | 559-561 | ||
| S82112C | 24 | 955-965 | S82145E | 08 | 559-561 | S82231E | 08 | 559-561 | ||
| S82112D | 08 | 559-561 | S82145F | 08 | 559-561 | S82231F | 08 | 559-561 | ||
| S82112E | 08 | 559-561 | S82145G | 08 | 559-561 | S82231G | 08 | 559-561 | ||
| S82112F | 08 | 559-561 | S82145H | 08 | 559-561 | S82231H | 08 | 559-561 | ||
| S82112G | 08 | 559-561 | S82145J | 08 | 559-561 | S82231J | 08 | 559-561 | ||
| S82112H | 08 | 559-561 | S82145K | 08 | 564-566 | S82231K | 08 | 564-566 | ||
| S82112J | 08 | 559-561 | S82145M | 08 | 564-566 | S82231M | 08 | 564-566 | ||
| S82112K | 08 | 564-566 | S82145N | 08 | 564-566 | S82231N | 08 | 564-566 | ||
| S82112M | 08 | 564-566 | S82145P | 08 | 564-566 | S82231P | 08 | 564-566 | ||
| S82112N | 08 | 564-566 | S82145Q | 08 | 564-566 | S82231Q | 08 | 564-566 | ||
| S82112P | 08 | 564-566 | S82145R | 08 | 564-566 | S82231R | 08 | 564-566 | ||
| S82112Q | 08 | 564-566 | S82145S | 08 | 559-561 | S82231S | 08 | 559-561 | ||
| S82112R | 08 | 564-566 | S82146A | 08 | 562-563 | S82232A | 08 | 562-563 | ||
| S82112S | 08 | 559-561 | S82146A | 24 | 955-965 | S82232A | 24 | 955-965 | ||
| S82113A | 08 | 562-563 | S82146B | 08 | 562-563 | S82232B | 08 | 562-563 | ||
| S82113A | 24 | 955-965 | S82146B | 24 | 955-965 | S82232B | 24 | 955-965 | ||
| S82113B | 08 | 562-563 | S82146C | 08 | 562-563 | S82232C | 08 | 562-563 | ||
| S82113B | 24 | 955-965 | S82146C | 24 | 955-965 | S82232C | 24 | 955-965 | ||
| S82113C | 08 | 562-563 | S82146D | 08 | 559-561 | S82232D | 08 | 559-561 | ||
| S82113C | 24 | 955-965 | S82146E | 08 | 559-561 | S82232E | 08 | 559-561 | ||
| S82113D | 08 | 559-561 | S82146F | 08 | 559-561 | S82232F | 08 | 559-561 | ||
| S82113E | 08 | 559-561 | S82146G | 08 | 559-561 | S82232G | 08 | 559-561 | ||
| S82113F | 08 | 559-561 | S82146H | 08 | 559-561 | S82232H | 08 | 559-561 | ||
| S82113G | 08 | 559-561 | S82146J | 08 | 559-561 | S82232J | 08 | 559-561 | ||
| S82113H | 08 | 559-561 | S82146K | 08 | 564-566 | S82232K | 08 | 564-566 | ||
| S82113J | 08 | 559-561 | S82146M | 08 | 564-566 | S82232M | 08 | 564-566 | ||
| S82113K | 08 | 564-566 | S82146N | 08 | 564-566 | S82232N | 08 | 564-566 | ||
| S82113M | 08 | 564-566 | S82146P | 08 | 564-566 | S82232P | 08 | 564-566 | ||
| S82113N | 08 | 564-566 | S82146Q | 08 | 564-566 | S82232Q | 08 | 564-566 | ||
| S82113P | 08 | 564-566 | S82146R | 08 | 564-566 | S82232R | 08 | 564-566 | ||
| S82113Q | 08 | 564-566 | S82146S | 08 | 559-561 | S82232S | 08 | 559-561 | ||
| S82113R | 08 | 564-566 | S82151A | 08 | 562-563 | S82233A | 08 | 562-563 | ||
| S82113S | 08 | 559-561 | S82151A | 24 | 955-965 | S82233A | 24 | 955-965 | ||
| S82114A | 08 | 562-563 | S82151B | 08 | 562-563 | S82233B | 08 | 562-563 | ||
| S82114A | 24 | 955-965 | S82151B | 24 | 955-965 | S82233B | 24 | 955-965 | ||
| S82114B | 08 | 562-563 | S82151C | 08 | 562-563 | S82233C | 08 | 562-563 | ||
| S82114B | 24 | 955-965 | S82151C | 24 | 955-965 | S82233C | 24 | 955-965 | ||
| S82114C | 08 | 562-563 | S82151D | 08 | 559-561 | S82233D | 08 | 559-561 | ||
| S82114C | 24 | 955-965 | S82151E | 08 | 559-561 | S82233E | 08 | 559-561 | ||
| S82114D | 08 | 559-561 | S82151F | 08 | 559-561 | S82233F | 08 | 559-561 | ||
| S82114E | 08 | 559-561 | S82151G | 08 | 559-561 | S82233G | 08 | 559-561 | ||
| S82114F | 08 | 559-561 | S82151H | 08 | 559-561 | S82233H | 08 | 559-561 | ||
| S82114G | 08 | 559-561 | S82151J | 08 | 559-561 | S82233J | 08 | 559-561 | ||
| S82114H | 08 | 559-561 | S82151K | 08 | 564-566 | S82233K | 08 | 564-566 | ||
| S82114J | 08 | 559-561 | S82151M | 08 | 564-566 | S82233M | 08 | 564-566 | ||
| S82114K | 08 | 564-566 | S82151N | 08 | 564-566 | S82233N | 08 | 564-566 | ||
| S82114M | 08 | 564-566 | S82151P | 08 | 564-566 | S82233P | 08 | 564-566 | ||
| S82114N | 08 | 564-566 | S82151Q | 08 | 564-566 | S82233Q | 08 | 564-566 | ||
| S82114P | 08 | 564-566 | S82151R | 08 | 564-566 | S82233R | 08 | 564-566 | ||
| S82114Q | 08 | 564-566 | S82151S | 08 | 559-561 | S82233S | 08 | 559-561 | ||
| S82114R | 08 | 564-566 | S82152A | 08 | 562-563 | S82234A | 08 | 562-563 | ||
| S82114S | 08 | 559-561 | S82152A | 24 | 955-965 | S82234A | 24 | 955-965 | ||
| S82115A | 08 | 562-563 | S82152B | 08 | 562-563 | S82234B | 08 | 562-563 | ||
| S82115A | 24 | 955-965 | S82152B | 24 | 955-965 | S82234B | 24 | 955-965 | ||
| S82115B | 08 | 562-563 | S82152C | 08 | 562-563 | S82234C | 08 | 562-563 | ||
| S82115B | 24 | 955-965 | S82152C | 24 | 955-965 | S82234C | 24 | 955-965 | ||
| S82115C | 08 | 562-563 | S82152D | 08 | 559-561 | S82234D | 08 | 559-561 | ||
| S82115C | 24 | 955-965 | S82152E | 08 | 559-561 | S82234E | 08 | 559-561 | ||
| S82115D | 08 | 559-561 | S82152F | 08 | 559-561 | S82234F | 08 | 559-561 | ||
| S82115E | 08 | 559-561 | S82152G | 08 | 559-561 | S82234G | 08 | 559-561 | ||
| S82115F | 08 | 559-561 | S82152H | 08 | 559-561 | S82234H | 08 | 559-561 | ||
| S82115G | 08 | 559-561 | S82152J | 08 | 559-561 | S82234J | 08 | 559-561 | ||
| S82115H | 08 | 559-561 | S82152K | 08 | 564-566 | S82234K | 08 | 564-566 | ||
| S82115J | 08 | 559-561 | S82152M | 08 | 564-566 | S82234M | 08 | 564-566 | ||
| S82115K | 08 | 564-566 | S82152N | 08 | 564-566 | S82234N | 08 | 564-566 | ||
| S82115M | 08 | 564-566 | S82152P | 08 | 564-566 | S82234P | 08 | 564-566 | ||
| S82115N | 08 | 564-566 | S82152Q | 08 | 564-566 | S82234Q | 08 | 564-566 | ||
| S82115P | 08 | 564-566 | S82152R | 08 | 564-566 | S82234R | 08 | 564-566 | ||
| S82115Q | 08 | 564-566 | S82152S | 08 | 559-561 | S82234S | 08 | 559-561 | ||
| S82115R | 08 | 564-566 | S82153A | 08 | 562-563 | S82235A | 08 | 562-563 | ||
| S82115S | 08 | 559-561 | S82153A | 24 | 955-965 | S82235A | 24 | 955-965 | ||
| S82116A | 08 | 562-563 | S82153B | 08 | 562-563 | S82235B | 08 | 562-563 | ||
| S82116A | 24 | 955-965 | S82153B | 24 | 955-965 | S82235B | 24 | 955-965 | ||
| S82116B | 08 | 562-563 | S82153C | 08 | 562-563 | S82235C | 08 | 562-563 | ||
| S82116B | 24 | 955-965 | S82153C | 24 | 955-965 | S82235C | 24 | 955-965 | ||
| S82116C | 08 | 562-563 | S82153D | 08 | 559-561 | S82235D | 08 | 559-561 | ||
| S82116C | 24 | 955-965 | S82153E | 08 | 559-561 | S82235E | 08 | 559-561 | ||
| S82116D | 08 | 559-561 | S82153F | 08 | 559-561 | S82235F | 08 | 559-561 | ||
| S82116E | 08 | 559-561 | S82153G | 08 | 559-561 | S82235G | 08 | 559-561 | ||
| S82116F | 08 | 559-561 | S82153H | 08 | 559-561 | S82235H | 08 | 559-561 | ||
| S82116G | 08 | 559-561 | S82153J | 08 | 559-561 | S82235J | 08 | 559-561 | ||
| S82116H | 08 | 559-561 | S82153K | 08 | 564-566 | S82235K | 08 | 564-566 | ||
| S82116J | 08 | 559-561 | S82153M | 08 | 564-566 | S82235M | 08 | 564-566 | ||
| S82116K | 08 | 564-566 | S82153N | 08 | 564-566 | S82235N | 08 | 564-566 | ||
| S82116M | 08 | 564-566 | S82153P | 08 | 564-566 | S82235P | 08 | 564-566 | ||
| S82116N | 08 | 564-566 | S82153Q | 08 | 564-566 | S82235Q | 08 | 564-566 | ||
| S82116P | 08 | 564-566 | S82153R | 08 | 564-566 | S82235R | 08 | 564-566 | ||
| S82116Q | 08 | 564-566 | S82153S | 08 | 559-561 | S82235S | 08 | 559-561 | ||
| S82116R | 08 | 564-566 | S82154A | 08 | 562-563 | S82236A | 08 | 562-563 | ||
| S82116S | 08 | 559-561 | S82154A | 24 | 955-965 | S82236A | 24 | 955-965 | ||
| S82121A | 08 | 562-563 | S82154B | 08 | 562-563 | S82236B | 08 | 562-563 | ||
| S82121A | 24 | 955-965 | S82154B | 24 | 955-965 | S82236B | 24 | 955-965 | ||
| S82121B | 08 | 562-563 | S82154C | 08 | 562-563 | S82236C | 08 | 562-563 | ||
| S82121B | 24 | 955-965 | S82154C | 24 | 955-965 | S82236C | 24 | 955-965 | ||
| S82121C | 08 | 562-563 | S82154D | 08 | 559-561 | S82236D | 08 | 559-561 | ||
| S82121C | 24 | 955-965 | S82154E | 08 | 559-561 | S82236E | 08 | 559-561 | ||
| S82121D | 08 | 559-561 | S82154F | 08 | 559-561 | S82236F | 08 | 559-561 | ||
| S82121E | 08 | 559-561 | S82154G | 08 | 559-561 | S82236G | 08 | 559-561 | ||
| S82121F | 08 | 559-561 | S82154H | 08 | 559-561 | S82236H | 08 | 559-561 | ||
| S82121G | 08 | 559-561 | S82154J | 08 | 559-561 | S82236J | 08 | 559-561 | ||
| S82121H | 08 | 559-561 | S82154K | 08 | 564-566 | S82236K | 08 | 564-566 | ||
| S82121J | 08 | 559-561 | S82154M | 08 | 564-566 | S82236M | 08 | 564-566 | ||
| S82121K | 08 | 564-566 | S82154N | 08 | 564-566 | S82236N | 08 | 564-566 | ||
| S82121M | 08 | 564-566 | S82154P | 08 | 564-566 | S82236P | 08 | 564-566 | ||
| S82121N | 08 | 564-566 | S82154Q | 08 | 564-566 | S82236Q | 08 | 564-566 | ||
| S82121P | 08 | 564-566 | S82154R | 08 | 564-566 | S82236R | 08 | 564-566 | ||
| S82121Q | 08 | 564-566 | S82154S | 08 | 559-561 | S82236S | 08 | 559-561 | ||
| S82121R | 08 | 564-566 | S82155A | 08 | 562-563 | S82241A | 08 | 562-563 | ||
| S82121S | 08 | 559-561 | S82155A | 24 | 955-965 | S82241A | 24 | 955-965 | ||
| S82122A | 08 | 562-563 | S82155B | 08 | 562-563 | S82241B | 08 | 562-563 | ||
| S82122A | 24 | 955-965 | S82155B | 24 | 955-965 | S82241B | 24 | 955-965 | ||
| S82122B | 08 | 562-563 | S82155C | 08 | 562-563 | S82241C | 08 | 562-563 | ||
| S82122B | 24 | 955-965 | S82155C | 24 | 955-965 | S82241C | 24 | 955-965 | ||
| S82122C | 08 | 562-563 | S82155D | 08 | 559-561 | S82241D | 08 | 559-561 | ||
| S82122C | 24 | 955-965 | S82155E | 08 | 559-561 | S82241E | 08 | 559-561 | ||
| S82122D | 08 | 559-561 | S82155F | 08 | 559-561 | S82241F | 08 | 559-561 | ||
| S82122E | 08 | 559-561 | S82155G | 08 | 559-561 | S82241G | 08 | 559-561 | ||
| S82122F | 08 | 559-561 | S82155H | 08 | 559-561 | S82241H | 08 | 559-561 | ||
| S82122G | 08 | 559-561 | S82155J | 08 | 559-561 | S82241J | 08 | 559-561 | ||
| S82122H | 08 | 559-561 | S82155K | 08 | 564-566 | S82241K | 08 | 564-566 | ||
| S82122J | 08 | 559-561 | S82155M | 08 | 564-566 | S82241M | 08 | 564-566 | ||
| S82122K | 08 | 564-566 | S82155N | 08 | 564-566 | S82241N | 08 | 564-566 | ||
| S82122M | 08 | 564-566 | S82155P | 08 | 564-566 | S82241P | 08 | 564-566 | ||
| S82122N | 08 | 564-566 | S82155Q | 08 | 564-566 | S82241Q | 08 | 564-566 | ||
| S82122P | 08 | 564-566 | S82155R | 08 | 564-566 | S82241R | 08 | 564-566 | ||
| S82122Q | 08 | 564-566 | S82155S | 08 | 559-561 | S82241S | 08 | 559-561 | ||
| S82122R | 08 | 564-566 | S82156A | 08 | 562-563 | S82242A | 08 | 562-563 | ||
| S82122S | 08 | 559-561 | S82156A | 24 | 955-965 | S82242A | 24 | 955-965 | ||
| S82123A | 08 | 562-563 | S82156B | 08 | 562-563 | S82242B | 08 | 562-563 | ||
| S82123A | 24 | 955-965 | S82156B | 24 | 955-965 | S82242B | 24 | 955-965 | ||
| S82123B | 08 | 562-563 | S82156C | 08 | 562-563 | S82242C | 08 | 562-563 | ||
| S82123B | 24 | 955-965 | S82156C | 24 | 955-965 | S82242C | 24 | 955-965 | ||
| S82123C | 08 | 562-563 | S82156D | 08 | 559-561 | S82242D | 08 | 559-561 | ||
| S82123C | 24 | 955-965 | S82156E | 08 | 559-561 | S82242E | 08 | 559-561 | ||
| S82123D | 08 | 559-561 | S82156F | 08 | 559-561 | S82242F | 08 | 559-561 | ||
| S82123E | 08 | 559-561 | S82156G | 08 | 559-561 | S82242G | 08 | 559-561 | ||
| S82123F | 08 | 559-561 | S82156H | 08 | 559-561 | S82242H | 08 | 559-561 | ||
| S82123G | 08 | 559-561 | S82156J | 08 | 559-561 | S82242J | 08 | 559-561 | ||
| S82123H | 08 | 559-561 | S82156K | 08 | 564-566 | S82242K | 08 | 564-566 | ||
| S82123J | 08 | 559-561 | S82156M | 08 | 564-566 | S82242M | 08 | 564-566 | ||
| S82123K | 08 | 564-566 | S82156N | 08 | 564-566 | S82242N | 08 | 564-566 | ||
| S82123M | 08 | 564-566 | S82156P | 08 | 564-566 | S82242P | 08 | 564-566 | ||
| S82123N | 08 | 564-566 | S82156Q | 08 | 564-566 | S82242Q | 08 | 564-566 | ||
| S82123P | 08 | 564-566 | S82156R | 08 | 564-566 | S82242R | 08 | 564-566 | ||
| S82123Q | 08 | 564-566 | S82156S | 08 | 559-561 | S82242S | 08 | 559-561 | ||
| S82123R | 08 | 564-566 | S82161A | 08 | 562-563 | S82243A | 08 | 562-563 | ||
| S82123S | 08 | 559-561 | S82161A | 24 | 955-965 | S82243A | 24 | 955-965 | ||
| S82124A | 08 | 562-563 | S82161D | 08 | 559-561 | S82243B | 08 | 562-563 | ||
| S82124A | 24 | 955-965 | S82161G | 08 | 559-561 | S82243B | 24 | 955-965 | ||
| S82124B | 08 | 562-563 | S82161K | 08 | 564-566 | S82243C | 08 | 562-563 | ||
| S82124B | 24 | 955-965 | S82161P | 08 | 564-566 | S82243C | 24 | 955-965 | ||
| S82124C | 08 | 562-563 | S82161S | 08 | 559-561 | S82243D | 08 | 559-561 | ||
| S82124C | 24 | 955-965 | S82162A | 08 | 562-563 | S82243E | 08 | 559-561 | ||
| S82124D | 08 | 559-561 | S82162A | 24 | 955-965 | S82243F | 08 | 559-561 | ||
| S82124E | 08 | 559-561 | S82162D | 08 | 559-561 | S82243G | 08 | 559-561 | ||
| S82124F | 08 | 559-561 | S82162G | 08 | 559-561 | S82243H | 08 | 559-561 | ||
| S82124G | 08 | 559-561 | S82162K | 08 | 564-566 | S82243J | 08 | 559-561 | ||
| S82124H | 08 | 559-561 | S82162P | 08 | 564-566 | S82243K | 08 | 564-566 | ||
| S82124J | 08 | 559-561 | S82162S | 08 | 559-561 | S82243M | 08 | 564-566 | ||
| S82124K | 08 | 564-566 | S82169A | 08 | 562-563 | S82243N | 08 | 564-566 | ||
| S82124M | 08 | 564-566 | S82169A | 24 | 955-965 | S82243P | 08 | 564-566 | ||
| S82124N | 08 | 564-566 | S82169D | 08 | 559-561 | S82243Q | 08 | 564-566 | ||
| S82124P | 08 | 564-566 | S82169G | 08 | 559-561 | S82243R | 08 | 564-566 | ||
| S82124Q | 08 | 564-566 | S82169K | 08 | 564-566 | S82243S | 08 | 559-561 | ||
| S82124R | 08 | 564-566 | S82169P | 08 | 564-566 | S82244A | 08 | 562-563 | ||
| S82124S | 08 | 559-561 | S82169S | 08 | 559-561 | S82244A | 24 | 955-965 | ||
| S82125A | 08 | 562-563 | S82191A | 08 | 562-563 | S82244B | 08 | 562-563 | ||
| S82125A | 24 | 955-965 | S82191A | 24 | 955-965 | S82244B | 24 | 955-965 | ||
| S82125B | 08 | 562-563 | S82191B | 08 | 562-563 | S82244C | 08 | 562-563 | ||
| S82125B | 24 | 955-965 | S82191B | 24 | 955-965 | S82244C | 24 | 955-965 | ||
| S82125C | 08 | 562-563 | S82191C | 08 | 562-563 | S82244D | 08 | 559-561 | ||
| S82125C | 24 | 955-965 | S82191C | 24 | 955-965 | S82244E | 08 | 559-561 | ||
| S82125D | 08 | 559-561 | S82191D | 08 | 559-561 | S82244F | 08 | 559-561 | ||
| S82125E | 08 | 559-561 | S82191E | 08 | 559-561 | S82244G | 08 | 559-561 | ||
| S82125F | 08 | 559-561 | S82191F | 08 | 559-561 | S82244H | 08 | 559-561 | ||
| S82125G | 08 | 559-561 | S82191G | 08 | 559-561 | S82244J | 08 | 559-561 | ||
| S82125H | 08 | 559-561 | S82191H | 08 | 559-561 | S82244K | 08 | 564-566 | ||
| S82125J | 08 | 559-561 | S82191J | 08 | 559-561 | S82244M | 08 | 564-566 | ||
| S82125K | 08 | 564-566 | S82191K | 08 | 564-566 | S82244N | 08 | 564-566 | ||
| S82125M | 08 | 564-566 | S82191M | 08 | 564-566 | S82244P | 08 | 564-566 | ||
| S82125N | 08 | 564-566 | S82191N | 08 | 564-566 | S82244Q | 08 | 564-566 | ||
| S82125P | 08 | 564-566 | S82191P | 08 | 564-566 | S82244R | 08 | 564-566 | ||
| S82125Q | 08 | 564-566 | S82191Q | 08 | 564-566 | S82244S | 08 | 559-561 | ||
| S82125R | 08 | 564-566 | S82191R | 08 | 564-566 | S82245A | 08 | 562-563 | ||
| S82125S | 08 | 559-561 | S82191S | 08 | 559-561 | S82245A | 24 | 955-965 | ||
| S82126A | 08 | 562-563 | S82192A | 08 | 562-563 | S82245B | 08 | 562-563 | ||
| S82126A | 24 | 955-965 | S82192A | 24 | 955-965 | S82245B | 24 | 955-965 | ||
| S82126B | 08 | 562-563 | S82192B | 08 | 562-563 | S82245C | 08 | 562-563 | ||
| S82126B | 24 | 955-965 | S82192B | 24 | 955-965 | S82245C | 24 | 955-965 | ||
| S82126C | 08 | 562-563 | S82192C | 08 | 562-563 | S82245D | 08 | 559-561 | ||
| S82126C | 24 | 955-965 | S82192C | 24 | 955-965 | S82245E | 08 | 559-561 | ||
| S82126D | 08 | 559-561 | S82192D | 08 | 559-561 | S82245F | 08 | 559-561 | ||
| S82126E | 08 | 559-561 | S82192E | 08 | 559-561 | S82245G | 08 | 559-561 | ||
| S82126F | 08 | 559-561 | S82192F | 08 | 559-561 | S82245H | 08 | 559-561 | ||
| S82126G | 08 | 559-561 | S82192G | 08 | 559-561 | S82245J | 08 | 559-561 | ||
| S82126H | 08 | 559-561 | S82192H | 08 | 559-561 | S82245K | 08 | 564-566 | ||
| S82126J | 08 | 559-561 | S82192J | 08 | 559-561 | S82245M | 08 | 564-566 | ||
| S82126K | 08 | 564-566 | S82192K | 08 | 564-566 | S82245N | 08 | 564-566 | ||
| S82126M | 08 | 564-566 | S82192M | 08 | 564-566 | S82245P | 08 | 564-566 | ||
| S82126N | 08 | 564-566 | S82192N | 08 | 564-566 | S82245Q | 08 | 564-566 | ||
| S82126P | 08 | 564-566 | S82192P | 08 | 564-566 | S82245R | 08 | 564-566 | ||
| S82126Q | 08 | 564-566 | S82192Q | 08 | 564-566 | S82245S | 08 | 559-561 | ||
| S82126R | 08 | 564-566 | S82192R | 08 | 564-566 | S82246A | 08 | 562-563 | ||
| S82126S | 08 | 559-561 | S82192S | 08 | 559-561 | S82246A | 24 | 955-965 | ||
| S82131A | 08 | 562-563 | S82199A | 08 | 562-563 | S82246B | 08 | 562-563 | ||
| S82131A | 24 | 955-965 | S82199A | 24 | 955-965 | S82246B | 24 | 955-965 | ||
| S82131B | 08 | 562-563 | S82199B | 08 | 562-563 | S82246C | 08 | 562-563 | ||
| S82131B | 24 | 955-965 | S82199B | 24 | 955-965 | S82246C | 24 | 955-965 | ||
| S82131C | 08 | 562-563 | S82199C | 08 | 562-563 | S82246D | 08 | 559-561 | ||
| S82131C | 24 | 955-965 | S82199C | 24 | 955-965 | S82246E | 08 | 559-561 | ||
| S82131D | 08 | 559-561 | S82199D | 08 | 559-561 | S82246F | 08 | 559-561 | ||
| S82131E | 08 | 559-561 | S82199E | 08 | 559-561 | S82246G | 08 | 559-561 | ||
| S82131F | 08 | 559-561 | S82199F | 08 | 559-561 | S82246H | 08 | 559-561 | ||
| S82131G | 08 | 559-561 | S82199G | 08 | 559-561 | S82246J | 08 | 559-561 | ||
| S82131H | 08 | 559-561 | S82199H | 08 | 559-561 | S82246K | 08 | 564-566 | ||
| S82131J | 08 | 559-561 | S82199J | 08 | 559-561 | S82246M | 08 | 564-566 | ||
| S82131K | 08 | 564-566 | S82199K | 08 | 564-566 | S82246N | 08 | 564-566 | ||
| S82131M | 08 | 564-566 | S82199M | 08 | 564-566 | S82246P | 08 | 564-566 | ||
| S82131N | 08 | 564-566 | S82199N | 08 | 564-566 | S82246Q | 08 | 564-566 | ||
| S82131P | 08 | 564-566 | S82199P | 08 | 564-566 | S82246R | 08 | 564-566 | ||
| S82131Q | 08 | 564-566 | S82199Q | 08 | 564-566 | S82246S | 08 | 559-561 | ||
| S82131R | 08 | 564-566 | S82199R | 08 | 564-566 | S82251A | 08 | 562-563 | ||
| S82131S | 08 | 559-561 | S82199S | 08 | 559-561 | S82251A | 24 | 955-965 | ||
| S82132A | 08 | 562-563 | S82201A | 08 | 562-563 | S82251B | 08 | 562-563 | ||
| S82132A | 24 | 955-965 | S82201A | 24 | 955-965 | S82251B | 24 | 955-965 | ||
| S82132B | 08 | 562-563 | S82201B | 08 | 562-563 | S82251C | 08 | 562-563 | ||
| S82132B | 24 | 955-965 | S82201B | 24 | 955-965 | S82251C | 24 | 955-965 | ||
| S82132C | 08 | 562-563 | S82201C | 08 | 562-563 | S82251D | 08 | 559-561 | ||
| S82132C | 24 | 955-965 | S82201C | 24 | 955-965 | S82251E | 08 | 559-561 | ||
| S82132D | 08 | 559-561 | S82201D | 08 | 559-561 | S82251F | 08 | 559-561 | ||
| S82132E | 08 | 559-561 | S82201E | 08 | 559-561 | S82251G | 08 | 559-561 | ||
| S82132F | 08 | 559-561 | S82201F | 08 | 559-561 | S82251H | 08 | 559-561 | ||
| S82132G | 08 | 559-561 | S82201G | 08 | 559-561 | S82251J | 08 | 559-561 | ||
| S82132H | 08 | 559-561 | S82201H | 08 | 559-561 | S82251K | 08 | 564-566 | ||
| S82132J | 08 | 559-561 | S82201J | 08 | 559-561 | S82251M | 08 | 564-566 | ||
| S82132K | 08 | 564-566 | S82201K | 08 | 564-566 | S82251N | 08 | 564-566 | ||
| S82132M | 08 | 564-566 | S82201M | 08 | 564-566 | S82251P | 08 | 564-566 | ||
| S82132N | 08 | 564-566 | S82201N | 08 | 564-566 | S82251Q | 08 | 564-566 | ||
| S82132P | 08 | 564-566 | S82201P | 08 | 564-566 | S82251R | 08 | 564-566 | ||
| S82132Q | 08 | 564-566 | S82201Q | 08 | 564-566 | S82251S | 08 | 559-561 | ||
| S82132R | 08 | 564-566 | S82201R | 08 | 564-566 | S82252A | 08 | 562-563 | ||
| S82132S | 08 | 559-561 | S82201S | 08 | 559-561 | S82252A | 24 | 955-965 | ||
| S82133A | 08 | 562-563 | S82202A | 08 | 562-563 | S82252B | 08 | 562-563 | ||
| S82133A | 24 | 955-965 | S82202A | 24 | 955-965 | S82252B | 24 | 955-965 | ||
| S82133B | 08 | 562-563 | S82202B | 08 | 562-563 | S82252C | 08 | 562-563 | ||
| S82133B | 24 | 955-965 | S82202B | 24 | 955-965 | S82252C | 24 | 955-965 | ||
| S82133C | 08 | 562-563 | S82202C | 08 | 562-563 | S82252D | 08 | 559-561 | ||
| S82133C | 24 | 955-965 | S82202C | 24 | 955-965 | S82252E | 08 | 559-561 | ||
| S82133D | 08 | 559-561 | S82202D | 08 | 559-561 | S82252F | 08 | 559-561 | ||
| S82133E | 08 | 559-561 | S82202E | 08 | 559-561 | S82252G | 08 | 559-561 | ||
| S82133F | 08 | 559-561 | S82202F | 08 | 559-561 | S82252H | 08 | 559-561 | ||
| S82133G | 08 | 559-561 | S82202G | 08 | 559-561 | S82252J | 08 | 559-561 | ||
| S82133H | 08 | 559-561 | S82202H | 08 | 559-561 | S82252K | 08 | 564-566 | ||
| S82133J | 08 | 559-561 | S82202J | 08 | 559-561 | S82252M | 08 | 564-566 | ||
| S82133K | 08 | 564-566 | S82202K | 08 | 564-566 | S82252N | 08 | 564-566 | ||
| S82133M | 08 | 564-566 | S82202M | 08 | 564-566 | S82252P | 08 | 564-566 | ||
| S82133N | 08 | 564-566 | S82202N | 08 | 564-566 | S82252Q | 08 | 564-566 | ||
| S82133P | 08 | 564-566 | S82202P | 08 | 564-566 | S82252R | 08 | 564-566 | ||
| S82133Q | 08 | 564-566 | S82202Q | 08 | 564-566 | S82252S | 08 | 559-561 | ||
| S82133R | 08 | 564-566 | S82202R | 08 | 564-566 | S82253A | 08 | 562-563 | ||
| S82133S | 08 | 559-561 | S82202S | 08 | 559-561 | S82253A | 24 | 955-965 | ||
| S82134A | 08 | 562-563 | S82209A | 08 | 562-563 | S82253B | 08 | 562-563 | ||
| S82134A | 24 | 955-965 | S82209A | 24 | 955-965 | S82253B | 24 | 955-965 | ||
| S82134B | 08 | 562-563 | S82209B | 08 | 562-563 | S82253C | 08 | 562-563 | ||
| S82134B | 24 | 955-965 | S82209B | 24 | 955-965 | S82253C | 24 | 955-965 | ||
| S82134C | 08 | 562-563 | S82209C | 08 | 562-563 | S82253D | 08 | 559-561 | ||
| S82134C | 24 | 955-965 | S82209C | 24 | 955-965 | S82253E | 08 | 559-561 | ||
| S82134D | 08 | 559-561 | S82209D | 08 | 559-561 | S82253F | 08 | 559-561 | ||
| S82134E | 08 | 559-561 | S82209E | 08 | 559-561 | S82253G | 08 | 559-561 | ||
| S82134F | 08 | 559-561 | S82209F | 08 | 559-561 | S82253H | 08 | 559-561 | ||
| S82134G | 08 | 559-561 | S82209G | 08 | 559-561 | S82253J | 08 | 559-561 | ||
| S82134H | 08 | 559-561 | S82209H | 08 | 559-561 | S82253K | 08 | 564-566 | ||
| S82134J | 08 | 559-561 | S82209J | 08 | 559-561 | S82253M | 08 | 564-566 | ||
| S82134K | 08 | 564-566 | S82209K | 08 | 564-566 | S82253N | 08 | 564-566 | ||
| S82134M | 08 | 564-566 | S82209M | 08 | 564-566 | S82253P | 08 | 564-566 | ||
| S82134N | 08 | 564-566 | S82209N | 08 | 564-566 | S82253Q | 08 | 564-566 | ||
| S82134P | 08 | 564-566 | S82209P | 08 | 564-566 | S82253R | 08 | 564-566 | ||
| S82134Q | 08 | 564-566 | S82209Q | 08 | 564-566 | S82253S | 08 | 559-561 | ||
| S82134R | 08 | 564-566 | S82209R | 08 | 564-566 | S82254A | 08 | 562-563 | ||
| S82134S | 08 | 559-561 | S82209S | 08 | 559-561 | S82254A | 24 | 955-965 | ||
| S82135A | 08 | 562-563 | S82221A | 08 | 562-563 | S82254B | 08 | 562-563 | ||
| S82135A | 24 | 955-965 | S82221A | 24 | 955-965 | S82254B | 24 | 955-965 | ||
| S82135B | 08 | 562-563 | S82221B | 08 | 562-563 | S82254C | 08 | 562-563 | ||
| S82135B | 24 | 955-965 | S82221B | 24 | 955-965 | S82254C | 24 | 955-965 | ||
| S82135C | 08 | 562-563 | S82221C | 08 | 562-563 | S82254D | 08 | 559-561 | ||
| S82135C | 24 | 955-965 | S82221C | 24 | 955-965 | S82254E | 08 | 559-561 | ||
| S82135D | 08 | 559-561 | S82221D | 08 | 559-561 | S82254F | 08 | 559-561 | ||
| S82135E | 08 | 559-561 | S82221E | 08 | 559-561 | S82254G | 08 | 559-561 | ||
| S82135F | 08 | 559-561 | S82221F | 08 | 559-561 | S82254H | 08 | 559-561 | ||
| S82135G | 08 | 559-561 | S82221G | 08 | 559-561 | S82254J | 08 | 559-561 | ||
| S82135H | 08 | 559-561 | S82221H | 08 | 559-561 | S82254K | 08 | 564-566 | ||
| S82135J | 08 | 559-561 | S82221J | 08 | 559-561 | S82254M | 08 | 564-566 | ||
| S82135K | 08 | 564-566 | S82221K | 08 | 564-566 | S82254N | 08 | 564-566 | ||
| S82135M | 08 | 564-566 | S82221M | 08 | 564-566 | S82254P | 08 | 564-566 | ||
| S82135N | 08 | 564-566 | S82221N | 08 | 564-566 | S82254Q | 08 | 564-566 | ||
| S82135P | 08 | 564-566 | S82221P | 08 | 564-566 | S82254R | 08 | 564-566 | ||
| S82135Q | 08 | 564-566 | S82221Q | 08 | 564-566 | S82254S | 08 | 559-561 | ||
| S82135R | 08 | 564-566 | S82221R | 08 | 564-566 | S82255A | 08 | 562-563 | ||
| S82255A | 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 |