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 58 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S92055S | 08 | 559-561 | S92202D | 08 | 559-561 | S92325A | 08 | 562-563 | ||
| S92056A | 08 | 562-563 | S92202G | 08 | 559-561 | S92325A | 24 | 955-965 | ||
| S92056A | 24 | 955-965 | S92202K | 08 | 564-566 | S92325B | 08 | 562-563 | ||
| S92056B | 08 | 562-563 | S92202P | 08 | 564-566 | S92325B | 24 | 955-965 | ||
| S92056B | 24 | 955-965 | S92202S | 08 | 559-561 | S92325D | 08 | 559-561 | ||
| S92056D | 08 | 559-561 | S92209A | 08 | 562-563 | S92325G | 08 | 559-561 | ||
| S92056G | 08 | 559-561 | S92209A | 24 | 955-965 | S92325K | 08 | 564-566 | ||
| S92056K | 08 | 564-566 | S92209B | 08 | 562-563 | S92325P | 08 | 564-566 | ||
| S92056P | 08 | 564-566 | S92209B | 24 | 955-965 | S92325S | 08 | 559-561 | ||
| S92056S | 08 | 559-561 | S92209D | 08 | 559-561 | S92326A | 08 | 562-563 | ||
| S92061A | 08 | 562-563 | S92209G | 08 | 559-561 | S92326A | 24 | 955-965 | ||
| S92061A | 24 | 955-965 | S92209K | 08 | 564-566 | S92326B | 08 | 562-563 | ||
| S92061B | 08 | 562-563 | S92209P | 08 | 564-566 | S92326B | 24 | 955-965 | ||
| S92061B | 24 | 955-965 | S92209S | 08 | 559-561 | S92326D | 08 | 559-561 | ||
| S92061D | 08 | 559-561 | S92211A | 08 | 562-563 | S92326G | 08 | 559-561 | ||
| S92061G | 08 | 559-561 | S92211A | 24 | 955-965 | S92326K | 08 | 564-566 | ||
| S92061K | 08 | 564-566 | S92211B | 08 | 562-563 | S92326P | 08 | 564-566 | ||
| S92061P | 08 | 564-566 | S92211B | 24 | 955-965 | S92326S | 08 | 559-561 | ||
| S92061S | 08 | 559-561 | S92211D | 08 | 559-561 | S92331A | 08 | 562-563 | ||
| S92062A | 08 | 562-563 | S92211G | 08 | 559-561 | S92331A | 24 | 955-965 | ||
| S92062A | 24 | 955-965 | S92211K | 08 | 564-566 | S92331B | 08 | 562-563 | ||
| S92062B | 08 | 562-563 | S92211P | 08 | 564-566 | S92331B | 24 | 955-965 | ||
| S92062B | 24 | 955-965 | S92211S | 08 | 559-561 | S92331D | 08 | 559-561 | ||
| S92062D | 08 | 559-561 | S92212A | 08 | 562-563 | S92331G | 08 | 559-561 | ||
| S92062G | 08 | 559-561 | S92212A | 24 | 955-965 | S92331K | 08 | 564-566 | ||
| S92062K | 08 | 564-566 | S92212B | 08 | 562-563 | S92331P | 08 | 564-566 | ||
| S92062P | 08 | 564-566 | S92212B | 24 | 955-965 | S92331S | 08 | 559-561 | ||
| S92062S | 08 | 559-561 | S92212D | 08 | 559-561 | S92332A | 08 | 562-563 | ||
| S92063A | 08 | 562-563 | S92212G | 08 | 559-561 | S92332A | 24 | 955-965 | ||
| S92063A | 24 | 955-965 | S92212K | 08 | 564-566 | S92332B | 08 | 562-563 | ||
| S92063B | 08 | 562-563 | S92212P | 08 | 564-566 | S92332B | 24 | 955-965 | ||
| S92063B | 24 | 955-965 | S92212S | 08 | 559-561 | S92332D | 08 | 559-561 | ||
| S92063D | 08 | 559-561 | S92213A | 08 | 562-563 | S92332G | 08 | 559-561 | ||
| S92063G | 08 | 559-561 | S92213A | 24 | 955-965 | S92332K | 08 | 564-566 | ||
| S92063K | 08 | 564-566 | S92213B | 08 | 562-563 | S92332P | 08 | 564-566 | ||
| S92063P | 08 | 564-566 | S92213B | 24 | 955-965 | S92332S | 08 | 559-561 | ||
| S92063S | 08 | 559-561 | S92213D | 08 | 559-561 | S92333A | 08 | 562-563 | ||
| S92064A | 08 | 562-563 | S92213G | 08 | 559-561 | S92333A | 24 | 955-965 | ||
| S92064A | 24 | 955-965 | S92213K | 08 | 564-566 | S92333B | 08 | 562-563 | ||
| S92064B | 08 | 562-563 | S92213P | 08 | 564-566 | S92333B | 24 | 955-965 | ||
| S92064B | 24 | 955-965 | S92213S | 08 | 559-561 | S92333D | 08 | 559-561 | ||
| S92064D | 08 | 559-561 | S92214A | 08 | 562-563 | S92333G | 08 | 559-561 | ||
| S92064G | 08 | 559-561 | S92214A | 24 | 955-965 | S92333K | 08 | 564-566 | ||
| S92064K | 08 | 564-566 | S92214B | 08 | 562-563 | S92333P | 08 | 564-566 | ||
| S92064P | 08 | 564-566 | S92214B | 24 | 955-965 | S92333S | 08 | 559-561 | ||
| S92064S | 08 | 559-561 | S92214D | 08 | 559-561 | S92334A | 08 | 562-563 | ||
| S92065A | 08 | 562-563 | S92214G | 08 | 559-561 | S92334A | 24 | 955-965 | ||
| S92065A | 24 | 955-965 | S92214K | 08 | 564-566 | S92334B | 08 | 562-563 | ||
| S92065B | 08 | 562-563 | S92214P | 08 | 564-566 | S92334B | 24 | 955-965 | ||
| S92065B | 24 | 955-965 | S92214S | 08 | 559-561 | S92334D | 08 | 559-561 | ||
| S92065D | 08 | 559-561 | S92215A | 08 | 562-563 | S92334G | 08 | 559-561 | ||
| S92065G | 08 | 559-561 | S92215A | 24 | 955-965 | S92334K | 08 | 564-566 | ||
| S92065K | 08 | 564-566 | S92215B | 08 | 562-563 | S92334P | 08 | 564-566 | ||
| S92065P | 08 | 564-566 | S92215B | 24 | 955-965 | S92334S | 08 | 559-561 | ||
| S92065S | 08 | 559-561 | S92215D | 08 | 559-561 | S92335A | 08 | 562-563 | ||
| S92066A | 08 | 562-563 | S92215G | 08 | 559-561 | S92335A | 24 | 955-965 | ||
| S92066A | 24 | 955-965 | S92215K | 08 | 564-566 | S92335B | 08 | 562-563 | ||
| S92066B | 08 | 562-563 | S92215P | 08 | 564-566 | S92335B | 24 | 955-965 | ||
| S92066B | 24 | 955-965 | S92215S | 08 | 559-561 | S92335D | 08 | 559-561 | ||
| S92066D | 08 | 559-561 | S92216A | 08 | 562-563 | S92335G | 08 | 559-561 | ||
| S92066G | 08 | 559-561 | S92216A | 24 | 955-965 | S92335K | 08 | 564-566 | ||
| S92066K | 08 | 564-566 | S92216B | 08 | 562-563 | S92335P | 08 | 564-566 | ||
| S92066P | 08 | 564-566 | S92216B | 24 | 955-965 | S92335S | 08 | 559-561 | ||
| S92066S | 08 | 559-561 | S92216D | 08 | 559-561 | S92336A | 08 | 562-563 | ||
| S92101A | 08 | 562-563 | S92216G | 08 | 559-561 | S92336A | 24 | 955-965 | ||
| S92101A | 24 | 955-965 | S92216K | 08 | 564-566 | S92336B | 08 | 562-563 | ||
| S92101B | 08 | 562-563 | S92216P | 08 | 564-566 | S92336B | 24 | 955-965 | ||
| S92101B | 24 | 955-965 | S92216S | 08 | 559-561 | S92336D | 08 | 559-561 | ||
| S92101D | 08 | 559-561 | S92221A | 08 | 562-563 | S92336G | 08 | 559-561 | ||
| S92101G | 08 | 559-561 | S92221A | 24 | 955-965 | S92336K | 08 | 564-566 | ||
| S92101K | 08 | 564-566 | S92221B | 08 | 562-563 | S92336P | 08 | 564-566 | ||
| S92101P | 08 | 564-566 | S92221B | 24 | 955-965 | S92336S | 08 | 559-561 | ||
| S92101S | 08 | 559-561 | S92221D | 08 | 559-561 | S92341A | 08 | 562-563 | ||
| S92102A | 08 | 562-563 | S92221G | 08 | 559-561 | S92341A | 24 | 955-965 | ||
| S92102A | 24 | 955-965 | S92221K | 08 | 564-566 | S92341B | 08 | 562-563 | ||
| S92102B | 08 | 562-563 | S92221P | 08 | 564-566 | S92341B | 24 | 955-965 | ||
| S92102B | 24 | 955-965 | S92221S | 08 | 559-561 | S92341D | 08 | 559-561 | ||
| S92102D | 08 | 559-561 | S92222A | 08 | 562-563 | S92341G | 08 | 559-561 | ||
| S92102G | 08 | 559-561 | S92222A | 24 | 955-965 | S92341K | 08 | 564-566 | ||
| S92102K | 08 | 564-566 | S92222B | 08 | 562-563 | S92341P | 08 | 564-566 | ||
| S92102P | 08 | 564-566 | S92222B | 24 | 955-965 | S92341S | 08 | 559-561 | ||
| S92102S | 08 | 559-561 | S92222D | 08 | 559-561 | S92342A | 08 | 562-563 | ||
| S92109A | 08 | 562-563 | S92222G | 08 | 559-561 | S92342A | 24 | 955-965 | ||
| S92109A | 24 | 955-965 | S92222K | 08 | 564-566 | S92342B | 08 | 562-563 | ||
| S92109B | 08 | 562-563 | S92222P | 08 | 564-566 | S92342B | 24 | 955-965 | ||
| S92109B | 24 | 955-965 | S92222S | 08 | 559-561 | S92342D | 08 | 559-561 | ||
| S92109D | 08 | 559-561 | S92223A | 08 | 562-563 | S92342G | 08 | 559-561 | ||
| S92109G | 08 | 559-561 | S92223A | 24 | 955-965 | S92342K | 08 | 564-566 | ||
| S92109K | 08 | 564-566 | S92223B | 08 | 562-563 | S92342P | 08 | 564-566 | ||
| S92109P | 08 | 564-566 | S92223B | 24 | 955-965 | S92342S | 08 | 559-561 | ||
| S92109S | 08 | 559-561 | S92223D | 08 | 559-561 | S92343A | 08 | 562-563 | ||
| S92111A | 08 | 562-563 | S92223G | 08 | 559-561 | S92343A | 24 | 955-965 | ||
| S92111A | 24 | 955-965 | S92223K | 08 | 564-566 | S92343B | 08 | 562-563 | ||
| S92111B | 08 | 562-563 | S92223P | 08 | 564-566 | S92343B | 24 | 955-965 | ||
| S92111B | 24 | 955-965 | S92223S | 08 | 559-561 | S92343D | 08 | 559-561 | ||
| S92111D | 08 | 559-561 | S92224A | 08 | 562-563 | S92343G | 08 | 559-561 | ||
| S92111G | 08 | 559-561 | S92224A | 24 | 955-965 | S92343K | 08 | 564-566 | ||
| S92111K | 08 | 564-566 | S92224B | 08 | 562-563 | S92343P | 08 | 564-566 | ||
| S92111P | 08 | 564-566 | S92224B | 24 | 955-965 | S92343S | 08 | 559-561 | ||
| S92111S | 08 | 559-561 | S92224D | 08 | 559-561 | S92344A | 08 | 562-563 | ||
| S92112A | 08 | 562-563 | S92224G | 08 | 559-561 | S92344A | 24 | 955-965 | ||
| S92112A | 24 | 955-965 | S92224K | 08 | 564-566 | S92344B | 08 | 562-563 | ||
| S92112B | 08 | 562-563 | S92224P | 08 | 564-566 | S92344B | 24 | 955-965 | ||
| S92112B | 24 | 955-965 | S92224S | 08 | 559-561 | S92344D | 08 | 559-561 | ||
| S92112D | 08 | 559-561 | S92225A | 08 | 562-563 | S92344G | 08 | 559-561 | ||
| S92112G | 08 | 559-561 | S92225A | 24 | 955-965 | S92344K | 08 | 564-566 | ||
| S92112K | 08 | 564-566 | S92225B | 08 | 562-563 | S92344P | 08 | 564-566 | ||
| S92112P | 08 | 564-566 | S92225B | 24 | 955-965 | S92344S | 08 | 559-561 | ||
| S92112S | 08 | 559-561 | S92225D | 08 | 559-561 | S92345A | 08 | 562-563 | ||
| S92113A | 08 | 562-563 | S92225G | 08 | 559-561 | S92345A | 24 | 955-965 | ||
| S92113A | 24 | 955-965 | S92225K | 08 | 564-566 | S92345B | 08 | 562-563 | ||
| S92113B | 08 | 562-563 | S92225P | 08 | 564-566 | S92345B | 24 | 955-965 | ||
| S92113B | 24 | 955-965 | S92225S | 08 | 559-561 | S92345D | 08 | 559-561 | ||
| S92113D | 08 | 559-561 | S92226A | 08 | 562-563 | S92345G | 08 | 559-561 | ||
| S92113G | 08 | 559-561 | S92226A | 24 | 955-965 | S92345K | 08 | 564-566 | ||
| S92113K | 08 | 564-566 | S92226B | 08 | 562-563 | S92345P | 08 | 564-566 | ||
| S92113P | 08 | 564-566 | S92226B | 24 | 955-965 | S92345S | 08 | 559-561 | ||
| S92113S | 08 | 559-561 | S92226D | 08 | 559-561 | S92346A | 08 | 562-563 | ||
| S92114A | 08 | 562-563 | S92226G | 08 | 559-561 | S92346A | 24 | 955-965 | ||
| S92114A | 24 | 955-965 | S92226K | 08 | 564-566 | S92346B | 08 | 562-563 | ||
| S92114B | 08 | 562-563 | S92226P | 08 | 564-566 | S92346B | 24 | 955-965 | ||
| S92114B | 24 | 955-965 | S92226S | 08 | 559-561 | S92346D | 08 | 559-561 | ||
| S92114D | 08 | 559-561 | S92231A | 08 | 562-563 | S92346G | 08 | 559-561 | ||
| S92114G | 08 | 559-561 | S92231A | 24 | 955-965 | S92346K | 08 | 564-566 | ||
| S92114K | 08 | 564-566 | S92231B | 08 | 562-563 | S92346P | 08 | 564-566 | ||
| S92114P | 08 | 564-566 | S92231B | 24 | 955-965 | S92346S | 08 | 559-561 | ||
| S92114S | 08 | 559-561 | S92231D | 08 | 559-561 | S92351A | 08 | 562-563 | ||
| S92115A | 08 | 562-563 | S92231G | 08 | 559-561 | S92351A | 24 | 955-965 | ||
| S92115A | 24 | 955-965 | S92231K | 08 | 564-566 | S92351B | 08 | 562-563 | ||
| S92115B | 08 | 562-563 | S92231P | 08 | 564-566 | S92351B | 24 | 955-965 | ||
| S92115B | 24 | 955-965 | S92231S | 08 | 559-561 | S92351D | 08 | 559-561 | ||
| S92115D | 08 | 559-561 | S92232A | 08 | 562-563 | S92351G | 08 | 559-561 | ||
| S92115G | 08 | 559-561 | S92232A | 24 | 955-965 | S92351K | 08 | 564-566 | ||
| S92115K | 08 | 564-566 | S92232B | 08 | 562-563 | S92351P | 08 | 564-566 | ||
| S92115P | 08 | 564-566 | S92232B | 24 | 955-965 | S92351S | 08 | 559-561 | ||
| S92115S | 08 | 559-561 | S92232D | 08 | 559-561 | S92352A | 08 | 562-563 | ||
| S92116A | 08 | 562-563 | S92232G | 08 | 559-561 | S92352A | 24 | 955-965 | ||
| S92116A | 24 | 955-965 | S92232K | 08 | 564-566 | S92352B | 08 | 562-563 | ||
| S92116B | 08 | 562-563 | S92232P | 08 | 564-566 | S92352B | 24 | 955-965 | ||
| S92116B | 24 | 955-965 | S92232S | 08 | 559-561 | S92352D | 08 | 559-561 | ||
| S92116D | 08 | 559-561 | S92233A | 08 | 562-563 | S92352G | 08 | 559-561 | ||
| S92116G | 08 | 559-561 | S92233A | 24 | 955-965 | S92352K | 08 | 564-566 | ||
| S92116K | 08 | 564-566 | S92233B | 08 | 562-563 | S92352P | 08 | 564-566 | ||
| S92116P | 08 | 564-566 | S92233B | 24 | 955-965 | S92352S | 08 | 559-561 | ||
| S92116S | 08 | 559-561 | S92233D | 08 | 559-561 | S92353A | 08 | 562-563 | ||
| S92121A | 08 | 562-563 | S92233G | 08 | 559-561 | S92353A | 24 | 955-965 | ||
| S92121A | 24 | 955-965 | S92233K | 08 | 564-566 | S92353B | 08 | 562-563 | ||
| S92121B | 08 | 562-563 | S92233P | 08 | 564-566 | S92353B | 24 | 955-965 | ||
| S92121B | 24 | 955-965 | S92233S | 08 | 559-561 | S92353D | 08 | 559-561 | ||
| S92121D | 08 | 559-561 | S92234A | 08 | 562-563 | S92353G | 08 | 559-561 | ||
| S92121G | 08 | 559-561 | S92234A | 24 | 955-965 | S92353K | 08 | 564-566 | ||
| S92121K | 08 | 564-566 | S92234B | 08 | 562-563 | S92353P | 08 | 564-566 | ||
| S92121P | 08 | 564-566 | S92234B | 24 | 955-965 | S92353S | 08 | 559-561 | ||
| S92121S | 08 | 559-561 | S92234D | 08 | 559-561 | S92354A | 08 | 562-563 | ||
| S92122A | 08 | 562-563 | S92234G | 08 | 559-561 | S92354A | 24 | 955-965 | ||
| S92122A | 24 | 955-965 | S92234K | 08 | 564-566 | S92354B | 08 | 562-563 | ||
| S92122B | 08 | 562-563 | S92234P | 08 | 564-566 | S92354B | 24 | 955-965 | ||
| S92122B | 24 | 955-965 | S92234S | 08 | 559-561 | S92354D | 08 | 559-561 | ||
| S92122D | 08 | 559-561 | S92235A | 08 | 562-563 | S92354G | 08 | 559-561 | ||
| S92122G | 08 | 559-561 | S92235A | 24 | 955-965 | S92354K | 08 | 564-566 | ||
| S92122K | 08 | 564-566 | S92235B | 08 | 562-563 | S92354P | 08 | 564-566 | ||
| S92122P | 08 | 564-566 | S92235B | 24 | 955-965 | S92354S | 08 | 559-561 | ||
| S92122S | 08 | 559-561 | S92235D | 08 | 559-561 | S92355A | 08 | 562-563 | ||
| S92123A | 08 | 562-563 | S92235G | 08 | 559-561 | S92355A | 24 | 955-965 | ||
| S92123A | 24 | 955-965 | S92235K | 08 | 564-566 | S92355B | 08 | 562-563 | ||
| S92123B | 08 | 562-563 | S92235P | 08 | 564-566 | S92355B | 24 | 955-965 | ||
| S92123B | 24 | 955-965 | S92235S | 08 | 559-561 | S92355D | 08 | 559-561 | ||
| S92123D | 08 | 559-561 | S92236A | 08 | 562-563 | S92355G | 08 | 559-561 | ||
| S92123G | 08 | 559-561 | S92236A | 24 | 955-965 | S92355K | 08 | 564-566 | ||
| S92123K | 08 | 564-566 | S92236B | 08 | 562-563 | S92355P | 08 | 564-566 | ||
| S92123P | 08 | 564-566 | S92236B | 24 | 955-965 | S92355S | 08 | 559-561 | ||
| S92123S | 08 | 559-561 | S92236D | 08 | 559-561 | S92356A | 08 | 562-563 | ||
| S92124A | 08 | 562-563 | S92236G | 08 | 559-561 | S92356A | 24 | 955-965 | ||
| S92124A | 24 | 955-965 | S92236K | 08 | 564-566 | S92356B | 08 | 562-563 | ||
| S92124B | 08 | 562-563 | S92236P | 08 | 564-566 | S92356B | 24 | 955-965 | ||
| S92124B | 24 | 955-965 | S92236S | 08 | 559-561 | S92356D | 08 | 559-561 | ||
| S92124D | 08 | 559-561 | S92241A | 08 | 562-563 | S92356G | 08 | 559-561 | ||
| S92124G | 08 | 559-561 | S92241A | 24 | 955-965 | S92356K | 08 | 564-566 | ||
| S92124K | 08 | 564-566 | S92241B | 08 | 562-563 | S92356P | 08 | 564-566 | ||
| S92124P | 08 | 564-566 | S92241B | 24 | 955-965 | S92356S | 08 | 559-561 | ||
| S92124S | 08 | 559-561 | S92241D | 08 | 559-561 | S92401A | 08 | 562-563 | ||
| S92125A | 08 | 562-563 | S92241G | 08 | 559-561 | S92401A | 24 | 955-965 | ||
| S92125A | 24 | 955-965 | S92241K | 08 | 564-566 | S92401B | 08 | 562-563 | ||
| S92125B | 08 | 562-563 | S92241P | 08 | 564-566 | S92401B | 24 | 955-965 | ||
| S92125B | 24 | 955-965 | S92241S | 08 | 559-561 | S92401D | 08 | 559-561 | ||
| S92125D | 08 | 559-561 | S92242A | 08 | 562-563 | S92401G | 08 | 559-561 | ||
| S92125G | 08 | 559-561 | S92242A | 24 | 955-965 | S92401K | 08 | 564-566 | ||
| S92125K | 08 | 564-566 | S92242B | 08 | 562-563 | S92401P | 08 | 564-566 | ||
| S92125P | 08 | 564-566 | S92242B | 24 | 955-965 | S92401S | 08 | 559-561 | ||
| S92125S | 08 | 559-561 | S92242D | 08 | 559-561 | S92402A | 08 | 562-563 | ||
| S92126A | 08 | 562-563 | S92242G | 08 | 559-561 | S92402A | 24 | 955-965 | ||
| S92126A | 24 | 955-965 | S92242K | 08 | 564-566 | S92402B | 08 | 562-563 | ||
| S92126B | 08 | 562-563 | S92242P | 08 | 564-566 | S92402B | 24 | 955-965 | ||
| S92126B | 24 | 955-965 | S92242S | 08 | 559-561 | S92402D | 08 | 559-561 | ||
| S92126D | 08 | 559-561 | S92243A | 08 | 562-563 | S92402G | 08 | 559-561 | ||
| S92126G | 08 | 559-561 | S92243A | 24 | 955-965 | S92402K | 08 | 564-566 | ||
| S92126K | 08 | 564-566 | S92243B | 08 | 562-563 | S92402P | 08 | 564-566 | ||
| S92126P | 08 | 564-566 | S92243B | 24 | 955-965 | S92402S | 08 | 559-561 | ||
| S92126S | 08 | 559-561 | S92243D | 08 | 559-561 | S92403A | 08 | 562-563 | ||
| S92131A | 08 | 562-563 | S92243G | 08 | 559-561 | S92403A | 24 | 955-965 | ||
| S92131A | 24 | 955-965 | S92243K | 08 | 564-566 | S92403B | 08 | 562-563 | ||
| S92131B | 08 | 562-563 | S92243P | 08 | 564-566 | S92403B | 24 | 955-965 | ||
| S92131B | 24 | 955-965 | S92243S | 08 | 559-561 | S92403D | 08 | 559-561 | ||
| S92131D | 08 | 559-561 | S92244A | 08 | 562-563 | S92403G | 08 | 559-561 | ||
| S92131G | 08 | 559-561 | S92244A | 24 | 955-965 | S92403K | 08 | 564-566 | ||
| S92131K | 08 | 564-566 | S92244B | 08 | 562-563 | S92403P | 08 | 564-566 | ||
| S92131P | 08 | 564-566 | S92244B | 24 | 955-965 | S92403S | 08 | 559-561 | ||
| S92131S | 08 | 559-561 | S92244D | 08 | 559-561 | S92404A | 08 | 562-563 | ||
| S92132A | 08 | 562-563 | S92244G | 08 | 559-561 | S92404A | 24 | 955-965 | ||
| S92132A | 24 | 955-965 | S92244K | 08 | 564-566 | S92404B | 08 | 562-563 | ||
| S92132B | 08 | 562-563 | S92244P | 08 | 564-566 | S92404B | 24 | 955-965 | ||
| S92132B | 24 | 955-965 | S92244S | 08 | 559-561 | S92404D | 08 | 559-561 | ||
| S92132D | 08 | 559-561 | S92245A | 08 | 562-563 | S92404G | 08 | 559-561 | ||
| S92132G | 08 | 559-561 | S92245A | 24 | 955-965 | S92404K | 08 | 564-566 | ||
| S92132K | 08 | 564-566 | S92245B | 08 | 562-563 | S92404P | 08 | 564-566 | ||
| S92132P | 08 | 564-566 | S92245B | 24 | 955-965 | S92404S | 08 | 559-561 | ||
| S92132S | 08 | 559-561 | S92245D | 08 | 559-561 | S92405A | 08 | 562-563 | ||
| S92133A | 08 | 562-563 | S92245G | 08 | 559-561 | S92405A | 24 | 955-965 | ||
| S92133A | 24 | 955-965 | S92245K | 08 | 564-566 | S92405B | 08 | 562-563 | ||
| S92133B | 08 | 562-563 | S92245P | 08 | 564-566 | S92405B | 24 | 955-965 | ||
| S92133B | 24 | 955-965 | S92245S | 08 | 559-561 | S92405D | 08 | 559-561 | ||
| S92133D | 08 | 559-561 | S92246A | 08 | 562-563 | S92405G | 08 | 559-561 | ||
| S92133G | 08 | 559-561 | S92246A | 24 | 955-965 | S92405K | 08 | 564-566 | ||
| S92133K | 08 | 564-566 | S92246B | 08 | 562-563 | S92405P | 08 | 564-566 | ||
| S92133P | 08 | 564-566 | S92246B | 24 | 955-965 | S92405S | 08 | 559-561 | ||
| S92133S | 08 | 559-561 | S92246D | 08 | 559-561 | S92406A | 08 | 562-563 | ||
| S92134A | 08 | 562-563 | S92246G | 08 | 559-561 | S92406A | 24 | 955-965 | ||
| S92134A | 24 | 955-965 | S92246K | 08 | 564-566 | S92406B | 08 | 562-563 | ||
| S92134B | 08 | 562-563 | S92246P | 08 | 564-566 | S92406B | 24 | 955-965 | ||
| S92134B | 24 | 955-965 | S92246S | 08 | 559-561 | S92406D | 08 | 559-561 | ||
| S92134D | 08 | 559-561 | S92251A | 08 | 562-563 | S92406G | 08 | 559-561 | ||
| S92134G | 08 | 559-561 | S92251A | 24 | 955-965 | S92406K | 08 | 564-566 | ||
| S92134K | 08 | 564-566 | S92251B | 08 | 562-563 | S92406P | 08 | 564-566 | ||
| S92134P | 08 | 564-566 | S92251B | 24 | 955-965 | S92406S | 08 | 559-561 | ||
| S92134S | 08 | 559-561 | S92251D | 08 | 559-561 | S92411A | 08 | 562-563 | ||
| S92135A | 08 | 562-563 | S92251G | 08 | 559-561 | S92411A | 24 | 955-965 | ||
| S92135A | 24 | 955-965 | S92251K | 08 | 564-566 | S92411B | 08 | 562-563 | ||
| S92135B | 08 | 562-563 | S92251P | 08 | 564-566 | S92411B | 24 | 955-965 | ||
| S92135B | 24 | 955-965 | S92251S | 08 | 559-561 | S92411D | 08 | 559-561 | ||
| S92135D | 08 | 559-561 | S92252A | 08 | 562-563 | S92411G | 08 | 559-561 | ||
| S92135G | 08 | 559-561 | S92252A | 24 | 955-965 | S92411K | 08 | 564-566 | ||
| S92135K | 08 | 564-566 | S92252B | 08 | 562-563 | S92411P | 08 | 564-566 | ||
| S92135P | 08 | 564-566 | S92252B | 24 | 955-965 | S92411S | 08 | 559-561 | ||
| S92135S | 08 | 559-561 | S92252D | 08 | 559-561 | S92412A | 08 | 562-563 | ||
| S92136A | 08 | 562-563 | S92252G | 08 | 559-561 | S92412A | 24 | 955-965 | ||
| S92136A | 24 | 955-965 | S92252K | 08 | 564-566 | S92412B | 08 | 562-563 | ||
| S92136B | 08 | 562-563 | S92252P | 08 | 564-566 | S92412B | 24 | 955-965 | ||
| S92136B | 24 | 955-965 | S92252S | 08 | 559-561 | S92412D | 08 | 559-561 | ||
| S92136D | 08 | 559-561 | S92253A | 08 | 562-563 | S92412G | 08 | 559-561 | ||
| S92136G | 08 | 559-561 | S92253A | 24 | 955-965 | S92412K | 08 | 564-566 | ||
| S92136K | 08 | 564-566 | S92253B | 08 | 562-563 | S92412P | 08 | 564-566 | ||
| S92136P | 08 | 564-566 | S92253B | 24 | 955-965 | S92412S | 08 | 559-561 | ||
| S92136S | 08 | 559-561 | S92253D | 08 | 559-561 | S92413A | 08 | 562-563 | ||
| S92141A | 08 | 562-563 | S92253G | 08 | 559-561 | S92413A | 24 | 955-965 | ||
| S92141A | 24 | 955-965 | S92253K | 08 | 564-566 | S92413B | 08 | 562-563 | ||
| S92141B | 08 | 562-563 | S92253P | 08 | 564-566 | S92413B | 24 | 955-965 | ||
| S92141B | 24 | 955-965 | S92253S | 08 | 559-561 | S92413D | 08 | 559-561 | ||
| S92141D | 08 | 559-561 | S92254A | 08 | 562-563 | S92413G | 08 | 559-561 | ||
| S92141G | 08 | 559-561 | S92254A | 24 | 955-965 | S92413K | 08 | 564-566 | ||
| S92141K | 08 | 564-566 | S92254B | 08 | 562-563 | S92413P | 08 | 564-566 | ||
| S92141P | 08 | 564-566 | S92254B | 24 | 955-965 | S92413S | 08 | 559-561 | ||
| S92141S | 08 | 559-561 | S92254D | 08 | 559-561 | S92414A | 08 | 562-563 | ||
| S92142A | 08 | 562-563 | S92254G | 08 | 559-561 | S92414A | 24 | 955-965 | ||
| S92142A | 24 | 955-965 | S92254K | 08 | 564-566 | S92414B | 08 | 562-563 | ||
| S92142B | 08 | 562-563 | S92254P | 08 | 564-566 | S92414B | 24 | 955-965 | ||
| S92142B | 24 | 955-965 | S92254S | 08 | 559-561 | S92414D | 08 | 559-561 | ||
| S92142D | 08 | 559-561 | S92255A | 08 | 562-563 | S92414G | 08 | 559-561 | ||
| S92142G | 08 | 559-561 | S92255A | 24 | 955-965 | S92414K | 08 | 564-566 | ||
| S92142K | 08 | 564-566 | S92255B | 08 | 562-563 | S92414P | 08 | 564-566 | ||
| S92142P | 08 | 564-566 | S92255B | 24 | 955-965 | S92414S | 08 | 559-561 | ||
| S92142S | 08 | 559-561 | S92255D | 08 | 559-561 | S92415A | 08 | 562-563 | ||
| S92143A | 08 | 562-563 | S92255G | 08 | 559-561 | S92415A | 24 | 955-965 | ||
| S92143A | 24 | 955-965 | S92255K | 08 | 564-566 | S92415B | 08 | 562-563 | ||
| S92143B | 08 | 562-563 | S92255P | 08 | 564-566 | S92415B | 24 | 955-965 | ||
| S92143B | 24 | 955-965 | S92255S | 08 | 559-561 | S92415D | 08 | 559-561 | ||
| S92143D | 08 | 559-561 | S92256A | 08 | 562-563 | S92415G | 08 | 559-561 | ||
| S92143G | 08 | 559-561 | S92256A | 24 | 955-965 | S92415K | 08 | 564-566 | ||
| S92143K | 08 | 564-566 | S92256B | 08 | 562-563 | S92415P | 08 | 564-566 | ||
| S92143P | 08 | 564-566 | S92256B | 24 | 955-965 | S92415S | 08 | 559-561 | ||
| S92143S | 08 | 559-561 | S92256D | 08 | 559-561 | S92416A | 08 | 562-563 | ||
| S92144A | 08 | 562-563 | S92256G | 08 | 559-561 | S92416A | 24 | 955-965 | ||
| S92144A | 24 | 955-965 | S92256K | 08 | 564-566 | S92416B | 08 | 562-563 | ||
| S92144B | 08 | 562-563 | S92256P | 08 | 564-566 | S92416B | 24 | 955-965 | ||
| S92144B | 24 | 955-965 | S92256S | 08 | 559-561 | S92416D | 08 | 559-561 | ||
| S92144D | 08 | 559-561 | S92301A | 08 | 562-563 | S92416G | 08 | 559-561 | ||
| S92144G | 08 | 559-561 | S92301A | 24 | 955-965 | S92416K | 08 | 564-566 | ||
| S92144K | 08 | 564-566 | S92301B | 08 | 562-563 | S92416P | 08 | 564-566 | ||
| S92144P | 08 | 564-566 | S92301B | 24 | 955-965 | S92416S | 08 | 559-561 | ||
| S92144S | 08 | 559-561 | S92301D | 08 | 559-561 | S92421A | 08 | 562-563 | ||
| S92145A | 08 | 562-563 | S92301G | 08 | 559-561 | S92421A | 24 | 955-965 | ||
| S92145A | 24 | 955-965 | S92301K | 08 | 564-566 | S92421B | 08 | 562-563 | ||
| S92145B | 08 | 562-563 | S92301P | 08 | 564-566 | S92421B | 24 | 955-965 | ||
| S92145B | 24 | 955-965 | S92301S | 08 | 559-561 | S92421D | 08 | 559-561 | ||
| S92145D | 08 | 559-561 | S92302A | 08 | 562-563 | S92421G | 08 | 559-561 | ||
| S92145G | 08 | 559-561 | S92302A | 24 | 955-965 | S92421K | 08 | 564-566 | ||
| S92145K | 08 | 564-566 | S92302B | 08 | 562-563 | S92421P | 08 | 564-566 | ||
| S92145P | 08 | 564-566 | S92302B | 24 | 955-965 | S92421S | 08 | 559-561 | ||
| S92145S | 08 | 559-561 | S92302D | 08 | 559-561 | S92422A | 08 | 562-563 | ||
| S92146A | 08 | 562-563 | S92302G | 08 | 559-561 | S92422A | 24 | 955-965 | ||
| S92146A | 24 | 955-965 | S92302K | 08 | 564-566 | S92422B | 08 | 562-563 | ||
| S92146B | 08 | 562-563 | S92302P | 08 | 564-566 | S92422B | 24 | 955-965 | ||
| S92146B | 24 | 955-965 | S92302S | 08 | 559-561 | S92422D | 08 | 559-561 | ||
| S92146D | 08 | 559-561 | S92309A | 08 | 562-563 | S92422G | 08 | 559-561 | ||
| S92146G | 08 | 559-561 | S92309A | 24 | 955-965 | S92422K | 08 | 564-566 | ||
| S92146K | 08 | 564-566 | S92309B | 08 | 562-563 | S92422P | 08 | 564-566 | ||
| S92146P | 08 | 564-566 | S92309B | 24 | 955-965 | S92422S | 08 | 559-561 | ||
| S92146S | 08 | 559-561 | S92309D | 08 | 559-561 | S92423A | 08 | 562-563 | ||
| S92151A | 08 | 562-563 | S92309G | 08 | 559-561 | S92423A | 24 | 955-965 | ||
| S92151A | 24 | 955-965 | S92309K | 08 | 564-566 | S92423B | 08 | 562-563 | ||
| S92151B | 08 | 562-563 | S92309P | 08 | 564-566 | S92423B | 24 | 955-965 | ||
| S92151B | 24 | 955-965 | S92309S | 08 | 559-561 | S92423D | 08 | 559-561 | ||
| S92151D | 08 | 559-561 | S92311A | 08 | 562-563 | S92423G | 08 | 559-561 | ||
| S92151G | 08 | 559-561 | S92311A | 24 | 955-965 | S92423K | 08 | 564-566 | ||
| S92151K | 08 | 564-566 | S92311B | 08 | 562-563 | S92423P | 08 | 564-566 | ||
| S92151P | 08 | 564-566 | S92311B | 24 | 955-965 | S92423S | 08 | 559-561 | ||
| S92151S | 08 | 559-561 | S92311D | 08 | 559-561 | S92424A | 08 | 562-563 | ||
| S92152A | 08 | 562-563 | S92311G | 08 | 559-561 | S92424A | 24 | 955-965 | ||
| S92152A | 24 | 955-965 | S92311K | 08 | 564-566 | S92424B | 08 | 562-563 | ||
| S92152B | 08 | 562-563 | S92311P | 08 | 564-566 | S92424B | 24 | 955-965 | ||
| S92152B | 24 | 955-965 | S92311S | 08 | 559-561 | S92424D | 08 | 559-561 | ||
| S92152D | 08 | 559-561 | S92312A | 08 | 562-563 | S92424G | 08 | 559-561 | ||
| S92152G | 08 | 559-561 | S92312A | 24 | 955-965 | S92424K | 08 | 564-566 | ||
| S92152K | 08 | 564-566 | S92312B | 08 | 562-563 | S92424P | 08 | 564-566 | ||
| S92152P | 08 | 564-566 | S92312B | 24 | 955-965 | S92424S | 08 | 559-561 | ||
| S92152S | 08 | 559-561 | S92312D | 08 | 559-561 | S92425A | 08 | 562-563 | ||
| S92153A | 08 | 562-563 | S92312G | 08 | 559-561 | S92425A | 24 | 955-965 | ||
| S92153A | 24 | 955-965 | S92312K | 08 | 564-566 | S92425B | 08 | 562-563 | ||
| S92153B | 08 | 562-563 | S92312P | 08 | 564-566 | S92425B | 24 | 955-965 | ||
| S92153B | 24 | 955-965 | S92312S | 08 | 559-561 | S92425D | 08 | 559-561 | ||
| S92153D | 08 | 559-561 | S92313A | 08 | 562-563 | S92425G | 08 | 559-561 | ||
| S92153G | 08 | 559-561 | S92313A | 24 | 955-965 | S92425K | 08 | 564-566 | ||
| S92153K | 08 | 564-566 | S92313B | 08 | 562-563 | S92425P | 08 | 564-566 | ||
| S92153P | 08 | 564-566 | S92313B | 24 | 955-965 | S92425S | 08 | 559-561 | ||
| S92153S | 08 | 559-561 | S92313D | 08 | 559-561 | S92426A | 08 | 562-563 | ||
| S92154A | 08 | 562-563 | S92313G | 08 | 559-561 | S92426A | 24 | 955-965 | ||
| S92154A | 24 | 955-965 | S92313K | 08 | 564-566 | S92426B | 08 | 562-563 | ||
| S92154B | 08 | 562-563 | S92313P | 08 | 564-566 | S92426B | 24 | 955-965 | ||
| S92154B | 24 | 955-965 | S92313S | 08 | 559-561 | S92426D | 08 | 559-561 | ||
| S92154D | 08 | 559-561 | S92314A | 08 | 562-563 | S92426G | 08 | 559-561 | ||
| S92154G | 08 | 559-561 | S92314A | 24 | 955-965 | S92426K | 08 | 564-566 | ||
| S92154K | 08 | 564-566 | S92314B | 08 | 562-563 | S92426P | 08 | 564-566 | ||
| S92154P | 08 | 564-566 | S92314B | 24 | 955-965 | S92426S | 08 | 559-561 | ||
| S92154S | 08 | 559-561 | S92314D | 08 | 559-561 | S92491A | 08 | 562-563 | ||
| S92155A | 08 | 562-563 | S92314G | 08 | 559-561 | S92491A | 24 | 955-965 | ||
| S92155A | 24 | 955-965 | S92314K | 08 | 564-566 | S92491B | 08 | 562-563 | ||
| S92155B | 08 | 562-563 | S92314P | 08 | 564-566 | S92491B | 24 | 955-965 | ||
| S92155B | 24 | 955-965 | S92314S | 08 | 559-561 | S92491D | 08 | 559-561 | ||
| S92155D | 08 | 559-561 | S92315A | 08 | 562-563 | S92491G | 08 | 559-561 | ||
| S92155G | 08 | 559-561 | S92315A | 24 | 955-965 | S92491K | 08 | 564-566 | ||
| S92155K | 08 | 564-566 | S92315B | 08 | 562-563 | S92491P | 08 | 564-566 | ||
| S92155P | 08 | 564-566 | S92315B | 24 | 955-965 | S92491S | 08 | 559-561 | ||
| S92155S | 08 | 559-561 | S92315D | 08 | 559-561 | S92492A | 08 | 562-563 | ||
| S92156A | 08 | 562-563 | S92315G | 08 | 559-561 | S92492A | 24 | 955-965 | ||
| S92156A | 24 | 955-965 | S92315K | 08 | 564-566 | S92492B | 08 | 562-563 | ||
| S92156B | 08 | 562-563 | S92315P | 08 | 564-566 | S92492B | 24 | 955-965 | ||
| S92156B | 24 | 955-965 | S92315S | 08 | 559-561 | S92492D | 08 | 559-561 | ||
| S92156D | 08 | 559-561 | S92316A | 08 | 562-563 | S92492G | 08 | 559-561 | ||
| S92156G | 08 | 559-561 | S92316A | 24 | 955-965 | S92492K | 08 | 564-566 | ||
| S92156K | 08 | 564-566 | S92316B | 08 | 562-563 | S92492P | 08 | 564-566 | ||
| S92156P | 08 | 564-566 | S92316B | 24 | 955-965 | S92492S | 08 | 559-561 | ||
| S92156S | 08 | 559-561 | S92316D | 08 | 559-561 | S92499A | 08 | 562-563 | ||
| S92191A | 08 | 562-563 | S92316G | 08 | 559-561 | S92499A | 24 | 955-965 | ||
| S92191A | 24 | 955-965 | S92316K | 08 | 564-566 | S92499B | 08 | 562-563 | ||
| S92191B | 08 | 562-563 | S92316P | 08 | 564-566 | S92499B | 24 | 955-965 | ||
| S92191B | 24 | 955-965 | S92316S | 08 | 559-561 | S92499D | 08 | 559-561 | ||
| S92191D | 08 | 559-561 | S92321A | 08 | 562-563 | S92499G | 08 | 559-561 | ||
| S92191G | 08 | 559-561 | S92321A | 24 | 955-965 | S92499K | 08 | 564-566 | ||
| S92191K | 08 | 564-566 | S92321B | 08 | 562-563 | S92499P | 08 | 564-566 | ||
| S92191P | 08 | 564-566 | S92321B | 24 | 955-965 | S92499S | 08 | 559-561 | ||
| S92191S | 08 | 559-561 | S92321D | 08 | 559-561 | S92501A | 08 | 562-563 | ||
| S92192A | 08 | 562-563 | S92321G | 08 | 559-561 | S92501A | 24 | 955-965 | ||
| S92192A | 24 | 955-965 | S92321K | 08 | 564-566 | S92501B | 08 | 562-563 | ||
| S92192B | 08 | 562-563 | S92321P | 08 | 564-566 | S92501B | 24 | 955-965 | ||
| S92192B | 24 | 955-965 | S92321S | 08 | 559-561 | S92501D | 08 | 559-561 | ||
| S92192D | 08 | 559-561 | S92322A | 08 | 562-563 | S92501G | 08 | 559-561 | ||
| S92192G | 08 | 559-561 | S92322A | 24 | 955-965 | S92501K | 08 | 564-566 | ||
| S92192K | 08 | 564-566 | S92322B | 08 | 562-563 | S92501P | 08 | 564-566 | ||
| S92192P | 08 | 564-566 | S92322B | 24 | 955-965 | S92501S | 08 | 559-561 | ||
| S92192S | 08 | 559-561 | S92322D | 08 | 559-561 | S92502A | 08 | 562-563 | ||
| S92199A | 08 | 562-563 | S92322G | 08 | 559-561 | S92502A | 24 | 955-965 | ||
| S92199A | 24 | 955-965 | S92322K | 08 | 564-566 | S92502B | 08 | 562-563 | ||
| S92199B | 08 | 562-563 | S92322P | 08 | 564-566 | S92502B | 24 | 955-965 | ||
| S92199B | 24 | 955-965 | S92322S | 08 | 559-561 | S92502D | 08 | 559-561 | ||
| S92199D | 08 | 559-561 | S92323A | 08 | 562-563 | S92502G | 08 | 559-561 | ||
| S92199G | 08 | 559-561 | S92323A | 24 | 955-965 | S92502K | 08 | 564-566 | ||
| S92199K | 08 | 564-566 | S92323B | 08 | 562-563 | S92502P | 08 | 564-566 | ||
| S92199P | 08 | 564-566 | S92323B | 24 | 955-965 | S92502S | 08 | 559-561 | ||
| S92199S | 08 | 559-561 | S92323D | 08 | 559-561 | S92503A | 08 | 562-563 | ||
| S92201A | 08 | 562-563 | S92323G | 08 | 559-561 | S92503A | 24 | 955-965 | ||
| S92201A | 24 | 955-965 | S92323K | 08 | 564-566 | S92503B | 08 | 562-563 | ||
| S92201B | 08 | 562-563 | S92323P | 08 | 564-566 | S92503B | 24 | 955-965 | ||
| S92201B | 24 | 955-965 | S92323S | 08 | 559-561 | S92503D | 08 | 559-561 | ||
| S92201D | 08 | 559-561 | S92324A | 08 | 562-563 | S92503G | 08 | 559-561 | ||
| S92201G | 08 | 559-561 | S92324A | 24 | 955-965 | S92503K | 08 | 564-566 | ||
| S92201K | 08 | 564-566 | S92324B | 08 | 562-563 | S92503P | 08 | 564-566 | ||
| S92201P | 08 | 564-566 | S92324B | 24 | 955-965 | S92503S | 08 | 559-561 | ||
| S92201S | 08 | 559-561 | S92324D | 08 | 559-561 | S92504A | 08 | 562-563 | ||
| S92202A | 08 | 562-563 | S92324G | 08 | 559-561 | S92504A | 24 | 955-965 | ||
| S92202A | 24 | 955-965 | S92324K | 08 | 564-566 | S92504B | 08 | 562-563 | ||
| S92202B | 08 | 562-563 | S92324P | 08 | 564-566 | S92504B | 24 | 955-965 | ||
| S92202B | 24 | 955-965 | S92324S | 08 | 559-561 | S92504D | 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 |