ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 64 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T3991XA | 21 | 917-918 | T421X6A | 23 | 951 | T43626S | 23 | 949-950 | ||
T3991XD | 23 | 949-950 | T421X6D | 23 | 949-950 | T43631A | 21 | 917-918 | ||
T3991XS | 21 | 922-923 | T421X6S | 23 | 949-950 | T43631D | 23 | 949-950 | ||
T3992XA | 21 | 917-918 | T422X1A | 21 | 917-918 | T43631S | 21 | 922-923 | ||
T3992XD | 23 | 949-950 | T422X1D | 23 | 949-950 | T43632A | 21 | 917-918 | ||
T3992XS | 21 | 922-923 | T422X1S | 21 | 922-923 | T43632D | 23 | 949-950 | ||
T3993XA | 21 | 917-918 | T422X2A | 21 | 917-918 | T43632S | 21 | 922-923 | ||
T3993XD | 23 | 949-950 | T422X2D | 23 | 949-950 | T43633A | 21 | 917-918 | ||
T3993XS | 21 | 922-923 | T422X2S | 21 | 922-923 | T43633D | 23 | 949-950 | ||
T3994XA | 21 | 917-918 | T422X3A | 21 | 917-918 | T43633S | 21 | 922-923 | ||
T3994XD | 23 | 949-950 | T422X3D | 23 | 949-950 | T43634A | 21 | 917-918 | ||
T3994XS | 21 | 922-923 | T422X3S | 21 | 922-923 | T43634D | 23 | 949-950 | ||
T3995XA | 15 | 793 | T422X4A | 21 | 917-918 | T43634S | 21 | 922-923 | ||
T3995XA | 21 | 917-918 | T422X4D | 23 | 949-950 | T43635A | 15 | 793 | ||
T3995XD | 23 | 949-950 | T422X4S | 21 | 922-923 | T43635A | 21 | 917-918 | ||
T3995XS | 21 | 922-923 | T422X5A | 15 | 793 | T43635D | 23 | 949-950 | ||
T3996XA | 23 | 951 | T422X5A | 21 | 917-918 | T43635S | 21 | 922-923 | ||
T3996XD | 23 | 949-950 | T422X5D | 23 | 949-950 | T43636A | 23 | 951 | ||
T3996XS | 23 | 949-950 | T422X5S | 21 | 922-923 | T43636D | 23 | 949-950 | ||
T400X1A | 21 | 917-918 | T422X6A | 23 | 951 | T43636S | 23 | 949-950 | ||
T400X1D | 23 | 949-950 | T422X6D | 23 | 949-950 | T43691A | 21 | 917-918 | ||
T400X1S | 21 | 922-923 | T422X6S | 23 | 949-950 | T43691D | 23 | 949-950 | ||
T400X2A | 21 | 917-918 | T423X1A | 21 | 917-918 | T43691S | 21 | 922-923 | ||
T400X2D | 23 | 949-950 | T423X1D | 23 | 949-950 | T43692A | 21 | 917-918 | ||
T400X2S | 21 | 922-923 | T423X1S | 21 | 922-923 | T43692D | 23 | 949-950 | ||
T400X3A | 21 | 917-918 | T423X2A | 21 | 917-918 | T43692S | 21 | 922-923 | ||
T400X3D | 23 | 949-950 | T423X2D | 23 | 949-950 | T43693A | 21 | 917-918 | ||
T400X3S | 21 | 922-923 | T423X2S | 21 | 922-923 | T43693D | 23 | 949-950 | ||
T400X4A | 21 | 917-918 | T423X3A | 21 | 917-918 | T43693S | 21 | 922-923 | ||
T400X4D | 23 | 949-950 | T423X3D | 23 | 949-950 | T43694A | 21 | 917-918 | ||
T400X4S | 21 | 922-923 | T423X3S | 21 | 922-923 | T43694D | 23 | 949-950 | ||
T400X5A | 15 | 793 | T423X4A | 21 | 917-918 | T43694S | 21 | 922-923 | ||
T400X5A | 21 | 917-918 | T423X4D | 23 | 949-950 | T43695A | 15 | 793 | ||
T400X5D | 23 | 949-950 | T423X4S | 21 | 922-923 | T43695A | 21 | 917-918 | ||
T400X5S | 21 | 922-923 | T423X5A | 15 | 793 | T43695D | 23 | 949-950 | ||
T400X6A | 23 | 951 | T423X5A | 21 | 917-918 | T43695S | 21 | 922-923 | ||
T400X6D | 23 | 949-950 | T423X5D | 23 | 949-950 | T43696A | 23 | 951 | ||
T400X6S | 23 | 949-950 | T423X5S | 21 | 922-923 | T43696D | 23 | 949-950 | ||
T401X1A | 21 | 917-918 | T423X6A | 23 | 951 | T43696S | 23 | 949-950 | ||
T401X1D | 23 | 949-950 | T423X6D | 23 | 949-950 | T438X1A | 21 | 917-918 | ||
T401X1S | 21 | 922-923 | T423X6S | 23 | 949-950 | T438X1D | 23 | 949-950 | ||
T401X2A | 21 | 917-918 | T424X1A | 21 | 917-918 | T438X1S | 21 | 922-923 | ||
T401X2D | 23 | 949-950 | T424X1D | 23 | 949-950 | T438X2A | 21 | 917-918 | ||
T401X2S | 21 | 922-923 | T424X1S | 21 | 922-923 | T438X2D | 23 | 949-950 | ||
T401X3A | 21 | 917-918 | T424X2A | 21 | 917-918 | T438X2S | 21 | 922-923 | ||
T401X3D | 23 | 949-950 | T424X2D | 23 | 949-950 | T438X3A | 21 | 917-918 | ||
T401X3S | 21 | 922-923 | T424X2S | 21 | 922-923 | T438X3D | 23 | 949-950 | ||
T401X4A | 21 | 917-918 | T424X3A | 21 | 917-918 | T438X3S | 21 | 922-923 | ||
T401X4D | 23 | 949-950 | T424X3D | 23 | 949-950 | T438X4A | 21 | 917-918 | ||
T401X4S | 21 | 922-923 | T424X3S | 21 | 922-923 | T438X4D | 23 | 949-950 | ||
T402X1A | 21 | 917-918 | T424X4A | 21 | 917-918 | T438X4S | 21 | 922-923 | ||
T402X1D | 23 | 949-950 | T424X4D | 23 | 949-950 | T438X5A | 15 | 793 | ||
T402X1S | 21 | 922-923 | T424X4S | 21 | 922-923 | T438X5A | 21 | 917-918 | ||
T402X2A | 21 | 917-918 | T424X5A | 15 | 793 | T438X5D | 23 | 949-950 | ||
T402X2D | 23 | 949-950 | T424X5A | 21 | 917-918 | T438X5S | 21 | 922-923 | ||
T402X2S | 21 | 922-923 | T424X5D | 23 | 949-950 | T438X6A | 23 | 951 | ||
T402X3A | 21 | 917-918 | T424X5S | 21 | 922-923 | T438X6D | 23 | 949-950 | ||
T402X3D | 23 | 949-950 | T424X6A | 23 | 951 | T438X6S | 23 | 949-950 | ||
T402X3S | 21 | 922-923 | T424X6D | 23 | 949-950 | T4391XA | 21 | 917-918 | ||
T402X4A | 21 | 917-918 | T424X6S | 23 | 949-950 | T4391XD | 23 | 949-950 | ||
T402X4D | 23 | 949-950 | T425X1A | 21 | 917-918 | T4391XS | 21 | 922-923 | ||
T402X4S | 21 | 922-923 | T425X1D | 23 | 949-950 | T4392XA | 21 | 917-918 | ||
T402X5A | 15 | 793 | T425X1S | 21 | 922-923 | T4392XD | 23 | 949-950 | ||
T402X5A | 21 | 917-918 | T425X2A | 21 | 917-918 | T4392XS | 21 | 922-923 | ||
T402X5D | 23 | 949-950 | T425X2D | 23 | 949-950 | T4393XA | 21 | 917-918 | ||
T402X5S | 21 | 922-923 | T425X2S | 21 | 922-923 | T4393XD | 23 | 949-950 | ||
T402X6A | 23 | 951 | T425X3A | 21 | 917-918 | T4393XS | 21 | 922-923 | ||
T402X6D | 23 | 949-950 | T425X3D | 23 | 949-950 | T4394XA | 21 | 917-918 | ||
T402X6S | 23 | 949-950 | T425X3S | 21 | 922-923 | T4394XD | 23 | 949-950 | ||
T403X1A | 21 | 917-918 | T425X4A | 21 | 917-918 | T4394XS | 21 | 922-923 | ||
T403X1D | 23 | 949-950 | T425X4D | 23 | 949-950 | T4395XA | 15 | 793 | ||
T403X1S | 21 | 922-923 | T425X4S | 21 | 922-923 | T4395XA | 21 | 917-918 | ||
T403X2A | 21 | 917-918 | T425X5A | 15 | 793 | T4395XD | 23 | 949-950 | ||
T403X2D | 23 | 949-950 | T425X5A | 21 | 917-918 | T4395XS | 21 | 922-923 | ||
T403X2S | 21 | 922-923 | T425X5D | 23 | 949-950 | T4396XA | 23 | 951 | ||
T403X3A | 21 | 917-918 | T425X5S | 21 | 922-923 | T4396XD | 23 | 949-950 | ||
T403X3D | 23 | 949-950 | T425X6A | 23 | 951 | T4396XS | 23 | 949-950 | ||
T403X3S | 21 | 922-923 | T425X6D | 23 | 949-950 | T440X1A | 21 | 917-918 | ||
T403X4A | 21 | 917-918 | T425X6S | 23 | 949-950 | T440X1D | 23 | 949-950 | ||
T403X4D | 23 | 949-950 | T426X1A | 21 | 917-918 | T440X1S | 21 | 922-923 | ||
T403X4S | 21 | 922-923 | T426X1D | 23 | 949-950 | T440X2A | 21 | 917-918 | ||
T403X5A | 15 | 793 | T426X1S | 21 | 922-923 | T440X2D | 23 | 949-950 | ||
T403X5A | 21 | 917-918 | T426X2A | 21 | 917-918 | T440X2S | 21 | 922-923 | ||
T403X5D | 23 | 949-950 | T426X2D | 23 | 949-950 | T440X3A | 21 | 917-918 | ||
T403X5S | 21 | 922-923 | T426X2S | 21 | 922-923 | T440X3D | 23 | 949-950 | ||
T403X6A | 23 | 951 | T426X3A | 21 | 917-918 | T440X3S | 21 | 922-923 | ||
T403X6D | 23 | 949-950 | T426X3D | 23 | 949-950 | T440X4A | 21 | 917-918 | ||
T403X6S | 23 | 949-950 | T426X3S | 21 | 922-923 | T440X4D | 23 | 949-950 | ||
T404X1A | 21 | 917-918 | T426X4A | 21 | 917-918 | T440X4S | 21 | 922-923 | ||
T404X1D | 23 | 949-950 | T426X4D | 23 | 949-950 | T440X5A | 15 | 793 | ||
T404X1S | 21 | 922-923 | T426X4S | 21 | 922-923 | T440X5A | 21 | 917-918 | ||
T404X2A | 21 | 917-918 | T426X5A | 15 | 793 | T440X5D | 23 | 949-950 | ||
T404X2D | 23 | 949-950 | T426X5A | 21 | 917-918 | T440X5S | 21 | 922-923 | ||
T404X2S | 21 | 922-923 | T426X5D | 23 | 949-950 | T440X6A | 23 | 951 | ||
T404X3A | 21 | 917-918 | T426X5S | 21 | 922-923 | T440X6D | 23 | 949-950 | ||
T404X3D | 23 | 949-950 | T426X6A | 23 | 951 | T440X6S | 23 | 949-950 | ||
T404X3S | 21 | 922-923 | T426X6D | 23 | 949-950 | T441X1A | 21 | 917-918 | ||
T404X4A | 21 | 917-918 | T426X6S | 23 | 949-950 | T441X1D | 23 | 949-950 | ||
T404X4D | 23 | 949-950 | T4271XA | 21 | 917-918 | T441X1S | 21 | 922-923 | ||
T404X4S | 21 | 922-923 | T4271XD | 23 | 949-950 | T441X2A | 21 | 917-918 | ||
T404X5A | 15 | 793 | T4271XS | 21 | 922-923 | T441X2D | 23 | 949-950 | ||
T404X5A | 21 | 917-918 | T4272XA | 21 | 917-918 | T441X2S | 21 | 922-923 | ||
T404X5D | 23 | 949-950 | T4272XD | 23 | 949-950 | T441X3A | 21 | 917-918 | ||
T404X5S | 21 | 922-923 | T4272XS | 21 | 922-923 | T441X3D | 23 | 949-950 | ||
T404X6A | 23 | 951 | T4273XA | 21 | 917-918 | T441X3S | 21 | 922-923 | ||
T404X6D | 23 | 949-950 | T4273XD | 23 | 949-950 | T441X4A | 21 | 917-918 | ||
T404X6S | 23 | 949-950 | T4273XS | 21 | 922-923 | T441X4D | 23 | 949-950 | ||
T405X1A | 21 | 917-918 | T4274XA | 21 | 917-918 | T441X4S | 21 | 922-923 | ||
T405X1D | 23 | 949-950 | T4274XD | 23 | 949-950 | T441X5A | 15 | 793 | ||
T405X1S | 21 | 922-923 | T4274XS | 21 | 922-923 | T441X5A | 21 | 917-918 | ||
T405X2A | 21 | 917-918 | T4275XA | 15 | 793 | T441X5D | 23 | 949-950 | ||
T405X2D | 23 | 949-950 | T4275XA | 21 | 917-918 | T441X5S | 21 | 922-923 | ||
T405X2S | 21 | 922-923 | T4275XD | 23 | 949-950 | T441X6A | 23 | 951 | ||
T405X3A | 21 | 917-918 | T4275XS | 21 | 922-923 | T441X6D | 23 | 949-950 | ||
T405X3D | 23 | 949-950 | T4276XA | 23 | 951 | T441X6S | 23 | 949-950 | ||
T405X3S | 21 | 922-923 | T4276XD | 23 | 949-950 | T442X1A | 21 | 917-918 | ||
T405X4A | 21 | 917-918 | T4276XS | 23 | 949-950 | T442X1D | 23 | 949-950 | ||
T405X4D | 23 | 949-950 | T428X1A | 21 | 917-918 | T442X1S | 21 | 922-923 | ||
T405X4S | 21 | 922-923 | T428X1D | 23 | 949-950 | T442X2A | 21 | 917-918 | ||
T405X5A | 15 | 793 | T428X1S | 21 | 922-923 | T442X2D | 23 | 949-950 | ||
T405X5A | 21 | 917-918 | T428X2A | 21 | 917-918 | T442X2S | 21 | 922-923 | ||
T405X5D | 23 | 949-950 | T428X2D | 23 | 949-950 | T442X3A | 21 | 917-918 | ||
T405X5S | 21 | 922-923 | T428X2S | 21 | 922-923 | T442X3D | 23 | 949-950 | ||
T405X6A | 23 | 951 | T428X3A | 21 | 917-918 | T442X3S | 21 | 922-923 | ||
T405X6D | 23 | 949-950 | T428X3D | 23 | 949-950 | T442X4A | 21 | 917-918 | ||
T405X6S | 23 | 949-950 | T428X3S | 21 | 922-923 | T442X4D | 23 | 949-950 | ||
T40601A | 21 | 917-918 | T428X4A | 21 | 917-918 | T442X4S | 21 | 922-923 | ||
T40601D | 23 | 949-950 | T428X4D | 23 | 949-950 | T442X5A | 15 | 793 | ||
T40601S | 21 | 922-923 | T428X4S | 21 | 922-923 | T442X5A | 21 | 917-918 | ||
T40602A | 21 | 917-918 | T428X5A | 15 | 793 | T442X5D | 23 | 949-950 | ||
T40602D | 23 | 949-950 | T428X5A | 21 | 917-918 | T442X5S | 21 | 922-923 | ||
T40602S | 21 | 922-923 | T428X5D | 23 | 949-950 | T442X6A | 23 | 951 | ||
T40603A | 21 | 917-918 | T428X5S | 21 | 922-923 | T442X6D | 23 | 949-950 | ||
T40603D | 23 | 949-950 | T428X6A | 23 | 951 | T442X6S | 23 | 949-950 | ||
T40603S | 21 | 922-923 | T428X6D | 23 | 949-950 | T443X1A | 21 | 917-918 | ||
T40604A | 21 | 917-918 | T428X6S | 23 | 949-950 | T443X1D | 23 | 949-950 | ||
T40604D | 23 | 949-950 | T43011A | 21 | 917-918 | T443X1S | 21 | 922-923 | ||
T40604S | 21 | 922-923 | T43011D | 23 | 949-950 | T443X2A | 21 | 917-918 | ||
T40605A | 15 | 793 | T43011S | 21 | 922-923 | T443X2D | 23 | 949-950 | ||
T40605A | 21 | 917-918 | T43012A | 21 | 917-918 | T443X2S | 21 | 922-923 | ||
T40605D | 23 | 949-950 | T43012D | 23 | 949-950 | T443X3A | 21 | 917-918 | ||
T40605S | 21 | 922-923 | T43012S | 21 | 922-923 | T443X3D | 23 | 949-950 | ||
T40606A | 23 | 951 | T43013A | 21 | 917-918 | T443X3S | 21 | 922-923 | ||
T40606D | 23 | 949-950 | T43013D | 23 | 949-950 | T443X4A | 21 | 917-918 | ||
T40606S | 23 | 949-950 | T43013S | 21 | 922-923 | T443X4D | 23 | 949-950 | ||
T40691A | 21 | 917-918 | T43014A | 21 | 917-918 | T443X4S | 21 | 922-923 | ||
T40691D | 23 | 949-950 | T43014D | 23 | 949-950 | T443X5A | 15 | 793 | ||
T40691S | 21 | 922-923 | T43014S | 21 | 922-923 | T443X5A | 21 | 917-918 | ||
T40692A | 21 | 917-918 | T43015A | 15 | 793 | T443X5D | 23 | 949-950 | ||
T40692D | 23 | 949-950 | T43015A | 21 | 917-918 | T443X5S | 21 | 922-923 | ||
T40692S | 21 | 922-923 | T43015D | 23 | 949-950 | T443X6A | 23 | 951 | ||
T40693A | 21 | 917-918 | T43015S | 21 | 922-923 | T443X6D | 23 | 949-950 | ||
T40693D | 23 | 949-950 | T43016A | 23 | 951 | T443X6S | 23 | 949-950 | ||
T40693S | 21 | 922-923 | T43016D | 23 | 949-950 | T444X1A | 21 | 917-918 | ||
T40694A | 21 | 917-918 | T43016S | 23 | 949-950 | T444X1D | 23 | 949-950 | ||
T40694D | 23 | 949-950 | T43021A | 21 | 917-918 | T444X1S | 21 | 922-923 | ||
T40694S | 21 | 922-923 | T43021D | 23 | 949-950 | T444X2A | 21 | 917-918 | ||
T40695A | 15 | 793 | T43021S | 21 | 922-923 | T444X2D | 23 | 949-950 | ||
T40695A | 21 | 917-918 | T43022A | 21 | 917-918 | T444X2S | 21 | 922-923 | ||
T40695D | 23 | 949-950 | T43022D | 23 | 949-950 | T444X3A | 21 | 917-918 | ||
T40695S | 21 | 922-923 | T43022S | 21 | 922-923 | T444X3D | 23 | 949-950 | ||
T40696A | 23 | 951 | T43023A | 21 | 917-918 | T444X3S | 21 | 922-923 | ||
T40696D | 23 | 949-950 | T43023D | 23 | 949-950 | T444X4A | 21 | 917-918 | ||
T40696S | 23 | 949-950 | T43023S | 21 | 922-923 | T444X4D | 23 | 949-950 | ||
T407X1A | 21 | 917-918 | T43024A | 21 | 917-918 | T444X4S | 21 | 922-923 | ||
T407X1D | 23 | 949-950 | T43024D | 23 | 949-950 | T444X5A | 15 | 793 | ||
T407X1S | 21 | 922-923 | T43024S | 21 | 922-923 | T444X5A | 21 | 917-918 | ||
T407X2A | 21 | 917-918 | T43025A | 15 | 793 | T444X5D | 23 | 949-950 | ||
T407X2D | 23 | 949-950 | T43025A | 21 | 917-918 | T444X5S | 21 | 922-923 | ||
T407X2S | 21 | 922-923 | T43025D | 23 | 949-950 | T444X6A | 23 | 951 | ||
T407X3A | 21 | 917-918 | T43025S | 21 | 922-923 | T444X6D | 23 | 949-950 | ||
T407X3D | 23 | 949-950 | T43026A | 23 | 951 | T444X6S | 23 | 949-950 | ||
T407X3S | 21 | 922-923 | T43026D | 23 | 949-950 | T445X1A | 21 | 917-918 | ||
T407X4A | 21 | 917-918 | T43026S | 23 | 949-950 | T445X1D | 23 | 949-950 | ||
T407X4D | 23 | 949-950 | T431X1A | 21 | 917-918 | T445X1S | 21 | 922-923 | ||
T407X4S | 21 | 922-923 | T431X1D | 23 | 949-950 | T445X2A | 21 | 917-918 | ||
T407X5A | 15 | 793 | T431X1S | 21 | 922-923 | T445X2D | 23 | 949-950 | ||
T407X5A | 21 | 917-918 | T431X2A | 21 | 917-918 | T445X2S | 21 | 922-923 | ||
T407X5D | 23 | 949-950 | T431X2D | 23 | 949-950 | T445X3A | 21 | 917-918 | ||
T407X5S | 21 | 922-923 | T431X2S | 21 | 922-923 | T445X3D | 23 | 949-950 | ||
T407X6A | 23 | 951 | T431X3A | 21 | 917-918 | T445X3S | 21 | 922-923 | ||
T407X6D | 23 | 949-950 | T431X3D | 23 | 949-950 | T445X4A | 21 | 917-918 | ||
T407X6S | 23 | 949-950 | T431X3S | 21 | 922-923 | T445X4D | 23 | 949-950 | ||
T408X1A | 21 | 917-918 | T431X4A | 21 | 917-918 | T445X4S | 21 | 922-923 | ||
T408X1D | 23 | 949-950 | T431X4D | 23 | 949-950 | T445X5A | 15 | 793 | ||
T408X1S | 21 | 922-923 | T431X4S | 21 | 922-923 | T445X5A | 21 | 917-918 | ||
T408X2A | 21 | 917-918 | T431X5A | 15 | 793 | T445X5D | 23 | 949-950 | ||
T408X2D | 23 | 949-950 | T431X5A | 21 | 917-918 | T445X5S | 21 | 922-923 | ||
T408X2S | 21 | 922-923 | T431X5D | 23 | 949-950 | T445X6A | 23 | 951 | ||
T408X3A | 21 | 917-918 | T431X5S | 21 | 922-923 | T445X6D | 23 | 949-950 | ||
T408X3D | 23 | 949-950 | T431X6A | 23 | 951 | T445X6S | 23 | 949-950 | ||
T408X3S | 21 | 922-923 | T431X6D | 23 | 949-950 | T446X1A | 21 | 917-918 | ||
T408X4A | 21 | 917-918 | T431X6S | 23 | 949-950 | T446X1D | 23 | 949-950 | ||
T408X4D | 23 | 949-950 | T43201A | 21 | 917-918 | T446X1S | 21 | 922-923 | ||
T408X4S | 21 | 922-923 | T43201D | 23 | 949-950 | T446X2A | 21 | 917-918 | ||
T40901A | 21 | 917-918 | T43201S | 21 | 922-923 | T446X2D | 23 | 949-950 | ||
T40901D | 23 | 949-950 | T43202A | 21 | 917-918 | T446X2S | 21 | 922-923 | ||
T40901S | 21 | 922-923 | T43202D | 23 | 949-950 | T446X3A | 21 | 917-918 | ||
T40902A | 21 | 917-918 | T43202S | 21 | 922-923 | T446X3D | 23 | 949-950 | ||
T40902D | 23 | 949-950 | T43203A | 21 | 917-918 | T446X3S | 21 | 922-923 | ||
T40902S | 21 | 922-923 | T43203D | 23 | 949-950 | T446X4A | 21 | 917-918 | ||
T40903A | 21 | 917-918 | T43203S | 21 | 922-923 | T446X4D | 23 | 949-950 | ||
T40903D | 23 | 949-950 | T43204A | 21 | 917-918 | T446X4S | 21 | 922-923 | ||
T40903S | 21 | 922-923 | T43204D | 23 | 949-950 | T446X5A | 15 | 793 | ||
T40904A | 21 | 917-918 | T43204S | 21 | 922-923 | T446X5A | 21 | 917-918 | ||
T40904D | 23 | 949-950 | T43205A | 15 | 793 | T446X5D | 23 | 949-950 | ||
T40904S | 21 | 922-923 | T43205A | 21 | 917-918 | T446X5S | 21 | 922-923 | ||
T40905A | 15 | 793 | T43205D | 23 | 949-950 | T446X6A | 23 | 951 | ||
T40905A | 21 | 917-918 | T43205S | 21 | 922-923 | T446X6D | 23 | 949-950 | ||
T40905D | 23 | 949-950 | T43206A | 23 | 951 | T446X6S | 23 | 949-950 | ||
T40905S | 21 | 922-923 | T43206D | 23 | 949-950 | T447X1A | 21 | 917-918 | ||
T40906A | 23 | 951 | T43206S | 23 | 949-950 | T447X1D | 23 | 949-950 | ||
T40906D | 23 | 949-950 | T43211A | 21 | 917-918 | T447X1S | 21 | 922-923 | ||
T40906S | 23 | 949-950 | T43211D | 23 | 949-950 | T447X2A | 21 | 917-918 | ||
T40991A | 21 | 917-918 | T43211S | 21 | 922-923 | T447X2D | 23 | 949-950 | ||
T40991D | 23 | 949-950 | T43212A | 21 | 917-918 | T447X2S | 21 | 922-923 | ||
T40991S | 21 | 922-923 | T43212D | 23 | 949-950 | T447X3A | 21 | 917-918 | ||
T40992A | 21 | 917-918 | T43212S | 21 | 922-923 | T447X3D | 23 | 949-950 | ||
T40992D | 23 | 949-950 | T43213A | 21 | 917-918 | T447X3S | 21 | 922-923 | ||
T40992S | 21 | 922-923 | T43213D | 23 | 949-950 | T447X4A | 21 | 917-918 | ||
T40993A | 21 | 917-918 | T43213S | 21 | 922-923 | T447X4D | 23 | 949-950 | ||
T40993D | 23 | 949-950 | T43214A | 21 | 917-918 | T447X4S | 21 | 922-923 | ||
T40993S | 21 | 922-923 | T43214D | 23 | 949-950 | T447X5A | 15 | 793 | ||
T40994A | 21 | 917-918 | T43214S | 21 | 922-923 | T447X5A | 21 | 917-918 | ||
T40994D | 23 | 949-950 | T43215A | 15 | 793 | T447X5D | 23 | 949-950 | ||
T40994S | 21 | 922-923 | T43215A | 21 | 917-918 | T447X5S | 21 | 922-923 | ||
T40995A | 15 | 793 | T43215D | 23 | 949-950 | T447X6A | 23 | 951 | ||
T40995A | 21 | 917-918 | T43215S | 21 | 922-923 | T447X6D | 23 | 949-950 | ||
T40995D | 23 | 949-950 | T43216A | 23 | 951 | T447X6S | 23 | 949-950 | ||
T40995S | 21 | 922-923 | T43216D | 23 | 949-950 | T448X1A | 21 | 917-918 | ||
T40996A | 23 | 951 | T43216S | 23 | 949-950 | T448X1D | 23 | 949-950 | ||
T40996D | 23 | 949-950 | T43221A | 21 | 917-918 | T448X1S | 21 | 922-923 | ||
T40996S | 23 | 949-950 | T43221D | 23 | 949-950 | T448X2A | 21 | 917-918 | ||
T410X1A | 21 | 917-918 | T43221S | 21 | 922-923 | T448X2D | 23 | 949-950 | ||
T410X1D | 23 | 949-950 | T43222A | 21 | 917-918 | T448X2S | 21 | 922-923 | ||
T410X1S | 21 | 922-923 | T43222D | 23 | 949-950 | T448X3A | 21 | 917-918 | ||
T410X2A | 21 | 917-918 | T43222S | 21 | 922-923 | T448X3D | 23 | 949-950 | ||
T410X2D | 23 | 949-950 | T43223A | 21 | 917-918 | T448X3S | 21 | 922-923 | ||
T410X2S | 21 | 922-923 | T43223D | 23 | 949-950 | T448X4A | 21 | 917-918 | ||
T410X3A | 21 | 917-918 | T43223S | 21 | 922-923 | T448X4D | 23 | 949-950 | ||
T410X3D | 23 | 949-950 | T43224A | 21 | 917-918 | T448X4S | 21 | 922-923 | ||
T410X3S | 21 | 922-923 | T43224D | 23 | 949-950 | T448X5A | 15 | 793 | ||
T410X4A | 21 | 917-918 | T43224S | 21 | 922-923 | T448X5A | 21 | 917-918 | ||
T410X4D | 23 | 949-950 | T43225A | 15 | 793 | T448X5D | 23 | 949-950 | ||
T410X4S | 21 | 922-923 | T43225A | 21 | 917-918 | T448X5S | 21 | 922-923 | ||
T410X5A | 15 | 793 | T43225D | 23 | 949-950 | T448X6A | 23 | 951 | ||
T410X5A | 21 | 917-918 | T43225S | 21 | 922-923 | T448X6D | 23 | 949-950 | ||
T410X5D | 23 | 949-950 | T43226A | 23 | 951 | T448X6S | 23 | 949-950 | ||
T410X5S | 21 | 922-923 | T43226D | 23 | 949-950 | T44901A | 21 | 917-918 | ||
T410X6A | 23 | 951 | T43226S | 23 | 949-950 | T44901D | 23 | 949-950 | ||
T410X6D | 23 | 949-950 | T43291A | 21 | 917-918 | T44901S | 21 | 922-923 | ||
T410X6S | 23 | 949-950 | T43291D | 23 | 949-950 | T44902A | 21 | 917-918 | ||
T411X1A | 21 | 917-918 | T43291S | 21 | 922-923 | T44902D | 23 | 949-950 | ||
T411X1D | 23 | 949-950 | T43292A | 21 | 917-918 | T44902S | 21 | 922-923 | ||
T411X1S | 21 | 922-923 | T43292D | 23 | 949-950 | T44903A | 21 | 917-918 | ||
T411X2A | 21 | 917-918 | T43292S | 21 | 922-923 | T44903D | 23 | 949-950 | ||
T411X2D | 23 | 949-950 | T43293A | 21 | 917-918 | T44903S | 21 | 922-923 | ||
T411X2S | 21 | 922-923 | T43293D | 23 | 949-950 | T44904A | 21 | 917-918 | ||
T411X3A | 21 | 917-918 | T43293S | 21 | 922-923 | T44904D | 23 | 949-950 | ||
T411X3D | 23 | 949-950 | T43294A | 21 | 917-918 | T44904S | 21 | 922-923 | ||
T411X3S | 21 | 922-923 | T43294D | 23 | 949-950 | T44905A | 15 | 793 | ||
T411X4A | 21 | 917-918 | T43294S | 21 | 922-923 | T44905A | 21 | 917-918 | ||
T411X4D | 23 | 949-950 | T43295A | 15 | 793 | T44905D | 23 | 949-950 | ||
T411X4S | 21 | 922-923 | T43295A | 21 | 917-918 | T44905S | 21 | 922-923 | ||
T411X5A | 15 | 793 | T43295D | 23 | 949-950 | T44906A | 23 | 951 | ||
T411X5A | 21 | 917-918 | T43295S | 21 | 922-923 | T44906D | 23 | 949-950 | ||
T411X5D | 23 | 949-950 | T43296A | 23 | 951 | T44906S | 23 | 949-950 | ||
T411X5S | 21 | 922-923 | T43296D | 23 | 949-950 | T44991A | 21 | 917-918 | ||
T411X6A | 23 | 951 | T43296S | 23 | 949-950 | T44991D | 23 | 949-950 | ||
T411X6D | 23 | 949-950 | T433X1A | 21 | 917-918 | T44991S | 21 | 922-923 | ||
T411X6S | 23 | 949-950 | T433X1D | 23 | 949-950 | T44992A | 21 | 917-918 | ||
T41201A | 21 | 917-918 | T433X1S | 21 | 922-923 | T44992D | 23 | 949-950 | ||
T41201D | 23 | 949-950 | T433X2A | 21 | 917-918 | T44992S | 21 | 922-923 | ||
T41201S | 21 | 922-923 | T433X2D | 23 | 949-950 | T44993A | 21 | 917-918 | ||
T41202A | 21 | 917-918 | T433X2S | 21 | 922-923 | T44993D | 23 | 949-950 | ||
T41202D | 23 | 949-950 | T433X3A | 21 | 917-918 | T44993S | 21 | 922-923 | ||
T41202S | 21 | 922-923 | T433X3D | 23 | 949-950 | T44994A | 21 | 917-918 | ||
T41203A | 21 | 917-918 | T433X3S | 21 | 922-923 | T44994D | 23 | 949-950 | ||
T41203D | 23 | 949-950 | T433X4A | 21 | 917-918 | T44994S | 21 | 922-923 | ||
T41203S | 21 | 922-923 | T433X4D | 23 | 949-950 | T44995A | 15 | 793 | ||
T41204A | 21 | 917-918 | T433X4S | 21 | 922-923 | T44995A | 21 | 917-918 | ||
T41204D | 23 | 949-950 | T433X5A | 15 | 793 | T44995D | 23 | 949-950 | ||
T41204S | 21 | 922-923 | T433X5A | 21 | 917-918 | T44995S | 21 | 922-923 | ||
T41205A | 15 | 793 | T433X5D | 23 | 949-950 | T44996A | 23 | 951 | ||
T41205A | 21 | 917-918 | T433X5S | 21 | 922-923 | T44996D | 23 | 949-950 | ||
T41205D | 23 | 949-950 | T433X6A | 23 | 951 | T44996S | 23 | 949-950 | ||
T41205S | 21 | 922-923 | T433X6D | 23 | 949-950 | T450X1A | 21 | 917-918 | ||
T41206A | 23 | 951 | T433X6S | 23 | 949-950 | T450X1D | 23 | 949-950 | ||
T41206D | 23 | 949-950 | T434X1A | 21 | 917-918 | T450X1S | 21 | 922-923 | ||
T41206S | 23 | 949-950 | T434X1D | 23 | 949-950 | T450X2A | 21 | 917-918 | ||
T41291A | 21 | 917-918 | T434X1S | 21 | 922-923 | T450X2D | 23 | 949-950 | ||
T41291D | 23 | 949-950 | T434X2A | 21 | 917-918 | T450X2S | 21 | 922-923 | ||
T41291S | 21 | 922-923 | T434X2D | 23 | 949-950 | T450X3A | 21 | 917-918 | ||
T41292A | 21 | 917-918 | T434X2S | 21 | 922-923 | T450X3D | 23 | 949-950 | ||
T41292D | 23 | 949-950 | T434X3A | 21 | 917-918 | T450X3S | 21 | 922-923 | ||
T41292S | 21 | 922-923 | T434X3D | 23 | 949-950 | T450X4A | 21 | 917-918 | ||
T41293A | 21 | 917-918 | T434X3S | 21 | 922-923 | T450X4D | 23 | 949-950 | ||
T41293D | 23 | 949-950 | T434X4A | 21 | 917-918 | T450X4S | 21 | 922-923 | ||
T41293S | 21 | 922-923 | T434X4D | 23 | 949-950 | T450X5A | 15 | 793 | ||
T41294A | 21 | 917-918 | T434X4S | 21 | 922-923 | T450X5A | 21 | 917-918 | ||
T41294D | 23 | 949-950 | T434X5A | 15 | 793 | T450X5D | 23 | 949-950 | ||
T41294S | 21 | 922-923 | T434X5A | 21 | 917-918 | T450X5S | 21 | 922-923 | ||
T41295A | 15 | 793 | T434X5D | 23 | 949-950 | T450X6A | 23 | 951 | ||
T41295A | 21 | 917-918 | T434X5S | 21 | 922-923 | T450X6D | 23 | 949-950 | ||
T41295D | 23 | 949-950 | T434X6A | 23 | 951 | T450X6S | 23 | 949-950 | ||
T41295S | 21 | 922-923 | T434X6D | 23 | 949-950 | T451X1A | 21 | 917-918 | ||
T41296A | 23 | 951 | T434X6S | 23 | 949-950 | T451X1D | 23 | 949-950 | ||
T41296D | 23 | 949-950 | T43501A | 21 | 917-918 | T451X1S | 21 | 922-923 | ||
T41296S | 23 | 949-950 | T43501D | 23 | 949-950 | T451X2A | 21 | 917-918 | ||
T413X1A | 21 | 917-918 | T43501S | 21 | 922-923 | T451X2D | 23 | 949-950 | ||
T413X1D | 23 | 949-950 | T43502A | 21 | 917-918 | T451X2S | 21 | 922-923 | ||
T413X1S | 21 | 922-923 | T43502D | 23 | 949-950 | T451X3A | 21 | 917-918 | ||
T413X2A | 21 | 917-918 | T43502S | 21 | 922-923 | T451X3D | 23 | 949-950 | ||
T413X2D | 23 | 949-950 | T43503A | 21 | 917-918 | T451X3S | 21 | 922-923 | ||
T413X2S | 21 | 922-923 | T43503D | 23 | 949-950 | T451X4A | 21 | 917-918 | ||
T413X3A | 21 | 917-918 | T43503S | 21 | 922-923 | T451X4D | 23 | 949-950 | ||
T413X3D | 23 | 949-950 | T43504A | 21 | 917-918 | T451X4S | 21 | 922-923 | ||
T413X3S | 21 | 922-923 | T43504D | 23 | 949-950 | T451X5A | 15 | 793 | ||
T413X4A | 21 | 917-918 | T43504S | 21 | 922-923 | T451X5A | 21 | 917-918 | ||
T413X4D | 23 | 949-950 | T43505A | 15 | 793 | T451X5D | 23 | 949-950 | ||
T413X4S | 21 | 922-923 | T43505A | 21 | 917-918 | T451X5S | 21 | 922-923 | ||
T413X5A | 15 | 793 | T43505D | 23 | 949-950 | T451X6A | 23 | 951 | ||
T413X5A | 21 | 917-918 | T43505S | 21 | 922-923 | T451X6D | 23 | 949-950 | ||
T413X5D | 23 | 949-950 | T43506A | 23 | 951 | T451X6S | 23 | 949-950 | ||
T413X5S | 21 | 922-923 | T43506D | 23 | 949-950 | T452X1A | 21 | 917-918 | ||
T413X6A | 23 | 951 | T43506S | 23 | 949-950 | T452X1D | 23 | 949-950 | ||
T413X6D | 23 | 949-950 | T43591A | 21 | 917-918 | T452X1S | 21 | 922-923 | ||
T413X6S | 23 | 949-950 | T43591D | 23 | 949-950 | T452X2A | 21 | 917-918 | ||
T4141XA | 21 | 917-918 | T43591S | 21 | 922-923 | T452X2D | 23 | 949-950 | ||
T4141XD | 23 | 949-950 | T43592A | 21 | 917-918 | T452X2S | 21 | 922-923 | ||
T4141XS | 21 | 922-923 | T43592D | 23 | 949-950 | T452X3A | 21 | 917-918 | ||
T4142XA | 21 | 917-918 | T43592S | 21 | 922-923 | T452X3D | 23 | 949-950 | ||
T4142XD | 23 | 949-950 | T43593A | 21 | 917-918 | T452X3S | 21 | 922-923 | ||
T4142XS | 21 | 922-923 | T43593D | 23 | 949-950 | T452X4A | 21 | 917-918 | ||
T4143XA | 21 | 917-918 | T43593S | 21 | 922-923 | T452X4D | 23 | 949-950 | ||
T4143XD | 23 | 949-950 | T43594A | 21 | 917-918 | T452X4S | 21 | 922-923 | ||
T4143XS | 21 | 922-923 | T43594D | 23 | 949-950 | T452X5A | 15 | 793 | ||
T4144XA | 21 | 917-918 | T43594S | 21 | 922-923 | T452X5A | 21 | 917-918 | ||
T4144XD | 23 | 949-950 | T43595A | 15 | 793 | T452X5D | 23 | 949-950 | ||
T4144XS | 21 | 922-923 | T43595A | 21 | 917-918 | T452X5S | 21 | 922-923 | ||
T4145XA | 15 | 793 | T43595D | 23 | 949-950 | T452X6A | 23 | 951 | ||
T4145XA | 21 | 917-918 | T43595S | 21 | 922-923 | T452X6D | 23 | 949-950 | ||
T4145XD | 23 | 949-950 | T43596A | 23 | 951 | T452X6S | 23 | 949-950 | ||
T4145XS | 21 | 922-923 | T43596D | 23 | 949-950 | T453X1A | 21 | 917-918 | ||
T4146XA | 23 | 951 | T43596S | 23 | 949-950 | T453X1D | 23 | 949-950 | ||
T4146XD | 23 | 949-950 | T43601A | 21 | 917-918 | T453X1S | 21 | 922-923 | ||
T4146XS | 23 | 949-950 | T43601D | 23 | 949-950 | T453X2A | 21 | 917-918 | ||
T415X1A | 21 | 917-918 | T43601S | 21 | 922-923 | T453X2D | 23 | 949-950 | ||
T415X1D | 23 | 949-950 | T43602A | 21 | 917-918 | T453X2S | 21 | 922-923 | ||
T415X1S | 21 | 922-923 | T43602D | 23 | 949-950 | T453X3A | 21 | 917-918 | ||
T415X2A | 21 | 917-918 | T43602S | 21 | 922-923 | T453X3D | 23 | 949-950 | ||
T415X2D | 23 | 949-950 | T43603A | 21 | 917-918 | T453X3S | 21 | 922-923 | ||
T415X2S | 21 | 922-923 | T43603D | 23 | 949-950 | T453X4A | 21 | 917-918 | ||
T415X3A | 21 | 917-918 | T43603S | 21 | 922-923 | T453X4D | 23 | 949-950 | ||
T415X3D | 23 | 949-950 | T43604A | 21 | 917-918 | T453X4S | 21 | 922-923 | ||
T415X3S | 21 | 922-923 | T43604D | 23 | 949-950 | T453X5A | 15 | 793 | ||
T415X4A | 21 | 917-918 | T43604S | 21 | 922-923 | T453X5A | 21 | 917-918 | ||
T415X4D | 23 | 949-950 | T43605A | 15 | 793 | T453X5D | 23 | 949-950 | ||
T415X4S | 21 | 922-923 | T43605A | 21 | 917-918 | T453X5S | 21 | 922-923 | ||
T415X5A | 15 | 793 | T43605D | 23 | 949-950 | T453X6A | 23 | 951 | ||
T415X5A | 21 | 917-918 | T43605S | 21 | 922-923 | T453X6D | 23 | 949-950 | ||
T415X5D | 23 | 949-950 | T43606A | 23 | 951 | T453X6S | 23 | 949-950 | ||
T415X5S | 21 | 922-923 | T43606D | 23 | 949-950 | T454X1A | 21 | 917-918 | ||
T415X6A | 23 | 951 | T43606S | 23 | 949-950 | T454X1D | 23 | 949-950 | ||
T415X6D | 23 | 949-950 | T43611A | 21 | 917-918 | T454X1S | 21 | 922-923 | ||
T415X6S | 23 | 949-950 | T43611D | 23 | 949-950 | T454X2A | 21 | 917-918 | ||
T420X1A | 21 | 917-918 | T43611S | 21 | 922-923 | T454X2D | 23 | 949-950 | ||
T420X1D | 23 | 949-950 | T43612A | 21 | 917-918 | T454X2S | 21 | 922-923 | ||
T420X1S | 21 | 922-923 | T43612D | 23 | 949-950 | T454X3A | 21 | 917-918 | ||
T420X2A | 21 | 917-918 | T43612S | 21 | 922-923 | T454X3D | 23 | 949-950 | ||
T420X2D | 23 | 949-950 | T43613A | 21 | 917-918 | T454X3S | 21 | 922-923 | ||
T420X2S | 21 | 922-923 | T43613D | 23 | 949-950 | T454X4A | 21 | 917-918 | ||
T420X3A | 21 | 917-918 | T43613S | 21 | 922-923 | T454X4D | 23 | 949-950 | ||
T420X3D | 23 | 949-950 | T43614A | 21 | 917-918 | T454X4S | 21 | 922-923 | ||
T420X3S | 21 | 922-923 | T43614D | 23 | 949-950 | T454X5A | 15 | 793 | ||
T420X4A | 21 | 917-918 | T43614S | 21 | 922-923 | T454X5A | 21 | 917-918 | ||
T420X4D | 23 | 949-950 | T43615A | 15 | 793 | T454X5D | 23 | 949-950 | ||
T420X4S | 21 | 922-923 | T43615A | 21 | 917-918 | T454X5S | 21 | 922-923 | ||
T420X5A | 15 | 793 | T43615D | 23 | 949-950 | T454X6A | 23 | 951 | ||
T420X5A | 21 | 917-918 | T43615S | 21 | 922-923 | T454X6D | 23 | 949-950 | ||
T420X5D | 23 | 949-950 | T43616A | 23 | 951 | T454X6S | 23 | 949-950 | ||
T420X5S | 21 | 922-923 | T43616D | 23 | 949-950 | T45511A | 21 | 917-918 | ||
T420X6A | 23 | 951 | T43616S | 23 | 949-950 | T45511D | 23 | 949-950 | ||
T420X6D | 23 | 949-950 | T43621A | 21 | 917-918 | T45511S | 21 | 922-923 | ||
T420X6S | 23 | 949-950 | T43621D | 23 | 949-950 | T45512A | 21 | 917-918 | ||
T421X1A | 21 | 917-918 | T43621S | 21 | 922-923 | T45512D | 23 | 949-950 | ||
T421X1D | 23 | 949-950 | T43622A | 21 | 917-918 | T45512S | 21 | 922-923 | ||
T421X1S | 21 | 922-923 | T43622D | 23 | 949-950 | T45513A | 21 | 917-918 | ||
T421X2A | 21 | 917-918 | T43622S | 21 | 922-923 | T45513D | 23 | 949-950 | ||
T421X2D | 23 | 949-950 | T43623A | 21 | 917-918 | T45513S | 21 | 922-923 | ||
T421X2S | 21 | 922-923 | T43623D | 23 | 949-950 | T45514A | 21 | 917-918 | ||
T421X3A | 21 | 917-918 | T43623S | 21 | 922-923 | T45514D | 23 | 949-950 | ||
T421X3D | 23 | 949-950 | T43624A | 21 | 917-918 | T45514S | 21 | 922-923 | ||
T421X3S | 21 | 922-923 | T43624D | 23 | 949-950 | T45515A | 15 | 793 | ||
T421X4A | 21 | 917-918 | T43624S | 21 | 922-923 | T45515A | 21 | 917-918 | ||
T421X4D | 23 | 949-950 | T43625A | 15 | 793 | T45515D | 23 | 949-950 | ||
T421X4S | 21 | 922-923 | T43625A | 21 | 917-918 | T45515S | 21 | 922-923 | ||
T421X5A | 15 | 793 | T43625D | 23 | 949-950 | T45516A | 23 | 951 | ||
T421X5A | 21 | 917-918 | T43625S | 21 | 922-923 | T45516D | 23 | 949-950 | ||
T421X5D | 23 | 949-950 | T43626A | 23 | 951 | T45516S | 23 | 949-950 | ||
T421X5S | 21 | 922-923 | T43626D | 23 | 949-950 | T45521A | 21 | 917-918 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Aug 2017 11:52:25 CMS, code-revision=63, description-revision=616 |