ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual
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Diagnosis Code/MDC/MS-DRG Index
Page 66 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
DXMDCMS-DRG  DXMDCMS-DRG  DXMDCMS-DRG
T50B13D23949-950 T550X3S21922-923 T59893D23949-950
T50B13S21922-923 T550X4A21917-918 T59893S21922-923
T50B14A21917-918 T550X4D23949-950 T59894A21917-918
T50B14D23949-950 T550X4S21922-923 T59894A22928-929,934
T50B14S21922-923 T551X1A21917-918 T59894D23949-950
T50B15A15793 T551X1D23949-950 T59894S21922-923
T50B15A21917-918 T551X1S21922-923 T5991XA21917-918
T50B15D23949-950 T551X2A21917-918 T5991XA22928-929,934
T50B15S21922-923 T551X2D23949-950 T5991XD23949-950
T50B16A23951 T551X2S21922-923 T5991XS21922-923
T50B16D23949-950 T551X3A21917-918 T5992XA21917-918
T50B16S23949-950 T551X3D23949-950 T5992XA22928-929,934
T50B91A21917-918 T551X3S21922-923 T5992XD23949-950
T50B91D23949-950 T551X4A21917-918 T5992XS21922-923
T50B91S21922-923 T551X4D23949-950 T5993XA21917-918
T50B92A21917-918 T551X4S21922-923 T5993XA22928-929,934
T50B92D23949-950 T560X1A21917-918 T5993XD23949-950
T50B92S21922-923 T560X1D23949-950 T5993XS21922-923
T50B93A21917-918 T560X1S21922-923 T5994XA21917-918
T50B93D23949-950 T560X2A21917-918 T5994XA22928-929,934
T50B93S21922-923 T560X2D23949-950 T5994XD23949-950
T50B94A21917-918 T560X2S21922-923 T5994XS21922-923
T50B94D23949-950 T560X3A21917-918 T600X1A21917-918
T50B94S21922-923 T560X3D23949-950 T600X1D23949-950
T50B95A15793 T560X3S21922-923 T600X1S21922-923
T50B95A21917-918 T560X4A21917-918 T600X2A21917-918
T50B95D23949-950 T560X4D23949-950 T600X2D23949-950
T50B95S21922-923 T560X4S21922-923 T600X2S21922-923
T50B96A23951 T561X1A21917-918 T600X3A21917-918
T50B96D23949-950 T561X1D23949-950 T600X3D23949-950
T50B96S23949-950 T561X1S21922-923 T600X3S21922-923
T50Z11A21917-918 T561X2A21917-918 T600X4A21917-918
T50Z11D23949-950 T561X2D23949-950 T600X4D23949-950
T50Z11S21922-923 T561X2S21922-923 T600X4S21922-923
T50Z12A21917-918 T561X3A21917-918 T601X1A21917-918
T50Z12D23949-950 T561X3D23949-950 T601X1D23949-950
T50Z12S21922-923 T561X3S21922-923 T601X1S21922-923
T50Z13A21917-918 T561X4A21917-918 T601X2A21917-918
T50Z13D23949-950 T561X4D23949-950 T601X2D23949-950
T50Z13S21922-923 T561X4S21922-923 T601X2S21922-923
T50Z14A21917-918 T562X1A21917-918 T601X3A21917-918
T50Z14D23949-950 T562X1D23949-950 T601X3D23949-950
T50Z14S21922-923 T562X1S21922-923 T601X3S21922-923
T50Z15A15793 T562X2A21917-918 T601X4A21917-918
T50Z15A21917-918 T562X2D23949-950 T601X4D23949-950
T50Z15D23949-950 T562X2S21922-923 T601X4S21922-923
T50Z15S21922-923 T562X3A21917-918 T602X1A21917-918
T50Z16A23951 T562X3D23949-950 T602X1D23949-950
T50Z16D23949-950 T562X3S21922-923 T602X1S21922-923
T50Z16S23949-950 T562X4A21917-918 T602X2A21917-918
T50Z91A21917-918 T562X4D23949-950 T602X2D23949-950
T50Z91D23949-950 T562X4S21922-923 T602X2S21922-923
T50Z91S21922-923 T563X1A21917-918 T602X3A21917-918
T50Z92A21917-918 T563X1D23949-950 T602X3D23949-950
T50Z92D23949-950 T563X1S21922-923 T602X3S21922-923
T50Z92S21922-923 T563X2A21917-918 T602X4A21917-918
T50Z93A21917-918 T563X2D23949-950 T602X4D23949-950
T50Z93D23949-950 T563X2S21922-923 T602X4S21922-923
T50Z93S21922-923 T563X3A21917-918 T603X1A21917-918
T50Z94A21917-918 T563X3D23949-950 T603X1D23949-950
T50Z94D23949-950 T563X3S21922-923 T603X1S21922-923
T50Z94S21922-923 T563X4A21917-918 T603X2A21917-918
T50Z95A15793 T563X4D23949-950 T603X2D23949-950
T50Z95A21917-918 T563X4S21922-923 T603X2S21922-923
T50Z95D23949-950 T564X1A21917-918 T603X3A21917-918
T50Z95S21922-923 T564X1D23949-950 T603X3D23949-950
T50Z96A23951 T564X1S21922-923 T603X3S21922-923
T50Z96D23949-950 T564X2A21917-918 T603X4A21917-918
T50Z96S23949-950 T564X2D23949-950 T603X4D23949-950
T510X1A21917-918 T564X2S21922-923 T603X4S21922-923
T510X1D23949-950 T564X3A21917-918 T604X1A21917-918
T510X1S21922-923 T564X3D23949-950 T604X1D23949-950
T510X2A21917-918 T564X3S21922-923 T604X1S21922-923
T510X2D23949-950 T564X4A21917-918 T604X2A21917-918
T510X2S21922-923 T564X4D23949-950 T604X2D23949-950
T510X3A21917-918 T564X4S21922-923 T604X2S21922-923
T510X3D23949-950 T565X1A21917-918 T604X3A21917-918
T510X3S21922-923 T565X1D23949-950 T604X3D23949-950
T510X4A21917-918 T565X1S21922-923 T604X3S21922-923
T510X4D23949-950 T565X2A21917-918 T604X4A21917-918
T510X4S21922-923 T565X2D23949-950 T604X4D23949-950
T511X1A21917-918 T565X2S21922-923 T604X4S21922-923
T511X1D23949-950 T565X3A21917-918 T608X1A21917-918
T511X1S21922-923 T565X3D23949-950 T608X1D23949-950
T511X2A21917-918 T565X3S21922-923 T608X1S21922-923
T511X2D23949-950 T565X4A21917-918 T608X2A21917-918
T511X2S21922-923 T565X4D23949-950 T608X2D23949-950
T511X3A21917-918 T565X4S21922-923 T608X2S21922-923
T511X3D23949-950 T566X1A21917-918 T608X3A21917-918
T511X3S21922-923 T566X1D23949-950 T608X3D23949-950
T511X4A21917-918 T566X1S21922-923 T608X3S21922-923
T511X4D23949-950 T566X2A21917-918 T608X4A21917-918
T511X4S21922-923 T566X2D23949-950 T608X4D23949-950
T512X1A21917-918 T566X2S21922-923 T608X4S21922-923
T512X1D23949-950 T566X3A21917-918 T6091XA21917-918
T512X1S21922-923 T566X3D23949-950 T6091XD23949-950
T512X2A21917-918 T566X3S21922-923 T6091XS21922-923
T512X2D23949-950 T566X4A21917-918 T6092XA21917-918
T512X2S21922-923 T566X4D23949-950 T6092XD23949-950
T512X3A21917-918 T566X4S21922-923 T6092XS21922-923
T512X3D23949-950 T567X1A21917-918 T6093XA21917-918
T512X3S21922-923 T567X1D23949-950 T6093XD23949-950
T512X4A21917-918 T567X1S21922-923 T6093XS21922-923
T512X4D23949-950 T567X2A21917-918 T6094XA21917-918
T512X4S21922-923 T567X2D23949-950 T6094XD23949-950
T513X1A21917-918 T567X2S21922-923 T6094XS21922-923
T513X1D23949-950 T567X3A21917-918 T6101XA21917-918
T513X1S21922-923 T567X3D23949-950 T6101XD23949-950
T513X2A21917-918 T567X3S21922-923 T6101XS21922-923
T513X2D23949-950 T567X4A21917-918 T6102XA21917-918
T513X2S21922-923 T567X4D23949-950 T6102XD23949-950
T513X3A21917-918 T567X4S21922-923 T6102XS21922-923
T513X3D23949-950 T56811A21917-918 T6103XA21917-918
T513X3S21922-923 T56811D23949-950 T6103XD23949-950
T513X4A21917-918 T56811S21922-923 T6103XS21922-923
T513X4D23949-950 T56812A21917-918 T6104XA21917-918
T513X4S21922-923 T56812D23949-950 T6104XD23949-950
T518X1A21917-918 T56812S21922-923 T6104XS21922-923
T518X1D23949-950 T56813A21917-918 T6111XA21917-918
T518X1S21922-923 T56813D23949-950 T6111XD23949-950
T518X2A21917-918 T56813S21922-923 T6111XS21922-923
T518X2D23949-950 T56814A21917-918 T6112XA21917-918
T518X2S21922-923 T56814D23949-950 T6112XD23949-950
T518X3A21917-918 T56814S21922-923 T6112XS21922-923
T518X3D23949-950 T56891A21917-918 T6113XA21917-918
T518X3S21922-923 T56891D23949-950 T6113XD23949-950
T518X4A21917-918 T56891S21922-923 T6113XS21922-923
T518X4D23949-950 T56892A21917-918 T6114XA21917-918
T518X4S21922-923 T56892D23949-950 T6114XD23949-950
T5191XA21917-918 T56892S21922-923 T6114XS21922-923
T5191XD23949-950 T56893A21917-918 T61771A21917-918
T5191XS21922-923 T56893D23949-950 T61771D23949-950
T5192XA21917-918 T56893S21922-923 T61771S21922-923
T5192XD23949-950 T56894A21917-918 T61772A21917-918
T5192XS21922-923 T56894D23949-950 T61772D23949-950
T5193XA21917-918 T56894S21922-923 T61772S21922-923
T5193XD23949-950 T5691XA21917-918 T61773A21917-918
T5193XS21922-923 T5691XD23949-950 T61773D23949-950
T5194XA21917-918 T5691XS21922-923 T61773S21922-923
T5194XD23949-950 T5692XA21917-918 T61774A21917-918
T5194XS21922-923 T5692XD23949-950 T61774D23949-950
T520X1A21917-918 T5692XS21922-923 T61774S21922-923
T520X1D23949-950 T5693XA21917-918 T61781A21917-918
T520X1S21922-923 T5693XD23949-950 T61781D23949-950
T520X2A21917-918 T5693XS21922-923 T61781S21922-923
T520X2D23949-950 T5694XA21917-918 T61782A21917-918
T520X2S21922-923 T5694XD23949-950 T61782D23949-950
T520X3A21917-918 T5694XS21922-923 T61782S21922-923
T520X3D23949-950 T570X1A21917-918 T61783A21917-918
T520X3S21922-923 T570X1D23949-950 T61783D23949-950
T520X4A21917-918 T570X1S21922-923 T61783S21922-923
T520X4D23949-950 T570X2A21917-918 T61784A21917-918
T520X4S21922-923 T570X2D23949-950 T61784D23949-950
T521X1A21917-918 T570X2S21922-923 T61784S21922-923
T521X1D23949-950 T570X3A21917-918 T618X1A21917-918
T521X1S21922-923 T570X3D23949-950 T618X1D23949-950
T521X2A21917-918 T570X3S21922-923 T618X1S21922-923
T521X2D23949-950 T570X4A21917-918 T618X2A21917-918
T521X2S21922-923 T570X4D23949-950 T618X2D23949-950
T521X3A21917-918 T570X4S21922-923 T618X2S21922-923
T521X3D23949-950 T571X1A21917-918 T618X3A21917-918
T521X3S21922-923 T571X1D23949-950 T618X3D23949-950
T521X4A21917-918 T571X1S21922-923 T618X3S21922-923
T521X4D23949-950 T571X2A21917-918 T618X4A21917-918
T521X4S21922-923 T571X2D23949-950 T618X4D23949-950
T522X1A21917-918 T571X2S21922-923 T618X4S21922-923
T522X1D23949-950 T571X3A21917-918 T6191XA21917-918
T522X1S21922-923 T571X3D23949-950 T6191XD23949-950
T522X2A21917-918 T571X3S21922-923 T6191XS21922-923
T522X2D23949-950 T571X4A21917-918 T6192XA21917-918
T522X2S21922-923 T571X4D23949-950 T6192XD23949-950
T522X3A21917-918 T571X4S21922-923 T6192XS21922-923
T522X3D23949-950 T572X1A21917-918 T6193XA21917-918
T522X3S21922-923 T572X1D23949-950 T6193XD23949-950
T522X4A21917-918 T572X1S21922-923 T6193XS21922-923
T522X4D23949-950 T572X2A21917-918 T6194XA21917-918
T522X4S21922-923 T572X2D23949-950 T6194XD23949-950
T523X1A21917-918 T572X2S21922-923 T6194XS21922-923
T523X1D23949-950 T572X3A21917-918 T620X1A21917-918
T523X1S21922-923 T572X3D23949-950 T620X1D23949-950
T523X2A21917-918 T572X3S21922-923 T620X1S21922-923
T523X2D23949-950 T572X4A21917-918 T620X2A21917-918
T523X2S21922-923 T572X4D23949-950 T620X2D23949-950
T523X3A21917-918 T572X4S21922-923 T620X2S21922-923
T523X3D23949-950 T573X1A21917-918 T620X3A21917-918
T523X3S21922-923 T573X1D23949-950 T620X3D23949-950
T523X4A21917-918 T573X1S21922-923 T620X3S21922-923
T523X4D23949-950 T573X2A21917-918 T620X4A21917-918
T523X4S21922-923 T573X2D23949-950 T620X4D23949-950
T524X1A21917-918 T573X2S21922-923 T620X4S21922-923
T524X1D23949-950 T573X3A21917-918 T621X1A21917-918
T524X1S21922-923 T573X3D23949-950 T621X1D23949-950
T524X2A21917-918 T573X3S21922-923 T621X1S21922-923
T524X2D23949-950 T573X4A21917-918 T621X2A21917-918
T524X2S21922-923 T573X4D23949-950 T621X2D23949-950
T524X3A21917-918 T573X4S21922-923 T621X2S21922-923
T524X3D23949-950 T578X1A21917-918 T621X3A21917-918
T524X3S21922-923 T578X1D23949-950 T621X3D23949-950
T524X4A21917-918 T578X1S21922-923 T621X3S21922-923
T524X4D23949-950 T578X2A21917-918 T621X4A21917-918
T524X4S21922-923 T578X2D23949-950 T621X4D23949-950
T528X1A21917-918 T578X2S21922-923 T621X4S21922-923
T528X1D23949-950 T578X3A21917-918 T622X1A21917-918
T528X1S21922-923 T578X3D23949-950 T622X1D23949-950
T528X2A21917-918 T578X3S21922-923 T622X1S21922-923
T528X2D23949-950 T578X4A21917-918 T622X2A21917-918
T528X2S21922-923 T578X4D23949-950 T622X2D23949-950
T528X3A21917-918 T578X4S21922-923 T622X2S21922-923
T528X3D23949-950 T5791XA21917-918 T622X3A21917-918
T528X3S21922-923 T5791XD23949-950 T622X3D23949-950
T528X4A21917-918 T5791XS21922-923 T622X3S21922-923
T528X4D23949-950 T5792XA21917-918 T622X4A21917-918
T528X4S21922-923 T5792XD23949-950 T622X4D23949-950
T5291XA21917-918 T5792XS21922-923 T622X4S21922-923
T5291XD23949-950 T5793XA21917-918 T628X1A21917-918
T5291XS21922-923 T5793XD23949-950 T628X1D23949-950
T5292XA21917-918 T5793XS21922-923 T628X1S21922-923
T5292XD23949-950 T5794XA21917-918 T628X2A21917-918
T5292XS21922-923 T5794XD23949-950 T628X2D23949-950
T5293XA21917-918 T5794XS21922-923 T628X2S21922-923
T5293XD23949-950 T5801XA21917-918 T628X3A21917-918
T5293XS21922-923 T5801XD23949-950 T628X3D23949-950
T5294XA21917-918 T5801XS21922-923 T628X3S21922-923
T5294XD23949-950 T5802XA21917-918 T628X4A21917-918
T5294XS21922-923 T5802XD23949-950 T628X4D23949-950
T530X1A21917-918 T5802XS21922-923 T628X4S21922-923
T530X1D23949-950 T5803XA21917-918 T6291XA21917-918
T530X1S21922-923 T5803XD23949-950 T6291XD23949-950
T530X2A21917-918 T5803XS21922-923 T6291XS21922-923
T530X2D23949-950 T5804XA21917-918 T6292XA21917-918
T530X2S21922-923 T5804XD23949-950 T6292XD23949-950
T530X3A21917-918 T5804XS21922-923 T6292XS21922-923
T530X3D23949-950 T5811XA21917-918 T6293XA21917-918
T530X3S21922-923 T5811XD23949-950 T6293XD23949-950
T530X4A21917-918 T5811XS21922-923 T6293XS21922-923
T530X4D23949-950 T5812XA21917-918 T6294XA21917-918
T530X4S21922-923 T5812XD23949-950 T6294XD23949-950
T531X1A21917-918 T5812XS21922-923 T6294XS21922-923
T531X1D23949-950 T5813XA21917-918 T63001A21917-918
T531X1S21922-923 T5813XD23949-950 T63001D23949-950
T531X2A21917-918 T5813XS21922-923 T63001S21922-923
T531X2D23949-950 T5814XA21917-918 T63002A21917-918
T531X2S21922-923 T5814XD23949-950 T63002D23949-950
T531X3A21917-918 T5814XS21922-923 T63002S21922-923
T531X3D23949-950 T582X1A21917-918 T63003A21917-918
T531X3S21922-923 T582X1D23949-950 T63003D23949-950
T531X4A21917-918 T582X1S21922-923 T63003S21922-923
T531X4D23949-950 T582X2A21917-918 T63004A21917-918
T531X4S21922-923 T582X2D23949-950 T63004D23949-950
T532X1A21917-918 T582X2S21922-923 T63004S21922-923
T532X1D23949-950 T582X3A21917-918 T63011A21917-918
T532X1S21922-923 T582X3D23949-950 T63011D23949-950
T532X2A21917-918 T582X3S21922-923 T63011S21922-923
T532X2D23949-950 T582X4A21917-918 T63012A21917-918
T532X2S21922-923 T582X4D23949-950 T63012D23949-950
T532X3A21917-918 T582X4S21922-923 T63012S21922-923
T532X3D23949-950 T588X1A21917-918 T63013A21917-918
T532X3S21922-923 T588X1D23949-950 T63013D23949-950
T532X4A21917-918 T588X1S21922-923 T63013S21922-923
T532X4D23949-950 T588X2A21917-918 T63014A21917-918
T532X4S21922-923 T588X2D23949-950 T63014D23949-950
T533X1A21917-918 T588X2S21922-923 T63014S21922-923
T533X1D23949-950 T588X3A21917-918 T63021A21917-918
T533X1S21922-923 T588X3D23949-950 T63021D23949-950
T533X2A21917-918 T588X3S21922-923 T63021S21922-923
T533X2D23949-950 T588X4A21917-918 T63022A21917-918
T533X2S21922-923 T588X4D23949-950 T63022D23949-950
T533X3A21917-918 T588X4S21922-923 T63022S21922-923
T533X3D23949-950 T5891XA21917-918 T63023A21917-918
T533X3S21922-923 T5891XD23949-950 T63023D23949-950
T533X4A21917-918 T5891XS21922-923 T63023S21922-923
T533X4D23949-950 T5892XA21917-918 T63024A21917-918
T533X4S21922-923 T5892XD23949-950 T63024D23949-950
T534X1A21917-918 T5892XS21922-923 T63024S21922-923
T534X1D23949-950 T5893XA21917-918 T63031A21917-918
T534X1S21922-923 T5893XD23949-950 T63031D23949-950
T534X2A21917-918 T5893XS21922-923 T63031S21922-923
T534X2D23949-950 T5894XA21917-918 T63032A21917-918
T534X2S21922-923 T5894XD23949-950 T63032D23949-950
T534X3A21917-918 T5894XS21922-923 T63032S21922-923
T534X3D23949-950 T590X1A21917-918 T63033A21917-918
T534X3S21922-923 T590X1D23949-950 T63033D23949-950
T534X4A21917-918 T590X1S21922-923 T63033S21922-923
T534X4D23949-950 T590X2A21917-918 T63034A21917-918
T534X4S21922-923 T590X2D23949-950 T63034D23949-950
T535X1A21917-918 T590X2S21922-923 T63034S21922-923
T535X1D23949-950 T590X3A21917-918 T63041A21917-918
T535X1S21922-923 T590X3D23949-950 T63041D23949-950
T535X2A21917-918 T590X3S21922-923 T63041S21922-923
T535X2D23949-950 T590X4A21917-918 T63042A21917-918
T535X2S21922-923 T590X4D23949-950 T63042D23949-950
T535X3A21917-918 T590X4S21922-923 T63042S21922-923
T535X3D23949-950 T591X1A21917-918 T63043A21917-918
T535X3S21922-923 T591X1D23949-950 T63043D23949-950
T535X4A21917-918 T591X1S21922-923 T63043S21922-923
T535X4D23949-950 T591X2A21917-918 T63044A21917-918
T535X4S21922-923 T591X2D23949-950 T63044D23949-950
T536X1A21917-918 T591X2S21922-923 T63044S21922-923
T536X1D23949-950 T591X3A21917-918 T63061A21917-918
T536X1S21922-923 T591X3D23949-950 T63061D23949-950
T536X2A21917-918 T591X3S21922-923 T63061S21922-923
T536X2D23949-950 T591X4A21917-918 T63062A21917-918
T536X2S21922-923 T591X4D23949-950 T63062D23949-950
T536X3A21917-918 T591X4S21922-923 T63062S21922-923
T536X3D23949-950 T592X1A21917-918 T63063A21917-918
T536X3S21922-923 T592X1D23949-950 T63063D23949-950
T536X4A21917-918 T592X1S21922-923 T63063S21922-923
T536X4D23949-950 T592X2A21917-918 T63064A21917-918
T536X4S21922-923 T592X2D23949-950 T63064D23949-950
T537X1A21917-918 T592X2S21922-923 T63064S21922-923
T537X1D23949-950 T592X3A21917-918 T63071A21917-918
T537X1S21922-923 T592X3D23949-950 T63071D23949-950
T537X2A21917-918 T592X3S21922-923 T63071S21922-923
T537X2D23949-950 T592X4A21917-918 T63072A21917-918
T537X2S21922-923 T592X4D23949-950 T63072D23949-950
T537X3A21917-918 T592X4S21922-923 T63072S21922-923
T537X3D23949-950 T593X1A21917-918 T63073A21917-918
T537X3S21922-923 T593X1D23949-950 T63073D23949-950
T537X4A21917-918 T593X1S21922-923 T63073S21922-923
T537X4D23949-950 T593X2A21917-918 T63074A21917-918
T537X4S21922-923 T593X2D23949-950 T63074D23949-950
T5391XA21917-918 T593X2S21922-923 T63074S21922-923
T5391XD23949-950 T593X3A21917-918 T63081A21917-918
T5391XS21922-923 T593X3D23949-950 T63081D23949-950
T5392XA21917-918 T593X3S21922-923 T63081S21922-923
T5392XD23949-950 T593X4A21917-918 T63082A21917-918
T5392XS21922-923 T593X4D23949-950 T63082D23949-950
T5393XA21917-918 T593X4S21922-923 T63082S21922-923
T5393XD23949-950 T594X1A21917-918 T63083A21917-918
T5393XS21922-923 T594X1D23949-950 T63083D23949-950
T5394XA21917-918 T594X1S21922-923 T63083S21922-923
T5394XD23949-950 T594X2A21917-918 T63084A21917-918
T5394XS21922-923 T594X2D23949-950 T63084D23949-950
T540X1A21917-918 T594X2S21922-923 T63084S21922-923
T540X1D23949-950 T594X3A21917-918 T63091A21917-918
T540X1S21922-923 T594X3D23949-950 T63091D23949-950
T540X2A21917-918 T594X3S21922-923 T63091S21922-923
T540X2D23949-950 T594X4A21917-918 T63092A21917-918
T540X2S21922-923 T594X4D23949-950 T63092D23949-950
T540X3A21917-918 T594X4S21922-923 T63092S21922-923
T540X3D23949-950 T595X1A21917-918 T63093A21917-918
T540X3S21922-923 T595X1D23949-950 T63093D23949-950
T540X4A21917-918 T595X1S21922-923 T63093S21922-923
T540X4D23949-950 T595X2A21917-918 T63094A21917-918
T540X4S21922-923 T595X2D23949-950 T63094D23949-950
T541X1A21917-918 T595X2S21922-923 T63094S21922-923
T541X1D23949-950 T595X3A21917-918 T63111A21917-918
T541X1S21922-923 T595X3D23949-950 T63111D23949-950
T541X2A21917-918 T595X3S21922-923 T63111S21922-923
T541X2D23949-950 T595X4A21917-918 T63112A21917-918
T541X2S21922-923 T595X4D23949-950 T63112D23949-950
T541X3A21917-918 T595X4S21922-923 T63112S21922-923
T541X3D23949-950 T596X1A21917-918 T63113A21917-918
T541X3S21922-923 T596X1D23949-950 T63113D23949-950
T541X4A21917-918 T596X1S21922-923 T63113S21922-923
T541X4D23949-950 T596X2A21917-918 T63114A21917-918
T541X4S21922-923 T596X2D23949-950 T63114D23949-950
T542X1A21917-918 T596X2S21922-923 T63114S21922-923
T542X1D23949-950 T596X3A21917-918 T63121A21917-918
T542X1S21922-923 T596X3D23949-950 T63121D23949-950
T542X2A21917-918 T596X3S21922-923 T63121S21922-923
T542X2D23949-950 T596X4A21917-918 T63122A21917-918
T542X2S21922-923 T596X4D23949-950 T63122D23949-950
T542X3A21917-918 T596X4S21922-923 T63122S21922-923
T542X3D23949-950 T597X1A21917-918 T63123A21917-918
T542X3S21922-923 T597X1D23949-950 T63123D23949-950
T542X4A21917-918 T597X1S21922-923 T63123S21922-923
T542X4D23949-950 T597X2A21917-918 T63124A21917-918
T542X4S21922-923 T597X2D23949-950 T63124D23949-950
T543X1A21917-918 T597X2S21922-923 T63124S21922-923
T543X1D23949-950 T597X3A21917-918 T63191A21917-918
T543X1S21922-923 T597X3D23949-950 T63191D23949-950
T543X2A21917-918 T597X3S21922-923 T63191S21922-923
T543X2D23949-950 T597X4A21917-918 T63192A21917-918
T543X2S21922-923 T597X4D23949-950 T63192D23949-950
T543X3A21917-918 T597X4S21922-923 T63192S21922-923
T543X3D23949-950 T59811A21917-918 T63193A21917-918
T543X3S21922-923 T59811A22928-929,934 T63193D23949-950
T543X4A21917-918 T59811D23949-950 T63193S21922-923
T543X4D23949-950 T59811S21922-923 T63194A21917-918
T543X4S21922-923 T59812A21917-918 T63194D23949-950
T5491XA21917-918 T59812A22928-929,934 T63194S21922-923
T5491XD23949-950 T59812D23949-950 T632X1A21917-918
T5491XS21922-923 T59812S21922-923 T632X1D23949-950
T5492XA21917-918 T59813A21917-918 T632X1S21922-923
T5492XD23949-950 T59813A22928-929,934 T632X2A21917-918
T5492XS21922-923 T59813D23949-950 T632X2D23949-950
T5493XA21917-918 T59813S21922-923 T632X2S21922-923
T5493XD23949-950 T59814A21917-918 T632X3A21917-918
T5493XS21922-923 T59814A22928-929,934 T632X3D23949-950
T5494XA21917-918 T59814D23949-950 T632X3S21922-923
T5494XD23949-950 T59814S21922-923 T632X4A21917-918
T5494XS21922-923 T59891A21917-918 T632X4D23949-950
T550X1A21917-918 T59891A22928-929,934 T632X4S21922-923
T550X1D23949-950 T59891D23949-950 T63301A21917-918
T550X1S21922-923 T59891S21922-923 T63301D23949-950
T550X2A21917-918 T59892A21917-918 T63301S21922-923
T550X2D23949-950 T59892A22928-929,934 T63302A21917-918
T550X2S21922-923 T59892D23949-950 T63302D23949-950
T550X3A21917-918 T59892S21922-923 T63302S21922-923
T550X3D23949-950 T59893A21917-918 T63303A21917-918
    T59893A22928-929,934    



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
25 Aug 2017 11:52:25
CMS, code-revision=63, description-revision=616