ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual
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Diagnosis Code/MDC/MS-DRG Index
Page 67 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
T63303D23949-950 T655X1A21917-918 T7631XS21922-923
T63303S21922-923 T655X1D23949-950 T7632XA21922-923
T63304A21917-918 T655X1S21922-923 T7632XD23949-950
T63304D23949-950 T655X2A21917-918 T7632XS21922-923
T63304S21922-923 T655X2D23949-950 T7691XA21922-923
T63311A21917-918 T655X2S21922-923 T7691XD23949-950
T63311D23949-950 T655X3A21917-918 T7691XS21922-923
T63311S21922-923 T655X3D23949-950 T7692XA21922-923
T63312A21917-918 T655X3S21922-923 T7692XD23949-950
T63312D23949-950 T655X4A21917-918 T7692XS21922-923
T63312S21922-923 T655X4D23949-950 T7800XA21915-916
T63313A21917-918 T655X4S21922-923 T7800XD23949-950
T63313D23949-950 T656X1A21917-918 T7800XS21922-923
T63313S21922-923 T656X1D23949-950 T7801XA21915-916
T63314A21917-918 T656X1S21922-923 T7801XD23949-950
T63314D23949-950 T656X2A21917-918 T7801XS21922-923
T63314S21922-923 T656X2D23949-950 T7802XA21915-916
T63321A21917-918 T656X2S21922-923 T7802XD23949-950
T63321D23949-950 T656X3A21917-918 T7802XS21922-923
T63321S21922-923 T656X3D23949-950 T7803XA21915-916
T63322A21917-918 T656X3S21922-923 T7803XD23949-950
T63322D23949-950 T656X4A21917-918 T7803XS21922-923
T63322S21922-923 T656X4D23949-950 T7804XA21915-916
T63323A21917-918 T656X4S21922-923 T7804XD23949-950
T63323D23949-950 T65811A21917-918 T7804XS21922-923
T63323S21922-923 T65811D23949-950 T7805XA21915-916
T63324A21917-918 T65811S21922-923 T7805XD23949-950
T63324D23949-950 T65812A21917-918 T7805XS21922-923
T63324S21922-923 T65812D23949-950 T7806XA21915-916
T63331A21917-918 T65812S21922-923 T7806XD23949-950
T63331D23949-950 T65813A21917-918 T7806XS21922-923
T63331S21922-923 T65813D23949-950 T7807XA21915-916
T63332A21917-918 T65813S21922-923 T7807XD23949-950
T63332D23949-950 T65814A21917-918 T7807XS21922-923
T63332S21922-923 T65814D23949-950 T7808XA21915-916
T63333A21917-918 T65814S21922-923 T7808XD23949-950
T63333D23949-950 T65821A21917-918 T7808XS21922-923
T63333S21922-923 T65821D23949-950 T7809XA21915-916
T63334A21917-918 T65821S21922-923 T7809XD23949-950
T63334D23949-950 T65822A21917-918 T7809XS21922-923
T63334S21922-923 T65822D23949-950 T781XXA21922-923
T63391A21917-918 T65822S21922-923 T781XXD23949-950
T63391D23949-950 T65823A21917-918 T781XXS21922-923
T63391S21922-923 T65823D23949-950 T782XXA21915-916
T63392A21917-918 T65823S21922-923 T782XXD23949-950
T63392D23949-950 T65824A21917-918 T782XXS21922-923
T63392S21922-923 T65824D23949-950 T783XXA21915-916
T63393A21917-918 T65824S21922-923 T783XXD23949-950
T63393D23949-950 T65831A21917-918 T783XXS21922-923
T63393S21922-923 T65831D23949-950 T7840XA21915-916
T63394A21917-918 T65831S21922-923 T7840XD23949-950
T63394D23949-950 T65832A21917-918 T7840XS21922-923
T63394S21922-923 T65832D23949-950 T7841XA15793
T63411A21917-918 T65832S21922-923 T7841XA21917-918
T63411D23949-950 T65833A21917-918 T7841XD23949-950
T63411S21922-923 T65833D23949-950 T7841XS21922-923
T63412A21917-918 T65833S21922-923 T7849XA21915-916
T63412D23949-950 T65834A21917-918 T7849XD23949-950
T63412S21922-923 T65834D23949-950 T7849XS21922-923
T63413A21917-918 T65834S21922-923 T788XXA21922-923
T63413D23949-950 T65891A21917-918 T788XXD23949-950
T63413S21922-923 T65891D23949-950 T788XXS21922-923
T63414A21917-918 T65891S21922-923 T790XXA04175-176
T63414D23949-950 T65892A21917-918 T790XXA15793
T63414S21922-923 T65892D23949-950 T790XXA24955-965
T63421A21917-918 T65892S21922-923 T790XXD23949-950
T63421D23949-950 T65893A21917-918 T790XXS21913-914
T63421S21922-923 T65893D23949-950 T791XXA04175-176
T63422A21917-918 T65893S21922-923 T791XXA15793
T63422D23949-950 T65894A21917-918 T791XXA24955-965
T63422S21922-923 T65894D23949-950 T791XXD23949-950
T63423A21917-918 T65894S21922-923 T791XXS21913-914
T63423D23949-950 T6591XA21917-918 T792XXA15793
T63423S21922-923 T6591XD23949-950 T792XXA21922-923
T63424A21917-918 T6591XS21922-923 T792XXA24955-965
T63424D23949-950 T6592XA21917-918 T792XXD23949-950
T63424S21922-923 T6592XD23949-950 T792XXS21913-914
T63431A21917-918 T6592XS21922-923 T794XXA15793
T63431D23949-950 T6593XA21917-918 T794XXA21922-923
T63431S21922-923 T6593XD23949-950 T794XXA24955-965
T63432A21917-918 T6593XS21922-923 T794XXD23949-950
T63432D23949-950 T6594XA21917-918 T794XXS21913-914
T63432S21922-923 T6594XD23949-950 T795XXA11673-675
T63433A21917-918 T6594XS21922-923 T795XXA11682-684
T63433D23949-950 T66XXXA21922-923 T795XXA15793
T63433S21922-923 T66XXXD23949-950 T795XXA24955-965
T63434A21917-918 T66XXXS21922-923 T795XXD23949-950
T63434D23949-950 T670XXA21922-923 T795XXS21913-914
T63434S21922-923 T670XXD23949-950 T796XXA08564-566
T63441A21917-918 T670XXS21922-923 T796XXA24955-965
T63441D23949-950 T671XXA21922-923 T796XXD23949-950
T63441S21922-923 T671XXD23949-950 T796XXS21913-914
T63442A21917-918 T671XXS21922-923 T797XXA04199-201
T63442D23949-950 T672XXA21922-923 T797XXA15793
T63442S21922-923 T672XXD23949-950 T797XXA24955-965
T63443A21917-918 T672XXS21922-923 T797XXD23949-950
T63443D23949-950 T673XXA21922-923 T797XXS21913-914
T63443S21922-923 T673XXD23949-950 T798XXA21922-923
T63444A21917-918 T673XXS21922-923 T798XXA24955-965
T63444D23949-950 T674XXA21922-923 T798XXD23949-950
T63444S21922-923 T674XXD23949-950 T798XXS21913-914
T63451A21917-918 T674XXS21922-923 T799XXA21922-923
T63451D23949-950 T675XXA21922-923 T799XXA24955-965
T63451S21922-923 T675XXD23949-950 T799XXD23949-950
T63452A21917-918 T675XXS21922-923 T799XXS21913-914
T63452D23949-950 T676XXA21922-923 T79A0XA21922-923
T63452S21922-923 T676XXD23949-950 T79A0XA24955-965
T63453A21917-918 T676XXS21922-923 T79A0XD23949-950
T63453D23949-950 T677XXA21922-923 T79A0XS21913-914
T63453S21922-923 T677XXD23949-950 T79A11A21922-923
T63454A21917-918 T677XXS21922-923 T79A11A24955-965
T63454D23949-950 T678XXA21922-923 T79A11D23949-950
T63454S21922-923 T678XXD23949-950 T79A11S21913-914
T63461A21917-918 T678XXS21922-923 T79A12A21922-923
T63461D23949-950 T679XXA21922-923 T79A12A24955-965
T63461S21922-923 T679XXD23949-950 T79A12D23949-950
T63462A21917-918 T679XXS21922-923 T79A12S21913-914
T63462D23949-950 T68XXXA21922-923 T79A19A21922-923
T63462S21922-923 T68XXXD23949-950 T79A19A24955-965
T63463A21917-918 T68XXXS21922-923 T79A19D23949-950
T63463D23949-950 T69011A21922-923 T79A19S21913-914
T63463S21922-923 T69011D23949-950 T79A21A21922-923
T63464A21917-918 T69011S21922-923 T79A21A24955-965
T63464D23949-950 T69012A21922-923 T79A21D23949-950
T63464S21922-923 T69012D23949-950 T79A21S21913-914
T63481A21917-918 T69012S21922-923 T79A22A21922-923
T63481D23949-950 T69019A21922-923 T79A22A24955-965
T63481S21922-923 T69019D23949-950 T79A22D23949-950
T63482A21917-918 T69019S21922-923 T79A22S21913-914
T63482D23949-950 T69021A21922-923 T79A29A21922-923
T63482S21922-923 T69021D23949-950 T79A29A24955-965
T63483A21917-918 T69021S21922-923 T79A29D23949-950
T63483D23949-950 T69022A21922-923 T79A29S21913-914
T63483S21922-923 T69022D23949-950 T79A3XA21922-923
T63484A21917-918 T69022S21922-923 T79A3XA24955-965
T63484D23949-950 T69029A21922-923 T79A3XD23949-950
T63484S21922-923 T69029D23949-950 T79A3XS21913-914
T63511A21917-918 T69029S21922-923 T79A9XA21922-923
T63511D23949-950 T691XXA21922-923 T79A9XA24955-965
T63511S21922-923 T691XXD23949-950 T79A9XD23949-950
T63512A21917-918 T691XXS21922-923 T79A9XS21913-914
T63512D23949-950 T698XXA21922-923 T800XXA04175-176
T63512S21922-923 T698XXD23949-950 T800XXA15793
T63513A21917-918 T698XXS21922-923 T800XXD23949-950
T63513D23949-950 T699XXA21922-923 T800XXS21922-923
T63513S21922-923 T699XXD23949-950 T801XXA05314-316
T63514A21917-918 T699XXS21922-923 T801XXA15793
T63514D23949-950 T700XXA03152-153 T801XXD23949-950
T63514S21922-923 T700XXD23949-950 T801XXS21922-923
T63591A21917-918 T700XXS21922-923 T80211A05314-316
T63591D23949-950 T701XXA03152-153 T80211D23949-950
T63591S21922-923 T701XXD23949-950 T80211S21922-923
T63592A21917-918 T701XXS21922-923 T80212A05314-316
T63592D23949-950 T7020XA21922-923 T80212D23949-950
T63592S21922-923 T7020XD23949-950 T80212S21922-923
T63593A21917-918 T7020XS21922-923 T80218A05314-316
T63593D23949-950 T7029XA21922-923 T80218D23949-950
T63593S21922-923 T7029XD23949-950 T80218S21922-923
T63594A21917-918 T7029XS21922-923 T80219A05314-316
T63594D23949-950 T703XXA21922-923 T80219D23949-950
T63594S21922-923 T703XXD23949-950 T80219S21922-923
T63611A21917-918 T703XXS21922-923 T8022XA15793
T63611D23949-950 T704XXA21922-923 T8022XA18853-855
T63611S21922-923 T704XXD23949-950 T8022XA18856-858
T63612A21917-918 T704XXS21922-923 T8022XA18867-869
T63612D23949-950 T708XXA21922-923 T8022XD23949-950
T63612S21922-923 T708XXD23949-950 T8022XS21922-923
T63613A21917-918 T708XXS21922-923 T8029XA15793
T63613D23949-950 T709XXA21922-923 T8029XA18853-855
T63613S21922-923 T709XXD23949-950 T8029XA18856-858
T63614A21917-918 T709XXS21922-923 T8029XA18867-869
T63614D23949-950 T71111A21922-923 T8029XD23949-950
T63614S21922-923 T71111D23949-950 T8029XS21922-923
T63621A21917-918 T71111S21922-923 T8030XA15793
T63621D23949-950 T71112A21922-923 T8030XA16811-812
T63621S21922-923 T71112D23949-950 T8030XD23949-950
T63622A21917-918 T71112S21922-923 T8030XS21922-923
T63622D23949-950 T71113A21922-923 T80310A15793
T63622S21922-923 T71113D23949-950 T80310A16811-812
T63623A21917-918 T71113S21922-923 T80310D23949-950
T63623D23949-950 T71114A21922-923 T80310S21922-923
T63623S21922-923 T71114D23949-950 T80311A15793
T63624A21917-918 T71114S21922-923 T80311A16811-812
T63624D23949-950 T71121A21922-923 T80311D23949-950
T63624S21922-923 T71121D23949-950 T80311S21922-923
T63631A21917-918 T71121S21922-923 T80319A15793
T63631D23949-950 T71122A21922-923 T80319A16811-812
T63631S21922-923 T71122D23949-950 T80319D23949-950
T63632A21917-918 T71122S21922-923 T80319S21922-923
T63632D23949-950 T71123A21922-923 T8039XA15793
T63632S21922-923 T71123D23949-950 T8039XA16811-812
T63633A21917-918 T71123S21922-923 T8039XD23949-950
T63633D23949-950 T71124A21922-923 T8039XS21922-923
T63633S21922-923 T71124D23949-950 T8040XA15793
T63634A21917-918 T71124S21922-923 T8040XA16811-812
T63634D23949-950 T71131A21922-923 T8040XD23949-950
T63634S21922-923 T71131D23949-950 T8040XS21922-923
T63691A21917-918 T71131S21922-923 T80410A15793
T63691D23949-950 T71132A21922-923 T80410A16811-812
T63691S21922-923 T71132D23949-950 T80410D23949-950
T63692A21917-918 T71132S21922-923 T80410S21922-923
T63692D23949-950 T71133A21922-923 T80411A15793
T63692S21922-923 T71133D23949-950 T80411A16811-812
T63693A21917-918 T71133S21922-923 T80411D23949-950
T63693D23949-950 T71134A21922-923 T80411S21922-923
T63693S21922-923 T71134D23949-950 T80419A15793
T63694A21917-918 T71134S21922-923 T80419A16811-812
T63694D23949-950 T71141A21922-923 T80419D23949-950
T63694S21922-923 T71141D23949-950 T80419S21922-923
T63711A21917-918 T71141S21922-923 T8049XA15793
T63711D23949-950 T71143A21922-923 T8049XA16811-812
T63711S21922-923 T71143D23949-950 T8049XD23949-950
T63712A21917-918 T71143S21922-923 T8049XS21922-923
T63712D23949-950 T71144A21922-923 T8051XA15793
T63712S21922-923 T71144D23949-950 T8051XA21915-916
T63713A21917-918 T71144S21922-923 T8051XD23949-950
T63713D23949-950 T71151A21922-923 T8051XS21922-923
T63713S21922-923 T71151D23949-950 T8052XA15793
T63714A21917-918 T71151S21922-923 T8052XA21915-916
T63714D23949-950 T71152A21922-923 T8052XD23949-950
T63714S21922-923 T71152D23949-950 T8052XS21922-923
T63791A21917-918 T71152S21922-923 T8059XA15793
T63791D23949-950 T71153A21922-923 T8059XA21915-916
T63791S21922-923 T71153D23949-950 T8059XD23949-950
T63792A21917-918 T71153S21922-923 T8059XS21922-923
T63792D23949-950 T71154A21922-923 T8061XA15793
T63792S21922-923 T71154D23949-950 T8061XA21915-916
T63793A21917-918 T71154S21922-923 T8061XD23949-950
T63793D23949-950 T71161A21922-923 T8061XS21922-923
T63793S21922-923 T71161D23949-950 T8062XA15793
T63794A21917-918 T71161S21922-923 T8062XA21915-916
T63794D23949-950 T71162A21922-923 T8062XD23949-950
T63794S21922-923 T71162D23949-950 T8062XS21922-923
T63811A21917-918 T71162S21922-923 T8069XA15793
T63811D23949-950 T71163A21922-923 T8069XA21915-916
T63811S21922-923 T71163D23949-950 T8069XD23949-950
T63812A21917-918 T71163S21922-923 T8069XS21922-923
T63812D23949-950 T71164A21922-923 T80810A05314-316
T63812S21922-923 T71164D23949-950 T80810A15793
T63813A21917-918 T71164S21922-923 T80810D23949-950
T63813D23949-950 T71191A21922-923 T80810S21922-923
T63813S21922-923 T71191D23949-950 T80818A05314-316
T63814A21917-918 T71191S21922-923 T80818A15793
T63814D23949-950 T71192A21922-923 T80818D23949-950
T63814S21922-923 T71192D23949-950 T80818S21922-923
T63821A21917-918 T71192S21922-923 T8089XA15793
T63821D23949-950 T71193A21922-923 T8089XA16811-812
T63821S21922-923 T71193D23949-950 T8089XD23949-950
T63822A21917-918 T71193S21922-923 T8089XS21922-923
T63822D23949-950 T71194A21922-923 T8090XA05314-316
T63822S21922-923 T71194D23949-950 T8090XA15793
T63823A21917-918 T71194S21922-923 T8090XD23949-950
T63823D23949-950 T7120XA21922-923 T8090XS21922-923
T63823S21922-923 T7120XD23949-950 T80910A15793
T63824A21917-918 T7120XS21922-923 T80910A16811-812
T63824D23949-950 T7121XA21922-923 T80910D23949-950
T63824S21922-923 T7121XD23949-950 T80910S21922-923
T63831A21917-918 T7121XS21922-923 T80911A15793
T63831D23949-950 T71221A21922-923 T80911A16811-812
T63831S21922-923 T71221D23949-950 T80911D23949-950
T63832A21917-918 T71221S21922-923 T80911S21922-923
T63832D23949-950 T71222A21922-923 T80919A15793
T63832S21922-923 T71222D23949-950 T80919A16811-812
T63833A21917-918 T71222S21922-923 T80919D23949-950
T63833D23949-950 T71223A21922-923 T80919S21922-923
T63833S21922-923 T71223D23949-950 T8092XA15793
T63834A21917-918 T71223S21922-923 T8092XA16811-812
T63834D23949-950 T71224A21922-923 T8092XD23949-950
T63834S21922-923 T71224D23949-950 T8092XS21922-923
T63891A21917-918 T71224S21922-923 T80A0XA15793
T63891D23949-950 T71231A21922-923 T80A0XA16811-812
T63891S21922-923 T71231D23949-950 T80A0XD23949-950
T63892A21917-918 T71231S21922-923 T80A0XS21922-923
T63892D23949-950 T71232A21922-923 T80A10A15793
T63892S21922-923 T71232D23949-950 T80A10A16811-812
T63893A21917-918 T71232S21922-923 T80A10D23949-950
T63893D23949-950 T71233A21922-923 T80A10S21922-923
T63893S21922-923 T71233D23949-950 T80A11A15793
T63894A21917-918 T71233S21922-923 T80A11A16811-812
T63894D23949-950 T71234A21922-923 T80A11D23949-950
T63894S21922-923 T71234D23949-950 T80A11S21922-923
T6391XA21917-918 T71234S21922-923 T80A19A15793
T6391XD23949-950 T7129XA21922-923 T80A19A16811-812
T6391XS21922-923 T7129XD23949-950 T80A19D23949-950
T6392XA21917-918 T7129XS21922-923 T80A19S21922-923
T6392XD23949-950 T719XXA21922-923 T80A9XA15793
T6392XS21922-923 T719XXD23949-950 T80A9XA16811-812
T6393XA21917-918 T719XXS21922-923 T80A9XD23949-950
T6393XD23949-950 T730XXA21922-923 T80A9XS21922-923
T6393XS21922-923 T730XXD23949-950 T8110XA15793
T6394XA21917-918 T730XXS21922-923 T8110XA21919-921
T6394XD23949-950 T731XXA21922-923 T8110XD23949-950
T6394XS21922-923 T731XXD23949-950 T8110XS21922-923
T6401XA21917-918 T731XXS21922-923 T8111XA15793
T6401XD23949-950 T732XXA21922-923 T8111XA21919-921
T6401XS21922-923 T732XXD23949-950 T8111XD23949-950
T6402XA21917-918 T732XXS21922-923 T8111XS21922-923
T6402XD23949-950 T733XXA21922-923 T8112XA15793
T6402XS21922-923 T733XXD23949-950 T8112XA21919-921
T6403XA21917-918 T733XXS21922-923 T8112XD23949-950
T6403XD23949-950 T738XXA21922-923 T8112XS21922-923
T6403XS21922-923 T738XXD23949-950 T8119XA15793
T6404XA21917-918 T738XXS21922-923 T8119XA21919-921
T6404XD23949-950 T739XXA21922-923 T8119XD23949-950
T6404XS21922-923 T739XXD23949-950 T8119XS21922-923
T6481XA21917-918 T739XXS21922-923 T8130XA21919-921
T6481XD23949-950 T7401XA21922-923 T8130XD23949-950
T6481XS21922-923 T7401XD23949-950 T8130XS21922-923
T6482XA21917-918 T7401XS21922-923 T8131XA21919-921
T6482XD23949-950 T7402XA21922-923 T8131XD23949-950
T6482XS21922-923 T7402XD23949-950 T8131XS21922-923
T6483XA21917-918 T7402XS21922-923 T8132XA21919-921
T6483XD23949-950 T7411XA21922-923 T8132XD23949-950
T6483XS21922-923 T7411XD23949-950 T8132XS21922-923
T6484XA21917-918 T7411XS21922-923 T8133XA21919-921
T6484XD23949-950 T7412XA21922-923 T8133XD23949-950
T6484XS21922-923 T7412XD23949-950 T8133XS21922-923
T650X1A21917-918 T7412XS21922-923 T814XXA15793
T650X1D23949-950 T7421XA21922-923 T814XXA18853-855
T650X1S21922-923 T7421XD23949-950 T814XXA18856-858
T650X2A21917-918 T7421XS21922-923 T814XXA18862-863
T650X2D23949-950 T7422XA21922-923 T814XXD23949-950
T650X2S21922-923 T7422XD23949-950 T814XXS21922-923
T650X3A21917-918 T7422XS21922-923 T81500A15793
T650X3D23949-950 T7431XA21922-923 T81500A21919-921
T650X3S21922-923 T7431XD23949-950 T81500D23949-950
T650X4A21917-918 T7431XS21922-923 T81500S21922-923
T650X4D23949-950 T7432XA21922-923 T81501A15793
T650X4S21922-923 T7432XD23949-950 T81501A21919-921
T651X1A21917-918 T7432XS21922-923 T81501D23949-950
T651X1D23949-950 T744XXA21922-923 T81501S21922-923
T651X1S21922-923 T744XXD23949-950 T81502A15793
T651X2A21917-918 T744XXS21922-923 T81502A21919-921
T651X2D23949-950 T7491XA21922-923 T81502D23949-950
T651X2S21922-923 T7491XD23949-950 T81502S21922-923
T651X3A21917-918 T7491XS21922-923 T81503A15793
T651X3D23949-950 T7492XA21922-923 T81503A21919-921
T651X3S21922-923 T7492XD23949-950 T81503D23949-950
T651X4A21917-918 T7492XS21922-923 T81503S21922-923
T651X4D23949-950 T7500XA21922-923 T81504A15793
T651X4S21922-923 T7500XD23949-950 T81504A21919-921
T65211A21917-918 T7500XS21922-923 T81504D23949-950
T65211D23949-950 T7501XA21922-923 T81504S21922-923
T65211S21922-923 T7501XD23949-950 T81505A15793
T65212A21917-918 T7501XS21922-923 T81505A21919-921
T65212D23949-950 T7509XA21922-923 T81505D23949-950
T65212S21922-923 T7509XD23949-950 T81505S21922-923
T65213A21917-918 T7509XS21922-923 T81506A15793
T65213D23949-950 T751XXA21922-923 T81506A21919-921
T65213S21922-923 T751XXD23949-950 T81506D23949-950
T65214A21917-918 T751XXS21922-923 T81506S21922-923
T65214D23949-950 T7520XA21922-923 T81507A15793
T65214S21922-923 T7520XD23949-950 T81507A21919-921
T65221A21917-918 T7520XS21922-923 T81507D23949-950
T65221D23949-950 T7521XA21922-923 T81507S21922-923
T65221S21922-923 T7521XD23949-950 T81508A15793
T65222A21917-918 T7521XS21922-923 T81508A21919-921
T65222D23949-950 T7522XA21922-923 T81508D23949-950
T65222S21922-923 T7522XD23949-950 T81508S21922-923
T65223A21917-918 T7522XS21922-923 T81509A15793
T65223D23949-950 T7523XA21922-923 T81509A21919-921
T65223S21922-923 T7523XD23949-950 T81509D23949-950
T65224A21917-918 T7523XS21922-923 T81509S21922-923
T65224D23949-950 T7529XA21922-923 T81510A15793
T65224S21922-923 T7529XD23949-950 T81510A21919-921
T65291A21917-918 T7529XS21922-923 T81510D23949-950
T65291D23949-950 T753XXA03149 T81510S21922-923
T65291S21922-923 T753XXD23949-950 T81511A15793
T65292A21917-918 T753XXS21922-923 T81511A21919-921
T65292D23949-950 T754XXA21922-923 T81511D23949-950
T65292S21922-923 T754XXD23949-950 T81511S21922-923
T65293A21917-918 T754XXS21922-923 T81512A15793
T65293D23949-950 T7581XA21922-923 T81512A21919-921
T65293S21922-923 T7581XD23949-950 T81512D23949-950
T65294A21917-918 T7581XS21922-923 T81512S21922-923
T65294D23949-950 T7582XA21922-923 T81513A15793
T65294S21922-923 T7582XD23949-950 T81513A21919-921
T653X1A21917-918 T7582XS21922-923 T81513D23949-950
T653X1D23949-950 T7589XA21922-923 T81513S21922-923
T653X1S21922-923 T7589XD23949-950 T81514A15793
T653X2A21917-918 T7589XS21922-923 T81514A21919-921
T653X2D23949-950 T7601XA21922-923 T81514D23949-950
T653X2S21922-923 T7601XD23949-950 T81514S21922-923
T653X3A21917-918 T7601XS21922-923 T81515A15793
T653X3D23949-950 T7602XA21922-923 T81515A21919-921
T653X3S21922-923 T7602XD23949-950 T81515D23949-950
T653X4A21917-918 T7602XS21922-923 T81515S21922-923
T653X4D23949-950 T7611XA21922-923 T81516A15793
T653X4S21922-923 T7611XD23949-950 T81516A21919-921
T654X1A21917-918 T7611XS21922-923 T81516D23949-950
T654X1D23949-950 T7612XA21922-923 T81516S21922-923
T654X1S21922-923 T7612XD23949-950 T81517A15793
T654X2A21917-918 T7612XS21922-923 T81517A21919-921
T654X2D23949-950 T7621XA21922-923 T81517D23949-950
T654X2S21922-923 T7621XD23949-950 T81517S21922-923
T654X3A21917-918 T7621XS21922-923 T81518A15793
T654X3D23949-950 T7622XA21922-923 T81518A21919-921
T654X3S21922-923 T7622XD23949-950 T81518D23949-950
T654X4A21917-918 T7622XS21922-923 T81518S21922-923
T654X4D23949-950 T7631XA21922-923 T81519A15793
T654X4S21922-923 T7631XD23949-950 T81519A21919-921



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