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 |
DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
---|---|---|---|---|---|---|---|---|---|---|
T63303D | 23 | 949-950 | T655X1A | 21 | 917-918 | T7631XS | 21 | 922-923 | ||
T63303S | 21 | 922-923 | T655X1D | 23 | 949-950 | T7632XA | 21 | 922-923 | ||
T63304A | 21 | 917-918 | T655X1S | 21 | 922-923 | T7632XD | 23 | 949-950 | ||
T63304D | 23 | 949-950 | T655X2A | 21 | 917-918 | T7632XS | 21 | 922-923 | ||
T63304S | 21 | 922-923 | T655X2D | 23 | 949-950 | T7691XA | 21 | 922-923 | ||
T63311A | 21 | 917-918 | T655X2S | 21 | 922-923 | T7691XD | 23 | 949-950 | ||
T63311D | 23 | 949-950 | T655X3A | 21 | 917-918 | T7691XS | 21 | 922-923 | ||
T63311S | 21 | 922-923 | T655X3D | 23 | 949-950 | T7692XA | 21 | 922-923 | ||
T63312A | 21 | 917-918 | T655X3S | 21 | 922-923 | T7692XD | 23 | 949-950 | ||
T63312D | 23 | 949-950 | T655X4A | 21 | 917-918 | T7692XS | 21 | 922-923 | ||
T63312S | 21 | 922-923 | T655X4D | 23 | 949-950 | T7800XA | 21 | 915-916 | ||
T63313A | 21 | 917-918 | T655X4S | 21 | 922-923 | T7800XD | 23 | 949-950 | ||
T63313D | 23 | 949-950 | T656X1A | 21 | 917-918 | T7800XS | 21 | 922-923 | ||
T63313S | 21 | 922-923 | T656X1D | 23 | 949-950 | T7801XA | 21 | 915-916 | ||
T63314A | 21 | 917-918 | T656X1S | 21 | 922-923 | T7801XD | 23 | 949-950 | ||
T63314D | 23 | 949-950 | T656X2A | 21 | 917-918 | T7801XS | 21 | 922-923 | ||
T63314S | 21 | 922-923 | T656X2D | 23 | 949-950 | T7802XA | 21 | 915-916 | ||
T63321A | 21 | 917-918 | T656X2S | 21 | 922-923 | T7802XD | 23 | 949-950 | ||
T63321D | 23 | 949-950 | T656X3A | 21 | 917-918 | T7802XS | 21 | 922-923 | ||
T63321S | 21 | 922-923 | T656X3D | 23 | 949-950 | T7803XA | 21 | 915-916 | ||
T63322A | 21 | 917-918 | T656X3S | 21 | 922-923 | T7803XD | 23 | 949-950 | ||
T63322D | 23 | 949-950 | T656X4A | 21 | 917-918 | T7803XS | 21 | 922-923 | ||
T63322S | 21 | 922-923 | T656X4D | 23 | 949-950 | T7804XA | 21 | 915-916 | ||
T63323A | 21 | 917-918 | T656X4S | 21 | 922-923 | T7804XD | 23 | 949-950 | ||
T63323D | 23 | 949-950 | T65811A | 21 | 917-918 | T7804XS | 21 | 922-923 | ||
T63323S | 21 | 922-923 | T65811D | 23 | 949-950 | T7805XA | 21 | 915-916 | ||
T63324A | 21 | 917-918 | T65811S | 21 | 922-923 | T7805XD | 23 | 949-950 | ||
T63324D | 23 | 949-950 | T65812A | 21 | 917-918 | T7805XS | 21 | 922-923 | ||
T63324S | 21 | 922-923 | T65812D | 23 | 949-950 | T7806XA | 21 | 915-916 | ||
T63331A | 21 | 917-918 | T65812S | 21 | 922-923 | T7806XD | 23 | 949-950 | ||
T63331D | 23 | 949-950 | T65813A | 21 | 917-918 | T7806XS | 21 | 922-923 | ||
T63331S | 21 | 922-923 | T65813D | 23 | 949-950 | T7807XA | 21 | 915-916 | ||
T63332A | 21 | 917-918 | T65813S | 21 | 922-923 | T7807XD | 23 | 949-950 | ||
T63332D | 23 | 949-950 | T65814A | 21 | 917-918 | T7807XS | 21 | 922-923 | ||
T63332S | 21 | 922-923 | T65814D | 23 | 949-950 | T7808XA | 21 | 915-916 | ||
T63333A | 21 | 917-918 | T65814S | 21 | 922-923 | T7808XD | 23 | 949-950 | ||
T63333D | 23 | 949-950 | T65821A | 21 | 917-918 | T7808XS | 21 | 922-923 | ||
T63333S | 21 | 922-923 | T65821D | 23 | 949-950 | T7809XA | 21 | 915-916 | ||
T63334A | 21 | 917-918 | T65821S | 21 | 922-923 | T7809XD | 23 | 949-950 | ||
T63334D | 23 | 949-950 | T65822A | 21 | 917-918 | T7809XS | 21 | 922-923 | ||
T63334S | 21 | 922-923 | T65822D | 23 | 949-950 | T781XXA | 21 | 922-923 | ||
T63391A | 21 | 917-918 | T65822S | 21 | 922-923 | T781XXD | 23 | 949-950 | ||
T63391D | 23 | 949-950 | T65823A | 21 | 917-918 | T781XXS | 21 | 922-923 | ||
T63391S | 21 | 922-923 | T65823D | 23 | 949-950 | T782XXA | 21 | 915-916 | ||
T63392A | 21 | 917-918 | T65823S | 21 | 922-923 | T782XXD | 23 | 949-950 | ||
T63392D | 23 | 949-950 | T65824A | 21 | 917-918 | T782XXS | 21 | 922-923 | ||
T63392S | 21 | 922-923 | T65824D | 23 | 949-950 | T783XXA | 21 | 915-916 | ||
T63393A | 21 | 917-918 | T65824S | 21 | 922-923 | T783XXD | 23 | 949-950 | ||
T63393D | 23 | 949-950 | T65831A | 21 | 917-918 | T783XXS | 21 | 922-923 | ||
T63393S | 21 | 922-923 | T65831D | 23 | 949-950 | T7840XA | 21 | 915-916 | ||
T63394A | 21 | 917-918 | T65831S | 21 | 922-923 | T7840XD | 23 | 949-950 | ||
T63394D | 23 | 949-950 | T65832A | 21 | 917-918 | T7840XS | 21 | 922-923 | ||
T63394S | 21 | 922-923 | T65832D | 23 | 949-950 | T7841XA | 15 | 793 | ||
T63411A | 21 | 917-918 | T65832S | 21 | 922-923 | T7841XA | 21 | 917-918 | ||
T63411D | 23 | 949-950 | T65833A | 21 | 917-918 | T7841XD | 23 | 949-950 | ||
T63411S | 21 | 922-923 | T65833D | 23 | 949-950 | T7841XS | 21 | 922-923 | ||
T63412A | 21 | 917-918 | T65833S | 21 | 922-923 | T7849XA | 21 | 915-916 | ||
T63412D | 23 | 949-950 | T65834A | 21 | 917-918 | T7849XD | 23 | 949-950 | ||
T63412S | 21 | 922-923 | T65834D | 23 | 949-950 | T7849XS | 21 | 922-923 | ||
T63413A | 21 | 917-918 | T65834S | 21 | 922-923 | T788XXA | 21 | 922-923 | ||
T63413D | 23 | 949-950 | T65891A | 21 | 917-918 | T788XXD | 23 | 949-950 | ||
T63413S | 21 | 922-923 | T65891D | 23 | 949-950 | T788XXS | 21 | 922-923 | ||
T63414A | 21 | 917-918 | T65891S | 21 | 922-923 | T790XXA | 04 | 175-176 | ||
T63414D | 23 | 949-950 | T65892A | 21 | 917-918 | T790XXA | 15 | 793 | ||
T63414S | 21 | 922-923 | T65892D | 23 | 949-950 | T790XXA | 24 | 955-965 | ||
T63421A | 21 | 917-918 | T65892S | 21 | 922-923 | T790XXD | 23 | 949-950 | ||
T63421D | 23 | 949-950 | T65893A | 21 | 917-918 | T790XXS | 21 | 913-914 | ||
T63421S | 21 | 922-923 | T65893D | 23 | 949-950 | T791XXA | 04 | 175-176 | ||
T63422A | 21 | 917-918 | T65893S | 21 | 922-923 | T791XXA | 15 | 793 | ||
T63422D | 23 | 949-950 | T65894A | 21 | 917-918 | T791XXA | 24 | 955-965 | ||
T63422S | 21 | 922-923 | T65894D | 23 | 949-950 | T791XXD | 23 | 949-950 | ||
T63423A | 21 | 917-918 | T65894S | 21 | 922-923 | T791XXS | 21 | 913-914 | ||
T63423D | 23 | 949-950 | T6591XA | 21 | 917-918 | T792XXA | 15 | 793 | ||
T63423S | 21 | 922-923 | T6591XD | 23 | 949-950 | T792XXA | 21 | 922-923 | ||
T63424A | 21 | 917-918 | T6591XS | 21 | 922-923 | T792XXA | 24 | 955-965 | ||
T63424D | 23 | 949-950 | T6592XA | 21 | 917-918 | T792XXD | 23 | 949-950 | ||
T63424S | 21 | 922-923 | T6592XD | 23 | 949-950 | T792XXS | 21 | 913-914 | ||
T63431A | 21 | 917-918 | T6592XS | 21 | 922-923 | T794XXA | 15 | 793 | ||
T63431D | 23 | 949-950 | T6593XA | 21 | 917-918 | T794XXA | 21 | 922-923 | ||
T63431S | 21 | 922-923 | T6593XD | 23 | 949-950 | T794XXA | 24 | 955-965 | ||
T63432A | 21 | 917-918 | T6593XS | 21 | 922-923 | T794XXD | 23 | 949-950 | ||
T63432D | 23 | 949-950 | T6594XA | 21 | 917-918 | T794XXS | 21 | 913-914 | ||
T63432S | 21 | 922-923 | T6594XD | 23 | 949-950 | T795XXA | 11 | 673-675 | ||
T63433A | 21 | 917-918 | T6594XS | 21 | 922-923 | T795XXA | 11 | 682-684 | ||
T63433D | 23 | 949-950 | T66XXXA | 21 | 922-923 | T795XXA | 15 | 793 | ||
T63433S | 21 | 922-923 | T66XXXD | 23 | 949-950 | T795XXA | 24 | 955-965 | ||
T63434A | 21 | 917-918 | T66XXXS | 21 | 922-923 | T795XXD | 23 | 949-950 | ||
T63434D | 23 | 949-950 | T670XXA | 21 | 922-923 | T795XXS | 21 | 913-914 | ||
T63434S | 21 | 922-923 | T670XXD | 23 | 949-950 | T796XXA | 08 | 564-566 | ||
T63441A | 21 | 917-918 | T670XXS | 21 | 922-923 | T796XXA | 24 | 955-965 | ||
T63441D | 23 | 949-950 | T671XXA | 21 | 922-923 | T796XXD | 23 | 949-950 | ||
T63441S | 21 | 922-923 | T671XXD | 23 | 949-950 | T796XXS | 21 | 913-914 | ||
T63442A | 21 | 917-918 | T671XXS | 21 | 922-923 | T797XXA | 04 | 199-201 | ||
T63442D | 23 | 949-950 | T672XXA | 21 | 922-923 | T797XXA | 15 | 793 | ||
T63442S | 21 | 922-923 | T672XXD | 23 | 949-950 | T797XXA | 24 | 955-965 | ||
T63443A | 21 | 917-918 | T672XXS | 21 | 922-923 | T797XXD | 23 | 949-950 | ||
T63443D | 23 | 949-950 | T673XXA | 21 | 922-923 | T797XXS | 21 | 913-914 | ||
T63443S | 21 | 922-923 | T673XXD | 23 | 949-950 | T798XXA | 21 | 922-923 | ||
T63444A | 21 | 917-918 | T673XXS | 21 | 922-923 | T798XXA | 24 | 955-965 | ||
T63444D | 23 | 949-950 | T674XXA | 21 | 922-923 | T798XXD | 23 | 949-950 | ||
T63444S | 21 | 922-923 | T674XXD | 23 | 949-950 | T798XXS | 21 | 913-914 | ||
T63451A | 21 | 917-918 | T674XXS | 21 | 922-923 | T799XXA | 21 | 922-923 | ||
T63451D | 23 | 949-950 | T675XXA | 21 | 922-923 | T799XXA | 24 | 955-965 | ||
T63451S | 21 | 922-923 | T675XXD | 23 | 949-950 | T799XXD | 23 | 949-950 | ||
T63452A | 21 | 917-918 | T675XXS | 21 | 922-923 | T799XXS | 21 | 913-914 | ||
T63452D | 23 | 949-950 | T676XXA | 21 | 922-923 | T79A0XA | 21 | 922-923 | ||
T63452S | 21 | 922-923 | T676XXD | 23 | 949-950 | T79A0XA | 24 | 955-965 | ||
T63453A | 21 | 917-918 | T676XXS | 21 | 922-923 | T79A0XD | 23 | 949-950 | ||
T63453D | 23 | 949-950 | T677XXA | 21 | 922-923 | T79A0XS | 21 | 913-914 | ||
T63453S | 21 | 922-923 | T677XXD | 23 | 949-950 | T79A11A | 21 | 922-923 | ||
T63454A | 21 | 917-918 | T677XXS | 21 | 922-923 | T79A11A | 24 | 955-965 | ||
T63454D | 23 | 949-950 | T678XXA | 21 | 922-923 | T79A11D | 23 | 949-950 | ||
T63454S | 21 | 922-923 | T678XXD | 23 | 949-950 | T79A11S | 21 | 913-914 | ||
T63461A | 21 | 917-918 | T678XXS | 21 | 922-923 | T79A12A | 21 | 922-923 | ||
T63461D | 23 | 949-950 | T679XXA | 21 | 922-923 | T79A12A | 24 | 955-965 | ||
T63461S | 21 | 922-923 | T679XXD | 23 | 949-950 | T79A12D | 23 | 949-950 | ||
T63462A | 21 | 917-918 | T679XXS | 21 | 922-923 | T79A12S | 21 | 913-914 | ||
T63462D | 23 | 949-950 | T68XXXA | 21 | 922-923 | T79A19A | 21 | 922-923 | ||
T63462S | 21 | 922-923 | T68XXXD | 23 | 949-950 | T79A19A | 24 | 955-965 | ||
T63463A | 21 | 917-918 | T68XXXS | 21 | 922-923 | T79A19D | 23 | 949-950 | ||
T63463D | 23 | 949-950 | T69011A | 21 | 922-923 | T79A19S | 21 | 913-914 | ||
T63463S | 21 | 922-923 | T69011D | 23 | 949-950 | T79A21A | 21 | 922-923 | ||
T63464A | 21 | 917-918 | T69011S | 21 | 922-923 | T79A21A | 24 | 955-965 | ||
T63464D | 23 | 949-950 | T69012A | 21 | 922-923 | T79A21D | 23 | 949-950 | ||
T63464S | 21 | 922-923 | T69012D | 23 | 949-950 | T79A21S | 21 | 913-914 | ||
T63481A | 21 | 917-918 | T69012S | 21 | 922-923 | T79A22A | 21 | 922-923 | ||
T63481D | 23 | 949-950 | T69019A | 21 | 922-923 | T79A22A | 24 | 955-965 | ||
T63481S | 21 | 922-923 | T69019D | 23 | 949-950 | T79A22D | 23 | 949-950 | ||
T63482A | 21 | 917-918 | T69019S | 21 | 922-923 | T79A22S | 21 | 913-914 | ||
T63482D | 23 | 949-950 | T69021A | 21 | 922-923 | T79A29A | 21 | 922-923 | ||
T63482S | 21 | 922-923 | T69021D | 23 | 949-950 | T79A29A | 24 | 955-965 | ||
T63483A | 21 | 917-918 | T69021S | 21 | 922-923 | T79A29D | 23 | 949-950 | ||
T63483D | 23 | 949-950 | T69022A | 21 | 922-923 | T79A29S | 21 | 913-914 | ||
T63483S | 21 | 922-923 | T69022D | 23 | 949-950 | T79A3XA | 21 | 922-923 | ||
T63484A | 21 | 917-918 | T69022S | 21 | 922-923 | T79A3XA | 24 | 955-965 | ||
T63484D | 23 | 949-950 | T69029A | 21 | 922-923 | T79A3XD | 23 | 949-950 | ||
T63484S | 21 | 922-923 | T69029D | 23 | 949-950 | T79A3XS | 21 | 913-914 | ||
T63511A | 21 | 917-918 | T69029S | 21 | 922-923 | T79A9XA | 21 | 922-923 | ||
T63511D | 23 | 949-950 | T691XXA | 21 | 922-923 | T79A9XA | 24 | 955-965 | ||
T63511S | 21 | 922-923 | T691XXD | 23 | 949-950 | T79A9XD | 23 | 949-950 | ||
T63512A | 21 | 917-918 | T691XXS | 21 | 922-923 | T79A9XS | 21 | 913-914 | ||
T63512D | 23 | 949-950 | T698XXA | 21 | 922-923 | T800XXA | 04 | 175-176 | ||
T63512S | 21 | 922-923 | T698XXD | 23 | 949-950 | T800XXA | 15 | 793 | ||
T63513A | 21 | 917-918 | T698XXS | 21 | 922-923 | T800XXD | 23 | 949-950 | ||
T63513D | 23 | 949-950 | T699XXA | 21 | 922-923 | T800XXS | 21 | 922-923 | ||
T63513S | 21 | 922-923 | T699XXD | 23 | 949-950 | T801XXA | 05 | 314-316 | ||
T63514A | 21 | 917-918 | T699XXS | 21 | 922-923 | T801XXA | 15 | 793 | ||
T63514D | 23 | 949-950 | T700XXA | 03 | 152-153 | T801XXD | 23 | 949-950 | ||
T63514S | 21 | 922-923 | T700XXD | 23 | 949-950 | T801XXS | 21 | 922-923 | ||
T63591A | 21 | 917-918 | T700XXS | 21 | 922-923 | T80211A | 05 | 314-316 | ||
T63591D | 23 | 949-950 | T701XXA | 03 | 152-153 | T80211D | 23 | 949-950 | ||
T63591S | 21 | 922-923 | T701XXD | 23 | 949-950 | T80211S | 21 | 922-923 | ||
T63592A | 21 | 917-918 | T701XXS | 21 | 922-923 | T80212A | 05 | 314-316 | ||
T63592D | 23 | 949-950 | T7020XA | 21 | 922-923 | T80212D | 23 | 949-950 | ||
T63592S | 21 | 922-923 | T7020XD | 23 | 949-950 | T80212S | 21 | 922-923 | ||
T63593A | 21 | 917-918 | T7020XS | 21 | 922-923 | T80218A | 05 | 314-316 | ||
T63593D | 23 | 949-950 | T7029XA | 21 | 922-923 | T80218D | 23 | 949-950 | ||
T63593S | 21 | 922-923 | T7029XD | 23 | 949-950 | T80218S | 21 | 922-923 | ||
T63594A | 21 | 917-918 | T7029XS | 21 | 922-923 | T80219A | 05 | 314-316 | ||
T63594D | 23 | 949-950 | T703XXA | 21 | 922-923 | T80219D | 23 | 949-950 | ||
T63594S | 21 | 922-923 | T703XXD | 23 | 949-950 | T80219S | 21 | 922-923 | ||
T63611A | 21 | 917-918 | T703XXS | 21 | 922-923 | T8022XA | 15 | 793 | ||
T63611D | 23 | 949-950 | T704XXA | 21 | 922-923 | T8022XA | 18 | 853-855 | ||
T63611S | 21 | 922-923 | T704XXD | 23 | 949-950 | T8022XA | 18 | 856-858 | ||
T63612A | 21 | 917-918 | T704XXS | 21 | 922-923 | T8022XA | 18 | 867-869 | ||
T63612D | 23 | 949-950 | T708XXA | 21 | 922-923 | T8022XD | 23 | 949-950 | ||
T63612S | 21 | 922-923 | T708XXD | 23 | 949-950 | T8022XS | 21 | 922-923 | ||
T63613A | 21 | 917-918 | T708XXS | 21 | 922-923 | T8029XA | 15 | 793 | ||
T63613D | 23 | 949-950 | T709XXA | 21 | 922-923 | T8029XA | 18 | 853-855 | ||
T63613S | 21 | 922-923 | T709XXD | 23 | 949-950 | T8029XA | 18 | 856-858 | ||
T63614A | 21 | 917-918 | T709XXS | 21 | 922-923 | T8029XA | 18 | 867-869 | ||
T63614D | 23 | 949-950 | T71111A | 21 | 922-923 | T8029XD | 23 | 949-950 | ||
T63614S | 21 | 922-923 | T71111D | 23 | 949-950 | T8029XS | 21 | 922-923 | ||
T63621A | 21 | 917-918 | T71111S | 21 | 922-923 | T8030XA | 15 | 793 | ||
T63621D | 23 | 949-950 | T71112A | 21 | 922-923 | T8030XA | 16 | 811-812 | ||
T63621S | 21 | 922-923 | T71112D | 23 | 949-950 | T8030XD | 23 | 949-950 | ||
T63622A | 21 | 917-918 | T71112S | 21 | 922-923 | T8030XS | 21 | 922-923 | ||
T63622D | 23 | 949-950 | T71113A | 21 | 922-923 | T80310A | 15 | 793 | ||
T63622S | 21 | 922-923 | T71113D | 23 | 949-950 | T80310A | 16 | 811-812 | ||
T63623A | 21 | 917-918 | T71113S | 21 | 922-923 | T80310D | 23 | 949-950 | ||
T63623D | 23 | 949-950 | T71114A | 21 | 922-923 | T80310S | 21 | 922-923 | ||
T63623S | 21 | 922-923 | T71114D | 23 | 949-950 | T80311A | 15 | 793 | ||
T63624A | 21 | 917-918 | T71114S | 21 | 922-923 | T80311A | 16 | 811-812 | ||
T63624D | 23 | 949-950 | T71121A | 21 | 922-923 | T80311D | 23 | 949-950 | ||
T63624S | 21 | 922-923 | T71121D | 23 | 949-950 | T80311S | 21 | 922-923 | ||
T63631A | 21 | 917-918 | T71121S | 21 | 922-923 | T80319A | 15 | 793 | ||
T63631D | 23 | 949-950 | T71122A | 21 | 922-923 | T80319A | 16 | 811-812 | ||
T63631S | 21 | 922-923 | T71122D | 23 | 949-950 | T80319D | 23 | 949-950 | ||
T63632A | 21 | 917-918 | T71122S | 21 | 922-923 | T80319S | 21 | 922-923 | ||
T63632D | 23 | 949-950 | T71123A | 21 | 922-923 | T8039XA | 15 | 793 | ||
T63632S | 21 | 922-923 | T71123D | 23 | 949-950 | T8039XA | 16 | 811-812 | ||
T63633A | 21 | 917-918 | T71123S | 21 | 922-923 | T8039XD | 23 | 949-950 | ||
T63633D | 23 | 949-950 | T71124A | 21 | 922-923 | T8039XS | 21 | 922-923 | ||
T63633S | 21 | 922-923 | T71124D | 23 | 949-950 | T8040XA | 15 | 793 | ||
T63634A | 21 | 917-918 | T71124S | 21 | 922-923 | T8040XA | 16 | 811-812 | ||
T63634D | 23 | 949-950 | T71131A | 21 | 922-923 | T8040XD | 23 | 949-950 | ||
T63634S | 21 | 922-923 | T71131D | 23 | 949-950 | T8040XS | 21 | 922-923 | ||
T63691A | 21 | 917-918 | T71131S | 21 | 922-923 | T80410A | 15 | 793 | ||
T63691D | 23 | 949-950 | T71132A | 21 | 922-923 | T80410A | 16 | 811-812 | ||
T63691S | 21 | 922-923 | T71132D | 23 | 949-950 | T80410D | 23 | 949-950 | ||
T63692A | 21 | 917-918 | T71132S | 21 | 922-923 | T80410S | 21 | 922-923 | ||
T63692D | 23 | 949-950 | T71133A | 21 | 922-923 | T80411A | 15 | 793 | ||
T63692S | 21 | 922-923 | T71133D | 23 | 949-950 | T80411A | 16 | 811-812 | ||
T63693A | 21 | 917-918 | T71133S | 21 | 922-923 | T80411D | 23 | 949-950 | ||
T63693D | 23 | 949-950 | T71134A | 21 | 922-923 | T80411S | 21 | 922-923 | ||
T63693S | 21 | 922-923 | T71134D | 23 | 949-950 | T80419A | 15 | 793 | ||
T63694A | 21 | 917-918 | T71134S | 21 | 922-923 | T80419A | 16 | 811-812 | ||
T63694D | 23 | 949-950 | T71141A | 21 | 922-923 | T80419D | 23 | 949-950 | ||
T63694S | 21 | 922-923 | T71141D | 23 | 949-950 | T80419S | 21 | 922-923 | ||
T63711A | 21 | 917-918 | T71141S | 21 | 922-923 | T8049XA | 15 | 793 | ||
T63711D | 23 | 949-950 | T71143A | 21 | 922-923 | T8049XA | 16 | 811-812 | ||
T63711S | 21 | 922-923 | T71143D | 23 | 949-950 | T8049XD | 23 | 949-950 | ||
T63712A | 21 | 917-918 | T71143S | 21 | 922-923 | T8049XS | 21 | 922-923 | ||
T63712D | 23 | 949-950 | T71144A | 21 | 922-923 | T8051XA | 15 | 793 | ||
T63712S | 21 | 922-923 | T71144D | 23 | 949-950 | T8051XA | 21 | 915-916 | ||
T63713A | 21 | 917-918 | T71144S | 21 | 922-923 | T8051XD | 23 | 949-950 | ||
T63713D | 23 | 949-950 | T71151A | 21 | 922-923 | T8051XS | 21 | 922-923 | ||
T63713S | 21 | 922-923 | T71151D | 23 | 949-950 | T8052XA | 15 | 793 | ||
T63714A | 21 | 917-918 | T71151S | 21 | 922-923 | T8052XA | 21 | 915-916 | ||
T63714D | 23 | 949-950 | T71152A | 21 | 922-923 | T8052XD | 23 | 949-950 | ||
T63714S | 21 | 922-923 | T71152D | 23 | 949-950 | T8052XS | 21 | 922-923 | ||
T63791A | 21 | 917-918 | T71152S | 21 | 922-923 | T8059XA | 15 | 793 | ||
T63791D | 23 | 949-950 | T71153A | 21 | 922-923 | T8059XA | 21 | 915-916 | ||
T63791S | 21 | 922-923 | T71153D | 23 | 949-950 | T8059XD | 23 | 949-950 | ||
T63792A | 21 | 917-918 | T71153S | 21 | 922-923 | T8059XS | 21 | 922-923 | ||
T63792D | 23 | 949-950 | T71154A | 21 | 922-923 | T8061XA | 15 | 793 | ||
T63792S | 21 | 922-923 | T71154D | 23 | 949-950 | T8061XA | 21 | 915-916 | ||
T63793A | 21 | 917-918 | T71154S | 21 | 922-923 | T8061XD | 23 | 949-950 | ||
T63793D | 23 | 949-950 | T71161A | 21 | 922-923 | T8061XS | 21 | 922-923 | ||
T63793S | 21 | 922-923 | T71161D | 23 | 949-950 | T8062XA | 15 | 793 | ||
T63794A | 21 | 917-918 | T71161S | 21 | 922-923 | T8062XA | 21 | 915-916 | ||
T63794D | 23 | 949-950 | T71162A | 21 | 922-923 | T8062XD | 23 | 949-950 | ||
T63794S | 21 | 922-923 | T71162D | 23 | 949-950 | T8062XS | 21 | 922-923 | ||
T63811A | 21 | 917-918 | T71162S | 21 | 922-923 | T8069XA | 15 | 793 | ||
T63811D | 23 | 949-950 | T71163A | 21 | 922-923 | T8069XA | 21 | 915-916 | ||
T63811S | 21 | 922-923 | T71163D | 23 | 949-950 | T8069XD | 23 | 949-950 | ||
T63812A | 21 | 917-918 | T71163S | 21 | 922-923 | T8069XS | 21 | 922-923 | ||
T63812D | 23 | 949-950 | T71164A | 21 | 922-923 | T80810A | 05 | 314-316 | ||
T63812S | 21 | 922-923 | T71164D | 23 | 949-950 | T80810A | 15 | 793 | ||
T63813A | 21 | 917-918 | T71164S | 21 | 922-923 | T80810D | 23 | 949-950 | ||
T63813D | 23 | 949-950 | T71191A | 21 | 922-923 | T80810S | 21 | 922-923 | ||
T63813S | 21 | 922-923 | T71191D | 23 | 949-950 | T80818A | 05 | 314-316 | ||
T63814A | 21 | 917-918 | T71191S | 21 | 922-923 | T80818A | 15 | 793 | ||
T63814D | 23 | 949-950 | T71192A | 21 | 922-923 | T80818D | 23 | 949-950 | ||
T63814S | 21 | 922-923 | T71192D | 23 | 949-950 | T80818S | 21 | 922-923 | ||
T63821A | 21 | 917-918 | T71192S | 21 | 922-923 | T8089XA | 15 | 793 | ||
T63821D | 23 | 949-950 | T71193A | 21 | 922-923 | T8089XA | 16 | 811-812 | ||
T63821S | 21 | 922-923 | T71193D | 23 | 949-950 | T8089XD | 23 | 949-950 | ||
T63822A | 21 | 917-918 | T71193S | 21 | 922-923 | T8089XS | 21 | 922-923 | ||
T63822D | 23 | 949-950 | T71194A | 21 | 922-923 | T8090XA | 05 | 314-316 | ||
T63822S | 21 | 922-923 | T71194D | 23 | 949-950 | T8090XA | 15 | 793 | ||
T63823A | 21 | 917-918 | T71194S | 21 | 922-923 | T8090XD | 23 | 949-950 | ||
T63823D | 23 | 949-950 | T7120XA | 21 | 922-923 | T8090XS | 21 | 922-923 | ||
T63823S | 21 | 922-923 | T7120XD | 23 | 949-950 | T80910A | 15 | 793 | ||
T63824A | 21 | 917-918 | T7120XS | 21 | 922-923 | T80910A | 16 | 811-812 | ||
T63824D | 23 | 949-950 | T7121XA | 21 | 922-923 | T80910D | 23 | 949-950 | ||
T63824S | 21 | 922-923 | T7121XD | 23 | 949-950 | T80910S | 21 | 922-923 | ||
T63831A | 21 | 917-918 | T7121XS | 21 | 922-923 | T80911A | 15 | 793 | ||
T63831D | 23 | 949-950 | T71221A | 21 | 922-923 | T80911A | 16 | 811-812 | ||
T63831S | 21 | 922-923 | T71221D | 23 | 949-950 | T80911D | 23 | 949-950 | ||
T63832A | 21 | 917-918 | T71221S | 21 | 922-923 | T80911S | 21 | 922-923 | ||
T63832D | 23 | 949-950 | T71222A | 21 | 922-923 | T80919A | 15 | 793 | ||
T63832S | 21 | 922-923 | T71222D | 23 | 949-950 | T80919A | 16 | 811-812 | ||
T63833A | 21 | 917-918 | T71222S | 21 | 922-923 | T80919D | 23 | 949-950 | ||
T63833D | 23 | 949-950 | T71223A | 21 | 922-923 | T80919S | 21 | 922-923 | ||
T63833S | 21 | 922-923 | T71223D | 23 | 949-950 | T8092XA | 15 | 793 | ||
T63834A | 21 | 917-918 | T71223S | 21 | 922-923 | T8092XA | 16 | 811-812 | ||
T63834D | 23 | 949-950 | T71224A | 21 | 922-923 | T8092XD | 23 | 949-950 | ||
T63834S | 21 | 922-923 | T71224D | 23 | 949-950 | T8092XS | 21 | 922-923 | ||
T63891A | 21 | 917-918 | T71224S | 21 | 922-923 | T80A0XA | 15 | 793 | ||
T63891D | 23 | 949-950 | T71231A | 21 | 922-923 | T80A0XA | 16 | 811-812 | ||
T63891S | 21 | 922-923 | T71231D | 23 | 949-950 | T80A0XD | 23 | 949-950 | ||
T63892A | 21 | 917-918 | T71231S | 21 | 922-923 | T80A0XS | 21 | 922-923 | ||
T63892D | 23 | 949-950 | T71232A | 21 | 922-923 | T80A10A | 15 | 793 | ||
T63892S | 21 | 922-923 | T71232D | 23 | 949-950 | T80A10A | 16 | 811-812 | ||
T63893A | 21 | 917-918 | T71232S | 21 | 922-923 | T80A10D | 23 | 949-950 | ||
T63893D | 23 | 949-950 | T71233A | 21 | 922-923 | T80A10S | 21 | 922-923 | ||
T63893S | 21 | 922-923 | T71233D | 23 | 949-950 | T80A11A | 15 | 793 | ||
T63894A | 21 | 917-918 | T71233S | 21 | 922-923 | T80A11A | 16 | 811-812 | ||
T63894D | 23 | 949-950 | T71234A | 21 | 922-923 | T80A11D | 23 | 949-950 | ||
T63894S | 21 | 922-923 | T71234D | 23 | 949-950 | T80A11S | 21 | 922-923 | ||
T6391XA | 21 | 917-918 | T71234S | 21 | 922-923 | T80A19A | 15 | 793 | ||
T6391XD | 23 | 949-950 | T7129XA | 21 | 922-923 | T80A19A | 16 | 811-812 | ||
T6391XS | 21 | 922-923 | T7129XD | 23 | 949-950 | T80A19D | 23 | 949-950 | ||
T6392XA | 21 | 917-918 | T7129XS | 21 | 922-923 | T80A19S | 21 | 922-923 | ||
T6392XD | 23 | 949-950 | T719XXA | 21 | 922-923 | T80A9XA | 15 | 793 | ||
T6392XS | 21 | 922-923 | T719XXD | 23 | 949-950 | T80A9XA | 16 | 811-812 | ||
T6393XA | 21 | 917-918 | T719XXS | 21 | 922-923 | T80A9XD | 23 | 949-950 | ||
T6393XD | 23 | 949-950 | T730XXA | 21 | 922-923 | T80A9XS | 21 | 922-923 | ||
T6393XS | 21 | 922-923 | T730XXD | 23 | 949-950 | T8110XA | 15 | 793 | ||
T6394XA | 21 | 917-918 | T730XXS | 21 | 922-923 | T8110XA | 21 | 919-921 | ||
T6394XD | 23 | 949-950 | T731XXA | 21 | 922-923 | T8110XD | 23 | 949-950 | ||
T6394XS | 21 | 922-923 | T731XXD | 23 | 949-950 | T8110XS | 21 | 922-923 | ||
T6401XA | 21 | 917-918 | T731XXS | 21 | 922-923 | T8111XA | 15 | 793 | ||
T6401XD | 23 | 949-950 | T732XXA | 21 | 922-923 | T8111XA | 21 | 919-921 | ||
T6401XS | 21 | 922-923 | T732XXD | 23 | 949-950 | T8111XD | 23 | 949-950 | ||
T6402XA | 21 | 917-918 | T732XXS | 21 | 922-923 | T8111XS | 21 | 922-923 | ||
T6402XD | 23 | 949-950 | T733XXA | 21 | 922-923 | T8112XA | 15 | 793 | ||
T6402XS | 21 | 922-923 | T733XXD | 23 | 949-950 | T8112XA | 21 | 919-921 | ||
T6403XA | 21 | 917-918 | T733XXS | 21 | 922-923 | T8112XD | 23 | 949-950 | ||
T6403XD | 23 | 949-950 | T738XXA | 21 | 922-923 | T8112XS | 21 | 922-923 | ||
T6403XS | 21 | 922-923 | T738XXD | 23 | 949-950 | T8119XA | 15 | 793 | ||
T6404XA | 21 | 917-918 | T738XXS | 21 | 922-923 | T8119XA | 21 | 919-921 | ||
T6404XD | 23 | 949-950 | T739XXA | 21 | 922-923 | T8119XD | 23 | 949-950 | ||
T6404XS | 21 | 922-923 | T739XXD | 23 | 949-950 | T8119XS | 21 | 922-923 | ||
T6481XA | 21 | 917-918 | T739XXS | 21 | 922-923 | T8130XA | 21 | 919-921 | ||
T6481XD | 23 | 949-950 | T7401XA | 21 | 922-923 | T8130XD | 23 | 949-950 | ||
T6481XS | 21 | 922-923 | T7401XD | 23 | 949-950 | T8130XS | 21 | 922-923 | ||
T6482XA | 21 | 917-918 | T7401XS | 21 | 922-923 | T8131XA | 21 | 919-921 | ||
T6482XD | 23 | 949-950 | T7402XA | 21 | 922-923 | T8131XD | 23 | 949-950 | ||
T6482XS | 21 | 922-923 | T7402XD | 23 | 949-950 | T8131XS | 21 | 922-923 | ||
T6483XA | 21 | 917-918 | T7402XS | 21 | 922-923 | T8132XA | 21 | 919-921 | ||
T6483XD | 23 | 949-950 | T7411XA | 21 | 922-923 | T8132XD | 23 | 949-950 | ||
T6483XS | 21 | 922-923 | T7411XD | 23 | 949-950 | T8132XS | 21 | 922-923 | ||
T6484XA | 21 | 917-918 | T7411XS | 21 | 922-923 | T8133XA | 21 | 919-921 | ||
T6484XD | 23 | 949-950 | T7412XA | 21 | 922-923 | T8133XD | 23 | 949-950 | ||
T6484XS | 21 | 922-923 | T7412XD | 23 | 949-950 | T8133XS | 21 | 922-923 | ||
T650X1A | 21 | 917-918 | T7412XS | 21 | 922-923 | T814XXA | 15 | 793 | ||
T650X1D | 23 | 949-950 | T7421XA | 21 | 922-923 | T814XXA | 18 | 853-855 | ||
T650X1S | 21 | 922-923 | T7421XD | 23 | 949-950 | T814XXA | 18 | 856-858 | ||
T650X2A | 21 | 917-918 | T7421XS | 21 | 922-923 | T814XXA | 18 | 862-863 | ||
T650X2D | 23 | 949-950 | T7422XA | 21 | 922-923 | T814XXD | 23 | 949-950 | ||
T650X2S | 21 | 922-923 | T7422XD | 23 | 949-950 | T814XXS | 21 | 922-923 | ||
T650X3A | 21 | 917-918 | T7422XS | 21 | 922-923 | T81500A | 15 | 793 | ||
T650X3D | 23 | 949-950 | T7431XA | 21 | 922-923 | T81500A | 21 | 919-921 | ||
T650X3S | 21 | 922-923 | T7431XD | 23 | 949-950 | T81500D | 23 | 949-950 | ||
T650X4A | 21 | 917-918 | T7431XS | 21 | 922-923 | T81500S | 21 | 922-923 | ||
T650X4D | 23 | 949-950 | T7432XA | 21 | 922-923 | T81501A | 15 | 793 | ||
T650X4S | 21 | 922-923 | T7432XD | 23 | 949-950 | T81501A | 21 | 919-921 | ||
T651X1A | 21 | 917-918 | T7432XS | 21 | 922-923 | T81501D | 23 | 949-950 | ||
T651X1D | 23 | 949-950 | T744XXA | 21 | 922-923 | T81501S | 21 | 922-923 | ||
T651X1S | 21 | 922-923 | T744XXD | 23 | 949-950 | T81502A | 15 | 793 | ||
T651X2A | 21 | 917-918 | T744XXS | 21 | 922-923 | T81502A | 21 | 919-921 | ||
T651X2D | 23 | 949-950 | T7491XA | 21 | 922-923 | T81502D | 23 | 949-950 | ||
T651X2S | 21 | 922-923 | T7491XD | 23 | 949-950 | T81502S | 21 | 922-923 | ||
T651X3A | 21 | 917-918 | T7491XS | 21 | 922-923 | T81503A | 15 | 793 | ||
T651X3D | 23 | 949-950 | T7492XA | 21 | 922-923 | T81503A | 21 | 919-921 | ||
T651X3S | 21 | 922-923 | T7492XD | 23 | 949-950 | T81503D | 23 | 949-950 | ||
T651X4A | 21 | 917-918 | T7492XS | 21 | 922-923 | T81503S | 21 | 922-923 | ||
T651X4D | 23 | 949-950 | T7500XA | 21 | 922-923 | T81504A | 15 | 793 | ||
T651X4S | 21 | 922-923 | T7500XD | 23 | 949-950 | T81504A | 21 | 919-921 | ||
T65211A | 21 | 917-918 | T7500XS | 21 | 922-923 | T81504D | 23 | 949-950 | ||
T65211D | 23 | 949-950 | T7501XA | 21 | 922-923 | T81504S | 21 | 922-923 | ||
T65211S | 21 | 922-923 | T7501XD | 23 | 949-950 | T81505A | 15 | 793 | ||
T65212A | 21 | 917-918 | T7501XS | 21 | 922-923 | T81505A | 21 | 919-921 | ||
T65212D | 23 | 949-950 | T7509XA | 21 | 922-923 | T81505D | 23 | 949-950 | ||
T65212S | 21 | 922-923 | T7509XD | 23 | 949-950 | T81505S | 21 | 922-923 | ||
T65213A | 21 | 917-918 | T7509XS | 21 | 922-923 | T81506A | 15 | 793 | ||
T65213D | 23 | 949-950 | T751XXA | 21 | 922-923 | T81506A | 21 | 919-921 | ||
T65213S | 21 | 922-923 | T751XXD | 23 | 949-950 | T81506D | 23 | 949-950 | ||
T65214A | 21 | 917-918 | T751XXS | 21 | 922-923 | T81506S | 21 | 922-923 | ||
T65214D | 23 | 949-950 | T7520XA | 21 | 922-923 | T81507A | 15 | 793 | ||
T65214S | 21 | 922-923 | T7520XD | 23 | 949-950 | T81507A | 21 | 919-921 | ||
T65221A | 21 | 917-918 | T7520XS | 21 | 922-923 | T81507D | 23 | 949-950 | ||
T65221D | 23 | 949-950 | T7521XA | 21 | 922-923 | T81507S | 21 | 922-923 | ||
T65221S | 21 | 922-923 | T7521XD | 23 | 949-950 | T81508A | 15 | 793 | ||
T65222A | 21 | 917-918 | T7521XS | 21 | 922-923 | T81508A | 21 | 919-921 | ||
T65222D | 23 | 949-950 | T7522XA | 21 | 922-923 | T81508D | 23 | 949-950 | ||
T65222S | 21 | 922-923 | T7522XD | 23 | 949-950 | T81508S | 21 | 922-923 | ||
T65223A | 21 | 917-918 | T7522XS | 21 | 922-923 | T81509A | 15 | 793 | ||
T65223D | 23 | 949-950 | T7523XA | 21 | 922-923 | T81509A | 21 | 919-921 | ||
T65223S | 21 | 922-923 | T7523XD | 23 | 949-950 | T81509D | 23 | 949-950 | ||
T65224A | 21 | 917-918 | T7523XS | 21 | 922-923 | T81509S | 21 | 922-923 | ||
T65224D | 23 | 949-950 | T7529XA | 21 | 922-923 | T81510A | 15 | 793 | ||
T65224S | 21 | 922-923 | T7529XD | 23 | 949-950 | T81510A | 21 | 919-921 | ||
T65291A | 21 | 917-918 | T7529XS | 21 | 922-923 | T81510D | 23 | 949-950 | ||
T65291D | 23 | 949-950 | T753XXA | 03 | 149 | T81510S | 21 | 922-923 | ||
T65291S | 21 | 922-923 | T753XXD | 23 | 949-950 | T81511A | 15 | 793 | ||
T65292A | 21 | 917-918 | T753XXS | 21 | 922-923 | T81511A | 21 | 919-921 | ||
T65292D | 23 | 949-950 | T754XXA | 21 | 922-923 | T81511D | 23 | 949-950 | ||
T65292S | 21 | 922-923 | T754XXD | 23 | 949-950 | T81511S | 21 | 922-923 | ||
T65293A | 21 | 917-918 | T754XXS | 21 | 922-923 | T81512A | 15 | 793 | ||
T65293D | 23 | 949-950 | T7581XA | 21 | 922-923 | T81512A | 21 | 919-921 | ||
T65293S | 21 | 922-923 | T7581XD | 23 | 949-950 | T81512D | 23 | 949-950 | ||
T65294A | 21 | 917-918 | T7581XS | 21 | 922-923 | T81512S | 21 | 922-923 | ||
T65294D | 23 | 949-950 | T7582XA | 21 | 922-923 | T81513A | 15 | 793 | ||
T65294S | 21 | 922-923 | T7582XD | 23 | 949-950 | T81513A | 21 | 919-921 | ||
T653X1A | 21 | 917-918 | T7582XS | 21 | 922-923 | T81513D | 23 | 949-950 | ||
T653X1D | 23 | 949-950 | T7589XA | 21 | 922-923 | T81513S | 21 | 922-923 | ||
T653X1S | 21 | 922-923 | T7589XD | 23 | 949-950 | T81514A | 15 | 793 | ||
T653X2A | 21 | 917-918 | T7589XS | 21 | 922-923 | T81514A | 21 | 919-921 | ||
T653X2D | 23 | 949-950 | T7601XA | 21 | 922-923 | T81514D | 23 | 949-950 | ||
T653X2S | 21 | 922-923 | T7601XD | 23 | 949-950 | T81514S | 21 | 922-923 | ||
T653X3A | 21 | 917-918 | T7601XS | 21 | 922-923 | T81515A | 15 | 793 | ||
T653X3D | 23 | 949-950 | T7602XA | 21 | 922-923 | T81515A | 21 | 919-921 | ||
T653X3S | 21 | 922-923 | T7602XD | 23 | 949-950 | T81515D | 23 | 949-950 | ||
T653X4A | 21 | 917-918 | T7602XS | 21 | 922-923 | T81515S | 21 | 922-923 | ||
T653X4D | 23 | 949-950 | T7611XA | 21 | 922-923 | T81516A | 15 | 793 | ||
T653X4S | 21 | 922-923 | T7611XD | 23 | 949-950 | T81516A | 21 | 919-921 | ||
T654X1A | 21 | 917-918 | T7611XS | 21 | 922-923 | T81516D | 23 | 949-950 | ||
T654X1D | 23 | 949-950 | T7612XA | 21 | 922-923 | T81516S | 21 | 922-923 | ||
T654X1S | 21 | 922-923 | T7612XD | 23 | 949-950 | T81517A | 15 | 793 | ||
T654X2A | 21 | 917-918 | T7612XS | 21 | 922-923 | T81517A | 21 | 919-921 | ||
T654X2D | 23 | 949-950 | T7621XA | 21 | 922-923 | T81517D | 23 | 949-950 | ||
T654X2S | 21 | 922-923 | T7621XD | 23 | 949-950 | T81517S | 21 | 922-923 | ||
T654X3A | 21 | 917-918 | T7621XS | 21 | 922-923 | T81518A | 15 | 793 | ||
T654X3D | 23 | 949-950 | T7622XA | 21 | 922-923 | T81518A | 21 | 919-921 | ||
T654X3S | 21 | 922-923 | T7622XD | 23 | 949-950 | T81518D | 23 | 949-950 | ||
T654X4A | 21 | 917-918 | T7622XS | 21 | 922-923 | T81518S | 21 | 922-923 | ||
T654X4D | 23 | 949-950 | T7631XA | 21 | 922-923 | T81519A | 15 | 793 | ||
T654X4S | 21 | 922-923 | T7631XD | 23 | 949-950 | T81519A | 21 | 919-921 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Aug 2017 11:52:25 CMS, code-revision=63, description-revision=616 |