ICD-10-CM/PCS MS-DRG v36.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v36.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 13 of 70 |
| A000 B400 C7640 C84A9 D4412 E1069 F13930 G808 H18732 H47621 I2609 I70534 K05223 L03111 L98498 M151 M2759 M65152 M84375P M86669 N35813 O2292 O352XX1 O418X22 O99353 Q659 S0000XA S02611K S066X9S S13110A S21309S S2599XS S31824S S33141S S37539D S42213A S4292XK S49032D S52126N S52331Q S52611B S56419A S60476S S62102G S62351D S63063D S65012D S68111D S72062B S72335Q S72465N S79129D S82121J S82299P S82843P S85211S S90462D S92131D S92599B S98329A T2121XS T23529A T3253 T40903S T462X1S T524X1S T63632S T81718D T85828S Z85040 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| K05223 | Pre | 011-013 | K381 | 06 | 393-395 | K7210 | 07 | 441-443 | ||
| K05223 | 03 | 157-159 | K382 | 06 | 393-395 | K7211 | 07 | 441-443 | ||
| K05229 | Pre | 011-013 | K383 | 06 | 393-395 | K7290 | 07 | 441-443 | ||
| K05229 | 03 | 157-159 | K388 | 06 | 393-395 | K7290 | 15 | 793 | ||
| K0530 | Pre | 011-013 | K389 | 06 | 393-395 | K7291 | 07 | 441-443 | ||
| K0530 | 03 | 157-159 | K4000 | 06 | 393-395 | K7291 | 15 | 793 | ||
| K05311 | Pre | 011-013 | K4000 | 15 | 793 | K730 | 07 | 441-443 | ||
| K05311 | 03 | 157-159 | K4001 | 06 | 393-395 | K731 | 07 | 441-443 | ||
| K05312 | Pre | 011-013 | K4010 | 06 | 393-395 | K732 | 07 | 441-443 | ||
| K05312 | 03 | 157-159 | K4010 | 15 | 793 | K738 | 07 | 441-443 | ||
| K05313 | Pre | 011-013 | K4011 | 06 | 393-395 | K739 | 07 | 441-443 | ||
| K05313 | 03 | 157-159 | K4020 | 06 | 393-395 | K740 | 07 | 432-434 | ||
| K05319 | Pre | 011-013 | K4021 | 06 | 393-395 | K741 | 07 | 441-443 | ||
| K05319 | 03 | 157-159 | K4030 | 06 | 393-395 | K742 | 07 | 441-443 | ||
| K05321 | Pre | 011-013 | K4030 | 15 | 793 | K743 | 07 | 432-434 | ||
| K05321 | 03 | 157-159 | K4031 | 06 | 393-395 | K744 | 07 | 432-434 | ||
| K05322 | Pre | 011-013 | K4040 | 06 | 393-395 | K745 | 07 | 432-434 | ||
| K05322 | 03 | 157-159 | K4040 | 15 | 793 | K7460 | 07 | 432-434 | ||
| K05323 | Pre | 011-013 | K4041 | 06 | 393-395 | K7469 | 07 | 432-434 | ||
| K05323 | 03 | 157-159 | K4090 | 06 | 393-395 | K750 | 07 | 441-443 | ||
| K05329 | Pre | 011-013 | K4091 | 06 | 393-395 | K750 | 15 | 793 | ||
| K05329 | 03 | 157-159 | K4100 | 06 | 393-395 | K751 | 07 | 441-443 | ||
| K054 | Pre | 011-013 | K4100 | 15 | 793 | K751 | 15 | 793 | ||
| K054 | 03 | 157-159 | K4101 | 06 | 393-395 | K752 | 07 | 441-443 | ||
| K055 | Pre | 011-013 | K4110 | 06 | 393-395 | K752 | 15 | 793 | ||
| K055 | 03 | 157-159 | K4110 | 15 | 793 | K753 | 07 | 441-443 | ||
| K056 | Pre | 011-013 | K4111 | 06 | 393-395 | K753 | 15 | 793 | ||
| K056 | 03 | 157-159 | K4120 | 06 | 393-395 | K754 | 07 | 441-443 | ||
| K06010 | Pre | 011-013 | K4121 | 06 | 393-395 | K7581 | 07 | 441-443 | ||
| K06010 | 03 | 157-159 | K4130 | 06 | 393-395 | K7581 | 15 | 793 | ||
| K06011 | Pre | 011-013 | K4130 | 15 | 793 | K7589 | 07 | 441-443 | ||
| K06011 | 03 | 157-159 | K4131 | 06 | 393-395 | K7589 | 15 | 793 | ||
| K06012 | Pre | 011-013 | K4140 | 06 | 393-395 | K759 | 07 | 441-443 | ||
| K06012 | 03 | 157-159 | K4140 | 15 | 793 | K759 | 15 | 793 | ||
| K06013 | Pre | 011-013 | K4141 | 06 | 393-395 | K760 | 07 | 441-443 | ||
| K06013 | 03 | 157-159 | K4190 | 06 | 393-395 | K761 | 07 | 441-443 | ||
| K06020 | Pre | 011-013 | K4191 | 06 | 393-395 | K762 | 07 | 441-443 | ||
| K06020 | 03 | 157-159 | K420 | 06 | 393-395 | K762 | 15 | 793 | ||
| K06021 | Pre | 011-013 | K420 | 15 | 793 | K763 | 07 | 441-443 | ||
| K06021 | 03 | 157-159 | K421 | 06 | 393-395 | K763 | 15 | 793 | ||
| K06022 | Pre | 011-013 | K421 | 15 | 793 | K764 | 07 | 441-443 | ||
| K06022 | 03 | 157-159 | K429 | 06 | 393-395 | K764 | 15 | 793 | ||
| K06023 | Pre | 011-013 | K430 | 06 | 393-395 | K765 | 07 | 441-443 | ||
| K06023 | 03 | 157-159 | K430 | 15 | 793 | K766 | 07 | 441-443 | ||
| K061 | Pre | 011-013 | K431 | 06 | 393-395 | K767 | 07 | 441-443 | ||
| K061 | 03 | 157-159 | K431 | 15 | 793 | K767 | 15 | 793 | ||
| K062 | Pre | 011-013 | K432 | 06 | 393-395 | K7681 | 04 | 205-206 | ||
| K062 | 03 | 157-159 | K433 | 06 | 393-395 | K7689 | 07 | 441-443 | ||
| K063 | Pre | 011-013 | K433 | 15 | 793 | K769 | 07 | 441-443 | ||
| K063 | 03 | 157-159 | K434 | 06 | 393-395 | K77 | 07 | 441-443 | ||
| K068 | Pre | 011-013 | K434 | 15 | 793 | K8000 | 07 | 444-446 | ||
| K068 | 03 | 157-159 | K435 | 06 | 393-395 | K8001 | 07 | 444-446 | ||
| K069 | Pre | 011-013 | K436 | 06 | 393-395 | K8010 | 07 | 444-446 | ||
| K069 | 03 | 157-159 | K436 | 15 | 793 | K8011 | 07 | 444-446 | ||
| K080 | Pre | 011-013 | K437 | 06 | 393-395 | K8012 | 07 | 444-446 | ||
| K080 | 03 | 157-159 | K437 | 15 | 793 | K8013 | 07 | 444-446 | ||
| K08101 | Pre | 011-013 | K439 | 06 | 393-395 | K8018 | 07 | 444-446 | ||
| K08101 | 03 | 157-159 | K440 | 06 | 391-392 | K8019 | 07 | 444-446 | ||
| K08102 | Pre | 011-013 | K440 | 15 | 793 | K8020 | 07 | 444-446 | ||
| K08102 | 03 | 157-159 | K441 | 06 | 393-395 | K8021 | 07 | 444-446 | ||
| K08103 | Pre | 011-013 | K441 | 15 | 793 | K8030 | 07 | 444-446 | ||
| K08103 | 03 | 157-159 | K449 | 06 | 391-392 | K8031 | 07 | 444-446 | ||
| K08104 | Pre | 011-013 | K450 | 06 | 393-395 | K8032 | 07 | 444-446 | ||
| K08104 | 03 | 157-159 | K450 | 15 | 793 | K8033 | 07 | 444-446 | ||
| K08109 | Pre | 011-013 | K451 | 06 | 393-395 | K8034 | 07 | 444-446 | ||
| K08109 | 03 | 157-159 | K451 | 15 | 793 | K8035 | 07 | 444-446 | ||
| K08111 | Pre | 011-013 | K458 | 06 | 393-395 | K8036 | 07 | 444-446 | ||
| K08111 | 03 | 157-159 | K460 | 06 | 393-395 | K8037 | 07 | 444-446 | ||
| K08112 | Pre | 011-013 | K460 | 15 | 793 | K8040 | 07 | 444-446 | ||
| K08112 | 03 | 157-159 | K461 | 06 | 393-395 | K8041 | 07 | 444-446 | ||
| K08113 | Pre | 011-013 | K461 | 15 | 793 | K8042 | 07 | 444-446 | ||
| K08113 | 03 | 157-159 | K469 | 06 | 393-395 | K8043 | 07 | 444-446 | ||
| K08114 | Pre | 011-013 | K5000 | 06 | 385-387 | K8044 | 07 | 444-446 | ||
| K08114 | 03 | 157-159 | K50011 | 06 | 385-387 | K8045 | 07 | 444-446 | ||
| K08119 | Pre | 011-013 | K50012 | 06 | 385-387 | K8046 | 07 | 444-446 | ||
| K08119 | 03 | 157-159 | K50013 | 06 | 385-387 | K8047 | 07 | 444-446 | ||
| K08121 | Pre | 011-013 | K50014 | 06 | 385-387 | K8050 | 07 | 444-446 | ||
| K08121 | 03 | 157-159 | K50018 | 06 | 385-387 | K8051 | 07 | 444-446 | ||
| K08122 | Pre | 011-013 | K50019 | 06 | 385-387 | K8060 | 07 | 444-446 | ||
| K08122 | 03 | 157-159 | K5010 | 06 | 385-387 | K8061 | 07 | 444-446 | ||
| K08123 | Pre | 011-013 | K50111 | 06 | 385-387 | K8062 | 07 | 444-446 | ||
| K08123 | 03 | 157-159 | K50112 | 06 | 385-387 | K8063 | 07 | 444-446 | ||
| K08124 | Pre | 011-013 | K50113 | 06 | 385-387 | K8064 | 07 | 444-446 | ||
| K08124 | 03 | 157-159 | K50114 | 06 | 385-387 | K8065 | 07 | 444-446 | ||
| K08129 | Pre | 011-013 | K50118 | 06 | 385-387 | K8066 | 07 | 444-446 | ||
| K08129 | 03 | 157-159 | K50119 | 06 | 385-387 | K8067 | 07 | 444-446 | ||
| K08131 | Pre | 011-013 | K5080 | 06 | 385-387 | K8070 | 07 | 444-446 | ||
| K08131 | 03 | 157-159 | K50811 | 06 | 385-387 | K8071 | 07 | 444-446 | ||
| K08132 | Pre | 011-013 | K50812 | 06 | 385-387 | K8080 | 07 | 444-446 | ||
| K08132 | 03 | 157-159 | K50813 | 06 | 385-387 | K8081 | 07 | 444-446 | ||
| K08133 | Pre | 011-013 | K50814 | 06 | 385-387 | K810 | 07 | 444-446 | ||
| K08133 | 03 | 157-159 | K50818 | 06 | 385-387 | K811 | 07 | 444-446 | ||
| K08134 | Pre | 011-013 | K50819 | 06 | 385-387 | K812 | 07 | 444-446 | ||
| K08134 | 03 | 157-159 | K5090 | 06 | 385-387 | K819 | 07 | 444-446 | ||
| K08139 | Pre | 011-013 | K50911 | 06 | 385-387 | K820 | 07 | 444-446 | ||
| K08139 | 03 | 157-159 | K50912 | 06 | 385-387 | K821 | 07 | 444-446 | ||
| K08191 | Pre | 011-013 | K50913 | 06 | 385-387 | K822 | 07 | 444-446 | ||
| K08191 | 03 | 157-159 | K50914 | 06 | 385-387 | K823 | 07 | 444-446 | ||
| K08192 | Pre | 011-013 | K50918 | 06 | 385-387 | K824 | 07 | 444-446 | ||
| K08192 | 03 | 157-159 | K50919 | 06 | 385-387 | K828 | 07 | 444-446 | ||
| K08193 | Pre | 011-013 | K5100 | 06 | 385-387 | K829 | 07 | 444-446 | ||
| K08193 | 03 | 157-159 | K51011 | 06 | 385-387 | K82A1 | 07 | 444-446 | ||
| K08194 | Pre | 011-013 | K51012 | 06 | 385-387 | K82A2 | 07 | 444-446 | ||
| K08194 | 03 | 157-159 | K51013 | 06 | 385-387 | K8301 | 07 | 444-446 | ||
| K08199 | Pre | 011-013 | K51014 | 06 | 385-387 | K8301 | 15 | 793 | ||
| K08199 | 03 | 157-159 | K51018 | 06 | 385-387 | K8309 | 07 | 444-446 | ||
| K0820 | Pre | 011-013 | K51019 | 06 | 385-387 | K8309 | 15 | 793 | ||
| K0820 | 03 | 157-159 | K5120 | 06 | 385-387 | K831 | 07 | 444-446 | ||
| K0821 | Pre | 011-013 | K51211 | 06 | 385-387 | K832 | 07 | 444-446 | ||
| K0821 | 03 | 157-159 | K51212 | 06 | 385-387 | K833 | 07 | 444-446 | ||
| K0822 | Pre | 011-013 | K51213 | 06 | 385-387 | K834 | 07 | 444-446 | ||
| K0822 | 03 | 157-159 | K51214 | 06 | 385-387 | K835 | 07 | 444-446 | ||
| K0823 | Pre | 011-013 | K51218 | 06 | 385-387 | K838 | 07 | 444-446 | ||
| K0823 | 03 | 157-159 | K51219 | 06 | 385-387 | K839 | 07 | 444-446 | ||
| K0824 | Pre | 011-013 | K5130 | 06 | 385-387 | K8500 | 07 | 438-440 | ||
| K0824 | 03 | 157-159 | K51311 | 06 | 385-387 | K8500 | 15 | 793 | ||
| K0825 | Pre | 011-013 | K51312 | 06 | 385-387 | K8501 | 07 | 438-440 | ||
| K0825 | 03 | 157-159 | K51313 | 06 | 385-387 | K8501 | 15 | 793 | ||
| K0826 | Pre | 011-013 | K51314 | 06 | 385-387 | K8502 | 07 | 438-440 | ||
| K0826 | 03 | 157-159 | K51318 | 06 | 385-387 | K8502 | 15 | 793 | ||
| K083 | Pre | 011-013 | K51319 | 06 | 385-387 | K8510 | 07 | 438-440 | ||
| K083 | 03 | 157-159 | K5140 | 06 | 385-387 | K8510 | 15 | 793 | ||
| K08401 | Pre | 011-013 | K51411 | 06 | 385-387 | K8511 | 07 | 438-440 | ||
| K08401 | 03 | 157-159 | K51412 | 06 | 385-387 | K8511 | 15 | 793 | ||
| K08402 | Pre | 011-013 | K51413 | 06 | 385-387 | K8512 | 07 | 438-440 | ||
| K08402 | 03 | 157-159 | K51414 | 06 | 385-387 | K8512 | 15 | 793 | ||
| K08403 | Pre | 011-013 | K51418 | 06 | 385-387 | K8520 | 07 | 438-440 | ||
| K08403 | 03 | 157-159 | K51419 | 06 | 385-387 | K8520 | 15 | 793 | ||
| K08404 | Pre | 011-013 | K5150 | 06 | 385-387 | K8521 | 07 | 438-440 | ||
| K08404 | 03 | 157-159 | K51511 | 06 | 385-387 | K8521 | 15 | 793 | ||
| K08409 | Pre | 011-013 | K51512 | 06 | 385-387 | K8522 | 07 | 438-440 | ||
| K08409 | 03 | 157-159 | K51513 | 06 | 385-387 | K8522 | 15 | 793 | ||
| K08411 | Pre | 011-013 | K51514 | 06 | 385-387 | K8530 | 07 | 438-440 | ||
| K08411 | 03 | 157-159 | K51518 | 06 | 385-387 | K8530 | 15 | 793 | ||
| K08412 | Pre | 011-013 | K51519 | 06 | 385-387 | K8531 | 07 | 438-440 | ||
| K08412 | 03 | 157-159 | K5180 | 06 | 385-387 | K8531 | 15 | 793 | ||
| K08413 | Pre | 011-013 | K51811 | 06 | 385-387 | K8532 | 07 | 438-440 | ||
| K08413 | 03 | 157-159 | K51812 | 06 | 385-387 | K8532 | 15 | 793 | ||
| K08414 | Pre | 011-013 | K51813 | 06 | 385-387 | K8580 | 07 | 438-440 | ||
| K08414 | 03 | 157-159 | K51814 | 06 | 385-387 | K8580 | 15 | 793 | ||
| K08419 | Pre | 011-013 | K51818 | 06 | 385-387 | K8581 | 07 | 438-440 | ||
| K08419 | 03 | 157-159 | K51819 | 06 | 385-387 | K8581 | 15 | 793 | ||
| K08421 | Pre | 011-013 | K5190 | 06 | 385-387 | K8582 | 07 | 438-440 | ||
| K08421 | 03 | 157-159 | K51911 | 06 | 385-387 | K8582 | 15 | 793 | ||
| K08422 | Pre | 011-013 | K51912 | 06 | 385-387 | K8590 | 07 | 438-440 | ||
| K08422 | 03 | 157-159 | K51913 | 06 | 385-387 | K8590 | 15 | 793 | ||
| K08423 | Pre | 011-013 | K51914 | 06 | 385-387 | K8591 | 07 | 438-440 | ||
| K08423 | 03 | 157-159 | K51918 | 06 | 385-387 | K8591 | 15 | 793 | ||
| K08424 | Pre | 011-013 | K51919 | 06 | 385-387 | K8592 | 07 | 438-440 | ||
| K08424 | 03 | 157-159 | K520 | 06 | 393-395 | K8592 | 15 | 793 | ||
| K08429 | Pre | 011-013 | K521 | 06 | 393-395 | K860 | 07 | 438-440 | ||
| K08429 | 03 | 157-159 | K521 | 15 | 793 | K861 | 07 | 438-440 | ||
| K08431 | Pre | 011-013 | K5221 | 06 | 391-392 | K862 | 07 | 438-440 | ||
| K08431 | 03 | 157-159 | K5222 | 06 | 391-392 | K862 | 15 | 793 | ||
| K08432 | Pre | 011-013 | K5229 | 06 | 391-392 | K863 | 07 | 438-440 | ||
| K08432 | 03 | 157-159 | K523 | 06 | 391-392 | K863 | 15 | 793 | ||
| K08433 | Pre | 011-013 | K5281 | 06 | 391-392 | K8681 | 07 | 438-440 | ||
| K08433 | 03 | 157-159 | K5282 | 06 | 391-392 | K8689 | 07 | 438-440 | ||
| K08434 | Pre | 011-013 | K52831 | 06 | 391-392 | K869 | 07 | 438-440 | ||
| K08434 | 03 | 157-159 | K52832 | 06 | 391-392 | K87 | 07 | 444-446 | ||
| K08439 | Pre | 011-013 | K52838 | 06 | 391-392 | K900 | 06 | 391-392 | ||
| K08439 | 03 | 157-159 | K52839 | 06 | 391-392 | K901 | 06 | 391-392 | ||
| K08491 | Pre | 011-013 | K5289 | 06 | 391-392 | K902 | 06 | 391-392 | ||
| K08491 | 03 | 157-159 | K529 | 06 | 391-392 | K903 | 06 | 391-392 | ||
| K08492 | Pre | 011-013 | K55011 | 06 | 393-395 | K9041 | 06 | 391-392 | ||
| K08492 | 03 | 157-159 | K55011 | 15 | 793 | K9049 | 06 | 391-392 | ||
| K08493 | Pre | 011-013 | K55012 | 06 | 393-395 | K9081 | 06 | 393-395 | ||
| K08493 | 03 | 157-159 | K55012 | 15 | 793 | K9089 | 06 | 391-392 | ||
| K08494 | Pre | 011-013 | K55019 | 06 | 393-395 | K909 | 06 | 391-392 | ||
| K08494 | 03 | 157-159 | K55019 | 15 | 793 | K910 | 06 | 391-392 | ||
| K08499 | Pre | 011-013 | K55021 | 06 | 393-395 | K911 | 06 | 391-392 | ||
| K08499 | 03 | 157-159 | K55021 | 15 | 793 | K912 | 06 | 391-392 | ||
| K0850 | Pre | 011-013 | K55022 | 06 | 393-395 | K912 | 15 | 793 | ||
| K0850 | 03 | 157-159 | K55022 | 15 | 793 | K9130 | 06 | 388-390 | ||
| K0851 | Pre | 011-013 | K55029 | 06 | 393-395 | K9130 | 15 | 793 | ||
| K0851 | 03 | 157-159 | K55029 | 15 | 793 | K9131 | 06 | 388-390 | ||
| K0852 | Pre | 011-013 | K55031 | 06 | 393-395 | K9131 | 15 | 793 | ||
| K0852 | 03 | 157-159 | K55031 | 15 | 793 | K9132 | 06 | 388-390 | ||
| K08530 | Pre | 011-013 | K55032 | 06 | 393-395 | K9132 | 15 | 793 | ||
| K08530 | 03 | 157-159 | K55032 | 15 | 793 | K915 | 07 | 444-446 | ||
| K08531 | Pre | 011-013 | K55039 | 06 | 393-395 | K9161 | 21 | 919-921 | ||
| K08531 | 03 | 157-159 | K55039 | 15 | 793 | K9162 | 21 | 919-921 | ||
| K08539 | Pre | 011-013 | K55041 | 06 | 393-395 | K9171 | 15 | 793 | ||
| K08539 | 03 | 157-159 | K55041 | 15 | 793 | K9171 | 21 | 919-921 | ||
| K0854 | Pre | 011-013 | K55042 | 06 | 393-395 | K9172 | 15 | 793 | ||
| K0854 | 03 | 157-159 | K55042 | 15 | 793 | K9172 | 21 | 919-921 | ||
| K0855 | Pre | 011-013 | K55049 | 06 | 393-395 | K9181 | 06 | 393-395 | ||
| K0855 | 03 | 157-159 | K55049 | 15 | 793 | K9181 | 15 | 793 | ||
| K0856 | Pre | 011-013 | K55051 | 06 | 393-395 | K9182 | 06 | 393-395 | ||
| K0856 | 03 | 157-159 | K55051 | 15 | 793 | K9182 | 15 | 793 | ||
| K0859 | Pre | 011-013 | K55052 | 06 | 393-395 | K9183 | 06 | 393-395 | ||
| K0859 | 03 | 157-159 | K55052 | 15 | 793 | K9183 | 15 | 793 | ||
| K0881 | Pre | 011-013 | K55059 | 06 | 393-395 | K91840 | 21 | 919-921 | ||
| K0881 | 03 | 157-159 | K55059 | 15 | 793 | K91841 | 21 | 919-921 | ||
| K0882 | Pre | 011-013 | K55061 | 06 | 393-395 | K91850 | 06 | 393-395 | ||
| K0882 | 03 | 157-159 | K55061 | 15 | 793 | K91850 | 15 | 793 | ||
| K0889 | Pre | 011-013 | K55062 | 06 | 393-395 | K91858 | 06 | 393-395 | ||
| K0889 | 03 | 157-159 | K55062 | 15 | 793 | K91858 | 15 | 793 | ||
| K089 | Pre | 011-013 | K55069 | 06 | 393-395 | K9186 | 06 | 393-395 | ||
| K089 | 03 | 157-159 | K55069 | 15 | 793 | K9186 | 15 | 793 | ||
| K090 | Pre | 011-013 | K551 | 06 | 393-395 | K91870 | 21 | 919-921 | ||
| K090 | 03 | 157-159 | K5520 | 06 | 393-395 | K91871 | 21 | 919-921 | ||
| K091 | Pre | 011-013 | K5521 | 06 | 377-379 | K91872 | 21 | 919-921 | ||
| K091 | 03 | 157-159 | K5530 | 06 | 393-395 | K91873 | 21 | 919-921 | ||
| K098 | Pre | 011-013 | K5530 | 15 | 793 | K9189 | 06 | 393-395 | ||
| K098 | 03 | 157-159 | K5531 | 06 | 393-395 | K9189 | 15 | 793 | ||
| K099 | Pre | 011-013 | K5531 | 15 | 793 | K920 | 06 | 377-379 | ||
| K099 | 03 | 157-159 | K5532 | 06 | 393-395 | K920 | 15 | 793 | ||
| K110 | Pre | 011-013 | K5532 | 15 | 793 | K921 | 06 | 377-379 | ||
| K110 | 03 | 154-156 | K5533 | 06 | 393-395 | K921 | 15 | 793 | ||
| K111 | Pre | 011-013 | K5533 | 15 | 793 | K922 | 06 | 377-379 | ||
| K111 | 03 | 154-156 | K558 | 06 | 393-395 | K922 | 15 | 793 | ||
| K1120 | Pre | 011-013 | K559 | 06 | 393-395 | K9281 | 06 | 391-392 | ||
| K1120 | 03 | 154-156 | K560 | 06 | 388-390 | K9289 | 06 | 393-395 | ||
| K1121 | Pre | 011-013 | K560 | 15 | 793 | K929 | 06 | 393-395 | ||
| K1121 | 03 | 154-156 | K561 | 06 | 388-390 | K9400 | 06 | 393-395 | ||
| K1122 | Pre | 011-013 | K561 | 15 | 793 | K9401 | 06 | 393-395 | ||
| K1122 | 03 | 154-156 | K562 | 06 | 388-390 | K9402 | 06 | 393-395 | ||
| K1123 | Pre | 011-013 | K562 | 15 | 793 | K9403 | 06 | 393-395 | ||
| K1123 | 03 | 154-156 | K563 | 06 | 388-390 | K9409 | 06 | 393-395 | ||
| K113 | Pre | 011-013 | K5641 | 06 | 388-390 | K9410 | 06 | 393-395 | ||
| K113 | 03 | 154-156 | K5641 | 15 | 793 | K9411 | 06 | 393-395 | ||
| K114 | Pre | 011-013 | K5649 | 06 | 388-390 | K9412 | 06 | 393-395 | ||
| K114 | 03 | 154-156 | K5649 | 15 | 793 | K9413 | 06 | 393-395 | ||
| K115 | Pre | 011-013 | K5650 | 06 | 388-390 | K9419 | 06 | 393-395 | ||
| K115 | 03 | 154-156 | K5651 | 06 | 388-390 | K9420 | 06 | 393-395 | ||
| K116 | Pre | 011-013 | K5652 | 06 | 388-390 | K9421 | 06 | 393-395 | ||
| K116 | 03 | 154-156 | K56600 | 06 | 388-390 | K9422 | 06 | 393-395 | ||
| K117 | Pre | 011-013 | K56600 | 15 | 793 | K9423 | 06 | 393-395 | ||
| K117 | 03 | 154-156 | K56601 | 06 | 388-390 | K9429 | 06 | 393-395 | ||
| K118 | Pre | 011-013 | K56601 | 15 | 793 | K9430 | 06 | 393-395 | ||
| K118 | 03 | 154-156 | K56609 | 06 | 388-390 | K9431 | 06 | 393-395 | ||
| K119 | Pre | 011-013 | K56609 | 15 | 793 | K9432 | 06 | 393-395 | ||
| K119 | 03 | 154-156 | K56690 | 06 | 388-390 | K9433 | 06 | 393-395 | ||
| K120 | Pre | 011-013 | K56690 | 15 | 793 | K9439 | 06 | 393-395 | ||
| K120 | 03 | 157-159 | K56691 | 06 | 388-390 | K9501 | 06 | 393-395 | ||
| K121 | Pre | 011-013 | K56691 | 15 | 793 | K9509 | 06 | 393-395 | ||
| K121 | 03 | 157-159 | K56699 | 06 | 388-390 | K9581 | 06 | 393-395 | ||
| K122 | Pre | 011-013 | K56699 | 15 | 793 | K9589 | 06 | 393-395 | ||
| K122 | 03 | 157-159 | K567 | 06 | 388-390 | L00 | 09 | 595-596 | ||
| K1230 | Pre | 011-013 | K567 | 15 | 793 | L0100 | 09 | 602-603 | ||
| K1230 | 03 | 157-159 | K5700 | 06 | 391-392 | L0101 | 09 | 602-603 | ||
| K1231 | Pre | 011-013 | K5701 | 06 | 377-379 | L0102 | 09 | 602-603 | ||
| K1231 | 03 | 157-159 | K5710 | 06 | 391-392 | L0103 | 09 | 602-603 | ||
| K1232 | Pre | 011-013 | K5711 | 06 | 377-379 | L0109 | 09 | 602-603 | ||
| K1232 | 03 | 157-159 | K5712 | 06 | 391-392 | L011 | 09 | 602-603 | ||
| K1233 | Pre | 011-013 | K5713 | 06 | 377-379 | L0201 | Pre | 011-013 | ||
| K1233 | 03 | 157-159 | K5720 | 06 | 391-392 | L0201 | 09 | 573-578 | ||
| K1239 | Pre | 011-013 | K5721 | 06 | 377-379 | L0201 | 09 | 602-603 | ||
| K1239 | 03 | 157-159 | K5730 | 06 | 391-392 | L0201 | 15 | 793 | ||
| K130 | Pre | 011-013 | K5731 | 06 | 377-379 | L0202 | 09 | 602-603 | ||
| K130 | 03 | 157-159 | K5732 | 06 | 391-392 | L0203 | 09 | 602-603 | ||
| K131 | Pre | 011-013 | K5733 | 06 | 377-379 | L0211 | Pre | 011-013 | ||
| K131 | 03 | 157-159 | K5740 | 06 | 391-392 | L0211 | 09 | 573-578 | ||
| K1321 | Pre | 011-013 | K5741 | 06 | 377-379 | L0211 | 09 | 602-603 | ||
| K1321 | 03 | 157-159 | K5750 | 06 | 391-392 | L0211 | 15 | 793 | ||
| K1322 | Pre | 011-013 | K5751 | 06 | 377-379 | L0212 | 09 | 602-603 | ||
| K1322 | 03 | 157-159 | K5752 | 06 | 391-392 | L0213 | 09 | 602-603 | ||
| K1323 | Pre | 011-013 | K5753 | 06 | 377-379 | L02211 | 09 | 573-578 | ||
| K1323 | 03 | 157-159 | K5780 | 06 | 391-392 | L02211 | 09 | 602-603 | ||
| K1324 | Pre | 011-013 | K5781 | 06 | 377-379 | L02211 | 15 | 793 | ||
| K1324 | 03 | 157-159 | K5790 | 06 | 391-392 | L02212 | 09 | 573-578 | ||
| K1329 | Pre | 011-013 | K5791 | 06 | 377-379 | L02212 | 09 | 602-603 | ||
| K1329 | 03 | 157-159 | K5792 | 06 | 391-392 | L02212 | 15 | 793 | ||
| K133 | Pre | 011-013 | K5793 | 06 | 377-379 | L02213 | 09 | 573-578 | ||
| K133 | 03 | 157-159 | K580 | 06 | 391-392 | L02213 | 09 | 602-603 | ||
| K134 | Pre | 011-013 | K581 | 06 | 391-392 | L02213 | 15 | 793 | ||
| K134 | 03 | 157-159 | K582 | 06 | 391-392 | L02214 | 09 | 573-578 | ||
| K135 | Pre | 011-013 | K588 | 06 | 391-392 | L02214 | 09 | 602-603 | ||
| K135 | 03 | 157-159 | K589 | 06 | 391-392 | L02214 | 15 | 793 | ||
| K136 | Pre | 011-013 | K5900 | 06 | 391-392 | L02215 | 09 | 573-578 | ||
| K136 | 03 | 157-159 | K5901 | 06 | 391-392 | L02215 | 09 | 602-603 | ||
| K1370 | Pre | 011-013 | K5902 | 06 | 391-392 | L02215 | 15 | 793 | ||
| K1370 | 03 | 157-159 | K5903 | 06 | 391-392 | L02216 | 09 | 573-578 | ||
| K1379 | Pre | 011-013 | K5904 | 06 | 391-392 | L02216 | 09 | 602-603 | ||
| K1379 | 03 | 157-159 | K5909 | 06 | 391-392 | L02216 | 15 | 793 | ||
| K140 | Pre | 011-013 | K591 | 06 | 391-392 | L02219 | 09 | 573-578 | ||
| K140 | 03 | 157-159 | K592 | 06 | 391-392 | L02219 | 09 | 602-603 | ||
| K141 | Pre | 011-013 | K5931 | 06 | 393-395 | L02219 | 15 | 793 | ||
| K141 | 03 | 157-159 | K5939 | 06 | 393-395 | L02221 | 09 | 602-603 | ||
| K142 | Pre | 011-013 | K594 | 06 | 391-392 | L02222 | 09 | 602-603 | ||
| K142 | 03 | 157-159 | K598 | 06 | 391-392 | L02223 | 09 | 602-603 | ||
| K143 | Pre | 011-013 | K599 | 06 | 391-392 | L02224 | 09 | 602-603 | ||
| K143 | 03 | 157-159 | K600 | 06 | 393-395 | L02225 | 09 | 602-603 | ||
| K144 | Pre | 011-013 | K601 | 06 | 393-395 | L02226 | 09 | 602-603 | ||
| K144 | 03 | 157-159 | K602 | 06 | 393-395 | L02229 | 09 | 602-603 | ||
| K145 | Pre | 011-013 | K603 | 06 | 393-395 | L02231 | 09 | 602-603 | ||
| K145 | 03 | 157-159 | K604 | 06 | 393-395 | L02232 | 09 | 602-603 | ||
| K146 | Pre | 011-013 | K605 | 06 | 393-395 | L02233 | 09 | 602-603 | ||
| K146 | 03 | 157-159 | K610 | 06 | 393-395 | L02234 | 09 | 602-603 | ||
| K148 | Pre | 011-013 | K610 | 15 | 793 | L02235 | 09 | 602-603 | ||
| K148 | 03 | 157-159 | K611 | 06 | 393-395 | L02236 | 09 | 602-603 | ||
| K149 | Pre | 011-013 | K611 | 15 | 793 | L02239 | 09 | 602-603 | ||
| K149 | 03 | 157-159 | K612 | 06 | 393-395 | L0231 | 09 | 573-578 | ||
| K200 | 06 | 391-392 | K612 | 15 | 793 | L0231 | 09 | 602-603 | ||
| K208 | 06 | 391-392 | K6131 | 06 | 393-395 | L0231 | 15 | 793 | ||
| K209 | 06 | 391-392 | K6131 | 15 | 793 | L0232 | 09 | 602-603 | ||
| K210 | 06 | 391-392 | K6139 | 06 | 393-395 | L0233 | 09 | 602-603 | ||
| K219 | 06 | 391-392 | K6139 | 15 | 793 | L02411 | 09 | 573-578 | ||
| K220 | 06 | 391-392 | K614 | 06 | 393-395 | L02411 | 09 | 602-603 | ||
| K2210 | 06 | 380-384 | K614 | 15 | 793 | L02411 | 15 | 793 | ||
| K2211 | 06 | 380-384 | K615 | 06 | 393-395 | L02412 | 09 | 573-578 | ||
| K222 | 06 | 391-392 | K615 | 15 | 793 | L02412 | 09 | 602-603 | ||
| K223 | 06 | 368-370 | K620 | 06 | 393-395 | L02412 | 15 | 793 | ||
| K223 | 15 | 793 | K621 | 06 | 393-395 | L02413 | 09 | 573-578 | ||
| K224 | 06 | 391-392 | K622 | 06 | 393-395 | L02413 | 09 | 602-603 | ||
| K225 | 06 | 391-392 | K623 | 06 | 393-395 | L02413 | 15 | 793 | ||
| K226 | 06 | 368-370 | K624 | 06 | 393-395 | L02414 | 09 | 573-578 | ||
| K2270 | 06 | 380-384 | K625 | 06 | 377-379 | L02414 | 09 | 602-603 | ||
| K22710 | 06 | 380-384 | K625 | 15 | 793 | L02414 | 15 | 793 | ||
| K22711 | 06 | 380-384 | K626 | 06 | 393-395 | L02415 | 09 | 573-578 | ||
| K22719 | 06 | 380-384 | K627 | 06 | 393-395 | L02415 | 09 | 602-603 | ||
| K228 | 06 | 391-392 | K6281 | 06 | 393-395 | L02415 | 15 | 793 | ||
| K229 | 06 | 391-392 | K6282 | 06 | 393-395 | L02416 | 09 | 573-578 | ||
| K23 | 06 | 391-392 | K6289 | 06 | 393-395 | L02416 | 09 | 602-603 | ||
| K250 | 06 | 377-379 | K629 | 06 | 393-395 | L02416 | 15 | 793 | ||
| K251 | 06 | 380-384 | K630 | 06 | 371-373 | L02419 | 09 | 573-578 | ||
| K252 | 06 | 377-379 | K631 | 06 | 393-395 | L02419 | 09 | 602-603 | ||
| K253 | 06 | 380-384 | K631 | 15 | 793 | L02419 | 15 | 793 | ||
| K254 | 06 | 377-379 | K632 | 06 | 393-395 | L02421 | 09 | 602-603 | ||
| K255 | 06 | 380-384 | K633 | 06 | 393-395 | L02422 | 09 | 602-603 | ||
| K256 | 06 | 377-379 | K634 | 06 | 393-395 | L02423 | 09 | 602-603 | ||
| K257 | 06 | 380-384 | K635 | 06 | 393-395 | L02424 | 09 | 602-603 | ||
| K259 | 06 | 380-384 | K6381 | 06 | 393-395 | L02425 | 09 | 602-603 | ||
| K260 | 06 | 377-379 | K6389 | 06 | 393-395 | L02426 | 09 | 602-603 | ||
| K261 | 06 | 380-384 | K639 | 06 | 393-395 | L02429 | 09 | 602-603 | ||
| K262 | 06 | 377-379 | K640 | 06 | 393-395 | L02431 | 09 | 602-603 | ||
| K263 | 06 | 380-384 | K641 | 06 | 393-395 | L02432 | 09 | 602-603 | ||
| K264 | 06 | 377-379 | K642 | 06 | 393-395 | L02433 | 09 | 602-603 | ||
| K265 | 06 | 380-384 | K643 | 06 | 393-395 | L02434 | 09 | 602-603 | ||
| K266 | 06 | 377-379 | K644 | 06 | 393-395 | L02435 | 09 | 602-603 | ||
| K267 | 06 | 380-384 | K645 | 06 | 393-395 | L02436 | 09 | 602-603 | ||
| K269 | 06 | 380-384 | K648 | 06 | 393-395 | L02439 | 09 | 602-603 | ||
| K270 | 06 | 377-379 | K649 | 06 | 393-395 | L02511 | 09 | 573-578 | ||
| K271 | 06 | 380-384 | K650 | 06 | 371-373 | L02511 | 09 | 602-603 | ||
| K272 | 06 | 377-379 | K650 | 15 | 793 | L02511 | 15 | 793 | ||
| K273 | 06 | 380-384 | K651 | 06 | 371-373 | L02512 | 09 | 573-578 | ||
| K274 | 06 | 377-379 | K651 | 15 | 793 | L02512 | 09 | 602-603 | ||
| K275 | 06 | 380-384 | K652 | 06 | 371-373 | L02512 | 15 | 793 | ||
| K276 | 06 | 377-379 | K652 | 15 | 793 | L02519 | 09 | 573-578 | ||
| K277 | 06 | 380-384 | K653 | 06 | 393-395 | L02519 | 09 | 602-603 | ||
| K279 | 06 | 380-384 | K653 | 15 | 793 | L02519 | 15 | 793 | ||
| K280 | 06 | 377-379 | K654 | 06 | 393-395 | L02521 | 09 | 602-603 | ||
| K281 | 06 | 380-384 | K654 | 15 | 793 | L02522 | 09 | 602-603 | ||
| K282 | 06 | 377-379 | K658 | 06 | 371-373 | L02529 | 09 | 602-603 | ||
| K283 | 06 | 380-384 | K658 | 15 | 793 | L02531 | 09 | 602-603 | ||
| K284 | 06 | 377-379 | K659 | 06 | 371-373 | L02532 | 09 | 602-603 | ||
| K285 | 06 | 380-384 | K659 | 15 | 793 | L02539 | 09 | 602-603 | ||
| K286 | 06 | 377-379 | K660 | 06 | 393-395 | L02611 | 09 | 573-578 | ||
| K287 | 06 | 380-384 | K661 | 06 | 393-395 | L02611 | 09 | 602-603 | ||
| K289 | 06 | 380-384 | K661 | 15 | 793 | L02611 | 15 | 793 | ||
| K2900 | 06 | 391-392 | K668 | 06 | 393-395 | L02612 | 09 | 573-578 | ||
| K2901 | 06 | 377-379 | K669 | 06 | 393-395 | L02612 | 09 | 602-603 | ||
| K2920 | 06 | 391-392 | K67 | 06 | 371-373 | L02612 | 15 | 793 | ||
| K2921 | 06 | 377-379 | K67 | 15 | 793 | L02619 | 09 | 573-578 | ||
| K2930 | 06 | 391-392 | K6811 | 15 | 793 | L02619 | 09 | 602-603 | ||
| K2931 | 06 | 377-379 | K6811 | 18 | 856-858 | L02619 | 15 | 793 | ||
| K2940 | 06 | 391-392 | K6811 | 18 | 862-863 | L02621 | 09 | 602-603 | ||
| K2941 | 06 | 377-379 | K6812 | 06 | 371-373 | L02622 | 09 | 602-603 | ||
| K2950 | 06 | 391-392 | K6812 | 15 | 793 | L02629 | 09 | 602-603 | ||
| K2951 | 06 | 377-379 | K6819 | 06 | 371-373 | L02631 | 09 | 602-603 | ||
| K2960 | 06 | 391-392 | K6819 | 15 | 793 | L02632 | 09 | 602-603 | ||
| K2961 | 06 | 377-379 | K689 | 06 | 371-373 | L02639 | 09 | 602-603 | ||
| K2970 | 06 | 391-392 | K689 | 15 | 793 | L02811 | 09 | 573-578 | ||
| K2971 | 06 | 377-379 | K700 | 07 | 441-443 | L02811 | 09 | 602-603 | ||
| K2980 | 06 | 391-392 | K7010 | 07 | 432-434 | L02811 | 15 | 793 | ||
| K2981 | 06 | 377-379 | K7011 | 07 | 432-434 | L02818 | 09 | 573-578 | ||
| K2990 | 06 | 391-392 | K702 | 07 | 432-434 | L02818 | 09 | 602-603 | ||
| K2991 | 06 | 377-379 | K7030 | 07 | 432-434 | L02818 | 15 | 793 | ||
| K30 | 06 | 391-392 | K7031 | 07 | 432-434 | L02821 | 09 | 602-603 | ||
| K310 | 06 | 391-392 | K7040 | 07 | 432-434 | L02828 | 09 | 602-603 | ||
| K310 | 15 | 793 | K7041 | 07 | 432-434 | L02831 | 09 | 602-603 | ||
| K311 | 06 | 380-384 | K709 | 07 | 432-434 | L02838 | 09 | 602-603 | ||
| K312 | 06 | 391-392 | K710 | 07 | 441-443 | L0291 | 09 | 573-578 | ||
| K313 | 06 | 391-392 | K710 | 15 | 793 | L0291 | 09 | 602-603 | ||
| K314 | 06 | 391-392 | K7110 | 07 | 441-443 | L0291 | 15 | 793 | ||
| K315 | 06 | 380-384 | K7110 | 15 | 793 | L0292 | 09 | 602-603 | ||
| K316 | 06 | 391-392 | K7111 | 07 | 441-443 | L0293 | 09 | 602-603 | ||
| K317 | 06 | 393-395 | K7111 | 15 | 793 | L03011 | 09 | 573-578 | ||
| K31811 | 06 | 377-379 | K712 | 07 | 441-443 | L03011 | 09 | 602-603 | ||
| K31819 | 06 | 391-392 | K712 | 15 | 793 | L03012 | 09 | 573-578 | ||
| K3182 | 06 | 377-379 | K713 | 07 | 441-443 | L03012 | 09 | 602-603 | ||
| K3183 | 06 | 391-392 | K713 | 15 | 793 | L03019 | 09 | 573-578 | ||
| K3184 | 06 | 391-392 | K714 | 07 | 441-443 | L03019 | 09 | 602-603 | ||
| K3189 | 06 | 391-392 | K714 | 15 | 793 | L03021 | 09 | 573-578 | ||
| K319 | 06 | 391-392 | K7150 | 07 | 441-443 | L03021 | 09 | 602-603 | ||
| K3520 | 06 | 371-373 | K7150 | 15 | 793 | L03022 | 09 | 573-578 | ||
| K3521 | 06 | 338-340 | K7151 | 07 | 441-443 | L03022 | 09 | 602-603 | ||
| K3521 | 06 | 371-373 | K7151 | 15 | 793 | L03029 | 09 | 573-578 | ||
| K3530 | 06 | 371-373 | K716 | 07 | 441-443 | L03029 | 09 | 602-603 | ||
| K3531 | 06 | 371-373 | K716 | 15 | 793 | L03031 | 09 | 573-578 | ||
| K3532 | 06 | 338-340 | K717 | 07 | 441-443 | L03031 | 09 | 602-603 | ||
| K3532 | 06 | 371-373 | K717 | 15 | 793 | L03032 | 09 | 573-578 | ||
| K3533 | 06 | 338-340 | K718 | 07 | 441-443 | L03032 | 09 | 602-603 | ||
| K3533 | 06 | 371-373 | K718 | 15 | 793 | L03039 | 09 | 573-578 | ||
| K3580 | 06 | 393-395 | K719 | 07 | 441-443 | L03039 | 09 | 602-603 | ||
| K35890 | 06 | 371-373 | K719 | 15 | 793 | L03041 | 09 | 573-578 | ||
| K35891 | 06 | 371-373 | K7200 | 07 | 441-443 | L03041 | 09 | 602-603 | ||
| K36 | 06 | 393-395 | K7200 | 15 | 793 | L03042 | 09 | 573-578 | ||
| K37 | 06 | 393-395 | K7201 | 07 | 441-443 | L03042 | 09 | 602-603 | ||
| K380 | 06 | 393-395 | K7201 | 15 | 793 | L03049 | 09 | 573-578 | ||
| L03049 | 09 | 602-603 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 04 Oct 2018 16:21:08 CMS, code-revision=145, description-revision=1114 |