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 37 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S4292XK | 08 | 564-566 | S4350XD | 23 | 949-950 | S46092S | 21 | 913-914 | ||
| S4292XP | 08 | 564-566 | S4350XS | 08 | 562-563 | S46099A | 21 | 913-914 | ||
| S4292XS | 08 | 559-561 | S4351XA | 08 | 562-563 | S46099A | 24 | 955-965 | ||
| S43001A | 08 | 562-563 | S4351XA | 24 | 955-965 | S46099D | 23 | 949-950 | ||
| S43001A | 24 | 955-965 | S4351XD | 23 | 949-950 | S46099S | 21 | 913-914 | ||
| S43001D | 23 | 949-950 | S4351XS | 08 | 562-563 | S46101A | 21 | 913-914 | ||
| S43001S | 08 | 562-563 | S4352XA | 08 | 562-563 | S46101A | 24 | 955-965 | ||
| S43002A | 08 | 562-563 | S4352XA | 24 | 955-965 | S46101D | 23 | 949-950 | ||
| S43002A | 24 | 955-965 | S4352XD | 23 | 949-950 | S46101S | 21 | 913-914 | ||
| S43002D | 23 | 949-950 | S4352XS | 08 | 562-563 | S46102A | 21 | 913-914 | ||
| S43002S | 08 | 562-563 | S4360XA | 08 | 562-563 | S46102A | 24 | 955-965 | ||
| S43003A | 08 | 562-563 | S4360XA | 24 | 955-965 | S46102D | 23 | 949-950 | ||
| S43003A | 24 | 955-965 | S4360XD | 23 | 949-950 | S46102S | 21 | 913-914 | ||
| S43003D | 23 | 949-950 | S4360XS | 08 | 562-563 | S46109A | 21 | 913-914 | ||
| S43003S | 08 | 562-563 | S4361XA | 08 | 562-563 | S46109A | 24 | 955-965 | ||
| S43004A | 08 | 562-563 | S4361XA | 24 | 955-965 | S46109D | 23 | 949-950 | ||
| S43004A | 24 | 955-965 | S4361XD | 23 | 949-950 | S46109S | 21 | 913-914 | ||
| S43004D | 23 | 949-950 | S4361XS | 08 | 562-563 | S46111A | 08 | 562-563 | ||
| S43004S | 08 | 562-563 | S4362XA | 08 | 562-563 | S46111A | 24 | 955-965 | ||
| S43005A | 08 | 562-563 | S4362XA | 24 | 955-965 | S46111D | 23 | 949-950 | ||
| S43005A | 24 | 955-965 | S4362XD | 23 | 949-950 | S46111S | 08 | 562-563 | ||
| S43005D | 23 | 949-950 | S4362XS | 08 | 562-563 | S46112A | 08 | 562-563 | ||
| S43005S | 08 | 562-563 | S4380XA | 08 | 562-563 | S46112A | 24 | 955-965 | ||
| S43006A | 08 | 562-563 | S4380XA | 24 | 955-965 | S46112D | 23 | 949-950 | ||
| S43006A | 24 | 955-965 | S4380XD | 23 | 949-950 | S46112S | 08 | 562-563 | ||
| S43006D | 23 | 949-950 | S4380XS | 08 | 562-563 | S46119A | 08 | 562-563 | ||
| S43006S | 08 | 562-563 | S4381XA | 08 | 562-563 | S46119A | 24 | 955-965 | ||
| S43011A | 08 | 562-563 | S4381XA | 24 | 955-965 | S46119D | 23 | 949-950 | ||
| S43011A | 24 | 955-965 | S4381XD | 23 | 949-950 | S46119S | 08 | 562-563 | ||
| S43011D | 23 | 949-950 | S4381XS | 08 | 562-563 | S46121A | 08 | 564-566 | ||
| S43011S | 08 | 562-563 | S4382XA | 08 | 562-563 | S46121A | 24 | 955-965 | ||
| S43012A | 08 | 562-563 | S4382XA | 24 | 955-965 | S46121D | 23 | 949-950 | ||
| S43012A | 24 | 955-965 | S4382XD | 23 | 949-950 | S46121S | 09 | 604-605 | ||
| S43012D | 23 | 949-950 | S4382XS | 08 | 562-563 | S46122A | 08 | 564-566 | ||
| S43012S | 08 | 562-563 | S4390XA | 08 | 562-563 | S46122A | 24 | 955-965 | ||
| S43013A | 08 | 562-563 | S4390XA | 24 | 955-965 | S46122D | 23 | 949-950 | ||
| S43013A | 24 | 955-965 | S4390XD | 23 | 949-950 | S46122S | 09 | 604-605 | ||
| S43013D | 23 | 949-950 | S4390XS | 08 | 562-563 | S46129A | 08 | 564-566 | ||
| S43013S | 08 | 562-563 | S4391XA | 08 | 562-563 | S46129A | 24 | 955-965 | ||
| S43014A | 08 | 562-563 | S4391XA | 24 | 955-965 | S46129D | 23 | 949-950 | ||
| S43014A | 24 | 955-965 | S4391XD | 23 | 949-950 | S46129S | 09 | 604-605 | ||
| S43014D | 23 | 949-950 | S4391XS | 08 | 562-563 | S46191A | 21 | 913-914 | ||
| S43014S | 08 | 562-563 | S4392XA | 08 | 562-563 | S46191A | 24 | 955-965 | ||
| S43015A | 08 | 562-563 | S4392XA | 24 | 955-965 | S46191D | 23 | 949-950 | ||
| S43015A | 24 | 955-965 | S4392XD | 23 | 949-950 | S46191S | 21 | 913-914 | ||
| S43015D | 23 | 949-950 | S4392XS | 08 | 562-563 | S46192A | 21 | 913-914 | ||
| S43015S | 08 | 562-563 | S4400XA | 01 | 073-074 | S46192A | 24 | 955-965 | ||
| S43016A | 08 | 562-563 | S4400XA | 24 | 955-965 | S46192D | 23 | 949-950 | ||
| S43016A | 24 | 955-965 | S4400XD | 23 | 949-950 | S46192S | 21 | 913-914 | ||
| S43016D | 23 | 949-950 | S4400XS | 01 | 091-093 | S46199A | 21 | 913-914 | ||
| S43016S | 08 | 562-563 | S4401XA | 01 | 073-074 | S46199A | 24 | 955-965 | ||
| S43021A | 08 | 562-563 | S4401XA | 24 | 955-965 | S46199D | 23 | 949-950 | ||
| S43021A | 24 | 955-965 | S4401XD | 23 | 949-950 | S46199S | 21 | 913-914 | ||
| S43021D | 23 | 949-950 | S4401XS | 01 | 091-093 | S46201A | 21 | 913-914 | ||
| S43021S | 08 | 562-563 | S4402XA | 01 | 073-074 | S46201A | 24 | 955-965 | ||
| S43022A | 08 | 562-563 | S4402XA | 24 | 955-965 | S46201D | 23 | 949-950 | ||
| S43022A | 24 | 955-965 | S4402XD | 23 | 949-950 | S46201S | 21 | 913-914 | ||
| S43022D | 23 | 949-950 | S4402XS | 01 | 091-093 | S46202A | 21 | 913-914 | ||
| S43022S | 08 | 562-563 | S4410XA | 01 | 073-074 | S46202A | 24 | 955-965 | ||
| S43023A | 08 | 562-563 | S4410XA | 24 | 955-965 | S46202D | 23 | 949-950 | ||
| S43023A | 24 | 955-965 | S4410XD | 23 | 949-950 | S46202S | 21 | 913-914 | ||
| S43023D | 23 | 949-950 | S4410XS | 01 | 091-093 | S46209A | 21 | 913-914 | ||
| S43023S | 08 | 562-563 | S4411XA | 01 | 073-074 | S46209A | 24 | 955-965 | ||
| S43024A | 08 | 562-563 | S4411XA | 24 | 955-965 | S46209D | 23 | 949-950 | ||
| S43024A | 24 | 955-965 | S4411XD | 23 | 949-950 | S46209S | 21 | 913-914 | ||
| S43024D | 23 | 949-950 | S4411XS | 01 | 091-093 | S46211A | 08 | 562-563 | ||
| S43024S | 08 | 562-563 | S4412XA | 01 | 073-074 | S46211A | 24 | 955-965 | ||
| S43025A | 08 | 562-563 | S4412XA | 24 | 955-965 | S46211D | 23 | 949-950 | ||
| S43025A | 24 | 955-965 | S4412XD | 23 | 949-950 | S46211S | 08 | 562-563 | ||
| S43025D | 23 | 949-950 | S4412XS | 01 | 091-093 | S46212A | 08 | 562-563 | ||
| S43025S | 08 | 562-563 | S4420XA | 01 | 073-074 | S46212A | 24 | 955-965 | ||
| S43026A | 08 | 562-563 | S4420XA | 24 | 955-965 | S46212D | 23 | 949-950 | ||
| S43026A | 24 | 955-965 | S4420XD | 23 | 949-950 | S46212S | 08 | 562-563 | ||
| S43026D | 23 | 949-950 | S4420XS | 01 | 091-093 | S46219A | 08 | 562-563 | ||
| S43026S | 08 | 562-563 | S4421XA | 01 | 073-074 | S46219A | 24 | 955-965 | ||
| S43031A | 08 | 562-563 | S4421XA | 24 | 955-965 | S46219D | 23 | 949-950 | ||
| S43031A | 24 | 955-965 | S4421XD | 23 | 949-950 | S46219S | 08 | 562-563 | ||
| S43031D | 23 | 949-950 | S4421XS | 01 | 091-093 | S46221A | 08 | 564-566 | ||
| S43031S | 08 | 562-563 | S4422XA | 01 | 073-074 | S46221A | 24 | 955-965 | ||
| S43032A | 08 | 562-563 | S4422XA | 24 | 955-965 | S46221D | 23 | 949-950 | ||
| S43032A | 24 | 955-965 | S4422XD | 23 | 949-950 | S46221S | 09 | 604-605 | ||
| S43032D | 23 | 949-950 | S4422XS | 01 | 091-093 | S46222A | 08 | 564-566 | ||
| S43032S | 08 | 562-563 | S4430XA | 01 | 073-074 | S46222A | 24 | 955-965 | ||
| S43033A | 08 | 562-563 | S4430XA | 24 | 955-965 | S46222D | 23 | 949-950 | ||
| S43033A | 24 | 955-965 | S4430XD | 23 | 949-950 | S46222S | 09 | 604-605 | ||
| S43033D | 23 | 949-950 | S4430XS | 01 | 091-093 | S46229A | 08 | 564-566 | ||
| S43033S | 08 | 562-563 | S4431XA | 01 | 073-074 | S46229A | 24 | 955-965 | ||
| S43034A | 08 | 562-563 | S4431XA | 24 | 955-965 | S46229D | 23 | 949-950 | ||
| S43034A | 24 | 955-965 | S4431XD | 23 | 949-950 | S46229S | 09 | 604-605 | ||
| S43034D | 23 | 949-950 | S4431XS | 01 | 091-093 | S46291A | 21 | 913-914 | ||
| S43034S | 08 | 562-563 | S4432XA | 01 | 073-074 | S46291A | 24 | 955-965 | ||
| S43035A | 08 | 562-563 | S4432XA | 24 | 955-965 | S46291D | 23 | 949-950 | ||
| S43035A | 24 | 955-965 | S4432XD | 23 | 949-950 | S46291S | 21 | 913-914 | ||
| S43035D | 23 | 949-950 | S4432XS | 01 | 091-093 | S46292A | 21 | 913-914 | ||
| S43035S | 08 | 562-563 | S4440XA | 01 | 073-074 | S46292A | 24 | 955-965 | ||
| S43036A | 08 | 562-563 | S4440XA | 24 | 955-965 | S46292D | 23 | 949-950 | ||
| S43036A | 24 | 955-965 | S4440XD | 23 | 949-950 | S46292S | 21 | 913-914 | ||
| S43036D | 23 | 949-950 | S4440XS | 01 | 091-093 | S46299A | 21 | 913-914 | ||
| S43036S | 08 | 562-563 | S4441XA | 01 | 073-074 | S46299A | 24 | 955-965 | ||
| S43081A | 08 | 562-563 | S4441XA | 24 | 955-965 | S46299D | 23 | 949-950 | ||
| S43081A | 24 | 955-965 | S4441XD | 23 | 949-950 | S46299S | 21 | 913-914 | ||
| S43081D | 23 | 949-950 | S4441XS | 01 | 091-093 | S46301A | 21 | 913-914 | ||
| S43081S | 08 | 562-563 | S4442XA | 01 | 073-074 | S46301A | 24 | 955-965 | ||
| S43082A | 08 | 562-563 | S4442XA | 24 | 955-965 | S46301D | 23 | 949-950 | ||
| S43082A | 24 | 955-965 | S4442XD | 23 | 949-950 | S46301S | 21 | 913-914 | ||
| S43082D | 23 | 949-950 | S4442XS | 01 | 091-093 | S46302A | 21 | 913-914 | ||
| S43082S | 08 | 562-563 | S4450XA | 01 | 073-074 | S46302A | 24 | 955-965 | ||
| S43083A | 08 | 562-563 | S4450XA | 24 | 955-965 | S46302D | 23 | 949-950 | ||
| S43083A | 24 | 955-965 | S4450XD | 23 | 949-950 | S46302S | 21 | 913-914 | ||
| S43083D | 23 | 949-950 | S4450XS | 01 | 091-093 | S46309A | 21 | 913-914 | ||
| S43083S | 08 | 562-563 | S4451XA | 01 | 073-074 | S46309A | 24 | 955-965 | ||
| S43084A | 08 | 562-563 | S4451XA | 24 | 955-965 | S46309D | 23 | 949-950 | ||
| S43084A | 24 | 955-965 | S4451XD | 23 | 949-950 | S46309S | 21 | 913-914 | ||
| S43084D | 23 | 949-950 | S4451XS | 01 | 091-093 | S46311A | 08 | 562-563 | ||
| S43084S | 08 | 562-563 | S4452XA | 01 | 073-074 | S46311A | 24 | 955-965 | ||
| S43085A | 08 | 562-563 | S4452XA | 24 | 955-965 | S46311D | 23 | 949-950 | ||
| S43085A | 24 | 955-965 | S4452XD | 23 | 949-950 | S46311S | 08 | 562-563 | ||
| S43085D | 23 | 949-950 | S4452XS | 01 | 091-093 | S46312A | 08 | 562-563 | ||
| S43085S | 08 | 562-563 | S448X1A | 01 | 073-074 | S46312A | 24 | 955-965 | ||
| S43086A | 08 | 562-563 | S448X1A | 24 | 955-965 | S46312D | 23 | 949-950 | ||
| S43086A | 24 | 955-965 | S448X1D | 23 | 949-950 | S46312S | 08 | 562-563 | ||
| S43086D | 23 | 949-950 | S448X1S | 01 | 091-093 | S46319A | 08 | 562-563 | ||
| S43086S | 08 | 562-563 | S448X2A | 01 | 073-074 | S46319A | 24 | 955-965 | ||
| S43101A | 08 | 562-563 | S448X2A | 24 | 955-965 | S46319D | 23 | 949-950 | ||
| S43101A | 24 | 955-965 | S448X2D | 23 | 949-950 | S46319S | 08 | 562-563 | ||
| S43101D | 23 | 949-950 | S448X2S | 01 | 091-093 | S46321A | 08 | 564-566 | ||
| S43101S | 08 | 562-563 | S448X9A | 01 | 073-074 | S46321A | 24 | 955-965 | ||
| S43102A | 08 | 562-563 | S448X9A | 24 | 955-965 | S46321D | 23 | 949-950 | ||
| S43102A | 24 | 955-965 | S448X9D | 23 | 949-950 | S46321S | 09 | 604-605 | ||
| S43102D | 23 | 949-950 | S448X9S | 01 | 091-093 | S46322A | 08 | 564-566 | ||
| S43102S | 08 | 562-563 | S4490XA | 01 | 073-074 | S46322A | 24 | 955-965 | ||
| S43109A | 08 | 562-563 | S4490XA | 24 | 955-965 | S46322D | 23 | 949-950 | ||
| S43109A | 24 | 955-965 | S4490XD | 23 | 949-950 | S46322S | 09 | 604-605 | ||
| S43109D | 23 | 949-950 | S4490XS | 01 | 091-093 | S46329A | 08 | 564-566 | ||
| S43109S | 08 | 562-563 | S4491XA | 01 | 073-074 | S46329A | 24 | 955-965 | ||
| S43111A | 08 | 562-563 | S4491XA | 24 | 955-965 | S46329D | 23 | 949-950 | ||
| S43111A | 24 | 955-965 | S4491XD | 23 | 949-950 | S46329S | 09 | 604-605 | ||
| S43111D | 23 | 949-950 | S4491XS | 01 | 091-093 | S46391A | 21 | 913-914 | ||
| S43111S | 08 | 562-563 | S4492XA | 01 | 073-074 | S46391A | 24 | 955-965 | ||
| S43112A | 08 | 562-563 | S4492XA | 24 | 955-965 | S46391D | 23 | 949-950 | ||
| S43112A | 24 | 955-965 | S4492XD | 23 | 949-950 | S46391S | 21 | 913-914 | ||
| S43112D | 23 | 949-950 | S4492XS | 01 | 091-093 | S46392A | 21 | 913-914 | ||
| S43112S | 08 | 562-563 | S45001A | 21 | 913-914 | S46392A | 24 | 955-965 | ||
| S43119A | 08 | 562-563 | S45001A | 24 | 955-965 | S46392D | 23 | 949-950 | ||
| S43119A | 24 | 955-965 | S45001D | 23 | 949-950 | S46392S | 21 | 913-914 | ||
| S43119D | 23 | 949-950 | S45001S | 05 | 299-301 | S46399A | 21 | 913-914 | ||
| S43119S | 08 | 562-563 | S45002A | 21 | 913-914 | S46399A | 24 | 955-965 | ||
| S43121A | 08 | 562-563 | S45002A | 24 | 955-965 | S46399D | 23 | 949-950 | ||
| S43121A | 24 | 955-965 | S45002D | 23 | 949-950 | S46399S | 21 | 913-914 | ||
| S43121D | 23 | 949-950 | S45002S | 05 | 299-301 | S46801A | 21 | 913-914 | ||
| S43121S | 08 | 562-563 | S45009A | 21 | 913-914 | S46801A | 24 | 955-965 | ||
| S43122A | 08 | 562-563 | S45009A | 24 | 955-965 | S46801D | 23 | 949-950 | ||
| S43122A | 24 | 955-965 | S45009D | 23 | 949-950 | S46801S | 21 | 913-914 | ||
| S43122D | 23 | 949-950 | S45009S | 05 | 299-301 | S46802A | 21 | 913-914 | ||
| S43122S | 08 | 562-563 | S45011A | 21 | 913-914 | S46802A | 24 | 955-965 | ||
| S43129A | 08 | 562-563 | S45011A | 24 | 955-965 | S46802D | 23 | 949-950 | ||
| S43129A | 24 | 955-965 | S45011D | 23 | 949-950 | S46802S | 21 | 913-914 | ||
| S43129D | 23 | 949-950 | S45011S | 05 | 299-301 | S46809A | 21 | 913-914 | ||
| S43129S | 08 | 562-563 | S45012A | 21 | 913-914 | S46809A | 24 | 955-965 | ||
| S43131A | 08 | 562-563 | S45012A | 24 | 955-965 | S46809D | 23 | 949-950 | ||
| S43131A | 24 | 955-965 | S45012D | 23 | 949-950 | S46809S | 21 | 913-914 | ||
| S43131D | 23 | 949-950 | S45012S | 05 | 299-301 | S46811A | 08 | 562-563 | ||
| S43131S | 08 | 562-563 | S45019A | 21 | 913-914 | S46811A | 24 | 955-965 | ||
| S43132A | 08 | 562-563 | S45019A | 24 | 955-965 | S46811D | 23 | 949-950 | ||
| S43132A | 24 | 955-965 | S45019D | 23 | 949-950 | S46811S | 08 | 562-563 | ||
| S43132D | 23 | 949-950 | S45019S | 05 | 299-301 | S46812A | 08 | 562-563 | ||
| S43132S | 08 | 562-563 | S45091A | 21 | 913-914 | S46812A | 24 | 955-965 | ||
| S43139A | 08 | 562-563 | S45091A | 24 | 955-965 | S46812D | 23 | 949-950 | ||
| S43139A | 24 | 955-965 | S45091D | 23 | 949-950 | S46812S | 08 | 562-563 | ||
| S43139D | 23 | 949-950 | S45091S | 05 | 299-301 | S46819A | 08 | 562-563 | ||
| S43139S | 08 | 562-563 | S45092A | 21 | 913-914 | S46819A | 24 | 955-965 | ||
| S43141A | 08 | 562-563 | S45092A | 24 | 955-965 | S46819D | 23 | 949-950 | ||
| S43141A | 24 | 955-965 | S45092D | 23 | 949-950 | S46819S | 08 | 562-563 | ||
| S43141D | 23 | 949-950 | S45092S | 05 | 299-301 | S46821A | 08 | 564-566 | ||
| S43141S | 08 | 562-563 | S45099A | 21 | 913-914 | S46821A | 24 | 955-965 | ||
| S43142A | 08 | 562-563 | S45099A | 24 | 955-965 | S46821D | 23 | 949-950 | ||
| S43142A | 24 | 955-965 | S45099D | 23 | 949-950 | S46821S | 09 | 604-605 | ||
| S43142D | 23 | 949-950 | S45099S | 05 | 299-301 | S46822A | 08 | 564-566 | ||
| S43142S | 08 | 562-563 | S45101A | 21 | 913-914 | S46822A | 24 | 955-965 | ||
| S43149A | 08 | 562-563 | S45101A | 24 | 955-965 | S46822D | 23 | 949-950 | ||
| S43149A | 24 | 955-965 | S45101D | 23 | 949-950 | S46822S | 09 | 604-605 | ||
| S43149D | 23 | 949-950 | S45101S | 05 | 299-301 | S46829A | 08 | 564-566 | ||
| S43149S | 08 | 562-563 | S45102A | 21 | 913-914 | S46829A | 24 | 955-965 | ||
| S43151A | 08 | 562-563 | S45102A | 24 | 955-965 | S46829D | 23 | 949-950 | ||
| S43151A | 24 | 955-965 | S45102D | 23 | 949-950 | S46829S | 09 | 604-605 | ||
| S43151D | 23 | 949-950 | S45102S | 05 | 299-301 | S46891A | 21 | 913-914 | ||
| S43151S | 08 | 562-563 | S45109A | 21 | 913-914 | S46891A | 24 | 955-965 | ||
| S43152A | 08 | 562-563 | S45109A | 24 | 955-965 | S46891D | 23 | 949-950 | ||
| S43152A | 24 | 955-965 | S45109D | 23 | 949-950 | S46891S | 21 | 913-914 | ||
| S43152D | 23 | 949-950 | S45109S | 05 | 299-301 | S46892A | 21 | 913-914 | ||
| S43152S | 08 | 562-563 | S45111A | 21 | 913-914 | S46892A | 24 | 955-965 | ||
| S43159A | 08 | 562-563 | S45111A | 24 | 955-965 | S46892D | 23 | 949-950 | ||
| S43159A | 24 | 955-965 | S45111D | 23 | 949-950 | S46892S | 21 | 913-914 | ||
| S43159D | 23 | 949-950 | S45111S | 05 | 299-301 | S46899A | 21 | 913-914 | ||
| S43159S | 08 | 562-563 | S45112A | 21 | 913-914 | S46899A | 24 | 955-965 | ||
| S43201A | 04 | 183-185 | S45112A | 24 | 955-965 | S46899D | 23 | 949-950 | ||
| S43201A | 24 | 955-965 | S45112D | 23 | 949-950 | S46899S | 21 | 913-914 | ||
| S43201D | 23 | 949-950 | S45112S | 05 | 299-301 | S46901A | 21 | 913-914 | ||
| S43201S | 08 | 562-563 | S45119A | 21 | 913-914 | S46901A | 24 | 955-965 | ||
| S43202A | 04 | 183-185 | S45119A | 24 | 955-965 | S46901D | 23 | 949-950 | ||
| S43202A | 24 | 955-965 | S45119D | 23 | 949-950 | S46901S | 21 | 913-914 | ||
| S43202D | 23 | 949-950 | S45119S | 05 | 299-301 | S46902A | 21 | 913-914 | ||
| S43202S | 08 | 562-563 | S45191A | 21 | 913-914 | S46902A | 24 | 955-965 | ||
| S43203A | 04 | 183-185 | S45191A | 24 | 955-965 | S46902D | 23 | 949-950 | ||
| S43203A | 24 | 955-965 | S45191D | 23 | 949-950 | S46902S | 21 | 913-914 | ||
| S43203D | 23 | 949-950 | S45191S | 05 | 299-301 | S46909A | 21 | 913-914 | ||
| S43203S | 08 | 562-563 | S45192A | 21 | 913-914 | S46909A | 24 | 955-965 | ||
| S43204A | 04 | 183-185 | S45192A | 24 | 955-965 | S46909D | 23 | 949-950 | ||
| S43204A | 24 | 955-965 | S45192D | 23 | 949-950 | S46909S | 21 | 913-914 | ||
| S43204D | 23 | 949-950 | S45192S | 05 | 299-301 | S46911A | 08 | 562-563 | ||
| S43204S | 08 | 562-563 | S45199A | 21 | 913-914 | S46911A | 24 | 955-965 | ||
| S43205A | 04 | 183-185 | S45199A | 24 | 955-965 | S46911D | 23 | 949-950 | ||
| S43205A | 24 | 955-965 | S45199D | 23 | 949-950 | S46911S | 08 | 562-563 | ||
| S43205D | 23 | 949-950 | S45199S | 05 | 299-301 | S46912A | 08 | 562-563 | ||
| S43205S | 08 | 562-563 | S45201A | 21 | 913-914 | S46912A | 24 | 955-965 | ||
| S43206A | 04 | 183-185 | S45201A | 24 | 955-965 | S46912D | 23 | 949-950 | ||
| S43206A | 24 | 955-965 | S45201D | 23 | 949-950 | S46912S | 08 | 562-563 | ||
| S43206D | 23 | 949-950 | S45201S | 05 | 299-301 | S46919A | 08 | 562-563 | ||
| S43206S | 08 | 562-563 | S45202A | 21 | 913-914 | S46919A | 24 | 955-965 | ||
| S43211A | 04 | 183-185 | S45202A | 24 | 955-965 | S46919D | 23 | 949-950 | ||
| S43211A | 24 | 955-965 | S45202D | 23 | 949-950 | S46919S | 08 | 562-563 | ||
| S43211D | 23 | 949-950 | S45202S | 05 | 299-301 | S46921A | 08 | 564-566 | ||
| S43211S | 08 | 562-563 | S45209A | 21 | 913-914 | S46921A | 24 | 955-965 | ||
| S43212A | 04 | 183-185 | S45209A | 24 | 955-965 | S46921D | 23 | 949-950 | ||
| S43212A | 24 | 955-965 | S45209D | 23 | 949-950 | S46921S | 09 | 604-605 | ||
| S43212D | 23 | 949-950 | S45209S | 05 | 299-301 | S46922A | 08 | 564-566 | ||
| S43212S | 08 | 562-563 | S45211A | 21 | 913-914 | S46922A | 24 | 955-965 | ||
| S43213A | 04 | 183-185 | S45211A | 24 | 955-965 | S46922D | 23 | 949-950 | ||
| S43213A | 24 | 955-965 | S45211D | 23 | 949-950 | S46922S | 09 | 604-605 | ||
| S43213D | 23 | 949-950 | S45211S | 05 | 299-301 | S46929A | 08 | 564-566 | ||
| S43213S | 08 | 562-563 | S45212A | 21 | 913-914 | S46929A | 24 | 955-965 | ||
| S43214A | 04 | 183-185 | S45212A | 24 | 955-965 | S46929D | 23 | 949-950 | ||
| S43214A | 24 | 955-965 | S45212D | 23 | 949-950 | S46929S | 09 | 604-605 | ||
| S43214D | 23 | 949-950 | S45212S | 05 | 299-301 | S46991A | 21 | 913-914 | ||
| S43214S | 08 | 562-563 | S45219A | 21 | 913-914 | S46991A | 24 | 955-965 | ||
| S43215A | 04 | 183-185 | S45219A | 24 | 955-965 | S46991D | 23 | 949-950 | ||
| S43215A | 24 | 955-965 | S45219D | 23 | 949-950 | S46991S | 21 | 913-914 | ||
| S43215D | 23 | 949-950 | S45219S | 05 | 299-301 | S46992A | 21 | 913-914 | ||
| S43215S | 08 | 562-563 | S45291A | 21 | 913-914 | S46992A | 24 | 955-965 | ||
| S43216A | 04 | 183-185 | S45291A | 24 | 955-965 | S46992D | 23 | 949-950 | ||
| S43216A | 24 | 955-965 | S45291D | 23 | 949-950 | S46992S | 21 | 913-914 | ||
| S43216D | 23 | 949-950 | S45291S | 05 | 299-301 | S46999A | 21 | 913-914 | ||
| S43216S | 08 | 562-563 | S45292A | 21 | 913-914 | S46999A | 24 | 955-965 | ||
| S43221A | 04 | 183-185 | S45292A | 24 | 955-965 | S46999D | 23 | 949-950 | ||
| S43221A | 24 | 955-965 | S45292D | 23 | 949-950 | S46999S | 21 | 913-914 | ||
| S43221D | 23 | 949-950 | S45292S | 05 | 299-301 | S471XXA | 21 | 913-914 | ||
| S43221S | 08 | 562-563 | S45299A | 21 | 913-914 | S471XXA | 24 | 955-965 | ||
| S43222A | 04 | 183-185 | S45299A | 24 | 955-965 | S471XXD | 23 | 949-950 | ||
| S43222A | 24 | 955-965 | S45299D | 23 | 949-950 | S471XXS | 09 | 604-605 | ||
| S43222D | 23 | 949-950 | S45299S | 05 | 299-301 | S472XXA | 21 | 913-914 | ||
| S43222S | 08 | 562-563 | S45301A | 21 | 913-914 | S472XXA | 24 | 955-965 | ||
| S43223A | 04 | 183-185 | S45301A | 24 | 955-965 | S472XXD | 23 | 949-950 | ||
| S43223A | 24 | 955-965 | S45301D | 23 | 949-950 | S472XXS | 09 | 604-605 | ||
| S43223D | 23 | 949-950 | S45301S | 05 | 299-301 | S479XXA | 21 | 913-914 | ||
| S43223S | 08 | 562-563 | S45302A | 21 | 913-914 | S479XXA | 24 | 955-965 | ||
| S43224A | 04 | 183-185 | S45302A | 24 | 955-965 | S479XXD | 23 | 949-950 | ||
| S43224A | 24 | 955-965 | S45302D | 23 | 949-950 | S479XXS | 09 | 604-605 | ||
| S43224D | 23 | 949-950 | S45302S | 05 | 299-301 | S48011A | 21 | 913-914 | ||
| S43224S | 08 | 562-563 | S45309A | 21 | 913-914 | S48011A | 24 | 955-965 | ||
| S43225A | 04 | 183-185 | S45309A | 24 | 955-965 | S48011D | 23 | 949-950 | ||
| S43225A | 24 | 955-965 | S45309D | 23 | 949-950 | S48011S | 08 | 559-561 | ||
| S43225D | 23 | 949-950 | S45309S | 05 | 299-301 | S48012A | 21 | 913-914 | ||
| S43225S | 08 | 562-563 | S45311A | 21 | 913-914 | S48012A | 24 | 955-965 | ||
| S43226A | 04 | 183-185 | S45311A | 24 | 955-965 | S48012D | 23 | 949-950 | ||
| S43226A | 24 | 955-965 | S45311D | 23 | 949-950 | S48012S | 08 | 559-561 | ||
| S43226D | 23 | 949-950 | S45311S | 05 | 299-301 | S48019A | 21 | 913-914 | ||
| S43226S | 08 | 562-563 | S45312A | 21 | 913-914 | S48019A | 24 | 955-965 | ||
| S43301A | 08 | 562-563 | S45312A | 24 | 955-965 | S48019D | 23 | 949-950 | ||
| S43301A | 24 | 955-965 | S45312D | 23 | 949-950 | S48019S | 08 | 559-561 | ||
| S43301D | 23 | 949-950 | S45312S | 05 | 299-301 | S48021A | 21 | 913-914 | ||
| S43301S | 08 | 562-563 | S45319A | 21 | 913-914 | S48021A | 24 | 955-965 | ||
| S43302A | 08 | 562-563 | S45319A | 24 | 955-965 | S48021D | 23 | 949-950 | ||
| S43302A | 24 | 955-965 | S45319D | 23 | 949-950 | S48021S | 08 | 559-561 | ||
| S43302D | 23 | 949-950 | S45319S | 05 | 299-301 | S48022A | 21 | 913-914 | ||
| S43302S | 08 | 562-563 | S45391A | 21 | 913-914 | S48022A | 24 | 955-965 | ||
| S43303A | 08 | 562-563 | S45391A | 24 | 955-965 | S48022D | 23 | 949-950 | ||
| S43303A | 24 | 955-965 | S45391D | 23 | 949-950 | S48022S | 08 | 559-561 | ||
| S43303D | 23 | 949-950 | S45391S | 05 | 299-301 | S48029A | 21 | 913-914 | ||
| S43303S | 08 | 562-563 | S45392A | 21 | 913-914 | S48029A | 24 | 955-965 | ||
| S43304A | 08 | 562-563 | S45392A | 24 | 955-965 | S48029D | 23 | 949-950 | ||
| S43304A | 24 | 955-965 | S45392D | 23 | 949-950 | S48029S | 08 | 559-561 | ||
| S43304D | 23 | 949-950 | S45392S | 05 | 299-301 | S48111A | 21 | 913-914 | ||
| S43304S | 08 | 562-563 | S45399A | 21 | 913-914 | S48111A | 24 | 955-965 | ||
| S43305A | 08 | 562-563 | S45399A | 24 | 955-965 | S48111D | 23 | 949-950 | ||
| S43305A | 24 | 955-965 | S45399D | 23 | 949-950 | S48111S | 08 | 559-561 | ||
| S43305D | 23 | 949-950 | S45399S | 05 | 299-301 | S48112A | 21 | 913-914 | ||
| S43305S | 08 | 562-563 | S45801A | 21 | 913-914 | S48112A | 24 | 955-965 | ||
| S43306A | 08 | 562-563 | S45801A | 24 | 955-965 | S48112D | 23 | 949-950 | ||
| S43306A | 24 | 955-965 | S45801D | 23 | 949-950 | S48112S | 08 | 559-561 | ||
| S43306D | 23 | 949-950 | S45801S | 05 | 299-301 | S48119A | 21 | 913-914 | ||
| S43306S | 08 | 562-563 | S45802A | 21 | 913-914 | S48119A | 24 | 955-965 | ||
| S43311A | 08 | 562-563 | S45802A | 24 | 955-965 | S48119D | 23 | 949-950 | ||
| S43311A | 24 | 955-965 | S45802D | 23 | 949-950 | S48119S | 08 | 559-561 | ||
| S43311D | 23 | 949-950 | S45802S | 05 | 299-301 | S48121A | 21 | 913-914 | ||
| S43311S | 08 | 562-563 | S45809A | 21 | 913-914 | S48121A | 24 | 955-965 | ||
| S43312A | 08 | 562-563 | S45809A | 24 | 955-965 | S48121D | 23 | 949-950 | ||
| S43312A | 24 | 955-965 | S45809D | 23 | 949-950 | S48121S | 08 | 559-561 | ||
| S43312D | 23 | 949-950 | S45809S | 05 | 299-301 | S48122A | 21 | 913-914 | ||
| S43312S | 08 | 562-563 | S45811A | 21 | 913-914 | S48122A | 24 | 955-965 | ||
| S43313A | 08 | 562-563 | S45811A | 24 | 955-965 | S48122D | 23 | 949-950 | ||
| S43313A | 24 | 955-965 | S45811D | 23 | 949-950 | S48122S | 08 | 559-561 | ||
| S43313D | 23 | 949-950 | S45811S | 05 | 299-301 | S48129A | 21 | 913-914 | ||
| S43313S | 08 | 562-563 | S45812A | 21 | 913-914 | S48129A | 24 | 955-965 | ||
| S43314A | 08 | 562-563 | S45812A | 24 | 955-965 | S48129D | 23 | 949-950 | ||
| S43314A | 24 | 955-965 | S45812D | 23 | 949-950 | S48129S | 08 | 559-561 | ||
| S43314D | 23 | 949-950 | S45812S | 05 | 299-301 | S48911A | 21 | 913-914 | ||
| S43314S | 08 | 562-563 | S45819A | 21 | 913-914 | S48911A | 24 | 955-965 | ||
| S43315A | 08 | 562-563 | S45819A | 24 | 955-965 | S48911D | 23 | 949-950 | ||
| S43315A | 24 | 955-965 | S45819D | 23 | 949-950 | S48911S | 08 | 559-561 | ||
| S43315D | 23 | 949-950 | S45819S | 05 | 299-301 | S48912A | 21 | 913-914 | ||
| S43315S | 08 | 562-563 | S45891A | 21 | 913-914 | S48912A | 24 | 955-965 | ||
| S43316A | 08 | 562-563 | S45891A | 24 | 955-965 | S48912D | 23 | 949-950 | ||
| S43316A | 24 | 955-965 | S45891D | 23 | 949-950 | S48912S | 08 | 559-561 | ||
| S43316D | 23 | 949-950 | S45891S | 05 | 299-301 | S48919A | 21 | 913-914 | ||
| S43316S | 08 | 562-563 | S45892A | 21 | 913-914 | S48919A | 24 | 955-965 | ||
| S43391A | 08 | 562-563 | S45892A | 24 | 955-965 | S48919D | 23 | 949-950 | ||
| S43391A | 24 | 955-965 | S45892D | 23 | 949-950 | S48919S | 08 | 559-561 | ||
| S43391D | 23 | 949-950 | S45892S | 05 | 299-301 | S48921A | 21 | 913-914 | ||
| S43391S | 08 | 562-563 | S45899A | 21 | 913-914 | S48921A | 24 | 955-965 | ||
| S43392A | 08 | 562-563 | S45899A | 24 | 955-965 | S48921D | 23 | 949-950 | ||
| S43392A | 24 | 955-965 | S45899D | 23 | 949-950 | S48921S | 08 | 559-561 | ||
| S43392D | 23 | 949-950 | S45899S | 05 | 299-301 | S48922A | 21 | 913-914 | ||
| S43392S | 08 | 562-563 | S45901A | 21 | 913-914 | S48922A | 24 | 955-965 | ||
| S43393A | 08 | 562-563 | S45901A | 24 | 955-965 | S48922D | 23 | 949-950 | ||
| S43393A | 24 | 955-965 | S45901D | 23 | 949-950 | S48922S | 08 | 559-561 | ||
| S43393D | 23 | 949-950 | S45901S | 05 | 299-301 | S48929A | 21 | 913-914 | ||
| S43393S | 08 | 562-563 | S45902A | 21 | 913-914 | S48929A | 24 | 955-965 | ||
| S43394A | 08 | 562-563 | S45902A | 24 | 955-965 | S48929D | 23 | 949-950 | ||
| S43394A | 24 | 955-965 | S45902D | 23 | 949-950 | S48929S | 08 | 559-561 | ||
| S43394D | 23 | 949-950 | S45902S | 05 | 299-301 | S49001A | 08 | 562-563 | ||
| S43394S | 08 | 562-563 | S45909A | 21 | 913-914 | S49001A | 24 | 955-965 | ||
| S43395A | 08 | 562-563 | S45909A | 24 | 955-965 | S49001D | 08 | 559-561 | ||
| S43395A | 24 | 955-965 | S45909D | 23 | 949-950 | S49001G | 08 | 559-561 | ||
| S43395D | 23 | 949-950 | S45909S | 05 | 299-301 | S49001K | 08 | 564-566 | ||
| S43395S | 08 | 562-563 | S45911A | 21 | 913-914 | S49001P | 08 | 564-566 | ||
| S43396A | 08 | 562-563 | S45911A | 24 | 955-965 | S49001S | 08 | 559-561 | ||
| S43396A | 24 | 955-965 | S45911D | 23 | 949-950 | S49002A | 08 | 562-563 | ||
| S43396D | 23 | 949-950 | S45911S | 05 | 299-301 | S49002A | 24 | 955-965 | ||
| S43396S | 08 | 562-563 | S45912A | 21 | 913-914 | S49002D | 08 | 559-561 | ||
| S43401A | 08 | 562-563 | S45912A | 24 | 955-965 | S49002G | 08 | 559-561 | ||
| S43401A | 24 | 955-965 | S45912D | 23 | 949-950 | S49002K | 08 | 564-566 | ||
| S43401D | 23 | 949-950 | S45912S | 05 | 299-301 | S49002P | 08 | 564-566 | ||
| S43401S | 08 | 562-563 | S45919A | 21 | 913-914 | S49002S | 08 | 559-561 | ||
| S43402A | 08 | 562-563 | S45919A | 24 | 955-965 | S49009A | 08 | 562-563 | ||
| S43402A | 24 | 955-965 | S45919D | 23 | 949-950 | S49009A | 24 | 955-965 | ||
| S43402D | 23 | 949-950 | S45919S | 05 | 299-301 | S49009D | 08 | 559-561 | ||
| S43402S | 08 | 562-563 | S45991A | 21 | 913-914 | S49009G | 08 | 559-561 | ||
| S43409A | 08 | 562-563 | S45991A | 24 | 955-965 | S49009K | 08 | 564-566 | ||
| S43409A | 24 | 955-965 | S45991D | 23 | 949-950 | S49009P | 08 | 564-566 | ||
| S43409D | 23 | 949-950 | S45991S | 05 | 299-301 | S49009S | 08 | 559-561 | ||
| S43409S | 08 | 562-563 | S45992A | 21 | 913-914 | S49011A | 08 | 562-563 | ||
| S43411A | 08 | 562-563 | S45992A | 24 | 955-965 | S49011A | 24 | 955-965 | ||
| S43411A | 24 | 955-965 | S45992D | 23 | 949-950 | S49011D | 08 | 559-561 | ||
| S43411D | 23 | 949-950 | S45992S | 05 | 299-301 | S49011G | 08 | 559-561 | ||
| S43411S | 08 | 562-563 | S45999A | 21 | 913-914 | S49011K | 08 | 564-566 | ||
| S43412A | 08 | 562-563 | S45999A | 24 | 955-965 | S49011P | 08 | 564-566 | ||
| S43412A | 24 | 955-965 | S45999D | 23 | 949-950 | S49011S | 08 | 559-561 | ||
| S43412D | 23 | 949-950 | S45999S | 05 | 299-301 | S49012A | 08 | 562-563 | ||
| S43412S | 08 | 562-563 | S46001A | 21 | 913-914 | S49012A | 24 | 955-965 | ||
| S43419A | 08 | 562-563 | S46001A | 24 | 955-965 | S49012D | 08 | 559-561 | ||
| S43419A | 24 | 955-965 | S46001D | 23 | 949-950 | S49012G | 08 | 559-561 | ||
| S43419D | 23 | 949-950 | S46001S | 21 | 913-914 | S49012K | 08 | 564-566 | ||
| S43419S | 08 | 562-563 | S46002A | 21 | 913-914 | S49012P | 08 | 564-566 | ||
| S43421A | 08 | 562-563 | S46002A | 24 | 955-965 | S49012S | 08 | 559-561 | ||
| S43421A | 24 | 955-965 | S46002D | 23 | 949-950 | S49019A | 08 | 562-563 | ||
| S43421D | 23 | 949-950 | S46002S | 21 | 913-914 | S49019A | 24 | 955-965 | ||
| S43421S | 08 | 562-563 | S46009A | 21 | 913-914 | S49019D | 08 | 559-561 | ||
| S43422A | 08 | 562-563 | S46009A | 24 | 955-965 | S49019G | 08 | 559-561 | ||
| S43422A | 24 | 955-965 | S46009D | 23 | 949-950 | S49019K | 08 | 564-566 | ||
| S43422D | 23 | 949-950 | S46009S | 21 | 913-914 | S49019P | 08 | 564-566 | ||
| S43422S | 08 | 562-563 | S46011A | 08 | 562-563 | S49019S | 08 | 559-561 | ||
| S43429A | 08 | 562-563 | S46011A | 24 | 955-965 | S49021A | 08 | 562-563 | ||
| S43429A | 24 | 955-965 | S46011D | 23 | 949-950 | S49021A | 24 | 955-965 | ||
| S43429D | 23 | 949-950 | S46011S | 08 | 562-563 | S49021D | 08 | 559-561 | ||
| S43429S | 08 | 562-563 | S46012A | 08 | 562-563 | S49021G | 08 | 559-561 | ||
| S43431A | 08 | 562-563 | S46012A | 24 | 955-965 | S49021K | 08 | 564-566 | ||
| S43431A | 24 | 955-965 | S46012D | 23 | 949-950 | S49021P | 08 | 564-566 | ||
| S43431D | 23 | 949-950 | S46012S | 08 | 562-563 | S49021S | 08 | 559-561 | ||
| S43431S | 08 | 562-563 | S46019A | 08 | 562-563 | S49022A | 08 | 562-563 | ||
| S43432A | 08 | 562-563 | S46019A | 24 | 955-965 | S49022A | 24 | 955-965 | ||
| S43432A | 24 | 955-965 | S46019D | 23 | 949-950 | S49022D | 08 | 559-561 | ||
| S43432D | 23 | 949-950 | S46019S | 08 | 562-563 | S49022G | 08 | 559-561 | ||
| S43432S | 08 | 562-563 | S46021A | 08 | 564-566 | S49022K | 08 | 564-566 | ||
| S43439A | 08 | 562-563 | S46021A | 24 | 955-965 | S49022P | 08 | 564-566 | ||
| S43439A | 24 | 955-965 | S46021D | 23 | 949-950 | S49022S | 08 | 559-561 | ||
| S43439D | 23 | 949-950 | S46021S | 09 | 604-605 | S49029A | 08 | 562-563 | ||
| S43439S | 08 | 562-563 | S46022A | 08 | 564-566 | S49029A | 24 | 955-965 | ||
| S43491A | 08 | 562-563 | S46022A | 24 | 955-965 | S49029D | 08 | 559-561 | ||
| S43491A | 24 | 955-965 | S46022D | 23 | 949-950 | S49029G | 08 | 559-561 | ||
| S43491D | 23 | 949-950 | S46022S | 09 | 604-605 | S49029K | 08 | 564-566 | ||
| S43491S | 08 | 562-563 | S46029A | 08 | 564-566 | S49029P | 08 | 564-566 | ||
| S43492A | 08 | 562-563 | S46029A | 24 | 955-965 | S49029S | 08 | 559-561 | ||
| S43492A | 24 | 955-965 | S46029D | 23 | 949-950 | S49031A | 08 | 562-563 | ||
| S43492D | 23 | 949-950 | S46029S | 09 | 604-605 | S49031A | 24 | 955-965 | ||
| S43492S | 08 | 562-563 | S46091A | 21 | 913-914 | S49031D | 08 | 559-561 | ||
| S43499A | 08 | 562-563 | S46091A | 24 | 955-965 | S49031G | 08 | 559-561 | ||
| S43499A | 24 | 955-965 | S46091D | 23 | 949-950 | S49031K | 08 | 564-566 | ||
| S43499D | 23 | 949-950 | S46091S | 21 | 913-914 | S49031P | 08 | 564-566 | ||
| S43499S | 08 | 562-563 | S46092A | 21 | 913-914 | S49031S | 08 | 559-561 | ||
| S4350XA | 08 | 562-563 | S46092A | 24 | 955-965 | S49032A | 08 | 562-563 | ||
| S4350XA | 24 | 955-965 | S46092D | 23 | 949-950 | S49032A | 24 | 955-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 04 Oct 2018 16:21:08 CMS, code-revision=145, description-revision=1114 |