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 43 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S60476S | 09 | 604-605 | S61206A | 09 | 604-605 | S61346D | 23 | 949-950 | ||
| S60477A | 09 | 604-605 | S61206A | 24 | 955-965 | S61346S | 09 | 604-605 | ||
| S60477A | 24 | 955-965 | S61206D | 23 | 949-950 | S61347A | 21 | 913-914 | ||
| S60477D | 23 | 949-950 | S61206S | 09 | 604-605 | S61347A | 24 | 955-965 | ||
| S60477S | 09 | 604-605 | S61207A | 09 | 604-605 | S61347D | 23 | 949-950 | ||
| S60478A | 09 | 604-605 | S61207A | 24 | 955-965 | S61347S | 09 | 604-605 | ||
| S60478A | 24 | 955-965 | S61207D | 23 | 949-950 | S61348A | 21 | 913-914 | ||
| S60478D | 23 | 949-950 | S61207S | 09 | 604-605 | S61348A | 24 | 955-965 | ||
| S60478S | 09 | 604-605 | S61208A | 09 | 604-605 | S61348D | 23 | 949-950 | ||
| S60479A | 09 | 604-605 | S61208A | 24 | 955-965 | S61348S | 09 | 604-605 | ||
| S60479A | 24 | 955-965 | S61208D | 23 | 949-950 | S61349A | 21 | 913-914 | ||
| S60479D | 23 | 949-950 | S61208S | 09 | 604-605 | S61349A | 24 | 955-965 | ||
| S60479S | 09 | 604-605 | S61209A | 09 | 604-605 | S61349D | 23 | 949-950 | ||
| S60511A | 09 | 604-605 | S61209A | 24 | 955-965 | S61349S | 09 | 604-605 | ||
| S60511A | 24 | 955-965 | S61209D | 23 | 949-950 | S61350A | 09 | 604-605 | ||
| S60511D | 23 | 949-950 | S61209S | 09 | 604-605 | S61350A | 24 | 955-965 | ||
| S60511S | 09 | 604-605 | S61210A | 09 | 604-605 | S61350D | 23 | 949-950 | ||
| S60512A | 09 | 604-605 | S61210A | 24 | 955-965 | S61350S | 09 | 604-605 | ||
| S60512A | 24 | 955-965 | S61210D | 23 | 949-950 | S61351A | 09 | 604-605 | ||
| S60512D | 23 | 949-950 | S61210S | 09 | 604-605 | S61351A | 24 | 955-965 | ||
| S60512S | 09 | 604-605 | S61211A | 09 | 604-605 | S61351D | 23 | 949-950 | ||
| S60519A | 09 | 604-605 | S61211A | 24 | 955-965 | S61351S | 09 | 604-605 | ||
| S60519A | 24 | 955-965 | S61211D | 23 | 949-950 | S61352A | 09 | 604-605 | ||
| S60519D | 23 | 949-950 | S61211S | 09 | 604-605 | S61352A | 24 | 955-965 | ||
| S60519S | 09 | 604-605 | S61212A | 09 | 604-605 | S61352D | 23 | 949-950 | ||
| S60521A | 09 | 606-607 | S61212A | 24 | 955-965 | S61352S | 09 | 604-605 | ||
| S60521A | 24 | 955-965 | S61212D | 23 | 949-950 | S61353A | 09 | 604-605 | ||
| S60521D | 23 | 949-950 | S61212S | 09 | 604-605 | S61353A | 24 | 955-965 | ||
| S60521S | 09 | 604-605 | S61213A | 09 | 604-605 | S61353D | 23 | 949-950 | ||
| S60522A | 09 | 606-607 | S61213A | 24 | 955-965 | S61353S | 09 | 604-605 | ||
| S60522A | 24 | 955-965 | S61213D | 23 | 949-950 | S61354A | 09 | 604-605 | ||
| S60522D | 23 | 949-950 | S61213S | 09 | 604-605 | S61354A | 24 | 955-965 | ||
| S60522S | 09 | 604-605 | S61214A | 09 | 604-605 | S61354D | 23 | 949-950 | ||
| S60529A | 09 | 606-607 | S61214A | 24 | 955-965 | S61354S | 09 | 604-605 | ||
| S60529A | 24 | 955-965 | S61214D | 23 | 949-950 | S61355A | 09 | 604-605 | ||
| S60529D | 23 | 949-950 | S61214S | 09 | 604-605 | S61355A | 24 | 955-965 | ||
| S60529S | 09 | 604-605 | S61215A | 09 | 604-605 | S61355D | 23 | 949-950 | ||
| S60541A | 09 | 604-605 | S61215A | 24 | 955-965 | S61355S | 09 | 604-605 | ||
| S60541A | 24 | 955-965 | S61215D | 23 | 949-950 | S61356A | 09 | 604-605 | ||
| S60541D | 23 | 949-950 | S61215S | 09 | 604-605 | S61356A | 24 | 955-965 | ||
| S60541S | 09 | 604-605 | S61216A | 09 | 604-605 | S61356D | 23 | 949-950 | ||
| S60542A | 09 | 604-605 | S61216A | 24 | 955-965 | S61356S | 09 | 604-605 | ||
| S60542A | 24 | 955-965 | S61216D | 23 | 949-950 | S61357A | 09 | 604-605 | ||
| S60542D | 23 | 949-950 | S61216S | 09 | 604-605 | S61357A | 24 | 955-965 | ||
| S60542S | 09 | 604-605 | S61217A | 09 | 604-605 | S61357D | 23 | 949-950 | ||
| S60549A | 09 | 604-605 | S61217A | 24 | 955-965 | S61357S | 09 | 604-605 | ||
| S60549A | 24 | 955-965 | S61217D | 23 | 949-950 | S61358A | 09 | 604-605 | ||
| S60549D | 23 | 949-950 | S61217S | 09 | 604-605 | S61358A | 24 | 955-965 | ||
| S60549S | 09 | 604-605 | S61218A | 09 | 604-605 | S61358D | 23 | 949-950 | ||
| S60551A | 09 | 604-605 | S61218A | 24 | 955-965 | S61358S | 09 | 604-605 | ||
| S60551A | 24 | 955-965 | S61218D | 23 | 949-950 | S61359A | 09 | 604-605 | ||
| S60551D | 23 | 949-950 | S61218S | 09 | 604-605 | S61359A | 24 | 955-965 | ||
| S60551S | 09 | 604-605 | S61219A | 09 | 604-605 | S61359D | 23 | 949-950 | ||
| S60552A | 09 | 604-605 | S61219A | 24 | 955-965 | S61359S | 09 | 604-605 | ||
| S60552A | 24 | 955-965 | S61219D | 23 | 949-950 | S61401A | 09 | 604-605 | ||
| S60552D | 23 | 949-950 | S61219S | 09 | 604-605 | S61401A | 24 | 955-965 | ||
| S60552S | 09 | 604-605 | S61220A | 21 | 913-914 | S61401D | 23 | 949-950 | ||
| S60559A | 09 | 604-605 | S61220A | 24 | 955-965 | S61401S | 09 | 604-605 | ||
| S60559A | 24 | 955-965 | S61220D | 23 | 949-950 | S61402A | 09 | 604-605 | ||
| S60559D | 23 | 949-950 | S61220S | 09 | 604-605 | S61402A | 24 | 955-965 | ||
| S60559S | 09 | 604-605 | S61221A | 21 | 913-914 | S61402D | 23 | 949-950 | ||
| S60561A | 09 | 606-607 | S61221A | 24 | 955-965 | S61402S | 09 | 604-605 | ||
| S60561A | 24 | 955-965 | S61221D | 23 | 949-950 | S61409A | 09 | 604-605 | ||
| S60561D | 23 | 949-950 | S61221S | 09 | 604-605 | S61409A | 24 | 955-965 | ||
| S60561S | 09 | 604-605 | S61222A | 21 | 913-914 | S61409D | 23 | 949-950 | ||
| S60562A | 09 | 606-607 | S61222A | 24 | 955-965 | S61409S | 09 | 604-605 | ||
| S60562A | 24 | 955-965 | S61222D | 23 | 949-950 | S61411A | 09 | 604-605 | ||
| S60562D | 23 | 949-950 | S61222S | 09 | 604-605 | S61411A | 24 | 955-965 | ||
| S60562S | 09 | 604-605 | S61223A | 21 | 913-914 | S61411D | 23 | 949-950 | ||
| S60569A | 09 | 606-607 | S61223A | 24 | 955-965 | S61411S | 09 | 604-605 | ||
| S60569A | 24 | 955-965 | S61223D | 23 | 949-950 | S61412A | 09 | 604-605 | ||
| S60569D | 23 | 949-950 | S61223S | 09 | 604-605 | S61412A | 24 | 955-965 | ||
| S60569S | 09 | 604-605 | S61224A | 21 | 913-914 | S61412D | 23 | 949-950 | ||
| S60571A | 09 | 604-605 | S61224A | 24 | 955-965 | S61412S | 09 | 604-605 | ||
| S60571A | 24 | 955-965 | S61224D | 23 | 949-950 | S61419A | 09 | 604-605 | ||
| S60571D | 23 | 949-950 | S61224S | 09 | 604-605 | S61419A | 24 | 955-965 | ||
| S60571S | 09 | 604-605 | S61225A | 21 | 913-914 | S61419D | 23 | 949-950 | ||
| S60572A | 09 | 604-605 | S61225A | 24 | 955-965 | S61419S | 09 | 604-605 | ||
| S60572A | 24 | 955-965 | S61225D | 23 | 949-950 | S61421A | 21 | 913-914 | ||
| S60572D | 23 | 949-950 | S61225S | 09 | 604-605 | S61421A | 24 | 955-965 | ||
| S60572S | 09 | 604-605 | S61226A | 21 | 913-914 | S61421D | 23 | 949-950 | ||
| S60579A | 09 | 604-605 | S61226A | 24 | 955-965 | S61421S | 09 | 604-605 | ||
| S60579A | 24 | 955-965 | S61226D | 23 | 949-950 | S61422A | 21 | 913-914 | ||
| S60579D | 23 | 949-950 | S61226S | 09 | 604-605 | S61422A | 24 | 955-965 | ||
| S60579S | 09 | 604-605 | S61227A | 21 | 913-914 | S61422D | 23 | 949-950 | ||
| S60811A | 09 | 604-605 | S61227A | 24 | 955-965 | S61422S | 09 | 604-605 | ||
| S60811A | 24 | 955-965 | S61227D | 23 | 949-950 | S61429A | 21 | 913-914 | ||
| S60811D | 23 | 949-950 | S61227S | 09 | 604-605 | S61429A | 24 | 955-965 | ||
| S60811S | 09 | 604-605 | S61228A | 21 | 913-914 | S61429D | 23 | 949-950 | ||
| S60812A | 09 | 604-605 | S61228A | 24 | 955-965 | S61429S | 09 | 604-605 | ||
| S60812A | 24 | 955-965 | S61228D | 23 | 949-950 | S61431A | 09 | 604-605 | ||
| S60812D | 23 | 949-950 | S61228S | 09 | 604-605 | S61431A | 24 | 955-965 | ||
| S60812S | 09 | 604-605 | S61229A | 21 | 913-914 | S61431D | 23 | 949-950 | ||
| S60819A | 09 | 604-605 | S61229A | 24 | 955-965 | S61431S | 09 | 604-605 | ||
| S60819A | 24 | 955-965 | S61229D | 23 | 949-950 | S61432A | 09 | 604-605 | ||
| S60819D | 23 | 949-950 | S61229S | 09 | 604-605 | S61432A | 24 | 955-965 | ||
| S60819S | 09 | 604-605 | S61230A | 09 | 604-605 | S61432D | 23 | 949-950 | ||
| S60821A | 09 | 606-607 | S61230A | 24 | 955-965 | S61432S | 09 | 604-605 | ||
| S60821A | 24 | 955-965 | S61230D | 23 | 949-950 | S61439A | 09 | 604-605 | ||
| S60821D | 23 | 949-950 | S61230S | 09 | 604-605 | S61439A | 24 | 955-965 | ||
| S60821S | 09 | 604-605 | S61231A | 09 | 604-605 | S61439D | 23 | 949-950 | ||
| S60822A | 09 | 606-607 | S61231A | 24 | 955-965 | S61439S | 09 | 604-605 | ||
| S60822A | 24 | 955-965 | S61231D | 23 | 949-950 | S61441A | 21 | 913-914 | ||
| S60822D | 23 | 949-950 | S61231S | 09 | 604-605 | S61441A | 24 | 955-965 | ||
| S60822S | 09 | 604-605 | S61232A | 09 | 604-605 | S61441D | 23 | 949-950 | ||
| S60829A | 09 | 606-607 | S61232A | 24 | 955-965 | S61441S | 09 | 604-605 | ||
| S60829A | 24 | 955-965 | S61232D | 23 | 949-950 | S61442A | 21 | 913-914 | ||
| S60829D | 23 | 949-950 | S61232S | 09 | 604-605 | S61442A | 24 | 955-965 | ||
| S60829S | 09 | 604-605 | S61233A | 09 | 604-605 | S61442D | 23 | 949-950 | ||
| S60841A | 09 | 604-605 | S61233A | 24 | 955-965 | S61442S | 09 | 604-605 | ||
| S60841A | 24 | 955-965 | S61233D | 23 | 949-950 | S61449A | 21 | 913-914 | ||
| S60841D | 23 | 949-950 | S61233S | 09 | 604-605 | S61449A | 24 | 955-965 | ||
| S60841S | 09 | 604-605 | S61234A | 09 | 604-605 | S61449D | 23 | 949-950 | ||
| S60842A | 09 | 604-605 | S61234A | 24 | 955-965 | S61449S | 09 | 604-605 | ||
| S60842A | 24 | 955-965 | S61234D | 23 | 949-950 | S61451A | 09 | 604-605 | ||
| S60842D | 23 | 949-950 | S61234S | 09 | 604-605 | S61451A | 24 | 955-965 | ||
| S60842S | 09 | 604-605 | S61235A | 09 | 604-605 | S61451D | 23 | 949-950 | ||
| S60849A | 09 | 604-605 | S61235A | 24 | 955-965 | S61451S | 09 | 604-605 | ||
| S60849A | 24 | 955-965 | S61235D | 23 | 949-950 | S61452A | 09 | 604-605 | ||
| S60849D | 23 | 949-950 | S61235S | 09 | 604-605 | S61452A | 24 | 955-965 | ||
| S60849S | 09 | 604-605 | S61236A | 09 | 604-605 | S61452D | 23 | 949-950 | ||
| S60851A | 09 | 604-605 | S61236A | 24 | 955-965 | S61452S | 09 | 604-605 | ||
| S60851A | 24 | 955-965 | S61236D | 23 | 949-950 | S61459A | 09 | 604-605 | ||
| S60851D | 23 | 949-950 | S61236S | 09 | 604-605 | S61459A | 24 | 955-965 | ||
| S60851S | 09 | 604-605 | S61237A | 09 | 604-605 | S61459D | 23 | 949-950 | ||
| S60852A | 09 | 604-605 | S61237A | 24 | 955-965 | S61459S | 09 | 604-605 | ||
| S60852A | 24 | 955-965 | S61237D | 23 | 949-950 | S61501A | 09 | 604-605 | ||
| S60852D | 23 | 949-950 | S61237S | 09 | 604-605 | S61501A | 24 | 955-965 | ||
| S60852S | 09 | 604-605 | S61238A | 09 | 604-605 | S61501D | 23 | 949-950 | ||
| S60859A | 09 | 604-605 | S61238A | 24 | 955-965 | S61501S | 09 | 604-605 | ||
| S60859A | 24 | 955-965 | S61238D | 23 | 949-950 | S61502A | 09 | 604-605 | ||
| S60859D | 23 | 949-950 | S61238S | 09 | 604-605 | S61502A | 24 | 955-965 | ||
| S60859S | 09 | 604-605 | S61239A | 09 | 604-605 | S61502D | 23 | 949-950 | ||
| S60861A | 09 | 606-607 | S61239A | 24 | 955-965 | S61502S | 09 | 604-605 | ||
| S60861A | 24 | 955-965 | S61239D | 23 | 949-950 | S61509A | 09 | 604-605 | ||
| S60861D | 23 | 949-950 | S61239S | 09 | 604-605 | S61509A | 24 | 955-965 | ||
| S60861S | 09 | 604-605 | S61240A | 21 | 913-914 | S61509D | 23 | 949-950 | ||
| S60862A | 09 | 606-607 | S61240A | 24 | 955-965 | S61509S | 09 | 604-605 | ||
| S60862A | 24 | 955-965 | S61240D | 23 | 949-950 | S61511A | 09 | 604-605 | ||
| S60862D | 23 | 949-950 | S61240S | 09 | 604-605 | S61511A | 24 | 955-965 | ||
| S60862S | 09 | 604-605 | S61241A | 21 | 913-914 | S61511D | 23 | 949-950 | ||
| S60869A | 09 | 606-607 | S61241A | 24 | 955-965 | S61511S | 09 | 604-605 | ||
| S60869A | 24 | 955-965 | S61241D | 23 | 949-950 | S61512A | 09 | 604-605 | ||
| S60869D | 23 | 949-950 | S61241S | 09 | 604-605 | S61512A | 24 | 955-965 | ||
| S60869S | 09 | 604-605 | S61242A | 21 | 913-914 | S61512D | 23 | 949-950 | ||
| S60871A | 09 | 604-605 | S61242A | 24 | 955-965 | S61512S | 09 | 604-605 | ||
| S60871A | 24 | 955-965 | S61242D | 23 | 949-950 | S61519A | 09 | 604-605 | ||
| S60871D | 23 | 949-950 | S61242S | 09 | 604-605 | S61519A | 24 | 955-965 | ||
| S60871S | 09 | 604-605 | S61243A | 21 | 913-914 | S61519D | 23 | 949-950 | ||
| S60872A | 09 | 604-605 | S61243A | 24 | 955-965 | S61519S | 09 | 604-605 | ||
| S60872A | 24 | 955-965 | S61243D | 23 | 949-950 | S61521A | 21 | 913-914 | ||
| S60872D | 23 | 949-950 | S61243S | 09 | 604-605 | S61521A | 24 | 955-965 | ||
| S60872S | 09 | 604-605 | S61244A | 21 | 913-914 | S61521D | 23 | 949-950 | ||
| S60879A | 09 | 604-605 | S61244A | 24 | 955-965 | S61521S | 09 | 604-605 | ||
| S60879A | 24 | 955-965 | S61244D | 23 | 949-950 | S61522A | 21 | 913-914 | ||
| S60879D | 23 | 949-950 | S61244S | 09 | 604-605 | S61522A | 24 | 955-965 | ||
| S60879S | 09 | 604-605 | S61245A | 21 | 913-914 | S61522D | 23 | 949-950 | ||
| S60911A | 09 | 604-605 | S61245A | 24 | 955-965 | S61522S | 09 | 604-605 | ||
| S60911A | 24 | 955-965 | S61245D | 23 | 949-950 | S61529A | 21 | 913-914 | ||
| S60911D | 23 | 949-950 | S61245S | 09 | 604-605 | S61529A | 24 | 955-965 | ||
| S60911S | 09 | 604-605 | S61246A | 21 | 913-914 | S61529D | 23 | 949-950 | ||
| S60912A | 09 | 604-605 | S61246A | 24 | 955-965 | S61529S | 09 | 604-605 | ||
| S60912A | 24 | 955-965 | S61246D | 23 | 949-950 | S61531A | 09 | 604-605 | ||
| S60912D | 23 | 949-950 | S61246S | 09 | 604-605 | S61531A | 24 | 955-965 | ||
| S60912S | 09 | 604-605 | S61247A | 21 | 913-914 | S61531D | 23 | 949-950 | ||
| S60919A | 09 | 604-605 | S61247A | 24 | 955-965 | S61531S | 09 | 604-605 | ||
| S60919A | 24 | 955-965 | S61247D | 23 | 949-950 | S61532A | 09 | 604-605 | ||
| S60919D | 23 | 949-950 | S61247S | 09 | 604-605 | S61532A | 24 | 955-965 | ||
| S60919S | 09 | 604-605 | S61248A | 21 | 913-914 | S61532D | 23 | 949-950 | ||
| S60921A | 09 | 604-605 | S61248A | 24 | 955-965 | S61532S | 09 | 604-605 | ||
| S60921A | 24 | 955-965 | S61248D | 23 | 949-950 | S61539A | 09 | 604-605 | ||
| S60921D | 23 | 949-950 | S61248S | 09 | 604-605 | S61539A | 24 | 955-965 | ||
| S60921S | 09 | 604-605 | S61249A | 21 | 913-914 | S61539D | 23 | 949-950 | ||
| S60922A | 09 | 604-605 | S61249A | 24 | 955-965 | S61539S | 09 | 604-605 | ||
| S60922A | 24 | 955-965 | S61249D | 23 | 949-950 | S61541A | 21 | 913-914 | ||
| S60922D | 23 | 949-950 | S61249S | 09 | 604-605 | S61541A | 24 | 955-965 | ||
| S60922S | 09 | 604-605 | S61250A | 09 | 604-605 | S61541D | 23 | 949-950 | ||
| S60929A | 09 | 604-605 | S61250A | 24 | 955-965 | S61541S | 09 | 604-605 | ||
| S60929A | 24 | 955-965 | S61250D | 23 | 949-950 | S61542A | 21 | 913-914 | ||
| S60929D | 23 | 949-950 | S61250S | 09 | 604-605 | S61542A | 24 | 955-965 | ||
| S60929S | 09 | 604-605 | S61251A | 09 | 604-605 | S61542D | 23 | 949-950 | ||
| S60931A | 09 | 604-605 | S61251A | 24 | 955-965 | S61542S | 09 | 604-605 | ||
| S60931A | 24 | 955-965 | S61251D | 23 | 949-950 | S61549A | 21 | 913-914 | ||
| S60931D | 23 | 949-950 | S61251S | 09 | 604-605 | S61549A | 24 | 955-965 | ||
| S60931S | 09 | 604-605 | S61252A | 09 | 604-605 | S61549D | 23 | 949-950 | ||
| S60932A | 09 | 604-605 | S61252A | 24 | 955-965 | S61549S | 09 | 604-605 | ||
| S60932A | 24 | 955-965 | S61252D | 23 | 949-950 | S61551A | 09 | 604-605 | ||
| S60932D | 23 | 949-950 | S61252S | 09 | 604-605 | S61551A | 24 | 955-965 | ||
| S60932S | 09 | 604-605 | S61253A | 09 | 604-605 | S61551D | 23 | 949-950 | ||
| S60939A | 09 | 604-605 | S61253A | 24 | 955-965 | S61551S | 09 | 604-605 | ||
| S60939A | 24 | 955-965 | S61253D | 23 | 949-950 | S61552A | 09 | 604-605 | ||
| S60939D | 23 | 949-950 | S61253S | 09 | 604-605 | S61552A | 24 | 955-965 | ||
| S60939S | 09 | 604-605 | S61254A | 09 | 604-605 | S61552D | 23 | 949-950 | ||
| S60940A | 09 | 604-605 | S61254A | 24 | 955-965 | S61552S | 09 | 604-605 | ||
| S60940A | 24 | 955-965 | S61254D | 23 | 949-950 | S61559A | 09 | 604-605 | ||
| S60940D | 23 | 949-950 | S61254S | 09 | 604-605 | S61559A | 24 | 955-965 | ||
| S60940S | 09 | 604-605 | S61255A | 09 | 604-605 | S61559D | 23 | 949-950 | ||
| S60941A | 09 | 604-605 | S61255A | 24 | 955-965 | S61559S | 09 | 604-605 | ||
| S60941A | 24 | 955-965 | S61255D | 23 | 949-950 | S62001A | 08 | 562-563 | ||
| S60941D | 23 | 949-950 | S61255S | 09 | 604-605 | S62001A | 24 | 955-965 | ||
| S60941S | 09 | 604-605 | S61256A | 09 | 604-605 | S62001B | 08 | 562-563 | ||
| S60942A | 09 | 604-605 | S61256A | 24 | 955-965 | S62001B | 24 | 955-965 | ||
| S60942A | 24 | 955-965 | S61256D | 23 | 949-950 | S62001D | 08 | 559-561 | ||
| S60942D | 23 | 949-950 | S61256S | 09 | 604-605 | S62001G | 08 | 559-561 | ||
| S60942S | 09 | 604-605 | S61257A | 09 | 604-605 | S62001K | 08 | 564-566 | ||
| S60943A | 09 | 604-605 | S61257A | 24 | 955-965 | S62001P | 08 | 564-566 | ||
| S60943A | 24 | 955-965 | S61257D | 23 | 949-950 | S62001S | 08 | 559-561 | ||
| S60943D | 23 | 949-950 | S61257S | 09 | 604-605 | S62002A | 08 | 562-563 | ||
| S60943S | 09 | 604-605 | S61258A | 09 | 604-605 | S62002A | 24 | 955-965 | ||
| S60944A | 09 | 604-605 | S61258A | 24 | 955-965 | S62002B | 08 | 562-563 | ||
| S60944A | 24 | 955-965 | S61258D | 23 | 949-950 | S62002B | 24 | 955-965 | ||
| S60944D | 23 | 949-950 | S61258S | 09 | 604-605 | S62002D | 08 | 559-561 | ||
| S60944S | 09 | 604-605 | S61259A | 09 | 604-605 | S62002G | 08 | 559-561 | ||
| S60945A | 09 | 604-605 | S61259A | 24 | 955-965 | S62002K | 08 | 564-566 | ||
| S60945A | 24 | 955-965 | S61259D | 23 | 949-950 | S62002P | 08 | 564-566 | ||
| S60945D | 23 | 949-950 | S61259S | 09 | 604-605 | S62002S | 08 | 559-561 | ||
| S60945S | 09 | 604-605 | S61300A | 09 | 604-605 | S62009A | 08 | 562-563 | ||
| S60946A | 09 | 604-605 | S61300A | 24 | 955-965 | S62009A | 24 | 955-965 | ||
| S60946A | 24 | 955-965 | S61300D | 23 | 949-950 | S62009B | 08 | 562-563 | ||
| S60946D | 23 | 949-950 | S61300S | 09 | 604-605 | S62009B | 24 | 955-965 | ||
| S60946S | 09 | 604-605 | S61301A | 09 | 604-605 | S62009D | 08 | 559-561 | ||
| S60947A | 09 | 604-605 | S61301A | 24 | 955-965 | S62009G | 08 | 559-561 | ||
| S60947A | 24 | 955-965 | S61301D | 23 | 949-950 | S62009K | 08 | 564-566 | ||
| S60947D | 23 | 949-950 | S61301S | 09 | 604-605 | S62009P | 08 | 564-566 | ||
| S60947S | 09 | 604-605 | S61302A | 09 | 604-605 | S62009S | 08 | 559-561 | ||
| S60948A | 09 | 604-605 | S61302A | 24 | 955-965 | S62011A | 08 | 562-563 | ||
| S60948A | 24 | 955-965 | S61302D | 23 | 949-950 | S62011A | 24 | 955-965 | ||
| S60948D | 23 | 949-950 | S61302S | 09 | 604-605 | S62011B | 08 | 562-563 | ||
| S60948S | 09 | 604-605 | S61303A | 09 | 604-605 | S62011B | 24 | 955-965 | ||
| S60949A | 09 | 604-605 | S61303A | 24 | 955-965 | S62011D | 08 | 559-561 | ||
| S60949A | 24 | 955-965 | S61303D | 23 | 949-950 | S62011G | 08 | 559-561 | ||
| S60949D | 23 | 949-950 | S61303S | 09 | 604-605 | S62011K | 08 | 564-566 | ||
| S60949S | 09 | 604-605 | S61304A | 09 | 604-605 | S62011P | 08 | 564-566 | ||
| S61001A | 09 | 604-605 | S61304A | 24 | 955-965 | S62011S | 08 | 559-561 | ||
| S61001A | 24 | 955-965 | S61304D | 23 | 949-950 | S62012A | 08 | 562-563 | ||
| S61001D | 23 | 949-950 | S61304S | 09 | 604-605 | S62012A | 24 | 955-965 | ||
| S61001S | 09 | 604-605 | S61305A | 09 | 604-605 | S62012B | 08 | 562-563 | ||
| S61002A | 09 | 604-605 | S61305A | 24 | 955-965 | S62012B | 24 | 955-965 | ||
| S61002A | 24 | 955-965 | S61305D | 23 | 949-950 | S62012D | 08 | 559-561 | ||
| S61002D | 23 | 949-950 | S61305S | 09 | 604-605 | S62012G | 08 | 559-561 | ||
| S61002S | 09 | 604-605 | S61306A | 09 | 604-605 | S62012K | 08 | 564-566 | ||
| S61009A | 09 | 604-605 | S61306A | 24 | 955-965 | S62012P | 08 | 564-566 | ||
| S61009A | 24 | 955-965 | S61306D | 23 | 949-950 | S62012S | 08 | 559-561 | ||
| S61009D | 23 | 949-950 | S61306S | 09 | 604-605 | S62013A | 08 | 562-563 | ||
| S61009S | 09 | 604-605 | S61307A | 09 | 604-605 | S62013A | 24 | 955-965 | ||
| S61011A | 09 | 604-605 | S61307A | 24 | 955-965 | S62013B | 08 | 562-563 | ||
| S61011A | 24 | 955-965 | S61307D | 23 | 949-950 | S62013B | 24 | 955-965 | ||
| S61011D | 23 | 949-950 | S61307S | 09 | 604-605 | S62013D | 08 | 559-561 | ||
| S61011S | 09 | 604-605 | S61308A | 09 | 604-605 | S62013G | 08 | 559-561 | ||
| S61012A | 09 | 604-605 | S61308A | 24 | 955-965 | S62013K | 08 | 564-566 | ||
| S61012A | 24 | 955-965 | S61308D | 23 | 949-950 | S62013P | 08 | 564-566 | ||
| S61012D | 23 | 949-950 | S61308S | 09 | 604-605 | S62013S | 08 | 559-561 | ||
| S61012S | 09 | 604-605 | S61309A | 09 | 604-605 | S62014A | 08 | 562-563 | ||
| S61019A | 09 | 604-605 | S61309A | 24 | 955-965 | S62014A | 24 | 955-965 | ||
| S61019A | 24 | 955-965 | S61309D | 23 | 949-950 | S62014B | 08 | 562-563 | ||
| S61019D | 23 | 949-950 | S61309S | 09 | 604-605 | S62014B | 24 | 955-965 | ||
| S61019S | 09 | 604-605 | S61310A | 09 | 604-605 | S62014D | 08 | 559-561 | ||
| S61021A | 21 | 913-914 | S61310A | 24 | 955-965 | S62014G | 08 | 559-561 | ||
| S61021A | 24 | 955-965 | S61310D | 23 | 949-950 | S62014K | 08 | 564-566 | ||
| S61021D | 23 | 949-950 | S61310S | 09 | 604-605 | S62014P | 08 | 564-566 | ||
| S61021S | 09 | 604-605 | S61311A | 09 | 604-605 | S62014S | 08 | 559-561 | ||
| S61022A | 21 | 913-914 | S61311A | 24 | 955-965 | S62015A | 08 | 562-563 | ||
| S61022A | 24 | 955-965 | S61311D | 23 | 949-950 | S62015A | 24 | 955-965 | ||
| S61022D | 23 | 949-950 | S61311S | 09 | 604-605 | S62015B | 08 | 562-563 | ||
| S61022S | 09 | 604-605 | S61312A | 09 | 604-605 | S62015B | 24 | 955-965 | ||
| S61029A | 21 | 913-914 | S61312A | 24 | 955-965 | S62015D | 08 | 559-561 | ||
| S61029A | 24 | 955-965 | S61312D | 23 | 949-950 | S62015G | 08 | 559-561 | ||
| S61029D | 23 | 949-950 | S61312S | 09 | 604-605 | S62015K | 08 | 564-566 | ||
| S61029S | 09 | 604-605 | S61313A | 09 | 604-605 | S62015P | 08 | 564-566 | ||
| S61031A | 09 | 604-605 | S61313A | 24 | 955-965 | S62015S | 08 | 559-561 | ||
| S61031A | 24 | 955-965 | S61313D | 23 | 949-950 | S62016A | 08 | 562-563 | ||
| S61031D | 23 | 949-950 | S61313S | 09 | 604-605 | S62016A | 24 | 955-965 | ||
| S61031S | 09 | 604-605 | S61314A | 09 | 604-605 | S62016B | 08 | 562-563 | ||
| S61032A | 09 | 604-605 | S61314A | 24 | 955-965 | S62016B | 24 | 955-965 | ||
| S61032A | 24 | 955-965 | S61314D | 23 | 949-950 | S62016D | 08 | 559-561 | ||
| S61032D | 23 | 949-950 | S61314S | 09 | 604-605 | S62016G | 08 | 559-561 | ||
| S61032S | 09 | 604-605 | S61315A | 09 | 604-605 | S62016K | 08 | 564-566 | ||
| S61039A | 09 | 604-605 | S61315A | 24 | 955-965 | S62016P | 08 | 564-566 | ||
| S61039A | 24 | 955-965 | S61315D | 23 | 949-950 | S62016S | 08 | 559-561 | ||
| S61039D | 23 | 949-950 | S61315S | 09 | 604-605 | S62021A | 08 | 562-563 | ||
| S61039S | 09 | 604-605 | S61316A | 09 | 604-605 | S62021A | 24 | 955-965 | ||
| S61041A | 21 | 913-914 | S61316A | 24 | 955-965 | S62021B | 08 | 562-563 | ||
| S61041A | 24 | 955-965 | S61316D | 23 | 949-950 | S62021B | 24 | 955-965 | ||
| S61041D | 23 | 949-950 | S61316S | 09 | 604-605 | S62021D | 08 | 559-561 | ||
| S61041S | 09 | 604-605 | S61317A | 09 | 604-605 | S62021G | 08 | 559-561 | ||
| S61042A | 21 | 913-914 | S61317A | 24 | 955-965 | S62021K | 08 | 564-566 | ||
| S61042A | 24 | 955-965 | S61317D | 23 | 949-950 | S62021P | 08 | 564-566 | ||
| S61042D | 23 | 949-950 | S61317S | 09 | 604-605 | S62021S | 08 | 559-561 | ||
| S61042S | 09 | 604-605 | S61318A | 09 | 604-605 | S62022A | 08 | 562-563 | ||
| S61049A | 21 | 913-914 | S61318A | 24 | 955-965 | S62022A | 24 | 955-965 | ||
| S61049A | 24 | 955-965 | S61318D | 23 | 949-950 | S62022B | 08 | 562-563 | ||
| S61049D | 23 | 949-950 | S61318S | 09 | 604-605 | S62022B | 24 | 955-965 | ||
| S61049S | 09 | 604-605 | S61319A | 09 | 604-605 | S62022D | 08 | 559-561 | ||
| S61051A | 09 | 604-605 | S61319A | 24 | 955-965 | S62022G | 08 | 559-561 | ||
| S61051A | 24 | 955-965 | S61319D | 23 | 949-950 | S62022K | 08 | 564-566 | ||
| S61051D | 23 | 949-950 | S61319S | 09 | 604-605 | S62022P | 08 | 564-566 | ||
| S61051S | 09 | 604-605 | S61320A | 21 | 913-914 | S62022S | 08 | 559-561 | ||
| S61052A | 09 | 604-605 | S61320A | 24 | 955-965 | S62023A | 08 | 562-563 | ||
| S61052A | 24 | 955-965 | S61320D | 23 | 949-950 | S62023A | 24 | 955-965 | ||
| S61052D | 23 | 949-950 | S61320S | 09 | 604-605 | S62023B | 08 | 562-563 | ||
| S61052S | 09 | 604-605 | S61321A | 21 | 913-914 | S62023B | 24 | 955-965 | ||
| S61059A | 09 | 604-605 | S61321A | 24 | 955-965 | S62023D | 08 | 559-561 | ||
| S61059A | 24 | 955-965 | S61321D | 23 | 949-950 | S62023G | 08 | 559-561 | ||
| S61059D | 23 | 949-950 | S61321S | 09 | 604-605 | S62023K | 08 | 564-566 | ||
| S61059S | 09 | 604-605 | S61322A | 21 | 913-914 | S62023P | 08 | 564-566 | ||
| S61101A | 09 | 604-605 | S61322A | 24 | 955-965 | S62023S | 08 | 559-561 | ||
| S61101A | 24 | 955-965 | S61322D | 23 | 949-950 | S62024A | 08 | 562-563 | ||
| S61101D | 23 | 949-950 | S61322S | 09 | 604-605 | S62024A | 24 | 955-965 | ||
| S61101S | 09 | 604-605 | S61323A | 21 | 913-914 | S62024B | 08 | 562-563 | ||
| S61102A | 09 | 604-605 | S61323A | 24 | 955-965 | S62024B | 24 | 955-965 | ||
| S61102A | 24 | 955-965 | S61323D | 23 | 949-950 | S62024D | 08 | 559-561 | ||
| S61102D | 23 | 949-950 | S61323S | 09 | 604-605 | S62024G | 08 | 559-561 | ||
| S61102S | 09 | 604-605 | S61324A | 21 | 913-914 | S62024K | 08 | 564-566 | ||
| S61109A | 09 | 604-605 | S61324A | 24 | 955-965 | S62024P | 08 | 564-566 | ||
| S61109A | 24 | 955-965 | S61324D | 23 | 949-950 | S62024S | 08 | 559-561 | ||
| S61109D | 23 | 949-950 | S61324S | 09 | 604-605 | S62025A | 08 | 562-563 | ||
| S61109S | 09 | 604-605 | S61325A | 21 | 913-914 | S62025A | 24 | 955-965 | ||
| S61111A | 09 | 604-605 | S61325A | 24 | 955-965 | S62025B | 08 | 562-563 | ||
| S61111A | 24 | 955-965 | S61325D | 23 | 949-950 | S62025B | 24 | 955-965 | ||
| S61111D | 23 | 949-950 | S61325S | 09 | 604-605 | S62025D | 08 | 559-561 | ||
| S61111S | 09 | 604-605 | S61326A | 21 | 913-914 | S62025G | 08 | 559-561 | ||
| S61112A | 09 | 604-605 | S61326A | 24 | 955-965 | S62025K | 08 | 564-566 | ||
| S61112A | 24 | 955-965 | S61326D | 23 | 949-950 | S62025P | 08 | 564-566 | ||
| S61112D | 23 | 949-950 | S61326S | 09 | 604-605 | S62025S | 08 | 559-561 | ||
| S61112S | 09 | 604-605 | S61327A | 21 | 913-914 | S62026A | 08 | 562-563 | ||
| S61119A | 09 | 604-605 | S61327A | 24 | 955-965 | S62026A | 24 | 955-965 | ||
| S61119A | 24 | 955-965 | S61327D | 23 | 949-950 | S62026B | 08 | 562-563 | ||
| S61119D | 23 | 949-950 | S61327S | 09 | 604-605 | S62026B | 24 | 955-965 | ||
| S61119S | 09 | 604-605 | S61328A | 21 | 913-914 | S62026D | 08 | 559-561 | ||
| S61121A | 21 | 913-914 | S61328A | 24 | 955-965 | S62026G | 08 | 559-561 | ||
| S61121A | 24 | 955-965 | S61328D | 23 | 949-950 | S62026K | 08 | 564-566 | ||
| S61121D | 23 | 949-950 | S61328S | 09 | 604-605 | S62026P | 08 | 564-566 | ||
| S61121S | 09 | 604-605 | S61329A | 21 | 913-914 | S62026S | 08 | 559-561 | ||
| S61122A | 21 | 913-914 | S61329A | 24 | 955-965 | S62031A | 08 | 562-563 | ||
| S61122A | 24 | 955-965 | S61329D | 23 | 949-950 | S62031A | 24 | 955-965 | ||
| S61122D | 23 | 949-950 | S61329S | 09 | 604-605 | S62031B | 08 | 562-563 | ||
| S61122S | 09 | 604-605 | S61330A | 09 | 604-605 | S62031B | 24 | 955-965 | ||
| S61129A | 21 | 913-914 | S61330A | 24 | 955-965 | S62031D | 08 | 559-561 | ||
| S61129A | 24 | 955-965 | S61330D | 23 | 949-950 | S62031G | 08 | 559-561 | ||
| S61129D | 23 | 949-950 | S61330S | 09 | 604-605 | S62031K | 08 | 564-566 | ||
| S61129S | 09 | 604-605 | S61331A | 09 | 604-605 | S62031P | 08 | 564-566 | ||
| S61131A | 09 | 604-605 | S61331A | 24 | 955-965 | S62031S | 08 | 559-561 | ||
| S61131A | 24 | 955-965 | S61331D | 23 | 949-950 | S62032A | 08 | 562-563 | ||
| S61131D | 23 | 949-950 | S61331S | 09 | 604-605 | S62032A | 24 | 955-965 | ||
| S61131S | 09 | 604-605 | S61332A | 09 | 604-605 | S62032B | 08 | 562-563 | ||
| S61132A | 09 | 604-605 | S61332A | 24 | 955-965 | S62032B | 24 | 955-965 | ||
| S61132A | 24 | 955-965 | S61332D | 23 | 949-950 | S62032D | 08 | 559-561 | ||
| S61132D | 23 | 949-950 | S61332S | 09 | 604-605 | S62032G | 08 | 559-561 | ||
| S61132S | 09 | 604-605 | S61333A | 09 | 604-605 | S62032K | 08 | 564-566 | ||
| S61139A | 09 | 604-605 | S61333A | 24 | 955-965 | S62032P | 08 | 564-566 | ||
| S61139A | 24 | 955-965 | S61333D | 23 | 949-950 | S62032S | 08 | 559-561 | ||
| S61139D | 23 | 949-950 | S61333S | 09 | 604-605 | S62033A | 08 | 562-563 | ||
| S61139S | 09 | 604-605 | S61334A | 09 | 604-605 | S62033A | 24 | 955-965 | ||
| S61141A | 21 | 913-914 | S61334A | 24 | 955-965 | S62033B | 08 | 562-563 | ||
| S61141A | 24 | 955-965 | S61334D | 23 | 949-950 | S62033B | 24 | 955-965 | ||
| S61141D | 23 | 949-950 | S61334S | 09 | 604-605 | S62033D | 08 | 559-561 | ||
| S61141S | 09 | 604-605 | S61335A | 09 | 604-605 | S62033G | 08 | 559-561 | ||
| S61142A | 21 | 913-914 | S61335A | 24 | 955-965 | S62033K | 08 | 564-566 | ||
| S61142A | 24 | 955-965 | S61335D | 23 | 949-950 | S62033P | 08 | 564-566 | ||
| S61142D | 23 | 949-950 | S61335S | 09 | 604-605 | S62033S | 08 | 559-561 | ||
| S61142S | 09 | 604-605 | S61336A | 09 | 604-605 | S62034A | 08 | 562-563 | ||
| S61149A | 21 | 913-914 | S61336A | 24 | 955-965 | S62034A | 24 | 955-965 | ||
| S61149A | 24 | 955-965 | S61336D | 23 | 949-950 | S62034B | 08 | 562-563 | ||
| S61149D | 23 | 949-950 | S61336S | 09 | 604-605 | S62034B | 24 | 955-965 | ||
| S61149S | 09 | 604-605 | S61337A | 09 | 604-605 | S62034D | 08 | 559-561 | ||
| S61151A | 09 | 604-605 | S61337A | 24 | 955-965 | S62034G | 08 | 559-561 | ||
| S61151A | 24 | 955-965 | S61337D | 23 | 949-950 | S62034K | 08 | 564-566 | ||
| S61151D | 23 | 949-950 | S61337S | 09 | 604-605 | S62034P | 08 | 564-566 | ||
| S61151S | 09 | 604-605 | S61338A | 09 | 604-605 | S62034S | 08 | 559-561 | ||
| S61152A | 09 | 604-605 | S61338A | 24 | 955-965 | S62035A | 08 | 562-563 | ||
| S61152A | 24 | 955-965 | S61338D | 23 | 949-950 | S62035A | 24 | 955-965 | ||
| S61152D | 23 | 949-950 | S61338S | 09 | 604-605 | S62035B | 08 | 562-563 | ||
| S61152S | 09 | 604-605 | S61339A | 09 | 604-605 | S62035B | 24 | 955-965 | ||
| S61159A | 09 | 604-605 | S61339A | 24 | 955-965 | S62035D | 08 | 559-561 | ||
| S61159A | 24 | 955-965 | S61339D | 23 | 949-950 | S62035G | 08 | 559-561 | ||
| S61159D | 23 | 949-950 | S61339S | 09 | 604-605 | S62035K | 08 | 564-566 | ||
| S61159S | 09 | 604-605 | S61340A | 21 | 913-914 | S62035P | 08 | 564-566 | ||
| S61200A | 09 | 604-605 | S61340A | 24 | 955-965 | S62035S | 08 | 559-561 | ||
| S61200A | 24 | 955-965 | S61340D | 23 | 949-950 | S62036A | 08 | 562-563 | ||
| S61200D | 23 | 949-950 | S61340S | 09 | 604-605 | S62036A | 24 | 955-965 | ||
| S61200S | 09 | 604-605 | S61341A | 21 | 913-914 | S62036B | 08 | 562-563 | ||
| S61201A | 09 | 604-605 | S61341A | 24 | 955-965 | S62036B | 24 | 955-965 | ||
| S61201A | 24 | 955-965 | S61341D | 23 | 949-950 | S62036D | 08 | 559-561 | ||
| S61201D | 23 | 949-950 | S61341S | 09 | 604-605 | S62036G | 08 | 559-561 | ||
| S61201S | 09 | 604-605 | S61342A | 21 | 913-914 | S62036K | 08 | 564-566 | ||
| S61202A | 09 | 604-605 | S61342A | 24 | 955-965 | S62036P | 08 | 564-566 | ||
| S61202A | 24 | 955-965 | S61342D | 23 | 949-950 | S62036S | 08 | 559-561 | ||
| S61202D | 23 | 949-950 | S61342S | 09 | 604-605 | S62101A | 08 | 562-563 | ||
| S61202S | 09 | 604-605 | S61343A | 21 | 913-914 | S62101A | 24 | 955-965 | ||
| S61203A | 09 | 604-605 | S61343A | 24 | 955-965 | S62101B | 08 | 562-563 | ||
| S61203A | 24 | 955-965 | S61343D | 23 | 949-950 | S62101B | 24 | 955-965 | ||
| S61203D | 23 | 949-950 | S61343S | 09 | 604-605 | S62101D | 08 | 559-561 | ||
| S61203S | 09 | 604-605 | S61344A | 21 | 913-914 | S62101G | 08 | 559-561 | ||
| S61204A | 09 | 604-605 | S61344A | 24 | 955-965 | S62101K | 08 | 564-566 | ||
| S61204A | 24 | 955-965 | S61344D | 23 | 949-950 | S62101P | 08 | 564-566 | ||
| S61204D | 23 | 949-950 | S61344S | 09 | 604-605 | S62101S | 08 | 559-561 | ||
| S61204S | 09 | 604-605 | S61345A | 21 | 913-914 | S62102A | 08 | 562-563 | ||
| S61205A | 09 | 604-605 | S61345A | 24 | 955-965 | S62102A | 24 | 955-965 | ||
| S61205A | 24 | 955-965 | S61345D | 23 | 949-950 | S62102B | 08 | 562-563 | ||
| S61205D | 23 | 949-950 | S61345S | 09 | 604-605 | S62102B | 24 | 955-965 | ||
| S61205S | 09 | 604-605 | S61346A | 21 | 913-914 | S62102D | 08 | 559-561 | ||
| S61346A | 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 |