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 49 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S72062B | 08 | 535-536 | S72122D | 08 | 559-561 | S7222XJ | 08 | 559-561 | ||
| S72062B | 15 | 793 | S72122E | 08 | 559-561 | S7222XK | 08 | 564-566 | ||
| S72062B | 24 | 955-965 | S72122F | 08 | 559-561 | S7222XM | 08 | 564-566 | ||
| S72062C | 08 | 535-536 | S72122G | 08 | 559-561 | S7222XN | 08 | 564-566 | ||
| S72062C | 15 | 793 | S72122H | 08 | 559-561 | S7222XP | 08 | 564-566 | ||
| S72062C | 24 | 955-965 | S72122J | 08 | 559-561 | S7222XQ | 08 | 564-566 | ||
| S72062D | 08 | 559-561 | S72122K | 08 | 564-566 | S7222XR | 08 | 564-566 | ||
| S72062E | 08 | 559-561 | S72122M | 08 | 564-566 | S7222XS | 08 | 559-561 | ||
| S72062F | 08 | 559-561 | S72122N | 08 | 564-566 | S7223XA | 08 | 535-536 | ||
| S72062G | 08 | 559-561 | S72122P | 08 | 564-566 | S7223XA | 15 | 793 | ||
| S72062H | 08 | 559-561 | S72122Q | 08 | 564-566 | S7223XA | 24 | 955-965 | ||
| S72062J | 08 | 559-561 | S72122R | 08 | 564-566 | S7223XB | 08 | 535-536 | ||
| S72062K | 08 | 564-566 | S72122S | 08 | 559-561 | S7223XB | 15 | 793 | ||
| S72062M | 08 | 564-566 | S72123A | 08 | 535-536 | S7223XB | 24 | 955-965 | ||
| S72062N | 08 | 564-566 | S72123A | 15 | 793 | S7223XC | 08 | 535-536 | ||
| S72062P | 08 | 564-566 | S72123A | 24 | 955-965 | S7223XC | 15 | 793 | ||
| S72062Q | 08 | 564-566 | S72123B | 08 | 535-536 | S7223XC | 24 | 955-965 | ||
| S72062R | 08 | 564-566 | S72123B | 15 | 793 | S7223XD | 08 | 559-561 | ||
| S72062S | 08 | 559-561 | S72123B | 24 | 955-965 | S7223XE | 08 | 559-561 | ||
| S72063A | 08 | 535-536 | S72123C | 08 | 535-536 | S7223XF | 08 | 559-561 | ||
| S72063A | 15 | 793 | S72123C | 15 | 793 | S7223XG | 08 | 559-561 | ||
| S72063A | 24 | 955-965 | S72123C | 24 | 955-965 | S7223XH | 08 | 559-561 | ||
| S72063B | 08 | 535-536 | S72123D | 08 | 559-561 | S7223XJ | 08 | 559-561 | ||
| S72063B | 15 | 793 | S72123E | 08 | 559-561 | S7223XK | 08 | 564-566 | ||
| S72063B | 24 | 955-965 | S72123F | 08 | 559-561 | S7223XM | 08 | 564-566 | ||
| S72063C | 08 | 535-536 | S72123G | 08 | 559-561 | S7223XN | 08 | 564-566 | ||
| S72063C | 15 | 793 | S72123H | 08 | 559-561 | S7223XP | 08 | 564-566 | ||
| S72063C | 24 | 955-965 | S72123J | 08 | 559-561 | S7223XQ | 08 | 564-566 | ||
| S72063D | 08 | 559-561 | S72123K | 08 | 564-566 | S7223XR | 08 | 564-566 | ||
| S72063E | 08 | 559-561 | S72123M | 08 | 564-566 | S7223XS | 08 | 559-561 | ||
| S72063F | 08 | 559-561 | S72123N | 08 | 564-566 | S7224XA | 08 | 535-536 | ||
| S72063G | 08 | 559-561 | S72123P | 08 | 564-566 | S7224XA | 15 | 793 | ||
| S72063H | 08 | 559-561 | S72123Q | 08 | 564-566 | S7224XA | 24 | 955-965 | ||
| S72063J | 08 | 559-561 | S72123R | 08 | 564-566 | S7224XB | 08 | 535-536 | ||
| S72063K | 08 | 564-566 | S72123S | 08 | 559-561 | S7224XB | 15 | 793 | ||
| S72063M | 08 | 564-566 | S72124A | 08 | 535-536 | S7224XB | 24 | 955-965 | ||
| S72063N | 08 | 564-566 | S72124A | 15 | 793 | S7224XC | 08 | 535-536 | ||
| S72063P | 08 | 564-566 | S72124A | 24 | 955-965 | S7224XC | 15 | 793 | ||
| S72063Q | 08 | 564-566 | S72124B | 08 | 535-536 | S7224XC | 24 | 955-965 | ||
| S72063R | 08 | 564-566 | S72124B | 15 | 793 | S7224XD | 08 | 559-561 | ||
| S72063S | 08 | 559-561 | S72124B | 24 | 955-965 | S7224XE | 08 | 559-561 | ||
| S72064A | 08 | 535-536 | S72124C | 08 | 535-536 | S7224XF | 08 | 559-561 | ||
| S72064A | 15 | 793 | S72124C | 15 | 793 | S7224XG | 08 | 559-561 | ||
| S72064A | 24 | 955-965 | S72124C | 24 | 955-965 | S7224XH | 08 | 559-561 | ||
| S72064B | 08 | 535-536 | S72124D | 08 | 559-561 | S7224XJ | 08 | 559-561 | ||
| S72064B | 15 | 793 | S72124E | 08 | 559-561 | S7224XK | 08 | 564-566 | ||
| S72064B | 24 | 955-965 | S72124F | 08 | 559-561 | S7224XM | 08 | 564-566 | ||
| S72064C | 08 | 535-536 | S72124G | 08 | 559-561 | S7224XN | 08 | 564-566 | ||
| S72064C | 15 | 793 | S72124H | 08 | 559-561 | S7224XP | 08 | 564-566 | ||
| S72064C | 24 | 955-965 | S72124J | 08 | 559-561 | S7224XQ | 08 | 564-566 | ||
| S72064D | 08 | 559-561 | S72124K | 08 | 564-566 | S7224XR | 08 | 564-566 | ||
| S72064E | 08 | 559-561 | S72124M | 08 | 564-566 | S7224XS | 08 | 559-561 | ||
| S72064F | 08 | 559-561 | S72124N | 08 | 564-566 | S7225XA | 08 | 535-536 | ||
| S72064G | 08 | 559-561 | S72124P | 08 | 564-566 | S7225XA | 15 | 793 | ||
| S72064H | 08 | 559-561 | S72124Q | 08 | 564-566 | S7225XA | 24 | 955-965 | ||
| S72064J | 08 | 559-561 | S72124R | 08 | 564-566 | S7225XB | 08 | 535-536 | ||
| S72064K | 08 | 564-566 | S72124S | 08 | 559-561 | S7225XB | 15 | 793 | ||
| S72064M | 08 | 564-566 | S72125A | 08 | 535-536 | S7225XB | 24 | 955-965 | ||
| S72064N | 08 | 564-566 | S72125A | 15 | 793 | S7225XC | 08 | 535-536 | ||
| S72064P | 08 | 564-566 | S72125A | 24 | 955-965 | S7225XC | 15 | 793 | ||
| S72064Q | 08 | 564-566 | S72125B | 08 | 535-536 | S7225XC | 24 | 955-965 | ||
| S72064R | 08 | 564-566 | S72125B | 15 | 793 | S7225XD | 08 | 559-561 | ||
| S72064S | 08 | 559-561 | S72125B | 24 | 955-965 | S7225XE | 08 | 559-561 | ||
| S72065A | 08 | 535-536 | S72125C | 08 | 535-536 | S7225XF | 08 | 559-561 | ||
| S72065A | 15 | 793 | S72125C | 15 | 793 | S7225XG | 08 | 559-561 | ||
| S72065A | 24 | 955-965 | S72125C | 24 | 955-965 | S7225XH | 08 | 559-561 | ||
| S72065B | 08 | 535-536 | S72125D | 08 | 559-561 | S7225XJ | 08 | 559-561 | ||
| S72065B | 15 | 793 | S72125E | 08 | 559-561 | S7225XK | 08 | 564-566 | ||
| S72065B | 24 | 955-965 | S72125F | 08 | 559-561 | S7225XM | 08 | 564-566 | ||
| S72065C | 08 | 535-536 | S72125G | 08 | 559-561 | S7225XN | 08 | 564-566 | ||
| S72065C | 15 | 793 | S72125H | 08 | 559-561 | S7225XP | 08 | 564-566 | ||
| S72065C | 24 | 955-965 | S72125J | 08 | 559-561 | S7225XQ | 08 | 564-566 | ||
| S72065D | 08 | 559-561 | S72125K | 08 | 564-566 | S7225XR | 08 | 564-566 | ||
| S72065E | 08 | 559-561 | S72125M | 08 | 564-566 | S7225XS | 08 | 559-561 | ||
| S72065F | 08 | 559-561 | S72125N | 08 | 564-566 | S7226XA | 08 | 535-536 | ||
| S72065G | 08 | 559-561 | S72125P | 08 | 564-566 | S7226XA | 15 | 793 | ||
| S72065H | 08 | 559-561 | S72125Q | 08 | 564-566 | S7226XA | 24 | 955-965 | ||
| S72065J | 08 | 559-561 | S72125R | 08 | 564-566 | S7226XB | 08 | 535-536 | ||
| S72065K | 08 | 564-566 | S72125S | 08 | 559-561 | S7226XB | 15 | 793 | ||
| S72065M | 08 | 564-566 | S72126A | 08 | 535-536 | S7226XB | 24 | 955-965 | ||
| S72065N | 08 | 564-566 | S72126A | 15 | 793 | S7226XC | 08 | 535-536 | ||
| S72065P | 08 | 564-566 | S72126A | 24 | 955-965 | S7226XC | 15 | 793 | ||
| S72065Q | 08 | 564-566 | S72126B | 08 | 535-536 | S7226XC | 24 | 955-965 | ||
| S72065R | 08 | 564-566 | S72126B | 15 | 793 | S7226XD | 08 | 559-561 | ||
| S72065S | 08 | 559-561 | S72126B | 24 | 955-965 | S7226XE | 08 | 559-561 | ||
| S72066A | 08 | 535-536 | S72126C | 08 | 535-536 | S7226XF | 08 | 559-561 | ||
| S72066A | 15 | 793 | S72126C | 15 | 793 | S7226XG | 08 | 559-561 | ||
| S72066A | 24 | 955-965 | S72126C | 24 | 955-965 | S7226XH | 08 | 559-561 | ||
| S72066B | 08 | 535-536 | S72126D | 08 | 559-561 | S7226XJ | 08 | 559-561 | ||
| S72066B | 15 | 793 | S72126E | 08 | 559-561 | S7226XK | 08 | 564-566 | ||
| S72066B | 24 | 955-965 | S72126F | 08 | 559-561 | S7226XM | 08 | 564-566 | ||
| S72066C | 08 | 535-536 | S72126G | 08 | 559-561 | S7226XN | 08 | 564-566 | ||
| S72066C | 15 | 793 | S72126H | 08 | 559-561 | S7226XP | 08 | 564-566 | ||
| S72066C | 24 | 955-965 | S72126J | 08 | 559-561 | S7226XQ | 08 | 564-566 | ||
| S72066D | 08 | 559-561 | S72126K | 08 | 564-566 | S7226XR | 08 | 564-566 | ||
| S72066E | 08 | 559-561 | S72126M | 08 | 564-566 | S7226XS | 08 | 559-561 | ||
| S72066F | 08 | 559-561 | S72126N | 08 | 564-566 | S72301A | 08 | 533-534 | ||
| S72066G | 08 | 559-561 | S72126P | 08 | 564-566 | S72301A | 15 | 793 | ||
| S72066H | 08 | 559-561 | S72126Q | 08 | 564-566 | S72301A | 24 | 955-965 | ||
| S72066J | 08 | 559-561 | S72126R | 08 | 564-566 | S72301B | 08 | 533-534 | ||
| S72066K | 08 | 564-566 | S72126S | 08 | 559-561 | S72301B | 15 | 793 | ||
| S72066M | 08 | 564-566 | S72131A | 08 | 535-536 | S72301B | 24 | 955-965 | ||
| S72066N | 08 | 564-566 | S72131A | 15 | 793 | S72301C | 08 | 533-534 | ||
| S72066P | 08 | 564-566 | S72131A | 24 | 955-965 | S72301C | 15 | 793 | ||
| S72066Q | 08 | 564-566 | S72131B | 08 | 535-536 | S72301C | 24 | 955-965 | ||
| S72066R | 08 | 564-566 | S72131B | 15 | 793 | S72301D | 08 | 559-561 | ||
| S72066S | 08 | 559-561 | S72131B | 24 | 955-965 | S72301E | 08 | 559-561 | ||
| S72091A | 08 | 535-536 | S72131C | 08 | 535-536 | S72301F | 08 | 559-561 | ||
| S72091A | 15 | 793 | S72131C | 15 | 793 | S72301G | 08 | 559-561 | ||
| S72091A | 24 | 955-965 | S72131C | 24 | 955-965 | S72301H | 08 | 559-561 | ||
| S72091B | 08 | 535-536 | S72131D | 08 | 559-561 | S72301J | 08 | 559-561 | ||
| S72091B | 15 | 793 | S72131E | 08 | 559-561 | S72301K | 08 | 564-566 | ||
| S72091B | 24 | 955-965 | S72131F | 08 | 559-561 | S72301M | 08 | 564-566 | ||
| S72091C | 08 | 535-536 | S72131G | 08 | 559-561 | S72301N | 08 | 564-566 | ||
| S72091C | 15 | 793 | S72131H | 08 | 559-561 | S72301P | 08 | 564-566 | ||
| S72091C | 24 | 955-965 | S72131J | 08 | 559-561 | S72301Q | 08 | 564-566 | ||
| S72091D | 08 | 559-561 | S72131K | 08 | 564-566 | S72301R | 08 | 564-566 | ||
| S72091E | 08 | 559-561 | S72131M | 08 | 564-566 | S72301S | 08 | 559-561 | ||
| S72091F | 08 | 559-561 | S72131N | 08 | 564-566 | S72302A | 08 | 533-534 | ||
| S72091G | 08 | 559-561 | S72131P | 08 | 564-566 | S72302A | 15 | 793 | ||
| S72091H | 08 | 559-561 | S72131Q | 08 | 564-566 | S72302A | 24 | 955-965 | ||
| S72091J | 08 | 559-561 | S72131R | 08 | 564-566 | S72302B | 08 | 533-534 | ||
| S72091K | 08 | 564-566 | S72131S | 08 | 559-561 | S72302B | 15 | 793 | ||
| S72091M | 08 | 564-566 | S72132A | 08 | 535-536 | S72302B | 24 | 955-965 | ||
| S72091N | 08 | 564-566 | S72132A | 15 | 793 | S72302C | 08 | 533-534 | ||
| S72091P | 08 | 564-566 | S72132A | 24 | 955-965 | S72302C | 15 | 793 | ||
| S72091Q | 08 | 564-566 | S72132B | 08 | 535-536 | S72302C | 24 | 955-965 | ||
| S72091R | 08 | 564-566 | S72132B | 15 | 793 | S72302D | 08 | 559-561 | ||
| S72091S | 08 | 559-561 | S72132B | 24 | 955-965 | S72302E | 08 | 559-561 | ||
| S72092A | 08 | 535-536 | S72132C | 08 | 535-536 | S72302F | 08 | 559-561 | ||
| S72092A | 15 | 793 | S72132C | 15 | 793 | S72302G | 08 | 559-561 | ||
| S72092A | 24 | 955-965 | S72132C | 24 | 955-965 | S72302H | 08 | 559-561 | ||
| S72092B | 08 | 535-536 | S72132D | 08 | 559-561 | S72302J | 08 | 559-561 | ||
| S72092B | 15 | 793 | S72132E | 08 | 559-561 | S72302K | 08 | 564-566 | ||
| S72092B | 24 | 955-965 | S72132F | 08 | 559-561 | S72302M | 08 | 564-566 | ||
| S72092C | 08 | 535-536 | S72132G | 08 | 559-561 | S72302N | 08 | 564-566 | ||
| S72092C | 15 | 793 | S72132H | 08 | 559-561 | S72302P | 08 | 564-566 | ||
| S72092C | 24 | 955-965 | S72132J | 08 | 559-561 | S72302Q | 08 | 564-566 | ||
| S72092D | 08 | 559-561 | S72132K | 08 | 564-566 | S72302R | 08 | 564-566 | ||
| S72092E | 08 | 559-561 | S72132M | 08 | 564-566 | S72302S | 08 | 559-561 | ||
| S72092F | 08 | 559-561 | S72132N | 08 | 564-566 | S72309A | 08 | 533-534 | ||
| S72092G | 08 | 559-561 | S72132P | 08 | 564-566 | S72309A | 15 | 793 | ||
| S72092H | 08 | 559-561 | S72132Q | 08 | 564-566 | S72309A | 24 | 955-965 | ||
| S72092J | 08 | 559-561 | S72132R | 08 | 564-566 | S72309B | 08 | 533-534 | ||
| S72092K | 08 | 564-566 | S72132S | 08 | 559-561 | S72309B | 15 | 793 | ||
| S72092M | 08 | 564-566 | S72133A | 08 | 535-536 | S72309B | 24 | 955-965 | ||
| S72092N | 08 | 564-566 | S72133A | 15 | 793 | S72309C | 08 | 533-534 | ||
| S72092P | 08 | 564-566 | S72133A | 24 | 955-965 | S72309C | 15 | 793 | ||
| S72092Q | 08 | 564-566 | S72133B | 08 | 535-536 | S72309C | 24 | 955-965 | ||
| S72092R | 08 | 564-566 | S72133B | 15 | 793 | S72309D | 08 | 559-561 | ||
| S72092S | 08 | 559-561 | S72133B | 24 | 955-965 | S72309E | 08 | 559-561 | ||
| S72099A | 08 | 535-536 | S72133C | 08 | 535-536 | S72309F | 08 | 559-561 | ||
| S72099A | 15 | 793 | S72133C | 15 | 793 | S72309G | 08 | 559-561 | ||
| S72099A | 24 | 955-965 | S72133C | 24 | 955-965 | S72309H | 08 | 559-561 | ||
| S72099B | 08 | 535-536 | S72133D | 08 | 559-561 | S72309J | 08 | 559-561 | ||
| S72099B | 15 | 793 | S72133E | 08 | 559-561 | S72309K | 08 | 564-566 | ||
| S72099B | 24 | 955-965 | S72133F | 08 | 559-561 | S72309M | 08 | 564-566 | ||
| S72099C | 08 | 535-536 | S72133G | 08 | 559-561 | S72309N | 08 | 564-566 | ||
| S72099C | 15 | 793 | S72133H | 08 | 559-561 | S72309P | 08 | 564-566 | ||
| S72099C | 24 | 955-965 | S72133J | 08 | 559-561 | S72309Q | 08 | 564-566 | ||
| S72099D | 08 | 559-561 | S72133K | 08 | 564-566 | S72309R | 08 | 564-566 | ||
| S72099E | 08 | 559-561 | S72133M | 08 | 564-566 | S72309S | 08 | 559-561 | ||
| S72099F | 08 | 559-561 | S72133N | 08 | 564-566 | S72321A | 08 | 533-534 | ||
| S72099G | 08 | 559-561 | S72133P | 08 | 564-566 | S72321A | 15 | 793 | ||
| S72099H | 08 | 559-561 | S72133Q | 08 | 564-566 | S72321A | 24 | 955-965 | ||
| S72099J | 08 | 559-561 | S72133R | 08 | 564-566 | S72321B | 08 | 533-534 | ||
| S72099K | 08 | 564-566 | S72133S | 08 | 559-561 | S72321B | 15 | 793 | ||
| S72099M | 08 | 564-566 | S72134A | 08 | 535-536 | S72321B | 24 | 955-965 | ||
| S72099N | 08 | 564-566 | S72134A | 15 | 793 | S72321C | 08 | 533-534 | ||
| S72099P | 08 | 564-566 | S72134A | 24 | 955-965 | S72321C | 15 | 793 | ||
| S72099Q | 08 | 564-566 | S72134B | 08 | 535-536 | S72321C | 24 | 955-965 | ||
| S72099R | 08 | 564-566 | S72134B | 15 | 793 | S72321D | 08 | 559-561 | ||
| S72099S | 08 | 559-561 | S72134B | 24 | 955-965 | S72321E | 08 | 559-561 | ||
| S72101A | 08 | 535-536 | S72134C | 08 | 535-536 | S72321F | 08 | 559-561 | ||
| S72101A | 15 | 793 | S72134C | 15 | 793 | S72321G | 08 | 559-561 | ||
| S72101A | 24 | 955-965 | S72134C | 24 | 955-965 | S72321H | 08 | 559-561 | ||
| S72101B | 08 | 535-536 | S72134D | 08 | 559-561 | S72321J | 08 | 559-561 | ||
| S72101B | 15 | 793 | S72134E | 08 | 559-561 | S72321K | 08 | 564-566 | ||
| S72101B | 24 | 955-965 | S72134F | 08 | 559-561 | S72321M | 08 | 564-566 | ||
| S72101C | 08 | 535-536 | S72134G | 08 | 559-561 | S72321N | 08 | 564-566 | ||
| S72101C | 15 | 793 | S72134H | 08 | 559-561 | S72321P | 08 | 564-566 | ||
| S72101C | 24 | 955-965 | S72134J | 08 | 559-561 | S72321Q | 08 | 564-566 | ||
| S72101D | 08 | 559-561 | S72134K | 08 | 564-566 | S72321R | 08 | 564-566 | ||
| S72101E | 08 | 559-561 | S72134M | 08 | 564-566 | S72321S | 08 | 559-561 | ||
| S72101F | 08 | 559-561 | S72134N | 08 | 564-566 | S72322A | 08 | 533-534 | ||
| S72101G | 08 | 559-561 | S72134P | 08 | 564-566 | S72322A | 15 | 793 | ||
| S72101H | 08 | 559-561 | S72134Q | 08 | 564-566 | S72322A | 24 | 955-965 | ||
| S72101J | 08 | 559-561 | S72134R | 08 | 564-566 | S72322B | 08 | 533-534 | ||
| S72101K | 08 | 564-566 | S72134S | 08 | 559-561 | S72322B | 15 | 793 | ||
| S72101M | 08 | 564-566 | S72135A | 08 | 535-536 | S72322B | 24 | 955-965 | ||
| S72101N | 08 | 564-566 | S72135A | 15 | 793 | S72322C | 08 | 533-534 | ||
| S72101P | 08 | 564-566 | S72135A | 24 | 955-965 | S72322C | 15 | 793 | ||
| S72101Q | 08 | 564-566 | S72135B | 08 | 535-536 | S72322C | 24 | 955-965 | ||
| S72101R | 08 | 564-566 | S72135B | 15 | 793 | S72322D | 08 | 559-561 | ||
| S72101S | 08 | 559-561 | S72135B | 24 | 955-965 | S72322E | 08 | 559-561 | ||
| S72102A | 08 | 535-536 | S72135C | 08 | 535-536 | S72322F | 08 | 559-561 | ||
| S72102A | 15 | 793 | S72135C | 15 | 793 | S72322G | 08 | 559-561 | ||
| S72102A | 24 | 955-965 | S72135C | 24 | 955-965 | S72322H | 08 | 559-561 | ||
| S72102B | 08 | 535-536 | S72135D | 08 | 559-561 | S72322J | 08 | 559-561 | ||
| S72102B | 15 | 793 | S72135E | 08 | 559-561 | S72322K | 08 | 564-566 | ||
| S72102B | 24 | 955-965 | S72135F | 08 | 559-561 | S72322M | 08 | 564-566 | ||
| S72102C | 08 | 535-536 | S72135G | 08 | 559-561 | S72322N | 08 | 564-566 | ||
| S72102C | 15 | 793 | S72135H | 08 | 559-561 | S72322P | 08 | 564-566 | ||
| S72102C | 24 | 955-965 | S72135J | 08 | 559-561 | S72322Q | 08 | 564-566 | ||
| S72102D | 08 | 559-561 | S72135K | 08 | 564-566 | S72322R | 08 | 564-566 | ||
| S72102E | 08 | 559-561 | S72135M | 08 | 564-566 | S72322S | 08 | 559-561 | ||
| S72102F | 08 | 559-561 | S72135N | 08 | 564-566 | S72323A | 08 | 533-534 | ||
| S72102G | 08 | 559-561 | S72135P | 08 | 564-566 | S72323A | 15 | 793 | ||
| S72102H | 08 | 559-561 | S72135Q | 08 | 564-566 | S72323A | 24 | 955-965 | ||
| S72102J | 08 | 559-561 | S72135R | 08 | 564-566 | S72323B | 08 | 533-534 | ||
| S72102K | 08 | 564-566 | S72135S | 08 | 559-561 | S72323B | 15 | 793 | ||
| S72102M | 08 | 564-566 | S72136A | 08 | 535-536 | S72323B | 24 | 955-965 | ||
| S72102N | 08 | 564-566 | S72136A | 15 | 793 | S72323C | 08 | 533-534 | ||
| S72102P | 08 | 564-566 | S72136A | 24 | 955-965 | S72323C | 15 | 793 | ||
| S72102Q | 08 | 564-566 | S72136B | 08 | 535-536 | S72323C | 24 | 955-965 | ||
| S72102R | 08 | 564-566 | S72136B | 15 | 793 | S72323D | 08 | 559-561 | ||
| S72102S | 08 | 559-561 | S72136B | 24 | 955-965 | S72323E | 08 | 559-561 | ||
| S72109A | 08 | 535-536 | S72136C | 08 | 535-536 | S72323F | 08 | 559-561 | ||
| S72109A | 15 | 793 | S72136C | 15 | 793 | S72323G | 08 | 559-561 | ||
| S72109A | 24 | 955-965 | S72136C | 24 | 955-965 | S72323H | 08 | 559-561 | ||
| S72109B | 08 | 535-536 | S72136D | 08 | 559-561 | S72323J | 08 | 559-561 | ||
| S72109B | 15 | 793 | S72136E | 08 | 559-561 | S72323K | 08 | 564-566 | ||
| S72109B | 24 | 955-965 | S72136F | 08 | 559-561 | S72323M | 08 | 564-566 | ||
| S72109C | 08 | 535-536 | S72136G | 08 | 559-561 | S72323N | 08 | 564-566 | ||
| S72109C | 15 | 793 | S72136H | 08 | 559-561 | S72323P | 08 | 564-566 | ||
| S72109C | 24 | 955-965 | S72136J | 08 | 559-561 | S72323Q | 08 | 564-566 | ||
| S72109D | 08 | 559-561 | S72136K | 08 | 564-566 | S72323R | 08 | 564-566 | ||
| S72109E | 08 | 559-561 | S72136M | 08 | 564-566 | S72323S | 08 | 559-561 | ||
| S72109F | 08 | 559-561 | S72136N | 08 | 564-566 | S72324A | 08 | 533-534 | ||
| S72109G | 08 | 559-561 | S72136P | 08 | 564-566 | S72324A | 15 | 793 | ||
| S72109H | 08 | 559-561 | S72136Q | 08 | 564-566 | S72324A | 24 | 955-965 | ||
| S72109J | 08 | 559-561 | S72136R | 08 | 564-566 | S72324B | 08 | 533-534 | ||
| S72109K | 08 | 564-566 | S72136S | 08 | 559-561 | S72324B | 15 | 793 | ||
| S72109M | 08 | 564-566 | S72141A | 08 | 535-536 | S72324B | 24 | 955-965 | ||
| S72109N | 08 | 564-566 | S72141A | 15 | 793 | S72324C | 08 | 533-534 | ||
| S72109P | 08 | 564-566 | S72141A | 24 | 955-965 | S72324C | 15 | 793 | ||
| S72109Q | 08 | 564-566 | S72141B | 08 | 535-536 | S72324C | 24 | 955-965 | ||
| S72109R | 08 | 564-566 | S72141B | 15 | 793 | S72324D | 08 | 559-561 | ||
| S72109S | 08 | 559-561 | S72141B | 24 | 955-965 | S72324E | 08 | 559-561 | ||
| S72111A | 08 | 535-536 | S72141C | 08 | 535-536 | S72324F | 08 | 559-561 | ||
| S72111A | 15 | 793 | S72141C | 15 | 793 | S72324G | 08 | 559-561 | ||
| S72111A | 24 | 955-965 | S72141C | 24 | 955-965 | S72324H | 08 | 559-561 | ||
| S72111B | 08 | 535-536 | S72141D | 08 | 559-561 | S72324J | 08 | 559-561 | ||
| S72111B | 15 | 793 | S72141E | 08 | 559-561 | S72324K | 08 | 564-566 | ||
| S72111B | 24 | 955-965 | S72141F | 08 | 559-561 | S72324M | 08 | 564-566 | ||
| S72111C | 08 | 535-536 | S72141G | 08 | 559-561 | S72324N | 08 | 564-566 | ||
| S72111C | 15 | 793 | S72141H | 08 | 559-561 | S72324P | 08 | 564-566 | ||
| S72111C | 24 | 955-965 | S72141J | 08 | 559-561 | S72324Q | 08 | 564-566 | ||
| S72111D | 08 | 559-561 | S72141K | 08 | 564-566 | S72324R | 08 | 564-566 | ||
| S72111E | 08 | 559-561 | S72141M | 08 | 564-566 | S72324S | 08 | 559-561 | ||
| S72111F | 08 | 559-561 | S72141N | 08 | 564-566 | S72325A | 08 | 533-534 | ||
| S72111G | 08 | 559-561 | S72141P | 08 | 564-566 | S72325A | 15 | 793 | ||
| S72111H | 08 | 559-561 | S72141Q | 08 | 564-566 | S72325A | 24 | 955-965 | ||
| S72111J | 08 | 559-561 | S72141R | 08 | 564-566 | S72325B | 08 | 533-534 | ||
| S72111K | 08 | 564-566 | S72141S | 08 | 559-561 | S72325B | 15 | 793 | ||
| S72111M | 08 | 564-566 | S72142A | 08 | 535-536 | S72325B | 24 | 955-965 | ||
| S72111N | 08 | 564-566 | S72142A | 15 | 793 | S72325C | 08 | 533-534 | ||
| S72111P | 08 | 564-566 | S72142A | 24 | 955-965 | S72325C | 15 | 793 | ||
| S72111Q | 08 | 564-566 | S72142B | 08 | 535-536 | S72325C | 24 | 955-965 | ||
| S72111R | 08 | 564-566 | S72142B | 15 | 793 | S72325D | 08 | 559-561 | ||
| S72111S | 08 | 559-561 | S72142B | 24 | 955-965 | S72325E | 08 | 559-561 | ||
| S72112A | 08 | 535-536 | S72142C | 08 | 535-536 | S72325F | 08 | 559-561 | ||
| S72112A | 15 | 793 | S72142C | 15 | 793 | S72325G | 08 | 559-561 | ||
| S72112A | 24 | 955-965 | S72142C | 24 | 955-965 | S72325H | 08 | 559-561 | ||
| S72112B | 08 | 535-536 | S72142D | 08 | 559-561 | S72325J | 08 | 559-561 | ||
| S72112B | 15 | 793 | S72142E | 08 | 559-561 | S72325K | 08 | 564-566 | ||
| S72112B | 24 | 955-965 | S72142F | 08 | 559-561 | S72325M | 08 | 564-566 | ||
| S72112C | 08 | 535-536 | S72142G | 08 | 559-561 | S72325N | 08 | 564-566 | ||
| S72112C | 15 | 793 | S72142H | 08 | 559-561 | S72325P | 08 | 564-566 | ||
| S72112C | 24 | 955-965 | S72142J | 08 | 559-561 | S72325Q | 08 | 564-566 | ||
| S72112D | 08 | 559-561 | S72142K | 08 | 564-566 | S72325R | 08 | 564-566 | ||
| S72112E | 08 | 559-561 | S72142M | 08 | 564-566 | S72325S | 08 | 559-561 | ||
| S72112F | 08 | 559-561 | S72142N | 08 | 564-566 | S72326A | 08 | 533-534 | ||
| S72112G | 08 | 559-561 | S72142P | 08 | 564-566 | S72326A | 15 | 793 | ||
| S72112H | 08 | 559-561 | S72142Q | 08 | 564-566 | S72326A | 24 | 955-965 | ||
| S72112J | 08 | 559-561 | S72142R | 08 | 564-566 | S72326B | 08 | 533-534 | ||
| S72112K | 08 | 564-566 | S72142S | 08 | 559-561 | S72326B | 15 | 793 | ||
| S72112M | 08 | 564-566 | S72143A | 08 | 535-536 | S72326B | 24 | 955-965 | ||
| S72112N | 08 | 564-566 | S72143A | 15 | 793 | S72326C | 08 | 533-534 | ||
| S72112P | 08 | 564-566 | S72143A | 24 | 955-965 | S72326C | 15 | 793 | ||
| S72112Q | 08 | 564-566 | S72143B | 08 | 535-536 | S72326C | 24 | 955-965 | ||
| S72112R | 08 | 564-566 | S72143B | 15 | 793 | S72326D | 08 | 559-561 | ||
| S72112S | 08 | 559-561 | S72143B | 24 | 955-965 | S72326E | 08 | 559-561 | ||
| S72113A | 08 | 535-536 | S72143C | 08 | 535-536 | S72326F | 08 | 559-561 | ||
| S72113A | 15 | 793 | S72143C | 15 | 793 | S72326G | 08 | 559-561 | ||
| S72113A | 24 | 955-965 | S72143C | 24 | 955-965 | S72326H | 08 | 559-561 | ||
| S72113B | 08 | 535-536 | S72143D | 08 | 559-561 | S72326J | 08 | 559-561 | ||
| S72113B | 15 | 793 | S72143E | 08 | 559-561 | S72326K | 08 | 564-566 | ||
| S72113B | 24 | 955-965 | S72143F | 08 | 559-561 | S72326M | 08 | 564-566 | ||
| S72113C | 08 | 535-536 | S72143G | 08 | 559-561 | S72326N | 08 | 564-566 | ||
| S72113C | 15 | 793 | S72143H | 08 | 559-561 | S72326P | 08 | 564-566 | ||
| S72113C | 24 | 955-965 | S72143J | 08 | 559-561 | S72326Q | 08 | 564-566 | ||
| S72113D | 08 | 559-561 | S72143K | 08 | 564-566 | S72326R | 08 | 564-566 | ||
| S72113E | 08 | 559-561 | S72143M | 08 | 564-566 | S72326S | 08 | 559-561 | ||
| S72113F | 08 | 559-561 | S72143N | 08 | 564-566 | S72331A | 08 | 533-534 | ||
| S72113G | 08 | 559-561 | S72143P | 08 | 564-566 | S72331A | 15 | 793 | ||
| S72113H | 08 | 559-561 | S72143Q | 08 | 564-566 | S72331A | 24 | 955-965 | ||
| S72113J | 08 | 559-561 | S72143R | 08 | 564-566 | S72331B | 08 | 533-534 | ||
| S72113K | 08 | 564-566 | S72143S | 08 | 559-561 | S72331B | 15 | 793 | ||
| S72113M | 08 | 564-566 | S72144A | 08 | 535-536 | S72331B | 24 | 955-965 | ||
| S72113N | 08 | 564-566 | S72144A | 15 | 793 | S72331C | 08 | 533-534 | ||
| S72113P | 08 | 564-566 | S72144A | 24 | 955-965 | S72331C | 15 | 793 | ||
| S72113Q | 08 | 564-566 | S72144B | 08 | 535-536 | S72331C | 24 | 955-965 | ||
| S72113R | 08 | 564-566 | S72144B | 15 | 793 | S72331D | 08 | 559-561 | ||
| S72113S | 08 | 559-561 | S72144B | 24 | 955-965 | S72331E | 08 | 559-561 | ||
| S72114A | 08 | 535-536 | S72144C | 08 | 535-536 | S72331F | 08 | 559-561 | ||
| S72114A | 15 | 793 | S72144C | 15 | 793 | S72331G | 08 | 559-561 | ||
| S72114A | 24 | 955-965 | S72144C | 24 | 955-965 | S72331H | 08 | 559-561 | ||
| S72114B | 08 | 535-536 | S72144D | 08 | 559-561 | S72331J | 08 | 559-561 | ||
| S72114B | 15 | 793 | S72144E | 08 | 559-561 | S72331K | 08 | 564-566 | ||
| S72114B | 24 | 955-965 | S72144F | 08 | 559-561 | S72331M | 08 | 564-566 | ||
| S72114C | 08 | 535-536 | S72144G | 08 | 559-561 | S72331N | 08 | 564-566 | ||
| S72114C | 15 | 793 | S72144H | 08 | 559-561 | S72331P | 08 | 564-566 | ||
| S72114C | 24 | 955-965 | S72144J | 08 | 559-561 | S72331Q | 08 | 564-566 | ||
| S72114D | 08 | 559-561 | S72144K | 08 | 564-566 | S72331R | 08 | 564-566 | ||
| S72114E | 08 | 559-561 | S72144M | 08 | 564-566 | S72331S | 08 | 559-561 | ||
| S72114F | 08 | 559-561 | S72144N | 08 | 564-566 | S72332A | 08 | 533-534 | ||
| S72114G | 08 | 559-561 | S72144P | 08 | 564-566 | S72332A | 15 | 793 | ||
| S72114H | 08 | 559-561 | S72144Q | 08 | 564-566 | S72332A | 24 | 955-965 | ||
| S72114J | 08 | 559-561 | S72144R | 08 | 564-566 | S72332B | 08 | 533-534 | ||
| S72114K | 08 | 564-566 | S72144S | 08 | 559-561 | S72332B | 15 | 793 | ||
| S72114M | 08 | 564-566 | S72145A | 08 | 535-536 | S72332B | 24 | 955-965 | ||
| S72114N | 08 | 564-566 | S72145A | 15 | 793 | S72332C | 08 | 533-534 | ||
| S72114P | 08 | 564-566 | S72145A | 24 | 955-965 | S72332C | 15 | 793 | ||
| S72114Q | 08 | 564-566 | S72145B | 08 | 535-536 | S72332C | 24 | 955-965 | ||
| S72114R | 08 | 564-566 | S72145B | 15 | 793 | S72332D | 08 | 559-561 | ||
| S72114S | 08 | 559-561 | S72145B | 24 | 955-965 | S72332E | 08 | 559-561 | ||
| S72115A | 08 | 535-536 | S72145C | 08 | 535-536 | S72332F | 08 | 559-561 | ||
| S72115A | 15 | 793 | S72145C | 15 | 793 | S72332G | 08 | 559-561 | ||
| S72115A | 24 | 955-965 | S72145C | 24 | 955-965 | S72332H | 08 | 559-561 | ||
| S72115B | 08 | 535-536 | S72145D | 08 | 559-561 | S72332J | 08 | 559-561 | ||
| S72115B | 15 | 793 | S72145E | 08 | 559-561 | S72332K | 08 | 564-566 | ||
| S72115B | 24 | 955-965 | S72145F | 08 | 559-561 | S72332M | 08 | 564-566 | ||
| S72115C | 08 | 535-536 | S72145G | 08 | 559-561 | S72332N | 08 | 564-566 | ||
| S72115C | 15 | 793 | S72145H | 08 | 559-561 | S72332P | 08 | 564-566 | ||
| S72115C | 24 | 955-965 | S72145J | 08 | 559-561 | S72332Q | 08 | 564-566 | ||
| S72115D | 08 | 559-561 | S72145K | 08 | 564-566 | S72332R | 08 | 564-566 | ||
| S72115E | 08 | 559-561 | S72145M | 08 | 564-566 | S72332S | 08 | 559-561 | ||
| S72115F | 08 | 559-561 | S72145N | 08 | 564-566 | S72333A | 08 | 533-534 | ||
| S72115G | 08 | 559-561 | S72145P | 08 | 564-566 | S72333A | 15 | 793 | ||
| S72115H | 08 | 559-561 | S72145Q | 08 | 564-566 | S72333A | 24 | 955-965 | ||
| S72115J | 08 | 559-561 | S72145R | 08 | 564-566 | S72333B | 08 | 533-534 | ||
| S72115K | 08 | 564-566 | S72145S | 08 | 559-561 | S72333B | 15 | 793 | ||
| S72115M | 08 | 564-566 | S72146A | 08 | 535-536 | S72333B | 24 | 955-965 | ||
| S72115N | 08 | 564-566 | S72146A | 15 | 793 | S72333C | 08 | 533-534 | ||
| S72115P | 08 | 564-566 | S72146A | 24 | 955-965 | S72333C | 15 | 793 | ||
| S72115Q | 08 | 564-566 | S72146B | 08 | 535-536 | S72333C | 24 | 955-965 | ||
| S72115R | 08 | 564-566 | S72146B | 15 | 793 | S72333D | 08 | 559-561 | ||
| S72115S | 08 | 559-561 | S72146B | 24 | 955-965 | S72333E | 08 | 559-561 | ||
| S72116A | 08 | 535-536 | S72146C | 08 | 535-536 | S72333F | 08 | 559-561 | ||
| S72116A | 15 | 793 | S72146C | 15 | 793 | S72333G | 08 | 559-561 | ||
| S72116A | 24 | 955-965 | S72146C | 24 | 955-965 | S72333H | 08 | 559-561 | ||
| S72116B | 08 | 535-536 | S72146D | 08 | 559-561 | S72333J | 08 | 559-561 | ||
| S72116B | 15 | 793 | S72146E | 08 | 559-561 | S72333K | 08 | 564-566 | ||
| S72116B | 24 | 955-965 | S72146F | 08 | 559-561 | S72333M | 08 | 564-566 | ||
| S72116C | 08 | 535-536 | S72146G | 08 | 559-561 | S72333N | 08 | 564-566 | ||
| S72116C | 15 | 793 | S72146H | 08 | 559-561 | S72333P | 08 | 564-566 | ||
| S72116C | 24 | 955-965 | S72146J | 08 | 559-561 | S72333Q | 08 | 564-566 | ||
| S72116D | 08 | 559-561 | S72146K | 08 | 564-566 | S72333R | 08 | 564-566 | ||
| S72116E | 08 | 559-561 | S72146M | 08 | 564-566 | S72333S | 08 | 559-561 | ||
| S72116F | 08 | 559-561 | S72146N | 08 | 564-566 | S72334A | 08 | 533-534 | ||
| S72116G | 08 | 559-561 | S72146P | 08 | 564-566 | S72334A | 15 | 793 | ||
| S72116H | 08 | 559-561 | S72146Q | 08 | 564-566 | S72334A | 24 | 955-965 | ||
| S72116J | 08 | 559-561 | S72146R | 08 | 564-566 | S72334B | 08 | 533-534 | ||
| S72116K | 08 | 564-566 | S72146S | 08 | 559-561 | S72334B | 15 | 793 | ||
| S72116M | 08 | 564-566 | S7221XA | 08 | 535-536 | S72334B | 24 | 955-965 | ||
| S72116N | 08 | 564-566 | S7221XA | 15 | 793 | S72334C | 08 | 533-534 | ||
| S72116P | 08 | 564-566 | S7221XA | 24 | 955-965 | S72334C | 15 | 793 | ||
| S72116Q | 08 | 564-566 | S7221XB | 08 | 535-536 | S72334C | 24 | 955-965 | ||
| S72116R | 08 | 564-566 | S7221XB | 15 | 793 | S72334D | 08 | 559-561 | ||
| S72116S | 08 | 559-561 | S7221XB | 24 | 955-965 | S72334E | 08 | 559-561 | ||
| S72121A | 08 | 535-536 | S7221XC | 08 | 535-536 | S72334F | 08 | 559-561 | ||
| S72121A | 15 | 793 | S7221XC | 15 | 793 | S72334G | 08 | 559-561 | ||
| S72121A | 24 | 955-965 | S7221XC | 24 | 955-965 | S72334H | 08 | 559-561 | ||
| S72121B | 08 | 535-536 | S7221XD | 08 | 559-561 | S72334J | 08 | 559-561 | ||
| S72121B | 15 | 793 | S7221XE | 08 | 559-561 | S72334K | 08 | 564-566 | ||
| S72121B | 24 | 955-965 | S7221XF | 08 | 559-561 | S72334M | 08 | 564-566 | ||
| S72121C | 08 | 535-536 | S7221XG | 08 | 559-561 | S72334N | 08 | 564-566 | ||
| S72121C | 15 | 793 | S7221XH | 08 | 559-561 | S72334P | 08 | 564-566 | ||
| S72121C | 24 | 955-965 | S7221XJ | 08 | 559-561 | S72334Q | 08 | 564-566 | ||
| S72121D | 08 | 559-561 | S7221XK | 08 | 564-566 | S72334R | 08 | 564-566 | ||
| S72121E | 08 | 559-561 | S7221XM | 08 | 564-566 | S72334S | 08 | 559-561 | ||
| S72121F | 08 | 559-561 | S7221XN | 08 | 564-566 | S72335A | 08 | 533-534 | ||
| S72121G | 08 | 559-561 | S7221XP | 08 | 564-566 | S72335A | 15 | 793 | ||
| S72121H | 08 | 559-561 | S7221XQ | 08 | 564-566 | S72335A | 24 | 955-965 | ||
| S72121J | 08 | 559-561 | S7221XR | 08 | 564-566 | S72335B | 08 | 533-534 | ||
| S72121K | 08 | 564-566 | S7221XS | 08 | 559-561 | S72335B | 15 | 793 | ||
| S72121M | 08 | 564-566 | S7222XA | 08 | 535-536 | S72335B | 24 | 955-965 | ||
| S72121N | 08 | 564-566 | S7222XA | 15 | 793 | S72335C | 08 | 533-534 | ||
| S72121P | 08 | 564-566 | S7222XA | 24 | 955-965 | S72335C | 15 | 793 | ||
| S72121Q | 08 | 564-566 | S7222XB | 08 | 535-536 | S72335C | 24 | 955-965 | ||
| S72121R | 08 | 564-566 | S7222XB | 15 | 793 | S72335D | 08 | 559-561 | ||
| S72121S | 08 | 559-561 | S7222XB | 24 | 955-965 | S72335E | 08 | 559-561 | ||
| S72122A | 08 | 535-536 | S7222XC | 08 | 535-536 | S72335F | 08 | 559-561 | ||
| S72122A | 15 | 793 | S7222XC | 15 | 793 | S72335G | 08 | 559-561 | ||
| S72122A | 24 | 955-965 | S7222XC | 24 | 955-965 | S72335H | 08 | 559-561 | ||
| S72122B | 08 | 535-536 | S7222XD | 08 | 559-561 | S72335J | 08 | 559-561 | ||
| S72122B | 15 | 793 | S7222XE | 08 | 559-561 | S72335K | 08 | 564-566 | ||
| S72122B | 24 | 955-965 | S7222XF | 08 | 559-561 | S72335M | 08 | 564-566 | ||
| S72122C | 08 | 535-536 | S7222XG | 08 | 559-561 | S72335N | 08 | 564-566 | ||
| S72122C | 15 | 793 | S7222XH | 08 | 559-561 | S72335P | 08 | 564-566 | ||
| S72122C | 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 |