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 52 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S79129D | 08 | 559-561 | S81819D | 23 | 949-950 | S82034G | 08 | 559-561 | ||
| S79129G | 08 | 559-561 | S81819S | 09 | 604-605 | S82034H | 08 | 559-561 | ||
| S79129K | 08 | 564-566 | S81821A | 21 | 913-914 | S82034J | 08 | 559-561 | ||
| S79129P | 08 | 564-566 | S81821A | 24 | 955-965 | S82034K | 08 | 564-566 | ||
| S79129S | 08 | 559-561 | S81821D | 23 | 949-950 | S82034M | 08 | 564-566 | ||
| S79131A | 08 | 533-534 | S81821S | 09 | 604-605 | S82034N | 08 | 564-566 | ||
| S79131A | 24 | 955-965 | S81822A | 21 | 913-914 | S82034P | 08 | 564-566 | ||
| S79131D | 08 | 559-561 | S81822A | 24 | 955-965 | S82034Q | 08 | 564-566 | ||
| S79131G | 08 | 559-561 | S81822D | 23 | 949-950 | S82034R | 08 | 564-566 | ||
| S79131K | 08 | 564-566 | S81822S | 09 | 604-605 | S82034S | 08 | 559-561 | ||
| S79131P | 08 | 564-566 | S81829A | 21 | 913-914 | S82035A | 08 | 562-563 | ||
| S79131S | 08 | 559-561 | S81829A | 24 | 955-965 | S82035A | 24 | 955-965 | ||
| S79132A | 08 | 533-534 | S81829D | 23 | 949-950 | S82035B | 08 | 562-563 | ||
| S79132A | 24 | 955-965 | S81829S | 09 | 604-605 | S82035B | 24 | 955-965 | ||
| S79132D | 08 | 559-561 | S81831A | 09 | 604-605 | S82035C | 08 | 562-563 | ||
| S79132G | 08 | 559-561 | S81831A | 24 | 955-965 | S82035C | 24 | 955-965 | ||
| S79132K | 08 | 564-566 | S81831D | 23 | 949-950 | S82035D | 08 | 559-561 | ||
| S79132P | 08 | 564-566 | S81831S | 09 | 604-605 | S82035E | 08 | 559-561 | ||
| S79132S | 08 | 559-561 | S81832A | 09 | 604-605 | S82035F | 08 | 559-561 | ||
| S79139A | 08 | 533-534 | S81832A | 24 | 955-965 | S82035G | 08 | 559-561 | ||
| S79139A | 24 | 955-965 | S81832D | 23 | 949-950 | S82035H | 08 | 559-561 | ||
| S79139D | 08 | 559-561 | S81832S | 09 | 604-605 | S82035J | 08 | 559-561 | ||
| S79139G | 08 | 559-561 | S81839A | 09 | 604-605 | S82035K | 08 | 564-566 | ||
| S79139K | 08 | 564-566 | S81839A | 24 | 955-965 | S82035M | 08 | 564-566 | ||
| S79139P | 08 | 564-566 | S81839D | 23 | 949-950 | S82035N | 08 | 564-566 | ||
| S79139S | 08 | 559-561 | S81839S | 09 | 604-605 | S82035P | 08 | 564-566 | ||
| S79141A | 08 | 533-534 | S81841A | 21 | 913-914 | S82035Q | 08 | 564-566 | ||
| S79141A | 24 | 955-965 | S81841A | 24 | 955-965 | S82035R | 08 | 564-566 | ||
| S79141D | 08 | 559-561 | S81841D | 23 | 949-950 | S82035S | 08 | 559-561 | ||
| S79141G | 08 | 559-561 | S81841S | 09 | 604-605 | S82036A | 08 | 562-563 | ||
| S79141K | 08 | 564-566 | S81842A | 21 | 913-914 | S82036A | 24 | 955-965 | ||
| S79141P | 08 | 564-566 | S81842A | 24 | 955-965 | S82036B | 08 | 562-563 | ||
| S79141S | 08 | 559-561 | S81842D | 23 | 949-950 | S82036B | 24 | 955-965 | ||
| S79142A | 08 | 533-534 | S81842S | 09 | 604-605 | S82036C | 08 | 562-563 | ||
| S79142A | 24 | 955-965 | S81849A | 21 | 913-914 | S82036C | 24 | 955-965 | ||
| S79142D | 08 | 559-561 | S81849A | 24 | 955-965 | S82036D | 08 | 559-561 | ||
| S79142G | 08 | 559-561 | S81849D | 23 | 949-950 | S82036E | 08 | 559-561 | ||
| S79142K | 08 | 564-566 | S81849S | 09 | 604-605 | S82036F | 08 | 559-561 | ||
| S79142P | 08 | 564-566 | S81851A | 09 | 604-605 | S82036G | 08 | 559-561 | ||
| S79142S | 08 | 559-561 | S81851A | 24 | 955-965 | S82036H | 08 | 559-561 | ||
| S79149A | 08 | 533-534 | S81851D | 23 | 949-950 | S82036J | 08 | 559-561 | ||
| S79149A | 24 | 955-965 | S81851S | 09 | 604-605 | S82036K | 08 | 564-566 | ||
| S79149D | 08 | 559-561 | S81852A | 09 | 604-605 | S82036M | 08 | 564-566 | ||
| S79149G | 08 | 559-561 | S81852A | 24 | 955-965 | S82036N | 08 | 564-566 | ||
| S79149K | 08 | 564-566 | S81852D | 23 | 949-950 | S82036P | 08 | 564-566 | ||
| S79149P | 08 | 564-566 | S81852S | 09 | 604-605 | S82036Q | 08 | 564-566 | ||
| S79149S | 08 | 559-561 | S81859A | 09 | 604-605 | S82036R | 08 | 564-566 | ||
| S79191A | 08 | 533-534 | S81859A | 24 | 955-965 | S82036S | 08 | 559-561 | ||
| S79191A | 24 | 955-965 | S81859D | 23 | 949-950 | S82041A | 08 | 562-563 | ||
| S79191D | 08 | 559-561 | S81859S | 09 | 604-605 | S82041A | 24 | 955-965 | ||
| S79191G | 08 | 559-561 | S82001A | 08 | 562-563 | S82041B | 08 | 562-563 | ||
| S79191K | 08 | 564-566 | S82001A | 24 | 955-965 | S82041B | 24 | 955-965 | ||
| S79191P | 08 | 564-566 | S82001B | 08 | 562-563 | S82041C | 08 | 562-563 | ||
| S79191S | 08 | 559-561 | S82001B | 24 | 955-965 | S82041C | 24 | 955-965 | ||
| S79192A | 08 | 533-534 | S82001C | 08 | 562-563 | S82041D | 08 | 559-561 | ||
| S79192A | 24 | 955-965 | S82001C | 24 | 955-965 | S82041E | 08 | 559-561 | ||
| S79192D | 08 | 559-561 | S82001D | 08 | 559-561 | S82041F | 08 | 559-561 | ||
| S79192G | 08 | 559-561 | S82001E | 08 | 559-561 | S82041G | 08 | 559-561 | ||
| S79192K | 08 | 564-566 | S82001F | 08 | 559-561 | S82041H | 08 | 559-561 | ||
| S79192P | 08 | 564-566 | S82001G | 08 | 559-561 | S82041J | 08 | 559-561 | ||
| S79192S | 08 | 559-561 | S82001H | 08 | 559-561 | S82041K | 08 | 564-566 | ||
| S79199A | 08 | 533-534 | S82001J | 08 | 559-561 | S82041M | 08 | 564-566 | ||
| S79199A | 24 | 955-965 | S82001K | 08 | 564-566 | S82041N | 08 | 564-566 | ||
| S79199D | 08 | 559-561 | S82001M | 08 | 564-566 | S82041P | 08 | 564-566 | ||
| S79199G | 08 | 559-561 | S82001N | 08 | 564-566 | S82041Q | 08 | 564-566 | ||
| S79199K | 08 | 564-566 | S82001P | 08 | 564-566 | S82041R | 08 | 564-566 | ||
| S79199P | 08 | 564-566 | S82001Q | 08 | 564-566 | S82041S | 08 | 559-561 | ||
| S79199S | 08 | 559-561 | S82001R | 08 | 564-566 | S82042A | 08 | 562-563 | ||
| S79811A | 21 | 913-914 | S82001S | 08 | 559-561 | S82042A | 24 | 955-965 | ||
| S79811A | 24 | 955-965 | S82002A | 08 | 562-563 | S82042B | 08 | 562-563 | ||
| S79811D | 23 | 949-950 | S82002A | 24 | 955-965 | S82042B | 24 | 955-965 | ||
| S79811S | 21 | 913-914 | S82002B | 08 | 562-563 | S82042C | 08 | 562-563 | ||
| S79812A | 21 | 913-914 | S82002B | 24 | 955-965 | S82042C | 24 | 955-965 | ||
| S79812A | 24 | 955-965 | S82002C | 08 | 562-563 | S82042D | 08 | 559-561 | ||
| S79812D | 23 | 949-950 | S82002C | 24 | 955-965 | S82042E | 08 | 559-561 | ||
| S79812S | 21 | 913-914 | S82002D | 08 | 559-561 | S82042F | 08 | 559-561 | ||
| S79819A | 21 | 913-914 | S82002E | 08 | 559-561 | S82042G | 08 | 559-561 | ||
| S79819A | 24 | 955-965 | S82002F | 08 | 559-561 | S82042H | 08 | 559-561 | ||
| S79819D | 23 | 949-950 | S82002G | 08 | 559-561 | S82042J | 08 | 559-561 | ||
| S79819S | 21 | 913-914 | S82002H | 08 | 559-561 | S82042K | 08 | 564-566 | ||
| S79821A | 21 | 913-914 | S82002J | 08 | 559-561 | S82042M | 08 | 564-566 | ||
| S79821A | 24 | 955-965 | S82002K | 08 | 564-566 | S82042N | 08 | 564-566 | ||
| S79821D | 23 | 949-950 | S82002M | 08 | 564-566 | S82042P | 08 | 564-566 | ||
| S79821S | 21 | 913-914 | S82002N | 08 | 564-566 | S82042Q | 08 | 564-566 | ||
| S79822A | 21 | 913-914 | S82002P | 08 | 564-566 | S82042R | 08 | 564-566 | ||
| S79822A | 24 | 955-965 | S82002Q | 08 | 564-566 | S82042S | 08 | 559-561 | ||
| S79822D | 23 | 949-950 | S82002R | 08 | 564-566 | S82043A | 08 | 562-563 | ||
| S79822S | 21 | 913-914 | S82002S | 08 | 559-561 | S82043A | 24 | 955-965 | ||
| S79829A | 21 | 913-914 | S82009A | 08 | 562-563 | S82043B | 08 | 562-563 | ||
| S79829A | 24 | 955-965 | S82009A | 24 | 955-965 | S82043B | 24 | 955-965 | ||
| S79829D | 23 | 949-950 | S82009B | 08 | 562-563 | S82043C | 08 | 562-563 | ||
| S79829S | 21 | 913-914 | S82009B | 24 | 955-965 | S82043C | 24 | 955-965 | ||
| S79911A | 21 | 913-914 | S82009C | 08 | 562-563 | S82043D | 08 | 559-561 | ||
| S79911A | 24 | 955-965 | S82009C | 24 | 955-965 | S82043E | 08 | 559-561 | ||
| S79911D | 23 | 949-950 | S82009D | 08 | 559-561 | S82043F | 08 | 559-561 | ||
| S79911S | 21 | 913-914 | S82009E | 08 | 559-561 | S82043G | 08 | 559-561 | ||
| S79912A | 21 | 913-914 | S82009F | 08 | 559-561 | S82043H | 08 | 559-561 | ||
| S79912A | 24 | 955-965 | S82009G | 08 | 559-561 | S82043J | 08 | 559-561 | ||
| S79912D | 23 | 949-950 | S82009H | 08 | 559-561 | S82043K | 08 | 564-566 | ||
| S79912S | 21 | 913-914 | S82009J | 08 | 559-561 | S82043M | 08 | 564-566 | ||
| S79919A | 21 | 913-914 | S82009K | 08 | 564-566 | S82043N | 08 | 564-566 | ||
| S79919A | 24 | 955-965 | S82009M | 08 | 564-566 | S82043P | 08 | 564-566 | ||
| S79919D | 23 | 949-950 | S82009N | 08 | 564-566 | S82043Q | 08 | 564-566 | ||
| S79919S | 21 | 913-914 | S82009P | 08 | 564-566 | S82043R | 08 | 564-566 | ||
| S79921A | 21 | 913-914 | S82009Q | 08 | 564-566 | S82043S | 08 | 559-561 | ||
| S79921A | 24 | 955-965 | S82009R | 08 | 564-566 | S82044A | 08 | 562-563 | ||
| S79921D | 23 | 949-950 | S82009S | 08 | 559-561 | S82044A | 24 | 955-965 | ||
| S79921S | 21 | 913-914 | S82011A | 08 | 562-563 | S82044B | 08 | 562-563 | ||
| S79922A | 21 | 913-914 | S82011A | 24 | 955-965 | S82044B | 24 | 955-965 | ||
| S79922A | 24 | 955-965 | S82011B | 08 | 562-563 | S82044C | 08 | 562-563 | ||
| S79922D | 23 | 949-950 | S82011B | 24 | 955-965 | S82044C | 24 | 955-965 | ||
| S79922S | 21 | 913-914 | S82011C | 08 | 562-563 | S82044D | 08 | 559-561 | ||
| S79929A | 21 | 913-914 | S82011C | 24 | 955-965 | S82044E | 08 | 559-561 | ||
| S79929A | 24 | 955-965 | S82011D | 08 | 559-561 | S82044F | 08 | 559-561 | ||
| S79929D | 23 | 949-950 | S82011E | 08 | 559-561 | S82044G | 08 | 559-561 | ||
| S79929S | 21 | 913-914 | S82011F | 08 | 559-561 | S82044H | 08 | 559-561 | ||
| S8000XA | 09 | 604-605 | S82011G | 08 | 559-561 | S82044J | 08 | 559-561 | ||
| S8000XA | 24 | 955-965 | S82011H | 08 | 559-561 | S82044K | 08 | 564-566 | ||
| S8000XD | 23 | 949-950 | S82011J | 08 | 559-561 | S82044M | 08 | 564-566 | ||
| S8000XS | 09 | 604-605 | S82011K | 08 | 564-566 | S82044N | 08 | 564-566 | ||
| S8001XA | 09 | 604-605 | S82011M | 08 | 564-566 | S82044P | 08 | 564-566 | ||
| S8001XA | 24 | 955-965 | S82011N | 08 | 564-566 | S82044Q | 08 | 564-566 | ||
| S8001XD | 23 | 949-950 | S82011P | 08 | 564-566 | S82044R | 08 | 564-566 | ||
| S8001XS | 09 | 604-605 | S82011Q | 08 | 564-566 | S82044S | 08 | 559-561 | ||
| S8002XA | 09 | 604-605 | S82011R | 08 | 564-566 | S82045A | 08 | 562-563 | ||
| S8002XA | 24 | 955-965 | S82011S | 08 | 559-561 | S82045A | 24 | 955-965 | ||
| S8002XD | 23 | 949-950 | S82012A | 08 | 562-563 | S82045B | 08 | 562-563 | ||
| S8002XS | 09 | 604-605 | S82012A | 24 | 955-965 | S82045B | 24 | 955-965 | ||
| S8010XA | 09 | 604-605 | S82012B | 08 | 562-563 | S82045C | 08 | 562-563 | ||
| S8010XA | 24 | 955-965 | S82012B | 24 | 955-965 | S82045C | 24 | 955-965 | ||
| S8010XD | 23 | 949-950 | S82012C | 08 | 562-563 | S82045D | 08 | 559-561 | ||
| S8010XS | 09 | 604-605 | S82012C | 24 | 955-965 | S82045E | 08 | 559-561 | ||
| S8011XA | 09 | 604-605 | S82012D | 08 | 559-561 | S82045F | 08 | 559-561 | ||
| S8011XA | 24 | 955-965 | S82012E | 08 | 559-561 | S82045G | 08 | 559-561 | ||
| S8011XD | 23 | 949-950 | S82012F | 08 | 559-561 | S82045H | 08 | 559-561 | ||
| S8011XS | 09 | 604-605 | S82012G | 08 | 559-561 | S82045J | 08 | 559-561 | ||
| S8012XA | 09 | 604-605 | S82012H | 08 | 559-561 | S82045K | 08 | 564-566 | ||
| S8012XA | 24 | 955-965 | S82012J | 08 | 559-561 | S82045M | 08 | 564-566 | ||
| S8012XD | 23 | 949-950 | S82012K | 08 | 564-566 | S82045N | 08 | 564-566 | ||
| S8012XS | 09 | 604-605 | S82012M | 08 | 564-566 | S82045P | 08 | 564-566 | ||
| S80211A | 09 | 604-605 | S82012N | 08 | 564-566 | S82045Q | 08 | 564-566 | ||
| S80211A | 24 | 955-965 | S82012P | 08 | 564-566 | S82045R | 08 | 564-566 | ||
| S80211D | 23 | 949-950 | S82012Q | 08 | 564-566 | S82045S | 08 | 559-561 | ||
| S80211S | 09 | 604-605 | S82012R | 08 | 564-566 | S82046A | 08 | 562-563 | ||
| S80212A | 09 | 604-605 | S82012S | 08 | 559-561 | S82046A | 24 | 955-965 | ||
| S80212A | 24 | 955-965 | S82013A | 08 | 562-563 | S82046B | 08 | 562-563 | ||
| S80212D | 23 | 949-950 | S82013A | 24 | 955-965 | S82046B | 24 | 955-965 | ||
| S80212S | 09 | 604-605 | S82013B | 08 | 562-563 | S82046C | 08 | 562-563 | ||
| S80219A | 09 | 604-605 | S82013B | 24 | 955-965 | S82046C | 24 | 955-965 | ||
| S80219A | 24 | 955-965 | S82013C | 08 | 562-563 | S82046D | 08 | 559-561 | ||
| S80219D | 23 | 949-950 | S82013C | 24 | 955-965 | S82046E | 08 | 559-561 | ||
| S80219S | 09 | 604-605 | S82013D | 08 | 559-561 | S82046F | 08 | 559-561 | ||
| S80221A | 09 | 606-607 | S82013E | 08 | 559-561 | S82046G | 08 | 559-561 | ||
| S80221A | 24 | 955-965 | S82013F | 08 | 559-561 | S82046H | 08 | 559-561 | ||
| S80221D | 23 | 949-950 | S82013G | 08 | 559-561 | S82046J | 08 | 559-561 | ||
| S80221S | 09 | 604-605 | S82013H | 08 | 559-561 | S82046K | 08 | 564-566 | ||
| S80222A | 09 | 606-607 | S82013J | 08 | 559-561 | S82046M | 08 | 564-566 | ||
| S80222A | 24 | 955-965 | S82013K | 08 | 564-566 | S82046N | 08 | 564-566 | ||
| S80222D | 23 | 949-950 | S82013M | 08 | 564-566 | S82046P | 08 | 564-566 | ||
| S80222S | 09 | 604-605 | S82013N | 08 | 564-566 | S82046Q | 08 | 564-566 | ||
| S80229A | 09 | 606-607 | S82013P | 08 | 564-566 | S82046R | 08 | 564-566 | ||
| S80229A | 24 | 955-965 | S82013Q | 08 | 564-566 | S82046S | 08 | 559-561 | ||
| S80229D | 23 | 949-950 | S82013R | 08 | 564-566 | S82091A | 08 | 562-563 | ||
| S80229S | 09 | 604-605 | S82013S | 08 | 559-561 | S82091A | 24 | 955-965 | ||
| S80241A | 09 | 604-605 | S82014A | 08 | 562-563 | S82091B | 08 | 562-563 | ||
| S80241A | 24 | 955-965 | S82014A | 24 | 955-965 | S82091B | 24 | 955-965 | ||
| S80241D | 23 | 949-950 | S82014B | 08 | 562-563 | S82091C | 08 | 562-563 | ||
| S80241S | 09 | 604-605 | S82014B | 24 | 955-965 | S82091C | 24 | 955-965 | ||
| S80242A | 09 | 604-605 | S82014C | 08 | 562-563 | S82091D | 08 | 559-561 | ||
| S80242A | 24 | 955-965 | S82014C | 24 | 955-965 | S82091E | 08 | 559-561 | ||
| S80242D | 23 | 949-950 | S82014D | 08 | 559-561 | S82091F | 08 | 559-561 | ||
| S80242S | 09 | 604-605 | S82014E | 08 | 559-561 | S82091G | 08 | 559-561 | ||
| S80249A | 09 | 604-605 | S82014F | 08 | 559-561 | S82091H | 08 | 559-561 | ||
| S80249A | 24 | 955-965 | S82014G | 08 | 559-561 | S82091J | 08 | 559-561 | ||
| S80249D | 23 | 949-950 | S82014H | 08 | 559-561 | S82091K | 08 | 564-566 | ||
| S80249S | 09 | 604-605 | S82014J | 08 | 559-561 | S82091M | 08 | 564-566 | ||
| S80251A | 09 | 604-605 | S82014K | 08 | 564-566 | S82091N | 08 | 564-566 | ||
| S80251A | 24 | 955-965 | S82014M | 08 | 564-566 | S82091P | 08 | 564-566 | ||
| S80251D | 23 | 949-950 | S82014N | 08 | 564-566 | S82091Q | 08 | 564-566 | ||
| S80251S | 09 | 604-605 | S82014P | 08 | 564-566 | S82091R | 08 | 564-566 | ||
| S80252A | 09 | 604-605 | S82014Q | 08 | 564-566 | S82091S | 08 | 559-561 | ||
| S80252A | 24 | 955-965 | S82014R | 08 | 564-566 | S82092A | 08 | 562-563 | ||
| S80252D | 23 | 949-950 | S82014S | 08 | 559-561 | S82092A | 24 | 955-965 | ||
| S80252S | 09 | 604-605 | S82015A | 08 | 562-563 | S82092B | 08 | 562-563 | ||
| S80259A | 09 | 604-605 | S82015A | 24 | 955-965 | S82092B | 24 | 955-965 | ||
| S80259A | 24 | 955-965 | S82015B | 08 | 562-563 | S82092C | 08 | 562-563 | ||
| S80259D | 23 | 949-950 | S82015B | 24 | 955-965 | S82092C | 24 | 955-965 | ||
| S80259S | 09 | 604-605 | S82015C | 08 | 562-563 | S82092D | 08 | 559-561 | ||
| S80261A | 09 | 606-607 | S82015C | 24 | 955-965 | S82092E | 08 | 559-561 | ||
| S80261A | 24 | 955-965 | S82015D | 08 | 559-561 | S82092F | 08 | 559-561 | ||
| S80261D | 23 | 949-950 | S82015E | 08 | 559-561 | S82092G | 08 | 559-561 | ||
| S80261S | 09 | 604-605 | S82015F | 08 | 559-561 | S82092H | 08 | 559-561 | ||
| S80262A | 09 | 606-607 | S82015G | 08 | 559-561 | S82092J | 08 | 559-561 | ||
| S80262A | 24 | 955-965 | S82015H | 08 | 559-561 | S82092K | 08 | 564-566 | ||
| S80262D | 23 | 949-950 | S82015J | 08 | 559-561 | S82092M | 08 | 564-566 | ||
| S80262S | 09 | 604-605 | S82015K | 08 | 564-566 | S82092N | 08 | 564-566 | ||
| S80269A | 09 | 606-607 | S82015M | 08 | 564-566 | S82092P | 08 | 564-566 | ||
| S80269A | 24 | 955-965 | S82015N | 08 | 564-566 | S82092Q | 08 | 564-566 | ||
| S80269D | 23 | 949-950 | S82015P | 08 | 564-566 | S82092R | 08 | 564-566 | ||
| S80269S | 09 | 604-605 | S82015Q | 08 | 564-566 | S82092S | 08 | 559-561 | ||
| S80271A | 09 | 604-605 | S82015R | 08 | 564-566 | S82099A | 08 | 562-563 | ||
| S80271A | 24 | 955-965 | S82015S | 08 | 559-561 | S82099A | 24 | 955-965 | ||
| S80271D | 23 | 949-950 | S82016A | 08 | 562-563 | S82099B | 08 | 562-563 | ||
| S80271S | 09 | 604-605 | S82016A | 24 | 955-965 | S82099B | 24 | 955-965 | ||
| S80272A | 09 | 604-605 | S82016B | 08 | 562-563 | S82099C | 08 | 562-563 | ||
| S80272A | 24 | 955-965 | S82016B | 24 | 955-965 | S82099C | 24 | 955-965 | ||
| S80272D | 23 | 949-950 | S82016C | 08 | 562-563 | S82099D | 08 | 559-561 | ||
| S80272S | 09 | 604-605 | S82016C | 24 | 955-965 | S82099E | 08 | 559-561 | ||
| S80279A | 09 | 604-605 | S82016D | 08 | 559-561 | S82099F | 08 | 559-561 | ||
| S80279A | 24 | 955-965 | S82016E | 08 | 559-561 | S82099G | 08 | 559-561 | ||
| S80279D | 23 | 949-950 | S82016F | 08 | 559-561 | S82099H | 08 | 559-561 | ||
| S80279S | 09 | 604-605 | S82016G | 08 | 559-561 | S82099J | 08 | 559-561 | ||
| S80811A | 09 | 604-605 | S82016H | 08 | 559-561 | S82099K | 08 | 564-566 | ||
| S80811A | 24 | 955-965 | S82016J | 08 | 559-561 | S82099M | 08 | 564-566 | ||
| S80811D | 23 | 949-950 | S82016K | 08 | 564-566 | S82099N | 08 | 564-566 | ||
| S80811S | 09 | 604-605 | S82016M | 08 | 564-566 | S82099P | 08 | 564-566 | ||
| S80812A | 09 | 604-605 | S82016N | 08 | 564-566 | S82099Q | 08 | 564-566 | ||
| S80812A | 24 | 955-965 | S82016P | 08 | 564-566 | S82099R | 08 | 564-566 | ||
| S80812D | 23 | 949-950 | S82016Q | 08 | 564-566 | S82099S | 08 | 559-561 | ||
| S80812S | 09 | 604-605 | S82016R | 08 | 564-566 | S82101A | 08 | 562-563 | ||
| S80819A | 09 | 604-605 | S82016S | 08 | 559-561 | S82101A | 24 | 955-965 | ||
| S80819A | 24 | 955-965 | S82021A | 08 | 562-563 | S82101B | 08 | 562-563 | ||
| S80819D | 23 | 949-950 | S82021A | 24 | 955-965 | S82101B | 24 | 955-965 | ||
| S80819S | 09 | 604-605 | S82021B | 08 | 562-563 | S82101C | 08 | 562-563 | ||
| S80821A | 09 | 606-607 | S82021B | 24 | 955-965 | S82101C | 24 | 955-965 | ||
| S80821A | 24 | 955-965 | S82021C | 08 | 562-563 | S82101D | 08 | 559-561 | ||
| S80821D | 23 | 949-950 | S82021C | 24 | 955-965 | S82101E | 08 | 559-561 | ||
| S80821S | 09 | 604-605 | S82021D | 08 | 559-561 | S82101F | 08 | 559-561 | ||
| S80822A | 09 | 606-607 | S82021E | 08 | 559-561 | S82101G | 08 | 559-561 | ||
| S80822A | 24 | 955-965 | S82021F | 08 | 559-561 | S82101H | 08 | 559-561 | ||
| S80822D | 23 | 949-950 | S82021G | 08 | 559-561 | S82101J | 08 | 559-561 | ||
| S80822S | 09 | 604-605 | S82021H | 08 | 559-561 | S82101K | 08 | 564-566 | ||
| S80829A | 09 | 606-607 | S82021J | 08 | 559-561 | S82101M | 08 | 564-566 | ||
| S80829A | 24 | 955-965 | S82021K | 08 | 564-566 | S82101N | 08 | 564-566 | ||
| S80829D | 23 | 949-950 | S82021M | 08 | 564-566 | S82101P | 08 | 564-566 | ||
| S80829S | 09 | 604-605 | S82021N | 08 | 564-566 | S82101Q | 08 | 564-566 | ||
| S80841A | 09 | 604-605 | S82021P | 08 | 564-566 | S82101R | 08 | 564-566 | ||
| S80841A | 24 | 955-965 | S82021Q | 08 | 564-566 | S82101S | 08 | 559-561 | ||
| S80841D | 23 | 949-950 | S82021R | 08 | 564-566 | S82102A | 08 | 562-563 | ||
| S80841S | 09 | 604-605 | S82021S | 08 | 559-561 | S82102A | 24 | 955-965 | ||
| S80842A | 09 | 604-605 | S82022A | 08 | 562-563 | S82102B | 08 | 562-563 | ||
| S80842A | 24 | 955-965 | S82022A | 24 | 955-965 | S82102B | 24 | 955-965 | ||
| S80842D | 23 | 949-950 | S82022B | 08 | 562-563 | S82102C | 08 | 562-563 | ||
| S80842S | 09 | 604-605 | S82022B | 24 | 955-965 | S82102C | 24 | 955-965 | ||
| S80849A | 09 | 604-605 | S82022C | 08 | 562-563 | S82102D | 08 | 559-561 | ||
| S80849A | 24 | 955-965 | S82022C | 24 | 955-965 | S82102E | 08 | 559-561 | ||
| S80849D | 23 | 949-950 | S82022D | 08 | 559-561 | S82102F | 08 | 559-561 | ||
| S80849S | 09 | 604-605 | S82022E | 08 | 559-561 | S82102G | 08 | 559-561 | ||
| S80851A | 09 | 604-605 | S82022F | 08 | 559-561 | S82102H | 08 | 559-561 | ||
| S80851A | 24 | 955-965 | S82022G | 08 | 559-561 | S82102J | 08 | 559-561 | ||
| S80851D | 23 | 949-950 | S82022H | 08 | 559-561 | S82102K | 08 | 564-566 | ||
| S80851S | 09 | 604-605 | S82022J | 08 | 559-561 | S82102M | 08 | 564-566 | ||
| S80852A | 09 | 604-605 | S82022K | 08 | 564-566 | S82102N | 08 | 564-566 | ||
| S80852A | 24 | 955-965 | S82022M | 08 | 564-566 | S82102P | 08 | 564-566 | ||
| S80852D | 23 | 949-950 | S82022N | 08 | 564-566 | S82102Q | 08 | 564-566 | ||
| S80852S | 09 | 604-605 | S82022P | 08 | 564-566 | S82102R | 08 | 564-566 | ||
| S80859A | 09 | 604-605 | S82022Q | 08 | 564-566 | S82102S | 08 | 559-561 | ||
| S80859A | 24 | 955-965 | S82022R | 08 | 564-566 | S82109A | 08 | 562-563 | ||
| S80859D | 23 | 949-950 | S82022S | 08 | 559-561 | S82109A | 24 | 955-965 | ||
| S80859S | 09 | 604-605 | S82023A | 08 | 562-563 | S82109B | 08 | 562-563 | ||
| S80861A | 09 | 606-607 | S82023A | 24 | 955-965 | S82109B | 24 | 955-965 | ||
| S80861A | 24 | 955-965 | S82023B | 08 | 562-563 | S82109C | 08 | 562-563 | ||
| S80861D | 23 | 949-950 | S82023B | 24 | 955-965 | S82109C | 24 | 955-965 | ||
| S80861S | 09 | 604-605 | S82023C | 08 | 562-563 | S82109D | 08 | 559-561 | ||
| S80862A | 09 | 606-607 | S82023C | 24 | 955-965 | S82109E | 08 | 559-561 | ||
| S80862A | 24 | 955-965 | S82023D | 08 | 559-561 | S82109F | 08 | 559-561 | ||
| S80862D | 23 | 949-950 | S82023E | 08 | 559-561 | S82109G | 08 | 559-561 | ||
| S80862S | 09 | 604-605 | S82023F | 08 | 559-561 | S82109H | 08 | 559-561 | ||
| S80869A | 09 | 606-607 | S82023G | 08 | 559-561 | S82109J | 08 | 559-561 | ||
| S80869A | 24 | 955-965 | S82023H | 08 | 559-561 | S82109K | 08 | 564-566 | ||
| S80869D | 23 | 949-950 | S82023J | 08 | 559-561 | S82109M | 08 | 564-566 | ||
| S80869S | 09 | 604-605 | S82023K | 08 | 564-566 | S82109N | 08 | 564-566 | ||
| S80871A | 09 | 604-605 | S82023M | 08 | 564-566 | S82109P | 08 | 564-566 | ||
| S80871A | 24 | 955-965 | S82023N | 08 | 564-566 | S82109Q | 08 | 564-566 | ||
| S80871D | 23 | 949-950 | S82023P | 08 | 564-566 | S82109R | 08 | 564-566 | ||
| S80871S | 09 | 604-605 | S82023Q | 08 | 564-566 | S82109S | 08 | 559-561 | ||
| S80872A | 09 | 604-605 | S82023R | 08 | 564-566 | S82111A | 08 | 562-563 | ||
| S80872A | 24 | 955-965 | S82023S | 08 | 559-561 | S82111A | 24 | 955-965 | ||
| S80872D | 23 | 949-950 | S82024A | 08 | 562-563 | S82111B | 08 | 562-563 | ||
| S80872S | 09 | 604-605 | S82024A | 24 | 955-965 | S82111B | 24 | 955-965 | ||
| S80879A | 09 | 604-605 | S82024B | 08 | 562-563 | S82111C | 08 | 562-563 | ||
| S80879A | 24 | 955-965 | S82024B | 24 | 955-965 | S82111C | 24 | 955-965 | ||
| S80879D | 23 | 949-950 | S82024C | 08 | 562-563 | S82111D | 08 | 559-561 | ||
| S80879S | 09 | 604-605 | S82024C | 24 | 955-965 | S82111E | 08 | 559-561 | ||
| S80911A | 09 | 604-605 | S82024D | 08 | 559-561 | S82111F | 08 | 559-561 | ||
| S80911A | 24 | 955-965 | S82024E | 08 | 559-561 | S82111G | 08 | 559-561 | ||
| S80911D | 23 | 949-950 | S82024F | 08 | 559-561 | S82111H | 08 | 559-561 | ||
| S80911S | 09 | 604-605 | S82024G | 08 | 559-561 | S82111J | 08 | 559-561 | ||
| S80912A | 09 | 604-605 | S82024H | 08 | 559-561 | S82111K | 08 | 564-566 | ||
| S80912A | 24 | 955-965 | S82024J | 08 | 559-561 | S82111M | 08 | 564-566 | ||
| S80912D | 23 | 949-950 | S82024K | 08 | 564-566 | S82111N | 08 | 564-566 | ||
| S80912S | 09 | 604-605 | S82024M | 08 | 564-566 | S82111P | 08 | 564-566 | ||
| S80919A | 09 | 604-605 | S82024N | 08 | 564-566 | S82111Q | 08 | 564-566 | ||
| S80919A | 24 | 955-965 | S82024P | 08 | 564-566 | S82111R | 08 | 564-566 | ||
| S80919D | 23 | 949-950 | S82024Q | 08 | 564-566 | S82111S | 08 | 559-561 | ||
| S80919S | 09 | 604-605 | S82024R | 08 | 564-566 | S82112A | 08 | 562-563 | ||
| S80921A | 09 | 604-605 | S82024S | 08 | 559-561 | S82112A | 24 | 955-965 | ||
| S80921A | 24 | 955-965 | S82025A | 08 | 562-563 | S82112B | 08 | 562-563 | ||
| S80921D | 23 | 949-950 | S82025A | 24 | 955-965 | S82112B | 24 | 955-965 | ||
| S80921S | 09 | 604-605 | S82025B | 08 | 562-563 | S82112C | 08 | 562-563 | ||
| S80922A | 09 | 604-605 | S82025B | 24 | 955-965 | S82112C | 24 | 955-965 | ||
| S80922A | 24 | 955-965 | S82025C | 08 | 562-563 | S82112D | 08 | 559-561 | ||
| S80922D | 23 | 949-950 | S82025C | 24 | 955-965 | S82112E | 08 | 559-561 | ||
| S80922S | 09 | 604-605 | S82025D | 08 | 559-561 | S82112F | 08 | 559-561 | ||
| S80929A | 09 | 604-605 | S82025E | 08 | 559-561 | S82112G | 08 | 559-561 | ||
| S80929A | 24 | 955-965 | S82025F | 08 | 559-561 | S82112H | 08 | 559-561 | ||
| S80929D | 23 | 949-950 | S82025G | 08 | 559-561 | S82112J | 08 | 559-561 | ||
| S80929S | 09 | 604-605 | S82025H | 08 | 559-561 | S82112K | 08 | 564-566 | ||
| S81001A | 09 | 604-605 | S82025J | 08 | 559-561 | S82112M | 08 | 564-566 | ||
| S81001A | 24 | 955-965 | S82025K | 08 | 564-566 | S82112N | 08 | 564-566 | ||
| S81001D | 23 | 949-950 | S82025M | 08 | 564-566 | S82112P | 08 | 564-566 | ||
| S81001S | 09 | 604-605 | S82025N | 08 | 564-566 | S82112Q | 08 | 564-566 | ||
| S81002A | 09 | 604-605 | S82025P | 08 | 564-566 | S82112R | 08 | 564-566 | ||
| S81002A | 24 | 955-965 | S82025Q | 08 | 564-566 | S82112S | 08 | 559-561 | ||
| S81002D | 23 | 949-950 | S82025R | 08 | 564-566 | S82113A | 08 | 562-563 | ||
| S81002S | 09 | 604-605 | S82025S | 08 | 559-561 | S82113A | 24 | 955-965 | ||
| S81009A | 09 | 604-605 | S82026A | 08 | 562-563 | S82113B | 08 | 562-563 | ||
| S81009A | 24 | 955-965 | S82026A | 24 | 955-965 | S82113B | 24 | 955-965 | ||
| S81009D | 23 | 949-950 | S82026B | 08 | 562-563 | S82113C | 08 | 562-563 | ||
| S81009S | 09 | 604-605 | S82026B | 24 | 955-965 | S82113C | 24 | 955-965 | ||
| S81011A | 09 | 604-605 | S82026C | 08 | 562-563 | S82113D | 08 | 559-561 | ||
| S81011A | 24 | 955-965 | S82026C | 24 | 955-965 | S82113E | 08 | 559-561 | ||
| S81011D | 23 | 949-950 | S82026D | 08 | 559-561 | S82113F | 08 | 559-561 | ||
| S81011S | 09 | 604-605 | S82026E | 08 | 559-561 | S82113G | 08 | 559-561 | ||
| S81012A | 09 | 604-605 | S82026F | 08 | 559-561 | S82113H | 08 | 559-561 | ||
| S81012A | 24 | 955-965 | S82026G | 08 | 559-561 | S82113J | 08 | 559-561 | ||
| S81012D | 23 | 949-950 | S82026H | 08 | 559-561 | S82113K | 08 | 564-566 | ||
| S81012S | 09 | 604-605 | S82026J | 08 | 559-561 | S82113M | 08 | 564-566 | ||
| S81019A | 09 | 604-605 | S82026K | 08 | 564-566 | S82113N | 08 | 564-566 | ||
| S81019A | 24 | 955-965 | S82026M | 08 | 564-566 | S82113P | 08 | 564-566 | ||
| S81019D | 23 | 949-950 | S82026N | 08 | 564-566 | S82113Q | 08 | 564-566 | ||
| S81019S | 09 | 604-605 | S82026P | 08 | 564-566 | S82113R | 08 | 564-566 | ||
| S81021A | 21 | 913-914 | S82026Q | 08 | 564-566 | S82113S | 08 | 559-561 | ||
| S81021A | 24 | 955-965 | S82026R | 08 | 564-566 | S82114A | 08 | 562-563 | ||
| S81021D | 23 | 949-950 | S82026S | 08 | 559-561 | S82114A | 24 | 955-965 | ||
| S81021S | 09 | 604-605 | S82031A | 08 | 562-563 | S82114B | 08 | 562-563 | ||
| S81022A | 21 | 913-914 | S82031A | 24 | 955-965 | S82114B | 24 | 955-965 | ||
| S81022A | 24 | 955-965 | S82031B | 08 | 562-563 | S82114C | 08 | 562-563 | ||
| S81022D | 23 | 949-950 | S82031B | 24 | 955-965 | S82114C | 24 | 955-965 | ||
| S81022S | 09 | 604-605 | S82031C | 08 | 562-563 | S82114D | 08 | 559-561 | ||
| S81029A | 21 | 913-914 | S82031C | 24 | 955-965 | S82114E | 08 | 559-561 | ||
| S81029A | 24 | 955-965 | S82031D | 08 | 559-561 | S82114F | 08 | 559-561 | ||
| S81029D | 23 | 949-950 | S82031E | 08 | 559-561 | S82114G | 08 | 559-561 | ||
| S81029S | 09 | 604-605 | S82031F | 08 | 559-561 | S82114H | 08 | 559-561 | ||
| S81031A | 09 | 604-605 | S82031G | 08 | 559-561 | S82114J | 08 | 559-561 | ||
| S81031A | 24 | 955-965 | S82031H | 08 | 559-561 | S82114K | 08 | 564-566 | ||
| S81031D | 23 | 949-950 | S82031J | 08 | 559-561 | S82114M | 08 | 564-566 | ||
| S81031S | 09 | 604-605 | S82031K | 08 | 564-566 | S82114N | 08 | 564-566 | ||
| S81032A | 09 | 604-605 | S82031M | 08 | 564-566 | S82114P | 08 | 564-566 | ||
| S81032A | 24 | 955-965 | S82031N | 08 | 564-566 | S82114Q | 08 | 564-566 | ||
| S81032D | 23 | 949-950 | S82031P | 08 | 564-566 | S82114R | 08 | 564-566 | ||
| S81032S | 09 | 604-605 | S82031Q | 08 | 564-566 | S82114S | 08 | 559-561 | ||
| S81039A | 09 | 604-605 | S82031R | 08 | 564-566 | S82115A | 08 | 562-563 | ||
| S81039A | 24 | 955-965 | S82031S | 08 | 559-561 | S82115A | 24 | 955-965 | ||
| S81039D | 23 | 949-950 | S82032A | 08 | 562-563 | S82115B | 08 | 562-563 | ||
| S81039S | 09 | 604-605 | S82032A | 24 | 955-965 | S82115B | 24 | 955-965 | ||
| S81041A | 21 | 913-914 | S82032B | 08 | 562-563 | S82115C | 08 | 562-563 | ||
| S81041A | 24 | 955-965 | S82032B | 24 | 955-965 | S82115C | 24 | 955-965 | ||
| S81041D | 23 | 949-950 | S82032C | 08 | 562-563 | S82115D | 08 | 559-561 | ||
| S81041S | 09 | 604-605 | S82032C | 24 | 955-965 | S82115E | 08 | 559-561 | ||
| S81042A | 21 | 913-914 | S82032D | 08 | 559-561 | S82115F | 08 | 559-561 | ||
| S81042A | 24 | 955-965 | S82032E | 08 | 559-561 | S82115G | 08 | 559-561 | ||
| S81042D | 23 | 949-950 | S82032F | 08 | 559-561 | S82115H | 08 | 559-561 | ||
| S81042S | 09 | 604-605 | S82032G | 08 | 559-561 | S82115J | 08 | 559-561 | ||
| S81049A | 21 | 913-914 | S82032H | 08 | 559-561 | S82115K | 08 | 564-566 | ||
| S81049A | 24 | 955-965 | S82032J | 08 | 559-561 | S82115M | 08 | 564-566 | ||
| S81049D | 23 | 949-950 | S82032K | 08 | 564-566 | S82115N | 08 | 564-566 | ||
| S81049S | 09 | 604-605 | S82032M | 08 | 564-566 | S82115P | 08 | 564-566 | ||
| S81051A | 09 | 604-605 | S82032N | 08 | 564-566 | S82115Q | 08 | 564-566 | ||
| S81051A | 24 | 955-965 | S82032P | 08 | 564-566 | S82115R | 08 | 564-566 | ||
| S81051D | 23 | 949-950 | S82032Q | 08 | 564-566 | S82115S | 08 | 559-561 | ||
| S81051S | 09 | 604-605 | S82032R | 08 | 564-566 | S82116A | 08 | 562-563 | ||
| S81052A | 09 | 604-605 | S82032S | 08 | 559-561 | S82116A | 24 | 955-965 | ||
| S81052A | 24 | 955-965 | S82033A | 08 | 562-563 | S82116B | 08 | 562-563 | ||
| S81052D | 23 | 949-950 | S82033A | 24 | 955-965 | S82116B | 24 | 955-965 | ||
| S81052S | 09 | 604-605 | S82033B | 08 | 562-563 | S82116C | 08 | 562-563 | ||
| S81059A | 09 | 604-605 | S82033B | 24 | 955-965 | S82116C | 24 | 955-965 | ||
| S81059A | 24 | 955-965 | S82033C | 08 | 562-563 | S82116D | 08 | 559-561 | ||
| S81059D | 23 | 949-950 | S82033C | 24 | 955-965 | S82116E | 08 | 559-561 | ||
| S81059S | 09 | 604-605 | S82033D | 08 | 559-561 | S82116F | 08 | 559-561 | ||
| S81801A | 09 | 604-605 | S82033E | 08 | 559-561 | S82116G | 08 | 559-561 | ||
| S81801A | 24 | 955-965 | S82033F | 08 | 559-561 | S82116H | 08 | 559-561 | ||
| S81801D | 23 | 949-950 | S82033G | 08 | 559-561 | S82116J | 08 | 559-561 | ||
| S81801S | 09 | 604-605 | S82033H | 08 | 559-561 | S82116K | 08 | 564-566 | ||
| S81802A | 09 | 604-605 | S82033J | 08 | 559-561 | S82116M | 08 | 564-566 | ||
| S81802A | 24 | 955-965 | S82033K | 08 | 564-566 | S82116N | 08 | 564-566 | ||
| S81802D | 23 | 949-950 | S82033M | 08 | 564-566 | S82116P | 08 | 564-566 | ||
| S81802S | 09 | 604-605 | S82033N | 08 | 564-566 | S82116Q | 08 | 564-566 | ||
| S81809A | 09 | 604-605 | S82033P | 08 | 564-566 | S82116R | 08 | 564-566 | ||
| S81809A | 24 | 955-965 | S82033Q | 08 | 564-566 | S82116S | 08 | 559-561 | ||
| S81809D | 23 | 949-950 | S82033R | 08 | 564-566 | S82121A | 08 | 562-563 | ||
| S81809S | 09 | 604-605 | S82033S | 08 | 559-561 | S82121A | 24 | 955-965 | ||
| S81811A | 09 | 604-605 | S82034A | 08 | 562-563 | S82121B | 08 | 562-563 | ||
| S81811A | 24 | 955-965 | S82034A | 24 | 955-965 | S82121B | 24 | 955-965 | ||
| S81811D | 23 | 949-950 | S82034B | 08 | 562-563 | S82121C | 08 | 562-563 | ||
| S81811S | 09 | 604-605 | S82034B | 24 | 955-965 | S82121C | 24 | 955-965 | ||
| S81812A | 09 | 604-605 | S82034C | 08 | 562-563 | S82121D | 08 | 559-561 | ||
| S81812A | 24 | 955-965 | S82034C | 24 | 955-965 | S82121E | 08 | 559-561 | ||
| S81812D | 23 | 949-950 | S82034D | 08 | 559-561 | S82121F | 08 | 559-561 | ||
| S81812S | 09 | 604-605 | S82034E | 08 | 559-561 | S82121G | 08 | 559-561 | ||
| S81819A | 09 | 604-605 | S82034F | 08 | 559-561 | S82121H | 08 | 559-561 | ||
| S81819A | 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 |