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 58 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S92131D | 08 | 559-561 | S92244A | 08 | 562-563 | S92403G | 08 | 559-561 | ||
| S92131G | 08 | 559-561 | S92244A | 24 | 955-965 | S92403K | 08 | 564-566 | ||
| S92131K | 08 | 564-566 | S92244B | 08 | 562-563 | S92403P | 08 | 564-566 | ||
| S92131P | 08 | 564-566 | S92244B | 24 | 955-965 | S92403S | 08 | 559-561 | ||
| S92131S | 08 | 559-561 | S92244D | 08 | 559-561 | S92404A | 08 | 562-563 | ||
| S92132A | 08 | 562-563 | S92244G | 08 | 559-561 | S92404A | 24 | 955-965 | ||
| S92132A | 24 | 955-965 | S92244K | 08 | 564-566 | S92404B | 08 | 562-563 | ||
| S92132B | 08 | 562-563 | S92244P | 08 | 564-566 | S92404B | 24 | 955-965 | ||
| S92132B | 24 | 955-965 | S92244S | 08 | 559-561 | S92404D | 08 | 559-561 | ||
| S92132D | 08 | 559-561 | S92245A | 08 | 562-563 | S92404G | 08 | 559-561 | ||
| S92132G | 08 | 559-561 | S92245A | 24 | 955-965 | S92404K | 08 | 564-566 | ||
| S92132K | 08 | 564-566 | S92245B | 08 | 562-563 | S92404P | 08 | 564-566 | ||
| S92132P | 08 | 564-566 | S92245B | 24 | 955-965 | S92404S | 08 | 559-561 | ||
| S92132S | 08 | 559-561 | S92245D | 08 | 559-561 | S92405A | 08 | 562-563 | ||
| S92133A | 08 | 562-563 | S92245G | 08 | 559-561 | S92405A | 24 | 955-965 | ||
| S92133A | 24 | 955-965 | S92245K | 08 | 564-566 | S92405B | 08 | 562-563 | ||
| S92133B | 08 | 562-563 | S92245P | 08 | 564-566 | S92405B | 24 | 955-965 | ||
| S92133B | 24 | 955-965 | S92245S | 08 | 559-561 | S92405D | 08 | 559-561 | ||
| S92133D | 08 | 559-561 | S92246A | 08 | 562-563 | S92405G | 08 | 559-561 | ||
| S92133G | 08 | 559-561 | S92246A | 24 | 955-965 | S92405K | 08 | 564-566 | ||
| S92133K | 08 | 564-566 | S92246B | 08 | 562-563 | S92405P | 08 | 564-566 | ||
| S92133P | 08 | 564-566 | S92246B | 24 | 955-965 | S92405S | 08 | 559-561 | ||
| S92133S | 08 | 559-561 | S92246D | 08 | 559-561 | S92406A | 08 | 562-563 | ||
| S92134A | 08 | 562-563 | S92246G | 08 | 559-561 | S92406A | 24 | 955-965 | ||
| S92134A | 24 | 955-965 | S92246K | 08 | 564-566 | S92406B | 08 | 562-563 | ||
| S92134B | 08 | 562-563 | S92246P | 08 | 564-566 | S92406B | 24 | 955-965 | ||
| S92134B | 24 | 955-965 | S92246S | 08 | 559-561 | S92406D | 08 | 559-561 | ||
| S92134D | 08 | 559-561 | S92251A | 08 | 562-563 | S92406G | 08 | 559-561 | ||
| S92134G | 08 | 559-561 | S92251A | 24 | 955-965 | S92406K | 08 | 564-566 | ||
| S92134K | 08 | 564-566 | S92251B | 08 | 562-563 | S92406P | 08 | 564-566 | ||
| S92134P | 08 | 564-566 | S92251B | 24 | 955-965 | S92406S | 08 | 559-561 | ||
| S92134S | 08 | 559-561 | S92251D | 08 | 559-561 | S92411A | 08 | 562-563 | ||
| S92135A | 08 | 562-563 | S92251G | 08 | 559-561 | S92411A | 24 | 955-965 | ||
| S92135A | 24 | 955-965 | S92251K | 08 | 564-566 | S92411B | 08 | 562-563 | ||
| S92135B | 08 | 562-563 | S92251P | 08 | 564-566 | S92411B | 24 | 955-965 | ||
| S92135B | 24 | 955-965 | S92251S | 08 | 559-561 | S92411D | 08 | 559-561 | ||
| S92135D | 08 | 559-561 | S92252A | 08 | 562-563 | S92411G | 08 | 559-561 | ||
| S92135G | 08 | 559-561 | S92252A | 24 | 955-965 | S92411K | 08 | 564-566 | ||
| S92135K | 08 | 564-566 | S92252B | 08 | 562-563 | S92411P | 08 | 564-566 | ||
| S92135P | 08 | 564-566 | S92252B | 24 | 955-965 | S92411S | 08 | 559-561 | ||
| S92135S | 08 | 559-561 | S92252D | 08 | 559-561 | S92412A | 08 | 562-563 | ||
| S92136A | 08 | 562-563 | S92252G | 08 | 559-561 | S92412A | 24 | 955-965 | ||
| S92136A | 24 | 955-965 | S92252K | 08 | 564-566 | S92412B | 08 | 562-563 | ||
| S92136B | 08 | 562-563 | S92252P | 08 | 564-566 | S92412B | 24 | 955-965 | ||
| S92136B | 24 | 955-965 | S92252S | 08 | 559-561 | S92412D | 08 | 559-561 | ||
| S92136D | 08 | 559-561 | S92253A | 08 | 562-563 | S92412G | 08 | 559-561 | ||
| S92136G | 08 | 559-561 | S92253A | 24 | 955-965 | S92412K | 08 | 564-566 | ||
| S92136K | 08 | 564-566 | S92253B | 08 | 562-563 | S92412P | 08 | 564-566 | ||
| S92136P | 08 | 564-566 | S92253B | 24 | 955-965 | S92412S | 08 | 559-561 | ||
| S92136S | 08 | 559-561 | S92253D | 08 | 559-561 | S92413A | 08 | 562-563 | ||
| S92141A | 08 | 562-563 | S92253G | 08 | 559-561 | S92413A | 24 | 955-965 | ||
| S92141A | 24 | 955-965 | S92253K | 08 | 564-566 | S92413B | 08 | 562-563 | ||
| S92141B | 08 | 562-563 | S92253P | 08 | 564-566 | S92413B | 24 | 955-965 | ||
| S92141B | 24 | 955-965 | S92253S | 08 | 559-561 | S92413D | 08 | 559-561 | ||
| S92141D | 08 | 559-561 | S92254A | 08 | 562-563 | S92413G | 08 | 559-561 | ||
| S92141G | 08 | 559-561 | S92254A | 24 | 955-965 | S92413K | 08 | 564-566 | ||
| S92141K | 08 | 564-566 | S92254B | 08 | 562-563 | S92413P | 08 | 564-566 | ||
| S92141P | 08 | 564-566 | S92254B | 24 | 955-965 | S92413S | 08 | 559-561 | ||
| S92141S | 08 | 559-561 | S92254D | 08 | 559-561 | S92414A | 08 | 562-563 | ||
| S92142A | 08 | 562-563 | S92254G | 08 | 559-561 | S92414A | 24 | 955-965 | ||
| S92142A | 24 | 955-965 | S92254K | 08 | 564-566 | S92414B | 08 | 562-563 | ||
| S92142B | 08 | 562-563 | S92254P | 08 | 564-566 | S92414B | 24 | 955-965 | ||
| S92142B | 24 | 955-965 | S92254S | 08 | 559-561 | S92414D | 08 | 559-561 | ||
| S92142D | 08 | 559-561 | S92255A | 08 | 562-563 | S92414G | 08 | 559-561 | ||
| S92142G | 08 | 559-561 | S92255A | 24 | 955-965 | S92414K | 08 | 564-566 | ||
| S92142K | 08 | 564-566 | S92255B | 08 | 562-563 | S92414P | 08 | 564-566 | ||
| S92142P | 08 | 564-566 | S92255B | 24 | 955-965 | S92414S | 08 | 559-561 | ||
| S92142S | 08 | 559-561 | S92255D | 08 | 559-561 | S92415A | 08 | 562-563 | ||
| S92143A | 08 | 562-563 | S92255G | 08 | 559-561 | S92415A | 24 | 955-965 | ||
| S92143A | 24 | 955-965 | S92255K | 08 | 564-566 | S92415B | 08 | 562-563 | ||
| S92143B | 08 | 562-563 | S92255P | 08 | 564-566 | S92415B | 24 | 955-965 | ||
| S92143B | 24 | 955-965 | S92255S | 08 | 559-561 | S92415D | 08 | 559-561 | ||
| S92143D | 08 | 559-561 | S92256A | 08 | 562-563 | S92415G | 08 | 559-561 | ||
| S92143G | 08 | 559-561 | S92256A | 24 | 955-965 | S92415K | 08 | 564-566 | ||
| S92143K | 08 | 564-566 | S92256B | 08 | 562-563 | S92415P | 08 | 564-566 | ||
| S92143P | 08 | 564-566 | S92256B | 24 | 955-965 | S92415S | 08 | 559-561 | ||
| S92143S | 08 | 559-561 | S92256D | 08 | 559-561 | S92416A | 08 | 562-563 | ||
| S92144A | 08 | 562-563 | S92256G | 08 | 559-561 | S92416A | 24 | 955-965 | ||
| S92144A | 24 | 955-965 | S92256K | 08 | 564-566 | S92416B | 08 | 562-563 | ||
| S92144B | 08 | 562-563 | S92256P | 08 | 564-566 | S92416B | 24 | 955-965 | ||
| S92144B | 24 | 955-965 | S92256S | 08 | 559-561 | S92416D | 08 | 559-561 | ||
| S92144D | 08 | 559-561 | S92301A | 08 | 562-563 | S92416G | 08 | 559-561 | ||
| S92144G | 08 | 559-561 | S92301A | 24 | 955-965 | S92416K | 08 | 564-566 | ||
| S92144K | 08 | 564-566 | S92301B | 08 | 562-563 | S92416P | 08 | 564-566 | ||
| S92144P | 08 | 564-566 | S92301B | 24 | 955-965 | S92416S | 08 | 559-561 | ||
| S92144S | 08 | 559-561 | S92301D | 08 | 559-561 | S92421A | 08 | 562-563 | ||
| S92145A | 08 | 562-563 | S92301G | 08 | 559-561 | S92421A | 24 | 955-965 | ||
| S92145A | 24 | 955-965 | S92301K | 08 | 564-566 | S92421B | 08 | 562-563 | ||
| S92145B | 08 | 562-563 | S92301P | 08 | 564-566 | S92421B | 24 | 955-965 | ||
| S92145B | 24 | 955-965 | S92301S | 08 | 559-561 | S92421D | 08 | 559-561 | ||
| S92145D | 08 | 559-561 | S92302A | 08 | 562-563 | S92421G | 08 | 559-561 | ||
| S92145G | 08 | 559-561 | S92302A | 24 | 955-965 | S92421K | 08 | 564-566 | ||
| S92145K | 08 | 564-566 | S92302B | 08 | 562-563 | S92421P | 08 | 564-566 | ||
| S92145P | 08 | 564-566 | S92302B | 24 | 955-965 | S92421S | 08 | 559-561 | ||
| S92145S | 08 | 559-561 | S92302D | 08 | 559-561 | S92422A | 08 | 562-563 | ||
| S92146A | 08 | 562-563 | S92302G | 08 | 559-561 | S92422A | 24 | 955-965 | ||
| S92146A | 24 | 955-965 | S92302K | 08 | 564-566 | S92422B | 08 | 562-563 | ||
| S92146B | 08 | 562-563 | S92302P | 08 | 564-566 | S92422B | 24 | 955-965 | ||
| S92146B | 24 | 955-965 | S92302S | 08 | 559-561 | S92422D | 08 | 559-561 | ||
| S92146D | 08 | 559-561 | S92309A | 08 | 562-563 | S92422G | 08 | 559-561 | ||
| S92146G | 08 | 559-561 | S92309A | 24 | 955-965 | S92422K | 08 | 564-566 | ||
| S92146K | 08 | 564-566 | S92309B | 08 | 562-563 | S92422P | 08 | 564-566 | ||
| S92146P | 08 | 564-566 | S92309B | 24 | 955-965 | S92422S | 08 | 559-561 | ||
| S92146S | 08 | 559-561 | S92309D | 08 | 559-561 | S92423A | 08 | 562-563 | ||
| S92151A | 08 | 562-563 | S92309G | 08 | 559-561 | S92423A | 24 | 955-965 | ||
| S92151A | 24 | 955-965 | S92309K | 08 | 564-566 | S92423B | 08 | 562-563 | ||
| S92151B | 08 | 562-563 | S92309P | 08 | 564-566 | S92423B | 24 | 955-965 | ||
| S92151B | 24 | 955-965 | S92309S | 08 | 559-561 | S92423D | 08 | 559-561 | ||
| S92151D | 08 | 559-561 | S92311A | 08 | 562-563 | S92423G | 08 | 559-561 | ||
| S92151G | 08 | 559-561 | S92311A | 24 | 955-965 | S92423K | 08 | 564-566 | ||
| S92151K | 08 | 564-566 | S92311B | 08 | 562-563 | S92423P | 08 | 564-566 | ||
| S92151P | 08 | 564-566 | S92311B | 24 | 955-965 | S92423S | 08 | 559-561 | ||
| S92151S | 08 | 559-561 | S92311D | 08 | 559-561 | S92424A | 08 | 562-563 | ||
| S92152A | 08 | 562-563 | S92311G | 08 | 559-561 | S92424A | 24 | 955-965 | ||
| S92152A | 24 | 955-965 | S92311K | 08 | 564-566 | S92424B | 08 | 562-563 | ||
| S92152B | 08 | 562-563 | S92311P | 08 | 564-566 | S92424B | 24 | 955-965 | ||
| S92152B | 24 | 955-965 | S92311S | 08 | 559-561 | S92424D | 08 | 559-561 | ||
| S92152D | 08 | 559-561 | S92312A | 08 | 562-563 | S92424G | 08 | 559-561 | ||
| S92152G | 08 | 559-561 | S92312A | 24 | 955-965 | S92424K | 08 | 564-566 | ||
| S92152K | 08 | 564-566 | S92312B | 08 | 562-563 | S92424P | 08 | 564-566 | ||
| S92152P | 08 | 564-566 | S92312B | 24 | 955-965 | S92424S | 08 | 559-561 | ||
| S92152S | 08 | 559-561 | S92312D | 08 | 559-561 | S92425A | 08 | 562-563 | ||
| S92153A | 08 | 562-563 | S92312G | 08 | 559-561 | S92425A | 24 | 955-965 | ||
| S92153A | 24 | 955-965 | S92312K | 08 | 564-566 | S92425B | 08 | 562-563 | ||
| S92153B | 08 | 562-563 | S92312P | 08 | 564-566 | S92425B | 24 | 955-965 | ||
| S92153B | 24 | 955-965 | S92312S | 08 | 559-561 | S92425D | 08 | 559-561 | ||
| S92153D | 08 | 559-561 | S92313A | 08 | 562-563 | S92425G | 08 | 559-561 | ||
| S92153G | 08 | 559-561 | S92313A | 24 | 955-965 | S92425K | 08 | 564-566 | ||
| S92153K | 08 | 564-566 | S92313B | 08 | 562-563 | S92425P | 08 | 564-566 | ||
| S92153P | 08 | 564-566 | S92313B | 24 | 955-965 | S92425S | 08 | 559-561 | ||
| S92153S | 08 | 559-561 | S92313D | 08 | 559-561 | S92426A | 08 | 562-563 | ||
| S92154A | 08 | 562-563 | S92313G | 08 | 559-561 | S92426A | 24 | 955-965 | ||
| S92154A | 24 | 955-965 | S92313K | 08 | 564-566 | S92426B | 08 | 562-563 | ||
| S92154B | 08 | 562-563 | S92313P | 08 | 564-566 | S92426B | 24 | 955-965 | ||
| S92154B | 24 | 955-965 | S92313S | 08 | 559-561 | S92426D | 08 | 559-561 | ||
| S92154D | 08 | 559-561 | S92314A | 08 | 562-563 | S92426G | 08 | 559-561 | ||
| S92154G | 08 | 559-561 | S92314A | 24 | 955-965 | S92426K | 08 | 564-566 | ||
| S92154K | 08 | 564-566 | S92314B | 08 | 562-563 | S92426P | 08 | 564-566 | ||
| S92154P | 08 | 564-566 | S92314B | 24 | 955-965 | S92426S | 08 | 559-561 | ||
| S92154S | 08 | 559-561 | S92314D | 08 | 559-561 | S92491A | 08 | 562-563 | ||
| S92155A | 08 | 562-563 | S92314G | 08 | 559-561 | S92491A | 24 | 955-965 | ||
| S92155A | 24 | 955-965 | S92314K | 08 | 564-566 | S92491B | 08 | 562-563 | ||
| S92155B | 08 | 562-563 | S92314P | 08 | 564-566 | S92491B | 24 | 955-965 | ||
| S92155B | 24 | 955-965 | S92314S | 08 | 559-561 | S92491D | 08 | 559-561 | ||
| S92155D | 08 | 559-561 | S92315A | 08 | 562-563 | S92491G | 08 | 559-561 | ||
| S92155G | 08 | 559-561 | S92315A | 24 | 955-965 | S92491K | 08 | 564-566 | ||
| S92155K | 08 | 564-566 | S92315B | 08 | 562-563 | S92491P | 08 | 564-566 | ||
| S92155P | 08 | 564-566 | S92315B | 24 | 955-965 | S92491S | 08 | 559-561 | ||
| S92155S | 08 | 559-561 | S92315D | 08 | 559-561 | S92492A | 08 | 562-563 | ||
| S92156A | 08 | 562-563 | S92315G | 08 | 559-561 | S92492A | 24 | 955-965 | ||
| S92156A | 24 | 955-965 | S92315K | 08 | 564-566 | S92492B | 08 | 562-563 | ||
| S92156B | 08 | 562-563 | S92315P | 08 | 564-566 | S92492B | 24 | 955-965 | ||
| S92156B | 24 | 955-965 | S92315S | 08 | 559-561 | S92492D | 08 | 559-561 | ||
| S92156D | 08 | 559-561 | S92316A | 08 | 562-563 | S92492G | 08 | 559-561 | ||
| S92156G | 08 | 559-561 | S92316A | 24 | 955-965 | S92492K | 08 | 564-566 | ||
| S92156K | 08 | 564-566 | S92316B | 08 | 562-563 | S92492P | 08 | 564-566 | ||
| S92156P | 08 | 564-566 | S92316B | 24 | 955-965 | S92492S | 08 | 559-561 | ||
| S92156S | 08 | 559-561 | S92316D | 08 | 559-561 | S92499A | 08 | 562-563 | ||
| S92191A | 08 | 562-563 | S92316G | 08 | 559-561 | S92499A | 24 | 955-965 | ||
| S92191A | 24 | 955-965 | S92316K | 08 | 564-566 | S92499B | 08 | 562-563 | ||
| S92191B | 08 | 562-563 | S92316P | 08 | 564-566 | S92499B | 24 | 955-965 | ||
| S92191B | 24 | 955-965 | S92316S | 08 | 559-561 | S92499D | 08 | 559-561 | ||
| S92191D | 08 | 559-561 | S92321A | 08 | 562-563 | S92499G | 08 | 559-561 | ||
| S92191G | 08 | 559-561 | S92321A | 24 | 955-965 | S92499K | 08 | 564-566 | ||
| S92191K | 08 | 564-566 | S92321B | 08 | 562-563 | S92499P | 08 | 564-566 | ||
| S92191P | 08 | 564-566 | S92321B | 24 | 955-965 | S92499S | 08 | 559-561 | ||
| S92191S | 08 | 559-561 | S92321D | 08 | 559-561 | S92501A | 08 | 562-563 | ||
| S92192A | 08 | 562-563 | S92321G | 08 | 559-561 | S92501A | 24 | 955-965 | ||
| S92192A | 24 | 955-965 | S92321K | 08 | 564-566 | S92501B | 08 | 562-563 | ||
| S92192B | 08 | 562-563 | S92321P | 08 | 564-566 | S92501B | 24 | 955-965 | ||
| S92192B | 24 | 955-965 | S92321S | 08 | 559-561 | S92501D | 08 | 559-561 | ||
| S92192D | 08 | 559-561 | S92322A | 08 | 562-563 | S92501G | 08 | 559-561 | ||
| S92192G | 08 | 559-561 | S92322A | 24 | 955-965 | S92501K | 08 | 564-566 | ||
| S92192K | 08 | 564-566 | S92322B | 08 | 562-563 | S92501P | 08 | 564-566 | ||
| S92192P | 08 | 564-566 | S92322B | 24 | 955-965 | S92501S | 08 | 559-561 | ||
| S92192S | 08 | 559-561 | S92322D | 08 | 559-561 | S92502A | 08 | 562-563 | ||
| S92199A | 08 | 562-563 | S92322G | 08 | 559-561 | S92502A | 24 | 955-965 | ||
| S92199A | 24 | 955-965 | S92322K | 08 | 564-566 | S92502B | 08 | 562-563 | ||
| S92199B | 08 | 562-563 | S92322P | 08 | 564-566 | S92502B | 24 | 955-965 | ||
| S92199B | 24 | 955-965 | S92322S | 08 | 559-561 | S92502D | 08 | 559-561 | ||
| S92199D | 08 | 559-561 | S92323A | 08 | 562-563 | S92502G | 08 | 559-561 | ||
| S92199G | 08 | 559-561 | S92323A | 24 | 955-965 | S92502K | 08 | 564-566 | ||
| S92199K | 08 | 564-566 | S92323B | 08 | 562-563 | S92502P | 08 | 564-566 | ||
| S92199P | 08 | 564-566 | S92323B | 24 | 955-965 | S92502S | 08 | 559-561 | ||
| S92199S | 08 | 559-561 | S92323D | 08 | 559-561 | S92503A | 08 | 562-563 | ||
| S92201A | 08 | 562-563 | S92323G | 08 | 559-561 | S92503A | 24 | 955-965 | ||
| S92201A | 24 | 955-965 | S92323K | 08 | 564-566 | S92503B | 08 | 562-563 | ||
| S92201B | 08 | 562-563 | S92323P | 08 | 564-566 | S92503B | 24 | 955-965 | ||
| S92201B | 24 | 955-965 | S92323S | 08 | 559-561 | S92503D | 08 | 559-561 | ||
| S92201D | 08 | 559-561 | S92324A | 08 | 562-563 | S92503G | 08 | 559-561 | ||
| S92201G | 08 | 559-561 | S92324A | 24 | 955-965 | S92503K | 08 | 564-566 | ||
| S92201K | 08 | 564-566 | S92324B | 08 | 562-563 | S92503P | 08 | 564-566 | ||
| S92201P | 08 | 564-566 | S92324B | 24 | 955-965 | S92503S | 08 | 559-561 | ||
| S92201S | 08 | 559-561 | S92324D | 08 | 559-561 | S92504A | 08 | 562-563 | ||
| S92202A | 08 | 562-563 | S92324G | 08 | 559-561 | S92504A | 24 | 955-965 | ||
| S92202A | 24 | 955-965 | S92324K | 08 | 564-566 | S92504B | 08 | 562-563 | ||
| S92202B | 08 | 562-563 | S92324P | 08 | 564-566 | S92504B | 24 | 955-965 | ||
| S92202B | 24 | 955-965 | S92324S | 08 | 559-561 | S92504D | 08 | 559-561 | ||
| S92202D | 08 | 559-561 | S92325A | 08 | 562-563 | S92504G | 08 | 559-561 | ||
| S92202G | 08 | 559-561 | S92325A | 24 | 955-965 | S92504K | 08 | 564-566 | ||
| S92202K | 08 | 564-566 | S92325B | 08 | 562-563 | S92504P | 08 | 564-566 | ||
| S92202P | 08 | 564-566 | S92325B | 24 | 955-965 | S92504S | 08 | 559-561 | ||
| S92202S | 08 | 559-561 | S92325D | 08 | 559-561 | S92505A | 08 | 562-563 | ||
| S92209A | 08 | 562-563 | S92325G | 08 | 559-561 | S92505A | 24 | 955-965 | ||
| S92209A | 24 | 955-965 | S92325K | 08 | 564-566 | S92505B | 08 | 562-563 | ||
| S92209B | 08 | 562-563 | S92325P | 08 | 564-566 | S92505B | 24 | 955-965 | ||
| S92209B | 24 | 955-965 | S92325S | 08 | 559-561 | S92505D | 08 | 559-561 | ||
| S92209D | 08 | 559-561 | S92326A | 08 | 562-563 | S92505G | 08 | 559-561 | ||
| S92209G | 08 | 559-561 | S92326A | 24 | 955-965 | S92505K | 08 | 564-566 | ||
| S92209K | 08 | 564-566 | S92326B | 08 | 562-563 | S92505P | 08 | 564-566 | ||
| S92209P | 08 | 564-566 | S92326B | 24 | 955-965 | S92505S | 08 | 559-561 | ||
| S92209S | 08 | 559-561 | S92326D | 08 | 559-561 | S92506A | 08 | 562-563 | ||
| S92211A | 08 | 562-563 | S92326G | 08 | 559-561 | S92506A | 24 | 955-965 | ||
| S92211A | 24 | 955-965 | S92326K | 08 | 564-566 | S92506B | 08 | 562-563 | ||
| S92211B | 08 | 562-563 | S92326P | 08 | 564-566 | S92506B | 24 | 955-965 | ||
| S92211B | 24 | 955-965 | S92326S | 08 | 559-561 | S92506D | 08 | 559-561 | ||
| S92211D | 08 | 559-561 | S92331A | 08 | 562-563 | S92506G | 08 | 559-561 | ||
| S92211G | 08 | 559-561 | S92331A | 24 | 955-965 | S92506K | 08 | 564-566 | ||
| S92211K | 08 | 564-566 | S92331B | 08 | 562-563 | S92506P | 08 | 564-566 | ||
| S92211P | 08 | 564-566 | S92331B | 24 | 955-965 | S92506S | 08 | 559-561 | ||
| S92211S | 08 | 559-561 | S92331D | 08 | 559-561 | S92511A | 08 | 562-563 | ||
| S92212A | 08 | 562-563 | S92331G | 08 | 559-561 | S92511A | 24 | 955-965 | ||
| S92212A | 24 | 955-965 | S92331K | 08 | 564-566 | S92511B | 08 | 562-563 | ||
| S92212B | 08 | 562-563 | S92331P | 08 | 564-566 | S92511B | 24 | 955-965 | ||
| S92212B | 24 | 955-965 | S92331S | 08 | 559-561 | S92511D | 08 | 559-561 | ||
| S92212D | 08 | 559-561 | S92332A | 08 | 562-563 | S92511G | 08 | 559-561 | ||
| S92212G | 08 | 559-561 | S92332A | 24 | 955-965 | S92511K | 08 | 564-566 | ||
| S92212K | 08 | 564-566 | S92332B | 08 | 562-563 | S92511P | 08 | 564-566 | ||
| S92212P | 08 | 564-566 | S92332B | 24 | 955-965 | S92511S | 08 | 559-561 | ||
| S92212S | 08 | 559-561 | S92332D | 08 | 559-561 | S92512A | 08 | 562-563 | ||
| S92213A | 08 | 562-563 | S92332G | 08 | 559-561 | S92512A | 24 | 955-965 | ||
| S92213A | 24 | 955-965 | S92332K | 08 | 564-566 | S92512B | 08 | 562-563 | ||
| S92213B | 08 | 562-563 | S92332P | 08 | 564-566 | S92512B | 24 | 955-965 | ||
| S92213B | 24 | 955-965 | S92332S | 08 | 559-561 | S92512D | 08 | 559-561 | ||
| S92213D | 08 | 559-561 | S92333A | 08 | 562-563 | S92512G | 08 | 559-561 | ||
| S92213G | 08 | 559-561 | S92333A | 24 | 955-965 | S92512K | 08 | 564-566 | ||
| S92213K | 08 | 564-566 | S92333B | 08 | 562-563 | S92512P | 08 | 564-566 | ||
| S92213P | 08 | 564-566 | S92333B | 24 | 955-965 | S92512S | 08 | 559-561 | ||
| S92213S | 08 | 559-561 | S92333D | 08 | 559-561 | S92513A | 08 | 562-563 | ||
| S92214A | 08 | 562-563 | S92333G | 08 | 559-561 | S92513A | 24 | 955-965 | ||
| S92214A | 24 | 955-965 | S92333K | 08 | 564-566 | S92513B | 08 | 562-563 | ||
| S92214B | 08 | 562-563 | S92333P | 08 | 564-566 | S92513B | 24 | 955-965 | ||
| S92214B | 24 | 955-965 | S92333S | 08 | 559-561 | S92513D | 08 | 559-561 | ||
| S92214D | 08 | 559-561 | S92334A | 08 | 562-563 | S92513G | 08 | 559-561 | ||
| S92214G | 08 | 559-561 | S92334A | 24 | 955-965 | S92513K | 08 | 564-566 | ||
| S92214K | 08 | 564-566 | S92334B | 08 | 562-563 | S92513P | 08 | 564-566 | ||
| S92214P | 08 | 564-566 | S92334B | 24 | 955-965 | S92513S | 08 | 559-561 | ||
| S92214S | 08 | 559-561 | S92334D | 08 | 559-561 | S92514A | 08 | 562-563 | ||
| S92215A | 08 | 562-563 | S92334G | 08 | 559-561 | S92514A | 24 | 955-965 | ||
| S92215A | 24 | 955-965 | S92334K | 08 | 564-566 | S92514B | 08 | 562-563 | ||
| S92215B | 08 | 562-563 | S92334P | 08 | 564-566 | S92514B | 24 | 955-965 | ||
| S92215B | 24 | 955-965 | S92334S | 08 | 559-561 | S92514D | 08 | 559-561 | ||
| S92215D | 08 | 559-561 | S92335A | 08 | 562-563 | S92514G | 08 | 559-561 | ||
| S92215G | 08 | 559-561 | S92335A | 24 | 955-965 | S92514K | 08 | 564-566 | ||
| S92215K | 08 | 564-566 | S92335B | 08 | 562-563 | S92514P | 08 | 564-566 | ||
| S92215P | 08 | 564-566 | S92335B | 24 | 955-965 | S92514S | 08 | 559-561 | ||
| S92215S | 08 | 559-561 | S92335D | 08 | 559-561 | S92515A | 08 | 562-563 | ||
| S92216A | 08 | 562-563 | S92335G | 08 | 559-561 | S92515A | 24 | 955-965 | ||
| S92216A | 24 | 955-965 | S92335K | 08 | 564-566 | S92515B | 08 | 562-563 | ||
| S92216B | 08 | 562-563 | S92335P | 08 | 564-566 | S92515B | 24 | 955-965 | ||
| S92216B | 24 | 955-965 | S92335S | 08 | 559-561 | S92515D | 08 | 559-561 | ||
| S92216D | 08 | 559-561 | S92336A | 08 | 562-563 | S92515G | 08 | 559-561 | ||
| S92216G | 08 | 559-561 | S92336A | 24 | 955-965 | S92515K | 08 | 564-566 | ||
| S92216K | 08 | 564-566 | S92336B | 08 | 562-563 | S92515P | 08 | 564-566 | ||
| S92216P | 08 | 564-566 | S92336B | 24 | 955-965 | S92515S | 08 | 559-561 | ||
| S92216S | 08 | 559-561 | S92336D | 08 | 559-561 | S92516A | 08 | 562-563 | ||
| S92221A | 08 | 562-563 | S92336G | 08 | 559-561 | S92516A | 24 | 955-965 | ||
| S92221A | 24 | 955-965 | S92336K | 08 | 564-566 | S92516B | 08 | 562-563 | ||
| S92221B | 08 | 562-563 | S92336P | 08 | 564-566 | S92516B | 24 | 955-965 | ||
| S92221B | 24 | 955-965 | S92336S | 08 | 559-561 | S92516D | 08 | 559-561 | ||
| S92221D | 08 | 559-561 | S92341A | 08 | 562-563 | S92516G | 08 | 559-561 | ||
| S92221G | 08 | 559-561 | S92341A | 24 | 955-965 | S92516K | 08 | 564-566 | ||
| S92221K | 08 | 564-566 | S92341B | 08 | 562-563 | S92516P | 08 | 564-566 | ||
| S92221P | 08 | 564-566 | S92341B | 24 | 955-965 | S92516S | 08 | 559-561 | ||
| S92221S | 08 | 559-561 | S92341D | 08 | 559-561 | S92521A | 08 | 562-563 | ||
| S92222A | 08 | 562-563 | S92341G | 08 | 559-561 | S92521A | 24 | 955-965 | ||
| S92222A | 24 | 955-965 | S92341K | 08 | 564-566 | S92521B | 08 | 562-563 | ||
| S92222B | 08 | 562-563 | S92341P | 08 | 564-566 | S92521B | 24 | 955-965 | ||
| S92222B | 24 | 955-965 | S92341S | 08 | 559-561 | S92521D | 08 | 559-561 | ||
| S92222D | 08 | 559-561 | S92342A | 08 | 562-563 | S92521G | 08 | 559-561 | ||
| S92222G | 08 | 559-561 | S92342A | 24 | 955-965 | S92521K | 08 | 564-566 | ||
| S92222K | 08 | 564-566 | S92342B | 08 | 562-563 | S92521P | 08 | 564-566 | ||
| S92222P | 08 | 564-566 | S92342B | 24 | 955-965 | S92521S | 08 | 559-561 | ||
| S92222S | 08 | 559-561 | S92342D | 08 | 559-561 | S92522A | 08 | 562-563 | ||
| S92223A | 08 | 562-563 | S92342G | 08 | 559-561 | S92522A | 24 | 955-965 | ||
| S92223A | 24 | 955-965 | S92342K | 08 | 564-566 | S92522B | 08 | 562-563 | ||
| S92223B | 08 | 562-563 | S92342P | 08 | 564-566 | S92522B | 24 | 955-965 | ||
| S92223B | 24 | 955-965 | S92342S | 08 | 559-561 | S92522D | 08 | 559-561 | ||
| S92223D | 08 | 559-561 | S92343A | 08 | 562-563 | S92522G | 08 | 559-561 | ||
| S92223G | 08 | 559-561 | S92343A | 24 | 955-965 | S92522K | 08 | 564-566 | ||
| S92223K | 08 | 564-566 | S92343B | 08 | 562-563 | S92522P | 08 | 564-566 | ||
| S92223P | 08 | 564-566 | S92343B | 24 | 955-965 | S92522S | 08 | 559-561 | ||
| S92223S | 08 | 559-561 | S92343D | 08 | 559-561 | S92523A | 08 | 562-563 | ||
| S92224A | 08 | 562-563 | S92343G | 08 | 559-561 | S92523A | 24 | 955-965 | ||
| S92224A | 24 | 955-965 | S92343K | 08 | 564-566 | S92523B | 08 | 562-563 | ||
| S92224B | 08 | 562-563 | S92343P | 08 | 564-566 | S92523B | 24 | 955-965 | ||
| S92224B | 24 | 955-965 | S92343S | 08 | 559-561 | S92523D | 08 | 559-561 | ||
| S92224D | 08 | 559-561 | S92344A | 08 | 562-563 | S92523G | 08 | 559-561 | ||
| S92224G | 08 | 559-561 | S92344A | 24 | 955-965 | S92523K | 08 | 564-566 | ||
| S92224K | 08 | 564-566 | S92344B | 08 | 562-563 | S92523P | 08 | 564-566 | ||
| S92224P | 08 | 564-566 | S92344B | 24 | 955-965 | S92523S | 08 | 559-561 | ||
| S92224S | 08 | 559-561 | S92344D | 08 | 559-561 | S92524A | 08 | 562-563 | ||
| S92225A | 08 | 562-563 | S92344G | 08 | 559-561 | S92524A | 24 | 955-965 | ||
| S92225A | 24 | 955-965 | S92344K | 08 | 564-566 | S92524B | 08 | 562-563 | ||
| S92225B | 08 | 562-563 | S92344P | 08 | 564-566 | S92524B | 24 | 955-965 | ||
| S92225B | 24 | 955-965 | S92344S | 08 | 559-561 | S92524D | 08 | 559-561 | ||
| S92225D | 08 | 559-561 | S92345A | 08 | 562-563 | S92524G | 08 | 559-561 | ||
| S92225G | 08 | 559-561 | S92345A | 24 | 955-965 | S92524K | 08 | 564-566 | ||
| S92225K | 08 | 564-566 | S92345B | 08 | 562-563 | S92524P | 08 | 564-566 | ||
| S92225P | 08 | 564-566 | S92345B | 24 | 955-965 | S92524S | 08 | 559-561 | ||
| S92225S | 08 | 559-561 | S92345D | 08 | 559-561 | S92525A | 08 | 562-563 | ||
| S92226A | 08 | 562-563 | S92345G | 08 | 559-561 | S92525A | 24 | 955-965 | ||
| S92226A | 24 | 955-965 | S92345K | 08 | 564-566 | S92525B | 08 | 562-563 | ||
| S92226B | 08 | 562-563 | S92345P | 08 | 564-566 | S92525B | 24 | 955-965 | ||
| S92226B | 24 | 955-965 | S92345S | 08 | 559-561 | S92525D | 08 | 559-561 | ||
| S92226D | 08 | 559-561 | S92346A | 08 | 562-563 | S92525G | 08 | 559-561 | ||
| S92226G | 08 | 559-561 | S92346A | 24 | 955-965 | S92525K | 08 | 564-566 | ||
| S92226K | 08 | 564-566 | S92346B | 08 | 562-563 | S92525P | 08 | 564-566 | ||
| S92226P | 08 | 564-566 | S92346B | 24 | 955-965 | S92525S | 08 | 559-561 | ||
| S92226S | 08 | 559-561 | S92346D | 08 | 559-561 | S92526A | 08 | 562-563 | ||
| S92231A | 08 | 562-563 | S92346G | 08 | 559-561 | S92526A | 24 | 955-965 | ||
| S92231A | 24 | 955-965 | S92346K | 08 | 564-566 | S92526B | 08 | 562-563 | ||
| S92231B | 08 | 562-563 | S92346P | 08 | 564-566 | S92526B | 24 | 955-965 | ||
| S92231B | 24 | 955-965 | S92346S | 08 | 559-561 | S92526D | 08 | 559-561 | ||
| S92231D | 08 | 559-561 | S92351A | 08 | 562-563 | S92526G | 08 | 559-561 | ||
| S92231G | 08 | 559-561 | S92351A | 24 | 955-965 | S92526K | 08 | 564-566 | ||
| S92231K | 08 | 564-566 | S92351B | 08 | 562-563 | S92526P | 08 | 564-566 | ||
| S92231P | 08 | 564-566 | S92351B | 24 | 955-965 | S92526S | 08 | 559-561 | ||
| S92231S | 08 | 559-561 | S92351D | 08 | 559-561 | S92531A | 08 | 562-563 | ||
| S92232A | 08 | 562-563 | S92351G | 08 | 559-561 | S92531A | 24 | 955-965 | ||
| S92232A | 24 | 955-965 | S92351K | 08 | 564-566 | S92531B | 08 | 562-563 | ||
| S92232B | 08 | 562-563 | S92351P | 08 | 564-566 | S92531B | 24 | 955-965 | ||
| S92232B | 24 | 955-965 | S92351S | 08 | 559-561 | S92531D | 08 | 559-561 | ||
| S92232D | 08 | 559-561 | S92352A | 08 | 562-563 | S92531G | 08 | 559-561 | ||
| S92232G | 08 | 559-561 | S92352A | 24 | 955-965 | S92531K | 08 | 564-566 | ||
| S92232K | 08 | 564-566 | S92352B | 08 | 562-563 | S92531P | 08 | 564-566 | ||
| S92232P | 08 | 564-566 | S92352B | 24 | 955-965 | S92531S | 08 | 559-561 | ||
| S92232S | 08 | 559-561 | S92352D | 08 | 559-561 | S92532A | 08 | 562-563 | ||
| S92233A | 08 | 562-563 | S92352G | 08 | 559-561 | S92532A | 24 | 955-965 | ||
| S92233A | 24 | 955-965 | S92352K | 08 | 564-566 | S92532B | 08 | 562-563 | ||
| S92233B | 08 | 562-563 | S92352P | 08 | 564-566 | S92532B | 24 | 955-965 | ||
| S92233B | 24 | 955-965 | S92352S | 08 | 559-561 | S92532D | 08 | 559-561 | ||
| S92233D | 08 | 559-561 | S92353A | 08 | 562-563 | S92532G | 08 | 559-561 | ||
| S92233G | 08 | 559-561 | S92353A | 24 | 955-965 | S92532K | 08 | 564-566 | ||
| S92233K | 08 | 564-566 | S92353B | 08 | 562-563 | S92532P | 08 | 564-566 | ||
| S92233P | 08 | 564-566 | S92353B | 24 | 955-965 | S92532S | 08 | 559-561 | ||
| S92233S | 08 | 559-561 | S92353D | 08 | 559-561 | S92533A | 08 | 562-563 | ||
| S92234A | 08 | 562-563 | S92353G | 08 | 559-561 | S92533A | 24 | 955-965 | ||
| S92234A | 24 | 955-965 | S92353K | 08 | 564-566 | S92533B | 08 | 562-563 | ||
| S92234B | 08 | 562-563 | S92353P | 08 | 564-566 | S92533B | 24 | 955-965 | ||
| S92234B | 24 | 955-965 | S92353S | 08 | 559-561 | S92533D | 08 | 559-561 | ||
| S92234D | 08 | 559-561 | S92354A | 08 | 562-563 | S92533G | 08 | 559-561 | ||
| S92234G | 08 | 559-561 | S92354A | 24 | 955-965 | S92533K | 08 | 564-566 | ||
| S92234K | 08 | 564-566 | S92354B | 08 | 562-563 | S92533P | 08 | 564-566 | ||
| S92234P | 08 | 564-566 | S92354B | 24 | 955-965 | S92533S | 08 | 559-561 | ||
| S92234S | 08 | 559-561 | S92354D | 08 | 559-561 | S92534A | 08 | 562-563 | ||
| S92235A | 08 | 562-563 | S92354G | 08 | 559-561 | S92534A | 24 | 955-965 | ||
| S92235A | 24 | 955-965 | S92354K | 08 | 564-566 | S92534B | 08 | 562-563 | ||
| S92235B | 08 | 562-563 | S92354P | 08 | 564-566 | S92534B | 24 | 955-965 | ||
| S92235B | 24 | 955-965 | S92354S | 08 | 559-561 | S92534D | 08 | 559-561 | ||
| S92235D | 08 | 559-561 | S92355A | 08 | 562-563 | S92534G | 08 | 559-561 | ||
| S92235G | 08 | 559-561 | S92355A | 24 | 955-965 | S92534K | 08 | 564-566 | ||
| S92235K | 08 | 564-566 | S92355B | 08 | 562-563 | S92534P | 08 | 564-566 | ||
| S92235P | 08 | 564-566 | S92355B | 24 | 955-965 | S92534S | 08 | 559-561 | ||
| S92235S | 08 | 559-561 | S92355D | 08 | 559-561 | S92535A | 08 | 562-563 | ||
| S92236A | 08 | 562-563 | S92355G | 08 | 559-561 | S92535A | 24 | 955-965 | ||
| S92236A | 24 | 955-965 | S92355K | 08 | 564-566 | S92535B | 08 | 562-563 | ||
| S92236B | 08 | 562-563 | S92355P | 08 | 564-566 | S92535B | 24 | 955-965 | ||
| S92236B | 24 | 955-965 | S92355S | 08 | 559-561 | S92535D | 08 | 559-561 | ||
| S92236D | 08 | 559-561 | S92356A | 08 | 562-563 | S92535G | 08 | 559-561 | ||
| S92236G | 08 | 559-561 | S92356A | 24 | 955-965 | S92535K | 08 | 564-566 | ||
| S92236K | 08 | 564-566 | S92356B | 08 | 562-563 | S92535P | 08 | 564-566 | ||
| S92236P | 08 | 564-566 | S92356B | 24 | 955-965 | S92535S | 08 | 559-561 | ||
| S92236S | 08 | 559-561 | S92356D | 08 | 559-561 | S92536A | 08 | 562-563 | ||
| S92241A | 08 | 562-563 | S92356G | 08 | 559-561 | S92536A | 24 | 955-965 | ||
| S92241A | 24 | 955-965 | S92356K | 08 | 564-566 | S92536B | 08 | 562-563 | ||
| S92241B | 08 | 562-563 | S92356P | 08 | 564-566 | S92536B | 24 | 955-965 | ||
| S92241B | 24 | 955-965 | S92356S | 08 | 559-561 | S92536D | 08 | 559-561 | ||
| S92241D | 08 | 559-561 | S92401A | 08 | 562-563 | S92536G | 08 | 559-561 | ||
| S92241G | 08 | 559-561 | S92401A | 24 | 955-965 | S92536K | 08 | 564-566 | ||
| S92241K | 08 | 564-566 | S92401B | 08 | 562-563 | S92536P | 08 | 564-566 | ||
| S92241P | 08 | 564-566 | S92401B | 24 | 955-965 | S92536S | 08 | 559-561 | ||
| S92241S | 08 | 559-561 | S92401D | 08 | 559-561 | S92591A | 08 | 562-563 | ||
| S92242A | 08 | 562-563 | S92401G | 08 | 559-561 | S92591A | 24 | 955-965 | ||
| S92242A | 24 | 955-965 | S92401K | 08 | 564-566 | S92591B | 08 | 562-563 | ||
| S92242B | 08 | 562-563 | S92401P | 08 | 564-566 | S92591B | 24 | 955-965 | ||
| S92242B | 24 | 955-965 | S92401S | 08 | 559-561 | S92591D | 08 | 559-561 | ||
| S92242D | 08 | 559-561 | S92402A | 08 | 562-563 | S92591G | 08 | 559-561 | ||
| S92242G | 08 | 559-561 | S92402A | 24 | 955-965 | S92591K | 08 | 564-566 | ||
| S92242K | 08 | 564-566 | S92402B | 08 | 562-563 | S92591P | 08 | 564-566 | ||
| S92242P | 08 | 564-566 | S92402B | 24 | 955-965 | S92591S | 08 | 559-561 | ||
| S92242S | 08 | 559-561 | S92402D | 08 | 559-561 | S92592A | 08 | 562-563 | ||
| S92243A | 08 | 562-563 | S92402G | 08 | 559-561 | S92592A | 24 | 955-965 | ||
| S92243A | 24 | 955-965 | S92402K | 08 | 564-566 | S92592B | 08 | 562-563 | ||
| S92243B | 08 | 562-563 | S92402P | 08 | 564-566 | S92592B | 24 | 955-965 | ||
| S92243B | 24 | 955-965 | S92402S | 08 | 559-561 | S92592D | 08 | 559-561 | ||
| S92243D | 08 | 559-561 | S92403A | 08 | 562-563 | S92592G | 08 | 559-561 | ||
| S92243G | 08 | 559-561 | S92403A | 24 | 955-965 | S92592K | 08 | 564-566 | ||
| S92243K | 08 | 564-566 | S92403B | 08 | 562-563 | S92592P | 08 | 564-566 | ||
| S92243P | 08 | 564-566 | S92403B | 24 | 955-965 | S92592S | 08 | 559-561 | ||
| S92243S | 08 | 559-561 | S92403D | 08 | 559-561 | S92599A | 08 | 562-563 | ||
| S92599A | 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 |