ICD-10-CM/PCS MS-DRG v36.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 64 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T40903S | 21 | 922-923 | T43204D | 23 | 949-950 | T446X1A | 21 | 917-918 | ||
T40904A | 21 | 917-918 | T43204S | 21 | 922-923 | T446X1D | 23 | 949-950 | ||
T40904D | 23 | 949-950 | T43205A | 15 | 793 | T446X1S | 21 | 922-923 | ||
T40904S | 21 | 922-923 | T43205A | 21 | 917-918 | T446X2A | 21 | 917-918 | ||
T40905A | 15 | 793 | T43205D | 23 | 949-950 | T446X2D | 23 | 949-950 | ||
T40905A | 21 | 917-918 | T43205S | 21 | 922-923 | T446X2S | 21 | 922-923 | ||
T40905D | 23 | 949-950 | T43206A | 23 | 951 | T446X3A | 21 | 917-918 | ||
T40905S | 21 | 922-923 | T43206D | 23 | 949-950 | T446X3D | 23 | 949-950 | ||
T40906A | 23 | 951 | T43206S | 23 | 949-950 | T446X3S | 21 | 922-923 | ||
T40906D | 23 | 949-950 | T43211A | 21 | 917-918 | T446X4A | 21 | 917-918 | ||
T40906S | 23 | 949-950 | T43211D | 23 | 949-950 | T446X4D | 23 | 949-950 | ||
T40991A | 21 | 917-918 | T43211S | 21 | 922-923 | T446X4S | 21 | 922-923 | ||
T40991D | 23 | 949-950 | T43212A | 21 | 917-918 | T446X5A | 15 | 793 | ||
T40991S | 21 | 922-923 | T43212D | 23 | 949-950 | T446X5A | 21 | 917-918 | ||
T40992A | 21 | 917-918 | T43212S | 21 | 922-923 | T446X5D | 23 | 949-950 | ||
T40992D | 23 | 949-950 | T43213A | 21 | 917-918 | T446X5S | 21 | 922-923 | ||
T40992S | 21 | 922-923 | T43213D | 23 | 949-950 | T446X6A | 23 | 951 | ||
T40993A | 21 | 917-918 | T43213S | 21 | 922-923 | T446X6D | 23 | 949-950 | ||
T40993D | 23 | 949-950 | T43214A | 21 | 917-918 | T446X6S | 23 | 949-950 | ||
T40993S | 21 | 922-923 | T43214D | 23 | 949-950 | T447X1A | 21 | 917-918 | ||
T40994A | 21 | 917-918 | T43214S | 21 | 922-923 | T447X1D | 23 | 949-950 | ||
T40994D | 23 | 949-950 | T43215A | 15 | 793 | T447X1S | 21 | 922-923 | ||
T40994S | 21 | 922-923 | T43215A | 21 | 917-918 | T447X2A | 21 | 917-918 | ||
T40995A | 15 | 793 | T43215D | 23 | 949-950 | T447X2D | 23 | 949-950 | ||
T40995A | 21 | 917-918 | T43215S | 21 | 922-923 | T447X2S | 21 | 922-923 | ||
T40995D | 23 | 949-950 | T43216A | 23 | 951 | T447X3A | 21 | 917-918 | ||
T40995S | 21 | 922-923 | T43216D | 23 | 949-950 | T447X3D | 23 | 949-950 | ||
T40996A | 23 | 951 | T43216S | 23 | 949-950 | T447X3S | 21 | 922-923 | ||
T40996D | 23 | 949-950 | T43221A | 21 | 917-918 | T447X4A | 21 | 917-918 | ||
T40996S | 23 | 949-950 | T43221D | 23 | 949-950 | T447X4D | 23 | 949-950 | ||
T410X1A | 21 | 917-918 | T43221S | 21 | 922-923 | T447X4S | 21 | 922-923 | ||
T410X1D | 23 | 949-950 | T43222A | 21 | 917-918 | T447X5A | 15 | 793 | ||
T410X1S | 21 | 922-923 | T43222D | 23 | 949-950 | T447X5A | 21 | 917-918 | ||
T410X2A | 21 | 917-918 | T43222S | 21 | 922-923 | T447X5D | 23 | 949-950 | ||
T410X2D | 23 | 949-950 | T43223A | 21 | 917-918 | T447X5S | 21 | 922-923 | ||
T410X2S | 21 | 922-923 | T43223D | 23 | 949-950 | T447X6A | 23 | 951 | ||
T410X3A | 21 | 917-918 | T43223S | 21 | 922-923 | T447X6D | 23 | 949-950 | ||
T410X3D | 23 | 949-950 | T43224A | 21 | 917-918 | T447X6S | 23 | 949-950 | ||
T410X3S | 21 | 922-923 | T43224D | 23 | 949-950 | T448X1A | 21 | 917-918 | ||
T410X4A | 21 | 917-918 | T43224S | 21 | 922-923 | T448X1D | 23 | 949-950 | ||
T410X4D | 23 | 949-950 | T43225A | 15 | 793 | T448X1S | 21 | 922-923 | ||
T410X4S | 21 | 922-923 | T43225A | 21 | 917-918 | T448X2A | 21 | 917-918 | ||
T410X5A | 15 | 793 | T43225D | 23 | 949-950 | T448X2D | 23 | 949-950 | ||
T410X5A | 21 | 917-918 | T43225S | 21 | 922-923 | T448X2S | 21 | 922-923 | ||
T410X5D | 23 | 949-950 | T43226A | 23 | 951 | T448X3A | 21 | 917-918 | ||
T410X5S | 21 | 922-923 | T43226D | 23 | 949-950 | T448X3D | 23 | 949-950 | ||
T410X6A | 23 | 951 | T43226S | 23 | 949-950 | T448X3S | 21 | 922-923 | ||
T410X6D | 23 | 949-950 | T43291A | 21 | 917-918 | T448X4A | 21 | 917-918 | ||
T410X6S | 23 | 949-950 | T43291D | 23 | 949-950 | T448X4D | 23 | 949-950 | ||
T411X1A | 21 | 917-918 | T43291S | 21 | 922-923 | T448X4S | 21 | 922-923 | ||
T411X1D | 23 | 949-950 | T43292A | 21 | 917-918 | T448X5A | 15 | 793 | ||
T411X1S | 21 | 922-923 | T43292D | 23 | 949-950 | T448X5A | 21 | 917-918 | ||
T411X2A | 21 | 917-918 | T43292S | 21 | 922-923 | T448X5D | 23 | 949-950 | ||
T411X2D | 23 | 949-950 | T43293A | 21 | 917-918 | T448X5S | 21 | 922-923 | ||
T411X2S | 21 | 922-923 | T43293D | 23 | 949-950 | T448X6A | 23 | 951 | ||
T411X3A | 21 | 917-918 | T43293S | 21 | 922-923 | T448X6D | 23 | 949-950 | ||
T411X3D | 23 | 949-950 | T43294A | 21 | 917-918 | T448X6S | 23 | 949-950 | ||
T411X3S | 21 | 922-923 | T43294D | 23 | 949-950 | T44901A | 21 | 917-918 | ||
T411X4A | 21 | 917-918 | T43294S | 21 | 922-923 | T44901D | 23 | 949-950 | ||
T411X4D | 23 | 949-950 | T43295A | 15 | 793 | T44901S | 21 | 922-923 | ||
T411X4S | 21 | 922-923 | T43295A | 21 | 917-918 | T44902A | 21 | 917-918 | ||
T411X5A | 15 | 793 | T43295D | 23 | 949-950 | T44902D | 23 | 949-950 | ||
T411X5A | 21 | 917-918 | T43295S | 21 | 922-923 | T44902S | 21 | 922-923 | ||
T411X5D | 23 | 949-950 | T43296A | 23 | 951 | T44903A | 21 | 917-918 | ||
T411X5S | 21 | 922-923 | T43296D | 23 | 949-950 | T44903D | 23 | 949-950 | ||
T411X6A | 23 | 951 | T43296S | 23 | 949-950 | T44903S | 21 | 922-923 | ||
T411X6D | 23 | 949-950 | T433X1A | 21 | 917-918 | T44904A | 21 | 917-918 | ||
T411X6S | 23 | 949-950 | T433X1D | 23 | 949-950 | T44904D | 23 | 949-950 | ||
T41201A | 21 | 917-918 | T433X1S | 21 | 922-923 | T44904S | 21 | 922-923 | ||
T41201D | 23 | 949-950 | T433X2A | 21 | 917-918 | T44905A | 15 | 793 | ||
T41201S | 21 | 922-923 | T433X2D | 23 | 949-950 | T44905A | 21 | 917-918 | ||
T41202A | 21 | 917-918 | T433X2S | 21 | 922-923 | T44905D | 23 | 949-950 | ||
T41202D | 23 | 949-950 | T433X3A | 21 | 917-918 | T44905S | 21 | 922-923 | ||
T41202S | 21 | 922-923 | T433X3D | 23 | 949-950 | T44906A | 23 | 951 | ||
T41203A | 21 | 917-918 | T433X3S | 21 | 922-923 | T44906D | 23 | 949-950 | ||
T41203D | 23 | 949-950 | T433X4A | 21 | 917-918 | T44906S | 23 | 949-950 | ||
T41203S | 21 | 922-923 | T433X4D | 23 | 949-950 | T44991A | 21 | 917-918 | ||
T41204A | 21 | 917-918 | T433X4S | 21 | 922-923 | T44991D | 23 | 949-950 | ||
T41204D | 23 | 949-950 | T433X5A | 15 | 793 | T44991S | 21 | 922-923 | ||
T41204S | 21 | 922-923 | T433X5A | 21 | 917-918 | T44992A | 21 | 917-918 | ||
T41205A | 15 | 793 | T433X5D | 23 | 949-950 | T44992D | 23 | 949-950 | ||
T41205A | 21 | 917-918 | T433X5S | 21 | 922-923 | T44992S | 21 | 922-923 | ||
T41205D | 23 | 949-950 | T433X6A | 23 | 951 | T44993A | 21 | 917-918 | ||
T41205S | 21 | 922-923 | T433X6D | 23 | 949-950 | T44993D | 23 | 949-950 | ||
T41206A | 23 | 951 | T433X6S | 23 | 949-950 | T44993S | 21 | 922-923 | ||
T41206D | 23 | 949-950 | T434X1A | 21 | 917-918 | T44994A | 21 | 917-918 | ||
T41206S | 23 | 949-950 | T434X1D | 23 | 949-950 | T44994D | 23 | 949-950 | ||
T41291A | 21 | 917-918 | T434X1S | 21 | 922-923 | T44994S | 21 | 922-923 | ||
T41291D | 23 | 949-950 | T434X2A | 21 | 917-918 | T44995A | 15 | 793 | ||
T41291S | 21 | 922-923 | T434X2D | 23 | 949-950 | T44995A | 21 | 917-918 | ||
T41292A | 21 | 917-918 | T434X2S | 21 | 922-923 | T44995D | 23 | 949-950 | ||
T41292D | 23 | 949-950 | T434X3A | 21 | 917-918 | T44995S | 21 | 922-923 | ||
T41292S | 21 | 922-923 | T434X3D | 23 | 949-950 | T44996A | 23 | 951 | ||
T41293A | 21 | 917-918 | T434X3S | 21 | 922-923 | T44996D | 23 | 949-950 | ||
T41293D | 23 | 949-950 | T434X4A | 21 | 917-918 | T44996S | 23 | 949-950 | ||
T41293S | 21 | 922-923 | T434X4D | 23 | 949-950 | T450X1A | 21 | 917-918 | ||
T41294A | 21 | 917-918 | T434X4S | 21 | 922-923 | T450X1D | 23 | 949-950 | ||
T41294D | 23 | 949-950 | T434X5A | 15 | 793 | T450X1S | 21 | 922-923 | ||
T41294S | 21 | 922-923 | T434X5A | 21 | 917-918 | T450X2A | 21 | 917-918 | ||
T41295A | 15 | 793 | T434X5D | 23 | 949-950 | T450X2D | 23 | 949-950 | ||
T41295A | 21 | 917-918 | T434X5S | 21 | 922-923 | T450X2S | 21 | 922-923 | ||
T41295D | 23 | 949-950 | T434X6A | 23 | 951 | T450X3A | 21 | 917-918 | ||
T41295S | 21 | 922-923 | T434X6D | 23 | 949-950 | T450X3D | 23 | 949-950 | ||
T41296A | 23 | 951 | T434X6S | 23 | 949-950 | T450X3S | 21 | 922-923 | ||
T41296D | 23 | 949-950 | T43501A | 21 | 917-918 | T450X4A | 21 | 917-918 | ||
T41296S | 23 | 949-950 | T43501D | 23 | 949-950 | T450X4D | 23 | 949-950 | ||
T413X1A | 21 | 917-918 | T43501S | 21 | 922-923 | T450X4S | 21 | 922-923 | ||
T413X1D | 23 | 949-950 | T43502A | 21 | 917-918 | T450X5A | 15 | 793 | ||
T413X1S | 21 | 922-923 | T43502D | 23 | 949-950 | T450X5A | 21 | 917-918 | ||
T413X2A | 21 | 917-918 | T43502S | 21 | 922-923 | T450X5D | 23 | 949-950 | ||
T413X2D | 23 | 949-950 | T43503A | 21 | 917-918 | T450X5S | 21 | 922-923 | ||
T413X2S | 21 | 922-923 | T43503D | 23 | 949-950 | T450X6A | 23 | 951 | ||
T413X3A | 21 | 917-918 | T43503S | 21 | 922-923 | T450X6D | 23 | 949-950 | ||
T413X3D | 23 | 949-950 | T43504A | 21 | 917-918 | T450X6S | 23 | 949-950 | ||
T413X3S | 21 | 922-923 | T43504D | 23 | 949-950 | T451X1A | 21 | 917-918 | ||
T413X4A | 21 | 917-918 | T43504S | 21 | 922-923 | T451X1D | 23 | 949-950 | ||
T413X4D | 23 | 949-950 | T43505A | 15 | 793 | T451X1S | 21 | 922-923 | ||
T413X4S | 21 | 922-923 | T43505A | 21 | 917-918 | T451X2A | 21 | 917-918 | ||
T413X5A | 15 | 793 | T43505D | 23 | 949-950 | T451X2D | 23 | 949-950 | ||
T413X5A | 21 | 917-918 | T43505S | 21 | 922-923 | T451X2S | 21 | 922-923 | ||
T413X5D | 23 | 949-950 | T43506A | 23 | 951 | T451X3A | 21 | 917-918 | ||
T413X5S | 21 | 922-923 | T43506D | 23 | 949-950 | T451X3D | 23 | 949-950 | ||
T413X6A | 23 | 951 | T43506S | 23 | 949-950 | T451X3S | 21 | 922-923 | ||
T413X6D | 23 | 949-950 | T43591A | 21 | 917-918 | T451X4A | 21 | 917-918 | ||
T413X6S | 23 | 949-950 | T43591D | 23 | 949-950 | T451X4D | 23 | 949-950 | ||
T4141XA | 21 | 917-918 | T43591S | 21 | 922-923 | T451X4S | 21 | 922-923 | ||
T4141XD | 23 | 949-950 | T43592A | 21 | 917-918 | T451X5A | 15 | 793 | ||
T4141XS | 21 | 922-923 | T43592D | 23 | 949-950 | T451X5A | 21 | 917-918 | ||
T4142XA | 21 | 917-918 | T43592S | 21 | 922-923 | T451X5D | 23 | 949-950 | ||
T4142XD | 23 | 949-950 | T43593A | 21 | 917-918 | T451X5S | 21 | 922-923 | ||
T4142XS | 21 | 922-923 | T43593D | 23 | 949-950 | T451X6A | 23 | 951 | ||
T4143XA | 21 | 917-918 | T43593S | 21 | 922-923 | T451X6D | 23 | 949-950 | ||
T4143XD | 23 | 949-950 | T43594A | 21 | 917-918 | T451X6S | 23 | 949-950 | ||
T4143XS | 21 | 922-923 | T43594D | 23 | 949-950 | T452X1A | 21 | 917-918 | ||
T4144XA | 21 | 917-918 | T43594S | 21 | 922-923 | T452X1D | 23 | 949-950 | ||
T4144XD | 23 | 949-950 | T43595A | 15 | 793 | T452X1S | 21 | 922-923 | ||
T4144XS | 21 | 922-923 | T43595A | 21 | 917-918 | T452X2A | 21 | 917-918 | ||
T4145XA | 15 | 793 | T43595D | 23 | 949-950 | T452X2D | 23 | 949-950 | ||
T4145XA | 21 | 917-918 | T43595S | 21 | 922-923 | T452X2S | 21 | 922-923 | ||
T4145XD | 23 | 949-950 | T43596A | 23 | 951 | T452X3A | 21 | 917-918 | ||
T4145XS | 21 | 922-923 | T43596D | 23 | 949-950 | T452X3D | 23 | 949-950 | ||
T4146XA | 23 | 951 | T43596S | 23 | 949-950 | T452X3S | 21 | 922-923 | ||
T4146XD | 23 | 949-950 | T43601A | 21 | 917-918 | T452X4A | 21 | 917-918 | ||
T4146XS | 23 | 949-950 | T43601D | 23 | 949-950 | T452X4D | 23 | 949-950 | ||
T415X1A | 21 | 917-918 | T43601S | 21 | 922-923 | T452X4S | 21 | 922-923 | ||
T415X1D | 23 | 949-950 | T43602A | 21 | 917-918 | T452X5A | 15 | 793 | ||
T415X1S | 21 | 922-923 | T43602D | 23 | 949-950 | T452X5A | 21 | 917-918 | ||
T415X2A | 21 | 917-918 | T43602S | 21 | 922-923 | T452X5D | 23 | 949-950 | ||
T415X2D | 23 | 949-950 | T43603A | 21 | 917-918 | T452X5S | 21 | 922-923 | ||
T415X2S | 21 | 922-923 | T43603D | 23 | 949-950 | T452X6A | 23 | 951 | ||
T415X3A | 21 | 917-918 | T43603S | 21 | 922-923 | T452X6D | 23 | 949-950 | ||
T415X3D | 23 | 949-950 | T43604A | 21 | 917-918 | T452X6S | 23 | 949-950 | ||
T415X3S | 21 | 922-923 | T43604D | 23 | 949-950 | T453X1A | 21 | 917-918 | ||
T415X4A | 21 | 917-918 | T43604S | 21 | 922-923 | T453X1D | 23 | 949-950 | ||
T415X4D | 23 | 949-950 | T43605A | 15 | 793 | T453X1S | 21 | 922-923 | ||
T415X4S | 21 | 922-923 | T43605A | 21 | 917-918 | T453X2A | 21 | 917-918 | ||
T415X5A | 15 | 793 | T43605D | 23 | 949-950 | T453X2D | 23 | 949-950 | ||
T415X5A | 21 | 917-918 | T43605S | 21 | 922-923 | T453X2S | 21 | 922-923 | ||
T415X5D | 23 | 949-950 | T43606A | 23 | 951 | T453X3A | 21 | 917-918 | ||
T415X5S | 21 | 922-923 | T43606D | 23 | 949-950 | T453X3D | 23 | 949-950 | ||
T415X6A | 23 | 951 | T43606S | 23 | 949-950 | T453X3S | 21 | 922-923 | ||
T415X6D | 23 | 949-950 | T43611A | 21 | 917-918 | T453X4A | 21 | 917-918 | ||
T415X6S | 23 | 949-950 | T43611D | 23 | 949-950 | T453X4D | 23 | 949-950 | ||
T420X1A | 21 | 917-918 | T43611S | 21 | 922-923 | T453X4S | 21 | 922-923 | ||
T420X1D | 23 | 949-950 | T43612A | 21 | 917-918 | T453X5A | 15 | 793 | ||
T420X1S | 21 | 922-923 | T43612D | 23 | 949-950 | T453X5A | 21 | 917-918 | ||
T420X2A | 21 | 917-918 | T43612S | 21 | 922-923 | T453X5D | 23 | 949-950 | ||
T420X2D | 23 | 949-950 | T43613A | 21 | 917-918 | T453X5S | 21 | 922-923 | ||
T420X2S | 21 | 922-923 | T43613D | 23 | 949-950 | T453X6A | 23 | 951 | ||
T420X3A | 21 | 917-918 | T43613S | 21 | 922-923 | T453X6D | 23 | 949-950 | ||
T420X3D | 23 | 949-950 | T43614A | 21 | 917-918 | T453X6S | 23 | 949-950 | ||
T420X3S | 21 | 922-923 | T43614D | 23 | 949-950 | T454X1A | 21 | 917-918 | ||
T420X4A | 21 | 917-918 | T43614S | 21 | 922-923 | T454X1D | 23 | 949-950 | ||
T420X4D | 23 | 949-950 | T43615A | 15 | 793 | T454X1S | 21 | 922-923 | ||
T420X4S | 21 | 922-923 | T43615A | 21 | 917-918 | T454X2A | 21 | 917-918 | ||
T420X5A | 15 | 793 | T43615D | 23 | 949-950 | T454X2D | 23 | 949-950 | ||
T420X5A | 21 | 917-918 | T43615S | 21 | 922-923 | T454X2S | 21 | 922-923 | ||
T420X5D | 23 | 949-950 | T43616A | 23 | 951 | T454X3A | 21 | 917-918 | ||
T420X5S | 21 | 922-923 | T43616D | 23 | 949-950 | T454X3D | 23 | 949-950 | ||
T420X6A | 23 | 951 | T43616S | 23 | 949-950 | T454X3S | 21 | 922-923 | ||
T420X6D | 23 | 949-950 | T43621A | 21 | 917-918 | T454X4A | 21 | 917-918 | ||
T420X6S | 23 | 949-950 | T43621D | 23 | 949-950 | T454X4D | 23 | 949-950 | ||
T421X1A | 21 | 917-918 | T43621S | 21 | 922-923 | T454X4S | 21 | 922-923 | ||
T421X1D | 23 | 949-950 | T43622A | 21 | 917-918 | T454X5A | 15 | 793 | ||
T421X1S | 21 | 922-923 | T43622D | 23 | 949-950 | T454X5A | 21 | 917-918 | ||
T421X2A | 21 | 917-918 | T43622S | 21 | 922-923 | T454X5D | 23 | 949-950 | ||
T421X2D | 23 | 949-950 | T43623A | 21 | 917-918 | T454X5S | 21 | 922-923 | ||
T421X2S | 21 | 922-923 | T43623D | 23 | 949-950 | T454X6A | 23 | 951 | ||
T421X3A | 21 | 917-918 | T43623S | 21 | 922-923 | T454X6D | 23 | 949-950 | ||
T421X3D | 23 | 949-950 | T43624A | 21 | 917-918 | T454X6S | 23 | 949-950 | ||
T421X3S | 21 | 922-923 | T43624D | 23 | 949-950 | T45511A | 21 | 917-918 | ||
T421X4A | 21 | 917-918 | T43624S | 21 | 922-923 | T45511D | 23 | 949-950 | ||
T421X4D | 23 | 949-950 | T43625A | 15 | 793 | T45511S | 21 | 922-923 | ||
T421X4S | 21 | 922-923 | T43625A | 21 | 917-918 | T45512A | 21 | 917-918 | ||
T421X5A | 15 | 793 | T43625D | 23 | 949-950 | T45512D | 23 | 949-950 | ||
T421X5A | 21 | 917-918 | T43625S | 21 | 922-923 | T45512S | 21 | 922-923 | ||
T421X5D | 23 | 949-950 | T43626A | 23 | 951 | T45513A | 21 | 917-918 | ||
T421X5S | 21 | 922-923 | T43626D | 23 | 949-950 | T45513D | 23 | 949-950 | ||
T421X6A | 23 | 951 | T43626S | 23 | 949-950 | T45513S | 21 | 922-923 | ||
T421X6D | 23 | 949-950 | T43631A | 21 | 917-918 | T45514A | 21 | 917-918 | ||
T421X6S | 23 | 949-950 | T43631D | 23 | 949-950 | T45514D | 23 | 949-950 | ||
T422X1A | 21 | 917-918 | T43631S | 21 | 922-923 | T45514S | 21 | 922-923 | ||
T422X1D | 23 | 949-950 | T43632A | 21 | 917-918 | T45515A | 15 | 793 | ||
T422X1S | 21 | 922-923 | T43632D | 23 | 949-950 | T45515A | 21 | 917-918 | ||
T422X2A | 21 | 917-918 | T43632S | 21 | 922-923 | T45515D | 23 | 949-950 | ||
T422X2D | 23 | 949-950 | T43633A | 21 | 917-918 | T45515S | 21 | 922-923 | ||
T422X2S | 21 | 922-923 | T43633D | 23 | 949-950 | T45516A | 23 | 951 | ||
T422X3A | 21 | 917-918 | T43633S | 21 | 922-923 | T45516D | 23 | 949-950 | ||
T422X3D | 23 | 949-950 | T43634A | 21 | 917-918 | T45516S | 23 | 949-950 | ||
T422X3S | 21 | 922-923 | T43634D | 23 | 949-950 | T45521A | 21 | 917-918 | ||
T422X4A | 21 | 917-918 | T43634S | 21 | 922-923 | T45521D | 23 | 949-950 | ||
T422X4D | 23 | 949-950 | T43635A | 15 | 793 | T45521S | 21 | 922-923 | ||
T422X4S | 21 | 922-923 | T43635A | 21 | 917-918 | T45522A | 21 | 917-918 | ||
T422X5A | 15 | 793 | T43635D | 23 | 949-950 | T45522D | 23 | 949-950 | ||
T422X5A | 21 | 917-918 | T43635S | 21 | 922-923 | T45522S | 21 | 922-923 | ||
T422X5D | 23 | 949-950 | T43636A | 23 | 951 | T45523A | 21 | 917-918 | ||
T422X5S | 21 | 922-923 | T43636D | 23 | 949-950 | T45523D | 23 | 949-950 | ||
T422X6A | 23 | 951 | T43636S | 23 | 949-950 | T45523S | 21 | 922-923 | ||
T422X6D | 23 | 949-950 | T43641A | 21 | 917-918 | T45524A | 21 | 917-918 | ||
T422X6S | 23 | 949-950 | T43641D | 23 | 949-950 | T45524D | 23 | 949-950 | ||
T423X1A | 21 | 917-918 | T43641S | 21 | 922-923 | T45524S | 21 | 922-923 | ||
T423X1D | 23 | 949-950 | T43642A | 21 | 917-918 | T45525A | 15 | 793 | ||
T423X1S | 21 | 922-923 | T43642D | 23 | 949-950 | T45525A | 21 | 917-918 | ||
T423X2A | 21 | 917-918 | T43642S | 21 | 922-923 | T45525D | 23 | 949-950 | ||
T423X2D | 23 | 949-950 | T43643A | 21 | 917-918 | T45525S | 21 | 922-923 | ||
T423X2S | 21 | 922-923 | T43643D | 23 | 949-950 | T45526A | 23 | 951 | ||
T423X3A | 21 | 917-918 | T43643S | 21 | 922-923 | T45526D | 23 | 949-950 | ||
T423X3D | 23 | 949-950 | T43644A | 21 | 917-918 | T45526S | 23 | 949-950 | ||
T423X3S | 21 | 922-923 | T43644D | 23 | 949-950 | T45601A | 21 | 917-918 | ||
T423X4A | 21 | 917-918 | T43644S | 21 | 922-923 | T45601D | 23 | 949-950 | ||
T423X4D | 23 | 949-950 | T43691A | 21 | 917-918 | T45601S | 21 | 922-923 | ||
T423X4S | 21 | 922-923 | T43691D | 23 | 949-950 | T45602A | 21 | 917-918 | ||
T423X5A | 15 | 793 | T43691S | 21 | 922-923 | T45602D | 23 | 949-950 | ||
T423X5A | 21 | 917-918 | T43692A | 21 | 917-918 | T45602S | 21 | 922-923 | ||
T423X5D | 23 | 949-950 | T43692D | 23 | 949-950 | T45603A | 21 | 917-918 | ||
T423X5S | 21 | 922-923 | T43692S | 21 | 922-923 | T45603D | 23 | 949-950 | ||
T423X6A | 23 | 951 | T43693A | 21 | 917-918 | T45603S | 21 | 922-923 | ||
T423X6D | 23 | 949-950 | T43693D | 23 | 949-950 | T45604A | 21 | 917-918 | ||
T423X6S | 23 | 949-950 | T43693S | 21 | 922-923 | T45604D | 23 | 949-950 | ||
T424X1A | 21 | 917-918 | T43694A | 21 | 917-918 | T45604S | 21 | 922-923 | ||
T424X1D | 23 | 949-950 | T43694D | 23 | 949-950 | T45605A | 15 | 793 | ||
T424X1S | 21 | 922-923 | T43694S | 21 | 922-923 | T45605A | 21 | 917-918 | ||
T424X2A | 21 | 917-918 | T43695A | 15 | 793 | T45605D | 23 | 949-950 | ||
T424X2D | 23 | 949-950 | T43695A | 21 | 917-918 | T45605S | 21 | 922-923 | ||
T424X2S | 21 | 922-923 | T43695D | 23 | 949-950 | T45606A | 23 | 951 | ||
T424X3A | 21 | 917-918 | T43695S | 21 | 922-923 | T45606D | 23 | 949-950 | ||
T424X3D | 23 | 949-950 | T43696A | 23 | 951 | T45606S | 23 | 949-950 | ||
T424X3S | 21 | 922-923 | T43696D | 23 | 949-950 | T45611A | 21 | 917-918 | ||
T424X4A | 21 | 917-918 | T43696S | 23 | 949-950 | T45611D | 23 | 949-950 | ||
T424X4D | 23 | 949-950 | T438X1A | 21 | 917-918 | T45611S | 21 | 922-923 | ||
T424X4S | 21 | 922-923 | T438X1D | 23 | 949-950 | T45612A | 21 | 917-918 | ||
T424X5A | 15 | 793 | T438X1S | 21 | 922-923 | T45612D | 23 | 949-950 | ||
T424X5A | 21 | 917-918 | T438X2A | 21 | 917-918 | T45612S | 21 | 922-923 | ||
T424X5D | 23 | 949-950 | T438X2D | 23 | 949-950 | T45613A | 21 | 917-918 | ||
T424X5S | 21 | 922-923 | T438X2S | 21 | 922-923 | T45613D | 23 | 949-950 | ||
T424X6A | 23 | 951 | T438X3A | 21 | 917-918 | T45613S | 21 | 922-923 | ||
T424X6D | 23 | 949-950 | T438X3D | 23 | 949-950 | T45614A | 21 | 917-918 | ||
T424X6S | 23 | 949-950 | T438X3S | 21 | 922-923 | T45614D | 23 | 949-950 | ||
T425X1A | 21 | 917-918 | T438X4A | 21 | 917-918 | T45614S | 21 | 922-923 | ||
T425X1D | 23 | 949-950 | T438X4D | 23 | 949-950 | T45615A | 15 | 793 | ||
T425X1S | 21 | 922-923 | T438X4S | 21 | 922-923 | T45615A | 21 | 917-918 | ||
T425X2A | 21 | 917-918 | T438X5A | 15 | 793 | T45615D | 23 | 949-950 | ||
T425X2D | 23 | 949-950 | T438X5A | 21 | 917-918 | T45615S | 21 | 922-923 | ||
T425X2S | 21 | 922-923 | T438X5D | 23 | 949-950 | T45616A | 23 | 951 | ||
T425X3A | 21 | 917-918 | T438X5S | 21 | 922-923 | T45616D | 23 | 949-950 | ||
T425X3D | 23 | 949-950 | T438X6A | 23 | 951 | T45616S | 23 | 949-950 | ||
T425X3S | 21 | 922-923 | T438X6D | 23 | 949-950 | T45621A | 21 | 917-918 | ||
T425X4A | 21 | 917-918 | T438X6S | 23 | 949-950 | T45621D | 23 | 949-950 | ||
T425X4D | 23 | 949-950 | T4391XA | 21 | 917-918 | T45621S | 21 | 922-923 | ||
T425X4S | 21 | 922-923 | T4391XD | 23 | 949-950 | T45622A | 21 | 917-918 | ||
T425X5A | 15 | 793 | T4391XS | 21 | 922-923 | T45622D | 23 | 949-950 | ||
T425X5A | 21 | 917-918 | T4392XA | 21 | 917-918 | T45622S | 21 | 922-923 | ||
T425X5D | 23 | 949-950 | T4392XD | 23 | 949-950 | T45623A | 21 | 917-918 | ||
T425X5S | 21 | 922-923 | T4392XS | 21 | 922-923 | T45623D | 23 | 949-950 | ||
T425X6A | 23 | 951 | T4393XA | 21 | 917-918 | T45623S | 21 | 922-923 | ||
T425X6D | 23 | 949-950 | T4393XD | 23 | 949-950 | T45624A | 21 | 917-918 | ||
T425X6S | 23 | 949-950 | T4393XS | 21 | 922-923 | T45624D | 23 | 949-950 | ||
T426X1A | 21 | 917-918 | T4394XA | 21 | 917-918 | T45624S | 21 | 922-923 | ||
T426X1D | 23 | 949-950 | T4394XD | 23 | 949-950 | T45625A | 15 | 793 | ||
T426X1S | 21 | 922-923 | T4394XS | 21 | 922-923 | T45625A | 21 | 917-918 | ||
T426X2A | 21 | 917-918 | T4395XA | 15 | 793 | T45625D | 23 | 949-950 | ||
T426X2D | 23 | 949-950 | T4395XA | 21 | 917-918 | T45625S | 21 | 922-923 | ||
T426X2S | 21 | 922-923 | T4395XD | 23 | 949-950 | T45626A | 23 | 951 | ||
T426X3A | 21 | 917-918 | T4395XS | 21 | 922-923 | T45626D | 23 | 949-950 | ||
T426X3D | 23 | 949-950 | T4396XA | 23 | 951 | T45626S | 23 | 949-950 | ||
T426X3S | 21 | 922-923 | T4396XD | 23 | 949-950 | T45691A | 21 | 917-918 | ||
T426X4A | 21 | 917-918 | T4396XS | 23 | 949-950 | T45691D | 23 | 949-950 | ||
T426X4D | 23 | 949-950 | T440X1A | 21 | 917-918 | T45691S | 21 | 922-923 | ||
T426X4S | 21 | 922-923 | T440X1D | 23 | 949-950 | T45692A | 21 | 917-918 | ||
T426X5A | 15 | 793 | T440X1S | 21 | 922-923 | T45692D | 23 | 949-950 | ||
T426X5A | 21 | 917-918 | T440X2A | 21 | 917-918 | T45692S | 21 | 922-923 | ||
T426X5D | 23 | 949-950 | T440X2D | 23 | 949-950 | T45693A | 21 | 917-918 | ||
T426X5S | 21 | 922-923 | T440X2S | 21 | 922-923 | T45693D | 23 | 949-950 | ||
T426X6A | 23 | 951 | T440X3A | 21 | 917-918 | T45693S | 21 | 922-923 | ||
T426X6D | 23 | 949-950 | T440X3D | 23 | 949-950 | T45694A | 21 | 917-918 | ||
T426X6S | 23 | 949-950 | T440X3S | 21 | 922-923 | T45694D | 23 | 949-950 | ||
T4271XA | 21 | 917-918 | T440X4A | 21 | 917-918 | T45694S | 21 | 922-923 | ||
T4271XD | 23 | 949-950 | T440X4D | 23 | 949-950 | T45695A | 15 | 793 | ||
T4271XS | 21 | 922-923 | T440X4S | 21 | 922-923 | T45695A | 21 | 917-918 | ||
T4272XA | 21 | 917-918 | T440X5A | 15 | 793 | T45695D | 23 | 949-950 | ||
T4272XD | 23 | 949-950 | T440X5A | 21 | 917-918 | T45695S | 21 | 922-923 | ||
T4272XS | 21 | 922-923 | T440X5D | 23 | 949-950 | T45696A | 23 | 951 | ||
T4273XA | 21 | 917-918 | T440X5S | 21 | 922-923 | T45696D | 23 | 949-950 | ||
T4273XD | 23 | 949-950 | T440X6A | 23 | 951 | T45696S | 23 | 949-950 | ||
T4273XS | 21 | 922-923 | T440X6D | 23 | 949-950 | T457X1A | 21 | 917-918 | ||
T4274XA | 21 | 917-918 | T440X6S | 23 | 949-950 | T457X1D | 23 | 949-950 | ||
T4274XD | 23 | 949-950 | T441X1A | 21 | 917-918 | T457X1S | 21 | 922-923 | ||
T4274XS | 21 | 922-923 | T441X1D | 23 | 949-950 | T457X2A | 21 | 917-918 | ||
T4275XA | 15 | 793 | T441X1S | 21 | 922-923 | T457X2D | 23 | 949-950 | ||
T4275XA | 21 | 917-918 | T441X2A | 21 | 917-918 | T457X2S | 21 | 922-923 | ||
T4275XD | 23 | 949-950 | T441X2D | 23 | 949-950 | T457X3A | 21 | 917-918 | ||
T4275XS | 21 | 922-923 | T441X2S | 21 | 922-923 | T457X3D | 23 | 949-950 | ||
T4276XA | 23 | 951 | T441X3A | 21 | 917-918 | T457X3S | 21 | 922-923 | ||
T4276XD | 23 | 949-950 | T441X3D | 23 | 949-950 | T457X4A | 21 | 917-918 | ||
T4276XS | 23 | 949-950 | T441X3S | 21 | 922-923 | T457X4D | 23 | 949-950 | ||
T428X1A | 21 | 917-918 | T441X4A | 21 | 917-918 | T457X4S | 21 | 922-923 | ||
T428X1D | 23 | 949-950 | T441X4D | 23 | 949-950 | T457X5A | 15 | 793 | ||
T428X1S | 21 | 922-923 | T441X4S | 21 | 922-923 | T457X5A | 21 | 917-918 | ||
T428X2A | 21 | 917-918 | T441X5A | 15 | 793 | T457X5D | 23 | 949-950 | ||
T428X2D | 23 | 949-950 | T441X5A | 21 | 917-918 | T457X5S | 21 | 922-923 | ||
T428X2S | 21 | 922-923 | T441X5D | 23 | 949-950 | T457X6A | 23 | 951 | ||
T428X3A | 21 | 917-918 | T441X5S | 21 | 922-923 | T457X6D | 23 | 949-950 | ||
T428X3D | 23 | 949-950 | T441X6A | 23 | 951 | T457X6S | 23 | 949-950 | ||
T428X3S | 21 | 922-923 | T441X6D | 23 | 949-950 | T458X1A | 21 | 917-918 | ||
T428X4A | 21 | 917-918 | T441X6S | 23 | 949-950 | T458X1D | 23 | 949-950 | ||
T428X4D | 23 | 949-950 | T442X1A | 21 | 917-918 | T458X1S | 21 | 922-923 | ||
T428X4S | 21 | 922-923 | T442X1D | 23 | 949-950 | T458X2A | 21 | 917-918 | ||
T428X5A | 15 | 793 | T442X1S | 21 | 922-923 | T458X2D | 23 | 949-950 | ||
T428X5A | 21 | 917-918 | T442X2A | 21 | 917-918 | T458X2S | 21 | 922-923 | ||
T428X5D | 23 | 949-950 | T442X2D | 23 | 949-950 | T458X3A | 21 | 917-918 | ||
T428X5S | 21 | 922-923 | T442X2S | 21 | 922-923 | T458X3D | 23 | 949-950 | ||
T428X6A | 23 | 951 | T442X3A | 21 | 917-918 | T458X3S | 21 | 922-923 | ||
T428X6D | 23 | 949-950 | T442X3D | 23 | 949-950 | T458X4A | 21 | 917-918 | ||
T428X6S | 23 | 949-950 | T442X3S | 21 | 922-923 | T458X4D | 23 | 949-950 | ||
T43011A | 21 | 917-918 | T442X4A | 21 | 917-918 | T458X4S | 21 | 922-923 | ||
T43011D | 23 | 949-950 | T442X4D | 23 | 949-950 | T458X5A | 15 | 793 | ||
T43011S | 21 | 922-923 | T442X4S | 21 | 922-923 | T458X5A | 21 | 917-918 | ||
T43012A | 21 | 917-918 | T442X5A | 15 | 793 | T458X5D | 23 | 949-950 | ||
T43012D | 23 | 949-950 | T442X5A | 21 | 917-918 | T458X5S | 21 | 922-923 | ||
T43012S | 21 | 922-923 | T442X5D | 23 | 949-950 | T458X6A | 23 | 951 | ||
T43013A | 21 | 917-918 | T442X5S | 21 | 922-923 | T458X6D | 23 | 949-950 | ||
T43013D | 23 | 949-950 | T442X6A | 23 | 951 | T458X6S | 23 | 949-950 | ||
T43013S | 21 | 922-923 | T442X6D | 23 | 949-950 | T4591XA | 21 | 917-918 | ||
T43014A | 21 | 917-918 | T442X6S | 23 | 949-950 | T4591XD | 23 | 949-950 | ||
T43014D | 23 | 949-950 | T443X1A | 21 | 917-918 | T4591XS | 21 | 922-923 | ||
T43014S | 21 | 922-923 | T443X1D | 23 | 949-950 | T4592XA | 21 | 917-918 | ||
T43015A | 15 | 793 | T443X1S | 21 | 922-923 | T4592XD | 23 | 949-950 | ||
T43015A | 21 | 917-918 | T443X2A | 21 | 917-918 | T4592XS | 21 | 922-923 | ||
T43015D | 23 | 949-950 | T443X2D | 23 | 949-950 | T4593XA | 21 | 917-918 | ||
T43015S | 21 | 922-923 | T443X2S | 21 | 922-923 | T4593XD | 23 | 949-950 | ||
T43016A | 23 | 951 | T443X3A | 21 | 917-918 | T4593XS | 21 | 922-923 | ||
T43016D | 23 | 949-950 | T443X3D | 23 | 949-950 | T4594XA | 21 | 917-918 | ||
T43016S | 23 | 949-950 | T443X3S | 21 | 922-923 | T4594XD | 23 | 949-950 | ||
T43021A | 21 | 917-918 | T443X4A | 21 | 917-918 | T4594XS | 21 | 922-923 | ||
T43021D | 23 | 949-950 | T443X4D | 23 | 949-950 | T4595XA | 15 | 793 | ||
T43021S | 21 | 922-923 | T443X4S | 21 | 922-923 | T4595XA | 21 | 917-918 | ||
T43022A | 21 | 917-918 | T443X5A | 15 | 793 | T4595XD | 23 | 949-950 | ||
T43022D | 23 | 949-950 | T443X5A | 21 | 917-918 | T4595XS | 21 | 922-923 | ||
T43022S | 21 | 922-923 | T443X5D | 23 | 949-950 | T4596XA | 23 | 951 | ||
T43023A | 21 | 917-918 | T443X5S | 21 | 922-923 | T4596XD | 23 | 949-950 | ||
T43023D | 23 | 949-950 | T443X6A | 23 | 951 | T4596XS | 23 | 949-950 | ||
T43023S | 21 | 922-923 | T443X6D | 23 | 949-950 | T460X1A | 21 | 917-918 | ||
T43024A | 21 | 917-918 | T443X6S | 23 | 949-950 | T460X1D | 23 | 949-950 | ||
T43024D | 23 | 949-950 | T444X1A | 21 | 917-918 | T460X1S | 21 | 922-923 | ||
T43024S | 21 | 922-923 | T444X1D | 23 | 949-950 | T460X2A | 21 | 917-918 | ||
T43025A | 15 | 793 | T444X1S | 21 | 922-923 | T460X2D | 23 | 949-950 | ||
T43025A | 21 | 917-918 | T444X2A | 21 | 917-918 | T460X2S | 21 | 922-923 | ||
T43025D | 23 | 949-950 | T444X2D | 23 | 949-950 | T460X3A | 21 | 917-918 | ||
T43025S | 21 | 922-923 | T444X2S | 21 | 922-923 | T460X3D | 23 | 949-950 | ||
T43026A | 23 | 951 | T444X3A | 21 | 917-918 | T460X3S | 21 | 922-923 | ||
T43026D | 23 | 949-950 | T444X3D | 23 | 949-950 | T460X4A | 21 | 917-918 | ||
T43026S | 23 | 949-950 | T444X3S | 21 | 922-923 | T460X4D | 23 | 949-950 | ||
T431X1A | 21 | 917-918 | T444X4A | 21 | 917-918 | T460X4S | 21 | 922-923 | ||
T431X1D | 23 | 949-950 | T444X4D | 23 | 949-950 | T460X5A | 15 | 793 | ||
T431X1S | 21 | 922-923 | T444X4S | 21 | 922-923 | T460X5A | 21 | 917-918 | ||
T431X2A | 21 | 917-918 | T444X5A | 15 | 793 | T460X5D | 23 | 949-950 | ||
T431X2D | 23 | 949-950 | T444X5A | 21 | 917-918 | T460X5S | 21 | 922-923 | ||
T431X2S | 21 | 922-923 | T444X5D | 23 | 949-950 | T460X6A | 23 | 951 | ||
T431X3A | 21 | 917-918 | T444X5S | 21 | 922-923 | T460X6D | 23 | 949-950 | ||
T431X3D | 23 | 949-950 | T444X6A | 23 | 951 | T460X6S | 23 | 949-950 | ||
T431X3S | 21 | 922-923 | T444X6D | 23 | 949-950 | T461X1A | 21 | 917-918 | ||
T431X4A | 21 | 917-918 | T444X6S | 23 | 949-950 | T461X1D | 23 | 949-950 | ||
T431X4D | 23 | 949-950 | T445X1A | 21 | 917-918 | T461X1S | 21 | 922-923 | ||
T431X4S | 21 | 922-923 | T445X1D | 23 | 949-950 | T461X2A | 21 | 917-918 | ||
T431X5A | 15 | 793 | T445X1S | 21 | 922-923 | T461X2D | 23 | 949-950 | ||
T431X5A | 21 | 917-918 | T445X2A | 21 | 917-918 | T461X2S | 21 | 922-923 | ||
T431X5D | 23 | 949-950 | T445X2D | 23 | 949-950 | T461X3A | 21 | 917-918 | ||
T431X5S | 21 | 922-923 | T445X2S | 21 | 922-923 | T461X3D | 23 | 949-950 | ||
T431X6A | 23 | 951 | T445X3A | 21 | 917-918 | T461X3S | 21 | 922-923 | ||
T431X6D | 23 | 949-950 | T445X3D | 23 | 949-950 | T461X4A | 21 | 917-918 | ||
T431X6S | 23 | 949-950 | T445X3S | 21 | 922-923 | T461X4D | 23 | 949-950 | ||
T43201A | 21 | 917-918 | T445X4A | 21 | 917-918 | T461X4S | 21 | 922-923 | ||
T43201D | 23 | 949-950 | T445X4D | 23 | 949-950 | T461X5A | 15 | 793 | ||
T43201S | 21 | 922-923 | T445X4S | 21 | 922-923 | T461X5A | 21 | 917-918 | ||
T43202A | 21 | 917-918 | T445X5A | 15 | 793 | T461X5D | 23 | 949-950 | ||
T43202D | 23 | 949-950 | T445X5A | 21 | 917-918 | T461X5S | 21 | 922-923 | ||
T43202S | 21 | 922-923 | T445X5D | 23 | 949-950 | T461X6A | 23 | 951 | ||
T43203A | 21 | 917-918 | T445X5S | 21 | 922-923 | T461X6D | 23 | 949-950 | ||
T43203D | 23 | 949-950 | T445X6A | 23 | 951 | T461X6S | 23 | 949-950 | ||
T43203S | 21 | 922-923 | T445X6D | 23 | 949-950 | T462X1A | 21 | 917-918 | ||
T43204A | 21 | 917-918 | T445X6S | 23 | 949-950 | T462X1D | 23 | 949-950 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 04 Oct 2018 16:21:08 CMS, code-revision=145, description-revision=1114 |