ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 28 of 72 |
A000 B309 C601 C8445 D3142 E103293 E881 G4453 H15109 H40819 H90A12 I6381 J029 K50918 L509 M02822 M1A3190 M4205 M67841 M84461D M8719 N4231 O2330 O354XX1 O418X92 O99612 Q51818 R627 S0211FB S06336D S12191G S20301D S24101D S31123D S32451A S36430D S42019D S42413D S45899S S52026H S52261K S52513Q S55112S S59902A S61326A S62291G S62636D S63431S S66327S S72019D S72133G S72366K S73129A S81059D S82153F S82434H S82875K S86329A S91124S S92241D S93429D S99209P T22311A T24292S T365X6D T4276XA T474X3S T543X4S T653X1S T82199D T86849 Z8545 |
DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
---|---|---|---|---|---|---|---|---|---|---|
R627 | 10 | 640-641 | S0030XD | 23 | 949-950 | S01319D | 23 | 949-950 | ||
R630 | 10 | 640-641 | S0030XS | 09 | 604-605 | S01319S | 09 | 604-605 | ||
R631 | 10 | 640-641 | S0031XA | 09 | 604-605 | S01321A | 03 | 154-156 | ||
R632 | 10 | 640-641 | S0031XA | 24 | 955-965 | S01321A | 24 | 955-965 | ||
R633 | 10 | 640-641 | S0031XD | 23 | 949-950 | S01321D | 23 | 949-950 | ||
R634 | 10 | 640-641 | S0031XS | 09 | 604-605 | S01321S | 09 | 604-605 | ||
R635 | 10 | 640-641 | S0032XA | 09 | 606-607 | S01322A | 03 | 154-156 | ||
R636 | 10 | 640-641 | S0032XA | 24 | 955-965 | S01322A | 24 | 955-965 | ||
R638 | 10 | 640-641 | S0032XD | 23 | 949-950 | S01322D | 23 | 949-950 | ||
R64 | 23 | 947-948 | S0032XS | 09 | 604-605 | S01322S | 09 | 604-605 | ||
R6510 | 18 | 864 | S0033XA | 09 | 604-605 | S01329A | 03 | 154-156 | ||
R6511 | 18 | 864 | S0033XA | 24 | 955-965 | S01329A | 24 | 955-965 | ||
R6520 | 18 | 870-872 | S0033XD | 23 | 949-950 | S01329D | 23 | 949-950 | ||
R6521 | 18 | 870-872 | S0033XS | 09 | 604-605 | S01329S | 09 | 604-605 | ||
R680 | 23 | 947-948 | S0034XA | 09 | 604-605 | S01331A | 03 | 154-156 | ||
R6811 | 23 | 947-948 | S0034XA | 24 | 955-965 | S01331A | 24 | 955-965 | ||
R6812 | 23 | 947-948 | S0034XD | 23 | 949-950 | S01331D | 23 | 949-950 | ||
R6813 | 23 | 951 | S0034XS | 09 | 604-605 | S01331S | 09 | 604-605 | ||
R6819 | 23 | 951 | S0035XA | 09 | 604-605 | S01332A | 03 | 154-156 | ||
R682 | Pre | 011-013 | S0035XA | 24 | 955-965 | S01332A | 24 | 955-965 | ||
R682 | 03 | 154-156 | S0035XD | 23 | 949-950 | S01332D | 23 | 949-950 | ||
R683 | 04 | 205-206 | S0035XS | 09 | 604-605 | S01332S | 09 | 604-605 | ||
R6881 | 23 | 947-948 | S0036XA | 09 | 606-607 | S01339A | 03 | 154-156 | ||
R6882 | 23 | 951 | S0036XA | 24 | 955-965 | S01339A | 24 | 955-965 | ||
R6883 | 23 | 947-948 | S0036XD | 23 | 949-950 | S01339D | 23 | 949-950 | ||
R6884 | Pre | 011-013 | S0036XS | 09 | 604-605 | S01339S | 09 | 604-605 | ||
R6884 | 03 | 157-159 | S0037XA | 09 | 604-605 | S01341A | 03 | 154-156 | ||
R6889 | 23 | 947-948 | S0037XA | 24 | 955-965 | S01341A | 24 | 955-965 | ||
R69 | 23 | 951 | S0037XD | 23 | 949-950 | S01341D | 23 | 949-950 | ||
R700 | 23 | 947-948 | S0037XS | 09 | 604-605 | S01341S | 09 | 604-605 | ||
R701 | 23 | 947-948 | S00401A | 09 | 604-605 | S01342A | 03 | 154-156 | ||
R710 | 16 | 811-812 | S00401A | 24 | 955-965 | S01342A | 24 | 955-965 | ||
R718 | 16 | 811-812 | S00401D | 23 | 949-950 | S01342D | 23 | 949-950 | ||
R7301 | 10 | 640-641 | S00401S | 09 | 604-605 | S01342S | 09 | 604-605 | ||
R7302 | 10 | 640-641 | S00402A | 09 | 604-605 | S01349A | 03 | 154-156 | ||
R7303 | 10 | 640-641 | S00402A | 24 | 955-965 | S01349A | 24 | 955-965 | ||
R7309 | 10 | 640-641 | S00402D | 23 | 949-950 | S01349D | 23 | 949-950 | ||
R739 | 10 | 640-641 | S00402S | 09 | 604-605 | S01349S | 09 | 604-605 | ||
R740 | 23 | 947-948 | S00409A | 09 | 604-605 | S01351A | 03 | 154-156 | ||
R748 | 23 | 947-948 | S00409A | 24 | 955-965 | S01351A | 24 | 955-965 | ||
R749 | 23 | 947-948 | S00409D | 23 | 949-950 | S01351D | 23 | 949-950 | ||
R75 | 16 | 814-816 | S00409S | 09 | 604-605 | S01351S | 09 | 604-605 | ||
R760 | 16 | 814-816 | S00411A | 09 | 604-605 | S01352A | 03 | 154-156 | ||
R7611 | 04 | 177-179 | S00411A | 24 | 955-965 | S01352A | 24 | 955-965 | ||
R7612 | 04 | 177-179 | S00411D | 23 | 949-950 | S01352D | 23 | 949-950 | ||
R768 | 16 | 814-816 | S00411S | 09 | 604-605 | S01352S | 09 | 604-605 | ||
R769 | 16 | 814-816 | S00412A | 09 | 604-605 | S01359A | 03 | 154-156 | ||
R770 | 23 | 947-948 | S00412A | 24 | 955-965 | S01359A | 24 | 955-965 | ||
R771 | 23 | 947-948 | S00412D | 23 | 949-950 | S01359D | 23 | 949-950 | ||
R772 | 23 | 947-948 | S00412S | 09 | 604-605 | S01359S | 09 | 604-605 | ||
R778 | 23 | 947-948 | S00419A | 09 | 604-605 | S01401A | Pre | 011-013 | ||
R779 | 23 | 947-948 | S00419A | 24 | 955-965 | S01401A | 09 | 604-605 | ||
R780 | 20 | 894-897 | S00419D | 23 | 949-950 | S01401A | 24 | 955-965 | ||
R781 | 23 | 947-948 | S00419S | 09 | 604-605 | S01401D | 23 | 949-950 | ||
R782 | 23 | 947-948 | S00421A | 09 | 606-607 | S01401S | 09 | 604-605 | ||
R783 | 23 | 947-948 | S00421A | 24 | 955-965 | S01402A | Pre | 011-013 | ||
R784 | 23 | 947-948 | S00421D | 23 | 949-950 | S01402A | 09 | 604-605 | ||
R785 | 23 | 947-948 | S00421S | 09 | 604-605 | S01402A | 24 | 955-965 | ||
R786 | 23 | 947-948 | S00422A | 09 | 606-607 | S01402D | 23 | 949-950 | ||
R7871 | 23 | 947-948 | S00422A | 24 | 955-965 | S01402S | 09 | 604-605 | ||
R7879 | 23 | 947-948 | S00422D | 23 | 949-950 | S01409A | Pre | 011-013 | ||
R7881 | 15 | 791 | S00422S | 09 | 604-605 | S01409A | 09 | 604-605 | ||
R7881 | 15 | 793 | S00429A | 09 | 606-607 | S01409A | 24 | 955-965 | ||
R7881 | 18 | 870-872 | S00429A | 24 | 955-965 | S01409D | 23 | 949-950 | ||
R7889 | 23 | 947-948 | S00429D | 23 | 949-950 | S01409S | 09 | 604-605 | ||
R789 | 23 | 947-948 | S00429S | 09 | 604-605 | S01411A | Pre | 011-013 | ||
R790 | 23 | 947-948 | S00431A | 09 | 604-605 | S01411A | 09 | 604-605 | ||
R791 | 23 | 947-948 | S00431A | 24 | 955-965 | S01411A | 24 | 955-965 | ||
R7981 | 23 | 947-948 | S00431D | 23 | 949-950 | S01411D | 23 | 949-950 | ||
R7982 | 23 | 947-948 | S00431S | 09 | 604-605 | S01411S | 09 | 604-605 | ||
R7989 | 23 | 947-948 | S00432A | 09 | 604-605 | S01412A | Pre | 011-013 | ||
R799 | 23 | 947-948 | S00432A | 24 | 955-965 | S01412A | 09 | 604-605 | ||
R800 | 11 | 695-696 | S00432D | 23 | 949-950 | S01412A | 24 | 955-965 | ||
R801 | 11 | 695-696 | S00432S | 09 | 604-605 | S01412D | 23 | 949-950 | ||
R802 | 11 | 698-700 | S00439A | 09 | 604-605 | S01412S | 09 | 604-605 | ||
R803 | 11 | 695-696 | S00439A | 24 | 955-965 | S01419A | Pre | 011-013 | ||
R808 | 11 | 695-696 | S00439D | 23 | 949-950 | S01419A | 09 | 604-605 | ||
R809 | 11 | 695-696 | S00439S | 09 | 604-605 | S01419A | 24 | 955-965 | ||
R81 | 10 | 637-639 | S00441A | 09 | 604-605 | S01419D | 23 | 949-950 | ||
R820 | 11 | 695-696 | S00441A | 24 | 955-965 | S01419S | 09 | 604-605 | ||
R820 | 15 | 791 | S00441D | 23 | 949-950 | S01421A | Pre | 011-013 | ||
R820 | 15 | 793 | S00441S | 09 | 604-605 | S01421A | 09 | 604-605 | ||
R821 | 23 | 947-948 | S00442A | 09 | 604-605 | S01421A | 24 | 955-965 | ||
R822 | 07 | 441-443 | S00442A | 24 | 955-965 | S01421D | 23 | 949-950 | ||
R823 | 11 | 695-696 | S00442D | 23 | 949-950 | S01421S | 09 | 604-605 | ||
R824 | 10 | 640-641 | S00442S | 09 | 604-605 | S01422A | Pre | 011-013 | ||
R825 | 11 | 695-696 | S00449A | 09 | 604-605 | S01422A | 09 | 604-605 | ||
R826 | 11 | 695-696 | S00449A | 24 | 955-965 | S01422A | 24 | 955-965 | ||
R8271 | 11 | 695-696 | S00449D | 23 | 949-950 | S01422D | 23 | 949-950 | ||
R8279 | 11 | 695-696 | S00449S | 09 | 604-605 | S01422S | 09 | 604-605 | ||
R8281 | 11 | 695-696 | S00451A | 09 | 604-605 | S01429A | Pre | 011-013 | ||
R8289 | 11 | 695-696 | S00451A | 24 | 955-965 | S01429A | 09 | 604-605 | ||
R8290 | 11 | 695-696 | S00451D | 23 | 949-950 | S01429A | 24 | 955-965 | ||
R8291 | 11 | 695-696 | S00451S | 09 | 604-605 | S01429D | 23 | 949-950 | ||
R82991 | 11 | 695-696 | S00452A | 09 | 604-605 | S01429S | 09 | 604-605 | ||
R82992 | 11 | 695-696 | S00452A | 24 | 955-965 | S01431A | Pre | 011-013 | ||
R82993 | 11 | 695-696 | S00452D | 23 | 949-950 | S01431A | 09 | 604-605 | ||
R82994 | 11 | 695-696 | S00452S | 09 | 604-605 | S01431A | 24 | 955-965 | ||
R82998 | 11 | 695-696 | S00459A | 09 | 604-605 | S01431D | 23 | 949-950 | ||
R830 | 01 | 091-093 | S00459A | 24 | 955-965 | S01431S | 09 | 604-605 | ||
R831 | 01 | 091-093 | S00459D | 23 | 949-950 | S01432A | Pre | 011-013 | ||
R832 | 01 | 091-093 | S00459S | 09 | 604-605 | S01432A | 09 | 604-605 | ||
R833 | 01 | 091-093 | S00461A | 09 | 606-607 | S01432A | 24 | 955-965 | ||
R834 | 01 | 091-093 | S00461A | 24 | 955-965 | S01432D | 23 | 949-950 | ||
R835 | 01 | 091-093 | S00461D | 23 | 949-950 | S01432S | 09 | 604-605 | ||
R836 | 01 | 091-093 | S00461S | 09 | 604-605 | S01439A | Pre | 011-013 | ||
R838 | 01 | 091-093 | S00462A | 09 | 606-607 | S01439A | 09 | 604-605 | ||
R839 | 01 | 091-093 | S00462A | 24 | 955-965 | S01439A | 24 | 955-965 | ||
R840 | 23 | 947-948 | S00462D | 23 | 949-950 | S01439D | 23 | 949-950 | ||
R841 | 23 | 947-948 | S00462S | 09 | 604-605 | S01439S | 09 | 604-605 | ||
R842 | 23 | 947-948 | S00469A | 09 | 606-607 | S01441A | Pre | 011-013 | ||
R843 | 23 | 947-948 | S00469A | 24 | 955-965 | S01441A | 09 | 604-605 | ||
R844 | 23 | 947-948 | S00469D | 23 | 949-950 | S01441A | 24 | 955-965 | ||
R845 | 23 | 947-948 | S00469S | 09 | 604-605 | S01441D | 23 | 949-950 | ||
R846 | 23 | 947-948 | S00471A | 09 | 604-605 | S01441S | 09 | 604-605 | ||
R847 | 23 | 947-948 | S00471A | 24 | 955-965 | S01442A | Pre | 011-013 | ||
R848 | 23 | 947-948 | S00471D | 23 | 949-950 | S01442A | 09 | 604-605 | ||
R849 | 23 | 947-948 | S00471S | 09 | 604-605 | S01442A | 24 | 955-965 | ||
R850 | 23 | 947-948 | S00472A | 09 | 604-605 | S01442D | 23 | 949-950 | ||
R851 | 23 | 947-948 | S00472A | 24 | 955-965 | S01442S | 09 | 604-605 | ||
R852 | 23 | 947-948 | S00472D | 23 | 949-950 | S01449A | Pre | 011-013 | ||
R853 | 23 | 947-948 | S00472S | 09 | 604-605 | S01449A | 09 | 604-605 | ||
R854 | 23 | 947-948 | S00479A | 09 | 604-605 | S01449A | 24 | 955-965 | ||
R855 | 23 | 947-948 | S00479A | 24 | 955-965 | S01449D | 23 | 949-950 | ||
R85610 | 06 | 393-395 | S00479D | 23 | 949-950 | S01449S | 09 | 604-605 | ||
R85611 | 06 | 393-395 | S00479S | 09 | 604-605 | S01451A | Pre | 011-013 | ||
R85612 | 06 | 393-395 | S00501A | 09 | 604-605 | S01451A | 09 | 604-605 | ||
R85613 | 06 | 393-395 | S00501A | 24 | 955-965 | S01451A | 24 | 955-965 | ||
R85614 | 06 | 393-395 | S00501D | 23 | 949-950 | S01451D | 23 | 949-950 | ||
R85615 | 06 | 393-395 | S00501S | 09 | 604-605 | S01451S | 09 | 604-605 | ||
R85616 | 06 | 393-395 | S00502A | 09 | 604-605 | S01452A | Pre | 011-013 | ||
R85618 | 06 | 393-395 | S00502A | 24 | 955-965 | S01452A | 09 | 604-605 | ||
R85619 | 06 | 393-395 | S00502D | 23 | 949-950 | S01452A | 24 | 955-965 | ||
R8569 | 23 | 947-948 | S00502S | 09 | 604-605 | S01452D | 23 | 949-950 | ||
R857 | 23 | 947-948 | S00511A | 09 | 604-605 | S01452S | 09 | 604-605 | ||
R8581 | 06 | 393-395 | S00511A | 24 | 955-965 | S01459A | Pre | 011-013 | ||
R8582 | 06 | 393-395 | S00511D | 23 | 949-950 | S01459A | 09 | 604-605 | ||
R8589 | 23 | 947-948 | S00511S | 09 | 604-605 | S01459A | 24 | 955-965 | ||
R859 | 23 | 947-948 | S00512A | 09 | 604-605 | S01459D | 23 | 949-950 | ||
R860 | 12 | 729-730 | S00512A | 24 | 955-965 | S01459S | 09 | 604-605 | ||
R861 | 12 | 729-730 | S00512D | 23 | 949-950 | S01501A | Pre | 011-013 | ||
R862 | 12 | 729-730 | S00512S | 09 | 604-605 | S01501A | 03 | 157-159 | ||
R863 | 12 | 729-730 | S00521A | 09 | 606-607 | S01501A | 24 | 955-965 | ||
R864 | 12 | 729-730 | S00521A | 24 | 955-965 | S01501D | 23 | 949-950 | ||
R865 | 12 | 729-730 | S00521D | 23 | 949-950 | S01501S | 09 | 604-605 | ||
R866 | 12 | 729-730 | S00521S | 09 | 604-605 | S01502A | Pre | 011-013 | ||
R867 | 12 | 729-730 | S00522A | 09 | 606-607 | S01502A | 03 | 157-159 | ||
R868 | 12 | 729-730 | S00522A | 24 | 955-965 | S01502A | 24 | 955-965 | ||
R869 | 12 | 729-730 | S00522D | 23 | 949-950 | S01502D | 23 | 949-950 | ||
R870 | 23 | 947-948 | S00522S | 09 | 604-605 | S01502S | 09 | 604-605 | ||
R871 | 23 | 947-948 | S00531A | 09 | 604-605 | S01511A | Pre | 011-013 | ||
R872 | 23 | 947-948 | S00531A | 24 | 955-965 | S01511A | 03 | 157-159 | ||
R873 | 23 | 947-948 | S00531D | 23 | 949-950 | S01511A | 24 | 955-965 | ||
R874 | 23 | 947-948 | S00531S | 09 | 604-605 | S01511D | 23 | 949-950 | ||
R875 | 23 | 947-948 | S00532A | 09 | 604-605 | S01511S | 09 | 604-605 | ||
R87610 | 13 | 742-743 | S00532A | 24 | 955-965 | S01512A | Pre | 011-013 | ||
R87610 | 13 | 760-761 | S00532D | 23 | 949-950 | S01512A | 03 | 157-159 | ||
R87611 | 13 | 742-743 | S00532S | 09 | 604-605 | S01512A | 24 | 955-965 | ||
R87611 | 13 | 760-761 | S00541A | 09 | 604-605 | S01512D | 23 | 949-950 | ||
R87612 | 13 | 742-743 | S00541A | 24 | 955-965 | S01512S | 09 | 604-605 | ||
R87612 | 13 | 760-761 | S00541D | 23 | 949-950 | S01521A | Pre | 011-013 | ||
R87613 | 13 | 742-743 | S00541S | 09 | 604-605 | S01521A | 03 | 157-159 | ||
R87613 | 13 | 760-761 | S00542A | 09 | 604-605 | S01521A | 24 | 955-965 | ||
R87614 | 13 | 742-743 | S00542A | 24 | 955-965 | S01521D | 23 | 949-950 | ||
R87614 | 13 | 760-761 | S00542D | 23 | 949-950 | S01521S | 09 | 604-605 | ||
R87615 | 13 | 742-743 | S00542S | 09 | 604-605 | S01522A | Pre | 011-013 | ||
R87615 | 13 | 760-761 | S00551A | 09 | 604-605 | S01522A | 03 | 157-159 | ||
R87616 | 13 | 742-743 | S00551A | 24 | 955-965 | S01522A | 24 | 955-965 | ||
R87616 | 13 | 760-761 | S00551D | 23 | 949-950 | S01522D | 23 | 949-950 | ||
R87618 | 15 | 795 | S00551S | 09 | 604-605 | S01522S | 09 | 604-605 | ||
R87618 | 23 | 947-948 | S00552A | 09 | 604-605 | S01531A | Pre | 011-013 | ||
R87619 | 15 | 795 | S00552A | 24 | 955-965 | S01531A | 03 | 157-159 | ||
R87619 | 23 | 947-948 | S00552D | 23 | 949-950 | S01531A | 24 | 955-965 | ||
R87620 | 13 | 742-743 | S00552S | 09 | 604-605 | S01531D | 23 | 949-950 | ||
R87620 | 13 | 760-761 | S00561A | 09 | 606-607 | S01531S | 09 | 604-605 | ||
R87621 | 13 | 742-743 | S00561A | 24 | 955-965 | S01532A | Pre | 011-013 | ||
R87621 | 13 | 760-761 | S00561D | 23 | 949-950 | S01532A | 03 | 157-159 | ||
R87622 | 13 | 742-743 | S00561S | 09 | 604-605 | S01532A | 24 | 955-965 | ||
R87622 | 13 | 760-761 | S00562A | 09 | 606-607 | S01532D | 23 | 949-950 | ||
R87623 | 13 | 742-743 | S00562A | 24 | 955-965 | S01532S | 09 | 604-605 | ||
R87623 | 13 | 760-761 | S00562D | 23 | 949-950 | S01541A | Pre | 011-013 | ||
R87624 | 13 | 742-743 | S00562S | 09 | 604-605 | S01541A | 03 | 157-159 | ||
R87624 | 13 | 760-761 | S00571A | 09 | 604-605 | S01541A | 24 | 955-965 | ||
R87625 | 13 | 742-743 | S00571A | 24 | 955-965 | S01541D | 23 | 949-950 | ||
R87625 | 13 | 760-761 | S00571D | 23 | 949-950 | S01541S | 09 | 604-605 | ||
R87628 | 13 | 742-743 | S00571S | 09 | 604-605 | S01542A | Pre | 011-013 | ||
R87628 | 13 | 760-761 | S00572A | 09 | 604-605 | S01542A | 03 | 157-159 | ||
R87629 | 15 | 795 | S00572A | 24 | 955-965 | S01542A | 24 | 955-965 | ||
R87629 | 23 | 947-948 | S00572D | 23 | 949-950 | S01542D | 23 | 949-950 | ||
R8769 | 23 | 947-948 | S00572S | 09 | 604-605 | S01542S | 09 | 604-605 | ||
R877 | 23 | 947-948 | S0080XA | 09 | 604-605 | S01551A | Pre | 011-013 | ||
R87810 | 13 | 742-743 | S0080XA | 24 | 955-965 | S01551A | 03 | 157-159 | ||
R87810 | 13 | 760-761 | S0080XD | 23 | 949-950 | S01551A | 24 | 955-965 | ||
R87811 | 13 | 742-743 | S0080XS | 09 | 604-605 | S01551D | 23 | 949-950 | ||
R87811 | 13 | 760-761 | S0081XA | 09 | 604-605 | S01551S | 09 | 604-605 | ||
R87820 | 13 | 742-743 | S0081XA | 24 | 955-965 | S01552A | Pre | 011-013 | ||
R87820 | 13 | 760-761 | S0081XD | 23 | 949-950 | S01552A | 03 | 157-159 | ||
R87821 | 13 | 742-743 | S0081XS | 09 | 604-605 | S01552A | 24 | 955-965 | ||
R87821 | 13 | 760-761 | S0082XA | 09 | 606-607 | S01552D | 23 | 949-950 | ||
R8789 | 23 | 947-948 | S0082XA | 24 | 955-965 | S01552S | 09 | 604-605 | ||
R879 | 23 | 947-948 | S0082XD | 23 | 949-950 | S0180XA | 09 | 604-605 | ||
R880 | 23 | 947-948 | S0082XS | 09 | 604-605 | S0180XA | 24 | 955-965 | ||
R888 | 23 | 947-948 | S0083XA | 09 | 604-605 | S0180XD | 23 | 949-950 | ||
R890 | 23 | 947-948 | S0083XA | 24 | 955-965 | S0180XS | 09 | 604-605 | ||
R891 | 23 | 947-948 | S0083XD | 23 | 949-950 | S0181XA | 09 | 604-605 | ||
R892 | 23 | 947-948 | S0083XS | 09 | 604-605 | S0181XA | 24 | 955-965 | ||
R893 | 23 | 947-948 | S0084XA | 09 | 604-605 | S0181XD | 23 | 949-950 | ||
R894 | 23 | 947-948 | S0084XA | 24 | 955-965 | S0181XS | 09 | 604-605 | ||
R895 | 23 | 947-948 | S0084XD | 23 | 949-950 | S0182XA | 09 | 604-605 | ||
R896 | 23 | 947-948 | S0084XS | 09 | 604-605 | S0182XA | 24 | 955-965 | ||
R897 | 15 | 795 | S0085XA | 09 | 604-605 | S0182XD | 23 | 949-950 | ||
R897 | 23 | 947-948 | S0085XA | 24 | 955-965 | S0182XS | 09 | 604-605 | ||
R898 | 23 | 947-948 | S0085XD | 23 | 949-950 | S0183XA | 09 | 604-605 | ||
R899 | 18 | 867-869 | S0085XS | 09 | 604-605 | S0183XA | 24 | 955-965 | ||
R900 | 09 | 606-607 | S0086XA | 09 | 606-607 | S0183XD | 23 | 949-950 | ||
R9081 | 01 | 091-093 | S0086XA | 24 | 955-965 | S0183XS | 09 | 604-605 | ||
R9082 | 01 | 091-093 | S0086XD | 23 | 949-950 | S0184XA | 09 | 604-605 | ||
R9089 | 23 | 947-948 | S0086XS | 09 | 604-605 | S0184XA | 24 | 955-965 | ||
R911 | 04 | 205-206 | S0087XA | 09 | 604-605 | S0184XD | 23 | 949-950 | ||
R918 | 04 | 204 | S0087XA | 24 | 955-965 | S0184XS | 09 | 604-605 | ||
R920 | 09 | 597-601 | S0087XD | 23 | 949-950 | S0185XA | 09 | 604-605 | ||
R921 | 09 | 597-601 | S0087XS | 09 | 604-605 | S0185XA | 24 | 955-965 | ||
R922 | 09 | 597-601 | S0090XA | 09 | 604-605 | S0185XD | 23 | 949-950 | ||
R928 | 09 | 597-601 | S0090XA | 24 | 955-965 | S0185XS | 09 | 604-605 | ||
R930 | 01 | 091-093 | S0090XD | 23 | 949-950 | S0190XA | 09 | 604-605 | ||
R931 | 05 | 302-303 | S0090XS | 09 | 604-605 | S0190XA | 24 | 955-965 | ||
R932 | 07 | 444-446 | S0091XA | 09 | 604-605 | S0190XD | 23 | 949-950 | ||
R933 | 06 | 391-392 | S0091XA | 24 | 955-965 | S0190XS | 09 | 604-605 | ||
R9341 | 11 | 695-696 | S0091XD | 23 | 949-950 | S0191XA | 09 | 604-605 | ||
R93421 | 11 | 695-696 | S0091XS | 09 | 604-605 | S0191XA | 24 | 955-965 | ||
R93422 | 11 | 695-696 | S0092XA | 09 | 606-607 | S0191XD | 23 | 949-950 | ||
R93429 | 11 | 695-696 | S0092XA | 24 | 955-965 | S0191XS | 09 | 604-605 | ||
R9349 | 11 | 695-696 | S0092XD | 23 | 949-950 | S0192XA | 09 | 604-605 | ||
R935 | 06 | 391-392 | S0092XS | 09 | 604-605 | S0192XA | 24 | 955-965 | ||
R936 | 08 | 564-566 | S0093XA | 09 | 604-605 | S0192XD | 23 | 949-950 | ||
R937 | 08 | 564-566 | S0093XA | 24 | 955-965 | S0192XS | 09 | 604-605 | ||
R93811 | 12 | 729-730 | S0093XD | 23 | 949-950 | S0193XA | 09 | 604-605 | ||
R93812 | 12 | 729-730 | S0093XS | 09 | 604-605 | S0193XA | 24 | 955-965 | ||
R93813 | 12 | 729-730 | S0094XA | 09 | 604-605 | S0193XD | 23 | 949-950 | ||
R93819 | 12 | 729-730 | S0094XA | 24 | 955-965 | S0193XS | 09 | 604-605 | ||
R9389 | 23 | 947-948 | S0094XD | 23 | 949-950 | S0194XA | 09 | 604-605 | ||
R939 | 23 | 947-948 | S0094XS | 09 | 604-605 | S0194XA | 24 | 955-965 | ||
R9401 | 01 | 091-093 | S0095XA | 09 | 604-605 | S0194XD | 23 | 949-950 | ||
R9402 | 01 | 091-093 | S0095XA | 24 | 955-965 | S0194XS | 09 | 604-605 | ||
R9409 | 01 | 091-093 | S0095XD | 23 | 949-950 | S0195XA | 09 | 604-605 | ||
R94110 | 02 | 124-125 | S0095XS | 09 | 604-605 | S0195XA | 24 | 955-965 | ||
R94111 | 02 | 124-125 | S0096XA | 09 | 606-607 | S0195XD | 23 | 949-950 | ||
R94112 | 02 | 124-125 | S0096XA | 24 | 955-965 | S0195XS | 09 | 604-605 | ||
R94113 | 02 | 124-125 | S0096XD | 23 | 949-950 | S020XXA | 01 | 082-084 | ||
R94118 | 01 | 091-093 | S0096XS | 09 | 604-605 | S020XXA | 01 | 085-087 | ||
R94120 | 03 | 154-156 | S0097XA | 09 | 604-605 | S020XXA | 24 | 955-965 | ||
R94120 | 15 | 795 | S0097XA | 24 | 955-965 | S020XXB | 01 | 082-084 | ||
R94121 | 03 | 154-156 | S0097XD | 23 | 949-950 | S020XXB | 01 | 085-087 | ||
R94128 | 01 | 091-093 | S0097XS | 09 | 604-605 | S020XXB | 24 | 955-965 | ||
R94130 | 01 | 091-093 | S0100XA | 09 | 604-605 | S020XXD | 08 | 559-561 | ||
R94131 | 08 | 564-566 | S0100XA | 24 | 955-965 | S020XXG | 08 | 559-561 | ||
R94138 | 01 | 091-093 | S0100XD | 23 | 949-950 | S020XXK | 08 | 564-566 | ||
R942 | 04 | 205-206 | S0100XS | 09 | 604-605 | S020XXS | 01 | 091-093 | ||
R9430 | 05 | 314-316 | S0101XA | 09 | 604-605 | S02101A | 01 | 082-084 | ||
R9431 | 05 | 314-316 | S0101XA | 24 | 955-965 | S02101A | 01 | 085-087 | ||
R9439 | 05 | 314-316 | S0101XD | 23 | 949-950 | S02101A | 24 | 955-965 | ||
R944 | 11 | 695-696 | S0101XS | 09 | 604-605 | S02101B | 01 | 082-084 | ||
R945 | 07 | 441-443 | S0102XA | 09 | 604-605 | S02101B | 01 | 085-087 | ||
R946 | 10 | 643-645 | S0102XA | 24 | 955-965 | S02101B | 24 | 955-965 | ||
R947 | 10 | 643-645 | S0102XD | 23 | 949-950 | S02101D | 08 | 559-561 | ||
R948 | 11 | 695-696 | S0102XS | 09 | 604-605 | S02101G | 08 | 559-561 | ||
R970 | 23 | 947-948 | S0103XA | 09 | 604-605 | S02101K | 08 | 564-566 | ||
R971 | 23 | 947-948 | S0103XA | 24 | 955-965 | S02101S | 01 | 091-093 | ||
R9720 | 23 | 947-948 | S0103XD | 23 | 949-950 | S02102A | 01 | 082-084 | ||
R9721 | 23 | 947-948 | S0103XS | 09 | 604-605 | S02102A | 01 | 085-087 | ||
R978 | 23 | 947-948 | S0104XA | 09 | 604-605 | S02102A | 24 | 955-965 | ||
R99 | 23 | 951 | S0104XA | 24 | 955-965 | S02102B | 01 | 082-084 | ||
S0000XA | 09 | 604-605 | S0104XD | 23 | 949-950 | S02102B | 01 | 085-087 | ||
S0000XA | 24 | 955-965 | S0104XS | 09 | 604-605 | S02102B | 24 | 955-965 | ||
S0000XD | 23 | 949-950 | S0105XA | 09 | 604-605 | S02102D | 08 | 559-561 | ||
S0000XS | 09 | 604-605 | S0105XA | 24 | 955-965 | S02102G | 08 | 559-561 | ||
S0001XA | 09 | 604-605 | S0105XD | 23 | 949-950 | S02102K | 08 | 564-566 | ||
S0001XA | 24 | 955-965 | S0105XS | 09 | 604-605 | S02102S | 01 | 091-093 | ||
S0001XD | 23 | 949-950 | S01101A | 02 | 124-125 | S02109A | 01 | 082-084 | ||
S0001XS | 09 | 604-605 | S01101A | 24 | 955-965 | S02109A | 01 | 085-087 | ||
S0002XA | 09 | 606-607 | S01101D | 23 | 949-950 | S02109A | 24 | 955-965 | ||
S0002XA | 24 | 955-965 | S01101S | 09 | 604-605 | S02109B | 01 | 082-084 | ||
S0002XD | 23 | 949-950 | S01102A | 02 | 124-125 | S02109B | 01 | 085-087 | ||
S0002XS | 09 | 604-605 | S01102A | 24 | 955-965 | S02109B | 24 | 955-965 | ||
S0003XA | 09 | 604-605 | S01102D | 23 | 949-950 | S02109D | 08 | 559-561 | ||
S0003XA | 24 | 955-965 | S01102S | 09 | 604-605 | S02109G | 08 | 559-561 | ||
S0003XD | 23 | 949-950 | S01109A | 02 | 124-125 | S02109K | 08 | 564-566 | ||
S0003XS | 09 | 604-605 | S01109A | 24 | 955-965 | S02109S | 01 | 091-093 | ||
S0004XA | 09 | 604-605 | S01109D | 23 | 949-950 | S02110A | 01 | 082-084 | ||
S0004XA | 24 | 955-965 | S01109S | 09 | 604-605 | S02110A | 01 | 085-087 | ||
S0004XD | 23 | 949-950 | S01111A | 02 | 124-125 | S02110A | 24 | 955-965 | ||
S0004XS | 09 | 604-605 | S01111A | 24 | 955-965 | S02110B | 01 | 082-084 | ||
S0005XA | 09 | 604-605 | S01111D | 23 | 949-950 | S02110B | 01 | 085-087 | ||
S0005XA | 24 | 955-965 | S01111S | 09 | 604-605 | S02110B | 24 | 955-965 | ||
S0005XD | 23 | 949-950 | S01112A | 02 | 124-125 | S02110D | 08 | 559-561 | ||
S0005XS | 09 | 604-605 | S01112A | 24 | 955-965 | S02110G | 08 | 559-561 | ||
S0006XA | 09 | 606-607 | S01112D | 23 | 949-950 | S02110K | 08 | 564-566 | ||
S0006XA | 24 | 955-965 | S01112S | 09 | 604-605 | S02110S | 01 | 091-093 | ||
S0006XD | 23 | 949-950 | S01119A | 02 | 124-125 | S02111A | 01 | 082-084 | ||
S0006XS | 09 | 604-605 | S01119A | 24 | 955-965 | S02111A | 01 | 085-087 | ||
S0007XA | 09 | 604-605 | S01119D | 23 | 949-950 | S02111A | 24 | 955-965 | ||
S0007XA | 24 | 955-965 | S01119S | 09 | 604-605 | S02111B | 01 | 082-084 | ||
S0007XD | 23 | 949-950 | S01121A | 02 | 124-125 | S02111B | 01 | 085-087 | ||
S0007XS | 09 | 604-605 | S01121A | 24 | 955-965 | S02111B | 24 | 955-965 | ||
S0010XA | 02 | 124-125 | S01121D | 23 | 949-950 | S02111D | 08 | 559-561 | ||
S0010XA | 24 | 955-965 | S01121S | 09 | 604-605 | S02111G | 08 | 559-561 | ||
S0010XD | 23 | 949-950 | S01122A | 02 | 124-125 | S02111K | 08 | 564-566 | ||
S0010XS | 09 | 604-605 | S01122A | 24 | 955-965 | S02111S | 01 | 091-093 | ||
S0011XA | 02 | 124-125 | S01122D | 23 | 949-950 | S02112A | 01 | 082-084 | ||
S0011XA | 24 | 955-965 | S01122S | 09 | 604-605 | S02112A | 01 | 085-087 | ||
S0011XD | 23 | 949-950 | S01129A | 02 | 124-125 | S02112A | 24 | 955-965 | ||
S0011XS | 09 | 604-605 | S01129A | 24 | 955-965 | S02112B | 01 | 082-084 | ||
S0012XA | 02 | 124-125 | S01129D | 23 | 949-950 | S02112B | 01 | 085-087 | ||
S0012XA | 24 | 955-965 | S01129S | 09 | 604-605 | S02112B | 24 | 955-965 | ||
S0012XD | 23 | 949-950 | S01131A | 02 | 124-125 | S02112D | 08 | 559-561 | ||
S0012XS | 09 | 604-605 | S01131A | 24 | 955-965 | S02112G | 08 | 559-561 | ||
S00201A | 02 | 124-125 | S01131D | 23 | 949-950 | S02112K | 08 | 564-566 | ||
S00201A | 24 | 955-965 | S01131S | 09 | 604-605 | S02112S | 01 | 091-093 | ||
S00201D | 23 | 949-950 | S01132A | 02 | 124-125 | S02113A | 01 | 082-084 | ||
S00201S | 09 | 604-605 | S01132A | 24 | 955-965 | S02113A | 01 | 085-087 | ||
S00202A | 02 | 124-125 | S01132D | 23 | 949-950 | S02113A | 24 | 955-965 | ||
S00202A | 24 | 955-965 | S01132S | 09 | 604-605 | S02113B | 01 | 082-084 | ||
S00202D | 23 | 949-950 | S01139A | 02 | 124-125 | S02113B | 01 | 085-087 | ||
S00202S | 09 | 604-605 | S01139A | 24 | 955-965 | S02113B | 24 | 955-965 | ||
S00209A | 02 | 124-125 | S01139D | 23 | 949-950 | S02113D | 08 | 559-561 | ||
S00209A | 24 | 955-965 | S01139S | 09 | 604-605 | S02113G | 08 | 559-561 | ||
S00209D | 23 | 949-950 | S01141A | 02 | 124-125 | S02113K | 08 | 564-566 | ||
S00209S | 09 | 604-605 | S01141A | 24 | 955-965 | S02113S | 01 | 091-093 | ||
S00211A | 02 | 124-125 | S01141D | 23 | 949-950 | S02118A | 01 | 082-084 | ||
S00211A | 24 | 955-965 | S01141S | 09 | 604-605 | S02118A | 01 | 085-087 | ||
S00211D | 23 | 949-950 | S01142A | 02 | 124-125 | S02118A | 24 | 955-965 | ||
S00211S | 09 | 604-605 | S01142A | 24 | 955-965 | S02118B | 01 | 082-084 | ||
S00212A | 02 | 124-125 | S01142D | 23 | 949-950 | S02118B | 01 | 085-087 | ||
S00212A | 24 | 955-965 | S01142S | 09 | 604-605 | S02118B | 24 | 955-965 | ||
S00212D | 23 | 949-950 | S01149A | 02 | 124-125 | S02118D | 08 | 559-561 | ||
S00212S | 09 | 604-605 | S01149A | 24 | 955-965 | S02118G | 08 | 559-561 | ||
S00219A | 02 | 124-125 | S01149D | 23 | 949-950 | S02118K | 08 | 564-566 | ||
S00219A | 24 | 955-965 | S01149S | 09 | 604-605 | S02118S | 01 | 091-093 | ||
S00219D | 23 | 949-950 | S01151A | 02 | 124-125 | S02119A | 01 | 082-084 | ||
S00219S | 09 | 604-605 | S01151A | 24 | 955-965 | S02119A | 01 | 085-087 | ||
S00221A | 02 | 124-125 | S01151D | 23 | 949-950 | S02119A | 24 | 955-965 | ||
S00221A | 24 | 955-965 | S01151S | 09 | 604-605 | S02119B | 01 | 082-084 | ||
S00221D | 23 | 949-950 | S01152A | 02 | 124-125 | S02119B | 01 | 085-087 | ||
S00221S | 09 | 604-605 | S01152A | 24 | 955-965 | S02119B | 24 | 955-965 | ||
S00222A | 02 | 124-125 | S01152D | 23 | 949-950 | S02119D | 08 | 559-561 | ||
S00222A | 24 | 955-965 | S01152S | 09 | 604-605 | S02119G | 08 | 559-561 | ||
S00222D | 23 | 949-950 | S01159A | 02 | 124-125 | S02119K | 08 | 564-566 | ||
S00222S | 09 | 604-605 | S01159A | 24 | 955-965 | S02119S | 01 | 091-093 | ||
S00229A | 02 | 124-125 | S01159D | 23 | 949-950 | S0211AA | 01 | 082-084 | ||
S00229A | 24 | 955-965 | S01159S | 09 | 604-605 | S0211AA | 01 | 085-087 | ||
S00229D | 23 | 949-950 | S0120XA | Pre | 011-013 | S0211AA | 24 | 955-965 | ||
S00229S | 09 | 604-605 | S0120XA | 03 | 154-156 | S0211AB | 01 | 082-084 | ||
S00241A | 02 | 124-125 | S0120XA | 24 | 955-965 | S0211AB | 01 | 085-087 | ||
S00241A | 24 | 955-965 | S0120XD | 23 | 949-950 | S0211AB | 24 | 955-965 | ||
S00241D | 23 | 949-950 | S0120XS | 09 | 604-605 | S0211AD | 08 | 559-561 | ||
S00241S | 09 | 604-605 | S0121XA | Pre | 011-013 | S0211AG | 08 | 559-561 | ||
S00242A | 02 | 124-125 | S0121XA | 03 | 154-156 | S0211AK | 08 | 564-566 | ||
S00242A | 24 | 955-965 | S0121XA | 24 | 955-965 | S0211AS | 01 | 091-093 | ||
S00242D | 23 | 949-950 | S0121XD | 23 | 949-950 | S0211BA | 01 | 082-084 | ||
S00242S | 09 | 604-605 | S0121XS | 09 | 604-605 | S0211BA | 01 | 085-087 | ||
S00249A | 02 | 124-125 | S0122XA | Pre | 011-013 | S0211BA | 24 | 955-965 | ||
S00249A | 24 | 955-965 | S0122XA | 03 | 154-156 | S0211BB | 01 | 082-084 | ||
S00249D | 23 | 949-950 | S0122XA | 24 | 955-965 | S0211BB | 01 | 085-087 | ||
S00249S | 09 | 604-605 | S0122XD | 23 | 949-950 | S0211BB | 24 | 955-965 | ||
S00251A | 02 | 124-125 | S0122XS | 09 | 604-605 | S0211BD | 08 | 559-561 | ||
S00251A | 24 | 955-965 | S0123XA | Pre | 011-013 | S0211BG | 08 | 559-561 | ||
S00251D | 23 | 949-950 | S0123XA | 03 | 154-156 | S0211BK | 08 | 564-566 | ||
S00251S | 09 | 604-605 | S0123XA | 24 | 955-965 | S0211BS | 01 | 091-093 | ||
S00252A | 02 | 124-125 | S0123XD | 23 | 949-950 | S0211CA | 01 | 082-084 | ||
S00252A | 24 | 955-965 | S0123XS | 09 | 604-605 | S0211CA | 01 | 085-087 | ||
S00252D | 23 | 949-950 | S0124XA | Pre | 011-013 | S0211CA | 24 | 955-965 | ||
S00252S | 09 | 604-605 | S0124XA | 03 | 154-156 | S0211CB | 01 | 082-084 | ||
S00259A | 02 | 124-125 | S0124XA | 24 | 955-965 | S0211CB | 01 | 085-087 | ||
S00259A | 24 | 955-965 | S0124XD | 23 | 949-950 | S0211CB | 24 | 955-965 | ||
S00259D | 23 | 949-950 | S0124XS | 09 | 604-605 | S0211CD | 08 | 559-561 | ||
S00259S | 09 | 604-605 | S0125XA | Pre | 011-013 | S0211CG | 08 | 559-561 | ||
S00261A | 02 | 124-125 | S0125XA | 03 | 154-156 | S0211CK | 08 | 564-566 | ||
S00261A | 24 | 955-965 | S0125XA | 24 | 955-965 | S0211CS | 01 | 091-093 | ||
S00261D | 23 | 949-950 | S0125XD | 23 | 949-950 | S0211DA | 01 | 082-084 | ||
S00261S | 09 | 604-605 | S0125XS | 09 | 604-605 | S0211DA | 01 | 085-087 | ||
S00262A | 02 | 124-125 | S01301A | 03 | 154-156 | S0211DA | 24 | 955-965 | ||
S00262A | 24 | 955-965 | S01301A | 24 | 955-965 | S0211DB | 01 | 082-084 | ||
S00262D | 23 | 949-950 | S01301D | 23 | 949-950 | S0211DB | 01 | 085-087 | ||
S00262S | 09 | 604-605 | S01301S | 09 | 604-605 | S0211DB | 24 | 955-965 | ||
S00269A | 02 | 124-125 | S01302A | 03 | 154-156 | S0211DD | 08 | 559-561 | ||
S00269A | 24 | 955-965 | S01302A | 24 | 955-965 | S0211DG | 08 | 559-561 | ||
S00269D | 23 | 949-950 | S01302D | 23 | 949-950 | S0211DK | 08 | 564-566 | ||
S00269S | 09 | 604-605 | S01302S | 09 | 604-605 | S0211DS | 01 | 091-093 | ||
S00271A | 02 | 124-125 | S01309A | 03 | 154-156 | S0211EA | 01 | 082-084 | ||
S00271A | 24 | 955-965 | S01309A | 24 | 955-965 | S0211EA | 01 | 085-087 | ||
S00271D | 23 | 949-950 | S01309D | 23 | 949-950 | S0211EA | 24 | 955-965 | ||
S00271S | 09 | 604-605 | S01309S | 09 | 604-605 | S0211EB | 01 | 082-084 | ||
S00272A | 02 | 124-125 | S01311A | 03 | 154-156 | S0211EB | 01 | 085-087 | ||
S00272A | 24 | 955-965 | S01311A | 24 | 955-965 | S0211EB | 24 | 955-965 | ||
S00272D | 23 | 949-950 | S01311D | 23 | 949-950 | S0211ED | 08 | 559-561 | ||
S00272S | 09 | 604-605 | S01311S | 09 | 604-605 | S0211EG | 08 | 559-561 | ||
S00279A | 02 | 124-125 | S01312A | 03 | 154-156 | S0211EK | 08 | 564-566 | ||
S00279A | 24 | 955-965 | S01312A | 24 | 955-965 | S0211ES | 01 | 091-093 | ||
S00279D | 23 | 949-950 | S01312D | 23 | 949-950 | S0211FA | 01 | 082-084 | ||
S00279S | 09 | 604-605 | S01312S | 09 | 604-605 | S0211FA | 01 | 085-087 | ||
S0030XA | 09 | 604-605 | S01319A | 03 | 154-156 | S0211FA | 24 | 955-965 | ||
S0030XA | 24 | 955-965 | S01319A | 24 | 955-965 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 09 Jul 2020 15:51:46 CMS, code-revision=268, description-revision=1285 |