ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual
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ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 55 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S82153F | 08 | 559-561 | S82235F | 08 | 559-561 | S82292H | 08 | 559-561 | ||
| S82153G | 08 | 559-561 | S82235G | 08 | 559-561 | S82292J | 08 | 559-561 | ||
| S82153H | 08 | 559-561 | S82235H | 08 | 559-561 | S82292K | 08 | 564-566 | ||
| S82153J | 08 | 559-561 | S82235J | 08 | 559-561 | S82292M | 08 | 564-566 | ||
| S82153K | 08 | 564-566 | S82235K | 08 | 564-566 | S82292N | 08 | 564-566 | ||
| S82153M | 08 | 564-566 | S82235M | 08 | 564-566 | S82292P | 08 | 564-566 | ||
| S82153N | 08 | 564-566 | S82235N | 08 | 564-566 | S82292Q | 08 | 564-566 | ||
| S82153P | 08 | 564-566 | S82235P | 08 | 564-566 | S82292R | 08 | 564-566 | ||
| S82153Q | 08 | 564-566 | S82235Q | 08 | 564-566 | S82292S | 08 | 559-561 | ||
| S82153R | 08 | 564-566 | S82235R | 08 | 564-566 | S82299A | 08 | 562-563 | ||
| S82153S | 08 | 559-561 | S82235S | 08 | 559-561 | S82299A | 24 | 955-965 | ||
| S82154A | 08 | 562-563 | S82236A | 08 | 562-563 | S82299B | 08 | 562-563 | ||
| S82154A | 24 | 955-965 | S82236A | 24 | 955-965 | S82299B | 24 | 955-965 | ||
| S82154B | 08 | 562-563 | S82236B | 08 | 562-563 | S82299C | 08 | 562-563 | ||
| S82154B | 24 | 955-965 | S82236B | 24 | 955-965 | S82299C | 24 | 955-965 | ||
| S82154C | 08 | 562-563 | S82236C | 08 | 562-563 | S82299D | 08 | 559-561 | ||
| S82154C | 24 | 955-965 | S82236C | 24 | 955-965 | S82299E | 08 | 559-561 | ||
| S82154D | 08 | 559-561 | S82236D | 08 | 559-561 | S82299F | 08 | 559-561 | ||
| S82154E | 08 | 559-561 | S82236E | 08 | 559-561 | S82299G | 08 | 559-561 | ||
| S82154F | 08 | 559-561 | S82236F | 08 | 559-561 | S82299H | 08 | 559-561 | ||
| S82154G | 08 | 559-561 | S82236G | 08 | 559-561 | S82299J | 08 | 559-561 | ||
| S82154H | 08 | 559-561 | S82236H | 08 | 559-561 | S82299K | 08 | 564-566 | ||
| S82154J | 08 | 559-561 | S82236J | 08 | 559-561 | S82299M | 08 | 564-566 | ||
| S82154K | 08 | 564-566 | S82236K | 08 | 564-566 | S82299N | 08 | 564-566 | ||
| S82154M | 08 | 564-566 | S82236M | 08 | 564-566 | S82299P | 08 | 564-566 | ||
| S82154N | 08 | 564-566 | S82236N | 08 | 564-566 | S82299Q | 08 | 564-566 | ||
| S82154P | 08 | 564-566 | S82236P | 08 | 564-566 | S82299R | 08 | 564-566 | ||
| S82154Q | 08 | 564-566 | S82236Q | 08 | 564-566 | S82299S | 08 | 559-561 | ||
| S82154R | 08 | 564-566 | S82236R | 08 | 564-566 | S82301A | 08 | 562-563 | ||
| S82154S | 08 | 559-561 | S82236S | 08 | 559-561 | S82301A | 24 | 955-965 | ||
| S82155A | 08 | 562-563 | S82241A | 08 | 562-563 | S82301B | 08 | 562-563 | ||
| S82155A | 24 | 955-965 | S82241A | 24 | 955-965 | S82301B | 24 | 955-965 | ||
| S82155B | 08 | 562-563 | S82241B | 08 | 562-563 | S82301C | 08 | 562-563 | ||
| S82155B | 24 | 955-965 | S82241B | 24 | 955-965 | S82301C | 24 | 955-965 | ||
| S82155C | 08 | 562-563 | S82241C | 08 | 562-563 | S82301D | 08 | 559-561 | ||
| S82155C | 24 | 955-965 | S82241C | 24 | 955-965 | S82301E | 08 | 559-561 | ||
| S82155D | 08 | 559-561 | S82241D | 08 | 559-561 | S82301F | 08 | 559-561 | ||
| S82155E | 08 | 559-561 | S82241E | 08 | 559-561 | S82301G | 08 | 559-561 | ||
| S82155F | 08 | 559-561 | S82241F | 08 | 559-561 | S82301H | 08 | 559-561 | ||
| S82155G | 08 | 559-561 | S82241G | 08 | 559-561 | S82301J | 08 | 559-561 | ||
| S82155H | 08 | 559-561 | S82241H | 08 | 559-561 | S82301K | 08 | 564-566 | ||
| S82155J | 08 | 559-561 | S82241J | 08 | 559-561 | S82301M | 08 | 564-566 | ||
| S82155K | 08 | 564-566 | S82241K | 08 | 564-566 | S82301N | 08 | 564-566 | ||
| S82155M | 08 | 564-566 | S82241M | 08 | 564-566 | S82301P | 08 | 564-566 | ||
| S82155N | 08 | 564-566 | S82241N | 08 | 564-566 | S82301Q | 08 | 564-566 | ||
| S82155P | 08 | 564-566 | S82241P | 08 | 564-566 | S82301R | 08 | 564-566 | ||
| S82155Q | 08 | 564-566 | S82241Q | 08 | 564-566 | S82301S | 08 | 559-561 | ||
| S82155R | 08 | 564-566 | S82241R | 08 | 564-566 | S82302A | 08 | 562-563 | ||
| S82155S | 08 | 559-561 | S82241S | 08 | 559-561 | S82302A | 24 | 955-965 | ||
| S82156A | 08 | 562-563 | S82242A | 08 | 562-563 | S82302B | 08 | 562-563 | ||
| S82156A | 24 | 955-965 | S82242A | 24 | 955-965 | S82302B | 24 | 955-965 | ||
| S82156B | 08 | 562-563 | S82242B | 08 | 562-563 | S82302C | 08 | 562-563 | ||
| S82156B | 24 | 955-965 | S82242B | 24 | 955-965 | S82302C | 24 | 955-965 | ||
| S82156C | 08 | 562-563 | S82242C | 08 | 562-563 | S82302D | 08 | 559-561 | ||
| S82156C | 24 | 955-965 | S82242C | 24 | 955-965 | S82302E | 08 | 559-561 | ||
| S82156D | 08 | 559-561 | S82242D | 08 | 559-561 | S82302F | 08 | 559-561 | ||
| S82156E | 08 | 559-561 | S82242E | 08 | 559-561 | S82302G | 08 | 559-561 | ||
| S82156F | 08 | 559-561 | S82242F | 08 | 559-561 | S82302H | 08 | 559-561 | ||
| S82156G | 08 | 559-561 | S82242G | 08 | 559-561 | S82302J | 08 | 559-561 | ||
| S82156H | 08 | 559-561 | S82242H | 08 | 559-561 | S82302K | 08 | 564-566 | ||
| S82156J | 08 | 559-561 | S82242J | 08 | 559-561 | S82302M | 08 | 564-566 | ||
| S82156K | 08 | 564-566 | S82242K | 08 | 564-566 | S82302N | 08 | 564-566 | ||
| S82156M | 08 | 564-566 | S82242M | 08 | 564-566 | S82302P | 08 | 564-566 | ||
| S82156N | 08 | 564-566 | S82242N | 08 | 564-566 | S82302Q | 08 | 564-566 | ||
| S82156P | 08 | 564-566 | S82242P | 08 | 564-566 | S82302R | 08 | 564-566 | ||
| S82156Q | 08 | 564-566 | S82242Q | 08 | 564-566 | S82302S | 08 | 559-561 | ||
| S82156R | 08 | 564-566 | S82242R | 08 | 564-566 | S82309A | 08 | 562-563 | ||
| S82156S | 08 | 559-561 | S82242S | 08 | 559-561 | S82309A | 24 | 955-965 | ||
| S82161A | 08 | 562-563 | S82243A | 08 | 562-563 | S82309B | 08 | 562-563 | ||
| S82161A | 24 | 955-965 | S82243A | 24 | 955-965 | S82309B | 24 | 955-965 | ||
| S82161D | 08 | 559-561 | S82243B | 08 | 562-563 | S82309C | 08 | 562-563 | ||
| S82161G | 08 | 559-561 | S82243B | 24 | 955-965 | S82309C | 24 | 955-965 | ||
| S82161K | 08 | 564-566 | S82243C | 08 | 562-563 | S82309D | 08 | 559-561 | ||
| S82161P | 08 | 564-566 | S82243C | 24 | 955-965 | S82309E | 08 | 559-561 | ||
| S82161S | 08 | 559-561 | S82243D | 08 | 559-561 | S82309F | 08 | 559-561 | ||
| S82162A | 08 | 562-563 | S82243E | 08 | 559-561 | S82309G | 08 | 559-561 | ||
| S82162A | 24 | 955-965 | S82243F | 08 | 559-561 | S82309H | 08 | 559-561 | ||
| S82162D | 08 | 559-561 | S82243G | 08 | 559-561 | S82309J | 08 | 559-561 | ||
| S82162G | 08 | 559-561 | S82243H | 08 | 559-561 | S82309K | 08 | 564-566 | ||
| S82162K | 08 | 564-566 | S82243J | 08 | 559-561 | S82309M | 08 | 564-566 | ||
| S82162P | 08 | 564-566 | S82243K | 08 | 564-566 | S82309N | 08 | 564-566 | ||
| S82162S | 08 | 559-561 | S82243M | 08 | 564-566 | S82309P | 08 | 564-566 | ||
| S82169A | 08 | 562-563 | S82243N | 08 | 564-566 | S82309Q | 08 | 564-566 | ||
| S82169A | 24 | 955-965 | S82243P | 08 | 564-566 | S82309R | 08 | 564-566 | ||
| S82169D | 08 | 559-561 | S82243Q | 08 | 564-566 | S82309S | 08 | 559-561 | ||
| S82169G | 08 | 559-561 | S82243R | 08 | 564-566 | S82311A | 08 | 562-563 | ||
| S82169K | 08 | 564-566 | S82243S | 08 | 559-561 | S82311A | 24 | 955-965 | ||
| S82169P | 08 | 564-566 | S82244A | 08 | 562-563 | S82311D | 08 | 559-561 | ||
| S82169S | 08 | 559-561 | S82244A | 24 | 955-965 | S82311G | 08 | 559-561 | ||
| S82191A | 08 | 562-563 | S82244B | 08 | 562-563 | S82311K | 08 | 564-566 | ||
| S82191A | 24 | 955-965 | S82244B | 24 | 955-965 | S82311P | 08 | 564-566 | ||
| S82191B | 08 | 562-563 | S82244C | 08 | 562-563 | S82311S | 08 | 559-561 | ||
| S82191B | 24 | 955-965 | S82244C | 24 | 955-965 | S82312A | 08 | 562-563 | ||
| S82191C | 08 | 562-563 | S82244D | 08 | 559-561 | S82312A | 24 | 955-965 | ||
| S82191C | 24 | 955-965 | S82244E | 08 | 559-561 | S82312D | 08 | 559-561 | ||
| S82191D | 08 | 559-561 | S82244F | 08 | 559-561 | S82312G | 08 | 559-561 | ||
| S82191E | 08 | 559-561 | S82244G | 08 | 559-561 | S82312K | 08 | 564-566 | ||
| S82191F | 08 | 559-561 | S82244H | 08 | 559-561 | S82312P | 08 | 564-566 | ||
| S82191G | 08 | 559-561 | S82244J | 08 | 559-561 | S82312S | 08 | 559-561 | ||
| S82191H | 08 | 559-561 | S82244K | 08 | 564-566 | S82319A | 08 | 562-563 | ||
| S82191J | 08 | 559-561 | S82244M | 08 | 564-566 | S82319A | 24 | 955-965 | ||
| S82191K | 08 | 564-566 | S82244N | 08 | 564-566 | S82319D | 08 | 559-561 | ||
| S82191M | 08 | 564-566 | S82244P | 08 | 564-566 | S82319G | 08 | 559-561 | ||
| S82191N | 08 | 564-566 | S82244Q | 08 | 564-566 | S82319K | 08 | 564-566 | ||
| S82191P | 08 | 564-566 | S82244R | 08 | 564-566 | S82319P | 08 | 564-566 | ||
| S82191Q | 08 | 564-566 | S82244S | 08 | 559-561 | S82319S | 08 | 559-561 | ||
| S82191R | 08 | 564-566 | S82245A | 08 | 562-563 | S82391A | 08 | 562-563 | ||
| S82191S | 08 | 559-561 | S82245A | 24 | 955-965 | S82391A | 24 | 955-965 | ||
| S82192A | 08 | 562-563 | S82245B | 08 | 562-563 | S82391B | 08 | 562-563 | ||
| S82192A | 24 | 955-965 | S82245B | 24 | 955-965 | S82391B | 24 | 955-965 | ||
| S82192B | 08 | 562-563 | S82245C | 08 | 562-563 | S82391C | 08 | 562-563 | ||
| S82192B | 24 | 955-965 | S82245C | 24 | 955-965 | S82391C | 24 | 955-965 | ||
| S82192C | 08 | 562-563 | S82245D | 08 | 559-561 | S82391D | 08 | 559-561 | ||
| S82192C | 24 | 955-965 | S82245E | 08 | 559-561 | S82391E | 08 | 559-561 | ||
| S82192D | 08 | 559-561 | S82245F | 08 | 559-561 | S82391F | 08 | 559-561 | ||
| S82192E | 08 | 559-561 | S82245G | 08 | 559-561 | S82391G | 08 | 559-561 | ||
| S82192F | 08 | 559-561 | S82245H | 08 | 559-561 | S82391H | 08 | 559-561 | ||
| S82192G | 08 | 559-561 | S82245J | 08 | 559-561 | S82391J | 08 | 559-561 | ||
| S82192H | 08 | 559-561 | S82245K | 08 | 564-566 | S82391K | 08 | 564-566 | ||
| S82192J | 08 | 559-561 | S82245M | 08 | 564-566 | S82391M | 08 | 564-566 | ||
| S82192K | 08 | 564-566 | S82245N | 08 | 564-566 | S82391N | 08 | 564-566 | ||
| S82192M | 08 | 564-566 | S82245P | 08 | 564-566 | S82391P | 08 | 564-566 | ||
| S82192N | 08 | 564-566 | S82245Q | 08 | 564-566 | S82391Q | 08 | 564-566 | ||
| S82192P | 08 | 564-566 | S82245R | 08 | 564-566 | S82391R | 08 | 564-566 | ||
| S82192Q | 08 | 564-566 | S82245S | 08 | 559-561 | S82391S | 08 | 559-561 | ||
| S82192R | 08 | 564-566 | S82246A | 08 | 562-563 | S82392A | 08 | 562-563 | ||
| S82192S | 08 | 559-561 | S82246A | 24 | 955-965 | S82392A | 24 | 955-965 | ||
| S82199A | 08 | 562-563 | S82246B | 08 | 562-563 | S82392B | 08 | 562-563 | ||
| S82199A | 24 | 955-965 | S82246B | 24 | 955-965 | S82392B | 24 | 955-965 | ||
| S82199B | 08 | 562-563 | S82246C | 08 | 562-563 | S82392C | 08 | 562-563 | ||
| S82199B | 24 | 955-965 | S82246C | 24 | 955-965 | S82392C | 24 | 955-965 | ||
| S82199C | 08 | 562-563 | S82246D | 08 | 559-561 | S82392D | 08 | 559-561 | ||
| S82199C | 24 | 955-965 | S82246E | 08 | 559-561 | S82392E | 08 | 559-561 | ||
| S82199D | 08 | 559-561 | S82246F | 08 | 559-561 | S82392F | 08 | 559-561 | ||
| S82199E | 08 | 559-561 | S82246G | 08 | 559-561 | S82392G | 08 | 559-561 | ||
| S82199F | 08 | 559-561 | S82246H | 08 | 559-561 | S82392H | 08 | 559-561 | ||
| S82199G | 08 | 559-561 | S82246J | 08 | 559-561 | S82392J | 08 | 559-561 | ||
| S82199H | 08 | 559-561 | S82246K | 08 | 564-566 | S82392K | 08 | 564-566 | ||
| S82199J | 08 | 559-561 | S82246M | 08 | 564-566 | S82392M | 08 | 564-566 | ||
| S82199K | 08 | 564-566 | S82246N | 08 | 564-566 | S82392N | 08 | 564-566 | ||
| S82199M | 08 | 564-566 | S82246P | 08 | 564-566 | S82392P | 08 | 564-566 | ||
| S82199N | 08 | 564-566 | S82246Q | 08 | 564-566 | S82392Q | 08 | 564-566 | ||
| S82199P | 08 | 564-566 | S82246R | 08 | 564-566 | S82392R | 08 | 564-566 | ||
| S82199Q | 08 | 564-566 | S82246S | 08 | 559-561 | S82392S | 08 | 559-561 | ||
| S82199R | 08 | 564-566 | S82251A | 08 | 562-563 | S82399A | 08 | 562-563 | ||
| S82199S | 08 | 559-561 | S82251A | 24 | 955-965 | S82399A | 24 | 955-965 | ||
| S82201A | 08 | 562-563 | S82251B | 08 | 562-563 | S82399B | 08 | 562-563 | ||
| S82201A | 24 | 955-965 | S82251B | 24 | 955-965 | S82399B | 24 | 955-965 | ||
| S82201B | 08 | 562-563 | S82251C | 08 | 562-563 | S82399C | 08 | 562-563 | ||
| S82201B | 24 | 955-965 | S82251C | 24 | 955-965 | S82399C | 24 | 955-965 | ||
| S82201C | 08 | 562-563 | S82251D | 08 | 559-561 | S82399D | 08 | 559-561 | ||
| S82201C | 24 | 955-965 | S82251E | 08 | 559-561 | S82399E | 08 | 559-561 | ||
| S82201D | 08 | 559-561 | S82251F | 08 | 559-561 | S82399F | 08 | 559-561 | ||
| S82201E | 08 | 559-561 | S82251G | 08 | 559-561 | S82399G | 08 | 559-561 | ||
| S82201F | 08 | 559-561 | S82251H | 08 | 559-561 | S82399H | 08 | 559-561 | ||
| S82201G | 08 | 559-561 | S82251J | 08 | 559-561 | S82399J | 08 | 559-561 | ||
| S82201H | 08 | 559-561 | S82251K | 08 | 564-566 | S82399K | 08 | 564-566 | ||
| S82201J | 08 | 559-561 | S82251M | 08 | 564-566 | S82399M | 08 | 564-566 | ||
| S82201K | 08 | 564-566 | S82251N | 08 | 564-566 | S82399N | 08 | 564-566 | ||
| S82201M | 08 | 564-566 | S82251P | 08 | 564-566 | S82399P | 08 | 564-566 | ||
| S82201N | 08 | 564-566 | S82251Q | 08 | 564-566 | S82399Q | 08 | 564-566 | ||
| S82201P | 08 | 564-566 | S82251R | 08 | 564-566 | S82399R | 08 | 564-566 | ||
| S82201Q | 08 | 564-566 | S82251S | 08 | 559-561 | S82399S | 08 | 559-561 | ||
| S82201R | 08 | 564-566 | S82252A | 08 | 562-563 | S82401A | 08 | 562-563 | ||
| S82201S | 08 | 559-561 | S82252A | 24 | 955-965 | S82401A | 24 | 955-965 | ||
| S82202A | 08 | 562-563 | S82252B | 08 | 562-563 | S82401B | 08 | 562-563 | ||
| S82202A | 24 | 955-965 | S82252B | 24 | 955-965 | S82401B | 24 | 955-965 | ||
| S82202B | 08 | 562-563 | S82252C | 08 | 562-563 | S82401C | 08 | 562-563 | ||
| S82202B | 24 | 955-965 | S82252C | 24 | 955-965 | S82401C | 24 | 955-965 | ||
| S82202C | 08 | 562-563 | S82252D | 08 | 559-561 | S82401D | 08 | 559-561 | ||
| S82202C | 24 | 955-965 | S82252E | 08 | 559-561 | S82401E | 08 | 559-561 | ||
| S82202D | 08 | 559-561 | S82252F | 08 | 559-561 | S82401F | 08 | 559-561 | ||
| S82202E | 08 | 559-561 | S82252G | 08 | 559-561 | S82401G | 08 | 559-561 | ||
| S82202F | 08 | 559-561 | S82252H | 08 | 559-561 | S82401H | 08 | 559-561 | ||
| S82202G | 08 | 559-561 | S82252J | 08 | 559-561 | S82401J | 08 | 559-561 | ||
| S82202H | 08 | 559-561 | S82252K | 08 | 564-566 | S82401K | 08 | 564-566 | ||
| S82202J | 08 | 559-561 | S82252M | 08 | 564-566 | S82401M | 08 | 564-566 | ||
| S82202K | 08 | 564-566 | S82252N | 08 | 564-566 | S82401N | 08 | 564-566 | ||
| S82202M | 08 | 564-566 | S82252P | 08 | 564-566 | S82401P | 08 | 564-566 | ||
| S82202N | 08 | 564-566 | S82252Q | 08 | 564-566 | S82401Q | 08 | 564-566 | ||
| S82202P | 08 | 564-566 | S82252R | 08 | 564-566 | S82401R | 08 | 564-566 | ||
| S82202Q | 08 | 564-566 | S82252S | 08 | 559-561 | S82401S | 08 | 559-561 | ||
| S82202R | 08 | 564-566 | S82253A | 08 | 562-563 | S82402A | 08 | 562-563 | ||
| S82202S | 08 | 559-561 | S82253A | 24 | 955-965 | S82402A | 24 | 955-965 | ||
| S82209A | 08 | 562-563 | S82253B | 08 | 562-563 | S82402B | 08 | 562-563 | ||
| S82209A | 24 | 955-965 | S82253B | 24 | 955-965 | S82402B | 24 | 955-965 | ||
| S82209B | 08 | 562-563 | S82253C | 08 | 562-563 | S82402C | 08 | 562-563 | ||
| S82209B | 24 | 955-965 | S82253C | 24 | 955-965 | S82402C | 24 | 955-965 | ||
| S82209C | 08 | 562-563 | S82253D | 08 | 559-561 | S82402D | 08 | 559-561 | ||
| S82209C | 24 | 955-965 | S82253E | 08 | 559-561 | S82402E | 08 | 559-561 | ||
| S82209D | 08 | 559-561 | S82253F | 08 | 559-561 | S82402F | 08 | 559-561 | ||
| S82209E | 08 | 559-561 | S82253G | 08 | 559-561 | S82402G | 08 | 559-561 | ||
| S82209F | 08 | 559-561 | S82253H | 08 | 559-561 | S82402H | 08 | 559-561 | ||
| S82209G | 08 | 559-561 | S82253J | 08 | 559-561 | S82402J | 08 | 559-561 | ||
| S82209H | 08 | 559-561 | S82253K | 08 | 564-566 | S82402K | 08 | 564-566 | ||
| S82209J | 08 | 559-561 | S82253M | 08 | 564-566 | S82402M | 08 | 564-566 | ||
| S82209K | 08 | 564-566 | S82253N | 08 | 564-566 | S82402N | 08 | 564-566 | ||
| S82209M | 08 | 564-566 | S82253P | 08 | 564-566 | S82402P | 08 | 564-566 | ||
| S82209N | 08 | 564-566 | S82253Q | 08 | 564-566 | S82402Q | 08 | 564-566 | ||
| S82209P | 08 | 564-566 | S82253R | 08 | 564-566 | S82402R | 08 | 564-566 | ||
| S82209Q | 08 | 564-566 | S82253S | 08 | 559-561 | S82402S | 08 | 559-561 | ||
| S82209R | 08 | 564-566 | S82254A | 08 | 562-563 | S82409A | 08 | 562-563 | ||
| S82209S | 08 | 559-561 | S82254A | 24 | 955-965 | S82409A | 24 | 955-965 | ||
| S82221A | 08 | 562-563 | S82254B | 08 | 562-563 | S82409B | 08 | 562-563 | ||
| S82221A | 24 | 955-965 | S82254B | 24 | 955-965 | S82409B | 24 | 955-965 | ||
| S82221B | 08 | 562-563 | S82254C | 08 | 562-563 | S82409C | 08 | 562-563 | ||
| S82221B | 24 | 955-965 | S82254C | 24 | 955-965 | S82409C | 24 | 955-965 | ||
| S82221C | 08 | 562-563 | S82254D | 08 | 559-561 | S82409D | 08 | 559-561 | ||
| S82221C | 24 | 955-965 | S82254E | 08 | 559-561 | S82409E | 08 | 559-561 | ||
| S82221D | 08 | 559-561 | S82254F | 08 | 559-561 | S82409F | 08 | 559-561 | ||
| S82221E | 08 | 559-561 | S82254G | 08 | 559-561 | S82409G | 08 | 559-561 | ||
| S82221F | 08 | 559-561 | S82254H | 08 | 559-561 | S82409H | 08 | 559-561 | ||
| S82221G | 08 | 559-561 | S82254J | 08 | 559-561 | S82409J | 08 | 559-561 | ||
| S82221H | 08 | 559-561 | S82254K | 08 | 564-566 | S82409K | 08 | 564-566 | ||
| S82221J | 08 | 559-561 | S82254M | 08 | 564-566 | S82409M | 08 | 564-566 | ||
| S82221K | 08 | 564-566 | S82254N | 08 | 564-566 | S82409N | 08 | 564-566 | ||
| S82221M | 08 | 564-566 | S82254P | 08 | 564-566 | S82409P | 08 | 564-566 | ||
| S82221N | 08 | 564-566 | S82254Q | 08 | 564-566 | S82409Q | 08 | 564-566 | ||
| S82221P | 08 | 564-566 | S82254R | 08 | 564-566 | S82409R | 08 | 564-566 | ||
| S82221Q | 08 | 564-566 | S82254S | 08 | 559-561 | S82409S | 08 | 559-561 | ||
| S82221R | 08 | 564-566 | S82255A | 08 | 562-563 | S82421A | 08 | 562-563 | ||
| S82221S | 08 | 559-561 | S82255A | 24 | 955-965 | S82421A | 24 | 955-965 | ||
| S82222A | 08 | 562-563 | S82255B | 08 | 562-563 | S82421B | 08 | 562-563 | ||
| S82222A | 24 | 955-965 | S82255B | 24 | 955-965 | S82421B | 24 | 955-965 | ||
| S82222B | 08 | 562-563 | S82255C | 08 | 562-563 | S82421C | 08 | 562-563 | ||
| S82222B | 24 | 955-965 | S82255C | 24 | 955-965 | S82421C | 24 | 955-965 | ||
| S82222C | 08 | 562-563 | S82255D | 08 | 559-561 | S82421D | 08 | 559-561 | ||
| S82222C | 24 | 955-965 | S82255E | 08 | 559-561 | S82421E | 08 | 559-561 | ||
| S82222D | 08 | 559-561 | S82255F | 08 | 559-561 | S82421F | 08 | 559-561 | ||
| S82222E | 08 | 559-561 | S82255G | 08 | 559-561 | S82421G | 08 | 559-561 | ||
| S82222F | 08 | 559-561 | S82255H | 08 | 559-561 | S82421H | 08 | 559-561 | ||
| S82222G | 08 | 559-561 | S82255J | 08 | 559-561 | S82421J | 08 | 559-561 | ||
| S82222H | 08 | 559-561 | S82255K | 08 | 564-566 | S82421K | 08 | 564-566 | ||
| S82222J | 08 | 559-561 | S82255M | 08 | 564-566 | S82421M | 08 | 564-566 | ||
| S82222K | 08 | 564-566 | S82255N | 08 | 564-566 | S82421N | 08 | 564-566 | ||
| S82222M | 08 | 564-566 | S82255P | 08 | 564-566 | S82421P | 08 | 564-566 | ||
| S82222N | 08 | 564-566 | S82255Q | 08 | 564-566 | S82421Q | 08 | 564-566 | ||
| S82222P | 08 | 564-566 | S82255R | 08 | 564-566 | S82421R | 08 | 564-566 | ||
| S82222Q | 08 | 564-566 | S82255S | 08 | 559-561 | S82421S | 08 | 559-561 | ||
| S82222R | 08 | 564-566 | S82256A | 08 | 562-563 | S82422A | 08 | 562-563 | ||
| S82222S | 08 | 559-561 | S82256A | 24 | 955-965 | S82422A | 24 | 955-965 | ||
| S82223A | 08 | 562-563 | S82256B | 08 | 562-563 | S82422B | 08 | 562-563 | ||
| S82223A | 24 | 955-965 | S82256B | 24 | 955-965 | S82422B | 24 | 955-965 | ||
| S82223B | 08 | 562-563 | S82256C | 08 | 562-563 | S82422C | 08 | 562-563 | ||
| S82223B | 24 | 955-965 | S82256C | 24 | 955-965 | S82422C | 24 | 955-965 | ||
| S82223C | 08 | 562-563 | S82256D | 08 | 559-561 | S82422D | 08 | 559-561 | ||
| S82223C | 24 | 955-965 | S82256E | 08 | 559-561 | S82422E | 08 | 559-561 | ||
| S82223D | 08 | 559-561 | S82256F | 08 | 559-561 | S82422F | 08 | 559-561 | ||
| S82223E | 08 | 559-561 | S82256G | 08 | 559-561 | S82422G | 08 | 559-561 | ||
| S82223F | 08 | 559-561 | S82256H | 08 | 559-561 | S82422H | 08 | 559-561 | ||
| S82223G | 08 | 559-561 | S82256J | 08 | 559-561 | S82422J | 08 | 559-561 | ||
| S82223H | 08 | 559-561 | S82256K | 08 | 564-566 | S82422K | 08 | 564-566 | ||
| S82223J | 08 | 559-561 | S82256M | 08 | 564-566 | S82422M | 08 | 564-566 | ||
| S82223K | 08 | 564-566 | S82256N | 08 | 564-566 | S82422N | 08 | 564-566 | ||
| S82223M | 08 | 564-566 | S82256P | 08 | 564-566 | S82422P | 08 | 564-566 | ||
| S82223N | 08 | 564-566 | S82256Q | 08 | 564-566 | S82422Q | 08 | 564-566 | ||
| S82223P | 08 | 564-566 | S82256R | 08 | 564-566 | S82422R | 08 | 564-566 | ||
| S82223Q | 08 | 564-566 | S82256S | 08 | 559-561 | S82422S | 08 | 559-561 | ||
| S82223R | 08 | 564-566 | S82261A | 08 | 562-563 | S82423A | 08 | 562-563 | ||
| S82223S | 08 | 559-561 | S82261A | 24 | 955-965 | S82423A | 24 | 955-965 | ||
| S82224A | 08 | 562-563 | S82261B | 08 | 562-563 | S82423B | 08 | 562-563 | ||
| S82224A | 24 | 955-965 | S82261B | 24 | 955-965 | S82423B | 24 | 955-965 | ||
| S82224B | 08 | 562-563 | S82261C | 08 | 562-563 | S82423C | 08 | 562-563 | ||
| S82224B | 24 | 955-965 | S82261C | 24 | 955-965 | S82423C | 24 | 955-965 | ||
| S82224C | 08 | 562-563 | S82261D | 08 | 559-561 | S82423D | 08 | 559-561 | ||
| S82224C | 24 | 955-965 | S82261E | 08 | 559-561 | S82423E | 08 | 559-561 | ||
| S82224D | 08 | 559-561 | S82261F | 08 | 559-561 | S82423F | 08 | 559-561 | ||
| S82224E | 08 | 559-561 | S82261G | 08 | 559-561 | S82423G | 08 | 559-561 | ||
| S82224F | 08 | 559-561 | S82261H | 08 | 559-561 | S82423H | 08 | 559-561 | ||
| S82224G | 08 | 559-561 | S82261J | 08 | 559-561 | S82423J | 08 | 559-561 | ||
| S82224H | 08 | 559-561 | S82261K | 08 | 564-566 | S82423K | 08 | 564-566 | ||
| S82224J | 08 | 559-561 | S82261M | 08 | 564-566 | S82423M | 08 | 564-566 | ||
| S82224K | 08 | 564-566 | S82261N | 08 | 564-566 | S82423N | 08 | 564-566 | ||
| S82224M | 08 | 564-566 | S82261P | 08 | 564-566 | S82423P | 08 | 564-566 | ||
| S82224N | 08 | 564-566 | S82261Q | 08 | 564-566 | S82423Q | 08 | 564-566 | ||
| S82224P | 08 | 564-566 | S82261R | 08 | 564-566 | S82423R | 08 | 564-566 | ||
| S82224Q | 08 | 564-566 | S82261S | 08 | 559-561 | S82423S | 08 | 559-561 | ||
| S82224R | 08 | 564-566 | S82262A | 08 | 562-563 | S82424A | 08 | 562-563 | ||
| S82224S | 08 | 559-561 | S82262A | 24 | 955-965 | S82424A | 24 | 955-965 | ||
| S82225A | 08 | 562-563 | S82262B | 08 | 562-563 | S82424B | 08 | 562-563 | ||
| S82225A | 24 | 955-965 | S82262B | 24 | 955-965 | S82424B | 24 | 955-965 | ||
| S82225B | 08 | 562-563 | S82262C | 08 | 562-563 | S82424C | 08 | 562-563 | ||
| S82225B | 24 | 955-965 | S82262C | 24 | 955-965 | S82424C | 24 | 955-965 | ||
| S82225C | 08 | 562-563 | S82262D | 08 | 559-561 | S82424D | 08 | 559-561 | ||
| S82225C | 24 | 955-965 | S82262E | 08 | 559-561 | S82424E | 08 | 559-561 | ||
| S82225D | 08 | 559-561 | S82262F | 08 | 559-561 | S82424F | 08 | 559-561 | ||
| S82225E | 08 | 559-561 | S82262G | 08 | 559-561 | S82424G | 08 | 559-561 | ||
| S82225F | 08 | 559-561 | S82262H | 08 | 559-561 | S82424H | 08 | 559-561 | ||
| S82225G | 08 | 559-561 | S82262J | 08 | 559-561 | S82424J | 08 | 559-561 | ||
| S82225H | 08 | 559-561 | S82262K | 08 | 564-566 | S82424K | 08 | 564-566 | ||
| S82225J | 08 | 559-561 | S82262M | 08 | 564-566 | S82424M | 08 | 564-566 | ||
| S82225K | 08 | 564-566 | S82262N | 08 | 564-566 | S82424N | 08 | 564-566 | ||
| S82225M | 08 | 564-566 | S82262P | 08 | 564-566 | S82424P | 08 | 564-566 | ||
| S82225N | 08 | 564-566 | S82262Q | 08 | 564-566 | S82424Q | 08 | 564-566 | ||
| S82225P | 08 | 564-566 | S82262R | 08 | 564-566 | S82424R | 08 | 564-566 | ||
| S82225Q | 08 | 564-566 | S82262S | 08 | 559-561 | S82424S | 08 | 559-561 | ||
| S82225R | 08 | 564-566 | S82263A | 08 | 562-563 | S82425A | 08 | 562-563 | ||
| S82225S | 08 | 559-561 | S82263A | 24 | 955-965 | S82425A | 24 | 955-965 | ||
| S82226A | 08 | 562-563 | S82263B | 08 | 562-563 | S82425B | 08 | 562-563 | ||
| S82226A | 24 | 955-965 | S82263B | 24 | 955-965 | S82425B | 24 | 955-965 | ||
| S82226B | 08 | 562-563 | S82263C | 08 | 562-563 | S82425C | 08 | 562-563 | ||
| S82226B | 24 | 955-965 | S82263C | 24 | 955-965 | S82425C | 24 | 955-965 | ||
| S82226C | 08 | 562-563 | S82263D | 08 | 559-561 | S82425D | 08 | 559-561 | ||
| S82226C | 24 | 955-965 | S82263E | 08 | 559-561 | S82425E | 08 | 559-561 | ||
| S82226D | 08 | 559-561 | S82263F | 08 | 559-561 | S82425F | 08 | 559-561 | ||
| S82226E | 08 | 559-561 | S82263G | 08 | 559-561 | S82425G | 08 | 559-561 | ||
| S82226F | 08 | 559-561 | S82263H | 08 | 559-561 | S82425H | 08 | 559-561 | ||
| S82226G | 08 | 559-561 | S82263J | 08 | 559-561 | S82425J | 08 | 559-561 | ||
| S82226H | 08 | 559-561 | S82263K | 08 | 564-566 | S82425K | 08 | 564-566 | ||
| S82226J | 08 | 559-561 | S82263M | 08 | 564-566 | S82425M | 08 | 564-566 | ||
| S82226K | 08 | 564-566 | S82263N | 08 | 564-566 | S82425N | 08 | 564-566 | ||
| S82226M | 08 | 564-566 | S82263P | 08 | 564-566 | S82425P | 08 | 564-566 | ||
| S82226N | 08 | 564-566 | S82263Q | 08 | 564-566 | S82425Q | 08 | 564-566 | ||
| S82226P | 08 | 564-566 | S82263R | 08 | 564-566 | S82425R | 08 | 564-566 | ||
| S82226Q | 08 | 564-566 | S82263S | 08 | 559-561 | S82425S | 08 | 559-561 | ||
| S82226R | 08 | 564-566 | S82264A | 08 | 562-563 | S82426A | 08 | 562-563 | ||
| S82226S | 08 | 559-561 | S82264A | 24 | 955-965 | S82426A | 24 | 955-965 | ||
| S82231A | 08 | 562-563 | S82264B | 08 | 562-563 | S82426B | 08 | 562-563 | ||
| S82231A | 24 | 955-965 | S82264B | 24 | 955-965 | S82426B | 24 | 955-965 | ||
| S82231B | 08 | 562-563 | S82264C | 08 | 562-563 | S82426C | 08 | 562-563 | ||
| S82231B | 24 | 955-965 | S82264C | 24 | 955-965 | S82426C | 24 | 955-965 | ||
| S82231C | 08 | 562-563 | S82264D | 08 | 559-561 | S82426D | 08 | 559-561 | ||
| S82231C | 24 | 955-965 | S82264E | 08 | 559-561 | S82426E | 08 | 559-561 | ||
| S82231D | 08 | 559-561 | S82264F | 08 | 559-561 | S82426F | 08 | 559-561 | ||
| S82231E | 08 | 559-561 | S82264G | 08 | 559-561 | S82426G | 08 | 559-561 | ||
| S82231F | 08 | 559-561 | S82264H | 08 | 559-561 | S82426H | 08 | 559-561 | ||
| S82231G | 08 | 559-561 | S82264J | 08 | 559-561 | S82426J | 08 | 559-561 | ||
| S82231H | 08 | 559-561 | S82264K | 08 | 564-566 | S82426K | 08 | 564-566 | ||
| S82231J | 08 | 559-561 | S82264M | 08 | 564-566 | S82426M | 08 | 564-566 | ||
| S82231K | 08 | 564-566 | S82264N | 08 | 564-566 | S82426N | 08 | 564-566 | ||
| S82231M | 08 | 564-566 | S82264P | 08 | 564-566 | S82426P | 08 | 564-566 | ||
| S82231N | 08 | 564-566 | S82264Q | 08 | 564-566 | S82426Q | 08 | 564-566 | ||
| S82231P | 08 | 564-566 | S82264R | 08 | 564-566 | S82426R | 08 | 564-566 | ||
| S82231Q | 08 | 564-566 | S82264S | 08 | 559-561 | S82426S | 08 | 559-561 | ||
| S82231R | 08 | 564-566 | S82265A | 08 | 562-563 | S82431A | 08 | 562-563 | ||
| S82231S | 08 | 559-561 | S82265A | 24 | 955-965 | S82431A | 24 | 955-965 | ||
| S82232A | 08 | 562-563 | S82265B | 08 | 562-563 | S82431B | 08 | 562-563 | ||
| S82232A | 24 | 955-965 | S82265B | 24 | 955-965 | S82431B | 24 | 955-965 | ||
| S82232B | 08 | 562-563 | S82265C | 08 | 562-563 | S82431C | 08 | 562-563 | ||
| S82232B | 24 | 955-965 | S82265C | 24 | 955-965 | S82431C | 24 | 955-965 | ||
| S82232C | 08 | 562-563 | S82265D | 08 | 559-561 | S82431D | 08 | 559-561 | ||
| S82232C | 24 | 955-965 | S82265E | 08 | 559-561 | S82431E | 08 | 559-561 | ||
| S82232D | 08 | 559-561 | S82265F | 08 | 559-561 | S82431F | 08 | 559-561 | ||
| S82232E | 08 | 559-561 | S82265G | 08 | 559-561 | S82431G | 08 | 559-561 | ||
| S82232F | 08 | 559-561 | S82265H | 08 | 559-561 | S82431H | 08 | 559-561 | ||
| S82232G | 08 | 559-561 | S82265J | 08 | 559-561 | S82431J | 08 | 559-561 | ||
| S82232H | 08 | 559-561 | S82265K | 08 | 564-566 | S82431K | 08 | 564-566 | ||
| S82232J | 08 | 559-561 | S82265M | 08 | 564-566 | S82431M | 08 | 564-566 | ||
| S82232K | 08 | 564-566 | S82265N | 08 | 564-566 | S82431N | 08 | 564-566 | ||
| S82232M | 08 | 564-566 | S82265P | 08 | 564-566 | S82431P | 08 | 564-566 | ||
| S82232N | 08 | 564-566 | S82265Q | 08 | 564-566 | S82431Q | 08 | 564-566 | ||
| S82232P | 08 | 564-566 | S82265R | 08 | 564-566 | S82431R | 08 | 564-566 | ||
| S82232Q | 08 | 564-566 | S82265S | 08 | 559-561 | S82431S | 08 | 559-561 | ||
| S82232R | 08 | 564-566 | S82266A | 08 | 562-563 | S82432A | 08 | 562-563 | ||
| S82232S | 08 | 559-561 | S82266A | 24 | 955-965 | S82432A | 24 | 955-965 | ||
| S82233A | 08 | 562-563 | S82266B | 08 | 562-563 | S82432B | 08 | 562-563 | ||
| S82233A | 24 | 955-965 | S82266B | 24 | 955-965 | S82432B | 24 | 955-965 | ||
| S82233B | 08 | 562-563 | S82266C | 08 | 562-563 | S82432C | 08 | 562-563 | ||
| S82233B | 24 | 955-965 | S82266C | 24 | 955-965 | S82432C | 24 | 955-965 | ||
| S82233C | 08 | 562-563 | S82266D | 08 | 559-561 | S82432D | 08 | 559-561 | ||
| S82233C | 24 | 955-965 | S82266E | 08 | 559-561 | S82432E | 08 | 559-561 | ||
| S82233D | 08 | 559-561 | S82266F | 08 | 559-561 | S82432F | 08 | 559-561 | ||
| S82233E | 08 | 559-561 | S82266G | 08 | 559-561 | S82432G | 08 | 559-561 | ||
| S82233F | 08 | 559-561 | S82266H | 08 | 559-561 | S82432H | 08 | 559-561 | ||
| S82233G | 08 | 559-561 | S82266J | 08 | 559-561 | S82432J | 08 | 559-561 | ||
| S82233H | 08 | 559-561 | S82266K | 08 | 564-566 | S82432K | 08 | 564-566 | ||
| S82233J | 08 | 559-561 | S82266M | 08 | 564-566 | S82432M | 08 | 564-566 | ||
| S82233K | 08 | 564-566 | S82266N | 08 | 564-566 | S82432N | 08 | 564-566 | ||
| S82233M | 08 | 564-566 | S82266P | 08 | 564-566 | S82432P | 08 | 564-566 | ||
| S82233N | 08 | 564-566 | S82266Q | 08 | 564-566 | S82432Q | 08 | 564-566 | ||
| S82233P | 08 | 564-566 | S82266R | 08 | 564-566 | S82432R | 08 | 564-566 | ||
| S82233Q | 08 | 564-566 | S82266S | 08 | 559-561 | S82432S | 08 | 559-561 | ||
| S82233R | 08 | 564-566 | S82291A | 08 | 562-563 | S82433A | 08 | 562-563 | ||
| S82233S | 08 | 559-561 | S82291A | 24 | 955-965 | S82433A | 24 | 955-965 | ||
| S82234A | 08 | 562-563 | S82291B | 08 | 562-563 | S82433B | 08 | 562-563 | ||
| S82234A | 24 | 955-965 | S82291B | 24 | 955-965 | S82433B | 24 | 955-965 | ||
| S82234B | 08 | 562-563 | S82291C | 08 | 562-563 | S82433C | 08 | 562-563 | ||
| S82234B | 24 | 955-965 | S82291C | 24 | 955-965 | S82433C | 24 | 955-965 | ||
| S82234C | 08 | 562-563 | S82291D | 08 | 559-561 | S82433D | 08 | 559-561 | ||
| S82234C | 24 | 955-965 | S82291E | 08 | 559-561 | S82433E | 08 | 559-561 | ||
| S82234D | 08 | 559-561 | S82291F | 08 | 559-561 | S82433F | 08 | 559-561 | ||
| S82234E | 08 | 559-561 | S82291G | 08 | 559-561 | S82433G | 08 | 559-561 | ||
| S82234F | 08 | 559-561 | S82291H | 08 | 559-561 | S82433H | 08 | 559-561 | ||
| S82234G | 08 | 559-561 | S82291J | 08 | 559-561 | S82433J | 08 | 559-561 | ||
| S82234H | 08 | 559-561 | S82291K | 08 | 564-566 | S82433K | 08 | 564-566 | ||
| S82234J | 08 | 559-561 | S82291M | 08 | 564-566 | S82433M | 08 | 564-566 | ||
| S82234K | 08 | 564-566 | S82291N | 08 | 564-566 | S82433N | 08 | 564-566 | ||
| S82234M | 08 | 564-566 | S82291P | 08 | 564-566 | S82433P | 08 | 564-566 | ||
| S82234N | 08 | 564-566 | S82291Q | 08 | 564-566 | S82433Q | 08 | 564-566 | ||
| S82234P | 08 | 564-566 | S82291R | 08 | 564-566 | S82433R | 08 | 564-566 | ||
| S82234Q | 08 | 564-566 | S82291S | 08 | 559-561 | S82433S | 08 | 559-561 | ||
| S82234R | 08 | 564-566 | S82292A | 08 | 562-563 | S82434A | 08 | 562-563 | ||
| S82234S | 08 | 559-561 | S82292A | 24 | 955-965 | S82434A | 24 | 955-965 | ||
| S82235A | 08 | 562-563 | S82292B | 08 | 562-563 | S82434B | 08 | 562-563 | ||
| S82235A | 24 | 955-965 | S82292B | 24 | 955-965 | S82434B | 24 | 955-965 | ||
| S82235B | 08 | 562-563 | S82292C | 08 | 562-563 | S82434C | 08 | 562-563 | ||
| S82235B | 24 | 955-965 | S82292C | 24 | 955-965 | S82434C | 24 | 955-965 | ||
| S82235C | 08 | 562-563 | S82292D | 08 | 559-561 | S82434D | 08 | 559-561 | ||
| S82235C | 24 | 955-965 | S82292E | 08 | 559-561 | S82434E | 08 | 559-561 | ||
| S82235D | 08 | 559-561 | S82292F | 08 | 559-561 | S82434F | 08 | 559-561 | ||
| S82235E | 08 | 559-561 | S82292G | 08 | 559-561 | S82434G | 08 | 559-561 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 09 Jul 2020 15:51:46 CMS, code-revision=268, description-revision=1285 |