ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual
Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
Diagnosis Code/MDC/MS-DRG Index
Page 58 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
DXMDCMS-DRG  DXMDCMS-DRG  DXMDCMS-DRG
S86329A08564-566 S89131K08564-566 S90452D23949-950
S86329A24955-965 S89131P08564-566 S90452S09604-605
S86329D23949-950 S89131S08559-561 S90453A09604-605
S86329S09604-605 S89132A08562-563 S90453A24955-965
S86391A21913-914 S89132A24955-965 S90453D23949-950
S86391A24955-965 S89132D08559-561 S90453S09604-605
S86391D23949-950 S89132G08559-561 S90454A09604-605
S86391S21913-914 S89132K08564-566 S90454A24955-965
S86392A21913-914 S89132P08564-566 S90454D23949-950
S86392A24955-965 S89132S08559-561 S90454S09604-605
S86392D23949-950 S89139A08562-563 S90455A09604-605
S86392S21913-914 S89139A24955-965 S90455A24955-965
S86399A21913-914 S89139D08559-561 S90455D23949-950
S86399A24955-965 S89139G08559-561 S90455S09604-605
S86399D23949-950 S89139K08564-566 S90456A09604-605
S86399S21913-914 S89139P08564-566 S90456A24955-965
S86801A21913-914 S89139S08559-561 S90456D23949-950
S86801A24955-965 S89141A08562-563 S90456S09604-605
S86801D23949-950 S89141A24955-965 S90461A09606-607
S86801S21913-914 S89141D08559-561 S90461A24955-965
S86802A21913-914 S89141G08559-561 S90461D23949-950
S86802A24955-965 S89141K08564-566 S90461S09604-605
S86802D23949-950 S89141P08564-566 S90462A09606-607
S86802S21913-914 S89141S08559-561 S90462A24955-965
S86809A21913-914 S89142A08562-563 S90462D23949-950
S86809A24955-965 S89142A24955-965 S90462S09604-605
S86809D23949-950 S89142D08559-561 S90463A09606-607
S86809S21913-914 S89142G08559-561 S90463A24955-965
S86811A08562-563 S89142K08564-566 S90463D23949-950
S86811A24955-965 S89142P08564-566 S90463S09604-605
S86811D23949-950 S89142S08559-561 S90464A09606-607
S86811S08562-563 S89149A08562-563 S90464A24955-965
S86812A08562-563 S89149A24955-965 S90464D23949-950
S86812A24955-965 S89149D08559-561 S90464S09604-605
S86812D23949-950 S89149G08559-561 S90465A09606-607
S86812S08562-563 S89149K08564-566 S90465A24955-965
S86819A08562-563 S89149P08564-566 S90465D23949-950
S86819A24955-965 S89149S08559-561 S90465S09604-605
S86819D23949-950 S89191A08562-563 S90466A09606-607
S86819S08562-563 S89191A24955-965 S90466A24955-965
S86821A08564-566 S89191D08559-561 S90466D23949-950
S86821A24955-965 S89191G08559-561 S90466S09604-605
S86821D23949-950 S89191K08564-566 S90471A09604-605
S86821S09604-605 S89191P08564-566 S90471A24955-965
S86822A08564-566 S89191S08559-561 S90471D23949-950
S86822A24955-965 S89192A08562-563 S90471S09604-605
S86822D23949-950 S89192A24955-965 S90472A09604-605
S86822S09604-605 S89192D08559-561 S90472A24955-965
S86829A08564-566 S89192G08559-561 S90472D23949-950
S86829A24955-965 S89192K08564-566 S90472S09604-605
S86829D23949-950 S89192P08564-566 S90473A09604-605
S86829S09604-605 S89192S08559-561 S90473A24955-965
S86891A21913-914 S89199A08562-563 S90473D23949-950
S86891A24955-965 S89199A24955-965 S90473S09604-605
S86891D23949-950 S89199D08559-561 S90474A09604-605
S86891S21913-914 S89199G08559-561 S90474A24955-965
S86892A21913-914 S89199K08564-566 S90474D23949-950
S86892A24955-965 S89199P08564-566 S90474S09604-605
S86892D23949-950 S89199S08559-561 S90475A09604-605
S86892S21913-914 S89201A08562-563 S90475A24955-965
S86899A21913-914 S89201A24955-965 S90475D23949-950
S86899A24955-965 S89201D08559-561 S90475S09604-605
S86899D23949-950 S89201G08559-561 S90476A09604-605
S86899S21913-914 S89201K08564-566 S90476A24955-965
S86901A21913-914 S89201P08564-566 S90476D23949-950
S86901A24955-965 S89201S08559-561 S90476S09604-605
S86901D23949-950 S89202A08562-563 S90511A09604-605
S86901S21913-914 S89202A24955-965 S90511A24955-965
S86902A21913-914 S89202D08559-561 S90511D23949-950
S86902A24955-965 S89202G08559-561 S90511S09604-605
S86902D23949-950 S89202K08564-566 S90512A09604-605
S86902S21913-914 S89202P08564-566 S90512A24955-965
S86909A21913-914 S89202S08559-561 S90512D23949-950
S86909A24955-965 S89209A08562-563 S90512S09604-605
S86909D23949-950 S89209A24955-965 S90519A09604-605
S86909S21913-914 S89209D08559-561 S90519A24955-965
S86911A08562-563 S89209G08559-561 S90519D23949-950
S86911A24955-965 S89209K08564-566 S90519S09604-605
S86911D23949-950 S89209P08564-566 S90521A09606-607
S86911S08562-563 S89209S08559-561 S90521A24955-965
S86912A08562-563 S89211A08562-563 S90521D23949-950
S86912A24955-965 S89211A24955-965 S90521S09604-605
S86912D23949-950 S89211D08559-561 S90522A09606-607
S86912S08562-563 S89211G08559-561 S90522A24955-965
S86919A08562-563 S89211K08564-566 S90522D23949-950
S86919A24955-965 S89211P08564-566 S90522S09604-605
S86919D23949-950 S89211S08559-561 S90529A09606-607
S86919S08562-563 S89212A08562-563 S90529A24955-965
S86921A08564-566 S89212A24955-965 S90529D23949-950
S86921A24955-965 S89212D08559-561 S90529S09604-605
S86921D23949-950 S89212G08559-561 S90541A09604-605
S86921S09604-605 S89212K08564-566 S90541A24955-965
S86922A08564-566 S89212P08564-566 S90541D23949-950
S86922A24955-965 S89212S08559-561 S90541S09604-605
S86922D23949-950 S89219A08562-563 S90542A09604-605
S86922S09604-605 S89219A24955-965 S90542A24955-965
S86929A08564-566 S89219D08559-561 S90542D23949-950
S86929A24955-965 S89219G08559-561 S90542S09604-605
S86929D23949-950 S89219K08564-566 S90549A09604-605
S86929S09604-605 S89219P08564-566 S90549A24955-965
S86991A21913-914 S89219S08559-561 S90549D23949-950
S86991A24955-965 S89221A08562-563 S90549S09604-605
S86991D23949-950 S89221A24955-965 S90551A09604-605
S86991S21913-914 S89221D08559-561 S90551A24955-965
S86992A21913-914 S89221G08559-561 S90551D23949-950
S86992A24955-965 S89221K08564-566 S90551S09604-605
S86992D23949-950 S89221P08564-566 S90552A09604-605
S86992S21913-914 S89221S08559-561 S90552A24955-965
S86999A21913-914 S89222A08562-563 S90552D23949-950
S86999A24955-965 S89222A24955-965 S90552S09604-605
S86999D23949-950 S89222D08559-561 S90559A09604-605
S86999S21913-914 S89222G08559-561 S90559A24955-965
S8700XA21913-914 S89222K08564-566 S90559D23949-950
S8700XA24955-965 S89222P08564-566 S90559S09604-605
S8700XD23949-950 S89222S08559-561 S90561A09606-607
S8700XS09604-605 S89229A08562-563 S90561A24955-965
S8701XA21913-914 S89229A24955-965 S90561D23949-950
S8701XA24955-965 S89229D08559-561 S90561S09604-605
S8701XD23949-950 S89229G08559-561 S90562A09606-607
S8701XS09604-605 S89229K08564-566 S90562A24955-965
S8702XA21913-914 S89229P08564-566 S90562D23949-950
S8702XA24955-965 S89229S08559-561 S90562S09604-605
S8702XD23949-950 S89291A08562-563 S90569A09606-607
S8702XS09604-605 S89291A24955-965 S90569A24955-965
S8780XA21913-914 S89291D08559-561 S90569D23949-950
S8780XA24955-965 S89291G08559-561 S90569S09604-605
S8780XD23949-950 S89291K08564-566 S90571A09604-605
S8780XS09604-605 S89291P08564-566 S90571A24955-965
S8781XA21913-914 S89291S08559-561 S90571D23949-950
S8781XA24955-965 S89292A08562-563 S90571S09604-605
S8781XD23949-950 S89292A24955-965 S90572A09604-605
S8781XS09604-605 S89292D08559-561 S90572A24955-965
S8782XA21913-914 S89292G08559-561 S90572D23949-950
S8782XA24955-965 S89292K08564-566 S90572S09604-605
S8782XD23949-950 S89292P08564-566 S90579A09604-605
S8782XS09604-605 S89292S08559-561 S90579A24955-965
S88011A21913-914 S89299A08562-563 S90579D23949-950
S88011A24955-965 S89299A24955-965 S90579S09604-605
S88011D23949-950 S89299D08559-561 S90811A09604-605
S88011S08559-561 S89299G08559-561 S90811A24955-965
S88012A21913-914 S89299K08564-566 S90811D23949-950
S88012A24955-965 S89299P08564-566 S90811S09604-605
S88012D23949-950 S89299S08559-561 S90812A09604-605
S88012S08559-561 S89301A08562-563 S90812A24955-965
S88019A21913-914 S89301A24955-965 S90812D23949-950
S88019A24955-965 S89301D08559-561 S90812S09604-605
S88019D23949-950 S89301G08559-561 S90819A09604-605
S88019S08559-561 S89301K08564-566 S90819A24955-965
S88021A21913-914 S89301P08564-566 S90819D23949-950
S88021A24955-965 S89301S08559-561 S90819S09604-605
S88021D23949-950 S89302A08562-563 S90821A09606-607
S88021S08559-561 S89302A24955-965 S90821A24955-965
S88022A21913-914 S89302D08559-561 S90821D23949-950
S88022A24955-965 S89302G08559-561 S90821S09604-605
S88022D23949-950 S89302K08564-566 S90822A09606-607
S88022S08559-561 S89302P08564-566 S90822A24955-965
S88029A21913-914 S89302S08559-561 S90822D23949-950
S88029A24955-965 S89309A08562-563 S90822S09604-605
S88029D23949-950 S89309A24955-965 S90829A09606-607
S88029S08559-561 S89309D08559-561 S90829A24955-965
S88111A21913-914 S89309G08559-561 S90829D23949-950
S88111A24955-965 S89309K08564-566 S90829S09604-605
S88111D23949-950 S89309P08564-566 S90841A09604-605
S88111S08559-561 S89309S08559-561 S90841A24955-965
S88112A21913-914 S89311A08562-563 S90841D23949-950
S88112A24955-965 S89311A24955-965 S90841S09604-605
S88112D23949-950 S89311D08559-561 S90842A09604-605
S88112S08559-561 S89311G08559-561 S90842A24955-965
S88119A21913-914 S89311K08564-566 S90842D23949-950
S88119A24955-965 S89311P08564-566 S90842S09604-605
S88119D23949-950 S89311S08559-561 S90849A09604-605
S88119S08559-561 S89312A08562-563 S90849A24955-965
S88121A21913-914 S89312A24955-965 S90849D23949-950
S88121A24955-965 S89312D08559-561 S90849S09604-605
S88121D23949-950 S89312G08559-561 S90851A09604-605
S88121S08559-561 S89312K08564-566 S90851A24955-965
S88122A21913-914 S89312P08564-566 S90851D23949-950
S88122A24955-965 S89312S08559-561 S90851S09604-605
S88122D23949-950 S89319A08562-563 S90852A09604-605
S88122S08559-561 S89319A24955-965 S90852A24955-965
S88129A21913-914 S89319D08559-561 S90852D23949-950
S88129A24955-965 S89319G08559-561 S90852S09604-605
S88129D23949-950 S89319K08564-566 S90859A09604-605
S88129S08559-561 S89319P08564-566 S90859A24955-965
S88911A21913-914 S89319S08559-561 S90859D23949-950
S88911A24955-965 S89321A08562-563 S90859S09604-605
S88911D23949-950 S89321A24955-965 S90861A09606-607
S88911S08559-561 S89321D08559-561 S90861A24955-965
S88912A21913-914 S89321G08559-561 S90861D23949-950
S88912A24955-965 S89321K08564-566 S90861S09604-605
S88912D23949-950 S89321P08564-566 S90862A09606-607
S88912S08559-561 S89321S08559-561 S90862A24955-965
S88919A21913-914 S89322A08562-563 S90862D23949-950
S88919A24955-965 S89322A24955-965 S90862S09604-605
S88919D23949-950 S89322D08559-561 S90869A09606-607
S88919S08559-561 S89322G08559-561 S90869A24955-965
S88921A21913-914 S89322K08564-566 S90869D23949-950
S88921A24955-965 S89322P08564-566 S90869S09604-605
S88921D23949-950 S89322S08559-561 S90871A09604-605
S88921S08559-561 S89329A08562-563 S90871A24955-965
S88922A21913-914 S89329A24955-965 S90871D23949-950
S88922A24955-965 S89329D08559-561 S90871S09604-605
S88922D23949-950 S89329G08559-561 S90872A09604-605
S88922S08559-561 S89329K08564-566 S90872A24955-965
S88929A21913-914 S89329P08564-566 S90872D23949-950
S88929A24955-965 S89329S08559-561 S90872S09604-605
S88929D23949-950 S89391A08562-563 S90879A09604-605
S88929S08559-561 S89391A24955-965 S90879A24955-965
S89001A08562-563 S89391D08559-561 S90879D23949-950
S89001A24955-965 S89391G08559-561 S90879S09604-605
S89001D08559-561 S89391K08564-566 S90911A09604-605
S89001G08559-561 S89391P08564-566 S90911A24955-965
S89001K08564-566 S89391S08559-561 S90911D23949-950
S89001P08564-566 S89392A08562-563 S90911S09604-605
S89001S08559-561 S89392A24955-965 S90912A09604-605
S89002A08562-563 S89392D08559-561 S90912A24955-965
S89002A24955-965 S89392G08559-561 S90912D23949-950
S89002D08559-561 S89392K08564-566 S90912S09604-605
S89002G08559-561 S89392P08564-566 S90919A09604-605
S89002K08564-566 S89392S08559-561 S90919A24955-965
S89002P08564-566 S89399A08562-563 S90919D23949-950
S89002S08559-561 S89399A24955-965 S90919S09604-605
S89009A08562-563 S89399D08559-561 S90921A09604-605
S89009A24955-965 S89399G08559-561 S90921A24955-965
S89009D08559-561 S89399K08564-566 S90921D23949-950
S89009G08559-561 S89399P08564-566 S90921S09604-605
S89009K08564-566 S89399S08559-561 S90922A09604-605
S89009P08564-566 S8980XA21913-914 S90922A24955-965
S89009S08559-561 S8980XA24955-965 S90922D23949-950
S89011A08562-563 S8980XD23949-950 S90922S09604-605
S89011A24955-965 S8980XS21913-914 S90929A09604-605
S89011D08559-561 S8981XA21913-914 S90929A24955-965
S89011G08559-561 S8981XA24955-965 S90929D23949-950
S89011K08564-566 S8981XD23949-950 S90929S09604-605
S89011P08564-566 S8981XS21913-914 S90931A09604-605
S89011S08559-561 S8982XA21913-914 S90931A24955-965
S89012A08562-563 S8982XA24955-965 S90931D23949-950
S89012A24955-965 S8982XD23949-950 S90931S09604-605
S89012D08559-561 S8982XS21913-914 S90932A09604-605
S89012G08559-561 S8990XA21913-914 S90932A24955-965
S89012K08564-566 S8990XA24955-965 S90932D23949-950
S89012P08564-566 S8990XD23949-950 S90932S09604-605
S89012S08559-561 S8990XS21913-914 S90933A09604-605
S89019A08562-563 S8991XA21913-914 S90933A24955-965
S89019A24955-965 S8991XA24955-965 S90933D23949-950
S89019D08559-561 S8991XD23949-950 S90933S09604-605
S89019G08559-561 S8991XS21913-914 S90934A09604-605
S89019K08564-566 S8992XA21913-914 S90934A24955-965
S89019P08564-566 S8992XA24955-965 S90934D23949-950
S89019S08559-561 S8992XD23949-950 S90934S09604-605
S89021A08562-563 S8992XS21913-914 S90935A09604-605
S89021A24955-965 S9000XA09604-605 S90935A24955-965
S89021D08559-561 S9000XA24955-965 S90935D23949-950
S89021G08559-561 S9000XD23949-950 S90935S09604-605
S89021K08564-566 S9000XS09604-605 S90936A09604-605
S89021P08564-566 S9001XA09604-605 S90936A24955-965
S89021S08559-561 S9001XA24955-965 S90936D23949-950
S89022A08562-563 S9001XD23949-950 S90936S09604-605
S89022A24955-965 S9001XS09604-605 S91001A09604-605
S89022D08559-561 S9002XA09604-605 S91001A24955-965
S89022G08559-561 S9002XA24955-965 S91001D23949-950
S89022K08564-566 S9002XD23949-950 S91001S09604-605
S89022P08564-566 S9002XS09604-605 S91002A09604-605
S89022S08559-561 S90111A09604-605 S91002A24955-965
S89029A08562-563 S90111A24955-965 S91002D23949-950
S89029A24955-965 S90111D23949-950 S91002S09604-605
S89029D08559-561 S90111S09604-605 S91009A09604-605
S89029G08559-561 S90112A09604-605 S91009A24955-965
S89029K08564-566 S90112A24955-965 S91009D23949-950
S89029P08564-566 S90112D23949-950 S91009S09604-605
S89029S08559-561 S90112S09604-605 S91011A09604-605
S89031A08562-563 S90119A09604-605 S91011A24955-965
S89031A24955-965 S90119A24955-965 S91011D23949-950
S89031D08559-561 S90119D23949-950 S91011S09604-605
S89031G08559-561 S90119S09604-605 S91012A09604-605
S89031K08564-566 S90121A09604-605 S91012A24955-965
S89031P08564-566 S90121A24955-965 S91012D23949-950
S89031S08559-561 S90121D23949-950 S91012S09604-605
S89032A08562-563 S90121S09604-605 S91019A09604-605
S89032A24955-965 S90122A09604-605 S91019A24955-965
S89032D08559-561 S90122A24955-965 S91019D23949-950
S89032G08559-561 S90122D23949-950 S91019S09604-605
S89032K08564-566 S90122S09604-605 S91021A21913-914
S89032P08564-566 S90129A09604-605 S91021A24955-965
S89032S08559-561 S90129A24955-965 S91021D23949-950
S89039A08562-563 S90129D23949-950 S91021S09604-605
S89039A24955-965 S90129S09604-605 S91022A21913-914
S89039D08559-561 S90211A09604-605 S91022A24955-965
S89039G08559-561 S90211A24955-965 S91022D23949-950
S89039K08564-566 S90211D23949-950 S91022S09604-605
S89039P08564-566 S90211S09604-605 S91029A21913-914
S89039S08559-561 S90212A09604-605 S91029A24955-965
S89041A08562-563 S90212A24955-965 S91029D23949-950
S89041A24955-965 S90212D23949-950 S91029S09604-605
S89041D08559-561 S90212S09604-605 S91031A09604-605
S89041G08559-561 S90219A09604-605 S91031A24955-965
S89041K08564-566 S90219A24955-965 S91031D23949-950
S89041P08564-566 S90219D23949-950 S91031S09604-605
S89041S08559-561 S90219S09604-605 S91032A09604-605
S89042A08562-563 S90221A09604-605 S91032A24955-965
S89042A24955-965 S90221A24955-965 S91032D23949-950
S89042D08559-561 S90221D23949-950 S91032S09604-605
S89042G08559-561 S90221S09604-605 S91039A09604-605
S89042K08564-566 S90222A09604-605 S91039A24955-965
S89042P08564-566 S90222A24955-965 S91039D23949-950
S89042S08559-561 S90222D23949-950 S91039S09604-605
S89049A08562-563 S90222S09604-605 S91041A21913-914
S89049A24955-965 S90229A09604-605 S91041A24955-965
S89049D08559-561 S90229A24955-965 S91041D23949-950
S89049G08559-561 S90229D23949-950 S91041S09604-605
S89049K08564-566 S90229S09604-605 S91042A21913-914
S89049P08564-566 S9030XA09604-605 S91042A24955-965
S89049S08559-561 S9030XA24955-965 S91042D23949-950
S89091A08562-563 S9030XD23949-950 S91042S09604-605
S89091A24955-965 S9030XS09604-605 S91049A21913-914
S89091D08559-561 S9031XA09604-605 S91049A24955-965
S89091G08559-561 S9031XA24955-965 S91049D23949-950
S89091K08564-566 S9031XD23949-950 S91049S09604-605
S89091P08564-566 S9031XS09604-605 S91051A09604-605
S89091S08559-561 S9032XA09604-605 S91051A24955-965
S89092A08562-563 S9032XA24955-965 S91051D23949-950
S89092A24955-965 S9032XD23949-950 S91051S09604-605
S89092D08559-561 S9032XS09604-605 S91052A09604-605
S89092G08559-561 S90411A09604-605 S91052A24955-965
S89092K08564-566 S90411A24955-965 S91052D23949-950
S89092P08564-566 S90411D23949-950 S91052S09604-605
S89092S08559-561 S90411S09604-605 S91059A09604-605
S89099A08562-563 S90412A09604-605 S91059A24955-965
S89099A24955-965 S90412A24955-965 S91059D23949-950
S89099D08559-561 S90412D23949-950 S91059S09604-605
S89099G08559-561 S90412S09604-605 S91101A09604-605
S89099K08564-566 S90413A09604-605 S91101A24955-965
S89099P08564-566 S90413A24955-965 S91101D23949-950
S89099S08559-561 S90413D23949-950 S91101S09604-605
S89101A08562-563 S90413S09604-605 S91102A09604-605
S89101A24955-965 S90414A09604-605 S91102A24955-965
S89101D08559-561 S90414A24955-965 S91102D23949-950
S89101G08559-561 S90414D23949-950 S91102S09604-605
S89101K08564-566 S90414S09604-605 S91103A09604-605
S89101P08564-566 S90415A09604-605 S91103A24955-965
S89101S08559-561 S90415A24955-965 S91103D23949-950
S89102A08562-563 S90415D23949-950 S91103S09604-605
S89102A24955-965 S90415S09604-605 S91104A09604-605
S89102D08559-561 S90416A09604-605 S91104A24955-965
S89102G08559-561 S90416A24955-965 S91104D23949-950
S89102K08564-566 S90416D23949-950 S91104S09604-605
S89102P08564-566 S90416S09604-605 S91105A09604-605
S89102S08559-561 S90421A09606-607 S91105A24955-965
S89109A08562-563 S90421A24955-965 S91105D23949-950
S89109A24955-965 S90421D23949-950 S91105S09604-605
S89109D08559-561 S90421S09604-605 S91106A09604-605
S89109G08559-561 S90422A09606-607 S91106A24955-965
S89109K08564-566 S90422A24955-965 S91106D23949-950
S89109P08564-566 S90422D23949-950 S91106S09604-605
S89109S08559-561 S90422S09604-605 S91109A09604-605
S89111A08562-563 S90423A09606-607 S91109A24955-965
S89111A24955-965 S90423A24955-965 S91109D23949-950
S89111D08559-561 S90423D23949-950 S91109S09604-605
S89111G08559-561 S90423S09604-605 S91111A09604-605
S89111K08564-566 S90424A09606-607 S91111A24955-965
S89111P08564-566 S90424A24955-965 S91111D23949-950
S89111S08559-561 S90424D23949-950 S91111S09604-605
S89112A08562-563 S90424S09604-605 S91112A09604-605
S89112A24955-965 S90425A09606-607 S91112A24955-965
S89112D08559-561 S90425A24955-965 S91112D23949-950
S89112G08559-561 S90425D23949-950 S91112S09604-605
S89112K08564-566 S90425S09604-605 S91113A09604-605
S89112P08564-566 S90426A09606-607 S91113A24955-965
S89112S08559-561 S90426A24955-965 S91113D23949-950
S89119A08562-563 S90426D23949-950 S91113S09604-605
S89119A24955-965 S90426S09604-605 S91114A09604-605
S89119D08559-561 S90441A09604-605 S91114A24955-965
S89119G08559-561 S90441A24955-965 S91114D23949-950
S89119K08564-566 S90441D23949-950 S91114S09604-605
S89119P08564-566 S90441S09604-605 S91115A09604-605
S89119S08559-561 S90442A09604-605 S91115A24955-965
S89121A08562-563 S90442A24955-965 S91115D23949-950
S89121A24955-965 S90442D23949-950 S91115S09604-605
S89121D08559-561 S90442S09604-605 S91116A09604-605
S89121G08559-561 S90443A09604-605 S91116A24955-965
S89121K08564-566 S90443A24955-965 S91116D23949-950
S89121P08564-566 S90443D23949-950 S91116S09604-605
S89121S08559-561 S90443S09604-605 S91119A09604-605
S89122A08562-563 S90444A09604-605 S91119A24955-965
S89122A24955-965 S90444A24955-965 S91119D23949-950
S89122D08559-561 S90444D23949-950 S91119S09604-605
S89122G08559-561 S90444S09604-605 S91121A21913-914
S89122K08564-566 S90445A09604-605 S91121A24955-965
S89122P08564-566 S90445A24955-965 S91121D23949-950
S89122S08559-561 S90445D23949-950 S91121S09604-605
S89129A08562-563 S90445S09604-605 S91122A21913-914
S89129A24955-965 S90446A09604-605 S91122A24955-965
S89129D08559-561 S90446A24955-965 S91122D23949-950
S89129G08559-561 S90446D23949-950 S91122S09604-605
S89129K08564-566 S90446S09604-605 S91123A21913-914
S89129P08564-566 S90451A09604-605 S91123A24955-965
S89129S08559-561 S90451A24955-965 S91123D23949-950
S89131A08562-563 S90451D23949-950 S91123S09604-605
S89131A24955-965 S90451S09604-605 S91124A21913-914
S89131D08559-561 S90452A09604-605 S91124A24955-965
S89131G08559-561 S90452A24955-965 S91124D23949-950



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
09 Jul 2020 15:51:46
CMS, code-revision=268, description-revision=1285