ICD-10-CM/PCS MS-DRG v38.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.1 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 47 of 74 |
| A000 B303 C579 C8444 D3131 E093513 E13638 F423 H02202 H30121 H59031 I5089 I70722 K005 K9041 L97101 M10349 M24674 M60141 M80052K M84632S M90552 N83339 O2940 O3623X2 O480 P251 Q7271 S00219D S02622B S066X0D S12651B S21101S S25319D S31612D S32472S S36513D S42031B S42424B S46019S S52033M S52264P S52521A S55802S S60041A S61341A S62304D S62643B S63497A S66411A S72019D S72102S S72309C S72435C S76309S S82033M S82235R S82492B S83222D S89132P S92016A S92401P S95999S T17998A T23042A T25392D T38803S T438X5D T492X6D T595X4A T7462XA T8331XS Z21 Z953 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S62304D | 08 | 559-561 | S62349A | 08 | 562-563 | S62525G | 08 | 559-561 | ||
| S62304G | 08 | 559-561 | S62349A | 24 | 963-965 | S62525K | 08 | 564-566 | ||
| S62304K | 08 | 564-566 | S62349B | 08 | 562-563 | S62525P | 08 | 564-566 | ||
| S62304P | 08 | 564-566 | S62349B | 24 | 963-965 | S62525S | 08 | 559-561 | ||
| S62304S | 08 | 559-561 | S62349D | 08 | 559-561 | S62526A | 08 | 562-563 | ||
| S62305A | 08 | 562-563 | S62349G | 08 | 559-561 | S62526A | 24 | 963-965 | ||
| S62305A | 24 | 963-965 | S62349K | 08 | 564-566 | S62526B | 08 | 562-563 | ||
| S62305B | 08 | 562-563 | S62349P | 08 | 564-566 | S62526B | 24 | 963-965 | ||
| S62305B | 24 | 963-965 | S62349S | 08 | 559-561 | S62526D | 08 | 559-561 | ||
| S62305D | 08 | 559-561 | S62350A | 08 | 562-563 | S62526G | 08 | 559-561 | ||
| S62305G | 08 | 559-561 | S62350A | 24 | 963-965 | S62526K | 08 | 564-566 | ||
| S62305K | 08 | 564-566 | S62350B | 08 | 562-563 | S62526P | 08 | 564-566 | ||
| S62305P | 08 | 564-566 | S62350B | 24 | 963-965 | S62526S | 08 | 559-561 | ||
| S62305S | 08 | 559-561 | S62350D | 08 | 559-561 | S62600A | 08 | 562-563 | ||
| S62306A | 08 | 562-563 | S62350G | 08 | 559-561 | S62600A | 24 | 963-965 | ||
| S62306A | 24 | 963-965 | S62350K | 08 | 564-566 | S62600B | 08 | 562-563 | ||
| S62306B | 08 | 562-563 | S62350P | 08 | 564-566 | S62600B | 24 | 963-965 | ||
| S62306B | 24 | 963-965 | S62350S | 08 | 559-561 | S62600D | 08 | 559-561 | ||
| S62306D | 08 | 559-561 | S62351A | 08 | 562-563 | S62600G | 08 | 559-561 | ||
| S62306G | 08 | 559-561 | S62351A | 24 | 963-965 | S62600K | 08 | 564-566 | ||
| S62306K | 08 | 564-566 | S62351B | 08 | 562-563 | S62600P | 08 | 564-566 | ||
| S62306P | 08 | 564-566 | S62351B | 24 | 963-965 | S62600S | 08 | 559-561 | ||
| S62306S | 08 | 559-561 | S62351D | 08 | 559-561 | S62601A | 08 | 562-563 | ||
| S62307A | 08 | 562-563 | S62351G | 08 | 559-561 | S62601A | 24 | 963-965 | ||
| S62307A | 24 | 963-965 | S62351K | 08 | 564-566 | S62601B | 08 | 562-563 | ||
| S62307B | 08 | 562-563 | S62351P | 08 | 564-566 | S62601B | 24 | 963-965 | ||
| S62307B | 24 | 963-965 | S62351S | 08 | 559-561 | S62601D | 08 | 559-561 | ||
| S62307D | 08 | 559-561 | S62352A | 08 | 562-563 | S62601G | 08 | 559-561 | ||
| S62307G | 08 | 559-561 | S62352A | 24 | 963-965 | S62601K | 08 | 564-566 | ||
| S62307K | 08 | 564-566 | S62352B | 08 | 562-563 | S62601P | 08 | 564-566 | ||
| S62307P | 08 | 564-566 | S62352B | 24 | 963-965 | S62601S | 08 | 559-561 | ||
| S62307S | 08 | 559-561 | S62352D | 08 | 559-561 | S62602A | 08 | 562-563 | ||
| S62308A | 08 | 562-563 | S62352G | 08 | 559-561 | S62602A | 24 | 963-965 | ||
| S62308A | 24 | 963-965 | S62352K | 08 | 564-566 | S62602B | 08 | 562-563 | ||
| S62308B | 08 | 562-563 | S62352P | 08 | 564-566 | S62602B | 24 | 963-965 | ||
| S62308B | 24 | 963-965 | S62352S | 08 | 559-561 | S62602D | 08 | 559-561 | ||
| S62308D | 08 | 559-561 | S62353A | 08 | 562-563 | S62602G | 08 | 559-561 | ||
| S62308G | 08 | 559-561 | S62353A | 24 | 963-965 | S62602K | 08 | 564-566 | ||
| S62308K | 08 | 564-566 | S62353B | 08 | 562-563 | S62602P | 08 | 564-566 | ||
| S62308P | 08 | 564-566 | S62353B | 24 | 963-965 | S62602S | 08 | 559-561 | ||
| S62308S | 08 | 559-561 | S62353D | 08 | 559-561 | S62603A | 08 | 562-563 | ||
| S62309A | 08 | 562-563 | S62353G | 08 | 559-561 | S62603A | 24 | 963-965 | ||
| S62309A | 24 | 963-965 | S62353K | 08 | 564-566 | S62603B | 08 | 562-563 | ||
| S62309B | 08 | 562-563 | S62353P | 08 | 564-566 | S62603B | 24 | 963-965 | ||
| S62309B | 24 | 963-965 | S62353S | 08 | 559-561 | S62603D | 08 | 559-561 | ||
| S62309D | 08 | 559-561 | S62354A | 08 | 562-563 | S62603G | 08 | 559-561 | ||
| S62309G | 08 | 559-561 | S62354A | 24 | 963-965 | S62603K | 08 | 564-566 | ||
| S62309K | 08 | 564-566 | S62354B | 08 | 562-563 | S62603P | 08 | 564-566 | ||
| S62309P | 08 | 564-566 | S62354B | 24 | 963-965 | S62603S | 08 | 559-561 | ||
| S62309S | 08 | 559-561 | S62354D | 08 | 559-561 | S62604A | 08 | 562-563 | ||
| S62310A | 08 | 562-563 | S62354G | 08 | 559-561 | S62604A | 24 | 963-965 | ||
| S62310A | 24 | 963-965 | S62354K | 08 | 564-566 | S62604B | 08 | 562-563 | ||
| S62310B | 08 | 562-563 | S62354P | 08 | 564-566 | S62604B | 24 | 963-965 | ||
| S62310B | 24 | 963-965 | S62354S | 08 | 559-561 | S62604D | 08 | 559-561 | ||
| S62310D | 08 | 559-561 | S62355A | 08 | 562-563 | S62604G | 08 | 559-561 | ||
| S62310G | 08 | 559-561 | S62355A | 24 | 963-965 | S62604K | 08 | 564-566 | ||
| S62310K | 08 | 564-566 | S62355B | 08 | 562-563 | S62604P | 08 | 564-566 | ||
| S62310P | 08 | 564-566 | S62355B | 24 | 963-965 | S62604S | 08 | 559-561 | ||
| S62310S | 08 | 559-561 | S62355D | 08 | 559-561 | S62605A | 08 | 562-563 | ||
| S62311A | 08 | 562-563 | S62355G | 08 | 559-561 | S62605A | 24 | 963-965 | ||
| S62311A | 24 | 963-965 | S62355K | 08 | 564-566 | S62605B | 08 | 562-563 | ||
| S62311B | 08 | 562-563 | S62355P | 08 | 564-566 | S62605B | 24 | 963-965 | ||
| S62311B | 24 | 963-965 | S62355S | 08 | 559-561 | S62605D | 08 | 559-561 | ||
| S62311D | 08 | 559-561 | S62356A | 08 | 562-563 | S62605G | 08 | 559-561 | ||
| S62311G | 08 | 559-561 | S62356A | 24 | 963-965 | S62605K | 08 | 564-566 | ||
| S62311K | 08 | 564-566 | S62356B | 08 | 562-563 | S62605P | 08 | 564-566 | ||
| S62311P | 08 | 564-566 | S62356B | 24 | 963-965 | S62605S | 08 | 559-561 | ||
| S62311S | 08 | 559-561 | S62356D | 08 | 559-561 | S62606A | 08 | 562-563 | ||
| S62312A | 08 | 562-563 | S62356G | 08 | 559-561 | S62606A | 24 | 963-965 | ||
| S62312A | 24 | 963-965 | S62356K | 08 | 564-566 | S62606B | 08 | 562-563 | ||
| S62312B | 08 | 562-563 | S62356P | 08 | 564-566 | S62606B | 24 | 963-965 | ||
| S62312B | 24 | 963-965 | S62356S | 08 | 559-561 | S62606D | 08 | 559-561 | ||
| S62312D | 08 | 559-561 | S62357A | 08 | 562-563 | S62606G | 08 | 559-561 | ||
| S62312G | 08 | 559-561 | S62357A | 24 | 963-965 | S62606K | 08 | 564-566 | ||
| S62312K | 08 | 564-566 | S62357B | 08 | 562-563 | S62606P | 08 | 564-566 | ||
| S62312P | 08 | 564-566 | S62357B | 24 | 963-965 | S62606S | 08 | 559-561 | ||
| S62312S | 08 | 559-561 | S62357D | 08 | 559-561 | S62607A | 08 | 562-563 | ||
| S62313A | 08 | 562-563 | S62357G | 08 | 559-561 | S62607A | 24 | 963-965 | ||
| S62313A | 24 | 963-965 | S62357K | 08 | 564-566 | S62607B | 08 | 562-563 | ||
| S62313B | 08 | 562-563 | S62357P | 08 | 564-566 | S62607B | 24 | 963-965 | ||
| S62313B | 24 | 963-965 | S62357S | 08 | 559-561 | S62607D | 08 | 559-561 | ||
| S62313D | 08 | 559-561 | S62358A | 08 | 562-563 | S62607G | 08 | 559-561 | ||
| S62313G | 08 | 559-561 | S62358A | 24 | 963-965 | S62607K | 08 | 564-566 | ||
| S62313K | 08 | 564-566 | S62358B | 08 | 562-563 | S62607P | 08 | 564-566 | ||
| S62313P | 08 | 564-566 | S62358B | 24 | 963-965 | S62607S | 08 | 559-561 | ||
| S62313S | 08 | 559-561 | S62358D | 08 | 559-561 | S62608A | 08 | 562-563 | ||
| S62314A | 08 | 562-563 | S62358G | 08 | 559-561 | S62608A | 24 | 963-965 | ||
| S62314A | 24 | 963-965 | S62358K | 08 | 564-566 | S62608B | 08 | 562-563 | ||
| S62314B | 08 | 562-563 | S62358P | 08 | 564-566 | S62608B | 24 | 963-965 | ||
| S62314B | 24 | 963-965 | S62358S | 08 | 559-561 | S62608D | 08 | 559-561 | ||
| S62314D | 08 | 559-561 | S62359A | 08 | 562-563 | S62608G | 08 | 559-561 | ||
| S62314G | 08 | 559-561 | S62359A | 24 | 963-965 | S62608K | 08 | 564-566 | ||
| S62314K | 08 | 564-566 | S62359B | 08 | 562-563 | S62608P | 08 | 564-566 | ||
| S62314P | 08 | 564-566 | S62359B | 24 | 963-965 | S62608S | 08 | 559-561 | ||
| S62314S | 08 | 559-561 | S62359D | 08 | 559-561 | S62609A | 08 | 562-563 | ||
| S62315A | 08 | 562-563 | S62359G | 08 | 559-561 | S62609A | 24 | 963-965 | ||
| S62315A | 24 | 963-965 | S62359K | 08 | 564-566 | S62609B | 08 | 562-563 | ||
| S62315B | 08 | 562-563 | S62359P | 08 | 564-566 | S62609B | 24 | 963-965 | ||
| S62315B | 24 | 963-965 | S62359S | 08 | 559-561 | S62609D | 08 | 559-561 | ||
| S62315D | 08 | 559-561 | S62360A | 08 | 562-563 | S62609G | 08 | 559-561 | ||
| S62315G | 08 | 559-561 | S62360A | 24 | 963-965 | S62609K | 08 | 564-566 | ||
| S62315K | 08 | 564-566 | S62360B | 08 | 562-563 | S62609P | 08 | 564-566 | ||
| S62315P | 08 | 564-566 | S62360B | 24 | 963-965 | S62609S | 08 | 559-561 | ||
| S62315S | 08 | 559-561 | S62360D | 08 | 559-561 | S62610A | 08 | 562-563 | ||
| S62316A | 08 | 562-563 | S62360G | 08 | 559-561 | S62610A | 24 | 963-965 | ||
| S62316A | 24 | 963-965 | S62360K | 08 | 564-566 | S62610B | 08 | 562-563 | ||
| S62316B | 08 | 562-563 | S62360P | 08 | 564-566 | S62610B | 24 | 963-965 | ||
| S62316B | 24 | 963-965 | S62360S | 08 | 559-561 | S62610D | 08 | 559-561 | ||
| S62316D | 08 | 559-561 | S62361A | 08 | 562-563 | S62610G | 08 | 559-561 | ||
| S62316G | 08 | 559-561 | S62361A | 24 | 963-965 | S62610K | 08 | 564-566 | ||
| S62316K | 08 | 564-566 | S62361B | 08 | 562-563 | S62610P | 08 | 564-566 | ||
| S62316P | 08 | 564-566 | S62361B | 24 | 963-965 | S62610S | 08 | 559-561 | ||
| S62316S | 08 | 559-561 | S62361D | 08 | 559-561 | S62611A | 08 | 562-563 | ||
| S62317A | 08 | 562-563 | S62361G | 08 | 559-561 | S62611A | 24 | 963-965 | ||
| S62317A | 24 | 963-965 | S62361K | 08 | 564-566 | S62611B | 08 | 562-563 | ||
| S62317B | 08 | 562-563 | S62361P | 08 | 564-566 | S62611B | 24 | 963-965 | ||
| S62317B | 24 | 963-965 | S62361S | 08 | 559-561 | S62611D | 08 | 559-561 | ||
| S62317D | 08 | 559-561 | S62362A | 08 | 562-563 | S62611G | 08 | 559-561 | ||
| S62317G | 08 | 559-561 | S62362A | 24 | 963-965 | S62611K | 08 | 564-566 | ||
| S62317K | 08 | 564-566 | S62362B | 08 | 562-563 | S62611P | 08 | 564-566 | ||
| S62317P | 08 | 564-566 | S62362B | 24 | 963-965 | S62611S | 08 | 559-561 | ||
| S62317S | 08 | 559-561 | S62362D | 08 | 559-561 | S62612A | 08 | 562-563 | ||
| S62318A | 08 | 562-563 | S62362G | 08 | 559-561 | S62612A | 24 | 963-965 | ||
| S62318A | 24 | 963-965 | S62362K | 08 | 564-566 | S62612B | 08 | 562-563 | ||
| S62318B | 08 | 562-563 | S62362P | 08 | 564-566 | S62612B | 24 | 963-965 | ||
| S62318B | 24 | 963-965 | S62362S | 08 | 559-561 | S62612D | 08 | 559-561 | ||
| S62318D | 08 | 559-561 | S62363A | 08 | 562-563 | S62612G | 08 | 559-561 | ||
| S62318G | 08 | 559-561 | S62363A | 24 | 963-965 | S62612K | 08 | 564-566 | ||
| S62318K | 08 | 564-566 | S62363B | 08 | 562-563 | S62612P | 08 | 564-566 | ||
| S62318P | 08 | 564-566 | S62363B | 24 | 963-965 | S62612S | 08 | 559-561 | ||
| S62318S | 08 | 559-561 | S62363D | 08 | 559-561 | S62613A | 08 | 562-563 | ||
| S62319A | 08 | 562-563 | S62363G | 08 | 559-561 | S62613A | 24 | 963-965 | ||
| S62319A | 24 | 963-965 | S62363K | 08 | 564-566 | S62613B | 08 | 562-563 | ||
| S62319B | 08 | 562-563 | S62363P | 08 | 564-566 | S62613B | 24 | 963-965 | ||
| S62319B | 24 | 963-965 | S62363S | 08 | 559-561 | S62613D | 08 | 559-561 | ||
| S62319D | 08 | 559-561 | S62364A | 08 | 562-563 | S62613G | 08 | 559-561 | ||
| S62319G | 08 | 559-561 | S62364A | 24 | 963-965 | S62613K | 08 | 564-566 | ||
| S62319K | 08 | 564-566 | S62364B | 08 | 562-563 | S62613P | 08 | 564-566 | ||
| S62319P | 08 | 564-566 | S62364B | 24 | 963-965 | S62613S | 08 | 559-561 | ||
| S62319S | 08 | 559-561 | S62364D | 08 | 559-561 | S62614A | 08 | 562-563 | ||
| S62320A | 08 | 562-563 | S62364G | 08 | 559-561 | S62614A | 24 | 963-965 | ||
| S62320A | 24 | 963-965 | S62364K | 08 | 564-566 | S62614B | 08 | 562-563 | ||
| S62320B | 08 | 562-563 | S62364P | 08 | 564-566 | S62614B | 24 | 963-965 | ||
| S62320B | 24 | 963-965 | S62364S | 08 | 559-561 | S62614D | 08 | 559-561 | ||
| S62320D | 08 | 559-561 | S62365A | 08 | 562-563 | S62614G | 08 | 559-561 | ||
| S62320G | 08 | 559-561 | S62365A | 24 | 963-965 | S62614K | 08 | 564-566 | ||
| S62320K | 08 | 564-566 | S62365B | 08 | 562-563 | S62614P | 08 | 564-566 | ||
| S62320P | 08 | 564-566 | S62365B | 24 | 963-965 | S62614S | 08 | 559-561 | ||
| S62320S | 08 | 559-561 | S62365D | 08 | 559-561 | S62615A | 08 | 562-563 | ||
| S62321A | 08 | 562-563 | S62365G | 08 | 559-561 | S62615A | 24 | 963-965 | ||
| S62321A | 24 | 963-965 | S62365K | 08 | 564-566 | S62615B | 08 | 562-563 | ||
| S62321B | 08 | 562-563 | S62365P | 08 | 564-566 | S62615B | 24 | 963-965 | ||
| S62321B | 24 | 963-965 | S62365S | 08 | 559-561 | S62615D | 08 | 559-561 | ||
| S62321D | 08 | 559-561 | S62366A | 08 | 562-563 | S62615G | 08 | 559-561 | ||
| S62321G | 08 | 559-561 | S62366A | 24 | 963-965 | S62615K | 08 | 564-566 | ||
| S62321K | 08 | 564-566 | S62366B | 08 | 562-563 | S62615P | 08 | 564-566 | ||
| S62321P | 08 | 564-566 | S62366B | 24 | 963-965 | S62615S | 08 | 559-561 | ||
| S62321S | 08 | 559-561 | S62366D | 08 | 559-561 | S62616A | 08 | 562-563 | ||
| S62322A | 08 | 562-563 | S62366G | 08 | 559-561 | S62616A | 24 | 963-965 | ||
| S62322A | 24 | 963-965 | S62366K | 08 | 564-566 | S62616B | 08 | 562-563 | ||
| S62322B | 08 | 562-563 | S62366P | 08 | 564-566 | S62616B | 24 | 963-965 | ||
| S62322B | 24 | 963-965 | S62366S | 08 | 559-561 | S62616D | 08 | 559-561 | ||
| S62322D | 08 | 559-561 | S62367A | 08 | 562-563 | S62616G | 08 | 559-561 | ||
| S62322G | 08 | 559-561 | S62367A | 24 | 963-965 | S62616K | 08 | 564-566 | ||
| S62322K | 08 | 564-566 | S62367B | 08 | 562-563 | S62616P | 08 | 564-566 | ||
| S62322P | 08 | 564-566 | S62367B | 24 | 963-965 | S62616S | 08 | 559-561 | ||
| S62322S | 08 | 559-561 | S62367D | 08 | 559-561 | S62617A | 08 | 562-563 | ||
| S62323A | 08 | 562-563 | S62367G | 08 | 559-561 | S62617A | 24 | 963-965 | ||
| S62323A | 24 | 963-965 | S62367K | 08 | 564-566 | S62617B | 08 | 562-563 | ||
| S62323B | 08 | 562-563 | S62367P | 08 | 564-566 | S62617B | 24 | 963-965 | ||
| S62323B | 24 | 963-965 | S62367S | 08 | 559-561 | S62617D | 08 | 559-561 | ||
| S62323D | 08 | 559-561 | S62368A | 08 | 562-563 | S62617G | 08 | 559-561 | ||
| S62323G | 08 | 559-561 | S62368A | 24 | 963-965 | S62617K | 08 | 564-566 | ||
| S62323K | 08 | 564-566 | S62368B | 08 | 562-563 | S62617P | 08 | 564-566 | ||
| S62323P | 08 | 564-566 | S62368B | 24 | 963-965 | S62617S | 08 | 559-561 | ||
| S62323S | 08 | 559-561 | S62368D | 08 | 559-561 | S62618A | 08 | 562-563 | ||
| S62324A | 08 | 562-563 | S62368G | 08 | 559-561 | S62618A | 24 | 963-965 | ||
| S62324A | 24 | 963-965 | S62368K | 08 | 564-566 | S62618B | 08 | 562-563 | ||
| S62324B | 08 | 562-563 | S62368P | 08 | 564-566 | S62618B | 24 | 963-965 | ||
| S62324B | 24 | 963-965 | S62368S | 08 | 559-561 | S62618D | 08 | 559-561 | ||
| S62324D | 08 | 559-561 | S62369A | 08 | 562-563 | S62618G | 08 | 559-561 | ||
| S62324G | 08 | 559-561 | S62369A | 24 | 963-965 | S62618K | 08 | 564-566 | ||
| S62324K | 08 | 564-566 | S62369B | 08 | 562-563 | S62618P | 08 | 564-566 | ||
| S62324P | 08 | 564-566 | S62369B | 24 | 963-965 | S62618S | 08 | 559-561 | ||
| S62324S | 08 | 559-561 | S62369D | 08 | 559-561 | S62619A | 08 | 562-563 | ||
| S62325A | 08 | 562-563 | S62369G | 08 | 559-561 | S62619A | 24 | 963-965 | ||
| S62325A | 24 | 963-965 | S62369K | 08 | 564-566 | S62619B | 08 | 562-563 | ||
| S62325B | 08 | 562-563 | S62369P | 08 | 564-566 | S62619B | 24 | 963-965 | ||
| S62325B | 24 | 963-965 | S62369S | 08 | 559-561 | S62619D | 08 | 559-561 | ||
| S62325D | 08 | 559-561 | S62390A | 08 | 562-563 | S62619G | 08 | 559-561 | ||
| S62325G | 08 | 559-561 | S62390A | 24 | 963-965 | S62619K | 08 | 564-566 | ||
| S62325K | 08 | 564-566 | S62390B | 08 | 562-563 | S62619P | 08 | 564-566 | ||
| S62325P | 08 | 564-566 | S62390B | 24 | 963-965 | S62619S | 08 | 559-561 | ||
| S62325S | 08 | 559-561 | S62390D | 08 | 559-561 | S62620A | 08 | 562-563 | ||
| S62326A | 08 | 562-563 | S62390G | 08 | 559-561 | S62620A | 24 | 963-965 | ||
| S62326A | 24 | 963-965 | S62390K | 08 | 564-566 | S62620B | 08 | 562-563 | ||
| S62326B | 08 | 562-563 | S62390P | 08 | 564-566 | S62620B | 24 | 963-965 | ||
| S62326B | 24 | 963-965 | S62390S | 08 | 559-561 | S62620D | 08 | 559-561 | ||
| S62326D | 08 | 559-561 | S62391A | 08 | 562-563 | S62620G | 08 | 559-561 | ||
| S62326G | 08 | 559-561 | S62391A | 24 | 963-965 | S62620K | 08 | 564-566 | ||
| S62326K | 08 | 564-566 | S62391B | 08 | 562-563 | S62620P | 08 | 564-566 | ||
| S62326P | 08 | 564-566 | S62391B | 24 | 963-965 | S62620S | 08 | 559-561 | ||
| S62326S | 08 | 559-561 | S62391D | 08 | 559-561 | S62621A | 08 | 562-563 | ||
| S62327A | 08 | 562-563 | S62391G | 08 | 559-561 | S62621A | 24 | 963-965 | ||
| S62327A | 24 | 963-965 | S62391K | 08 | 564-566 | S62621B | 08 | 562-563 | ||
| S62327B | 08 | 562-563 | S62391P | 08 | 564-566 | S62621B | 24 | 963-965 | ||
| S62327B | 24 | 963-965 | S62391S | 08 | 559-561 | S62621D | 08 | 559-561 | ||
| S62327D | 08 | 559-561 | S62392A | 08 | 562-563 | S62621G | 08 | 559-561 | ||
| S62327G | 08 | 559-561 | S62392A | 24 | 963-965 | S62621K | 08 | 564-566 | ||
| S62327K | 08 | 564-566 | S62392B | 08 | 562-563 | S62621P | 08 | 564-566 | ||
| S62327P | 08 | 564-566 | S62392B | 24 | 963-965 | S62621S | 08 | 559-561 | ||
| S62327S | 08 | 559-561 | S62392D | 08 | 559-561 | S62622A | 08 | 562-563 | ||
| S62328A | 08 | 562-563 | S62392G | 08 | 559-561 | S62622A | 24 | 963-965 | ||
| S62328A | 24 | 963-965 | S62392K | 08 | 564-566 | S62622B | 08 | 562-563 | ||
| S62328B | 08 | 562-563 | S62392P | 08 | 564-566 | S62622B | 24 | 963-965 | ||
| S62328B | 24 | 963-965 | S62392S | 08 | 559-561 | S62622D | 08 | 559-561 | ||
| S62328D | 08 | 559-561 | S62393A | 08 | 562-563 | S62622G | 08 | 559-561 | ||
| S62328G | 08 | 559-561 | S62393A | 24 | 963-965 | S62622K | 08 | 564-566 | ||
| S62328K | 08 | 564-566 | S62393B | 08 | 562-563 | S62622P | 08 | 564-566 | ||
| S62328P | 08 | 564-566 | S62393B | 24 | 963-965 | S62622S | 08 | 559-561 | ||
| S62328S | 08 | 559-561 | S62393D | 08 | 559-561 | S62623A | 08 | 562-563 | ||
| S62329A | 08 | 562-563 | S62393G | 08 | 559-561 | S62623A | 24 | 963-965 | ||
| S62329A | 24 | 963-965 | S62393K | 08 | 564-566 | S62623B | 08 | 562-563 | ||
| S62329B | 08 | 562-563 | S62393P | 08 | 564-566 | S62623B | 24 | 963-965 | ||
| S62329B | 24 | 963-965 | S62393S | 08 | 559-561 | S62623D | 08 | 559-561 | ||
| S62329D | 08 | 559-561 | S62394A | 08 | 562-563 | S62623G | 08 | 559-561 | ||
| S62329G | 08 | 559-561 | S62394A | 24 | 963-965 | S62623K | 08 | 564-566 | ||
| S62329K | 08 | 564-566 | S62394B | 08 | 562-563 | S62623P | 08 | 564-566 | ||
| S62329P | 08 | 564-566 | S62394B | 24 | 963-965 | S62623S | 08 | 559-561 | ||
| S62329S | 08 | 559-561 | S62394D | 08 | 559-561 | S62624A | 08 | 562-563 | ||
| S62330A | 08 | 562-563 | S62394G | 08 | 559-561 | S62624A | 24 | 963-965 | ||
| S62330A | 24 | 963-965 | S62394K | 08 | 564-566 | S62624B | 08 | 562-563 | ||
| S62330B | 08 | 562-563 | S62394P | 08 | 564-566 | S62624B | 24 | 963-965 | ||
| S62330B | 24 | 963-965 | S62394S | 08 | 559-561 | S62624D | 08 | 559-561 | ||
| S62330D | 08 | 559-561 | S62395A | 08 | 562-563 | S62624G | 08 | 559-561 | ||
| S62330G | 08 | 559-561 | S62395A | 24 | 963-965 | S62624K | 08 | 564-566 | ||
| S62330K | 08 | 564-566 | S62395B | 08 | 562-563 | S62624P | 08 | 564-566 | ||
| S62330P | 08 | 564-566 | S62395B | 24 | 963-965 | S62624S | 08 | 559-561 | ||
| S62330S | 08 | 559-561 | S62395D | 08 | 559-561 | S62625A | 08 | 562-563 | ||
| S62331A | 08 | 562-563 | S62395G | 08 | 559-561 | S62625A | 24 | 963-965 | ||
| S62331A | 24 | 963-965 | S62395K | 08 | 564-566 | S62625B | 08 | 562-563 | ||
| S62331B | 08 | 562-563 | S62395P | 08 | 564-566 | S62625B | 24 | 963-965 | ||
| S62331B | 24 | 963-965 | S62395S | 08 | 559-561 | S62625D | 08 | 559-561 | ||
| S62331D | 08 | 559-561 | S62396A | 08 | 562-563 | S62625G | 08 | 559-561 | ||
| S62331G | 08 | 559-561 | S62396A | 24 | 963-965 | S62625K | 08 | 564-566 | ||
| S62331K | 08 | 564-566 | S62396B | 08 | 562-563 | S62625P | 08 | 564-566 | ||
| S62331P | 08 | 564-566 | S62396B | 24 | 963-965 | S62625S | 08 | 559-561 | ||
| S62331S | 08 | 559-561 | S62396D | 08 | 559-561 | S62626A | 08 | 562-563 | ||
| S62332A | 08 | 562-563 | S62396G | 08 | 559-561 | S62626A | 24 | 963-965 | ||
| S62332A | 24 | 963-965 | S62396K | 08 | 564-566 | S62626B | 08 | 562-563 | ||
| S62332B | 08 | 562-563 | S62396P | 08 | 564-566 | S62626B | 24 | 963-965 | ||
| S62332B | 24 | 963-965 | S62396S | 08 | 559-561 | S62626D | 08 | 559-561 | ||
| S62332D | 08 | 559-561 | S62397A | 08 | 562-563 | S62626G | 08 | 559-561 | ||
| S62332G | 08 | 559-561 | S62397A | 24 | 963-965 | S62626K | 08 | 564-566 | ||
| S62332K | 08 | 564-566 | S62397B | 08 | 562-563 | S62626P | 08 | 564-566 | ||
| S62332P | 08 | 564-566 | S62397B | 24 | 963-965 | S62626S | 08 | 559-561 | ||
| S62332S | 08 | 559-561 | S62397D | 08 | 559-561 | S62627A | 08 | 562-563 | ||
| S62333A | 08 | 562-563 | S62397G | 08 | 559-561 | S62627A | 24 | 963-965 | ||
| S62333A | 24 | 963-965 | S62397K | 08 | 564-566 | S62627B | 08 | 562-563 | ||
| S62333B | 08 | 562-563 | S62397P | 08 | 564-566 | S62627B | 24 | 963-965 | ||
| S62333B | 24 | 963-965 | S62397S | 08 | 559-561 | S62627D | 08 | 559-561 | ||
| S62333D | 08 | 559-561 | S62398A | 08 | 562-563 | S62627G | 08 | 559-561 | ||
| S62333G | 08 | 559-561 | S62398A | 24 | 963-965 | S62627K | 08 | 564-566 | ||
| S62333K | 08 | 564-566 | S62398B | 08 | 562-563 | S62627P | 08 | 564-566 | ||
| S62333P | 08 | 564-566 | S62398B | 24 | 963-965 | S62627S | 08 | 559-561 | ||
| S62333S | 08 | 559-561 | S62398D | 08 | 559-561 | S62628A | 08 | 562-563 | ||
| S62334A | 08 | 562-563 | S62398G | 08 | 559-561 | S62628A | 24 | 963-965 | ||
| S62334A | 24 | 963-965 | S62398K | 08 | 564-566 | S62628B | 08 | 562-563 | ||
| S62334B | 08 | 562-563 | S62398P | 08 | 564-566 | S62628B | 24 | 963-965 | ||
| S62334B | 24 | 963-965 | S62398S | 08 | 559-561 | S62628D | 08 | 559-561 | ||
| S62334D | 08 | 559-561 | S62399A | 08 | 562-563 | S62628G | 08 | 559-561 | ||
| S62334G | 08 | 559-561 | S62399A | 24 | 963-965 | S62628K | 08 | 564-566 | ||
| S62334K | 08 | 564-566 | S62399B | 08 | 562-563 | S62628P | 08 | 564-566 | ||
| S62334P | 08 | 564-566 | S62399B | 24 | 963-965 | S62628S | 08 | 559-561 | ||
| S62334S | 08 | 559-561 | S62399D | 08 | 559-561 | S62629A | 08 | 562-563 | ||
| S62335A | 08 | 562-563 | S62399G | 08 | 559-561 | S62629A | 24 | 963-965 | ||
| S62335A | 24 | 963-965 | S62399K | 08 | 564-566 | S62629B | 08 | 562-563 | ||
| S62335B | 08 | 562-563 | S62399P | 08 | 564-566 | S62629B | 24 | 963-965 | ||
| S62335B | 24 | 963-965 | S62399S | 08 | 559-561 | S62629D | 08 | 559-561 | ||
| S62335D | 08 | 559-561 | S62501A | 08 | 562-563 | S62629G | 08 | 559-561 | ||
| S62335G | 08 | 559-561 | S62501A | 24 | 963-965 | S62629K | 08 | 564-566 | ||
| S62335K | 08 | 564-566 | S62501B | 08 | 562-563 | S62629P | 08 | 564-566 | ||
| S62335P | 08 | 564-566 | S62501B | 24 | 963-965 | S62629S | 08 | 559-561 | ||
| S62335S | 08 | 559-561 | S62501D | 08 | 559-561 | S62630A | 08 | 562-563 | ||
| S62336A | 08 | 562-563 | S62501G | 08 | 559-561 | S62630A | 24 | 963-965 | ||
| S62336A | 24 | 963-965 | S62501K | 08 | 564-566 | S62630B | 08 | 562-563 | ||
| S62336B | 08 | 562-563 | S62501P | 08 | 564-566 | S62630B | 24 | 963-965 | ||
| S62336B | 24 | 963-965 | S62501S | 08 | 559-561 | S62630D | 08 | 559-561 | ||
| S62336D | 08 | 559-561 | S62502A | 08 | 562-563 | S62630G | 08 | 559-561 | ||
| S62336G | 08 | 559-561 | S62502A | 24 | 963-965 | S62630K | 08 | 564-566 | ||
| S62336K | 08 | 564-566 | S62502B | 08 | 562-563 | S62630P | 08 | 564-566 | ||
| S62336P | 08 | 564-566 | S62502B | 24 | 963-965 | S62630S | 08 | 559-561 | ||
| S62336S | 08 | 559-561 | S62502D | 08 | 559-561 | S62631A | 08 | 562-563 | ||
| S62337A | 08 | 562-563 | S62502G | 08 | 559-561 | S62631A | 24 | 963-965 | ||
| S62337A | 24 | 963-965 | S62502K | 08 | 564-566 | S62631B | 08 | 562-563 | ||
| S62337B | 08 | 562-563 | S62502P | 08 | 564-566 | S62631B | 24 | 963-965 | ||
| S62337B | 24 | 963-965 | S62502S | 08 | 559-561 | S62631D | 08 | 559-561 | ||
| S62337D | 08 | 559-561 | S62509A | 08 | 562-563 | S62631G | 08 | 559-561 | ||
| S62337G | 08 | 559-561 | S62509A | 24 | 963-965 | S62631K | 08 | 564-566 | ||
| S62337K | 08 | 564-566 | S62509B | 08 | 562-563 | S62631P | 08 | 564-566 | ||
| S62337P | 08 | 564-566 | S62509B | 24 | 963-965 | S62631S | 08 | 559-561 | ||
| S62337S | 08 | 559-561 | S62509D | 08 | 559-561 | S62632A | 08 | 562-563 | ||
| S62338A | 08 | 562-563 | S62509G | 08 | 559-561 | S62632A | 24 | 963-965 | ||
| S62338A | 24 | 963-965 | S62509K | 08 | 564-566 | S62632B | 08 | 562-563 | ||
| S62338B | 08 | 562-563 | S62509P | 08 | 564-566 | S62632B | 24 | 963-965 | ||
| S62338B | 24 | 963-965 | S62509S | 08 | 559-561 | S62632D | 08 | 559-561 | ||
| S62338D | 08 | 559-561 | S62511A | 08 | 562-563 | S62632G | 08 | 559-561 | ||
| S62338G | 08 | 559-561 | S62511A | 24 | 963-965 | S62632K | 08 | 564-566 | ||
| S62338K | 08 | 564-566 | S62511B | 08 | 562-563 | S62632P | 08 | 564-566 | ||
| S62338P | 08 | 564-566 | S62511B | 24 | 963-965 | S62632S | 08 | 559-561 | ||
| S62338S | 08 | 559-561 | S62511D | 08 | 559-561 | S62633A | 08 | 562-563 | ||
| S62339A | 08 | 562-563 | S62511G | 08 | 559-561 | S62633A | 24 | 963-965 | ||
| S62339A | 24 | 963-965 | S62511K | 08 | 564-566 | S62633B | 08 | 562-563 | ||
| S62339B | 08 | 562-563 | S62511P | 08 | 564-566 | S62633B | 24 | 963-965 | ||
| S62339B | 24 | 963-965 | S62511S | 08 | 559-561 | S62633D | 08 | 559-561 | ||
| S62339D | 08 | 559-561 | S62512A | 08 | 562-563 | S62633G | 08 | 559-561 | ||
| S62339G | 08 | 559-561 | S62512A | 24 | 963-965 | S62633K | 08 | 564-566 | ||
| S62339K | 08 | 564-566 | S62512B | 08 | 562-563 | S62633P | 08 | 564-566 | ||
| S62339P | 08 | 564-566 | S62512B | 24 | 963-965 | S62633S | 08 | 559-561 | ||
| S62339S | 08 | 559-561 | S62512D | 08 | 559-561 | S62634A | 08 | 562-563 | ||
| S62340A | 08 | 562-563 | S62512G | 08 | 559-561 | S62634A | 24 | 963-965 | ||
| S62340A | 24 | 963-965 | S62512K | 08 | 564-566 | S62634B | 08 | 562-563 | ||
| S62340B | 08 | 562-563 | S62512P | 08 | 564-566 | S62634B | 24 | 963-965 | ||
| S62340B | 24 | 963-965 | S62512S | 08 | 559-561 | S62634D | 08 | 559-561 | ||
| S62340D | 08 | 559-561 | S62513A | 08 | 562-563 | S62634G | 08 | 559-561 | ||
| S62340G | 08 | 559-561 | S62513A | 24 | 963-965 | S62634K | 08 | 564-566 | ||
| S62340K | 08 | 564-566 | S62513B | 08 | 562-563 | S62634P | 08 | 564-566 | ||
| S62340P | 08 | 564-566 | S62513B | 24 | 963-965 | S62634S | 08 | 559-561 | ||
| S62340S | 08 | 559-561 | S62513D | 08 | 559-561 | S62635A | 08 | 562-563 | ||
| S62341A | 08 | 562-563 | S62513G | 08 | 559-561 | S62635A | 24 | 963-965 | ||
| S62341A | 24 | 963-965 | S62513K | 08 | 564-566 | S62635B | 08 | 562-563 | ||
| S62341B | 08 | 562-563 | S62513P | 08 | 564-566 | S62635B | 24 | 963-965 | ||
| S62341B | 24 | 963-965 | S62513S | 08 | 559-561 | S62635D | 08 | 559-561 | ||
| S62341D | 08 | 559-561 | S62514A | 08 | 562-563 | S62635G | 08 | 559-561 | ||
| S62341G | 08 | 559-561 | S62514A | 24 | 963-965 | S62635K | 08 | 564-566 | ||
| S62341K | 08 | 564-566 | S62514B | 08 | 562-563 | S62635P | 08 | 564-566 | ||
| S62341P | 08 | 564-566 | S62514B | 24 | 963-965 | S62635S | 08 | 559-561 | ||
| S62341S | 08 | 559-561 | S62514D | 08 | 559-561 | S62636A | 08 | 562-563 | ||
| S62342A | 08 | 562-563 | S62514G | 08 | 559-561 | S62636A | 24 | 963-965 | ||
| S62342A | 24 | 963-965 | S62514K | 08 | 564-566 | S62636B | 08 | 562-563 | ||
| S62342B | 08 | 562-563 | S62514P | 08 | 564-566 | S62636B | 24 | 963-965 | ||
| S62342B | 24 | 963-965 | S62514S | 08 | 559-561 | S62636D | 08 | 559-561 | ||
| S62342D | 08 | 559-561 | S62515A | 08 | 562-563 | S62636G | 08 | 559-561 | ||
| S62342G | 08 | 559-561 | S62515A | 24 | 963-965 | S62636K | 08 | 564-566 | ||
| S62342K | 08 | 564-566 | S62515B | 08 | 562-563 | S62636P | 08 | 564-566 | ||
| S62342P | 08 | 564-566 | S62515B | 24 | 963-965 | S62636S | 08 | 559-561 | ||
| S62342S | 08 | 559-561 | S62515D | 08 | 559-561 | S62637A | 08 | 562-563 | ||
| S62343A | 08 | 562-563 | S62515G | 08 | 559-561 | S62637A | 24 | 963-965 | ||
| S62343A | 24 | 963-965 | S62515K | 08 | 564-566 | S62637B | 08 | 562-563 | ||
| S62343B | 08 | 562-563 | S62515P | 08 | 564-566 | S62637B | 24 | 963-965 | ||
| S62343B | 24 | 963-965 | S62515S | 08 | 559-561 | S62637D | 08 | 559-561 | ||
| S62343D | 08 | 559-561 | S62516A | 08 | 562-563 | S62637G | 08 | 559-561 | ||
| S62343G | 08 | 559-561 | S62516A | 24 | 963-965 | S62637K | 08 | 564-566 | ||
| S62343K | 08 | 564-566 | S62516B | 08 | 562-563 | S62637P | 08 | 564-566 | ||
| S62343P | 08 | 564-566 | S62516B | 24 | 963-965 | S62637S | 08 | 559-561 | ||
| S62343S | 08 | 559-561 | S62516D | 08 | 559-561 | S62638A | 08 | 562-563 | ||
| S62344A | 08 | 562-563 | S62516G | 08 | 559-561 | S62638A | 24 | 963-965 | ||
| S62344A | 24 | 963-965 | S62516K | 08 | 564-566 | S62638B | 08 | 562-563 | ||
| S62344B | 08 | 562-563 | S62516P | 08 | 564-566 | S62638B | 24 | 963-965 | ||
| S62344B | 24 | 963-965 | S62516S | 08 | 559-561 | S62638D | 08 | 559-561 | ||
| S62344D | 08 | 559-561 | S62521A | 08 | 562-563 | S62638G | 08 | 559-561 | ||
| S62344G | 08 | 559-561 | S62521A | 24 | 963-965 | S62638K | 08 | 564-566 | ||
| S62344K | 08 | 564-566 | S62521B | 08 | 562-563 | S62638P | 08 | 564-566 | ||
| S62344P | 08 | 564-566 | S62521B | 24 | 963-965 | S62638S | 08 | 559-561 | ||
| S62344S | 08 | 559-561 | S62521D | 08 | 559-561 | S62639A | 08 | 562-563 | ||
| S62345A | 08 | 562-563 | S62521G | 08 | 559-561 | S62639A | 24 | 963-965 | ||
| S62345A | 24 | 963-965 | S62521K | 08 | 564-566 | S62639B | 08 | 562-563 | ||
| S62345B | 08 | 562-563 | S62521P | 08 | 564-566 | S62639B | 24 | 963-965 | ||
| S62345B | 24 | 963-965 | S62521S | 08 | 559-561 | S62639D | 08 | 559-561 | ||
| S62345D | 08 | 559-561 | S62522A | 08 | 562-563 | S62639G | 08 | 559-561 | ||
| S62345G | 08 | 559-561 | S62522A | 24 | 963-965 | S62639K | 08 | 564-566 | ||
| S62345K | 08 | 564-566 | S62522B | 08 | 562-563 | S62639P | 08 | 564-566 | ||
| S62345P | 08 | 564-566 | S62522B | 24 | 963-965 | S62639S | 08 | 559-561 | ||
| S62345S | 08 | 559-561 | S62522D | 08 | 559-561 | S62640A | 08 | 562-563 | ||
| S62346A | 08 | 562-563 | S62522G | 08 | 559-561 | S62640A | 24 | 963-965 | ||
| S62346A | 24 | 963-965 | S62522K | 08 | 564-566 | S62640B | 08 | 562-563 | ||
| S62346B | 08 | 562-563 | S62522P | 08 | 564-566 | S62640B | 24 | 963-965 | ||
| S62346B | 24 | 963-965 | S62522S | 08 | 559-561 | S62640D | 08 | 559-561 | ||
| S62346D | 08 | 559-561 | S62523A | 08 | 562-563 | S62640G | 08 | 559-561 | ||
| S62346G | 08 | 559-561 | S62523A | 24 | 963-965 | S62640K | 08 | 564-566 | ||
| S62346K | 08 | 564-566 | S62523B | 08 | 562-563 | S62640P | 08 | 564-566 | ||
| S62346P | 08 | 564-566 | S62523B | 24 | 963-965 | S62640S | 08 | 559-561 | ||
| S62346S | 08 | 559-561 | S62523D | 08 | 559-561 | S62641A | 08 | 562-563 | ||
| S62347A | 08 | 562-563 | S62523G | 08 | 559-561 | S62641A | 24 | 963-965 | ||
| S62347A | 24 | 963-965 | S62523K | 08 | 564-566 | S62641B | 08 | 562-563 | ||
| S62347B | 08 | 562-563 | S62523P | 08 | 564-566 | S62641B | 24 | 963-965 | ||
| S62347B | 24 | 963-965 | S62523S | 08 | 559-561 | S62641D | 08 | 559-561 | ||
| S62347D | 08 | 559-561 | S62524A | 08 | 562-563 | S62641G | 08 | 559-561 | ||
| S62347G | 08 | 559-561 | S62524A | 24 | 963-965 | S62641K | 08 | 564-566 | ||
| S62347K | 08 | 564-566 | S62524B | 08 | 562-563 | S62641P | 08 | 564-566 | ||
| S62347P | 08 | 564-566 | S62524B | 24 | 963-965 | S62641S | 08 | 559-561 | ||
| S62347S | 08 | 559-561 | S62524D | 08 | 559-561 | S62642A | 08 | 562-563 | ||
| S62348A | 08 | 562-563 | S62524G | 08 | 559-561 | S62642A | 24 | 963-965 | ||
| S62348A | 24 | 963-965 | S62524K | 08 | 564-566 | S62642B | 08 | 562-563 | ||
| S62348B | 08 | 562-563 | S62524P | 08 | 564-566 | S62642B | 24 | 963-965 | ||
| S62348B | 24 | 963-965 | S62524S | 08 | 559-561 | S62642D | 08 | 559-561 | ||
| S62348D | 08 | 559-561 | S62525A | 08 | 562-563 | S62642G | 08 | 559-561 | ||
| S62348G | 08 | 559-561 | S62525A | 24 | 963-965 | S62642K | 08 | 564-566 | ||
| S62348K | 08 | 564-566 | S62525B | 08 | 562-563 | S62642P | 08 | 564-566 | ||
| S62348P | 08 | 564-566 | S62525B | 24 | 963-965 | S62642S | 08 | 559-561 | ||
| S62348S | 08 | 559-561 | S62525D | 08 | 559-561 | S62643A | 08 | 562-563 | ||
| S62643A | 24 | 963-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 20 Nov 2020 15:32:59 CMS, code-revision=283, description-revision=1293 |