ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
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A000 B303 C579 C8444 D3131 E093513 E13638 F423 H02202 H30121 H59031 I5089 I70722 K006 K9089 L97103 M10361 M247 M60159 M80052S M84633D M90569 N8341 O2942 O3623X4 O6000 P258 Q72819 S00221S S02622K 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 T8332XD Z22322 Z95820 |
DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
---|---|---|---|---|---|---|---|---|---|---|
B303 | 02 | 124-125 | B7300 | 18 | 867-869 | C413 | 08 | 542-544 | ||
B308 | 02 | 124-125 | B7301 | 18 | 867-869 | C414 | 08 | 542-544 | ||
B309 | 02 | 124-125 | B7302 | 18 | 867-869 | C419 | 08 | 542-544 | ||
B330 | 04 | 193-195 | B7309 | 18 | 867-869 | C430 | 09 | 595-596 | ||
B331 | 18 | 865-866 | B731 | 18 | 867-869 | C4310 | 02 | 124-125 | ||
B3320 | 05 | 314-316 | B740 | 18 | 867-869 | C43111 | 02 | 124-125 | ||
B3321 | 05 | 306-307 | B741 | 18 | 867-869 | C43112 | 02 | 124-125 | ||
B3322 | 05 | 314-316 | B742 | 18 | 867-869 | C43121 | 02 | 124-125 | ||
B3323 | 05 | 314-316 | B743 | 18 | 867-869 | C43122 | 02 | 124-125 | ||
B3324 | 18 | 865-866 | B744 | 18 | 867-869 | C4320 | 09 | 595-596 | ||
B333 | 18 | 865-866 | B748 | 18 | 867-869 | C4321 | 09 | 595-596 | ||
B334 | 18 | 865-866 | B749 | 18 | 867-869 | C4322 | 09 | 595-596 | ||
B338 | 18 | 865-866 | B75 | 18 | 867-869 | C4330 | 09 | 595-596 | ||
B340 | 18 | 865-866 | B760 | 06 | 371-373 | C4331 | 09 | 595-596 | ||
B341 | 18 | 865-866 | B761 | 06 | 371-373 | C4339 | 09 | 595-596 | ||
B342 | 18 | 865-866 | B768 | 06 | 371-373 | C434 | 09 | 595-596 | ||
B343 | 18 | 865-866 | B769 | 06 | 371-373 | C4351 | 09 | 595-596 | ||
B344 | 18 | 865-866 | B770 | 06 | 391-392 | C4352 | 09 | 595-596 | ||
B348 | 18 | 865-866 | B7781 | 06 | 391-392 | C4359 | 09 | 595-596 | ||
B349 | 18 | 865-866 | B7789 | 06 | 391-392 | C4360 | 09 | 595-596 | ||
B350 | 09 | 606-607 | B779 | 06 | 391-392 | C4361 | 09 | 595-596 | ||
B351 | 09 | 606-607 | B780 | 06 | 391-392 | C4362 | 09 | 595-596 | ||
B352 | 09 | 606-607 | B780 | 25 | 974-976 | C4370 | 09 | 595-596 | ||
B353 | 09 | 606-607 | B781 | 09 | 602-603 | C4371 | 09 | 595-596 | ||
B354 | 09 | 606-607 | B787 | 06 | 391-392 | C4372 | 09 | 595-596 | ||
B355 | 09 | 606-607 | B787 | 25 | 974-976 | C438 | 09 | 595-596 | ||
B356 | 09 | 606-607 | B789 | 06 | 391-392 | C439 | 09 | 595-596 | ||
B358 | 09 | 606-607 | B789 | 25 | 974-976 | C4400 | Pre | 011-013 | ||
B359 | 09 | 606-607 | B79 | 06 | 391-392 | C4400 | 09 | 606-607 | ||
B360 | 09 | 606-607 | B80 | 06 | 391-392 | C4401 | Pre | 011-013 | ||
B361 | 09 | 606-607 | B810 | 06 | 391-392 | C4401 | 09 | 606-607 | ||
B362 | 09 | 606-607 | B811 | 06 | 391-392 | C4402 | Pre | 011-013 | ||
B363 | 09 | 606-607 | B812 | 06 | 391-392 | C4402 | 09 | 606-607 | ||
B368 | 09 | 606-607 | B813 | 06 | 391-392 | C4409 | Pre | 011-013 | ||
B369 | 09 | 606-607 | B814 | 18 | 867-869 | C4409 | 09 | 606-607 | ||
B370 | Pre | 011-013 | B818 | 06 | 391-392 | C44101 | 02 | 124-125 | ||
B370 | 03 | 157-159 | B820 | 06 | 391-392 | C441021 | 02 | 124-125 | ||
B370 | 25 | 974-976 | B829 | 06 | 391-392 | C441022 | 02 | 124-125 | ||
B371 | 04 | 177-179 | B830 | 18 | 867-869 | C441091 | 02 | 124-125 | ||
B371 | 15 | 791 | B831 | 18 | 867-869 | C441092 | 02 | 124-125 | ||
B371 | 15 | 793 | B832 | 18 | 867-869 | C44111 | 02 | 124-125 | ||
B371 | 25 | 974-976 | B833 | 18 | 867-869 | C441121 | 02 | 124-125 | ||
B372 | 09 | 606-607 | B834 | 09 | 606-607 | C441122 | 02 | 124-125 | ||
B372 | 25 | 974-976 | B838 | 18 | 867-869 | C441191 | 02 | 124-125 | ||
B373 | 13 | 742-743 | B839 | 18 | 867-869 | C441192 | 02 | 124-125 | ||
B373 | 13 | 757-759 | B850 | 09 | 606-607 | C44121 | 02 | 124-125 | ||
B3741 | 12 | 727-728 | B851 | 09 | 606-607 | C441221 | 02 | 124-125 | ||
B3741 | 13 | 742-743 | B852 | 09 | 606-607 | C441222 | 02 | 124-125 | ||
B3741 | 13 | 757-759 | B853 | 09 | 606-607 | C441291 | 02 | 124-125 | ||
B3742 | 12 | 727-728 | B854 | 09 | 606-607 | C441292 | 02 | 124-125 | ||
B3749 | 12 | 727-728 | B86 | 09 | 606-607 | C44131 | 02 | 124-125 | ||
B3749 | 13 | 742-743 | B870 | 09 | 606-607 | C441321 | 02 | 124-125 | ||
B3749 | 13 | 757-759 | B871 | 09 | 606-607 | C441322 | 02 | 124-125 | ||
B375 | 01 | 023-024 | B872 | 09 | 606-607 | C441391 | 02 | 124-125 | ||
B375 | 01 | 097-099 | B873 | 09 | 606-607 | C441392 | 02 | 124-125 | ||
B375 | 15 | 791 | B874 | 09 | 606-607 | C44191 | 02 | 124-125 | ||
B375 | 15 | 793 | B8781 | 09 | 606-607 | C441921 | 02 | 124-125 | ||
B375 | 25 | 974-976 | B8782 | 09 | 606-607 | C441922 | 02 | 124-125 | ||
B376 | 05 | 288-290 | B8789 | 09 | 606-607 | C441991 | 02 | 124-125 | ||
B376 | 15 | 791 | B879 | 09 | 606-607 | C441992 | 02 | 124-125 | ||
B376 | 15 | 793 | B880 | 09 | 606-607 | C44201 | 09 | 606-607 | ||
B376 | 25 | 974-976 | B881 | 09 | 606-607 | C44202 | 09 | 606-607 | ||
B377 | 18 | 870-872 | B882 | 09 | 606-607 | C44209 | 09 | 606-607 | ||
B3781 | 06 | 368-370 | B883 | 09 | 606-607 | C44211 | 09 | 606-607 | ||
B3781 | 15 | 791 | B888 | 09 | 606-607 | C44212 | 09 | 606-607 | ||
B3781 | 15 | 793 | B889 | 09 | 606-607 | C44219 | 09 | 606-607 | ||
B3781 | 25 | 974-976 | B89 | 18 | 867-869 | C44221 | 09 | 606-607 | ||
B3782 | 06 | 391-392 | B900 | 01 | 091-093 | C44222 | 09 | 606-607 | ||
B3782 | 15 | 791 | B901 | 11 | 689-690 | C44229 | 09 | 606-607 | ||
B3782 | 15 | 793 | B902 | 08 | 564-566 | C44291 | 09 | 606-607 | ||
B3782 | 25 | 974-976 | B908 | 18 | 867-869 | C44292 | 09 | 606-607 | ||
B3783 | Pre | 011-013 | B909 | 04 | 196-198 | C44299 | 09 | 606-607 | ||
B3783 | 03 | 157-159 | B91 | 01 | 091-093 | C44300 | 09 | 606-607 | ||
B3783 | 25 | 974-976 | B92 | 18 | 867-869 | C44301 | 09 | 606-607 | ||
B3784 | 03 | 154-156 | B940 | 02 | 124-125 | C44309 | 09 | 606-607 | ||
B3784 | 15 | 791 | B941 | 01 | 091-093 | C44310 | 09 | 606-607 | ||
B3784 | 15 | 793 | B942 | 18 | 867-869 | C44311 | 09 | 606-607 | ||
B3784 | 25 | 974-976 | B948 | 18 | 867-869 | C44319 | 09 | 606-607 | ||
B3789 | 18 | 867-869 | B949 | 18 | 867-869 | C44320 | 09 | 606-607 | ||
B3789 | 25 | 974-976 | B950 | 18 | 867-869 | C44321 | 09 | 606-607 | ||
B379 | 18 | 867-869 | B951 | 18 | 867-869 | C44329 | 09 | 606-607 | ||
B379 | 25 | 974-976 | B952 | 18 | 867-869 | C44390 | 09 | 606-607 | ||
B380 | 04 | 177-179 | B953 | 18 | 867-869 | C44391 | 09 | 606-607 | ||
B380 | 25 | 974-976 | B954 | 18 | 867-869 | C44399 | 09 | 606-607 | ||
B381 | 04 | 177-179 | B955 | 18 | 867-869 | C4440 | 09 | 606-607 | ||
B381 | 25 | 974-976 | B9561 | 18 | 867-869 | C4441 | 09 | 606-607 | ||
B382 | 04 | 177-179 | B9562 | 18 | 867-869 | C4442 | 09 | 606-607 | ||
B382 | 25 | 974-976 | B957 | 18 | 867-869 | C4449 | 09 | 606-607 | ||
B383 | 09 | 606-607 | B958 | 18 | 867-869 | C44500 | 09 | 606-607 | ||
B383 | 25 | 974-976 | B960 | 18 | 867-869 | C44501 | 09 | 606-607 | ||
B384 | 01 | 023-024 | B961 | 18 | 867-869 | C44509 | 09 | 606-607 | ||
B384 | 01 | 097-099 | B9620 | 18 | 867-869 | C44510 | 09 | 606-607 | ||
B384 | 15 | 791 | B9621 | 18 | 867-869 | C44511 | 09 | 606-607 | ||
B384 | 15 | 793 | B9622 | 18 | 867-869 | C44519 | 09 | 606-607 | ||
B384 | 25 | 974-976 | B9623 | 18 | 867-869 | C44520 | 09 | 606-607 | ||
B387 | 15 | 791 | B9629 | 18 | 867-869 | C44521 | 09 | 606-607 | ||
B387 | 15 | 793 | B963 | 18 | 867-869 | C44529 | 09 | 606-607 | ||
B387 | 18 | 867-869 | B964 | 18 | 867-869 | C44590 | 09 | 606-607 | ||
B387 | 25 | 974-976 | B965 | 18 | 867-869 | C44591 | 09 | 606-607 | ||
B3881 | 09 | 606-607 | B966 | 18 | 867-869 | C44599 | 09 | 606-607 | ||
B3881 | 25 | 974-976 | B967 | 18 | 867-869 | C44601 | 09 | 606-607 | ||
B3889 | 15 | 791 | B9681 | 18 | 867-869 | C44602 | 09 | 606-607 | ||
B3889 | 15 | 793 | B9682 | 18 | 867-869 | C44609 | 09 | 606-607 | ||
B3889 | 18 | 867-869 | B9689 | 18 | 867-869 | C44611 | 09 | 606-607 | ||
B3889 | 25 | 974-976 | B970 | 18 | 865-866 | C44612 | 09 | 606-607 | ||
B389 | 18 | 867-869 | B9710 | 18 | 865-866 | C44619 | 09 | 606-607 | ||
B389 | 25 | 974-976 | B9711 | 18 | 865-866 | C44621 | 09 | 606-607 | ||
B390 | 04 | 177-179 | B9712 | 18 | 865-866 | C44622 | 09 | 606-607 | ||
B390 | 15 | 791 | B9719 | 18 | 865-866 | C44629 | 09 | 606-607 | ||
B390 | 15 | 793 | B9721 | 18 | 865-866 | C44691 | 09 | 606-607 | ||
B390 | 25 | 974-976 | B9729 | 18 | 865-866 | C44692 | 09 | 606-607 | ||
B391 | 04 | 177-179 | B9730 | 18 | 865-866 | C44699 | 09 | 606-607 | ||
B391 | 15 | 791 | B9731 | 18 | 865-866 | C44701 | 09 | 606-607 | ||
B391 | 15 | 793 | B9732 | 18 | 865-866 | C44702 | 09 | 606-607 | ||
B391 | 25 | 974-976 | B9733 | 18 | 865-866 | C44709 | 09 | 606-607 | ||
B392 | 04 | 177-179 | B9734 | 18 | 865-866 | C44711 | 09 | 606-607 | ||
B392 | 15 | 791 | B9735 | 18 | 865-866 | C44712 | 09 | 606-607 | ||
B392 | 15 | 793 | B9739 | 18 | 865-866 | C44719 | 09 | 606-607 | ||
B392 | 25 | 974-976 | B974 | 15 | 791 | C44721 | 09 | 606-607 | ||
B393 | 18 | 867-869 | B974 | 15 | 793 | C44722 | 09 | 606-607 | ||
B393 | 25 | 974-976 | B974 | 18 | 865-866 | C44729 | 09 | 606-607 | ||
B394 | 18 | 867-869 | B975 | 18 | 865-866 | C44791 | 09 | 606-607 | ||
B394 | 25 | 974-976 | B976 | 18 | 865-866 | C44792 | 09 | 606-607 | ||
B395 | 18 | 867-869 | B977 | 18 | 865-866 | C44799 | 09 | 606-607 | ||
B395 | 25 | 974-976 | B9781 | 18 | 865-866 | C4480 | 09 | 606-607 | ||
B399 | 18 | 867-869 | B9789 | 18 | 865-866 | C4481 | 09 | 606-607 | ||
B399 | 25 | 974-976 | B998 | 18 | 867-869 | C4482 | 09 | 606-607 | ||
B400 | 15 | 791 | B998 | 25 | 974-976 | C4489 | 09 | 606-607 | ||
B400 | 15 | 793 | B999 | 18 | 867-869 | C4490 | 09 | 606-607 | ||
B400 | 18 | 867-869 | C000 | Pre | 011-013 | C4491 | 09 | 606-607 | ||
B401 | 15 | 791 | C000 | 03 | 146-148 | C4492 | 09 | 606-607 | ||
B401 | 15 | 793 | C001 | Pre | 011-013 | C4499 | 09 | 606-607 | ||
B401 | 18 | 867-869 | C001 | 03 | 146-148 | C450 | 04 | 180-182 | ||
B402 | 15 | 791 | C002 | Pre | 011-013 | C451 | 06 | 374-376 | ||
B402 | 15 | 793 | C002 | 03 | 146-148 | C452 | 05 | 314-316 | ||
B402 | 18 | 867-869 | C003 | Pre | 011-013 | C457 | 17 | 826-828 | ||
B403 | 15 | 791 | C003 | 03 | 146-148 | C457 | 17 | 829-830 | ||
B403 | 15 | 793 | C004 | Pre | 011-013 | C457 | 17 | 843-845 | ||
B403 | 18 | 867-869 | C004 | 03 | 146-148 | C459 | 17 | 826-828 | ||
B407 | 15 | 791 | C005 | Pre | 011-013 | C459 | 17 | 829-830 | ||
B407 | 15 | 793 | C005 | 03 | 146-148 | C459 | 17 | 843-845 | ||
B407 | 18 | 867-869 | C006 | Pre | 011-013 | C460 | 09 | 606-607 | ||
B4081 | 15 | 791 | C006 | 03 | 146-148 | C460 | 25 | 974-976 | ||
B4081 | 15 | 793 | C008 | Pre | 011-013 | C461 | 09 | 606-607 | ||
B4081 | 18 | 867-869 | C008 | 03 | 146-148 | C461 | 25 | 974-976 | ||
B4089 | 15 | 791 | C009 | Pre | 011-013 | C462 | Pre | 011-013 | ||
B4089 | 15 | 793 | C009 | 03 | 146-148 | C462 | 03 | 146-148 | ||
B4089 | 18 | 867-869 | C01 | Pre | 011-013 | C462 | 25 | 974-976 | ||
B409 | 15 | 791 | C01 | 03 | 146-148 | C463 | 17 | 820-822 | ||
B409 | 15 | 793 | C020 | Pre | 011-013 | C463 | 17 | 823-825 | ||
B409 | 18 | 867-869 | C020 | 03 | 146-148 | C463 | 17 | 840-842 | ||
B410 | 15 | 791 | C021 | Pre | 011-013 | C463 | 25 | 974-976 | ||
B410 | 15 | 793 | C021 | 03 | 146-148 | C464 | 06 | 374-376 | ||
B410 | 18 | 867-869 | C022 | Pre | 011-013 | C464 | 25 | 974-976 | ||
B417 | 15 | 791 | C022 | 03 | 146-148 | C4650 | 04 | 180-182 | ||
B417 | 15 | 793 | C023 | Pre | 011-013 | C4650 | 25 | 974-976 | ||
B417 | 18 | 867-869 | C023 | 03 | 146-148 | C4651 | 04 | 180-182 | ||
B418 | 15 | 791 | C024 | Pre | 011-013 | C4651 | 25 | 974-976 | ||
B418 | 15 | 793 | C024 | 03 | 146-148 | C4652 | 04 | 180-182 | ||
B418 | 18 | 867-869 | C028 | Pre | 011-013 | C4652 | 25 | 974-976 | ||
B419 | 15 | 791 | C028 | 03 | 146-148 | C467 | 09 | 606-607 | ||
B419 | 15 | 793 | C029 | Pre | 011-013 | C467 | 25 | 974-976 | ||
B419 | 18 | 867-869 | C029 | 03 | 146-148 | C469 | 09 | 606-607 | ||
B420 | 18 | 867-869 | C030 | Pre | 011-013 | C469 | 25 | 974-976 | ||
B421 | 18 | 867-869 | C030 | 03 | 146-148 | C470 | 08 | 542-544 | ||
B427 | 18 | 867-869 | C031 | Pre | 011-013 | C4710 | 08 | 542-544 | ||
B4281 | 18 | 867-869 | C031 | 03 | 146-148 | C4711 | 08 | 542-544 | ||
B4282 | 18 | 867-869 | C039 | Pre | 011-013 | C4712 | 08 | 542-544 | ||
B4289 | 18 | 867-869 | C039 | 03 | 146-148 | C4720 | 08 | 542-544 | ||
B429 | 18 | 867-869 | C040 | Pre | 011-013 | C4721 | 08 | 542-544 | ||
B430 | 18 | 867-869 | C040 | 03 | 146-148 | C4722 | 08 | 542-544 | ||
B431 | 18 | 867-869 | C041 | Pre | 011-013 | C473 | 08 | 542-544 | ||
B432 | 18 | 867-869 | C041 | 03 | 146-148 | C474 | 08 | 542-544 | ||
B438 | 18 | 867-869 | C048 | Pre | 011-013 | C475 | 08 | 542-544 | ||
B439 | 18 | 867-869 | C048 | 03 | 146-148 | C476 | 08 | 542-544 | ||
B440 | 04 | 177-179 | C049 | Pre | 011-013 | C478 | 08 | 542-544 | ||
B441 | 15 | 791 | C049 | 03 | 146-148 | C479 | 08 | 542-544 | ||
B441 | 15 | 793 | C050 | Pre | 011-013 | C480 | 17 | 826-828 | ||
B441 | 18 | 867-869 | C050 | 03 | 146-148 | C480 | 17 | 829-830 | ||
B442 | 15 | 791 | C051 | Pre | 011-013 | C480 | 17 | 843-845 | ||
B442 | 15 | 793 | C051 | 03 | 146-148 | C481 | 06 | 374-376 | ||
B442 | 18 | 867-869 | C052 | Pre | 011-013 | C482 | 06 | 374-376 | ||
B447 | 15 | 791 | C052 | 03 | 146-148 | C488 | 06 | 374-376 | ||
B447 | 15 | 793 | C058 | Pre | 011-013 | C490 | 08 | 542-544 | ||
B447 | 18 | 867-869 | C058 | 03 | 146-148 | C4910 | 08 | 542-544 | ||
B4481 | 04 | 196-198 | C059 | Pre | 011-013 | C4911 | 08 | 542-544 | ||
B4489 | 15 | 791 | C059 | 03 | 146-148 | C4912 | 08 | 542-544 | ||
B4489 | 15 | 793 | C060 | Pre | 011-013 | C4920 | 08 | 542-544 | ||
B4489 | 18 | 867-869 | C060 | 03 | 146-148 | C4921 | 08 | 542-544 | ||
B449 | 15 | 791 | C061 | Pre | 011-013 | C4922 | 08 | 542-544 | ||
B449 | 15 | 793 | C061 | 03 | 146-148 | C493 | 08 | 542-544 | ||
B449 | 18 | 867-869 | C062 | Pre | 011-013 | C494 | 08 | 542-544 | ||
B450 | 15 | 791 | C062 | 03 | 146-148 | C495 | 08 | 542-544 | ||
B450 | 15 | 793 | C0680 | Pre | 011-013 | C496 | 08 | 542-544 | ||
B450 | 18 | 867-869 | C0680 | 03 | 146-148 | C498 | 08 | 542-544 | ||
B450 | 25 | 974-976 | C0689 | Pre | 011-013 | C499 | 08 | 542-544 | ||
B451 | 01 | 023-024 | C0689 | 03 | 146-148 | C49A0 | 06 | 374-376 | ||
B451 | 01 | 097-099 | C069 | Pre | 011-013 | C49A1 | 06 | 374-376 | ||
B451 | 15 | 791 | C069 | 03 | 146-148 | C49A2 | 06 | 374-376 | ||
B451 | 15 | 793 | C07 | Pre | 011-013 | C49A3 | 06 | 374-376 | ||
B452 | 15 | 791 | C07 | 03 | 146-148 | C49A4 | 06 | 374-376 | ||
B452 | 15 | 793 | C080 | Pre | 011-013 | C49A5 | 06 | 374-376 | ||
B452 | 18 | 867-869 | C080 | 03 | 146-148 | C49A9 | 06 | 374-376 | ||
B452 | 25 | 974-976 | C081 | Pre | 011-013 | C4A0 | 09 | 595-596 | ||
B453 | 15 | 791 | C081 | 03 | 146-148 | C4A10 | 09 | 595-596 | ||
B453 | 15 | 793 | C089 | Pre | 011-013 | C4A111 | 09 | 595-596 | ||
B453 | 18 | 867-869 | C089 | 03 | 146-148 | C4A112 | 09 | 595-596 | ||
B453 | 25 | 974-976 | C090 | Pre | 011-013 | C4A121 | 09 | 595-596 | ||
B457 | 15 | 791 | C090 | 03 | 146-148 | C4A122 | 09 | 595-596 | ||
B457 | 15 | 793 | C091 | Pre | 011-013 | C4A20 | 09 | 595-596 | ||
B457 | 18 | 867-869 | C091 | 03 | 146-148 | C4A21 | 09 | 595-596 | ||
B457 | 25 | 974-976 | C098 | Pre | 011-013 | C4A22 | 09 | 595-596 | ||
B458 | 15 | 791 | C098 | 03 | 146-148 | C4A30 | 09 | 595-596 | ||
B458 | 15 | 793 | C099 | Pre | 011-013 | C4A31 | 09 | 595-596 | ||
B458 | 18 | 867-869 | C099 | 03 | 146-148 | C4A39 | 09 | 595-596 | ||
B458 | 25 | 974-976 | C100 | Pre | 011-013 | C4A4 | 09 | 595-596 | ||
B459 | 15 | 791 | C100 | 03 | 146-148 | C4A51 | 09 | 595-596 | ||
B459 | 15 | 793 | C101 | Pre | 011-013 | C4A52 | 09 | 595-596 | ||
B459 | 18 | 867-869 | C101 | 03 | 146-148 | C4A59 | 09 | 595-596 | ||
B459 | 25 | 974-976 | C102 | Pre | 011-013 | C4A60 | 09 | 595-596 | ||
B460 | 15 | 791 | C102 | 03 | 146-148 | C4A61 | 09 | 595-596 | ||
B460 | 15 | 793 | C103 | Pre | 011-013 | C4A62 | 09 | 595-596 | ||
B460 | 18 | 867-869 | C103 | 03 | 146-148 | C4A70 | 09 | 595-596 | ||
B461 | 15 | 791 | C104 | Pre | 011-013 | C4A71 | 09 | 595-596 | ||
B461 | 15 | 793 | C104 | 03 | 146-148 | C4A72 | 09 | 595-596 | ||
B461 | 18 | 867-869 | C108 | Pre | 011-013 | C4A8 | 09 | 595-596 | ||
B462 | 15 | 791 | C108 | 03 | 146-148 | C4A9 | 09 | 595-596 | ||
B462 | 15 | 793 | C109 | Pre | 011-013 | C50011 | 09 | 582-583 | ||
B462 | 18 | 867-869 | C109 | 03 | 146-148 | C50011 | 09 | 597-599 | ||
B463 | 15 | 791 | C110 | Pre | 011-013 | C50012 | 09 | 582-583 | ||
B463 | 15 | 793 | C110 | 03 | 146-148 | C50012 | 09 | 597-599 | ||
B463 | 18 | 867-869 | C111 | Pre | 011-013 | C50019 | 09 | 582-583 | ||
B464 | 15 | 791 | C111 | 03 | 146-148 | C50019 | 09 | 597-599 | ||
B464 | 15 | 793 | C112 | Pre | 011-013 | C50021 | 09 | 582-583 | ||
B464 | 18 | 867-869 | C112 | 03 | 146-148 | C50021 | 09 | 597-599 | ||
B465 | 15 | 791 | C113 | Pre | 011-013 | C50022 | 09 | 582-583 | ||
B465 | 15 | 793 | C113 | 03 | 146-148 | C50022 | 09 | 597-599 | ||
B465 | 18 | 867-869 | C118 | Pre | 011-013 | C50029 | 09 | 582-583 | ||
B468 | 15 | 791 | C118 | 03 | 146-148 | C50029 | 09 | 597-599 | ||
B468 | 15 | 793 | C119 | Pre | 011-013 | C50111 | 09 | 582-583 | ||
B468 | 18 | 867-869 | C119 | 03 | 146-148 | C50111 | 09 | 597-599 | ||
B469 | 15 | 791 | C12 | Pre | 011-013 | C50112 | 09 | 582-583 | ||
B469 | 15 | 793 | C12 | 03 | 146-148 | C50112 | 09 | 597-599 | ||
B469 | 18 | 867-869 | C130 | Pre | 011-013 | C50119 | 09 | 582-583 | ||
B470 | 15 | 791 | C130 | 03 | 146-148 | C50119 | 09 | 597-599 | ||
B470 | 15 | 793 | C131 | Pre | 011-013 | C50121 | 09 | 582-583 | ||
B470 | 18 | 867-869 | C131 | 03 | 146-148 | C50121 | 09 | 597-599 | ||
B471 | 18 | 867-869 | C132 | Pre | 011-013 | C50122 | 09 | 582-583 | ||
B471 | 25 | 974-976 | C132 | 03 | 146-148 | C50122 | 09 | 597-599 | ||
B479 | 09 | 606-607 | C138 | Pre | 011-013 | C50129 | 09 | 582-583 | ||
B479 | 25 | 974-976 | C138 | 03 | 146-148 | C50129 | 09 | 597-599 | ||
B480 | 18 | 867-869 | C139 | Pre | 011-013 | C50211 | 09 | 582-583 | ||
B481 | 18 | 867-869 | C139 | 03 | 146-148 | C50211 | 09 | 597-599 | ||
B482 | 15 | 791 | C140 | Pre | 011-013 | C50212 | 09 | 582-583 | ||
B482 | 15 | 793 | C140 | 03 | 146-148 | C50212 | 09 | 597-599 | ||
B482 | 18 | 867-869 | C142 | Pre | 011-013 | C50219 | 09 | 582-583 | ||
B483 | 18 | 867-869 | C142 | 03 | 146-148 | C50219 | 09 | 597-599 | ||
B484 | 15 | 791 | C148 | Pre | 011-013 | C50221 | 09 | 582-583 | ||
B484 | 15 | 793 | C148 | 03 | 146-148 | C50221 | 09 | 597-599 | ||
B484 | 18 | 867-869 | C153 | 06 | 374-376 | C50222 | 09 | 582-583 | ||
B488 | 15 | 791 | C154 | 06 | 374-376 | C50222 | 09 | 597-599 | ||
B488 | 15 | 793 | C155 | 06 | 374-376 | C50229 | 09 | 582-583 | ||
B488 | 18 | 867-869 | C158 | 06 | 374-376 | C50229 | 09 | 597-599 | ||
B488 | 25 | 974-976 | C159 | 06 | 374-376 | C50311 | 09 | 582-583 | ||
B49 | 18 | 867-869 | C160 | 06 | 374-376 | C50311 | 09 | 597-599 | ||
B500 | 18 | 867-869 | C161 | 06 | 374-376 | C50312 | 09 | 582-583 | ||
B508 | 18 | 867-869 | C162 | 06 | 374-376 | C50312 | 09 | 597-599 | ||
B509 | 18 | 867-869 | C163 | 06 | 374-376 | C50319 | 09 | 582-583 | ||
B510 | 18 | 867-869 | C164 | 06 | 374-376 | C50319 | 09 | 597-599 | ||
B518 | 18 | 867-869 | C165 | 06 | 374-376 | C50321 | 09 | 582-583 | ||
B519 | 18 | 867-869 | C166 | 06 | 374-376 | C50321 | 09 | 597-599 | ||
B520 | 18 | 867-869 | C168 | 06 | 374-376 | C50322 | 09 | 582-583 | ||
B528 | 18 | 867-869 | C169 | 06 | 374-376 | C50322 | 09 | 597-599 | ||
B529 | 18 | 867-869 | C170 | 06 | 374-376 | C50329 | 09 | 582-583 | ||
B530 | 18 | 867-869 | C171 | 06 | 374-376 | C50329 | 09 | 597-599 | ||
B531 | 18 | 867-869 | C172 | 06 | 374-376 | C50411 | 09 | 582-583 | ||
B538 | 18 | 867-869 | C173 | 06 | 374-376 | C50411 | 09 | 597-599 | ||
B54 | 18 | 867-869 | C178 | 06 | 374-376 | C50412 | 09 | 582-583 | ||
B550 | 18 | 867-869 | C179 | 06 | 374-376 | C50412 | 09 | 597-599 | ||
B551 | 09 | 606-607 | C180 | 06 | 374-376 | C50419 | 09 | 582-583 | ||
B552 | 09 | 606-607 | C181 | 06 | 338-340 | C50419 | 09 | 597-599 | ||
B559 | 18 | 867-869 | C181 | 06 | 374-376 | C50421 | 09 | 582-583 | ||
B560 | 18 | 867-869 | C182 | 06 | 374-376 | C50421 | 09 | 597-599 | ||
B561 | 18 | 867-869 | C183 | 06 | 374-376 | C50422 | 09 | 582-583 | ||
B569 | 18 | 867-869 | C184 | 06 | 374-376 | C50422 | 09 | 597-599 | ||
B570 | 05 | 314-316 | C185 | 06 | 374-376 | C50429 | 09 | 582-583 | ||
B571 | 18 | 867-869 | C186 | 06 | 374-376 | C50429 | 09 | 597-599 | ||
B572 | 05 | 314-316 | C187 | 06 | 374-376 | C50511 | 09 | 582-583 | ||
B5730 | 18 | 867-869 | C188 | 06 | 374-376 | C50511 | 09 | 597-599 | ||
B5731 | 18 | 867-869 | C189 | 06 | 374-376 | C50512 | 09 | 582-583 | ||
B5732 | 18 | 867-869 | C19 | 06 | 374-376 | C50512 | 09 | 597-599 | ||
B5739 | 18 | 867-869 | C20 | 06 | 374-376 | C50519 | 09 | 582-583 | ||
B5740 | 18 | 867-869 | C210 | 06 | 374-376 | C50519 | 09 | 597-599 | ||
B5741 | 18 | 867-869 | C211 | 06 | 374-376 | C50521 | 09 | 582-583 | ||
B5742 | 18 | 867-869 | C212 | 06 | 374-376 | C50521 | 09 | 597-599 | ||
B5749 | 18 | 867-869 | C218 | 06 | 374-376 | C50522 | 09 | 582-583 | ||
B575 | 18 | 867-869 | C220 | 07 | 435-437 | C50522 | 09 | 597-599 | ||
B5800 | 15 | 791 | C221 | 07 | 435-437 | C50529 | 09 | 582-583 | ||
B5800 | 15 | 793 | C222 | 07 | 435-437 | C50529 | 09 | 597-599 | ||
B5800 | 18 | 867-869 | C223 | 07 | 435-437 | C50611 | 09 | 582-583 | ||
B5800 | 25 | 974-976 | C224 | 07 | 435-437 | C50611 | 09 | 597-599 | ||
B5801 | 02 | 124-125 | C227 | 07 | 435-437 | C50612 | 09 | 582-583 | ||
B5801 | 15 | 791 | C228 | 07 | 435-437 | C50612 | 09 | 597-599 | ||
B5801 | 15 | 793 | C229 | 07 | 435-437 | C50619 | 09 | 582-583 | ||
B5801 | 25 | 974-976 | C23 | 07 | 435-437 | C50619 | 09 | 597-599 | ||
B5809 | 02 | 124-125 | C240 | 07 | 435-437 | C50621 | 09 | 582-583 | ||
B5809 | 15 | 791 | C241 | 07 | 435-437 | C50621 | 09 | 597-599 | ||
B5809 | 15 | 793 | C248 | 07 | 435-437 | C50622 | 09 | 582-583 | ||
B5809 | 25 | 974-976 | C249 | 07 | 435-437 | C50622 | 09 | 597-599 | ||
B581 | 07 | 441-443 | C250 | 07 | 435-437 | C50629 | 09 | 582-583 | ||
B581 | 15 | 791 | C251 | 07 | 435-437 | C50629 | 09 | 597-599 | ||
B581 | 15 | 793 | C252 | 07 | 435-437 | C50811 | 09 | 582-583 | ||
B581 | 25 | 974-976 | C253 | 07 | 435-437 | C50811 | 09 | 597-599 | ||
B582 | 01 | 023-024 | C254 | 07 | 435-437 | C50812 | 09 | 582-583 | ||
B582 | 01 | 097-099 | C257 | 07 | 435-437 | C50812 | 09 | 597-599 | ||
B582 | 15 | 791 | C258 | 07 | 435-437 | C50819 | 09 | 582-583 | ||
B582 | 15 | 793 | C259 | 07 | 435-437 | C50819 | 09 | 597-599 | ||
B582 | 25 | 974-976 | C260 | 06 | 374-376 | C50821 | 09 | 582-583 | ||
B583 | 04 | 177-179 | C261 | 17 | 820-822 | C50821 | 09 | 597-599 | ||
B583 | 15 | 791 | C261 | 17 | 823-825 | C50822 | 09 | 582-583 | ||
B583 | 15 | 793 | C261 | 17 | 840-842 | C50822 | 09 | 597-599 | ||
B583 | 25 | 974-976 | C269 | 06 | 374-376 | C50829 | 09 | 582-583 | ||
B5881 | 05 | 314-316 | C300 | Pre | 011-013 | C50829 | 09 | 597-599 | ||
B5881 | 15 | 791 | C300 | 03 | 146-148 | C50911 | 09 | 582-583 | ||
B5881 | 15 | 793 | C301 | Pre | 011-013 | C50911 | 09 | 597-599 | ||
B5881 | 25 | 974-976 | C301 | 03 | 146-148 | C50912 | 09 | 582-583 | ||
B5882 | 15 | 791 | C310 | Pre | 011-013 | C50912 | 09 | 597-599 | ||
B5882 | 15 | 793 | C310 | 03 | 146-148 | C50919 | 09 | 582-583 | ||
B5882 | 18 | 867-869 | C311 | Pre | 011-013 | C50919 | 09 | 597-599 | ||
B5882 | 25 | 974-976 | C311 | 03 | 146-148 | C50921 | 09 | 582-583 | ||
B5883 | 15 | 791 | C312 | Pre | 011-013 | C50921 | 09 | 597-599 | ||
B5883 | 15 | 793 | C312 | 03 | 146-148 | C50922 | 09 | 582-583 | ||
B5883 | 18 | 867-869 | C313 | Pre | 011-013 | C50922 | 09 | 597-599 | ||
B5883 | 25 | 974-976 | C313 | 03 | 146-148 | C50929 | 09 | 582-583 | ||
B5889 | 15 | 791 | C318 | Pre | 011-013 | C50929 | 09 | 597-599 | ||
B5889 | 15 | 793 | C318 | 03 | 146-148 | C510 | 13 | 736-741 | ||
B5889 | 18 | 867-869 | C319 | Pre | 011-013 | C510 | 13 | 754-756 | ||
B5889 | 25 | 974-976 | C319 | 03 | 146-148 | C511 | 13 | 736-741 | ||
B589 | 18 | 867-869 | C320 | Pre | 011-013 | C511 | 13 | 754-756 | ||
B589 | 25 | 974-976 | C320 | 03 | 146-148 | C512 | 13 | 736-741 | ||
B59 | 04 | 177-179 | C321 | Pre | 011-013 | C512 | 13 | 754-756 | ||
B59 | 15 | 791 | C321 | 03 | 146-148 | C518 | 13 | 736-741 | ||
B59 | 15 | 793 | C322 | Pre | 011-013 | C518 | 13 | 754-756 | ||
B59 | 25 | 974-976 | C322 | 03 | 146-148 | C519 | 13 | 736-741 | ||
B6000 | 18 | 867-869 | C323 | Pre | 011-013 | C519 | 13 | 754-756 | ||
B6001 | 18 | 867-869 | C323 | 03 | 146-148 | C52 | 13 | 736-741 | ||
B6002 | 18 | 867-869 | C328 | Pre | 011-013 | C52 | 13 | 754-756 | ||
B6003 | 18 | 867-869 | C328 | 03 | 146-148 | C530 | 13 | 736-741 | ||
B6009 | 18 | 867-869 | C329 | Pre | 011-013 | C530 | 13 | 754-756 | ||
B6010 | 18 | 867-869 | C329 | 03 | 146-148 | C531 | 13 | 736-741 | ||
B6011 | 18 | 867-869 | C33 | 04 | 180-182 | C531 | 13 | 754-756 | ||
B6012 | 02 | 124-125 | C3400 | 04 | 180-182 | C538 | 13 | 736-741 | ||
B6013 | 02 | 124-125 | C3401 | 04 | 180-182 | C538 | 13 | 754-756 | ||
B6019 | 18 | 867-869 | C3402 | 04 | 180-182 | C539 | 13 | 736-741 | ||
B602 | 18 | 867-869 | C3410 | 04 | 180-182 | C539 | 13 | 754-756 | ||
B608 | 18 | 867-869 | C3411 | 04 | 180-182 | C540 | 13 | 736-741 | ||
B608 | 25 | 974-976 | C3412 | 04 | 180-182 | C540 | 13 | 754-756 | ||
B64 | 18 | 867-869 | C342 | 04 | 180-182 | C541 | 13 | 736-741 | ||
B650 | 11 | 689-690 | C3430 | 04 | 180-182 | C541 | 13 | 754-756 | ||
B651 | 07 | 441-443 | C3431 | 04 | 180-182 | C542 | 13 | 736-741 | ||
B652 | 18 | 867-869 | C3432 | 04 | 180-182 | C542 | 13 | 754-756 | ||
B653 | 09 | 606-607 | C3480 | 04 | 180-182 | C543 | 13 | 736-741 | ||
B658 | 18 | 867-869 | C3481 | 04 | 180-182 | C543 | 13 | 754-756 | ||
B659 | 18 | 867-869 | C3482 | 04 | 180-182 | C548 | 13 | 736-741 | ||
B660 | 07 | 441-443 | C3490 | 04 | 180-182 | C548 | 13 | 754-756 | ||
B661 | 07 | 441-443 | C3491 | 04 | 180-182 | C549 | 13 | 736-741 | ||
B662 | 18 | 867-869 | C3492 | 04 | 180-182 | C549 | 13 | 754-756 | ||
B663 | 07 | 441-443 | C37 | 17 | 826-828 | C55 | 13 | 736-741 | ||
B664 | 04 | 177-179 | C37 | 17 | 829-830 | C55 | 13 | 754-756 | ||
B665 | 07 | 441-443 | C37 | 17 | 843-845 | C561 | 13 | 736-741 | ||
B668 | 18 | 867-869 | C380 | 05 | 314-316 | C561 | 13 | 754-756 | ||
B669 | 18 | 867-869 | C381 | 04 | 180-182 | C562 | 13 | 736-741 | ||
B670 | 07 | 441-443 | C382 | 04 | 180-182 | C562 | 13 | 754-756 | ||
B671 | 04 | 177-179 | C383 | 04 | 180-182 | C569 | 13 | 736-741 | ||
B672 | 18 | 867-869 | C384 | 04 | 180-182 | C569 | 13 | 754-756 | ||
B6731 | 10 | 643-645 | C388 | 04 | 180-182 | C5700 | 13 | 736-741 | ||
B6732 | 18 | 867-869 | C390 | Pre | 011-013 | C5700 | 13 | 754-756 | ||
B6739 | 18 | 867-869 | C390 | 03 | 146-148 | C5701 | 13 | 736-741 | ||
B674 | 18 | 867-869 | C399 | 04 | 180-182 | C5701 | 13 | 754-756 | ||
B675 | 07 | 441-443 | C4000 | 08 | 542-544 | C5702 | 13 | 736-741 | ||
B6761 | 18 | 867-869 | C4001 | 08 | 542-544 | C5702 | 13 | 754-756 | ||
B6769 | 18 | 867-869 | C4002 | 08 | 542-544 | C5710 | 13 | 736-741 | ||
B677 | 18 | 867-869 | C4010 | 08 | 542-544 | C5710 | 13 | 754-756 | ||
B678 | 07 | 441-443 | C4011 | 08 | 542-544 | C5711 | 13 | 736-741 | ||
B6790 | 18 | 867-869 | C4012 | 08 | 542-544 | C5711 | 13 | 754-756 | ||
B6799 | 18 | 867-869 | C4020 | 08 | 542-544 | C5712 | 13 | 736-741 | ||
B680 | 06 | 391-392 | C4021 | 08 | 542-544 | C5712 | 13 | 754-756 | ||
B681 | 06 | 391-392 | C4022 | 08 | 542-544 | C5720 | 13 | 736-741 | ||
B689 | 06 | 391-392 | C4030 | 08 | 542-544 | C5720 | 13 | 754-756 | ||
B690 | 06 | 371-373 | C4031 | 08 | 542-544 | C5721 | 13 | 736-741 | ||
B691 | 06 | 371-373 | C4032 | 08 | 542-544 | C5721 | 13 | 754-756 | ||
B6981 | 06 | 371-373 | C4080 | 08 | 542-544 | C5722 | 13 | 736-741 | ||
B6989 | 06 | 371-373 | C4081 | 08 | 542-544 | C5722 | 13 | 754-756 | ||
B699 | 06 | 371-373 | C4082 | 08 | 542-544 | C573 | 13 | 736-741 | ||
B700 | 06 | 391-392 | C4090 | 08 | 542-544 | C573 | 13 | 754-756 | ||
B701 | 06 | 371-373 | C4091 | 08 | 542-544 | C574 | 13 | 736-741 | ||
B710 | 06 | 371-373 | C4092 | 08 | 542-544 | C574 | 13 | 754-756 | ||
B711 | 06 | 371-373 | C410 | 08 | 542-544 | C577 | 13 | 736-741 | ||
B718 | 06 | 371-373 | C411 | Pre | 011-013 | C577 | 13 | 754-756 | ||
B719 | 06 | 371-373 | C411 | 08 | 542-544 | C578 | 13 | 736-741 | ||
B72 | 18 | 867-869 | C412 | 08 | 456-458 | C578 | 13 | 754-756 | ||
C412 | 08 | 542-544 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 14 Apr 2020 14:43:32 CMS, code-revision=250, description-revision=1275 |