ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 56 of 74 |
| 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S82033M | 08 | 564-566 | S82116P | 08 | 564-566 | S82153R | 08 | 564-566 | ||
| S82033N | 08 | 564-566 | S82116Q | 08 | 564-566 | S82153S | 08 | 559-561 | ||
| S82033P | 08 | 564-566 | S82116R | 08 | 564-566 | S82154A | 08 | 562-563 | ||
| S82033Q | 08 | 564-566 | S82116S | 08 | 559-561 | S82154A | 24 | 955-965 | ||
| S82033R | 08 | 564-566 | S82121A | 08 | 562-563 | S82154B | 08 | 562-563 | ||
| S82033S | 08 | 559-561 | S82121A | 24 | 955-965 | S82154B | 24 | 955-965 | ||
| S82034A | 08 | 562-563 | S82121B | 08 | 562-563 | S82154C | 08 | 562-563 | ||
| S82034A | 24 | 955-965 | S82121B | 24 | 955-965 | S82154C | 24 | 955-965 | ||
| S82034B | 08 | 562-563 | S82121C | 08 | 562-563 | S82154D | 08 | 559-561 | ||
| S82034B | 24 | 955-965 | S82121C | 24 | 955-965 | S82154E | 08 | 559-561 | ||
| S82034C | 08 | 562-563 | S82121D | 08 | 559-561 | S82154F | 08 | 559-561 | ||
| S82034C | 24 | 955-965 | S82121E | 08 | 559-561 | S82154G | 08 | 559-561 | ||
| S82034D | 08 | 559-561 | S82121F | 08 | 559-561 | S82154H | 08 | 559-561 | ||
| S82034E | 08 | 559-561 | S82121G | 08 | 559-561 | S82154J | 08 | 559-561 | ||
| S82034F | 08 | 559-561 | S82121H | 08 | 559-561 | S82154K | 08 | 564-566 | ||
| S82034G | 08 | 559-561 | S82121J | 08 | 559-561 | S82154M | 08 | 564-566 | ||
| S82034H | 08 | 559-561 | S82121K | 08 | 564-566 | S82154N | 08 | 564-566 | ||
| S82034J | 08 | 559-561 | S82121M | 08 | 564-566 | S82154P | 08 | 564-566 | ||
| S82034K | 08 | 564-566 | S82121N | 08 | 564-566 | S82154Q | 08 | 564-566 | ||
| S82034M | 08 | 564-566 | S82121P | 08 | 564-566 | S82154R | 08 | 564-566 | ||
| S82034N | 08 | 564-566 | S82121Q | 08 | 564-566 | S82154S | 08 | 559-561 | ||
| S82034P | 08 | 564-566 | S82121R | 08 | 564-566 | S82155A | 08 | 562-563 | ||
| S82034Q | 08 | 564-566 | S82121S | 08 | 559-561 | S82155A | 24 | 955-965 | ||
| S82034R | 08 | 564-566 | S82122A | 08 | 562-563 | S82155B | 08 | 562-563 | ||
| S82034S | 08 | 559-561 | S82122A | 24 | 955-965 | S82155B | 24 | 955-965 | ||
| S82035A | 08 | 562-563 | S82122B | 08 | 562-563 | S82155C | 08 | 562-563 | ||
| S82035A | 24 | 955-965 | S82122B | 24 | 955-965 | S82155C | 24 | 955-965 | ||
| S82035B | 08 | 562-563 | S82122C | 08 | 562-563 | S82155D | 08 | 559-561 | ||
| S82035B | 24 | 955-965 | S82122C | 24 | 955-965 | S82155E | 08 | 559-561 | ||
| S82035C | 08 | 562-563 | S82122D | 08 | 559-561 | S82155F | 08 | 559-561 | ||
| S82035C | 24 | 955-965 | S82122E | 08 | 559-561 | S82155G | 08 | 559-561 | ||
| S82035D | 08 | 559-561 | S82122F | 08 | 559-561 | S82155H | 08 | 559-561 | ||
| S82035E | 08 | 559-561 | S82122G | 08 | 559-561 | S82155J | 08 | 559-561 | ||
| S82035F | 08 | 559-561 | S82122H | 08 | 559-561 | S82155K | 08 | 564-566 | ||
| S82035G | 08 | 559-561 | S82122J | 08 | 559-561 | S82155M | 08 | 564-566 | ||
| S82035H | 08 | 559-561 | S82122K | 08 | 564-566 | S82155N | 08 | 564-566 | ||
| S82035J | 08 | 559-561 | S82122M | 08 | 564-566 | S82155P | 08 | 564-566 | ||
| S82035K | 08 | 564-566 | S82122N | 08 | 564-566 | S82155Q | 08 | 564-566 | ||
| S82035M | 08 | 564-566 | S82122P | 08 | 564-566 | S82155R | 08 | 564-566 | ||
| S82035N | 08 | 564-566 | S82122Q | 08 | 564-566 | S82155S | 08 | 559-561 | ||
| S82035P | 08 | 564-566 | S82122R | 08 | 564-566 | S82156A | 08 | 562-563 | ||
| S82035Q | 08 | 564-566 | S82122S | 08 | 559-561 | S82156A | 24 | 955-965 | ||
| S82035R | 08 | 564-566 | S82123A | 08 | 562-563 | S82156B | 08 | 562-563 | ||
| S82035S | 08 | 559-561 | S82123A | 24 | 955-965 | S82156B | 24 | 955-965 | ||
| S82036A | 08 | 562-563 | S82123B | 08 | 562-563 | S82156C | 08 | 562-563 | ||
| S82036A | 24 | 955-965 | S82123B | 24 | 955-965 | S82156C | 24 | 955-965 | ||
| S82036B | 08 | 562-563 | S82123C | 08 | 562-563 | S82156D | 08 | 559-561 | ||
| S82036B | 24 | 955-965 | S82123C | 24 | 955-965 | S82156E | 08 | 559-561 | ||
| S82036C | 08 | 562-563 | S82123D | 08 | 559-561 | S82156F | 08 | 559-561 | ||
| S82036C | 24 | 955-965 | S82123E | 08 | 559-561 | S82156G | 08 | 559-561 | ||
| S82036D | 08 | 559-561 | S82123F | 08 | 559-561 | S82156H | 08 | 559-561 | ||
| S82036E | 08 | 559-561 | S82123G | 08 | 559-561 | S82156J | 08 | 559-561 | ||
| S82036F | 08 | 559-561 | S82123H | 08 | 559-561 | S82156K | 08 | 564-566 | ||
| S82036G | 08 | 559-561 | S82123J | 08 | 559-561 | S82156M | 08 | 564-566 | ||
| S82036H | 08 | 559-561 | S82123K | 08 | 564-566 | S82156N | 08 | 564-566 | ||
| S82036J | 08 | 559-561 | S82123M | 08 | 564-566 | S82156P | 08 | 564-566 | ||
| S82036K | 08 | 564-566 | S82123N | 08 | 564-566 | S82156Q | 08 | 564-566 | ||
| S82036M | 08 | 564-566 | S82123P | 08 | 564-566 | S82156R | 08 | 564-566 | ||
| S82036N | 08 | 564-566 | S82123Q | 08 | 564-566 | S82156S | 08 | 559-561 | ||
| S82036P | 08 | 564-566 | S82123R | 08 | 564-566 | S82161A | 08 | 562-563 | ||
| S82036Q | 08 | 564-566 | S82123S | 08 | 559-561 | S82161A | 24 | 955-965 | ||
| S82036R | 08 | 564-566 | S82124A | 08 | 562-563 | S82161D | 08 | 559-561 | ||
| S82036S | 08 | 559-561 | S82124A | 24 | 955-965 | S82161G | 08 | 559-561 | ||
| S82041A | 08 | 562-563 | S82124B | 08 | 562-563 | S82161K | 08 | 564-566 | ||
| S82041A | 24 | 955-965 | S82124B | 24 | 955-965 | S82161P | 08 | 564-566 | ||
| S82041B | 08 | 562-563 | S82124C | 08 | 562-563 | S82161S | 08 | 559-561 | ||
| S82041B | 24 | 955-965 | S82124C | 24 | 955-965 | S82162A | 08 | 562-563 | ||
| S82041C | 08 | 562-563 | S82124D | 08 | 559-561 | S82162A | 24 | 955-965 | ||
| S82041C | 24 | 955-965 | S82124E | 08 | 559-561 | S82162D | 08 | 559-561 | ||
| S82041D | 08 | 559-561 | S82124F | 08 | 559-561 | S82162G | 08 | 559-561 | ||
| S82041E | 08 | 559-561 | S82124G | 08 | 559-561 | S82162K | 08 | 564-566 | ||
| S82041F | 08 | 559-561 | S82124H | 08 | 559-561 | S82162P | 08 | 564-566 | ||
| S82041G | 08 | 559-561 | S82124J | 08 | 559-561 | S82162S | 08 | 559-561 | ||
| S82041H | 08 | 559-561 | S82124K | 08 | 564-566 | S82169A | 08 | 562-563 | ||
| S82041J | 08 | 559-561 | S82124M | 08 | 564-566 | S82169A | 24 | 955-965 | ||
| S82041K | 08 | 564-566 | S82124N | 08 | 564-566 | S82169D | 08 | 559-561 | ||
| S82041M | 08 | 564-566 | S82124P | 08 | 564-566 | S82169G | 08 | 559-561 | ||
| S82041N | 08 | 564-566 | S82124Q | 08 | 564-566 | S82169K | 08 | 564-566 | ||
| S82041P | 08 | 564-566 | S82124R | 08 | 564-566 | S82169P | 08 | 564-566 | ||
| S82041Q | 08 | 564-566 | S82124S | 08 | 559-561 | S82169S | 08 | 559-561 | ||
| S82041R | 08 | 564-566 | S82125A | 08 | 562-563 | S82191A | 08 | 562-563 | ||
| S82041S | 08 | 559-561 | S82125A | 24 | 955-965 | S82191A | 24 | 955-965 | ||
| S82042A | 08 | 562-563 | S82125B | 08 | 562-563 | S82191B | 08 | 562-563 | ||
| S82042A | 24 | 955-965 | S82125B | 24 | 955-965 | S82191B | 24 | 955-965 | ||
| S82042B | 08 | 562-563 | S82125C | 08 | 562-563 | S82191C | 08 | 562-563 | ||
| S82042B | 24 | 955-965 | S82125C | 24 | 955-965 | S82191C | 24 | 955-965 | ||
| S82042C | 08 | 562-563 | S82125D | 08 | 559-561 | S82191D | 08 | 559-561 | ||
| S82042C | 24 | 955-965 | S82125E | 08 | 559-561 | S82191E | 08 | 559-561 | ||
| S82042D | 08 | 559-561 | S82125F | 08 | 559-561 | S82191F | 08 | 559-561 | ||
| S82042E | 08 | 559-561 | S82125G | 08 | 559-561 | S82191G | 08 | 559-561 | ||
| S82042F | 08 | 559-561 | S82125H | 08 | 559-561 | S82191H | 08 | 559-561 | ||
| S82042G | 08 | 559-561 | S82125J | 08 | 559-561 | S82191J | 08 | 559-561 | ||
| S82042H | 08 | 559-561 | S82125K | 08 | 564-566 | S82191K | 08 | 564-566 | ||
| S82042J | 08 | 559-561 | S82125M | 08 | 564-566 | S82191M | 08 | 564-566 | ||
| S82042K | 08 | 564-566 | S82125N | 08 | 564-566 | S82191N | 08 | 564-566 | ||
| S82042M | 08 | 564-566 | S82125P | 08 | 564-566 | S82191P | 08 | 564-566 | ||
| S82042N | 08 | 564-566 | S82125Q | 08 | 564-566 | S82191Q | 08 | 564-566 | ||
| S82042P | 08 | 564-566 | S82125R | 08 | 564-566 | S82191R | 08 | 564-566 | ||
| S82042Q | 08 | 564-566 | S82125S | 08 | 559-561 | S82191S | 08 | 559-561 | ||
| S82042R | 08 | 564-566 | S82126A | 08 | 562-563 | S82192A | 08 | 562-563 | ||
| S82042S | 08 | 559-561 | S82126A | 24 | 955-965 | S82192A | 24 | 955-965 | ||
| S82043A | 08 | 562-563 | S82126B | 08 | 562-563 | S82192B | 08 | 562-563 | ||
| S82043A | 24 | 955-965 | S82126B | 24 | 955-965 | S82192B | 24 | 955-965 | ||
| S82043B | 08 | 562-563 | S82126C | 08 | 562-563 | S82192C | 08 | 562-563 | ||
| S82043B | 24 | 955-965 | S82126C | 24 | 955-965 | S82192C | 24 | 955-965 | ||
| S82043C | 08 | 562-563 | S82126D | 08 | 559-561 | S82192D | 08 | 559-561 | ||
| S82043C | 24 | 955-965 | S82126E | 08 | 559-561 | S82192E | 08 | 559-561 | ||
| S82043D | 08 | 559-561 | S82126F | 08 | 559-561 | S82192F | 08 | 559-561 | ||
| S82043E | 08 | 559-561 | S82126G | 08 | 559-561 | S82192G | 08 | 559-561 | ||
| S82043F | 08 | 559-561 | S82126H | 08 | 559-561 | S82192H | 08 | 559-561 | ||
| S82043G | 08 | 559-561 | S82126J | 08 | 559-561 | S82192J | 08 | 559-561 | ||
| S82043H | 08 | 559-561 | S82126K | 08 | 564-566 | S82192K | 08 | 564-566 | ||
| S82043J | 08 | 559-561 | S82126M | 08 | 564-566 | S82192M | 08 | 564-566 | ||
| S82043K | 08 | 564-566 | S82126N | 08 | 564-566 | S82192N | 08 | 564-566 | ||
| S82043M | 08 | 564-566 | S82126P | 08 | 564-566 | S82192P | 08 | 564-566 | ||
| S82043N | 08 | 564-566 | S82126Q | 08 | 564-566 | S82192Q | 08 | 564-566 | ||
| S82043P | 08 | 564-566 | S82126R | 08 | 564-566 | S82192R | 08 | 564-566 | ||
| S82043Q | 08 | 564-566 | S82126S | 08 | 559-561 | S82192S | 08 | 559-561 | ||
| S82043R | 08 | 564-566 | S82131A | 08 | 562-563 | S82199A | 08 | 562-563 | ||
| S82043S | 08 | 559-561 | S82131A | 24 | 955-965 | S82199A | 24 | 955-965 | ||
| S82044A | 08 | 562-563 | S82131B | 08 | 562-563 | S82199B | 08 | 562-563 | ||
| S82044A | 24 | 955-965 | S82131B | 24 | 955-965 | S82199B | 24 | 955-965 | ||
| S82044B | 08 | 562-563 | S82131C | 08 | 562-563 | S82199C | 08 | 562-563 | ||
| S82044B | 24 | 955-965 | S82131C | 24 | 955-965 | S82199C | 24 | 955-965 | ||
| S82044C | 08 | 562-563 | S82131D | 08 | 559-561 | S82199D | 08 | 559-561 | ||
| S82044C | 24 | 955-965 | S82131E | 08 | 559-561 | S82199E | 08 | 559-561 | ||
| S82044D | 08 | 559-561 | S82131F | 08 | 559-561 | S82199F | 08 | 559-561 | ||
| S82044E | 08 | 559-561 | S82131G | 08 | 559-561 | S82199G | 08 | 559-561 | ||
| S82044F | 08 | 559-561 | S82131H | 08 | 559-561 | S82199H | 08 | 559-561 | ||
| S82044G | 08 | 559-561 | S82131J | 08 | 559-561 | S82199J | 08 | 559-561 | ||
| S82044H | 08 | 559-561 | S82131K | 08 | 564-566 | S82199K | 08 | 564-566 | ||
| S82044J | 08 | 559-561 | S82131M | 08 | 564-566 | S82199M | 08 | 564-566 | ||
| S82044K | 08 | 564-566 | S82131N | 08 | 564-566 | S82199N | 08 | 564-566 | ||
| S82044M | 08 | 564-566 | S82131P | 08 | 564-566 | S82199P | 08 | 564-566 | ||
| S82044N | 08 | 564-566 | S82131Q | 08 | 564-566 | S82199Q | 08 | 564-566 | ||
| S82044P | 08 | 564-566 | S82131R | 08 | 564-566 | S82199R | 08 | 564-566 | ||
| S82044Q | 08 | 564-566 | S82131S | 08 | 559-561 | S82199S | 08 | 559-561 | ||
| S82044R | 08 | 564-566 | S82132A | 08 | 562-563 | S82201A | 08 | 562-563 | ||
| S82044S | 08 | 559-561 | S82132A | 24 | 955-965 | S82201A | 24 | 955-965 | ||
| S82045A | 08 | 562-563 | S82132B | 08 | 562-563 | S82201B | 08 | 562-563 | ||
| S82045A | 24 | 955-965 | S82132B | 24 | 955-965 | S82201B | 24 | 955-965 | ||
| S82045B | 08 | 562-563 | S82132C | 08 | 562-563 | S82201C | 08 | 562-563 | ||
| S82045B | 24 | 955-965 | S82132C | 24 | 955-965 | S82201C | 24 | 955-965 | ||
| S82045C | 08 | 562-563 | S82132D | 08 | 559-561 | S82201D | 08 | 559-561 | ||
| S82045C | 24 | 955-965 | S82132E | 08 | 559-561 | S82201E | 08 | 559-561 | ||
| S82045D | 08 | 559-561 | S82132F | 08 | 559-561 | S82201F | 08 | 559-561 | ||
| S82045E | 08 | 559-561 | S82132G | 08 | 559-561 | S82201G | 08 | 559-561 | ||
| S82045F | 08 | 559-561 | S82132H | 08 | 559-561 | S82201H | 08 | 559-561 | ||
| S82045G | 08 | 559-561 | S82132J | 08 | 559-561 | S82201J | 08 | 559-561 | ||
| S82045H | 08 | 559-561 | S82132K | 08 | 564-566 | S82201K | 08 | 564-566 | ||
| S82045J | 08 | 559-561 | S82132M | 08 | 564-566 | S82201M | 08 | 564-566 | ||
| S82045K | 08 | 564-566 | S82132N | 08 | 564-566 | S82201N | 08 | 564-566 | ||
| S82045M | 08 | 564-566 | S82132P | 08 | 564-566 | S82201P | 08 | 564-566 | ||
| S82045N | 08 | 564-566 | S82132Q | 08 | 564-566 | S82201Q | 08 | 564-566 | ||
| S82045P | 08 | 564-566 | S82132R | 08 | 564-566 | S82201R | 08 | 564-566 | ||
| S82045Q | 08 | 564-566 | S82132S | 08 | 559-561 | S82201S | 08 | 559-561 | ||
| S82045R | 08 | 564-566 | S82133A | 08 | 562-563 | S82202A | 08 | 562-563 | ||
| S82045S | 08 | 559-561 | S82133A | 24 | 955-965 | S82202A | 24 | 955-965 | ||
| S82046A | 08 | 562-563 | S82133B | 08 | 562-563 | S82202B | 08 | 562-563 | ||
| S82046A | 24 | 955-965 | S82133B | 24 | 955-965 | S82202B | 24 | 955-965 | ||
| S82046B | 08 | 562-563 | S82133C | 08 | 562-563 | S82202C | 08 | 562-563 | ||
| S82046B | 24 | 955-965 | S82133C | 24 | 955-965 | S82202C | 24 | 955-965 | ||
| S82046C | 08 | 562-563 | S82133D | 08 | 559-561 | S82202D | 08 | 559-561 | ||
| S82046C | 24 | 955-965 | S82133E | 08 | 559-561 | S82202E | 08 | 559-561 | ||
| S82046D | 08 | 559-561 | S82133F | 08 | 559-561 | S82202F | 08 | 559-561 | ||
| S82046E | 08 | 559-561 | S82133G | 08 | 559-561 | S82202G | 08 | 559-561 | ||
| S82046F | 08 | 559-561 | S82133H | 08 | 559-561 | S82202H | 08 | 559-561 | ||
| S82046G | 08 | 559-561 | S82133J | 08 | 559-561 | S82202J | 08 | 559-561 | ||
| S82046H | 08 | 559-561 | S82133K | 08 | 564-566 | S82202K | 08 | 564-566 | ||
| S82046J | 08 | 559-561 | S82133M | 08 | 564-566 | S82202M | 08 | 564-566 | ||
| S82046K | 08 | 564-566 | S82133N | 08 | 564-566 | S82202N | 08 | 564-566 | ||
| S82046M | 08 | 564-566 | S82133P | 08 | 564-566 | S82202P | 08 | 564-566 | ||
| S82046N | 08 | 564-566 | S82133Q | 08 | 564-566 | S82202Q | 08 | 564-566 | ||
| S82046P | 08 | 564-566 | S82133R | 08 | 564-566 | S82202R | 08 | 564-566 | ||
| S82046Q | 08 | 564-566 | S82133S | 08 | 559-561 | S82202S | 08 | 559-561 | ||
| S82046R | 08 | 564-566 | S82134A | 08 | 562-563 | S82209A | 08 | 562-563 | ||
| S82046S | 08 | 559-561 | S82134A | 24 | 955-965 | S82209A | 24 | 955-965 | ||
| S82091A | 08 | 562-563 | S82134B | 08 | 562-563 | S82209B | 08 | 562-563 | ||
| S82091A | 24 | 955-965 | S82134B | 24 | 955-965 | S82209B | 24 | 955-965 | ||
| S82091B | 08 | 562-563 | S82134C | 08 | 562-563 | S82209C | 08 | 562-563 | ||
| S82091B | 24 | 955-965 | S82134C | 24 | 955-965 | S82209C | 24 | 955-965 | ||
| S82091C | 08 | 562-563 | S82134D | 08 | 559-561 | S82209D | 08 | 559-561 | ||
| S82091C | 24 | 955-965 | S82134E | 08 | 559-561 | S82209E | 08 | 559-561 | ||
| S82091D | 08 | 559-561 | S82134F | 08 | 559-561 | S82209F | 08 | 559-561 | ||
| S82091E | 08 | 559-561 | S82134G | 08 | 559-561 | S82209G | 08 | 559-561 | ||
| S82091F | 08 | 559-561 | S82134H | 08 | 559-561 | S82209H | 08 | 559-561 | ||
| S82091G | 08 | 559-561 | S82134J | 08 | 559-561 | S82209J | 08 | 559-561 | ||
| S82091H | 08 | 559-561 | S82134K | 08 | 564-566 | S82209K | 08 | 564-566 | ||
| S82091J | 08 | 559-561 | S82134M | 08 | 564-566 | S82209M | 08 | 564-566 | ||
| S82091K | 08 | 564-566 | S82134N | 08 | 564-566 | S82209N | 08 | 564-566 | ||
| S82091M | 08 | 564-566 | S82134P | 08 | 564-566 | S82209P | 08 | 564-566 | ||
| S82091N | 08 | 564-566 | S82134Q | 08 | 564-566 | S82209Q | 08 | 564-566 | ||
| S82091P | 08 | 564-566 | S82134R | 08 | 564-566 | S82209R | 08 | 564-566 | ||
| S82091Q | 08 | 564-566 | S82134S | 08 | 559-561 | S82209S | 08 | 559-561 | ||
| S82091R | 08 | 564-566 | S82135A | 08 | 562-563 | S82221A | 08 | 562-563 | ||
| S82091S | 08 | 559-561 | S82135A | 24 | 955-965 | S82221A | 24 | 955-965 | ||
| S82092A | 08 | 562-563 | S82135B | 08 | 562-563 | S82221B | 08 | 562-563 | ||
| S82092A | 24 | 955-965 | S82135B | 24 | 955-965 | S82221B | 24 | 955-965 | ||
| S82092B | 08 | 562-563 | S82135C | 08 | 562-563 | S82221C | 08 | 562-563 | ||
| S82092B | 24 | 955-965 | S82135C | 24 | 955-965 | S82221C | 24 | 955-965 | ||
| S82092C | 08 | 562-563 | S82135D | 08 | 559-561 | S82221D | 08 | 559-561 | ||
| S82092C | 24 | 955-965 | S82135E | 08 | 559-561 | S82221E | 08 | 559-561 | ||
| S82092D | 08 | 559-561 | S82135F | 08 | 559-561 | S82221F | 08 | 559-561 | ||
| S82092E | 08 | 559-561 | S82135G | 08 | 559-561 | S82221G | 08 | 559-561 | ||
| S82092F | 08 | 559-561 | S82135H | 08 | 559-561 | S82221H | 08 | 559-561 | ||
| S82092G | 08 | 559-561 | S82135J | 08 | 559-561 | S82221J | 08 | 559-561 | ||
| S82092H | 08 | 559-561 | S82135K | 08 | 564-566 | S82221K | 08 | 564-566 | ||
| S82092J | 08 | 559-561 | S82135M | 08 | 564-566 | S82221M | 08 | 564-566 | ||
| S82092K | 08 | 564-566 | S82135N | 08 | 564-566 | S82221N | 08 | 564-566 | ||
| S82092M | 08 | 564-566 | S82135P | 08 | 564-566 | S82221P | 08 | 564-566 | ||
| S82092N | 08 | 564-566 | S82135Q | 08 | 564-566 | S82221Q | 08 | 564-566 | ||
| S82092P | 08 | 564-566 | S82135R | 08 | 564-566 | S82221R | 08 | 564-566 | ||
| S82092Q | 08 | 564-566 | S82135S | 08 | 559-561 | S82221S | 08 | 559-561 | ||
| S82092R | 08 | 564-566 | S82136A | 08 | 562-563 | S82222A | 08 | 562-563 | ||
| S82092S | 08 | 559-561 | S82136A | 24 | 955-965 | S82222A | 24 | 955-965 | ||
| S82099A | 08 | 562-563 | S82136B | 08 | 562-563 | S82222B | 08 | 562-563 | ||
| S82099A | 24 | 955-965 | S82136B | 24 | 955-965 | S82222B | 24 | 955-965 | ||
| S82099B | 08 | 562-563 | S82136C | 08 | 562-563 | S82222C | 08 | 562-563 | ||
| S82099B | 24 | 955-965 | S82136C | 24 | 955-965 | S82222C | 24 | 955-965 | ||
| S82099C | 08 | 562-563 | S82136D | 08 | 559-561 | S82222D | 08 | 559-561 | ||
| S82099C | 24 | 955-965 | S82136E | 08 | 559-561 | S82222E | 08 | 559-561 | ||
| S82099D | 08 | 559-561 | S82136F | 08 | 559-561 | S82222F | 08 | 559-561 | ||
| S82099E | 08 | 559-561 | S82136G | 08 | 559-561 | S82222G | 08 | 559-561 | ||
| S82099F | 08 | 559-561 | S82136H | 08 | 559-561 | S82222H | 08 | 559-561 | ||
| S82099G | 08 | 559-561 | S82136J | 08 | 559-561 | S82222J | 08 | 559-561 | ||
| S82099H | 08 | 559-561 | S82136K | 08 | 564-566 | S82222K | 08 | 564-566 | ||
| S82099J | 08 | 559-561 | S82136M | 08 | 564-566 | S82222M | 08 | 564-566 | ||
| S82099K | 08 | 564-566 | S82136N | 08 | 564-566 | S82222N | 08 | 564-566 | ||
| S82099M | 08 | 564-566 | S82136P | 08 | 564-566 | S82222P | 08 | 564-566 | ||
| S82099N | 08 | 564-566 | S82136Q | 08 | 564-566 | S82222Q | 08 | 564-566 | ||
| S82099P | 08 | 564-566 | S82136R | 08 | 564-566 | S82222R | 08 | 564-566 | ||
| S82099Q | 08 | 564-566 | S82136S | 08 | 559-561 | S82222S | 08 | 559-561 | ||
| S82099R | 08 | 564-566 | S82141A | 08 | 562-563 | S82223A | 08 | 562-563 | ||
| S82099S | 08 | 559-561 | S82141A | 24 | 955-965 | S82223A | 24 | 955-965 | ||
| S82101A | 08 | 562-563 | S82141B | 08 | 562-563 | S82223B | 08 | 562-563 | ||
| S82101A | 24 | 955-965 | S82141B | 24 | 955-965 | S82223B | 24 | 955-965 | ||
| S82101B | 08 | 562-563 | S82141C | 08 | 562-563 | S82223C | 08 | 562-563 | ||
| S82101B | 24 | 955-965 | S82141C | 24 | 955-965 | S82223C | 24 | 955-965 | ||
| S82101C | 08 | 562-563 | S82141D | 08 | 559-561 | S82223D | 08 | 559-561 | ||
| S82101C | 24 | 955-965 | S82141E | 08 | 559-561 | S82223E | 08 | 559-561 | ||
| S82101D | 08 | 559-561 | S82141F | 08 | 559-561 | S82223F | 08 | 559-561 | ||
| S82101E | 08 | 559-561 | S82141G | 08 | 559-561 | S82223G | 08 | 559-561 | ||
| S82101F | 08 | 559-561 | S82141H | 08 | 559-561 | S82223H | 08 | 559-561 | ||
| S82101G | 08 | 559-561 | S82141J | 08 | 559-561 | S82223J | 08 | 559-561 | ||
| S82101H | 08 | 559-561 | S82141K | 08 | 564-566 | S82223K | 08 | 564-566 | ||
| S82101J | 08 | 559-561 | S82141M | 08 | 564-566 | S82223M | 08 | 564-566 | ||
| S82101K | 08 | 564-566 | S82141N | 08 | 564-566 | S82223N | 08 | 564-566 | ||
| S82101M | 08 | 564-566 | S82141P | 08 | 564-566 | S82223P | 08 | 564-566 | ||
| S82101N | 08 | 564-566 | S82141Q | 08 | 564-566 | S82223Q | 08 | 564-566 | ||
| S82101P | 08 | 564-566 | S82141R | 08 | 564-566 | S82223R | 08 | 564-566 | ||
| S82101Q | 08 | 564-566 | S82141S | 08 | 559-561 | S82223S | 08 | 559-561 | ||
| S82101R | 08 | 564-566 | S82142A | 08 | 562-563 | S82224A | 08 | 562-563 | ||
| S82101S | 08 | 559-561 | S82142A | 24 | 955-965 | S82224A | 24 | 955-965 | ||
| S82102A | 08 | 562-563 | S82142B | 08 | 562-563 | S82224B | 08 | 562-563 | ||
| S82102A | 24 | 955-965 | S82142B | 24 | 955-965 | S82224B | 24 | 955-965 | ||
| S82102B | 08 | 562-563 | S82142C | 08 | 562-563 | S82224C | 08 | 562-563 | ||
| S82102B | 24 | 955-965 | S82142C | 24 | 955-965 | S82224C | 24 | 955-965 | ||
| S82102C | 08 | 562-563 | S82142D | 08 | 559-561 | S82224D | 08 | 559-561 | ||
| S82102C | 24 | 955-965 | S82142E | 08 | 559-561 | S82224E | 08 | 559-561 | ||
| S82102D | 08 | 559-561 | S82142F | 08 | 559-561 | S82224F | 08 | 559-561 | ||
| S82102E | 08 | 559-561 | S82142G | 08 | 559-561 | S82224G | 08 | 559-561 | ||
| S82102F | 08 | 559-561 | S82142H | 08 | 559-561 | S82224H | 08 | 559-561 | ||
| S82102G | 08 | 559-561 | S82142J | 08 | 559-561 | S82224J | 08 | 559-561 | ||
| S82102H | 08 | 559-561 | S82142K | 08 | 564-566 | S82224K | 08 | 564-566 | ||
| S82102J | 08 | 559-561 | S82142M | 08 | 564-566 | S82224M | 08 | 564-566 | ||
| S82102K | 08 | 564-566 | S82142N | 08 | 564-566 | S82224N | 08 | 564-566 | ||
| S82102M | 08 | 564-566 | S82142P | 08 | 564-566 | S82224P | 08 | 564-566 | ||
| S82102N | 08 | 564-566 | S82142Q | 08 | 564-566 | S82224Q | 08 | 564-566 | ||
| S82102P | 08 | 564-566 | S82142R | 08 | 564-566 | S82224R | 08 | 564-566 | ||
| S82102Q | 08 | 564-566 | S82142S | 08 | 559-561 | S82224S | 08 | 559-561 | ||
| S82102R | 08 | 564-566 | S82143A | 08 | 562-563 | S82225A | 08 | 562-563 | ||
| S82102S | 08 | 559-561 | S82143A | 24 | 955-965 | S82225A | 24 | 955-965 | ||
| S82109A | 08 | 562-563 | S82143B | 08 | 562-563 | S82225B | 08 | 562-563 | ||
| S82109A | 24 | 955-965 | S82143B | 24 | 955-965 | S82225B | 24 | 955-965 | ||
| S82109B | 08 | 562-563 | S82143C | 08 | 562-563 | S82225C | 08 | 562-563 | ||
| S82109B | 24 | 955-965 | S82143C | 24 | 955-965 | S82225C | 24 | 955-965 | ||
| S82109C | 08 | 562-563 | S82143D | 08 | 559-561 | S82225D | 08 | 559-561 | ||
| S82109C | 24 | 955-965 | S82143E | 08 | 559-561 | S82225E | 08 | 559-561 | ||
| S82109D | 08 | 559-561 | S82143F | 08 | 559-561 | S82225F | 08 | 559-561 | ||
| S82109E | 08 | 559-561 | S82143G | 08 | 559-561 | S82225G | 08 | 559-561 | ||
| S82109F | 08 | 559-561 | S82143H | 08 | 559-561 | S82225H | 08 | 559-561 | ||
| S82109G | 08 | 559-561 | S82143J | 08 | 559-561 | S82225J | 08 | 559-561 | ||
| S82109H | 08 | 559-561 | S82143K | 08 | 564-566 | S82225K | 08 | 564-566 | ||
| S82109J | 08 | 559-561 | S82143M | 08 | 564-566 | S82225M | 08 | 564-566 | ||
| S82109K | 08 | 564-566 | S82143N | 08 | 564-566 | S82225N | 08 | 564-566 | ||
| S82109M | 08 | 564-566 | S82143P | 08 | 564-566 | S82225P | 08 | 564-566 | ||
| S82109N | 08 | 564-566 | S82143Q | 08 | 564-566 | S82225Q | 08 | 564-566 | ||
| S82109P | 08 | 564-566 | S82143R | 08 | 564-566 | S82225R | 08 | 564-566 | ||
| S82109Q | 08 | 564-566 | S82143S | 08 | 559-561 | S82225S | 08 | 559-561 | ||
| S82109R | 08 | 564-566 | S82144A | 08 | 562-563 | S82226A | 08 | 562-563 | ||
| S82109S | 08 | 559-561 | S82144A | 24 | 955-965 | S82226A | 24 | 955-965 | ||
| S82111A | 08 | 562-563 | S82144B | 08 | 562-563 | S82226B | 08 | 562-563 | ||
| S82111A | 24 | 955-965 | S82144B | 24 | 955-965 | S82226B | 24 | 955-965 | ||
| S82111B | 08 | 562-563 | S82144C | 08 | 562-563 | S82226C | 08 | 562-563 | ||
| S82111B | 24 | 955-965 | S82144C | 24 | 955-965 | S82226C | 24 | 955-965 | ||
| S82111C | 08 | 562-563 | S82144D | 08 | 559-561 | S82226D | 08 | 559-561 | ||
| S82111C | 24 | 955-965 | S82144E | 08 | 559-561 | S82226E | 08 | 559-561 | ||
| S82111D | 08 | 559-561 | S82144F | 08 | 559-561 | S82226F | 08 | 559-561 | ||
| S82111E | 08 | 559-561 | S82144G | 08 | 559-561 | S82226G | 08 | 559-561 | ||
| S82111F | 08 | 559-561 | S82144H | 08 | 559-561 | S82226H | 08 | 559-561 | ||
| S82111G | 08 | 559-561 | S82144J | 08 | 559-561 | S82226J | 08 | 559-561 | ||
| S82111H | 08 | 559-561 | S82144K | 08 | 564-566 | S82226K | 08 | 564-566 | ||
| S82111J | 08 | 559-561 | S82144M | 08 | 564-566 | S82226M | 08 | 564-566 | ||
| S82111K | 08 | 564-566 | S82144N | 08 | 564-566 | S82226N | 08 | 564-566 | ||
| S82111M | 08 | 564-566 | S82144P | 08 | 564-566 | S82226P | 08 | 564-566 | ||
| S82111N | 08 | 564-566 | S82144Q | 08 | 564-566 | S82226Q | 08 | 564-566 | ||
| S82111P | 08 | 564-566 | S82144R | 08 | 564-566 | S82226R | 08 | 564-566 | ||
| S82111Q | 08 | 564-566 | S82144S | 08 | 559-561 | S82226S | 08 | 559-561 | ||
| S82111R | 08 | 564-566 | S82145A | 08 | 562-563 | S82231A | 08 | 562-563 | ||
| S82111S | 08 | 559-561 | S82145A | 24 | 955-965 | S82231A | 24 | 955-965 | ||
| S82112A | 08 | 562-563 | S82145B | 08 | 562-563 | S82231B | 08 | 562-563 | ||
| S82112A | 24 | 955-965 | S82145B | 24 | 955-965 | S82231B | 24 | 955-965 | ||
| S82112B | 08 | 562-563 | S82145C | 08 | 562-563 | S82231C | 08 | 562-563 | ||
| S82112B | 24 | 955-965 | S82145C | 24 | 955-965 | S82231C | 24 | 955-965 | ||
| S82112C | 08 | 562-563 | S82145D | 08 | 559-561 | S82231D | 08 | 559-561 | ||
| S82112C | 24 | 955-965 | S82145E | 08 | 559-561 | S82231E | 08 | 559-561 | ||
| S82112D | 08 | 559-561 | S82145F | 08 | 559-561 | S82231F | 08 | 559-561 | ||
| S82112E | 08 | 559-561 | S82145G | 08 | 559-561 | S82231G | 08 | 559-561 | ||
| S82112F | 08 | 559-561 | S82145H | 08 | 559-561 | S82231H | 08 | 559-561 | ||
| S82112G | 08 | 559-561 | S82145J | 08 | 559-561 | S82231J | 08 | 559-561 | ||
| S82112H | 08 | 559-561 | S82145K | 08 | 564-566 | S82231K | 08 | 564-566 | ||
| S82112J | 08 | 559-561 | S82145M | 08 | 564-566 | S82231M | 08 | 564-566 | ||
| S82112K | 08 | 564-566 | S82145N | 08 | 564-566 | S82231N | 08 | 564-566 | ||
| S82112M | 08 | 564-566 | S82145P | 08 | 564-566 | S82231P | 08 | 564-566 | ||
| S82112N | 08 | 564-566 | S82145Q | 08 | 564-566 | S82231Q | 08 | 564-566 | ||
| S82112P | 08 | 564-566 | S82145R | 08 | 564-566 | S82231R | 08 | 564-566 | ||
| S82112Q | 08 | 564-566 | S82145S | 08 | 559-561 | S82231S | 08 | 559-561 | ||
| S82112R | 08 | 564-566 | S82146A | 08 | 562-563 | S82232A | 08 | 562-563 | ||
| S82112S | 08 | 559-561 | S82146A | 24 | 955-965 | S82232A | 24 | 955-965 | ||
| S82113A | 08 | 562-563 | S82146B | 08 | 562-563 | S82232B | 08 | 562-563 | ||
| S82113A | 24 | 955-965 | S82146B | 24 | 955-965 | S82232B | 24 | 955-965 | ||
| S82113B | 08 | 562-563 | S82146C | 08 | 562-563 | S82232C | 08 | 562-563 | ||
| S82113B | 24 | 955-965 | S82146C | 24 | 955-965 | S82232C | 24 | 955-965 | ||
| S82113C | 08 | 562-563 | S82146D | 08 | 559-561 | S82232D | 08 | 559-561 | ||
| S82113C | 24 | 955-965 | S82146E | 08 | 559-561 | S82232E | 08 | 559-561 | ||
| S82113D | 08 | 559-561 | S82146F | 08 | 559-561 | S82232F | 08 | 559-561 | ||
| S82113E | 08 | 559-561 | S82146G | 08 | 559-561 | S82232G | 08 | 559-561 | ||
| S82113F | 08 | 559-561 | S82146H | 08 | 559-561 | S82232H | 08 | 559-561 | ||
| S82113G | 08 | 559-561 | S82146J | 08 | 559-561 | S82232J | 08 | 559-561 | ||
| S82113H | 08 | 559-561 | S82146K | 08 | 564-566 | S82232K | 08 | 564-566 | ||
| S82113J | 08 | 559-561 | S82146M | 08 | 564-566 | S82232M | 08 | 564-566 | ||
| S82113K | 08 | 564-566 | S82146N | 08 | 564-566 | S82232N | 08 | 564-566 | ||
| S82113M | 08 | 564-566 | S82146P | 08 | 564-566 | S82232P | 08 | 564-566 | ||
| S82113N | 08 | 564-566 | S82146Q | 08 | 564-566 | S82232Q | 08 | 564-566 | ||
| S82113P | 08 | 564-566 | S82146R | 08 | 564-566 | S82232R | 08 | 564-566 | ||
| S82113Q | 08 | 564-566 | S82146S | 08 | 559-561 | S82232S | 08 | 559-561 | ||
| S82113R | 08 | 564-566 | S82151A | 08 | 562-563 | S82233A | 08 | 562-563 | ||
| S82113S | 08 | 559-561 | S82151A | 24 | 955-965 | S82233A | 24 | 955-965 | ||
| S82114A | 08 | 562-563 | S82151B | 08 | 562-563 | S82233B | 08 | 562-563 | ||
| S82114A | 24 | 955-965 | S82151B | 24 | 955-965 | S82233B | 24 | 955-965 | ||
| S82114B | 08 | 562-563 | S82151C | 08 | 562-563 | S82233C | 08 | 562-563 | ||
| S82114B | 24 | 955-965 | S82151C | 24 | 955-965 | S82233C | 24 | 955-965 | ||
| S82114C | 08 | 562-563 | S82151D | 08 | 559-561 | S82233D | 08 | 559-561 | ||
| S82114C | 24 | 955-965 | S82151E | 08 | 559-561 | S82233E | 08 | 559-561 | ||
| S82114D | 08 | 559-561 | S82151F | 08 | 559-561 | S82233F | 08 | 559-561 | ||
| S82114E | 08 | 559-561 | S82151G | 08 | 559-561 | S82233G | 08 | 559-561 | ||
| S82114F | 08 | 559-561 | S82151H | 08 | 559-561 | S82233H | 08 | 559-561 | ||
| S82114G | 08 | 559-561 | S82151J | 08 | 559-561 | S82233J | 08 | 559-561 | ||
| S82114H | 08 | 559-561 | S82151K | 08 | 564-566 | S82233K | 08 | 564-566 | ||
| S82114J | 08 | 559-561 | S82151M | 08 | 564-566 | S82233M | 08 | 564-566 | ||
| S82114K | 08 | 564-566 | S82151N | 08 | 564-566 | S82233N | 08 | 564-566 | ||
| S82114M | 08 | 564-566 | S82151P | 08 | 564-566 | S82233P | 08 | 564-566 | ||
| S82114N | 08 | 564-566 | S82151Q | 08 | 564-566 | S82233Q | 08 | 564-566 | ||
| S82114P | 08 | 564-566 | S82151R | 08 | 564-566 | S82233R | 08 | 564-566 | ||
| S82114Q | 08 | 564-566 | S82151S | 08 | 559-561 | S82233S | 08 | 559-561 | ||
| S82114R | 08 | 564-566 | S82152A | 08 | 562-563 | S82234A | 08 | 562-563 | ||
| S82114S | 08 | 559-561 | S82152A | 24 | 955-965 | S82234A | 24 | 955-965 | ||
| S82115A | 08 | 562-563 | S82152B | 08 | 562-563 | S82234B | 08 | 562-563 | ||
| S82115A | 24 | 955-965 | S82152B | 24 | 955-965 | S82234B | 24 | 955-965 | ||
| S82115B | 08 | 562-563 | S82152C | 08 | 562-563 | S82234C | 08 | 562-563 | ||
| S82115B | 24 | 955-965 | S82152C | 24 | 955-965 | S82234C | 24 | 955-965 | ||
| S82115C | 08 | 562-563 | S82152D | 08 | 559-561 | S82234D | 08 | 559-561 | ||
| S82115C | 24 | 955-965 | S82152E | 08 | 559-561 | S82234E | 08 | 559-561 | ||
| S82115D | 08 | 559-561 | S82152F | 08 | 559-561 | S82234F | 08 | 559-561 | ||
| S82115E | 08 | 559-561 | S82152G | 08 | 559-561 | S82234G | 08 | 559-561 | ||
| S82115F | 08 | 559-561 | S82152H | 08 | 559-561 | S82234H | 08 | 559-561 | ||
| S82115G | 08 | 559-561 | S82152J | 08 | 559-561 | S82234J | 08 | 559-561 | ||
| S82115H | 08 | 559-561 | S82152K | 08 | 564-566 | S82234K | 08 | 564-566 | ||
| S82115J | 08 | 559-561 | S82152M | 08 | 564-566 | S82234M | 08 | 564-566 | ||
| S82115K | 08 | 564-566 | S82152N | 08 | 564-566 | S82234N | 08 | 564-566 | ||
| S82115M | 08 | 564-566 | S82152P | 08 | 564-566 | S82234P | 08 | 564-566 | ||
| S82115N | 08 | 564-566 | S82152Q | 08 | 564-566 | S82234Q | 08 | 564-566 | ||
| S82115P | 08 | 564-566 | S82152R | 08 | 564-566 | S82234R | 08 | 564-566 | ||
| S82115Q | 08 | 564-566 | S82152S | 08 | 559-561 | S82234S | 08 | 559-561 | ||
| S82115R | 08 | 564-566 | S82153A | 08 | 562-563 | S82235A | 08 | 562-563 | ||
| S82115S | 08 | 559-561 | S82153A | 24 | 955-965 | S82235A | 24 | 955-965 | ||
| S82116A | 08 | 562-563 | S82153B | 08 | 562-563 | S82235B | 08 | 562-563 | ||
| S82116A | 24 | 955-965 | S82153B | 24 | 955-965 | S82235B | 24 | 955-965 | ||
| S82116B | 08 | 562-563 | S82153C | 08 | 562-563 | S82235C | 08 | 562-563 | ||
| S82116B | 24 | 955-965 | S82153C | 24 | 955-965 | S82235C | 24 | 955-965 | ||
| S82116C | 08 | 562-563 | S82153D | 08 | 559-561 | S82235D | 08 | 559-561 | ||
| S82116C | 24 | 955-965 | S82153E | 08 | 559-561 | S82235E | 08 | 559-561 | ||
| S82116D | 08 | 559-561 | S82153F | 08 | 559-561 | S82235F | 08 | 559-561 | ||
| S82116E | 08 | 559-561 | S82153G | 08 | 559-561 | S82235G | 08 | 559-561 | ||
| S82116F | 08 | 559-561 | S82153H | 08 | 559-561 | S82235H | 08 | 559-561 | ||
| S82116G | 08 | 559-561 | S82153J | 08 | 559-561 | S82235J | 08 | 559-561 | ||
| S82116H | 08 | 559-561 | S82153K | 08 | 564-566 | S82235K | 08 | 564-566 | ||
| S82116J | 08 | 559-561 | S82153M | 08 | 564-566 | S82235M | 08 | 564-566 | ||
| S82116K | 08 | 564-566 | S82153N | 08 | 564-566 | S82235N | 08 | 564-566 | ||
| S82116M | 08 | 564-566 | S82153P | 08 | 564-566 | S82235P | 08 | 564-566 | ||
| S82116N | 08 | 564-566 | S82153Q | 08 | 564-566 | S82235Q | 08 | 564-566 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 14 Apr 2020 14:43:32 CMS, code-revision=250, description-revision=1275 |