ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 67 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T38803S | 21 | 922-923 | T40496A | 23 | 951 | T426X3A | 21 | 917-918 | ||
T38804A | 21 | 917-918 | T40496D | 23 | 949-950 | T426X3D | 23 | 949-950 | ||
T38804D | 23 | 949-950 | T40496S | 23 | 949-950 | T426X3S | 21 | 922-923 | ||
T38804S | 21 | 922-923 | T405X1A | 21 | 917-918 | T426X4A | 21 | 917-918 | ||
T38805A | 15 | 791 | T405X1D | 23 | 949-950 | T426X4D | 23 | 949-950 | ||
T38805A | 15 | 793 | T405X1S | 21 | 922-923 | T426X4S | 21 | 922-923 | ||
T38805A | 21 | 917-918 | T405X2A | 21 | 917-918 | T426X5A | 15 | 791 | ||
T38805D | 23 | 949-950 | T405X2D | 23 | 949-950 | T426X5A | 15 | 793 | ||
T38805S | 21 | 922-923 | T405X2S | 21 | 922-923 | T426X5A | 21 | 917-918 | ||
T38806A | 23 | 951 | T405X3A | 21 | 917-918 | T426X5D | 23 | 949-950 | ||
T38806D | 23 | 949-950 | T405X3D | 23 | 949-950 | T426X5S | 21 | 922-923 | ||
T38806S | 23 | 949-950 | T405X3S | 21 | 922-923 | T426X6A | 23 | 951 | ||
T38811A | 21 | 917-918 | T405X4A | 21 | 917-918 | T426X6D | 23 | 949-950 | ||
T38811D | 23 | 949-950 | T405X4D | 23 | 949-950 | T426X6S | 23 | 949-950 | ||
T38811S | 21 | 922-923 | T405X4S | 21 | 922-923 | T4271XA | 21 | 917-918 | ||
T38812A | 21 | 917-918 | T405X5A | 15 | 791 | T4271XD | 23 | 949-950 | ||
T38812D | 23 | 949-950 | T405X5A | 15 | 793 | T4271XS | 21 | 922-923 | ||
T38812S | 21 | 922-923 | T405X5A | 21 | 917-918 | T4272XA | 21 | 917-918 | ||
T38813A | 21 | 917-918 | T405X5D | 23 | 949-950 | T4272XD | 23 | 949-950 | ||
T38813D | 23 | 949-950 | T405X5S | 21 | 922-923 | T4272XS | 21 | 922-923 | ||
T38813S | 21 | 922-923 | T405X6A | 23 | 951 | T4273XA | 21 | 917-918 | ||
T38814A | 21 | 917-918 | T405X6D | 23 | 949-950 | T4273XD | 23 | 949-950 | ||
T38814D | 23 | 949-950 | T405X6S | 23 | 949-950 | T4273XS | 21 | 922-923 | ||
T38814S | 21 | 922-923 | T40601A | 21 | 917-918 | T4274XA | 21 | 917-918 | ||
T38815A | 15 | 791 | T40601D | 23 | 949-950 | T4274XD | 23 | 949-950 | ||
T38815A | 15 | 793 | T40601S | 21 | 922-923 | T4274XS | 21 | 922-923 | ||
T38815A | 21 | 917-918 | T40602A | 21 | 917-918 | T4275XA | 15 | 791 | ||
T38815D | 23 | 949-950 | T40602D | 23 | 949-950 | T4275XA | 15 | 793 | ||
T38815S | 21 | 922-923 | T40602S | 21 | 922-923 | T4275XA | 21 | 917-918 | ||
T38816A | 23 | 951 | T40603A | 21 | 917-918 | T4275XD | 23 | 949-950 | ||
T38816D | 23 | 949-950 | T40603D | 23 | 949-950 | T4275XS | 21 | 922-923 | ||
T38816S | 23 | 949-950 | T40603S | 21 | 922-923 | T4276XA | 23 | 951 | ||
T38891A | 21 | 917-918 | T40604A | 21 | 917-918 | T4276XD | 23 | 949-950 | ||
T38891D | 23 | 949-950 | T40604D | 23 | 949-950 | T4276XS | 23 | 949-950 | ||
T38891S | 21 | 922-923 | T40604S | 21 | 922-923 | T428X1A | 21 | 917-918 | ||
T38892A | 21 | 917-918 | T40605A | 15 | 791 | T428X1D | 23 | 949-950 | ||
T38892D | 23 | 949-950 | T40605A | 15 | 793 | T428X1S | 21 | 922-923 | ||
T38892S | 21 | 922-923 | T40605A | 21 | 917-918 | T428X2A | 21 | 917-918 | ||
T38893A | 21 | 917-918 | T40605D | 23 | 949-950 | T428X2D | 23 | 949-950 | ||
T38893D | 23 | 949-950 | T40605S | 21 | 922-923 | T428X2S | 21 | 922-923 | ||
T38893S | 21 | 922-923 | T40606A | 23 | 951 | T428X3A | 21 | 917-918 | ||
T38894A | 21 | 917-918 | T40606D | 23 | 949-950 | T428X3D | 23 | 949-950 | ||
T38894D | 23 | 949-950 | T40606S | 23 | 949-950 | T428X3S | 21 | 922-923 | ||
T38894S | 21 | 922-923 | T40691A | 21 | 917-918 | T428X4A | 21 | 917-918 | ||
T38895A | 15 | 791 | T40691D | 23 | 949-950 | T428X4D | 23 | 949-950 | ||
T38895A | 15 | 793 | T40691S | 21 | 922-923 | T428X4S | 21 | 922-923 | ||
T38895A | 21 | 917-918 | T40692A | 21 | 917-918 | T428X5A | 15 | 791 | ||
T38895D | 23 | 949-950 | T40692D | 23 | 949-950 | T428X5A | 15 | 793 | ||
T38895S | 21 | 922-923 | T40692S | 21 | 922-923 | T428X5A | 21 | 917-918 | ||
T38896A | 23 | 951 | T40693A | 21 | 917-918 | T428X5D | 23 | 949-950 | ||
T38896D | 23 | 949-950 | T40693D | 23 | 949-950 | T428X5S | 21 | 922-923 | ||
T38896S | 23 | 949-950 | T40693S | 21 | 922-923 | T428X6A | 23 | 951 | ||
T38901A | 21 | 917-918 | T40694A | 21 | 917-918 | T428X6D | 23 | 949-950 | ||
T38901D | 23 | 949-950 | T40694D | 23 | 949-950 | T428X6S | 23 | 949-950 | ||
T38901S | 21 | 922-923 | T40694S | 21 | 922-923 | T43011A | 21 | 917-918 | ||
T38902A | 21 | 917-918 | T40695A | 15 | 791 | T43011D | 23 | 949-950 | ||
T38902D | 23 | 949-950 | T40695A | 15 | 793 | T43011S | 21 | 922-923 | ||
T38902S | 21 | 922-923 | T40695A | 21 | 917-918 | T43012A | 21 | 917-918 | ||
T38903A | 21 | 917-918 | T40695D | 23 | 949-950 | T43012D | 23 | 949-950 | ||
T38903D | 23 | 949-950 | T40695S | 21 | 922-923 | T43012S | 21 | 922-923 | ||
T38903S | 21 | 922-923 | T40696A | 23 | 951 | T43013A | 21 | 917-918 | ||
T38904A | 21 | 917-918 | T40696D | 23 | 949-950 | T43013D | 23 | 949-950 | ||
T38904D | 23 | 949-950 | T40696S | 23 | 949-950 | T43013S | 21 | 922-923 | ||
T38904S | 21 | 922-923 | T407X1A | 21 | 917-918 | T43014A | 21 | 917-918 | ||
T38905A | 15 | 791 | T407X1D | 23 | 949-950 | T43014D | 23 | 949-950 | ||
T38905A | 15 | 793 | T407X1S | 21 | 922-923 | T43014S | 21 | 922-923 | ||
T38905A | 21 | 917-918 | T407X2A | 21 | 917-918 | T43015A | 15 | 791 | ||
T38905D | 23 | 949-950 | T407X2D | 23 | 949-950 | T43015A | 15 | 793 | ||
T38905S | 21 | 922-923 | T407X2S | 21 | 922-923 | T43015A | 21 | 917-918 | ||
T38906A | 23 | 951 | T407X3A | 21 | 917-918 | T43015D | 23 | 949-950 | ||
T38906D | 23 | 949-950 | T407X3D | 23 | 949-950 | T43015S | 21 | 922-923 | ||
T38906S | 23 | 949-950 | T407X3S | 21 | 922-923 | T43016A | 23 | 951 | ||
T38991A | 21 | 917-918 | T407X4A | 21 | 917-918 | T43016D | 23 | 949-950 | ||
T38991D | 23 | 949-950 | T407X4D | 23 | 949-950 | T43016S | 23 | 949-950 | ||
T38991S | 21 | 922-923 | T407X4S | 21 | 922-923 | T43021A | 21 | 917-918 | ||
T38992A | 21 | 917-918 | T407X5A | 15 | 791 | T43021D | 23 | 949-950 | ||
T38992D | 23 | 949-950 | T407X5A | 15 | 793 | T43021S | 21 | 922-923 | ||
T38992S | 21 | 922-923 | T407X5A | 21 | 917-918 | T43022A | 21 | 917-918 | ||
T38993A | 21 | 917-918 | T407X5D | 23 | 949-950 | T43022D | 23 | 949-950 | ||
T38993D | 23 | 949-950 | T407X5S | 21 | 922-923 | T43022S | 21 | 922-923 | ||
T38993S | 21 | 922-923 | T407X6A | 23 | 951 | T43023A | 21 | 917-918 | ||
T38994A | 21 | 917-918 | T407X6D | 23 | 949-950 | T43023D | 23 | 949-950 | ||
T38994D | 23 | 949-950 | T407X6S | 23 | 949-950 | T43023S | 21 | 922-923 | ||
T38994S | 21 | 922-923 | T408X1A | 21 | 917-918 | T43024A | 21 | 917-918 | ||
T38995A | 15 | 791 | T408X1D | 23 | 949-950 | T43024D | 23 | 949-950 | ||
T38995A | 15 | 793 | T408X1S | 21 | 922-923 | T43024S | 21 | 922-923 | ||
T38995A | 21 | 917-918 | T408X2A | 21 | 917-918 | T43025A | 15 | 791 | ||
T38995D | 23 | 949-950 | T408X2D | 23 | 949-950 | T43025A | 15 | 793 | ||
T38995S | 21 | 922-923 | T408X2S | 21 | 922-923 | T43025A | 21 | 917-918 | ||
T38996A | 23 | 951 | T408X3A | 21 | 917-918 | T43025D | 23 | 949-950 | ||
T38996D | 23 | 949-950 | T408X3D | 23 | 949-950 | T43025S | 21 | 922-923 | ||
T38996S | 23 | 949-950 | T408X3S | 21 | 922-923 | T43026A | 23 | 951 | ||
T39011A | 21 | 917-918 | T408X4A | 21 | 917-918 | T43026D | 23 | 949-950 | ||
T39011D | 23 | 949-950 | T408X4D | 23 | 949-950 | T43026S | 23 | 949-950 | ||
T39011S | 21 | 922-923 | T408X4S | 21 | 922-923 | T431X1A | 21 | 917-918 | ||
T39012A | 21 | 917-918 | T40901A | 21 | 917-918 | T431X1D | 23 | 949-950 | ||
T39012D | 23 | 949-950 | T40901D | 23 | 949-950 | T431X1S | 21 | 922-923 | ||
T39012S | 21 | 922-923 | T40901S | 21 | 922-923 | T431X2A | 21 | 917-918 | ||
T39013A | 21 | 917-918 | T40902A | 21 | 917-918 | T431X2D | 23 | 949-950 | ||
T39013D | 23 | 949-950 | T40902D | 23 | 949-950 | T431X2S | 21 | 922-923 | ||
T39013S | 21 | 922-923 | T40902S | 21 | 922-923 | T431X3A | 21 | 917-918 | ||
T39014A | 21 | 917-918 | T40903A | 21 | 917-918 | T431X3D | 23 | 949-950 | ||
T39014D | 23 | 949-950 | T40903D | 23 | 949-950 | T431X3S | 21 | 922-923 | ||
T39014S | 21 | 922-923 | T40903S | 21 | 922-923 | T431X4A | 21 | 917-918 | ||
T39015A | 15 | 791 | T40904A | 21 | 917-918 | T431X4D | 23 | 949-950 | ||
T39015A | 15 | 793 | T40904D | 23 | 949-950 | T431X4S | 21 | 922-923 | ||
T39015A | 21 | 917-918 | T40904S | 21 | 922-923 | T431X5A | 15 | 791 | ||
T39015D | 23 | 949-950 | T40905A | 15 | 791 | T431X5A | 15 | 793 | ||
T39015S | 21 | 922-923 | T40905A | 15 | 793 | T431X5A | 21 | 917-918 | ||
T39016A | 23 | 951 | T40905A | 21 | 917-918 | T431X5D | 23 | 949-950 | ||
T39016D | 23 | 949-950 | T40905D | 23 | 949-950 | T431X5S | 21 | 922-923 | ||
T39016S | 23 | 949-950 | T40905S | 21 | 922-923 | T431X6A | 23 | 951 | ||
T39091A | 21 | 917-918 | T40906A | 23 | 951 | T431X6D | 23 | 949-950 | ||
T39091D | 23 | 949-950 | T40906D | 23 | 949-950 | T431X6S | 23 | 949-950 | ||
T39091S | 21 | 922-923 | T40906S | 23 | 949-950 | T43201A | 21 | 917-918 | ||
T39092A | 21 | 917-918 | T40991A | 21 | 917-918 | T43201D | 23 | 949-950 | ||
T39092D | 23 | 949-950 | T40991D | 23 | 949-950 | T43201S | 21 | 922-923 | ||
T39092S | 21 | 922-923 | T40991S | 21 | 922-923 | T43202A | 21 | 917-918 | ||
T39093A | 21 | 917-918 | T40992A | 21 | 917-918 | T43202D | 23 | 949-950 | ||
T39093D | 23 | 949-950 | T40992D | 23 | 949-950 | T43202S | 21 | 922-923 | ||
T39093S | 21 | 922-923 | T40992S | 21 | 922-923 | T43203A | 21 | 917-918 | ||
T39094A | 21 | 917-918 | T40993A | 21 | 917-918 | T43203D | 23 | 949-950 | ||
T39094D | 23 | 949-950 | T40993D | 23 | 949-950 | T43203S | 21 | 922-923 | ||
T39094S | 21 | 922-923 | T40993S | 21 | 922-923 | T43204A | 21 | 917-918 | ||
T39095A | 15 | 791 | T40994A | 21 | 917-918 | T43204D | 23 | 949-950 | ||
T39095A | 15 | 793 | T40994D | 23 | 949-950 | T43204S | 21 | 922-923 | ||
T39095A | 21 | 917-918 | T40994S | 21 | 922-923 | T43205A | 15 | 791 | ||
T39095D | 23 | 949-950 | T40995A | 15 | 791 | T43205A | 15 | 793 | ||
T39095S | 21 | 922-923 | T40995A | 15 | 793 | T43205A | 21 | 917-918 | ||
T39096A | 23 | 951 | T40995A | 21 | 917-918 | T43205D | 23 | 949-950 | ||
T39096D | 23 | 949-950 | T40995D | 23 | 949-950 | T43205S | 21 | 922-923 | ||
T39096S | 23 | 949-950 | T40995S | 21 | 922-923 | T43206A | 23 | 951 | ||
T391X1A | 21 | 917-918 | T40996A | 23 | 951 | T43206D | 23 | 949-950 | ||
T391X1D | 23 | 949-950 | T40996D | 23 | 949-950 | T43206S | 23 | 949-950 | ||
T391X1S | 21 | 922-923 | T40996S | 23 | 949-950 | T43211A | 21 | 917-918 | ||
T391X2A | 21 | 917-918 | T410X1A | 21 | 917-918 | T43211D | 23 | 949-950 | ||
T391X2D | 23 | 949-950 | T410X1D | 23 | 949-950 | T43211S | 21 | 922-923 | ||
T391X2S | 21 | 922-923 | T410X1S | 21 | 922-923 | T43212A | 21 | 917-918 | ||
T391X3A | 21 | 917-918 | T410X2A | 21 | 917-918 | T43212D | 23 | 949-950 | ||
T391X3D | 23 | 949-950 | T410X2D | 23 | 949-950 | T43212S | 21 | 922-923 | ||
T391X3S | 21 | 922-923 | T410X2S | 21 | 922-923 | T43213A | 21 | 917-918 | ||
T391X4A | 21 | 917-918 | T410X3A | 21 | 917-918 | T43213D | 23 | 949-950 | ||
T391X4D | 23 | 949-950 | T410X3D | 23 | 949-950 | T43213S | 21 | 922-923 | ||
T391X4S | 21 | 922-923 | T410X3S | 21 | 922-923 | T43214A | 21 | 917-918 | ||
T391X5A | 15 | 791 | T410X4A | 21 | 917-918 | T43214D | 23 | 949-950 | ||
T391X5A | 15 | 793 | T410X4D | 23 | 949-950 | T43214S | 21 | 922-923 | ||
T391X5A | 21 | 917-918 | T410X4S | 21 | 922-923 | T43215A | 15 | 791 | ||
T391X5D | 23 | 949-950 | T410X5A | 15 | 791 | T43215A | 15 | 793 | ||
T391X5S | 21 | 922-923 | T410X5A | 15 | 793 | T43215A | 21 | 917-918 | ||
T391X6A | 23 | 951 | T410X5A | 21 | 917-918 | T43215D | 23 | 949-950 | ||
T391X6D | 23 | 949-950 | T410X5D | 23 | 949-950 | T43215S | 21 | 922-923 | ||
T391X6S | 23 | 949-950 | T410X5S | 21 | 922-923 | T43216A | 23 | 951 | ||
T392X1A | 21 | 917-918 | T410X6A | 23 | 951 | T43216D | 23 | 949-950 | ||
T392X1D | 23 | 949-950 | T410X6D | 23 | 949-950 | T43216S | 23 | 949-950 | ||
T392X1S | 21 | 922-923 | T410X6S | 23 | 949-950 | T43221A | 21 | 917-918 | ||
T392X2A | 21 | 917-918 | T411X1A | 21 | 917-918 | T43221D | 23 | 949-950 | ||
T392X2D | 23 | 949-950 | T411X1D | 23 | 949-950 | T43221S | 21 | 922-923 | ||
T392X2S | 21 | 922-923 | T411X1S | 21 | 922-923 | T43222A | 21 | 917-918 | ||
T392X3A | 21 | 917-918 | T411X2A | 21 | 917-918 | T43222D | 23 | 949-950 | ||
T392X3D | 23 | 949-950 | T411X2D | 23 | 949-950 | T43222S | 21 | 922-923 | ||
T392X3S | 21 | 922-923 | T411X2S | 21 | 922-923 | T43223A | 21 | 917-918 | ||
T392X4A | 21 | 917-918 | T411X3A | 21 | 917-918 | T43223D | 23 | 949-950 | ||
T392X4D | 23 | 949-950 | T411X3D | 23 | 949-950 | T43223S | 21 | 922-923 | ||
T392X4S | 21 | 922-923 | T411X3S | 21 | 922-923 | T43224A | 21 | 917-918 | ||
T392X5A | 15 | 791 | T411X4A | 21 | 917-918 | T43224D | 23 | 949-950 | ||
T392X5A | 15 | 793 | T411X4D | 23 | 949-950 | T43224S | 21 | 922-923 | ||
T392X5A | 21 | 917-918 | T411X4S | 21 | 922-923 | T43225A | 15 | 791 | ||
T392X5D | 23 | 949-950 | T411X5A | 15 | 791 | T43225A | 15 | 793 | ||
T392X5S | 21 | 922-923 | T411X5A | 15 | 793 | T43225A | 21 | 917-918 | ||
T392X6A | 23 | 951 | T411X5A | 21 | 917-918 | T43225D | 23 | 949-950 | ||
T392X6D | 23 | 949-950 | T411X5D | 23 | 949-950 | T43225S | 21 | 922-923 | ||
T392X6S | 23 | 949-950 | T411X5S | 21 | 922-923 | T43226A | 23 | 951 | ||
T39311A | 21 | 917-918 | T411X6A | 23 | 951 | T43226D | 23 | 949-950 | ||
T39311D | 23 | 949-950 | T411X6D | 23 | 949-950 | T43226S | 23 | 949-950 | ||
T39311S | 21 | 922-923 | T411X6S | 23 | 949-950 | T43291A | 21 | 917-918 | ||
T39312A | 21 | 917-918 | T41201A | 21 | 917-918 | T43291D | 23 | 949-950 | ||
T39312D | 23 | 949-950 | T41201D | 23 | 949-950 | T43291S | 21 | 922-923 | ||
T39312S | 21 | 922-923 | T41201S | 21 | 922-923 | T43292A | 21 | 917-918 | ||
T39313A | 21 | 917-918 | T41202A | 21 | 917-918 | T43292D | 23 | 949-950 | ||
T39313D | 23 | 949-950 | T41202D | 23 | 949-950 | T43292S | 21 | 922-923 | ||
T39313S | 21 | 922-923 | T41202S | 21 | 922-923 | T43293A | 21 | 917-918 | ||
T39314A | 21 | 917-918 | T41203A | 21 | 917-918 | T43293D | 23 | 949-950 | ||
T39314D | 23 | 949-950 | T41203D | 23 | 949-950 | T43293S | 21 | 922-923 | ||
T39314S | 21 | 922-923 | T41203S | 21 | 922-923 | T43294A | 21 | 917-918 | ||
T39315A | 15 | 791 | T41204A | 21 | 917-918 | T43294D | 23 | 949-950 | ||
T39315A | 15 | 793 | T41204D | 23 | 949-950 | T43294S | 21 | 922-923 | ||
T39315A | 21 | 917-918 | T41204S | 21 | 922-923 | T43295A | 15 | 791 | ||
T39315D | 23 | 949-950 | T41205A | 15 | 791 | T43295A | 15 | 793 | ||
T39315S | 21 | 922-923 | T41205A | 15 | 793 | T43295A | 21 | 917-918 | ||
T39316A | 23 | 951 | T41205A | 21 | 917-918 | T43295D | 23 | 949-950 | ||
T39316D | 23 | 949-950 | T41205D | 23 | 949-950 | T43295S | 21 | 922-923 | ||
T39316S | 23 | 949-950 | T41205S | 21 | 922-923 | T43296A | 23 | 951 | ||
T39391A | 21 | 917-918 | T41206A | 23 | 951 | T43296D | 23 | 949-950 | ||
T39391D | 23 | 949-950 | T41206D | 23 | 949-950 | T43296S | 23 | 949-950 | ||
T39391S | 21 | 922-923 | T41206S | 23 | 949-950 | T433X1A | 21 | 917-918 | ||
T39392A | 21 | 917-918 | T41291A | 21 | 917-918 | T433X1D | 23 | 949-950 | ||
T39392D | 23 | 949-950 | T41291D | 23 | 949-950 | T433X1S | 21 | 922-923 | ||
T39392S | 21 | 922-923 | T41291S | 21 | 922-923 | T433X2A | 21 | 917-918 | ||
T39393A | 21 | 917-918 | T41292A | 21 | 917-918 | T433X2D | 23 | 949-950 | ||
T39393D | 23 | 949-950 | T41292D | 23 | 949-950 | T433X2S | 21 | 922-923 | ||
T39393S | 21 | 922-923 | T41292S | 21 | 922-923 | T433X3A | 21 | 917-918 | ||
T39394A | 21 | 917-918 | T41293A | 21 | 917-918 | T433X3D | 23 | 949-950 | ||
T39394D | 23 | 949-950 | T41293D | 23 | 949-950 | T433X3S | 21 | 922-923 | ||
T39394S | 21 | 922-923 | T41293S | 21 | 922-923 | T433X4A | 21 | 917-918 | ||
T39395A | 15 | 791 | T41294A | 21 | 917-918 | T433X4D | 23 | 949-950 | ||
T39395A | 15 | 793 | T41294D | 23 | 949-950 | T433X4S | 21 | 922-923 | ||
T39395A | 21 | 917-918 | T41294S | 21 | 922-923 | T433X5A | 15 | 791 | ||
T39395D | 23 | 949-950 | T41295A | 15 | 791 | T433X5A | 15 | 793 | ||
T39395S | 21 | 922-923 | T41295A | 15 | 793 | T433X5A | 21 | 917-918 | ||
T39396A | 23 | 951 | T41295A | 21 | 917-918 | T433X5D | 23 | 949-950 | ||
T39396D | 23 | 949-950 | T41295D | 23 | 949-950 | T433X5S | 21 | 922-923 | ||
T39396S | 23 | 949-950 | T41295S | 21 | 922-923 | T433X6A | 23 | 951 | ||
T394X1A | 21 | 917-918 | T41296A | 23 | 951 | T433X6D | 23 | 949-950 | ||
T394X1D | 23 | 949-950 | T41296D | 23 | 949-950 | T433X6S | 23 | 949-950 | ||
T394X1S | 21 | 922-923 | T41296S | 23 | 949-950 | T434X1A | 21 | 917-918 | ||
T394X2A | 21 | 917-918 | T413X1A | 21 | 917-918 | T434X1D | 23 | 949-950 | ||
T394X2D | 23 | 949-950 | T413X1D | 23 | 949-950 | T434X1S | 21 | 922-923 | ||
T394X2S | 21 | 922-923 | T413X1S | 21 | 922-923 | T434X2A | 21 | 917-918 | ||
T394X3A | 21 | 917-918 | T413X2A | 21 | 917-918 | T434X2D | 23 | 949-950 | ||
T394X3D | 23 | 949-950 | T413X2D | 23 | 949-950 | T434X2S | 21 | 922-923 | ||
T394X3S | 21 | 922-923 | T413X2S | 21 | 922-923 | T434X3A | 21 | 917-918 | ||
T394X4A | 21 | 917-918 | T413X3A | 21 | 917-918 | T434X3D | 23 | 949-950 | ||
T394X4D | 23 | 949-950 | T413X3D | 23 | 949-950 | T434X3S | 21 | 922-923 | ||
T394X4S | 21 | 922-923 | T413X3S | 21 | 922-923 | T434X4A | 21 | 917-918 | ||
T394X5A | 15 | 791 | T413X4A | 21 | 917-918 | T434X4D | 23 | 949-950 | ||
T394X5A | 15 | 793 | T413X4D | 23 | 949-950 | T434X4S | 21 | 922-923 | ||
T394X5A | 21 | 917-918 | T413X4S | 21 | 922-923 | T434X5A | 15 | 791 | ||
T394X5D | 23 | 949-950 | T413X5A | 15 | 791 | T434X5A | 15 | 793 | ||
T394X5S | 21 | 922-923 | T413X5A | 15 | 793 | T434X5A | 21 | 917-918 | ||
T394X6A | 23 | 951 | T413X5A | 21 | 917-918 | T434X5D | 23 | 949-950 | ||
T394X6D | 23 | 949-950 | T413X5D | 23 | 949-950 | T434X5S | 21 | 922-923 | ||
T394X6S | 23 | 949-950 | T413X5S | 21 | 922-923 | T434X6A | 23 | 951 | ||
T398X1A | 21 | 917-918 | T413X6A | 23 | 951 | T434X6D | 23 | 949-950 | ||
T398X1D | 23 | 949-950 | T413X6D | 23 | 949-950 | T434X6S | 23 | 949-950 | ||
T398X1S | 21 | 922-923 | T413X6S | 23 | 949-950 | T43501A | 21 | 917-918 | ||
T398X2A | 21 | 917-918 | T4141XA | 21 | 917-918 | T43501D | 23 | 949-950 | ||
T398X2D | 23 | 949-950 | T4141XD | 23 | 949-950 | T43501S | 21 | 922-923 | ||
T398X2S | 21 | 922-923 | T4141XS | 21 | 922-923 | T43502A | 21 | 917-918 | ||
T398X3A | 21 | 917-918 | T4142XA | 21 | 917-918 | T43502D | 23 | 949-950 | ||
T398X3D | 23 | 949-950 | T4142XD | 23 | 949-950 | T43502S | 21 | 922-923 | ||
T398X3S | 21 | 922-923 | T4142XS | 21 | 922-923 | T43503A | 21 | 917-918 | ||
T398X4A | 21 | 917-918 | T4143XA | 21 | 917-918 | T43503D | 23 | 949-950 | ||
T398X4D | 23 | 949-950 | T4143XD | 23 | 949-950 | T43503S | 21 | 922-923 | ||
T398X4S | 21 | 922-923 | T4143XS | 21 | 922-923 | T43504A | 21 | 917-918 | ||
T398X5A | 15 | 791 | T4144XA | 21 | 917-918 | T43504D | 23 | 949-950 | ||
T398X5A | 15 | 793 | T4144XD | 23 | 949-950 | T43504S | 21 | 922-923 | ||
T398X5A | 21 | 917-918 | T4144XS | 21 | 922-923 | T43505A | 15 | 791 | ||
T398X5D | 23 | 949-950 | T4145XA | 15 | 791 | T43505A | 15 | 793 | ||
T398X5S | 21 | 922-923 | T4145XA | 15 | 793 | T43505A | 21 | 917-918 | ||
T398X6A | 23 | 951 | T4145XA | 21 | 917-918 | T43505D | 23 | 949-950 | ||
T398X6D | 23 | 949-950 | T4145XD | 23 | 949-950 | T43505S | 21 | 922-923 | ||
T398X6S | 23 | 949-950 | T4145XS | 21 | 922-923 | T43506A | 23 | 951 | ||
T3991XA | 21 | 917-918 | T4146XA | 23 | 951 | T43506D | 23 | 949-950 | ||
T3991XD | 23 | 949-950 | T4146XD | 23 | 949-950 | T43506S | 23 | 949-950 | ||
T3991XS | 21 | 922-923 | T4146XS | 23 | 949-950 | T43591A | 21 | 917-918 | ||
T3992XA | 21 | 917-918 | T415X1A | 21 | 917-918 | T43591D | 23 | 949-950 | ||
T3992XD | 23 | 949-950 | T415X1D | 23 | 949-950 | T43591S | 21 | 922-923 | ||
T3992XS | 21 | 922-923 | T415X1S | 21 | 922-923 | T43592A | 21 | 917-918 | ||
T3993XA | 21 | 917-918 | T415X2A | 21 | 917-918 | T43592D | 23 | 949-950 | ||
T3993XD | 23 | 949-950 | T415X2D | 23 | 949-950 | T43592S | 21 | 922-923 | ||
T3993XS | 21 | 922-923 | T415X2S | 21 | 922-923 | T43593A | 21 | 917-918 | ||
T3994XA | 21 | 917-918 | T415X3A | 21 | 917-918 | T43593D | 23 | 949-950 | ||
T3994XD | 23 | 949-950 | T415X3D | 23 | 949-950 | T43593S | 21 | 922-923 | ||
T3994XS | 21 | 922-923 | T415X3S | 21 | 922-923 | T43594A | 21 | 917-918 | ||
T3995XA | 15 | 791 | T415X4A | 21 | 917-918 | T43594D | 23 | 949-950 | ||
T3995XA | 15 | 793 | T415X4D | 23 | 949-950 | T43594S | 21 | 922-923 | ||
T3995XA | 21 | 917-918 | T415X4S | 21 | 922-923 | T43595A | 15 | 791 | ||
T3995XD | 23 | 949-950 | T415X5A | 15 | 791 | T43595A | 15 | 793 | ||
T3995XS | 21 | 922-923 | T415X5A | 15 | 793 | T43595A | 21 | 917-918 | ||
T3996XA | 23 | 951 | T415X5A | 21 | 917-918 | T43595D | 23 | 949-950 | ||
T3996XD | 23 | 949-950 | T415X5D | 23 | 949-950 | T43595S | 21 | 922-923 | ||
T3996XS | 23 | 949-950 | T415X5S | 21 | 922-923 | T43596A | 23 | 951 | ||
T400X1A | 21 | 917-918 | T415X6A | 23 | 951 | T43596D | 23 | 949-950 | ||
T400X1D | 23 | 949-950 | T415X6D | 23 | 949-950 | T43596S | 23 | 949-950 | ||
T400X1S | 21 | 922-923 | T415X6S | 23 | 949-950 | T43601A | 21 | 917-918 | ||
T400X2A | 21 | 917-918 | T420X1A | 21 | 917-918 | T43601D | 23 | 949-950 | ||
T400X2D | 23 | 949-950 | T420X1D | 23 | 949-950 | T43601S | 21 | 922-923 | ||
T400X2S | 21 | 922-923 | T420X1S | 21 | 922-923 | T43602A | 21 | 917-918 | ||
T400X3A | 21 | 917-918 | T420X2A | 21 | 917-918 | T43602D | 23 | 949-950 | ||
T400X3D | 23 | 949-950 | T420X2D | 23 | 949-950 | T43602S | 21 | 922-923 | ||
T400X3S | 21 | 922-923 | T420X2S | 21 | 922-923 | T43603A | 21 | 917-918 | ||
T400X4A | 21 | 917-918 | T420X3A | 21 | 917-918 | T43603D | 23 | 949-950 | ||
T400X4D | 23 | 949-950 | T420X3D | 23 | 949-950 | T43603S | 21 | 922-923 | ||
T400X4S | 21 | 922-923 | T420X3S | 21 | 922-923 | T43604A | 21 | 917-918 | ||
T400X5A | 15 | 791 | T420X4A | 21 | 917-918 | T43604D | 23 | 949-950 | ||
T400X5A | 15 | 793 | T420X4D | 23 | 949-950 | T43604S | 21 | 922-923 | ||
T400X5A | 21 | 917-918 | T420X4S | 21 | 922-923 | T43605A | 15 | 791 | ||
T400X5D | 23 | 949-950 | T420X5A | 15 | 791 | T43605A | 15 | 793 | ||
T400X5S | 21 | 922-923 | T420X5A | 15 | 793 | T43605A | 21 | 917-918 | ||
T400X6A | 23 | 951 | T420X5A | 21 | 917-918 | T43605D | 23 | 949-950 | ||
T400X6D | 23 | 949-950 | T420X5D | 23 | 949-950 | T43605S | 21 | 922-923 | ||
T400X6S | 23 | 949-950 | T420X5S | 21 | 922-923 | T43606A | 23 | 951 | ||
T401X1A | 21 | 917-918 | T420X6A | 23 | 951 | T43606D | 23 | 949-950 | ||
T401X1D | 23 | 949-950 | T420X6D | 23 | 949-950 | T43606S | 23 | 949-950 | ||
T401X1S | 21 | 922-923 | T420X6S | 23 | 949-950 | T43611A | 21 | 917-918 | ||
T401X2A | 21 | 917-918 | T421X1A | 21 | 917-918 | T43611D | 23 | 949-950 | ||
T401X2D | 23 | 949-950 | T421X1D | 23 | 949-950 | T43611S | 21 | 922-923 | ||
T401X2S | 21 | 922-923 | T421X1S | 21 | 922-923 | T43612A | 21 | 917-918 | ||
T401X3A | 21 | 917-918 | T421X2A | 21 | 917-918 | T43612D | 23 | 949-950 | ||
T401X3D | 23 | 949-950 | T421X2D | 23 | 949-950 | T43612S | 21 | 922-923 | ||
T401X3S | 21 | 922-923 | T421X2S | 21 | 922-923 | T43613A | 21 | 917-918 | ||
T401X4A | 21 | 917-918 | T421X3A | 21 | 917-918 | T43613D | 23 | 949-950 | ||
T401X4D | 23 | 949-950 | T421X3D | 23 | 949-950 | T43613S | 21 | 922-923 | ||
T401X4S | 21 | 922-923 | T421X3S | 21 | 922-923 | T43614A | 21 | 917-918 | ||
T402X1A | 21 | 917-918 | T421X4A | 21 | 917-918 | T43614D | 23 | 949-950 | ||
T402X1D | 23 | 949-950 | T421X4D | 23 | 949-950 | T43614S | 21 | 922-923 | ||
T402X1S | 21 | 922-923 | T421X4S | 21 | 922-923 | T43615A | 15 | 791 | ||
T402X2A | 21 | 917-918 | T421X5A | 15 | 791 | T43615A | 15 | 793 | ||
T402X2D | 23 | 949-950 | T421X5A | 15 | 793 | T43615A | 21 | 917-918 | ||
T402X2S | 21 | 922-923 | T421X5A | 21 | 917-918 | T43615D | 23 | 949-950 | ||
T402X3A | 21 | 917-918 | T421X5D | 23 | 949-950 | T43615S | 21 | 922-923 | ||
T402X3D | 23 | 949-950 | T421X5S | 21 | 922-923 | T43616A | 23 | 951 | ||
T402X3S | 21 | 922-923 | T421X6A | 23 | 951 | T43616D | 23 | 949-950 | ||
T402X4A | 21 | 917-918 | T421X6D | 23 | 949-950 | T43616S | 23 | 949-950 | ||
T402X4D | 23 | 949-950 | T421X6S | 23 | 949-950 | T43621A | 21 | 917-918 | ||
T402X4S | 21 | 922-923 | T422X1A | 21 | 917-918 | T43621D | 23 | 949-950 | ||
T402X5A | 15 | 791 | T422X1D | 23 | 949-950 | T43621S | 21 | 922-923 | ||
T402X5A | 15 | 793 | T422X1S | 21 | 922-923 | T43622A | 21 | 917-918 | ||
T402X5A | 21 | 917-918 | T422X2A | 21 | 917-918 | T43622D | 23 | 949-950 | ||
T402X5D | 23 | 949-950 | T422X2D | 23 | 949-950 | T43622S | 21 | 922-923 | ||
T402X5S | 21 | 922-923 | T422X2S | 21 | 922-923 | T43623A | 21 | 917-918 | ||
T402X6A | 23 | 951 | T422X3A | 21 | 917-918 | T43623D | 23 | 949-950 | ||
T402X6D | 23 | 949-950 | T422X3D | 23 | 949-950 | T43623S | 21 | 922-923 | ||
T402X6S | 23 | 949-950 | T422X3S | 21 | 922-923 | T43624A | 21 | 917-918 | ||
T403X1A | 21 | 917-918 | T422X4A | 21 | 917-918 | T43624D | 23 | 949-950 | ||
T403X1D | 23 | 949-950 | T422X4D | 23 | 949-950 | T43624S | 21 | 922-923 | ||
T403X1S | 21 | 922-923 | T422X4S | 21 | 922-923 | T43625A | 15 | 791 | ||
T403X2A | 21 | 917-918 | T422X5A | 15 | 791 | T43625A | 15 | 793 | ||
T403X2D | 23 | 949-950 | T422X5A | 15 | 793 | T43625A | 21 | 917-918 | ||
T403X2S | 21 | 922-923 | T422X5A | 21 | 917-918 | T43625D | 23 | 949-950 | ||
T403X3A | 21 | 917-918 | T422X5D | 23 | 949-950 | T43625S | 21 | 922-923 | ||
T403X3D | 23 | 949-950 | T422X5S | 21 | 922-923 | T43626A | 23 | 951 | ||
T403X3S | 21 | 922-923 | T422X6A | 23 | 951 | T43626D | 23 | 949-950 | ||
T403X4A | 21 | 917-918 | T422X6D | 23 | 949-950 | T43626S | 23 | 949-950 | ||
T403X4D | 23 | 949-950 | T422X6S | 23 | 949-950 | T43631A | 21 | 917-918 | ||
T403X4S | 21 | 922-923 | T423X1A | 21 | 917-918 | T43631D | 23 | 949-950 | ||
T403X5A | 15 | 791 | T423X1D | 23 | 949-950 | T43631S | 21 | 922-923 | ||
T403X5A | 15 | 793 | T423X1S | 21 | 922-923 | T43632A | 21 | 917-918 | ||
T403X5A | 21 | 917-918 | T423X2A | 21 | 917-918 | T43632D | 23 | 949-950 | ||
T403X5D | 23 | 949-950 | T423X2D | 23 | 949-950 | T43632S | 21 | 922-923 | ||
T403X5S | 21 | 922-923 | T423X2S | 21 | 922-923 | T43633A | 21 | 917-918 | ||
T403X6A | 23 | 951 | T423X3A | 21 | 917-918 | T43633D | 23 | 949-950 | ||
T403X6D | 23 | 949-950 | T423X3D | 23 | 949-950 | T43633S | 21 | 922-923 | ||
T403X6S | 23 | 949-950 | T423X3S | 21 | 922-923 | T43634A | 21 | 917-918 | ||
T40411A | 21 | 917-918 | T423X4A | 21 | 917-918 | T43634D | 23 | 949-950 | ||
T40411D | 23 | 949-950 | T423X4D | 23 | 949-950 | T43634S | 21 | 922-923 | ||
T40411S | 21 | 922-923 | T423X4S | 21 | 922-923 | T43635A | 15 | 791 | ||
T40412A | 21 | 917-918 | T423X5A | 15 | 791 | T43635A | 15 | 793 | ||
T40412D | 23 | 949-950 | T423X5A | 15 | 793 | T43635A | 21 | 917-918 | ||
T40412S | 21 | 922-923 | T423X5A | 21 | 917-918 | T43635D | 23 | 949-950 | ||
T40413A | 21 | 917-918 | T423X5D | 23 | 949-950 | T43635S | 21 | 922-923 | ||
T40413D | 23 | 949-950 | T423X5S | 21 | 922-923 | T43636A | 23 | 951 | ||
T40413S | 21 | 922-923 | T423X6A | 23 | 951 | T43636D | 23 | 949-950 | ||
T40414A | 21 | 917-918 | T423X6D | 23 | 949-950 | T43636S | 23 | 949-950 | ||
T40414D | 23 | 949-950 | T423X6S | 23 | 949-950 | T43641A | 21 | 917-918 | ||
T40414S | 21 | 922-923 | T424X1A | 21 | 917-918 | T43641D | 23 | 949-950 | ||
T40415A | 15 | 791 | T424X1D | 23 | 949-950 | T43641S | 21 | 922-923 | ||
T40415A | 15 | 793 | T424X1S | 21 | 922-923 | T43642A | 21 | 917-918 | ||
T40415A | 21 | 917-918 | T424X2A | 21 | 917-918 | T43642D | 23 | 949-950 | ||
T40415D | 23 | 949-950 | T424X2D | 23 | 949-950 | T43642S | 21 | 922-923 | ||
T40415S | 21 | 922-923 | T424X2S | 21 | 922-923 | T43643A | 21 | 917-918 | ||
T40416A | 23 | 951 | T424X3A | 21 | 917-918 | T43643D | 23 | 949-950 | ||
T40416D | 23 | 949-950 | T424X3D | 23 | 949-950 | T43643S | 21 | 922-923 | ||
T40416S | 23 | 949-950 | T424X3S | 21 | 922-923 | T43644A | 21 | 917-918 | ||
T40421A | 21 | 917-918 | T424X4A | 21 | 917-918 | T43644D | 23 | 949-950 | ||
T40421D | 23 | 949-950 | T424X4D | 23 | 949-950 | T43644S | 21 | 922-923 | ||
T40421S | 21 | 922-923 | T424X4S | 21 | 922-923 | T43691A | 21 | 917-918 | ||
T40422A | 21 | 917-918 | T424X5A | 15 | 791 | T43691D | 23 | 949-950 | ||
T40422D | 23 | 949-950 | T424X5A | 15 | 793 | T43691S | 21 | 922-923 | ||
T40422S | 21 | 922-923 | T424X5A | 21 | 917-918 | T43692A | 21 | 917-918 | ||
T40423A | 21 | 917-918 | T424X5D | 23 | 949-950 | T43692D | 23 | 949-950 | ||
T40423D | 23 | 949-950 | T424X5S | 21 | 922-923 | T43692S | 21 | 922-923 | ||
T40423S | 21 | 922-923 | T424X6A | 23 | 951 | T43693A | 21 | 917-918 | ||
T40424A | 21 | 917-918 | T424X6D | 23 | 949-950 | T43693D | 23 | 949-950 | ||
T40424D | 23 | 949-950 | T424X6S | 23 | 949-950 | T43693S | 21 | 922-923 | ||
T40424S | 21 | 922-923 | T425X1A | 21 | 917-918 | T43694A | 21 | 917-918 | ||
T40425A | 15 | 791 | T425X1D | 23 | 949-950 | T43694D | 23 | 949-950 | ||
T40425A | 15 | 793 | T425X1S | 21 | 922-923 | T43694S | 21 | 922-923 | ||
T40425A | 21 | 917-918 | T425X2A | 21 | 917-918 | T43695A | 15 | 791 | ||
T40425D | 23 | 949-950 | T425X2D | 23 | 949-950 | T43695A | 15 | 793 | ||
T40425S | 21 | 922-923 | T425X2S | 21 | 922-923 | T43695A | 21 | 917-918 | ||
T40426A | 23 | 951 | T425X3A | 21 | 917-918 | T43695D | 23 | 949-950 | ||
T40426D | 23 | 949-950 | T425X3D | 23 | 949-950 | T43695S | 21 | 922-923 | ||
T40426S | 23 | 949-950 | T425X3S | 21 | 922-923 | T43696A | 23 | 951 | ||
T40491A | 21 | 917-918 | T425X4A | 21 | 917-918 | T43696D | 23 | 949-950 | ||
T40491D | 23 | 949-950 | T425X4D | 23 | 949-950 | T43696S | 23 | 949-950 | ||
T40491S | 21 | 922-923 | T425X4S | 21 | 922-923 | T438X1A | 21 | 917-918 | ||
T40492A | 21 | 917-918 | T425X5A | 15 | 791 | T438X1D | 23 | 949-950 | ||
T40492D | 23 | 949-950 | T425X5A | 15 | 793 | T438X1S | 21 | 922-923 | ||
T40492S | 21 | 922-923 | T425X5A | 21 | 917-918 | T438X2A | 21 | 917-918 | ||
T40493A | 21 | 917-918 | T425X5D | 23 | 949-950 | T438X2D | 23 | 949-950 | ||
T40493D | 23 | 949-950 | T425X5S | 21 | 922-923 | T438X2S | 21 | 922-923 | ||
T40493S | 21 | 922-923 | T425X6A | 23 | 951 | T438X3A | 21 | 917-918 | ||
T40494A | 21 | 917-918 | T425X6D | 23 | 949-950 | T438X3D | 23 | 949-950 | ||
T40494D | 23 | 949-950 | T425X6S | 23 | 949-950 | T438X3S | 21 | 922-923 | ||
T40494S | 21 | 922-923 | T426X1A | 21 | 917-918 | T438X4A | 21 | 917-918 | ||
T40495A | 15 | 791 | T426X1D | 23 | 949-950 | T438X4D | 23 | 949-950 | ||
T40495A | 15 | 793 | T426X1S | 21 | 922-923 | T438X4S | 21 | 922-923 | ||
T40495A | 21 | 917-918 | T426X2A | 21 | 917-918 | T438X5A | 15 | 791 | ||
T40495D | 23 | 949-950 | T426X2D | 23 | 949-950 | T438X5A | 15 | 793 | ||
T40495S | 21 | 922-923 | T426X2S | 21 | 922-923 | T438X5A | 21 | 917-918 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 14 Apr 2020 14:43:32 CMS, code-revision=250, description-revision=1275 |