ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 14 of 74 |
| A000 B302 C577 C8442 D309 E093493 E13621 F40232 H02049 H26499 H54415A I5033 I70592 J9602 K8502 L89814 M10062 M24444 M5383 M80021D M84575S M89539 N8112 O281 O361921 O45023 P111 Q685 R936 S0242XG S06384D S12500K S20469D S25102D S3141XD S32454K S36291D S42012D S42392D S45302S S52023C S52254D S52509J S5491XA S59242D S61310S S62246P S62629G S63416A S66312A S72002S S72092G S7225XB S72424H S76022A S82023A S82225C S82461F S83126S S89032P S91312S S92335P S95112A T17298S T2270XD T25039D T382X1S T43591D T484X5A T578X4A T71132A T82838S Z0571 Z89112 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| J9602 | 04 | 189 | K1233 | Pre | 011-013 | K55059 | 06 | 393-395 | ||
| J9602 | 22 | 928-929,934 | K1233 | 03 | 157-159 | K55059 | 15 | 791 | ||
| J9610 | 04 | 189 | K1239 | Pre | 011-013 | K55059 | 15 | 793 | ||
| J9611 | 04 | 189 | K1239 | 03 | 157-159 | K55061 | 06 | 393-395 | ||
| J9612 | 04 | 189 | K130 | Pre | 011-013 | K55061 | 15 | 791 | ||
| J9620 | 04 | 189 | K130 | 03 | 157-159 | K55061 | 15 | 793 | ||
| J9620 | 22 | 928-929,934 | K131 | Pre | 011-013 | K55062 | 06 | 393-395 | ||
| J9621 | 04 | 189 | K131 | 03 | 157-159 | K55062 | 15 | 791 | ||
| J9621 | 22 | 928-929,934 | K1321 | Pre | 011-013 | K55062 | 15 | 793 | ||
| J9622 | 04 | 189 | K1321 | 03 | 157-159 | K55069 | 06 | 393-395 | ||
| J9622 | 22 | 928-929,934 | K1322 | Pre | 011-013 | K55069 | 15 | 791 | ||
| J9690 | 04 | 189 | K1322 | 03 | 157-159 | K55069 | 15 | 793 | ||
| J9690 | 22 | 928-929,934 | K1323 | Pre | 011-013 | K551 | 06 | 393-395 | ||
| J9691 | 04 | 189 | K1323 | 03 | 157-159 | K5520 | 06 | 393-395 | ||
| J9691 | 22 | 928-929,934 | K1324 | Pre | 011-013 | K5521 | 06 | 377-379 | ||
| J9692 | 04 | 189 | K1324 | 03 | 157-159 | K5530 | 06 | 393-395 | ||
| J9692 | 22 | 928-929,934 | K1329 | Pre | 011-013 | K5530 | 15 | 791 | ||
| J9801 | Pre | 011-013 | K1329 | 03 | 157-159 | K5530 | 15 | 793 | ||
| J9801 | 04 | 202-203 | K133 | Pre | 011-013 | K5531 | 06 | 393-395 | ||
| J9809 | Pre | 011-013 | K133 | 03 | 157-159 | K5531 | 15 | 791 | ||
| J9809 | 04 | 202-203 | K134 | Pre | 011-013 | K5531 | 15 | 793 | ||
| J9811 | 04 | 205-206 | K134 | 03 | 157-159 | K5532 | 06 | 393-395 | ||
| J9811 | 15 | 791 | K135 | Pre | 011-013 | K5532 | 15 | 791 | ||
| J9811 | 15 | 793 | K135 | 03 | 157-159 | K5532 | 15 | 793 | ||
| J9819 | 04 | 205-206 | K136 | Pre | 011-013 | K5533 | 06 | 393-395 | ||
| J9819 | 15 | 791 | K136 | 03 | 157-159 | K5533 | 15 | 791 | ||
| J9819 | 15 | 793 | K1370 | Pre | 011-013 | K5533 | 15 | 793 | ||
| J982 | 04 | 199-201 | K1370 | 03 | 157-159 | K558 | 06 | 393-395 | ||
| J982 | 15 | 791 | K1379 | Pre | 011-013 | K559 | 06 | 393-395 | ||
| J982 | 15 | 793 | K1379 | 03 | 157-159 | K560 | 06 | 388-390 | ||
| J983 | 04 | 205-206 | K140 | Pre | 011-013 | K560 | 15 | 791 | ||
| J984 | 04 | 205-206 | K140 | 03 | 157-159 | K560 | 15 | 793 | ||
| J9851 | 04 | 177-179 | K141 | Pre | 011-013 | K561 | 06 | 388-390 | ||
| J9851 | 15 | 791 | K141 | 03 | 157-159 | K561 | 15 | 791 | ||
| J9851 | 15 | 793 | K142 | Pre | 011-013 | K561 | 15 | 793 | ||
| J9859 | 04 | 177-179 | K142 | 03 | 157-159 | K562 | 06 | 388-390 | ||
| J9859 | 15 | 791 | K143 | Pre | 011-013 | K562 | 15 | 791 | ||
| J9859 | 15 | 793 | K143 | 03 | 157-159 | K562 | 15 | 793 | ||
| J986 | 04 | 205-206 | K144 | Pre | 011-013 | K563 | 06 | 388-390 | ||
| J988 | 04 | 205-206 | K144 | 03 | 157-159 | K5641 | 06 | 388-390 | ||
| J989 | 04 | 205-206 | K145 | Pre | 011-013 | K5641 | 15 | 791 | ||
| J99 | 04 | 196-198 | K145 | 03 | 157-159 | K5641 | 15 | 793 | ||
| K000 | Pre | 011-013 | K146 | Pre | 011-013 | K5649 | 06 | 388-390 | ||
| K000 | 03 | 157-159 | K146 | 03 | 157-159 | K5649 | 15 | 791 | ||
| K001 | Pre | 011-013 | K148 | Pre | 011-013 | K5649 | 15 | 793 | ||
| K001 | 03 | 157-159 | K148 | 03 | 157-159 | K5650 | 06 | 388-390 | ||
| K002 | Pre | 011-013 | K149 | Pre | 011-013 | K5651 | 06 | 388-390 | ||
| K002 | 03 | 157-159 | K149 | 03 | 157-159 | K5652 | 06 | 388-390 | ||
| K003 | Pre | 011-013 | K200 | 06 | 391-392 | K56600 | 06 | 388-390 | ||
| K003 | 03 | 157-159 | K2080 | 06 | 391-392 | K56600 | 15 | 791 | ||
| K004 | Pre | 011-013 | K2081 | 06 | 368-370 | K56600 | 15 | 793 | ||
| K004 | 03 | 157-159 | K2090 | 06 | 391-392 | K56601 | 06 | 388-390 | ||
| K005 | Pre | 011-013 | K2091 | 06 | 368-370 | K56601 | 15 | 791 | ||
| K005 | 03 | 157-159 | K2100 | 06 | 391-392 | K56601 | 15 | 793 | ||
| K006 | Pre | 011-013 | K2101 | 06 | 368-370 | K56609 | 06 | 388-390 | ||
| K006 | 03 | 157-159 | K219 | 06 | 391-392 | K56609 | 15 | 791 | ||
| K006 | 15 | 795 | K220 | 06 | 391-392 | K56609 | 15 | 793 | ||
| K007 | Pre | 011-013 | K2210 | 06 | 380-382 | K56690 | 06 | 388-390 | ||
| K007 | 03 | 157-159 | K2211 | 06 | 380-382 | K56690 | 15 | 791 | ||
| K008 | Pre | 011-013 | K222 | 06 | 391-392 | K56690 | 15 | 793 | ||
| K008 | 03 | 157-159 | K223 | 06 | 368-370 | K56691 | 06 | 388-390 | ||
| K009 | Pre | 011-013 | K223 | 15 | 791 | K56691 | 15 | 791 | ||
| K009 | 03 | 157-159 | K223 | 15 | 793 | K56691 | 15 | 793 | ||
| K010 | Pre | 011-013 | K224 | 06 | 391-392 | K56699 | 06 | 388-390 | ||
| K010 | 03 | 157-159 | K225 | 06 | 391-392 | K56699 | 15 | 791 | ||
| K010 | 15 | 795 | K226 | 06 | 368-370 | K56699 | 15 | 793 | ||
| K011 | Pre | 011-013 | K2270 | 06 | 380-382 | K567 | 06 | 388-390 | ||
| K011 | 03 | 157-159 | K22710 | 06 | 380-382 | K567 | 15 | 791 | ||
| K011 | 15 | 795 | K22711 | 06 | 380-382 | K567 | 15 | 793 | ||
| K023 | Pre | 011-013 | K22719 | 06 | 380-382 | K5700 | 06 | 391-392 | ||
| K023 | 03 | 157-159 | K2281 | 06 | 391-392 | K5701 | 06 | 377-379 | ||
| K0251 | Pre | 011-013 | K2282 | 06 | 391-392 | K5710 | 06 | 391-392 | ||
| K0251 | 03 | 157-159 | K2289 | 06 | 391-392 | K5711 | 06 | 377-379 | ||
| K0252 | Pre | 011-013 | K229 | 06 | 391-392 | K5712 | 06 | 391-392 | ||
| K0252 | 03 | 157-159 | K23 | 06 | 391-392 | K5713 | 06 | 377-379 | ||
| K0253 | Pre | 011-013 | K250 | 06 | 377-379 | K5720 | 06 | 391-392 | ||
| K0253 | 03 | 157-159 | K251 | 06 | 380-382 | K5721 | 06 | 377-379 | ||
| K0261 | Pre | 011-013 | K252 | 06 | 377-379 | K5730 | 06 | 391-392 | ||
| K0261 | 03 | 157-159 | K253 | 06 | 380-384 | K5731 | 06 | 377-379 | ||
| K0262 | Pre | 011-013 | K254 | 06 | 377-379 | K5732 | 06 | 391-392 | ||
| K0262 | 03 | 157-159 | K255 | 06 | 380-382 | K5733 | 06 | 377-379 | ||
| K0263 | Pre | 011-013 | K256 | 06 | 377-379 | K5740 | 06 | 391-392 | ||
| K0263 | 03 | 157-159 | K257 | 06 | 380-384 | K5741 | 06 | 377-379 | ||
| K027 | Pre | 011-013 | K259 | 06 | 380-384 | K5750 | 06 | 391-392 | ||
| K027 | 03 | 157-159 | K260 | 06 | 377-379 | K5751 | 06 | 377-379 | ||
| K029 | Pre | 011-013 | K261 | 06 | 380-382 | K5752 | 06 | 391-392 | ||
| K029 | 03 | 157-159 | K262 | 06 | 377-379 | K5753 | 06 | 377-379 | ||
| K030 | Pre | 011-013 | K263 | 06 | 380-384 | K5780 | 06 | 391-392 | ||
| K030 | 03 | 157-159 | K264 | 06 | 377-379 | K5781 | 06 | 377-379 | ||
| K031 | Pre | 011-013 | K265 | 06 | 380-382 | K5790 | 06 | 391-392 | ||
| K031 | 03 | 157-159 | K266 | 06 | 377-379 | K5791 | 06 | 377-379 | ||
| K032 | Pre | 011-013 | K267 | 06 | 380-384 | K5792 | 06 | 391-392 | ||
| K032 | 03 | 157-159 | K269 | 06 | 380-384 | K5793 | 06 | 377-379 | ||
| K033 | Pre | 011-013 | K270 | 06 | 377-379 | K580 | 06 | 391-392 | ||
| K033 | 03 | 157-159 | K271 | 06 | 380-382 | K581 | 06 | 391-392 | ||
| K034 | Pre | 011-013 | K272 | 06 | 377-379 | K582 | 06 | 391-392 | ||
| K034 | 03 | 157-159 | K273 | 06 | 380-384 | K588 | 06 | 391-392 | ||
| K035 | Pre | 011-013 | K274 | 06 | 377-379 | K589 | 06 | 391-392 | ||
| K035 | 03 | 157-159 | K275 | 06 | 380-382 | K5900 | 06 | 391-392 | ||
| K036 | Pre | 011-013 | K276 | 06 | 377-379 | K5901 | 06 | 391-392 | ||
| K036 | 03 | 157-159 | K277 | 06 | 380-384 | K5902 | 06 | 391-392 | ||
| K037 | Pre | 011-013 | K279 | 06 | 380-384 | K5903 | 06 | 391-392 | ||
| K037 | 03 | 157-159 | K280 | 06 | 377-379 | K5904 | 06 | 391-392 | ||
| K0381 | Pre | 011-013 | K281 | 06 | 380-382 | K5909 | 06 | 391-392 | ||
| K0381 | 03 | 157-159 | K282 | 06 | 377-379 | K591 | 06 | 391-392 | ||
| K0389 | Pre | 011-013 | K283 | 06 | 380-382 | K592 | 06 | 391-392 | ||
| K0389 | 03 | 157-159 | K284 | 06 | 377-379 | K5931 | 06 | 393-395 | ||
| K039 | Pre | 011-013 | K285 | 06 | 380-382 | K5939 | 06 | 393-395 | ||
| K039 | 03 | 157-159 | K286 | 06 | 377-379 | K594 | 06 | 391-392 | ||
| K0401 | Pre | 011-013 | K287 | 06 | 380-382 | K5981 | 06 | 391-392 | ||
| K0401 | 03 | 157-159 | K289 | 06 | 380-382 | K5989 | 06 | 391-392 | ||
| K0402 | Pre | 011-013 | K2900 | 06 | 391-392 | K599 | 06 | 391-392 | ||
| K0402 | 03 | 157-159 | K2901 | 06 | 377-379 | K600 | 06 | 393-395 | ||
| K041 | Pre | 011-013 | K2920 | 06 | 391-392 | K601 | 06 | 393-395 | ||
| K041 | 03 | 157-159 | K2921 | 06 | 377-379 | K602 | 06 | 393-395 | ||
| K042 | Pre | 011-013 | K2930 | 06 | 391-392 | K603 | 06 | 393-395 | ||
| K042 | 03 | 157-159 | K2931 | 06 | 377-379 | K604 | 06 | 393-395 | ||
| K043 | Pre | 011-013 | K2940 | 06 | 391-392 | K605 | 06 | 393-395 | ||
| K043 | 03 | 157-159 | K2941 | 06 | 377-379 | K610 | 06 | 393-395 | ||
| K044 | Pre | 011-013 | K2950 | 06 | 391-392 | K610 | 15 | 791 | ||
| K044 | 03 | 157-159 | K2951 | 06 | 377-379 | K610 | 15 | 793 | ||
| K045 | Pre | 011-013 | K2960 | 06 | 391-392 | K611 | 06 | 393-395 | ||
| K045 | 03 | 157-159 | K2961 | 06 | 377-379 | K611 | 15 | 791 | ||
| K046 | Pre | 011-013 | K2970 | 06 | 391-392 | K611 | 15 | 793 | ||
| K046 | 03 | 157-159 | K2971 | 06 | 377-379 | K612 | 06 | 393-395 | ||
| K047 | Pre | 011-013 | K2980 | 06 | 391-392 | K612 | 15 | 791 | ||
| K047 | 03 | 157-159 | K2981 | 06 | 377-379 | K612 | 15 | 793 | ||
| K048 | Pre | 011-013 | K2990 | 06 | 391-392 | K6131 | 06 | 393-395 | ||
| K048 | 03 | 157-159 | K2991 | 06 | 377-379 | K6131 | 15 | 791 | ||
| K0490 | Pre | 011-013 | K30 | 06 | 391-392 | K6131 | 15 | 793 | ||
| K0490 | 03 | 157-159 | K310 | 06 | 391-392 | K6139 | 06 | 393-395 | ||
| K0499 | Pre | 011-013 | K310 | 15 | 791 | K6139 | 15 | 791 | ||
| K0499 | 03 | 157-159 | K310 | 15 | 793 | K6139 | 15 | 793 | ||
| K0500 | Pre | 011-013 | K311 | 06 | 380-382 | K614 | 06 | 393-395 | ||
| K0500 | 03 | 157-159 | K312 | 06 | 391-392 | K614 | 15 | 791 | ||
| K0501 | Pre | 011-013 | K313 | 06 | 391-392 | K614 | 15 | 793 | ||
| K0501 | 03 | 157-159 | K314 | 06 | 391-392 | K615 | 06 | 393-395 | ||
| K0510 | Pre | 011-013 | K315 | 06 | 380-382 | K615 | 15 | 791 | ||
| K0510 | 03 | 157-159 | K316 | 06 | 391-392 | K615 | 15 | 793 | ||
| K0511 | Pre | 011-013 | K317 | 06 | 393-395 | K620 | 06 | 393-395 | ||
| K0511 | 03 | 157-159 | K31811 | 06 | 377-379 | K621 | 06 | 393-395 | ||
| K0520 | Pre | 011-013 | K31819 | 06 | 391-392 | K622 | 06 | 393-395 | ||
| K0520 | 03 | 157-159 | K3182 | 06 | 377-379 | K623 | 06 | 393-395 | ||
| K05211 | Pre | 011-013 | K3183 | 06 | 391-392 | K624 | 06 | 393-395 | ||
| K05211 | 03 | 157-159 | K3184 | 06 | 391-392 | K625 | 06 | 377-379 | ||
| K05212 | Pre | 011-013 | K3189 | 06 | 391-392 | K625 | 15 | 791 | ||
| K05212 | 03 | 157-159 | K319 | 06 | 391-392 | K625 | 15 | 793 | ||
| K05213 | Pre | 011-013 | K31A0 | 06 | 391-392 | K626 | 06 | 393-395 | ||
| K05213 | 03 | 157-159 | K31A11 | 06 | 391-392 | K627 | 06 | 393-395 | ||
| K05219 | Pre | 011-013 | K31A12 | 06 | 391-392 | K6281 | 06 | 393-395 | ||
| K05219 | 03 | 157-159 | K31A13 | 06 | 391-392 | K6282 | 06 | 393-395 | ||
| K05221 | Pre | 011-013 | K31A14 | 06 | 391-392 | K6289 | 06 | 393-395 | ||
| K05221 | 03 | 157-159 | K31A15 | 06 | 391-392 | K629 | 06 | 393-395 | ||
| K05222 | Pre | 011-013 | K31A19 | 06 | 391-392 | K630 | 06 | 371-373 | ||
| K05222 | 03 | 157-159 | K31A21 | 06 | 391-392 | K631 | 06 | 393-395 | ||
| K05223 | Pre | 011-013 | K31A22 | 06 | 391-392 | K631 | 15 | 791 | ||
| K05223 | 03 | 157-159 | K31A29 | 06 | 391-392 | K631 | 15 | 793 | ||
| K05229 | Pre | 011-013 | K3520 | 06 | 371-373 | K632 | 06 | 393-395 | ||
| K05229 | 03 | 157-159 | K3521 | 06 | 338-340 | K633 | 06 | 393-395 | ||
| K0530 | Pre | 011-013 | K3521 | 06 | 371-373 | K634 | 06 | 393-395 | ||
| K0530 | 03 | 157-159 | K3530 | 06 | 371-373 | K635 | 06 | 393-395 | ||
| K05311 | Pre | 011-013 | K3531 | 06 | 371-373 | K6381 | 06 | 393-395 | ||
| K05311 | 03 | 157-159 | K3532 | 06 | 338-340 | K6389 | 06 | 393-395 | ||
| K05312 | Pre | 011-013 | K3532 | 06 | 371-373 | K639 | 06 | 393-395 | ||
| K05312 | 03 | 157-159 | K3533 | 06 | 338-340 | K640 | 06 | 393-395 | ||
| K05313 | Pre | 011-013 | K3533 | 06 | 371-373 | K641 | 06 | 393-395 | ||
| K05313 | 03 | 157-159 | K3580 | 06 | 393-395 | K642 | 06 | 393-395 | ||
| K05319 | Pre | 011-013 | K35890 | 06 | 371-373 | K643 | 06 | 393-395 | ||
| K05319 | 03 | 157-159 | K35891 | 06 | 371-373 | K644 | 06 | 393-395 | ||
| K05321 | Pre | 011-013 | K36 | 06 | 393-395 | K645 | 06 | 393-395 | ||
| K05321 | 03 | 157-159 | K37 | 06 | 393-395 | K648 | 06 | 393-395 | ||
| K05322 | Pre | 011-013 | K380 | 06 | 393-395 | K649 | 06 | 393-395 | ||
| K05322 | 03 | 157-159 | K381 | 06 | 393-395 | K650 | 06 | 371-373 | ||
| K05323 | Pre | 011-013 | K382 | 06 | 393-395 | K650 | 15 | 791 | ||
| K05323 | 03 | 157-159 | K383 | 06 | 393-395 | K650 | 15 | 793 | ||
| K05329 | Pre | 011-013 | K388 | 06 | 393-395 | K651 | 06 | 371-373 | ||
| K05329 | 03 | 157-159 | K389 | 06 | 393-395 | K651 | 15 | 791 | ||
| K054 | Pre | 011-013 | K4000 | 06 | 393-395 | K651 | 15 | 793 | ||
| K054 | 03 | 157-159 | K4000 | 15 | 791 | K652 | 06 | 371-373 | ||
| K055 | Pre | 011-013 | K4000 | 15 | 793 | K652 | 15 | 791 | ||
| K055 | 03 | 157-159 | K4001 | 06 | 393-395 | K652 | 15 | 793 | ||
| K056 | Pre | 011-013 | K4010 | 06 | 393-395 | K653 | 06 | 393-395 | ||
| K056 | 03 | 157-159 | K4010 | 15 | 791 | K653 | 15 | 791 | ||
| K06010 | Pre | 011-013 | K4010 | 15 | 793 | K653 | 15 | 793 | ||
| K06010 | 03 | 157-159 | K4011 | 06 | 393-395 | K654 | 06 | 393-395 | ||
| K06011 | Pre | 011-013 | K4020 | 06 | 393-395 | K654 | 15 | 791 | ||
| K06011 | 03 | 157-159 | K4021 | 06 | 393-395 | K654 | 15 | 793 | ||
| K06012 | Pre | 011-013 | K4030 | 06 | 393-395 | K658 | 06 | 371-373 | ||
| K06012 | 03 | 157-159 | K4030 | 15 | 791 | K658 | 15 | 791 | ||
| K06013 | Pre | 011-013 | K4030 | 15 | 793 | K658 | 15 | 793 | ||
| K06013 | 03 | 157-159 | K4031 | 06 | 393-395 | K659 | 06 | 371-373 | ||
| K06020 | Pre | 011-013 | K4040 | 06 | 393-395 | K659 | 15 | 791 | ||
| K06020 | 03 | 157-159 | K4040 | 15 | 791 | K659 | 15 | 793 | ||
| K06021 | Pre | 011-013 | K4040 | 15 | 793 | K660 | 06 | 393-395 | ||
| K06021 | 03 | 157-159 | K4041 | 06 | 393-395 | K661 | 06 | 393-395 | ||
| K06022 | Pre | 011-013 | K4090 | 06 | 393-395 | K661 | 15 | 791 | ||
| K06022 | 03 | 157-159 | K4091 | 06 | 393-395 | K661 | 15 | 793 | ||
| K06023 | Pre | 011-013 | K4100 | 06 | 393-395 | K668 | 06 | 393-395 | ||
| K06023 | 03 | 157-159 | K4100 | 15 | 791 | K669 | 06 | 393-395 | ||
| K061 | Pre | 011-013 | K4100 | 15 | 793 | K67 | 06 | 371-373 | ||
| K061 | 03 | 157-159 | K4101 | 06 | 393-395 | K67 | 15 | 791 | ||
| K062 | Pre | 011-013 | K4110 | 06 | 393-395 | K67 | 15 | 793 | ||
| K062 | 03 | 157-159 | K4110 | 15 | 791 | K6811 | 15 | 791 | ||
| K063 | Pre | 011-013 | K4110 | 15 | 793 | K6811 | 15 | 793 | ||
| K063 | 03 | 157-159 | K4111 | 06 | 393-395 | K6811 | 18 | 856-858 | ||
| K068 | Pre | 011-013 | K4120 | 06 | 393-395 | K6811 | 18 | 862-863 | ||
| K068 | 03 | 157-159 | K4121 | 06 | 393-395 | K6812 | 06 | 371-373 | ||
| K069 | Pre | 011-013 | K4130 | 06 | 393-395 | K6812 | 15 | 791 | ||
| K069 | 03 | 157-159 | K4130 | 15 | 791 | K6812 | 15 | 793 | ||
| K080 | Pre | 011-013 | K4130 | 15 | 793 | K6819 | 06 | 371-373 | ||
| K080 | 03 | 157-159 | K4131 | 06 | 393-395 | K6819 | 15 | 791 | ||
| K08101 | Pre | 011-013 | K4140 | 06 | 393-395 | K6819 | 15 | 793 | ||
| K08101 | 03 | 157-159 | K4140 | 15 | 791 | K689 | 06 | 371-373 | ||
| K08102 | Pre | 011-013 | K4140 | 15 | 793 | K689 | 15 | 791 | ||
| K08102 | 03 | 157-159 | K4141 | 06 | 393-395 | K689 | 15 | 793 | ||
| K08103 | Pre | 011-013 | K4190 | 06 | 393-395 | K700 | 07 | 441-443 | ||
| K08103 | 03 | 157-159 | K4191 | 06 | 393-395 | K7010 | 07 | 432-434 | ||
| K08104 | Pre | 011-013 | K420 | 06 | 393-395 | K7011 | 07 | 432-434 | ||
| K08104 | 03 | 157-159 | K420 | 15 | 791 | K702 | 07 | 432-434 | ||
| K08109 | Pre | 011-013 | K420 | 15 | 793 | K7030 | 07 | 432-434 | ||
| K08109 | 03 | 157-159 | K421 | 06 | 393-395 | K7031 | 07 | 432-434 | ||
| K08111 | Pre | 011-013 | K421 | 15 | 791 | K7040 | 07 | 432-434 | ||
| K08111 | 03 | 157-159 | K421 | 15 | 793 | K7041 | 07 | 432-434 | ||
| K08112 | Pre | 011-013 | K429 | 06 | 393-395 | K709 | 07 | 432-434 | ||
| K08112 | 03 | 157-159 | K430 | 06 | 393-395 | K710 | 07 | 441-443 | ||
| K08113 | Pre | 011-013 | K430 | 15 | 791 | K710 | 15 | 791 | ||
| K08113 | 03 | 157-159 | K430 | 15 | 793 | K710 | 15 | 793 | ||
| K08114 | Pre | 011-013 | K431 | 06 | 393-395 | K7110 | 07 | 441-443 | ||
| K08114 | 03 | 157-159 | K431 | 15 | 791 | K7110 | 15 | 791 | ||
| K08119 | Pre | 011-013 | K431 | 15 | 793 | K7110 | 15 | 793 | ||
| K08119 | 03 | 157-159 | K432 | 06 | 393-395 | K7111 | 07 | 441-443 | ||
| K08121 | Pre | 011-013 | K433 | 06 | 393-395 | K7111 | 15 | 791 | ||
| K08121 | 03 | 157-159 | K433 | 15 | 791 | K7111 | 15 | 793 | ||
| K08122 | Pre | 011-013 | K433 | 15 | 793 | K712 | 07 | 441-443 | ||
| K08122 | 03 | 157-159 | K434 | 06 | 393-395 | K712 | 15 | 791 | ||
| K08123 | Pre | 011-013 | K434 | 15 | 791 | K712 | 15 | 793 | ||
| K08123 | 03 | 157-159 | K434 | 15 | 793 | K713 | 07 | 441-443 | ||
| K08124 | Pre | 011-013 | K435 | 06 | 393-395 | K713 | 15 | 791 | ||
| K08124 | 03 | 157-159 | K436 | 06 | 393-395 | K713 | 15 | 793 | ||
| K08129 | Pre | 011-013 | K436 | 15 | 791 | K714 | 07 | 441-443 | ||
| K08129 | 03 | 157-159 | K436 | 15 | 793 | K714 | 15 | 791 | ||
| K08131 | Pre | 011-013 | K437 | 06 | 393-395 | K714 | 15 | 793 | ||
| K08131 | 03 | 157-159 | K437 | 15 | 791 | K7150 | 07 | 441-443 | ||
| K08132 | Pre | 011-013 | K437 | 15 | 793 | K7150 | 15 | 791 | ||
| K08132 | 03 | 157-159 | K439 | 06 | 393-395 | K7150 | 15 | 793 | ||
| K08133 | Pre | 011-013 | K440 | 06 | 391-392 | K7151 | 07 | 441-443 | ||
| K08133 | 03 | 157-159 | K440 | 15 | 791 | K7151 | 15 | 791 | ||
| K08134 | Pre | 011-013 | K440 | 15 | 793 | K7151 | 15 | 793 | ||
| K08134 | 03 | 157-159 | K441 | 06 | 393-395 | K716 | 07 | 441-443 | ||
| K08139 | Pre | 011-013 | K441 | 15 | 791 | K716 | 15 | 791 | ||
| K08139 | 03 | 157-159 | K441 | 15 | 793 | K716 | 15 | 793 | ||
| K08191 | Pre | 011-013 | K449 | 06 | 391-392 | K717 | 07 | 441-443 | ||
| K08191 | 03 | 157-159 | K450 | 06 | 393-395 | K717 | 15 | 791 | ||
| K08192 | Pre | 011-013 | K450 | 15 | 791 | K717 | 15 | 793 | ||
| K08192 | 03 | 157-159 | K450 | 15 | 793 | K718 | 07 | 441-443 | ||
| K08193 | Pre | 011-013 | K451 | 06 | 393-395 | K718 | 15 | 791 | ||
| K08193 | 03 | 157-159 | K451 | 15 | 791 | K718 | 15 | 793 | ||
| K08194 | Pre | 011-013 | K451 | 15 | 793 | K719 | 07 | 441-443 | ||
| K08194 | 03 | 157-159 | K458 | 06 | 393-395 | K719 | 15 | 791 | ||
| K08199 | Pre | 011-013 | K460 | 06 | 393-395 | K719 | 15 | 793 | ||
| K08199 | 03 | 157-159 | K460 | 15 | 791 | K7200 | 07 | 441-443 | ||
| K0820 | Pre | 011-013 | K460 | 15 | 793 | K7200 | 15 | 791 | ||
| K0820 | 03 | 157-159 | K461 | 06 | 393-395 | K7200 | 15 | 793 | ||
| K0821 | Pre | 011-013 | K461 | 15 | 791 | K7201 | 07 | 441-443 | ||
| K0821 | 03 | 157-159 | K461 | 15 | 793 | K7201 | 15 | 791 | ||
| K0822 | Pre | 011-013 | K469 | 06 | 393-395 | K7201 | 15 | 793 | ||
| K0822 | 03 | 157-159 | K5000 | 06 | 385-387 | K7210 | 07 | 441-443 | ||
| K0823 | Pre | 011-013 | K50011 | 06 | 385-387 | K7211 | 07 | 441-443 | ||
| K0823 | 03 | 157-159 | K50012 | 06 | 385-387 | K7290 | 07 | 441-443 | ||
| K0824 | Pre | 011-013 | K50013 | 06 | 385-387 | K7290 | 15 | 791 | ||
| K0824 | 03 | 157-159 | K50014 | 06 | 385-387 | K7290 | 15 | 793 | ||
| K0825 | Pre | 011-013 | K50018 | 06 | 385-387 | K7291 | 07 | 441-443 | ||
| K0825 | 03 | 157-159 | K50019 | 06 | 385-387 | K7291 | 15 | 791 | ||
| K0826 | Pre | 011-013 | K5010 | 06 | 385-387 | K7291 | 15 | 793 | ||
| K0826 | 03 | 157-159 | K50111 | 06 | 385-387 | K730 | 07 | 441-443 | ||
| K083 | Pre | 011-013 | K50112 | 06 | 385-387 | K731 | 07 | 441-443 | ||
| K083 | 03 | 157-159 | K50113 | 06 | 385-387 | K732 | 07 | 441-443 | ||
| K08401 | Pre | 011-013 | K50114 | 06 | 385-387 | K738 | 07 | 441-443 | ||
| K08401 | 03 | 157-159 | K50118 | 06 | 385-387 | K739 | 07 | 441-443 | ||
| K08402 | Pre | 011-013 | K50119 | 06 | 385-387 | K7400 | 07 | 432-434 | ||
| K08402 | 03 | 157-159 | K5080 | 06 | 385-387 | K7401 | 07 | 432-434 | ||
| K08403 | Pre | 011-013 | K50811 | 06 | 385-387 | K7402 | 07 | 432-434 | ||
| K08403 | 03 | 157-159 | K50812 | 06 | 385-387 | K741 | 07 | 441-443 | ||
| K08404 | Pre | 011-013 | K50813 | 06 | 385-387 | K742 | 07 | 441-443 | ||
| K08404 | 03 | 157-159 | K50814 | 06 | 385-387 | K743 | 07 | 432-434 | ||
| K08409 | Pre | 011-013 | K50818 | 06 | 385-387 | K744 | 07 | 432-434 | ||
| K08409 | 03 | 157-159 | K50819 | 06 | 385-387 | K745 | 07 | 432-434 | ||
| K08411 | Pre | 011-013 | K5090 | 06 | 385-387 | K7460 | 07 | 432-434 | ||
| K08411 | 03 | 157-159 | K50911 | 06 | 385-387 | K7469 | 07 | 432-434 | ||
| K08412 | Pre | 011-013 | K50912 | 06 | 385-387 | K750 | 07 | 441-443 | ||
| K08412 | 03 | 157-159 | K50913 | 06 | 385-387 | K750 | 15 | 791 | ||
| K08413 | Pre | 011-013 | K50914 | 06 | 385-387 | K750 | 15 | 793 | ||
| K08413 | 03 | 157-159 | K50918 | 06 | 385-387 | K751 | 07 | 441-443 | ||
| K08414 | Pre | 011-013 | K50919 | 06 | 385-387 | K751 | 15 | 791 | ||
| K08414 | 03 | 157-159 | K5100 | 06 | 385-387 | K751 | 15 | 793 | ||
| K08419 | Pre | 011-013 | K51011 | 06 | 385-387 | K752 | 07 | 441-443 | ||
| K08419 | 03 | 157-159 | K51012 | 06 | 385-387 | K752 | 15 | 791 | ||
| K08421 | Pre | 011-013 | K51013 | 06 | 385-387 | K752 | 15 | 793 | ||
| K08421 | 03 | 157-159 | K51014 | 06 | 385-387 | K753 | 07 | 441-443 | ||
| K08422 | Pre | 011-013 | K51018 | 06 | 385-387 | K753 | 15 | 791 | ||
| K08422 | 03 | 157-159 | K51019 | 06 | 385-387 | K753 | 15 | 793 | ||
| K08423 | Pre | 011-013 | K5120 | 06 | 385-387 | K754 | 07 | 441-443 | ||
| K08423 | 03 | 157-159 | K51211 | 06 | 385-387 | K7581 | 07 | 441-443 | ||
| K08424 | Pre | 011-013 | K51212 | 06 | 385-387 | K7581 | 15 | 791 | ||
| K08424 | 03 | 157-159 | K51213 | 06 | 385-387 | K7581 | 15 | 793 | ||
| K08429 | Pre | 011-013 | K51214 | 06 | 385-387 | K7589 | 07 | 441-443 | ||
| K08429 | 03 | 157-159 | K51218 | 06 | 385-387 | K7589 | 15 | 791 | ||
| K08431 | Pre | 011-013 | K51219 | 06 | 385-387 | K7589 | 15 | 793 | ||
| K08431 | 03 | 157-159 | K5130 | 06 | 385-387 | K759 | 07 | 441-443 | ||
| K08432 | Pre | 011-013 | K51311 | 06 | 385-387 | K759 | 15 | 791 | ||
| K08432 | 03 | 157-159 | K51312 | 06 | 385-387 | K759 | 15 | 793 | ||
| K08433 | Pre | 011-013 | K51313 | 06 | 385-387 | K760 | 07 | 441-443 | ||
| K08433 | 03 | 157-159 | K51314 | 06 | 385-387 | K761 | 07 | 441-443 | ||
| K08434 | Pre | 011-013 | K51318 | 06 | 385-387 | K762 | 07 | 441-443 | ||
| K08434 | 03 | 157-159 | K51319 | 06 | 385-387 | K762 | 15 | 791 | ||
| K08439 | Pre | 011-013 | K5140 | 06 | 385-387 | K762 | 15 | 793 | ||
| K08439 | 03 | 157-159 | K51411 | 06 | 385-387 | K763 | 07 | 441-443 | ||
| K08491 | Pre | 011-013 | K51412 | 06 | 385-387 | K763 | 15 | 791 | ||
| K08491 | 03 | 157-159 | K51413 | 06 | 385-387 | K763 | 15 | 793 | ||
| K08492 | Pre | 011-013 | K51414 | 06 | 385-387 | K764 | 07 | 441-443 | ||
| K08492 | 03 | 157-159 | K51418 | 06 | 385-387 | K764 | 15 | 791 | ||
| K08493 | Pre | 011-013 | K51419 | 06 | 385-387 | K764 | 15 | 793 | ||
| K08493 | 03 | 157-159 | K5150 | 06 | 385-387 | K765 | 07 | 441-443 | ||
| K08494 | Pre | 011-013 | K51511 | 06 | 385-387 | K766 | 07 | 441-443 | ||
| K08494 | 03 | 157-159 | K51512 | 06 | 385-387 | K767 | 07 | 441-443 | ||
| K08499 | Pre | 011-013 | K51513 | 06 | 385-387 | K767 | 15 | 791 | ||
| K08499 | 03 | 157-159 | K51514 | 06 | 385-387 | K767 | 15 | 793 | ||
| K0850 | Pre | 011-013 | K51518 | 06 | 385-387 | K7681 | 04 | 205-206 | ||
| K0850 | 03 | 157-159 | K51519 | 06 | 385-387 | K7689 | 07 | 441-443 | ||
| K0851 | Pre | 011-013 | K5180 | 06 | 385-387 | K769 | 07 | 441-443 | ||
| K0851 | 03 | 157-159 | K51811 | 06 | 385-387 | K77 | 07 | 441-443 | ||
| K0852 | Pre | 011-013 | K51812 | 06 | 385-387 | K8000 | 07 | 444-446 | ||
| K0852 | 03 | 157-159 | K51813 | 06 | 385-387 | K8001 | 07 | 444-446 | ||
| K08530 | Pre | 011-013 | K51814 | 06 | 385-387 | K8010 | 07 | 444-446 | ||
| K08530 | 03 | 157-159 | K51818 | 06 | 385-387 | K8011 | 07 | 444-446 | ||
| K08531 | Pre | 011-013 | K51819 | 06 | 385-387 | K8012 | 07 | 444-446 | ||
| K08531 | 03 | 157-159 | K5190 | 06 | 385-387 | K8013 | 07 | 444-446 | ||
| K08539 | Pre | 011-013 | K51911 | 06 | 385-387 | K8018 | 07 | 444-446 | ||
| K08539 | 03 | 157-159 | K51912 | 06 | 385-387 | K8019 | 07 | 444-446 | ||
| K0854 | Pre | 011-013 | K51913 | 06 | 385-387 | K8020 | 07 | 444-446 | ||
| K0854 | 03 | 157-159 | K51914 | 06 | 385-387 | K8021 | 07 | 444-446 | ||
| K0855 | Pre | 011-013 | K51918 | 06 | 385-387 | K8030 | 07 | 444-446 | ||
| K0855 | 03 | 157-159 | K51919 | 06 | 385-387 | K8031 | 07 | 444-446 | ||
| K0856 | Pre | 011-013 | K520 | 06 | 393-395 | K8032 | 07 | 444-446 | ||
| K0856 | 03 | 157-159 | K521 | 06 | 393-395 | K8033 | 07 | 444-446 | ||
| K0859 | Pre | 011-013 | K521 | 15 | 791 | K8034 | 07 | 444-446 | ||
| K0859 | 03 | 157-159 | K521 | 15 | 793 | K8035 | 07 | 444-446 | ||
| K0881 | Pre | 011-013 | K5221 | 06 | 391-392 | K8036 | 07 | 444-446 | ||
| K0881 | 03 | 157-159 | K5222 | 06 | 391-392 | K8037 | 07 | 444-446 | ||
| K0882 | Pre | 011-013 | K5229 | 06 | 391-392 | K8040 | 07 | 444-446 | ||
| K0882 | 03 | 157-159 | K523 | 06 | 391-392 | K8041 | 07 | 444-446 | ||
| K0889 | Pre | 011-013 | K5281 | 06 | 391-392 | K8042 | 07 | 444-446 | ||
| K0889 | 03 | 157-159 | K5282 | 06 | 391-392 | K8043 | 07 | 444-446 | ||
| K089 | Pre | 011-013 | K52831 | 06 | 391-392 | K8044 | 07 | 444-446 | ||
| K089 | 03 | 157-159 | K52832 | 06 | 391-392 | K8045 | 07 | 444-446 | ||
| K090 | Pre | 011-013 | K52838 | 06 | 391-392 | K8046 | 07 | 444-446 | ||
| K090 | 03 | 157-159 | K52839 | 06 | 391-392 | K8047 | 07 | 444-446 | ||
| K091 | Pre | 011-013 | K5289 | 06 | 391-392 | K8050 | 07 | 444-446 | ||
| K091 | 03 | 157-159 | K529 | 06 | 391-392 | K8051 | 07 | 444-446 | ||
| K098 | Pre | 011-013 | K55011 | 06 | 393-395 | K8060 | 07 | 444-446 | ||
| K098 | 03 | 157-159 | K55011 | 15 | 791 | K8061 | 07 | 444-446 | ||
| K099 | Pre | 011-013 | K55011 | 15 | 793 | K8062 | 07 | 444-446 | ||
| K099 | 03 | 157-159 | K55012 | 06 | 393-395 | K8063 | 07 | 444-446 | ||
| K110 | Pre | 011-013 | K55012 | 15 | 791 | K8064 | 07 | 444-446 | ||
| K110 | 03 | 154-156 | K55012 | 15 | 793 | K8065 | 07 | 444-446 | ||
| K111 | Pre | 011-013 | K55019 | 06 | 393-395 | K8066 | 07 | 444-446 | ||
| K111 | 03 | 154-156 | K55019 | 15 | 791 | K8067 | 07 | 444-446 | ||
| K1120 | Pre | 011-013 | K55019 | 15 | 793 | K8070 | 07 | 444-446 | ||
| K1120 | 03 | 154-156 | K55021 | 06 | 393-395 | K8071 | 07 | 444-446 | ||
| K1121 | Pre | 011-013 | K55021 | 15 | 791 | K8080 | 07 | 444-446 | ||
| K1121 | 03 | 154-156 | K55021 | 15 | 793 | K8081 | 07 | 444-446 | ||
| K1122 | Pre | 011-013 | K55022 | 06 | 393-395 | K810 | 07 | 444-446 | ||
| K1122 | 03 | 154-156 | K55022 | 15 | 791 | K811 | 07 | 444-446 | ||
| K1123 | Pre | 011-013 | K55022 | 15 | 793 | K812 | 07 | 444-446 | ||
| K1123 | 03 | 154-156 | K55029 | 06 | 393-395 | K819 | 07 | 444-446 | ||
| K113 | Pre | 011-013 | K55029 | 15 | 791 | K820 | 07 | 444-446 | ||
| K113 | 03 | 154-156 | K55029 | 15 | 793 | K821 | 07 | 444-446 | ||
| K114 | Pre | 011-013 | K55031 | 06 | 393-395 | K822 | 07 | 444-446 | ||
| K114 | 03 | 154-156 | K55031 | 15 | 791 | K823 | 07 | 444-446 | ||
| K115 | Pre | 011-013 | K55031 | 15 | 793 | K824 | 07 | 444-446 | ||
| K115 | 03 | 154-156 | K55032 | 06 | 393-395 | K828 | 07 | 444-446 | ||
| K116 | Pre | 011-013 | K55032 | 15 | 791 | K829 | 07 | 444-446 | ||
| K116 | 03 | 154-156 | K55032 | 15 | 793 | K82A1 | 07 | 444-446 | ||
| K117 | Pre | 011-013 | K55039 | 06 | 393-395 | K82A2 | 07 | 444-446 | ||
| K117 | 03 | 154-156 | K55039 | 15 | 791 | K8301 | 07 | 444-446 | ||
| K118 | Pre | 011-013 | K55039 | 15 | 793 | K8301 | 15 | 791 | ||
| K118 | 03 | 154-156 | K55041 | 06 | 393-395 | K8301 | 15 | 793 | ||
| K119 | Pre | 011-013 | K55041 | 15 | 791 | K8309 | 07 | 444-446 | ||
| K119 | 03 | 154-156 | K55041 | 15 | 793 | K8309 | 15 | 791 | ||
| K120 | Pre | 011-013 | K55042 | 06 | 393-395 | K8309 | 15 | 793 | ||
| K120 | 03 | 157-159 | K55042 | 15 | 791 | K831 | 07 | 444-446 | ||
| K121 | Pre | 011-013 | K55042 | 15 | 793 | K832 | 07 | 444-446 | ||
| K121 | 03 | 157-159 | K55049 | 06 | 393-395 | K833 | 07 | 444-446 | ||
| K122 | Pre | 011-013 | K55049 | 15 | 791 | K834 | 07 | 444-446 | ||
| K122 | 03 | 157-159 | K55049 | 15 | 793 | K835 | 07 | 444-446 | ||
| K1230 | Pre | 011-013 | K55051 | 06 | 393-395 | K838 | 07 | 444-446 | ||
| K1230 | 03 | 157-159 | K55051 | 15 | 791 | K839 | 07 | 444-446 | ||
| K1231 | Pre | 011-013 | K55051 | 15 | 793 | K8500 | 07 | 438-440 | ||
| K1231 | 03 | 157-159 | K55052 | 06 | 393-395 | K8500 | 15 | 791 | ||
| K1232 | Pre | 011-013 | K55052 | 15 | 791 | K8500 | 15 | 793 | ||
| K1232 | 03 | 157-159 | K55052 | 15 | 793 | K8501 | 07 | 438-440 | ||
| K8501 | 15 | 791 | ||||||||
| K8501 | 15 | 793 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2021 20:13:49 CMS, code-revision=301, description-revision=1298 |