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 27 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| P111 | 15 | 794 | P8339 | 15 | 794 | Q332 | 04 | 205-206 | ||
| P112 | 15 | 791 | P834 | 15 | 794 | Q333 | 04 | 205-206 | ||
| P112 | 15 | 793 | P835 | 15 | 794 | Q334 | 04 | 190-192 | ||
| P113 | 15 | 794 | P836 | 15 | 795 | Q335 | 04 | 205-206 | ||
| P114 | 15 | 791 | P8381 | 15 | 795 | Q336 | 04 | 205-206 | ||
| P114 | 15 | 793 | P8388 | 15 | 795 | Q338 | 04 | 205-206 | ||
| P115 | 15 | 791 | P839 | 15 | 794 | Q339 | 04 | 205-206 | ||
| P115 | 15 | 793 | P84 | 15 | 794 | Q340 | 04 | 205-206 | ||
| P119 | 15 | 791 | P90 | 15 | 791 | Q341 | 04 | 205-206 | ||
| P119 | 15 | 793 | P90 | 15 | 793 | Q348 | 04 | 205-206 | ||
| P120 | 15 | 795 | P910 | 15 | 791 | Q349 | 04 | 205-206 | ||
| P121 | 15 | 795 | P910 | 15 | 793 | Q351 | Pre | 011-013 | ||
| P122 | 15 | 791 | P911 | 15 | 791 | Q351 | 03 | 157-159 | ||
| P122 | 15 | 793 | P911 | 15 | 793 | Q353 | Pre | 011-013 | ||
| P123 | 15 | 795 | P912 | 01 | 091-093 | Q353 | 03 | 157-159 | ||
| P124 | 15 | 795 | P912 | 15 | 791 | Q355 | Pre | 011-013 | ||
| P1281 | 15 | 795 | P912 | 15 | 793 | Q355 | 03 | 157-159 | ||
| P1289 | 15 | 795 | P913 | 15 | 791 | Q357 | Pre | 011-013 | ||
| P129 | 15 | 795 | P913 | 15 | 793 | Q357 | 03 | 157-159 | ||
| P130 | 15 | 794 | P914 | 15 | 791 | Q359 | Pre | 011-013 | ||
| P131 | 15 | 794 | P914 | 15 | 793 | Q359 | 03 | 157-159 | ||
| P132 | 15 | 794 | P915 | 15 | 791 | Q360 | Pre | 011-013 | ||
| P133 | 15 | 794 | P915 | 15 | 793 | Q360 | 03 | 157-159 | ||
| P134 | 15 | 794 | P9160 | 15 | 794 | Q361 | Pre | 011-013 | ||
| P138 | 15 | 794 | P9161 | 15 | 794 | Q361 | 03 | 157-159 | ||
| P139 | 15 | 794 | P9162 | 15 | 791 | Q369 | Pre | 011-013 | ||
| P140 | 15 | 794 | P9162 | 15 | 793 | Q369 | 03 | 157-159 | ||
| P141 | 15 | 794 | P9163 | 15 | 791 | Q370 | Pre | 011-013 | ||
| P142 | 15 | 791 | P9163 | 15 | 793 | Q370 | 03 | 157-159 | ||
| P142 | 15 | 793 | P91811 | 15 | 791 | Q371 | Pre | 011-013 | ||
| P143 | 15 | 794 | P91811 | 15 | 793 | Q371 | 03 | 157-159 | ||
| P148 | 15 | 791 | P91819 | 15 | 791 | Q372 | Pre | 011-013 | ||
| P148 | 15 | 793 | P91819 | 15 | 793 | Q372 | 03 | 157-159 | ||
| P149 | 15 | 791 | P91821 | 15 | 791 | Q373 | Pre | 011-013 | ||
| P149 | 15 | 793 | P91821 | 15 | 793 | Q373 | 03 | 157-159 | ||
| P150 | 15 | 794 | P91822 | 15 | 791 | Q374 | Pre | 011-013 | ||
| P151 | 15 | 794 | P91822 | 15 | 793 | Q374 | 03 | 157-159 | ||
| P152 | 15 | 794 | P91823 | 15 | 791 | Q375 | Pre | 011-013 | ||
| P153 | 15 | 794 | P91823 | 15 | 793 | Q375 | 03 | 157-159 | ||
| P154 | 15 | 794 | P91829 | 15 | 791 | Q378 | Pre | 011-013 | ||
| P155 | 15 | 794 | P91829 | 15 | 793 | Q378 | 03 | 157-159 | ||
| P156 | 15 | 794 | P9188 | 15 | 791 | Q379 | Pre | 011-013 | ||
| P158 | 15 | 794 | P9188 | 15 | 793 | Q379 | 03 | 157-159 | ||
| P159 | 15 | 794 | P919 | 15 | 791 | Q380 | Pre | 011-013 | ||
| P190 | 15 | 794 | P919 | 15 | 793 | Q380 | 03 | 157-159 | ||
| P191 | 15 | 794 | P9201 | 15 | 791 | Q381 | Pre | 011-013 | ||
| P192 | 15 | 794 | P9201 | 15 | 793 | Q381 | 03 | 157-159 | ||
| P199 | 15 | 794 | P9209 | 15 | 795 | Q382 | Pre | 011-013 | ||
| P220 | 15 | 790 | P921 | 15 | 795 | Q382 | 03 | 157-159 | ||
| P221 | 15 | 794 | P922 | 15 | 795 | Q383 | Pre | 011-013 | ||
| P228 | 15 | 794 | P923 | 15 | 795 | Q383 | 03 | 157-159 | ||
| P229 | 15 | 794 | P924 | 15 | 795 | Q384 | Pre | 011-013 | ||
| P230 | 15 | 791 | P925 | 15 | 795 | Q384 | 03 | 154-156 | ||
| P230 | 15 | 793 | P926 | 10 | 640-641 | Q385 | 06 | 393-395 | ||
| P231 | 15 | 791 | P928 | 15 | 795 | Q386 | Pre | 011-013 | ||
| P231 | 15 | 793 | P929 | 15 | 795 | Q386 | 03 | 157-159 | ||
| P232 | 15 | 791 | P930 | 15 | 791 | Q387 | Pre | 011-013 | ||
| P232 | 15 | 793 | P930 | 15 | 793 | Q387 | 03 | 154-156 | ||
| P233 | 15 | 791 | P938 | 15 | 791 | Q388 | Pre | 011-013 | ||
| P233 | 15 | 793 | P938 | 15 | 793 | Q388 | 03 | 154-156 | ||
| P234 | 15 | 791 | P940 | 15 | 791 | Q390 | 06 | 368-370 | ||
| P234 | 15 | 793 | P940 | 15 | 793 | Q391 | 06 | 368-370 | ||
| P235 | 15 | 791 | P941 | 15 | 794 | Q392 | 06 | 368-370 | ||
| P235 | 15 | 793 | P942 | 15 | 794 | Q393 | 06 | 368-370 | ||
| P236 | 15 | 791 | P948 | 15 | 794 | Q394 | 06 | 368-370 | ||
| P236 | 15 | 793 | P949 | 15 | 794 | Q395 | 06 | 368-370 | ||
| P238 | 15 | 791 | P95 | 15 | 794 | Q396 | 06 | 368-370 | ||
| P238 | 15 | 793 | P960 | 15 | 794 | Q398 | 06 | 368-370 | ||
| P239 | 15 | 791 | P961 | 15 | 791 | Q399 | 06 | 368-370 | ||
| P239 | 15 | 793 | P961 | 15 | 793 | Q400 | 06 | 393-395 | ||
| P2400 | 15 | 791 | P962 | 15 | 791 | Q401 | 06 | 393-395 | ||
| P2400 | 15 | 793 | P962 | 15 | 793 | Q402 | 06 | 393-395 | ||
| P2401 | 15 | 791 | P963 | 15 | 794 | Q403 | 06 | 393-395 | ||
| P2401 | 15 | 793 | P965 | 15 | 794 | Q408 | 06 | 393-395 | ||
| P2410 | 15 | 791 | P9681 | 15 | 794 | Q409 | 06 | 393-395 | ||
| P2410 | 15 | 793 | P9682 | 15 | 795 | Q410 | 06 | 393-395 | ||
| P2411 | 15 | 791 | P9683 | 15 | 794 | Q411 | 06 | 393-395 | ||
| P2411 | 15 | 793 | P9689 | 15 | 794 | Q412 | 06 | 393-395 | ||
| P2420 | 15 | 791 | P969 | 15 | 794 | Q418 | 06 | 393-395 | ||
| P2420 | 15 | 793 | Q000 | 01 | 091-093 | Q419 | 06 | 393-395 | ||
| P2421 | 15 | 791 | Q000 | 15 | 791 | Q420 | 06 | 393-395 | ||
| P2421 | 15 | 793 | Q000 | 15 | 793 | Q421 | 06 | 393-395 | ||
| P2430 | 15 | 791 | Q001 | 01 | 091-093 | Q422 | 06 | 393-395 | ||
| P2430 | 15 | 793 | Q001 | 15 | 791 | Q423 | 06 | 393-395 | ||
| P2431 | 15 | 791 | Q001 | 15 | 793 | Q428 | 06 | 393-395 | ||
| P2431 | 15 | 793 | Q002 | 01 | 091-093 | Q429 | 06 | 393-395 | ||
| P2480 | 15 | 791 | Q002 | 15 | 791 | Q430 | 06 | 380-382 | ||
| P2480 | 15 | 793 | Q002 | 15 | 793 | Q431 | 06 | 393-395 | ||
| P2481 | 15 | 791 | Q010 | 01 | 091-093 | Q432 | 06 | 393-395 | ||
| P2481 | 15 | 793 | Q010 | 15 | 791 | Q433 | 06 | 393-395 | ||
| P249 | 15 | 791 | Q010 | 15 | 793 | Q434 | 06 | 393-395 | ||
| P249 | 15 | 793 | Q011 | 01 | 091-093 | Q435 | 06 | 393-395 | ||
| P250 | 15 | 791 | Q011 | 15 | 791 | Q436 | 06 | 393-395 | ||
| P250 | 15 | 793 | Q011 | 15 | 793 | Q437 | 06 | 393-395 | ||
| P251 | 15 | 791 | Q012 | 01 | 091-093 | Q438 | 06 | 393-395 | ||
| P251 | 15 | 793 | Q012 | 15 | 791 | Q439 | 06 | 393-395 | ||
| P252 | 15 | 791 | Q012 | 15 | 793 | Q440 | 07 | 441-443 | ||
| P252 | 15 | 793 | Q018 | 01 | 091-093 | Q441 | 07 | 441-443 | ||
| P253 | 15 | 791 | Q018 | 15 | 791 | Q442 | 07 | 444-446 | ||
| P253 | 15 | 793 | Q018 | 15 | 793 | Q443 | 07 | 444-446 | ||
| P258 | 15 | 791 | Q019 | 01 | 091-093 | Q444 | 07 | 441-443 | ||
| P258 | 15 | 793 | Q019 | 15 | 791 | Q445 | 07 | 441-443 | ||
| P260 | 15 | 791 | Q019 | 15 | 793 | Q446 | 07 | 441-443 | ||
| P260 | 15 | 793 | Q02 | 01 | 091-093 | Q447 | 07 | 441-443 | ||
| P261 | 15 | 791 | Q02 | 15 | 791 | Q450 | 07 | 438-440 | ||
| P261 | 15 | 793 | Q02 | 15 | 793 | Q451 | 07 | 438-440 | ||
| P268 | 15 | 791 | Q030 | 01 | 091-093 | Q452 | 07 | 438-440 | ||
| P268 | 15 | 793 | Q030 | 15 | 791 | Q453 | 07 | 438-440 | ||
| P269 | 15 | 791 | Q030 | 15 | 793 | Q458 | 06 | 393-395 | ||
| P269 | 15 | 793 | Q031 | 01 | 091-093 | Q459 | 06 | 393-395 | ||
| P270 | 04 | 196-198 | Q031 | 15 | 791 | Q5001 | 13 | 742-743 | ||
| P271 | 04 | 196-198 | Q031 | 15 | 793 | Q5001 | 13 | 760-761 | ||
| P278 | 04 | 196-198 | Q038 | 01 | 091-093 | Q5002 | 13 | 742-743 | ||
| P279 | 04 | 196-198 | Q038 | 15 | 791 | Q5002 | 13 | 760-761 | ||
| P280 | 15 | 791 | Q038 | 15 | 793 | Q501 | 13 | 742-743 | ||
| P280 | 15 | 793 | Q039 | 01 | 091-093 | Q501 | 13 | 760-761 | ||
| P2810 | 15 | 794 | Q039 | 15 | 791 | Q502 | 13 | 742-743 | ||
| P2811 | 15 | 794 | Q039 | 15 | 793 | Q502 | 13 | 760-761 | ||
| P2819 | 15 | 794 | Q040 | 01 | 091-093 | Q5031 | 13 | 742-743 | ||
| P282 | 15 | 794 | Q040 | 15 | 791 | Q5031 | 13 | 760-761 | ||
| P283 | 15 | 794 | Q040 | 15 | 793 | Q5032 | 13 | 742-743 | ||
| P284 | 15 | 794 | Q041 | 01 | 091-093 | Q5032 | 13 | 760-761 | ||
| P285 | 15 | 791 | Q041 | 15 | 791 | Q5039 | 13 | 742-743 | ||
| P285 | 15 | 793 | Q041 | 15 | 793 | Q5039 | 13 | 760-761 | ||
| P2881 | 15 | 794 | Q042 | 01 | 091-093 | Q504 | 13 | 742-743 | ||
| P2889 | 15 | 794 | Q042 | 15 | 791 | Q504 | 13 | 760-761 | ||
| P289 | 15 | 794 | Q042 | 15 | 793 | Q505 | 13 | 742-743 | ||
| P290 | 15 | 794 | Q043 | 01 | 091-093 | Q505 | 13 | 760-761 | ||
| P2911 | 15 | 794 | Q043 | 15 | 791 | Q506 | 13 | 742-743 | ||
| P2912 | 15 | 794 | Q043 | 15 | 793 | Q506 | 13 | 760-761 | ||
| P292 | 15 | 794 | Q044 | 01 | 091-093 | Q510 | 13 | 742-743 | ||
| P2930 | 15 | 791 | Q044 | 15 | 791 | Q510 | 13 | 760-761 | ||
| P2930 | 15 | 793 | Q044 | 15 | 793 | Q5110 | 13 | 742-743 | ||
| P2938 | 15 | 791 | Q045 | 01 | 091-093 | Q5110 | 13 | 760-761 | ||
| P2938 | 15 | 793 | Q045 | 15 | 791 | Q5111 | 13 | 742-743 | ||
| P294 | 15 | 794 | Q045 | 15 | 793 | Q5111 | 13 | 760-761 | ||
| P2981 | 15 | 791 | Q046 | 01 | 091-093 | Q5121 | 13 | 742-743 | ||
| P2981 | 15 | 793 | Q046 | 15 | 791 | Q5121 | 13 | 760-761 | ||
| P2989 | 15 | 794 | Q046 | 15 | 793 | Q5122 | 13 | 742-743 | ||
| P299 | 15 | 794 | Q048 | 01 | 091-093 | Q5122 | 13 | 760-761 | ||
| P350 | 15 | 791 | Q048 | 15 | 791 | Q5128 | 13 | 742-743 | ||
| P350 | 15 | 793 | Q048 | 15 | 793 | Q5128 | 13 | 760-761 | ||
| P351 | 15 | 791 | Q049 | 01 | 091-093 | Q513 | 13 | 742-743 | ||
| P351 | 15 | 793 | Q049 | 15 | 791 | Q513 | 13 | 760-761 | ||
| P352 | 15 | 791 | Q049 | 15 | 793 | Q514 | 13 | 742-743 | ||
| P352 | 15 | 793 | Q050 | 01 | 091-093 | Q514 | 13 | 760-761 | ||
| P353 | 15 | 791 | Q050 | 15 | 791 | Q515 | 13 | 742-743 | ||
| P353 | 15 | 793 | Q050 | 15 | 793 | Q515 | 13 | 760-761 | ||
| P354 | 15 | 791 | Q051 | 01 | 091-093 | Q516 | 13 | 742-743 | ||
| P354 | 15 | 793 | Q051 | 15 | 791 | Q516 | 13 | 760-761 | ||
| P358 | 15 | 791 | Q051 | 15 | 793 | Q517 | 13 | 742-743 | ||
| P358 | 15 | 793 | Q052 | 01 | 091-093 | Q517 | 13 | 760-761 | ||
| P359 | 15 | 791 | Q052 | 15 | 791 | Q51810 | 13 | 742-743 | ||
| P359 | 15 | 793 | Q052 | 15 | 793 | Q51810 | 13 | 760-761 | ||
| P360 | 15 | 791 | Q053 | 01 | 091-093 | Q51811 | 13 | 742-743 | ||
| P360 | 15 | 793 | Q053 | 15 | 791 | Q51811 | 13 | 760-761 | ||
| P3610 | 15 | 791 | Q053 | 15 | 793 | Q51818 | 13 | 742-743 | ||
| P3610 | 15 | 793 | Q054 | 01 | 091-093 | Q51818 | 13 | 760-761 | ||
| P3619 | 15 | 791 | Q054 | 15 | 791 | Q51820 | 13 | 742-743 | ||
| P3619 | 15 | 793 | Q054 | 15 | 793 | Q51820 | 13 | 760-761 | ||
| P362 | 15 | 791 | Q055 | 01 | 091-093 | Q51821 | 13 | 742-743 | ||
| P362 | 15 | 793 | Q055 | 15 | 791 | Q51821 | 13 | 760-761 | ||
| P3630 | 15 | 791 | Q055 | 15 | 793 | Q51828 | 13 | 742-743 | ||
| P3630 | 15 | 793 | Q056 | 01 | 091-093 | Q51828 | 13 | 760-761 | ||
| P3639 | 15 | 791 | Q056 | 15 | 791 | Q519 | 13 | 742-743 | ||
| P3639 | 15 | 793 | Q056 | 15 | 793 | Q519 | 13 | 760-761 | ||
| P364 | 15 | 791 | Q057 | 01 | 091-093 | Q520 | 13 | 742-743 | ||
| P364 | 15 | 793 | Q057 | 15 | 791 | Q520 | 13 | 760-761 | ||
| P365 | 15 | 791 | Q057 | 15 | 793 | Q5210 | 13 | 742-743 | ||
| P365 | 15 | 793 | Q058 | 01 | 091-093 | Q5210 | 13 | 760-761 | ||
| P368 | 15 | 791 | Q058 | 15 | 791 | Q5211 | 13 | 742-743 | ||
| P368 | 15 | 793 | Q058 | 15 | 793 | Q5211 | 13 | 760-761 | ||
| P369 | 15 | 791 | Q059 | 01 | 091-093 | Q52120 | 13 | 742-743 | ||
| P369 | 15 | 793 | Q059 | 15 | 791 | Q52120 | 13 | 760-761 | ||
| P370 | 15 | 791 | Q059 | 15 | 793 | Q52121 | 13 | 742-743 | ||
| P370 | 15 | 793 | Q060 | 01 | 091-093 | Q52121 | 13 | 760-761 | ||
| P371 | 15 | 791 | Q060 | 15 | 791 | Q52122 | 13 | 742-743 | ||
| P371 | 15 | 793 | Q060 | 15 | 793 | Q52122 | 13 | 760-761 | ||
| P372 | 15 | 791 | Q061 | 01 | 091-093 | Q52123 | 13 | 742-743 | ||
| P372 | 15 | 793 | Q061 | 15 | 791 | Q52123 | 13 | 760-761 | ||
| P373 | 15 | 791 | Q061 | 15 | 793 | Q52124 | 13 | 742-743 | ||
| P373 | 15 | 793 | Q062 | 01 | 091-093 | Q52124 | 13 | 760-761 | ||
| P374 | 15 | 791 | Q062 | 15 | 791 | Q52129 | 13 | 742-743 | ||
| P374 | 15 | 793 | Q062 | 15 | 793 | Q52129 | 13 | 760-761 | ||
| P375 | 15 | 794 | Q063 | 01 | 091-093 | Q522 | 13 | 742-743 | ||
| P378 | 15 | 791 | Q063 | 15 | 791 | Q522 | 13 | 760-761 | ||
| P378 | 15 | 793 | Q063 | 15 | 793 | Q523 | 13 | 742-743 | ||
| P379 | 15 | 791 | Q064 | 01 | 091-093 | Q523 | 13 | 760-761 | ||
| P379 | 15 | 793 | Q064 | 15 | 791 | Q524 | 13 | 742-743 | ||
| P381 | 15 | 791 | Q064 | 15 | 793 | Q524 | 13 | 760-761 | ||
| P381 | 15 | 793 | Q068 | 01 | 091-093 | Q525 | 13 | 742-743 | ||
| P389 | 15 | 791 | Q068 | 15 | 791 | Q525 | 13 | 760-761 | ||
| P389 | 15 | 793 | Q068 | 15 | 793 | Q526 | 13 | 742-743 | ||
| P390 | 15 | 791 | Q069 | 01 | 091-093 | Q526 | 13 | 760-761 | ||
| P390 | 15 | 793 | Q069 | 15 | 791 | Q5270 | 13 | 742-743 | ||
| P391 | 15 | 794 | Q069 | 15 | 793 | Q5270 | 13 | 760-761 | ||
| P392 | 15 | 791 | Q0700 | 01 | 091-093 | Q5271 | 13 | 742-743 | ||
| P392 | 15 | 793 | Q0700 | 15 | 791 | Q5271 | 13 | 760-761 | ||
| P393 | 15 | 791 | Q0700 | 15 | 793 | Q5279 | 13 | 742-743 | ||
| P393 | 15 | 793 | Q0701 | 01 | 091-093 | Q5279 | 13 | 760-761 | ||
| P394 | 15 | 791 | Q0701 | 15 | 791 | Q528 | 13 | 742-743 | ||
| P394 | 15 | 793 | Q0701 | 15 | 793 | Q528 | 13 | 760-761 | ||
| P398 | 15 | 791 | Q0702 | 01 | 091-093 | Q529 | 13 | 742-743 | ||
| P398 | 15 | 793 | Q0702 | 15 | 791 | Q529 | 13 | 760-761 | ||
| P399 | 15 | 791 | Q0702 | 15 | 793 | Q5300 | 12 | 729-730 | ||
| P399 | 15 | 793 | Q0703 | 01 | 091-093 | Q5300 | 15 | 795 | ||
| P500 | 15 | 791 | Q0703 | 15 | 791 | Q5301 | 12 | 729-730 | ||
| P500 | 15 | 793 | Q0703 | 15 | 793 | Q5301 | 15 | 795 | ||
| P501 | 15 | 791 | Q078 | 01 | 091-093 | Q5302 | 12 | 729-730 | ||
| P501 | 15 | 793 | Q078 | 15 | 791 | Q5302 | 15 | 795 | ||
| P502 | 15 | 791 | Q078 | 15 | 793 | Q5310 | 12 | 729-730 | ||
| P502 | 15 | 793 | Q079 | 01 | 091-093 | Q5310 | 15 | 795 | ||
| P503 | 15 | 791 | Q079 | 15 | 791 | Q53111 | 12 | 729-730 | ||
| P503 | 15 | 793 | Q079 | 15 | 793 | Q53111 | 15 | 795 | ||
| P504 | 15 | 791 | Q100 | 02 | 124-125 | Q53112 | 12 | 729-730 | ||
| P504 | 15 | 793 | Q101 | 02 | 124-125 | Q53112 | 15 | 795 | ||
| P505 | 15 | 791 | Q102 | 02 | 124-125 | Q5312 | 12 | 729-730 | ||
| P505 | 15 | 793 | Q103 | 02 | 124-125 | Q5312 | 15 | 795 | ||
| P508 | 15 | 791 | Q104 | 02 | 124-125 | Q5313 | 12 | 729-730 | ||
| P508 | 15 | 793 | Q105 | 02 | 124-125 | Q5313 | 15 | 795 | ||
| P509 | 15 | 791 | Q106 | 02 | 124-125 | Q5320 | 12 | 729-730 | ||
| P509 | 15 | 793 | Q107 | 02 | 124-125 | Q5320 | 15 | 795 | ||
| P510 | 15 | 794 | Q110 | 02 | 124-125 | Q53211 | 12 | 729-730 | ||
| P518 | 15 | 794 | Q111 | 02 | 124-125 | Q53211 | 15 | 795 | ||
| P519 | 15 | 794 | Q112 | 02 | 124-125 | Q53212 | 12 | 729-730 | ||
| P520 | 15 | 791 | Q113 | 02 | 124-125 | Q53212 | 15 | 795 | ||
| P520 | 15 | 793 | Q120 | 02 | 124-125 | Q5322 | 12 | 729-730 | ||
| P521 | 15 | 791 | Q121 | 02 | 124-125 | Q5322 | 15 | 795 | ||
| P521 | 15 | 793 | Q122 | 02 | 124-125 | Q5323 | 12 | 729-730 | ||
| P5221 | 15 | 791 | Q123 | 02 | 124-125 | Q5323 | 15 | 795 | ||
| P5221 | 15 | 793 | Q124 | 02 | 124-125 | Q539 | 12 | 729-730 | ||
| P5222 | 15 | 791 | Q128 | 02 | 124-125 | Q539 | 15 | 795 | ||
| P5222 | 15 | 793 | Q129 | 02 | 124-125 | Q540 | 12 | 729-730 | ||
| P523 | 15 | 791 | Q130 | 02 | 124-125 | Q541 | 12 | 729-730 | ||
| P523 | 15 | 793 | Q131 | 02 | 124-125 | Q542 | 12 | 729-730 | ||
| P524 | 15 | 791 | Q132 | 02 | 124-125 | Q543 | 12 | 729-730 | ||
| P524 | 15 | 793 | Q133 | 02 | 124-125 | Q544 | 12 | 729-730 | ||
| P525 | 15 | 791 | Q134 | 02 | 124-125 | Q548 | 12 | 729-730 | ||
| P525 | 15 | 793 | Q135 | 02 | 124-125 | Q549 | 12 | 729-730 | ||
| P526 | 15 | 791 | Q1381 | 02 | 124-125 | Q550 | 12 | 729-730 | ||
| P526 | 15 | 793 | Q1389 | 02 | 124-125 | Q551 | 12 | 729-730 | ||
| P528 | 15 | 791 | Q139 | 02 | 124-125 | Q5520 | 12 | 729-730 | ||
| P528 | 15 | 793 | Q140 | 02 | 124-125 | Q5521 | 12 | 729-730 | ||
| P529 | 15 | 791 | Q141 | 02 | 124-125 | Q5522 | 12 | 729-730 | ||
| P529 | 15 | 793 | Q142 | 02 | 124-125 | Q5522 | 15 | 795 | ||
| P53 | 15 | 791 | Q143 | 02 | 124-125 | Q5523 | 12 | 729-730 | ||
| P53 | 15 | 793 | Q148 | 02 | 124-125 | Q5529 | 12 | 729-730 | ||
| P540 | 15 | 794 | Q149 | 02 | 124-125 | Q553 | 12 | 729-730 | ||
| P541 | 15 | 791 | Q150 | 02 | 124-125 | Q554 | 12 | 729-730 | ||
| P541 | 15 | 793 | Q158 | 02 | 124-125 | Q555 | 12 | 729-730 | ||
| P542 | 15 | 791 | Q159 | 02 | 124-125 | Q5561 | 12 | 729-730 | ||
| P542 | 15 | 793 | Q160 | 03 | 154-156 | Q5562 | 12 | 729-730 | ||
| P543 | 15 | 791 | Q161 | 03 | 154-156 | Q5563 | 12 | 729-730 | ||
| P543 | 15 | 793 | Q162 | 03 | 154-156 | Q5564 | 12 | 729-730 | ||
| P544 | 15 | 791 | Q163 | 03 | 154-156 | Q5569 | 12 | 729-730 | ||
| P544 | 15 | 793 | Q164 | 03 | 154-156 | Q557 | 12 | 729-730 | ||
| P545 | 15 | 795 | Q165 | 03 | 154-156 | Q558 | 12 | 729-730 | ||
| P546 | 15 | 794 | Q169 | 03 | 154-156 | Q559 | 12 | 729-730 | ||
| P548 | 15 | 794 | Q170 | 03 | 154-156 | Q560 | 12 | 729-730 | ||
| P549 | 15 | 794 | Q170 | 15 | 795 | Q560 | 13 | 742-743 | ||
| P550 | 15 | 794 | Q171 | 03 | 154-156 | Q560 | 13 | 760-761 | ||
| P551 | 15 | 794 | Q172 | 03 | 154-156 | Q561 | 12 | 729-730 | ||
| P558 | 15 | 791 | Q173 | 03 | 154-156 | Q562 | 13 | 742-743 | ||
| P558 | 15 | 793 | Q174 | 03 | 154-156 | Q562 | 13 | 760-761 | ||
| P559 | 15 | 791 | Q175 | 03 | 154-156 | Q563 | 12 | 729-730 | ||
| P559 | 15 | 793 | Q178 | 03 | 154-156 | Q563 | 13 | 742-743 | ||
| P560 | 15 | 791 | Q179 | 03 | 154-156 | Q563 | 13 | 760-761 | ||
| P560 | 15 | 793 | Q180 | 03 | 154-156 | Q564 | 12 | 729-730 | ||
| P5690 | 15 | 791 | Q181 | 03 | 154-156 | Q564 | 13 | 742-743 | ||
| P5690 | 15 | 793 | Q182 | 03 | 154-156 | Q564 | 13 | 760-761 | ||
| P5699 | 15 | 791 | Q183 | 09 | 606-607 | Q600 | 11 | 698-700 | ||
| P5699 | 15 | 793 | Q184 | 03 | 157-159 | Q601 | 11 | 698-700 | ||
| P570 | 15 | 791 | Q185 | 03 | 157-159 | Q602 | 11 | 698-700 | ||
| P570 | 15 | 793 | Q186 | 03 | 157-159 | Q603 | 11 | 698-700 | ||
| P578 | 15 | 791 | Q187 | 03 | 157-159 | Q604 | 11 | 698-700 | ||
| P578 | 15 | 793 | Q188 | 03 | 154-156 | Q605 | 11 | 698-700 | ||
| P579 | 15 | 791 | Q189 | 09 | 606-607 | Q606 | 11 | 698-700 | ||
| P579 | 15 | 793 | Q200 | 05 | 306-307 | Q6100 | 11 | 698-700 | ||
| P580 | 15 | 794 | Q201 | 05 | 306-307 | Q6101 | 11 | 698-700 | ||
| P581 | 15 | 794 | Q202 | 05 | 306-307 | Q6102 | 11 | 698-700 | ||
| P582 | 15 | 794 | Q203 | 05 | 306-307 | Q6111 | 11 | 698-700 | ||
| P583 | 15 | 794 | Q204 | 05 | 306-307 | Q6119 | 11 | 698-700 | ||
| P5841 | 15 | 794 | Q205 | 05 | 306-307 | Q612 | 11 | 698-700 | ||
| P5842 | 15 | 794 | Q206 | 05 | 306-307 | Q613 | 11 | 698-700 | ||
| P585 | 15 | 794 | Q208 | 05 | 306-307 | Q614 | 11 | 698-700 | ||
| P588 | 15 | 794 | Q209 | 05 | 306-307 | Q615 | 11 | 698-700 | ||
| P589 | 15 | 794 | Q210 | 05 | 306-307 | Q618 | 11 | 698-700 | ||
| P590 | 15 | 794 | Q210 | 15 | 791 | Q619 | 11 | 698-700 | ||
| P591 | 15 | 791 | Q210 | 15 | 793 | Q620 | 11 | 698-700 | ||
| P591 | 15 | 793 | Q211 | 05 | 306-307 | Q6210 | 11 | 698-700 | ||
| P5920 | 15 | 791 | Q212 | 05 | 306-307 | Q6211 | 11 | 698-700 | ||
| P5920 | 15 | 793 | Q213 | 05 | 306-307 | Q6212 | 11 | 698-700 | ||
| P5929 | 15 | 791 | Q214 | 05 | 306-307 | Q622 | 11 | 698-700 | ||
| P5929 | 15 | 793 | Q218 | 05 | 306-307 | Q6231 | 11 | 698-700 | ||
| P593 | 15 | 795 | Q219 | 05 | 306-307 | Q6232 | 11 | 698-700 | ||
| P598 | 15 | 795 | Q220 | 05 | 306-307 | Q6239 | 11 | 698-700 | ||
| P599 | 15 | 795 | Q221 | 05 | 306-307 | Q624 | 11 | 698-700 | ||
| P60 | 15 | 791 | Q222 | 05 | 306-307 | Q625 | 11 | 698-700 | ||
| P60 | 15 | 793 | Q223 | 05 | 306-307 | Q6260 | 11 | 698-700 | ||
| P610 | 15 | 791 | Q224 | 05 | 306-307 | Q6261 | 11 | 698-700 | ||
| P610 | 15 | 793 | Q225 | 05 | 306-307 | Q6262 | 11 | 698-700 | ||
| P611 | 15 | 794 | Q226 | 05 | 306-307 | Q6263 | 11 | 698-700 | ||
| P612 | 15 | 791 | Q228 | 05 | 306-307 | Q6269 | 11 | 698-700 | ||
| P612 | 15 | 793 | Q229 | 05 | 306-307 | Q627 | 11 | 698-700 | ||
| P613 | 15 | 794 | Q230 | 05 | 306-307 | Q628 | 11 | 698-700 | ||
| P614 | 15 | 794 | Q231 | 05 | 306-307 | Q630 | 11 | 698-700 | ||
| P615 | 15 | 794 | Q232 | 05 | 306-307 | Q631 | 11 | 698-700 | ||
| P616 | 15 | 791 | Q233 | 05 | 306-307 | Q632 | 11 | 698-700 | ||
| P616 | 15 | 793 | Q234 | 05 | 306-307 | Q633 | 11 | 698-700 | ||
| P618 | 15 | 794 | Q238 | 05 | 306-307 | Q638 | 11 | 698-700 | ||
| P619 | 15 | 794 | Q239 | 05 | 306-307 | Q639 | 11 | 698-700 | ||
| P700 | 15 | 794 | Q240 | 05 | 306-307 | Q640 | 12 | 729-730 | ||
| P701 | 15 | 794 | Q241 | 05 | 306-307 | Q6410 | 11 | 698-700 | ||
| P702 | 15 | 791 | Q242 | 05 | 306-307 | Q6411 | 11 | 698-700 | ||
| P702 | 15 | 793 | Q243 | 05 | 306-307 | Q6412 | 11 | 698-700 | ||
| P703 | 15 | 791 | Q244 | 05 | 306-307 | Q6419 | 11 | 698-700 | ||
| P703 | 15 | 793 | Q245 | 05 | 306-307 | Q642 | 11 | 698-700 | ||
| P704 | 15 | 791 | Q246 | 05 | 308-310 | Q6431 | 11 | 698-700 | ||
| P704 | 15 | 793 | Q248 | 05 | 306-307 | Q6432 | 11 | 698-700 | ||
| P708 | 15 | 794 | Q249 | 05 | 306-307 | Q6433 | 11 | 698-700 | ||
| P709 | 15 | 794 | Q250 | 05 | 306-307 | Q6439 | 11 | 698-700 | ||
| P710 | 15 | 791 | Q251 | 05 | 306-307 | Q644 | 11 | 698-700 | ||
| P710 | 15 | 793 | Q2521 | 05 | 306-307 | Q645 | 11 | 698-700 | ||
| P711 | 15 | 791 | Q2529 | 05 | 306-307 | Q646 | 11 | 698-700 | ||
| P711 | 15 | 793 | Q253 | 05 | 306-307 | Q6470 | 11 | 698-700 | ||
| P712 | 15 | 791 | Q2540 | 05 | 306-307 | Q6471 | 11 | 698-700 | ||
| P712 | 15 | 793 | Q2541 | 05 | 306-307 | Q6472 | 11 | 698-700 | ||
| P713 | 15 | 791 | Q2542 | 05 | 306-307 | Q6473 | 11 | 698-700 | ||
| P713 | 15 | 793 | Q2543 | 05 | 306-307 | Q6474 | 11 | 698-700 | ||
| P714 | 15 | 791 | Q2544 | 05 | 306-307 | Q6475 | 11 | 698-700 | ||
| P714 | 15 | 793 | Q2545 | 05 | 306-307 | Q6479 | 11 | 698-700 | ||
| P718 | 15 | 791 | Q2546 | 05 | 306-307 | Q648 | 11 | 698-700 | ||
| P718 | 15 | 793 | Q2547 | 05 | 306-307 | Q649 | 11 | 698-700 | ||
| P719 | 15 | 791 | Q2548 | 05 | 306-307 | Q6500 | 08 | 564-566 | ||
| P719 | 15 | 793 | Q2549 | 05 | 306-307 | Q6501 | 08 | 564-566 | ||
| P720 | 15 | 794 | Q255 | 05 | 306-307 | Q6502 | 08 | 564-566 | ||
| P721 | 15 | 791 | Q256 | 05 | 306-307 | Q651 | 08 | 564-566 | ||
| P721 | 15 | 793 | Q2571 | 05 | 306-307 | Q652 | 08 | 564-566 | ||
| P722 | 15 | 794 | Q2572 | 05 | 306-307 | Q6530 | 08 | 564-566 | ||
| P728 | 15 | 794 | Q2579 | 05 | 306-307 | Q6531 | 08 | 564-566 | ||
| P729 | 15 | 794 | Q258 | 05 | 306-307 | Q6532 | 08 | 564-566 | ||
| P740 | 15 | 791 | Q259 | 05 | 306-307 | Q654 | 08 | 564-566 | ||
| P740 | 15 | 793 | Q260 | 05 | 306-307 | Q655 | 08 | 564-566 | ||
| P741 | 15 | 791 | Q261 | 05 | 306-307 | Q656 | 08 | 564-566 | ||
| P741 | 15 | 793 | Q262 | 05 | 306-307 | Q6581 | 08 | 564-566 | ||
| P7421 | 15 | 791 | Q263 | 05 | 306-307 | Q6582 | 08 | 564-566 | ||
| P7421 | 15 | 793 | Q264 | 05 | 306-307 | Q6589 | 08 | 564-566 | ||
| P7422 | 15 | 791 | Q265 | 05 | 299-301 | Q659 | 08 | 564-566 | ||
| P7422 | 15 | 793 | Q266 | 05 | 299-301 | Q6600 | 08 | 564-566 | ||
| P7431 | 15 | 791 | Q268 | 05 | 306-307 | Q6601 | 08 | 564-566 | ||
| P7431 | 15 | 793 | Q269 | 05 | 306-307 | Q6602 | 08 | 564-566 | ||
| P7432 | 15 | 791 | Q270 | 05 | 299-301 | Q6610 | 08 | 564-566 | ||
| P7432 | 15 | 793 | Q271 | 05 | 299-301 | Q6611 | 08 | 564-566 | ||
| P7441 | 15 | 794 | Q272 | 05 | 299-301 | Q6612 | 08 | 564-566 | ||
| P74421 | 15 | 791 | Q2730 | 05 | 299-301 | Q66211 | 08 | 564-566 | ||
| P74421 | 15 | 793 | Q2731 | 05 | 299-301 | Q66212 | 08 | 564-566 | ||
| P74422 | 15 | 791 | Q2732 | 05 | 299-301 | Q66219 | 08 | 564-566 | ||
| P74422 | 15 | 793 | Q2733 | 05 | 299-301 | Q66221 | 08 | 564-566 | ||
| P7449 | 15 | 791 | Q2734 | 05 | 299-301 | Q66222 | 08 | 564-566 | ||
| P7449 | 15 | 793 | Q2739 | 05 | 299-301 | Q66229 | 08 | 564-566 | ||
| P745 | 15 | 794 | Q274 | 05 | 299-301 | Q6630 | 08 | 564-566 | ||
| P746 | 15 | 794 | Q278 | 05 | 299-301 | Q6631 | 08 | 564-566 | ||
| P748 | 15 | 794 | Q279 | 05 | 299-301 | Q6632 | 08 | 564-566 | ||
| P749 | 15 | 794 | Q280 | 05 | 299-301 | Q6640 | 08 | 564-566 | ||
| P760 | 15 | 791 | Q281 | 05 | 299-301 | Q6641 | 08 | 564-566 | ||
| P760 | 15 | 793 | Q282 | 01 | 091-093 | Q6642 | 08 | 564-566 | ||
| P761 | 15 | 794 | Q283 | 01 | 091-093 | Q6650 | 08 | 564-566 | ||
| P762 | 15 | 791 | Q288 | 05 | 299-301 | Q6650 | 15 | 795 | ||
| P762 | 15 | 793 | Q289 | 05 | 299-301 | Q6651 | 08 | 564-566 | ||
| P768 | 15 | 794 | Q300 | 03 | 154-156 | Q6651 | 15 | 795 | ||
| P769 | 15 | 794 | Q301 | 03 | 154-156 | Q6652 | 08 | 564-566 | ||
| P771 | 15 | 791 | Q302 | 03 | 154-156 | Q6652 | 15 | 795 | ||
| P771 | 15 | 793 | Q303 | 03 | 154-156 | Q666 | 08 | 564-566 | ||
| P772 | 15 | 791 | Q308 | 03 | 154-156 | Q6670 | 08 | 564-566 | ||
| P772 | 15 | 793 | Q309 | 03 | 154-156 | Q6671 | 08 | 564-566 | ||
| P773 | 15 | 791 | Q310 | Pre | 011-013 | Q6672 | 08 | 564-566 | ||
| P773 | 15 | 793 | Q310 | 03 | 154-156 | Q6680 | 08 | 564-566 | ||
| P779 | 15 | 791 | Q311 | Pre | 011-013 | Q6680 | 15 | 795 | ||
| P779 | 15 | 793 | Q311 | 03 | 154-156 | Q6681 | 08 | 564-566 | ||
| P780 | 15 | 791 | Q312 | Pre | 011-013 | Q6681 | 15 | 795 | ||
| P780 | 15 | 793 | Q312 | 03 | 154-156 | Q6682 | 08 | 564-566 | ||
| P781 | 15 | 794 | Q313 | Pre | 011-013 | Q6682 | 15 | 795 | ||
| P782 | 15 | 794 | Q313 | 03 | 154-156 | Q6689 | 08 | 564-566 | ||
| P783 | 15 | 794 | Q315 | Pre | 011-013 | Q6690 | 08 | 564-566 | ||
| P7881 | 15 | 794 | Q315 | 03 | 154-156 | Q6691 | 08 | 564-566 | ||
| P7882 | 15 | 794 | Q318 | Pre | 011-013 | Q6692 | 08 | 564-566 | ||
| P7883 | 15 | 794 | Q318 | 03 | 154-156 | Q670 | 08 | 564-566 | ||
| P7884 | 15 | 794 | Q319 | Pre | 011-013 | Q671 | 08 | 564-566 | ||
| P7889 | 15 | 794 | Q319 | 03 | 154-156 | Q672 | 08 | 564-566 | ||
| P789 | 15 | 794 | Q320 | Pre | 011-013 | Q673 | 08 | 564-566 | ||
| P800 | 15 | 794 | Q320 | 03 | 154-156 | Q674 | 08 | 564-566 | ||
| P808 | 15 | 794 | Q321 | Pre | 011-013 | Q675 | 08 | 456-458 | ||
| P809 | 15 | 794 | Q321 | 03 | 154-156 | Q675 | 08 | 564-566 | ||
| P810 | 15 | 794 | Q322 | Pre | 011-013 | Q676 | 08 | 564-566 | ||
| P818 | 15 | 794 | Q322 | 03 | 154-156 | Q677 | 08 | 564-566 | ||
| P819 | 15 | 794 | Q323 | Pre | 011-013 | Q678 | 08 | 564-566 | ||
| P830 | 15 | 794 | Q323 | 03 | 154-156 | Q680 | 08 | 564-566 | ||
| P831 | 15 | 795 | Q324 | Pre | 011-013 | Q681 | 08 | 564-566 | ||
| P832 | 15 | 791 | Q324 | 03 | 154-156 | Q682 | 08 | 564-566 | ||
| P832 | 15 | 793 | Q330 | 04 | 205-206 | Q683 | 08 | 564-566 | ||
| P8330 | 15 | 794 | Q331 | 04 | 205-206 | Q684 | 08 | 564-566 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2021 20:13:49 CMS, code-revision=301, description-revision=1298 |