ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 49 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S63416A | 08 | 562-563 | S638X9D | 23 | 949-950 | S65593S | 05 | 299-301 | ||
S63416A | 24 | 963-965 | S638X9S | 08 | 562-563 | S65594A | 21 | 913-914 | ||
S63416D | 23 | 949-950 | S6390XA | 08 | 562-563 | S65594A | 24 | 963-965 | ||
S63416S | 08 | 562-563 | S6390XA | 24 | 963-965 | S65594D | 23 | 949-950 | ||
S63417A | 08 | 562-563 | S6390XD | 23 | 949-950 | S65594S | 05 | 299-301 | ||
S63417A | 24 | 963-965 | S6390XS | 08 | 562-563 | S65595A | 21 | 913-914 | ||
S63417D | 23 | 949-950 | S6391XA | 08 | 562-563 | S65595A | 24 | 963-965 | ||
S63417S | 08 | 562-563 | S6391XA | 24 | 963-965 | S65595D | 23 | 949-950 | ||
S63418A | 08 | 562-563 | S6391XD | 23 | 949-950 | S65595S | 05 | 299-301 | ||
S63418A | 24 | 963-965 | S6391XS | 08 | 562-563 | S65596A | 21 | 913-914 | ||
S63418D | 23 | 949-950 | S6392XA | 08 | 562-563 | S65596A | 24 | 963-965 | ||
S63418S | 08 | 562-563 | S6392XA | 24 | 963-965 | S65596D | 23 | 949-950 | ||
S63419A | 08 | 562-563 | S6392XD | 23 | 949-950 | S65596S | 05 | 299-301 | ||
S63419A | 24 | 963-965 | S6392XS | 08 | 562-563 | S65597A | 21 | 913-914 | ||
S63419D | 23 | 949-950 | S6400XA | 01 | 073-074 | S65597A | 24 | 963-965 | ||
S63419S | 08 | 562-563 | S6400XA | 24 | 963-965 | S65597D | 23 | 949-950 | ||
S63420A | 08 | 562-563 | S6400XD | 23 | 949-950 | S65597S | 05 | 299-301 | ||
S63420A | 24 | 963-965 | S6400XS | 01 | 091-093 | S65598A | 21 | 913-914 | ||
S63420D | 23 | 949-950 | S6401XA | 01 | 073-074 | S65598A | 24 | 963-965 | ||
S63420S | 08 | 562-563 | S6401XA | 24 | 963-965 | S65598D | 23 | 949-950 | ||
S63421A | 08 | 562-563 | S6401XD | 23 | 949-950 | S65598S | 05 | 299-301 | ||
S63421A | 24 | 963-965 | S6401XS | 01 | 091-093 | S65599A | 21 | 913-914 | ||
S63421D | 23 | 949-950 | S6402XA | 01 | 073-074 | S65599A | 24 | 963-965 | ||
S63421S | 08 | 562-563 | S6402XA | 24 | 963-965 | S65599D | 23 | 949-950 | ||
S63422A | 08 | 562-563 | S6402XD | 23 | 949-950 | S65599S | 05 | 299-301 | ||
S63422A | 24 | 963-965 | S6402XS | 01 | 091-093 | S65801A | 21 | 913-914 | ||
S63422D | 23 | 949-950 | S6410XA | 01 | 073-074 | S65801A | 24 | 963-965 | ||
S63422S | 08 | 562-563 | S6410XA | 24 | 963-965 | S65801D | 23 | 949-950 | ||
S63423A | 08 | 562-563 | S6410XD | 23 | 949-950 | S65801S | 05 | 299-301 | ||
S63423A | 24 | 963-965 | S6410XS | 01 | 091-093 | S65802A | 21 | 913-914 | ||
S63423D | 23 | 949-950 | S6411XA | 01 | 073-074 | S65802A | 24 | 963-965 | ||
S63423S | 08 | 562-563 | S6411XA | 24 | 963-965 | S65802D | 23 | 949-950 | ||
S63424A | 08 | 562-563 | S6411XD | 23 | 949-950 | S65802S | 05 | 299-301 | ||
S63424A | 24 | 963-965 | S6411XS | 01 | 091-093 | S65809A | 21 | 913-914 | ||
S63424D | 23 | 949-950 | S6412XA | 01 | 073-074 | S65809A | 24 | 963-965 | ||
S63424S | 08 | 562-563 | S6412XA | 24 | 963-965 | S65809D | 23 | 949-950 | ||
S63425A | 08 | 562-563 | S6412XD | 23 | 949-950 | S65809S | 05 | 299-301 | ||
S63425A | 24 | 963-965 | S6412XS | 01 | 091-093 | S65811A | 21 | 913-914 | ||
S63425D | 23 | 949-950 | S6420XA | 01 | 073-074 | S65811A | 24 | 963-965 | ||
S63425S | 08 | 562-563 | S6420XA | 24 | 963-965 | S65811D | 23 | 949-950 | ||
S63426A | 08 | 562-563 | S6420XD | 23 | 949-950 | S65811S | 05 | 299-301 | ||
S63426A | 24 | 963-965 | S6420XS | 01 | 091-093 | S65812A | 21 | 913-914 | ||
S63426D | 23 | 949-950 | S6421XA | 01 | 073-074 | S65812A | 24 | 963-965 | ||
S63426S | 08 | 562-563 | S6421XA | 24 | 963-965 | S65812D | 23 | 949-950 | ||
S63427A | 08 | 562-563 | S6421XD | 23 | 949-950 | S65812S | 05 | 299-301 | ||
S63427A | 24 | 963-965 | S6421XS | 01 | 091-093 | S65819A | 21 | 913-914 | ||
S63427D | 23 | 949-950 | S6422XA | 01 | 073-074 | S65819A | 24 | 963-965 | ||
S63427S | 08 | 562-563 | S6422XA | 24 | 963-965 | S65819D | 23 | 949-950 | ||
S63428A | 08 | 562-563 | S6422XD | 23 | 949-950 | S65819S | 05 | 299-301 | ||
S63428A | 24 | 963-965 | S6422XS | 01 | 091-093 | S65891A | 21 | 913-914 | ||
S63428D | 23 | 949-950 | S6430XA | 01 | 073-074 | S65891A | 24 | 963-965 | ||
S63428S | 08 | 562-563 | S6430XA | 24 | 963-965 | S65891D | 23 | 949-950 | ||
S63429A | 08 | 562-563 | S6430XD | 23 | 949-950 | S65891S | 05 | 299-301 | ||
S63429A | 24 | 963-965 | S6430XS | 01 | 091-093 | S65892A | 21 | 913-914 | ||
S63429D | 23 | 949-950 | S6431XA | 01 | 073-074 | S65892A | 24 | 963-965 | ||
S63429S | 08 | 562-563 | S6431XA | 24 | 963-965 | S65892D | 23 | 949-950 | ||
S63430A | 08 | 562-563 | S6431XD | 23 | 949-950 | S65892S | 05 | 299-301 | ||
S63430A | 24 | 963-965 | S6431XS | 01 | 091-093 | S65899A | 21 | 913-914 | ||
S63430D | 23 | 949-950 | S6432XA | 01 | 073-074 | S65899A | 24 | 963-965 | ||
S63430S | 08 | 562-563 | S6432XA | 24 | 963-965 | S65899D | 23 | 949-950 | ||
S63431A | 08 | 562-563 | S6432XD | 23 | 949-950 | S65899S | 05 | 299-301 | ||
S63431A | 24 | 963-965 | S6432XS | 01 | 091-093 | S65901A | 21 | 913-914 | ||
S63431D | 23 | 949-950 | S6440XA | 01 | 073-074 | S65901A | 24 | 963-965 | ||
S63431S | 08 | 562-563 | S6440XA | 24 | 963-965 | S65901D | 23 | 949-950 | ||
S63432A | 08 | 562-563 | S6440XD | 23 | 949-950 | S65901S | 05 | 299-301 | ||
S63432A | 24 | 963-965 | S6440XS | 01 | 091-093 | S65902A | 21 | 913-914 | ||
S63432D | 23 | 949-950 | S64490A | 01 | 073-074 | S65902A | 24 | 963-965 | ||
S63432S | 08 | 562-563 | S64490A | 24 | 963-965 | S65902D | 23 | 949-950 | ||
S63433A | 08 | 562-563 | S64490D | 23 | 949-950 | S65902S | 05 | 299-301 | ||
S63433A | 24 | 963-965 | S64490S | 01 | 091-093 | S65909A | 21 | 913-914 | ||
S63433D | 23 | 949-950 | S64491A | 01 | 073-074 | S65909A | 24 | 963-965 | ||
S63433S | 08 | 562-563 | S64491A | 24 | 963-965 | S65909D | 23 | 949-950 | ||
S63434A | 08 | 562-563 | S64491D | 23 | 949-950 | S65909S | 05 | 299-301 | ||
S63434A | 24 | 963-965 | S64491S | 01 | 091-093 | S65911A | 21 | 913-914 | ||
S63434D | 23 | 949-950 | S64492A | 01 | 073-074 | S65911A | 24 | 963-965 | ||
S63434S | 08 | 562-563 | S64492A | 24 | 963-965 | S65911D | 23 | 949-950 | ||
S63435A | 08 | 562-563 | S64492D | 23 | 949-950 | S65911S | 05 | 299-301 | ||
S63435A | 24 | 963-965 | S64492S | 01 | 091-093 | S65912A | 21 | 913-914 | ||
S63435D | 23 | 949-950 | S64493A | 01 | 073-074 | S65912A | 24 | 963-965 | ||
S63435S | 08 | 562-563 | S64493A | 24 | 963-965 | S65912D | 23 | 949-950 | ||
S63436A | 08 | 562-563 | S64493D | 23 | 949-950 | S65912S | 05 | 299-301 | ||
S63436A | 24 | 963-965 | S64493S | 01 | 091-093 | S65919A | 21 | 913-914 | ||
S63436D | 23 | 949-950 | S64494A | 01 | 073-074 | S65919A | 24 | 963-965 | ||
S63436S | 08 | 562-563 | S64494A | 24 | 963-965 | S65919D | 23 | 949-950 | ||
S63437A | 08 | 562-563 | S64494D | 23 | 949-950 | S65919S | 05 | 299-301 | ||
S63437A | 24 | 963-965 | S64494S | 01 | 091-093 | S65991A | 21 | 913-914 | ||
S63437D | 23 | 949-950 | S64495A | 01 | 073-074 | S65991A | 24 | 963-965 | ||
S63437S | 08 | 562-563 | S64495A | 24 | 963-965 | S65991D | 23 | 949-950 | ||
S63438A | 08 | 562-563 | S64495D | 23 | 949-950 | S65991S | 05 | 299-301 | ||
S63438A | 24 | 963-965 | S64495S | 01 | 091-093 | S65992A | 21 | 913-914 | ||
S63438D | 23 | 949-950 | S64496A | 01 | 073-074 | S65992A | 24 | 963-965 | ||
S63438S | 08 | 562-563 | S64496A | 24 | 963-965 | S65992D | 23 | 949-950 | ||
S63439A | 08 | 562-563 | S64496D | 23 | 949-950 | S65992S | 05 | 299-301 | ||
S63439A | 24 | 963-965 | S64496S | 01 | 091-093 | S65999A | 21 | 913-914 | ||
S63439D | 23 | 949-950 | S64497A | 01 | 073-074 | S65999A | 24 | 963-965 | ||
S63439S | 08 | 562-563 | S64497A | 24 | 963-965 | S65999D | 23 | 949-950 | ||
S63490A | 08 | 562-563 | S64497D | 23 | 949-950 | S65999S | 05 | 299-301 | ||
S63490A | 24 | 963-965 | S64497S | 01 | 091-093 | S66001A | 21 | 913-914 | ||
S63490D | 23 | 949-950 | S64498A | 01 | 073-074 | S66001A | 24 | 963-965 | ||
S63490S | 08 | 562-563 | S64498A | 24 | 963-965 | S66001D | 23 | 949-950 | ||
S63491A | 08 | 562-563 | S64498D | 23 | 949-950 | S66001S | 21 | 913-914 | ||
S63491A | 24 | 963-965 | S64498S | 01 | 091-093 | S66002A | 21 | 913-914 | ||
S63491D | 23 | 949-950 | S648X1A | 01 | 073-074 | S66002A | 24 | 963-965 | ||
S63491S | 08 | 562-563 | S648X1A | 24 | 963-965 | S66002D | 23 | 949-950 | ||
S63492A | 08 | 562-563 | S648X1D | 23 | 949-950 | S66002S | 21 | 913-914 | ||
S63492A | 24 | 963-965 | S648X1S | 01 | 091-093 | S66009A | 21 | 913-914 | ||
S63492D | 23 | 949-950 | S648X2A | 01 | 073-074 | S66009A | 24 | 963-965 | ||
S63492S | 08 | 562-563 | S648X2A | 24 | 963-965 | S66009D | 23 | 949-950 | ||
S63493A | 08 | 562-563 | S648X2D | 23 | 949-950 | S66009S | 21 | 913-914 | ||
S63493A | 24 | 963-965 | S648X2S | 01 | 091-093 | S66011A | 08 | 562-563 | ||
S63493D | 23 | 949-950 | S648X9A | 01 | 073-074 | S66011A | 24 | 963-965 | ||
S63493S | 08 | 562-563 | S648X9A | 24 | 963-965 | S66011D | 23 | 949-950 | ||
S63494A | 08 | 562-563 | S648X9D | 23 | 949-950 | S66011S | 08 | 562-563 | ||
S63494A | 24 | 963-965 | S648X9S | 01 | 091-093 | S66012A | 08 | 562-563 | ||
S63494D | 23 | 949-950 | S6490XA | 01 | 073-074 | S66012A | 24 | 963-965 | ||
S63494S | 08 | 562-563 | S6490XA | 24 | 963-965 | S66012D | 23 | 949-950 | ||
S63495A | 08 | 562-563 | S6490XD | 23 | 949-950 | S66012S | 08 | 562-563 | ||
S63495A | 24 | 963-965 | S6490XS | 01 | 091-093 | S66019A | 08 | 562-563 | ||
S63495D | 23 | 949-950 | S6491XA | 01 | 073-074 | S66019A | 24 | 963-965 | ||
S63495S | 08 | 562-563 | S6491XA | 24 | 963-965 | S66019D | 23 | 949-950 | ||
S63496A | 08 | 562-563 | S6491XD | 23 | 949-950 | S66019S | 08 | 562-563 | ||
S63496A | 24 | 963-965 | S6491XS | 01 | 091-093 | S66021A | 08 | 564-566 | ||
S63496D | 23 | 949-950 | S6492XA | 01 | 073-074 | S66021A | 24 | 963-965 | ||
S63496S | 08 | 562-563 | S6492XA | 24 | 963-965 | S66021D | 23 | 949-950 | ||
S63497A | 08 | 562-563 | S6492XD | 23 | 949-950 | S66021S | 09 | 604-605 | ||
S63497A | 24 | 963-965 | S6492XS | 01 | 091-093 | S66022A | 08 | 564-566 | ||
S63497D | 23 | 949-950 | S65001A | 21 | 913-914 | S66022A | 24 | 963-965 | ||
S63497S | 08 | 562-563 | S65001A | 24 | 963-965 | S66022D | 23 | 949-950 | ||
S63498A | 08 | 562-563 | S65001D | 23 | 949-950 | S66022S | 09 | 604-605 | ||
S63498A | 24 | 963-965 | S65001S | 05 | 299-301 | S66029A | 08 | 564-566 | ||
S63498D | 23 | 949-950 | S65002A | 21 | 913-914 | S66029A | 24 | 963-965 | ||
S63498S | 08 | 562-563 | S65002A | 24 | 963-965 | S66029D | 23 | 949-950 | ||
S63499A | 08 | 562-563 | S65002D | 23 | 949-950 | S66029S | 09 | 604-605 | ||
S63499A | 24 | 963-965 | S65002S | 05 | 299-301 | S66091A | 21 | 913-914 | ||
S63499D | 23 | 949-950 | S65009A | 21 | 913-914 | S66091A | 24 | 963-965 | ||
S63499S | 08 | 562-563 | S65009A | 24 | 963-965 | S66091D | 23 | 949-950 | ||
S63501A | 08 | 562-563 | S65009D | 23 | 949-950 | S66091S | 21 | 913-914 | ||
S63501A | 24 | 963-965 | S65009S | 05 | 299-301 | S66092A | 21 | 913-914 | ||
S63501D | 23 | 949-950 | S65011A | 21 | 913-914 | S66092A | 24 | 963-965 | ||
S63501S | 08 | 562-563 | S65011A | 24 | 963-965 | S66092D | 23 | 949-950 | ||
S63502A | 08 | 562-563 | S65011D | 23 | 949-950 | S66092S | 21 | 913-914 | ||
S63502A | 24 | 963-965 | S65011S | 05 | 299-301 | S66099A | 21 | 913-914 | ||
S63502D | 23 | 949-950 | S65012A | 21 | 913-914 | S66099A | 24 | 963-965 | ||
S63502S | 08 | 562-563 | S65012A | 24 | 963-965 | S66099D | 23 | 949-950 | ||
S63509A | 08 | 562-563 | S65012D | 23 | 949-950 | S66099S | 21 | 913-914 | ||
S63509A | 24 | 963-965 | S65012S | 05 | 299-301 | S66100A | 21 | 913-914 | ||
S63509D | 23 | 949-950 | S65019A | 21 | 913-914 | S66100A | 24 | 963-965 | ||
S63509S | 08 | 562-563 | S65019A | 24 | 963-965 | S66100D | 23 | 949-950 | ||
S63511A | 08 | 562-563 | S65019D | 23 | 949-950 | S66100S | 21 | 913-914 | ||
S63511A | 24 | 963-965 | S65019S | 05 | 299-301 | S66101A | 21 | 913-914 | ||
S63511D | 23 | 949-950 | S65091A | 21 | 913-914 | S66101A | 24 | 963-965 | ||
S63511S | 08 | 562-563 | S65091A | 24 | 963-965 | S66101D | 23 | 949-950 | ||
S63512A | 08 | 562-563 | S65091D | 23 | 949-950 | S66101S | 21 | 913-914 | ||
S63512A | 24 | 963-965 | S65091S | 05 | 299-301 | S66102A | 21 | 913-914 | ||
S63512D | 23 | 949-950 | S65092A | 21 | 913-914 | S66102A | 24 | 963-965 | ||
S63512S | 08 | 562-563 | S65092A | 24 | 963-965 | S66102D | 23 | 949-950 | ||
S63519A | 08 | 562-563 | S65092D | 23 | 949-950 | S66102S | 21 | 913-914 | ||
S63519A | 24 | 963-965 | S65092S | 05 | 299-301 | S66103A | 21 | 913-914 | ||
S63519D | 23 | 949-950 | S65099A | 21 | 913-914 | S66103A | 24 | 963-965 | ||
S63519S | 08 | 562-563 | S65099A | 24 | 963-965 | S66103D | 23 | 949-950 | ||
S63521A | 08 | 562-563 | S65099D | 23 | 949-950 | S66103S | 21 | 913-914 | ||
S63521A | 24 | 963-965 | S65099S | 05 | 299-301 | S66104A | 21 | 913-914 | ||
S63521D | 23 | 949-950 | S65101A | 21 | 913-914 | S66104A | 24 | 963-965 | ||
S63521S | 08 | 562-563 | S65101A | 24 | 963-965 | S66104D | 23 | 949-950 | ||
S63522A | 08 | 562-563 | S65101D | 23 | 949-950 | S66104S | 21 | 913-914 | ||
S63522A | 24 | 963-965 | S65101S | 05 | 299-301 | S66105A | 21 | 913-914 | ||
S63522D | 23 | 949-950 | S65102A | 21 | 913-914 | S66105A | 24 | 963-965 | ||
S63522S | 08 | 562-563 | S65102A | 24 | 963-965 | S66105D | 23 | 949-950 | ||
S63529A | 08 | 562-563 | S65102D | 23 | 949-950 | S66105S | 21 | 913-914 | ||
S63529A | 24 | 963-965 | S65102S | 05 | 299-301 | S66106A | 21 | 913-914 | ||
S63529D | 23 | 949-950 | S65109A | 21 | 913-914 | S66106A | 24 | 963-965 | ||
S63529S | 08 | 562-563 | S65109A | 24 | 963-965 | S66106D | 23 | 949-950 | ||
S63591A | 08 | 562-563 | S65109D | 23 | 949-950 | S66106S | 21 | 913-914 | ||
S63591A | 24 | 963-965 | S65109S | 05 | 299-301 | S66107A | 21 | 913-914 | ||
S63591D | 23 | 949-950 | S65111A | 21 | 913-914 | S66107A | 24 | 963-965 | ||
S63591S | 08 | 562-563 | S65111A | 24 | 963-965 | S66107D | 23 | 949-950 | ||
S63592A | 08 | 562-563 | S65111D | 23 | 949-950 | S66107S | 21 | 913-914 | ||
S63592A | 24 | 963-965 | S65111S | 05 | 299-301 | S66108A | 21 | 913-914 | ||
S63592D | 23 | 949-950 | S65112A | 21 | 913-914 | S66108A | 24 | 963-965 | ||
S63592S | 08 | 562-563 | S65112A | 24 | 963-965 | S66108D | 23 | 949-950 | ||
S63599A | 08 | 562-563 | S65112D | 23 | 949-950 | S66108S | 21 | 913-914 | ||
S63599A | 24 | 963-965 | S65112S | 05 | 299-301 | S66109A | 21 | 913-914 | ||
S63599D | 23 | 949-950 | S65119A | 21 | 913-914 | S66109A | 24 | 963-965 | ||
S63599S | 08 | 562-563 | S65119A | 24 | 963-965 | S66109D | 23 | 949-950 | ||
S63601A | 08 | 562-563 | S65119D | 23 | 949-950 | S66109S | 21 | 913-914 | ||
S63601A | 24 | 963-965 | S65119S | 05 | 299-301 | S66110A | 08 | 562-563 | ||
S63601D | 23 | 949-950 | S65191A | 21 | 913-914 | S66110A | 24 | 963-965 | ||
S63601S | 08 | 562-563 | S65191A | 24 | 963-965 | S66110D | 23 | 949-950 | ||
S63602A | 08 | 562-563 | S65191D | 23 | 949-950 | S66110S | 08 | 562-563 | ||
S63602A | 24 | 963-965 | S65191S | 05 | 299-301 | S66111A | 08 | 562-563 | ||
S63602D | 23 | 949-950 | S65192A | 21 | 913-914 | S66111A | 24 | 963-965 | ||
S63602S | 08 | 562-563 | S65192A | 24 | 963-965 | S66111D | 23 | 949-950 | ||
S63609A | 08 | 562-563 | S65192D | 23 | 949-950 | S66111S | 08 | 562-563 | ||
S63609A | 24 | 963-965 | S65192S | 05 | 299-301 | S66112A | 08 | 562-563 | ||
S63609D | 23 | 949-950 | S65199A | 21 | 913-914 | S66112A | 24 | 963-965 | ||
S63609S | 08 | 562-563 | S65199A | 24 | 963-965 | S66112D | 23 | 949-950 | ||
S63610A | 08 | 562-563 | S65199D | 23 | 949-950 | S66112S | 08 | 562-563 | ||
S63610A | 24 | 963-965 | S65199S | 05 | 299-301 | S66113A | 08 | 562-563 | ||
S63610D | 23 | 949-950 | S65201A | 21 | 913-914 | S66113A | 24 | 963-965 | ||
S63610S | 08 | 562-563 | S65201A | 24 | 963-965 | S66113D | 23 | 949-950 | ||
S63611A | 08 | 562-563 | S65201D | 23 | 949-950 | S66113S | 08 | 562-563 | ||
S63611A | 24 | 963-965 | S65201S | 05 | 299-301 | S66114A | 08 | 562-563 | ||
S63611D | 23 | 949-950 | S65202A | 21 | 913-914 | S66114A | 24 | 963-965 | ||
S63611S | 08 | 562-563 | S65202A | 24 | 963-965 | S66114D | 23 | 949-950 | ||
S63612A | 08 | 562-563 | S65202D | 23 | 949-950 | S66114S | 08 | 562-563 | ||
S63612A | 24 | 963-965 | S65202S | 05 | 299-301 | S66115A | 08 | 562-563 | ||
S63612D | 23 | 949-950 | S65209A | 21 | 913-914 | S66115A | 24 | 963-965 | ||
S63612S | 08 | 562-563 | S65209A | 24 | 963-965 | S66115D | 23 | 949-950 | ||
S63613A | 08 | 562-563 | S65209D | 23 | 949-950 | S66115S | 08 | 562-563 | ||
S63613A | 24 | 963-965 | S65209S | 05 | 299-301 | S66116A | 08 | 562-563 | ||
S63613D | 23 | 949-950 | S65211A | 21 | 913-914 | S66116A | 24 | 963-965 | ||
S63613S | 08 | 562-563 | S65211A | 24 | 963-965 | S66116D | 23 | 949-950 | ||
S63614A | 08 | 562-563 | S65211D | 23 | 949-950 | S66116S | 08 | 562-563 | ||
S63614A | 24 | 963-965 | S65211S | 05 | 299-301 | S66117A | 08 | 562-563 | ||
S63614D | 23 | 949-950 | S65212A | 21 | 913-914 | S66117A | 24 | 963-965 | ||
S63614S | 08 | 562-563 | S65212A | 24 | 963-965 | S66117D | 23 | 949-950 | ||
S63615A | 08 | 562-563 | S65212D | 23 | 949-950 | S66117S | 08 | 562-563 | ||
S63615A | 24 | 963-965 | S65212S | 05 | 299-301 | S66118A | 08 | 562-563 | ||
S63615D | 23 | 949-950 | S65219A | 21 | 913-914 | S66118A | 24 | 963-965 | ||
S63615S | 08 | 562-563 | S65219A | 24 | 963-965 | S66118D | 23 | 949-950 | ||
S63616A | 08 | 562-563 | S65219D | 23 | 949-950 | S66118S | 08 | 562-563 | ||
S63616A | 24 | 963-965 | S65219S | 05 | 299-301 | S66119A | 08 | 562-563 | ||
S63616D | 23 | 949-950 | S65291A | 21 | 913-914 | S66119A | 24 | 963-965 | ||
S63616S | 08 | 562-563 | S65291A | 24 | 963-965 | S66119D | 23 | 949-950 | ||
S63617A | 08 | 562-563 | S65291D | 23 | 949-950 | S66119S | 08 | 562-563 | ||
S63617A | 24 | 963-965 | S65291S | 05 | 299-301 | S66120A | 08 | 564-566 | ||
S63617D | 23 | 949-950 | S65292A | 21 | 913-914 | S66120A | 24 | 963-965 | ||
S63617S | 08 | 562-563 | S65292A | 24 | 963-965 | S66120D | 23 | 949-950 | ||
S63618A | 08 | 562-563 | S65292D | 23 | 949-950 | S66120S | 09 | 604-605 | ||
S63618A | 24 | 963-965 | S65292S | 05 | 299-301 | S66121A | 08 | 564-566 | ||
S63618D | 23 | 949-950 | S65299A | 21 | 913-914 | S66121A | 24 | 963-965 | ||
S63618S | 08 | 562-563 | S65299A | 24 | 963-965 | S66121D | 23 | 949-950 | ||
S63619A | 08 | 562-563 | S65299D | 23 | 949-950 | S66121S | 09 | 604-605 | ||
S63619A | 24 | 963-965 | S65299S | 05 | 299-301 | S66122A | 08 | 564-566 | ||
S63619D | 23 | 949-950 | S65301A | 21 | 913-914 | S66122A | 24 | 963-965 | ||
S63619S | 08 | 562-563 | S65301A | 24 | 963-965 | S66122D | 23 | 949-950 | ||
S63621A | 08 | 562-563 | S65301D | 23 | 949-950 | S66122S | 09 | 604-605 | ||
S63621A | 24 | 963-965 | S65301S | 05 | 299-301 | S66123A | 08 | 564-566 | ||
S63621D | 23 | 949-950 | S65302A | 21 | 913-914 | S66123A | 24 | 963-965 | ||
S63621S | 08 | 562-563 | S65302A | 24 | 963-965 | S66123D | 23 | 949-950 | ||
S63622A | 08 | 562-563 | S65302D | 23 | 949-950 | S66123S | 09 | 604-605 | ||
S63622A | 24 | 963-965 | S65302S | 05 | 299-301 | S66124A | 08 | 564-566 | ||
S63622D | 23 | 949-950 | S65309A | 21 | 913-914 | S66124A | 24 | 963-965 | ||
S63622S | 08 | 562-563 | S65309A | 24 | 963-965 | S66124D | 23 | 949-950 | ||
S63629A | 08 | 562-563 | S65309D | 23 | 949-950 | S66124S | 09 | 604-605 | ||
S63629A | 24 | 963-965 | S65309S | 05 | 299-301 | S66125A | 08 | 564-566 | ||
S63629D | 23 | 949-950 | S65311A | 21 | 913-914 | S66125A | 24 | 963-965 | ||
S63629S | 08 | 562-563 | S65311A | 24 | 963-965 | S66125D | 23 | 949-950 | ||
S63630A | 08 | 562-563 | S65311D | 23 | 949-950 | S66125S | 09 | 604-605 | ||
S63630A | 24 | 963-965 | S65311S | 05 | 299-301 | S66126A | 08 | 564-566 | ||
S63630D | 23 | 949-950 | S65312A | 21 | 913-914 | S66126A | 24 | 963-965 | ||
S63630S | 08 | 562-563 | S65312A | 24 | 963-965 | S66126D | 23 | 949-950 | ||
S63631A | 08 | 562-563 | S65312D | 23 | 949-950 | S66126S | 09 | 604-605 | ||
S63631A | 24 | 963-965 | S65312S | 05 | 299-301 | S66127A | 08 | 564-566 | ||
S63631D | 23 | 949-950 | S65319A | 21 | 913-914 | S66127A | 24 | 963-965 | ||
S63631S | 08 | 562-563 | S65319A | 24 | 963-965 | S66127D | 23 | 949-950 | ||
S63632A | 08 | 562-563 | S65319D | 23 | 949-950 | S66127S | 09 | 604-605 | ||
S63632A | 24 | 963-965 | S65319S | 05 | 299-301 | S66128A | 08 | 564-566 | ||
S63632D | 23 | 949-950 | S65391A | 21 | 913-914 | S66128A | 24 | 963-965 | ||
S63632S | 08 | 562-563 | S65391A | 24 | 963-965 | S66128D | 23 | 949-950 | ||
S63633A | 08 | 562-563 | S65391D | 23 | 949-950 | S66128S | 09 | 604-605 | ||
S63633A | 24 | 963-965 | S65391S | 05 | 299-301 | S66129A | 08 | 564-566 | ||
S63633D | 23 | 949-950 | S65392A | 21 | 913-914 | S66129A | 24 | 963-965 | ||
S63633S | 08 | 562-563 | S65392A | 24 | 963-965 | S66129D | 23 | 949-950 | ||
S63634A | 08 | 562-563 | S65392D | 23 | 949-950 | S66129S | 09 | 604-605 | ||
S63634A | 24 | 963-965 | S65392S | 05 | 299-301 | S66190A | 21 | 913-914 | ||
S63634D | 23 | 949-950 | S65399A | 21 | 913-914 | S66190A | 24 | 963-965 | ||
S63634S | 08 | 562-563 | S65399A | 24 | 963-965 | S66190D | 23 | 949-950 | ||
S63635A | 08 | 562-563 | S65399D | 23 | 949-950 | S66190S | 21 | 913-914 | ||
S63635A | 24 | 963-965 | S65399S | 05 | 299-301 | S66191A | 21 | 913-914 | ||
S63635D | 23 | 949-950 | S65401A | 21 | 913-914 | S66191A | 24 | 963-965 | ||
S63635S | 08 | 562-563 | S65401A | 24 | 963-965 | S66191D | 23 | 949-950 | ||
S63636A | 08 | 562-563 | S65401D | 23 | 949-950 | S66191S | 21 | 913-914 | ||
S63636A | 24 | 963-965 | S65401S | 05 | 299-301 | S66192A | 21 | 913-914 | ||
S63636D | 23 | 949-950 | S65402A | 21 | 913-914 | S66192A | 24 | 963-965 | ||
S63636S | 08 | 562-563 | S65402A | 24 | 963-965 | S66192D | 23 | 949-950 | ||
S63637A | 08 | 562-563 | S65402D | 23 | 949-950 | S66192S | 21 | 913-914 | ||
S63637A | 24 | 963-965 | S65402S | 05 | 299-301 | S66193A | 21 | 913-914 | ||
S63637D | 23 | 949-950 | S65409A | 21 | 913-914 | S66193A | 24 | 963-965 | ||
S63637S | 08 | 562-563 | S65409A | 24 | 963-965 | S66193D | 23 | 949-950 | ||
S63638A | 08 | 562-563 | S65409D | 23 | 949-950 | S66193S | 21 | 913-914 | ||
S63638A | 24 | 963-965 | S65409S | 05 | 299-301 | S66194A | 21 | 913-914 | ||
S63638D | 23 | 949-950 | S65411A | 21 | 913-914 | S66194A | 24 | 963-965 | ||
S63638S | 08 | 562-563 | S65411A | 24 | 963-965 | S66194D | 23 | 949-950 | ||
S63639A | 08 | 562-563 | S65411D | 23 | 949-950 | S66194S | 21 | 913-914 | ||
S63639A | 24 | 963-965 | S65411S | 05 | 299-301 | S66195A | 21 | 913-914 | ||
S63639D | 23 | 949-950 | S65412A | 21 | 913-914 | S66195A | 24 | 963-965 | ||
S63639S | 08 | 562-563 | S65412A | 24 | 963-965 | S66195D | 23 | 949-950 | ||
S63641A | 08 | 562-563 | S65412D | 23 | 949-950 | S66195S | 21 | 913-914 | ||
S63641A | 24 | 963-965 | S65412S | 05 | 299-301 | S66196A | 21 | 913-914 | ||
S63641D | 23 | 949-950 | S65419A | 21 | 913-914 | S66196A | 24 | 963-965 | ||
S63641S | 08 | 562-563 | S65419A | 24 | 963-965 | S66196D | 23 | 949-950 | ||
S63642A | 08 | 562-563 | S65419D | 23 | 949-950 | S66196S | 21 | 913-914 | ||
S63642A | 24 | 963-965 | S65419S | 05 | 299-301 | S66197A | 21 | 913-914 | ||
S63642D | 23 | 949-950 | S65491A | 21 | 913-914 | S66197A | 24 | 963-965 | ||
S63642S | 08 | 562-563 | S65491A | 24 | 963-965 | S66197D | 23 | 949-950 | ||
S63649A | 08 | 562-563 | S65491D | 23 | 949-950 | S66197S | 21 | 913-914 | ||
S63649A | 24 | 963-965 | S65491S | 05 | 299-301 | S66198A | 21 | 913-914 | ||
S63649D | 23 | 949-950 | S65492A | 21 | 913-914 | S66198A | 24 | 963-965 | ||
S63649S | 08 | 562-563 | S65492A | 24 | 963-965 | S66198D | 23 | 949-950 | ||
S63650A | 08 | 562-563 | S65492D | 23 | 949-950 | S66198S | 21 | 913-914 | ||
S63650A | 24 | 963-965 | S65492S | 05 | 299-301 | S66199A | 21 | 913-914 | ||
S63650D | 23 | 949-950 | S65499A | 21 | 913-914 | S66199A | 24 | 963-965 | ||
S63650S | 08 | 562-563 | S65499A | 24 | 963-965 | S66199D | 23 | 949-950 | ||
S63651A | 08 | 562-563 | S65499D | 23 | 949-950 | S66199S | 21 | 913-914 | ||
S63651A | 24 | 963-965 | S65499S | 05 | 299-301 | S66201A | 21 | 913-914 | ||
S63651D | 23 | 949-950 | S65500A | 21 | 913-914 | S66201A | 24 | 963-965 | ||
S63651S | 08 | 562-563 | S65500A | 24 | 963-965 | S66201D | 23 | 949-950 | ||
S63652A | 08 | 562-563 | S65500D | 23 | 949-950 | S66201S | 21 | 913-914 | ||
S63652A | 24 | 963-965 | S65500S | 05 | 299-301 | S66202A | 21 | 913-914 | ||
S63652D | 23 | 949-950 | S65501A | 21 | 913-914 | S66202A | 24 | 963-965 | ||
S63652S | 08 | 562-563 | S65501A | 24 | 963-965 | S66202D | 23 | 949-950 | ||
S63653A | 08 | 562-563 | S65501D | 23 | 949-950 | S66202S | 21 | 913-914 | ||
S63653A | 24 | 963-965 | S65501S | 05 | 299-301 | S66209A | 21 | 913-914 | ||
S63653D | 23 | 949-950 | S65502A | 21 | 913-914 | S66209A | 24 | 963-965 | ||
S63653S | 08 | 562-563 | S65502A | 24 | 963-965 | S66209D | 23 | 949-950 | ||
S63654A | 08 | 562-563 | S65502D | 23 | 949-950 | S66209S | 21 | 913-914 | ||
S63654A | 24 | 963-965 | S65502S | 05 | 299-301 | S66211A | 08 | 562-563 | ||
S63654D | 23 | 949-950 | S65503A | 21 | 913-914 | S66211A | 24 | 963-965 | ||
S63654S | 08 | 562-563 | S65503A | 24 | 963-965 | S66211D | 23 | 949-950 | ||
S63655A | 08 | 562-563 | S65503D | 23 | 949-950 | S66211S | 08 | 562-563 | ||
S63655A | 24 | 963-965 | S65503S | 05 | 299-301 | S66212A | 08 | 562-563 | ||
S63655D | 23 | 949-950 | S65504A | 21 | 913-914 | S66212A | 24 | 963-965 | ||
S63655S | 08 | 562-563 | S65504A | 24 | 963-965 | S66212D | 23 | 949-950 | ||
S63656A | 08 | 562-563 | S65504D | 23 | 949-950 | S66212S | 08 | 562-563 | ||
S63656A | 24 | 963-965 | S65504S | 05 | 299-301 | S66219A | 08 | 562-563 | ||
S63656D | 23 | 949-950 | S65505A | 21 | 913-914 | S66219A | 24 | 963-965 | ||
S63656S | 08 | 562-563 | S65505A | 24 | 963-965 | S66219D | 23 | 949-950 | ||
S63657A | 08 | 562-563 | S65505D | 23 | 949-950 | S66219S | 08 | 562-563 | ||
S63657A | 24 | 963-965 | S65505S | 05 | 299-301 | S66221A | 08 | 564-566 | ||
S63657D | 23 | 949-950 | S65506A | 21 | 913-914 | S66221A | 24 | 963-965 | ||
S63657S | 08 | 562-563 | S65506A | 24 | 963-965 | S66221D | 23 | 949-950 | ||
S63658A | 08 | 562-563 | S65506D | 23 | 949-950 | S66221S | 09 | 604-605 | ||
S63658A | 24 | 963-965 | S65506S | 05 | 299-301 | S66222A | 08 | 564-566 | ||
S63658D | 23 | 949-950 | S65507A | 21 | 913-914 | S66222A | 24 | 963-965 | ||
S63658S | 08 | 562-563 | S65507A | 24 | 963-965 | S66222D | 23 | 949-950 | ||
S63659A | 08 | 562-563 | S65507D | 23 | 949-950 | S66222S | 09 | 604-605 | ||
S63659A | 24 | 963-965 | S65507S | 05 | 299-301 | S66229A | 08 | 564-566 | ||
S63659D | 23 | 949-950 | S65508A | 21 | 913-914 | S66229A | 24 | 963-965 | ||
S63659S | 08 | 562-563 | S65508A | 24 | 963-965 | S66229D | 23 | 949-950 | ||
S63681A | 08 | 562-563 | S65508D | 23 | 949-950 | S66229S | 09 | 604-605 | ||
S63681A | 24 | 963-965 | S65508S | 05 | 299-301 | S66291A | 21 | 913-914 | ||
S63681D | 23 | 949-950 | S65509A | 21 | 913-914 | S66291A | 24 | 963-965 | ||
S63681S | 08 | 562-563 | S65509A | 24 | 963-965 | S66291D | 23 | 949-950 | ||
S63682A | 08 | 562-563 | S65509D | 23 | 949-950 | S66291S | 21 | 913-914 | ||
S63682A | 24 | 963-965 | S65509S | 05 | 299-301 | S66292A | 21 | 913-914 | ||
S63682D | 23 | 949-950 | S65510A | 21 | 913-914 | S66292A | 24 | 963-965 | ||
S63682S | 08 | 562-563 | S65510A | 24 | 963-965 | S66292D | 23 | 949-950 | ||
S63689A | 08 | 562-563 | S65510D | 23 | 949-950 | S66292S | 21 | 913-914 | ||
S63689A | 24 | 963-965 | S65510S | 05 | 299-301 | S66299A | 21 | 913-914 | ||
S63689D | 23 | 949-950 | S65511A | 21 | 913-914 | S66299A | 24 | 963-965 | ||
S63689S | 08 | 562-563 | S65511A | 24 | 963-965 | S66299D | 23 | 949-950 | ||
S63690A | 08 | 562-563 | S65511D | 23 | 949-950 | S66299S | 21 | 913-914 | ||
S63690A | 24 | 963-965 | S65511S | 05 | 299-301 | S66300A | 21 | 913-914 | ||
S63690D | 23 | 949-950 | S65512A | 21 | 913-914 | S66300A | 24 | 963-965 | ||
S63690S | 08 | 562-563 | S65512A | 24 | 963-965 | S66300D | 23 | 949-950 | ||
S63691A | 08 | 562-563 | S65512D | 23 | 949-950 | S66300S | 21 | 913-914 | ||
S63691A | 24 | 963-965 | S65512S | 05 | 299-301 | S66301A | 21 | 913-914 | ||
S63691D | 23 | 949-950 | S65513A | 21 | 913-914 | S66301A | 24 | 963-965 | ||
S63691S | 08 | 562-563 | S65513A | 24 | 963-965 | S66301D | 23 | 949-950 | ||
S63692A | 08 | 562-563 | S65513D | 23 | 949-950 | S66301S | 21 | 913-914 | ||
S63692A | 24 | 963-965 | S65513S | 05 | 299-301 | S66302A | 21 | 913-914 | ||
S63692D | 23 | 949-950 | S65514A | 21 | 913-914 | S66302A | 24 | 963-965 | ||
S63692S | 08 | 562-563 | S65514A | 24 | 963-965 | S66302D | 23 | 949-950 | ||
S63693A | 08 | 562-563 | S65514D | 23 | 949-950 | S66302S | 21 | 913-914 | ||
S63693A | 24 | 963-965 | S65514S | 05 | 299-301 | S66303A | 21 | 913-914 | ||
S63693D | 23 | 949-950 | S65515A | 21 | 913-914 | S66303A | 24 | 963-965 | ||
S63693S | 08 | 562-563 | S65515A | 24 | 963-965 | S66303D | 23 | 949-950 | ||
S63694A | 08 | 562-563 | S65515D | 23 | 949-950 | S66303S | 21 | 913-914 | ||
S63694A | 24 | 963-965 | S65515S | 05 | 299-301 | S66304A | 21 | 913-914 | ||
S63694D | 23 | 949-950 | S65516A | 21 | 913-914 | S66304A | 24 | 963-965 | ||
S63694S | 08 | 562-563 | S65516A | 24 | 963-965 | S66304D | 23 | 949-950 | ||
S63695A | 08 | 562-563 | S65516D | 23 | 949-950 | S66304S | 21 | 913-914 | ||
S63695A | 24 | 963-965 | S65516S | 05 | 299-301 | S66305A | 21 | 913-914 | ||
S63695D | 23 | 949-950 | S65517A | 21 | 913-914 | S66305A | 24 | 963-965 | ||
S63695S | 08 | 562-563 | S65517A | 24 | 963-965 | S66305D | 23 | 949-950 | ||
S63696A | 08 | 562-563 | S65517D | 23 | 949-950 | S66305S | 21 | 913-914 | ||
S63696A | 24 | 963-965 | S65517S | 05 | 299-301 | S66306A | 21 | 913-914 | ||
S63696D | 23 | 949-950 | S65518A | 21 | 913-914 | S66306A | 24 | 963-965 | ||
S63696S | 08 | 562-563 | S65518A | 24 | 963-965 | S66306D | 23 | 949-950 | ||
S63697A | 08 | 562-563 | S65518D | 23 | 949-950 | S66306S | 21 | 913-914 | ||
S63697A | 24 | 963-965 | S65518S | 05 | 299-301 | S66307A | 21 | 913-914 | ||
S63697D | 23 | 949-950 | S65519A | 21 | 913-914 | S66307A | 24 | 963-965 | ||
S63697S | 08 | 562-563 | S65519A | 24 | 963-965 | S66307D | 23 | 949-950 | ||
S63698A | 08 | 562-563 | S65519D | 23 | 949-950 | S66307S | 21 | 913-914 | ||
S63698A | 24 | 963-965 | S65519S | 05 | 299-301 | S66308A | 21 | 913-914 | ||
S63698D | 23 | 949-950 | S65590A | 21 | 913-914 | S66308A | 24 | 963-965 | ||
S63698S | 08 | 562-563 | S65590A | 24 | 963-965 | S66308D | 23 | 949-950 | ||
S63699A | 08 | 562-563 | S65590D | 23 | 949-950 | S66308S | 21 | 913-914 | ||
S63699A | 24 | 963-965 | S65590S | 05 | 299-301 | S66309A | 21 | 913-914 | ||
S63699D | 23 | 949-950 | S65591A | 21 | 913-914 | S66309A | 24 | 963-965 | ||
S63699S | 08 | 562-563 | S65591A | 24 | 963-965 | S66309D | 23 | 949-950 | ||
S638X1A | 08 | 562-563 | S65591D | 23 | 949-950 | S66309S | 21 | 913-914 | ||
S638X1A | 24 | 963-965 | S65591S | 05 | 299-301 | S66310A | 08 | 562-563 | ||
S638X1D | 23 | 949-950 | S65592A | 21 | 913-914 | S66310A | 24 | 963-965 | ||
S638X1S | 08 | 562-563 | S65592A | 24 | 963-965 | S66310D | 23 | 949-950 | ||
S638X2A | 08 | 562-563 | S65592D | 23 | 949-950 | S66310S | 08 | 562-563 | ||
S638X2A | 24 | 963-965 | S65592S | 05 | 299-301 | S66311A | 08 | 562-563 | ||
S638X2D | 23 | 949-950 | S65593A | 21 | 913-914 | S66311A | 24 | 963-965 | ||
S638X2S | 08 | 562-563 | S65593A | 24 | 963-965 | S66311D | 23 | 949-950 | ||
S638X9A | 08 | 562-563 | S65593D | 23 | 949-950 | S66311S | 08 | 562-563 | ||
S638X9A | 24 | 963-965 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2021 20:13:49 CMS, code-revision=301, description-revision=1298 |