ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 63 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S95112A | 21 | 913-914 | S97119D | 23 | 949-950 | S99122K | 23 | 949-950 | ||
S95112A | 24 | 963-965 | S97119S | 09 | 604-605 | S99122P | 23 | 949-950 | ||
S95112D | 23 | 949-950 | S97121A | 21 | 913-914 | S99122S | 21 | 913-914 | ||
S95112S | 05 | 299-301 | S97121A | 24 | 963-965 | S99129A | 21 | 913-914 | ||
S95119A | 21 | 913-914 | S97121D | 23 | 949-950 | S99129A | 24 | 963-965 | ||
S95119A | 24 | 963-965 | S97121S | 09 | 604-605 | S99129B | 21 | 913-914 | ||
S95119D | 23 | 949-950 | S97122A | 21 | 913-914 | S99129B | 24 | 963-965 | ||
S95119S | 05 | 299-301 | S97122A | 24 | 963-965 | S99129D | 23 | 949-950 | ||
S95191A | 21 | 913-914 | S97122D | 23 | 949-950 | S99129G | 23 | 949-950 | ||
S95191A | 24 | 963-965 | S97122S | 09 | 604-605 | S99129K | 23 | 949-950 | ||
S95191D | 23 | 949-950 | S97129A | 21 | 913-914 | S99129P | 23 | 949-950 | ||
S95191S | 05 | 299-301 | S97129A | 24 | 963-965 | S99129S | 21 | 913-914 | ||
S95192A | 21 | 913-914 | S97129D | 23 | 949-950 | S99131A | 21 | 913-914 | ||
S95192A | 24 | 963-965 | S97129S | 09 | 604-605 | S99131A | 24 | 963-965 | ||
S95192D | 23 | 949-950 | S9780XA | 21 | 913-914 | S99131B | 21 | 913-914 | ||
S95192S | 05 | 299-301 | S9780XA | 24 | 963-965 | S99131B | 24 | 963-965 | ||
S95199A | 21 | 913-914 | S9780XD | 23 | 949-950 | S99131D | 23 | 949-950 | ||
S95199A | 24 | 963-965 | S9780XS | 09 | 604-605 | S99131G | 23 | 949-950 | ||
S95199D | 23 | 949-950 | S9781XA | 21 | 913-914 | S99131K | 23 | 949-950 | ||
S95199S | 05 | 299-301 | S9781XA | 24 | 963-965 | S99131P | 23 | 949-950 | ||
S95201A | 21 | 913-914 | S9781XD | 23 | 949-950 | S99131S | 21 | 913-914 | ||
S95201A | 24 | 963-965 | S9781XS | 09 | 604-605 | S99132A | 21 | 913-914 | ||
S95201D | 23 | 949-950 | S9782XA | 21 | 913-914 | S99132A | 24 | 963-965 | ||
S95201S | 05 | 299-301 | S9782XA | 24 | 963-965 | S99132B | 21 | 913-914 | ||
S95202A | 21 | 913-914 | S9782XD | 23 | 949-950 | S99132B | 24 | 963-965 | ||
S95202A | 24 | 963-965 | S9782XS | 09 | 604-605 | S99132D | 23 | 949-950 | ||
S95202D | 23 | 949-950 | S98011A | 21 | 913-914 | S99132G | 23 | 949-950 | ||
S95202S | 05 | 299-301 | S98011A | 24 | 963-965 | S99132K | 23 | 949-950 | ||
S95209A | 21 | 913-914 | S98011D | 23 | 949-950 | S99132P | 23 | 949-950 | ||
S95209A | 24 | 963-965 | S98011S | 08 | 559-561 | S99132S | 21 | 913-914 | ||
S95209D | 23 | 949-950 | S98012A | 21 | 913-914 | S99139A | 21 | 913-914 | ||
S95209S | 05 | 299-301 | S98012A | 24 | 963-965 | S99139A | 24 | 963-965 | ||
S95211A | 21 | 913-914 | S98012D | 23 | 949-950 | S99139B | 21 | 913-914 | ||
S95211A | 24 | 963-965 | S98012S | 08 | 559-561 | S99139B | 24 | 963-965 | ||
S95211D | 23 | 949-950 | S98019A | 21 | 913-914 | S99139D | 23 | 949-950 | ||
S95211S | 05 | 299-301 | S98019A | 24 | 963-965 | S99139G | 23 | 949-950 | ||
S95212A | 21 | 913-914 | S98019D | 23 | 949-950 | S99139K | 23 | 949-950 | ||
S95212A | 24 | 963-965 | S98019S | 08 | 559-561 | S99139P | 23 | 949-950 | ||
S95212D | 23 | 949-950 | S98021A | 21 | 913-914 | S99139S | 21 | 913-914 | ||
S95212S | 05 | 299-301 | S98021A | 24 | 963-965 | S99141A | 21 | 913-914 | ||
S95219A | 21 | 913-914 | S98021D | 23 | 949-950 | S99141A | 24 | 963-965 | ||
S95219A | 24 | 963-965 | S98021S | 08 | 559-561 | S99141B | 21 | 913-914 | ||
S95219D | 23 | 949-950 | S98022A | 21 | 913-914 | S99141B | 24 | 963-965 | ||
S95219S | 05 | 299-301 | S98022A | 24 | 963-965 | S99141D | 23 | 949-950 | ||
S95291A | 21 | 913-914 | S98022D | 23 | 949-950 | S99141G | 23 | 949-950 | ||
S95291A | 24 | 963-965 | S98022S | 08 | 559-561 | S99141K | 23 | 949-950 | ||
S95291D | 23 | 949-950 | S98029A | 21 | 913-914 | S99141P | 23 | 949-950 | ||
S95291S | 05 | 299-301 | S98029A | 24 | 963-965 | S99141S | 21 | 913-914 | ||
S95292A | 21 | 913-914 | S98029D | 23 | 949-950 | S99142A | 21 | 913-914 | ||
S95292A | 24 | 963-965 | S98029S | 08 | 559-561 | S99142A | 24 | 963-965 | ||
S95292D | 23 | 949-950 | S98111A | 21 | 913-914 | S99142B | 21 | 913-914 | ||
S95292S | 05 | 299-301 | S98111A | 24 | 963-965 | S99142B | 24 | 963-965 | ||
S95299A | 21 | 913-914 | S98111D | 23 | 949-950 | S99142D | 23 | 949-950 | ||
S95299A | 24 | 963-965 | S98111S | 08 | 559-561 | S99142G | 23 | 949-950 | ||
S95299D | 23 | 949-950 | S98112A | 21 | 913-914 | S99142K | 23 | 949-950 | ||
S95299S | 05 | 299-301 | S98112A | 24 | 963-965 | S99142P | 23 | 949-950 | ||
S95801A | 21 | 913-914 | S98112D | 23 | 949-950 | S99142S | 21 | 913-914 | ||
S95801A | 24 | 963-965 | S98112S | 08 | 559-561 | S99149A | 21 | 913-914 | ||
S95801D | 23 | 949-950 | S98119A | 21 | 913-914 | S99149A | 24 | 963-965 | ||
S95801S | 05 | 299-301 | S98119A | 24 | 963-965 | S99149B | 21 | 913-914 | ||
S95802A | 21 | 913-914 | S98119D | 23 | 949-950 | S99149B | 24 | 963-965 | ||
S95802A | 24 | 963-965 | S98119S | 08 | 559-561 | S99149D | 23 | 949-950 | ||
S95802D | 23 | 949-950 | S98121A | 21 | 913-914 | S99149G | 23 | 949-950 | ||
S95802S | 05 | 299-301 | S98121A | 24 | 963-965 | S99149K | 23 | 949-950 | ||
S95809A | 21 | 913-914 | S98121D | 23 | 949-950 | S99149P | 23 | 949-950 | ||
S95809A | 24 | 963-965 | S98121S | 08 | 559-561 | S99149S | 21 | 913-914 | ||
S95809D | 23 | 949-950 | S98122A | 21 | 913-914 | S99191A | 21 | 913-914 | ||
S95809S | 05 | 299-301 | S98122A | 24 | 963-965 | S99191A | 24 | 963-965 | ||
S95811A | 21 | 913-914 | S98122D | 23 | 949-950 | S99191B | 21 | 913-914 | ||
S95811A | 24 | 963-965 | S98122S | 08 | 559-561 | S99191B | 24 | 963-965 | ||
S95811D | 23 | 949-950 | S98129A | 21 | 913-914 | S99191D | 23 | 949-950 | ||
S95811S | 05 | 299-301 | S98129A | 24 | 963-965 | S99191G | 23 | 949-950 | ||
S95812A | 21 | 913-914 | S98129D | 23 | 949-950 | S99191K | 23 | 949-950 | ||
S95812A | 24 | 963-965 | S98129S | 08 | 559-561 | S99191P | 23 | 949-950 | ||
S95812D | 23 | 949-950 | S98131A | 21 | 913-914 | S99191S | 21 | 913-914 | ||
S95812S | 05 | 299-301 | S98131A | 24 | 963-965 | S99192A | 21 | 913-914 | ||
S95819A | 21 | 913-914 | S98131D | 23 | 949-950 | S99192A | 24 | 963-965 | ||
S95819A | 24 | 963-965 | S98131S | 08 | 559-561 | S99192B | 21 | 913-914 | ||
S95819D | 23 | 949-950 | S98132A | 21 | 913-914 | S99192B | 24 | 963-965 | ||
S95819S | 05 | 299-301 | S98132A | 24 | 963-965 | S99192D | 23 | 949-950 | ||
S95891A | 21 | 913-914 | S98132D | 23 | 949-950 | S99192G | 23 | 949-950 | ||
S95891A | 24 | 963-965 | S98132S | 08 | 559-561 | S99192K | 23 | 949-950 | ||
S95891D | 23 | 949-950 | S98139A | 21 | 913-914 | S99192P | 23 | 949-950 | ||
S95891S | 05 | 299-301 | S98139A | 24 | 963-965 | S99192S | 21 | 913-914 | ||
S95892A | 21 | 913-914 | S98139D | 23 | 949-950 | S99199A | 21 | 913-914 | ||
S95892A | 24 | 963-965 | S98139S | 08 | 559-561 | S99199A | 24 | 963-965 | ||
S95892D | 23 | 949-950 | S98141A | 21 | 913-914 | S99199B | 21 | 913-914 | ||
S95892S | 05 | 299-301 | S98141A | 24 | 963-965 | S99199B | 24 | 963-965 | ||
S95899A | 21 | 913-914 | S98141D | 23 | 949-950 | S99199D | 23 | 949-950 | ||
S95899A | 24 | 963-965 | S98141S | 08 | 559-561 | S99199G | 23 | 949-950 | ||
S95899D | 23 | 949-950 | S98142A | 21 | 913-914 | S99199K | 23 | 949-950 | ||
S95899S | 05 | 299-301 | S98142A | 24 | 963-965 | S99199P | 23 | 949-950 | ||
S95901A | 21 | 913-914 | S98142D | 23 | 949-950 | S99199S | 21 | 913-914 | ||
S95901A | 24 | 963-965 | S98142S | 08 | 559-561 | S99201A | 21 | 913-914 | ||
S95901D | 23 | 949-950 | S98149A | 21 | 913-914 | S99201A | 24 | 963-965 | ||
S95901S | 05 | 299-301 | S98149A | 24 | 963-965 | S99201B | 21 | 913-914 | ||
S95902A | 21 | 913-914 | S98149D | 23 | 949-950 | S99201B | 24 | 963-965 | ||
S95902A | 24 | 963-965 | S98149S | 08 | 559-561 | S99201D | 23 | 949-950 | ||
S95902D | 23 | 949-950 | S98211A | 21 | 913-914 | S99201G | 23 | 949-950 | ||
S95902S | 05 | 299-301 | S98211A | 24 | 963-965 | S99201K | 23 | 949-950 | ||
S95909A | 21 | 913-914 | S98211D | 23 | 949-950 | S99201P | 23 | 949-950 | ||
S95909A | 24 | 963-965 | S98211S | 08 | 559-561 | S99201S | 21 | 913-914 | ||
S95909D | 23 | 949-950 | S98212A | 21 | 913-914 | S99202A | 21 | 913-914 | ||
S95909S | 05 | 299-301 | S98212A | 24 | 963-965 | S99202A | 24 | 963-965 | ||
S95911A | 21 | 913-914 | S98212D | 23 | 949-950 | S99202B | 21 | 913-914 | ||
S95911A | 24 | 963-965 | S98212S | 08 | 559-561 | S99202B | 24 | 963-965 | ||
S95911D | 23 | 949-950 | S98219A | 21 | 913-914 | S99202D | 23 | 949-950 | ||
S95911S | 05 | 299-301 | S98219A | 24 | 963-965 | S99202G | 23 | 949-950 | ||
S95912A | 21 | 913-914 | S98219D | 23 | 949-950 | S99202K | 23 | 949-950 | ||
S95912A | 24 | 963-965 | S98219S | 08 | 559-561 | S99202P | 23 | 949-950 | ||
S95912D | 23 | 949-950 | S98221A | 21 | 913-914 | S99202S | 21 | 913-914 | ||
S95912S | 05 | 299-301 | S98221A | 24 | 963-965 | S99209A | 21 | 913-914 | ||
S95919A | 21 | 913-914 | S98221D | 23 | 949-950 | S99209A | 24 | 963-965 | ||
S95919A | 24 | 963-965 | S98221S | 08 | 559-561 | S99209B | 21 | 913-914 | ||
S95919D | 23 | 949-950 | S98222A | 21 | 913-914 | S99209B | 24 | 963-965 | ||
S95919S | 05 | 299-301 | S98222A | 24 | 963-965 | S99209D | 23 | 949-950 | ||
S95991A | 21 | 913-914 | S98222D | 23 | 949-950 | S99209G | 23 | 949-950 | ||
S95991A | 24 | 963-965 | S98222S | 08 | 559-561 | S99209K | 23 | 949-950 | ||
S95991D | 23 | 949-950 | S98229A | 21 | 913-914 | S99209P | 23 | 949-950 | ||
S95991S | 05 | 299-301 | S98229A | 24 | 963-965 | S99209S | 21 | 913-914 | ||
S95992A | 21 | 913-914 | S98229D | 23 | 949-950 | S99211A | 21 | 913-914 | ||
S95992A | 24 | 963-965 | S98229S | 08 | 559-561 | S99211A | 24 | 963-965 | ||
S95992D | 23 | 949-950 | S98311A | 21 | 913-914 | S99211B | 21 | 913-914 | ||
S95992S | 05 | 299-301 | S98311A | 24 | 963-965 | S99211B | 24 | 963-965 | ||
S95999A | 21 | 913-914 | S98311D | 23 | 949-950 | S99211D | 23 | 949-950 | ||
S95999A | 24 | 963-965 | S98311S | 08 | 559-561 | S99211G | 23 | 949-950 | ||
S95999D | 23 | 949-950 | S98312A | 21 | 913-914 | S99211K | 23 | 949-950 | ||
S95999S | 05 | 299-301 | S98312A | 24 | 963-965 | S99211P | 23 | 949-950 | ||
S96001A | 21 | 913-914 | S98312D | 23 | 949-950 | S99211S | 21 | 913-914 | ||
S96001A | 24 | 963-965 | S98312S | 08 | 559-561 | S99212A | 21 | 913-914 | ||
S96001D | 23 | 949-950 | S98319A | 21 | 913-914 | S99212A | 24 | 963-965 | ||
S96001S | 21 | 913-914 | S98319A | 24 | 963-965 | S99212B | 21 | 913-914 | ||
S96002A | 21 | 913-914 | S98319D | 23 | 949-950 | S99212B | 24 | 963-965 | ||
S96002A | 24 | 963-965 | S98319S | 08 | 559-561 | S99212D | 23 | 949-950 | ||
S96002D | 23 | 949-950 | S98321A | 21 | 913-914 | S99212G | 23 | 949-950 | ||
S96002S | 21 | 913-914 | S98321A | 24 | 963-965 | S99212K | 23 | 949-950 | ||
S96009A | 21 | 913-914 | S98321D | 23 | 949-950 | S99212P | 23 | 949-950 | ||
S96009A | 24 | 963-965 | S98321S | 08 | 559-561 | S99212S | 21 | 913-914 | ||
S96009D | 23 | 949-950 | S98322A | 21 | 913-914 | S99219A | 21 | 913-914 | ||
S96009S | 21 | 913-914 | S98322A | 24 | 963-965 | S99219A | 24 | 963-965 | ||
S96011A | 08 | 562-563 | S98322D | 23 | 949-950 | S99219B | 21 | 913-914 | ||
S96011A | 24 | 963-965 | S98322S | 08 | 559-561 | S99219B | 24 | 963-965 | ||
S96011D | 23 | 949-950 | S98329A | 21 | 913-914 | S99219D | 23 | 949-950 | ||
S96011S | 08 | 562-563 | S98329A | 24 | 963-965 | S99219G | 23 | 949-950 | ||
S96012A | 08 | 562-563 | S98329D | 23 | 949-950 | S99219K | 23 | 949-950 | ||
S96012A | 24 | 963-965 | S98329S | 08 | 559-561 | S99219P | 23 | 949-950 | ||
S96012D | 23 | 949-950 | S98911A | 21 | 913-914 | S99219S | 21 | 913-914 | ||
S96012S | 08 | 562-563 | S98911A | 24 | 963-965 | S99221A | 21 | 913-914 | ||
S96019A | 08 | 562-563 | S98911D | 23 | 949-950 | S99221A | 24 | 963-965 | ||
S96019A | 24 | 963-965 | S98911S | 08 | 559-561 | S99221B | 21 | 913-914 | ||
S96019D | 23 | 949-950 | S98912A | 21 | 913-914 | S99221B | 24 | 963-965 | ||
S96019S | 08 | 562-563 | S98912A | 24 | 963-965 | S99221D | 23 | 949-950 | ||
S96021A | 08 | 564-566 | S98912D | 23 | 949-950 | S99221G | 23 | 949-950 | ||
S96021A | 24 | 963-965 | S98912S | 08 | 559-561 | S99221K | 23 | 949-950 | ||
S96021D | 23 | 949-950 | S98919A | 21 | 913-914 | S99221P | 23 | 949-950 | ||
S96021S | 09 | 604-605 | S98919A | 24 | 963-965 | S99221S | 21 | 913-914 | ||
S96022A | 08 | 564-566 | S98919D | 23 | 949-950 | S99222A | 21 | 913-914 | ||
S96022A | 24 | 963-965 | S98919S | 08 | 559-561 | S99222A | 24 | 963-965 | ||
S96022D | 23 | 949-950 | S98921A | 21 | 913-914 | S99222B | 21 | 913-914 | ||
S96022S | 09 | 604-605 | S98921A | 24 | 963-965 | S99222B | 24 | 963-965 | ||
S96029A | 08 | 564-566 | S98921D | 23 | 949-950 | S99222D | 23 | 949-950 | ||
S96029A | 24 | 963-965 | S98921S | 08 | 559-561 | S99222G | 23 | 949-950 | ||
S96029D | 23 | 949-950 | S98922A | 21 | 913-914 | S99222K | 23 | 949-950 | ||
S96029S | 09 | 604-605 | S98922A | 24 | 963-965 | S99222P | 23 | 949-950 | ||
S96091A | 21 | 913-914 | S98922D | 23 | 949-950 | S99222S | 21 | 913-914 | ||
S96091A | 24 | 963-965 | S98922S | 08 | 559-561 | S99229A | 21 | 913-914 | ||
S96091D | 23 | 949-950 | S98929A | 21 | 913-914 | S99229A | 24 | 963-965 | ||
S96091S | 21 | 913-914 | S98929A | 24 | 963-965 | S99229B | 21 | 913-914 | ||
S96092A | 21 | 913-914 | S98929D | 23 | 949-950 | S99229B | 24 | 963-965 | ||
S96092A | 24 | 963-965 | S98929S | 08 | 559-561 | S99229D | 23 | 949-950 | ||
S96092D | 23 | 949-950 | S99001A | 21 | 913-914 | S99229G | 23 | 949-950 | ||
S96092S | 21 | 913-914 | S99001A | 24 | 963-965 | S99229K | 23 | 949-950 | ||
S96099A | 21 | 913-914 | S99001B | 21 | 913-914 | S99229P | 23 | 949-950 | ||
S96099A | 24 | 963-965 | S99001B | 24 | 963-965 | S99229S | 21 | 913-914 | ||
S96099D | 23 | 949-950 | S99001D | 23 | 949-950 | S99231A | 21 | 913-914 | ||
S96099S | 21 | 913-914 | S99001G | 23 | 949-950 | S99231A | 24 | 963-965 | ||
S96101A | 21 | 913-914 | S99001K | 23 | 949-950 | S99231B | 21 | 913-914 | ||
S96101A | 24 | 963-965 | S99001P | 23 | 949-950 | S99231B | 24 | 963-965 | ||
S96101D | 23 | 949-950 | S99001S | 21 | 913-914 | S99231D | 23 | 949-950 | ||
S96101S | 21 | 913-914 | S99002A | 21 | 913-914 | S99231G | 23 | 949-950 | ||
S96102A | 21 | 913-914 | S99002A | 24 | 963-965 | S99231K | 23 | 949-950 | ||
S96102A | 24 | 963-965 | S99002B | 21 | 913-914 | S99231P | 23 | 949-950 | ||
S96102D | 23 | 949-950 | S99002B | 24 | 963-965 | S99231S | 21 | 913-914 | ||
S96102S | 21 | 913-914 | S99002D | 23 | 949-950 | S99232A | 21 | 913-914 | ||
S96109A | 21 | 913-914 | S99002G | 23 | 949-950 | S99232A | 24 | 963-965 | ||
S96109A | 24 | 963-965 | S99002K | 23 | 949-950 | S99232B | 21 | 913-914 | ||
S96109D | 23 | 949-950 | S99002P | 23 | 949-950 | S99232B | 24 | 963-965 | ||
S96109S | 21 | 913-914 | S99002S | 21 | 913-914 | S99232D | 23 | 949-950 | ||
S96111A | 08 | 562-563 | S99009A | 21 | 913-914 | S99232G | 23 | 949-950 | ||
S96111A | 24 | 963-965 | S99009A | 24 | 963-965 | S99232K | 23 | 949-950 | ||
S96111D | 23 | 949-950 | S99009B | 21 | 913-914 | S99232P | 23 | 949-950 | ||
S96111S | 08 | 562-563 | S99009B | 24 | 963-965 | S99232S | 21 | 913-914 | ||
S96112A | 08 | 562-563 | S99009D | 23 | 949-950 | S99239A | 21 | 913-914 | ||
S96112A | 24 | 963-965 | S99009G | 23 | 949-950 | S99239A | 24 | 963-965 | ||
S96112D | 23 | 949-950 | S99009K | 23 | 949-950 | S99239B | 21 | 913-914 | ||
S96112S | 08 | 562-563 | S99009P | 23 | 949-950 | S99239B | 24 | 963-965 | ||
S96119A | 08 | 562-563 | S99009S | 21 | 913-914 | S99239D | 23 | 949-950 | ||
S96119A | 24 | 963-965 | S99011A | 21 | 913-914 | S99239G | 23 | 949-950 | ||
S96119D | 23 | 949-950 | S99011A | 24 | 963-965 | S99239K | 23 | 949-950 | ||
S96119S | 08 | 562-563 | S99011B | 21 | 913-914 | S99239P | 23 | 949-950 | ||
S96121A | 08 | 564-566 | S99011B | 24 | 963-965 | S99239S | 21 | 913-914 | ||
S96121A | 24 | 963-965 | S99011D | 23 | 949-950 | S99241A | 21 | 913-914 | ||
S96121D | 23 | 949-950 | S99011G | 23 | 949-950 | S99241A | 24 | 963-965 | ||
S96121S | 09 | 604-605 | S99011K | 23 | 949-950 | S99241B | 21 | 913-914 | ||
S96122A | 08 | 564-566 | S99011P | 23 | 949-950 | S99241B | 24 | 963-965 | ||
S96122A | 24 | 963-965 | S99011S | 21 | 913-914 | S99241D | 23 | 949-950 | ||
S96122D | 23 | 949-950 | S99012A | 21 | 913-914 | S99241G | 23 | 949-950 | ||
S96122S | 09 | 604-605 | S99012A | 24 | 963-965 | S99241K | 23 | 949-950 | ||
S96129A | 08 | 564-566 | S99012B | 21 | 913-914 | S99241P | 23 | 949-950 | ||
S96129A | 24 | 963-965 | S99012B | 24 | 963-965 | S99241S | 21 | 913-914 | ||
S96129D | 23 | 949-950 | S99012D | 23 | 949-950 | S99242A | 21 | 913-914 | ||
S96129S | 09 | 604-605 | S99012G | 23 | 949-950 | S99242A | 24 | 963-965 | ||
S96191A | 21 | 913-914 | S99012K | 23 | 949-950 | S99242B | 21 | 913-914 | ||
S96191A | 24 | 963-965 | S99012P | 23 | 949-950 | S99242B | 24 | 963-965 | ||
S96191D | 23 | 949-950 | S99012S | 21 | 913-914 | S99242D | 23 | 949-950 | ||
S96191S | 21 | 913-914 | S99019A | 21 | 913-914 | S99242G | 23 | 949-950 | ||
S96192A | 21 | 913-914 | S99019A | 24 | 963-965 | S99242K | 23 | 949-950 | ||
S96192A | 24 | 963-965 | S99019B | 21 | 913-914 | S99242P | 23 | 949-950 | ||
S96192D | 23 | 949-950 | S99019B | 24 | 963-965 | S99242S | 21 | 913-914 | ||
S96192S | 21 | 913-914 | S99019D | 23 | 949-950 | S99249A | 21 | 913-914 | ||
S96199A | 21 | 913-914 | S99019G | 23 | 949-950 | S99249A | 24 | 963-965 | ||
S96199A | 24 | 963-965 | S99019K | 23 | 949-950 | S99249B | 21 | 913-914 | ||
S96199D | 23 | 949-950 | S99019P | 23 | 949-950 | S99249B | 24 | 963-965 | ||
S96199S | 21 | 913-914 | S99019S | 21 | 913-914 | S99249D | 23 | 949-950 | ||
S96201A | 21 | 913-914 | S99021A | 21 | 913-914 | S99249G | 23 | 949-950 | ||
S96201A | 24 | 963-965 | S99021A | 24 | 963-965 | S99249K | 23 | 949-950 | ||
S96201D | 23 | 949-950 | S99021B | 21 | 913-914 | S99249P | 23 | 949-950 | ||
S96201S | 21 | 913-914 | S99021B | 24 | 963-965 | S99249S | 21 | 913-914 | ||
S96202A | 21 | 913-914 | S99021D | 23 | 949-950 | S99291A | 21 | 913-914 | ||
S96202A | 24 | 963-965 | S99021G | 23 | 949-950 | S99291A | 24 | 963-965 | ||
S96202D | 23 | 949-950 | S99021K | 23 | 949-950 | S99291B | 21 | 913-914 | ||
S96202S | 21 | 913-914 | S99021P | 23 | 949-950 | S99291B | 24 | 963-965 | ||
S96209A | 21 | 913-914 | S99021S | 21 | 913-914 | S99291D | 23 | 949-950 | ||
S96209A | 24 | 963-965 | S99022A | 21 | 913-914 | S99291G | 23 | 949-950 | ||
S96209D | 23 | 949-950 | S99022A | 24 | 963-965 | S99291K | 23 | 949-950 | ||
S96209S | 21 | 913-914 | S99022B | 21 | 913-914 | S99291P | 23 | 949-950 | ||
S96211A | 08 | 562-563 | S99022B | 24 | 963-965 | S99291S | 21 | 913-914 | ||
S96211A | 24 | 963-965 | S99022D | 23 | 949-950 | S99292A | 21 | 913-914 | ||
S96211D | 23 | 949-950 | S99022G | 23 | 949-950 | S99292A | 24 | 963-965 | ||
S96211S | 08 | 562-563 | S99022K | 23 | 949-950 | S99292B | 21 | 913-914 | ||
S96212A | 08 | 562-563 | S99022P | 23 | 949-950 | S99292B | 24 | 963-965 | ||
S96212A | 24 | 963-965 | S99022S | 21 | 913-914 | S99292D | 23 | 949-950 | ||
S96212D | 23 | 949-950 | S99029A | 21 | 913-914 | S99292G | 23 | 949-950 | ||
S96212S | 08 | 562-563 | S99029A | 24 | 963-965 | S99292K | 23 | 949-950 | ||
S96219A | 08 | 562-563 | S99029B | 21 | 913-914 | S99292P | 23 | 949-950 | ||
S96219A | 24 | 963-965 | S99029B | 24 | 963-965 | S99292S | 21 | 913-914 | ||
S96219D | 23 | 949-950 | S99029D | 23 | 949-950 | S99299A | 21 | 913-914 | ||
S96219S | 08 | 562-563 | S99029G | 23 | 949-950 | S99299A | 24 | 963-965 | ||
S96221A | 08 | 564-566 | S99029K | 23 | 949-950 | S99299B | 21 | 913-914 | ||
S96221A | 24 | 963-965 | S99029P | 23 | 949-950 | S99299B | 24 | 963-965 | ||
S96221D | 23 | 949-950 | S99029S | 21 | 913-914 | S99299D | 23 | 949-950 | ||
S96221S | 09 | 604-605 | S99031A | 21 | 913-914 | S99299G | 23 | 949-950 | ||
S96222A | 08 | 564-566 | S99031A | 24 | 963-965 | S99299K | 23 | 949-950 | ||
S96222A | 24 | 963-965 | S99031B | 21 | 913-914 | S99299P | 23 | 949-950 | ||
S96222D | 23 | 949-950 | S99031B | 24 | 963-965 | S99299S | 21 | 913-914 | ||
S96222S | 09 | 604-605 | S99031D | 23 | 949-950 | S99811A | 21 | 913-914 | ||
S96229A | 08 | 564-566 | S99031G | 23 | 949-950 | S99811A | 24 | 963-965 | ||
S96229A | 24 | 963-965 | S99031K | 23 | 949-950 | S99811D | 23 | 949-950 | ||
S96229D | 23 | 949-950 | S99031P | 23 | 949-950 | S99811S | 21 | 913-914 | ||
S96229S | 09 | 604-605 | S99031S | 21 | 913-914 | S99812A | 21 | 913-914 | ||
S96291A | 21 | 913-914 | S99032A | 21 | 913-914 | S99812A | 24 | 963-965 | ||
S96291A | 24 | 963-965 | S99032A | 24 | 963-965 | S99812D | 23 | 949-950 | ||
S96291D | 23 | 949-950 | S99032B | 21 | 913-914 | S99812S | 21 | 913-914 | ||
S96291S | 21 | 913-914 | S99032B | 24 | 963-965 | S99819A | 21 | 913-914 | ||
S96292A | 21 | 913-914 | S99032D | 23 | 949-950 | S99819A | 24 | 963-965 | ||
S96292A | 24 | 963-965 | S99032G | 23 | 949-950 | S99819D | 23 | 949-950 | ||
S96292D | 23 | 949-950 | S99032K | 23 | 949-950 | S99819S | 21 | 913-914 | ||
S96292S | 21 | 913-914 | S99032P | 23 | 949-950 | S99821A | 21 | 913-914 | ||
S96299A | 21 | 913-914 | S99032S | 21 | 913-914 | S99821A | 24 | 963-965 | ||
S96299A | 24 | 963-965 | S99039A | 21 | 913-914 | S99821D | 23 | 949-950 | ||
S96299D | 23 | 949-950 | S99039A | 24 | 963-965 | S99821S | 21 | 913-914 | ||
S96299S | 21 | 913-914 | S99039B | 21 | 913-914 | S99822A | 21 | 913-914 | ||
S96801A | 21 | 913-914 | S99039B | 24 | 963-965 | S99822A | 24 | 963-965 | ||
S96801A | 24 | 963-965 | S99039D | 23 | 949-950 | S99822D | 23 | 949-950 | ||
S96801D | 23 | 949-950 | S99039G | 23 | 949-950 | S99822S | 21 | 913-914 | ||
S96801S | 21 | 913-914 | S99039K | 23 | 949-950 | S99829A | 21 | 913-914 | ||
S96802A | 21 | 913-914 | S99039P | 23 | 949-950 | S99829A | 24 | 963-965 | ||
S96802A | 24 | 963-965 | S99039S | 21 | 913-914 | S99829D | 23 | 949-950 | ||
S96802D | 23 | 949-950 | S99041A | 21 | 913-914 | S99829S | 21 | 913-914 | ||
S96802S | 21 | 913-914 | S99041A | 24 | 963-965 | S99911A | 21 | 913-914 | ||
S96809A | 21 | 913-914 | S99041B | 21 | 913-914 | S99911A | 24 | 963-965 | ||
S96809A | 24 | 963-965 | S99041B | 24 | 963-965 | S99911D | 23 | 949-950 | ||
S96809D | 23 | 949-950 | S99041D | 23 | 949-950 | S99911S | 21 | 913-914 | ||
S96809S | 21 | 913-914 | S99041G | 23 | 949-950 | S99912A | 21 | 913-914 | ||
S96811A | 08 | 562-563 | S99041K | 23 | 949-950 | S99912A | 24 | 963-965 | ||
S96811A | 24 | 963-965 | S99041P | 23 | 949-950 | S99912D | 23 | 949-950 | ||
S96811D | 23 | 949-950 | S99041S | 21 | 913-914 | S99912S | 21 | 913-914 | ||
S96811S | 08 | 562-563 | S99042A | 21 | 913-914 | S99919A | 21 | 913-914 | ||
S96812A | 08 | 562-563 | S99042A | 24 | 963-965 | S99919A | 24 | 963-965 | ||
S96812A | 24 | 963-965 | S99042B | 21 | 913-914 | S99919D | 23 | 949-950 | ||
S96812D | 23 | 949-950 | S99042B | 24 | 963-965 | S99919S | 21 | 913-914 | ||
S96812S | 08 | 562-563 | S99042D | 23 | 949-950 | S99921A | 21 | 913-914 | ||
S96819A | 08 | 562-563 | S99042G | 23 | 949-950 | S99921A | 24 | 963-965 | ||
S96819A | 24 | 963-965 | S99042K | 23 | 949-950 | S99921D | 23 | 949-950 | ||
S96819D | 23 | 949-950 | S99042P | 23 | 949-950 | S99921S | 21 | 913-914 | ||
S96819S | 08 | 562-563 | S99042S | 21 | 913-914 | S99922A | 21 | 913-914 | ||
S96821A | 08 | 564-566 | S99049A | 21 | 913-914 | S99922A | 24 | 963-965 | ||
S96821A | 24 | 963-965 | S99049A | 24 | 963-965 | S99922D | 23 | 949-950 | ||
S96821D | 23 | 949-950 | S99049B | 21 | 913-914 | S99922S | 21 | 913-914 | ||
S96821S | 09 | 604-605 | S99049B | 24 | 963-965 | S99929A | 21 | 913-914 | ||
S96822A | 08 | 564-566 | S99049D | 23 | 949-950 | S99929A | 24 | 963-965 | ||
S96822A | 24 | 963-965 | S99049G | 23 | 949-950 | S99929D | 23 | 949-950 | ||
S96822D | 23 | 949-950 | S99049K | 23 | 949-950 | S99929S | 21 | 913-914 | ||
S96822S | 09 | 604-605 | S99049P | 23 | 949-950 | T07XXXA | 21 | 913-914 | ||
S96829A | 08 | 564-566 | S99049S | 21 | 913-914 | T07XXXA | 24 | 963-965 | ||
S96829A | 24 | 963-965 | S99091A | 21 | 913-914 | T07XXXD | 23 | 949-950 | ||
S96829D | 23 | 949-950 | S99091A | 24 | 963-965 | T07XXXS | 21 | 913-914 | ||
S96829S | 09 | 604-605 | S99091B | 21 | 913-914 | T148XXA | 21 | 913-914 | ||
S96891A | 21 | 913-914 | S99091B | 24 | 963-965 | T148XXA | 24 | 963-965 | ||
S96891A | 24 | 963-965 | S99091D | 23 | 949-950 | T148XXD | 23 | 949-950 | ||
S96891D | 23 | 949-950 | S99091G | 23 | 949-950 | T148XXS | 21 | 913-914 | ||
S96891S | 21 | 913-914 | S99091K | 23 | 949-950 | T1490XA | 21 | 913-914 | ||
S96892A | 21 | 913-914 | S99091P | 23 | 949-950 | T1490XA | 24 | 963-965 | ||
S96892A | 24 | 963-965 | S99091S | 21 | 913-914 | T1490XD | 23 | 949-950 | ||
S96892D | 23 | 949-950 | S99092A | 21 | 913-914 | T1490XS | 21 | 913-914 | ||
S96892S | 21 | 913-914 | S99092A | 24 | 963-965 | T1491XA | 21 | 913-914 | ||
S96899A | 21 | 913-914 | S99092B | 21 | 913-914 | T1491XA | 24 | 963-965 | ||
S96899A | 24 | 963-965 | S99092B | 24 | 963-965 | T1491XD | 23 | 949-950 | ||
S96899D | 23 | 949-950 | S99092D | 23 | 949-950 | T1491XS | 21 | 913-914 | ||
S96899S | 21 | 913-914 | S99092G | 23 | 949-950 | T1500XA | 02 | 124-125 | ||
S96901A | 21 | 913-914 | S99092K | 23 | 949-950 | T1500XD | 23 | 949-950 | ||
S96901A | 24 | 963-965 | S99092P | 23 | 949-950 | T1500XS | 21 | 913-914 | ||
S96901D | 23 | 949-950 | S99092S | 21 | 913-914 | T1501XA | 02 | 124-125 | ||
S96901S | 21 | 913-914 | S99099A | 21 | 913-914 | T1501XD | 23 | 949-950 | ||
S96902A | 21 | 913-914 | S99099A | 24 | 963-965 | T1501XS | 21 | 913-914 | ||
S96902A | 24 | 963-965 | S99099B | 21 | 913-914 | T1502XA | 02 | 124-125 | ||
S96902D | 23 | 949-950 | S99099B | 24 | 963-965 | T1502XD | 23 | 949-950 | ||
S96902S | 21 | 913-914 | S99099D | 23 | 949-950 | T1502XS | 21 | 913-914 | ||
S96909A | 21 | 913-914 | S99099G | 23 | 949-950 | T1510XA | 02 | 124-125 | ||
S96909A | 24 | 963-965 | S99099K | 23 | 949-950 | T1510XD | 23 | 949-950 | ||
S96909D | 23 | 949-950 | S99099P | 23 | 949-950 | T1510XS | 21 | 913-914 | ||
S96909S | 21 | 913-914 | S99099S | 21 | 913-914 | T1511XA | 02 | 124-125 | ||
S96911A | 08 | 562-563 | S99101A | 21 | 913-914 | T1511XD | 23 | 949-950 | ||
S96911A | 24 | 963-965 | S99101A | 24 | 963-965 | T1511XS | 21 | 913-914 | ||
S96911D | 23 | 949-950 | S99101B | 21 | 913-914 | T1512XA | 02 | 124-125 | ||
S96911S | 08 | 562-563 | S99101B | 24 | 963-965 | T1512XD | 23 | 949-950 | ||
S96912A | 08 | 562-563 | S99101D | 23 | 949-950 | T1512XS | 21 | 913-914 | ||
S96912A | 24 | 963-965 | S99101G | 23 | 949-950 | T1580XA | 02 | 124-125 | ||
S96912D | 23 | 949-950 | S99101K | 23 | 949-950 | T1580XD | 23 | 949-950 | ||
S96912S | 08 | 562-563 | S99101P | 23 | 949-950 | T1580XS | 21 | 913-914 | ||
S96919A | 08 | 562-563 | S99101S | 21 | 913-914 | T1581XA | 02 | 124-125 | ||
S96919A | 24 | 963-965 | S99102A | 21 | 913-914 | T1581XD | 23 | 949-950 | ||
S96919D | 23 | 949-950 | S99102A | 24 | 963-965 | T1581XS | 21 | 913-914 | ||
S96919S | 08 | 562-563 | S99102B | 21 | 913-914 | T1582XA | 02 | 124-125 | ||
S96921A | 08 | 564-566 | S99102B | 24 | 963-965 | T1582XD | 23 | 949-950 | ||
S96921A | 24 | 963-965 | S99102D | 23 | 949-950 | T1582XS | 21 | 913-914 | ||
S96921D | 23 | 949-950 | S99102G | 23 | 949-950 | T1590XA | 02 | 124-125 | ||
S96921S | 09 | 604-605 | S99102K | 23 | 949-950 | T1590XD | 23 | 949-950 | ||
S96922A | 08 | 564-566 | S99102P | 23 | 949-950 | T1590XS | 21 | 913-914 | ||
S96922A | 24 | 963-965 | S99102S | 21 | 913-914 | T1591XA | 02 | 124-125 | ||
S96922D | 23 | 949-950 | S99109A | 21 | 913-914 | T1591XD | 23 | 949-950 | ||
S96922S | 09 | 604-605 | S99109A | 24 | 963-965 | T1591XS | 21 | 913-914 | ||
S96929A | 08 | 564-566 | S99109B | 21 | 913-914 | T1592XA | 02 | 124-125 | ||
S96929A | 24 | 963-965 | S99109B | 24 | 963-965 | T1592XD | 23 | 949-950 | ||
S96929D | 23 | 949-950 | S99109D | 23 | 949-950 | T1592XS | 21 | 913-914 | ||
S96929S | 09 | 604-605 | S99109G | 23 | 949-950 | T161XXA | 03 | 154-156 | ||
S96991A | 21 | 913-914 | S99109K | 23 | 949-950 | T161XXD | 23 | 949-950 | ||
S96991A | 24 | 963-965 | S99109P | 23 | 949-950 | T161XXS | 21 | 913-914 | ||
S96991D | 23 | 949-950 | S99109S | 21 | 913-914 | T162XXA | 03 | 154-156 | ||
S96991S | 21 | 913-914 | S99111A | 21 | 913-914 | T162XXD | 23 | 949-950 | ||
S96992A | 21 | 913-914 | S99111A | 24 | 963-965 | T162XXS | 21 | 913-914 | ||
S96992A | 24 | 963-965 | S99111B | 21 | 913-914 | T169XXA | 03 | 154-156 | ||
S96992D | 23 | 949-950 | S99111B | 24 | 963-965 | T169XXD | 23 | 949-950 | ||
S96992S | 21 | 913-914 | S99111D | 23 | 949-950 | T169XXS | 21 | 913-914 | ||
S96999A | 21 | 913-914 | S99111G | 23 | 949-950 | T170XXA | 03 | 154-156 | ||
S96999A | 24 | 963-965 | S99111K | 23 | 949-950 | T170XXD | 23 | 949-950 | ||
S96999D | 23 | 949-950 | S99111P | 23 | 949-950 | T170XXS | 21 | 913-914 | ||
S96999S | 21 | 913-914 | S99111S | 21 | 913-914 | T171XXA | 03 | 154-156 | ||
S9700XA | 21 | 913-914 | S99112A | 21 | 913-914 | T171XXD | 23 | 949-950 | ||
S9700XA | 24 | 963-965 | S99112A | 24 | 963-965 | T171XXS | 21 | 913-914 | ||
S9700XD | 23 | 949-950 | S99112B | 21 | 913-914 | T17200A | Pre | 011-013 | ||
S9700XS | 09 | 604-605 | S99112B | 24 | 963-965 | T17200A | 03 | 154-156 | ||
S9701XA | 21 | 913-914 | S99112D | 23 | 949-950 | T17200D | 23 | 949-950 | ||
S9701XA | 24 | 963-965 | S99112G | 23 | 949-950 | T17200S | 21 | 913-914 | ||
S9701XD | 23 | 949-950 | S99112K | 23 | 949-950 | T17208A | Pre | 011-013 | ||
S9701XS | 09 | 604-605 | S99112P | 23 | 949-950 | T17208A | 03 | 154-156 | ||
S9702XA | 21 | 913-914 | S99112S | 21 | 913-914 | T17208D | 23 | 949-950 | ||
S9702XA | 24 | 963-965 | S99119A | 21 | 913-914 | T17208S | 21 | 913-914 | ||
S9702XD | 23 | 949-950 | S99119A | 24 | 963-965 | T17210A | Pre | 011-013 | ||
S9702XS | 09 | 604-605 | S99119B | 21 | 913-914 | T17210A | 03 | 154-156 | ||
S97101A | 21 | 913-914 | S99119B | 24 | 963-965 | T17210D | 23 | 949-950 | ||
S97101A | 24 | 963-965 | S99119D | 23 | 949-950 | T17210S | 21 | 913-914 | ||
S97101D | 23 | 949-950 | S99119G | 23 | 949-950 | T17218A | Pre | 011-013 | ||
S97101S | 09 | 604-605 | S99119K | 23 | 949-950 | T17218A | 03 | 154-156 | ||
S97102A | 21 | 913-914 | S99119P | 23 | 949-950 | T17218D | 23 | 949-950 | ||
S97102A | 24 | 963-965 | S99119S | 21 | 913-914 | T17218S | 21 | 913-914 | ||
S97102D | 23 | 949-950 | S99121A | 21 | 913-914 | T17220A | Pre | 011-013 | ||
S97102S | 09 | 604-605 | S99121A | 24 | 963-965 | T17220A | 03 | 154-156 | ||
S97109A | 21 | 913-914 | S99121B | 21 | 913-914 | T17220D | 23 | 949-950 | ||
S97109A | 24 | 963-965 | S99121B | 24 | 963-965 | T17220S | 21 | 913-914 | ||
S97109D | 23 | 949-950 | S99121D | 23 | 949-950 | T17228A | Pre | 011-013 | ||
S97109S | 09 | 604-605 | S99121G | 23 | 949-950 | T17228A | 03 | 154-156 | ||
S97111A | 21 | 913-914 | S99121K | 23 | 949-950 | T17228D | 23 | 949-950 | ||
S97111A | 24 | 963-965 | S99121P | 23 | 949-950 | T17228S | 21 | 913-914 | ||
S97111D | 23 | 949-950 | S99121S | 21 | 913-914 | T17290A | Pre | 011-013 | ||
S97111S | 09 | 604-605 | S99122A | 21 | 913-914 | T17290A | 03 | 154-156 | ||
S97112A | 21 | 913-914 | S99122A | 24 | 963-965 | T17290D | 23 | 949-950 | ||
S97112A | 24 | 963-965 | S99122B | 21 | 913-914 | T17290S | 21 | 913-914 | ||
S97112D | 23 | 949-950 | S99122B | 24 | 963-965 | T17298A | Pre | 011-013 | ||
S97112S | 09 | 604-605 | S99122D | 23 | 949-950 | T17298A | 03 | 154-156 | ||
S97119A | 21 | 913-914 | S99122G | 23 | 949-950 | T17298D | 23 | 949-950 | ||
S97119A | 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 |