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 26 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 Z889 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| O45023 | 14 | 817-819 | O7021 | 14 | 769 | O9882 | 14 | 998 | ||
| O45023 | 14 | 831-833 | O7021 | 14 | 776 | O9883 | 14 | 769 | ||
| O45029 | 14 | 817-819 | O7022 | 14 | 769 | O9883 | 14 | 776 | ||
| O45029 | 14 | 831-833 | O7022 | 14 | 776 | O98911 | 14 | 817-819 | ||
| O45091 | 14 | 817-819 | O7023 | 14 | 769 | O98911 | 14 | 831-833 | ||
| O45091 | 14 | 831-833 | O7023 | 14 | 776 | O98912 | 14 | 817-819 | ||
| O45092 | 14 | 817-819 | O703 | 14 | 769 | O98912 | 14 | 831-833 | ||
| O45092 | 14 | 831-833 | O703 | 14 | 776 | O98913 | 14 | 817-819 | ||
| O45093 | 14 | 817-819 | O704 | 14 | 769 | O98913 | 14 | 831-833 | ||
| O45093 | 14 | 831-833 | O704 | 14 | 776 | O98919 | 14 | 817-819 | ||
| O45099 | 14 | 817-819 | O709 | 14 | 769 | O98919 | 14 | 831-833 | ||
| O45099 | 14 | 831-833 | O709 | 14 | 776 | O9892 | 14 | 998 | ||
| O458X1 | 14 | 817-819 | O7100 | 14 | 817-819 | O9893 | 14 | 769 | ||
| O458X1 | 14 | 831-833 | O7100 | 14 | 831-833 | O9893 | 14 | 776 | ||
| O458X2 | 14 | 817-819 | O7102 | 14 | 817-819 | O99011 | 14 | 817-819 | ||
| O458X2 | 14 | 831-833 | O7102 | 14 | 831-833 | O99011 | 14 | 831-833 | ||
| O458X3 | 14 | 817-819 | O7103 | 14 | 817-819 | O99012 | 14 | 817-819 | ||
| O458X3 | 14 | 831-833 | O7103 | 14 | 831-833 | O99012 | 14 | 831-833 | ||
| O458X9 | 14 | 817-819 | O711 | 14 | 817-819 | O99013 | 14 | 817-819 | ||
| O458X9 | 14 | 831-833 | O711 | 14 | 831-833 | O99013 | 14 | 831-833 | ||
| O4590 | 14 | 817-819 | O712 | 14 | 769 | O99019 | 14 | 817-819 | ||
| O4590 | 14 | 831-833 | O712 | 14 | 776 | O99019 | 14 | 831-833 | ||
| O4591 | 14 | 817-819 | O713 | 14 | 769 | O9902 | 14 | 998 | ||
| O4591 | 14 | 831-833 | O713 | 14 | 776 | O9903 | 14 | 769 | ||
| O4592 | 14 | 817-819 | O714 | 14 | 769 | O9903 | 14 | 776 | ||
| O4592 | 14 | 831-833 | O714 | 14 | 776 | O99111 | 14 | 817-819 | ||
| O4593 | 14 | 817-819 | O715 | 14 | 769 | O99111 | 14 | 831-833 | ||
| O4593 | 14 | 831-833 | O715 | 14 | 776 | O99112 | 14 | 817-819 | ||
| O46001 | 14 | 817-819 | O716 | 14 | 769 | O99112 | 14 | 831-833 | ||
| O46001 | 14 | 831-833 | O716 | 14 | 776 | O99113 | 14 | 817-819 | ||
| O46002 | 14 | 817-819 | O717 | 14 | 769 | O99113 | 14 | 831-833 | ||
| O46002 | 14 | 831-833 | O717 | 14 | 776 | O99119 | 14 | 817-819 | ||
| O46003 | 14 | 817-819 | O7181 | 14 | 817-819 | O99119 | 14 | 831-833 | ||
| O46003 | 14 | 831-833 | O7181 | 14 | 831-833 | O9912 | 14 | 998 | ||
| O46009 | 14 | 817-819 | O7182 | 14 | 769 | O9913 | 14 | 769 | ||
| O46009 | 14 | 831-833 | O7182 | 14 | 776 | O9913 | 14 | 776 | ||
| O46011 | 14 | 817-819 | O7189 | 14 | 769 | O99210 | 14 | 817-819 | ||
| O46011 | 14 | 831-833 | O7189 | 14 | 776 | O99210 | 14 | 831-833 | ||
| O46012 | 14 | 817-819 | O719 | 14 | 769 | O99211 | 14 | 817-819 | ||
| O46012 | 14 | 831-833 | O719 | 14 | 776 | O99211 | 14 | 831-833 | ||
| O46013 | 14 | 817-819 | O720 | 14 | 769 | O99212 | 14 | 817-819 | ||
| O46013 | 14 | 831-833 | O720 | 14 | 776 | O99212 | 14 | 831-833 | ||
| O46019 | 14 | 817-819 | O721 | 14 | 769 | O99213 | 14 | 817-819 | ||
| O46019 | 14 | 831-833 | O721 | 14 | 776 | O99213 | 14 | 831-833 | ||
| O46021 | 14 | 817-819 | O722 | 14 | 769 | O99214 | 14 | 998 | ||
| O46021 | 14 | 831-833 | O722 | 14 | 776 | O99215 | 14 | 769 | ||
| O46022 | 14 | 817-819 | O723 | 14 | 769 | O99215 | 14 | 776 | ||
| O46022 | 14 | 831-833 | O723 | 14 | 776 | O99280 | 14 | 817-819 | ||
| O46023 | 14 | 817-819 | O730 | 14 | 769 | O99280 | 14 | 831-833 | ||
| O46023 | 14 | 831-833 | O730 | 14 | 776 | O99281 | 14 | 817-819 | ||
| O46029 | 14 | 817-819 | O731 | 14 | 769 | O99281 | 14 | 831-833 | ||
| O46029 | 14 | 831-833 | O731 | 14 | 776 | O99282 | 14 | 817-819 | ||
| O46091 | 14 | 817-819 | O740 | 14 | 998 | O99282 | 14 | 831-833 | ||
| O46091 | 14 | 831-833 | O741 | 14 | 998 | O99283 | 14 | 817-819 | ||
| O46092 | 14 | 817-819 | O742 | 14 | 998 | O99283 | 14 | 831-833 | ||
| O46092 | 14 | 831-833 | O743 | 14 | 998 | O99284 | 14 | 998 | ||
| O46093 | 14 | 817-819 | O744 | 14 | 998 | O99285 | 14 | 769 | ||
| O46093 | 14 | 831-833 | O745 | 14 | 998 | O99285 | 14 | 776 | ||
| O46099 | 14 | 817-819 | O746 | 14 | 998 | O99310 | 14 | 817-819 | ||
| O46099 | 14 | 831-833 | O747 | 14 | 998 | O99310 | 14 | 831-833 | ||
| O468X1 | 14 | 817-819 | O748 | 14 | 998 | O99311 | 14 | 817-819 | ||
| O468X1 | 14 | 831-833 | O749 | 14 | 998 | O99311 | 14 | 831-833 | ||
| O468X2 | 14 | 817-819 | O750 | 14 | 998 | O99312 | 14 | 817-819 | ||
| O468X2 | 14 | 831-833 | O751 | 14 | 998 | O99312 | 14 | 831-833 | ||
| O468X3 | 14 | 817-819 | O752 | 14 | 817-819 | O99313 | 14 | 817-819 | ||
| O468X3 | 14 | 831-833 | O752 | 14 | 831-833 | O99313 | 14 | 831-833 | ||
| O468X9 | 14 | 817-819 | O753 | 14 | 817-819 | O99314 | 14 | 998 | ||
| O468X9 | 14 | 831-833 | O753 | 14 | 831-833 | O99315 | 14 | 769 | ||
| O4690 | 14 | 817-819 | O754 | 14 | 769 | O99315 | 14 | 776 | ||
| O4690 | 14 | 831-833 | O754 | 14 | 776 | O99320 | 14 | 817-819 | ||
| O4691 | 14 | 817-819 | O755 | 14 | 998 | O99320 | 14 | 831-833 | ||
| O4691 | 14 | 831-833 | O7581 | 14 | 998 | O99321 | 14 | 817-819 | ||
| O4692 | 14 | 817-819 | O7582 | 14 | 998 | O99321 | 14 | 831-833 | ||
| O4692 | 14 | 831-833 | O7589 | 14 | 998 | O99322 | 14 | 817-819 | ||
| O4693 | 14 | 817-819 | O759 | 14 | 998 | O99322 | 14 | 831-833 | ||
| O4693 | 14 | 831-833 | O76 | 14 | 998 | O99323 | 14 | 817-819 | ||
| O4700 | 14 | 817-819 | O770 | 14 | 998 | O99323 | 14 | 831-833 | ||
| O4700 | 14 | 831-833 | O771 | 14 | 998 | O99324 | 14 | 998 | ||
| O4702 | 14 | 817-819 | O778 | 14 | 998 | O99325 | 14 | 769 | ||
| O4702 | 14 | 831-833 | O779 | 14 | 998 | O99325 | 14 | 776 | ||
| O4703 | 14 | 817-819 | O80 | 14 | 998 | O99330 | 14 | 817-819 | ||
| O4703 | 14 | 831-833 | O82 | 14 | 998 | O99330 | 14 | 831-833 | ||
| O471 | 14 | 817-819 | O85 | 14 | 769 | O99331 | 14 | 817-819 | ||
| O471 | 14 | 831-833 | O85 | 14 | 776 | O99331 | 14 | 831-833 | ||
| O479 | 14 | 817-819 | O8600 | 14 | 769 | O99332 | 14 | 817-819 | ||
| O479 | 14 | 831-833 | O8600 | 14 | 776 | O99332 | 14 | 831-833 | ||
| O480 | 14 | 817-819 | O8601 | 14 | 769 | O99333 | 14 | 817-819 | ||
| O480 | 14 | 831-833 | O8601 | 14 | 776 | O99333 | 14 | 831-833 | ||
| O481 | 14 | 817-819 | O8602 | 14 | 769 | O99334 | 14 | 998 | ||
| O481 | 14 | 831-833 | O8602 | 14 | 776 | O99335 | 14 | 769 | ||
| O6000 | 14 | 817-819 | O8603 | 14 | 769 | O99335 | 14 | 776 | ||
| O6000 | 14 | 831-833 | O8603 | 14 | 776 | O99340 | 14 | 817-819 | ||
| O6002 | 14 | 817-819 | O8604 | 14 | 769 | O99340 | 14 | 831-833 | ||
| O6002 | 14 | 831-833 | O8604 | 14 | 776 | O99341 | 14 | 817-819 | ||
| O6003 | 14 | 817-819 | O8609 | 14 | 769 | O99341 | 14 | 831-833 | ||
| O6003 | 14 | 831-833 | O8609 | 14 | 776 | O99342 | 14 | 817-819 | ||
| O6010X0 | 14 | 998 | O8611 | 14 | 769 | O99342 | 14 | 831-833 | ||
| O6010X1 | 14 | 998 | O8611 | 14 | 776 | O99343 | 14 | 817-819 | ||
| O6010X2 | 14 | 998 | O8612 | 14 | 769 | O99343 | 14 | 831-833 | ||
| O6010X3 | 14 | 998 | O8612 | 14 | 776 | O99344 | 14 | 998 | ||
| O6010X4 | 14 | 998 | O8613 | 14 | 769 | O99345 | 14 | 769 | ||
| O6010X5 | 14 | 998 | O8613 | 14 | 776 | O99345 | 14 | 776 | ||
| O6010X9 | 14 | 998 | O8619 | 14 | 769 | O99350 | 14 | 817-819 | ||
| O6012X0 | 14 | 998 | O8619 | 14 | 776 | O99350 | 14 | 831-833 | ||
| O6012X1 | 14 | 998 | O8620 | 14 | 769 | O99351 | 14 | 817-819 | ||
| O6012X2 | 14 | 998 | O8620 | 14 | 776 | O99351 | 14 | 831-833 | ||
| O6012X3 | 14 | 998 | O8621 | 14 | 769 | O99352 | 14 | 817-819 | ||
| O6012X4 | 14 | 998 | O8621 | 14 | 776 | O99352 | 14 | 831-833 | ||
| O6012X5 | 14 | 998 | O8622 | 14 | 769 | O99353 | 14 | 817-819 | ||
| O6012X9 | 14 | 998 | O8622 | 14 | 776 | O99353 | 14 | 831-833 | ||
| O6013X0 | 14 | 998 | O8629 | 14 | 769 | O99354 | 14 | 998 | ||
| O6013X1 | 14 | 998 | O8629 | 14 | 776 | O99355 | 14 | 769 | ||
| O6013X2 | 14 | 998 | O864 | 14 | 769 | O99355 | 14 | 776 | ||
| O6013X3 | 14 | 998 | O864 | 14 | 776 | O99411 | 14 | 817-819 | ||
| O6013X4 | 14 | 998 | O8681 | 14 | 769 | O99411 | 14 | 831-833 | ||
| O6013X5 | 14 | 998 | O8681 | 14 | 776 | O99412 | 14 | 817-819 | ||
| O6013X9 | 14 | 998 | O8689 | 14 | 769 | O99412 | 14 | 831-833 | ||
| O6014X0 | 14 | 998 | O8689 | 14 | 776 | O99413 | 14 | 817-819 | ||
| O6014X1 | 14 | 998 | O870 | 14 | 769 | O99413 | 14 | 831-833 | ||
| O6014X2 | 14 | 998 | O870 | 14 | 776 | O99419 | 14 | 817-819 | ||
| O6014X3 | 14 | 998 | O871 | 14 | 769 | O99419 | 14 | 831-833 | ||
| O6014X4 | 14 | 998 | O871 | 14 | 776 | O9942 | 14 | 998 | ||
| O6014X5 | 14 | 998 | O872 | 14 | 769 | O9943 | 14 | 769 | ||
| O6014X9 | 14 | 998 | O872 | 14 | 776 | O9943 | 14 | 776 | ||
| O6020X0 | 14 | 998 | O873 | 14 | 769 | O99511 | 14 | 817-819 | ||
| O6020X1 | 14 | 998 | O873 | 14 | 776 | O99511 | 14 | 831-833 | ||
| O6020X2 | 14 | 998 | O874 | 14 | 769 | O99512 | 14 | 817-819 | ||
| O6020X3 | 14 | 998 | O874 | 14 | 776 | O99512 | 14 | 831-833 | ||
| O6020X4 | 14 | 998 | O878 | 14 | 769 | O99513 | 14 | 817-819 | ||
| O6020X5 | 14 | 998 | O878 | 14 | 776 | O99513 | 14 | 831-833 | ||
| O6020X9 | 14 | 998 | O879 | 14 | 769 | O99519 | 14 | 817-819 | ||
| O6022X0 | 14 | 998 | O879 | 14 | 776 | O99519 | 14 | 831-833 | ||
| O6022X1 | 14 | 998 | O88011 | 14 | 817-819 | O9952 | 14 | 998 | ||
| O6022X2 | 14 | 998 | O88011 | 14 | 831-833 | O9953 | 14 | 769 | ||
| O6022X3 | 14 | 998 | O88012 | 14 | 817-819 | O9953 | 14 | 776 | ||
| O6022X4 | 14 | 998 | O88012 | 14 | 831-833 | O99611 | 14 | 817-819 | ||
| O6022X5 | 14 | 998 | O88013 | 14 | 817-819 | O99611 | 14 | 831-833 | ||
| O6022X9 | 14 | 998 | O88013 | 14 | 831-833 | O99612 | 14 | 817-819 | ||
| O6023X0 | 14 | 998 | O88019 | 14 | 817-819 | O99612 | 14 | 831-833 | ||
| O6023X1 | 14 | 998 | O88019 | 14 | 831-833 | O99613 | 14 | 817-819 | ||
| O6023X2 | 14 | 998 | O8802 | 14 | 998 | O99613 | 14 | 831-833 | ||
| O6023X3 | 14 | 998 | O8803 | 14 | 769 | O99619 | 14 | 817-819 | ||
| O6023X4 | 14 | 998 | O8803 | 14 | 776 | O99619 | 14 | 831-833 | ||
| O6023X5 | 14 | 998 | O88111 | 14 | 817-819 | O9962 | 14 | 998 | ||
| O6023X9 | 14 | 998 | O88111 | 14 | 831-833 | O9963 | 14 | 769 | ||
| O610 | 14 | 817-819 | O88112 | 14 | 817-819 | O9963 | 14 | 776 | ||
| O610 | 14 | 831-833 | O88112 | 14 | 831-833 | O99711 | 14 | 817-819 | ||
| O611 | 14 | 817-819 | O88113 | 14 | 817-819 | O99711 | 14 | 831-833 | ||
| O611 | 14 | 831-833 | O88113 | 14 | 831-833 | O99712 | 14 | 817-819 | ||
| O618 | 14 | 817-819 | O88119 | 14 | 817-819 | O99712 | 14 | 831-833 | ||
| O618 | 14 | 831-833 | O88119 | 14 | 831-833 | O99713 | 14 | 817-819 | ||
| O619 | 14 | 817-819 | O8812 | 14 | 998 | O99713 | 14 | 831-833 | ||
| O619 | 14 | 831-833 | O8813 | 14 | 769 | O99719 | 14 | 817-819 | ||
| O620 | 14 | 817-819 | O8813 | 14 | 776 | O99719 | 14 | 831-833 | ||
| O620 | 14 | 831-833 | O88211 | 14 | 817-819 | O9972 | 14 | 998 | ||
| O621 | 14 | 817-819 | O88211 | 14 | 831-833 | O9973 | 14 | 769 | ||
| O621 | 14 | 831-833 | O88212 | 14 | 817-819 | O9973 | 14 | 776 | ||
| O622 | 14 | 817-819 | O88212 | 14 | 831-833 | O99810 | 14 | 817-819 | ||
| O622 | 14 | 831-833 | O88213 | 14 | 817-819 | O99810 | 14 | 831-833 | ||
| O623 | 14 | 817-819 | O88213 | 14 | 831-833 | O99814 | 14 | 998 | ||
| O623 | 14 | 831-833 | O88219 | 14 | 817-819 | O99815 | 14 | 769 | ||
| O624 | 14 | 817-819 | O88219 | 14 | 831-833 | O99815 | 14 | 776 | ||
| O624 | 14 | 831-833 | O8822 | 14 | 998 | O99820 | 14 | 817-819 | ||
| O628 | 14 | 817-819 | O8823 | 14 | 769 | O99820 | 14 | 831-833 | ||
| O628 | 14 | 831-833 | O8823 | 14 | 776 | O99824 | 14 | 998 | ||
| O629 | 14 | 817-819 | O88311 | 14 | 817-819 | O99825 | 14 | 769 | ||
| O629 | 14 | 831-833 | O88311 | 14 | 831-833 | O99825 | 14 | 776 | ||
| O630 | 14 | 817-819 | O88312 | 14 | 817-819 | O99830 | 14 | 817-819 | ||
| O630 | 14 | 831-833 | O88312 | 14 | 831-833 | O99830 | 14 | 831-833 | ||
| O631 | 14 | 817-819 | O88313 | 14 | 817-819 | O99834 | 14 | 998 | ||
| O631 | 14 | 831-833 | O88313 | 14 | 831-833 | O99835 | 14 | 769 | ||
| O632 | 14 | 998 | O88319 | 14 | 817-819 | O99835 | 14 | 776 | ||
| O639 | 14 | 817-819 | O88319 | 14 | 831-833 | O99840 | 14 | 817-819 | ||
| O639 | 14 | 831-833 | O8832 | 14 | 998 | O99840 | 14 | 831-833 | ||
| O640XX0 | 14 | 817-819 | O8833 | 14 | 769 | O99841 | 14 | 817-819 | ||
| O640XX0 | 14 | 831-833 | O8833 | 14 | 776 | O99841 | 14 | 831-833 | ||
| O640XX1 | 14 | 817-819 | O88811 | 14 | 817-819 | O99842 | 14 | 817-819 | ||
| O640XX1 | 14 | 831-833 | O88811 | 14 | 831-833 | O99842 | 14 | 831-833 | ||
| O640XX2 | 14 | 817-819 | O88812 | 14 | 817-819 | O99843 | 14 | 817-819 | ||
| O640XX2 | 14 | 831-833 | O88812 | 14 | 831-833 | O99843 | 14 | 831-833 | ||
| O640XX3 | 14 | 817-819 | O88813 | 14 | 817-819 | O99844 | 14 | 998 | ||
| O640XX3 | 14 | 831-833 | O88813 | 14 | 831-833 | O99845 | 14 | 769 | ||
| O640XX4 | 14 | 817-819 | O88819 | 14 | 817-819 | O99845 | 14 | 776 | ||
| O640XX4 | 14 | 831-833 | O88819 | 14 | 831-833 | O99891 | 14 | 817-819 | ||
| O640XX5 | 14 | 817-819 | O8882 | 14 | 998 | O99891 | 14 | 831-833 | ||
| O640XX5 | 14 | 831-833 | O8883 | 14 | 769 | O99892 | 14 | 998 | ||
| O640XX9 | 14 | 817-819 | O8883 | 14 | 776 | O99893 | 14 | 769 | ||
| O640XX9 | 14 | 831-833 | O8901 | 14 | 769 | O99893 | 14 | 776 | ||
| O641XX0 | 14 | 817-819 | O8901 | 14 | 776 | O9A111 | 14 | 817-819 | ||
| O641XX0 | 14 | 831-833 | O8909 | 14 | 769 | O9A111 | 14 | 831-833 | ||
| O641XX1 | 14 | 817-819 | O8909 | 14 | 776 | O9A112 | 14 | 817-819 | ||
| O641XX1 | 14 | 831-833 | O891 | 14 | 769 | O9A112 | 14 | 831-833 | ||
| O641XX2 | 14 | 817-819 | O891 | 14 | 776 | O9A113 | 14 | 817-819 | ||
| O641XX2 | 14 | 831-833 | O892 | 14 | 769 | O9A113 | 14 | 831-833 | ||
| O641XX3 | 14 | 817-819 | O892 | 14 | 776 | O9A119 | 14 | 817-819 | ||
| O641XX3 | 14 | 831-833 | O893 | 14 | 769 | O9A119 | 14 | 831-833 | ||
| O641XX4 | 14 | 817-819 | O893 | 14 | 776 | O9A12 | 14 | 998 | ||
| O641XX4 | 14 | 831-833 | O894 | 14 | 769 | O9A13 | 14 | 769 | ||
| O641XX5 | 14 | 817-819 | O894 | 14 | 776 | O9A13 | 14 | 776 | ||
| O641XX5 | 14 | 831-833 | O895 | 14 | 769 | O9A211 | 14 | 817-819 | ||
| O641XX9 | 14 | 817-819 | O895 | 14 | 776 | O9A211 | 14 | 831-833 | ||
| O641XX9 | 14 | 831-833 | O896 | 14 | 769 | O9A212 | 14 | 817-819 | ||
| O642XX0 | 14 | 817-819 | O896 | 14 | 776 | O9A212 | 14 | 831-833 | ||
| O642XX0 | 14 | 831-833 | O898 | 14 | 769 | O9A213 | 14 | 817-819 | ||
| O642XX1 | 14 | 817-819 | O898 | 14 | 776 | O9A213 | 14 | 831-833 | ||
| O642XX1 | 14 | 831-833 | O899 | 14 | 769 | O9A219 | 14 | 817-819 | ||
| O642XX2 | 14 | 817-819 | O899 | 14 | 776 | O9A219 | 14 | 831-833 | ||
| O642XX2 | 14 | 831-833 | O900 | 14 | 769 | O9A22 | 14 | 998 | ||
| O642XX3 | 14 | 817-819 | O900 | 14 | 776 | O9A23 | 14 | 769 | ||
| O642XX3 | 14 | 831-833 | O901 | 14 | 769 | O9A23 | 14 | 776 | ||
| O642XX4 | 14 | 817-819 | O901 | 14 | 776 | O9A311 | 14 | 817-819 | ||
| O642XX4 | 14 | 831-833 | O902 | 14 | 769 | O9A311 | 14 | 831-833 | ||
| O642XX5 | 14 | 817-819 | O902 | 14 | 776 | O9A312 | 14 | 817-819 | ||
| O642XX5 | 14 | 831-833 | O903 | 14 | 769 | O9A312 | 14 | 831-833 | ||
| O642XX9 | 14 | 817-819 | O903 | 14 | 776 | O9A313 | 14 | 817-819 | ||
| O642XX9 | 14 | 831-833 | O904 | 14 | 769 | O9A313 | 14 | 831-833 | ||
| O643XX0 | 14 | 817-819 | O904 | 14 | 776 | O9A319 | 14 | 817-819 | ||
| O643XX0 | 14 | 831-833 | O905 | 14 | 769 | O9A319 | 14 | 831-833 | ||
| O643XX1 | 14 | 817-819 | O905 | 14 | 776 | O9A32 | 14 | 998 | ||
| O643XX1 | 14 | 831-833 | O906 | 14 | 769 | O9A33 | 14 | 769 | ||
| O643XX2 | 14 | 817-819 | O906 | 14 | 776 | O9A33 | 14 | 776 | ||
| O643XX2 | 14 | 831-833 | O9081 | 14 | 769 | O9A411 | 14 | 817-819 | ||
| O643XX3 | 14 | 817-819 | O9081 | 14 | 776 | O9A411 | 14 | 831-833 | ||
| O643XX3 | 14 | 831-833 | O9089 | 14 | 769 | O9A412 | 14 | 817-819 | ||
| O643XX4 | 14 | 817-819 | O9089 | 14 | 776 | O9A412 | 14 | 831-833 | ||
| O643XX4 | 14 | 831-833 | O909 | 14 | 769 | O9A413 | 14 | 817-819 | ||
| O643XX5 | 14 | 817-819 | O909 | 14 | 776 | O9A413 | 14 | 831-833 | ||
| O643XX5 | 14 | 831-833 | O91011 | 14 | 817-819 | O9A419 | 14 | 817-819 | ||
| O643XX9 | 14 | 817-819 | O91011 | 14 | 831-833 | O9A419 | 14 | 831-833 | ||
| O643XX9 | 14 | 831-833 | O91012 | 14 | 817-819 | O9A42 | 14 | 998 | ||
| O644XX0 | 14 | 817-819 | O91012 | 14 | 831-833 | O9A43 | 14 | 769 | ||
| O644XX0 | 14 | 831-833 | O91013 | 14 | 817-819 | O9A43 | 14 | 776 | ||
| O644XX1 | 14 | 817-819 | O91013 | 14 | 831-833 | O9A511 | 14 | 817-819 | ||
| O644XX1 | 14 | 831-833 | O91019 | 14 | 817-819 | O9A511 | 14 | 831-833 | ||
| O644XX2 | 14 | 817-819 | O91019 | 14 | 831-833 | O9A512 | 14 | 817-819 | ||
| O644XX2 | 14 | 831-833 | O9102 | 14 | 769 | O9A512 | 14 | 831-833 | ||
| O644XX3 | 14 | 817-819 | O9102 | 14 | 776 | O9A513 | 14 | 817-819 | ||
| O644XX3 | 14 | 831-833 | O9103 | 14 | 769 | O9A513 | 14 | 831-833 | ||
| O644XX4 | 14 | 817-819 | O9103 | 14 | 776 | O9A519 | 14 | 817-819 | ||
| O644XX4 | 14 | 831-833 | O91111 | 14 | 817-819 | O9A519 | 14 | 831-833 | ||
| O644XX5 | 14 | 817-819 | O91111 | 14 | 831-833 | O9A52 | 14 | 998 | ||
| O644XX5 | 14 | 831-833 | O91112 | 14 | 817-819 | O9A53 | 14 | 769 | ||
| O644XX9 | 14 | 817-819 | O91112 | 14 | 831-833 | O9A53 | 14 | 776 | ||
| O644XX9 | 14 | 831-833 | O91113 | 14 | 817-819 | P000 | 15 | 794 | ||
| O645XX0 | 14 | 817-819 | O91113 | 14 | 831-833 | P001 | 15 | 794 | ||
| O645XX0 | 14 | 831-833 | O91119 | 14 | 817-819 | P002 | 15 | 795 | ||
| O645XX1 | 14 | 817-819 | O91119 | 14 | 831-833 | P002 | 23 | 951 | ||
| O645XX1 | 14 | 831-833 | O9112 | 14 | 769 | P003 | 15 | 795 | ||
| O645XX2 | 14 | 817-819 | O9112 | 14 | 776 | P004 | 15 | 794 | ||
| O645XX2 | 14 | 831-833 | O9113 | 14 | 769 | P005 | 15 | 794 | ||
| O645XX3 | 14 | 817-819 | O9113 | 14 | 776 | P006 | 15 | 794 | ||
| O645XX3 | 14 | 831-833 | O91211 | 14 | 817-819 | P007 | 15 | 794 | ||
| O645XX4 | 14 | 817-819 | O91211 | 14 | 831-833 | P0081 | 15 | 794 | ||
| O645XX4 | 14 | 831-833 | O91212 | 14 | 817-819 | P0082 | 15 | 795 | ||
| O645XX5 | 14 | 817-819 | O91212 | 14 | 831-833 | P0082 | 23 | 951 | ||
| O645XX5 | 14 | 831-833 | O91213 | 14 | 817-819 | P0089 | 15 | 795 | ||
| O645XX9 | 14 | 817-819 | O91213 | 14 | 831-833 | P0089 | 23 | 951 | ||
| O645XX9 | 14 | 831-833 | O91219 | 14 | 817-819 | P009 | 15 | 795 | ||
| O648XX0 | 14 | 817-819 | O91219 | 14 | 831-833 | P010 | 15 | 794 | ||
| O648XX0 | 14 | 831-833 | O9122 | 14 | 769 | P011 | 15 | 794 | ||
| O648XX1 | 14 | 817-819 | O9122 | 14 | 776 | P012 | 15 | 794 | ||
| O648XX1 | 14 | 831-833 | O9123 | 14 | 769 | P013 | 15 | 794 | ||
| O648XX2 | 14 | 817-819 | O9123 | 14 | 776 | P014 | 15 | 794 | ||
| O648XX2 | 14 | 831-833 | O92011 | 14 | 817-819 | P015 | 15 | 794 | ||
| O648XX3 | 14 | 817-819 | O92011 | 14 | 831-833 | P016 | 15 | 794 | ||
| O648XX3 | 14 | 831-833 | O92012 | 14 | 817-819 | P017 | 15 | 794 | ||
| O648XX4 | 14 | 817-819 | O92012 | 14 | 831-833 | P018 | 15 | 794 | ||
| O648XX4 | 14 | 831-833 | O92013 | 14 | 817-819 | P019 | 15 | 794 | ||
| O648XX5 | 14 | 817-819 | O92013 | 14 | 831-833 | P020 | 15 | 794 | ||
| O648XX5 | 14 | 831-833 | O92019 | 14 | 817-819 | P021 | 15 | 794 | ||
| O648XX9 | 14 | 817-819 | O92019 | 14 | 831-833 | P0220 | 15 | 794 | ||
| O648XX9 | 14 | 831-833 | O9202 | 14 | 769 | P0229 | 15 | 794 | ||
| O649XX0 | 14 | 817-819 | O9202 | 14 | 776 | P023 | 15 | 794 | ||
| O649XX0 | 14 | 831-833 | O9203 | 14 | 769 | P024 | 15 | 795 | ||
| O649XX1 | 14 | 817-819 | O9203 | 14 | 776 | P025 | 15 | 795 | ||
| O649XX1 | 14 | 831-833 | O92111 | 14 | 817-819 | P0260 | 15 | 795 | ||
| O649XX2 | 14 | 817-819 | O92111 | 14 | 831-833 | P0269 | 15 | 795 | ||
| O649XX2 | 14 | 831-833 | O92112 | 14 | 817-819 | P0270 | 15 | 794 | ||
| O649XX3 | 14 | 817-819 | O92112 | 14 | 831-833 | P0278 | 15 | 794 | ||
| O649XX3 | 14 | 831-833 | O92113 | 14 | 817-819 | P028 | 15 | 794 | ||
| O649XX4 | 14 | 817-819 | O92113 | 14 | 831-833 | P029 | 15 | 794 | ||
| O649XX4 | 14 | 831-833 | O92119 | 14 | 817-819 | P030 | 15 | 795 | ||
| O649XX5 | 14 | 817-819 | O92119 | 14 | 831-833 | P031 | 15 | 795 | ||
| O649XX5 | 14 | 831-833 | O9212 | 14 | 769 | P032 | 15 | 795 | ||
| O649XX9 | 14 | 817-819 | O9212 | 14 | 776 | P033 | 15 | 795 | ||
| O649XX9 | 14 | 831-833 | O9213 | 14 | 769 | P034 | 15 | 791 | ||
| O650 | 14 | 817-819 | O9213 | 14 | 776 | P034 | 15 | 793 | ||
| O650 | 14 | 831-833 | O9220 | 14 | 769 | P035 | 15 | 795 | ||
| O651 | 14 | 817-819 | O9220 | 14 | 776 | P036 | 15 | 794 | ||
| O651 | 14 | 831-833 | O9229 | 14 | 769 | P03810 | 15 | 794 | ||
| O652 | 14 | 817-819 | O9229 | 14 | 776 | P03811 | 15 | 794 | ||
| O652 | 14 | 831-833 | O923 | 14 | 769 | P03819 | 15 | 794 | ||
| O653 | 14 | 817-819 | O923 | 14 | 776 | P0382 | 15 | 794 | ||
| O653 | 14 | 831-833 | O924 | 14 | 769 | P0389 | 15 | 794 | ||
| O654 | 14 | 817-819 | O924 | 14 | 776 | P039 | 15 | 795 | ||
| O654 | 14 | 831-833 | O925 | 14 | 769 | P040 | 15 | 794 | ||
| O655 | 14 | 817-819 | O925 | 14 | 776 | P0411 | 15 | 794 | ||
| O655 | 14 | 831-833 | O926 | 14 | 769 | P0412 | 15 | 794 | ||
| O658 | 14 | 817-819 | O926 | 14 | 776 | P0413 | 15 | 794 | ||
| O658 | 14 | 831-833 | O9270 | 14 | 769 | P0414 | 15 | 794 | ||
| O659 | 14 | 817-819 | O9270 | 14 | 776 | P0415 | 15 | 794 | ||
| O659 | 14 | 831-833 | O9279 | 14 | 769 | P0416 | 15 | 794 | ||
| O660 | 14 | 817-819 | O9279 | 14 | 776 | P0417 | 15 | 794 | ||
| O660 | 14 | 831-833 | O94 | 14 | 769 | P0418 | 15 | 794 | ||
| O661 | 14 | 817-819 | O94 | 14 | 776 | P0419 | 15 | 794 | ||
| O661 | 14 | 831-833 | O98011 | 14 | 817-819 | P041A | 15 | 794 | ||
| O662 | 14 | 817-819 | O98011 | 14 | 831-833 | P042 | 15 | 794 | ||
| O662 | 14 | 831-833 | O98012 | 14 | 817-819 | P043 | 15 | 794 | ||
| O663 | 14 | 817-819 | O98012 | 14 | 831-833 | P0440 | 15 | 794 | ||
| O663 | 14 | 831-833 | O98013 | 14 | 817-819 | P0441 | 15 | 794 | ||
| O6640 | 14 | 817-819 | O98013 | 14 | 831-833 | P0442 | 15 | 794 | ||
| O6640 | 14 | 831-833 | O98019 | 14 | 817-819 | P0449 | 15 | 794 | ||
| O6641 | 14 | 998 | O98019 | 14 | 831-833 | P045 | 15 | 794 | ||
| O665 | 14 | 817-819 | O9802 | 14 | 998 | P046 | 15 | 794 | ||
| O665 | 14 | 831-833 | O9803 | 14 | 769 | P0481 | 15 | 794 | ||
| O666 | 14 | 817-819 | O9803 | 14 | 776 | P0489 | 15 | 794 | ||
| O666 | 14 | 831-833 | O98111 | 14 | 817-819 | P049 | 15 | 794 | ||
| O668 | 14 | 817-819 | O98111 | 14 | 831-833 | P0500 | 15 | 794 | ||
| O668 | 14 | 831-833 | O98112 | 14 | 817-819 | P0501 | 15 | 794 | ||
| O669 | 14 | 817-819 | O98112 | 14 | 831-833 | P0502 | 15 | 794 | ||
| O669 | 14 | 831-833 | O98113 | 14 | 817-819 | P0503 | 15 | 794 | ||
| O670 | 14 | 998 | O98113 | 14 | 831-833 | P0504 | 15 | 794 | ||
| O678 | 14 | 998 | O98119 | 14 | 817-819 | P0505 | 15 | 794 | ||
| O679 | 14 | 998 | O98119 | 14 | 831-833 | P0506 | 15 | 794 | ||
| O68 | 14 | 998 | O9812 | 14 | 998 | P0507 | 15 | 794 | ||
| O690XX0 | 14 | 998 | O9813 | 14 | 769 | P0508 | 15 | 795 | ||
| O690XX1 | 14 | 998 | O9813 | 14 | 776 | P0509 | 15 | 794 | ||
| O690XX2 | 14 | 998 | O98211 | 14 | 817-819 | P0510 | 15 | 794 | ||
| O690XX3 | 14 | 998 | O98211 | 14 | 831-833 | P0511 | 15 | 791 | ||
| O690XX4 | 14 | 998 | O98212 | 14 | 817-819 | P0511 | 15 | 793 | ||
| O690XX5 | 14 | 998 | O98212 | 14 | 831-833 | P0512 | 15 | 791 | ||
| O690XX9 | 14 | 998 | O98213 | 14 | 817-819 | P0512 | 15 | 793 | ||
| O691XX0 | 14 | 998 | O98213 | 14 | 831-833 | P0513 | 15 | 791 | ||
| O691XX1 | 14 | 998 | O98219 | 14 | 817-819 | P0513 | 15 | 793 | ||
| O691XX2 | 14 | 998 | O98219 | 14 | 831-833 | P0514 | 15 | 791 | ||
| O691XX3 | 14 | 998 | O9822 | 14 | 998 | P0514 | 15 | 793 | ||
| O691XX4 | 14 | 998 | O9823 | 14 | 769 | P0515 | 15 | 791 | ||
| O691XX5 | 14 | 998 | O9823 | 14 | 776 | P0515 | 15 | 793 | ||
| O691XX9 | 14 | 998 | O98311 | 14 | 817-819 | P0516 | 15 | 791 | ||
| O692XX0 | 14 | 998 | O98311 | 14 | 831-833 | P0516 | 15 | 793 | ||
| O692XX1 | 14 | 998 | O98312 | 14 | 817-819 | P0517 | 15 | 791 | ||
| O692XX2 | 14 | 998 | O98312 | 14 | 831-833 | P0517 | 15 | 793 | ||
| O692XX3 | 14 | 998 | O98313 | 14 | 817-819 | P0518 | 15 | 795 | ||
| O692XX4 | 14 | 998 | O98313 | 14 | 831-833 | P0519 | 15 | 794 | ||
| O692XX5 | 14 | 998 | O98319 | 14 | 817-819 | P052 | 15 | 791 | ||
| O692XX9 | 14 | 998 | O98319 | 14 | 831-833 | P052 | 15 | 793 | ||
| O693XX0 | 14 | 998 | O9832 | 14 | 998 | P059 | 15 | 794 | ||
| O693XX1 | 14 | 998 | O9833 | 14 | 769 | P0700 | 15 | 791-792 | ||
| O693XX2 | 14 | 998 | O9833 | 14 | 776 | P0701 | 15 | 790 | ||
| O693XX3 | 14 | 998 | O98411 | 14 | 817-819 | P0702 | 15 | 790 | ||
| O693XX4 | 14 | 998 | O98411 | 14 | 831-833 | P0703 | 15 | 790 | ||
| O693XX5 | 14 | 998 | O98412 | 14 | 817-819 | P0710 | 15 | 791-792 | ||
| O693XX9 | 14 | 998 | O98412 | 14 | 831-833 | P0714 | 15 | 791-792 | ||
| O694XX0 | 14 | 998 | O98413 | 14 | 817-819 | P0715 | 15 | 791-792 | ||
| O694XX1 | 14 | 998 | O98413 | 14 | 831-833 | P0716 | 15 | 791-792 | ||
| O694XX2 | 14 | 998 | O98419 | 14 | 817-819 | P0717 | 15 | 791-792 | ||
| O694XX3 | 14 | 998 | O98419 | 14 | 831-833 | P0718 | 15 | 791-792 | ||
| O694XX4 | 14 | 998 | O9842 | 14 | 998 | P0720 | 15 | 795 | ||
| O694XX5 | 14 | 998 | O9843 | 14 | 769 | P0721 | 15 | 790 | ||
| O694XX9 | 14 | 998 | O9843 | 14 | 776 | P0722 | 15 | 790 | ||
| O695XX0 | 14 | 998 | O98511 | 14 | 817-819 | P0723 | 15 | 790 | ||
| O695XX1 | 14 | 998 | O98511 | 14 | 831-833 | P0724 | 15 | 790 | ||
| O695XX2 | 14 | 998 | O98512 | 14 | 817-819 | P0725 | 15 | 790 | ||
| O695XX3 | 14 | 998 | O98512 | 14 | 831-833 | P0726 | 15 | 791-792 | ||
| O695XX4 | 14 | 998 | O98513 | 14 | 817-819 | P0730 | 15 | 791-792 | ||
| O695XX5 | 14 | 998 | O98513 | 14 | 831-833 | P0731 | 15 | 791-792 | ||
| O695XX9 | 14 | 998 | O98519 | 14 | 817-819 | P0732 | 15 | 791-792 | ||
| O6981X0 | 14 | 998 | O98519 | 14 | 831-833 | P0733 | 15 | 791-792 | ||
| O6981X1 | 14 | 998 | O9852 | 14 | 998 | P0734 | 15 | 791-792 | ||
| O6981X2 | 14 | 998 | O9853 | 14 | 769 | P0735 | 15 | 791-792 | ||
| O6981X3 | 14 | 998 | O9853 | 14 | 776 | P0736 | 15 | 791-792 | ||
| O6981X4 | 14 | 998 | O98611 | 14 | 817-819 | P0737 | 15 | 791-792 | ||
| O6981X5 | 14 | 998 | O98611 | 14 | 831-833 | P0738 | 15 | 791-792 | ||
| O6981X9 | 14 | 998 | O98612 | 14 | 817-819 | P0739 | 15 | 791-792 | ||
| O6982X0 | 14 | 998 | O98612 | 14 | 831-833 | P080 | 15 | 795 | ||
| O6982X1 | 14 | 998 | O98613 | 14 | 817-819 | P081 | 15 | 795 | ||
| O6982X2 | 14 | 998 | O98613 | 14 | 831-833 | P0821 | 15 | 795 | ||
| O6982X3 | 14 | 998 | O98619 | 14 | 817-819 | P0822 | 15 | 795 | ||
| O6982X4 | 14 | 998 | O98619 | 14 | 831-833 | P091 | 23 | 947-948 | ||
| O6982X5 | 14 | 998 | O9862 | 14 | 998 | P092 | 23 | 947-948 | ||
| O6982X9 | 14 | 998 | O9863 | 14 | 769 | P093 | 23 | 947-948 | ||
| O6989X0 | 14 | 998 | O9863 | 14 | 776 | P094 | 23 | 947-948 | ||
| O6989X1 | 14 | 998 | O98711 | 14 | 817-819 | P095 | 23 | 947-948 | ||
| O6989X2 | 14 | 998 | O98711 | 14 | 831-833 | P096 | 23 | 947-948 | ||
| O6989X3 | 14 | 998 | O98712 | 14 | 817-819 | P098 | 23 | 947-948 | ||
| O6989X4 | 14 | 998 | O98712 | 14 | 831-833 | P099 | 23 | 947-948 | ||
| O6989X5 | 14 | 998 | O98713 | 14 | 817-819 | P100 | 15 | 791 | ||
| O6989X9 | 14 | 998 | O98713 | 14 | 831-833 | P100 | 15 | 793 | ||
| O699XX0 | 14 | 998 | O98719 | 14 | 817-819 | P101 | 15 | 791 | ||
| O699XX1 | 14 | 998 | O98719 | 14 | 831-833 | P101 | 15 | 793 | ||
| O699XX2 | 14 | 998 | O9872 | 14 | 998 | P102 | 15 | 791 | ||
| O699XX3 | 14 | 998 | O9873 | 14 | 769 | P102 | 15 | 793 | ||
| O699XX4 | 14 | 998 | O9873 | 14 | 776 | P103 | 15 | 791 | ||
| O699XX5 | 14 | 998 | O98811 | 14 | 817-819 | P103 | 15 | 793 | ||
| O699XX9 | 14 | 998 | O98811 | 14 | 831-833 | P104 | 15 | 791 | ||
| O700 | 14 | 769 | O98812 | 14 | 817-819 | P104 | 15 | 793 | ||
| O700 | 14 | 776 | O98812 | 14 | 831-833 | P108 | 15 | 791 | ||
| O701 | 14 | 769 | O98813 | 14 | 817-819 | P108 | 15 | 793 | ||
| O701 | 14 | 776 | O98813 | 14 | 831-833 | P109 | 15 | 791 | ||
| O7020 | 14 | 769 | O98819 | 14 | 817-819 | P109 | 15 | 793 | ||
| O7020 | 14 | 776 | O98819 | 14 | 831-833 | P110 | 15 | 791 | ||
| P110 | 15 | 793 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 06 Jul 2021 14:18:42 CMS, code-revision=311, description-revision=1309 |