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 28 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Q685 | 08 | 564-566 | R064 | 04 | 204 | R402343 | 01 | 080-081 | ||
| Q686 | 08 | 562-563 | R065 | 03 | 154-156 | R402343 | 15 | 791 | ||
| Q688 | 08 | 564-566 | R066 | 04 | 204 | R402343 | 15 | 793 | ||
| Q690 | 08 | 564-566 | R067 | 03 | 154-156 | R402344 | 01 | 080-081 | ||
| Q691 | 08 | 564-566 | R0681 | 04 | 204 | R402344 | 15 | 791 | ||
| Q692 | 08 | 564-566 | R0682 | 04 | 204 | R402344 | 15 | 793 | ||
| Q699 | 08 | 564-566 | R0683 | 04 | 204 | R402350 | 23 | 951 | ||
| Q7000 | 08 | 564-566 | R0689 | 04 | 204 | R402351 | 23 | 951 | ||
| Q7001 | 08 | 564-566 | R069 | 04 | 204 | R402352 | 23 | 951 | ||
| Q7002 | 08 | 564-566 | R070 | 03 | 154-156 | R402353 | 23 | 951 | ||
| Q7003 | 08 | 564-566 | R071 | 04 | 204 | R402354 | 23 | 951 | ||
| Q7010 | 08 | 564-566 | R072 | 05 | 313 | R402360 | 23 | 951 | ||
| Q7011 | 08 | 564-566 | R0781 | 04 | 204 | R402361 | 23 | 951 | ||
| Q7012 | 08 | 564-566 | R0782 | 05 | 313 | R402362 | 23 | 951 | ||
| Q7013 | 08 | 564-566 | R0789 | 05 | 313 | R402363 | 23 | 951 | ||
| Q7020 | 08 | 564-566 | R079 | 05 | 313 | R402364 | 23 | 951 | ||
| Q7021 | 08 | 564-566 | R0901 | 04 | 205-206 | R402410 | 23 | 951 | ||
| Q7022 | 08 | 564-566 | R0902 | 04 | 205-206 | R402411 | 23 | 951 | ||
| Q7023 | 08 | 564-566 | R091 | 04 | 193-195 | R402412 | 23 | 951 | ||
| Q7030 | 08 | 564-566 | R092 | 04 | 205-206 | R402413 | 23 | 951 | ||
| Q7031 | 08 | 564-566 | R092 | 15 | 791 | R402414 | 23 | 951 | ||
| Q7032 | 08 | 564-566 | R092 | 15 | 793 | R402420 | 23 | 951 | ||
| Q7033 | 08 | 564-566 | R093 | 04 | 204 | R402421 | 23 | 951 | ||
| Q704 | 08 | 564-566 | R0981 | 03 | 154-156 | R402422 | 23 | 951 | ||
| Q709 | 08 | 564-566 | R0981 | 15 | 795 | R402423 | 23 | 951 | ||
| Q7100 | 08 | 564-566 | R0982 | 03 | 154-156 | R402424 | 23 | 951 | ||
| Q7101 | 08 | 564-566 | R0989 | 05 | 314-316 | R402430 | 23 | 951 | ||
| Q7102 | 08 | 564-566 | R100 | 06 | 391-392 | R402431 | 23 | 951 | ||
| Q7103 | 08 | 564-566 | R1010 | 06 | 391-392 | R402432 | 23 | 951 | ||
| Q7110 | 08 | 564-566 | R1011 | 06 | 391-392 | R402433 | 23 | 951 | ||
| Q7111 | 08 | 564-566 | R1012 | 06 | 391-392 | R402434 | 23 | 951 | ||
| Q7112 | 08 | 564-566 | R1013 | 06 | 391-392 | R402440 | 23 | 951 | ||
| Q7113 | 08 | 564-566 | R102 | 06 | 391-392 | R402441 | 23 | 951 | ||
| Q7120 | 08 | 564-566 | R1030 | 06 | 391-392 | R402442 | 23 | 951 | ||
| Q7121 | 08 | 564-566 | R1031 | 06 | 391-392 | R402443 | 23 | 951 | ||
| Q7122 | 08 | 564-566 | R1032 | 06 | 391-392 | R402444 | 23 | 951 | ||
| Q7123 | 08 | 564-566 | R1033 | 06 | 391-392 | R403 | 01 | 080-081 | ||
| Q7130 | 08 | 564-566 | R10811 | 06 | 391-392 | R403 | 15 | 791 | ||
| Q7131 | 08 | 564-566 | R10812 | 06 | 391-392 | R403 | 15 | 793 | ||
| Q7132 | 08 | 564-566 | R10813 | 06 | 391-392 | R404 | 19 | 884 | ||
| Q7133 | 08 | 564-566 | R10814 | 06 | 391-392 | R410 | 23 | 947-948 | ||
| Q7140 | 08 | 564-566 | R10815 | 06 | 391-392 | R411 | 23 | 947-948 | ||
| Q7141 | 08 | 564-566 | R10816 | 06 | 391-392 | R412 | 23 | 947-948 | ||
| Q7142 | 08 | 564-566 | R10817 | 06 | 391-392 | R413 | 23 | 947-948 | ||
| Q7143 | 08 | 564-566 | R10819 | 06 | 391-392 | R414 | 01 | 091-093 | ||
| Q7150 | 08 | 564-566 | R10821 | 06 | 391-392 | R4181 | 19 | 884 | ||
| Q7151 | 08 | 564-566 | R10822 | 06 | 391-392 | R4182 | 23 | 947-948 | ||
| Q7152 | 08 | 564-566 | R10823 | 06 | 391-392 | R4183 | 23 | 951 | ||
| Q7153 | 08 | 564-566 | R10824 | 06 | 391-392 | R41840 | 19 | 886 | ||
| Q7160 | 08 | 564-566 | R10825 | 06 | 391-392 | R41841 | 19 | 884 | ||
| Q7161 | 08 | 564-566 | R10826 | 06 | 391-392 | R41842 | 01 | 091-093 | ||
| Q7162 | 08 | 564-566 | R10827 | 06 | 391-392 | R41843 | 19 | 884 | ||
| Q7163 | 08 | 564-566 | R10829 | 06 | 391-392 | R41844 | 19 | 884 | ||
| Q71811 | 08 | 564-566 | R1083 | 06 | 391-392 | R4189 | 19 | 884 | ||
| Q71812 | 08 | 564-566 | R1084 | 06 | 391-392 | R419 | 23 | 947-948 | ||
| Q71813 | 08 | 564-566 | R109 | 06 | 391-392 | R42 | 03 | 149 | ||
| Q71819 | 08 | 564-566 | R110 | 06 | 391-392 | R430 | 01 | 091-093 | ||
| Q71891 | 08 | 564-566 | R1110 | 06 | 391-392 | R431 | 01 | 091-093 | ||
| Q71892 | 08 | 564-566 | R1111 | 06 | 391-392 | R432 | 01 | 091-093 | ||
| Q71893 | 08 | 564-566 | R1112 | 06 | 391-392 | R438 | 01 | 091-093 | ||
| Q71899 | 08 | 564-566 | R1113 | 06 | 393-395 | R439 | 01 | 091-093 | ||
| Q7190 | 08 | 564-566 | R1114 | 06 | 391-392 | R440 | 19 | 880 | ||
| Q7191 | 08 | 564-566 | R1115 | 06 | 393-395 | R441 | 02 | 124-125 | ||
| Q7192 | 08 | 564-566 | R112 | 06 | 391-392 | R442 | 19 | 880 | ||
| Q7193 | 08 | 564-566 | R12 | 06 | 391-392 | R443 | 19 | 880 | ||
| Q7200 | 08 | 564-566 | R130 | 06 | 391-392 | R448 | 23 | 951 | ||
| Q7201 | 08 | 564-566 | R1310 | 06 | 391-392 | R449 | 23 | 951 | ||
| Q7202 | 08 | 564-566 | R1311 | 06 | 391-392 | R450 | 19 | 880 | ||
| Q7203 | 08 | 564-566 | R1312 | 06 | 391-392 | R451 | 19 | 884 | ||
| Q7210 | 08 | 564-566 | R1313 | 06 | 391-392 | R452 | 19 | 880 | ||
| Q7211 | 08 | 564-566 | R1314 | 06 | 391-392 | R453 | 19 | 880 | ||
| Q7212 | 08 | 564-566 | R1319 | 06 | 391-392 | R454 | 19 | 880 | ||
| Q7213 | 08 | 564-566 | R140 | 06 | 391-392 | R455 | 19 | 880 | ||
| Q7220 | 08 | 564-566 | R141 | 06 | 391-392 | R456 | 19 | 880 | ||
| Q7221 | 08 | 564-566 | R142 | 06 | 391-392 | R457 | 19 | 880 | ||
| Q7222 | 08 | 564-566 | R143 | 06 | 391-392 | R4581 | 19 | 884 | ||
| Q7223 | 08 | 564-566 | R150 | 06 | 391-392 | R4582 | 19 | 884 | ||
| Q7230 | 08 | 564-566 | R151 | 06 | 391-392 | R4583 | 23 | 947-948 | ||
| Q7231 | 08 | 564-566 | R152 | 06 | 391-392 | R4584 | 23 | 947-948 | ||
| Q7232 | 08 | 564-566 | R159 | 06 | 391-392 | R45850 | 23 | 951 | ||
| Q7233 | 08 | 564-566 | R160 | 07 | 441-443 | R45851 | 19 | 880 | ||
| Q7240 | 08 | 564-566 | R161 | 16 | 814-816 | R4586 | 19 | 883 | ||
| Q7241 | 08 | 564-566 | R162 | 07 | 441-443 | R4587 | 19 | 882 | ||
| Q7242 | 08 | 564-566 | R17 | 07 | 441-443 | R4588 | 19 | 883 | ||
| Q7243 | 08 | 564-566 | R180 | 23 | 947-948 | R4589 | 19 | 880 | ||
| Q7250 | 08 | 564-566 | R188 | 23 | 947-948 | R460 | 23 | 951 | ||
| Q7251 | 08 | 564-566 | R1900 | 06 | 391-392 | R461 | 23 | 951 | ||
| Q7252 | 08 | 564-566 | R1901 | 06 | 391-392 | R462 | 23 | 951 | ||
| Q7253 | 08 | 564-566 | R1902 | 06 | 391-392 | R463 | 23 | 951 | ||
| Q7260 | 08 | 564-566 | R1903 | 06 | 391-392 | R464 | 23 | 951 | ||
| Q7261 | 08 | 564-566 | R1904 | 06 | 391-392 | R465 | 23 | 951 | ||
| Q7262 | 08 | 564-566 | R1905 | 06 | 391-392 | R466 | 23 | 951 | ||
| Q7263 | 08 | 564-566 | R1906 | 06 | 391-392 | R467 | 23 | 951 | ||
| Q7270 | 08 | 564-566 | R1907 | 06 | 391-392 | R4681 | 23 | 951 | ||
| Q7271 | 08 | 564-566 | R1909 | 06 | 391-392 | R4689 | 23 | 951 | ||
| Q7272 | 08 | 564-566 | R1911 | 06 | 391-392 | R4701 | 01 | 091-093 | ||
| Q7273 | 08 | 564-566 | R1912 | 06 | 391-392 | R4702 | 01 | 091-093 | ||
| Q72811 | 08 | 564-566 | R1915 | 06 | 391-392 | R471 | 01 | 091-093 | ||
| Q72812 | 08 | 564-566 | R192 | 06 | 391-392 | R4781 | 01 | 091-093 | ||
| Q72813 | 08 | 564-566 | R1930 | 06 | 393-395 | R4782 | 01 | 091-093 | ||
| Q72819 | 08 | 564-566 | R1931 | 06 | 393-395 | R4789 | 01 | 091-093 | ||
| Q72891 | 08 | 564-566 | R1932 | 06 | 393-395 | R479 | 01 | 091-093 | ||
| Q72892 | 08 | 564-566 | R1933 | 06 | 393-395 | R480 | 19 | 886 | ||
| Q72893 | 08 | 564-566 | R1934 | 06 | 393-395 | R481 | 19 | 886 | ||
| Q72899 | 08 | 564-566 | R1935 | 06 | 393-395 | R482 | 19 | 886 | ||
| Q7290 | 08 | 564-566 | R1936 | 06 | 393-395 | R483 | 02 | 124-125 | ||
| Q7291 | 08 | 564-566 | R1937 | 06 | 393-395 | R488 | 19 | 886 | ||
| Q7292 | 08 | 564-566 | R194 | 06 | 391-392 | R489 | 19 | 887 | ||
| Q7293 | 08 | 564-566 | R195 | 06 | 391-392 | R490 | 03 | 154-156 | ||
| Q730 | 08 | 564-566 | R196 | 03 | 154-156 | R491 | 03 | 154-156 | ||
| Q731 | 08 | 564-566 | R197 | 06 | 391-392 | R4921 | 03 | 154-156 | ||
| Q738 | 08 | 564-566 | R198 | 06 | 391-392 | R4922 | 03 | 154-156 | ||
| Q740 | 08 | 564-566 | R200 | 01 | 091-093 | R498 | 03 | 154-156 | ||
| Q741 | 08 | 564-566 | R201 | 01 | 091-093 | R499 | 03 | 154-156 | ||
| Q742 | 08 | 564-566 | R202 | 01 | 091-093 | R502 | 18 | 864 | ||
| Q743 | 08 | 564-566 | R203 | 01 | 091-093 | R5081 | 18 | 864 | ||
| Q748 | 08 | 564-566 | R208 | 01 | 091-093 | R5082 | 18 | 864 | ||
| Q749 | 08 | 564-566 | R209 | 01 | 091-093 | R5083 | 18 | 864 | ||
| Q750 | 08 | 564-566 | R21 | 09 | 606-607 | R5084 | 18 | 864 | ||
| Q751 | 08 | 564-566 | R220 | 09 | 606-607 | R509 | 18 | 864 | ||
| Q752 | 08 | 564-566 | R221 | 09 | 606-607 | R510 | 01 | 102-103 | ||
| Q753 | 08 | 564-566 | R222 | 09 | 606-607 | R519 | 01 | 102-103 | ||
| Q754 | 08 | 564-566 | R2230 | 09 | 606-607 | R52 | 23 | 947-948 | ||
| Q755 | 08 | 564-566 | R2231 | 09 | 606-607 | R530 | 23 | 947-948 | ||
| Q758 | 08 | 564-566 | R2232 | 09 | 606-607 | R531 | 23 | 947-948 | ||
| Q759 | 08 | 564-566 | R2233 | 09 | 606-607 | R532 | 23 | 947-948 | ||
| Q760 | 01 | 091-093 | R2240 | 09 | 606-607 | R5381 | 23 | 947-948 | ||
| Q761 | 08 | 564-566 | R2241 | 09 | 606-607 | R5382 | 23 | 947-948 | ||
| Q762 | 08 | 551-552 | R2242 | 09 | 606-607 | R5383 | 23 | 947-948 | ||
| Q763 | 08 | 456-458 | R2243 | 09 | 606-607 | R54 | 19 | 884 | ||
| Q763 | 08 | 564-566 | R229 | 09 | 606-607 | R55 | 05 | 312 | ||
| Q76411 | 08 | 551-552 | R230 | 23 | 947-948 | R5600 | 01 | 100-101 | ||
| Q76412 | 08 | 551-552 | R231 | 23 | 947-948 | R5600 | 15 | 791 | ||
| Q76413 | 08 | 551-552 | R232 | 23 | 947-948 | R5600 | 15 | 793 | ||
| Q76414 | 08 | 551-552 | R233 | 16 | 813 | R5601 | 01 | 100-101 | ||
| Q76415 | 08 | 551-552 | R234 | 09 | 606-607 | R561 | 01 | 100-101 | ||
| Q76419 | 08 | 551-552 | R238 | 09 | 606-607 | R569 | 01 | 100-101 | ||
| Q76425 | 08 | 456-458 | R239 | 09 | 606-607 | R569 | 15 | 791 | ||
| Q76425 | 08 | 564-566 | R250 | 01 | 091-093 | R569 | 15 | 793 | ||
| Q76426 | 08 | 456-458 | R251 | 01 | 091-093 | R570 | 05 | 222-223 | ||
| Q76426 | 08 | 564-566 | R252 | 01 | 091-093 | R570 | 05 | 291-293 | ||
| Q76427 | 08 | 456-458 | R253 | 01 | 091-093 | R571 | 18 | 870-872 | ||
| Q76427 | 08 | 564-566 | R258 | 01 | 091-093 | R578 | 18 | 870-872 | ||
| Q76428 | 08 | 456-458 | R259 | 01 | 091-093 | R579 | 05 | 222-223 | ||
| Q76428 | 08 | 564-566 | R260 | 01 | 091-093 | R579 | 05 | 291-293 | ||
| Q76429 | 08 | 456-458 | R261 | 01 | 091-093 | R579 | 15 | 791 | ||
| Q76429 | 08 | 564-566 | R262 | 08 | 555-556 | R579 | 15 | 793 | ||
| Q7649 | 08 | 551-552 | R2681 | 01 | 091-093 | R58 | 05 | 314-316 | ||
| Q765 | 08 | 564-566 | R2689 | 01 | 091-093 | R58 | 15 | 791 | ||
| Q766 | 08 | 564-566 | R269 | 01 | 091-093 | R58 | 15 | 793 | ||
| Q767 | 08 | 564-566 | R270 | 01 | 091-093 | R590 | 16 | 814-816 | ||
| Q768 | 08 | 564-566 | R278 | 01 | 091-093 | R591 | 16 | 814-816 | ||
| Q769 | 08 | 564-566 | R279 | 01 | 091-093 | R599 | 16 | 814-816 | ||
| Q770 | 08 | 564-566 | R290 | 10 | 640-641 | R600 | 23 | 947-948 | ||
| Q771 | 08 | 564-566 | R290 | 15 | 791 | R601 | 23 | 947-948 | ||
| Q772 | 08 | 564-566 | R290 | 15 | 793 | R609 | 23 | 947-948 | ||
| Q773 | 08 | 564-566 | R291 | 01 | 091-093 | R61 | 09 | 606-607 | ||
| Q774 | 08 | 564-566 | R292 | 01 | 091-093 | R620 | 10 | 640-641 | ||
| Q775 | 08 | 564-566 | R293 | 01 | 091-093 | R6250 | 10 | 640-641 | ||
| Q776 | 08 | 564-566 | R294 | 08 | 555-556 | R6251 | 10 | 640-641 | ||
| Q777 | 08 | 564-566 | R295 | 01 | 091-093 | R6252 | 10 | 640-641 | ||
| Q778 | 08 | 564-566 | R296 | 01 | 091-093 | R6259 | 10 | 640-641 | ||
| Q779 | 08 | 564-566 | R29700 | 23 | 951 | R627 | 10 | 640-641 | ||
| Q780 | 08 | 456-458 | R29701 | 23 | 951 | R630 | 10 | 640-641 | ||
| Q780 | 08 | 564-566 | R29702 | 23 | 951 | R631 | 10 | 640-641 | ||
| Q781 | 08 | 564-566 | R29703 | 23 | 951 | R632 | 10 | 640-641 | ||
| Q782 | 08 | 564-566 | R29704 | 23 | 951 | R6330 | 10 | 640-641 | ||
| Q783 | 08 | 564-566 | R29705 | 23 | 951 | R6331 | 10 | 640-641 | ||
| Q784 | 08 | 564-566 | R29706 | 23 | 951 | R6332 | 10 | 640-641 | ||
| Q785 | 08 | 564-566 | R29707 | 23 | 951 | R6339 | 10 | 640-641 | ||
| Q786 | 08 | 564-566 | R29708 | 23 | 951 | R634 | 10 | 640-641 | ||
| Q788 | 08 | 564-566 | R29709 | 23 | 951 | R635 | 10 | 640-641 | ||
| Q789 | 08 | 564-566 | R29710 | 23 | 951 | R636 | 10 | 640-641 | ||
| Q790 | 04 | 205-206 | R29711 | 23 | 951 | R638 | 10 | 640-641 | ||
| Q791 | 04 | 205-206 | R29712 | 23 | 951 | R64 | 23 | 947-948 | ||
| Q792 | 06 | 393-395 | R29713 | 23 | 951 | R6510 | 18 | 864 | ||
| Q792 | 15 | 791 | R29714 | 23 | 951 | R6511 | 18 | 864 | ||
| Q792 | 15 | 793 | R29715 | 23 | 951 | R6520 | 18 | 870-872 | ||
| Q793 | 06 | 393-395 | R29716 | 23 | 951 | R6521 | 18 | 870-872 | ||
| Q793 | 15 | 791 | R29717 | 23 | 951 | R680 | 23 | 947-948 | ||
| Q793 | 15 | 793 | R29718 | 23 | 951 | R6811 | 23 | 947-948 | ||
| Q794 | 06 | 393-395 | R29719 | 23 | 951 | R6812 | 23 | 947-948 | ||
| Q7951 | 06 | 393-395 | R29720 | 23 | 951 | R6813 | 23 | 951 | ||
| Q7959 | 06 | 393-395 | R29721 | 23 | 951 | R6819 | 23 | 951 | ||
| Q7960 | 08 | 564-566 | R29722 | 23 | 951 | R682 | Pre | 011-013 | ||
| Q7961 | 08 | 564-566 | R29723 | 23 | 951 | R682 | 03 | 154-156 | ||
| Q7962 | 08 | 564-566 | R29724 | 23 | 951 | R683 | 04 | 205-206 | ||
| Q7963 | 08 | 564-566 | R29725 | 23 | 951 | R6881 | 23 | 947-948 | ||
| Q7969 | 08 | 564-566 | R29726 | 23 | 951 | R6882 | 23 | 951 | ||
| Q798 | 08 | 564-566 | R29727 | 23 | 951 | R6883 | 23 | 947-948 | ||
| Q799 | 08 | 564-566 | R29728 | 23 | 951 | R6884 | Pre | 011-013 | ||
| Q800 | 09 | 606-607 | R29729 | 23 | 951 | R6884 | 03 | 157-159 | ||
| Q801 | 09 | 606-607 | R29730 | 23 | 951 | R6889 | 23 | 947-948 | ||
| Q802 | 09 | 606-607 | R29731 | 23 | 951 | R69 | 23 | 951 | ||
| Q803 | 09 | 606-607 | R29732 | 23 | 951 | R700 | 23 | 947-948 | ||
| Q804 | 09 | 606-607 | R29733 | 23 | 951 | R701 | 23 | 947-948 | ||
| Q808 | 09 | 606-607 | R29734 | 23 | 951 | R710 | 16 | 811-812 | ||
| Q809 | 09 | 606-607 | R29735 | 23 | 951 | R718 | 16 | 811-812 | ||
| Q810 | 09 | 606-607 | R29736 | 23 | 951 | R7301 | 10 | 640-641 | ||
| Q810 | 15 | 795 | R29737 | 23 | 951 | R7302 | 10 | 640-641 | ||
| Q811 | 09 | 606-607 | R29738 | 23 | 951 | R7303 | 10 | 640-641 | ||
| Q811 | 15 | 795 | R29739 | 23 | 951 | R7309 | 10 | 640-641 | ||
| Q812 | 09 | 606-607 | R29740 | 23 | 951 | R739 | 10 | 640-641 | ||
| Q812 | 15 | 795 | R29741 | 23 | 951 | R7401 | 23 | 947-948 | ||
| Q818 | 09 | 606-607 | R29742 | 23 | 951 | R7402 | 23 | 947-948 | ||
| Q818 | 15 | 795 | R29810 | 01 | 091-093 | R748 | 23 | 947-948 | ||
| Q819 | 09 | 606-607 | R29818 | 01 | 091-093 | R749 | 23 | 947-948 | ||
| Q819 | 15 | 795 | R29890 | 01 | 091-093 | R75 | 16 | 814-816 | ||
| Q820 | 09 | 606-607 | R29891 | 08 | 551-552 | R760 | 16 | 814-816 | ||
| Q821 | 09 | 606-607 | R29898 | 08 | 555-556 | R7611 | 04 | 177-179 | ||
| Q821 | 15 | 795 | R2990 | 01 | 091-093 | R7612 | 04 | 177-179 | ||
| Q822 | 09 | 606-607 | R2991 | 01 | 091-093 | R768 | 16 | 814-816 | ||
| Q822 | 15 | 795 | R300 | 11 | 695-696 | R769 | 16 | 814-816 | ||
| Q823 | 09 | 606-607 | R301 | 11 | 695-696 | R770 | 23 | 947-948 | ||
| Q823 | 15 | 795 | R309 | 11 | 695-696 | R771 | 23 | 947-948 | ||
| Q824 | 09 | 606-607 | R310 | 11 | 695-696 | R772 | 23 | 947-948 | ||
| Q825 | 09 | 606-607 | R310 | 15 | 791 | R778 | 23 | 947-948 | ||
| Q826 | 09 | 606-607 | R310 | 15 | 793 | R779 | 23 | 947-948 | ||
| Q826 | 15 | 795 | R311 | 11 | 695-696 | R780 | 20 | 894-897 | ||
| Q828 | 09 | 606-607 | R311 | 15 | 791 | R781 | 23 | 947-948 | ||
| Q828 | 15 | 795 | R311 | 15 | 793 | R782 | 23 | 947-948 | ||
| Q829 | 09 | 606-607 | R3121 | 11 | 695-696 | R783 | 23 | 947-948 | ||
| Q829 | 15 | 795 | R3121 | 15 | 791 | R784 | 23 | 947-948 | ||
| Q830 | 09 | 600-601 | R3121 | 15 | 793 | R785 | 23 | 947-948 | ||
| Q831 | 09 | 600-601 | R3129 | 11 | 695-696 | R786 | 23 | 947-948 | ||
| Q832 | 09 | 600-601 | R3129 | 15 | 791 | R7871 | 23 | 947-948 | ||
| Q833 | 09 | 600-601 | R3129 | 15 | 793 | R7879 | 23 | 947-948 | ||
| Q838 | 09 | 600-601 | R319 | 11 | 695-696 | R7881 | 15 | 791 | ||
| Q839 | 09 | 600-601 | R319 | 15 | 791 | R7881 | 15 | 793 | ||
| Q840 | 09 | 606-607 | R319 | 15 | 793 | R7881 | 18 | 870-872 | ||
| Q841 | 09 | 606-607 | R32 | 11 | 695-696 | R7889 | 23 | 947-948 | ||
| Q842 | 09 | 606-607 | R330 | 11 | 695-696 | R789 | 23 | 947-948 | ||
| Q843 | 09 | 606-607 | R330 | 15 | 791 | R790 | 23 | 947-948 | ||
| Q844 | 09 | 606-607 | R330 | 15 | 793 | R791 | 23 | 947-948 | ||
| Q845 | 09 | 606-607 | R338 | 11 | 695-696 | R7981 | 23 | 947-948 | ||
| Q846 | 09 | 606-607 | R338 | 15 | 791 | R7982 | 23 | 947-948 | ||
| Q848 | 09 | 606-607 | R338 | 15 | 793 | R7983 | 23 | 947-948 | ||
| Q849 | 09 | 606-607 | R339 | 11 | 695-696 | R7989 | 23 | 947-948 | ||
| Q8500 | 01 | 091-093 | R339 | 15 | 791 | R799 | 23 | 947-948 | ||
| Q8501 | 01 | 091-093 | R339 | 15 | 793 | R800 | 11 | 695-696 | ||
| Q8502 | 01 | 091-093 | R34 | 11 | 673-675 | R801 | 11 | 695-696 | ||
| Q8503 | 01 | 091-093 | R34 | 11 | 682-684 | R802 | 11 | 698-700 | ||
| Q8509 | 01 | 091-093 | R350 | 11 | 695-696 | R803 | 11 | 695-696 | ||
| Q851 | 01 | 091-093 | R351 | 11 | 695-696 | R808 | 11 | 695-696 | ||
| Q858 | 17 | 826-828 | R3581 | 11 | 695-696 | R809 | 11 | 695-696 | ||
| Q858 | 17 | 829-830 | R3589 | 11 | 695-696 | R81 | 10 | 637-639 | ||
| Q858 | 17 | 843-845 | R360 | 11 | 695-696 | R820 | 11 | 695-696 | ||
| Q859 | 17 | 826-828 | R361 | 12 | 729-730 | R820 | 15 | 791 | ||
| Q859 | 17 | 829-830 | R369 | 11 | 695-696 | R820 | 15 | 793 | ||
| Q859 | 17 | 843-845 | R37 | 19 | 887 | R821 | 23 | 947-948 | ||
| Q860 | 15 | 794 | R390 | 11 | 695-696 | R822 | 07 | 441-443 | ||
| Q861 | 15 | 794 | R3911 | 11 | 695-696 | R823 | 11 | 695-696 | ||
| Q862 | 15 | 794 | R3912 | 11 | 695-696 | R824 | 10 | 640-641 | ||
| Q868 | 15 | 794 | R3913 | 11 | 695-696 | R825 | 11 | 695-696 | ||
| Q870 | 08 | 564-566 | R3914 | 11 | 695-696 | R826 | 11 | 695-696 | ||
| Q8711 | 08 | 564-566 | R3914 | 15 | 791 | R8271 | 11 | 695-696 | ||
| Q8719 | 08 | 564-566 | R3914 | 15 | 793 | R8279 | 11 | 695-696 | ||
| Q872 | 08 | 564-566 | R3915 | 11 | 695-696 | R8281 | 11 | 695-696 | ||
| Q873 | 08 | 564-566 | R3916 | 11 | 695-696 | R8289 | 11 | 695-696 | ||
| Q8740 | 05 | 306-307 | R39191 | 11 | 695-696 | R8290 | 11 | 695-696 | ||
| Q87410 | 05 | 306-307 | R39192 | 11 | 695-696 | R8291 | 11 | 695-696 | ||
| Q87418 | 05 | 306-307 | R39198 | 11 | 695-696 | R82991 | 11 | 695-696 | ||
| Q8742 | 05 | 306-307 | R392 | 11 | 695-696 | R82992 | 11 | 695-696 | ||
| Q8743 | 05 | 306-307 | R3981 | 11 | 695-696 | R82993 | 11 | 695-696 | ||
| Q875 | 08 | 564-566 | R3982 | 11 | 695-696 | R82994 | 11 | 695-696 | ||
| Q8781 | 08 | 564-566 | R3983 | 11 | 695-696 | R82998 | 11 | 695-696 | ||
| Q8782 | 08 | 564-566 | R3984 | 11 | 695-696 | R830 | 01 | 091-093 | ||
| Q8789 | 08 | 564-566 | R3989 | 11 | 695-696 | R831 | 01 | 091-093 | ||
| Q8901 | 16 | 814-816 | R399 | 11 | 695-696 | R832 | 01 | 091-093 | ||
| Q8909 | 16 | 814-816 | R400 | 01 | 080-081 | R833 | 01 | 091-093 | ||
| Q891 | 10 | 643-645 | R401 | 01 | 080-081 | R834 | 01 | 091-093 | ||
| Q892 | 10 | 643-645 | R4020 | 01 | 080-081 | R835 | 01 | 091-093 | ||
| Q893 | 06 | 393-395 | R4020 | 15 | 791 | R836 | 01 | 091-093 | ||
| Q894 | 06 | 393-395 | R4020 | 15 | 793 | R838 | 01 | 091-093 | ||
| Q894 | 15 | 791 | R402110 | 01 | 080-081 | R839 | 01 | 091-093 | ||
| Q894 | 15 | 793 | R402110 | 15 | 791 | R840 | 23 | 947-948 | ||
| Q897 | 08 | 564-566 | R402110 | 15 | 793 | R841 | 23 | 947-948 | ||
| Q898 | 08 | 564-566 | R402111 | 01 | 080-081 | R842 | 23 | 947-948 | ||
| Q899 | 23 | 951 | R402111 | 15 | 791 | R843 | 23 | 947-948 | ||
| Q900 | 19 | 884 | R402111 | 15 | 793 | R844 | 23 | 947-948 | ||
| Q901 | 19 | 884 | R402112 | 01 | 080-081 | R845 | 23 | 947-948 | ||
| Q902 | 19 | 884 | R402112 | 15 | 791 | R846 | 23 | 947-948 | ||
| Q909 | 19 | 884 | R402112 | 15 | 793 | R847 | 23 | 947-948 | ||
| Q910 | 19 | 884 | R402113 | 01 | 080-081 | R848 | 23 | 947-948 | ||
| Q911 | 19 | 884 | R402113 | 15 | 791 | R849 | 23 | 947-948 | ||
| Q912 | 19 | 884 | R402113 | 15 | 793 | R850 | 23 | 947-948 | ||
| Q913 | 19 | 884 | R402114 | 01 | 080-081 | R851 | 23 | 947-948 | ||
| Q914 | 19 | 884 | R402114 | 15 | 791 | R852 | 23 | 947-948 | ||
| Q915 | 19 | 884 | R402114 | 15 | 793 | R853 | 23 | 947-948 | ||
| Q916 | 19 | 884 | R402120 | 01 | 080-081 | R854 | 23 | 947-948 | ||
| Q917 | 19 | 884 | R402120 | 15 | 791 | R855 | 23 | 947-948 | ||
| Q920 | 23 | 951 | R402120 | 15 | 793 | R85610 | 06 | 393-395 | ||
| Q921 | 23 | 951 | R402121 | 01 | 080-081 | R85611 | 06 | 393-395 | ||
| Q922 | 23 | 951 | R402121 | 15 | 791 | R85612 | 06 | 393-395 | ||
| Q925 | 23 | 951 | R402121 | 15 | 793 | R85613 | 06 | 393-395 | ||
| Q9261 | 23 | 951 | R402122 | 01 | 080-081 | R85614 | 06 | 393-395 | ||
| Q9262 | 23 | 951 | R402122 | 15 | 791 | R85615 | 06 | 393-395 | ||
| Q927 | 23 | 951 | R402122 | 15 | 793 | R85616 | 06 | 393-395 | ||
| Q928 | 23 | 951 | R402123 | 01 | 080-081 | R85618 | 06 | 393-395 | ||
| Q929 | 23 | 951 | R402123 | 15 | 791 | R85619 | 06 | 393-395 | ||
| Q930 | 23 | 951 | R402123 | 15 | 793 | R8569 | 23 | 947-948 | ||
| Q931 | 23 | 951 | R402124 | 01 | 080-081 | R857 | 23 | 947-948 | ||
| Q932 | 23 | 951 | R402124 | 15 | 791 | R8581 | 06 | 393-395 | ||
| Q933 | 19 | 884 | R402124 | 15 | 793 | R8582 | 06 | 393-395 | ||
| Q934 | 19 | 884 | R402130 | 23 | 951 | R8589 | 23 | 947-948 | ||
| Q9351 | 19 | 884 | R402131 | 23 | 951 | R859 | 23 | 947-948 | ||
| Q9359 | 19 | 884 | R402132 | 23 | 951 | R860 | 12 | 729-730 | ||
| Q937 | 19 | 884 | R402133 | 23 | 951 | R861 | 12 | 729-730 | ||
| Q9381 | 19 | 884 | R402134 | 23 | 951 | R862 | 12 | 729-730 | ||
| Q9382 | 19 | 884 | R402140 | 23 | 951 | R863 | 12 | 729-730 | ||
| Q9388 | 19 | 884 | R402141 | 23 | 951 | R864 | 12 | 729-730 | ||
| Q9389 | 19 | 884 | R402142 | 23 | 951 | R865 | 12 | 729-730 | ||
| Q939 | 19 | 884 | R402143 | 23 | 951 | R866 | 12 | 729-730 | ||
| Q950 | 23 | 951 | R402144 | 23 | 951 | R867 | 12 | 729-730 | ||
| Q951 | 23 | 951 | R402210 | 01 | 080-081 | R868 | 12 | 729-730 | ||
| Q952 | 23 | 951 | R402210 | 15 | 791 | R869 | 12 | 729-730 | ||
| Q953 | 23 | 951 | R402210 | 15 | 793 | R870 | 23 | 947-948 | ||
| Q955 | 23 | 951 | R402211 | 01 | 080-081 | R871 | 23 | 947-948 | ||
| Q958 | 23 | 951 | R402211 | 15 | 791 | R872 | 23 | 947-948 | ||
| Q959 | 23 | 951 | R402211 | 15 | 793 | R873 | 23 | 947-948 | ||
| Q960 | 13 | 742-743 | R402212 | 01 | 080-081 | R874 | 23 | 947-948 | ||
| Q960 | 13 | 760-761 | R402212 | 15 | 791 | R875 | 23 | 947-948 | ||
| Q961 | 13 | 742-743 | R402212 | 15 | 793 | R87610 | 13 | 742-743 | ||
| Q961 | 13 | 760-761 | R402213 | 01 | 080-081 | R87610 | 13 | 760-761 | ||
| Q962 | 13 | 742-743 | R402213 | 15 | 791 | R87611 | 13 | 742-743 | ||
| Q962 | 13 | 760-761 | R402213 | 15 | 793 | R87611 | 13 | 760-761 | ||
| Q963 | 13 | 742-743 | R402214 | 01 | 080-081 | R87612 | 13 | 742-743 | ||
| Q963 | 13 | 760-761 | R402214 | 15 | 791 | R87612 | 13 | 760-761 | ||
| Q964 | 13 | 742-743 | R402214 | 15 | 793 | R87613 | 13 | 742-743 | ||
| Q964 | 13 | 760-761 | R402220 | 01 | 080-081 | R87613 | 13 | 760-761 | ||
| Q968 | 13 | 742-743 | R402220 | 15 | 791 | R87614 | 13 | 742-743 | ||
| Q968 | 13 | 760-761 | R402220 | 15 | 793 | R87614 | 13 | 760-761 | ||
| Q969 | 13 | 742-743 | R402221 | 01 | 080-081 | R87615 | 13 | 742-743 | ||
| Q969 | 13 | 760-761 | R402221 | 15 | 791 | R87615 | 13 | 760-761 | ||
| Q970 | 13 | 742-743 | R402221 | 15 | 793 | R87616 | 13 | 742-743 | ||
| Q970 | 13 | 760-761 | R402222 | 01 | 080-081 | R87616 | 13 | 760-761 | ||
| Q971 | 13 | 742-743 | R402222 | 15 | 791 | R87618 | 15 | 795 | ||
| Q971 | 13 | 760-761 | R402222 | 15 | 793 | R87618 | 23 | 947-948 | ||
| Q972 | 13 | 742-743 | R402223 | 01 | 080-081 | R87619 | 15 | 795 | ||
| Q972 | 13 | 760-761 | R402223 | 15 | 791 | R87619 | 23 | 947-948 | ||
| Q973 | 13 | 742-743 | R402223 | 15 | 793 | R87620 | 13 | 742-743 | ||
| Q973 | 13 | 760-761 | R402224 | 01 | 080-081 | R87620 | 13 | 760-761 | ||
| Q978 | 13 | 742-743 | R402224 | 15 | 791 | R87621 | 13 | 742-743 | ||
| Q978 | 13 | 760-761 | R402224 | 15 | 793 | R87621 | 13 | 760-761 | ||
| Q979 | 13 | 742-743 | R402230 | 23 | 951 | R87622 | 13 | 742-743 | ||
| Q979 | 13 | 760-761 | R402231 | 23 | 951 | R87622 | 13 | 760-761 | ||
| Q980 | 12 | 729-730 | R402232 | 23 | 951 | R87623 | 13 | 742-743 | ||
| Q981 | 12 | 729-730 | R402233 | 23 | 951 | R87623 | 13 | 760-761 | ||
| Q983 | 12 | 729-730 | R402234 | 23 | 951 | R87624 | 13 | 742-743 | ||
| Q984 | 12 | 729-730 | R402240 | 23 | 951 | R87624 | 13 | 760-761 | ||
| Q985 | 12 | 729-730 | R402241 | 23 | 951 | R87625 | 13 | 742-743 | ||
| Q985 | 13 | 742-743 | R402242 | 23 | 951 | R87625 | 13 | 760-761 | ||
| Q985 | 13 | 760-761 | R402243 | 23 | 951 | R87628 | 13 | 742-743 | ||
| Q986 | 12 | 729-730 | R402244 | 23 | 951 | R87628 | 13 | 760-761 | ||
| Q987 | 12 | 729-730 | R402250 | 23 | 951 | R87629 | 15 | 795 | ||
| Q988 | 12 | 729-730 | R402251 | 23 | 951 | R87629 | 23 | 947-948 | ||
| Q989 | 12 | 729-730 | R402252 | 23 | 951 | R8769 | 23 | 947-948 | ||
| Q990 | 12 | 729-730 | R402253 | 23 | 951 | R877 | 23 | 947-948 | ||
| Q990 | 13 | 742-743 | R402254 | 23 | 951 | R87810 | 13 | 742-743 | ||
| Q990 | 13 | 760-761 | R402310 | 01 | 080-081 | R87810 | 13 | 760-761 | ||
| Q991 | 12 | 729-730 | R402310 | 15 | 791 | R87811 | 13 | 742-743 | ||
| Q991 | 13 | 742-743 | R402310 | 15 | 793 | R87811 | 13 | 760-761 | ||
| Q991 | 13 | 760-761 | R402311 | 01 | 080-081 | R87820 | 13 | 742-743 | ||
| Q992 | 19 | 884 | R402311 | 15 | 791 | R87820 | 13 | 760-761 | ||
| Q998 | 12 | 729-730 | R402311 | 15 | 793 | R87821 | 13 | 742-743 | ||
| Q998 | 13 | 742-743 | R402312 | 01 | 080-081 | R87821 | 13 | 760-761 | ||
| Q998 | 13 | 760-761 | R402312 | 15 | 791 | R8789 | 23 | 947-948 | ||
| Q999 | 23 | 951 | R402312 | 15 | 793 | R879 | 23 | 947-948 | ||
| R000 | 05 | 308-310 | R402313 | 01 | 080-081 | R880 | 23 | 947-948 | ||
| R000 | 15 | 791 | R402313 | 15 | 791 | R888 | 23 | 947-948 | ||
| R000 | 15 | 793 | R402313 | 15 | 793 | R890 | 23 | 947-948 | ||
| R001 | 05 | 308-310 | R402314 | 01 | 080-081 | R891 | 23 | 947-948 | ||
| R002 | 05 | 308-310 | R402314 | 15 | 791 | R892 | 23 | 947-948 | ||
| R008 | 05 | 314-316 | R402314 | 15 | 793 | R893 | 23 | 947-948 | ||
| R009 | 05 | 314-316 | R402320 | 01 | 080-081 | R894 | 23 | 947-948 | ||
| R010 | 05 | 306-307 | R402320 | 15 | 791 | R895 | 23 | 947-948 | ||
| R011 | 05 | 306-307 | R402320 | 15 | 793 | R896 | 23 | 947-948 | ||
| R012 | 05 | 314-316 | R402321 | 01 | 080-081 | R897 | 15 | 795 | ||
| R030 | 05 | 314-316 | R402321 | 15 | 791 | R897 | 23 | 947-948 | ||
| R031 | 05 | 314-316 | R402321 | 15 | 793 | R898 | 23 | 947-948 | ||
| R040 | 03 | 150-151 | R402322 | 01 | 080-081 | R899 | 18 | 867-869 | ||
| R041 | Pre | 011-013 | R402322 | 15 | 791 | R900 | 09 | 606-607 | ||
| R041 | 03 | 154-156 | R402322 | 15 | 793 | R9081 | 01 | 091-093 | ||
| R042 | 04 | 204 | R402323 | 01 | 080-081 | R9082 | 01 | 091-093 | ||
| R0481 | 04 | 204 | R402323 | 15 | 791 | R9089 | 23 | 947-948 | ||
| R0489 | 04 | 204 | R402323 | 15 | 793 | R911 | 04 | 205-206 | ||
| R049 | 04 | 204 | R402324 | 01 | 080-081 | R918 | 04 | 204 | ||
| R051 | 04 | 204 | R402324 | 15 | 791 | R920 | 09 | 600-601 | ||
| R052 | 04 | 204 | R402324 | 15 | 793 | R921 | 09 | 600-601 | ||
| R053 | 04 | 204 | R402330 | 23 | 951 | R922 | 09 | 600-601 | ||
| R054 | 04 | 204 | R402331 | 23 | 951 | R928 | 09 | 600-601 | ||
| R058 | 04 | 204 | R402332 | 23 | 951 | R930 | 01 | 091-093 | ||
| R059 | 04 | 204 | R402333 | 23 | 951 | R931 | 05 | 302-303 | ||
| R0600 | 04 | 204 | R402334 | 23 | 951 | R932 | 07 | 444-446 | ||
| R0601 | 04 | 204 | R402340 | 01 | 080-081 | R933 | 06 | 391-392 | ||
| R0602 | 04 | 204 | R402340 | 15 | 791 | R9341 | 11 | 695-696 | ||
| R0603 | 04 | 204 | R402340 | 15 | 793 | R93421 | 11 | 695-696 | ||
| R0609 | 04 | 204 | R402341 | 01 | 080-081 | R93422 | 11 | 695-696 | ||
| R061 | 04 | 204 | R402341 | 15 | 791 | R93429 | 11 | 695-696 | ||
| R062 | 04 | 204 | R402341 | 15 | 793 | R9349 | 11 | 695-696 | ||
| R063 | 04 | 204 | R402342 | 01 | 080-081 | R935 | 06 | 391-392 | ||
| R402342 | 15 | 791 | ||||||||
| R402342 | 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 |