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 41 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S52023C | 08 | 562-563 | S52109D | 08 | 559-561 | S52221C | 08 | 562-563 | ||
| S52023C | 24 | 963-965 | S52109E | 08 | 559-561 | S52221C | 24 | 963-965 | ||
| S52023D | 08 | 559-561 | S52109F | 08 | 559-561 | S52221D | 08 | 559-561 | ||
| S52023E | 08 | 559-561 | S52109G | 08 | 559-561 | S52221E | 08 | 559-561 | ||
| S52023F | 08 | 559-561 | S52109H | 08 | 559-561 | S52221F | 08 | 559-561 | ||
| S52023G | 08 | 559-561 | S52109J | 08 | 559-561 | S52221G | 08 | 559-561 | ||
| S52023H | 08 | 559-561 | S52109K | 08 | 564-566 | S52221H | 08 | 559-561 | ||
| S52023J | 08 | 559-561 | S52109M | 08 | 564-566 | S52221J | 08 | 559-561 | ||
| S52023K | 08 | 564-566 | S52109N | 08 | 564-566 | S52221K | 08 | 564-566 | ||
| S52023M | 08 | 564-566 | S52109P | 08 | 564-566 | S52221M | 08 | 564-566 | ||
| S52023N | 08 | 564-566 | S52109Q | 08 | 564-566 | S52221N | 08 | 564-566 | ||
| S52023P | 08 | 564-566 | S52109R | 08 | 564-566 | S52221P | 08 | 564-566 | ||
| S52023Q | 08 | 564-566 | S52109S | 08 | 559-561 | S52221Q | 08 | 564-566 | ||
| S52023R | 08 | 564-566 | S52111A | 08 | 562-563 | S52221R | 08 | 564-566 | ||
| S52023S | 08 | 559-561 | S52111A | 24 | 963-965 | S52221S | 08 | 559-561 | ||
| S52024A | 08 | 562-563 | S52111D | 08 | 559-561 | S52222A | 08 | 562-563 | ||
| S52024A | 24 | 963-965 | S52111G | 08 | 559-561 | S52222A | 24 | 963-965 | ||
| S52024B | 08 | 562-563 | S52111K | 08 | 564-566 | S52222B | 08 | 562-563 | ||
| S52024B | 24 | 963-965 | S52111P | 08 | 564-566 | S52222B | 24 | 963-965 | ||
| S52024C | 08 | 562-563 | S52111S | 08 | 559-561 | S52222C | 08 | 562-563 | ||
| S52024C | 24 | 963-965 | S52112A | 08 | 562-563 | S52222C | 24 | 963-965 | ||
| S52024D | 08 | 559-561 | S52112A | 24 | 963-965 | S52222D | 08 | 559-561 | ||
| S52024E | 08 | 559-561 | S52112D | 08 | 559-561 | S52222E | 08 | 559-561 | ||
| S52024F | 08 | 559-561 | S52112G | 08 | 559-561 | S52222F | 08 | 559-561 | ||
| S52024G | 08 | 559-561 | S52112K | 08 | 564-566 | S52222G | 08 | 559-561 | ||
| S52024H | 08 | 559-561 | S52112P | 08 | 564-566 | S52222H | 08 | 559-561 | ||
| S52024J | 08 | 559-561 | S52112S | 08 | 559-561 | S52222J | 08 | 559-561 | ||
| S52024K | 08 | 564-566 | S52119A | 08 | 562-563 | S52222K | 08 | 564-566 | ||
| S52024M | 08 | 564-566 | S52119A | 24 | 963-965 | S52222M | 08 | 564-566 | ||
| S52024N | 08 | 564-566 | S52119D | 08 | 559-561 | S52222N | 08 | 564-566 | ||
| S52024P | 08 | 564-566 | S52119G | 08 | 559-561 | S52222P | 08 | 564-566 | ||
| S52024Q | 08 | 564-566 | S52119K | 08 | 564-566 | S52222Q | 08 | 564-566 | ||
| S52024R | 08 | 564-566 | S52119P | 08 | 564-566 | S52222R | 08 | 564-566 | ||
| S52024S | 08 | 559-561 | S52119S | 08 | 559-561 | S52222S | 08 | 559-561 | ||
| S52025A | 08 | 562-563 | S52121A | 08 | 562-563 | S52223A | 08 | 562-563 | ||
| S52025A | 24 | 963-965 | S52121A | 24 | 963-965 | S52223A | 24 | 963-965 | ||
| S52025B | 08 | 562-563 | S52121B | 08 | 562-563 | S52223B | 08 | 562-563 | ||
| S52025B | 24 | 963-965 | S52121B | 24 | 963-965 | S52223B | 24 | 963-965 | ||
| S52025C | 08 | 562-563 | S52121C | 08 | 562-563 | S52223C | 08 | 562-563 | ||
| S52025C | 24 | 963-965 | S52121C | 24 | 963-965 | S52223C | 24 | 963-965 | ||
| S52025D | 08 | 559-561 | S52121D | 08 | 559-561 | S52223D | 08 | 559-561 | ||
| S52025E | 08 | 559-561 | S52121E | 08 | 559-561 | S52223E | 08 | 559-561 | ||
| S52025F | 08 | 559-561 | S52121F | 08 | 559-561 | S52223F | 08 | 559-561 | ||
| S52025G | 08 | 559-561 | S52121G | 08 | 559-561 | S52223G | 08 | 559-561 | ||
| S52025H | 08 | 559-561 | S52121H | 08 | 559-561 | S52223H | 08 | 559-561 | ||
| S52025J | 08 | 559-561 | S52121J | 08 | 559-561 | S52223J | 08 | 559-561 | ||
| S52025K | 08 | 564-566 | S52121K | 08 | 564-566 | S52223K | 08 | 564-566 | ||
| S52025M | 08 | 564-566 | S52121M | 08 | 564-566 | S52223M | 08 | 564-566 | ||
| S52025N | 08 | 564-566 | S52121N | 08 | 564-566 | S52223N | 08 | 564-566 | ||
| S52025P | 08 | 564-566 | S52121P | 08 | 564-566 | S52223P | 08 | 564-566 | ||
| S52025Q | 08 | 564-566 | S52121Q | 08 | 564-566 | S52223Q | 08 | 564-566 | ||
| S52025R | 08 | 564-566 | S52121R | 08 | 564-566 | S52223R | 08 | 564-566 | ||
| S52025S | 08 | 559-561 | S52121S | 08 | 559-561 | S52223S | 08 | 559-561 | ||
| S52026A | 08 | 562-563 | S52122A | 08 | 562-563 | S52224A | 08 | 562-563 | ||
| S52026A | 24 | 963-965 | S52122A | 24 | 963-965 | S52224A | 24 | 963-965 | ||
| S52026B | 08 | 562-563 | S52122B | 08 | 562-563 | S52224B | 08 | 562-563 | ||
| S52026B | 24 | 963-965 | S52122B | 24 | 963-965 | S52224B | 24 | 963-965 | ||
| S52026C | 08 | 562-563 | S52122C | 08 | 562-563 | S52224C | 08 | 562-563 | ||
| S52026C | 24 | 963-965 | S52122C | 24 | 963-965 | S52224C | 24 | 963-965 | ||
| S52026D | 08 | 559-561 | S52122D | 08 | 559-561 | S52224D | 08 | 559-561 | ||
| S52026E | 08 | 559-561 | S52122E | 08 | 559-561 | S52224E | 08 | 559-561 | ||
| S52026F | 08 | 559-561 | S52122F | 08 | 559-561 | S52224F | 08 | 559-561 | ||
| S52026G | 08 | 559-561 | S52122G | 08 | 559-561 | S52224G | 08 | 559-561 | ||
| S52026H | 08 | 559-561 | S52122H | 08 | 559-561 | S52224H | 08 | 559-561 | ||
| S52026J | 08 | 559-561 | S52122J | 08 | 559-561 | S52224J | 08 | 559-561 | ||
| S52026K | 08 | 564-566 | S52122K | 08 | 564-566 | S52224K | 08 | 564-566 | ||
| S52026M | 08 | 564-566 | S52122M | 08 | 564-566 | S52224M | 08 | 564-566 | ||
| S52026N | 08 | 564-566 | S52122N | 08 | 564-566 | S52224N | 08 | 564-566 | ||
| S52026P | 08 | 564-566 | S52122P | 08 | 564-566 | S52224P | 08 | 564-566 | ||
| S52026Q | 08 | 564-566 | S52122Q | 08 | 564-566 | S52224Q | 08 | 564-566 | ||
| S52026R | 08 | 564-566 | S52122R | 08 | 564-566 | S52224R | 08 | 564-566 | ||
| S52026S | 08 | 559-561 | S52122S | 08 | 559-561 | S52224S | 08 | 559-561 | ||
| S52031A | 08 | 562-563 | S52123A | 08 | 562-563 | S52225A | 08 | 562-563 | ||
| S52031A | 24 | 963-965 | S52123A | 24 | 963-965 | S52225A | 24 | 963-965 | ||
| S52031B | 08 | 562-563 | S52123B | 08 | 562-563 | S52225B | 08 | 562-563 | ||
| S52031B | 24 | 963-965 | S52123B | 24 | 963-965 | S52225B | 24 | 963-965 | ||
| S52031C | 08 | 562-563 | S52123C | 08 | 562-563 | S52225C | 08 | 562-563 | ||
| S52031C | 24 | 963-965 | S52123C | 24 | 963-965 | S52225C | 24 | 963-965 | ||
| S52031D | 08 | 559-561 | S52123D | 08 | 559-561 | S52225D | 08 | 559-561 | ||
| S52031E | 08 | 559-561 | S52123E | 08 | 559-561 | S52225E | 08 | 559-561 | ||
| S52031F | 08 | 559-561 | S52123F | 08 | 559-561 | S52225F | 08 | 559-561 | ||
| S52031G | 08 | 559-561 | S52123G | 08 | 559-561 | S52225G | 08 | 559-561 | ||
| S52031H | 08 | 559-561 | S52123H | 08 | 559-561 | S52225H | 08 | 559-561 | ||
| S52031J | 08 | 559-561 | S52123J | 08 | 559-561 | S52225J | 08 | 559-561 | ||
| S52031K | 08 | 564-566 | S52123K | 08 | 564-566 | S52225K | 08 | 564-566 | ||
| S52031M | 08 | 564-566 | S52123M | 08 | 564-566 | S52225M | 08 | 564-566 | ||
| S52031N | 08 | 564-566 | S52123N | 08 | 564-566 | S52225N | 08 | 564-566 | ||
| S52031P | 08 | 564-566 | S52123P | 08 | 564-566 | S52225P | 08 | 564-566 | ||
| S52031Q | 08 | 564-566 | S52123Q | 08 | 564-566 | S52225Q | 08 | 564-566 | ||
| S52031R | 08 | 564-566 | S52123R | 08 | 564-566 | S52225R | 08 | 564-566 | ||
| S52031S | 08 | 559-561 | S52123S | 08 | 559-561 | S52225S | 08 | 559-561 | ||
| S52032A | 08 | 562-563 | S52124A | 08 | 562-563 | S52226A | 08 | 562-563 | ||
| S52032A | 24 | 963-965 | S52124A | 24 | 963-965 | S52226A | 24 | 963-965 | ||
| S52032B | 08 | 562-563 | S52124B | 08 | 562-563 | S52226B | 08 | 562-563 | ||
| S52032B | 24 | 963-965 | S52124B | 24 | 963-965 | S52226B | 24 | 963-965 | ||
| S52032C | 08 | 562-563 | S52124C | 08 | 562-563 | S52226C | 08 | 562-563 | ||
| S52032C | 24 | 963-965 | S52124C | 24 | 963-965 | S52226C | 24 | 963-965 | ||
| S52032D | 08 | 559-561 | S52124D | 08 | 559-561 | S52226D | 08 | 559-561 | ||
| S52032E | 08 | 559-561 | S52124E | 08 | 559-561 | S52226E | 08 | 559-561 | ||
| S52032F | 08 | 559-561 | S52124F | 08 | 559-561 | S52226F | 08 | 559-561 | ||
| S52032G | 08 | 559-561 | S52124G | 08 | 559-561 | S52226G | 08 | 559-561 | ||
| S52032H | 08 | 559-561 | S52124H | 08 | 559-561 | S52226H | 08 | 559-561 | ||
| S52032J | 08 | 559-561 | S52124J | 08 | 559-561 | S52226J | 08 | 559-561 | ||
| S52032K | 08 | 564-566 | S52124K | 08 | 564-566 | S52226K | 08 | 564-566 | ||
| S52032M | 08 | 564-566 | S52124M | 08 | 564-566 | S52226M | 08 | 564-566 | ||
| S52032N | 08 | 564-566 | S52124N | 08 | 564-566 | S52226N | 08 | 564-566 | ||
| S52032P | 08 | 564-566 | S52124P | 08 | 564-566 | S52226P | 08 | 564-566 | ||
| S52032Q | 08 | 564-566 | S52124Q | 08 | 564-566 | S52226Q | 08 | 564-566 | ||
| S52032R | 08 | 564-566 | S52124R | 08 | 564-566 | S52226R | 08 | 564-566 | ||
| S52032S | 08 | 559-561 | S52124S | 08 | 559-561 | S52226S | 08 | 559-561 | ||
| S52033A | 08 | 562-563 | S52125A | 08 | 562-563 | S52231A | 08 | 562-563 | ||
| S52033A | 24 | 963-965 | S52125A | 24 | 963-965 | S52231A | 24 | 963-965 | ||
| S52033B | 08 | 562-563 | S52125B | 08 | 562-563 | S52231B | 08 | 562-563 | ||
| S52033B | 24 | 963-965 | S52125B | 24 | 963-965 | S52231B | 24 | 963-965 | ||
| S52033C | 08 | 562-563 | S52125C | 08 | 562-563 | S52231C | 08 | 562-563 | ||
| S52033C | 24 | 963-965 | S52125C | 24 | 963-965 | S52231C | 24 | 963-965 | ||
| S52033D | 08 | 559-561 | S52125D | 08 | 559-561 | S52231D | 08 | 559-561 | ||
| S52033E | 08 | 559-561 | S52125E | 08 | 559-561 | S52231E | 08 | 559-561 | ||
| S52033F | 08 | 559-561 | S52125F | 08 | 559-561 | S52231F | 08 | 559-561 | ||
| S52033G | 08 | 559-561 | S52125G | 08 | 559-561 | S52231G | 08 | 559-561 | ||
| S52033H | 08 | 559-561 | S52125H | 08 | 559-561 | S52231H | 08 | 559-561 | ||
| S52033J | 08 | 559-561 | S52125J | 08 | 559-561 | S52231J | 08 | 559-561 | ||
| S52033K | 08 | 564-566 | S52125K | 08 | 564-566 | S52231K | 08 | 564-566 | ||
| S52033M | 08 | 564-566 | S52125M | 08 | 564-566 | S52231M | 08 | 564-566 | ||
| S52033N | 08 | 564-566 | S52125N | 08 | 564-566 | S52231N | 08 | 564-566 | ||
| S52033P | 08 | 564-566 | S52125P | 08 | 564-566 | S52231P | 08 | 564-566 | ||
| S52033Q | 08 | 564-566 | S52125Q | 08 | 564-566 | S52231Q | 08 | 564-566 | ||
| S52033R | 08 | 564-566 | S52125R | 08 | 564-566 | S52231R | 08 | 564-566 | ||
| S52033S | 08 | 559-561 | S52125S | 08 | 559-561 | S52231S | 08 | 559-561 | ||
| S52034A | 08 | 562-563 | S52126A | 08 | 562-563 | S52232A | 08 | 562-563 | ||
| S52034A | 24 | 963-965 | S52126A | 24 | 963-965 | S52232A | 24 | 963-965 | ||
| S52034B | 08 | 562-563 | S52126B | 08 | 562-563 | S52232B | 08 | 562-563 | ||
| S52034B | 24 | 963-965 | S52126B | 24 | 963-965 | S52232B | 24 | 963-965 | ||
| S52034C | 08 | 562-563 | S52126C | 08 | 562-563 | S52232C | 08 | 562-563 | ||
| S52034C | 24 | 963-965 | S52126C | 24 | 963-965 | S52232C | 24 | 963-965 | ||
| S52034D | 08 | 559-561 | S52126D | 08 | 559-561 | S52232D | 08 | 559-561 | ||
| S52034E | 08 | 559-561 | S52126E | 08 | 559-561 | S52232E | 08 | 559-561 | ||
| S52034F | 08 | 559-561 | S52126F | 08 | 559-561 | S52232F | 08 | 559-561 | ||
| S52034G | 08 | 559-561 | S52126G | 08 | 559-561 | S52232G | 08 | 559-561 | ||
| S52034H | 08 | 559-561 | S52126H | 08 | 559-561 | S52232H | 08 | 559-561 | ||
| S52034J | 08 | 559-561 | S52126J | 08 | 559-561 | S52232J | 08 | 559-561 | ||
| S52034K | 08 | 564-566 | S52126K | 08 | 564-566 | S52232K | 08 | 564-566 | ||
| S52034M | 08 | 564-566 | S52126M | 08 | 564-566 | S52232M | 08 | 564-566 | ||
| S52034N | 08 | 564-566 | S52126N | 08 | 564-566 | S52232N | 08 | 564-566 | ||
| S52034P | 08 | 564-566 | S52126P | 08 | 564-566 | S52232P | 08 | 564-566 | ||
| S52034Q | 08 | 564-566 | S52126Q | 08 | 564-566 | S52232Q | 08 | 564-566 | ||
| S52034R | 08 | 564-566 | S52126R | 08 | 564-566 | S52232R | 08 | 564-566 | ||
| S52034S | 08 | 559-561 | S52126S | 08 | 559-561 | S52232S | 08 | 559-561 | ||
| S52035A | 08 | 562-563 | S52131A | 08 | 562-563 | S52233A | 08 | 562-563 | ||
| S52035A | 24 | 963-965 | S52131A | 24 | 963-965 | S52233A | 24 | 963-965 | ||
| S52035B | 08 | 562-563 | S52131B | 08 | 562-563 | S52233B | 08 | 562-563 | ||
| S52035B | 24 | 963-965 | S52131B | 24 | 963-965 | S52233B | 24 | 963-965 | ||
| S52035C | 08 | 562-563 | S52131C | 08 | 562-563 | S52233C | 08 | 562-563 | ||
| S52035C | 24 | 963-965 | S52131C | 24 | 963-965 | S52233C | 24 | 963-965 | ||
| S52035D | 08 | 559-561 | S52131D | 08 | 559-561 | S52233D | 08 | 559-561 | ||
| S52035E | 08 | 559-561 | S52131E | 08 | 559-561 | S52233E | 08 | 559-561 | ||
| S52035F | 08 | 559-561 | S52131F | 08 | 559-561 | S52233F | 08 | 559-561 | ||
| S52035G | 08 | 559-561 | S52131G | 08 | 559-561 | S52233G | 08 | 559-561 | ||
| S52035H | 08 | 559-561 | S52131H | 08 | 559-561 | S52233H | 08 | 559-561 | ||
| S52035J | 08 | 559-561 | S52131J | 08 | 559-561 | S52233J | 08 | 559-561 | ||
| S52035K | 08 | 564-566 | S52131K | 08 | 564-566 | S52233K | 08 | 564-566 | ||
| S52035M | 08 | 564-566 | S52131M | 08 | 564-566 | S52233M | 08 | 564-566 | ||
| S52035N | 08 | 564-566 | S52131N | 08 | 564-566 | S52233N | 08 | 564-566 | ||
| S52035P | 08 | 564-566 | S52131P | 08 | 564-566 | S52233P | 08 | 564-566 | ||
| S52035Q | 08 | 564-566 | S52131Q | 08 | 564-566 | S52233Q | 08 | 564-566 | ||
| S52035R | 08 | 564-566 | S52131R | 08 | 564-566 | S52233R | 08 | 564-566 | ||
| S52035S | 08 | 559-561 | S52131S | 08 | 559-561 | S52233S | 08 | 559-561 | ||
| S52036A | 08 | 562-563 | S52132A | 08 | 562-563 | S52234A | 08 | 562-563 | ||
| S52036A | 24 | 963-965 | S52132A | 24 | 963-965 | S52234A | 24 | 963-965 | ||
| S52036B | 08 | 562-563 | S52132B | 08 | 562-563 | S52234B | 08 | 562-563 | ||
| S52036B | 24 | 963-965 | S52132B | 24 | 963-965 | S52234B | 24 | 963-965 | ||
| S52036C | 08 | 562-563 | S52132C | 08 | 562-563 | S52234C | 08 | 562-563 | ||
| S52036C | 24 | 963-965 | S52132C | 24 | 963-965 | S52234C | 24 | 963-965 | ||
| S52036D | 08 | 559-561 | S52132D | 08 | 559-561 | S52234D | 08 | 559-561 | ||
| S52036E | 08 | 559-561 | S52132E | 08 | 559-561 | S52234E | 08 | 559-561 | ||
| S52036F | 08 | 559-561 | S52132F | 08 | 559-561 | S52234F | 08 | 559-561 | ||
| S52036G | 08 | 559-561 | S52132G | 08 | 559-561 | S52234G | 08 | 559-561 | ||
| S52036H | 08 | 559-561 | S52132H | 08 | 559-561 | S52234H | 08 | 559-561 | ||
| S52036J | 08 | 559-561 | S52132J | 08 | 559-561 | S52234J | 08 | 559-561 | ||
| S52036K | 08 | 564-566 | S52132K | 08 | 564-566 | S52234K | 08 | 564-566 | ||
| S52036M | 08 | 564-566 | S52132M | 08 | 564-566 | S52234M | 08 | 564-566 | ||
| S52036N | 08 | 564-566 | S52132N | 08 | 564-566 | S52234N | 08 | 564-566 | ||
| S52036P | 08 | 564-566 | S52132P | 08 | 564-566 | S52234P | 08 | 564-566 | ||
| S52036Q | 08 | 564-566 | S52132Q | 08 | 564-566 | S52234Q | 08 | 564-566 | ||
| S52036R | 08 | 564-566 | S52132R | 08 | 564-566 | S52234R | 08 | 564-566 | ||
| S52036S | 08 | 559-561 | S52132S | 08 | 559-561 | S52234S | 08 | 559-561 | ||
| S52041A | 08 | 562-563 | S52133A | 08 | 562-563 | S52235A | 08 | 562-563 | ||
| S52041A | 24 | 963-965 | S52133A | 24 | 963-965 | S52235A | 24 | 963-965 | ||
| S52041B | 08 | 562-563 | S52133B | 08 | 562-563 | S52235B | 08 | 562-563 | ||
| S52041B | 24 | 963-965 | S52133B | 24 | 963-965 | S52235B | 24 | 963-965 | ||
| S52041C | 08 | 562-563 | S52133C | 08 | 562-563 | S52235C | 08 | 562-563 | ||
| S52041C | 24 | 963-965 | S52133C | 24 | 963-965 | S52235C | 24 | 963-965 | ||
| S52041D | 08 | 559-561 | S52133D | 08 | 559-561 | S52235D | 08 | 559-561 | ||
| S52041E | 08 | 559-561 | S52133E | 08 | 559-561 | S52235E | 08 | 559-561 | ||
| S52041F | 08 | 559-561 | S52133F | 08 | 559-561 | S52235F | 08 | 559-561 | ||
| S52041G | 08 | 559-561 | S52133G | 08 | 559-561 | S52235G | 08 | 559-561 | ||
| S52041H | 08 | 559-561 | S52133H | 08 | 559-561 | S52235H | 08 | 559-561 | ||
| S52041J | 08 | 559-561 | S52133J | 08 | 559-561 | S52235J | 08 | 559-561 | ||
| S52041K | 08 | 564-566 | S52133K | 08 | 564-566 | S52235K | 08 | 564-566 | ||
| S52041M | 08 | 564-566 | S52133M | 08 | 564-566 | S52235M | 08 | 564-566 | ||
| S52041N | 08 | 564-566 | S52133N | 08 | 564-566 | S52235N | 08 | 564-566 | ||
| S52041P | 08 | 564-566 | S52133P | 08 | 564-566 | S52235P | 08 | 564-566 | ||
| S52041Q | 08 | 564-566 | S52133Q | 08 | 564-566 | S52235Q | 08 | 564-566 | ||
| S52041R | 08 | 564-566 | S52133R | 08 | 564-566 | S52235R | 08 | 564-566 | ||
| S52041S | 08 | 559-561 | S52133S | 08 | 559-561 | S52235S | 08 | 559-561 | ||
| S52042A | 08 | 562-563 | S52134A | 08 | 562-563 | S52236A | 08 | 562-563 | ||
| S52042A | 24 | 963-965 | S52134A | 24 | 963-965 | S52236A | 24 | 963-965 | ||
| S52042B | 08 | 562-563 | S52134B | 08 | 562-563 | S52236B | 08 | 562-563 | ||
| S52042B | 24 | 963-965 | S52134B | 24 | 963-965 | S52236B | 24 | 963-965 | ||
| S52042C | 08 | 562-563 | S52134C | 08 | 562-563 | S52236C | 08 | 562-563 | ||
| S52042C | 24 | 963-965 | S52134C | 24 | 963-965 | S52236C | 24 | 963-965 | ||
| S52042D | 08 | 559-561 | S52134D | 08 | 559-561 | S52236D | 08 | 559-561 | ||
| S52042E | 08 | 559-561 | S52134E | 08 | 559-561 | S52236E | 08 | 559-561 | ||
| S52042F | 08 | 559-561 | S52134F | 08 | 559-561 | S52236F | 08 | 559-561 | ||
| S52042G | 08 | 559-561 | S52134G | 08 | 559-561 | S52236G | 08 | 559-561 | ||
| S52042H | 08 | 559-561 | S52134H | 08 | 559-561 | S52236H | 08 | 559-561 | ||
| S52042J | 08 | 559-561 | S52134J | 08 | 559-561 | S52236J | 08 | 559-561 | ||
| S52042K | 08 | 564-566 | S52134K | 08 | 564-566 | S52236K | 08 | 564-566 | ||
| S52042M | 08 | 564-566 | S52134M | 08 | 564-566 | S52236M | 08 | 564-566 | ||
| S52042N | 08 | 564-566 | S52134N | 08 | 564-566 | S52236N | 08 | 564-566 | ||
| S52042P | 08 | 564-566 | S52134P | 08 | 564-566 | S52236P | 08 | 564-566 | ||
| S52042Q | 08 | 564-566 | S52134Q | 08 | 564-566 | S52236Q | 08 | 564-566 | ||
| S52042R | 08 | 564-566 | S52134R | 08 | 564-566 | S52236R | 08 | 564-566 | ||
| S52042S | 08 | 559-561 | S52134S | 08 | 559-561 | S52236S | 08 | 559-561 | ||
| S52043A | 08 | 562-563 | S52135A | 08 | 562-563 | S52241A | 08 | 562-563 | ||
| S52043A | 24 | 963-965 | S52135A | 24 | 963-965 | S52241A | 24 | 963-965 | ||
| S52043B | 08 | 562-563 | S52135B | 08 | 562-563 | S52241B | 08 | 562-563 | ||
| S52043B | 24 | 963-965 | S52135B | 24 | 963-965 | S52241B | 24 | 963-965 | ||
| S52043C | 08 | 562-563 | S52135C | 08 | 562-563 | S52241C | 08 | 562-563 | ||
| S52043C | 24 | 963-965 | S52135C | 24 | 963-965 | S52241C | 24 | 963-965 | ||
| S52043D | 08 | 559-561 | S52135D | 08 | 559-561 | S52241D | 08 | 559-561 | ||
| S52043E | 08 | 559-561 | S52135E | 08 | 559-561 | S52241E | 08 | 559-561 | ||
| S52043F | 08 | 559-561 | S52135F | 08 | 559-561 | S52241F | 08 | 559-561 | ||
| S52043G | 08 | 559-561 | S52135G | 08 | 559-561 | S52241G | 08 | 559-561 | ||
| S52043H | 08 | 559-561 | S52135H | 08 | 559-561 | S52241H | 08 | 559-561 | ||
| S52043J | 08 | 559-561 | S52135J | 08 | 559-561 | S52241J | 08 | 559-561 | ||
| S52043K | 08 | 564-566 | S52135K | 08 | 564-566 | S52241K | 08 | 564-566 | ||
| S52043M | 08 | 564-566 | S52135M | 08 | 564-566 | S52241M | 08 | 564-566 | ||
| S52043N | 08 | 564-566 | S52135N | 08 | 564-566 | S52241N | 08 | 564-566 | ||
| S52043P | 08 | 564-566 | S52135P | 08 | 564-566 | S52241P | 08 | 564-566 | ||
| S52043Q | 08 | 564-566 | S52135Q | 08 | 564-566 | S52241Q | 08 | 564-566 | ||
| S52043R | 08 | 564-566 | S52135R | 08 | 564-566 | S52241R | 08 | 564-566 | ||
| S52043S | 08 | 559-561 | S52135S | 08 | 559-561 | S52241S | 08 | 559-561 | ||
| S52044A | 08 | 562-563 | S52136A | 08 | 562-563 | S52242A | 08 | 562-563 | ||
| S52044A | 24 | 963-965 | S52136A | 24 | 963-965 | S52242A | 24 | 963-965 | ||
| S52044B | 08 | 562-563 | S52136B | 08 | 562-563 | S52242B | 08 | 562-563 | ||
| S52044B | 24 | 963-965 | S52136B | 24 | 963-965 | S52242B | 24 | 963-965 | ||
| S52044C | 08 | 562-563 | S52136C | 08 | 562-563 | S52242C | 08 | 562-563 | ||
| S52044C | 24 | 963-965 | S52136C | 24 | 963-965 | S52242C | 24 | 963-965 | ||
| S52044D | 08 | 559-561 | S52136D | 08 | 559-561 | S52242D | 08 | 559-561 | ||
| S52044E | 08 | 559-561 | S52136E | 08 | 559-561 | S52242E | 08 | 559-561 | ||
| S52044F | 08 | 559-561 | S52136F | 08 | 559-561 | S52242F | 08 | 559-561 | ||
| S52044G | 08 | 559-561 | S52136G | 08 | 559-561 | S52242G | 08 | 559-561 | ||
| S52044H | 08 | 559-561 | S52136H | 08 | 559-561 | S52242H | 08 | 559-561 | ||
| S52044J | 08 | 559-561 | S52136J | 08 | 559-561 | S52242J | 08 | 559-561 | ||
| S52044K | 08 | 564-566 | S52136K | 08 | 564-566 | S52242K | 08 | 564-566 | ||
| S52044M | 08 | 564-566 | S52136M | 08 | 564-566 | S52242M | 08 | 564-566 | ||
| S52044N | 08 | 564-566 | S52136N | 08 | 564-566 | S52242N | 08 | 564-566 | ||
| S52044P | 08 | 564-566 | S52136P | 08 | 564-566 | S52242P | 08 | 564-566 | ||
| S52044Q | 08 | 564-566 | S52136Q | 08 | 564-566 | S52242Q | 08 | 564-566 | ||
| S52044R | 08 | 564-566 | S52136R | 08 | 564-566 | S52242R | 08 | 564-566 | ||
| S52044S | 08 | 559-561 | S52136S | 08 | 559-561 | S52242S | 08 | 559-561 | ||
| S52045A | 08 | 562-563 | S52181A | 08 | 562-563 | S52243A | 08 | 562-563 | ||
| S52045A | 24 | 963-965 | S52181A | 24 | 963-965 | S52243A | 24 | 963-965 | ||
| S52045B | 08 | 562-563 | S52181B | 08 | 562-563 | S52243B | 08 | 562-563 | ||
| S52045B | 24 | 963-965 | S52181B | 24 | 963-965 | S52243B | 24 | 963-965 | ||
| S52045C | 08 | 562-563 | S52181C | 08 | 562-563 | S52243C | 08 | 562-563 | ||
| S52045C | 24 | 963-965 | S52181C | 24 | 963-965 | S52243C | 24 | 963-965 | ||
| S52045D | 08 | 559-561 | S52181D | 08 | 559-561 | S52243D | 08 | 559-561 | ||
| S52045E | 08 | 559-561 | S52181E | 08 | 559-561 | S52243E | 08 | 559-561 | ||
| S52045F | 08 | 559-561 | S52181F | 08 | 559-561 | S52243F | 08 | 559-561 | ||
| S52045G | 08 | 559-561 | S52181G | 08 | 559-561 | S52243G | 08 | 559-561 | ||
| S52045H | 08 | 559-561 | S52181H | 08 | 559-561 | S52243H | 08 | 559-561 | ||
| S52045J | 08 | 559-561 | S52181J | 08 | 559-561 | S52243J | 08 | 559-561 | ||
| S52045K | 08 | 564-566 | S52181K | 08 | 564-566 | S52243K | 08 | 564-566 | ||
| S52045M | 08 | 564-566 | S52181M | 08 | 564-566 | S52243M | 08 | 564-566 | ||
| S52045N | 08 | 564-566 | S52181N | 08 | 564-566 | S52243N | 08 | 564-566 | ||
| S52045P | 08 | 564-566 | S52181P | 08 | 564-566 | S52243P | 08 | 564-566 | ||
| S52045Q | 08 | 564-566 | S52181Q | 08 | 564-566 | S52243Q | 08 | 564-566 | ||
| S52045R | 08 | 564-566 | S52181R | 08 | 564-566 | S52243R | 08 | 564-566 | ||
| S52045S | 08 | 559-561 | S52181S | 08 | 559-561 | S52243S | 08 | 559-561 | ||
| S52046A | 08 | 562-563 | S52182A | 08 | 562-563 | S52244A | 08 | 562-563 | ||
| S52046A | 24 | 963-965 | S52182A | 24 | 963-965 | S52244A | 24 | 963-965 | ||
| S52046B | 08 | 562-563 | S52182B | 08 | 562-563 | S52244B | 08 | 562-563 | ||
| S52046B | 24 | 963-965 | S52182B | 24 | 963-965 | S52244B | 24 | 963-965 | ||
| S52046C | 08 | 562-563 | S52182C | 08 | 562-563 | S52244C | 08 | 562-563 | ||
| S52046C | 24 | 963-965 | S52182C | 24 | 963-965 | S52244C | 24 | 963-965 | ||
| S52046D | 08 | 559-561 | S52182D | 08 | 559-561 | S52244D | 08 | 559-561 | ||
| S52046E | 08 | 559-561 | S52182E | 08 | 559-561 | S52244E | 08 | 559-561 | ||
| S52046F | 08 | 559-561 | S52182F | 08 | 559-561 | S52244F | 08 | 559-561 | ||
| S52046G | 08 | 559-561 | S52182G | 08 | 559-561 | S52244G | 08 | 559-561 | ||
| S52046H | 08 | 559-561 | S52182H | 08 | 559-561 | S52244H | 08 | 559-561 | ||
| S52046J | 08 | 559-561 | S52182J | 08 | 559-561 | S52244J | 08 | 559-561 | ||
| S52046K | 08 | 564-566 | S52182K | 08 | 564-566 | S52244K | 08 | 564-566 | ||
| S52046M | 08 | 564-566 | S52182M | 08 | 564-566 | S52244M | 08 | 564-566 | ||
| S52046N | 08 | 564-566 | S52182N | 08 | 564-566 | S52244N | 08 | 564-566 | ||
| S52046P | 08 | 564-566 | S52182P | 08 | 564-566 | S52244P | 08 | 564-566 | ||
| S52046Q | 08 | 564-566 | S52182Q | 08 | 564-566 | S52244Q | 08 | 564-566 | ||
| S52046R | 08 | 564-566 | S52182R | 08 | 564-566 | S52244R | 08 | 564-566 | ||
| S52046S | 08 | 559-561 | S52182S | 08 | 559-561 | S52244S | 08 | 559-561 | ||
| S52091A | 08 | 562-563 | S52189A | 08 | 562-563 | S52245A | 08 | 562-563 | ||
| S52091A | 24 | 963-965 | S52189A | 24 | 963-965 | S52245A | 24 | 963-965 | ||
| S52091B | 08 | 562-563 | S52189B | 08 | 562-563 | S52245B | 08 | 562-563 | ||
| S52091B | 24 | 963-965 | S52189B | 24 | 963-965 | S52245B | 24 | 963-965 | ||
| S52091C | 08 | 562-563 | S52189C | 08 | 562-563 | S52245C | 08 | 562-563 | ||
| S52091C | 24 | 963-965 | S52189C | 24 | 963-965 | S52245C | 24 | 963-965 | ||
| S52091D | 08 | 559-561 | S52189D | 08 | 559-561 | S52245D | 08 | 559-561 | ||
| S52091E | 08 | 559-561 | S52189E | 08 | 559-561 | S52245E | 08 | 559-561 | ||
| S52091F | 08 | 559-561 | S52189F | 08 | 559-561 | S52245F | 08 | 559-561 | ||
| S52091G | 08 | 559-561 | S52189G | 08 | 559-561 | S52245G | 08 | 559-561 | ||
| S52091H | 08 | 559-561 | S52189H | 08 | 559-561 | S52245H | 08 | 559-561 | ||
| S52091J | 08 | 559-561 | S52189J | 08 | 559-561 | S52245J | 08 | 559-561 | ||
| S52091K | 08 | 564-566 | S52189K | 08 | 564-566 | S52245K | 08 | 564-566 | ||
| S52091M | 08 | 564-566 | S52189M | 08 | 564-566 | S52245M | 08 | 564-566 | ||
| S52091N | 08 | 564-566 | S52189N | 08 | 564-566 | S52245N | 08 | 564-566 | ||
| S52091P | 08 | 564-566 | S52189P | 08 | 564-566 | S52245P | 08 | 564-566 | ||
| S52091Q | 08 | 564-566 | S52189Q | 08 | 564-566 | S52245Q | 08 | 564-566 | ||
| S52091R | 08 | 564-566 | S52189R | 08 | 564-566 | S52245R | 08 | 564-566 | ||
| S52091S | 08 | 559-561 | S52189S | 08 | 559-561 | S52245S | 08 | 559-561 | ||
| S52092A | 08 | 562-563 | S52201A | 08 | 562-563 | S52246A | 08 | 562-563 | ||
| S52092A | 24 | 963-965 | S52201A | 24 | 963-965 | S52246A | 24 | 963-965 | ||
| S52092B | 08 | 562-563 | S52201B | 08 | 562-563 | S52246B | 08 | 562-563 | ||
| S52092B | 24 | 963-965 | S52201B | 24 | 963-965 | S52246B | 24 | 963-965 | ||
| S52092C | 08 | 562-563 | S52201C | 08 | 562-563 | S52246C | 08 | 562-563 | ||
| S52092C | 24 | 963-965 | S52201C | 24 | 963-965 | S52246C | 24 | 963-965 | ||
| S52092D | 08 | 559-561 | S52201D | 08 | 559-561 | S52246D | 08 | 559-561 | ||
| S52092E | 08 | 559-561 | S52201E | 08 | 559-561 | S52246E | 08 | 559-561 | ||
| S52092F | 08 | 559-561 | S52201F | 08 | 559-561 | S52246F | 08 | 559-561 | ||
| S52092G | 08 | 559-561 | S52201G | 08 | 559-561 | S52246G | 08 | 559-561 | ||
| S52092H | 08 | 559-561 | S52201H | 08 | 559-561 | S52246H | 08 | 559-561 | ||
| S52092J | 08 | 559-561 | S52201J | 08 | 559-561 | S52246J | 08 | 559-561 | ||
| S52092K | 08 | 564-566 | S52201K | 08 | 564-566 | S52246K | 08 | 564-566 | ||
| S52092M | 08 | 564-566 | S52201M | 08 | 564-566 | S52246M | 08 | 564-566 | ||
| S52092N | 08 | 564-566 | S52201N | 08 | 564-566 | S52246N | 08 | 564-566 | ||
| S52092P | 08 | 564-566 | S52201P | 08 | 564-566 | S52246P | 08 | 564-566 | ||
| S52092Q | 08 | 564-566 | S52201Q | 08 | 564-566 | S52246Q | 08 | 564-566 | ||
| S52092R | 08 | 564-566 | S52201R | 08 | 564-566 | S52246R | 08 | 564-566 | ||
| S52092S | 08 | 559-561 | S52201S | 08 | 559-561 | S52246S | 08 | 559-561 | ||
| S52099A | 08 | 562-563 | S52202A | 08 | 562-563 | S52251A | 08 | 562-563 | ||
| S52099A | 24 | 963-965 | S52202A | 24 | 963-965 | S52251A | 24 | 963-965 | ||
| S52099B | 08 | 562-563 | S52202B | 08 | 562-563 | S52251B | 08 | 562-563 | ||
| S52099B | 24 | 963-965 | S52202B | 24 | 963-965 | S52251B | 24 | 963-965 | ||
| S52099C | 08 | 562-563 | S52202C | 08 | 562-563 | S52251C | 08 | 562-563 | ||
| S52099C | 24 | 963-965 | S52202C | 24 | 963-965 | S52251C | 24 | 963-965 | ||
| S52099D | 08 | 559-561 | S52202D | 08 | 559-561 | S52251D | 08 | 559-561 | ||
| S52099E | 08 | 559-561 | S52202E | 08 | 559-561 | S52251E | 08 | 559-561 | ||
| S52099F | 08 | 559-561 | S52202F | 08 | 559-561 | S52251F | 08 | 559-561 | ||
| S52099G | 08 | 559-561 | S52202G | 08 | 559-561 | S52251G | 08 | 559-561 | ||
| S52099H | 08 | 559-561 | S52202H | 08 | 559-561 | S52251H | 08 | 559-561 | ||
| S52099J | 08 | 559-561 | S52202J | 08 | 559-561 | S52251J | 08 | 559-561 | ||
| S52099K | 08 | 564-566 | S52202K | 08 | 564-566 | S52251K | 08 | 564-566 | ||
| S52099M | 08 | 564-566 | S52202M | 08 | 564-566 | S52251M | 08 | 564-566 | ||
| S52099N | 08 | 564-566 | S52202N | 08 | 564-566 | S52251N | 08 | 564-566 | ||
| S52099P | 08 | 564-566 | S52202P | 08 | 564-566 | S52251P | 08 | 564-566 | ||
| S52099Q | 08 | 564-566 | S52202Q | 08 | 564-566 | S52251Q | 08 | 564-566 | ||
| S52099R | 08 | 564-566 | S52202R | 08 | 564-566 | S52251R | 08 | 564-566 | ||
| S52099S | 08 | 559-561 | S52202S | 08 | 559-561 | S52251S | 08 | 559-561 | ||
| S52101A | 08 | 562-563 | S52209A | 08 | 562-563 | S52252A | 08 | 562-563 | ||
| S52101A | 24 | 963-965 | S52209A | 24 | 963-965 | S52252A | 24 | 963-965 | ||
| S52101B | 08 | 562-563 | S52209B | 08 | 562-563 | S52252B | 08 | 562-563 | ||
| S52101B | 24 | 963-965 | S52209B | 24 | 963-965 | S52252B | 24 | 963-965 | ||
| S52101C | 08 | 562-563 | S52209C | 08 | 562-563 | S52252C | 08 | 562-563 | ||
| S52101C | 24 | 963-965 | S52209C | 24 | 963-965 | S52252C | 24 | 963-965 | ||
| S52101D | 08 | 559-561 | S52209D | 08 | 559-561 | S52252D | 08 | 559-561 | ||
| S52101E | 08 | 559-561 | S52209E | 08 | 559-561 | S52252E | 08 | 559-561 | ||
| S52101F | 08 | 559-561 | S52209F | 08 | 559-561 | S52252F | 08 | 559-561 | ||
| S52101G | 08 | 559-561 | S52209G | 08 | 559-561 | S52252G | 08 | 559-561 | ||
| S52101H | 08 | 559-561 | S52209H | 08 | 559-561 | S52252H | 08 | 559-561 | ||
| S52101J | 08 | 559-561 | S52209J | 08 | 559-561 | S52252J | 08 | 559-561 | ||
| S52101K | 08 | 564-566 | S52209K | 08 | 564-566 | S52252K | 08 | 564-566 | ||
| S52101M | 08 | 564-566 | S52209M | 08 | 564-566 | S52252M | 08 | 564-566 | ||
| S52101N | 08 | 564-566 | S52209N | 08 | 564-566 | S52252N | 08 | 564-566 | ||
| S52101P | 08 | 564-566 | S52209P | 08 | 564-566 | S52252P | 08 | 564-566 | ||
| S52101Q | 08 | 564-566 | S52209Q | 08 | 564-566 | S52252Q | 08 | 564-566 | ||
| S52101R | 08 | 564-566 | S52209R | 08 | 564-566 | S52252R | 08 | 564-566 | ||
| S52101S | 08 | 559-561 | S52209S | 08 | 559-561 | S52252S | 08 | 559-561 | ||
| S52102A | 08 | 562-563 | S52211A | 08 | 562-563 | S52253A | 08 | 562-563 | ||
| S52102A | 24 | 963-965 | S52211A | 24 | 963-965 | S52253A | 24 | 963-965 | ||
| S52102B | 08 | 562-563 | S52211D | 08 | 559-561 | S52253B | 08 | 562-563 | ||
| S52102B | 24 | 963-965 | S52211G | 08 | 559-561 | S52253B | 24 | 963-965 | ||
| S52102C | 08 | 562-563 | S52211K | 08 | 564-566 | S52253C | 08 | 562-563 | ||
| S52102C | 24 | 963-965 | S52211P | 08 | 564-566 | S52253C | 24 | 963-965 | ||
| S52102D | 08 | 559-561 | S52211S | 08 | 559-561 | S52253D | 08 | 559-561 | ||
| S52102E | 08 | 559-561 | S52212A | 08 | 562-563 | S52253E | 08 | 559-561 | ||
| S52102F | 08 | 559-561 | S52212A | 24 | 963-965 | S52253F | 08 | 559-561 | ||
| S52102G | 08 | 559-561 | S52212D | 08 | 559-561 | S52253G | 08 | 559-561 | ||
| S52102H | 08 | 559-561 | S52212G | 08 | 559-561 | S52253H | 08 | 559-561 | ||
| S52102J | 08 | 559-561 | S52212K | 08 | 564-566 | S52253J | 08 | 559-561 | ||
| S52102K | 08 | 564-566 | S52212P | 08 | 564-566 | S52253K | 08 | 564-566 | ||
| S52102M | 08 | 564-566 | S52212S | 08 | 559-561 | S52253M | 08 | 564-566 | ||
| S52102N | 08 | 564-566 | S52219A | 08 | 562-563 | S52253N | 08 | 564-566 | ||
| S52102P | 08 | 564-566 | S52219A | 24 | 963-965 | S52253P | 08 | 564-566 | ||
| S52102Q | 08 | 564-566 | S52219D | 08 | 559-561 | S52253Q | 08 | 564-566 | ||
| S52102R | 08 | 564-566 | S52219G | 08 | 559-561 | S52253R | 08 | 564-566 | ||
| S52102S | 08 | 559-561 | S52219K | 08 | 564-566 | S52253S | 08 | 559-561 | ||
| S52109A | 08 | 562-563 | S52219P | 08 | 564-566 | S52254A | 08 | 562-563 | ||
| S52109A | 24 | 963-965 | S52219S | 08 | 559-561 | S52254A | 24 | 963-965 | ||
| S52109B | 08 | 562-563 | S52221A | 08 | 562-563 | S52254B | 08 | 562-563 | ||
| S52109B | 24 | 963-965 | S52221A | 24 | 963-965 | S52254B | 24 | 963-965 | ||
| S52109C | 08 | 562-563 | S52221B | 08 | 562-563 | S52254C | 08 | 562-563 | ||
| S52109C | 24 | 963-965 | S52221B | 24 | 963-965 | S52254C | 24 | 963-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 06 Jul 2021 14:18:42 CMS, code-revision=311, description-revision=1309 |