ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual |
||||
Skip to content |
Diagnosis Code/MDC/MS-DRG Index |
Page 43 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S52509J | 08 | 559-561 | S52572J | 08 | 559-561 | S53003S | 08 | 562-563 | ||
S52509K | 08 | 564-566 | S52572K | 08 | 564-566 | S53004A | 08 | 562-563 | ||
S52509M | 08 | 564-566 | S52572M | 08 | 564-566 | S53004A | 24 | 963-965 | ||
S52509N | 08 | 564-566 | S52572N | 08 | 564-566 | S53004D | 23 | 949-950 | ||
S52509P | 08 | 564-566 | S52572P | 08 | 564-566 | S53004S | 08 | 562-563 | ||
S52509Q | 08 | 564-566 | S52572Q | 08 | 564-566 | S53005A | 08 | 562-563 | ||
S52509R | 08 | 564-566 | S52572R | 08 | 564-566 | S53005A | 24 | 963-965 | ||
S52509S | 08 | 559-561 | S52572S | 08 | 559-561 | S53005D | 23 | 949-950 | ||
S52511A | 08 | 562-563 | S52579A | 08 | 562-563 | S53005S | 08 | 562-563 | ||
S52511A | 24 | 963-965 | S52579A | 24 | 963-965 | S53006A | 08 | 562-563 | ||
S52511B | 08 | 562-563 | S52579B | 08 | 562-563 | S53006A | 24 | 963-965 | ||
S52511B | 24 | 963-965 | S52579B | 24 | 963-965 | S53006D | 23 | 949-950 | ||
S52511C | 08 | 562-563 | S52579C | 08 | 562-563 | S53006S | 08 | 562-563 | ||
S52511C | 24 | 963-965 | S52579C | 24 | 963-965 | S53011A | 08 | 562-563 | ||
S52511D | 08 | 559-561 | S52579D | 08 | 559-561 | S53011A | 24 | 963-965 | ||
S52511E | 08 | 559-561 | S52579E | 08 | 559-561 | S53011D | 23 | 949-950 | ||
S52511F | 08 | 559-561 | S52579F | 08 | 559-561 | S53011S | 08 | 562-563 | ||
S52511G | 08 | 559-561 | S52579G | 08 | 559-561 | S53012A | 08 | 562-563 | ||
S52511H | 08 | 559-561 | S52579H | 08 | 559-561 | S53012A | 24 | 963-965 | ||
S52511J | 08 | 559-561 | S52579J | 08 | 559-561 | S53012D | 23 | 949-950 | ||
S52511K | 08 | 564-566 | S52579K | 08 | 564-566 | S53012S | 08 | 562-563 | ||
S52511M | 08 | 564-566 | S52579M | 08 | 564-566 | S53013A | 08 | 562-563 | ||
S52511N | 08 | 564-566 | S52579N | 08 | 564-566 | S53013A | 24 | 963-965 | ||
S52511P | 08 | 564-566 | S52579P | 08 | 564-566 | S53013D | 23 | 949-950 | ||
S52511Q | 08 | 564-566 | S52579Q | 08 | 564-566 | S53013S | 08 | 562-563 | ||
S52511R | 08 | 564-566 | S52579R | 08 | 564-566 | S53014A | 08 | 562-563 | ||
S52511S | 08 | 559-561 | S52579S | 08 | 559-561 | S53014A | 24 | 963-965 | ||
S52512A | 08 | 562-563 | S52591A | 08 | 562-563 | S53014D | 23 | 949-950 | ||
S52512A | 24 | 963-965 | S52591A | 24 | 963-965 | S53014S | 08 | 562-563 | ||
S52512B | 08 | 562-563 | S52591B | 08 | 562-563 | S53015A | 08 | 562-563 | ||
S52512B | 24 | 963-965 | S52591B | 24 | 963-965 | S53015A | 24 | 963-965 | ||
S52512C | 08 | 562-563 | S52591C | 08 | 562-563 | S53015D | 23 | 949-950 | ||
S52512C | 24 | 963-965 | S52591C | 24 | 963-965 | S53015S | 08 | 562-563 | ||
S52512D | 08 | 559-561 | S52591D | 08 | 559-561 | S53016A | 08 | 562-563 | ||
S52512E | 08 | 559-561 | S52591E | 08 | 559-561 | S53016A | 24 | 963-965 | ||
S52512F | 08 | 559-561 | S52591F | 08 | 559-561 | S53016D | 23 | 949-950 | ||
S52512G | 08 | 559-561 | S52591G | 08 | 559-561 | S53016S | 08 | 562-563 | ||
S52512H | 08 | 559-561 | S52591H | 08 | 559-561 | S53021A | 08 | 562-563 | ||
S52512J | 08 | 559-561 | S52591J | 08 | 559-561 | S53021A | 24 | 963-965 | ||
S52512K | 08 | 564-566 | S52591K | 08 | 564-566 | S53021D | 23 | 949-950 | ||
S52512M | 08 | 564-566 | S52591M | 08 | 564-566 | S53021S | 08 | 562-563 | ||
S52512N | 08 | 564-566 | S52591N | 08 | 564-566 | S53022A | 08 | 562-563 | ||
S52512P | 08 | 564-566 | S52591P | 08 | 564-566 | S53022A | 24 | 963-965 | ||
S52512Q | 08 | 564-566 | S52591Q | 08 | 564-566 | S53022D | 23 | 949-950 | ||
S52512R | 08 | 564-566 | S52591R | 08 | 564-566 | S53022S | 08 | 562-563 | ||
S52512S | 08 | 559-561 | S52591S | 08 | 559-561 | S53023A | 08 | 562-563 | ||
S52513A | 08 | 562-563 | S52592A | 08 | 562-563 | S53023A | 24 | 963-965 | ||
S52513A | 24 | 963-965 | S52592A | 24 | 963-965 | S53023D | 23 | 949-950 | ||
S52513B | 08 | 562-563 | S52592B | 08 | 562-563 | S53023S | 08 | 562-563 | ||
S52513B | 24 | 963-965 | S52592B | 24 | 963-965 | S53024A | 08 | 562-563 | ||
S52513C | 08 | 562-563 | S52592C | 08 | 562-563 | S53024A | 24 | 963-965 | ||
S52513C | 24 | 963-965 | S52592C | 24 | 963-965 | S53024D | 23 | 949-950 | ||
S52513D | 08 | 559-561 | S52592D | 08 | 559-561 | S53024S | 08 | 562-563 | ||
S52513E | 08 | 559-561 | S52592E | 08 | 559-561 | S53025A | 08 | 562-563 | ||
S52513F | 08 | 559-561 | S52592F | 08 | 559-561 | S53025A | 24 | 963-965 | ||
S52513G | 08 | 559-561 | S52592G | 08 | 559-561 | S53025D | 23 | 949-950 | ||
S52513H | 08 | 559-561 | S52592H | 08 | 559-561 | S53025S | 08 | 562-563 | ||
S52513J | 08 | 559-561 | S52592J | 08 | 559-561 | S53026A | 08 | 562-563 | ||
S52513K | 08 | 564-566 | S52592K | 08 | 564-566 | S53026A | 24 | 963-965 | ||
S52513M | 08 | 564-566 | S52592M | 08 | 564-566 | S53026D | 23 | 949-950 | ||
S52513N | 08 | 564-566 | S52592N | 08 | 564-566 | S53026S | 08 | 562-563 | ||
S52513P | 08 | 564-566 | S52592P | 08 | 564-566 | S53031A | 08 | 562-563 | ||
S52513Q | 08 | 564-566 | S52592Q | 08 | 564-566 | S53031A | 24 | 963-965 | ||
S52513R | 08 | 564-566 | S52592R | 08 | 564-566 | S53031D | 23 | 949-950 | ||
S52513S | 08 | 559-561 | S52592S | 08 | 559-561 | S53031S | 08 | 562-563 | ||
S52514A | 08 | 562-563 | S52599A | 08 | 562-563 | S53032A | 08 | 562-563 | ||
S52514A | 24 | 963-965 | S52599A | 24 | 963-965 | S53032A | 24 | 963-965 | ||
S52514B | 08 | 562-563 | S52599B | 08 | 562-563 | S53032D | 23 | 949-950 | ||
S52514B | 24 | 963-965 | S52599B | 24 | 963-965 | S53032S | 08 | 562-563 | ||
S52514C | 08 | 562-563 | S52599C | 08 | 562-563 | S53033A | 08 | 562-563 | ||
S52514C | 24 | 963-965 | S52599C | 24 | 963-965 | S53033A | 24 | 963-965 | ||
S52514D | 08 | 559-561 | S52599D | 08 | 559-561 | S53033D | 23 | 949-950 | ||
S52514E | 08 | 559-561 | S52599E | 08 | 559-561 | S53033S | 08 | 562-563 | ||
S52514F | 08 | 559-561 | S52599F | 08 | 559-561 | S53091A | 08 | 562-563 | ||
S52514G | 08 | 559-561 | S52599G | 08 | 559-561 | S53091A | 24 | 963-965 | ||
S52514H | 08 | 559-561 | S52599H | 08 | 559-561 | S53091D | 23 | 949-950 | ||
S52514J | 08 | 559-561 | S52599J | 08 | 559-561 | S53091S | 08 | 562-563 | ||
S52514K | 08 | 564-566 | S52599K | 08 | 564-566 | S53092A | 08 | 562-563 | ||
S52514M | 08 | 564-566 | S52599M | 08 | 564-566 | S53092A | 24 | 963-965 | ||
S52514N | 08 | 564-566 | S52599N | 08 | 564-566 | S53092D | 23 | 949-950 | ||
S52514P | 08 | 564-566 | S52599P | 08 | 564-566 | S53092S | 08 | 562-563 | ||
S52514Q | 08 | 564-566 | S52599Q | 08 | 564-566 | S53093A | 08 | 562-563 | ||
S52514R | 08 | 564-566 | S52599R | 08 | 564-566 | S53093A | 24 | 963-965 | ||
S52514S | 08 | 559-561 | S52599S | 08 | 559-561 | S53093D | 23 | 949-950 | ||
S52515A | 08 | 562-563 | S52601A | 08 | 562-563 | S53093S | 08 | 562-563 | ||
S52515A | 24 | 963-965 | S52601A | 24 | 963-965 | S53094A | 08 | 562-563 | ||
S52515B | 08 | 562-563 | S52601B | 08 | 562-563 | S53094A | 24 | 963-965 | ||
S52515B | 24 | 963-965 | S52601B | 24 | 963-965 | S53094D | 23 | 949-950 | ||
S52515C | 08 | 562-563 | S52601C | 08 | 562-563 | S53094S | 08 | 562-563 | ||
S52515C | 24 | 963-965 | S52601C | 24 | 963-965 | S53095A | 08 | 562-563 | ||
S52515D | 08 | 559-561 | S52601D | 08 | 559-561 | S53095A | 24 | 963-965 | ||
S52515E | 08 | 559-561 | S52601E | 08 | 559-561 | S53095D | 23 | 949-950 | ||
S52515F | 08 | 559-561 | S52601F | 08 | 559-561 | S53095S | 08 | 562-563 | ||
S52515G | 08 | 559-561 | S52601G | 08 | 559-561 | S53096A | 08 | 562-563 | ||
S52515H | 08 | 559-561 | S52601H | 08 | 559-561 | S53096A | 24 | 963-965 | ||
S52515J | 08 | 559-561 | S52601J | 08 | 559-561 | S53096D | 23 | 949-950 | ||
S52515K | 08 | 564-566 | S52601K | 08 | 564-566 | S53096S | 08 | 562-563 | ||
S52515M | 08 | 564-566 | S52601M | 08 | 564-566 | S53101A | 08 | 562-563 | ||
S52515N | 08 | 564-566 | S52601N | 08 | 564-566 | S53101A | 24 | 963-965 | ||
S52515P | 08 | 564-566 | S52601P | 08 | 564-566 | S53101D | 23 | 949-950 | ||
S52515Q | 08 | 564-566 | S52601Q | 08 | 564-566 | S53101S | 08 | 562-563 | ||
S52515R | 08 | 564-566 | S52601R | 08 | 564-566 | S53102A | 08 | 562-563 | ||
S52515S | 08 | 559-561 | S52601S | 08 | 559-561 | S53102A | 24 | 963-965 | ||
S52516A | 08 | 562-563 | S52602A | 08 | 562-563 | S53102D | 23 | 949-950 | ||
S52516A | 24 | 963-965 | S52602A | 24 | 963-965 | S53102S | 08 | 562-563 | ||
S52516B | 08 | 562-563 | S52602B | 08 | 562-563 | S53103A | 08 | 562-563 | ||
S52516B | 24 | 963-965 | S52602B | 24 | 963-965 | S53103A | 24 | 963-965 | ||
S52516C | 08 | 562-563 | S52602C | 08 | 562-563 | S53103D | 23 | 949-950 | ||
S52516C | 24 | 963-965 | S52602C | 24 | 963-965 | S53103S | 08 | 562-563 | ||
S52516D | 08 | 559-561 | S52602D | 08 | 559-561 | S53104A | 08 | 562-563 | ||
S52516E | 08 | 559-561 | S52602E | 08 | 559-561 | S53104A | 24 | 963-965 | ||
S52516F | 08 | 559-561 | S52602F | 08 | 559-561 | S53104D | 23 | 949-950 | ||
S52516G | 08 | 559-561 | S52602G | 08 | 559-561 | S53104S | 08 | 562-563 | ||
S52516H | 08 | 559-561 | S52602H | 08 | 559-561 | S53105A | 08 | 562-563 | ||
S52516J | 08 | 559-561 | S52602J | 08 | 559-561 | S53105A | 24 | 963-965 | ||
S52516K | 08 | 564-566 | S52602K | 08 | 564-566 | S53105D | 23 | 949-950 | ||
S52516M | 08 | 564-566 | S52602M | 08 | 564-566 | S53105S | 08 | 562-563 | ||
S52516N | 08 | 564-566 | S52602N | 08 | 564-566 | S53106A | 08 | 562-563 | ||
S52516P | 08 | 564-566 | S52602P | 08 | 564-566 | S53106A | 24 | 963-965 | ||
S52516Q | 08 | 564-566 | S52602Q | 08 | 564-566 | S53106D | 23 | 949-950 | ||
S52516R | 08 | 564-566 | S52602R | 08 | 564-566 | S53106S | 08 | 562-563 | ||
S52516S | 08 | 559-561 | S52602S | 08 | 559-561 | S53111A | 08 | 562-563 | ||
S52521A | 08 | 562-563 | S52609A | 08 | 562-563 | S53111A | 24 | 963-965 | ||
S52521A | 24 | 963-965 | S52609A | 24 | 963-965 | S53111D | 23 | 949-950 | ||
S52521D | 08 | 559-561 | S52609B | 08 | 562-563 | S53111S | 08 | 562-563 | ||
S52521G | 08 | 559-561 | S52609B | 24 | 963-965 | S53112A | 08 | 562-563 | ||
S52521K | 08 | 564-566 | S52609C | 08 | 562-563 | S53112A | 24 | 963-965 | ||
S52521P | 08 | 564-566 | S52609C | 24 | 963-965 | S53112D | 23 | 949-950 | ||
S52521S | 08 | 559-561 | S52609D | 08 | 559-561 | S53112S | 08 | 562-563 | ||
S52522A | 08 | 562-563 | S52609E | 08 | 559-561 | S53113A | 08 | 562-563 | ||
S52522A | 24 | 963-965 | S52609F | 08 | 559-561 | S53113A | 24 | 963-965 | ||
S52522D | 08 | 559-561 | S52609G | 08 | 559-561 | S53113D | 23 | 949-950 | ||
S52522G | 08 | 559-561 | S52609H | 08 | 559-561 | S53113S | 08 | 562-563 | ||
S52522K | 08 | 564-566 | S52609J | 08 | 559-561 | S53114A | 08 | 562-563 | ||
S52522P | 08 | 564-566 | S52609K | 08 | 564-566 | S53114A | 24 | 963-965 | ||
S52522S | 08 | 559-561 | S52609M | 08 | 564-566 | S53114D | 23 | 949-950 | ||
S52529A | 08 | 562-563 | S52609N | 08 | 564-566 | S53114S | 08 | 562-563 | ||
S52529A | 24 | 963-965 | S52609P | 08 | 564-566 | S53115A | 08 | 562-563 | ||
S52529D | 08 | 559-561 | S52609Q | 08 | 564-566 | S53115A | 24 | 963-965 | ||
S52529G | 08 | 559-561 | S52609R | 08 | 564-566 | S53115D | 23 | 949-950 | ||
S52529K | 08 | 564-566 | S52609S | 08 | 559-561 | S53115S | 08 | 562-563 | ||
S52529P | 08 | 564-566 | S52611A | 08 | 562-563 | S53116A | 08 | 562-563 | ||
S52529S | 08 | 559-561 | S52611A | 24 | 963-965 | S53116A | 24 | 963-965 | ||
S52531A | 08 | 562-563 | S52611B | 08 | 562-563 | S53116D | 23 | 949-950 | ||
S52531A | 24 | 963-965 | S52611B | 24 | 963-965 | S53116S | 08 | 562-563 | ||
S52531B | 08 | 562-563 | S52611C | 08 | 562-563 | S53121A | 08 | 562-563 | ||
S52531B | 24 | 963-965 | S52611C | 24 | 963-965 | S53121A | 24 | 963-965 | ||
S52531C | 08 | 562-563 | S52611D | 08 | 559-561 | S53121D | 23 | 949-950 | ||
S52531C | 24 | 963-965 | S52611E | 08 | 559-561 | S53121S | 08 | 562-563 | ||
S52531D | 08 | 559-561 | S52611F | 08 | 559-561 | S53122A | 08 | 562-563 | ||
S52531E | 08 | 559-561 | S52611G | 08 | 559-561 | S53122A | 24 | 963-965 | ||
S52531F | 08 | 559-561 | S52611H | 08 | 559-561 | S53122D | 23 | 949-950 | ||
S52531G | 08 | 559-561 | S52611J | 08 | 559-561 | S53122S | 08 | 562-563 | ||
S52531H | 08 | 559-561 | S52611K | 08 | 564-566 | S53123A | 08 | 562-563 | ||
S52531J | 08 | 559-561 | S52611M | 08 | 564-566 | S53123A | 24 | 963-965 | ||
S52531K | 08 | 564-566 | S52611N | 08 | 564-566 | S53123D | 23 | 949-950 | ||
S52531M | 08 | 564-566 | S52611P | 08 | 564-566 | S53123S | 08 | 562-563 | ||
S52531N | 08 | 564-566 | S52611Q | 08 | 564-566 | S53124A | 08 | 562-563 | ||
S52531P | 08 | 564-566 | S52611R | 08 | 564-566 | S53124A | 24 | 963-965 | ||
S52531Q | 08 | 564-566 | S52611S | 08 | 559-561 | S53124D | 23 | 949-950 | ||
S52531R | 08 | 564-566 | S52612A | 08 | 562-563 | S53124S | 08 | 562-563 | ||
S52531S | 08 | 559-561 | S52612A | 24 | 963-965 | S53125A | 08 | 562-563 | ||
S52532A | 08 | 562-563 | S52612B | 08 | 562-563 | S53125A | 24 | 963-965 | ||
S52532A | 24 | 963-965 | S52612B | 24 | 963-965 | S53125D | 23 | 949-950 | ||
S52532B | 08 | 562-563 | S52612C | 08 | 562-563 | S53125S | 08 | 562-563 | ||
S52532B | 24 | 963-965 | S52612C | 24 | 963-965 | S53126A | 08 | 562-563 | ||
S52532C | 08 | 562-563 | S52612D | 08 | 559-561 | S53126A | 24 | 963-965 | ||
S52532C | 24 | 963-965 | S52612E | 08 | 559-561 | S53126D | 23 | 949-950 | ||
S52532D | 08 | 559-561 | S52612F | 08 | 559-561 | S53126S | 08 | 562-563 | ||
S52532E | 08 | 559-561 | S52612G | 08 | 559-561 | S53131A | 08 | 562-563 | ||
S52532F | 08 | 559-561 | S52612H | 08 | 559-561 | S53131A | 24 | 963-965 | ||
S52532G | 08 | 559-561 | S52612J | 08 | 559-561 | S53131D | 23 | 949-950 | ||
S52532H | 08 | 559-561 | S52612K | 08 | 564-566 | S53131S | 08 | 562-563 | ||
S52532J | 08 | 559-561 | S52612M | 08 | 564-566 | S53132A | 08 | 562-563 | ||
S52532K | 08 | 564-566 | S52612N | 08 | 564-566 | S53132A | 24 | 963-965 | ||
S52532M | 08 | 564-566 | S52612P | 08 | 564-566 | S53132D | 23 | 949-950 | ||
S52532N | 08 | 564-566 | S52612Q | 08 | 564-566 | S53132S | 08 | 562-563 | ||
S52532P | 08 | 564-566 | S52612R | 08 | 564-566 | S53133A | 08 | 562-563 | ||
S52532Q | 08 | 564-566 | S52612S | 08 | 559-561 | S53133A | 24 | 963-965 | ||
S52532R | 08 | 564-566 | S52613A | 08 | 562-563 | S53133D | 23 | 949-950 | ||
S52532S | 08 | 559-561 | S52613A | 24 | 963-965 | S53133S | 08 | 562-563 | ||
S52539A | 08 | 562-563 | S52613B | 08 | 562-563 | S53134A | 08 | 562-563 | ||
S52539A | 24 | 963-965 | S52613B | 24 | 963-965 | S53134A | 24 | 963-965 | ||
S52539B | 08 | 562-563 | S52613C | 08 | 562-563 | S53134D | 23 | 949-950 | ||
S52539B | 24 | 963-965 | S52613C | 24 | 963-965 | S53134S | 08 | 562-563 | ||
S52539C | 08 | 562-563 | S52613D | 08 | 559-561 | S53135A | 08 | 562-563 | ||
S52539C | 24 | 963-965 | S52613E | 08 | 559-561 | S53135A | 24 | 963-965 | ||
S52539D | 08 | 559-561 | S52613F | 08 | 559-561 | S53135D | 23 | 949-950 | ||
S52539E | 08 | 559-561 | S52613G | 08 | 559-561 | S53135S | 08 | 562-563 | ||
S52539F | 08 | 559-561 | S52613H | 08 | 559-561 | S53136A | 08 | 562-563 | ||
S52539G | 08 | 559-561 | S52613J | 08 | 559-561 | S53136A | 24 | 963-965 | ||
S52539H | 08 | 559-561 | S52613K | 08 | 564-566 | S53136D | 23 | 949-950 | ||
S52539J | 08 | 559-561 | S52613M | 08 | 564-566 | S53136S | 08 | 562-563 | ||
S52539K | 08 | 564-566 | S52613N | 08 | 564-566 | S53141A | 08 | 562-563 | ||
S52539M | 08 | 564-566 | S52613P | 08 | 564-566 | S53141A | 24 | 963-965 | ||
S52539N | 08 | 564-566 | S52613Q | 08 | 564-566 | S53141D | 23 | 949-950 | ||
S52539P | 08 | 564-566 | S52613R | 08 | 564-566 | S53141S | 08 | 562-563 | ||
S52539Q | 08 | 564-566 | S52613S | 08 | 559-561 | S53142A | 08 | 562-563 | ||
S52539R | 08 | 564-566 | S52614A | 08 | 562-563 | S53142A | 24 | 963-965 | ||
S52539S | 08 | 559-561 | S52614A | 24 | 963-965 | S53142D | 23 | 949-950 | ||
S52541A | 08 | 562-563 | S52614B | 08 | 562-563 | S53142S | 08 | 562-563 | ||
S52541A | 24 | 963-965 | S52614B | 24 | 963-965 | S53143A | 08 | 562-563 | ||
S52541B | 08 | 562-563 | S52614C | 08 | 562-563 | S53143A | 24 | 963-965 | ||
S52541B | 24 | 963-965 | S52614C | 24 | 963-965 | S53143D | 23 | 949-950 | ||
S52541C | 08 | 562-563 | S52614D | 08 | 559-561 | S53143S | 08 | 562-563 | ||
S52541C | 24 | 963-965 | S52614E | 08 | 559-561 | S53144A | 08 | 562-563 | ||
S52541D | 08 | 559-561 | S52614F | 08 | 559-561 | S53144A | 24 | 963-965 | ||
S52541E | 08 | 559-561 | S52614G | 08 | 559-561 | S53144D | 23 | 949-950 | ||
S52541F | 08 | 559-561 | S52614H | 08 | 559-561 | S53144S | 08 | 562-563 | ||
S52541G | 08 | 559-561 | S52614J | 08 | 559-561 | S53145A | 08 | 562-563 | ||
S52541H | 08 | 559-561 | S52614K | 08 | 564-566 | S53145A | 24 | 963-965 | ||
S52541J | 08 | 559-561 | S52614M | 08 | 564-566 | S53145D | 23 | 949-950 | ||
S52541K | 08 | 564-566 | S52614N | 08 | 564-566 | S53145S | 08 | 562-563 | ||
S52541M | 08 | 564-566 | S52614P | 08 | 564-566 | S53146A | 08 | 562-563 | ||
S52541N | 08 | 564-566 | S52614Q | 08 | 564-566 | S53146A | 24 | 963-965 | ||
S52541P | 08 | 564-566 | S52614R | 08 | 564-566 | S53146D | 23 | 949-950 | ||
S52541Q | 08 | 564-566 | S52614S | 08 | 559-561 | S53146S | 08 | 562-563 | ||
S52541R | 08 | 564-566 | S52615A | 08 | 562-563 | S53191A | 08 | 562-563 | ||
S52541S | 08 | 559-561 | S52615A | 24 | 963-965 | S53191A | 24 | 963-965 | ||
S52542A | 08 | 562-563 | S52615B | 08 | 562-563 | S53191D | 23 | 949-950 | ||
S52542A | 24 | 963-965 | S52615B | 24 | 963-965 | S53191S | 08 | 562-563 | ||
S52542B | 08 | 562-563 | S52615C | 08 | 562-563 | S53192A | 08 | 562-563 | ||
S52542B | 24 | 963-965 | S52615C | 24 | 963-965 | S53192A | 24 | 963-965 | ||
S52542C | 08 | 562-563 | S52615D | 08 | 559-561 | S53192D | 23 | 949-950 | ||
S52542C | 24 | 963-965 | S52615E | 08 | 559-561 | S53192S | 08 | 562-563 | ||
S52542D | 08 | 559-561 | S52615F | 08 | 559-561 | S53193A | 08 | 562-563 | ||
S52542E | 08 | 559-561 | S52615G | 08 | 559-561 | S53193A | 24 | 963-965 | ||
S52542F | 08 | 559-561 | S52615H | 08 | 559-561 | S53193D | 23 | 949-950 | ||
S52542G | 08 | 559-561 | S52615J | 08 | 559-561 | S53193S | 08 | 562-563 | ||
S52542H | 08 | 559-561 | S52615K | 08 | 564-566 | S53194A | 08 | 562-563 | ||
S52542J | 08 | 559-561 | S52615M | 08 | 564-566 | S53194A | 24 | 963-965 | ||
S52542K | 08 | 564-566 | S52615N | 08 | 564-566 | S53194D | 23 | 949-950 | ||
S52542M | 08 | 564-566 | S52615P | 08 | 564-566 | S53194S | 08 | 562-563 | ||
S52542N | 08 | 564-566 | S52615Q | 08 | 564-566 | S53195A | 08 | 562-563 | ||
S52542P | 08 | 564-566 | S52615R | 08 | 564-566 | S53195A | 24 | 963-965 | ||
S52542Q | 08 | 564-566 | S52615S | 08 | 559-561 | S53195D | 23 | 949-950 | ||
S52542R | 08 | 564-566 | S52616A | 08 | 562-563 | S53195S | 08 | 562-563 | ||
S52542S | 08 | 559-561 | S52616A | 24 | 963-965 | S53196A | 08 | 562-563 | ||
S52549A | 08 | 562-563 | S52616B | 08 | 562-563 | S53196A | 24 | 963-965 | ||
S52549A | 24 | 963-965 | S52616B | 24 | 963-965 | S53196D | 23 | 949-950 | ||
S52549B | 08 | 562-563 | S52616C | 08 | 562-563 | S53196S | 08 | 562-563 | ||
S52549B | 24 | 963-965 | S52616C | 24 | 963-965 | S5320XA | 08 | 562-563 | ||
S52549C | 08 | 562-563 | S52616D | 08 | 559-561 | S5320XA | 24 | 963-965 | ||
S52549C | 24 | 963-965 | S52616E | 08 | 559-561 | S5320XD | 23 | 949-950 | ||
S52549D | 08 | 559-561 | S52616F | 08 | 559-561 | S5320XS | 08 | 562-563 | ||
S52549E | 08 | 559-561 | S52616G | 08 | 559-561 | S5321XA | 08 | 562-563 | ||
S52549F | 08 | 559-561 | S52616H | 08 | 559-561 | S5321XA | 24 | 963-965 | ||
S52549G | 08 | 559-561 | S52616J | 08 | 559-561 | S5321XD | 23 | 949-950 | ||
S52549H | 08 | 559-561 | S52616K | 08 | 564-566 | S5321XS | 08 | 562-563 | ||
S52549J | 08 | 559-561 | S52616M | 08 | 564-566 | S5322XA | 08 | 562-563 | ||
S52549K | 08 | 564-566 | S52616N | 08 | 564-566 | S5322XA | 24 | 963-965 | ||
S52549M | 08 | 564-566 | S52616P | 08 | 564-566 | S5322XD | 23 | 949-950 | ||
S52549N | 08 | 564-566 | S52616Q | 08 | 564-566 | S5322XS | 08 | 562-563 | ||
S52549P | 08 | 564-566 | S52616R | 08 | 564-566 | S5330XA | 08 | 562-563 | ||
S52549Q | 08 | 564-566 | S52616S | 08 | 559-561 | S5330XA | 24 | 963-965 | ||
S52549R | 08 | 564-566 | S52621A | 08 | 562-563 | S5330XD | 23 | 949-950 | ||
S52549S | 08 | 559-561 | S52621A | 24 | 963-965 | S5330XS | 08 | 562-563 | ||
S52551A | 08 | 562-563 | S52621D | 08 | 559-561 | S5331XA | 08 | 562-563 | ||
S52551A | 24 | 963-965 | S52621G | 08 | 559-561 | S5331XA | 24 | 963-965 | ||
S52551B | 08 | 562-563 | S52621K | 08 | 564-566 | S5331XD | 23 | 949-950 | ||
S52551B | 24 | 963-965 | S52621P | 08 | 564-566 | S5331XS | 08 | 562-563 | ||
S52551C | 08 | 562-563 | S52621S | 08 | 559-561 | S5332XA | 08 | 562-563 | ||
S52551C | 24 | 963-965 | S52622A | 08 | 562-563 | S5332XA | 24 | 963-965 | ||
S52551D | 08 | 559-561 | S52622A | 24 | 963-965 | S5332XD | 23 | 949-950 | ||
S52551E | 08 | 559-561 | S52622D | 08 | 559-561 | S5332XS | 08 | 562-563 | ||
S52551F | 08 | 559-561 | S52622G | 08 | 559-561 | S53401A | 08 | 562-563 | ||
S52551G | 08 | 559-561 | S52622K | 08 | 564-566 | S53401A | 24 | 963-965 | ||
S52551H | 08 | 559-561 | S52622P | 08 | 564-566 | S53401D | 23 | 949-950 | ||
S52551J | 08 | 559-561 | S52622S | 08 | 559-561 | S53401S | 08 | 562-563 | ||
S52551K | 08 | 564-566 | S52629A | 08 | 562-563 | S53402A | 08 | 562-563 | ||
S52551M | 08 | 564-566 | S52629A | 24 | 963-965 | S53402A | 24 | 963-965 | ||
S52551N | 08 | 564-566 | S52629D | 08 | 559-561 | S53402D | 23 | 949-950 | ||
S52551P | 08 | 564-566 | S52629G | 08 | 559-561 | S53402S | 08 | 562-563 | ||
S52551Q | 08 | 564-566 | S52629K | 08 | 564-566 | S53409A | 08 | 562-563 | ||
S52551R | 08 | 564-566 | S52629P | 08 | 564-566 | S53409A | 24 | 963-965 | ||
S52551S | 08 | 559-561 | S52629S | 08 | 559-561 | S53409D | 23 | 949-950 | ||
S52552A | 08 | 562-563 | S52691A | 08 | 562-563 | S53409S | 08 | 562-563 | ||
S52552A | 24 | 963-965 | S52691A | 24 | 963-965 | S53411A | 08 | 562-563 | ||
S52552B | 08 | 562-563 | S52691B | 08 | 562-563 | S53411A | 24 | 963-965 | ||
S52552B | 24 | 963-965 | S52691B | 24 | 963-965 | S53411D | 23 | 949-950 | ||
S52552C | 08 | 562-563 | S52691C | 08 | 562-563 | S53411S | 08 | 562-563 | ||
S52552C | 24 | 963-965 | S52691C | 24 | 963-965 | S53412A | 08 | 562-563 | ||
S52552D | 08 | 559-561 | S52691D | 08 | 559-561 | S53412A | 24 | 963-965 | ||
S52552E | 08 | 559-561 | S52691E | 08 | 559-561 | S53412D | 23 | 949-950 | ||
S52552F | 08 | 559-561 | S52691F | 08 | 559-561 | S53412S | 08 | 562-563 | ||
S52552G | 08 | 559-561 | S52691G | 08 | 559-561 | S53419A | 08 | 562-563 | ||
S52552H | 08 | 559-561 | S52691H | 08 | 559-561 | S53419A | 24 | 963-965 | ||
S52552J | 08 | 559-561 | S52691J | 08 | 559-561 | S53419D | 23 | 949-950 | ||
S52552K | 08 | 564-566 | S52691K | 08 | 564-566 | S53419S | 08 | 562-563 | ||
S52552M | 08 | 564-566 | S52691M | 08 | 564-566 | S53421A | 08 | 562-563 | ||
S52552N | 08 | 564-566 | S52691N | 08 | 564-566 | S53421A | 24 | 963-965 | ||
S52552P | 08 | 564-566 | S52691P | 08 | 564-566 | S53421D | 23 | 949-950 | ||
S52552Q | 08 | 564-566 | S52691Q | 08 | 564-566 | S53421S | 08 | 562-563 | ||
S52552R | 08 | 564-566 | S52691R | 08 | 564-566 | S53422A | 08 | 562-563 | ||
S52552S | 08 | 559-561 | S52691S | 08 | 559-561 | S53422A | 24 | 963-965 | ||
S52559A | 08 | 562-563 | S52692A | 08 | 562-563 | S53422D | 23 | 949-950 | ||
S52559A | 24 | 963-965 | S52692A | 24 | 963-965 | S53422S | 08 | 562-563 | ||
S52559B | 08 | 562-563 | S52692B | 08 | 562-563 | S53429A | 08 | 562-563 | ||
S52559B | 24 | 963-965 | S52692B | 24 | 963-965 | S53429A | 24 | 963-965 | ||
S52559C | 08 | 562-563 | S52692C | 08 | 562-563 | S53429D | 23 | 949-950 | ||
S52559C | 24 | 963-965 | S52692C | 24 | 963-965 | S53429S | 08 | 562-563 | ||
S52559D | 08 | 559-561 | S52692D | 08 | 559-561 | S53431A | 08 | 562-563 | ||
S52559E | 08 | 559-561 | S52692E | 08 | 559-561 | S53431A | 24 | 963-965 | ||
S52559F | 08 | 559-561 | S52692F | 08 | 559-561 | S53431D | 23 | 949-950 | ||
S52559G | 08 | 559-561 | S52692G | 08 | 559-561 | S53431S | 08 | 562-563 | ||
S52559H | 08 | 559-561 | S52692H | 08 | 559-561 | S53432A | 08 | 562-563 | ||
S52559J | 08 | 559-561 | S52692J | 08 | 559-561 | S53432A | 24 | 963-965 | ||
S52559K | 08 | 564-566 | S52692K | 08 | 564-566 | S53432D | 23 | 949-950 | ||
S52559M | 08 | 564-566 | S52692M | 08 | 564-566 | S53432S | 08 | 562-563 | ||
S52559N | 08 | 564-566 | S52692N | 08 | 564-566 | S53439A | 08 | 562-563 | ||
S52559P | 08 | 564-566 | S52692P | 08 | 564-566 | S53439A | 24 | 963-965 | ||
S52559Q | 08 | 564-566 | S52692Q | 08 | 564-566 | S53439D | 23 | 949-950 | ||
S52559R | 08 | 564-566 | S52692R | 08 | 564-566 | S53439S | 08 | 562-563 | ||
S52559S | 08 | 559-561 | S52692S | 08 | 559-561 | S53441A | 08 | 562-563 | ||
S52561A | 08 | 562-563 | S52699A | 08 | 562-563 | S53441A | 24 | 963-965 | ||
S52561A | 24 | 963-965 | S52699A | 24 | 963-965 | S53441D | 23 | 949-950 | ||
S52561B | 08 | 562-563 | S52699B | 08 | 562-563 | S53441S | 08 | 562-563 | ||
S52561B | 24 | 963-965 | S52699B | 24 | 963-965 | S53442A | 08 | 562-563 | ||
S52561C | 08 | 562-563 | S52699C | 08 | 562-563 | S53442A | 24 | 963-965 | ||
S52561C | 24 | 963-965 | S52699C | 24 | 963-965 | S53442D | 23 | 949-950 | ||
S52561D | 08 | 559-561 | S52699D | 08 | 559-561 | S53442S | 08 | 562-563 | ||
S52561E | 08 | 559-561 | S52699E | 08 | 559-561 | S53449A | 08 | 562-563 | ||
S52561F | 08 | 559-561 | S52699F | 08 | 559-561 | S53449A | 24 | 963-965 | ||
S52561G | 08 | 559-561 | S52699G | 08 | 559-561 | S53449D | 23 | 949-950 | ||
S52561H | 08 | 559-561 | S52699H | 08 | 559-561 | S53449S | 08 | 562-563 | ||
S52561J | 08 | 559-561 | S52699J | 08 | 559-561 | S53491A | 08 | 562-563 | ||
S52561K | 08 | 564-566 | S52699K | 08 | 564-566 | S53491A | 24 | 963-965 | ||
S52561M | 08 | 564-566 | S52699M | 08 | 564-566 | S53491D | 23 | 949-950 | ||
S52561N | 08 | 564-566 | S52699N | 08 | 564-566 | S53491S | 08 | 562-563 | ||
S52561P | 08 | 564-566 | S52699P | 08 | 564-566 | S53492A | 08 | 562-563 | ||
S52561Q | 08 | 564-566 | S52699Q | 08 | 564-566 | S53492A | 24 | 963-965 | ||
S52561R | 08 | 564-566 | S52699R | 08 | 564-566 | S53492D | 23 | 949-950 | ||
S52561S | 08 | 559-561 | S52699S | 08 | 559-561 | S53492S | 08 | 562-563 | ||
S52562A | 08 | 562-563 | S5290XA | 08 | 562-563 | S53499A | 08 | 562-563 | ||
S52562A | 24 | 963-965 | S5290XA | 24 | 963-965 | S53499A | 24 | 963-965 | ||
S52562B | 08 | 562-563 | S5290XB | 08 | 562-563 | S53499D | 23 | 949-950 | ||
S52562B | 24 | 963-965 | S5290XB | 24 | 963-965 | S53499S | 08 | 562-563 | ||
S52562C | 08 | 562-563 | S5290XC | 08 | 562-563 | S5400XA | 01 | 073-074 | ||
S52562C | 24 | 963-965 | S5290XC | 24 | 963-965 | S5400XA | 24 | 963-965 | ||
S52562D | 08 | 559-561 | S5290XD | 08 | 559-561 | S5400XD | 23 | 949-950 | ||
S52562E | 08 | 559-561 | S5290XE | 08 | 559-561 | S5400XS | 01 | 091-093 | ||
S52562F | 08 | 559-561 | S5290XF | 08 | 559-561 | S5401XA | 01 | 073-074 | ||
S52562G | 08 | 559-561 | S5290XG | 08 | 559-561 | S5401XA | 24 | 963-965 | ||
S52562H | 08 | 559-561 | S5290XH | 08 | 559-561 | S5401XD | 23 | 949-950 | ||
S52562J | 08 | 559-561 | S5290XJ | 08 | 559-561 | S5401XS | 01 | 091-093 | ||
S52562K | 08 | 564-566 | S5290XK | 08 | 564-566 | S5402XA | 01 | 073-074 | ||
S52562M | 08 | 564-566 | S5290XM | 08 | 564-566 | S5402XA | 24 | 963-965 | ||
S52562N | 08 | 564-566 | S5290XN | 08 | 564-566 | S5402XD | 23 | 949-950 | ||
S52562P | 08 | 564-566 | S5290XP | 08 | 564-566 | S5402XS | 01 | 091-093 | ||
S52562Q | 08 | 564-566 | S5290XQ | 08 | 564-566 | S5410XA | 01 | 073-074 | ||
S52562R | 08 | 564-566 | S5290XR | 08 | 564-566 | S5410XA | 24 | 963-965 | ||
S52562S | 08 | 559-561 | S5290XS | 08 | 559-561 | S5410XD | 23 | 949-950 | ||
S52569A | 08 | 562-563 | S5291XA | 08 | 562-563 | S5410XS | 01 | 091-093 | ||
S52569A | 24 | 963-965 | S5291XA | 24 | 963-965 | S5411XA | 01 | 073-074 | ||
S52569B | 08 | 562-563 | S5291XB | 08 | 562-563 | S5411XA | 24 | 963-965 | ||
S52569B | 24 | 963-965 | S5291XB | 24 | 963-965 | S5411XD | 23 | 949-950 | ||
S52569C | 08 | 562-563 | S5291XC | 08 | 562-563 | S5411XS | 01 | 091-093 | ||
S52569C | 24 | 963-965 | S5291XC | 24 | 963-965 | S5412XA | 01 | 073-074 | ||
S52569D | 08 | 559-561 | S5291XD | 08 | 559-561 | S5412XA | 24 | 963-965 | ||
S52569E | 08 | 559-561 | S5291XE | 08 | 559-561 | S5412XD | 23 | 949-950 | ||
S52569F | 08 | 559-561 | S5291XF | 08 | 559-561 | S5412XS | 01 | 091-093 | ||
S52569G | 08 | 559-561 | S5291XG | 08 | 559-561 | S5420XA | 01 | 073-074 | ||
S52569H | 08 | 559-561 | S5291XH | 08 | 559-561 | S5420XA | 24 | 963-965 | ||
S52569J | 08 | 559-561 | S5291XJ | 08 | 559-561 | S5420XD | 23 | 949-950 | ||
S52569K | 08 | 564-566 | S5291XK | 08 | 564-566 | S5420XS | 01 | 091-093 | ||
S52569M | 08 | 564-566 | S5291XM | 08 | 564-566 | S5421XA | 01 | 073-074 | ||
S52569N | 08 | 564-566 | S5291XN | 08 | 564-566 | S5421XA | 24 | 963-965 | ||
S52569P | 08 | 564-566 | S5291XP | 08 | 564-566 | S5421XD | 23 | 949-950 | ||
S52569Q | 08 | 564-566 | S5291XQ | 08 | 564-566 | S5421XS | 01 | 091-093 | ||
S52569R | 08 | 564-566 | S5291XR | 08 | 564-566 | S5422XA | 01 | 073-074 | ||
S52569S | 08 | 559-561 | S5291XS | 08 | 559-561 | S5422XA | 24 | 963-965 | ||
S52571A | 08 | 562-563 | S5292XA | 08 | 562-563 | S5422XD | 23 | 949-950 | ||
S52571A | 24 | 963-965 | S5292XA | 24 | 963-965 | S5422XS | 01 | 091-093 | ||
S52571B | 08 | 562-563 | S5292XB | 08 | 562-563 | S5430XA | 01 | 073-074 | ||
S52571B | 24 | 963-965 | S5292XB | 24 | 963-965 | S5430XA | 24 | 963-965 | ||
S52571C | 08 | 562-563 | S5292XC | 08 | 562-563 | S5430XD | 23 | 949-950 | ||
S52571C | 24 | 963-965 | S5292XC | 24 | 963-965 | S5430XS | 01 | 091-093 | ||
S52571D | 08 | 559-561 | S5292XD | 08 | 559-561 | S5431XA | 01 | 073-074 | ||
S52571E | 08 | 559-561 | S5292XE | 08 | 559-561 | S5431XA | 24 | 963-965 | ||
S52571F | 08 | 559-561 | S5292XF | 08 | 559-561 | S5431XD | 23 | 949-950 | ||
S52571G | 08 | 559-561 | S5292XG | 08 | 559-561 | S5431XS | 01 | 091-093 | ||
S52571H | 08 | 559-561 | S5292XH | 08 | 559-561 | S5432XA | 01 | 073-074 | ||
S52571J | 08 | 559-561 | S5292XJ | 08 | 559-561 | S5432XA | 24 | 963-965 | ||
S52571K | 08 | 564-566 | S5292XK | 08 | 564-566 | S5432XD | 23 | 949-950 | ||
S52571M | 08 | 564-566 | S5292XM | 08 | 564-566 | S5432XS | 01 | 091-093 | ||
S52571N | 08 | 564-566 | S5292XN | 08 | 564-566 | S548X1A | 01 | 073-074 | ||
S52571P | 08 | 564-566 | S5292XP | 08 | 564-566 | S548X1A | 24 | 963-965 | ||
S52571Q | 08 | 564-566 | S5292XQ | 08 | 564-566 | S548X1D | 23 | 949-950 | ||
S52571R | 08 | 564-566 | S5292XR | 08 | 564-566 | S548X1S | 01 | 091-093 | ||
S52571S | 08 | 559-561 | S5292XS | 08 | 559-561 | S548X2A | 01 | 073-074 | ||
S52572A | 08 | 562-563 | S53001A | 08 | 562-563 | S548X2A | 24 | 963-965 | ||
S52572A | 24 | 963-965 | S53001A | 24 | 963-965 | S548X2D | 23 | 949-950 | ||
S52572B | 08 | 562-563 | S53001D | 23 | 949-950 | S548X2S | 01 | 091-093 | ||
S52572B | 24 | 963-965 | S53001S | 08 | 562-563 | S548X9A | 01 | 073-074 | ||
S52572C | 08 | 562-563 | S53002A | 08 | 562-563 | S548X9A | 24 | 963-965 | ||
S52572C | 24 | 963-965 | S53002A | 24 | 963-965 | S548X9D | 23 | 949-950 | ||
S52572D | 08 | 559-561 | S53002D | 23 | 949-950 | S548X9S | 01 | 091-093 | ||
S52572E | 08 | 559-561 | S53002S | 08 | 562-563 | S5490XA | 01 | 073-074 | ||
S52572F | 08 | 559-561 | S53003A | 08 | 562-563 | S5490XA | 24 | 963-965 | ||
S52572G | 08 | 559-561 | S53003A | 24 | 963-965 | S5490XD | 23 | 949-950 | ||
S52572H | 08 | 559-561 | S53003D | 23 | 949-950 | S5490XS | 01 | 091-093 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 06 Jul 2021 14:18:42 CMS, code-revision=311, description-revision=1309 |