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 61 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S91312S | 09 | 604-605 | S92066K | 08 | 564-566 | S92216B | 08 | 562-563 | ||
| S91319A | 09 | 604-605 | S92066P | 08 | 564-566 | S92216B | 24 | 963-965 | ||
| S91319A | 24 | 963-965 | S92066S | 08 | 559-561 | S92216D | 08 | 559-561 | ||
| S91319D | 23 | 949-950 | S92101A | 08 | 562-563 | S92216G | 08 | 559-561 | ||
| S91319S | 09 | 604-605 | S92101A | 24 | 963-965 | S92216K | 08 | 564-566 | ||
| S91321A | 21 | 913-914 | S92101B | 08 | 562-563 | S92216P | 08 | 564-566 | ||
| S91321A | 24 | 963-965 | S92101B | 24 | 963-965 | S92216S | 08 | 559-561 | ||
| S91321D | 23 | 949-950 | S92101D | 08 | 559-561 | S92221A | 08 | 562-563 | ||
| S91321S | 09 | 604-605 | S92101G | 08 | 559-561 | S92221A | 24 | 963-965 | ||
| S91322A | 21 | 913-914 | S92101K | 08 | 564-566 | S92221B | 08 | 562-563 | ||
| S91322A | 24 | 963-965 | S92101P | 08 | 564-566 | S92221B | 24 | 963-965 | ||
| S91322D | 23 | 949-950 | S92101S | 08 | 559-561 | S92221D | 08 | 559-561 | ||
| S91322S | 09 | 604-605 | S92102A | 08 | 562-563 | S92221G | 08 | 559-561 | ||
| S91329A | 21 | 913-914 | S92102A | 24 | 963-965 | S92221K | 08 | 564-566 | ||
| S91329A | 24 | 963-965 | S92102B | 08 | 562-563 | S92221P | 08 | 564-566 | ||
| S91329D | 23 | 949-950 | S92102B | 24 | 963-965 | S92221S | 08 | 559-561 | ||
| S91329S | 09 | 604-605 | S92102D | 08 | 559-561 | S92222A | 08 | 562-563 | ||
| S91331A | 09 | 604-605 | S92102G | 08 | 559-561 | S92222A | 24 | 963-965 | ||
| S91331A | 24 | 963-965 | S92102K | 08 | 564-566 | S92222B | 08 | 562-563 | ||
| S91331D | 23 | 949-950 | S92102P | 08 | 564-566 | S92222B | 24 | 963-965 | ||
| S91331S | 09 | 604-605 | S92102S | 08 | 559-561 | S92222D | 08 | 559-561 | ||
| S91332A | 09 | 604-605 | S92109A | 08 | 562-563 | S92222G | 08 | 559-561 | ||
| S91332A | 24 | 963-965 | S92109A | 24 | 963-965 | S92222K | 08 | 564-566 | ||
| S91332D | 23 | 949-950 | S92109B | 08 | 562-563 | S92222P | 08 | 564-566 | ||
| S91332S | 09 | 604-605 | S92109B | 24 | 963-965 | S92222S | 08 | 559-561 | ||
| S91339A | 09 | 604-605 | S92109D | 08 | 559-561 | S92223A | 08 | 562-563 | ||
| S91339A | 24 | 963-965 | S92109G | 08 | 559-561 | S92223A | 24 | 963-965 | ||
| S91339D | 23 | 949-950 | S92109K | 08 | 564-566 | S92223B | 08 | 562-563 | ||
| S91339S | 09 | 604-605 | S92109P | 08 | 564-566 | S92223B | 24 | 963-965 | ||
| S91341A | 21 | 913-914 | S92109S | 08 | 559-561 | S92223D | 08 | 559-561 | ||
| S91341A | 24 | 963-965 | S92111A | 08 | 562-563 | S92223G | 08 | 559-561 | ||
| S91341D | 23 | 949-950 | S92111A | 24 | 963-965 | S92223K | 08 | 564-566 | ||
| S91341S | 09 | 604-605 | S92111B | 08 | 562-563 | S92223P | 08 | 564-566 | ||
| S91342A | 21 | 913-914 | S92111B | 24 | 963-965 | S92223S | 08 | 559-561 | ||
| S91342A | 24 | 963-965 | S92111D | 08 | 559-561 | S92224A | 08 | 562-563 | ||
| S91342D | 23 | 949-950 | S92111G | 08 | 559-561 | S92224A | 24 | 963-965 | ||
| S91342S | 09 | 604-605 | S92111K | 08 | 564-566 | S92224B | 08 | 562-563 | ||
| S91349A | 21 | 913-914 | S92111P | 08 | 564-566 | S92224B | 24 | 963-965 | ||
| S91349A | 24 | 963-965 | S92111S | 08 | 559-561 | S92224D | 08 | 559-561 | ||
| S91349D | 23 | 949-950 | S92112A | 08 | 562-563 | S92224G | 08 | 559-561 | ||
| S91349S | 09 | 604-605 | S92112A | 24 | 963-965 | S92224K | 08 | 564-566 | ||
| S91351A | 09 | 604-605 | S92112B | 08 | 562-563 | S92224P | 08 | 564-566 | ||
| S91351A | 24 | 963-965 | S92112B | 24 | 963-965 | S92224S | 08 | 559-561 | ||
| S91351D | 23 | 949-950 | S92112D | 08 | 559-561 | S92225A | 08 | 562-563 | ||
| S91351S | 09 | 604-605 | S92112G | 08 | 559-561 | S92225A | 24 | 963-965 | ||
| S91352A | 09 | 604-605 | S92112K | 08 | 564-566 | S92225B | 08 | 562-563 | ||
| S91352A | 24 | 963-965 | S92112P | 08 | 564-566 | S92225B | 24 | 963-965 | ||
| S91352D | 23 | 949-950 | S92112S | 08 | 559-561 | S92225D | 08 | 559-561 | ||
| S91352S | 09 | 604-605 | S92113A | 08 | 562-563 | S92225G | 08 | 559-561 | ||
| S91359A | 09 | 604-605 | S92113A | 24 | 963-965 | S92225K | 08 | 564-566 | ||
| S91359A | 24 | 963-965 | S92113B | 08 | 562-563 | S92225P | 08 | 564-566 | ||
| S91359D | 23 | 949-950 | S92113B | 24 | 963-965 | S92225S | 08 | 559-561 | ||
| S91359S | 09 | 604-605 | S92113D | 08 | 559-561 | S92226A | 08 | 562-563 | ||
| S92001A | 08 | 562-563 | S92113G | 08 | 559-561 | S92226A | 24 | 963-965 | ||
| S92001A | 24 | 963-965 | S92113K | 08 | 564-566 | S92226B | 08 | 562-563 | ||
| S92001B | 08 | 562-563 | S92113P | 08 | 564-566 | S92226B | 24 | 963-965 | ||
| S92001B | 24 | 963-965 | S92113S | 08 | 559-561 | S92226D | 08 | 559-561 | ||
| S92001D | 08 | 559-561 | S92114A | 08 | 562-563 | S92226G | 08 | 559-561 | ||
| S92001G | 08 | 559-561 | S92114A | 24 | 963-965 | S92226K | 08 | 564-566 | ||
| S92001K | 08 | 564-566 | S92114B | 08 | 562-563 | S92226P | 08 | 564-566 | ||
| S92001P | 08 | 564-566 | S92114B | 24 | 963-965 | S92226S | 08 | 559-561 | ||
| S92001S | 08 | 559-561 | S92114D | 08 | 559-561 | S92231A | 08 | 562-563 | ||
| S92002A | 08 | 562-563 | S92114G | 08 | 559-561 | S92231A | 24 | 963-965 | ||
| S92002A | 24 | 963-965 | S92114K | 08 | 564-566 | S92231B | 08 | 562-563 | ||
| S92002B | 08 | 562-563 | S92114P | 08 | 564-566 | S92231B | 24 | 963-965 | ||
| S92002B | 24 | 963-965 | S92114S | 08 | 559-561 | S92231D | 08 | 559-561 | ||
| S92002D | 08 | 559-561 | S92115A | 08 | 562-563 | S92231G | 08 | 559-561 | ||
| S92002G | 08 | 559-561 | S92115A | 24 | 963-965 | S92231K | 08 | 564-566 | ||
| S92002K | 08 | 564-566 | S92115B | 08 | 562-563 | S92231P | 08 | 564-566 | ||
| S92002P | 08 | 564-566 | S92115B | 24 | 963-965 | S92231S | 08 | 559-561 | ||
| S92002S | 08 | 559-561 | S92115D | 08 | 559-561 | S92232A | 08 | 562-563 | ||
| S92009A | 08 | 562-563 | S92115G | 08 | 559-561 | S92232A | 24 | 963-965 | ||
| S92009A | 24 | 963-965 | S92115K | 08 | 564-566 | S92232B | 08 | 562-563 | ||
| S92009B | 08 | 562-563 | S92115P | 08 | 564-566 | S92232B | 24 | 963-965 | ||
| S92009B | 24 | 963-965 | S92115S | 08 | 559-561 | S92232D | 08 | 559-561 | ||
| S92009D | 08 | 559-561 | S92116A | 08 | 562-563 | S92232G | 08 | 559-561 | ||
| S92009G | 08 | 559-561 | S92116A | 24 | 963-965 | S92232K | 08 | 564-566 | ||
| S92009K | 08 | 564-566 | S92116B | 08 | 562-563 | S92232P | 08 | 564-566 | ||
| S92009P | 08 | 564-566 | S92116B | 24 | 963-965 | S92232S | 08 | 559-561 | ||
| S92009S | 08 | 559-561 | S92116D | 08 | 559-561 | S92233A | 08 | 562-563 | ||
| S92011A | 08 | 562-563 | S92116G | 08 | 559-561 | S92233A | 24 | 963-965 | ||
| S92011A | 24 | 963-965 | S92116K | 08 | 564-566 | S92233B | 08 | 562-563 | ||
| S92011B | 08 | 562-563 | S92116P | 08 | 564-566 | S92233B | 24 | 963-965 | ||
| S92011B | 24 | 963-965 | S92116S | 08 | 559-561 | S92233D | 08 | 559-561 | ||
| S92011D | 08 | 559-561 | S92121A | 08 | 562-563 | S92233G | 08 | 559-561 | ||
| S92011G | 08 | 559-561 | S92121A | 24 | 963-965 | S92233K | 08 | 564-566 | ||
| S92011K | 08 | 564-566 | S92121B | 08 | 562-563 | S92233P | 08 | 564-566 | ||
| S92011P | 08 | 564-566 | S92121B | 24 | 963-965 | S92233S | 08 | 559-561 | ||
| S92011S | 08 | 559-561 | S92121D | 08 | 559-561 | S92234A | 08 | 562-563 | ||
| S92012A | 08 | 562-563 | S92121G | 08 | 559-561 | S92234A | 24 | 963-965 | ||
| S92012A | 24 | 963-965 | S92121K | 08 | 564-566 | S92234B | 08 | 562-563 | ||
| S92012B | 08 | 562-563 | S92121P | 08 | 564-566 | S92234B | 24 | 963-965 | ||
| S92012B | 24 | 963-965 | S92121S | 08 | 559-561 | S92234D | 08 | 559-561 | ||
| S92012D | 08 | 559-561 | S92122A | 08 | 562-563 | S92234G | 08 | 559-561 | ||
| S92012G | 08 | 559-561 | S92122A | 24 | 963-965 | S92234K | 08 | 564-566 | ||
| S92012K | 08 | 564-566 | S92122B | 08 | 562-563 | S92234P | 08 | 564-566 | ||
| S92012P | 08 | 564-566 | S92122B | 24 | 963-965 | S92234S | 08 | 559-561 | ||
| S92012S | 08 | 559-561 | S92122D | 08 | 559-561 | S92235A | 08 | 562-563 | ||
| S92013A | 08 | 562-563 | S92122G | 08 | 559-561 | S92235A | 24 | 963-965 | ||
| S92013A | 24 | 963-965 | S92122K | 08 | 564-566 | S92235B | 08 | 562-563 | ||
| S92013B | 08 | 562-563 | S92122P | 08 | 564-566 | S92235B | 24 | 963-965 | ||
| S92013B | 24 | 963-965 | S92122S | 08 | 559-561 | S92235D | 08 | 559-561 | ||
| S92013D | 08 | 559-561 | S92123A | 08 | 562-563 | S92235G | 08 | 559-561 | ||
| S92013G | 08 | 559-561 | S92123A | 24 | 963-965 | S92235K | 08 | 564-566 | ||
| S92013K | 08 | 564-566 | S92123B | 08 | 562-563 | S92235P | 08 | 564-566 | ||
| S92013P | 08 | 564-566 | S92123B | 24 | 963-965 | S92235S | 08 | 559-561 | ||
| S92013S | 08 | 559-561 | S92123D | 08 | 559-561 | S92236A | 08 | 562-563 | ||
| S92014A | 08 | 562-563 | S92123G | 08 | 559-561 | S92236A | 24 | 963-965 | ||
| S92014A | 24 | 963-965 | S92123K | 08 | 564-566 | S92236B | 08 | 562-563 | ||
| S92014B | 08 | 562-563 | S92123P | 08 | 564-566 | S92236B | 24 | 963-965 | ||
| S92014B | 24 | 963-965 | S92123S | 08 | 559-561 | S92236D | 08 | 559-561 | ||
| S92014D | 08 | 559-561 | S92124A | 08 | 562-563 | S92236G | 08 | 559-561 | ||
| S92014G | 08 | 559-561 | S92124A | 24 | 963-965 | S92236K | 08 | 564-566 | ||
| S92014K | 08 | 564-566 | S92124B | 08 | 562-563 | S92236P | 08 | 564-566 | ||
| S92014P | 08 | 564-566 | S92124B | 24 | 963-965 | S92236S | 08 | 559-561 | ||
| S92014S | 08 | 559-561 | S92124D | 08 | 559-561 | S92241A | 08 | 562-563 | ||
| S92015A | 08 | 562-563 | S92124G | 08 | 559-561 | S92241A | 24 | 963-965 | ||
| S92015A | 24 | 963-965 | S92124K | 08 | 564-566 | S92241B | 08 | 562-563 | ||
| S92015B | 08 | 562-563 | S92124P | 08 | 564-566 | S92241B | 24 | 963-965 | ||
| S92015B | 24 | 963-965 | S92124S | 08 | 559-561 | S92241D | 08 | 559-561 | ||
| S92015D | 08 | 559-561 | S92125A | 08 | 562-563 | S92241G | 08 | 559-561 | ||
| S92015G | 08 | 559-561 | S92125A | 24 | 963-965 | S92241K | 08 | 564-566 | ||
| S92015K | 08 | 564-566 | S92125B | 08 | 562-563 | S92241P | 08 | 564-566 | ||
| S92015P | 08 | 564-566 | S92125B | 24 | 963-965 | S92241S | 08 | 559-561 | ||
| S92015S | 08 | 559-561 | S92125D | 08 | 559-561 | S92242A | 08 | 562-563 | ||
| S92016A | 08 | 562-563 | S92125G | 08 | 559-561 | S92242A | 24 | 963-965 | ||
| S92016A | 24 | 963-965 | S92125K | 08 | 564-566 | S92242B | 08 | 562-563 | ||
| S92016B | 08 | 562-563 | S92125P | 08 | 564-566 | S92242B | 24 | 963-965 | ||
| S92016B | 24 | 963-965 | S92125S | 08 | 559-561 | S92242D | 08 | 559-561 | ||
| S92016D | 08 | 559-561 | S92126A | 08 | 562-563 | S92242G | 08 | 559-561 | ||
| S92016G | 08 | 559-561 | S92126A | 24 | 963-965 | S92242K | 08 | 564-566 | ||
| S92016K | 08 | 564-566 | S92126B | 08 | 562-563 | S92242P | 08 | 564-566 | ||
| S92016P | 08 | 564-566 | S92126B | 24 | 963-965 | S92242S | 08 | 559-561 | ||
| S92016S | 08 | 559-561 | S92126D | 08 | 559-561 | S92243A | 08 | 562-563 | ||
| S92021A | 08 | 562-563 | S92126G | 08 | 559-561 | S92243A | 24 | 963-965 | ||
| S92021A | 24 | 963-965 | S92126K | 08 | 564-566 | S92243B | 08 | 562-563 | ||
| S92021B | 08 | 562-563 | S92126P | 08 | 564-566 | S92243B | 24 | 963-965 | ||
| S92021B | 24 | 963-965 | S92126S | 08 | 559-561 | S92243D | 08 | 559-561 | ||
| S92021D | 08 | 559-561 | S92131A | 08 | 562-563 | S92243G | 08 | 559-561 | ||
| S92021G | 08 | 559-561 | S92131A | 24 | 963-965 | S92243K | 08 | 564-566 | ||
| S92021K | 08 | 564-566 | S92131B | 08 | 562-563 | S92243P | 08 | 564-566 | ||
| S92021P | 08 | 564-566 | S92131B | 24 | 963-965 | S92243S | 08 | 559-561 | ||
| S92021S | 08 | 559-561 | S92131D | 08 | 559-561 | S92244A | 08 | 562-563 | ||
| S92022A | 08 | 562-563 | S92131G | 08 | 559-561 | S92244A | 24 | 963-965 | ||
| S92022A | 24 | 963-965 | S92131K | 08 | 564-566 | S92244B | 08 | 562-563 | ||
| S92022B | 08 | 562-563 | S92131P | 08 | 564-566 | S92244B | 24 | 963-965 | ||
| S92022B | 24 | 963-965 | S92131S | 08 | 559-561 | S92244D | 08 | 559-561 | ||
| S92022D | 08 | 559-561 | S92132A | 08 | 562-563 | S92244G | 08 | 559-561 | ||
| S92022G | 08 | 559-561 | S92132A | 24 | 963-965 | S92244K | 08 | 564-566 | ||
| S92022K | 08 | 564-566 | S92132B | 08 | 562-563 | S92244P | 08 | 564-566 | ||
| S92022P | 08 | 564-566 | S92132B | 24 | 963-965 | S92244S | 08 | 559-561 | ||
| S92022S | 08 | 559-561 | S92132D | 08 | 559-561 | S92245A | 08 | 562-563 | ||
| S92023A | 08 | 562-563 | S92132G | 08 | 559-561 | S92245A | 24 | 963-965 | ||
| S92023A | 24 | 963-965 | S92132K | 08 | 564-566 | S92245B | 08 | 562-563 | ||
| S92023B | 08 | 562-563 | S92132P | 08 | 564-566 | S92245B | 24 | 963-965 | ||
| S92023B | 24 | 963-965 | S92132S | 08 | 559-561 | S92245D | 08 | 559-561 | ||
| S92023D | 08 | 559-561 | S92133A | 08 | 562-563 | S92245G | 08 | 559-561 | ||
| S92023G | 08 | 559-561 | S92133A | 24 | 963-965 | S92245K | 08 | 564-566 | ||
| S92023K | 08 | 564-566 | S92133B | 08 | 562-563 | S92245P | 08 | 564-566 | ||
| S92023P | 08 | 564-566 | S92133B | 24 | 963-965 | S92245S | 08 | 559-561 | ||
| S92023S | 08 | 559-561 | S92133D | 08 | 559-561 | S92246A | 08 | 562-563 | ||
| S92024A | 08 | 562-563 | S92133G | 08 | 559-561 | S92246A | 24 | 963-965 | ||
| S92024A | 24 | 963-965 | S92133K | 08 | 564-566 | S92246B | 08 | 562-563 | ||
| S92024B | 08 | 562-563 | S92133P | 08 | 564-566 | S92246B | 24 | 963-965 | ||
| S92024B | 24 | 963-965 | S92133S | 08 | 559-561 | S92246D | 08 | 559-561 | ||
| S92024D | 08 | 559-561 | S92134A | 08 | 562-563 | S92246G | 08 | 559-561 | ||
| S92024G | 08 | 559-561 | S92134A | 24 | 963-965 | S92246K | 08 | 564-566 | ||
| S92024K | 08 | 564-566 | S92134B | 08 | 562-563 | S92246P | 08 | 564-566 | ||
| S92024P | 08 | 564-566 | S92134B | 24 | 963-965 | S92246S | 08 | 559-561 | ||
| S92024S | 08 | 559-561 | S92134D | 08 | 559-561 | S92251A | 08 | 562-563 | ||
| S92025A | 08 | 562-563 | S92134G | 08 | 559-561 | S92251A | 24 | 963-965 | ||
| S92025A | 24 | 963-965 | S92134K | 08 | 564-566 | S92251B | 08 | 562-563 | ||
| S92025B | 08 | 562-563 | S92134P | 08 | 564-566 | S92251B | 24 | 963-965 | ||
| S92025B | 24 | 963-965 | S92134S | 08 | 559-561 | S92251D | 08 | 559-561 | ||
| S92025D | 08 | 559-561 | S92135A | 08 | 562-563 | S92251G | 08 | 559-561 | ||
| S92025G | 08 | 559-561 | S92135A | 24 | 963-965 | S92251K | 08 | 564-566 | ||
| S92025K | 08 | 564-566 | S92135B | 08 | 562-563 | S92251P | 08 | 564-566 | ||
| S92025P | 08 | 564-566 | S92135B | 24 | 963-965 | S92251S | 08 | 559-561 | ||
| S92025S | 08 | 559-561 | S92135D | 08 | 559-561 | S92252A | 08 | 562-563 | ||
| S92026A | 08 | 562-563 | S92135G | 08 | 559-561 | S92252A | 24 | 963-965 | ||
| S92026A | 24 | 963-965 | S92135K | 08 | 564-566 | S92252B | 08 | 562-563 | ||
| S92026B | 08 | 562-563 | S92135P | 08 | 564-566 | S92252B | 24 | 963-965 | ||
| S92026B | 24 | 963-965 | S92135S | 08 | 559-561 | S92252D | 08 | 559-561 | ||
| S92026D | 08 | 559-561 | S92136A | 08 | 562-563 | S92252G | 08 | 559-561 | ||
| S92026G | 08 | 559-561 | S92136A | 24 | 963-965 | S92252K | 08 | 564-566 | ||
| S92026K | 08 | 564-566 | S92136B | 08 | 562-563 | S92252P | 08 | 564-566 | ||
| S92026P | 08 | 564-566 | S92136B | 24 | 963-965 | S92252S | 08 | 559-561 | ||
| S92026S | 08 | 559-561 | S92136D | 08 | 559-561 | S92253A | 08 | 562-563 | ||
| S92031A | 08 | 562-563 | S92136G | 08 | 559-561 | S92253A | 24 | 963-965 | ||
| S92031A | 24 | 963-965 | S92136K | 08 | 564-566 | S92253B | 08 | 562-563 | ||
| S92031B | 08 | 562-563 | S92136P | 08 | 564-566 | S92253B | 24 | 963-965 | ||
| S92031B | 24 | 963-965 | S92136S | 08 | 559-561 | S92253D | 08 | 559-561 | ||
| S92031D | 08 | 559-561 | S92141A | 08 | 562-563 | S92253G | 08 | 559-561 | ||
| S92031G | 08 | 559-561 | S92141A | 24 | 963-965 | S92253K | 08 | 564-566 | ||
| S92031K | 08 | 564-566 | S92141B | 08 | 562-563 | S92253P | 08 | 564-566 | ||
| S92031P | 08 | 564-566 | S92141B | 24 | 963-965 | S92253S | 08 | 559-561 | ||
| S92031S | 08 | 559-561 | S92141D | 08 | 559-561 | S92254A | 08 | 562-563 | ||
| S92032A | 08 | 562-563 | S92141G | 08 | 559-561 | S92254A | 24 | 963-965 | ||
| S92032A | 24 | 963-965 | S92141K | 08 | 564-566 | S92254B | 08 | 562-563 | ||
| S92032B | 08 | 562-563 | S92141P | 08 | 564-566 | S92254B | 24 | 963-965 | ||
| S92032B | 24 | 963-965 | S92141S | 08 | 559-561 | S92254D | 08 | 559-561 | ||
| S92032D | 08 | 559-561 | S92142A | 08 | 562-563 | S92254G | 08 | 559-561 | ||
| S92032G | 08 | 559-561 | S92142A | 24 | 963-965 | S92254K | 08 | 564-566 | ||
| S92032K | 08 | 564-566 | S92142B | 08 | 562-563 | S92254P | 08 | 564-566 | ||
| S92032P | 08 | 564-566 | S92142B | 24 | 963-965 | S92254S | 08 | 559-561 | ||
| S92032S | 08 | 559-561 | S92142D | 08 | 559-561 | S92255A | 08 | 562-563 | ||
| S92033A | 08 | 562-563 | S92142G | 08 | 559-561 | S92255A | 24 | 963-965 | ||
| S92033A | 24 | 963-965 | S92142K | 08 | 564-566 | S92255B | 08 | 562-563 | ||
| S92033B | 08 | 562-563 | S92142P | 08 | 564-566 | S92255B | 24 | 963-965 | ||
| S92033B | 24 | 963-965 | S92142S | 08 | 559-561 | S92255D | 08 | 559-561 | ||
| S92033D | 08 | 559-561 | S92143A | 08 | 562-563 | S92255G | 08 | 559-561 | ||
| S92033G | 08 | 559-561 | S92143A | 24 | 963-965 | S92255K | 08 | 564-566 | ||
| S92033K | 08 | 564-566 | S92143B | 08 | 562-563 | S92255P | 08 | 564-566 | ||
| S92033P | 08 | 564-566 | S92143B | 24 | 963-965 | S92255S | 08 | 559-561 | ||
| S92033S | 08 | 559-561 | S92143D | 08 | 559-561 | S92256A | 08 | 562-563 | ||
| S92034A | 08 | 562-563 | S92143G | 08 | 559-561 | S92256A | 24 | 963-965 | ||
| S92034A | 24 | 963-965 | S92143K | 08 | 564-566 | S92256B | 08 | 562-563 | ||
| S92034B | 08 | 562-563 | S92143P | 08 | 564-566 | S92256B | 24 | 963-965 | ||
| S92034B | 24 | 963-965 | S92143S | 08 | 559-561 | S92256D | 08 | 559-561 | ||
| S92034D | 08 | 559-561 | S92144A | 08 | 562-563 | S92256G | 08 | 559-561 | ||
| S92034G | 08 | 559-561 | S92144A | 24 | 963-965 | S92256K | 08 | 564-566 | ||
| S92034K | 08 | 564-566 | S92144B | 08 | 562-563 | S92256P | 08 | 564-566 | ||
| S92034P | 08 | 564-566 | S92144B | 24 | 963-965 | S92256S | 08 | 559-561 | ||
| S92034S | 08 | 559-561 | S92144D | 08 | 559-561 | S92301A | 08 | 562-563 | ||
| S92035A | 08 | 562-563 | S92144G | 08 | 559-561 | S92301A | 24 | 963-965 | ||
| S92035A | 24 | 963-965 | S92144K | 08 | 564-566 | S92301B | 08 | 562-563 | ||
| S92035B | 08 | 562-563 | S92144P | 08 | 564-566 | S92301B | 24 | 963-965 | ||
| S92035B | 24 | 963-965 | S92144S | 08 | 559-561 | S92301D | 08 | 559-561 | ||
| S92035D | 08 | 559-561 | S92145A | 08 | 562-563 | S92301G | 08 | 559-561 | ||
| S92035G | 08 | 559-561 | S92145A | 24 | 963-965 | S92301K | 08 | 564-566 | ||
| S92035K | 08 | 564-566 | S92145B | 08 | 562-563 | S92301P | 08 | 564-566 | ||
| S92035P | 08 | 564-566 | S92145B | 24 | 963-965 | S92301S | 08 | 559-561 | ||
| S92035S | 08 | 559-561 | S92145D | 08 | 559-561 | S92302A | 08 | 562-563 | ||
| S92036A | 08 | 562-563 | S92145G | 08 | 559-561 | S92302A | 24 | 963-965 | ||
| S92036A | 24 | 963-965 | S92145K | 08 | 564-566 | S92302B | 08 | 562-563 | ||
| S92036B | 08 | 562-563 | S92145P | 08 | 564-566 | S92302B | 24 | 963-965 | ||
| S92036B | 24 | 963-965 | S92145S | 08 | 559-561 | S92302D | 08 | 559-561 | ||
| S92036D | 08 | 559-561 | S92146A | 08 | 562-563 | S92302G | 08 | 559-561 | ||
| S92036G | 08 | 559-561 | S92146A | 24 | 963-965 | S92302K | 08 | 564-566 | ||
| S92036K | 08 | 564-566 | S92146B | 08 | 562-563 | S92302P | 08 | 564-566 | ||
| S92036P | 08 | 564-566 | S92146B | 24 | 963-965 | S92302S | 08 | 559-561 | ||
| S92036S | 08 | 559-561 | S92146D | 08 | 559-561 | S92309A | 08 | 562-563 | ||
| S92041A | 08 | 562-563 | S92146G | 08 | 559-561 | S92309A | 24 | 963-965 | ||
| S92041A | 24 | 963-965 | S92146K | 08 | 564-566 | S92309B | 08 | 562-563 | ||
| S92041B | 08 | 562-563 | S92146P | 08 | 564-566 | S92309B | 24 | 963-965 | ||
| S92041B | 24 | 963-965 | S92146S | 08 | 559-561 | S92309D | 08 | 559-561 | ||
| S92041D | 08 | 559-561 | S92151A | 08 | 562-563 | S92309G | 08 | 559-561 | ||
| S92041G | 08 | 559-561 | S92151A | 24 | 963-965 | S92309K | 08 | 564-566 | ||
| S92041K | 08 | 564-566 | S92151B | 08 | 562-563 | S92309P | 08 | 564-566 | ||
| S92041P | 08 | 564-566 | S92151B | 24 | 963-965 | S92309S | 08 | 559-561 | ||
| S92041S | 08 | 559-561 | S92151D | 08 | 559-561 | S92311A | 08 | 562-563 | ||
| S92042A | 08 | 562-563 | S92151G | 08 | 559-561 | S92311A | 24 | 963-965 | ||
| S92042A | 24 | 963-965 | S92151K | 08 | 564-566 | S92311B | 08 | 562-563 | ||
| S92042B | 08 | 562-563 | S92151P | 08 | 564-566 | S92311B | 24 | 963-965 | ||
| S92042B | 24 | 963-965 | S92151S | 08 | 559-561 | S92311D | 08 | 559-561 | ||
| S92042D | 08 | 559-561 | S92152A | 08 | 562-563 | S92311G | 08 | 559-561 | ||
| S92042G | 08 | 559-561 | S92152A | 24 | 963-965 | S92311K | 08 | 564-566 | ||
| S92042K | 08 | 564-566 | S92152B | 08 | 562-563 | S92311P | 08 | 564-566 | ||
| S92042P | 08 | 564-566 | S92152B | 24 | 963-965 | S92311S | 08 | 559-561 | ||
| S92042S | 08 | 559-561 | S92152D | 08 | 559-561 | S92312A | 08 | 562-563 | ||
| S92043A | 08 | 562-563 | S92152G | 08 | 559-561 | S92312A | 24 | 963-965 | ||
| S92043A | 24 | 963-965 | S92152K | 08 | 564-566 | S92312B | 08 | 562-563 | ||
| S92043B | 08 | 562-563 | S92152P | 08 | 564-566 | S92312B | 24 | 963-965 | ||
| S92043B | 24 | 963-965 | S92152S | 08 | 559-561 | S92312D | 08 | 559-561 | ||
| S92043D | 08 | 559-561 | S92153A | 08 | 562-563 | S92312G | 08 | 559-561 | ||
| S92043G | 08 | 559-561 | S92153A | 24 | 963-965 | S92312K | 08 | 564-566 | ||
| S92043K | 08 | 564-566 | S92153B | 08 | 562-563 | S92312P | 08 | 564-566 | ||
| S92043P | 08 | 564-566 | S92153B | 24 | 963-965 | S92312S | 08 | 559-561 | ||
| S92043S | 08 | 559-561 | S92153D | 08 | 559-561 | S92313A | 08 | 562-563 | ||
| S92044A | 08 | 562-563 | S92153G | 08 | 559-561 | S92313A | 24 | 963-965 | ||
| S92044A | 24 | 963-965 | S92153K | 08 | 564-566 | S92313B | 08 | 562-563 | ||
| S92044B | 08 | 562-563 | S92153P | 08 | 564-566 | S92313B | 24 | 963-965 | ||
| S92044B | 24 | 963-965 | S92153S | 08 | 559-561 | S92313D | 08 | 559-561 | ||
| S92044D | 08 | 559-561 | S92154A | 08 | 562-563 | S92313G | 08 | 559-561 | ||
| S92044G | 08 | 559-561 | S92154A | 24 | 963-965 | S92313K | 08 | 564-566 | ||
| S92044K | 08 | 564-566 | S92154B | 08 | 562-563 | S92313P | 08 | 564-566 | ||
| S92044P | 08 | 564-566 | S92154B | 24 | 963-965 | S92313S | 08 | 559-561 | ||
| S92044S | 08 | 559-561 | S92154D | 08 | 559-561 | S92314A | 08 | 562-563 | ||
| S92045A | 08 | 562-563 | S92154G | 08 | 559-561 | S92314A | 24 | 963-965 | ||
| S92045A | 24 | 963-965 | S92154K | 08 | 564-566 | S92314B | 08 | 562-563 | ||
| S92045B | 08 | 562-563 | S92154P | 08 | 564-566 | S92314B | 24 | 963-965 | ||
| S92045B | 24 | 963-965 | S92154S | 08 | 559-561 | S92314D | 08 | 559-561 | ||
| S92045D | 08 | 559-561 | S92155A | 08 | 562-563 | S92314G | 08 | 559-561 | ||
| S92045G | 08 | 559-561 | S92155A | 24 | 963-965 | S92314K | 08 | 564-566 | ||
| S92045K | 08 | 564-566 | S92155B | 08 | 562-563 | S92314P | 08 | 564-566 | ||
| S92045P | 08 | 564-566 | S92155B | 24 | 963-965 | S92314S | 08 | 559-561 | ||
| S92045S | 08 | 559-561 | S92155D | 08 | 559-561 | S92315A | 08 | 562-563 | ||
| S92046A | 08 | 562-563 | S92155G | 08 | 559-561 | S92315A | 24 | 963-965 | ||
| S92046A | 24 | 963-965 | S92155K | 08 | 564-566 | S92315B | 08 | 562-563 | ||
| S92046B | 08 | 562-563 | S92155P | 08 | 564-566 | S92315B | 24 | 963-965 | ||
| S92046B | 24 | 963-965 | S92155S | 08 | 559-561 | S92315D | 08 | 559-561 | ||
| S92046D | 08 | 559-561 | S92156A | 08 | 562-563 | S92315G | 08 | 559-561 | ||
| S92046G | 08 | 559-561 | S92156A | 24 | 963-965 | S92315K | 08 | 564-566 | ||
| S92046K | 08 | 564-566 | S92156B | 08 | 562-563 | S92315P | 08 | 564-566 | ||
| S92046P | 08 | 564-566 | S92156B | 24 | 963-965 | S92315S | 08 | 559-561 | ||
| S92046S | 08 | 559-561 | S92156D | 08 | 559-561 | S92316A | 08 | 562-563 | ||
| S92051A | 08 | 562-563 | S92156G | 08 | 559-561 | S92316A | 24 | 963-965 | ||
| S92051A | 24 | 963-965 | S92156K | 08 | 564-566 | S92316B | 08 | 562-563 | ||
| S92051B | 08 | 562-563 | S92156P | 08 | 564-566 | S92316B | 24 | 963-965 | ||
| S92051B | 24 | 963-965 | S92156S | 08 | 559-561 | S92316D | 08 | 559-561 | ||
| S92051D | 08 | 559-561 | S92191A | 08 | 562-563 | S92316G | 08 | 559-561 | ||
| S92051G | 08 | 559-561 | S92191A | 24 | 963-965 | S92316K | 08 | 564-566 | ||
| S92051K | 08 | 564-566 | S92191B | 08 | 562-563 | S92316P | 08 | 564-566 | ||
| S92051P | 08 | 564-566 | S92191B | 24 | 963-965 | S92316S | 08 | 559-561 | ||
| S92051S | 08 | 559-561 | S92191D | 08 | 559-561 | S92321A | 08 | 562-563 | ||
| S92052A | 08 | 562-563 | S92191G | 08 | 559-561 | S92321A | 24 | 963-965 | ||
| S92052A | 24 | 963-965 | S92191K | 08 | 564-566 | S92321B | 08 | 562-563 | ||
| S92052B | 08 | 562-563 | S92191P | 08 | 564-566 | S92321B | 24 | 963-965 | ||
| S92052B | 24 | 963-965 | S92191S | 08 | 559-561 | S92321D | 08 | 559-561 | ||
| S92052D | 08 | 559-561 | S92192A | 08 | 562-563 | S92321G | 08 | 559-561 | ||
| S92052G | 08 | 559-561 | S92192A | 24 | 963-965 | S92321K | 08 | 564-566 | ||
| S92052K | 08 | 564-566 | S92192B | 08 | 562-563 | S92321P | 08 | 564-566 | ||
| S92052P | 08 | 564-566 | S92192B | 24 | 963-965 | S92321S | 08 | 559-561 | ||
| S92052S | 08 | 559-561 | S92192D | 08 | 559-561 | S92322A | 08 | 562-563 | ||
| S92053A | 08 | 562-563 | S92192G | 08 | 559-561 | S92322A | 24 | 963-965 | ||
| S92053A | 24 | 963-965 | S92192K | 08 | 564-566 | S92322B | 08 | 562-563 | ||
| S92053B | 08 | 562-563 | S92192P | 08 | 564-566 | S92322B | 24 | 963-965 | ||
| S92053B | 24 | 963-965 | S92192S | 08 | 559-561 | S92322D | 08 | 559-561 | ||
| S92053D | 08 | 559-561 | S92199A | 08 | 562-563 | S92322G | 08 | 559-561 | ||
| S92053G | 08 | 559-561 | S92199A | 24 | 963-965 | S92322K | 08 | 564-566 | ||
| S92053K | 08 | 564-566 | S92199B | 08 | 562-563 | S92322P | 08 | 564-566 | ||
| S92053P | 08 | 564-566 | S92199B | 24 | 963-965 | S92322S | 08 | 559-561 | ||
| S92053S | 08 | 559-561 | S92199D | 08 | 559-561 | S92323A | 08 | 562-563 | ||
| S92054A | 08 | 562-563 | S92199G | 08 | 559-561 | S92323A | 24 | 963-965 | ||
| S92054A | 24 | 963-965 | S92199K | 08 | 564-566 | S92323B | 08 | 562-563 | ||
| S92054B | 08 | 562-563 | S92199P | 08 | 564-566 | S92323B | 24 | 963-965 | ||
| S92054B | 24 | 963-965 | S92199S | 08 | 559-561 | S92323D | 08 | 559-561 | ||
| S92054D | 08 | 559-561 | S92201A | 08 | 562-563 | S92323G | 08 | 559-561 | ||
| S92054G | 08 | 559-561 | S92201A | 24 | 963-965 | S92323K | 08 | 564-566 | ||
| S92054K | 08 | 564-566 | S92201B | 08 | 562-563 | S92323P | 08 | 564-566 | ||
| S92054P | 08 | 564-566 | S92201B | 24 | 963-965 | S92323S | 08 | 559-561 | ||
| S92054S | 08 | 559-561 | S92201D | 08 | 559-561 | S92324A | 08 | 562-563 | ||
| S92055A | 08 | 562-563 | S92201G | 08 | 559-561 | S92324A | 24 | 963-965 | ||
| S92055A | 24 | 963-965 | S92201K | 08 | 564-566 | S92324B | 08 | 562-563 | ||
| S92055B | 08 | 562-563 | S92201P | 08 | 564-566 | S92324B | 24 | 963-965 | ||
| S92055B | 24 | 963-965 | S92201S | 08 | 559-561 | S92324D | 08 | 559-561 | ||
| S92055D | 08 | 559-561 | S92202A | 08 | 562-563 | S92324G | 08 | 559-561 | ||
| S92055G | 08 | 559-561 | S92202A | 24 | 963-965 | S92324K | 08 | 564-566 | ||
| S92055K | 08 | 564-566 | S92202B | 08 | 562-563 | S92324P | 08 | 564-566 | ||
| S92055P | 08 | 564-566 | S92202B | 24 | 963-965 | S92324S | 08 | 559-561 | ||
| S92055S | 08 | 559-561 | S92202D | 08 | 559-561 | S92325A | 08 | 562-563 | ||
| S92056A | 08 | 562-563 | S92202G | 08 | 559-561 | S92325A | 24 | 963-965 | ||
| S92056A | 24 | 963-965 | S92202K | 08 | 564-566 | S92325B | 08 | 562-563 | ||
| S92056B | 08 | 562-563 | S92202P | 08 | 564-566 | S92325B | 24 | 963-965 | ||
| S92056B | 24 | 963-965 | S92202S | 08 | 559-561 | S92325D | 08 | 559-561 | ||
| S92056D | 08 | 559-561 | S92209A | 08 | 562-563 | S92325G | 08 | 559-561 | ||
| S92056G | 08 | 559-561 | S92209A | 24 | 963-965 | S92325K | 08 | 564-566 | ||
| S92056K | 08 | 564-566 | S92209B | 08 | 562-563 | S92325P | 08 | 564-566 | ||
| S92056P | 08 | 564-566 | S92209B | 24 | 963-965 | S92325S | 08 | 559-561 | ||
| S92056S | 08 | 559-561 | S92209D | 08 | 559-561 | S92326A | 08 | 562-563 | ||
| S92061A | 08 | 562-563 | S92209G | 08 | 559-561 | S92326A | 24 | 963-965 | ||
| S92061A | 24 | 963-965 | S92209K | 08 | 564-566 | S92326B | 08 | 562-563 | ||
| S92061B | 08 | 562-563 | S92209P | 08 | 564-566 | S92326B | 24 | 963-965 | ||
| S92061B | 24 | 963-965 | S92209S | 08 | 559-561 | S92326D | 08 | 559-561 | ||
| S92061D | 08 | 559-561 | S92211A | 08 | 562-563 | S92326G | 08 | 559-561 | ||
| S92061G | 08 | 559-561 | S92211A | 24 | 963-965 | S92326K | 08 | 564-566 | ||
| S92061K | 08 | 564-566 | S92211B | 08 | 562-563 | S92326P | 08 | 564-566 | ||
| S92061P | 08 | 564-566 | S92211B | 24 | 963-965 | S92326S | 08 | 559-561 | ||
| S92061S | 08 | 559-561 | S92211D | 08 | 559-561 | S92331A | 08 | 562-563 | ||
| S92062A | 08 | 562-563 | S92211G | 08 | 559-561 | S92331A | 24 | 963-965 | ||
| S92062A | 24 | 963-965 | S92211K | 08 | 564-566 | S92331B | 08 | 562-563 | ||
| S92062B | 08 | 562-563 | S92211P | 08 | 564-566 | S92331B | 24 | 963-965 | ||
| S92062B | 24 | 963-965 | S92211S | 08 | 559-561 | S92331D | 08 | 559-561 | ||
| S92062D | 08 | 559-561 | S92212A | 08 | 562-563 | S92331G | 08 | 559-561 | ||
| S92062G | 08 | 559-561 | S92212A | 24 | 963-965 | S92331K | 08 | 564-566 | ||
| S92062K | 08 | 564-566 | S92212B | 08 | 562-563 | S92331P | 08 | 564-566 | ||
| S92062P | 08 | 564-566 | S92212B | 24 | 963-965 | S92331S | 08 | 559-561 | ||
| S92062S | 08 | 559-561 | S92212D | 08 | 559-561 | S92332A | 08 | 562-563 | ||
| S92063A | 08 | 562-563 | S92212G | 08 | 559-561 | S92332A | 24 | 963-965 | ||
| S92063A | 24 | 963-965 | S92212K | 08 | 564-566 | S92332B | 08 | 562-563 | ||
| S92063B | 08 | 562-563 | S92212P | 08 | 564-566 | S92332B | 24 | 963-965 | ||
| S92063B | 24 | 963-965 | S92212S | 08 | 559-561 | S92332D | 08 | 559-561 | ||
| S92063D | 08 | 559-561 | S92213A | 08 | 562-563 | S92332G | 08 | 559-561 | ||
| S92063G | 08 | 559-561 | S92213A | 24 | 963-965 | S92332K | 08 | 564-566 | ||
| S92063K | 08 | 564-566 | S92213B | 08 | 562-563 | S92332P | 08 | 564-566 | ||
| S92063P | 08 | 564-566 | S92213B | 24 | 963-965 | S92332S | 08 | 559-561 | ||
| S92063S | 08 | 559-561 | S92213D | 08 | 559-561 | S92333A | 08 | 562-563 | ||
| S92064A | 08 | 562-563 | S92213G | 08 | 559-561 | S92333A | 24 | 963-965 | ||
| S92064A | 24 | 963-965 | S92213K | 08 | 564-566 | S92333B | 08 | 562-563 | ||
| S92064B | 08 | 562-563 | S92213P | 08 | 564-566 | S92333B | 24 | 963-965 | ||
| S92064B | 24 | 963-965 | S92213S | 08 | 559-561 | S92333D | 08 | 559-561 | ||
| S92064D | 08 | 559-561 | S92214A | 08 | 562-563 | S92333G | 08 | 559-561 | ||
| S92064G | 08 | 559-561 | S92214A | 24 | 963-965 | S92333K | 08 | 564-566 | ||
| S92064K | 08 | 564-566 | S92214B | 08 | 562-563 | S92333P | 08 | 564-566 | ||
| S92064P | 08 | 564-566 | S92214B | 24 | 963-965 | S92333S | 08 | 559-561 | ||
| S92064S | 08 | 559-561 | S92214D | 08 | 559-561 | S92334A | 08 | 562-563 | ||
| S92065A | 08 | 562-563 | S92214G | 08 | 559-561 | S92334A | 24 | 963-965 | ||
| S92065A | 24 | 963-965 | S92214K | 08 | 564-566 | S92334B | 08 | 562-563 | ||
| S92065B | 08 | 562-563 | S92214P | 08 | 564-566 | S92334B | 24 | 963-965 | ||
| S92065B | 24 | 963-965 | S92214S | 08 | 559-561 | S92334D | 08 | 559-561 | ||
| S92065D | 08 | 559-561 | S92215A | 08 | 562-563 | S92334G | 08 | 559-561 | ||
| S92065G | 08 | 559-561 | S92215A | 24 | 963-965 | S92334K | 08 | 564-566 | ||
| S92065K | 08 | 564-566 | S92215B | 08 | 562-563 | S92334P | 08 | 564-566 | ||
| S92065P | 08 | 564-566 | S92215B | 24 | 963-965 | S92334S | 08 | 559-561 | ||
| S92065S | 08 | 559-561 | S92215D | 08 | 559-561 | S92335A | 08 | 562-563 | ||
| S92066A | 08 | 562-563 | S92215G | 08 | 559-561 | S92335A | 24 | 963-965 | ||
| S92066A | 24 | 963-965 | S92215K | 08 | 564-566 | S92335B | 08 | 562-563 | ||
| S92066B | 08 | 562-563 | S92215P | 08 | 564-566 | S92335B | 24 | 963-965 | ||
| S92066B | 24 | 963-965 | S92215S | 08 | 559-561 | S92335D | 08 | 559-561 | ||
| S92066D | 08 | 559-561 | S92216A | 08 | 562-563 | S92335G | 08 | 559-561 | ||
| S92066G | 08 | 559-561 | S92216A | 24 | 963-965 | S92335K | 08 | 564-566 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 06 Jul 2021 14:18:42 CMS, code-revision=311, description-revision=1309 |