ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 12 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 Z887 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| I5033 | 05 | 222-223 | I63311 | 01 | 023-024 | I69018 | 01 | 056-057 | ||
| I5033 | 05 | 291-293 | I63311 | 01 | 061-063 | I69019 | 01 | 056-057 | ||
| I5033 | 15 | 791 | I63311 | 01 | 064-066 | I69020 | 01 | 056-057 | ||
| I5033 | 15 | 793 | I63311 | 15 | 791 | I69021 | 01 | 056-057 | ||
| I5040 | 05 | 222-223 | I63311 | 15 | 793 | I69022 | 01 | 056-057 | ||
| I5040 | 05 | 291-293 | I63312 | 01 | 023-024 | I69023 | 01 | 056-057 | ||
| I5040 | 15 | 791 | I63312 | 01 | 061-063 | I69028 | 01 | 056-057 | ||
| I5040 | 15 | 793 | I63312 | 01 | 064-066 | I69031 | 01 | 056-057 | ||
| I5041 | 05 | 222-223 | I63312 | 15 | 791 | I69032 | 01 | 056-057 | ||
| I5041 | 05 | 291-293 | I63312 | 15 | 793 | I69033 | 01 | 056-057 | ||
| I5041 | 15 | 791 | I63313 | 01 | 023-024 | I69034 | 01 | 056-057 | ||
| I5041 | 15 | 793 | I63313 | 01 | 061-063 | I69039 | 01 | 056-057 | ||
| I5042 | 05 | 222-223 | I63313 | 01 | 064-066 | I69041 | 01 | 056-057 | ||
| I5042 | 05 | 291-293 | I63313 | 15 | 791 | I69042 | 01 | 056-057 | ||
| I5042 | 15 | 791 | I63313 | 15 | 793 | I69043 | 01 | 056-057 | ||
| I5042 | 15 | 793 | I63319 | 01 | 023-024 | I69044 | 01 | 056-057 | ||
| I5043 | 05 | 222-223 | I63319 | 01 | 061-063 | I69049 | 01 | 056-057 | ||
| I5043 | 05 | 291-293 | I63319 | 01 | 064-066 | I69051 | 01 | 056-057 | ||
| I5043 | 15 | 791 | I63319 | 15 | 791 | I69052 | 01 | 056-057 | ||
| I5043 | 15 | 793 | I63319 | 15 | 793 | I69053 | 01 | 056-057 | ||
| I50810 | 05 | 222-223 | I63321 | 01 | 023-024 | I69054 | 01 | 056-057 | ||
| I50810 | 05 | 291-293 | I63321 | 01 | 061-063 | I69059 | 01 | 056-057 | ||
| I50810 | 15 | 791 | I63321 | 01 | 064-066 | I69061 | 01 | 056-057 | ||
| I50810 | 15 | 793 | I63321 | 15 | 791 | I69062 | 01 | 056-057 | ||
| I50811 | 05 | 222-223 | I63321 | 15 | 793 | I69063 | 01 | 056-057 | ||
| I50811 | 05 | 291-293 | I63322 | 01 | 023-024 | I69064 | 01 | 056-057 | ||
| I50811 | 15 | 791 | I63322 | 01 | 061-063 | I69065 | 01 | 056-057 | ||
| I50811 | 15 | 793 | I63322 | 01 | 064-066 | I69069 | 01 | 056-057 | ||
| I50812 | 05 | 222-223 | I63322 | 15 | 791 | I69090 | 01 | 056-057 | ||
| I50812 | 05 | 291-293 | I63322 | 15 | 793 | I69091 | 01 | 056-057 | ||
| I50812 | 15 | 791 | I63323 | 01 | 023-024 | I69092 | 01 | 056-057 | ||
| I50812 | 15 | 793 | I63323 | 01 | 061-063 | I69093 | 01 | 056-057 | ||
| I50813 | 05 | 222-223 | I63323 | 01 | 064-066 | I69098 | 01 | 056-057 | ||
| I50813 | 05 | 291-293 | I63323 | 15 | 791 | I6910 | 01 | 056-057 | ||
| I50813 | 15 | 791 | I63323 | 15 | 793 | I69110 | 01 | 056-057 | ||
| I50813 | 15 | 793 | I63329 | 01 | 023-024 | I69111 | 01 | 056-057 | ||
| I50814 | 05 | 222-223 | I63329 | 01 | 061-063 | I69112 | 01 | 056-057 | ||
| I50814 | 05 | 291-293 | I63329 | 01 | 064-066 | I69113 | 01 | 056-057 | ||
| I50814 | 15 | 791 | I63329 | 15 | 791 | I69114 | 01 | 056-057 | ||
| I50814 | 15 | 793 | I63329 | 15 | 793 | I69115 | 01 | 056-057 | ||
| I5082 | 05 | 222-223 | I63331 | 01 | 023-024 | I69118 | 01 | 056-057 | ||
| I5082 | 05 | 291-293 | I63331 | 01 | 061-063 | I69119 | 01 | 056-057 | ||
| I5082 | 15 | 791 | I63331 | 01 | 064-066 | I69120 | 01 | 056-057 | ||
| I5082 | 15 | 793 | I63331 | 15 | 791 | I69121 | 01 | 056-057 | ||
| I5083 | 05 | 222-223 | I63331 | 15 | 793 | I69122 | 01 | 056-057 | ||
| I5083 | 05 | 291-293 | I63332 | 01 | 023-024 | I69123 | 01 | 056-057 | ||
| I5083 | 15 | 791 | I63332 | 01 | 061-063 | I69128 | 01 | 056-057 | ||
| I5083 | 15 | 793 | I63332 | 01 | 064-066 | I69131 | 01 | 056-057 | ||
| I5084 | 05 | 222-223 | I63332 | 15 | 791 | I69132 | 01 | 056-057 | ||
| I5084 | 05 | 291-293 | I63332 | 15 | 793 | I69133 | 01 | 056-057 | ||
| I5084 | 15 | 791 | I63333 | 01 | 023-024 | I69134 | 01 | 056-057 | ||
| I5084 | 15 | 793 | I63333 | 01 | 061-063 | I69139 | 01 | 056-057 | ||
| I5089 | 05 | 222-223 | I63333 | 01 | 064-066 | I69141 | 01 | 056-057 | ||
| I5089 | 05 | 291-293 | I63333 | 15 | 791 | I69142 | 01 | 056-057 | ||
| I5089 | 15 | 791 | I63333 | 15 | 793 | I69143 | 01 | 056-057 | ||
| I5089 | 15 | 793 | I63339 | 01 | 023-024 | I69144 | 01 | 056-057 | ||
| I509 | 05 | 222-223 | I63339 | 01 | 061-063 | I69149 | 01 | 056-057 | ||
| I509 | 05 | 291-293 | I63339 | 01 | 064-066 | I69151 | 01 | 056-057 | ||
| I509 | 15 | 791 | I63339 | 15 | 791 | I69152 | 01 | 056-057 | ||
| I509 | 15 | 793 | I63339 | 15 | 793 | I69153 | 01 | 056-057 | ||
| I510 | 05 | 314-316 | I63341 | 01 | 023-024 | I69154 | 01 | 056-057 | ||
| I511 | 05 | 306-307 | I63341 | 01 | 061-063 | I69159 | 01 | 056-057 | ||
| I512 | 05 | 306-307 | I63341 | 01 | 064-066 | I69161 | 01 | 056-057 | ||
| I513 | 05 | 302-303 | I63341 | 15 | 791 | I69162 | 01 | 056-057 | ||
| I514 | 05 | 314-316 | I63341 | 15 | 793 | I69163 | 01 | 056-057 | ||
| I515 | 05 | 314-316 | I63342 | 01 | 023-024 | I69164 | 01 | 056-057 | ||
| I517 | 05 | 302-303 | I63342 | 01 | 061-063 | I69165 | 01 | 056-057 | ||
| I5181 | 05 | 314-316 | I63342 | 01 | 064-066 | I69169 | 01 | 056-057 | ||
| I5189 | 05 | 302-303 | I63342 | 15 | 791 | I69190 | 01 | 056-057 | ||
| I519 | 05 | 302-303 | I63342 | 15 | 793 | I69191 | 01 | 056-057 | ||
| I52 | 05 | 302-303 | I63343 | 01 | 023-024 | I69192 | 01 | 056-057 | ||
| I5A | 05 | 314-316 | I63343 | 01 | 061-063 | I69193 | 01 | 056-057 | ||
| I6000 | 01 | 020-022 | I63343 | 01 | 064-066 | I69198 | 01 | 056-057 | ||
| I6000 | 01 | 023-024 | I63343 | 15 | 791 | I6920 | 01 | 056-057 | ||
| I6000 | 01 | 064-066 | I63343 | 15 | 793 | I69210 | 01 | 056-057 | ||
| I6000 | 15 | 791 | I63349 | 01 | 023-024 | I69211 | 01 | 056-057 | ||
| I6000 | 15 | 793 | I63349 | 01 | 061-063 | I69212 | 01 | 056-057 | ||
| I6001 | 01 | 020-022 | I63349 | 01 | 064-066 | I69213 | 01 | 056-057 | ||
| I6001 | 01 | 023-024 | I63349 | 15 | 791 | I69214 | 01 | 056-057 | ||
| I6001 | 01 | 064-066 | I63349 | 15 | 793 | I69215 | 01 | 056-057 | ||
| I6001 | 15 | 791 | I6339 | 01 | 023-024 | I69218 | 01 | 056-057 | ||
| I6001 | 15 | 793 | I6339 | 01 | 061-063 | I69219 | 01 | 056-057 | ||
| I6002 | 01 | 020-022 | I6339 | 01 | 064-066 | I69220 | 01 | 056-057 | ||
| I6002 | 01 | 023-024 | I6339 | 15 | 791 | I69221 | 01 | 056-057 | ||
| I6002 | 01 | 064-066 | I6339 | 15 | 793 | I69222 | 01 | 056-057 | ||
| I6002 | 15 | 791 | I6340 | 01 | 023-024 | I69223 | 01 | 056-057 | ||
| I6002 | 15 | 793 | I6340 | 01 | 061-063 | I69228 | 01 | 056-057 | ||
| I6010 | 01 | 020-022 | I6340 | 01 | 064-066 | I69231 | 01 | 056-057 | ||
| I6010 | 01 | 023-024 | I6340 | 15 | 791 | I69232 | 01 | 056-057 | ||
| I6010 | 01 | 064-066 | I6340 | 15 | 793 | I69233 | 01 | 056-057 | ||
| I6010 | 15 | 791 | I63411 | 01 | 023-024 | I69234 | 01 | 056-057 | ||
| I6010 | 15 | 793 | I63411 | 01 | 061-063 | I69239 | 01 | 056-057 | ||
| I6011 | 01 | 020-022 | I63411 | 01 | 064-066 | I69241 | 01 | 056-057 | ||
| I6011 | 01 | 023-024 | I63411 | 15 | 791 | I69242 | 01 | 056-057 | ||
| I6011 | 01 | 064-066 | I63411 | 15 | 793 | I69243 | 01 | 056-057 | ||
| I6011 | 15 | 791 | I63412 | 01 | 023-024 | I69244 | 01 | 056-057 | ||
| I6011 | 15 | 793 | I63412 | 01 | 061-063 | I69249 | 01 | 056-057 | ||
| I6012 | 01 | 020-022 | I63412 | 01 | 064-066 | I69251 | 01 | 056-057 | ||
| I6012 | 01 | 023-024 | I63412 | 15 | 791 | I69252 | 01 | 056-057 | ||
| I6012 | 01 | 064-066 | I63412 | 15 | 793 | I69253 | 01 | 056-057 | ||
| I6012 | 15 | 791 | I63413 | 01 | 023-024 | I69254 | 01 | 056-057 | ||
| I6012 | 15 | 793 | I63413 | 01 | 061-063 | I69259 | 01 | 056-057 | ||
| I602 | 01 | 020-022 | I63413 | 01 | 064-066 | I69261 | 01 | 056-057 | ||
| I602 | 01 | 023-024 | I63413 | 15 | 791 | I69262 | 01 | 056-057 | ||
| I602 | 01 | 064-066 | I63413 | 15 | 793 | I69263 | 01 | 056-057 | ||
| I602 | 15 | 791 | I63419 | 01 | 023-024 | I69264 | 01 | 056-057 | ||
| I602 | 15 | 793 | I63419 | 01 | 061-063 | I69265 | 01 | 056-057 | ||
| I6030 | 01 | 020-022 | I63419 | 01 | 064-066 | I69269 | 01 | 056-057 | ||
| I6030 | 01 | 023-024 | I63419 | 15 | 791 | I69290 | 01 | 056-057 | ||
| I6030 | 01 | 064-066 | I63419 | 15 | 793 | I69291 | 01 | 056-057 | ||
| I6030 | 15 | 791 | I63421 | 01 | 023-024 | I69292 | 01 | 056-057 | ||
| I6030 | 15 | 793 | I63421 | 01 | 061-063 | I69293 | 01 | 056-057 | ||
| I6031 | 01 | 020-022 | I63421 | 01 | 064-066 | I69298 | 01 | 056-057 | ||
| I6031 | 01 | 023-024 | I63421 | 15 | 791 | I6930 | 01 | 056-057 | ||
| I6031 | 01 | 064-066 | I63421 | 15 | 793 | I69310 | 01 | 056-057 | ||
| I6031 | 15 | 791 | I63422 | 01 | 023-024 | I69311 | 01 | 056-057 | ||
| I6031 | 15 | 793 | I63422 | 01 | 061-063 | I69312 | 01 | 056-057 | ||
| I6032 | 01 | 020-022 | I63422 | 01 | 064-066 | I69313 | 01 | 056-057 | ||
| I6032 | 01 | 023-024 | I63422 | 15 | 791 | I69314 | 01 | 056-057 | ||
| I6032 | 01 | 064-066 | I63422 | 15 | 793 | I69315 | 01 | 056-057 | ||
| I6032 | 15 | 791 | I63423 | 01 | 023-024 | I69318 | 01 | 056-057 | ||
| I6032 | 15 | 793 | I63423 | 01 | 061-063 | I69319 | 01 | 056-057 | ||
| I604 | 01 | 020-022 | I63423 | 01 | 064-066 | I69320 | 01 | 056-057 | ||
| I604 | 01 | 023-024 | I63423 | 15 | 791 | I69321 | 01 | 056-057 | ||
| I604 | 01 | 064-066 | I63423 | 15 | 793 | I69322 | 01 | 056-057 | ||
| I604 | 15 | 791 | I63429 | 01 | 023-024 | I69323 | 01 | 056-057 | ||
| I604 | 15 | 793 | I63429 | 01 | 061-063 | I69328 | 01 | 056-057 | ||
| I6050 | 01 | 020-022 | I63429 | 01 | 064-066 | I69331 | 01 | 056-057 | ||
| I6050 | 01 | 023-024 | I63429 | 15 | 791 | I69332 | 01 | 056-057 | ||
| I6050 | 01 | 064-066 | I63429 | 15 | 793 | I69333 | 01 | 056-057 | ||
| I6050 | 15 | 791 | I63431 | 01 | 023-024 | I69334 | 01 | 056-057 | ||
| I6050 | 15 | 793 | I63431 | 01 | 061-063 | I69339 | 01 | 056-057 | ||
| I6051 | 01 | 020-022 | I63431 | 01 | 064-066 | I69341 | 01 | 056-057 | ||
| I6051 | 01 | 023-024 | I63431 | 15 | 791 | I69342 | 01 | 056-057 | ||
| I6051 | 01 | 064-066 | I63431 | 15 | 793 | I69343 | 01 | 056-057 | ||
| I6051 | 15 | 791 | I63432 | 01 | 023-024 | I69344 | 01 | 056-057 | ||
| I6051 | 15 | 793 | I63432 | 01 | 061-063 | I69349 | 01 | 056-057 | ||
| I6052 | 01 | 020-022 | I63432 | 01 | 064-066 | I69351 | 01 | 056-057 | ||
| I6052 | 01 | 023-024 | I63432 | 15 | 791 | I69352 | 01 | 056-057 | ||
| I6052 | 01 | 064-066 | I63432 | 15 | 793 | I69353 | 01 | 056-057 | ||
| I6052 | 15 | 791 | I63433 | 01 | 023-024 | I69354 | 01 | 056-057 | ||
| I6052 | 15 | 793 | I63433 | 01 | 061-063 | I69359 | 01 | 056-057 | ||
| I606 | 01 | 020-022 | I63433 | 01 | 064-066 | I69361 | 01 | 056-057 | ||
| I606 | 01 | 023-024 | I63433 | 15 | 791 | I69362 | 01 | 056-057 | ||
| I606 | 01 | 064-066 | I63433 | 15 | 793 | I69363 | 01 | 056-057 | ||
| I606 | 15 | 791 | I63439 | 01 | 023-024 | I69364 | 01 | 056-057 | ||
| I606 | 15 | 793 | I63439 | 01 | 061-063 | I69365 | 01 | 056-057 | ||
| I607 | 01 | 020-022 | I63439 | 01 | 064-066 | I69369 | 01 | 056-057 | ||
| I607 | 01 | 023-024 | I63439 | 15 | 791 | I69390 | 01 | 056-057 | ||
| I607 | 01 | 064-066 | I63439 | 15 | 793 | I69391 | 01 | 056-057 | ||
| I607 | 15 | 791 | I63441 | 01 | 023-024 | I69392 | 01 | 056-057 | ||
| I607 | 15 | 793 | I63441 | 01 | 061-063 | I69393 | 01 | 056-057 | ||
| I608 | 01 | 020-022 | I63441 | 01 | 064-066 | I69398 | 01 | 056-057 | ||
| I608 | 01 | 023-024 | I63441 | 15 | 791 | I6980 | 01 | 056-057 | ||
| I608 | 01 | 064-066 | I63441 | 15 | 793 | I69810 | 01 | 056-057 | ||
| I608 | 15 | 791 | I63442 | 01 | 023-024 | I69811 | 01 | 056-057 | ||
| I608 | 15 | 793 | I63442 | 01 | 061-063 | I69812 | 01 | 056-057 | ||
| I609 | 01 | 020-022 | I63442 | 01 | 064-066 | I69813 | 01 | 056-057 | ||
| I609 | 01 | 023-024 | I63442 | 15 | 791 | I69814 | 01 | 056-057 | ||
| I609 | 01 | 064-066 | I63442 | 15 | 793 | I69815 | 01 | 056-057 | ||
| I609 | 15 | 791 | I63443 | 01 | 023-024 | I69818 | 01 | 056-057 | ||
| I609 | 15 | 793 | I63443 | 01 | 061-063 | I69819 | 01 | 056-057 | ||
| I610 | 01 | 020-022 | I63443 | 01 | 064-066 | I69820 | 01 | 056-057 | ||
| I610 | 01 | 023-024 | I63443 | 15 | 791 | I69821 | 01 | 056-057 | ||
| I610 | 01 | 064-066 | I63443 | 15 | 793 | I69822 | 01 | 056-057 | ||
| I610 | 15 | 791 | I63449 | 01 | 023-024 | I69823 | 01 | 056-057 | ||
| I610 | 15 | 793 | I63449 | 01 | 061-063 | I69828 | 01 | 056-057 | ||
| I611 | 01 | 020-022 | I63449 | 01 | 064-066 | I69831 | 01 | 056-057 | ||
| I611 | 01 | 023-024 | I63449 | 15 | 791 | I69832 | 01 | 056-057 | ||
| I611 | 01 | 064-066 | I63449 | 15 | 793 | I69833 | 01 | 056-057 | ||
| I611 | 15 | 791 | I6349 | 01 | 023-024 | I69834 | 01 | 056-057 | ||
| I611 | 15 | 793 | I6349 | 01 | 061-063 | I69839 | 01 | 056-057 | ||
| I612 | 01 | 020-022 | I6349 | 01 | 064-066 | I69841 | 01 | 056-057 | ||
| I612 | 01 | 023-024 | I6349 | 15 | 791 | I69842 | 01 | 056-057 | ||
| I612 | 01 | 064-066 | I6349 | 15 | 793 | I69843 | 01 | 056-057 | ||
| I612 | 15 | 791 | I6350 | 01 | 023-024 | I69844 | 01 | 056-057 | ||
| I612 | 15 | 793 | I6350 | 01 | 061-063 | I69849 | 01 | 056-057 | ||
| I613 | 01 | 020-022 | I6350 | 01 | 064-066 | I69851 | 01 | 056-057 | ||
| I613 | 01 | 023-024 | I6350 | 15 | 791 | I69852 | 01 | 056-057 | ||
| I613 | 01 | 064-066 | I6350 | 15 | 793 | I69853 | 01 | 056-057 | ||
| I613 | 15 | 791 | I63511 | 01 | 023-024 | I69854 | 01 | 056-057 | ||
| I613 | 15 | 793 | I63511 | 01 | 061-063 | I69859 | 01 | 056-057 | ||
| I614 | 01 | 020-022 | I63511 | 01 | 064-066 | I69861 | 01 | 056-057 | ||
| I614 | 01 | 023-024 | I63511 | 15 | 791 | I69862 | 01 | 056-057 | ||
| I614 | 01 | 064-066 | I63511 | 15 | 793 | I69863 | 01 | 056-057 | ||
| I614 | 15 | 791 | I63512 | 01 | 023-024 | I69864 | 01 | 056-057 | ||
| I614 | 15 | 793 | I63512 | 01 | 061-063 | I69865 | 01 | 056-057 | ||
| I615 | 01 | 020-022 | I63512 | 01 | 064-066 | I69869 | 01 | 056-057 | ||
| I615 | 01 | 023-024 | I63512 | 15 | 791 | I69890 | 01 | 056-057 | ||
| I615 | 01 | 064-066 | I63512 | 15 | 793 | I69891 | 01 | 056-057 | ||
| I615 | 15 | 791 | I63513 | 01 | 023-024 | I69892 | 01 | 056-057 | ||
| I615 | 15 | 793 | I63513 | 01 | 061-063 | I69893 | 01 | 056-057 | ||
| I616 | 01 | 020-022 | I63513 | 01 | 064-066 | I69898 | 01 | 056-057 | ||
| I616 | 01 | 023-024 | I63513 | 15 | 791 | I6990 | 01 | 056-057 | ||
| I616 | 01 | 064-066 | I63513 | 15 | 793 | I69910 | 01 | 056-057 | ||
| I616 | 15 | 791 | I63519 | 01 | 023-024 | I69911 | 01 | 056-057 | ||
| I616 | 15 | 793 | I63519 | 01 | 061-063 | I69912 | 01 | 056-057 | ||
| I618 | 01 | 020-022 | I63519 | 01 | 064-066 | I69913 | 01 | 056-057 | ||
| I618 | 01 | 023-024 | I63519 | 15 | 791 | I69914 | 01 | 056-057 | ||
| I618 | 01 | 064-066 | I63519 | 15 | 793 | I69915 | 01 | 056-057 | ||
| I618 | 15 | 791 | I63521 | 01 | 023-024 | I69918 | 01 | 056-057 | ||
| I618 | 15 | 793 | I63521 | 01 | 061-063 | I69919 | 01 | 056-057 | ||
| I619 | 01 | 020-022 | I63521 | 01 | 064-066 | I69920 | 01 | 056-057 | ||
| I619 | 01 | 023-024 | I63521 | 15 | 791 | I69921 | 01 | 056-057 | ||
| I619 | 01 | 064-066 | I63521 | 15 | 793 | I69922 | 01 | 056-057 | ||
| I619 | 15 | 791 | I63522 | 01 | 023-024 | I69923 | 01 | 056-057 | ||
| I619 | 15 | 793 | I63522 | 01 | 061-063 | I69928 | 01 | 056-057 | ||
| I6200 | 01 | 020-022 | I63522 | 01 | 064-066 | I69931 | 01 | 056-057 | ||
| I6200 | 01 | 064-066 | I63522 | 15 | 791 | I69932 | 01 | 056-057 | ||
| I6200 | 15 | 791 | I63522 | 15 | 793 | I69933 | 01 | 056-057 | ||
| I6200 | 15 | 793 | I63523 | 01 | 023-024 | I69934 | 01 | 056-057 | ||
| I6201 | 01 | 020-022 | I63523 | 01 | 061-063 | I69939 | 01 | 056-057 | ||
| I6201 | 01 | 064-066 | I63523 | 01 | 064-066 | I69941 | 01 | 056-057 | ||
| I6201 | 15 | 791 | I63523 | 15 | 791 | I69942 | 01 | 056-057 | ||
| I6201 | 15 | 793 | I63523 | 15 | 793 | I69943 | 01 | 056-057 | ||
| I6202 | 01 | 020-022 | I63529 | 01 | 023-024 | I69944 | 01 | 056-057 | ||
| I6202 | 01 | 064-066 | I63529 | 01 | 061-063 | I69949 | 01 | 056-057 | ||
| I6202 | 15 | 791 | I63529 | 01 | 064-066 | I69951 | 01 | 056-057 | ||
| I6202 | 15 | 793 | I63529 | 15 | 791 | I69952 | 01 | 056-057 | ||
| I6203 | 01 | 020-022 | I63529 | 15 | 793 | I69953 | 01 | 056-057 | ||
| I6203 | 01 | 064-066 | I63531 | 01 | 023-024 | I69954 | 01 | 056-057 | ||
| I6203 | 15 | 791 | I63531 | 01 | 061-063 | I69959 | 01 | 056-057 | ||
| I6203 | 15 | 793 | I63531 | 01 | 064-066 | I69961 | 01 | 056-057 | ||
| I621 | 01 | 020-022 | I63531 | 15 | 791 | I69962 | 01 | 056-057 | ||
| I621 | 01 | 064-066 | I63531 | 15 | 793 | I69963 | 01 | 056-057 | ||
| I621 | 15 | 791 | I63532 | 01 | 023-024 | I69964 | 01 | 056-057 | ||
| I621 | 15 | 793 | I63532 | 01 | 061-063 | I69965 | 01 | 056-057 | ||
| I629 | 01 | 020-022 | I63532 | 01 | 064-066 | I69969 | 01 | 056-057 | ||
| I629 | 01 | 023-024 | I63532 | 15 | 791 | I69990 | 01 | 056-057 | ||
| I629 | 01 | 064-066 | I63532 | 15 | 793 | I69991 | 01 | 056-057 | ||
| I629 | 15 | 791 | I63533 | 01 | 023-024 | I69992 | 01 | 056-057 | ||
| I629 | 15 | 793 | I63533 | 01 | 061-063 | I69993 | 01 | 056-057 | ||
| I6300 | 01 | 023-024 | I63533 | 01 | 064-066 | I69998 | 01 | 056-057 | ||
| I6300 | 01 | 061-063 | I63533 | 15 | 791 | I700 | 05 | 299-301 | ||
| I6300 | 01 | 064-066 | I63533 | 15 | 793 | I701 | 11 | 698-700 | ||
| I6300 | 15 | 791 | I63539 | 01 | 023-024 | I70201 | 05 | 299-301 | ||
| I6300 | 15 | 793 | I63539 | 01 | 061-063 | I70202 | 05 | 299-301 | ||
| I63011 | 01 | 023-024 | I63539 | 01 | 064-066 | I70203 | 05 | 299-301 | ||
| I63011 | 01 | 061-063 | I63539 | 15 | 791 | I70208 | 05 | 299-301 | ||
| I63011 | 01 | 064-066 | I63539 | 15 | 793 | I70209 | 05 | 299-301 | ||
| I63011 | 15 | 791 | I63541 | 01 | 023-024 | I70211 | 05 | 299-301 | ||
| I63011 | 15 | 793 | I63541 | 01 | 061-063 | I70212 | 05 | 299-301 | ||
| I63012 | 01 | 023-024 | I63541 | 01 | 064-066 | I70213 | 05 | 299-301 | ||
| I63012 | 01 | 061-063 | I63541 | 15 | 791 | I70218 | 05 | 299-301 | ||
| I63012 | 01 | 064-066 | I63541 | 15 | 793 | I70219 | 05 | 299-301 | ||
| I63012 | 15 | 791 | I63542 | 01 | 023-024 | I70221 | 05 | 299-301 | ||
| I63012 | 15 | 793 | I63542 | 01 | 061-063 | I70222 | 05 | 299-301 | ||
| I63013 | 01 | 023-024 | I63542 | 01 | 064-066 | I70223 | 05 | 299-301 | ||
| I63013 | 01 | 061-063 | I63542 | 15 | 791 | I70228 | 05 | 299-301 | ||
| I63013 | 01 | 064-066 | I63542 | 15 | 793 | I70229 | 05 | 299-301 | ||
| I63013 | 15 | 791 | I63543 | 01 | 023-024 | I70231 | 05 | 299-301 | ||
| I63013 | 15 | 793 | I63543 | 01 | 061-063 | I70232 | 05 | 299-301 | ||
| I63019 | 01 | 023-024 | I63543 | 01 | 064-066 | I70233 | 05 | 299-301 | ||
| I63019 | 01 | 061-063 | I63543 | 15 | 791 | I70234 | 05 | 299-301 | ||
| I63019 | 01 | 064-066 | I63543 | 15 | 793 | I70235 | 05 | 299-301 | ||
| I63019 | 15 | 791 | I63549 | 01 | 023-024 | I70238 | 05 | 299-301 | ||
| I63019 | 15 | 793 | I63549 | 01 | 061-063 | I70239 | 05 | 299-301 | ||
| I6302 | 01 | 023-024 | I63549 | 01 | 064-066 | I70241 | 05 | 299-301 | ||
| I6302 | 01 | 061-063 | I63549 | 15 | 791 | I70242 | 05 | 299-301 | ||
| I6302 | 01 | 064-066 | I63549 | 15 | 793 | I70243 | 05 | 299-301 | ||
| I6302 | 15 | 791 | I6359 | 01 | 023-024 | I70244 | 05 | 299-301 | ||
| I6302 | 15 | 793 | I6359 | 01 | 061-063 | I70245 | 05 | 299-301 | ||
| I63031 | 01 | 023-024 | I6359 | 01 | 064-066 | I70248 | 05 | 299-301 | ||
| I63031 | 01 | 061-063 | I6359 | 15 | 791 | I70249 | 05 | 299-301 | ||
| I63031 | 01 | 064-066 | I6359 | 15 | 793 | I7025 | 05 | 299-301 | ||
| I63031 | 15 | 791 | I636 | 01 | 023-024 | I70261 | 05 | 299-301 | ||
| I63031 | 15 | 793 | I636 | 01 | 061-063 | I70261 | 15 | 791 | ||
| I63032 | 01 | 023-024 | I636 | 01 | 064-066 | I70261 | 15 | 793 | ||
| I63032 | 01 | 061-063 | I636 | 15 | 791 | I70262 | 05 | 299-301 | ||
| I63032 | 01 | 064-066 | I636 | 15 | 793 | I70262 | 15 | 791 | ||
| I63032 | 15 | 791 | I6381 | 01 | 023-024 | I70262 | 15 | 793 | ||
| I63032 | 15 | 793 | I6381 | 01 | 061-063 | I70263 | 05 | 299-301 | ||
| I63033 | 01 | 023-024 | I6381 | 01 | 064-066 | I70263 | 15 | 791 | ||
| I63033 | 01 | 061-063 | I6381 | 15 | 791 | I70263 | 15 | 793 | ||
| I63033 | 01 | 064-066 | I6381 | 15 | 793 | I70268 | 05 | 299-301 | ||
| I63033 | 15 | 791 | I6389 | 01 | 023-024 | I70268 | 15 | 791 | ||
| I63033 | 15 | 793 | I6389 | 01 | 061-063 | I70268 | 15 | 793 | ||
| I63039 | 01 | 023-024 | I6389 | 01 | 064-066 | I70269 | 05 | 299-301 | ||
| I63039 | 01 | 061-063 | I6389 | 15 | 791 | I70269 | 15 | 791 | ||
| I63039 | 01 | 064-066 | I6389 | 15 | 793 | I70269 | 15 | 793 | ||
| I63039 | 15 | 791 | I639 | 01 | 023-024 | I70291 | 05 | 299-301 | ||
| I63039 | 15 | 793 | I639 | 01 | 061-063 | I70292 | 05 | 299-301 | ||
| I6309 | 01 | 023-024 | I639 | 01 | 064-066 | I70293 | 05 | 299-301 | ||
| I6309 | 01 | 061-063 | I639 | 15 | 791 | I70298 | 05 | 299-301 | ||
| I6309 | 01 | 064-066 | I639 | 15 | 793 | I70299 | 05 | 299-301 | ||
| I6309 | 15 | 791 | I6501 | 01 | 061-063 | I70301 | 05 | 299-301 | ||
| I6309 | 15 | 793 | I6501 | 01 | 067-068 | I70302 | 05 | 299-301 | ||
| I6310 | 01 | 023-024 | I6502 | 01 | 061-063 | I70303 | 05 | 299-301 | ||
| I6310 | 01 | 061-063 | I6502 | 01 | 067-068 | I70308 | 05 | 299-301 | ||
| I6310 | 01 | 064-066 | I6503 | 01 | 061-063 | I70309 | 05 | 299-301 | ||
| I6310 | 15 | 791 | I6503 | 01 | 067-068 | I70311 | 05 | 299-301 | ||
| I6310 | 15 | 793 | I6509 | 01 | 061-063 | I70312 | 05 | 299-301 | ||
| I63111 | 01 | 023-024 | I6509 | 01 | 067-068 | I70313 | 05 | 299-301 | ||
| I63111 | 01 | 061-063 | I651 | 01 | 061-063 | I70318 | 05 | 299-301 | ||
| I63111 | 01 | 064-066 | I651 | 01 | 067-068 | I70319 | 05 | 299-301 | ||
| I63111 | 15 | 791 | I6521 | 01 | 061-063 | I70321 | 05 | 299-301 | ||
| I63111 | 15 | 793 | I6521 | 01 | 067-068 | I70322 | 05 | 299-301 | ||
| I63112 | 01 | 023-024 | I6522 | 01 | 061-063 | I70323 | 05 | 299-301 | ||
| I63112 | 01 | 061-063 | I6522 | 01 | 067-068 | I70328 | 05 | 299-301 | ||
| I63112 | 01 | 064-066 | I6523 | 01 | 061-063 | I70329 | 05 | 299-301 | ||
| I63112 | 15 | 791 | I6523 | 01 | 067-068 | I70331 | 05 | 299-301 | ||
| I63112 | 15 | 793 | I6529 | 01 | 061-063 | I70332 | 05 | 299-301 | ||
| I63113 | 01 | 023-024 | I6529 | 01 | 067-068 | I70333 | 05 | 299-301 | ||
| I63113 | 01 | 061-063 | I658 | 01 | 061-063 | I70334 | 05 | 299-301 | ||
| I63113 | 01 | 064-066 | I658 | 01 | 067-068 | I70335 | 05 | 299-301 | ||
| I63113 | 15 | 791 | I659 | 01 | 061-063 | I70338 | 05 | 299-301 | ||
| I63113 | 15 | 793 | I659 | 01 | 067-068 | I70339 | 05 | 299-301 | ||
| I63119 | 01 | 023-024 | I6601 | 01 | 061-063 | I70341 | 05 | 299-301 | ||
| I63119 | 01 | 061-063 | I6601 | 01 | 067-068 | I70342 | 05 | 299-301 | ||
| I63119 | 01 | 064-066 | I6601 | 15 | 791 | I70343 | 05 | 299-301 | ||
| I63119 | 15 | 791 | I6601 | 15 | 793 | I70344 | 05 | 299-301 | ||
| I63119 | 15 | 793 | I6602 | 01 | 061-063 | I70345 | 05 | 299-301 | ||
| I6312 | 01 | 023-024 | I6602 | 01 | 067-068 | I70348 | 05 | 299-301 | ||
| I6312 | 01 | 061-063 | I6602 | 15 | 791 | I70349 | 05 | 299-301 | ||
| I6312 | 01 | 064-066 | I6602 | 15 | 793 | I7035 | 05 | 299-301 | ||
| I6312 | 15 | 791 | I6603 | 01 | 061-063 | I70361 | 05 | 299-301 | ||
| I6312 | 15 | 793 | I6603 | 01 | 067-068 | I70362 | 05 | 299-301 | ||
| I63131 | 01 | 023-024 | I6603 | 15 | 791 | I70363 | 05 | 299-301 | ||
| I63131 | 01 | 061-063 | I6603 | 15 | 793 | I70368 | 05 | 299-301 | ||
| I63131 | 01 | 064-066 | I6609 | 01 | 061-063 | I70369 | 05 | 299-301 | ||
| I63131 | 15 | 791 | I6609 | 01 | 067-068 | I70391 | 05 | 299-301 | ||
| I63131 | 15 | 793 | I6609 | 15 | 791 | I70392 | 05 | 299-301 | ||
| I63132 | 01 | 023-024 | I6609 | 15 | 793 | I70393 | 05 | 299-301 | ||
| I63132 | 01 | 061-063 | I6611 | 01 | 061-063 | I70398 | 05 | 299-301 | ||
| I63132 | 01 | 064-066 | I6611 | 01 | 067-068 | I70399 | 05 | 299-301 | ||
| I63132 | 15 | 791 | I6611 | 15 | 791 | I70401 | 05 | 299-301 | ||
| I63132 | 15 | 793 | I6611 | 15 | 793 | I70402 | 05 | 299-301 | ||
| I63133 | 01 | 023-024 | I6612 | 01 | 061-063 | I70403 | 05 | 299-301 | ||
| I63133 | 01 | 061-063 | I6612 | 01 | 067-068 | I70408 | 05 | 299-301 | ||
| I63133 | 01 | 064-066 | I6612 | 15 | 791 | I70409 | 05 | 299-301 | ||
| I63133 | 15 | 791 | I6612 | 15 | 793 | I70411 | 05 | 299-301 | ||
| I63133 | 15 | 793 | I6613 | 01 | 061-063 | I70412 | 05 | 299-301 | ||
| I63139 | 01 | 023-024 | I6613 | 01 | 067-068 | I70413 | 05 | 299-301 | ||
| I63139 | 01 | 061-063 | I6613 | 15 | 791 | I70418 | 05 | 299-301 | ||
| I63139 | 01 | 064-066 | I6613 | 15 | 793 | I70419 | 05 | 299-301 | ||
| I63139 | 15 | 791 | I6619 | 01 | 061-063 | I70421 | 05 | 299-301 | ||
| I63139 | 15 | 793 | I6619 | 01 | 067-068 | I70422 | 05 | 299-301 | ||
| I6319 | 01 | 023-024 | I6619 | 15 | 791 | I70423 | 05 | 299-301 | ||
| I6319 | 01 | 061-063 | I6619 | 15 | 793 | I70428 | 05 | 299-301 | ||
| I6319 | 01 | 064-066 | I6621 | 01 | 061-063 | I70429 | 05 | 299-301 | ||
| I6319 | 15 | 791 | I6621 | 01 | 067-068 | I70431 | 05 | 299-301 | ||
| I6319 | 15 | 793 | I6621 | 15 | 791 | I70432 | 05 | 299-301 | ||
| I6320 | 01 | 023-024 | I6621 | 15 | 793 | I70433 | 05 | 299-301 | ||
| I6320 | 01 | 061-063 | I6622 | 01 | 061-063 | I70434 | 05 | 299-301 | ||
| I6320 | 01 | 064-066 | I6622 | 01 | 067-068 | I70435 | 05 | 299-301 | ||
| I6320 | 15 | 791 | I6622 | 15 | 791 | I70438 | 05 | 299-301 | ||
| I6320 | 15 | 793 | I6622 | 15 | 793 | I70439 | 05 | 299-301 | ||
| I63211 | 01 | 023-024 | I6623 | 01 | 061-063 | I70441 | 05 | 299-301 | ||
| I63211 | 01 | 061-063 | I6623 | 01 | 067-068 | I70442 | 05 | 299-301 | ||
| I63211 | 01 | 064-066 | I6623 | 15 | 791 | I70443 | 05 | 299-301 | ||
| I63211 | 15 | 791 | I6623 | 15 | 793 | I70444 | 05 | 299-301 | ||
| I63211 | 15 | 793 | I6629 | 01 | 061-063 | I70445 | 05 | 299-301 | ||
| I63212 | 01 | 023-024 | I6629 | 01 | 067-068 | I70448 | 05 | 299-301 | ||
| I63212 | 01 | 061-063 | I6629 | 15 | 791 | I70449 | 05 | 299-301 | ||
| I63212 | 01 | 064-066 | I6629 | 15 | 793 | I7045 | 05 | 299-301 | ||
| I63212 | 15 | 791 | I663 | 01 | 061-063 | I70461 | 05 | 299-301 | ||
| I63212 | 15 | 793 | I663 | 01 | 067-068 | I70462 | 05 | 299-301 | ||
| I63213 | 01 | 023-024 | I663 | 15 | 791 | I70463 | 05 | 299-301 | ||
| I63213 | 01 | 061-063 | I663 | 15 | 793 | I70468 | 05 | 299-301 | ||
| I63213 | 01 | 064-066 | I668 | 01 | 061-063 | I70469 | 05 | 299-301 | ||
| I63213 | 15 | 791 | I668 | 01 | 067-068 | I70491 | 05 | 299-301 | ||
| I63213 | 15 | 793 | I668 | 15 | 791 | I70492 | 05 | 299-301 | ||
| I63219 | 01 | 023-024 | I668 | 15 | 793 | I70493 | 05 | 299-301 | ||
| I63219 | 01 | 061-063 | I669 | 01 | 061-063 | I70498 | 05 | 299-301 | ||
| I63219 | 01 | 064-066 | I669 | 01 | 067-068 | I70499 | 05 | 299-301 | ||
| I63219 | 15 | 791 | I669 | 15 | 791 | I70501 | 05 | 299-301 | ||
| I63219 | 15 | 793 | I669 | 15 | 793 | I70502 | 05 | 299-301 | ||
| I6322 | 01 | 023-024 | I670 | 05 | 299-301 | I70503 | 05 | 299-301 | ||
| I6322 | 01 | 061-063 | I671 | 01 | 091-093 | I70508 | 05 | 299-301 | ||
| I6322 | 01 | 064-066 | I672 | 01 | 070-072 | I70509 | 05 | 299-301 | ||
| I6322 | 15 | 791 | I673 | 01 | 056-057 | I70511 | 05 | 299-301 | ||
| I6322 | 15 | 793 | I673 | 25 | 974-976 | I70512 | 05 | 299-301 | ||
| I63231 | 01 | 023-024 | I674 | 01 | 077-079 | I70513 | 05 | 299-301 | ||
| I63231 | 01 | 061-063 | I675 | 01 | 091-093 | I70518 | 05 | 299-301 | ||
| I63231 | 01 | 064-066 | I676 | 01 | 091-093 | I70519 | 05 | 299-301 | ||
| I63231 | 15 | 791 | I677 | 01 | 102-103 | I70521 | 05 | 299-301 | ||
| I63231 | 15 | 793 | I6781 | 01 | 061-063 | I70522 | 05 | 299-301 | ||
| I63232 | 01 | 023-024 | I6781 | 01 | 069 | I70523 | 05 | 299-301 | ||
| I63232 | 01 | 061-063 | I6782 | 01 | 061-063 | I70528 | 05 | 299-301 | ||
| I63232 | 01 | 064-066 | I6782 | 01 | 069 | I70529 | 05 | 299-301 | ||
| I63232 | 15 | 791 | I6783 | 01 | 070-072 | I70531 | 05 | 299-301 | ||
| I63232 | 15 | 793 | I6783 | 25 | 974-976 | I70532 | 05 | 299-301 | ||
| I63233 | 01 | 023-024 | I67841 | 01 | 061-063 | I70533 | 05 | 299-301 | ||
| I63233 | 01 | 061-063 | I67841 | 01 | 069 | I70534 | 05 | 299-301 | ||
| I63233 | 01 | 064-066 | I67848 | 01 | 061-063 | I70535 | 05 | 299-301 | ||
| I63233 | 15 | 791 | I67848 | 01 | 069 | I70538 | 05 | 299-301 | ||
| I63233 | 15 | 793 | I67850 | 01 | 070-072 | I70539 | 05 | 299-301 | ||
| I63239 | 01 | 023-024 | I67858 | 01 | 070-072 | I70541 | 05 | 299-301 | ||
| I63239 | 01 | 061-063 | I6789 | 01 | 061-063 | I70542 | 05 | 299-301 | ||
| I63239 | 01 | 064-066 | I6789 | 01 | 069 | I70543 | 05 | 299-301 | ||
| I63239 | 15 | 791 | I679 | 01 | 070-072 | I70544 | 05 | 299-301 | ||
| I63239 | 15 | 793 | I680 | 01 | 070-072 | I70545 | 05 | 299-301 | ||
| I6329 | 01 | 023-024 | I682 | 01 | 102-103 | I70548 | 05 | 299-301 | ||
| I6329 | 01 | 061-063 | I688 | 01 | 070-072 | I70549 | 05 | 299-301 | ||
| I6329 | 01 | 064-066 | I6900 | 01 | 056-057 | I7055 | 05 | 299-301 | ||
| I6329 | 15 | 791 | I69010 | 01 | 056-057 | I70561 | 05 | 299-301 | ||
| I6329 | 15 | 793 | I69011 | 01 | 056-057 | I70562 | 05 | 299-301 | ||
| I6330 | 01 | 023-024 | I69012 | 01 | 056-057 | I70563 | 05 | 299-301 | ||
| I6330 | 01 | 061-063 | I69013 | 01 | 056-057 | I70568 | 05 | 299-301 | ||
| I6330 | 01 | 064-066 | I69014 | 01 | 056-057 | I70569 | 05 | 299-301 | ||
| I6330 | 15 | 791 | I69015 | 01 | 056-057 | I70591 | 05 | 299-301 | ||
| I6330 | 15 | 793 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 16:20:17 CMS, code-revision=332, description-revision=1327 |