ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 13 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
I70592 | 05 | 299-301 | I82701 | 05 | 299-301 | J157 | 04 | 193-195 | ||
I70593 | 05 | 299-301 | I82702 | 05 | 299-301 | J157 | 15 | 791 | ||
I70598 | 05 | 299-301 | I82703 | 05 | 299-301 | J157 | 15 | 793 | ||
I70599 | 05 | 299-301 | I82709 | 05 | 299-301 | J158 | 04 | 177-179 | ||
I70601 | 05 | 299-301 | I82711 | 05 | 299-301 | J158 | 15 | 791 | ||
I70602 | 05 | 299-301 | I82712 | 05 | 299-301 | J158 | 15 | 793 | ||
I70603 | 05 | 299-301 | I82713 | 05 | 299-301 | J158 | 25 | 974-976 | ||
I70608 | 05 | 299-301 | I82719 | 05 | 299-301 | J159 | 04 | 193-195 | ||
I70609 | 05 | 299-301 | I82721 | 05 | 299-301 | J159 | 15 | 791 | ||
I70611 | 05 | 299-301 | I82722 | 05 | 299-301 | J159 | 15 | 793 | ||
I70612 | 05 | 299-301 | I82723 | 05 | 299-301 | J159 | 25 | 974-976 | ||
I70613 | 05 | 299-301 | I82729 | 05 | 299-301 | J160 | 04 | 193-195 | ||
I70618 | 05 | 299-301 | I82811 | 05 | 299-301 | J160 | 15 | 791 | ||
I70619 | 05 | 299-301 | I82812 | 05 | 299-301 | J160 | 15 | 793 | ||
I70621 | 05 | 299-301 | I82813 | 05 | 299-301 | J168 | 04 | 193-195 | ||
I70622 | 05 | 299-301 | I82819 | 05 | 299-301 | J168 | 15 | 791 | ||
I70623 | 05 | 299-301 | I82890 | 05 | 299-301 | J168 | 15 | 793 | ||
I70628 | 05 | 299-301 | I82891 | 05 | 299-301 | J17 | 04 | 177-179 | ||
I70629 | 05 | 299-301 | I8290 | 05 | 299-301 | J180 | 04 | 193-195 | ||
I70631 | 05 | 299-301 | I8291 | 05 | 299-301 | J180 | 15 | 791 | ||
I70632 | 05 | 299-301 | I82A11 | 05 | 299-301 | J180 | 15 | 793 | ||
I70633 | 05 | 299-301 | I82A12 | 05 | 299-301 | J181 | 04 | 193-195 | ||
I70634 | 05 | 299-301 | I82A13 | 05 | 299-301 | J181 | 15 | 791 | ||
I70635 | 05 | 299-301 | I82A19 | 05 | 299-301 | J181 | 15 | 793 | ||
I70638 | 05 | 299-301 | I82A21 | 05 | 299-301 | J181 | 25 | 974-976 | ||
I70639 | 05 | 299-301 | I82A22 | 05 | 299-301 | J182 | 04 | 189 | ||
I70641 | 05 | 299-301 | I82A23 | 05 | 299-301 | J188 | 04 | 193-195 | ||
I70642 | 05 | 299-301 | I82A29 | 05 | 299-301 | J188 | 15 | 791 | ||
I70643 | 05 | 299-301 | I82B11 | 05 | 299-301 | J188 | 15 | 793 | ||
I70644 | 05 | 299-301 | I82B12 | 05 | 299-301 | J188 | 25 | 974-976 | ||
I70645 | 05 | 299-301 | I82B13 | 05 | 299-301 | J189 | 04 | 193-195 | ||
I70648 | 05 | 299-301 | I82B19 | 05 | 299-301 | J189 | 15 | 791 | ||
I70649 | 05 | 299-301 | I82B21 | 05 | 299-301 | J189 | 15 | 793 | ||
I7065 | 05 | 299-301 | I82B22 | 05 | 299-301 | J189 | 25 | 974-976 | ||
I70661 | 05 | 299-301 | I82B23 | 05 | 299-301 | J200 | 04 | 202-203 | ||
I70662 | 05 | 299-301 | I82B29 | 05 | 299-301 | J201 | 04 | 202-203 | ||
I70663 | 05 | 299-301 | I82C11 | 05 | 299-301 | J202 | 04 | 202-203 | ||
I70668 | 05 | 299-301 | I82C12 | 05 | 299-301 | J203 | 04 | 202-203 | ||
I70669 | 05 | 299-301 | I82C13 | 05 | 299-301 | J204 | 04 | 202-203 | ||
I70691 | 05 | 299-301 | I82C19 | 05 | 299-301 | J205 | 04 | 202-203 | ||
I70692 | 05 | 299-301 | I82C21 | 05 | 299-301 | J206 | 04 | 202-203 | ||
I70693 | 05 | 299-301 | I82C22 | 05 | 299-301 | J207 | 04 | 202-203 | ||
I70698 | 05 | 299-301 | I82C23 | 05 | 299-301 | J208 | 04 | 202-203 | ||
I70699 | 05 | 299-301 | I82C29 | 05 | 299-301 | J209 | 04 | 202-203 | ||
I70701 | 05 | 299-301 | I83001 | 05 | 299-301 | J210 | 04 | 202-203 | ||
I70702 | 05 | 299-301 | I83002 | 05 | 299-301 | J211 | 04 | 202-203 | ||
I70703 | 05 | 299-301 | I83003 | 05 | 299-301 | J218 | 04 | 202-203 | ||
I70708 | 05 | 299-301 | I83004 | 05 | 299-301 | J219 | 04 | 202-203 | ||
I70709 | 05 | 299-301 | I83005 | 05 | 299-301 | J22 | 04 | 205-206 | ||
I70711 | 05 | 299-301 | I83008 | 05 | 299-301 | J300 | 03 | 152-153 | ||
I70712 | 05 | 299-301 | I83009 | 05 | 299-301 | J301 | 03 | 152-153 | ||
I70713 | 05 | 299-301 | I83011 | 05 | 299-301 | J302 | 03 | 152-153 | ||
I70718 | 05 | 299-301 | I83012 | 05 | 299-301 | J305 | 03 | 152-153 | ||
I70719 | 05 | 299-301 | I83013 | 05 | 299-301 | J3081 | 03 | 152-153 | ||
I70721 | 05 | 299-301 | I83014 | 05 | 299-301 | J3089 | 03 | 152-153 | ||
I70722 | 05 | 299-301 | I83015 | 05 | 299-301 | J309 | 03 | 152-153 | ||
I70723 | 05 | 299-301 | I83018 | 05 | 299-301 | J310 | 03 | 152-153 | ||
I70728 | 05 | 299-301 | I83019 | 05 | 299-301 | J311 | Pre | 011-013 | ||
I70729 | 05 | 299-301 | I83021 | 05 | 299-301 | J311 | 03 | 152-153 | ||
I70731 | 05 | 299-301 | I83022 | 05 | 299-301 | J312 | Pre | 011-013 | ||
I70732 | 05 | 299-301 | I83023 | 05 | 299-301 | J312 | 03 | 152-153 | ||
I70733 | 05 | 299-301 | I83024 | 05 | 299-301 | J320 | 03 | 152-153 | ||
I70734 | 05 | 299-301 | I83025 | 05 | 299-301 | J321 | 03 | 152-153 | ||
I70735 | 05 | 299-301 | I83028 | 05 | 299-301 | J322 | 03 | 152-153 | ||
I70738 | 05 | 299-301 | I83029 | 05 | 299-301 | J323 | 03 | 152-153 | ||
I70739 | 05 | 299-301 | I8310 | 05 | 299-301 | J324 | 03 | 152-153 | ||
I70741 | 05 | 299-301 | I8311 | 05 | 299-301 | J328 | 03 | 152-153 | ||
I70742 | 05 | 299-301 | I8312 | 05 | 299-301 | J329 | 03 | 152-153 | ||
I70743 | 05 | 299-301 | I83201 | 05 | 299-301 | J330 | 03 | 154-156 | ||
I70744 | 05 | 299-301 | I83202 | 05 | 299-301 | J331 | 03 | 154-156 | ||
I70745 | 05 | 299-301 | I83203 | 05 | 299-301 | J338 | 03 | 154-156 | ||
I70748 | 05 | 299-301 | I83204 | 05 | 299-301 | J339 | 03 | 154-156 | ||
I70749 | 05 | 299-301 | I83205 | 05 | 299-301 | J340 | 03 | 154-156 | ||
I7075 | 05 | 299-301 | I83208 | 05 | 299-301 | J340 | 15 | 795 | ||
I70761 | 05 | 299-301 | I83209 | 05 | 299-301 | J341 | 03 | 154-156 | ||
I70762 | 05 | 299-301 | I83211 | 05 | 299-301 | J341 | 15 | 795 | ||
I70763 | 05 | 299-301 | I83212 | 05 | 299-301 | J342 | Pre | 011-013 | ||
I70768 | 05 | 299-301 | I83213 | 05 | 299-301 | J342 | 03 | 154-156 | ||
I70769 | 05 | 299-301 | I83214 | 05 | 299-301 | J343 | 03 | 154-156 | ||
I70791 | 05 | 299-301 | I83215 | 05 | 299-301 | J3481 | 03 | 154-156 | ||
I70792 | 05 | 299-301 | I83218 | 05 | 299-301 | J3481 | 15 | 795 | ||
I70793 | 05 | 299-301 | I83219 | 05 | 299-301 | J3489 | 03 | 154-156 | ||
I70798 | 05 | 299-301 | I83221 | 05 | 299-301 | J3489 | 15 | 795 | ||
I70799 | 05 | 299-301 | I83222 | 05 | 299-301 | J349 | 03 | 154-156 | ||
I708 | 05 | 299-301 | I83223 | 05 | 299-301 | J349 | 15 | 795 | ||
I7090 | 05 | 299-301 | I83224 | 05 | 299-301 | J3501 | Pre | 011-013 | ||
I7091 | 05 | 299-301 | I83225 | 05 | 299-301 | J3501 | 03 | 152-153 | ||
I7092 | 05 | 299-301 | I83228 | 05 | 299-301 | J3502 | Pre | 011-013 | ||
I7100 | 05 | 299-301 | I83229 | 05 | 299-301 | J3502 | 03 | 152-153 | ||
I7101 | 05 | 299-301 | I83811 | 05 | 299-301 | J3503 | Pre | 011-013 | ||
I7102 | 05 | 299-301 | I83812 | 05 | 299-301 | J3503 | 03 | 152-153 | ||
I7103 | 05 | 299-301 | I83813 | 05 | 299-301 | J351 | Pre | 011-013 | ||
I711 | 05 | 299-301 | I83819 | 05 | 299-301 | J351 | 03 | 154-156 | ||
I712 | 05 | 299-301 | I83891 | 05 | 299-301 | J352 | Pre | 011-013 | ||
I713 | 05 | 299-301 | I83892 | 05 | 299-301 | J352 | 03 | 154-156 | ||
I714 | 05 | 299-301 | I83893 | 05 | 299-301 | J353 | Pre | 011-013 | ||
I715 | 05 | 299-301 | I83899 | 05 | 299-301 | J353 | 03 | 154-156 | ||
I716 | 05 | 299-301 | I8390 | 05 | 299-301 | J358 | Pre | 011-013 | ||
I718 | 05 | 299-301 | I8391 | 05 | 299-301 | J358 | 03 | 154-156 | ||
I719 | 05 | 299-301 | I8392 | 05 | 299-301 | J359 | Pre | 011-013 | ||
I720 | 05 | 299-301 | I8393 | 05 | 299-301 | J359 | 03 | 154-156 | ||
I721 | 05 | 299-301 | I8500 | 06 | 368-370 | J36 | Pre | 011-013 | ||
I722 | 11 | 698-700 | I8501 | 06 | 368-370 | J36 | 03 | 152-153 | ||
I723 | 05 | 299-301 | I8510 | 06 | 393-395 | J370 | Pre | 011-013 | ||
I724 | 05 | 299-301 | I8511 | 06 | 368-370 | J370 | 03 | 152-153 | ||
I725 | 05 | 299-301 | I860 | 05 | 299-301 | J371 | Pre | 011-013 | ||
I726 | 05 | 299-301 | I861 | 12 | 729-730 | J371 | 03 | 152-153 | ||
I728 | 05 | 299-301 | I862 | 12 | 729-730 | J3800 | Pre | 011-013 | ||
I729 | 05 | 299-301 | I862 | 13 | 742-743 | J3800 | 03 | 154-156 | ||
I7300 | 08 | 545-547 | I862 | 13 | 760-761 | J3800 | 15 | 791 | ||
I7301 | 08 | 545-547 | I863 | 13 | 742-743 | J3800 | 15 | 793 | ||
I731 | 05 | 299-301 | I863 | 13 | 760-761 | J3801 | Pre | 011-013 | ||
I7381 | 05 | 299-301 | I864 | 05 | 299-301 | J3801 | 03 | 154-156 | ||
I7389 | 05 | 299-301 | I868 | 05 | 299-301 | J3801 | 15 | 791 | ||
I739 | 05 | 299-301 | I87001 | 05 | 299-301 | J3801 | 15 | 793 | ||
I7401 | 05 | 299-301 | I87002 | 05 | 299-301 | J3802 | Pre | 011-013 | ||
I7401 | 15 | 791 | I87003 | 05 | 299-301 | J3802 | 03 | 154-156 | ||
I7401 | 15 | 793 | I87009 | 05 | 299-301 | J3802 | 15 | 791 | ||
I7409 | 05 | 299-301 | I87011 | 05 | 299-301 | J3802 | 15 | 793 | ||
I7409 | 15 | 791 | I87012 | 05 | 299-301 | J381 | Pre | 011-013 | ||
I7409 | 15 | 793 | I87013 | 05 | 299-301 | J381 | 03 | 154-156 | ||
I7410 | 05 | 299-301 | I87019 | 05 | 299-301 | J382 | Pre | 011-013 | ||
I7410 | 15 | 791 | I87021 | 05 | 299-301 | J382 | 03 | 154-156 | ||
I7410 | 15 | 793 | I87022 | 05 | 299-301 | J383 | Pre | 011-013 | ||
I7411 | 05 | 299-301 | I87023 | 05 | 299-301 | J383 | 03 | 154-156 | ||
I7411 | 15 | 791 | I87029 | 05 | 299-301 | J384 | Pre | 011-013 | ||
I7411 | 15 | 793 | I87031 | 05 | 299-301 | J384 | 03 | 154-156 | ||
I7419 | 05 | 299-301 | I87032 | 05 | 299-301 | J385 | Pre | 011-013 | ||
I7419 | 15 | 791 | I87033 | 05 | 299-301 | J385 | 03 | 154-156 | ||
I7419 | 15 | 793 | I87039 | 05 | 299-301 | J385 | 15 | 791 | ||
I742 | 05 | 299-301 | I87091 | 05 | 299-301 | J385 | 15 | 793 | ||
I742 | 15 | 791 | I87092 | 05 | 299-301 | J386 | Pre | 011-013 | ||
I742 | 15 | 793 | I87093 | 05 | 299-301 | J386 | 03 | 154-156 | ||
I743 | 05 | 299-301 | I87099 | 05 | 299-301 | J387 | Pre | 011-013 | ||
I743 | 15 | 791 | I871 | 05 | 299-301 | J387 | 03 | 154-156 | ||
I743 | 15 | 793 | I872 | 05 | 299-301 | J390 | Pre | 011-013 | ||
I744 | 05 | 299-301 | I87301 | 05 | 299-301 | J390 | 03 | 152-153 | ||
I744 | 15 | 791 | I87302 | 05 | 299-301 | J390 | 15 | 791 | ||
I744 | 15 | 793 | I87303 | 05 | 299-301 | J390 | 15 | 793 | ||
I745 | 05 | 299-301 | I87309 | 05 | 299-301 | J391 | Pre | 011-013 | ||
I745 | 15 | 791 | I87311 | 05 | 299-301 | J391 | 03 | 152-153 | ||
I745 | 15 | 793 | I87312 | 05 | 299-301 | J392 | Pre | 011-013 | ||
I748 | 05 | 299-301 | I87313 | 05 | 299-301 | J392 | 03 | 154-156 | ||
I748 | 15 | 791 | I87319 | 05 | 299-301 | J393 | Pre | 011-013 | ||
I748 | 15 | 793 | I87321 | 05 | 299-301 | J393 | 03 | 152-153 | ||
I749 | 05 | 299-301 | I87322 | 05 | 299-301 | J398 | Pre | 011-013 | ||
I749 | 15 | 791 | I87323 | 05 | 299-301 | J398 | 04 | 202-203 | ||
I749 | 15 | 793 | I87329 | 05 | 299-301 | J399 | Pre | 011-013 | ||
I75011 | 05 | 299-301 | I87331 | 05 | 299-301 | J399 | 03 | 152-153 | ||
I75012 | 05 | 299-301 | I87332 | 05 | 299-301 | J40 | 04 | 202-203 | ||
I75013 | 05 | 299-301 | I87333 | 05 | 299-301 | J410 | 04 | 202-203 | ||
I75019 | 05 | 299-301 | I87339 | 05 | 299-301 | J411 | 04 | 190-192 | ||
I75021 | 05 | 299-301 | I87391 | 05 | 299-301 | J418 | 04 | 190-192 | ||
I75022 | 05 | 299-301 | I87392 | 05 | 299-301 | J42 | 04 | 190-192 | ||
I75023 | 05 | 299-301 | I87393 | 05 | 299-301 | J430 | 04 | 190-192 | ||
I75029 | 05 | 299-301 | I87399 | 05 | 299-301 | J431 | 04 | 190-192 | ||
I7581 | 11 | 698-700 | I878 | 05 | 302-303 | J432 | 04 | 190-192 | ||
I7589 | 05 | 299-301 | I879 | 05 | 302-303 | J438 | 04 | 190-192 | ||
I76 | 05 | 299-301 | I880 | 06 | 393-395 | J439 | 04 | 190-192 | ||
I76 | 15 | 791 | I881 | 16 | 814-816 | J440 | 04 | 190-192 | ||
I76 | 15 | 793 | I888 | 16 | 814-816 | J441 | 04 | 190-192 | ||
I770 | 05 | 299-301 | I889 | 16 | 814-816 | J449 | 04 | 190-192 | ||
I771 | 05 | 299-301 | I890 | 09 | 606-607 | J4520 | 04 | 202-203 | ||
I772 | 05 | 299-301 | I891 | 09 | 602-603 | J4521 | 04 | 202-203 | ||
I773 | 05 | 299-301 | I891 | 15 | 791 | J4522 | 04 | 202-203 | ||
I774 | 06 | 391-392 | I891 | 15 | 793 | J4522 | 15 | 791 | ||
I775 | 05 | 299-301 | I898 | 16 | 814-816 | J4522 | 15 | 793 | ||
I776 | 08 | 545-547 | I899 | 16 | 814-816 | J4530 | 04 | 202-203 | ||
I7770 | 05 | 299-301 | I950 | 05 | 314-316 | J4531 | 04 | 202-203 | ||
I7771 | 05 | 299-301 | I951 | 05 | 312 | J4532 | 04 | 202-203 | ||
I7772 | 05 | 299-301 | I952 | 05 | 312 | J4532 | 15 | 791 | ||
I7773 | 11 | 698-700 | I953 | 05 | 312 | J4532 | 15 | 793 | ||
I7774 | 05 | 299-301 | I9581 | 05 | 312 | J4540 | 04 | 202-203 | ||
I7775 | 05 | 299-301 | I9589 | 05 | 314-316 | J4541 | 04 | 202-203 | ||
I7776 | 05 | 299-301 | I959 | 05 | 314-316 | J4542 | 04 | 202-203 | ||
I7777 | 05 | 299-301 | I96 | 05 | 299-301 | J4542 | 15 | 791 | ||
I7779 | 05 | 299-301 | I96 | 15 | 791 | J4542 | 15 | 793 | ||
I77810 | 05 | 299-301 | I96 | 15 | 793 | J4550 | 04 | 202-203 | ||
I77811 | 05 | 299-301 | I970 | 05 | 314-316 | J4551 | 04 | 202-203 | ||
I77812 | 05 | 299-301 | I970 | 15 | 791 | J4552 | 04 | 202-203 | ||
I77819 | 05 | 299-301 | I970 | 15 | 793 | J4552 | 15 | 791 | ||
I7789 | 05 | 299-301 | I97110 | 05 | 314-316 | J4552 | 15 | 793 | ||
I779 | 05 | 299-301 | I97110 | 15 | 791 | J45901 | 04 | 202-203 | ||
I780 | 05 | 299-301 | I97110 | 15 | 793 | J45902 | 04 | 202-203 | ||
I781 | 09 | 606-607 | I97111 | 05 | 314-316 | J45902 | 15 | 791 | ||
I788 | 05 | 299-301 | I97111 | 15 | 791 | J45902 | 15 | 793 | ||
I789 | 05 | 299-301 | I97111 | 15 | 793 | J45909 | 04 | 202-203 | ||
I790 | 05 | 299-301 | I97120 | 05 | 314-316 | J45990 | 04 | 202-203 | ||
I791 | 05 | 299-301 | I97120 | 15 | 791 | J45991 | 04 | 202-203 | ||
I798 | 05 | 299-301 | I97120 | 15 | 793 | J45998 | 04 | 202-203 | ||
I8000 | 05 | 299-301 | I97121 | 05 | 314-316 | J470 | 04 | 190-192 | ||
I8001 | 05 | 299-301 | I97121 | 15 | 791 | J471 | 04 | 190-192 | ||
I8002 | 05 | 299-301 | I97121 | 15 | 793 | J479 | 04 | 190-192 | ||
I8003 | 05 | 299-301 | I97130 | 05 | 314-316 | J60 | 04 | 196-198 | ||
I8010 | 05 | 294-295 | I97130 | 15 | 791 | J61 | 04 | 196-198 | ||
I8010 | 15 | 791 | I97130 | 15 | 793 | J620 | 04 | 196-198 | ||
I8010 | 15 | 793 | I97131 | 05 | 314-316 | J628 | 04 | 196-198 | ||
I8011 | 05 | 294-295 | I97131 | 15 | 791 | J630 | 04 | 196-198 | ||
I8011 | 15 | 791 | I97131 | 15 | 793 | J631 | 04 | 196-198 | ||
I8011 | 15 | 793 | I97190 | 05 | 314-316 | J632 | 04 | 196-198 | ||
I8012 | 05 | 294-295 | I97190 | 15 | 791 | J633 | 04 | 196-198 | ||
I8012 | 15 | 791 | I97190 | 15 | 793 | J634 | 04 | 196-198 | ||
I8012 | 15 | 793 | I97191 | 05 | 314-316 | J635 | 04 | 196-198 | ||
I8013 | 05 | 294-295 | I97191 | 15 | 791 | J636 | 04 | 196-198 | ||
I8013 | 15 | 791 | I97191 | 15 | 793 | J64 | 04 | 196-198 | ||
I8013 | 15 | 793 | I972 | 09 | 600-601 | J65 | 04 | 196-198 | ||
I80201 | 05 | 294-295 | I973 | 21 | 919-921 | J660 | 04 | 196-198 | ||
I80201 | 15 | 791 | I97410 | 21 | 919-921 | J661 | 04 | 196-198 | ||
I80201 | 15 | 793 | I97411 | 21 | 919-921 | J662 | 04 | 196-198 | ||
I80202 | 05 | 294-295 | I97418 | 21 | 919-921 | J668 | 04 | 196-198 | ||
I80202 | 15 | 791 | I9742 | 21 | 919-921 | J670 | 04 | 196-198 | ||
I80202 | 15 | 793 | I9751 | 15 | 791 | J671 | 04 | 196-198 | ||
I80203 | 05 | 294-295 | I9751 | 15 | 793 | J672 | 04 | 196-198 | ||
I80203 | 15 | 791 | I9751 | 21 | 919-921 | J673 | 04 | 196-198 | ||
I80203 | 15 | 793 | I9752 | 15 | 791 | J674 | 04 | 196-198 | ||
I80209 | 05 | 294-295 | I9752 | 15 | 793 | J675 | 04 | 196-198 | ||
I80209 | 15 | 791 | I9752 | 21 | 919-921 | J676 | 04 | 196-198 | ||
I80209 | 15 | 793 | I97610 | 21 | 919-921 | J677 | 04 | 196-198 | ||
I80211 | 05 | 294-295 | I97611 | 21 | 919-921 | J678 | 04 | 196-198 | ||
I80211 | 15 | 791 | I97618 | 21 | 919-921 | J679 | 04 | 196-198 | ||
I80211 | 15 | 793 | I97620 | 21 | 919-921 | J680 | 04 | 205-206 | ||
I80212 | 05 | 294-295 | I97621 | 21 | 919-921 | J681 | 04 | 189 | ||
I80212 | 15 | 791 | I97622 | 21 | 919-921 | J682 | 04 | 205-206 | ||
I80212 | 15 | 793 | I97630 | 21 | 919-921 | J683 | 04 | 205-206 | ||
I80213 | 05 | 294-295 | I97631 | 21 | 919-921 | J684 | 04 | 190-192 | ||
I80213 | 15 | 791 | I97638 | 21 | 919-921 | J688 | 04 | 190-192 | ||
I80213 | 15 | 793 | I97640 | 21 | 919-921 | J689 | 04 | 190-192 | ||
I80219 | 05 | 294-295 | I97641 | 21 | 919-921 | J690 | 04 | 177-179 | ||
I80219 | 15 | 791 | I97648 | 21 | 919-921 | J690 | 15 | 791 | ||
I80219 | 15 | 793 | I97710 | 05 | 314-316 | J690 | 15 | 793 | ||
I80221 | 05 | 294-295 | I97710 | 15 | 791 | J691 | 04 | 177-179 | ||
I80221 | 15 | 791 | I97710 | 15 | 793 | J698 | 04 | 177-179 | ||
I80221 | 15 | 793 | I97711 | 05 | 314-316 | J698 | 15 | 791 | ||
I80222 | 05 | 294-295 | I97711 | 15 | 791 | J698 | 15 | 793 | ||
I80222 | 15 | 791 | I97711 | 15 | 793 | J700 | 04 | 205-206 | ||
I80222 | 15 | 793 | I97790 | 05 | 314-316 | J700 | 15 | 791 | ||
I80223 | 05 | 294-295 | I97790 | 15 | 791 | J700 | 15 | 793 | ||
I80223 | 15 | 791 | I97790 | 15 | 793 | J701 | 04 | 196-198 | ||
I80223 | 15 | 793 | I97791 | 05 | 314-316 | J702 | 04 | 205-206 | ||
I80229 | 05 | 294-295 | I97791 | 15 | 791 | J703 | 04 | 205-206 | ||
I80229 | 15 | 791 | I97791 | 15 | 793 | J704 | 04 | 205-206 | ||
I80229 | 15 | 793 | I97810 | 01 | 091-093 | J705 | 04 | 205-206 | ||
I80231 | 05 | 294-295 | I97811 | 01 | 091-093 | J705 | 22 | 928-929,934 | ||
I80231 | 15 | 791 | I97820 | 01 | 091-093 | J708 | 04 | 205-206 | ||
I80231 | 15 | 793 | I97821 | 01 | 091-093 | J709 | 04 | 205-206 | ||
I80232 | 05 | 294-295 | I9788 | 05 | 314-316 | J80 | 04 | 204 | ||
I80232 | 15 | 791 | I9788 | 15 | 791 | J810 | 04 | 189 | ||
I80232 | 15 | 793 | I9788 | 15 | 793 | J810 | 15 | 791 | ||
I80233 | 05 | 294-295 | I9789 | 05 | 314-316 | J810 | 15 | 793 | ||
I80233 | 15 | 791 | I9789 | 15 | 791 | J811 | 04 | 189 | ||
I80233 | 15 | 793 | I9789 | 15 | 793 | J8281 | 04 | 196-198 | ||
I80239 | 05 | 294-295 | I998 | 05 | 302-303 | J8282 | 04 | 196-198 | ||
I80239 | 15 | 791 | I999 | 05 | 302-303 | J8283 | 04 | 196-198 | ||
I80239 | 15 | 793 | J00 | Pre | 011-013 | J8289 | 04 | 196-198 | ||
I80241 | 05 | 294-295 | J00 | 03 | 152-153 | J8401 | 04 | 196-198 | ||
I80241 | 15 | 791 | J0100 | 03 | 152-153 | J8402 | 04 | 196-198 | ||
I80241 | 15 | 793 | J0101 | 03 | 152-153 | J8403 | 04 | 196-198 | ||
I80242 | 05 | 294-295 | J0110 | 03 | 152-153 | J8409 | 04 | 196-198 | ||
I80242 | 15 | 791 | J0111 | 03 | 152-153 | J8410 | 04 | 196-198 | ||
I80242 | 15 | 793 | J0120 | 03 | 152-153 | J84111 | 04 | 196-198 | ||
I80243 | 05 | 294-295 | J0121 | 03 | 152-153 | J84112 | 04 | 196-198 | ||
I80243 | 15 | 791 | J0130 | 03 | 152-153 | J84113 | 04 | 196-198 | ||
I80243 | 15 | 793 | J0131 | 03 | 152-153 | J84114 | 04 | 196-198 | ||
I80249 | 05 | 294-295 | J0140 | 03 | 152-153 | J84115 | 04 | 196-198 | ||
I80249 | 15 | 791 | J0141 | 03 | 152-153 | J84116 | 04 | 196-198 | ||
I80249 | 15 | 793 | J0180 | 03 | 152-153 | J84117 | 04 | 196-198 | ||
I80251 | 05 | 294-295 | J0181 | 03 | 152-153 | J84170 | 04 | 196-198 | ||
I80251 | 15 | 791 | J0190 | 03 | 152-153 | J84178 | 04 | 196-198 | ||
I80251 | 15 | 793 | J0191 | 03 | 152-153 | J842 | 04 | 196-198 | ||
I80252 | 05 | 294-295 | J020 | Pre | 011-013 | J8481 | 04 | 196-198 | ||
I80252 | 15 | 791 | J020 | 03 | 152-153 | J8482 | 04 | 196-198 | ||
I80252 | 15 | 793 | J028 | Pre | 011-013 | J8483 | 04 | 196-198 | ||
I80253 | 05 | 294-295 | J028 | 03 | 152-153 | J8483 | 15 | 791 | ||
I80253 | 15 | 791 | J029 | Pre | 011-013 | J8483 | 15 | 793 | ||
I80253 | 15 | 793 | J029 | 03 | 152-153 | J84841 | 04 | 196-198 | ||
I80259 | 05 | 294-295 | J0300 | Pre | 011-013 | J84841 | 15 | 791 | ||
I80259 | 15 | 791 | J0300 | 03 | 152-153 | J84841 | 15 | 793 | ||
I80259 | 15 | 793 | J0301 | Pre | 011-013 | J84842 | 04 | 196-198 | ||
I80291 | 05 | 294-295 | J0301 | 03 | 152-153 | J84842 | 15 | 791 | ||
I80291 | 15 | 791 | J0380 | Pre | 011-013 | J84842 | 15 | 793 | ||
I80291 | 15 | 793 | J0380 | 03 | 152-153 | J84843 | 04 | 196-198 | ||
I80292 | 05 | 294-295 | J0381 | Pre | 011-013 | J84843 | 15 | 791 | ||
I80292 | 15 | 791 | J0381 | 03 | 152-153 | J84843 | 15 | 793 | ||
I80292 | 15 | 793 | J0390 | Pre | 011-013 | J84848 | 04 | 196-198 | ||
I80293 | 05 | 294-295 | J0390 | 03 | 152-153 | J84848 | 15 | 791 | ||
I80293 | 15 | 791 | J0391 | Pre | 011-013 | J84848 | 15 | 793 | ||
I80293 | 15 | 793 | J0391 | 03 | 152-153 | J8489 | 04 | 196-198 | ||
I80299 | 05 | 294-295 | J040 | Pre | 011-013 | J849 | 04 | 196-198 | ||
I80299 | 15 | 791 | J040 | 03 | 152-153 | J850 | 04 | 177-179 | ||
I80299 | 15 | 793 | J0410 | 04 | 202-203 | J850 | 15 | 791 | ||
I803 | 05 | 294-295 | J0411 | 04 | 202-203 | J850 | 15 | 793 | ||
I803 | 15 | 791 | J042 | Pre | 011-013 | J851 | 04 | 177-179 | ||
I803 | 15 | 793 | J042 | 03 | 152-153 | J851 | 15 | 791 | ||
I808 | 05 | 299-301 | J0430 | Pre | 011-013 | J851 | 15 | 793 | ||
I809 | 05 | 299-301 | J0430 | 03 | 152-153 | J852 | 04 | 177-179 | ||
I81 | 07 | 441-443 | J0431 | Pre | 011-013 | J852 | 15 | 791 | ||
I820 | 07 | 441-443 | J0431 | 03 | 152-153 | J852 | 15 | 793 | ||
I821 | 05 | 299-301 | J050 | Pre | 011-013 | J853 | 04 | 177-179 | ||
I82210 | 05 | 299-301 | J050 | 03 | 152-153 | J853 | 15 | 791 | ||
I82211 | 05 | 299-301 | J0510 | Pre | 011-013 | J853 | 15 | 793 | ||
I82220 | 05 | 294-295 | J0510 | 03 | 152-153 | J860 | 04 | 177-179 | ||
I82220 | 15 | 791 | J0511 | Pre | 011-013 | J860 | 15 | 791 | ||
I82220 | 15 | 793 | J0511 | 03 | 152-153 | J860 | 15 | 793 | ||
I82221 | 05 | 294-295 | J060 | Pre | 011-013 | J869 | 04 | 177-179 | ||
I82221 | 15 | 791 | J060 | 03 | 152-153 | J869 | 15 | 791 | ||
I82221 | 15 | 793 | J069 | Pre | 011-013 | J869 | 15 | 793 | ||
I82290 | 05 | 299-301 | J069 | 03 | 152-153 | J90 | 04 | 186-188 | ||
I82291 | 05 | 299-301 | J09X1 | 04 | 193-195 | J90 | 15 | 791 | ||
I823 | 11 | 698-700 | J09X1 | 15 | 791 | J90 | 15 | 793 | ||
I82401 | 05 | 299-301 | J09X1 | 15 | 793 | J910 | 04 | 180-182 | ||
I82402 | 05 | 299-301 | J09X1 | 25 | 974-976 | J918 | 04 | 186-188 | ||
I82403 | 05 | 299-301 | J09X2 | 04 | 193-195 | J918 | 15 | 791 | ||
I82409 | 05 | 299-301 | J09X2 | 15 | 791 | J918 | 15 | 793 | ||
I82411 | 05 | 299-301 | J09X2 | 15 | 793 | J920 | 04 | 193-195 | ||
I82412 | 05 | 299-301 | J09X3 | 18 | 865-866 | J929 | 04 | 193-195 | ||
I82413 | 05 | 299-301 | J09X9 | 18 | 865-866 | J930 | 04 | 199-201 | ||
I82419 | 05 | 299-301 | J1000 | 04 | 177-179 | J9311 | 04 | 199-201 | ||
I82421 | 05 | 299-301 | J1000 | 04 | 193-195 | J9312 | 04 | 199-201 | ||
I82422 | 05 | 299-301 | J1001 | 04 | 177-179 | J9381 | 04 | 199-201 | ||
I82423 | 05 | 299-301 | J1001 | 04 | 193-195 | J9382 | 04 | 199-201 | ||
I82429 | 05 | 299-301 | J1008 | 04 | 177-179 | J9383 | 04 | 199-201 | ||
I82431 | 05 | 299-301 | J1008 | 04 | 193-195 | J939 | 04 | 199-201 | ||
I82432 | 05 | 299-301 | J1008 | 15 | 791 | J940 | 04 | 186-188 | ||
I82433 | 05 | 299-301 | J1008 | 15 | 793 | J940 | 15 | 791 | ||
I82439 | 05 | 299-301 | J1008 | 25 | 974-976 | J940 | 15 | 793 | ||
I82441 | 05 | 299-301 | J101 | 04 | 193-195 | J941 | 04 | 193-195 | ||
I82442 | 05 | 299-301 | J101 | 15 | 791 | J942 | 04 | 186-188 | ||
I82443 | 05 | 299-301 | J101 | 15 | 793 | J942 | 15 | 791 | ||
I82449 | 05 | 299-301 | J102 | 18 | 865-866 | J942 | 15 | 793 | ||
I82451 | 05 | 299-301 | J1081 | 18 | 865-866 | J948 | 04 | 186-188 | ||
I82452 | 05 | 299-301 | J1082 | 18 | 865-866 | J948 | 15 | 791 | ||
I82453 | 05 | 299-301 | J1083 | 18 | 865-866 | J948 | 15 | 793 | ||
I82459 | 05 | 299-301 | J1089 | 18 | 865-866 | J949 | 04 | 193-195 | ||
I82461 | 05 | 299-301 | J1100 | 04 | 177-179 | J9500 | Pre | 011-013 | ||
I82462 | 05 | 299-301 | J1100 | 04 | 193-195 | J9500 | 04 | 205-206 | ||
I82463 | 05 | 299-301 | J1108 | 04 | 177-179 | J9501 | Pre | 011-013 | ||
I82469 | 05 | 299-301 | J1108 | 04 | 193-195 | J9501 | 04 | 205-206 | ||
I82491 | 05 | 299-301 | J111 | 03 | 152-153 | J9502 | Pre | 011-013 | ||
I82492 | 05 | 299-301 | J112 | 18 | 865-866 | J9502 | 04 | 205-206 | ||
I82493 | 05 | 299-301 | J1181 | 18 | 865-866 | J9503 | Pre | 011-013 | ||
I82499 | 05 | 299-301 | J1182 | 18 | 865-866 | J9503 | 04 | 205-206 | ||
I824Y1 | 05 | 299-301 | J1183 | 18 | 865-866 | J9504 | Pre | 011-013 | ||
I824Y2 | 05 | 299-301 | J1189 | 18 | 865-866 | J9504 | 04 | 205-206 | ||
I824Y3 | 05 | 299-301 | J120 | 04 | 193-195 | J9509 | Pre | 011-013 | ||
I824Y9 | 05 | 299-301 | J121 | 04 | 193-195 | J9509 | 04 | 205-206 | ||
I824Z1 | 05 | 299-301 | J122 | 04 | 193-195 | J951 | 04 | 189 | ||
I824Z2 | 05 | 299-301 | J123 | 04 | 193-195 | J951 | 15 | 791 | ||
I824Z3 | 05 | 299-301 | J123 | 25 | 974-976 | J951 | 15 | 793 | ||
I824Z9 | 05 | 299-301 | J1281 | 04 | 193-195 | J951 | 22 | 928-929,934 | ||
I82501 | 05 | 299-301 | J1281 | 25 | 974-976 | J952 | 04 | 189 | ||
I82502 | 05 | 299-301 | J1282 | 04 | 193-195 | J952 | 15 | 791 | ||
I82503 | 05 | 299-301 | J1282 | 25 | 974-976 | J952 | 15 | 793 | ||
I82509 | 05 | 299-301 | J1289 | 04 | 193-195 | J952 | 22 | 928-929,934 | ||
I82511 | 05 | 299-301 | J1289 | 25 | 974-976 | J953 | 04 | 189 | ||
I82512 | 05 | 299-301 | J129 | 04 | 193-195 | J953 | 15 | 791 | ||
I82513 | 05 | 299-301 | J129 | 25 | 974-976 | J953 | 15 | 793 | ||
I82519 | 05 | 299-301 | J13 | 04 | 193-195 | J953 | 22 | 928-929,934 | ||
I82521 | 05 | 299-301 | J13 | 15 | 791 | J954 | 04 | 205-206 | ||
I82522 | 05 | 299-301 | J13 | 15 | 793 | J954 | 15 | 791 | ||
I82523 | 05 | 299-301 | J13 | 25 | 974-976 | J954 | 15 | 793 | ||
I82529 | 05 | 299-301 | J14 | 04 | 193-195 | J955 | 04 | 205-206 | ||
I82531 | 05 | 299-301 | J14 | 15 | 791 | J955 | 15 | 791 | ||
I82532 | 05 | 299-301 | J14 | 15 | 793 | J955 | 15 | 793 | ||
I82533 | 05 | 299-301 | J14 | 25 | 974-976 | J9561 | 21 | 919-921 | ||
I82539 | 05 | 299-301 | J150 | 04 | 177-179 | J9562 | 21 | 919-921 | ||
I82541 | 05 | 299-301 | J150 | 15 | 791 | J9571 | 15 | 791 | ||
I82542 | 05 | 299-301 | J150 | 15 | 793 | J9571 | 15 | 793 | ||
I82543 | 05 | 299-301 | J150 | 25 | 974-976 | J9571 | 21 | 919-921 | ||
I82549 | 05 | 299-301 | J151 | 04 | 177-179 | J9572 | 15 | 791 | ||
I82551 | 05 | 299-301 | J151 | 15 | 791 | J9572 | 15 | 793 | ||
I82552 | 05 | 299-301 | J151 | 15 | 793 | J9572 | 21 | 919-921 | ||
I82553 | 05 | 299-301 | J151 | 25 | 974-976 | J95811 | 04 | 199-201 | ||
I82559 | 05 | 299-301 | J1520 | 04 | 177-179 | J95812 | 04 | 199-201 | ||
I82561 | 05 | 299-301 | J1520 | 15 | 791 | J95821 | 04 | 189 | ||
I82562 | 05 | 299-301 | J1520 | 15 | 793 | J95821 | 22 | 928-929,934 | ||
I82563 | 05 | 299-301 | J1520 | 25 | 974-976 | J95822 | 04 | 189 | ||
I82569 | 05 | 299-301 | J15211 | 04 | 177-179 | J95822 | 22 | 928-929,934 | ||
I82591 | 05 | 299-301 | J15211 | 15 | 791 | J95830 | 21 | 919-921 | ||
I82592 | 05 | 299-301 | J15211 | 15 | 793 | J95831 | 21 | 919-921 | ||
I82593 | 05 | 299-301 | J15211 | 25 | 974-976 | J9584 | 04 | 205-206 | ||
I82599 | 05 | 299-301 | J15212 | 04 | 177-179 | J95850 | 23 | 951 | ||
I825Y1 | 05 | 299-301 | J15212 | 15 | 791 | J95851 | 04 | 205-206 | ||
I825Y2 | 05 | 299-301 | J15212 | 15 | 793 | J95851 | 15 | 791 | ||
I825Y3 | 05 | 299-301 | J15212 | 25 | 974-976 | J95851 | 15 | 793 | ||
I825Y9 | 05 | 299-301 | J1529 | 04 | 177-179 | J95859 | 04 | 205-206 | ||
I825Z1 | 05 | 299-301 | J1529 | 15 | 791 | J95859 | 15 | 791 | ||
I825Z2 | 05 | 299-301 | J1529 | 15 | 793 | J95859 | 15 | 793 | ||
I825Z3 | 05 | 299-301 | J1529 | 25 | 974-976 | J95860 | 21 | 919-921 | ||
I825Z9 | 05 | 299-301 | J153 | 04 | 193-195 | J95861 | 21 | 919-921 | ||
I82601 | 05 | 299-301 | J153 | 15 | 791 | J95862 | 21 | 919-921 | ||
I82602 | 05 | 299-301 | J153 | 15 | 793 | J95863 | 21 | 919-921 | ||
I82603 | 05 | 299-301 | J153 | 25 | 974-976 | J9588 | 04 | 205-206 | ||
I82609 | 05 | 299-301 | J154 | 04 | 193-195 | J9588 | 15 | 791 | ||
I82611 | 05 | 299-301 | J154 | 15 | 791 | J9588 | 15 | 793 | ||
I82612 | 05 | 299-301 | J154 | 15 | 793 | J9589 | 04 | 205-206 | ||
I82613 | 05 | 299-301 | J154 | 25 | 974-976 | J9589 | 15 | 791 | ||
I82619 | 05 | 299-301 | J155 | 04 | 177-179 | J9589 | 15 | 793 | ||
I82621 | 05 | 299-301 | J155 | 15 | 791 | J9600 | 04 | 189 | ||
I82622 | 05 | 299-301 | J155 | 15 | 793 | J9600 | 22 | 928-929,934 | ||
I82623 | 05 | 299-301 | J155 | 25 | 974-976 | J9601 | 04 | 189 | ||
I82629 | 05 | 299-301 | J156 | 04 | 177-179 | J9601 | 22 | 928-929,934 | ||
J156 | 15 | 791 | ||||||||
J156 | 15 | 793 | ||||||||
J156 | 25 | 974-976 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 16:20:17 CMS, code-revision=332, description-revision=1327 |