ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 29 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
R936 | 08 | 564-566 | S0092XS | 09 | 604-605 | S0192XA | 09 | 604-605 | ||
R937 | 08 | 564-566 | S0093XA | 09 | 604-605 | S0192XA | 24 | 963-965 | ||
R93811 | 12 | 729-730 | S0093XA | 24 | 963-965 | S0192XD | 23 | 949-950 | ||
R93812 | 12 | 729-730 | S0093XD | 23 | 949-950 | S0192XS | 09 | 604-605 | ||
R93813 | 12 | 729-730 | S0093XS | 09 | 604-605 | S0193XA | 09 | 604-605 | ||
R93819 | 12 | 729-730 | S0094XA | 09 | 604-605 | S0193XA | 24 | 963-965 | ||
R9389 | 23 | 947-948 | S0094XA | 24 | 963-965 | S0193XD | 23 | 949-950 | ||
R939 | 23 | 947-948 | S0094XD | 23 | 949-950 | S0193XS | 09 | 604-605 | ||
R9401 | 01 | 091-093 | S0094XS | 09 | 604-605 | S0194XA | 09 | 604-605 | ||
R9402 | 01 | 091-093 | S0095XA | 09 | 604-605 | S0194XA | 24 | 963-965 | ||
R9409 | 01 | 091-093 | S0095XA | 24 | 963-965 | S0194XD | 23 | 949-950 | ||
R94110 | 02 | 124-125 | S0095XD | 23 | 949-950 | S0194XS | 09 | 604-605 | ||
R94111 | 02 | 124-125 | S0095XS | 09 | 604-605 | S0195XA | 09 | 604-605 | ||
R94112 | 02 | 124-125 | S0096XA | 09 | 606-607 | S0195XA | 24 | 963-965 | ||
R94113 | 02 | 124-125 | S0096XA | 24 | 963-965 | S0195XD | 23 | 949-950 | ||
R94118 | 01 | 091-093 | S0096XD | 23 | 949-950 | S0195XS | 09 | 604-605 | ||
R94120 | 03 | 154-156 | S0096XS | 09 | 604-605 | S020XXA | 01 | 082-084 | ||
R94120 | 15 | 795 | S0097XA | 09 | 604-605 | S020XXA | 01 | 085-087 | ||
R94121 | 03 | 154-156 | S0097XA | 24 | 963-965 | S020XXA | 24 | 963-965 | ||
R94128 | 01 | 091-093 | S0097XD | 23 | 949-950 | S020XXB | 01 | 082-084 | ||
R94130 | 01 | 091-093 | S0097XS | 09 | 604-605 | S020XXB | 01 | 085-087 | ||
R94131 | 08 | 564-566 | S0100XA | 09 | 604-605 | S020XXB | 24 | 963-965 | ||
R94138 | 01 | 091-093 | S0100XA | 24 | 963-965 | S020XXD | 08 | 559-561 | ||
R942 | 04 | 205-206 | S0100XD | 23 | 949-950 | S020XXG | 08 | 559-561 | ||
R9430 | 05 | 314-316 | S0100XS | 09 | 604-605 | S020XXK | 08 | 564-566 | ||
R9431 | 05 | 314-316 | S0101XA | 09 | 604-605 | S020XXS | 01 | 091-093 | ||
R9439 | 05 | 314-316 | S0101XA | 24 | 963-965 | S02101A | 01 | 082-084 | ||
R944 | 11 | 695-696 | S0101XD | 23 | 949-950 | S02101A | 01 | 085-087 | ||
R945 | 07 | 441-443 | S0101XS | 09 | 604-605 | S02101A | 24 | 963-965 | ||
R946 | 10 | 643-645 | S0102XA | 09 | 604-605 | S02101B | 01 | 082-084 | ||
R947 | 10 | 643-645 | S0102XA | 24 | 963-965 | S02101B | 01 | 085-087 | ||
R948 | 11 | 695-696 | S0102XD | 23 | 949-950 | S02101B | 24 | 963-965 | ||
R970 | 23 | 947-948 | S0102XS | 09 | 604-605 | S02101D | 08 | 559-561 | ||
R971 | 23 | 947-948 | S0103XA | 09 | 604-605 | S02101G | 08 | 559-561 | ||
R9720 | 23 | 947-948 | S0103XA | 24 | 963-965 | S02101K | 08 | 564-566 | ||
R9721 | 23 | 947-948 | S0103XD | 23 | 949-950 | S02101S | 01 | 091-093 | ||
R978 | 23 | 947-948 | S0103XS | 09 | 604-605 | S02102A | 01 | 082-084 | ||
R99 | 23 | 951 | S0104XA | 09 | 604-605 | S02102A | 01 | 085-087 | ||
S0000XA | 09 | 604-605 | S0104XA | 24 | 963-965 | S02102A | 24 | 963-965 | ||
S0000XA | 24 | 963-965 | S0104XD | 23 | 949-950 | S02102B | 01 | 082-084 | ||
S0000XD | 23 | 949-950 | S0104XS | 09 | 604-605 | S02102B | 01 | 085-087 | ||
S0000XS | 09 | 604-605 | S0105XA | 09 | 604-605 | S02102B | 24 | 963-965 | ||
S0001XA | 09 | 604-605 | S0105XA | 24 | 963-965 | S02102D | 08 | 559-561 | ||
S0001XA | 24 | 963-965 | S0105XD | 23 | 949-950 | S02102G | 08 | 559-561 | ||
S0001XD | 23 | 949-950 | S0105XS | 09 | 604-605 | S02102K | 08 | 564-566 | ||
S0001XS | 09 | 604-605 | S01101A | 02 | 124-125 | S02102S | 01 | 091-093 | ||
S0002XA | 09 | 606-607 | S01101A | 24 | 963-965 | S02109A | 01 | 082-084 | ||
S0002XA | 24 | 963-965 | S01101D | 23 | 949-950 | S02109A | 01 | 085-087 | ||
S0002XD | 23 | 949-950 | S01101S | 09 | 604-605 | S02109A | 24 | 963-965 | ||
S0002XS | 09 | 604-605 | S01102A | 02 | 124-125 | S02109B | 01 | 082-084 | ||
S0003XA | 09 | 604-605 | S01102A | 24 | 963-965 | S02109B | 01 | 085-087 | ||
S0003XA | 24 | 963-965 | S01102D | 23 | 949-950 | S02109B | 24 | 963-965 | ||
S0003XD | 23 | 949-950 | S01102S | 09 | 604-605 | S02109D | 08 | 559-561 | ||
S0003XS | 09 | 604-605 | S01109A | 02 | 124-125 | S02109G | 08 | 559-561 | ||
S0004XA | 09 | 604-605 | S01109A | 24 | 963-965 | S02109K | 08 | 564-566 | ||
S0004XA | 24 | 963-965 | S01109D | 23 | 949-950 | S02109S | 01 | 091-093 | ||
S0004XD | 23 | 949-950 | S01109S | 09 | 604-605 | S02110A | 01 | 082-084 | ||
S0004XS | 09 | 604-605 | S01111A | 02 | 124-125 | S02110A | 01 | 085-087 | ||
S0005XA | 09 | 604-605 | S01111A | 24 | 963-965 | S02110A | 24 | 963-965 | ||
S0005XA | 24 | 963-965 | S01111D | 23 | 949-950 | S02110B | 01 | 082-084 | ||
S0005XD | 23 | 949-950 | S01111S | 09 | 604-605 | S02110B | 01 | 085-087 | ||
S0005XS | 09 | 604-605 | S01112A | 02 | 124-125 | S02110B | 24 | 963-965 | ||
S0006XA | 09 | 606-607 | S01112A | 24 | 963-965 | S02110D | 08 | 559-561 | ||
S0006XA | 24 | 963-965 | S01112D | 23 | 949-950 | S02110G | 08 | 559-561 | ||
S0006XD | 23 | 949-950 | S01112S | 09 | 604-605 | S02110K | 08 | 564-566 | ||
S0006XS | 09 | 604-605 | S01119A | 02 | 124-125 | S02110S | 01 | 091-093 | ||
S0007XA | 09 | 604-605 | S01119A | 24 | 963-965 | S02111A | 01 | 082-084 | ||
S0007XA | 24 | 963-965 | S01119D | 23 | 949-950 | S02111A | 01 | 085-087 | ||
S0007XD | 23 | 949-950 | S01119S | 09 | 604-605 | S02111A | 24 | 963-965 | ||
S0007XS | 09 | 604-605 | S01121A | 02 | 124-125 | S02111B | 01 | 082-084 | ||
S0010XA | 02 | 124-125 | S01121A | 24 | 963-965 | S02111B | 01 | 085-087 | ||
S0010XA | 24 | 963-965 | S01121D | 23 | 949-950 | S02111B | 24 | 963-965 | ||
S0010XD | 23 | 949-950 | S01121S | 09 | 604-605 | S02111D | 08 | 559-561 | ||
S0010XS | 09 | 604-605 | S01122A | 02 | 124-125 | S02111G | 08 | 559-561 | ||
S0011XA | 02 | 124-125 | S01122A | 24 | 963-965 | S02111K | 08 | 564-566 | ||
S0011XA | 24 | 963-965 | S01122D | 23 | 949-950 | S02111S | 01 | 091-093 | ||
S0011XD | 23 | 949-950 | S01122S | 09 | 604-605 | S02112A | 01 | 082-084 | ||
S0011XS | 09 | 604-605 | S01129A | 02 | 124-125 | S02112A | 01 | 085-087 | ||
S0012XA | 02 | 124-125 | S01129A | 24 | 963-965 | S02112A | 24 | 963-965 | ||
S0012XA | 24 | 963-965 | S01129D | 23 | 949-950 | S02112B | 01 | 082-084 | ||
S0012XD | 23 | 949-950 | S01129S | 09 | 604-605 | S02112B | 01 | 085-087 | ||
S0012XS | 09 | 604-605 | S01131A | 02 | 124-125 | S02112B | 24 | 963-965 | ||
S00201A | 02 | 124-125 | S01131A | 24 | 963-965 | S02112D | 08 | 559-561 | ||
S00201A | 24 | 963-965 | S01131D | 23 | 949-950 | S02112G | 08 | 559-561 | ||
S00201D | 23 | 949-950 | S01131S | 09 | 604-605 | S02112K | 08 | 564-566 | ||
S00201S | 09 | 604-605 | S01132A | 02 | 124-125 | S02112S | 01 | 091-093 | ||
S00202A | 02 | 124-125 | S01132A | 24 | 963-965 | S02113A | 01 | 082-084 | ||
S00202A | 24 | 963-965 | S01132D | 23 | 949-950 | S02113A | 01 | 085-087 | ||
S00202D | 23 | 949-950 | S01132S | 09 | 604-605 | S02113A | 24 | 963-965 | ||
S00202S | 09 | 604-605 | S01139A | 02 | 124-125 | S02113B | 01 | 082-084 | ||
S00209A | 02 | 124-125 | S01139A | 24 | 963-965 | S02113B | 01 | 085-087 | ||
S00209A | 24 | 963-965 | S01139D | 23 | 949-950 | S02113B | 24 | 963-965 | ||
S00209D | 23 | 949-950 | S01139S | 09 | 604-605 | S02113D | 08 | 559-561 | ||
S00209S | 09 | 604-605 | S01141A | 02 | 124-125 | S02113G | 08 | 559-561 | ||
S00211A | 02 | 124-125 | S01141A | 24 | 963-965 | S02113K | 08 | 564-566 | ||
S00211A | 24 | 963-965 | S01141D | 23 | 949-950 | S02113S | 01 | 091-093 | ||
S00211D | 23 | 949-950 | S01141S | 09 | 604-605 | S02118A | 01 | 082-084 | ||
S00211S | 09 | 604-605 | S01142A | 02 | 124-125 | S02118A | 01 | 085-087 | ||
S00212A | 02 | 124-125 | S01142A | 24 | 963-965 | S02118A | 24 | 963-965 | ||
S00212A | 24 | 963-965 | S01142D | 23 | 949-950 | S02118B | 01 | 082-084 | ||
S00212D | 23 | 949-950 | S01142S | 09 | 604-605 | S02118B | 01 | 085-087 | ||
S00212S | 09 | 604-605 | S01149A | 02 | 124-125 | S02118B | 24 | 963-965 | ||
S00219A | 02 | 124-125 | S01149A | 24 | 963-965 | S02118D | 08 | 559-561 | ||
S00219A | 24 | 963-965 | S01149D | 23 | 949-950 | S02118G | 08 | 559-561 | ||
S00219D | 23 | 949-950 | S01149S | 09 | 604-605 | S02118K | 08 | 564-566 | ||
S00219S | 09 | 604-605 | S01151A | 02 | 124-125 | S02118S | 01 | 091-093 | ||
S00221A | 02 | 124-125 | S01151A | 24 | 963-965 | S02119A | 01 | 082-084 | ||
S00221A | 24 | 963-965 | S01151D | 23 | 949-950 | S02119A | 01 | 085-087 | ||
S00221D | 23 | 949-950 | S01151S | 09 | 604-605 | S02119A | 24 | 963-965 | ||
S00221S | 09 | 604-605 | S01152A | 02 | 124-125 | S02119B | 01 | 082-084 | ||
S00222A | 02 | 124-125 | S01152A | 24 | 963-965 | S02119B | 01 | 085-087 | ||
S00222A | 24 | 963-965 | S01152D | 23 | 949-950 | S02119B | 24 | 963-965 | ||
S00222D | 23 | 949-950 | S01152S | 09 | 604-605 | S02119D | 08 | 559-561 | ||
S00222S | 09 | 604-605 | S01159A | 02 | 124-125 | S02119G | 08 | 559-561 | ||
S00229A | 02 | 124-125 | S01159A | 24 | 963-965 | S02119K | 08 | 564-566 | ||
S00229A | 24 | 963-965 | S01159D | 23 | 949-950 | S02119S | 01 | 091-093 | ||
S00229D | 23 | 949-950 | S01159S | 09 | 604-605 | S0211AA | 01 | 082-084 | ||
S00229S | 09 | 604-605 | S0120XA | Pre | 011-013 | S0211AA | 01 | 085-087 | ||
S00241A | 02 | 124-125 | S0120XA | 03 | 154-156 | S0211AA | 24 | 963-965 | ||
S00241A | 24 | 963-965 | S0120XA | 24 | 963-965 | S0211AB | 01 | 082-084 | ||
S00241D | 23 | 949-950 | S0120XD | 23 | 949-950 | S0211AB | 01 | 085-087 | ||
S00241S | 09 | 604-605 | S0120XS | 09 | 604-605 | S0211AB | 24 | 963-965 | ||
S00242A | 02 | 124-125 | S0121XA | Pre | 011-013 | S0211AD | 08 | 559-561 | ||
S00242A | 24 | 963-965 | S0121XA | 03 | 154-156 | S0211AG | 08 | 559-561 | ||
S00242D | 23 | 949-950 | S0121XA | 24 | 963-965 | S0211AK | 08 | 564-566 | ||
S00242S | 09 | 604-605 | S0121XD | 23 | 949-950 | S0211AS | 01 | 091-093 | ||
S00249A | 02 | 124-125 | S0121XS | 09 | 604-605 | S0211BA | 01 | 082-084 | ||
S00249A | 24 | 963-965 | S0122XA | Pre | 011-013 | S0211BA | 01 | 085-087 | ||
S00249D | 23 | 949-950 | S0122XA | 03 | 154-156 | S0211BA | 24 | 963-965 | ||
S00249S | 09 | 604-605 | S0122XA | 24 | 963-965 | S0211BB | 01 | 082-084 | ||
S00251A | 02 | 124-125 | S0122XD | 23 | 949-950 | S0211BB | 01 | 085-087 | ||
S00251A | 24 | 963-965 | S0122XS | 09 | 604-605 | S0211BB | 24 | 963-965 | ||
S00251D | 23 | 949-950 | S0123XA | Pre | 011-013 | S0211BD | 08 | 559-561 | ||
S00251S | 09 | 604-605 | S0123XA | 03 | 154-156 | S0211BG | 08 | 559-561 | ||
S00252A | 02 | 124-125 | S0123XA | 24 | 963-965 | S0211BK | 08 | 564-566 | ||
S00252A | 24 | 963-965 | S0123XD | 23 | 949-950 | S0211BS | 01 | 091-093 | ||
S00252D | 23 | 949-950 | S0123XS | 09 | 604-605 | S0211CA | 01 | 082-084 | ||
S00252S | 09 | 604-605 | S0124XA | Pre | 011-013 | S0211CA | 01 | 085-087 | ||
S00259A | 02 | 124-125 | S0124XA | 03 | 154-156 | S0211CA | 24 | 963-965 | ||
S00259A | 24 | 963-965 | S0124XA | 24 | 963-965 | S0211CB | 01 | 082-084 | ||
S00259D | 23 | 949-950 | S0124XD | 23 | 949-950 | S0211CB | 01 | 085-087 | ||
S00259S | 09 | 604-605 | S0124XS | 09 | 604-605 | S0211CB | 24 | 963-965 | ||
S00261A | 02 | 124-125 | S0125XA | Pre | 011-013 | S0211CD | 08 | 559-561 | ||
S00261A | 24 | 963-965 | S0125XA | 03 | 154-156 | S0211CG | 08 | 559-561 | ||
S00261D | 23 | 949-950 | S0125XA | 24 | 963-965 | S0211CK | 08 | 564-566 | ||
S00261S | 09 | 604-605 | S0125XD | 23 | 949-950 | S0211CS | 01 | 091-093 | ||
S00262A | 02 | 124-125 | S0125XS | 09 | 604-605 | S0211DA | 01 | 082-084 | ||
S00262A | 24 | 963-965 | S01301A | 03 | 154-156 | S0211DA | 01 | 085-087 | ||
S00262D | 23 | 949-950 | S01301A | 24 | 963-965 | S0211DA | 24 | 963-965 | ||
S00262S | 09 | 604-605 | S01301D | 23 | 949-950 | S0211DB | 01 | 082-084 | ||
S00269A | 02 | 124-125 | S01301S | 09 | 604-605 | S0211DB | 01 | 085-087 | ||
S00269A | 24 | 963-965 | S01302A | 03 | 154-156 | S0211DB | 24 | 963-965 | ||
S00269D | 23 | 949-950 | S01302A | 24 | 963-965 | S0211DD | 08 | 559-561 | ||
S00269S | 09 | 604-605 | S01302D | 23 | 949-950 | S0211DG | 08 | 559-561 | ||
S00271A | 02 | 124-125 | S01302S | 09 | 604-605 | S0211DK | 08 | 564-566 | ||
S00271A | 24 | 963-965 | S01309A | 03 | 154-156 | S0211DS | 01 | 091-093 | ||
S00271D | 23 | 949-950 | S01309A | 24 | 963-965 | S0211EA | 01 | 082-084 | ||
S00271S | 09 | 604-605 | S01309D | 23 | 949-950 | S0211EA | 01 | 085-087 | ||
S00272A | 02 | 124-125 | S01309S | 09 | 604-605 | S0211EA | 24 | 963-965 | ||
S00272A | 24 | 963-965 | S01311A | 03 | 154-156 | S0211EB | 01 | 082-084 | ||
S00272D | 23 | 949-950 | S01311A | 24 | 963-965 | S0211EB | 01 | 085-087 | ||
S00272S | 09 | 604-605 | S01311D | 23 | 949-950 | S0211EB | 24 | 963-965 | ||
S00279A | 02 | 124-125 | S01311S | 09 | 604-605 | S0211ED | 08 | 559-561 | ||
S00279A | 24 | 963-965 | S01312A | 03 | 154-156 | S0211EG | 08 | 559-561 | ||
S00279D | 23 | 949-950 | S01312A | 24 | 963-965 | S0211EK | 08 | 564-566 | ||
S00279S | 09 | 604-605 | S01312D | 23 | 949-950 | S0211ES | 01 | 091-093 | ||
S0030XA | 09 | 604-605 | S01312S | 09 | 604-605 | S0211FA | 01 | 082-084 | ||
S0030XA | 24 | 963-965 | S01319A | 03 | 154-156 | S0211FA | 01 | 085-087 | ||
S0030XD | 23 | 949-950 | S01319A | 24 | 963-965 | S0211FA | 24 | 963-965 | ||
S0030XS | 09 | 604-605 | S01319D | 23 | 949-950 | S0211FB | 01 | 082-084 | ||
S0031XA | 09 | 604-605 | S01319S | 09 | 604-605 | S0211FB | 01 | 085-087 | ||
S0031XA | 24 | 963-965 | S01321A | 03 | 154-156 | S0211FB | 24 | 963-965 | ||
S0031XD | 23 | 949-950 | S01321A | 24 | 963-965 | S0211FD | 08 | 559-561 | ||
S0031XS | 09 | 604-605 | S01321D | 23 | 949-950 | S0211FG | 08 | 559-561 | ||
S0032XA | 09 | 606-607 | S01321S | 09 | 604-605 | S0211FK | 08 | 564-566 | ||
S0032XA | 24 | 963-965 | S01322A | 03 | 154-156 | S0211FS | 01 | 091-093 | ||
S0032XD | 23 | 949-950 | S01322A | 24 | 963-965 | S0211GA | 01 | 082-084 | ||
S0032XS | 09 | 604-605 | S01322D | 23 | 949-950 | S0211GA | 01 | 085-087 | ||
S0033XA | 09 | 604-605 | S01322S | 09 | 604-605 | S0211GA | 24 | 963-965 | ||
S0033XA | 24 | 963-965 | S01329A | 03 | 154-156 | S0211GB | 01 | 082-084 | ||
S0033XD | 23 | 949-950 | S01329A | 24 | 963-965 | S0211GB | 01 | 085-087 | ||
S0033XS | 09 | 604-605 | S01329D | 23 | 949-950 | S0211GB | 24 | 963-965 | ||
S0034XA | 09 | 604-605 | S01329S | 09 | 604-605 | S0211GD | 08 | 559-561 | ||
S0034XA | 24 | 963-965 | S01331A | 03 | 154-156 | S0211GG | 08 | 559-561 | ||
S0034XD | 23 | 949-950 | S01331A | 24 | 963-965 | S0211GK | 08 | 564-566 | ||
S0034XS | 09 | 604-605 | S01331D | 23 | 949-950 | S0211GS | 01 | 091-093 | ||
S0035XA | 09 | 604-605 | S01331S | 09 | 604-605 | S0211HA | 01 | 082-084 | ||
S0035XA | 24 | 963-965 | S01332A | 03 | 154-156 | S0211HA | 01 | 085-087 | ||
S0035XD | 23 | 949-950 | S01332A | 24 | 963-965 | S0211HA | 24 | 963-965 | ||
S0035XS | 09 | 604-605 | S01332D | 23 | 949-950 | S0211HB | 01 | 082-084 | ||
S0036XA | 09 | 606-607 | S01332S | 09 | 604-605 | S0211HB | 01 | 085-087 | ||
S0036XA | 24 | 963-965 | S01339A | 03 | 154-156 | S0211HB | 24 | 963-965 | ||
S0036XD | 23 | 949-950 | S01339A | 24 | 963-965 | S0211HD | 08 | 559-561 | ||
S0036XS | 09 | 604-605 | S01339D | 23 | 949-950 | S0211HG | 08 | 559-561 | ||
S0037XA | 09 | 604-605 | S01339S | 09 | 604-605 | S0211HK | 08 | 564-566 | ||
S0037XA | 24 | 963-965 | S01341A | 03 | 154-156 | S0211HS | 01 | 091-093 | ||
S0037XD | 23 | 949-950 | S01341A | 24 | 963-965 | S02121A | 01 | 082-084 | ||
S0037XS | 09 | 604-605 | S01341D | 23 | 949-950 | S02121A | 01 | 085-087 | ||
S00401A | 09 | 604-605 | S01341S | 09 | 604-605 | S02121A | 24 | 963-965 | ||
S00401A | 24 | 963-965 | S01342A | 03 | 154-156 | S02121B | 01 | 082-084 | ||
S00401D | 23 | 949-950 | S01342A | 24 | 963-965 | S02121B | 01 | 085-087 | ||
S00401S | 09 | 604-605 | S01342D | 23 | 949-950 | S02121B | 24 | 963-965 | ||
S00402A | 09 | 604-605 | S01342S | 09 | 604-605 | S02121D | 23 | 949-950 | ||
S00402A | 24 | 963-965 | S01349A | 03 | 154-156 | S02121G | 23 | 949-950 | ||
S00402D | 23 | 949-950 | S01349A | 24 | 963-965 | S02121K | 23 | 949-950 | ||
S00402S | 09 | 604-605 | S01349D | 23 | 949-950 | S02121S | 21 | 922-923 | ||
S00409A | 09 | 604-605 | S01349S | 09 | 604-605 | S02122A | 01 | 082-084 | ||
S00409A | 24 | 963-965 | S01351A | 03 | 154-156 | S02122A | 01 | 085-087 | ||
S00409D | 23 | 949-950 | S01351A | 24 | 963-965 | S02122A | 24 | 963-965 | ||
S00409S | 09 | 604-605 | S01351D | 23 | 949-950 | S02122B | 01 | 082-084 | ||
S00411A | 09 | 604-605 | S01351S | 09 | 604-605 | S02122B | 01 | 085-087 | ||
S00411A | 24 | 963-965 | S01352A | 03 | 154-156 | S02122B | 24 | 963-965 | ||
S00411D | 23 | 949-950 | S01352A | 24 | 963-965 | S02122D | 23 | 949-950 | ||
S00411S | 09 | 604-605 | S01352D | 23 | 949-950 | S02122G | 23 | 949-950 | ||
S00412A | 09 | 604-605 | S01352S | 09 | 604-605 | S02122K | 23 | 949-950 | ||
S00412A | 24 | 963-965 | S01359A | 03 | 154-156 | S02122S | 21 | 922-923 | ||
S00412D | 23 | 949-950 | S01359A | 24 | 963-965 | S02129A | 01 | 082-084 | ||
S00412S | 09 | 604-605 | S01359D | 23 | 949-950 | S02129A | 01 | 085-087 | ||
S00419A | 09 | 604-605 | S01359S | 09 | 604-605 | S02129A | 24 | 963-965 | ||
S00419A | 24 | 963-965 | S01401A | Pre | 011-013 | S02129B | 01 | 082-084 | ||
S00419D | 23 | 949-950 | S01401A | 09 | 604-605 | S02129B | 01 | 085-087 | ||
S00419S | 09 | 604-605 | S01401A | 24 | 963-965 | S02129B | 24 | 963-965 | ||
S00421A | 09 | 606-607 | S01401D | 23 | 949-950 | S02129D | 23 | 949-950 | ||
S00421A | 24 | 963-965 | S01401S | 09 | 604-605 | S02129G | 23 | 949-950 | ||
S00421D | 23 | 949-950 | S01402A | Pre | 011-013 | S02129K | 23 | 949-950 | ||
S00421S | 09 | 604-605 | S01402A | 09 | 604-605 | S02129S | 21 | 922-923 | ||
S00422A | 09 | 606-607 | S01402A | 24 | 963-965 | S0219XA | 01 | 082-084 | ||
S00422A | 24 | 963-965 | S01402D | 23 | 949-950 | S0219XA | 01 | 085-087 | ||
S00422D | 23 | 949-950 | S01402S | 09 | 604-605 | S0219XA | 24 | 963-965 | ||
S00422S | 09 | 604-605 | S01409A | Pre | 011-013 | S0219XB | 01 | 082-084 | ||
S00429A | 09 | 606-607 | S01409A | 09 | 604-605 | S0219XB | 01 | 085-087 | ||
S00429A | 24 | 963-965 | S01409A | 24 | 963-965 | S0219XB | 24 | 963-965 | ||
S00429D | 23 | 949-950 | S01409D | 23 | 949-950 | S0219XD | 08 | 559-561 | ||
S00429S | 09 | 604-605 | S01409S | 09 | 604-605 | S0219XG | 08 | 559-561 | ||
S00431A | 09 | 604-605 | S01411A | Pre | 011-013 | S0219XK | 08 | 564-566 | ||
S00431A | 24 | 963-965 | S01411A | 09 | 604-605 | S0219XS | 01 | 091-093 | ||
S00431D | 23 | 949-950 | S01411A | 24 | 963-965 | S022XXA | 03 | 154-156 | ||
S00431S | 09 | 604-605 | S01411D | 23 | 949-950 | S022XXA | 24 | 963-965 | ||
S00432A | 09 | 604-605 | S01411S | 09 | 604-605 | S022XXB | 03 | 154-156 | ||
S00432A | 24 | 963-965 | S01412A | Pre | 011-013 | S022XXB | 24 | 963-965 | ||
S00432D | 23 | 949-950 | S01412A | 09 | 604-605 | S022XXD | 08 | 559-561 | ||
S00432S | 09 | 604-605 | S01412A | 24 | 963-965 | S022XXG | 08 | 559-561 | ||
S00439A | 09 | 604-605 | S01412D | 23 | 949-950 | S022XXK | 08 | 564-566 | ||
S00439A | 24 | 963-965 | S01412S | 09 | 604-605 | S022XXS | 01 | 091-093 | ||
S00439D | 23 | 949-950 | S01419A | Pre | 011-013 | S0230XA | Pre | 011-013 | ||
S00439S | 09 | 604-605 | S01419A | 09 | 604-605 | S0230XA | 02 | 124-125 | ||
S00441A | 09 | 604-605 | S01419A | 24 | 963-965 | S0230XA | 24 | 963-965 | ||
S00441A | 24 | 963-965 | S01419D | 23 | 949-950 | S0230XB | Pre | 011-013 | ||
S00441D | 23 | 949-950 | S01419S | 09 | 604-605 | S0230XB | 02 | 124-125 | ||
S00441S | 09 | 604-605 | S01421A | Pre | 011-013 | S0230XB | 24 | 963-965 | ||
S00442A | 09 | 604-605 | S01421A | 09 | 604-605 | S0230XD | 08 | 559-561 | ||
S00442A | 24 | 963-965 | S01421A | 24 | 963-965 | S0230XG | 08 | 559-561 | ||
S00442D | 23 | 949-950 | S01421D | 23 | 949-950 | S0230XK | 08 | 564-566 | ||
S00442S | 09 | 604-605 | S01421S | 09 | 604-605 | S0230XS | 01 | 091-093 | ||
S00449A | 09 | 604-605 | S01422A | Pre | 011-013 | S0231XA | Pre | 011-013 | ||
S00449A | 24 | 963-965 | S01422A | 09 | 604-605 | S0231XA | 02 | 124-125 | ||
S00449D | 23 | 949-950 | S01422A | 24 | 963-965 | S0231XA | 24 | 963-965 | ||
S00449S | 09 | 604-605 | S01422D | 23 | 949-950 | S0231XB | Pre | 011-013 | ||
S00451A | 09 | 604-605 | S01422S | 09 | 604-605 | S0231XB | 02 | 124-125 | ||
S00451A | 24 | 963-965 | S01429A | Pre | 011-013 | S0231XB | 24 | 963-965 | ||
S00451D | 23 | 949-950 | S01429A | 09 | 604-605 | S0231XD | 08 | 559-561 | ||
S00451S | 09 | 604-605 | S01429A | 24 | 963-965 | S0231XG | 08 | 559-561 | ||
S00452A | 09 | 604-605 | S01429D | 23 | 949-950 | S0231XK | 08 | 564-566 | ||
S00452A | 24 | 963-965 | S01429S | 09 | 604-605 | S0231XS | 01 | 091-093 | ||
S00452D | 23 | 949-950 | S01431A | Pre | 011-013 | S0232XA | Pre | 011-013 | ||
S00452S | 09 | 604-605 | S01431A | 09 | 604-605 | S0232XA | 02 | 124-125 | ||
S00459A | 09 | 604-605 | S01431A | 24 | 963-965 | S0232XA | 24 | 963-965 | ||
S00459A | 24 | 963-965 | S01431D | 23 | 949-950 | S0232XB | Pre | 011-013 | ||
S00459D | 23 | 949-950 | S01431S | 09 | 604-605 | S0232XB | 02 | 124-125 | ||
S00459S | 09 | 604-605 | S01432A | Pre | 011-013 | S0232XB | 24 | 963-965 | ||
S00461A | 09 | 606-607 | S01432A | 09 | 604-605 | S0232XD | 08 | 559-561 | ||
S00461A | 24 | 963-965 | S01432A | 24 | 963-965 | S0232XG | 08 | 559-561 | ||
S00461D | 23 | 949-950 | S01432D | 23 | 949-950 | S0232XK | 08 | 564-566 | ||
S00461S | 09 | 604-605 | S01432S | 09 | 604-605 | S0232XS | 01 | 091-093 | ||
S00462A | 09 | 606-607 | S01439A | Pre | 011-013 | S02400A | Pre | 011-013 | ||
S00462A | 24 | 963-965 | S01439A | 09 | 604-605 | S02400A | 03 | 157-159 | ||
S00462D | 23 | 949-950 | S01439A | 24 | 963-965 | S02400A | 24 | 963-965 | ||
S00462S | 09 | 604-605 | S01439D | 23 | 949-950 | S02400B | Pre | 011-013 | ||
S00469A | 09 | 606-607 | S01439S | 09 | 604-605 | S02400B | 03 | 157-159 | ||
S00469A | 24 | 963-965 | S01441A | Pre | 011-013 | S02400B | 24 | 963-965 | ||
S00469D | 23 | 949-950 | S01441A | 09 | 604-605 | S02400D | 08 | 559-561 | ||
S00469S | 09 | 604-605 | S01441A | 24 | 963-965 | S02400G | 08 | 559-561 | ||
S00471A | 09 | 604-605 | S01441D | 23 | 949-950 | S02400K | 08 | 564-566 | ||
S00471A | 24 | 963-965 | S01441S | 09 | 604-605 | S02400S | 01 | 091-093 | ||
S00471D | 23 | 949-950 | S01442A | Pre | 011-013 | S02401A | Pre | 011-013 | ||
S00471S | 09 | 604-605 | S01442A | 09 | 604-605 | S02401A | 03 | 157-159 | ||
S00472A | 09 | 604-605 | S01442A | 24 | 963-965 | S02401A | 24 | 963-965 | ||
S00472A | 24 | 963-965 | S01442D | 23 | 949-950 | S02401B | Pre | 011-013 | ||
S00472D | 23 | 949-950 | S01442S | 09 | 604-605 | S02401B | 03 | 157-159 | ||
S00472S | 09 | 604-605 | S01449A | Pre | 011-013 | S02401B | 24 | 963-965 | ||
S00479A | 09 | 604-605 | S01449A | 09 | 604-605 | S02401D | 08 | 559-561 | ||
S00479A | 24 | 963-965 | S01449A | 24 | 963-965 | S02401G | 08 | 559-561 | ||
S00479D | 23 | 949-950 | S01449D | 23 | 949-950 | S02401K | 08 | 564-566 | ||
S00479S | 09 | 604-605 | S01449S | 09 | 604-605 | S02401S | 01 | 091-093 | ||
S00501A | 09 | 604-605 | S01451A | Pre | 011-013 | S02402A | Pre | 011-013 | ||
S00501A | 24 | 963-965 | S01451A | 09 | 604-605 | S02402A | 03 | 157-159 | ||
S00501D | 23 | 949-950 | S01451A | 24 | 963-965 | S02402A | 24 | 963-965 | ||
S00501S | 09 | 604-605 | S01451D | 23 | 949-950 | S02402B | Pre | 011-013 | ||
S00502A | 09 | 604-605 | S01451S | 09 | 604-605 | S02402B | 03 | 157-159 | ||
S00502A | 24 | 963-965 | S01452A | Pre | 011-013 | S02402B | 24 | 963-965 | ||
S00502D | 23 | 949-950 | S01452A | 09 | 604-605 | S02402D | 08 | 559-561 | ||
S00502S | 09 | 604-605 | S01452A | 24 | 963-965 | S02402G | 08 | 559-561 | ||
S00511A | 09 | 604-605 | S01452D | 23 | 949-950 | S02402K | 08 | 564-566 | ||
S00511A | 24 | 963-965 | S01452S | 09 | 604-605 | S02402S | 01 | 091-093 | ||
S00511D | 23 | 949-950 | S01459A | Pre | 011-013 | S0240AA | Pre | 011-013 | ||
S00511S | 09 | 604-605 | S01459A | 09 | 604-605 | S0240AA | 03 | 157-159 | ||
S00512A | 09 | 604-605 | S01459A | 24 | 963-965 | S0240AA | 24 | 963-965 | ||
S00512A | 24 | 963-965 | S01459D | 23 | 949-950 | S0240AB | Pre | 011-013 | ||
S00512D | 23 | 949-950 | S01459S | 09 | 604-605 | S0240AB | 03 | 157-159 | ||
S00512S | 09 | 604-605 | S01501A | Pre | 011-013 | S0240AB | 24 | 963-965 | ||
S00521A | 09 | 606-607 | S01501A | 03 | 157-159 | S0240AD | 08 | 559-561 | ||
S00521A | 24 | 963-965 | S01501A | 24 | 963-965 | S0240AG | 08 | 559-561 | ||
S00521D | 23 | 949-950 | S01501D | 23 | 949-950 | S0240AK | 08 | 564-566 | ||
S00521S | 09 | 604-605 | S01501S | 09 | 604-605 | S0240AS | 01 | 091-093 | ||
S00522A | 09 | 606-607 | S01502A | Pre | 011-013 | S0240BA | Pre | 011-013 | ||
S00522A | 24 | 963-965 | S01502A | 03 | 157-159 | S0240BA | 03 | 157-159 | ||
S00522D | 23 | 949-950 | S01502A | 24 | 963-965 | S0240BA | 24 | 963-965 | ||
S00522S | 09 | 604-605 | S01502D | 23 | 949-950 | S0240BB | Pre | 011-013 | ||
S00531A | 09 | 604-605 | S01502S | 09 | 604-605 | S0240BB | 03 | 157-159 | ||
S00531A | 24 | 963-965 | S01511A | Pre | 011-013 | S0240BB | 24 | 963-965 | ||
S00531D | 23 | 949-950 | S01511A | 03 | 157-159 | S0240BD | 08 | 559-561 | ||
S00531S | 09 | 604-605 | S01511A | 24 | 963-965 | S0240BG | 08 | 559-561 | ||
S00532A | 09 | 604-605 | S01511D | 23 | 949-950 | S0240BK | 08 | 564-566 | ||
S00532A | 24 | 963-965 | S01511S | 09 | 604-605 | S0240BS | 01 | 091-093 | ||
S00532D | 23 | 949-950 | S01512A | Pre | 011-013 | S0240CA | Pre | 011-013 | ||
S00532S | 09 | 604-605 | S01512A | 03 | 157-159 | S0240CA | 03 | 157-159 | ||
S00541A | 09 | 604-605 | S01512A | 24 | 963-965 | S0240CA | 24 | 963-965 | ||
S00541A | 24 | 963-965 | S01512D | 23 | 949-950 | S0240CB | Pre | 011-013 | ||
S00541D | 23 | 949-950 | S01512S | 09 | 604-605 | S0240CB | 03 | 157-159 | ||
S00541S | 09 | 604-605 | S01521A | Pre | 011-013 | S0240CB | 24 | 963-965 | ||
S00542A | 09 | 604-605 | S01521A | 03 | 157-159 | S0240CD | 08 | 559-561 | ||
S00542A | 24 | 963-965 | S01521A | 24 | 963-965 | S0240CG | 08 | 559-561 | ||
S00542D | 23 | 949-950 | S01521D | 23 | 949-950 | S0240CK | 08 | 564-566 | ||
S00542S | 09 | 604-605 | S01521S | 09 | 604-605 | S0240CS | 01 | 091-093 | ||
S00551A | 09 | 604-605 | S01522A | Pre | 011-013 | S0240DA | Pre | 011-013 | ||
S00551A | 24 | 963-965 | S01522A | 03 | 157-159 | S0240DA | 03 | 157-159 | ||
S00551D | 23 | 949-950 | S01522A | 24 | 963-965 | S0240DA | 24 | 963-965 | ||
S00551S | 09 | 604-605 | S01522D | 23 | 949-950 | S0240DB | Pre | 011-013 | ||
S00552A | 09 | 604-605 | S01522S | 09 | 604-605 | S0240DB | 03 | 157-159 | ||
S00552A | 24 | 963-965 | S01531A | Pre | 011-013 | S0240DB | 24 | 963-965 | ||
S00552D | 23 | 949-950 | S01531A | 03 | 157-159 | S0240DD | 08 | 559-561 | ||
S00552S | 09 | 604-605 | S01531A | 24 | 963-965 | S0240DG | 08 | 559-561 | ||
S00561A | 09 | 606-607 | S01531D | 23 | 949-950 | S0240DK | 08 | 564-566 | ||
S00561A | 24 | 963-965 | S01531S | 09 | 604-605 | S0240DS | 01 | 091-093 | ||
S00561D | 23 | 949-950 | S01532A | Pre | 011-013 | S0240EA | Pre | 011-013 | ||
S00561S | 09 | 604-605 | S01532A | 03 | 157-159 | S0240EA | 03 | 157-159 | ||
S00562A | 09 | 606-607 | S01532A | 24 | 963-965 | S0240EA | 24 | 963-965 | ||
S00562A | 24 | 963-965 | S01532D | 23 | 949-950 | S0240EB | Pre | 011-013 | ||
S00562D | 23 | 949-950 | S01532S | 09 | 604-605 | S0240EB | 03 | 157-159 | ||
S00562S | 09 | 604-605 | S01541A | Pre | 011-013 | S0240EB | 24 | 963-965 | ||
S00571A | 09 | 604-605 | S01541A | 03 | 157-159 | S0240ED | 08 | 559-561 | ||
S00571A | 24 | 963-965 | S01541A | 24 | 963-965 | S0240EG | 08 | 559-561 | ||
S00571D | 23 | 949-950 | S01541D | 23 | 949-950 | S0240EK | 08 | 564-566 | ||
S00571S | 09 | 604-605 | S01541S | 09 | 604-605 | S0240ES | 01 | 091-093 | ||
S00572A | 09 | 604-605 | S01542A | Pre | 011-013 | S0240FA | Pre | 011-013 | ||
S00572A | 24 | 963-965 | S01542A | 03 | 157-159 | S0240FA | 03 | 157-159 | ||
S00572D | 23 | 949-950 | S01542A | 24 | 963-965 | S0240FA | 24 | 963-965 | ||
S00572S | 09 | 604-605 | S01542D | 23 | 949-950 | S0240FB | Pre | 011-013 | ||
S0080XA | 09 | 604-605 | S01542S | 09 | 604-605 | S0240FB | 03 | 157-159 | ||
S0080XA | 24 | 963-965 | S01551A | Pre | 011-013 | S0240FB | 24 | 963-965 | ||
S0080XD | 23 | 949-950 | S01551A | 03 | 157-159 | S0240FD | 08 | 559-561 | ||
S0080XS | 09 | 604-605 | S01551A | 24 | 963-965 | S0240FG | 08 | 559-561 | ||
S0081XA | 09 | 604-605 | S01551D | 23 | 949-950 | S0240FK | 08 | 564-566 | ||
S0081XA | 24 | 963-965 | S01551S | 09 | 604-605 | S0240FS | 01 | 091-093 | ||
S0081XD | 23 | 949-950 | S01552A | Pre | 011-013 | S02411A | Pre | 011-013 | ||
S0081XS | 09 | 604-605 | S01552A | 03 | 157-159 | S02411A | 03 | 157-159 | ||
S0082XA | 09 | 606-607 | S01552A | 24 | 963-965 | S02411A | 24 | 963-965 | ||
S0082XA | 24 | 963-965 | S01552D | 23 | 949-950 | S02411B | Pre | 011-013 | ||
S0082XD | 23 | 949-950 | S01552S | 09 | 604-605 | S02411B | 03 | 157-159 | ||
S0082XS | 09 | 604-605 | S0180XA | 09 | 604-605 | S02411B | 24 | 963-965 | ||
S0083XA | 09 | 604-605 | S0180XA | 24 | 963-965 | S02411D | 08 | 559-561 | ||
S0083XA | 24 | 963-965 | S0180XD | 23 | 949-950 | S02411G | 08 | 559-561 | ||
S0083XD | 23 | 949-950 | S0180XS | 09 | 604-605 | S02411K | 08 | 564-566 | ||
S0083XS | 09 | 604-605 | S0181XA | 09 | 604-605 | S02411S | 01 | 091-093 | ||
S0084XA | 09 | 604-605 | S0181XA | 24 | 963-965 | S02412A | Pre | 011-013 | ||
S0084XA | 24 | 963-965 | S0181XD | 23 | 949-950 | S02412A | 03 | 157-159 | ||
S0084XD | 23 | 949-950 | S0181XS | 09 | 604-605 | S02412A | 24 | 963-965 | ||
S0084XS | 09 | 604-605 | S0182XA | 09 | 604-605 | S02412B | Pre | 011-013 | ||
S0085XA | 09 | 604-605 | S0182XA | 24 | 963-965 | S02412B | 03 | 157-159 | ||
S0085XA | 24 | 963-965 | S0182XD | 23 | 949-950 | S02412B | 24 | 963-965 | ||
S0085XD | 23 | 949-950 | S0182XS | 09 | 604-605 | S02412D | 08 | 559-561 | ||
S0085XS | 09 | 604-605 | S0183XA | 09 | 604-605 | S02412G | 08 | 559-561 | ||
S0086XA | 09 | 606-607 | S0183XA | 24 | 963-965 | S02412K | 08 | 564-566 | ||
S0086XA | 24 | 963-965 | S0183XD | 23 | 949-950 | S02412S | 01 | 091-093 | ||
S0086XD | 23 | 949-950 | S0183XS | 09 | 604-605 | S02413A | Pre | 011-013 | ||
S0086XS | 09 | 604-605 | S0184XA | 09 | 604-605 | S02413A | 03 | 157-159 | ||
S0087XA | 09 | 604-605 | S0184XA | 24 | 963-965 | S02413A | 24 | 963-965 | ||
S0087XA | 24 | 963-965 | S0184XD | 23 | 949-950 | S02413B | Pre | 011-013 | ||
S0087XD | 23 | 949-950 | S0184XS | 09 | 604-605 | S02413B | 03 | 157-159 | ||
S0087XS | 09 | 604-605 | S0185XA | 09 | 604-605 | S02413B | 24 | 963-965 | ||
S0090XA | 09 | 604-605 | S0185XA | 24 | 963-965 | S02413D | 08 | 559-561 | ||
S0090XA | 24 | 963-965 | S0185XD | 23 | 949-950 | S02413G | 08 | 559-561 | ||
S0090XD | 23 | 949-950 | S0185XS | 09 | 604-605 | S02413K | 08 | 564-566 | ||
S0090XS | 09 | 604-605 | S0190XA | 09 | 604-605 | S02413S | 01 | 091-093 | ||
S0091XA | 09 | 604-605 | S0190XA | 24 | 963-965 | S0242XA | Pre | 011-013 | ||
S0091XA | 24 | 963-965 | S0190XD | 23 | 949-950 | S0242XA | 08 | 564-566 | ||
S0091XD | 23 | 949-950 | S0190XS | 09 | 604-605 | S0242XA | 24 | 963-965 | ||
S0091XS | 09 | 604-605 | S0191XA | 09 | 604-605 | S0242XB | Pre | 011-013 | ||
S0092XA | 09 | 606-607 | S0191XA | 24 | 963-965 | S0242XB | 08 | 564-566 | ||
S0092XA | 24 | 963-965 | S0191XD | 23 | 949-950 | S0242XB | 24 | 963-965 | ||
S0092XD | 23 | 949-950 | S0191XS | 09 | 604-605 | S0242XD | 08 | 559-561 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 16:20:17 CMS, code-revision=332, description-revision=1327 |