ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 39 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S42392D | 08 | 559-561 | S42472A | 08 | 562-563 | S43224D | 23 | 949-950 | ||
S42392G | 08 | 559-561 | S42472A | 24 | 963-965 | S43224S | 08 | 562-563 | ||
S42392K | 08 | 564-566 | S42472B | 08 | 562-563 | S43225A | 04 | 183-185 | ||
S42392P | 08 | 564-566 | S42472B | 24 | 963-965 | S43225A | 24 | 963-965 | ||
S42392S | 08 | 559-561 | S42472D | 08 | 559-561 | S43225D | 23 | 949-950 | ||
S42399A | 08 | 562-563 | S42472G | 08 | 559-561 | S43225S | 08 | 562-563 | ||
S42399A | 24 | 963-965 | S42472K | 08 | 564-566 | S43226A | 04 | 183-185 | ||
S42399B | 08 | 562-563 | S42472P | 08 | 564-566 | S43226A | 24 | 963-965 | ||
S42399B | 24 | 963-965 | S42472S | 08 | 559-561 | S43226D | 23 | 949-950 | ||
S42399D | 08 | 559-561 | S42473A | 08 | 562-563 | S43226S | 08 | 562-563 | ||
S42399G | 08 | 559-561 | S42473A | 24 | 963-965 | S43301A | 08 | 562-563 | ||
S42399K | 08 | 564-566 | S42473B | 08 | 562-563 | S43301A | 24 | 963-965 | ||
S42399P | 08 | 564-566 | S42473B | 24 | 963-965 | S43301D | 23 | 949-950 | ||
S42399S | 08 | 559-561 | S42473D | 08 | 559-561 | S43301S | 08 | 562-563 | ||
S42401A | 08 | 562-563 | S42473G | 08 | 559-561 | S43302A | 08 | 562-563 | ||
S42401A | 24 | 963-965 | S42473K | 08 | 564-566 | S43302A | 24 | 963-965 | ||
S42401B | 08 | 562-563 | S42473P | 08 | 564-566 | S43302D | 23 | 949-950 | ||
S42401B | 24 | 963-965 | S42473S | 08 | 559-561 | S43302S | 08 | 562-563 | ||
S42401D | 08 | 559-561 | S42474A | 08 | 562-563 | S43303A | 08 | 562-563 | ||
S42401G | 08 | 559-561 | S42474A | 24 | 963-965 | S43303A | 24 | 963-965 | ||
S42401K | 08 | 564-566 | S42474B | 08 | 562-563 | S43303D | 23 | 949-950 | ||
S42401P | 08 | 564-566 | S42474B | 24 | 963-965 | S43303S | 08 | 562-563 | ||
S42401S | 08 | 559-561 | S42474D | 08 | 559-561 | S43304A | 08 | 562-563 | ||
S42402A | 08 | 562-563 | S42474G | 08 | 559-561 | S43304A | 24 | 963-965 | ||
S42402A | 24 | 963-965 | S42474K | 08 | 564-566 | S43304D | 23 | 949-950 | ||
S42402B | 08 | 562-563 | S42474P | 08 | 564-566 | S43304S | 08 | 562-563 | ||
S42402B | 24 | 963-965 | S42474S | 08 | 559-561 | S43305A | 08 | 562-563 | ||
S42402D | 08 | 559-561 | S42475A | 08 | 562-563 | S43305A | 24 | 963-965 | ||
S42402G | 08 | 559-561 | S42475A | 24 | 963-965 | S43305D | 23 | 949-950 | ||
S42402K | 08 | 564-566 | S42475B | 08 | 562-563 | S43305S | 08 | 562-563 | ||
S42402P | 08 | 564-566 | S42475B | 24 | 963-965 | S43306A | 08 | 562-563 | ||
S42402S | 08 | 559-561 | S42475D | 08 | 559-561 | S43306A | 24 | 963-965 | ||
S42409A | 08 | 562-563 | S42475G | 08 | 559-561 | S43306D | 23 | 949-950 | ||
S42409A | 24 | 963-965 | S42475K | 08 | 564-566 | S43306S | 08 | 562-563 | ||
S42409B | 08 | 562-563 | S42475P | 08 | 564-566 | S43311A | 08 | 562-563 | ||
S42409B | 24 | 963-965 | S42475S | 08 | 559-561 | S43311A | 24 | 963-965 | ||
S42409D | 08 | 559-561 | S42476A | 08 | 562-563 | S43311D | 23 | 949-950 | ||
S42409G | 08 | 559-561 | S42476A | 24 | 963-965 | S43311S | 08 | 562-563 | ||
S42409K | 08 | 564-566 | S42476B | 08 | 562-563 | S43312A | 08 | 562-563 | ||
S42409P | 08 | 564-566 | S42476B | 24 | 963-965 | S43312A | 24 | 963-965 | ||
S42409S | 08 | 559-561 | S42476D | 08 | 559-561 | S43312D | 23 | 949-950 | ||
S42411A | 08 | 562-563 | S42476G | 08 | 559-561 | S43312S | 08 | 562-563 | ||
S42411A | 24 | 963-965 | S42476K | 08 | 564-566 | S43313A | 08 | 562-563 | ||
S42411B | 08 | 562-563 | S42476P | 08 | 564-566 | S43313A | 24 | 963-965 | ||
S42411B | 24 | 963-965 | S42476S | 08 | 559-561 | S43313D | 23 | 949-950 | ||
S42411D | 08 | 559-561 | S42481A | 08 | 562-563 | S43313S | 08 | 562-563 | ||
S42411G | 08 | 559-561 | S42481A | 24 | 963-965 | S43314A | 08 | 562-563 | ||
S42411K | 08 | 564-566 | S42481D | 08 | 559-561 | S43314A | 24 | 963-965 | ||
S42411P | 08 | 564-566 | S42481G | 08 | 559-561 | S43314D | 23 | 949-950 | ||
S42411S | 08 | 559-561 | S42481K | 08 | 564-566 | S43314S | 08 | 562-563 | ||
S42412A | 08 | 562-563 | S42481P | 08 | 564-566 | S43315A | 08 | 562-563 | ||
S42412A | 24 | 963-965 | S42481S | 08 | 559-561 | S43315A | 24 | 963-965 | ||
S42412B | 08 | 562-563 | S42482A | 08 | 562-563 | S43315D | 23 | 949-950 | ||
S42412B | 24 | 963-965 | S42482A | 24 | 963-965 | S43315S | 08 | 562-563 | ||
S42412D | 08 | 559-561 | S42482D | 08 | 559-561 | S43316A | 08 | 562-563 | ||
S42412G | 08 | 559-561 | S42482G | 08 | 559-561 | S43316A | 24 | 963-965 | ||
S42412K | 08 | 564-566 | S42482K | 08 | 564-566 | S43316D | 23 | 949-950 | ||
S42412P | 08 | 564-566 | S42482P | 08 | 564-566 | S43316S | 08 | 562-563 | ||
S42412S | 08 | 559-561 | S42482S | 08 | 559-561 | S43391A | 08 | 562-563 | ||
S42413A | 08 | 562-563 | S42489A | 08 | 562-563 | S43391A | 24 | 963-965 | ||
S42413A | 24 | 963-965 | S42489A | 24 | 963-965 | S43391D | 23 | 949-950 | ||
S42413B | 08 | 562-563 | S42489D | 08 | 559-561 | S43391S | 08 | 562-563 | ||
S42413B | 24 | 963-965 | S42489G | 08 | 559-561 | S43392A | 08 | 562-563 | ||
S42413D | 08 | 559-561 | S42489K | 08 | 564-566 | S43392A | 24 | 963-965 | ||
S42413G | 08 | 559-561 | S42489P | 08 | 564-566 | S43392D | 23 | 949-950 | ||
S42413K | 08 | 564-566 | S42489S | 08 | 559-561 | S43392S | 08 | 562-563 | ||
S42413P | 08 | 564-566 | S42491A | 08 | 562-563 | S43393A | 08 | 562-563 | ||
S42413S | 08 | 559-561 | S42491A | 24 | 963-965 | S43393A | 24 | 963-965 | ||
S42414A | 08 | 562-563 | S42491B | 08 | 562-563 | S43393D | 23 | 949-950 | ||
S42414A | 24 | 963-965 | S42491B | 24 | 963-965 | S43393S | 08 | 562-563 | ||
S42414B | 08 | 562-563 | S42491D | 08 | 559-561 | S43394A | 08 | 562-563 | ||
S42414B | 24 | 963-965 | S42491G | 08 | 559-561 | S43394A | 24 | 963-965 | ||
S42414D | 08 | 559-561 | S42491K | 08 | 564-566 | S43394D | 23 | 949-950 | ||
S42414G | 08 | 559-561 | S42491P | 08 | 564-566 | S43394S | 08 | 562-563 | ||
S42414K | 08 | 564-566 | S42491S | 08 | 559-561 | S43395A | 08 | 562-563 | ||
S42414P | 08 | 564-566 | S42492A | 08 | 562-563 | S43395A | 24 | 963-965 | ||
S42414S | 08 | 559-561 | S42492A | 24 | 963-965 | S43395D | 23 | 949-950 | ||
S42415A | 08 | 562-563 | S42492B | 08 | 562-563 | S43395S | 08 | 562-563 | ||
S42415A | 24 | 963-965 | S42492B | 24 | 963-965 | S43396A | 08 | 562-563 | ||
S42415B | 08 | 562-563 | S42492D | 08 | 559-561 | S43396A | 24 | 963-965 | ||
S42415B | 24 | 963-965 | S42492G | 08 | 559-561 | S43396D | 23 | 949-950 | ||
S42415D | 08 | 559-561 | S42492K | 08 | 564-566 | S43396S | 08 | 562-563 | ||
S42415G | 08 | 559-561 | S42492P | 08 | 564-566 | S43401A | 08 | 562-563 | ||
S42415K | 08 | 564-566 | S42492S | 08 | 559-561 | S43401A | 24 | 963-965 | ||
S42415P | 08 | 564-566 | S42493A | 08 | 562-563 | S43401D | 23 | 949-950 | ||
S42415S | 08 | 559-561 | S42493A | 24 | 963-965 | S43401S | 08 | 562-563 | ||
S42416A | 08 | 562-563 | S42493B | 08 | 562-563 | S43402A | 08 | 562-563 | ||
S42416A | 24 | 963-965 | S42493B | 24 | 963-965 | S43402A | 24 | 963-965 | ||
S42416B | 08 | 562-563 | S42493D | 08 | 559-561 | S43402D | 23 | 949-950 | ||
S42416B | 24 | 963-965 | S42493G | 08 | 559-561 | S43402S | 08 | 562-563 | ||
S42416D | 08 | 559-561 | S42493K | 08 | 564-566 | S43409A | 08 | 562-563 | ||
S42416G | 08 | 559-561 | S42493P | 08 | 564-566 | S43409A | 24 | 963-965 | ||
S42416K | 08 | 564-566 | S42493S | 08 | 559-561 | S43409D | 23 | 949-950 | ||
S42416P | 08 | 564-566 | S42494A | 08 | 562-563 | S43409S | 08 | 562-563 | ||
S42416S | 08 | 559-561 | S42494A | 24 | 963-965 | S43411A | 08 | 562-563 | ||
S42421A | 08 | 562-563 | S42494B | 08 | 562-563 | S43411A | 24 | 963-965 | ||
S42421A | 24 | 963-965 | S42494B | 24 | 963-965 | S43411D | 23 | 949-950 | ||
S42421B | 08 | 562-563 | S42494D | 08 | 559-561 | S43411S | 08 | 562-563 | ||
S42421B | 24 | 963-965 | S42494G | 08 | 559-561 | S43412A | 08 | 562-563 | ||
S42421D | 08 | 559-561 | S42494K | 08 | 564-566 | S43412A | 24 | 963-965 | ||
S42421G | 08 | 559-561 | S42494P | 08 | 564-566 | S43412D | 23 | 949-950 | ||
S42421K | 08 | 564-566 | S42494S | 08 | 559-561 | S43412S | 08 | 562-563 | ||
S42421P | 08 | 564-566 | S42495A | 08 | 562-563 | S43419A | 08 | 562-563 | ||
S42421S | 08 | 559-561 | S42495A | 24 | 963-965 | S43419A | 24 | 963-965 | ||
S42422A | 08 | 562-563 | S42495B | 08 | 562-563 | S43419D | 23 | 949-950 | ||
S42422A | 24 | 963-965 | S42495B | 24 | 963-965 | S43419S | 08 | 562-563 | ||
S42422B | 08 | 562-563 | S42495D | 08 | 559-561 | S43421A | 08 | 562-563 | ||
S42422B | 24 | 963-965 | S42495G | 08 | 559-561 | S43421A | 24 | 963-965 | ||
S42422D | 08 | 559-561 | S42495K | 08 | 564-566 | S43421D | 23 | 949-950 | ||
S42422G | 08 | 559-561 | S42495P | 08 | 564-566 | S43421S | 08 | 562-563 | ||
S42422K | 08 | 564-566 | S42495S | 08 | 559-561 | S43422A | 08 | 562-563 | ||
S42422P | 08 | 564-566 | S42496A | 08 | 562-563 | S43422A | 24 | 963-965 | ||
S42422S | 08 | 559-561 | S42496A | 24 | 963-965 | S43422D | 23 | 949-950 | ||
S42423A | 08 | 562-563 | S42496B | 08 | 562-563 | S43422S | 08 | 562-563 | ||
S42423A | 24 | 963-965 | S42496B | 24 | 963-965 | S43429A | 08 | 562-563 | ||
S42423B | 08 | 562-563 | S42496D | 08 | 559-561 | S43429A | 24 | 963-965 | ||
S42423B | 24 | 963-965 | S42496G | 08 | 559-561 | S43429D | 23 | 949-950 | ||
S42423D | 08 | 559-561 | S42496K | 08 | 564-566 | S43429S | 08 | 562-563 | ||
S42423G | 08 | 559-561 | S42496P | 08 | 564-566 | S43431A | 08 | 562-563 | ||
S42423K | 08 | 564-566 | S42496S | 08 | 559-561 | S43431A | 24 | 963-965 | ||
S42423P | 08 | 564-566 | S4290XA | 08 | 562-563 | S43431D | 23 | 949-950 | ||
S42423S | 08 | 559-561 | S4290XA | 24 | 963-965 | S43431S | 08 | 562-563 | ||
S42424A | 08 | 562-563 | S4290XB | 08 | 562-563 | S43432A | 08 | 562-563 | ||
S42424A | 24 | 963-965 | S4290XB | 24 | 963-965 | S43432A | 24 | 963-965 | ||
S42424B | 08 | 562-563 | S4290XD | 08 | 559-561 | S43432D | 23 | 949-950 | ||
S42424B | 24 | 963-965 | S4290XG | 08 | 559-561 | S43432S | 08 | 562-563 | ||
S42424D | 08 | 559-561 | S4290XK | 08 | 564-566 | S43439A | 08 | 562-563 | ||
S42424G | 08 | 559-561 | S4290XP | 08 | 564-566 | S43439A | 24 | 963-965 | ||
S42424K | 08 | 564-566 | S4290XS | 08 | 559-561 | S43439D | 23 | 949-950 | ||
S42424P | 08 | 564-566 | S4291XA | 08 | 562-563 | S43439S | 08 | 562-563 | ||
S42424S | 08 | 559-561 | S4291XA | 24 | 963-965 | S43491A | 08 | 562-563 | ||
S42425A | 08 | 562-563 | S4291XB | 08 | 562-563 | S43491A | 24 | 963-965 | ||
S42425A | 24 | 963-965 | S4291XB | 24 | 963-965 | S43491D | 23 | 949-950 | ||
S42425B | 08 | 562-563 | S4291XD | 08 | 559-561 | S43491S | 08 | 562-563 | ||
S42425B | 24 | 963-965 | S4291XG | 08 | 559-561 | S43492A | 08 | 562-563 | ||
S42425D | 08 | 559-561 | S4291XK | 08 | 564-566 | S43492A | 24 | 963-965 | ||
S42425G | 08 | 559-561 | S4291XP | 08 | 564-566 | S43492D | 23 | 949-950 | ||
S42425K | 08 | 564-566 | S4291XS | 08 | 559-561 | S43492S | 08 | 562-563 | ||
S42425P | 08 | 564-566 | S4292XA | 08 | 562-563 | S43499A | 08 | 562-563 | ||
S42425S | 08 | 559-561 | S4292XA | 24 | 963-965 | S43499A | 24 | 963-965 | ||
S42426A | 08 | 562-563 | S4292XB | 08 | 562-563 | S43499D | 23 | 949-950 | ||
S42426A | 24 | 963-965 | S4292XB | 24 | 963-965 | S43499S | 08 | 562-563 | ||
S42426B | 08 | 562-563 | S4292XD | 08 | 559-561 | S4350XA | 08 | 562-563 | ||
S42426B | 24 | 963-965 | S4292XG | 08 | 559-561 | S4350XA | 24 | 963-965 | ||
S42426D | 08 | 559-561 | S4292XK | 08 | 564-566 | S4350XD | 23 | 949-950 | ||
S42426G | 08 | 559-561 | S4292XP | 08 | 564-566 | S4350XS | 08 | 562-563 | ||
S42426K | 08 | 564-566 | S4292XS | 08 | 559-561 | S4351XA | 08 | 562-563 | ||
S42426P | 08 | 564-566 | S43001A | 08 | 562-563 | S4351XA | 24 | 963-965 | ||
S42426S | 08 | 559-561 | S43001A | 24 | 963-965 | S4351XD | 23 | 949-950 | ||
S42431A | 08 | 562-563 | S43001D | 23 | 949-950 | S4351XS | 08 | 562-563 | ||
S42431A | 24 | 963-965 | S43001S | 08 | 562-563 | S4352XA | 08 | 562-563 | ||
S42431B | 08 | 562-563 | S43002A | 08 | 562-563 | S4352XA | 24 | 963-965 | ||
S42431B | 24 | 963-965 | S43002A | 24 | 963-965 | S4352XD | 23 | 949-950 | ||
S42431D | 08 | 559-561 | S43002D | 23 | 949-950 | S4352XS | 08 | 562-563 | ||
S42431G | 08 | 559-561 | S43002S | 08 | 562-563 | S4360XA | 08 | 562-563 | ||
S42431K | 08 | 564-566 | S43003A | 08 | 562-563 | S4360XA | 24 | 963-965 | ||
S42431P | 08 | 564-566 | S43003A | 24 | 963-965 | S4360XD | 23 | 949-950 | ||
S42431S | 08 | 559-561 | S43003D | 23 | 949-950 | S4360XS | 08 | 562-563 | ||
S42432A | 08 | 562-563 | S43003S | 08 | 562-563 | S4361XA | 08 | 562-563 | ||
S42432A | 24 | 963-965 | S43004A | 08 | 562-563 | S4361XA | 24 | 963-965 | ||
S42432B | 08 | 562-563 | S43004A | 24 | 963-965 | S4361XD | 23 | 949-950 | ||
S42432B | 24 | 963-965 | S43004D | 23 | 949-950 | S4361XS | 08 | 562-563 | ||
S42432D | 08 | 559-561 | S43004S | 08 | 562-563 | S4362XA | 08 | 562-563 | ||
S42432G | 08 | 559-561 | S43005A | 08 | 562-563 | S4362XA | 24 | 963-965 | ||
S42432K | 08 | 564-566 | S43005A | 24 | 963-965 | S4362XD | 23 | 949-950 | ||
S42432P | 08 | 564-566 | S43005D | 23 | 949-950 | S4362XS | 08 | 562-563 | ||
S42432S | 08 | 559-561 | S43005S | 08 | 562-563 | S4380XA | 08 | 562-563 | ||
S42433A | 08 | 562-563 | S43006A | 08 | 562-563 | S4380XA | 24 | 963-965 | ||
S42433A | 24 | 963-965 | S43006A | 24 | 963-965 | S4380XD | 23 | 949-950 | ||
S42433B | 08 | 562-563 | S43006D | 23 | 949-950 | S4380XS | 08 | 562-563 | ||
S42433B | 24 | 963-965 | S43006S | 08 | 562-563 | S4381XA | 08 | 562-563 | ||
S42433D | 08 | 559-561 | S43011A | 08 | 562-563 | S4381XA | 24 | 963-965 | ||
S42433G | 08 | 559-561 | S43011A | 24 | 963-965 | S4381XD | 23 | 949-950 | ||
S42433K | 08 | 564-566 | S43011D | 23 | 949-950 | S4381XS | 08 | 562-563 | ||
S42433P | 08 | 564-566 | S43011S | 08 | 562-563 | S4382XA | 08 | 562-563 | ||
S42433S | 08 | 559-561 | S43012A | 08 | 562-563 | S4382XA | 24 | 963-965 | ||
S42434A | 08 | 562-563 | S43012A | 24 | 963-965 | S4382XD | 23 | 949-950 | ||
S42434A | 24 | 963-965 | S43012D | 23 | 949-950 | S4382XS | 08 | 562-563 | ||
S42434B | 08 | 562-563 | S43012S | 08 | 562-563 | S4390XA | 08 | 562-563 | ||
S42434B | 24 | 963-965 | S43013A | 08 | 562-563 | S4390XA | 24 | 963-965 | ||
S42434D | 08 | 559-561 | S43013A | 24 | 963-965 | S4390XD | 23 | 949-950 | ||
S42434G | 08 | 559-561 | S43013D | 23 | 949-950 | S4390XS | 08 | 562-563 | ||
S42434K | 08 | 564-566 | S43013S | 08 | 562-563 | S4391XA | 08 | 562-563 | ||
S42434P | 08 | 564-566 | S43014A | 08 | 562-563 | S4391XA | 24 | 963-965 | ||
S42434S | 08 | 559-561 | S43014A | 24 | 963-965 | S4391XD | 23 | 949-950 | ||
S42435A | 08 | 562-563 | S43014D | 23 | 949-950 | S4391XS | 08 | 562-563 | ||
S42435A | 24 | 963-965 | S43014S | 08 | 562-563 | S4392XA | 08 | 562-563 | ||
S42435B | 08 | 562-563 | S43015A | 08 | 562-563 | S4392XA | 24 | 963-965 | ||
S42435B | 24 | 963-965 | S43015A | 24 | 963-965 | S4392XD | 23 | 949-950 | ||
S42435D | 08 | 559-561 | S43015D | 23 | 949-950 | S4392XS | 08 | 562-563 | ||
S42435G | 08 | 559-561 | S43015S | 08 | 562-563 | S4400XA | 01 | 073-074 | ||
S42435K | 08 | 564-566 | S43016A | 08 | 562-563 | S4400XA | 24 | 963-965 | ||
S42435P | 08 | 564-566 | S43016A | 24 | 963-965 | S4400XD | 23 | 949-950 | ||
S42435S | 08 | 559-561 | S43016D | 23 | 949-950 | S4400XS | 01 | 091-093 | ||
S42436A | 08 | 562-563 | S43016S | 08 | 562-563 | S4401XA | 01 | 073-074 | ||
S42436A | 24 | 963-965 | S43021A | 08 | 562-563 | S4401XA | 24 | 963-965 | ||
S42436B | 08 | 562-563 | S43021A | 24 | 963-965 | S4401XD | 23 | 949-950 | ||
S42436B | 24 | 963-965 | S43021D | 23 | 949-950 | S4401XS | 01 | 091-093 | ||
S42436D | 08 | 559-561 | S43021S | 08 | 562-563 | S4402XA | 01 | 073-074 | ||
S42436G | 08 | 559-561 | S43022A | 08 | 562-563 | S4402XA | 24 | 963-965 | ||
S42436K | 08 | 564-566 | S43022A | 24 | 963-965 | S4402XD | 23 | 949-950 | ||
S42436P | 08 | 564-566 | S43022D | 23 | 949-950 | S4402XS | 01 | 091-093 | ||
S42436S | 08 | 559-561 | S43022S | 08 | 562-563 | S4410XA | 01 | 073-074 | ||
S42441A | 08 | 562-563 | S43023A | 08 | 562-563 | S4410XA | 24 | 963-965 | ||
S42441A | 24 | 963-965 | S43023A | 24 | 963-965 | S4410XD | 23 | 949-950 | ||
S42441B | 08 | 562-563 | S43023D | 23 | 949-950 | S4410XS | 01 | 091-093 | ||
S42441B | 24 | 963-965 | S43023S | 08 | 562-563 | S4411XA | 01 | 073-074 | ||
S42441D | 08 | 559-561 | S43024A | 08 | 562-563 | S4411XA | 24 | 963-965 | ||
S42441G | 08 | 559-561 | S43024A | 24 | 963-965 | S4411XD | 23 | 949-950 | ||
S42441K | 08 | 564-566 | S43024D | 23 | 949-950 | S4411XS | 01 | 091-093 | ||
S42441P | 08 | 564-566 | S43024S | 08 | 562-563 | S4412XA | 01 | 073-074 | ||
S42441S | 08 | 559-561 | S43025A | 08 | 562-563 | S4412XA | 24 | 963-965 | ||
S42442A | 08 | 562-563 | S43025A | 24 | 963-965 | S4412XD | 23 | 949-950 | ||
S42442A | 24 | 963-965 | S43025D | 23 | 949-950 | S4412XS | 01 | 091-093 | ||
S42442B | 08 | 562-563 | S43025S | 08 | 562-563 | S4420XA | 01 | 073-074 | ||
S42442B | 24 | 963-965 | S43026A | 08 | 562-563 | S4420XA | 24 | 963-965 | ||
S42442D | 08 | 559-561 | S43026A | 24 | 963-965 | S4420XD | 23 | 949-950 | ||
S42442G | 08 | 559-561 | S43026D | 23 | 949-950 | S4420XS | 01 | 091-093 | ||
S42442K | 08 | 564-566 | S43026S | 08 | 562-563 | S4421XA | 01 | 073-074 | ||
S42442P | 08 | 564-566 | S43031A | 08 | 562-563 | S4421XA | 24 | 963-965 | ||
S42442S | 08 | 559-561 | S43031A | 24 | 963-965 | S4421XD | 23 | 949-950 | ||
S42443A | 08 | 562-563 | S43031D | 23 | 949-950 | S4421XS | 01 | 091-093 | ||
S42443A | 24 | 963-965 | S43031S | 08 | 562-563 | S4422XA | 01 | 073-074 | ||
S42443B | 08 | 562-563 | S43032A | 08 | 562-563 | S4422XA | 24 | 963-965 | ||
S42443B | 24 | 963-965 | S43032A | 24 | 963-965 | S4422XD | 23 | 949-950 | ||
S42443D | 08 | 559-561 | S43032D | 23 | 949-950 | S4422XS | 01 | 091-093 | ||
S42443G | 08 | 559-561 | S43032S | 08 | 562-563 | S4430XA | 01 | 073-074 | ||
S42443K | 08 | 564-566 | S43033A | 08 | 562-563 | S4430XA | 24 | 963-965 | ||
S42443P | 08 | 564-566 | S43033A | 24 | 963-965 | S4430XD | 23 | 949-950 | ||
S42443S | 08 | 559-561 | S43033D | 23 | 949-950 | S4430XS | 01 | 091-093 | ||
S42444A | 08 | 562-563 | S43033S | 08 | 562-563 | S4431XA | 01 | 073-074 | ||
S42444A | 24 | 963-965 | S43034A | 08 | 562-563 | S4431XA | 24 | 963-965 | ||
S42444B | 08 | 562-563 | S43034A | 24 | 963-965 | S4431XD | 23 | 949-950 | ||
S42444B | 24 | 963-965 | S43034D | 23 | 949-950 | S4431XS | 01 | 091-093 | ||
S42444D | 08 | 559-561 | S43034S | 08 | 562-563 | S4432XA | 01 | 073-074 | ||
S42444G | 08 | 559-561 | S43035A | 08 | 562-563 | S4432XA | 24 | 963-965 | ||
S42444K | 08 | 564-566 | S43035A | 24 | 963-965 | S4432XD | 23 | 949-950 | ||
S42444P | 08 | 564-566 | S43035D | 23 | 949-950 | S4432XS | 01 | 091-093 | ||
S42444S | 08 | 559-561 | S43035S | 08 | 562-563 | S4440XA | 01 | 073-074 | ||
S42445A | 08 | 562-563 | S43036A | 08 | 562-563 | S4440XA | 24 | 963-965 | ||
S42445A | 24 | 963-965 | S43036A | 24 | 963-965 | S4440XD | 23 | 949-950 | ||
S42445B | 08 | 562-563 | S43036D | 23 | 949-950 | S4440XS | 01 | 091-093 | ||
S42445B | 24 | 963-965 | S43036S | 08 | 562-563 | S4441XA | 01 | 073-074 | ||
S42445D | 08 | 559-561 | S43081A | 08 | 562-563 | S4441XA | 24 | 963-965 | ||
S42445G | 08 | 559-561 | S43081A | 24 | 963-965 | S4441XD | 23 | 949-950 | ||
S42445K | 08 | 564-566 | S43081D | 23 | 949-950 | S4441XS | 01 | 091-093 | ||
S42445P | 08 | 564-566 | S43081S | 08 | 562-563 | S4442XA | 01 | 073-074 | ||
S42445S | 08 | 559-561 | S43082A | 08 | 562-563 | S4442XA | 24 | 963-965 | ||
S42446A | 08 | 562-563 | S43082A | 24 | 963-965 | S4442XD | 23 | 949-950 | ||
S42446A | 24 | 963-965 | S43082D | 23 | 949-950 | S4442XS | 01 | 091-093 | ||
S42446B | 08 | 562-563 | S43082S | 08 | 562-563 | S4450XA | 01 | 073-074 | ||
S42446B | 24 | 963-965 | S43083A | 08 | 562-563 | S4450XA | 24 | 963-965 | ||
S42446D | 08 | 559-561 | S43083A | 24 | 963-965 | S4450XD | 23 | 949-950 | ||
S42446G | 08 | 559-561 | S43083D | 23 | 949-950 | S4450XS | 01 | 091-093 | ||
S42446K | 08 | 564-566 | S43083S | 08 | 562-563 | S4451XA | 01 | 073-074 | ||
S42446P | 08 | 564-566 | S43084A | 08 | 562-563 | S4451XA | 24 | 963-965 | ||
S42446S | 08 | 559-561 | S43084A | 24 | 963-965 | S4451XD | 23 | 949-950 | ||
S42447A | 08 | 562-563 | S43084D | 23 | 949-950 | S4451XS | 01 | 091-093 | ||
S42447A | 24 | 963-965 | S43084S | 08 | 562-563 | S4452XA | 01 | 073-074 | ||
S42447B | 08 | 562-563 | S43085A | 08 | 562-563 | S4452XA | 24 | 963-965 | ||
S42447B | 24 | 963-965 | S43085A | 24 | 963-965 | S4452XD | 23 | 949-950 | ||
S42447D | 08 | 559-561 | S43085D | 23 | 949-950 | S4452XS | 01 | 091-093 | ||
S42447G | 08 | 559-561 | S43085S | 08 | 562-563 | S448X1A | 01 | 073-074 | ||
S42447K | 08 | 564-566 | S43086A | 08 | 562-563 | S448X1A | 24 | 963-965 | ||
S42447P | 08 | 564-566 | S43086A | 24 | 963-965 | S448X1D | 23 | 949-950 | ||
S42447S | 08 | 559-561 | S43086D | 23 | 949-950 | S448X1S | 01 | 091-093 | ||
S42448A | 08 | 562-563 | S43086S | 08 | 562-563 | S448X2A | 01 | 073-074 | ||
S42448A | 24 | 963-965 | S43101A | 08 | 562-563 | S448X2A | 24 | 963-965 | ||
S42448B | 08 | 562-563 | S43101A | 24 | 963-965 | S448X2D | 23 | 949-950 | ||
S42448B | 24 | 963-965 | S43101D | 23 | 949-950 | S448X2S | 01 | 091-093 | ||
S42448D | 08 | 559-561 | S43101S | 08 | 562-563 | S448X9A | 01 | 073-074 | ||
S42448G | 08 | 559-561 | S43102A | 08 | 562-563 | S448X9A | 24 | 963-965 | ||
S42448K | 08 | 564-566 | S43102A | 24 | 963-965 | S448X9D | 23 | 949-950 | ||
S42448P | 08 | 564-566 | S43102D | 23 | 949-950 | S448X9S | 01 | 091-093 | ||
S42448S | 08 | 559-561 | S43102S | 08 | 562-563 | S4490XA | 01 | 073-074 | ||
S42449A | 08 | 562-563 | S43109A | 08 | 562-563 | S4490XA | 24 | 963-965 | ||
S42449A | 24 | 963-965 | S43109A | 24 | 963-965 | S4490XD | 23 | 949-950 | ||
S42449B | 08 | 562-563 | S43109D | 23 | 949-950 | S4490XS | 01 | 091-093 | ||
S42449B | 24 | 963-965 | S43109S | 08 | 562-563 | S4491XA | 01 | 073-074 | ||
S42449D | 08 | 559-561 | S43111A | 08 | 562-563 | S4491XA | 24 | 963-965 | ||
S42449G | 08 | 559-561 | S43111A | 24 | 963-965 | S4491XD | 23 | 949-950 | ||
S42449K | 08 | 564-566 | S43111D | 23 | 949-950 | S4491XS | 01 | 091-093 | ||
S42449P | 08 | 564-566 | S43111S | 08 | 562-563 | S4492XA | 01 | 073-074 | ||
S42449S | 08 | 559-561 | S43112A | 08 | 562-563 | S4492XA | 24 | 963-965 | ||
S42451A | 08 | 562-563 | S43112A | 24 | 963-965 | S4492XD | 23 | 949-950 | ||
S42451A | 24 | 963-965 | S43112D | 23 | 949-950 | S4492XS | 01 | 091-093 | ||
S42451B | 08 | 562-563 | S43112S | 08 | 562-563 | S45001A | 21 | 913-914 | ||
S42451B | 24 | 963-965 | S43119A | 08 | 562-563 | S45001A | 24 | 963-965 | ||
S42451D | 08 | 559-561 | S43119A | 24 | 963-965 | S45001D | 23 | 949-950 | ||
S42451G | 08 | 559-561 | S43119D | 23 | 949-950 | S45001S | 05 | 299-301 | ||
S42451K | 08 | 564-566 | S43119S | 08 | 562-563 | S45002A | 21 | 913-914 | ||
S42451P | 08 | 564-566 | S43121A | 08 | 562-563 | S45002A | 24 | 963-965 | ||
S42451S | 08 | 559-561 | S43121A | 24 | 963-965 | S45002D | 23 | 949-950 | ||
S42452A | 08 | 562-563 | S43121D | 23 | 949-950 | S45002S | 05 | 299-301 | ||
S42452A | 24 | 963-965 | S43121S | 08 | 562-563 | S45009A | 21 | 913-914 | ||
S42452B | 08 | 562-563 | S43122A | 08 | 562-563 | S45009A | 24 | 963-965 | ||
S42452B | 24 | 963-965 | S43122A | 24 | 963-965 | S45009D | 23 | 949-950 | ||
S42452D | 08 | 559-561 | S43122D | 23 | 949-950 | S45009S | 05 | 299-301 | ||
S42452G | 08 | 559-561 | S43122S | 08 | 562-563 | S45011A | 21 | 913-914 | ||
S42452K | 08 | 564-566 | S43129A | 08 | 562-563 | S45011A | 24 | 963-965 | ||
S42452P | 08 | 564-566 | S43129A | 24 | 963-965 | S45011D | 23 | 949-950 | ||
S42452S | 08 | 559-561 | S43129D | 23 | 949-950 | S45011S | 05 | 299-301 | ||
S42453A | 08 | 562-563 | S43129S | 08 | 562-563 | S45012A | 21 | 913-914 | ||
S42453A | 24 | 963-965 | S43131A | 08 | 562-563 | S45012A | 24 | 963-965 | ||
S42453B | 08 | 562-563 | S43131A | 24 | 963-965 | S45012D | 23 | 949-950 | ||
S42453B | 24 | 963-965 | S43131D | 23 | 949-950 | S45012S | 05 | 299-301 | ||
S42453D | 08 | 559-561 | S43131S | 08 | 562-563 | S45019A | 21 | 913-914 | ||
S42453G | 08 | 559-561 | S43132A | 08 | 562-563 | S45019A | 24 | 963-965 | ||
S42453K | 08 | 564-566 | S43132A | 24 | 963-965 | S45019D | 23 | 949-950 | ||
S42453P | 08 | 564-566 | S43132D | 23 | 949-950 | S45019S | 05 | 299-301 | ||
S42453S | 08 | 559-561 | S43132S | 08 | 562-563 | S45091A | 21 | 913-914 | ||
S42454A | 08 | 562-563 | S43139A | 08 | 562-563 | S45091A | 24 | 963-965 | ||
S42454A | 24 | 963-965 | S43139A | 24 | 963-965 | S45091D | 23 | 949-950 | ||
S42454B | 08 | 562-563 | S43139D | 23 | 949-950 | S45091S | 05 | 299-301 | ||
S42454B | 24 | 963-965 | S43139S | 08 | 562-563 | S45092A | 21 | 913-914 | ||
S42454D | 08 | 559-561 | S43141A | 08 | 562-563 | S45092A | 24 | 963-965 | ||
S42454G | 08 | 559-561 | S43141A | 24 | 963-965 | S45092D | 23 | 949-950 | ||
S42454K | 08 | 564-566 | S43141D | 23 | 949-950 | S45092S | 05 | 299-301 | ||
S42454P | 08 | 564-566 | S43141S | 08 | 562-563 | S45099A | 21 | 913-914 | ||
S42454S | 08 | 559-561 | S43142A | 08 | 562-563 | S45099A | 24 | 963-965 | ||
S42455A | 08 | 562-563 | S43142A | 24 | 963-965 | S45099D | 23 | 949-950 | ||
S42455A | 24 | 963-965 | S43142D | 23 | 949-950 | S45099S | 05 | 299-301 | ||
S42455B | 08 | 562-563 | S43142S | 08 | 562-563 | S45101A | 21 | 913-914 | ||
S42455B | 24 | 963-965 | S43149A | 08 | 562-563 | S45101A | 24 | 963-965 | ||
S42455D | 08 | 559-561 | S43149A | 24 | 963-965 | S45101D | 23 | 949-950 | ||
S42455G | 08 | 559-561 | S43149D | 23 | 949-950 | S45101S | 05 | 299-301 | ||
S42455K | 08 | 564-566 | S43149S | 08 | 562-563 | S45102A | 21 | 913-914 | ||
S42455P | 08 | 564-566 | S43151A | 08 | 562-563 | S45102A | 24 | 963-965 | ||
S42455S | 08 | 559-561 | S43151A | 24 | 963-965 | S45102D | 23 | 949-950 | ||
S42456A | 08 | 562-563 | S43151D | 23 | 949-950 | S45102S | 05 | 299-301 | ||
S42456A | 24 | 963-965 | S43151S | 08 | 562-563 | S45109A | 21 | 913-914 | ||
S42456B | 08 | 562-563 | S43152A | 08 | 562-563 | S45109A | 24 | 963-965 | ||
S42456B | 24 | 963-965 | S43152A | 24 | 963-965 | S45109D | 23 | 949-950 | ||
S42456D | 08 | 559-561 | S43152D | 23 | 949-950 | S45109S | 05 | 299-301 | ||
S42456G | 08 | 559-561 | S43152S | 08 | 562-563 | S45111A | 21 | 913-914 | ||
S42456K | 08 | 564-566 | S43159A | 08 | 562-563 | S45111A | 24 | 963-965 | ||
S42456P | 08 | 564-566 | S43159A | 24 | 963-965 | S45111D | 23 | 949-950 | ||
S42456S | 08 | 559-561 | S43159D | 23 | 949-950 | S45111S | 05 | 299-301 | ||
S42461A | 08 | 562-563 | S43159S | 08 | 562-563 | S45112A | 21 | 913-914 | ||
S42461A | 24 | 963-965 | S43201A | 04 | 183-185 | S45112A | 24 | 963-965 | ||
S42461B | 08 | 562-563 | S43201A | 24 | 963-965 | S45112D | 23 | 949-950 | ||
S42461B | 24 | 963-965 | S43201D | 23 | 949-950 | S45112S | 05 | 299-301 | ||
S42461D | 08 | 559-561 | S43201S | 08 | 562-563 | S45119A | 21 | 913-914 | ||
S42461G | 08 | 559-561 | S43202A | 04 | 183-185 | S45119A | 24 | 963-965 | ||
S42461K | 08 | 564-566 | S43202A | 24 | 963-965 | S45119D | 23 | 949-950 | ||
S42461P | 08 | 564-566 | S43202D | 23 | 949-950 | S45119S | 05 | 299-301 | ||
S42461S | 08 | 559-561 | S43202S | 08 | 562-563 | S45191A | 21 | 913-914 | ||
S42462A | 08 | 562-563 | S43203A | 04 | 183-185 | S45191A | 24 | 963-965 | ||
S42462A | 24 | 963-965 | S43203A | 24 | 963-965 | S45191D | 23 | 949-950 | ||
S42462B | 08 | 562-563 | S43203D | 23 | 949-950 | S45191S | 05 | 299-301 | ||
S42462B | 24 | 963-965 | S43203S | 08 | 562-563 | S45192A | 21 | 913-914 | ||
S42462D | 08 | 559-561 | S43204A | 04 | 183-185 | S45192A | 24 | 963-965 | ||
S42462G | 08 | 559-561 | S43204A | 24 | 963-965 | S45192D | 23 | 949-950 | ||
S42462K | 08 | 564-566 | S43204D | 23 | 949-950 | S45192S | 05 | 299-301 | ||
S42462P | 08 | 564-566 | S43204S | 08 | 562-563 | S45199A | 21 | 913-914 | ||
S42462S | 08 | 559-561 | S43205A | 04 | 183-185 | S45199A | 24 | 963-965 | ||
S42463A | 08 | 562-563 | S43205A | 24 | 963-965 | S45199D | 23 | 949-950 | ||
S42463A | 24 | 963-965 | S43205D | 23 | 949-950 | S45199S | 05 | 299-301 | ||
S42463B | 08 | 562-563 | S43205S | 08 | 562-563 | S45201A | 21 | 913-914 | ||
S42463B | 24 | 963-965 | S43206A | 04 | 183-185 | S45201A | 24 | 963-965 | ||
S42463D | 08 | 559-561 | S43206A | 24 | 963-965 | S45201D | 23 | 949-950 | ||
S42463G | 08 | 559-561 | S43206D | 23 | 949-950 | S45201S | 05 | 299-301 | ||
S42463K | 08 | 564-566 | S43206S | 08 | 562-563 | S45202A | 21 | 913-914 | ||
S42463P | 08 | 564-566 | S43211A | 04 | 183-185 | S45202A | 24 | 963-965 | ||
S42463S | 08 | 559-561 | S43211A | 24 | 963-965 | S45202D | 23 | 949-950 | ||
S42464A | 08 | 562-563 | S43211D | 23 | 949-950 | S45202S | 05 | 299-301 | ||
S42464A | 24 | 963-965 | S43211S | 08 | 562-563 | S45209A | 21 | 913-914 | ||
S42464B | 08 | 562-563 | S43212A | 04 | 183-185 | S45209A | 24 | 963-965 | ||
S42464B | 24 | 963-965 | S43212A | 24 | 963-965 | S45209D | 23 | 949-950 | ||
S42464D | 08 | 559-561 | S43212D | 23 | 949-950 | S45209S | 05 | 299-301 | ||
S42464G | 08 | 559-561 | S43212S | 08 | 562-563 | S45211A | 21 | 913-914 | ||
S42464K | 08 | 564-566 | S43213A | 04 | 183-185 | S45211A | 24 | 963-965 | ||
S42464P | 08 | 564-566 | S43213A | 24 | 963-965 | S45211D | 23 | 949-950 | ||
S42464S | 08 | 559-561 | S43213D | 23 | 949-950 | S45211S | 05 | 299-301 | ||
S42465A | 08 | 562-563 | S43213S | 08 | 562-563 | S45212A | 21 | 913-914 | ||
S42465A | 24 | 963-965 | S43214A | 04 | 183-185 | S45212A | 24 | 963-965 | ||
S42465B | 08 | 562-563 | S43214A | 24 | 963-965 | S45212D | 23 | 949-950 | ||
S42465B | 24 | 963-965 | S43214D | 23 | 949-950 | S45212S | 05 | 299-301 | ||
S42465D | 08 | 559-561 | S43214S | 08 | 562-563 | S45219A | 21 | 913-914 | ||
S42465G | 08 | 559-561 | S43215A | 04 | 183-185 | S45219A | 24 | 963-965 | ||
S42465K | 08 | 564-566 | S43215A | 24 | 963-965 | S45219D | 23 | 949-950 | ||
S42465P | 08 | 564-566 | S43215D | 23 | 949-950 | S45219S | 05 | 299-301 | ||
S42465S | 08 | 559-561 | S43215S | 08 | 562-563 | S45291A | 21 | 913-914 | ||
S42466A | 08 | 562-563 | S43216A | 04 | 183-185 | S45291A | 24 | 963-965 | ||
S42466A | 24 | 963-965 | S43216A | 24 | 963-965 | S45291D | 23 | 949-950 | ||
S42466B | 08 | 562-563 | S43216D | 23 | 949-950 | S45291S | 05 | 299-301 | ||
S42466B | 24 | 963-965 | S43216S | 08 | 562-563 | S45292A | 21 | 913-914 | ||
S42466D | 08 | 559-561 | S43221A | 04 | 183-185 | S45292A | 24 | 963-965 | ||
S42466G | 08 | 559-561 | S43221A | 24 | 963-965 | S45292D | 23 | 949-950 | ||
S42466K | 08 | 564-566 | S43221D | 23 | 949-950 | S45292S | 05 | 299-301 | ||
S42466P | 08 | 564-566 | S43221S | 08 | 562-563 | S45299A | 21 | 913-914 | ||
S42466S | 08 | 559-561 | S43222A | 04 | 183-185 | S45299A | 24 | 963-965 | ||
S42471A | 08 | 562-563 | S43222A | 24 | 963-965 | S45299D | 23 | 949-950 | ||
S42471A | 24 | 963-965 | S43222D | 23 | 949-950 | S45299S | 05 | 299-301 | ||
S42471B | 08 | 562-563 | S43222S | 08 | 562-563 | S45301A | 21 | 913-914 | ||
S42471B | 24 | 963-965 | S43223A | 04 | 183-185 | S45301A | 24 | 963-965 | ||
S42471D | 08 | 559-561 | S43223A | 24 | 963-965 | S45301D | 23 | 949-950 | ||
S42471G | 08 | 559-561 | S43223D | 23 | 949-950 | S45301S | 05 | 299-301 | ||
S42471K | 08 | 564-566 | S43223S | 08 | 562-563 | S45302A | 21 | 913-914 | ||
S42471P | 08 | 564-566 | S43224A | 04 | 183-185 | S45302A | 24 | 963-965 | ||
S42471S | 08 | 559-561 | S43224A | 24 | 963-965 | S45302D | 23 | 949-950 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 16:20:17 CMS, code-revision=332, description-revision=1327 |