ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 45 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S59242D | 08 | 559-561 | S60441A | 09 | 604-605 | S61021D | 23 | 949-950 | ||
| S59242G | 08 | 559-561 | S60441A | 24 | 963-965 | S61021S | 09 | 604-605 | ||
| S59242K | 08 | 564-566 | S60441D | 23 | 949-950 | S61022A | 21 | 913-914 | ||
| S59242P | 08 | 564-566 | S60441S | 09 | 604-605 | S61022A | 24 | 963-965 | ||
| S59242S | 08 | 559-561 | S60442A | 09 | 604-605 | S61022D | 23 | 949-950 | ||
| S59249A | 08 | 562-563 | S60442A | 24 | 963-965 | S61022S | 09 | 604-605 | ||
| S59249A | 24 | 963-965 | S60442D | 23 | 949-950 | S61029A | 21 | 913-914 | ||
| S59249D | 08 | 559-561 | S60442S | 09 | 604-605 | S61029A | 24 | 963-965 | ||
| S59249G | 08 | 559-561 | S60443A | 09 | 604-605 | S61029D | 23 | 949-950 | ||
| S59249K | 08 | 564-566 | S60443A | 24 | 963-965 | S61029S | 09 | 604-605 | ||
| S59249P | 08 | 564-566 | S60443D | 23 | 949-950 | S61031A | 09 | 604-605 | ||
| S59249S | 08 | 559-561 | S60443S | 09 | 604-605 | S61031A | 24 | 963-965 | ||
| S59291A | 08 | 562-563 | S60444A | 09 | 604-605 | S61031D | 23 | 949-950 | ||
| S59291A | 24 | 963-965 | S60444A | 24 | 963-965 | S61031S | 09 | 604-605 | ||
| S59291D | 08 | 559-561 | S60444D | 23 | 949-950 | S61032A | 09 | 604-605 | ||
| S59291G | 08 | 559-561 | S60444S | 09 | 604-605 | S61032A | 24 | 963-965 | ||
| S59291K | 08 | 564-566 | S60445A | 09 | 604-605 | S61032D | 23 | 949-950 | ||
| S59291P | 08 | 564-566 | S60445A | 24 | 963-965 | S61032S | 09 | 604-605 | ||
| S59291S | 08 | 559-561 | S60445D | 23 | 949-950 | S61039A | 09 | 604-605 | ||
| S59292A | 08 | 562-563 | S60445S | 09 | 604-605 | S61039A | 24 | 963-965 | ||
| S59292A | 24 | 963-965 | S60446A | 09 | 604-605 | S61039D | 23 | 949-950 | ||
| S59292D | 08 | 559-561 | S60446A | 24 | 963-965 | S61039S | 09 | 604-605 | ||
| S59292G | 08 | 559-561 | S60446D | 23 | 949-950 | S61041A | 21 | 913-914 | ||
| S59292K | 08 | 564-566 | S60446S | 09 | 604-605 | S61041A | 24 | 963-965 | ||
| S59292P | 08 | 564-566 | S60447A | 09 | 604-605 | S61041D | 23 | 949-950 | ||
| S59292S | 08 | 559-561 | S60447A | 24 | 963-965 | S61041S | 09 | 604-605 | ||
| S59299A | 08 | 562-563 | S60447D | 23 | 949-950 | S61042A | 21 | 913-914 | ||
| S59299A | 24 | 963-965 | S60447S | 09 | 604-605 | S61042A | 24 | 963-965 | ||
| S59299D | 08 | 559-561 | S60448A | 09 | 604-605 | S61042D | 23 | 949-950 | ||
| S59299G | 08 | 559-561 | S60448A | 24 | 963-965 | S61042S | 09 | 604-605 | ||
| S59299K | 08 | 564-566 | S60448D | 23 | 949-950 | S61049A | 21 | 913-914 | ||
| S59299P | 08 | 564-566 | S60448S | 09 | 604-605 | S61049A | 24 | 963-965 | ||
| S59299S | 08 | 559-561 | S60449A | 09 | 604-605 | S61049D | 23 | 949-950 | ||
| S59801A | 21 | 913-914 | S60449A | 24 | 963-965 | S61049S | 09 | 604-605 | ||
| S59801A | 24 | 963-965 | S60449D | 23 | 949-950 | S61051A | 09 | 604-605 | ||
| S59801D | 23 | 949-950 | S60449S | 09 | 604-605 | S61051A | 24 | 963-965 | ||
| S59801S | 21 | 913-914 | S60450A | 09 | 604-605 | S61051D | 23 | 949-950 | ||
| S59802A | 21 | 913-914 | S60450A | 24 | 963-965 | S61051S | 09 | 604-605 | ||
| S59802A | 24 | 963-965 | S60450D | 23 | 949-950 | S61052A | 09 | 604-605 | ||
| S59802D | 23 | 949-950 | S60450S | 09 | 604-605 | S61052A | 24 | 963-965 | ||
| S59802S | 21 | 913-914 | S60451A | 09 | 604-605 | S61052D | 23 | 949-950 | ||
| S59809A | 21 | 913-914 | S60451A | 24 | 963-965 | S61052S | 09 | 604-605 | ||
| S59809A | 24 | 963-965 | S60451D | 23 | 949-950 | S61059A | 09 | 604-605 | ||
| S59809D | 23 | 949-950 | S60451S | 09 | 604-605 | S61059A | 24 | 963-965 | ||
| S59809S | 21 | 913-914 | S60452A | 09 | 604-605 | S61059D | 23 | 949-950 | ||
| S59811A | 21 | 913-914 | S60452A | 24 | 963-965 | S61059S | 09 | 604-605 | ||
| S59811A | 24 | 963-965 | S60452D | 23 | 949-950 | S61101A | 09 | 604-605 | ||
| S59811D | 23 | 949-950 | S60452S | 09 | 604-605 | S61101A | 24 | 963-965 | ||
| S59811S | 21 | 913-914 | S60453A | 09 | 604-605 | S61101D | 23 | 949-950 | ||
| S59812A | 21 | 913-914 | S60453A | 24 | 963-965 | S61101S | 09 | 604-605 | ||
| S59812A | 24 | 963-965 | S60453D | 23 | 949-950 | S61102A | 09 | 604-605 | ||
| S59812D | 23 | 949-950 | S60453S | 09 | 604-605 | S61102A | 24 | 963-965 | ||
| S59812S | 21 | 913-914 | S60454A | 09 | 604-605 | S61102D | 23 | 949-950 | ||
| S59819A | 21 | 913-914 | S60454A | 24 | 963-965 | S61102S | 09 | 604-605 | ||
| S59819A | 24 | 963-965 | S60454D | 23 | 949-950 | S61109A | 09 | 604-605 | ||
| S59819D | 23 | 949-950 | S60454S | 09 | 604-605 | S61109A | 24 | 963-965 | ||
| S59819S | 21 | 913-914 | S60455A | 09 | 604-605 | S61109D | 23 | 949-950 | ||
| S59901A | 21 | 913-914 | S60455A | 24 | 963-965 | S61109S | 09 | 604-605 | ||
| S59901A | 24 | 963-965 | S60455D | 23 | 949-950 | S61111A | 09 | 604-605 | ||
| S59901D | 23 | 949-950 | S60455S | 09 | 604-605 | S61111A | 24 | 963-965 | ||
| S59901S | 21 | 913-914 | S60456A | 09 | 604-605 | S61111D | 23 | 949-950 | ||
| S59902A | 21 | 913-914 | S60456A | 24 | 963-965 | S61111S | 09 | 604-605 | ||
| S59902A | 24 | 963-965 | S60456D | 23 | 949-950 | S61112A | 09 | 604-605 | ||
| S59902D | 23 | 949-950 | S60456S | 09 | 604-605 | S61112A | 24 | 963-965 | ||
| S59902S | 21 | 913-914 | S60457A | 09 | 604-605 | S61112D | 23 | 949-950 | ||
| S59909A | 21 | 913-914 | S60457A | 24 | 963-965 | S61112S | 09 | 604-605 | ||
| S59909A | 24 | 963-965 | S60457D | 23 | 949-950 | S61119A | 09 | 604-605 | ||
| S59909D | 23 | 949-950 | S60457S | 09 | 604-605 | S61119A | 24 | 963-965 | ||
| S59909S | 21 | 913-914 | S60458A | 09 | 604-605 | S61119D | 23 | 949-950 | ||
| S59911A | 21 | 913-914 | S60458A | 24 | 963-965 | S61119S | 09 | 604-605 | ||
| S59911A | 24 | 963-965 | S60458D | 23 | 949-950 | S61121A | 21 | 913-914 | ||
| S59911D | 23 | 949-950 | S60458S | 09 | 604-605 | S61121A | 24 | 963-965 | ||
| S59911S | 21 | 913-914 | S60459A | 09 | 604-605 | S61121D | 23 | 949-950 | ||
| S59912A | 21 | 913-914 | S60459A | 24 | 963-965 | S61121S | 09 | 604-605 | ||
| S59912A | 24 | 963-965 | S60459D | 23 | 949-950 | S61122A | 21 | 913-914 | ||
| S59912D | 23 | 949-950 | S60459S | 09 | 604-605 | S61122A | 24 | 963-965 | ||
| S59912S | 21 | 913-914 | S60460A | 09 | 606-607 | S61122D | 23 | 949-950 | ||
| S59919A | 21 | 913-914 | S60460A | 24 | 963-965 | S61122S | 09 | 604-605 | ||
| S59919A | 24 | 963-965 | S60460D | 23 | 949-950 | S61129A | 21 | 913-914 | ||
| S59919D | 23 | 949-950 | S60460S | 09 | 604-605 | S61129A | 24 | 963-965 | ||
| S59919S | 21 | 913-914 | S60461A | 09 | 606-607 | S61129D | 23 | 949-950 | ||
| S6000XA | 09 | 604-605 | S60461A | 24 | 963-965 | S61129S | 09 | 604-605 | ||
| S6000XA | 24 | 963-965 | S60461D | 23 | 949-950 | S61131A | 09 | 604-605 | ||
| S6000XD | 23 | 949-950 | S60461S | 09 | 604-605 | S61131A | 24 | 963-965 | ||
| S6000XS | 09 | 604-605 | S60462A | 09 | 606-607 | S61131D | 23 | 949-950 | ||
| S60011A | 09 | 604-605 | S60462A | 24 | 963-965 | S61131S | 09 | 604-605 | ||
| S60011A | 24 | 963-965 | S60462D | 23 | 949-950 | S61132A | 09 | 604-605 | ||
| S60011D | 23 | 949-950 | S60462S | 09 | 604-605 | S61132A | 24 | 963-965 | ||
| S60011S | 09 | 604-605 | S60463A | 09 | 606-607 | S61132D | 23 | 949-950 | ||
| S60012A | 09 | 604-605 | S60463A | 24 | 963-965 | S61132S | 09 | 604-605 | ||
| S60012A | 24 | 963-965 | S60463D | 23 | 949-950 | S61139A | 09 | 604-605 | ||
| S60012D | 23 | 949-950 | S60463S | 09 | 604-605 | S61139A | 24 | 963-965 | ||
| S60012S | 09 | 604-605 | S60464A | 09 | 606-607 | S61139D | 23 | 949-950 | ||
| S60019A | 09 | 604-605 | S60464A | 24 | 963-965 | S61139S | 09 | 604-605 | ||
| S60019A | 24 | 963-965 | S60464D | 23 | 949-950 | S61141A | 21 | 913-914 | ||
| S60019D | 23 | 949-950 | S60464S | 09 | 604-605 | S61141A | 24 | 963-965 | ||
| S60019S | 09 | 604-605 | S60465A | 09 | 606-607 | S61141D | 23 | 949-950 | ||
| S60021A | 09 | 604-605 | S60465A | 24 | 963-965 | S61141S | 09 | 604-605 | ||
| S60021A | 24 | 963-965 | S60465D | 23 | 949-950 | S61142A | 21 | 913-914 | ||
| S60021D | 23 | 949-950 | S60465S | 09 | 604-605 | S61142A | 24 | 963-965 | ||
| S60021S | 09 | 604-605 | S60466A | 09 | 606-607 | S61142D | 23 | 949-950 | ||
| S60022A | 09 | 604-605 | S60466A | 24 | 963-965 | S61142S | 09 | 604-605 | ||
| S60022A | 24 | 963-965 | S60466D | 23 | 949-950 | S61149A | 21 | 913-914 | ||
| S60022D | 23 | 949-950 | S60466S | 09 | 604-605 | S61149A | 24 | 963-965 | ||
| S60022S | 09 | 604-605 | S60467A | 09 | 606-607 | S61149D | 23 | 949-950 | ||
| S60029A | 09 | 604-605 | S60467A | 24 | 963-965 | S61149S | 09 | 604-605 | ||
| S60029A | 24 | 963-965 | S60467D | 23 | 949-950 | S61151A | 09 | 604-605 | ||
| S60029D | 23 | 949-950 | S60467S | 09 | 604-605 | S61151A | 24 | 963-965 | ||
| S60029S | 09 | 604-605 | S60468A | 09 | 606-607 | S61151D | 23 | 949-950 | ||
| S60031A | 09 | 604-605 | S60468A | 24 | 963-965 | S61151S | 09 | 604-605 | ||
| S60031A | 24 | 963-965 | S60468D | 23 | 949-950 | S61152A | 09 | 604-605 | ||
| S60031D | 23 | 949-950 | S60468S | 09 | 604-605 | S61152A | 24 | 963-965 | ||
| S60031S | 09 | 604-605 | S60469A | 09 | 606-607 | S61152D | 23 | 949-950 | ||
| S60032A | 09 | 604-605 | S60469A | 24 | 963-965 | S61152S | 09 | 604-605 | ||
| S60032A | 24 | 963-965 | S60469D | 23 | 949-950 | S61159A | 09 | 604-605 | ||
| S60032D | 23 | 949-950 | S60469S | 09 | 604-605 | S61159A | 24 | 963-965 | ||
| S60032S | 09 | 604-605 | S60470A | 09 | 604-605 | S61159D | 23 | 949-950 | ||
| S60039A | 09 | 604-605 | S60470A | 24 | 963-965 | S61159S | 09 | 604-605 | ||
| S60039A | 24 | 963-965 | S60470D | 23 | 949-950 | S61200A | 09 | 604-605 | ||
| S60039D | 23 | 949-950 | S60470S | 09 | 604-605 | S61200A | 24 | 963-965 | ||
| S60039S | 09 | 604-605 | S60471A | 09 | 604-605 | S61200D | 23 | 949-950 | ||
| S60041A | 09 | 604-605 | S60471A | 24 | 963-965 | S61200S | 09 | 604-605 | ||
| S60041A | 24 | 963-965 | S60471D | 23 | 949-950 | S61201A | 09 | 604-605 | ||
| S60041D | 23 | 949-950 | S60471S | 09 | 604-605 | S61201A | 24 | 963-965 | ||
| S60041S | 09 | 604-605 | S60472A | 09 | 604-605 | S61201D | 23 | 949-950 | ||
| S60042A | 09 | 604-605 | S60472A | 24 | 963-965 | S61201S | 09 | 604-605 | ||
| S60042A | 24 | 963-965 | S60472D | 23 | 949-950 | S61202A | 09 | 604-605 | ||
| S60042D | 23 | 949-950 | S60472S | 09 | 604-605 | S61202A | 24 | 963-965 | ||
| S60042S | 09 | 604-605 | S60473A | 09 | 604-605 | S61202D | 23 | 949-950 | ||
| S60049A | 09 | 604-605 | S60473A | 24 | 963-965 | S61202S | 09 | 604-605 | ||
| S60049A | 24 | 963-965 | S60473D | 23 | 949-950 | S61203A | 09 | 604-605 | ||
| S60049D | 23 | 949-950 | S60473S | 09 | 604-605 | S61203A | 24 | 963-965 | ||
| S60049S | 09 | 604-605 | S60474A | 09 | 604-605 | S61203D | 23 | 949-950 | ||
| S60051A | 09 | 604-605 | S60474A | 24 | 963-965 | S61203S | 09 | 604-605 | ||
| S60051A | 24 | 963-965 | S60474D | 23 | 949-950 | S61204A | 09 | 604-605 | ||
| S60051D | 23 | 949-950 | S60474S | 09 | 604-605 | S61204A | 24 | 963-965 | ||
| S60051S | 09 | 604-605 | S60475A | 09 | 604-605 | S61204D | 23 | 949-950 | ||
| S60052A | 09 | 604-605 | S60475A | 24 | 963-965 | S61204S | 09 | 604-605 | ||
| S60052A | 24 | 963-965 | S60475D | 23 | 949-950 | S61205A | 09 | 604-605 | ||
| S60052D | 23 | 949-950 | S60475S | 09 | 604-605 | S61205A | 24 | 963-965 | ||
| S60052S | 09 | 604-605 | S60476A | 09 | 604-605 | S61205D | 23 | 949-950 | ||
| S60059A | 09 | 604-605 | S60476A | 24 | 963-965 | S61205S | 09 | 604-605 | ||
| S60059A | 24 | 963-965 | S60476D | 23 | 949-950 | S61206A | 09 | 604-605 | ||
| S60059D | 23 | 949-950 | S60476S | 09 | 604-605 | S61206A | 24 | 963-965 | ||
| S60059S | 09 | 604-605 | S60477A | 09 | 604-605 | S61206D | 23 | 949-950 | ||
| S6010XA | 09 | 604-605 | S60477A | 24 | 963-965 | S61206S | 09 | 604-605 | ||
| S6010XA | 24 | 963-965 | S60477D | 23 | 949-950 | S61207A | 09 | 604-605 | ||
| S6010XD | 23 | 949-950 | S60477S | 09 | 604-605 | S61207A | 24 | 963-965 | ||
| S6010XS | 09 | 604-605 | S60478A | 09 | 604-605 | S61207D | 23 | 949-950 | ||
| S60111A | 09 | 604-605 | S60478A | 24 | 963-965 | S61207S | 09 | 604-605 | ||
| S60111A | 24 | 963-965 | S60478D | 23 | 949-950 | S61208A | 09 | 604-605 | ||
| S60111D | 23 | 949-950 | S60478S | 09 | 604-605 | S61208A | 24 | 963-965 | ||
| S60111S | 09 | 604-605 | S60479A | 09 | 604-605 | S61208D | 23 | 949-950 | ||
| S60112A | 09 | 604-605 | S60479A | 24 | 963-965 | S61208S | 09 | 604-605 | ||
| S60112A | 24 | 963-965 | S60479D | 23 | 949-950 | S61209A | 09 | 604-605 | ||
| S60112D | 23 | 949-950 | S60479S | 09 | 604-605 | S61209A | 24 | 963-965 | ||
| S60112S | 09 | 604-605 | S60511A | 09 | 604-605 | S61209D | 23 | 949-950 | ||
| S60119A | 09 | 604-605 | S60511A | 24 | 963-965 | S61209S | 09 | 604-605 | ||
| S60119A | 24 | 963-965 | S60511D | 23 | 949-950 | S61210A | 09 | 604-605 | ||
| S60119D | 23 | 949-950 | S60511S | 09 | 604-605 | S61210A | 24 | 963-965 | ||
| S60119S | 09 | 604-605 | S60512A | 09 | 604-605 | S61210D | 23 | 949-950 | ||
| S60121A | 09 | 604-605 | S60512A | 24 | 963-965 | S61210S | 09 | 604-605 | ||
| S60121A | 24 | 963-965 | S60512D | 23 | 949-950 | S61211A | 09 | 604-605 | ||
| S60121D | 23 | 949-950 | S60512S | 09 | 604-605 | S61211A | 24 | 963-965 | ||
| S60121S | 09 | 604-605 | S60519A | 09 | 604-605 | S61211D | 23 | 949-950 | ||
| S60122A | 09 | 604-605 | S60519A | 24 | 963-965 | S61211S | 09 | 604-605 | ||
| S60122A | 24 | 963-965 | S60519D | 23 | 949-950 | S61212A | 09 | 604-605 | ||
| S60122D | 23 | 949-950 | S60519S | 09 | 604-605 | S61212A | 24 | 963-965 | ||
| S60122S | 09 | 604-605 | S60521A | 09 | 606-607 | S61212D | 23 | 949-950 | ||
| S60129A | 09 | 604-605 | S60521A | 24 | 963-965 | S61212S | 09 | 604-605 | ||
| S60129A | 24 | 963-965 | S60521D | 23 | 949-950 | S61213A | 09 | 604-605 | ||
| S60129D | 23 | 949-950 | S60521S | 09 | 604-605 | S61213A | 24 | 963-965 | ||
| S60129S | 09 | 604-605 | S60522A | 09 | 606-607 | S61213D | 23 | 949-950 | ||
| S60131A | 09 | 604-605 | S60522A | 24 | 963-965 | S61213S | 09 | 604-605 | ||
| S60131A | 24 | 963-965 | S60522D | 23 | 949-950 | S61214A | 09 | 604-605 | ||
| S60131D | 23 | 949-950 | S60522S | 09 | 604-605 | S61214A | 24 | 963-965 | ||
| S60131S | 09 | 604-605 | S60529A | 09 | 606-607 | S61214D | 23 | 949-950 | ||
| S60132A | 09 | 604-605 | S60529A | 24 | 963-965 | S61214S | 09 | 604-605 | ||
| S60132A | 24 | 963-965 | S60529D | 23 | 949-950 | S61215A | 09 | 604-605 | ||
| S60132D | 23 | 949-950 | S60529S | 09 | 604-605 | S61215A | 24 | 963-965 | ||
| S60132S | 09 | 604-605 | S60541A | 09 | 604-605 | S61215D | 23 | 949-950 | ||
| S60139A | 09 | 604-605 | S60541A | 24 | 963-965 | S61215S | 09 | 604-605 | ||
| S60139A | 24 | 963-965 | S60541D | 23 | 949-950 | S61216A | 09 | 604-605 | ||
| S60139D | 23 | 949-950 | S60541S | 09 | 604-605 | S61216A | 24 | 963-965 | ||
| S60139S | 09 | 604-605 | S60542A | 09 | 604-605 | S61216D | 23 | 949-950 | ||
| S60141A | 09 | 604-605 | S60542A | 24 | 963-965 | S61216S | 09 | 604-605 | ||
| S60141A | 24 | 963-965 | S60542D | 23 | 949-950 | S61217A | 09 | 604-605 | ||
| S60141D | 23 | 949-950 | S60542S | 09 | 604-605 | S61217A | 24 | 963-965 | ||
| S60141S | 09 | 604-605 | S60549A | 09 | 604-605 | S61217D | 23 | 949-950 | ||
| S60142A | 09 | 604-605 | S60549A | 24 | 963-965 | S61217S | 09 | 604-605 | ||
| S60142A | 24 | 963-965 | S60549D | 23 | 949-950 | S61218A | 09 | 604-605 | ||
| S60142D | 23 | 949-950 | S60549S | 09 | 604-605 | S61218A | 24 | 963-965 | ||
| S60142S | 09 | 604-605 | S60551A | 09 | 604-605 | S61218D | 23 | 949-950 | ||
| S60149A | 09 | 604-605 | S60551A | 24 | 963-965 | S61218S | 09 | 604-605 | ||
| S60149A | 24 | 963-965 | S60551D | 23 | 949-950 | S61219A | 09 | 604-605 | ||
| S60149D | 23 | 949-950 | S60551S | 09 | 604-605 | S61219A | 24 | 963-965 | ||
| S60149S | 09 | 604-605 | S60552A | 09 | 604-605 | S61219D | 23 | 949-950 | ||
| S60151A | 09 | 604-605 | S60552A | 24 | 963-965 | S61219S | 09 | 604-605 | ||
| S60151A | 24 | 963-965 | S60552D | 23 | 949-950 | S61220A | 21 | 913-914 | ||
| S60151D | 23 | 949-950 | S60552S | 09 | 604-605 | S61220A | 24 | 963-965 | ||
| S60151S | 09 | 604-605 | S60559A | 09 | 604-605 | S61220D | 23 | 949-950 | ||
| S60152A | 09 | 604-605 | S60559A | 24 | 963-965 | S61220S | 09 | 604-605 | ||
| S60152A | 24 | 963-965 | S60559D | 23 | 949-950 | S61221A | 21 | 913-914 | ||
| S60152D | 23 | 949-950 | S60559S | 09 | 604-605 | S61221A | 24 | 963-965 | ||
| S60152S | 09 | 604-605 | S60561A | 09 | 606-607 | S61221D | 23 | 949-950 | ||
| S60159A | 09 | 604-605 | S60561A | 24 | 963-965 | S61221S | 09 | 604-605 | ||
| S60159A | 24 | 963-965 | S60561D | 23 | 949-950 | S61222A | 21 | 913-914 | ||
| S60159D | 23 | 949-950 | S60561S | 09 | 604-605 | S61222A | 24 | 963-965 | ||
| S60159S | 09 | 604-605 | S60562A | 09 | 606-607 | S61222D | 23 | 949-950 | ||
| S60211A | 09 | 604-605 | S60562A | 24 | 963-965 | S61222S | 09 | 604-605 | ||
| S60211A | 24 | 963-965 | S60562D | 23 | 949-950 | S61223A | 21 | 913-914 | ||
| S60211D | 23 | 949-950 | S60562S | 09 | 604-605 | S61223A | 24 | 963-965 | ||
| S60211S | 09 | 604-605 | S60569A | 09 | 606-607 | S61223D | 23 | 949-950 | ||
| S60212A | 09 | 604-605 | S60569A | 24 | 963-965 | S61223S | 09 | 604-605 | ||
| S60212A | 24 | 963-965 | S60569D | 23 | 949-950 | S61224A | 21 | 913-914 | ||
| S60212D | 23 | 949-950 | S60569S | 09 | 604-605 | S61224A | 24 | 963-965 | ||
| S60212S | 09 | 604-605 | S60571A | 09 | 604-605 | S61224D | 23 | 949-950 | ||
| S60219A | 09 | 604-605 | S60571A | 24 | 963-965 | S61224S | 09 | 604-605 | ||
| S60219A | 24 | 963-965 | S60571D | 23 | 949-950 | S61225A | 21 | 913-914 | ||
| S60219D | 23 | 949-950 | S60571S | 09 | 604-605 | S61225A | 24 | 963-965 | ||
| S60219S | 09 | 604-605 | S60572A | 09 | 604-605 | S61225D | 23 | 949-950 | ||
| S60221A | 09 | 604-605 | S60572A | 24 | 963-965 | S61225S | 09 | 604-605 | ||
| S60221A | 24 | 963-965 | S60572D | 23 | 949-950 | S61226A | 21 | 913-914 | ||
| S60221D | 23 | 949-950 | S60572S | 09 | 604-605 | S61226A | 24 | 963-965 | ||
| S60221S | 09 | 604-605 | S60579A | 09 | 604-605 | S61226D | 23 | 949-950 | ||
| S60222A | 09 | 604-605 | S60579A | 24 | 963-965 | S61226S | 09 | 604-605 | ||
| S60222A | 24 | 963-965 | S60579D | 23 | 949-950 | S61227A | 21 | 913-914 | ||
| S60222D | 23 | 949-950 | S60579S | 09 | 604-605 | S61227A | 24 | 963-965 | ||
| S60222S | 09 | 604-605 | S60811A | 09 | 604-605 | S61227D | 23 | 949-950 | ||
| S60229A | 09 | 604-605 | S60811A | 24 | 963-965 | S61227S | 09 | 604-605 | ||
| S60229A | 24 | 963-965 | S60811D | 23 | 949-950 | S61228A | 21 | 913-914 | ||
| S60229D | 23 | 949-950 | S60811S | 09 | 604-605 | S61228A | 24 | 963-965 | ||
| S60229S | 09 | 604-605 | S60812A | 09 | 604-605 | S61228D | 23 | 949-950 | ||
| S60311A | 09 | 604-605 | S60812A | 24 | 963-965 | S61228S | 09 | 604-605 | ||
| S60311A | 24 | 963-965 | S60812D | 23 | 949-950 | S61229A | 21 | 913-914 | ||
| S60311D | 23 | 949-950 | S60812S | 09 | 604-605 | S61229A | 24 | 963-965 | ||
| S60311S | 09 | 604-605 | S60819A | 09 | 604-605 | S61229D | 23 | 949-950 | ||
| S60312A | 09 | 604-605 | S60819A | 24 | 963-965 | S61229S | 09 | 604-605 | ||
| S60312A | 24 | 963-965 | S60819D | 23 | 949-950 | S61230A | 09 | 604-605 | ||
| S60312D | 23 | 949-950 | S60819S | 09 | 604-605 | S61230A | 24 | 963-965 | ||
| S60312S | 09 | 604-605 | S60821A | 09 | 606-607 | S61230D | 23 | 949-950 | ||
| S60319A | 09 | 604-605 | S60821A | 24 | 963-965 | S61230S | 09 | 604-605 | ||
| S60319A | 24 | 963-965 | S60821D | 23 | 949-950 | S61231A | 09 | 604-605 | ||
| S60319D | 23 | 949-950 | S60821S | 09 | 604-605 | S61231A | 24 | 963-965 | ||
| S60319S | 09 | 604-605 | S60822A | 09 | 606-607 | S61231D | 23 | 949-950 | ||
| S60321A | 09 | 606-607 | S60822A | 24 | 963-965 | S61231S | 09 | 604-605 | ||
| S60321A | 24 | 963-965 | S60822D | 23 | 949-950 | S61232A | 09 | 604-605 | ||
| S60321D | 23 | 949-950 | S60822S | 09 | 604-605 | S61232A | 24 | 963-965 | ||
| S60321S | 09 | 604-605 | S60829A | 09 | 606-607 | S61232D | 23 | 949-950 | ||
| S60322A | 09 | 606-607 | S60829A | 24 | 963-965 | S61232S | 09 | 604-605 | ||
| S60322A | 24 | 963-965 | S60829D | 23 | 949-950 | S61233A | 09 | 604-605 | ||
| S60322D | 23 | 949-950 | S60829S | 09 | 604-605 | S61233A | 24 | 963-965 | ||
| S60322S | 09 | 604-605 | S60841A | 09 | 604-605 | S61233D | 23 | 949-950 | ||
| S60329A | 09 | 606-607 | S60841A | 24 | 963-965 | S61233S | 09 | 604-605 | ||
| S60329A | 24 | 963-965 | S60841D | 23 | 949-950 | S61234A | 09 | 604-605 | ||
| S60329D | 23 | 949-950 | S60841S | 09 | 604-605 | S61234A | 24 | 963-965 | ||
| S60329S | 09 | 604-605 | S60842A | 09 | 604-605 | S61234D | 23 | 949-950 | ||
| S60341A | 09 | 604-605 | S60842A | 24 | 963-965 | S61234S | 09 | 604-605 | ||
| S60341A | 24 | 963-965 | S60842D | 23 | 949-950 | S61235A | 09 | 604-605 | ||
| S60341D | 23 | 949-950 | S60842S | 09 | 604-605 | S61235A | 24 | 963-965 | ||
| S60341S | 09 | 604-605 | S60849A | 09 | 604-605 | S61235D | 23 | 949-950 | ||
| S60342A | 09 | 604-605 | S60849A | 24 | 963-965 | S61235S | 09 | 604-605 | ||
| S60342A | 24 | 963-965 | S60849D | 23 | 949-950 | S61236A | 09 | 604-605 | ||
| S60342D | 23 | 949-950 | S60849S | 09 | 604-605 | S61236A | 24 | 963-965 | ||
| S60342S | 09 | 604-605 | S60851A | 09 | 604-605 | S61236D | 23 | 949-950 | ||
| S60349A | 09 | 604-605 | S60851A | 24 | 963-965 | S61236S | 09 | 604-605 | ||
| S60349A | 24 | 963-965 | S60851D | 23 | 949-950 | S61237A | 09 | 604-605 | ||
| S60349D | 23 | 949-950 | S60851S | 09 | 604-605 | S61237A | 24 | 963-965 | ||
| S60349S | 09 | 604-605 | S60852A | 09 | 604-605 | S61237D | 23 | 949-950 | ||
| S60351A | 09 | 604-605 | S60852A | 24 | 963-965 | S61237S | 09 | 604-605 | ||
| S60351A | 24 | 963-965 | S60852D | 23 | 949-950 | S61238A | 09 | 604-605 | ||
| S60351D | 23 | 949-950 | S60852S | 09 | 604-605 | S61238A | 24 | 963-965 | ||
| S60351S | 09 | 604-605 | S60859A | 09 | 604-605 | S61238D | 23 | 949-950 | ||
| S60352A | 09 | 604-605 | S60859A | 24 | 963-965 | S61238S | 09 | 604-605 | ||
| S60352A | 24 | 963-965 | S60859D | 23 | 949-950 | S61239A | 09 | 604-605 | ||
| S60352D | 23 | 949-950 | S60859S | 09 | 604-605 | S61239A | 24 | 963-965 | ||
| S60352S | 09 | 604-605 | S60861A | 09 | 606-607 | S61239D | 23 | 949-950 | ||
| S60359A | 09 | 604-605 | S60861A | 24 | 963-965 | S61239S | 09 | 604-605 | ||
| S60359A | 24 | 963-965 | S60861D | 23 | 949-950 | S61240A | 21 | 913-914 | ||
| S60359D | 23 | 949-950 | S60861S | 09 | 604-605 | S61240A | 24 | 963-965 | ||
| S60359S | 09 | 604-605 | S60862A | 09 | 606-607 | S61240D | 23 | 949-950 | ||
| S60361A | 09 | 606-607 | S60862A | 24 | 963-965 | S61240S | 09 | 604-605 | ||
| S60361A | 24 | 963-965 | S60862D | 23 | 949-950 | S61241A | 21 | 913-914 | ||
| S60361D | 23 | 949-950 | S60862S | 09 | 604-605 | S61241A | 24 | 963-965 | ||
| S60361S | 09 | 604-605 | S60869A | 09 | 606-607 | S61241D | 23 | 949-950 | ||
| S60362A | 09 | 606-607 | S60869A | 24 | 963-965 | S61241S | 09 | 604-605 | ||
| S60362A | 24 | 963-965 | S60869D | 23 | 949-950 | S61242A | 21 | 913-914 | ||
| S60362D | 23 | 949-950 | S60869S | 09 | 604-605 | S61242A | 24 | 963-965 | ||
| S60362S | 09 | 604-605 | S60871A | 09 | 604-605 | S61242D | 23 | 949-950 | ||
| S60369A | 09 | 606-607 | S60871A | 24 | 963-965 | S61242S | 09 | 604-605 | ||
| S60369A | 24 | 963-965 | S60871D | 23 | 949-950 | S61243A | 21 | 913-914 | ||
| S60369D | 23 | 949-950 | S60871S | 09 | 604-605 | S61243A | 24 | 963-965 | ||
| S60369S | 09 | 604-605 | S60872A | 09 | 604-605 | S61243D | 23 | 949-950 | ||
| S60371A | 09 | 604-605 | S60872A | 24 | 963-965 | S61243S | 09 | 604-605 | ||
| S60371A | 24 | 963-965 | S60872D | 23 | 949-950 | S61244A | 21 | 913-914 | ||
| S60371D | 23 | 949-950 | S60872S | 09 | 604-605 | S61244A | 24 | 963-965 | ||
| S60371S | 09 | 604-605 | S60879A | 09 | 604-605 | S61244D | 23 | 949-950 | ||
| S60372A | 09 | 604-605 | S60879A | 24 | 963-965 | S61244S | 09 | 604-605 | ||
| S60372A | 24 | 963-965 | S60879D | 23 | 949-950 | S61245A | 21 | 913-914 | ||
| S60372D | 23 | 949-950 | S60879S | 09 | 604-605 | S61245A | 24 | 963-965 | ||
| S60372S | 09 | 604-605 | S60911A | 09 | 604-605 | S61245D | 23 | 949-950 | ||
| S60379A | 09 | 604-605 | S60911A | 24 | 963-965 | S61245S | 09 | 604-605 | ||
| S60379A | 24 | 963-965 | S60911D | 23 | 949-950 | S61246A | 21 | 913-914 | ||
| S60379D | 23 | 949-950 | S60911S | 09 | 604-605 | S61246A | 24 | 963-965 | ||
| S60379S | 09 | 604-605 | S60912A | 09 | 604-605 | S61246D | 23 | 949-950 | ||
| S60391A | 09 | 604-605 | S60912A | 24 | 963-965 | S61246S | 09 | 604-605 | ||
| S60391A | 24 | 963-965 | S60912D | 23 | 949-950 | S61247A | 21 | 913-914 | ||
| S60391D | 23 | 949-950 | S60912S | 09 | 604-605 | S61247A | 24 | 963-965 | ||
| S60391S | 09 | 604-605 | S60919A | 09 | 604-605 | S61247D | 23 | 949-950 | ||
| S60392A | 09 | 604-605 | S60919A | 24 | 963-965 | S61247S | 09 | 604-605 | ||
| S60392A | 24 | 963-965 | S60919D | 23 | 949-950 | S61248A | 21 | 913-914 | ||
| S60392D | 23 | 949-950 | S60919S | 09 | 604-605 | S61248A | 24 | 963-965 | ||
| S60392S | 09 | 604-605 | S60921A | 09 | 604-605 | S61248D | 23 | 949-950 | ||
| S60399A | 09 | 604-605 | S60921A | 24 | 963-965 | S61248S | 09 | 604-605 | ||
| S60399A | 24 | 963-965 | S60921D | 23 | 949-950 | S61249A | 21 | 913-914 | ||
| S60399D | 23 | 949-950 | S60921S | 09 | 604-605 | S61249A | 24 | 963-965 | ||
| S60399S | 09 | 604-605 | S60922A | 09 | 604-605 | S61249D | 23 | 949-950 | ||
| S60410A | 09 | 604-605 | S60922A | 24 | 963-965 | S61249S | 09 | 604-605 | ||
| S60410A | 24 | 963-965 | S60922D | 23 | 949-950 | S61250A | 09 | 604-605 | ||
| S60410D | 23 | 949-950 | S60922S | 09 | 604-605 | S61250A | 24 | 963-965 | ||
| S60410S | 09 | 604-605 | S60929A | 09 | 604-605 | S61250D | 23 | 949-950 | ||
| S60411A | 09 | 604-605 | S60929A | 24 | 963-965 | S61250S | 09 | 604-605 | ||
| S60411A | 24 | 963-965 | S60929D | 23 | 949-950 | S61251A | 09 | 604-605 | ||
| S60411D | 23 | 949-950 | S60929S | 09 | 604-605 | S61251A | 24 | 963-965 | ||
| S60411S | 09 | 604-605 | S60931A | 09 | 604-605 | S61251D | 23 | 949-950 | ||
| S60412A | 09 | 604-605 | S60931A | 24 | 963-965 | S61251S | 09 | 604-605 | ||
| S60412A | 24 | 963-965 | S60931D | 23 | 949-950 | S61252A | 09 | 604-605 | ||
| S60412D | 23 | 949-950 | S60931S | 09 | 604-605 | S61252A | 24 | 963-965 | ||
| S60412S | 09 | 604-605 | S60932A | 09 | 604-605 | S61252D | 23 | 949-950 | ||
| S60413A | 09 | 604-605 | S60932A | 24 | 963-965 | S61252S | 09 | 604-605 | ||
| S60413A | 24 | 963-965 | S60932D | 23 | 949-950 | S61253A | 09 | 604-605 | ||
| S60413D | 23 | 949-950 | S60932S | 09 | 604-605 | S61253A | 24 | 963-965 | ||
| S60413S | 09 | 604-605 | S60939A | 09 | 604-605 | S61253D | 23 | 949-950 | ||
| S60414A | 09 | 604-605 | S60939A | 24 | 963-965 | S61253S | 09 | 604-605 | ||
| S60414A | 24 | 963-965 | S60939D | 23 | 949-950 | S61254A | 09 | 604-605 | ||
| S60414D | 23 | 949-950 | S60939S | 09 | 604-605 | S61254A | 24 | 963-965 | ||
| S60414S | 09 | 604-605 | S60940A | 09 | 604-605 | S61254D | 23 | 949-950 | ||
| S60415A | 09 | 604-605 | S60940A | 24 | 963-965 | S61254S | 09 | 604-605 | ||
| S60415A | 24 | 963-965 | S60940D | 23 | 949-950 | S61255A | 09 | 604-605 | ||
| S60415D | 23 | 949-950 | S60940S | 09 | 604-605 | S61255A | 24 | 963-965 | ||
| S60415S | 09 | 604-605 | S60941A | 09 | 604-605 | S61255D | 23 | 949-950 | ||
| S60416A | 09 | 604-605 | S60941A | 24 | 963-965 | S61255S | 09 | 604-605 | ||
| S60416A | 24 | 963-965 | S60941D | 23 | 949-950 | S61256A | 09 | 604-605 | ||
| S60416D | 23 | 949-950 | S60941S | 09 | 604-605 | S61256A | 24 | 963-965 | ||
| S60416S | 09 | 604-605 | S60942A | 09 | 604-605 | S61256D | 23 | 949-950 | ||
| S60417A | 09 | 604-605 | S60942A | 24 | 963-965 | S61256S | 09 | 604-605 | ||
| S60417A | 24 | 963-965 | S60942D | 23 | 949-950 | S61257A | 09 | 604-605 | ||
| S60417D | 23 | 949-950 | S60942S | 09 | 604-605 | S61257A | 24 | 963-965 | ||
| S60417S | 09 | 604-605 | S60943A | 09 | 604-605 | S61257D | 23 | 949-950 | ||
| S60418A | 09 | 604-605 | S60943A | 24 | 963-965 | S61257S | 09 | 604-605 | ||
| S60418A | 24 | 963-965 | S60943D | 23 | 949-950 | S61258A | 09 | 604-605 | ||
| S60418D | 23 | 949-950 | S60943S | 09 | 604-605 | S61258A | 24 | 963-965 | ||
| S60418S | 09 | 604-605 | S60944A | 09 | 604-605 | S61258D | 23 | 949-950 | ||
| S60419A | 09 | 604-605 | S60944A | 24 | 963-965 | S61258S | 09 | 604-605 | ||
| S60419A | 24 | 963-965 | S60944D | 23 | 949-950 | S61259A | 09 | 604-605 | ||
| S60419D | 23 | 949-950 | S60944S | 09 | 604-605 | S61259A | 24 | 963-965 | ||
| S60419S | 09 | 604-605 | S60945A | 09 | 604-605 | S61259D | 23 | 949-950 | ||
| S60420A | 09 | 606-607 | S60945A | 24 | 963-965 | S61259S | 09 | 604-605 | ||
| S60420A | 24 | 963-965 | S60945D | 23 | 949-950 | S61300A | 09 | 604-605 | ||
| S60420D | 23 | 949-950 | S60945S | 09 | 604-605 | S61300A | 24 | 963-965 | ||
| S60420S | 09 | 604-605 | S60946A | 09 | 604-605 | S61300D | 23 | 949-950 | ||
| S60421A | 09 | 606-607 | S60946A | 24 | 963-965 | S61300S | 09 | 604-605 | ||
| S60421A | 24 | 963-965 | S60946D | 23 | 949-950 | S61301A | 09 | 604-605 | ||
| S60421D | 23 | 949-950 | S60946S | 09 | 604-605 | S61301A | 24 | 963-965 | ||
| S60421S | 09 | 604-605 | S60947A | 09 | 604-605 | S61301D | 23 | 949-950 | ||
| S60422A | 09 | 606-607 | S60947A | 24 | 963-965 | S61301S | 09 | 604-605 | ||
| S60422A | 24 | 963-965 | S60947D | 23 | 949-950 | S61302A | 09 | 604-605 | ||
| S60422D | 23 | 949-950 | S60947S | 09 | 604-605 | S61302A | 24 | 963-965 | ||
| S60422S | 09 | 604-605 | S60948A | 09 | 604-605 | S61302D | 23 | 949-950 | ||
| S60423A | 09 | 606-607 | S60948A | 24 | 963-965 | S61302S | 09 | 604-605 | ||
| S60423A | 24 | 963-965 | S60948D | 23 | 949-950 | S61303A | 09 | 604-605 | ||
| S60423D | 23 | 949-950 | S60948S | 09 | 604-605 | S61303A | 24 | 963-965 | ||
| S60423S | 09 | 604-605 | S60949A | 09 | 604-605 | S61303D | 23 | 949-950 | ||
| S60424A | 09 | 606-607 | S60949A | 24 | 963-965 | S61303S | 09 | 604-605 | ||
| S60424A | 24 | 963-965 | S60949D | 23 | 949-950 | S61304A | 09 | 604-605 | ||
| S60424D | 23 | 949-950 | S60949S | 09 | 604-605 | S61304A | 24 | 963-965 | ||
| S60424S | 09 | 604-605 | S61001A | 09 | 604-605 | S61304D | 23 | 949-950 | ||
| S60425A | 09 | 606-607 | S61001A | 24 | 963-965 | S61304S | 09 | 604-605 | ||
| S60425A | 24 | 963-965 | S61001D | 23 | 949-950 | S61305A | 09 | 604-605 | ||
| S60425D | 23 | 949-950 | S61001S | 09 | 604-605 | S61305A | 24 | 963-965 | ||
| S60425S | 09 | 604-605 | S61002A | 09 | 604-605 | S61305D | 23 | 949-950 | ||
| S60426A | 09 | 606-607 | S61002A | 24 | 963-965 | S61305S | 09 | 604-605 | ||
| S60426A | 24 | 963-965 | S61002D | 23 | 949-950 | S61306A | 09 | 604-605 | ||
| S60426D | 23 | 949-950 | S61002S | 09 | 604-605 | S61306A | 24 | 963-965 | ||
| S60426S | 09 | 604-605 | S61009A | 09 | 604-605 | S61306D | 23 | 949-950 | ||
| S60427A | 09 | 606-607 | S61009A | 24 | 963-965 | S61306S | 09 | 604-605 | ||
| S60427A | 24 | 963-965 | S61009D | 23 | 949-950 | S61307A | 09 | 604-605 | ||
| S60427D | 23 | 949-950 | S61009S | 09 | 604-605 | S61307A | 24 | 963-965 | ||
| S60427S | 09 | 604-605 | S61011A | 09 | 604-605 | S61307D | 23 | 949-950 | ||
| S60428A | 09 | 606-607 | S61011A | 24 | 963-965 | S61307S | 09 | 604-605 | ||
| S60428A | 24 | 963-965 | S61011D | 23 | 949-950 | S61308A | 09 | 604-605 | ||
| S60428D | 23 | 949-950 | S61011S | 09 | 604-605 | S61308A | 24 | 963-965 | ||
| S60428S | 09 | 604-605 | S61012A | 09 | 604-605 | S61308D | 23 | 949-950 | ||
| S60429A | 09 | 606-607 | S61012A | 24 | 963-965 | S61308S | 09 | 604-605 | ||
| S60429A | 24 | 963-965 | S61012D | 23 | 949-950 | S61309A | 09 | 604-605 | ||
| S60429D | 23 | 949-950 | S61012S | 09 | 604-605 | S61309A | 24 | 963-965 | ||
| S60429S | 09 | 604-605 | S61019A | 09 | 604-605 | S61309D | 23 | 949-950 | ||
| S60440A | 09 | 604-605 | S61019A | 24 | 963-965 | S61309S | 09 | 604-605 | ||
| S60440A | 24 | 963-965 | S61019D | 23 | 949-950 | S61310A | 09 | 604-605 | ||
| S60440D | 23 | 949-950 | S61019S | 09 | 604-605 | S61310A | 24 | 963-965 | ||
| S60440S | 09 | 604-605 | S61021A | 21 | 913-914 | S61310D | 23 | 949-950 | ||
| S61021A | 24 | 963-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 16:20:17 CMS, code-revision=332, description-revision=1327 |