ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 55 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S76022A | 08 | 564-566 | S79009K | 08 | 521-522 | S80861A | 09 | 606-607 | ||
S76022A | 24 | 963-965 | S79009K | 08 | 564-566 | S80861A | 24 | 963-965 | ||
S76022D | 23 | 949-950 | S79009P | 08 | 521-522 | S80861D | 23 | 949-950 | ||
S76022S | 09 | 604-605 | S79009P | 08 | 564-566 | S80861S | 09 | 604-605 | ||
S76029A | 08 | 564-566 | S79009S | 08 | 559-561 | S80862A | 09 | 606-607 | ||
S76029A | 24 | 963-965 | S79011A | 08 | 521-522 | S80862A | 24 | 963-965 | ||
S76029D | 23 | 949-950 | S79011A | 08 | 535-536 | S80862D | 23 | 949-950 | ||
S76029S | 09 | 604-605 | S79011A | 15 | 791 | S80862S | 09 | 604-605 | ||
S76091A | 21 | 913-914 | S79011A | 15 | 793 | S80869A | 09 | 606-607 | ||
S76091A | 24 | 963-965 | S79011A | 24 | 963-965 | S80869A | 24 | 963-965 | ||
S76091D | 23 | 949-950 | S79011D | 08 | 559-561 | S80869D | 23 | 949-950 | ||
S76091S | 21 | 913-914 | S79011G | 08 | 521-522 | S80869S | 09 | 604-605 | ||
S76092A | 21 | 913-914 | S79011G | 08 | 559-561 | S80871A | 09 | 604-605 | ||
S76092A | 24 | 963-965 | S79011K | 08 | 521-522 | S80871A | 24 | 963-965 | ||
S76092D | 23 | 949-950 | S79011K | 08 | 564-566 | S80871D | 23 | 949-950 | ||
S76092S | 21 | 913-914 | S79011P | 08 | 521-522 | S80871S | 09 | 604-605 | ||
S76099A | 21 | 913-914 | S79011P | 08 | 564-566 | S80872A | 09 | 604-605 | ||
S76099A | 24 | 963-965 | S79011S | 08 | 559-561 | S80872A | 24 | 963-965 | ||
S76099D | 23 | 949-950 | S79012A | 08 | 521-522 | S80872D | 23 | 949-950 | ||
S76099S | 21 | 913-914 | S79012A | 08 | 535-536 | S80872S | 09 | 604-605 | ||
S76101A | 21 | 913-914 | S79012A | 15 | 791 | S80879A | 09 | 604-605 | ||
S76101A | 24 | 963-965 | S79012A | 15 | 793 | S80879A | 24 | 963-965 | ||
S76101D | 23 | 949-950 | S79012A | 24 | 963-965 | S80879D | 23 | 949-950 | ||
S76101S | 21 | 913-914 | S79012D | 08 | 559-561 | S80879S | 09 | 604-605 | ||
S76102A | 21 | 913-914 | S79012G | 08 | 521-522 | S80911A | 09 | 604-605 | ||
S76102A | 24 | 963-965 | S79012G | 08 | 559-561 | S80911A | 24 | 963-965 | ||
S76102D | 23 | 949-950 | S79012K | 08 | 521-522 | S80911D | 23 | 949-950 | ||
S76102S | 21 | 913-914 | S79012K | 08 | 564-566 | S80911S | 09 | 604-605 | ||
S76109A | 21 | 913-914 | S79012P | 08 | 521-522 | S80912A | 09 | 604-605 | ||
S76109A | 24 | 963-965 | S79012P | 08 | 564-566 | S80912A | 24 | 963-965 | ||
S76109D | 23 | 949-950 | S79012S | 08 | 559-561 | S80912D | 23 | 949-950 | ||
S76109S | 21 | 913-914 | S79019A | 08 | 521-522 | S80912S | 09 | 604-605 | ||
S76111A | 08 | 537-538 | S79019A | 08 | 535-536 | S80919A | 09 | 604-605 | ||
S76111A | 24 | 963-965 | S79019A | 15 | 791 | S80919A | 24 | 963-965 | ||
S76111D | 23 | 949-950 | S79019A | 15 | 793 | S80919D | 23 | 949-950 | ||
S76111S | 08 | 562-563 | S79019A | 24 | 963-965 | S80919S | 09 | 604-605 | ||
S76112A | 08 | 537-538 | S79019D | 08 | 559-561 | S80921A | 09 | 604-605 | ||
S76112A | 24 | 963-965 | S79019G | 08 | 521-522 | S80921A | 24 | 963-965 | ||
S76112D | 23 | 949-950 | S79019G | 08 | 559-561 | S80921D | 23 | 949-950 | ||
S76112S | 08 | 562-563 | S79019K | 08 | 521-522 | S80921S | 09 | 604-605 | ||
S76119A | 08 | 537-538 | S79019K | 08 | 564-566 | S80922A | 09 | 604-605 | ||
S76119A | 24 | 963-965 | S79019P | 08 | 521-522 | S80922A | 24 | 963-965 | ||
S76119D | 23 | 949-950 | S79019P | 08 | 564-566 | S80922D | 23 | 949-950 | ||
S76119S | 08 | 562-563 | S79019S | 08 | 559-561 | S80922S | 09 | 604-605 | ||
S76121A | 08 | 564-566 | S79091A | 08 | 521-522 | S80929A | 09 | 604-605 | ||
S76121A | 24 | 963-965 | S79091A | 08 | 535-536 | S80929A | 24 | 963-965 | ||
S76121D | 23 | 949-950 | S79091A | 15 | 791 | S80929D | 23 | 949-950 | ||
S76121S | 09 | 604-605 | S79091A | 15 | 793 | S80929S | 09 | 604-605 | ||
S76122A | 08 | 564-566 | S79091A | 24 | 963-965 | S81001A | 09 | 604-605 | ||
S76122A | 24 | 963-965 | S79091D | 08 | 559-561 | S81001A | 24 | 963-965 | ||
S76122D | 23 | 949-950 | S79091G | 08 | 521-522 | S81001D | 23 | 949-950 | ||
S76122S | 09 | 604-605 | S79091G | 08 | 559-561 | S81001S | 09 | 604-605 | ||
S76129A | 08 | 564-566 | S79091K | 08 | 521-522 | S81002A | 09 | 604-605 | ||
S76129A | 24 | 963-965 | S79091K | 08 | 564-566 | S81002A | 24 | 963-965 | ||
S76129D | 23 | 949-950 | S79091P | 08 | 521-522 | S81002D | 23 | 949-950 | ||
S76129S | 09 | 604-605 | S79091P | 08 | 564-566 | S81002S | 09 | 604-605 | ||
S76191A | 21 | 913-914 | S79091S | 08 | 559-561 | S81009A | 09 | 604-605 | ||
S76191A | 24 | 963-965 | S79092A | 08 | 521-522 | S81009A | 24 | 963-965 | ||
S76191D | 23 | 949-950 | S79092A | 08 | 535-536 | S81009D | 23 | 949-950 | ||
S76191S | 21 | 913-914 | S79092A | 15 | 791 | S81009S | 09 | 604-605 | ||
S76192A | 21 | 913-914 | S79092A | 15 | 793 | S81011A | 09 | 604-605 | ||
S76192A | 24 | 963-965 | S79092A | 24 | 963-965 | S81011A | 24 | 963-965 | ||
S76192D | 23 | 949-950 | S79092D | 08 | 559-561 | S81011D | 23 | 949-950 | ||
S76192S | 21 | 913-914 | S79092G | 08 | 521-522 | S81011S | 09 | 604-605 | ||
S76199A | 21 | 913-914 | S79092G | 08 | 559-561 | S81012A | 09 | 604-605 | ||
S76199A | 24 | 963-965 | S79092K | 08 | 521-522 | S81012A | 24 | 963-965 | ||
S76199D | 23 | 949-950 | S79092K | 08 | 564-566 | S81012D | 23 | 949-950 | ||
S76199S | 21 | 913-914 | S79092P | 08 | 521-522 | S81012S | 09 | 604-605 | ||
S76201A | 21 | 913-914 | S79092P | 08 | 564-566 | S81019A | 09 | 604-605 | ||
S76201A | 24 | 963-965 | S79092S | 08 | 559-561 | S81019A | 24 | 963-965 | ||
S76201D | 23 | 949-950 | S79099A | 08 | 521-522 | S81019D | 23 | 949-950 | ||
S76201S | 21 | 913-914 | S79099A | 08 | 535-536 | S81019S | 09 | 604-605 | ||
S76202A | 21 | 913-914 | S79099A | 15 | 791 | S81021A | 21 | 913-914 | ||
S76202A | 24 | 963-965 | S79099A | 15 | 793 | S81021A | 24 | 963-965 | ||
S76202D | 23 | 949-950 | S79099A | 24 | 963-965 | S81021D | 23 | 949-950 | ||
S76202S | 21 | 913-914 | S79099D | 08 | 559-561 | S81021S | 09 | 604-605 | ||
S76209A | 21 | 913-914 | S79099G | 08 | 521-522 | S81022A | 21 | 913-914 | ||
S76209A | 24 | 963-965 | S79099G | 08 | 559-561 | S81022A | 24 | 963-965 | ||
S76209D | 23 | 949-950 | S79099K | 08 | 521-522 | S81022D | 23 | 949-950 | ||
S76209S | 21 | 913-914 | S79099K | 08 | 564-566 | S81022S | 09 | 604-605 | ||
S76211A | 08 | 537-538 | S79099P | 08 | 521-522 | S81029A | 21 | 913-914 | ||
S76211A | 24 | 963-965 | S79099P | 08 | 564-566 | S81029A | 24 | 963-965 | ||
S76211D | 23 | 949-950 | S79099S | 08 | 559-561 | S81029D | 23 | 949-950 | ||
S76211S | 08 | 562-563 | S79101A | 08 | 533-534 | S81029S | 09 | 604-605 | ||
S76212A | 08 | 537-538 | S79101A | 24 | 963-965 | S81031A | 09 | 604-605 | ||
S76212A | 24 | 963-965 | S79101D | 08 | 559-561 | S81031A | 24 | 963-965 | ||
S76212D | 23 | 949-950 | S79101G | 08 | 559-561 | S81031D | 23 | 949-950 | ||
S76212S | 08 | 562-563 | S79101K | 08 | 564-566 | S81031S | 09 | 604-605 | ||
S76219A | 08 | 537-538 | S79101P | 08 | 564-566 | S81032A | 09 | 604-605 | ||
S76219A | 24 | 963-965 | S79101S | 08 | 559-561 | S81032A | 24 | 963-965 | ||
S76219D | 23 | 949-950 | S79102A | 08 | 533-534 | S81032D | 23 | 949-950 | ||
S76219S | 08 | 562-563 | S79102A | 24 | 963-965 | S81032S | 09 | 604-605 | ||
S76221A | 08 | 564-566 | S79102D | 08 | 559-561 | S81039A | 09 | 604-605 | ||
S76221A | 24 | 963-965 | S79102G | 08 | 559-561 | S81039A | 24 | 963-965 | ||
S76221D | 23 | 949-950 | S79102K | 08 | 564-566 | S81039D | 23 | 949-950 | ||
S76221S | 09 | 604-605 | S79102P | 08 | 564-566 | S81039S | 09 | 604-605 | ||
S76222A | 08 | 564-566 | S79102S | 08 | 559-561 | S81041A | 21 | 913-914 | ||
S76222A | 24 | 963-965 | S79109A | 08 | 533-534 | S81041A | 24 | 963-965 | ||
S76222D | 23 | 949-950 | S79109A | 24 | 963-965 | S81041D | 23 | 949-950 | ||
S76222S | 09 | 604-605 | S79109D | 08 | 559-561 | S81041S | 09 | 604-605 | ||
S76229A | 08 | 564-566 | S79109G | 08 | 559-561 | S81042A | 21 | 913-914 | ||
S76229A | 24 | 963-965 | S79109K | 08 | 564-566 | S81042A | 24 | 963-965 | ||
S76229D | 23 | 949-950 | S79109P | 08 | 564-566 | S81042D | 23 | 949-950 | ||
S76229S | 09 | 604-605 | S79109S | 08 | 559-561 | S81042S | 09 | 604-605 | ||
S76291A | 21 | 913-914 | S79111A | 08 | 533-534 | S81049A | 21 | 913-914 | ||
S76291A | 24 | 963-965 | S79111A | 24 | 963-965 | S81049A | 24 | 963-965 | ||
S76291D | 23 | 949-950 | S79111D | 08 | 559-561 | S81049D | 23 | 949-950 | ||
S76291S | 21 | 913-914 | S79111G | 08 | 559-561 | S81049S | 09 | 604-605 | ||
S76292A | 21 | 913-914 | S79111K | 08 | 564-566 | S81051A | 09 | 604-605 | ||
S76292A | 24 | 963-965 | S79111P | 08 | 564-566 | S81051A | 24 | 963-965 | ||
S76292D | 23 | 949-950 | S79111S | 08 | 559-561 | S81051D | 23 | 949-950 | ||
S76292S | 21 | 913-914 | S79112A | 08 | 533-534 | S81051S | 09 | 604-605 | ||
S76299A | 21 | 913-914 | S79112A | 24 | 963-965 | S81052A | 09 | 604-605 | ||
S76299A | 24 | 963-965 | S79112D | 08 | 559-561 | S81052A | 24 | 963-965 | ||
S76299D | 23 | 949-950 | S79112G | 08 | 559-561 | S81052D | 23 | 949-950 | ||
S76299S | 21 | 913-914 | S79112K | 08 | 564-566 | S81052S | 09 | 604-605 | ||
S76301A | 21 | 913-914 | S79112P | 08 | 564-566 | S81059A | 09 | 604-605 | ||
S76301A | 24 | 963-965 | S79112S | 08 | 559-561 | S81059A | 24 | 963-965 | ||
S76301D | 23 | 949-950 | S79119A | 08 | 533-534 | S81059D | 23 | 949-950 | ||
S76301S | 21 | 913-914 | S79119A | 24 | 963-965 | S81059S | 09 | 604-605 | ||
S76302A | 21 | 913-914 | S79119D | 08 | 559-561 | S81801A | 09 | 604-605 | ||
S76302A | 24 | 963-965 | S79119G | 08 | 559-561 | S81801A | 24 | 963-965 | ||
S76302D | 23 | 949-950 | S79119K | 08 | 564-566 | S81801D | 23 | 949-950 | ||
S76302S | 21 | 913-914 | S79119P | 08 | 564-566 | S81801S | 09 | 604-605 | ||
S76309A | 21 | 913-914 | S79119S | 08 | 559-561 | S81802A | 09 | 604-605 | ||
S76309A | 24 | 963-965 | S79121A | 08 | 533-534 | S81802A | 24 | 963-965 | ||
S76309D | 23 | 949-950 | S79121A | 24 | 963-965 | S81802D | 23 | 949-950 | ||
S76309S | 21 | 913-914 | S79121D | 08 | 559-561 | S81802S | 09 | 604-605 | ||
S76311A | 08 | 537-538 | S79121G | 08 | 559-561 | S81809A | 09 | 604-605 | ||
S76311A | 24 | 963-965 | S79121K | 08 | 564-566 | S81809A | 24 | 963-965 | ||
S76311D | 23 | 949-950 | S79121P | 08 | 564-566 | S81809D | 23 | 949-950 | ||
S76311S | 08 | 562-563 | S79121S | 08 | 559-561 | S81809S | 09 | 604-605 | ||
S76312A | 08 | 537-538 | S79122A | 08 | 533-534 | S81811A | 09 | 604-605 | ||
S76312A | 24 | 963-965 | S79122A | 24 | 963-965 | S81811A | 24 | 963-965 | ||
S76312D | 23 | 949-950 | S79122D | 08 | 559-561 | S81811D | 23 | 949-950 | ||
S76312S | 08 | 562-563 | S79122G | 08 | 559-561 | S81811S | 09 | 604-605 | ||
S76319A | 08 | 537-538 | S79122K | 08 | 564-566 | S81812A | 09 | 604-605 | ||
S76319A | 24 | 963-965 | S79122P | 08 | 564-566 | S81812A | 24 | 963-965 | ||
S76319D | 23 | 949-950 | S79122S | 08 | 559-561 | S81812D | 23 | 949-950 | ||
S76319S | 08 | 562-563 | S79129A | 08 | 533-534 | S81812S | 09 | 604-605 | ||
S76321A | 08 | 564-566 | S79129A | 24 | 963-965 | S81819A | 09 | 604-605 | ||
S76321A | 24 | 963-965 | S79129D | 08 | 559-561 | S81819A | 24 | 963-965 | ||
S76321D | 23 | 949-950 | S79129G | 08 | 559-561 | S81819D | 23 | 949-950 | ||
S76321S | 09 | 604-605 | S79129K | 08 | 564-566 | S81819S | 09 | 604-605 | ||
S76322A | 08 | 564-566 | S79129P | 08 | 564-566 | S81821A | 21 | 913-914 | ||
S76322A | 24 | 963-965 | S79129S | 08 | 559-561 | S81821A | 24 | 963-965 | ||
S76322D | 23 | 949-950 | S79131A | 08 | 533-534 | S81821D | 23 | 949-950 | ||
S76322S | 09 | 604-605 | S79131A | 24 | 963-965 | S81821S | 09 | 604-605 | ||
S76329A | 08 | 564-566 | S79131D | 08 | 559-561 | S81822A | 21 | 913-914 | ||
S76329A | 24 | 963-965 | S79131G | 08 | 559-561 | S81822A | 24 | 963-965 | ||
S76329D | 23 | 949-950 | S79131K | 08 | 564-566 | S81822D | 23 | 949-950 | ||
S76329S | 09 | 604-605 | S79131P | 08 | 564-566 | S81822S | 09 | 604-605 | ||
S76391A | 21 | 913-914 | S79131S | 08 | 559-561 | S81829A | 21 | 913-914 | ||
S76391A | 24 | 963-965 | S79132A | 08 | 533-534 | S81829A | 24 | 963-965 | ||
S76391D | 23 | 949-950 | S79132A | 24 | 963-965 | S81829D | 23 | 949-950 | ||
S76391S | 21 | 913-914 | S79132D | 08 | 559-561 | S81829S | 09 | 604-605 | ||
S76392A | 21 | 913-914 | S79132G | 08 | 559-561 | S81831A | 09 | 604-605 | ||
S76392A | 24 | 963-965 | S79132K | 08 | 564-566 | S81831A | 24 | 963-965 | ||
S76392D | 23 | 949-950 | S79132P | 08 | 564-566 | S81831D | 23 | 949-950 | ||
S76392S | 21 | 913-914 | S79132S | 08 | 559-561 | S81831S | 09 | 604-605 | ||
S76399A | 21 | 913-914 | S79139A | 08 | 533-534 | S81832A | 09 | 604-605 | ||
S76399A | 24 | 963-965 | S79139A | 24 | 963-965 | S81832A | 24 | 963-965 | ||
S76399D | 23 | 949-950 | S79139D | 08 | 559-561 | S81832D | 23 | 949-950 | ||
S76399S | 21 | 913-914 | S79139G | 08 | 559-561 | S81832S | 09 | 604-605 | ||
S76801A | 21 | 913-914 | S79139K | 08 | 564-566 | S81839A | 09 | 604-605 | ||
S76801A | 24 | 963-965 | S79139P | 08 | 564-566 | S81839A | 24 | 963-965 | ||
S76801D | 23 | 949-950 | S79139S | 08 | 559-561 | S81839D | 23 | 949-950 | ||
S76801S | 21 | 913-914 | S79141A | 08 | 533-534 | S81839S | 09 | 604-605 | ||
S76802A | 21 | 913-914 | S79141A | 24 | 963-965 | S81841A | 21 | 913-914 | ||
S76802A | 24 | 963-965 | S79141D | 08 | 559-561 | S81841A | 24 | 963-965 | ||
S76802D | 23 | 949-950 | S79141G | 08 | 559-561 | S81841D | 23 | 949-950 | ||
S76802S | 21 | 913-914 | S79141K | 08 | 564-566 | S81841S | 09 | 604-605 | ||
S76809A | 21 | 913-914 | S79141P | 08 | 564-566 | S81842A | 21 | 913-914 | ||
S76809A | 24 | 963-965 | S79141S | 08 | 559-561 | S81842A | 24 | 963-965 | ||
S76809D | 23 | 949-950 | S79142A | 08 | 533-534 | S81842D | 23 | 949-950 | ||
S76809S | 21 | 913-914 | S79142A | 24 | 963-965 | S81842S | 09 | 604-605 | ||
S76811A | 08 | 537-538 | S79142D | 08 | 559-561 | S81849A | 21 | 913-914 | ||
S76811A | 24 | 963-965 | S79142G | 08 | 559-561 | S81849A | 24 | 963-965 | ||
S76811D | 23 | 949-950 | S79142K | 08 | 564-566 | S81849D | 23 | 949-950 | ||
S76811S | 08 | 562-563 | S79142P | 08 | 564-566 | S81849S | 09 | 604-605 | ||
S76812A | 08 | 537-538 | S79142S | 08 | 559-561 | S81851A | 09 | 604-605 | ||
S76812A | 24 | 963-965 | S79149A | 08 | 533-534 | S81851A | 24 | 963-965 | ||
S76812D | 23 | 949-950 | S79149A | 24 | 963-965 | S81851D | 23 | 949-950 | ||
S76812S | 08 | 562-563 | S79149D | 08 | 559-561 | S81851S | 09 | 604-605 | ||
S76819A | 08 | 537-538 | S79149G | 08 | 559-561 | S81852A | 09 | 604-605 | ||
S76819A | 24 | 963-965 | S79149K | 08 | 564-566 | S81852A | 24 | 963-965 | ||
S76819D | 23 | 949-950 | S79149P | 08 | 564-566 | S81852D | 23 | 949-950 | ||
S76819S | 08 | 562-563 | S79149S | 08 | 559-561 | S81852S | 09 | 604-605 | ||
S76821A | 08 | 564-566 | S79191A | 08 | 533-534 | S81859A | 09 | 604-605 | ||
S76821A | 24 | 963-965 | S79191A | 24 | 963-965 | S81859A | 24 | 963-965 | ||
S76821D | 23 | 949-950 | S79191D | 08 | 559-561 | S81859D | 23 | 949-950 | ||
S76821S | 09 | 604-605 | S79191G | 08 | 559-561 | S81859S | 09 | 604-605 | ||
S76822A | 08 | 564-566 | S79191K | 08 | 564-566 | S82001A | 08 | 562-563 | ||
S76822A | 24 | 963-965 | S79191P | 08 | 564-566 | S82001A | 24 | 963-965 | ||
S76822D | 23 | 949-950 | S79191S | 08 | 559-561 | S82001B | 08 | 562-563 | ||
S76822S | 09 | 604-605 | S79192A | 08 | 533-534 | S82001B | 24 | 963-965 | ||
S76829A | 08 | 564-566 | S79192A | 24 | 963-965 | S82001C | 08 | 562-563 | ||
S76829A | 24 | 963-965 | S79192D | 08 | 559-561 | S82001C | 24 | 963-965 | ||
S76829D | 23 | 949-950 | S79192G | 08 | 559-561 | S82001D | 08 | 559-561 | ||
S76829S | 09 | 604-605 | S79192K | 08 | 564-566 | S82001E | 08 | 559-561 | ||
S76891A | 21 | 913-914 | S79192P | 08 | 564-566 | S82001F | 08 | 559-561 | ||
S76891A | 24 | 963-965 | S79192S | 08 | 559-561 | S82001G | 08 | 559-561 | ||
S76891D | 23 | 949-950 | S79199A | 08 | 533-534 | S82001H | 08 | 559-561 | ||
S76891S | 21 | 913-914 | S79199A | 24 | 963-965 | S82001J | 08 | 559-561 | ||
S76892A | 21 | 913-914 | S79199D | 08 | 559-561 | S82001K | 08 | 564-566 | ||
S76892A | 24 | 963-965 | S79199G | 08 | 559-561 | S82001M | 08 | 564-566 | ||
S76892D | 23 | 949-950 | S79199K | 08 | 564-566 | S82001N | 08 | 564-566 | ||
S76892S | 21 | 913-914 | S79199P | 08 | 564-566 | S82001P | 08 | 564-566 | ||
S76899A | 21 | 913-914 | S79199S | 08 | 559-561 | S82001Q | 08 | 564-566 | ||
S76899A | 24 | 963-965 | S79811A | 21 | 913-914 | S82001R | 08 | 564-566 | ||
S76899D | 23 | 949-950 | S79811A | 24 | 963-965 | S82001S | 08 | 559-561 | ||
S76899S | 21 | 913-914 | S79811D | 23 | 949-950 | S82002A | 08 | 562-563 | ||
S76901A | 21 | 913-914 | S79811S | 21 | 913-914 | S82002A | 24 | 963-965 | ||
S76901A | 24 | 963-965 | S79812A | 21 | 913-914 | S82002B | 08 | 562-563 | ||
S76901D | 23 | 949-950 | S79812A | 24 | 963-965 | S82002B | 24 | 963-965 | ||
S76901S | 21 | 913-914 | S79812D | 23 | 949-950 | S82002C | 08 | 562-563 | ||
S76902A | 21 | 913-914 | S79812S | 21 | 913-914 | S82002C | 24 | 963-965 | ||
S76902A | 24 | 963-965 | S79819A | 21 | 913-914 | S82002D | 08 | 559-561 | ||
S76902D | 23 | 949-950 | S79819A | 24 | 963-965 | S82002E | 08 | 559-561 | ||
S76902S | 21 | 913-914 | S79819D | 23 | 949-950 | S82002F | 08 | 559-561 | ||
S76909A | 21 | 913-914 | S79819S | 21 | 913-914 | S82002G | 08 | 559-561 | ||
S76909A | 24 | 963-965 | S79821A | 21 | 913-914 | S82002H | 08 | 559-561 | ||
S76909D | 23 | 949-950 | S79821A | 24 | 963-965 | S82002J | 08 | 559-561 | ||
S76909S | 21 | 913-914 | S79821D | 23 | 949-950 | S82002K | 08 | 564-566 | ||
S76911A | 08 | 537-538 | S79821S | 21 | 913-914 | S82002M | 08 | 564-566 | ||
S76911A | 24 | 963-965 | S79822A | 21 | 913-914 | S82002N | 08 | 564-566 | ||
S76911D | 23 | 949-950 | S79822A | 24 | 963-965 | S82002P | 08 | 564-566 | ||
S76911S | 08 | 562-563 | S79822D | 23 | 949-950 | S82002Q | 08 | 564-566 | ||
S76912A | 08 | 537-538 | S79822S | 21 | 913-914 | S82002R | 08 | 564-566 | ||
S76912A | 24 | 963-965 | S79829A | 21 | 913-914 | S82002S | 08 | 559-561 | ||
S76912D | 23 | 949-950 | S79829A | 24 | 963-965 | S82009A | 08 | 562-563 | ||
S76912S | 08 | 562-563 | S79829D | 23 | 949-950 | S82009A | 24 | 963-965 | ||
S76919A | 08 | 537-538 | S79829S | 21 | 913-914 | S82009B | 08 | 562-563 | ||
S76919A | 24 | 963-965 | S79911A | 21 | 913-914 | S82009B | 24 | 963-965 | ||
S76919D | 23 | 949-950 | S79911A | 24 | 963-965 | S82009C | 08 | 562-563 | ||
S76919S | 08 | 562-563 | S79911D | 23 | 949-950 | S82009C | 24 | 963-965 | ||
S76921A | 08 | 564-566 | S79911S | 21 | 913-914 | S82009D | 08 | 559-561 | ||
S76921A | 24 | 963-965 | S79912A | 21 | 913-914 | S82009E | 08 | 559-561 | ||
S76921D | 23 | 949-950 | S79912A | 24 | 963-965 | S82009F | 08 | 559-561 | ||
S76921S | 09 | 604-605 | S79912D | 23 | 949-950 | S82009G | 08 | 559-561 | ||
S76922A | 08 | 564-566 | S79912S | 21 | 913-914 | S82009H | 08 | 559-561 | ||
S76922A | 24 | 963-965 | S79919A | 21 | 913-914 | S82009J | 08 | 559-561 | ||
S76922D | 23 | 949-950 | S79919A | 24 | 963-965 | S82009K | 08 | 564-566 | ||
S76922S | 09 | 604-605 | S79919D | 23 | 949-950 | S82009M | 08 | 564-566 | ||
S76929A | 08 | 564-566 | S79919S | 21 | 913-914 | S82009N | 08 | 564-566 | ||
S76929A | 24 | 963-965 | S79921A | 21 | 913-914 | S82009P | 08 | 564-566 | ||
S76929D | 23 | 949-950 | S79921A | 24 | 963-965 | S82009Q | 08 | 564-566 | ||
S76929S | 09 | 604-605 | S79921D | 23 | 949-950 | S82009R | 08 | 564-566 | ||
S76991A | 21 | 913-914 | S79921S | 21 | 913-914 | S82009S | 08 | 559-561 | ||
S76991A | 24 | 963-965 | S79922A | 21 | 913-914 | S82011A | 08 | 562-563 | ||
S76991D | 23 | 949-950 | S79922A | 24 | 963-965 | S82011A | 24 | 963-965 | ||
S76991S | 21 | 913-914 | S79922D | 23 | 949-950 | S82011B | 08 | 562-563 | ||
S76992A | 21 | 913-914 | S79922S | 21 | 913-914 | S82011B | 24 | 963-965 | ||
S76992A | 24 | 963-965 | S79929A | 21 | 913-914 | S82011C | 08 | 562-563 | ||
S76992D | 23 | 949-950 | S79929A | 24 | 963-965 | S82011C | 24 | 963-965 | ||
S76992S | 21 | 913-914 | S79929D | 23 | 949-950 | S82011D | 08 | 559-561 | ||
S76999A | 21 | 913-914 | S79929S | 21 | 913-914 | S82011E | 08 | 559-561 | ||
S76999A | 24 | 963-965 | S8000XA | 09 | 604-605 | S82011F | 08 | 559-561 | ||
S76999D | 23 | 949-950 | S8000XA | 24 | 963-965 | S82011G | 08 | 559-561 | ||
S76999S | 21 | 913-914 | S8000XD | 23 | 949-950 | S82011H | 08 | 559-561 | ||
S7700XA | 21 | 913-914 | S8000XS | 09 | 604-605 | S82011J | 08 | 559-561 | ||
S7700XA | 24 | 963-965 | S8001XA | 09 | 604-605 | S82011K | 08 | 564-566 | ||
S7700XD | 23 | 949-950 | S8001XA | 24 | 963-965 | S82011M | 08 | 564-566 | ||
S7700XS | 09 | 604-605 | S8001XD | 23 | 949-950 | S82011N | 08 | 564-566 | ||
S7701XA | 21 | 913-914 | S8001XS | 09 | 604-605 | S82011P | 08 | 564-566 | ||
S7701XA | 24 | 963-965 | S8002XA | 09 | 604-605 | S82011Q | 08 | 564-566 | ||
S7701XD | 23 | 949-950 | S8002XA | 24 | 963-965 | S82011R | 08 | 564-566 | ||
S7701XS | 09 | 604-605 | S8002XD | 23 | 949-950 | S82011S | 08 | 559-561 | ||
S7702XA | 21 | 913-914 | S8002XS | 09 | 604-605 | S82012A | 08 | 562-563 | ||
S7702XA | 24 | 963-965 | S8010XA | 09 | 604-605 | S82012A | 24 | 963-965 | ||
S7702XD | 23 | 949-950 | S8010XA | 24 | 963-965 | S82012B | 08 | 562-563 | ||
S7702XS | 09 | 604-605 | S8010XD | 23 | 949-950 | S82012B | 24 | 963-965 | ||
S7710XA | 21 | 913-914 | S8010XS | 09 | 604-605 | S82012C | 08 | 562-563 | ||
S7710XA | 24 | 963-965 | S8011XA | 09 | 604-605 | S82012C | 24 | 963-965 | ||
S7710XD | 23 | 949-950 | S8011XA | 24 | 963-965 | S82012D | 08 | 559-561 | ||
S7710XS | 09 | 604-605 | S8011XD | 23 | 949-950 | S82012E | 08 | 559-561 | ||
S7711XA | 21 | 913-914 | S8011XS | 09 | 604-605 | S82012F | 08 | 559-561 | ||
S7711XA | 24 | 963-965 | S8012XA | 09 | 604-605 | S82012G | 08 | 559-561 | ||
S7711XD | 23 | 949-950 | S8012XA | 24 | 963-965 | S82012H | 08 | 559-561 | ||
S7711XS | 09 | 604-605 | S8012XD | 23 | 949-950 | S82012J | 08 | 559-561 | ||
S7712XA | 21 | 913-914 | S8012XS | 09 | 604-605 | S82012K | 08 | 564-566 | ||
S7712XA | 24 | 963-965 | S80211A | 09 | 604-605 | S82012M | 08 | 564-566 | ||
S7712XD | 23 | 949-950 | S80211A | 24 | 963-965 | S82012N | 08 | 564-566 | ||
S7712XS | 09 | 604-605 | S80211D | 23 | 949-950 | S82012P | 08 | 564-566 | ||
S7720XA | 21 | 913-914 | S80211S | 09 | 604-605 | S82012Q | 08 | 564-566 | ||
S7720XA | 24 | 963-965 | S80212A | 09 | 604-605 | S82012R | 08 | 564-566 | ||
S7720XD | 23 | 949-950 | S80212A | 24 | 963-965 | S82012S | 08 | 559-561 | ||
S7720XS | 09 | 604-605 | S80212D | 23 | 949-950 | S82013A | 08 | 562-563 | ||
S7721XA | 21 | 913-914 | S80212S | 09 | 604-605 | S82013A | 24 | 963-965 | ||
S7721XA | 24 | 963-965 | S80219A | 09 | 604-605 | S82013B | 08 | 562-563 | ||
S7721XD | 23 | 949-950 | S80219A | 24 | 963-965 | S82013B | 24 | 963-965 | ||
S7721XS | 09 | 604-605 | S80219D | 23 | 949-950 | S82013C | 08 | 562-563 | ||
S7722XA | 21 | 913-914 | S80219S | 09 | 604-605 | S82013C | 24 | 963-965 | ||
S7722XA | 24 | 963-965 | S80221A | 09 | 606-607 | S82013D | 08 | 559-561 | ||
S7722XD | 23 | 949-950 | S80221A | 24 | 963-965 | S82013E | 08 | 559-561 | ||
S7722XS | 09 | 604-605 | S80221D | 23 | 949-950 | S82013F | 08 | 559-561 | ||
S78011A | 21 | 913-914 | S80221S | 09 | 604-605 | S82013G | 08 | 559-561 | ||
S78011A | 24 | 963-965 | S80222A | 09 | 606-607 | S82013H | 08 | 559-561 | ||
S78011D | 23 | 949-950 | S80222A | 24 | 963-965 | S82013J | 08 | 559-561 | ||
S78011S | 08 | 559-561 | S80222D | 23 | 949-950 | S82013K | 08 | 564-566 | ||
S78012A | 21 | 913-914 | S80222S | 09 | 604-605 | S82013M | 08 | 564-566 | ||
S78012A | 24 | 963-965 | S80229A | 09 | 606-607 | S82013N | 08 | 564-566 | ||
S78012D | 23 | 949-950 | S80229A | 24 | 963-965 | S82013P | 08 | 564-566 | ||
S78012S | 08 | 559-561 | S80229D | 23 | 949-950 | S82013Q | 08 | 564-566 | ||
S78019A | 21 | 913-914 | S80229S | 09 | 604-605 | S82013R | 08 | 564-566 | ||
S78019A | 24 | 963-965 | S80241A | 09 | 604-605 | S82013S | 08 | 559-561 | ||
S78019D | 23 | 949-950 | S80241A | 24 | 963-965 | S82014A | 08 | 562-563 | ||
S78019S | 08 | 559-561 | S80241D | 23 | 949-950 | S82014A | 24 | 963-965 | ||
S78021A | 21 | 913-914 | S80241S | 09 | 604-605 | S82014B | 08 | 562-563 | ||
S78021A | 24 | 963-965 | S80242A | 09 | 604-605 | S82014B | 24 | 963-965 | ||
S78021D | 23 | 949-950 | S80242A | 24 | 963-965 | S82014C | 08 | 562-563 | ||
S78021S | 08 | 559-561 | S80242D | 23 | 949-950 | S82014C | 24 | 963-965 | ||
S78022A | 21 | 913-914 | S80242S | 09 | 604-605 | S82014D | 08 | 559-561 | ||
S78022A | 24 | 963-965 | S80249A | 09 | 604-605 | S82014E | 08 | 559-561 | ||
S78022D | 23 | 949-950 | S80249A | 24 | 963-965 | S82014F | 08 | 559-561 | ||
S78022S | 08 | 559-561 | S80249D | 23 | 949-950 | S82014G | 08 | 559-561 | ||
S78029A | 21 | 913-914 | S80249S | 09 | 604-605 | S82014H | 08 | 559-561 | ||
S78029A | 24 | 963-965 | S80251A | 09 | 604-605 | S82014J | 08 | 559-561 | ||
S78029D | 23 | 949-950 | S80251A | 24 | 963-965 | S82014K | 08 | 564-566 | ||
S78029S | 08 | 559-561 | S80251D | 23 | 949-950 | S82014M | 08 | 564-566 | ||
S78111A | 21 | 913-914 | S80251S | 09 | 604-605 | S82014N | 08 | 564-566 | ||
S78111A | 24 | 963-965 | S80252A | 09 | 604-605 | S82014P | 08 | 564-566 | ||
S78111D | 23 | 949-950 | S80252A | 24 | 963-965 | S82014Q | 08 | 564-566 | ||
S78111S | 08 | 559-561 | S80252D | 23 | 949-950 | S82014R | 08 | 564-566 | ||
S78112A | 21 | 913-914 | S80252S | 09 | 604-605 | S82014S | 08 | 559-561 | ||
S78112A | 24 | 963-965 | S80259A | 09 | 604-605 | S82015A | 08 | 562-563 | ||
S78112D | 23 | 949-950 | S80259A | 24 | 963-965 | S82015A | 24 | 963-965 | ||
S78112S | 08 | 559-561 | S80259D | 23 | 949-950 | S82015B | 08 | 562-563 | ||
S78119A | 21 | 913-914 | S80259S | 09 | 604-605 | S82015B | 24 | 963-965 | ||
S78119A | 24 | 963-965 | S80261A | 09 | 606-607 | S82015C | 08 | 562-563 | ||
S78119D | 23 | 949-950 | S80261A | 24 | 963-965 | S82015C | 24 | 963-965 | ||
S78119S | 08 | 559-561 | S80261D | 23 | 949-950 | S82015D | 08 | 559-561 | ||
S78121A | 21 | 913-914 | S80261S | 09 | 604-605 | S82015E | 08 | 559-561 | ||
S78121A | 24 | 963-965 | S80262A | 09 | 606-607 | S82015F | 08 | 559-561 | ||
S78121D | 23 | 949-950 | S80262A | 24 | 963-965 | S82015G | 08 | 559-561 | ||
S78121S | 08 | 559-561 | S80262D | 23 | 949-950 | S82015H | 08 | 559-561 | ||
S78122A | 21 | 913-914 | S80262S | 09 | 604-605 | S82015J | 08 | 559-561 | ||
S78122A | 24 | 963-965 | S80269A | 09 | 606-607 | S82015K | 08 | 564-566 | ||
S78122D | 23 | 949-950 | S80269A | 24 | 963-965 | S82015M | 08 | 564-566 | ||
S78122S | 08 | 559-561 | S80269D | 23 | 949-950 | S82015N | 08 | 564-566 | ||
S78129A | 21 | 913-914 | S80269S | 09 | 604-605 | S82015P | 08 | 564-566 | ||
S78129A | 24 | 963-965 | S80271A | 09 | 604-605 | S82015Q | 08 | 564-566 | ||
S78129D | 23 | 949-950 | S80271A | 24 | 963-965 | S82015R | 08 | 564-566 | ||
S78129S | 08 | 559-561 | S80271D | 23 | 949-950 | S82015S | 08 | 559-561 | ||
S78911A | 21 | 913-914 | S80271S | 09 | 604-605 | S82016A | 08 | 562-563 | ||
S78911A | 24 | 963-965 | S80272A | 09 | 604-605 | S82016A | 24 | 963-965 | ||
S78911D | 23 | 949-950 | S80272A | 24 | 963-965 | S82016B | 08 | 562-563 | ||
S78911S | 08 | 559-561 | S80272D | 23 | 949-950 | S82016B | 24 | 963-965 | ||
S78912A | 21 | 913-914 | S80272S | 09 | 604-605 | S82016C | 08 | 562-563 | ||
S78912A | 24 | 963-965 | S80279A | 09 | 604-605 | S82016C | 24 | 963-965 | ||
S78912D | 23 | 949-950 | S80279A | 24 | 963-965 | S82016D | 08 | 559-561 | ||
S78912S | 08 | 559-561 | S80279D | 23 | 949-950 | S82016E | 08 | 559-561 | ||
S78919A | 21 | 913-914 | S80279S | 09 | 604-605 | S82016F | 08 | 559-561 | ||
S78919A | 24 | 963-965 | S80811A | 09 | 604-605 | S82016G | 08 | 559-561 | ||
S78919D | 23 | 949-950 | S80811A | 24 | 963-965 | S82016H | 08 | 559-561 | ||
S78919S | 08 | 559-561 | S80811D | 23 | 949-950 | S82016J | 08 | 559-561 | ||
S78921A | 21 | 913-914 | S80811S | 09 | 604-605 | S82016K | 08 | 564-566 | ||
S78921A | 24 | 963-965 | S80812A | 09 | 604-605 | S82016M | 08 | 564-566 | ||
S78921D | 23 | 949-950 | S80812A | 24 | 963-965 | S82016N | 08 | 564-566 | ||
S78921S | 08 | 559-561 | S80812D | 23 | 949-950 | S82016P | 08 | 564-566 | ||
S78922A | 21 | 913-914 | S80812S | 09 | 604-605 | S82016Q | 08 | 564-566 | ||
S78922A | 24 | 963-965 | S80819A | 09 | 604-605 | S82016R | 08 | 564-566 | ||
S78922D | 23 | 949-950 | S80819A | 24 | 963-965 | S82016S | 08 | 559-561 | ||
S78922S | 08 | 559-561 | S80819D | 23 | 949-950 | S82021A | 08 | 562-563 | ||
S78929A | 21 | 913-914 | S80819S | 09 | 604-605 | S82021A | 24 | 963-965 | ||
S78929A | 24 | 963-965 | S80821A | 09 | 606-607 | S82021B | 08 | 562-563 | ||
S78929D | 23 | 949-950 | S80821A | 24 | 963-965 | S82021B | 24 | 963-965 | ||
S78929S | 08 | 559-561 | S80821D | 23 | 949-950 | S82021C | 08 | 562-563 | ||
S79001A | 08 | 521-522 | S80821S | 09 | 604-605 | S82021C | 24 | 963-965 | ||
S79001A | 08 | 535-536 | S80822A | 09 | 606-607 | S82021D | 08 | 559-561 | ||
S79001A | 15 | 791 | S80822A | 24 | 963-965 | S82021E | 08 | 559-561 | ||
S79001A | 15 | 793 | S80822D | 23 | 949-950 | S82021F | 08 | 559-561 | ||
S79001A | 24 | 963-965 | S80822S | 09 | 604-605 | S82021G | 08 | 559-561 | ||
S79001D | 08 | 559-561 | S80829A | 09 | 606-607 | S82021H | 08 | 559-561 | ||
S79001G | 08 | 521-522 | S80829A | 24 | 963-965 | S82021J | 08 | 559-561 | ||
S79001G | 08 | 559-561 | S80829D | 23 | 949-950 | S82021K | 08 | 564-566 | ||
S79001K | 08 | 521-522 | S80829S | 09 | 604-605 | S82021M | 08 | 564-566 | ||
S79001K | 08 | 564-566 | S80841A | 09 | 604-605 | S82021N | 08 | 564-566 | ||
S79001P | 08 | 521-522 | S80841A | 24 | 963-965 | S82021P | 08 | 564-566 | ||
S79001P | 08 | 564-566 | S80841D | 23 | 949-950 | S82021Q | 08 | 564-566 | ||
S79001S | 08 | 559-561 | S80841S | 09 | 604-605 | S82021R | 08 | 564-566 | ||
S79002A | 08 | 521-522 | S80842A | 09 | 604-605 | S82021S | 08 | 559-561 | ||
S79002A | 08 | 535-536 | S80842A | 24 | 963-965 | S82022A | 08 | 562-563 | ||
S79002A | 15 | 791 | S80842D | 23 | 949-950 | S82022A | 24 | 963-965 | ||
S79002A | 15 | 793 | S80842S | 09 | 604-605 | S82022B | 08 | 562-563 | ||
S79002A | 24 | 963-965 | S80849A | 09 | 604-605 | S82022B | 24 | 963-965 | ||
S79002D | 08 | 559-561 | S80849A | 24 | 963-965 | S82022C | 08 | 562-563 | ||
S79002G | 08 | 521-522 | S80849D | 23 | 949-950 | S82022C | 24 | 963-965 | ||
S79002G | 08 | 559-561 | S80849S | 09 | 604-605 | S82022D | 08 | 559-561 | ||
S79002K | 08 | 521-522 | S80851A | 09 | 604-605 | S82022E | 08 | 559-561 | ||
S79002K | 08 | 564-566 | S80851A | 24 | 963-965 | S82022F | 08 | 559-561 | ||
S79002P | 08 | 521-522 | S80851D | 23 | 949-950 | S82022G | 08 | 559-561 | ||
S79002P | 08 | 564-566 | S80851S | 09 | 604-605 | S82022H | 08 | 559-561 | ||
S79002S | 08 | 559-561 | S80852A | 09 | 604-605 | S82022J | 08 | 559-561 | ||
S79009A | 08 | 521-522 | S80852A | 24 | 963-965 | S82022K | 08 | 564-566 | ||
S79009A | 08 | 535-536 | S80852D | 23 | 949-950 | S82022M | 08 | 564-566 | ||
S79009A | 15 | 791 | S80852S | 09 | 604-605 | S82022N | 08 | 564-566 | ||
S79009A | 15 | 793 | S80859A | 09 | 604-605 | S82022P | 08 | 564-566 | ||
S79009A | 24 | 963-965 | S80859A | 24 | 963-965 | S82022Q | 08 | 564-566 | ||
S79009D | 08 | 559-561 | S80859D | 23 | 949-950 | S82022R | 08 | 564-566 | ||
S79009G | 08 | 521-522 | S80859S | 09 | 604-605 | S82022S | 08 | 559-561 | ||
S79009G | 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 |