ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 59 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S83126S | 08 | 562-563 | S85012A | 21 | 913-914 | S86109D | 23 | 949-950 | ||
S83131A | 08 | 562-563 | S85012A | 24 | 963-965 | S86109S | 21 | 913-914 | ||
S83131A | 24 | 963-965 | S85012D | 23 | 949-950 | S86111A | 08 | 562-563 | ||
S83131D | 23 | 949-950 | S85012S | 05 | 299-301 | S86111A | 24 | 963-965 | ||
S83131S | 08 | 562-563 | S85019A | 21 | 913-914 | S86111D | 23 | 949-950 | ||
S83132A | 08 | 562-563 | S85019A | 24 | 963-965 | S86111S | 08 | 562-563 | ||
S83132A | 24 | 963-965 | S85019D | 23 | 949-950 | S86112A | 08 | 562-563 | ||
S83132D | 23 | 949-950 | S85019S | 05 | 299-301 | S86112A | 24 | 963-965 | ||
S83132S | 08 | 562-563 | S85091A | 21 | 913-914 | S86112D | 23 | 949-950 | ||
S83133A | 08 | 562-563 | S85091A | 24 | 963-965 | S86112S | 08 | 562-563 | ||
S83133A | 24 | 963-965 | S85091D | 23 | 949-950 | S86119A | 08 | 562-563 | ||
S83133D | 23 | 949-950 | S85091S | 05 | 299-301 | S86119A | 24 | 963-965 | ||
S83133S | 08 | 562-563 | S85092A | 21 | 913-914 | S86119D | 23 | 949-950 | ||
S83134A | 08 | 562-563 | S85092A | 24 | 963-965 | S86119S | 08 | 562-563 | ||
S83134A | 24 | 963-965 | S85092D | 23 | 949-950 | S86121A | 08 | 564-566 | ||
S83134D | 23 | 949-950 | S85092S | 05 | 299-301 | S86121A | 24 | 963-965 | ||
S83134S | 08 | 562-563 | S85099A | 21 | 913-914 | S86121D | 23 | 949-950 | ||
S83135A | 08 | 562-563 | S85099A | 24 | 963-965 | S86121S | 09 | 604-605 | ||
S83135A | 24 | 963-965 | S85099D | 23 | 949-950 | S86122A | 08 | 564-566 | ||
S83135D | 23 | 949-950 | S85099S | 05 | 299-301 | S86122A | 24 | 963-965 | ||
S83135S | 08 | 562-563 | S85101A | 21 | 913-914 | S86122D | 23 | 949-950 | ||
S83136A | 08 | 562-563 | S85101A | 24 | 963-965 | S86122S | 09 | 604-605 | ||
S83136A | 24 | 963-965 | S85101D | 23 | 949-950 | S86129A | 08 | 564-566 | ||
S83136D | 23 | 949-950 | S85101S | 05 | 299-301 | S86129A | 24 | 963-965 | ||
S83136S | 08 | 562-563 | S85102A | 21 | 913-914 | S86129D | 23 | 949-950 | ||
S83141A | 08 | 562-563 | S85102A | 24 | 963-965 | S86129S | 09 | 604-605 | ||
S83141A | 24 | 963-965 | S85102D | 23 | 949-950 | S86191A | 21 | 913-914 | ||
S83141D | 23 | 949-950 | S85102S | 05 | 299-301 | S86191A | 24 | 963-965 | ||
S83141S | 08 | 562-563 | S85109A | 21 | 913-914 | S86191D | 23 | 949-950 | ||
S83142A | 08 | 562-563 | S85109A | 24 | 963-965 | S86191S | 21 | 913-914 | ||
S83142A | 24 | 963-965 | S85109D | 23 | 949-950 | S86192A | 21 | 913-914 | ||
S83142D | 23 | 949-950 | S85109S | 05 | 299-301 | S86192A | 24 | 963-965 | ||
S83142S | 08 | 562-563 | S85111A | 21 | 913-914 | S86192D | 23 | 949-950 | ||
S83143A | 08 | 562-563 | S85111A | 24 | 963-965 | S86192S | 21 | 913-914 | ||
S83143A | 24 | 963-965 | S85111D | 23 | 949-950 | S86199A | 21 | 913-914 | ||
S83143D | 23 | 949-950 | S85111S | 05 | 299-301 | S86199A | 24 | 963-965 | ||
S83143S | 08 | 562-563 | S85112A | 21 | 913-914 | S86199D | 23 | 949-950 | ||
S83144A | 08 | 562-563 | S85112A | 24 | 963-965 | S86199S | 21 | 913-914 | ||
S83144A | 24 | 963-965 | S85112D | 23 | 949-950 | S86201A | 21 | 913-914 | ||
S83144D | 23 | 949-950 | S85112S | 05 | 299-301 | S86201A | 24 | 963-965 | ||
S83144S | 08 | 562-563 | S85119A | 21 | 913-914 | S86201D | 23 | 949-950 | ||
S83145A | 08 | 562-563 | S85119A | 24 | 963-965 | S86201S | 21 | 913-914 | ||
S83145A | 24 | 963-965 | S85119D | 23 | 949-950 | S86202A | 21 | 913-914 | ||
S83145D | 23 | 949-950 | S85119S | 05 | 299-301 | S86202A | 24 | 963-965 | ||
S83145S | 08 | 562-563 | S85121A | 21 | 913-914 | S86202D | 23 | 949-950 | ||
S83146A | 08 | 562-563 | S85121A | 24 | 963-965 | S86202S | 21 | 913-914 | ||
S83146A | 24 | 963-965 | S85121D | 23 | 949-950 | S86209A | 21 | 913-914 | ||
S83146D | 23 | 949-950 | S85121S | 05 | 299-301 | S86209A | 24 | 963-965 | ||
S83146S | 08 | 562-563 | S85122A | 21 | 913-914 | S86209D | 23 | 949-950 | ||
S83191A | 08 | 562-563 | S85122A | 24 | 963-965 | S86209S | 21 | 913-914 | ||
S83191A | 24 | 963-965 | S85122D | 23 | 949-950 | S86211A | 08 | 562-563 | ||
S83191D | 23 | 949-950 | S85122S | 05 | 299-301 | S86211A | 24 | 963-965 | ||
S83191S | 08 | 562-563 | S85129A | 21 | 913-914 | S86211D | 23 | 949-950 | ||
S83192A | 08 | 562-563 | S85129A | 24 | 963-965 | S86211S | 08 | 562-563 | ||
S83192A | 24 | 963-965 | S85129D | 23 | 949-950 | S86212A | 08 | 562-563 | ||
S83192D | 23 | 949-950 | S85129S | 05 | 299-301 | S86212A | 24 | 963-965 | ||
S83192S | 08 | 562-563 | S85131A | 21 | 913-914 | S86212D | 23 | 949-950 | ||
S83193A | 08 | 562-563 | S85131A | 24 | 963-965 | S86212S | 08 | 562-563 | ||
S83193A | 24 | 963-965 | S85131D | 23 | 949-950 | S86219A | 08 | 562-563 | ||
S83193D | 23 | 949-950 | S85131S | 05 | 299-301 | S86219A | 24 | 963-965 | ||
S83193S | 08 | 562-563 | S85132A | 21 | 913-914 | S86219D | 23 | 949-950 | ||
S83194A | 08 | 562-563 | S85132A | 24 | 963-965 | S86219S | 08 | 562-563 | ||
S83194A | 24 | 963-965 | S85132D | 23 | 949-950 | S86221A | 08 | 564-566 | ||
S83194D | 23 | 949-950 | S85132S | 05 | 299-301 | S86221A | 24 | 963-965 | ||
S83194S | 08 | 562-563 | S85139A | 21 | 913-914 | S86221D | 23 | 949-950 | ||
S83195A | 08 | 562-563 | S85139A | 24 | 963-965 | S86221S | 09 | 604-605 | ||
S83195A | 24 | 963-965 | S85139D | 23 | 949-950 | S86222A | 08 | 564-566 | ||
S83195D | 23 | 949-950 | S85139S | 05 | 299-301 | S86222A | 24 | 963-965 | ||
S83195S | 08 | 562-563 | S85141A | 21 | 913-914 | S86222D | 23 | 949-950 | ||
S83196A | 08 | 562-563 | S85141A | 24 | 963-965 | S86222S | 09 | 604-605 | ||
S83196A | 24 | 963-965 | S85141D | 23 | 949-950 | S86229A | 08 | 564-566 | ||
S83196D | 23 | 949-950 | S85141S | 05 | 299-301 | S86229A | 24 | 963-965 | ||
S83196S | 08 | 562-563 | S85142A | 21 | 913-914 | S86229D | 23 | 949-950 | ||
S83200A | 08 | 562-563 | S85142A | 24 | 963-965 | S86229S | 09 | 604-605 | ||
S83200A | 24 | 963-965 | S85142D | 23 | 949-950 | S86291A | 21 | 913-914 | ||
S83200D | 23 | 949-950 | S85142S | 05 | 299-301 | S86291A | 24 | 963-965 | ||
S83200S | 08 | 562-563 | S85149A | 21 | 913-914 | S86291D | 23 | 949-950 | ||
S83201A | 08 | 562-563 | S85149A | 24 | 963-965 | S86291S | 21 | 913-914 | ||
S83201A | 24 | 963-965 | S85149D | 23 | 949-950 | S86292A | 21 | 913-914 | ||
S83201D | 23 | 949-950 | S85149S | 05 | 299-301 | S86292A | 24 | 963-965 | ||
S83201S | 08 | 562-563 | S85151A | 21 | 913-914 | S86292D | 23 | 949-950 | ||
S83202A | 08 | 562-563 | S85151A | 24 | 963-965 | S86292S | 21 | 913-914 | ||
S83202A | 24 | 963-965 | S85151D | 23 | 949-950 | S86299A | 21 | 913-914 | ||
S83202D | 23 | 949-950 | S85151S | 05 | 299-301 | S86299A | 24 | 963-965 | ||
S83202S | 08 | 562-563 | S85152A | 21 | 913-914 | S86299D | 23 | 949-950 | ||
S83203A | 08 | 562-563 | S85152A | 24 | 963-965 | S86299S | 21 | 913-914 | ||
S83203A | 24 | 963-965 | S85152D | 23 | 949-950 | S86301A | 21 | 913-914 | ||
S83203D | 23 | 949-950 | S85152S | 05 | 299-301 | S86301A | 24 | 963-965 | ||
S83203S | 08 | 562-563 | S85159A | 21 | 913-914 | S86301D | 23 | 949-950 | ||
S83204A | 08 | 562-563 | S85159A | 24 | 963-965 | S86301S | 21 | 913-914 | ||
S83204A | 24 | 963-965 | S85159D | 23 | 949-950 | S86302A | 21 | 913-914 | ||
S83204D | 23 | 949-950 | S85159S | 05 | 299-301 | S86302A | 24 | 963-965 | ||
S83204S | 08 | 562-563 | S85161A | 21 | 913-914 | S86302D | 23 | 949-950 | ||
S83205A | 08 | 562-563 | S85161A | 24 | 963-965 | S86302S | 21 | 913-914 | ||
S83205A | 24 | 963-965 | S85161D | 23 | 949-950 | S86309A | 21 | 913-914 | ||
S83205D | 23 | 949-950 | S85161S | 05 | 299-301 | S86309A | 24 | 963-965 | ||
S83205S | 08 | 562-563 | S85162A | 21 | 913-914 | S86309D | 23 | 949-950 | ||
S83206A | 08 | 562-563 | S85162A | 24 | 963-965 | S86309S | 21 | 913-914 | ||
S83206A | 24 | 963-965 | S85162D | 23 | 949-950 | S86311A | 08 | 562-563 | ||
S83206D | 23 | 949-950 | S85162S | 05 | 299-301 | S86311A | 24 | 963-965 | ||
S83206S | 08 | 562-563 | S85169A | 21 | 913-914 | S86311D | 23 | 949-950 | ||
S83207A | 08 | 562-563 | S85169A | 24 | 963-965 | S86311S | 08 | 562-563 | ||
S83207A | 24 | 963-965 | S85169D | 23 | 949-950 | S86312A | 08 | 562-563 | ||
S83207D | 23 | 949-950 | S85169S | 05 | 299-301 | S86312A | 24 | 963-965 | ||
S83207S | 08 | 562-563 | S85171A | 21 | 913-914 | S86312D | 23 | 949-950 | ||
S83209A | 08 | 562-563 | S85171A | 24 | 963-965 | S86312S | 08 | 562-563 | ||
S83209A | 24 | 963-965 | S85171D | 23 | 949-950 | S86319A | 08 | 562-563 | ||
S83209D | 23 | 949-950 | S85171S | 05 | 299-301 | S86319A | 24 | 963-965 | ||
S83209S | 08 | 562-563 | S85172A | 21 | 913-914 | S86319D | 23 | 949-950 | ||
S83211A | 08 | 562-563 | S85172A | 24 | 963-965 | S86319S | 08 | 562-563 | ||
S83211A | 24 | 963-965 | S85172D | 23 | 949-950 | S86321A | 08 | 564-566 | ||
S83211D | 23 | 949-950 | S85172S | 05 | 299-301 | S86321A | 24 | 963-965 | ||
S83211S | 08 | 562-563 | S85179A | 21 | 913-914 | S86321D | 23 | 949-950 | ||
S83212A | 08 | 562-563 | S85179A | 24 | 963-965 | S86321S | 09 | 604-605 | ||
S83212A | 24 | 963-965 | S85179D | 23 | 949-950 | S86322A | 08 | 564-566 | ||
S83212D | 23 | 949-950 | S85179S | 05 | 299-301 | S86322A | 24 | 963-965 | ||
S83212S | 08 | 562-563 | S85181A | 21 | 913-914 | S86322D | 23 | 949-950 | ||
S83219A | 08 | 562-563 | S85181A | 24 | 963-965 | S86322S | 09 | 604-605 | ||
S83219A | 24 | 963-965 | S85181D | 23 | 949-950 | S86329A | 08 | 564-566 | ||
S83219D | 23 | 949-950 | S85181S | 05 | 299-301 | S86329A | 24 | 963-965 | ||
S83219S | 08 | 562-563 | S85182A | 21 | 913-914 | S86329D | 23 | 949-950 | ||
S83221A | 08 | 562-563 | S85182A | 24 | 963-965 | S86329S | 09 | 604-605 | ||
S83221A | 24 | 963-965 | S85182D | 23 | 949-950 | S86391A | 21 | 913-914 | ||
S83221D | 23 | 949-950 | S85182S | 05 | 299-301 | S86391A | 24 | 963-965 | ||
S83221S | 08 | 562-563 | S85189A | 21 | 913-914 | S86391D | 23 | 949-950 | ||
S83222A | 08 | 562-563 | S85189A | 24 | 963-965 | S86391S | 21 | 913-914 | ||
S83222A | 24 | 963-965 | S85189D | 23 | 949-950 | S86392A | 21 | 913-914 | ||
S83222D | 23 | 949-950 | S85189S | 05 | 299-301 | S86392A | 24 | 963-965 | ||
S83222S | 08 | 562-563 | S85201A | 21 | 913-914 | S86392D | 23 | 949-950 | ||
S83229A | 08 | 562-563 | S85201A | 24 | 963-965 | S86392S | 21 | 913-914 | ||
S83229A | 24 | 963-965 | S85201D | 23 | 949-950 | S86399A | 21 | 913-914 | ||
S83229D | 23 | 949-950 | S85201S | 05 | 299-301 | S86399A | 24 | 963-965 | ||
S83229S | 08 | 562-563 | S85202A | 21 | 913-914 | S86399D | 23 | 949-950 | ||
S83231A | 08 | 562-563 | S85202A | 24 | 963-965 | S86399S | 21 | 913-914 | ||
S83231A | 24 | 963-965 | S85202D | 23 | 949-950 | S86801A | 21 | 913-914 | ||
S83231D | 23 | 949-950 | S85202S | 05 | 299-301 | S86801A | 24 | 963-965 | ||
S83231S | 08 | 562-563 | S85209A | 21 | 913-914 | S86801D | 23 | 949-950 | ||
S83232A | 08 | 562-563 | S85209A | 24 | 963-965 | S86801S | 21 | 913-914 | ||
S83232A | 24 | 963-965 | S85209D | 23 | 949-950 | S86802A | 21 | 913-914 | ||
S83232D | 23 | 949-950 | S85209S | 05 | 299-301 | S86802A | 24 | 963-965 | ||
S83232S | 08 | 562-563 | S85211A | 21 | 913-914 | S86802D | 23 | 949-950 | ||
S83239A | 08 | 562-563 | S85211A | 24 | 963-965 | S86802S | 21 | 913-914 | ||
S83239A | 24 | 963-965 | S85211D | 23 | 949-950 | S86809A | 21 | 913-914 | ||
S83239D | 23 | 949-950 | S85211S | 05 | 299-301 | S86809A | 24 | 963-965 | ||
S83239S | 08 | 562-563 | S85212A | 21 | 913-914 | S86809D | 23 | 949-950 | ||
S83241A | 08 | 562-563 | S85212A | 24 | 963-965 | S86809S | 21 | 913-914 | ||
S83241A | 24 | 963-965 | S85212D | 23 | 949-950 | S86811A | 08 | 562-563 | ||
S83241D | 23 | 949-950 | S85212S | 05 | 299-301 | S86811A | 24 | 963-965 | ||
S83241S | 08 | 562-563 | S85219A | 21 | 913-914 | S86811D | 23 | 949-950 | ||
S83242A | 08 | 562-563 | S85219A | 24 | 963-965 | S86811S | 08 | 562-563 | ||
S83242A | 24 | 963-965 | S85219D | 23 | 949-950 | S86812A | 08 | 562-563 | ||
S83242D | 23 | 949-950 | S85219S | 05 | 299-301 | S86812A | 24 | 963-965 | ||
S83242S | 08 | 562-563 | S85291A | 21 | 913-914 | S86812D | 23 | 949-950 | ||
S83249A | 08 | 562-563 | S85291A | 24 | 963-965 | S86812S | 08 | 562-563 | ||
S83249A | 24 | 963-965 | S85291D | 23 | 949-950 | S86819A | 08 | 562-563 | ||
S83249D | 23 | 949-950 | S85291S | 05 | 299-301 | S86819A | 24 | 963-965 | ||
S83249S | 08 | 562-563 | S85292A | 21 | 913-914 | S86819D | 23 | 949-950 | ||
S83251A | 08 | 562-563 | S85292A | 24 | 963-965 | S86819S | 08 | 562-563 | ||
S83251A | 24 | 963-965 | S85292D | 23 | 949-950 | S86821A | 08 | 564-566 | ||
S83251D | 23 | 949-950 | S85292S | 05 | 299-301 | S86821A | 24 | 963-965 | ||
S83251S | 08 | 562-563 | S85299A | 21 | 913-914 | S86821D | 23 | 949-950 | ||
S83252A | 08 | 562-563 | S85299A | 24 | 963-965 | S86821S | 09 | 604-605 | ||
S83252A | 24 | 963-965 | S85299D | 23 | 949-950 | S86822A | 08 | 564-566 | ||
S83252D | 23 | 949-950 | S85299S | 05 | 299-301 | S86822A | 24 | 963-965 | ||
S83252S | 08 | 562-563 | S85301A | 21 | 913-914 | S86822D | 23 | 949-950 | ||
S83259A | 08 | 562-563 | S85301A | 24 | 963-965 | S86822S | 09 | 604-605 | ||
S83259A | 24 | 963-965 | S85301D | 23 | 949-950 | S86829A | 08 | 564-566 | ||
S83259D | 23 | 949-950 | S85301S | 05 | 299-301 | S86829A | 24 | 963-965 | ||
S83259S | 08 | 562-563 | S85302A | 21 | 913-914 | S86829D | 23 | 949-950 | ||
S83261A | 08 | 562-563 | S85302A | 24 | 963-965 | S86829S | 09 | 604-605 | ||
S83261A | 24 | 963-965 | S85302D | 23 | 949-950 | S86891A | 21 | 913-914 | ||
S83261D | 23 | 949-950 | S85302S | 05 | 299-301 | S86891A | 24 | 963-965 | ||
S83261S | 08 | 562-563 | S85309A | 21 | 913-914 | S86891D | 23 | 949-950 | ||
S83262A | 08 | 562-563 | S85309A | 24 | 963-965 | S86891S | 21 | 913-914 | ||
S83262A | 24 | 963-965 | S85309D | 23 | 949-950 | S86892A | 21 | 913-914 | ||
S83262D | 23 | 949-950 | S85309S | 05 | 299-301 | S86892A | 24 | 963-965 | ||
S83262S | 08 | 562-563 | S85311A | 21 | 913-914 | S86892D | 23 | 949-950 | ||
S83269A | 08 | 562-563 | S85311A | 24 | 963-965 | S86892S | 21 | 913-914 | ||
S83269A | 24 | 963-965 | S85311D | 23 | 949-950 | S86899A | 21 | 913-914 | ||
S83269D | 23 | 949-950 | S85311S | 05 | 299-301 | S86899A | 24 | 963-965 | ||
S83269S | 08 | 562-563 | S85312A | 21 | 913-914 | S86899D | 23 | 949-950 | ||
S83271A | 08 | 562-563 | S85312A | 24 | 963-965 | S86899S | 21 | 913-914 | ||
S83271A | 24 | 963-965 | S85312D | 23 | 949-950 | S86901A | 21 | 913-914 | ||
S83271D | 23 | 949-950 | S85312S | 05 | 299-301 | S86901A | 24 | 963-965 | ||
S83271S | 08 | 562-563 | S85319A | 21 | 913-914 | S86901D | 23 | 949-950 | ||
S83272A | 08 | 562-563 | S85319A | 24 | 963-965 | S86901S | 21 | 913-914 | ||
S83272A | 24 | 963-965 | S85319D | 23 | 949-950 | S86902A | 21 | 913-914 | ||
S83272D | 23 | 949-950 | S85319S | 05 | 299-301 | S86902A | 24 | 963-965 | ||
S83272S | 08 | 562-563 | S85391A | 21 | 913-914 | S86902D | 23 | 949-950 | ||
S83279A | 08 | 562-563 | S85391A | 24 | 963-965 | S86902S | 21 | 913-914 | ||
S83279A | 24 | 963-965 | S85391D | 23 | 949-950 | S86909A | 21 | 913-914 | ||
S83279D | 23 | 949-950 | S85391S | 05 | 299-301 | S86909A | 24 | 963-965 | ||
S83279S | 08 | 562-563 | S85392A | 21 | 913-914 | S86909D | 23 | 949-950 | ||
S83281A | 08 | 562-563 | S85392A | 24 | 963-965 | S86909S | 21 | 913-914 | ||
S83281A | 24 | 963-965 | S85392D | 23 | 949-950 | S86911A | 08 | 562-563 | ||
S83281D | 23 | 949-950 | S85392S | 05 | 299-301 | S86911A | 24 | 963-965 | ||
S83281S | 08 | 562-563 | S85399A | 21 | 913-914 | S86911D | 23 | 949-950 | ||
S83282A | 08 | 562-563 | S85399A | 24 | 963-965 | S86911S | 08 | 562-563 | ||
S83282A | 24 | 963-965 | S85399D | 23 | 949-950 | S86912A | 08 | 562-563 | ||
S83282D | 23 | 949-950 | S85399S | 05 | 299-301 | S86912A | 24 | 963-965 | ||
S83282S | 08 | 562-563 | S85401A | 21 | 913-914 | S86912D | 23 | 949-950 | ||
S83289A | 08 | 562-563 | S85401A | 24 | 963-965 | S86912S | 08 | 562-563 | ||
S83289A | 24 | 963-965 | S85401D | 23 | 949-950 | S86919A | 08 | 562-563 | ||
S83289D | 23 | 949-950 | S85401S | 05 | 299-301 | S86919A | 24 | 963-965 | ||
S83289S | 08 | 562-563 | S85402A | 21 | 913-914 | S86919D | 23 | 949-950 | ||
S8330XA | 08 | 562-563 | S85402A | 24 | 963-965 | S86919S | 08 | 562-563 | ||
S8330XA | 24 | 963-965 | S85402D | 23 | 949-950 | S86921A | 08 | 564-566 | ||
S8330XD | 23 | 949-950 | S85402S | 05 | 299-301 | S86921A | 24 | 963-965 | ||
S8330XS | 08 | 562-563 | S85409A | 21 | 913-914 | S86921D | 23 | 949-950 | ||
S8331XA | 08 | 562-563 | S85409A | 24 | 963-965 | S86921S | 09 | 604-605 | ||
S8331XA | 24 | 963-965 | S85409D | 23 | 949-950 | S86922A | 08 | 564-566 | ||
S8331XD | 23 | 949-950 | S85409S | 05 | 299-301 | S86922A | 24 | 963-965 | ||
S8331XS | 08 | 562-563 | S85411A | 21 | 913-914 | S86922D | 23 | 949-950 | ||
S8332XA | 08 | 562-563 | S85411A | 24 | 963-965 | S86922S | 09 | 604-605 | ||
S8332XA | 24 | 963-965 | S85411D | 23 | 949-950 | S86929A | 08 | 564-566 | ||
S8332XD | 23 | 949-950 | S85411S | 05 | 299-301 | S86929A | 24 | 963-965 | ||
S8332XS | 08 | 562-563 | S85412A | 21 | 913-914 | S86929D | 23 | 949-950 | ||
S83401A | 08 | 562-563 | S85412A | 24 | 963-965 | S86929S | 09 | 604-605 | ||
S83401A | 24 | 963-965 | S85412D | 23 | 949-950 | S86991A | 21 | 913-914 | ||
S83401D | 23 | 949-950 | S85412S | 05 | 299-301 | S86991A | 24 | 963-965 | ||
S83401S | 08 | 562-563 | S85419A | 21 | 913-914 | S86991D | 23 | 949-950 | ||
S83402A | 08 | 562-563 | S85419A | 24 | 963-965 | S86991S | 21 | 913-914 | ||
S83402A | 24 | 963-965 | S85419D | 23 | 949-950 | S86992A | 21 | 913-914 | ||
S83402D | 23 | 949-950 | S85419S | 05 | 299-301 | S86992A | 24 | 963-965 | ||
S83402S | 08 | 562-563 | S85491A | 21 | 913-914 | S86992D | 23 | 949-950 | ||
S83409A | 08 | 562-563 | S85491A | 24 | 963-965 | S86992S | 21 | 913-914 | ||
S83409A | 24 | 963-965 | S85491D | 23 | 949-950 | S86999A | 21 | 913-914 | ||
S83409D | 23 | 949-950 | S85491S | 05 | 299-301 | S86999A | 24 | 963-965 | ||
S83409S | 08 | 562-563 | S85492A | 21 | 913-914 | S86999D | 23 | 949-950 | ||
S83411A | 08 | 562-563 | S85492A | 24 | 963-965 | S86999S | 21 | 913-914 | ||
S83411A | 24 | 963-965 | S85492D | 23 | 949-950 | S8700XA | 21 | 913-914 | ||
S83411D | 23 | 949-950 | S85492S | 05 | 299-301 | S8700XA | 24 | 963-965 | ||
S83411S | 08 | 562-563 | S85499A | 21 | 913-914 | S8700XD | 23 | 949-950 | ||
S83412A | 08 | 562-563 | S85499A | 24 | 963-965 | S8700XS | 09 | 604-605 | ||
S83412A | 24 | 963-965 | S85499D | 23 | 949-950 | S8701XA | 21 | 913-914 | ||
S83412D | 23 | 949-950 | S85499S | 05 | 299-301 | S8701XA | 24 | 963-965 | ||
S83412S | 08 | 562-563 | S85501A | 21 | 913-914 | S8701XD | 23 | 949-950 | ||
S83419A | 08 | 562-563 | S85501A | 24 | 963-965 | S8701XS | 09 | 604-605 | ||
S83419A | 24 | 963-965 | S85501D | 23 | 949-950 | S8702XA | 21 | 913-914 | ||
S83419D | 23 | 949-950 | S85501S | 05 | 299-301 | S8702XA | 24 | 963-965 | ||
S83419S | 08 | 562-563 | S85502A | 21 | 913-914 | S8702XD | 23 | 949-950 | ||
S83421A | 08 | 562-563 | S85502A | 24 | 963-965 | S8702XS | 09 | 604-605 | ||
S83421A | 24 | 963-965 | S85502D | 23 | 949-950 | S8780XA | 21 | 913-914 | ||
S83421D | 23 | 949-950 | S85502S | 05 | 299-301 | S8780XA | 24 | 963-965 | ||
S83421S | 08 | 562-563 | S85509A | 21 | 913-914 | S8780XD | 23 | 949-950 | ||
S83422A | 08 | 562-563 | S85509A | 24 | 963-965 | S8780XS | 09 | 604-605 | ||
S83422A | 24 | 963-965 | S85509D | 23 | 949-950 | S8781XA | 21 | 913-914 | ||
S83422D | 23 | 949-950 | S85509S | 05 | 299-301 | S8781XA | 24 | 963-965 | ||
S83422S | 08 | 562-563 | S85511A | 21 | 913-914 | S8781XD | 23 | 949-950 | ||
S83429A | 08 | 562-563 | S85511A | 24 | 963-965 | S8781XS | 09 | 604-605 | ||
S83429A | 24 | 963-965 | S85511D | 23 | 949-950 | S8782XA | 21 | 913-914 | ||
S83429D | 23 | 949-950 | S85511S | 05 | 299-301 | S8782XA | 24 | 963-965 | ||
S83429S | 08 | 562-563 | S85512A | 21 | 913-914 | S8782XD | 23 | 949-950 | ||
S83501A | 08 | 562-563 | S85512A | 24 | 963-965 | S8782XS | 09 | 604-605 | ||
S83501A | 24 | 963-965 | S85512D | 23 | 949-950 | S88011A | 21 | 913-914 | ||
S83501D | 23 | 949-950 | S85512S | 05 | 299-301 | S88011A | 24 | 963-965 | ||
S83501S | 08 | 562-563 | S85519A | 21 | 913-914 | S88011D | 23 | 949-950 | ||
S83502A | 08 | 562-563 | S85519A | 24 | 963-965 | S88011S | 08 | 559-561 | ||
S83502A | 24 | 963-965 | S85519D | 23 | 949-950 | S88012A | 21 | 913-914 | ||
S83502D | 23 | 949-950 | S85519S | 05 | 299-301 | S88012A | 24 | 963-965 | ||
S83502S | 08 | 562-563 | S85591A | 21 | 913-914 | S88012D | 23 | 949-950 | ||
S83509A | 08 | 562-563 | S85591A | 24 | 963-965 | S88012S | 08 | 559-561 | ||
S83509A | 24 | 963-965 | S85591D | 23 | 949-950 | S88019A | 21 | 913-914 | ||
S83509D | 23 | 949-950 | S85591S | 05 | 299-301 | S88019A | 24 | 963-965 | ||
S83509S | 08 | 562-563 | S85592A | 21 | 913-914 | S88019D | 23 | 949-950 | ||
S83511A | 08 | 562-563 | S85592A | 24 | 963-965 | S88019S | 08 | 559-561 | ||
S83511A | 24 | 963-965 | S85592D | 23 | 949-950 | S88021A | 21 | 913-914 | ||
S83511D | 23 | 949-950 | S85592S | 05 | 299-301 | S88021A | 24 | 963-965 | ||
S83511S | 08 | 562-563 | S85599A | 21 | 913-914 | S88021D | 23 | 949-950 | ||
S83512A | 08 | 562-563 | S85599A | 24 | 963-965 | S88021S | 08 | 559-561 | ||
S83512A | 24 | 963-965 | S85599D | 23 | 949-950 | S88022A | 21 | 913-914 | ||
S83512D | 23 | 949-950 | S85599S | 05 | 299-301 | S88022A | 24 | 963-965 | ||
S83512S | 08 | 562-563 | S85801A | 21 | 913-914 | S88022D | 23 | 949-950 | ||
S83519A | 08 | 562-563 | S85801A | 24 | 963-965 | S88022S | 08 | 559-561 | ||
S83519A | 24 | 963-965 | S85801D | 23 | 949-950 | S88029A | 21 | 913-914 | ||
S83519D | 23 | 949-950 | S85801S | 05 | 299-301 | S88029A | 24 | 963-965 | ||
S83519S | 08 | 562-563 | S85802A | 21 | 913-914 | S88029D | 23 | 949-950 | ||
S83521A | 08 | 562-563 | S85802A | 24 | 963-965 | S88029S | 08 | 559-561 | ||
S83521A | 24 | 963-965 | S85802D | 23 | 949-950 | S88111A | 21 | 913-914 | ||
S83521D | 23 | 949-950 | S85802S | 05 | 299-301 | S88111A | 24 | 963-965 | ||
S83521S | 08 | 562-563 | S85809A | 21 | 913-914 | S88111D | 23 | 949-950 | ||
S83522A | 08 | 562-563 | S85809A | 24 | 963-965 | S88111S | 08 | 559-561 | ||
S83522A | 24 | 963-965 | S85809D | 23 | 949-950 | S88112A | 21 | 913-914 | ||
S83522D | 23 | 949-950 | S85809S | 05 | 299-301 | S88112A | 24 | 963-965 | ||
S83522S | 08 | 562-563 | S85811A | 21 | 913-914 | S88112D | 23 | 949-950 | ||
S83529A | 08 | 562-563 | S85811A | 24 | 963-965 | S88112S | 08 | 559-561 | ||
S83529A | 24 | 963-965 | S85811D | 23 | 949-950 | S88119A | 21 | 913-914 | ||
S83529D | 23 | 949-950 | S85811S | 05 | 299-301 | S88119A | 24 | 963-965 | ||
S83529S | 08 | 562-563 | S85812A | 21 | 913-914 | S88119D | 23 | 949-950 | ||
S8360XA | 08 | 562-563 | S85812A | 24 | 963-965 | S88119S | 08 | 559-561 | ||
S8360XA | 24 | 963-965 | S85812D | 23 | 949-950 | S88121A | 21 | 913-914 | ||
S8360XD | 23 | 949-950 | S85812S | 05 | 299-301 | S88121A | 24 | 963-965 | ||
S8360XS | 08 | 562-563 | S85819A | 21 | 913-914 | S88121D | 23 | 949-950 | ||
S8361XA | 08 | 562-563 | S85819A | 24 | 963-965 | S88121S | 08 | 559-561 | ||
S8361XA | 24 | 963-965 | S85819D | 23 | 949-950 | S88122A | 21 | 913-914 | ||
S8361XD | 23 | 949-950 | S85819S | 05 | 299-301 | S88122A | 24 | 963-965 | ||
S8361XS | 08 | 562-563 | S85891A | 21 | 913-914 | S88122D | 23 | 949-950 | ||
S8362XA | 08 | 562-563 | S85891A | 24 | 963-965 | S88122S | 08 | 559-561 | ||
S8362XA | 24 | 963-965 | S85891D | 23 | 949-950 | S88129A | 21 | 913-914 | ||
S8362XD | 23 | 949-950 | S85891S | 05 | 299-301 | S88129A | 24 | 963-965 | ||
S8362XS | 08 | 562-563 | S85892A | 21 | 913-914 | S88129D | 23 | 949-950 | ||
S838X1A | 08 | 562-563 | S85892A | 24 | 963-965 | S88129S | 08 | 559-561 | ||
S838X1A | 24 | 963-965 | S85892D | 23 | 949-950 | S88911A | 21 | 913-914 | ||
S838X1D | 23 | 949-950 | S85892S | 05 | 299-301 | S88911A | 24 | 963-965 | ||
S838X1S | 08 | 562-563 | S85899A | 21 | 913-914 | S88911D | 23 | 949-950 | ||
S838X2A | 08 | 562-563 | S85899A | 24 | 963-965 | S88911S | 08 | 559-561 | ||
S838X2A | 24 | 963-965 | S85899D | 23 | 949-950 | S88912A | 21 | 913-914 | ||
S838X2D | 23 | 949-950 | S85899S | 05 | 299-301 | S88912A | 24 | 963-965 | ||
S838X2S | 08 | 562-563 | S85901A | 21 | 913-914 | S88912D | 23 | 949-950 | ||
S838X9A | 08 | 562-563 | S85901A | 24 | 963-965 | S88912S | 08 | 559-561 | ||
S838X9A | 24 | 963-965 | S85901D | 23 | 949-950 | S88919A | 21 | 913-914 | ||
S838X9D | 23 | 949-950 | S85901S | 05 | 299-301 | S88919A | 24 | 963-965 | ||
S838X9S | 08 | 562-563 | S85902A | 21 | 913-914 | S88919D | 23 | 949-950 | ||
S8390XA | 08 | 562-563 | S85902A | 24 | 963-965 | S88919S | 08 | 559-561 | ||
S8390XA | 24 | 963-965 | S85902D | 23 | 949-950 | S88921A | 21 | 913-914 | ||
S8390XD | 23 | 949-950 | S85902S | 05 | 299-301 | S88921A | 24 | 963-965 | ||
S8390XS | 08 | 562-563 | S85909A | 21 | 913-914 | S88921D | 23 | 949-950 | ||
S8391XA | 08 | 562-563 | S85909A | 24 | 963-965 | S88921S | 08 | 559-561 | ||
S8391XA | 24 | 963-965 | S85909D | 23 | 949-950 | S88922A | 21 | 913-914 | ||
S8391XD | 23 | 949-950 | S85909S | 05 | 299-301 | S88922A | 24 | 963-965 | ||
S8391XS | 08 | 562-563 | S85911A | 21 | 913-914 | S88922D | 23 | 949-950 | ||
S8392XA | 08 | 562-563 | S85911A | 24 | 963-965 | S88922S | 08 | 559-561 | ||
S8392XA | 24 | 963-965 | S85911D | 23 | 949-950 | S88929A | 21 | 913-914 | ||
S8392XD | 23 | 949-950 | S85911S | 05 | 299-301 | S88929A | 24 | 963-965 | ||
S8392XS | 08 | 562-563 | S85912A | 21 | 913-914 | S88929D | 23 | 949-950 | ||
S8400XA | 01 | 073-074 | S85912A | 24 | 963-965 | S88929S | 08 | 559-561 | ||
S8400XA | 24 | 963-965 | S85912D | 23 | 949-950 | S89001A | 08 | 562-563 | ||
S8400XD | 23 | 949-950 | S85912S | 05 | 299-301 | S89001A | 24 | 963-965 | ||
S8400XS | 01 | 091-093 | S85919A | 21 | 913-914 | S89001D | 08 | 559-561 | ||
S8401XA | 01 | 073-074 | S85919A | 24 | 963-965 | S89001G | 08 | 559-561 | ||
S8401XA | 24 | 963-965 | S85919D | 23 | 949-950 | S89001K | 08 | 564-566 | ||
S8401XD | 23 | 949-950 | S85919S | 05 | 299-301 | S89001P | 08 | 564-566 | ||
S8401XS | 01 | 091-093 | S85991A | 21 | 913-914 | S89001S | 08 | 559-561 | ||
S8402XA | 01 | 073-074 | S85991A | 24 | 963-965 | S89002A | 08 | 562-563 | ||
S8402XA | 24 | 963-965 | S85991D | 23 | 949-950 | S89002A | 24 | 963-965 | ||
S8402XD | 23 | 949-950 | S85991S | 05 | 299-301 | S89002D | 08 | 559-561 | ||
S8402XS | 01 | 091-093 | S85992A | 21 | 913-914 | S89002G | 08 | 559-561 | ||
S8410XA | 01 | 073-074 | S85992A | 24 | 963-965 | S89002K | 08 | 564-566 | ||
S8410XA | 24 | 963-965 | S85992D | 23 | 949-950 | S89002P | 08 | 564-566 | ||
S8410XD | 23 | 949-950 | S85992S | 05 | 299-301 | S89002S | 08 | 559-561 | ||
S8410XS | 01 | 091-093 | S85999A | 21 | 913-914 | S89009A | 08 | 562-563 | ||
S8411XA | 01 | 073-074 | S85999A | 24 | 963-965 | S89009A | 24 | 963-965 | ||
S8411XA | 24 | 963-965 | S85999D | 23 | 949-950 | S89009D | 08 | 559-561 | ||
S8411XD | 23 | 949-950 | S85999S | 05 | 299-301 | S89009G | 08 | 559-561 | ||
S8411XS | 01 | 091-093 | S86001A | 21 | 913-914 | S89009K | 08 | 564-566 | ||
S8412XA | 01 | 073-074 | S86001A | 24 | 963-965 | S89009P | 08 | 564-566 | ||
S8412XA | 24 | 963-965 | S86001D | 23 | 949-950 | S89009S | 08 | 559-561 | ||
S8412XD | 23 | 949-950 | S86001S | 21 | 913-914 | S89011A | 08 | 562-563 | ||
S8412XS | 01 | 091-093 | S86002A | 21 | 913-914 | S89011A | 24 | 963-965 | ||
S8420XA | 01 | 073-074 | S86002A | 24 | 963-965 | S89011D | 08 | 559-561 | ||
S8420XA | 24 | 963-965 | S86002D | 23 | 949-950 | S89011G | 08 | 559-561 | ||
S8420XD | 23 | 949-950 | S86002S | 21 | 913-914 | S89011K | 08 | 564-566 | ||
S8420XS | 01 | 091-093 | S86009A | 21 | 913-914 | S89011P | 08 | 564-566 | ||
S8421XA | 01 | 073-074 | S86009A | 24 | 963-965 | S89011S | 08 | 559-561 | ||
S8421XA | 24 | 963-965 | S86009D | 23 | 949-950 | S89012A | 08 | 562-563 | ||
S8421XD | 23 | 949-950 | S86009S | 21 | 913-914 | S89012A | 24 | 963-965 | ||
S8421XS | 01 | 091-093 | S86011A | 08 | 562-563 | S89012D | 08 | 559-561 | ||
S8422XA | 01 | 073-074 | S86011A | 24 | 963-965 | S89012G | 08 | 559-561 | ||
S8422XA | 24 | 963-965 | S86011D | 23 | 949-950 | S89012K | 08 | 564-566 | ||
S8422XD | 23 | 949-950 | S86011S | 08 | 562-563 | S89012P | 08 | 564-566 | ||
S8422XS | 01 | 091-093 | S86012A | 08 | 562-563 | S89012S | 08 | 559-561 | ||
S84801A | 01 | 073-074 | S86012A | 24 | 963-965 | S89019A | 08 | 562-563 | ||
S84801A | 24 | 963-965 | S86012D | 23 | 949-950 | S89019A | 24 | 963-965 | ||
S84801D | 23 | 949-950 | S86012S | 08 | 562-563 | S89019D | 08 | 559-561 | ||
S84801S | 01 | 091-093 | S86019A | 08 | 562-563 | S89019G | 08 | 559-561 | ||
S84802A | 01 | 073-074 | S86019A | 24 | 963-965 | S89019K | 08 | 564-566 | ||
S84802A | 24 | 963-965 | S86019D | 23 | 949-950 | S89019P | 08 | 564-566 | ||
S84802D | 23 | 949-950 | S86019S | 08 | 562-563 | S89019S | 08 | 559-561 | ||
S84802S | 01 | 091-093 | S86021A | 08 | 564-566 | S89021A | 08 | 562-563 | ||
S84809A | 01 | 073-074 | S86021A | 24 | 963-965 | S89021A | 24 | 963-965 | ||
S84809A | 24 | 963-965 | S86021D | 23 | 949-950 | S89021D | 08 | 559-561 | ||
S84809D | 23 | 949-950 | S86021S | 09 | 604-605 | S89021G | 08 | 559-561 | ||
S84809S | 01 | 091-093 | S86022A | 08 | 564-566 | S89021K | 08 | 564-566 | ||
S8490XA | 01 | 073-074 | S86022A | 24 | 963-965 | S89021P | 08 | 564-566 | ||
S8490XA | 24 | 963-965 | S86022D | 23 | 949-950 | S89021S | 08 | 559-561 | ||
S8490XD | 23 | 949-950 | S86022S | 09 | 604-605 | S89022A | 08 | 562-563 | ||
S8490XS | 01 | 091-093 | S86029A | 08 | 564-566 | S89022A | 24 | 963-965 | ||
S8491XA | 01 | 073-074 | S86029A | 24 | 963-965 | S89022D | 08 | 559-561 | ||
S8491XA | 24 | 963-965 | S86029D | 23 | 949-950 | S89022G | 08 | 559-561 | ||
S8491XD | 23 | 949-950 | S86029S | 09 | 604-605 | S89022K | 08 | 564-566 | ||
S8491XS | 01 | 091-093 | S86091A | 21 | 913-914 | S89022P | 08 | 564-566 | ||
S8492XA | 01 | 073-074 | S86091A | 24 | 963-965 | S89022S | 08 | 559-561 | ||
S8492XA | 24 | 963-965 | S86091D | 23 | 949-950 | S89029A | 08 | 562-563 | ||
S8492XD | 23 | 949-950 | S86091S | 21 | 913-914 | S89029A | 24 | 963-965 | ||
S8492XS | 01 | 091-093 | S86092A | 21 | 913-914 | S89029D | 08 | 559-561 | ||
S85001A | 21 | 913-914 | S86092A | 24 | 963-965 | S89029G | 08 | 559-561 | ||
S85001A | 24 | 963-965 | S86092D | 23 | 949-950 | S89029K | 08 | 564-566 | ||
S85001D | 23 | 949-950 | S86092S | 21 | 913-914 | S89029P | 08 | 564-566 | ||
S85001S | 05 | 299-301 | S86099A | 21 | 913-914 | S89029S | 08 | 559-561 | ||
S85002A | 21 | 913-914 | S86099A | 24 | 963-965 | S89031A | 08 | 562-563 | ||
S85002A | 24 | 963-965 | S86099D | 23 | 949-950 | S89031A | 24 | 963-965 | ||
S85002D | 23 | 949-950 | S86099S | 21 | 913-914 | S89031D | 08 | 559-561 | ||
S85002S | 05 | 299-301 | S86101A | 21 | 913-914 | S89031G | 08 | 559-561 | ||
S85009A | 21 | 913-914 | S86101A | 24 | 963-965 | S89031K | 08 | 564-566 | ||
S85009A | 24 | 963-965 | S86101D | 23 | 949-950 | S89031P | 08 | 564-566 | ||
S85009D | 23 | 949-950 | S86101S | 21 | 913-914 | S89031S | 08 | 559-561 | ||
S85009S | 05 | 299-301 | S86102A | 21 | 913-914 | S89032A | 08 | 562-563 | ||
S85011A | 21 | 913-914 | S86102A | 24 | 963-965 | S89032A | 24 | 963-965 | ||
S85011A | 24 | 963-965 | S86102D | 23 | 949-950 | S89032D | 08 | 559-561 | ||
S85011D | 23 | 949-950 | S86102S | 21 | 913-914 | S89032G | 08 | 559-561 | ||
S85011S | 05 | 299-301 | S86109A | 21 | 913-914 | S89032K | 08 | 564-566 | ||
S86109A | 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 |