ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 62 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S92335P | 08 | 564-566 | S92515D | 08 | 559-561 | S93303S | 08 | 562-563 | ||
S92335S | 08 | 559-561 | S92515G | 08 | 559-561 | S93304A | 08 | 562-563 | ||
S92336A | 08 | 562-563 | S92515K | 08 | 564-566 | S93304A | 24 | 963-965 | ||
S92336A | 24 | 963-965 | S92515P | 08 | 564-566 | S93304D | 23 | 949-950 | ||
S92336B | 08 | 562-563 | S92515S | 08 | 559-561 | S93304S | 08 | 562-563 | ||
S92336B | 24 | 963-965 | S92516A | 08 | 562-563 | S93305A | 08 | 562-563 | ||
S92336D | 08 | 559-561 | S92516A | 24 | 963-965 | S93305A | 24 | 963-965 | ||
S92336G | 08 | 559-561 | S92516B | 08 | 562-563 | S93305D | 23 | 949-950 | ||
S92336K | 08 | 564-566 | S92516B | 24 | 963-965 | S93305S | 08 | 562-563 | ||
S92336P | 08 | 564-566 | S92516D | 08 | 559-561 | S93306A | 08 | 562-563 | ||
S92336S | 08 | 559-561 | S92516G | 08 | 559-561 | S93306A | 24 | 963-965 | ||
S92341A | 08 | 562-563 | S92516K | 08 | 564-566 | S93306D | 23 | 949-950 | ||
S92341A | 24 | 963-965 | S92516P | 08 | 564-566 | S93306S | 08 | 562-563 | ||
S92341B | 08 | 562-563 | S92516S | 08 | 559-561 | S93311A | 08 | 562-563 | ||
S92341B | 24 | 963-965 | S92521A | 08 | 562-563 | S93311A | 24 | 963-965 | ||
S92341D | 08 | 559-561 | S92521A | 24 | 963-965 | S93311D | 23 | 949-950 | ||
S92341G | 08 | 559-561 | S92521B | 08 | 562-563 | S93311S | 08 | 562-563 | ||
S92341K | 08 | 564-566 | S92521B | 24 | 963-965 | S93312A | 08 | 562-563 | ||
S92341P | 08 | 564-566 | S92521D | 08 | 559-561 | S93312A | 24 | 963-965 | ||
S92341S | 08 | 559-561 | S92521G | 08 | 559-561 | S93312D | 23 | 949-950 | ||
S92342A | 08 | 562-563 | S92521K | 08 | 564-566 | S93312S | 08 | 562-563 | ||
S92342A | 24 | 963-965 | S92521P | 08 | 564-566 | S93313A | 08 | 562-563 | ||
S92342B | 08 | 562-563 | S92521S | 08 | 559-561 | S93313A | 24 | 963-965 | ||
S92342B | 24 | 963-965 | S92522A | 08 | 562-563 | S93313D | 23 | 949-950 | ||
S92342D | 08 | 559-561 | S92522A | 24 | 963-965 | S93313S | 08 | 562-563 | ||
S92342G | 08 | 559-561 | S92522B | 08 | 562-563 | S93314A | 08 | 562-563 | ||
S92342K | 08 | 564-566 | S92522B | 24 | 963-965 | S93314A | 24 | 963-965 | ||
S92342P | 08 | 564-566 | S92522D | 08 | 559-561 | S93314D | 23 | 949-950 | ||
S92342S | 08 | 559-561 | S92522G | 08 | 559-561 | S93314S | 08 | 562-563 | ||
S92343A | 08 | 562-563 | S92522K | 08 | 564-566 | S93315A | 08 | 562-563 | ||
S92343A | 24 | 963-965 | S92522P | 08 | 564-566 | S93315A | 24 | 963-965 | ||
S92343B | 08 | 562-563 | S92522S | 08 | 559-561 | S93315D | 23 | 949-950 | ||
S92343B | 24 | 963-965 | S92523A | 08 | 562-563 | S93315S | 08 | 562-563 | ||
S92343D | 08 | 559-561 | S92523A | 24 | 963-965 | S93316A | 08 | 562-563 | ||
S92343G | 08 | 559-561 | S92523B | 08 | 562-563 | S93316A | 24 | 963-965 | ||
S92343K | 08 | 564-566 | S92523B | 24 | 963-965 | S93316D | 23 | 949-950 | ||
S92343P | 08 | 564-566 | S92523D | 08 | 559-561 | S93316S | 08 | 562-563 | ||
S92343S | 08 | 559-561 | S92523G | 08 | 559-561 | S93321A | 08 | 562-563 | ||
S92344A | 08 | 562-563 | S92523K | 08 | 564-566 | S93321A | 24 | 963-965 | ||
S92344A | 24 | 963-965 | S92523P | 08 | 564-566 | S93321D | 23 | 949-950 | ||
S92344B | 08 | 562-563 | S92523S | 08 | 559-561 | S93321S | 08 | 562-563 | ||
S92344B | 24 | 963-965 | S92524A | 08 | 562-563 | S93322A | 08 | 562-563 | ||
S92344D | 08 | 559-561 | S92524A | 24 | 963-965 | S93322A | 24 | 963-965 | ||
S92344G | 08 | 559-561 | S92524B | 08 | 562-563 | S93322D | 23 | 949-950 | ||
S92344K | 08 | 564-566 | S92524B | 24 | 963-965 | S93322S | 08 | 562-563 | ||
S92344P | 08 | 564-566 | S92524D | 08 | 559-561 | S93323A | 08 | 562-563 | ||
S92344S | 08 | 559-561 | S92524G | 08 | 559-561 | S93323A | 24 | 963-965 | ||
S92345A | 08 | 562-563 | S92524K | 08 | 564-566 | S93323D | 23 | 949-950 | ||
S92345A | 24 | 963-965 | S92524P | 08 | 564-566 | S93323S | 08 | 562-563 | ||
S92345B | 08 | 562-563 | S92524S | 08 | 559-561 | S93324A | 08 | 562-563 | ||
S92345B | 24 | 963-965 | S92525A | 08 | 562-563 | S93324A | 24 | 963-965 | ||
S92345D | 08 | 559-561 | S92525A | 24 | 963-965 | S93324D | 23 | 949-950 | ||
S92345G | 08 | 559-561 | S92525B | 08 | 562-563 | S93324S | 08 | 562-563 | ||
S92345K | 08 | 564-566 | S92525B | 24 | 963-965 | S93325A | 08 | 562-563 | ||
S92345P | 08 | 564-566 | S92525D | 08 | 559-561 | S93325A | 24 | 963-965 | ||
S92345S | 08 | 559-561 | S92525G | 08 | 559-561 | S93325D | 23 | 949-950 | ||
S92346A | 08 | 562-563 | S92525K | 08 | 564-566 | S93325S | 08 | 562-563 | ||
S92346A | 24 | 963-965 | S92525P | 08 | 564-566 | S93326A | 08 | 562-563 | ||
S92346B | 08 | 562-563 | S92525S | 08 | 559-561 | S93326A | 24 | 963-965 | ||
S92346B | 24 | 963-965 | S92526A | 08 | 562-563 | S93326D | 23 | 949-950 | ||
S92346D | 08 | 559-561 | S92526A | 24 | 963-965 | S93326S | 08 | 562-563 | ||
S92346G | 08 | 559-561 | S92526B | 08 | 562-563 | S93331A | 08 | 562-563 | ||
S92346K | 08 | 564-566 | S92526B | 24 | 963-965 | S93331A | 24 | 963-965 | ||
S92346P | 08 | 564-566 | S92526D | 08 | 559-561 | S93331D | 23 | 949-950 | ||
S92346S | 08 | 559-561 | S92526G | 08 | 559-561 | S93331S | 08 | 562-563 | ||
S92351A | 08 | 562-563 | S92526K | 08 | 564-566 | S93332A | 08 | 562-563 | ||
S92351A | 24 | 963-965 | S92526P | 08 | 564-566 | S93332A | 24 | 963-965 | ||
S92351B | 08 | 562-563 | S92526S | 08 | 559-561 | S93332D | 23 | 949-950 | ||
S92351B | 24 | 963-965 | S92531A | 08 | 562-563 | S93332S | 08 | 562-563 | ||
S92351D | 08 | 559-561 | S92531A | 24 | 963-965 | S93333A | 08 | 562-563 | ||
S92351G | 08 | 559-561 | S92531B | 08 | 562-563 | S93333A | 24 | 963-965 | ||
S92351K | 08 | 564-566 | S92531B | 24 | 963-965 | S93333D | 23 | 949-950 | ||
S92351P | 08 | 564-566 | S92531D | 08 | 559-561 | S93333S | 08 | 562-563 | ||
S92351S | 08 | 559-561 | S92531G | 08 | 559-561 | S93334A | 08 | 562-563 | ||
S92352A | 08 | 562-563 | S92531K | 08 | 564-566 | S93334A | 24 | 963-965 | ||
S92352A | 24 | 963-965 | S92531P | 08 | 564-566 | S93334D | 23 | 949-950 | ||
S92352B | 08 | 562-563 | S92531S | 08 | 559-561 | S93334S | 08 | 562-563 | ||
S92352B | 24 | 963-965 | S92532A | 08 | 562-563 | S93335A | 08 | 562-563 | ||
S92352D | 08 | 559-561 | S92532A | 24 | 963-965 | S93335A | 24 | 963-965 | ||
S92352G | 08 | 559-561 | S92532B | 08 | 562-563 | S93335D | 23 | 949-950 | ||
S92352K | 08 | 564-566 | S92532B | 24 | 963-965 | S93335S | 08 | 562-563 | ||
S92352P | 08 | 564-566 | S92532D | 08 | 559-561 | S93336A | 08 | 562-563 | ||
S92352S | 08 | 559-561 | S92532G | 08 | 559-561 | S93336A | 24 | 963-965 | ||
S92353A | 08 | 562-563 | S92532K | 08 | 564-566 | S93336D | 23 | 949-950 | ||
S92353A | 24 | 963-965 | S92532P | 08 | 564-566 | S93336S | 08 | 562-563 | ||
S92353B | 08 | 562-563 | S92532S | 08 | 559-561 | S93401A | 08 | 562-563 | ||
S92353B | 24 | 963-965 | S92533A | 08 | 562-563 | S93401A | 24 | 963-965 | ||
S92353D | 08 | 559-561 | S92533A | 24 | 963-965 | S93401D | 23 | 949-950 | ||
S92353G | 08 | 559-561 | S92533B | 08 | 562-563 | S93401S | 08 | 562-563 | ||
S92353K | 08 | 564-566 | S92533B | 24 | 963-965 | S93402A | 08 | 562-563 | ||
S92353P | 08 | 564-566 | S92533D | 08 | 559-561 | S93402A | 24 | 963-965 | ||
S92353S | 08 | 559-561 | S92533G | 08 | 559-561 | S93402D | 23 | 949-950 | ||
S92354A | 08 | 562-563 | S92533K | 08 | 564-566 | S93402S | 08 | 562-563 | ||
S92354A | 24 | 963-965 | S92533P | 08 | 564-566 | S93409A | 08 | 562-563 | ||
S92354B | 08 | 562-563 | S92533S | 08 | 559-561 | S93409A | 24 | 963-965 | ||
S92354B | 24 | 963-965 | S92534A | 08 | 562-563 | S93409D | 23 | 949-950 | ||
S92354D | 08 | 559-561 | S92534A | 24 | 963-965 | S93409S | 08 | 562-563 | ||
S92354G | 08 | 559-561 | S92534B | 08 | 562-563 | S93411A | 08 | 562-563 | ||
S92354K | 08 | 564-566 | S92534B | 24 | 963-965 | S93411A | 24 | 963-965 | ||
S92354P | 08 | 564-566 | S92534D | 08 | 559-561 | S93411D | 23 | 949-950 | ||
S92354S | 08 | 559-561 | S92534G | 08 | 559-561 | S93411S | 08 | 562-563 | ||
S92355A | 08 | 562-563 | S92534K | 08 | 564-566 | S93412A | 08 | 562-563 | ||
S92355A | 24 | 963-965 | S92534P | 08 | 564-566 | S93412A | 24 | 963-965 | ||
S92355B | 08 | 562-563 | S92534S | 08 | 559-561 | S93412D | 23 | 949-950 | ||
S92355B | 24 | 963-965 | S92535A | 08 | 562-563 | S93412S | 08 | 562-563 | ||
S92355D | 08 | 559-561 | S92535A | 24 | 963-965 | S93419A | 08 | 562-563 | ||
S92355G | 08 | 559-561 | S92535B | 08 | 562-563 | S93419A | 24 | 963-965 | ||
S92355K | 08 | 564-566 | S92535B | 24 | 963-965 | S93419D | 23 | 949-950 | ||
S92355P | 08 | 564-566 | S92535D | 08 | 559-561 | S93419S | 08 | 562-563 | ||
S92355S | 08 | 559-561 | S92535G | 08 | 559-561 | S93421A | 08 | 562-563 | ||
S92356A | 08 | 562-563 | S92535K | 08 | 564-566 | S93421A | 24 | 963-965 | ||
S92356A | 24 | 963-965 | S92535P | 08 | 564-566 | S93421D | 23 | 949-950 | ||
S92356B | 08 | 562-563 | S92535S | 08 | 559-561 | S93421S | 08 | 562-563 | ||
S92356B | 24 | 963-965 | S92536A | 08 | 562-563 | S93422A | 08 | 562-563 | ||
S92356D | 08 | 559-561 | S92536A | 24 | 963-965 | S93422A | 24 | 963-965 | ||
S92356G | 08 | 559-561 | S92536B | 08 | 562-563 | S93422D | 23 | 949-950 | ||
S92356K | 08 | 564-566 | S92536B | 24 | 963-965 | S93422S | 08 | 562-563 | ||
S92356P | 08 | 564-566 | S92536D | 08 | 559-561 | S93429A | 08 | 562-563 | ||
S92356S | 08 | 559-561 | S92536G | 08 | 559-561 | S93429A | 24 | 963-965 | ||
S92401A | 08 | 562-563 | S92536K | 08 | 564-566 | S93429D | 23 | 949-950 | ||
S92401A | 24 | 963-965 | S92536P | 08 | 564-566 | S93429S | 08 | 562-563 | ||
S92401B | 08 | 562-563 | S92536S | 08 | 559-561 | S93431A | 08 | 562-563 | ||
S92401B | 24 | 963-965 | S92591A | 08 | 562-563 | S93431A | 24 | 963-965 | ||
S92401D | 08 | 559-561 | S92591A | 24 | 963-965 | S93431D | 23 | 949-950 | ||
S92401G | 08 | 559-561 | S92591B | 08 | 562-563 | S93431S | 08 | 562-563 | ||
S92401K | 08 | 564-566 | S92591B | 24 | 963-965 | S93432A | 08 | 562-563 | ||
S92401P | 08 | 564-566 | S92591D | 08 | 559-561 | S93432A | 24 | 963-965 | ||
S92401S | 08 | 559-561 | S92591G | 08 | 559-561 | S93432D | 23 | 949-950 | ||
S92402A | 08 | 562-563 | S92591K | 08 | 564-566 | S93432S | 08 | 562-563 | ||
S92402A | 24 | 963-965 | S92591P | 08 | 564-566 | S93439A | 08 | 562-563 | ||
S92402B | 08 | 562-563 | S92591S | 08 | 559-561 | S93439A | 24 | 963-965 | ||
S92402B | 24 | 963-965 | S92592A | 08 | 562-563 | S93439D | 23 | 949-950 | ||
S92402D | 08 | 559-561 | S92592A | 24 | 963-965 | S93439S | 08 | 562-563 | ||
S92402G | 08 | 559-561 | S92592B | 08 | 562-563 | S93491A | 08 | 562-563 | ||
S92402K | 08 | 564-566 | S92592B | 24 | 963-965 | S93491A | 24 | 963-965 | ||
S92402P | 08 | 564-566 | S92592D | 08 | 559-561 | S93491D | 23 | 949-950 | ||
S92402S | 08 | 559-561 | S92592G | 08 | 559-561 | S93491S | 08 | 562-563 | ||
S92403A | 08 | 562-563 | S92592K | 08 | 564-566 | S93492A | 08 | 562-563 | ||
S92403A | 24 | 963-965 | S92592P | 08 | 564-566 | S93492A | 24 | 963-965 | ||
S92403B | 08 | 562-563 | S92592S | 08 | 559-561 | S93492D | 23 | 949-950 | ||
S92403B | 24 | 963-965 | S92599A | 08 | 562-563 | S93492S | 08 | 562-563 | ||
S92403D | 08 | 559-561 | S92599A | 24 | 963-965 | S93499A | 08 | 562-563 | ||
S92403G | 08 | 559-561 | S92599B | 08 | 562-563 | S93499A | 24 | 963-965 | ||
S92403K | 08 | 564-566 | S92599B | 24 | 963-965 | S93499D | 23 | 949-950 | ||
S92403P | 08 | 564-566 | S92599D | 08 | 559-561 | S93499S | 08 | 562-563 | ||
S92403S | 08 | 559-561 | S92599G | 08 | 559-561 | S93501A | 08 | 562-563 | ||
S92404A | 08 | 562-563 | S92599K | 08 | 564-566 | S93501A | 24 | 963-965 | ||
S92404A | 24 | 963-965 | S92599P | 08 | 564-566 | S93501D | 23 | 949-950 | ||
S92404B | 08 | 562-563 | S92599S | 08 | 559-561 | S93501S | 08 | 562-563 | ||
S92404B | 24 | 963-965 | S92811A | 08 | 562-563 | S93502A | 08 | 562-563 | ||
S92404D | 08 | 559-561 | S92811A | 24 | 963-965 | S93502A | 24 | 963-965 | ||
S92404G | 08 | 559-561 | S92811B | 08 | 562-563 | S93502D | 23 | 949-950 | ||
S92404K | 08 | 564-566 | S92811B | 24 | 963-965 | S93502S | 08 | 562-563 | ||
S92404P | 08 | 564-566 | S92811D | 08 | 559-561 | S93503A | 08 | 562-563 | ||
S92404S | 08 | 559-561 | S92811G | 08 | 559-561 | S93503A | 24 | 963-965 | ||
S92405A | 08 | 562-563 | S92811K | 08 | 564-566 | S93503D | 23 | 949-950 | ||
S92405A | 24 | 963-965 | S92811P | 08 | 564-566 | S93503S | 08 | 562-563 | ||
S92405B | 08 | 562-563 | S92811S | 08 | 559-561 | S93504A | 08 | 562-563 | ||
S92405B | 24 | 963-965 | S92812A | 08 | 562-563 | S93504A | 24 | 963-965 | ||
S92405D | 08 | 559-561 | S92812A | 24 | 963-965 | S93504D | 23 | 949-950 | ||
S92405G | 08 | 559-561 | S92812B | 08 | 562-563 | S93504S | 08 | 562-563 | ||
S92405K | 08 | 564-566 | S92812B | 24 | 963-965 | S93505A | 08 | 562-563 | ||
S92405P | 08 | 564-566 | S92812D | 08 | 559-561 | S93505A | 24 | 963-965 | ||
S92405S | 08 | 559-561 | S92812G | 08 | 559-561 | S93505D | 23 | 949-950 | ||
S92406A | 08 | 562-563 | S92812K | 08 | 564-566 | S93505S | 08 | 562-563 | ||
S92406A | 24 | 963-965 | S92812P | 08 | 564-566 | S93506A | 08 | 562-563 | ||
S92406B | 08 | 562-563 | S92812S | 08 | 559-561 | S93506A | 24 | 963-965 | ||
S92406B | 24 | 963-965 | S92819A | 08 | 562-563 | S93506D | 23 | 949-950 | ||
S92406D | 08 | 559-561 | S92819A | 24 | 963-965 | S93506S | 08 | 562-563 | ||
S92406G | 08 | 559-561 | S92819B | 08 | 562-563 | S93509A | 08 | 562-563 | ||
S92406K | 08 | 564-566 | S92819B | 24 | 963-965 | S93509A | 24 | 963-965 | ||
S92406P | 08 | 564-566 | S92819D | 08 | 559-561 | S93509D | 23 | 949-950 | ||
S92406S | 08 | 559-561 | S92819G | 08 | 559-561 | S93509S | 08 | 562-563 | ||
S92411A | 08 | 562-563 | S92819K | 08 | 564-566 | S93511A | 08 | 562-563 | ||
S92411A | 24 | 963-965 | S92819P | 08 | 564-566 | S93511A | 24 | 963-965 | ||
S92411B | 08 | 562-563 | S92819S | 08 | 559-561 | S93511D | 23 | 949-950 | ||
S92411B | 24 | 963-965 | S92901A | 08 | 562-563 | S93511S | 08 | 562-563 | ||
S92411D | 08 | 559-561 | S92901A | 24 | 963-965 | S93512A | 08 | 562-563 | ||
S92411G | 08 | 559-561 | S92901B | 08 | 562-563 | S93512A | 24 | 963-965 | ||
S92411K | 08 | 564-566 | S92901B | 24 | 963-965 | S93512D | 23 | 949-950 | ||
S92411P | 08 | 564-566 | S92901D | 08 | 559-561 | S93512S | 08 | 562-563 | ||
S92411S | 08 | 559-561 | S92901G | 08 | 559-561 | S93513A | 08 | 562-563 | ||
S92412A | 08 | 562-563 | S92901K | 08 | 564-566 | S93513A | 24 | 963-965 | ||
S92412A | 24 | 963-965 | S92901P | 08 | 564-566 | S93513D | 23 | 949-950 | ||
S92412B | 08 | 562-563 | S92901S | 08 | 559-561 | S93513S | 08 | 562-563 | ||
S92412B | 24 | 963-965 | S92902A | 08 | 562-563 | S93514A | 08 | 562-563 | ||
S92412D | 08 | 559-561 | S92902A | 24 | 963-965 | S93514A | 24 | 963-965 | ||
S92412G | 08 | 559-561 | S92902B | 08 | 562-563 | S93514D | 23 | 949-950 | ||
S92412K | 08 | 564-566 | S92902B | 24 | 963-965 | S93514S | 08 | 562-563 | ||
S92412P | 08 | 564-566 | S92902D | 08 | 559-561 | S93515A | 08 | 562-563 | ||
S92412S | 08 | 559-561 | S92902G | 08 | 559-561 | S93515A | 24 | 963-965 | ||
S92413A | 08 | 562-563 | S92902K | 08 | 564-566 | S93515D | 23 | 949-950 | ||
S92413A | 24 | 963-965 | S92902P | 08 | 564-566 | S93515S | 08 | 562-563 | ||
S92413B | 08 | 562-563 | S92902S | 08 | 559-561 | S93516A | 08 | 562-563 | ||
S92413B | 24 | 963-965 | S92909A | 08 | 562-563 | S93516A | 24 | 963-965 | ||
S92413D | 08 | 559-561 | S92909A | 24 | 963-965 | S93516D | 23 | 949-950 | ||
S92413G | 08 | 559-561 | S92909B | 08 | 562-563 | S93516S | 08 | 562-563 | ||
S92413K | 08 | 564-566 | S92909B | 24 | 963-965 | S93519A | 08 | 562-563 | ||
S92413P | 08 | 564-566 | S92909D | 08 | 559-561 | S93519A | 24 | 963-965 | ||
S92413S | 08 | 559-561 | S92909G | 08 | 559-561 | S93519D | 23 | 949-950 | ||
S92414A | 08 | 562-563 | S92909K | 08 | 564-566 | S93519S | 08 | 562-563 | ||
S92414A | 24 | 963-965 | S92909P | 08 | 564-566 | S93521A | 08 | 562-563 | ||
S92414B | 08 | 562-563 | S92909S | 08 | 559-561 | S93521A | 24 | 963-965 | ||
S92414B | 24 | 963-965 | S92911A | 08 | 562-563 | S93521D | 23 | 949-950 | ||
S92414D | 08 | 559-561 | S92911A | 24 | 963-965 | S93521S | 08 | 562-563 | ||
S92414G | 08 | 559-561 | S92911B | 08 | 562-563 | S93522A | 08 | 562-563 | ||
S92414K | 08 | 564-566 | S92911B | 24 | 963-965 | S93522A | 24 | 963-965 | ||
S92414P | 08 | 564-566 | S92911D | 08 | 559-561 | S93522D | 23 | 949-950 | ||
S92414S | 08 | 559-561 | S92911G | 08 | 559-561 | S93522S | 08 | 562-563 | ||
S92415A | 08 | 562-563 | S92911K | 08 | 564-566 | S93523A | 08 | 562-563 | ||
S92415A | 24 | 963-965 | S92911P | 08 | 564-566 | S93523A | 24 | 963-965 | ||
S92415B | 08 | 562-563 | S92911S | 08 | 559-561 | S93523D | 23 | 949-950 | ||
S92415B | 24 | 963-965 | S92912A | 08 | 562-563 | S93523S | 08 | 562-563 | ||
S92415D | 08 | 559-561 | S92912A | 24 | 963-965 | S93524A | 08 | 562-563 | ||
S92415G | 08 | 559-561 | S92912B | 08 | 562-563 | S93524A | 24 | 963-965 | ||
S92415K | 08 | 564-566 | S92912B | 24 | 963-965 | S93524D | 23 | 949-950 | ||
S92415P | 08 | 564-566 | S92912D | 08 | 559-561 | S93524S | 08 | 562-563 | ||
S92415S | 08 | 559-561 | S92912G | 08 | 559-561 | S93525A | 08 | 562-563 | ||
S92416A | 08 | 562-563 | S92912K | 08 | 564-566 | S93525A | 24 | 963-965 | ||
S92416A | 24 | 963-965 | S92912P | 08 | 564-566 | S93525D | 23 | 949-950 | ||
S92416B | 08 | 562-563 | S92912S | 08 | 559-561 | S93525S | 08 | 562-563 | ||
S92416B | 24 | 963-965 | S92919A | 08 | 562-563 | S93526A | 08 | 562-563 | ||
S92416D | 08 | 559-561 | S92919A | 24 | 963-965 | S93526A | 24 | 963-965 | ||
S92416G | 08 | 559-561 | S92919B | 08 | 562-563 | S93526D | 23 | 949-950 | ||
S92416K | 08 | 564-566 | S92919B | 24 | 963-965 | S93526S | 08 | 562-563 | ||
S92416P | 08 | 564-566 | S92919D | 08 | 559-561 | S93529A | 08 | 562-563 | ||
S92416S | 08 | 559-561 | S92919G | 08 | 559-561 | S93529A | 24 | 963-965 | ||
S92421A | 08 | 562-563 | S92919K | 08 | 564-566 | S93529D | 23 | 949-950 | ||
S92421A | 24 | 963-965 | S92919P | 08 | 564-566 | S93529S | 08 | 562-563 | ||
S92421B | 08 | 562-563 | S92919S | 08 | 559-561 | S93601A | 08 | 562-563 | ||
S92421B | 24 | 963-965 | S9301XA | 08 | 562-563 | S93601A | 24 | 963-965 | ||
S92421D | 08 | 559-561 | S9301XA | 24 | 963-965 | S93601D | 23 | 949-950 | ||
S92421G | 08 | 559-561 | S9301XD | 23 | 949-950 | S93601S | 08 | 562-563 | ||
S92421K | 08 | 564-566 | S9301XS | 08 | 562-563 | S93602A | 08 | 562-563 | ||
S92421P | 08 | 564-566 | S9302XA | 08 | 562-563 | S93602A | 24 | 963-965 | ||
S92421S | 08 | 559-561 | S9302XA | 24 | 963-965 | S93602D | 23 | 949-950 | ||
S92422A | 08 | 562-563 | S9302XD | 23 | 949-950 | S93602S | 08 | 562-563 | ||
S92422A | 24 | 963-965 | S9302XS | 08 | 562-563 | S93609A | 08 | 562-563 | ||
S92422B | 08 | 562-563 | S9303XA | 08 | 562-563 | S93609A | 24 | 963-965 | ||
S92422B | 24 | 963-965 | S9303XA | 24 | 963-965 | S93609D | 23 | 949-950 | ||
S92422D | 08 | 559-561 | S9303XD | 23 | 949-950 | S93609S | 08 | 562-563 | ||
S92422G | 08 | 559-561 | S9303XS | 08 | 562-563 | S93611A | 08 | 562-563 | ||
S92422K | 08 | 564-566 | S9304XA | 08 | 562-563 | S93611A | 24 | 963-965 | ||
S92422P | 08 | 564-566 | S9304XA | 24 | 963-965 | S93611D | 23 | 949-950 | ||
S92422S | 08 | 559-561 | S9304XD | 23 | 949-950 | S93611S | 08 | 562-563 | ||
S92423A | 08 | 562-563 | S9304XS | 08 | 562-563 | S93612A | 08 | 562-563 | ||
S92423A | 24 | 963-965 | S9305XA | 08 | 562-563 | S93612A | 24 | 963-965 | ||
S92423B | 08 | 562-563 | S9305XA | 24 | 963-965 | S93612D | 23 | 949-950 | ||
S92423B | 24 | 963-965 | S9305XD | 23 | 949-950 | S93612S | 08 | 562-563 | ||
S92423D | 08 | 559-561 | S9305XS | 08 | 562-563 | S93619A | 08 | 562-563 | ||
S92423G | 08 | 559-561 | S9306XA | 08 | 562-563 | S93619A | 24 | 963-965 | ||
S92423K | 08 | 564-566 | S9306XA | 24 | 963-965 | S93619D | 23 | 949-950 | ||
S92423P | 08 | 564-566 | S9306XD | 23 | 949-950 | S93619S | 08 | 562-563 | ||
S92423S | 08 | 559-561 | S9306XS | 08 | 562-563 | S93621A | 08 | 562-563 | ||
S92424A | 08 | 562-563 | S93101A | 08 | 562-563 | S93621A | 24 | 963-965 | ||
S92424A | 24 | 963-965 | S93101A | 24 | 963-965 | S93621D | 23 | 949-950 | ||
S92424B | 08 | 562-563 | S93101D | 23 | 949-950 | S93621S | 08 | 562-563 | ||
S92424B | 24 | 963-965 | S93101S | 08 | 562-563 | S93622A | 08 | 562-563 | ||
S92424D | 08 | 559-561 | S93102A | 08 | 562-563 | S93622A | 24 | 963-965 | ||
S92424G | 08 | 559-561 | S93102A | 24 | 963-965 | S93622D | 23 | 949-950 | ||
S92424K | 08 | 564-566 | S93102D | 23 | 949-950 | S93622S | 08 | 562-563 | ||
S92424P | 08 | 564-566 | S93102S | 08 | 562-563 | S93629A | 08 | 562-563 | ||
S92424S | 08 | 559-561 | S93103A | 08 | 562-563 | S93629A | 24 | 963-965 | ||
S92425A | 08 | 562-563 | S93103A | 24 | 963-965 | S93629D | 23 | 949-950 | ||
S92425A | 24 | 963-965 | S93103D | 23 | 949-950 | S93629S | 08 | 562-563 | ||
S92425B | 08 | 562-563 | S93103S | 08 | 562-563 | S93691A | 08 | 562-563 | ||
S92425B | 24 | 963-965 | S93104A | 08 | 562-563 | S93691A | 24 | 963-965 | ||
S92425D | 08 | 559-561 | S93104A | 24 | 963-965 | S93691D | 23 | 949-950 | ||
S92425G | 08 | 559-561 | S93104D | 23 | 949-950 | S93691S | 08 | 562-563 | ||
S92425K | 08 | 564-566 | S93104S | 08 | 562-563 | S93692A | 08 | 562-563 | ||
S92425P | 08 | 564-566 | S93105A | 08 | 562-563 | S93692A | 24 | 963-965 | ||
S92425S | 08 | 559-561 | S93105A | 24 | 963-965 | S93692D | 23 | 949-950 | ||
S92426A | 08 | 562-563 | S93105D | 23 | 949-950 | S93692S | 08 | 562-563 | ||
S92426A | 24 | 963-965 | S93105S | 08 | 562-563 | S93699A | 08 | 562-563 | ||
S92426B | 08 | 562-563 | S93106A | 08 | 562-563 | S93699A | 24 | 963-965 | ||
S92426B | 24 | 963-965 | S93106A | 24 | 963-965 | S93699D | 23 | 949-950 | ||
S92426D | 08 | 559-561 | S93106D | 23 | 949-950 | S93699S | 08 | 562-563 | ||
S92426G | 08 | 559-561 | S93106S | 08 | 562-563 | S9400XA | 01 | 073-074 | ||
S92426K | 08 | 564-566 | S93111A | 08 | 562-563 | S9400XA | 24 | 963-965 | ||
S92426P | 08 | 564-566 | S93111A | 24 | 963-965 | S9400XD | 23 | 949-950 | ||
S92426S | 08 | 559-561 | S93111D | 23 | 949-950 | S9400XS | 01 | 091-093 | ||
S92491A | 08 | 562-563 | S93111S | 08 | 562-563 | S9401XA | 01 | 073-074 | ||
S92491A | 24 | 963-965 | S93112A | 08 | 562-563 | S9401XA | 24 | 963-965 | ||
S92491B | 08 | 562-563 | S93112A | 24 | 963-965 | S9401XD | 23 | 949-950 | ||
S92491B | 24 | 963-965 | S93112D | 23 | 949-950 | S9401XS | 01 | 091-093 | ||
S92491D | 08 | 559-561 | S93112S | 08 | 562-563 | S9402XA | 01 | 073-074 | ||
S92491G | 08 | 559-561 | S93113A | 08 | 562-563 | S9402XA | 24 | 963-965 | ||
S92491K | 08 | 564-566 | S93113A | 24 | 963-965 | S9402XD | 23 | 949-950 | ||
S92491P | 08 | 564-566 | S93113D | 23 | 949-950 | S9402XS | 01 | 091-093 | ||
S92491S | 08 | 559-561 | S93113S | 08 | 562-563 | S9410XA | 01 | 073-074 | ||
S92492A | 08 | 562-563 | S93114A | 08 | 562-563 | S9410XA | 24 | 963-965 | ||
S92492A | 24 | 963-965 | S93114A | 24 | 963-965 | S9410XD | 23 | 949-950 | ||
S92492B | 08 | 562-563 | S93114D | 23 | 949-950 | S9410XS | 01 | 091-093 | ||
S92492B | 24 | 963-965 | S93114S | 08 | 562-563 | S9411XA | 01 | 073-074 | ||
S92492D | 08 | 559-561 | S93115A | 08 | 562-563 | S9411XA | 24 | 963-965 | ||
S92492G | 08 | 559-561 | S93115A | 24 | 963-965 | S9411XD | 23 | 949-950 | ||
S92492K | 08 | 564-566 | S93115D | 23 | 949-950 | S9411XS | 01 | 091-093 | ||
S92492P | 08 | 564-566 | S93115S | 08 | 562-563 | S9412XA | 01 | 073-074 | ||
S92492S | 08 | 559-561 | S93116A | 08 | 562-563 | S9412XA | 24 | 963-965 | ||
S92499A | 08 | 562-563 | S93116A | 24 | 963-965 | S9412XD | 23 | 949-950 | ||
S92499A | 24 | 963-965 | S93116D | 23 | 949-950 | S9412XS | 01 | 091-093 | ||
S92499B | 08 | 562-563 | S93116S | 08 | 562-563 | S9420XA | 01 | 073-074 | ||
S92499B | 24 | 963-965 | S93119A | 08 | 562-563 | S9420XA | 24 | 963-965 | ||
S92499D | 08 | 559-561 | S93119A | 24 | 963-965 | S9420XD | 23 | 949-950 | ||
S92499G | 08 | 559-561 | S93119D | 23 | 949-950 | S9420XS | 01 | 091-093 | ||
S92499K | 08 | 564-566 | S93119S | 08 | 562-563 | S9421XA | 01 | 073-074 | ||
S92499P | 08 | 564-566 | S93121A | 08 | 562-563 | S9421XA | 24 | 963-965 | ||
S92499S | 08 | 559-561 | S93121A | 24 | 963-965 | S9421XD | 23 | 949-950 | ||
S92501A | 08 | 562-563 | S93121D | 23 | 949-950 | S9421XS | 01 | 091-093 | ||
S92501A | 24 | 963-965 | S93121S | 08 | 562-563 | S9422XA | 01 | 073-074 | ||
S92501B | 08 | 562-563 | S93122A | 08 | 562-563 | S9422XA | 24 | 963-965 | ||
S92501B | 24 | 963-965 | S93122A | 24 | 963-965 | S9422XD | 23 | 949-950 | ||
S92501D | 08 | 559-561 | S93122D | 23 | 949-950 | S9422XS | 01 | 091-093 | ||
S92501G | 08 | 559-561 | S93122S | 08 | 562-563 | S9430XA | 01 | 073-074 | ||
S92501K | 08 | 564-566 | S93123A | 08 | 562-563 | S9430XA | 24 | 963-965 | ||
S92501P | 08 | 564-566 | S93123A | 24 | 963-965 | S9430XD | 23 | 949-950 | ||
S92501S | 08 | 559-561 | S93123D | 23 | 949-950 | S9430XS | 01 | 091-093 | ||
S92502A | 08 | 562-563 | S93123S | 08 | 562-563 | S9431XA | 01 | 073-074 | ||
S92502A | 24 | 963-965 | S93124A | 08 | 562-563 | S9431XA | 24 | 963-965 | ||
S92502B | 08 | 562-563 | S93124A | 24 | 963-965 | S9431XD | 23 | 949-950 | ||
S92502B | 24 | 963-965 | S93124D | 23 | 949-950 | S9431XS | 01 | 091-093 | ||
S92502D | 08 | 559-561 | S93124S | 08 | 562-563 | S9432XA | 01 | 073-074 | ||
S92502G | 08 | 559-561 | S93125A | 08 | 562-563 | S9432XA | 24 | 963-965 | ||
S92502K | 08 | 564-566 | S93125A | 24 | 963-965 | S9432XD | 23 | 949-950 | ||
S92502P | 08 | 564-566 | S93125D | 23 | 949-950 | S9432XS | 01 | 091-093 | ||
S92502S | 08 | 559-561 | S93125S | 08 | 562-563 | S948X1A | 01 | 073-074 | ||
S92503A | 08 | 562-563 | S93126A | 08 | 562-563 | S948X1A | 24 | 963-965 | ||
S92503A | 24 | 963-965 | S93126A | 24 | 963-965 | S948X1D | 23 | 949-950 | ||
S92503B | 08 | 562-563 | S93126D | 23 | 949-950 | S948X1S | 01 | 091-093 | ||
S92503B | 24 | 963-965 | S93126S | 08 | 562-563 | S948X2A | 01 | 073-074 | ||
S92503D | 08 | 559-561 | S93129A | 08 | 562-563 | S948X2A | 24 | 963-965 | ||
S92503G | 08 | 559-561 | S93129A | 24 | 963-965 | S948X2D | 23 | 949-950 | ||
S92503K | 08 | 564-566 | S93129D | 23 | 949-950 | S948X2S | 01 | 091-093 | ||
S92503P | 08 | 564-566 | S93129S | 08 | 562-563 | S948X9A | 01 | 073-074 | ||
S92503S | 08 | 559-561 | S93131A | 08 | 562-563 | S948X9A | 24 | 963-965 | ||
S92504A | 08 | 562-563 | S93131A | 24 | 963-965 | S948X9D | 23 | 949-950 | ||
S92504A | 24 | 963-965 | S93131D | 23 | 949-950 | S948X9S | 01 | 091-093 | ||
S92504B | 08 | 562-563 | S93131S | 08 | 562-563 | S9490XA | 01 | 073-074 | ||
S92504B | 24 | 963-965 | S93132A | 08 | 562-563 | S9490XA | 24 | 963-965 | ||
S92504D | 08 | 559-561 | S93132A | 24 | 963-965 | S9490XD | 23 | 949-950 | ||
S92504G | 08 | 559-561 | S93132D | 23 | 949-950 | S9490XS | 01 | 091-093 | ||
S92504K | 08 | 564-566 | S93132S | 08 | 562-563 | S9491XA | 01 | 073-074 | ||
S92504P | 08 | 564-566 | S93133A | 08 | 562-563 | S9491XA | 24 | 963-965 | ||
S92504S | 08 | 559-561 | S93133A | 24 | 963-965 | S9491XD | 23 | 949-950 | ||
S92505A | 08 | 562-563 | S93133D | 23 | 949-950 | S9491XS | 01 | 091-093 | ||
S92505A | 24 | 963-965 | S93133S | 08 | 562-563 | S9492XA | 01 | 073-074 | ||
S92505B | 08 | 562-563 | S93134A | 08 | 562-563 | S9492XA | 24 | 963-965 | ||
S92505B | 24 | 963-965 | S93134A | 24 | 963-965 | S9492XD | 23 | 949-950 | ||
S92505D | 08 | 559-561 | S93134D | 23 | 949-950 | S9492XS | 01 | 091-093 | ||
S92505G | 08 | 559-561 | S93134S | 08 | 562-563 | S95001A | 21 | 913-914 | ||
S92505K | 08 | 564-566 | S93135A | 08 | 562-563 | S95001A | 24 | 963-965 | ||
S92505P | 08 | 564-566 | S93135A | 24 | 963-965 | S95001D | 23 | 949-950 | ||
S92505S | 08 | 559-561 | S93135D | 23 | 949-950 | S95001S | 05 | 299-301 | ||
S92506A | 08 | 562-563 | S93135S | 08 | 562-563 | S95002A | 21 | 913-914 | ||
S92506A | 24 | 963-965 | S93136A | 08 | 562-563 | S95002A | 24 | 963-965 | ||
S92506B | 08 | 562-563 | S93136A | 24 | 963-965 | S95002D | 23 | 949-950 | ||
S92506B | 24 | 963-965 | S93136D | 23 | 949-950 | S95002S | 05 | 299-301 | ||
S92506D | 08 | 559-561 | S93136S | 08 | 562-563 | S95009A | 21 | 913-914 | ||
S92506G | 08 | 559-561 | S93139A | 08 | 562-563 | S95009A | 24 | 963-965 | ||
S92506K | 08 | 564-566 | S93139A | 24 | 963-965 | S95009D | 23 | 949-950 | ||
S92506P | 08 | 564-566 | S93139D | 23 | 949-950 | S95009S | 05 | 299-301 | ||
S92506S | 08 | 559-561 | S93139S | 08 | 562-563 | S95011A | 21 | 913-914 | ||
S92511A | 08 | 562-563 | S93141A | 08 | 562-563 | S95011A | 24 | 963-965 | ||
S92511A | 24 | 963-965 | S93141A | 24 | 963-965 | S95011D | 23 | 949-950 | ||
S92511B | 08 | 562-563 | S93141D | 23 | 949-950 | S95011S | 05 | 299-301 | ||
S92511B | 24 | 963-965 | S93141S | 08 | 562-563 | S95012A | 21 | 913-914 | ||
S92511D | 08 | 559-561 | S93142A | 08 | 562-563 | S95012A | 24 | 963-965 | ||
S92511G | 08 | 559-561 | S93142A | 24 | 963-965 | S95012D | 23 | 949-950 | ||
S92511K | 08 | 564-566 | S93142D | 23 | 949-950 | S95012S | 05 | 299-301 | ||
S92511P | 08 | 564-566 | S93142S | 08 | 562-563 | S95019A | 21 | 913-914 | ||
S92511S | 08 | 559-561 | S93143A | 08 | 562-563 | S95019A | 24 | 963-965 | ||
S92512A | 08 | 562-563 | S93143A | 24 | 963-965 | S95019D | 23 | 949-950 | ||
S92512A | 24 | 963-965 | S93143D | 23 | 949-950 | S95019S | 05 | 299-301 | ||
S92512B | 08 | 562-563 | S93143S | 08 | 562-563 | S95091A | 21 | 913-914 | ||
S92512B | 24 | 963-965 | S93144A | 08 | 562-563 | S95091A | 24 | 963-965 | ||
S92512D | 08 | 559-561 | S93144A | 24 | 963-965 | S95091D | 23 | 949-950 | ||
S92512G | 08 | 559-561 | S93144D | 23 | 949-950 | S95091S | 05 | 299-301 | ||
S92512K | 08 | 564-566 | S93144S | 08 | 562-563 | S95092A | 21 | 913-914 | ||
S92512P | 08 | 564-566 | S93145A | 08 | 562-563 | S95092A | 24 | 963-965 | ||
S92512S | 08 | 559-561 | S93145A | 24 | 963-965 | S95092D | 23 | 949-950 | ||
S92513A | 08 | 562-563 | S93145D | 23 | 949-950 | S95092S | 05 | 299-301 | ||
S92513A | 24 | 963-965 | S93145S | 08 | 562-563 | S95099A | 21 | 913-914 | ||
S92513B | 08 | 562-563 | S93146A | 08 | 562-563 | S95099A | 24 | 963-965 | ||
S92513B | 24 | 963-965 | S93146A | 24 | 963-965 | S95099D | 23 | 949-950 | ||
S92513D | 08 | 559-561 | S93146D | 23 | 949-950 | S95099S | 05 | 299-301 | ||
S92513G | 08 | 559-561 | S93146S | 08 | 562-563 | S95101A | 21 | 913-914 | ||
S92513K | 08 | 564-566 | S93149A | 08 | 562-563 | S95101A | 24 | 963-965 | ||
S92513P | 08 | 564-566 | S93149A | 24 | 963-965 | S95101D | 23 | 949-950 | ||
S92513S | 08 | 559-561 | S93149D | 23 | 949-950 | S95101S | 05 | 299-301 | ||
S92514A | 08 | 562-563 | S93149S | 08 | 562-563 | S95102A | 21 | 913-914 | ||
S92514A | 24 | 963-965 | S93301A | 08 | 562-563 | S95102A | 24 | 963-965 | ||
S92514B | 08 | 562-563 | S93301A | 24 | 963-965 | S95102D | 23 | 949-950 | ||
S92514B | 24 | 963-965 | S93301D | 23 | 949-950 | S95102S | 05 | 299-301 | ||
S92514D | 08 | 559-561 | S93301S | 08 | 562-563 | S95109A | 21 | 913-914 | ||
S92514G | 08 | 559-561 | S93302A | 08 | 562-563 | S95109A | 24 | 963-965 | ||
S92514K | 08 | 564-566 | S93302A | 24 | 963-965 | S95109D | 23 | 949-950 | ||
S92514P | 08 | 564-566 | S93302D | 23 | 949-950 | S95109S | 05 | 299-301 | ||
S92514S | 08 | 559-561 | S93302S | 08 | 562-563 | S95111A | 21 | 913-914 | ||
S92515A | 08 | 562-563 | S93303A | 08 | 562-563 | S95111A | 24 | 963-965 | ||
S92515A | 24 | 963-965 | S93303A | 24 | 963-965 | S95111D | 23 | 949-950 | ||
S92515B | 08 | 562-563 | S93303D | 23 | 949-950 | S95111S | 05 | 299-301 | ||
S92515B | 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 |