ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 64 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T17298S | 21 | 913-914 | T2057XA | 22 | 935 | T22129A | 22 | 935 | ||
T17300A | Pre | 011-013 | T2057XD | 23 | 949-950 | T22129D | 23 | 949-950 | ||
T17300A | 03 | 154-156 | T2057XS | 09 | 604-605 | T22129S | 09 | 604-605 | ||
T17300D | 23 | 949-950 | T2059XA | 22 | 935 | T22131A | 22 | 935 | ||
T17300S | 21 | 913-914 | T2059XD | 23 | 949-950 | T22131D | 23 | 949-950 | ||
T17308A | Pre | 011-013 | T2059XS | 09 | 604-605 | T22131S | 09 | 604-605 | ||
T17308A | 03 | 154-156 | T2060XA | 22 | 935 | T22132A | 22 | 935 | ||
T17308D | 23 | 949-950 | T2060XD | 23 | 949-950 | T22132D | 23 | 949-950 | ||
T17308S | 21 | 913-914 | T2060XS | 09 | 604-605 | T22132S | 09 | 604-605 | ||
T17310A | Pre | 011-013 | T20611A | 22 | 935 | T22139A | 22 | 935 | ||
T17310A | 03 | 154-156 | T20611D | 23 | 949-950 | T22139D | 23 | 949-950 | ||
T17310D | 23 | 949-950 | T20611S | 09 | 604-605 | T22139S | 09 | 604-605 | ||
T17310S | 21 | 913-914 | T20612A | 22 | 935 | T22141A | 22 | 935 | ||
T17318A | Pre | 011-013 | T20612D | 23 | 949-950 | T22141D | 23 | 949-950 | ||
T17318A | 03 | 154-156 | T20612S | 09 | 604-605 | T22141S | 09 | 604-605 | ||
T17318D | 23 | 949-950 | T20619A | 22 | 935 | T22142A | 22 | 935 | ||
T17318S | 21 | 913-914 | T20619D | 23 | 949-950 | T22142D | 23 | 949-950 | ||
T17320A | Pre | 011-013 | T20619S | 09 | 604-605 | T22142S | 09 | 604-605 | ||
T17320A | 03 | 154-156 | T2062XA | 22 | 935 | T22149A | 22 | 935 | ||
T17320D | 23 | 949-950 | T2062XD | 23 | 949-950 | T22149D | 23 | 949-950 | ||
T17320S | 21 | 913-914 | T2062XS | 09 | 604-605 | T22149S | 09 | 604-605 | ||
T17328A | Pre | 011-013 | T2063XA | 22 | 935 | T22151A | 22 | 935 | ||
T17328A | 03 | 154-156 | T2063XD | 23 | 949-950 | T22151D | 23 | 949-950 | ||
T17328D | 23 | 949-950 | T2063XS | 09 | 604-605 | T22151S | 09 | 604-605 | ||
T17328S | 21 | 913-914 | T2064XA | 22 | 935 | T22152A | 22 | 935 | ||
T17390A | Pre | 011-013 | T2064XD | 23 | 949-950 | T22152D | 23 | 949-950 | ||
T17390A | 03 | 154-156 | T2064XS | 09 | 604-605 | T22152S | 09 | 604-605 | ||
T17390D | 23 | 949-950 | T2065XA | 22 | 935 | T22159A | 22 | 935 | ||
T17390S | 21 | 913-914 | T2065XD | 23 | 949-950 | T22159D | 23 | 949-950 | ||
T17398A | Pre | 011-013 | T2065XS | 09 | 604-605 | T22159S | 09 | 604-605 | ||
T17398A | 03 | 154-156 | T2066XA | 22 | 935 | T22161A | 22 | 935 | ||
T17398D | 23 | 949-950 | T2066XD | 23 | 949-950 | T22161D | 23 | 949-950 | ||
T17398S | 21 | 913-914 | T2066XS | 09 | 604-605 | T22161S | 09 | 604-605 | ||
T17400A | 04 | 205-206 | T2067XA | 22 | 935 | T22162A | 22 | 935 | ||
T17400D | 23 | 949-950 | T2067XD | 23 | 949-950 | T22162D | 23 | 949-950 | ||
T17400S | 21 | 913-914 | T2067XS | 09 | 604-605 | T22162S | 09 | 604-605 | ||
T17408A | 04 | 205-206 | T2069XA | 22 | 935 | T22169A | 22 | 935 | ||
T17408D | 23 | 949-950 | T2069XD | 23 | 949-950 | T22169D | 23 | 949-950 | ||
T17408S | 21 | 913-914 | T2069XS | 09 | 604-605 | T22169S | 09 | 604-605 | ||
T17410A | 04 | 205-206 | T2070XA | 22 | 927,933 | T22191A | 22 | 935 | ||
T17410D | 23 | 949-950 | T2070XA | 22 | 928-929,934 | T22191D | 23 | 949-950 | ||
T17410S | 21 | 913-914 | T2070XD | 23 | 949-950 | T22191S | 09 | 604-605 | ||
T17418A | 04 | 205-206 | T2070XS | 09 | 604-605 | T22192A | 22 | 935 | ||
T17418D | 23 | 949-950 | T20711A | 22 | 927,933 | T22192D | 23 | 949-950 | ||
T17418S | 21 | 913-914 | T20711A | 22 | 928-929,934 | T22192S | 09 | 604-605 | ||
T17420A | 04 | 205-206 | T20711D | 23 | 949-950 | T22199A | 22 | 935 | ||
T17420D | 23 | 949-950 | T20711S | 09 | 604-605 | T22199D | 23 | 949-950 | ||
T17420S | 21 | 913-914 | T20712A | 22 | 927,933 | T22199S | 09 | 604-605 | ||
T17428A | 04 | 205-206 | T20712A | 22 | 928-929,934 | T2220XA | 22 | 935 | ||
T17428D | 23 | 949-950 | T20712D | 23 | 949-950 | T2220XD | 23 | 949-950 | ||
T17428S | 21 | 913-914 | T20712S | 09 | 604-605 | T2220XS | 09 | 604-605 | ||
T17490A | 04 | 205-206 | T20719A | 22 | 927,933 | T22211A | 22 | 935 | ||
T17490D | 23 | 949-950 | T20719A | 22 | 928-929,934 | T22211D | 23 | 949-950 | ||
T17490S | 21 | 913-914 | T20719D | 23 | 949-950 | T22211S | 09 | 604-605 | ||
T17498A | 04 | 205-206 | T20719S | 09 | 604-605 | T22212A | 22 | 935 | ||
T17498D | 23 | 949-950 | T2072XA | 22 | 927,933 | T22212D | 23 | 949-950 | ||
T17498S | 21 | 913-914 | T2072XA | 22 | 928-929,934 | T22212S | 09 | 604-605 | ||
T17500A | 04 | 205-206 | T2072XD | 23 | 949-950 | T22219A | 22 | 935 | ||
T17500D | 23 | 949-950 | T2072XS | 09 | 604-605 | T22219D | 23 | 949-950 | ||
T17500S | 21 | 913-914 | T2073XA | 22 | 927,933 | T22219S | 09 | 604-605 | ||
T17508A | 04 | 205-206 | T2073XA | 22 | 928-929,934 | T22221A | 22 | 935 | ||
T17508D | 23 | 949-950 | T2073XD | 23 | 949-950 | T22221D | 23 | 949-950 | ||
T17508S | 21 | 913-914 | T2073XS | 09 | 604-605 | T22221S | 09 | 604-605 | ||
T17510A | 04 | 205-206 | T2074XA | 22 | 927,933 | T22222A | 22 | 935 | ||
T17510D | 23 | 949-950 | T2074XA | 22 | 928-929,934 | T22222D | 23 | 949-950 | ||
T17510S | 21 | 913-914 | T2074XD | 23 | 949-950 | T22222S | 09 | 604-605 | ||
T17518A | 04 | 205-206 | T2074XS | 09 | 604-605 | T22229A | 22 | 935 | ||
T17518D | 23 | 949-950 | T2075XA | 22 | 927,933 | T22229D | 23 | 949-950 | ||
T17518S | 21 | 913-914 | T2075XA | 22 | 928-929,934 | T22229S | 09 | 604-605 | ||
T17520A | 04 | 205-206 | T2075XD | 23 | 949-950 | T22231A | 22 | 935 | ||
T17520D | 23 | 949-950 | T2075XS | 09 | 604-605 | T22231D | 23 | 949-950 | ||
T17520S | 21 | 913-914 | T2076XA | 22 | 927,933 | T22231S | 09 | 604-605 | ||
T17528A | 04 | 205-206 | T2076XA | 22 | 928-929,934 | T22232A | 22 | 935 | ||
T17528D | 23 | 949-950 | T2076XD | 23 | 949-950 | T22232D | 23 | 949-950 | ||
T17528S | 21 | 913-914 | T2076XS | 09 | 604-605 | T22232S | 09 | 604-605 | ||
T17590A | 04 | 205-206 | T2077XA | 22 | 927,933 | T22239A | 22 | 935 | ||
T17590D | 23 | 949-950 | T2077XA | 22 | 928-929,934 | T22239D | 23 | 949-950 | ||
T17590S | 21 | 913-914 | T2077XD | 23 | 949-950 | T22239S | 09 | 604-605 | ||
T17598A | 04 | 205-206 | T2077XS | 09 | 604-605 | T22241A | 22 | 935 | ||
T17598D | 23 | 949-950 | T2079XA | 22 | 927,933 | T22241D | 23 | 949-950 | ||
T17598S | 21 | 913-914 | T2079XA | 22 | 928-929,934 | T22241S | 09 | 604-605 | ||
T17800A | 04 | 205-206 | T2079XD | 23 | 949-950 | T22242A | 22 | 935 | ||
T17800D | 23 | 949-950 | T2079XS | 09 | 604-605 | T22242D | 23 | 949-950 | ||
T17800S | 21 | 913-914 | T2100XA | 22 | 935 | T22242S | 09 | 604-605 | ||
T17808A | 04 | 205-206 | T2100XD | 23 | 949-950 | T22249A | 22 | 935 | ||
T17808D | 23 | 949-950 | T2100XS | 09 | 604-605 | T22249D | 23 | 949-950 | ||
T17808S | 21 | 913-914 | T2101XA | 22 | 935 | T22249S | 09 | 604-605 | ||
T17810A | 04 | 205-206 | T2101XD | 23 | 949-950 | T22251A | 22 | 935 | ||
T17810D | 23 | 949-950 | T2101XS | 09 | 604-605 | T22251D | 23 | 949-950 | ||
T17810S | 21 | 913-914 | T2102XA | 22 | 935 | T22251S | 09 | 604-605 | ||
T17818A | 04 | 205-206 | T2102XD | 23 | 949-950 | T22252A | 22 | 935 | ||
T17818D | 23 | 949-950 | T2102XS | 09 | 604-605 | T22252D | 23 | 949-950 | ||
T17818S | 21 | 913-914 | T2103XA | 22 | 935 | T22252S | 09 | 604-605 | ||
T17820A | 04 | 205-206 | T2103XD | 23 | 949-950 | T22259A | 22 | 935 | ||
T17820D | 23 | 949-950 | T2103XS | 09 | 604-605 | T22259D | 23 | 949-950 | ||
T17820S | 21 | 913-914 | T2104XA | 22 | 935 | T22259S | 09 | 604-605 | ||
T17828A | 04 | 205-206 | T2104XD | 23 | 949-950 | T22261A | 22 | 935 | ||
T17828D | 23 | 949-950 | T2104XS | 09 | 604-605 | T22261D | 23 | 949-950 | ||
T17828S | 21 | 913-914 | T2105XA | 22 | 935 | T22261S | 09 | 604-605 | ||
T17890A | 04 | 205-206 | T2105XD | 23 | 949-950 | T22262A | 22 | 935 | ||
T17890D | 23 | 949-950 | T2105XS | 09 | 604-605 | T22262D | 23 | 949-950 | ||
T17890S | 21 | 913-914 | T2106XA | 22 | 935 | T22262S | 09 | 604-605 | ||
T17898A | 04 | 205-206 | T2106XD | 23 | 949-950 | T22269A | 22 | 935 | ||
T17898D | 23 | 949-950 | T2106XS | 09 | 604-605 | T22269D | 23 | 949-950 | ||
T17898S | 21 | 913-914 | T2107XA | 22 | 935 | T22269S | 09 | 604-605 | ||
T17900A | 04 | 205-206 | T2107XD | 23 | 949-950 | T22291A | 22 | 935 | ||
T17900D | 23 | 949-950 | T2107XS | 09 | 604-605 | T22291D | 23 | 949-950 | ||
T17900S | 21 | 913-914 | T2109XA | 22 | 935 | T22291S | 09 | 604-605 | ||
T17908A | 04 | 205-206 | T2109XD | 23 | 949-950 | T22292A | 22 | 935 | ||
T17908D | 23 | 949-950 | T2109XS | 09 | 604-605 | T22292D | 23 | 949-950 | ||
T17908S | 21 | 913-914 | T2110XA | 22 | 935 | T22292S | 09 | 604-605 | ||
T17910A | 04 | 205-206 | T2110XD | 23 | 949-950 | T22299A | 22 | 935 | ||
T17910D | 23 | 949-950 | T2110XS | 09 | 604-605 | T22299D | 23 | 949-950 | ||
T17910S | 21 | 913-914 | T2111XA | 22 | 935 | T22299S | 09 | 604-605 | ||
T17918A | 04 | 205-206 | T2111XD | 23 | 949-950 | T2230XA | 22 | 927,933 | ||
T17918D | 23 | 949-950 | T2111XS | 09 | 604-605 | T2230XA | 22 | 928-929,934 | ||
T17918S | 21 | 913-914 | T2112XA | 22 | 935 | T2230XD | 23 | 949-950 | ||
T17920A | 04 | 205-206 | T2112XD | 23 | 949-950 | T2230XS | 09 | 604-605 | ||
T17920D | 23 | 949-950 | T2112XS | 09 | 604-605 | T22311A | 22 | 927,933 | ||
T17920S | 21 | 913-914 | T2113XA | 22 | 935 | T22311A | 22 | 928-929,934 | ||
T17928A | 04 | 205-206 | T2113XD | 23 | 949-950 | T22311D | 23 | 949-950 | ||
T17928D | 23 | 949-950 | T2113XS | 09 | 604-605 | T22311S | 09 | 604-605 | ||
T17928S | 21 | 913-914 | T2114XA | 22 | 935 | T22312A | 22 | 927,933 | ||
T17990A | 04 | 205-206 | T2114XD | 23 | 949-950 | T22312A | 22 | 928-929,934 | ||
T17990D | 23 | 949-950 | T2114XS | 09 | 604-605 | T22312D | 23 | 949-950 | ||
T17990S | 21 | 913-914 | T2115XA | 22 | 935 | T22312S | 09 | 604-605 | ||
T17998A | 04 | 205-206 | T2115XD | 23 | 949-950 | T22319A | 22 | 927,933 | ||
T17998D | 23 | 949-950 | T2115XS | 09 | 604-605 | T22319A | 22 | 928-929,934 | ||
T17998S | 21 | 913-914 | T2116XA | 22 | 935 | T22319D | 23 | 949-950 | ||
T180XXA | Pre | 011-013 | T2116XD | 23 | 949-950 | T22319S | 09 | 604-605 | ||
T180XXA | 03 | 157-159 | T2116XS | 09 | 604-605 | T22321A | 22 | 927,933 | ||
T180XXD | 23 | 949-950 | T2117XA | 22 | 935 | T22321A | 22 | 928-929,934 | ||
T180XXS | 21 | 913-914 | T2117XD | 23 | 949-950 | T22321D | 23 | 949-950 | ||
T18100A | 06 | 393-395 | T2117XS | 09 | 604-605 | T22321S | 09 | 604-605 | ||
T18100D | 23 | 949-950 | T2119XA | 22 | 935 | T22322A | 22 | 927,933 | ||
T18100S | 21 | 913-914 | T2119XD | 23 | 949-950 | T22322A | 22 | 928-929,934 | ||
T18108A | 06 | 393-395 | T2119XS | 09 | 604-605 | T22322D | 23 | 949-950 | ||
T18108D | 23 | 949-950 | T2120XA | 22 | 935 | T22322S | 09 | 604-605 | ||
T18108S | 21 | 913-914 | T2120XD | 23 | 949-950 | T22329A | 22 | 927,933 | ||
T18110A | 06 | 393-395 | T2120XS | 09 | 604-605 | T22329A | 22 | 928-929,934 | ||
T18110D | 23 | 949-950 | T2121XA | 22 | 935 | T22329D | 23 | 949-950 | ||
T18110S | 21 | 913-914 | T2121XD | 23 | 949-950 | T22329S | 09 | 604-605 | ||
T18118A | 06 | 393-395 | T2121XS | 09 | 604-605 | T22331A | 22 | 927,933 | ||
T18118D | 23 | 949-950 | T2122XA | 22 | 935 | T22331A | 22 | 928-929,934 | ||
T18118S | 21 | 913-914 | T2122XD | 23 | 949-950 | T22331D | 23 | 949-950 | ||
T18120A | 06 | 393-395 | T2122XS | 09 | 604-605 | T22331S | 09 | 604-605 | ||
T18120D | 23 | 949-950 | T2123XA | 22 | 935 | T22332A | 22 | 927,933 | ||
T18120S | 21 | 913-914 | T2123XD | 23 | 949-950 | T22332A | 22 | 928-929,934 | ||
T18128A | 06 | 393-395 | T2123XS | 09 | 604-605 | T22332D | 23 | 949-950 | ||
T18128D | 23 | 949-950 | T2124XA | 22 | 935 | T22332S | 09 | 604-605 | ||
T18128S | 21 | 913-914 | T2124XD | 23 | 949-950 | T22339A | 22 | 927,933 | ||
T18190A | 06 | 393-395 | T2124XS | 09 | 604-605 | T22339A | 22 | 928-929,934 | ||
T18190D | 23 | 949-950 | T2125XA | 22 | 935 | T22339D | 23 | 949-950 | ||
T18190S | 21 | 913-914 | T2125XD | 23 | 949-950 | T22339S | 09 | 604-605 | ||
T18198A | 06 | 393-395 | T2125XS | 09 | 604-605 | T22341A | 22 | 927,933 | ||
T18198D | 23 | 949-950 | T2126XA | 22 | 935 | T22341A | 22 | 928-929,934 | ||
T18198S | 21 | 913-914 | T2126XD | 23 | 949-950 | T22341D | 23 | 949-950 | ||
T182XXA | 06 | 393-395 | T2126XS | 09 | 604-605 | T22341S | 09 | 604-605 | ||
T182XXD | 23 | 949-950 | T2127XA | 22 | 935 | T22342A | 22 | 927,933 | ||
T182XXS | 21 | 913-914 | T2127XD | 23 | 949-950 | T22342A | 22 | 928-929,934 | ||
T183XXA | 06 | 393-395 | T2127XS | 09 | 604-605 | T22342D | 23 | 949-950 | ||
T183XXD | 23 | 949-950 | T2129XA | 22 | 935 | T22342S | 09 | 604-605 | ||
T183XXS | 21 | 913-914 | T2129XD | 23 | 949-950 | T22349A | 22 | 927,933 | ||
T184XXA | 06 | 393-395 | T2129XS | 09 | 604-605 | T22349A | 22 | 928-929,934 | ||
T184XXD | 23 | 949-950 | T2130XA | 22 | 927,933 | T22349D | 23 | 949-950 | ||
T184XXS | 21 | 913-914 | T2130XA | 22 | 928-929,934 | T22349S | 09 | 604-605 | ||
T185XXA | 06 | 393-395 | T2130XD | 23 | 949-950 | T22351A | 22 | 927,933 | ||
T185XXD | 23 | 949-950 | T2130XS | 09 | 604-605 | T22351A | 22 | 928-929,934 | ||
T185XXS | 21 | 913-914 | T2131XA | 22 | 927,933 | T22351D | 23 | 949-950 | ||
T188XXA | 06 | 393-395 | T2131XA | 22 | 928-929,934 | T22351S | 09 | 604-605 | ||
T188XXD | 23 | 949-950 | T2131XD | 23 | 949-950 | T22352A | 22 | 927,933 | ||
T188XXS | 21 | 913-914 | T2131XS | 09 | 604-605 | T22352A | 22 | 928-929,934 | ||
T189XXA | 06 | 393-395 | T2132XA | 22 | 927,933 | T22352D | 23 | 949-950 | ||
T189XXD | 23 | 949-950 | T2132XA | 22 | 928-929,934 | T22352S | 09 | 604-605 | ||
T189XXS | 21 | 913-914 | T2132XD | 23 | 949-950 | T22359A | 22 | 927,933 | ||
T190XXA | 11 | 698-700 | T2132XS | 09 | 604-605 | T22359A | 22 | 928-929,934 | ||
T190XXD | 23 | 949-950 | T2133XA | 22 | 927,933 | T22359D | 23 | 949-950 | ||
T190XXS | 21 | 913-914 | T2133XA | 22 | 928-929,934 | T22359S | 09 | 604-605 | ||
T191XXA | 11 | 698-700 | T2133XD | 23 | 949-950 | T22361A | 22 | 927,933 | ||
T191XXD | 23 | 949-950 | T2133XS | 09 | 604-605 | T22361A | 22 | 928-929,934 | ||
T191XXS | 21 | 913-914 | T2134XA | 22 | 927,933 | T22361D | 23 | 949-950 | ||
T192XXA | 13 | 742-743 | T2134XA | 22 | 928-929,934 | T22361S | 09 | 604-605 | ||
T192XXA | 13 | 760-761 | T2134XD | 23 | 949-950 | T22362A | 22 | 927,933 | ||
T192XXD | 23 | 949-950 | T2134XS | 09 | 604-605 | T22362A | 22 | 928-929,934 | ||
T192XXS | 21 | 913-914 | T2135XA | 22 | 927,933 | T22362D | 23 | 949-950 | ||
T193XXA | 13 | 742-743 | T2135XA | 22 | 928-929,934 | T22362S | 09 | 604-605 | ||
T193XXA | 13 | 760-761 | T2135XD | 23 | 949-950 | T22369A | 22 | 927,933 | ||
T193XXD | 23 | 949-950 | T2135XS | 09 | 604-605 | T22369A | 22 | 928-929,934 | ||
T193XXS | 21 | 913-914 | T2136XA | 22 | 927,933 | T22369D | 23 | 949-950 | ||
T194XXA | 12 | 729-730 | T2136XA | 22 | 928-929,934 | T22369S | 09 | 604-605 | ||
T194XXD | 23 | 949-950 | T2136XD | 23 | 949-950 | T22391A | 22 | 927,933 | ||
T194XXS | 21 | 913-914 | T2136XS | 09 | 604-605 | T22391A | 22 | 928-929,934 | ||
T198XXA | 11 | 698-700 | T2137XA | 22 | 927,933 | T22391D | 23 | 949-950 | ||
T198XXD | 23 | 949-950 | T2137XA | 22 | 928-929,934 | T22391S | 09 | 604-605 | ||
T198XXS | 21 | 913-914 | T2137XD | 23 | 949-950 | T22392A | 22 | 927,933 | ||
T199XXA | 11 | 698-700 | T2137XS | 09 | 604-605 | T22392A | 22 | 928-929,934 | ||
T199XXD | 23 | 949-950 | T2139XA | 22 | 927,933 | T22392D | 23 | 949-950 | ||
T199XXS | 21 | 913-914 | T2139XA | 22 | 928-929,934 | T22392S | 09 | 604-605 | ||
T2000XA | 22 | 935 | T2139XD | 23 | 949-950 | T22399A | 22 | 927,933 | ||
T2000XD | 23 | 949-950 | T2139XS | 09 | 604-605 | T22399A | 22 | 928-929,934 | ||
T2000XS | 09 | 604-605 | T2140XA | 22 | 935 | T22399D | 23 | 949-950 | ||
T20011A | 22 | 935 | T2140XD | 23 | 949-950 | T22399S | 09 | 604-605 | ||
T20011D | 23 | 949-950 | T2140XS | 09 | 604-605 | T2240XA | 22 | 935 | ||
T20011S | 09 | 604-605 | T2141XA | 22 | 935 | T2240XD | 23 | 949-950 | ||
T20012A | 22 | 935 | T2141XD | 23 | 949-950 | T2240XS | 09 | 604-605 | ||
T20012D | 23 | 949-950 | T2141XS | 09 | 604-605 | T22411A | 22 | 935 | ||
T20012S | 09 | 604-605 | T2142XA | 22 | 935 | T22411D | 23 | 949-950 | ||
T20019A | 22 | 935 | T2142XD | 23 | 949-950 | T22411S | 09 | 604-605 | ||
T20019D | 23 | 949-950 | T2142XS | 09 | 604-605 | T22412A | 22 | 935 | ||
T20019S | 09 | 604-605 | T2143XA | 22 | 935 | T22412D | 23 | 949-950 | ||
T2002XA | 22 | 935 | T2143XD | 23 | 949-950 | T22412S | 09 | 604-605 | ||
T2002XD | 23 | 949-950 | T2143XS | 09 | 604-605 | T22419A | 22 | 935 | ||
T2002XS | 09 | 604-605 | T2144XA | 22 | 935 | T22419D | 23 | 949-950 | ||
T2003XA | 22 | 935 | T2144XD | 23 | 949-950 | T22419S | 09 | 604-605 | ||
T2003XD | 23 | 949-950 | T2144XS | 09 | 604-605 | T22421A | 22 | 935 | ||
T2003XS | 09 | 604-605 | T2145XA | 22 | 935 | T22421D | 23 | 949-950 | ||
T2004XA | 22 | 935 | T2145XD | 23 | 949-950 | T22421S | 09 | 604-605 | ||
T2004XD | 23 | 949-950 | T2145XS | 09 | 604-605 | T22422A | 22 | 935 | ||
T2004XS | 09 | 604-605 | T2146XA | 22 | 935 | T22422D | 23 | 949-950 | ||
T2005XA | 22 | 935 | T2146XD | 23 | 949-950 | T22422S | 09 | 604-605 | ||
T2005XD | 23 | 949-950 | T2146XS | 09 | 604-605 | T22429A | 22 | 935 | ||
T2005XS | 09 | 604-605 | T2147XA | 22 | 935 | T22429D | 23 | 949-950 | ||
T2006XA | 22 | 935 | T2147XD | 23 | 949-950 | T22429S | 09 | 604-605 | ||
T2006XD | 23 | 949-950 | T2147XS | 09 | 604-605 | T22431A | 22 | 935 | ||
T2006XS | 09 | 604-605 | T2149XA | 22 | 935 | T22431D | 23 | 949-950 | ||
T2007XA | 22 | 935 | T2149XD | 23 | 949-950 | T22431S | 09 | 604-605 | ||
T2007XD | 23 | 949-950 | T2149XS | 09 | 604-605 | T22432A | 22 | 935 | ||
T2007XS | 09 | 604-605 | T2150XA | 22 | 935 | T22432D | 23 | 949-950 | ||
T2009XA | 22 | 935 | T2150XD | 23 | 949-950 | T22432S | 09 | 604-605 | ||
T2009XD | 23 | 949-950 | T2150XS | 09 | 604-605 | T22439A | 22 | 935 | ||
T2009XS | 09 | 604-605 | T2151XA | 22 | 935 | T22439D | 23 | 949-950 | ||
T2010XA | 22 | 935 | T2151XD | 23 | 949-950 | T22439S | 09 | 604-605 | ||
T2010XD | 23 | 949-950 | T2151XS | 09 | 604-605 | T22441A | 22 | 935 | ||
T2010XS | 09 | 604-605 | T2152XA | 22 | 935 | T22441D | 23 | 949-950 | ||
T20111A | 22 | 935 | T2152XD | 23 | 949-950 | T22441S | 09 | 604-605 | ||
T20111D | 23 | 949-950 | T2152XS | 09 | 604-605 | T22442A | 22 | 935 | ||
T20111S | 09 | 604-605 | T2153XA | 22 | 935 | T22442D | 23 | 949-950 | ||
T20112A | 22 | 935 | T2153XD | 23 | 949-950 | T22442S | 09 | 604-605 | ||
T20112D | 23 | 949-950 | T2153XS | 09 | 604-605 | T22449A | 22 | 935 | ||
T20112S | 09 | 604-605 | T2154XA | 22 | 935 | T22449D | 23 | 949-950 | ||
T20119A | 22 | 935 | T2154XD | 23 | 949-950 | T22449S | 09 | 604-605 | ||
T20119D | 23 | 949-950 | T2154XS | 09 | 604-605 | T22451A | 22 | 935 | ||
T20119S | 09 | 604-605 | T2155XA | 22 | 935 | T22451D | 23 | 949-950 | ||
T2012XA | 22 | 935 | T2155XD | 23 | 949-950 | T22451S | 09 | 604-605 | ||
T2012XD | 23 | 949-950 | T2155XS | 09 | 604-605 | T22452A | 22 | 935 | ||
T2012XS | 09 | 604-605 | T2156XA | 22 | 935 | T22452D | 23 | 949-950 | ||
T2013XA | 22 | 935 | T2156XD | 23 | 949-950 | T22452S | 09 | 604-605 | ||
T2013XD | 23 | 949-950 | T2156XS | 09 | 604-605 | T22459A | 22 | 935 | ||
T2013XS | 09 | 604-605 | T2157XA | 22 | 935 | T22459D | 23 | 949-950 | ||
T2014XA | 22 | 935 | T2157XD | 23 | 949-950 | T22459S | 09 | 604-605 | ||
T2014XD | 23 | 949-950 | T2157XS | 09 | 604-605 | T22461A | 22 | 935 | ||
T2014XS | 09 | 604-605 | T2159XA | 22 | 935 | T22461D | 23 | 949-950 | ||
T2015XA | 22 | 935 | T2159XD | 23 | 949-950 | T22461S | 09 | 604-605 | ||
T2015XD | 23 | 949-950 | T2159XS | 09 | 604-605 | T22462A | 22 | 935 | ||
T2015XS | 09 | 604-605 | T2160XA | 22 | 935 | T22462D | 23 | 949-950 | ||
T2016XA | 22 | 935 | T2160XD | 23 | 949-950 | T22462S | 09 | 604-605 | ||
T2016XD | 23 | 949-950 | T2160XS | 09 | 604-605 | T22469A | 22 | 935 | ||
T2016XS | 09 | 604-605 | T2161XA | 22 | 935 | T22469D | 23 | 949-950 | ||
T2017XA | 22 | 935 | T2161XD | 23 | 949-950 | T22469S | 09 | 604-605 | ||
T2017XD | 23 | 949-950 | T2161XS | 09 | 604-605 | T22491A | 22 | 935 | ||
T2017XS | 09 | 604-605 | T2162XA | 22 | 935 | T22491D | 23 | 949-950 | ||
T2019XA | 22 | 935 | T2162XD | 23 | 949-950 | T22491S | 09 | 604-605 | ||
T2019XD | 23 | 949-950 | T2162XS | 09 | 604-605 | T22492A | 22 | 935 | ||
T2019XS | 09 | 604-605 | T2163XA | 22 | 935 | T22492D | 23 | 949-950 | ||
T2020XA | 22 | 935 | T2163XD | 23 | 949-950 | T22492S | 09 | 604-605 | ||
T2020XD | 23 | 949-950 | T2163XS | 09 | 604-605 | T22499A | 22 | 935 | ||
T2020XS | 09 | 604-605 | T2164XA | 22 | 935 | T22499D | 23 | 949-950 | ||
T20211A | 22 | 935 | T2164XD | 23 | 949-950 | T22499S | 09 | 604-605 | ||
T20211D | 23 | 949-950 | T2164XS | 09 | 604-605 | T2250XA | 22 | 935 | ||
T20211S | 09 | 604-605 | T2165XA | 22 | 935 | T2250XD | 23 | 949-950 | ||
T20212A | 22 | 935 | T2165XD | 23 | 949-950 | T2250XS | 09 | 604-605 | ||
T20212D | 23 | 949-950 | T2165XS | 09 | 604-605 | T22511A | 22 | 935 | ||
T20212S | 09 | 604-605 | T2166XA | 22 | 935 | T22511D | 23 | 949-950 | ||
T20219A | 22 | 935 | T2166XD | 23 | 949-950 | T22511S | 09 | 604-605 | ||
T20219D | 23 | 949-950 | T2166XS | 09 | 604-605 | T22512A | 22 | 935 | ||
T20219S | 09 | 604-605 | T2167XA | 22 | 935 | T22512D | 23 | 949-950 | ||
T2022XA | 22 | 935 | T2167XD | 23 | 949-950 | T22512S | 09 | 604-605 | ||
T2022XD | 23 | 949-950 | T2167XS | 09 | 604-605 | T22519A | 22 | 935 | ||
T2022XS | 09 | 604-605 | T2169XA | 22 | 935 | T22519D | 23 | 949-950 | ||
T2023XA | 22 | 935 | T2169XD | 23 | 949-950 | T22519S | 09 | 604-605 | ||
T2023XD | 23 | 949-950 | T2169XS | 09 | 604-605 | T22521A | 22 | 935 | ||
T2023XS | 09 | 604-605 | T2170XA | 22 | 927,933 | T22521D | 23 | 949-950 | ||
T2024XA | 22 | 935 | T2170XA | 22 | 928-929,934 | T22521S | 09 | 604-605 | ||
T2024XD | 23 | 949-950 | T2170XD | 23 | 949-950 | T22522A | 22 | 935 | ||
T2024XS | 09 | 604-605 | T2170XS | 09 | 604-605 | T22522D | 23 | 949-950 | ||
T2025XA | 22 | 935 | T2171XA | 22 | 927,933 | T22522S | 09 | 604-605 | ||
T2025XD | 23 | 949-950 | T2171XA | 22 | 928-929,934 | T22529A | 22 | 935 | ||
T2025XS | 09 | 604-605 | T2171XD | 23 | 949-950 | T22529D | 23 | 949-950 | ||
T2026XA | 22 | 935 | T2171XS | 09 | 604-605 | T22529S | 09 | 604-605 | ||
T2026XD | 23 | 949-950 | T2172XA | 22 | 927,933 | T22531A | 22 | 935 | ||
T2026XS | 09 | 604-605 | T2172XA | 22 | 928-929,934 | T22531D | 23 | 949-950 | ||
T2027XA | 22 | 935 | T2172XD | 23 | 949-950 | T22531S | 09 | 604-605 | ||
T2027XD | 23 | 949-950 | T2172XS | 09 | 604-605 | T22532A | 22 | 935 | ||
T2027XS | 09 | 604-605 | T2173XA | 22 | 927,933 | T22532D | 23 | 949-950 | ||
T2029XA | 22 | 935 | T2173XA | 22 | 928-929,934 | T22532S | 09 | 604-605 | ||
T2029XD | 23 | 949-950 | T2173XD | 23 | 949-950 | T22539A | 22 | 935 | ||
T2029XS | 09 | 604-605 | T2173XS | 09 | 604-605 | T22539D | 23 | 949-950 | ||
T2030XA | 22 | 927,933 | T2174XA | 22 | 927,933 | T22539S | 09 | 604-605 | ||
T2030XA | 22 | 928-929,934 | T2174XA | 22 | 928-929,934 | T22541A | 22 | 935 | ||
T2030XD | 23 | 949-950 | T2174XD | 23 | 949-950 | T22541D | 23 | 949-950 | ||
T2030XS | 09 | 604-605 | T2174XS | 09 | 604-605 | T22541S | 09 | 604-605 | ||
T20311A | 22 | 927,933 | T2175XA | 22 | 927,933 | T22542A | 22 | 935 | ||
T20311A | 22 | 928-929,934 | T2175XA | 22 | 928-929,934 | T22542D | 23 | 949-950 | ||
T20311D | 23 | 949-950 | T2175XD | 23 | 949-950 | T22542S | 09 | 604-605 | ||
T20311S | 09 | 604-605 | T2175XS | 09 | 604-605 | T22549A | 22 | 935 | ||
T20312A | 22 | 927,933 | T2176XA | 22 | 927,933 | T22549D | 23 | 949-950 | ||
T20312A | 22 | 928-929,934 | T2176XA | 22 | 928-929,934 | T22549S | 09 | 604-605 | ||
T20312D | 23 | 949-950 | T2176XD | 23 | 949-950 | T22551A | 22 | 935 | ||
T20312S | 09 | 604-605 | T2176XS | 09 | 604-605 | T22551D | 23 | 949-950 | ||
T20319A | 22 | 927,933 | T2177XA | 22 | 927,933 | T22551S | 09 | 604-605 | ||
T20319A | 22 | 928-929,934 | T2177XA | 22 | 928-929,934 | T22552A | 22 | 935 | ||
T20319D | 23 | 949-950 | T2177XD | 23 | 949-950 | T22552D | 23 | 949-950 | ||
T20319S | 09 | 604-605 | T2177XS | 09 | 604-605 | T22552S | 09 | 604-605 | ||
T2032XA | 22 | 927,933 | T2179XA | 22 | 927,933 | T22559A | 22 | 935 | ||
T2032XA | 22 | 928-929,934 | T2179XA | 22 | 928-929,934 | T22559D | 23 | 949-950 | ||
T2032XD | 23 | 949-950 | T2179XD | 23 | 949-950 | T22559S | 09 | 604-605 | ||
T2032XS | 09 | 604-605 | T2179XS | 09 | 604-605 | T22561A | 22 | 935 | ||
T2033XA | 22 | 927,933 | T2200XA | 22 | 935 | T22561D | 23 | 949-950 | ||
T2033XA | 22 | 928-929,934 | T2200XD | 23 | 949-950 | T22561S | 09 | 604-605 | ||
T2033XD | 23 | 949-950 | T2200XS | 09 | 604-605 | T22562A | 22 | 935 | ||
T2033XS | 09 | 604-605 | T22011A | 22 | 935 | T22562D | 23 | 949-950 | ||
T2034XA | 22 | 927,933 | T22011D | 23 | 949-950 | T22562S | 09 | 604-605 | ||
T2034XA | 22 | 928-929,934 | T22011S | 09 | 604-605 | T22569A | 22 | 935 | ||
T2034XD | 23 | 949-950 | T22012A | 22 | 935 | T22569D | 23 | 949-950 | ||
T2034XS | 09 | 604-605 | T22012D | 23 | 949-950 | T22569S | 09 | 604-605 | ||
T2035XA | 22 | 927,933 | T22012S | 09 | 604-605 | T22591A | 22 | 935 | ||
T2035XA | 22 | 928-929,934 | T22019A | 22 | 935 | T22591D | 23 | 949-950 | ||
T2035XD | 23 | 949-950 | T22019D | 23 | 949-950 | T22591S | 09 | 604-605 | ||
T2035XS | 09 | 604-605 | T22019S | 09 | 604-605 | T22592A | 22 | 935 | ||
T2036XA | 22 | 927,933 | T22021A | 22 | 935 | T22592D | 23 | 949-950 | ||
T2036XA | 22 | 928-929,934 | T22021D | 23 | 949-950 | T22592S | 09 | 604-605 | ||
T2036XD | 23 | 949-950 | T22021S | 09 | 604-605 | T22599A | 22 | 935 | ||
T2036XS | 09 | 604-605 | T22022A | 22 | 935 | T22599D | 23 | 949-950 | ||
T2037XA | 22 | 927,933 | T22022D | 23 | 949-950 | T22599S | 09 | 604-605 | ||
T2037XA | 22 | 928-929,934 | T22022S | 09 | 604-605 | T2260XA | 22 | 935 | ||
T2037XD | 23 | 949-950 | T22029A | 22 | 935 | T2260XD | 23 | 949-950 | ||
T2037XS | 09 | 604-605 | T22029D | 23 | 949-950 | T2260XS | 09 | 604-605 | ||
T2039XA | 22 | 927,933 | T22029S | 09 | 604-605 | T22611A | 22 | 935 | ||
T2039XA | 22 | 928-929,934 | T22031A | 22 | 935 | T22611D | 23 | 949-950 | ||
T2039XD | 23 | 949-950 | T22031D | 23 | 949-950 | T22611S | 09 | 604-605 | ||
T2039XS | 09 | 604-605 | T22031S | 09 | 604-605 | T22612A | 22 | 935 | ||
T2040XA | 22 | 935 | T22032A | 22 | 935 | T22612D | 23 | 949-950 | ||
T2040XD | 23 | 949-950 | T22032D | 23 | 949-950 | T22612S | 09 | 604-605 | ||
T2040XS | 09 | 604-605 | T22032S | 09 | 604-605 | T22619A | 22 | 935 | ||
T20411A | 22 | 935 | T22039A | 22 | 935 | T22619D | 23 | 949-950 | ||
T20411D | 23 | 949-950 | T22039D | 23 | 949-950 | T22619S | 09 | 604-605 | ||
T20411S | 09 | 604-605 | T22039S | 09 | 604-605 | T22621A | 22 | 935 | ||
T20412A | 22 | 935 | T22041A | 22 | 935 | T22621D | 23 | 949-950 | ||
T20412D | 23 | 949-950 | T22041D | 23 | 949-950 | T22621S | 09 | 604-605 | ||
T20412S | 09 | 604-605 | T22041S | 09 | 604-605 | T22622A | 22 | 935 | ||
T20419A | 22 | 935 | T22042A | 22 | 935 | T22622D | 23 | 949-950 | ||
T20419D | 23 | 949-950 | T22042D | 23 | 949-950 | T22622S | 09 | 604-605 | ||
T20419S | 09 | 604-605 | T22042S | 09 | 604-605 | T22629A | 22 | 935 | ||
T2042XA | 22 | 935 | T22049A | 22 | 935 | T22629D | 23 | 949-950 | ||
T2042XD | 23 | 949-950 | T22049D | 23 | 949-950 | T22629S | 09 | 604-605 | ||
T2042XS | 09 | 604-605 | T22049S | 09 | 604-605 | T22631A | 22 | 935 | ||
T2043XA | 22 | 935 | T22051A | 22 | 935 | T22631D | 23 | 949-950 | ||
T2043XD | 23 | 949-950 | T22051D | 23 | 949-950 | T22631S | 09 | 604-605 | ||
T2043XS | 09 | 604-605 | T22051S | 09 | 604-605 | T22632A | 22 | 935 | ||
T2044XA | 22 | 935 | T22052A | 22 | 935 | T22632D | 23 | 949-950 | ||
T2044XD | 23 | 949-950 | T22052D | 23 | 949-950 | T22632S | 09 | 604-605 | ||
T2044XS | 09 | 604-605 | T22052S | 09 | 604-605 | T22639A | 22 | 935 | ||
T2045XA | 22 | 935 | T22059A | 22 | 935 | T22639D | 23 | 949-950 | ||
T2045XD | 23 | 949-950 | T22059D | 23 | 949-950 | T22639S | 09 | 604-605 | ||
T2045XS | 09 | 604-605 | T22059S | 09 | 604-605 | T22641A | 22 | 935 | ||
T2046XA | 22 | 935 | T22061A | 22 | 935 | T22641D | 23 | 949-950 | ||
T2046XD | 23 | 949-950 | T22061D | 23 | 949-950 | T22641S | 09 | 604-605 | ||
T2046XS | 09 | 604-605 | T22061S | 09 | 604-605 | T22642A | 22 | 935 | ||
T2047XA | 22 | 935 | T22062A | 22 | 935 | T22642D | 23 | 949-950 | ||
T2047XD | 23 | 949-950 | T22062D | 23 | 949-950 | T22642S | 09 | 604-605 | ||
T2047XS | 09 | 604-605 | T22062S | 09 | 604-605 | T22649A | 22 | 935 | ||
T2049XA | 22 | 935 | T22069A | 22 | 935 | T22649D | 23 | 949-950 | ||
T2049XD | 23 | 949-950 | T22069D | 23 | 949-950 | T22649S | 09 | 604-605 | ||
T2049XS | 09 | 604-605 | T22069S | 09 | 604-605 | T22651A | 22 | 935 | ||
T2050XA | 22 | 935 | T22091A | 22 | 935 | T22651D | 23 | 949-950 | ||
T2050XD | 23 | 949-950 | T22091D | 23 | 949-950 | T22651S | 09 | 604-605 | ||
T2050XS | 09 | 604-605 | T22091S | 09 | 604-605 | T22652A | 22 | 935 | ||
T20511A | 22 | 935 | T22092A | 22 | 935 | T22652D | 23 | 949-950 | ||
T20511D | 23 | 949-950 | T22092D | 23 | 949-950 | T22652S | 09 | 604-605 | ||
T20511S | 09 | 604-605 | T22092S | 09 | 604-605 | T22659A | 22 | 935 | ||
T20512A | 22 | 935 | T22099A | 22 | 935 | T22659D | 23 | 949-950 | ||
T20512D | 23 | 949-950 | T22099D | 23 | 949-950 | T22659S | 09 | 604-605 | ||
T20512S | 09 | 604-605 | T22099S | 09 | 604-605 | T22661A | 22 | 935 | ||
T20519A | 22 | 935 | T2210XA | 22 | 935 | T22661D | 23 | 949-950 | ||
T20519D | 23 | 949-950 | T2210XD | 23 | 949-950 | T22661S | 09 | 604-605 | ||
T20519S | 09 | 604-605 | T2210XS | 09 | 604-605 | T22662A | 22 | 935 | ||
T2052XA | 22 | 935 | T22111A | 22 | 935 | T22662D | 23 | 949-950 | ||
T2052XD | 23 | 949-950 | T22111D | 23 | 949-950 | T22662S | 09 | 604-605 | ||
T2052XS | 09 | 604-605 | T22111S | 09 | 604-605 | T22669A | 22 | 935 | ||
T2053XA | 22 | 935 | T22112A | 22 | 935 | T22669D | 23 | 949-950 | ||
T2053XD | 23 | 949-950 | T22112D | 23 | 949-950 | T22669S | 09 | 604-605 | ||
T2053XS | 09 | 604-605 | T22112S | 09 | 604-605 | T22691A | 22 | 935 | ||
T2054XA | 22 | 935 | T22119A | 22 | 935 | T22691D | 23 | 949-950 | ||
T2054XD | 23 | 949-950 | T22119D | 23 | 949-950 | T22691S | 09 | 604-605 | ||
T2054XS | 09 | 604-605 | T22119S | 09 | 604-605 | T22692A | 22 | 935 | ||
T2055XA | 22 | 935 | T22121A | 22 | 935 | T22692D | 23 | 949-950 | ||
T2055XD | 23 | 949-950 | T22121D | 23 | 949-950 | T22692S | 09 | 604-605 | ||
T2055XS | 09 | 604-605 | T22121S | 09 | 604-605 | T22699A | 22 | 935 | ||
T2056XA | 22 | 935 | T22122A | 22 | 935 | T22699D | 23 | 949-950 | ||
T2056XD | 23 | 949-950 | T22122D | 23 | 949-950 | T22699S | 09 | 604-605 | ||
T2056XS | 09 | 604-605 | T22122S | 09 | 604-605 | T2270XA | 22 | 927,933 | ||
T2270XA | 22 | 928-929,934 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 16:20:17 CMS, code-revision=332, description-revision=1327 |