ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 66 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T25039D | 23 | 949-950 | T276XXA | 04 | 205-206 | T360X1D | 23 | 949-950 | ||
T25039S | 09 | 604-605 | T276XXA | 22 | 928-929,934 | T360X1S | 21 | 922-923 | ||
T25091A | 22 | 935 | T276XXD | 23 | 949-950 | T360X2A | 21 | 917-918 | ||
T25091D | 23 | 949-950 | T276XXS | 09 | 604-605 | T360X2D | 23 | 949-950 | ||
T25091S | 09 | 604-605 | T277XXA | 04 | 205-206 | T360X2S | 21 | 922-923 | ||
T25092A | 22 | 935 | T277XXA | 22 | 928-929,934 | T360X3A | 21 | 917-918 | ||
T25092D | 23 | 949-950 | T277XXD | 23 | 949-950 | T360X3D | 23 | 949-950 | ||
T25092S | 09 | 604-605 | T277XXS | 09 | 604-605 | T360X3S | 21 | 922-923 | ||
T25099A | 22 | 935 | T280XXA | Pre | 011-013 | T360X4A | 21 | 917-918 | ||
T25099D | 23 | 949-950 | T280XXA | 03 | 154-156 | T360X4D | 23 | 949-950 | ||
T25099S | 09 | 604-605 | T280XXD | 23 | 949-950 | T360X4S | 21 | 922-923 | ||
T25111A | 22 | 935 | T280XXS | 09 | 604-605 | T360X5A | 15 | 791 | ||
T25111D | 23 | 949-950 | T281XXA | 06 | 368-370 | T360X5A | 15 | 793 | ||
T25111S | 09 | 604-605 | T281XXD | 23 | 949-950 | T360X5A | 21 | 917-918 | ||
T25112A | 22 | 935 | T281XXS | 09 | 604-605 | T360X5D | 23 | 949-950 | ||
T25112D | 23 | 949-950 | T282XXA | 06 | 393-395 | T360X5S | 21 | 922-923 | ||
T25112S | 09 | 604-605 | T282XXD | 23 | 949-950 | T360X6A | 23 | 951 | ||
T25119A | 22 | 935 | T282XXS | 09 | 604-605 | T360X6D | 23 | 949-950 | ||
T25119D | 23 | 949-950 | T283XXA | 22 | 935 | T360X6S | 23 | 949-950 | ||
T25119S | 09 | 604-605 | T283XXD | 23 | 949-950 | T361X1A | 21 | 917-918 | ||
T25121A | 22 | 935 | T283XXS | 09 | 604-605 | T361X1D | 23 | 949-950 | ||
T25121D | 23 | 949-950 | T2840XA | 22 | 935 | T361X1S | 21 | 922-923 | ||
T25121S | 09 | 604-605 | T2840XD | 23 | 949-950 | T361X2A | 21 | 917-918 | ||
T25122A | 22 | 935 | T2840XS | 09 | 604-605 | T361X2D | 23 | 949-950 | ||
T25122D | 23 | 949-950 | T28411A | 22 | 935 | T361X2S | 21 | 922-923 | ||
T25122S | 09 | 604-605 | T28411D | 23 | 949-950 | T361X3A | 21 | 917-918 | ||
T25129A | 22 | 935 | T28411S | 09 | 604-605 | T361X3D | 23 | 949-950 | ||
T25129D | 23 | 949-950 | T28412A | 22 | 935 | T361X3S | 21 | 922-923 | ||
T25129S | 09 | 604-605 | T28412D | 23 | 949-950 | T361X4A | 21 | 917-918 | ||
T25131A | 22 | 935 | T28412S | 09 | 604-605 | T361X4D | 23 | 949-950 | ||
T25131D | 23 | 949-950 | T28419A | 22 | 935 | T361X4S | 21 | 922-923 | ||
T25131S | 09 | 604-605 | T28419D | 23 | 949-950 | T361X5A | 15 | 791 | ||
T25132A | 22 | 935 | T28419S | 09 | 604-605 | T361X5A | 15 | 793 | ||
T25132D | 23 | 949-950 | T2849XA | 22 | 935 | T361X5A | 21 | 917-918 | ||
T25132S | 09 | 604-605 | T2849XD | 23 | 949-950 | T361X5D | 23 | 949-950 | ||
T25139A | 22 | 935 | T2849XS | 09 | 604-605 | T361X5S | 21 | 922-923 | ||
T25139D | 23 | 949-950 | T285XXA | Pre | 011-013 | T361X6A | 23 | 951 | ||
T25139S | 09 | 604-605 | T285XXA | 03 | 154-156 | T361X6D | 23 | 949-950 | ||
T25191A | 22 | 935 | T285XXD | 23 | 949-950 | T361X6S | 23 | 949-950 | ||
T25191D | 23 | 949-950 | T285XXS | 09 | 604-605 | T362X1A | 21 | 917-918 | ||
T25191S | 09 | 604-605 | T286XXA | 06 | 368-370 | T362X1D | 23 | 949-950 | ||
T25192A | 22 | 935 | T286XXD | 23 | 949-950 | T362X1S | 21 | 922-923 | ||
T25192D | 23 | 949-950 | T286XXS | 09 | 604-605 | T362X2A | 21 | 917-918 | ||
T25192S | 09 | 604-605 | T287XXA | 06 | 393-395 | T362X2D | 23 | 949-950 | ||
T25199A | 22 | 935 | T287XXD | 23 | 949-950 | T362X2S | 21 | 922-923 | ||
T25199D | 23 | 949-950 | T287XXS | 09 | 604-605 | T362X3A | 21 | 917-918 | ||
T25199S | 09 | 604-605 | T288XXA | 22 | 935 | T362X3D | 23 | 949-950 | ||
T25211A | 22 | 935 | T288XXD | 23 | 949-950 | T362X3S | 21 | 922-923 | ||
T25211D | 23 | 949-950 | T288XXS | 09 | 604-605 | T362X4A | 21 | 917-918 | ||
T25211S | 09 | 604-605 | T2890XA | 22 | 935 | T362X4D | 23 | 949-950 | ||
T25212A | 22 | 935 | T2890XD | 23 | 949-950 | T362X4S | 21 | 922-923 | ||
T25212D | 23 | 949-950 | T2890XS | 09 | 604-605 | T362X5A | 15 | 791 | ||
T25212S | 09 | 604-605 | T28911A | 22 | 935 | T362X5A | 15 | 793 | ||
T25219A | 22 | 935 | T28911D | 23 | 949-950 | T362X5A | 21 | 917-918 | ||
T25219D | 23 | 949-950 | T28911S | 09 | 604-605 | T362X5D | 23 | 949-950 | ||
T25219S | 09 | 604-605 | T28912A | 22 | 935 | T362X5S | 21 | 922-923 | ||
T25221A | 22 | 935 | T28912D | 23 | 949-950 | T362X6A | 23 | 951 | ||
T25221D | 23 | 949-950 | T28912S | 09 | 604-605 | T362X6D | 23 | 949-950 | ||
T25221S | 09 | 604-605 | T28919A | 22 | 935 | T362X6S | 23 | 949-950 | ||
T25222A | 22 | 935 | T28919D | 23 | 949-950 | T363X1A | 21 | 917-918 | ||
T25222D | 23 | 949-950 | T28919S | 09 | 604-605 | T363X1D | 23 | 949-950 | ||
T25222S | 09 | 604-605 | T2899XA | 22 | 935 | T363X1S | 21 | 922-923 | ||
T25229A | 22 | 935 | T2899XD | 23 | 949-950 | T363X2A | 21 | 917-918 | ||
T25229D | 23 | 949-950 | T2899XS | 09 | 604-605 | T363X2D | 23 | 949-950 | ||
T25229S | 09 | 604-605 | T300 | 22 | 935 | T363X2S | 21 | 922-923 | ||
T25231A | 22 | 935 | T304 | 22 | 935 | T363X3A | 21 | 917-918 | ||
T25231D | 23 | 949-950 | T310 | 22 | 935 | T363X3D | 23 | 949-950 | ||
T25231S | 09 | 604-605 | T3110 | 22 | 935 | T363X3S | 21 | 922-923 | ||
T25232A | 22 | 935 | T3111 | 22 | 927,933 | T363X4A | 21 | 917-918 | ||
T25232D | 23 | 949-950 | T3111 | 22 | 928-929,934 | T363X4D | 23 | 949-950 | ||
T25232S | 09 | 604-605 | T3120 | 22 | 935 | T363X4S | 21 | 922-923 | ||
T25239A | 22 | 935 | T3121 | 22 | 927,933 | T363X5A | 15 | 791 | ||
T25239D | 23 | 949-950 | T3122 | 22 | 927,933 | T363X5A | 15 | 793 | ||
T25239S | 09 | 604-605 | T3130 | 22 | 935 | T363X5A | 21 | 917-918 | ||
T25291A | 22 | 935 | T3131 | 22 | 927,933 | T363X5D | 23 | 949-950 | ||
T25291D | 23 | 949-950 | T3132 | 22 | 927,933 | T363X5S | 21 | 922-923 | ||
T25291S | 09 | 604-605 | T3133 | 22 | 927,933 | T363X6A | 23 | 951 | ||
T25292A | 22 | 935 | T3140 | 22 | 935 | T363X6D | 23 | 949-950 | ||
T25292D | 23 | 949-950 | T3141 | 22 | 927,933 | T363X6S | 23 | 949-950 | ||
T25292S | 09 | 604-605 | T3142 | 22 | 927,933 | T364X1A | 21 | 917-918 | ||
T25299A | 22 | 935 | T3143 | 22 | 927,933 | T364X1D | 23 | 949-950 | ||
T25299D | 23 | 949-950 | T3144 | 22 | 927,933 | T364X1S | 21 | 922-923 | ||
T25299S | 09 | 604-605 | T3150 | 22 | 935 | T364X2A | 21 | 917-918 | ||
T25311A | 22 | 927,933 | T3151 | 22 | 927,933 | T364X2D | 23 | 949-950 | ||
T25311A | 22 | 928-929,934 | T3152 | 22 | 927,933 | T364X2S | 21 | 922-923 | ||
T25311D | 23 | 949-950 | T3153 | 22 | 927,933 | T364X3A | 21 | 917-918 | ||
T25311S | 09 | 604-605 | T3154 | 22 | 927,933 | T364X3D | 23 | 949-950 | ||
T25312A | 22 | 927,933 | T3155 | 22 | 927,933 | T364X3S | 21 | 922-923 | ||
T25312A | 22 | 928-929,934 | T3160 | 22 | 935 | T364X4A | 21 | 917-918 | ||
T25312D | 23 | 949-950 | T3161 | 22 | 927,933 | T364X4D | 23 | 949-950 | ||
T25312S | 09 | 604-605 | T3162 | 22 | 927,933 | T364X4S | 21 | 922-923 | ||
T25319A | 22 | 927,933 | T3163 | 22 | 927,933 | T364X5A | 15 | 791 | ||
T25319A | 22 | 928-929,934 | T3164 | 22 | 927,933 | T364X5A | 15 | 793 | ||
T25319D | 23 | 949-950 | T3165 | 22 | 927,933 | T364X5A | 21 | 917-918 | ||
T25319S | 09 | 604-605 | T3166 | 22 | 927,933 | T364X5D | 23 | 949-950 | ||
T25321A | 22 | 927,933 | T3170 | 22 | 935 | T364X5S | 21 | 922-923 | ||
T25321A | 22 | 928-929,934 | T3171 | 22 | 927,933 | T364X6A | 23 | 951 | ||
T25321D | 23 | 949-950 | T3172 | 22 | 927,933 | T364X6D | 23 | 949-950 | ||
T25321S | 09 | 604-605 | T3173 | 22 | 927,933 | T364X6S | 23 | 949-950 | ||
T25322A | 22 | 927,933 | T3174 | 22 | 927,933 | T365X1A | 21 | 917-918 | ||
T25322A | 22 | 928-929,934 | T3175 | 22 | 927,933 | T365X1D | 23 | 949-950 | ||
T25322D | 23 | 949-950 | T3176 | 22 | 927,933 | T365X1S | 21 | 922-923 | ||
T25322S | 09 | 604-605 | T3177 | 22 | 927,933 | T365X2A | 21 | 917-918 | ||
T25329A | 22 | 927,933 | T3180 | 22 | 935 | T365X2D | 23 | 949-950 | ||
T25329A | 22 | 928-929,934 | T3181 | 22 | 927,933 | T365X2S | 21 | 922-923 | ||
T25329D | 23 | 949-950 | T3182 | 22 | 927,933 | T365X3A | 21 | 917-918 | ||
T25329S | 09 | 604-605 | T3183 | 22 | 927,933 | T365X3D | 23 | 949-950 | ||
T25331A | 22 | 927,933 | T3184 | 22 | 927,933 | T365X3S | 21 | 922-923 | ||
T25331A | 22 | 928-929,934 | T3185 | 22 | 927,933 | T365X4A | 21 | 917-918 | ||
T25331D | 23 | 949-950 | T3186 | 22 | 927,933 | T365X4D | 23 | 949-950 | ||
T25331S | 09 | 604-605 | T3187 | 22 | 927,933 | T365X4S | 21 | 922-923 | ||
T25332A | 22 | 927,933 | T3188 | 22 | 927,933 | T365X5A | 15 | 791 | ||
T25332A | 22 | 928-929,934 | T3190 | 22 | 935 | T365X5A | 15 | 793 | ||
T25332D | 23 | 949-950 | T3191 | 22 | 927,933 | T365X5A | 21 | 917-918 | ||
T25332S | 09 | 604-605 | T3192 | 22 | 927,933 | T365X5D | 23 | 949-950 | ||
T25339A | 22 | 927,933 | T3193 | 22 | 927,933 | T365X5S | 21 | 922-923 | ||
T25339A | 22 | 928-929,934 | T3194 | 22 | 927,933 | T365X6A | 23 | 951 | ||
T25339D | 23 | 949-950 | T3195 | 22 | 927,933 | T365X6D | 23 | 949-950 | ||
T25339S | 09 | 604-605 | T3196 | 22 | 927,933 | T365X6S | 23 | 949-950 | ||
T25391A | 22 | 927,933 | T3197 | 22 | 927,933 | T366X1A | 21 | 917-918 | ||
T25391A | 22 | 928-929,934 | T3198 | 22 | 927,933 | T366X1D | 23 | 949-950 | ||
T25391D | 23 | 949-950 | T3199 | 22 | 927,933 | T366X1S | 21 | 922-923 | ||
T25391S | 09 | 604-605 | T320 | 22 | 935 | T366X2A | 21 | 917-918 | ||
T25392A | 22 | 927,933 | T3210 | 22 | 935 | T366X2D | 23 | 949-950 | ||
T25392A | 22 | 928-929,934 | T3211 | 22 | 927,933 | T366X2S | 21 | 922-923 | ||
T25392D | 23 | 949-950 | T3211 | 22 | 928-929,934 | T366X3A | 21 | 917-918 | ||
T25392S | 09 | 604-605 | T3220 | 22 | 935 | T366X3D | 23 | 949-950 | ||
T25399A | 22 | 927,933 | T3221 | 22 | 927,933 | T366X3S | 21 | 922-923 | ||
T25399A | 22 | 928-929,934 | T3222 | 22 | 927,933 | T366X4A | 21 | 917-918 | ||
T25399D | 23 | 949-950 | T3230 | 22 | 935 | T366X4D | 23 | 949-950 | ||
T25399S | 09 | 604-605 | T3231 | 22 | 927,933 | T366X4S | 21 | 922-923 | ||
T25411A | 22 | 935 | T3232 | 22 | 927,933 | T366X5A | 15 | 791 | ||
T25411D | 23 | 949-950 | T3233 | 22 | 927,933 | T366X5A | 15 | 793 | ||
T25411S | 09 | 604-605 | T3240 | 22 | 935 | T366X5A | 21 | 917-918 | ||
T25412A | 22 | 935 | T3241 | 22 | 927,933 | T366X5D | 23 | 949-950 | ||
T25412D | 23 | 949-950 | T3242 | 22 | 927,933 | T366X5S | 21 | 922-923 | ||
T25412S | 09 | 604-605 | T3243 | 22 | 927,933 | T366X6A | 23 | 951 | ||
T25419A | 22 | 935 | T3244 | 22 | 927,933 | T366X6D | 23 | 949-950 | ||
T25419D | 23 | 949-950 | T3250 | 22 | 935 | T366X6S | 23 | 949-950 | ||
T25419S | 09 | 604-605 | T3251 | 22 | 927,933 | T367X1A | 21 | 917-918 | ||
T25421A | 22 | 935 | T3252 | 22 | 927,933 | T367X1D | 23 | 949-950 | ||
T25421D | 23 | 949-950 | T3253 | 22 | 927,933 | T367X1S | 21 | 922-923 | ||
T25421S | 09 | 604-605 | T3254 | 22 | 927,933 | T367X2A | 21 | 917-918 | ||
T25422A | 22 | 935 | T3255 | 22 | 927,933 | T367X2D | 23 | 949-950 | ||
T25422D | 23 | 949-950 | T3260 | 22 | 935 | T367X2S | 21 | 922-923 | ||
T25422S | 09 | 604-605 | T3261 | 22 | 927,933 | T367X3A | 21 | 917-918 | ||
T25429A | 22 | 935 | T3262 | 22 | 927,933 | T367X3D | 23 | 949-950 | ||
T25429D | 23 | 949-950 | T3263 | 22 | 927,933 | T367X3S | 21 | 922-923 | ||
T25429S | 09 | 604-605 | T3264 | 22 | 927,933 | T367X4A | 21 | 917-918 | ||
T25431A | 22 | 935 | T3265 | 22 | 927,933 | T367X4D | 23 | 949-950 | ||
T25431D | 23 | 949-950 | T3266 | 22 | 927,933 | T367X4S | 21 | 922-923 | ||
T25431S | 09 | 604-605 | T3270 | 22 | 935 | T367X5A | 15 | 791 | ||
T25432A | 22 | 935 | T3271 | 22 | 927,933 | T367X5A | 15 | 793 | ||
T25432D | 23 | 949-950 | T3272 | 22 | 927,933 | T367X5A | 21 | 917-918 | ||
T25432S | 09 | 604-605 | T3273 | 22 | 927,933 | T367X5D | 23 | 949-950 | ||
T25439A | 22 | 935 | T3274 | 22 | 927,933 | T367X5S | 21 | 922-923 | ||
T25439D | 23 | 949-950 | T3275 | 22 | 927,933 | T367X6A | 23 | 951 | ||
T25439S | 09 | 604-605 | T3276 | 22 | 927,933 | T367X6D | 23 | 949-950 | ||
T25491A | 22 | 935 | T3277 | 22 | 927,933 | T367X6S | 23 | 949-950 | ||
T25491D | 23 | 949-950 | T3280 | 22 | 935 | T368X1A | 21 | 917-918 | ||
T25491S | 09 | 604-605 | T3281 | 22 | 927,933 | T368X1D | 23 | 949-950 | ||
T25492A | 22 | 935 | T3282 | 22 | 927,933 | T368X1S | 21 | 922-923 | ||
T25492D | 23 | 949-950 | T3283 | 22 | 927,933 | T368X2A | 21 | 917-918 | ||
T25492S | 09 | 604-605 | T3284 | 22 | 927,933 | T368X2D | 23 | 949-950 | ||
T25499A | 22 | 935 | T3285 | 22 | 927,933 | T368X2S | 21 | 922-923 | ||
T25499D | 23 | 949-950 | T3286 | 22 | 927,933 | T368X3A | 21 | 917-918 | ||
T25499S | 09 | 604-605 | T3287 | 22 | 927,933 | T368X3D | 23 | 949-950 | ||
T25511A | 22 | 935 | T3288 | 22 | 927,933 | T368X3S | 21 | 922-923 | ||
T25511D | 23 | 949-950 | T3290 | 22 | 935 | T368X4A | 21 | 917-918 | ||
T25511S | 09 | 604-605 | T3291 | 22 | 927,933 | T368X4D | 23 | 949-950 | ||
T25512A | 22 | 935 | T3292 | 22 | 927,933 | T368X4S | 21 | 922-923 | ||
T25512D | 23 | 949-950 | T3293 | 22 | 927,933 | T368X5A | 15 | 791 | ||
T25512S | 09 | 604-605 | T3294 | 22 | 927,933 | T368X5A | 15 | 793 | ||
T25519A | 22 | 935 | T3295 | 22 | 927,933 | T368X5A | 21 | 917-918 | ||
T25519D | 23 | 949-950 | T3296 | 22 | 927,933 | T368X5D | 23 | 949-950 | ||
T25519S | 09 | 604-605 | T3297 | 22 | 927,933 | T368X5S | 21 | 922-923 | ||
T25521A | 22 | 935 | T3298 | 22 | 927,933 | T368X6A | 23 | 951 | ||
T25521D | 23 | 949-950 | T3299 | 22 | 927,933 | T368X6D | 23 | 949-950 | ||
T25521S | 09 | 604-605 | T33011A | 21 | 922-923 | T368X6S | 23 | 949-950 | ||
T25522A | 22 | 935 | T33011D | 23 | 949-950 | T3691XA | 21 | 917-918 | ||
T25522D | 23 | 949-950 | T33011S | 21 | 922-923 | T3691XD | 23 | 949-950 | ||
T25522S | 09 | 604-605 | T33012A | 21 | 922-923 | T3691XS | 21 | 922-923 | ||
T25529A | 22 | 935 | T33012D | 23 | 949-950 | T3692XA | 21 | 917-918 | ||
T25529D | 23 | 949-950 | T33012S | 21 | 922-923 | T3692XD | 23 | 949-950 | ||
T25529S | 09 | 604-605 | T33019A | 21 | 922-923 | T3692XS | 21 | 922-923 | ||
T25531A | 22 | 935 | T33019D | 23 | 949-950 | T3693XA | 21 | 917-918 | ||
T25531D | 23 | 949-950 | T33019S | 21 | 922-923 | T3693XD | 23 | 949-950 | ||
T25531S | 09 | 604-605 | T3302XA | 21 | 922-923 | T3693XS | 21 | 922-923 | ||
T25532A | 22 | 935 | T3302XD | 23 | 949-950 | T3694XA | 21 | 917-918 | ||
T25532D | 23 | 949-950 | T3302XS | 21 | 922-923 | T3694XD | 23 | 949-950 | ||
T25532S | 09 | 604-605 | T3309XA | 21 | 922-923 | T3694XS | 21 | 922-923 | ||
T25539A | 22 | 935 | T3309XD | 23 | 949-950 | T3695XA | 15 | 791 | ||
T25539D | 23 | 949-950 | T3309XS | 21 | 922-923 | T3695XA | 15 | 793 | ||
T25539S | 09 | 604-605 | T331XXA | 21 | 922-923 | T3695XA | 21 | 917-918 | ||
T25591A | 22 | 935 | T331XXD | 23 | 949-950 | T3695XD | 23 | 949-950 | ||
T25591D | 23 | 949-950 | T331XXS | 21 | 922-923 | T3695XS | 21 | 922-923 | ||
T25591S | 09 | 604-605 | T332XXA | 21 | 922-923 | T3696XA | 23 | 951 | ||
T25592A | 22 | 935 | T332XXD | 23 | 949-950 | T3696XD | 23 | 949-950 | ||
T25592D | 23 | 949-950 | T332XXS | 21 | 922-923 | T3696XS | 23 | 949-950 | ||
T25592S | 09 | 604-605 | T333XXA | 21 | 922-923 | T370X1A | 21 | 917-918 | ||
T25599A | 22 | 935 | T333XXD | 23 | 949-950 | T370X1D | 23 | 949-950 | ||
T25599D | 23 | 949-950 | T333XXS | 21 | 922-923 | T370X1S | 21 | 922-923 | ||
T25599S | 09 | 604-605 | T3340XA | 21 | 922-923 | T370X2A | 21 | 917-918 | ||
T25611A | 22 | 935 | T3340XD | 23 | 949-950 | T370X2D | 23 | 949-950 | ||
T25611D | 23 | 949-950 | T3340XS | 21 | 922-923 | T370X2S | 21 | 922-923 | ||
T25611S | 09 | 604-605 | T3341XA | 21 | 922-923 | T370X3A | 21 | 917-918 | ||
T25612A | 22 | 935 | T3341XD | 23 | 949-950 | T370X3D | 23 | 949-950 | ||
T25612D | 23 | 949-950 | T3341XS | 21 | 922-923 | T370X3S | 21 | 922-923 | ||
T25612S | 09 | 604-605 | T3342XA | 21 | 922-923 | T370X4A | 21 | 917-918 | ||
T25619A | 22 | 935 | T3342XD | 23 | 949-950 | T370X4D | 23 | 949-950 | ||
T25619D | 23 | 949-950 | T3342XS | 21 | 922-923 | T370X4S | 21 | 922-923 | ||
T25619S | 09 | 604-605 | T33511A | 21 | 922-923 | T370X5A | 15 | 791 | ||
T25621A | 22 | 935 | T33511D | 23 | 949-950 | T370X5A | 15 | 793 | ||
T25621D | 23 | 949-950 | T33511S | 21 | 922-923 | T370X5A | 21 | 917-918 | ||
T25621S | 09 | 604-605 | T33512A | 21 | 922-923 | T370X5D | 23 | 949-950 | ||
T25622A | 22 | 935 | T33512D | 23 | 949-950 | T370X5S | 21 | 922-923 | ||
T25622D | 23 | 949-950 | T33512S | 21 | 922-923 | T370X6A | 23 | 951 | ||
T25622S | 09 | 604-605 | T33519A | 21 | 922-923 | T370X6D | 23 | 949-950 | ||
T25629A | 22 | 935 | T33519D | 23 | 949-950 | T370X6S | 23 | 949-950 | ||
T25629D | 23 | 949-950 | T33519S | 21 | 922-923 | T371X1A | 21 | 917-918 | ||
T25629S | 09 | 604-605 | T33521A | 21 | 922-923 | T371X1D | 23 | 949-950 | ||
T25631A | 22 | 935 | T33521D | 23 | 949-950 | T371X1S | 21 | 922-923 | ||
T25631D | 23 | 949-950 | T33521S | 21 | 922-923 | T371X2A | 21 | 917-918 | ||
T25631S | 09 | 604-605 | T33522A | 21 | 922-923 | T371X2D | 23 | 949-950 | ||
T25632A | 22 | 935 | T33522D | 23 | 949-950 | T371X2S | 21 | 922-923 | ||
T25632D | 23 | 949-950 | T33522S | 21 | 922-923 | T371X3A | 21 | 917-918 | ||
T25632S | 09 | 604-605 | T33529A | 21 | 922-923 | T371X3D | 23 | 949-950 | ||
T25639A | 22 | 935 | T33529D | 23 | 949-950 | T371X3S | 21 | 922-923 | ||
T25639D | 23 | 949-950 | T33529S | 21 | 922-923 | T371X4A | 21 | 917-918 | ||
T25639S | 09 | 604-605 | T33531A | 21 | 922-923 | T371X4D | 23 | 949-950 | ||
T25691A | 22 | 935 | T33531D | 23 | 949-950 | T371X4S | 21 | 922-923 | ||
T25691D | 23 | 949-950 | T33531S | 21 | 922-923 | T371X5A | 15 | 791 | ||
T25691S | 09 | 604-605 | T33532A | 21 | 922-923 | T371X5A | 15 | 793 | ||
T25692A | 22 | 935 | T33532D | 23 | 949-950 | T371X5A | 21 | 917-918 | ||
T25692D | 23 | 949-950 | T33532S | 21 | 922-923 | T371X5D | 23 | 949-950 | ||
T25692S | 09 | 604-605 | T33539A | 21 | 922-923 | T371X5S | 21 | 922-923 | ||
T25699A | 22 | 935 | T33539D | 23 | 949-950 | T371X6A | 23 | 951 | ||
T25699D | 23 | 949-950 | T33539S | 21 | 922-923 | T371X6D | 23 | 949-950 | ||
T25699S | 09 | 604-605 | T3360XA | 21 | 922-923 | T371X6S | 23 | 949-950 | ||
T25711A | 22 | 927,933 | T3360XD | 23 | 949-950 | T372X1A | 21 | 917-918 | ||
T25711A | 22 | 928-929,934 | T3360XS | 21 | 922-923 | T372X1D | 23 | 949-950 | ||
T25711D | 23 | 949-950 | T3361XA | 21 | 922-923 | T372X1S | 21 | 922-923 | ||
T25711S | 09 | 604-605 | T3361XD | 23 | 949-950 | T372X2A | 21 | 917-918 | ||
T25712A | 22 | 927,933 | T3361XS | 21 | 922-923 | T372X2D | 23 | 949-950 | ||
T25712A | 22 | 928-929,934 | T3362XA | 21 | 922-923 | T372X2S | 21 | 922-923 | ||
T25712D | 23 | 949-950 | T3362XD | 23 | 949-950 | T372X3A | 21 | 917-918 | ||
T25712S | 09 | 604-605 | T3362XS | 21 | 922-923 | T372X3D | 23 | 949-950 | ||
T25719A | 22 | 927,933 | T3370XA | 21 | 922-923 | T372X3S | 21 | 922-923 | ||
T25719A | 22 | 928-929,934 | T3370XD | 23 | 949-950 | T372X4A | 21 | 917-918 | ||
T25719D | 23 | 949-950 | T3370XS | 21 | 922-923 | T372X4D | 23 | 949-950 | ||
T25719S | 09 | 604-605 | T3371XA | 21 | 922-923 | T372X4S | 21 | 922-923 | ||
T25721A | 22 | 927,933 | T3371XD | 23 | 949-950 | T372X5A | 15 | 791 | ||
T25721A | 22 | 928-929,934 | T3371XS | 21 | 922-923 | T372X5A | 15 | 793 | ||
T25721D | 23 | 949-950 | T3372XA | 21 | 922-923 | T372X5A | 21 | 917-918 | ||
T25721S | 09 | 604-605 | T3372XD | 23 | 949-950 | T372X5D | 23 | 949-950 | ||
T25722A | 22 | 927,933 | T3372XS | 21 | 922-923 | T372X5S | 21 | 922-923 | ||
T25722A | 22 | 928-929,934 | T33811A | 21 | 922-923 | T372X6A | 23 | 951 | ||
T25722D | 23 | 949-950 | T33811D | 23 | 949-950 | T372X6D | 23 | 949-950 | ||
T25722S | 09 | 604-605 | T33811S | 21 | 922-923 | T372X6S | 23 | 949-950 | ||
T25729A | 22 | 927,933 | T33812A | 21 | 922-923 | T373X1A | 21 | 917-918 | ||
T25729A | 22 | 928-929,934 | T33812D | 23 | 949-950 | T373X1D | 23 | 949-950 | ||
T25729D | 23 | 949-950 | T33812S | 21 | 922-923 | T373X1S | 21 | 922-923 | ||
T25729S | 09 | 604-605 | T33819A | 21 | 922-923 | T373X2A | 21 | 917-918 | ||
T25731A | 22 | 927,933 | T33819D | 23 | 949-950 | T373X2D | 23 | 949-950 | ||
T25731A | 22 | 928-929,934 | T33819S | 21 | 922-923 | T373X2S | 21 | 922-923 | ||
T25731D | 23 | 949-950 | T33821A | 21 | 922-923 | T373X3A | 21 | 917-918 | ||
T25731S | 09 | 604-605 | T33821D | 23 | 949-950 | T373X3D | 23 | 949-950 | ||
T25732A | 22 | 927,933 | T33821S | 21 | 922-923 | T373X3S | 21 | 922-923 | ||
T25732A | 22 | 928-929,934 | T33822A | 21 | 922-923 | T373X4A | 21 | 917-918 | ||
T25732D | 23 | 949-950 | T33822D | 23 | 949-950 | T373X4D | 23 | 949-950 | ||
T25732S | 09 | 604-605 | T33822S | 21 | 922-923 | T373X4S | 21 | 922-923 | ||
T25739A | 22 | 927,933 | T33829A | 21 | 922-923 | T373X5A | 15 | 791 | ||
T25739A | 22 | 928-929,934 | T33829D | 23 | 949-950 | T373X5A | 15 | 793 | ||
T25739D | 23 | 949-950 | T33829S | 21 | 922-923 | T373X5A | 21 | 917-918 | ||
T25739S | 09 | 604-605 | T33831A | 21 | 922-923 | T373X5D | 23 | 949-950 | ||
T25791A | 22 | 927,933 | T33831D | 23 | 949-950 | T373X5S | 21 | 922-923 | ||
T25791A | 22 | 928-929,934 | T33831S | 21 | 922-923 | T373X6A | 23 | 951 | ||
T25791D | 23 | 949-950 | T33832A | 21 | 922-923 | T373X6D | 23 | 949-950 | ||
T25791S | 09 | 604-605 | T33832D | 23 | 949-950 | T373X6S | 23 | 949-950 | ||
T25792A | 22 | 927,933 | T33832S | 21 | 922-923 | T374X1A | 21 | 917-918 | ||
T25792A | 22 | 928-929,934 | T33839A | 21 | 922-923 | T374X1D | 23 | 949-950 | ||
T25792D | 23 | 949-950 | T33839D | 23 | 949-950 | T374X1S | 21 | 922-923 | ||
T25792S | 09 | 604-605 | T33839S | 21 | 922-923 | T374X2A | 21 | 917-918 | ||
T25799A | 22 | 927,933 | T3390XA | 21 | 922-923 | T374X2D | 23 | 949-950 | ||
T25799A | 22 | 928-929,934 | T3390XD | 23 | 949-950 | T374X2S | 21 | 922-923 | ||
T25799D | 23 | 949-950 | T3390XS | 21 | 922-923 | T374X3A | 21 | 917-918 | ||
T25799S | 09 | 604-605 | T3399XA | 21 | 922-923 | T374X3D | 23 | 949-950 | ||
T2600XA | 02 | 124-125 | T3399XD | 23 | 949-950 | T374X3S | 21 | 922-923 | ||
T2600XD | 23 | 949-950 | T3399XS | 21 | 922-923 | T374X4A | 21 | 917-918 | ||
T2600XS | 09 | 604-605 | T34011A | 21 | 922-923 | T374X4D | 23 | 949-950 | ||
T2601XA | 02 | 124-125 | T34011D | 23 | 949-950 | T374X4S | 21 | 922-923 | ||
T2601XD | 23 | 949-950 | T34011S | 21 | 922-923 | T374X5A | 15 | 791 | ||
T2601XS | 09 | 604-605 | T34012A | 21 | 922-923 | T374X5A | 15 | 793 | ||
T2602XA | 02 | 124-125 | T34012D | 23 | 949-950 | T374X5A | 21 | 917-918 | ||
T2602XD | 23 | 949-950 | T34012S | 21 | 922-923 | T374X5D | 23 | 949-950 | ||
T2602XS | 09 | 604-605 | T34019A | 21 | 922-923 | T374X5S | 21 | 922-923 | ||
T2610XA | 02 | 124-125 | T34019D | 23 | 949-950 | T374X6A | 23 | 951 | ||
T2610XD | 23 | 949-950 | T34019S | 21 | 922-923 | T374X6D | 23 | 949-950 | ||
T2610XS | 09 | 604-605 | T3402XA | 21 | 922-923 | T374X6S | 23 | 949-950 | ||
T2611XA | 02 | 124-125 | T3402XD | 23 | 949-950 | T375X1A | 21 | 917-918 | ||
T2611XD | 23 | 949-950 | T3402XS | 21 | 922-923 | T375X1D | 23 | 949-950 | ||
T2611XS | 09 | 604-605 | T3409XA | 21 | 922-923 | T375X1S | 21 | 922-923 | ||
T2612XA | 02 | 124-125 | T3409XD | 23 | 949-950 | T375X2A | 21 | 917-918 | ||
T2612XD | 23 | 949-950 | T3409XS | 21 | 922-923 | T375X2D | 23 | 949-950 | ||
T2612XS | 09 | 604-605 | T341XXA | 21 | 922-923 | T375X2S | 21 | 922-923 | ||
T2620XA | 02 | 124-125 | T341XXD | 23 | 949-950 | T375X3A | 21 | 917-918 | ||
T2620XD | 23 | 949-950 | T341XXS | 21 | 922-923 | T375X3D | 23 | 949-950 | ||
T2620XS | 09 | 604-605 | T342XXA | 21 | 922-923 | T375X3S | 21 | 922-923 | ||
T2621XA | 02 | 124-125 | T342XXD | 23 | 949-950 | T375X4A | 21 | 917-918 | ||
T2621XD | 23 | 949-950 | T342XXS | 21 | 922-923 | T375X4D | 23 | 949-950 | ||
T2621XS | 09 | 604-605 | T343XXA | 21 | 922-923 | T375X4S | 21 | 922-923 | ||
T2622XA | 02 | 124-125 | T343XXD | 23 | 949-950 | T375X5A | 15 | 791 | ||
T2622XD | 23 | 949-950 | T343XXS | 21 | 922-923 | T375X5A | 15 | 793 | ||
T2622XS | 09 | 604-605 | T3440XA | 21 | 922-923 | T375X5A | 21 | 917-918 | ||
T2630XA | 02 | 124-125 | T3440XD | 23 | 949-950 | T375X5D | 23 | 949-950 | ||
T2630XD | 23 | 949-950 | T3440XS | 21 | 922-923 | T375X5S | 21 | 922-923 | ||
T2630XS | 09 | 604-605 | T3441XA | 21 | 922-923 | T375X6A | 23 | 951 | ||
T2631XA | 02 | 124-125 | T3441XD | 23 | 949-950 | T375X6D | 23 | 949-950 | ||
T2631XD | 23 | 949-950 | T3441XS | 21 | 922-923 | T375X6S | 23 | 949-950 | ||
T2631XS | 09 | 604-605 | T3442XA | 21 | 922-923 | T378X1A | 21 | 917-918 | ||
T2632XA | 02 | 124-125 | T3442XD | 23 | 949-950 | T378X1D | 23 | 949-950 | ||
T2632XD | 23 | 949-950 | T3442XS | 21 | 922-923 | T378X1S | 21 | 922-923 | ||
T2632XS | 09 | 604-605 | T34511A | 21 | 922-923 | T378X2A | 21 | 917-918 | ||
T2640XA | 02 | 124-125 | T34511D | 23 | 949-950 | T378X2D | 23 | 949-950 | ||
T2640XD | 23 | 949-950 | T34511S | 21 | 922-923 | T378X2S | 21 | 922-923 | ||
T2640XS | 09 | 604-605 | T34512A | 21 | 922-923 | T378X3A | 21 | 917-918 | ||
T2641XA | 02 | 124-125 | T34512D | 23 | 949-950 | T378X3D | 23 | 949-950 | ||
T2641XD | 23 | 949-950 | T34512S | 21 | 922-923 | T378X3S | 21 | 922-923 | ||
T2641XS | 09 | 604-605 | T34519A | 21 | 922-923 | T378X4A | 21 | 917-918 | ||
T2642XA | 02 | 124-125 | T34519D | 23 | 949-950 | T378X4D | 23 | 949-950 | ||
T2642XD | 23 | 949-950 | T34519S | 21 | 922-923 | T378X4S | 21 | 922-923 | ||
T2642XS | 09 | 604-605 | T34521A | 21 | 922-923 | T378X5A | 15 | 791 | ||
T2650XA | 02 | 124-125 | T34521D | 23 | 949-950 | T378X5A | 15 | 793 | ||
T2650XD | 23 | 949-950 | T34521S | 21 | 922-923 | T378X5A | 21 | 917-918 | ||
T2650XS | 09 | 604-605 | T34522A | 21 | 922-923 | T378X5D | 23 | 949-950 | ||
T2651XA | 02 | 124-125 | T34522D | 23 | 949-950 | T378X5S | 21 | 922-923 | ||
T2651XD | 23 | 949-950 | T34522S | 21 | 922-923 | T378X6A | 23 | 951 | ||
T2651XS | 09 | 604-605 | T34529A | 21 | 922-923 | T378X6D | 23 | 949-950 | ||
T2652XA | 02 | 124-125 | T34529D | 23 | 949-950 | T378X6S | 23 | 949-950 | ||
T2652XD | 23 | 949-950 | T34529S | 21 | 922-923 | T3791XA | 21 | 917-918 | ||
T2652XS | 09 | 604-605 | T34531A | 21 | 922-923 | T3791XD | 23 | 949-950 | ||
T2660XA | 02 | 124-125 | T34531D | 23 | 949-950 | T3791XS | 21 | 922-923 | ||
T2660XD | 23 | 949-950 | T34531S | 21 | 922-923 | T3792XA | 21 | 917-918 | ||
T2660XS | 09 | 604-605 | T34532A | 21 | 922-923 | T3792XD | 23 | 949-950 | ||
T2661XA | 02 | 124-125 | T34532D | 23 | 949-950 | T3792XS | 21 | 922-923 | ||
T2661XD | 23 | 949-950 | T34532S | 21 | 922-923 | T3793XA | 21 | 917-918 | ||
T2661XS | 09 | 604-605 | T34539A | 21 | 922-923 | T3793XD | 23 | 949-950 | ||
T2662XA | 02 | 124-125 | T34539D | 23 | 949-950 | T3793XS | 21 | 922-923 | ||
T2662XD | 23 | 949-950 | T34539S | 21 | 922-923 | T3794XA | 21 | 917-918 | ||
T2662XS | 09 | 604-605 | T3460XA | 21 | 922-923 | T3794XD | 23 | 949-950 | ||
T2670XA | 02 | 124-125 | T3460XD | 23 | 949-950 | T3794XS | 21 | 922-923 | ||
T2670XD | 23 | 949-950 | T3460XS | 21 | 922-923 | T3795XA | 15 | 791 | ||
T2670XS | 09 | 604-605 | T3461XA | 21 | 922-923 | T3795XA | 15 | 793 | ||
T2671XA | 02 | 124-125 | T3461XD | 23 | 949-950 | T3795XA | 21 | 917-918 | ||
T2671XD | 23 | 949-950 | T3461XS | 21 | 922-923 | T3795XD | 23 | 949-950 | ||
T2671XS | 09 | 604-605 | T3462XA | 21 | 922-923 | T3795XS | 21 | 922-923 | ||
T2672XA | 02 | 124-125 | T3462XD | 23 | 949-950 | T3796XA | 23 | 951 | ||
T2672XD | 23 | 949-950 | T3462XS | 21 | 922-923 | T3796XD | 23 | 949-950 | ||
T2672XS | 09 | 604-605 | T3470XA | 21 | 922-923 | T3796XS | 23 | 949-950 | ||
T2680XA | 02 | 124-125 | T3470XD | 23 | 949-950 | T380X1A | 21 | 917-918 | ||
T2680XD | 23 | 949-950 | T3470XS | 21 | 922-923 | T380X1D | 23 | 949-950 | ||
T2680XS | 09 | 604-605 | T3471XA | 21 | 922-923 | T380X1S | 21 | 922-923 | ||
T2681XA | 02 | 124-125 | T3471XD | 23 | 949-950 | T380X2A | 21 | 917-918 | ||
T2681XD | 23 | 949-950 | T3471XS | 21 | 922-923 | T380X2D | 23 | 949-950 | ||
T2681XS | 09 | 604-605 | T3472XA | 21 | 922-923 | T380X2S | 21 | 922-923 | ||
T2682XA | 02 | 124-125 | T3472XD | 23 | 949-950 | T380X3A | 21 | 917-918 | ||
T2682XD | 23 | 949-950 | T3472XS | 21 | 922-923 | T380X3D | 23 | 949-950 | ||
T2682XS | 09 | 604-605 | T34811A | 21 | 922-923 | T380X3S | 21 | 922-923 | ||
T2690XA | 02 | 124-125 | T34811D | 23 | 949-950 | T380X4A | 21 | 917-918 | ||
T2690XD | 23 | 949-950 | T34811S | 21 | 922-923 | T380X4D | 23 | 949-950 | ||
T2690XS | 09 | 604-605 | T34812A | 21 | 922-923 | T380X4S | 21 | 922-923 | ||
T2691XA | 02 | 124-125 | T34812D | 23 | 949-950 | T380X5A | 15 | 791 | ||
T2691XD | 23 | 949-950 | T34812S | 21 | 922-923 | T380X5A | 15 | 793 | ||
T2691XS | 09 | 604-605 | T34819A | 21 | 922-923 | T380X5A | 21 | 917-918 | ||
T2692XA | 02 | 124-125 | T34819D | 23 | 949-950 | T380X5D | 23 | 949-950 | ||
T2692XD | 23 | 949-950 | T34819S | 21 | 922-923 | T380X5S | 21 | 922-923 | ||
T2692XS | 09 | 604-605 | T34821A | 21 | 922-923 | T380X6A | 23 | 951 | ||
T270XXA | 04 | 205-206 | T34821D | 23 | 949-950 | T380X6D | 23 | 949-950 | ||
T270XXA | 22 | 928-929,934 | T34821S | 21 | 922-923 | T380X6S | 23 | 949-950 | ||
T270XXD | 23 | 949-950 | T34822A | 21 | 922-923 | T381X1A | 21 | 917-918 | ||
T270XXS | 09 | 604-605 | T34822D | 23 | 949-950 | T381X1D | 23 | 949-950 | ||
T271XXA | 04 | 205-206 | T34822S | 21 | 922-923 | T381X1S | 21 | 922-923 | ||
T271XXA | 22 | 928-929,934 | T34829A | 21 | 922-923 | T381X2A | 21 | 917-918 | ||
T271XXD | 23 | 949-950 | T34829D | 23 | 949-950 | T381X2D | 23 | 949-950 | ||
T271XXS | 09 | 604-605 | T34829S | 21 | 922-923 | T381X2S | 21 | 922-923 | ||
T272XXA | 04 | 205-206 | T34831A | 21 | 922-923 | T381X3A | 21 | 917-918 | ||
T272XXA | 22 | 928-929,934 | T34831D | 23 | 949-950 | T381X3D | 23 | 949-950 | ||
T272XXD | 23 | 949-950 | T34831S | 21 | 922-923 | T381X3S | 21 | 922-923 | ||
T272XXS | 09 | 604-605 | T34832A | 21 | 922-923 | T381X4A | 21 | 917-918 | ||
T273XXA | 04 | 205-206 | T34832D | 23 | 949-950 | T381X4D | 23 | 949-950 | ||
T273XXA | 22 | 928-929,934 | T34832S | 21 | 922-923 | T381X4S | 21 | 922-923 | ||
T273XXD | 23 | 949-950 | T34839A | 21 | 922-923 | T381X5A | 15 | 791 | ||
T273XXS | 09 | 604-605 | T34839D | 23 | 949-950 | T381X5A | 15 | 793 | ||
T274XXA | 04 | 205-206 | T34839S | 21 | 922-923 | T381X5A | 21 | 917-918 | ||
T274XXA | 22 | 928-929,934 | T3490XA | 21 | 922-923 | T381X5D | 23 | 949-950 | ||
T274XXD | 23 | 949-950 | T3490XD | 23 | 949-950 | T381X5S | 21 | 922-923 | ||
T274XXS | 09 | 604-605 | T3490XS | 21 | 922-923 | T381X6A | 23 | 951 | ||
T275XXA | 04 | 205-206 | T3499XA | 21 | 922-923 | T381X6D | 23 | 949-950 | ||
T275XXA | 22 | 928-929,934 | T3499XD | 23 | 949-950 | T381X6S | 23 | 949-950 | ||
T275XXD | 23 | 949-950 | T3499XS | 21 | 922-923 | T382X1A | 21 | 917-918 | ||
T275XXS | 09 | 604-605 | T360X1A | 21 | 917-918 | T382X1D | 23 | 949-950 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 16:20:17 CMS, code-revision=332, description-revision=1327 |