ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 68 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T43591D | 23 | 949-950 | T450X4D | 23 | 949-950 | T466X4S | 21 | 922-923 | ||
T43591S | 21 | 922-923 | T450X4S | 21 | 922-923 | T466X5A | 15 | 791 | ||
T43592A | 21 | 917-918 | T450X5A | 15 | 791 | T466X5A | 15 | 793 | ||
T43592D | 23 | 949-950 | T450X5A | 15 | 793 | T466X5A | 21 | 917-918 | ||
T43592S | 21 | 922-923 | T450X5A | 21 | 917-918 | T466X5D | 23 | 949-950 | ||
T43593A | 21 | 917-918 | T450X5D | 23 | 949-950 | T466X5S | 21 | 922-923 | ||
T43593D | 23 | 949-950 | T450X5S | 21 | 922-923 | T466X6A | 23 | 951 | ||
T43593S | 21 | 922-923 | T450X6A | 23 | 951 | T466X6D | 23 | 949-950 | ||
T43594A | 21 | 917-918 | T450X6D | 23 | 949-950 | T466X6S | 23 | 949-950 | ||
T43594D | 23 | 949-950 | T450X6S | 23 | 949-950 | T467X1A | 21 | 917-918 | ||
T43594S | 21 | 922-923 | T451X1A | 21 | 917-918 | T467X1D | 23 | 949-950 | ||
T43595A | 15 | 791 | T451X1D | 23 | 949-950 | T467X1S | 21 | 922-923 | ||
T43595A | 15 | 793 | T451X1S | 21 | 922-923 | T467X2A | 21 | 917-918 | ||
T43595A | 21 | 917-918 | T451X2A | 21 | 917-918 | T467X2D | 23 | 949-950 | ||
T43595D | 23 | 949-950 | T451X2D | 23 | 949-950 | T467X2S | 21 | 922-923 | ||
T43595S | 21 | 922-923 | T451X2S | 21 | 922-923 | T467X3A | 21 | 917-918 | ||
T43596A | 23 | 951 | T451X3A | 21 | 917-918 | T467X3D | 23 | 949-950 | ||
T43596D | 23 | 949-950 | T451X3D | 23 | 949-950 | T467X3S | 21 | 922-923 | ||
T43596S | 23 | 949-950 | T451X3S | 21 | 922-923 | T467X4A | 21 | 917-918 | ||
T43601A | 21 | 917-918 | T451X4A | 21 | 917-918 | T467X4D | 23 | 949-950 | ||
T43601D | 23 | 949-950 | T451X4D | 23 | 949-950 | T467X4S | 21 | 922-923 | ||
T43601S | 21 | 922-923 | T451X4S | 21 | 922-923 | T467X5A | 15 | 791 | ||
T43602A | 21 | 917-918 | T451X5A | 15 | 791 | T467X5A | 15 | 793 | ||
T43602D | 23 | 949-950 | T451X5A | 15 | 793 | T467X5A | 21 | 917-918 | ||
T43602S | 21 | 922-923 | T451X5A | 21 | 917-918 | T467X5D | 23 | 949-950 | ||
T43603A | 21 | 917-918 | T451X5D | 23 | 949-950 | T467X5S | 21 | 922-923 | ||
T43603D | 23 | 949-950 | T451X5S | 21 | 922-923 | T467X6A | 23 | 951 | ||
T43603S | 21 | 922-923 | T451X6A | 23 | 951 | T467X6D | 23 | 949-950 | ||
T43604A | 21 | 917-918 | T451X6D | 23 | 949-950 | T467X6S | 23 | 949-950 | ||
T43604D | 23 | 949-950 | T451X6S | 23 | 949-950 | T468X1A | 21 | 917-918 | ||
T43604S | 21 | 922-923 | T452X1A | 21 | 917-918 | T468X1D | 23 | 949-950 | ||
T43605A | 15 | 791 | T452X1D | 23 | 949-950 | T468X1S | 21 | 922-923 | ||
T43605A | 15 | 793 | T452X1S | 21 | 922-923 | T468X2A | 21 | 917-918 | ||
T43605A | 21 | 917-918 | T452X2A | 21 | 917-918 | T468X2D | 23 | 949-950 | ||
T43605D | 23 | 949-950 | T452X2D | 23 | 949-950 | T468X2S | 21 | 922-923 | ||
T43605S | 21 | 922-923 | T452X2S | 21 | 922-923 | T468X3A | 21 | 917-918 | ||
T43606A | 23 | 951 | T452X3A | 21 | 917-918 | T468X3D | 23 | 949-950 | ||
T43606D | 23 | 949-950 | T452X3D | 23 | 949-950 | T468X3S | 21 | 922-923 | ||
T43606S | 23 | 949-950 | T452X3S | 21 | 922-923 | T468X4A | 21 | 917-918 | ||
T43611A | 21 | 917-918 | T452X4A | 21 | 917-918 | T468X4D | 23 | 949-950 | ||
T43611D | 23 | 949-950 | T452X4D | 23 | 949-950 | T468X4S | 21 | 922-923 | ||
T43611S | 21 | 922-923 | T452X4S | 21 | 922-923 | T468X5A | 15 | 791 | ||
T43612A | 21 | 917-918 | T452X5A | 15 | 791 | T468X5A | 15 | 793 | ||
T43612D | 23 | 949-950 | T452X5A | 15 | 793 | T468X5A | 21 | 917-918 | ||
T43612S | 21 | 922-923 | T452X5A | 21 | 917-918 | T468X5D | 23 | 949-950 | ||
T43613A | 21 | 917-918 | T452X5D | 23 | 949-950 | T468X5S | 21 | 922-923 | ||
T43613D | 23 | 949-950 | T452X5S | 21 | 922-923 | T468X6A | 23 | 951 | ||
T43613S | 21 | 922-923 | T452X6A | 23 | 951 | T468X6D | 23 | 949-950 | ||
T43614A | 21 | 917-918 | T452X6D | 23 | 949-950 | T468X6S | 23 | 949-950 | ||
T43614D | 23 | 949-950 | T452X6S | 23 | 949-950 | T46901A | 21 | 917-918 | ||
T43614S | 21 | 922-923 | T453X1A | 21 | 917-918 | T46901D | 23 | 949-950 | ||
T43615A | 15 | 791 | T453X1D | 23 | 949-950 | T46901S | 21 | 922-923 | ||
T43615A | 15 | 793 | T453X1S | 21 | 922-923 | T46902A | 21 | 917-918 | ||
T43615A | 21 | 917-918 | T453X2A | 21 | 917-918 | T46902D | 23 | 949-950 | ||
T43615D | 23 | 949-950 | T453X2D | 23 | 949-950 | T46902S | 21 | 922-923 | ||
T43615S | 21 | 922-923 | T453X2S | 21 | 922-923 | T46903A | 21 | 917-918 | ||
T43616A | 23 | 951 | T453X3A | 21 | 917-918 | T46903D | 23 | 949-950 | ||
T43616D | 23 | 949-950 | T453X3D | 23 | 949-950 | T46903S | 21 | 922-923 | ||
T43616S | 23 | 949-950 | T453X3S | 21 | 922-923 | T46904A | 21 | 917-918 | ||
T43621A | 21 | 917-918 | T453X4A | 21 | 917-918 | T46904D | 23 | 949-950 | ||
T43621D | 23 | 949-950 | T453X4D | 23 | 949-950 | T46904S | 21 | 922-923 | ||
T43621S | 21 | 922-923 | T453X4S | 21 | 922-923 | T46905A | 15 | 791 | ||
T43622A | 21 | 917-918 | T453X5A | 15 | 791 | T46905A | 15 | 793 | ||
T43622D | 23 | 949-950 | T453X5A | 15 | 793 | T46905A | 21 | 917-918 | ||
T43622S | 21 | 922-923 | T453X5A | 21 | 917-918 | T46905D | 23 | 949-950 | ||
T43623A | 21 | 917-918 | T453X5D | 23 | 949-950 | T46905S | 21 | 922-923 | ||
T43623D | 23 | 949-950 | T453X5S | 21 | 922-923 | T46906A | 23 | 951 | ||
T43623S | 21 | 922-923 | T453X6A | 23 | 951 | T46906D | 23 | 949-950 | ||
T43624A | 21 | 917-918 | T453X6D | 23 | 949-950 | T46906S | 23 | 949-950 | ||
T43624D | 23 | 949-950 | T453X6S | 23 | 949-950 | T46991A | 21 | 917-918 | ||
T43624S | 21 | 922-923 | T454X1A | 21 | 917-918 | T46991D | 23 | 949-950 | ||
T43625A | 15 | 791 | T454X1D | 23 | 949-950 | T46991S | 21 | 922-923 | ||
T43625A | 15 | 793 | T454X1S | 21 | 922-923 | T46992A | 21 | 917-918 | ||
T43625A | 21 | 917-918 | T454X2A | 21 | 917-918 | T46992D | 23 | 949-950 | ||
T43625D | 23 | 949-950 | T454X2D | 23 | 949-950 | T46992S | 21 | 922-923 | ||
T43625S | 21 | 922-923 | T454X2S | 21 | 922-923 | T46993A | 21 | 917-918 | ||
T43626A | 23 | 951 | T454X3A | 21 | 917-918 | T46993D | 23 | 949-950 | ||
T43626D | 23 | 949-950 | T454X3D | 23 | 949-950 | T46993S | 21 | 922-923 | ||
T43626S | 23 | 949-950 | T454X3S | 21 | 922-923 | T46994A | 21 | 917-918 | ||
T43631A | 21 | 917-918 | T454X4A | 21 | 917-918 | T46994D | 23 | 949-950 | ||
T43631D | 23 | 949-950 | T454X4D | 23 | 949-950 | T46994S | 21 | 922-923 | ||
T43631S | 21 | 922-923 | T454X4S | 21 | 922-923 | T46995A | 15 | 791 | ||
T43632A | 21 | 917-918 | T454X5A | 15 | 791 | T46995A | 15 | 793 | ||
T43632D | 23 | 949-950 | T454X5A | 15 | 793 | T46995A | 21 | 917-918 | ||
T43632S | 21 | 922-923 | T454X5A | 21 | 917-918 | T46995D | 23 | 949-950 | ||
T43633A | 21 | 917-918 | T454X5D | 23 | 949-950 | T46995S | 21 | 922-923 | ||
T43633D | 23 | 949-950 | T454X5S | 21 | 922-923 | T46996A | 23 | 951 | ||
T43633S | 21 | 922-923 | T454X6A | 23 | 951 | T46996D | 23 | 949-950 | ||
T43634A | 21 | 917-918 | T454X6D | 23 | 949-950 | T46996S | 23 | 949-950 | ||
T43634D | 23 | 949-950 | T454X6S | 23 | 949-950 | T470X1A | 21 | 917-918 | ||
T43634S | 21 | 922-923 | T45511A | 21 | 917-918 | T470X1D | 23 | 949-950 | ||
T43635A | 15 | 791 | T45511D | 23 | 949-950 | T470X1S | 21 | 922-923 | ||
T43635A | 15 | 793 | T45511S | 21 | 922-923 | T470X2A | 21 | 917-918 | ||
T43635A | 21 | 917-918 | T45512A | 21 | 917-918 | T470X2D | 23 | 949-950 | ||
T43635D | 23 | 949-950 | T45512D | 23 | 949-950 | T470X2S | 21 | 922-923 | ||
T43635S | 21 | 922-923 | T45512S | 21 | 922-923 | T470X3A | 21 | 917-918 | ||
T43636A | 23 | 951 | T45513A | 21 | 917-918 | T470X3D | 23 | 949-950 | ||
T43636D | 23 | 949-950 | T45513D | 23 | 949-950 | T470X3S | 21 | 922-923 | ||
T43636S | 23 | 949-950 | T45513S | 21 | 922-923 | T470X4A | 21 | 917-918 | ||
T43641A | 21 | 917-918 | T45514A | 21 | 917-918 | T470X4D | 23 | 949-950 | ||
T43641D | 23 | 949-950 | T45514D | 23 | 949-950 | T470X4S | 21 | 922-923 | ||
T43641S | 21 | 922-923 | T45514S | 21 | 922-923 | T470X5A | 15 | 791 | ||
T43642A | 21 | 917-918 | T45515A | 15 | 791 | T470X5A | 15 | 793 | ||
T43642D | 23 | 949-950 | T45515A | 15 | 793 | T470X5A | 21 | 917-918 | ||
T43642S | 21 | 922-923 | T45515A | 21 | 917-918 | T470X5D | 23 | 949-950 | ||
T43643A | 21 | 917-918 | T45515D | 23 | 949-950 | T470X5S | 21 | 922-923 | ||
T43643D | 23 | 949-950 | T45515S | 21 | 922-923 | T470X6A | 23 | 951 | ||
T43643S | 21 | 922-923 | T45516A | 23 | 951 | T470X6D | 23 | 949-950 | ||
T43644A | 21 | 917-918 | T45516D | 23 | 949-950 | T470X6S | 23 | 949-950 | ||
T43644D | 23 | 949-950 | T45516S | 23 | 949-950 | T471X1A | 21 | 917-918 | ||
T43644S | 21 | 922-923 | T45521A | 21 | 917-918 | T471X1D | 23 | 949-950 | ||
T43691A | 21 | 917-918 | T45521D | 23 | 949-950 | T471X1S | 21 | 922-923 | ||
T43691D | 23 | 949-950 | T45521S | 21 | 922-923 | T471X2A | 21 | 917-918 | ||
T43691S | 21 | 922-923 | T45522A | 21 | 917-918 | T471X2D | 23 | 949-950 | ||
T43692A | 21 | 917-918 | T45522D | 23 | 949-950 | T471X2S | 21 | 922-923 | ||
T43692D | 23 | 949-950 | T45522S | 21 | 922-923 | T471X3A | 21 | 917-918 | ||
T43692S | 21 | 922-923 | T45523A | 21 | 917-918 | T471X3D | 23 | 949-950 | ||
T43693A | 21 | 917-918 | T45523D | 23 | 949-950 | T471X3S | 21 | 922-923 | ||
T43693D | 23 | 949-950 | T45523S | 21 | 922-923 | T471X4A | 21 | 917-918 | ||
T43693S | 21 | 922-923 | T45524A | 21 | 917-918 | T471X4D | 23 | 949-950 | ||
T43694A | 21 | 917-918 | T45524D | 23 | 949-950 | T471X4S | 21 | 922-923 | ||
T43694D | 23 | 949-950 | T45524S | 21 | 922-923 | T471X5A | 15 | 791 | ||
T43694S | 21 | 922-923 | T45525A | 15 | 791 | T471X5A | 15 | 793 | ||
T43695A | 15 | 791 | T45525A | 15 | 793 | T471X5A | 21 | 917-918 | ||
T43695A | 15 | 793 | T45525A | 21 | 917-918 | T471X5D | 23 | 949-950 | ||
T43695A | 21 | 917-918 | T45525D | 23 | 949-950 | T471X5S | 21 | 922-923 | ||
T43695D | 23 | 949-950 | T45525S | 21 | 922-923 | T471X6A | 23 | 951 | ||
T43695S | 21 | 922-923 | T45526A | 23 | 951 | T471X6D | 23 | 949-950 | ||
T43696A | 23 | 951 | T45526D | 23 | 949-950 | T471X6S | 23 | 949-950 | ||
T43696D | 23 | 949-950 | T45526S | 23 | 949-950 | T472X1A | 21 | 917-918 | ||
T43696S | 23 | 949-950 | T45601A | 21 | 917-918 | T472X1D | 23 | 949-950 | ||
T438X1A | 21 | 917-918 | T45601D | 23 | 949-950 | T472X1S | 21 | 922-923 | ||
T438X1D | 23 | 949-950 | T45601S | 21 | 922-923 | T472X2A | 21 | 917-918 | ||
T438X1S | 21 | 922-923 | T45602A | 21 | 917-918 | T472X2D | 23 | 949-950 | ||
T438X2A | 21 | 917-918 | T45602D | 23 | 949-950 | T472X2S | 21 | 922-923 | ||
T438X2D | 23 | 949-950 | T45602S | 21 | 922-923 | T472X3A | 21 | 917-918 | ||
T438X2S | 21 | 922-923 | T45603A | 21 | 917-918 | T472X3D | 23 | 949-950 | ||
T438X3A | 21 | 917-918 | T45603D | 23 | 949-950 | T472X3S | 21 | 922-923 | ||
T438X3D | 23 | 949-950 | T45603S | 21 | 922-923 | T472X4A | 21 | 917-918 | ||
T438X3S | 21 | 922-923 | T45604A | 21 | 917-918 | T472X4D | 23 | 949-950 | ||
T438X4A | 21 | 917-918 | T45604D | 23 | 949-950 | T472X4S | 21 | 922-923 | ||
T438X4D | 23 | 949-950 | T45604S | 21 | 922-923 | T472X5A | 15 | 791 | ||
T438X4S | 21 | 922-923 | T45605A | 15 | 791 | T472X5A | 15 | 793 | ||
T438X5A | 15 | 791 | T45605A | 15 | 793 | T472X5A | 21 | 917-918 | ||
T438X5A | 15 | 793 | T45605A | 21 | 917-918 | T472X5D | 23 | 949-950 | ||
T438X5A | 21 | 917-918 | T45605D | 23 | 949-950 | T472X5S | 21 | 922-923 | ||
T438X5D | 23 | 949-950 | T45605S | 21 | 922-923 | T472X6A | 23 | 951 | ||
T438X5S | 21 | 922-923 | T45606A | 23 | 951 | T472X6D | 23 | 949-950 | ||
T438X6A | 23 | 951 | T45606D | 23 | 949-950 | T472X6S | 23 | 949-950 | ||
T438X6D | 23 | 949-950 | T45606S | 23 | 949-950 | T473X1A | 21 | 917-918 | ||
T438X6S | 23 | 949-950 | T45611A | 21 | 917-918 | T473X1D | 23 | 949-950 | ||
T4391XA | 21 | 917-918 | T45611D | 23 | 949-950 | T473X1S | 21 | 922-923 | ||
T4391XD | 23 | 949-950 | T45611S | 21 | 922-923 | T473X2A | 21 | 917-918 | ||
T4391XS | 21 | 922-923 | T45612A | 21 | 917-918 | T473X2D | 23 | 949-950 | ||
T4392XA | 21 | 917-918 | T45612D | 23 | 949-950 | T473X2S | 21 | 922-923 | ||
T4392XD | 23 | 949-950 | T45612S | 21 | 922-923 | T473X3A | 21 | 917-918 | ||
T4392XS | 21 | 922-923 | T45613A | 21 | 917-918 | T473X3D | 23 | 949-950 | ||
T4393XA | 21 | 917-918 | T45613D | 23 | 949-950 | T473X3S | 21 | 922-923 | ||
T4393XD | 23 | 949-950 | T45613S | 21 | 922-923 | T473X4A | 21 | 917-918 | ||
T4393XS | 21 | 922-923 | T45614A | 21 | 917-918 | T473X4D | 23 | 949-950 | ||
T4394XA | 21 | 917-918 | T45614D | 23 | 949-950 | T473X4S | 21 | 922-923 | ||
T4394XD | 23 | 949-950 | T45614S | 21 | 922-923 | T473X5A | 15 | 791 | ||
T4394XS | 21 | 922-923 | T45615A | 15 | 791 | T473X5A | 15 | 793 | ||
T4395XA | 15 | 791 | T45615A | 15 | 793 | T473X5A | 21 | 917-918 | ||
T4395XA | 15 | 793 | T45615A | 21 | 917-918 | T473X5D | 23 | 949-950 | ||
T4395XA | 21 | 917-918 | T45615D | 23 | 949-950 | T473X5S | 21 | 922-923 | ||
T4395XD | 23 | 949-950 | T45615S | 21 | 922-923 | T473X6A | 23 | 951 | ||
T4395XS | 21 | 922-923 | T45616A | 23 | 951 | T473X6D | 23 | 949-950 | ||
T4396XA | 23 | 951 | T45616D | 23 | 949-950 | T473X6S | 23 | 949-950 | ||
T4396XD | 23 | 949-950 | T45616S | 23 | 949-950 | T474X1A | 21 | 917-918 | ||
T4396XS | 23 | 949-950 | T45621A | 21 | 917-918 | T474X1D | 23 | 949-950 | ||
T440X1A | 21 | 917-918 | T45621D | 23 | 949-950 | T474X1S | 21 | 922-923 | ||
T440X1D | 23 | 949-950 | T45621S | 21 | 922-923 | T474X2A | 21 | 917-918 | ||
T440X1S | 21 | 922-923 | T45622A | 21 | 917-918 | T474X2D | 23 | 949-950 | ||
T440X2A | 21 | 917-918 | T45622D | 23 | 949-950 | T474X2S | 21 | 922-923 | ||
T440X2D | 23 | 949-950 | T45622S | 21 | 922-923 | T474X3A | 21 | 917-918 | ||
T440X2S | 21 | 922-923 | T45623A | 21 | 917-918 | T474X3D | 23 | 949-950 | ||
T440X3A | 21 | 917-918 | T45623D | 23 | 949-950 | T474X3S | 21 | 922-923 | ||
T440X3D | 23 | 949-950 | T45623S | 21 | 922-923 | T474X4A | 21 | 917-918 | ||
T440X3S | 21 | 922-923 | T45624A | 21 | 917-918 | T474X4D | 23 | 949-950 | ||
T440X4A | 21 | 917-918 | T45624D | 23 | 949-950 | T474X4S | 21 | 922-923 | ||
T440X4D | 23 | 949-950 | T45624S | 21 | 922-923 | T474X5A | 15 | 791 | ||
T440X4S | 21 | 922-923 | T45625A | 15 | 791 | T474X5A | 15 | 793 | ||
T440X5A | 15 | 791 | T45625A | 15 | 793 | T474X5A | 21 | 917-918 | ||
T440X5A | 15 | 793 | T45625A | 21 | 917-918 | T474X5D | 23 | 949-950 | ||
T440X5A | 21 | 917-918 | T45625D | 23 | 949-950 | T474X5S | 21 | 922-923 | ||
T440X5D | 23 | 949-950 | T45625S | 21 | 922-923 | T474X6A | 23 | 951 | ||
T440X5S | 21 | 922-923 | T45626A | 23 | 951 | T474X6D | 23 | 949-950 | ||
T440X6A | 23 | 951 | T45626D | 23 | 949-950 | T474X6S | 23 | 949-950 | ||
T440X6D | 23 | 949-950 | T45626S | 23 | 949-950 | T475X1A | 21 | 917-918 | ||
T440X6S | 23 | 949-950 | T45691A | 21 | 917-918 | T475X1D | 23 | 949-950 | ||
T441X1A | 21 | 917-918 | T45691D | 23 | 949-950 | T475X1S | 21 | 922-923 | ||
T441X1D | 23 | 949-950 | T45691S | 21 | 922-923 | T475X2A | 21 | 917-918 | ||
T441X1S | 21 | 922-923 | T45692A | 21 | 917-918 | T475X2D | 23 | 949-950 | ||
T441X2A | 21 | 917-918 | T45692D | 23 | 949-950 | T475X2S | 21 | 922-923 | ||
T441X2D | 23 | 949-950 | T45692S | 21 | 922-923 | T475X3A | 21 | 917-918 | ||
T441X2S | 21 | 922-923 | T45693A | 21 | 917-918 | T475X3D | 23 | 949-950 | ||
T441X3A | 21 | 917-918 | T45693D | 23 | 949-950 | T475X3S | 21 | 922-923 | ||
T441X3D | 23 | 949-950 | T45693S | 21 | 922-923 | T475X4A | 21 | 917-918 | ||
T441X3S | 21 | 922-923 | T45694A | 21 | 917-918 | T475X4D | 23 | 949-950 | ||
T441X4A | 21 | 917-918 | T45694D | 23 | 949-950 | T475X4S | 21 | 922-923 | ||
T441X4D | 23 | 949-950 | T45694S | 21 | 922-923 | T475X5A | 15 | 791 | ||
T441X4S | 21 | 922-923 | T45695A | 15 | 791 | T475X5A | 15 | 793 | ||
T441X5A | 15 | 791 | T45695A | 15 | 793 | T475X5A | 21 | 917-918 | ||
T441X5A | 15 | 793 | T45695A | 21 | 917-918 | T475X5D | 23 | 949-950 | ||
T441X5A | 21 | 917-918 | T45695D | 23 | 949-950 | T475X5S | 21 | 922-923 | ||
T441X5D | 23 | 949-950 | T45695S | 21 | 922-923 | T475X6A | 23 | 951 | ||
T441X5S | 21 | 922-923 | T45696A | 23 | 951 | T475X6D | 23 | 949-950 | ||
T441X6A | 23 | 951 | T45696D | 23 | 949-950 | T475X6S | 23 | 949-950 | ||
T441X6D | 23 | 949-950 | T45696S | 23 | 949-950 | T476X1A | 21 | 917-918 | ||
T441X6S | 23 | 949-950 | T457X1A | 21 | 917-918 | T476X1D | 23 | 949-950 | ||
T442X1A | 21 | 917-918 | T457X1D | 23 | 949-950 | T476X1S | 21 | 922-923 | ||
T442X1D | 23 | 949-950 | T457X1S | 21 | 922-923 | T476X2A | 21 | 917-918 | ||
T442X1S | 21 | 922-923 | T457X2A | 21 | 917-918 | T476X2D | 23 | 949-950 | ||
T442X2A | 21 | 917-918 | T457X2D | 23 | 949-950 | T476X2S | 21 | 922-923 | ||
T442X2D | 23 | 949-950 | T457X2S | 21 | 922-923 | T476X3A | 21 | 917-918 | ||
T442X2S | 21 | 922-923 | T457X3A | 21 | 917-918 | T476X3D | 23 | 949-950 | ||
T442X3A | 21 | 917-918 | T457X3D | 23 | 949-950 | T476X3S | 21 | 922-923 | ||
T442X3D | 23 | 949-950 | T457X3S | 21 | 922-923 | T476X4A | 21 | 917-918 | ||
T442X3S | 21 | 922-923 | T457X4A | 21 | 917-918 | T476X4D | 23 | 949-950 | ||
T442X4A | 21 | 917-918 | T457X4D | 23 | 949-950 | T476X4S | 21 | 922-923 | ||
T442X4D | 23 | 949-950 | T457X4S | 21 | 922-923 | T476X5A | 15 | 791 | ||
T442X4S | 21 | 922-923 | T457X5A | 15 | 791 | T476X5A | 15 | 793 | ||
T442X5A | 15 | 791 | T457X5A | 15 | 793 | T476X5A | 21 | 917-918 | ||
T442X5A | 15 | 793 | T457X5A | 21 | 917-918 | T476X5D | 23 | 949-950 | ||
T442X5A | 21 | 917-918 | T457X5D | 23 | 949-950 | T476X5S | 21 | 922-923 | ||
T442X5D | 23 | 949-950 | T457X5S | 21 | 922-923 | T476X6A | 23 | 951 | ||
T442X5S | 21 | 922-923 | T457X6A | 23 | 951 | T476X6D | 23 | 949-950 | ||
T442X6A | 23 | 951 | T457X6D | 23 | 949-950 | T476X6S | 23 | 949-950 | ||
T442X6D | 23 | 949-950 | T457X6S | 23 | 949-950 | T477X1A | 21 | 917-918 | ||
T442X6S | 23 | 949-950 | T458X1A | 21 | 917-918 | T477X1D | 23 | 949-950 | ||
T443X1A | 21 | 917-918 | T458X1D | 23 | 949-950 | T477X1S | 21 | 922-923 | ||
T443X1D | 23 | 949-950 | T458X1S | 21 | 922-923 | T477X2A | 21 | 917-918 | ||
T443X1S | 21 | 922-923 | T458X2A | 21 | 917-918 | T477X2D | 23 | 949-950 | ||
T443X2A | 21 | 917-918 | T458X2D | 23 | 949-950 | T477X2S | 21 | 922-923 | ||
T443X2D | 23 | 949-950 | T458X2S | 21 | 922-923 | T477X3A | 21 | 917-918 | ||
T443X2S | 21 | 922-923 | T458X3A | 21 | 917-918 | T477X3D | 23 | 949-950 | ||
T443X3A | 21 | 917-918 | T458X3D | 23 | 949-950 | T477X3S | 21 | 922-923 | ||
T443X3D | 23 | 949-950 | T458X3S | 21 | 922-923 | T477X4A | 21 | 917-918 | ||
T443X3S | 21 | 922-923 | T458X4A | 21 | 917-918 | T477X4D | 23 | 949-950 | ||
T443X4A | 21 | 917-918 | T458X4D | 23 | 949-950 | T477X4S | 21 | 922-923 | ||
T443X4D | 23 | 949-950 | T458X4S | 21 | 922-923 | T477X5A | 15 | 791 | ||
T443X4S | 21 | 922-923 | T458X5A | 15 | 791 | T477X5A | 15 | 793 | ||
T443X5A | 15 | 791 | T458X5A | 15 | 793 | T477X5A | 21 | 917-918 | ||
T443X5A | 15 | 793 | T458X5A | 21 | 917-918 | T477X5D | 23 | 949-950 | ||
T443X5A | 21 | 917-918 | T458X5D | 23 | 949-950 | T477X5S | 21 | 922-923 | ||
T443X5D | 23 | 949-950 | T458X5S | 21 | 922-923 | T477X6A | 23 | 951 | ||
T443X5S | 21 | 922-923 | T458X6A | 23 | 951 | T477X6D | 23 | 949-950 | ||
T443X6A | 23 | 951 | T458X6D | 23 | 949-950 | T477X6S | 23 | 949-950 | ||
T443X6D | 23 | 949-950 | T458X6S | 23 | 949-950 | T478X1A | 21 | 917-918 | ||
T443X6S | 23 | 949-950 | T4591XA | 21 | 917-918 | T478X1D | 23 | 949-950 | ||
T444X1A | 21 | 917-918 | T4591XD | 23 | 949-950 | T478X1S | 21 | 922-923 | ||
T444X1D | 23 | 949-950 | T4591XS | 21 | 922-923 | T478X2A | 21 | 917-918 | ||
T444X1S | 21 | 922-923 | T4592XA | 21 | 917-918 | T478X2D | 23 | 949-950 | ||
T444X2A | 21 | 917-918 | T4592XD | 23 | 949-950 | T478X2S | 21 | 922-923 | ||
T444X2D | 23 | 949-950 | T4592XS | 21 | 922-923 | T478X3A | 21 | 917-918 | ||
T444X2S | 21 | 922-923 | T4593XA | 21 | 917-918 | T478X3D | 23 | 949-950 | ||
T444X3A | 21 | 917-918 | T4593XD | 23 | 949-950 | T478X3S | 21 | 922-923 | ||
T444X3D | 23 | 949-950 | T4593XS | 21 | 922-923 | T478X4A | 21 | 917-918 | ||
T444X3S | 21 | 922-923 | T4594XA | 21 | 917-918 | T478X4D | 23 | 949-950 | ||
T444X4A | 21 | 917-918 | T4594XD | 23 | 949-950 | T478X4S | 21 | 922-923 | ||
T444X4D | 23 | 949-950 | T4594XS | 21 | 922-923 | T478X5A | 15 | 791 | ||
T444X4S | 21 | 922-923 | T4595XA | 15 | 791 | T478X5A | 15 | 793 | ||
T444X5A | 15 | 791 | T4595XA | 15 | 793 | T478X5A | 21 | 917-918 | ||
T444X5A | 15 | 793 | T4595XA | 21 | 917-918 | T478X5D | 23 | 949-950 | ||
T444X5A | 21 | 917-918 | T4595XD | 23 | 949-950 | T478X5S | 21 | 922-923 | ||
T444X5D | 23 | 949-950 | T4595XS | 21 | 922-923 | T478X6A | 23 | 951 | ||
T444X5S | 21 | 922-923 | T4596XA | 23 | 951 | T478X6D | 23 | 949-950 | ||
T444X6A | 23 | 951 | T4596XD | 23 | 949-950 | T478X6S | 23 | 949-950 | ||
T444X6D | 23 | 949-950 | T4596XS | 23 | 949-950 | T4791XA | 21 | 917-918 | ||
T444X6S | 23 | 949-950 | T460X1A | 21 | 917-918 | T4791XD | 23 | 949-950 | ||
T445X1A | 21 | 917-918 | T460X1D | 23 | 949-950 | T4791XS | 21 | 922-923 | ||
T445X1D | 23 | 949-950 | T460X1S | 21 | 922-923 | T4792XA | 21 | 917-918 | ||
T445X1S | 21 | 922-923 | T460X2A | 21 | 917-918 | T4792XD | 23 | 949-950 | ||
T445X2A | 21 | 917-918 | T460X2D | 23 | 949-950 | T4792XS | 21 | 922-923 | ||
T445X2D | 23 | 949-950 | T460X2S | 21 | 922-923 | T4793XA | 21 | 917-918 | ||
T445X2S | 21 | 922-923 | T460X3A | 21 | 917-918 | T4793XD | 23 | 949-950 | ||
T445X3A | 21 | 917-918 | T460X3D | 23 | 949-950 | T4793XS | 21 | 922-923 | ||
T445X3D | 23 | 949-950 | T460X3S | 21 | 922-923 | T4794XA | 21 | 917-918 | ||
T445X3S | 21 | 922-923 | T460X4A | 21 | 917-918 | T4794XD | 23 | 949-950 | ||
T445X4A | 21 | 917-918 | T460X4D | 23 | 949-950 | T4794XS | 21 | 922-923 | ||
T445X4D | 23 | 949-950 | T460X4S | 21 | 922-923 | T4795XA | 15 | 791 | ||
T445X4S | 21 | 922-923 | T460X5A | 15 | 791 | T4795XA | 15 | 793 | ||
T445X5A | 15 | 791 | T460X5A | 15 | 793 | T4795XA | 21 | 917-918 | ||
T445X5A | 15 | 793 | T460X5A | 21 | 917-918 | T4795XD | 23 | 949-950 | ||
T445X5A | 21 | 917-918 | T460X5D | 23 | 949-950 | T4795XS | 21 | 922-923 | ||
T445X5D | 23 | 949-950 | T460X5S | 21 | 922-923 | T4796XA | 23 | 951 | ||
T445X5S | 21 | 922-923 | T460X6A | 23 | 951 | T4796XD | 23 | 949-950 | ||
T445X6A | 23 | 951 | T460X6D | 23 | 949-950 | T4796XS | 23 | 949-950 | ||
T445X6D | 23 | 949-950 | T460X6S | 23 | 949-950 | T480X1A | 21 | 917-918 | ||
T445X6S | 23 | 949-950 | T461X1A | 21 | 917-918 | T480X1D | 23 | 949-950 | ||
T446X1A | 21 | 917-918 | T461X1D | 23 | 949-950 | T480X1S | 21 | 922-923 | ||
T446X1D | 23 | 949-950 | T461X1S | 21 | 922-923 | T480X2A | 21 | 917-918 | ||
T446X1S | 21 | 922-923 | T461X2A | 21 | 917-918 | T480X2D | 23 | 949-950 | ||
T446X2A | 21 | 917-918 | T461X2D | 23 | 949-950 | T480X2S | 21 | 922-923 | ||
T446X2D | 23 | 949-950 | T461X2S | 21 | 922-923 | T480X3A | 21 | 917-918 | ||
T446X2S | 21 | 922-923 | T461X3A | 21 | 917-918 | T480X3D | 23 | 949-950 | ||
T446X3A | 21 | 917-918 | T461X3D | 23 | 949-950 | T480X3S | 21 | 922-923 | ||
T446X3D | 23 | 949-950 | T461X3S | 21 | 922-923 | T480X4A | 21 | 917-918 | ||
T446X3S | 21 | 922-923 | T461X4A | 21 | 917-918 | T480X4D | 23 | 949-950 | ||
T446X4A | 21 | 917-918 | T461X4D | 23 | 949-950 | T480X4S | 21 | 922-923 | ||
T446X4D | 23 | 949-950 | T461X4S | 21 | 922-923 | T480X5A | 15 | 791 | ||
T446X4S | 21 | 922-923 | T461X5A | 15 | 791 | T480X5A | 15 | 793 | ||
T446X5A | 15 | 791 | T461X5A | 15 | 793 | T480X5A | 21 | 917-918 | ||
T446X5A | 15 | 793 | T461X5A | 21 | 917-918 | T480X5D | 23 | 949-950 | ||
T446X5A | 21 | 917-918 | T461X5D | 23 | 949-950 | T480X5S | 21 | 922-923 | ||
T446X5D | 23 | 949-950 | T461X5S | 21 | 922-923 | T480X6A | 23 | 951 | ||
T446X5S | 21 | 922-923 | T461X6A | 23 | 951 | T480X6D | 23 | 949-950 | ||
T446X6A | 23 | 951 | T461X6D | 23 | 949-950 | T480X6S | 23 | 949-950 | ||
T446X6D | 23 | 949-950 | T461X6S | 23 | 949-950 | T481X1A | 21 | 917-918 | ||
T446X6S | 23 | 949-950 | T462X1A | 21 | 917-918 | T481X1D | 23 | 949-950 | ||
T447X1A | 21 | 917-918 | T462X1D | 23 | 949-950 | T481X1S | 21 | 922-923 | ||
T447X1D | 23 | 949-950 | T462X1S | 21 | 922-923 | T481X2A | 21 | 917-918 | ||
T447X1S | 21 | 922-923 | T462X2A | 21 | 917-918 | T481X2D | 23 | 949-950 | ||
T447X2A | 21 | 917-918 | T462X2D | 23 | 949-950 | T481X2S | 21 | 922-923 | ||
T447X2D | 23 | 949-950 | T462X2S | 21 | 922-923 | T481X3A | 21 | 917-918 | ||
T447X2S | 21 | 922-923 | T462X3A | 21 | 917-918 | T481X3D | 23 | 949-950 | ||
T447X3A | 21 | 917-918 | T462X3D | 23 | 949-950 | T481X3S | 21 | 922-923 | ||
T447X3D | 23 | 949-950 | T462X3S | 21 | 922-923 | T481X4A | 21 | 917-918 | ||
T447X3S | 21 | 922-923 | T462X4A | 21 | 917-918 | T481X4D | 23 | 949-950 | ||
T447X4A | 21 | 917-918 | T462X4D | 23 | 949-950 | T481X4S | 21 | 922-923 | ||
T447X4D | 23 | 949-950 | T462X4S | 21 | 922-923 | T481X5A | 15 | 791 | ||
T447X4S | 21 | 922-923 | T462X5A | 15 | 791 | T481X5A | 15 | 793 | ||
T447X5A | 15 | 791 | T462X5A | 15 | 793 | T481X5A | 21 | 917-918 | ||
T447X5A | 15 | 793 | T462X5A | 21 | 917-918 | T481X5D | 23 | 949-950 | ||
T447X5A | 21 | 917-918 | T462X5D | 23 | 949-950 | T481X5S | 21 | 922-923 | ||
T447X5D | 23 | 949-950 | T462X5S | 21 | 922-923 | T481X6A | 23 | 951 | ||
T447X5S | 21 | 922-923 | T462X6A | 23 | 951 | T481X6D | 23 | 949-950 | ||
T447X6A | 23 | 951 | T462X6D | 23 | 949-950 | T481X6S | 23 | 949-950 | ||
T447X6D | 23 | 949-950 | T462X6S | 23 | 949-950 | T48201A | 21 | 917-918 | ||
T447X6S | 23 | 949-950 | T463X1A | 21 | 917-918 | T48201D | 23 | 949-950 | ||
T448X1A | 21 | 917-918 | T463X1D | 23 | 949-950 | T48201S | 21 | 922-923 | ||
T448X1D | 23 | 949-950 | T463X1S | 21 | 922-923 | T48202A | 21 | 917-918 | ||
T448X1S | 21 | 922-923 | T463X2A | 21 | 917-918 | T48202D | 23 | 949-950 | ||
T448X2A | 21 | 917-918 | T463X2D | 23 | 949-950 | T48202S | 21 | 922-923 | ||
T448X2D | 23 | 949-950 | T463X2S | 21 | 922-923 | T48203A | 21 | 917-918 | ||
T448X2S | 21 | 922-923 | T463X3A | 21 | 917-918 | T48203D | 23 | 949-950 | ||
T448X3A | 21 | 917-918 | T463X3D | 23 | 949-950 | T48203S | 21 | 922-923 | ||
T448X3D | 23 | 949-950 | T463X3S | 21 | 922-923 | T48204A | 21 | 917-918 | ||
T448X3S | 21 | 922-923 | T463X4A | 21 | 917-918 | T48204D | 23 | 949-950 | ||
T448X4A | 21 | 917-918 | T463X4D | 23 | 949-950 | T48204S | 21 | 922-923 | ||
T448X4D | 23 | 949-950 | T463X4S | 21 | 922-923 | T48205A | 15 | 791 | ||
T448X4S | 21 | 922-923 | T463X5A | 15 | 791 | T48205A | 15 | 793 | ||
T448X5A | 15 | 791 | T463X5A | 15 | 793 | T48205A | 21 | 917-918 | ||
T448X5A | 15 | 793 | T463X5A | 21 | 917-918 | T48205D | 23 | 949-950 | ||
T448X5A | 21 | 917-918 | T463X5D | 23 | 949-950 | T48205S | 21 | 922-923 | ||
T448X5D | 23 | 949-950 | T463X5S | 21 | 922-923 | T48206A | 23 | 951 | ||
T448X5S | 21 | 922-923 | T463X6A | 23 | 951 | T48206D | 23 | 949-950 | ||
T448X6A | 23 | 951 | T463X6D | 23 | 949-950 | T48206S | 23 | 949-950 | ||
T448X6D | 23 | 949-950 | T463X6S | 23 | 949-950 | T48291A | 21 | 917-918 | ||
T448X6S | 23 | 949-950 | T464X1A | 21 | 917-918 | T48291D | 23 | 949-950 | ||
T44901A | 21 | 917-918 | T464X1D | 23 | 949-950 | T48291S | 21 | 922-923 | ||
T44901D | 23 | 949-950 | T464X1S | 21 | 922-923 | T48292A | 21 | 917-918 | ||
T44901S | 21 | 922-923 | T464X2A | 21 | 917-918 | T48292D | 23 | 949-950 | ||
T44902A | 21 | 917-918 | T464X2D | 23 | 949-950 | T48292S | 21 | 922-923 | ||
T44902D | 23 | 949-950 | T464X2S | 21 | 922-923 | T48293A | 21 | 917-918 | ||
T44902S | 21 | 922-923 | T464X3A | 21 | 917-918 | T48293D | 23 | 949-950 | ||
T44903A | 21 | 917-918 | T464X3D | 23 | 949-950 | T48293S | 21 | 922-923 | ||
T44903D | 23 | 949-950 | T464X3S | 21 | 922-923 | T48294A | 21 | 917-918 | ||
T44903S | 21 | 922-923 | T464X4A | 21 | 917-918 | T48294D | 23 | 949-950 | ||
T44904A | 21 | 917-918 | T464X4D | 23 | 949-950 | T48294S | 21 | 922-923 | ||
T44904D | 23 | 949-950 | T464X4S | 21 | 922-923 | T48295A | 15 | 791 | ||
T44904S | 21 | 922-923 | T464X5A | 15 | 791 | T48295A | 15 | 793 | ||
T44905A | 15 | 791 | T464X5A | 15 | 793 | T48295A | 21 | 917-918 | ||
T44905A | 15 | 793 | T464X5A | 21 | 917-918 | T48295D | 23 | 949-950 | ||
T44905A | 21 | 917-918 | T464X5D | 23 | 949-950 | T48295S | 21 | 922-923 | ||
T44905D | 23 | 949-950 | T464X5S | 21 | 922-923 | T48296A | 23 | 951 | ||
T44905S | 21 | 922-923 | T464X6A | 23 | 951 | T48296D | 23 | 949-950 | ||
T44906A | 23 | 951 | T464X6D | 23 | 949-950 | T48296S | 23 | 949-950 | ||
T44906D | 23 | 949-950 | T464X6S | 23 | 949-950 | T483X1A | 21 | 917-918 | ||
T44906S | 23 | 949-950 | T465X1A | 21 | 917-918 | T483X1D | 23 | 949-950 | ||
T44991A | 21 | 917-918 | T465X1D | 23 | 949-950 | T483X1S | 21 | 922-923 | ||
T44991D | 23 | 949-950 | T465X1S | 21 | 922-923 | T483X2A | 21 | 917-918 | ||
T44991S | 21 | 922-923 | T465X2A | 21 | 917-918 | T483X2D | 23 | 949-950 | ||
T44992A | 21 | 917-918 | T465X2D | 23 | 949-950 | T483X2S | 21 | 922-923 | ||
T44992D | 23 | 949-950 | T465X2S | 21 | 922-923 | T483X3A | 21 | 917-918 | ||
T44992S | 21 | 922-923 | T465X3A | 21 | 917-918 | T483X3D | 23 | 949-950 | ||
T44993A | 21 | 917-918 | T465X3D | 23 | 949-950 | T483X3S | 21 | 922-923 | ||
T44993D | 23 | 949-950 | T465X3S | 21 | 922-923 | T483X4A | 21 | 917-918 | ||
T44993S | 21 | 922-923 | T465X4A | 21 | 917-918 | T483X4D | 23 | 949-950 | ||
T44994A | 21 | 917-918 | T465X4D | 23 | 949-950 | T483X4S | 21 | 922-923 | ||
T44994D | 23 | 949-950 | T465X4S | 21 | 922-923 | T483X5A | 15 | 791 | ||
T44994S | 21 | 922-923 | T465X5A | 15 | 791 | T483X5A | 15 | 793 | ||
T44995A | 15 | 791 | T465X5A | 15 | 793 | T483X5A | 21 | 917-918 | ||
T44995A | 15 | 793 | T465X5A | 21 | 917-918 | T483X5D | 23 | 949-950 | ||
T44995A | 21 | 917-918 | T465X5D | 23 | 949-950 | T483X5S | 21 | 922-923 | ||
T44995D | 23 | 949-950 | T465X5S | 21 | 922-923 | T483X6A | 23 | 951 | ||
T44995S | 21 | 922-923 | T465X6A | 23 | 951 | T483X6D | 23 | 949-950 | ||
T44996A | 23 | 951 | T465X6D | 23 | 949-950 | T483X6S | 23 | 949-950 | ||
T44996D | 23 | 949-950 | T465X6S | 23 | 949-950 | T484X1A | 21 | 917-918 | ||
T44996S | 23 | 949-950 | T466X1A | 21 | 917-918 | T484X1D | 23 | 949-950 | ||
T450X1A | 21 | 917-918 | T466X1D | 23 | 949-950 | T484X1S | 21 | 922-923 | ||
T450X1D | 23 | 949-950 | T466X1S | 21 | 922-923 | T484X2A | 21 | 917-918 | ||
T450X1S | 21 | 922-923 | T466X2A | 21 | 917-918 | T484X2D | 23 | 949-950 | ||
T450X2A | 21 | 917-918 | T466X2D | 23 | 949-950 | T484X2S | 21 | 922-923 | ||
T450X2D | 23 | 949-950 | T466X2S | 21 | 922-923 | T484X3A | 21 | 917-918 | ||
T450X2S | 21 | 922-923 | T466X3A | 21 | 917-918 | T484X3D | 23 | 949-950 | ||
T450X3A | 21 | 917-918 | T466X3D | 23 | 949-950 | T484X3S | 21 | 922-923 | ||
T450X3D | 23 | 949-950 | T466X3S | 21 | 922-923 | T484X4A | 21 | 917-918 | ||
T450X3S | 21 | 922-923 | T466X4A | 21 | 917-918 | T484X4D | 23 | 949-950 | ||
T450X4A | 21 | 917-918 | T466X4D | 23 | 949-950 | T484X4S | 21 | 922-923 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 16:20:17 CMS, code-revision=332, description-revision=1327 |