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ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 4 of 75 |
A000 B302 C577 C8442 D309 E093393 E1344 F19280 G9761 H21341 H52203 I369 I70221 J682 K7031 L89200 M06812 M23203 M4841XS M71811 M84529D M87842 N468 O1214 O336XX3 O368234 O714 P913 R062 S0092XA S0303XA S069X2A S14106D S21312S S25809S S31811D S32499S S37012A S42123D S42449D S46329S S52045R S52291A S52552B S56112S S60359A S61509A S62321G S62660D S63637S S66529S S72024G S72114B S72326D S72451B S7711XD S82045J S82251P S8261XA S83521A S89309D S92044S S92426G S96802A T20219S T23229S T25739S T391X5S T444X2S T498X3S T602X4S T7805XS T83728S Z315 Z96641 |
DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
---|---|---|---|---|---|---|---|---|---|---|
C8442 | 17 | 820-822 | C860 | Pre | 011-013 | C969 | Pre | 011-013 | ||
C8442 | 17 | 823-825 | C860 | 17 | 820-822 | C969 | 17 | 820-822 | ||
C8442 | 17 | 840-842 | C860 | 17 | 823-825 | C969 | 17 | 823-825 | ||
C8442 | 25 | 974-976 | C860 | 17 | 840-842 | C969 | 17 | 840-842 | ||
C8443 | 17 | 820-822 | C860 | 25 | 974-976 | C96A | Pre | 011-013 | ||
C8443 | 17 | 823-825 | C861 | 17 | 820-822 | C96A | 17 | 820-822 | ||
C8443 | 17 | 840-842 | C861 | 17 | 823-825 | C96A | 17 | 823-825 | ||
C8443 | 25 | 974-976 | C861 | 17 | 840-842 | C96A | 17 | 840-842 | ||
C8444 | 17 | 820-822 | C861 | 25 | 974-976 | C96Z | 17 | 820-822 | ||
C8444 | 17 | 823-825 | C862 | 17 | 820-822 | C96Z | 17 | 823-825 | ||
C8444 | 17 | 840-842 | C862 | 17 | 823-825 | C96Z | 17 | 840-842 | ||
C8444 | 25 | 974-976 | C862 | 17 | 840-842 | D0000 | Pre | 011-013 | ||
C8445 | 17 | 820-822 | C862 | 25 | 974-976 | D0000 | 03 | 146-148 | ||
C8445 | 17 | 823-825 | C863 | 17 | 820-822 | D0001 | Pre | 011-013 | ||
C8445 | 17 | 840-842 | C863 | 17 | 823-825 | D0001 | 03 | 146-148 | ||
C8445 | 25 | 974-976 | C863 | 17 | 840-842 | D0002 | Pre | 011-013 | ||
C8446 | 17 | 820-822 | C863 | 25 | 974-976 | D0002 | 03 | 146-148 | ||
C8446 | 17 | 823-825 | C864 | 17 | 820-822 | D0003 | Pre | 011-013 | ||
C8446 | 17 | 840-842 | C864 | 17 | 823-825 | D0003 | 03 | 146-148 | ||
C8446 | 25 | 974-976 | C864 | 17 | 840-842 | D0004 | Pre | 011-013 | ||
C8447 | 17 | 820-822 | C864 | 25 | 974-976 | D0004 | 03 | 146-148 | ||
C8447 | 17 | 823-825 | C865 | 17 | 820-822 | D0005 | Pre | 011-013 | ||
C8447 | 17 | 840-842 | C865 | 17 | 823-825 | D0005 | 03 | 146-148 | ||
C8447 | 25 | 974-976 | C865 | 17 | 840-842 | D0006 | Pre | 011-013 | ||
C8448 | 17 | 820-822 | C865 | 25 | 974-976 | D0006 | 03 | 146-148 | ||
C8448 | 17 | 823-825 | C866 | 17 | 820-822 | D0007 | Pre | 011-013 | ||
C8448 | 17 | 840-842 | C866 | 17 | 823-825 | D0007 | 03 | 146-148 | ||
C8448 | 25 | 974-976 | C866 | 17 | 840-842 | D0008 | Pre | 011-013 | ||
C8449 | 17 | 820-822 | C866 | 25 | 974-976 | D0008 | 03 | 146-148 | ||
C8449 | 17 | 823-825 | C880 | 17 | 820-822 | D001 | 06 | 374-376 | ||
C8449 | 17 | 840-842 | C880 | 17 | 823-825 | D002 | 06 | 374-376 | ||
C8449 | 25 | 974-976 | C880 | 17 | 840-842 | D010 | 06 | 374-376 | ||
C8460 | 17 | 820-822 | C882 | 17 | 820-822 | D011 | 06 | 374-376 | ||
C8460 | 17 | 823-825 | C882 | 17 | 823-825 | D012 | 06 | 374-376 | ||
C8460 | 17 | 840-842 | C882 | 17 | 840-842 | D013 | 06 | 374-376 | ||
C8460 | 25 | 974-976 | C883 | 17 | 820-822 | D0140 | 06 | 374-376 | ||
C8461 | 17 | 820-822 | C883 | 17 | 823-825 | D0149 | 06 | 374-376 | ||
C8461 | 17 | 823-825 | C883 | 17 | 840-842 | D015 | 07 | 435-437 | ||
C8461 | 17 | 840-842 | C884 | 17 | 820-822 | D017 | 06 | 374-376 | ||
C8461 | 25 | 974-976 | C884 | 17 | 823-825 | D019 | 06 | 374-376 | ||
C8462 | 17 | 820-822 | C884 | 17 | 840-842 | D020 | Pre | 011-013 | ||
C8462 | 17 | 823-825 | C884 | 25 | 974-976 | D020 | 03 | 146-148 | ||
C8462 | 17 | 840-842 | C888 | 17 | 820-822 | D021 | 04 | 180-182 | ||
C8462 | 25 | 974-976 | C888 | 17 | 823-825 | D0220 | 04 | 180-182 | ||
C8463 | 17 | 820-822 | C888 | 17 | 840-842 | D0221 | 04 | 180-182 | ||
C8463 | 17 | 823-825 | C889 | 17 | 820-822 | D0222 | 04 | 180-182 | ||
C8463 | 17 | 840-842 | C889 | 17 | 823-825 | D023 | 04 | 180-182 | ||
C8463 | 25 | 974-976 | C889 | 17 | 840-842 | D024 | 04 | 180-182 | ||
C8464 | 17 | 820-822 | C9000 | 17 | 820-822 | D030 | 09 | 595-596 | ||
C8464 | 17 | 823-825 | C9000 | 17 | 823-825 | D0310 | 02 | 124-125 | ||
C8464 | 17 | 840-842 | C9000 | 17 | 840-842 | D03111 | 02 | 124-125 | ||
C8464 | 25 | 974-976 | C9001 | 17 | 820-822 | D03112 | 02 | 124-125 | ||
C8465 | 17 | 820-822 | C9001 | 17 | 823-825 | D03121 | 02 | 124-125 | ||
C8465 | 17 | 823-825 | C9001 | 17 | 840-842 | D03122 | 02 | 124-125 | ||
C8465 | 17 | 840-842 | C9002 | 17 | 820-822 | D0320 | 09 | 595-596 | ||
C8465 | 25 | 974-976 | C9002 | 17 | 823-825 | D0321 | 09 | 595-596 | ||
C8466 | 17 | 820-822 | C9002 | 17 | 840-842 | D0322 | 09 | 595-596 | ||
C8466 | 17 | 823-825 | C9010 | 17 | 820-822 | D0330 | 09 | 595-596 | ||
C8466 | 17 | 840-842 | C9010 | 17 | 823-825 | D0339 | 09 | 595-596 | ||
C8466 | 25 | 974-976 | C9010 | 17 | 840-842 | D034 | 09 | 595-596 | ||
C8467 | 17 | 820-822 | C9011 | 17 | 820-822 | D0351 | 09 | 595-596 | ||
C8467 | 17 | 823-825 | C9011 | 17 | 823-825 | D0352 | 09 | 595-596 | ||
C8467 | 17 | 840-842 | C9011 | 17 | 840-842 | D0359 | 09 | 595-596 | ||
C8467 | 25 | 974-976 | C9012 | 17 | 820-822 | D0360 | 09 | 595-596 | ||
C8468 | 17 | 820-822 | C9012 | 17 | 823-825 | D0361 | 09 | 595-596 | ||
C8468 | 17 | 823-825 | C9012 | 17 | 840-842 | D0362 | 09 | 595-596 | ||
C8468 | 17 | 840-842 | C9020 | 17 | 820-822 | D0370 | 09 | 595-596 | ||
C8468 | 25 | 974-976 | C9020 | 17 | 823-825 | D0371 | 09 | 595-596 | ||
C8469 | 17 | 820-822 | C9020 | 17 | 840-842 | D0372 | 09 | 595-596 | ||
C8469 | 17 | 823-825 | C9021 | 17 | 820-822 | D038 | 09 | 595-596 | ||
C8469 | 17 | 840-842 | C9021 | 17 | 823-825 | D039 | 09 | 595-596 | ||
C8469 | 25 | 974-976 | C9021 | 17 | 840-842 | D040 | 09 | 606-607 | ||
C8470 | 17 | 820-822 | C9022 | 17 | 820-822 | D0410 | 02 | 124-125 | ||
C8470 | 17 | 823-825 | C9022 | 17 | 823-825 | D04111 | 02 | 124-125 | ||
C8470 | 17 | 840-842 | C9022 | 17 | 840-842 | D04112 | 02 | 124-125 | ||
C8470 | 25 | 974-976 | C9030 | 17 | 820-822 | D04121 | 02 | 124-125 | ||
C8471 | 17 | 820-822 | C9030 | 17 | 823-825 | D04122 | 02 | 124-125 | ||
C8471 | 17 | 823-825 | C9030 | 17 | 840-842 | D0420 | 09 | 606-607 | ||
C8471 | 17 | 840-842 | C9031 | 17 | 820-822 | D0421 | 09 | 606-607 | ||
C8471 | 25 | 974-976 | C9031 | 17 | 823-825 | D0422 | 09 | 606-607 | ||
C8472 | 17 | 820-822 | C9031 | 17 | 840-842 | D0430 | 09 | 606-607 | ||
C8472 | 17 | 823-825 | C9032 | 17 | 820-822 | D0439 | 09 | 606-607 | ||
C8472 | 17 | 840-842 | C9032 | 17 | 823-825 | D044 | 09 | 606-607 | ||
C8472 | 25 | 974-976 | C9032 | 17 | 840-842 | D045 | 09 | 606-607 | ||
C8473 | 17 | 820-822 | C9100 | 17 | 820-822 | D0460 | 09 | 606-607 | ||
C8473 | 17 | 823-825 | C9100 | 17 | 834-836 | D0461 | 09 | 606-607 | ||
C8473 | 17 | 840-842 | C9100 | 17 | 837-839 | D0462 | 09 | 606-607 | ||
C8473 | 25 | 974-976 | C9101 | 17 | 820-822 | D0470 | 09 | 606-607 | ||
C8474 | 17 | 820-822 | C9101 | 17 | 834-836 | D0471 | 09 | 606-607 | ||
C8474 | 17 | 823-825 | C9101 | 17 | 837-839 | D0472 | 09 | 606-607 | ||
C8474 | 17 | 840-842 | C9102 | 17 | 820-822 | D048 | 09 | 606-607 | ||
C8474 | 25 | 974-976 | C9102 | 17 | 834-836 | D049 | 09 | 606-607 | ||
C8475 | 17 | 820-822 | C9102 | 17 | 837-839 | D0500 | 09 | 582-583 | ||
C8475 | 17 | 823-825 | C9110 | 17 | 820-822 | D0500 | 09 | 597-599 | ||
C8475 | 17 | 840-842 | C9110 | 17 | 823-825 | D0501 | 09 | 582-583 | ||
C8475 | 25 | 974-976 | C9110 | 17 | 840-842 | D0501 | 09 | 597-599 | ||
C8476 | 17 | 820-822 | C9111 | 17 | 820-822 | D0502 | 09 | 582-583 | ||
C8476 | 17 | 823-825 | C9111 | 17 | 823-825 | D0502 | 09 | 597-599 | ||
C8476 | 17 | 840-842 | C9111 | 17 | 840-842 | D0510 | 09 | 582-583 | ||
C8476 | 25 | 974-976 | C9112 | 17 | 820-822 | D0510 | 09 | 597-599 | ||
C8477 | 17 | 820-822 | C9112 | 17 | 823-825 | D0511 | 09 | 582-583 | ||
C8477 | 17 | 823-825 | C9112 | 17 | 840-842 | D0511 | 09 | 597-599 | ||
C8477 | 17 | 840-842 | C9130 | 17 | 820-822 | D0512 | 09 | 582-583 | ||
C8477 | 25 | 974-976 | C9130 | 17 | 823-825 | D0512 | 09 | 597-599 | ||
C8478 | 17 | 820-822 | C9130 | 17 | 840-842 | D0580 | 09 | 582-583 | ||
C8478 | 17 | 823-825 | C9131 | 17 | 820-822 | D0580 | 09 | 597-599 | ||
C8478 | 17 | 840-842 | C9131 | 17 | 823-825 | D0581 | 09 | 582-583 | ||
C8478 | 25 | 974-976 | C9131 | 17 | 840-842 | D0581 | 09 | 597-599 | ||
C8479 | 17 | 820-822 | C9132 | 17 | 820-822 | D0582 | 09 | 582-583 | ||
C8479 | 17 | 823-825 | C9132 | 17 | 823-825 | D0582 | 09 | 597-599 | ||
C8479 | 17 | 840-842 | C9132 | 17 | 840-842 | D0590 | 09 | 582-583 | ||
C8479 | 25 | 974-976 | C9140 | Pre | 011-013 | D0590 | 09 | 597-599 | ||
C847A | 17 | 820-822 | C9140 | 17 | 820-822 | D0591 | 09 | 582-583 | ||
C847A | 17 | 823-825 | C9140 | 17 | 823-825 | D0591 | 09 | 597-599 | ||
C847A | 17 | 840-842 | C9140 | 17 | 840-842 | D0592 | 09 | 582-583 | ||
C847A | 25 | 974-976 | C9141 | 17 | 820-822 | D0592 | 09 | 597-599 | ||
C8490 | 17 | 820-822 | C9141 | 17 | 823-825 | D060 | 13 | 736-741 | ||
C8490 | 17 | 823-825 | C9141 | 17 | 840-842 | D060 | 13 | 754-756 | ||
C8490 | 17 | 840-842 | C9142 | 17 | 820-822 | D061 | 13 | 736-741 | ||
C8490 | 25 | 974-976 | C9142 | 17 | 823-825 | D061 | 13 | 754-756 | ||
C8491 | Pre | 011-013 | C9142 | 17 | 840-842 | D067 | 13 | 736-741 | ||
C8491 | 17 | 820-822 | C9150 | 17 | 820-822 | D067 | 13 | 754-756 | ||
C8491 | 17 | 823-825 | C9150 | 17 | 823-825 | D069 | 13 | 736-741 | ||
C8491 | 17 | 840-842 | C9150 | 17 | 840-842 | D069 | 13 | 754-756 | ||
C8491 | 25 | 974-976 | C9151 | 17 | 820-822 | D070 | 13 | 736-741 | ||
C8492 | 17 | 820-822 | C9151 | 17 | 823-825 | D070 | 13 | 754-756 | ||
C8492 | 17 | 823-825 | C9151 | 17 | 840-842 | D071 | 13 | 736-741 | ||
C8492 | 17 | 840-842 | C9152 | 17 | 820-822 | D071 | 13 | 754-756 | ||
C8492 | 25 | 974-976 | C9152 | 17 | 823-825 | D072 | 13 | 736-741 | ||
C8493 | 17 | 820-822 | C9152 | 17 | 840-842 | D072 | 13 | 754-756 | ||
C8493 | 17 | 823-825 | C9160 | 17 | 820-822 | D0730 | 13 | 736-741 | ||
C8493 | 17 | 840-842 | C9160 | 17 | 823-825 | D0730 | 13 | 754-756 | ||
C8493 | 25 | 974-976 | C9160 | 17 | 840-842 | D0739 | 13 | 736-741 | ||
C8494 | 17 | 820-822 | C9161 | 17 | 820-822 | D0739 | 13 | 754-756 | ||
C8494 | 17 | 823-825 | C9161 | 17 | 823-825 | D074 | 12 | 715-716 | ||
C8494 | 17 | 840-842 | C9161 | 17 | 840-842 | D074 | 12 | 722-724 | ||
C8494 | 25 | 974-976 | C9162 | 17 | 820-822 | D075 | 12 | 715-716 | ||
C8495 | 17 | 820-822 | C9162 | 17 | 823-825 | D075 | 12 | 722-724 | ||
C8495 | 17 | 823-825 | C9162 | 17 | 840-842 | D0760 | 12 | 715-716 | ||
C8495 | 17 | 840-842 | C9190 | 17 | 820-822 | D0760 | 12 | 722-724 | ||
C8495 | 25 | 974-976 | C9190 | 17 | 823-825 | D0761 | 12 | 715-716 | ||
C8496 | 17 | 820-822 | C9190 | 17 | 840-842 | D0761 | 12 | 722-724 | ||
C8496 | 17 | 823-825 | C9191 | 17 | 820-822 | D0769 | 12 | 715-716 | ||
C8496 | 17 | 840-842 | C9191 | 17 | 823-825 | D0769 | 12 | 722-724 | ||
C8496 | 25 | 974-976 | C9191 | 17 | 840-842 | D090 | 11 | 656-658 | ||
C8497 | 17 | 820-822 | C9192 | 17 | 820-822 | D090 | 11 | 686-688 | ||
C8497 | 17 | 823-825 | C9192 | 17 | 823-825 | D0910 | 11 | 656-658 | ||
C8497 | 17 | 840-842 | C9192 | 17 | 840-842 | D0910 | 11 | 686-688 | ||
C8497 | 25 | 974-976 | C91A0 | 17 | 820-822 | D0919 | 11 | 656-658 | ||
C8498 | 17 | 820-822 | C91A0 | 17 | 823-825 | D0919 | 11 | 686-688 | ||
C8498 | 17 | 823-825 | C91A0 | 17 | 840-842 | D0920 | 02 | 124-125 | ||
C8498 | 17 | 840-842 | C91A1 | 17 | 820-822 | D0921 | 02 | 124-125 | ||
C8498 | 25 | 974-976 | C91A1 | 17 | 823-825 | D0922 | 02 | 124-125 | ||
C8499 | 17 | 820-822 | C91A1 | 17 | 840-842 | D093 | 17 | 826-828 | ||
C8499 | 17 | 823-825 | C91A2 | 17 | 820-822 | D093 | 17 | 829-830 | ||
C8499 | 17 | 840-842 | C91A2 | 17 | 823-825 | D093 | 17 | 843-845 | ||
C8499 | 25 | 974-976 | C91A2 | 17 | 840-842 | D098 | 17 | 826-828 | ||
C84A0 | 17 | 820-822 | C91Z0 | 17 | 820-822 | D098 | 17 | 829-830 | ||
C84A0 | 17 | 823-825 | C91Z0 | 17 | 823-825 | D098 | 17 | 843-845 | ||
C84A0 | 17 | 840-842 | C91Z0 | 17 | 840-842 | D099 | 17 | 826-828 | ||
C84A0 | 25 | 974-976 | C91Z1 | 17 | 820-822 | D099 | 17 | 829-830 | ||
C84A1 | Pre | 011-013 | C91Z1 | 17 | 823-825 | D099 | 17 | 843-845 | ||
C84A1 | 17 | 820-822 | C91Z1 | 17 | 840-842 | D100 | Pre | 011-013 | ||
C84A1 | 17 | 823-825 | C91Z2 | 17 | 820-822 | D100 | 03 | 157-159 | ||
C84A1 | 17 | 840-842 | C91Z2 | 17 | 823-825 | D101 | Pre | 011-013 | ||
C84A1 | 25 | 974-976 | C91Z2 | 17 | 840-842 | D101 | 03 | 157-159 | ||
C84A2 | 17 | 820-822 | C9200 | 17 | 820-822 | D102 | Pre | 011-013 | ||
C84A2 | 17 | 823-825 | C9200 | 17 | 834-836 | D102 | 03 | 157-159 | ||
C84A2 | 17 | 840-842 | C9200 | 17 | 837-839 | D1030 | Pre | 011-013 | ||
C84A2 | 25 | 974-976 | C9201 | 17 | 820-822 | D1030 | 03 | 157-159 | ||
C84A3 | 17 | 820-822 | C9201 | 17 | 834-836 | D1039 | Pre | 011-013 | ||
C84A3 | 17 | 823-825 | C9201 | 17 | 837-839 | D1039 | 03 | 157-159 | ||
C84A3 | 17 | 840-842 | C9202 | 17 | 820-822 | D104 | Pre | 011-013 | ||
C84A3 | 25 | 974-976 | C9202 | 17 | 834-836 | D104 | 03 | 154-156 | ||
C84A4 | 17 | 820-822 | C9202 | 17 | 837-839 | D105 | Pre | 011-013 | ||
C84A4 | 17 | 823-825 | C9210 | 17 | 820-822 | D105 | 03 | 154-156 | ||
C84A4 | 17 | 840-842 | C9210 | 17 | 823-825 | D106 | Pre | 011-013 | ||
C84A4 | 25 | 974-976 | C9210 | 17 | 840-842 | D106 | 03 | 154-156 | ||
C84A5 | 17 | 820-822 | C9211 | 17 | 820-822 | D107 | Pre | 011-013 | ||
C84A5 | 17 | 823-825 | C9211 | 17 | 823-825 | D107 | 03 | 154-156 | ||
C84A5 | 17 | 840-842 | C9211 | 17 | 840-842 | D109 | Pre | 011-013 | ||
C84A5 | 25 | 974-976 | C9212 | 17 | 820-822 | D109 | 03 | 154-156 | ||
C84A6 | 17 | 820-822 | C9212 | 17 | 823-825 | D110 | Pre | 011-013 | ||
C84A6 | 17 | 823-825 | C9212 | 17 | 840-842 | D110 | 03 | 154-156 | ||
C84A6 | 17 | 840-842 | C9220 | 17 | 820-822 | D117 | Pre | 011-013 | ||
C84A6 | 25 | 974-976 | C9220 | 17 | 823-825 | D117 | 03 | 154-156 | ||
C84A7 | 17 | 820-822 | C9220 | 17 | 840-842 | D119 | Pre | 011-013 | ||
C84A7 | 17 | 823-825 | C9221 | 17 | 820-822 | D119 | 03 | 154-156 | ||
C84A7 | 17 | 840-842 | C9221 | 17 | 823-825 | D120 | 06 | 393-395 | ||
C84A7 | 25 | 974-976 | C9221 | 17 | 840-842 | D121 | 06 | 393-395 | ||
C84A8 | 17 | 820-822 | C9222 | 17 | 820-822 | D122 | 06 | 393-395 | ||
C84A8 | 17 | 823-825 | C9222 | 17 | 823-825 | D123 | 06 | 393-395 | ||
C84A8 | 17 | 840-842 | C9222 | 17 | 840-842 | D124 | 06 | 393-395 | ||
C84A8 | 25 | 974-976 | C9230 | 17 | 820-822 | D125 | 06 | 393-395 | ||
C84A9 | 17 | 820-822 | C9230 | 17 | 823-825 | D126 | 06 | 393-395 | ||
C84A9 | 17 | 823-825 | C9230 | 17 | 840-842 | D127 | 06 | 393-395 | ||
C84A9 | 17 | 840-842 | C9231 | 17 | 820-822 | D128 | 06 | 393-395 | ||
C84A9 | 25 | 974-976 | C9231 | 17 | 823-825 | D129 | 06 | 393-395 | ||
C84Z0 | 17 | 820-822 | C9231 | 17 | 840-842 | D130 | 06 | 393-395 | ||
C84Z0 | 17 | 823-825 | C9232 | 17 | 820-822 | D131 | 06 | 393-395 | ||
C84Z0 | 17 | 840-842 | C9232 | 17 | 823-825 | D132 | 06 | 393-395 | ||
C84Z0 | 25 | 974-976 | C9232 | 17 | 840-842 | D1330 | 06 | 393-395 | ||
C84Z1 | Pre | 011-013 | C9240 | 17 | 820-822 | D1339 | 06 | 393-395 | ||
C84Z1 | 17 | 820-822 | C9240 | 17 | 834-836 | D134 | 07 | 441-443 | ||
C84Z1 | 17 | 823-825 | C9240 | 17 | 837-839 | D135 | 07 | 441-443 | ||
C84Z1 | 17 | 840-842 | C9241 | 17 | 820-822 | D136 | 07 | 438-440 | ||
C84Z1 | 25 | 974-976 | C9241 | 17 | 834-836 | D137 | 10 | 643-645 | ||
C84Z2 | 17 | 820-822 | C9241 | 17 | 837-839 | D139 | 06 | 393-395 | ||
C84Z2 | 17 | 823-825 | C9242 | 17 | 820-822 | D140 | Pre | 011-013 | ||
C84Z2 | 17 | 840-842 | C9242 | 17 | 834-836 | D140 | 03 | 154-156 | ||
C84Z2 | 25 | 974-976 | C9242 | 17 | 837-839 | D141 | Pre | 011-013 | ||
C84Z3 | 17 | 820-822 | C9250 | 17 | 820-822 | D141 | 03 | 154-156 | ||
C84Z3 | 17 | 823-825 | C9250 | 17 | 834-836 | D142 | 04 | 180-182 | ||
C84Z3 | 17 | 840-842 | C9250 | 17 | 837-839 | D1430 | 04 | 180-182 | ||
C84Z3 | 25 | 974-976 | C9251 | 17 | 820-822 | D1431 | 04 | 180-182 | ||
C84Z4 | 17 | 820-822 | C9251 | 17 | 834-836 | D1432 | 04 | 180-182 | ||
C84Z4 | 17 | 823-825 | C9251 | 17 | 837-839 | D144 | 04 | 180-182 | ||
C84Z4 | 17 | 840-842 | C9252 | 17 | 820-822 | D150 | 16 | 814-816 | ||
C84Z4 | 25 | 974-976 | C9252 | 17 | 834-836 | D151 | 05 | 314-316 | ||
C84Z5 | 17 | 820-822 | C9252 | 17 | 837-839 | D152 | 04 | 180-182 | ||
C84Z5 | 17 | 823-825 | C9260 | 17 | 820-822 | D157 | 04 | 180-182 | ||
C84Z5 | 17 | 840-842 | C9260 | 17 | 834-836 | D159 | 04 | 180-182 | ||
C84Z5 | 25 | 974-976 | C9260 | 17 | 837-839 | D1600 | 08 | 564-566 | ||
C84Z6 | 17 | 820-822 | C9261 | 17 | 820-822 | D1601 | 08 | 564-566 | ||
C84Z6 | 17 | 823-825 | C9261 | 17 | 834-836 | D1602 | 08 | 564-566 | ||
C84Z6 | 17 | 840-842 | C9261 | 17 | 837-839 | D1610 | 08 | 564-566 | ||
C84Z6 | 25 | 974-976 | C9262 | 17 | 820-822 | D1611 | 08 | 564-566 | ||
C84Z7 | 17 | 820-822 | C9262 | 17 | 834-836 | D1612 | 08 | 564-566 | ||
C84Z7 | 17 | 823-825 | C9262 | 17 | 837-839 | D1620 | 08 | 564-566 | ||
C84Z7 | 17 | 840-842 | C9290 | 17 | 820-822 | D1621 | 08 | 564-566 | ||
C84Z7 | 25 | 974-976 | C9290 | 17 | 823-825 | D1622 | 08 | 564-566 | ||
C84Z8 | 17 | 820-822 | C9290 | 17 | 840-842 | D1630 | 08 | 564-566 | ||
C84Z8 | 17 | 823-825 | C9291 | 17 | 820-822 | D1631 | 08 | 564-566 | ||
C84Z8 | 17 | 840-842 | C9291 | 17 | 823-825 | D1632 | 08 | 564-566 | ||
C84Z8 | 25 | 974-976 | C9291 | 17 | 840-842 | D164 | Pre | 011-013 | ||
C84Z9 | 17 | 820-822 | C9292 | 17 | 820-822 | D164 | 08 | 564-566 | ||
C84Z9 | 17 | 823-825 | C9292 | 17 | 823-825 | D165 | Pre | 011-013 | ||
C84Z9 | 17 | 840-842 | C9292 | 17 | 840-842 | D165 | 03 | 157-159 | ||
C84Z9 | 25 | 974-976 | C92A0 | 17 | 820-822 | D166 | 08 | 456-458 | ||
C8510 | 17 | 820-822 | C92A0 | 17 | 834-836 | D166 | 08 | 564-566 | ||
C8510 | 17 | 823-825 | C92A0 | 17 | 837-839 | D167 | 04 | 180-182 | ||
C8510 | 17 | 840-842 | C92A1 | 17 | 820-822 | D168 | 08 | 564-566 | ||
C8510 | 25 | 974-976 | C92A1 | 17 | 834-836 | D169 | 08 | 564-566 | ||
C8511 | Pre | 011-013 | C92A1 | 17 | 837-839 | D170 | 09 | 606-607 | ||
C8511 | 17 | 820-822 | C92A2 | 17 | 820-822 | D171 | 09 | 606-607 | ||
C8511 | 17 | 823-825 | C92A2 | 17 | 834-836 | D1720 | 09 | 606-607 | ||
C8511 | 17 | 840-842 | C92A2 | 17 | 837-839 | D1721 | 09 | 606-607 | ||
C8511 | 25 | 974-976 | C92Z0 | 17 | 820-822 | D1722 | 09 | 606-607 | ||
C8512 | 17 | 820-822 | C92Z0 | 17 | 823-825 | D1723 | 09 | 606-607 | ||
C8512 | 17 | 823-825 | C92Z0 | 17 | 840-842 | D1724 | 09 | 606-607 | ||
C8512 | 17 | 840-842 | C92Z1 | 17 | 820-822 | D1730 | 09 | 606-607 | ||
C8512 | 25 | 974-976 | C92Z1 | 17 | 823-825 | D1739 | 09 | 606-607 | ||
C8513 | 17 | 820-822 | C92Z1 | 17 | 840-842 | D174 | 04 | 180-182 | ||
C8513 | 17 | 823-825 | C92Z2 | 17 | 820-822 | D175 | 06 | 393-395 | ||
C8513 | 17 | 840-842 | C92Z2 | 17 | 823-825 | D176 | 12 | 729-730 | ||
C8513 | 25 | 974-976 | C92Z2 | 17 | 840-842 | D1771 | 11 | 656-658 | ||
C8514 | 17 | 820-822 | C9300 | 17 | 820-822 | D1771 | 11 | 686-688 | ||
C8514 | 17 | 823-825 | C9300 | 17 | 834-836 | D1772 | 11 | 656-658 | ||
C8514 | 17 | 840-842 | C9300 | 17 | 837-839 | D1772 | 11 | 686-688 | ||
C8514 | 25 | 974-976 | C9301 | 17 | 820-822 | D1779 | 09 | 606-607 | ||
C8515 | 17 | 820-822 | C9301 | 17 | 834-836 | D179 | 09 | 606-607 | ||
C8515 | 17 | 823-825 | C9301 | 17 | 837-839 | D1800 | Pre | 011-013 | ||
C8515 | 17 | 840-842 | C9302 | 17 | 820-822 | D1800 | 05 | 314-316 | ||
C8515 | 25 | 974-976 | C9302 | 17 | 834-836 | D1801 | Pre | 011-013 | ||
C8516 | 17 | 820-822 | C9302 | 17 | 837-839 | D1801 | 09 | 606-607 | ||
C8516 | 17 | 823-825 | C9310 | 17 | 820-822 | D1802 | 01 | 091-093 | ||
C8516 | 17 | 840-842 | C9310 | 17 | 823-825 | D1803 | 06 | 391-392 | ||
C8516 | 25 | 974-976 | C9310 | 17 | 840-842 | D1809 | Pre | 011-013 | ||
C8517 | 17 | 820-822 | C9311 | 17 | 820-822 | D1809 | 05 | 314-316 | ||
C8517 | 17 | 823-825 | C9311 | 17 | 823-825 | D181 | 16 | 814-816 | ||
C8517 | 17 | 840-842 | C9311 | 17 | 840-842 | D190 | 04 | 180-182 | ||
C8517 | 25 | 974-976 | C9312 | 17 | 820-822 | D191 | 06 | 393-395 | ||
C8518 | 17 | 820-822 | C9312 | 17 | 823-825 | D197 | 17 | 826-828 | ||
C8518 | 17 | 823-825 | C9312 | 17 | 840-842 | D197 | 17 | 829-830 | ||
C8518 | 17 | 840-842 | C9330 | 17 | 820-822 | D197 | 17 | 843-845 | ||
C8518 | 25 | 974-976 | C9330 | 17 | 823-825 | D199 | 17 | 826-828 | ||
C8519 | 17 | 820-822 | C9330 | 17 | 840-842 | D199 | 17 | 829-830 | ||
C8519 | 17 | 823-825 | C9331 | 17 | 820-822 | D199 | 17 | 843-845 | ||
C8519 | 17 | 840-842 | C9331 | 17 | 823-825 | D200 | 06 | 393-395 | ||
C8519 | 25 | 974-976 | C9331 | 17 | 840-842 | D201 | 06 | 393-395 | ||
C8520 | 17 | 820-822 | C9332 | 17 | 820-822 | D210 | 08 | 564-566 | ||
C8520 | 17 | 823-825 | C9332 | 17 | 823-825 | D2110 | 08 | 564-566 | ||
C8520 | 17 | 840-842 | C9332 | 17 | 840-842 | D2111 | 08 | 564-566 | ||
C8520 | 25 | 974-976 | C9390 | 17 | 820-822 | D2112 | 08 | 564-566 | ||
C8521 | Pre | 011-013 | C9390 | 17 | 823-825 | D2120 | 08 | 564-566 | ||
C8521 | 17 | 820-822 | C9390 | 17 | 840-842 | D2121 | 08 | 564-566 | ||
C8521 | 17 | 823-825 | C9391 | 17 | 820-822 | D2122 | 08 | 564-566 | ||
C8521 | 17 | 840-842 | C9391 | 17 | 823-825 | D213 | 08 | 564-566 | ||
C8521 | 25 | 974-976 | C9391 | 17 | 840-842 | D214 | 08 | 564-566 | ||
C8522 | 17 | 820-822 | C9392 | 17 | 820-822 | D215 | 08 | 564-566 | ||
C8522 | 17 | 823-825 | C9392 | 17 | 823-825 | D216 | 08 | 564-566 | ||
C8522 | 17 | 840-842 | C9392 | 17 | 840-842 | D219 | 08 | 564-566 | ||
C8522 | 25 | 974-976 | C93Z0 | 17 | 820-822 | D220 | 09 | 606-607 | ||
C8523 | 17 | 820-822 | C93Z0 | 17 | 823-825 | D2210 | 02 | 124-125 | ||
C8523 | 17 | 823-825 | C93Z0 | 17 | 840-842 | D22111 | 02 | 124-125 | ||
C8523 | 17 | 840-842 | C93Z1 | 17 | 820-822 | D22112 | 02 | 124-125 | ||
C8523 | 25 | 974-976 | C93Z1 | 17 | 823-825 | D22121 | 02 | 124-125 | ||
C8524 | 17 | 820-822 | C93Z1 | 17 | 840-842 | D22122 | 02 | 124-125 | ||
C8524 | 17 | 823-825 | C93Z2 | 17 | 820-822 | D2220 | 09 | 606-607 | ||
C8524 | 17 | 840-842 | C93Z2 | 17 | 823-825 | D2221 | 09 | 606-607 | ||
C8524 | 25 | 974-976 | C93Z2 | 17 | 840-842 | D2222 | 09 | 606-607 | ||
C8525 | 17 | 820-822 | C9400 | 17 | 820-822 | D2230 | 09 | 606-607 | ||
C8525 | 17 | 823-825 | C9400 | 17 | 834-836 | D2239 | 09 | 606-607 | ||
C8525 | 17 | 840-842 | C9400 | 17 | 837-839 | D224 | 09 | 606-607 | ||
C8525 | 25 | 974-976 | C9401 | 17 | 820-822 | D225 | 09 | 606-607 | ||
C8526 | 17 | 820-822 | C9401 | 17 | 834-836 | D2260 | 09 | 606-607 | ||
C8526 | 17 | 823-825 | C9401 | 17 | 837-839 | D2261 | 09 | 606-607 | ||
C8526 | 17 | 840-842 | C9402 | 17 | 820-822 | D2262 | 09 | 606-607 | ||
C8526 | 25 | 974-976 | C9402 | 17 | 834-836 | D2270 | 09 | 606-607 | ||
C8527 | 17 | 820-822 | C9402 | 17 | 837-839 | D2271 | 09 | 606-607 | ||
C8527 | 17 | 823-825 | C9420 | 17 | 820-822 | D2272 | 09 | 606-607 | ||
C8527 | 17 | 840-842 | C9420 | 17 | 823-825 | D229 | 09 | 606-607 | ||
C8527 | 25 | 974-976 | C9420 | 17 | 840-842 | D230 | 09 | 606-607 | ||
C8528 | 17 | 820-822 | C9421 | 17 | 820-822 | D2310 | 02 | 124-125 | ||
C8528 | 17 | 823-825 | C9421 | 17 | 823-825 | D23111 | 02 | 124-125 | ||
C8528 | 17 | 840-842 | C9421 | 17 | 840-842 | D23112 | 02 | 124-125 | ||
C8528 | 25 | 974-976 | C9422 | 17 | 820-822 | D23121 | 02 | 124-125 | ||
C8529 | 17 | 820-822 | C9422 | 17 | 823-825 | D23122 | 02 | 124-125 | ||
C8529 | 17 | 823-825 | C9422 | 17 | 840-842 | D2320 | 09 | 606-607 | ||
C8529 | 17 | 840-842 | C9430 | 17 | 820-822 | D2321 | 09 | 606-607 | ||
C8529 | 25 | 974-976 | C9430 | 17 | 823-825 | D2322 | 09 | 606-607 | ||
C8580 | 17 | 820-822 | C9430 | 17 | 840-842 | D2330 | 09 | 606-607 | ||
C8580 | 17 | 823-825 | C9431 | 17 | 820-822 | D2339 | 09 | 606-607 | ||
C8580 | 17 | 840-842 | C9431 | 17 | 823-825 | D234 | 09 | 606-607 | ||
C8580 | 25 | 974-976 | C9431 | 17 | 840-842 | D235 | 09 | 606-607 | ||
C8581 | Pre | 011-013 | C9432 | 17 | 820-822 | D2360 | 09 | 606-607 | ||
C8581 | 17 | 820-822 | C9432 | 17 | 823-825 | D2361 | 09 | 606-607 | ||
C8581 | 17 | 823-825 | C9432 | 17 | 840-842 | D2362 | 09 | 606-607 | ||
C8581 | 17 | 840-842 | C9440 | 17 | 820-822 | D2370 | 09 | 606-607 | ||
C8581 | 25 | 974-976 | C9440 | 17 | 823-825 | D2371 | 09 | 606-607 | ||
C8582 | 17 | 820-822 | C9440 | 17 | 840-842 | D2372 | 09 | 606-607 | ||
C8582 | 17 | 823-825 | C9441 | 17 | 820-822 | D239 | 09 | 606-607 | ||
C8582 | 17 | 840-842 | C9441 | 17 | 823-825 | D241 | 09 | 606-607 | ||
C8582 | 25 | 974-976 | C9441 | 17 | 840-842 | D242 | 09 | 606-607 | ||
C8583 | 17 | 820-822 | C9442 | 17 | 820-822 | D249 | 09 | 606-607 | ||
C8583 | 17 | 823-825 | C9442 | 17 | 823-825 | D250 | 13 | 742-743 | ||
C8583 | 17 | 840-842 | C9442 | 17 | 840-842 | D250 | 13 | 760-761 | ||
C8583 | 25 | 974-976 | C946 | 17 | 820-822 | D251 | 13 | 742-743 | ||
C8584 | 17 | 820-822 | C946 | 17 | 823-825 | D251 | 13 | 760-761 | ||
C8584 | 17 | 823-825 | C946 | 17 | 840-842 | D252 | 13 | 742-743 | ||
C8584 | 17 | 840-842 | C9480 | 17 | 820-822 | D252 | 13 | 760-761 | ||
C8584 | 25 | 974-976 | C9480 | 17 | 823-825 | D259 | 13 | 742-743 | ||
C8585 | 17 | 820-822 | C9480 | 17 | 840-842 | D259 | 13 | 760-761 | ||
C8585 | 17 | 823-825 | C9481 | 17 | 820-822 | D260 | 13 | 742-743 | ||
C8585 | 17 | 840-842 | C9481 | 17 | 823-825 | D260 | 13 | 760-761 | ||
C8585 | 25 | 974-976 | C9481 | 17 | 840-842 | D261 | 13 | 742-743 | ||
C8586 | 17 | 820-822 | C9482 | 17 | 820-822 | D261 | 13 | 760-761 | ||
C8586 | 17 | 823-825 | C9482 | 17 | 823-825 | D267 | 13 | 742-743 | ||
C8586 | 17 | 840-842 | C9482 | 17 | 840-842 | D267 | 13 | 760-761 | ||
C8586 | 25 | 974-976 | C9500 | 17 | 820-822 | D269 | 13 | 742-743 | ||
C8587 | 17 | 820-822 | C9500 | 17 | 834-836 | D269 | 13 | 760-761 | ||
C8587 | 17 | 823-825 | C9500 | 17 | 837-839 | D270 | 13 | 742-743 | ||
C8587 | 17 | 840-842 | C9501 | 17 | 820-822 | D270 | 13 | 760-761 | ||
C8587 | 25 | 974-976 | C9501 | 17 | 834-836 | D271 | 13 | 742-743 | ||
C8588 | 17 | 820-822 | C9501 | 17 | 837-839 | D271 | 13 | 760-761 | ||
C8588 | 17 | 823-825 | C9502 | 17 | 820-822 | D279 | 13 | 742-743 | ||
C8588 | 17 | 840-842 | C9502 | 17 | 834-836 | D279 | 13 | 760-761 | ||
C8588 | 25 | 974-976 | C9502 | 17 | 837-839 | D280 | 13 | 742-743 | ||
C8589 | 17 | 820-822 | C9510 | 17 | 820-822 | D280 | 13 | 760-761 | ||
C8589 | 17 | 823-825 | C9510 | 17 | 823-825 | D281 | 13 | 742-743 | ||
C8589 | 17 | 840-842 | C9510 | 17 | 840-842 | D281 | 13 | 760-761 | ||
C8589 | 25 | 974-976 | C9511 | 17 | 820-822 | D282 | 13 | 742-743 | ||
C8590 | 17 | 820-822 | C9511 | 17 | 823-825 | D282 | 13 | 760-761 | ||
C8590 | 17 | 823-825 | C9511 | 17 | 840-842 | D287 | 13 | 742-743 | ||
C8590 | 17 | 840-842 | C9512 | 17 | 820-822 | D287 | 13 | 760-761 | ||
C8590 | 25 | 974-976 | C9512 | 17 | 823-825 | D289 | 13 | 742-743 | ||
C8591 | Pre | 011-013 | C9512 | 17 | 840-842 | D289 | 13 | 760-761 | ||
C8591 | 17 | 820-822 | C9590 | 17 | 820-822 | D290 | 12 | 729-730 | ||
C8591 | 17 | 823-825 | C9590 | 17 | 823-825 | D291 | 12 | 729-730 | ||
C8591 | 17 | 840-842 | C9590 | 17 | 840-842 | D2920 | 12 | 729-730 | ||
C8591 | 25 | 974-976 | C9591 | 17 | 820-822 | D2921 | 12 | 729-730 | ||
C8592 | 17 | 820-822 | C9591 | 17 | 823-825 | D2922 | 12 | 729-730 | ||
C8592 | 17 | 823-825 | C9591 | 17 | 840-842 | D2930 | 12 | 729-730 | ||
C8592 | 17 | 840-842 | C9592 | 17 | 820-822 | D2931 | 12 | 729-730 | ||
C8592 | 25 | 974-976 | C9592 | 17 | 823-825 | D2932 | 12 | 729-730 | ||
C8593 | 17 | 820-822 | C9592 | 17 | 840-842 | D294 | 12 | 729-730 | ||
C8593 | 17 | 823-825 | C960 | Pre | 011-013 | D298 | 12 | 729-730 | ||
C8593 | 17 | 840-842 | C960 | 17 | 826-828 | D299 | 12 | 729-730 | ||
C8593 | 25 | 974-976 | C960 | 17 | 829-830 | D3000 | 11 | 656-658 | ||
C8594 | 17 | 820-822 | C960 | 17 | 843-845 | D3000 | 11 | 686-688 | ||
C8594 | 17 | 823-825 | C9620 | Pre | 011-013 | D3001 | 11 | 656-658 | ||
C8594 | 17 | 840-842 | C9620 | 17 | 820-822 | D3001 | 11 | 686-688 | ||
C8594 | 25 | 974-976 | C9620 | 17 | 823-825 | D3002 | 11 | 656-658 | ||
C8595 | 17 | 820-822 | C9620 | 17 | 840-842 | D3002 | 11 | 686-688 | ||
C8595 | 17 | 823-825 | C9621 | Pre | 011-013 | D3010 | 11 | 656-658 | ||
C8595 | 17 | 840-842 | C9621 | 17 | 820-822 | D3010 | 11 | 686-688 | ||
C8595 | 25 | 974-976 | C9621 | 17 | 823-825 | D3011 | 11 | 656-658 | ||
C8596 | 17 | 820-822 | C9621 | 17 | 840-842 | D3011 | 11 | 686-688 | ||
C8596 | 17 | 823-825 | C9622 | Pre | 011-013 | D3012 | 11 | 656-658 | ||
C8596 | 17 | 840-842 | C9622 | 17 | 820-822 | D3012 | 11 | 686-688 | ||
C8596 | 25 | 974-976 | C9622 | 17 | 823-825 | D3020 | 11 | 656-658 | ||
C8597 | 17 | 820-822 | C9622 | 17 | 840-842 | D3020 | 11 | 686-688 | ||
C8597 | 17 | 823-825 | C9629 | Pre | 011-013 | D3021 | 11 | 656-658 | ||
C8597 | 17 | 840-842 | C9629 | 17 | 820-822 | D3021 | 11 | 686-688 | ||
C8597 | 25 | 974-976 | C9629 | 17 | 823-825 | D3022 | 11 | 656-658 | ||
C8598 | 17 | 820-822 | C9629 | 17 | 840-842 | D3022 | 11 | 686-688 | ||
C8598 | 17 | 823-825 | C964 | 17 | 820-822 | D303 | 11 | 656-658 | ||
C8598 | 17 | 840-842 | C964 | 17 | 823-825 | D303 | 11 | 686-688 | ||
C8598 | 25 | 974-976 | C964 | 17 | 840-842 | D304 | 11 | 656-658 | ||
C8599 | 17 | 820-822 | C965 | 10 | 642 | D304 | 11 | 686-688 | ||
C8599 | 17 | 823-825 | C966 | 10 | 642 | D308 | 11 | 656-658 | ||
C8599 | 17 | 840-842 | D308 | 11 | 686-688 | |||||
C8599 | 25 | 974-976 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |