ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 11 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| H52203 | 02 | 124-125 | H6193 | 03 | 154-156 | H908 | 03 | 154-156 | ||
| H52209 | 02 | 124-125 | H6240 | 03 | 154-156 | H90A11 | 03 | 154-156 | ||
| H52211 | 02 | 124-125 | H6241 | 03 | 154-156 | H90A12 | 03 | 154-156 | ||
| H52212 | 02 | 124-125 | H6242 | 03 | 154-156 | H90A21 | 03 | 154-156 | ||
| H52213 | 02 | 124-125 | H6243 | 03 | 154-156 | H90A22 | 03 | 154-156 | ||
| H52219 | 02 | 124-125 | H628X1 | 03 | 154-156 | H90A31 | 03 | 154-156 | ||
| H52221 | 02 | 124-125 | H628X2 | 03 | 154-156 | H90A32 | 03 | 154-156 | ||
| H52222 | 02 | 124-125 | H628X3 | 03 | 154-156 | H9101 | 03 | 154-156 | ||
| H52223 | 02 | 124-125 | H628X9 | 03 | 154-156 | H9102 | 03 | 154-156 | ||
| H52229 | 02 | 124-125 | H6500 | 03 | 152-153 | H9103 | 03 | 154-156 | ||
| H5231 | 02 | 124-125 | H6501 | 03 | 152-153 | H9109 | 03 | 154-156 | ||
| H5232 | 02 | 124-125 | H6502 | 03 | 152-153 | H9110 | 03 | 154-156 | ||
| H524 | 02 | 124-125 | H6503 | 03 | 152-153 | H9111 | 03 | 154-156 | ||
| H52511 | 02 | 123 | H6504 | 03 | 152-153 | H9112 | 03 | 154-156 | ||
| H52512 | 02 | 123 | H6505 | 03 | 152-153 | H9113 | 03 | 154-156 | ||
| H52513 | 02 | 123 | H6506 | 03 | 152-153 | H9120 | 03 | 154-156 | ||
| H52519 | 02 | 123 | H6507 | 03 | 152-153 | H9121 | 03 | 154-156 | ||
| H52521 | 02 | 124-125 | H65111 | 03 | 152-153 | H9122 | 03 | 154-156 | ||
| H52522 | 02 | 124-125 | H65112 | 03 | 152-153 | H9123 | 03 | 154-156 | ||
| H52523 | 02 | 124-125 | H65113 | 03 | 152-153 | H913 | 03 | 154-156 | ||
| H52529 | 02 | 124-125 | H65114 | 03 | 152-153 | H918X1 | 03 | 154-156 | ||
| H52531 | 02 | 124-125 | H65115 | 03 | 152-153 | H918X2 | 03 | 154-156 | ||
| H52532 | 02 | 124-125 | H65116 | 03 | 152-153 | H918X3 | 03 | 154-156 | ||
| H52533 | 02 | 124-125 | H65117 | 03 | 152-153 | H918X9 | 03 | 154-156 | ||
| H52539 | 02 | 124-125 | H65119 | 03 | 152-153 | H9190 | 03 | 154-156 | ||
| H526 | 02 | 124-125 | H65191 | 03 | 152-153 | H9191 | 03 | 154-156 | ||
| H527 | 02 | 124-125 | H65192 | 03 | 152-153 | H9192 | 03 | 154-156 | ||
| H53001 | 02 | 124-125 | H65193 | 03 | 152-153 | H9193 | 03 | 154-156 | ||
| H53002 | 02 | 124-125 | H65194 | 03 | 152-153 | H9201 | 03 | 154-156 | ||
| H53003 | 02 | 124-125 | H65195 | 03 | 152-153 | H9202 | 03 | 154-156 | ||
| H53009 | 02 | 124-125 | H65196 | 03 | 152-153 | H9203 | 03 | 154-156 | ||
| H53011 | 02 | 124-125 | H65197 | 03 | 152-153 | H9209 | 03 | 154-156 | ||
| H53012 | 02 | 124-125 | H65199 | 03 | 152-153 | H9210 | 03 | 154-156 | ||
| H53013 | 02 | 124-125 | H6520 | 03 | 152-153 | H9211 | 03 | 154-156 | ||
| H53019 | 02 | 124-125 | H6521 | 03 | 152-153 | H9212 | 03 | 154-156 | ||
| H53021 | 02 | 124-125 | H6522 | 03 | 152-153 | H9213 | 03 | 154-156 | ||
| H53022 | 02 | 124-125 | H6523 | 03 | 152-153 | H9220 | 03 | 154-156 | ||
| H53023 | 02 | 124-125 | H6530 | 03 | 152-153 | H9221 | 03 | 154-156 | ||
| H53029 | 02 | 124-125 | H6531 | 03 | 152-153 | H9222 | 03 | 154-156 | ||
| H53031 | 02 | 124-125 | H6532 | 03 | 152-153 | H9223 | 03 | 154-156 | ||
| H53032 | 02 | 124-125 | H6533 | 03 | 152-153 | H93011 | 03 | 154-156 | ||
| H53033 | 02 | 124-125 | H65411 | 03 | 152-153 | H93012 | 03 | 154-156 | ||
| H53039 | 02 | 124-125 | H65412 | 03 | 152-153 | H93013 | 03 | 154-156 | ||
| H53041 | 02 | 124-125 | H65413 | 03 | 152-153 | H93019 | 03 | 154-156 | ||
| H53042 | 02 | 124-125 | H65419 | 03 | 152-153 | H93091 | 03 | 154-156 | ||
| H53043 | 02 | 124-125 | H65491 | 03 | 152-153 | H93092 | 03 | 154-156 | ||
| H53049 | 02 | 124-125 | H65492 | 03 | 152-153 | H93093 | 03 | 154-156 | ||
| H5310 | 02 | 124-125 | H65493 | 03 | 152-153 | H93099 | 03 | 154-156 | ||
| H5311 | 02 | 124-125 | H65499 | 03 | 152-153 | H9311 | 03 | 154-156 | ||
| H53121 | 02 | 123 | H6590 | 03 | 152-153 | H9312 | 03 | 154-156 | ||
| H53122 | 02 | 123 | H6591 | 03 | 152-153 | H9313 | 03 | 154-156 | ||
| H53123 | 02 | 123 | H6592 | 03 | 152-153 | H9319 | 03 | 154-156 | ||
| H53129 | 02 | 123 | H6593 | 03 | 152-153 | H93211 | 03 | 154-156 | ||
| H53131 | 02 | 123 | H66001 | 03 | 152-153 | H93212 | 03 | 154-156 | ||
| H53132 | 02 | 123 | H66002 | 03 | 152-153 | H93213 | 03 | 154-156 | ||
| H53133 | 02 | 123 | H66003 | 03 | 152-153 | H93219 | 03 | 154-156 | ||
| H53139 | 02 | 123 | H66004 | 03 | 152-153 | H93221 | 03 | 154-156 | ||
| H53141 | 02 | 124-125 | H66005 | 03 | 152-153 | H93222 | 03 | 154-156 | ||
| H53142 | 02 | 124-125 | H66006 | 03 | 152-153 | H93223 | 03 | 154-156 | ||
| H53143 | 02 | 124-125 | H66007 | 03 | 152-153 | H93229 | 03 | 154-156 | ||
| H53149 | 02 | 124-125 | H66009 | 03 | 152-153 | H93231 | 03 | 154-156 | ||
| H5315 | 02 | 124-125 | H66011 | 03 | 152-153 | H93232 | 03 | 154-156 | ||
| H5316 | 02 | 124-125 | H66012 | 03 | 152-153 | H93233 | 03 | 154-156 | ||
| H5319 | 02 | 124-125 | H66013 | 03 | 152-153 | H93239 | 03 | 154-156 | ||
| H532 | 02 | 123 | H66014 | 03 | 152-153 | H93241 | 03 | 154-156 | ||
| H5330 | 02 | 124-125 | H66015 | 03 | 152-153 | H93242 | 03 | 154-156 | ||
| H5331 | 02 | 124-125 | H66016 | 03 | 152-153 | H93243 | 03 | 154-156 | ||
| H5332 | 02 | 124-125 | H66017 | 03 | 152-153 | H93249 | 03 | 154-156 | ||
| H5333 | 02 | 124-125 | H66019 | 03 | 152-153 | H9325 | 19 | 886 | ||
| H5334 | 02 | 124-125 | H6610 | 03 | 152-153 | H93291 | 03 | 154-156 | ||
| H5340 | 02 | 123 | H6611 | 03 | 152-153 | H93292 | 03 | 154-156 | ||
| H53411 | 02 | 123 | H6612 | 03 | 152-153 | H93293 | 03 | 154-156 | ||
| H53412 | 02 | 123 | H6613 | 03 | 152-153 | H93299 | 03 | 154-156 | ||
| H53413 | 02 | 123 | H6620 | 03 | 152-153 | H933X1 | 03 | 154-156 | ||
| H53419 | 02 | 123 | H6621 | 03 | 152-153 | H933X2 | 03 | 154-156 | ||
| H53421 | 02 | 124-125 | H6622 | 03 | 152-153 | H933X3 | 03 | 154-156 | ||
| H53422 | 02 | 124-125 | H6623 | 03 | 152-153 | H933X9 | 03 | 154-156 | ||
| H53423 | 02 | 124-125 | H663X1 | 03 | 152-153 | H938X1 | 03 | 154-156 | ||
| H53429 | 02 | 124-125 | H663X2 | 03 | 152-153 | H938X2 | 03 | 154-156 | ||
| H53431 | 02 | 123 | H663X3 | 03 | 152-153 | H938X3 | 03 | 154-156 | ||
| H53432 | 02 | 123 | H663X9 | 03 | 152-153 | H938X9 | 03 | 154-156 | ||
| H53433 | 02 | 123 | H6640 | 03 | 152-153 | H9390 | 03 | 154-156 | ||
| H53439 | 02 | 123 | H6641 | 03 | 152-153 | H9391 | 03 | 154-156 | ||
| H53451 | 02 | 123 | H6642 | 03 | 152-153 | H9392 | 03 | 154-156 | ||
| H53452 | 02 | 123 | H6643 | 03 | 152-153 | H9393 | 03 | 154-156 | ||
| H53453 | 02 | 123 | H6690 | 03 | 152-153 | H93A1 | 03 | 154-156 | ||
| H53459 | 02 | 123 | H6691 | 03 | 152-153 | H93A2 | 03 | 154-156 | ||
| H53461 | 02 | 123 | H6692 | 03 | 152-153 | H93A3 | 03 | 154-156 | ||
| H53462 | 02 | 123 | H6693 | 03 | 152-153 | H93A9 | 03 | 154-156 | ||
| H53469 | 02 | 123 | H671 | 03 | 152-153 | H9400 | 03 | 154-156 | ||
| H5347 | 02 | 123 | H672 | 03 | 152-153 | H9401 | 03 | 154-156 | ||
| H53481 | 02 | 123 | H673 | 03 | 152-153 | H9402 | 03 | 154-156 | ||
| H53482 | 02 | 123 | H679 | 03 | 152-153 | H9403 | 03 | 154-156 | ||
| H53483 | 02 | 123 | H68001 | 03 | 152-153 | H9480 | 03 | 154-156 | ||
| H53489 | 02 | 123 | H68002 | 03 | 152-153 | H9481 | 03 | 154-156 | ||
| H5350 | 02 | 124-125 | H68003 | 03 | 152-153 | H9482 | 03 | 154-156 | ||
| H5351 | 02 | 124-125 | H68009 | 03 | 152-153 | H9483 | 03 | 154-156 | ||
| H5352 | 02 | 123 | H68011 | 03 | 152-153 | H9500 | 03 | 154-156 | ||
| H5353 | 02 | 124-125 | H68012 | 03 | 152-153 | H9501 | 03 | 154-156 | ||
| H5354 | 02 | 124-125 | H68013 | 03 | 152-153 | H9502 | 03 | 154-156 | ||
| H5355 | 02 | 124-125 | H68019 | 03 | 152-153 | H9503 | 03 | 154-156 | ||
| H5359 | 02 | 124-125 | H68021 | 03 | 152-153 | H95111 | 03 | 154-156 | ||
| H5360 | 02 | 124-125 | H68022 | 03 | 152-153 | H95112 | 03 | 154-156 | ||
| H5361 | 02 | 124-125 | H68023 | 03 | 152-153 | H95113 | 03 | 154-156 | ||
| H5362 | 02 | 124-125 | H68029 | 03 | 152-153 | H95119 | 03 | 154-156 | ||
| H5363 | 02 | 124-125 | H68101 | 03 | 154-156 | H95121 | 03 | 154-156 | ||
| H5369 | 02 | 124-125 | H68102 | 03 | 154-156 | H95122 | 03 | 154-156 | ||
| H5371 | 02 | 124-125 | H68103 | 03 | 154-156 | H95123 | 03 | 154-156 | ||
| H5372 | 02 | 124-125 | H68109 | 03 | 154-156 | H95129 | 03 | 154-156 | ||
| H538 | 02 | 124-125 | H68111 | 03 | 154-156 | H95131 | 03 | 154-156 | ||
| H539 | 02 | 124-125 | H68112 | 03 | 154-156 | H95132 | 03 | 154-156 | ||
| H540X33 | 02 | 124-125 | H68113 | 03 | 154-156 | H95133 | 03 | 154-156 | ||
| H540X34 | 02 | 124-125 | H68119 | 03 | 154-156 | H95139 | 03 | 154-156 | ||
| H540X35 | 02 | 124-125 | H68121 | 03 | 154-156 | H95191 | 03 | 154-156 | ||
| H540X43 | 02 | 124-125 | H68122 | 03 | 154-156 | H95192 | 03 | 154-156 | ||
| H540X44 | 02 | 124-125 | H68123 | 03 | 154-156 | H95193 | 03 | 154-156 | ||
| H540X45 | 02 | 124-125 | H68129 | 03 | 154-156 | H95199 | 03 | 154-156 | ||
| H540X53 | 02 | 124-125 | H68131 | 03 | 154-156 | H9521 | 21 | 919-921 | ||
| H540X54 | 02 | 124-125 | H68132 | 03 | 154-156 | H9522 | 21 | 919-921 | ||
| H540X55 | 02 | 124-125 | H68133 | 03 | 154-156 | H9531 | 15 | 791 | ||
| H5410 | 02 | 124-125 | H68139 | 03 | 154-156 | H9531 | 15 | 793 | ||
| H541131 | 02 | 124-125 | H6900 | 03 | 154-156 | H9531 | 21 | 919-921 | ||
| H541132 | 02 | 124-125 | H6901 | 03 | 154-156 | H9532 | 15 | 791 | ||
| H541141 | 02 | 124-125 | H6902 | 03 | 154-156 | H9532 | 15 | 793 | ||
| H541142 | 02 | 124-125 | H6903 | 03 | 154-156 | H9532 | 21 | 919-921 | ||
| H541151 | 02 | 124-125 | H6980 | 03 | 154-156 | H9541 | 21 | 919-921 | ||
| H541152 | 02 | 124-125 | H6981 | 03 | 154-156 | H9542 | 21 | 919-921 | ||
| H541213 | 02 | 124-125 | H6982 | 03 | 154-156 | H9551 | 21 | 919-921 | ||
| H541214 | 02 | 124-125 | H6983 | 03 | 154-156 | H9552 | 21 | 919-921 | ||
| H541215 | 02 | 124-125 | H6990 | 03 | 154-156 | H9553 | 21 | 919-921 | ||
| H541223 | 02 | 124-125 | H6991 | 03 | 154-156 | H9554 | 21 | 919-921 | ||
| H541224 | 02 | 124-125 | H6992 | 03 | 154-156 | H95811 | 21 | 919-921 | ||
| H541225 | 02 | 124-125 | H6993 | 03 | 154-156 | H95812 | 21 | 919-921 | ||
| H542X11 | 02 | 124-125 | H70001 | 03 | 152-153 | H95813 | 21 | 919-921 | ||
| H542X12 | 02 | 124-125 | H70002 | 03 | 152-153 | H95819 | 21 | 919-921 | ||
| H542X21 | 02 | 124-125 | H70003 | 03 | 152-153 | H9588 | 21 | 919-921 | ||
| H542X22 | 02 | 124-125 | H70009 | 03 | 152-153 | H9589 | 21 | 919-921 | ||
| H543 | 02 | 124-125 | H70011 | 03 | 152-153 | I00 | 08 | 545-547 | ||
| H5440 | 02 | 124-125 | H70011 | 15 | 791 | I010 | 05 | 314-316 | ||
| H54413A | 02 | 124-125 | H70011 | 15 | 793 | I011 | 05 | 306-307 | ||
| H54414A | 02 | 124-125 | H70012 | 03 | 152-153 | I012 | 05 | 314-316 | ||
| H54415A | 02 | 124-125 | H70012 | 15 | 791 | I018 | 05 | 314-316 | ||
| H5442A3 | 02 | 124-125 | H70012 | 15 | 793 | I019 | 05 | 314-316 | ||
| H5442A4 | 02 | 124-125 | H70013 | 03 | 152-153 | I020 | 05 | 314-316 | ||
| H5442A5 | 02 | 124-125 | H70013 | 15 | 791 | I029 | 05 | 314-316 | ||
| H5450 | 02 | 124-125 | H70013 | 15 | 793 | I050 | 05 | 306-307 | ||
| H54511A | 02 | 124-125 | H70019 | 03 | 152-153 | I051 | 05 | 306-307 | ||
| H54512A | 02 | 124-125 | H70019 | 15 | 791 | I052 | 05 | 306-307 | ||
| H5452A1 | 02 | 124-125 | H70019 | 15 | 793 | I058 | 05 | 306-307 | ||
| H5452A2 | 02 | 124-125 | H70091 | 03 | 152-153 | I059 | 05 | 306-307 | ||
| H5460 | 02 | 124-125 | H70092 | 03 | 152-153 | I060 | 05 | 306-307 | ||
| H5461 | 02 | 124-125 | H70093 | 03 | 152-153 | I061 | 05 | 306-307 | ||
| H5462 | 02 | 124-125 | H70099 | 03 | 152-153 | I062 | 05 | 306-307 | ||
| H547 | 02 | 124-125 | H7010 | 03 | 152-153 | I068 | 05 | 306-307 | ||
| H548 | 02 | 124-125 | H7011 | 03 | 152-153 | I069 | 05 | 306-307 | ||
| H5500 | 02 | 123 | H7012 | 03 | 152-153 | I070 | 05 | 306-307 | ||
| H5501 | 02 | 124-125 | H7013 | 03 | 152-153 | I071 | 05 | 306-307 | ||
| H5502 | 02 | 123 | H70201 | 03 | 152-153 | I072 | 05 | 306-307 | ||
| H5503 | 02 | 124-125 | H70202 | 03 | 152-153 | I078 | 05 | 306-307 | ||
| H5504 | 02 | 123 | H70203 | 03 | 152-153 | I079 | 05 | 306-307 | ||
| H5509 | 02 | 124-125 | H70209 | 03 | 152-153 | I080 | 05 | 306-307 | ||
| H5581 | 02 | 123 | H70211 | 03 | 152-153 | I081 | 05 | 306-307 | ||
| H5582 | 02 | 124-125 | H70212 | 03 | 152-153 | I082 | 05 | 306-307 | ||
| H5589 | 02 | 124-125 | H70213 | 03 | 152-153 | I083 | 05 | 306-307 | ||
| H5700 | 02 | 123 | H70219 | 03 | 152-153 | I088 | 05 | 306-307 | ||
| H5701 | 01 | 056-057 | H70221 | 03 | 152-153 | I089 | 05 | 306-307 | ||
| H5702 | 02 | 123 | H70222 | 03 | 152-153 | I090 | 05 | 314-316 | ||
| H5703 | 02 | 123 | H70223 | 03 | 152-153 | I091 | 05 | 306-307 | ||
| H5704 | 02 | 123 | H70229 | 03 | 152-153 | I092 | 05 | 314-316 | ||
| H57051 | 02 | 123 | H70811 | 03 | 154-156 | I0981 | 05 | 222-223 | ||
| H57052 | 02 | 123 | H70811 | 15 | 791 | I0981 | 05 | 291-293 | ||
| H57053 | 02 | 123 | H70811 | 15 | 793 | I0981 | 15 | 791 | ||
| H57059 | 02 | 123 | H70812 | 03 | 154-156 | I0981 | 15 | 793 | ||
| H5709 | 02 | 123 | H70812 | 15 | 791 | I0989 | 05 | 306-307 | ||
| H5710 | 02 | 124-125 | H70812 | 15 | 793 | I099 | 05 | 314-316 | ||
| H5711 | 02 | 124-125 | H70813 | 03 | 154-156 | I10 | 05 | 304-305 | ||
| H5712 | 02 | 124-125 | H70813 | 15 | 791 | I110 | 05 | 222-223 | ||
| H5713 | 02 | 124-125 | H70813 | 15 | 793 | I110 | 05 | 291-293 | ||
| H57811 | 02 | 124-125 | H70819 | 03 | 154-156 | I110 | 15 | 791 | ||
| H57812 | 02 | 124-125 | H70819 | 15 | 791 | I110 | 15 | 793 | ||
| H57813 | 02 | 124-125 | H70819 | 15 | 793 | I119 | 05 | 304-305 | ||
| H57819 | 02 | 124-125 | H70891 | 03 | 154-156 | I120 | Pre | 008 | ||
| H5789 | 02 | 124-125 | H70892 | 03 | 154-156 | I120 | Pre | 019 | ||
| H579 | 02 | 124-125 | H70893 | 03 | 154-156 | I120 | 11 | 673-675 | ||
| H59011 | 21 | 919-921 | H70899 | 03 | 154-156 | I120 | 11 | 682-684 | ||
| H59012 | 21 | 919-921 | H7090 | 03 | 152-153 | I129 | 11 | 682-684 | ||
| H59013 | 21 | 919-921 | H7091 | 03 | 152-153 | I130 | 05 | 222-223 | ||
| H59019 | 21 | 919-921 | H7092 | 03 | 152-153 | I130 | 05 | 291-293 | ||
| H59021 | 02 | 124-125 | H7093 | 03 | 152-153 | I130 | 15 | 791 | ||
| H59022 | 02 | 124-125 | H7100 | 03 | 154-156 | I130 | 15 | 793 | ||
| H59023 | 02 | 124-125 | H7101 | 03 | 154-156 | I1310 | 11 | 682-684 | ||
| H59029 | 02 | 124-125 | H7102 | 03 | 154-156 | I1311 | Pre | 008 | ||
| H59031 | 21 | 919-921 | H7103 | 03 | 154-156 | I1311 | Pre | 019 | ||
| H59032 | 21 | 919-921 | H7110 | 03 | 154-156 | I1311 | 11 | 673-675 | ||
| H59033 | 21 | 919-921 | H7111 | 03 | 154-156 | I1311 | 11 | 682-684 | ||
| H59039 | 21 | 919-921 | H7112 | 03 | 154-156 | I132 | Pre | 008 | ||
| H59091 | 21 | 919-921 | H7113 | 03 | 154-156 | I132 | Pre | 019 | ||
| H59092 | 21 | 919-921 | H7120 | 03 | 154-156 | I132 | 05 | 222-223 | ||
| H59093 | 21 | 919-921 | H7121 | 03 | 154-156 | I132 | 05 | 291-293 | ||
| H59099 | 21 | 919-921 | H7122 | 03 | 154-156 | I132 | 15 | 791 | ||
| H59111 | 21 | 919-921 | H7123 | 03 | 154-156 | I132 | 15 | 793 | ||
| H59112 | 21 | 919-921 | H7130 | 03 | 154-156 | I150 | 05 | 304-305 | ||
| H59113 | 21 | 919-921 | H7131 | 03 | 154-156 | I151 | 05 | 304-305 | ||
| H59119 | 21 | 919-921 | H7132 | 03 | 154-156 | I152 | 05 | 304-305 | ||
| H59121 | 21 | 919-921 | H7133 | 03 | 154-156 | I158 | 05 | 304-305 | ||
| H59122 | 21 | 919-921 | H7190 | 03 | 154-156 | I159 | 05 | 304-305 | ||
| H59123 | 21 | 919-921 | H7191 | 03 | 154-156 | I160 | 05 | 304-305 | ||
| H59129 | 21 | 919-921 | H7192 | 03 | 154-156 | I161 | 05 | 304-305 | ||
| H59211 | 15 | 791 | H7193 | 03 | 154-156 | I169 | 05 | 304-305 | ||
| H59211 | 15 | 793 | H7200 | 03 | 154-156 | I200 | 05 | 311 | ||
| H59211 | 21 | 919-921 | H7201 | 03 | 154-156 | I201 | 05 | 311 | ||
| H59212 | 15 | 791 | H7202 | 03 | 154-156 | I202 | 05 | 311 | ||
| H59212 | 15 | 793 | H7203 | 03 | 154-156 | I208 | 05 | 311 | ||
| H59212 | 21 | 919-921 | H7210 | 03 | 154-156 | I209 | 05 | 311 | ||
| H59213 | 15 | 791 | H7211 | 03 | 154-156 | I2101 | 05 | 222-223 | ||
| H59213 | 15 | 793 | H7212 | 03 | 154-156 | I2101 | 05 | 280-285 | ||
| H59213 | 21 | 919-921 | H7213 | 03 | 154-156 | I2102 | 05 | 222-223 | ||
| H59219 | 15 | 791 | H722X1 | 03 | 154-156 | I2102 | 05 | 280-285 | ||
| H59219 | 15 | 793 | H722X2 | 03 | 154-156 | I2109 | 05 | 222-223 | ||
| H59219 | 21 | 919-921 | H722X3 | 03 | 154-156 | I2109 | 05 | 280-285 | ||
| H59221 | 15 | 791 | H722X9 | 03 | 154-156 | I2111 | 05 | 222-223 | ||
| H59221 | 15 | 793 | H72811 | 03 | 154-156 | I2111 | 05 | 280-285 | ||
| H59221 | 21 | 919-921 | H72812 | 03 | 154-156 | I2119 | 05 | 222-223 | ||
| H59222 | 15 | 791 | H72813 | 03 | 154-156 | I2119 | 05 | 280-285 | ||
| H59222 | 15 | 793 | H72819 | 03 | 154-156 | I2121 | 05 | 222-223 | ||
| H59222 | 21 | 919-921 | H72821 | 03 | 154-156 | I2121 | 05 | 280-285 | ||
| H59223 | 15 | 791 | H72822 | 03 | 154-156 | I2129 | 05 | 222-223 | ||
| H59223 | 15 | 793 | H72823 | 03 | 154-156 | I2129 | 05 | 280-285 | ||
| H59223 | 21 | 919-921 | H72829 | 03 | 154-156 | I213 | 05 | 222-223 | ||
| H59229 | 15 | 791 | H7290 | 03 | 154-156 | I213 | 05 | 280-285 | ||
| H59229 | 15 | 793 | H7291 | 03 | 154-156 | I214 | 05 | 222-223 | ||
| H59229 | 21 | 919-921 | H7292 | 03 | 154-156 | I214 | 05 | 280-285 | ||
| H59311 | 21 | 919-921 | H7293 | 03 | 154-156 | I219 | 05 | 222-223 | ||
| H59312 | 21 | 919-921 | H73001 | 03 | 152-153 | I219 | 05 | 280-285 | ||
| H59313 | 21 | 919-921 | H73002 | 03 | 152-153 | I21A1 | 05 | 222-223 | ||
| H59319 | 21 | 919-921 | H73003 | 03 | 152-153 | I21A1 | 05 | 280-285 | ||
| H59321 | 21 | 919-921 | H73009 | 03 | 152-153 | I21A9 | 05 | 222-223 | ||
| H59322 | 21 | 919-921 | H73011 | 03 | 152-153 | I21A9 | 05 | 280-285 | ||
| H59323 | 21 | 919-921 | H73012 | 03 | 152-153 | I220 | 05 | 222-223 | ||
| H59329 | 21 | 919-921 | H73013 | 03 | 152-153 | I220 | 05 | 280-285 | ||
| H59331 | 21 | 919-921 | H73019 | 03 | 152-153 | I221 | 05 | 222-223 | ||
| H59332 | 21 | 919-921 | H73091 | 03 | 152-153 | I221 | 05 | 280-285 | ||
| H59333 | 21 | 919-921 | H73092 | 03 | 152-153 | I222 | 05 | 222-223 | ||
| H59339 | 21 | 919-921 | H73093 | 03 | 152-153 | I222 | 05 | 280-285 | ||
| H59341 | 21 | 919-921 | H73099 | 03 | 152-153 | I228 | 05 | 222-223 | ||
| H59342 | 21 | 919-921 | H7310 | 03 | 152-153 | I228 | 05 | 280-285 | ||
| H59343 | 21 | 919-921 | H7311 | 03 | 152-153 | I229 | 05 | 222-223 | ||
| H59349 | 21 | 919-921 | H7312 | 03 | 152-153 | I229 | 05 | 280-285 | ||
| H59351 | 21 | 919-921 | H7313 | 03 | 152-153 | I230 | 05 | 314-316 | ||
| H59352 | 21 | 919-921 | H7320 | 03 | 152-153 | I231 | 05 | 314-316 | ||
| H59353 | 21 | 919-921 | H7321 | 03 | 152-153 | I232 | 05 | 314-316 | ||
| H59359 | 21 | 919-921 | H7322 | 03 | 152-153 | I233 | 05 | 314-316 | ||
| H59361 | 21 | 919-921 | H7323 | 03 | 152-153 | I234 | 05 | 306-307 | ||
| H59362 | 21 | 919-921 | H73811 | 03 | 154-156 | I235 | 05 | 306-307 | ||
| H59363 | 21 | 919-921 | H73812 | 03 | 154-156 | I236 | 05 | 314-316 | ||
| H59369 | 21 | 919-921 | H73813 | 03 | 154-156 | I237 | 05 | 314-316 | ||
| H5940 | 02 | 124-125 | H73819 | 03 | 154-156 | I238 | 05 | 314-316 | ||
| H5941 | 02 | 124-125 | H73821 | 03 | 154-156 | I240 | 05 | 311 | ||
| H5942 | 02 | 124-125 | H73822 | 03 | 154-156 | I241 | 05 | 314-316 | ||
| H5943 | 02 | 124-125 | H73823 | 03 | 154-156 | I248 | 05 | 311 | ||
| H59811 | 21 | 919-921 | H73829 | 03 | 154-156 | I249 | 05 | 311 | ||
| H59812 | 21 | 919-921 | H73891 | 03 | 154-156 | I2510 | 05 | 302-303 | ||
| H59813 | 21 | 919-921 | H73892 | 03 | 154-156 | I25110 | 05 | 302-303 | ||
| H59819 | 21 | 919-921 | H73893 | 03 | 154-156 | I25111 | 05 | 302-303 | ||
| H5988 | 21 | 919-921 | H73899 | 03 | 154-156 | I25112 | 05 | 302-303 | ||
| H5989 | 21 | 919-921 | H7390 | 03 | 154-156 | I25118 | 05 | 302-303 | ||
| H6000 | 03 | 154-156 | H7391 | 03 | 154-156 | I25119 | 05 | 302-303 | ||
| H6001 | 03 | 154-156 | H7392 | 03 | 154-156 | I252 | 05 | 302-303 | ||
| H6002 | 03 | 154-156 | H7393 | 03 | 154-156 | I253 | 05 | 314-316 | ||
| H6003 | 03 | 154-156 | H7401 | 03 | 154-156 | I253 | 15 | 791 | ||
| H6010 | 03 | 154-156 | H7402 | 03 | 154-156 | I253 | 15 | 793 | ||
| H6011 | 03 | 154-156 | H7403 | 03 | 154-156 | I2541 | 05 | 314-316 | ||
| H6012 | 03 | 154-156 | H7409 | 03 | 154-156 | I2542 | 05 | 314-316 | ||
| H6013 | 03 | 154-156 | H7411 | 03 | 154-156 | I255 | 05 | 302-303 | ||
| H6020 | 03 | 154-156 | H7412 | 03 | 154-156 | I256 | 05 | 302-303 | ||
| H6021 | 03 | 154-156 | H7413 | 03 | 154-156 | I25700 | 05 | 302-303 | ||
| H6022 | 03 | 154-156 | H7419 | 03 | 154-156 | I25701 | 05 | 302-303 | ||
| H6023 | 03 | 154-156 | H7420 | 03 | 154-156 | I25702 | 05 | 302-303 | ||
| H60311 | 03 | 154-156 | H7421 | 03 | 154-156 | I25708 | 05 | 302-303 | ||
| H60312 | 03 | 154-156 | H7422 | 03 | 154-156 | I25709 | 05 | 302-303 | ||
| H60313 | 03 | 154-156 | H7423 | 03 | 154-156 | I25710 | 05 | 302-303 | ||
| H60319 | 03 | 154-156 | H74311 | 03 | 154-156 | I25711 | 05 | 302-303 | ||
| H60321 | 03 | 154-156 | H74312 | 03 | 154-156 | I25712 | 05 | 302-303 | ||
| H60322 | 03 | 154-156 | H74313 | 03 | 154-156 | I25718 | 05 | 302-303 | ||
| H60323 | 03 | 154-156 | H74319 | 03 | 154-156 | I25719 | 05 | 302-303 | ||
| H60329 | 03 | 154-156 | H74321 | 03 | 154-156 | I25720 | 05 | 302-303 | ||
| H60331 | 03 | 154-156 | H74322 | 03 | 154-156 | I25721 | 05 | 302-303 | ||
| H60332 | 03 | 154-156 | H74323 | 03 | 154-156 | I25722 | 05 | 302-303 | ||
| H60333 | 03 | 154-156 | H74329 | 03 | 154-156 | I25728 | 05 | 302-303 | ||
| H60339 | 03 | 154-156 | H74391 | 03 | 154-156 | I25729 | 05 | 302-303 | ||
| H60391 | 03 | 154-156 | H74392 | 03 | 154-156 | I25730 | 05 | 302-303 | ||
| H60392 | 03 | 154-156 | H74393 | 03 | 154-156 | I25731 | 05 | 302-303 | ||
| H60393 | 03 | 154-156 | H74399 | 03 | 154-156 | I25732 | 05 | 302-303 | ||
| H60399 | 03 | 154-156 | H7440 | 03 | 154-156 | I25738 | 05 | 302-303 | ||
| H6040 | 03 | 154-156 | H7441 | 03 | 154-156 | I25739 | 05 | 302-303 | ||
| H6041 | 03 | 154-156 | H7442 | 03 | 154-156 | I25750 | 05 | 302-303 | ||
| H6042 | 03 | 154-156 | H7443 | 03 | 154-156 | I25751 | 05 | 302-303 | ||
| H6043 | 03 | 154-156 | H748X1 | 03 | 154-156 | I25752 | 05 | 302-303 | ||
| H60501 | 03 | 154-156 | H748X2 | 03 | 154-156 | I25758 | 05 | 302-303 | ||
| H60502 | 03 | 154-156 | H748X3 | 03 | 154-156 | I25759 | 05 | 302-303 | ||
| H60503 | 03 | 154-156 | H748X9 | 03 | 154-156 | I25760 | 05 | 302-303 | ||
| H60509 | 03 | 154-156 | H7490 | 03 | 154-156 | I25761 | 05 | 302-303 | ||
| H60511 | 03 | 154-156 | H7491 | 03 | 154-156 | I25762 | 05 | 302-303 | ||
| H60512 | 03 | 154-156 | H7492 | 03 | 154-156 | I25768 | 05 | 302-303 | ||
| H60513 | 03 | 154-156 | H7493 | 03 | 154-156 | I25769 | 05 | 302-303 | ||
| H60519 | 03 | 154-156 | H7500 | 03 | 154-156 | I25790 | 05 | 302-303 | ||
| H60521 | 03 | 154-156 | H7501 | 03 | 154-156 | I25791 | 05 | 302-303 | ||
| H60522 | 03 | 154-156 | H7502 | 03 | 154-156 | I25792 | 05 | 302-303 | ||
| H60523 | 03 | 154-156 | H7503 | 03 | 154-156 | I25798 | 05 | 302-303 | ||
| H60529 | 03 | 154-156 | H7580 | 03 | 154-156 | I25799 | 05 | 302-303 | ||
| H60531 | 03 | 154-156 | H7581 | 03 | 154-156 | I25810 | 05 | 302-303 | ||
| H60532 | 03 | 154-156 | H7582 | 03 | 154-156 | I25811 | 05 | 302-303 | ||
| H60533 | 03 | 154-156 | H7583 | 03 | 154-156 | I25812 | 05 | 302-303 | ||
| H60539 | 03 | 154-156 | H8000 | 03 | 154-156 | I2582 | 05 | 302-303 | ||
| H60541 | 03 | 154-156 | H8001 | 03 | 154-156 | I2583 | 05 | 302-303 | ||
| H60542 | 03 | 154-156 | H8002 | 03 | 154-156 | I2584 | 05 | 302-303 | ||
| H60543 | 03 | 154-156 | H8003 | 03 | 154-156 | I2589 | 05 | 302-303 | ||
| H60549 | 03 | 154-156 | H8010 | 03 | 154-156 | I259 | 05 | 302-303 | ||
| H60551 | 03 | 154-156 | H8011 | 03 | 154-156 | I2601 | 04 | 175-176 | ||
| H60552 | 03 | 154-156 | H8012 | 03 | 154-156 | I2601 | 15 | 791 | ||
| H60553 | 03 | 154-156 | H8013 | 03 | 154-156 | I2601 | 15 | 793 | ||
| H60559 | 03 | 154-156 | H8020 | 03 | 154-156 | I2602 | 04 | 175-176 | ||
| H60591 | 03 | 154-156 | H8021 | 03 | 154-156 | I2602 | 15 | 791 | ||
| H60592 | 03 | 154-156 | H8022 | 03 | 154-156 | I2602 | 15 | 793 | ||
| H60593 | 03 | 154-156 | H8023 | 03 | 154-156 | I2609 | 04 | 175-176 | ||
| H60599 | 03 | 154-156 | H8080 | 03 | 154-156 | I2609 | 15 | 791 | ||
| H6060 | 03 | 154-156 | H8081 | 03 | 154-156 | I2609 | 15 | 793 | ||
| H6061 | 03 | 154-156 | H8082 | 03 | 154-156 | I2690 | 04 | 175-176 | ||
| H6062 | 03 | 154-156 | H8083 | 03 | 154-156 | I2690 | 15 | 791 | ||
| H6063 | 03 | 154-156 | H8090 | 03 | 154-156 | I2690 | 15 | 793 | ||
| H608X1 | 03 | 154-156 | H8091 | 03 | 154-156 | I2692 | 04 | 175-176 | ||
| H608X2 | 03 | 154-156 | H8092 | 03 | 154-156 | I2692 | 15 | 791 | ||
| H608X3 | 03 | 154-156 | H8093 | 03 | 154-156 | I2692 | 15 | 793 | ||
| H608X9 | 03 | 154-156 | H8101 | 03 | 149 | I2693 | 04 | 175-176 | ||
| H6090 | 03 | 154-156 | H8102 | 03 | 149 | I2693 | 15 | 791 | ||
| H6091 | 03 | 154-156 | H8103 | 03 | 149 | I2693 | 15 | 793 | ||
| H6092 | 03 | 154-156 | H8109 | 03 | 149 | I2694 | 04 | 175-176 | ||
| H6093 | 03 | 154-156 | H8110 | 03 | 149 | I2694 | 15 | 791 | ||
| H61001 | 03 | 152-153 | H8111 | 03 | 149 | I2694 | 15 | 793 | ||
| H61002 | 03 | 152-153 | H8112 | 03 | 149 | I2699 | 04 | 175-176 | ||
| H61003 | 03 | 152-153 | H8113 | 03 | 149 | I2699 | 15 | 791 | ||
| H61009 | 03 | 152-153 | H8120 | 03 | 149 | I2699 | 15 | 793 | ||
| H61011 | 08 | 564-566 | H8121 | 03 | 149 | I270 | 05 | 314-316 | ||
| H61012 | 08 | 564-566 | H8122 | 03 | 149 | I271 | 05 | 314-316 | ||
| H61013 | 08 | 564-566 | H8123 | 03 | 149 | I2720 | 05 | 314-316 | ||
| H61019 | 08 | 564-566 | H81311 | 03 | 149 | I2721 | 05 | 314-316 | ||
| H61021 | 08 | 564-566 | H81312 | 03 | 149 | I2722 | 05 | 314-316 | ||
| H61022 | 08 | 564-566 | H81313 | 03 | 149 | I2723 | 05 | 314-316 | ||
| H61023 | 08 | 564-566 | H81319 | 03 | 149 | I2724 | 05 | 314-316 | ||
| H61029 | 08 | 564-566 | H81391 | 03 | 149 | I2729 | 05 | 314-316 | ||
| H61031 | 08 | 564-566 | H81392 | 03 | 149 | I2781 | 05 | 314-316 | ||
| H61032 | 08 | 564-566 | H81393 | 03 | 149 | I2782 | 04 | 175-176 | ||
| H61033 | 08 | 564-566 | H81399 | 03 | 149 | I2782 | 15 | 791 | ||
| H61039 | 08 | 564-566 | H814 | 03 | 149 | I2782 | 15 | 793 | ||
| H61101 | 03 | 154-156 | H818X1 | 03 | 149 | I2783 | 05 | 314-316 | ||
| H61102 | 03 | 154-156 | H818X2 | 03 | 149 | I2789 | 05 | 314-316 | ||
| H61103 | 03 | 154-156 | H818X3 | 03 | 149 | I279 | 05 | 314-316 | ||
| H61109 | 03 | 154-156 | H818X9 | 03 | 149 | I280 | 05 | 314-316 | ||
| H61111 | 03 | 154-156 | H8190 | 03 | 149 | I281 | 05 | 314-316 | ||
| H61112 | 03 | 154-156 | H8191 | 03 | 149 | I288 | 05 | 314-316 | ||
| H61113 | 03 | 154-156 | H8192 | 03 | 149 | I289 | 05 | 314-316 | ||
| H61119 | 03 | 154-156 | H8193 | 03 | 149 | I300 | 05 | 314-316 | ||
| H61121 | 03 | 154-156 | H821 | 03 | 149 | I301 | 05 | 314-316 | ||
| H61122 | 03 | 154-156 | H822 | 03 | 149 | I308 | 05 | 314-316 | ||
| H61123 | 03 | 154-156 | H823 | 03 | 149 | I309 | 05 | 314-316 | ||
| H61129 | 03 | 154-156 | H829 | 03 | 149 | I310 | 05 | 314-316 | ||
| H61191 | 03 | 154-156 | H8301 | 03 | 149 | I311 | 05 | 314-316 | ||
| H61192 | 03 | 154-156 | H8302 | 03 | 149 | I312 | 05 | 314-316 | ||
| H61193 | 03 | 154-156 | H8303 | 03 | 149 | I312 | 15 | 791 | ||
| H61199 | 03 | 154-156 | H8309 | 03 | 149 | I312 | 15 | 793 | ||
| H6120 | 03 | 154-156 | H8311 | 03 | 154-156 | I3131 | 05 | 314-316 | ||
| H6121 | 03 | 154-156 | H8312 | 03 | 154-156 | I3139 | 05 | 314-316 | ||
| H6122 | 03 | 154-156 | H8313 | 03 | 154-156 | I314 | 05 | 314-316 | ||
| H6123 | 03 | 154-156 | H8319 | 03 | 154-156 | I318 | 05 | 314-316 | ||
| H61301 | 03 | 154-156 | H832X1 | 03 | 149 | I319 | 05 | 314-316 | ||
| H61302 | 03 | 154-156 | H832X2 | 03 | 149 | I32 | 05 | 314-316 | ||
| H61303 | 03 | 154-156 | H832X3 | 03 | 149 | I32 | 15 | 791 | ||
| H61309 | 03 | 154-156 | H832X9 | 03 | 149 | I32 | 15 | 793 | ||
| H61311 | 03 | 154-156 | H833X1 | 03 | 154-156 | I330 | 05 | 288-290 | ||
| H61312 | 03 | 154-156 | H833X2 | 03 | 154-156 | I330 | 15 | 791 | ||
| H61313 | 03 | 154-156 | H833X3 | 03 | 154-156 | I330 | 15 | 793 | ||
| H61319 | 03 | 154-156 | H833X9 | 03 | 154-156 | I330 | 25 | 974-976 | ||
| H61321 | 03 | 154-156 | H838X1 | 03 | 149 | I339 | 05 | 288-290 | ||
| H61322 | 03 | 154-156 | H838X2 | 03 | 149 | I339 | 15 | 791 | ||
| H61323 | 03 | 154-156 | H838X3 | 03 | 149 | I339 | 15 | 793 | ||
| H61329 | 03 | 154-156 | H838X9 | 03 | 149 | I339 | 25 | 974-976 | ||
| H61391 | 03 | 154-156 | H8390 | 03 | 149 | I340 | 05 | 306-307 | ||
| H61392 | 03 | 154-156 | H8391 | 03 | 149 | I341 | 05 | 306-307 | ||
| H61393 | 03 | 154-156 | H8392 | 03 | 149 | I342 | 05 | 306-307 | ||
| H61399 | 03 | 154-156 | H8393 | 03 | 149 | I3481 | 05 | 306-307 | ||
| H61811 | 03 | 154-156 | H900 | 03 | 154-156 | I3489 | 05 | 306-307 | ||
| H61812 | 03 | 154-156 | H9011 | 03 | 154-156 | I349 | 05 | 306-307 | ||
| H61813 | 03 | 154-156 | H9012 | 03 | 154-156 | I350 | 05 | 306-307 | ||
| H61819 | 03 | 154-156 | H902 | 03 | 154-156 | I351 | 05 | 306-307 | ||
| H61891 | 03 | 154-156 | H903 | 03 | 154-156 | I352 | 05 | 306-307 | ||
| H61892 | 03 | 154-156 | H9041 | 03 | 154-156 | I358 | 05 | 306-307 | ||
| H61893 | 03 | 154-156 | H9042 | 03 | 154-156 | I359 | 05 | 306-307 | ||
| H61899 | 03 | 154-156 | H905 | 03 | 154-156 | I360 | 05 | 306-307 | ||
| H6190 | 03 | 154-156 | H906 | 03 | 154-156 | I361 | 05 | 306-307 | ||
| H6191 | 03 | 154-156 | H9071 | 03 | 154-156 | I362 | 05 | 306-307 | ||
| H6192 | 03 | 154-156 | H9072 | 03 | 154-156 | I368 | 05 | 306-307 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |