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 16 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| L89200 | 09 | 573-575 | L97401 | 09 | 573-575 | M02042 | 08 | 553-554 | ||
| L89200 | 09 | 592-594 | L97401 | 09 | 592-594 | M02049 | 08 | 553-554 | ||
| L89201 | 09 | 573-575 | L97402 | 09 | 573-575 | M02051 | 08 | 553-554 | ||
| L89201 | 09 | 592-594 | L97402 | 09 | 592-594 | M02052 | 08 | 553-554 | ||
| L89202 | 09 | 573-575 | L97403 | 09 | 573-575 | M02059 | 08 | 553-554 | ||
| L89202 | 09 | 592-594 | L97403 | 09 | 592-594 | M02061 | 08 | 553-554 | ||
| L89203 | 09 | 573-575 | L97404 | 09 | 573-575 | M02062 | 08 | 553-554 | ||
| L89203 | 09 | 592-594 | L97404 | 09 | 592-594 | M02069 | 08 | 553-554 | ||
| L89204 | 09 | 573-575 | L97405 | 09 | 573-575 | M02071 | 08 | 553-554 | ||
| L89204 | 09 | 592-594 | L97405 | 09 | 592-594 | M02072 | 08 | 553-554 | ||
| L89206 | 09 | 573-575 | L97406 | 09 | 573-575 | M02079 | 08 | 553-554 | ||
| L89206 | 09 | 592-594 | L97406 | 09 | 592-594 | M0208 | 08 | 553-554 | ||
| L89209 | 09 | 573-575 | L97408 | 09 | 573-575 | M0209 | 08 | 553-554 | ||
| L89209 | 09 | 592-594 | L97408 | 09 | 592-594 | M0210 | 08 | 553-554 | ||
| L89210 | 09 | 573-575 | L97409 | 09 | 573-575 | M02111 | 08 | 553-554 | ||
| L89210 | 09 | 592-594 | L97409 | 09 | 592-594 | M02112 | 08 | 553-554 | ||
| L89211 | 09 | 573-575 | L97411 | 09 | 573-575 | M02119 | 08 | 553-554 | ||
| L89211 | 09 | 592-594 | L97411 | 09 | 592-594 | M02121 | 08 | 553-554 | ||
| L89212 | 09 | 573-575 | L97412 | 09 | 573-575 | M02122 | 08 | 553-554 | ||
| L89212 | 09 | 592-594 | L97412 | 09 | 592-594 | M02129 | 08 | 553-554 | ||
| L89213 | 09 | 573-575 | L97413 | 09 | 573-575 | M02131 | 08 | 553-554 | ||
| L89213 | 09 | 592-594 | L97413 | 09 | 592-594 | M02132 | 08 | 553-554 | ||
| L89214 | 09 | 573-575 | L97414 | 09 | 573-575 | M02139 | 08 | 553-554 | ||
| L89214 | 09 | 592-594 | L97414 | 09 | 592-594 | M02141 | 08 | 553-554 | ||
| L89216 | 09 | 573-575 | L97415 | 09 | 573-575 | M02142 | 08 | 553-554 | ||
| L89216 | 09 | 592-594 | L97415 | 09 | 592-594 | M02149 | 08 | 553-554 | ||
| L89219 | 09 | 573-575 | L97416 | 09 | 573-575 | M02151 | 08 | 553-554 | ||
| L89219 | 09 | 592-594 | L97416 | 09 | 592-594 | M02152 | 08 | 553-554 | ||
| L89220 | 09 | 573-575 | L97418 | 09 | 573-575 | M02159 | 08 | 553-554 | ||
| L89220 | 09 | 592-594 | L97418 | 09 | 592-594 | M02161 | 08 | 553-554 | ||
| L89221 | 09 | 573-575 | L97419 | 09 | 573-575 | M02162 | 08 | 553-554 | ||
| L89221 | 09 | 592-594 | L97419 | 09 | 592-594 | M02169 | 08 | 553-554 | ||
| L89222 | 09 | 573-575 | L97421 | 09 | 573-575 | M02171 | 08 | 553-554 | ||
| L89222 | 09 | 592-594 | L97421 | 09 | 592-594 | M02172 | 08 | 553-554 | ||
| L89223 | 09 | 573-575 | L97422 | 09 | 573-575 | M02179 | 08 | 553-554 | ||
| L89223 | 09 | 592-594 | L97422 | 09 | 592-594 | M0218 | 08 | 553-554 | ||
| L89224 | 09 | 573-575 | L97423 | 09 | 573-575 | M0219 | 08 | 553-554 | ||
| L89224 | 09 | 592-594 | L97423 | 09 | 592-594 | M0220 | 08 | 553-554 | ||
| L89226 | 09 | 573-575 | L97424 | 09 | 573-575 | M02211 | 08 | 553-554 | ||
| L89226 | 09 | 592-594 | L97424 | 09 | 592-594 | M02212 | 08 | 553-554 | ||
| L89229 | 09 | 573-575 | L97425 | 09 | 573-575 | M02219 | 08 | 553-554 | ||
| L89229 | 09 | 592-594 | L97425 | 09 | 592-594 | M02221 | 08 | 553-554 | ||
| L89300 | 09 | 573-575 | L97426 | 09 | 573-575 | M02222 | 08 | 553-554 | ||
| L89300 | 09 | 592-594 | L97426 | 09 | 592-594 | M02229 | 08 | 553-554 | ||
| L89301 | 09 | 573-575 | L97428 | 09 | 573-575 | M02231 | 08 | 553-554 | ||
| L89301 | 09 | 592-594 | L97428 | 09 | 592-594 | M02232 | 08 | 553-554 | ||
| L89302 | 09 | 573-575 | L97429 | 09 | 573-575 | M02239 | 08 | 553-554 | ||
| L89302 | 09 | 592-594 | L97429 | 09 | 592-594 | M02241 | 08 | 553-554 | ||
| L89303 | 09 | 573-575 | L97501 | 09 | 573-575 | M02242 | 08 | 553-554 | ||
| L89303 | 09 | 592-594 | L97501 | 09 | 592-594 | M02249 | 08 | 553-554 | ||
| L89304 | 09 | 573-575 | L97502 | 09 | 573-575 | M02251 | 08 | 553-554 | ||
| L89304 | 09 | 592-594 | L97502 | 09 | 592-594 | M02252 | 08 | 553-554 | ||
| L89306 | 09 | 573-575 | L97503 | 09 | 573-575 | M02259 | 08 | 553-554 | ||
| L89306 | 09 | 592-594 | L97503 | 09 | 592-594 | M02261 | 08 | 553-554 | ||
| L89309 | 09 | 573-575 | L97504 | 09 | 573-575 | M02262 | 08 | 553-554 | ||
| L89309 | 09 | 592-594 | L97504 | 09 | 592-594 | M02269 | 08 | 553-554 | ||
| L89310 | 09 | 573-575 | L97505 | 09 | 573-575 | M02271 | 08 | 553-554 | ||
| L89310 | 09 | 592-594 | L97505 | 09 | 592-594 | M02272 | 08 | 553-554 | ||
| L89311 | 09 | 573-575 | L97506 | 09 | 573-575 | M02279 | 08 | 553-554 | ||
| L89311 | 09 | 592-594 | L97506 | 09 | 592-594 | M0228 | 08 | 553-554 | ||
| L89312 | 09 | 573-575 | L97508 | 09 | 573-575 | M0229 | 08 | 553-554 | ||
| L89312 | 09 | 592-594 | L97508 | 09 | 592-594 | M0230 | 08 | 545-547 | ||
| L89313 | 09 | 573-575 | L97509 | 09 | 573-575 | M02311 | 08 | 545-547 | ||
| L89313 | 09 | 592-594 | L97509 | 09 | 592-594 | M02312 | 08 | 545-547 | ||
| L89314 | 09 | 573-575 | L97511 | 09 | 573-575 | M02319 | 08 | 545-547 | ||
| L89314 | 09 | 592-594 | L97511 | 09 | 592-594 | M02321 | 08 | 545-547 | ||
| L89316 | 09 | 573-575 | L97512 | 09 | 573-575 | M02322 | 08 | 545-547 | ||
| L89316 | 09 | 592-594 | L97512 | 09 | 592-594 | M02329 | 08 | 545-547 | ||
| L89319 | 09 | 573-575 | L97513 | 09 | 573-575 | M02331 | 08 | 545-547 | ||
| L89319 | 09 | 592-594 | L97513 | 09 | 592-594 | M02332 | 08 | 545-547 | ||
| L89320 | 09 | 573-575 | L97514 | 09 | 573-575 | M02339 | 08 | 545-547 | ||
| L89320 | 09 | 592-594 | L97514 | 09 | 592-594 | M02341 | 08 | 545-547 | ||
| L89321 | 09 | 573-575 | L97515 | 09 | 573-575 | M02342 | 08 | 545-547 | ||
| L89321 | 09 | 592-594 | L97515 | 09 | 592-594 | M02349 | 08 | 545-547 | ||
| L89322 | 09 | 573-575 | L97516 | 09 | 573-575 | M02351 | 08 | 545-547 | ||
| L89322 | 09 | 592-594 | L97516 | 09 | 592-594 | M02352 | 08 | 545-547 | ||
| L89323 | 09 | 573-575 | L97518 | 09 | 573-575 | M02359 | 08 | 545-547 | ||
| L89323 | 09 | 592-594 | L97518 | 09 | 592-594 | M02361 | 08 | 545-547 | ||
| L89324 | 09 | 573-575 | L97519 | 09 | 573-575 | M02362 | 08 | 545-547 | ||
| L89324 | 09 | 592-594 | L97519 | 09 | 592-594 | M02369 | 08 | 545-547 | ||
| L89326 | 09 | 573-575 | L97521 | 09 | 573-575 | M02371 | 08 | 545-547 | ||
| L89326 | 09 | 592-594 | L97521 | 09 | 592-594 | M02372 | 08 | 545-547 | ||
| L89329 | 09 | 573-575 | L97522 | 09 | 573-575 | M02379 | 08 | 545-547 | ||
| L89329 | 09 | 592-594 | L97522 | 09 | 592-594 | M0238 | 08 | 545-547 | ||
| L8940 | 09 | 573-575 | L97523 | 09 | 573-575 | M0239 | 08 | 545-547 | ||
| L8940 | 09 | 592-594 | L97523 | 09 | 592-594 | M0280 | 08 | 548-550 | ||
| L8941 | 09 | 573-575 | L97524 | 09 | 573-575 | M02811 | 08 | 548-550 | ||
| L8941 | 09 | 592-594 | L97524 | 09 | 592-594 | M02812 | 08 | 548-550 | ||
| L8942 | 09 | 573-575 | L97525 | 09 | 573-575 | M02819 | 08 | 548-550 | ||
| L8942 | 09 | 592-594 | L97525 | 09 | 592-594 | M02821 | 08 | 548-550 | ||
| L8943 | 09 | 573-575 | L97526 | 09 | 573-575 | M02822 | 08 | 548-550 | ||
| L8943 | 09 | 592-594 | L97526 | 09 | 592-594 | M02829 | 08 | 548-550 | ||
| L8944 | 09 | 573-575 | L97528 | 09 | 573-575 | M02831 | 08 | 548-550 | ||
| L8944 | 09 | 592-594 | L97528 | 09 | 592-594 | M02832 | 08 | 548-550 | ||
| L8945 | 09 | 573-575 | L97529 | 09 | 573-575 | M02839 | 08 | 548-550 | ||
| L8945 | 09 | 592-594 | L97529 | 09 | 592-594 | M02841 | 08 | 548-550 | ||
| L8946 | 09 | 573-575 | L97801 | 09 | 573-575 | M02842 | 08 | 548-550 | ||
| L8946 | 09 | 592-594 | L97801 | 09 | 592-594 | M02849 | 08 | 548-550 | ||
| L89500 | 09 | 573-575 | L97802 | 09 | 573-575 | M02851 | 08 | 548-550 | ||
| L89500 | 09 | 592-594 | L97802 | 09 | 592-594 | M02852 | 08 | 548-550 | ||
| L89501 | 09 | 573-575 | L97803 | 09 | 573-575 | M02859 | 08 | 548-550 | ||
| L89501 | 09 | 592-594 | L97803 | 09 | 592-594 | M02861 | 08 | 548-550 | ||
| L89502 | 09 | 573-575 | L97804 | 09 | 573-575 | M02862 | 08 | 548-550 | ||
| L89502 | 09 | 592-594 | L97804 | 09 | 592-594 | M02869 | 08 | 548-550 | ||
| L89503 | 09 | 573-575 | L97805 | 09 | 573-575 | M02871 | 08 | 548-550 | ||
| L89503 | 09 | 592-594 | L97805 | 09 | 592-594 | M02872 | 08 | 548-550 | ||
| L89504 | 09 | 573-575 | L97806 | 09 | 573-575 | M02879 | 08 | 548-550 | ||
| L89504 | 09 | 592-594 | L97806 | 09 | 592-594 | M0288 | 08 | 548-550 | ||
| L89506 | 09 | 573-575 | L97808 | 09 | 573-575 | M0289 | 08 | 548-550 | ||
| L89506 | 09 | 592-594 | L97808 | 09 | 592-594 | M029 | 08 | 553-554 | ||
| L89509 | 09 | 573-575 | L97809 | 09 | 573-575 | M041 | 08 | 545-547 | ||
| L89509 | 09 | 592-594 | L97809 | 09 | 592-594 | M042 | 08 | 545-547 | ||
| L89510 | 09 | 573-575 | L97811 | 09 | 573-575 | M048 | 08 | 545-547 | ||
| L89510 | 09 | 592-594 | L97811 | 09 | 592-594 | M049 | 08 | 545-547 | ||
| L89511 | 09 | 573-575 | L97812 | 09 | 573-575 | M0500 | 08 | 545-547 | ||
| L89511 | 09 | 592-594 | L97812 | 09 | 592-594 | M05011 | 08 | 545-547 | ||
| L89512 | 09 | 573-575 | L97813 | 09 | 573-575 | M05012 | 08 | 545-547 | ||
| L89512 | 09 | 592-594 | L97813 | 09 | 592-594 | M05019 | 08 | 545-547 | ||
| L89513 | 09 | 573-575 | L97814 | 09 | 573-575 | M05021 | 08 | 545-547 | ||
| L89513 | 09 | 592-594 | L97814 | 09 | 592-594 | M05022 | 08 | 545-547 | ||
| L89514 | 09 | 573-575 | L97815 | 09 | 573-575 | M05029 | 08 | 545-547 | ||
| L89514 | 09 | 592-594 | L97815 | 09 | 592-594 | M05031 | 08 | 545-547 | ||
| L89516 | 09 | 573-575 | L97816 | 09 | 573-575 | M05032 | 08 | 545-547 | ||
| L89516 | 09 | 592-594 | L97816 | 09 | 592-594 | M05039 | 08 | 545-547 | ||
| L89519 | 09 | 573-575 | L97818 | 09 | 573-575 | M05041 | 08 | 545-547 | ||
| L89519 | 09 | 592-594 | L97818 | 09 | 592-594 | M05042 | 08 | 545-547 | ||
| L89520 | 09 | 573-575 | L97819 | 09 | 573-575 | M05049 | 08 | 545-547 | ||
| L89520 | 09 | 592-594 | L97819 | 09 | 592-594 | M05051 | 08 | 545-547 | ||
| L89521 | 09 | 573-575 | L97821 | 09 | 573-575 | M05052 | 08 | 545-547 | ||
| L89521 | 09 | 592-594 | L97821 | 09 | 592-594 | M05059 | 08 | 545-547 | ||
| L89522 | 09 | 573-575 | L97822 | 09 | 573-575 | M05061 | 08 | 545-547 | ||
| L89522 | 09 | 592-594 | L97822 | 09 | 592-594 | M05062 | 08 | 545-547 | ||
| L89523 | 09 | 573-575 | L97823 | 09 | 573-575 | M05069 | 08 | 545-547 | ||
| L89523 | 09 | 592-594 | L97823 | 09 | 592-594 | M05071 | 08 | 545-547 | ||
| L89524 | 09 | 573-575 | L97824 | 09 | 573-575 | M05072 | 08 | 545-547 | ||
| L89524 | 09 | 592-594 | L97824 | 09 | 592-594 | M05079 | 08 | 545-547 | ||
| L89526 | 09 | 573-575 | L97825 | 09 | 573-575 | M0509 | 08 | 545-547 | ||
| L89526 | 09 | 592-594 | L97825 | 09 | 592-594 | M0510 | 04 | 196-198 | ||
| L89529 | 09 | 573-575 | L97826 | 09 | 573-575 | M05111 | 04 | 196-198 | ||
| L89529 | 09 | 592-594 | L97826 | 09 | 592-594 | M05112 | 04 | 196-198 | ||
| L89600 | 09 | 573-575 | L97828 | 09 | 573-575 | M05119 | 04 | 196-198 | ||
| L89600 | 09 | 592-594 | L97828 | 09 | 592-594 | M05121 | 04 | 196-198 | ||
| L89601 | 09 | 573-575 | L97829 | 09 | 573-575 | M05122 | 04 | 196-198 | ||
| L89601 | 09 | 592-594 | L97829 | 09 | 592-594 | M05129 | 04 | 196-198 | ||
| L89602 | 09 | 573-575 | L97901 | 09 | 573-575 | M05131 | 04 | 196-198 | ||
| L89602 | 09 | 592-594 | L97901 | 09 | 592-594 | M05132 | 04 | 196-198 | ||
| L89603 | 09 | 573-575 | L97902 | 09 | 573-575 | M05139 | 04 | 196-198 | ||
| L89603 | 09 | 592-594 | L97902 | 09 | 592-594 | M05141 | 04 | 196-198 | ||
| L89604 | 09 | 573-575 | L97903 | 09 | 573-575 | M05142 | 04 | 196-198 | ||
| L89604 | 09 | 592-594 | L97903 | 09 | 592-594 | M05149 | 04 | 196-198 | ||
| L89606 | 09 | 573-575 | L97904 | 09 | 573-575 | M05151 | 04 | 196-198 | ||
| L89606 | 09 | 592-594 | L97904 | 09 | 592-594 | M05152 | 04 | 196-198 | ||
| L89609 | 09 | 573-575 | L97905 | 09 | 573-575 | M05159 | 04 | 196-198 | ||
| L89609 | 09 | 592-594 | L97905 | 09 | 592-594 | M05161 | 04 | 196-198 | ||
| L89610 | 09 | 573-575 | L97906 | 09 | 573-575 | M05162 | 04 | 196-198 | ||
| L89610 | 09 | 592-594 | L97906 | 09 | 592-594 | M05169 | 04 | 196-198 | ||
| L89611 | 09 | 573-575 | L97908 | 09 | 573-575 | M05171 | 04 | 196-198 | ||
| L89611 | 09 | 592-594 | L97908 | 09 | 592-594 | M05172 | 04 | 196-198 | ||
| L89612 | 09 | 573-575 | L97909 | 09 | 573-575 | M05179 | 04 | 196-198 | ||
| L89612 | 09 | 592-594 | L97909 | 09 | 592-594 | M0519 | 04 | 196-198 | ||
| L89613 | 09 | 573-575 | L97911 | 09 | 573-575 | M0520 | 08 | 545-547 | ||
| L89613 | 09 | 592-594 | L97911 | 09 | 592-594 | M05211 | 08 | 545-547 | ||
| L89614 | 09 | 573-575 | L97912 | 09 | 573-575 | M05212 | 08 | 545-547 | ||
| L89614 | 09 | 592-594 | L97912 | 09 | 592-594 | M05219 | 08 | 545-547 | ||
| L89616 | 09 | 573-575 | L97913 | 09 | 573-575 | M05221 | 08 | 545-547 | ||
| L89616 | 09 | 592-594 | L97913 | 09 | 592-594 | M05222 | 08 | 545-547 | ||
| L89619 | 09 | 573-575 | L97914 | 09 | 573-575 | M05229 | 08 | 545-547 | ||
| L89619 | 09 | 592-594 | L97914 | 09 | 592-594 | M05231 | 08 | 545-547 | ||
| L89620 | 09 | 573-575 | L97915 | 09 | 573-575 | M05232 | 08 | 545-547 | ||
| L89620 | 09 | 592-594 | L97915 | 09 | 592-594 | M05239 | 08 | 545-547 | ||
| L89621 | 09 | 573-575 | L97916 | 09 | 573-575 | M05241 | 08 | 545-547 | ||
| L89621 | 09 | 592-594 | L97916 | 09 | 592-594 | M05242 | 08 | 545-547 | ||
| L89622 | 09 | 573-575 | L97918 | 09 | 573-575 | M05249 | 08 | 545-547 | ||
| L89622 | 09 | 592-594 | L97918 | 09 | 592-594 | M05251 | 08 | 545-547 | ||
| L89623 | 09 | 573-575 | L97919 | 09 | 573-575 | M05252 | 08 | 545-547 | ||
| L89623 | 09 | 592-594 | L97919 | 09 | 592-594 | M05259 | 08 | 545-547 | ||
| L89624 | 09 | 573-575 | L97921 | 09 | 573-575 | M05261 | 08 | 545-547 | ||
| L89624 | 09 | 592-594 | L97921 | 09 | 592-594 | M05262 | 08 | 545-547 | ||
| L89626 | 09 | 573-575 | L97922 | 09 | 573-575 | M05269 | 08 | 545-547 | ||
| L89626 | 09 | 592-594 | L97922 | 09 | 592-594 | M05271 | 08 | 545-547 | ||
| L89629 | 09 | 573-575 | L97923 | 09 | 573-575 | M05272 | 08 | 545-547 | ||
| L89629 | 09 | 592-594 | L97923 | 09 | 592-594 | M05279 | 08 | 545-547 | ||
| L89810 | 09 | 573-575 | L97924 | 09 | 573-575 | M0529 | 08 | 545-547 | ||
| L89810 | 09 | 592-594 | L97924 | 09 | 592-594 | M0530 | 08 | 545-547 | ||
| L89811 | 09 | 573-575 | L97925 | 09 | 573-575 | M05311 | 08 | 545-547 | ||
| L89811 | 09 | 592-594 | L97925 | 09 | 592-594 | M05312 | 08 | 545-547 | ||
| L89812 | 09 | 573-575 | L97926 | 09 | 573-575 | M05319 | 08 | 545-547 | ||
| L89812 | 09 | 592-594 | L97926 | 09 | 592-594 | M05321 | 08 | 545-547 | ||
| L89813 | 09 | 573-575 | L97928 | 09 | 573-575 | M05322 | 08 | 545-547 | ||
| L89813 | 09 | 592-594 | L97928 | 09 | 592-594 | M05329 | 08 | 545-547 | ||
| L89814 | 09 | 573-575 | L97929 | 09 | 573-575 | M05331 | 08 | 545-547 | ||
| L89814 | 09 | 592-594 | L97929 | 09 | 592-594 | M05332 | 08 | 545-547 | ||
| L89816 | 09 | 573-575 | L980 | 09 | 602-603 | M05339 | 08 | 545-547 | ||
| L89816 | 09 | 592-594 | L981 | 09 | 606-607 | M05341 | 08 | 545-547 | ||
| L89819 | 09 | 573-575 | L982 | 09 | 606-607 | M05342 | 08 | 545-547 | ||
| L89819 | 09 | 592-594 | L983 | 09 | 573-575 | M05349 | 08 | 545-547 | ||
| L89890 | 09 | 573-575 | L983 | 09 | 602-603 | M05351 | 08 | 545-547 | ||
| L89890 | 09 | 592-594 | L983 | 15 | 791 | M05352 | 08 | 545-547 | ||
| L89891 | 09 | 573-575 | L983 | 15 | 793 | M05359 | 08 | 545-547 | ||
| L89891 | 09 | 592-594 | L98411 | 09 | 573-575 | M05361 | 08 | 545-547 | ||
| L89892 | 09 | 573-575 | L98411 | 09 | 592-594 | M05362 | 08 | 545-547 | ||
| L89892 | 09 | 592-594 | L98412 | 09 | 573-575 | M05369 | 08 | 545-547 | ||
| L89893 | 09 | 573-575 | L98412 | 09 | 592-594 | M05371 | 08 | 545-547 | ||
| L89893 | 09 | 592-594 | L98413 | 09 | 573-575 | M05372 | 08 | 545-547 | ||
| L89894 | 09 | 573-575 | L98413 | 09 | 592-594 | M05379 | 08 | 545-547 | ||
| L89894 | 09 | 592-594 | L98414 | 09 | 573-575 | M0539 | 08 | 545-547 | ||
| L89896 | 09 | 573-575 | L98414 | 09 | 592-594 | M0540 | 08 | 545-547 | ||
| L89896 | 09 | 592-594 | L98415 | 09 | 573-575 | M05411 | 08 | 545-547 | ||
| L89899 | 09 | 573-575 | L98415 | 09 | 592-594 | M05412 | 08 | 545-547 | ||
| L89899 | 09 | 592-594 | L98416 | 09 | 573-575 | M05419 | 08 | 545-547 | ||
| L8990 | 09 | 573-575 | L98416 | 09 | 592-594 | M05421 | 08 | 545-547 | ||
| L8990 | 09 | 592-594 | L98418 | 09 | 573-575 | M05422 | 08 | 545-547 | ||
| L8991 | 09 | 573-575 | L98418 | 09 | 592-594 | M05429 | 08 | 545-547 | ||
| L8991 | 09 | 592-594 | L98419 | 09 | 573-575 | M05431 | 08 | 545-547 | ||
| L8992 | 09 | 573-575 | L98419 | 09 | 592-594 | M05432 | 08 | 545-547 | ||
| L8992 | 09 | 592-594 | L98421 | 09 | 573-575 | M05439 | 08 | 545-547 | ||
| L8993 | 09 | 573-575 | L98421 | 09 | 592-594 | M05441 | 08 | 545-547 | ||
| L8993 | 09 | 592-594 | L98422 | 09 | 573-575 | M05442 | 08 | 545-547 | ||
| L8994 | 09 | 573-575 | L98422 | 09 | 592-594 | M05449 | 08 | 545-547 | ||
| L8994 | 09 | 592-594 | L98423 | 09 | 573-575 | M05451 | 08 | 545-547 | ||
| L8995 | 09 | 573-575 | L98423 | 09 | 592-594 | M05452 | 08 | 545-547 | ||
| L8995 | 09 | 592-594 | L98424 | 09 | 573-575 | M05459 | 08 | 545-547 | ||
| L8996 | 09 | 573-575 | L98424 | 09 | 592-594 | M05461 | 08 | 545-547 | ||
| L8996 | 09 | 592-594 | L98425 | 09 | 573-575 | M05462 | 08 | 545-547 | ||
| L900 | 09 | 606-607 | L98425 | 09 | 592-594 | M05469 | 08 | 545-547 | ||
| L901 | 09 | 606-607 | L98426 | 09 | 573-575 | M05471 | 08 | 545-547 | ||
| L902 | 09 | 606-607 | L98426 | 09 | 592-594 | M05472 | 08 | 545-547 | ||
| L903 | 09 | 606-607 | L98428 | 09 | 573-575 | M05479 | 08 | 545-547 | ||
| L904 | 09 | 606-607 | L98428 | 09 | 592-594 | M0549 | 08 | 545-547 | ||
| L905 | 09 | 606-607 | L98429 | 09 | 573-575 | M0550 | 08 | 545-547 | ||
| L906 | 09 | 606-607 | L98429 | 09 | 592-594 | M05511 | 08 | 545-547 | ||
| L908 | 09 | 606-607 | L98491 | 09 | 573-575 | M05512 | 08 | 545-547 | ||
| L909 | 09 | 606-607 | L98491 | 09 | 592-594 | M05519 | 08 | 545-547 | ||
| L910 | 09 | 606-607 | L98492 | 09 | 573-575 | M05521 | 08 | 545-547 | ||
| L918 | 09 | 606-607 | L98492 | 09 | 592-594 | M05522 | 08 | 545-547 | ||
| L919 | 09 | 606-607 | L98493 | 09 | 573-575 | M05529 | 08 | 545-547 | ||
| L920 | 09 | 606-607 | L98493 | 09 | 592-594 | M05531 | 08 | 545-547 | ||
| L921 | 09 | 606-607 | L98494 | 09 | 573-575 | M05532 | 08 | 545-547 | ||
| L922 | 09 | 606-607 | L98494 | 09 | 592-594 | M05539 | 08 | 545-547 | ||
| L923 | 09 | 606-607 | L98495 | 09 | 573-575 | M05541 | 08 | 545-547 | ||
| L928 | 09 | 602-603 | L98495 | 09 | 592-594 | M05542 | 08 | 545-547 | ||
| L929 | 09 | 606-607 | L98496 | 09 | 573-575 | M05549 | 08 | 545-547 | ||
| L930 | 09 | 595-596 | L98496 | 09 | 592-594 | M05551 | 08 | 545-547 | ||
| L931 | 09 | 595-596 | L98498 | 09 | 573-575 | M05552 | 08 | 545-547 | ||
| L932 | 09 | 595-596 | L98498 | 09 | 592-594 | M05559 | 08 | 545-547 | ||
| L940 | 09 | 606-607 | L98499 | 09 | 573-575 | M05561 | 08 | 545-547 | ||
| L941 | 09 | 606-607 | L98499 | 09 | 592-594 | M05562 | 08 | 545-547 | ||
| L942 | 09 | 606-607 | L985 | 09 | 606-607 | M05569 | 08 | 545-547 | ||
| L943 | 09 | 606-607 | L986 | 09 | 606-607 | M05571 | 08 | 545-547 | ||
| L944 | 09 | 606-607 | L987 | 09 | 606-607 | M05572 | 08 | 545-547 | ||
| L945 | 09 | 595-596 | L988 | 09 | 606-607 | M05579 | 08 | 545-547 | ||
| L946 | 18 | 867-869 | L989 | 09 | 606-607 | M0559 | 08 | 545-547 | ||
| L948 | 09 | 606-607 | L99 | 09 | 606-607 | M0560 | 08 | 545-547 | ||
| L949 | 09 | 606-607 | M0000 | 08 | 548-550 | M05611 | 08 | 545-547 | ||
| L950 | 09 | 606-607 | M00011 | 08 | 548-550 | M05612 | 08 | 545-547 | ||
| L951 | 09 | 606-607 | M00012 | 08 | 548-550 | M05619 | 08 | 545-547 | ||
| L958 | 09 | 606-607 | M00019 | 08 | 548-550 | M05621 | 08 | 545-547 | ||
| L959 | 09 | 606-607 | M00021 | 08 | 548-550 | M05622 | 08 | 545-547 | ||
| L97101 | 09 | 573-575 | M00022 | 08 | 548-550 | M05629 | 08 | 545-547 | ||
| L97101 | 09 | 592-594 | M00029 | 08 | 548-550 | M05631 | 08 | 545-547 | ||
| L97102 | 09 | 573-575 | M00031 | 08 | 548-550 | M05632 | 08 | 545-547 | ||
| L97102 | 09 | 592-594 | M00032 | 08 | 548-550 | M05639 | 08 | 545-547 | ||
| L97103 | 09 | 573-575 | M00039 | 08 | 548-550 | M05641 | 08 | 545-547 | ||
| L97103 | 09 | 592-594 | M00041 | 08 | 548-550 | M05642 | 08 | 545-547 | ||
| L97104 | 09 | 573-575 | M00042 | 08 | 548-550 | M05649 | 08 | 545-547 | ||
| L97104 | 09 | 592-594 | M00049 | 08 | 548-550 | M05651 | 08 | 545-547 | ||
| L97105 | 09 | 573-575 | M00051 | 08 | 548-550 | M05652 | 08 | 545-547 | ||
| L97105 | 09 | 592-594 | M00052 | 08 | 548-550 | M05659 | 08 | 545-547 | ||
| L97106 | 09 | 573-575 | M00059 | 08 | 548-550 | M05661 | 08 | 545-547 | ||
| L97106 | 09 | 592-594 | M00061 | 08 | 485-487 | M05662 | 08 | 545-547 | ||
| L97108 | 09 | 573-575 | M00061 | 08 | 548-550 | M05669 | 08 | 545-547 | ||
| L97108 | 09 | 592-594 | M00062 | 08 | 485-487 | M05671 | 08 | 545-547 | ||
| L97109 | 09 | 573-575 | M00062 | 08 | 548-550 | M05672 | 08 | 545-547 | ||
| L97109 | 09 | 592-594 | M00069 | 08 | 485-487 | M05679 | 08 | 545-547 | ||
| L97111 | 09 | 573-575 | M00069 | 08 | 548-550 | M0569 | 08 | 545-547 | ||
| L97111 | 09 | 592-594 | M00071 | 08 | 548-550 | M0570 | 08 | 545-547 | ||
| L97112 | 09 | 573-575 | M00072 | 08 | 548-550 | M05711 | 08 | 545-547 | ||
| L97112 | 09 | 592-594 | M00079 | 08 | 548-550 | M05712 | 08 | 545-547 | ||
| L97113 | 09 | 573-575 | M0008 | 08 | 548-550 | M05719 | 08 | 545-547 | ||
| L97113 | 09 | 592-594 | M0009 | 08 | 548-550 | M05721 | 08 | 545-547 | ||
| L97114 | 09 | 573-575 | M0010 | 08 | 548-550 | M05722 | 08 | 545-547 | ||
| L97114 | 09 | 592-594 | M00111 | 08 | 548-550 | M05729 | 08 | 545-547 | ||
| L97115 | 09 | 573-575 | M00112 | 08 | 548-550 | M05731 | 08 | 545-547 | ||
| L97115 | 09 | 592-594 | M00119 | 08 | 548-550 | M05732 | 08 | 545-547 | ||
| L97116 | 09 | 573-575 | M00121 | 08 | 548-550 | M05739 | 08 | 545-547 | ||
| L97116 | 09 | 592-594 | M00122 | 08 | 548-550 | M05741 | 08 | 545-547 | ||
| L97118 | 09 | 573-575 | M00129 | 08 | 548-550 | M05742 | 08 | 545-547 | ||
| L97118 | 09 | 592-594 | M00131 | 08 | 548-550 | M05749 | 08 | 545-547 | ||
| L97119 | 09 | 573-575 | M00132 | 08 | 548-550 | M05751 | 08 | 545-547 | ||
| L97119 | 09 | 592-594 | M00139 | 08 | 548-550 | M05752 | 08 | 545-547 | ||
| L97121 | 09 | 573-575 | M00141 | 08 | 548-550 | M05759 | 08 | 545-547 | ||
| L97121 | 09 | 592-594 | M00142 | 08 | 548-550 | M05761 | 08 | 545-547 | ||
| L97122 | 09 | 573-575 | M00149 | 08 | 548-550 | M05762 | 08 | 545-547 | ||
| L97122 | 09 | 592-594 | M00151 | 08 | 548-550 | M05769 | 08 | 545-547 | ||
| L97123 | 09 | 573-575 | M00152 | 08 | 548-550 | M05771 | 08 | 545-547 | ||
| L97123 | 09 | 592-594 | M00159 | 08 | 548-550 | M05772 | 08 | 545-547 | ||
| L97124 | 09 | 573-575 | M00161 | 08 | 485-487 | M05779 | 08 | 545-547 | ||
| L97124 | 09 | 592-594 | M00161 | 08 | 548-550 | M0579 | 08 | 545-547 | ||
| L97125 | 09 | 573-575 | M00162 | 08 | 485-487 | M057A | 08 | 545-547 | ||
| L97125 | 09 | 592-594 | M00162 | 08 | 548-550 | M0580 | 08 | 545-547 | ||
| L97126 | 09 | 573-575 | M00169 | 08 | 485-487 | M05811 | 08 | 545-547 | ||
| L97126 | 09 | 592-594 | M00169 | 08 | 548-550 | M05812 | 08 | 545-547 | ||
| L97128 | 09 | 573-575 | M00171 | 08 | 548-550 | M05819 | 08 | 545-547 | ||
| L97128 | 09 | 592-594 | M00172 | 08 | 548-550 | M05821 | 08 | 545-547 | ||
| L97129 | 09 | 573-575 | M00179 | 08 | 548-550 | M05822 | 08 | 545-547 | ||
| L97129 | 09 | 592-594 | M0018 | 08 | 548-550 | M05829 | 08 | 545-547 | ||
| L97201 | 09 | 573-575 | M0019 | 08 | 548-550 | M05831 | 08 | 545-547 | ||
| L97201 | 09 | 592-594 | M0020 | 08 | 548-550 | M05832 | 08 | 545-547 | ||
| L97202 | 09 | 573-575 | M00211 | 08 | 548-550 | M05839 | 08 | 545-547 | ||
| L97202 | 09 | 592-594 | M00212 | 08 | 548-550 | M05841 | 08 | 545-547 | ||
| L97203 | 09 | 573-575 | M00219 | 08 | 548-550 | M05842 | 08 | 545-547 | ||
| L97203 | 09 | 592-594 | M00221 | 08 | 548-550 | M05849 | 08 | 545-547 | ||
| L97204 | 09 | 573-575 | M00222 | 08 | 548-550 | M05851 | 08 | 545-547 | ||
| L97204 | 09 | 592-594 | M00229 | 08 | 548-550 | M05852 | 08 | 545-547 | ||
| L97205 | 09 | 573-575 | M00231 | 08 | 548-550 | M05859 | 08 | 545-547 | ||
| L97205 | 09 | 592-594 | M00232 | 08 | 548-550 | M05861 | 08 | 545-547 | ||
| L97206 | 09 | 573-575 | M00239 | 08 | 548-550 | M05862 | 08 | 545-547 | ||
| L97206 | 09 | 592-594 | M00241 | 08 | 548-550 | M05869 | 08 | 545-547 | ||
| L97208 | 09 | 573-575 | M00242 | 08 | 548-550 | M05871 | 08 | 545-547 | ||
| L97208 | 09 | 592-594 | M00249 | 08 | 548-550 | M05872 | 08 | 545-547 | ||
| L97209 | 09 | 573-575 | M00251 | 08 | 548-550 | M05879 | 08 | 545-547 | ||
| L97209 | 09 | 592-594 | M00252 | 08 | 548-550 | M0589 | 08 | 545-547 | ||
| L97211 | 09 | 573-575 | M00259 | 08 | 548-550 | M058A | 08 | 545-547 | ||
| L97211 | 09 | 592-594 | M00261 | 08 | 485-487 | M059 | 08 | 545-547 | ||
| L97212 | 09 | 573-575 | M00261 | 08 | 548-550 | M0600 | 08 | 545-547 | ||
| L97212 | 09 | 592-594 | M00262 | 08 | 485-487 | M06011 | 08 | 545-547 | ||
| L97213 | 09 | 573-575 | M00262 | 08 | 548-550 | M06012 | 08 | 545-547 | ||
| L97213 | 09 | 592-594 | M00269 | 08 | 485-487 | M06019 | 08 | 545-547 | ||
| L97214 | 09 | 573-575 | M00269 | 08 | 548-550 | M06021 | 08 | 545-547 | ||
| L97214 | 09 | 592-594 | M00271 | 08 | 548-550 | M06022 | 08 | 545-547 | ||
| L97215 | 09 | 573-575 | M00272 | 08 | 548-550 | M06029 | 08 | 545-547 | ||
| L97215 | 09 | 592-594 | M00279 | 08 | 548-550 | M06031 | 08 | 545-547 | ||
| L97216 | 09 | 573-575 | M0028 | 08 | 548-550 | M06032 | 08 | 545-547 | ||
| L97216 | 09 | 592-594 | M0029 | 08 | 548-550 | M06039 | 08 | 545-547 | ||
| L97218 | 09 | 573-575 | M0080 | 08 | 548-550 | M06041 | 08 | 545-547 | ||
| L97218 | 09 | 592-594 | M00811 | 08 | 548-550 | M06042 | 08 | 545-547 | ||
| L97219 | 09 | 573-575 | M00812 | 08 | 548-550 | M06049 | 08 | 545-547 | ||
| L97219 | 09 | 592-594 | M00819 | 08 | 548-550 | M06051 | 08 | 545-547 | ||
| L97221 | 09 | 573-575 | M00821 | 08 | 548-550 | M06052 | 08 | 545-547 | ||
| L97221 | 09 | 592-594 | M00822 | 08 | 548-550 | M06059 | 08 | 545-547 | ||
| L97222 | 09 | 573-575 | M00829 | 08 | 548-550 | M06061 | 08 | 545-547 | ||
| L97222 | 09 | 592-594 | M00831 | 08 | 548-550 | M06062 | 08 | 545-547 | ||
| L97223 | 09 | 573-575 | M00832 | 08 | 548-550 | M06069 | 08 | 545-547 | ||
| L97223 | 09 | 592-594 | M00839 | 08 | 548-550 | M06071 | 08 | 545-547 | ||
| L97224 | 09 | 573-575 | M00841 | 08 | 548-550 | M06072 | 08 | 545-547 | ||
| L97224 | 09 | 592-594 | M00842 | 08 | 548-550 | M06079 | 08 | 545-547 | ||
| L97225 | 09 | 573-575 | M00849 | 08 | 548-550 | M0608 | 08 | 545-547 | ||
| L97225 | 09 | 592-594 | M00851 | 08 | 548-550 | M0609 | 08 | 545-547 | ||
| L97226 | 09 | 573-575 | M00852 | 08 | 548-550 | M060A | 08 | 545-547 | ||
| L97226 | 09 | 592-594 | M00859 | 08 | 548-550 | M061 | 08 | 545-547 | ||
| L97228 | 09 | 573-575 | M00861 | 08 | 485-487 | M0620 | 08 | 545-547 | ||
| L97228 | 09 | 592-594 | M00861 | 08 | 548-550 | M06211 | 08 | 545-547 | ||
| L97229 | 09 | 573-575 | M00862 | 08 | 485-487 | M06212 | 08 | 545-547 | ||
| L97229 | 09 | 592-594 | M00862 | 08 | 548-550 | M06219 | 08 | 545-547 | ||
| L97301 | 09 | 573-575 | M00869 | 08 | 485-487 | M06221 | 08 | 545-547 | ||
| L97301 | 09 | 592-594 | M00869 | 08 | 548-550 | M06222 | 08 | 545-547 | ||
| L97302 | 09 | 573-575 | M00871 | 08 | 548-550 | M06229 | 08 | 545-547 | ||
| L97302 | 09 | 592-594 | M00872 | 08 | 548-550 | M06231 | 08 | 545-547 | ||
| L97303 | 09 | 573-575 | M00879 | 08 | 548-550 | M06232 | 08 | 545-547 | ||
| L97303 | 09 | 592-594 | M0088 | 08 | 548-550 | M06239 | 08 | 545-547 | ||
| L97304 | 09 | 573-575 | M0089 | 08 | 548-550 | M06241 | 08 | 545-547 | ||
| L97304 | 09 | 592-594 | M009 | 08 | 485-487 | M06242 | 08 | 545-547 | ||
| L97305 | 09 | 573-575 | M009 | 08 | 548-550 | M06249 | 08 | 545-547 | ||
| L97305 | 09 | 592-594 | M01X0 | 08 | 548-550 | M06251 | 08 | 545-547 | ||
| L97306 | 09 | 573-575 | M01X11 | 08 | 548-550 | M06252 | 08 | 545-547 | ||
| L97306 | 09 | 592-594 | M01X12 | 08 | 548-550 | M06259 | 08 | 545-547 | ||
| L97308 | 09 | 573-575 | M01X19 | 08 | 548-550 | M06261 | 08 | 545-547 | ||
| L97308 | 09 | 592-594 | M01X21 | 08 | 548-550 | M06262 | 08 | 545-547 | ||
| L97309 | 09 | 573-575 | M01X22 | 08 | 548-550 | M06269 | 08 | 545-547 | ||
| L97309 | 09 | 592-594 | M01X29 | 08 | 548-550 | M06271 | 08 | 545-547 | ||
| L97311 | 09 | 573-575 | M01X31 | 08 | 548-550 | M06272 | 08 | 545-547 | ||
| L97311 | 09 | 592-594 | M01X32 | 08 | 548-550 | M06279 | 08 | 545-547 | ||
| L97312 | 09 | 573-575 | M01X39 | 08 | 548-550 | M0628 | 08 | 545-547 | ||
| L97312 | 09 | 592-594 | M01X41 | 08 | 548-550 | M0629 | 08 | 545-547 | ||
| L97313 | 09 | 573-575 | M01X42 | 08 | 548-550 | M0630 | 08 | 545-547 | ||
| L97313 | 09 | 592-594 | M01X49 | 08 | 548-550 | M06311 | 08 | 545-547 | ||
| L97314 | 09 | 573-575 | M01X51 | 08 | 548-550 | M06312 | 08 | 545-547 | ||
| L97314 | 09 | 592-594 | M01X52 | 08 | 548-550 | M06319 | 08 | 545-547 | ||
| L97315 | 09 | 573-575 | M01X59 | 08 | 548-550 | M06321 | 08 | 545-547 | ||
| L97315 | 09 | 592-594 | M01X61 | 08 | 485-487 | M06322 | 08 | 545-547 | ||
| L97316 | 09 | 573-575 | M01X61 | 08 | 548-550 | M06329 | 08 | 545-547 | ||
| L97316 | 09 | 592-594 | M01X62 | 08 | 485-487 | M06331 | 08 | 545-547 | ||
| L97318 | 09 | 573-575 | M01X62 | 08 | 548-550 | M06332 | 08 | 545-547 | ||
| L97318 | 09 | 592-594 | M01X69 | 08 | 485-487 | M06339 | 08 | 545-547 | ||
| L97319 | 09 | 573-575 | M01X69 | 08 | 548-550 | M06341 | 08 | 545-547 | ||
| L97319 | 09 | 592-594 | M01X71 | 08 | 548-550 | M06342 | 08 | 545-547 | ||
| L97321 | 09 | 573-575 | M01X72 | 08 | 548-550 | M06349 | 08 | 545-547 | ||
| L97321 | 09 | 592-594 | M01X79 | 08 | 548-550 | M06351 | 08 | 545-547 | ||
| L97322 | 09 | 573-575 | M01X8 | 08 | 548-550 | M06352 | 08 | 545-547 | ||
| L97322 | 09 | 592-594 | M01X9 | 08 | 548-550 | M06359 | 08 | 545-547 | ||
| L97323 | 09 | 573-575 | M0200 | 08 | 553-554 | M06361 | 08 | 545-547 | ||
| L97323 | 09 | 592-594 | M02011 | 08 | 553-554 | M06362 | 08 | 545-547 | ||
| L97324 | 09 | 573-575 | M02012 | 08 | 553-554 | M06369 | 08 | 545-547 | ||
| L97324 | 09 | 592-594 | M02019 | 08 | 553-554 | M06371 | 08 | 545-547 | ||
| L97325 | 09 | 573-575 | M02021 | 08 | 553-554 | M06372 | 08 | 545-547 | ||
| L97325 | 09 | 592-594 | M02022 | 08 | 553-554 | M06379 | 08 | 545-547 | ||
| L97326 | 09 | 573-575 | M02029 | 08 | 553-554 | M0638 | 08 | 545-547 | ||
| L97326 | 09 | 592-594 | M02031 | 08 | 553-554 | M0639 | 08 | 545-547 | ||
| L97328 | 09 | 573-575 | M02032 | 08 | 553-554 | M064 | 08 | 553-554 | ||
| L97328 | 09 | 592-594 | M02039 | 08 | 553-554 | M0680 | 08 | 545-547 | ||
| L97329 | 09 | 573-575 | M02041 | 08 | 553-554 | M06811 | 08 | 545-547 | ||
| L97329 | 09 | 592-594 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |