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 20 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| M71811 | 08 | 557-558 | M80819A | 08 | 542-544 | M84375A | 08 | 542-544 | ||
| M71812 | 08 | 557-558 | M80819A | 15 | 791 | M84375D | 08 | 559-561 | ||
| M71819 | 08 | 557-558 | M80819A | 15 | 793 | M84375G | 08 | 559-561 | ||
| M71821 | 08 | 557-558 | M80819D | 08 | 559-561 | M84375K | 08 | 564-566 | ||
| M71822 | 08 | 557-558 | M80819G | 08 | 559-561 | M84375P | 08 | 564-566 | ||
| M71829 | 08 | 557-558 | M80819K | 08 | 564-566 | M84375S | 08 | 559-561 | ||
| M71831 | 08 | 557-558 | M80819P | 08 | 564-566 | M84376A | 08 | 542-544 | ||
| M71832 | 08 | 557-558 | M80819S | 08 | 559-561 | M84376D | 08 | 559-561 | ||
| M71839 | 08 | 557-558 | M80821A | 08 | 542-544 | M84376G | 08 | 559-561 | ||
| M71841 | 08 | 557-558 | M80821A | 15 | 791 | M84376K | 08 | 564-566 | ||
| M71842 | 08 | 557-558 | M80821A | 15 | 793 | M84376P | 08 | 564-566 | ||
| M71849 | 08 | 557-558 | M80821D | 08 | 559-561 | M84376S | 08 | 559-561 | ||
| M71851 | 08 | 557-558 | M80821G | 08 | 559-561 | M84377A | 08 | 542-544 | ||
| M71852 | 08 | 557-558 | M80821K | 08 | 564-566 | M84377D | 08 | 559-561 | ||
| M71859 | 08 | 557-558 | M80821P | 08 | 564-566 | M84377G | 08 | 559-561 | ||
| M71861 | 08 | 557-558 | M80821S | 08 | 559-561 | M84377K | 08 | 564-566 | ||
| M71862 | 08 | 557-558 | M80822A | 08 | 542-544 | M84377P | 08 | 564-566 | ||
| M71869 | 08 | 557-558 | M80822A | 15 | 791 | M84377S | 08 | 559-561 | ||
| M71871 | 08 | 557-558 | M80822A | 15 | 793 | M84378A | 08 | 542-544 | ||
| M71872 | 08 | 557-558 | M80822D | 08 | 559-561 | M84378D | 08 | 559-561 | ||
| M71879 | 08 | 557-558 | M80822G | 08 | 559-561 | M84378G | 08 | 559-561 | ||
| M7188 | 08 | 557-558 | M80822K | 08 | 564-566 | M84378K | 08 | 564-566 | ||
| M7189 | 08 | 557-558 | M80822P | 08 | 564-566 | M84378P | 08 | 564-566 | ||
| M719 | 08 | 557-558 | M80822S | 08 | 559-561 | M84378S | 08 | 559-561 | ||
| M720 | 08 | 557-558 | M80829A | 08 | 542-544 | M84379A | 08 | 542-544 | ||
| M721 | 08 | 557-558 | M80829A | 15 | 791 | M84379D | 08 | 559-561 | ||
| M722 | 08 | 557-558 | M80829A | 15 | 793 | M84379G | 08 | 559-561 | ||
| M724 | 08 | 557-558 | M80829D | 08 | 559-561 | M84379K | 08 | 564-566 | ||
| M726 | 08 | 557-558 | M80829G | 08 | 559-561 | M84379P | 08 | 564-566 | ||
| M728 | 08 | 557-558 | M80829K | 08 | 564-566 | M84379S | 08 | 559-561 | ||
| M729 | 08 | 557-558 | M80829P | 08 | 564-566 | M8438XA | 08 | 542-544 | ||
| M7500 | 08 | 557-558 | M80829S | 08 | 559-561 | M8438XD | 08 | 559-561 | ||
| M7501 | 08 | 557-558 | M80831A | 08 | 542-544 | M8438XG | 08 | 559-561 | ||
| M7502 | 08 | 557-558 | M80831A | 15 | 791 | M8438XK | 08 | 564-566 | ||
| M75100 | 08 | 557-558 | M80831A | 15 | 793 | M8438XP | 08 | 564-566 | ||
| M75101 | 08 | 557-558 | M80831D | 08 | 559-561 | M8438XS | 08 | 559-561 | ||
| M75102 | 08 | 557-558 | M80831G | 08 | 559-561 | M8440XA | 08 | 542-544 | ||
| M75110 | 08 | 557-558 | M80831K | 08 | 564-566 | M8440XA | 15 | 791 | ||
| M75111 | 08 | 557-558 | M80831P | 08 | 564-566 | M8440XA | 15 | 793 | ||
| M75112 | 08 | 557-558 | M80831S | 08 | 559-561 | M8440XD | 08 | 559-561 | ||
| M75120 | 08 | 557-558 | M80832A | 08 | 542-544 | M8440XG | 08 | 559-561 | ||
| M75121 | 08 | 557-558 | M80832A | 15 | 791 | M8440XK | 08 | 564-566 | ||
| M75122 | 08 | 557-558 | M80832A | 15 | 793 | M8440XP | 08 | 564-566 | ||
| M7520 | 08 | 557-558 | M80832D | 08 | 559-561 | M8440XS | 08 | 559-561 | ||
| M7521 | 08 | 557-558 | M80832G | 08 | 559-561 | M84411A | 08 | 542-544 | ||
| M7522 | 08 | 557-558 | M80832K | 08 | 564-566 | M84411A | 15 | 791 | ||
| M7530 | 08 | 557-558 | M80832P | 08 | 564-566 | M84411A | 15 | 793 | ||
| M7531 | 08 | 557-558 | M80832S | 08 | 559-561 | M84411D | 08 | 559-561 | ||
| M7532 | 08 | 557-558 | M80839A | 08 | 542-544 | M84411G | 08 | 559-561 | ||
| M7540 | 08 | 557-558 | M80839A | 15 | 791 | M84411K | 08 | 564-566 | ||
| M7541 | 08 | 557-558 | M80839A | 15 | 793 | M84411P | 08 | 564-566 | ||
| M7542 | 08 | 557-558 | M80839D | 08 | 559-561 | M84411S | 08 | 559-561 | ||
| M7550 | 08 | 557-558 | M80839G | 08 | 559-561 | M84412A | 08 | 542-544 | ||
| M7551 | 08 | 557-558 | M80839K | 08 | 564-566 | M84412A | 15 | 791 | ||
| M7552 | 08 | 557-558 | M80839P | 08 | 564-566 | M84412A | 15 | 793 | ||
| M7580 | 08 | 557-558 | M80839S | 08 | 559-561 | M84412D | 08 | 559-561 | ||
| M7581 | 08 | 557-558 | M80841A | 08 | 542-544 | M84412G | 08 | 559-561 | ||
| M7582 | 08 | 557-558 | M80841A | 15 | 791 | M84412K | 08 | 564-566 | ||
| M7590 | 08 | 557-558 | M80841A | 15 | 793 | M84412P | 08 | 564-566 | ||
| M7591 | 08 | 557-558 | M80841D | 08 | 559-561 | M84412S | 08 | 559-561 | ||
| M7592 | 08 | 557-558 | M80841G | 08 | 559-561 | M84419A | 08 | 542-544 | ||
| M7600 | 08 | 557-558 | M80841K | 08 | 564-566 | M84419A | 15 | 791 | ||
| M7601 | 08 | 557-558 | M80841P | 08 | 564-566 | M84419A | 15 | 793 | ||
| M7602 | 08 | 557-558 | M80841S | 08 | 559-561 | M84419D | 08 | 559-561 | ||
| M7610 | 08 | 557-558 | M80842A | 08 | 542-544 | M84419G | 08 | 559-561 | ||
| M7611 | 08 | 557-558 | M80842A | 15 | 791 | M84419K | 08 | 564-566 | ||
| M7612 | 08 | 557-558 | M80842A | 15 | 793 | M84419P | 08 | 564-566 | ||
| M7620 | 08 | 557-558 | M80842D | 08 | 559-561 | M84419S | 08 | 559-561 | ||
| M7621 | 08 | 557-558 | M80842G | 08 | 559-561 | M84421A | 08 | 542-544 | ||
| M7622 | 08 | 557-558 | M80842K | 08 | 564-566 | M84421A | 15 | 791 | ||
| M7630 | 08 | 557-558 | M80842P | 08 | 564-566 | M84421A | 15 | 793 | ||
| M7631 | 08 | 557-558 | M80842S | 08 | 559-561 | M84421D | 08 | 559-561 | ||
| M7632 | 08 | 557-558 | M80849A | 08 | 542-544 | M84421G | 08 | 559-561 | ||
| M7640 | 08 | 557-558 | M80849A | 15 | 791 | M84421K | 08 | 564-566 | ||
| M7641 | 08 | 557-558 | M80849A | 15 | 793 | M84421P | 08 | 564-566 | ||
| M7642 | 08 | 557-558 | M80849D | 08 | 559-561 | M84421S | 08 | 559-561 | ||
| M7650 | 08 | 557-558 | M80849G | 08 | 559-561 | M84422A | 08 | 542-544 | ||
| M7651 | 08 | 557-558 | M80849K | 08 | 564-566 | M84422A | 15 | 791 | ||
| M7652 | 08 | 557-558 | M80849P | 08 | 564-566 | M84422A | 15 | 793 | ||
| M7660 | 08 | 557-558 | M80849S | 08 | 559-561 | M84422D | 08 | 559-561 | ||
| M7661 | 08 | 557-558 | M80851A | 08 | 521-522 | M84422G | 08 | 559-561 | ||
| M7662 | 08 | 557-558 | M80851A | 08 | 542-544 | M84422K | 08 | 564-566 | ||
| M7670 | 08 | 557-558 | M80851A | 15 | 791 | M84422P | 08 | 564-566 | ||
| M7671 | 08 | 557-558 | M80851A | 15 | 793 | M84422S | 08 | 559-561 | ||
| M7672 | 08 | 557-558 | M80851D | 08 | 559-561 | M84429A | 08 | 542-544 | ||
| M76811 | 08 | 557-558 | M80851G | 08 | 521-522 | M84429A | 15 | 791 | ||
| M76812 | 08 | 557-558 | M80851G | 08 | 559-561 | M84429A | 15 | 793 | ||
| M76819 | 08 | 557-558 | M80851K | 08 | 521-522 | M84429D | 08 | 559-561 | ||
| M76821 | 08 | 557-558 | M80851K | 08 | 564-566 | M84429G | 08 | 559-561 | ||
| M76822 | 08 | 557-558 | M80851P | 08 | 521-522 | M84429K | 08 | 564-566 | ||
| M76829 | 08 | 557-558 | M80851P | 08 | 564-566 | M84429P | 08 | 564-566 | ||
| M76891 | 08 | 557-558 | M80851S | 08 | 559-561 | M84429S | 08 | 559-561 | ||
| M76892 | 08 | 557-558 | M80852A | 08 | 521-522 | M84431A | 08 | 542-544 | ||
| M76899 | 08 | 557-558 | M80852A | 08 | 542-544 | M84431A | 15 | 791 | ||
| M769 | 08 | 557-558 | M80852A | 15 | 791 | M84431A | 15 | 793 | ||
| M7700 | 08 | 557-558 | M80852A | 15 | 793 | M84431D | 08 | 559-561 | ||
| M7701 | 08 | 557-558 | M80852D | 08 | 559-561 | M84431G | 08 | 559-561 | ||
| M7702 | 08 | 557-558 | M80852G | 08 | 521-522 | M84431K | 08 | 564-566 | ||
| M7710 | 08 | 557-558 | M80852G | 08 | 559-561 | M84431P | 08 | 564-566 | ||
| M7711 | 08 | 557-558 | M80852K | 08 | 521-522 | M84431S | 08 | 559-561 | ||
| M7712 | 08 | 557-558 | M80852K | 08 | 564-566 | M84432A | 08 | 542-544 | ||
| M7720 | 08 | 557-558 | M80852P | 08 | 521-522 | M84432A | 15 | 791 | ||
| M7721 | 08 | 557-558 | M80852P | 08 | 564-566 | M84432A | 15 | 793 | ||
| M7722 | 08 | 557-558 | M80852S | 08 | 559-561 | M84432D | 08 | 559-561 | ||
| M7730 | 08 | 564-566 | M80859A | 08 | 521-522 | M84432G | 08 | 559-561 | ||
| M7731 | 08 | 564-566 | M80859A | 08 | 542-544 | M84432K | 08 | 564-566 | ||
| M7732 | 08 | 564-566 | M80859A | 15 | 791 | M84432P | 08 | 564-566 | ||
| M7740 | 08 | 557-558 | M80859A | 15 | 793 | M84432S | 08 | 559-561 | ||
| M7741 | 08 | 557-558 | M80859D | 08 | 559-561 | M84433A | 08 | 542-544 | ||
| M7742 | 08 | 557-558 | M80859G | 08 | 521-522 | M84433A | 15 | 791 | ||
| M7750 | 08 | 557-558 | M80859G | 08 | 559-561 | M84433A | 15 | 793 | ||
| M7751 | 08 | 557-558 | M80859K | 08 | 521-522 | M84433D | 08 | 559-561 | ||
| M7752 | 08 | 557-558 | M80859K | 08 | 564-566 | M84433G | 08 | 559-561 | ||
| M778 | 08 | 557-558 | M80859P | 08 | 521-522 | M84433K | 08 | 564-566 | ||
| M779 | 08 | 557-558 | M80859P | 08 | 564-566 | M84433P | 08 | 564-566 | ||
| M790 | 08 | 555-556 | M80859S | 08 | 559-561 | M84433S | 08 | 559-561 | ||
| M7910 | 08 | 555-556 | M80861A | 08 | 542-544 | M84434A | 08 | 542-544 | ||
| M7911 | 08 | 555-556 | M80861A | 15 | 791 | M84434A | 15 | 791 | ||
| M7912 | 08 | 555-556 | M80861A | 15 | 793 | M84434A | 15 | 793 | ||
| M7918 | 08 | 555-556 | M80861D | 08 | 559-561 | M84434D | 08 | 559-561 | ||
| M792 | 01 | 073-074 | M80861G | 08 | 559-561 | M84434G | 08 | 559-561 | ||
| M793 | 09 | 606-607 | M80861K | 08 | 564-566 | M84434K | 08 | 564-566 | ||
| M794 | 09 | 606-607 | M80861P | 08 | 564-566 | M84434P | 08 | 564-566 | ||
| M795 | 08 | 564-566 | M80861S | 08 | 559-561 | M84434S | 08 | 559-561 | ||
| M79601 | 08 | 555-556 | M80862A | 08 | 542-544 | M84439A | 08 | 542-544 | ||
| M79602 | 08 | 555-556 | M80862A | 15 | 791 | M84439A | 15 | 791 | ||
| M79603 | 08 | 555-556 | M80862A | 15 | 793 | M84439A | 15 | 793 | ||
| M79604 | 08 | 555-556 | M80862D | 08 | 559-561 | M84439D | 08 | 559-561 | ||
| M79605 | 08 | 555-556 | M80862G | 08 | 559-561 | M84439G | 08 | 559-561 | ||
| M79606 | 08 | 555-556 | M80862K | 08 | 564-566 | M84439K | 08 | 564-566 | ||
| M79609 | 08 | 555-556 | M80862P | 08 | 564-566 | M84439P | 08 | 564-566 | ||
| M79621 | 08 | 555-556 | M80862S | 08 | 559-561 | M84439S | 08 | 559-561 | ||
| M79622 | 08 | 555-556 | M80869A | 08 | 542-544 | M84441A | 08 | 542-544 | ||
| M79629 | 08 | 555-556 | M80869A | 15 | 791 | M84441A | 15 | 791 | ||
| M79631 | 08 | 555-556 | M80869A | 15 | 793 | M84441A | 15 | 793 | ||
| M79632 | 08 | 555-556 | M80869D | 08 | 559-561 | M84441D | 08 | 559-561 | ||
| M79639 | 08 | 555-556 | M80869G | 08 | 559-561 | M84441G | 08 | 559-561 | ||
| M79641 | 08 | 555-556 | M80869K | 08 | 564-566 | M84441K | 08 | 564-566 | ||
| M79642 | 08 | 555-556 | M80869P | 08 | 564-566 | M84441P | 08 | 564-566 | ||
| M79643 | 08 | 555-556 | M80869S | 08 | 559-561 | M84441S | 08 | 559-561 | ||
| M79644 | 08 | 555-556 | M80871A | 08 | 542-544 | M84442A | 08 | 542-544 | ||
| M79645 | 08 | 555-556 | M80871A | 15 | 791 | M84442A | 15 | 791 | ||
| M79646 | 08 | 555-556 | M80871A | 15 | 793 | M84442A | 15 | 793 | ||
| M79651 | 08 | 555-556 | M80871D | 08 | 559-561 | M84442D | 08 | 559-561 | ||
| M79652 | 08 | 555-556 | M80871G | 08 | 559-561 | M84442G | 08 | 559-561 | ||
| M79659 | 08 | 555-556 | M80871K | 08 | 564-566 | M84442K | 08 | 564-566 | ||
| M79661 | 08 | 555-556 | M80871P | 08 | 564-566 | M84442P | 08 | 564-566 | ||
| M79662 | 08 | 555-556 | M80871S | 08 | 559-561 | M84442S | 08 | 559-561 | ||
| M79669 | 08 | 555-556 | M80872A | 08 | 542-544 | M84443A | 08 | 542-544 | ||
| M79671 | 08 | 555-556 | M80872A | 15 | 791 | M84443A | 15 | 791 | ||
| M79672 | 08 | 555-556 | M80872A | 15 | 793 | M84443A | 15 | 793 | ||
| M79673 | 08 | 555-556 | M80872D | 08 | 559-561 | M84443D | 08 | 559-561 | ||
| M79674 | 08 | 555-556 | M80872G | 08 | 559-561 | M84443G | 08 | 559-561 | ||
| M79675 | 08 | 555-556 | M80872K | 08 | 564-566 | M84443K | 08 | 564-566 | ||
| M79676 | 08 | 555-556 | M80872P | 08 | 564-566 | M84443P | 08 | 564-566 | ||
| M797 | 08 | 555-556 | M80872S | 08 | 559-561 | M84443S | 08 | 559-561 | ||
| M7981 | 08 | 555-556 | M80879A | 08 | 542-544 | M84444A | 08 | 542-544 | ||
| M7989 | 08 | 555-556 | M80879A | 15 | 791 | M84444A | 15 | 791 | ||
| M799 | 08 | 555-556 | M80879A | 15 | 793 | M84444A | 15 | 793 | ||
| M79A11 | 08 | 557-558 | M80879D | 08 | 559-561 | M84444D | 08 | 559-561 | ||
| M79A12 | 08 | 557-558 | M80879G | 08 | 559-561 | M84444G | 08 | 559-561 | ||
| M79A19 | 08 | 557-558 | M80879K | 08 | 564-566 | M84444K | 08 | 564-566 | ||
| M79A21 | 08 | 557-558 | M80879P | 08 | 564-566 | M84444P | 08 | 564-566 | ||
| M79A22 | 08 | 557-558 | M80879S | 08 | 559-561 | M84444S | 08 | 559-561 | ||
| M79A29 | 08 | 557-558 | M8088XA | 08 | 456-458 | M84445A | 08 | 542-544 | ||
| M79A3 | 08 | 557-558 | M8088XA | 08 | 542-544 | M84445A | 15 | 791 | ||
| M79A9 | 08 | 557-558 | M8088XA | 15 | 791 | M84445A | 15 | 793 | ||
| M8000XA | 08 | 542-544 | M8088XA | 15 | 793 | M84445D | 08 | 559-561 | ||
| M8000XA | 15 | 791 | M8088XD | 08 | 559-561 | M84445G | 08 | 559-561 | ||
| M8000XA | 15 | 793 | M8088XG | 08 | 559-561 | M84445K | 08 | 564-566 | ||
| M8000XD | 08 | 559-561 | M8088XK | 08 | 564-566 | M84445P | 08 | 564-566 | ||
| M8000XG | 08 | 559-561 | M8088XP | 08 | 564-566 | M84445S | 08 | 559-561 | ||
| M8000XK | 08 | 564-566 | M8088XS | 08 | 551-552 | M84446A | 08 | 542-544 | ||
| M8000XP | 08 | 564-566 | M808AXA | 08 | 521-522 | M84446A | 15 | 791 | ||
| M8000XS | 08 | 559-561 | M808AXA | 08 | 542-544 | M84446A | 15 | 793 | ||
| M80011A | 08 | 542-544 | M808AXA | 15 | 791 | M84446D | 08 | 559-561 | ||
| M80011A | 15 | 791 | M808AXA | 15 | 793 | M84446G | 08 | 559-561 | ||
| M80011A | 15 | 793 | M808AXD | 08 | 521-522 | M84446K | 08 | 564-566 | ||
| M80011D | 08 | 559-561 | M808AXD | 08 | 559-561 | M84446P | 08 | 564-566 | ||
| M80011G | 08 | 559-561 | M808AXG | 08 | 521-522 | M84446S | 08 | 559-561 | ||
| M80011K | 08 | 564-566 | M808AXG | 08 | 559-561 | M84451A | 08 | 521-522 | ||
| M80011P | 08 | 564-566 | M808AXK | 08 | 521-522 | M84451A | 08 | 542-544 | ||
| M80011S | 08 | 559-561 | M808AXK | 08 | 564-566 | M84451A | 15 | 791 | ||
| M80012A | 08 | 542-544 | M808AXP | 08 | 521-522 | M84451A | 15 | 793 | ||
| M80012A | 15 | 791 | M808AXP | 08 | 564-566 | M84451D | 08 | 559-561 | ||
| M80012A | 15 | 793 | M808AXS | 08 | 559-561 | M84451G | 08 | 559-561 | ||
| M80012D | 08 | 559-561 | M810 | 08 | 553-554 | M84451K | 08 | 521-522 | ||
| M80012G | 08 | 559-561 | M816 | 08 | 553-554 | M84451K | 08 | 564-566 | ||
| M80012K | 08 | 564-566 | M818 | 08 | 553-554 | M84451P | 08 | 521-522 | ||
| M80012P | 08 | 564-566 | M830 | 08 | 553-554 | M84451P | 08 | 564-566 | ||
| M80012S | 08 | 559-561 | M831 | 08 | 553-554 | M84451S | 08 | 559-561 | ||
| M80019A | 08 | 542-544 | M832 | 08 | 553-554 | M84452A | 08 | 521-522 | ||
| M80019A | 15 | 791 | M833 | 08 | 553-554 | M84452A | 08 | 542-544 | ||
| M80019A | 15 | 793 | M834 | 08 | 553-554 | M84452A | 15 | 791 | ||
| M80019D | 08 | 559-561 | M835 | 08 | 553-554 | M84452A | 15 | 793 | ||
| M80019G | 08 | 559-561 | M838 | 08 | 553-554 | M84452D | 08 | 559-561 | ||
| M80019K | 08 | 564-566 | M839 | 08 | 553-554 | M84452G | 08 | 559-561 | ||
| M80019P | 08 | 564-566 | M8430XA | 08 | 542-544 | M84452K | 08 | 521-522 | ||
| M80019S | 08 | 559-561 | M8430XD | 08 | 559-561 | M84452K | 08 | 564-566 | ||
| M80021A | 08 | 542-544 | M8430XG | 08 | 559-561 | M84452P | 08 | 521-522 | ||
| M80021A | 15 | 791 | M8430XK | 08 | 564-566 | M84452P | 08 | 564-566 | ||
| M80021A | 15 | 793 | M8430XP | 08 | 564-566 | M84452S | 08 | 559-561 | ||
| M80021D | 08 | 559-561 | M8430XS | 08 | 559-561 | M84453A | 08 | 521-522 | ||
| M80021G | 08 | 559-561 | M84311A | 08 | 542-544 | M84453A | 08 | 542-544 | ||
| M80021K | 08 | 564-566 | M84311D | 08 | 559-561 | M84453A | 15 | 791 | ||
| M80021P | 08 | 564-566 | M84311G | 08 | 559-561 | M84453A | 15 | 793 | ||
| M80021S | 08 | 559-561 | M84311K | 08 | 564-566 | M84453D | 08 | 559-561 | ||
| M80022A | 08 | 542-544 | M84311P | 08 | 564-566 | M84453G | 08 | 559-561 | ||
| M80022A | 15 | 791 | M84311S | 08 | 559-561 | M84453K | 08 | 521-522 | ||
| M80022A | 15 | 793 | M84312A | 08 | 542-544 | M84453K | 08 | 564-566 | ||
| M80022D | 08 | 559-561 | M84312D | 08 | 559-561 | M84453P | 08 | 521-522 | ||
| M80022G | 08 | 559-561 | M84312G | 08 | 559-561 | M84453P | 08 | 564-566 | ||
| M80022K | 08 | 564-566 | M84312K | 08 | 564-566 | M84453S | 08 | 559-561 | ||
| M80022P | 08 | 564-566 | M84312P | 08 | 564-566 | M84454A | 08 | 542-544 | ||
| M80022S | 08 | 559-561 | M84312S | 08 | 559-561 | M84454A | 15 | 791 | ||
| M80029A | 08 | 542-544 | M84319A | 08 | 542-544 | M84454A | 15 | 793 | ||
| M80029A | 15 | 791 | M84319D | 08 | 559-561 | M84454D | 08 | 559-561 | ||
| M80029A | 15 | 793 | M84319G | 08 | 559-561 | M84454G | 08 | 559-561 | ||
| M80029D | 08 | 559-561 | M84319K | 08 | 564-566 | M84454K | 08 | 564-566 | ||
| M80029G | 08 | 559-561 | M84319P | 08 | 564-566 | M84454P | 08 | 564-566 | ||
| M80029K | 08 | 564-566 | M84319S | 08 | 559-561 | M84454S | 08 | 551-552 | ||
| M80029P | 08 | 564-566 | M84321A | 08 | 542-544 | M84459A | 08 | 521-522 | ||
| M80029S | 08 | 559-561 | M84321D | 08 | 559-561 | M84459A | 08 | 542-544 | ||
| M80031A | 08 | 542-544 | M84321G | 08 | 559-561 | M84459A | 15 | 791 | ||
| M80031A | 15 | 791 | M84321K | 08 | 564-566 | M84459A | 15 | 793 | ||
| M80031A | 15 | 793 | M84321P | 08 | 564-566 | M84459D | 08 | 559-561 | ||
| M80031D | 08 | 559-561 | M84321S | 08 | 559-561 | M84459G | 08 | 559-561 | ||
| M80031G | 08 | 559-561 | M84322A | 08 | 542-544 | M84459K | 08 | 521-522 | ||
| M80031K | 08 | 564-566 | M84322D | 08 | 559-561 | M84459K | 08 | 564-566 | ||
| M80031P | 08 | 564-566 | M84322G | 08 | 559-561 | M84459P | 08 | 521-522 | ||
| M80031S | 08 | 559-561 | M84322K | 08 | 564-566 | M84459P | 08 | 564-566 | ||
| M80032A | 08 | 542-544 | M84322P | 08 | 564-566 | M84459S | 08 | 559-561 | ||
| M80032A | 15 | 791 | M84322S | 08 | 559-561 | M84461A | 08 | 542-544 | ||
| M80032A | 15 | 793 | M84329A | 08 | 542-544 | M84461A | 15 | 791 | ||
| M80032D | 08 | 559-561 | M84329D | 08 | 559-561 | M84461A | 15 | 793 | ||
| M80032G | 08 | 559-561 | M84329G | 08 | 559-561 | M84461D | 08 | 559-561 | ||
| M80032K | 08 | 564-566 | M84329K | 08 | 564-566 | M84461G | 08 | 559-561 | ||
| M80032P | 08 | 564-566 | M84329P | 08 | 564-566 | M84461K | 08 | 564-566 | ||
| M80032S | 08 | 559-561 | M84329S | 08 | 559-561 | M84461P | 08 | 564-566 | ||
| M80039A | 08 | 542-544 | M84331A | 08 | 542-544 | M84461S | 08 | 559-561 | ||
| M80039A | 15 | 791 | M84331D | 08 | 559-561 | M84462A | 08 | 542-544 | ||
| M80039A | 15 | 793 | M84331G | 08 | 559-561 | M84462A | 15 | 791 | ||
| M80039D | 08 | 559-561 | M84331K | 08 | 564-566 | M84462A | 15 | 793 | ||
| M80039G | 08 | 559-561 | M84331P | 08 | 564-566 | M84462D | 08 | 559-561 | ||
| M80039K | 08 | 564-566 | M84331S | 08 | 559-561 | M84462G | 08 | 559-561 | ||
| M80039P | 08 | 564-566 | M84332A | 08 | 542-544 | M84462K | 08 | 564-566 | ||
| M80039S | 08 | 559-561 | M84332D | 08 | 559-561 | M84462P | 08 | 564-566 | ||
| M80041A | 08 | 542-544 | M84332G | 08 | 559-561 | M84462S | 08 | 559-561 | ||
| M80041A | 15 | 791 | M84332K | 08 | 564-566 | M84463A | 08 | 542-544 | ||
| M80041A | 15 | 793 | M84332P | 08 | 564-566 | M84463A | 15 | 791 | ||
| M80041D | 08 | 559-561 | M84332S | 08 | 559-561 | M84463A | 15 | 793 | ||
| M80041G | 08 | 559-561 | M84333A | 08 | 542-544 | M84463D | 08 | 559-561 | ||
| M80041K | 08 | 564-566 | M84333D | 08 | 559-561 | M84463G | 08 | 559-561 | ||
| M80041P | 08 | 564-566 | M84333G | 08 | 559-561 | M84463K | 08 | 564-566 | ||
| M80041S | 08 | 559-561 | M84333K | 08 | 564-566 | M84463P | 08 | 564-566 | ||
| M80042A | 08 | 542-544 | M84333P | 08 | 564-566 | M84463S | 08 | 559-561 | ||
| M80042A | 15 | 791 | M84333S | 08 | 559-561 | M84464A | 08 | 542-544 | ||
| M80042A | 15 | 793 | M84334A | 08 | 542-544 | M84464A | 15 | 791 | ||
| M80042D | 08 | 559-561 | M84334D | 08 | 559-561 | M84464A | 15 | 793 | ||
| M80042G | 08 | 559-561 | M84334G | 08 | 559-561 | M84464D | 08 | 559-561 | ||
| M80042K | 08 | 564-566 | M84334K | 08 | 564-566 | M84464G | 08 | 559-561 | ||
| M80042P | 08 | 564-566 | M84334P | 08 | 564-566 | M84464K | 08 | 564-566 | ||
| M80042S | 08 | 559-561 | M84334S | 08 | 559-561 | M84464P | 08 | 564-566 | ||
| M80049A | 08 | 542-544 | M84339A | 08 | 542-544 | M84464S | 08 | 559-561 | ||
| M80049A | 15 | 791 | M84339D | 08 | 559-561 | M84469A | 08 | 542-544 | ||
| M80049A | 15 | 793 | M84339G | 08 | 559-561 | M84469A | 15 | 791 | ||
| M80049D | 08 | 559-561 | M84339K | 08 | 564-566 | M84469A | 15 | 793 | ||
| M80049G | 08 | 559-561 | M84339P | 08 | 564-566 | M84469D | 08 | 559-561 | ||
| M80049K | 08 | 564-566 | M84339S | 08 | 559-561 | M84469G | 08 | 559-561 | ||
| M80049P | 08 | 564-566 | M84341A | 08 | 542-544 | M84469K | 08 | 564-566 | ||
| M80049S | 08 | 559-561 | M84341D | 08 | 559-561 | M84469P | 08 | 564-566 | ||
| M80051A | 08 | 521-522 | M84341G | 08 | 559-561 | M84469S | 08 | 559-561 | ||
| M80051A | 08 | 542-544 | M84341K | 08 | 564-566 | M84471A | 08 | 542-544 | ||
| M80051A | 15 | 791 | M84341P | 08 | 564-566 | M84471A | 15 | 791 | ||
| M80051A | 15 | 793 | M84341S | 08 | 559-561 | M84471A | 15 | 793 | ||
| M80051D | 08 | 559-561 | M84342A | 08 | 542-544 | M84471D | 08 | 559-561 | ||
| M80051G | 08 | 521-522 | M84342D | 08 | 559-561 | M84471G | 08 | 559-561 | ||
| M80051G | 08 | 559-561 | M84342G | 08 | 559-561 | M84471K | 08 | 564-566 | ||
| M80051K | 08 | 521-522 | M84342K | 08 | 564-566 | M84471P | 08 | 564-566 | ||
| M80051K | 08 | 564-566 | M84342P | 08 | 564-566 | M84471S | 08 | 559-561 | ||
| M80051P | 08 | 521-522 | M84342S | 08 | 559-561 | M84472A | 08 | 542-544 | ||
| M80051P | 08 | 564-566 | M84343A | 08 | 542-544 | M84472A | 15 | 791 | ||
| M80051S | 08 | 559-561 | M84343D | 08 | 559-561 | M84472A | 15 | 793 | ||
| M80052A | 08 | 521-522 | M84343G | 08 | 559-561 | M84472D | 08 | 559-561 | ||
| M80052A | 08 | 542-544 | M84343K | 08 | 564-566 | M84472G | 08 | 559-561 | ||
| M80052A | 15 | 791 | M84343P | 08 | 564-566 | M84472K | 08 | 564-566 | ||
| M80052A | 15 | 793 | M84343S | 08 | 559-561 | M84472P | 08 | 564-566 | ||
| M80052D | 08 | 559-561 | M84344A | 08 | 542-544 | M84472S | 08 | 559-561 | ||
| M80052G | 08 | 521-522 | M84344D | 08 | 559-561 | M84473A | 08 | 542-544 | ||
| M80052G | 08 | 559-561 | M84344G | 08 | 559-561 | M84473A | 15 | 791 | ||
| M80052K | 08 | 521-522 | M84344K | 08 | 564-566 | M84473A | 15 | 793 | ||
| M80052K | 08 | 564-566 | M84344P | 08 | 564-566 | M84473D | 08 | 559-561 | ||
| M80052P | 08 | 521-522 | M84344S | 08 | 559-561 | M84473G | 08 | 559-561 | ||
| M80052P | 08 | 564-566 | M84345A | 08 | 542-544 | M84473K | 08 | 564-566 | ||
| M80052S | 08 | 559-561 | M84345D | 08 | 559-561 | M84473P | 08 | 564-566 | ||
| M80059A | 08 | 521-522 | M84345G | 08 | 559-561 | M84473S | 08 | 559-561 | ||
| M80059A | 08 | 542-544 | M84345K | 08 | 564-566 | M84474A | 08 | 542-544 | ||
| M80059A | 15 | 791 | M84345P | 08 | 564-566 | M84474A | 15 | 791 | ||
| M80059A | 15 | 793 | M84345S | 08 | 559-561 | M84474A | 15 | 793 | ||
| M80059D | 08 | 559-561 | M84346A | 08 | 542-544 | M84474D | 08 | 559-561 | ||
| M80059G | 08 | 521-522 | M84346D | 08 | 559-561 | M84474G | 08 | 559-561 | ||
| M80059G | 08 | 559-561 | M84346G | 08 | 559-561 | M84474K | 08 | 564-566 | ||
| M80059K | 08 | 521-522 | M84346K | 08 | 564-566 | M84474P | 08 | 564-566 | ||
| M80059K | 08 | 564-566 | M84346P | 08 | 564-566 | M84474S | 08 | 559-561 | ||
| M80059P | 08 | 521-522 | M84346S | 08 | 559-561 | M84475A | 08 | 542-544 | ||
| M80059P | 08 | 564-566 | M84350A | 08 | 542-544 | M84475A | 15 | 791 | ||
| M80059S | 08 | 559-561 | M84350D | 08 | 559-561 | M84475A | 15 | 793 | ||
| M80061A | 08 | 542-544 | M84350G | 08 | 559-561 | M84475D | 08 | 559-561 | ||
| M80061A | 15 | 791 | M84350K | 08 | 564-566 | M84475G | 08 | 559-561 | ||
| M80061A | 15 | 793 | M84350P | 08 | 564-566 | M84475K | 08 | 564-566 | ||
| M80061D | 08 | 559-561 | M84350S | 08 | 551-552 | M84475P | 08 | 564-566 | ||
| M80061G | 08 | 559-561 | M84351A | 08 | 521-522 | M84475S | 08 | 559-561 | ||
| M80061K | 08 | 564-566 | M84351A | 08 | 542-544 | M84476A | 08 | 542-544 | ||
| M80061P | 08 | 564-566 | M84351D | 08 | 559-561 | M84476A | 15 | 791 | ||
| M80061S | 08 | 559-561 | M84351G | 08 | 559-561 | M84476A | 15 | 793 | ||
| M80062A | 08 | 542-544 | M84351K | 08 | 521-522 | M84476D | 08 | 559-561 | ||
| M80062A | 15 | 791 | M84351K | 08 | 564-566 | M84476G | 08 | 559-561 | ||
| M80062A | 15 | 793 | M84351P | 08 | 521-522 | M84476K | 08 | 564-566 | ||
| M80062D | 08 | 559-561 | M84351P | 08 | 564-566 | M84476P | 08 | 564-566 | ||
| M80062G | 08 | 559-561 | M84351S | 08 | 559-561 | M84476S | 08 | 559-561 | ||
| M80062K | 08 | 564-566 | M84352A | 08 | 521-522 | M84477A | 08 | 542-544 | ||
| M80062P | 08 | 564-566 | M84352A | 08 | 542-544 | M84477A | 15 | 791 | ||
| M80062S | 08 | 559-561 | M84352D | 08 | 559-561 | M84477A | 15 | 793 | ||
| M80069A | 08 | 542-544 | M84352G | 08 | 559-561 | M84477D | 08 | 559-561 | ||
| M80069A | 15 | 791 | M84352K | 08 | 521-522 | M84477G | 08 | 559-561 | ||
| M80069A | 15 | 793 | M84352K | 08 | 564-566 | M84477K | 08 | 564-566 | ||
| M80069D | 08 | 559-561 | M84352P | 08 | 521-522 | M84477P | 08 | 564-566 | ||
| M80069G | 08 | 559-561 | M84352P | 08 | 564-566 | M84477S | 08 | 559-561 | ||
| M80069K | 08 | 564-566 | M84352S | 08 | 559-561 | M84478A | 08 | 542-544 | ||
| M80069P | 08 | 564-566 | M84353A | 08 | 521-522 | M84478A | 15 | 791 | ||
| M80069S | 08 | 559-561 | M84353A | 08 | 542-544 | M84478A | 15 | 793 | ||
| M80071A | 08 | 542-544 | M84353D | 08 | 559-561 | M84478D | 08 | 559-561 | ||
| M80071A | 15 | 791 | M84353G | 08 | 559-561 | M84478G | 08 | 559-561 | ||
| M80071A | 15 | 793 | M84353K | 08 | 521-522 | M84478K | 08 | 564-566 | ||
| M80071D | 08 | 559-561 | M84353K | 08 | 564-566 | M84478P | 08 | 564-566 | ||
| M80071G | 08 | 559-561 | M84353P | 08 | 521-522 | M84478S | 08 | 559-561 | ||
| M80071K | 08 | 564-566 | M84353P | 08 | 564-566 | M84479A | 08 | 542-544 | ||
| M80071P | 08 | 564-566 | M84353S | 08 | 559-561 | M84479A | 15 | 791 | ||
| M80071S | 08 | 559-561 | M84359A | 08 | 521-522 | M84479A | 15 | 793 | ||
| M80072A | 08 | 542-544 | M84359A | 08 | 542-544 | M84479D | 08 | 559-561 | ||
| M80072A | 15 | 791 | M84359D | 08 | 559-561 | M84479G | 08 | 559-561 | ||
| M80072A | 15 | 793 | M84359G | 08 | 559-561 | M84479K | 08 | 564-566 | ||
| M80072D | 08 | 559-561 | M84359K | 08 | 521-522 | M84479P | 08 | 564-566 | ||
| M80072G | 08 | 559-561 | M84359K | 08 | 564-566 | M84479S | 08 | 559-561 | ||
| M80072K | 08 | 564-566 | M84359P | 08 | 521-522 | M8448XA | 08 | 542-544 | ||
| M80072P | 08 | 564-566 | M84359P | 08 | 564-566 | M8448XA | 15 | 791 | ||
| M80072S | 08 | 559-561 | M84359S | 08 | 559-561 | M8448XA | 15 | 793 | ||
| M80079A | 08 | 542-544 | M84361A | 08 | 542-544 | M8448XD | 08 | 559-561 | ||
| M80079A | 15 | 791 | M84361D | 08 | 559-561 | M8448XG | 08 | 559-561 | ||
| M80079A | 15 | 793 | M84361G | 08 | 559-561 | M8448XK | 08 | 564-566 | ||
| M80079D | 08 | 559-561 | M84361K | 08 | 564-566 | M8448XP | 08 | 564-566 | ||
| M80079G | 08 | 559-561 | M84361P | 08 | 564-566 | M8448XS | 08 | 559-561 | ||
| M80079K | 08 | 564-566 | M84361S | 08 | 559-561 | M8450XA | 08 | 542-544 | ||
| M80079P | 08 | 564-566 | M84362A | 08 | 542-544 | M8450XA | 15 | 791 | ||
| M80079S | 08 | 559-561 | M84362D | 08 | 559-561 | M8450XA | 15 | 793 | ||
| M8008XA | 08 | 456-458 | M84362G | 08 | 559-561 | M8450XD | 08 | 559-561 | ||
| M8008XA | 08 | 542-544 | M84362K | 08 | 564-566 | M8450XG | 08 | 559-561 | ||
| M8008XA | 15 | 791 | M84362P | 08 | 564-566 | M8450XK | 08 | 564-566 | ||
| M8008XA | 15 | 793 | M84362S | 08 | 559-561 | M8450XP | 08 | 564-566 | ||
| M8008XD | 08 | 559-561 | M84363A | 08 | 542-544 | M8450XS | 08 | 559-561 | ||
| M8008XG | 08 | 559-561 | M84363D | 08 | 559-561 | M84511A | 08 | 542-544 | ||
| M8008XK | 08 | 564-566 | M84363G | 08 | 559-561 | M84511A | 15 | 791 | ||
| M8008XP | 08 | 564-566 | M84363K | 08 | 564-566 | M84511A | 15 | 793 | ||
| M8008XS | 08 | 551-552 | M84363P | 08 | 564-566 | M84511D | 08 | 559-561 | ||
| M800AXA | 08 | 521-522 | M84363S | 08 | 559-561 | M84511G | 08 | 559-561 | ||
| M800AXA | 08 | 542-544 | M84364A | 08 | 542-544 | M84511K | 08 | 564-566 | ||
| M800AXA | 15 | 791 | M84364D | 08 | 559-561 | M84511P | 08 | 564-566 | ||
| M800AXA | 15 | 793 | M84364G | 08 | 559-561 | M84511S | 08 | 559-561 | ||
| M800AXD | 08 | 521-522 | M84364K | 08 | 564-566 | M84512A | 08 | 542-544 | ||
| M800AXD | 08 | 559-561 | M84364P | 08 | 564-566 | M84512A | 15 | 791 | ||
| M800AXG | 08 | 521-522 | M84364S | 08 | 559-561 | M84512A | 15 | 793 | ||
| M800AXG | 08 | 559-561 | M84369A | 08 | 542-544 | M84512D | 08 | 559-561 | ||
| M800AXK | 08 | 521-522 | M84369D | 08 | 559-561 | M84512G | 08 | 559-561 | ||
| M800AXK | 08 | 564-566 | M84369G | 08 | 559-561 | M84512K | 08 | 564-566 | ||
| M800AXP | 08 | 521-522 | M84369K | 08 | 564-566 | M84512P | 08 | 564-566 | ||
| M800AXP | 08 | 564-566 | M84369P | 08 | 564-566 | M84512S | 08 | 559-561 | ||
| M800AXS | 08 | 559-561 | M84369S | 08 | 559-561 | M84519A | 08 | 542-544 | ||
| M8080XA | 08 | 542-544 | M84371A | 08 | 542-544 | M84519A | 15 | 791 | ||
| M8080XA | 15 | 791 | M84371D | 08 | 559-561 | M84519A | 15 | 793 | ||
| M8080XA | 15 | 793 | M84371G | 08 | 559-561 | M84519D | 08 | 559-561 | ||
| M8080XD | 08 | 559-561 | M84371K | 08 | 564-566 | M84519G | 08 | 559-561 | ||
| M8080XG | 08 | 559-561 | M84371P | 08 | 564-566 | M84519K | 08 | 564-566 | ||
| M8080XK | 08 | 564-566 | M84371S | 08 | 559-561 | M84519P | 08 | 564-566 | ||
| M8080XP | 08 | 564-566 | M84372A | 08 | 542-544 | M84519S | 08 | 559-561 | ||
| M8080XS | 08 | 559-561 | M84372D | 08 | 559-561 | M84521A | 08 | 542-544 | ||
| M80811A | 08 | 542-544 | M84372G | 08 | 559-561 | M84521A | 15 | 791 | ||
| M80811A | 15 | 791 | M84372K | 08 | 564-566 | M84521A | 15 | 793 | ||
| M80811A | 15 | 793 | M84372P | 08 | 564-566 | M84521D | 08 | 559-561 | ||
| M80811D | 08 | 559-561 | M84372S | 08 | 559-561 | M84521G | 08 | 559-561 | ||
| M80811G | 08 | 559-561 | M84373A | 08 | 542-544 | M84521K | 08 | 564-566 | ||
| M80811K | 08 | 564-566 | M84373D | 08 | 559-561 | M84521P | 08 | 564-566 | ||
| M80811P | 08 | 564-566 | M84373G | 08 | 559-561 | M84521S | 08 | 559-561 | ||
| M80811S | 08 | 559-561 | M84373K | 08 | 564-566 | M84522A | 08 | 542-544 | ||
| M80812A | 08 | 542-544 | M84373P | 08 | 564-566 | M84522A | 15 | 791 | ||
| M80812A | 15 | 791 | M84373S | 08 | 559-561 | M84522A | 15 | 793 | ||
| M80812A | 15 | 793 | M84374A | 08 | 542-544 | M84522D | 08 | 559-561 | ||
| M80812D | 08 | 559-561 | M84374D | 08 | 559-561 | M84522G | 08 | 559-561 | ||
| M80812G | 08 | 559-561 | M84374G | 08 | 559-561 | M84522K | 08 | 564-566 | ||
| M80812K | 08 | 564-566 | M84374K | 08 | 564-566 | M84522P | 08 | 564-566 | ||
| M80812P | 08 | 564-566 | M84374P | 08 | 564-566 | M84522S | 08 | 559-561 | ||
| M80812S | 08 | 559-561 | M84374S | 08 | 559-561 | M84529A | 08 | 542-544 | ||
| M84529A | 15 | 791 | ||||||||
| M84529A | 15 | 793 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |