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 30 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S0092XA | 09 | 606-607 | S0191XD | 23 | 949-950 | S0242XD | 08 | 559-561 | ||
| S0092XA | 24 | 963-965 | S0191XS | 09 | 604-605 | S0242XG | 08 | 559-561 | ||
| S0092XD | 23 | 949-950 | S0192XA | 09 | 604-605 | S0242XK | 08 | 564-566 | ||
| S0092XS | 09 | 604-605 | S0192XA | 24 | 963-965 | S0242XS | 01 | 091-093 | ||
| S0093XA | 09 | 604-605 | S0192XD | 23 | 949-950 | S025XXA | 03 | 157-159 | ||
| S0093XA | 24 | 963-965 | S0192XS | 09 | 604-605 | S025XXA | 24 | 963-965 | ||
| S0093XD | 23 | 949-950 | S0193XA | 09 | 604-605 | S025XXB | 03 | 157-159 | ||
| S0093XS | 09 | 604-605 | S0193XA | 24 | 963-965 | S025XXB | 24 | 963-965 | ||
| S0094XA | 09 | 604-605 | S0193XD | 23 | 949-950 | S025XXD | 08 | 559-561 | ||
| S0094XA | 24 | 963-965 | S0193XS | 09 | 604-605 | S025XXG | 08 | 559-561 | ||
| S0094XD | 23 | 949-950 | S0194XA | 09 | 604-605 | S025XXK | 08 | 564-566 | ||
| S0094XS | 09 | 604-605 | S0194XA | 24 | 963-965 | S025XXS | 01 | 091-093 | ||
| S0095XA | 09 | 604-605 | S0194XD | 23 | 949-950 | S02600A | Pre | 011-013 | ||
| S0095XA | 24 | 963-965 | S0194XS | 09 | 604-605 | S02600A | 03 | 157-159 | ||
| S0095XD | 23 | 949-950 | S0195XA | 09 | 604-605 | S02600A | 24 | 963-965 | ||
| S0095XS | 09 | 604-605 | S0195XA | 24 | 963-965 | S02600B | Pre | 011-013 | ||
| S0096XA | 09 | 606-607 | S0195XD | 23 | 949-950 | S02600B | 03 | 157-159 | ||
| S0096XA | 24 | 963-965 | S0195XS | 09 | 604-605 | S02600B | 24 | 963-965 | ||
| S0096XD | 23 | 949-950 | S020XXA | 01 | 082-084 | S02600D | 08 | 559-561 | ||
| S0096XS | 09 | 604-605 | S020XXA | 01 | 085-087 | S02600G | 08 | 559-561 | ||
| S0097XA | 09 | 604-605 | S020XXA | 24 | 963-965 | S02600K | 08 | 564-566 | ||
| S0097XA | 24 | 963-965 | S020XXB | 01 | 082-084 | S02600S | 01 | 091-093 | ||
| S0097XD | 23 | 949-950 | S020XXB | 01 | 085-087 | S02601A | Pre | 011-013 | ||
| S0097XS | 09 | 604-605 | S020XXB | 24 | 963-965 | S02601A | 03 | 157-159 | ||
| S0100XA | 09 | 604-605 | S020XXD | 08 | 559-561 | S02601A | 24 | 963-965 | ||
| S0100XA | 24 | 963-965 | S020XXG | 08 | 559-561 | S02601B | Pre | 011-013 | ||
| S0100XD | 23 | 949-950 | S020XXK | 08 | 564-566 | S02601B | 03 | 157-159 | ||
| S0100XS | 09 | 604-605 | S020XXS | 01 | 091-093 | S02601B | 24 | 963-965 | ||
| S0101XA | 09 | 604-605 | S02101A | 01 | 082-084 | S02601D | 08 | 559-561 | ||
| S0101XA | 24 | 963-965 | S02101A | 01 | 085-087 | S02601G | 08 | 559-561 | ||
| S0101XD | 23 | 949-950 | S02101A | 24 | 963-965 | S02601K | 08 | 564-566 | ||
| S0101XS | 09 | 604-605 | S02101B | 01 | 082-084 | S02601S | 01 | 091-093 | ||
| S0102XA | 09 | 604-605 | S02101B | 01 | 085-087 | S02602A | Pre | 011-013 | ||
| S0102XA | 24 | 963-965 | S02101B | 24 | 963-965 | S02602A | 03 | 157-159 | ||
| S0102XD | 23 | 949-950 | S02101D | 08 | 559-561 | S02602A | 24 | 963-965 | ||
| S0102XS | 09 | 604-605 | S02101G | 08 | 559-561 | S02602B | Pre | 011-013 | ||
| S0103XA | 09 | 604-605 | S02101K | 08 | 564-566 | S02602B | 03 | 157-159 | ||
| S0103XA | 24 | 963-965 | S02101S | 01 | 091-093 | S02602B | 24 | 963-965 | ||
| S0103XD | 23 | 949-950 | S02102A | 01 | 082-084 | S02602D | 08 | 559-561 | ||
| S0103XS | 09 | 604-605 | S02102A | 01 | 085-087 | S02602G | 08 | 559-561 | ||
| S0104XA | 09 | 604-605 | S02102A | 24 | 963-965 | S02602K | 08 | 564-566 | ||
| S0104XA | 24 | 963-965 | S02102B | 01 | 082-084 | S02602S | 01 | 091-093 | ||
| S0104XD | 23 | 949-950 | S02102B | 01 | 085-087 | S02609A | Pre | 011-013 | ||
| S0104XS | 09 | 604-605 | S02102B | 24 | 963-965 | S02609A | 03 | 157-159 | ||
| S0105XA | 09 | 604-605 | S02102D | 08 | 559-561 | S02609A | 24 | 963-965 | ||
| S0105XA | 24 | 963-965 | S02102G | 08 | 559-561 | S02609B | Pre | 011-013 | ||
| S0105XD | 23 | 949-950 | S02102K | 08 | 564-566 | S02609B | 03 | 157-159 | ||
| S0105XS | 09 | 604-605 | S02102S | 01 | 091-093 | S02609B | 24 | 963-965 | ||
| S01101A | 02 | 124-125 | S02109A | 01 | 082-084 | S02609D | 08 | 559-561 | ||
| S01101A | 24 | 963-965 | S02109A | 01 | 085-087 | S02609G | 08 | 559-561 | ||
| S01101D | 23 | 949-950 | S02109A | 24 | 963-965 | S02609K | 08 | 564-566 | ||
| S01101S | 09 | 604-605 | S02109B | 01 | 082-084 | S02609S | 01 | 091-093 | ||
| S01102A | 02 | 124-125 | S02109B | 01 | 085-087 | S02610A | Pre | 011-013 | ||
| S01102A | 24 | 963-965 | S02109B | 24 | 963-965 | S02610A | 03 | 157-159 | ||
| S01102D | 23 | 949-950 | S02109D | 08 | 559-561 | S02610A | 24 | 963-965 | ||
| S01102S | 09 | 604-605 | S02109G | 08 | 559-561 | S02610B | Pre | 011-013 | ||
| S01109A | 02 | 124-125 | S02109K | 08 | 564-566 | S02610B | 03 | 157-159 | ||
| S01109A | 24 | 963-965 | S02109S | 01 | 091-093 | S02610B | 24 | 963-965 | ||
| S01109D | 23 | 949-950 | S02110A | 01 | 082-084 | S02610D | 08 | 559-561 | ||
| S01109S | 09 | 604-605 | S02110A | 01 | 085-087 | S02610G | 08 | 559-561 | ||
| S01111A | 02 | 124-125 | S02110A | 24 | 963-965 | S02610K | 08 | 564-566 | ||
| S01111A | 24 | 963-965 | S02110B | 01 | 082-084 | S02610S | 01 | 091-093 | ||
| S01111D | 23 | 949-950 | S02110B | 01 | 085-087 | S02611A | Pre | 011-013 | ||
| S01111S | 09 | 604-605 | S02110B | 24 | 963-965 | S02611A | 03 | 157-159 | ||
| S01112A | 02 | 124-125 | S02110D | 08 | 559-561 | S02611A | 24 | 963-965 | ||
| S01112A | 24 | 963-965 | S02110G | 08 | 559-561 | S02611B | Pre | 011-013 | ||
| S01112D | 23 | 949-950 | S02110K | 08 | 564-566 | S02611B | 03 | 157-159 | ||
| S01112S | 09 | 604-605 | S02110S | 01 | 091-093 | S02611B | 24 | 963-965 | ||
| S01119A | 02 | 124-125 | S02111A | 01 | 082-084 | S02611D | 08 | 559-561 | ||
| S01119A | 24 | 963-965 | S02111A | 01 | 085-087 | S02611G | 08 | 559-561 | ||
| S01119D | 23 | 949-950 | S02111A | 24 | 963-965 | S02611K | 08 | 564-566 | ||
| S01119S | 09 | 604-605 | S02111B | 01 | 082-084 | S02611S | 01 | 091-093 | ||
| S01121A | 02 | 124-125 | S02111B | 01 | 085-087 | S02612A | Pre | 011-013 | ||
| S01121A | 24 | 963-965 | S02111B | 24 | 963-965 | S02612A | 03 | 157-159 | ||
| S01121D | 23 | 949-950 | S02111D | 08 | 559-561 | S02612A | 24 | 963-965 | ||
| S01121S | 09 | 604-605 | S02111G | 08 | 559-561 | S02612B | Pre | 011-013 | ||
| S01122A | 02 | 124-125 | S02111K | 08 | 564-566 | S02612B | 03 | 157-159 | ||
| S01122A | 24 | 963-965 | S02111S | 01 | 091-093 | S02612B | 24 | 963-965 | ||
| S01122D | 23 | 949-950 | S02112A | 01 | 082-084 | S02612D | 08 | 559-561 | ||
| S01122S | 09 | 604-605 | S02112A | 01 | 085-087 | S02612G | 08 | 559-561 | ||
| S01129A | 02 | 124-125 | S02112A | 24 | 963-965 | S02612K | 08 | 564-566 | ||
| S01129A | 24 | 963-965 | S02112B | 01 | 082-084 | S02612S | 01 | 091-093 | ||
| S01129D | 23 | 949-950 | S02112B | 01 | 085-087 | S02620A | Pre | 011-013 | ||
| S01129S | 09 | 604-605 | S02112B | 24 | 963-965 | S02620A | 03 | 157-159 | ||
| S01131A | 02 | 124-125 | S02112D | 08 | 559-561 | S02620A | 24 | 963-965 | ||
| S01131A | 24 | 963-965 | S02112G | 08 | 559-561 | S02620B | Pre | 011-013 | ||
| S01131D | 23 | 949-950 | S02112K | 08 | 564-566 | S02620B | 03 | 157-159 | ||
| S01131S | 09 | 604-605 | S02112S | 01 | 091-093 | S02620B | 24 | 963-965 | ||
| S01132A | 02 | 124-125 | S02113A | 01 | 082-084 | S02620D | 08 | 559-561 | ||
| S01132A | 24 | 963-965 | S02113A | 01 | 085-087 | S02620G | 08 | 559-561 | ||
| S01132D | 23 | 949-950 | S02113A | 24 | 963-965 | S02620K | 08 | 564-566 | ||
| S01132S | 09 | 604-605 | S02113B | 01 | 082-084 | S02620S | 01 | 091-093 | ||
| S01139A | 02 | 124-125 | S02113B | 01 | 085-087 | S02621A | Pre | 011-013 | ||
| S01139A | 24 | 963-965 | S02113B | 24 | 963-965 | S02621A | 03 | 157-159 | ||
| S01139D | 23 | 949-950 | S02113D | 08 | 559-561 | S02621A | 24 | 963-965 | ||
| S01139S | 09 | 604-605 | S02113G | 08 | 559-561 | S02621B | Pre | 011-013 | ||
| S01141A | 02 | 124-125 | S02113K | 08 | 564-566 | S02621B | 03 | 157-159 | ||
| S01141A | 24 | 963-965 | S02113S | 01 | 091-093 | S02621B | 24 | 963-965 | ||
| S01141D | 23 | 949-950 | S02118A | 01 | 082-084 | S02621D | 08 | 559-561 | ||
| S01141S | 09 | 604-605 | S02118A | 01 | 085-087 | S02621G | 08 | 559-561 | ||
| S01142A | 02 | 124-125 | S02118A | 24 | 963-965 | S02621K | 08 | 564-566 | ||
| S01142A | 24 | 963-965 | S02118B | 01 | 082-084 | S02621S | 01 | 091-093 | ||
| S01142D | 23 | 949-950 | S02118B | 01 | 085-087 | S02622A | Pre | 011-013 | ||
| S01142S | 09 | 604-605 | S02118B | 24 | 963-965 | S02622A | 03 | 157-159 | ||
| S01149A | 02 | 124-125 | S02118D | 08 | 559-561 | S02622A | 24 | 963-965 | ||
| S01149A | 24 | 963-965 | S02118G | 08 | 559-561 | S02622B | Pre | 011-013 | ||
| S01149D | 23 | 949-950 | S02118K | 08 | 564-566 | S02622B | 03 | 157-159 | ||
| S01149S | 09 | 604-605 | S02118S | 01 | 091-093 | S02622B | 24 | 963-965 | ||
| S01151A | 02 | 124-125 | S02119A | 01 | 082-084 | S02622D | 08 | 559-561 | ||
| S01151A | 24 | 963-965 | S02119A | 01 | 085-087 | S02622G | 08 | 559-561 | ||
| S01151D | 23 | 949-950 | S02119A | 24 | 963-965 | S02622K | 08 | 564-566 | ||
| S01151S | 09 | 604-605 | S02119B | 01 | 082-084 | S02622S | 01 | 091-093 | ||
| S01152A | 02 | 124-125 | S02119B | 01 | 085-087 | S02630A | Pre | 011-013 | ||
| S01152A | 24 | 963-965 | S02119B | 24 | 963-965 | S02630A | 03 | 157-159 | ||
| S01152D | 23 | 949-950 | S02119D | 08 | 559-561 | S02630A | 24 | 963-965 | ||
| S01152S | 09 | 604-605 | S02119G | 08 | 559-561 | S02630B | Pre | 011-013 | ||
| S01159A | 02 | 124-125 | S02119K | 08 | 564-566 | S02630B | 03 | 157-159 | ||
| S01159A | 24 | 963-965 | S02119S | 01 | 091-093 | S02630B | 24 | 963-965 | ||
| S01159D | 23 | 949-950 | S0211AA | 01 | 082-084 | S02630D | 08 | 559-561 | ||
| S01159S | 09 | 604-605 | S0211AA | 01 | 085-087 | S02630G | 08 | 559-561 | ||
| S0120XA | Pre | 011-013 | S0211AA | 24 | 963-965 | S02630K | 08 | 564-566 | ||
| S0120XA | 03 | 154-156 | S0211AB | 01 | 082-084 | S02630S | 01 | 091-093 | ||
| S0120XA | 24 | 963-965 | S0211AB | 01 | 085-087 | S02631A | Pre | 011-013 | ||
| S0120XD | 23 | 949-950 | S0211AB | 24 | 963-965 | S02631A | 03 | 157-159 | ||
| S0120XS | 09 | 604-605 | S0211AD | 08 | 559-561 | S02631A | 24 | 963-965 | ||
| S0121XA | Pre | 011-013 | S0211AG | 08 | 559-561 | S02631B | Pre | 011-013 | ||
| S0121XA | 03 | 154-156 | S0211AK | 08 | 564-566 | S02631B | 03 | 157-159 | ||
| S0121XA | 24 | 963-965 | S0211AS | 01 | 091-093 | S02631B | 24 | 963-965 | ||
| S0121XD | 23 | 949-950 | S0211BA | 01 | 082-084 | S02631D | 08 | 559-561 | ||
| S0121XS | 09 | 604-605 | S0211BA | 01 | 085-087 | S02631G | 08 | 559-561 | ||
| S0122XA | Pre | 011-013 | S0211BA | 24 | 963-965 | S02631K | 08 | 564-566 | ||
| S0122XA | 03 | 154-156 | S0211BB | 01 | 082-084 | S02631S | 01 | 091-093 | ||
| S0122XA | 24 | 963-965 | S0211BB | 01 | 085-087 | S02632A | Pre | 011-013 | ||
| S0122XD | 23 | 949-950 | S0211BB | 24 | 963-965 | S02632A | 03 | 157-159 | ||
| S0122XS | 09 | 604-605 | S0211BD | 08 | 559-561 | S02632A | 24 | 963-965 | ||
| S0123XA | Pre | 011-013 | S0211BG | 08 | 559-561 | S02632B | Pre | 011-013 | ||
| S0123XA | 03 | 154-156 | S0211BK | 08 | 564-566 | S02632B | 03 | 157-159 | ||
| S0123XA | 24 | 963-965 | S0211BS | 01 | 091-093 | S02632B | 24 | 963-965 | ||
| S0123XD | 23 | 949-950 | S0211CA | 01 | 082-084 | S02632D | 08 | 559-561 | ||
| S0123XS | 09 | 604-605 | S0211CA | 01 | 085-087 | S02632G | 08 | 559-561 | ||
| S0124XA | Pre | 011-013 | S0211CA | 24 | 963-965 | S02632K | 08 | 564-566 | ||
| S0124XA | 03 | 154-156 | S0211CB | 01 | 082-084 | S02632S | 01 | 091-093 | ||
| S0124XA | 24 | 963-965 | S0211CB | 01 | 085-087 | S02640A | Pre | 011-013 | ||
| S0124XD | 23 | 949-950 | S0211CB | 24 | 963-965 | S02640A | 03 | 157-159 | ||
| S0124XS | 09 | 604-605 | S0211CD | 08 | 559-561 | S02640A | 24 | 963-965 | ||
| S0125XA | Pre | 011-013 | S0211CG | 08 | 559-561 | S02640B | Pre | 011-013 | ||
| S0125XA | 03 | 154-156 | S0211CK | 08 | 564-566 | S02640B | 03 | 157-159 | ||
| S0125XA | 24 | 963-965 | S0211CS | 01 | 091-093 | S02640B | 24 | 963-965 | ||
| S0125XD | 23 | 949-950 | S0211DA | 01 | 082-084 | S02640D | 08 | 559-561 | ||
| S0125XS | 09 | 604-605 | S0211DA | 01 | 085-087 | S02640G | 08 | 559-561 | ||
| S01301A | 03 | 154-156 | S0211DA | 24 | 963-965 | S02640K | 08 | 564-566 | ||
| S01301A | 24 | 963-965 | S0211DB | 01 | 082-084 | S02640S | 01 | 091-093 | ||
| S01301D | 23 | 949-950 | S0211DB | 01 | 085-087 | S02641A | Pre | 011-013 | ||
| S01301S | 09 | 604-605 | S0211DB | 24 | 963-965 | S02641A | 03 | 157-159 | ||
| S01302A | 03 | 154-156 | S0211DD | 08 | 559-561 | S02641A | 24 | 963-965 | ||
| S01302A | 24 | 963-965 | S0211DG | 08 | 559-561 | S02641B | Pre | 011-013 | ||
| S01302D | 23 | 949-950 | S0211DK | 08 | 564-566 | S02641B | 03 | 157-159 | ||
| S01302S | 09 | 604-605 | S0211DS | 01 | 091-093 | S02641B | 24 | 963-965 | ||
| S01309A | 03 | 154-156 | S0211EA | 01 | 082-084 | S02641D | 08 | 559-561 | ||
| S01309A | 24 | 963-965 | S0211EA | 01 | 085-087 | S02641G | 08 | 559-561 | ||
| S01309D | 23 | 949-950 | S0211EA | 24 | 963-965 | S02641K | 08 | 564-566 | ||
| S01309S | 09 | 604-605 | S0211EB | 01 | 082-084 | S02641S | 01 | 091-093 | ||
| S01311A | 03 | 154-156 | S0211EB | 01 | 085-087 | S02642A | Pre | 011-013 | ||
| S01311A | 24 | 963-965 | S0211EB | 24 | 963-965 | S02642A | 03 | 157-159 | ||
| S01311D | 23 | 949-950 | S0211ED | 08 | 559-561 | S02642A | 24 | 963-965 | ||
| S01311S | 09 | 604-605 | S0211EG | 08 | 559-561 | S02642B | Pre | 011-013 | ||
| S01312A | 03 | 154-156 | S0211EK | 08 | 564-566 | S02642B | 03 | 157-159 | ||
| S01312A | 24 | 963-965 | S0211ES | 01 | 091-093 | S02642B | 24 | 963-965 | ||
| S01312D | 23 | 949-950 | S0211FA | 01 | 082-084 | S02642D | 08 | 559-561 | ||
| S01312S | 09 | 604-605 | S0211FA | 01 | 085-087 | S02642G | 08 | 559-561 | ||
| S01319A | 03 | 154-156 | S0211FA | 24 | 963-965 | S02642K | 08 | 564-566 | ||
| S01319A | 24 | 963-965 | S0211FB | 01 | 082-084 | S02642S | 01 | 091-093 | ||
| S01319D | 23 | 949-950 | S0211FB | 01 | 085-087 | S02650A | Pre | 011-013 | ||
| S01319S | 09 | 604-605 | S0211FB | 24 | 963-965 | S02650A | 03 | 157-159 | ||
| S01321A | 03 | 154-156 | S0211FD | 08 | 559-561 | S02650A | 24 | 963-965 | ||
| S01321A | 24 | 963-965 | S0211FG | 08 | 559-561 | S02650B | Pre | 011-013 | ||
| S01321D | 23 | 949-950 | S0211FK | 08 | 564-566 | S02650B | 03 | 157-159 | ||
| S01321S | 09 | 604-605 | S0211FS | 01 | 091-093 | S02650B | 24 | 963-965 | ||
| S01322A | 03 | 154-156 | S0211GA | 01 | 082-084 | S02650D | 08 | 559-561 | ||
| S01322A | 24 | 963-965 | S0211GA | 01 | 085-087 | S02650G | 08 | 559-561 | ||
| S01322D | 23 | 949-950 | S0211GA | 24 | 963-965 | S02650K | 08 | 564-566 | ||
| S01322S | 09 | 604-605 | S0211GB | 01 | 082-084 | S02650S | 01 | 091-093 | ||
| S01329A | 03 | 154-156 | S0211GB | 01 | 085-087 | S02651A | Pre | 011-013 | ||
| S01329A | 24 | 963-965 | S0211GB | 24 | 963-965 | S02651A | 03 | 157-159 | ||
| S01329D | 23 | 949-950 | S0211GD | 08 | 559-561 | S02651A | 24 | 963-965 | ||
| S01329S | 09 | 604-605 | S0211GG | 08 | 559-561 | S02651B | Pre | 011-013 | ||
| S01331A | 03 | 154-156 | S0211GK | 08 | 564-566 | S02651B | 03 | 157-159 | ||
| S01331A | 24 | 963-965 | S0211GS | 01 | 091-093 | S02651B | 24 | 963-965 | ||
| S01331D | 23 | 949-950 | S0211HA | 01 | 082-084 | S02651D | 08 | 559-561 | ||
| S01331S | 09 | 604-605 | S0211HA | 01 | 085-087 | S02651G | 08 | 559-561 | ||
| S01332A | 03 | 154-156 | S0211HA | 24 | 963-965 | S02651K | 08 | 564-566 | ||
| S01332A | 24 | 963-965 | S0211HB | 01 | 082-084 | S02651S | 01 | 091-093 | ||
| S01332D | 23 | 949-950 | S0211HB | 01 | 085-087 | S02652A | Pre | 011-013 | ||
| S01332S | 09 | 604-605 | S0211HB | 24 | 963-965 | S02652A | 03 | 157-159 | ||
| S01339A | 03 | 154-156 | S0211HD | 08 | 559-561 | S02652A | 24 | 963-965 | ||
| S01339A | 24 | 963-965 | S0211HG | 08 | 559-561 | S02652B | Pre | 011-013 | ||
| S01339D | 23 | 949-950 | S0211HK | 08 | 564-566 | S02652B | 03 | 157-159 | ||
| S01339S | 09 | 604-605 | S0211HS | 01 | 091-093 | S02652B | 24 | 963-965 | ||
| S01341A | 03 | 154-156 | S02121A | 01 | 082-084 | S02652D | 08 | 559-561 | ||
| S01341A | 24 | 963-965 | S02121A | 01 | 085-087 | S02652G | 08 | 559-561 | ||
| S01341D | 23 | 949-950 | S02121A | 24 | 963-965 | S02652K | 08 | 564-566 | ||
| S01341S | 09 | 604-605 | S02121B | 01 | 082-084 | S02652S | 01 | 091-093 | ||
| S01342A | 03 | 154-156 | S02121B | 01 | 085-087 | S0266XA | Pre | 011-013 | ||
| S01342A | 24 | 963-965 | S02121B | 24 | 963-965 | S0266XA | 03 | 157-159 | ||
| S01342D | 23 | 949-950 | S02121D | 23 | 949-950 | S0266XA | 24 | 963-965 | ||
| S01342S | 09 | 604-605 | S02121G | 23 | 949-950 | S0266XB | Pre | 011-013 | ||
| S01349A | 03 | 154-156 | S02121K | 23 | 949-950 | S0266XB | 03 | 157-159 | ||
| S01349A | 24 | 963-965 | S02121S | 21 | 922-923 | S0266XB | 24 | 963-965 | ||
| S01349D | 23 | 949-950 | S02122A | 01 | 082-084 | S0266XD | 08 | 559-561 | ||
| S01349S | 09 | 604-605 | S02122A | 01 | 085-087 | S0266XG | 08 | 559-561 | ||
| S01351A | 03 | 154-156 | S02122A | 24 | 963-965 | S0266XK | 08 | 564-566 | ||
| S01351A | 24 | 963-965 | S02122B | 01 | 082-084 | S0266XS | 01 | 091-093 | ||
| S01351D | 23 | 949-950 | S02122B | 01 | 085-087 | S02670A | Pre | 011-013 | ||
| S01351S | 09 | 604-605 | S02122B | 24 | 963-965 | S02670A | 03 | 157-159 | ||
| S01352A | 03 | 154-156 | S02122D | 23 | 949-950 | S02670A | 24 | 963-965 | ||
| S01352A | 24 | 963-965 | S02122G | 23 | 949-950 | S02670B | Pre | 011-013 | ||
| S01352D | 23 | 949-950 | S02122K | 23 | 949-950 | S02670B | 03 | 157-159 | ||
| S01352S | 09 | 604-605 | S02122S | 21 | 922-923 | S02670B | 24 | 963-965 | ||
| S01359A | 03 | 154-156 | S02129A | 01 | 082-084 | S02670D | 08 | 559-561 | ||
| S01359A | 24 | 963-965 | S02129A | 01 | 085-087 | S02670G | 08 | 559-561 | ||
| S01359D | 23 | 949-950 | S02129A | 24 | 963-965 | S02670K | 08 | 564-566 | ||
| S01359S | 09 | 604-605 | S02129B | 01 | 082-084 | S02670S | 01 | 091-093 | ||
| S01401A | Pre | 011-013 | S02129B | 01 | 085-087 | S02671A | Pre | 011-013 | ||
| S01401A | 09 | 604-605 | S02129B | 24 | 963-965 | S02671A | 03 | 157-159 | ||
| S01401A | 24 | 963-965 | S02129D | 23 | 949-950 | S02671A | 24 | 963-965 | ||
| S01401D | 23 | 949-950 | S02129G | 23 | 949-950 | S02671B | Pre | 011-013 | ||
| S01401S | 09 | 604-605 | S02129K | 23 | 949-950 | S02671B | 03 | 157-159 | ||
| S01402A | Pre | 011-013 | S02129S | 21 | 922-923 | S02671B | 24 | 963-965 | ||
| S01402A | 09 | 604-605 | S0219XA | 01 | 082-084 | S02671D | 08 | 559-561 | ||
| S01402A | 24 | 963-965 | S0219XA | 01 | 085-087 | S02671G | 08 | 559-561 | ||
| S01402D | 23 | 949-950 | S0219XA | 24 | 963-965 | S02671K | 08 | 564-566 | ||
| S01402S | 09 | 604-605 | S0219XB | 01 | 082-084 | S02671S | 01 | 091-093 | ||
| S01409A | Pre | 011-013 | S0219XB | 01 | 085-087 | S02672A | Pre | 011-013 | ||
| S01409A | 09 | 604-605 | S0219XB | 24 | 963-965 | S02672A | 03 | 157-159 | ||
| S01409A | 24 | 963-965 | S0219XD | 08 | 559-561 | S02672A | 24 | 963-965 | ||
| S01409D | 23 | 949-950 | S0219XG | 08 | 559-561 | S02672B | Pre | 011-013 | ||
| S01409S | 09 | 604-605 | S0219XK | 08 | 564-566 | S02672B | 03 | 157-159 | ||
| S01411A | Pre | 011-013 | S0219XS | 01 | 091-093 | S02672B | 24 | 963-965 | ||
| S01411A | 09 | 604-605 | S022XXA | 03 | 154-156 | S02672D | 08 | 559-561 | ||
| S01411A | 24 | 963-965 | S022XXA | 24 | 963-965 | S02672G | 08 | 559-561 | ||
| S01411D | 23 | 949-950 | S022XXB | 03 | 154-156 | S02672K | 08 | 564-566 | ||
| S01411S | 09 | 604-605 | S022XXB | 24 | 963-965 | S02672S | 01 | 091-093 | ||
| S01412A | Pre | 011-013 | S022XXD | 08 | 559-561 | S0269XA | Pre | 011-013 | ||
| S01412A | 09 | 604-605 | S022XXG | 08 | 559-561 | S0269XA | 03 | 157-159 | ||
| S01412A | 24 | 963-965 | S022XXK | 08 | 564-566 | S0269XA | 24 | 963-965 | ||
| S01412D | 23 | 949-950 | S022XXS | 01 | 091-093 | S0269XB | Pre | 011-013 | ||
| S01412S | 09 | 604-605 | S0230XA | Pre | 011-013 | S0269XB | 03 | 157-159 | ||
| S01419A | Pre | 011-013 | S0230XA | 02 | 124-125 | S0269XB | 24 | 963-965 | ||
| S01419A | 09 | 604-605 | S0230XA | 24 | 963-965 | S0269XD | 08 | 559-561 | ||
| S01419A | 24 | 963-965 | S0230XB | Pre | 011-013 | S0269XG | 08 | 559-561 | ||
| S01419D | 23 | 949-950 | S0230XB | 02 | 124-125 | S0269XK | 08 | 564-566 | ||
| S01419S | 09 | 604-605 | S0230XB | 24 | 963-965 | S0269XS | 01 | 091-093 | ||
| S01421A | Pre | 011-013 | S0230XD | 08 | 559-561 | S0280XA | Pre | 011-013 | ||
| S01421A | 09 | 604-605 | S0230XG | 08 | 559-561 | S0280XA | 08 | 564-566 | ||
| S01421A | 24 | 963-965 | S0230XK | 08 | 564-566 | S0280XA | 24 | 963-965 | ||
| S01421D | 23 | 949-950 | S0230XS | 01 | 091-093 | S0280XB | Pre | 011-013 | ||
| S01421S | 09 | 604-605 | S0231XA | Pre | 011-013 | S0280XB | 08 | 564-566 | ||
| S01422A | Pre | 011-013 | S0231XA | 02 | 124-125 | S0280XB | 24 | 963-965 | ||
| S01422A | 09 | 604-605 | S0231XA | 24 | 963-965 | S0280XD | 08 | 559-561 | ||
| S01422A | 24 | 963-965 | S0231XB | Pre | 011-013 | S0280XG | 08 | 559-561 | ||
| S01422D | 23 | 949-950 | S0231XB | 02 | 124-125 | S0280XK | 08 | 564-566 | ||
| S01422S | 09 | 604-605 | S0231XB | 24 | 963-965 | S0280XS | 01 | 091-093 | ||
| S01429A | Pre | 011-013 | S0231XD | 08 | 559-561 | S0281XA | Pre | 011-013 | ||
| S01429A | 09 | 604-605 | S0231XG | 08 | 559-561 | S0281XA | 08 | 564-566 | ||
| S01429A | 24 | 963-965 | S0231XK | 08 | 564-566 | S0281XA | 24 | 963-965 | ||
| S01429D | 23 | 949-950 | S0231XS | 01 | 091-093 | S0281XB | Pre | 011-013 | ||
| S01429S | 09 | 604-605 | S0232XA | Pre | 011-013 | S0281XB | 08 | 564-566 | ||
| S01431A | Pre | 011-013 | S0232XA | 02 | 124-125 | S0281XB | 24 | 963-965 | ||
| S01431A | 09 | 604-605 | S0232XA | 24 | 963-965 | S0281XD | 08 | 559-561 | ||
| S01431A | 24 | 963-965 | S0232XB | Pre | 011-013 | S0281XG | 08 | 559-561 | ||
| S01431D | 23 | 949-950 | S0232XB | 02 | 124-125 | S0281XK | 08 | 564-566 | ||
| S01431S | 09 | 604-605 | S0232XB | 24 | 963-965 | S0281XS | 01 | 091-093 | ||
| S01432A | Pre | 011-013 | S0232XD | 08 | 559-561 | S0282XA | Pre | 011-013 | ||
| S01432A | 09 | 604-605 | S0232XG | 08 | 559-561 | S0282XA | 08 | 564-566 | ||
| S01432A | 24 | 963-965 | S0232XK | 08 | 564-566 | S0282XA | 24 | 963-965 | ||
| S01432D | 23 | 949-950 | S0232XS | 01 | 091-093 | S0282XB | Pre | 011-013 | ||
| S01432S | 09 | 604-605 | S02400A | Pre | 011-013 | S0282XB | 08 | 564-566 | ||
| S01439A | Pre | 011-013 | S02400A | 03 | 157-159 | S0282XB | 24 | 963-965 | ||
| S01439A | 09 | 604-605 | S02400A | 24 | 963-965 | S0282XD | 08 | 559-561 | ||
| S01439A | 24 | 963-965 | S02400B | Pre | 011-013 | S0282XG | 08 | 559-561 | ||
| S01439D | 23 | 949-950 | S02400B | 03 | 157-159 | S0282XK | 08 | 564-566 | ||
| S01439S | 09 | 604-605 | S02400B | 24 | 963-965 | S0282XS | 01 | 091-093 | ||
| S01441A | Pre | 011-013 | S02400D | 08 | 559-561 | S02831A | Pre | 011-013 | ||
| S01441A | 09 | 604-605 | S02400G | 08 | 559-561 | S02831A | 01 | 082-084 | ||
| S01441A | 24 | 963-965 | S02400K | 08 | 564-566 | S02831A | 01 | 085-087 | ||
| S01441D | 23 | 949-950 | S02400S | 01 | 091-093 | S02831A | 24 | 963-965 | ||
| S01441S | 09 | 604-605 | S02401A | Pre | 011-013 | S02831B | Pre | 011-013 | ||
| S01442A | Pre | 011-013 | S02401A | 03 | 157-159 | S02831B | 01 | 082-084 | ||
| S01442A | 09 | 604-605 | S02401A | 24 | 963-965 | S02831B | 01 | 085-087 | ||
| S01442A | 24 | 963-965 | S02401B | Pre | 011-013 | S02831B | 24 | 963-965 | ||
| S01442D | 23 | 949-950 | S02401B | 03 | 157-159 | S02831D | 23 | 949-950 | ||
| S01442S | 09 | 604-605 | S02401B | 24 | 963-965 | S02831G | 23 | 949-950 | ||
| S01449A | Pre | 011-013 | S02401D | 08 | 559-561 | S02831K | 23 | 949-950 | ||
| S01449A | 09 | 604-605 | S02401G | 08 | 559-561 | S02831S | 21 | 922-923 | ||
| S01449A | 24 | 963-965 | S02401K | 08 | 564-566 | S02832A | Pre | 011-013 | ||
| S01449D | 23 | 949-950 | S02401S | 01 | 091-093 | S02832A | 01 | 082-084 | ||
| S01449S | 09 | 604-605 | S02402A | Pre | 011-013 | S02832A | 01 | 085-087 | ||
| S01451A | Pre | 011-013 | S02402A | 03 | 157-159 | S02832A | 24 | 963-965 | ||
| S01451A | 09 | 604-605 | S02402A | 24 | 963-965 | S02832B | Pre | 011-013 | ||
| S01451A | 24 | 963-965 | S02402B | Pre | 011-013 | S02832B | 01 | 082-084 | ||
| S01451D | 23 | 949-950 | S02402B | 03 | 157-159 | S02832B | 01 | 085-087 | ||
| S01451S | 09 | 604-605 | S02402B | 24 | 963-965 | S02832B | 24 | 963-965 | ||
| S01452A | Pre | 011-013 | S02402D | 08 | 559-561 | S02832D | 23 | 949-950 | ||
| S01452A | 09 | 604-605 | S02402G | 08 | 559-561 | S02832G | 23 | 949-950 | ||
| S01452A | 24 | 963-965 | S02402K | 08 | 564-566 | S02832K | 23 | 949-950 | ||
| S01452D | 23 | 949-950 | S02402S | 01 | 091-093 | S02832S | 21 | 922-923 | ||
| S01452S | 09 | 604-605 | S0240AA | Pre | 011-013 | S02839A | Pre | 011-013 | ||
| S01459A | Pre | 011-013 | S0240AA | 03 | 157-159 | S02839A | 01 | 082-084 | ||
| S01459A | 09 | 604-605 | S0240AA | 24 | 963-965 | S02839A | 01 | 085-087 | ||
| S01459A | 24 | 963-965 | S0240AB | Pre | 011-013 | S02839A | 24 | 963-965 | ||
| S01459D | 23 | 949-950 | S0240AB | 03 | 157-159 | S02839B | Pre | 011-013 | ||
| S01459S | 09 | 604-605 | S0240AB | 24 | 963-965 | S02839B | 01 | 082-084 | ||
| S01501A | Pre | 011-013 | S0240AD | 08 | 559-561 | S02839B | 01 | 085-087 | ||
| S01501A | 03 | 157-159 | S0240AG | 08 | 559-561 | S02839B | 24 | 963-965 | ||
| S01501A | 24 | 963-965 | S0240AK | 08 | 564-566 | S02839D | 23 | 949-950 | ||
| S01501D | 23 | 949-950 | S0240AS | 01 | 091-093 | S02839G | 23 | 949-950 | ||
| S01501S | 09 | 604-605 | S0240BA | Pre | 011-013 | S02839K | 23 | 949-950 | ||
| S01502A | Pre | 011-013 | S0240BA | 03 | 157-159 | S02839S | 21 | 922-923 | ||
| S01502A | 03 | 157-159 | S0240BA | 24 | 963-965 | S02841A | Pre | 011-013 | ||
| S01502A | 24 | 963-965 | S0240BB | Pre | 011-013 | S02841A | 01 | 082-084 | ||
| S01502D | 23 | 949-950 | S0240BB | 03 | 157-159 | S02841A | 01 | 085-087 | ||
| S01502S | 09 | 604-605 | S0240BB | 24 | 963-965 | S02841A | 24 | 963-965 | ||
| S01511A | Pre | 011-013 | S0240BD | 08 | 559-561 | S02841B | Pre | 011-013 | ||
| S01511A | 03 | 157-159 | S0240BG | 08 | 559-561 | S02841B | 01 | 082-084 | ||
| S01511A | 24 | 963-965 | S0240BK | 08 | 564-566 | S02841B | 01 | 085-087 | ||
| S01511D | 23 | 949-950 | S0240BS | 01 | 091-093 | S02841B | 24 | 963-965 | ||
| S01511S | 09 | 604-605 | S0240CA | Pre | 011-013 | S02841D | 23 | 949-950 | ||
| S01512A | Pre | 011-013 | S0240CA | 03 | 157-159 | S02841G | 23 | 949-950 | ||
| S01512A | 03 | 157-159 | S0240CA | 24 | 963-965 | S02841K | 23 | 949-950 | ||
| S01512A | 24 | 963-965 | S0240CB | Pre | 011-013 | S02841S | 21 | 922-923 | ||
| S01512D | 23 | 949-950 | S0240CB | 03 | 157-159 | S02842A | Pre | 011-013 | ||
| S01512S | 09 | 604-605 | S0240CB | 24 | 963-965 | S02842A | 01 | 082-084 | ||
| S01521A | Pre | 011-013 | S0240CD | 08 | 559-561 | S02842A | 01 | 085-087 | ||
| S01521A | 03 | 157-159 | S0240CG | 08 | 559-561 | S02842A | 24 | 963-965 | ||
| S01521A | 24 | 963-965 | S0240CK | 08 | 564-566 | S02842B | Pre | 011-013 | ||
| S01521D | 23 | 949-950 | S0240CS | 01 | 091-093 | S02842B | 01 | 082-084 | ||
| S01521S | 09 | 604-605 | S0240DA | Pre | 011-013 | S02842B | 01 | 085-087 | ||
| S01522A | Pre | 011-013 | S0240DA | 03 | 157-159 | S02842B | 24 | 963-965 | ||
| S01522A | 03 | 157-159 | S0240DA | 24 | 963-965 | S02842D | 23 | 949-950 | ||
| S01522A | 24 | 963-965 | S0240DB | Pre | 011-013 | S02842G | 23 | 949-950 | ||
| S01522D | 23 | 949-950 | S0240DB | 03 | 157-159 | S02842K | 23 | 949-950 | ||
| S01522S | 09 | 604-605 | S0240DB | 24 | 963-965 | S02842S | 21 | 922-923 | ||
| S01531A | Pre | 011-013 | S0240DD | 08 | 559-561 | S02849A | Pre | 011-013 | ||
| S01531A | 03 | 157-159 | S0240DG | 08 | 559-561 | S02849A | 01 | 082-084 | ||
| S01531A | 24 | 963-965 | S0240DK | 08 | 564-566 | S02849A | 01 | 085-087 | ||
| S01531D | 23 | 949-950 | S0240DS | 01 | 091-093 | S02849A | 24 | 963-965 | ||
| S01531S | 09 | 604-605 | S0240EA | Pre | 011-013 | S02849B | Pre | 011-013 | ||
| S01532A | Pre | 011-013 | S0240EA | 03 | 157-159 | S02849B | 01 | 082-084 | ||
| S01532A | 03 | 157-159 | S0240EA | 24 | 963-965 | S02849B | 01 | 085-087 | ||
| S01532A | 24 | 963-965 | S0240EB | Pre | 011-013 | S02849B | 24 | 963-965 | ||
| S01532D | 23 | 949-950 | S0240EB | 03 | 157-159 | S02849D | 23 | 949-950 | ||
| S01532S | 09 | 604-605 | S0240EB | 24 | 963-965 | S02849G | 23 | 949-950 | ||
| S01541A | Pre | 011-013 | S0240ED | 08 | 559-561 | S02849K | 23 | 949-950 | ||
| S01541A | 03 | 157-159 | S0240EG | 08 | 559-561 | S02849S | 21 | 922-923 | ||
| S01541A | 24 | 963-965 | S0240EK | 08 | 564-566 | S0285XA | Pre | 011-013 | ||
| S01541D | 23 | 949-950 | S0240ES | 01 | 091-093 | S0285XA | 01 | 082-084 | ||
| S01541S | 09 | 604-605 | S0240FA | Pre | 011-013 | S0285XA | 01 | 085-087 | ||
| S01542A | Pre | 011-013 | S0240FA | 03 | 157-159 | S0285XA | 24 | 963-965 | ||
| S01542A | 03 | 157-159 | S0240FA | 24 | 963-965 | S0285XB | Pre | 011-013 | ||
| S01542A | 24 | 963-965 | S0240FB | Pre | 011-013 | S0285XB | 01 | 082-084 | ||
| S01542D | 23 | 949-950 | S0240FB | 03 | 157-159 | S0285XB | 01 | 085-087 | ||
| S01542S | 09 | 604-605 | S0240FB | 24 | 963-965 | S0285XB | 24 | 963-965 | ||
| S01551A | Pre | 011-013 | S0240FD | 08 | 559-561 | S0285XD | 23 | 949-950 | ||
| S01551A | 03 | 157-159 | S0240FG | 08 | 559-561 | S0285XG | 23 | 949-950 | ||
| S01551A | 24 | 963-965 | S0240FK | 08 | 564-566 | S0285XK | 23 | 949-950 | ||
| S01551D | 23 | 949-950 | S0240FS | 01 | 091-093 | S0285XS | 21 | 922-923 | ||
| S01551S | 09 | 604-605 | S02411A | Pre | 011-013 | S0291XA | 01 | 082-084 | ||
| S01552A | Pre | 011-013 | S02411A | 03 | 157-159 | S0291XA | 01 | 085-087 | ||
| S01552A | 03 | 157-159 | S02411A | 24 | 963-965 | S0291XA | 24 | 963-965 | ||
| S01552A | 24 | 963-965 | S02411B | Pre | 011-013 | S0291XB | 01 | 082-084 | ||
| S01552D | 23 | 949-950 | S02411B | 03 | 157-159 | S0291XB | 01 | 085-087 | ||
| S01552S | 09 | 604-605 | S02411B | 24 | 963-965 | S0291XB | 24 | 963-965 | ||
| S0180XA | 09 | 604-605 | S02411D | 08 | 559-561 | S0291XD | 08 | 559-561 | ||
| S0180XA | 24 | 963-965 | S02411G | 08 | 559-561 | S0291XG | 08 | 559-561 | ||
| S0180XD | 23 | 949-950 | S02411K | 08 | 564-566 | S0291XK | 08 | 564-566 | ||
| S0180XS | 09 | 604-605 | S02411S | 01 | 091-093 | S0291XS | 01 | 091-093 | ||
| S0181XA | 09 | 604-605 | S02412A | Pre | 011-013 | S0292XA | Pre | 011-013 | ||
| S0181XA | 24 | 963-965 | S02412A | 03 | 157-159 | S0292XA | 08 | 564-566 | ||
| S0181XD | 23 | 949-950 | S02412A | 24 | 963-965 | S0292XA | 24 | 963-965 | ||
| S0181XS | 09 | 604-605 | S02412B | Pre | 011-013 | S0292XB | Pre | 011-013 | ||
| S0182XA | 09 | 604-605 | S02412B | 03 | 157-159 | S0292XB | 08 | 564-566 | ||
| S0182XA | 24 | 963-965 | S02412B | 24 | 963-965 | S0292XB | 24 | 963-965 | ||
| S0182XD | 23 | 949-950 | S02412D | 08 | 559-561 | S0292XD | 08 | 559-561 | ||
| S0182XS | 09 | 604-605 | S02412G | 08 | 559-561 | S0292XG | 08 | 559-561 | ||
| S0183XA | 09 | 604-605 | S02412K | 08 | 564-566 | S0292XK | 08 | 564-566 | ||
| S0183XA | 24 | 963-965 | S02412S | 01 | 091-093 | S0292XS | 01 | 091-093 | ||
| S0183XD | 23 | 949-950 | S02413A | Pre | 011-013 | S0300XA | Pre | 011-013 | ||
| S0183XS | 09 | 604-605 | S02413A | 03 | 157-159 | S0300XA | 03 | 157-159 | ||
| S0184XA | 09 | 604-605 | S02413A | 24 | 963-965 | S0300XA | 24 | 963-965 | ||
| S0184XA | 24 | 963-965 | S02413B | Pre | 011-013 | S0300XD | 23 | 949-950 | ||
| S0184XD | 23 | 949-950 | S02413B | 03 | 157-159 | S0300XS | 08 | 562-563 | ||
| S0184XS | 09 | 604-605 | S02413B | 24 | 963-965 | S0301XA | Pre | 011-013 | ||
| S0185XA | 09 | 604-605 | S02413D | 08 | 559-561 | S0301XA | 03 | 157-159 | ||
| S0185XA | 24 | 963-965 | S02413G | 08 | 559-561 | S0301XA | 24 | 963-965 | ||
| S0185XD | 23 | 949-950 | S02413K | 08 | 564-566 | S0301XD | 23 | 949-950 | ||
| S0185XS | 09 | 604-605 | S02413S | 01 | 091-093 | S0301XS | 08 | 562-563 | ||
| S0190XA | 09 | 604-605 | S0242XA | Pre | 011-013 | S0302XA | Pre | 011-013 | ||
| S0190XA | 24 | 963-965 | S0242XA | 08 | 564-566 | S0302XA | 03 | 157-159 | ||
| S0190XD | 23 | 949-950 | S0242XA | 24 | 963-965 | S0302XA | 24 | 963-965 | ||
| S0190XS | 09 | 604-605 | S0242XB | Pre | 011-013 | S0302XD | 23 | 949-950 | ||
| S0191XA | 09 | 604-605 | S0242XB | 08 | 564-566 | S0302XS | 08 | 562-563 | ||
| S0191XA | 24 | 963-965 | S0242XB | 24 | 963-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |