DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 35 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S25809S | 05 | 299-301 | S299XXD | 23 | 949-950 | S31133D | 23 | 949-950 | ||
S25811A | 21 | 913-914 | S299XXS | 21 | 913-914 | S31133S | 09 | 604-605 | ||
S25811A | 24 | 963-965 | S300XXA | 09 | 604-605 | S31134A | 09 | 604-605 | ||
S25811D | 23 | 949-950 | S300XXA | 24 | 963-965 | S31134A | 24 | 963-965 | ||
S25811S | 05 | 299-301 | S300XXD | 23 | 949-950 | S31134D | 23 | 949-950 | ||
S25812A | 21 | 913-914 | S300XXS | 09 | 604-605 | S31134S | 09 | 604-605 | ||
S25812A | 24 | 963-965 | S301XXA | 09 | 604-605 | S31135A | 09 | 604-605 | ||
S25812D | 23 | 949-950 | S301XXA | 24 | 963-965 | S31135A | 24 | 963-965 | ||
S25812S | 05 | 299-301 | S301XXD | 23 | 949-950 | S31135D | 23 | 949-950 | ||
S25819A | 21 | 913-914 | S301XXS | 09 | 604-605 | S31135S | 09 | 604-605 | ||
S25819A | 24 | 963-965 | S30201A | 12 | 729-730 | S31139A | 09 | 604-605 | ||
S25819D | 23 | 949-950 | S30201A | 24 | 963-965 | S31139A | 24 | 963-965 | ||
S25819S | 05 | 299-301 | S30201D | 23 | 949-950 | S31139D | 23 | 949-950 | ||
S25891A | 21 | 913-914 | S30201S | 09 | 604-605 | S31139S | 09 | 604-605 | ||
S25891A | 24 | 963-965 | S30202A | 13 | 742-743 | S31140A | 21 | 913-914 | ||
S25891D | 23 | 949-950 | S30202A | 13 | 760-761 | S31140A | 24 | 963-965 | ||
S25891S | 05 | 299-301 | S30202A | 24 | 963-965 | S31140D | 23 | 949-950 | ||
S25892A | 21 | 913-914 | S30202D | 23 | 949-950 | S31140S | 09 | 604-605 | ||
S25892A | 24 | 963-965 | S30202S | 09 | 604-605 | S31141A | 21 | 913-914 | ||
S25892D | 23 | 949-950 | S3021XA | 12 | 729-730 | S31141A | 24 | 963-965 | ||
S25892S | 05 | 299-301 | S3021XA | 24 | 963-965 | S31141D | 23 | 949-950 | ||
S25899A | 21 | 913-914 | S3021XD | 23 | 949-950 | S31141S | 09 | 604-605 | ||
S25899A | 24 | 963-965 | S3021XS | 09 | 604-605 | S31142A | 21 | 913-914 | ||
S25899D | 23 | 949-950 | S3022XA | 12 | 729-730 | S31142A | 24 | 963-965 | ||
S25899S | 05 | 299-301 | S3022XA | 24 | 963-965 | S31142D | 23 | 949-950 | ||
S2590XA | 21 | 913-914 | S3022XD | 23 | 949-950 | S31142S | 09 | 604-605 | ||
S2590XA | 24 | 963-965 | S3022XS | 09 | 604-605 | S31143A | 21 | 913-914 | ||
S2590XD | 23 | 949-950 | S3023XA | 13 | 742-743 | S31143A | 24 | 963-965 | ||
S2590XS | 05 | 299-301 | S3023XA | 13 | 760-761 | S31143D | 23 | 949-950 | ||
S2591XA | 21 | 913-914 | S3023XA | 24 | 963-965 | S31143S | 09 | 604-605 | ||
S2591XA | 24 | 963-965 | S3023XD | 23 | 949-950 | S31144A | 21 | 913-914 | ||
S2591XD | 23 | 949-950 | S3023XS | 09 | 604-605 | S31144A | 24 | 963-965 | ||
S2591XS | 05 | 299-301 | S303XXA | 09 | 604-605 | S31144D | 23 | 949-950 | ||
S2599XA | 21 | 913-914 | S303XXA | 24 | 963-965 | S31144S | 09 | 604-605 | ||
S2599XA | 24 | 963-965 | S303XXD | 23 | 949-950 | S31145A | 21 | 913-914 | ||
S2599XD | 23 | 949-950 | S303XXS | 09 | 604-605 | S31145A | 24 | 963-965 | ||
S2599XS | 05 | 299-301 | S30810A | 09 | 604-605 | S31145D | 23 | 949-950 | ||
S2600XA | 05 | 314-316 | S30810A | 24 | 963-965 | S31145S | 09 | 604-605 | ||
S2600XA | 24 | 963-965 | S30810D | 23 | 949-950 | S31149A | 21 | 913-914 | ||
S2600XD | 23 | 949-950 | S30810S | 09 | 604-605 | S31149A | 24 | 963-965 | ||
S2600XS | 04 | 205-206 | S30811A | 09 | 604-605 | S31149D | 23 | 949-950 | ||
S2601XA | 05 | 314-316 | S30811A | 24 | 963-965 | S31149S | 09 | 604-605 | ||
S2601XA | 24 | 963-965 | S30811D | 23 | 949-950 | S31150A | 09 | 604-605 | ||
S2601XD | 23 | 949-950 | S30811S | 09 | 604-605 | S31150A | 24 | 963-965 | ||
S2601XS | 04 | 205-206 | S30812A | 09 | 604-605 | S31150D | 23 | 949-950 | ||
S26020A | 05 | 314-316 | S30812A | 24 | 963-965 | S31150S | 09 | 604-605 | ||
S26020A | 24 | 963-965 | S30812D | 23 | 949-950 | S31151A | 09 | 604-605 | ||
S26020D | 23 | 949-950 | S30812S | 09 | 604-605 | S31151A | 24 | 963-965 | ||
S26020S | 04 | 205-206 | S30813A | 09 | 604-605 | S31151D | 23 | 949-950 | ||
S26021A | 05 | 314-316 | S30813A | 24 | 963-965 | S31151S | 09 | 604-605 | ||
S26021A | 24 | 963-965 | S30813D | 23 | 949-950 | S31152A | 09 | 604-605 | ||
S26021D | 23 | 949-950 | S30813S | 09 | 604-605 | S31152A | 24 | 963-965 | ||
S26021S | 04 | 205-206 | S30814A | 09 | 604-605 | S31152D | 23 | 949-950 | ||
S26022A | 05 | 314-316 | S30814A | 24 | 963-965 | S31152S | 09 | 604-605 | ||
S26022A | 24 | 963-965 | S30814D | 23 | 949-950 | S31153A | 09 | 604-605 | ||
S26022D | 23 | 949-950 | S30814S | 09 | 604-605 | S31153A | 24 | 963-965 | ||
S26022S | 04 | 205-206 | S30815A | 09 | 604-605 | S31153D | 23 | 949-950 | ||
S2609XA | 05 | 314-316 | S30815A | 24 | 963-965 | S31153S | 09 | 604-605 | ||
S2609XA | 24 | 963-965 | S30815D | 23 | 949-950 | S31154A | 09 | 604-605 | ||
S2609XD | 23 | 949-950 | S30815S | 09 | 604-605 | S31154A | 24 | 963-965 | ||
S2609XS | 04 | 205-206 | S30816A | 09 | 604-605 | S31154D | 23 | 949-950 | ||
S2610XA | 05 | 314-316 | S30816A | 24 | 963-965 | S31154S | 09 | 604-605 | ||
S2610XA | 24 | 963-965 | S30816D | 23 | 949-950 | S31155A | 09 | 604-605 | ||
S2610XD | 23 | 949-950 | S30816S | 09 | 604-605 | S31155A | 24 | 963-965 | ||
S2610XS | 04 | 205-206 | S30817A | 09 | 604-605 | S31155D | 23 | 949-950 | ||
S2611XA | 05 | 314-316 | S30817A | 24 | 963-965 | S31155S | 09 | 604-605 | ||
S2611XA | 24 | 963-965 | S30817D | 23 | 949-950 | S31159A | 09 | 604-605 | ||
S2611XD | 23 | 949-950 | S30817S | 09 | 604-605 | S31159A | 24 | 963-965 | ||
S2611XS | 04 | 205-206 | S30820A | 09 | 606-607 | S31159D | 23 | 949-950 | ||
S2612XA | 05 | 314-316 | S30820A | 24 | 963-965 | S31159S | 09 | 604-605 | ||
S2612XA | 24 | 963-965 | S30820D | 23 | 949-950 | S3120XA | 12 | 729-730 | ||
S2612XD | 23 | 949-950 | S30820S | 09 | 604-605 | S3120XA | 24 | 963-965 | ||
S2612XS | 04 | 205-206 | S30821A | 09 | 606-607 | S3120XD | 23 | 949-950 | ||
S2619XA | 05 | 314-316 | S30821A | 24 | 963-965 | S3120XS | 09 | 604-605 | ||
S2619XA | 24 | 963-965 | S30821D | 23 | 949-950 | S3121XA | 12 | 729-730 | ||
S2619XD | 23 | 949-950 | S30821S | 09 | 604-605 | S3121XA | 24 | 963-965 | ||
S2619XS | 04 | 205-206 | S30822A | 09 | 606-607 | S3121XD | 23 | 949-950 | ||
S2690XA | 05 | 314-316 | S30822A | 24 | 963-965 | S3121XS | 09 | 604-605 | ||
S2690XA | 24 | 963-965 | S30822D | 23 | 949-950 | S3122XA | 12 | 729-730 | ||
S2690XD | 23 | 949-950 | S30822S | 09 | 604-605 | S3122XA | 24 | 963-965 | ||
S2690XS | 04 | 205-206 | S30823A | 09 | 606-607 | S3122XD | 23 | 949-950 | ||
S2691XA | 05 | 314-316 | S30823A | 24 | 963-965 | S3122XS | 09 | 604-605 | ||
S2691XA | 24 | 963-965 | S30823D | 23 | 949-950 | S3123XA | 12 | 729-730 | ||
S2691XD | 23 | 949-950 | S30823S | 09 | 604-605 | S3123XA | 24 | 963-965 | ||
S2691XS | 04 | 205-206 | S30824A | 09 | 606-607 | S3123XD | 23 | 949-950 | ||
S2692XA | 05 | 314-316 | S30824A | 24 | 963-965 | S3123XS | 09 | 604-605 | ||
S2692XA | 24 | 963-965 | S30824D | 23 | 949-950 | S3124XA | 12 | 729-730 | ||
S2692XD | 23 | 949-950 | S30824S | 09 | 604-605 | S3124XA | 24 | 963-965 | ||
S2692XS | 04 | 205-206 | S30825A | 09 | 606-607 | S3124XD | 23 | 949-950 | ||
S2699XA | 05 | 314-316 | S30825A | 24 | 963-965 | S3124XS | 09 | 604-605 | ||
S2699XA | 24 | 963-965 | S30825D | 23 | 949-950 | S3125XA | 12 | 729-730 | ||
S2699XD | 23 | 949-950 | S30825S | 09 | 604-605 | S3125XA | 24 | 963-965 | ||
S2699XS | 04 | 205-206 | S30826A | 09 | 606-607 | S3125XD | 23 | 949-950 | ||
S270XXA | 04 | 199-201 | S30826A | 24 | 963-965 | S3125XS | 09 | 604-605 | ||
S270XXA | 15 | 791 | S30826D | 23 | 949-950 | S3130XA | 12 | 729-730 | ||
S270XXA | 15 | 793 | S30826S | 09 | 604-605 | S3130XA | 24 | 963-965 | ||
S270XXA | 24 | 963-965 | S30827A | 09 | 606-607 | S3130XD | 23 | 949-950 | ||
S270XXD | 23 | 949-950 | S30827A | 24 | 963-965 | S3130XS | 09 | 604-605 | ||
S270XXS | 04 | 205-206 | S30827D | 23 | 949-950 | S3131XA | 12 | 729-730 | ||
S271XXA | 04 | 199-201 | S30827S | 09 | 604-605 | S3131XA | 24 | 963-965 | ||
S271XXA | 15 | 791 | S30840A | 09 | 604-605 | S3131XD | 23 | 949-950 | ||
S271XXA | 15 | 793 | S30840A | 24 | 963-965 | S3131XS | 09 | 604-605 | ||
S271XXA | 24 | 963-965 | S30840D | 23 | 949-950 | S3132XA | 12 | 729-730 | ||
S271XXD | 23 | 949-950 | S30840S | 09 | 604-605 | S3132XA | 24 | 963-965 | ||
S271XXS | 04 | 205-206 | S30841A | 09 | 604-605 | S3132XD | 23 | 949-950 | ||
S272XXA | 04 | 199-201 | S30841A | 24 | 963-965 | S3132XS | 09 | 604-605 | ||
S272XXA | 15 | 791 | S30841D | 23 | 949-950 | S3133XA | 12 | 729-730 | ||
S272XXA | 15 | 793 | S30841S | 09 | 604-605 | S3133XA | 24 | 963-965 | ||
S272XXA | 24 | 963-965 | S30842A | 09 | 604-605 | S3133XD | 23 | 949-950 | ||
S272XXD | 23 | 949-950 | S30842A | 24 | 963-965 | S3133XS | 09 | 604-605 | ||
S272XXS | 04 | 205-206 | S30842D | 23 | 949-950 | S3134XA | 12 | 729-730 | ||
S27301A | 04 | 205-206 | S30842S | 09 | 604-605 | S3134XA | 24 | 963-965 | ||
S27301A | 24 | 963-965 | S30843A | 09 | 604-605 | S3134XD | 23 | 949-950 | ||
S27301D | 23 | 949-950 | S30843A | 24 | 963-965 | S3134XS | 09 | 604-605 | ||
S27301S | 04 | 205-206 | S30843D | 23 | 949-950 | S3135XA | 12 | 729-730 | ||
S27302A | 04 | 205-206 | S30843S | 09 | 604-605 | S3135XA | 24 | 963-965 | ||
S27302A | 24 | 963-965 | S30844A | 09 | 604-605 | S3135XD | 23 | 949-950 | ||
S27302D | 23 | 949-950 | S30844A | 24 | 963-965 | S3135XS | 09 | 604-605 | ||
S27302S | 04 | 205-206 | S30844D | 23 | 949-950 | S3140XA | 13 | 742-743 | ||
S27309A | 04 | 205-206 | S30844S | 09 | 604-605 | S3140XA | 13 | 760-761 | ||
S27309A | 24 | 963-965 | S30845A | 09 | 604-605 | S3140XA | 24 | 963-965 | ||
S27309D | 23 | 949-950 | S30845A | 24 | 963-965 | S3140XD | 23 | 949-950 | ||
S27309S | 04 | 205-206 | S30845D | 23 | 949-950 | S3140XS | 09 | 604-605 | ||
S27311A | 04 | 205-206 | S30845S | 09 | 604-605 | S3141XA | 13 | 742-743 | ||
S27311A | 24 | 963-965 | S30846A | 09 | 604-605 | S3141XA | 13 | 760-761 | ||
S27311D | 23 | 949-950 | S30846A | 24 | 963-965 | S3141XA | 24 | 963-965 | ||
S27311S | 04 | 205-206 | S30846D | 23 | 949-950 | S3141XD | 23 | 949-950 | ||
S27312A | 04 | 205-206 | S30846S | 09 | 604-605 | S3141XS | 09 | 604-605 | ||
S27312A | 24 | 963-965 | S30850A | 09 | 604-605 | S3142XA | 13 | 742-743 | ||
S27312D | 23 | 949-950 | S30850A | 24 | 963-965 | S3142XA | 13 | 760-761 | ||
S27312S | 04 | 205-206 | S30850D | 23 | 949-950 | S3142XA | 24 | 963-965 | ||
S27319A | 04 | 205-206 | S30850S | 09 | 604-605 | S3142XD | 23 | 949-950 | ||
S27319A | 24 | 963-965 | S30851A | 09 | 604-605 | S3142XS | 09 | 604-605 | ||
S27319D | 23 | 949-950 | S30851A | 24 | 963-965 | S3143XA | 13 | 742-743 | ||
S27319S | 04 | 205-206 | S30851D | 23 | 949-950 | S3143XA | 13 | 760-761 | ||
S27321A | 04 | 205-206 | S30851S | 09 | 604-605 | S3143XA | 24 | 963-965 | ||
S27321A | 24 | 963-965 | S30852A | 09 | 604-605 | S3143XD | 23 | 949-950 | ||
S27321D | 23 | 949-950 | S30852A | 24 | 963-965 | S3143XS | 09 | 604-605 | ||
S27321S | 04 | 205-206 | S30852D | 23 | 949-950 | S3144XA | 13 | 742-743 | ||
S27322A | 04 | 205-206 | S30852S | 09 | 604-605 | S3144XA | 13 | 760-761 | ||
S27322A | 24 | 963-965 | S30853A | 09 | 604-605 | S3144XA | 24 | 963-965 | ||
S27322D | 23 | 949-950 | S30853A | 24 | 963-965 | S3144XD | 23 | 949-950 | ||
S27322S | 04 | 205-206 | S30853D | 23 | 949-950 | S3144XS | 09 | 604-605 | ||
S27329A | 04 | 205-206 | S30853S | 09 | 604-605 | S3145XA | 13 | 742-743 | ||
S27329A | 24 | 963-965 | S30854A | 09 | 604-605 | S3145XA | 13 | 760-761 | ||
S27329D | 23 | 949-950 | S30854A | 24 | 963-965 | S3145XA | 24 | 963-965 | ||
S27329S | 04 | 205-206 | S30854D | 23 | 949-950 | S3145XD | 23 | 949-950 | ||
S27331A | 04 | 183-185 | S30854S | 09 | 604-605 | S3145XS | 09 | 604-605 | ||
S27331A | 24 | 963-965 | S30855A | 09 | 604-605 | S31501A | 12 | 729-730 | ||
S27331D | 23 | 949-950 | S30855A | 24 | 963-965 | S31501A | 24 | 963-965 | ||
S27331S | 04 | 205-206 | S30855D | 23 | 949-950 | S31501D | 23 | 949-950 | ||
S27332A | 04 | 183-185 | S30855S | 09 | 604-605 | S31501S | 12 | 729-730 | ||
S27332A | 24 | 963-965 | S30856A | 09 | 604-605 | S31502A | 13 | 742-743 | ||
S27332D | 23 | 949-950 | S30856A | 24 | 963-965 | S31502A | 13 | 760-761 | ||
S27332S | 04 | 205-206 | S30856D | 23 | 949-950 | S31502A | 24 | 963-965 | ||
S27339A | 04 | 183-185 | S30856S | 09 | 604-605 | S31502D | 23 | 949-950 | ||
S27339A | 24 | 963-965 | S30857A | 09 | 604-605 | S31502S | 13 | 742-743 | ||
S27339D | 23 | 949-950 | S30857A | 24 | 963-965 | S31502S | 13 | 760-761 | ||
S27339S | 04 | 205-206 | S30857D | 23 | 949-950 | S31511A | 12 | 729-730 | ||
S27391A | 04 | 205-206 | S30857S | 09 | 604-605 | S31511A | 24 | 963-965 | ||
S27391A | 24 | 963-965 | S30860A | 09 | 606-607 | S31511D | 23 | 949-950 | ||
S27391D | 23 | 949-950 | S30860A | 24 | 963-965 | S31511S | 12 | 729-730 | ||
S27391S | 04 | 205-206 | S30860D | 23 | 949-950 | S31512A | 13 | 742-743 | ||
S27392A | 04 | 205-206 | S30860S | 09 | 604-605 | S31512A | 13 | 760-761 | ||
S27392A | 24 | 963-965 | S30861A | 09 | 606-607 | S31512A | 24 | 963-965 | ||
S27392D | 23 | 949-950 | S30861A | 24 | 963-965 | S31512D | 23 | 949-950 | ||
S27392S | 04 | 205-206 | S30861D | 23 | 949-950 | S31512S | 13 | 742-743 | ||
S27399A | 04 | 205-206 | S30861S | 09 | 604-605 | S31512S | 13 | 760-761 | ||
S27399A | 24 | 963-965 | S30862A | 09 | 606-607 | S31521A | 12 | 729-730 | ||
S27399D | 23 | 949-950 | S30862A | 24 | 963-965 | S31521A | 24 | 963-965 | ||
S27399S | 04 | 205-206 | S30862D | 23 | 949-950 | S31521D | 23 | 949-950 | ||
S27401A | 04 | 183-185 | S30862S | 09 | 604-605 | S31521S | 12 | 729-730 | ||
S27401A | 24 | 963-965 | S30863A | 09 | 606-607 | S31522A | 13 | 742-743 | ||
S27401D | 23 | 949-950 | S30863A | 24 | 963-965 | S31522A | 13 | 760-761 | ||
S27401S | 04 | 205-206 | S30863D | 23 | 949-950 | S31522A | 24 | 963-965 | ||
S27402A | 04 | 183-185 | S30863S | 09 | 604-605 | S31522D | 23 | 949-950 | ||
S27402A | 24 | 963-965 | S30864A | 09 | 606-607 | S31522S | 13 | 742-743 | ||
S27402D | 23 | 949-950 | S30864A | 24 | 963-965 | S31522S | 13 | 760-761 | ||
S27402S | 04 | 205-206 | S30864D | 23 | 949-950 | S31531A | 12 | 729-730 | ||
S27409A | 04 | 183-185 | S30864S | 09 | 604-605 | S31531A | 24 | 963-965 | ||
S27409A | 24 | 963-965 | S30865A | 09 | 606-607 | S31531D | 23 | 949-950 | ||
S27409D | 23 | 949-950 | S30865A | 24 | 963-965 | S31531S | 12 | 729-730 | ||
S27409S | 04 | 205-206 | S30865D | 23 | 949-950 | S31532A | 13 | 742-743 | ||
S27411A | 04 | 183-185 | S30865S | 09 | 604-605 | S31532A | 13 | 760-761 | ||
S27411A | 24 | 963-965 | S30866A | 09 | 606-607 | S31532A | 24 | 963-965 | ||
S27411D | 23 | 949-950 | S30866A | 24 | 963-965 | S31532D | 23 | 949-950 | ||
S27411S | 04 | 205-206 | S30866D | 23 | 949-950 | S31532S | 13 | 742-743 | ||
S27412A | 04 | 183-185 | S30866S | 09 | 604-605 | S31532S | 13 | 760-761 | ||
S27412A | 24 | 963-965 | S30867A | 09 | 606-607 | S31541A | 12 | 729-730 | ||
S27412D | 23 | 949-950 | S30867A | 24 | 963-965 | S31541A | 24 | 963-965 | ||
S27412S | 04 | 205-206 | S30867D | 23 | 949-950 | S31541D | 23 | 949-950 | ||
S27419A | 04 | 183-185 | S30867S | 09 | 604-605 | S31541S | 12 | 729-730 | ||
S27419A | 24 | 963-965 | S30870A | 09 | 604-605 | S31542A | 13 | 742-743 | ||
S27419D | 23 | 949-950 | S30870A | 24 | 963-965 | S31542A | 13 | 760-761 | ||
S27419S | 04 | 205-206 | S30870D | 23 | 949-950 | S31542A | 24 | 963-965 | ||
S27421A | 04 | 183-185 | S30870S | 09 | 604-605 | S31542D | 23 | 949-950 | ||
S27421A | 24 | 963-965 | S30871A | 09 | 604-605 | S31542S | 13 | 742-743 | ||
S27421D | 23 | 949-950 | S30871A | 24 | 963-965 | S31542S | 13 | 760-761 | ||
S27421S | 04 | 205-206 | S30871D | 23 | 949-950 | S31551A | 12 | 729-730 | ||
S27422A | 04 | 183-185 | S30871S | 09 | 604-605 | S31551A | 24 | 963-965 | ||
S27422A | 24 | 963-965 | S30872A | 09 | 604-605 | S31551D | 23 | 949-950 | ||
S27422D | 23 | 949-950 | S30872A | 24 | 963-965 | S31551S | 12 | 729-730 | ||
S27422S | 04 | 205-206 | S30872D | 23 | 949-950 | S31552A | 13 | 742-743 | ||
S27429A | 04 | 183-185 | S30872S | 09 | 604-605 | S31552A | 13 | 760-761 | ||
S27429A | 24 | 963-965 | S30873A | 09 | 604-605 | S31552A | 24 | 963-965 | ||
S27429D | 23 | 949-950 | S30873A | 24 | 963-965 | S31552D | 23 | 949-950 | ||
S27429S | 04 | 205-206 | S30873D | 23 | 949-950 | S31552S | 13 | 742-743 | ||
S27431A | 04 | 183-185 | S30873S | 09 | 604-605 | S31552S | 13 | 760-761 | ||
S27431A | 24 | 963-965 | S30874A | 09 | 604-605 | S31600A | 06 | 393-395 | ||
S27431D | 23 | 949-950 | S30874A | 24 | 963-965 | S31600A | 24 | 963-965 | ||
S27431S | 04 | 205-206 | S30874D | 23 | 949-950 | S31600D | 23 | 949-950 | ||
S27432A | 04 | 183-185 | S30874S | 09 | 604-605 | S31600S | 09 | 604-605 | ||
S27432A | 24 | 963-965 | S30875A | 09 | 604-605 | S31601A | 06 | 393-395 | ||
S27432D | 23 | 949-950 | S30875A | 24 | 963-965 | S31601A | 24 | 963-965 | ||
S27432S | 04 | 205-206 | S30875D | 23 | 949-950 | S31601D | 23 | 949-950 | ||
S27439A | 04 | 183-185 | S30875S | 09 | 604-605 | S31601S | 09 | 604-605 | ||
S27439A | 24 | 963-965 | S30876A | 09 | 604-605 | S31602A | 06 | 393-395 | ||
S27439D | 23 | 949-950 | S30876A | 24 | 963-965 | S31602A | 24 | 963-965 | ||
S27439S | 04 | 205-206 | S30876D | 23 | 949-950 | S31602D | 23 | 949-950 | ||
S27491A | 04 | 183-185 | S30876S | 09 | 604-605 | S31602S | 09 | 604-605 | ||
S27491A | 24 | 963-965 | S30877A | 09 | 604-605 | S31603A | 06 | 393-395 | ||
S27491D | 23 | 949-950 | S30877A | 24 | 963-965 | S31603A | 24 | 963-965 | ||
S27491S | 04 | 205-206 | S30877D | 23 | 949-950 | S31603D | 23 | 949-950 | ||
S27492A | 04 | 183-185 | S30877S | 09 | 604-605 | S31603S | 09 | 604-605 | ||
S27492A | 24 | 963-965 | S3091XA | 09 | 604-605 | S31604A | 06 | 393-395 | ||
S27492D | 23 | 949-950 | S3091XA | 24 | 963-965 | S31604A | 24 | 963-965 | ||
S27492S | 04 | 205-206 | S3091XD | 23 | 949-950 | S31604D | 23 | 949-950 | ||
S27499A | 04 | 183-185 | S3091XS | 09 | 604-605 | S31604S | 09 | 604-605 | ||
S27499A | 24 | 963-965 | S3092XA | 09 | 604-605 | S31605A | 06 | 393-395 | ||
S27499D | 23 | 949-950 | S3092XA | 24 | 963-965 | S31605A | 24 | 963-965 | ||
S27499S | 04 | 205-206 | S3092XD | 23 | 949-950 | S31605D | 23 | 949-950 | ||
S2750XA | 04 | 205-206 | S3092XS | 09 | 604-605 | S31605S | 09 | 604-605 | ||
S2750XA | 24 | 963-965 | S3093XA | 09 | 604-605 | S31609A | 06 | 393-395 | ||
S2750XD | 23 | 949-950 | S3093XA | 24 | 963-965 | S31609A | 24 | 963-965 | ||
S2750XS | 04 | 205-206 | S3093XD | 23 | 949-950 | S31609D | 23 | 949-950 | ||
S2751XA | 04 | 205-206 | S3093XS | 09 | 604-605 | S31609S | 09 | 604-605 | ||
S2751XA | 24 | 963-965 | S3094XA | 09 | 604-605 | S31610A | 06 | 393-395 | ||
S2751XD | 23 | 949-950 | S3094XA | 24 | 963-965 | S31610A | 24 | 963-965 | ||
S2751XS | 04 | 205-206 | S3094XD | 23 | 949-950 | S31610D | 23 | 949-950 | ||
S2752XA | 04 | 205-206 | S3094XS | 09 | 604-605 | S31610S | 09 | 604-605 | ||
S2752XA | 24 | 963-965 | S3095XA | 09 | 604-605 | S31611A | 06 | 393-395 | ||
S2752XD | 23 | 949-950 | S3095XA | 24 | 963-965 | S31611A | 24 | 963-965 | ||
S2752XS | 04 | 205-206 | S3095XD | 23 | 949-950 | S31611D | 23 | 949-950 | ||
S2753XA | 04 | 205-206 | S3095XS | 09 | 604-605 | S31611S | 09 | 604-605 | ||
S2753XA | 24 | 963-965 | S3096XA | 09 | 604-605 | S31612A | 06 | 393-395 | ||
S2753XD | 23 | 949-950 | S3096XA | 24 | 963-965 | S31612A | 24 | 963-965 | ||
S2753XS | 04 | 205-206 | S3096XD | 23 | 949-950 | S31612D | 23 | 949-950 | ||
S2759XA | 04 | 205-206 | S3096XS | 09 | 604-605 | S31612S | 09 | 604-605 | ||
S2759XA | 24 | 963-965 | S3097XA | 09 | 604-605 | S31613A | 06 | 393-395 | ||
S2759XD | 23 | 949-950 | S3097XA | 24 | 963-965 | S31613A | 24 | 963-965 | ||
S2759XS | 04 | 205-206 | S3097XD | 23 | 949-950 | S31613D | 23 | 949-950 | ||
S2760XA | 04 | 205-206 | S3097XS | 09 | 604-605 | S31613S | 09 | 604-605 | ||
S2760XA | 24 | 963-965 | S3098XA | 09 | 604-605 | S31614A | 06 | 393-395 | ||
S2760XD | 23 | 949-950 | S3098XA | 24 | 963-965 | S31614A | 24 | 963-965 | ||
S2760XS | 04 | 205-206 | S3098XD | 23 | 949-950 | S31614D | 23 | 949-950 | ||
S2763XA | 04 | 205-206 | S3098XS | 09 | 604-605 | S31614S | 09 | 604-605 | ||
S2763XA | 24 | 963-965 | S31000A | 09 | 604-605 | S31615A | 06 | 393-395 | ||
S2763XD | 23 | 949-950 | S31000A | 24 | 963-965 | S31615A | 24 | 963-965 | ||
S2763XS | 04 | 205-206 | S31000D | 23 | 949-950 | S31615D | 23 | 949-950 | ||
S2769XA | 04 | 205-206 | S31000S | 09 | 604-605 | S31615S | 09 | 604-605 | ||
S2769XA | 24 | 963-965 | S31001A | 11 | 698-700 | S31619A | 06 | 393-395 | ||
S2769XD | 23 | 949-950 | S31001A | 24 | 963-965 | S31619A | 24 | 963-965 | ||
S2769XS | 04 | 205-206 | S31001D | 23 | 949-950 | S31619D | 23 | 949-950 | ||
S27802A | 04 | 183-185 | S31001S | 09 | 604-605 | S31619S | 09 | 604-605 | ||
S27802A | 24 | 963-965 | S31010A | 09 | 604-605 | S31620A | 06 | 393-395 | ||
S27802D | 23 | 949-950 | S31010A | 24 | 963-965 | S31620A | 24 | 963-965 | ||
S27802S | 04 | 205-206 | S31010D | 23 | 949-950 | S31620D | 23 | 949-950 | ||
S27803A | 04 | 183-185 | S31010S | 09 | 604-605 | S31620S | 09 | 604-605 | ||
S27803A | 24 | 963-965 | S31011A | 11 | 698-700 | S31621A | 06 | 393-395 | ||
S27803D | 23 | 949-950 | S31011A | 24 | 963-965 | S31621A | 24 | 963-965 | ||
S27803S | 04 | 205-206 | S31011D | 23 | 949-950 | S31621D | 23 | 949-950 | ||
S27808A | 04 | 183-185 | S31011S | 09 | 604-605 | S31621S | 09 | 604-605 | ||
S27808A | 24 | 963-965 | S31020A | 09 | 604-605 | S31622A | 06 | 393-395 | ||
S27808D | 23 | 949-950 | S31020A | 24 | 963-965 | S31622A | 24 | 963-965 | ||
S27808S | 04 | 205-206 | S31020D | 23 | 949-950 | S31622D | 23 | 949-950 | ||
S27809A | 04 | 183-185 | S31020S | 09 | 604-605 | S31622S | 09 | 604-605 | ||
S27809A | 24 | 963-965 | S31021A | 11 | 698-700 | S31623A | 06 | 393-395 | ||
S27809D | 23 | 949-950 | S31021A | 24 | 963-965 | S31623A | 24 | 963-965 | ||
S27809S | 04 | 205-206 | S31021D | 23 | 949-950 | S31623D | 23 | 949-950 | ||
S27812A | 06 | 368-370 | S31021S | 09 | 604-605 | S31623S | 09 | 604-605 | ||
S27812A | 24 | 963-965 | S31030A | 09 | 604-605 | S31624A | 06 | 393-395 | ||
S27812D | 23 | 949-950 | S31030A | 24 | 963-965 | S31624A | 24 | 963-965 | ||
S27812S | 04 | 205-206 | S31030D | 23 | 949-950 | S31624D | 23 | 949-950 | ||
S27813A | 06 | 368-370 | S31030S | 09 | 604-605 | S31624S | 09 | 604-605 | ||
S27813A | 24 | 963-965 | S31031A | 11 | 698-700 | S31625A | 06 | 393-395 | ||
S27813D | 23 | 949-950 | S31031A | 24 | 963-965 | S31625A | 24 | 963-965 | ||
S27813S | 04 | 205-206 | S31031D | 23 | 949-950 | S31625D | 23 | 949-950 | ||
S27818A | 06 | 368-370 | S31031S | 09 | 604-605 | S31625S | 09 | 604-605 | ||
S27818A | 24 | 963-965 | S31040A | 09 | 604-605 | S31629A | 06 | 393-395 | ||
S27818D | 23 | 949-950 | S31040A | 24 | 963-965 | S31629A | 24 | 963-965 | ||
S27818S | 04 | 205-206 | S31040D | 23 | 949-950 | S31629D | 23 | 949-950 | ||
S27819A | 06 | 368-370 | S31040S | 09 | 604-605 | S31629S | 09 | 604-605 | ||
S27819A | 24 | 963-965 | S31041A | 11 | 698-700 | S31630A | 06 | 393-395 | ||
S27819D | 23 | 949-950 | S31041A | 24 | 963-965 | S31630A | 24 | 963-965 | ||
S27819S | 04 | 205-206 | S31041D | 23 | 949-950 | S31630D | 23 | 949-950 | ||
S27892A | 04 | 205-206 | S31041S | 09 | 604-605 | S31630S | 09 | 604-605 | ||
S27892A | 24 | 963-965 | S31050A | 09 | 604-605 | S31631A | 06 | 393-395 | ||
S27892D | 23 | 949-950 | S31050A | 24 | 963-965 | S31631A | 24 | 963-965 | ||
S27892S | 04 | 205-206 | S31050D | 23 | 949-950 | S31631D | 23 | 949-950 | ||
S27893A | 04 | 205-206 | S31050S | 09 | 604-605 | S31631S | 09 | 604-605 | ||
S27893A | 24 | 963-965 | S31051A | 11 | 698-700 | S31632A | 06 | 393-395 | ||
S27893D | 23 | 949-950 | S31051A | 24 | 963-965 | S31632A | 24 | 963-965 | ||
S27893S | 04 | 205-206 | S31051D | 23 | 949-950 | S31632D | 23 | 949-950 | ||
S27898A | 04 | 205-206 | S31051S | 09 | 604-605 | S31632S | 09 | 604-605 | ||
S27898A | 24 | 963-965 | S31100A | 09 | 604-605 | S31633A | 06 | 393-395 | ||
S27898D | 23 | 949-950 | S31100A | 24 | 963-965 | S31633A | 24 | 963-965 | ||
S27898S | 04 | 205-206 | S31100D | 23 | 949-950 | S31633D | 23 | 949-950 | ||
S27899A | 04 | 205-206 | S31100S | 09 | 604-605 | S31633S | 09 | 604-605 | ||
S27899A | 24 | 963-965 | S31101A | 09 | 604-605 | S31634A | 06 | 393-395 | ||
S27899D | 23 | 949-950 | S31101A | 24 | 963-965 | S31634A | 24 | 963-965 | ||
S27899S | 04 | 205-206 | S31101D | 23 | 949-950 | S31634D | 23 | 949-950 | ||
S279XXA | 21 | 913-914 | S31101S | 09 | 604-605 | S31634S | 09 | 604-605 | ||
S279XXA | 24 | 963-965 | S31102A | 09 | 604-605 | S31635A | 06 | 393-395 | ||
S279XXD | 23 | 949-950 | S31102A | 24 | 963-965 | S31635A | 24 | 963-965 | ||
S279XXS | 04 | 205-206 | S31102D | 23 | 949-950 | S31635D | 23 | 949-950 | ||
S280XXA | 21 | 913-914 | S31102S | 09 | 604-605 | S31635S | 09 | 604-605 | ||
S280XXA | 24 | 963-965 | S31103A | 09 | 604-605 | S31639A | 06 | 393-395 | ||
S280XXD | 23 | 949-950 | S31103A | 24 | 963-965 | S31639A | 24 | 963-965 | ||
S280XXS | 09 | 604-605 | S31103D | 23 | 949-950 | S31639D | 23 | 949-950 | ||
S281XXA | 09 | 604-605 | S31103S | 09 | 604-605 | S31639S | 09 | 604-605 | ||
S281XXA | 24 | 963-965 | S31104A | 09 | 604-605 | S31640A | 06 | 393-395 | ||
S281XXD | 23 | 949-950 | S31104A | 24 | 963-965 | S31640A | 24 | 963-965 | ||
S281XXS | 09 | 604-605 | S31104D | 23 | 949-950 | S31640D | 23 | 949-950 | ||
S28211A | 09 | 604-605 | S31104S | 09 | 604-605 | S31640S | 09 | 604-605 | ||
S28211A | 24 | 963-965 | S31105A | 09 | 604-605 | S31641A | 06 | 393-395 | ||
S28211D | 23 | 949-950 | S31105A | 24 | 963-965 | S31641A | 24 | 963-965 | ||
S28211S | 09 | 604-605 | S31105D | 23 | 949-950 | S31641D | 23 | 949-950 | ||
S28212A | 09 | 604-605 | S31105S | 09 | 604-605 | S31641S | 09 | 604-605 | ||
S28212A | 24 | 963-965 | S31109A | 09 | 604-605 | S31642A | 06 | 393-395 | ||
S28212D | 23 | 949-950 | S31109A | 24 | 963-965 | S31642A | 24 | 963-965 | ||
S28212S | 09 | 604-605 | S31109D | 23 | 949-950 | S31642D | 23 | 949-950 | ||
S28219A | 09 | 604-605 | S31109S | 09 | 604-605 | S31642S | 09 | 604-605 | ||
S28219A | 24 | 963-965 | S31110A | 09 | 604-605 | S31643A | 06 | 393-395 | ||
S28219D | 23 | 949-950 | S31110A | 24 | 963-965 | S31643A | 24 | 963-965 | ||
S28219S | 09 | 604-605 | S31110D | 23 | 949-950 | S31643D | 23 | 949-950 | ||
S28221A | 09 | 604-605 | S31110S | 09 | 604-605 | S31643S | 09 | 604-605 | ||
S28221A | 24 | 963-965 | S31111A | 09 | 604-605 | S31644A | 06 | 393-395 | ||
S28221D | 23 | 949-950 | S31111A | 24 | 963-965 | S31644A | 24 | 963-965 | ||
S28221S | 09 | 604-605 | S31111D | 23 | 949-950 | S31644D | 23 | 949-950 | ||
S28222A | 09 | 604-605 | S31111S | 09 | 604-605 | S31644S | 09 | 604-605 | ||
S28222A | 24 | 963-965 | S31112A | 09 | 604-605 | S31645A | 06 | 393-395 | ||
S28222D | 23 | 949-950 | S31112A | 24 | 963-965 | S31645A | 24 | 963-965 | ||
S28222S | 09 | 604-605 | S31112D | 23 | 949-950 | S31645D | 23 | 949-950 | ||
S28229A | 09 | 604-605 | S31112S | 09 | 604-605 | S31645S | 09 | 604-605 | ||
S28229A | 24 | 963-965 | S31113A | 09 | 604-605 | S31649A | 06 | 393-395 | ||
S28229D | 23 | 949-950 | S31113A | 24 | 963-965 | S31649A | 24 | 963-965 | ||
S28229S | 09 | 604-605 | S31113D | 23 | 949-950 | S31649D | 23 | 949-950 | ||
S29001A | 21 | 913-914 | S31113S | 09 | 604-605 | S31649S | 09 | 604-605 | ||
S29001A | 24 | 963-965 | S31114A | 09 | 604-605 | S31650A | 06 | 393-395 | ||
S29001D | 23 | 949-950 | S31114A | 24 | 963-965 | S31650A | 24 | 963-965 | ||
S29001S | 21 | 913-914 | S31114D | 23 | 949-950 | S31650D | 23 | 949-950 | ||
S29002A | 21 | 913-914 | S31114S | 09 | 604-605 | S31650S | 09 | 604-605 | ||
S29002A | 24 | 963-965 | S31115A | 09 | 604-605 | S31651A | 06 | 393-395 | ||
S29002D | 23 | 949-950 | S31115A | 24 | 963-965 | S31651A | 24 | 963-965 | ||
S29002S | 21 | 913-914 | S31115D | 23 | 949-950 | S31651D | 23 | 949-950 | ||
S29009A | 21 | 913-914 | S31115S | 09 | 604-605 | S31651S | 09 | 604-605 | ||
S29009A | 24 | 963-965 | S31119A | 09 | 604-605 | S31652A | 06 | 393-395 | ||
S29009D | 23 | 949-950 | S31119A | 24 | 963-965 | S31652A | 24 | 963-965 | ||
S29009S | 21 | 913-914 | S31119D | 23 | 949-950 | S31652D | 23 | 949-950 | ||
S29011A | 08 | 562-563 | S31119S | 09 | 604-605 | S31652S | 09 | 604-605 | ||
S29011A | 24 | 963-965 | S31120A | 21 | 913-914 | S31653A | 06 | 393-395 | ||
S29011D | 23 | 949-950 | S31120A | 24 | 963-965 | S31653A | 24 | 963-965 | ||
S29011S | 08 | 562-563 | S31120D | 23 | 949-950 | S31653D | 23 | 949-950 | ||
S29012A | 08 | 562-563 | S31120S | 09 | 604-605 | S31653S | 09 | 604-605 | ||
S29012A | 24 | 963-965 | S31121A | 21 | 913-914 | S31654A | 06 | 393-395 | ||
S29012D | 23 | 949-950 | S31121A | 24 | 963-965 | S31654A | 24 | 963-965 | ||
S29012S | 08 | 562-563 | S31121D | 23 | 949-950 | S31654D | 23 | 949-950 | ||
S29019A | 08 | 562-563 | S31121S | 09 | 604-605 | S31654S | 09 | 604-605 | ||
S29019A | 24 | 963-965 | S31122A | 21 | 913-914 | S31655A | 06 | 393-395 | ||
S29019D | 23 | 949-950 | S31122A | 24 | 963-965 | S31655A | 24 | 963-965 | ||
S29019S | 08 | 562-563 | S31122D | 23 | 949-950 | S31655D | 23 | 949-950 | ||
S29021A | 09 | 604-605 | S31122S | 09 | 604-605 | S31655S | 09 | 604-605 | ||
S29021A | 24 | 963-965 | S31123A | 21 | 913-914 | S31659A | 06 | 393-395 | ||
S29021D | 23 | 949-950 | S31123A | 24 | 963-965 | S31659A | 24 | 963-965 | ||
S29021S | 09 | 604-605 | S31123D | 23 | 949-950 | S31659D | 23 | 949-950 | ||
S29022A | 09 | 604-605 | S31123S | 09 | 604-605 | S31659S | 09 | 604-605 | ||
S29022A | 24 | 963-965 | S31124A | 21 | 913-914 | S31801A | 09 | 604-605 | ||
S29022D | 23 | 949-950 | S31124A | 24 | 963-965 | S31801A | 24 | 963-965 | ||
S29022S | 09 | 604-605 | S31124D | 23 | 949-950 | S31801D | 23 | 949-950 | ||
S29029A | 09 | 604-605 | S31124S | 09 | 604-605 | S31801S | 09 | 604-605 | ||
S29029A | 24 | 963-965 | S31125A | 21 | 913-914 | S31802A | 09 | 604-605 | ||
S29029D | 23 | 949-950 | S31125A | 24 | 963-965 | S31802A | 24 | 963-965 | ||
S29029S | 09 | 604-605 | S31125D | 23 | 949-950 | S31802D | 23 | 949-950 | ||
S29091A | 21 | 913-914 | S31125S | 09 | 604-605 | S31802S | 09 | 604-605 | ||
S29091A | 24 | 963-965 | S31129A | 21 | 913-914 | S31803A | 09 | 604-605 | ||
S29091D | 23 | 949-950 | S31129A | 24 | 963-965 | S31803A | 24 | 963-965 | ||
S29091S | 21 | 913-914 | S31129D | 23 | 949-950 | S31803D | 23 | 949-950 | ||
S29092A | 21 | 913-914 | S31129S | 09 | 604-605 | S31803S | 09 | 604-605 | ||
S29092A | 24 | 963-965 | S31130A | 09 | 604-605 | S31804A | 09 | 604-605 | ||
S29092D | 23 | 949-950 | S31130A | 24 | 963-965 | S31804A | 24 | 963-965 | ||
S29092S | 21 | 913-914 | S31130D | 23 | 949-950 | S31804D | 23 | 949-950 | ||
S29099A | 21 | 913-914 | S31130S | 09 | 604-605 | S31804S | 09 | 604-605 | ||
S29099A | 24 | 963-965 | S31131A | 09 | 604-605 | S31805A | 09 | 604-605 | ||
S29099D | 23 | 949-950 | S31131A | 24 | 963-965 | S31805A | 24 | 963-965 | ||
S29099S | 21 | 913-914 | S31131D | 23 | 949-950 | S31805D | 23 | 949-950 | ||
S298XXA | 21 | 913-914 | S31131S | 09 | 604-605 | S31805S | 09 | 604-605 | ||
S298XXA | 24 | 963-965 | S31132A | 09 | 604-605 | S31809A | 09 | 604-605 | ||
S298XXD | 23 | 949-950 | S31132A | 24 | 963-965 | S31809A | 24 | 963-965 | ||
S298XXS | 21 | 913-914 | S31132D | 23 | 949-950 | S31809D | 23 | 949-950 | ||
S299XXA | 21 | 913-914 | S31132S | 09 | 604-605 | S31809S | 09 | 604-605 | ||
S299XXA | 24 | 963-965 | S31133A | 09 | 604-605 | S31811A | 09 | 604-605 | ||
S31133A | 24 | 963-965 | S31811A | 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 |