DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 40 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S42449D | 08 | 559-561 | S43111A | 08 | 562-563 | S4491XD | 23 | 949-950 | ||
S42449G | 08 | 559-561 | S43111A | 24 | 963-965 | S4491XS | 01 | 091-093 | ||
S42449K | 08 | 564-566 | S43111D | 23 | 949-950 | S4492XA | 01 | 073-074 | ||
S42449P | 08 | 564-566 | S43111S | 08 | 562-563 | S4492XA | 24 | 963-965 | ||
S42449S | 08 | 559-561 | S43112A | 08 | 562-563 | S4492XD | 23 | 949-950 | ||
S42451A | 08 | 562-563 | S43112A | 24 | 963-965 | S4492XS | 01 | 091-093 | ||
S42451A | 24 | 963-965 | S43112D | 23 | 949-950 | S45001A | 21 | 913-914 | ||
S42451B | 08 | 562-563 | S43112S | 08 | 562-563 | S45001A | 24 | 963-965 | ||
S42451B | 24 | 963-965 | S43119A | 08 | 562-563 | S45001D | 23 | 949-950 | ||
S42451D | 08 | 559-561 | S43119A | 24 | 963-965 | S45001S | 05 | 299-301 | ||
S42451G | 08 | 559-561 | S43119D | 23 | 949-950 | S45002A | 21 | 913-914 | ||
S42451K | 08 | 564-566 | S43119S | 08 | 562-563 | S45002A | 24 | 963-965 | ||
S42451P | 08 | 564-566 | S43121A | 08 | 562-563 | S45002D | 23 | 949-950 | ||
S42451S | 08 | 559-561 | S43121A | 24 | 963-965 | S45002S | 05 | 299-301 | ||
S42452A | 08 | 562-563 | S43121D | 23 | 949-950 | S45009A | 21 | 913-914 | ||
S42452A | 24 | 963-965 | S43121S | 08 | 562-563 | S45009A | 24 | 963-965 | ||
S42452B | 08 | 562-563 | S43122A | 08 | 562-563 | S45009D | 23 | 949-950 | ||
S42452B | 24 | 963-965 | S43122A | 24 | 963-965 | S45009S | 05 | 299-301 | ||
S42452D | 08 | 559-561 | S43122D | 23 | 949-950 | S45011A | 21 | 913-914 | ||
S42452G | 08 | 559-561 | S43122S | 08 | 562-563 | S45011A | 24 | 963-965 | ||
S42452K | 08 | 564-566 | S43129A | 08 | 562-563 | S45011D | 23 | 949-950 | ||
S42452P | 08 | 564-566 | S43129A | 24 | 963-965 | S45011S | 05 | 299-301 | ||
S42452S | 08 | 559-561 | S43129D | 23 | 949-950 | S45012A | 21 | 913-914 | ||
S42453A | 08 | 562-563 | S43129S | 08 | 562-563 | S45012A | 24 | 963-965 | ||
S42453A | 24 | 963-965 | S43131A | 08 | 562-563 | S45012D | 23 | 949-950 | ||
S42453B | 08 | 562-563 | S43131A | 24 | 963-965 | S45012S | 05 | 299-301 | ||
S42453B | 24 | 963-965 | S43131D | 23 | 949-950 | S45019A | 21 | 913-914 | ||
S42453D | 08 | 559-561 | S43131S | 08 | 562-563 | S45019A | 24 | 963-965 | ||
S42453G | 08 | 559-561 | S43132A | 08 | 562-563 | S45019D | 23 | 949-950 | ||
S42453K | 08 | 564-566 | S43132A | 24 | 963-965 | S45019S | 05 | 299-301 | ||
S42453P | 08 | 564-566 | S43132D | 23 | 949-950 | S45091A | 21 | 913-914 | ||
S42453S | 08 | 559-561 | S43132S | 08 | 562-563 | S45091A | 24 | 963-965 | ||
S42454A | 08 | 562-563 | S43139A | 08 | 562-563 | S45091D | 23 | 949-950 | ||
S42454A | 24 | 963-965 | S43139A | 24 | 963-965 | S45091S | 05 | 299-301 | ||
S42454B | 08 | 562-563 | S43139D | 23 | 949-950 | S45092A | 21 | 913-914 | ||
S42454B | 24 | 963-965 | S43139S | 08 | 562-563 | S45092A | 24 | 963-965 | ||
S42454D | 08 | 559-561 | S43141A | 08 | 562-563 | S45092D | 23 | 949-950 | ||
S42454G | 08 | 559-561 | S43141A | 24 | 963-965 | S45092S | 05 | 299-301 | ||
S42454K | 08 | 564-566 | S43141D | 23 | 949-950 | S45099A | 21 | 913-914 | ||
S42454P | 08 | 564-566 | S43141S | 08 | 562-563 | S45099A | 24 | 963-965 | ||
S42454S | 08 | 559-561 | S43142A | 08 | 562-563 | S45099D | 23 | 949-950 | ||
S42455A | 08 | 562-563 | S43142A | 24 | 963-965 | S45099S | 05 | 299-301 | ||
S42455A | 24 | 963-965 | S43142D | 23 | 949-950 | S45101A | 21 | 913-914 | ||
S42455B | 08 | 562-563 | S43142S | 08 | 562-563 | S45101A | 24 | 963-965 | ||
S42455B | 24 | 963-965 | S43149A | 08 | 562-563 | S45101D | 23 | 949-950 | ||
S42455D | 08 | 559-561 | S43149A | 24 | 963-965 | S45101S | 05 | 299-301 | ||
S42455G | 08 | 559-561 | S43149D | 23 | 949-950 | S45102A | 21 | 913-914 | ||
S42455K | 08 | 564-566 | S43149S | 08 | 562-563 | S45102A | 24 | 963-965 | ||
S42455P | 08 | 564-566 | S43151A | 08 | 562-563 | S45102D | 23 | 949-950 | ||
S42455S | 08 | 559-561 | S43151A | 24 | 963-965 | S45102S | 05 | 299-301 | ||
S42456A | 08 | 562-563 | S43151D | 23 | 949-950 | S45109A | 21 | 913-914 | ||
S42456A | 24 | 963-965 | S43151S | 08 | 562-563 | S45109A | 24 | 963-965 | ||
S42456B | 08 | 562-563 | S43152A | 08 | 562-563 | S45109D | 23 | 949-950 | ||
S42456B | 24 | 963-965 | S43152A | 24 | 963-965 | S45109S | 05 | 299-301 | ||
S42456D | 08 | 559-561 | S43152D | 23 | 949-950 | S45111A | 21 | 913-914 | ||
S42456G | 08 | 559-561 | S43152S | 08 | 562-563 | S45111A | 24 | 963-965 | ||
S42456K | 08 | 564-566 | S43159A | 08 | 562-563 | S45111D | 23 | 949-950 | ||
S42456P | 08 | 564-566 | S43159A | 24 | 963-965 | S45111S | 05 | 299-301 | ||
S42456S | 08 | 559-561 | S43159D | 23 | 949-950 | S45112A | 21 | 913-914 | ||
S42461A | 08 | 562-563 | S43159S | 08 | 562-563 | S45112A | 24 | 963-965 | ||
S42461A | 24 | 963-965 | S43201A | 04 | 183-185 | S45112D | 23 | 949-950 | ||
S42461B | 08 | 562-563 | S43201A | 24 | 963-965 | S45112S | 05 | 299-301 | ||
S42461B | 24 | 963-965 | S43201D | 23 | 949-950 | S45119A | 21 | 913-914 | ||
S42461D | 08 | 559-561 | S43201S | 08 | 562-563 | S45119A | 24 | 963-965 | ||
S42461G | 08 | 559-561 | S43202A | 04 | 183-185 | S45119D | 23 | 949-950 | ||
S42461K | 08 | 564-566 | S43202A | 24 | 963-965 | S45119S | 05 | 299-301 | ||
S42461P | 08 | 564-566 | S43202D | 23 | 949-950 | S45191A | 21 | 913-914 | ||
S42461S | 08 | 559-561 | S43202S | 08 | 562-563 | S45191A | 24 | 963-965 | ||
S42462A | 08 | 562-563 | S43203A | 04 | 183-185 | S45191D | 23 | 949-950 | ||
S42462A | 24 | 963-965 | S43203A | 24 | 963-965 | S45191S | 05 | 299-301 | ||
S42462B | 08 | 562-563 | S43203D | 23 | 949-950 | S45192A | 21 | 913-914 | ||
S42462B | 24 | 963-965 | S43203S | 08 | 562-563 | S45192A | 24 | 963-965 | ||
S42462D | 08 | 559-561 | S43204A | 04 | 183-185 | S45192D | 23 | 949-950 | ||
S42462G | 08 | 559-561 | S43204A | 24 | 963-965 | S45192S | 05 | 299-301 | ||
S42462K | 08 | 564-566 | S43204D | 23 | 949-950 | S45199A | 21 | 913-914 | ||
S42462P | 08 | 564-566 | S43204S | 08 | 562-563 | S45199A | 24 | 963-965 | ||
S42462S | 08 | 559-561 | S43205A | 04 | 183-185 | S45199D | 23 | 949-950 | ||
S42463A | 08 | 562-563 | S43205A | 24 | 963-965 | S45199S | 05 | 299-301 | ||
S42463A | 24 | 963-965 | S43205D | 23 | 949-950 | S45201A | 21 | 913-914 | ||
S42463B | 08 | 562-563 | S43205S | 08 | 562-563 | S45201A | 24 | 963-965 | ||
S42463B | 24 | 963-965 | S43206A | 04 | 183-185 | S45201D | 23 | 949-950 | ||
S42463D | 08 | 559-561 | S43206A | 24 | 963-965 | S45201S | 05 | 299-301 | ||
S42463G | 08 | 559-561 | S43206D | 23 | 949-950 | S45202A | 21 | 913-914 | ||
S42463K | 08 | 564-566 | S43206S | 08 | 562-563 | S45202A | 24 | 963-965 | ||
S42463P | 08 | 564-566 | S43211A | 04 | 183-185 | S45202D | 23 | 949-950 | ||
S42463S | 08 | 559-561 | S43211A | 24 | 963-965 | S45202S | 05 | 299-301 | ||
S42464A | 08 | 562-563 | S43211D | 23 | 949-950 | S45209A | 21 | 913-914 | ||
S42464A | 24 | 963-965 | S43211S | 08 | 562-563 | S45209A | 24 | 963-965 | ||
S42464B | 08 | 562-563 | S43212A | 04 | 183-185 | S45209D | 23 | 949-950 | ||
S42464B | 24 | 963-965 | S43212A | 24 | 963-965 | S45209S | 05 | 299-301 | ||
S42464D | 08 | 559-561 | S43212D | 23 | 949-950 | S45211A | 21 | 913-914 | ||
S42464G | 08 | 559-561 | S43212S | 08 | 562-563 | S45211A | 24 | 963-965 | ||
S42464K | 08 | 564-566 | S43213A | 04 | 183-185 | S45211D | 23 | 949-950 | ||
S42464P | 08 | 564-566 | S43213A | 24 | 963-965 | S45211S | 05 | 299-301 | ||
S42464S | 08 | 559-561 | S43213D | 23 | 949-950 | S45212A | 21 | 913-914 | ||
S42465A | 08 | 562-563 | S43213S | 08 | 562-563 | S45212A | 24 | 963-965 | ||
S42465A | 24 | 963-965 | S43214A | 04 | 183-185 | S45212D | 23 | 949-950 | ||
S42465B | 08 | 562-563 | S43214A | 24 | 963-965 | S45212S | 05 | 299-301 | ||
S42465B | 24 | 963-965 | S43214D | 23 | 949-950 | S45219A | 21 | 913-914 | ||
S42465D | 08 | 559-561 | S43214S | 08 | 562-563 | S45219A | 24 | 963-965 | ||
S42465G | 08 | 559-561 | S43215A | 04 | 183-185 | S45219D | 23 | 949-950 | ||
S42465K | 08 | 564-566 | S43215A | 24 | 963-965 | S45219S | 05 | 299-301 | ||
S42465P | 08 | 564-566 | S43215D | 23 | 949-950 | S45291A | 21 | 913-914 | ||
S42465S | 08 | 559-561 | S43215S | 08 | 562-563 | S45291A | 24 | 963-965 | ||
S42466A | 08 | 562-563 | S43216A | 04 | 183-185 | S45291D | 23 | 949-950 | ||
S42466A | 24 | 963-965 | S43216A | 24 | 963-965 | S45291S | 05 | 299-301 | ||
S42466B | 08 | 562-563 | S43216D | 23 | 949-950 | S45292A | 21 | 913-914 | ||
S42466B | 24 | 963-965 | S43216S | 08 | 562-563 | S45292A | 24 | 963-965 | ||
S42466D | 08 | 559-561 | S43221A | 04 | 183-185 | S45292D | 23 | 949-950 | ||
S42466G | 08 | 559-561 | S43221A | 24 | 963-965 | S45292S | 05 | 299-301 | ||
S42466K | 08 | 564-566 | S43221D | 23 | 949-950 | S45299A | 21 | 913-914 | ||
S42466P | 08 | 564-566 | S43221S | 08 | 562-563 | S45299A | 24 | 963-965 | ||
S42466S | 08 | 559-561 | S43222A | 04 | 183-185 | S45299D | 23 | 949-950 | ||
S42471A | 08 | 562-563 | S43222A | 24 | 963-965 | S45299S | 05 | 299-301 | ||
S42471A | 24 | 963-965 | S43222D | 23 | 949-950 | S45301A | 21 | 913-914 | ||
S42471B | 08 | 562-563 | S43222S | 08 | 562-563 | S45301A | 24 | 963-965 | ||
S42471B | 24 | 963-965 | S43223A | 04 | 183-185 | S45301D | 23 | 949-950 | ||
S42471D | 08 | 559-561 | S43223A | 24 | 963-965 | S45301S | 05 | 299-301 | ||
S42471G | 08 | 559-561 | S43223D | 23 | 949-950 | S45302A | 21 | 913-914 | ||
S42471K | 08 | 564-566 | S43223S | 08 | 562-563 | S45302A | 24 | 963-965 | ||
S42471P | 08 | 564-566 | S43224A | 04 | 183-185 | S45302D | 23 | 949-950 | ||
S42471S | 08 | 559-561 | S43224A | 24 | 963-965 | S45302S | 05 | 299-301 | ||
S42472A | 08 | 562-563 | S43224D | 23 | 949-950 | S45309A | 21 | 913-914 | ||
S42472A | 24 | 963-965 | S43224S | 08 | 562-563 | S45309A | 24 | 963-965 | ||
S42472B | 08 | 562-563 | S43225A | 04 | 183-185 | S45309D | 23 | 949-950 | ||
S42472B | 24 | 963-965 | S43225A | 24 | 963-965 | S45309S | 05 | 299-301 | ||
S42472D | 08 | 559-561 | S43225D | 23 | 949-950 | S45311A | 21 | 913-914 | ||
S42472G | 08 | 559-561 | S43225S | 08 | 562-563 | S45311A | 24 | 963-965 | ||
S42472K | 08 | 564-566 | S43226A | 04 | 183-185 | S45311D | 23 | 949-950 | ||
S42472P | 08 | 564-566 | S43226A | 24 | 963-965 | S45311S | 05 | 299-301 | ||
S42472S | 08 | 559-561 | S43226D | 23 | 949-950 | S45312A | 21 | 913-914 | ||
S42473A | 08 | 562-563 | S43226S | 08 | 562-563 | S45312A | 24 | 963-965 | ||
S42473A | 24 | 963-965 | S43301A | 08 | 562-563 | S45312D | 23 | 949-950 | ||
S42473B | 08 | 562-563 | S43301A | 24 | 963-965 | S45312S | 05 | 299-301 | ||
S42473B | 24 | 963-965 | S43301D | 23 | 949-950 | S45319A | 21 | 913-914 | ||
S42473D | 08 | 559-561 | S43301S | 08 | 562-563 | S45319A | 24 | 963-965 | ||
S42473G | 08 | 559-561 | S43302A | 08 | 562-563 | S45319D | 23 | 949-950 | ||
S42473K | 08 | 564-566 | S43302A | 24 | 963-965 | S45319S | 05 | 299-301 | ||
S42473P | 08 | 564-566 | S43302D | 23 | 949-950 | S45391A | 21 | 913-914 | ||
S42473S | 08 | 559-561 | S43302S | 08 | 562-563 | S45391A | 24 | 963-965 | ||
S42474A | 08 | 562-563 | S43303A | 08 | 562-563 | S45391D | 23 | 949-950 | ||
S42474A | 24 | 963-965 | S43303A | 24 | 963-965 | S45391S | 05 | 299-301 | ||
S42474B | 08 | 562-563 | S43303D | 23 | 949-950 | S45392A | 21 | 913-914 | ||
S42474B | 24 | 963-965 | S43303S | 08 | 562-563 | S45392A | 24 | 963-965 | ||
S42474D | 08 | 559-561 | S43304A | 08 | 562-563 | S45392D | 23 | 949-950 | ||
S42474G | 08 | 559-561 | S43304A | 24 | 963-965 | S45392S | 05 | 299-301 | ||
S42474K | 08 | 564-566 | S43304D | 23 | 949-950 | S45399A | 21 | 913-914 | ||
S42474P | 08 | 564-566 | S43304S | 08 | 562-563 | S45399A | 24 | 963-965 | ||
S42474S | 08 | 559-561 | S43305A | 08 | 562-563 | S45399D | 23 | 949-950 | ||
S42475A | 08 | 562-563 | S43305A | 24 | 963-965 | S45399S | 05 | 299-301 | ||
S42475A | 24 | 963-965 | S43305D | 23 | 949-950 | S45801A | 21 | 913-914 | ||
S42475B | 08 | 562-563 | S43305S | 08 | 562-563 | S45801A | 24 | 963-965 | ||
S42475B | 24 | 963-965 | S43306A | 08 | 562-563 | S45801D | 23 | 949-950 | ||
S42475D | 08 | 559-561 | S43306A | 24 | 963-965 | S45801S | 05 | 299-301 | ||
S42475G | 08 | 559-561 | S43306D | 23 | 949-950 | S45802A | 21 | 913-914 | ||
S42475K | 08 | 564-566 | S43306S | 08 | 562-563 | S45802A | 24 | 963-965 | ||
S42475P | 08 | 564-566 | S43311A | 08 | 562-563 | S45802D | 23 | 949-950 | ||
S42475S | 08 | 559-561 | S43311A | 24 | 963-965 | S45802S | 05 | 299-301 | ||
S42476A | 08 | 562-563 | S43311D | 23 | 949-950 | S45809A | 21 | 913-914 | ||
S42476A | 24 | 963-965 | S43311S | 08 | 562-563 | S45809A | 24 | 963-965 | ||
S42476B | 08 | 562-563 | S43312A | 08 | 562-563 | S45809D | 23 | 949-950 | ||
S42476B | 24 | 963-965 | S43312A | 24 | 963-965 | S45809S | 05 | 299-301 | ||
S42476D | 08 | 559-561 | S43312D | 23 | 949-950 | S45811A | 21 | 913-914 | ||
S42476G | 08 | 559-561 | S43312S | 08 | 562-563 | S45811A | 24 | 963-965 | ||
S42476K | 08 | 564-566 | S43313A | 08 | 562-563 | S45811D | 23 | 949-950 | ||
S42476P | 08 | 564-566 | S43313A | 24 | 963-965 | S45811S | 05 | 299-301 | ||
S42476S | 08 | 559-561 | S43313D | 23 | 949-950 | S45812A | 21 | 913-914 | ||
S42481A | 08 | 562-563 | S43313S | 08 | 562-563 | S45812A | 24 | 963-965 | ||
S42481A | 24 | 963-965 | S43314A | 08 | 562-563 | S45812D | 23 | 949-950 | ||
S42481D | 08 | 559-561 | S43314A | 24 | 963-965 | S45812S | 05 | 299-301 | ||
S42481G | 08 | 559-561 | S43314D | 23 | 949-950 | S45819A | 21 | 913-914 | ||
S42481K | 08 | 564-566 | S43314S | 08 | 562-563 | S45819A | 24 | 963-965 | ||
S42481P | 08 | 564-566 | S43315A | 08 | 562-563 | S45819D | 23 | 949-950 | ||
S42481S | 08 | 559-561 | S43315A | 24 | 963-965 | S45819S | 05 | 299-301 | ||
S42482A | 08 | 562-563 | S43315D | 23 | 949-950 | S45891A | 21 | 913-914 | ||
S42482A | 24 | 963-965 | S43315S | 08 | 562-563 | S45891A | 24 | 963-965 | ||
S42482D | 08 | 559-561 | S43316A | 08 | 562-563 | S45891D | 23 | 949-950 | ||
S42482G | 08 | 559-561 | S43316A | 24 | 963-965 | S45891S | 05 | 299-301 | ||
S42482K | 08 | 564-566 | S43316D | 23 | 949-950 | S45892A | 21 | 913-914 | ||
S42482P | 08 | 564-566 | S43316S | 08 | 562-563 | S45892A | 24 | 963-965 | ||
S42482S | 08 | 559-561 | S43391A | 08 | 562-563 | S45892D | 23 | 949-950 | ||
S42489A | 08 | 562-563 | S43391A | 24 | 963-965 | S45892S | 05 | 299-301 | ||
S42489A | 24 | 963-965 | S43391D | 23 | 949-950 | S45899A | 21 | 913-914 | ||
S42489D | 08 | 559-561 | S43391S | 08 | 562-563 | S45899A | 24 | 963-965 | ||
S42489G | 08 | 559-561 | S43392A | 08 | 562-563 | S45899D | 23 | 949-950 | ||
S42489K | 08 | 564-566 | S43392A | 24 | 963-965 | S45899S | 05 | 299-301 | ||
S42489P | 08 | 564-566 | S43392D | 23 | 949-950 | S45901A | 21 | 913-914 | ||
S42489S | 08 | 559-561 | S43392S | 08 | 562-563 | S45901A | 24 | 963-965 | ||
S42491A | 08 | 562-563 | S43393A | 08 | 562-563 | S45901D | 23 | 949-950 | ||
S42491A | 24 | 963-965 | S43393A | 24 | 963-965 | S45901S | 05 | 299-301 | ||
S42491B | 08 | 562-563 | S43393D | 23 | 949-950 | S45902A | 21 | 913-914 | ||
S42491B | 24 | 963-965 | S43393S | 08 | 562-563 | S45902A | 24 | 963-965 | ||
S42491D | 08 | 559-561 | S43394A | 08 | 562-563 | S45902D | 23 | 949-950 | ||
S42491G | 08 | 559-561 | S43394A | 24 | 963-965 | S45902S | 05 | 299-301 | ||
S42491K | 08 | 564-566 | S43394D | 23 | 949-950 | S45909A | 21 | 913-914 | ||
S42491P | 08 | 564-566 | S43394S | 08 | 562-563 | S45909A | 24 | 963-965 | ||
S42491S | 08 | 559-561 | S43395A | 08 | 562-563 | S45909D | 23 | 949-950 | ||
S42492A | 08 | 562-563 | S43395A | 24 | 963-965 | S45909S | 05 | 299-301 | ||
S42492A | 24 | 963-965 | S43395D | 23 | 949-950 | S45911A | 21 | 913-914 | ||
S42492B | 08 | 562-563 | S43395S | 08 | 562-563 | S45911A | 24 | 963-965 | ||
S42492B | 24 | 963-965 | S43396A | 08 | 562-563 | S45911D | 23 | 949-950 | ||
S42492D | 08 | 559-561 | S43396A | 24 | 963-965 | S45911S | 05 | 299-301 | ||
S42492G | 08 | 559-561 | S43396D | 23 | 949-950 | S45912A | 21 | 913-914 | ||
S42492K | 08 | 564-566 | S43396S | 08 | 562-563 | S45912A | 24 | 963-965 | ||
S42492P | 08 | 564-566 | S43401A | 08 | 562-563 | S45912D | 23 | 949-950 | ||
S42492S | 08 | 559-561 | S43401A | 24 | 963-965 | S45912S | 05 | 299-301 | ||
S42493A | 08 | 562-563 | S43401D | 23 | 949-950 | S45919A | 21 | 913-914 | ||
S42493A | 24 | 963-965 | S43401S | 08 | 562-563 | S45919A | 24 | 963-965 | ||
S42493B | 08 | 562-563 | S43402A | 08 | 562-563 | S45919D | 23 | 949-950 | ||
S42493B | 24 | 963-965 | S43402A | 24 | 963-965 | S45919S | 05 | 299-301 | ||
S42493D | 08 | 559-561 | S43402D | 23 | 949-950 | S45991A | 21 | 913-914 | ||
S42493G | 08 | 559-561 | S43402S | 08 | 562-563 | S45991A | 24 | 963-965 | ||
S42493K | 08 | 564-566 | S43409A | 08 | 562-563 | S45991D | 23 | 949-950 | ||
S42493P | 08 | 564-566 | S43409A | 24 | 963-965 | S45991S | 05 | 299-301 | ||
S42493S | 08 | 559-561 | S43409D | 23 | 949-950 | S45992A | 21 | 913-914 | ||
S42494A | 08 | 562-563 | S43409S | 08 | 562-563 | S45992A | 24 | 963-965 | ||
S42494A | 24 | 963-965 | S43411A | 08 | 562-563 | S45992D | 23 | 949-950 | ||
S42494B | 08 | 562-563 | S43411A | 24 | 963-965 | S45992S | 05 | 299-301 | ||
S42494B | 24 | 963-965 | S43411D | 23 | 949-950 | S45999A | 21 | 913-914 | ||
S42494D | 08 | 559-561 | S43411S | 08 | 562-563 | S45999A | 24 | 963-965 | ||
S42494G | 08 | 559-561 | S43412A | 08 | 562-563 | S45999D | 23 | 949-950 | ||
S42494K | 08 | 564-566 | S43412A | 24 | 963-965 | S45999S | 05 | 299-301 | ||
S42494P | 08 | 564-566 | S43412D | 23 | 949-950 | S46001A | 21 | 913-914 | ||
S42494S | 08 | 559-561 | S43412S | 08 | 562-563 | S46001A | 24 | 963-965 | ||
S42495A | 08 | 562-563 | S43419A | 08 | 562-563 | S46001D | 23 | 949-950 | ||
S42495A | 24 | 963-965 | S43419A | 24 | 963-965 | S46001S | 21 | 913-914 | ||
S42495B | 08 | 562-563 | S43419D | 23 | 949-950 | S46002A | 21 | 913-914 | ||
S42495B | 24 | 963-965 | S43419S | 08 | 562-563 | S46002A | 24 | 963-965 | ||
S42495D | 08 | 559-561 | S43421A | 08 | 562-563 | S46002D | 23 | 949-950 | ||
S42495G | 08 | 559-561 | S43421A | 24 | 963-965 | S46002S | 21 | 913-914 | ||
S42495K | 08 | 564-566 | S43421D | 23 | 949-950 | S46009A | 21 | 913-914 | ||
S42495P | 08 | 564-566 | S43421S | 08 | 562-563 | S46009A | 24 | 963-965 | ||
S42495S | 08 | 559-561 | S43422A | 08 | 562-563 | S46009D | 23 | 949-950 | ||
S42496A | 08 | 562-563 | S43422A | 24 | 963-965 | S46009S | 21 | 913-914 | ||
S42496A | 24 | 963-965 | S43422D | 23 | 949-950 | S46011A | 08 | 562-563 | ||
S42496B | 08 | 562-563 | S43422S | 08 | 562-563 | S46011A | 24 | 963-965 | ||
S42496B | 24 | 963-965 | S43429A | 08 | 562-563 | S46011D | 23 | 949-950 | ||
S42496D | 08 | 559-561 | S43429A | 24 | 963-965 | S46011S | 08 | 562-563 | ||
S42496G | 08 | 559-561 | S43429D | 23 | 949-950 | S46012A | 08 | 562-563 | ||
S42496K | 08 | 564-566 | S43429S | 08 | 562-563 | S46012A | 24 | 963-965 | ||
S42496P | 08 | 564-566 | S43431A | 08 | 562-563 | S46012D | 23 | 949-950 | ||
S42496S | 08 | 559-561 | S43431A | 24 | 963-965 | S46012S | 08 | 562-563 | ||
S4290XA | 08 | 562-563 | S43431D | 23 | 949-950 | S46019A | 08 | 562-563 | ||
S4290XA | 24 | 963-965 | S43431S | 08 | 562-563 | S46019A | 24 | 963-965 | ||
S4290XB | 08 | 562-563 | S43432A | 08 | 562-563 | S46019D | 23 | 949-950 | ||
S4290XB | 24 | 963-965 | S43432A | 24 | 963-965 | S46019S | 08 | 562-563 | ||
S4290XD | 08 | 559-561 | S43432D | 23 | 949-950 | S46021A | 08 | 564-566 | ||
S4290XG | 08 | 559-561 | S43432S | 08 | 562-563 | S46021A | 24 | 963-965 | ||
S4290XK | 08 | 564-566 | S43439A | 08 | 562-563 | S46021D | 23 | 949-950 | ||
S4290XP | 08 | 564-566 | S43439A | 24 | 963-965 | S46021S | 09 | 604-605 | ||
S4290XS | 08 | 559-561 | S43439D | 23 | 949-950 | S46022A | 08 | 564-566 | ||
S4291XA | 08 | 562-563 | S43439S | 08 | 562-563 | S46022A | 24 | 963-965 | ||
S4291XA | 24 | 963-965 | S43491A | 08 | 562-563 | S46022D | 23 | 949-950 | ||
S4291XB | 08 | 562-563 | S43491A | 24 | 963-965 | S46022S | 09 | 604-605 | ||
S4291XB | 24 | 963-965 | S43491D | 23 | 949-950 | S46029A | 08 | 564-566 | ||
S4291XD | 08 | 559-561 | S43491S | 08 | 562-563 | S46029A | 24 | 963-965 | ||
S4291XG | 08 | 559-561 | S43492A | 08 | 562-563 | S46029D | 23 | 949-950 | ||
S4291XK | 08 | 564-566 | S43492A | 24 | 963-965 | S46029S | 09 | 604-605 | ||
S4291XP | 08 | 564-566 | S43492D | 23 | 949-950 | S46091A | 21 | 913-914 | ||
S4291XS | 08 | 559-561 | S43492S | 08 | 562-563 | S46091A | 24 | 963-965 | ||
S4292XA | 08 | 562-563 | S43499A | 08 | 562-563 | S46091D | 23 | 949-950 | ||
S4292XA | 24 | 963-965 | S43499A | 24 | 963-965 | S46091S | 21 | 913-914 | ||
S4292XB | 08 | 562-563 | S43499D | 23 | 949-950 | S46092A | 21 | 913-914 | ||
S4292XB | 24 | 963-965 | S43499S | 08 | 562-563 | S46092A | 24 | 963-965 | ||
S4292XD | 08 | 559-561 | S4350XA | 08 | 562-563 | S46092D | 23 | 949-950 | ||
S4292XG | 08 | 559-561 | S4350XA | 24 | 963-965 | S46092S | 21 | 913-914 | ||
S4292XK | 08 | 564-566 | S4350XD | 23 | 949-950 | S46099A | 21 | 913-914 | ||
S4292XP | 08 | 564-566 | S4350XS | 08 | 562-563 | S46099A | 24 | 963-965 | ||
S4292XS | 08 | 559-561 | S4351XA | 08 | 562-563 | S46099D | 23 | 949-950 | ||
S43001A | 08 | 562-563 | S4351XA | 24 | 963-965 | S46099S | 21 | 913-914 | ||
S43001A | 24 | 963-965 | S4351XD | 23 | 949-950 | S46101A | 21 | 913-914 | ||
S43001D | 23 | 949-950 | S4351XS | 08 | 562-563 | S46101A | 24 | 963-965 | ||
S43001S | 08 | 562-563 | S4352XA | 08 | 562-563 | S46101D | 23 | 949-950 | ||
S43002A | 08 | 562-563 | S4352XA | 24 | 963-965 | S46101S | 21 | 913-914 | ||
S43002A | 24 | 963-965 | S4352XD | 23 | 949-950 | S46102A | 21 | 913-914 | ||
S43002D | 23 | 949-950 | S4352XS | 08 | 562-563 | S46102A | 24 | 963-965 | ||
S43002S | 08 | 562-563 | S4360XA | 08 | 562-563 | S46102D | 23 | 949-950 | ||
S43003A | 08 | 562-563 | S4360XA | 24 | 963-965 | S46102S | 21 | 913-914 | ||
S43003A | 24 | 963-965 | S4360XD | 23 | 949-950 | S46109A | 21 | 913-914 | ||
S43003D | 23 | 949-950 | S4360XS | 08 | 562-563 | S46109A | 24 | 963-965 | ||
S43003S | 08 | 562-563 | S4361XA | 08 | 562-563 | S46109D | 23 | 949-950 | ||
S43004A | 08 | 562-563 | S4361XA | 24 | 963-965 | S46109S | 21 | 913-914 | ||
S43004A | 24 | 963-965 | S4361XD | 23 | 949-950 | S46111A | 08 | 562-563 | ||
S43004D | 23 | 949-950 | S4361XS | 08 | 562-563 | S46111A | 24 | 963-965 | ||
S43004S | 08 | 562-563 | S4362XA | 08 | 562-563 | S46111D | 23 | 949-950 | ||
S43005A | 08 | 562-563 | S4362XA | 24 | 963-965 | S46111S | 08 | 562-563 | ||
S43005A | 24 | 963-965 | S4362XD | 23 | 949-950 | S46112A | 08 | 562-563 | ||
S43005D | 23 | 949-950 | S4362XS | 08 | 562-563 | S46112A | 24 | 963-965 | ||
S43005S | 08 | 562-563 | S4380XA | 08 | 562-563 | S46112D | 23 | 949-950 | ||
S43006A | 08 | 562-563 | S4380XA | 24 | 963-965 | S46112S | 08 | 562-563 | ||
S43006A | 24 | 963-965 | S4380XD | 23 | 949-950 | S46119A | 08 | 562-563 | ||
S43006D | 23 | 949-950 | S4380XS | 08 | 562-563 | S46119A | 24 | 963-965 | ||
S43006S | 08 | 562-563 | S4381XA | 08 | 562-563 | S46119D | 23 | 949-950 | ||
S43011A | 08 | 562-563 | S4381XA | 24 | 963-965 | S46119S | 08 | 562-563 | ||
S43011A | 24 | 963-965 | S4381XD | 23 | 949-950 | S46121A | 08 | 564-566 | ||
S43011D | 23 | 949-950 | S4381XS | 08 | 562-563 | S46121A | 24 | 963-965 | ||
S43011S | 08 | 562-563 | S4382XA | 08 | 562-563 | S46121D | 23 | 949-950 | ||
S43012A | 08 | 562-563 | S4382XA | 24 | 963-965 | S46121S | 09 | 604-605 | ||
S43012A | 24 | 963-965 | S4382XD | 23 | 949-950 | S46122A | 08 | 564-566 | ||
S43012D | 23 | 949-950 | S4382XS | 08 | 562-563 | S46122A | 24 | 963-965 | ||
S43012S | 08 | 562-563 | S4390XA | 08 | 562-563 | S46122D | 23 | 949-950 | ||
S43013A | 08 | 562-563 | S4390XA | 24 | 963-965 | S46122S | 09 | 604-605 | ||
S43013A | 24 | 963-965 | S4390XD | 23 | 949-950 | S46129A | 08 | 564-566 | ||
S43013D | 23 | 949-950 | S4390XS | 08 | 562-563 | S46129A | 24 | 963-965 | ||
S43013S | 08 | 562-563 | S4391XA | 08 | 562-563 | S46129D | 23 | 949-950 | ||
S43014A | 08 | 562-563 | S4391XA | 24 | 963-965 | S46129S | 09 | 604-605 | ||
S43014A | 24 | 963-965 | S4391XD | 23 | 949-950 | S46191A | 21 | 913-914 | ||
S43014D | 23 | 949-950 | S4391XS | 08 | 562-563 | S46191A | 24 | 963-965 | ||
S43014S | 08 | 562-563 | S4392XA | 08 | 562-563 | S46191D | 23 | 949-950 | ||
S43015A | 08 | 562-563 | S4392XA | 24 | 963-965 | S46191S | 21 | 913-914 | ||
S43015A | 24 | 963-965 | S4392XD | 23 | 949-950 | S46192A | 21 | 913-914 | ||
S43015D | 23 | 949-950 | S4392XS | 08 | 562-563 | S46192A | 24 | 963-965 | ||
S43015S | 08 | 562-563 | S4400XA | 01 | 073-074 | S46192D | 23 | 949-950 | ||
S43016A | 08 | 562-563 | S4400XA | 24 | 963-965 | S46192S | 21 | 913-914 | ||
S43016A | 24 | 963-965 | S4400XD | 23 | 949-950 | S46199A | 21 | 913-914 | ||
S43016D | 23 | 949-950 | S4400XS | 01 | 091-093 | S46199A | 24 | 963-965 | ||
S43016S | 08 | 562-563 | S4401XA | 01 | 073-074 | S46199D | 23 | 949-950 | ||
S43021A | 08 | 562-563 | S4401XA | 24 | 963-965 | S46199S | 21 | 913-914 | ||
S43021A | 24 | 963-965 | S4401XD | 23 | 949-950 | S46201A | 21 | 913-914 | ||
S43021D | 23 | 949-950 | S4401XS | 01 | 091-093 | S46201A | 24 | 963-965 | ||
S43021S | 08 | 562-563 | S4402XA | 01 | 073-074 | S46201D | 23 | 949-950 | ||
S43022A | 08 | 562-563 | S4402XA | 24 | 963-965 | S46201S | 21 | 913-914 | ||
S43022A | 24 | 963-965 | S4402XD | 23 | 949-950 | S46202A | 21 | 913-914 | ||
S43022D | 23 | 949-950 | S4402XS | 01 | 091-093 | S46202A | 24 | 963-965 | ||
S43022S | 08 | 562-563 | S4410XA | 01 | 073-074 | S46202D | 23 | 949-950 | ||
S43023A | 08 | 562-563 | S4410XA | 24 | 963-965 | S46202S | 21 | 913-914 | ||
S43023A | 24 | 963-965 | S4410XD | 23 | 949-950 | S46209A | 21 | 913-914 | ||
S43023D | 23 | 949-950 | S4410XS | 01 | 091-093 | S46209A | 24 | 963-965 | ||
S43023S | 08 | 562-563 | S4411XA | 01 | 073-074 | S46209D | 23 | 949-950 | ||
S43024A | 08 | 562-563 | S4411XA | 24 | 963-965 | S46209S | 21 | 913-914 | ||
S43024A | 24 | 963-965 | S4411XD | 23 | 949-950 | S46211A | 08 | 562-563 | ||
S43024D | 23 | 949-950 | S4411XS | 01 | 091-093 | S46211A | 24 | 963-965 | ||
S43024S | 08 | 562-563 | S4412XA | 01 | 073-074 | S46211D | 23 | 949-950 | ||
S43025A | 08 | 562-563 | S4412XA | 24 | 963-965 | S46211S | 08 | 562-563 | ||
S43025A | 24 | 963-965 | S4412XD | 23 | 949-950 | S46212A | 08 | 562-563 | ||
S43025D | 23 | 949-950 | S4412XS | 01 | 091-093 | S46212A | 24 | 963-965 | ||
S43025S | 08 | 562-563 | S4420XA | 01 | 073-074 | S46212D | 23 | 949-950 | ||
S43026A | 08 | 562-563 | S4420XA | 24 | 963-965 | S46212S | 08 | 562-563 | ||
S43026A | 24 | 963-965 | S4420XD | 23 | 949-950 | S46219A | 08 | 562-563 | ||
S43026D | 23 | 949-950 | S4420XS | 01 | 091-093 | S46219A | 24 | 963-965 | ||
S43026S | 08 | 562-563 | S4421XA | 01 | 073-074 | S46219D | 23 | 949-950 | ||
S43031A | 08 | 562-563 | S4421XA | 24 | 963-965 | S46219S | 08 | 562-563 | ||
S43031A | 24 | 963-965 | S4421XD | 23 | 949-950 | S46221A | 08 | 564-566 | ||
S43031D | 23 | 949-950 | S4421XS | 01 | 091-093 | S46221A | 24 | 963-965 | ||
S43031S | 08 | 562-563 | S4422XA | 01 | 073-074 | S46221D | 23 | 949-950 | ||
S43032A | 08 | 562-563 | S4422XA | 24 | 963-965 | S46221S | 09 | 604-605 | ||
S43032A | 24 | 963-965 | S4422XD | 23 | 949-950 | S46222A | 08 | 564-566 | ||
S43032D | 23 | 949-950 | S4422XS | 01 | 091-093 | S46222A | 24 | 963-965 | ||
S43032S | 08 | 562-563 | S4430XA | 01 | 073-074 | S46222D | 23 | 949-950 | ||
S43033A | 08 | 562-563 | S4430XA | 24 | 963-965 | S46222S | 09 | 604-605 | ||
S43033A | 24 | 963-965 | S4430XD | 23 | 949-950 | S46229A | 08 | 564-566 | ||
S43033D | 23 | 949-950 | S4430XS | 01 | 091-093 | S46229A | 24 | 963-965 | ||
S43033S | 08 | 562-563 | S4431XA | 01 | 073-074 | S46229D | 23 | 949-950 | ||
S43034A | 08 | 562-563 | S4431XA | 24 | 963-965 | S46229S | 09 | 604-605 | ||
S43034A | 24 | 963-965 | S4431XD | 23 | 949-950 | S46291A | 21 | 913-914 | ||
S43034D | 23 | 949-950 | S4431XS | 01 | 091-093 | S46291A | 24 | 963-965 | ||
S43034S | 08 | 562-563 | S4432XA | 01 | 073-074 | S46291D | 23 | 949-950 | ||
S43035A | 08 | 562-563 | S4432XA | 24 | 963-965 | S46291S | 21 | 913-914 | ||
S43035A | 24 | 963-965 | S4432XD | 23 | 949-950 | S46292A | 21 | 913-914 | ||
S43035D | 23 | 949-950 | S4432XS | 01 | 091-093 | S46292A | 24 | 963-965 | ||
S43035S | 08 | 562-563 | S4440XA | 01 | 073-074 | S46292D | 23 | 949-950 | ||
S43036A | 08 | 562-563 | S4440XA | 24 | 963-965 | S46292S | 21 | 913-914 | ||
S43036A | 24 | 963-965 | S4440XD | 23 | 949-950 | S46299A | 21 | 913-914 | ||
S43036D | 23 | 949-950 | S4440XS | 01 | 091-093 | S46299A | 24 | 963-965 | ||
S43036S | 08 | 562-563 | S4441XA | 01 | 073-074 | S46299D | 23 | 949-950 | ||
S43081A | 08 | 562-563 | S4441XA | 24 | 963-965 | S46299S | 21 | 913-914 | ||
S43081A | 24 | 963-965 | S4441XD | 23 | 949-950 | S46301A | 21 | 913-914 | ||
S43081D | 23 | 949-950 | S4441XS | 01 | 091-093 | S46301A | 24 | 963-965 | ||
S43081S | 08 | 562-563 | S4442XA | 01 | 073-074 | S46301D | 23 | 949-950 | ||
S43082A | 08 | 562-563 | S4442XA | 24 | 963-965 | S46301S | 21 | 913-914 | ||
S43082A | 24 | 963-965 | S4442XD | 23 | 949-950 | S46302A | 21 | 913-914 | ||
S43082D | 23 | 949-950 | S4442XS | 01 | 091-093 | S46302A | 24 | 963-965 | ||
S43082S | 08 | 562-563 | S4450XA | 01 | 073-074 | S46302D | 23 | 949-950 | ||
S43083A | 08 | 562-563 | S4450XA | 24 | 963-965 | S46302S | 21 | 913-914 | ||
S43083A | 24 | 963-965 | S4450XD | 23 | 949-950 | S46309A | 21 | 913-914 | ||
S43083D | 23 | 949-950 | S4450XS | 01 | 091-093 | S46309A | 24 | 963-965 | ||
S43083S | 08 | 562-563 | S4451XA | 01 | 073-074 | S46309D | 23 | 949-950 | ||
S43084A | 08 | 562-563 | S4451XA | 24 | 963-965 | S46309S | 21 | 913-914 | ||
S43084A | 24 | 963-965 | S4451XD | 23 | 949-950 | S46311A | 08 | 562-563 | ||
S43084D | 23 | 949-950 | S4451XS | 01 | 091-093 | S46311A | 24 | 963-965 | ||
S43084S | 08 | 562-563 | S4452XA | 01 | 073-074 | S46311D | 23 | 949-950 | ||
S43085A | 08 | 562-563 | S4452XA | 24 | 963-965 | S46311S | 08 | 562-563 | ||
S43085A | 24 | 963-965 | S4452XD | 23 | 949-950 | S46312A | 08 | 562-563 | ||
S43085D | 23 | 949-950 | S4452XS | 01 | 091-093 | S46312A | 24 | 963-965 | ||
S43085S | 08 | 562-563 | S448X1A | 01 | 073-074 | S46312D | 23 | 949-950 | ||
S43086A | 08 | 562-563 | S448X1A | 24 | 963-965 | S46312S | 08 | 562-563 | ||
S43086A | 24 | 963-965 | S448X1D | 23 | 949-950 | S46319A | 08 | 562-563 | ||
S43086D | 23 | 949-950 | S448X1S | 01 | 091-093 | S46319A | 24 | 963-965 | ||
S43086S | 08 | 562-563 | S448X2A | 01 | 073-074 | S46319D | 23 | 949-950 | ||
S43101A | 08 | 562-563 | S448X2A | 24 | 963-965 | S46319S | 08 | 562-563 | ||
S43101A | 24 | 963-965 | S448X2D | 23 | 949-950 | S46321A | 08 | 564-566 | ||
S43101D | 23 | 949-950 | S448X2S | 01 | 091-093 | S46321A | 24 | 963-965 | ||
S43101S | 08 | 562-563 | S448X9A | 01 | 073-074 | S46321D | 23 | 949-950 | ||
S43102A | 08 | 562-563 | S448X9A | 24 | 963-965 | S46321S | 09 | 604-605 | ||
S43102A | 24 | 963-965 | S448X9D | 23 | 949-950 | S46322A | 08 | 564-566 | ||
S43102D | 23 | 949-950 | S448X9S | 01 | 091-093 | S46322A | 24 | 963-965 | ||
S43102S | 08 | 562-563 | S4490XA | 01 | 073-074 | S46322D | 23 | 949-950 | ||
S43109A | 08 | 562-563 | S4490XA | 24 | 963-965 | S46322S | 09 | 604-605 | ||
S43109A | 24 | 963-965 | S4490XD | 23 | 949-950 | S46329A | 08 | 564-566 | ||
S43109D | 23 | 949-950 | S4490XS | 01 | 091-093 | S46329A | 24 | 963-965 | ||
S43109S | 08 | 562-563 | S4491XA | 01 | 073-074 | S46329D | 23 | 949-950 | ||
S4491XA | 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 |