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 52 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S72024G | 08 | 521-522 | S72043D | 08 | 559-561 | S72065C | 08 | 521-522 | ||
| S72024G | 08 | 559-561 | S72043E | 08 | 559-561 | S72065C | 08 | 535-536 | ||
| S72024H | 08 | 521-522 | S72043F | 08 | 559-561 | S72065C | 15 | 791 | ||
| S72024H | 08 | 559-561 | S72043G | 08 | 521-522 | S72065C | 15 | 793 | ||
| S72024J | 08 | 521-522 | S72043G | 08 | 559-561 | S72065C | 24 | 963-965 | ||
| S72024J | 08 | 559-561 | S72043H | 08 | 521-522 | S72065D | 08 | 559-561 | ||
| S72024K | 08 | 521-522 | S72043H | 08 | 559-561 | S72065E | 08 | 559-561 | ||
| S72024K | 08 | 564-566 | S72043J | 08 | 521-522 | S72065F | 08 | 559-561 | ||
| S72024M | 08 | 521-522 | S72043J | 08 | 559-561 | S72065G | 08 | 521-522 | ||
| S72024M | 08 | 564-566 | S72043K | 08 | 521-522 | S72065G | 08 | 559-561 | ||
| S72024N | 08 | 521-522 | S72043K | 08 | 564-566 | S72065H | 08 | 521-522 | ||
| S72024N | 08 | 564-566 | S72043M | 08 | 521-522 | S72065H | 08 | 559-561 | ||
| S72024P | 08 | 521-522 | S72043M | 08 | 564-566 | S72065J | 08 | 521-522 | ||
| S72024P | 08 | 564-566 | S72043N | 08 | 521-522 | S72065J | 08 | 559-561 | ||
| S72024Q | 08 | 521-522 | S72043N | 08 | 564-566 | S72065K | 08 | 521-522 | ||
| S72024Q | 08 | 564-566 | S72043P | 08 | 521-522 | S72065K | 08 | 564-566 | ||
| S72024R | 08 | 521-522 | S72043P | 08 | 564-566 | S72065M | 08 | 521-522 | ||
| S72024R | 08 | 564-566 | S72043Q | 08 | 521-522 | S72065M | 08 | 564-566 | ||
| S72024S | 08 | 559-561 | S72043Q | 08 | 564-566 | S72065N | 08 | 521-522 | ||
| S72025A | 08 | 521-522 | S72043R | 08 | 521-522 | S72065N | 08 | 564-566 | ||
| S72025A | 08 | 535-536 | S72043R | 08 | 564-566 | S72065P | 08 | 521-522 | ||
| S72025A | 15 | 791 | S72043S | 08 | 559-561 | S72065P | 08 | 564-566 | ||
| S72025A | 15 | 793 | S72044A | 08 | 521-522 | S72065Q | 08 | 521-522 | ||
| S72025A | 24 | 963-965 | S72044A | 08 | 535-536 | S72065Q | 08 | 564-566 | ||
| S72025B | 08 | 521-522 | S72044A | 15 | 791 | S72065R | 08 | 521-522 | ||
| S72025B | 08 | 535-536 | S72044A | 15 | 793 | S72065R | 08 | 564-566 | ||
| S72025B | 15 | 791 | S72044A | 24 | 963-965 | S72065S | 08 | 559-561 | ||
| S72025B | 15 | 793 | S72044B | 08 | 521-522 | S72066A | 08 | 521-522 | ||
| S72025B | 24 | 963-965 | S72044B | 08 | 535-536 | S72066A | 08 | 535-536 | ||
| S72025C | 08 | 521-522 | S72044B | 15 | 791 | S72066A | 15 | 791 | ||
| S72025C | 08 | 535-536 | S72044B | 15 | 793 | S72066A | 15 | 793 | ||
| S72025C | 15 | 791 | S72044B | 24 | 963-965 | S72066A | 24 | 963-965 | ||
| S72025C | 15 | 793 | S72044C | 08 | 521-522 | S72066B | 08 | 521-522 | ||
| S72025C | 24 | 963-965 | S72044C | 08 | 535-536 | S72066B | 08 | 535-536 | ||
| S72025D | 08 | 559-561 | S72044C | 15 | 791 | S72066B | 15 | 791 | ||
| S72025E | 08 | 559-561 | S72044C | 15 | 793 | S72066B | 15 | 793 | ||
| S72025F | 08 | 559-561 | S72044C | 24 | 963-965 | S72066B | 24 | 963-965 | ||
| S72025G | 08 | 521-522 | S72044D | 08 | 559-561 | S72066C | 08 | 521-522 | ||
| S72025G | 08 | 559-561 | S72044E | 08 | 559-561 | S72066C | 08 | 535-536 | ||
| S72025H | 08 | 521-522 | S72044F | 08 | 559-561 | S72066C | 15 | 791 | ||
| S72025H | 08 | 559-561 | S72044G | 08 | 521-522 | S72066C | 15 | 793 | ||
| S72025J | 08 | 521-522 | S72044G | 08 | 559-561 | S72066C | 24 | 963-965 | ||
| S72025J | 08 | 559-561 | S72044H | 08 | 521-522 | S72066D | 08 | 559-561 | ||
| S72025K | 08 | 521-522 | S72044H | 08 | 559-561 | S72066E | 08 | 559-561 | ||
| S72025K | 08 | 564-566 | S72044J | 08 | 521-522 | S72066F | 08 | 559-561 | ||
| S72025M | 08 | 521-522 | S72044J | 08 | 559-561 | S72066G | 08 | 521-522 | ||
| S72025M | 08 | 564-566 | S72044K | 08 | 521-522 | S72066G | 08 | 559-561 | ||
| S72025N | 08 | 521-522 | S72044K | 08 | 564-566 | S72066H | 08 | 521-522 | ||
| S72025N | 08 | 564-566 | S72044M | 08 | 521-522 | S72066H | 08 | 559-561 | ||
| S72025P | 08 | 521-522 | S72044M | 08 | 564-566 | S72066J | 08 | 521-522 | ||
| S72025P | 08 | 564-566 | S72044N | 08 | 521-522 | S72066J | 08 | 559-561 | ||
| S72025Q | 08 | 521-522 | S72044N | 08 | 564-566 | S72066K | 08 | 521-522 | ||
| S72025Q | 08 | 564-566 | S72044P | 08 | 521-522 | S72066K | 08 | 564-566 | ||
| S72025R | 08 | 521-522 | S72044P | 08 | 564-566 | S72066M | 08 | 521-522 | ||
| S72025R | 08 | 564-566 | S72044Q | 08 | 521-522 | S72066M | 08 | 564-566 | ||
| S72025S | 08 | 559-561 | S72044Q | 08 | 564-566 | S72066N | 08 | 521-522 | ||
| S72026A | 08 | 521-522 | S72044R | 08 | 521-522 | S72066N | 08 | 564-566 | ||
| S72026A | 08 | 535-536 | S72044R | 08 | 564-566 | S72066P | 08 | 521-522 | ||
| S72026A | 15 | 791 | S72044S | 08 | 559-561 | S72066P | 08 | 564-566 | ||
| S72026A | 15 | 793 | S72045A | 08 | 521-522 | S72066Q | 08 | 521-522 | ||
| S72026A | 24 | 963-965 | S72045A | 08 | 535-536 | S72066Q | 08 | 564-566 | ||
| S72026B | 08 | 521-522 | S72045A | 15 | 791 | S72066R | 08 | 521-522 | ||
| S72026B | 08 | 535-536 | S72045A | 15 | 793 | S72066R | 08 | 564-566 | ||
| S72026B | 15 | 791 | S72045A | 24 | 963-965 | S72066S | 08 | 559-561 | ||
| S72026B | 15 | 793 | S72045B | 08 | 521-522 | S72091A | 08 | 521-522 | ||
| S72026B | 24 | 963-965 | S72045B | 08 | 535-536 | S72091A | 08 | 535-536 | ||
| S72026C | 08 | 521-522 | S72045B | 15 | 791 | S72091A | 15 | 791 | ||
| S72026C | 08 | 535-536 | S72045B | 15 | 793 | S72091A | 15 | 793 | ||
| S72026C | 15 | 791 | S72045B | 24 | 963-965 | S72091A | 24 | 963-965 | ||
| S72026C | 15 | 793 | S72045C | 08 | 521-522 | S72091B | 08 | 521-522 | ||
| S72026C | 24 | 963-965 | S72045C | 08 | 535-536 | S72091B | 08 | 535-536 | ||
| S72026D | 08 | 559-561 | S72045C | 15 | 791 | S72091B | 15 | 791 | ||
| S72026E | 08 | 559-561 | S72045C | 15 | 793 | S72091B | 15 | 793 | ||
| S72026F | 08 | 559-561 | S72045C | 24 | 963-965 | S72091B | 24 | 963-965 | ||
| S72026G | 08 | 521-522 | S72045D | 08 | 559-561 | S72091C | 08 | 521-522 | ||
| S72026G | 08 | 559-561 | S72045E | 08 | 559-561 | S72091C | 08 | 535-536 | ||
| S72026H | 08 | 521-522 | S72045F | 08 | 559-561 | S72091C | 15 | 791 | ||
| S72026H | 08 | 559-561 | S72045G | 08 | 521-522 | S72091C | 15 | 793 | ||
| S72026J | 08 | 521-522 | S72045G | 08 | 559-561 | S72091C | 24 | 963-965 | ||
| S72026J | 08 | 559-561 | S72045H | 08 | 521-522 | S72091D | 08 | 559-561 | ||
| S72026K | 08 | 521-522 | S72045H | 08 | 559-561 | S72091E | 08 | 559-561 | ||
| S72026K | 08 | 564-566 | S72045J | 08 | 521-522 | S72091F | 08 | 559-561 | ||
| S72026M | 08 | 521-522 | S72045J | 08 | 559-561 | S72091G | 08 | 521-522 | ||
| S72026M | 08 | 564-566 | S72045K | 08 | 521-522 | S72091G | 08 | 559-561 | ||
| S72026N | 08 | 521-522 | S72045K | 08 | 564-566 | S72091H | 08 | 521-522 | ||
| S72026N | 08 | 564-566 | S72045M | 08 | 521-522 | S72091H | 08 | 559-561 | ||
| S72026P | 08 | 521-522 | S72045M | 08 | 564-566 | S72091J | 08 | 521-522 | ||
| S72026P | 08 | 564-566 | S72045N | 08 | 521-522 | S72091J | 08 | 559-561 | ||
| S72026Q | 08 | 521-522 | S72045N | 08 | 564-566 | S72091K | 08 | 521-522 | ||
| S72026Q | 08 | 564-566 | S72045P | 08 | 521-522 | S72091K | 08 | 564-566 | ||
| S72026R | 08 | 521-522 | S72045P | 08 | 564-566 | S72091M | 08 | 521-522 | ||
| S72026R | 08 | 564-566 | S72045Q | 08 | 521-522 | S72091M | 08 | 564-566 | ||
| S72026S | 08 | 559-561 | S72045Q | 08 | 564-566 | S72091N | 08 | 521-522 | ||
| S72031A | 08 | 521-522 | S72045R | 08 | 521-522 | S72091N | 08 | 564-566 | ||
| S72031A | 08 | 535-536 | S72045R | 08 | 564-566 | S72091P | 08 | 521-522 | ||
| S72031A | 15 | 791 | S72045S | 08 | 559-561 | S72091P | 08 | 564-566 | ||
| S72031A | 15 | 793 | S72046A | 08 | 521-522 | S72091Q | 08 | 521-522 | ||
| S72031A | 24 | 963-965 | S72046A | 08 | 535-536 | S72091Q | 08 | 564-566 | ||
| S72031B | 08 | 521-522 | S72046A | 15 | 791 | S72091R | 08 | 521-522 | ||
| S72031B | 08 | 535-536 | S72046A | 15 | 793 | S72091R | 08 | 564-566 | ||
| S72031B | 15 | 791 | S72046A | 24 | 963-965 | S72091S | 08 | 559-561 | ||
| S72031B | 15 | 793 | S72046B | 08 | 521-522 | S72092A | 08 | 521-522 | ||
| S72031B | 24 | 963-965 | S72046B | 08 | 535-536 | S72092A | 08 | 535-536 | ||
| S72031C | 08 | 521-522 | S72046B | 15 | 791 | S72092A | 15 | 791 | ||
| S72031C | 08 | 535-536 | S72046B | 15 | 793 | S72092A | 15 | 793 | ||
| S72031C | 15 | 791 | S72046B | 24 | 963-965 | S72092A | 24 | 963-965 | ||
| S72031C | 15 | 793 | S72046C | 08 | 521-522 | S72092B | 08 | 521-522 | ||
| S72031C | 24 | 963-965 | S72046C | 08 | 535-536 | S72092B | 08 | 535-536 | ||
| S72031D | 08 | 559-561 | S72046C | 15 | 791 | S72092B | 15 | 791 | ||
| S72031E | 08 | 559-561 | S72046C | 15 | 793 | S72092B | 15 | 793 | ||
| S72031F | 08 | 559-561 | S72046C | 24 | 963-965 | S72092B | 24 | 963-965 | ||
| S72031G | 08 | 521-522 | S72046D | 08 | 559-561 | S72092C | 08 | 521-522 | ||
| S72031G | 08 | 559-561 | S72046E | 08 | 559-561 | S72092C | 08 | 535-536 | ||
| S72031H | 08 | 521-522 | S72046F | 08 | 559-561 | S72092C | 15 | 791 | ||
| S72031H | 08 | 559-561 | S72046G | 08 | 521-522 | S72092C | 15 | 793 | ||
| S72031J | 08 | 521-522 | S72046G | 08 | 559-561 | S72092C | 24 | 963-965 | ||
| S72031J | 08 | 559-561 | S72046H | 08 | 521-522 | S72092D | 08 | 559-561 | ||
| S72031K | 08 | 521-522 | S72046H | 08 | 559-561 | S72092E | 08 | 559-561 | ||
| S72031K | 08 | 564-566 | S72046J | 08 | 521-522 | S72092F | 08 | 559-561 | ||
| S72031M | 08 | 521-522 | S72046J | 08 | 559-561 | S72092G | 08 | 521-522 | ||
| S72031M | 08 | 564-566 | S72046K | 08 | 521-522 | S72092G | 08 | 559-561 | ||
| S72031N | 08 | 521-522 | S72046K | 08 | 564-566 | S72092H | 08 | 521-522 | ||
| S72031N | 08 | 564-566 | S72046M | 08 | 521-522 | S72092H | 08 | 559-561 | ||
| S72031P | 08 | 521-522 | S72046M | 08 | 564-566 | S72092J | 08 | 521-522 | ||
| S72031P | 08 | 564-566 | S72046N | 08 | 521-522 | S72092J | 08 | 559-561 | ||
| S72031Q | 08 | 521-522 | S72046N | 08 | 564-566 | S72092K | 08 | 521-522 | ||
| S72031Q | 08 | 564-566 | S72046P | 08 | 521-522 | S72092K | 08 | 564-566 | ||
| S72031R | 08 | 521-522 | S72046P | 08 | 564-566 | S72092M | 08 | 521-522 | ||
| S72031R | 08 | 564-566 | S72046Q | 08 | 521-522 | S72092M | 08 | 564-566 | ||
| S72031S | 08 | 559-561 | S72046Q | 08 | 564-566 | S72092N | 08 | 521-522 | ||
| S72032A | 08 | 521-522 | S72046R | 08 | 521-522 | S72092N | 08 | 564-566 | ||
| S72032A | 08 | 535-536 | S72046R | 08 | 564-566 | S72092P | 08 | 521-522 | ||
| S72032A | 15 | 791 | S72046S | 08 | 559-561 | S72092P | 08 | 564-566 | ||
| S72032A | 15 | 793 | S72051A | 08 | 521-522 | S72092Q | 08 | 521-522 | ||
| S72032A | 24 | 963-965 | S72051A | 08 | 535-536 | S72092Q | 08 | 564-566 | ||
| S72032B | 08 | 521-522 | S72051A | 15 | 791 | S72092R | 08 | 521-522 | ||
| S72032B | 08 | 535-536 | S72051A | 15 | 793 | S72092R | 08 | 564-566 | ||
| S72032B | 15 | 791 | S72051A | 24 | 963-965 | S72092S | 08 | 559-561 | ||
| S72032B | 15 | 793 | S72051B | 08 | 521-522 | S72099A | 08 | 521-522 | ||
| S72032B | 24 | 963-965 | S72051B | 08 | 535-536 | S72099A | 08 | 535-536 | ||
| S72032C | 08 | 521-522 | S72051B | 15 | 791 | S72099A | 15 | 791 | ||
| S72032C | 08 | 535-536 | S72051B | 15 | 793 | S72099A | 15 | 793 | ||
| S72032C | 15 | 791 | S72051B | 24 | 963-965 | S72099A | 24 | 963-965 | ||
| S72032C | 15 | 793 | S72051C | 08 | 521-522 | S72099B | 08 | 521-522 | ||
| S72032C | 24 | 963-965 | S72051C | 08 | 535-536 | S72099B | 08 | 535-536 | ||
| S72032D | 08 | 559-561 | S72051C | 15 | 791 | S72099B | 15 | 791 | ||
| S72032E | 08 | 559-561 | S72051C | 15 | 793 | S72099B | 15 | 793 | ||
| S72032F | 08 | 559-561 | S72051C | 24 | 963-965 | S72099B | 24 | 963-965 | ||
| S72032G | 08 | 521-522 | S72051D | 08 | 559-561 | S72099C | 08 | 521-522 | ||
| S72032G | 08 | 559-561 | S72051E | 08 | 559-561 | S72099C | 08 | 535-536 | ||
| S72032H | 08 | 521-522 | S72051F | 08 | 559-561 | S72099C | 15 | 791 | ||
| S72032H | 08 | 559-561 | S72051G | 08 | 521-522 | S72099C | 15 | 793 | ||
| S72032J | 08 | 521-522 | S72051G | 08 | 559-561 | S72099C | 24 | 963-965 | ||
| S72032J | 08 | 559-561 | S72051H | 08 | 521-522 | S72099D | 08 | 559-561 | ||
| S72032K | 08 | 521-522 | S72051H | 08 | 559-561 | S72099E | 08 | 559-561 | ||
| S72032K | 08 | 564-566 | S72051J | 08 | 521-522 | S72099F | 08 | 559-561 | ||
| S72032M | 08 | 521-522 | S72051J | 08 | 559-561 | S72099G | 08 | 521-522 | ||
| S72032M | 08 | 564-566 | S72051K | 08 | 521-522 | S72099G | 08 | 559-561 | ||
| S72032N | 08 | 521-522 | S72051K | 08 | 564-566 | S72099H | 08 | 521-522 | ||
| S72032N | 08 | 564-566 | S72051M | 08 | 521-522 | S72099H | 08 | 559-561 | ||
| S72032P | 08 | 521-522 | S72051M | 08 | 564-566 | S72099J | 08 | 521-522 | ||
| S72032P | 08 | 564-566 | S72051N | 08 | 521-522 | S72099J | 08 | 559-561 | ||
| S72032Q | 08 | 521-522 | S72051N | 08 | 564-566 | S72099K | 08 | 521-522 | ||
| S72032Q | 08 | 564-566 | S72051P | 08 | 521-522 | S72099K | 08 | 564-566 | ||
| S72032R | 08 | 521-522 | S72051P | 08 | 564-566 | S72099M | 08 | 521-522 | ||
| S72032R | 08 | 564-566 | S72051Q | 08 | 521-522 | S72099M | 08 | 564-566 | ||
| S72032S | 08 | 559-561 | S72051Q | 08 | 564-566 | S72099N | 08 | 521-522 | ||
| S72033A | 08 | 521-522 | S72051R | 08 | 521-522 | S72099N | 08 | 564-566 | ||
| S72033A | 08 | 535-536 | S72051R | 08 | 564-566 | S72099P | 08 | 521-522 | ||
| S72033A | 15 | 791 | S72051S | 08 | 559-561 | S72099P | 08 | 564-566 | ||
| S72033A | 15 | 793 | S72052A | 08 | 521-522 | S72099Q | 08 | 521-522 | ||
| S72033A | 24 | 963-965 | S72052A | 08 | 535-536 | S72099Q | 08 | 564-566 | ||
| S72033B | 08 | 521-522 | S72052A | 15 | 791 | S72099R | 08 | 521-522 | ||
| S72033B | 08 | 535-536 | S72052A | 15 | 793 | S72099R | 08 | 564-566 | ||
| S72033B | 15 | 791 | S72052A | 24 | 963-965 | S72099S | 08 | 559-561 | ||
| S72033B | 15 | 793 | S72052B | 08 | 521-522 | S72101A | 08 | 521-522 | ||
| S72033B | 24 | 963-965 | S72052B | 08 | 535-536 | S72101A | 08 | 535-536 | ||
| S72033C | 08 | 521-522 | S72052B | 15 | 791 | S72101A | 15 | 791 | ||
| S72033C | 08 | 535-536 | S72052B | 15 | 793 | S72101A | 15 | 793 | ||
| S72033C | 15 | 791 | S72052B | 24 | 963-965 | S72101A | 24 | 963-965 | ||
| S72033C | 15 | 793 | S72052C | 08 | 521-522 | S72101B | 08 | 521-522 | ||
| S72033C | 24 | 963-965 | S72052C | 08 | 535-536 | S72101B | 08 | 535-536 | ||
| S72033D | 08 | 559-561 | S72052C | 15 | 791 | S72101B | 15 | 791 | ||
| S72033E | 08 | 559-561 | S72052C | 15 | 793 | S72101B | 15 | 793 | ||
| S72033F | 08 | 559-561 | S72052C | 24 | 963-965 | S72101B | 24 | 963-965 | ||
| S72033G | 08 | 521-522 | S72052D | 08 | 559-561 | S72101C | 08 | 521-522 | ||
| S72033G | 08 | 559-561 | S72052E | 08 | 559-561 | S72101C | 08 | 535-536 | ||
| S72033H | 08 | 521-522 | S72052F | 08 | 559-561 | S72101C | 15 | 791 | ||
| S72033H | 08 | 559-561 | S72052G | 08 | 521-522 | S72101C | 15 | 793 | ||
| S72033J | 08 | 521-522 | S72052G | 08 | 559-561 | S72101C | 24 | 963-965 | ||
| S72033J | 08 | 559-561 | S72052H | 08 | 521-522 | S72101D | 08 | 559-561 | ||
| S72033K | 08 | 521-522 | S72052H | 08 | 559-561 | S72101E | 08 | 559-561 | ||
| S72033K | 08 | 564-566 | S72052J | 08 | 521-522 | S72101F | 08 | 559-561 | ||
| S72033M | 08 | 521-522 | S72052J | 08 | 559-561 | S72101G | 08 | 521-522 | ||
| S72033M | 08 | 564-566 | S72052K | 08 | 521-522 | S72101G | 08 | 559-561 | ||
| S72033N | 08 | 521-522 | S72052K | 08 | 564-566 | S72101H | 08 | 521-522 | ||
| S72033N | 08 | 564-566 | S72052M | 08 | 521-522 | S72101H | 08 | 559-561 | ||
| S72033P | 08 | 521-522 | S72052M | 08 | 564-566 | S72101J | 08 | 521-522 | ||
| S72033P | 08 | 564-566 | S72052N | 08 | 521-522 | S72101J | 08 | 559-561 | ||
| S72033Q | 08 | 521-522 | S72052N | 08 | 564-566 | S72101K | 08 | 521-522 | ||
| S72033Q | 08 | 564-566 | S72052P | 08 | 521-522 | S72101K | 08 | 564-566 | ||
| S72033R | 08 | 521-522 | S72052P | 08 | 564-566 | S72101M | 08 | 521-522 | ||
| S72033R | 08 | 564-566 | S72052Q | 08 | 521-522 | S72101M | 08 | 564-566 | ||
| S72033S | 08 | 559-561 | S72052Q | 08 | 564-566 | S72101N | 08 | 521-522 | ||
| S72034A | 08 | 521-522 | S72052R | 08 | 521-522 | S72101N | 08 | 564-566 | ||
| S72034A | 08 | 535-536 | S72052R | 08 | 564-566 | S72101P | 08 | 521-522 | ||
| S72034A | 15 | 791 | S72052S | 08 | 559-561 | S72101P | 08 | 564-566 | ||
| S72034A | 15 | 793 | S72059A | 08 | 521-522 | S72101Q | 08 | 521-522 | ||
| S72034A | 24 | 963-965 | S72059A | 08 | 535-536 | S72101Q | 08 | 564-566 | ||
| S72034B | 08 | 521-522 | S72059A | 15 | 791 | S72101R | 08 | 521-522 | ||
| S72034B | 08 | 535-536 | S72059A | 15 | 793 | S72101R | 08 | 564-566 | ||
| S72034B | 15 | 791 | S72059A | 24 | 963-965 | S72101S | 08 | 559-561 | ||
| S72034B | 15 | 793 | S72059B | 08 | 521-522 | S72102A | 08 | 521-522 | ||
| S72034B | 24 | 963-965 | S72059B | 08 | 535-536 | S72102A | 08 | 535-536 | ||
| S72034C | 08 | 521-522 | S72059B | 15 | 791 | S72102A | 15 | 791 | ||
| S72034C | 08 | 535-536 | S72059B | 15 | 793 | S72102A | 15 | 793 | ||
| S72034C | 15 | 791 | S72059B | 24 | 963-965 | S72102A | 24 | 963-965 | ||
| S72034C | 15 | 793 | S72059C | 08 | 521-522 | S72102B | 08 | 521-522 | ||
| S72034C | 24 | 963-965 | S72059C | 08 | 535-536 | S72102B | 08 | 535-536 | ||
| S72034D | 08 | 559-561 | S72059C | 15 | 791 | S72102B | 15 | 791 | ||
| S72034E | 08 | 559-561 | S72059C | 15 | 793 | S72102B | 15 | 793 | ||
| S72034F | 08 | 559-561 | S72059C | 24 | 963-965 | S72102B | 24 | 963-965 | ||
| S72034G | 08 | 521-522 | S72059D | 08 | 559-561 | S72102C | 08 | 521-522 | ||
| S72034G | 08 | 559-561 | S72059E | 08 | 559-561 | S72102C | 08 | 535-536 | ||
| S72034H | 08 | 521-522 | S72059F | 08 | 559-561 | S72102C | 15 | 791 | ||
| S72034H | 08 | 559-561 | S72059G | 08 | 521-522 | S72102C | 15 | 793 | ||
| S72034J | 08 | 521-522 | S72059G | 08 | 559-561 | S72102C | 24 | 963-965 | ||
| S72034J | 08 | 559-561 | S72059H | 08 | 521-522 | S72102D | 08 | 559-561 | ||
| S72034K | 08 | 521-522 | S72059H | 08 | 559-561 | S72102E | 08 | 559-561 | ||
| S72034K | 08 | 564-566 | S72059J | 08 | 521-522 | S72102F | 08 | 559-561 | ||
| S72034M | 08 | 521-522 | S72059J | 08 | 559-561 | S72102G | 08 | 521-522 | ||
| S72034M | 08 | 564-566 | S72059K | 08 | 521-522 | S72102G | 08 | 559-561 | ||
| S72034N | 08 | 521-522 | S72059K | 08 | 564-566 | S72102H | 08 | 521-522 | ||
| S72034N | 08 | 564-566 | S72059M | 08 | 521-522 | S72102H | 08 | 559-561 | ||
| S72034P | 08 | 521-522 | S72059M | 08 | 564-566 | S72102J | 08 | 521-522 | ||
| S72034P | 08 | 564-566 | S72059N | 08 | 521-522 | S72102J | 08 | 559-561 | ||
| S72034Q | 08 | 521-522 | S72059N | 08 | 564-566 | S72102K | 08 | 521-522 | ||
| S72034Q | 08 | 564-566 | S72059P | 08 | 521-522 | S72102K | 08 | 564-566 | ||
| S72034R | 08 | 521-522 | S72059P | 08 | 564-566 | S72102M | 08 | 521-522 | ||
| S72034R | 08 | 564-566 | S72059Q | 08 | 521-522 | S72102M | 08 | 564-566 | ||
| S72034S | 08 | 559-561 | S72059Q | 08 | 564-566 | S72102N | 08 | 521-522 | ||
| S72035A | 08 | 521-522 | S72059R | 08 | 521-522 | S72102N | 08 | 564-566 | ||
| S72035A | 08 | 535-536 | S72059R | 08 | 564-566 | S72102P | 08 | 521-522 | ||
| S72035A | 15 | 791 | S72059S | 08 | 559-561 | S72102P | 08 | 564-566 | ||
| S72035A | 15 | 793 | S72061A | 08 | 521-522 | S72102Q | 08 | 521-522 | ||
| S72035A | 24 | 963-965 | S72061A | 08 | 535-536 | S72102Q | 08 | 564-566 | ||
| S72035B | 08 | 521-522 | S72061A | 15 | 791 | S72102R | 08 | 521-522 | ||
| S72035B | 08 | 535-536 | S72061A | 15 | 793 | S72102R | 08 | 564-566 | ||
| S72035B | 15 | 791 | S72061A | 24 | 963-965 | S72102S | 08 | 559-561 | ||
| S72035B | 15 | 793 | S72061B | 08 | 521-522 | S72109A | 08 | 521-522 | ||
| S72035B | 24 | 963-965 | S72061B | 08 | 535-536 | S72109A | 08 | 535-536 | ||
| S72035C | 08 | 521-522 | S72061B | 15 | 791 | S72109A | 15 | 791 | ||
| S72035C | 08 | 535-536 | S72061B | 15 | 793 | S72109A | 15 | 793 | ||
| S72035C | 15 | 791 | S72061B | 24 | 963-965 | S72109A | 24 | 963-965 | ||
| S72035C | 15 | 793 | S72061C | 08 | 521-522 | S72109B | 08 | 521-522 | ||
| S72035C | 24 | 963-965 | S72061C | 08 | 535-536 | S72109B | 08 | 535-536 | ||
| S72035D | 08 | 559-561 | S72061C | 15 | 791 | S72109B | 15 | 791 | ||
| S72035E | 08 | 559-561 | S72061C | 15 | 793 | S72109B | 15 | 793 | ||
| S72035F | 08 | 559-561 | S72061C | 24 | 963-965 | S72109B | 24 | 963-965 | ||
| S72035G | 08 | 521-522 | S72061D | 08 | 559-561 | S72109C | 08 | 521-522 | ||
| S72035G | 08 | 559-561 | S72061E | 08 | 559-561 | S72109C | 08 | 535-536 | ||
| S72035H | 08 | 521-522 | S72061F | 08 | 559-561 | S72109C | 15 | 791 | ||
| S72035H | 08 | 559-561 | S72061G | 08 | 521-522 | S72109C | 15 | 793 | ||
| S72035J | 08 | 521-522 | S72061G | 08 | 559-561 | S72109C | 24 | 963-965 | ||
| S72035J | 08 | 559-561 | S72061H | 08 | 521-522 | S72109D | 08 | 559-561 | ||
| S72035K | 08 | 521-522 | S72061H | 08 | 559-561 | S72109E | 08 | 559-561 | ||
| S72035K | 08 | 564-566 | S72061J | 08 | 521-522 | S72109F | 08 | 559-561 | ||
| S72035M | 08 | 521-522 | S72061J | 08 | 559-561 | S72109G | 08 | 521-522 | ||
| S72035M | 08 | 564-566 | S72061K | 08 | 521-522 | S72109G | 08 | 559-561 | ||
| S72035N | 08 | 521-522 | S72061K | 08 | 564-566 | S72109H | 08 | 521-522 | ||
| S72035N | 08 | 564-566 | S72061M | 08 | 521-522 | S72109H | 08 | 559-561 | ||
| S72035P | 08 | 521-522 | S72061M | 08 | 564-566 | S72109J | 08 | 521-522 | ||
| S72035P | 08 | 564-566 | S72061N | 08 | 521-522 | S72109J | 08 | 559-561 | ||
| S72035Q | 08 | 521-522 | S72061N | 08 | 564-566 | S72109K | 08 | 521-522 | ||
| S72035Q | 08 | 564-566 | S72061P | 08 | 521-522 | S72109K | 08 | 564-566 | ||
| S72035R | 08 | 521-522 | S72061P | 08 | 564-566 | S72109M | 08 | 521-522 | ||
| S72035R | 08 | 564-566 | S72061Q | 08 | 521-522 | S72109M | 08 | 564-566 | ||
| S72035S | 08 | 559-561 | S72061Q | 08 | 564-566 | S72109N | 08 | 521-522 | ||
| S72036A | 08 | 521-522 | S72061R | 08 | 521-522 | S72109N | 08 | 564-566 | ||
| S72036A | 08 | 535-536 | S72061R | 08 | 564-566 | S72109P | 08 | 521-522 | ||
| S72036A | 15 | 791 | S72061S | 08 | 559-561 | S72109P | 08 | 564-566 | ||
| S72036A | 15 | 793 | S72062A | 08 | 521-522 | S72109Q | 08 | 521-522 | ||
| S72036A | 24 | 963-965 | S72062A | 08 | 535-536 | S72109Q | 08 | 564-566 | ||
| S72036B | 08 | 521-522 | S72062A | 15 | 791 | S72109R | 08 | 521-522 | ||
| S72036B | 08 | 535-536 | S72062A | 15 | 793 | S72109R | 08 | 564-566 | ||
| S72036B | 15 | 791 | S72062A | 24 | 963-965 | S72109S | 08 | 559-561 | ||
| S72036B | 15 | 793 | S72062B | 08 | 521-522 | S72111A | 08 | 521-522 | ||
| S72036B | 24 | 963-965 | S72062B | 08 | 535-536 | S72111A | 08 | 535-536 | ||
| S72036C | 08 | 521-522 | S72062B | 15 | 791 | S72111A | 15 | 791 | ||
| S72036C | 08 | 535-536 | S72062B | 15 | 793 | S72111A | 15 | 793 | ||
| S72036C | 15 | 791 | S72062B | 24 | 963-965 | S72111A | 24 | 963-965 | ||
| S72036C | 15 | 793 | S72062C | 08 | 521-522 | S72111B | 08 | 521-522 | ||
| S72036C | 24 | 963-965 | S72062C | 08 | 535-536 | S72111B | 08 | 535-536 | ||
| S72036D | 08 | 559-561 | S72062C | 15 | 791 | S72111B | 15 | 791 | ||
| S72036E | 08 | 559-561 | S72062C | 15 | 793 | S72111B | 15 | 793 | ||
| S72036F | 08 | 559-561 | S72062C | 24 | 963-965 | S72111B | 24 | 963-965 | ||
| S72036G | 08 | 521-522 | S72062D | 08 | 559-561 | S72111C | 08 | 521-522 | ||
| S72036G | 08 | 559-561 | S72062E | 08 | 559-561 | S72111C | 08 | 535-536 | ||
| S72036H | 08 | 521-522 | S72062F | 08 | 559-561 | S72111C | 15 | 791 | ||
| S72036H | 08 | 559-561 | S72062G | 08 | 521-522 | S72111C | 15 | 793 | ||
| S72036J | 08 | 521-522 | S72062G | 08 | 559-561 | S72111C | 24 | 963-965 | ||
| S72036J | 08 | 559-561 | S72062H | 08 | 521-522 | S72111D | 08 | 559-561 | ||
| S72036K | 08 | 521-522 | S72062H | 08 | 559-561 | S72111E | 08 | 559-561 | ||
| S72036K | 08 | 564-566 | S72062J | 08 | 521-522 | S72111F | 08 | 559-561 | ||
| S72036M | 08 | 521-522 | S72062J | 08 | 559-561 | S72111G | 08 | 521-522 | ||
| S72036M | 08 | 564-566 | S72062K | 08 | 521-522 | S72111G | 08 | 559-561 | ||
| S72036N | 08 | 521-522 | S72062K | 08 | 564-566 | S72111H | 08 | 521-522 | ||
| S72036N | 08 | 564-566 | S72062M | 08 | 521-522 | S72111H | 08 | 559-561 | ||
| S72036P | 08 | 521-522 | S72062M | 08 | 564-566 | S72111J | 08 | 521-522 | ||
| S72036P | 08 | 564-566 | S72062N | 08 | 521-522 | S72111J | 08 | 559-561 | ||
| S72036Q | 08 | 521-522 | S72062N | 08 | 564-566 | S72111K | 08 | 521-522 | ||
| S72036Q | 08 | 564-566 | S72062P | 08 | 521-522 | S72111K | 08 | 564-566 | ||
| S72036R | 08 | 521-522 | S72062P | 08 | 564-566 | S72111M | 08 | 521-522 | ||
| S72036R | 08 | 564-566 | S72062Q | 08 | 521-522 | S72111M | 08 | 564-566 | ||
| S72036S | 08 | 559-561 | S72062Q | 08 | 564-566 | S72111N | 08 | 521-522 | ||
| S72041A | 08 | 521-522 | S72062R | 08 | 521-522 | S72111N | 08 | 564-566 | ||
| S72041A | 08 | 535-536 | S72062R | 08 | 564-566 | S72111P | 08 | 521-522 | ||
| S72041A | 15 | 791 | S72062S | 08 | 559-561 | S72111P | 08 | 564-566 | ||
| S72041A | 15 | 793 | S72063A | 08 | 521-522 | S72111Q | 08 | 521-522 | ||
| S72041A | 24 | 963-965 | S72063A | 08 | 535-536 | S72111Q | 08 | 564-566 | ||
| S72041B | 08 | 521-522 | S72063A | 15 | 791 | S72111R | 08 | 521-522 | ||
| S72041B | 08 | 535-536 | S72063A | 15 | 793 | S72111R | 08 | 564-566 | ||
| S72041B | 15 | 791 | S72063A | 24 | 963-965 | S72111S | 08 | 559-561 | ||
| S72041B | 15 | 793 | S72063B | 08 | 521-522 | S72112A | 08 | 521-522 | ||
| S72041B | 24 | 963-965 | S72063B | 08 | 535-536 | S72112A | 08 | 535-536 | ||
| S72041C | 08 | 521-522 | S72063B | 15 | 791 | S72112A | 15 | 791 | ||
| S72041C | 08 | 535-536 | S72063B | 15 | 793 | S72112A | 15 | 793 | ||
| S72041C | 15 | 791 | S72063B | 24 | 963-965 | S72112A | 24 | 963-965 | ||
| S72041C | 15 | 793 | S72063C | 08 | 521-522 | S72112B | 08 | 521-522 | ||
| S72041C | 24 | 963-965 | S72063C | 08 | 535-536 | S72112B | 08 | 535-536 | ||
| S72041D | 08 | 559-561 | S72063C | 15 | 791 | S72112B | 15 | 791 | ||
| S72041E | 08 | 559-561 | S72063C | 15 | 793 | S72112B | 15 | 793 | ||
| S72041F | 08 | 559-561 | S72063C | 24 | 963-965 | S72112B | 24 | 963-965 | ||
| S72041G | 08 | 521-522 | S72063D | 08 | 559-561 | S72112C | 08 | 521-522 | ||
| S72041G | 08 | 559-561 | S72063E | 08 | 559-561 | S72112C | 08 | 535-536 | ||
| S72041H | 08 | 521-522 | S72063F | 08 | 559-561 | S72112C | 15 | 791 | ||
| S72041H | 08 | 559-561 | S72063G | 08 | 521-522 | S72112C | 15 | 793 | ||
| S72041J | 08 | 521-522 | S72063G | 08 | 559-561 | S72112C | 24 | 963-965 | ||
| S72041J | 08 | 559-561 | S72063H | 08 | 521-522 | S72112D | 08 | 559-561 | ||
| S72041K | 08 | 521-522 | S72063H | 08 | 559-561 | S72112E | 08 | 559-561 | ||
| S72041K | 08 | 564-566 | S72063J | 08 | 521-522 | S72112F | 08 | 559-561 | ||
| S72041M | 08 | 521-522 | S72063J | 08 | 559-561 | S72112G | 08 | 521-522 | ||
| S72041M | 08 | 564-566 | S72063K | 08 | 521-522 | S72112G | 08 | 559-561 | ||
| S72041N | 08 | 521-522 | S72063K | 08 | 564-566 | S72112H | 08 | 521-522 | ||
| S72041N | 08 | 564-566 | S72063M | 08 | 521-522 | S72112H | 08 | 559-561 | ||
| S72041P | 08 | 521-522 | S72063M | 08 | 564-566 | S72112J | 08 | 521-522 | ||
| S72041P | 08 | 564-566 | S72063N | 08 | 521-522 | S72112J | 08 | 559-561 | ||
| S72041Q | 08 | 521-522 | S72063N | 08 | 564-566 | S72112K | 08 | 521-522 | ||
| S72041Q | 08 | 564-566 | S72063P | 08 | 521-522 | S72112K | 08 | 564-566 | ||
| S72041R | 08 | 521-522 | S72063P | 08 | 564-566 | S72112M | 08 | 521-522 | ||
| S72041R | 08 | 564-566 | S72063Q | 08 | 521-522 | S72112M | 08 | 564-566 | ||
| S72041S | 08 | 559-561 | S72063Q | 08 | 564-566 | S72112N | 08 | 521-522 | ||
| S72042A | 08 | 521-522 | S72063R | 08 | 521-522 | S72112N | 08 | 564-566 | ||
| S72042A | 08 | 535-536 | S72063R | 08 | 564-566 | S72112P | 08 | 521-522 | ||
| S72042A | 15 | 791 | S72063S | 08 | 559-561 | S72112P | 08 | 564-566 | ||
| S72042A | 15 | 793 | S72064A | 08 | 521-522 | S72112Q | 08 | 521-522 | ||
| S72042A | 24 | 963-965 | S72064A | 08 | 535-536 | S72112Q | 08 | 564-566 | ||
| S72042B | 08 | 521-522 | S72064A | 15 | 791 | S72112R | 08 | 521-522 | ||
| S72042B | 08 | 535-536 | S72064A | 15 | 793 | S72112R | 08 | 564-566 | ||
| S72042B | 15 | 791 | S72064A | 24 | 963-965 | S72112S | 08 | 559-561 | ||
| S72042B | 15 | 793 | S72064B | 08 | 521-522 | S72113A | 08 | 521-522 | ||
| S72042B | 24 | 963-965 | S72064B | 08 | 535-536 | S72113A | 08 | 535-536 | ||
| S72042C | 08 | 521-522 | S72064B | 15 | 791 | S72113A | 15 | 791 | ||
| S72042C | 08 | 535-536 | S72064B | 15 | 793 | S72113A | 15 | 793 | ||
| S72042C | 15 | 791 | S72064B | 24 | 963-965 | S72113A | 24 | 963-965 | ||
| S72042C | 15 | 793 | S72064C | 08 | 521-522 | S72113B | 08 | 521-522 | ||
| S72042C | 24 | 963-965 | S72064C | 08 | 535-536 | S72113B | 08 | 535-536 | ||
| S72042D | 08 | 559-561 | S72064C | 15 | 791 | S72113B | 15 | 791 | ||
| S72042E | 08 | 559-561 | S72064C | 15 | 793 | S72113B | 15 | 793 | ||
| S72042F | 08 | 559-561 | S72064C | 24 | 963-965 | S72113B | 24 | 963-965 | ||
| S72042G | 08 | 521-522 | S72064D | 08 | 559-561 | S72113C | 08 | 521-522 | ||
| S72042G | 08 | 559-561 | S72064E | 08 | 559-561 | S72113C | 08 | 535-536 | ||
| S72042H | 08 | 521-522 | S72064F | 08 | 559-561 | S72113C | 15 | 791 | ||
| S72042H | 08 | 559-561 | S72064G | 08 | 521-522 | S72113C | 15 | 793 | ||
| S72042J | 08 | 521-522 | S72064G | 08 | 559-561 | S72113C | 24 | 963-965 | ||
| S72042J | 08 | 559-561 | S72064H | 08 | 521-522 | S72113D | 08 | 559-561 | ||
| S72042K | 08 | 521-522 | S72064H | 08 | 559-561 | S72113E | 08 | 559-561 | ||
| S72042K | 08 | 564-566 | S72064J | 08 | 521-522 | S72113F | 08 | 559-561 | ||
| S72042M | 08 | 521-522 | S72064J | 08 | 559-561 | S72113G | 08 | 521-522 | ||
| S72042M | 08 | 564-566 | S72064K | 08 | 521-522 | S72113G | 08 | 559-561 | ||
| S72042N | 08 | 521-522 | S72064K | 08 | 564-566 | S72113H | 08 | 521-522 | ||
| S72042N | 08 | 564-566 | S72064M | 08 | 521-522 | S72113H | 08 | 559-561 | ||
| S72042P | 08 | 521-522 | S72064M | 08 | 564-566 | S72113J | 08 | 521-522 | ||
| S72042P | 08 | 564-566 | S72064N | 08 | 521-522 | S72113J | 08 | 559-561 | ||
| S72042Q | 08 | 521-522 | S72064N | 08 | 564-566 | S72113K | 08 | 521-522 | ||
| S72042Q | 08 | 564-566 | S72064P | 08 | 521-522 | S72113K | 08 | 564-566 | ||
| S72042R | 08 | 521-522 | S72064P | 08 | 564-566 | S72113M | 08 | 521-522 | ||
| S72042R | 08 | 564-566 | S72064Q | 08 | 521-522 | S72113M | 08 | 564-566 | ||
| S72042S | 08 | 559-561 | S72064Q | 08 | 564-566 | S72113N | 08 | 521-522 | ||
| S72043A | 08 | 521-522 | S72064R | 08 | 521-522 | S72113N | 08 | 564-566 | ||
| S72043A | 08 | 535-536 | S72064R | 08 | 564-566 | S72113P | 08 | 521-522 | ||
| S72043A | 15 | 791 | S72064S | 08 | 559-561 | S72113P | 08 | 564-566 | ||
| S72043A | 15 | 793 | S72065A | 08 | 521-522 | S72113Q | 08 | 521-522 | ||
| S72043A | 24 | 963-965 | S72065A | 08 | 535-536 | S72113Q | 08 | 564-566 | ||
| S72043B | 08 | 521-522 | S72065A | 15 | 791 | S72113R | 08 | 521-522 | ||
| S72043B | 08 | 535-536 | S72065A | 15 | 793 | S72113R | 08 | 564-566 | ||
| S72043B | 15 | 791 | S72065A | 24 | 963-965 | S72113S | 08 | 559-561 | ||
| S72043B | 15 | 793 | S72065B | 08 | 521-522 | S72114A | 08 | 521-522 | ||
| S72043B | 24 | 963-965 | S72065B | 08 | 535-536 | S72114A | 08 | 535-536 | ||
| S72043C | 08 | 521-522 | S72065B | 15 | 791 | S72114A | 15 | 791 | ||
| S72043C | 08 | 535-536 | S72065B | 15 | 793 | S72114A | 15 | 793 | ||
| S72043C | 15 | 791 | S72065B | 24 | 963-965 | S72114A | 24 | 963-965 | ||
| S72043C | 15 | 793 | ||||||||
| S72043C | 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 |