DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 64 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
S96802A | 21 | 913-914 | S99039K | 23 | 949-950 | S99829A | 21 | 913-914 | ||
S96802A | 24 | 963-965 | S99039P | 23 | 949-950 | S99829A | 24 | 963-965 | ||
S96802D | 23 | 949-950 | S99039S | 21 | 913-914 | S99829D | 23 | 949-950 | ||
S96802S | 21 | 913-914 | S99041A | 21 | 913-914 | S99829S | 21 | 913-914 | ||
S96809A | 21 | 913-914 | S99041A | 24 | 963-965 | S99911A | 21 | 913-914 | ||
S96809A | 24 | 963-965 | S99041B | 21 | 913-914 | S99911A | 24 | 963-965 | ||
S96809D | 23 | 949-950 | S99041B | 24 | 963-965 | S99911D | 23 | 949-950 | ||
S96809S | 21 | 913-914 | S99041D | 23 | 949-950 | S99911S | 21 | 913-914 | ||
S96811A | 08 | 562-563 | S99041G | 23 | 949-950 | S99912A | 21 | 913-914 | ||
S96811A | 24 | 963-965 | S99041K | 23 | 949-950 | S99912A | 24 | 963-965 | ||
S96811D | 23 | 949-950 | S99041P | 23 | 949-950 | S99912D | 23 | 949-950 | ||
S96811S | 08 | 562-563 | S99041S | 21 | 913-914 | S99912S | 21 | 913-914 | ||
S96812A | 08 | 562-563 | S99042A | 21 | 913-914 | S99919A | 21 | 913-914 | ||
S96812A | 24 | 963-965 | S99042A | 24 | 963-965 | S99919A | 24 | 963-965 | ||
S96812D | 23 | 949-950 | S99042B | 21 | 913-914 | S99919D | 23 | 949-950 | ||
S96812S | 08 | 562-563 | S99042B | 24 | 963-965 | S99919S | 21 | 913-914 | ||
S96819A | 08 | 562-563 | S99042D | 23 | 949-950 | S99921A | 21 | 913-914 | ||
S96819A | 24 | 963-965 | S99042G | 23 | 949-950 | S99921A | 24 | 963-965 | ||
S96819D | 23 | 949-950 | S99042K | 23 | 949-950 | S99921D | 23 | 949-950 | ||
S96819S | 08 | 562-563 | S99042P | 23 | 949-950 | S99921S | 21 | 913-914 | ||
S96821A | 08 | 564-566 | S99042S | 21 | 913-914 | S99922A | 21 | 913-914 | ||
S96821A | 24 | 963-965 | S99049A | 21 | 913-914 | S99922A | 24 | 963-965 | ||
S96821D | 23 | 949-950 | S99049A | 24 | 963-965 | S99922D | 23 | 949-950 | ||
S96821S | 09 | 604-605 | S99049B | 21 | 913-914 | S99922S | 21 | 913-914 | ||
S96822A | 08 | 564-566 | S99049B | 24 | 963-965 | S99929A | 21 | 913-914 | ||
S96822A | 24 | 963-965 | S99049D | 23 | 949-950 | S99929A | 24 | 963-965 | ||
S96822D | 23 | 949-950 | S99049G | 23 | 949-950 | S99929D | 23 | 949-950 | ||
S96822S | 09 | 604-605 | S99049K | 23 | 949-950 | S99929S | 21 | 913-914 | ||
S96829A | 08 | 564-566 | S99049P | 23 | 949-950 | T07XXXA | 21 | 913-914 | ||
S96829A | 24 | 963-965 | S99049S | 21 | 913-914 | T07XXXA | 24 | 963-965 | ||
S96829D | 23 | 949-950 | S99091A | 21 | 913-914 | T07XXXD | 23 | 949-950 | ||
S96829S | 09 | 604-605 | S99091A | 24 | 963-965 | T07XXXS | 21 | 913-914 | ||
S96891A | 21 | 913-914 | S99091B | 21 | 913-914 | T148XXA | 21 | 913-914 | ||
S96891A | 24 | 963-965 | S99091B | 24 | 963-965 | T148XXA | 24 | 963-965 | ||
S96891D | 23 | 949-950 | S99091D | 23 | 949-950 | T148XXD | 23 | 949-950 | ||
S96891S | 21 | 913-914 | S99091G | 23 | 949-950 | T148XXS | 21 | 913-914 | ||
S96892A | 21 | 913-914 | S99091K | 23 | 949-950 | T1490XA | 21 | 913-914 | ||
S96892A | 24 | 963-965 | S99091P | 23 | 949-950 | T1490XA | 24 | 963-965 | ||
S96892D | 23 | 949-950 | S99091S | 21 | 913-914 | T1490XD | 23 | 949-950 | ||
S96892S | 21 | 913-914 | S99092A | 21 | 913-914 | T1490XS | 21 | 913-914 | ||
S96899A | 21 | 913-914 | S99092A | 24 | 963-965 | T1491XA | 21 | 913-914 | ||
S96899A | 24 | 963-965 | S99092B | 21 | 913-914 | T1491XA | 24 | 963-965 | ||
S96899D | 23 | 949-950 | S99092B | 24 | 963-965 | T1491XD | 23 | 949-950 | ||
S96899S | 21 | 913-914 | S99092D | 23 | 949-950 | T1491XS | 21 | 913-914 | ||
S96901A | 21 | 913-914 | S99092G | 23 | 949-950 | T1500XA | 02 | 124-125 | ||
S96901A | 24 | 963-965 | S99092K | 23 | 949-950 | T1500XD | 23 | 949-950 | ||
S96901D | 23 | 949-950 | S99092P | 23 | 949-950 | T1500XS | 21 | 913-914 | ||
S96901S | 21 | 913-914 | S99092S | 21 | 913-914 | T1501XA | 02 | 124-125 | ||
S96902A | 21 | 913-914 | S99099A | 21 | 913-914 | T1501XD | 23 | 949-950 | ||
S96902A | 24 | 963-965 | S99099A | 24 | 963-965 | T1501XS | 21 | 913-914 | ||
S96902D | 23 | 949-950 | S99099B | 21 | 913-914 | T1502XA | 02 | 124-125 | ||
S96902S | 21 | 913-914 | S99099B | 24 | 963-965 | T1502XD | 23 | 949-950 | ||
S96909A | 21 | 913-914 | S99099D | 23 | 949-950 | T1502XS | 21 | 913-914 | ||
S96909A | 24 | 963-965 | S99099G | 23 | 949-950 | T1510XA | 02 | 124-125 | ||
S96909D | 23 | 949-950 | S99099K | 23 | 949-950 | T1510XD | 23 | 949-950 | ||
S96909S | 21 | 913-914 | S99099P | 23 | 949-950 | T1510XS | 21 | 913-914 | ||
S96911A | 08 | 562-563 | S99099S | 21 | 913-914 | T1511XA | 02 | 124-125 | ||
S96911A | 24 | 963-965 | S99101A | 21 | 913-914 | T1511XD | 23 | 949-950 | ||
S96911D | 23 | 949-950 | S99101A | 24 | 963-965 | T1511XS | 21 | 913-914 | ||
S96911S | 08 | 562-563 | S99101B | 21 | 913-914 | T1512XA | 02 | 124-125 | ||
S96912A | 08 | 562-563 | S99101B | 24 | 963-965 | T1512XD | 23 | 949-950 | ||
S96912A | 24 | 963-965 | S99101D | 23 | 949-950 | T1512XS | 21 | 913-914 | ||
S96912D | 23 | 949-950 | S99101G | 23 | 949-950 | T1580XA | 02 | 124-125 | ||
S96912S | 08 | 562-563 | S99101K | 23 | 949-950 | T1580XD | 23 | 949-950 | ||
S96919A | 08 | 562-563 | S99101P | 23 | 949-950 | T1580XS | 21 | 913-914 | ||
S96919A | 24 | 963-965 | S99101S | 21 | 913-914 | T1581XA | 02 | 124-125 | ||
S96919D | 23 | 949-950 | S99102A | 21 | 913-914 | T1581XD | 23 | 949-950 | ||
S96919S | 08 | 562-563 | S99102A | 24 | 963-965 | T1581XS | 21 | 913-914 | ||
S96921A | 08 | 564-566 | S99102B | 21 | 913-914 | T1582XA | 02 | 124-125 | ||
S96921A | 24 | 963-965 | S99102B | 24 | 963-965 | T1582XD | 23 | 949-950 | ||
S96921D | 23 | 949-950 | S99102D | 23 | 949-950 | T1582XS | 21 | 913-914 | ||
S96921S | 09 | 604-605 | S99102G | 23 | 949-950 | T1590XA | 02 | 124-125 | ||
S96922A | 08 | 564-566 | S99102K | 23 | 949-950 | T1590XD | 23 | 949-950 | ||
S96922A | 24 | 963-965 | S99102P | 23 | 949-950 | T1590XS | 21 | 913-914 | ||
S96922D | 23 | 949-950 | S99102S | 21 | 913-914 | T1591XA | 02 | 124-125 | ||
S96922S | 09 | 604-605 | S99109A | 21 | 913-914 | T1591XD | 23 | 949-950 | ||
S96929A | 08 | 564-566 | S99109A | 24 | 963-965 | T1591XS | 21 | 913-914 | ||
S96929A | 24 | 963-965 | S99109B | 21 | 913-914 | T1592XA | 02 | 124-125 | ||
S96929D | 23 | 949-950 | S99109B | 24 | 963-965 | T1592XD | 23 | 949-950 | ||
S96929S | 09 | 604-605 | S99109D | 23 | 949-950 | T1592XS | 21 | 913-914 | ||
S96991A | 21 | 913-914 | S99109G | 23 | 949-950 | T161XXA | 03 | 154-156 | ||
S96991A | 24 | 963-965 | S99109K | 23 | 949-950 | T161XXD | 23 | 949-950 | ||
S96991D | 23 | 949-950 | S99109P | 23 | 949-950 | T161XXS | 21 | 913-914 | ||
S96991S | 21 | 913-914 | S99109S | 21 | 913-914 | T162XXA | 03 | 154-156 | ||
S96992A | 21 | 913-914 | S99111A | 21 | 913-914 | T162XXD | 23 | 949-950 | ||
S96992A | 24 | 963-965 | S99111A | 24 | 963-965 | T162XXS | 21 | 913-914 | ||
S96992D | 23 | 949-950 | S99111B | 21 | 913-914 | T169XXA | 03 | 154-156 | ||
S96992S | 21 | 913-914 | S99111B | 24 | 963-965 | T169XXD | 23 | 949-950 | ||
S96999A | 21 | 913-914 | S99111D | 23 | 949-950 | T169XXS | 21 | 913-914 | ||
S96999A | 24 | 963-965 | S99111G | 23 | 949-950 | T170XXA | 03 | 154-156 | ||
S96999D | 23 | 949-950 | S99111K | 23 | 949-950 | T170XXD | 23 | 949-950 | ||
S96999S | 21 | 913-914 | S99111P | 23 | 949-950 | T170XXS | 21 | 913-914 | ||
S9700XA | 21 | 913-914 | S99111S | 21 | 913-914 | T171XXA | 03 | 154-156 | ||
S9700XA | 24 | 963-965 | S99112A | 21 | 913-914 | T171XXD | 23 | 949-950 | ||
S9700XD | 23 | 949-950 | S99112A | 24 | 963-965 | T171XXS | 21 | 913-914 | ||
S9700XS | 09 | 604-605 | S99112B | 21 | 913-914 | T17200A | Pre | 011-013 | ||
S9701XA | 21 | 913-914 | S99112B | 24 | 963-965 | T17200A | 03 | 154-156 | ||
S9701XA | 24 | 963-965 | S99112D | 23 | 949-950 | T17200D | 23 | 949-950 | ||
S9701XD | 23 | 949-950 | S99112G | 23 | 949-950 | T17200S | 21 | 913-914 | ||
S9701XS | 09 | 604-605 | S99112K | 23 | 949-950 | T17208A | Pre | 011-013 | ||
S9702XA | 21 | 913-914 | S99112P | 23 | 949-950 | T17208A | 03 | 154-156 | ||
S9702XA | 24 | 963-965 | S99112S | 21 | 913-914 | T17208D | 23 | 949-950 | ||
S9702XD | 23 | 949-950 | S99119A | 21 | 913-914 | T17208S | 21 | 913-914 | ||
S9702XS | 09 | 604-605 | S99119A | 24 | 963-965 | T17210A | Pre | 011-013 | ||
S97101A | 21 | 913-914 | S99119B | 21 | 913-914 | T17210A | 03 | 154-156 | ||
S97101A | 24 | 963-965 | S99119B | 24 | 963-965 | T17210D | 23 | 949-950 | ||
S97101D | 23 | 949-950 | S99119D | 23 | 949-950 | T17210S | 21 | 913-914 | ||
S97101S | 09 | 604-605 | S99119G | 23 | 949-950 | T17218A | Pre | 011-013 | ||
S97102A | 21 | 913-914 | S99119K | 23 | 949-950 | T17218A | 03 | 154-156 | ||
S97102A | 24 | 963-965 | S99119P | 23 | 949-950 | T17218D | 23 | 949-950 | ||
S97102D | 23 | 949-950 | S99119S | 21 | 913-914 | T17218S | 21 | 913-914 | ||
S97102S | 09 | 604-605 | S99121A | 21 | 913-914 | T17220A | Pre | 011-013 | ||
S97109A | 21 | 913-914 | S99121A | 24 | 963-965 | T17220A | 03 | 154-156 | ||
S97109A | 24 | 963-965 | S99121B | 21 | 913-914 | T17220D | 23 | 949-950 | ||
S97109D | 23 | 949-950 | S99121B | 24 | 963-965 | T17220S | 21 | 913-914 | ||
S97109S | 09 | 604-605 | S99121D | 23 | 949-950 | T17228A | Pre | 011-013 | ||
S97111A | 21 | 913-914 | S99121G | 23 | 949-950 | T17228A | 03 | 154-156 | ||
S97111A | 24 | 963-965 | S99121K | 23 | 949-950 | T17228D | 23 | 949-950 | ||
S97111D | 23 | 949-950 | S99121P | 23 | 949-950 | T17228S | 21 | 913-914 | ||
S97111S | 09 | 604-605 | S99121S | 21 | 913-914 | T17290A | Pre | 011-013 | ||
S97112A | 21 | 913-914 | S99122A | 21 | 913-914 | T17290A | 03 | 154-156 | ||
S97112A | 24 | 963-965 | S99122A | 24 | 963-965 | T17290D | 23 | 949-950 | ||
S97112D | 23 | 949-950 | S99122B | 21 | 913-914 | T17290S | 21 | 913-914 | ||
S97112S | 09 | 604-605 | S99122B | 24 | 963-965 | T17298A | Pre | 011-013 | ||
S97119A | 21 | 913-914 | S99122D | 23 | 949-950 | T17298A | 03 | 154-156 | ||
S97119A | 24 | 963-965 | S99122G | 23 | 949-950 | T17298D | 23 | 949-950 | ||
S97119D | 23 | 949-950 | S99122K | 23 | 949-950 | T17298S | 21 | 913-914 | ||
S97119S | 09 | 604-605 | S99122P | 23 | 949-950 | T17300A | Pre | 011-013 | ||
S97121A | 21 | 913-914 | S99122S | 21 | 913-914 | T17300A | 03 | 154-156 | ||
S97121A | 24 | 963-965 | S99129A | 21 | 913-914 | T17300D | 23 | 949-950 | ||
S97121D | 23 | 949-950 | S99129A | 24 | 963-965 | T17300S | 21 | 913-914 | ||
S97121S | 09 | 604-605 | S99129B | 21 | 913-914 | T17308A | Pre | 011-013 | ||
S97122A | 21 | 913-914 | S99129B | 24 | 963-965 | T17308A | 03 | 154-156 | ||
S97122A | 24 | 963-965 | S99129D | 23 | 949-950 | T17308D | 23 | 949-950 | ||
S97122D | 23 | 949-950 | S99129G | 23 | 949-950 | T17308S | 21 | 913-914 | ||
S97122S | 09 | 604-605 | S99129K | 23 | 949-950 | T17310A | Pre | 011-013 | ||
S97129A | 21 | 913-914 | S99129P | 23 | 949-950 | T17310A | 03 | 154-156 | ||
S97129A | 24 | 963-965 | S99129S | 21 | 913-914 | T17310D | 23 | 949-950 | ||
S97129D | 23 | 949-950 | S99131A | 21 | 913-914 | T17310S | 21 | 913-914 | ||
S97129S | 09 | 604-605 | S99131A | 24 | 963-965 | T17318A | Pre | 011-013 | ||
S9780XA | 21 | 913-914 | S99131B | 21 | 913-914 | T17318A | 03 | 154-156 | ||
S9780XA | 24 | 963-965 | S99131B | 24 | 963-965 | T17318D | 23 | 949-950 | ||
S9780XD | 23 | 949-950 | S99131D | 23 | 949-950 | T17318S | 21 | 913-914 | ||
S9780XS | 09 | 604-605 | S99131G | 23 | 949-950 | T17320A | Pre | 011-013 | ||
S9781XA | 21 | 913-914 | S99131K | 23 | 949-950 | T17320A | 03 | 154-156 | ||
S9781XA | 24 | 963-965 | S99131P | 23 | 949-950 | T17320D | 23 | 949-950 | ||
S9781XD | 23 | 949-950 | S99131S | 21 | 913-914 | T17320S | 21 | 913-914 | ||
S9781XS | 09 | 604-605 | S99132A | 21 | 913-914 | T17328A | Pre | 011-013 | ||
S9782XA | 21 | 913-914 | S99132A | 24 | 963-965 | T17328A | 03 | 154-156 | ||
S9782XA | 24 | 963-965 | S99132B | 21 | 913-914 | T17328D | 23 | 949-950 | ||
S9782XD | 23 | 949-950 | S99132B | 24 | 963-965 | T17328S | 21 | 913-914 | ||
S9782XS | 09 | 604-605 | S99132D | 23 | 949-950 | T17390A | Pre | 011-013 | ||
S98011A | 21 | 913-914 | S99132G | 23 | 949-950 | T17390A | 03 | 154-156 | ||
S98011A | 24 | 963-965 | S99132K | 23 | 949-950 | T17390D | 23 | 949-950 | ||
S98011D | 23 | 949-950 | S99132P | 23 | 949-950 | T17390S | 21 | 913-914 | ||
S98011S | 08 | 559-561 | S99132S | 21 | 913-914 | T17398A | Pre | 011-013 | ||
S98012A | 21 | 913-914 | S99139A | 21 | 913-914 | T17398A | 03 | 154-156 | ||
S98012A | 24 | 963-965 | S99139A | 24 | 963-965 | T17398D | 23 | 949-950 | ||
S98012D | 23 | 949-950 | S99139B | 21 | 913-914 | T17398S | 21 | 913-914 | ||
S98012S | 08 | 559-561 | S99139B | 24 | 963-965 | T17400A | 04 | 205-206 | ||
S98019A | 21 | 913-914 | S99139D | 23 | 949-950 | T17400D | 23 | 949-950 | ||
S98019A | 24 | 963-965 | S99139G | 23 | 949-950 | T17400S | 21 | 913-914 | ||
S98019D | 23 | 949-950 | S99139K | 23 | 949-950 | T17408A | 04 | 205-206 | ||
S98019S | 08 | 559-561 | S99139P | 23 | 949-950 | T17408D | 23 | 949-950 | ||
S98021A | 21 | 913-914 | S99139S | 21 | 913-914 | T17408S | 21 | 913-914 | ||
S98021A | 24 | 963-965 | S99141A | 21 | 913-914 | T17410A | 04 | 205-206 | ||
S98021D | 23 | 949-950 | S99141A | 24 | 963-965 | T17410D | 23 | 949-950 | ||
S98021S | 08 | 559-561 | S99141B | 21 | 913-914 | T17410S | 21 | 913-914 | ||
S98022A | 21 | 913-914 | S99141B | 24 | 963-965 | T17418A | 04 | 205-206 | ||
S98022A | 24 | 963-965 | S99141D | 23 | 949-950 | T17418D | 23 | 949-950 | ||
S98022D | 23 | 949-950 | S99141G | 23 | 949-950 | T17418S | 21 | 913-914 | ||
S98022S | 08 | 559-561 | S99141K | 23 | 949-950 | T17420A | 04 | 205-206 | ||
S98029A | 21 | 913-914 | S99141P | 23 | 949-950 | T17420D | 23 | 949-950 | ||
S98029A | 24 | 963-965 | S99141S | 21 | 913-914 | T17420S | 21 | 913-914 | ||
S98029D | 23 | 949-950 | S99142A | 21 | 913-914 | T17428A | 04 | 205-206 | ||
S98029S | 08 | 559-561 | S99142A | 24 | 963-965 | T17428D | 23 | 949-950 | ||
S98111A | 21 | 913-914 | S99142B | 21 | 913-914 | T17428S | 21 | 913-914 | ||
S98111A | 24 | 963-965 | S99142B | 24 | 963-965 | T17490A | 04 | 205-206 | ||
S98111D | 23 | 949-950 | S99142D | 23 | 949-950 | T17490D | 23 | 949-950 | ||
S98111S | 08 | 559-561 | S99142G | 23 | 949-950 | T17490S | 21 | 913-914 | ||
S98112A | 21 | 913-914 | S99142K | 23 | 949-950 | T17498A | 04 | 205-206 | ||
S98112A | 24 | 963-965 | S99142P | 23 | 949-950 | T17498D | 23 | 949-950 | ||
S98112D | 23 | 949-950 | S99142S | 21 | 913-914 | T17498S | 21 | 913-914 | ||
S98112S | 08 | 559-561 | S99149A | 21 | 913-914 | T17500A | 04 | 205-206 | ||
S98119A | 21 | 913-914 | S99149A | 24 | 963-965 | T17500D | 23 | 949-950 | ||
S98119A | 24 | 963-965 | S99149B | 21 | 913-914 | T17500S | 21 | 913-914 | ||
S98119D | 23 | 949-950 | S99149B | 24 | 963-965 | T17508A | 04 | 205-206 | ||
S98119S | 08 | 559-561 | S99149D | 23 | 949-950 | T17508D | 23 | 949-950 | ||
S98121A | 21 | 913-914 | S99149G | 23 | 949-950 | T17508S | 21 | 913-914 | ||
S98121A | 24 | 963-965 | S99149K | 23 | 949-950 | T17510A | 04 | 205-206 | ||
S98121D | 23 | 949-950 | S99149P | 23 | 949-950 | T17510D | 23 | 949-950 | ||
S98121S | 08 | 559-561 | S99149S | 21 | 913-914 | T17510S | 21 | 913-914 | ||
S98122A | 21 | 913-914 | S99191A | 21 | 913-914 | T17518A | 04 | 205-206 | ||
S98122A | 24 | 963-965 | S99191A | 24 | 963-965 | T17518D | 23 | 949-950 | ||
S98122D | 23 | 949-950 | S99191B | 21 | 913-914 | T17518S | 21 | 913-914 | ||
S98122S | 08 | 559-561 | S99191B | 24 | 963-965 | T17520A | 04 | 205-206 | ||
S98129A | 21 | 913-914 | S99191D | 23 | 949-950 | T17520D | 23 | 949-950 | ||
S98129A | 24 | 963-965 | S99191G | 23 | 949-950 | T17520S | 21 | 913-914 | ||
S98129D | 23 | 949-950 | S99191K | 23 | 949-950 | T17528A | 04 | 205-206 | ||
S98129S | 08 | 559-561 | S99191P | 23 | 949-950 | T17528D | 23 | 949-950 | ||
S98131A | 21 | 913-914 | S99191S | 21 | 913-914 | T17528S | 21 | 913-914 | ||
S98131A | 24 | 963-965 | S99192A | 21 | 913-914 | T17590A | 04 | 205-206 | ||
S98131D | 23 | 949-950 | S99192A | 24 | 963-965 | T17590D | 23 | 949-950 | ||
S98131S | 08 | 559-561 | S99192B | 21 | 913-914 | T17590S | 21 | 913-914 | ||
S98132A | 21 | 913-914 | S99192B | 24 | 963-965 | T17598A | 04 | 205-206 | ||
S98132A | 24 | 963-965 | S99192D | 23 | 949-950 | T17598D | 23 | 949-950 | ||
S98132D | 23 | 949-950 | S99192G | 23 | 949-950 | T17598S | 21 | 913-914 | ||
S98132S | 08 | 559-561 | S99192K | 23 | 949-950 | T17800A | 04 | 205-206 | ||
S98139A | 21 | 913-914 | S99192P | 23 | 949-950 | T17800D | 23 | 949-950 | ||
S98139A | 24 | 963-965 | S99192S | 21 | 913-914 | T17800S | 21 | 913-914 | ||
S98139D | 23 | 949-950 | S99199A | 21 | 913-914 | T17808A | 04 | 205-206 | ||
S98139S | 08 | 559-561 | S99199A | 24 | 963-965 | T17808D | 23 | 949-950 | ||
S98141A | 21 | 913-914 | S99199B | 21 | 913-914 | T17808S | 21 | 913-914 | ||
S98141A | 24 | 963-965 | S99199B | 24 | 963-965 | T17810A | 04 | 205-206 | ||
S98141D | 23 | 949-950 | S99199D | 23 | 949-950 | T17810D | 23 | 949-950 | ||
S98141S | 08 | 559-561 | S99199G | 23 | 949-950 | T17810S | 21 | 913-914 | ||
S98142A | 21 | 913-914 | S99199K | 23 | 949-950 | T17818A | 04 | 205-206 | ||
S98142A | 24 | 963-965 | S99199P | 23 | 949-950 | T17818D | 23 | 949-950 | ||
S98142D | 23 | 949-950 | S99199S | 21 | 913-914 | T17818S | 21 | 913-914 | ||
S98142S | 08 | 559-561 | S99201A | 21 | 913-914 | T17820A | 04 | 205-206 | ||
S98149A | 21 | 913-914 | S99201A | 24 | 963-965 | T17820D | 23 | 949-950 | ||
S98149A | 24 | 963-965 | S99201B | 21 | 913-914 | T17820S | 21 | 913-914 | ||
S98149D | 23 | 949-950 | S99201B | 24 | 963-965 | T17828A | 04 | 205-206 | ||
S98149S | 08 | 559-561 | S99201D | 23 | 949-950 | T17828D | 23 | 949-950 | ||
S98211A | 21 | 913-914 | S99201G | 23 | 949-950 | T17828S | 21 | 913-914 | ||
S98211A | 24 | 963-965 | S99201K | 23 | 949-950 | T17890A | 04 | 205-206 | ||
S98211D | 23 | 949-950 | S99201P | 23 | 949-950 | T17890D | 23 | 949-950 | ||
S98211S | 08 | 559-561 | S99201S | 21 | 913-914 | T17890S | 21 | 913-914 | ||
S98212A | 21 | 913-914 | S99202A | 21 | 913-914 | T17898A | 04 | 205-206 | ||
S98212A | 24 | 963-965 | S99202A | 24 | 963-965 | T17898D | 23 | 949-950 | ||
S98212D | 23 | 949-950 | S99202B | 21 | 913-914 | T17898S | 21 | 913-914 | ||
S98212S | 08 | 559-561 | S99202B | 24 | 963-965 | T17900A | 04 | 205-206 | ||
S98219A | 21 | 913-914 | S99202D | 23 | 949-950 | T17900D | 23 | 949-950 | ||
S98219A | 24 | 963-965 | S99202G | 23 | 949-950 | T17900S | 21 | 913-914 | ||
S98219D | 23 | 949-950 | S99202K | 23 | 949-950 | T17908A | 04 | 205-206 | ||
S98219S | 08 | 559-561 | S99202P | 23 | 949-950 | T17908D | 23 | 949-950 | ||
S98221A | 21 | 913-914 | S99202S | 21 | 913-914 | T17908S | 21 | 913-914 | ||
S98221A | 24 | 963-965 | S99209A | 21 | 913-914 | T17910A | 04 | 205-206 | ||
S98221D | 23 | 949-950 | S99209A | 24 | 963-965 | T17910D | 23 | 949-950 | ||
S98221S | 08 | 559-561 | S99209B | 21 | 913-914 | T17910S | 21 | 913-914 | ||
S98222A | 21 | 913-914 | S99209B | 24 | 963-965 | T17918A | 04 | 205-206 | ||
S98222A | 24 | 963-965 | S99209D | 23 | 949-950 | T17918D | 23 | 949-950 | ||
S98222D | 23 | 949-950 | S99209G | 23 | 949-950 | T17918S | 21 | 913-914 | ||
S98222S | 08 | 559-561 | S99209K | 23 | 949-950 | T17920A | 04 | 205-206 | ||
S98229A | 21 | 913-914 | S99209P | 23 | 949-950 | T17920D | 23 | 949-950 | ||
S98229A | 24 | 963-965 | S99209S | 21 | 913-914 | T17920S | 21 | 913-914 | ||
S98229D | 23 | 949-950 | S99211A | 21 | 913-914 | T17928A | 04 | 205-206 | ||
S98229S | 08 | 559-561 | S99211A | 24 | 963-965 | T17928D | 23 | 949-950 | ||
S98311A | 21 | 913-914 | S99211B | 21 | 913-914 | T17928S | 21 | 913-914 | ||
S98311A | 24 | 963-965 | S99211B | 24 | 963-965 | T17990A | 04 | 205-206 | ||
S98311D | 23 | 949-950 | S99211D | 23 | 949-950 | T17990D | 23 | 949-950 | ||
S98311S | 08 | 559-561 | S99211G | 23 | 949-950 | T17990S | 21 | 913-914 | ||
S98312A | 21 | 913-914 | S99211K | 23 | 949-950 | T17998A | 04 | 205-206 | ||
S98312A | 24 | 963-965 | S99211P | 23 | 949-950 | T17998D | 23 | 949-950 | ||
S98312D | 23 | 949-950 | S99211S | 21 | 913-914 | T17998S | 21 | 913-914 | ||
S98312S | 08 | 559-561 | S99212A | 21 | 913-914 | T180XXA | Pre | 011-013 | ||
S98319A | 21 | 913-914 | S99212A | 24 | 963-965 | T180XXA | 03 | 157-159 | ||
S98319A | 24 | 963-965 | S99212B | 21 | 913-914 | T180XXD | 23 | 949-950 | ||
S98319D | 23 | 949-950 | S99212B | 24 | 963-965 | T180XXS | 21 | 913-914 | ||
S98319S | 08 | 559-561 | S99212D | 23 | 949-950 | T18100A | 06 | 393-395 | ||
S98321A | 21 | 913-914 | S99212G | 23 | 949-950 | T18100D | 23 | 949-950 | ||
S98321A | 24 | 963-965 | S99212K | 23 | 949-950 | T18100S | 21 | 913-914 | ||
S98321D | 23 | 949-950 | S99212P | 23 | 949-950 | T18108A | 06 | 393-395 | ||
S98321S | 08 | 559-561 | S99212S | 21 | 913-914 | T18108D | 23 | 949-950 | ||
S98322A | 21 | 913-914 | S99219A | 21 | 913-914 | T18108S | 21 | 913-914 | ||
S98322A | 24 | 963-965 | S99219A | 24 | 963-965 | T18110A | 06 | 393-395 | ||
S98322D | 23 | 949-950 | S99219B | 21 | 913-914 | T18110D | 23 | 949-950 | ||
S98322S | 08 | 559-561 | S99219B | 24 | 963-965 | T18110S | 21 | 913-914 | ||
S98329A | 21 | 913-914 | S99219D | 23 | 949-950 | T18118A | 06 | 393-395 | ||
S98329A | 24 | 963-965 | S99219G | 23 | 949-950 | T18118D | 23 | 949-950 | ||
S98329D | 23 | 949-950 | S99219K | 23 | 949-950 | T18118S | 21 | 913-914 | ||
S98329S | 08 | 559-561 | S99219P | 23 | 949-950 | T18120A | 06 | 393-395 | ||
S98911A | 21 | 913-914 | S99219S | 21 | 913-914 | T18120D | 23 | 949-950 | ||
S98911A | 24 | 963-965 | S99221A | 21 | 913-914 | T18120S | 21 | 913-914 | ||
S98911D | 23 | 949-950 | S99221A | 24 | 963-965 | T18128A | 06 | 393-395 | ||
S98911S | 08 | 559-561 | S99221B | 21 | 913-914 | T18128D | 23 | 949-950 | ||
S98912A | 21 | 913-914 | S99221B | 24 | 963-965 | T18128S | 21 | 913-914 | ||
S98912A | 24 | 963-965 | S99221D | 23 | 949-950 | T18190A | 06 | 393-395 | ||
S98912D | 23 | 949-950 | S99221G | 23 | 949-950 | T18190D | 23 | 949-950 | ||
S98912S | 08 | 559-561 | S99221K | 23 | 949-950 | T18190S | 21 | 913-914 | ||
S98919A | 21 | 913-914 | S99221P | 23 | 949-950 | T18198A | 06 | 393-395 | ||
S98919A | 24 | 963-965 | S99221S | 21 | 913-914 | T18198D | 23 | 949-950 | ||
S98919D | 23 | 949-950 | S99222A | 21 | 913-914 | T18198S | 21 | 913-914 | ||
S98919S | 08 | 559-561 | S99222A | 24 | 963-965 | T182XXA | 06 | 393-395 | ||
S98921A | 21 | 913-914 | S99222B | 21 | 913-914 | T182XXD | 23 | 949-950 | ||
S98921A | 24 | 963-965 | S99222B | 24 | 963-965 | T182XXS | 21 | 913-914 | ||
S98921D | 23 | 949-950 | S99222D | 23 | 949-950 | T183XXA | 06 | 393-395 | ||
S98921S | 08 | 559-561 | S99222G | 23 | 949-950 | T183XXD | 23 | 949-950 | ||
S98922A | 21 | 913-914 | S99222K | 23 | 949-950 | T183XXS | 21 | 913-914 | ||
S98922A | 24 | 963-965 | S99222P | 23 | 949-950 | T184XXA | 06 | 393-395 | ||
S98922D | 23 | 949-950 | S99222S | 21 | 913-914 | T184XXD | 23 | 949-950 | ||
S98922S | 08 | 559-561 | S99229A | 21 | 913-914 | T184XXS | 21 | 913-914 | ||
S98929A | 21 | 913-914 | S99229A | 24 | 963-965 | T185XXA | 06 | 393-395 | ||
S98929A | 24 | 963-965 | S99229B | 21 | 913-914 | T185XXD | 23 | 949-950 | ||
S98929D | 23 | 949-950 | S99229B | 24 | 963-965 | T185XXS | 21 | 913-914 | ||
S98929S | 08 | 559-561 | S99229D | 23 | 949-950 | T188XXA | 06 | 393-395 | ||
S99001A | 21 | 913-914 | S99229G | 23 | 949-950 | T188XXD | 23 | 949-950 | ||
S99001A | 24 | 963-965 | S99229K | 23 | 949-950 | T188XXS | 21 | 913-914 | ||
S99001B | 21 | 913-914 | S99229P | 23 | 949-950 | T189XXA | 06 | 393-395 | ||
S99001B | 24 | 963-965 | S99229S | 21 | 913-914 | T189XXD | 23 | 949-950 | ||
S99001D | 23 | 949-950 | S99231A | 21 | 913-914 | T189XXS | 21 | 913-914 | ||
S99001G | 23 | 949-950 | S99231A | 24 | 963-965 | T190XXA | 11 | 698-700 | ||
S99001K | 23 | 949-950 | S99231B | 21 | 913-914 | T190XXD | 23 | 949-950 | ||
S99001P | 23 | 949-950 | S99231B | 24 | 963-965 | T190XXS | 21 | 913-914 | ||
S99001S | 21 | 913-914 | S99231D | 23 | 949-950 | T191XXA | 11 | 698-700 | ||
S99002A | 21 | 913-914 | S99231G | 23 | 949-950 | T191XXD | 23 | 949-950 | ||
S99002A | 24 | 963-965 | S99231K | 23 | 949-950 | T191XXS | 21 | 913-914 | ||
S99002B | 21 | 913-914 | S99231P | 23 | 949-950 | T192XXA | 13 | 742-743 | ||
S99002B | 24 | 963-965 | S99231S | 21 | 913-914 | T192XXA | 13 | 760-761 | ||
S99002D | 23 | 949-950 | S99232A | 21 | 913-914 | T192XXD | 23 | 949-950 | ||
S99002G | 23 | 949-950 | S99232A | 24 | 963-965 | T192XXS | 21 | 913-914 | ||
S99002K | 23 | 949-950 | S99232B | 21 | 913-914 | T193XXA | 13 | 742-743 | ||
S99002P | 23 | 949-950 | S99232B | 24 | 963-965 | T193XXA | 13 | 760-761 | ||
S99002S | 21 | 913-914 | S99232D | 23 | 949-950 | T193XXD | 23 | 949-950 | ||
S99009A | 21 | 913-914 | S99232G | 23 | 949-950 | T193XXS | 21 | 913-914 | ||
S99009A | 24 | 963-965 | S99232K | 23 | 949-950 | T194XXA | 12 | 729-730 | ||
S99009B | 21 | 913-914 | S99232P | 23 | 949-950 | T194XXD | 23 | 949-950 | ||
S99009B | 24 | 963-965 | S99232S | 21 | 913-914 | T194XXS | 21 | 913-914 | ||
S99009D | 23 | 949-950 | S99239A | 21 | 913-914 | T198XXA | 11 | 698-700 | ||
S99009G | 23 | 949-950 | S99239A | 24 | 963-965 | T198XXD | 23 | 949-950 | ||
S99009K | 23 | 949-950 | S99239B | 21 | 913-914 | T198XXS | 21 | 913-914 | ||
S99009P | 23 | 949-950 | S99239B | 24 | 963-965 | T199XXA | 11 | 698-700 | ||
S99009S | 21 | 913-914 | S99239D | 23 | 949-950 | T199XXD | 23 | 949-950 | ||
S99011A | 21 | 913-914 | S99239G | 23 | 949-950 | T199XXS | 21 | 913-914 | ||
S99011A | 24 | 963-965 | S99239K | 23 | 949-950 | T2000XA | 22 | 935 | ||
S99011B | 21 | 913-914 | S99239P | 23 | 949-950 | T2000XD | 23 | 949-950 | ||
S99011B | 24 | 963-965 | S99239S | 21 | 913-914 | T2000XS | 09 | 604-605 | ||
S99011D | 23 | 949-950 | S99241A | 21 | 913-914 | T20011A | 22 | 935 | ||
S99011G | 23 | 949-950 | S99241A | 24 | 963-965 | T20011D | 23 | 949-950 | ||
S99011K | 23 | 949-950 | S99241B | 21 | 913-914 | T20011S | 09 | 604-605 | ||
S99011P | 23 | 949-950 | S99241B | 24 | 963-965 | T20012A | 22 | 935 | ||
S99011S | 21 | 913-914 | S99241D | 23 | 949-950 | T20012D | 23 | 949-950 | ||
S99012A | 21 | 913-914 | S99241G | 23 | 949-950 | T20012S | 09 | 604-605 | ||
S99012A | 24 | 963-965 | S99241K | 23 | 949-950 | T20019A | 22 | 935 | ||
S99012B | 21 | 913-914 | S99241P | 23 | 949-950 | T20019D | 23 | 949-950 | ||
S99012B | 24 | 963-965 | S99241S | 21 | 913-914 | T20019S | 09 | 604-605 | ||
S99012D | 23 | 949-950 | S99242A | 21 | 913-914 | T2002XA | 22 | 935 | ||
S99012G | 23 | 949-950 | S99242A | 24 | 963-965 | T2002XD | 23 | 949-950 | ||
S99012K | 23 | 949-950 | S99242B | 21 | 913-914 | T2002XS | 09 | 604-605 | ||
S99012P | 23 | 949-950 | S99242B | 24 | 963-965 | T2003XA | 22 | 935 | ||
S99012S | 21 | 913-914 | S99242D | 23 | 949-950 | T2003XD | 23 | 949-950 | ||
S99019A | 21 | 913-914 | S99242G | 23 | 949-950 | T2003XS | 09 | 604-605 | ||
S99019A | 24 | 963-965 | S99242K | 23 | 949-950 | T2004XA | 22 | 935 | ||
S99019B | 21 | 913-914 | S99242P | 23 | 949-950 | T2004XD | 23 | 949-950 | ||
S99019B | 24 | 963-965 | S99242S | 21 | 913-914 | T2004XS | 09 | 604-605 | ||
S99019D | 23 | 949-950 | S99249A | 21 | 913-914 | T2005XA | 22 | 935 | ||
S99019G | 23 | 949-950 | S99249A | 24 | 963-965 | T2005XD | 23 | 949-950 | ||
S99019K | 23 | 949-950 | S99249B | 21 | 913-914 | T2005XS | 09 | 604-605 | ||
S99019P | 23 | 949-950 | S99249B | 24 | 963-965 | T2006XA | 22 | 935 | ||
S99019S | 21 | 913-914 | S99249D | 23 | 949-950 | T2006XD | 23 | 949-950 | ||
S99021A | 21 | 913-914 | S99249G | 23 | 949-950 | T2006XS | 09 | 604-605 | ||
S99021A | 24 | 963-965 | S99249K | 23 | 949-950 | T2007XA | 22 | 935 | ||
S99021B | 21 | 913-914 | S99249P | 23 | 949-950 | T2007XD | 23 | 949-950 | ||
S99021B | 24 | 963-965 | S99249S | 21 | 913-914 | T2007XS | 09 | 604-605 | ||
S99021D | 23 | 949-950 | S99291A | 21 | 913-914 | T2009XA | 22 | 935 | ||
S99021G | 23 | 949-950 | S99291A | 24 | 963-965 | T2009XD | 23 | 949-950 | ||
S99021K | 23 | 949-950 | S99291B | 21 | 913-914 | T2009XS | 09 | 604-605 | ||
S99021P | 23 | 949-950 | S99291B | 24 | 963-965 | T2010XA | 22 | 935 | ||
S99021S | 21 | 913-914 | S99291D | 23 | 949-950 | T2010XD | 23 | 949-950 | ||
S99022A | 21 | 913-914 | S99291G | 23 | 949-950 | T2010XS | 09 | 604-605 | ||
S99022A | 24 | 963-965 | S99291K | 23 | 949-950 | T20111A | 22 | 935 | ||
S99022B | 21 | 913-914 | S99291P | 23 | 949-950 | T20111D | 23 | 949-950 | ||
S99022B | 24 | 963-965 | S99291S | 21 | 913-914 | T20111S | 09 | 604-605 | ||
S99022D | 23 | 949-950 | S99292A | 21 | 913-914 | T20112A | 22 | 935 | ||
S99022G | 23 | 949-950 | S99292A | 24 | 963-965 | T20112D | 23 | 949-950 | ||
S99022K | 23 | 949-950 | S99292B | 21 | 913-914 | T20112S | 09 | 604-605 | ||
S99022P | 23 | 949-950 | S99292B | 24 | 963-965 | T20119A | 22 | 935 | ||
S99022S | 21 | 913-914 | S99292D | 23 | 949-950 | T20119D | 23 | 949-950 | ||
S99029A | 21 | 913-914 | S99292G | 23 | 949-950 | T20119S | 09 | 604-605 | ||
S99029A | 24 | 963-965 | S99292K | 23 | 949-950 | T2012XA | 22 | 935 | ||
S99029B | 21 | 913-914 | S99292P | 23 | 949-950 | T2012XD | 23 | 949-950 | ||
S99029B | 24 | 963-965 | S99292S | 21 | 913-914 | T2012XS | 09 | 604-605 | ||
S99029D | 23 | 949-950 | S99299A | 21 | 913-914 | T2013XA | 22 | 935 | ||
S99029G | 23 | 949-950 | S99299A | 24 | 963-965 | T2013XD | 23 | 949-950 | ||
S99029K | 23 | 949-950 | S99299B | 21 | 913-914 | T2013XS | 09 | 604-605 | ||
S99029P | 23 | 949-950 | S99299B | 24 | 963-965 | T2014XA | 22 | 935 | ||
S99029S | 21 | 913-914 | S99299D | 23 | 949-950 | T2014XD | 23 | 949-950 | ||
S99031A | 21 | 913-914 | S99299G | 23 | 949-950 | T2014XS | 09 | 604-605 | ||
S99031A | 24 | 963-965 | S99299K | 23 | 949-950 | T2015XA | 22 | 935 | ||
S99031B | 21 | 913-914 | S99299P | 23 | 949-950 | T2015XD | 23 | 949-950 | ||
S99031B | 24 | 963-965 | S99299S | 21 | 913-914 | T2015XS | 09 | 604-605 | ||
S99031D | 23 | 949-950 | S99811A | 21 | 913-914 | T2016XA | 22 | 935 | ||
S99031G | 23 | 949-950 | S99811A | 24 | 963-965 | T2016XD | 23 | 949-950 | ||
S99031K | 23 | 949-950 | S99811D | 23 | 949-950 | T2016XS | 09 | 604-605 | ||
S99031P | 23 | 949-950 | S99811S | 21 | 913-914 | T2017XA | 22 | 935 | ||
S99031S | 21 | 913-914 | S99812A | 21 | 913-914 | T2017XD | 23 | 949-950 | ||
S99032A | 21 | 913-914 | S99812A | 24 | 963-965 | T2017XS | 09 | 604-605 | ||
S99032A | 24 | 963-965 | S99812D | 23 | 949-950 | T2019XA | 22 | 935 | ||
S99032B | 21 | 913-914 | S99812S | 21 | 913-914 | T2019XD | 23 | 949-950 | ||
S99032B | 24 | 963-965 | S99819A | 21 | 913-914 | T2019XS | 09 | 604-605 | ||
S99032D | 23 | 949-950 | S99819A | 24 | 963-965 | T2020XA | 22 | 935 | ||
S99032G | 23 | 949-950 | S99819D | 23 | 949-950 | T2020XD | 23 | 949-950 | ||
S99032K | 23 | 949-950 | S99819S | 21 | 913-914 | T2020XS | 09 | 604-605 | ||
S99032P | 23 | 949-950 | S99821A | 21 | 913-914 | T20211A | 22 | 935 | ||
S99032S | 21 | 913-914 | S99821A | 24 | 963-965 | T20211D | 23 | 949-950 | ||
S99039A | 21 | 913-914 | S99821D | 23 | 949-950 | T20211S | 09 | 604-605 | ||
S99039A | 24 | 963-965 | S99821S | 21 | 913-914 | T20212A | 22 | 935 | ||
S99039B | 21 | 913-914 | S99822A | 21 | 913-914 | T20212D | 23 | 949-950 | ||
S99039B | 24 | 963-965 | S99822A | 24 | 963-965 | T20212S | 09 | 604-605 | ||
S99039D | 23 | 949-950 | S99822D | 23 | 949-950 | T20219A | 22 | 935 | ||
S99039G | 23 | 949-950 | S99822S | 21 | 913-914 | T20219D | 23 | 949-950 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |