DRAFT

ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual

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Diagnosis Code/MDC/MS-DRG Index
Page 65 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
DXMDCMS-DRG  DXMDCMS-DRG  DXMDCMS-DRG
T20219S09604-605 T2167XA22935 T22512D23949-950
T2022XA22935 T2167XD23949-950 T22512S09604-605
T2022XD23949-950 T2167XS09604-605 T22519A22935
T2022XS09604-605 T2169XA22935 T22519D23949-950
T2023XA22935 T2169XD23949-950 T22519S09604-605
T2023XD23949-950 T2169XS09604-605 T22521A22935
T2023XS09604-605 T2170XA22927,933 T22521D23949-950
T2024XA22935 T2170XA22928-929,934 T22521S09604-605
T2024XD23949-950 T2170XD23949-950 T22522A22935
T2024XS09604-605 T2170XS09604-605 T22522D23949-950
T2025XA22935 T2171XA22927,933 T22522S09604-605
T2025XD23949-950 T2171XA22928-929,934 T22529A22935
T2025XS09604-605 T2171XD23949-950 T22529D23949-950
T2026XA22935 T2171XS09604-605 T22529S09604-605
T2026XD23949-950 T2172XA22927,933 T22531A22935
T2026XS09604-605 T2172XA22928-929,934 T22531D23949-950
T2027XA22935 T2172XD23949-950 T22531S09604-605
T2027XD23949-950 T2172XS09604-605 T22532A22935
T2027XS09604-605 T2173XA22927,933 T22532D23949-950
T2029XA22935 T2173XA22928-929,934 T22532S09604-605
T2029XD23949-950 T2173XD23949-950 T22539A22935
T2029XS09604-605 T2173XS09604-605 T22539D23949-950
T2030XA22927,933 T2174XA22927,933 T22539S09604-605
T2030XA22928-929,934 T2174XA22928-929,934 T22541A22935
T2030XD23949-950 T2174XD23949-950 T22541D23949-950
T2030XS09604-605 T2174XS09604-605 T22541S09604-605
T20311A22927,933 T2175XA22927,933 T22542A22935
T20311A22928-929,934 T2175XA22928-929,934 T22542D23949-950
T20311D23949-950 T2175XD23949-950 T22542S09604-605
T20311S09604-605 T2175XS09604-605 T22549A22935
T20312A22927,933 T2176XA22927,933 T22549D23949-950
T20312A22928-929,934 T2176XA22928-929,934 T22549S09604-605
T20312D23949-950 T2176XD23949-950 T22551A22935
T20312S09604-605 T2176XS09604-605 T22551D23949-950
T20319A22927,933 T2177XA22927,933 T22551S09604-605
T20319A22928-929,934 T2177XA22928-929,934 T22552A22935
T20319D23949-950 T2177XD23949-950 T22552D23949-950
T20319S09604-605 T2177XS09604-605 T22552S09604-605
T2032XA22927,933 T2179XA22927,933 T22559A22935
T2032XA22928-929,934 T2179XA22928-929,934 T22559D23949-950
T2032XD23949-950 T2179XD23949-950 T22559S09604-605
T2032XS09604-605 T2179XS09604-605 T22561A22935
T2033XA22927,933 T2200XA22935 T22561D23949-950
T2033XA22928-929,934 T2200XD23949-950 T22561S09604-605
T2033XD23949-950 T2200XS09604-605 T22562A22935
T2033XS09604-605 T22011A22935 T22562D23949-950
T2034XA22927,933 T22011D23949-950 T22562S09604-605
T2034XA22928-929,934 T22011S09604-605 T22569A22935
T2034XD23949-950 T22012A22935 T22569D23949-950
T2034XS09604-605 T22012D23949-950 T22569S09604-605
T2035XA22927,933 T22012S09604-605 T22591A22935
T2035XA22928-929,934 T22019A22935 T22591D23949-950
T2035XD23949-950 T22019D23949-950 T22591S09604-605
T2035XS09604-605 T22019S09604-605 T22592A22935
T2036XA22927,933 T22021A22935 T22592D23949-950
T2036XA22928-929,934 T22021D23949-950 T22592S09604-605
T2036XD23949-950 T22021S09604-605 T22599A22935
T2036XS09604-605 T22022A22935 T22599D23949-950
T2037XA22927,933 T22022D23949-950 T22599S09604-605
T2037XA22928-929,934 T22022S09604-605 T2260XA22935
T2037XD23949-950 T22029A22935 T2260XD23949-950
T2037XS09604-605 T22029D23949-950 T2260XS09604-605
T2039XA22927,933 T22029S09604-605 T22611A22935
T2039XA22928-929,934 T22031A22935 T22611D23949-950
T2039XD23949-950 T22031D23949-950 T22611S09604-605
T2039XS09604-605 T22031S09604-605 T22612A22935
T2040XA22935 T22032A22935 T22612D23949-950
T2040XD23949-950 T22032D23949-950 T22612S09604-605
T2040XS09604-605 T22032S09604-605 T22619A22935
T20411A22935 T22039A22935 T22619D23949-950
T20411D23949-950 T22039D23949-950 T22619S09604-605
T20411S09604-605 T22039S09604-605 T22621A22935
T20412A22935 T22041A22935 T22621D23949-950
T20412D23949-950 T22041D23949-950 T22621S09604-605
T20412S09604-605 T22041S09604-605 T22622A22935
T20419A22935 T22042A22935 T22622D23949-950
T20419D23949-950 T22042D23949-950 T22622S09604-605
T20419S09604-605 T22042S09604-605 T22629A22935
T2042XA22935 T22049A22935 T22629D23949-950
T2042XD23949-950 T22049D23949-950 T22629S09604-605
T2042XS09604-605 T22049S09604-605 T22631A22935
T2043XA22935 T22051A22935 T22631D23949-950
T2043XD23949-950 T22051D23949-950 T22631S09604-605
T2043XS09604-605 T22051S09604-605 T22632A22935
T2044XA22935 T22052A22935 T22632D23949-950
T2044XD23949-950 T22052D23949-950 T22632S09604-605
T2044XS09604-605 T22052S09604-605 T22639A22935
T2045XA22935 T22059A22935 T22639D23949-950
T2045XD23949-950 T22059D23949-950 T22639S09604-605
T2045XS09604-605 T22059S09604-605 T22641A22935
T2046XA22935 T22061A22935 T22641D23949-950
T2046XD23949-950 T22061D23949-950 T22641S09604-605
T2046XS09604-605 T22061S09604-605 T22642A22935
T2047XA22935 T22062A22935 T22642D23949-950
T2047XD23949-950 T22062D23949-950 T22642S09604-605
T2047XS09604-605 T22062S09604-605 T22649A22935
T2049XA22935 T22069A22935 T22649D23949-950
T2049XD23949-950 T22069D23949-950 T22649S09604-605
T2049XS09604-605 T22069S09604-605 T22651A22935
T2050XA22935 T22091A22935 T22651D23949-950
T2050XD23949-950 T22091D23949-950 T22651S09604-605
T2050XS09604-605 T22091S09604-605 T22652A22935
T20511A22935 T22092A22935 T22652D23949-950
T20511D23949-950 T22092D23949-950 T22652S09604-605
T20511S09604-605 T22092S09604-605 T22659A22935
T20512A22935 T22099A22935 T22659D23949-950
T20512D23949-950 T22099D23949-950 T22659S09604-605
T20512S09604-605 T22099S09604-605 T22661A22935
T20519A22935 T2210XA22935 T22661D23949-950
T20519D23949-950 T2210XD23949-950 T22661S09604-605
T20519S09604-605 T2210XS09604-605 T22662A22935
T2052XA22935 T22111A22935 T22662D23949-950
T2052XD23949-950 T22111D23949-950 T22662S09604-605
T2052XS09604-605 T22111S09604-605 T22669A22935
T2053XA22935 T22112A22935 T22669D23949-950
T2053XD23949-950 T22112D23949-950 T22669S09604-605
T2053XS09604-605 T22112S09604-605 T22691A22935
T2054XA22935 T22119A22935 T22691D23949-950
T2054XD23949-950 T22119D23949-950 T22691S09604-605
T2054XS09604-605 T22119S09604-605 T22692A22935
T2055XA22935 T22121A22935 T22692D23949-950
T2055XD23949-950 T22121D23949-950 T22692S09604-605
T2055XS09604-605 T22121S09604-605 T22699A22935
T2056XA22935 T22122A22935 T22699D23949-950
T2056XD23949-950 T22122D23949-950 T22699S09604-605
T2056XS09604-605 T22122S09604-605 T2270XA22927,933
T2057XA22935 T22129A22935 T2270XA22928-929,934
T2057XD23949-950 T22129D23949-950 T2270XD23949-950
T2057XS09604-605 T22129S09604-605 T2270XS09604-605
T2059XA22935 T22131A22935 T22711A22927,933
T2059XD23949-950 T22131D23949-950 T22711A22928-929,934
T2059XS09604-605 T22131S09604-605 T22711D23949-950
T2060XA22935 T22132A22935 T22711S09604-605
T2060XD23949-950 T22132D23949-950 T22712A22927,933
T2060XS09604-605 T22132S09604-605 T22712A22928-929,934
T20611A22935 T22139A22935 T22712D23949-950
T20611D23949-950 T22139D23949-950 T22712S09604-605
T20611S09604-605 T22139S09604-605 T22719A22927,933
T20612A22935 T22141A22935 T22719A22928-929,934
T20612D23949-950 T22141D23949-950 T22719D23949-950
T20612S09604-605 T22141S09604-605 T22719S09604-605
T20619A22935 T22142A22935 T22721A22927,933
T20619D23949-950 T22142D23949-950 T22721A22928-929,934
T20619S09604-605 T22142S09604-605 T22721D23949-950
T2062XA22935 T22149A22935 T22721S09604-605
T2062XD23949-950 T22149D23949-950 T22722A22927,933
T2062XS09604-605 T22149S09604-605 T22722A22928-929,934
T2063XA22935 T22151A22935 T22722D23949-950
T2063XD23949-950 T22151D23949-950 T22722S09604-605
T2063XS09604-605 T22151S09604-605 T22729A22927,933
T2064XA22935 T22152A22935 T22729A22928-929,934
T2064XD23949-950 T22152D23949-950 T22729D23949-950
T2064XS09604-605 T22152S09604-605 T22729S09604-605
T2065XA22935 T22159A22935 T22731A22927,933
T2065XD23949-950 T22159D23949-950 T22731A22928-929,934
T2065XS09604-605 T22159S09604-605 T22731D23949-950
T2066XA22935 T22161A22935 T22731S09604-605
T2066XD23949-950 T22161D23949-950 T22732A22927,933
T2066XS09604-605 T22161S09604-605 T22732A22928-929,934
T2067XA22935 T22162A22935 T22732D23949-950
T2067XD23949-950 T22162D23949-950 T22732S09604-605
T2067XS09604-605 T22162S09604-605 T22739A22927,933
T2069XA22935 T22169A22935 T22739A22928-929,934
T2069XD23949-950 T22169D23949-950 T22739D23949-950
T2069XS09604-605 T22169S09604-605 T22739S09604-605
T2070XA22927,933 T22191A22935 T22741A22927,933
T2070XA22928-929,934 T22191D23949-950 T22741A22928-929,934
T2070XD23949-950 T22191S09604-605 T22741D23949-950
T2070XS09604-605 T22192A22935 T22741S09604-605
T20711A22927,933 T22192D23949-950 T22742A22927,933
T20711A22928-929,934 T22192S09604-605 T22742A22928-929,934
T20711D23949-950 T22199A22935 T22742D23949-950
T20711S09604-605 T22199D23949-950 T22742S09604-605
T20712A22927,933 T22199S09604-605 T22749A22927,933
T20712A22928-929,934 T2220XA22935 T22749A22928-929,934
T20712D23949-950 T2220XD23949-950 T22749D23949-950
T20712S09604-605 T2220XS09604-605 T22749S09604-605
T20719A22927,933 T22211A22935 T22751A22927,933
T20719A22928-929,934 T22211D23949-950 T22751A22928-929,934
T20719D23949-950 T22211S09604-605 T22751D23949-950
T20719S09604-605 T22212A22935 T22751S09604-605
T2072XA22927,933 T22212D23949-950 T22752A22927,933
T2072XA22928-929,934 T22212S09604-605 T22752A22928-929,934
T2072XD23949-950 T22219A22935 T22752D23949-950
T2072XS09604-605 T22219D23949-950 T22752S09604-605
T2073XA22927,933 T22219S09604-605 T22759A22927,933
T2073XA22928-929,934 T22221A22935 T22759A22928-929,934
T2073XD23949-950 T22221D23949-950 T22759D23949-950
T2073XS09604-605 T22221S09604-605 T22759S09604-605
T2074XA22927,933 T22222A22935 T22761A22927,933
T2074XA22928-929,934 T22222D23949-950 T22761A22928-929,934
T2074XD23949-950 T22222S09604-605 T22761D23949-950
T2074XS09604-605 T22229A22935 T22761S09604-605
T2075XA22927,933 T22229D23949-950 T22762A22927,933
T2075XA22928-929,934 T22229S09604-605 T22762A22928-929,934
T2075XD23949-950 T22231A22935 T22762D23949-950
T2075XS09604-605 T22231D23949-950 T22762S09604-605
T2076XA22927,933 T22231S09604-605 T22769A22927,933
T2076XA22928-929,934 T22232A22935 T22769A22928-929,934
T2076XD23949-950 T22232D23949-950 T22769D23949-950
T2076XS09604-605 T22232S09604-605 T22769S09604-605
T2077XA22927,933 T22239A22935 T22791A22927,933
T2077XA22928-929,934 T22239D23949-950 T22791A22928-929,934
T2077XD23949-950 T22239S09604-605 T22791D23949-950
T2077XS09604-605 T22241A22935 T22791S09604-605
T2079XA22927,933 T22241D23949-950 T22792A22927,933
T2079XA22928-929,934 T22241S09604-605 T22792A22928-929,934
T2079XD23949-950 T22242A22935 T22792D23949-950
T2079XS09604-605 T22242D23949-950 T22792S09604-605
T2100XA22935 T22242S09604-605 T22799A22927,933
T2100XD23949-950 T22249A22935 T22799A22928-929,934
T2100XS09604-605 T22249D23949-950 T22799D23949-950
T2101XA22935 T22249S09604-605 T22799S09604-605
T2101XD23949-950 T22251A22935 T23001A22935
T2101XS09604-605 T22251D23949-950 T23001D23949-950
T2102XA22935 T22251S09604-605 T23001S09604-605
T2102XD23949-950 T22252A22935 T23002A22935
T2102XS09604-605 T22252D23949-950 T23002D23949-950
T2103XA22935 T22252S09604-605 T23002S09604-605
T2103XD23949-950 T22259A22935 T23009A22935
T2103XS09604-605 T22259D23949-950 T23009D23949-950
T2104XA22935 T22259S09604-605 T23009S09604-605
T2104XD23949-950 T22261A22935 T23011A22935
T2104XS09604-605 T22261D23949-950 T23011D23949-950
T2105XA22935 T22261S09604-605 T23011S09604-605
T2105XD23949-950 T22262A22935 T23012A22935
T2105XS09604-605 T22262D23949-950 T23012D23949-950
T2106XA22935 T22262S09604-605 T23012S09604-605
T2106XD23949-950 T22269A22935 T23019A22935
T2106XS09604-605 T22269D23949-950 T23019D23949-950
T2107XA22935 T22269S09604-605 T23019S09604-605
T2107XD23949-950 T22291A22935 T23021A22935
T2107XS09604-605 T22291D23949-950 T23021D23949-950
T2109XA22935 T22291S09604-605 T23021S09604-605
T2109XD23949-950 T22292A22935 T23022A22935
T2109XS09604-605 T22292D23949-950 T23022D23949-950
T2110XA22935 T22292S09604-605 T23022S09604-605
T2110XD23949-950 T22299A22935 T23029A22935
T2110XS09604-605 T22299D23949-950 T23029D23949-950
T2111XA22935 T22299S09604-605 T23029S09604-605
T2111XD23949-950 T2230XA22927,933 T23031A22935
T2111XS09604-605 T2230XA22928-929,934 T23031D23949-950
T2112XA22935 T2230XD23949-950 T23031S09604-605
T2112XD23949-950 T2230XS09604-605 T23032A22935
T2112XS09604-605 T22311A22927,933 T23032D23949-950
T2113XA22935 T22311A22928-929,934 T23032S09604-605
T2113XD23949-950 T22311D23949-950 T23039A22935
T2113XS09604-605 T22311S09604-605 T23039D23949-950
T2114XA22935 T22312A22927,933 T23039S09604-605
T2114XD23949-950 T22312A22928-929,934 T23041A22935
T2114XS09604-605 T22312D23949-950 T23041D23949-950
T2115XA22935 T22312S09604-605 T23041S09604-605
T2115XD23949-950 T22319A22927,933 T23042A22935
T2115XS09604-605 T22319A22928-929,934 T23042D23949-950
T2116XA22935 T22319D23949-950 T23042S09604-605
T2116XD23949-950 T22319S09604-605 T23049A22935
T2116XS09604-605 T22321A22927,933 T23049D23949-950
T2117XA22935 T22321A22928-929,934 T23049S09604-605
T2117XD23949-950 T22321D23949-950 T23051A22935
T2117XS09604-605 T22321S09604-605 T23051D23949-950
T2119XA22935 T22322A22927,933 T23051S09604-605
T2119XD23949-950 T22322A22928-929,934 T23052A22935
T2119XS09604-605 T22322D23949-950 T23052D23949-950
T2120XA22935 T22322S09604-605 T23052S09604-605
T2120XD23949-950 T22329A22927,933 T23059A22935
T2120XS09604-605 T22329A22928-929,934 T23059D23949-950
T2121XA22935 T22329D23949-950 T23059S09604-605
T2121XD23949-950 T22329S09604-605 T23061A22935
T2121XS09604-605 T22331A22927,933 T23061D23949-950
T2122XA22935 T22331A22928-929,934 T23061S09604-605
T2122XD23949-950 T22331D23949-950 T23062A22935
T2122XS09604-605 T22331S09604-605 T23062D23949-950
T2123XA22935 T22332A22927,933 T23062S09604-605
T2123XD23949-950 T22332A22928-929,934 T23069A22935
T2123XS09604-605 T22332D23949-950 T23069D23949-950
T2124XA22935 T22332S09604-605 T23069S09604-605
T2124XD23949-950 T22339A22927,933 T23071A22935
T2124XS09604-605 T22339A22928-929,934 T23071D23949-950
T2125XA22935 T22339D23949-950 T23071S09604-605
T2125XD23949-950 T22339S09604-605 T23072A22935
T2125XS09604-605 T22341A22927,933 T23072D23949-950
T2126XA22935 T22341A22928-929,934 T23072S09604-605
T2126XD23949-950 T22341D23949-950 T23079A22935
T2126XS09604-605 T22341S09604-605 T23079D23949-950
T2127XA22935 T22342A22927,933 T23079S09604-605
T2127XD23949-950 T22342A22928-929,934 T23091A22935
T2127XS09604-605 T22342D23949-950 T23091D23949-950
T2129XA22935 T22342S09604-605 T23091S09604-605
T2129XD23949-950 T22349A22927,933 T23092A22935
T2129XS09604-605 T22349A22928-929,934 T23092D23949-950
T2130XA22927,933 T22349D23949-950 T23092S09604-605
T2130XA22928-929,934 T22349S09604-605 T23099A22935
T2130XD23949-950 T22351A22927,933 T23099D23949-950
T2130XS09604-605 T22351A22928-929,934 T23099S09604-605
T2131XA22927,933 T22351D23949-950 T23101A22935
T2131XA22928-929,934 T22351S09604-605 T23101D23949-950
T2131XD23949-950 T22352A22927,933 T23101S09604-605
T2131XS09604-605 T22352A22928-929,934 T23102A22935
T2132XA22927,933 T22352D23949-950 T23102D23949-950
T2132XA22928-929,934 T22352S09604-605 T23102S09604-605
T2132XD23949-950 T22359A22927,933 T23109A22935
T2132XS09604-605 T22359A22928-929,934 T23109D23949-950
T2133XA22927,933 T22359D23949-950 T23109S09604-605
T2133XA22928-929,934 T22359S09604-605 T23111A22935
T2133XD23949-950 T22361A22927,933 T23111D23949-950
T2133XS09604-605 T22361A22928-929,934 T23111S09604-605
T2134XA22927,933 T22361D23949-950 T23112A22935
T2134XA22928-929,934 T22361S09604-605 T23112D23949-950
T2134XD23949-950 T22362A22927,933 T23112S09604-605
T2134XS09604-605 T22362A22928-929,934 T23119A22935
T2135XA22927,933 T22362D23949-950 T23119D23949-950
T2135XA22928-929,934 T22362S09604-605 T23119S09604-605
T2135XD23949-950 T22369A22927,933 T23121A22935
T2135XS09604-605 T22369A22928-929,934 T23121D23949-950
T2136XA22927,933 T22369D23949-950 T23121S09604-605
T2136XA22928-929,934 T22369S09604-605 T23122A22935
T2136XD23949-950 T22391A22927,933 T23122D23949-950
T2136XS09604-605 T22391A22928-929,934 T23122S09604-605
T2137XA22927,933 T22391D23949-950 T23129A22935
T2137XA22928-929,934 T22391S09604-605 T23129D23949-950
T2137XD23949-950 T22392A22927,933 T23129S09604-605
T2137XS09604-605 T22392A22928-929,934 T23131A22935
T2139XA22927,933 T22392D23949-950 T23131D23949-950
T2139XA22928-929,934 T22392S09604-605 T23131S09604-605
T2139XD23949-950 T22399A22927,933 T23132A22935
T2139XS09604-605 T22399A22928-929,934 T23132D23949-950
T2140XA22935 T22399D23949-950 T23132S09604-605
T2140XD23949-950 T22399S09604-605 T23139A22935
T2140XS09604-605 T2240XA22935 T23139D23949-950
T2141XA22935 T2240XD23949-950 T23139S09604-605
T2141XD23949-950 T2240XS09604-605 T23141A22935
T2141XS09604-605 T22411A22935 T23141D23949-950
T2142XA22935 T22411D23949-950 T23141S09604-605
T2142XD23949-950 T22411S09604-605 T23142A22935
T2142XS09604-605 T22412A22935 T23142D23949-950
T2143XA22935 T22412D23949-950 T23142S09604-605
T2143XD23949-950 T22412S09604-605 T23149A22935
T2143XS09604-605 T22419A22935 T23149D23949-950
T2144XA22935 T22419D23949-950 T23149S09604-605
T2144XD23949-950 T22419S09604-605 T23151A22935
T2144XS09604-605 T22421A22935 T23151D23949-950
T2145XA22935 T22421D23949-950 T23151S09604-605
T2145XD23949-950 T22421S09604-605 T23152A22935
T2145XS09604-605 T22422A22935 T23152D23949-950
T2146XA22935 T22422D23949-950 T23152S09604-605
T2146XD23949-950 T22422S09604-605 T23159A22935
T2146XS09604-605 T22429A22935 T23159D23949-950
T2147XA22935 T22429D23949-950 T23159S09604-605
T2147XD23949-950 T22429S09604-605 T23161A22935
T2147XS09604-605 T22431A22935 T23161D23949-950
T2149XA22935 T22431D23949-950 T23161S09604-605
T2149XD23949-950 T22431S09604-605 T23162A22935
T2149XS09604-605 T22432A22935 T23162D23949-950
T2150XA22935 T22432D23949-950 T23162S09604-605
T2150XD23949-950 T22432S09604-605 T23169A22935
T2150XS09604-605 T22439A22935 T23169D23949-950
T2151XA22935 T22439D23949-950 T23169S09604-605
T2151XD23949-950 T22439S09604-605 T23171A22935
T2151XS09604-605 T22441A22935 T23171D23949-950
T2152XA22935 T22441D23949-950 T23171S09604-605
T2152XD23949-950 T22441S09604-605 T23172A22935
T2152XS09604-605 T22442A22935 T23172D23949-950
T2153XA22935 T22442D23949-950 T23172S09604-605
T2153XD23949-950 T22442S09604-605 T23179A22935
T2153XS09604-605 T22449A22935 T23179D23949-950
T2154XA22935 T22449D23949-950 T23179S09604-605
T2154XD23949-950 T22449S09604-605 T23191A22935
T2154XS09604-605 T22451A22935 T23191D23949-950
T2155XA22935 T22451D23949-950 T23191S09604-605
T2155XD23949-950 T22451S09604-605 T23192A22935
T2155XS09604-605 T22452A22935 T23192D23949-950
T2156XA22935 T22452D23949-950 T23192S09604-605
T2156XD23949-950 T22452S09604-605 T23199A22935
T2156XS09604-605 T22459A22935 T23199D23949-950
T2157XA22935 T22459D23949-950 T23199S09604-605
T2157XD23949-950 T22459S09604-605 T23201A22935
T2157XS09604-605 T22461A22935 T23201D23949-950
T2159XA22935 T22461D23949-950 T23201S09604-605
T2159XD23949-950 T22461S09604-605 T23202A22935
T2159XS09604-605 T22462A22935 T23202D23949-950
T2160XA22935 T22462D23949-950 T23202S09604-605
T2160XD23949-950 T22462S09604-605 T23209A22935
T2160XS09604-605 T22469A22935 T23209D23949-950
T2161XA22935 T22469D23949-950 T23209S09604-605
T2161XD23949-950 T22469S09604-605 T23211A22935
T2161XS09604-605 T22491A22935 T23211D23949-950
T2162XA22935 T22491D23949-950 T23211S09604-605
T2162XD23949-950 T22491S09604-605 T23212A22935
T2162XS09604-605 T22492A22935 T23212D23949-950
T2163XA22935 T22492D23949-950 T23212S09604-605
T2163XD23949-950 T22492S09604-605 T23219A22935
T2163XS09604-605 T22499A22935 T23219D23949-950
T2164XA22935 T22499D23949-950 T23219S09604-605
T2164XD23949-950 T22499S09604-605 T23221A22935
T2164XS09604-605 T2250XA22935 T23221D23949-950
T2165XA22935 T2250XD23949-950 T23221S09604-605
T2165XD23949-950 T2250XS09604-605 T23222A22935
T2165XS09604-605 T22511A22935 T23222D23949-950
T2166XA22935 T22511D23949-950 T23222S09604-605
T2166XD23949-950 T22511S09604-605 T23229A22935
T2166XS09604-605 T22512A22935 T23229D23949-950



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
16 Mar 2022 17:08:13
CMS, code-revision=333, description-revision=1331