DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 67 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T25739S | 09 | 604-605 | T33831A | 21 | 922-923 | T373X5D | 23 | 949-950 | ||
T25791A | 22 | 927,933 | T33831D | 23 | 949-950 | T373X5S | 21 | 922-923 | ||
T25791A | 22 | 928-929,934 | T33831S | 21 | 922-923 | T373X6A | 23 | 951 | ||
T25791D | 23 | 949-950 | T33832A | 21 | 922-923 | T373X6D | 23 | 949-950 | ||
T25791S | 09 | 604-605 | T33832D | 23 | 949-950 | T373X6S | 23 | 949-950 | ||
T25792A | 22 | 927,933 | T33832S | 21 | 922-923 | T374X1A | 21 | 917-918 | ||
T25792A | 22 | 928-929,934 | T33839A | 21 | 922-923 | T374X1D | 23 | 949-950 | ||
T25792D | 23 | 949-950 | T33839D | 23 | 949-950 | T374X1S | 21 | 922-923 | ||
T25792S | 09 | 604-605 | T33839S | 21 | 922-923 | T374X2A | 21 | 917-918 | ||
T25799A | 22 | 927,933 | T3390XA | 21 | 922-923 | T374X2D | 23 | 949-950 | ||
T25799A | 22 | 928-929,934 | T3390XD | 23 | 949-950 | T374X2S | 21 | 922-923 | ||
T25799D | 23 | 949-950 | T3390XS | 21 | 922-923 | T374X3A | 21 | 917-918 | ||
T25799S | 09 | 604-605 | T3399XA | 21 | 922-923 | T374X3D | 23 | 949-950 | ||
T2600XA | 02 | 124-125 | T3399XD | 23 | 949-950 | T374X3S | 21 | 922-923 | ||
T2600XD | 23 | 949-950 | T3399XS | 21 | 922-923 | T374X4A | 21 | 917-918 | ||
T2600XS | 09 | 604-605 | T34011A | 21 | 922-923 | T374X4D | 23 | 949-950 | ||
T2601XA | 02 | 124-125 | T34011D | 23 | 949-950 | T374X4S | 21 | 922-923 | ||
T2601XD | 23 | 949-950 | T34011S | 21 | 922-923 | T374X5A | 15 | 791 | ||
T2601XS | 09 | 604-605 | T34012A | 21 | 922-923 | T374X5A | 15 | 793 | ||
T2602XA | 02 | 124-125 | T34012D | 23 | 949-950 | T374X5A | 21 | 917-918 | ||
T2602XD | 23 | 949-950 | T34012S | 21 | 922-923 | T374X5D | 23 | 949-950 | ||
T2602XS | 09 | 604-605 | T34019A | 21 | 922-923 | T374X5S | 21 | 922-923 | ||
T2610XA | 02 | 124-125 | T34019D | 23 | 949-950 | T374X6A | 23 | 951 | ||
T2610XD | 23 | 949-950 | T34019S | 21 | 922-923 | T374X6D | 23 | 949-950 | ||
T2610XS | 09 | 604-605 | T3402XA | 21 | 922-923 | T374X6S | 23 | 949-950 | ||
T2611XA | 02 | 124-125 | T3402XD | 23 | 949-950 | T375X1A | 21 | 917-918 | ||
T2611XD | 23 | 949-950 | T3402XS | 21 | 922-923 | T375X1D | 23 | 949-950 | ||
T2611XS | 09 | 604-605 | T3409XA | 21 | 922-923 | T375X1S | 21 | 922-923 | ||
T2612XA | 02 | 124-125 | T3409XD | 23 | 949-950 | T375X2A | 21 | 917-918 | ||
T2612XD | 23 | 949-950 | T3409XS | 21 | 922-923 | T375X2D | 23 | 949-950 | ||
T2612XS | 09 | 604-605 | T341XXA | 21 | 922-923 | T375X2S | 21 | 922-923 | ||
T2620XA | 02 | 124-125 | T341XXD | 23 | 949-950 | T375X3A | 21 | 917-918 | ||
T2620XD | 23 | 949-950 | T341XXS | 21 | 922-923 | T375X3D | 23 | 949-950 | ||
T2620XS | 09 | 604-605 | T342XXA | 21 | 922-923 | T375X3S | 21 | 922-923 | ||
T2621XA | 02 | 124-125 | T342XXD | 23 | 949-950 | T375X4A | 21 | 917-918 | ||
T2621XD | 23 | 949-950 | T342XXS | 21 | 922-923 | T375X4D | 23 | 949-950 | ||
T2621XS | 09 | 604-605 | T343XXA | 21 | 922-923 | T375X4S | 21 | 922-923 | ||
T2622XA | 02 | 124-125 | T343XXD | 23 | 949-950 | T375X5A | 15 | 791 | ||
T2622XD | 23 | 949-950 | T343XXS | 21 | 922-923 | T375X5A | 15 | 793 | ||
T2622XS | 09 | 604-605 | T3440XA | 21 | 922-923 | T375X5A | 21 | 917-918 | ||
T2630XA | 02 | 124-125 | T3440XD | 23 | 949-950 | T375X5D | 23 | 949-950 | ||
T2630XD | 23 | 949-950 | T3440XS | 21 | 922-923 | T375X5S | 21 | 922-923 | ||
T2630XS | 09 | 604-605 | T3441XA | 21 | 922-923 | T375X6A | 23 | 951 | ||
T2631XA | 02 | 124-125 | T3441XD | 23 | 949-950 | T375X6D | 23 | 949-950 | ||
T2631XD | 23 | 949-950 | T3441XS | 21 | 922-923 | T375X6S | 23 | 949-950 | ||
T2631XS | 09 | 604-605 | T3442XA | 21 | 922-923 | T378X1A | 21 | 917-918 | ||
T2632XA | 02 | 124-125 | T3442XD | 23 | 949-950 | T378X1D | 23 | 949-950 | ||
T2632XD | 23 | 949-950 | T3442XS | 21 | 922-923 | T378X1S | 21 | 922-923 | ||
T2632XS | 09 | 604-605 | T34511A | 21 | 922-923 | T378X2A | 21 | 917-918 | ||
T2640XA | 02 | 124-125 | T34511D | 23 | 949-950 | T378X2D | 23 | 949-950 | ||
T2640XD | 23 | 949-950 | T34511S | 21 | 922-923 | T378X2S | 21 | 922-923 | ||
T2640XS | 09 | 604-605 | T34512A | 21 | 922-923 | T378X3A | 21 | 917-918 | ||
T2641XA | 02 | 124-125 | T34512D | 23 | 949-950 | T378X3D | 23 | 949-950 | ||
T2641XD | 23 | 949-950 | T34512S | 21 | 922-923 | T378X3S | 21 | 922-923 | ||
T2641XS | 09 | 604-605 | T34519A | 21 | 922-923 | T378X4A | 21 | 917-918 | ||
T2642XA | 02 | 124-125 | T34519D | 23 | 949-950 | T378X4D | 23 | 949-950 | ||
T2642XD | 23 | 949-950 | T34519S | 21 | 922-923 | T378X4S | 21 | 922-923 | ||
T2642XS | 09 | 604-605 | T34521A | 21 | 922-923 | T378X5A | 15 | 791 | ||
T2650XA | 02 | 124-125 | T34521D | 23 | 949-950 | T378X5A | 15 | 793 | ||
T2650XD | 23 | 949-950 | T34521S | 21 | 922-923 | T378X5A | 21 | 917-918 | ||
T2650XS | 09 | 604-605 | T34522A | 21 | 922-923 | T378X5D | 23 | 949-950 | ||
T2651XA | 02 | 124-125 | T34522D | 23 | 949-950 | T378X5S | 21 | 922-923 | ||
T2651XD | 23 | 949-950 | T34522S | 21 | 922-923 | T378X6A | 23 | 951 | ||
T2651XS | 09 | 604-605 | T34529A | 21 | 922-923 | T378X6D | 23 | 949-950 | ||
T2652XA | 02 | 124-125 | T34529D | 23 | 949-950 | T378X6S | 23 | 949-950 | ||
T2652XD | 23 | 949-950 | T34529S | 21 | 922-923 | T3791XA | 21 | 917-918 | ||
T2652XS | 09 | 604-605 | T34531A | 21 | 922-923 | T3791XD | 23 | 949-950 | ||
T2660XA | 02 | 124-125 | T34531D | 23 | 949-950 | T3791XS | 21 | 922-923 | ||
T2660XD | 23 | 949-950 | T34531S | 21 | 922-923 | T3792XA | 21 | 917-918 | ||
T2660XS | 09 | 604-605 | T34532A | 21 | 922-923 | T3792XD | 23 | 949-950 | ||
T2661XA | 02 | 124-125 | T34532D | 23 | 949-950 | T3792XS | 21 | 922-923 | ||
T2661XD | 23 | 949-950 | T34532S | 21 | 922-923 | T3793XA | 21 | 917-918 | ||
T2661XS | 09 | 604-605 | T34539A | 21 | 922-923 | T3793XD | 23 | 949-950 | ||
T2662XA | 02 | 124-125 | T34539D | 23 | 949-950 | T3793XS | 21 | 922-923 | ||
T2662XD | 23 | 949-950 | T34539S | 21 | 922-923 | T3794XA | 21 | 917-918 | ||
T2662XS | 09 | 604-605 | T3460XA | 21 | 922-923 | T3794XD | 23 | 949-950 | ||
T2670XA | 02 | 124-125 | T3460XD | 23 | 949-950 | T3794XS | 21 | 922-923 | ||
T2670XD | 23 | 949-950 | T3460XS | 21 | 922-923 | T3795XA | 15 | 791 | ||
T2670XS | 09 | 604-605 | T3461XA | 21 | 922-923 | T3795XA | 15 | 793 | ||
T2671XA | 02 | 124-125 | T3461XD | 23 | 949-950 | T3795XA | 21 | 917-918 | ||
T2671XD | 23 | 949-950 | T3461XS | 21 | 922-923 | T3795XD | 23 | 949-950 | ||
T2671XS | 09 | 604-605 | T3462XA | 21 | 922-923 | T3795XS | 21 | 922-923 | ||
T2672XA | 02 | 124-125 | T3462XD | 23 | 949-950 | T3796XA | 23 | 951 | ||
T2672XD | 23 | 949-950 | T3462XS | 21 | 922-923 | T3796XD | 23 | 949-950 | ||
T2672XS | 09 | 604-605 | T3470XA | 21 | 922-923 | T3796XS | 23 | 949-950 | ||
T2680XA | 02 | 124-125 | T3470XD | 23 | 949-950 | T380X1A | 21 | 917-918 | ||
T2680XD | 23 | 949-950 | T3470XS | 21 | 922-923 | T380X1D | 23 | 949-950 | ||
T2680XS | 09 | 604-605 | T3471XA | 21 | 922-923 | T380X1S | 21 | 922-923 | ||
T2681XA | 02 | 124-125 | T3471XD | 23 | 949-950 | T380X2A | 21 | 917-918 | ||
T2681XD | 23 | 949-950 | T3471XS | 21 | 922-923 | T380X2D | 23 | 949-950 | ||
T2681XS | 09 | 604-605 | T3472XA | 21 | 922-923 | T380X2S | 21 | 922-923 | ||
T2682XA | 02 | 124-125 | T3472XD | 23 | 949-950 | T380X3A | 21 | 917-918 | ||
T2682XD | 23 | 949-950 | T3472XS | 21 | 922-923 | T380X3D | 23 | 949-950 | ||
T2682XS | 09 | 604-605 | T34811A | 21 | 922-923 | T380X3S | 21 | 922-923 | ||
T2690XA | 02 | 124-125 | T34811D | 23 | 949-950 | T380X4A | 21 | 917-918 | ||
T2690XD | 23 | 949-950 | T34811S | 21 | 922-923 | T380X4D | 23 | 949-950 | ||
T2690XS | 09 | 604-605 | T34812A | 21 | 922-923 | T380X4S | 21 | 922-923 | ||
T2691XA | 02 | 124-125 | T34812D | 23 | 949-950 | T380X5A | 15 | 791 | ||
T2691XD | 23 | 949-950 | T34812S | 21 | 922-923 | T380X5A | 15 | 793 | ||
T2691XS | 09 | 604-605 | T34819A | 21 | 922-923 | T380X5A | 21 | 917-918 | ||
T2692XA | 02 | 124-125 | T34819D | 23 | 949-950 | T380X5D | 23 | 949-950 | ||
T2692XD | 23 | 949-950 | T34819S | 21 | 922-923 | T380X5S | 21 | 922-923 | ||
T2692XS | 09 | 604-605 | T34821A | 21 | 922-923 | T380X6A | 23 | 951 | ||
T270XXA | 04 | 205-206 | T34821D | 23 | 949-950 | T380X6D | 23 | 949-950 | ||
T270XXA | 22 | 928-929,934 | T34821S | 21 | 922-923 | T380X6S | 23 | 949-950 | ||
T270XXD | 23 | 949-950 | T34822A | 21 | 922-923 | T381X1A | 21 | 917-918 | ||
T270XXS | 09 | 604-605 | T34822D | 23 | 949-950 | T381X1D | 23 | 949-950 | ||
T271XXA | 04 | 205-206 | T34822S | 21 | 922-923 | T381X1S | 21 | 922-923 | ||
T271XXA | 22 | 928-929,934 | T34829A | 21 | 922-923 | T381X2A | 21 | 917-918 | ||
T271XXD | 23 | 949-950 | T34829D | 23 | 949-950 | T381X2D | 23 | 949-950 | ||
T271XXS | 09 | 604-605 | T34829S | 21 | 922-923 | T381X2S | 21 | 922-923 | ||
T272XXA | 04 | 205-206 | T34831A | 21 | 922-923 | T381X3A | 21 | 917-918 | ||
T272XXA | 22 | 928-929,934 | T34831D | 23 | 949-950 | T381X3D | 23 | 949-950 | ||
T272XXD | 23 | 949-950 | T34831S | 21 | 922-923 | T381X3S | 21 | 922-923 | ||
T272XXS | 09 | 604-605 | T34832A | 21 | 922-923 | T381X4A | 21 | 917-918 | ||
T273XXA | 04 | 205-206 | T34832D | 23 | 949-950 | T381X4D | 23 | 949-950 | ||
T273XXA | 22 | 928-929,934 | T34832S | 21 | 922-923 | T381X4S | 21 | 922-923 | ||
T273XXD | 23 | 949-950 | T34839A | 21 | 922-923 | T381X5A | 15 | 791 | ||
T273XXS | 09 | 604-605 | T34839D | 23 | 949-950 | T381X5A | 15 | 793 | ||
T274XXA | 04 | 205-206 | T34839S | 21 | 922-923 | T381X5A | 21 | 917-918 | ||
T274XXA | 22 | 928-929,934 | T3490XA | 21 | 922-923 | T381X5D | 23 | 949-950 | ||
T274XXD | 23 | 949-950 | T3490XD | 23 | 949-950 | T381X5S | 21 | 922-923 | ||
T274XXS | 09 | 604-605 | T3490XS | 21 | 922-923 | T381X6A | 23 | 951 | ||
T275XXA | 04 | 205-206 | T3499XA | 21 | 922-923 | T381X6D | 23 | 949-950 | ||
T275XXA | 22 | 928-929,934 | T3499XD | 23 | 949-950 | T381X6S | 23 | 949-950 | ||
T275XXD | 23 | 949-950 | T3499XS | 21 | 922-923 | T382X1A | 21 | 917-918 | ||
T275XXS | 09 | 604-605 | T360X1A | 21 | 917-918 | T382X1D | 23 | 949-950 | ||
T276XXA | 04 | 205-206 | T360X1D | 23 | 949-950 | T382X1S | 21 | 922-923 | ||
T276XXA | 22 | 928-929,934 | T360X1S | 21 | 922-923 | T382X2A | 21 | 917-918 | ||
T276XXD | 23 | 949-950 | T360X2A | 21 | 917-918 | T382X2D | 23 | 949-950 | ||
T276XXS | 09 | 604-605 | T360X2D | 23 | 949-950 | T382X2S | 21 | 922-923 | ||
T277XXA | 04 | 205-206 | T360X2S | 21 | 922-923 | T382X3A | 21 | 917-918 | ||
T277XXA | 22 | 928-929,934 | T360X3A | 21 | 917-918 | T382X3D | 23 | 949-950 | ||
T277XXD | 23 | 949-950 | T360X3D | 23 | 949-950 | T382X3S | 21 | 922-923 | ||
T277XXS | 09 | 604-605 | T360X3S | 21 | 922-923 | T382X4A | 21 | 917-918 | ||
T280XXA | Pre | 011-013 | T360X4A | 21 | 917-918 | T382X4D | 23 | 949-950 | ||
T280XXA | 03 | 154-156 | T360X4D | 23 | 949-950 | T382X4S | 21 | 922-923 | ||
T280XXD | 23 | 949-950 | T360X4S | 21 | 922-923 | T382X5A | 15 | 791 | ||
T280XXS | 09 | 604-605 | T360X5A | 15 | 791 | T382X5A | 15 | 793 | ||
T281XXA | 06 | 368-370 | T360X5A | 15 | 793 | T382X5A | 21 | 917-918 | ||
T281XXD | 23 | 949-950 | T360X5A | 21 | 917-918 | T382X5D | 23 | 949-950 | ||
T281XXS | 09 | 604-605 | T360X5D | 23 | 949-950 | T382X5S | 21 | 922-923 | ||
T282XXA | 06 | 393-395 | T360X5S | 21 | 922-923 | T382X6A | 23 | 951 | ||
T282XXD | 23 | 949-950 | T360X6A | 23 | 951 | T382X6D | 23 | 949-950 | ||
T282XXS | 09 | 604-605 | T360X6D | 23 | 949-950 | T382X6S | 23 | 949-950 | ||
T283XXA | 22 | 935 | T360X6S | 23 | 949-950 | T383X1A | 21 | 917-918 | ||
T283XXD | 23 | 949-950 | T361X1A | 21 | 917-918 | T383X1D | 23 | 949-950 | ||
T283XXS | 09 | 604-605 | T361X1D | 23 | 949-950 | T383X1S | 21 | 922-923 | ||
T2840XA | 22 | 935 | T361X1S | 21 | 922-923 | T383X2A | 21 | 917-918 | ||
T2840XD | 23 | 949-950 | T361X2A | 21 | 917-918 | T383X2D | 23 | 949-950 | ||
T2840XS | 09 | 604-605 | T361X2D | 23 | 949-950 | T383X2S | 21 | 922-923 | ||
T28411A | 22 | 935 | T361X2S | 21 | 922-923 | T383X3A | 21 | 917-918 | ||
T28411D | 23 | 949-950 | T361X3A | 21 | 917-918 | T383X3D | 23 | 949-950 | ||
T28411S | 09 | 604-605 | T361X3D | 23 | 949-950 | T383X3S | 21 | 922-923 | ||
T28412A | 22 | 935 | T361X3S | 21 | 922-923 | T383X4A | 21 | 917-918 | ||
T28412D | 23 | 949-950 | T361X4A | 21 | 917-918 | T383X4D | 23 | 949-950 | ||
T28412S | 09 | 604-605 | T361X4D | 23 | 949-950 | T383X4S | 21 | 922-923 | ||
T28419A | 22 | 935 | T361X4S | 21 | 922-923 | T383X5A | 15 | 791 | ||
T28419D | 23 | 949-950 | T361X5A | 15 | 791 | T383X5A | 15 | 793 | ||
T28419S | 09 | 604-605 | T361X5A | 15 | 793 | T383X5A | 21 | 917-918 | ||
T2849XA | 22 | 935 | T361X5A | 21 | 917-918 | T383X5D | 23 | 949-950 | ||
T2849XD | 23 | 949-950 | T361X5D | 23 | 949-950 | T383X5S | 21 | 922-923 | ||
T2849XS | 09 | 604-605 | T361X5S | 21 | 922-923 | T383X6A | 23 | 951 | ||
T285XXA | Pre | 011-013 | T361X6A | 23 | 951 | T383X6D | 23 | 949-950 | ||
T285XXA | 03 | 154-156 | T361X6D | 23 | 949-950 | T383X6S | 23 | 949-950 | ||
T285XXD | 23 | 949-950 | T361X6S | 23 | 949-950 | T384X1A | 21 | 917-918 | ||
T285XXS | 09 | 604-605 | T362X1A | 21 | 917-918 | T384X1D | 23 | 949-950 | ||
T286XXA | 06 | 368-370 | T362X1D | 23 | 949-950 | T384X1S | 21 | 922-923 | ||
T286XXD | 23 | 949-950 | T362X1S | 21 | 922-923 | T384X2A | 21 | 917-918 | ||
T286XXS | 09 | 604-605 | T362X2A | 21 | 917-918 | T384X2D | 23 | 949-950 | ||
T287XXA | 06 | 393-395 | T362X2D | 23 | 949-950 | T384X2S | 21 | 922-923 | ||
T287XXD | 23 | 949-950 | T362X2S | 21 | 922-923 | T384X3A | 21 | 917-918 | ||
T287XXS | 09 | 604-605 | T362X3A | 21 | 917-918 | T384X3D | 23 | 949-950 | ||
T288XXA | 22 | 935 | T362X3D | 23 | 949-950 | T384X3S | 21 | 922-923 | ||
T288XXD | 23 | 949-950 | T362X3S | 21 | 922-923 | T384X4A | 21 | 917-918 | ||
T288XXS | 09 | 604-605 | T362X4A | 21 | 917-918 | T384X4D | 23 | 949-950 | ||
T2890XA | 22 | 935 | T362X4D | 23 | 949-950 | T384X4S | 21 | 922-923 | ||
T2890XD | 23 | 949-950 | T362X4S | 21 | 922-923 | T384X5A | 15 | 791 | ||
T2890XS | 09 | 604-605 | T362X5A | 15 | 791 | T384X5A | 15 | 793 | ||
T28911A | 22 | 935 | T362X5A | 15 | 793 | T384X5A | 21 | 917-918 | ||
T28911D | 23 | 949-950 | T362X5A | 21 | 917-918 | T384X5D | 23 | 949-950 | ||
T28911S | 09 | 604-605 | T362X5D | 23 | 949-950 | T384X5S | 21 | 922-923 | ||
T28912A | 22 | 935 | T362X5S | 21 | 922-923 | T384X6A | 23 | 951 | ||
T28912D | 23 | 949-950 | T362X6A | 23 | 951 | T384X6D | 23 | 949-950 | ||
T28912S | 09 | 604-605 | T362X6D | 23 | 949-950 | T384X6S | 23 | 949-950 | ||
T28919A | 22 | 935 | T362X6S | 23 | 949-950 | T385X1A | 21 | 917-918 | ||
T28919D | 23 | 949-950 | T363X1A | 21 | 917-918 | T385X1D | 23 | 949-950 | ||
T28919S | 09 | 604-605 | T363X1D | 23 | 949-950 | T385X1S | 21 | 922-923 | ||
T2899XA | 22 | 935 | T363X1S | 21 | 922-923 | T385X2A | 21 | 917-918 | ||
T2899XD | 23 | 949-950 | T363X2A | 21 | 917-918 | T385X2D | 23 | 949-950 | ||
T2899XS | 09 | 604-605 | T363X2D | 23 | 949-950 | T385X2S | 21 | 922-923 | ||
T300 | 22 | 935 | T363X2S | 21 | 922-923 | T385X3A | 21 | 917-918 | ||
T304 | 22 | 935 | T363X3A | 21 | 917-918 | T385X3D | 23 | 949-950 | ||
T310 | 22 | 935 | T363X3D | 23 | 949-950 | T385X3S | 21 | 922-923 | ||
T3110 | 22 | 935 | T363X3S | 21 | 922-923 | T385X4A | 21 | 917-918 | ||
T3111 | 22 | 927,933 | T363X4A | 21 | 917-918 | T385X4D | 23 | 949-950 | ||
T3111 | 22 | 928-929,934 | T363X4D | 23 | 949-950 | T385X4S | 21 | 922-923 | ||
T3120 | 22 | 935 | T363X4S | 21 | 922-923 | T385X5A | 15 | 791 | ||
T3121 | 22 | 927,933 | T363X5A | 15 | 791 | T385X5A | 15 | 793 | ||
T3122 | 22 | 927,933 | T363X5A | 15 | 793 | T385X5A | 21 | 917-918 | ||
T3130 | 22 | 935 | T363X5A | 21 | 917-918 | T385X5D | 23 | 949-950 | ||
T3131 | 22 | 927,933 | T363X5D | 23 | 949-950 | T385X5S | 21 | 922-923 | ||
T3132 | 22 | 927,933 | T363X5S | 21 | 922-923 | T385X6A | 23 | 951 | ||
T3133 | 22 | 927,933 | T363X6A | 23 | 951 | T385X6D | 23 | 949-950 | ||
T3140 | 22 | 935 | T363X6D | 23 | 949-950 | T385X6S | 23 | 949-950 | ||
T3141 | 22 | 927,933 | T363X6S | 23 | 949-950 | T386X1A | 21 | 917-918 | ||
T3142 | 22 | 927,933 | T364X1A | 21 | 917-918 | T386X1D | 23 | 949-950 | ||
T3143 | 22 | 927,933 | T364X1D | 23 | 949-950 | T386X1S | 21 | 922-923 | ||
T3144 | 22 | 927,933 | T364X1S | 21 | 922-923 | T386X2A | 21 | 917-918 | ||
T3150 | 22 | 935 | T364X2A | 21 | 917-918 | T386X2D | 23 | 949-950 | ||
T3151 | 22 | 927,933 | T364X2D | 23 | 949-950 | T386X2S | 21 | 922-923 | ||
T3152 | 22 | 927,933 | T364X2S | 21 | 922-923 | T386X3A | 21 | 917-918 | ||
T3153 | 22 | 927,933 | T364X3A | 21 | 917-918 | T386X3D | 23 | 949-950 | ||
T3154 | 22 | 927,933 | T364X3D | 23 | 949-950 | T386X3S | 21 | 922-923 | ||
T3155 | 22 | 927,933 | T364X3S | 21 | 922-923 | T386X4A | 21 | 917-918 | ||
T3160 | 22 | 935 | T364X4A | 21 | 917-918 | T386X4D | 23 | 949-950 | ||
T3161 | 22 | 927,933 | T364X4D | 23 | 949-950 | T386X4S | 21 | 922-923 | ||
T3162 | 22 | 927,933 | T364X4S | 21 | 922-923 | T386X5A | 15 | 791 | ||
T3163 | 22 | 927,933 | T364X5A | 15 | 791 | T386X5A | 15 | 793 | ||
T3164 | 22 | 927,933 | T364X5A | 15 | 793 | T386X5A | 21 | 917-918 | ||
T3165 | 22 | 927,933 | T364X5A | 21 | 917-918 | T386X5D | 23 | 949-950 | ||
T3166 | 22 | 927,933 | T364X5D | 23 | 949-950 | T386X5S | 21 | 922-923 | ||
T3170 | 22 | 935 | T364X5S | 21 | 922-923 | T386X6A | 23 | 951 | ||
T3171 | 22 | 927,933 | T364X6A | 23 | 951 | T386X6D | 23 | 949-950 | ||
T3172 | 22 | 927,933 | T364X6D | 23 | 949-950 | T386X6S | 23 | 949-950 | ||
T3173 | 22 | 927,933 | T364X6S | 23 | 949-950 | T387X1A | 21 | 917-918 | ||
T3174 | 22 | 927,933 | T365X1A | 21 | 917-918 | T387X1D | 23 | 949-950 | ||
T3175 | 22 | 927,933 | T365X1D | 23 | 949-950 | T387X1S | 21 | 922-923 | ||
T3176 | 22 | 927,933 | T365X1S | 21 | 922-923 | T387X2A | 21 | 917-918 | ||
T3177 | 22 | 927,933 | T365X2A | 21 | 917-918 | T387X2D | 23 | 949-950 | ||
T3180 | 22 | 935 | T365X2D | 23 | 949-950 | T387X2S | 21 | 922-923 | ||
T3181 | 22 | 927,933 | T365X2S | 21 | 922-923 | T387X3A | 21 | 917-918 | ||
T3182 | 22 | 927,933 | T365X3A | 21 | 917-918 | T387X3D | 23 | 949-950 | ||
T3183 | 22 | 927,933 | T365X3D | 23 | 949-950 | T387X3S | 21 | 922-923 | ||
T3184 | 22 | 927,933 | T365X3S | 21 | 922-923 | T387X4A | 21 | 917-918 | ||
T3185 | 22 | 927,933 | T365X4A | 21 | 917-918 | T387X4D | 23 | 949-950 | ||
T3186 | 22 | 927,933 | T365X4D | 23 | 949-950 | T387X4S | 21 | 922-923 | ||
T3187 | 22 | 927,933 | T365X4S | 21 | 922-923 | T387X5A | 15 | 791 | ||
T3188 | 22 | 927,933 | T365X5A | 15 | 791 | T387X5A | 15 | 793 | ||
T3190 | 22 | 935 | T365X5A | 15 | 793 | T387X5A | 21 | 917-918 | ||
T3191 | 22 | 927,933 | T365X5A | 21 | 917-918 | T387X5D | 23 | 949-950 | ||
T3192 | 22 | 927,933 | T365X5D | 23 | 949-950 | T387X5S | 21 | 922-923 | ||
T3193 | 22 | 927,933 | T365X5S | 21 | 922-923 | T387X6A | 23 | 951 | ||
T3194 | 22 | 927,933 | T365X6A | 23 | 951 | T387X6D | 23 | 949-950 | ||
T3195 | 22 | 927,933 | T365X6D | 23 | 949-950 | T387X6S | 23 | 949-950 | ||
T3196 | 22 | 927,933 | T365X6S | 23 | 949-950 | T38801A | 21 | 917-918 | ||
T3197 | 22 | 927,933 | T366X1A | 21 | 917-918 | T38801D | 23 | 949-950 | ||
T3198 | 22 | 927,933 | T366X1D | 23 | 949-950 | T38801S | 21 | 922-923 | ||
T3199 | 22 | 927,933 | T366X1S | 21 | 922-923 | T38802A | 21 | 917-918 | ||
T320 | 22 | 935 | T366X2A | 21 | 917-918 | T38802D | 23 | 949-950 | ||
T3210 | 22 | 935 | T366X2D | 23 | 949-950 | T38802S | 21 | 922-923 | ||
T3211 | 22 | 927,933 | T366X2S | 21 | 922-923 | T38803A | 21 | 917-918 | ||
T3211 | 22 | 928-929,934 | T366X3A | 21 | 917-918 | T38803D | 23 | 949-950 | ||
T3220 | 22 | 935 | T366X3D | 23 | 949-950 | T38803S | 21 | 922-923 | ||
T3221 | 22 | 927,933 | T366X3S | 21 | 922-923 | T38804A | 21 | 917-918 | ||
T3222 | 22 | 927,933 | T366X4A | 21 | 917-918 | T38804D | 23 | 949-950 | ||
T3230 | 22 | 935 | T366X4D | 23 | 949-950 | T38804S | 21 | 922-923 | ||
T3231 | 22 | 927,933 | T366X4S | 21 | 922-923 | T38805A | 15 | 791 | ||
T3232 | 22 | 927,933 | T366X5A | 15 | 791 | T38805A | 15 | 793 | ||
T3233 | 22 | 927,933 | T366X5A | 15 | 793 | T38805A | 21 | 917-918 | ||
T3240 | 22 | 935 | T366X5A | 21 | 917-918 | T38805D | 23 | 949-950 | ||
T3241 | 22 | 927,933 | T366X5D | 23 | 949-950 | T38805S | 21 | 922-923 | ||
T3242 | 22 | 927,933 | T366X5S | 21 | 922-923 | T38806A | 23 | 951 | ||
T3243 | 22 | 927,933 | T366X6A | 23 | 951 | T38806D | 23 | 949-950 | ||
T3244 | 22 | 927,933 | T366X6D | 23 | 949-950 | T38806S | 23 | 949-950 | ||
T3250 | 22 | 935 | T366X6S | 23 | 949-950 | T38811A | 21 | 917-918 | ||
T3251 | 22 | 927,933 | T367X1A | 21 | 917-918 | T38811D | 23 | 949-950 | ||
T3252 | 22 | 927,933 | T367X1D | 23 | 949-950 | T38811S | 21 | 922-923 | ||
T3253 | 22 | 927,933 | T367X1S | 21 | 922-923 | T38812A | 21 | 917-918 | ||
T3254 | 22 | 927,933 | T367X2A | 21 | 917-918 | T38812D | 23 | 949-950 | ||
T3255 | 22 | 927,933 | T367X2D | 23 | 949-950 | T38812S | 21 | 922-923 | ||
T3260 | 22 | 935 | T367X2S | 21 | 922-923 | T38813A | 21 | 917-918 | ||
T3261 | 22 | 927,933 | T367X3A | 21 | 917-918 | T38813D | 23 | 949-950 | ||
T3262 | 22 | 927,933 | T367X3D | 23 | 949-950 | T38813S | 21 | 922-923 | ||
T3263 | 22 | 927,933 | T367X3S | 21 | 922-923 | T38814A | 21 | 917-918 | ||
T3264 | 22 | 927,933 | T367X4A | 21 | 917-918 | T38814D | 23 | 949-950 | ||
T3265 | 22 | 927,933 | T367X4D | 23 | 949-950 | T38814S | 21 | 922-923 | ||
T3266 | 22 | 927,933 | T367X4S | 21 | 922-923 | T38815A | 15 | 791 | ||
T3270 | 22 | 935 | T367X5A | 15 | 791 | T38815A | 15 | 793 | ||
T3271 | 22 | 927,933 | T367X5A | 15 | 793 | T38815A | 21 | 917-918 | ||
T3272 | 22 | 927,933 | T367X5A | 21 | 917-918 | T38815D | 23 | 949-950 | ||
T3273 | 22 | 927,933 | T367X5D | 23 | 949-950 | T38815S | 21 | 922-923 | ||
T3274 | 22 | 927,933 | T367X5S | 21 | 922-923 | T38816A | 23 | 951 | ||
T3275 | 22 | 927,933 | T367X6A | 23 | 951 | T38816D | 23 | 949-950 | ||
T3276 | 22 | 927,933 | T367X6D | 23 | 949-950 | T38816S | 23 | 949-950 | ||
T3277 | 22 | 927,933 | T367X6S | 23 | 949-950 | T38891A | 21 | 917-918 | ||
T3280 | 22 | 935 | T368X1A | 21 | 917-918 | T38891D | 23 | 949-950 | ||
T3281 | 22 | 927,933 | T368X1D | 23 | 949-950 | T38891S | 21 | 922-923 | ||
T3282 | 22 | 927,933 | T368X1S | 21 | 922-923 | T38892A | 21 | 917-918 | ||
T3283 | 22 | 927,933 | T368X2A | 21 | 917-918 | T38892D | 23 | 949-950 | ||
T3284 | 22 | 927,933 | T368X2D | 23 | 949-950 | T38892S | 21 | 922-923 | ||
T3285 | 22 | 927,933 | T368X2S | 21 | 922-923 | T38893A | 21 | 917-918 | ||
T3286 | 22 | 927,933 | T368X3A | 21 | 917-918 | T38893D | 23 | 949-950 | ||
T3287 | 22 | 927,933 | T368X3D | 23 | 949-950 | T38893S | 21 | 922-923 | ||
T3288 | 22 | 927,933 | T368X3S | 21 | 922-923 | T38894A | 21 | 917-918 | ||
T3290 | 22 | 935 | T368X4A | 21 | 917-918 | T38894D | 23 | 949-950 | ||
T3291 | 22 | 927,933 | T368X4D | 23 | 949-950 | T38894S | 21 | 922-923 | ||
T3292 | 22 | 927,933 | T368X4S | 21 | 922-923 | T38895A | 15 | 791 | ||
T3293 | 22 | 927,933 | T368X5A | 15 | 791 | T38895A | 15 | 793 | ||
T3294 | 22 | 927,933 | T368X5A | 15 | 793 | T38895A | 21 | 917-918 | ||
T3295 | 22 | 927,933 | T368X5A | 21 | 917-918 | T38895D | 23 | 949-950 | ||
T3296 | 22 | 927,933 | T368X5D | 23 | 949-950 | T38895S | 21 | 922-923 | ||
T3297 | 22 | 927,933 | T368X5S | 21 | 922-923 | T38896A | 23 | 951 | ||
T3298 | 22 | 927,933 | T368X6A | 23 | 951 | T38896D | 23 | 949-950 | ||
T3299 | 22 | 927,933 | T368X6D | 23 | 949-950 | T38896S | 23 | 949-950 | ||
T33011A | 21 | 922-923 | T368X6S | 23 | 949-950 | T38901A | 21 | 917-918 | ||
T33011D | 23 | 949-950 | T3691XA | 21 | 917-918 | T38901D | 23 | 949-950 | ||
T33011S | 21 | 922-923 | T3691XD | 23 | 949-950 | T38901S | 21 | 922-923 | ||
T33012A | 21 | 922-923 | T3691XS | 21 | 922-923 | T38902A | 21 | 917-918 | ||
T33012D | 23 | 949-950 | T3692XA | 21 | 917-918 | T38902D | 23 | 949-950 | ||
T33012S | 21 | 922-923 | T3692XD | 23 | 949-950 | T38902S | 21 | 922-923 | ||
T33019A | 21 | 922-923 | T3692XS | 21 | 922-923 | T38903A | 21 | 917-918 | ||
T33019D | 23 | 949-950 | T3693XA | 21 | 917-918 | T38903D | 23 | 949-950 | ||
T33019S | 21 | 922-923 | T3693XD | 23 | 949-950 | T38903S | 21 | 922-923 | ||
T3302XA | 21 | 922-923 | T3693XS | 21 | 922-923 | T38904A | 21 | 917-918 | ||
T3302XD | 23 | 949-950 | T3694XA | 21 | 917-918 | T38904D | 23 | 949-950 | ||
T3302XS | 21 | 922-923 | T3694XD | 23 | 949-950 | T38904S | 21 | 922-923 | ||
T3309XA | 21 | 922-923 | T3694XS | 21 | 922-923 | T38905A | 15 | 791 | ||
T3309XD | 23 | 949-950 | T3695XA | 15 | 791 | T38905A | 15 | 793 | ||
T3309XS | 21 | 922-923 | T3695XA | 15 | 793 | T38905A | 21 | 917-918 | ||
T331XXA | 21 | 922-923 | T3695XA | 21 | 917-918 | T38905D | 23 | 949-950 | ||
T331XXD | 23 | 949-950 | T3695XD | 23 | 949-950 | T38905S | 21 | 922-923 | ||
T331XXS | 21 | 922-923 | T3695XS | 21 | 922-923 | T38906A | 23 | 951 | ||
T332XXA | 21 | 922-923 | T3696XA | 23 | 951 | T38906D | 23 | 949-950 | ||
T332XXD | 23 | 949-950 | T3696XD | 23 | 949-950 | T38906S | 23 | 949-950 | ||
T332XXS | 21 | 922-923 | T3696XS | 23 | 949-950 | T38991A | 21 | 917-918 | ||
T333XXA | 21 | 922-923 | T370X1A | 21 | 917-918 | T38991D | 23 | 949-950 | ||
T333XXD | 23 | 949-950 | T370X1D | 23 | 949-950 | T38991S | 21 | 922-923 | ||
T333XXS | 21 | 922-923 | T370X1S | 21 | 922-923 | T38992A | 21 | 917-918 | ||
T3340XA | 21 | 922-923 | T370X2A | 21 | 917-918 | T38992D | 23 | 949-950 | ||
T3340XD | 23 | 949-950 | T370X2D | 23 | 949-950 | T38992S | 21 | 922-923 | ||
T3340XS | 21 | 922-923 | T370X2S | 21 | 922-923 | T38993A | 21 | 917-918 | ||
T3341XA | 21 | 922-923 | T370X3A | 21 | 917-918 | T38993D | 23 | 949-950 | ||
T3341XD | 23 | 949-950 | T370X3D | 23 | 949-950 | T38993S | 21 | 922-923 | ||
T3341XS | 21 | 922-923 | T370X3S | 21 | 922-923 | T38994A | 21 | 917-918 | ||
T3342XA | 21 | 922-923 | T370X4A | 21 | 917-918 | T38994D | 23 | 949-950 | ||
T3342XD | 23 | 949-950 | T370X4D | 23 | 949-950 | T38994S | 21 | 922-923 | ||
T3342XS | 21 | 922-923 | T370X4S | 21 | 922-923 | T38995A | 15 | 791 | ||
T33511A | 21 | 922-923 | T370X5A | 15 | 791 | T38995A | 15 | 793 | ||
T33511D | 23 | 949-950 | T370X5A | 15 | 793 | T38995A | 21 | 917-918 | ||
T33511S | 21 | 922-923 | T370X5A | 21 | 917-918 | T38995D | 23 | 949-950 | ||
T33512A | 21 | 922-923 | T370X5D | 23 | 949-950 | T38995S | 21 | 922-923 | ||
T33512D | 23 | 949-950 | T370X5S | 21 | 922-923 | T38996A | 23 | 951 | ||
T33512S | 21 | 922-923 | T370X6A | 23 | 951 | T38996D | 23 | 949-950 | ||
T33519A | 21 | 922-923 | T370X6D | 23 | 949-950 | T38996S | 23 | 949-950 | ||
T33519D | 23 | 949-950 | T370X6S | 23 | 949-950 | T39011A | 21 | 917-918 | ||
T33519S | 21 | 922-923 | T371X1A | 21 | 917-918 | T39011D | 23 | 949-950 | ||
T33521A | 21 | 922-923 | T371X1D | 23 | 949-950 | T39011S | 21 | 922-923 | ||
T33521D | 23 | 949-950 | T371X1S | 21 | 922-923 | T39012A | 21 | 917-918 | ||
T33521S | 21 | 922-923 | T371X2A | 21 | 917-918 | T39012D | 23 | 949-950 | ||
T33522A | 21 | 922-923 | T371X2D | 23 | 949-950 | T39012S | 21 | 922-923 | ||
T33522D | 23 | 949-950 | T371X2S | 21 | 922-923 | T39013A | 21 | 917-918 | ||
T33522S | 21 | 922-923 | T371X3A | 21 | 917-918 | T39013D | 23 | 949-950 | ||
T33529A | 21 | 922-923 | T371X3D | 23 | 949-950 | T39013S | 21 | 922-923 | ||
T33529D | 23 | 949-950 | T371X3S | 21 | 922-923 | T39014A | 21 | 917-918 | ||
T33529S | 21 | 922-923 | T371X4A | 21 | 917-918 | T39014D | 23 | 949-950 | ||
T33531A | 21 | 922-923 | T371X4D | 23 | 949-950 | T39014S | 21 | 922-923 | ||
T33531D | 23 | 949-950 | T371X4S | 21 | 922-923 | T39015A | 15 | 791 | ||
T33531S | 21 | 922-923 | T371X5A | 15 | 791 | T39015A | 15 | 793 | ||
T33532A | 21 | 922-923 | T371X5A | 15 | 793 | T39015A | 21 | 917-918 | ||
T33532D | 23 | 949-950 | T371X5A | 21 | 917-918 | T39015D | 23 | 949-950 | ||
T33532S | 21 | 922-923 | T371X5D | 23 | 949-950 | T39015S | 21 | 922-923 | ||
T33539A | 21 | 922-923 | T371X5S | 21 | 922-923 | T39016A | 23 | 951 | ||
T33539D | 23 | 949-950 | T371X6A | 23 | 951 | T39016D | 23 | 949-950 | ||
T33539S | 21 | 922-923 | T371X6D | 23 | 949-950 | T39016S | 23 | 949-950 | ||
T3360XA | 21 | 922-923 | T371X6S | 23 | 949-950 | T39091A | 21 | 917-918 | ||
T3360XD | 23 | 949-950 | T372X1A | 21 | 917-918 | T39091D | 23 | 949-950 | ||
T3360XS | 21 | 922-923 | T372X1D | 23 | 949-950 | T39091S | 21 | 922-923 | ||
T3361XA | 21 | 922-923 | T372X1S | 21 | 922-923 | T39092A | 21 | 917-918 | ||
T3361XD | 23 | 949-950 | T372X2A | 21 | 917-918 | T39092D | 23 | 949-950 | ||
T3361XS | 21 | 922-923 | T372X2D | 23 | 949-950 | T39092S | 21 | 922-923 | ||
T3362XA | 21 | 922-923 | T372X2S | 21 | 922-923 | T39093A | 21 | 917-918 | ||
T3362XD | 23 | 949-950 | T372X3A | 21 | 917-918 | T39093D | 23 | 949-950 | ||
T3362XS | 21 | 922-923 | T372X3D | 23 | 949-950 | T39093S | 21 | 922-923 | ||
T3370XA | 21 | 922-923 | T372X3S | 21 | 922-923 | T39094A | 21 | 917-918 | ||
T3370XD | 23 | 949-950 | T372X4A | 21 | 917-918 | T39094D | 23 | 949-950 | ||
T3370XS | 21 | 922-923 | T372X4D | 23 | 949-950 | T39094S | 21 | 922-923 | ||
T3371XA | 21 | 922-923 | T372X4S | 21 | 922-923 | T39095A | 15 | 791 | ||
T3371XD | 23 | 949-950 | T372X5A | 15 | 791 | T39095A | 15 | 793 | ||
T3371XS | 21 | 922-923 | T372X5A | 15 | 793 | T39095A | 21 | 917-918 | ||
T3372XA | 21 | 922-923 | T372X5A | 21 | 917-918 | T39095D | 23 | 949-950 | ||
T3372XD | 23 | 949-950 | T372X5D | 23 | 949-950 | T39095S | 21 | 922-923 | ||
T3372XS | 21 | 922-923 | T372X5S | 21 | 922-923 | T39096A | 23 | 951 | ||
T33811A | 21 | 922-923 | T372X6A | 23 | 951 | T39096D | 23 | 949-950 | ||
T33811D | 23 | 949-950 | T372X6D | 23 | 949-950 | T39096S | 23 | 949-950 | ||
T33811S | 21 | 922-923 | T372X6S | 23 | 949-950 | T391X1A | 21 | 917-918 | ||
T33812A | 21 | 922-923 | T373X1A | 21 | 917-918 | T391X1D | 23 | 949-950 | ||
T33812D | 23 | 949-950 | T373X1D | 23 | 949-950 | T391X1S | 21 | 922-923 | ||
T33812S | 21 | 922-923 | T373X1S | 21 | 922-923 | T391X2A | 21 | 917-918 | ||
T33819A | 21 | 922-923 | T373X2A | 21 | 917-918 | T391X2D | 23 | 949-950 | ||
T33819D | 23 | 949-950 | T373X2D | 23 | 949-950 | T391X2S | 21 | 922-923 | ||
T33819S | 21 | 922-923 | T373X2S | 21 | 922-923 | T391X3A | 21 | 917-918 | ||
T33821A | 21 | 922-923 | T373X3A | 21 | 917-918 | T391X3D | 23 | 949-950 | ||
T33821D | 23 | 949-950 | T373X3D | 23 | 949-950 | T391X3S | 21 | 922-923 | ||
T33821S | 21 | 922-923 | T373X3S | 21 | 922-923 | T391X4A | 21 | 917-918 | ||
T33822A | 21 | 922-923 | T373X4A | 21 | 917-918 | T391X4D | 23 | 949-950 | ||
T33822D | 23 | 949-950 | T373X4D | 23 | 949-950 | T391X4S | 21 | 922-923 | ||
T33822S | 21 | 922-923 | T373X4S | 21 | 922-923 | T391X5A | 15 | 791 | ||
T33829A | 21 | 922-923 | T373X5A | 15 | 791 | T391X5A | 15 | 793 | ||
T33829D | 23 | 949-950 | T373X5A | 15 | 793 | T391X5A | 21 | 917-918 | ||
T33829S | 21 | 922-923 | T373X5A | 21 | 917-918 | T391X5D | 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 |