DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 68 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T391X5S | 21 | 922-923 | T40995D | 23 | 949-950 | T43205S | 21 | 922-923 | ||
T391X6A | 23 | 951 | T40995S | 21 | 922-923 | T43206A | 23 | 951 | ||
T391X6D | 23 | 949-950 | T40996A | 23 | 951 | T43206D | 23 | 949-950 | ||
T391X6S | 23 | 949-950 | T40996D | 23 | 949-950 | T43206S | 23 | 949-950 | ||
T392X1A | 21 | 917-918 | T40996S | 23 | 949-950 | T43211A | 21 | 917-918 | ||
T392X1D | 23 | 949-950 | T410X1A | 21 | 917-918 | T43211D | 23 | 949-950 | ||
T392X1S | 21 | 922-923 | T410X1D | 23 | 949-950 | T43211S | 21 | 922-923 | ||
T392X2A | 21 | 917-918 | T410X1S | 21 | 922-923 | T43212A | 21 | 917-918 | ||
T392X2D | 23 | 949-950 | T410X2A | 21 | 917-918 | T43212D | 23 | 949-950 | ||
T392X2S | 21 | 922-923 | T410X2D | 23 | 949-950 | T43212S | 21 | 922-923 | ||
T392X3A | 21 | 917-918 | T410X2S | 21 | 922-923 | T43213A | 21 | 917-918 | ||
T392X3D | 23 | 949-950 | T410X3A | 21 | 917-918 | T43213D | 23 | 949-950 | ||
T392X3S | 21 | 922-923 | T410X3D | 23 | 949-950 | T43213S | 21 | 922-923 | ||
T392X4A | 21 | 917-918 | T410X3S | 21 | 922-923 | T43214A | 21 | 917-918 | ||
T392X4D | 23 | 949-950 | T410X4A | 21 | 917-918 | T43214D | 23 | 949-950 | ||
T392X4S | 21 | 922-923 | T410X4D | 23 | 949-950 | T43214S | 21 | 922-923 | ||
T392X5A | 15 | 791 | T410X4S | 21 | 922-923 | T43215A | 15 | 791 | ||
T392X5A | 15 | 793 | T410X5A | 15 | 791 | T43215A | 15 | 793 | ||
T392X5A | 21 | 917-918 | T410X5A | 15 | 793 | T43215A | 21 | 917-918 | ||
T392X5D | 23 | 949-950 | T410X5A | 21 | 917-918 | T43215D | 23 | 949-950 | ||
T392X5S | 21 | 922-923 | T410X5D | 23 | 949-950 | T43215S | 21 | 922-923 | ||
T392X6A | 23 | 951 | T410X5S | 21 | 922-923 | T43216A | 23 | 951 | ||
T392X6D | 23 | 949-950 | T410X6A | 23 | 951 | T43216D | 23 | 949-950 | ||
T392X6S | 23 | 949-950 | T410X6D | 23 | 949-950 | T43216S | 23 | 949-950 | ||
T39311A | 21 | 917-918 | T410X6S | 23 | 949-950 | T43221A | 21 | 917-918 | ||
T39311D | 23 | 949-950 | T411X1A | 21 | 917-918 | T43221D | 23 | 949-950 | ||
T39311S | 21 | 922-923 | T411X1D | 23 | 949-950 | T43221S | 21 | 922-923 | ||
T39312A | 21 | 917-918 | T411X1S | 21 | 922-923 | T43222A | 21 | 917-918 | ||
T39312D | 23 | 949-950 | T411X2A | 21 | 917-918 | T43222D | 23 | 949-950 | ||
T39312S | 21 | 922-923 | T411X2D | 23 | 949-950 | T43222S | 21 | 922-923 | ||
T39313A | 21 | 917-918 | T411X2S | 21 | 922-923 | T43223A | 21 | 917-918 | ||
T39313D | 23 | 949-950 | T411X3A | 21 | 917-918 | T43223D | 23 | 949-950 | ||
T39313S | 21 | 922-923 | T411X3D | 23 | 949-950 | T43223S | 21 | 922-923 | ||
T39314A | 21 | 917-918 | T411X3S | 21 | 922-923 | T43224A | 21 | 917-918 | ||
T39314D | 23 | 949-950 | T411X4A | 21 | 917-918 | T43224D | 23 | 949-950 | ||
T39314S | 21 | 922-923 | T411X4D | 23 | 949-950 | T43224S | 21 | 922-923 | ||
T39315A | 15 | 791 | T411X4S | 21 | 922-923 | T43225A | 15 | 791 | ||
T39315A | 15 | 793 | T411X5A | 15 | 791 | T43225A | 15 | 793 | ||
T39315A | 21 | 917-918 | T411X5A | 15 | 793 | T43225A | 21 | 917-918 | ||
T39315D | 23 | 949-950 | T411X5A | 21 | 917-918 | T43225D | 23 | 949-950 | ||
T39315S | 21 | 922-923 | T411X5D | 23 | 949-950 | T43225S | 21 | 922-923 | ||
T39316A | 23 | 951 | T411X5S | 21 | 922-923 | T43226A | 23 | 951 | ||
T39316D | 23 | 949-950 | T411X6A | 23 | 951 | T43226D | 23 | 949-950 | ||
T39316S | 23 | 949-950 | T411X6D | 23 | 949-950 | T43226S | 23 | 949-950 | ||
T39391A | 21 | 917-918 | T411X6S | 23 | 949-950 | T43291A | 21 | 917-918 | ||
T39391D | 23 | 949-950 | T41201A | 21 | 917-918 | T43291D | 23 | 949-950 | ||
T39391S | 21 | 922-923 | T41201D | 23 | 949-950 | T43291S | 21 | 922-923 | ||
T39392A | 21 | 917-918 | T41201S | 21 | 922-923 | T43292A | 21 | 917-918 | ||
T39392D | 23 | 949-950 | T41202A | 21 | 917-918 | T43292D | 23 | 949-950 | ||
T39392S | 21 | 922-923 | T41202D | 23 | 949-950 | T43292S | 21 | 922-923 | ||
T39393A | 21 | 917-918 | T41202S | 21 | 922-923 | T43293A | 21 | 917-918 | ||
T39393D | 23 | 949-950 | T41203A | 21 | 917-918 | T43293D | 23 | 949-950 | ||
T39393S | 21 | 922-923 | T41203D | 23 | 949-950 | T43293S | 21 | 922-923 | ||
T39394A | 21 | 917-918 | T41203S | 21 | 922-923 | T43294A | 21 | 917-918 | ||
T39394D | 23 | 949-950 | T41204A | 21 | 917-918 | T43294D | 23 | 949-950 | ||
T39394S | 21 | 922-923 | T41204D | 23 | 949-950 | T43294S | 21 | 922-923 | ||
T39395A | 15 | 791 | T41204S | 21 | 922-923 | T43295A | 15 | 791 | ||
T39395A | 15 | 793 | T41205A | 15 | 791 | T43295A | 15 | 793 | ||
T39395A | 21 | 917-918 | T41205A | 15 | 793 | T43295A | 21 | 917-918 | ||
T39395D | 23 | 949-950 | T41205A | 21 | 917-918 | T43295D | 23 | 949-950 | ||
T39395S | 21 | 922-923 | T41205D | 23 | 949-950 | T43295S | 21 | 922-923 | ||
T39396A | 23 | 951 | T41205S | 21 | 922-923 | T43296A | 23 | 951 | ||
T39396D | 23 | 949-950 | T41206A | 23 | 951 | T43296D | 23 | 949-950 | ||
T39396S | 23 | 949-950 | T41206D | 23 | 949-950 | T43296S | 23 | 949-950 | ||
T394X1A | 21 | 917-918 | T41206S | 23 | 949-950 | T433X1A | 21 | 917-918 | ||
T394X1D | 23 | 949-950 | T41291A | 21 | 917-918 | T433X1D | 23 | 949-950 | ||
T394X1S | 21 | 922-923 | T41291D | 23 | 949-950 | T433X1S | 21 | 922-923 | ||
T394X2A | 21 | 917-918 | T41291S | 21 | 922-923 | T433X2A | 21 | 917-918 | ||
T394X2D | 23 | 949-950 | T41292A | 21 | 917-918 | T433X2D | 23 | 949-950 | ||
T394X2S | 21 | 922-923 | T41292D | 23 | 949-950 | T433X2S | 21 | 922-923 | ||
T394X3A | 21 | 917-918 | T41292S | 21 | 922-923 | T433X3A | 21 | 917-918 | ||
T394X3D | 23 | 949-950 | T41293A | 21 | 917-918 | T433X3D | 23 | 949-950 | ||
T394X3S | 21 | 922-923 | T41293D | 23 | 949-950 | T433X3S | 21 | 922-923 | ||
T394X4A | 21 | 917-918 | T41293S | 21 | 922-923 | T433X4A | 21 | 917-918 | ||
T394X4D | 23 | 949-950 | T41294A | 21 | 917-918 | T433X4D | 23 | 949-950 | ||
T394X4S | 21 | 922-923 | T41294D | 23 | 949-950 | T433X4S | 21 | 922-923 | ||
T394X5A | 15 | 791 | T41294S | 21 | 922-923 | T433X5A | 15 | 791 | ||
T394X5A | 15 | 793 | T41295A | 15 | 791 | T433X5A | 15 | 793 | ||
T394X5A | 21 | 917-918 | T41295A | 15 | 793 | T433X5A | 21 | 917-918 | ||
T394X5D | 23 | 949-950 | T41295A | 21 | 917-918 | T433X5D | 23 | 949-950 | ||
T394X5S | 21 | 922-923 | T41295D | 23 | 949-950 | T433X5S | 21 | 922-923 | ||
T394X6A | 23 | 951 | T41295S | 21 | 922-923 | T433X6A | 23 | 951 | ||
T394X6D | 23 | 949-950 | T41296A | 23 | 951 | T433X6D | 23 | 949-950 | ||
T394X6S | 23 | 949-950 | T41296D | 23 | 949-950 | T433X6S | 23 | 949-950 | ||
T398X1A | 21 | 917-918 | T41296S | 23 | 949-950 | T434X1A | 21 | 917-918 | ||
T398X1D | 23 | 949-950 | T413X1A | 21 | 917-918 | T434X1D | 23 | 949-950 | ||
T398X1S | 21 | 922-923 | T413X1D | 23 | 949-950 | T434X1S | 21 | 922-923 | ||
T398X2A | 21 | 917-918 | T413X1S | 21 | 922-923 | T434X2A | 21 | 917-918 | ||
T398X2D | 23 | 949-950 | T413X2A | 21 | 917-918 | T434X2D | 23 | 949-950 | ||
T398X2S | 21 | 922-923 | T413X2D | 23 | 949-950 | T434X2S | 21 | 922-923 | ||
T398X3A | 21 | 917-918 | T413X2S | 21 | 922-923 | T434X3A | 21 | 917-918 | ||
T398X3D | 23 | 949-950 | T413X3A | 21 | 917-918 | T434X3D | 23 | 949-950 | ||
T398X3S | 21 | 922-923 | T413X3D | 23 | 949-950 | T434X3S | 21 | 922-923 | ||
T398X4A | 21 | 917-918 | T413X3S | 21 | 922-923 | T434X4A | 21 | 917-918 | ||
T398X4D | 23 | 949-950 | T413X4A | 21 | 917-918 | T434X4D | 23 | 949-950 | ||
T398X4S | 21 | 922-923 | T413X4D | 23 | 949-950 | T434X4S | 21 | 922-923 | ||
T398X5A | 15 | 791 | T413X4S | 21 | 922-923 | T434X5A | 15 | 791 | ||
T398X5A | 15 | 793 | T413X5A | 15 | 791 | T434X5A | 15 | 793 | ||
T398X5A | 21 | 917-918 | T413X5A | 15 | 793 | T434X5A | 21 | 917-918 | ||
T398X5D | 23 | 949-950 | T413X5A | 21 | 917-918 | T434X5D | 23 | 949-950 | ||
T398X5S | 21 | 922-923 | T413X5D | 23 | 949-950 | T434X5S | 21 | 922-923 | ||
T398X6A | 23 | 951 | T413X5S | 21 | 922-923 | T434X6A | 23 | 951 | ||
T398X6D | 23 | 949-950 | T413X6A | 23 | 951 | T434X6D | 23 | 949-950 | ||
T398X6S | 23 | 949-950 | T413X6D | 23 | 949-950 | T434X6S | 23 | 949-950 | ||
T3991XA | 21 | 917-918 | T413X6S | 23 | 949-950 | T43501A | 21 | 917-918 | ||
T3991XD | 23 | 949-950 | T4141XA | 21 | 917-918 | T43501D | 23 | 949-950 | ||
T3991XS | 21 | 922-923 | T4141XD | 23 | 949-950 | T43501S | 21 | 922-923 | ||
T3992XA | 21 | 917-918 | T4141XS | 21 | 922-923 | T43502A | 21 | 917-918 | ||
T3992XD | 23 | 949-950 | T4142XA | 21 | 917-918 | T43502D | 23 | 949-950 | ||
T3992XS | 21 | 922-923 | T4142XD | 23 | 949-950 | T43502S | 21 | 922-923 | ||
T3993XA | 21 | 917-918 | T4142XS | 21 | 922-923 | T43503A | 21 | 917-918 | ||
T3993XD | 23 | 949-950 | T4143XA | 21 | 917-918 | T43503D | 23 | 949-950 | ||
T3993XS | 21 | 922-923 | T4143XD | 23 | 949-950 | T43503S | 21 | 922-923 | ||
T3994XA | 21 | 917-918 | T4143XS | 21 | 922-923 | T43504A | 21 | 917-918 | ||
T3994XD | 23 | 949-950 | T4144XA | 21 | 917-918 | T43504D | 23 | 949-950 | ||
T3994XS | 21 | 922-923 | T4144XD | 23 | 949-950 | T43504S | 21 | 922-923 | ||
T3995XA | 15 | 791 | T4144XS | 21 | 922-923 | T43505A | 15 | 791 | ||
T3995XA | 15 | 793 | T4145XA | 15 | 791 | T43505A | 15 | 793 | ||
T3995XA | 21 | 917-918 | T4145XA | 15 | 793 | T43505A | 21 | 917-918 | ||
T3995XD | 23 | 949-950 | T4145XA | 21 | 917-918 | T43505D | 23 | 949-950 | ||
T3995XS | 21 | 922-923 | T4145XD | 23 | 949-950 | T43505S | 21 | 922-923 | ||
T3996XA | 23 | 951 | T4145XS | 21 | 922-923 | T43506A | 23 | 951 | ||
T3996XD | 23 | 949-950 | T4146XA | 23 | 951 | T43506D | 23 | 949-950 | ||
T3996XS | 23 | 949-950 | T4146XD | 23 | 949-950 | T43506S | 23 | 949-950 | ||
T400X1A | 21 | 917-918 | T4146XS | 23 | 949-950 | T43591A | 21 | 917-918 | ||
T400X1D | 23 | 949-950 | T415X1A | 21 | 917-918 | T43591D | 23 | 949-950 | ||
T400X1S | 21 | 922-923 | T415X1D | 23 | 949-950 | T43591S | 21 | 922-923 | ||
T400X2A | 21 | 917-918 | T415X1S | 21 | 922-923 | T43592A | 21 | 917-918 | ||
T400X2D | 23 | 949-950 | T415X2A | 21 | 917-918 | T43592D | 23 | 949-950 | ||
T400X2S | 21 | 922-923 | T415X2D | 23 | 949-950 | T43592S | 21 | 922-923 | ||
T400X3A | 21 | 917-918 | T415X2S | 21 | 922-923 | T43593A | 21 | 917-918 | ||
T400X3D | 23 | 949-950 | T415X3A | 21 | 917-918 | T43593D | 23 | 949-950 | ||
T400X3S | 21 | 922-923 | T415X3D | 23 | 949-950 | T43593S | 21 | 922-923 | ||
T400X4A | 21 | 917-918 | T415X3S | 21 | 922-923 | T43594A | 21 | 917-918 | ||
T400X4D | 23 | 949-950 | T415X4A | 21 | 917-918 | T43594D | 23 | 949-950 | ||
T400X4S | 21 | 922-923 | T415X4D | 23 | 949-950 | T43594S | 21 | 922-923 | ||
T400X5A | 15 | 791 | T415X4S | 21 | 922-923 | T43595A | 15 | 791 | ||
T400X5A | 15 | 793 | T415X5A | 15 | 791 | T43595A | 15 | 793 | ||
T400X5A | 21 | 917-918 | T415X5A | 15 | 793 | T43595A | 21 | 917-918 | ||
T400X5D | 23 | 949-950 | T415X5A | 21 | 917-918 | T43595D | 23 | 949-950 | ||
T400X5S | 21 | 922-923 | T415X5D | 23 | 949-950 | T43595S | 21 | 922-923 | ||
T400X6A | 23 | 951 | T415X5S | 21 | 922-923 | T43596A | 23 | 951 | ||
T400X6D | 23 | 949-950 | T415X6A | 23 | 951 | T43596D | 23 | 949-950 | ||
T400X6S | 23 | 949-950 | T415X6D | 23 | 949-950 | T43596S | 23 | 949-950 | ||
T401X1A | 21 | 917-918 | T415X6S | 23 | 949-950 | T43601A | 21 | 917-918 | ||
T401X1D | 23 | 949-950 | T420X1A | 21 | 917-918 | T43601D | 23 | 949-950 | ||
T401X1S | 21 | 922-923 | T420X1D | 23 | 949-950 | T43601S | 21 | 922-923 | ||
T401X2A | 21 | 917-918 | T420X1S | 21 | 922-923 | T43602A | 21 | 917-918 | ||
T401X2D | 23 | 949-950 | T420X2A | 21 | 917-918 | T43602D | 23 | 949-950 | ||
T401X2S | 21 | 922-923 | T420X2D | 23 | 949-950 | T43602S | 21 | 922-923 | ||
T401X3A | 21 | 917-918 | T420X2S | 21 | 922-923 | T43603A | 21 | 917-918 | ||
T401X3D | 23 | 949-950 | T420X3A | 21 | 917-918 | T43603D | 23 | 949-950 | ||
T401X3S | 21 | 922-923 | T420X3D | 23 | 949-950 | T43603S | 21 | 922-923 | ||
T401X4A | 21 | 917-918 | T420X3S | 21 | 922-923 | T43604A | 21 | 917-918 | ||
T401X4D | 23 | 949-950 | T420X4A | 21 | 917-918 | T43604D | 23 | 949-950 | ||
T401X4S | 21 | 922-923 | T420X4D | 23 | 949-950 | T43604S | 21 | 922-923 | ||
T402X1A | 21 | 917-918 | T420X4S | 21 | 922-923 | T43605A | 15 | 791 | ||
T402X1D | 23 | 949-950 | T420X5A | 15 | 791 | T43605A | 15 | 793 | ||
T402X1S | 21 | 922-923 | T420X5A | 15 | 793 | T43605A | 21 | 917-918 | ||
T402X2A | 21 | 917-918 | T420X5A | 21 | 917-918 | T43605D | 23 | 949-950 | ||
T402X2D | 23 | 949-950 | T420X5D | 23 | 949-950 | T43605S | 21 | 922-923 | ||
T402X2S | 21 | 922-923 | T420X5S | 21 | 922-923 | T43606A | 23 | 951 | ||
T402X3A | 21 | 917-918 | T420X6A | 23 | 951 | T43606D | 23 | 949-950 | ||
T402X3D | 23 | 949-950 | T420X6D | 23 | 949-950 | T43606S | 23 | 949-950 | ||
T402X3S | 21 | 922-923 | T420X6S | 23 | 949-950 | T43611A | 21 | 917-918 | ||
T402X4A | 21 | 917-918 | T421X1A | 21 | 917-918 | T43611D | 23 | 949-950 | ||
T402X4D | 23 | 949-950 | T421X1D | 23 | 949-950 | T43611S | 21 | 922-923 | ||
T402X4S | 21 | 922-923 | T421X1S | 21 | 922-923 | T43612A | 21 | 917-918 | ||
T402X5A | 15 | 791 | T421X2A | 21 | 917-918 | T43612D | 23 | 949-950 | ||
T402X5A | 15 | 793 | T421X2D | 23 | 949-950 | T43612S | 21 | 922-923 | ||
T402X5A | 21 | 917-918 | T421X2S | 21 | 922-923 | T43613A | 21 | 917-918 | ||
T402X5D | 23 | 949-950 | T421X3A | 21 | 917-918 | T43613D | 23 | 949-950 | ||
T402X5S | 21 | 922-923 | T421X3D | 23 | 949-950 | T43613S | 21 | 922-923 | ||
T402X6A | 23 | 951 | T421X3S | 21 | 922-923 | T43614A | 21 | 917-918 | ||
T402X6D | 23 | 949-950 | T421X4A | 21 | 917-918 | T43614D | 23 | 949-950 | ||
T402X6S | 23 | 949-950 | T421X4D | 23 | 949-950 | T43614S | 21 | 922-923 | ||
T403X1A | 21 | 917-918 | T421X4S | 21 | 922-923 | T43615A | 15 | 791 | ||
T403X1D | 23 | 949-950 | T421X5A | 15 | 791 | T43615A | 15 | 793 | ||
T403X1S | 21 | 922-923 | T421X5A | 15 | 793 | T43615A | 21 | 917-918 | ||
T403X2A | 21 | 917-918 | T421X5A | 21 | 917-918 | T43615D | 23 | 949-950 | ||
T403X2D | 23 | 949-950 | T421X5D | 23 | 949-950 | T43615S | 21 | 922-923 | ||
T403X2S | 21 | 922-923 | T421X5S | 21 | 922-923 | T43616A | 23 | 951 | ||
T403X3A | 21 | 917-918 | T421X6A | 23 | 951 | T43616D | 23 | 949-950 | ||
T403X3D | 23 | 949-950 | T421X6D | 23 | 949-950 | T43616S | 23 | 949-950 | ||
T403X3S | 21 | 922-923 | T421X6S | 23 | 949-950 | T43621A | 21 | 917-918 | ||
T403X4A | 21 | 917-918 | T422X1A | 21 | 917-918 | T43621D | 23 | 949-950 | ||
T403X4D | 23 | 949-950 | T422X1D | 23 | 949-950 | T43621S | 21 | 922-923 | ||
T403X4S | 21 | 922-923 | T422X1S | 21 | 922-923 | T43622A | 21 | 917-918 | ||
T403X5A | 15 | 791 | T422X2A | 21 | 917-918 | T43622D | 23 | 949-950 | ||
T403X5A | 15 | 793 | T422X2D | 23 | 949-950 | T43622S | 21 | 922-923 | ||
T403X5A | 21 | 917-918 | T422X2S | 21 | 922-923 | T43623A | 21 | 917-918 | ||
T403X5D | 23 | 949-950 | T422X3A | 21 | 917-918 | T43623D | 23 | 949-950 | ||
T403X5S | 21 | 922-923 | T422X3D | 23 | 949-950 | T43623S | 21 | 922-923 | ||
T403X6A | 23 | 951 | T422X3S | 21 | 922-923 | T43624A | 21 | 917-918 | ||
T403X6D | 23 | 949-950 | T422X4A | 21 | 917-918 | T43624D | 23 | 949-950 | ||
T403X6S | 23 | 949-950 | T422X4D | 23 | 949-950 | T43624S | 21 | 922-923 | ||
T40411A | 21 | 917-918 | T422X4S | 21 | 922-923 | T43625A | 15 | 791 | ||
T40411D | 23 | 949-950 | T422X5A | 15 | 791 | T43625A | 15 | 793 | ||
T40411S | 21 | 922-923 | T422X5A | 15 | 793 | T43625A | 21 | 917-918 | ||
T40412A | 21 | 917-918 | T422X5A | 21 | 917-918 | T43625D | 23 | 949-950 | ||
T40412D | 23 | 949-950 | T422X5D | 23 | 949-950 | T43625S | 21 | 922-923 | ||
T40412S | 21 | 922-923 | T422X5S | 21 | 922-923 | T43626A | 23 | 951 | ||
T40413A | 21 | 917-918 | T422X6A | 23 | 951 | T43626D | 23 | 949-950 | ||
T40413D | 23 | 949-950 | T422X6D | 23 | 949-950 | T43626S | 23 | 949-950 | ||
T40413S | 21 | 922-923 | T422X6S | 23 | 949-950 | T43631A | 21 | 917-918 | ||
T40414A | 21 | 917-918 | T423X1A | 21 | 917-918 | T43631D | 23 | 949-950 | ||
T40414D | 23 | 949-950 | T423X1D | 23 | 949-950 | T43631S | 21 | 922-923 | ||
T40414S | 21 | 922-923 | T423X1S | 21 | 922-923 | T43632A | 21 | 917-918 | ||
T40415A | 15 | 791 | T423X2A | 21 | 917-918 | T43632D | 23 | 949-950 | ||
T40415A | 15 | 793 | T423X2D | 23 | 949-950 | T43632S | 21 | 922-923 | ||
T40415A | 21 | 917-918 | T423X2S | 21 | 922-923 | T43633A | 21 | 917-918 | ||
T40415D | 23 | 949-950 | T423X3A | 21 | 917-918 | T43633D | 23 | 949-950 | ||
T40415S | 21 | 922-923 | T423X3D | 23 | 949-950 | T43633S | 21 | 922-923 | ||
T40416A | 23 | 951 | T423X3S | 21 | 922-923 | T43634A | 21 | 917-918 | ||
T40416D | 23 | 949-950 | T423X4A | 21 | 917-918 | T43634D | 23 | 949-950 | ||
T40416S | 23 | 949-950 | T423X4D | 23 | 949-950 | T43634S | 21 | 922-923 | ||
T40421A | 21 | 917-918 | T423X4S | 21 | 922-923 | T43635A | 15 | 791 | ||
T40421D | 23 | 949-950 | T423X5A | 15 | 791 | T43635A | 15 | 793 | ||
T40421S | 21 | 922-923 | T423X5A | 15 | 793 | T43635A | 21 | 917-918 | ||
T40422A | 21 | 917-918 | T423X5A | 21 | 917-918 | T43635D | 23 | 949-950 | ||
T40422D | 23 | 949-950 | T423X5D | 23 | 949-950 | T43635S | 21 | 922-923 | ||
T40422S | 21 | 922-923 | T423X5S | 21 | 922-923 | T43636A | 23 | 951 | ||
T40423A | 21 | 917-918 | T423X6A | 23 | 951 | T43636D | 23 | 949-950 | ||
T40423D | 23 | 949-950 | T423X6D | 23 | 949-950 | T43636S | 23 | 949-950 | ||
T40423S | 21 | 922-923 | T423X6S | 23 | 949-950 | T43641A | 21 | 917-918 | ||
T40424A | 21 | 917-918 | T424X1A | 21 | 917-918 | T43641D | 23 | 949-950 | ||
T40424D | 23 | 949-950 | T424X1D | 23 | 949-950 | T43641S | 21 | 922-923 | ||
T40424S | 21 | 922-923 | T424X1S | 21 | 922-923 | T43642A | 21 | 917-918 | ||
T40425A | 15 | 791 | T424X2A | 21 | 917-918 | T43642D | 23 | 949-950 | ||
T40425A | 15 | 793 | T424X2D | 23 | 949-950 | T43642S | 21 | 922-923 | ||
T40425A | 21 | 917-918 | T424X2S | 21 | 922-923 | T43643A | 21 | 917-918 | ||
T40425D | 23 | 949-950 | T424X3A | 21 | 917-918 | T43643D | 23 | 949-950 | ||
T40425S | 21 | 922-923 | T424X3D | 23 | 949-950 | T43643S | 21 | 922-923 | ||
T40426A | 23 | 951 | T424X3S | 21 | 922-923 | T43644A | 21 | 917-918 | ||
T40426D | 23 | 949-950 | T424X4A | 21 | 917-918 | T43644D | 23 | 949-950 | ||
T40426S | 23 | 949-950 | T424X4D | 23 | 949-950 | T43644S | 21 | 922-923 | ||
T40491A | 21 | 917-918 | T424X4S | 21 | 922-923 | T43651A | 21 | 917-918 | ||
T40491D | 23 | 949-950 | T424X5A | 15 | 791 | T43651D | 23 | 949-950 | ||
T40491S | 21 | 922-923 | T424X5A | 15 | 793 | T43651S | 21 | 922-923 | ||
T40492A | 21 | 917-918 | T424X5A | 21 | 917-918 | T43652A | 21 | 917-918 | ||
T40492D | 23 | 949-950 | T424X5D | 23 | 949-950 | T43652D | 23 | 949-950 | ||
T40492S | 21 | 922-923 | T424X5S | 21 | 922-923 | T43652S | 21 | 922-923 | ||
T40493A | 21 | 917-918 | T424X6A | 23 | 951 | T43653A | 21 | 917-918 | ||
T40493D | 23 | 949-950 | T424X6D | 23 | 949-950 | T43653D | 23 | 949-950 | ||
T40493S | 21 | 922-923 | T424X6S | 23 | 949-950 | T43653S | 21 | 922-923 | ||
T40494A | 21 | 917-918 | T425X1A | 21 | 917-918 | T43654A | 21 | 917-918 | ||
T40494D | 23 | 949-950 | T425X1D | 23 | 949-950 | T43654D | 23 | 949-950 | ||
T40494S | 21 | 922-923 | T425X1S | 21 | 922-923 | T43654S | 21 | 922-923 | ||
T40495A | 15 | 791 | T425X2A | 21 | 917-918 | T43655A | 15 | 791 | ||
T40495A | 15 | 793 | T425X2D | 23 | 949-950 | T43655A | 15 | 793 | ||
T40495A | 21 | 917-918 | T425X2S | 21 | 922-923 | T43655A | 21 | 917-918 | ||
T40495D | 23 | 949-950 | T425X3A | 21 | 917-918 | T43655D | 23 | 949-950 | ||
T40495S | 21 | 922-923 | T425X3D | 23 | 949-950 | T43655S | 21 | 922-923 | ||
T40496A | 23 | 951 | T425X3S | 21 | 922-923 | T43656A | 23 | 951 | ||
T40496D | 23 | 949-950 | T425X4A | 21 | 917-918 | T43656D | 23 | 949-950 | ||
T40496S | 23 | 949-950 | T425X4D | 23 | 949-950 | T43656S | 23 | 949-950 | ||
T405X1A | 21 | 917-918 | T425X4S | 21 | 922-923 | T43691A | 21 | 917-918 | ||
T405X1D | 23 | 949-950 | T425X5A | 15 | 791 | T43691D | 23 | 949-950 | ||
T405X1S | 21 | 922-923 | T425X5A | 15 | 793 | T43691S | 21 | 922-923 | ||
T405X2A | 21 | 917-918 | T425X5A | 21 | 917-918 | T43692A | 21 | 917-918 | ||
T405X2D | 23 | 949-950 | T425X5D | 23 | 949-950 | T43692D | 23 | 949-950 | ||
T405X2S | 21 | 922-923 | T425X5S | 21 | 922-923 | T43692S | 21 | 922-923 | ||
T405X3A | 21 | 917-918 | T425X6A | 23 | 951 | T43693A | 21 | 917-918 | ||
T405X3D | 23 | 949-950 | T425X6D | 23 | 949-950 | T43693D | 23 | 949-950 | ||
T405X3S | 21 | 922-923 | T425X6S | 23 | 949-950 | T43693S | 21 | 922-923 | ||
T405X4A | 21 | 917-918 | T426X1A | 21 | 917-918 | T43694A | 21 | 917-918 | ||
T405X4D | 23 | 949-950 | T426X1D | 23 | 949-950 | T43694D | 23 | 949-950 | ||
T405X4S | 21 | 922-923 | T426X1S | 21 | 922-923 | T43694S | 21 | 922-923 | ||
T405X5A | 15 | 791 | T426X2A | 21 | 917-918 | T43695A | 15 | 791 | ||
T405X5A | 15 | 793 | T426X2D | 23 | 949-950 | T43695A | 15 | 793 | ||
T405X5A | 21 | 917-918 | T426X2S | 21 | 922-923 | T43695A | 21 | 917-918 | ||
T405X5D | 23 | 949-950 | T426X3A | 21 | 917-918 | T43695D | 23 | 949-950 | ||
T405X5S | 21 | 922-923 | T426X3D | 23 | 949-950 | T43695S | 21 | 922-923 | ||
T405X6A | 23 | 951 | T426X3S | 21 | 922-923 | T43696A | 23 | 951 | ||
T405X6D | 23 | 949-950 | T426X4A | 21 | 917-918 | T43696D | 23 | 949-950 | ||
T405X6S | 23 | 949-950 | T426X4D | 23 | 949-950 | T43696S | 23 | 949-950 | ||
T40601A | 21 | 917-918 | T426X4S | 21 | 922-923 | T438X1A | 21 | 917-918 | ||
T40601D | 23 | 949-950 | T426X5A | 15 | 791 | T438X1D | 23 | 949-950 | ||
T40601S | 21 | 922-923 | T426X5A | 15 | 793 | T438X1S | 21 | 922-923 | ||
T40602A | 21 | 917-918 | T426X5A | 21 | 917-918 | T438X2A | 21 | 917-918 | ||
T40602D | 23 | 949-950 | T426X5D | 23 | 949-950 | T438X2D | 23 | 949-950 | ||
T40602S | 21 | 922-923 | T426X5S | 21 | 922-923 | T438X2S | 21 | 922-923 | ||
T40603A | 21 | 917-918 | T426X6A | 23 | 951 | T438X3A | 21 | 917-918 | ||
T40603D | 23 | 949-950 | T426X6D | 23 | 949-950 | T438X3D | 23 | 949-950 | ||
T40603S | 21 | 922-923 | T426X6S | 23 | 949-950 | T438X3S | 21 | 922-923 | ||
T40604A | 21 | 917-918 | T4271XA | 21 | 917-918 | T438X4A | 21 | 917-918 | ||
T40604D | 23 | 949-950 | T4271XD | 23 | 949-950 | T438X4D | 23 | 949-950 | ||
T40604S | 21 | 922-923 | T4271XS | 21 | 922-923 | T438X4S | 21 | 922-923 | ||
T40605A | 15 | 791 | T4272XA | 21 | 917-918 | T438X5A | 15 | 791 | ||
T40605A | 15 | 793 | T4272XD | 23 | 949-950 | T438X5A | 15 | 793 | ||
T40605A | 21 | 917-918 | T4272XS | 21 | 922-923 | T438X5A | 21 | 917-918 | ||
T40605D | 23 | 949-950 | T4273XA | 21 | 917-918 | T438X5D | 23 | 949-950 | ||
T40605S | 21 | 922-923 | T4273XD | 23 | 949-950 | T438X5S | 21 | 922-923 | ||
T40606A | 23 | 951 | T4273XS | 21 | 922-923 | T438X6A | 23 | 951 | ||
T40606D | 23 | 949-950 | T4274XA | 21 | 917-918 | T438X6D | 23 | 949-950 | ||
T40606S | 23 | 949-950 | T4274XD | 23 | 949-950 | T438X6S | 23 | 949-950 | ||
T40691A | 21 | 917-918 | T4274XS | 21 | 922-923 | T4391XA | 21 | 917-918 | ||
T40691D | 23 | 949-950 | T4275XA | 15 | 791 | T4391XD | 23 | 949-950 | ||
T40691S | 21 | 922-923 | T4275XA | 15 | 793 | T4391XS | 21 | 922-923 | ||
T40692A | 21 | 917-918 | T4275XA | 21 | 917-918 | T4392XA | 21 | 917-918 | ||
T40692D | 23 | 949-950 | T4275XD | 23 | 949-950 | T4392XD | 23 | 949-950 | ||
T40692S | 21 | 922-923 | T4275XS | 21 | 922-923 | T4392XS | 21 | 922-923 | ||
T40693A | 21 | 917-918 | T4276XA | 23 | 951 | T4393XA | 21 | 917-918 | ||
T40693D | 23 | 949-950 | T4276XD | 23 | 949-950 | T4393XD | 23 | 949-950 | ||
T40693S | 21 | 922-923 | T4276XS | 23 | 949-950 | T4393XS | 21 | 922-923 | ||
T40694A | 21 | 917-918 | T428X1A | 21 | 917-918 | T4394XA | 21 | 917-918 | ||
T40694D | 23 | 949-950 | T428X1D | 23 | 949-950 | T4394XD | 23 | 949-950 | ||
T40694S | 21 | 922-923 | T428X1S | 21 | 922-923 | T4394XS | 21 | 922-923 | ||
T40695A | 15 | 791 | T428X2A | 21 | 917-918 | T4395XA | 15 | 791 | ||
T40695A | 15 | 793 | T428X2D | 23 | 949-950 | T4395XA | 15 | 793 | ||
T40695A | 21 | 917-918 | T428X2S | 21 | 922-923 | T4395XA | 21 | 917-918 | ||
T40695D | 23 | 949-950 | T428X3A | 21 | 917-918 | T4395XD | 23 | 949-950 | ||
T40695S | 21 | 922-923 | T428X3D | 23 | 949-950 | T4395XS | 21 | 922-923 | ||
T40696A | 23 | 951 | T428X3S | 21 | 922-923 | T4396XA | 23 | 951 | ||
T40696D | 23 | 949-950 | T428X4A | 21 | 917-918 | T4396XD | 23 | 949-950 | ||
T40696S | 23 | 949-950 | T428X4D | 23 | 949-950 | T4396XS | 23 | 949-950 | ||
T40711A | 21 | 917-918 | T428X4S | 21 | 922-923 | T440X1A | 21 | 917-918 | ||
T40711D | 23 | 949-950 | T428X5A | 15 | 791 | T440X1D | 23 | 949-950 | ||
T40711S | 21 | 922-923 | T428X5A | 15 | 793 | T440X1S | 21 | 922-923 | ||
T40712A | 21 | 917-918 | T428X5A | 21 | 917-918 | T440X2A | 21 | 917-918 | ||
T40712D | 23 | 949-950 | T428X5D | 23 | 949-950 | T440X2D | 23 | 949-950 | ||
T40712S | 21 | 922-923 | T428X5S | 21 | 922-923 | T440X2S | 21 | 922-923 | ||
T40713A | 21 | 917-918 | T428X6A | 23 | 951 | T440X3A | 21 | 917-918 | ||
T40713D | 23 | 949-950 | T428X6D | 23 | 949-950 | T440X3D | 23 | 949-950 | ||
T40713S | 21 | 922-923 | T428X6S | 23 | 949-950 | T440X3S | 21 | 922-923 | ||
T40714A | 21 | 917-918 | T43011A | 21 | 917-918 | T440X4A | 21 | 917-918 | ||
T40714D | 23 | 949-950 | T43011D | 23 | 949-950 | T440X4D | 23 | 949-950 | ||
T40714S | 21 | 922-923 | T43011S | 21 | 922-923 | T440X4S | 21 | 922-923 | ||
T40715A | 15 | 791 | T43012A | 21 | 917-918 | T440X5A | 15 | 791 | ||
T40715A | 15 | 793 | T43012D | 23 | 949-950 | T440X5A | 15 | 793 | ||
T40715A | 21 | 917-918 | T43012S | 21 | 922-923 | T440X5A | 21 | 917-918 | ||
T40715D | 23 | 949-950 | T43013A | 21 | 917-918 | T440X5D | 23 | 949-950 | ||
T40715S | 21 | 922-923 | T43013D | 23 | 949-950 | T440X5S | 21 | 922-923 | ||
T40716A | 23 | 951 | T43013S | 21 | 922-923 | T440X6A | 23 | 951 | ||
T40716D | 23 | 949-950 | T43014A | 21 | 917-918 | T440X6D | 23 | 949-950 | ||
T40716S | 23 | 949-950 | T43014D | 23 | 949-950 | T440X6S | 23 | 949-950 | ||
T40721A | 21 | 917-918 | T43014S | 21 | 922-923 | T441X1A | 21 | 917-918 | ||
T40721D | 23 | 949-950 | T43015A | 15 | 791 | T441X1D | 23 | 949-950 | ||
T40721S | 21 | 922-923 | T43015A | 15 | 793 | T441X1S | 21 | 922-923 | ||
T40722A | 21 | 917-918 | T43015A | 21 | 917-918 | T441X2A | 21 | 917-918 | ||
T40722D | 23 | 949-950 | T43015D | 23 | 949-950 | T441X2D | 23 | 949-950 | ||
T40722S | 21 | 922-923 | T43015S | 21 | 922-923 | T441X2S | 21 | 922-923 | ||
T40723A | 21 | 917-918 | T43016A | 23 | 951 | T441X3A | 21 | 917-918 | ||
T40723D | 23 | 949-950 | T43016D | 23 | 949-950 | T441X3D | 23 | 949-950 | ||
T40723S | 21 | 922-923 | T43016S | 23 | 949-950 | T441X3S | 21 | 922-923 | ||
T40724A | 21 | 917-918 | T43021A | 21 | 917-918 | T441X4A | 21 | 917-918 | ||
T40724D | 23 | 949-950 | T43021D | 23 | 949-950 | T441X4D | 23 | 949-950 | ||
T40724S | 21 | 922-923 | T43021S | 21 | 922-923 | T441X4S | 21 | 922-923 | ||
T40725A | 15 | 791 | T43022A | 21 | 917-918 | T441X5A | 15 | 791 | ||
T40725A | 15 | 793 | T43022D | 23 | 949-950 | T441X5A | 15 | 793 | ||
T40725A | 21 | 917-918 | T43022S | 21 | 922-923 | T441X5A | 21 | 917-918 | ||
T40725D | 23 | 949-950 | T43023A | 21 | 917-918 | T441X5D | 23 | 949-950 | ||
T40725S | 21 | 922-923 | T43023D | 23 | 949-950 | T441X5S | 21 | 922-923 | ||
T40726A | 23 | 951 | T43023S | 21 | 922-923 | T441X6A | 23 | 951 | ||
T40726D | 23 | 949-950 | T43024A | 21 | 917-918 | T441X6D | 23 | 949-950 | ||
T40726S | 23 | 949-950 | T43024D | 23 | 949-950 | T441X6S | 23 | 949-950 | ||
T408X1A | 21 | 917-918 | T43024S | 21 | 922-923 | T442X1A | 21 | 917-918 | ||
T408X1D | 23 | 949-950 | T43025A | 15 | 791 | T442X1D | 23 | 949-950 | ||
T408X1S | 21 | 922-923 | T43025A | 15 | 793 | T442X1S | 21 | 922-923 | ||
T408X2A | 21 | 917-918 | T43025A | 21 | 917-918 | T442X2A | 21 | 917-918 | ||
T408X2D | 23 | 949-950 | T43025D | 23 | 949-950 | T442X2D | 23 | 949-950 | ||
T408X2S | 21 | 922-923 | T43025S | 21 | 922-923 | T442X2S | 21 | 922-923 | ||
T408X3A | 21 | 917-918 | T43026A | 23 | 951 | T442X3A | 21 | 917-918 | ||
T408X3D | 23 | 949-950 | T43026D | 23 | 949-950 | T442X3D | 23 | 949-950 | ||
T408X3S | 21 | 922-923 | T43026S | 23 | 949-950 | T442X3S | 21 | 922-923 | ||
T408X4A | 21 | 917-918 | T431X1A | 21 | 917-918 | T442X4A | 21 | 917-918 | ||
T408X4D | 23 | 949-950 | T431X1D | 23 | 949-950 | T442X4D | 23 | 949-950 | ||
T408X4S | 21 | 922-923 | T431X1S | 21 | 922-923 | T442X4S | 21 | 922-923 | ||
T40901A | 21 | 917-918 | T431X2A | 21 | 917-918 | T442X5A | 15 | 791 | ||
T40901D | 23 | 949-950 | T431X2D | 23 | 949-950 | T442X5A | 15 | 793 | ||
T40901S | 21 | 922-923 | T431X2S | 21 | 922-923 | T442X5A | 21 | 917-918 | ||
T40902A | 21 | 917-918 | T431X3A | 21 | 917-918 | T442X5D | 23 | 949-950 | ||
T40902D | 23 | 949-950 | T431X3D | 23 | 949-950 | T442X5S | 21 | 922-923 | ||
T40902S | 21 | 922-923 | T431X3S | 21 | 922-923 | T442X6A | 23 | 951 | ||
T40903A | 21 | 917-918 | T431X4A | 21 | 917-918 | T442X6D | 23 | 949-950 | ||
T40903D | 23 | 949-950 | T431X4D | 23 | 949-950 | T442X6S | 23 | 949-950 | ||
T40903S | 21 | 922-923 | T431X4S | 21 | 922-923 | T443X1A | 21 | 917-918 | ||
T40904A | 21 | 917-918 | T431X5A | 15 | 791 | T443X1D | 23 | 949-950 | ||
T40904D | 23 | 949-950 | T431X5A | 15 | 793 | T443X1S | 21 | 922-923 | ||
T40904S | 21 | 922-923 | T431X5A | 21 | 917-918 | T443X2A | 21 | 917-918 | ||
T40905A | 15 | 791 | T431X5D | 23 | 949-950 | T443X2D | 23 | 949-950 | ||
T40905A | 15 | 793 | T431X5S | 21 | 922-923 | T443X2S | 21 | 922-923 | ||
T40905A | 21 | 917-918 | T431X6A | 23 | 951 | T443X3A | 21 | 917-918 | ||
T40905D | 23 | 949-950 | T431X6D | 23 | 949-950 | T443X3D | 23 | 949-950 | ||
T40905S | 21 | 922-923 | T431X6S | 23 | 949-950 | T443X3S | 21 | 922-923 | ||
T40906A | 23 | 951 | T43201A | 21 | 917-918 | T443X4A | 21 | 917-918 | ||
T40906D | 23 | 949-950 | T43201D | 23 | 949-950 | T443X4D | 23 | 949-950 | ||
T40906S | 23 | 949-950 | T43201S | 21 | 922-923 | T443X4S | 21 | 922-923 | ||
T40991A | 21 | 917-918 | T43202A | 21 | 917-918 | T443X5A | 15 | 791 | ||
T40991D | 23 | 949-950 | T43202D | 23 | 949-950 | T443X5A | 15 | 793 | ||
T40991S | 21 | 922-923 | T43202S | 21 | 922-923 | T443X5A | 21 | 917-918 | ||
T40992A | 21 | 917-918 | T43203A | 21 | 917-918 | T443X5D | 23 | 949-950 | ||
T40992D | 23 | 949-950 | T43203D | 23 | 949-950 | T443X5S | 21 | 922-923 | ||
T40992S | 21 | 922-923 | T43203S | 21 | 922-923 | T443X6A | 23 | 951 | ||
T40993A | 21 | 917-918 | T43204A | 21 | 917-918 | T443X6D | 23 | 949-950 | ||
T40993D | 23 | 949-950 | T43204D | 23 | 949-950 | T443X6S | 23 | 949-950 | ||
T40993S | 21 | 922-923 | T43204S | 21 | 922-923 | T444X1A | 21 | 917-918 | ||
T40994A | 21 | 917-918 | T43205A | 15 | 791 | T444X1D | 23 | 949-950 | ||
T40994D | 23 | 949-950 | T43205A | 15 | 793 | T444X1S | 21 | 922-923 | ||
T40994S | 21 | 922-923 | T43205A | 21 | 917-918 | T444X2A | 21 | 917-918 | ||
T40995A | 15 | 791 | T43205D | 23 | 949-950 | T444X2D | 23 | 949-950 | ||
T40995A | 15 | 793 | ||||||||
T40995A | 21 | 917-918 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |