DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 69 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T444X2S | 21 | 922-923 | T4593XA | 21 | 917-918 | T478X3D | 23 | 949-950 | ||
T444X3A | 21 | 917-918 | T4593XD | 23 | 949-950 | T478X3S | 21 | 922-923 | ||
T444X3D | 23 | 949-950 | T4593XS | 21 | 922-923 | T478X4A | 21 | 917-918 | ||
T444X3S | 21 | 922-923 | T4594XA | 21 | 917-918 | T478X4D | 23 | 949-950 | ||
T444X4A | 21 | 917-918 | T4594XD | 23 | 949-950 | T478X4S | 21 | 922-923 | ||
T444X4D | 23 | 949-950 | T4594XS | 21 | 922-923 | T478X5A | 15 | 791 | ||
T444X4S | 21 | 922-923 | T4595XA | 15 | 791 | T478X5A | 15 | 793 | ||
T444X5A | 15 | 791 | T4595XA | 15 | 793 | T478X5A | 21 | 917-918 | ||
T444X5A | 15 | 793 | T4595XA | 21 | 917-918 | T478X5D | 23 | 949-950 | ||
T444X5A | 21 | 917-918 | T4595XD | 23 | 949-950 | T478X5S | 21 | 922-923 | ||
T444X5D | 23 | 949-950 | T4595XS | 21 | 922-923 | T478X6A | 23 | 951 | ||
T444X5S | 21 | 922-923 | T4596XA | 23 | 951 | T478X6D | 23 | 949-950 | ||
T444X6A | 23 | 951 | T4596XD | 23 | 949-950 | T478X6S | 23 | 949-950 | ||
T444X6D | 23 | 949-950 | T4596XS | 23 | 949-950 | T4791XA | 21 | 917-918 | ||
T444X6S | 23 | 949-950 | T460X1A | 21 | 917-918 | T4791XD | 23 | 949-950 | ||
T445X1A | 21 | 917-918 | T460X1D | 23 | 949-950 | T4791XS | 21 | 922-923 | ||
T445X1D | 23 | 949-950 | T460X1S | 21 | 922-923 | T4792XA | 21 | 917-918 | ||
T445X1S | 21 | 922-923 | T460X2A | 21 | 917-918 | T4792XD | 23 | 949-950 | ||
T445X2A | 21 | 917-918 | T460X2D | 23 | 949-950 | T4792XS | 21 | 922-923 | ||
T445X2D | 23 | 949-950 | T460X2S | 21 | 922-923 | T4793XA | 21 | 917-918 | ||
T445X2S | 21 | 922-923 | T460X3A | 21 | 917-918 | T4793XD | 23 | 949-950 | ||
T445X3A | 21 | 917-918 | T460X3D | 23 | 949-950 | T4793XS | 21 | 922-923 | ||
T445X3D | 23 | 949-950 | T460X3S | 21 | 922-923 | T4794XA | 21 | 917-918 | ||
T445X3S | 21 | 922-923 | T460X4A | 21 | 917-918 | T4794XD | 23 | 949-950 | ||
T445X4A | 21 | 917-918 | T460X4D | 23 | 949-950 | T4794XS | 21 | 922-923 | ||
T445X4D | 23 | 949-950 | T460X4S | 21 | 922-923 | T4795XA | 15 | 791 | ||
T445X4S | 21 | 922-923 | T460X5A | 15 | 791 | T4795XA | 15 | 793 | ||
T445X5A | 15 | 791 | T460X5A | 15 | 793 | T4795XA | 21 | 917-918 | ||
T445X5A | 15 | 793 | T460X5A | 21 | 917-918 | T4795XD | 23 | 949-950 | ||
T445X5A | 21 | 917-918 | T460X5D | 23 | 949-950 | T4795XS | 21 | 922-923 | ||
T445X5D | 23 | 949-950 | T460X5S | 21 | 922-923 | T4796XA | 23 | 951 | ||
T445X5S | 21 | 922-923 | T460X6A | 23 | 951 | T4796XD | 23 | 949-950 | ||
T445X6A | 23 | 951 | T460X6D | 23 | 949-950 | T4796XS | 23 | 949-950 | ||
T445X6D | 23 | 949-950 | T460X6S | 23 | 949-950 | T480X1A | 21 | 917-918 | ||
T445X6S | 23 | 949-950 | T461X1A | 21 | 917-918 | T480X1D | 23 | 949-950 | ||
T446X1A | 21 | 917-918 | T461X1D | 23 | 949-950 | T480X1S | 21 | 922-923 | ||
T446X1D | 23 | 949-950 | T461X1S | 21 | 922-923 | T480X2A | 21 | 917-918 | ||
T446X1S | 21 | 922-923 | T461X2A | 21 | 917-918 | T480X2D | 23 | 949-950 | ||
T446X2A | 21 | 917-918 | T461X2D | 23 | 949-950 | T480X2S | 21 | 922-923 | ||
T446X2D | 23 | 949-950 | T461X2S | 21 | 922-923 | T480X3A | 21 | 917-918 | ||
T446X2S | 21 | 922-923 | T461X3A | 21 | 917-918 | T480X3D | 23 | 949-950 | ||
T446X3A | 21 | 917-918 | T461X3D | 23 | 949-950 | T480X3S | 21 | 922-923 | ||
T446X3D | 23 | 949-950 | T461X3S | 21 | 922-923 | T480X4A | 21 | 917-918 | ||
T446X3S | 21 | 922-923 | T461X4A | 21 | 917-918 | T480X4D | 23 | 949-950 | ||
T446X4A | 21 | 917-918 | T461X4D | 23 | 949-950 | T480X4S | 21 | 922-923 | ||
T446X4D | 23 | 949-950 | T461X4S | 21 | 922-923 | T480X5A | 15 | 791 | ||
T446X4S | 21 | 922-923 | T461X5A | 15 | 791 | T480X5A | 15 | 793 | ||
T446X5A | 15 | 791 | T461X5A | 15 | 793 | T480X5A | 21 | 917-918 | ||
T446X5A | 15 | 793 | T461X5A | 21 | 917-918 | T480X5D | 23 | 949-950 | ||
T446X5A | 21 | 917-918 | T461X5D | 23 | 949-950 | T480X5S | 21 | 922-923 | ||
T446X5D | 23 | 949-950 | T461X5S | 21 | 922-923 | T480X6A | 23 | 951 | ||
T446X5S | 21 | 922-923 | T461X6A | 23 | 951 | T480X6D | 23 | 949-950 | ||
T446X6A | 23 | 951 | T461X6D | 23 | 949-950 | T480X6S | 23 | 949-950 | ||
T446X6D | 23 | 949-950 | T461X6S | 23 | 949-950 | T481X1A | 21 | 917-918 | ||
T446X6S | 23 | 949-950 | T462X1A | 21 | 917-918 | T481X1D | 23 | 949-950 | ||
T447X1A | 21 | 917-918 | T462X1D | 23 | 949-950 | T481X1S | 21 | 922-923 | ||
T447X1D | 23 | 949-950 | T462X1S | 21 | 922-923 | T481X2A | 21 | 917-918 | ||
T447X1S | 21 | 922-923 | T462X2A | 21 | 917-918 | T481X2D | 23 | 949-950 | ||
T447X2A | 21 | 917-918 | T462X2D | 23 | 949-950 | T481X2S | 21 | 922-923 | ||
T447X2D | 23 | 949-950 | T462X2S | 21 | 922-923 | T481X3A | 21 | 917-918 | ||
T447X2S | 21 | 922-923 | T462X3A | 21 | 917-918 | T481X3D | 23 | 949-950 | ||
T447X3A | 21 | 917-918 | T462X3D | 23 | 949-950 | T481X3S | 21 | 922-923 | ||
T447X3D | 23 | 949-950 | T462X3S | 21 | 922-923 | T481X4A | 21 | 917-918 | ||
T447X3S | 21 | 922-923 | T462X4A | 21 | 917-918 | T481X4D | 23 | 949-950 | ||
T447X4A | 21 | 917-918 | T462X4D | 23 | 949-950 | T481X4S | 21 | 922-923 | ||
T447X4D | 23 | 949-950 | T462X4S | 21 | 922-923 | T481X5A | 15 | 791 | ||
T447X4S | 21 | 922-923 | T462X5A | 15 | 791 | T481X5A | 15 | 793 | ||
T447X5A | 15 | 791 | T462X5A | 15 | 793 | T481X5A | 21 | 917-918 | ||
T447X5A | 15 | 793 | T462X5A | 21 | 917-918 | T481X5D | 23 | 949-950 | ||
T447X5A | 21 | 917-918 | T462X5D | 23 | 949-950 | T481X5S | 21 | 922-923 | ||
T447X5D | 23 | 949-950 | T462X5S | 21 | 922-923 | T481X6A | 23 | 951 | ||
T447X5S | 21 | 922-923 | T462X6A | 23 | 951 | T481X6D | 23 | 949-950 | ||
T447X6A | 23 | 951 | T462X6D | 23 | 949-950 | T481X6S | 23 | 949-950 | ||
T447X6D | 23 | 949-950 | T462X6S | 23 | 949-950 | T48201A | 21 | 917-918 | ||
T447X6S | 23 | 949-950 | T463X1A | 21 | 917-918 | T48201D | 23 | 949-950 | ||
T448X1A | 21 | 917-918 | T463X1D | 23 | 949-950 | T48201S | 21 | 922-923 | ||
T448X1D | 23 | 949-950 | T463X1S | 21 | 922-923 | T48202A | 21 | 917-918 | ||
T448X1S | 21 | 922-923 | T463X2A | 21 | 917-918 | T48202D | 23 | 949-950 | ||
T448X2A | 21 | 917-918 | T463X2D | 23 | 949-950 | T48202S | 21 | 922-923 | ||
T448X2D | 23 | 949-950 | T463X2S | 21 | 922-923 | T48203A | 21 | 917-918 | ||
T448X2S | 21 | 922-923 | T463X3A | 21 | 917-918 | T48203D | 23 | 949-950 | ||
T448X3A | 21 | 917-918 | T463X3D | 23 | 949-950 | T48203S | 21 | 922-923 | ||
T448X3D | 23 | 949-950 | T463X3S | 21 | 922-923 | T48204A | 21 | 917-918 | ||
T448X3S | 21 | 922-923 | T463X4A | 21 | 917-918 | T48204D | 23 | 949-950 | ||
T448X4A | 21 | 917-918 | T463X4D | 23 | 949-950 | T48204S | 21 | 922-923 | ||
T448X4D | 23 | 949-950 | T463X4S | 21 | 922-923 | T48205A | 15 | 791 | ||
T448X4S | 21 | 922-923 | T463X5A | 15 | 791 | T48205A | 15 | 793 | ||
T448X5A | 15 | 791 | T463X5A | 15 | 793 | T48205A | 21 | 917-918 | ||
T448X5A | 15 | 793 | T463X5A | 21 | 917-918 | T48205D | 23 | 949-950 | ||
T448X5A | 21 | 917-918 | T463X5D | 23 | 949-950 | T48205S | 21 | 922-923 | ||
T448X5D | 23 | 949-950 | T463X5S | 21 | 922-923 | T48206A | 23 | 951 | ||
T448X5S | 21 | 922-923 | T463X6A | 23 | 951 | T48206D | 23 | 949-950 | ||
T448X6A | 23 | 951 | T463X6D | 23 | 949-950 | T48206S | 23 | 949-950 | ||
T448X6D | 23 | 949-950 | T463X6S | 23 | 949-950 | T48291A | 21 | 917-918 | ||
T448X6S | 23 | 949-950 | T464X1A | 21 | 917-918 | T48291D | 23 | 949-950 | ||
T44901A | 21 | 917-918 | T464X1D | 23 | 949-950 | T48291S | 21 | 922-923 | ||
T44901D | 23 | 949-950 | T464X1S | 21 | 922-923 | T48292A | 21 | 917-918 | ||
T44901S | 21 | 922-923 | T464X2A | 21 | 917-918 | T48292D | 23 | 949-950 | ||
T44902A | 21 | 917-918 | T464X2D | 23 | 949-950 | T48292S | 21 | 922-923 | ||
T44902D | 23 | 949-950 | T464X2S | 21 | 922-923 | T48293A | 21 | 917-918 | ||
T44902S | 21 | 922-923 | T464X3A | 21 | 917-918 | T48293D | 23 | 949-950 | ||
T44903A | 21 | 917-918 | T464X3D | 23 | 949-950 | T48293S | 21 | 922-923 | ||
T44903D | 23 | 949-950 | T464X3S | 21 | 922-923 | T48294A | 21 | 917-918 | ||
T44903S | 21 | 922-923 | T464X4A | 21 | 917-918 | T48294D | 23 | 949-950 | ||
T44904A | 21 | 917-918 | T464X4D | 23 | 949-950 | T48294S | 21 | 922-923 | ||
T44904D | 23 | 949-950 | T464X4S | 21 | 922-923 | T48295A | 15 | 791 | ||
T44904S | 21 | 922-923 | T464X5A | 15 | 791 | T48295A | 15 | 793 | ||
T44905A | 15 | 791 | T464X5A | 15 | 793 | T48295A | 21 | 917-918 | ||
T44905A | 15 | 793 | T464X5A | 21 | 917-918 | T48295D | 23 | 949-950 | ||
T44905A | 21 | 917-918 | T464X5D | 23 | 949-950 | T48295S | 21 | 922-923 | ||
T44905D | 23 | 949-950 | T464X5S | 21 | 922-923 | T48296A | 23 | 951 | ||
T44905S | 21 | 922-923 | T464X6A | 23 | 951 | T48296D | 23 | 949-950 | ||
T44906A | 23 | 951 | T464X6D | 23 | 949-950 | T48296S | 23 | 949-950 | ||
T44906D | 23 | 949-950 | T464X6S | 23 | 949-950 | T483X1A | 21 | 917-918 | ||
T44906S | 23 | 949-950 | T465X1A | 21 | 917-918 | T483X1D | 23 | 949-950 | ||
T44991A | 21 | 917-918 | T465X1D | 23 | 949-950 | T483X1S | 21 | 922-923 | ||
T44991D | 23 | 949-950 | T465X1S | 21 | 922-923 | T483X2A | 21 | 917-918 | ||
T44991S | 21 | 922-923 | T465X2A | 21 | 917-918 | T483X2D | 23 | 949-950 | ||
T44992A | 21 | 917-918 | T465X2D | 23 | 949-950 | T483X2S | 21 | 922-923 | ||
T44992D | 23 | 949-950 | T465X2S | 21 | 922-923 | T483X3A | 21 | 917-918 | ||
T44992S | 21 | 922-923 | T465X3A | 21 | 917-918 | T483X3D | 23 | 949-950 | ||
T44993A | 21 | 917-918 | T465X3D | 23 | 949-950 | T483X3S | 21 | 922-923 | ||
T44993D | 23 | 949-950 | T465X3S | 21 | 922-923 | T483X4A | 21 | 917-918 | ||
T44993S | 21 | 922-923 | T465X4A | 21 | 917-918 | T483X4D | 23 | 949-950 | ||
T44994A | 21 | 917-918 | T465X4D | 23 | 949-950 | T483X4S | 21 | 922-923 | ||
T44994D | 23 | 949-950 | T465X4S | 21 | 922-923 | T483X5A | 15 | 791 | ||
T44994S | 21 | 922-923 | T465X5A | 15 | 791 | T483X5A | 15 | 793 | ||
T44995A | 15 | 791 | T465X5A | 15 | 793 | T483X5A | 21 | 917-918 | ||
T44995A | 15 | 793 | T465X5A | 21 | 917-918 | T483X5D | 23 | 949-950 | ||
T44995A | 21 | 917-918 | T465X5D | 23 | 949-950 | T483X5S | 21 | 922-923 | ||
T44995D | 23 | 949-950 | T465X5S | 21 | 922-923 | T483X6A | 23 | 951 | ||
T44995S | 21 | 922-923 | T465X6A | 23 | 951 | T483X6D | 23 | 949-950 | ||
T44996A | 23 | 951 | T465X6D | 23 | 949-950 | T483X6S | 23 | 949-950 | ||
T44996D | 23 | 949-950 | T465X6S | 23 | 949-950 | T484X1A | 21 | 917-918 | ||
T44996S | 23 | 949-950 | T466X1A | 21 | 917-918 | T484X1D | 23 | 949-950 | ||
T450X1A | 21 | 917-918 | T466X1D | 23 | 949-950 | T484X1S | 21 | 922-923 | ||
T450X1D | 23 | 949-950 | T466X1S | 21 | 922-923 | T484X2A | 21 | 917-918 | ||
T450X1S | 21 | 922-923 | T466X2A | 21 | 917-918 | T484X2D | 23 | 949-950 | ||
T450X2A | 21 | 917-918 | T466X2D | 23 | 949-950 | T484X2S | 21 | 922-923 | ||
T450X2D | 23 | 949-950 | T466X2S | 21 | 922-923 | T484X3A | 21 | 917-918 | ||
T450X2S | 21 | 922-923 | T466X3A | 21 | 917-918 | T484X3D | 23 | 949-950 | ||
T450X3A | 21 | 917-918 | T466X3D | 23 | 949-950 | T484X3S | 21 | 922-923 | ||
T450X3D | 23 | 949-950 | T466X3S | 21 | 922-923 | T484X4A | 21 | 917-918 | ||
T450X3S | 21 | 922-923 | T466X4A | 21 | 917-918 | T484X4D | 23 | 949-950 | ||
T450X4A | 21 | 917-918 | T466X4D | 23 | 949-950 | T484X4S | 21 | 922-923 | ||
T450X4D | 23 | 949-950 | T466X4S | 21 | 922-923 | T484X5A | 15 | 791 | ||
T450X4S | 21 | 922-923 | T466X5A | 15 | 791 | T484X5A | 15 | 793 | ||
T450X5A | 15 | 791 | T466X5A | 15 | 793 | T484X5A | 21 | 917-918 | ||
T450X5A | 15 | 793 | T466X5A | 21 | 917-918 | T484X5D | 23 | 949-950 | ||
T450X5A | 21 | 917-918 | T466X5D | 23 | 949-950 | T484X5S | 21 | 922-923 | ||
T450X5D | 23 | 949-950 | T466X5S | 21 | 922-923 | T484X6A | 23 | 951 | ||
T450X5S | 21 | 922-923 | T466X6A | 23 | 951 | T484X6D | 23 | 949-950 | ||
T450X6A | 23 | 951 | T466X6D | 23 | 949-950 | T484X6S | 23 | 949-950 | ||
T450X6D | 23 | 949-950 | T466X6S | 23 | 949-950 | T485X1A | 21 | 917-918 | ||
T450X6S | 23 | 949-950 | T467X1A | 21 | 917-918 | T485X1D | 23 | 949-950 | ||
T451X1A | 21 | 917-918 | T467X1D | 23 | 949-950 | T485X1S | 21 | 922-923 | ||
T451X1D | 23 | 949-950 | T467X1S | 21 | 922-923 | T485X2A | 21 | 917-918 | ||
T451X1S | 21 | 922-923 | T467X2A | 21 | 917-918 | T485X2D | 23 | 949-950 | ||
T451X2A | 21 | 917-918 | T467X2D | 23 | 949-950 | T485X2S | 21 | 922-923 | ||
T451X2D | 23 | 949-950 | T467X2S | 21 | 922-923 | T485X3A | 21 | 917-918 | ||
T451X2S | 21 | 922-923 | T467X3A | 21 | 917-918 | T485X3D | 23 | 949-950 | ||
T451X3A | 21 | 917-918 | T467X3D | 23 | 949-950 | T485X3S | 21 | 922-923 | ||
T451X3D | 23 | 949-950 | T467X3S | 21 | 922-923 | T485X4A | 21 | 917-918 | ||
T451X3S | 21 | 922-923 | T467X4A | 21 | 917-918 | T485X4D | 23 | 949-950 | ||
T451X4A | 21 | 917-918 | T467X4D | 23 | 949-950 | T485X4S | 21 | 922-923 | ||
T451X4D | 23 | 949-950 | T467X4S | 21 | 922-923 | T485X5A | 15 | 791 | ||
T451X4S | 21 | 922-923 | T467X5A | 15 | 791 | T485X5A | 15 | 793 | ||
T451X5A | 15 | 791 | T467X5A | 15 | 793 | T485X5A | 21 | 917-918 | ||
T451X5A | 15 | 793 | T467X5A | 21 | 917-918 | T485X5D | 23 | 949-950 | ||
T451X5A | 21 | 917-918 | T467X5D | 23 | 949-950 | T485X5S | 21 | 922-923 | ||
T451X5D | 23 | 949-950 | T467X5S | 21 | 922-923 | T485X6A | 23 | 951 | ||
T451X5S | 21 | 922-923 | T467X6A | 23 | 951 | T485X6D | 23 | 949-950 | ||
T451X6A | 23 | 951 | T467X6D | 23 | 949-950 | T485X6S | 23 | 949-950 | ||
T451X6D | 23 | 949-950 | T467X6S | 23 | 949-950 | T486X1A | 21 | 917-918 | ||
T451X6S | 23 | 949-950 | T468X1A | 21 | 917-918 | T486X1D | 23 | 949-950 | ||
T452X1A | 21 | 917-918 | T468X1D | 23 | 949-950 | T486X1S | 21 | 922-923 | ||
T452X1D | 23 | 949-950 | T468X1S | 21 | 922-923 | T486X2A | 21 | 917-918 | ||
T452X1S | 21 | 922-923 | T468X2A | 21 | 917-918 | T486X2D | 23 | 949-950 | ||
T452X2A | 21 | 917-918 | T468X2D | 23 | 949-950 | T486X2S | 21 | 922-923 | ||
T452X2D | 23 | 949-950 | T468X2S | 21 | 922-923 | T486X3A | 21 | 917-918 | ||
T452X2S | 21 | 922-923 | T468X3A | 21 | 917-918 | T486X3D | 23 | 949-950 | ||
T452X3A | 21 | 917-918 | T468X3D | 23 | 949-950 | T486X3S | 21 | 922-923 | ||
T452X3D | 23 | 949-950 | T468X3S | 21 | 922-923 | T486X4A | 21 | 917-918 | ||
T452X3S | 21 | 922-923 | T468X4A | 21 | 917-918 | T486X4D | 23 | 949-950 | ||
T452X4A | 21 | 917-918 | T468X4D | 23 | 949-950 | T486X4S | 21 | 922-923 | ||
T452X4D | 23 | 949-950 | T468X4S | 21 | 922-923 | T486X5A | 15 | 791 | ||
T452X4S | 21 | 922-923 | T468X5A | 15 | 791 | T486X5A | 15 | 793 | ||
T452X5A | 15 | 791 | T468X5A | 15 | 793 | T486X5A | 21 | 917-918 | ||
T452X5A | 15 | 793 | T468X5A | 21 | 917-918 | T486X5D | 23 | 949-950 | ||
T452X5A | 21 | 917-918 | T468X5D | 23 | 949-950 | T486X5S | 21 | 922-923 | ||
T452X5D | 23 | 949-950 | T468X5S | 21 | 922-923 | T486X6A | 23 | 951 | ||
T452X5S | 21 | 922-923 | T468X6A | 23 | 951 | T486X6D | 23 | 949-950 | ||
T452X6A | 23 | 951 | T468X6D | 23 | 949-950 | T486X6S | 23 | 949-950 | ||
T452X6D | 23 | 949-950 | T468X6S | 23 | 949-950 | T48901A | 21 | 917-918 | ||
T452X6S | 23 | 949-950 | T46901A | 21 | 917-918 | T48901D | 23 | 949-950 | ||
T453X1A | 21 | 917-918 | T46901D | 23 | 949-950 | T48901S | 21 | 922-923 | ||
T453X1D | 23 | 949-950 | T46901S | 21 | 922-923 | T48902A | 21 | 917-918 | ||
T453X1S | 21 | 922-923 | T46902A | 21 | 917-918 | T48902D | 23 | 949-950 | ||
T453X2A | 21 | 917-918 | T46902D | 23 | 949-950 | T48902S | 21 | 922-923 | ||
T453X2D | 23 | 949-950 | T46902S | 21 | 922-923 | T48903A | 21 | 917-918 | ||
T453X2S | 21 | 922-923 | T46903A | 21 | 917-918 | T48903D | 23 | 949-950 | ||
T453X3A | 21 | 917-918 | T46903D | 23 | 949-950 | T48903S | 21 | 922-923 | ||
T453X3D | 23 | 949-950 | T46903S | 21 | 922-923 | T48904A | 21 | 917-918 | ||
T453X3S | 21 | 922-923 | T46904A | 21 | 917-918 | T48904D | 23 | 949-950 | ||
T453X4A | 21 | 917-918 | T46904D | 23 | 949-950 | T48904S | 21 | 922-923 | ||
T453X4D | 23 | 949-950 | T46904S | 21 | 922-923 | T48905A | 15 | 791 | ||
T453X4S | 21 | 922-923 | T46905A | 15 | 791 | T48905A | 15 | 793 | ||
T453X5A | 15 | 791 | T46905A | 15 | 793 | T48905A | 21 | 917-918 | ||
T453X5A | 15 | 793 | T46905A | 21 | 917-918 | T48905D | 23 | 949-950 | ||
T453X5A | 21 | 917-918 | T46905D | 23 | 949-950 | T48905S | 21 | 922-923 | ||
T453X5D | 23 | 949-950 | T46905S | 21 | 922-923 | T48906A | 23 | 951 | ||
T453X5S | 21 | 922-923 | T46906A | 23 | 951 | T48906D | 23 | 949-950 | ||
T453X6A | 23 | 951 | T46906D | 23 | 949-950 | T48906S | 23 | 949-950 | ||
T453X6D | 23 | 949-950 | T46906S | 23 | 949-950 | T48991A | 21 | 917-918 | ||
T453X6S | 23 | 949-950 | T46991A | 21 | 917-918 | T48991D | 23 | 949-950 | ||
T454X1A | 21 | 917-918 | T46991D | 23 | 949-950 | T48991S | 21 | 922-923 | ||
T454X1D | 23 | 949-950 | T46991S | 21 | 922-923 | T48992A | 21 | 917-918 | ||
T454X1S | 21 | 922-923 | T46992A | 21 | 917-918 | T48992D | 23 | 949-950 | ||
T454X2A | 21 | 917-918 | T46992D | 23 | 949-950 | T48992S | 21 | 922-923 | ||
T454X2D | 23 | 949-950 | T46992S | 21 | 922-923 | T48993A | 21 | 917-918 | ||
T454X2S | 21 | 922-923 | T46993A | 21 | 917-918 | T48993D | 23 | 949-950 | ||
T454X3A | 21 | 917-918 | T46993D | 23 | 949-950 | T48993S | 21 | 922-923 | ||
T454X3D | 23 | 949-950 | T46993S | 21 | 922-923 | T48994A | 21 | 917-918 | ||
T454X3S | 21 | 922-923 | T46994A | 21 | 917-918 | T48994D | 23 | 949-950 | ||
T454X4A | 21 | 917-918 | T46994D | 23 | 949-950 | T48994S | 21 | 922-923 | ||
T454X4D | 23 | 949-950 | T46994S | 21 | 922-923 | T48995A | 15 | 791 | ||
T454X4S | 21 | 922-923 | T46995A | 15 | 791 | T48995A | 15 | 793 | ||
T454X5A | 15 | 791 | T46995A | 15 | 793 | T48995A | 21 | 917-918 | ||
T454X5A | 15 | 793 | T46995A | 21 | 917-918 | T48995D | 23 | 949-950 | ||
T454X5A | 21 | 917-918 | T46995D | 23 | 949-950 | T48995S | 21 | 922-923 | ||
T454X5D | 23 | 949-950 | T46995S | 21 | 922-923 | T48996A | 23 | 951 | ||
T454X5S | 21 | 922-923 | T46996A | 23 | 951 | T48996D | 23 | 949-950 | ||
T454X6A | 23 | 951 | T46996D | 23 | 949-950 | T48996S | 23 | 949-950 | ||
T454X6D | 23 | 949-950 | T46996S | 23 | 949-950 | T490X1A | 21 | 917-918 | ||
T454X6S | 23 | 949-950 | T470X1A | 21 | 917-918 | T490X1D | 23 | 949-950 | ||
T45511A | 21 | 917-918 | T470X1D | 23 | 949-950 | T490X1S | 21 | 922-923 | ||
T45511D | 23 | 949-950 | T470X1S | 21 | 922-923 | T490X2A | 21 | 917-918 | ||
T45511S | 21 | 922-923 | T470X2A | 21 | 917-918 | T490X2D | 23 | 949-950 | ||
T45512A | 21 | 917-918 | T470X2D | 23 | 949-950 | T490X2S | 21 | 922-923 | ||
T45512D | 23 | 949-950 | T470X2S | 21 | 922-923 | T490X3A | 21 | 917-918 | ||
T45512S | 21 | 922-923 | T470X3A | 21 | 917-918 | T490X3D | 23 | 949-950 | ||
T45513A | 21 | 917-918 | T470X3D | 23 | 949-950 | T490X3S | 21 | 922-923 | ||
T45513D | 23 | 949-950 | T470X3S | 21 | 922-923 | T490X4A | 21 | 917-918 | ||
T45513S | 21 | 922-923 | T470X4A | 21 | 917-918 | T490X4D | 23 | 949-950 | ||
T45514A | 21 | 917-918 | T470X4D | 23 | 949-950 | T490X4S | 21 | 922-923 | ||
T45514D | 23 | 949-950 | T470X4S | 21 | 922-923 | T490X5A | 15 | 791 | ||
T45514S | 21 | 922-923 | T470X5A | 15 | 791 | T490X5A | 15 | 793 | ||
T45515A | 15 | 791 | T470X5A | 15 | 793 | T490X5A | 21 | 917-918 | ||
T45515A | 15 | 793 | T470X5A | 21 | 917-918 | T490X5D | 23 | 949-950 | ||
T45515A | 21 | 917-918 | T470X5D | 23 | 949-950 | T490X5S | 21 | 922-923 | ||
T45515D | 23 | 949-950 | T470X5S | 21 | 922-923 | T490X6A | 23 | 951 | ||
T45515S | 21 | 922-923 | T470X6A | 23 | 951 | T490X6D | 23 | 949-950 | ||
T45516A | 23 | 951 | T470X6D | 23 | 949-950 | T490X6S | 23 | 949-950 | ||
T45516D | 23 | 949-950 | T470X6S | 23 | 949-950 | T491X1A | 21 | 917-918 | ||
T45516S | 23 | 949-950 | T471X1A | 21 | 917-918 | T491X1D | 23 | 949-950 | ||
T45521A | 21 | 917-918 | T471X1D | 23 | 949-950 | T491X1S | 21 | 922-923 | ||
T45521D | 23 | 949-950 | T471X1S | 21 | 922-923 | T491X2A | 21 | 917-918 | ||
T45521S | 21 | 922-923 | T471X2A | 21 | 917-918 | T491X2D | 23 | 949-950 | ||
T45522A | 21 | 917-918 | T471X2D | 23 | 949-950 | T491X2S | 21 | 922-923 | ||
T45522D | 23 | 949-950 | T471X2S | 21 | 922-923 | T491X3A | 21 | 917-918 | ||
T45522S | 21 | 922-923 | T471X3A | 21 | 917-918 | T491X3D | 23 | 949-950 | ||
T45523A | 21 | 917-918 | T471X3D | 23 | 949-950 | T491X3S | 21 | 922-923 | ||
T45523D | 23 | 949-950 | T471X3S | 21 | 922-923 | T491X4A | 21 | 917-918 | ||
T45523S | 21 | 922-923 | T471X4A | 21 | 917-918 | T491X4D | 23 | 949-950 | ||
T45524A | 21 | 917-918 | T471X4D | 23 | 949-950 | T491X4S | 21 | 922-923 | ||
T45524D | 23 | 949-950 | T471X4S | 21 | 922-923 | T491X5A | 15 | 791 | ||
T45524S | 21 | 922-923 | T471X5A | 15 | 791 | T491X5A | 15 | 793 | ||
T45525A | 15 | 791 | T471X5A | 15 | 793 | T491X5A | 21 | 917-918 | ||
T45525A | 15 | 793 | T471X5A | 21 | 917-918 | T491X5D | 23 | 949-950 | ||
T45525A | 21 | 917-918 | T471X5D | 23 | 949-950 | T491X5S | 21 | 922-923 | ||
T45525D | 23 | 949-950 | T471X5S | 21 | 922-923 | T491X6A | 23 | 951 | ||
T45525S | 21 | 922-923 | T471X6A | 23 | 951 | T491X6D | 23 | 949-950 | ||
T45526A | 23 | 951 | T471X6D | 23 | 949-950 | T491X6S | 23 | 949-950 | ||
T45526D | 23 | 949-950 | T471X6S | 23 | 949-950 | T492X1A | 21 | 917-918 | ||
T45526S | 23 | 949-950 | T472X1A | 21 | 917-918 | T492X1D | 23 | 949-950 | ||
T45601A | 21 | 917-918 | T472X1D | 23 | 949-950 | T492X1S | 21 | 922-923 | ||
T45601D | 23 | 949-950 | T472X1S | 21 | 922-923 | T492X2A | 21 | 917-918 | ||
T45601S | 21 | 922-923 | T472X2A | 21 | 917-918 | T492X2D | 23 | 949-950 | ||
T45602A | 21 | 917-918 | T472X2D | 23 | 949-950 | T492X2S | 21 | 922-923 | ||
T45602D | 23 | 949-950 | T472X2S | 21 | 922-923 | T492X3A | 21 | 917-918 | ||
T45602S | 21 | 922-923 | T472X3A | 21 | 917-918 | T492X3D | 23 | 949-950 | ||
T45603A | 21 | 917-918 | T472X3D | 23 | 949-950 | T492X3S | 21 | 922-923 | ||
T45603D | 23 | 949-950 | T472X3S | 21 | 922-923 | T492X4A | 21 | 917-918 | ||
T45603S | 21 | 922-923 | T472X4A | 21 | 917-918 | T492X4D | 23 | 949-950 | ||
T45604A | 21 | 917-918 | T472X4D | 23 | 949-950 | T492X4S | 21 | 922-923 | ||
T45604D | 23 | 949-950 | T472X4S | 21 | 922-923 | T492X5A | 15 | 791 | ||
T45604S | 21 | 922-923 | T472X5A | 15 | 791 | T492X5A | 15 | 793 | ||
T45605A | 15 | 791 | T472X5A | 15 | 793 | T492X5A | 21 | 917-918 | ||
T45605A | 15 | 793 | T472X5A | 21 | 917-918 | T492X5D | 23 | 949-950 | ||
T45605A | 21 | 917-918 | T472X5D | 23 | 949-950 | T492X5S | 21 | 922-923 | ||
T45605D | 23 | 949-950 | T472X5S | 21 | 922-923 | T492X6A | 23 | 951 | ||
T45605S | 21 | 922-923 | T472X6A | 23 | 951 | T492X6D | 23 | 949-950 | ||
T45606A | 23 | 951 | T472X6D | 23 | 949-950 | T492X6S | 23 | 949-950 | ||
T45606D | 23 | 949-950 | T472X6S | 23 | 949-950 | T493X1A | 21 | 917-918 | ||
T45606S | 23 | 949-950 | T473X1A | 21 | 917-918 | T493X1D | 23 | 949-950 | ||
T45611A | 21 | 917-918 | T473X1D | 23 | 949-950 | T493X1S | 21 | 922-923 | ||
T45611D | 23 | 949-950 | T473X1S | 21 | 922-923 | T493X2A | 21 | 917-918 | ||
T45611S | 21 | 922-923 | T473X2A | 21 | 917-918 | T493X2D | 23 | 949-950 | ||
T45612A | 21 | 917-918 | T473X2D | 23 | 949-950 | T493X2S | 21 | 922-923 | ||
T45612D | 23 | 949-950 | T473X2S | 21 | 922-923 | T493X3A | 21 | 917-918 | ||
T45612S | 21 | 922-923 | T473X3A | 21 | 917-918 | T493X3D | 23 | 949-950 | ||
T45613A | 21 | 917-918 | T473X3D | 23 | 949-950 | T493X3S | 21 | 922-923 | ||
T45613D | 23 | 949-950 | T473X3S | 21 | 922-923 | T493X4A | 21 | 917-918 | ||
T45613S | 21 | 922-923 | T473X4A | 21 | 917-918 | T493X4D | 23 | 949-950 | ||
T45614A | 21 | 917-918 | T473X4D | 23 | 949-950 | T493X4S | 21 | 922-923 | ||
T45614D | 23 | 949-950 | T473X4S | 21 | 922-923 | T493X5A | 15 | 791 | ||
T45614S | 21 | 922-923 | T473X5A | 15 | 791 | T493X5A | 15 | 793 | ||
T45615A | 15 | 791 | T473X5A | 15 | 793 | T493X5A | 21 | 917-918 | ||
T45615A | 15 | 793 | T473X5A | 21 | 917-918 | T493X5D | 23 | 949-950 | ||
T45615A | 21 | 917-918 | T473X5D | 23 | 949-950 | T493X5S | 21 | 922-923 | ||
T45615D | 23 | 949-950 | T473X5S | 21 | 922-923 | T493X6A | 23 | 951 | ||
T45615S | 21 | 922-923 | T473X6A | 23 | 951 | T493X6D | 23 | 949-950 | ||
T45616A | 23 | 951 | T473X6D | 23 | 949-950 | T493X6S | 23 | 949-950 | ||
T45616D | 23 | 949-950 | T473X6S | 23 | 949-950 | T494X1A | 21 | 917-918 | ||
T45616S | 23 | 949-950 | T474X1A | 21 | 917-918 | T494X1D | 23 | 949-950 | ||
T45621A | 21 | 917-918 | T474X1D | 23 | 949-950 | T494X1S | 21 | 922-923 | ||
T45621D | 23 | 949-950 | T474X1S | 21 | 922-923 | T494X2A | 21 | 917-918 | ||
T45621S | 21 | 922-923 | T474X2A | 21 | 917-918 | T494X2D | 23 | 949-950 | ||
T45622A | 21 | 917-918 | T474X2D | 23 | 949-950 | T494X2S | 21 | 922-923 | ||
T45622D | 23 | 949-950 | T474X2S | 21 | 922-923 | T494X3A | 21 | 917-918 | ||
T45622S | 21 | 922-923 | T474X3A | 21 | 917-918 | T494X3D | 23 | 949-950 | ||
T45623A | 21 | 917-918 | T474X3D | 23 | 949-950 | T494X3S | 21 | 922-923 | ||
T45623D | 23 | 949-950 | T474X3S | 21 | 922-923 | T494X4A | 21 | 917-918 | ||
T45623S | 21 | 922-923 | T474X4A | 21 | 917-918 | T494X4D | 23 | 949-950 | ||
T45624A | 21 | 917-918 | T474X4D | 23 | 949-950 | T494X4S | 21 | 922-923 | ||
T45624D | 23 | 949-950 | T474X4S | 21 | 922-923 | T494X5A | 15 | 791 | ||
T45624S | 21 | 922-923 | T474X5A | 15 | 791 | T494X5A | 15 | 793 | ||
T45625A | 15 | 791 | T474X5A | 15 | 793 | T494X5A | 21 | 917-918 | ||
T45625A | 15 | 793 | T474X5A | 21 | 917-918 | T494X5D | 23 | 949-950 | ||
T45625A | 21 | 917-918 | T474X5D | 23 | 949-950 | T494X5S | 21 | 922-923 | ||
T45625D | 23 | 949-950 | T474X5S | 21 | 922-923 | T494X6A | 23 | 951 | ||
T45625S | 21 | 922-923 | T474X6A | 23 | 951 | T494X6D | 23 | 949-950 | ||
T45626A | 23 | 951 | T474X6D | 23 | 949-950 | T494X6S | 23 | 949-950 | ||
T45626D | 23 | 949-950 | T474X6S | 23 | 949-950 | T495X1A | 21 | 917-918 | ||
T45626S | 23 | 949-950 | T475X1A | 21 | 917-918 | T495X1D | 23 | 949-950 | ||
T45691A | 21 | 917-918 | T475X1D | 23 | 949-950 | T495X1S | 21 | 922-923 | ||
T45691D | 23 | 949-950 | T475X1S | 21 | 922-923 | T495X2A | 21 | 917-918 | ||
T45691S | 21 | 922-923 | T475X2A | 21 | 917-918 | T495X2D | 23 | 949-950 | ||
T45692A | 21 | 917-918 | T475X2D | 23 | 949-950 | T495X2S | 21 | 922-923 | ||
T45692D | 23 | 949-950 | T475X2S | 21 | 922-923 | T495X3A | 21 | 917-918 | ||
T45692S | 21 | 922-923 | T475X3A | 21 | 917-918 | T495X3D | 23 | 949-950 | ||
T45693A | 21 | 917-918 | T475X3D | 23 | 949-950 | T495X3S | 21 | 922-923 | ||
T45693D | 23 | 949-950 | T475X3S | 21 | 922-923 | T495X4A | 21 | 917-918 | ||
T45693S | 21 | 922-923 | T475X4A | 21 | 917-918 | T495X4D | 23 | 949-950 | ||
T45694A | 21 | 917-918 | T475X4D | 23 | 949-950 | T495X4S | 21 | 922-923 | ||
T45694D | 23 | 949-950 | T475X4S | 21 | 922-923 | T495X5A | 15 | 791 | ||
T45694S | 21 | 922-923 | T475X5A | 15 | 791 | T495X5A | 15 | 793 | ||
T45695A | 15 | 791 | T475X5A | 15 | 793 | T495X5A | 21 | 917-918 | ||
T45695A | 15 | 793 | T475X5A | 21 | 917-918 | T495X5D | 23 | 949-950 | ||
T45695A | 21 | 917-918 | T475X5D | 23 | 949-950 | T495X5S | 21 | 922-923 | ||
T45695D | 23 | 949-950 | T475X5S | 21 | 922-923 | T495X6A | 23 | 951 | ||
T45695S | 21 | 922-923 | T475X6A | 23 | 951 | T495X6D | 23 | 949-950 | ||
T45696A | 23 | 951 | T475X6D | 23 | 949-950 | T495X6S | 23 | 949-950 | ||
T45696D | 23 | 949-950 | T475X6S | 23 | 949-950 | T496X1A | 21 | 917-918 | ||
T45696S | 23 | 949-950 | T476X1A | 21 | 917-918 | T496X1D | 23 | 949-950 | ||
T457X1A | 21 | 917-918 | T476X1D | 23 | 949-950 | T496X1S | 21 | 922-923 | ||
T457X1D | 23 | 949-950 | T476X1S | 21 | 922-923 | T496X2A | 21 | 917-918 | ||
T457X1S | 21 | 922-923 | T476X2A | 21 | 917-918 | T496X2D | 23 | 949-950 | ||
T457X2A | 21 | 917-918 | T476X2D | 23 | 949-950 | T496X2S | 21 | 922-923 | ||
T457X2D | 23 | 949-950 | T476X2S | 21 | 922-923 | T496X3A | 21 | 917-918 | ||
T457X2S | 21 | 922-923 | T476X3A | 21 | 917-918 | T496X3D | 23 | 949-950 | ||
T457X3A | 21 | 917-918 | T476X3D | 23 | 949-950 | T496X3S | 21 | 922-923 | ||
T457X3D | 23 | 949-950 | T476X3S | 21 | 922-923 | T496X4A | 21 | 917-918 | ||
T457X3S | 21 | 922-923 | T476X4A | 21 | 917-918 | T496X4D | 23 | 949-950 | ||
T457X4A | 21 | 917-918 | T476X4D | 23 | 949-950 | T496X4S | 21 | 922-923 | ||
T457X4D | 23 | 949-950 | T476X4S | 21 | 922-923 | T496X5A | 15 | 791 | ||
T457X4S | 21 | 922-923 | T476X5A | 15 | 791 | T496X5A | 15 | 793 | ||
T457X5A | 15 | 791 | T476X5A | 15 | 793 | T496X5A | 21 | 917-918 | ||
T457X5A | 15 | 793 | T476X5A | 21 | 917-918 | T496X5D | 23 | 949-950 | ||
T457X5A | 21 | 917-918 | T476X5D | 23 | 949-950 | T496X5S | 21 | 922-923 | ||
T457X5D | 23 | 949-950 | T476X5S | 21 | 922-923 | T496X6A | 23 | 951 | ||
T457X5S | 21 | 922-923 | T476X6A | 23 | 951 | T496X6D | 23 | 949-950 | ||
T457X6A | 23 | 951 | T476X6D | 23 | 949-950 | T496X6S | 23 | 949-950 | ||
T457X6D | 23 | 949-950 | T476X6S | 23 | 949-950 | T497X1A | 21 | 917-918 | ||
T457X6S | 23 | 949-950 | T477X1A | 21 | 917-918 | T497X1D | 23 | 949-950 | ||
T458X1A | 21 | 917-918 | T477X1D | 23 | 949-950 | T497X1S | 21 | 922-923 | ||
T458X1D | 23 | 949-950 | T477X1S | 21 | 922-923 | T497X2A | 21 | 917-918 | ||
T458X1S | 21 | 922-923 | T477X2A | 21 | 917-918 | T497X2D | 23 | 949-950 | ||
T458X2A | 21 | 917-918 | T477X2D | 23 | 949-950 | T497X2S | 21 | 922-923 | ||
T458X2D | 23 | 949-950 | T477X2S | 21 | 922-923 | T497X3A | 21 | 917-918 | ||
T458X2S | 21 | 922-923 | T477X3A | 21 | 917-918 | T497X3D | 23 | 949-950 | ||
T458X3A | 21 | 917-918 | T477X3D | 23 | 949-950 | T497X3S | 21 | 922-923 | ||
T458X3D | 23 | 949-950 | T477X3S | 21 | 922-923 | T497X4A | 21 | 917-918 | ||
T458X3S | 21 | 922-923 | T477X4A | 21 | 917-918 | T497X4D | 23 | 949-950 | ||
T458X4A | 21 | 917-918 | T477X4D | 23 | 949-950 | T497X4S | 21 | 922-923 | ||
T458X4D | 23 | 949-950 | T477X4S | 21 | 922-923 | T497X5A | 15 | 791 | ||
T458X4S | 21 | 922-923 | T477X5A | 15 | 791 | T497X5A | 15 | 793 | ||
T458X5A | 15 | 791 | T477X5A | 15 | 793 | T497X5A | 21 | 917-918 | ||
T458X5A | 15 | 793 | T477X5A | 21 | 917-918 | T497X5D | 23 | 949-950 | ||
T458X5A | 21 | 917-918 | T477X5D | 23 | 949-950 | T497X5S | 21 | 922-923 | ||
T458X5D | 23 | 949-950 | T477X5S | 21 | 922-923 | T497X6A | 23 | 951 | ||
T458X5S | 21 | 922-923 | T477X6A | 23 | 951 | T497X6D | 23 | 949-950 | ||
T458X6A | 23 | 951 | T477X6D | 23 | 949-950 | T497X6S | 23 | 949-950 | ||
T458X6D | 23 | 949-950 | T477X6S | 23 | 949-950 | T498X1A | 21 | 917-918 | ||
T458X6S | 23 | 949-950 | T478X1A | 21 | 917-918 | T498X1D | 23 | 949-950 | ||
T4591XA | 21 | 917-918 | T478X1D | 23 | 949-950 | T498X1S | 21 | 922-923 | ||
T4591XD | 23 | 949-950 | T478X1S | 21 | 922-923 | T498X2A | 21 | 917-918 | ||
T4591XS | 21 | 922-923 | T478X2A | 21 | 917-918 | T498X2D | 23 | 949-950 | ||
T4592XA | 21 | 917-918 | T478X2D | 23 | 949-950 | T498X2S | 21 | 922-923 | ||
T4592XD | 23 | 949-950 | T478X2S | 21 | 922-923 | T498X3A | 21 | 917-918 | ||
T4592XS | 21 | 922-923 | T478X3A | 21 | 917-918 | T498X3D | 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 |