DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 72 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 | ||
---|---|---|---|---|---|---|---|---|---|---|
T7805XS | 21 | 922-923 | T81505D | 23 | 949-950 | T82391A | 05 | 314-316 | ||
T7806XA | 21 | 915-916 | T81505S | 21 | 922-923 | T82391D | 23 | 949-950 | ||
T7806XD | 23 | 949-950 | T81506A | 15 | 791 | T82391S | 21 | 922-923 | ||
T7806XS | 21 | 922-923 | T81506A | 15 | 793 | T82392A | 05 | 314-316 | ||
T7807XA | 21 | 915-916 | T81506A | 21 | 919-921 | T82392D | 23 | 949-950 | ||
T7807XD | 23 | 949-950 | T81506D | 23 | 949-950 | T82392S | 21 | 922-923 | ||
T7807XS | 21 | 922-923 | T81506S | 21 | 922-923 | T82398A | 05 | 314-316 | ||
T7808XA | 21 | 915-916 | T81507A | 15 | 791 | T82398D | 23 | 949-950 | ||
T7808XD | 23 | 949-950 | T81507A | 15 | 793 | T82398S | 21 | 922-923 | ||
T7808XS | 21 | 922-923 | T81507A | 21 | 919-921 | T82399A | 05 | 314-316 | ||
T7809XA | 21 | 915-916 | T81507D | 23 | 949-950 | T82399D | 23 | 949-950 | ||
T7809XD | 23 | 949-950 | T81507S | 21 | 922-923 | T82399S | 21 | 922-923 | ||
T7809XS | 21 | 922-923 | T81508A | 15 | 791 | T8241XA | 11 | 673-675 | ||
T781XXA | 21 | 922-923 | T81508A | 15 | 793 | T8241XA | 11 | 698-700 | ||
T781XXD | 23 | 949-950 | T81508A | 21 | 919-921 | T8241XD | 23 | 949-950 | ||
T781XXS | 21 | 922-923 | T81508D | 23 | 949-950 | T8241XS | 21 | 922-923 | ||
T782XXA | 21 | 915-916 | T81508S | 21 | 922-923 | T8242XA | 11 | 673-675 | ||
T782XXD | 23 | 949-950 | T81509A | 15 | 791 | T8242XA | 11 | 698-700 | ||
T782XXS | 21 | 922-923 | T81509A | 15 | 793 | T8242XD | 23 | 949-950 | ||
T783XXA | 21 | 915-916 | T81509A | 21 | 919-921 | T8242XS | 21 | 922-923 | ||
T783XXD | 23 | 949-950 | T81509D | 23 | 949-950 | T8243XA | 11 | 673-675 | ||
T783XXS | 21 | 922-923 | T81509S | 21 | 922-923 | T8243XA | 11 | 698-700 | ||
T7840XA | 21 | 915-916 | T81510A | 15 | 791 | T8243XD | 23 | 949-950 | ||
T7840XD | 23 | 949-950 | T81510A | 15 | 793 | T8243XS | 21 | 922-923 | ||
T7840XS | 21 | 922-923 | T81510A | 21 | 919-921 | T8249XA | 11 | 673-675 | ||
T7841XA | 15 | 791 | T81510D | 23 | 949-950 | T8249XA | 11 | 698-700 | ||
T7841XA | 15 | 793 | T81510S | 21 | 922-923 | T8249XD | 23 | 949-950 | ||
T7841XA | 21 | 917-918 | T81511A | 15 | 791 | T8249XS | 21 | 922-923 | ||
T7841XD | 23 | 949-950 | T81511A | 15 | 793 | T82510A | 05 | 314-316 | ||
T7841XS | 21 | 922-923 | T81511A | 21 | 919-921 | T82510D | 23 | 949-950 | ||
T7849XA | 21 | 915-916 | T81511D | 23 | 949-950 | T82510S | 21 | 922-923 | ||
T7849XD | 23 | 949-950 | T81511S | 21 | 922-923 | T82511A | 05 | 314-316 | ||
T7849XS | 21 | 922-923 | T81512A | 15 | 791 | T82511D | 23 | 949-950 | ||
T788XXA | 21 | 922-923 | T81512A | 15 | 793 | T82511S | 21 | 922-923 | ||
T788XXD | 23 | 949-950 | T81512A | 21 | 919-921 | T82512A | 05 | 314-316 | ||
T788XXS | 21 | 922-923 | T81512D | 23 | 949-950 | T82512D | 23 | 949-950 | ||
T790XXA | 04 | 175-176 | T81512S | 21 | 922-923 | T82512S | 21 | 922-923 | ||
T790XXA | 15 | 791 | T81513A | 15 | 791 | T82513A | 05 | 314-316 | ||
T790XXA | 15 | 793 | T81513A | 15 | 793 | T82513D | 23 | 949-950 | ||
T790XXA | 24 | 963-965 | T81513A | 21 | 919-921 | T82513S | 21 | 922-923 | ||
T790XXD | 23 | 949-950 | T81513D | 23 | 949-950 | T82514A | 05 | 314-316 | ||
T790XXS | 21 | 913-914 | T81513S | 21 | 922-923 | T82514D | 23 | 949-950 | ||
T791XXA | 04 | 175-176 | T81514A | 15 | 791 | T82514S | 21 | 922-923 | ||
T791XXA | 15 | 791 | T81514A | 15 | 793 | T82515A | 05 | 314-316 | ||
T791XXA | 15 | 793 | T81514A | 21 | 919-921 | T82515D | 23 | 949-950 | ||
T791XXA | 24 | 963-965 | T81514D | 23 | 949-950 | T82515S | 21 | 922-923 | ||
T791XXD | 23 | 949-950 | T81514S | 21 | 922-923 | T82518A | 05 | 314-316 | ||
T791XXS | 21 | 913-914 | T81515A | 15 | 791 | T82518D | 23 | 949-950 | ||
T792XXA | 15 | 791 | T81515A | 15 | 793 | T82518S | 21 | 922-923 | ||
T792XXA | 15 | 793 | T81515A | 21 | 919-921 | T82519A | 05 | 314-316 | ||
T792XXA | 21 | 922-923 | T81515D | 23 | 949-950 | T82519D | 23 | 949-950 | ||
T792XXA | 24 | 963-965 | T81515S | 21 | 922-923 | T82519S | 21 | 922-923 | ||
T792XXD | 23 | 949-950 | T81516A | 15 | 791 | T82520A | 05 | 314-316 | ||
T792XXS | 21 | 913-914 | T81516A | 15 | 793 | T82520D | 23 | 949-950 | ||
T794XXA | 15 | 791 | T81516A | 21 | 919-921 | T82520S | 21 | 922-923 | ||
T794XXA | 15 | 793 | T81516D | 23 | 949-950 | T82521A | 05 | 314-316 | ||
T794XXA | 21 | 922-923 | T81516S | 21 | 922-923 | T82521D | 23 | 949-950 | ||
T794XXA | 24 | 963-965 | T81517A | 15 | 791 | T82521S | 21 | 922-923 | ||
T794XXD | 23 | 949-950 | T81517A | 15 | 793 | T82522A | 05 | 314-316 | ||
T794XXS | 21 | 913-914 | T81517A | 21 | 919-921 | T82522D | 23 | 949-950 | ||
T795XXA | 11 | 673-675 | T81517D | 23 | 949-950 | T82522S | 21 | 922-923 | ||
T795XXA | 11 | 682-684 | T81517S | 21 | 922-923 | T82523A | 05 | 314-316 | ||
T795XXA | 15 | 791 | T81518A | 15 | 791 | T82523D | 23 | 949-950 | ||
T795XXA | 15 | 793 | T81518A | 15 | 793 | T82523S | 21 | 922-923 | ||
T795XXA | 24 | 963-965 | T81518A | 21 | 919-921 | T82524A | 05 | 314-316 | ||
T795XXD | 23 | 949-950 | T81518D | 23 | 949-950 | T82524D | 23 | 949-950 | ||
T795XXS | 21 | 913-914 | T81518S | 21 | 922-923 | T82524S | 21 | 922-923 | ||
T796XXA | 08 | 564-566 | T81519A | 15 | 791 | T82525A | 05 | 314-316 | ||
T796XXA | 24 | 963-965 | T81519A | 15 | 793 | T82525D | 23 | 949-950 | ||
T796XXD | 23 | 949-950 | T81519A | 21 | 919-921 | T82525S | 21 | 922-923 | ||
T796XXS | 21 | 913-914 | T81519D | 23 | 949-950 | T82528A | 05 | 314-316 | ||
T797XXA | 04 | 199-201 | T81519S | 21 | 922-923 | T82528D | 23 | 949-950 | ||
T797XXA | 15 | 791 | T81520A | 15 | 791 | T82528S | 21 | 922-923 | ||
T797XXA | 15 | 793 | T81520A | 15 | 793 | T82529A | 05 | 314-316 | ||
T797XXA | 24 | 963-965 | T81520A | 21 | 919-921 | T82529D | 23 | 949-950 | ||
T797XXD | 23 | 949-950 | T81520D | 23 | 949-950 | T82529S | 21 | 922-923 | ||
T797XXS | 21 | 913-914 | T81520S | 21 | 922-923 | T82530A | 05 | 314-316 | ||
T798XXA | 21 | 922-923 | T81521A | 15 | 791 | T82530D | 23 | 949-950 | ||
T798XXA | 24 | 963-965 | T81521A | 15 | 793 | T82530S | 21 | 922-923 | ||
T798XXD | 23 | 949-950 | T81521A | 21 | 919-921 | T82531A | 05 | 314-316 | ||
T798XXS | 21 | 913-914 | T81521D | 23 | 949-950 | T82531D | 23 | 949-950 | ||
T799XXA | 21 | 922-923 | T81521S | 21 | 922-923 | T82531S | 21 | 922-923 | ||
T799XXA | 24 | 963-965 | T81522A | 15 | 791 | T82532A | 05 | 314-316 | ||
T799XXD | 23 | 949-950 | T81522A | 15 | 793 | T82532D | 23 | 949-950 | ||
T799XXS | 21 | 913-914 | T81522A | 21 | 919-921 | T82532S | 21 | 922-923 | ||
T79A0XA | 21 | 922-923 | T81522D | 23 | 949-950 | T82533A | 05 | 314-316 | ||
T79A0XA | 24 | 963-965 | T81522S | 21 | 922-923 | T82533D | 23 | 949-950 | ||
T79A0XD | 23 | 949-950 | T81523A | 15 | 791 | T82533S | 21 | 922-923 | ||
T79A0XS | 21 | 913-914 | T81523A | 15 | 793 | T82534A | 05 | 314-316 | ||
T79A11A | 21 | 922-923 | T81523A | 21 | 919-921 | T82534D | 23 | 949-950 | ||
T79A11A | 24 | 963-965 | T81523D | 23 | 949-950 | T82534S | 21 | 922-923 | ||
T79A11D | 23 | 949-950 | T81523S | 21 | 922-923 | T82535A | 05 | 314-316 | ||
T79A11S | 21 | 913-914 | T81524A | 15 | 791 | T82535D | 23 | 949-950 | ||
T79A12A | 21 | 922-923 | T81524A | 15 | 793 | T82535S | 21 | 922-923 | ||
T79A12A | 24 | 963-965 | T81524A | 21 | 919-921 | T82538A | 05 | 314-316 | ||
T79A12D | 23 | 949-950 | T81524D | 23 | 949-950 | T82538D | 23 | 949-950 | ||
T79A12S | 21 | 913-914 | T81524S | 21 | 922-923 | T82538S | 21 | 922-923 | ||
T79A19A | 21 | 922-923 | T81525A | 15 | 791 | T82539A | 05 | 314-316 | ||
T79A19A | 24 | 963-965 | T81525A | 15 | 793 | T82539D | 23 | 949-950 | ||
T79A19D | 23 | 949-950 | T81525A | 21 | 919-921 | T82539S | 21 | 922-923 | ||
T79A19S | 21 | 913-914 | T81525D | 23 | 949-950 | T82590A | 05 | 314-316 | ||
T79A21A | 21 | 922-923 | T81525S | 21 | 922-923 | T82590D | 23 | 949-950 | ||
T79A21A | 24 | 963-965 | T81526A | 15 | 791 | T82590S | 21 | 922-923 | ||
T79A21D | 23 | 949-950 | T81526A | 15 | 793 | T82591A | 05 | 314-316 | ||
T79A21S | 21 | 913-914 | T81526A | 21 | 919-921 | T82591D | 23 | 949-950 | ||
T79A22A | 21 | 922-923 | T81526D | 23 | 949-950 | T82591S | 21 | 922-923 | ||
T79A22A | 24 | 963-965 | T81526S | 21 | 922-923 | T82592A | 05 | 314-316 | ||
T79A22D | 23 | 949-950 | T81527A | 15 | 791 | T82592D | 23 | 949-950 | ||
T79A22S | 21 | 913-914 | T81527A | 15 | 793 | T82592S | 21 | 922-923 | ||
T79A29A | 21 | 922-923 | T81527A | 21 | 919-921 | T82593A | 05 | 314-316 | ||
T79A29A | 24 | 963-965 | T81527D | 23 | 949-950 | T82593D | 23 | 949-950 | ||
T79A29D | 23 | 949-950 | T81527S | 21 | 922-923 | T82593S | 21 | 922-923 | ||
T79A29S | 21 | 913-914 | T81528A | 15 | 791 | T82594A | 05 | 314-316 | ||
T79A3XA | 21 | 922-923 | T81528A | 15 | 793 | T82594D | 23 | 949-950 | ||
T79A3XA | 24 | 963-965 | T81528A | 21 | 919-921 | T82594S | 21 | 922-923 | ||
T79A3XD | 23 | 949-950 | T81528D | 23 | 949-950 | T82595A | 05 | 314-316 | ||
T79A3XS | 21 | 913-914 | T81528S | 21 | 922-923 | T82595D | 23 | 949-950 | ||
T79A9XA | 21 | 922-923 | T81529A | 15 | 791 | T82595S | 21 | 922-923 | ||
T79A9XA | 24 | 963-965 | T81529A | 15 | 793 | T82598A | 05 | 314-316 | ||
T79A9XD | 23 | 949-950 | T81529A | 21 | 919-921 | T82598D | 23 | 949-950 | ||
T79A9XS | 21 | 913-914 | T81529D | 23 | 949-950 | T82598S | 21 | 922-923 | ||
T800XXA | 04 | 175-176 | T81529S | 21 | 922-923 | T82599A | 05 | 314-316 | ||
T800XXA | 15 | 791 | T81530A | 15 | 791 | T82599D | 23 | 949-950 | ||
T800XXA | 15 | 793 | T81530A | 15 | 793 | T82599S | 21 | 922-923 | ||
T800XXD | 23 | 949-950 | T81530A | 21 | 919-921 | T826XXA | 05 | 314-316 | ||
T800XXS | 21 | 922-923 | T81530D | 23 | 949-950 | T826XXD | 23 | 949-950 | ||
T801XXA | 05 | 314-316 | T81530S | 21 | 922-923 | T826XXS | 21 | 922-923 | ||
T801XXA | 15 | 791 | T81531A | 15 | 791 | T827XXA | 05 | 314-316 | ||
T801XXA | 15 | 793 | T81531A | 15 | 793 | T827XXD | 23 | 949-950 | ||
T801XXD | 23 | 949-950 | T81531A | 21 | 919-921 | T827XXS | 21 | 922-923 | ||
T801XXS | 21 | 922-923 | T81531D | 23 | 949-950 | T82817A | 05 | 314-316 | ||
T80211A | 05 | 314-316 | T81531S | 21 | 922-923 | T82817D | 23 | 949-950 | ||
T80211D | 23 | 949-950 | T81532A | 15 | 791 | T82817S | 21 | 922-923 | ||
T80211S | 21 | 922-923 | T81532A | 15 | 793 | T82818A | 05 | 314-316 | ||
T80212A | 05 | 314-316 | T81532A | 21 | 919-921 | T82818D | 23 | 949-950 | ||
T80212D | 23 | 949-950 | T81532D | 23 | 949-950 | T82818S | 21 | 922-923 | ||
T80212S | 21 | 922-923 | T81532S | 21 | 922-923 | T82827A | 05 | 314-316 | ||
T80218A | 05 | 314-316 | T81533A | 15 | 791 | T82827D | 23 | 949-950 | ||
T80218D | 23 | 949-950 | T81533A | 15 | 793 | T82827S | 21 | 922-923 | ||
T80218S | 21 | 922-923 | T81533A | 21 | 919-921 | T82828A | 05 | 314-316 | ||
T80219A | 05 | 314-316 | T81533D | 23 | 949-950 | T82828D | 23 | 949-950 | ||
T80219D | 23 | 949-950 | T81533S | 21 | 922-923 | T82828S | 21 | 922-923 | ||
T80219S | 21 | 922-923 | T81534A | 15 | 791 | T82837A | 05 | 314-316 | ||
T8022XA | 15 | 791 | T81534A | 15 | 793 | T82837D | 23 | 949-950 | ||
T8022XA | 15 | 793 | T81534A | 21 | 919-921 | T82837S | 21 | 922-923 | ||
T8022XA | 18 | 856-858 | T81534D | 23 | 949-950 | T82838A | 05 | 314-316 | ||
T8022XA | 18 | 867-869 | T81534S | 21 | 922-923 | T82838D | 23 | 949-950 | ||
T8022XD | 23 | 949-950 | T81535A | 15 | 791 | T82838S | 21 | 922-923 | ||
T8022XS | 21 | 922-923 | T81535A | 15 | 793 | T82847A | 05 | 314-316 | ||
T8029XA | 15 | 791 | T81535A | 21 | 919-921 | T82847D | 23 | 949-950 | ||
T8029XA | 15 | 793 | T81535D | 23 | 949-950 | T82847S | 21 | 922-923 | ||
T8029XA | 18 | 856-858 | T81535S | 21 | 922-923 | T82848A | 05 | 314-316 | ||
T8029XA | 18 | 867-869 | T81536A | 15 | 791 | T82848D | 23 | 949-950 | ||
T8029XD | 23 | 949-950 | T81536A | 15 | 793 | T82848S | 21 | 922-923 | ||
T8029XS | 21 | 922-923 | T81536A | 21 | 919-921 | T82855A | 05 | 314-316 | ||
T8030XA | 15 | 791 | T81536D | 23 | 949-950 | T82855D | 23 | 949-950 | ||
T8030XA | 15 | 793 | T81536S | 21 | 922-923 | T82855S | 21 | 922-923 | ||
T8030XA | 16 | 811-812 | T81537A | 15 | 791 | T82856A | 05 | 314-316 | ||
T8030XD | 23 | 949-950 | T81537A | 15 | 793 | T82856D | 23 | 949-950 | ||
T8030XS | 21 | 922-923 | T81537A | 21 | 919-921 | T82856S | 21 | 922-923 | ||
T80310A | 15 | 791 | T81537D | 23 | 949-950 | T82857A | 05 | 314-316 | ||
T80310A | 15 | 793 | T81537S | 21 | 922-923 | T82857D | 23 | 949-950 | ||
T80310A | 16 | 811-812 | T81538A | 15 | 791 | T82857S | 21 | 922-923 | ||
T80310D | 23 | 949-950 | T81538A | 15 | 793 | T82858A | 05 | 314-316 | ||
T80310S | 21 | 922-923 | T81538A | 21 | 919-921 | T82858D | 23 | 949-950 | ||
T80311A | 15 | 791 | T81538D | 23 | 949-950 | T82858S | 21 | 922-923 | ||
T80311A | 15 | 793 | T81538S | 21 | 922-923 | T82867A | 05 | 314-316 | ||
T80311A | 16 | 811-812 | T81539A | 15 | 791 | T82867D | 23 | 949-950 | ||
T80311D | 23 | 949-950 | T81539A | 15 | 793 | T82867S | 21 | 922-923 | ||
T80311S | 21 | 922-923 | T81539A | 21 | 919-921 | T82868A | 05 | 314-316 | ||
T80319A | 15 | 791 | T81539D | 23 | 949-950 | T82868D | 23 | 949-950 | ||
T80319A | 15 | 793 | T81539S | 21 | 922-923 | T82868S | 21 | 922-923 | ||
T80319A | 16 | 811-812 | T81590A | 15 | 791 | T82897A | 05 | 314-316 | ||
T80319D | 23 | 949-950 | T81590A | 15 | 793 | T82897D | 23 | 949-950 | ||
T80319S | 21 | 922-923 | T81590A | 21 | 919-921 | T82897S | 21 | 922-923 | ||
T8039XA | 15 | 791 | T81590D | 23 | 949-950 | T82898A | 05 | 314-316 | ||
T8039XA | 15 | 793 | T81590S | 21 | 922-923 | T82898D | 23 | 949-950 | ||
T8039XA | 16 | 811-812 | T81591A | 15 | 791 | T82898S | 21 | 922-923 | ||
T8039XD | 23 | 949-950 | T81591A | 15 | 793 | T829XXA | 05 | 314-316 | ||
T8039XS | 21 | 922-923 | T81591A | 21 | 919-921 | T829XXD | 23 | 949-950 | ||
T8040XA | 15 | 791 | T81591D | 23 | 949-950 | T829XXS | 21 | 922-923 | ||
T8040XA | 15 | 793 | T81591S | 21 | 922-923 | T83010A | 11 | 698-700 | ||
T8040XA | 16 | 811-812 | T81592A | 15 | 791 | T83010D | 23 | 949-950 | ||
T8040XD | 23 | 949-950 | T81592A | 15 | 793 | T83010S | 21 | 922-923 | ||
T8040XS | 21 | 922-923 | T81592A | 21 | 919-921 | T83011A | 11 | 698-700 | ||
T80410A | 15 | 791 | T81592D | 23 | 949-950 | T83011D | 23 | 949-950 | ||
T80410A | 15 | 793 | T81592S | 21 | 922-923 | T83011S | 21 | 922-923 | ||
T80410A | 16 | 811-812 | T81593A | 15 | 791 | T83012A | 11 | 698-700 | ||
T80410D | 23 | 949-950 | T81593A | 15 | 793 | T83012D | 23 | 949-950 | ||
T80410S | 21 | 922-923 | T81593A | 21 | 919-921 | T83012S | 21 | 922-923 | ||
T80411A | 15 | 791 | T81593D | 23 | 949-950 | T83018A | 11 | 698-700 | ||
T80411A | 15 | 793 | T81593S | 21 | 922-923 | T83018D | 23 | 949-950 | ||
T80411A | 16 | 811-812 | T81594A | 15 | 791 | T83018S | 21 | 922-923 | ||
T80411D | 23 | 949-950 | T81594A | 15 | 793 | T83020A | 11 | 698-700 | ||
T80411S | 21 | 922-923 | T81594A | 21 | 919-921 | T83020D | 23 | 949-950 | ||
T80419A | 15 | 791 | T81594D | 23 | 949-950 | T83020S | 21 | 922-923 | ||
T80419A | 15 | 793 | T81594S | 21 | 922-923 | T83021A | 11 | 698-700 | ||
T80419A | 16 | 811-812 | T81595A | 15 | 791 | T83021D | 23 | 949-950 | ||
T80419D | 23 | 949-950 | T81595A | 15 | 793 | T83021S | 21 | 922-923 | ||
T80419S | 21 | 922-923 | T81595A | 21 | 919-921 | T83022A | 11 | 698-700 | ||
T8049XA | 15 | 791 | T81595D | 23 | 949-950 | T83022D | 23 | 949-950 | ||
T8049XA | 15 | 793 | T81595S | 21 | 922-923 | T83022S | 21 | 922-923 | ||
T8049XA | 16 | 811-812 | T81596A | 15 | 791 | T83028A | 11 | 698-700 | ||
T8049XD | 23 | 949-950 | T81596A | 15 | 793 | T83028D | 23 | 949-950 | ||
T8049XS | 21 | 922-923 | T81596A | 21 | 919-921 | T83028S | 21 | 922-923 | ||
T8051XA | 15 | 791 | T81596D | 23 | 949-950 | T83030A | 11 | 698-700 | ||
T8051XA | 15 | 793 | T81596S | 21 | 922-923 | T83030D | 23 | 949-950 | ||
T8051XA | 21 | 915-916 | T81597A | 15 | 791 | T83030S | 21 | 922-923 | ||
T8051XD | 23 | 949-950 | T81597A | 15 | 793 | T83031A | 11 | 698-700 | ||
T8051XS | 21 | 922-923 | T81597A | 21 | 919-921 | T83031D | 23 | 949-950 | ||
T8052XA | 15 | 791 | T81597D | 23 | 949-950 | T83031S | 21 | 922-923 | ||
T8052XA | 15 | 793 | T81597S | 21 | 922-923 | T83032A | 11 | 698-700 | ||
T8052XA | 21 | 915-916 | T81598A | 15 | 791 | T83032D | 23 | 949-950 | ||
T8052XD | 23 | 949-950 | T81598A | 15 | 793 | T83032S | 21 | 922-923 | ||
T8052XS | 21 | 922-923 | T81598A | 21 | 919-921 | T83038A | 11 | 698-700 | ||
T8059XA | 15 | 791 | T81598D | 23 | 949-950 | T83038D | 23 | 949-950 | ||
T8059XA | 15 | 793 | T81598S | 21 | 922-923 | T83038S | 21 | 922-923 | ||
T8059XA | 21 | 915-916 | T81599A | 15 | 791 | T83090A | 11 | 698-700 | ||
T8059XD | 23 | 949-950 | T81599A | 15 | 793 | T83090D | 23 | 949-950 | ||
T8059XS | 21 | 922-923 | T81599A | 21 | 919-921 | T83090S | 21 | 922-923 | ||
T8061XA | 15 | 791 | T81599D | 23 | 949-950 | T83091A | 11 | 698-700 | ||
T8061XA | 15 | 793 | T81599S | 21 | 922-923 | T83091D | 23 | 949-950 | ||
T8061XA | 21 | 915-916 | T8160XA | 15 | 791 | T83091S | 21 | 922-923 | ||
T8061XD | 23 | 949-950 | T8160XA | 15 | 793 | T83092A | 11 | 698-700 | ||
T8061XS | 21 | 922-923 | T8160XA | 21 | 919-921 | T83092D | 23 | 949-950 | ||
T8062XA | 15 | 791 | T8160XD | 23 | 949-950 | T83092S | 21 | 922-923 | ||
T8062XA | 15 | 793 | T8160XS | 21 | 922-923 | T83098A | 11 | 698-700 | ||
T8062XA | 21 | 915-916 | T8161XA | 15 | 791 | T83098D | 23 | 949-950 | ||
T8062XD | 23 | 949-950 | T8161XA | 15 | 793 | T83098S | 21 | 922-923 | ||
T8062XS | 21 | 922-923 | T8161XA | 21 | 919-921 | T83110A | 11 | 698-700 | ||
T8069XA | 15 | 791 | T8161XD | 23 | 949-950 | T83110D | 23 | 949-950 | ||
T8069XA | 15 | 793 | T8161XS | 21 | 922-923 | T83110S | 21 | 922-923 | ||
T8069XA | 21 | 915-916 | T8169XA | 15 | 791 | T83111A | 11 | 698-700 | ||
T8069XD | 23 | 949-950 | T8169XA | 15 | 793 | T83111D | 23 | 949-950 | ||
T8069XS | 21 | 922-923 | T8169XA | 21 | 919-921 | T83111S | 21 | 922-923 | ||
T80810A | 05 | 314-316 | T8169XD | 23 | 949-950 | T83112A | 11 | 698-700 | ||
T80810A | 15 | 791 | T8169XS | 21 | 922-923 | T83112D | 23 | 949-950 | ||
T80810A | 15 | 793 | T81710A | 06 | 393-395 | T83112S | 21 | 922-923 | ||
T80810D | 23 | 949-950 | T81710A | 15 | 791 | T83113A | 11 | 698-700 | ||
T80810S | 21 | 922-923 | T81710A | 15 | 793 | T83113D | 23 | 949-950 | ||
T80818A | 05 | 314-316 | T81710D | 23 | 949-950 | T83113S | 21 | 922-923 | ||
T80818A | 15 | 791 | T81710S | 21 | 922-923 | T83118A | 11 | 698-700 | ||
T80818A | 15 | 793 | T81711A | 11 | 698-700 | T83118D | 23 | 949-950 | ||
T80818D | 23 | 949-950 | T81711A | 15 | 791 | T83118S | 21 | 922-923 | ||
T80818S | 21 | 922-923 | T81711A | 15 | 793 | T83120A | 11 | 698-700 | ||
T8082XA | 15 | 791 | T81711D | 23 | 949-950 | T83120D | 23 | 949-950 | ||
T8082XA | 15 | 793 | T81711S | 21 | 922-923 | T83120S | 21 | 922-923 | ||
T8082XA | 16 | 814-816 | T81718A | 05 | 299-301 | T83121A | 11 | 698-700 | ||
T8082XD | 23 | 949-950 | T81718A | 15 | 791 | T83121D | 23 | 949-950 | ||
T8082XS | 21 | 922-923 | T81718A | 15 | 793 | T83121S | 21 | 922-923 | ||
T8089XA | 15 | 791 | T81718D | 23 | 949-950 | T83122A | 11 | 698-700 | ||
T8089XA | 15 | 793 | T81718S | 21 | 922-923 | T83122D | 23 | 949-950 | ||
T8089XA | 16 | 811-812 | T81719A | 05 | 299-301 | T83122S | 21 | 922-923 | ||
T8089XD | 23 | 949-950 | T81719A | 15 | 791 | T83123A | 11 | 698-700 | ||
T8089XS | 21 | 922-923 | T81719A | 15 | 793 | T83123D | 23 | 949-950 | ||
T8090XA | 05 | 314-316 | T81719D | 23 | 949-950 | T83123S | 21 | 922-923 | ||
T8090XA | 15 | 791 | T81719S | 21 | 922-923 | T83128A | 11 | 698-700 | ||
T8090XA | 15 | 793 | T8172XA | 05 | 299-301 | T83128D | 23 | 949-950 | ||
T8090XD | 23 | 949-950 | T8172XA | 15 | 791 | T83128S | 21 | 922-923 | ||
T8090XS | 21 | 922-923 | T8172XA | 15 | 793 | T83190A | 11 | 698-700 | ||
T80910A | 15 | 791 | T8172XD | 23 | 949-950 | T83190D | 23 | 949-950 | ||
T80910A | 15 | 793 | T8172XS | 21 | 922-923 | T83190S | 21 | 922-923 | ||
T80910A | 16 | 811-812 | T8181XA | 21 | 919-921 | T83191A | 11 | 698-700 | ||
T80910D | 23 | 949-950 | T8181XD | 23 | 949-950 | T83191D | 23 | 949-950 | ||
T80910S | 21 | 922-923 | T8181XS | 21 | 922-923 | T83191S | 21 | 922-923 | ||
T80911A | 15 | 791 | T8182XA | 21 | 919-921 | T83192A | 11 | 698-700 | ||
T80911A | 15 | 793 | T8182XD | 23 | 949-950 | T83192D | 23 | 949-950 | ||
T80911A | 16 | 811-812 | T8182XS | 21 | 922-923 | T83192S | 21 | 922-923 | ||
T80911D | 23 | 949-950 | T8183XA | 15 | 791 | T83193A | 11 | 698-700 | ||
T80911S | 21 | 922-923 | T8183XA | 15 | 793 | T83193D | 23 | 949-950 | ||
T80919A | 15 | 791 | T8183XA | 21 | 919-921 | T83193S | 21 | 922-923 | ||
T80919A | 15 | 793 | T8183XD | 23 | 949-950 | T83198A | 11 | 698-700 | ||
T80919A | 16 | 811-812 | T8183XS | 21 | 922-923 | T83198D | 23 | 949-950 | ||
T80919D | 23 | 949-950 | T8189XA | 21 | 919-921 | T83198S | 21 | 922-923 | ||
T80919S | 21 | 922-923 | T8189XD | 23 | 949-950 | T8321XA | 11 | 698-700 | ||
T8092XA | 15 | 791 | T8189XS | 21 | 922-923 | T8321XD | 23 | 949-950 | ||
T8092XA | 15 | 793 | T819XXA | 15 | 791 | T8321XS | 21 | 922-923 | ||
T8092XA | 16 | 811-812 | T819XXA | 15 | 793 | T8322XA | 11 | 698-700 | ||
T8092XD | 23 | 949-950 | T819XXA | 21 | 919-921 | T8322XD | 23 | 949-950 | ||
T8092XS | 21 | 922-923 | T819XXD | 23 | 949-950 | T8322XS | 21 | 922-923 | ||
T80A0XA | 15 | 791 | T819XXS | 21 | 922-923 | T8323XA | 11 | 698-700 | ||
T80A0XA | 15 | 793 | T8201XA | 05 | 306-307 | T8323XD | 23 | 949-950 | ||
T80A0XA | 16 | 811-812 | T8201XD | 23 | 949-950 | T8323XS | 21 | 922-923 | ||
T80A0XD | 23 | 949-950 | T8201XS | 21 | 922-923 | T8324XA | 11 | 698-700 | ||
T80A0XS | 21 | 922-923 | T8202XA | 05 | 306-307 | T8324XD | 23 | 949-950 | ||
T80A10A | 15 | 791 | T8202XD | 23 | 949-950 | T8324XS | 21 | 922-923 | ||
T80A10A | 15 | 793 | T8202XS | 21 | 922-923 | T8325XA | 11 | 698-700 | ||
T80A10A | 16 | 811-812 | T8203XA | 05 | 306-307 | T8325XD | 23 | 949-950 | ||
T80A10D | 23 | 949-950 | T8203XD | 23 | 949-950 | T8325XS | 21 | 922-923 | ||
T80A10S | 21 | 922-923 | T8203XS | 21 | 922-923 | T8329XA | 11 | 698-700 | ||
T80A11A | 15 | 791 | T8209XA | 05 | 306-307 | T8329XD | 23 | 949-950 | ||
T80A11A | 15 | 793 | T8209XD | 23 | 949-950 | T8329XS | 21 | 922-923 | ||
T80A11A | 16 | 811-812 | T8209XS | 21 | 922-923 | T8331XA | 13 | 742-743 | ||
T80A11D | 23 | 949-950 | T82110A | 05 | 308-310 | T8331XA | 13 | 760-761 | ||
T80A11S | 21 | 922-923 | T82110D | 23 | 949-950 | T8331XD | 23 | 949-950 | ||
T80A19A | 15 | 791 | T82110S | 21 | 922-923 | T8331XS | 21 | 922-923 | ||
T80A19A | 15 | 793 | T82111A | 05 | 308-310 | T8332XA | 13 | 742-743 | ||
T80A19A | 16 | 811-812 | T82111D | 23 | 949-950 | T8332XA | 13 | 760-761 | ||
T80A19D | 23 | 949-950 | T82111S | 21 | 922-923 | T8332XD | 23 | 949-950 | ||
T80A19S | 21 | 922-923 | T82118A | 05 | 314-316 | T8332XS | 21 | 922-923 | ||
T80A9XA | 15 | 791 | T82118D | 23 | 949-950 | T8339XA | 13 | 742-743 | ||
T80A9XA | 15 | 793 | T82118S | 21 | 922-923 | T8339XA | 13 | 760-761 | ||
T80A9XA | 16 | 811-812 | T82119A | 05 | 314-316 | T8339XD | 23 | 949-950 | ||
T80A9XD | 23 | 949-950 | T82119D | 23 | 949-950 | T8339XS | 21 | 922-923 | ||
T80A9XS | 21 | 922-923 | T82119S | 21 | 922-923 | T83410A | 11 | 698-700 | ||
T8110XA | 15 | 791 | T82120A | 05 | 308-310 | T83410D | 23 | 949-950 | ||
T8110XA | 15 | 793 | T82120D | 23 | 949-950 | T83410S | 21 | 922-923 | ||
T8110XA | 21 | 919-921 | T82120S | 21 | 922-923 | T83411A | 11 | 698-700 | ||
T8110XD | 23 | 949-950 | T82121A | 05 | 308-310 | T83411D | 23 | 949-950 | ||
T8110XS | 21 | 922-923 | T82121D | 23 | 949-950 | T83411S | 21 | 922-923 | ||
T8111XA | 15 | 791 | T82121S | 21 | 922-923 | T83418A | 11 | 698-700 | ||
T8111XA | 15 | 793 | T82128A | 05 | 314-316 | T83418D | 23 | 949-950 | ||
T8111XA | 21 | 919-921 | T82128D | 23 | 949-950 | T83418S | 21 | 922-923 | ||
T8111XD | 23 | 949-950 | T82128S | 21 | 922-923 | T83420A | 11 | 698-700 | ||
T8111XS | 21 | 922-923 | T82129A | 05 | 314-316 | T83420D | 23 | 949-950 | ||
T8112XA | 15 | 791 | T82129D | 23 | 949-950 | T83420S | 21 | 922-923 | ||
T8112XA | 15 | 793 | T82129S | 21 | 922-923 | T83421A | 11 | 698-700 | ||
T8112XA | 21 | 919-921 | T82190A | 05 | 308-310 | T83421D | 23 | 949-950 | ||
T8112XD | 23 | 949-950 | T82190D | 23 | 949-950 | T83421S | 21 | 922-923 | ||
T8112XS | 21 | 922-923 | T82190S | 21 | 922-923 | T83428A | 11 | 698-700 | ||
T8119XA | 15 | 791 | T82191A | 05 | 308-310 | T83428D | 23 | 949-950 | ||
T8119XA | 15 | 793 | T82191D | 23 | 949-950 | T83428S | 21 | 922-923 | ||
T8119XA | 21 | 919-921 | T82191S | 21 | 922-923 | T83490A | 11 | 698-700 | ||
T8119XD | 23 | 949-950 | T82198A | 05 | 314-316 | T83490D | 23 | 949-950 | ||
T8119XS | 21 | 922-923 | T82198D | 23 | 949-950 | T83490S | 21 | 922-923 | ||
T8130XA | 21 | 919-921 | T82198S | 21 | 922-923 | T83491A | 11 | 698-700 | ||
T8130XD | 23 | 949-950 | T82199A | 05 | 314-316 | T83491D | 23 | 949-950 | ||
T8130XS | 21 | 922-923 | T82199D | 23 | 949-950 | T83491S | 21 | 922-923 | ||
T8131XA | 21 | 919-921 | T82199S | 21 | 922-923 | T83498A | 11 | 698-700 | ||
T8131XD | 23 | 949-950 | T82211A | 05 | 314-316 | T83498D | 23 | 949-950 | ||
T8131XS | 21 | 922-923 | T82211D | 23 | 949-950 | T83498S | 21 | 922-923 | ||
T8132XA | 21 | 919-921 | T82211S | 21 | 922-923 | T83510A | 11 | 698-700 | ||
T8132XD | 23 | 949-950 | T82212A | 05 | 314-316 | T83510D | 23 | 949-950 | ||
T8132XS | 21 | 922-923 | T82212D | 23 | 949-950 | T83510S | 21 | 922-923 | ||
T8133XA | 21 | 919-921 | T82212S | 21 | 922-923 | T83511A | 11 | 698-700 | ||
T8133XD | 23 | 949-950 | T82213A | 05 | 314-316 | T83511D | 23 | 949-950 | ||
T8133XS | 21 | 922-923 | T82213D | 23 | 949-950 | T83511S | 21 | 922-923 | ||
T8140XA | 15 | 791 | T82213S | 21 | 922-923 | T83512A | 11 | 698-700 | ||
T8140XA | 15 | 793 | T82218A | 05 | 314-316 | T83512D | 23 | 949-950 | ||
T8140XA | 18 | 856-858 | T82218D | 23 | 949-950 | T83512S | 21 | 922-923 | ||
T8140XA | 18 | 862-863 | T82218S | 21 | 922-923 | T83518A | 11 | 698-700 | ||
T8140XD | 23 | 949-950 | T82221A | 05 | 314-316 | T83518D | 23 | 949-950 | ||
T8140XS | 21 | 922-923 | T82221D | 23 | 949-950 | T83518S | 21 | 922-923 | ||
T8141XA | 15 | 791 | T82221S | 21 | 922-923 | T83590A | 11 | 698-700 | ||
T8141XA | 15 | 793 | T82222A | 05 | 314-316 | T83590D | 23 | 949-950 | ||
T8141XA | 18 | 856-858 | T82222D | 23 | 949-950 | T83590S | 21 | 922-923 | ||
T8141XA | 18 | 862-863 | T82222S | 21 | 922-923 | T83591A | 11 | 698-700 | ||
T8141XD | 23 | 949-950 | T82223A | 05 | 314-316 | T83591D | 23 | 949-950 | ||
T8141XS | 21 | 922-923 | T82223D | 23 | 949-950 | T83591S | 21 | 922-923 | ||
T8142XA | 15 | 791 | T82223S | 21 | 922-923 | T83592A | 11 | 698-700 | ||
T8142XA | 15 | 793 | T82228A | 05 | 314-316 | T83592D | 23 | 949-950 | ||
T8142XA | 18 | 856-858 | T82228D | 23 | 949-950 | T83592S | 21 | 922-923 | ||
T8142XA | 18 | 862-863 | T82228S | 21 | 922-923 | T83593A | 11 | 698-700 | ||
T8142XD | 23 | 949-950 | T82310A | 05 | 314-316 | T83593D | 23 | 949-950 | ||
T8142XS | 21 | 922-923 | T82310D | 23 | 949-950 | T83593S | 21 | 922-923 | ||
T8143XA | 15 | 791 | T82310S | 21 | 922-923 | T83598A | 11 | 698-700 | ||
T8143XA | 15 | 793 | T82311A | 05 | 314-316 | T83598D | 23 | 949-950 | ||
T8143XA | 18 | 856-858 | T82311D | 23 | 949-950 | T83598S | 21 | 922-923 | ||
T8143XA | 18 | 862-863 | T82311S | 21 | 922-923 | T8361XA | 11 | 698-700 | ||
T8143XD | 23 | 949-950 | T82312A | 05 | 314-316 | T8361XD | 23 | 949-950 | ||
T8143XS | 21 | 922-923 | T82312D | 23 | 949-950 | T8361XS | 21 | 922-923 | ||
T8144XA | 15 | 791 | T82312S | 21 | 922-923 | T8362XA | 11 | 698-700 | ||
T8144XA | 15 | 793 | T82318A | 05 | 314-316 | T8362XD | 23 | 949-950 | ||
T8144XA | 18 | 856-858 | T82318D | 23 | 949-950 | T8362XS | 21 | 922-923 | ||
T8144XA | 18 | 862-863 | T82318S | 21 | 922-923 | T8369XA | 11 | 698-700 | ||
T8144XD | 23 | 949-950 | T82319A | 05 | 314-316 | T8369XD | 23 | 949-950 | ||
T8144XS | 21 | 922-923 | T82319D | 23 | 949-950 | T8369XS | 21 | 922-923 | ||
T8149XA | 15 | 791 | T82319S | 21 | 922-923 | T83711A | 13 | 742-743 | ||
T8149XA | 15 | 793 | T82320A | 05 | 314-316 | T83711A | 13 | 760-761 | ||
T8149XA | 18 | 856-858 | T82320D | 23 | 949-950 | T83711D | 23 | 949-950 | ||
T8149XA | 18 | 862-863 | T82320S | 21 | 922-923 | T83711S | 21 | 922-923 | ||
T8149XD | 23 | 949-950 | T82321A | 05 | 314-316 | T83712A | 11 | 698-700 | ||
T8149XS | 21 | 922-923 | T82321D | 23 | 949-950 | T83712D | 23 | 949-950 | ||
T81500A | 15 | 791 | T82321S | 21 | 922-923 | T83712S | 21 | 922-923 | ||
T81500A | 15 | 793 | T82322A | 05 | 314-316 | T83713A | 11 | 698-700 | ||
T81500A | 21 | 919-921 | T82322D | 23 | 949-950 | T83713D | 23 | 949-950 | ||
T81500D | 23 | 949-950 | T82322S | 21 | 922-923 | T83713S | 21 | 922-923 | ||
T81500S | 21 | 922-923 | T82328A | 05 | 314-316 | T83714A | 11 | 698-700 | ||
T81501A | 15 | 791 | T82328D | 23 | 949-950 | T83714D | 23 | 949-950 | ||
T81501A | 15 | 793 | T82328S | 21 | 922-923 | T83714S | 21 | 922-923 | ||
T81501A | 21 | 919-921 | T82329A | 05 | 314-316 | T83718A | 11 | 698-700 | ||
T81501D | 23 | 949-950 | T82329D | 23 | 949-950 | T83718D | 23 | 949-950 | ||
T81501S | 21 | 922-923 | T82329S | 21 | 922-923 | T83718S | 21 | 922-923 | ||
T81502A | 15 | 791 | T82330A | 05 | 314-316 | T83719A | 11 | 698-700 | ||
T81502A | 15 | 793 | T82330D | 23 | 949-950 | T83719D | 23 | 949-950 | ||
T81502A | 21 | 919-921 | T82330S | 21 | 922-923 | T83719S | 21 | 922-923 | ||
T81502D | 23 | 949-950 | T82331A | 05 | 314-316 | T83721A | 13 | 742-743 | ||
T81502S | 21 | 922-923 | T82331D | 23 | 949-950 | T83721A | 13 | 760-761 | ||
T81503A | 15 | 791 | T82331S | 21 | 922-923 | T83721D | 23 | 949-950 | ||
T81503A | 15 | 793 | T82332A | 05 | 314-316 | T83721S | 21 | 922-923 | ||
T81503A | 21 | 919-921 | T82332D | 23 | 949-950 | T83722A | 11 | 698-700 | ||
T81503D | 23 | 949-950 | T82332S | 21 | 922-923 | T83722D | 23 | 949-950 | ||
T81503S | 21 | 922-923 | T82338A | 05 | 314-316 | T83722S | 21 | 922-923 | ||
T81504A | 15 | 791 | T82338D | 23 | 949-950 | T83723A | 11 | 698-700 | ||
T81504A | 15 | 793 | T82338S | 21 | 922-923 | T83723D | 23 | 949-950 | ||
T81504A | 21 | 919-921 | T82339A | 05 | 314-316 | T83723S | 21 | 922-923 | ||
T81504D | 23 | 949-950 | T82339D | 23 | 949-950 | T83724A | 11 | 698-700 | ||
T81504S | 21 | 922-923 | T82339S | 21 | 922-923 | T83724D | 23 | 949-950 | ||
T81505A | 15 | 791 | T82390A | 05 | 314-316 | T83724S | 21 | 922-923 | ||
T81505A | 15 | 793 | T82390D | 23 | 949-950 | T83728A | 11 | 698-700 | ||
T81505A | 21 | 919-921 | T82390S | 21 | 922-923 | T83728D | 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 |