ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 73 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| T83728S | 21 | 922-923 | T8502XA | 01 | 091-093 | T882XXD | 23 | 949-950 | ||
| T83729A | 11 | 698-700 | T8502XD | 23 | 949-950 | T882XXS | 21 | 922-923 | ||
| T83729D | 23 | 949-950 | T8502XS | 21 | 922-923 | T883XXA | 21 | 922-923 | ||
| T83729S | 21 | 922-923 | T8503XA | 01 | 091-093 | T883XXD | 23 | 949-950 | ||
| T8379XA | 11 | 698-700 | T8503XD | 23 | 949-950 | T883XXS | 21 | 922-923 | ||
| T8379XD | 23 | 949-950 | T8503XS | 21 | 922-923 | T884XXA | 21 | 919-921 | ||
| T8379XS | 21 | 922-923 | T8509XA | 01 | 091-093 | T884XXD | 23 | 949-950 | ||
| T8381XA | 11 | 698-700 | T8509XD | 23 | 949-950 | T884XXS | 21 | 922-923 | ||
| T8381XD | 23 | 949-950 | T8509XS | 21 | 922-923 | T8851XA | 21 | 922-923 | ||
| T8381XS | 21 | 922-923 | T85110A | 01 | 091-093 | T8851XD | 23 | 949-950 | ||
| T8382XA | 11 | 698-700 | T85110D | 23 | 949-950 | T8851XS | 21 | 922-923 | ||
| T8382XD | 23 | 949-950 | T85110S | 21 | 922-923 | T8852XA | 21 | 917-918 | ||
| T8382XS | 21 | 922-923 | T85111A | 01 | 091-093 | T8852XD | 23 | 949-950 | ||
| T8383XA | 11 | 698-700 | T85111D | 23 | 949-950 | T8852XS | 21 | 922-923 | ||
| T8383XD | 23 | 949-950 | T85111S | 21 | 922-923 | T8853XA | 15 | 791 | ||
| T8383XS | 21 | 922-923 | T85112A | 01 | 091-093 | T8853XA | 15 | 793 | ||
| T8384XA | 11 | 698-700 | T85112D | 23 | 949-950 | T8853XA | 21 | 917-918 | ||
| T8384XD | 23 | 949-950 | T85112S | 21 | 922-923 | T8853XD | 23 | 949-950 | ||
| T8384XS | 21 | 922-923 | T85113A | 01 | 091-093 | T8853XS | 21 | 922-923 | ||
| T8385XA | 11 | 698-700 | T85113D | 23 | 949-950 | T8859XA | 15 | 791 | ||
| T8385XD | 23 | 949-950 | T85113S | 21 | 922-923 | T8859XA | 15 | 793 | ||
| T8385XS | 21 | 922-923 | T85118A | 01 | 091-093 | T8859XA | 21 | 917-918 | ||
| T8386XA | 11 | 698-700 | T85118D | 23 | 949-950 | T8859XD | 23 | 949-950 | ||
| T8386XD | 23 | 949-950 | T85118S | 21 | 922-923 | T8859XS | 21 | 922-923 | ||
| T8386XS | 21 | 922-923 | T85120A | 01 | 091-093 | T886XXA | 21 | 915-916 | ||
| T8389XA | 11 | 698-700 | T85120D | 23 | 949-950 | T886XXD | 23 | 949-950 | ||
| T8389XD | 23 | 949-950 | T85120S | 21 | 922-923 | T886XXS | 21 | 922-923 | ||
| T8389XS | 21 | 922-923 | T85121A | 01 | 091-093 | T887XXA | 21 | 919-921 | ||
| T839XXA | 11 | 698-700 | T85121D | 23 | 949-950 | T887XXD | 23 | 949-950 | ||
| T839XXD | 23 | 949-950 | T85121S | 21 | 922-923 | T887XXS | 21 | 922-923 | ||
| T839XXS | 21 | 922-923 | T85122A | 01 | 091-093 | T888XXA | 21 | 919-921 | ||
| T84010A | 08 | 559-561 | T85122D | 23 | 949-950 | T888XXD | 23 | 949-950 | ||
| T84010D | 23 | 949-950 | T85122S | 21 | 922-923 | T888XXS | 21 | 922-923 | ||
| T84010S | 21 | 922-923 | T85123A | 01 | 091-093 | T889XXA | 21 | 919-921 | ||
| T84011A | 08 | 559-561 | T85123D | 23 | 949-950 | T889XXD | 23 | 949-950 | ||
| T84011D | 23 | 949-950 | T85123S | 21 | 922-923 | T889XXS | 21 | 922-923 | ||
| T84011S | 21 | 922-923 | T85128A | 01 | 091-093 | U070 | 04 | 205-206 | ||
| T84012A | 08 | 559-561 | T85128D | 23 | 949-950 | U071 | 04 | 177-179 | ||
| T84012D | 23 | 949-950 | T85128S | 21 | 922-923 | U071 | 15 | 791 | ||
| T84012S | 21 | 922-923 | T85190A | 01 | 091-093 | U071 | 15 | 793 | ||
| T84013A | 08 | 559-561 | T85190D | 23 | 949-950 | U071 | 25 | 974-976 | ||
| T84013D | 23 | 949-950 | T85190S | 21 | 922-923 | U099 | 23 | 951 | ||
| T84013S | 21 | 922-923 | T85191A | 01 | 091-093 | Z0000 | 23 | 951 | ||
| T84018A | 08 | 559-561 | T85191D | 23 | 949-950 | Z0001 | 23 | 951 | ||
| T84018D | 23 | 949-950 | T85191S | 21 | 922-923 | Z00110 | 15 | 795 | ||
| T84018S | 21 | 922-923 | T85192A | 01 | 091-093 | Z00110 | 23 | 951 | ||
| T84019A | 08 | 559-561 | T85192D | 23 | 949-950 | Z00111 | 15 | 795 | ||
| T84019D | 23 | 949-950 | T85192S | 21 | 922-923 | Z00111 | 23 | 951 | ||
| T84019S | 21 | 922-923 | T85193A | 01 | 091-093 | Z00121 | 15 | 795 | ||
| T84020A | 08 | 559-561 | T85193D | 23 | 949-950 | Z00121 | 23 | 951 | ||
| T84020D | 23 | 949-950 | T85193S | 21 | 922-923 | Z00129 | 15 | 795 | ||
| T84020S | 21 | 922-923 | T85199A | 01 | 091-093 | Z00129 | 23 | 951 | ||
| T84021A | 08 | 559-561 | T85199D | 23 | 949-950 | Z002 | 23 | 951 | ||
| T84021D | 23 | 949-950 | T85199S | 21 | 922-923 | Z003 | 23 | 951 | ||
| T84021S | 21 | 922-923 | T8521XA | 02 | 124-125 | Z005 | 23 | 951 | ||
| T84022A | 08 | 559-561 | T8521XD | 23 | 949-950 | Z006 | 23 | 951 | ||
| T84022D | 23 | 949-950 | T8521XS | 21 | 922-923 | Z0070 | 23 | 951 | ||
| T84022S | 21 | 922-923 | T8522XA | 02 | 124-125 | Z0071 | 23 | 951 | ||
| T84023A | 08 | 559-561 | T8522XD | 23 | 949-950 | Z008 | 23 | 951 | ||
| T84023D | 23 | 949-950 | T8522XS | 21 | 922-923 | Z0100 | 23 | 951 | ||
| T84023S | 21 | 922-923 | T8529XA | 02 | 124-125 | Z0101 | 23 | 951 | ||
| T84028A | 08 | 559-561 | T8529XD | 23 | 949-950 | Z01020 | 23 | 951 | ||
| T84028D | 23 | 949-950 | T8529XS | 21 | 922-923 | Z01021 | 23 | 951 | ||
| T84028S | 21 | 922-923 | T85310A | 21 | 919-921 | Z0110 | 15 | 795 | ||
| T84029A | 08 | 559-561 | T85310D | 23 | 949-950 | Z0110 | 23 | 951 | ||
| T84029D | 23 | 949-950 | T85310S | 21 | 922-923 | Z01110 | 15 | 795 | ||
| T84029S | 21 | 922-923 | T85311A | 21 | 919-921 | Z01110 | 23 | 951 | ||
| T84030A | 08 | 559-561 | T85311D | 23 | 949-950 | Z01118 | 15 | 795 | ||
| T84030D | 23 | 949-950 | T85311S | 21 | 922-923 | Z01118 | 23 | 951 | ||
| T84030S | 21 | 922-923 | T85318A | 02 | 124-125 | Z0112 | 15 | 795 | ||
| T84031A | 08 | 559-561 | T85318D | 23 | 949-950 | Z0112 | 23 | 951 | ||
| T84031D | 23 | 949-950 | T85318S | 21 | 922-923 | Z0120 | 23 | 951 | ||
| T84031S | 21 | 922-923 | T85320A | 21 | 919-921 | Z0121 | 23 | 951 | ||
| T84032A | 08 | 559-561 | T85320D | 23 | 949-950 | Z0130 | 23 | 951 | ||
| T84032D | 23 | 949-950 | T85320S | 21 | 922-923 | Z0131 | 23 | 951 | ||
| T84032S | 21 | 922-923 | T85321A | 21 | 919-921 | Z01411 | 23 | 951 | ||
| T84033A | 08 | 559-561 | T85321D | 23 | 949-950 | Z01419 | 23 | 951 | ||
| T84033D | 23 | 949-950 | T85321S | 21 | 922-923 | Z0142 | 23 | 951 | ||
| T84033S | 21 | 922-923 | T85328A | 02 | 124-125 | Z01810 | 23 | 951 | ||
| T84038A | 08 | 559-561 | T85328D | 23 | 949-950 | Z01811 | 23 | 951 | ||
| T84038D | 23 | 949-950 | T85328S | 21 | 922-923 | Z01812 | 23 | 951 | ||
| T84038S | 21 | 922-923 | T85390A | 21 | 919-921 | Z01818 | 23 | 951 | ||
| T84039A | 08 | 559-561 | T85390D | 23 | 949-950 | Z0182 | 23 | 951 | ||
| T84039D | 23 | 949-950 | T85390S | 21 | 922-923 | Z0183 | 23 | 951 | ||
| T84039S | 21 | 922-923 | T85391A | 21 | 919-921 | Z0184 | 23 | 951 | ||
| T84050A | 08 | 559-561 | T85391D | 23 | 949-950 | Z0189 | 23 | 951 | ||
| T84050D | 23 | 949-950 | T85391S | 21 | 922-923 | Z020 | 23 | 951 | ||
| T84050S | 21 | 922-923 | T85398A | 02 | 124-125 | Z021 | 23 | 951 | ||
| T84051A | 08 | 559-561 | T85398D | 23 | 949-950 | Z022 | 23 | 951 | ||
| T84051D | 23 | 949-950 | T85398S | 21 | 922-923 | Z023 | 23 | 951 | ||
| T84051S | 21 | 922-923 | T8541XA | 09 | 600-601 | Z024 | 23 | 951 | ||
| T84052A | 08 | 559-561 | T8541XD | 23 | 949-950 | Z025 | 23 | 951 | ||
| T84052D | 23 | 949-950 | T8541XS | 21 | 922-923 | Z026 | 15 | 795 | ||
| T84052S | 21 | 922-923 | T8542XA | 09 | 600-601 | Z026 | 23 | 951 | ||
| T84053A | 08 | 559-561 | T8542XD | 23 | 949-950 | Z0271 | 23 | 951 | ||
| T84053D | 23 | 949-950 | T8542XS | 21 | 922-923 | Z0279 | 23 | 951 | ||
| T84053S | 21 | 922-923 | T8543XA | 09 | 600-601 | Z0281 | 23 | 951 | ||
| T84058A | 08 | 559-561 | T8543XD | 23 | 949-950 | Z0282 | 15 | 795 | ||
| T84058D | 23 | 949-950 | T8543XS | 21 | 922-923 | Z0282 | 23 | 951 | ||
| T84058S | 21 | 922-923 | T8544XA | 09 | 600-601 | Z0283 | 23 | 951 | ||
| T84059A | 08 | 559-561 | T8544XD | 23 | 949-950 | Z0289 | 15 | 795 | ||
| T84059D | 23 | 949-950 | T8544XS | 21 | 922-923 | Z0289 | 23 | 951 | ||
| T84059S | 21 | 922-923 | T8549XA | 09 | 600-601 | Z029 | 23 | 951 | ||
| T84060A | 08 | 559-561 | T8549XD | 23 | 949-950 | Z036 | 23 | 951 | ||
| T84060D | 23 | 949-950 | T8549XS | 21 | 922-923 | Z0371 | 23 | 951 | ||
| T84060S | 21 | 922-923 | T85510A | 21 | 919-921 | Z0372 | 23 | 951 | ||
| T84061A | 08 | 559-561 | T85510D | 23 | 949-950 | Z0373 | 23 | 951 | ||
| T84061D | 23 | 949-950 | T85510S | 21 | 922-923 | Z0374 | 23 | 951 | ||
| T84061S | 21 | 922-923 | T85511A | 21 | 919-921 | Z0375 | 23 | 951 | ||
| T84062A | 08 | 559-561 | T85511D | 23 | 949-950 | Z0379 | 23 | 951 | ||
| T84062D | 23 | 949-950 | T85511S | 21 | 922-923 | Z03810 | 23 | 951 | ||
| T84062S | 21 | 922-923 | T85518A | 21 | 919-921 | Z03818 | 23 | 951 | ||
| T84063A | 08 | 559-561 | T85518D | 23 | 949-950 | Z03821 | 23 | 951 | ||
| T84063D | 23 | 949-950 | T85518S | 21 | 922-923 | Z03822 | 23 | 951 | ||
| T84063S | 21 | 922-923 | T85520A | 21 | 919-921 | Z03823 | 23 | 951 | ||
| T84068A | 08 | 559-561 | T85520D | 23 | 949-950 | Z0383 | 23 | 951 | ||
| T84068D | 23 | 949-950 | T85520S | 21 | 922-923 | Z0389 | 23 | 951 | ||
| T84068S | 21 | 922-923 | T85521A | 21 | 919-921 | Z041 | 21 | 922-923 | ||
| T84069A | 08 | 559-561 | T85521D | 23 | 949-950 | Z042 | 21 | 922-923 | ||
| T84069D | 23 | 949-950 | T85521S | 21 | 922-923 | Z043 | 21 | 922-923 | ||
| T84069S | 21 | 922-923 | T85528A | 21 | 919-921 | Z0441 | 23 | 951 | ||
| T84090A | 08 | 559-561 | T85528D | 23 | 949-950 | Z0442 | 23 | 951 | ||
| T84090D | 23 | 949-950 | T85528S | 21 | 922-923 | Z046 | 23 | 951 | ||
| T84090S | 21 | 922-923 | T85590A | 21 | 919-921 | Z0471 | 23 | 951 | ||
| T84091A | 08 | 559-561 | T85590D | 23 | 949-950 | Z0472 | 23 | 951 | ||
| T84091D | 23 | 949-950 | T85590S | 21 | 922-923 | Z0481 | 23 | 951 | ||
| T84091S | 21 | 922-923 | T85591A | 21 | 919-921 | Z0482 | 23 | 951 | ||
| T84092A | 08 | 559-561 | T85591D | 23 | 949-950 | Z0489 | 23 | 951 | ||
| T84092D | 23 | 949-950 | T85591S | 21 | 922-923 | Z049 | 23 | 951 | ||
| T84092S | 21 | 922-923 | T85598A | 21 | 919-921 | Z050 | 15 | 795 | ||
| T84093A | 08 | 559-561 | T85598D | 23 | 949-950 | Z050 | 23 | 951 | ||
| T84093D | 23 | 949-950 | T85598S | 21 | 922-923 | Z051 | 15 | 795 | ||
| T84093S | 21 | 922-923 | T85610A | 01 | 091-093 | Z051 | 23 | 951 | ||
| T84098A | 08 | 559-561 | T85610D | 23 | 949-950 | Z052 | 15 | 795 | ||
| T84098D | 23 | 949-950 | T85610S | 21 | 922-923 | Z052 | 23 | 951 | ||
| T84098S | 21 | 922-923 | T85611A | 21 | 919-921 | Z053 | 15 | 795 | ||
| T84099A | 08 | 559-561 | T85611D | 23 | 949-950 | Z053 | 23 | 951 | ||
| T84099D | 23 | 949-950 | T85611S | 21 | 922-923 | Z0541 | 15 | 795 | ||
| T84099S | 21 | 922-923 | T85612A | 21 | 919-921 | Z0541 | 23 | 951 | ||
| T84110A | 08 | 559-561 | T85612D | 23 | 949-950 | Z0542 | 15 | 795 | ||
| T84110D | 23 | 949-950 | T85612S | 21 | 922-923 | Z0542 | 23 | 951 | ||
| T84110S | 21 | 922-923 | T85613A | 21 | 919-921 | Z0543 | 15 | 795 | ||
| T84111A | 08 | 559-561 | T85613D | 23 | 949-950 | Z0543 | 23 | 951 | ||
| T84111D | 23 | 949-950 | T85613S | 21 | 922-923 | Z055 | 15 | 795 | ||
| T84111S | 21 | 922-923 | T85614A | 21 | 919-921 | Z055 | 23 | 951 | ||
| T84112A | 08 | 559-561 | T85614D | 23 | 949-950 | Z056 | 15 | 795 | ||
| T84112D | 23 | 949-950 | T85614S | 21 | 922-923 | Z056 | 23 | 951 | ||
| T84112S | 21 | 922-923 | T85615A | 01 | 091-093 | Z0571 | 15 | 795 | ||
| T84113A | 08 | 559-561 | T85615D | 23 | 949-950 | Z0571 | 23 | 951 | ||
| T84113D | 23 | 949-950 | T85615S | 21 | 922-923 | Z0572 | 15 | 795 | ||
| T84113S | 21 | 922-923 | T85618A | 21 | 919-921 | Z0572 | 23 | 951 | ||
| T84114A | 08 | 559-561 | T85618D | 23 | 949-950 | Z0573 | 15 | 795 | ||
| T84114D | 23 | 949-950 | T85618S | 21 | 922-923 | Z0573 | 23 | 951 | ||
| T84114S | 21 | 922-923 | T85620A | 01 | 091-093 | Z058 | 15 | 795 | ||
| T84115A | 08 | 559-561 | T85620D | 23 | 949-950 | Z058 | 23 | 951 | ||
| T84115D | 23 | 949-950 | T85620S | 21 | 922-923 | Z059 | 15 | 795 | ||
| T84115S | 21 | 922-923 | T85621A | 21 | 919-921 | Z059 | 23 | 951 | ||
| T84116A | 08 | 559-561 | T85621D | 23 | 949-950 | Z08 | 17 | 826-828 | ||
| T84116D | 23 | 949-950 | T85621S | 21 | 922-923 | Z08 | 17 | 829-830 | ||
| T84116S | 21 | 922-923 | T85622A | 21 | 919-921 | Z08 | 17 | 837-839 | ||
| T84117A | 08 | 559-561 | T85622D | 23 | 949-950 | Z08 | 17 | 846-848 | ||
| T84117D | 23 | 949-950 | T85622S | 21 | 922-923 | Z09 | 23 | 951 | ||
| T84117S | 21 | 922-923 | T85623A | 21 | 919-921 | Z110 | 23 | 951 | ||
| T84119A | 08 | 559-561 | T85623D | 23 | 949-950 | Z111 | 23 | 951 | ||
| T84119D | 23 | 949-950 | T85623S | 21 | 922-923 | Z112 | 23 | 951 | ||
| T84119S | 21 | 922-923 | T85624A | 21 | 919-921 | Z113 | 23 | 951 | ||
| T84120A | 08 | 559-561 | T85624D | 23 | 949-950 | Z114 | 23 | 951 | ||
| T84120D | 23 | 949-950 | T85624S | 21 | 922-923 | Z1151 | 23 | 951 | ||
| T84120S | 21 | 922-923 | T85625A | 01 | 091-093 | Z1152 | 23 | 951 | ||
| T84121A | 08 | 559-561 | T85625D | 23 | 949-950 | Z1159 | 23 | 951 | ||
| T84121D | 23 | 949-950 | T85625S | 21 | 922-923 | Z116 | 23 | 951 | ||
| T84121S | 21 | 922-923 | T85628A | 21 | 919-921 | Z117 | 23 | 951 | ||
| T84122A | 08 | 559-561 | T85628D | 23 | 949-950 | Z118 | 23 | 951 | ||
| T84122D | 23 | 949-950 | T85628S | 21 | 922-923 | Z119 | 23 | 951 | ||
| T84122S | 21 | 922-923 | T85630A | 01 | 091-093 | Z120 | 23 | 951 | ||
| T84123A | 08 | 559-561 | T85630D | 23 | 949-950 | Z1210 | 23 | 951 | ||
| T84123D | 23 | 949-950 | T85630S | 21 | 922-923 | Z1211 | 23 | 951 | ||
| T84123S | 21 | 922-923 | T85631A | 21 | 919-921 | Z1212 | 23 | 951 | ||
| T84124A | 08 | 559-561 | T85631D | 23 | 949-950 | Z1213 | 23 | 951 | ||
| T84124D | 23 | 949-950 | T85631S | 21 | 922-923 | Z122 | 23 | 951 | ||
| T84124S | 21 | 922-923 | T85633A | 21 | 919-921 | Z1231 | 23 | 951 | ||
| T84125A | 08 | 559-561 | T85633D | 23 | 949-950 | Z1239 | 23 | 951 | ||
| T84125D | 23 | 949-950 | T85633S | 21 | 922-923 | Z124 | 23 | 951 | ||
| T84125S | 21 | 922-923 | T85635A | 01 | 091-093 | Z125 | 23 | 951 | ||
| T84126A | 08 | 559-561 | T85635D | 23 | 949-950 | Z126 | 23 | 951 | ||
| T84126D | 23 | 949-950 | T85635S | 21 | 922-923 | Z1271 | 23 | 951 | ||
| T84126S | 21 | 922-923 | T85638A | 21 | 919-921 | Z1272 | 23 | 951 | ||
| T84127A | 08 | 559-561 | T85638D | 23 | 949-950 | Z1273 | 23 | 951 | ||
| T84127D | 23 | 949-950 | T85638S | 21 | 922-923 | Z1279 | 23 | 951 | ||
| T84127S | 21 | 922-923 | T85690A | 01 | 091-093 | Z1281 | 23 | 951 | ||
| T84129A | 08 | 559-561 | T85690D | 23 | 949-950 | Z1282 | 23 | 951 | ||
| T84129D | 23 | 949-950 | T85690S | 21 | 922-923 | Z1283 | 23 | 951 | ||
| T84129S | 21 | 922-923 | T85691A | 21 | 919-921 | Z1289 | 23 | 951 | ||
| T84190A | 08 | 559-561 | T85691D | 23 | 949-950 | Z129 | 23 | 951 | ||
| T84190D | 23 | 949-950 | T85691S | 21 | 922-923 | Z130 | 23 | 951 | ||
| T84190S | 21 | 922-923 | T85692A | 21 | 919-921 | Z131 | 23 | 951 | ||
| T84191A | 08 | 559-561 | T85692D | 23 | 949-950 | Z1321 | 23 | 951 | ||
| T84191D | 23 | 949-950 | T85692S | 21 | 922-923 | Z13220 | 23 | 951 | ||
| T84191S | 21 | 922-923 | T85693A | 21 | 919-921 | Z13228 | 15 | 795 | ||
| T84192A | 08 | 559-561 | T85693D | 23 | 949-950 | Z13228 | 23 | 951 | ||
| T84192D | 23 | 949-950 | T85693S | 21 | 922-923 | Z1329 | 23 | 951 | ||
| T84192S | 21 | 922-923 | T85694A | 21 | 919-921 | Z1330 | 23 | 951 | ||
| T84193A | 08 | 559-561 | T85694D | 23 | 949-950 | Z1331 | 23 | 951 | ||
| T84193D | 23 | 949-950 | T85694S | 21 | 922-923 | Z1332 | 23 | 951 | ||
| T84193S | 21 | 922-923 | T85695A | 01 | 091-093 | Z1339 | 23 | 951 | ||
| T84194A | 08 | 559-561 | T85695D | 23 | 949-950 | Z1340 | 23 | 951 | ||
| T84194D | 23 | 949-950 | T85695S | 21 | 922-923 | Z1341 | 23 | 951 | ||
| T84194S | 21 | 922-923 | T85698A | 21 | 919-921 | Z1342 | 23 | 951 | ||
| T84195A | 08 | 559-561 | T85698D | 23 | 949-950 | Z1349 | 23 | 951 | ||
| T84195D | 23 | 949-950 | T85698S | 21 | 922-923 | Z135 | 23 | 951 | ||
| T84195S | 21 | 922-923 | T8571XA | 21 | 919-921 | Z136 | 23 | 951 | ||
| T84196A | 08 | 559-561 | T8571XD | 23 | 949-950 | Z1371 | 23 | 951 | ||
| T84196D | 23 | 949-950 | T8571XS | 21 | 922-923 | Z1379 | 23 | 951 | ||
| T84196S | 21 | 922-923 | T8572XA | 21 | 919-921 | Z13810 | 23 | 951 | ||
| T84197A | 08 | 559-561 | T8572XD | 23 | 949-950 | Z13811 | 23 | 951 | ||
| T84197D | 23 | 949-950 | T8572XS | 21 | 922-923 | Z13818 | 23 | 951 | ||
| T84197S | 21 | 922-923 | T85730A | 01 | 091-093 | Z13820 | 23 | 951 | ||
| T84199A | 08 | 559-561 | T85730D | 23 | 949-950 | Z13828 | 23 | 951 | ||
| T84199D | 23 | 949-950 | T85730S | 21 | 922-923 | Z1383 | 23 | 951 | ||
| T84199S | 21 | 922-923 | T85731A | 01 | 091-093 | Z1384 | 23 | 951 | ||
| T84210A | 08 | 559-561 | T85731D | 23 | 949-950 | Z13850 | 23 | 951 | ||
| T84210D | 23 | 949-950 | T85731S | 21 | 922-923 | Z13858 | 23 | 951 | ||
| T84210S | 21 | 922-923 | T85732A | 01 | 091-093 | Z1388 | 23 | 951 | ||
| T84213A | 08 | 559-561 | T85732D | 23 | 949-950 | Z1389 | 23 | 951 | ||
| T84213D | 23 | 949-950 | T85732S | 21 | 922-923 | Z139 | 23 | 951 | ||
| T84213S | 21 | 922-923 | T85733A | 01 | 091-093 | Z1401 | 23 | 951 | ||
| T84216A | 08 | 559-561 | T85733D | 23 | 949-950 | Z1402 | 23 | 951 | ||
| T84216D | 23 | 949-950 | T85733S | 21 | 922-923 | Z141 | 23 | 951 | ||
| T84216S | 21 | 922-923 | T85734A | 01 | 091-093 | Z148 | 23 | 951 | ||
| T84218A | 08 | 559-561 | T85734D | 23 | 949-950 | Z1501 | 23 | 951 | ||
| T84218D | 23 | 949-950 | T85734S | 21 | 922-923 | Z1502 | 23 | 951 | ||
| T84218S | 21 | 922-923 | T85735A | 01 | 091-093 | Z1503 | 23 | 951 | ||
| T84220A | 08 | 559-561 | T85735D | 23 | 949-950 | Z1504 | 23 | 951 | ||
| T84220D | 23 | 949-950 | T85735S | 21 | 922-923 | Z1509 | 23 | 951 | ||
| T84220S | 21 | 922-923 | T85738A | 01 | 091-093 | Z1581 | 23 | 951 | ||
| T84223A | 08 | 559-561 | T85738D | 23 | 949-950 | Z1589 | 23 | 951 | ||
| T84223D | 23 | 949-950 | T85738S | 21 | 922-923 | Z1610 | 18 | 867-869 | ||
| T84223S | 21 | 922-923 | T8579XA | 21 | 919-921 | Z1611 | 18 | 867-869 | ||
| T84226A | 08 | 559-561 | T8579XD | 23 | 949-950 | Z1612 | 18 | 867-869 | ||
| T84226D | 23 | 949-950 | T8579XS | 21 | 922-923 | Z1619 | 18 | 867-869 | ||
| T84226S | 21 | 922-923 | T85810A | 01 | 091-093 | Z1620 | 18 | 867-869 | ||
| T84228A | 08 | 559-561 | T85810D | 23 | 949-950 | Z1621 | 18 | 867-869 | ||
| T84228D | 23 | 949-950 | T85810S | 21 | 922-923 | Z1622 | 18 | 867-869 | ||
| T84228S | 21 | 922-923 | T85818A | 21 | 919-921 | Z1623 | 18 | 867-869 | ||
| T84290A | 08 | 559-561 | T85818D | 23 | 949-950 | Z1624 | 18 | 867-869 | ||
| T84290D | 23 | 949-950 | T85818S | 21 | 922-923 | Z1629 | 18 | 867-869 | ||
| T84290S | 21 | 922-923 | T85820A | 01 | 091-093 | Z1630 | 18 | 867-869 | ||
| T84293A | 08 | 559-561 | T85820D | 23 | 949-950 | Z1631 | 18 | 867-869 | ||
| T84293D | 23 | 949-950 | T85820S | 21 | 922-923 | Z1632 | 18 | 867-869 | ||
| T84293S | 21 | 922-923 | T85828A | 21 | 919-921 | Z1633 | 18 | 867-869 | ||
| T84296A | 08 | 559-561 | T85828D | 23 | 949-950 | Z16341 | 18 | 867-869 | ||
| T84296D | 23 | 949-950 | T85828S | 21 | 922-923 | Z16342 | 18 | 867-869 | ||
| T84296S | 21 | 922-923 | T85830A | 01 | 091-093 | Z1635 | 18 | 867-869 | ||
| T84298A | 08 | 559-561 | T85830D | 23 | 949-950 | Z1639 | 18 | 867-869 | ||
| T84298D | 23 | 949-950 | T85830S | 21 | 922-923 | Z170 | 23 | 951 | ||
| T84298S | 21 | 922-923 | T85838A | 21 | 919-921 | Z171 | 23 | 951 | ||
| T84310A | 08 | 559-561 | T85838D | 23 | 949-950 | Z1801 | 23 | 951 | ||
| T84310D | 23 | 949-950 | T85838S | 21 | 922-923 | Z1809 | 23 | 951 | ||
| T84310S | 21 | 922-923 | T85840A | 01 | 091-093 | Z1810 | 23 | 951 | ||
| T84318A | 08 | 559-561 | T85840D | 23 | 949-950 | Z1811 | 23 | 951 | ||
| T84318D | 23 | 949-950 | T85840S | 21 | 922-923 | Z1812 | 23 | 951 | ||
| T84318S | 21 | 922-923 | T85848A | 21 | 919-921 | Z182 | 23 | 951 | ||
| T84320A | 08 | 559-561 | T85848D | 23 | 949-950 | Z1831 | 23 | 951 | ||
| T84320D | 23 | 949-950 | T85848S | 21 | 922-923 | Z1832 | 23 | 951 | ||
| T84320S | 21 | 922-923 | T85850A | 01 | 091-093 | Z1833 | 23 | 951 | ||
| T84328A | 08 | 559-561 | T85850D | 23 | 949-950 | Z1839 | 23 | 951 | ||
| T84328D | 23 | 949-950 | T85850S | 21 | 922-923 | Z1881 | 23 | 951 | ||
| T84328S | 21 | 922-923 | T85858A | 21 | 919-921 | Z1883 | 23 | 951 | ||
| T84390A | 08 | 559-561 | T85858D | 23 | 949-950 | Z1889 | 23 | 951 | ||
| T84390D | 23 | 949-950 | T85858S | 21 | 922-923 | Z189 | 23 | 951 | ||
| T84390S | 21 | 922-923 | T85860A | 01 | 091-093 | Z191 | 23 | 951 | ||
| T84398A | 08 | 559-561 | T85860D | 23 | 949-950 | Z192 | 23 | 951 | ||
| T84398D | 23 | 949-950 | T85860S | 21 | 922-923 | Z2001 | 15 | 795 | ||
| T84398S | 21 | 922-923 | T85868A | 21 | 919-921 | Z2001 | 23 | 951 | ||
| T84410A | 08 | 559-561 | T85868D | 23 | 949-950 | Z2009 | 15 | 795 | ||
| T84410D | 23 | 949-950 | T85868S | 21 | 922-923 | Z2009 | 23 | 951 | ||
| T84410S | 21 | 922-923 | T85890A | 01 | 091-093 | Z201 | 15 | 795 | ||
| T84418A | 08 | 559-561 | T85890D | 23 | 949-950 | Z201 | 23 | 951 | ||
| T84418D | 23 | 949-950 | T85890S | 21 | 922-923 | Z202 | 15 | 795 | ||
| T84418S | 21 | 922-923 | T85898A | 21 | 919-921 | Z202 | 23 | 951 | ||
| T84420A | 08 | 559-561 | T85898D | 23 | 949-950 | Z203 | 15 | 795 | ||
| T84420D | 23 | 949-950 | T85898S | 21 | 922-923 | Z203 | 23 | 951 | ||
| T84420S | 21 | 922-923 | T859XXA | 21 | 919-921 | Z204 | 15 | 795 | ||
| T84428A | 08 | 559-561 | T859XXD | 23 | 949-950 | Z204 | 23 | 951 | ||
| T84428D | 23 | 949-950 | T859XXS | 21 | 922-923 | Z205 | 15 | 795 | ||
| T84428S | 21 | 922-923 | T8600 | 16 | 808-810 | Z205 | 23 | 951 | ||
| T84490A | 08 | 559-561 | T8601 | 16 | 808-810 | Z206 | 15 | 795 | ||
| T84490D | 23 | 949-950 | T8602 | 16 | 808-810 | Z206 | 23 | 951 | ||
| T84490S | 21 | 922-923 | T8603 | 16 | 808-810 | Z207 | 15 | 795 | ||
| T84498A | 08 | 559-561 | T8609 | 16 | 808-810 | Z207 | 23 | 951 | ||
| T84498D | 23 | 949-950 | T8610 | 11 | 698-700 | Z20810 | 15 | 795 | ||
| T84498S | 21 | 922-923 | T8611 | 11 | 673-675 | Z20810 | 23 | 951 | ||
| T8450XA | 08 | 559-561 | T8611 | 11 | 698-700 | Z20811 | 15 | 795 | ||
| T8450XD | 23 | 949-950 | T8612 | 11 | 673-675 | Z20811 | 23 | 951 | ||
| T8450XS | 21 | 922-923 | T8612 | 11 | 698-700 | Z20818 | 15 | 795 | ||
| T8451XA | 08 | 559-561 | T8613 | 11 | 673-675 | Z20818 | 23 | 951 | ||
| T8451XD | 23 | 949-950 | T8613 | 11 | 698-700 | Z20820 | 15 | 795 | ||
| T8451XS | 21 | 922-923 | T8619 | 11 | 673-675 | Z20820 | 23 | 951 | ||
| T8452XA | 08 | 559-561 | T8619 | 11 | 698-700 | Z20821 | 15 | 795 | ||
| T8452XD | 23 | 949-950 | T8620 | 05 | 314-316 | Z20821 | 23 | 951 | ||
| T8452XS | 21 | 922-923 | T8621 | 05 | 314-316 | Z20822 | 15 | 795 | ||
| T8453XA | 08 | 485-487 | T8622 | 05 | 314-316 | Z20822 | 23 | 951 | ||
| T8453XA | 08 | 559-561 | T8623 | 05 | 314-316 | Z20828 | 15 | 795 | ||
| T8453XD | 23 | 949-950 | T86290 | 05 | 314-316 | Z20828 | 23 | 951 | ||
| T8453XS | 21 | 922-923 | T86298 | 05 | 314-316 | Z2089 | 15 | 795 | ||
| T8454XA | 08 | 485-487 | T8630 | 05 | 314-316 | Z2089 | 23 | 951 | ||
| T8454XA | 08 | 559-561 | T8631 | 05 | 314-316 | Z209 | 15 | 795 | ||
| T8454XD | 23 | 949-950 | T8632 | 05 | 314-316 | Z209 | 23 | 951 | ||
| T8454XS | 21 | 922-923 | T8633 | 05 | 314-316 | Z21 | 18 | 865-866 | ||
| T8459XA | 08 | 559-561 | T8639 | 05 | 314-316 | Z220 | 23 | 951 | ||
| T8459XD | 23 | 949-950 | T8640 | 07 | 441-443 | Z221 | 23 | 951 | ||
| T8459XS | 21 | 922-923 | T8641 | 07 | 441-443 | Z222 | 23 | 951 | ||
| T8460XA | 08 | 559-561 | T8642 | 07 | 441-443 | Z2231 | 23 | 951 | ||
| T8460XD | 23 | 949-950 | T8643 | 07 | 441-443 | Z22321 | 23 | 951 | ||
| T8460XS | 21 | 922-923 | T8649 | 07 | 441-443 | Z22322 | 23 | 951 | ||
| T84610A | 08 | 559-561 | T865 | 21 | 919-921 | Z22330 | 23 | 951 | ||
| T84610D | 23 | 949-950 | T86810 | 04 | 205-206 | Z22338 | 23 | 951 | ||
| T84610S | 21 | 922-923 | T86811 | 04 | 205-206 | Z2239 | 23 | 951 | ||
| T84611A | 08 | 559-561 | T86812 | 04 | 205-206 | Z224 | 23 | 951 | ||
| T84611D | 23 | 949-950 | T86818 | 04 | 205-206 | Z226 | 23 | 951 | ||
| T84611S | 21 | 922-923 | T86819 | 04 | 205-206 | Z227 | 23 | 951 | ||
| T84612A | 08 | 559-561 | T86820 | 21 | 919-921 | Z228 | 23 | 951 | ||
| T84612D | 23 | 949-950 | T86821 | 21 | 919-921 | Z229 | 23 | 951 | ||
| T84612S | 21 | 922-923 | T86822 | 21 | 919-921 | Z23 | 15 | 795 | ||
| T84613A | 08 | 559-561 | T86828 | 21 | 919-921 | Z23 | 23 | 951 | ||
| T84613D | 23 | 949-950 | T86829 | 21 | 919-921 | Z2801 | 15 | 795 | ||
| T84613S | 21 | 922-923 | T86830 | 21 | 919-921 | Z2801 | 23 | 951 | ||
| T84614A | 08 | 559-561 | T86831 | 21 | 919-921 | Z2802 | 15 | 795 | ||
| T84614D | 23 | 949-950 | T86832 | 21 | 919-921 | Z2802 | 23 | 951 | ||
| T84614S | 21 | 922-923 | T86838 | 21 | 919-921 | Z2803 | 15 | 795 | ||
| T84615A | 08 | 559-561 | T86839 | 21 | 919-921 | Z2803 | 23 | 951 | ||
| T84615D | 23 | 949-950 | T868401 | 02 | 124-125 | Z2804 | 15 | 795 | ||
| T84615S | 21 | 922-923 | T868402 | 02 | 124-125 | Z2804 | 23 | 951 | ||
| T84619A | 08 | 559-561 | T868403 | 02 | 124-125 | Z2809 | 15 | 795 | ||
| T84619D | 23 | 949-950 | T868409 | 02 | 124-125 | Z2809 | 23 | 951 | ||
| T84619S | 21 | 922-923 | T868411 | 02 | 124-125 | Z281 | 15 | 795 | ||
| T84620A | 08 | 485-487 | T868412 | 02 | 124-125 | Z281 | 23 | 951 | ||
| T84620A | 08 | 559-561 | T868413 | 02 | 124-125 | Z2820 | 15 | 795 | ||
| T84620D | 23 | 949-950 | T868419 | 02 | 124-125 | Z2820 | 23 | 951 | ||
| T84620S | 21 | 922-923 | T868421 | 21 | 919-921 | Z2821 | 15 | 795 | ||
| T84621A | 08 | 485-487 | T868422 | 21 | 919-921 | Z2821 | 23 | 951 | ||
| T84621A | 08 | 559-561 | T868423 | 21 | 919-921 | Z2829 | 15 | 795 | ||
| T84621D | 23 | 949-950 | T868429 | 21 | 919-921 | Z2829 | 23 | 951 | ||
| T84621S | 21 | 922-923 | T868481 | 21 | 919-921 | Z28310 | 23 | 951 | ||
| T84622A | 08 | 485-487 | T868482 | 21 | 919-921 | Z28311 | 23 | 951 | ||
| T84622A | 08 | 559-561 | T868483 | 21 | 919-921 | Z2839 | 23 | 951 | ||
| T84622D | 23 | 949-950 | T868489 | 21 | 919-921 | Z2881 | 15 | 795 | ||
| T84622S | 21 | 922-923 | T868491 | 21 | 919-921 | Z2881 | 23 | 951 | ||
| T84623A | 08 | 485-487 | T868492 | 21 | 919-921 | Z2882 | 15 | 795 | ||
| T84623A | 08 | 559-561 | T868493 | 21 | 919-921 | Z2882 | 23 | 951 | ||
| T84623D | 23 | 949-950 | T868499 | 21 | 919-921 | Z2883 | 15 | 795 | ||
| T84623S | 21 | 922-923 | T86850 | 21 | 919-921 | Z2883 | 23 | 951 | ||
| T84624A | 08 | 485-487 | T86851 | 21 | 919-921 | Z2889 | 15 | 795 | ||
| T84624A | 08 | 559-561 | T86852 | 21 | 919-921 | Z2889 | 23 | 951 | ||
| T84624D | 23 | 949-950 | T86858 | 21 | 919-921 | Z289 | 15 | 795 | ||
| T84624S | 21 | 922-923 | T86859 | 21 | 919-921 | Z289 | 23 | 951 | ||
| T84625A | 08 | 485-487 | T86890 | 07 | 438-440 | Z2911 | 23 | 951 | ||
| T84625A | 08 | 559-561 | T86891 | 07 | 438-440 | Z2912 | 23 | 951 | ||
| T84625D | 23 | 949-950 | T86892 | 07 | 438-440 | Z2913 | 23 | 951 | ||
| T84625S | 21 | 922-923 | T86898 | 07 | 438-440 | Z2914 | 23 | 951 | ||
| T84629A | 08 | 485-487 | T86899 | 07 | 438-440 | Z293 | 23 | 951 | ||
| T84629A | 08 | 559-561 | T8690 | 21 | 919-921 | Z298 | 23 | 951 | ||
| T84629D | 23 | 949-950 | T8691 | 21 | 919-921 | Z299 | 23 | 951 | ||
| T84629S | 21 | 922-923 | T8692 | 21 | 919-921 | Z30011 | 23 | 951 | ||
| T8463XA | 08 | 559-561 | T8693 | 21 | 919-921 | Z30012 | 23 | 951 | ||
| T8463XD | 23 | 949-950 | T8699 | 21 | 919-921 | Z30013 | 23 | 951 | ||
| T8463XS | 21 | 922-923 | T870X1 | 08 | 559-561 | Z30014 | 23 | 951 | ||
| T8469XA | 08 | 559-561 | T870X2 | 08 | 559-561 | Z30015 | 23 | 951 | ||
| T8469XD | 23 | 949-950 | T870X9 | 08 | 559-561 | Z30016 | 23 | 951 | ||
| T8469XS | 21 | 922-923 | T871X1 | 08 | 559-561 | Z30017 | 23 | 951 | ||
| T847XXA | 08 | 485-487 | T871X2 | 08 | 559-561 | Z30018 | 23 | 951 | ||
| T847XXA | 08 | 559-561 | T871X9 | 08 | 559-561 | Z30019 | 23 | 951 | ||
| T847XXD | 23 | 949-950 | T872 | 08 | 559-561 | Z3002 | 23 | 951 | ||
| T847XXS | 21 | 922-923 | T8730 | 08 | 564-566 | Z3009 | 23 | 951 | ||
| T8481XA | 08 | 559-561 | T8731 | 08 | 564-566 | Z302 | 12 | 729-730 | ||
| T8481XD | 23 | 949-950 | T8732 | 08 | 564-566 | Z302 | 13 | 742-743 | ||
| T8481XS | 21 | 922-923 | T8733 | 08 | 564-566 | Z302 | 13 | 760-761 | ||
| T8482XA | 08 | 559-561 | T8734 | 08 | 564-566 | Z3040 | 23 | 951 | ||
| T8482XD | 23 | 949-950 | T8740 | 08 | 564-566 | Z3041 | 23 | 951 | ||
| T8482XS | 21 | 922-923 | T8741 | 08 | 564-566 | Z3042 | 23 | 951 | ||
| T8483XA | 08 | 559-561 | T8742 | 08 | 564-566 | Z30430 | 23 | 951 | ||
| T8483XD | 23 | 949-950 | T8743 | 08 | 564-566 | Z30431 | 23 | 951 | ||
| T8483XS | 21 | 922-923 | T8744 | 08 | 564-566 | Z30432 | 23 | 951 | ||
| T8484XA | 08 | 559-561 | T8750 | 08 | 564-566 | Z30433 | 23 | 951 | ||
| T8484XD | 23 | 949-950 | T8751 | 08 | 564-566 | Z3044 | 23 | 951 | ||
| T8484XS | 21 | 922-923 | T8752 | 08 | 564-566 | Z3045 | 23 | 951 | ||
| T8485XA | 08 | 559-561 | T8753 | 08 | 564-566 | Z3046 | 23 | 951 | ||
| T8485XD | 23 | 949-950 | T8754 | 08 | 564-566 | Z3049 | 23 | 951 | ||
| T8485XS | 21 | 922-923 | T8781 | 08 | 564-566 | Z308 | 23 | 951 | ||
| T8486XA | 08 | 559-561 | T8789 | 08 | 564-566 | Z309 | 23 | 951 | ||
| T8486XD | 23 | 949-950 | T879 | 08 | 564-566 | Z310 | 12 | 729-730 | ||
| T8486XS | 21 | 922-923 | T880XXA | 15 | 791 | Z310 | 13 | 742-743 | ||
| T8489XA | 08 | 559-561 | T880XXA | 15 | 793 | Z310 | 13 | 760-761 | ||
| T8489XD | 23 | 949-950 | T880XXA | 18 | 856-858 | Z3141 | 23 | 951 | ||
| T8489XS | 21 | 922-923 | T880XXA | 18 | 867-869 | Z3142 | 23 | 951 | ||
| T849XXA | 08 | 559-561 | T880XXD | 23 | 949-950 | Z31430 | 23 | 951 | ||
| T849XXD | 23 | 949-950 | T880XXS | 21 | 922-923 | Z31438 | 23 | 951 | ||
| T849XXS | 21 | 922-923 | T881XXA | 18 | 865-866 | Z31440 | 23 | 951 | ||
| T8501XA | 01 | 091-093 | T881XXD | 23 | 949-950 | Z31441 | 23 | 951 | ||
| T8501XD | 23 | 949-950 | T881XXS | 21 | 922-923 | Z31448 | 23 | 951 | ||
| T8501XS | 21 | 922-923 | T882XXA | 15 | 791 | Z3149 | 23 | 951 | ||
| T882XXA | 15 | 793 | ||||||||
| T882XXA | 21 | 922-923 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |