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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| Appendix C: Principal diagnoses which convert CC/MCC to non-CC |
| Page 1078 of 1270 |
| PDX Collection 5743 (continued) | |
| A409 | Streptococcal sepsis, unspecified |
| A4101 | Sepsis due to Methicillin susceptible Staphylococcus aureus |
| A4102 | Sepsis due to Methicillin resistant Staphylococcus aureus |
| A411 | Sepsis due to other specified staphylococcus |
| A412 | Sepsis due to unspecified staphylococcus |
| A413 | Sepsis due to Hemophilus influenzae |
| A414 | Sepsis due to anaerobes |
| A4150 | Gram-negative sepsis, unspecified |
| A4151 | Sepsis due to Escherichia coli [E. coli] |
| A4152 | Sepsis due to Pseudomonas |
| A4153 | Sepsis due to Serratia |
| A4159 | Other Gram-negative sepsis |
| A4181 | Sepsis due to Enterococcus |
| A4189 | Other specified sepsis |
| A419 | Sepsis, unspecified organism |
| A427 | Actinomycotic sepsis |
| A482 | Nonpneumonic Legionnaires' disease [Pontiac fever] |
| A483 | Toxic shock syndrome |
| A484 | Brazilian purpuric fever |
| A488 | Other specified bacterial diseases |
| A4901 | Methicillin susceptible Staphylococcus aureus infection, unspecified site |
| A4902 | Methicillin resistant Staphylococcus aureus infection, unspecified site |
| A491 | Streptococcal infection, unspecified site |
| A492 | Hemophilus influenzae infection, unspecified site |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| A5486 | Gonococcal sepsis |
| B007 | Disseminated herpesviral disease |
| B370 | Candidal stomatitis |
| B371 | Pulmonary candidiasis |
| B372 | Candidiasis of skin and nail |
| B3731 | Acute candidiasis of vulva and vagina |
| B3732 | Chronic candidiasis of vulva and vagina |
| B3741 | Candidal cystitis and urethritis |
| B3742 | Candidal balanitis |
| B3749 | Other urogenital candidiasis |
| B375 | Candidal meningitis |
| B376 | Candidal endocarditis |
| B377 | Candidal sepsis |
| B3781 | Candidal esophagitis |
| B3782 | Candidal enteritis |
| B3783 | Candidal cheilitis |
| B3784 | Candidal otitis externa |
| B3789 | Other sites of candidiasis |
| B379 | Candidiasis, unspecified |
| B483 | Geotrichosis |
| B49 | Unspecified mycosis |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| B950 | Streptococcus, group A, as the cause of diseases classified elsewhere |
| B951 | Streptococcus, group B, as the cause of diseases classified elsewhere |
| B952 | Enterococcus as the cause of diseases classified elsewhere |
| B953 | Streptococcus pneumoniae as the cause of diseases classified elsewhere |
| B954 | Other streptococcus as the cause of diseases classified elsewhere |
| B955 | Unspecified streptococcus as the cause of diseases classified elsewhere |
| B9561 | Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere |
| B9562 | Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere |
| B957 | Other staphylococcus as the cause of diseases classified elsewhere |
| B958 | Unspecified staphylococcus as the cause of diseases classified elsewhere |
| B960 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
| B961 | Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere |
| B9620 | Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
| B9621 | Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere |
| B9622 | Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
| B9623 | Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
| B9629 | Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
| B963 | Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere |
| B964 | Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere |
| B965 | Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere |
| B966 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
| B967 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
| B9681 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
| B9682 | Vibrio vulnificus as the cause of diseases classified elsewhere |
| B9689 | Other specified bacterial agents as the cause of diseases classified elsewhere |
| R6510 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction |
| R6511 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction |
| R6520 | Severe sepsis without septic shock |
| Z1610 | Resistance to unspecified beta lactam antibiotics |
| Z1611 | Resistance to penicillins |
| Z1612 | Extended spectrum beta lactamase (ESBL) resistance |
| Z1619 | Resistance to other specified beta lactam antibiotics |
| Z1620 | Resistance to unspecified antibiotic |
| Z1621 | Resistance to vancomycin |
| Z1622 | Resistance to vancomycin related antibiotics |
| Z1623 | Resistance to quinolones and fluoroquinolones |
| Z1624 | Resistance to multiple antibiotics |
| Z1629 | Resistance to other single specified antibiotic |
| Z1630 | Resistance to unspecified antimicrobial drugs |
| Z1631 | Resistance to antiparasitic drug(s) |
| Z1632 | Resistance to antifungal drug(s) |
| Z1633 | Resistance to antiviral drug(s) |
| Z16341 | Resistance to single antimycobacterial drug |
| Z16342 | Resistance to multiple antimycobacterial drugs |
| Z1635 | Resistance to multiple antimicrobial drugs |
| Z1639 | Resistance to other specified antimicrobial drug |
| PDX Collection 5744 | |
| A0221 | Salmonella meningitis |
| A170 | Tuberculous meningitis |
| A171 | Meningeal tuberculoma |
| A2781 | Aseptic meningitis in leptospirosis |
| A390 | Meningococcal meningitis |
| A5041 | Late congenital syphilitic meningitis |
| A5141 | Secondary syphilitic meningitis |
| A5213 | Late syphilitic meningitis |
| A5482 | Gonococcal brain abscess |
| A5484 | Gonococcal pneumonia |
| A5489 | Other gonococcal infections |
| A549 | Gonococcal infection, unspecified |
| A870 | Enteroviral meningitis |
| A871 | Adenoviral meningitis |
| A872 | Lymphocytic choriomeningitis |
| A878 | Other viral meningitis |
| A879 | Viral meningitis, unspecified |
| B003 | Herpesviral meningitis |
| B021 | Zoster meningitis |
| B261 | Mumps meningitis |
| B370 | Candidal stomatitis |
| B371 | Pulmonary candidiasis |
| B372 | Candidiasis of skin and nail |
| B3731 | Acute candidiasis of vulva and vagina |
| B3732 | Chronic candidiasis of vulva and vagina |
| B3741 | Candidal cystitis and urethritis |
| B3742 | Candidal balanitis |
| B3749 | Other urogenital candidiasis |
| B375 | Candidal meningitis |
| B376 | Candidal endocarditis |
| B377 | Candidal sepsis |
| B3781 | Candidal esophagitis |
| B3782 | Candidal enteritis |
| B3783 | Candidal cheilitis |
| B3784 | Candidal otitis externa |
| B3789 | Other sites of candidiasis |
| B379 | Candidiasis, unspecified |
| B384 | Coccidioidomycosis meningitis |
| B451 | Cerebral cryptococcosis |
| B483 | Geotrichosis |
| B49 | Unspecified mycosis |
| B582 | Toxoplasma meningoencephalitis |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| G000 | Hemophilus meningitis |
| G001 | Pneumococcal meningitis |
| G002 | Streptococcal meningitis |
| G003 | Staphylococcal meningitis |
| G008 | Other bacterial meningitis |
| G009 | Bacterial meningitis, unspecified |
| G01 | Meningitis in bacterial diseases classified elsewhere |
| G02 | Meningitis in other infectious and parasitic diseases classified elsewhere |
| G030 | Nonpyogenic meningitis |
| G031 | Chronic meningitis |
| G032 | Benign recurrent meningitis [Mollaret] |
| G038 | Meningitis due to other specified causes |
| G039 | Meningitis, unspecified |
| G042 | Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified |
| G3289 | Other specified degenerative disorders of nervous system in diseases classified elsewhere |
| G610 | Guillain-Barre syndrome |
| G969 | Disorder of central nervous system, unspecified |
| G980 | Neurogenic arthritis, not elsewhere classified |
| G988 | Other disorders of nervous system |
| G998 | Other specified disorders of nervous system in diseases classified elsewhere |
| PDX Collection 5745 | |
| D474 | Osteomyelofibrosis |
| D65 | Disseminated intravascular coagulation [defibrination syndrome] |
| D66 | Hereditary factor VIII deficiency |
| D67 | Hereditary factor IX deficiency |
| D6800 | Von Willebrand disease, unspecified |
| D6801 | Von Willebrand disease, type 1 |
| D68020 | Von Willebrand disease, type 2A |
| D68021 | Von Willebrand disease, type 2B |
| D68022 | Von Willebrand disease, type 2M |
| D68023 | Von Willebrand disease, type 2N |
| D68029 | Von Willebrand disease, type 2, unspecified |
| D6803 | Von Willebrand disease, type 3 |
| D6804 | Acquired von Willebrand disease |
| D6809 | Other von Willebrand disease |
| D681 | Hereditary factor XI deficiency |
| D682 | Hereditary deficiency of other clotting factors |
| D68311 | Acquired hemophilia |
| D68312 | Antiphospholipid antibody with hemorrhagic disorder |
| D68318 | Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors |
| D6832 | Hemorrhagic disorder due to extrinsic circulating anticoagulants |
| D684 | Acquired coagulation factor deficiency |
| D6851 | Activated protein C resistance |
| D6852 | Prothrombin gene mutation |
| D6859 | Other primary thrombophilia |
| D6861 | Antiphospholipid syndrome |
| D6862 | Lupus anticoagulant syndrome |
| D6869 | Other thrombophilia |
| D688 | Other specified coagulation defects |
| D689 | Coagulation defect, unspecified |
| D690 | Allergic purpura |
| D691 | Qualitative platelet defects |
| D692 | Other nonthrombocytopenic purpura |
| D693 | Immune thrombocytopenic purpura |
| D6941 | Evans syndrome |
| D6942 | Congenital and hereditary thrombocytopenia purpura |
| D6949 | Other primary thrombocytopenia |
| D6951 | Posttransfusion purpura |
| D6959 | Other secondary thrombocytopenia |
| D696 | Thrombocytopenia, unspecified |
| D698 | Other specified hemorrhagic conditions |
| D699 | Hemorrhagic condition, unspecified |
| D75821 | Non-immune heparin-induced thrombocytopenia |
| D75822 | Immune-mediated heparin-induced thrombocytopenia |
| D75828 | Other heparin-induced thrombocytopenia syndrome |
| D75829 | Heparin-induced thrombocytopenia, unspecified |
| D7584 | Other platelet-activating anti-PF4 disorders |
| D7589 | Other specified diseases of blood and blood-forming organs |
| D759 | Disease of blood and blood-forming organs, unspecified |
| D75A | Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia |
| D77 | Other disorders of blood and blood-forming organs in diseases classified elsewhere |
| D892 | Hypergammaglobulinemia, unspecified |
| PDX Collection 5746 | |
| D474 | Osteomyelofibrosis |
| D6800 | Von Willebrand disease, unspecified |
| D6801 | Von Willebrand disease, type 1 |
| D68020 | Von Willebrand disease, type 2A |
| D68021 | Von Willebrand disease, type 2B |
| D68022 | Von Willebrand disease, type 2M |
| D68023 | Von Willebrand disease, type 2N |
| D68029 | Von Willebrand disease, type 2, unspecified |
| D6803 | Von Willebrand disease, type 3 |
| D6804 | Acquired von Willebrand disease |
| D6809 | Other von Willebrand disease |
| D68311 | Acquired hemophilia |
| D68312 | Antiphospholipid antibody with hemorrhagic disorder |
| D68318 | Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors |
| D6851 | Activated protein C resistance |
| D6852 | Prothrombin gene mutation |
| D6859 | Other primary thrombophilia |
| D6861 | Antiphospholipid syndrome |
| D6862 | Lupus anticoagulant syndrome |
| D6869 | Other thrombophilia |
| D700 | Congenital agranulocytosis |
| D701 | Agranulocytosis secondary to cancer chemotherapy |
| D702 | Other drug-induced agranulocytosis |
| D703 | Neutropenia due to infection |
| D704 | Cyclic neutropenia |
| D708 | Other neutropenia |
| D709 | Neutropenia, unspecified |
| D71 | Functional disorders of polymorphonuclear neutrophils |
| D720 | Genetic anomalies of leukocytes |
| D72810 | Lymphocytopenia |
| D72818 | Other decreased white blood cell count |
| D72819 | Decreased white blood cell count, unspecified |
| D72820 | Lymphocytosis (symptomatic) |
| D72821 | Monocytosis (symptomatic) |
| D72822 | Plasmacytosis |
| D72823 | Leukemoid reaction |
| D72824 | Basophilia |
| D72825 | Bandemia |
| D72828 | Other elevated white blood cell count |
| D72829 | Elevated white blood cell count, unspecified |
| D7289 | Other specified disorders of white blood cells |
| D729 | Disorder of white blood cells, unspecified |
| D7381 | Neutropenic splenomegaly |
| D7581 | Myelofibrosis |
| D7589 | Other specified diseases of blood and blood-forming organs |
| D759 | Disease of blood and blood-forming organs, unspecified |
| D75A | Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia |
| D761 | Hemophagocytic lymphohistiocytosis |
| D762 | Hemophagocytic syndrome, infection-associated |
| D763 | Other histiocytosis syndromes |
| D77 | Other disorders of blood and blood-forming organs in diseases classified elsewhere |
| D892 | Hypergammaglobulinemia, unspecified |
| PDX Collection 5747 | |
| B370 | Candidal stomatitis |
| B371 | Pulmonary candidiasis |
| B372 | Candidiasis of skin and nail |
| B3731 | Acute candidiasis of vulva and vagina |
| B3732 | Chronic candidiasis of vulva and vagina |
| B3741 | Candidal cystitis and urethritis |
| B3742 | Candidal balanitis |
| B3749 | Other urogenital candidiasis |
| B375 | Candidal meningitis |
| B376 | Candidal endocarditis |
| B377 | Candidal sepsis |
| B3781 | Candidal esophagitis |
| B3782 | Candidal enteritis |
| B3783 | Candidal cheilitis |
| B3784 | Candidal otitis externa |
| B3789 | Other sites of candidiasis |
| B379 | Candidiasis, unspecified |
| B483 | Geotrichosis |
| B49 | Unspecified mycosis |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| PDX Collection 5748 | |
| S0190XA | Unspecified open wound of unspecified part of head, initial encounter |
| S0191XA | Laceration without foreign body of unspecified part of head, initial encounter |
| S0192XA | Laceration with foreign body of unspecified part of head, initial encounter |
| S0193XA | Puncture wound without foreign body of unspecified part of head, initial encounter |
| S0194XA | Puncture wound with foreign body of unspecified part of head, initial encounter |
| S0195XA | Open bite of unspecified part of head, initial encounter |
| S020XXA | Fracture of vault of skull, initial encounter for closed fracture |
| S020XXB | Fracture of vault of skull, initial encounter for open fracture |
| S020XXS | Fracture of vault of skull, sequela |
| S02101A | Fracture of base of skull, right side, initial encounter for closed fracture |
| S02101B | Fracture of base of skull, right side, initial encounter for open fracture |
| S02101S | Fracture of base of skull, right side, sequela |
| S02102A | Fracture of base of skull, left side, initial encounter for closed fracture |
| S02102B | Fracture of base of skull, left side, initial encounter for open fracture |
| S02102S | Fracture of base of skull, left side, sequela |
| S02109A | Fracture of base of skull, unspecified side, initial encounter for closed fracture |
| S02109B | Fracture of base of skull, unspecified side, initial encounter for open fracture |
| S02109S | Fracture of base of skull, unspecified side, sequela |
| S02110A | Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02110B | Type I occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02110S | Type I occipital condyle fracture, unspecified side, sequela |
| S02111A | Type II occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02111B | Type II occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02111S | Type II occipital condyle fracture, unspecified side, sequela |
| S02112A | Type III occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02112B | Type III occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02112S | Type III occipital condyle fracture, unspecified side, sequela |
| S02113A | Unspecified occipital condyle fracture, initial encounter for closed fracture |
| S02113B | Unspecified occipital condyle fracture, initial encounter for open fracture |
| S02113S | Unspecified occipital condyle fracture, sequela |
| S02118A | Other fracture of occiput, unspecified side, initial encounter for closed fracture |
| S02118B | Other fracture of occiput, unspecified side, initial encounter for open fracture |
| S02118S | Other fracture of occiput, unspecified side, sequela |
| S02119A | Unspecified fracture of occiput, initial encounter for closed fracture |
| S02119B | Unspecified fracture of occiput, initial encounter for open fracture |
| S02119S | Unspecified fracture of occiput, sequela |
| S0211AA | Type I occipital condyle fracture, right side, initial encounter for closed fracture |
| S0211AB | Type I occipital condyle fracture, right side, initial encounter for open fracture |
| S0211AS | Type I occipital condyle fracture, right side, sequela |
| S0211BA | Type I occipital condyle fracture, left side, initial encounter for closed fracture |
| S0211BB | Type I occipital condyle fracture, left side, initial encounter for open fracture |
| S0211BS | Type I occipital condyle fracture, left side, sequela |
| S0211CA | Type II occipital condyle fracture, right side, initial encounter for closed fracture |
| S0211CB | Type II occipital condyle fracture, right side, initial encounter for open fracture |
| S0211CS | Type II occipital condyle fracture, right side, sequela |
| S0211DA | Type II occipital condyle fracture, left side, initial encounter for closed fracture |
| S0211DB | Type II occipital condyle fracture, left side, initial encounter for open fracture |
| S0211DS | Type II occipital condyle fracture, left side, sequela |
| S0211EA | Type III occipital condyle fracture, right side, initial encounter for closed fracture |
| S0211EB | Type III occipital condyle fracture, right side, initial encounter for open fracture |
| S0211ES | Type III occipital condyle fracture, right side, sequela |
| S0211FA | Type III occipital condyle fracture, left side, initial encounter for closed fracture |
| S0211FB | Type III occipital condyle fracture, left side, initial encounter for open fracture |
| S0211FS | Type III occipital condyle fracture, left side, sequela |
| S0211GA | Other fracture of occiput, right side, initial encounter for closed fracture |
| S0211GB | Other fracture of occiput, right side, initial encounter for open fracture |
| S0211GS | Other fracture of occiput, right side, sequela |
| S0211HA | Other fracture of occiput, left side, initial encounter for closed fracture |
| S0211HB | Other fracture of occiput, left side, initial encounter for open fracture |
| S0211HS | Other fracture of occiput, left side, sequela |
| S02121A | Fracture of orbital roof, right side, initial encounter for closed fracture |
| S02121B | Fracture of orbital roof, right side, initial encounter for open fracture |
| S02121S | Fracture of orbital roof, right side, sequela |
| S02122A | Fracture of orbital roof, left side, initial encounter for closed fracture |
| S02122B | Fracture of orbital roof, left side, initial encounter for open fracture |
| S02122S | Fracture of orbital roof, left side, sequela |
| S02129A | Fracture of orbital roof, unspecified side, initial encounter for closed fracture |
| S02129B | Fracture of orbital roof, unspecified side, initial encounter for open fracture |
| S02129S | Fracture of orbital roof, unspecified side, sequela |
| S0219XA | Other fracture of base of skull, initial encounter for closed fracture |
| S0219XB | Other fracture of base of skull, initial encounter for open fracture |
| S0219XS | Other fracture of base of skull, sequela |
| S022XXS | Fracture of nasal bones, sequela |
| S0230XS | Fracture of orbital floor, unspecified side, sequela |
| S0231XS | Fracture of orbital floor, right side, sequela |
| S0232XS | Fracture of orbital floor, left side, sequela |
| S02400S | Malar fracture, unspecified side, sequela |
| S02401S | Maxillary fracture, unspecified side, sequela |
| S02402S | Zygomatic fracture, unspecified side, sequela |
| S0240AS | Malar fracture, right side, sequela |
| S0240BS | Malar fracture, left side, sequela |
| S0240CS | Maxillary fracture, right side, sequela |
| S0240DS | Maxillary fracture, left side, sequela |
| S0240ES | Zygomatic fracture, right side, sequela |
| S0240FS | Zygomatic fracture, left side, sequela |
| S02411S | LeFort I fracture, sequela |
| S02412S | LeFort II fracture, sequela |
| S02413S | LeFort III fracture, sequela |
| S0242XS | Fracture of alveolus of maxilla, sequela |
| S025XXS | Fracture of tooth (traumatic), sequela |
| S02600S | Fracture of unspecified part of body of mandible, unspecified side, sequela |
| S02601S | Fracture of unspecified part of body of right mandible, sequela |
| S02602S | Fracture of unspecified part of body of left mandible, sequela |
| S02609S | Fracture of mandible, unspecified, sequela |
| S02610S | Fracture of condylar process of mandible, unspecified side, sequela |
| S02611S | Fracture of condylar process of right mandible, sequela |
| S02612S | Fracture of condylar process of left mandible, sequela |
| S02620S | Fracture of subcondylar process of mandible, unspecified side, sequela |
| S02621S | Fracture of subcondylar process of right mandible, sequela |
| S02622S | Fracture of subcondylar process of left mandible, sequela |
| S02630S | Fracture of coronoid process of mandible, unspecified side, sequela |
| S02631S | Fracture of coronoid process of right mandible, sequela |
| S02632S | Fracture of coronoid process of left mandible, sequela |
| S02640S | Fracture of ramus of mandible, unspecified side, sequela |
| S02641S | Fracture of ramus of right mandible, sequela |
| S02642S | Fracture of ramus of left mandible, sequela |
| S02650S | Fracture of angle of mandible, unspecified side, sequela |
| S02651S | Fracture of angle of right mandible, sequela |
| S02652S | Fracture of angle of left mandible, sequela |
| S0266XS | Fracture of symphysis of mandible, sequela |
| S02670S | Fracture of alveolus of mandible, unspecified side, sequela |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |