ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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| Appendix C: Principal diagnoses which convert CC/MCC to non-CC |
| Page 325 of 1375 |
| PDX Collection 4014 (continued) | |
| M154 | Erosive (osteo)arthritis |
| M158 | Other polyosteoarthritis |
| M159 | Polyosteoarthritis, unspecified |
| M162 | Bilateral osteoarthritis resulting from hip dysplasia |
| M1630 | Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip |
| M1631 | Unilateral osteoarthritis resulting from hip dysplasia, right hip |
| M1632 | Unilateral osteoarthritis resulting from hip dysplasia, left hip |
| M164 | Bilateral post-traumatic osteoarthritis of hip |
| M1650 | Unilateral post-traumatic osteoarthritis, unspecified hip |
| M1651 | Unilateral post-traumatic osteoarthritis, right hip |
| M1652 | Unilateral post-traumatic osteoarthritis, left hip |
| M166 | Other bilateral secondary osteoarthritis of hip |
| M167 | Other unilateral secondary osteoarthritis of hip |
| M169 | Osteoarthritis of hip, unspecified |
| M172 | Bilateral post-traumatic osteoarthritis of knee |
| M1730 | Unilateral post-traumatic osteoarthritis, unspecified knee |
| M1731 | Unilateral post-traumatic osteoarthritis, right knee |
| M1732 | Unilateral post-traumatic osteoarthritis, left knee |
| M174 | Other bilateral secondary osteoarthritis of knee |
| M175 | Other unilateral secondary osteoarthritis of knee |
| M179 | Osteoarthritis of knee, unspecified |
| M182 | Bilateral post-traumatic osteoarthritis of first carpometacarpal joints |
| M1830 | Unilateral post-traumatic osteoarthritis of first carpometacarpal joint, unspecified hand |
| M1831 | Unilateral post-traumatic osteoarthritis of first carpometacarpal joint, right hand |
| M1832 | Unilateral post-traumatic osteoarthritis of first carpometacarpal joint, left hand |
| M184 | Other bilateral secondary osteoarthritis of first carpometacarpal joints |
| M1850 | Other unilateral secondary osteoarthritis of first carpometacarpal joint, unspecified hand |
| M1851 | Other unilateral secondary osteoarthritis of first carpometacarpal joint, right hand |
| M1852 | Other unilateral secondary osteoarthritis of first carpometacarpal joint, left hand |
| M189 | Osteoarthritis of first carpometacarpal joint, unspecified |
| M19111 | Post-traumatic osteoarthritis, right shoulder |
| M19112 | Post-traumatic osteoarthritis, left shoulder |
| M19119 | Post-traumatic osteoarthritis, unspecified shoulder |
| M19121 | Post-traumatic osteoarthritis, right elbow |
| M19122 | Post-traumatic osteoarthritis, left elbow |
| M19129 | Post-traumatic osteoarthritis, unspecified elbow |
| M19131 | Post-traumatic osteoarthritis, right wrist |
| M19132 | Post-traumatic osteoarthritis, left wrist |
| M19139 | Post-traumatic osteoarthritis, unspecified wrist |
| M19141 | Post-traumatic osteoarthritis, right hand |
| M19142 | Post-traumatic osteoarthritis, left hand |
| M19149 | Post-traumatic osteoarthritis, unspecified hand |
| M19171 | Post-traumatic osteoarthritis, right ankle and foot |
| M19172 | Post-traumatic osteoarthritis, left ankle and foot |
| M19179 | Post-traumatic osteoarthritis, unspecified ankle and foot |
| M19211 | Secondary osteoarthritis, right shoulder |
| M19212 | Secondary osteoarthritis, left shoulder |
| M19219 | Secondary osteoarthritis, unspecified shoulder |
| M19221 | Secondary osteoarthritis, right elbow |
| M19222 | Secondary osteoarthritis, left elbow |
| M19229 | Secondary osteoarthritis, unspecified elbow |
| M19231 | Secondary osteoarthritis, right wrist |
| M19232 | Secondary osteoarthritis, left wrist |
| M19239 | Secondary osteoarthritis, unspecified wrist |
| M19241 | Secondary osteoarthritis, right hand |
| M19242 | Secondary osteoarthritis, left hand |
| M19249 | Secondary osteoarthritis, unspecified hand |
| M19271 | Secondary osteoarthritis, right ankle and foot |
| M19272 | Secondary osteoarthritis, left ankle and foot |
| M19279 | Secondary osteoarthritis, unspecified ankle and foot |
| M1990 | Unspecified osteoarthritis, unspecified site |
| M1991 | Primary osteoarthritis, unspecified site |
| M1992 | Post-traumatic osteoarthritis, unspecified site |
| M1993 | Secondary osteoarthritis, unspecified site |
| M2410 | Other articular cartilage disorders, unspecified site |
| M24111 | Other articular cartilage disorders, right shoulder |
| M24112 | Other articular cartilage disorders, left shoulder |
| M24119 | Other articular cartilage disorders, unspecified shoulder |
| M24121 | Other articular cartilage disorders, right elbow |
| M24122 | Other articular cartilage disorders, left elbow |
| M24129 | Other articular cartilage disorders, unspecified elbow |
| M24131 | Other articular cartilage disorders, right wrist |
| M24132 | Other articular cartilage disorders, left wrist |
| M24139 | Other articular cartilage disorders, unspecified wrist |
| M24141 | Other articular cartilage disorders, right hand |
| M24142 | Other articular cartilage disorders, left hand |
| M24149 | Other articular cartilage disorders, unspecified hand |
| M24151 | Other articular cartilage disorders, right hip |
| M24152 | Other articular cartilage disorders, left hip |
| M24159 | Other articular cartilage disorders, unspecified hip |
| M24171 | Other articular cartilage disorders, right ankle |
| M24172 | Other articular cartilage disorders, left ankle |
| M24173 | Other articular cartilage disorders, unspecified ankle |
| M24174 | Other articular cartilage disorders, right foot |
| M24175 | Other articular cartilage disorders, left foot |
| M24176 | Other articular cartilage disorders, unspecified foot |
| M2500 | Hemarthrosis, unspecified joint |
| M2508 | Hemarthrosis, other specified site |
| M2510 | Fistula, unspecified joint |
| M25111 | Fistula, right shoulder |
| M25112 | Fistula, left shoulder |
| M25119 | Fistula, unspecified shoulder |
| M25121 | Fistula, right elbow |
| M25122 | Fistula, left elbow |
| M25129 | Fistula, unspecified elbow |
| M25131 | Fistula, right wrist |
| M25132 | Fistula, left wrist |
| M25139 | Fistula, unspecified wrist |
| M25141 | Fistula, right hand |
| M25142 | Fistula, left hand |
| M25149 | Fistula, unspecified hand |
| M25151 | Fistula, right hip |
| M25152 | Fistula, left hip |
| M25159 | Fistula, unspecified hip |
| M25161 | Fistula, right knee |
| M25162 | Fistula, left knee |
| M25169 | Fistula, unspecified knee |
| M25171 | Fistula, right ankle |
| M25172 | Fistula, left ankle |
| M25173 | Fistula, unspecified ankle |
| M25174 | Fistula, right foot |
| M25175 | Fistula, left foot |
| M25176 | Fistula, unspecified foot |
| M2518 | Fistula, other specified site |
| M2540 | Effusion, unspecified joint |
| M25411 | Effusion, right shoulder |
| M25412 | Effusion, left shoulder |
| M25419 | Effusion, unspecified shoulder |
| M25421 | Effusion, right elbow |
| M25422 | Effusion, left elbow |
| M25429 | Effusion, unspecified elbow |
| M25431 | Effusion, right wrist |
| M25432 | Effusion, left wrist |
| M25439 | Effusion, unspecified wrist |
| M25441 | Effusion, right hand |
| M25442 | Effusion, left hand |
| M25449 | Effusion, unspecified hand |
| M25451 | Effusion, right hip |
| M25452 | Effusion, left hip |
| M25459 | Effusion, unspecified hip |
| M25461 | Effusion, right knee |
| M25462 | Effusion, left knee |
| M25469 | Effusion, unspecified knee |
| M25471 | Effusion, right ankle |
| M25472 | Effusion, left ankle |
| M25473 | Effusion, unspecified ankle |
| M25474 | Effusion, right foot |
| M25475 | Effusion, left foot |
| M25476 | Effusion, unspecified foot |
| M2548 | Effusion, other site |
| M2550 | Pain in unspecified joint |
| M25511 | Pain in right shoulder |
| M25512 | Pain in left shoulder |
| M25519 | Pain in unspecified shoulder |
| M25521 | Pain in right elbow |
| M25522 | Pain in left elbow |
| M25529 | Pain in unspecified elbow |
| M25531 | Pain in right wrist |
| M25532 | Pain in left wrist |
| M25539 | Pain in unspecified wrist |
| M25541 | Pain in joints of right hand |
| M25542 | Pain in joints of left hand |
| M25549 | Pain in joints of unspecified hand |
| M25551 | Pain in right hip |
| M25552 | Pain in left hip |
| M25559 | Pain in unspecified hip |
| M25561 | Pain in right knee |
| M25562 | Pain in left knee |
| M25569 | Pain in unspecified knee |
| M25571 | Pain in right ankle and joints of right foot |
| M25572 | Pain in left ankle and joints of left foot |
| M25579 | Pain in unspecified ankle and joints of unspecified foot |
| M2560 | Stiffness of unspecified joint, not elsewhere classified |
| M25611 | Stiffness of right shoulder, not elsewhere classified |
| M25612 | Stiffness of left shoulder, not elsewhere classified |
| M25619 | Stiffness of unspecified shoulder, not elsewhere classified |
| M25621 | Stiffness of right elbow, not elsewhere classified |
| M25622 | Stiffness of left elbow, not elsewhere classified |
| M25629 | Stiffness of unspecified elbow, not elsewhere classified |
| M25631 | Stiffness of right wrist, not elsewhere classified |
| M25632 | Stiffness of left wrist, not elsewhere classified |
| M25639 | Stiffness of unspecified wrist, not elsewhere classified |
| M25641 | Stiffness of right hand, not elsewhere classified |
| M25642 | Stiffness of left hand, not elsewhere classified |
| M25649 | Stiffness of unspecified hand, not elsewhere classified |
| M25651 | Stiffness of right hip, not elsewhere classified |
| M25652 | Stiffness of left hip, not elsewhere classified |
| M25659 | Stiffness of unspecified hip, not elsewhere classified |
| M25661 | Stiffness of right knee, not elsewhere classified |
| M25662 | Stiffness of left knee, not elsewhere classified |
| M25669 | Stiffness of unspecified knee, not elsewhere classified |
| M25671 | Stiffness of right ankle, not elsewhere classified |
| M25672 | Stiffness of left ankle, not elsewhere classified |
| M25673 | Stiffness of unspecified ankle, not elsewhere classified |
| M25674 | Stiffness of right foot, not elsewhere classified |
| M25675 | Stiffness of left foot, not elsewhere classified |
| M25676 | Stiffness of unspecified foot, not elsewhere classified |
| M2580 | Other specified joint disorders, unspecified joint |
| M25811 | Other specified joint disorders, right shoulder |
| M25812 | Other specified joint disorders, left shoulder |
| M25819 | Other specified joint disorders, unspecified shoulder |
| M25821 | Other specified joint disorders, right elbow |
| M25822 | Other specified joint disorders, left elbow |
| M25829 | Other specified joint disorders, unspecified elbow |
| M25831 | Other specified joint disorders, right wrist |
| M25832 | Other specified joint disorders, left wrist |
| M25839 | Other specified joint disorders, unspecified wrist |
| M25841 | Other specified joint disorders, right hand |
| M25842 | Other specified joint disorders, left hand |
| M25849 | Other specified joint disorders, unspecified hand |
| M25851 | Other specified joint disorders, right hip |
| M25852 | Other specified joint disorders, left hip |
| M25859 | Other specified joint disorders, unspecified hip |
| M25861 | Other specified joint disorders, right knee |
| M25862 | Other specified joint disorders, left knee |
| M25869 | Other specified joint disorders, unspecified knee |
| M25871 | Other specified joint disorders, right ankle and foot |
| M25872 | Other specified joint disorders, left ankle and foot |
| M25879 | Other specified joint disorders, unspecified ankle and foot |
| M259 | Joint disorder, unspecified |
| M352 | Behcet's disease |
| M361 | Arthropathy in neoplastic disease |
| M362 | Hemophilic arthropathy |
| M363 | Arthropathy in other blood disorders |
| M364 | Arthropathy in hypersensitivity reactions classified elsewhere |
| R294 | Clicking hip |
| PDX Collection 4016 | |
| T868401 | Corneal transplant rejection, right eye |
| T868402 | Corneal transplant rejection, left eye |
| T868403 | Corneal transplant rejection, bilateral |
| T868409 | Corneal transplant rejection, unspecified eye |
| T868411 | Corneal transplant failure, right eye |
| T868412 | Corneal transplant failure, left eye |
| T868413 | Corneal transplant failure, bilateral |
| T868419 | Corneal transplant failure, unspecified eye |
| PDX Collection 4022 | |
| T868421 | Corneal transplant infection, right eye |
| T868422 | Corneal transplant infection, left eye |
| T868423 | Corneal transplant infection, bilateral |
| T868429 | Corneal transplant infection, unspecified eye |
| T868481 | Other complications of corneal transplant, right eye |
| T868482 | Other complications of corneal transplant, left eye |
| T868483 | Other complications of corneal transplant, bilateral |
| T868489 | Other complications of corneal transplant, unspecified eye |
| T868491 | Unspecified complication of corneal transplant, right eye |
| T868492 | Unspecified complication of corneal transplant, left eye |
| T868493 | Unspecified complication of corneal transplant, bilateral |
| T868499 | Unspecified complication of corneal transplant, unspecified eye |
| PDX Collection 4044 | |
| G9600 | Cerebrospinal fluid leak, unspecified |
| G9601 | Cranial cerebrospinal fluid leak, spontaneous |
| G9602 | Spinal cerebrospinal fluid leak, spontaneous |
| G9608 | Other cranial cerebrospinal fluid leak |
| G9609 | Other spinal cerebrospinal fluid leak |
| PDX Collection 4045 | |
| E7081 | Aromatic L-amino acid decarboxylase deficiency |
| E7089 | Other disorders of aromatic amino-acid metabolism |
| E74810 | Glucose transporter protein type 1 deficiency |
| E74818 | Other disorders of glucose transport |
| E74819 | Disorders of glucose transport, unspecified |
| E7489 | Other specified disorders of carbohydrate metabolism |
| PDX Collection 4049 | |
| A1782 | Tuberculous meningoencephalitis |
| A281 | Cat-scratch disease |
| A5042 | Late congenital syphilitic encephalitis |
| A5214 | Late syphilitic encephalitis |
| A759 | Typhus fever, unspecified |
| A799 | Rickettsiosis, unspecified |
| A811 | Subacute sclerosing panencephalitis |
| A8182 | Gerstmann-Straussler-Scheinker syndrome |
| A8183 | Fatal familial insomnia |
| A8189 | Other atypical virus infections of central nervous system |
| A830 | Japanese encephalitis |
| A831 | Western equine encephalitis |
| A832 | Eastern equine encephalitis |
| A833 | St Louis encephalitis |
| A834 | Australian encephalitis |
| A835 | California encephalitis |
| A836 | Rocio virus disease |
| A838 | Other mosquito-borne viral encephalitis |
| A839 | Mosquito-borne viral encephalitis, unspecified |
| A840 | Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis] |
| A841 | Central European tick-borne encephalitis |
| A8481 | Powassan virus disease |
| A8489 | Other tick-borne viral encephalitis |
| A849 | Tick-borne viral encephalitis, unspecified |
| A850 | Enteroviral encephalitis |
| A851 | Adenoviral encephalitis |
| A852 | Arthropod-borne viral encephalitis, unspecified |
| A858 | Other specified viral encephalitis |
| A872 | Lymphocytic choriomeningitis |
| A880 | Enteroviral exanthematous fever [Boston exanthem] |
| A888 | Other specified viral infections of central nervous system |
| A921 | O'nyong-nyong fever |
| A922 | Venezuelan equine fever |
| A9230 | West Nile virus infection, unspecified |
| A9231 | West Nile virus infection with encephalitis |
| A9232 | West Nile virus infection with other neurologic manifestation |
| A9239 | West Nile virus infection with other complications |
| A924 | Rift Valley fever |
| A925 | Zika virus disease |
| A928 | Other specified mosquito-borne viral fevers |
| A930 | Oropouche virus disease |
| B004 | Herpesviral encephalitis |
| B0082 | Herpes simplex myelitis |
| B0111 | Varicella encephalitis and encephalomyelitis |
| B0112 | Varicella myelitis |
| B04 | Monkeypox |
| B0601 | Rubella encephalitis |
| B0809 | Other orthopoxvirus infections |
| B0820 | Exanthema subitum [sixth disease], unspecified |
| B0821 | Exanthema subitum [sixth disease] due to human herpesvirus 6 |
| B0822 | Exanthema subitum [sixth disease] due to human herpesvirus 7 |
| B0860 | Parapoxvirus infection, unspecified |
| B0861 | Bovine stomatitis |
| B0862 | Sealpox |
| B0869 | Other parapoxvirus infections |
| B0870 | Yatapoxvirus infection, unspecified |
| B0871 | Tanapox virus disease |
| B0872 | Yaba pox virus disease |
| B0879 | Other yatapoxvirus infections |
| B09 | Unspecified viral infection characterized by skin and mucous membrane lesions |
| B1001 | Human herpesvirus 6 encephalitis |
| B1009 | Other human herpesvirus encephalitis |
| B262 | Mumps encephalitis |
| B2700 | Gammaherpesviral mononucleosis without complication |
| B2701 | Gammaherpesviral mononucleosis with polyneuropathy |
| B2702 | Gammaherpesviral mononucleosis with meningitis |
| B2709 | Gammaherpesviral mononucleosis with other complications |
| B2710 | Cytomegaloviral mononucleosis without complications |
| B2711 | Cytomegaloviral mononucleosis with polyneuropathy |
| B2712 | Cytomegaloviral mononucleosis with meningitis |
| B2719 | Cytomegaloviral mononucleosis with other complication |
| B2780 | Other infectious mononucleosis without complication |
| B2781 | Other infectious mononucleosis with polyneuropathy |
| B2782 | Other infectious mononucleosis with meningitis |
| B2789 | Other infectious mononucleosis with other complication |
| B2790 | Infectious mononucleosis, unspecified without complication |
| B2791 | Infectious mononucleosis, unspecified with polyneuropathy |
| B2792 | Infectious mononucleosis, unspecified with meningitis |
| B2799 | Infectious mononucleosis, unspecified with other complication |
| B331 | Ross River disease |
| B450 | Pulmonary cryptococcosis |
| B452 | Cutaneous cryptococcosis |
| B453 | Osseous cryptococcosis |
| B457 | Disseminated cryptococcosis |
| B458 | Other forms of cryptococcosis |
| B459 | Cryptococcosis, unspecified |
| B54 | Unspecified malaria |
| B582 | Toxoplasma meningoencephalitis |
| B75 | Trichinellosis |
| B9710 | Unspecified enterovirus as the cause of diseases classified elsewhere |
| B9721 | SARS-associated coronavirus as the cause of diseases classified elsewhere |
| G0400 | Acute disseminated encephalitis and encephalomyelitis, unspecified |
| G0401 | Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) |
| G0431 | Postinfectious acute necrotizing hemorrhagic encephalopathy |
| G0481 | Other encephalitis and encephalomyelitis |
| G0489 | Other myelitis |
| G0490 | Encephalitis and encephalomyelitis, unspecified |
| G0491 | Myelitis, unspecified |
| G053 | Encephalitis and encephalomyelitis in diseases classified elsewhere |
| G054 | Myelitis in diseases classified elsewhere |
| G370 | Diffuse sclerosis of central nervous system |
| G374 | Subacute necrotizing myelitis of central nervous system |
| G375 | Concentric sclerosis [Balo] of central nervous system |
| H6640 | Suppurative otitis media, unspecified, unspecified ear |
| H6641 | Suppurative otitis media, unspecified, right ear |
| H6642 | Suppurative otitis media, unspecified, left ear |
| H6643 | Suppurative otitis media, unspecified, bilateral |
| J09X3 | Influenza due to identified novel influenza A virus with gastrointestinal manifestations |
| J09X9 | Influenza due to identified novel influenza A virus with other manifestations |
| J102 | Influenza due to other identified influenza virus with gastrointestinal manifestations |
| J1081 | Influenza due to other identified influenza virus with encephalopathy |
| J1082 | Influenza due to other identified influenza virus with myocarditis |
| J1083 | Influenza due to other identified influenza virus with otitis media |
| J1089 | Influenza due to other identified influenza virus with other manifestations |
| J112 | Influenza due to unidentified influenza virus with gastrointestinal manifestations |
| J1181 | Influenza due to unidentified influenza virus with encephalopathy |
| J1182 | Influenza due to unidentified influenza virus with myocarditis |
| J1183 | Influenza due to unidentified influenza virus with otitis media |
| J1189 | Influenza due to unidentified influenza virus with other manifestations |
| L444 | Infantile papular acrodermatitis [Gianotti-Crosti] |
| M1A10X0 | Lead-induced chronic gout, unspecified site, without tophus (tophi) |
| M1A10X1 | Lead-induced chronic gout, unspecified site, with tophus (tophi) |
| M1A1110 | Lead-induced chronic gout, right shoulder, without tophus (tophi) |
| M1A1111 | Lead-induced chronic gout, right shoulder, with tophus (tophi) |
| M1A1120 | Lead-induced chronic gout, left shoulder, without tophus (tophi) |
| M1A1121 | Lead-induced chronic gout, left shoulder, with tophus (tophi) |
| M1A1190 | Lead-induced chronic gout, unspecified shoulder, without tophus (tophi) |
| M1A1191 | Lead-induced chronic gout, unspecified shoulder, with tophus (tophi) |
| M1A1210 | Lead-induced chronic gout, right elbow, without tophus (tophi) |
| M1A1211 | Lead-induced chronic gout, right elbow, with tophus (tophi) |
| M1A1220 | Lead-induced chronic gout, left elbow, without tophus (tophi) |
| M1A1221 | Lead-induced chronic gout, left elbow, with tophus (tophi) |
| M1A1290 | Lead-induced chronic gout, unspecified elbow, without tophus (tophi) |
| M1A1291 | Lead-induced chronic gout, unspecified elbow, with tophus (tophi) |
| M1A1310 | Lead-induced chronic gout, right wrist, without tophus (tophi) |
| M1A1311 | Lead-induced chronic gout, right wrist, with tophus (tophi) |
| M1A1320 | Lead-induced chronic gout, left wrist, without tophus (tophi) |
| M1A1321 | Lead-induced chronic gout, left wrist, with tophus (tophi) |
| M1A1390 | Lead-induced chronic gout, unspecified wrist, without tophus (tophi) |
| M1A1391 | Lead-induced chronic gout, unspecified wrist, with tophus (tophi) |
| M1A1410 | Lead-induced chronic gout, right hand, without tophus (tophi) |
| M1A1411 | Lead-induced chronic gout, right hand, with tophus (tophi) |
| M1A1420 | Lead-induced chronic gout, left hand, without tophus (tophi) |
| M1A1421 | Lead-induced chronic gout, left hand, with tophus (tophi) |
| M1A1490 | Lead-induced chronic gout, unspecified hand, without tophus (tophi) |
| M1A1491 | Lead-induced chronic gout, unspecified hand, with tophus (tophi) |
| M1A1510 | Lead-induced chronic gout, right hip, without tophus (tophi) |
| M1A1511 | Lead-induced chronic gout, right hip, with tophus (tophi) |
| M1A1520 | Lead-induced chronic gout, left hip, without tophus (tophi) |
| M1A1521 | Lead-induced chronic gout, left hip, with tophus (tophi) |
| M1A1590 | Lead-induced chronic gout, unspecified hip, without tophus (tophi) |
| M1A1591 | Lead-induced chronic gout, unspecified hip, with tophus (tophi) |
| M1A1610 | Lead-induced chronic gout, right knee, without tophus (tophi) |
| M1A1611 | Lead-induced chronic gout, right knee, with tophus (tophi) |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |