ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 12 of 75 |
| A000 B2781 C5712 C8418 D3002 E093219 E133599 F18251 G9204 H18811 H47529 I2541 I69315 J3503 K5731 L812 M05539 M21069 M45A7 M7070 M84444P M86559 N158 O0380 O3130X1 O365133 O6023X0 P2889 Q738 S0005XS S02610G S06384S S12400D S20374D S24144D S31149D S32443D S36209D S41119A S42354A S45012D S52001S S52244P S52389Q S53421A S59149K S61240D S62225A S62615D S63298D S66190D S71102D S72064P S7221XC S72412K S75192S S82009N S82192P S82444Q S8291XP S8700XD S91204D S92301D S93526S S99249B T22422D T24439A T370X5A T43013S T474X5S T5492XD T65292D T82111D T8613 Z808 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| I2541 | 05 | 314-316 | I604 | 01 | 020-022 | I63423 | 01 | 023-024 | ||
| I2542 | 05 | 314-316 | I604 | 01 | 023-024 | I63423 | 01 | 061-063 | ||
| I255 | 05 | 302-303 | I604 | 01 | 064-066 | I63423 | 01 | 064-066 | ||
| I256 | 05 | 302-303 | I604 | 15 | 791 | I63423 | 15 | 791 | ||
| I25700 | 05 | 302-303 | I604 | 15 | 793 | I63423 | 15 | 793 | ||
| I25701 | 05 | 302-303 | I6050 | 01 | 020-022 | I63429 | 01 | 023-024 | ||
| I25702 | 05 | 302-303 | I6050 | 01 | 023-024 | I63429 | 01 | 061-063 | ||
| I25708 | 05 | 302-303 | I6050 | 01 | 064-066 | I63429 | 01 | 064-066 | ||
| I25709 | 05 | 302-303 | I6050 | 15 | 791 | I63429 | 15 | 791 | ||
| I25710 | 05 | 302-303 | I6050 | 15 | 793 | I63429 | 15 | 793 | ||
| I25711 | 05 | 302-303 | I6051 | 01 | 020-022 | I63431 | 01 | 023-024 | ||
| I25712 | 05 | 302-303 | I6051 | 01 | 023-024 | I63431 | 01 | 061-063 | ||
| I25718 | 05 | 302-303 | I6051 | 01 | 064-066 | I63431 | 01 | 064-066 | ||
| I25719 | 05 | 302-303 | I6051 | 15 | 791 | I63431 | 15 | 791 | ||
| I25720 | 05 | 302-303 | I6051 | 15 | 793 | I63431 | 15 | 793 | ||
| I25721 | 05 | 302-303 | I6052 | 01 | 020-022 | I63432 | 01 | 023-024 | ||
| I25722 | 05 | 302-303 | I6052 | 01 | 023-024 | I63432 | 01 | 061-063 | ||
| I25728 | 05 | 302-303 | I6052 | 01 | 064-066 | I63432 | 01 | 064-066 | ||
| I25729 | 05 | 302-303 | I6052 | 15 | 791 | I63432 | 15 | 791 | ||
| I25730 | 05 | 302-303 | I6052 | 15 | 793 | I63432 | 15 | 793 | ||
| I25731 | 05 | 302-303 | I606 | 01 | 020-022 | I63433 | 01 | 023-024 | ||
| I25732 | 05 | 302-303 | I606 | 01 | 023-024 | I63433 | 01 | 061-063 | ||
| I25738 | 05 | 302-303 | I606 | 01 | 064-066 | I63433 | 01 | 064-066 | ||
| I25739 | 05 | 302-303 | I606 | 15 | 791 | I63433 | 15 | 791 | ||
| I25750 | 05 | 302-303 | I606 | 15 | 793 | I63433 | 15 | 793 | ||
| I25751 | 05 | 302-303 | I607 | 01 | 020-022 | I63439 | 01 | 023-024 | ||
| I25752 | 05 | 302-303 | I607 | 01 | 023-024 | I63439 | 01 | 061-063 | ||
| I25758 | 05 | 302-303 | I607 | 01 | 064-066 | I63439 | 01 | 064-066 | ||
| I25759 | 05 | 302-303 | I607 | 15 | 791 | I63439 | 15 | 791 | ||
| I25760 | 05 | 302-303 | I607 | 15 | 793 | I63439 | 15 | 793 | ||
| I25761 | 05 | 302-303 | I608 | 01 | 020-022 | I63441 | 01 | 023-024 | ||
| I25762 | 05 | 302-303 | I608 | 01 | 023-024 | I63441 | 01 | 061-063 | ||
| I25768 | 05 | 302-303 | I608 | 01 | 064-066 | I63441 | 01 | 064-066 | ||
| I25769 | 05 | 302-303 | I608 | 15 | 791 | I63441 | 15 | 791 | ||
| I25790 | 05 | 302-303 | I608 | 15 | 793 | I63441 | 15 | 793 | ||
| I25791 | 05 | 302-303 | I609 | 01 | 020-022 | I63442 | 01 | 023-024 | ||
| I25792 | 05 | 302-303 | I609 | 01 | 023-024 | I63442 | 01 | 061-063 | ||
| I25798 | 05 | 302-303 | I609 | 01 | 064-066 | I63442 | 01 | 064-066 | ||
| I25799 | 05 | 302-303 | I609 | 15 | 791 | I63442 | 15 | 791 | ||
| I25810 | 05 | 302-303 | I609 | 15 | 793 | I63442 | 15 | 793 | ||
| I25811 | 05 | 302-303 | I610 | 01 | 020-022 | I63443 | 01 | 023-024 | ||
| I25812 | 05 | 302-303 | I610 | 01 | 023-024 | I63443 | 01 | 061-063 | ||
| I2582 | 05 | 302-303 | I610 | 01 | 064-066 | I63443 | 01 | 064-066 | ||
| I2583 | 05 | 302-303 | I610 | 15 | 791 | I63443 | 15 | 791 | ||
| I2584 | 05 | 302-303 | I610 | 15 | 793 | I63443 | 15 | 793 | ||
| I2585 | 05 | 302-303 | I611 | 01 | 020-022 | I63449 | 01 | 023-024 | ||
| I2589 | 05 | 302-303 | I611 | 01 | 023-024 | I63449 | 01 | 061-063 | ||
| I259 | 05 | 302-303 | I611 | 01 | 064-066 | I63449 | 01 | 064-066 | ||
| I2601 | 04 | 173 | I611 | 15 | 791 | I63449 | 15 | 791 | ||
| I2601 | 04 | 175-176 | I611 | 15 | 793 | I63449 | 15 | 793 | ||
| I2601 | 15 | 791 | I612 | 01 | 020-022 | I6349 | 01 | 023-024 | ||
| I2601 | 15 | 793 | I612 | 01 | 023-024 | I6349 | 01 | 061-063 | ||
| I2602 | 04 | 173 | I612 | 01 | 064-066 | I6349 | 01 | 064-066 | ||
| I2602 | 04 | 175-176 | I612 | 15 | 791 | I6349 | 15 | 791 | ||
| I2602 | 15 | 791 | I612 | 15 | 793 | I6349 | 15 | 793 | ||
| I2602 | 15 | 793 | I613 | 01 | 020-022 | I6350 | 01 | 023-024 | ||
| I2609 | 04 | 173 | I613 | 01 | 023-024 | I6350 | 01 | 061-063 | ||
| I2609 | 04 | 175-176 | I613 | 01 | 064-066 | I6350 | 01 | 064-066 | ||
| I2609 | 15 | 791 | I613 | 15 | 791 | I6350 | 15 | 791 | ||
| I2609 | 15 | 793 | I613 | 15 | 793 | I6350 | 15 | 793 | ||
| I2690 | 04 | 173 | I614 | 01 | 020-022 | I63511 | 01 | 023-024 | ||
| I2690 | 04 | 175-176 | I614 | 01 | 023-024 | I63511 | 01 | 061-063 | ||
| I2690 | 15 | 791 | I614 | 01 | 064-066 | I63511 | 01 | 064-066 | ||
| I2690 | 15 | 793 | I614 | 15 | 791 | I63511 | 15 | 791 | ||
| I2692 | 04 | 173 | I614 | 15 | 793 | I63511 | 15 | 793 | ||
| I2692 | 04 | 175-176 | I615 | 01 | 020-022 | I63512 | 01 | 023-024 | ||
| I2692 | 15 | 791 | I615 | 01 | 023-024 | I63512 | 01 | 061-063 | ||
| I2692 | 15 | 793 | I615 | 01 | 064-066 | I63512 | 01 | 064-066 | ||
| I2693 | 04 | 173 | I615 | 15 | 791 | I63512 | 15 | 791 | ||
| I2693 | 04 | 175-176 | I615 | 15 | 793 | I63512 | 15 | 793 | ||
| I2693 | 15 | 791 | I616 | 01 | 020-022 | I63513 | 01 | 023-024 | ||
| I2693 | 15 | 793 | I616 | 01 | 023-024 | I63513 | 01 | 061-063 | ||
| I2694 | 04 | 173 | I616 | 01 | 064-066 | I63513 | 01 | 064-066 | ||
| I2694 | 04 | 175-176 | I616 | 15 | 791 | I63513 | 15 | 791 | ||
| I2694 | 15 | 791 | I616 | 15 | 793 | I63513 | 15 | 793 | ||
| I2694 | 15 | 793 | I618 | 01 | 020-022 | I63519 | 01 | 023-024 | ||
| I2699 | 04 | 173 | I618 | 01 | 023-024 | I63519 | 01 | 061-063 | ||
| I2699 | 04 | 175-176 | I618 | 01 | 064-066 | I63519 | 01 | 064-066 | ||
| I2699 | 15 | 791 | I618 | 15 | 791 | I63519 | 15 | 791 | ||
| I2699 | 15 | 793 | I618 | 15 | 793 | I63519 | 15 | 793 | ||
| I270 | 05 | 314-316 | I619 | 01 | 020-022 | I63521 | 01 | 023-024 | ||
| I271 | 05 | 314-316 | I619 | 01 | 023-024 | I63521 | 01 | 061-063 | ||
| I2720 | 05 | 314-316 | I619 | 01 | 064-066 | I63521 | 01 | 064-066 | ||
| I2721 | 05 | 314-316 | I619 | 15 | 791 | I63521 | 15 | 791 | ||
| I2722 | 05 | 314-316 | I619 | 15 | 793 | I63521 | 15 | 793 | ||
| I2723 | 05 | 314-316 | I6200 | 01 | 020-022 | I63522 | 01 | 023-024 | ||
| I2724 | 05 | 314-316 | I6200 | 01 | 064-066 | I63522 | 01 | 061-063 | ||
| I2729 | 05 | 314-316 | I6200 | 15 | 791 | I63522 | 01 | 064-066 | ||
| I2781 | 05 | 314-316 | I6200 | 15 | 793 | I63522 | 15 | 791 | ||
| I2782 | 04 | 173 | I6201 | 01 | 020-022 | I63522 | 15 | 793 | ||
| I2782 | 04 | 175-176 | I6201 | 01 | 064-066 | I63523 | 01 | 023-024 | ||
| I2782 | 15 | 791 | I6201 | 15 | 791 | I63523 | 01 | 061-063 | ||
| I2782 | 15 | 793 | I6201 | 15 | 793 | I63523 | 01 | 064-066 | ||
| I2783 | 05 | 314-316 | I6202 | 01 | 020-022 | I63523 | 15 | 791 | ||
| I2789 | 05 | 314-316 | I6202 | 01 | 064-066 | I63523 | 15 | 793 | ||
| I279 | 05 | 314-316 | I6202 | 15 | 791 | I63529 | 01 | 023-024 | ||
| I280 | 05 | 314-316 | I6202 | 15 | 793 | I63529 | 01 | 061-063 | ||
| I281 | 05 | 314-316 | I6203 | 01 | 020-022 | I63529 | 01 | 064-066 | ||
| I288 | 05 | 314-316 | I6203 | 01 | 064-066 | I63529 | 15 | 791 | ||
| I289 | 05 | 314-316 | I6203 | 15 | 791 | I63529 | 15 | 793 | ||
| I300 | 05 | 314-316 | I6203 | 15 | 793 | I63531 | 01 | 023-024 | ||
| I301 | 05 | 314-316 | I621 | 01 | 020-022 | I63531 | 01 | 061-063 | ||
| I308 | 05 | 314-316 | I621 | 01 | 064-066 | I63531 | 01 | 064-066 | ||
| I309 | 05 | 314-316 | I621 | 15 | 791 | I63531 | 15 | 791 | ||
| I310 | 05 | 314-316 | I621 | 15 | 793 | I63531 | 15 | 793 | ||
| I311 | 05 | 314-316 | I629 | 01 | 020-022 | I63532 | 01 | 023-024 | ||
| I312 | 05 | 314-316 | I629 | 01 | 023-024 | I63532 | 01 | 061-063 | ||
| I312 | 15 | 791 | I629 | 01 | 064-066 | I63532 | 01 | 064-066 | ||
| I312 | 15 | 793 | I629 | 15 | 791 | I63532 | 15 | 791 | ||
| I3131 | 05 | 314-316 | I629 | 15 | 793 | I63532 | 15 | 793 | ||
| I3139 | 05 | 314-316 | I6300 | 01 | 023-024 | I63533 | 01 | 023-024 | ||
| I314 | 05 | 314-316 | I6300 | 01 | 061-063 | I63533 | 01 | 061-063 | ||
| I318 | 05 | 314-316 | I6300 | 01 | 064-066 | I63533 | 01 | 064-066 | ||
| I319 | 05 | 314-316 | I6300 | 15 | 791 | I63533 | 15 | 791 | ||
| I32 | 05 | 314-316 | I6300 | 15 | 793 | I63533 | 15 | 793 | ||
| I32 | 15 | 791 | I63011 | 01 | 023-024 | I63539 | 01 | 023-024 | ||
| I32 | 15 | 793 | I63011 | 01 | 061-063 | I63539 | 01 | 061-063 | ||
| I330 | 05 | 288-290 | I63011 | 01 | 064-066 | I63539 | 01 | 064-066 | ||
| I330 | 15 | 791 | I63011 | 15 | 791 | I63539 | 15 | 791 | ||
| I330 | 15 | 793 | I63011 | 15 | 793 | I63539 | 15 | 793 | ||
| I330 | 25 | 974-976 | I63012 | 01 | 023-024 | I63541 | 01 | 023-024 | ||
| I339 | 05 | 288-290 | I63012 | 01 | 061-063 | I63541 | 01 | 061-063 | ||
| I339 | 15 | 791 | I63012 | 01 | 064-066 | I63541 | 01 | 064-066 | ||
| I339 | 15 | 793 | I63012 | 15 | 791 | I63541 | 15 | 791 | ||
| I339 | 25 | 974-976 | I63012 | 15 | 793 | I63541 | 15 | 793 | ||
| I340 | 05 | 306-307 | I63013 | 01 | 023-024 | I63542 | 01 | 023-024 | ||
| I341 | 05 | 306-307 | I63013 | 01 | 061-063 | I63542 | 01 | 061-063 | ||
| I342 | 05 | 306-307 | I63013 | 01 | 064-066 | I63542 | 01 | 064-066 | ||
| I3481 | 05 | 306-307 | I63013 | 15 | 791 | I63542 | 15 | 791 | ||
| I3489 | 05 | 306-307 | I63013 | 15 | 793 | I63542 | 15 | 793 | ||
| I349 | 05 | 306-307 | I63019 | 01 | 023-024 | I63543 | 01 | 023-024 | ||
| I350 | 05 | 306-307 | I63019 | 01 | 061-063 | I63543 | 01 | 061-063 | ||
| I351 | 05 | 306-307 | I63019 | 01 | 064-066 | I63543 | 01 | 064-066 | ||
| I352 | 05 | 306-307 | I63019 | 15 | 791 | I63543 | 15 | 791 | ||
| I358 | 05 | 306-307 | I63019 | 15 | 793 | I63543 | 15 | 793 | ||
| I359 | 05 | 306-307 | I6302 | 01 | 023-024 | I63549 | 01 | 023-024 | ||
| I360 | 05 | 306-307 | I6302 | 01 | 061-063 | I63549 | 01 | 061-063 | ||
| I361 | 05 | 306-307 | I6302 | 01 | 064-066 | I63549 | 01 | 064-066 | ||
| I362 | 05 | 306-307 | I6302 | 15 | 791 | I63549 | 15 | 791 | ||
| I368 | 05 | 306-307 | I6302 | 15 | 793 | I63549 | 15 | 793 | ||
| I369 | 05 | 306-307 | I63031 | 01 | 023-024 | I6359 | 01 | 023-024 | ||
| I370 | 05 | 306-307 | I63031 | 01 | 061-063 | I6359 | 01 | 061-063 | ||
| I371 | 05 | 306-307 | I63031 | 01 | 064-066 | I6359 | 01 | 064-066 | ||
| I372 | 05 | 306-307 | I63031 | 15 | 791 | I6359 | 15 | 791 | ||
| I378 | 05 | 306-307 | I63031 | 15 | 793 | I6359 | 15 | 793 | ||
| I379 | 05 | 306-307 | I63032 | 01 | 023-024 | I636 | 01 | 023-024 | ||
| I38 | 05 | 306-307 | I63032 | 01 | 061-063 | I636 | 01 | 061-063 | ||
| I38 | 15 | 791 | I63032 | 01 | 064-066 | I636 | 01 | 064-066 | ||
| I38 | 15 | 793 | I63032 | 15 | 791 | I636 | 15 | 791 | ||
| I39 | 05 | 306-307 | I63032 | 15 | 793 | I636 | 15 | 793 | ||
| I39 | 15 | 791 | I63033 | 01 | 023-024 | I6381 | 01 | 023-024 | ||
| I39 | 15 | 793 | I63033 | 01 | 061-063 | I6381 | 01 | 061-063 | ||
| I400 | 05 | 314-316 | I63033 | 01 | 064-066 | I6381 | 01 | 064-066 | ||
| I400 | 15 | 791 | I63033 | 15 | 791 | I6381 | 15 | 791 | ||
| I400 | 15 | 793 | I63033 | 15 | 793 | I6381 | 15 | 793 | ||
| I400 | 25 | 974-976 | I63039 | 01 | 023-024 | I6389 | 01 | 023-024 | ||
| I401 | 05 | 314-316 | I63039 | 01 | 061-063 | I6389 | 01 | 061-063 | ||
| I401 | 25 | 974-976 | I63039 | 01 | 064-066 | I6389 | 01 | 064-066 | ||
| I408 | 05 | 314-316 | I63039 | 15 | 791 | I6389 | 15 | 791 | ||
| I408 | 25 | 974-976 | I63039 | 15 | 793 | I6389 | 15 | 793 | ||
| I409 | 05 | 314-316 | I6309 | 01 | 023-024 | I639 | 01 | 023-024 | ||
| I409 | 25 | 974-976 | I6309 | 01 | 061-063 | I639 | 01 | 061-063 | ||
| I41 | 05 | 314-316 | I6309 | 01 | 064-066 | I639 | 01 | 064-066 | ||
| I41 | 15 | 791 | I6309 | 15 | 791 | I639 | 15 | 791 | ||
| I41 | 15 | 793 | I6309 | 15 | 793 | I639 | 15 | 793 | ||
| I420 | 05 | 314-316 | I6310 | 01 | 023-024 | I6501 | 01 | 061-063 | ||
| I421 | 05 | 314-316 | I6310 | 01 | 061-063 | I6501 | 01 | 067-068 | ||
| I422 | 05 | 314-316 | I6310 | 01 | 064-066 | I6502 | 01 | 061-063 | ||
| I423 | 05 | 314-316 | I6310 | 15 | 791 | I6502 | 01 | 067-068 | ||
| I424 | 05 | 314-316 | I6310 | 15 | 793 | I6503 | 01 | 061-063 | ||
| I425 | 05 | 314-316 | I63111 | 01 | 023-024 | I6503 | 01 | 067-068 | ||
| I426 | 05 | 314-316 | I63111 | 01 | 061-063 | I6509 | 01 | 061-063 | ||
| I427 | 05 | 314-316 | I63111 | 01 | 064-066 | I6509 | 01 | 067-068 | ||
| I428 | 05 | 314-316 | I63111 | 15 | 791 | I651 | 01 | 061-063 | ||
| I429 | 05 | 314-316 | I63111 | 15 | 793 | I651 | 01 | 067-068 | ||
| I43 | 05 | 314-316 | I63112 | 01 | 023-024 | I6521 | 01 | 061-063 | ||
| I43 | 15 | 791 | I63112 | 01 | 061-063 | I6521 | 01 | 067-068 | ||
| I43 | 15 | 793 | I63112 | 01 | 064-066 | I6522 | 01 | 061-063 | ||
| I440 | 05 | 308-310 | I63112 | 15 | 791 | I6522 | 01 | 067-068 | ||
| I441 | 05 | 308-310 | I63112 | 15 | 793 | I6523 | 01 | 061-063 | ||
| I442 | 05 | 308-310 | I63113 | 01 | 023-024 | I6523 | 01 | 067-068 | ||
| I442 | 15 | 791 | I63113 | 01 | 061-063 | I6529 | 01 | 061-063 | ||
| I442 | 15 | 793 | I63113 | 01 | 064-066 | I6529 | 01 | 067-068 | ||
| I4430 | 05 | 308-310 | I63113 | 15 | 791 | I658 | 01 | 061-063 | ||
| I4439 | 05 | 308-310 | I63113 | 15 | 793 | I658 | 01 | 067-068 | ||
| I444 | 05 | 308-310 | I63119 | 01 | 023-024 | I659 | 01 | 061-063 | ||
| I445 | 05 | 308-310 | I63119 | 01 | 061-063 | I659 | 01 | 067-068 | ||
| I4460 | 05 | 308-310 | I63119 | 01 | 064-066 | I6601 | 01 | 061-063 | ||
| I4469 | 05 | 308-310 | I63119 | 15 | 791 | I6601 | 01 | 067-068 | ||
| I447 | 05 | 308-310 | I63119 | 15 | 793 | I6601 | 15 | 791 | ||
| I450 | 05 | 308-310 | I6312 | 01 | 023-024 | I6601 | 15 | 793 | ||
| I4510 | 05 | 308-310 | I6312 | 01 | 061-063 | I6602 | 01 | 061-063 | ||
| I4519 | 05 | 308-310 | I6312 | 01 | 064-066 | I6602 | 01 | 067-068 | ||
| I452 | 05 | 308-310 | I6312 | 15 | 791 | I6602 | 15 | 791 | ||
| I452 | 15 | 791 | I6312 | 15 | 793 | I6602 | 15 | 793 | ||
| I452 | 15 | 793 | I63131 | 01 | 023-024 | I6603 | 01 | 061-063 | ||
| I453 | 05 | 308-310 | I63131 | 01 | 061-063 | I6603 | 01 | 067-068 | ||
| I453 | 15 | 791 | I63131 | 01 | 064-066 | I6603 | 15 | 791 | ||
| I453 | 15 | 793 | I63131 | 15 | 791 | I6603 | 15 | 793 | ||
| I454 | 05 | 308-310 | I63131 | 15 | 793 | I6609 | 01 | 061-063 | ||
| I455 | 05 | 308-310 | I63132 | 01 | 023-024 | I6609 | 01 | 067-068 | ||
| I456 | 05 | 308-310 | I63132 | 01 | 061-063 | I6609 | 15 | 791 | ||
| I456 | 15 | 791 | I63132 | 01 | 064-066 | I6609 | 15 | 793 | ||
| I456 | 15 | 793 | I63132 | 15 | 791 | I6611 | 01 | 061-063 | ||
| I4581 | 05 | 308-310 | I63132 | 15 | 793 | I6611 | 01 | 067-068 | ||
| I4589 | 05 | 308-310 | I63133 | 01 | 023-024 | I6611 | 15 | 791 | ||
| I4589 | 15 | 791 | I63133 | 01 | 061-063 | I6611 | 15 | 793 | ||
| I4589 | 15 | 793 | I63133 | 01 | 064-066 | I6612 | 01 | 061-063 | ||
| I459 | 05 | 308-310 | I63133 | 15 | 791 | I6612 | 01 | 067-068 | ||
| I462 | 05 | 296-298 | I63133 | 15 | 793 | I6612 | 15 | 791 | ||
| I462 | 15 | 791 | I63139 | 01 | 023-024 | I6612 | 15 | 793 | ||
| I462 | 15 | 793 | I63139 | 01 | 061-063 | I6613 | 01 | 061-063 | ||
| I468 | 05 | 296-298 | I63139 | 01 | 064-066 | I6613 | 01 | 067-068 | ||
| I468 | 15 | 791 | I63139 | 15 | 791 | I6613 | 15 | 791 | ||
| I468 | 15 | 793 | I63139 | 15 | 793 | I6613 | 15 | 793 | ||
| I469 | 05 | 296-298 | I6319 | 01 | 023-024 | I6619 | 01 | 061-063 | ||
| I469 | 15 | 791 | I6319 | 01 | 061-063 | I6619 | 01 | 067-068 | ||
| I469 | 15 | 793 | I6319 | 01 | 064-066 | I6619 | 15 | 791 | ||
| I470 | 05 | 308-310 | I6319 | 15 | 791 | I6619 | 15 | 793 | ||
| I470 | 15 | 791 | I6319 | 15 | 793 | I6621 | 01 | 061-063 | ||
| I470 | 15 | 793 | I6320 | 01 | 023-024 | I6621 | 01 | 067-068 | ||
| I4710 | 05 | 308-310 | I6320 | 01 | 061-063 | I6621 | 15 | 791 | ||
| I4711 | 05 | 308-310 | I6320 | 01 | 064-066 | I6621 | 15 | 793 | ||
| I4719 | 05 | 308-310 | I6320 | 15 | 791 | I6622 | 01 | 061-063 | ||
| I4720 | 05 | 308-310 | I6320 | 15 | 793 | I6622 | 01 | 067-068 | ||
| I4720 | 15 | 791 | I63211 | 01 | 023-024 | I6622 | 15 | 791 | ||
| I4720 | 15 | 793 | I63211 | 01 | 061-063 | I6622 | 15 | 793 | ||
| I4721 | 05 | 308-310 | I63211 | 01 | 064-066 | I6623 | 01 | 061-063 | ||
| I4721 | 15 | 791 | I63211 | 15 | 791 | I6623 | 01 | 067-068 | ||
| I4721 | 15 | 793 | I63211 | 15 | 793 | I6623 | 15 | 791 | ||
| I4729 | 05 | 308-310 | I63212 | 01 | 023-024 | I6623 | 15 | 793 | ||
| I4729 | 15 | 791 | I63212 | 01 | 061-063 | I6629 | 01 | 061-063 | ||
| I4729 | 15 | 793 | I63212 | 01 | 064-066 | I6629 | 01 | 067-068 | ||
| I479 | 05 | 308-310 | I63212 | 15 | 791 | I6629 | 15 | 791 | ||
| I480 | 05 | 308-310 | I63212 | 15 | 793 | I6629 | 15 | 793 | ||
| I480 | 15 | 791 | I63213 | 01 | 023-024 | I663 | 01 | 061-063 | ||
| I480 | 15 | 793 | I63213 | 01 | 061-063 | I663 | 01 | 067-068 | ||
| I4811 | 05 | 308-310 | I63213 | 01 | 064-066 | I663 | 15 | 791 | ||
| I4819 | 05 | 308-310 | I63213 | 15 | 791 | I663 | 15 | 793 | ||
| I4819 | 15 | 791 | I63213 | 15 | 793 | I668 | 01 | 061-063 | ||
| I4819 | 15 | 793 | I63219 | 01 | 023-024 | I668 | 01 | 067-068 | ||
| I4820 | 05 | 308-310 | I63219 | 01 | 061-063 | I668 | 15 | 791 | ||
| I4821 | 05 | 308-310 | I63219 | 01 | 064-066 | I668 | 15 | 793 | ||
| I4821 | 15 | 791 | I63219 | 15 | 791 | I669 | 01 | 061-063 | ||
| I4821 | 15 | 793 | I63219 | 15 | 793 | I669 | 01 | 067-068 | ||
| I483 | 05 | 308-310 | I6322 | 01 | 023-024 | I669 | 15 | 791 | ||
| I483 | 15 | 791 | I6322 | 01 | 061-063 | I669 | 15 | 793 | ||
| I483 | 15 | 793 | I6322 | 01 | 064-066 | I670 | 05 | 299-301 | ||
| I484 | 05 | 308-310 | I6322 | 15 | 791 | I671 | 01 | 091-093 | ||
| I484 | 15 | 791 | I6322 | 15 | 793 | I672 | 01 | 070-072 | ||
| I484 | 15 | 793 | I63231 | 01 | 023-024 | I673 | 01 | 056-057 | ||
| I4891 | 05 | 308-310 | I63231 | 01 | 061-063 | I673 | 25 | 974-976 | ||
| I4891 | 15 | 791 | I63231 | 01 | 064-066 | I674 | 01 | 077-079 | ||
| I4891 | 15 | 793 | I63231 | 15 | 791 | I675 | 01 | 091-093 | ||
| I4892 | 05 | 308-310 | I63231 | 15 | 793 | I676 | 01 | 091-093 | ||
| I4892 | 15 | 791 | I63232 | 01 | 023-024 | I677 | 01 | 102-103 | ||
| I4892 | 15 | 793 | I63232 | 01 | 061-063 | I6781 | 01 | 061-063 | ||
| I4901 | 05 | 308-310 | I63232 | 01 | 064-066 | I6781 | 01 | 069 | ||
| I4901 | 15 | 791 | I63232 | 15 | 791 | I6782 | 01 | 061-063 | ||
| I4901 | 15 | 793 | I63232 | 15 | 793 | I6782 | 01 | 069 | ||
| I4902 | 05 | 308-310 | I63233 | 01 | 023-024 | I6783 | 01 | 070-072 | ||
| I4902 | 15 | 791 | I63233 | 01 | 061-063 | I6783 | 25 | 974-976 | ||
| I4902 | 15 | 793 | I63233 | 01 | 064-066 | I67841 | 01 | 061-063 | ||
| I491 | 05 | 308-310 | I63233 | 15 | 791 | I67841 | 01 | 069 | ||
| I492 | 05 | 308-310 | I63233 | 15 | 793 | I67848 | 01 | 061-063 | ||
| I493 | 05 | 308-310 | I63239 | 01 | 023-024 | I67848 | 01 | 069 | ||
| I4940 | 05 | 308-310 | I63239 | 01 | 061-063 | I67850 | 01 | 070-072 | ||
| I4949 | 05 | 308-310 | I63239 | 01 | 064-066 | I67858 | 01 | 070-072 | ||
| I495 | 05 | 308-310 | I63239 | 15 | 791 | I6789 | 01 | 061-063 | ||
| I498 | 05 | 308-310 | I63239 | 15 | 793 | I6789 | 01 | 069 | ||
| I499 | 05 | 308-310 | I6329 | 01 | 023-024 | I679 | 01 | 070-072 | ||
| I501 | 05 | 291-293 | I6329 | 01 | 061-063 | I680 | 01 | 070-072 | ||
| I501 | 15 | 791 | I6329 | 01 | 064-066 | I682 | 01 | 102-103 | ||
| I501 | 15 | 793 | I6329 | 15 | 791 | I688 | 01 | 070-072 | ||
| I5020 | 05 | 291-293 | I6329 | 15 | 793 | I6900 | 01 | 056-057 | ||
| I5020 | 15 | 791 | I6330 | 01 | 023-024 | I69010 | 01 | 056-057 | ||
| I5020 | 15 | 793 | I6330 | 01 | 061-063 | I69011 | 01 | 056-057 | ||
| I5021 | 05 | 291-293 | I6330 | 01 | 064-066 | I69012 | 01 | 056-057 | ||
| I5021 | 15 | 791 | I6330 | 15 | 791 | I69013 | 01 | 056-057 | ||
| I5021 | 15 | 793 | I6330 | 15 | 793 | I69014 | 01 | 056-057 | ||
| I5022 | 05 | 291-293 | I63311 | 01 | 023-024 | I69015 | 01 | 056-057 | ||
| I5022 | 15 | 791 | I63311 | 01 | 061-063 | I69018 | 01 | 056-057 | ||
| I5022 | 15 | 793 | I63311 | 01 | 064-066 | I69019 | 01 | 056-057 | ||
| I5023 | 05 | 291-293 | I63311 | 15 | 791 | I69020 | 01 | 056-057 | ||
| I5023 | 15 | 791 | I63311 | 15 | 793 | I69021 | 01 | 056-057 | ||
| I5023 | 15 | 793 | I63312 | 01 | 023-024 | I69022 | 01 | 056-057 | ||
| I5030 | 05 | 291-293 | I63312 | 01 | 061-063 | I69023 | 01 | 056-057 | ||
| I5030 | 15 | 791 | I63312 | 01 | 064-066 | I69028 | 01 | 056-057 | ||
| I5030 | 15 | 793 | I63312 | 15 | 791 | I69031 | 01 | 056-057 | ||
| I5031 | 05 | 291-293 | I63312 | 15 | 793 | I69032 | 01 | 056-057 | ||
| I5031 | 15 | 791 | I63313 | 01 | 023-024 | I69033 | 01 | 056-057 | ||
| I5031 | 15 | 793 | I63313 | 01 | 061-063 | I69034 | 01 | 056-057 | ||
| I5032 | 05 | 291-293 | I63313 | 01 | 064-066 | I69039 | 01 | 056-057 | ||
| I5032 | 15 | 791 | I63313 | 15 | 791 | I69041 | 01 | 056-057 | ||
| I5032 | 15 | 793 | I63313 | 15 | 793 | I69042 | 01 | 056-057 | ||
| I5033 | 05 | 291-293 | I63319 | 01 | 023-024 | I69043 | 01 | 056-057 | ||
| I5033 | 15 | 791 | I63319 | 01 | 061-063 | I69044 | 01 | 056-057 | ||
| I5033 | 15 | 793 | I63319 | 01 | 064-066 | I69049 | 01 | 056-057 | ||
| I5040 | 05 | 291-293 | I63319 | 15 | 791 | I69051 | 01 | 056-057 | ||
| I5040 | 15 | 791 | I63319 | 15 | 793 | I69052 | 01 | 056-057 | ||
| I5040 | 15 | 793 | I63321 | 01 | 023-024 | I69053 | 01 | 056-057 | ||
| I5041 | 05 | 291-293 | I63321 | 01 | 061-063 | I69054 | 01 | 056-057 | ||
| I5041 | 15 | 791 | I63321 | 01 | 064-066 | I69059 | 01 | 056-057 | ||
| I5041 | 15 | 793 | I63321 | 15 | 791 | I69061 | 01 | 056-057 | ||
| I5042 | 05 | 291-293 | I63321 | 15 | 793 | I69062 | 01 | 056-057 | ||
| I5042 | 15 | 791 | I63322 | 01 | 023-024 | I69063 | 01 | 056-057 | ||
| I5042 | 15 | 793 | I63322 | 01 | 061-063 | I69064 | 01 | 056-057 | ||
| I5043 | 05 | 291-293 | I63322 | 01 | 064-066 | I69065 | 01 | 056-057 | ||
| I5043 | 15 | 791 | I63322 | 15 | 791 | I69069 | 01 | 056-057 | ||
| I5043 | 15 | 793 | I63322 | 15 | 793 | I69090 | 01 | 056-057 | ||
| I50810 | 05 | 291-293 | I63323 | 01 | 023-024 | I69091 | 01 | 056-057 | ||
| I50810 | 15 | 791 | I63323 | 01 | 061-063 | I69092 | 01 | 056-057 | ||
| I50810 | 15 | 793 | I63323 | 01 | 064-066 | I69093 | 01 | 056-057 | ||
| I50811 | 05 | 291-293 | I63323 | 15 | 791 | I69098 | 01 | 056-057 | ||
| I50811 | 15 | 791 | I63323 | 15 | 793 | I6910 | 01 | 056-057 | ||
| I50811 | 15 | 793 | I63329 | 01 | 023-024 | I69110 | 01 | 056-057 | ||
| I50812 | 05 | 291-293 | I63329 | 01 | 061-063 | I69111 | 01 | 056-057 | ||
| I50812 | 15 | 791 | I63329 | 01 | 064-066 | I69112 | 01 | 056-057 | ||
| I50812 | 15 | 793 | I63329 | 15 | 791 | I69113 | 01 | 056-057 | ||
| I50813 | 05 | 291-293 | I63329 | 15 | 793 | I69114 | 01 | 056-057 | ||
| I50813 | 15 | 791 | I63331 | 01 | 023-024 | I69115 | 01 | 056-057 | ||
| I50813 | 15 | 793 | I63331 | 01 | 061-063 | I69118 | 01 | 056-057 | ||
| I50814 | 05 | 291-293 | I63331 | 01 | 064-066 | I69119 | 01 | 056-057 | ||
| I50814 | 15 | 791 | I63331 | 15 | 791 | I69120 | 01 | 056-057 | ||
| I50814 | 15 | 793 | I63331 | 15 | 793 | I69121 | 01 | 056-057 | ||
| I5082 | 05 | 291-293 | I63332 | 01 | 023-024 | I69122 | 01 | 056-057 | ||
| I5082 | 15 | 791 | I63332 | 01 | 061-063 | I69123 | 01 | 056-057 | ||
| I5082 | 15 | 793 | I63332 | 01 | 064-066 | I69128 | 01 | 056-057 | ||
| I5083 | 05 | 291-293 | I63332 | 15 | 791 | I69131 | 01 | 056-057 | ||
| I5083 | 15 | 791 | I63332 | 15 | 793 | I69132 | 01 | 056-057 | ||
| I5083 | 15 | 793 | I63333 | 01 | 023-024 | I69133 | 01 | 056-057 | ||
| I5084 | 05 | 291-293 | I63333 | 01 | 061-063 | I69134 | 01 | 056-057 | ||
| I5084 | 15 | 791 | I63333 | 01 | 064-066 | I69139 | 01 | 056-057 | ||
| I5084 | 15 | 793 | I63333 | 15 | 791 | I69141 | 01 | 056-057 | ||
| I5089 | 05 | 291-293 | I63333 | 15 | 793 | I69142 | 01 | 056-057 | ||
| I5089 | 15 | 791 | I63339 | 01 | 023-024 | I69143 | 01 | 056-057 | ||
| I5089 | 15 | 793 | I63339 | 01 | 061-063 | I69144 | 01 | 056-057 | ||
| I509 | 05 | 291-293 | I63339 | 01 | 064-066 | I69149 | 01 | 056-057 | ||
| I509 | 15 | 791 | I63339 | 15 | 791 | I69151 | 01 | 056-057 | ||
| I509 | 15 | 793 | I63339 | 15 | 793 | I69152 | 01 | 056-057 | ||
| I510 | 05 | 314-316 | I63341 | 01 | 023-024 | I69153 | 01 | 056-057 | ||
| I511 | 05 | 306-307 | I63341 | 01 | 061-063 | I69154 | 01 | 056-057 | ||
| I512 | 05 | 306-307 | I63341 | 01 | 064-066 | I69159 | 01 | 056-057 | ||
| I513 | 05 | 302-303 | I63341 | 15 | 791 | I69161 | 01 | 056-057 | ||
| I514 | 05 | 314-316 | I63341 | 15 | 793 | I69162 | 01 | 056-057 | ||
| I515 | 05 | 314-316 | I63342 | 01 | 023-024 | I69163 | 01 | 056-057 | ||
| I517 | 05 | 302-303 | I63342 | 01 | 061-063 | I69164 | 01 | 056-057 | ||
| I5181 | 05 | 314-316 | I63342 | 01 | 064-066 | I69165 | 01 | 056-057 | ||
| I5189 | 05 | 302-303 | I63342 | 15 | 791 | I69169 | 01 | 056-057 | ||
| I519 | 05 | 302-303 | I63342 | 15 | 793 | I69190 | 01 | 056-057 | ||
| I52 | 05 | 302-303 | I63343 | 01 | 023-024 | I69191 | 01 | 056-057 | ||
| I5A | 05 | 314-316 | I63343 | 01 | 061-063 | I69192 | 01 | 056-057 | ||
| I6000 | 01 | 020-022 | I63343 | 01 | 064-066 | I69193 | 01 | 056-057 | ||
| I6000 | 01 | 023-024 | I63343 | 15 | 791 | I69198 | 01 | 056-057 | ||
| I6000 | 01 | 064-066 | I63343 | 15 | 793 | I6920 | 01 | 056-057 | ||
| I6000 | 15 | 791 | I63349 | 01 | 023-024 | I69210 | 01 | 056-057 | ||
| I6000 | 15 | 793 | I63349 | 01 | 061-063 | I69211 | 01 | 056-057 | ||
| I6001 | 01 | 020-022 | I63349 | 01 | 064-066 | I69212 | 01 | 056-057 | ||
| I6001 | 01 | 023-024 | I63349 | 15 | 791 | I69213 | 01 | 056-057 | ||
| I6001 | 01 | 064-066 | I63349 | 15 | 793 | I69214 | 01 | 056-057 | ||
| I6001 | 15 | 791 | I6339 | 01 | 023-024 | I69215 | 01 | 056-057 | ||
| I6001 | 15 | 793 | I6339 | 01 | 061-063 | I69218 | 01 | 056-057 | ||
| I6002 | 01 | 020-022 | I6339 | 01 | 064-066 | I69219 | 01 | 056-057 | ||
| I6002 | 01 | 023-024 | I6339 | 15 | 791 | I69220 | 01 | 056-057 | ||
| I6002 | 01 | 064-066 | I6339 | 15 | 793 | I69221 | 01 | 056-057 | ||
| I6002 | 15 | 791 | I6340 | 01 | 023-024 | I69222 | 01 | 056-057 | ||
| I6002 | 15 | 793 | I6340 | 01 | 061-063 | I69223 | 01 | 056-057 | ||
| I6010 | 01 | 020-022 | I6340 | 01 | 064-066 | I69228 | 01 | 056-057 | ||
| I6010 | 01 | 023-024 | I6340 | 15 | 791 | I69231 | 01 | 056-057 | ||
| I6010 | 01 | 064-066 | I6340 | 15 | 793 | I69232 | 01 | 056-057 | ||
| I6010 | 15 | 791 | I63411 | 01 | 023-024 | I69233 | 01 | 056-057 | ||
| I6010 | 15 | 793 | I63411 | 01 | 061-063 | I69234 | 01 | 056-057 | ||
| I6011 | 01 | 020-022 | I63411 | 01 | 064-066 | I69239 | 01 | 056-057 | ||
| I6011 | 01 | 023-024 | I63411 | 15 | 791 | I69241 | 01 | 056-057 | ||
| I6011 | 01 | 064-066 | I63411 | 15 | 793 | I69242 | 01 | 056-057 | ||
| I6011 | 15 | 791 | I63412 | 01 | 023-024 | I69243 | 01 | 056-057 | ||
| I6011 | 15 | 793 | I63412 | 01 | 061-063 | I69244 | 01 | 056-057 | ||
| I6012 | 01 | 020-022 | I63412 | 01 | 064-066 | I69249 | 01 | 056-057 | ||
| I6012 | 01 | 023-024 | I63412 | 15 | 791 | I69251 | 01 | 056-057 | ||
| I6012 | 01 | 064-066 | I63412 | 15 | 793 | I69252 | 01 | 056-057 | ||
| I6012 | 15 | 791 | I63413 | 01 | 023-024 | I69253 | 01 | 056-057 | ||
| I6012 | 15 | 793 | I63413 | 01 | 061-063 | I69254 | 01 | 056-057 | ||
| I602 | 01 | 020-022 | I63413 | 01 | 064-066 | I69259 | 01 | 056-057 | ||
| I602 | 01 | 023-024 | I63413 | 15 | 791 | I69261 | 01 | 056-057 | ||
| I602 | 01 | 064-066 | I63413 | 15 | 793 | I69262 | 01 | 056-057 | ||
| I602 | 15 | 791 | I63419 | 01 | 023-024 | I69263 | 01 | 056-057 | ||
| I602 | 15 | 793 | I63419 | 01 | 061-063 | I69264 | 01 | 056-057 | ||
| I6030 | 01 | 020-022 | I63419 | 01 | 064-066 | I69265 | 01 | 056-057 | ||
| I6030 | 01 | 023-024 | I63419 | 15 | 791 | I69269 | 01 | 056-057 | ||
| I6030 | 01 | 064-066 | I63419 | 15 | 793 | I69290 | 01 | 056-057 | ||
| I6030 | 15 | 791 | I63421 | 01 | 023-024 | I69291 | 01 | 056-057 | ||
| I6030 | 15 | 793 | I63421 | 01 | 061-063 | I69292 | 01 | 056-057 | ||
| I6031 | 01 | 020-022 | I63421 | 01 | 064-066 | I69293 | 01 | 056-057 | ||
| I6031 | 01 | 023-024 | I63421 | 15 | 791 | I69298 | 01 | 056-057 | ||
| I6031 | 01 | 064-066 | I63421 | 15 | 793 | I6930 | 01 | 056-057 | ||
| I6031 | 15 | 791 | I63422 | 01 | 023-024 | I69310 | 01 | 056-057 | ||
| I6031 | 15 | 793 | I63422 | 01 | 061-063 | I69311 | 01 | 056-057 | ||
| I6032 | 01 | 020-022 | I63422 | 01 | 064-066 | I69312 | 01 | 056-057 | ||
| I6032 | 01 | 023-024 | I63422 | 15 | 791 | I69313 | 01 | 056-057 | ||
| I6032 | 01 | 064-066 | I63422 | 15 | 793 | I69314 | 01 | 056-057 | ||
| I6032 | 15 | 791 | ||||||||
| I6032 | 15 | 793 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2024 10:29:37 CMS, code-revision=359, description-revision=1383 |