ICD-10-CM/PCS MS-DRG v44.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v44.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 5 of 75 |
| A000 B309 C673 C8441 D220 E0901 E133541 F16280 G809 H18043 H44659 H9554 I673 J1282 K51211 L282 L98A229 M13179 M2650 M62229 M80851P M84673P M929 N99524 O3100X3 O360995 O43892 P0489 Q6680 R928 S0242XD S06369A S12230G S20302D S23163D S31041S S32409G S35404S S40822A S42322P S43491D S50911D S52231N S52363P S53106A S59029A S61151D S62173S S62523D S63255S S65999S S70311S S72059B S72142K S72366J S73122A S81021D S82146S S82431R S82872Q S86219S S91103S S92226D S93325A S99142B T2220XS T24119A T362X2D T420X1A T465X3S T523X1A T63463S T81501D T8482XS Z5301 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| D220 | 09 | 606-607 | D569 | 15 | 791 | E038 | 10 | 643-645 | ||
| D2210 | 02 | 124-125 | D569 | 15 | 793 | E039 | 10 | 643-645 | ||
| D22111 | 02 | 124-125 | D569 | 16 | 811-812 | E040 | 10 | 643-645 | ||
| D22112 | 02 | 124-125 | D5700 | 16 | 811-812 | E041 | Pre | 011-013 | ||
| D22121 | 02 | 124-125 | D5701 | 16 | 811-812 | E041 | 10 | 643-645 | ||
| D22122 | 02 | 124-125 | D5702 | 16 | 811-812 | E042 | 10 | 643-645 | ||
| D2220 | 09 | 606-607 | D5703 | 16 | 811-812 | E048 | 10 | 643-645 | ||
| D2221 | 09 | 606-607 | D5704 | 16 | 811-812 | E049 | 10 | 643-645 | ||
| D2222 | 09 | 606-607 | D5709 | 16 | 811-812 | E0500 | Pre | 011-013 | ||
| D2230 | 09 | 606-607 | D571 | 16 | 811-812 | E0500 | 10 | 643-645 | ||
| D2239 | 09 | 606-607 | D5720 | 16 | 811-812 | E0501 | Pre | 011-013 | ||
| D224 | 09 | 606-607 | D57211 | 16 | 811-812 | E0501 | 10 | 643-645 | ||
| D225 | 09 | 606-607 | D57212 | 16 | 811-812 | E0510 | Pre | 011-013 | ||
| D2260 | 09 | 606-607 | D57213 | 16 | 811-812 | E0510 | 10 | 643-645 | ||
| D2261 | 09 | 606-607 | D57214 | 16 | 811-812 | E0511 | Pre | 011-013 | ||
| D2262 | 09 | 606-607 | D57218 | 16 | 811-812 | E0511 | 10 | 643-645 | ||
| D2270 | 09 | 606-607 | D57219 | 16 | 811-812 | E0520 | Pre | 011-013 | ||
| D2271 | 09 | 606-607 | D573 | 16 | 811-812 | E0520 | 10 | 643-645 | ||
| D2272 | 09 | 606-607 | D5740 | 15 | 791 | E0521 | Pre | 011-013 | ||
| D229 | 09 | 606-607 | D5740 | 15 | 793 | E0521 | 10 | 643-645 | ||
| D230 | 09 | 606-607 | D5740 | 16 | 811-812 | E0530 | Pre | 011-013 | ||
| D2310 | 02 | 124-125 | D57411 | 15 | 791 | E0530 | 10 | 643-645 | ||
| D23111 | 02 | 124-125 | D57411 | 15 | 793 | E0531 | Pre | 011-013 | ||
| D23112 | 02 | 124-125 | D57411 | 16 | 811-812 | E0531 | 10 | 643-645 | ||
| D23121 | 02 | 124-125 | D57412 | 15 | 791 | E0540 | Pre | 011-013 | ||
| D23122 | 02 | 124-125 | D57412 | 15 | 793 | E0540 | 10 | 643-645 | ||
| D2320 | 09 | 606-607 | D57412 | 16 | 811-812 | E0541 | Pre | 011-013 | ||
| D2321 | 09 | 606-607 | D57413 | 15 | 791 | E0541 | 10 | 643-645 | ||
| D2322 | 09 | 606-607 | D57413 | 15 | 793 | E0580 | Pre | 011-013 | ||
| D2330 | 09 | 606-607 | D57413 | 16 | 811-812 | E0580 | 10 | 643-645 | ||
| D2339 | 09 | 606-607 | D57414 | 15 | 791 | E0581 | Pre | 011-013 | ||
| D234 | 09 | 606-607 | D57414 | 15 | 793 | E0581 | 10 | 643-645 | ||
| D235 | 09 | 606-607 | D57414 | 16 | 811-812 | E0590 | Pre | 011-013 | ||
| D2360 | 09 | 606-607 | D57418 | 15 | 791 | E0590 | 10 | 643-645 | ||
| D2361 | 09 | 606-607 | D57418 | 15 | 793 | E0591 | Pre | 011-013 | ||
| D2362 | 09 | 606-607 | D57418 | 16 | 811-812 | E0591 | 10 | 643-645 | ||
| D2370 | 09 | 606-607 | D57419 | 15 | 791 | E060 | Pre | 011-013 | ||
| D2371 | 09 | 606-607 | D57419 | 15 | 793 | E060 | 10 | 643-645 | ||
| D2372 | 09 | 606-607 | D57419 | 16 | 811-812 | E061 | Pre | 011-013 | ||
| D239 | 09 | 606-607 | D5742 | 15 | 791 | E061 | 10 | 643-645 | ||
| D241 | 09 | 606-607 | D5742 | 15 | 793 | E062 | Pre | 011-013 | ||
| D242 | 09 | 606-607 | D5742 | 16 | 811-812 | E062 | 10 | 643-645 | ||
| D249 | 09 | 606-607 | D57431 | 15 | 791 | E063 | Pre | 011-013 | ||
| D250 | 13 | 742-743 | D57431 | 15 | 793 | E063 | 10 | 643-645 | ||
| D251 | 13 | 742-743 | D57431 | 16 | 811-812 | E064 | Pre | 011-013 | ||
| D252 | 13 | 742-743 | D57432 | 15 | 791 | E064 | 10 | 643-645 | ||
| D259 | 13 | 742-743 | D57432 | 15 | 793 | E065 | Pre | 011-013 | ||
| D260 | 13 | 742-743 | D57432 | 16 | 811-812 | E065 | 10 | 643-645 | ||
| D261 | 13 | 742-743 | D57433 | 15 | 791 | E069 | Pre | 011-013 | ||
| D267 | 13 | 742-743 | D57433 | 15 | 793 | E069 | 10 | 643-645 | ||
| D269 | 13 | 742-743 | D57433 | 16 | 811-812 | E070 | 10 | 643-645 | ||
| D270 | 13 | 742-743 | D57434 | 15 | 791 | E071 | 10 | 643-645 | ||
| D271 | 13 | 742-743 | D57434 | 15 | 793 | E0781 | 23 | 947-948 | ||
| D279 | 13 | 742-743 | D57434 | 16 | 811-812 | E0789 | Pre | 011-013 | ||
| D280 | 13 | 742-743 | D57438 | 15 | 791 | E0789 | 10 | 643-645 | ||
| D281 | 13 | 742-743 | D57438 | 15 | 793 | E079 | Pre | 011-013 | ||
| D282 | 13 | 742-743 | D57438 | 16 | 811-812 | E079 | 10 | 643-645 | ||
| D287 | 13 | 742-743 | D57439 | 15 | 791 | E0800 | Pre | 008 | ||
| D289 | 13 | 742-743 | D57439 | 15 | 793 | E0800 | Pre | 010 | ||
| D3000 | 11 | 656-658 | D57439 | 16 | 811-812 | E0800 | Pre | 019 | ||
| D3000 | 11 | 686-688 | D5744 | 15 | 791 | E0800 | 10 | 637-639 | ||
| D3001 | 11 | 656-658 | D5744 | 15 | 793 | E0801 | Pre | 008 | ||
| D3001 | 11 | 686-688 | D5744 | 16 | 811-812 | E0801 | Pre | 010 | ||
| D3002 | 11 | 656-658 | D57451 | 15 | 791 | E0801 | Pre | 019 | ||
| D3002 | 11 | 686-688 | D57451 | 15 | 793 | E0801 | 10 | 637-639 | ||
| D3010 | 11 | 656-658 | D57451 | 16 | 811-812 | E0810 | Pre | 008 | ||
| D3010 | 11 | 686-688 | D57452 | 15 | 791 | E0810 | Pre | 010 | ||
| D3011 | 11 | 656-658 | D57452 | 15 | 793 | E0810 | Pre | 019 | ||
| D3011 | 11 | 686-688 | D57452 | 16 | 811-812 | E0810 | 10 | 637-639 | ||
| D3012 | 11 | 656-658 | D57453 | 15 | 791 | E0811 | Pre | 008 | ||
| D3012 | 11 | 686-688 | D57453 | 15 | 793 | E0811 | Pre | 010 | ||
| D3020 | 11 | 656-658 | D57453 | 16 | 811-812 | E0811 | Pre | 019 | ||
| D3020 | 11 | 686-688 | D57454 | 15 | 791 | E0811 | 10 | 637-639 | ||
| D3021 | 11 | 656-658 | D57454 | 15 | 793 | E0821 | Pre | 008 | ||
| D3021 | 11 | 686-688 | D57454 | 16 | 811-812 | E0821 | Pre | 010 | ||
| D3022 | 11 | 656-658 | D57458 | 15 | 791 | E0821 | Pre | 019 | ||
| D3022 | 11 | 686-688 | D57458 | 15 | 793 | E0821 | 11 | 698-700 | ||
| D303 | 11 | 656-658 | D57458 | 16 | 811-812 | E0822 | Pre | 008 | ||
| D303 | 11 | 686-688 | D57459 | 15 | 791 | E0822 | Pre | 010 | ||
| D304 | 11 | 656-658 | D57459 | 15 | 793 | E0822 | Pre | 019 | ||
| D304 | 11 | 686-688 | D57459 | 16 | 811-812 | E0822 | 11 | 698-700 | ||
| D308 | 11 | 656-658 | D5780 | 16 | 811-812 | E0829 | Pre | 008 | ||
| D308 | 11 | 686-688 | D57811 | 16 | 811-812 | E0829 | Pre | 010 | ||
| D309 | 11 | 656-658 | D57812 | 16 | 811-812 | E0829 | Pre | 019 | ||
| D309 | 11 | 686-688 | D57813 | 16 | 811-812 | E0829 | 11 | 698-700 | ||
| D3100 | 02 | 124-125 | D57814 | 16 | 811-812 | E08311 | Pre | 008 | ||
| D3101 | 02 | 124-125 | D57818 | 16 | 811-812 | E08311 | Pre | 010 | ||
| D3102 | 02 | 124-125 | D57819 | 16 | 811-812 | E08311 | Pre | 019 | ||
| D3110 | 02 | 124-125 | D580 | 16 | 811-812 | E08311 | 02 | 124-125 | ||
| D3111 | 02 | 124-125 | D581 | 16 | 811-812 | E08319 | Pre | 008 | ||
| D3112 | 02 | 124-125 | D582 | 16 | 811-812 | E08319 | Pre | 010 | ||
| D3120 | 02 | 124-125 | D588 | 16 | 811-812 | E08319 | Pre | 019 | ||
| D3121 | 02 | 124-125 | D589 | 16 | 811-812 | E08319 | 02 | 124-125 | ||
| D3122 | 02 | 124-125 | D590 | 16 | 808-810 | E083211 | Pre | 008 | ||
| D3130 | 02 | 124-125 | D5910 | 16 | 808-810 | E083211 | Pre | 010 | ||
| D3131 | 02 | 124-125 | D5911 | 16 | 808-810 | E083211 | Pre | 019 | ||
| D3132 | 02 | 124-125 | D5912 | 16 | 808-810 | E083211 | 02 | 124-125 | ||
| D3140 | 02 | 124-125 | D5913 | 16 | 808-810 | E083212 | Pre | 008 | ||
| D3141 | 02 | 124-125 | D5919 | 16 | 808-810 | E083212 | Pre | 010 | ||
| D3142 | 02 | 124-125 | D592 | 15 | 791 | E083212 | Pre | 019 | ||
| D3150 | 02 | 124-125 | D592 | 15 | 793 | E083212 | 02 | 124-125 | ||
| D3151 | 02 | 124-125 | D592 | 16 | 808-810 | E083213 | Pre | 008 | ||
| D3152 | 02 | 124-125 | D5930 | 15 | 791 | E083213 | Pre | 010 | ||
| D3160 | 02 | 124-125 | D5930 | 15 | 793 | E083213 | Pre | 019 | ||
| D3161 | 02 | 124-125 | D5930 | 16 | 811-812 | E083213 | 02 | 124-125 | ||
| D3162 | 02 | 124-125 | D5931 | 15 | 791 | E083219 | Pre | 008 | ||
| D3190 | 02 | 124-125 | D5931 | 15 | 793 | E083219 | Pre | 010 | ||
| D3191 | 02 | 124-125 | D5931 | 16 | 811-812 | E083219 | Pre | 019 | ||
| D3192 | 02 | 124-125 | D5932 | 15 | 791 | E083219 | 02 | 124-125 | ||
| D320 | 01 | 054-055 | D5932 | 15 | 793 | E083291 | Pre | 008 | ||
| D321 | 01 | 054-055 | D5932 | 16 | 811-812 | E083291 | Pre | 010 | ||
| D329 | 01 | 054-055 | D5939 | 15 | 791 | E083291 | Pre | 019 | ||
| D330 | 01 | 054-055 | D5939 | 15 | 793 | E083291 | 02 | 124-125 | ||
| D331 | 01 | 054-055 | D5939 | 16 | 811-812 | E083292 | Pre | 008 | ||
| D332 | 01 | 054-055 | D594 | 15 | 791 | E083292 | Pre | 010 | ||
| D333 | 01 | 054-055 | D594 | 15 | 793 | E083292 | Pre | 019 | ||
| D334 | 01 | 054-055 | D594 | 16 | 808-810 | E083292 | 02 | 124-125 | ||
| D337 | 01 | 054-055 | D595 | 15 | 791 | E083293 | Pre | 008 | ||
| D339 | 01 | 054-055 | D595 | 15 | 793 | E083293 | Pre | 010 | ||
| D34 | Pre | 011-013 | D595 | 16 | 808-810 | E083293 | Pre | 019 | ||
| D34 | 10 | 643-645 | D596 | 15 | 791 | E083293 | 02 | 124-125 | ||
| D3500 | 10 | 643-645 | D596 | 15 | 793 | E083299 | Pre | 008 | ||
| D3501 | 10 | 643-645 | D596 | 16 | 808-810 | E083299 | Pre | 010 | ||
| D3502 | 10 | 643-645 | D598 | 15 | 791 | E083299 | Pre | 019 | ||
| D351 | 10 | 643-645 | D598 | 15 | 793 | E083299 | 02 | 124-125 | ||
| D352 | 10 | 643-645 | D598 | 16 | 808-810 | E083311 | Pre | 008 | ||
| D353 | 10 | 643-645 | D599 | 15 | 791 | E083311 | Pre | 010 | ||
| D354 | 01 | 054-055 | D599 | 15 | 793 | E083311 | Pre | 019 | ||
| D355 | 01 | 054-055 | D599 | 16 | 808-810 | E083311 | 02 | 124-125 | ||
| D356 | 01 | 054-055 | D600 | 16 | 808-810 | E083312 | Pre | 008 | ||
| D357 | 10 | 643-645 | D601 | 16 | 808-810 | E083312 | Pre | 010 | ||
| D359 | 10 | 643-645 | D608 | 16 | 808-810 | E083312 | Pre | 019 | ||
| D360 | 16 | 814-816 | D609 | 16 | 808-810 | E083312 | 02 | 124-125 | ||
| D3610 | 08 | 564-566 | D6101 | 16 | 808-810 | E083313 | Pre | 008 | ||
| D3611 | 08 | 564-566 | D6102 | 16 | 808-810 | E083313 | Pre | 010 | ||
| D3612 | 08 | 564-566 | D6103 | 16 | 808-810 | E083313 | Pre | 019 | ||
| D3613 | 08 | 564-566 | D6109 | 16 | 808-810 | E083313 | 02 | 124-125 | ||
| D3614 | 08 | 564-566 | D611 | 16 | 808-810 | E083319 | Pre | 008 | ||
| D3615 | 08 | 564-566 | D612 | 16 | 808-810 | E083319 | Pre | 010 | ||
| D3616 | 08 | 564-566 | D613 | 16 | 808-810 | E083319 | Pre | 019 | ||
| D3617 | 08 | 564-566 | D61810 | 16 | 808-810 | E083319 | 02 | 124-125 | ||
| D367 | 17 | 826-828 | D61811 | 16 | 808-810 | E083391 | Pre | 008 | ||
| D367 | 17 | 829-830 | D61818 | 16 | 808-810 | E083391 | Pre | 010 | ||
| D367 | 17 | 843-845 | D6182 | 17 | 820-822 | E083391 | Pre | 019 | ||
| D369 | 17 | 826-828 | D6182 | 17 | 823-825 | E083391 | 02 | 124-125 | ||
| D369 | 17 | 829-830 | D6182 | 17 | 840-842 | E083392 | Pre | 008 | ||
| D369 | 17 | 843-845 | D6189 | 16 | 808-810 | E083392 | Pre | 010 | ||
| D3701 | Pre | 011-013 | D619 | 16 | 808-810 | E083392 | Pre | 019 | ||
| D3701 | 03 | 146-148 | D62 | 15 | 791 | E083392 | 02 | 124-125 | ||
| D3702 | Pre | 011-013 | D62 | 15 | 793 | E083393 | Pre | 008 | ||
| D3702 | 03 | 146-148 | D62 | 16 | 811-812 | E083393 | Pre | 010 | ||
| D37030 | Pre | 011-013 | D630 | 16 | 811-812 | E083393 | Pre | 019 | ||
| D37030 | 03 | 146-148 | D631 | 16 | 811-812 | E083393 | 02 | 124-125 | ||
| D37031 | Pre | 011-013 | D638 | 16 | 811-812 | E083399 | Pre | 008 | ||
| D37031 | 03 | 146-148 | D640 | 16 | 811-812 | E083399 | Pre | 010 | ||
| D37032 | Pre | 011-013 | D641 | 16 | 811-812 | E083399 | Pre | 019 | ||
| D37032 | 03 | 146-148 | D642 | 16 | 811-812 | E083399 | 02 | 124-125 | ||
| D37039 | Pre | 011-013 | D643 | 16 | 811-812 | E083411 | Pre | 008 | ||
| D37039 | 03 | 146-148 | D644 | 16 | 811-812 | E083411 | Pre | 010 | ||
| D3704 | Pre | 011-013 | D6481 | 16 | 811-812 | E083411 | Pre | 019 | ||
| D3704 | 03 | 146-148 | D6489 | 16 | 811-812 | E083411 | 02 | 124-125 | ||
| D3705 | Pre | 011-013 | D649 | 16 | 811-812 | E083412 | Pre | 008 | ||
| D3705 | 03 | 146-148 | D65 | 15 | 791 | E083412 | Pre | 010 | ||
| D3709 | Pre | 011-013 | D65 | 15 | 793 | E083412 | Pre | 019 | ||
| D3709 | 03 | 146-148 | D65 | 16 | 813 | E083412 | 02 | 124-125 | ||
| D371 | 06 | 374-376 | D66 | 16 | 813 | E083413 | Pre | 008 | ||
| D372 | 06 | 374-376 | D67 | 16 | 813 | E083413 | Pre | 010 | ||
| D373 | 06 | 374-376 | D6800 | 16 | 813 | E083413 | Pre | 019 | ||
| D374 | 06 | 374-376 | D6801 | 16 | 813 | E083413 | 02 | 124-125 | ||
| D375 | 06 | 374-376 | D68020 | 16 | 813 | E083419 | Pre | 008 | ||
| D376 | 07 | 435-437 | D68021 | 16 | 813 | E083419 | Pre | 010 | ||
| D378 | 06 | 374-376 | D68022 | 16 | 813 | E083419 | Pre | 019 | ||
| D379 | 06 | 374-376 | D68023 | 16 | 813 | E083419 | 02 | 124-125 | ||
| D380 | Pre | 011-013 | D68029 | 16 | 813 | E083491 | Pre | 008 | ||
| D380 | 03 | 146-148 | D6803 | 16 | 813 | E083491 | Pre | 010 | ||
| D381 | 04 | 180-182 | D6804 | 16 | 813 | E083491 | Pre | 019 | ||
| D382 | 04 | 180-182 | D6809 | 16 | 813 | E083491 | 02 | 124-125 | ||
| D383 | 04 | 180-182 | D681 | 16 | 813 | E083492 | Pre | 008 | ||
| D384 | 04 | 180-182 | D682 | 16 | 813 | E083492 | Pre | 010 | ||
| D385 | 04 | 180-182 | D68311 | 16 | 813 | E083492 | Pre | 019 | ||
| D386 | 04 | 180-182 | D68312 | 16 | 814-816 | E083492 | 02 | 124-125 | ||
| D390 | 13 | 731-733 | D68318 | 16 | 813 | E083493 | Pre | 008 | ||
| D3910 | 13 | 731-733 | D6832 | 16 | 813 | E083493 | Pre | 010 | ||
| D3911 | 13 | 731-733 | D684 | 16 | 813 | E083493 | Pre | 019 | ||
| D3912 | 13 | 731-733 | D6851 | 16 | 814-816 | E083493 | 02 | 124-125 | ||
| D392 | 13 | 731-733 | D6852 | 16 | 814-816 | E083499 | Pre | 008 | ||
| D398 | 13 | 731-733 | D6859 | 16 | 814-816 | E083499 | Pre | 010 | ||
| D399 | 13 | 731-733 | D6861 | 16 | 814-816 | E083499 | Pre | 019 | ||
| D3A00 | 17 | 826-828 | D6862 | 16 | 814-816 | E083499 | 02 | 124-125 | ||
| D3A00 | 17 | 829-830 | D6869 | 16 | 814-816 | E083511 | Pre | 008 | ||
| D3A00 | 17 | 843-845 | D688 | 16 | 813 | E083511 | Pre | 010 | ||
| D3A010 | 06 | 393-395 | D689 | 16 | 813 | E083511 | Pre | 019 | ||
| D3A011 | 06 | 393-395 | D690 | 16 | 813 | E083511 | 02 | 124-125 | ||
| D3A012 | 06 | 393-395 | D6911 | 16 | 813 | E083512 | Pre | 008 | ||
| D3A019 | 06 | 393-395 | D6919 | 16 | 813 | E083512 | Pre | 010 | ||
| D3A020 | 06 | 393-395 | D692 | 16 | 813 | E083512 | Pre | 019 | ||
| D3A021 | 06 | 393-395 | D693 | 16 | 813 | E083512 | 02 | 124-125 | ||
| D3A022 | 06 | 393-395 | D6941 | 16 | 813 | E083513 | Pre | 008 | ||
| D3A023 | 06 | 393-395 | D6942 | 16 | 813 | E083513 | Pre | 010 | ||
| D3A024 | 06 | 393-395 | D6949 | 16 | 813 | E083513 | Pre | 019 | ||
| D3A025 | 06 | 393-395 | D6951 | 15 | 791 | E083513 | 02 | 124-125 | ||
| D3A026 | 06 | 393-395 | D6951 | 15 | 793 | E083519 | Pre | 008 | ||
| D3A029 | 06 | 393-395 | D6951 | 16 | 813 | E083519 | Pre | 010 | ||
| D3A090 | 04 | 180-182 | D6959 | 15 | 791 | E083519 | Pre | 019 | ||
| D3A091 | 16 | 814-816 | D6959 | 15 | 793 | E083519 | 02 | 124-125 | ||
| D3A092 | 06 | 393-395 | D6959 | 16 | 813 | E083521 | Pre | 008 | ||
| D3A093 | 11 | 656-658 | D696 | 16 | 813 | E083521 | Pre | 010 | ||
| D3A093 | 11 | 686-688 | D698 | 16 | 813 | E083521 | Pre | 019 | ||
| D3A094 | 06 | 393-395 | D699 | 16 | 813 | E083521 | 02 | 124-125 | ||
| D3A095 | 06 | 393-395 | D700 | 16 | 808-810 | E083522 | Pre | 008 | ||
| D3A096 | 06 | 393-395 | D701 | 16 | 808-810 | E083522 | Pre | 010 | ||
| D3A098 | 17 | 826-828 | D702 | 16 | 808-810 | E083522 | Pre | 019 | ||
| D3A098 | 17 | 829-830 | D703 | 16 | 808-810 | E083522 | 02 | 124-125 | ||
| D3A098 | 17 | 843-845 | D704 | 16 | 808-810 | E083523 | Pre | 008 | ||
| D3A8 | 17 | 826-828 | D708 | 16 | 808-810 | E083523 | Pre | 010 | ||
| D3A8 | 17 | 829-830 | D709 | 16 | 808-810 | E083523 | Pre | 019 | ||
| D3A8 | 17 | 843-845 | D711 | 16 | 808-810 | E083523 | 02 | 124-125 | ||
| D4100 | 11 | 656-658 | D718 | 16 | 808-810 | E083529 | Pre | 008 | ||
| D4100 | 11 | 686-688 | D719 | 16 | 808-810 | E083529 | Pre | 010 | ||
| D4101 | 11 | 656-658 | D720 | 16 | 808-810 | E083529 | Pre | 019 | ||
| D4101 | 11 | 686-688 | D7210 | 16 | 814-816 | E083529 | 02 | 124-125 | ||
| D4102 | 11 | 656-658 | D72110 | 16 | 814-816 | E083531 | Pre | 008 | ||
| D4102 | 11 | 686-688 | D72111 | 16 | 814-816 | E083531 | Pre | 010 | ||
| D4110 | 11 | 656-658 | D72118 | 16 | 814-816 | E083531 | Pre | 019 | ||
| D4110 | 11 | 686-688 | D72119 | 16 | 814-816 | E083531 | 02 | 124-125 | ||
| D4111 | 11 | 656-658 | D7212 | 16 | 814-816 | E083532 | Pre | 008 | ||
| D4111 | 11 | 686-688 | D7218 | 16 | 814-816 | E083532 | Pre | 010 | ||
| D4112 | 11 | 656-658 | D7219 | 16 | 814-816 | E083532 | Pre | 019 | ||
| D4112 | 11 | 686-688 | D72810 | 16 | 814-816 | E083532 | 02 | 124-125 | ||
| D4120 | 11 | 656-658 | D72818 | 16 | 814-816 | E083533 | Pre | 008 | ||
| D4120 | 11 | 686-688 | D72819 | 16 | 814-816 | E083533 | Pre | 010 | ||
| D4121 | 11 | 656-658 | D72820 | 16 | 814-816 | E083533 | Pre | 019 | ||
| D4121 | 11 | 686-688 | D72821 | 16 | 814-816 | E083533 | 02 | 124-125 | ||
| D4122 | 11 | 656-658 | D72822 | 16 | 814-816 | E083539 | Pre | 008 | ||
| D4122 | 11 | 686-688 | D72823 | 16 | 814-816 | E083539 | Pre | 010 | ||
| D413 | 11 | 656-658 | D72824 | 16 | 814-816 | E083539 | Pre | 019 | ||
| D413 | 11 | 686-688 | D72825 | 16 | 814-816 | E083539 | 02 | 124-125 | ||
| D414 | 11 | 656-658 | D72828 | 16 | 814-816 | E083541 | Pre | 008 | ||
| D414 | 11 | 686-688 | D72829 | 16 | 814-816 | E083541 | Pre | 010 | ||
| D418 | 11 | 656-658 | D7289 | 16 | 814-816 | E083541 | Pre | 019 | ||
| D418 | 11 | 686-688 | D729 | 16 | 814-816 | E083541 | 02 | 124-125 | ||
| D419 | 11 | 656-658 | D730 | 16 | 814-816 | E083542 | Pre | 008 | ||
| D419 | 11 | 686-688 | D731 | 16 | 814-816 | E083542 | Pre | 010 | ||
| D420 | 01 | 054-055 | D732 | 16 | 814-816 | E083542 | Pre | 019 | ||
| D421 | 01 | 054-055 | D733 | 16 | 814-816 | E083542 | 02 | 124-125 | ||
| D429 | 01 | 054-055 | D734 | 16 | 814-816 | E083543 | Pre | 008 | ||
| D430 | 01 | 054-055 | D735 | 16 | 814-816 | E083543 | Pre | 010 | ||
| D431 | 01 | 054-055 | D7381 | 16 | 814-816 | E083543 | Pre | 019 | ||
| D432 | 01 | 054-055 | D7389 | 16 | 814-816 | E083543 | 02 | 124-125 | ||
| D433 | 01 | 054-055 | D739 | 16 | 814-816 | E083549 | Pre | 008 | ||
| D434 | 01 | 054-055 | D740 | 16 | 811-812 | E083549 | Pre | 010 | ||
| D438 | 01 | 054-055 | D748 | 16 | 811-812 | E083549 | Pre | 019 | ||
| D439 | 01 | 054-055 | D749 | 16 | 811-812 | E083549 | 02 | 124-125 | ||
| D440 | 10 | 643-645 | D750 | 16 | 814-816 | E083551 | Pre | 008 | ||
| D4410 | 10 | 643-645 | D751 | 16 | 814-816 | E083551 | Pre | 010 | ||
| D4411 | 10 | 643-645 | D7581 | 17 | 820-822 | E083551 | Pre | 019 | ||
| D4412 | 10 | 643-645 | D7581 | 17 | 823-825 | E083551 | 02 | 124-125 | ||
| D442 | 10 | 643-645 | D7581 | 17 | 840-842 | E083552 | Pre | 008 | ||
| D443 | 10 | 643-645 | D75821 | 15 | 791 | E083552 | Pre | 010 | ||
| D444 | 10 | 643-645 | D75821 | 15 | 793 | E083552 | Pre | 019 | ||
| D445 | 01 | 054-055 | D75821 | 16 | 813 | E083552 | 02 | 124-125 | ||
| D446 | 01 | 054-055 | D75822 | 15 | 791 | E083553 | Pre | 008 | ||
| D447 | 01 | 054-055 | D75822 | 15 | 793 | E083553 | Pre | 010 | ||
| D449 | 10 | 643-645 | D75822 | 16 | 813 | E083553 | Pre | 019 | ||
| D45 | 17 | 820-822 | D75828 | 15 | 791 | E083553 | 02 | 124-125 | ||
| D45 | 17 | 823-825 | D75828 | 15 | 793 | E083559 | Pre | 008 | ||
| D45 | 17 | 840-842 | D75828 | 16 | 813 | E083559 | Pre | 010 | ||
| D460 | 16 | 811-812 | D75829 | 15 | 791 | E083559 | Pre | 019 | ||
| D461 | 16 | 811-812 | D75829 | 15 | 793 | E083559 | 02 | 124-125 | ||
| D4620 | 16 | 811-812 | D75829 | 16 | 813 | E083591 | Pre | 008 | ||
| D4621 | 16 | 811-812 | D75838 | 16 | 814-816 | E083591 | Pre | 010 | ||
| D4622 | 16 | 811-812 | D75839 | 16 | 814-816 | E083591 | Pre | 019 | ||
| D464 | 16 | 811-812 | D7584 | 15 | 791 | E083591 | 02 | 124-125 | ||
| D469 | 16 | 811-812 | D7584 | 15 | 793 | E083592 | Pre | 008 | ||
| D46A | 16 | 811-812 | D7584 | 16 | 813 | E083592 | Pre | 010 | ||
| D46B | 16 | 811-812 | D7589 | 16 | 814-816 | E083592 | Pre | 019 | ||
| D46C | 16 | 811-812 | D759 | 16 | 814-816 | E083592 | 02 | 124-125 | ||
| D46Z | 16 | 811-812 | D75A | 16 | 814-816 | E083593 | Pre | 008 | ||
| D4701 | 17 | 820-822 | D761 | 16 | 814-816 | E083593 | Pre | 010 | ||
| D4701 | 17 | 823-825 | D762 | 16 | 814-816 | E083593 | Pre | 019 | ||
| D4701 | 17 | 840-842 | D763 | 16 | 814-816 | E083593 | 02 | 124-125 | ||
| D4702 | 17 | 820-822 | D77 | 16 | 814-816 | E083599 | Pre | 008 | ||
| D4702 | 17 | 823-825 | D7801 | 21 | 919-921 | E083599 | Pre | 010 | ||
| D4702 | 17 | 840-842 | D7802 | 21 | 919-921 | E083599 | Pre | 019 | ||
| D4709 | 17 | 820-822 | D7811 | 15 | 791 | E083599 | 02 | 124-125 | ||
| D4709 | 17 | 823-825 | D7811 | 15 | 793 | E0836 | Pre | 008 | ||
| D4709 | 17 | 840-842 | D7811 | 21 | 919-921 | E0836 | Pre | 010 | ||
| D471 | 17 | 820-822 | D7812 | 15 | 791 | E0836 | Pre | 019 | ||
| D471 | 17 | 823-825 | D7812 | 15 | 793 | E0836 | 02 | 124-125 | ||
| D471 | 17 | 840-842 | D7812 | 21 | 919-921 | E0837X1 | Pre | 008 | ||
| D472 | 16 | 814-816 | D7821 | 21 | 919-921 | E0837X1 | Pre | 010 | ||
| D473 | 16 | 814-816 | D7822 | 21 | 919-921 | E0837X1 | Pre | 019 | ||
| D474 | 16 | 814-816 | D7831 | 21 | 919-921 | E0837X1 | 02 | 124-125 | ||
| D479 | 17 | 820-822 | D7832 | 21 | 919-921 | E0837X2 | Pre | 008 | ||
| D479 | 17 | 823-825 | D7833 | 21 | 919-921 | E0837X2 | Pre | 010 | ||
| D479 | 17 | 840-842 | D7834 | 21 | 919-921 | E0837X2 | Pre | 019 | ||
| D47Z1 | 21 | 919-921 | D7881 | 21 | 919-921 | E0837X2 | 02 | 124-125 | ||
| D47Z2 | 17 | 820-822 | D7889 | 21 | 919-921 | E0837X3 | Pre | 008 | ||
| D47Z2 | 17 | 823-825 | D800 | 16 | 814-816 | E0837X3 | Pre | 010 | ||
| D47Z2 | 17 | 840-842 | D801 | 16 | 814-816 | E0837X3 | Pre | 019 | ||
| D47Z9 | 17 | 820-822 | D802 | 16 | 814-816 | E0837X3 | 02 | 124-125 | ||
| D47Z9 | 17 | 823-825 | D803 | 16 | 814-816 | E0837X9 | Pre | 008 | ||
| D47Z9 | 17 | 840-842 | D804 | 16 | 814-816 | E0837X9 | Pre | 010 | ||
| D480 | 08 | 456-458 | D805 | 16 | 814-816 | E0837X9 | Pre | 019 | ||
| D480 | 08 | 542-544 | D806 | 16 | 808-810 | E0837X9 | 02 | 124-125 | ||
| D48110 | 08 | 564-566 | D807 | 16 | 814-816 | E0839 | Pre | 008 | ||
| D48111 | 08 | 564-566 | D808 | 16 | 808-810 | E0839 | Pre | 010 | ||
| D48112 | 08 | 564-566 | D809 | 16 | 808-810 | E0839 | Pre | 019 | ||
| D48113 | 08 | 564-566 | D810 | 16 | 808-810 | E0839 | 02 | 124-125 | ||
| D48114 | 08 | 564-566 | D811 | 16 | 808-810 | E0840 | Pre | 008 | ||
| D48115 | 08 | 564-566 | D812 | 16 | 808-810 | E0840 | Pre | 010 | ||
| D48116 | 08 | 564-566 | D8130 | 10 | 642 | E0840 | Pre | 019 | ||
| D48117 | 08 | 564-566 | D8131 | 10 | 642 | E0840 | 01 | 073-074 | ||
| D48118 | 08 | 564-566 | D8132 | 10 | 642 | E0841 | Pre | 008 | ||
| D48119 | 08 | 564-566 | D8139 | 10 | 642 | E0841 | Pre | 010 | ||
| D4819 | 08 | 564-566 | D814 | 16 | 808-810 | E0841 | Pre | 019 | ||
| D482 | 08 | 564-566 | D815 | 10 | 642 | E0841 | 01 | 073-074 | ||
| D483 | 06 | 374-376 | D816 | 16 | 808-810 | E0842 | Pre | 008 | ||
| D484 | 06 | 374-376 | D817 | 16 | 808-810 | E0842 | Pre | 010 | ||
| D485 | 09 | 606-607 | D81810 | 10 | 642 | E0842 | Pre | 019 | ||
| D4860 | 09 | 582-583 | D81818 | 10 | 640-641 | E0842 | 01 | 073-074 | ||
| D4860 | 09 | 597-599 | D81819 | 10 | 640-641 | E0843 | Pre | 008 | ||
| D4861 | 09 | 582-583 | D8182 | 16 | 808-810 | E0843 | Pre | 010 | ||
| D4861 | 09 | 597-599 | D8189 | 16 | 808-810 | E0843 | Pre | 019 | ||
| D4862 | 09 | 582-583 | D819 | 16 | 808-810 | E0843 | 01 | 073-074 | ||
| D4862 | 09 | 597-599 | D820 | 16 | 808-810 | E0844 | Pre | 008 | ||
| D487 | 17 | 826-828 | D821 | 16 | 808-810 | E0844 | Pre | 010 | ||
| D487 | 17 | 829-830 | D822 | 16 | 814-816 | E0844 | Pre | 019 | ||
| D487 | 17 | 843-845 | D823 | 16 | 814-816 | E0844 | 01 | 073-074 | ||
| D489 | 17 | 826-828 | D824 | 16 | 814-816 | E0849 | Pre | 008 | ||
| D489 | 17 | 829-830 | D828 | 16 | 814-816 | E0849 | Pre | 010 | ||
| D489 | 17 | 843-845 | D829 | 16 | 814-816 | E0849 | Pre | 019 | ||
| D490 | 06 | 374-376 | D830 | 16 | 814-816 | E0849 | 01 | 073-074 | ||
| D491 | 04 | 180-182 | D831 | 16 | 814-816 | E0851 | Pre | 008 | ||
| D492 | 08 | 456-458 | D832 | 16 | 814-816 | E0851 | Pre | 010 | ||
| D492 | 08 | 564-566 | D838 | 16 | 814-816 | E0851 | Pre | 019 | ||
| D493 | 09 | 600-601 | D839 | 16 | 814-816 | E0851 | 05 | 299-301 | ||
| D494 | 11 | 656-658 | D840 | 16 | 814-816 | E0852 | Pre | 008 | ||
| D494 | 11 | 686-688 | D841 | 10 | 642 | E0852 | Pre | 010 | ||
| D49511 | 11 | 656-658 | D8481 | 16 | 814-816 | E0852 | Pre | 019 | ||
| D49511 | 11 | 686-688 | D84821 | 16 | 814-816 | E0852 | 05 | 299-301 | ||
| D49512 | 11 | 656-658 | D84822 | 16 | 814-816 | E0859 | Pre | 008 | ||
| D49512 | 11 | 686-688 | D8489 | 16 | 814-816 | E0859 | Pre | 010 | ||
| D49519 | 11 | 656-658 | D849 | 16 | 814-816 | E0859 | Pre | 019 | ||
| D49519 | 11 | 686-688 | D860 | 04 | 196-198 | E0859 | 05 | 299-301 | ||
| D4959 | 11 | 656-658 | D861 | 04 | 196-198 | E08610 | Pre | 008 | ||
| D4959 | 11 | 686-688 | D862 | 04 | 196-198 | E08610 | Pre | 010 | ||
| D496 | 01 | 054-055 | D863 | 04 | 196-198 | E08610 | Pre | 019 | ||
| D497 | 10 | 643-645 | D8681 | 04 | 196-198 | E08610 | 01 | 073-074 | ||
| D4981 | 17 | 826-828 | D8682 | 04 | 196-198 | E08618 | Pre | 008 | ||
| D4981 | 17 | 829-830 | D8683 | 04 | 196-198 | E08618 | Pre | 010 | ||
| D4981 | 17 | 843-845 | D8684 | 04 | 196-198 | E08618 | Pre | 019 | ||
| D4989 | 17 | 826-828 | D8685 | 04 | 196-198 | E08618 | 10 | 637-639 | ||
| D4989 | 17 | 829-830 | D8686 | 04 | 196-198 | E08620 | Pre | 008 | ||
| D4989 | 17 | 843-845 | D8687 | 04 | 196-198 | E08620 | Pre | 010 | ||
| D499 | 17 | 826-828 | D8689 | 04 | 196-198 | E08620 | Pre | 019 | ||
| D499 | 17 | 829-830 | D869 | 04 | 196-198 | E08620 | 10 | 637-639 | ||
| D499 | 17 | 843-845 | D890 | 16 | 814-816 | E08621 | Pre | 008 | ||
| D500 | 16 | 811-812 | D891 | 17 | 820-822 | E08621 | Pre | 010 | ||
| D501 | 16 | 811-812 | D891 | 17 | 823-825 | E08621 | Pre | 019 | ||
| D508 | 16 | 811-812 | D891 | 17 | 840-842 | E08621 | 10 | 637-639 | ||
| D509 | 16 | 811-812 | D892 | 16 | 814-816 | E08622 | Pre | 008 | ||
| D510 | 16 | 811-812 | D893 | 16 | 814-816 | E08622 | Pre | 010 | ||
| D511 | 16 | 811-812 | D8940 | 16 | 814-816 | E08622 | Pre | 019 | ||
| D512 | 16 | 811-812 | D8941 | 16 | 814-816 | E08622 | 10 | 637-639 | ||
| D513 | 16 | 811-812 | D8942 | 16 | 814-816 | E08628 | Pre | 008 | ||
| D518 | 16 | 811-812 | D8943 | 16 | 814-816 | E08628 | Pre | 010 | ||
| D519 | 16 | 811-812 | D8944 | 16 | 814-816 | E08628 | Pre | 019 | ||
| D520 | 16 | 811-812 | D8949 | 16 | 814-816 | E08628 | 10 | 637-639 | ||
| D521 | 16 | 811-812 | D89810 | 16 | 808-810 | E08630 | Pre | 008 | ||
| D528 | 16 | 811-812 | D89811 | 16 | 808-810 | E08630 | Pre | 010 | ||
| D529 | 16 | 811-812 | D89812 | 16 | 808-810 | E08630 | Pre | 019 | ||
| D530 | 16 | 811-812 | D89813 | 16 | 808-810 | E08630 | 10 | 637-639 | ||
| D531 | 16 | 811-812 | D8982 | 08 | 545-547 | E08638 | Pre | 008 | ||
| D532 | 16 | 811-812 | D89831 | 16 | 814-816 | E08638 | Pre | 010 | ||
| D538 | 16 | 811-812 | D89832 | 16 | 814-816 | E08638 | Pre | 019 | ||
| D539 | 16 | 811-812 | D89833 | 16 | 814-816 | E08638 | 10 | 637-639 | ||
| D550 | 16 | 811-812 | D89834 | 16 | 814-816 | E08641 | Pre | 008 | ||
| D551 | 16 | 811-812 | D89835 | 16 | 814-816 | E08641 | Pre | 010 | ||
| D5521 | 16 | 811-812 | D89839 | 16 | 814-816 | E08641 | Pre | 019 | ||
| D5529 | 16 | 811-812 | D8984 | 16 | 814-816 | E08641 | 10 | 637-639 | ||
| D553 | 16 | 811-812 | D8989 | 16 | 814-816 | E08649 | Pre | 008 | ||
| D558 | 16 | 811-812 | D899 | 16 | 814-816 | E08649 | Pre | 010 | ||
| D559 | 16 | 811-812 | E000 | 10 | 643-645 | E08649 | Pre | 019 | ||
| D560 | 15 | 791 | E001 | 10 | 643-645 | E08649 | 10 | 637-639 | ||
| D560 | 15 | 793 | E002 | 10 | 643-645 | E0865 | Pre | 008 | ||
| D560 | 16 | 811-812 | E009 | 10 | 643-645 | E0865 | Pre | 010 | ||
| D561 | 15 | 791 | E010 | 10 | 643-645 | E0865 | Pre | 019 | ||
| D561 | 15 | 793 | E011 | 10 | 643-645 | E0865 | 10 | 637-639 | ||
| D561 | 16 | 811-812 | E012 | 10 | 643-645 | E0869 | Pre | 008 | ||
| D562 | 15 | 791 | E018 | 10 | 643-645 | E0869 | Pre | 010 | ||
| D562 | 15 | 793 | E02 | 10 | 643-645 | E0869 | Pre | 019 | ||
| D562 | 16 | 811-812 | E030 | 10 | 643-645 | E0869 | 10 | 637-639 | ||
| D563 | 16 | 811-812 | E031 | 10 | 643-645 | E088 | Pre | 008 | ||
| D564 | 16 | 811-812 | E032 | 10 | 643-645 | E088 | Pre | 010 | ||
| D565 | 15 | 791 | E033 | 10 | 643-645 | E088 | Pre | 019 | ||
| D565 | 15 | 793 | E034 | Pre | 011-013 | E088 | 10 | 637-639 | ||
| D565 | 16 | 811-812 | E034 | 10 | 643-645 | E089 | 10 | 637-639 | ||
| D568 | 15 | 791 | E035 | 01 | 080-081 | E0900 | Pre | 008 | ||
| D568 | 15 | 793 | E035 | 15 | 791 | E0900 | Pre | 010 | ||
| D568 | 16 | 811-812 | E035 | 15 | 793 | E0900 | Pre | 019 | ||
| E0900 | 10 | 637-639 |
| | |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Mar 2026 13:16:25 CMS, code-revision=381, description-revision=1473 |