ICD-10-CM/PCS MS-DRG v44.0 Definitions Manual
![Previous Page [Alt-p]](bakpg.png){kind=small}
![Up a level [Alt-u]](uptop.png){kind=small}
![Next Page [Alt-n]](fwdpg.png){kind=small}
DRAFT
ICD-10-CM/PCS MS-DRG v44.0 Definitions Manual |
||||
| Skip to content | | | |
| Diagnosis Code/MDC/MS-DRG Index |
| Page 16 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| L282 | 09 | 606-607 | L89209 | 09 | 573-575 | L97406 | 09 | 573-575 | ||
| L290 | 09 | 606-607 | L89209 | 09 | 592-594 | L97406 | 09 | 592-594 | ||
| L292 | 13 | 742-743 | L89210 | 09 | 573-575 | L97408 | 09 | 573-575 | ||
| L293 | 12 | 729-730 | L89210 | 09 | 592-594 | L97408 | 09 | 592-594 | ||
| L293 | 13 | 742-743 | L89211 | 09 | 573-575 | L97409 | 09 | 573-575 | ||
| L293 | 13 | 757-759 | L89211 | 09 | 592-594 | L97409 | 09 | 592-594 | ||
| L2981 | 09 | 606-607 | L89212 | 09 | 573-575 | L97411 | 09 | 573-575 | ||
| L2989 | 09 | 606-607 | L89212 | 09 | 592-594 | L97411 | 09 | 592-594 | ||
| L299 | 09 | 606-607 | L89213 | 09 | 573-575 | L97412 | 09 | 573-575 | ||
| L300 | 09 | 606-607 | L89213 | 09 | 592-594 | L97412 | 09 | 592-594 | ||
| L301 | 09 | 606-607 | L89214 | 09 | 573-575 | L97413 | 09 | 573-575 | ||
| L302 | 09 | 606-607 | L89214 | 09 | 592-594 | L97413 | 09 | 592-594 | ||
| L303 | 09 | 606-607 | L89216 | 09 | 573-575 | L97414 | 09 | 573-575 | ||
| L304 | 09 | 606-607 | L89216 | 09 | 592-594 | L97414 | 09 | 592-594 | ||
| L305 | 09 | 606-607 | L89219 | 09 | 573-575 | L97415 | 09 | 573-575 | ||
| L308 | 09 | 606-607 | L89219 | 09 | 592-594 | L97415 | 09 | 592-594 | ||
| L309 | 09 | 606-607 | L89220 | 09 | 573-575 | L97416 | 09 | 573-575 | ||
| L400 | 09 | 595-596 | L89220 | 09 | 592-594 | L97416 | 09 | 592-594 | ||
| L401 | 09 | 606-607 | L89221 | 09 | 573-575 | L97418 | 09 | 573-575 | ||
| L402 | 09 | 595-596 | L89221 | 09 | 592-594 | L97418 | 09 | 592-594 | ||
| L403 | 09 | 595-596 | L89222 | 09 | 573-575 | L97419 | 09 | 573-575 | ||
| L404 | 09 | 595-596 | L89222 | 09 | 592-594 | L97419 | 09 | 592-594 | ||
| L4050 | 08 | 545-547 | L89223 | 09 | 573-575 | L97421 | 09 | 573-575 | ||
| L4051 | 08 | 545-547 | L89223 | 09 | 592-594 | L97421 | 09 | 592-594 | ||
| L4052 | 08 | 545-547 | L89224 | 09 | 573-575 | L97422 | 09 | 573-575 | ||
| L4053 | 08 | 545-547 | L89224 | 09 | 592-594 | L97422 | 09 | 592-594 | ||
| L4054 | 08 | 545-547 | L89226 | 09 | 573-575 | L97423 | 09 | 573-575 | ||
| L4059 | 08 | 545-547 | L89226 | 09 | 592-594 | L97423 | 09 | 592-594 | ||
| L408 | 09 | 595-596 | L89229 | 09 | 573-575 | L97424 | 09 | 573-575 | ||
| L409 | 09 | 595-596 | L89229 | 09 | 592-594 | L97424 | 09 | 592-594 | ||
| L410 | 09 | 595-596 | L89300 | 09 | 573-575 | L97425 | 09 | 573-575 | ||
| L411 | 09 | 595-596 | L89300 | 09 | 592-594 | L97425 | 09 | 592-594 | ||
| L413 | 09 | 595-596 | L89301 | 09 | 573-575 | L97426 | 09 | 573-575 | ||
| L414 | 09 | 595-596 | L89301 | 09 | 592-594 | L97426 | 09 | 592-594 | ||
| L415 | 09 | 595-596 | L89302 | 09 | 573-575 | L97428 | 09 | 573-575 | ||
| L418 | 09 | 595-596 | L89302 | 09 | 592-594 | L97428 | 09 | 592-594 | ||
| L419 | 09 | 595-596 | L89303 | 09 | 573-575 | L97429 | 09 | 573-575 | ||
| L42 | 09 | 606-607 | L89303 | 09 | 592-594 | L97429 | 09 | 592-594 | ||
| L430 | 09 | 606-607 | L89304 | 09 | 573-575 | L97501 | 09 | 573-575 | ||
| L431 | 09 | 606-607 | L89304 | 09 | 592-594 | L97501 | 09 | 592-594 | ||
| L432 | 09 | 606-607 | L89306 | 09 | 573-575 | L97502 | 09 | 573-575 | ||
| L433 | 09 | 606-607 | L89306 | 09 | 592-594 | L97502 | 09 | 592-594 | ||
| L438 | 09 | 606-607 | L89309 | 09 | 573-575 | L97503 | 09 | 573-575 | ||
| L439 | 09 | 606-607 | L89309 | 09 | 592-594 | L97503 | 09 | 592-594 | ||
| L440 | 09 | 606-607 | L89310 | 09 | 573-575 | L97504 | 09 | 573-575 | ||
| L441 | 09 | 606-607 | L89310 | 09 | 592-594 | L97504 | 09 | 592-594 | ||
| L442 | 09 | 606-607 | L89311 | 09 | 573-575 | L97505 | 09 | 573-575 | ||
| L443 | 09 | 606-607 | L89311 | 09 | 592-594 | L97505 | 09 | 592-594 | ||
| L444 | 18 | 865-866 | L89312 | 09 | 573-575 | L97506 | 09 | 573-575 | ||
| L448 | 09 | 606-607 | L89312 | 09 | 592-594 | L97506 | 09 | 592-594 | ||
| L449 | 09 | 606-607 | L89313 | 09 | 573-575 | L97508 | 09 | 573-575 | ||
| L45 | 09 | 606-607 | L89313 | 09 | 592-594 | L97508 | 09 | 592-594 | ||
| L490 | 09 | 606-607 | L89314 | 09 | 573-575 | L97509 | 09 | 573-575 | ||
| L491 | 09 | 606-607 | L89314 | 09 | 592-594 | L97509 | 09 | 592-594 | ||
| L492 | 09 | 606-607 | L89316 | 09 | 573-575 | L97511 | 09 | 573-575 | ||
| L493 | 09 | 606-607 | L89316 | 09 | 592-594 | L97511 | 09 | 592-594 | ||
| L494 | 09 | 606-607 | L89319 | 09 | 573-575 | L97512 | 09 | 573-575 | ||
| L495 | 09 | 606-607 | L89319 | 09 | 592-594 | L97512 | 09 | 592-594 | ||
| L496 | 09 | 606-607 | L89320 | 09 | 573-575 | L97513 | 09 | 573-575 | ||
| L497 | 09 | 606-607 | L89320 | 09 | 592-594 | L97513 | 09 | 592-594 | ||
| L498 | 09 | 606-607 | L89321 | 09 | 573-575 | L97514 | 09 | 573-575 | ||
| L499 | 09 | 606-607 | L89321 | 09 | 592-594 | L97514 | 09 | 592-594 | ||
| L500 | 09 | 606-607 | L89322 | 09 | 573-575 | L97515 | 09 | 573-575 | ||
| L500 | 15 | 791 | L89322 | 09 | 592-594 | L97515 | 09 | 592-594 | ||
| L500 | 15 | 793 | L89323 | 09 | 573-575 | L97516 | 09 | 573-575 | ||
| L501 | 09 | 606-607 | L89323 | 09 | 592-594 | L97516 | 09 | 592-594 | ||
| L502 | 09 | 606-607 | L89324 | 09 | 573-575 | L97518 | 09 | 573-575 | ||
| L503 | 09 | 606-607 | L89324 | 09 | 592-594 | L97518 | 09 | 592-594 | ||
| L504 | 09 | 606-607 | L89326 | 09 | 573-575 | L97519 | 09 | 573-575 | ||
| L505 | 09 | 606-607 | L89326 | 09 | 592-594 | L97519 | 09 | 592-594 | ||
| L506 | 09 | 606-607 | L89329 | 09 | 573-575 | L97521 | 09 | 573-575 | ||
| L508 | 09 | 606-607 | L89329 | 09 | 592-594 | L97521 | 09 | 592-594 | ||
| L509 | 09 | 606-607 | L8940 | 09 | 573-575 | L97522 | 09 | 573-575 | ||
| L510 | 09 | 595-596 | L8940 | 09 | 592-594 | L97522 | 09 | 592-594 | ||
| L511 | 09 | 595-596 | L8941 | 09 | 573-575 | L97523 | 09 | 573-575 | ||
| L512 | 09 | 595-596 | L8941 | 09 | 592-594 | L97523 | 09 | 592-594 | ||
| L513 | 09 | 595-596 | L8942 | 09 | 573-575 | L97524 | 09 | 573-575 | ||
| L518 | 09 | 595-596 | L8942 | 09 | 592-594 | L97524 | 09 | 592-594 | ||
| L519 | 09 | 595-596 | L8943 | 09 | 573-575 | L97525 | 09 | 573-575 | ||
| L52 | 09 | 595-596 | L8943 | 09 | 592-594 | L97525 | 09 | 592-594 | ||
| L530 | 09 | 595-596 | L8944 | 09 | 573-575 | L97526 | 09 | 573-575 | ||
| L530 | 15 | 791 | L8944 | 09 | 592-594 | L97526 | 09 | 592-594 | ||
| L530 | 15 | 793 | L8945 | 09 | 573-575 | L97528 | 09 | 573-575 | ||
| L531 | 09 | 595-596 | L8945 | 09 | 592-594 | L97528 | 09 | 592-594 | ||
| L531 | 15 | 791 | L8946 | 09 | 573-575 | L97529 | 09 | 573-575 | ||
| L531 | 15 | 793 | L8946 | 09 | 592-594 | L97529 | 09 | 592-594 | ||
| L532 | 09 | 595-596 | L89500 | 09 | 573-575 | L97801 | 09 | 573-575 | ||
| L532 | 15 | 791 | L89500 | 09 | 592-594 | L97801 | 09 | 592-594 | ||
| L532 | 15 | 793 | L89501 | 09 | 573-575 | L97802 | 09 | 573-575 | ||
| L533 | 09 | 595-596 | L89501 | 09 | 592-594 | L97802 | 09 | 592-594 | ||
| L533 | 15 | 791 | L89502 | 09 | 573-575 | L97803 | 09 | 573-575 | ||
| L533 | 15 | 793 | L89502 | 09 | 592-594 | L97803 | 09 | 592-594 | ||
| L538 | 09 | 606-607 | L89503 | 09 | 573-575 | L97804 | 09 | 573-575 | ||
| L539 | 09 | 606-607 | L89503 | 09 | 592-594 | L97804 | 09 | 592-594 | ||
| L54 | 09 | 606-607 | L89504 | 09 | 573-575 | L97805 | 09 | 573-575 | ||
| L550 | 09 | 606-607 | L89504 | 09 | 592-594 | L97805 | 09 | 592-594 | ||
| L551 | 09 | 606-607 | L89506 | 09 | 573-575 | L97806 | 09 | 573-575 | ||
| L552 | 09 | 606-607 | L89506 | 09 | 592-594 | L97806 | 09 | 592-594 | ||
| L559 | 09 | 606-607 | L89509 | 09 | 573-575 | L97808 | 09 | 573-575 | ||
| L560 | 09 | 606-607 | L89509 | 09 | 592-594 | L97808 | 09 | 592-594 | ||
| L561 | 09 | 606-607 | L89510 | 09 | 573-575 | L97809 | 09 | 573-575 | ||
| L562 | 09 | 606-607 | L89510 | 09 | 592-594 | L97809 | 09 | 592-594 | ||
| L563 | 09 | 606-607 | L89511 | 09 | 573-575 | L97811 | 09 | 573-575 | ||
| L564 | 09 | 606-607 | L89511 | 09 | 592-594 | L97811 | 09 | 592-594 | ||
| L565 | 09 | 606-607 | L89512 | 09 | 573-575 | L97812 | 09 | 573-575 | ||
| L568 | 09 | 606-607 | L89512 | 09 | 592-594 | L97812 | 09 | 592-594 | ||
| L569 | 09 | 606-607 | L89513 | 09 | 573-575 | L97813 | 09 | 573-575 | ||
| L570 | 09 | 606-607 | L89513 | 09 | 592-594 | L97813 | 09 | 592-594 | ||
| L571 | 09 | 606-607 | L89514 | 09 | 573-575 | L97814 | 09 | 573-575 | ||
| L572 | 09 | 606-607 | L89514 | 09 | 592-594 | L97814 | 09 | 592-594 | ||
| L573 | 09 | 606-607 | L89516 | 09 | 573-575 | L97815 | 09 | 573-575 | ||
| L573 | 15 | 795 | L89516 | 09 | 592-594 | L97815 | 09 | 592-594 | ||
| L574 | 09 | 606-607 | L89519 | 09 | 573-575 | L97816 | 09 | 573-575 | ||
| L575 | 09 | 606-607 | L89519 | 09 | 592-594 | L97816 | 09 | 592-594 | ||
| L578 | 09 | 606-607 | L89520 | 09 | 573-575 | L97818 | 09 | 573-575 | ||
| L579 | 09 | 606-607 | L89520 | 09 | 592-594 | L97818 | 09 | 592-594 | ||
| L580 | 09 | 606-607 | L89521 | 09 | 573-575 | L97819 | 09 | 573-575 | ||
| L581 | 09 | 606-607 | L89521 | 09 | 592-594 | L97819 | 09 | 592-594 | ||
| L589 | 09 | 606-607 | L89522 | 09 | 573-575 | L97821 | 09 | 573-575 | ||
| L590 | 09 | 606-607 | L89522 | 09 | 592-594 | L97821 | 09 | 592-594 | ||
| L598 | 09 | 606-607 | L89523 | 09 | 573-575 | L97822 | 09 | 573-575 | ||
| L599 | 09 | 606-607 | L89523 | 09 | 592-594 | L97822 | 09 | 592-594 | ||
| L600 | 09 | 606-607 | L89524 | 09 | 573-575 | L97823 | 09 | 573-575 | ||
| L601 | 09 | 606-607 | L89524 | 09 | 592-594 | L97823 | 09 | 592-594 | ||
| L602 | 09 | 606-607 | L89526 | 09 | 573-575 | L97824 | 09 | 573-575 | ||
| L603 | 09 | 606-607 | L89526 | 09 | 592-594 | L97824 | 09 | 592-594 | ||
| L604 | 09 | 606-607 | L89529 | 09 | 573-575 | L97825 | 09 | 573-575 | ||
| L605 | 09 | 606-607 | L89529 | 09 | 592-594 | L97825 | 09 | 592-594 | ||
| L608 | 09 | 606-607 | L89600 | 09 | 573-575 | L97826 | 09 | 573-575 | ||
| L609 | 09 | 606-607 | L89600 | 09 | 592-594 | L97826 | 09 | 592-594 | ||
| L62 | 09 | 606-607 | L89601 | 09 | 573-575 | L97828 | 09 | 573-575 | ||
| L630 | 09 | 606-607 | L89601 | 09 | 592-594 | L97828 | 09 | 592-594 | ||
| L631 | 09 | 606-607 | L89602 | 09 | 573-575 | L97829 | 09 | 573-575 | ||
| L632 | 09 | 606-607 | L89602 | 09 | 592-594 | L97829 | 09 | 592-594 | ||
| L638 | 09 | 606-607 | L89603 | 09 | 573-575 | L97901 | 09 | 573-575 | ||
| L639 | 09 | 606-607 | L89603 | 09 | 592-594 | L97901 | 09 | 592-594 | ||
| L640 | 09 | 606-607 | L89604 | 09 | 573-575 | L97902 | 09 | 573-575 | ||
| L648 | 09 | 606-607 | L89604 | 09 | 592-594 | L97902 | 09 | 592-594 | ||
| L649 | 09 | 606-607 | L89606 | 09 | 573-575 | L97903 | 09 | 573-575 | ||
| L650 | 09 | 606-607 | L89606 | 09 | 592-594 | L97903 | 09 | 592-594 | ||
| L651 | 09 | 606-607 | L89609 | 09 | 573-575 | L97904 | 09 | 573-575 | ||
| L652 | 09 | 606-607 | L89609 | 09 | 592-594 | L97904 | 09 | 592-594 | ||
| L658 | 09 | 606-607 | L89610 | 09 | 573-575 | L97905 | 09 | 573-575 | ||
| L659 | 09 | 606-607 | L89610 | 09 | 592-594 | L97905 | 09 | 592-594 | ||
| L660 | 09 | 606-607 | L89611 | 09 | 573-575 | L97906 | 09 | 573-575 | ||
| L6610 | 09 | 606-607 | L89611 | 09 | 592-594 | L97906 | 09 | 592-594 | ||
| L6611 | 09 | 606-607 | L89612 | 09 | 573-575 | L97908 | 09 | 573-575 | ||
| L6612 | 09 | 606-607 | L89612 | 09 | 592-594 | L97908 | 09 | 592-594 | ||
| L6619 | 09 | 606-607 | L89613 | 09 | 573-575 | L97909 | 09 | 573-575 | ||
| L662 | 09 | 606-607 | L89613 | 09 | 592-594 | L97909 | 09 | 592-594 | ||
| L663 | 09 | 606-607 | L89614 | 09 | 573-575 | L97911 | 09 | 573-575 | ||
| L664 | 09 | 606-607 | L89614 | 09 | 592-594 | L97911 | 09 | 592-594 | ||
| L6681 | 09 | 606-607 | L89616 | 09 | 573-575 | L97912 | 09 | 573-575 | ||
| L6689 | 09 | 606-607 | L89616 | 09 | 592-594 | L97912 | 09 | 592-594 | ||
| L669 | 09 | 606-607 | L89619 | 09 | 573-575 | L97913 | 09 | 573-575 | ||
| L670 | 09 | 606-607 | L89619 | 09 | 592-594 | L97913 | 09 | 592-594 | ||
| L671 | 09 | 606-607 | L89620 | 09 | 573-575 | L97914 | 09 | 573-575 | ||
| L678 | 09 | 606-607 | L89620 | 09 | 592-594 | L97914 | 09 | 592-594 | ||
| L679 | 09 | 606-607 | L89621 | 09 | 573-575 | L97915 | 09 | 573-575 | ||
| L680 | 09 | 606-607 | L89621 | 09 | 592-594 | L97915 | 09 | 592-594 | ||
| L681 | 09 | 606-607 | L89622 | 09 | 573-575 | L97916 | 09 | 573-575 | ||
| L682 | 09 | 606-607 | L89622 | 09 | 592-594 | L97916 | 09 | 592-594 | ||
| L683 | 09 | 606-607 | L89623 | 09 | 573-575 | L97918 | 09 | 573-575 | ||
| L688 | 09 | 606-607 | L89623 | 09 | 592-594 | L97918 | 09 | 592-594 | ||
| L689 | 09 | 606-607 | L89624 | 09 | 573-575 | L97919 | 09 | 573-575 | ||
| L700 | 09 | 606-607 | L89624 | 09 | 592-594 | L97919 | 09 | 592-594 | ||
| L701 | 09 | 606-607 | L89626 | 09 | 573-575 | L97921 | 09 | 573-575 | ||
| L702 | 09 | 606-607 | L89626 | 09 | 592-594 | L97921 | 09 | 592-594 | ||
| L703 | 09 | 606-607 | L89629 | 09 | 573-575 | L97922 | 09 | 573-575 | ||
| L704 | 09 | 606-607 | L89629 | 09 | 592-594 | L97922 | 09 | 592-594 | ||
| L705 | 09 | 606-607 | L89810 | 09 | 573-575 | L97923 | 09 | 573-575 | ||
| L708 | 09 | 606-607 | L89810 | 09 | 592-594 | L97923 | 09 | 592-594 | ||
| L709 | 09 | 606-607 | L89811 | 09 | 573-575 | L97924 | 09 | 573-575 | ||
| L710 | 09 | 606-607 | L89811 | 09 | 592-594 | L97924 | 09 | 592-594 | ||
| L711 | 09 | 606-607 | L89812 | 09 | 573-575 | L97925 | 09 | 573-575 | ||
| L718 | 09 | 606-607 | L89812 | 09 | 592-594 | L97925 | 09 | 592-594 | ||
| L719 | 09 | 606-607 | L89813 | 09 | 573-575 | L97926 | 09 | 573-575 | ||
| L720 | 09 | 606-607 | L89813 | 09 | 592-594 | L97926 | 09 | 592-594 | ||
| L7211 | 09 | 606-607 | L89814 | 09 | 573-575 | L97928 | 09 | 573-575 | ||
| L7212 | 09 | 606-607 | L89814 | 09 | 592-594 | L97928 | 09 | 592-594 | ||
| L722 | 09 | 606-607 | L89816 | 09 | 573-575 | L97929 | 09 | 573-575 | ||
| L723 | 09 | 606-607 | L89816 | 09 | 592-594 | L97929 | 09 | 592-594 | ||
| L728 | 09 | 606-607 | L89819 | 09 | 573-575 | L980 | 09 | 602-603 | ||
| L729 | 09 | 606-607 | L89819 | 09 | 592-594 | L981 | 09 | 606-607 | ||
| L730 | 09 | 606-607 | L89890 | 09 | 573-575 | L982 | 09 | 606-607 | ||
| L731 | 09 | 606-607 | L89890 | 09 | 592-594 | L983 | 09 | 573-575 | ||
| L732 | 09 | 606-607 | L89891 | 09 | 573-575 | L983 | 09 | 602-603 | ||
| L738 | 09 | 606-607 | L89891 | 09 | 592-594 | L983 | 15 | 791 | ||
| L739 | 09 | 606-607 | L89892 | 09 | 573-575 | L983 | 15 | 793 | ||
| L740 | 09 | 606-607 | L89892 | 09 | 592-594 | L98411 | 09 | 573-575 | ||
| L741 | 09 | 606-607 | L89893 | 09 | 573-575 | L98411 | 09 | 592-594 | ||
| L742 | 09 | 606-607 | L89893 | 09 | 592-594 | L98412 | 09 | 573-575 | ||
| L743 | 09 | 606-607 | L89894 | 09 | 573-575 | L98412 | 09 | 592-594 | ||
| L744 | 09 | 606-607 | L89894 | 09 | 592-594 | L98413 | 09 | 573-575 | ||
| L74510 | 09 | 606-607 | L89896 | 09 | 573-575 | L98413 | 09 | 592-594 | ||
| L74511 | 09 | 606-607 | L89896 | 09 | 592-594 | L98414 | 09 | 573-575 | ||
| L74512 | 09 | 606-607 | L89899 | 09 | 573-575 | L98414 | 09 | 592-594 | ||
| L74513 | 09 | 606-607 | L89899 | 09 | 592-594 | L98415 | 09 | 573-575 | ||
| L74519 | 09 | 606-607 | L8990 | 09 | 573-575 | L98415 | 09 | 592-594 | ||
| L7452 | 09 | 606-607 | L8990 | 09 | 592-594 | L98416 | 09 | 573-575 | ||
| L748 | 09 | 606-607 | L8991 | 09 | 573-575 | L98416 | 09 | 592-594 | ||
| L749 | 09 | 606-607 | L8991 | 09 | 592-594 | L98418 | 09 | 573-575 | ||
| L750 | 09 | 606-607 | L8992 | 09 | 573-575 | L98418 | 09 | 592-594 | ||
| L751 | 09 | 606-607 | L8992 | 09 | 592-594 | L98419 | 09 | 573-575 | ||
| L752 | 09 | 606-607 | L8993 | 09 | 573-575 | L98419 | 09 | 592-594 | ||
| L758 | 09 | 606-607 | L8993 | 09 | 592-594 | L98421 | 09 | 573-575 | ||
| L759 | 09 | 606-607 | L8994 | 09 | 573-575 | L98421 | 09 | 592-594 | ||
| L7601 | 21 | 919-921 | L8994 | 09 | 592-594 | L98422 | 09 | 573-575 | ||
| L7602 | 21 | 919-921 | L8995 | 09 | 573-575 | L98422 | 09 | 592-594 | ||
| L7611 | 15 | 791 | L8995 | 09 | 592-594 | L98423 | 09 | 573-575 | ||
| L7611 | 15 | 793 | L8996 | 09 | 573-575 | L98423 | 09 | 592-594 | ||
| L7611 | 21 | 919-921 | L8996 | 09 | 592-594 | L98424 | 09 | 573-575 | ||
| L7612 | 15 | 791 | L900 | 09 | 606-607 | L98424 | 09 | 592-594 | ||
| L7612 | 15 | 793 | L901 | 09 | 606-607 | L98425 | 09 | 573-575 | ||
| L7612 | 21 | 919-921 | L902 | 09 | 606-607 | L98425 | 09 | 592-594 | ||
| L7621 | 21 | 919-921 | L903 | 09 | 606-607 | L98426 | 09 | 573-575 | ||
| L7622 | 21 | 919-921 | L904 | 09 | 606-607 | L98426 | 09 | 592-594 | ||
| L7631 | 21 | 919-921 | L905 | 09 | 606-607 | L98428 | 09 | 573-575 | ||
| L7632 | 21 | 919-921 | L906 | 09 | 606-607 | L98428 | 09 | 592-594 | ||
| L7633 | 21 | 919-921 | L908 | 09 | 606-607 | L98429 | 09 | 573-575 | ||
| L7634 | 21 | 919-921 | L909 | 09 | 606-607 | L98429 | 09 | 592-594 | ||
| L7681 | 21 | 919-921 | L910 | 09 | 606-607 | L98431 | 09 | 573-575 | ||
| L7682 | 21 | 919-921 | L918 | 09 | 606-607 | L98431 | 09 | 592-594 | ||
| L80 | 09 | 606-607 | L919 | 09 | 606-607 | L98432 | 09 | 573-575 | ||
| L80 | 15 | 795 | L920 | 09 | 606-607 | L98432 | 09 | 592-594 | ||
| L810 | 09 | 606-607 | L921 | 09 | 606-607 | L98433 | 09 | 573-575 | ||
| L810 | 15 | 795 | L922 | 09 | 606-607 | L98433 | 09 | 592-594 | ||
| L811 | 09 | 606-607 | L923 | 09 | 606-607 | L98434 | 09 | 573-575 | ||
| L811 | 15 | 795 | L928 | 09 | 602-603 | L98434 | 09 | 592-594 | ||
| L812 | 09 | 606-607 | L929 | 09 | 606-607 | L98435 | 09 | 573-575 | ||
| L812 | 15 | 795 | L930 | 09 | 595-596 | L98435 | 09 | 592-594 | ||
| L813 | 09 | 606-607 | L931 | 09 | 595-596 | L98436 | 09 | 573-575 | ||
| L813 | 15 | 795 | L932 | 09 | 595-596 | L98436 | 09 | 592-594 | ||
| L814 | 09 | 606-607 | L940 | 09 | 606-607 | L98438 | 09 | 573-575 | ||
| L814 | 15 | 795 | L941 | 09 | 606-607 | L98438 | 09 | 592-594 | ||
| L815 | 09 | 606-607 | L942 | 09 | 606-607 | L98439 | 09 | 573-575 | ||
| L815 | 15 | 795 | L943 | 09 | 606-607 | L98439 | 09 | 592-594 | ||
| L816 | 09 | 606-607 | L944 | 09 | 606-607 | L98441 | 09 | 573-575 | ||
| L816 | 15 | 795 | L945 | 09 | 595-596 | L98441 | 09 | 592-594 | ||
| L817 | 09 | 606-607 | L946 | 18 | 867-869 | L98442 | 09 | 573-575 | ||
| L817 | 15 | 795 | L948 | 09 | 606-607 | L98442 | 09 | 592-594 | ||
| L818 | 09 | 606-607 | L949 | 09 | 606-607 | L98443 | 09 | 573-575 | ||
| L818 | 15 | 795 | L950 | 09 | 606-607 | L98443 | 09 | 592-594 | ||
| L819 | 09 | 606-607 | L951 | 09 | 606-607 | L98444 | 09 | 573-575 | ||
| L819 | 15 | 795 | L958 | 09 | 606-607 | L98444 | 09 | 592-594 | ||
| L820 | 09 | 606-607 | L959 | 09 | 606-607 | L98445 | 09 | 573-575 | ||
| L821 | 09 | 606-607 | L97101 | 09 | 573-575 | L98445 | 09 | 592-594 | ||
| L83 | 09 | 606-607 | L97101 | 09 | 592-594 | L98446 | 09 | 573-575 | ||
| L84 | 09 | 606-607 | L97102 | 09 | 573-575 | L98446 | 09 | 592-594 | ||
| L850 | 09 | 606-607 | L97102 | 09 | 592-594 | L98448 | 09 | 573-575 | ||
| L851 | 09 | 606-607 | L97103 | 09 | 573-575 | L98448 | 09 | 592-594 | ||
| L852 | 09 | 606-607 | L97103 | 09 | 592-594 | L98449 | 09 | 573-575 | ||
| L853 | 09 | 606-607 | L97104 | 09 | 573-575 | L98449 | 09 | 592-594 | ||
| L858 | 09 | 606-607 | L97104 | 09 | 592-594 | L98451 | 09 | 573-575 | ||
| L859 | 09 | 606-607 | L97105 | 09 | 573-575 | L98451 | 09 | 592-594 | ||
| L86 | 09 | 606-607 | L97105 | 09 | 592-594 | L98452 | 09 | 573-575 | ||
| L870 | 09 | 606-607 | L97106 | 09 | 573-575 | L98452 | 09 | 592-594 | ||
| L871 | 09 | 606-607 | L97106 | 09 | 592-594 | L98453 | 09 | 573-575 | ||
| L872 | 09 | 606-607 | L97108 | 09 | 573-575 | L98453 | 09 | 592-594 | ||
| L878 | 09 | 606-607 | L97108 | 09 | 592-594 | L98454 | 09 | 573-575 | ||
| L879 | 09 | 606-607 | L97109 | 09 | 573-575 | L98454 | 09 | 592-594 | ||
| L88 | 09 | 602-603 | L97109 | 09 | 592-594 | L98455 | 09 | 573-575 | ||
| L89000 | 09 | 573-575 | L97111 | 09 | 573-575 | L98455 | 09 | 592-594 | ||
| L89000 | 09 | 592-594 | L97111 | 09 | 592-594 | L98456 | 09 | 573-575 | ||
| L89001 | 09 | 573-575 | L97112 | 09 | 573-575 | L98456 | 09 | 592-594 | ||
| L89001 | 09 | 592-594 | L97112 | 09 | 592-594 | L98458 | 09 | 573-575 | ||
| L89002 | 09 | 573-575 | L97113 | 09 | 573-575 | L98458 | 09 | 592-594 | ||
| L89002 | 09 | 592-594 | L97113 | 09 | 592-594 | L98459 | 09 | 573-575 | ||
| L89003 | 09 | 573-575 | L97114 | 09 | 573-575 | L98459 | 09 | 592-594 | ||
| L89003 | 09 | 592-594 | L97114 | 09 | 592-594 | L98461 | 09 | 573-575 | ||
| L89004 | 09 | 573-575 | L97115 | 09 | 573-575 | L98461 | 09 | 592-594 | ||
| L89004 | 09 | 592-594 | L97115 | 09 | 592-594 | L98462 | 09 | 573-575 | ||
| L89006 | 09 | 573-575 | L97116 | 09 | 573-575 | L98462 | 09 | 592-594 | ||
| L89006 | 09 | 592-594 | L97116 | 09 | 592-594 | L98463 | 09 | 573-575 | ||
| L89009 | 09 | 573-575 | L97118 | 09 | 573-575 | L98463 | 09 | 592-594 | ||
| L89009 | 09 | 592-594 | L97118 | 09 | 592-594 | L98464 | 09 | 573-575 | ||
| L89010 | 09 | 573-575 | L97119 | 09 | 573-575 | L98464 | 09 | 592-594 | ||
| L89010 | 09 | 592-594 | L97119 | 09 | 592-594 | L98465 | 09 | 573-575 | ||
| L89011 | 09 | 573-575 | L97121 | 09 | 573-575 | L98465 | 09 | 592-594 | ||
| L89011 | 09 | 592-594 | L97121 | 09 | 592-594 | L98466 | 09 | 573-575 | ||
| L89012 | 09 | 573-575 | L97122 | 09 | 573-575 | L98466 | 09 | 592-594 | ||
| L89012 | 09 | 592-594 | L97122 | 09 | 592-594 | L98468 | 09 | 573-575 | ||
| L89013 | 09 | 573-575 | L97123 | 09 | 573-575 | L98468 | 09 | 592-594 | ||
| L89013 | 09 | 592-594 | L97123 | 09 | 592-594 | L98469 | 09 | 573-575 | ||
| L89014 | 09 | 573-575 | L97124 | 09 | 573-575 | L98469 | 09 | 592-594 | ||
| L89014 | 09 | 592-594 | L97124 | 09 | 592-594 | L98471 | 09 | 573-575 | ||
| L89016 | 09 | 573-575 | L97125 | 09 | 573-575 | L98471 | 09 | 592-594 | ||
| L89016 | 09 | 592-594 | L97125 | 09 | 592-594 | L98472 | 09 | 573-575 | ||
| L89019 | 09 | 573-575 | L97126 | 09 | 573-575 | L98472 | 09 | 592-594 | ||
| L89019 | 09 | 592-594 | L97126 | 09 | 592-594 | L98473 | 09 | 573-575 | ||
| L89020 | 09 | 573-575 | L97128 | 09 | 573-575 | L98473 | 09 | 592-594 | ||
| L89020 | 09 | 592-594 | L97128 | 09 | 592-594 | L98474 | 09 | 573-575 | ||
| L89021 | 09 | 573-575 | L97129 | 09 | 573-575 | L98474 | 09 | 592-594 | ||
| L89021 | 09 | 592-594 | L97129 | 09 | 592-594 | L98475 | 09 | 573-575 | ||
| L89022 | 09 | 573-575 | L97201 | 09 | 573-575 | L98475 | 09 | 592-594 | ||
| L89022 | 09 | 592-594 | L97201 | 09 | 592-594 | L98476 | 09 | 573-575 | ||
| L89023 | 09 | 573-575 | L97202 | 09 | 573-575 | L98476 | 09 | 592-594 | ||
| L89023 | 09 | 592-594 | L97202 | 09 | 592-594 | L98478 | 09 | 573-575 | ||
| L89024 | 09 | 573-575 | L97203 | 09 | 573-575 | L98478 | 09 | 592-594 | ||
| L89024 | 09 | 592-594 | L97203 | 09 | 592-594 | L98479 | 09 | 573-575 | ||
| L89026 | 09 | 573-575 | L97204 | 09 | 573-575 | L98479 | 09 | 592-594 | ||
| L89026 | 09 | 592-594 | L97204 | 09 | 592-594 | L98491 | 09 | 573-575 | ||
| L89029 | 09 | 573-575 | L97205 | 09 | 573-575 | L98491 | 09 | 592-594 | ||
| L89029 | 09 | 592-594 | L97205 | 09 | 592-594 | L98492 | 09 | 573-575 | ||
| L89100 | 09 | 573-575 | L97206 | 09 | 573-575 | L98492 | 09 | 592-594 | ||
| L89100 | 09 | 592-594 | L97206 | 09 | 592-594 | L98493 | 09 | 573-575 | ||
| L89101 | 09 | 573-575 | L97208 | 09 | 573-575 | L98493 | 09 | 592-594 | ||
| L89101 | 09 | 592-594 | L97208 | 09 | 592-594 | L98494 | 09 | 573-575 | ||
| L89102 | 09 | 573-575 | L97209 | 09 | 573-575 | L98494 | 09 | 592-594 | ||
| L89102 | 09 | 592-594 | L97209 | 09 | 592-594 | L98495 | 09 | 573-575 | ||
| L89103 | 09 | 573-575 | L97211 | 09 | 573-575 | L98495 | 09 | 592-594 | ||
| L89103 | 09 | 592-594 | L97211 | 09 | 592-594 | L98496 | 09 | 573-575 | ||
| L89104 | 09 | 573-575 | L97212 | 09 | 573-575 | L98496 | 09 | 592-594 | ||
| L89104 | 09 | 592-594 | L97212 | 09 | 592-594 | L98498 | 09 | 573-575 | ||
| L89106 | 09 | 573-575 | L97213 | 09 | 573-575 | L98498 | 09 | 592-594 | ||
| L89106 | 09 | 592-594 | L97213 | 09 | 592-594 | L98499 | 09 | 573-575 | ||
| L89109 | 09 | 573-575 | L97214 | 09 | 573-575 | L98499 | 09 | 592-594 | ||
| L89109 | 09 | 592-594 | L97214 | 09 | 592-594 | L985 | 09 | 606-607 | ||
| L89110 | 09 | 573-575 | L97215 | 09 | 573-575 | L986 | 09 | 606-607 | ||
| L89110 | 09 | 592-594 | L97215 | 09 | 592-594 | L987 | 09 | 606-607 | ||
| L89111 | 09 | 573-575 | L97216 | 09 | 573-575 | L988 | 09 | 606-607 | ||
| L89111 | 09 | 592-594 | L97216 | 09 | 592-594 | L989 | 09 | 606-607 | ||
| L89112 | 09 | 573-575 | L97218 | 09 | 573-575 | L98A111 | 09 | 573-575 | ||
| L89112 | 09 | 592-594 | L97218 | 09 | 592-594 | L98A111 | 09 | 592-594 | ||
| L89113 | 09 | 573-575 | L97219 | 09 | 573-575 | L98A112 | 09 | 573-575 | ||
| L89113 | 09 | 592-594 | L97219 | 09 | 592-594 | L98A112 | 09 | 592-594 | ||
| L89114 | 09 | 573-575 | L97221 | 09 | 573-575 | L98A113 | 09 | 573-575 | ||
| L89114 | 09 | 592-594 | L97221 | 09 | 592-594 | L98A113 | 09 | 592-594 | ||
| L89116 | 09 | 573-575 | L97222 | 09 | 573-575 | L98A114 | 09 | 573-575 | ||
| L89116 | 09 | 592-594 | L97222 | 09 | 592-594 | L98A114 | 09 | 592-594 | ||
| L89119 | 09 | 573-575 | L97223 | 09 | 573-575 | L98A115 | 09 | 573-575 | ||
| L89119 | 09 | 592-594 | L97223 | 09 | 592-594 | L98A115 | 09 | 592-594 | ||
| L89120 | 09 | 573-575 | L97224 | 09 | 573-575 | L98A116 | 09 | 573-575 | ||
| L89120 | 09 | 592-594 | L97224 | 09 | 592-594 | L98A116 | 09 | 592-594 | ||
| L89121 | 09 | 573-575 | L97225 | 09 | 573-575 | L98A118 | 09 | 573-575 | ||
| L89121 | 09 | 592-594 | L97225 | 09 | 592-594 | L98A118 | 09 | 592-594 | ||
| L89122 | 09 | 573-575 | L97226 | 09 | 573-575 | L98A119 | 09 | 573-575 | ||
| L89122 | 09 | 592-594 | L97226 | 09 | 592-594 | L98A119 | 09 | 592-594 | ||
| L89123 | 09 | 573-575 | L97228 | 09 | 573-575 | L98A121 | 09 | 573-575 | ||
| L89123 | 09 | 592-594 | L97228 | 09 | 592-594 | L98A121 | 09 | 592-594 | ||
| L89124 | 09 | 573-575 | L97229 | 09 | 573-575 | L98A122 | 09 | 573-575 | ||
| L89124 | 09 | 592-594 | L97229 | 09 | 592-594 | L98A122 | 09 | 592-594 | ||
| L89126 | 09 | 573-575 | L97301 | 09 | 573-575 | L98A123 | 09 | 573-575 | ||
| L89126 | 09 | 592-594 | L97301 | 09 | 592-594 | L98A123 | 09 | 592-594 | ||
| L89129 | 09 | 573-575 | L97302 | 09 | 573-575 | L98A124 | 09 | 573-575 | ||
| L89129 | 09 | 592-594 | L97302 | 09 | 592-594 | L98A124 | 09 | 592-594 | ||
| L89130 | 09 | 573-575 | L97303 | 09 | 573-575 | L98A125 | 09 | 573-575 | ||
| L89130 | 09 | 592-594 | L97303 | 09 | 592-594 | L98A125 | 09 | 592-594 | ||
| L89131 | 09 | 573-575 | L97304 | 09 | 573-575 | L98A126 | 09 | 573-575 | ||
| L89131 | 09 | 592-594 | L97304 | 09 | 592-594 | L98A126 | 09 | 592-594 | ||
| L89132 | 09 | 573-575 | L97305 | 09 | 573-575 | L98A128 | 09 | 573-575 | ||
| L89132 | 09 | 592-594 | L97305 | 09 | 592-594 | L98A128 | 09 | 592-594 | ||
| L89133 | 09 | 573-575 | L97306 | 09 | 573-575 | L98A129 | 09 | 573-575 | ||
| L89133 | 09 | 592-594 | L97306 | 09 | 592-594 | L98A129 | 09 | 592-594 | ||
| L89134 | 09 | 573-575 | L97308 | 09 | 573-575 | L98A191 | 09 | 573-575 | ||
| L89134 | 09 | 592-594 | L97308 | 09 | 592-594 | L98A191 | 09 | 592-594 | ||
| L89136 | 09 | 573-575 | L97309 | 09 | 573-575 | L98A192 | 09 | 573-575 | ||
| L89136 | 09 | 592-594 | L97309 | 09 | 592-594 | L98A192 | 09 | 592-594 | ||
| L89139 | 09 | 573-575 | L97311 | 09 | 573-575 | L98A193 | 09 | 573-575 | ||
| L89139 | 09 | 592-594 | L97311 | 09 | 592-594 | L98A193 | 09 | 592-594 | ||
| L89140 | 09 | 573-575 | L97312 | 09 | 573-575 | L98A194 | 09 | 573-575 | ||
| L89140 | 09 | 592-594 | L97312 | 09 | 592-594 | L98A194 | 09 | 592-594 | ||
| L89141 | 09 | 573-575 | L97313 | 09 | 573-575 | L98A195 | 09 | 573-575 | ||
| L89141 | 09 | 592-594 | L97313 | 09 | 592-594 | L98A195 | 09 | 592-594 | ||
| L89142 | 09 | 573-575 | L97314 | 09 | 573-575 | L98A196 | 09 | 573-575 | ||
| L89142 | 09 | 592-594 | L97314 | 09 | 592-594 | L98A196 | 09 | 592-594 | ||
| L89143 | 09 | 573-575 | L97315 | 09 | 573-575 | L98A198 | 09 | 573-575 | ||
| L89143 | 09 | 592-594 | L97315 | 09 | 592-594 | L98A198 | 09 | 592-594 | ||
| L89144 | 09 | 573-575 | L97316 | 09 | 573-575 | L98A199 | 09 | 573-575 | ||
| L89144 | 09 | 592-594 | L97316 | 09 | 592-594 | L98A199 | 09 | 592-594 | ||
| L89146 | 09 | 573-575 | L97318 | 09 | 573-575 | L98A211 | 09 | 573-575 | ||
| L89146 | 09 | 592-594 | L97318 | 09 | 592-594 | L98A211 | 09 | 592-594 | ||
| L89149 | 09 | 573-575 | L97319 | 09 | 573-575 | L98A212 | 09 | 573-575 | ||
| L89149 | 09 | 592-594 | L97319 | 09 | 592-594 | L98A212 | 09 | 592-594 | ||
| L89150 | 09 | 573-575 | L97321 | 09 | 573-575 | L98A213 | 09 | 573-575 | ||
| L89150 | 09 | 592-594 | L97321 | 09 | 592-594 | L98A213 | 09 | 592-594 | ||
| L89151 | 09 | 573-575 | L97322 | 09 | 573-575 | L98A214 | 09 | 573-575 | ||
| L89151 | 09 | 592-594 | L97322 | 09 | 592-594 | L98A214 | 09 | 592-594 | ||
| L89152 | 09 | 573-575 | L97323 | 09 | 573-575 | L98A215 | 09 | 573-575 | ||
| L89152 | 09 | 592-594 | L97323 | 09 | 592-594 | L98A215 | 09 | 592-594 | ||
| L89153 | 09 | 573-575 | L97324 | 09 | 573-575 | L98A216 | 09 | 573-575 | ||
| L89153 | 09 | 592-594 | L97324 | 09 | 592-594 | L98A216 | 09 | 592-594 | ||
| L89154 | 09 | 573-575 | L97325 | 09 | 573-575 | L98A218 | 09 | 573-575 | ||
| L89154 | 09 | 592-594 | L97325 | 09 | 592-594 | L98A218 | 09 | 592-594 | ||
| L89156 | 09 | 573-575 | L97326 | 09 | 573-575 | L98A219 | 09 | 573-575 | ||
| L89156 | 09 | 592-594 | L97326 | 09 | 592-594 | L98A219 | 09 | 592-594 | ||
| L89159 | 09 | 573-575 | L97328 | 09 | 573-575 | L98A221 | 09 | 573-575 | ||
| L89159 | 09 | 592-594 | L97328 | 09 | 592-594 | L98A221 | 09 | 592-594 | ||
| L89200 | 09 | 573-575 | L97329 | 09 | 573-575 | L98A222 | 09 | 573-575 | ||
| L89200 | 09 | 592-594 | L97329 | 09 | 592-594 | L98A222 | 09 | 592-594 | ||
| L89201 | 09 | 573-575 | L97401 | 09 | 573-575 | L98A223 | 09 | 573-575 | ||
| L89201 | 09 | 592-594 | L97401 | 09 | 592-594 | L98A223 | 09 | 592-594 | ||
| L89202 | 09 | 573-575 | L97402 | 09 | 573-575 | L98A224 | 09 | 573-575 | ||
| L89202 | 09 | 592-594 | L97402 | 09 | 592-594 | L98A224 | 09 | 592-594 | ||
| L89203 | 09 | 573-575 | L97403 | 09 | 573-575 | L98A225 | 09 | 573-575 | ||
| L89203 | 09 | 592-594 | L97403 | 09 | 592-594 | L98A225 | 09 | 592-594 | ||
| L89204 | 09 | 573-575 | L97404 | 09 | 573-575 | L98A226 | 09 | 573-575 | ||
| L89204 | 09 | 592-594 | L97404 | 09 | 592-594 | L98A226 | 09 | 592-594 | ||
| L89206 | 09 | 573-575 | L97405 | 09 | 573-575 | L98A228 | 09 | 573-575 | ||
| L89206 | 09 | 592-594 | L97405 | 09 | 592-594 | L98A228 | 09 | 592-594 |
| | |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Mar 2026 13:16:25 CMS, code-revision=381, description-revision=1473 |