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 42 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S50911D | 23 | 949-950 | S52033Q | 08 | 564-566 | S52125P | 08 | 564-566 | ||
| S50911S | 09 | 604-605 | S52033R | 08 | 564-566 | S52125Q | 08 | 564-566 | ||
| S50912A | 09 | 604-605 | S52033S | 08 | 559-561 | S52125R | 08 | 564-566 | ||
| S50912A | 24 | 963-965 | S52034A | 08 | 562-563 | S52125S | 08 | 559-561 | ||
| S50912D | 23 | 949-950 | S52034A | 24 | 963-965 | S52126A | 08 | 562-563 | ||
| S50912S | 09 | 604-605 | S52034B | 08 | 562-563 | S52126A | 24 | 963-965 | ||
| S50919A | 09 | 604-605 | S52034B | 24 | 963-965 | S52126B | 08 | 562-563 | ||
| S50919A | 24 | 963-965 | S52034C | 08 | 562-563 | S52126B | 24 | 963-965 | ||
| S50919D | 23 | 949-950 | S52034C | 24 | 963-965 | S52126C | 08 | 562-563 | ||
| S50919S | 09 | 604-605 | S52034D | 08 | 559-561 | S52126C | 24 | 963-965 | ||
| S51001A | 09 | 604-605 | S52034E | 08 | 559-561 | S52126D | 08 | 559-561 | ||
| S51001A | 24 | 963-965 | S52034F | 08 | 559-561 | S52126E | 08 | 559-561 | ||
| S51001D | 23 | 949-950 | S52034G | 08 | 559-561 | S52126F | 08 | 559-561 | ||
| S51001S | 09 | 604-605 | S52034H | 08 | 559-561 | S52126G | 08 | 559-561 | ||
| S51002A | 09 | 604-605 | S52034J | 08 | 559-561 | S52126H | 08 | 559-561 | ||
| S51002A | 24 | 963-965 | S52034K | 08 | 564-566 | S52126J | 08 | 559-561 | ||
| S51002D | 23 | 949-950 | S52034M | 08 | 564-566 | S52126K | 08 | 564-566 | ||
| S51002S | 09 | 604-605 | S52034N | 08 | 564-566 | S52126M | 08 | 564-566 | ||
| S51009A | 09 | 604-605 | S52034P | 08 | 564-566 | S52126N | 08 | 564-566 | ||
| S51009A | 24 | 963-965 | S52034Q | 08 | 564-566 | S52126P | 08 | 564-566 | ||
| S51009D | 23 | 949-950 | S52034R | 08 | 564-566 | S52126Q | 08 | 564-566 | ||
| S51009S | 09 | 604-605 | S52034S | 08 | 559-561 | S52126R | 08 | 564-566 | ||
| S51011A | 09 | 604-605 | S52035A | 08 | 562-563 | S52126S | 08 | 559-561 | ||
| S51011A | 24 | 963-965 | S52035A | 24 | 963-965 | S52131A | 08 | 562-563 | ||
| S51011D | 23 | 949-950 | S52035B | 08 | 562-563 | S52131A | 24 | 963-965 | ||
| S51011S | 09 | 604-605 | S52035B | 24 | 963-965 | S52131B | 08 | 562-563 | ||
| S51012A | 09 | 604-605 | S52035C | 08 | 562-563 | S52131B | 24 | 963-965 | ||
| S51012A | 24 | 963-965 | S52035C | 24 | 963-965 | S52131C | 08 | 562-563 | ||
| S51012D | 23 | 949-950 | S52035D | 08 | 559-561 | S52131C | 24 | 963-965 | ||
| S51012S | 09 | 604-605 | S52035E | 08 | 559-561 | S52131D | 08 | 559-561 | ||
| S51019A | 09 | 604-605 | S52035F | 08 | 559-561 | S52131E | 08 | 559-561 | ||
| S51019A | 24 | 963-965 | S52035G | 08 | 559-561 | S52131F | 08 | 559-561 | ||
| S51019D | 23 | 949-950 | S52035H | 08 | 559-561 | S52131G | 08 | 559-561 | ||
| S51019S | 09 | 604-605 | S52035J | 08 | 559-561 | S52131H | 08 | 559-561 | ||
| S51021A | 21 | 913-914 | S52035K | 08 | 564-566 | S52131J | 08 | 559-561 | ||
| S51021A | 24 | 963-965 | S52035M | 08 | 564-566 | S52131K | 08 | 564-566 | ||
| S51021D | 23 | 949-950 | S52035N | 08 | 564-566 | S52131M | 08 | 564-566 | ||
| S51021S | 09 | 604-605 | S52035P | 08 | 564-566 | S52131N | 08 | 564-566 | ||
| S51022A | 21 | 913-914 | S52035Q | 08 | 564-566 | S52131P | 08 | 564-566 | ||
| S51022A | 24 | 963-965 | S52035R | 08 | 564-566 | S52131Q | 08 | 564-566 | ||
| S51022D | 23 | 949-950 | S52035S | 08 | 559-561 | S52131R | 08 | 564-566 | ||
| S51022S | 09 | 604-605 | S52036A | 08 | 562-563 | S52131S | 08 | 559-561 | ||
| S51029A | 21 | 913-914 | S52036A | 24 | 963-965 | S52132A | 08 | 562-563 | ||
| S51029A | 24 | 963-965 | S52036B | 08 | 562-563 | S52132A | 24 | 963-965 | ||
| S51029D | 23 | 949-950 | S52036B | 24 | 963-965 | S52132B | 08 | 562-563 | ||
| S51029S | 09 | 604-605 | S52036C | 08 | 562-563 | S52132B | 24 | 963-965 | ||
| S51031A | 09 | 604-605 | S52036C | 24 | 963-965 | S52132C | 08 | 562-563 | ||
| S51031A | 24 | 963-965 | S52036D | 08 | 559-561 | S52132C | 24 | 963-965 | ||
| S51031D | 23 | 949-950 | S52036E | 08 | 559-561 | S52132D | 08 | 559-561 | ||
| S51031S | 09 | 604-605 | S52036F | 08 | 559-561 | S52132E | 08 | 559-561 | ||
| S51032A | 09 | 604-605 | S52036G | 08 | 559-561 | S52132F | 08 | 559-561 | ||
| S51032A | 24 | 963-965 | S52036H | 08 | 559-561 | S52132G | 08 | 559-561 | ||
| S51032D | 23 | 949-950 | S52036J | 08 | 559-561 | S52132H | 08 | 559-561 | ||
| S51032S | 09 | 604-605 | S52036K | 08 | 564-566 | S52132J | 08 | 559-561 | ||
| S51039A | 09 | 604-605 | S52036M | 08 | 564-566 | S52132K | 08 | 564-566 | ||
| S51039A | 24 | 963-965 | S52036N | 08 | 564-566 | S52132M | 08 | 564-566 | ||
| S51039D | 23 | 949-950 | S52036P | 08 | 564-566 | S52132N | 08 | 564-566 | ||
| S51039S | 09 | 604-605 | S52036Q | 08 | 564-566 | S52132P | 08 | 564-566 | ||
| S51041A | 21 | 913-914 | S52036R | 08 | 564-566 | S52132Q | 08 | 564-566 | ||
| S51041A | 24 | 963-965 | S52036S | 08 | 559-561 | S52132R | 08 | 564-566 | ||
| S51041D | 23 | 949-950 | S52041A | 08 | 562-563 | S52132S | 08 | 559-561 | ||
| S51041S | 09 | 604-605 | S52041A | 24 | 963-965 | S52133A | 08 | 562-563 | ||
| S51042A | 21 | 913-914 | S52041B | 08 | 562-563 | S52133A | 24 | 963-965 | ||
| S51042A | 24 | 963-965 | S52041B | 24 | 963-965 | S52133B | 08 | 562-563 | ||
| S51042D | 23 | 949-950 | S52041C | 08 | 562-563 | S52133B | 24 | 963-965 | ||
| S51042S | 09 | 604-605 | S52041C | 24 | 963-965 | S52133C | 08 | 562-563 | ||
| S51049A | 21 | 913-914 | S52041D | 08 | 559-561 | S52133C | 24 | 963-965 | ||
| S51049A | 24 | 963-965 | S52041E | 08 | 559-561 | S52133D | 08 | 559-561 | ||
| S51049D | 23 | 949-950 | S52041F | 08 | 559-561 | S52133E | 08 | 559-561 | ||
| S51049S | 09 | 604-605 | S52041G | 08 | 559-561 | S52133F | 08 | 559-561 | ||
| S51051A | 09 | 604-605 | S52041H | 08 | 559-561 | S52133G | 08 | 559-561 | ||
| S51051A | 24 | 963-965 | S52041J | 08 | 559-561 | S52133H | 08 | 559-561 | ||
| S51051D | 23 | 949-950 | S52041K | 08 | 564-566 | S52133J | 08 | 559-561 | ||
| S51051S | 09 | 604-605 | S52041M | 08 | 564-566 | S52133K | 08 | 564-566 | ||
| S51052A | 09 | 604-605 | S52041N | 08 | 564-566 | S52133M | 08 | 564-566 | ||
| S51052A | 24 | 963-965 | S52041P | 08 | 564-566 | S52133N | 08 | 564-566 | ||
| S51052D | 23 | 949-950 | S52041Q | 08 | 564-566 | S52133P | 08 | 564-566 | ||
| S51052S | 09 | 604-605 | S52041R | 08 | 564-566 | S52133Q | 08 | 564-566 | ||
| S51059A | 09 | 604-605 | S52041S | 08 | 559-561 | S52133R | 08 | 564-566 | ||
| S51059A | 24 | 963-965 | S52042A | 08 | 562-563 | S52133S | 08 | 559-561 | ||
| S51059D | 23 | 949-950 | S52042A | 24 | 963-965 | S52134A | 08 | 562-563 | ||
| S51059S | 09 | 604-605 | S52042B | 08 | 562-563 | S52134A | 24 | 963-965 | ||
| S51801A | 09 | 604-605 | S52042B | 24 | 963-965 | S52134B | 08 | 562-563 | ||
| S51801A | 24 | 963-965 | S52042C | 08 | 562-563 | S52134B | 24 | 963-965 | ||
| S51801D | 23 | 949-950 | S52042C | 24 | 963-965 | S52134C | 08 | 562-563 | ||
| S51801S | 09 | 604-605 | S52042D | 08 | 559-561 | S52134C | 24 | 963-965 | ||
| S51802A | 09 | 604-605 | S52042E | 08 | 559-561 | S52134D | 08 | 559-561 | ||
| S51802A | 24 | 963-965 | S52042F | 08 | 559-561 | S52134E | 08 | 559-561 | ||
| S51802D | 23 | 949-950 | S52042G | 08 | 559-561 | S52134F | 08 | 559-561 | ||
| S51802S | 09 | 604-605 | S52042H | 08 | 559-561 | S52134G | 08 | 559-561 | ||
| S51809A | 09 | 604-605 | S52042J | 08 | 559-561 | S52134H | 08 | 559-561 | ||
| S51809A | 24 | 963-965 | S52042K | 08 | 564-566 | S52134J | 08 | 559-561 | ||
| S51809D | 23 | 949-950 | S52042M | 08 | 564-566 | S52134K | 08 | 564-566 | ||
| S51809S | 09 | 604-605 | S52042N | 08 | 564-566 | S52134M | 08 | 564-566 | ||
| S51811A | 09 | 604-605 | S52042P | 08 | 564-566 | S52134N | 08 | 564-566 | ||
| S51811A | 24 | 963-965 | S52042Q | 08 | 564-566 | S52134P | 08 | 564-566 | ||
| S51811D | 23 | 949-950 | S52042R | 08 | 564-566 | S52134Q | 08 | 564-566 | ||
| S51811S | 09 | 604-605 | S52042S | 08 | 559-561 | S52134R | 08 | 564-566 | ||
| S51812A | 09 | 604-605 | S52043A | 08 | 562-563 | S52134S | 08 | 559-561 | ||
| S51812A | 24 | 963-965 | S52043A | 24 | 963-965 | S52135A | 08 | 562-563 | ||
| S51812D | 23 | 949-950 | S52043B | 08 | 562-563 | S52135A | 24 | 963-965 | ||
| S51812S | 09 | 604-605 | S52043B | 24 | 963-965 | S52135B | 08 | 562-563 | ||
| S51819A | 09 | 604-605 | S52043C | 08 | 562-563 | S52135B | 24 | 963-965 | ||
| S51819A | 24 | 963-965 | S52043C | 24 | 963-965 | S52135C | 08 | 562-563 | ||
| S51819D | 23 | 949-950 | S52043D | 08 | 559-561 | S52135C | 24 | 963-965 | ||
| S51819S | 09 | 604-605 | S52043E | 08 | 559-561 | S52135D | 08 | 559-561 | ||
| S51821A | 21 | 913-914 | S52043F | 08 | 559-561 | S52135E | 08 | 559-561 | ||
| S51821A | 24 | 963-965 | S52043G | 08 | 559-561 | S52135F | 08 | 559-561 | ||
| S51821D | 23 | 949-950 | S52043H | 08 | 559-561 | S52135G | 08 | 559-561 | ||
| S51821S | 09 | 604-605 | S52043J | 08 | 559-561 | S52135H | 08 | 559-561 | ||
| S51822A | 21 | 913-914 | S52043K | 08 | 564-566 | S52135J | 08 | 559-561 | ||
| S51822A | 24 | 963-965 | S52043M | 08 | 564-566 | S52135K | 08 | 564-566 | ||
| S51822D | 23 | 949-950 | S52043N | 08 | 564-566 | S52135M | 08 | 564-566 | ||
| S51822S | 09 | 604-605 | S52043P | 08 | 564-566 | S52135N | 08 | 564-566 | ||
| S51829A | 21 | 913-914 | S52043Q | 08 | 564-566 | S52135P | 08 | 564-566 | ||
| S51829A | 24 | 963-965 | S52043R | 08 | 564-566 | S52135Q | 08 | 564-566 | ||
| S51829D | 23 | 949-950 | S52043S | 08 | 559-561 | S52135R | 08 | 564-566 | ||
| S51829S | 09 | 604-605 | S52044A | 08 | 562-563 | S52135S | 08 | 559-561 | ||
| S51831A | 09 | 604-605 | S52044A | 24 | 963-965 | S52136A | 08 | 562-563 | ||
| S51831A | 24 | 963-965 | S52044B | 08 | 562-563 | S52136A | 24 | 963-965 | ||
| S51831D | 23 | 949-950 | S52044B | 24 | 963-965 | S52136B | 08 | 562-563 | ||
| S51831S | 09 | 604-605 | S52044C | 08 | 562-563 | S52136B | 24 | 963-965 | ||
| S51832A | 09 | 604-605 | S52044C | 24 | 963-965 | S52136C | 08 | 562-563 | ||
| S51832A | 24 | 963-965 | S52044D | 08 | 559-561 | S52136C | 24 | 963-965 | ||
| S51832D | 23 | 949-950 | S52044E | 08 | 559-561 | S52136D | 08 | 559-561 | ||
| S51832S | 09 | 604-605 | S52044F | 08 | 559-561 | S52136E | 08 | 559-561 | ||
| S51839A | 09 | 604-605 | S52044G | 08 | 559-561 | S52136F | 08 | 559-561 | ||
| S51839A | 24 | 963-965 | S52044H | 08 | 559-561 | S52136G | 08 | 559-561 | ||
| S51839D | 23 | 949-950 | S52044J | 08 | 559-561 | S52136H | 08 | 559-561 | ||
| S51839S | 09 | 604-605 | S52044K | 08 | 564-566 | S52136J | 08 | 559-561 | ||
| S51841A | 21 | 913-914 | S52044M | 08 | 564-566 | S52136K | 08 | 564-566 | ||
| S51841A | 24 | 963-965 | S52044N | 08 | 564-566 | S52136M | 08 | 564-566 | ||
| S51841D | 23 | 949-950 | S52044P | 08 | 564-566 | S52136N | 08 | 564-566 | ||
| S51841S | 09 | 604-605 | S52044Q | 08 | 564-566 | S52136P | 08 | 564-566 | ||
| S51842A | 21 | 913-914 | S52044R | 08 | 564-566 | S52136Q | 08 | 564-566 | ||
| S51842A | 24 | 963-965 | S52044S | 08 | 559-561 | S52136R | 08 | 564-566 | ||
| S51842D | 23 | 949-950 | S52045A | 08 | 562-563 | S52136S | 08 | 559-561 | ||
| S51842S | 09 | 604-605 | S52045A | 24 | 963-965 | S52181A | 08 | 562-563 | ||
| S51849A | 21 | 913-914 | S52045B | 08 | 562-563 | S52181A | 24 | 963-965 | ||
| S51849A | 24 | 963-965 | S52045B | 24 | 963-965 | S52181B | 08 | 562-563 | ||
| S51849D | 23 | 949-950 | S52045C | 08 | 562-563 | S52181B | 24 | 963-965 | ||
| S51849S | 09 | 604-605 | S52045C | 24 | 963-965 | S52181C | 08 | 562-563 | ||
| S51851A | 09 | 604-605 | S52045D | 08 | 559-561 | S52181C | 24 | 963-965 | ||
| S51851A | 24 | 963-965 | S52045E | 08 | 559-561 | S52181D | 08 | 559-561 | ||
| S51851D | 23 | 949-950 | S52045F | 08 | 559-561 | S52181E | 08 | 559-561 | ||
| S51851S | 09 | 604-605 | S52045G | 08 | 559-561 | S52181F | 08 | 559-561 | ||
| S51852A | 09 | 604-605 | S52045H | 08 | 559-561 | S52181G | 08 | 559-561 | ||
| S51852A | 24 | 963-965 | S52045J | 08 | 559-561 | S52181H | 08 | 559-561 | ||
| S51852D | 23 | 949-950 | S52045K | 08 | 564-566 | S52181J | 08 | 559-561 | ||
| S51852S | 09 | 604-605 | S52045M | 08 | 564-566 | S52181K | 08 | 564-566 | ||
| S51859A | 09 | 604-605 | S52045N | 08 | 564-566 | S52181M | 08 | 564-566 | ||
| S51859A | 24 | 963-965 | S52045P | 08 | 564-566 | S52181N | 08 | 564-566 | ||
| S51859D | 23 | 949-950 | S52045Q | 08 | 564-566 | S52181P | 08 | 564-566 | ||
| S51859S | 09 | 604-605 | S52045R | 08 | 564-566 | S52181Q | 08 | 564-566 | ||
| S52001A | 08 | 562-563 | S52045S | 08 | 559-561 | S52181R | 08 | 564-566 | ||
| S52001A | 24 | 963-965 | S52046A | 08 | 562-563 | S52181S | 08 | 559-561 | ||
| S52001B | 08 | 562-563 | S52046A | 24 | 963-965 | S52182A | 08 | 562-563 | ||
| S52001B | 24 | 963-965 | S52046B | 08 | 562-563 | S52182A | 24 | 963-965 | ||
| S52001C | 08 | 562-563 | S52046B | 24 | 963-965 | S52182B | 08 | 562-563 | ||
| S52001C | 24 | 963-965 | S52046C | 08 | 562-563 | S52182B | 24 | 963-965 | ||
| S52001D | 08 | 559-561 | S52046C | 24 | 963-965 | S52182C | 08 | 562-563 | ||
| S52001E | 08 | 559-561 | S52046D | 08 | 559-561 | S52182C | 24 | 963-965 | ||
| S52001F | 08 | 559-561 | S52046E | 08 | 559-561 | S52182D | 08 | 559-561 | ||
| S52001G | 08 | 559-561 | S52046F | 08 | 559-561 | S52182E | 08 | 559-561 | ||
| S52001H | 08 | 559-561 | S52046G | 08 | 559-561 | S52182F | 08 | 559-561 | ||
| S52001J | 08 | 559-561 | S52046H | 08 | 559-561 | S52182G | 08 | 559-561 | ||
| S52001K | 08 | 564-566 | S52046J | 08 | 559-561 | S52182H | 08 | 559-561 | ||
| S52001M | 08 | 564-566 | S52046K | 08 | 564-566 | S52182J | 08 | 559-561 | ||
| S52001N | 08 | 564-566 | S52046M | 08 | 564-566 | S52182K | 08 | 564-566 | ||
| S52001P | 08 | 564-566 | S52046N | 08 | 564-566 | S52182M | 08 | 564-566 | ||
| S52001Q | 08 | 564-566 | S52046P | 08 | 564-566 | S52182N | 08 | 564-566 | ||
| S52001R | 08 | 564-566 | S52046Q | 08 | 564-566 | S52182P | 08 | 564-566 | ||
| S52001S | 08 | 559-561 | S52046R | 08 | 564-566 | S52182Q | 08 | 564-566 | ||
| S52002A | 08 | 562-563 | S52046S | 08 | 559-561 | S52182R | 08 | 564-566 | ||
| S52002A | 24 | 963-965 | S52091A | 08 | 562-563 | S52182S | 08 | 559-561 | ||
| S52002B | 08 | 562-563 | S52091A | 24 | 963-965 | S52189A | 08 | 562-563 | ||
| S52002B | 24 | 963-965 | S52091B | 08 | 562-563 | S52189A | 24 | 963-965 | ||
| S52002C | 08 | 562-563 | S52091B | 24 | 963-965 | S52189B | 08 | 562-563 | ||
| S52002C | 24 | 963-965 | S52091C | 08 | 562-563 | S52189B | 24 | 963-965 | ||
| S52002D | 08 | 559-561 | S52091C | 24 | 963-965 | S52189C | 08 | 562-563 | ||
| S52002E | 08 | 559-561 | S52091D | 08 | 559-561 | S52189C | 24 | 963-965 | ||
| S52002F | 08 | 559-561 | S52091E | 08 | 559-561 | S52189D | 08 | 559-561 | ||
| S52002G | 08 | 559-561 | S52091F | 08 | 559-561 | S52189E | 08 | 559-561 | ||
| S52002H | 08 | 559-561 | S52091G | 08 | 559-561 | S52189F | 08 | 559-561 | ||
| S52002J | 08 | 559-561 | S52091H | 08 | 559-561 | S52189G | 08 | 559-561 | ||
| S52002K | 08 | 564-566 | S52091J | 08 | 559-561 | S52189H | 08 | 559-561 | ||
| S52002M | 08 | 564-566 | S52091K | 08 | 564-566 | S52189J | 08 | 559-561 | ||
| S52002N | 08 | 564-566 | S52091M | 08 | 564-566 | S52189K | 08 | 564-566 | ||
| S52002P | 08 | 564-566 | S52091N | 08 | 564-566 | S52189M | 08 | 564-566 | ||
| S52002Q | 08 | 564-566 | S52091P | 08 | 564-566 | S52189N | 08 | 564-566 | ||
| S52002R | 08 | 564-566 | S52091Q | 08 | 564-566 | S52189P | 08 | 564-566 | ||
| S52002S | 08 | 559-561 | S52091R | 08 | 564-566 | S52189Q | 08 | 564-566 | ||
| S52009A | 08 | 562-563 | S52091S | 08 | 559-561 | S52189R | 08 | 564-566 | ||
| S52009A | 24 | 963-965 | S52092A | 08 | 562-563 | S52189S | 08 | 559-561 | ||
| S52009B | 08 | 562-563 | S52092A | 24 | 963-965 | S52201A | 08 | 562-563 | ||
| S52009B | 24 | 963-965 | S52092B | 08 | 562-563 | S52201A | 24 | 963-965 | ||
| S52009C | 08 | 562-563 | S52092B | 24 | 963-965 | S52201B | 08 | 562-563 | ||
| S52009C | 24 | 963-965 | S52092C | 08 | 562-563 | S52201B | 24 | 963-965 | ||
| S52009D | 08 | 559-561 | S52092C | 24 | 963-965 | S52201C | 08 | 562-563 | ||
| S52009E | 08 | 559-561 | S52092D | 08 | 559-561 | S52201C | 24 | 963-965 | ||
| S52009F | 08 | 559-561 | S52092E | 08 | 559-561 | S52201D | 08 | 559-561 | ||
| S52009G | 08 | 559-561 | S52092F | 08 | 559-561 | S52201E | 08 | 559-561 | ||
| S52009H | 08 | 559-561 | S52092G | 08 | 559-561 | S52201F | 08 | 559-561 | ||
| S52009J | 08 | 559-561 | S52092H | 08 | 559-561 | S52201G | 08 | 559-561 | ||
| S52009K | 08 | 564-566 | S52092J | 08 | 559-561 | S52201H | 08 | 559-561 | ||
| S52009M | 08 | 564-566 | S52092K | 08 | 564-566 | S52201J | 08 | 559-561 | ||
| S52009N | 08 | 564-566 | S52092M | 08 | 564-566 | S52201K | 08 | 564-566 | ||
| S52009P | 08 | 564-566 | S52092N | 08 | 564-566 | S52201M | 08 | 564-566 | ||
| S52009Q | 08 | 564-566 | S52092P | 08 | 564-566 | S52201N | 08 | 564-566 | ||
| S52009R | 08 | 564-566 | S52092Q | 08 | 564-566 | S52201P | 08 | 564-566 | ||
| S52009S | 08 | 559-561 | S52092R | 08 | 564-566 | S52201Q | 08 | 564-566 | ||
| S52011A | 08 | 562-563 | S52092S | 08 | 559-561 | S52201R | 08 | 564-566 | ||
| S52011A | 24 | 963-965 | S52099A | 08 | 562-563 | S52201S | 08 | 559-561 | ||
| S52011D | 08 | 559-561 | S52099A | 24 | 963-965 | S52202A | 08 | 562-563 | ||
| S52011G | 08 | 559-561 | S52099B | 08 | 562-563 | S52202A | 24 | 963-965 | ||
| S52011K | 08 | 564-566 | S52099B | 24 | 963-965 | S52202B | 08 | 562-563 | ||
| S52011P | 08 | 564-566 | S52099C | 08 | 562-563 | S52202B | 24 | 963-965 | ||
| S52011S | 08 | 559-561 | S52099C | 24 | 963-965 | S52202C | 08 | 562-563 | ||
| S52012A | 08 | 562-563 | S52099D | 08 | 559-561 | S52202C | 24 | 963-965 | ||
| S52012A | 24 | 963-965 | S52099E | 08 | 559-561 | S52202D | 08 | 559-561 | ||
| S52012D | 08 | 559-561 | S52099F | 08 | 559-561 | S52202E | 08 | 559-561 | ||
| S52012G | 08 | 559-561 | S52099G | 08 | 559-561 | S52202F | 08 | 559-561 | ||
| S52012K | 08 | 564-566 | S52099H | 08 | 559-561 | S52202G | 08 | 559-561 | ||
| S52012P | 08 | 564-566 | S52099J | 08 | 559-561 | S52202H | 08 | 559-561 | ||
| S52012S | 08 | 559-561 | S52099K | 08 | 564-566 | S52202J | 08 | 559-561 | ||
| S52019A | 08 | 562-563 | S52099M | 08 | 564-566 | S52202K | 08 | 564-566 | ||
| S52019A | 24 | 963-965 | S52099N | 08 | 564-566 | S52202M | 08 | 564-566 | ||
| S52019D | 08 | 559-561 | S52099P | 08 | 564-566 | S52202N | 08 | 564-566 | ||
| S52019G | 08 | 559-561 | S52099Q | 08 | 564-566 | S52202P | 08 | 564-566 | ||
| S52019K | 08 | 564-566 | S52099R | 08 | 564-566 | S52202Q | 08 | 564-566 | ||
| S52019P | 08 | 564-566 | S52099S | 08 | 559-561 | S52202R | 08 | 564-566 | ||
| S52019S | 08 | 559-561 | S52101A | 08 | 562-563 | S52202S | 08 | 559-561 | ||
| S52021A | 08 | 562-563 | S52101A | 24 | 963-965 | S52209A | 08 | 562-563 | ||
| S52021A | 24 | 963-965 | S52101B | 08 | 562-563 | S52209A | 24 | 963-965 | ||
| S52021B | 08 | 562-563 | S52101B | 24 | 963-965 | S52209B | 08 | 562-563 | ||
| S52021B | 24 | 963-965 | S52101C | 08 | 562-563 | S52209B | 24 | 963-965 | ||
| S52021C | 08 | 562-563 | S52101C | 24 | 963-965 | S52209C | 08 | 562-563 | ||
| S52021C | 24 | 963-965 | S52101D | 08 | 559-561 | S52209C | 24 | 963-965 | ||
| S52021D | 08 | 559-561 | S52101E | 08 | 559-561 | S52209D | 08 | 559-561 | ||
| S52021E | 08 | 559-561 | S52101F | 08 | 559-561 | S52209E | 08 | 559-561 | ||
| S52021F | 08 | 559-561 | S52101G | 08 | 559-561 | S52209F | 08 | 559-561 | ||
| S52021G | 08 | 559-561 | S52101H | 08 | 559-561 | S52209G | 08 | 559-561 | ||
| S52021H | 08 | 559-561 | S52101J | 08 | 559-561 | S52209H | 08 | 559-561 | ||
| S52021J | 08 | 559-561 | S52101K | 08 | 564-566 | S52209J | 08 | 559-561 | ||
| S52021K | 08 | 564-566 | S52101M | 08 | 564-566 | S52209K | 08 | 564-566 | ||
| S52021M | 08 | 564-566 | S52101N | 08 | 564-566 | S52209M | 08 | 564-566 | ||
| S52021N | 08 | 564-566 | S52101P | 08 | 564-566 | S52209N | 08 | 564-566 | ||
| S52021P | 08 | 564-566 | S52101Q | 08 | 564-566 | S52209P | 08 | 564-566 | ||
| S52021Q | 08 | 564-566 | S52101R | 08 | 564-566 | S52209Q | 08 | 564-566 | ||
| S52021R | 08 | 564-566 | S52101S | 08 | 559-561 | S52209R | 08 | 564-566 | ||
| S52021S | 08 | 559-561 | S52102A | 08 | 562-563 | S52209S | 08 | 559-561 | ||
| S52022A | 08 | 562-563 | S52102A | 24 | 963-965 | S52211A | 08 | 562-563 | ||
| S52022A | 24 | 963-965 | S52102B | 08 | 562-563 | S52211A | 24 | 963-965 | ||
| S52022B | 08 | 562-563 | S52102B | 24 | 963-965 | S52211D | 08 | 559-561 | ||
| S52022B | 24 | 963-965 | S52102C | 08 | 562-563 | S52211G | 08 | 559-561 | ||
| S52022C | 08 | 562-563 | S52102C | 24 | 963-965 | S52211K | 08 | 564-566 | ||
| S52022C | 24 | 963-965 | S52102D | 08 | 559-561 | S52211P | 08 | 564-566 | ||
| S52022D | 08 | 559-561 | S52102E | 08 | 559-561 | S52211S | 08 | 559-561 | ||
| S52022E | 08 | 559-561 | S52102F | 08 | 559-561 | S52212A | 08 | 562-563 | ||
| S52022F | 08 | 559-561 | S52102G | 08 | 559-561 | S52212A | 24 | 963-965 | ||
| S52022G | 08 | 559-561 | S52102H | 08 | 559-561 | S52212D | 08 | 559-561 | ||
| S52022H | 08 | 559-561 | S52102J | 08 | 559-561 | S52212G | 08 | 559-561 | ||
| S52022J | 08 | 559-561 | S52102K | 08 | 564-566 | S52212K | 08 | 564-566 | ||
| S52022K | 08 | 564-566 | S52102M | 08 | 564-566 | S52212P | 08 | 564-566 | ||
| S52022M | 08 | 564-566 | S52102N | 08 | 564-566 | S52212S | 08 | 559-561 | ||
| S52022N | 08 | 564-566 | S52102P | 08 | 564-566 | S52219A | 08 | 562-563 | ||
| S52022P | 08 | 564-566 | S52102Q | 08 | 564-566 | S52219A | 24 | 963-965 | ||
| S52022Q | 08 | 564-566 | S52102R | 08 | 564-566 | S52219D | 08 | 559-561 | ||
| S52022R | 08 | 564-566 | S52102S | 08 | 559-561 | S52219G | 08 | 559-561 | ||
| S52022S | 08 | 559-561 | S52109A | 08 | 562-563 | S52219K | 08 | 564-566 | ||
| S52023A | 08 | 562-563 | S52109A | 24 | 963-965 | S52219P | 08 | 564-566 | ||
| S52023A | 24 | 963-965 | S52109B | 08 | 562-563 | S52219S | 08 | 559-561 | ||
| S52023B | 08 | 562-563 | S52109B | 24 | 963-965 | S52221A | 08 | 562-563 | ||
| S52023B | 24 | 963-965 | S52109C | 08 | 562-563 | S52221A | 24 | 963-965 | ||
| S52023C | 08 | 562-563 | S52109C | 24 | 963-965 | S52221B | 08 | 562-563 | ||
| S52023C | 24 | 963-965 | S52109D | 08 | 559-561 | S52221B | 24 | 963-965 | ||
| S52023D | 08 | 559-561 | S52109E | 08 | 559-561 | S52221C | 08 | 562-563 | ||
| S52023E | 08 | 559-561 | S52109F | 08 | 559-561 | S52221C | 24 | 963-965 | ||
| S52023F | 08 | 559-561 | S52109G | 08 | 559-561 | S52221D | 08 | 559-561 | ||
| S52023G | 08 | 559-561 | S52109H | 08 | 559-561 | S52221E | 08 | 559-561 | ||
| S52023H | 08 | 559-561 | S52109J | 08 | 559-561 | S52221F | 08 | 559-561 | ||
| S52023J | 08 | 559-561 | S52109K | 08 | 564-566 | S52221G | 08 | 559-561 | ||
| S52023K | 08 | 564-566 | S52109M | 08 | 564-566 | S52221H | 08 | 559-561 | ||
| S52023M | 08 | 564-566 | S52109N | 08 | 564-566 | S52221J | 08 | 559-561 | ||
| S52023N | 08 | 564-566 | S52109P | 08 | 564-566 | S52221K | 08 | 564-566 | ||
| S52023P | 08 | 564-566 | S52109Q | 08 | 564-566 | S52221M | 08 | 564-566 | ||
| S52023Q | 08 | 564-566 | S52109R | 08 | 564-566 | S52221N | 08 | 564-566 | ||
| S52023R | 08 | 564-566 | S52109S | 08 | 559-561 | S52221P | 08 | 564-566 | ||
| S52023S | 08 | 559-561 | S52111A | 08 | 562-563 | S52221Q | 08 | 564-566 | ||
| S52024A | 08 | 562-563 | S52111A | 24 | 963-965 | S52221R | 08 | 564-566 | ||
| S52024A | 24 | 963-965 | S52111D | 08 | 559-561 | S52221S | 08 | 559-561 | ||
| S52024B | 08 | 562-563 | S52111G | 08 | 559-561 | S52222A | 08 | 562-563 | ||
| S52024B | 24 | 963-965 | S52111K | 08 | 564-566 | S52222A | 24 | 963-965 | ||
| S52024C | 08 | 562-563 | S52111P | 08 | 564-566 | S52222B | 08 | 562-563 | ||
| S52024C | 24 | 963-965 | S52111S | 08 | 559-561 | S52222B | 24 | 963-965 | ||
| S52024D | 08 | 559-561 | S52112A | 08 | 562-563 | S52222C | 08 | 562-563 | ||
| S52024E | 08 | 559-561 | S52112A | 24 | 963-965 | S52222C | 24 | 963-965 | ||
| S52024F | 08 | 559-561 | S52112D | 08 | 559-561 | S52222D | 08 | 559-561 | ||
| S52024G | 08 | 559-561 | S52112G | 08 | 559-561 | S52222E | 08 | 559-561 | ||
| S52024H | 08 | 559-561 | S52112K | 08 | 564-566 | S52222F | 08 | 559-561 | ||
| S52024J | 08 | 559-561 | S52112P | 08 | 564-566 | S52222G | 08 | 559-561 | ||
| S52024K | 08 | 564-566 | S52112S | 08 | 559-561 | S52222H | 08 | 559-561 | ||
| S52024M | 08 | 564-566 | S52119A | 08 | 562-563 | S52222J | 08 | 559-561 | ||
| S52024N | 08 | 564-566 | S52119A | 24 | 963-965 | S52222K | 08 | 564-566 | ||
| S52024P | 08 | 564-566 | S52119D | 08 | 559-561 | S52222M | 08 | 564-566 | ||
| S52024Q | 08 | 564-566 | S52119G | 08 | 559-561 | S52222N | 08 | 564-566 | ||
| S52024R | 08 | 564-566 | S52119K | 08 | 564-566 | S52222P | 08 | 564-566 | ||
| S52024S | 08 | 559-561 | S52119P | 08 | 564-566 | S52222Q | 08 | 564-566 | ||
| S52025A | 08 | 562-563 | S52119S | 08 | 559-561 | S52222R | 08 | 564-566 | ||
| S52025A | 24 | 963-965 | S52121A | 08 | 562-563 | S52222S | 08 | 559-561 | ||
| S52025B | 08 | 562-563 | S52121A | 24 | 963-965 | S52223A | 08 | 562-563 | ||
| S52025B | 24 | 963-965 | S52121B | 08 | 562-563 | S52223A | 24 | 963-965 | ||
| S52025C | 08 | 562-563 | S52121B | 24 | 963-965 | S52223B | 08 | 562-563 | ||
| S52025C | 24 | 963-965 | S52121C | 08 | 562-563 | S52223B | 24 | 963-965 | ||
| S52025D | 08 | 559-561 | S52121C | 24 | 963-965 | S52223C | 08 | 562-563 | ||
| S52025E | 08 | 559-561 | S52121D | 08 | 559-561 | S52223C | 24 | 963-965 | ||
| S52025F | 08 | 559-561 | S52121E | 08 | 559-561 | S52223D | 08 | 559-561 | ||
| S52025G | 08 | 559-561 | S52121F | 08 | 559-561 | S52223E | 08 | 559-561 | ||
| S52025H | 08 | 559-561 | S52121G | 08 | 559-561 | S52223F | 08 | 559-561 | ||
| S52025J | 08 | 559-561 | S52121H | 08 | 559-561 | S52223G | 08 | 559-561 | ||
| S52025K | 08 | 564-566 | S52121J | 08 | 559-561 | S52223H | 08 | 559-561 | ||
| S52025M | 08 | 564-566 | S52121K | 08 | 564-566 | S52223J | 08 | 559-561 | ||
| S52025N | 08 | 564-566 | S52121M | 08 | 564-566 | S52223K | 08 | 564-566 | ||
| S52025P | 08 | 564-566 | S52121N | 08 | 564-566 | S52223M | 08 | 564-566 | ||
| S52025Q | 08 | 564-566 | S52121P | 08 | 564-566 | S52223N | 08 | 564-566 | ||
| S52025R | 08 | 564-566 | S52121Q | 08 | 564-566 | S52223P | 08 | 564-566 | ||
| S52025S | 08 | 559-561 | S52121R | 08 | 564-566 | S52223Q | 08 | 564-566 | ||
| S52026A | 08 | 562-563 | S52121S | 08 | 559-561 | S52223R | 08 | 564-566 | ||
| S52026A | 24 | 963-965 | S52122A | 08 | 562-563 | S52223S | 08 | 559-561 | ||
| S52026B | 08 | 562-563 | S52122A | 24 | 963-965 | S52224A | 08 | 562-563 | ||
| S52026B | 24 | 963-965 | S52122B | 08 | 562-563 | S52224A | 24 | 963-965 | ||
| S52026C | 08 | 562-563 | S52122B | 24 | 963-965 | S52224B | 08 | 562-563 | ||
| S52026C | 24 | 963-965 | S52122C | 08 | 562-563 | S52224B | 24 | 963-965 | ||
| S52026D | 08 | 559-561 | S52122C | 24 | 963-965 | S52224C | 08 | 562-563 | ||
| S52026E | 08 | 559-561 | S52122D | 08 | 559-561 | S52224C | 24 | 963-965 | ||
| S52026F | 08 | 559-561 | S52122E | 08 | 559-561 | S52224D | 08 | 559-561 | ||
| S52026G | 08 | 559-561 | S52122F | 08 | 559-561 | S52224E | 08 | 559-561 | ||
| S52026H | 08 | 559-561 | S52122G | 08 | 559-561 | S52224F | 08 | 559-561 | ||
| S52026J | 08 | 559-561 | S52122H | 08 | 559-561 | S52224G | 08 | 559-561 | ||
| S52026K | 08 | 564-566 | S52122J | 08 | 559-561 | S52224H | 08 | 559-561 | ||
| S52026M | 08 | 564-566 | S52122K | 08 | 564-566 | S52224J | 08 | 559-561 | ||
| S52026N | 08 | 564-566 | S52122M | 08 | 564-566 | S52224K | 08 | 564-566 | ||
| S52026P | 08 | 564-566 | S52122N | 08 | 564-566 | S52224M | 08 | 564-566 | ||
| S52026Q | 08 | 564-566 | S52122P | 08 | 564-566 | S52224N | 08 | 564-566 | ||
| S52026R | 08 | 564-566 | S52122Q | 08 | 564-566 | S52224P | 08 | 564-566 | ||
| S52026S | 08 | 559-561 | S52122R | 08 | 564-566 | S52224Q | 08 | 564-566 | ||
| S52031A | 08 | 562-563 | S52122S | 08 | 559-561 | S52224R | 08 | 564-566 | ||
| S52031A | 24 | 963-965 | S52123A | 08 | 562-563 | S52224S | 08 | 559-561 | ||
| S52031B | 08 | 562-563 | S52123A | 24 | 963-965 | S52225A | 08 | 562-563 | ||
| S52031B | 24 | 963-965 | S52123B | 08 | 562-563 | S52225A | 24 | 963-965 | ||
| S52031C | 08 | 562-563 | S52123B | 24 | 963-965 | S52225B | 08 | 562-563 | ||
| S52031C | 24 | 963-965 | S52123C | 08 | 562-563 | S52225B | 24 | 963-965 | ||
| S52031D | 08 | 559-561 | S52123C | 24 | 963-965 | S52225C | 08 | 562-563 | ||
| S52031E | 08 | 559-561 | S52123D | 08 | 559-561 | S52225C | 24 | 963-965 | ||
| S52031F | 08 | 559-561 | S52123E | 08 | 559-561 | S52225D | 08 | 559-561 | ||
| S52031G | 08 | 559-561 | S52123F | 08 | 559-561 | S52225E | 08 | 559-561 | ||
| S52031H | 08 | 559-561 | S52123G | 08 | 559-561 | S52225F | 08 | 559-561 | ||
| S52031J | 08 | 559-561 | S52123H | 08 | 559-561 | S52225G | 08 | 559-561 | ||
| S52031K | 08 | 564-566 | S52123J | 08 | 559-561 | S52225H | 08 | 559-561 | ||
| S52031M | 08 | 564-566 | S52123K | 08 | 564-566 | S52225J | 08 | 559-561 | ||
| S52031N | 08 | 564-566 | S52123M | 08 | 564-566 | S52225K | 08 | 564-566 | ||
| S52031P | 08 | 564-566 | S52123N | 08 | 564-566 | S52225M | 08 | 564-566 | ||
| S52031Q | 08 | 564-566 | S52123P | 08 | 564-566 | S52225N | 08 | 564-566 | ||
| S52031R | 08 | 564-566 | S52123Q | 08 | 564-566 | S52225P | 08 | 564-566 | ||
| S52031S | 08 | 559-561 | S52123R | 08 | 564-566 | S52225Q | 08 | 564-566 | ||
| S52032A | 08 | 562-563 | S52123S | 08 | 559-561 | S52225R | 08 | 564-566 | ||
| S52032A | 24 | 963-965 | S52124A | 08 | 562-563 | S52225S | 08 | 559-561 | ||
| S52032B | 08 | 562-563 | S52124A | 24 | 963-965 | S52226A | 08 | 562-563 | ||
| S52032B | 24 | 963-965 | S52124B | 08 | 562-563 | S52226A | 24 | 963-965 | ||
| S52032C | 08 | 562-563 | S52124B | 24 | 963-965 | S52226B | 08 | 562-563 | ||
| S52032C | 24 | 963-965 | S52124C | 08 | 562-563 | S52226B | 24 | 963-965 | ||
| S52032D | 08 | 559-561 | S52124C | 24 | 963-965 | S52226C | 08 | 562-563 | ||
| S52032E | 08 | 559-561 | S52124D | 08 | 559-561 | S52226C | 24 | 963-965 | ||
| S52032F | 08 | 559-561 | S52124E | 08 | 559-561 | S52226D | 08 | 559-561 | ||
| S52032G | 08 | 559-561 | S52124F | 08 | 559-561 | S52226E | 08 | 559-561 | ||
| S52032H | 08 | 559-561 | S52124G | 08 | 559-561 | S52226F | 08 | 559-561 | ||
| S52032J | 08 | 559-561 | S52124H | 08 | 559-561 | S52226G | 08 | 559-561 | ||
| S52032K | 08 | 564-566 | S52124J | 08 | 559-561 | S52226H | 08 | 559-561 | ||
| S52032M | 08 | 564-566 | S52124K | 08 | 564-566 | S52226J | 08 | 559-561 | ||
| S52032N | 08 | 564-566 | S52124M | 08 | 564-566 | S52226K | 08 | 564-566 | ||
| S52032P | 08 | 564-566 | S52124N | 08 | 564-566 | S52226M | 08 | 564-566 | ||
| S52032Q | 08 | 564-566 | S52124P | 08 | 564-566 | S52226N | 08 | 564-566 | ||
| S52032R | 08 | 564-566 | S52124Q | 08 | 564-566 | S52226P | 08 | 564-566 | ||
| S52032S | 08 | 559-561 | S52124R | 08 | 564-566 | S52226Q | 08 | 564-566 | ||
| S52033A | 08 | 562-563 | S52124S | 08 | 559-561 | S52226R | 08 | 564-566 | ||
| S52033A | 24 | 963-965 | S52125A | 08 | 562-563 | S52226S | 08 | 559-561 | ||
| S52033B | 08 | 562-563 | S52125A | 24 | 963-965 | S52231A | 08 | 562-563 | ||
| S52033B | 24 | 963-965 | S52125B | 08 | 562-563 | S52231A | 24 | 963-965 | ||
| S52033C | 08 | 562-563 | S52125B | 24 | 963-965 | S52231B | 08 | 562-563 | ||
| S52033C | 24 | 963-965 | S52125C | 08 | 562-563 | S52231B | 24 | 963-965 | ||
| S52033D | 08 | 559-561 | S52125C | 24 | 963-965 | S52231C | 08 | 562-563 | ||
| S52033E | 08 | 559-561 | S52125D | 08 | 559-561 | S52231C | 24 | 963-965 | ||
| S52033F | 08 | 559-561 | S52125E | 08 | 559-561 | S52231D | 08 | 559-561 | ||
| S52033G | 08 | 559-561 | S52125F | 08 | 559-561 | S52231E | 08 | 559-561 | ||
| S52033H | 08 | 559-561 | S52125G | 08 | 559-561 | S52231F | 08 | 559-561 | ||
| S52033J | 08 | 559-561 | S52125H | 08 | 559-561 | S52231G | 08 | 559-561 | ||
| S52033K | 08 | 564-566 | S52125J | 08 | 559-561 | S52231H | 08 | 559-561 | ||
| S52033M | 08 | 564-566 | S52125K | 08 | 564-566 | S52231J | 08 | 559-561 | ||
| S52033N | 08 | 564-566 | S52125M | 08 | 564-566 | S52231K | 08 | 564-566 | ||
| S52033P | 08 | 564-566 | S52125N | 08 | 564-566 | S52231M | 08 | 564-566 |
| | |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Mar 2026 13:16:25 CMS, code-revision=381, description-revision=1473 |