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 43 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S52231N | 08 | 564-566 | S52264P | 08 | 564-566 | S52326N | 08 | 564-566 | ||
| S52231P | 08 | 564-566 | S52264Q | 08 | 564-566 | S52326P | 08 | 564-566 | ||
| S52231Q | 08 | 564-566 | S52264R | 08 | 564-566 | S52326Q | 08 | 564-566 | ||
| S52231R | 08 | 564-566 | S52264S | 08 | 559-561 | S52326R | 08 | 564-566 | ||
| S52231S | 08 | 559-561 | S52265A | 08 | 562-563 | S52326S | 08 | 559-561 | ||
| S52232A | 08 | 562-563 | S52265A | 24 | 963-965 | S52331A | 08 | 562-563 | ||
| S52232A | 24 | 963-965 | S52265B | 08 | 562-563 | S52331A | 24 | 963-965 | ||
| S52232B | 08 | 562-563 | S52265B | 24 | 963-965 | S52331B | 08 | 562-563 | ||
| S52232B | 24 | 963-965 | S52265C | 08 | 562-563 | S52331B | 24 | 963-965 | ||
| S52232C | 08 | 562-563 | S52265C | 24 | 963-965 | S52331C | 08 | 562-563 | ||
| S52232C | 24 | 963-965 | S52265D | 08 | 559-561 | S52331C | 24 | 963-965 | ||
| S52232D | 08 | 559-561 | S52265E | 08 | 559-561 | S52331D | 08 | 559-561 | ||
| S52232E | 08 | 559-561 | S52265F | 08 | 559-561 | S52331E | 08 | 559-561 | ||
| S52232F | 08 | 559-561 | S52265G | 08 | 559-561 | S52331F | 08 | 559-561 | ||
| S52232G | 08 | 559-561 | S52265H | 08 | 559-561 | S52331G | 08 | 559-561 | ||
| S52232H | 08 | 559-561 | S52265J | 08 | 559-561 | S52331H | 08 | 559-561 | ||
| S52232J | 08 | 559-561 | S52265K | 08 | 564-566 | S52331J | 08 | 559-561 | ||
| S52232K | 08 | 564-566 | S52265M | 08 | 564-566 | S52331K | 08 | 564-566 | ||
| S52232M | 08 | 564-566 | S52265N | 08 | 564-566 | S52331M | 08 | 564-566 | ||
| S52232N | 08 | 564-566 | S52265P | 08 | 564-566 | S52331N | 08 | 564-566 | ||
| S52232P | 08 | 564-566 | S52265Q | 08 | 564-566 | S52331P | 08 | 564-566 | ||
| S52232Q | 08 | 564-566 | S52265R | 08 | 564-566 | S52331Q | 08 | 564-566 | ||
| S52232R | 08 | 564-566 | S52265S | 08 | 559-561 | S52331R | 08 | 564-566 | ||
| S52232S | 08 | 559-561 | S52266A | 08 | 562-563 | S52331S | 08 | 559-561 | ||
| S52233A | 08 | 562-563 | S52266A | 24 | 963-965 | S52332A | 08 | 562-563 | ||
| S52233A | 24 | 963-965 | S52266B | 08 | 562-563 | S52332A | 24 | 963-965 | ||
| S52233B | 08 | 562-563 | S52266B | 24 | 963-965 | S52332B | 08 | 562-563 | ||
| S52233B | 24 | 963-965 | S52266C | 08 | 562-563 | S52332B | 24 | 963-965 | ||
| S52233C | 08 | 562-563 | S52266C | 24 | 963-965 | S52332C | 08 | 562-563 | ||
| S52233C | 24 | 963-965 | S52266D | 08 | 559-561 | S52332C | 24 | 963-965 | ||
| S52233D | 08 | 559-561 | S52266E | 08 | 559-561 | S52332D | 08 | 559-561 | ||
| S52233E | 08 | 559-561 | S52266F | 08 | 559-561 | S52332E | 08 | 559-561 | ||
| S52233F | 08 | 559-561 | S52266G | 08 | 559-561 | S52332F | 08 | 559-561 | ||
| S52233G | 08 | 559-561 | S52266H | 08 | 559-561 | S52332G | 08 | 559-561 | ||
| S52233H | 08 | 559-561 | S52266J | 08 | 559-561 | S52332H | 08 | 559-561 | ||
| S52233J | 08 | 559-561 | S52266K | 08 | 564-566 | S52332J | 08 | 559-561 | ||
| S52233K | 08 | 564-566 | S52266M | 08 | 564-566 | S52332K | 08 | 564-566 | ||
| S52233M | 08 | 564-566 | S52266N | 08 | 564-566 | S52332M | 08 | 564-566 | ||
| S52233N | 08 | 564-566 | S52266P | 08 | 564-566 | S52332N | 08 | 564-566 | ||
| S52233P | 08 | 564-566 | S52266Q | 08 | 564-566 | S52332P | 08 | 564-566 | ||
| S52233Q | 08 | 564-566 | S52266R | 08 | 564-566 | S52332Q | 08 | 564-566 | ||
| S52233R | 08 | 564-566 | S52266S | 08 | 559-561 | S52332R | 08 | 564-566 | ||
| S52233S | 08 | 559-561 | S52271A | 08 | 562-563 | S52332S | 08 | 559-561 | ||
| S52234A | 08 | 562-563 | S52271A | 24 | 963-965 | S52333A | 08 | 562-563 | ||
| S52234A | 24 | 963-965 | S52271B | 08 | 562-563 | S52333A | 24 | 963-965 | ||
| S52234B | 08 | 562-563 | S52271B | 24 | 963-965 | S52333B | 08 | 562-563 | ||
| S52234B | 24 | 963-965 | S52271C | 08 | 562-563 | S52333B | 24 | 963-965 | ||
| S52234C | 08 | 562-563 | S52271C | 24 | 963-965 | S52333C | 08 | 562-563 | ||
| S52234C | 24 | 963-965 | S52271D | 08 | 559-561 | S52333C | 24 | 963-965 | ||
| S52234D | 08 | 559-561 | S52271E | 08 | 559-561 | S52333D | 08 | 559-561 | ||
| S52234E | 08 | 559-561 | S52271F | 08 | 559-561 | S52333E | 08 | 559-561 | ||
| S52234F | 08 | 559-561 | S52271G | 08 | 559-561 | S52333F | 08 | 559-561 | ||
| S52234G | 08 | 559-561 | S52271H | 08 | 559-561 | S52333G | 08 | 559-561 | ||
| S52234H | 08 | 559-561 | S52271J | 08 | 559-561 | S52333H | 08 | 559-561 | ||
| S52234J | 08 | 559-561 | S52271K | 08 | 564-566 | S52333J | 08 | 559-561 | ||
| S52234K | 08 | 564-566 | S52271M | 08 | 564-566 | S52333K | 08 | 564-566 | ||
| S52234M | 08 | 564-566 | S52271N | 08 | 564-566 | S52333M | 08 | 564-566 | ||
| S52234N | 08 | 564-566 | S52271P | 08 | 564-566 | S52333N | 08 | 564-566 | ||
| S52234P | 08 | 564-566 | S52271Q | 08 | 564-566 | S52333P | 08 | 564-566 | ||
| S52234Q | 08 | 564-566 | S52271R | 08 | 564-566 | S52333Q | 08 | 564-566 | ||
| S52234R | 08 | 564-566 | S52271S | 08 | 559-561 | S52333R | 08 | 564-566 | ||
| S52234S | 08 | 559-561 | S52272A | 08 | 562-563 | S52333S | 08 | 559-561 | ||
| S52235A | 08 | 562-563 | S52272A | 24 | 963-965 | S52334A | 08 | 562-563 | ||
| S52235A | 24 | 963-965 | S52272B | 08 | 562-563 | S52334A | 24 | 963-965 | ||
| S52235B | 08 | 562-563 | S52272B | 24 | 963-965 | S52334B | 08 | 562-563 | ||
| S52235B | 24 | 963-965 | S52272C | 08 | 562-563 | S52334B | 24 | 963-965 | ||
| S52235C | 08 | 562-563 | S52272C | 24 | 963-965 | S52334C | 08 | 562-563 | ||
| S52235C | 24 | 963-965 | S52272D | 08 | 559-561 | S52334C | 24 | 963-965 | ||
| S52235D | 08 | 559-561 | S52272E | 08 | 559-561 | S52334D | 08 | 559-561 | ||
| S52235E | 08 | 559-561 | S52272F | 08 | 559-561 | S52334E | 08 | 559-561 | ||
| S52235F | 08 | 559-561 | S52272G | 08 | 559-561 | S52334F | 08 | 559-561 | ||
| S52235G | 08 | 559-561 | S52272H | 08 | 559-561 | S52334G | 08 | 559-561 | ||
| S52235H | 08 | 559-561 | S52272J | 08 | 559-561 | S52334H | 08 | 559-561 | ||
| S52235J | 08 | 559-561 | S52272K | 08 | 564-566 | S52334J | 08 | 559-561 | ||
| S52235K | 08 | 564-566 | S52272M | 08 | 564-566 | S52334K | 08 | 564-566 | ||
| S52235M | 08 | 564-566 | S52272N | 08 | 564-566 | S52334M | 08 | 564-566 | ||
| S52235N | 08 | 564-566 | S52272P | 08 | 564-566 | S52334N | 08 | 564-566 | ||
| S52235P | 08 | 564-566 | S52272Q | 08 | 564-566 | S52334P | 08 | 564-566 | ||
| S52235Q | 08 | 564-566 | S52272R | 08 | 564-566 | S52334Q | 08 | 564-566 | ||
| S52235R | 08 | 564-566 | S52272S | 08 | 559-561 | S52334R | 08 | 564-566 | ||
| S52235S | 08 | 559-561 | S52279A | 08 | 562-563 | S52334S | 08 | 559-561 | ||
| S52236A | 08 | 562-563 | S52279A | 24 | 963-965 | S52335A | 08 | 562-563 | ||
| S52236A | 24 | 963-965 | S52279B | 08 | 562-563 | S52335A | 24 | 963-965 | ||
| S52236B | 08 | 562-563 | S52279B | 24 | 963-965 | S52335B | 08 | 562-563 | ||
| S52236B | 24 | 963-965 | S52279C | 08 | 562-563 | S52335B | 24 | 963-965 | ||
| S52236C | 08 | 562-563 | S52279C | 24 | 963-965 | S52335C | 08 | 562-563 | ||
| S52236C | 24 | 963-965 | S52279D | 08 | 559-561 | S52335C | 24 | 963-965 | ||
| S52236D | 08 | 559-561 | S52279E | 08 | 559-561 | S52335D | 08 | 559-561 | ||
| S52236E | 08 | 559-561 | S52279F | 08 | 559-561 | S52335E | 08 | 559-561 | ||
| S52236F | 08 | 559-561 | S52279G | 08 | 559-561 | S52335F | 08 | 559-561 | ||
| S52236G | 08 | 559-561 | S52279H | 08 | 559-561 | S52335G | 08 | 559-561 | ||
| S52236H | 08 | 559-561 | S52279J | 08 | 559-561 | S52335H | 08 | 559-561 | ||
| S52236J | 08 | 559-561 | S52279K | 08 | 564-566 | S52335J | 08 | 559-561 | ||
| S52236K | 08 | 564-566 | S52279M | 08 | 564-566 | S52335K | 08 | 564-566 | ||
| S52236M | 08 | 564-566 | S52279N | 08 | 564-566 | S52335M | 08 | 564-566 | ||
| S52236N | 08 | 564-566 | S52279P | 08 | 564-566 | S52335N | 08 | 564-566 | ||
| S52236P | 08 | 564-566 | S52279Q | 08 | 564-566 | S52335P | 08 | 564-566 | ||
| S52236Q | 08 | 564-566 | S52279R | 08 | 564-566 | S52335Q | 08 | 564-566 | ||
| S52236R | 08 | 564-566 | S52279S | 08 | 559-561 | S52335R | 08 | 564-566 | ||
| S52236S | 08 | 559-561 | S52281A | 08 | 562-563 | S52335S | 08 | 559-561 | ||
| S52241A | 08 | 562-563 | S52281A | 24 | 963-965 | S52336A | 08 | 562-563 | ||
| S52241A | 24 | 963-965 | S52281B | 08 | 562-563 | S52336A | 24 | 963-965 | ||
| S52241B | 08 | 562-563 | S52281B | 24 | 963-965 | S52336B | 08 | 562-563 | ||
| S52241B | 24 | 963-965 | S52281C | 08 | 562-563 | S52336B | 24 | 963-965 | ||
| S52241C | 08 | 562-563 | S52281C | 24 | 963-965 | S52336C | 08 | 562-563 | ||
| S52241C | 24 | 963-965 | S52281D | 08 | 559-561 | S52336C | 24 | 963-965 | ||
| S52241D | 08 | 559-561 | S52281E | 08 | 559-561 | S52336D | 08 | 559-561 | ||
| S52241E | 08 | 559-561 | S52281F | 08 | 559-561 | S52336E | 08 | 559-561 | ||
| S52241F | 08 | 559-561 | S52281G | 08 | 559-561 | S52336F | 08 | 559-561 | ||
| S52241G | 08 | 559-561 | S52281H | 08 | 559-561 | S52336G | 08 | 559-561 | ||
| S52241H | 08 | 559-561 | S52281J | 08 | 559-561 | S52336H | 08 | 559-561 | ||
| S52241J | 08 | 559-561 | S52281K | 08 | 564-566 | S52336J | 08 | 559-561 | ||
| S52241K | 08 | 564-566 | S52281M | 08 | 564-566 | S52336K | 08 | 564-566 | ||
| S52241M | 08 | 564-566 | S52281N | 08 | 564-566 | S52336M | 08 | 564-566 | ||
| S52241N | 08 | 564-566 | S52281P | 08 | 564-566 | S52336N | 08 | 564-566 | ||
| S52241P | 08 | 564-566 | S52281Q | 08 | 564-566 | S52336P | 08 | 564-566 | ||
| S52241Q | 08 | 564-566 | S52281R | 08 | 564-566 | S52336Q | 08 | 564-566 | ||
| S52241R | 08 | 564-566 | S52281S | 08 | 559-561 | S52336R | 08 | 564-566 | ||
| S52241S | 08 | 559-561 | S52282A | 08 | 562-563 | S52336S | 08 | 559-561 | ||
| S52242A | 08 | 562-563 | S52282A | 24 | 963-965 | S52341A | 08 | 562-563 | ||
| S52242A | 24 | 963-965 | S52282B | 08 | 562-563 | S52341A | 24 | 963-965 | ||
| S52242B | 08 | 562-563 | S52282B | 24 | 963-965 | S52341B | 08 | 562-563 | ||
| S52242B | 24 | 963-965 | S52282C | 08 | 562-563 | S52341B | 24 | 963-965 | ||
| S52242C | 08 | 562-563 | S52282C | 24 | 963-965 | S52341C | 08 | 562-563 | ||
| S52242C | 24 | 963-965 | S52282D | 08 | 559-561 | S52341C | 24 | 963-965 | ||
| S52242D | 08 | 559-561 | S52282E | 08 | 559-561 | S52341D | 08 | 559-561 | ||
| S52242E | 08 | 559-561 | S52282F | 08 | 559-561 | S52341E | 08 | 559-561 | ||
| S52242F | 08 | 559-561 | S52282G | 08 | 559-561 | S52341F | 08 | 559-561 | ||
| S52242G | 08 | 559-561 | S52282H | 08 | 559-561 | S52341G | 08 | 559-561 | ||
| S52242H | 08 | 559-561 | S52282J | 08 | 559-561 | S52341H | 08 | 559-561 | ||
| S52242J | 08 | 559-561 | S52282K | 08 | 564-566 | S52341J | 08 | 559-561 | ||
| S52242K | 08 | 564-566 | S52282M | 08 | 564-566 | S52341K | 08 | 564-566 | ||
| S52242M | 08 | 564-566 | S52282N | 08 | 564-566 | S52341M | 08 | 564-566 | ||
| S52242N | 08 | 564-566 | S52282P | 08 | 564-566 | S52341N | 08 | 564-566 | ||
| S52242P | 08 | 564-566 | S52282Q | 08 | 564-566 | S52341P | 08 | 564-566 | ||
| S52242Q | 08 | 564-566 | S52282R | 08 | 564-566 | S52341Q | 08 | 564-566 | ||
| S52242R | 08 | 564-566 | S52282S | 08 | 559-561 | S52341R | 08 | 564-566 | ||
| S52242S | 08 | 559-561 | S52283A | 08 | 562-563 | S52341S | 08 | 559-561 | ||
| S52243A | 08 | 562-563 | S52283A | 24 | 963-965 | S52342A | 08 | 562-563 | ||
| S52243A | 24 | 963-965 | S52283B | 08 | 562-563 | S52342A | 24 | 963-965 | ||
| S52243B | 08 | 562-563 | S52283B | 24 | 963-965 | S52342B | 08 | 562-563 | ||
| S52243B | 24 | 963-965 | S52283C | 08 | 562-563 | S52342B | 24 | 963-965 | ||
| S52243C | 08 | 562-563 | S52283C | 24 | 963-965 | S52342C | 08 | 562-563 | ||
| S52243C | 24 | 963-965 | S52283D | 08 | 559-561 | S52342C | 24 | 963-965 | ||
| S52243D | 08 | 559-561 | S52283E | 08 | 559-561 | S52342D | 08 | 559-561 | ||
| S52243E | 08 | 559-561 | S52283F | 08 | 559-561 | S52342E | 08 | 559-561 | ||
| S52243F | 08 | 559-561 | S52283G | 08 | 559-561 | S52342F | 08 | 559-561 | ||
| S52243G | 08 | 559-561 | S52283H | 08 | 559-561 | S52342G | 08 | 559-561 | ||
| S52243H | 08 | 559-561 | S52283J | 08 | 559-561 | S52342H | 08 | 559-561 | ||
| S52243J | 08 | 559-561 | S52283K | 08 | 564-566 | S52342J | 08 | 559-561 | ||
| S52243K | 08 | 564-566 | S52283M | 08 | 564-566 | S52342K | 08 | 564-566 | ||
| S52243M | 08 | 564-566 | S52283N | 08 | 564-566 | S52342M | 08 | 564-566 | ||
| S52243N | 08 | 564-566 | S52283P | 08 | 564-566 | S52342N | 08 | 564-566 | ||
| S52243P | 08 | 564-566 | S52283Q | 08 | 564-566 | S52342P | 08 | 564-566 | ||
| S52243Q | 08 | 564-566 | S52283R | 08 | 564-566 | S52342Q | 08 | 564-566 | ||
| S52243R | 08 | 564-566 | S52283S | 08 | 559-561 | S52342R | 08 | 564-566 | ||
| S52243S | 08 | 559-561 | S52291A | 08 | 562-563 | S52342S | 08 | 559-561 | ||
| S52244A | 08 | 562-563 | S52291A | 24 | 963-965 | S52343A | 08 | 562-563 | ||
| S52244A | 24 | 963-965 | S52291B | 08 | 562-563 | S52343A | 24 | 963-965 | ||
| S52244B | 08 | 562-563 | S52291B | 24 | 963-965 | S52343B | 08 | 562-563 | ||
| S52244B | 24 | 963-965 | S52291C | 08 | 562-563 | S52343B | 24 | 963-965 | ||
| S52244C | 08 | 562-563 | S52291C | 24 | 963-965 | S52343C | 08 | 562-563 | ||
| S52244C | 24 | 963-965 | S52291D | 08 | 559-561 | S52343C | 24 | 963-965 | ||
| S52244D | 08 | 559-561 | S52291E | 08 | 559-561 | S52343D | 08 | 559-561 | ||
| S52244E | 08 | 559-561 | S52291F | 08 | 559-561 | S52343E | 08 | 559-561 | ||
| S52244F | 08 | 559-561 | S52291G | 08 | 559-561 | S52343F | 08 | 559-561 | ||
| S52244G | 08 | 559-561 | S52291H | 08 | 559-561 | S52343G | 08 | 559-561 | ||
| S52244H | 08 | 559-561 | S52291J | 08 | 559-561 | S52343H | 08 | 559-561 | ||
| S52244J | 08 | 559-561 | S52291K | 08 | 564-566 | S52343J | 08 | 559-561 | ||
| S52244K | 08 | 564-566 | S52291M | 08 | 564-566 | S52343K | 08 | 564-566 | ||
| S52244M | 08 | 564-566 | S52291N | 08 | 564-566 | S52343M | 08 | 564-566 | ||
| S52244N | 08 | 564-566 | S52291P | 08 | 564-566 | S52343N | 08 | 564-566 | ||
| S52244P | 08 | 564-566 | S52291Q | 08 | 564-566 | S52343P | 08 | 564-566 | ||
| S52244Q | 08 | 564-566 | S52291R | 08 | 564-566 | S52343Q | 08 | 564-566 | ||
| S52244R | 08 | 564-566 | S52291S | 08 | 559-561 | S52343R | 08 | 564-566 | ||
| S52244S | 08 | 559-561 | S52292A | 08 | 562-563 | S52343S | 08 | 559-561 | ||
| S52245A | 08 | 562-563 | S52292A | 24 | 963-965 | S52344A | 08 | 562-563 | ||
| S52245A | 24 | 963-965 | S52292B | 08 | 562-563 | S52344A | 24 | 963-965 | ||
| S52245B | 08 | 562-563 | S52292B | 24 | 963-965 | S52344B | 08 | 562-563 | ||
| S52245B | 24 | 963-965 | S52292C | 08 | 562-563 | S52344B | 24 | 963-965 | ||
| S52245C | 08 | 562-563 | S52292C | 24 | 963-965 | S52344C | 08 | 562-563 | ||
| S52245C | 24 | 963-965 | S52292D | 08 | 559-561 | S52344C | 24 | 963-965 | ||
| S52245D | 08 | 559-561 | S52292E | 08 | 559-561 | S52344D | 08 | 559-561 | ||
| S52245E | 08 | 559-561 | S52292F | 08 | 559-561 | S52344E | 08 | 559-561 | ||
| S52245F | 08 | 559-561 | S52292G | 08 | 559-561 | S52344F | 08 | 559-561 | ||
| S52245G | 08 | 559-561 | S52292H | 08 | 559-561 | S52344G | 08 | 559-561 | ||
| S52245H | 08 | 559-561 | S52292J | 08 | 559-561 | S52344H | 08 | 559-561 | ||
| S52245J | 08 | 559-561 | S52292K | 08 | 564-566 | S52344J | 08 | 559-561 | ||
| S52245K | 08 | 564-566 | S52292M | 08 | 564-566 | S52344K | 08 | 564-566 | ||
| S52245M | 08 | 564-566 | S52292N | 08 | 564-566 | S52344M | 08 | 564-566 | ||
| S52245N | 08 | 564-566 | S52292P | 08 | 564-566 | S52344N | 08 | 564-566 | ||
| S52245P | 08 | 564-566 | S52292Q | 08 | 564-566 | S52344P | 08 | 564-566 | ||
| S52245Q | 08 | 564-566 | S52292R | 08 | 564-566 | S52344Q | 08 | 564-566 | ||
| S52245R | 08 | 564-566 | S52292S | 08 | 559-561 | S52344R | 08 | 564-566 | ||
| S52245S | 08 | 559-561 | S52299A | 08 | 562-563 | S52344S | 08 | 559-561 | ||
| S52246A | 08 | 562-563 | S52299A | 24 | 963-965 | S52345A | 08 | 562-563 | ||
| S52246A | 24 | 963-965 | S52299B | 08 | 562-563 | S52345A | 24 | 963-965 | ||
| S52246B | 08 | 562-563 | S52299B | 24 | 963-965 | S52345B | 08 | 562-563 | ||
| S52246B | 24 | 963-965 | S52299C | 08 | 562-563 | S52345B | 24 | 963-965 | ||
| S52246C | 08 | 562-563 | S52299C | 24 | 963-965 | S52345C | 08 | 562-563 | ||
| S52246C | 24 | 963-965 | S52299D | 08 | 559-561 | S52345C | 24 | 963-965 | ||
| S52246D | 08 | 559-561 | S52299E | 08 | 559-561 | S52345D | 08 | 559-561 | ||
| S52246E | 08 | 559-561 | S52299F | 08 | 559-561 | S52345E | 08 | 559-561 | ||
| S52246F | 08 | 559-561 | S52299G | 08 | 559-561 | S52345F | 08 | 559-561 | ||
| S52246G | 08 | 559-561 | S52299H | 08 | 559-561 | S52345G | 08 | 559-561 | ||
| S52246H | 08 | 559-561 | S52299J | 08 | 559-561 | S52345H | 08 | 559-561 | ||
| S52246J | 08 | 559-561 | S52299K | 08 | 564-566 | S52345J | 08 | 559-561 | ||
| S52246K | 08 | 564-566 | S52299M | 08 | 564-566 | S52345K | 08 | 564-566 | ||
| S52246M | 08 | 564-566 | S52299N | 08 | 564-566 | S52345M | 08 | 564-566 | ||
| S52246N | 08 | 564-566 | S52299P | 08 | 564-566 | S52345N | 08 | 564-566 | ||
| S52246P | 08 | 564-566 | S52299Q | 08 | 564-566 | S52345P | 08 | 564-566 | ||
| S52246Q | 08 | 564-566 | S52299R | 08 | 564-566 | S52345Q | 08 | 564-566 | ||
| S52246R | 08 | 564-566 | S52299S | 08 | 559-561 | S52345R | 08 | 564-566 | ||
| S52246S | 08 | 559-561 | S52301A | 08 | 562-563 | S52345S | 08 | 559-561 | ||
| S52251A | 08 | 562-563 | S52301A | 24 | 963-965 | S52346A | 08 | 562-563 | ||
| S52251A | 24 | 963-965 | S52301B | 08 | 562-563 | S52346A | 24 | 963-965 | ||
| S52251B | 08 | 562-563 | S52301B | 24 | 963-965 | S52346B | 08 | 562-563 | ||
| S52251B | 24 | 963-965 | S52301C | 08 | 562-563 | S52346B | 24 | 963-965 | ||
| S52251C | 08 | 562-563 | S52301C | 24 | 963-965 | S52346C | 08 | 562-563 | ||
| S52251C | 24 | 963-965 | S52301D | 08 | 559-561 | S52346C | 24 | 963-965 | ||
| S52251D | 08 | 559-561 | S52301E | 08 | 559-561 | S52346D | 08 | 559-561 | ||
| S52251E | 08 | 559-561 | S52301F | 08 | 559-561 | S52346E | 08 | 559-561 | ||
| S52251F | 08 | 559-561 | S52301G | 08 | 559-561 | S52346F | 08 | 559-561 | ||
| S52251G | 08 | 559-561 | S52301H | 08 | 559-561 | S52346G | 08 | 559-561 | ||
| S52251H | 08 | 559-561 | S52301J | 08 | 559-561 | S52346H | 08 | 559-561 | ||
| S52251J | 08 | 559-561 | S52301K | 08 | 564-566 | S52346J | 08 | 559-561 | ||
| S52251K | 08 | 564-566 | S52301M | 08 | 564-566 | S52346K | 08 | 564-566 | ||
| S52251M | 08 | 564-566 | S52301N | 08 | 564-566 | S52346M | 08 | 564-566 | ||
| S52251N | 08 | 564-566 | S52301P | 08 | 564-566 | S52346N | 08 | 564-566 | ||
| S52251P | 08 | 564-566 | S52301Q | 08 | 564-566 | S52346P | 08 | 564-566 | ||
| S52251Q | 08 | 564-566 | S52301R | 08 | 564-566 | S52346Q | 08 | 564-566 | ||
| S52251R | 08 | 564-566 | S52301S | 08 | 559-561 | S52346R | 08 | 564-566 | ||
| S52251S | 08 | 559-561 | S52302A | 08 | 562-563 | S52346S | 08 | 559-561 | ||
| S52252A | 08 | 562-563 | S52302A | 24 | 963-965 | S52351A | 08 | 562-563 | ||
| S52252A | 24 | 963-965 | S52302B | 08 | 562-563 | S52351A | 24 | 963-965 | ||
| S52252B | 08 | 562-563 | S52302B | 24 | 963-965 | S52351B | 08 | 562-563 | ||
| S52252B | 24 | 963-965 | S52302C | 08 | 562-563 | S52351B | 24 | 963-965 | ||
| S52252C | 08 | 562-563 | S52302C | 24 | 963-965 | S52351C | 08 | 562-563 | ||
| S52252C | 24 | 963-965 | S52302D | 08 | 559-561 | S52351C | 24 | 963-965 | ||
| S52252D | 08 | 559-561 | S52302E | 08 | 559-561 | S52351D | 08 | 559-561 | ||
| S52252E | 08 | 559-561 | S52302F | 08 | 559-561 | S52351E | 08 | 559-561 | ||
| S52252F | 08 | 559-561 | S52302G | 08 | 559-561 | S52351F | 08 | 559-561 | ||
| S52252G | 08 | 559-561 | S52302H | 08 | 559-561 | S52351G | 08 | 559-561 | ||
| S52252H | 08 | 559-561 | S52302J | 08 | 559-561 | S52351H | 08 | 559-561 | ||
| S52252J | 08 | 559-561 | S52302K | 08 | 564-566 | S52351J | 08 | 559-561 | ||
| S52252K | 08 | 564-566 | S52302M | 08 | 564-566 | S52351K | 08 | 564-566 | ||
| S52252M | 08 | 564-566 | S52302N | 08 | 564-566 | S52351M | 08 | 564-566 | ||
| S52252N | 08 | 564-566 | S52302P | 08 | 564-566 | S52351N | 08 | 564-566 | ||
| S52252P | 08 | 564-566 | S52302Q | 08 | 564-566 | S52351P | 08 | 564-566 | ||
| S52252Q | 08 | 564-566 | S52302R | 08 | 564-566 | S52351Q | 08 | 564-566 | ||
| S52252R | 08 | 564-566 | S52302S | 08 | 559-561 | S52351R | 08 | 564-566 | ||
| S52252S | 08 | 559-561 | S52309A | 08 | 562-563 | S52351S | 08 | 559-561 | ||
| S52253A | 08 | 562-563 | S52309A | 24 | 963-965 | S52352A | 08 | 562-563 | ||
| S52253A | 24 | 963-965 | S52309B | 08 | 562-563 | S52352A | 24 | 963-965 | ||
| S52253B | 08 | 562-563 | S52309B | 24 | 963-965 | S52352B | 08 | 562-563 | ||
| S52253B | 24 | 963-965 | S52309C | 08 | 562-563 | S52352B | 24 | 963-965 | ||
| S52253C | 08 | 562-563 | S52309C | 24 | 963-965 | S52352C | 08 | 562-563 | ||
| S52253C | 24 | 963-965 | S52309D | 08 | 559-561 | S52352C | 24 | 963-965 | ||
| S52253D | 08 | 559-561 | S52309E | 08 | 559-561 | S52352D | 08 | 559-561 | ||
| S52253E | 08 | 559-561 | S52309F | 08 | 559-561 | S52352E | 08 | 559-561 | ||
| S52253F | 08 | 559-561 | S52309G | 08 | 559-561 | S52352F | 08 | 559-561 | ||
| S52253G | 08 | 559-561 | S52309H | 08 | 559-561 | S52352G | 08 | 559-561 | ||
| S52253H | 08 | 559-561 | S52309J | 08 | 559-561 | S52352H | 08 | 559-561 | ||
| S52253J | 08 | 559-561 | S52309K | 08 | 564-566 | S52352J | 08 | 559-561 | ||
| S52253K | 08 | 564-566 | S52309M | 08 | 564-566 | S52352K | 08 | 564-566 | ||
| S52253M | 08 | 564-566 | S52309N | 08 | 564-566 | S52352M | 08 | 564-566 | ||
| S52253N | 08 | 564-566 | S52309P | 08 | 564-566 | S52352N | 08 | 564-566 | ||
| S52253P | 08 | 564-566 | S52309Q | 08 | 564-566 | S52352P | 08 | 564-566 | ||
| S52253Q | 08 | 564-566 | S52309R | 08 | 564-566 | S52352Q | 08 | 564-566 | ||
| S52253R | 08 | 564-566 | S52309S | 08 | 559-561 | S52352R | 08 | 564-566 | ||
| S52253S | 08 | 559-561 | S52311A | 08 | 562-563 | S52352S | 08 | 559-561 | ||
| S52254A | 08 | 562-563 | S52311A | 24 | 963-965 | S52353A | 08 | 562-563 | ||
| S52254A | 24 | 963-965 | S52311D | 08 | 559-561 | S52353A | 24 | 963-965 | ||
| S52254B | 08 | 562-563 | S52311G | 08 | 559-561 | S52353B | 08 | 562-563 | ||
| S52254B | 24 | 963-965 | S52311K | 08 | 564-566 | S52353B | 24 | 963-965 | ||
| S52254C | 08 | 562-563 | S52311P | 08 | 564-566 | S52353C | 08 | 562-563 | ||
| S52254C | 24 | 963-965 | S52311S | 08 | 559-561 | S52353C | 24 | 963-965 | ||
| S52254D | 08 | 559-561 | S52312A | 08 | 562-563 | S52353D | 08 | 559-561 | ||
| S52254E | 08 | 559-561 | S52312A | 24 | 963-965 | S52353E | 08 | 559-561 | ||
| S52254F | 08 | 559-561 | S52312D | 08 | 559-561 | S52353F | 08 | 559-561 | ||
| S52254G | 08 | 559-561 | S52312G | 08 | 559-561 | S52353G | 08 | 559-561 | ||
| S52254H | 08 | 559-561 | S52312K | 08 | 564-566 | S52353H | 08 | 559-561 | ||
| S52254J | 08 | 559-561 | S52312P | 08 | 564-566 | S52353J | 08 | 559-561 | ||
| S52254K | 08 | 564-566 | S52312S | 08 | 559-561 | S52353K | 08 | 564-566 | ||
| S52254M | 08 | 564-566 | S52319A | 08 | 562-563 | S52353M | 08 | 564-566 | ||
| S52254N | 08 | 564-566 | S52319A | 24 | 963-965 | S52353N | 08 | 564-566 | ||
| S52254P | 08 | 564-566 | S52319D | 08 | 559-561 | S52353P | 08 | 564-566 | ||
| S52254Q | 08 | 564-566 | S52319G | 08 | 559-561 | S52353Q | 08 | 564-566 | ||
| S52254R | 08 | 564-566 | S52319K | 08 | 564-566 | S52353R | 08 | 564-566 | ||
| S52254S | 08 | 559-561 | S52319P | 08 | 564-566 | S52353S | 08 | 559-561 | ||
| S52255A | 08 | 562-563 | S52319S | 08 | 559-561 | S52354A | 08 | 562-563 | ||
| S52255A | 24 | 963-965 | S52321A | 08 | 562-563 | S52354A | 24 | 963-965 | ||
| S52255B | 08 | 562-563 | S52321A | 24 | 963-965 | S52354B | 08 | 562-563 | ||
| S52255B | 24 | 963-965 | S52321B | 08 | 562-563 | S52354B | 24 | 963-965 | ||
| S52255C | 08 | 562-563 | S52321B | 24 | 963-965 | S52354C | 08 | 562-563 | ||
| S52255C | 24 | 963-965 | S52321C | 08 | 562-563 | S52354C | 24 | 963-965 | ||
| S52255D | 08 | 559-561 | S52321C | 24 | 963-965 | S52354D | 08 | 559-561 | ||
| S52255E | 08 | 559-561 | S52321D | 08 | 559-561 | S52354E | 08 | 559-561 | ||
| S52255F | 08 | 559-561 | S52321E | 08 | 559-561 | S52354F | 08 | 559-561 | ||
| S52255G | 08 | 559-561 | S52321F | 08 | 559-561 | S52354G | 08 | 559-561 | ||
| S52255H | 08 | 559-561 | S52321G | 08 | 559-561 | S52354H | 08 | 559-561 | ||
| S52255J | 08 | 559-561 | S52321H | 08 | 559-561 | S52354J | 08 | 559-561 | ||
| S52255K | 08 | 564-566 | S52321J | 08 | 559-561 | S52354K | 08 | 564-566 | ||
| S52255M | 08 | 564-566 | S52321K | 08 | 564-566 | S52354M | 08 | 564-566 | ||
| S52255N | 08 | 564-566 | S52321M | 08 | 564-566 | S52354N | 08 | 564-566 | ||
| S52255P | 08 | 564-566 | S52321N | 08 | 564-566 | S52354P | 08 | 564-566 | ||
| S52255Q | 08 | 564-566 | S52321P | 08 | 564-566 | S52354Q | 08 | 564-566 | ||
| S52255R | 08 | 564-566 | S52321Q | 08 | 564-566 | S52354R | 08 | 564-566 | ||
| S52255S | 08 | 559-561 | S52321R | 08 | 564-566 | S52354S | 08 | 559-561 | ||
| S52256A | 08 | 562-563 | S52321S | 08 | 559-561 | S52355A | 08 | 562-563 | ||
| S52256A | 24 | 963-965 | S52322A | 08 | 562-563 | S52355A | 24 | 963-965 | ||
| S52256B | 08 | 562-563 | S52322A | 24 | 963-965 | S52355B | 08 | 562-563 | ||
| S52256B | 24 | 963-965 | S52322B | 08 | 562-563 | S52355B | 24 | 963-965 | ||
| S52256C | 08 | 562-563 | S52322B | 24 | 963-965 | S52355C | 08 | 562-563 | ||
| S52256C | 24 | 963-965 | S52322C | 08 | 562-563 | S52355C | 24 | 963-965 | ||
| S52256D | 08 | 559-561 | S52322C | 24 | 963-965 | S52355D | 08 | 559-561 | ||
| S52256E | 08 | 559-561 | S52322D | 08 | 559-561 | S52355E | 08 | 559-561 | ||
| S52256F | 08 | 559-561 | S52322E | 08 | 559-561 | S52355F | 08 | 559-561 | ||
| S52256G | 08 | 559-561 | S52322F | 08 | 559-561 | S52355G | 08 | 559-561 | ||
| S52256H | 08 | 559-561 | S52322G | 08 | 559-561 | S52355H | 08 | 559-561 | ||
| S52256J | 08 | 559-561 | S52322H | 08 | 559-561 | S52355J | 08 | 559-561 | ||
| S52256K | 08 | 564-566 | S52322J | 08 | 559-561 | S52355K | 08 | 564-566 | ||
| S52256M | 08 | 564-566 | S52322K | 08 | 564-566 | S52355M | 08 | 564-566 | ||
| S52256N | 08 | 564-566 | S52322M | 08 | 564-566 | S52355N | 08 | 564-566 | ||
| S52256P | 08 | 564-566 | S52322N | 08 | 564-566 | S52355P | 08 | 564-566 | ||
| S52256Q | 08 | 564-566 | S52322P | 08 | 564-566 | S52355Q | 08 | 564-566 | ||
| S52256R | 08 | 564-566 | S52322Q | 08 | 564-566 | S52355R | 08 | 564-566 | ||
| S52256S | 08 | 559-561 | S52322R | 08 | 564-566 | S52355S | 08 | 559-561 | ||
| S52261A | 08 | 562-563 | S52322S | 08 | 559-561 | S52356A | 08 | 562-563 | ||
| S52261A | 24 | 963-965 | S52323A | 08 | 562-563 | S52356A | 24 | 963-965 | ||
| S52261B | 08 | 562-563 | S52323A | 24 | 963-965 | S52356B | 08 | 562-563 | ||
| S52261B | 24 | 963-965 | S52323B | 08 | 562-563 | S52356B | 24 | 963-965 | ||
| S52261C | 08 | 562-563 | S52323B | 24 | 963-965 | S52356C | 08 | 562-563 | ||
| S52261C | 24 | 963-965 | S52323C | 08 | 562-563 | S52356C | 24 | 963-965 | ||
| S52261D | 08 | 559-561 | S52323C | 24 | 963-965 | S52356D | 08 | 559-561 | ||
| S52261E | 08 | 559-561 | S52323D | 08 | 559-561 | S52356E | 08 | 559-561 | ||
| S52261F | 08 | 559-561 | S52323E | 08 | 559-561 | S52356F | 08 | 559-561 | ||
| S52261G | 08 | 559-561 | S52323F | 08 | 559-561 | S52356G | 08 | 559-561 | ||
| S52261H | 08 | 559-561 | S52323G | 08 | 559-561 | S52356H | 08 | 559-561 | ||
| S52261J | 08 | 559-561 | S52323H | 08 | 559-561 | S52356J | 08 | 559-561 | ||
| S52261K | 08 | 564-566 | S52323J | 08 | 559-561 | S52356K | 08 | 564-566 | ||
| S52261M | 08 | 564-566 | S52323K | 08 | 564-566 | S52356M | 08 | 564-566 | ||
| S52261N | 08 | 564-566 | S52323M | 08 | 564-566 | S52356N | 08 | 564-566 | ||
| S52261P | 08 | 564-566 | S52323N | 08 | 564-566 | S52356P | 08 | 564-566 | ||
| S52261Q | 08 | 564-566 | S52323P | 08 | 564-566 | S52356Q | 08 | 564-566 | ||
| S52261R | 08 | 564-566 | S52323Q | 08 | 564-566 | S52356R | 08 | 564-566 | ||
| S52261S | 08 | 559-561 | S52323R | 08 | 564-566 | S52356S | 08 | 559-561 | ||
| S52262A | 08 | 562-563 | S52323S | 08 | 559-561 | S52361A | 08 | 562-563 | ||
| S52262A | 24 | 963-965 | S52324A | 08 | 562-563 | S52361A | 24 | 963-965 | ||
| S52262B | 08 | 562-563 | S52324A | 24 | 963-965 | S52361B | 08 | 562-563 | ||
| S52262B | 24 | 963-965 | S52324B | 08 | 562-563 | S52361B | 24 | 963-965 | ||
| S52262C | 08 | 562-563 | S52324B | 24 | 963-965 | S52361C | 08 | 562-563 | ||
| S52262C | 24 | 963-965 | S52324C | 08 | 562-563 | S52361C | 24 | 963-965 | ||
| S52262D | 08 | 559-561 | S52324C | 24 | 963-965 | S52361D | 08 | 559-561 | ||
| S52262E | 08 | 559-561 | S52324D | 08 | 559-561 | S52361E | 08 | 559-561 | ||
| S52262F | 08 | 559-561 | S52324E | 08 | 559-561 | S52361F | 08 | 559-561 | ||
| S52262G | 08 | 559-561 | S52324F | 08 | 559-561 | S52361G | 08 | 559-561 | ||
| S52262H | 08 | 559-561 | S52324G | 08 | 559-561 | S52361H | 08 | 559-561 | ||
| S52262J | 08 | 559-561 | S52324H | 08 | 559-561 | S52361J | 08 | 559-561 | ||
| S52262K | 08 | 564-566 | S52324J | 08 | 559-561 | S52361K | 08 | 564-566 | ||
| S52262M | 08 | 564-566 | S52324K | 08 | 564-566 | S52361M | 08 | 564-566 | ||
| S52262N | 08 | 564-566 | S52324M | 08 | 564-566 | S52361N | 08 | 564-566 | ||
| S52262P | 08 | 564-566 | S52324N | 08 | 564-566 | S52361P | 08 | 564-566 | ||
| S52262Q | 08 | 564-566 | S52324P | 08 | 564-566 | S52361Q | 08 | 564-566 | ||
| S52262R | 08 | 564-566 | S52324Q | 08 | 564-566 | S52361R | 08 | 564-566 | ||
| S52262S | 08 | 559-561 | S52324R | 08 | 564-566 | S52361S | 08 | 559-561 | ||
| S52263A | 08 | 562-563 | S52324S | 08 | 559-561 | S52362A | 08 | 562-563 | ||
| S52263A | 24 | 963-965 | S52325A | 08 | 562-563 | S52362A | 24 | 963-965 | ||
| S52263B | 08 | 562-563 | S52325A | 24 | 963-965 | S52362B | 08 | 562-563 | ||
| S52263B | 24 | 963-965 | S52325B | 08 | 562-563 | S52362B | 24 | 963-965 | ||
| S52263C | 08 | 562-563 | S52325B | 24 | 963-965 | S52362C | 08 | 562-563 | ||
| S52263C | 24 | 963-965 | S52325C | 08 | 562-563 | S52362C | 24 | 963-965 | ||
| S52263D | 08 | 559-561 | S52325C | 24 | 963-965 | S52362D | 08 | 559-561 | ||
| S52263E | 08 | 559-561 | S52325D | 08 | 559-561 | S52362E | 08 | 559-561 | ||
| S52263F | 08 | 559-561 | S52325E | 08 | 559-561 | S52362F | 08 | 559-561 | ||
| S52263G | 08 | 559-561 | S52325F | 08 | 559-561 | S52362G | 08 | 559-561 | ||
| S52263H | 08 | 559-561 | S52325G | 08 | 559-561 | S52362H | 08 | 559-561 | ||
| S52263J | 08 | 559-561 | S52325H | 08 | 559-561 | S52362J | 08 | 559-561 | ||
| S52263K | 08 | 564-566 | S52325J | 08 | 559-561 | S52362K | 08 | 564-566 | ||
| S52263M | 08 | 564-566 | S52325K | 08 | 564-566 | S52362M | 08 | 564-566 | ||
| S52263N | 08 | 564-566 | S52325M | 08 | 564-566 | S52362N | 08 | 564-566 | ||
| S52263P | 08 | 564-566 | S52325N | 08 | 564-566 | S52362P | 08 | 564-566 | ||
| S52263Q | 08 | 564-566 | S52325P | 08 | 564-566 | S52362Q | 08 | 564-566 | ||
| S52263R | 08 | 564-566 | S52325Q | 08 | 564-566 | S52362R | 08 | 564-566 | ||
| S52263S | 08 | 559-561 | S52325R | 08 | 564-566 | S52362S | 08 | 559-561 | ||
| S52264A | 08 | 562-563 | S52325S | 08 | 559-561 | S52363A | 08 | 562-563 | ||
| S52264A | 24 | 963-965 | S52326A | 08 | 562-563 | S52363A | 24 | 963-965 | ||
| S52264B | 08 | 562-563 | S52326A | 24 | 963-965 | S52363B | 08 | 562-563 | ||
| S52264B | 24 | 963-965 | S52326B | 08 | 562-563 | S52363B | 24 | 963-965 | ||
| S52264C | 08 | 562-563 | S52326B | 24 | 963-965 | S52363C | 08 | 562-563 | ||
| S52264C | 24 | 963-965 | S52326C | 08 | 562-563 | S52363C | 24 | 963-965 | ||
| S52264D | 08 | 559-561 | S52326C | 24 | 963-965 | S52363D | 08 | 559-561 | ||
| S52264E | 08 | 559-561 | S52326D | 08 | 559-561 | S52363E | 08 | 559-561 | ||
| S52264F | 08 | 559-561 | S52326E | 08 | 559-561 | S52363F | 08 | 559-561 | ||
| S52264G | 08 | 559-561 | S52326F | 08 | 559-561 | S52363G | 08 | 559-561 | ||
| S52264H | 08 | 559-561 | S52326G | 08 | 559-561 | S52363H | 08 | 559-561 | ||
| S52264J | 08 | 559-561 | S52326H | 08 | 559-561 | S52363J | 08 | 559-561 | ||
| S52264K | 08 | 564-566 | S52326J | 08 | 559-561 | S52363K | 08 | 564-566 | ||
| S52264M | 08 | 564-566 | S52326K | 08 | 564-566 | S52363M | 08 | 564-566 | ||
| S52264N | 08 | 564-566 | S52326M | 08 | 564-566 | S52363N | 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 |