ICD-10-CM/PCS MS-DRG v42.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v42.1 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 29 of 75 |
| A000 B2781 C5712 C8395 D107 E083542 E1301 F13259 G543 H16041 H4303 H8393 I63541 I97610 K4020 L0882 M00239 M19072 M314 M6519 M84311S M84759P M96830 N8501 O2990 O35GXX1 O4192X9 O99845 Q51818 R502 S02118D S06319D S1192XA S15399D S22082B S30823D S32309A S35221D S39002D S42261D S43202A S4991XA S52201Q S52345P S52699N S56909D S60929A S62136P S62390B S63208D S65500D S68619D S72043S S72133F S72355A S7291XC S80211S S82132R S82399Q S82854P S85801A S90821D S92153B S93103D S99032A T2161XA T23661D T3371XA T40903A T457X5D T50B15D T632X3D T8112XD T8454XD Z4801 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Q51818 | 13 | 742-743 | Q76427 | 08 | 456-458 | R222 | 09 | 606-607 | ||
| Q51818 | 13 | 760-761 | Q76427 | 08 | 564-566 | R2230 | 09 | 606-607 | ||
| Q51820 | 13 | 742-743 | Q76428 | 08 | 456-458 | R2231 | 09 | 606-607 | ||
| Q51820 | 13 | 760-761 | Q76428 | 08 | 564-566 | R2232 | 09 | 606-607 | ||
| Q51821 | 13 | 742-743 | Q76429 | 08 | 456-458 | R2233 | 09 | 606-607 | ||
| Q51821 | 13 | 760-761 | Q76429 | 08 | 564-566 | R2240 | 09 | 606-607 | ||
| Q51828 | 13 | 742-743 | Q7649 | 08 | 551-552 | R2241 | 09 | 606-607 | ||
| Q51828 | 13 | 760-761 | Q765 | 08 | 564-566 | R2242 | 09 | 606-607 | ||
| Q519 | 13 | 742-743 | Q766 | 08 | 564-566 | R2243 | 09 | 606-607 | ||
| Q519 | 13 | 760-761 | Q767 | 08 | 564-566 | R229 | 09 | 606-607 | ||
| Q520 | 13 | 742-743 | Q768 | 08 | 564-566 | R230 | 23 | 947-948 | ||
| Q520 | 13 | 760-761 | Q769 | 08 | 564-566 | R231 | 23 | 947-948 | ||
| Q5210 | 13 | 742-743 | Q770 | 08 | 564-566 | R232 | 23 | 947-948 | ||
| Q5210 | 13 | 760-761 | Q771 | 08 | 564-566 | R233 | 16 | 813 | ||
| Q5211 | 13 | 742-743 | Q772 | 08 | 564-566 | R234 | 09 | 606-607 | ||
| Q5211 | 13 | 760-761 | Q773 | 08 | 564-566 | R238 | 09 | 606-607 | ||
| Q52120 | 13 | 742-743 | Q774 | 08 | 564-566 | R239 | 09 | 606-607 | ||
| Q52120 | 13 | 760-761 | Q775 | 08 | 564-566 | R250 | 01 | 091-093 | ||
| Q52121 | 13 | 742-743 | Q776 | 08 | 564-566 | R251 | 01 | 091-093 | ||
| Q52121 | 13 | 760-761 | Q777 | 08 | 564-566 | R252 | 01 | 091-093 | ||
| Q52122 | 13 | 742-743 | Q778 | 08 | 564-566 | R253 | 01 | 091-093 | ||
| Q52122 | 13 | 760-761 | Q779 | 08 | 564-566 | R258 | 01 | 091-093 | ||
| Q52123 | 13 | 742-743 | Q780 | 08 | 456-458 | R259 | 01 | 091-093 | ||
| Q52123 | 13 | 760-761 | Q780 | 08 | 564-566 | R260 | 01 | 091-093 | ||
| Q52124 | 13 | 742-743 | Q781 | 08 | 564-566 | R261 | 01 | 091-093 | ||
| Q52124 | 13 | 760-761 | Q782 | 08 | 564-566 | R262 | 08 | 555-556 | ||
| Q52129 | 13 | 742-743 | Q783 | 08 | 564-566 | R2681 | 01 | 091-093 | ||
| Q52129 | 13 | 760-761 | Q784 | 08 | 564-566 | R2689 | 01 | 091-093 | ||
| Q522 | 13 | 742-743 | Q785 | 08 | 564-566 | R269 | 01 | 091-093 | ||
| Q522 | 13 | 760-761 | Q786 | 08 | 564-566 | R270 | 01 | 091-093 | ||
| Q523 | 13 | 742-743 | Q788 | 08 | 564-566 | R278 | 01 | 091-093 | ||
| Q523 | 13 | 760-761 | Q789 | 08 | 564-566 | R279 | 01 | 091-093 | ||
| Q524 | 13 | 742-743 | Q790 | 04 | 205-206 | R290 | 10 | 640-641 | ||
| Q524 | 13 | 760-761 | Q791 | 04 | 205-206 | R290 | 15 | 791 | ||
| Q525 | 13 | 742-743 | Q792 | 06 | 393-395 | R290 | 15 | 793 | ||
| Q525 | 13 | 760-761 | Q792 | 15 | 791 | R291 | 01 | 091-093 | ||
| Q526 | 13 | 742-743 | Q792 | 15 | 793 | R292 | 01 | 091-093 | ||
| Q526 | 13 | 760-761 | Q793 | 06 | 393-395 | R293 | 01 | 091-093 | ||
| Q5270 | 13 | 742-743 | Q793 | 15 | 791 | R294 | 08 | 555-556 | ||
| Q5270 | 13 | 760-761 | Q793 | 15 | 793 | R295 | 01 | 091-093 | ||
| Q5271 | 13 | 742-743 | Q794 | 06 | 393-395 | R296 | 01 | 091-093 | ||
| Q5271 | 13 | 760-761 | Q7951 | 06 | 393-395 | R29700 | 23 | 951 | ||
| Q5279 | 13 | 742-743 | Q7959 | 06 | 393-395 | R29701 | 23 | 951 | ||
| Q5279 | 13 | 760-761 | Q7960 | 08 | 564-566 | R29702 | 23 | 951 | ||
| Q528 | 13 | 742-743 | Q7961 | 08 | 564-566 | R29703 | 23 | 951 | ||
| Q528 | 13 | 760-761 | Q7962 | 08 | 564-566 | R29704 | 23 | 951 | ||
| Q529 | 13 | 742-743 | Q7963 | 08 | 564-566 | R29705 | 23 | 951 | ||
| Q529 | 13 | 760-761 | Q7969 | 08 | 564-566 | R29706 | 23 | 951 | ||
| Q5300 | 12 | 729-730 | Q798 | 08 | 564-566 | R29707 | 23 | 951 | ||
| Q5300 | 15 | 795 | Q799 | 08 | 564-566 | R29708 | 23 | 951 | ||
| Q5301 | 12 | 729-730 | Q800 | 09 | 606-607 | R29709 | 23 | 951 | ||
| Q5301 | 15 | 795 | Q801 | 09 | 606-607 | R29710 | 23 | 951 | ||
| Q5302 | 12 | 729-730 | Q802 | 09 | 606-607 | R29711 | 23 | 951 | ||
| Q5302 | 15 | 795 | Q803 | 09 | 606-607 | R29712 | 23 | 951 | ||
| Q5310 | 12 | 729-730 | Q804 | 09 | 606-607 | R29713 | 23 | 951 | ||
| Q5310 | 15 | 795 | Q808 | 09 | 606-607 | R29714 | 23 | 951 | ||
| Q53111 | 12 | 729-730 | Q809 | 09 | 606-607 | R29715 | 23 | 951 | ||
| Q53111 | 15 | 795 | Q810 | 09 | 595-596 | R29716 | 23 | 951 | ||
| Q53112 | 12 | 729-730 | Q810 | 15 | 794 | R29717 | 23 | 951 | ||
| Q53112 | 15 | 795 | Q811 | 09 | 595-596 | R29718 | 23 | 951 | ||
| Q5312 | 12 | 729-730 | Q811 | 15 | 794 | R29719 | 23 | 951 | ||
| Q5312 | 15 | 795 | Q812 | 09 | 595-596 | R29720 | 23 | 951 | ||
| Q5313 | 12 | 729-730 | Q812 | 15 | 794 | R29721 | 23 | 951 | ||
| Q5313 | 15 | 795 | Q818 | 09 | 595-596 | R29722 | 23 | 951 | ||
| Q5320 | 12 | 729-730 | Q818 | 15 | 794 | R29723 | 23 | 951 | ||
| Q5320 | 15 | 795 | Q819 | 09 | 595-596 | R29724 | 23 | 951 | ||
| Q53211 | 12 | 729-730 | Q819 | 15 | 794 | R29725 | 23 | 951 | ||
| Q53211 | 15 | 795 | Q820 | 09 | 606-607 | R29726 | 23 | 951 | ||
| Q53212 | 12 | 729-730 | Q821 | 09 | 606-607 | R29727 | 23 | 951 | ||
| Q53212 | 15 | 795 | Q821 | 15 | 795 | R29728 | 23 | 951 | ||
| Q5322 | 12 | 729-730 | Q822 | 09 | 606-607 | R29729 | 23 | 951 | ||
| Q5322 | 15 | 795 | Q822 | 15 | 795 | R29730 | 23 | 951 | ||
| Q5323 | 12 | 729-730 | Q823 | 09 | 606-607 | R29731 | 23 | 951 | ||
| Q5323 | 15 | 795 | Q823 | 15 | 795 | R29732 | 23 | 951 | ||
| Q539 | 12 | 729-730 | Q824 | 09 | 606-607 | R29733 | 23 | 951 | ||
| Q539 | 15 | 795 | Q825 | 09 | 606-607 | R29734 | 23 | 951 | ||
| Q540 | 12 | 729-730 | Q825 | 15 | 795 | R29735 | 23 | 951 | ||
| Q541 | 12 | 729-730 | Q826 | 09 | 606-607 | R29736 | 23 | 951 | ||
| Q542 | 12 | 729-730 | Q826 | 15 | 795 | R29737 | 23 | 951 | ||
| Q543 | 12 | 729-730 | Q828 | 09 | 606-607 | R29738 | 23 | 951 | ||
| Q544 | 12 | 729-730 | Q828 | 15 | 795 | R29739 | 23 | 951 | ||
| Q548 | 12 | 729-730 | Q829 | 09 | 606-607 | R29740 | 23 | 951 | ||
| Q549 | 12 | 729-730 | Q829 | 15 | 795 | R29741 | 23 | 951 | ||
| Q550 | 12 | 729-730 | Q830 | 09 | 600-601 | R29742 | 23 | 951 | ||
| Q551 | 12 | 729-730 | Q831 | 09 | 600-601 | R29810 | 01 | 091-093 | ||
| Q5520 | 12 | 729-730 | Q832 | 09 | 600-601 | R29818 | 01 | 091-093 | ||
| Q5521 | 12 | 729-730 | Q833 | 09 | 600-601 | R29890 | 01 | 091-093 | ||
| Q5522 | 12 | 729-730 | Q838 | 09 | 600-601 | R29891 | 08 | 551-552 | ||
| Q5522 | 15 | 795 | Q839 | 09 | 600-601 | R29898 | 08 | 555-556 | ||
| Q5523 | 12 | 729-730 | Q840 | 09 | 606-607 | R2990 | 01 | 091-093 | ||
| Q5529 | 12 | 729-730 | Q841 | 09 | 606-607 | R2991 | 01 | 091-093 | ||
| Q553 | 12 | 729-730 | Q842 | 09 | 606-607 | R300 | 11 | 695-696 | ||
| Q554 | 12 | 729-730 | Q843 | 09 | 606-607 | R301 | 11 | 695-696 | ||
| Q555 | 12 | 729-730 | Q844 | 09 | 606-607 | R309 | 11 | 695-696 | ||
| Q5561 | 12 | 729-730 | Q845 | 09 | 606-607 | R310 | 11 | 695-696 | ||
| Q5562 | 12 | 729-730 | Q846 | 09 | 606-607 | R310 | 15 | 791 | ||
| Q5563 | 12 | 729-730 | Q848 | 09 | 606-607 | R310 | 15 | 793 | ||
| Q5564 | 12 | 729-730 | Q849 | 09 | 606-607 | R311 | 11 | 695-696 | ||
| Q5569 | 12 | 729-730 | Q8500 | 01 | 091-093 | R311 | 15 | 791 | ||
| Q557 | 12 | 729-730 | Q8501 | 01 | 091-093 | R311 | 15 | 793 | ||
| Q558 | 12 | 729-730 | Q8502 | 01 | 091-093 | R3121 | 11 | 695-696 | ||
| Q559 | 12 | 729-730 | Q8503 | 01 | 091-093 | R3121 | 15 | 791 | ||
| Q560 | 12 | 729-730 | Q8509 | 01 | 091-093 | R3121 | 15 | 793 | ||
| Q560 | 13 | 742-743 | Q851 | 01 | 091-093 | R3129 | 11 | 695-696 | ||
| Q560 | 13 | 760-761 | Q8581 | 17 | 826-828 | R3129 | 15 | 791 | ||
| Q561 | 12 | 729-730 | Q8581 | 17 | 829-830 | R3129 | 15 | 793 | ||
| Q562 | 13 | 742-743 | Q8581 | 17 | 843-845 | R319 | 11 | 695-696 | ||
| Q562 | 13 | 760-761 | Q8582 | 17 | 826-828 | R319 | 15 | 791 | ||
| Q563 | 12 | 729-730 | Q8582 | 17 | 829-830 | R319 | 15 | 793 | ||
| Q563 | 13 | 742-743 | Q8582 | 17 | 843-845 | R32 | 11 | 695-696 | ||
| Q563 | 13 | 760-761 | Q8583 | 17 | 826-828 | R330 | 11 | 695-696 | ||
| Q564 | 12 | 729-730 | Q8583 | 17 | 829-830 | R330 | 15 | 791 | ||
| Q564 | 13 | 742-743 | Q8583 | 17 | 843-845 | R330 | 15 | 793 | ||
| Q564 | 13 | 760-761 | Q8589 | 17 | 826-828 | R338 | 11 | 695-696 | ||
| Q600 | 11 | 698-700 | Q8589 | 17 | 829-830 | R338 | 15 | 791 | ||
| Q601 | 11 | 698-700 | Q8589 | 17 | 843-845 | R338 | 15 | 793 | ||
| Q602 | 11 | 698-700 | Q859 | 17 | 826-828 | R339 | 11 | 695-696 | ||
| Q603 | 11 | 698-700 | Q859 | 17 | 829-830 | R339 | 15 | 791 | ||
| Q604 | 11 | 698-700 | Q859 | 17 | 843-845 | R339 | 15 | 793 | ||
| Q605 | 11 | 698-700 | Q860 | 15 | 794 | R34 | 11 | 673-675 | ||
| Q606 | 11 | 698-700 | Q861 | 15 | 794 | R34 | 11 | 682-684 | ||
| Q6100 | 11 | 698-700 | Q862 | 15 | 794 | R350 | 11 | 695-696 | ||
| Q6101 | 11 | 698-700 | Q868 | 15 | 794 | R351 | 11 | 695-696 | ||
| Q6102 | 11 | 698-700 | Q870 | 08 | 564-566 | R3581 | 11 | 695-696 | ||
| Q6111 | 11 | 698-700 | Q8711 | 08 | 564-566 | R3589 | 11 | 695-696 | ||
| Q6119 | 11 | 698-700 | Q8719 | 08 | 564-566 | R360 | 11 | 695-696 | ||
| Q612 | 11 | 698-700 | Q872 | 08 | 564-566 | R361 | 12 | 729-730 | ||
| Q613 | 11 | 698-700 | Q873 | 08 | 564-566 | R369 | 11 | 695-696 | ||
| Q614 | 11 | 698-700 | Q8740 | 05 | 306-307 | R37 | 19 | 887 | ||
| Q615 | 11 | 698-700 | Q87410 | 05 | 306-307 | R390 | 11 | 695-696 | ||
| Q618 | 11 | 698-700 | Q87418 | 05 | 306-307 | R3911 | 11 | 695-696 | ||
| Q619 | 11 | 698-700 | Q8742 | 05 | 306-307 | R3912 | 11 | 695-696 | ||
| Q620 | 11 | 698-700 | Q8743 | 05 | 306-307 | R3913 | 11 | 695-696 | ||
| Q6210 | 11 | 698-700 | Q875 | 08 | 564-566 | R3914 | 11 | 695-696 | ||
| Q6211 | 11 | 698-700 | Q8781 | 08 | 564-566 | R3914 | 15 | 791 | ||
| Q6212 | 11 | 698-700 | Q8782 | 08 | 564-566 | R3914 | 15 | 793 | ||
| Q622 | 11 | 698-700 | Q8783 | 08 | 564-566 | R3915 | 11 | 695-696 | ||
| Q6231 | 11 | 698-700 | Q8784 | 08 | 564-566 | R3916 | 11 | 695-696 | ||
| Q6232 | 11 | 698-700 | Q8785 | 08 | 564-566 | R39191 | 11 | 695-696 | ||
| Q6239 | 11 | 698-700 | Q8786 | 08 | 564-566 | R39192 | 11 | 695-696 | ||
| Q624 | 11 | 698-700 | Q8789 | 08 | 564-566 | R39198 | 11 | 695-696 | ||
| Q625 | 11 | 698-700 | Q8901 | 16 | 814-816 | R392 | 11 | 695-696 | ||
| Q6260 | 11 | 698-700 | Q8909 | 16 | 814-816 | R3981 | 11 | 695-696 | ||
| Q6261 | 11 | 698-700 | Q891 | 10 | 643-645 | R3982 | 11 | 695-696 | ||
| Q6262 | 11 | 698-700 | Q892 | 10 | 643-645 | R3983 | 11 | 695-696 | ||
| Q6263 | 11 | 698-700 | Q893 | 06 | 393-395 | R3984 | 11 | 695-696 | ||
| Q6269 | 11 | 698-700 | Q894 | 06 | 393-395 | R3989 | 11 | 695-696 | ||
| Q627 | 11 | 698-700 | Q894 | 15 | 791 | R399 | 11 | 695-696 | ||
| Q628 | 11 | 698-700 | Q894 | 15 | 793 | R400 | 01 | 080-081 | ||
| Q630 | 11 | 698-700 | Q897 | 08 | 564-566 | R401 | 01 | 080-081 | ||
| Q631 | 11 | 698-700 | Q898 | 08 | 564-566 | R4020 | 01 | 080-081 | ||
| Q632 | 11 | 698-700 | Q899 | 23 | 951 | R4020 | 15 | 791 | ||
| Q633 | 11 | 698-700 | Q900 | 19 | 884 | R4020 | 15 | 793 | ||
| Q638 | 11 | 698-700 | Q901 | 19 | 884 | R402110 | 01 | 080-081 | ||
| Q639 | 11 | 698-700 | Q902 | 19 | 884 | R402110 | 15 | 791 | ||
| Q640 | 12 | 729-730 | Q909 | 19 | 884 | R402110 | 15 | 793 | ||
| Q6410 | 11 | 698-700 | Q910 | 19 | 884 | R402111 | 01 | 080-081 | ||
| Q6411 | 11 | 698-700 | Q911 | 19 | 884 | R402111 | 15 | 791 | ||
| Q6412 | 11 | 698-700 | Q912 | 19 | 884 | R402111 | 15 | 793 | ||
| Q6419 | 11 | 698-700 | Q913 | 19 | 884 | R402112 | 01 | 080-081 | ||
| Q642 | 11 | 698-700 | Q914 | 19 | 884 | R402112 | 15 | 791 | ||
| Q6431 | 11 | 698-700 | Q915 | 19 | 884 | R402112 | 15 | 793 | ||
| Q6432 | 11 | 698-700 | Q916 | 19 | 884 | R402113 | 01 | 080-081 | ||
| Q6433 | 11 | 698-700 | Q917 | 19 | 884 | R402113 | 15 | 791 | ||
| Q6439 | 11 | 698-700 | Q920 | 23 | 951 | R402113 | 15 | 793 | ||
| Q644 | 11 | 698-700 | Q921 | 23 | 951 | R402114 | 01 | 080-081 | ||
| Q645 | 11 | 698-700 | Q922 | 23 | 951 | R402114 | 15 | 791 | ||
| Q646 | 11 | 698-700 | Q925 | 23 | 951 | R402114 | 15 | 793 | ||
| Q6470 | 11 | 698-700 | Q9261 | 23 | 951 | R402120 | 01 | 080-081 | ||
| Q6471 | 11 | 698-700 | Q9262 | 23 | 951 | R402120 | 15 | 791 | ||
| Q6472 | 11 | 698-700 | Q927 | 23 | 951 | R402120 | 15 | 793 | ||
| Q6473 | 11 | 698-700 | Q928 | 23 | 951 | R402121 | 01 | 080-081 | ||
| Q6474 | 11 | 698-700 | Q929 | 23 | 951 | R402121 | 15 | 791 | ||
| Q6475 | 11 | 698-700 | Q930 | 23 | 951 | R402121 | 15 | 793 | ||
| Q6479 | 11 | 698-700 | Q931 | 23 | 951 | R402122 | 01 | 080-081 | ||
| Q648 | 11 | 698-700 | Q932 | 23 | 951 | R402122 | 15 | 791 | ||
| Q649 | 11 | 698-700 | Q933 | 19 | 884 | R402122 | 15 | 793 | ||
| Q6500 | 08 | 564-566 | Q934 | 19 | 884 | R402123 | 01 | 080-081 | ||
| Q6501 | 08 | 564-566 | Q9351 | 19 | 884 | R402123 | 15 | 791 | ||
| Q6502 | 08 | 564-566 | Q9352 | 19 | 884 | R402123 | 15 | 793 | ||
| Q651 | 08 | 564-566 | Q9359 | 19 | 884 | R402124 | 01 | 080-081 | ||
| Q652 | 08 | 564-566 | Q937 | 19 | 884 | R402124 | 15 | 791 | ||
| Q6530 | 08 | 564-566 | Q9381 | 19 | 884 | R402124 | 15 | 793 | ||
| Q6531 | 08 | 564-566 | Q9382 | 19 | 884 | R402130 | 23 | 951 | ||
| Q6532 | 08 | 564-566 | Q9388 | 19 | 884 | R402131 | 23 | 951 | ||
| Q654 | 08 | 564-566 | Q9389 | 19 | 884 | R402132 | 23 | 951 | ||
| Q655 | 08 | 564-566 | Q939 | 19 | 884 | R402133 | 23 | 951 | ||
| Q656 | 08 | 564-566 | Q950 | 23 | 951 | R402134 | 23 | 951 | ||
| Q6581 | 08 | 564-566 | Q951 | 23 | 951 | R402140 | 23 | 951 | ||
| Q6582 | 08 | 564-566 | Q952 | 23 | 951 | R402141 | 23 | 951 | ||
| Q6589 | 08 | 564-566 | Q953 | 23 | 951 | R402142 | 23 | 951 | ||
| Q659 | 08 | 564-566 | Q955 | 23 | 951 | R402143 | 23 | 951 | ||
| Q6600 | 08 | 564-566 | Q958 | 23 | 951 | R402144 | 23 | 951 | ||
| Q6601 | 08 | 564-566 | Q959 | 23 | 951 | R402210 | 01 | 080-081 | ||
| Q6602 | 08 | 564-566 | Q960 | 13 | 742-743 | R402210 | 15 | 791 | ||
| Q6610 | 08 | 564-566 | Q960 | 13 | 760-761 | R402210 | 15 | 793 | ||
| Q6611 | 08 | 564-566 | Q961 | 13 | 742-743 | R402211 | 01 | 080-081 | ||
| Q6612 | 08 | 564-566 | Q961 | 13 | 760-761 | R402211 | 15 | 791 | ||
| Q66211 | 08 | 564-566 | Q962 | 13 | 742-743 | R402211 | 15 | 793 | ||
| Q66212 | 08 | 564-566 | Q962 | 13 | 760-761 | R402212 | 01 | 080-081 | ||
| Q66219 | 08 | 564-566 | Q963 | 13 | 742-743 | R402212 | 15 | 791 | ||
| Q66221 | 08 | 564-566 | Q963 | 13 | 760-761 | R402212 | 15 | 793 | ||
| Q66222 | 08 | 564-566 | Q964 | 13 | 742-743 | R402213 | 01 | 080-081 | ||
| Q66229 | 08 | 564-566 | Q964 | 13 | 760-761 | R402213 | 15 | 791 | ||
| Q6630 | 08 | 564-566 | Q968 | 13 | 742-743 | R402213 | 15 | 793 | ||
| Q6631 | 08 | 564-566 | Q968 | 13 | 760-761 | R402214 | 01 | 080-081 | ||
| Q6632 | 08 | 564-566 | Q969 | 13 | 742-743 | R402214 | 15 | 791 | ||
| Q6640 | 08 | 564-566 | Q969 | 13 | 760-761 | R402214 | 15 | 793 | ||
| Q6641 | 08 | 564-566 | Q970 | 13 | 742-743 | R402220 | 01 | 080-081 | ||
| Q6642 | 08 | 564-566 | Q970 | 13 | 760-761 | R402220 | 15 | 791 | ||
| Q6650 | 08 | 564-566 | Q971 | 13 | 742-743 | R402220 | 15 | 793 | ||
| Q6650 | 15 | 795 | Q971 | 13 | 760-761 | R402221 | 01 | 080-081 | ||
| Q6651 | 08 | 564-566 | Q972 | 13 | 742-743 | R402221 | 15 | 791 | ||
| Q6651 | 15 | 795 | Q972 | 13 | 760-761 | R402221 | 15 | 793 | ||
| Q6652 | 08 | 564-566 | Q973 | 13 | 742-743 | R402222 | 01 | 080-081 | ||
| Q6652 | 15 | 795 | Q973 | 13 | 760-761 | R402222 | 15 | 791 | ||
| Q666 | 08 | 564-566 | Q978 | 13 | 742-743 | R402222 | 15 | 793 | ||
| Q6670 | 08 | 564-566 | Q978 | 13 | 760-761 | R402223 | 01 | 080-081 | ||
| Q6671 | 08 | 564-566 | Q979 | 13 | 742-743 | R402223 | 15 | 791 | ||
| Q6672 | 08 | 564-566 | Q979 | 13 | 760-761 | R402223 | 15 | 793 | ||
| Q6680 | 08 | 564-566 | Q980 | 12 | 729-730 | R402224 | 01 | 080-081 | ||
| Q6680 | 15 | 795 | Q981 | 12 | 729-730 | R402224 | 15 | 791 | ||
| Q6681 | 08 | 564-566 | Q983 | 12 | 729-730 | R402224 | 15 | 793 | ||
| Q6681 | 15 | 795 | Q984 | 12 | 729-730 | R402230 | 23 | 951 | ||
| Q6682 | 08 | 564-566 | Q985 | 12 | 729-730 | R402231 | 23 | 951 | ||
| Q6682 | 15 | 795 | Q985 | 13 | 742-743 | R402232 | 23 | 951 | ||
| Q6689 | 08 | 564-566 | Q985 | 13 | 760-761 | R402233 | 23 | 951 | ||
| Q6690 | 08 | 564-566 | Q986 | 12 | 729-730 | R402234 | 23 | 951 | ||
| Q6691 | 08 | 564-566 | Q987 | 12 | 729-730 | R402240 | 23 | 951 | ||
| Q6692 | 08 | 564-566 | Q988 | 12 | 729-730 | R402241 | 23 | 951 | ||
| Q670 | 08 | 564-566 | Q989 | 12 | 729-730 | R402242 | 23 | 951 | ||
| Q671 | 08 | 564-566 | Q990 | 12 | 729-730 | R402243 | 23 | 951 | ||
| Q672 | 08 | 564-566 | Q990 | 13 | 742-743 | R402244 | 23 | 951 | ||
| Q673 | 08 | 564-566 | Q990 | 13 | 760-761 | R402250 | 23 | 951 | ||
| Q674 | 08 | 564-566 | Q991 | 12 | 729-730 | R402251 | 23 | 951 | ||
| Q675 | 08 | 456-458 | Q991 | 13 | 742-743 | R402252 | 23 | 951 | ||
| Q675 | 08 | 564-566 | Q991 | 13 | 760-761 | R402253 | 23 | 951 | ||
| Q676 | 08 | 564-566 | Q992 | 19 | 884 | R402254 | 23 | 951 | ||
| Q677 | 08 | 564-566 | Q998 | 12 | 729-730 | R402310 | 01 | 080-081 | ||
| Q678 | 08 | 564-566 | Q998 | 13 | 742-743 | R402310 | 15 | 791 | ||
| Q680 | 08 | 564-566 | Q998 | 13 | 760-761 | R402310 | 15 | 793 | ||
| Q681 | 08 | 564-566 | Q999 | 23 | 951 | R402311 | 01 | 080-081 | ||
| Q682 | 08 | 564-566 | R000 | 05 | 308-310 | R402311 | 15 | 791 | ||
| Q683 | 08 | 564-566 | R000 | 15 | 791 | R402311 | 15 | 793 | ||
| Q684 | 08 | 564-566 | R000 | 15 | 793 | R402312 | 01 | 080-081 | ||
| Q685 | 08 | 564-566 | R001 | 05 | 308-310 | R402312 | 15 | 791 | ||
| Q686 | 08 | 562-563 | R002 | 05 | 308-310 | R402312 | 15 | 793 | ||
| Q688 | 08 | 564-566 | R008 | 05 | 314-316 | R402313 | 01 | 080-081 | ||
| Q690 | 08 | 564-566 | R009 | 05 | 314-316 | R402313 | 15 | 791 | ||
| Q691 | 08 | 564-566 | R010 | 05 | 306-307 | R402313 | 15 | 793 | ||
| Q692 | 08 | 564-566 | R011 | 05 | 306-307 | R402314 | 01 | 080-081 | ||
| Q699 | 08 | 564-566 | R012 | 05 | 314-316 | R402314 | 15 | 791 | ||
| Q7000 | 08 | 564-566 | R030 | 05 | 314-316 | R402314 | 15 | 793 | ||
| Q7001 | 08 | 564-566 | R031 | 05 | 314-316 | R402320 | 01 | 080-081 | ||
| Q7002 | 08 | 564-566 | R040 | 03 | 150-151 | R402320 | 15 | 791 | ||
| Q7003 | 08 | 564-566 | R041 | Pre | 011-013 | R402320 | 15 | 793 | ||
| Q7010 | 08 | 564-566 | R041 | 03 | 154-156 | R402321 | 01 | 080-081 | ||
| Q7011 | 08 | 564-566 | R042 | 04 | 204 | R402321 | 15 | 791 | ||
| Q7012 | 08 | 564-566 | R0481 | 04 | 204 | R402321 | 15 | 793 | ||
| Q7013 | 08 | 564-566 | R0489 | 04 | 204 | R402322 | 01 | 080-081 | ||
| Q7020 | 08 | 564-566 | R049 | 04 | 204 | R402322 | 15 | 791 | ||
| Q7021 | 08 | 564-566 | R051 | 04 | 204 | R402322 | 15 | 793 | ||
| Q7022 | 08 | 564-566 | R052 | 04 | 204 | R402323 | 01 | 080-081 | ||
| Q7023 | 08 | 564-566 | R053 | 04 | 204 | R402323 | 15 | 791 | ||
| Q7030 | 08 | 564-566 | R054 | 04 | 204 | R402323 | 15 | 793 | ||
| Q7031 | 08 | 564-566 | R058 | 04 | 204 | R402324 | 01 | 080-081 | ||
| Q7032 | 08 | 564-566 | R059 | 04 | 204 | R402324 | 15 | 791 | ||
| Q7033 | 08 | 564-566 | R0600 | 04 | 204 | R402324 | 15 | 793 | ||
| Q704 | 08 | 564-566 | R0601 | 04 | 204 | R402330 | 23 | 951 | ||
| Q709 | 08 | 564-566 | R0602 | 04 | 204 | R402331 | 23 | 951 | ||
| Q7100 | 08 | 564-566 | R0603 | 04 | 204 | R402332 | 23 | 951 | ||
| Q7101 | 08 | 564-566 | R0609 | 04 | 204 | R402333 | 23 | 951 | ||
| Q7102 | 08 | 564-566 | R061 | 04 | 204 | R402334 | 23 | 951 | ||
| Q7103 | 08 | 564-566 | R062 | 04 | 204 | R402340 | 01 | 080-081 | ||
| Q7110 | 08 | 564-566 | R063 | 04 | 204 | R402340 | 15 | 791 | ||
| Q7111 | 08 | 564-566 | R064 | 04 | 204 | R402340 | 15 | 793 | ||
| Q7112 | 08 | 564-566 | R065 | 03 | 154-156 | R402341 | 01 | 080-081 | ||
| Q7113 | 08 | 564-566 | R066 | 04 | 204 | R402341 | 15 | 791 | ||
| Q7120 | 08 | 564-566 | R067 | 03 | 154-156 | R402341 | 15 | 793 | ||
| Q7121 | 08 | 564-566 | R0681 | 04 | 204 | R402342 | 01 | 080-081 | ||
| Q7122 | 08 | 564-566 | R0682 | 04 | 204 | R402342 | 15 | 791 | ||
| Q7123 | 08 | 564-566 | R0683 | 04 | 204 | R402342 | 15 | 793 | ||
| Q7130 | 08 | 564-566 | R0689 | 04 | 204 | R402343 | 01 | 080-081 | ||
| Q7131 | 08 | 564-566 | R069 | 04 | 204 | R402343 | 15 | 791 | ||
| Q7132 | 08 | 564-566 | R070 | 03 | 154-156 | R402343 | 15 | 793 | ||
| Q7133 | 08 | 564-566 | R071 | 04 | 204 | R402344 | 01 | 080-081 | ||
| Q7140 | 08 | 564-566 | R072 | 05 | 313 | R402344 | 15 | 791 | ||
| Q7141 | 08 | 564-566 | R0781 | 04 | 204 | R402344 | 15 | 793 | ||
| Q7142 | 08 | 564-566 | R0782 | 05 | 313 | R402350 | 23 | 951 | ||
| Q7143 | 08 | 564-566 | R0789 | 05 | 313 | R402351 | 23 | 951 | ||
| Q7150 | 08 | 564-566 | R079 | 05 | 313 | R402352 | 23 | 951 | ||
| Q7151 | 08 | 564-566 | R0901 | 04 | 205-206 | R402353 | 23 | 951 | ||
| Q7152 | 08 | 564-566 | R0902 | 04 | 205-206 | R402354 | 23 | 951 | ||
| Q7153 | 08 | 564-566 | R091 | 04 | 193-195 | R402360 | 23 | 951 | ||
| Q7160 | 08 | 564-566 | R092 | 04 | 205-206 | R402361 | 23 | 951 | ||
| Q7161 | 08 | 564-566 | R092 | 15 | 791 | R402362 | 23 | 951 | ||
| Q7162 | 08 | 564-566 | R092 | 15 | 793 | R402363 | 23 | 951 | ||
| Q7163 | 08 | 564-566 | R093 | 04 | 204 | R402364 | 23 | 951 | ||
| Q71811 | 08 | 564-566 | R0981 | 03 | 154-156 | R402410 | 23 | 951 | ||
| Q71812 | 08 | 564-566 | R0981 | 15 | 795 | R402411 | 23 | 951 | ||
| Q71813 | 08 | 564-566 | R0982 | 03 | 154-156 | R402412 | 23 | 951 | ||
| Q71819 | 08 | 564-566 | R0989 | 05 | 314-316 | R402413 | 23 | 951 | ||
| Q71891 | 08 | 564-566 | R09A0 | 05 | 314-316 | R402414 | 23 | 951 | ||
| Q71892 | 08 | 564-566 | R09A1 | 05 | 314-316 | R402420 | 23 | 951 | ||
| Q71893 | 08 | 564-566 | R09A2 | 05 | 314-316 | R402421 | 23 | 951 | ||
| Q71899 | 08 | 564-566 | R09A9 | 05 | 314-316 | R402422 | 23 | 951 | ||
| Q7190 | 08 | 564-566 | R100 | 06 | 391-392 | R402423 | 23 | 951 | ||
| Q7191 | 08 | 564-566 | R1010 | 06 | 391-392 | R402424 | 23 | 951 | ||
| Q7192 | 08 | 564-566 | R1011 | 06 | 391-392 | R402430 | 23 | 951 | ||
| Q7193 | 08 | 564-566 | R1012 | 06 | 391-392 | R402431 | 23 | 951 | ||
| Q7200 | 08 | 564-566 | R1013 | 06 | 391-392 | R402432 | 23 | 951 | ||
| Q7201 | 08 | 564-566 | R102 | 06 | 391-392 | R402433 | 23 | 951 | ||
| Q7202 | 08 | 564-566 | R1030 | 06 | 391-392 | R402434 | 23 | 951 | ||
| Q7203 | 08 | 564-566 | R1031 | 06 | 391-392 | R402440 | 23 | 951 | ||
| Q7210 | 08 | 564-566 | R1032 | 06 | 391-392 | R402441 | 23 | 951 | ||
| Q7211 | 08 | 564-566 | R1033 | 06 | 391-392 | R402442 | 23 | 951 | ||
| Q7212 | 08 | 564-566 | R10811 | 06 | 391-392 | R402443 | 23 | 951 | ||
| Q7213 | 08 | 564-566 | R10812 | 06 | 391-392 | R402444 | 23 | 951 | ||
| Q7220 | 08 | 564-566 | R10813 | 06 | 391-392 | R402A | 01 | 080-081 | ||
| Q7221 | 08 | 564-566 | R10814 | 06 | 391-392 | R402A | 15 | 791 | ||
| Q7222 | 08 | 564-566 | R10815 | 06 | 391-392 | R402A | 15 | 793 | ||
| Q7223 | 08 | 564-566 | R10816 | 06 | 391-392 | R403 | 01 | 080-081 | ||
| Q7230 | 08 | 564-566 | R10817 | 06 | 391-392 | R403 | 15 | 791 | ||
| Q7231 | 08 | 564-566 | R10819 | 06 | 391-392 | R403 | 15 | 793 | ||
| Q7232 | 08 | 564-566 | R10821 | 06 | 391-392 | R404 | 19 | 884 | ||
| Q7233 | 08 | 564-566 | R10822 | 06 | 391-392 | R410 | 23 | 947-948 | ||
| Q7240 | 08 | 564-566 | R10823 | 06 | 391-392 | R411 | 23 | 947-948 | ||
| Q7241 | 08 | 564-566 | R10824 | 06 | 391-392 | R412 | 23 | 947-948 | ||
| Q7242 | 08 | 564-566 | R10825 | 06 | 391-392 | R413 | 23 | 947-948 | ||
| Q7243 | 08 | 564-566 | R10826 | 06 | 391-392 | R414 | 01 | 091-093 | ||
| Q7250 | 08 | 564-566 | R10827 | 06 | 391-392 | R4181 | 19 | 884 | ||
| Q7251 | 08 | 564-566 | R10829 | 06 | 391-392 | R4182 | 23 | 947-948 | ||
| Q7252 | 08 | 564-566 | R1083 | 06 | 391-392 | R4183 | 23 | 951 | ||
| Q7253 | 08 | 564-566 | R1084 | 06 | 391-392 | R41840 | 19 | 886 | ||
| Q7260 | 08 | 564-566 | R109 | 06 | 391-392 | R41841 | 19 | 884 | ||
| Q7261 | 08 | 564-566 | R110 | 06 | 391-392 | R41842 | 01 | 091-093 | ||
| Q7262 | 08 | 564-566 | R1110 | 06 | 391-392 | R41843 | 19 | 884 | ||
| Q7263 | 08 | 564-566 | R1111 | 06 | 391-392 | R41844 | 19 | 884 | ||
| Q7270 | 08 | 564-566 | R1112 | 06 | 391-392 | R4185 | 19 | 884 | ||
| Q7271 | 08 | 564-566 | R1113 | 06 | 393-395 | R4189 | 19 | 884 | ||
| Q7272 | 08 | 564-566 | R1114 | 06 | 391-392 | R419 | 23 | 947-948 | ||
| Q7273 | 08 | 564-566 | R1115 | 06 | 393-395 | R42 | 03 | 149 | ||
| Q72811 | 08 | 564-566 | R112 | 06 | 391-392 | R430 | 01 | 091-093 | ||
| Q72812 | 08 | 564-566 | R12 | 06 | 391-392 | R431 | 01 | 091-093 | ||
| Q72813 | 08 | 564-566 | R130 | 06 | 391-392 | R432 | 01 | 091-093 | ||
| Q72819 | 08 | 564-566 | R1310 | 06 | 391-392 | R438 | 01 | 091-093 | ||
| Q72891 | 08 | 564-566 | R1311 | 06 | 391-392 | R439 | 01 | 091-093 | ||
| Q72892 | 08 | 564-566 | R1312 | 06 | 391-392 | R440 | 19 | 880 | ||
| Q72893 | 08 | 564-566 | R1313 | 06 | 391-392 | R441 | 02 | 124-125 | ||
| Q72899 | 08 | 564-566 | R1314 | 06 | 391-392 | R442 | 19 | 880 | ||
| Q7290 | 08 | 564-566 | R1319 | 06 | 391-392 | R443 | 19 | 880 | ||
| Q7291 | 08 | 564-566 | R140 | 06 | 391-392 | R448 | 23 | 951 | ||
| Q7292 | 08 | 564-566 | R141 | 06 | 391-392 | R449 | 23 | 951 | ||
| Q7293 | 08 | 564-566 | R142 | 06 | 391-392 | R450 | 19 | 880 | ||
| Q730 | 08 | 564-566 | R143 | 06 | 391-392 | R451 | 19 | 884 | ||
| Q731 | 08 | 564-566 | R150 | 06 | 391-392 | R452 | 19 | 880 | ||
| Q738 | 08 | 564-566 | R151 | 06 | 391-392 | R453 | 19 | 880 | ||
| Q740 | 08 | 564-566 | R152 | 06 | 391-392 | R454 | 19 | 880 | ||
| Q741 | 08 | 564-566 | R159 | 06 | 391-392 | R455 | 19 | 880 | ||
| Q742 | 08 | 564-566 | R160 | 07 | 441-443 | R456 | 19 | 880 | ||
| Q743 | 08 | 564-566 | R161 | 16 | 814-816 | R457 | 19 | 880 | ||
| Q748 | 08 | 564-566 | R162 | 07 | 441-443 | R4581 | 19 | 884 | ||
| Q749 | 08 | 564-566 | R17 | 07 | 441-443 | R4582 | 19 | 884 | ||
| Q75001 | 08 | 564-566 | R180 | 23 | 947-948 | R4583 | 23 | 947-948 | ||
| Q75002 | 08 | 564-566 | R188 | 23 | 947-948 | R4584 | 23 | 947-948 | ||
| Q75009 | 08 | 564-566 | R1900 | 06 | 391-392 | R45850 | 23 | 951 | ||
| Q7501 | 08 | 564-566 | R1901 | 06 | 391-392 | R45851 | 19 | 880 | ||
| Q75021 | 08 | 564-566 | R1902 | 06 | 391-392 | R4586 | 19 | 883 | ||
| Q75022 | 08 | 564-566 | R1903 | 06 | 391-392 | R4587 | 19 | 882 | ||
| Q75029 | 08 | 564-566 | R1904 | 06 | 391-392 | R4588 | 19 | 883 | ||
| Q7503 | 08 | 564-566 | R1905 | 06 | 391-392 | R4589 | 19 | 880 | ||
| Q75041 | 08 | 564-566 | R1906 | 06 | 391-392 | R460 | 23 | 951 | ||
| Q75042 | 08 | 564-566 | R1907 | 06 | 391-392 | R461 | 23 | 951 | ||
| Q75049 | 08 | 564-566 | R1909 | 06 | 391-392 | R462 | 23 | 951 | ||
| Q75051 | 08 | 564-566 | R1911 | 06 | 391-392 | R463 | 23 | 951 | ||
| Q75052 | 08 | 564-566 | R1912 | 06 | 391-392 | R464 | 23 | 951 | ||
| Q75058 | 08 | 564-566 | R1915 | 06 | 391-392 | R465 | 23 | 951 | ||
| Q7508 | 08 | 564-566 | R192 | 06 | 391-392 | R466 | 23 | 951 | ||
| Q751 | 08 | 564-566 | R1930 | 06 | 393-395 | R467 | 23 | 951 | ||
| Q752 | 08 | 564-566 | R1931 | 06 | 393-395 | R4681 | 23 | 951 | ||
| Q753 | 08 | 564-566 | R1932 | 06 | 393-395 | R4689 | 23 | 951 | ||
| Q754 | 08 | 564-566 | R1933 | 06 | 393-395 | R4701 | 01 | 091-093 | ||
| Q755 | 08 | 564-566 | R1934 | 06 | 393-395 | R4702 | 01 | 091-093 | ||
| Q758 | 08 | 564-566 | R1935 | 06 | 393-395 | R471 | 01 | 091-093 | ||
| Q759 | 08 | 564-566 | R1936 | 06 | 393-395 | R4781 | 01 | 091-093 | ||
| Q760 | 01 | 091-093 | R1937 | 06 | 393-395 | R4782 | 01 | 091-093 | ||
| Q761 | 08 | 564-566 | R194 | 06 | 391-392 | R4789 | 01 | 091-093 | ||
| Q762 | 08 | 551-552 | R195 | 06 | 391-392 | R479 | 01 | 091-093 | ||
| Q763 | 08 | 456-458 | R196 | 03 | 154-156 | R480 | 19 | 886 | ||
| Q763 | 08 | 564-566 | R197 | 06 | 391-392 | R481 | 19 | 886 | ||
| Q76411 | 08 | 551-552 | R198 | 06 | 391-392 | R482 | 19 | 886 | ||
| Q76412 | 08 | 551-552 | R200 | 01 | 091-093 | R483 | 02 | 124-125 | ||
| Q76413 | 08 | 551-552 | R201 | 01 | 091-093 | R488 | 19 | 886 | ||
| Q76414 | 08 | 551-552 | R202 | 01 | 091-093 | R489 | 19 | 887 | ||
| Q76415 | 08 | 551-552 | R203 | 01 | 091-093 | R490 | 03 | 154-156 | ||
| Q76419 | 08 | 551-552 | R208 | 01 | 091-093 | R491 | 03 | 154-156 | ||
| Q76425 | 08 | 456-458 | R209 | 01 | 091-093 | R4921 | 03 | 154-156 | ||
| Q76425 | 08 | 564-566 | R21 | 09 | 606-607 | R4922 | 03 | 154-156 | ||
| Q76426 | 08 | 456-458 | R220 | 09 | 606-607 | R498 | 03 | 154-156 | ||
| Q76426 | 08 | 564-566 | R221 | 09 | 606-607 | R499 | 03 | 154-156 |
| | |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 22 Jan 2025 17:07:44 CMS, code-revision=368, description-revision=1425 |