ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual
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ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 17 of 72 |
| A000 B309 C601 C8445 D3142 E103293 E881 G4453 H15109 H40819 H90A12 I6381 J029 K50918 L509 M02822 M1A3190 M4205 M67841 M84461D M8719 N4231 O2330 O354XX1 O418X92 O99612 Q51818 R627 S0211FB S06336D S12191G S20301D S24101D S31123D S32451A S36430D S42019D S42413D S45899S S52026H S52261K S52513Q S55112S S59902A S61326A S62291G S62636D S63431S S66327S S72019D S72133G S72366K S73129A S81059D S82153F S82434H S82875K S86329A S91124S S92241D S93429D S99209P T22311A T24292S T365X6D T4276XA T474X3S T543X4S T653X1S T82199D T86849 Z8545 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| M1A3190 | 08 | 553-554 | M24075 | 08 | 564-566 | M2601 | Pre | 011-013 | ||
| M1A3191 | 08 | 553-554 | M24076 | 08 | 564-566 | M2601 | 03 | 157-159 | ||
| M1A3210 | 08 | 553-554 | M2408 | 08 | 564-566 | M2602 | Pre | 011-013 | ||
| M1A3211 | 08 | 553-554 | M2410 | 08 | 564-566 | M2602 | 03 | 157-159 | ||
| M1A3220 | 08 | 553-554 | M24111 | 08 | 562-563 | M2603 | Pre | 011-013 | ||
| M1A3221 | 08 | 553-554 | M24112 | 08 | 562-563 | M2603 | 03 | 157-159 | ||
| M1A3290 | 08 | 553-554 | M24119 | 08 | 562-563 | M2604 | Pre | 011-013 | ||
| M1A3291 | 08 | 553-554 | M24121 | 08 | 562-563 | M2604 | 03 | 157-159 | ||
| M1A3310 | 08 | 553-554 | M24122 | 08 | 562-563 | M2605 | Pre | 011-013 | ||
| M1A3311 | 08 | 553-554 | M24129 | 08 | 562-563 | M2605 | 03 | 157-159 | ||
| M1A3320 | 08 | 553-554 | M24131 | 08 | 562-563 | M2606 | Pre | 011-013 | ||
| M1A3321 | 08 | 553-554 | M24132 | 08 | 562-563 | M2606 | 03 | 157-159 | ||
| M1A3390 | 08 | 553-554 | M24139 | 08 | 562-563 | M2607 | Pre | 011-013 | ||
| M1A3391 | 08 | 553-554 | M24141 | 08 | 562-563 | M2607 | 03 | 157-159 | ||
| M1A3410 | 08 | 553-554 | M24142 | 08 | 562-563 | M2609 | Pre | 011-013 | ||
| M1A3411 | 08 | 553-554 | M24149 | 08 | 562-563 | M2609 | 03 | 157-159 | ||
| M1A3420 | 08 | 553-554 | M24151 | 08 | 564-566 | M2610 | Pre | 011-013 | ||
| M1A3421 | 08 | 553-554 | M24152 | 08 | 564-566 | M2610 | 03 | 157-159 | ||
| M1A3490 | 08 | 553-554 | M24159 | 08 | 564-566 | M2611 | Pre | 011-013 | ||
| M1A3491 | 08 | 553-554 | M24171 | 08 | 562-563 | M2611 | 03 | 157-159 | ||
| M1A3510 | 08 | 553-554 | M24172 | 08 | 562-563 | M2612 | Pre | 011-013 | ||
| M1A3511 | 08 | 553-554 | M24173 | 08 | 562-563 | M2612 | 03 | 157-159 | ||
| M1A3520 | 08 | 553-554 | M24174 | 08 | 562-563 | M2619 | Pre | 011-013 | ||
| M1A3521 | 08 | 553-554 | M24175 | 08 | 562-563 | M2619 | 03 | 157-159 | ||
| M1A3590 | 08 | 553-554 | M24176 | 08 | 562-563 | M2620 | Pre | 011-013 | ||
| M1A3591 | 08 | 553-554 | M2420 | 08 | 557-558 | M2620 | 03 | 157-159 | ||
| M1A3610 | 08 | 553-554 | M24211 | 08 | 557-558 | M26211 | Pre | 011-013 | ||
| M1A3611 | 08 | 553-554 | M24212 | 08 | 557-558 | M26211 | 03 | 157-159 | ||
| M1A3620 | 08 | 553-554 | M24219 | 08 | 557-558 | M26212 | Pre | 011-013 | ||
| M1A3621 | 08 | 553-554 | M24221 | 08 | 557-558 | M26212 | 03 | 157-159 | ||
| M1A3690 | 08 | 553-554 | M24222 | 08 | 557-558 | M26213 | Pre | 011-013 | ||
| M1A3691 | 08 | 553-554 | M24229 | 08 | 557-558 | M26213 | 03 | 157-159 | ||
| M1A3710 | 08 | 553-554 | M24231 | 08 | 557-558 | M26219 | Pre | 011-013 | ||
| M1A3711 | 08 | 553-554 | M24232 | 08 | 557-558 | M26219 | 03 | 157-159 | ||
| M1A3720 | 08 | 553-554 | M24239 | 08 | 557-558 | M26220 | Pre | 011-013 | ||
| M1A3721 | 08 | 553-554 | M24241 | 08 | 557-558 | M26220 | 03 | 157-159 | ||
| M1A3790 | 08 | 553-554 | M24242 | 08 | 557-558 | M26221 | Pre | 011-013 | ||
| M1A3791 | 08 | 553-554 | M24249 | 08 | 557-558 | M26221 | 03 | 157-159 | ||
| M1A38X0 | 08 | 553-554 | M24251 | 08 | 557-558 | M2623 | Pre | 011-013 | ||
| M1A38X1 | 08 | 553-554 | M24252 | 08 | 557-558 | M2623 | 03 | 157-159 | ||
| M1A39X0 | 08 | 553-554 | M24259 | 08 | 557-558 | M2624 | Pre | 011-013 | ||
| M1A39X1 | 08 | 553-554 | M24271 | 08 | 557-558 | M2624 | 03 | 157-159 | ||
| M1A40X0 | 08 | 553-554 | M24272 | 08 | 557-558 | M2625 | Pre | 011-013 | ||
| M1A40X1 | 08 | 553-554 | M24273 | 08 | 557-558 | M2625 | 03 | 157-159 | ||
| M1A4110 | 08 | 553-554 | M24274 | 08 | 557-558 | M2629 | Pre | 011-013 | ||
| M1A4111 | 08 | 553-554 | M24275 | 08 | 557-558 | M2629 | 03 | 157-159 | ||
| M1A4120 | 08 | 553-554 | M24276 | 08 | 557-558 | M2630 | Pre | 011-013 | ||
| M1A4121 | 08 | 553-554 | M2428 | 08 | 557-558 | M2630 | 03 | 157-159 | ||
| M1A4190 | 08 | 553-554 | M2430 | 08 | 562-563 | M2631 | Pre | 011-013 | ||
| M1A4191 | 08 | 553-554 | M24311 | 08 | 562-563 | M2631 | 03 | 157-159 | ||
| M1A4210 | 08 | 553-554 | M24312 | 08 | 562-563 | M2632 | Pre | 011-013 | ||
| M1A4211 | 08 | 553-554 | M24319 | 08 | 562-563 | M2632 | 03 | 157-159 | ||
| M1A4220 | 08 | 553-554 | M24321 | 08 | 562-563 | M2633 | Pre | 011-013 | ||
| M1A4221 | 08 | 553-554 | M24322 | 08 | 562-563 | M2633 | 03 | 157-159 | ||
| M1A4290 | 08 | 553-554 | M24329 | 08 | 562-563 | M2634 | Pre | 011-013 | ||
| M1A4291 | 08 | 553-554 | M24331 | 08 | 562-563 | M2634 | 03 | 157-159 | ||
| M1A4310 | 08 | 553-554 | M24332 | 08 | 562-563 | M2635 | Pre | 011-013 | ||
| M1A4311 | 08 | 553-554 | M24339 | 08 | 562-563 | M2635 | 03 | 157-159 | ||
| M1A4320 | 08 | 553-554 | M24341 | 08 | 562-563 | M2636 | Pre | 011-013 | ||
| M1A4321 | 08 | 553-554 | M24342 | 08 | 562-563 | M2636 | 03 | 157-159 | ||
| M1A4390 | 08 | 553-554 | M24349 | 08 | 562-563 | M2637 | Pre | 011-013 | ||
| M1A4391 | 08 | 553-554 | M24351 | 08 | 564-566 | M2637 | 03 | 157-159 | ||
| M1A4410 | 08 | 553-554 | M24352 | 08 | 564-566 | M2639 | Pre | 011-013 | ||
| M1A4411 | 08 | 553-554 | M24359 | 08 | 564-566 | M2639 | 03 | 157-159 | ||
| M1A4420 | 08 | 553-554 | M24361 | 08 | 562-563 | M264 | Pre | 011-013 | ||
| M1A4421 | 08 | 553-554 | M24362 | 08 | 562-563 | M264 | 03 | 157-159 | ||
| M1A4490 | 08 | 553-554 | M24369 | 08 | 562-563 | M2650 | Pre | 011-013 | ||
| M1A4491 | 08 | 553-554 | M24371 | 08 | 562-563 | M2650 | 03 | 157-159 | ||
| M1A4510 | 08 | 553-554 | M24372 | 08 | 562-563 | M2651 | Pre | 011-013 | ||
| M1A4511 | 08 | 553-554 | M24373 | 08 | 562-563 | M2651 | 03 | 157-159 | ||
| M1A4520 | 08 | 553-554 | M24374 | 08 | 562-563 | M2652 | Pre | 011-013 | ||
| M1A4521 | 08 | 553-554 | M24375 | 08 | 562-563 | M2652 | 03 | 157-159 | ||
| M1A4590 | 08 | 553-554 | M24376 | 08 | 562-563 | M2653 | Pre | 011-013 | ||
| M1A4591 | 08 | 553-554 | M2440 | 08 | 564-566 | M2653 | 03 | 157-159 | ||
| M1A4610 | 08 | 553-554 | M24411 | 08 | 562-563 | M2654 | Pre | 011-013 | ||
| M1A4611 | 08 | 553-554 | M24412 | 08 | 562-563 | M2654 | 03 | 157-159 | ||
| M1A4620 | 08 | 553-554 | M24419 | 08 | 562-563 | M2655 | Pre | 011-013 | ||
| M1A4621 | 08 | 553-554 | M24421 | 08 | 562-563 | M2655 | 03 | 157-159 | ||
| M1A4690 | 08 | 553-554 | M24422 | 08 | 562-563 | M2656 | Pre | 011-013 | ||
| M1A4691 | 08 | 553-554 | M24429 | 08 | 562-563 | M2656 | 03 | 157-159 | ||
| M1A4710 | 08 | 553-554 | M24431 | 08 | 562-563 | M2657 | Pre | 011-013 | ||
| M1A4711 | 08 | 553-554 | M24432 | 08 | 562-563 | M2657 | 03 | 157-159 | ||
| M1A4720 | 08 | 553-554 | M24439 | 08 | 562-563 | M2659 | Pre | 011-013 | ||
| M1A4721 | 08 | 553-554 | M24441 | 08 | 562-563 | M2659 | 03 | 157-159 | ||
| M1A4790 | 08 | 553-554 | M24442 | 08 | 562-563 | M26601 | Pre | 011-013 | ||
| M1A4791 | 08 | 553-554 | M24443 | 08 | 562-563 | M26601 | 03 | 157-159 | ||
| M1A48X0 | 08 | 553-554 | M24444 | 08 | 562-563 | M26602 | Pre | 011-013 | ||
| M1A48X1 | 08 | 553-554 | M24445 | 08 | 562-563 | M26602 | 03 | 157-159 | ||
| M1A49X0 | 08 | 553-554 | M24446 | 08 | 562-563 | M26603 | Pre | 011-013 | ||
| M1A49X1 | 08 | 553-554 | M24451 | 08 | 564-566 | M26603 | 03 | 157-159 | ||
| M1A9XX0 | 08 | 553-554 | M24452 | 08 | 564-566 | M26609 | Pre | 011-013 | ||
| M1A9XX1 | 08 | 553-554 | M24459 | 08 | 564-566 | M26609 | 03 | 157-159 | ||
| M20001 | 08 | 564-566 | M24461 | 08 | 562-563 | M26611 | Pre | 011-013 | ||
| M20002 | 08 | 564-566 | M24462 | 08 | 562-563 | M26611 | 03 | 157-159 | ||
| M20009 | 08 | 564-566 | M24469 | 08 | 562-563 | M26612 | Pre | 011-013 | ||
| M20011 | 08 | 564-566 | M24471 | 08 | 562-563 | M26612 | 03 | 157-159 | ||
| M20012 | 08 | 564-566 | M24472 | 08 | 562-563 | M26613 | Pre | 011-013 | ||
| M20019 | 08 | 564-566 | M24473 | 08 | 562-563 | M26613 | 03 | 157-159 | ||
| M20021 | 08 | 564-566 | M24474 | 08 | 562-563 | M26619 | Pre | 011-013 | ||
| M20022 | 08 | 564-566 | M24475 | 08 | 562-563 | M26619 | 03 | 157-159 | ||
| M20029 | 08 | 564-566 | M24476 | 08 | 562-563 | M26621 | Pre | 011-013 | ||
| M20031 | 08 | 564-566 | M24477 | 08 | 562-563 | M26621 | 03 | 157-159 | ||
| M20032 | 08 | 564-566 | M24478 | 08 | 562-563 | M26622 | Pre | 011-013 | ||
| M20039 | 08 | 564-566 | M24479 | 08 | 562-563 | M26622 | 03 | 157-159 | ||
| M20091 | 08 | 564-566 | M2450 | 08 | 564-566 | M26623 | Pre | 011-013 | ||
| M20092 | 08 | 564-566 | M24511 | 08 | 564-566 | M26623 | 03 | 157-159 | ||
| M20099 | 08 | 564-566 | M24512 | 08 | 564-566 | M26629 | Pre | 011-013 | ||
| M2010 | 08 | 564-566 | M24519 | 08 | 564-566 | M26629 | 03 | 157-159 | ||
| M2011 | 08 | 564-566 | M24521 | 08 | 564-566 | M26631 | Pre | 011-013 | ||
| M2012 | 08 | 564-566 | M24522 | 08 | 564-566 | M26631 | 03 | 157-159 | ||
| M2020 | 08 | 564-566 | M24529 | 08 | 564-566 | M26632 | Pre | 011-013 | ||
| M2021 | 08 | 564-566 | M24531 | 08 | 564-566 | M26632 | 03 | 157-159 | ||
| M2022 | 08 | 564-566 | M24532 | 08 | 564-566 | M26633 | Pre | 011-013 | ||
| M2030 | 08 | 564-566 | M24539 | 08 | 564-566 | M26633 | 03 | 157-159 | ||
| M2031 | 08 | 564-566 | M24541 | 08 | 564-566 | M26639 | Pre | 011-013 | ||
| M2032 | 08 | 564-566 | M24542 | 08 | 564-566 | M26639 | 03 | 157-159 | ||
| M2040 | 08 | 564-566 | M24549 | 08 | 564-566 | M2669 | Pre | 011-013 | ||
| M2041 | 08 | 564-566 | M24551 | 08 | 564-566 | M2669 | 03 | 157-159 | ||
| M2042 | 08 | 564-566 | M24552 | 08 | 564-566 | M2670 | Pre | 011-013 | ||
| M205X1 | 08 | 564-566 | M24559 | 08 | 564-566 | M2670 | 03 | 157-159 | ||
| M205X2 | 08 | 564-566 | M24561 | 08 | 564-566 | M2671 | Pre | 011-013 | ||
| M205X9 | 08 | 564-566 | M24562 | 08 | 564-566 | M2671 | 03 | 157-159 | ||
| M2060 | 08 | 564-566 | M24569 | 08 | 564-566 | M2672 | Pre | 011-013 | ||
| M2061 | 08 | 564-566 | M24571 | 08 | 564-566 | M2672 | 03 | 157-159 | ||
| M2062 | 08 | 564-566 | M24572 | 08 | 564-566 | M2673 | Pre | 011-013 | ||
| M2100 | 08 | 564-566 | M24573 | 08 | 564-566 | M2673 | 03 | 157-159 | ||
| M21021 | 08 | 564-566 | M24574 | 08 | 564-566 | M2674 | Pre | 011-013 | ||
| M21022 | 08 | 564-566 | M24575 | 08 | 564-566 | M2674 | 03 | 157-159 | ||
| M21029 | 08 | 564-566 | M24576 | 08 | 564-566 | M2679 | Pre | 011-013 | ||
| M21051 | 08 | 564-566 | M2460 | 08 | 553-554 | M2679 | 03 | 157-159 | ||
| M21052 | 08 | 564-566 | M24611 | 08 | 553-554 | M2681 | Pre | 011-013 | ||
| M21059 | 08 | 564-566 | M24612 | 08 | 553-554 | M2681 | 03 | 157-159 | ||
| M21061 | 08 | 564-566 | M24619 | 08 | 553-554 | M2682 | Pre | 011-013 | ||
| M21062 | 08 | 564-566 | M24621 | 08 | 553-554 | M2682 | 03 | 157-159 | ||
| M21069 | 08 | 564-566 | M24622 | 08 | 553-554 | M2689 | Pre | 011-013 | ||
| M21071 | 08 | 564-566 | M24629 | 08 | 553-554 | M2689 | 03 | 157-159 | ||
| M21072 | 08 | 564-566 | M24631 | 08 | 553-554 | M269 | Pre | 011-013 | ||
| M21079 | 08 | 564-566 | M24632 | 08 | 553-554 | M269 | 03 | 157-159 | ||
| M2110 | 08 | 564-566 | M24639 | 08 | 553-554 | M270 | Pre | 011-013 | ||
| M21121 | 08 | 564-566 | M24641 | 08 | 553-554 | M270 | 03 | 157-159 | ||
| M21122 | 08 | 564-566 | M24642 | 08 | 553-554 | M271 | Pre | 011-013 | ||
| M21129 | 08 | 564-566 | M24649 | 08 | 553-554 | M271 | 03 | 157-159 | ||
| M21151 | 08 | 564-566 | M24651 | 08 | 553-554 | M272 | Pre | 011-013 | ||
| M21152 | 08 | 564-566 | M24652 | 08 | 553-554 | M272 | 03 | 157-159 | ||
| M21159 | 08 | 564-566 | M24659 | 08 | 553-554 | M273 | Pre | 011-013 | ||
| M21161 | 08 | 564-566 | M24661 | 08 | 553-554 | M273 | 03 | 157-159 | ||
| M21162 | 08 | 564-566 | M24662 | 08 | 553-554 | M2740 | Pre | 011-013 | ||
| M21169 | 08 | 564-566 | M24669 | 08 | 553-554 | M2740 | 03 | 157-159 | ||
| M21171 | 08 | 564-566 | M24671 | 08 | 553-554 | M2749 | Pre | 011-013 | ||
| M21172 | 08 | 564-566 | M24672 | 08 | 553-554 | M2749 | 03 | 157-159 | ||
| M21179 | 08 | 564-566 | M24673 | 08 | 553-554 | M2751 | Pre | 011-013 | ||
| M2120 | 08 | 564-566 | M24674 | 08 | 553-554 | M2751 | 03 | 157-159 | ||
| M21211 | 08 | 564-566 | M24675 | 08 | 553-554 | M2752 | Pre | 011-013 | ||
| M21212 | 08 | 564-566 | M24676 | 08 | 553-554 | M2752 | 03 | 157-159 | ||
| M21219 | 08 | 564-566 | M247 | 08 | 564-566 | M2753 | Pre | 011-013 | ||
| M21221 | 08 | 564-566 | M2480 | 08 | 564-566 | M2753 | 03 | 157-159 | ||
| M21222 | 08 | 564-566 | M24811 | 08 | 564-566 | M2759 | Pre | 011-013 | ||
| M21229 | 08 | 564-566 | M24812 | 08 | 564-566 | M2759 | 03 | 157-159 | ||
| M21231 | 08 | 564-566 | M24819 | 08 | 564-566 | M2761 | Pre | 011-013 | ||
| M21232 | 08 | 564-566 | M24821 | 08 | 564-566 | M2761 | 03 | 157-159 | ||
| M21239 | 08 | 564-566 | M24822 | 08 | 564-566 | M2762 | Pre | 011-013 | ||
| M21241 | 08 | 564-566 | M24829 | 08 | 564-566 | M2762 | 03 | 157-159 | ||
| M21242 | 08 | 564-566 | M24831 | 08 | 564-566 | M2763 | Pre | 011-013 | ||
| M21249 | 08 | 564-566 | M24832 | 08 | 564-566 | M2763 | 03 | 157-159 | ||
| M21251 | 08 | 564-566 | M24839 | 08 | 564-566 | M2769 | Pre | 011-013 | ||
| M21252 | 08 | 564-566 | M24841 | 08 | 564-566 | M2769 | 03 | 157-159 | ||
| M21259 | 08 | 564-566 | M24842 | 08 | 564-566 | M278 | Pre | 011-013 | ||
| M21261 | 08 | 564-566 | M24849 | 08 | 564-566 | M278 | 03 | 157-159 | ||
| M21262 | 08 | 564-566 | M24851 | 08 | 564-566 | M279 | Pre | 011-013 | ||
| M21269 | 08 | 564-566 | M24852 | 08 | 564-566 | M279 | 03 | 157-159 | ||
| M21271 | 08 | 564-566 | M24859 | 08 | 564-566 | M300 | 08 | 545-547 | ||
| M21272 | 08 | 564-566 | M24871 | 08 | 564-566 | M301 | 08 | 542-544 | ||
| M21279 | 08 | 564-566 | M24872 | 08 | 564-566 | M302 | 08 | 545-547 | ||
| M21331 | 01 | 073-074 | M24873 | 08 | 564-566 | M303 | 08 | 545-547 | ||
| M21332 | 01 | 073-074 | M24874 | 08 | 564-566 | M308 | 08 | 545-547 | ||
| M21339 | 01 | 073-074 | M24875 | 08 | 564-566 | M310 | 08 | 545-547 | ||
| M21371 | 08 | 564-566 | M24876 | 08 | 564-566 | M311 | 08 | 545-547 | ||
| M21372 | 08 | 564-566 | M249 | 08 | 564-566 | M312 | 08 | 542-544 | ||
| M21379 | 08 | 564-566 | M2500 | 08 | 553-554 | M3130 | 08 | 542-544 | ||
| M2140 | 08 | 564-566 | M25011 | 08 | 553-554 | M3131 | 08 | 542-544 | ||
| M2141 | 08 | 564-566 | M25012 | 08 | 553-554 | M314 | 08 | 545-547 | ||
| M2142 | 08 | 564-566 | M25019 | 08 | 553-554 | M315 | 08 | 545-547 | ||
| M21511 | 01 | 073-074 | M25021 | 08 | 553-554 | M316 | 08 | 545-547 | ||
| M21512 | 01 | 073-074 | M25022 | 08 | 553-554 | M317 | 08 | 545-547 | ||
| M21519 | 01 | 073-074 | M25029 | 08 | 553-554 | M318 | 05 | 299-301 | ||
| M21521 | 01 | 073-074 | M25031 | 08 | 553-554 | M319 | 05 | 299-301 | ||
| M21522 | 01 | 073-074 | M25032 | 08 | 553-554 | M320 | 08 | 545-547 | ||
| M21529 | 01 | 073-074 | M25039 | 08 | 553-554 | M3210 | 08 | 545-547 | ||
| M21531 | 01 | 073-074 | M25041 | 08 | 553-554 | M3211 | 08 | 545-547 | ||
| M21532 | 01 | 073-074 | M25042 | 08 | 553-554 | M3212 | 08 | 545-547 | ||
| M21539 | 01 | 073-074 | M25049 | 08 | 553-554 | M3213 | 08 | 545-547 | ||
| M21541 | 08 | 564-566 | M25051 | 08 | 553-554 | M3214 | 08 | 545-547 | ||
| M21542 | 08 | 564-566 | M25052 | 08 | 553-554 | M3215 | 08 | 545-547 | ||
| M21549 | 08 | 564-566 | M25059 | 08 | 553-554 | M3219 | 08 | 545-547 | ||
| M21611 | 08 | 564-566 | M25061 | 08 | 553-554 | M328 | 08 | 545-547 | ||
| M21612 | 08 | 564-566 | M25062 | 08 | 553-554 | M329 | 08 | 545-547 | ||
| M21619 | 08 | 564-566 | M25069 | 08 | 553-554 | M3300 | 08 | 545-547 | ||
| M21621 | 08 | 564-566 | M25071 | 08 | 553-554 | M3301 | 08 | 545-547 | ||
| M21622 | 08 | 564-566 | M25072 | 08 | 553-554 | M3302 | 08 | 545-547 | ||
| M21629 | 08 | 564-566 | M25073 | 08 | 553-554 | M3303 | 08 | 545-547 | ||
| M216X1 | 08 | 564-566 | M25074 | 08 | 553-554 | M3309 | 08 | 545-547 | ||
| M216X2 | 08 | 564-566 | M25075 | 08 | 553-554 | M3310 | 08 | 545-547 | ||
| M216X9 | 08 | 564-566 | M25076 | 08 | 553-554 | M3311 | 08 | 545-547 | ||
| M2170 | 08 | 564-566 | M2508 | 08 | 553-554 | M3312 | 08 | 545-547 | ||
| M21721 | 08 | 564-566 | M2510 | 08 | 555-556 | M3313 | 08 | 545-547 | ||
| M21722 | 08 | 564-566 | M25111 | 08 | 555-556 | M3319 | 08 | 545-547 | ||
| M21729 | 08 | 564-566 | M25112 | 08 | 555-556 | M3320 | 08 | 545-547 | ||
| M21731 | 08 | 564-566 | M25119 | 08 | 555-556 | M3321 | 08 | 545-547 | ||
| M21732 | 08 | 564-566 | M25121 | 08 | 555-556 | M3322 | 08 | 545-547 | ||
| M21733 | 08 | 564-566 | M25122 | 08 | 555-556 | M3329 | 08 | 545-547 | ||
| M21734 | 08 | 564-566 | M25129 | 08 | 555-556 | M3390 | 08 | 545-547 | ||
| M21739 | 08 | 564-566 | M25131 | 08 | 555-556 | M3391 | 08 | 545-547 | ||
| M21751 | 08 | 564-566 | M25132 | 08 | 555-556 | M3392 | 08 | 545-547 | ||
| M21752 | 08 | 564-566 | M25139 | 08 | 555-556 | M3393 | 08 | 545-547 | ||
| M21759 | 08 | 564-566 | M25141 | 08 | 555-556 | M3399 | 08 | 545-547 | ||
| M21761 | 08 | 564-566 | M25142 | 08 | 555-556 | M340 | 08 | 545-547 | ||
| M21762 | 08 | 564-566 | M25149 | 08 | 555-556 | M341 | 08 | 545-547 | ||
| M21763 | 08 | 564-566 | M25151 | 08 | 555-556 | M342 | 08 | 545-547 | ||
| M21764 | 08 | 564-566 | M25152 | 08 | 555-556 | M3481 | 04 | 196-198 | ||
| M21769 | 08 | 564-566 | M25159 | 08 | 555-556 | M3482 | 08 | 545-547 | ||
| M2180 | 08 | 564-566 | M25161 | 08 | 555-556 | M3483 | 01 | 073-074 | ||
| M21821 | 08 | 564-566 | M25162 | 08 | 555-556 | M3489 | 08 | 545-547 | ||
| M21822 | 08 | 564-566 | M25169 | 08 | 555-556 | M349 | 08 | 545-547 | ||
| M21829 | 08 | 564-566 | M25171 | 08 | 555-556 | M3500 | 08 | 545-547 | ||
| M21831 | 08 | 564-566 | M25172 | 08 | 555-556 | M3501 | 08 | 545-547 | ||
| M21832 | 08 | 564-566 | M25173 | 08 | 555-556 | M3502 | 08 | 545-547 | ||
| M21839 | 08 | 564-566 | M25174 | 08 | 555-556 | M3503 | 08 | 545-547 | ||
| M21851 | 08 | 564-566 | M25175 | 08 | 555-556 | M3504 | 08 | 545-547 | ||
| M21852 | 08 | 564-566 | M25176 | 08 | 555-556 | M3509 | 08 | 545-547 | ||
| M21859 | 08 | 564-566 | M2518 | 08 | 555-556 | M351 | 08 | 545-547 | ||
| M21861 | 08 | 564-566 | M2520 | 08 | 564-566 | M352 | 08 | 545-547 | ||
| M21862 | 08 | 564-566 | M25211 | 08 | 564-566 | M353 | 08 | 545-547 | ||
| M21869 | 08 | 564-566 | M25212 | 08 | 564-566 | M354 | 08 | 557-558 | ||
| M2190 | 08 | 564-566 | M25219 | 08 | 564-566 | M355 | 08 | 545-547 | ||
| M21921 | 08 | 564-566 | M25221 | 08 | 564-566 | M356 | 09 | 606-607 | ||
| M21922 | 08 | 564-566 | M25222 | 08 | 564-566 | M357 | 08 | 557-558 | ||
| M21929 | 08 | 564-566 | M25229 | 08 | 564-566 | M358 | 08 | 545-547 | ||
| M21931 | 08 | 564-566 | M25231 | 08 | 564-566 | M359 | 08 | 545-547 | ||
| M21932 | 08 | 564-566 | M25232 | 08 | 564-566 | M360 | 08 | 545-547 | ||
| M21939 | 08 | 564-566 | M25239 | 08 | 564-566 | M361 | 08 | 553-554 | ||
| M21941 | 08 | 564-566 | M25241 | 08 | 564-566 | M362 | 08 | 553-554 | ||
| M21942 | 08 | 564-566 | M25242 | 08 | 564-566 | M363 | 08 | 553-554 | ||
| M21949 | 08 | 564-566 | M25249 | 08 | 564-566 | M364 | 08 | 553-554 | ||
| M21951 | 08 | 564-566 | M25251 | 08 | 564-566 | M368 | 08 | 545-547 | ||
| M21952 | 08 | 564-566 | M25252 | 08 | 564-566 | M4000 | 08 | 456-458 | ||
| M21959 | 08 | 564-566 | M25259 | 08 | 564-566 | M4000 | 08 | 551-552 | ||
| M21961 | 08 | 564-566 | M25261 | 08 | 564-566 | M4003 | 08 | 551-552 | ||
| M21962 | 08 | 564-566 | M25262 | 08 | 564-566 | M4004 | 08 | 456-458 | ||
| M21969 | 08 | 564-566 | M25269 | 08 | 564-566 | M4004 | 08 | 551-552 | ||
| M2200 | 08 | 562-563 | M25271 | 08 | 564-566 | M4005 | 08 | 456-458 | ||
| M2201 | 08 | 562-563 | M25272 | 08 | 564-566 | M4005 | 08 | 551-552 | ||
| M2202 | 08 | 562-563 | M25279 | 08 | 564-566 | M4010 | 08 | 456-458 | ||
| M2210 | 08 | 562-563 | M2528 | 08 | 564-566 | M4010 | 08 | 551-552 | ||
| M2211 | 08 | 562-563 | M2530 | 08 | 564-566 | M4012 | 08 | 551-552 | ||
| M2212 | 08 | 562-563 | M25311 | 08 | 564-566 | M4013 | 08 | 551-552 | ||
| M222X1 | 08 | 562-563 | M25312 | 08 | 564-566 | M4014 | 08 | 456-458 | ||
| M222X2 | 08 | 562-563 | M25319 | 08 | 564-566 | M4014 | 08 | 551-552 | ||
| M222X9 | 08 | 562-563 | M25321 | 08 | 564-566 | M4015 | 08 | 456-458 | ||
| M223X1 | 08 | 562-563 | M25322 | 08 | 564-566 | M4015 | 08 | 551-552 | ||
| M223X2 | 08 | 562-563 | M25329 | 08 | 564-566 | M40202 | 08 | 551-552 | ||
| M223X9 | 08 | 562-563 | M25331 | 08 | 564-566 | M40203 | 08 | 551-552 | ||
| M2240 | 08 | 562-563 | M25332 | 08 | 564-566 | M40204 | 08 | 456-458 | ||
| M2241 | 08 | 562-563 | M25339 | 08 | 564-566 | M40204 | 08 | 551-552 | ||
| M2242 | 08 | 562-563 | M25341 | 08 | 564-566 | M40205 | 08 | 456-458 | ||
| M228X1 | 08 | 562-563 | M25342 | 08 | 564-566 | M40205 | 08 | 551-552 | ||
| M228X2 | 08 | 562-563 | M25349 | 08 | 564-566 | M40209 | 08 | 456-458 | ||
| M228X9 | 08 | 562-563 | M25351 | 08 | 564-566 | M40209 | 08 | 551-552 | ||
| M2290 | 08 | 562-563 | M25352 | 08 | 564-566 | M40292 | 08 | 551-552 | ||
| M2291 | 08 | 562-563 | M25359 | 08 | 564-566 | M40293 | 08 | 551-552 | ||
| M2292 | 08 | 562-563 | M25361 | 08 | 564-566 | M40294 | 08 | 456-458 | ||
| M23000 | 08 | 562-563 | M25362 | 08 | 564-566 | M40294 | 08 | 551-552 | ||
| M23001 | 08 | 562-563 | M25369 | 08 | 564-566 | M40295 | 08 | 456-458 | ||
| M23002 | 08 | 562-563 | M25371 | 08 | 564-566 | M40295 | 08 | 551-552 | ||
| M23003 | 08 | 562-563 | M25372 | 08 | 564-566 | M40299 | 08 | 456-458 | ||
| M23004 | 08 | 562-563 | M25373 | 08 | 564-566 | M40299 | 08 | 551-552 | ||
| M23005 | 08 | 562-563 | M25374 | 08 | 564-566 | M4030 | 08 | 456-458 | ||
| M23006 | 08 | 562-563 | M25375 | 08 | 564-566 | M4030 | 08 | 551-552 | ||
| M23007 | 08 | 562-563 | M25376 | 08 | 564-566 | M4035 | 08 | 456-458 | ||
| M23009 | 08 | 562-563 | M2540 | 08 | 564-566 | M4035 | 08 | 551-552 | ||
| M23011 | 08 | 562-563 | M25411 | 08 | 564-566 | M4036 | 08 | 456-458 | ||
| M23012 | 08 | 562-563 | M25412 | 08 | 564-566 | M4036 | 08 | 551-552 | ||
| M23019 | 08 | 562-563 | M25419 | 08 | 564-566 | M4037 | 08 | 456-458 | ||
| M23021 | 08 | 562-563 | M25421 | 08 | 564-566 | M4037 | 08 | 551-552 | ||
| M23022 | 08 | 562-563 | M25422 | 08 | 564-566 | M4040 | 08 | 456-458 | ||
| M23029 | 08 | 562-563 | M25429 | 08 | 564-566 | M4040 | 08 | 551-552 | ||
| M23031 | 08 | 562-563 | M25431 | 08 | 564-566 | M4045 | 08 | 456-458 | ||
| M23032 | 08 | 562-563 | M25432 | 08 | 564-566 | M4045 | 08 | 551-552 | ||
| M23039 | 08 | 562-563 | M25439 | 08 | 564-566 | M4046 | 08 | 456-458 | ||
| M23041 | 08 | 562-563 | M25441 | 08 | 564-566 | M4046 | 08 | 551-552 | ||
| M23042 | 08 | 562-563 | M25442 | 08 | 564-566 | M4047 | 08 | 456-458 | ||
| M23049 | 08 | 562-563 | M25449 | 08 | 564-566 | M4047 | 08 | 551-552 | ||
| M23051 | 08 | 562-563 | M25451 | 08 | 564-566 | M4050 | 08 | 456-458 | ||
| M23052 | 08 | 562-563 | M25452 | 08 | 564-566 | M4050 | 08 | 551-552 | ||
| M23059 | 08 | 562-563 | M25459 | 08 | 564-566 | M4055 | 08 | 456-458 | ||
| M23061 | 08 | 562-563 | M25461 | 08 | 564-566 | M4055 | 08 | 551-552 | ||
| M23062 | 08 | 562-563 | M25462 | 08 | 564-566 | M4056 | 08 | 456-458 | ||
| M23069 | 08 | 562-563 | M25469 | 08 | 564-566 | M4056 | 08 | 551-552 | ||
| M23200 | 08 | 562-563 | M25471 | 08 | 564-566 | M4057 | 08 | 456-458 | ||
| M23201 | 08 | 562-563 | M25472 | 08 | 564-566 | M4057 | 08 | 551-552 | ||
| M23202 | 08 | 562-563 | M25473 | 08 | 564-566 | M4100 | 08 | 456-458 | ||
| M23203 | 08 | 562-563 | M25474 | 08 | 564-566 | M4100 | 08 | 551-552 | ||
| M23204 | 08 | 562-563 | M25475 | 08 | 564-566 | M4102 | 08 | 551-552 | ||
| M23205 | 08 | 562-563 | M25476 | 08 | 564-566 | M4103 | 08 | 551-552 | ||
| M23206 | 08 | 562-563 | M2548 | 08 | 564-566 | M4104 | 08 | 456-458 | ||
| M23207 | 08 | 562-563 | M2550 | 08 | 555-556 | M4104 | 08 | 551-552 | ||
| M23209 | 08 | 562-563 | M25511 | 08 | 555-556 | M4105 | 08 | 456-458 | ||
| M23211 | 08 | 562-563 | M25512 | 08 | 555-556 | M4105 | 08 | 551-552 | ||
| M23212 | 08 | 562-563 | M25519 | 08 | 555-556 | M4106 | 08 | 456-458 | ||
| M23219 | 08 | 562-563 | M25521 | 08 | 555-556 | M4106 | 08 | 551-552 | ||
| M23221 | 08 | 562-563 | M25522 | 08 | 555-556 | M4107 | 08 | 456-458 | ||
| M23222 | 08 | 562-563 | M25529 | 08 | 555-556 | M4107 | 08 | 551-552 | ||
| M23229 | 08 | 562-563 | M25531 | 08 | 555-556 | M4108 | 08 | 456-458 | ||
| M23231 | 08 | 562-563 | M25532 | 08 | 555-556 | M4108 | 08 | 551-552 | ||
| M23232 | 08 | 562-563 | M25539 | 08 | 555-556 | M41112 | 08 | 551-552 | ||
| M23239 | 08 | 562-563 | M25541 | 08 | 555-556 | M41113 | 08 | 551-552 | ||
| M23241 | 08 | 562-563 | M25542 | 08 | 555-556 | M41114 | 08 | 456-458 | ||
| M23242 | 08 | 562-563 | M25549 | 08 | 555-556 | M41114 | 08 | 551-552 | ||
| M23249 | 08 | 562-563 | M25551 | 08 | 555-556 | M41115 | 08 | 456-458 | ||
| M23251 | 08 | 562-563 | M25552 | 08 | 555-556 | M41115 | 08 | 551-552 | ||
| M23252 | 08 | 562-563 | M25559 | 08 | 555-556 | M41116 | 08 | 456-458 | ||
| M23259 | 08 | 562-563 | M25561 | 08 | 555-556 | M41116 | 08 | 551-552 | ||
| M23261 | 08 | 562-563 | M25562 | 08 | 555-556 | M41117 | 08 | 456-458 | ||
| M23262 | 08 | 562-563 | M25569 | 08 | 555-556 | M41117 | 08 | 551-552 | ||
| M23269 | 08 | 562-563 | M25571 | 08 | 555-556 | M41119 | 08 | 456-458 | ||
| M23300 | 08 | 562-563 | M25572 | 08 | 555-556 | M41119 | 08 | 551-552 | ||
| M23301 | 08 | 562-563 | M25579 | 08 | 555-556 | M41122 | 08 | 551-552 | ||
| M23302 | 08 | 562-563 | M2560 | 08 | 555-556 | M41123 | 08 | 551-552 | ||
| M23303 | 08 | 562-563 | M25611 | 08 | 555-556 | M41124 | 08 | 456-458 | ||
| M23304 | 08 | 562-563 | M25612 | 08 | 555-556 | M41124 | 08 | 551-552 | ||
| M23305 | 08 | 562-563 | M25619 | 08 | 555-556 | M41125 | 08 | 456-458 | ||
| M23306 | 08 | 562-563 | M25621 | 08 | 555-556 | M41125 | 08 | 551-552 | ||
| M23307 | 08 | 562-563 | M25622 | 08 | 555-556 | M41126 | 08 | 456-458 | ||
| M23309 | 08 | 562-563 | M25629 | 08 | 555-556 | M41126 | 08 | 551-552 | ||
| M23311 | 08 | 562-563 | M25631 | 08 | 555-556 | M41127 | 08 | 456-458 | ||
| M23312 | 08 | 562-563 | M25632 | 08 | 555-556 | M41127 | 08 | 551-552 | ||
| M23319 | 08 | 562-563 | M25639 | 08 | 555-556 | M41129 | 08 | 456-458 | ||
| M23321 | 08 | 562-563 | M25641 | 08 | 555-556 | M41129 | 08 | 551-552 | ||
| M23322 | 08 | 562-563 | M25642 | 08 | 555-556 | M4120 | 08 | 456-458 | ||
| M23329 | 08 | 562-563 | M25649 | 08 | 555-556 | M4120 | 08 | 551-552 | ||
| M23331 | 08 | 562-563 | M25651 | 08 | 555-556 | M4122 | 08 | 551-552 | ||
| M23332 | 08 | 562-563 | M25652 | 08 | 555-556 | M4123 | 08 | 551-552 | ||
| M23339 | 08 | 562-563 | M25659 | 08 | 555-556 | M4124 | 08 | 456-458 | ||
| M23341 | 08 | 562-563 | M25661 | 08 | 555-556 | M4124 | 08 | 551-552 | ||
| M23342 | 08 | 562-563 | M25662 | 08 | 555-556 | M4125 | 08 | 456-458 | ||
| M23349 | 08 | 562-563 | M25669 | 08 | 555-556 | M4125 | 08 | 551-552 | ||
| M23351 | 08 | 562-563 | M25671 | 08 | 555-556 | M4126 | 08 | 456-458 | ||
| M23352 | 08 | 562-563 | M25672 | 08 | 555-556 | M4126 | 08 | 551-552 | ||
| M23359 | 08 | 562-563 | M25673 | 08 | 555-556 | M4127 | 08 | 456-458 | ||
| M23361 | 08 | 562-563 | M25674 | 08 | 555-556 | M4127 | 08 | 551-552 | ||
| M23362 | 08 | 562-563 | M25675 | 08 | 555-556 | M4130 | 08 | 456-458 | ||
| M23369 | 08 | 562-563 | M25676 | 08 | 555-556 | M4130 | 08 | 551-552 | ||
| M2340 | 08 | 564-566 | M2570 | 08 | 557-558 | M4134 | 08 | 456-458 | ||
| M2341 | 08 | 564-566 | M25711 | 08 | 557-558 | M4134 | 08 | 551-552 | ||
| M2342 | 08 | 564-566 | M25712 | 08 | 557-558 | M4135 | 08 | 456-458 | ||
| M2350 | 08 | 564-566 | M25719 | 08 | 557-558 | M4135 | 08 | 551-552 | ||
| M2351 | 08 | 564-566 | M25721 | 08 | 557-558 | M4140 | 08 | 456-458 | ||
| M2352 | 08 | 564-566 | M25722 | 08 | 557-558 | M4140 | 08 | 551-552 | ||
| M23601 | 08 | 562-563 | M25729 | 08 | 557-558 | M4141 | 08 | 551-552 | ||
| M23602 | 08 | 562-563 | M25731 | 08 | 557-558 | M4142 | 08 | 551-552 | ||
| M23609 | 08 | 562-563 | M25732 | 08 | 557-558 | M4143 | 08 | 551-552 | ||
| M23611 | 08 | 562-563 | M25739 | 08 | 557-558 | M4144 | 08 | 456-458 | ||
| M23612 | 08 | 562-563 | M25741 | 08 | 557-558 | M4144 | 08 | 551-552 | ||
| M23619 | 08 | 562-563 | M25742 | 08 | 557-558 | M4145 | 08 | 456-458 | ||
| M23621 | 08 | 562-563 | M25749 | 08 | 557-558 | M4145 | 08 | 551-552 | ||
| M23622 | 08 | 562-563 | M25751 | 08 | 557-558 | M4146 | 08 | 456-458 | ||
| M23629 | 08 | 562-563 | M25752 | 08 | 557-558 | M4146 | 08 | 551-552 | ||
| M23631 | 08 | 562-563 | M25759 | 08 | 557-558 | M4147 | 08 | 456-458 | ||
| M23632 | 08 | 562-563 | M25761 | 08 | 557-558 | M4147 | 08 | 551-552 | ||
| M23639 | 08 | 562-563 | M25762 | 08 | 557-558 | M4150 | 08 | 456-458 | ||
| M23641 | 08 | 562-563 | M25769 | 08 | 557-558 | M4150 | 08 | 551-552 | ||
| M23642 | 08 | 562-563 | M25771 | 08 | 557-558 | M4152 | 08 | 551-552 | ||
| M23649 | 08 | 562-563 | M25772 | 08 | 557-558 | M4153 | 08 | 551-552 | ||
| M23671 | 08 | 562-563 | M25773 | 08 | 557-558 | M4154 | 08 | 456-458 | ||
| M23672 | 08 | 562-563 | M25774 | 08 | 557-558 | M4154 | 08 | 551-552 | ||
| M23679 | 08 | 562-563 | M25775 | 08 | 557-558 | M4155 | 08 | 456-458 | ||
| M238X1 | 08 | 562-563 | M25776 | 08 | 557-558 | M4155 | 08 | 551-552 | ||
| M238X2 | 08 | 562-563 | M2578 | 08 | 551-552 | M4156 | 08 | 456-458 | ||
| M238X9 | 08 | 562-563 | M2580 | 08 | 555-556 | M4156 | 08 | 551-552 | ||
| M2390 | 08 | 562-563 | M25811 | 08 | 555-556 | M4157 | 08 | 456-458 | ||
| M2391 | 08 | 562-563 | M25812 | 08 | 555-556 | M4157 | 08 | 551-552 | ||
| M2392 | 08 | 562-563 | M25819 | 08 | 555-556 | M4180 | 08 | 456-458 | ||
| M2400 | 08 | 564-566 | M25821 | 08 | 555-556 | M4180 | 08 | 551-552 | ||
| M24011 | 08 | 564-566 | M25822 | 08 | 555-556 | M4182 | 08 | 551-552 | ||
| M24012 | 08 | 564-566 | M25829 | 08 | 555-556 | M4183 | 08 | 551-552 | ||
| M24019 | 08 | 564-566 | M25831 | 08 | 555-556 | M4184 | 08 | 456-458 | ||
| M24021 | 08 | 564-566 | M25832 | 08 | 555-556 | M4184 | 08 | 551-552 | ||
| M24022 | 08 | 564-566 | M25839 | 08 | 555-556 | M4185 | 08 | 456-458 | ||
| M24029 | 08 | 564-566 | M25841 | 08 | 555-556 | M4185 | 08 | 551-552 | ||
| M24031 | 08 | 564-566 | M25842 | 08 | 555-556 | M4186 | 08 | 456-458 | ||
| M24032 | 08 | 564-566 | M25849 | 08 | 555-556 | M4186 | 08 | 551-552 | ||
| M24039 | 08 | 564-566 | M25851 | 08 | 555-556 | M4187 | 08 | 456-458 | ||
| M24041 | 08 | 564-566 | M25852 | 08 | 555-556 | M4187 | 08 | 551-552 | ||
| M24042 | 08 | 564-566 | M25859 | 08 | 555-556 | M419 | 08 | 456-458 | ||
| M24049 | 08 | 564-566 | M25861 | 08 | 555-556 | M419 | 08 | 551-552 | ||
| M24051 | 08 | 564-566 | M25862 | 08 | 555-556 | M4200 | 08 | 456-458 | ||
| M24052 | 08 | 564-566 | M25869 | 08 | 555-556 | M4200 | 08 | 553-554 | ||
| M24059 | 08 | 564-566 | M25871 | 08 | 555-556 | M4201 | 08 | 553-554 | ||
| M24071 | 08 | 564-566 | M25872 | 08 | 555-556 | M4202 | 08 | 553-554 | ||
| M24072 | 08 | 564-566 | M25879 | 08 | 555-556 | M4203 | 08 | 553-554 | ||
| M24073 | 08 | 564-566 | M259 | 08 | 555-556 | M4204 | 08 | 456-458 | ||
| M24074 | 08 | 564-566 | M2600 | Pre | 011-013 | M4204 | 08 | 553-554 | ||
| M2600 | 03 | 157-159 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 09 Jul 2020 15:51:46 CMS, code-revision=268, description-revision=1285 |