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 34 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S31123D | 23 | 949-950 | S31659D | 23 | 949-950 | S32122S | 08 | 551-552 | ||
| S31123S | 09 | 604-605 | S31659S | 09 | 604-605 | S32129A | 08 | 551-552 | ||
| S31124A | 21 | 913-914 | S31801A | 09 | 604-605 | S32129A | 24 | 955-965 | ||
| S31124A | 24 | 955-965 | S31801A | 24 | 955-965 | S32129B | 08 | 551-552 | ||
| S31124D | 23 | 949-950 | S31801D | 23 | 949-950 | S32129B | 24 | 955-965 | ||
| S31124S | 09 | 604-605 | S31801S | 09 | 604-605 | S32129D | 08 | 559-561 | ||
| S31125A | 21 | 913-914 | S31802A | 09 | 604-605 | S32129G | 08 | 559-561 | ||
| S31125A | 24 | 955-965 | S31802A | 24 | 955-965 | S32129K | 08 | 564-566 | ||
| S31125D | 23 | 949-950 | S31802D | 23 | 949-950 | S32129S | 08 | 551-552 | ||
| S31125S | 09 | 604-605 | S31802S | 09 | 604-605 | S32130A | 08 | 551-552 | ||
| S31129A | 21 | 913-914 | S31803A | 09 | 604-605 | S32130A | 24 | 955-965 | ||
| S31129A | 24 | 955-965 | S31803A | 24 | 955-965 | S32130B | 08 | 551-552 | ||
| S31129D | 23 | 949-950 | S31803D | 23 | 949-950 | S32130B | 24 | 955-965 | ||
| S31129S | 09 | 604-605 | S31803S | 09 | 604-605 | S32130D | 08 | 559-561 | ||
| S31130A | 09 | 604-605 | S31804A | 09 | 604-605 | S32130G | 08 | 559-561 | ||
| S31130A | 24 | 955-965 | S31804A | 24 | 955-965 | S32130K | 08 | 564-566 | ||
| S31130D | 23 | 949-950 | S31804D | 23 | 949-950 | S32130S | 08 | 551-552 | ||
| S31130S | 09 | 604-605 | S31804S | 09 | 604-605 | S32131A | 08 | 551-552 | ||
| S31131A | 09 | 604-605 | S31805A | 09 | 604-605 | S32131A | 24 | 955-965 | ||
| S31131A | 24 | 955-965 | S31805A | 24 | 955-965 | S32131B | 08 | 551-552 | ||
| S31131D | 23 | 949-950 | S31805D | 23 | 949-950 | S32131B | 24 | 955-965 | ||
| S31131S | 09 | 604-605 | S31805S | 09 | 604-605 | S32131D | 08 | 559-561 | ||
| S31132A | 09 | 604-605 | S31809A | 09 | 604-605 | S32131G | 08 | 559-561 | ||
| S31132A | 24 | 955-965 | S31809A | 24 | 955-965 | S32131K | 08 | 564-566 | ||
| S31132D | 23 | 949-950 | S31809D | 23 | 949-950 | S32131S | 08 | 551-552 | ||
| S31132S | 09 | 604-605 | S31809S | 09 | 604-605 | S32132A | 08 | 551-552 | ||
| S31133A | 09 | 604-605 | S31811A | 09 | 604-605 | S32132A | 24 | 955-965 | ||
| S31133A | 24 | 955-965 | S31811A | 24 | 955-965 | S32132B | 08 | 551-552 | ||
| S31133D | 23 | 949-950 | S31811D | 23 | 949-950 | S32132B | 24 | 955-965 | ||
| S31133S | 09 | 604-605 | S31811S | 09 | 604-605 | S32132D | 08 | 559-561 | ||
| S31134A | 09 | 604-605 | S31812A | 09 | 604-605 | S32132G | 08 | 559-561 | ||
| S31134A | 24 | 955-965 | S31812A | 24 | 955-965 | S32132K | 08 | 564-566 | ||
| S31134D | 23 | 949-950 | S31812D | 23 | 949-950 | S32132S | 08 | 551-552 | ||
| S31134S | 09 | 604-605 | S31812S | 09 | 604-605 | S32139A | 08 | 551-552 | ||
| S31135A | 09 | 604-605 | S31813A | 09 | 604-605 | S32139A | 24 | 955-965 | ||
| S31135A | 24 | 955-965 | S31813A | 24 | 955-965 | S32139B | 08 | 551-552 | ||
| S31135D | 23 | 949-950 | S31813D | 23 | 949-950 | S32139B | 24 | 955-965 | ||
| S31135S | 09 | 604-605 | S31813S | 09 | 604-605 | S32139D | 08 | 559-561 | ||
| S31139A | 09 | 604-605 | S31814A | 09 | 604-605 | S32139G | 08 | 559-561 | ||
| S31139A | 24 | 955-965 | S31814A | 24 | 955-965 | S32139K | 08 | 564-566 | ||
| S31139D | 23 | 949-950 | S31814D | 23 | 949-950 | S32139S | 08 | 551-552 | ||
| S31139S | 09 | 604-605 | S31814S | 09 | 604-605 | S3214XA | 08 | 551-552 | ||
| S31140A | 21 | 913-914 | S31815A | 09 | 604-605 | S3214XA | 24 | 955-965 | ||
| S31140A | 24 | 955-965 | S31815A | 24 | 955-965 | S3214XB | 08 | 551-552 | ||
| S31140D | 23 | 949-950 | S31815D | 23 | 949-950 | S3214XB | 24 | 955-965 | ||
| S31140S | 09 | 604-605 | S31815S | 09 | 604-605 | S3214XD | 08 | 559-561 | ||
| S31141A | 21 | 913-914 | S31819A | 09 | 604-605 | S3214XG | 08 | 559-561 | ||
| S31141A | 24 | 955-965 | S31819A | 24 | 955-965 | S3214XK | 08 | 564-566 | ||
| S31141D | 23 | 949-950 | S31819D | 23 | 949-950 | S3214XS | 08 | 551-552 | ||
| S31141S | 09 | 604-605 | S31819S | 09 | 604-605 | S3215XA | 08 | 551-552 | ||
| S31142A | 21 | 913-914 | S31821A | 09 | 604-605 | S3215XA | 24 | 955-965 | ||
| S31142A | 24 | 955-965 | S31821A | 24 | 955-965 | S3215XB | 08 | 551-552 | ||
| S31142D | 23 | 949-950 | S31821D | 23 | 949-950 | S3215XB | 24 | 955-965 | ||
| S31142S | 09 | 604-605 | S31821S | 09 | 604-605 | S3215XD | 08 | 559-561 | ||
| S31143A | 21 | 913-914 | S31822A | 09 | 604-605 | S3215XG | 08 | 559-561 | ||
| S31143A | 24 | 955-965 | S31822A | 24 | 955-965 | S3215XK | 08 | 564-566 | ||
| S31143D | 23 | 949-950 | S31822D | 23 | 949-950 | S3215XS | 08 | 551-552 | ||
| S31143S | 09 | 604-605 | S31822S | 09 | 604-605 | S3216XA | 08 | 551-552 | ||
| S31144A | 21 | 913-914 | S31823A | 09 | 604-605 | S3216XA | 24 | 955-965 | ||
| S31144A | 24 | 955-965 | S31823A | 24 | 955-965 | S3216XB | 08 | 551-552 | ||
| S31144D | 23 | 949-950 | S31823D | 23 | 949-950 | S3216XB | 24 | 955-965 | ||
| S31144S | 09 | 604-605 | S31823S | 09 | 604-605 | S3216XD | 08 | 559-561 | ||
| S31145A | 21 | 913-914 | S31824A | 09 | 604-605 | S3216XG | 08 | 559-561 | ||
| S31145A | 24 | 955-965 | S31824A | 24 | 955-965 | S3216XK | 08 | 564-566 | ||
| S31145D | 23 | 949-950 | S31824D | 23 | 949-950 | S3216XS | 08 | 551-552 | ||
| S31145S | 09 | 604-605 | S31824S | 09 | 604-605 | S3217XA | 08 | 551-552 | ||
| S31149A | 21 | 913-914 | S31825A | 09 | 604-605 | S3217XA | 24 | 955-965 | ||
| S31149A | 24 | 955-965 | S31825A | 24 | 955-965 | S3217XB | 08 | 551-552 | ||
| S31149D | 23 | 949-950 | S31825D | 23 | 949-950 | S3217XB | 24 | 955-965 | ||
| S31149S | 09 | 604-605 | S31825S | 09 | 604-605 | S3217XD | 08 | 559-561 | ||
| S31150A | 09 | 604-605 | S31829A | 09 | 604-605 | S3217XG | 08 | 559-561 | ||
| S31150A | 24 | 955-965 | S31829A | 24 | 955-965 | S3217XK | 08 | 564-566 | ||
| S31150D | 23 | 949-950 | S31829D | 23 | 949-950 | S3217XS | 08 | 551-552 | ||
| S31150S | 09 | 604-605 | S31829S | 09 | 604-605 | S3219XA | 08 | 551-552 | ||
| S31151A | 09 | 604-605 | S31831A | 09 | 604-605 | S3219XA | 24 | 955-965 | ||
| S31151A | 24 | 955-965 | S31831A | 24 | 955-965 | S3219XB | 08 | 551-552 | ||
| S31151D | 23 | 949-950 | S31831D | 23 | 949-950 | S3219XB | 24 | 955-965 | ||
| S31151S | 09 | 604-605 | S31831S | 09 | 604-605 | S3219XD | 08 | 559-561 | ||
| S31152A | 09 | 604-605 | S31832A | 21 | 913-914 | S3219XG | 08 | 559-561 | ||
| S31152A | 24 | 955-965 | S31832A | 24 | 955-965 | S3219XK | 08 | 564-566 | ||
| S31152D | 23 | 949-950 | S31832D | 23 | 949-950 | S3219XS | 08 | 551-552 | ||
| S31152S | 09 | 604-605 | S31832S | 09 | 604-605 | S322XXA | 08 | 551-552 | ||
| S31153A | 09 | 604-605 | S31833A | 09 | 604-605 | S322XXA | 24 | 955-965 | ||
| S31153A | 24 | 955-965 | S31833A | 24 | 955-965 | S322XXB | 08 | 551-552 | ||
| S31153D | 23 | 949-950 | S31833D | 23 | 949-950 | S322XXB | 24 | 955-965 | ||
| S31153S | 09 | 604-605 | S31833S | 09 | 604-605 | S322XXD | 08 | 559-561 | ||
| S31154A | 09 | 604-605 | S31834A | 21 | 913-914 | S322XXG | 08 | 559-561 | ||
| S31154A | 24 | 955-965 | S31834A | 24 | 955-965 | S322XXK | 08 | 564-566 | ||
| S31154D | 23 | 949-950 | S31834D | 23 | 949-950 | S322XXS | 08 | 551-552 | ||
| S31154S | 09 | 604-605 | S31834S | 09 | 604-605 | S32301A | 08 | 535-536 | ||
| S31155A | 09 | 604-605 | S31835A | 09 | 604-605 | S32301A | 24 | 955-965 | ||
| S31155A | 24 | 955-965 | S31835A | 24 | 955-965 | S32301B | 08 | 535-536 | ||
| S31155D | 23 | 949-950 | S31835D | 23 | 949-950 | S32301B | 24 | 955-965 | ||
| S31155S | 09 | 604-605 | S31835S | 09 | 604-605 | S32301D | 08 | 559-561 | ||
| S31159A | 09 | 604-605 | S31839A | 09 | 604-605 | S32301G | 08 | 559-561 | ||
| S31159A | 24 | 955-965 | S31839A | 24 | 955-965 | S32301K | 08 | 564-566 | ||
| S31159D | 23 | 949-950 | S31839D | 23 | 949-950 | S32301S | 08 | 551-552 | ||
| S31159S | 09 | 604-605 | S31839S | 09 | 604-605 | S32302A | 08 | 535-536 | ||
| S3120XA | 12 | 729-730 | S32000A | 08 | 551-552 | S32302A | 24 | 955-965 | ||
| S3120XA | 24 | 955-965 | S32000A | 24 | 955-965 | S32302B | 08 | 535-536 | ||
| S3120XD | 23 | 949-950 | S32000B | 08 | 551-552 | S32302B | 24 | 955-965 | ||
| S3120XS | 09 | 604-605 | S32000B | 24 | 955-965 | S32302D | 08 | 559-561 | ||
| S3121XA | 12 | 729-730 | S32000D | 08 | 559-561 | S32302G | 08 | 559-561 | ||
| S3121XA | 24 | 955-965 | S32000G | 08 | 559-561 | S32302K | 08 | 564-566 | ||
| S3121XD | 23 | 949-950 | S32000K | 08 | 564-566 | S32302S | 08 | 551-552 | ||
| S3121XS | 09 | 604-605 | S32000S | 08 | 551-552 | S32309A | 08 | 535-536 | ||
| S3122XA | 12 | 729-730 | S32001A | 08 | 551-552 | S32309A | 24 | 955-965 | ||
| S3122XA | 24 | 955-965 | S32001A | 24 | 955-965 | S32309B | 08 | 535-536 | ||
| S3122XD | 23 | 949-950 | S32001B | 08 | 551-552 | S32309B | 24 | 955-965 | ||
| S3122XS | 09 | 604-605 | S32001B | 24 | 955-965 | S32309D | 08 | 559-561 | ||
| S3123XA | 12 | 729-730 | S32001D | 08 | 559-561 | S32309G | 08 | 559-561 | ||
| S3123XA | 24 | 955-965 | S32001G | 08 | 559-561 | S32309K | 08 | 564-566 | ||
| S3123XD | 23 | 949-950 | S32001K | 08 | 564-566 | S32309S | 08 | 551-552 | ||
| S3123XS | 09 | 604-605 | S32001S | 08 | 551-552 | S32311A | 08 | 535-536 | ||
| S3124XA | 12 | 729-730 | S32002A | 08 | 551-552 | S32311A | 24 | 955-965 | ||
| S3124XA | 24 | 955-965 | S32002A | 24 | 955-965 | S32311B | 08 | 535-536 | ||
| S3124XD | 23 | 949-950 | S32002B | 08 | 551-552 | S32311B | 24 | 955-965 | ||
| S3124XS | 09 | 604-605 | S32002B | 24 | 955-965 | S32311D | 08 | 559-561 | ||
| S3125XA | 12 | 729-730 | S32002D | 08 | 559-561 | S32311G | 08 | 559-561 | ||
| S3125XA | 24 | 955-965 | S32002G | 08 | 559-561 | S32311K | 08 | 564-566 | ||
| S3125XD | 23 | 949-950 | S32002K | 08 | 564-566 | S32311S | 08 | 551-552 | ||
| S3125XS | 09 | 604-605 | S32002S | 08 | 551-552 | S32312A | 08 | 535-536 | ||
| S3130XA | 12 | 729-730 | S32008A | 08 | 551-552 | S32312A | 24 | 955-965 | ||
| S3130XA | 24 | 955-965 | S32008A | 24 | 955-965 | S32312B | 08 | 535-536 | ||
| S3130XD | 23 | 949-950 | S32008B | 08 | 551-552 | S32312B | 24 | 955-965 | ||
| S3130XS | 09 | 604-605 | S32008B | 24 | 955-965 | S32312D | 08 | 559-561 | ||
| S3131XA | 12 | 729-730 | S32008D | 08 | 559-561 | S32312G | 08 | 559-561 | ||
| S3131XA | 24 | 955-965 | S32008G | 08 | 559-561 | S32312K | 08 | 564-566 | ||
| S3131XD | 23 | 949-950 | S32008K | 08 | 564-566 | S32312S | 08 | 551-552 | ||
| S3131XS | 09 | 604-605 | S32008S | 08 | 551-552 | S32313A | 08 | 535-536 | ||
| S3132XA | 12 | 729-730 | S32009A | 08 | 551-552 | S32313A | 24 | 955-965 | ||
| S3132XA | 24 | 955-965 | S32009A | 24 | 955-965 | S32313B | 08 | 535-536 | ||
| S3132XD | 23 | 949-950 | S32009B | 08 | 551-552 | S32313B | 24 | 955-965 | ||
| S3132XS | 09 | 604-605 | S32009B | 24 | 955-965 | S32313D | 08 | 559-561 | ||
| S3133XA | 12 | 729-730 | S32009D | 08 | 559-561 | S32313G | 08 | 559-561 | ||
| S3133XA | 24 | 955-965 | S32009G | 08 | 559-561 | S32313K | 08 | 564-566 | ||
| S3133XD | 23 | 949-950 | S32009K | 08 | 564-566 | S32313S | 08 | 551-552 | ||
| S3133XS | 09 | 604-605 | S32009S | 08 | 551-552 | S32314A | 08 | 535-536 | ||
| S3134XA | 12 | 729-730 | S32010A | 08 | 551-552 | S32314A | 24 | 955-965 | ||
| S3134XA | 24 | 955-965 | S32010A | 24 | 955-965 | S32314B | 08 | 535-536 | ||
| S3134XD | 23 | 949-950 | S32010B | 08 | 551-552 | S32314B | 24 | 955-965 | ||
| S3134XS | 09 | 604-605 | S32010B | 24 | 955-965 | S32314D | 08 | 559-561 | ||
| S3135XA | 12 | 729-730 | S32010D | 08 | 559-561 | S32314G | 08 | 559-561 | ||
| S3135XA | 24 | 955-965 | S32010G | 08 | 559-561 | S32314K | 08 | 564-566 | ||
| S3135XD | 23 | 949-950 | S32010K | 08 | 564-566 | S32314S | 08 | 551-552 | ||
| S3135XS | 09 | 604-605 | S32010S | 08 | 551-552 | S32315A | 08 | 535-536 | ||
| S3140XA | 13 | 742-743 | S32011A | 08 | 551-552 | S32315A | 24 | 955-965 | ||
| S3140XA | 13 | 760-761 | S32011A | 24 | 955-965 | S32315B | 08 | 535-536 | ||
| S3140XA | 24 | 955-965 | S32011B | 08 | 551-552 | S32315B | 24 | 955-965 | ||
| S3140XD | 23 | 949-950 | S32011B | 24 | 955-965 | S32315D | 08 | 559-561 | ||
| S3140XS | 09 | 604-605 | S32011D | 08 | 559-561 | S32315G | 08 | 559-561 | ||
| S3141XA | 13 | 742-743 | S32011G | 08 | 559-561 | S32315K | 08 | 564-566 | ||
| S3141XA | 13 | 760-761 | S32011K | 08 | 564-566 | S32315S | 08 | 551-552 | ||
| S3141XA | 24 | 955-965 | S32011S | 08 | 551-552 | S32316A | 08 | 535-536 | ||
| S3141XD | 23 | 949-950 | S32012A | 08 | 551-552 | S32316A | 24 | 955-965 | ||
| S3141XS | 09 | 604-605 | S32012A | 24 | 955-965 | S32316B | 08 | 535-536 | ||
| S3142XA | 13 | 742-743 | S32012B | 08 | 551-552 | S32316B | 24 | 955-965 | ||
| S3142XA | 13 | 760-761 | S32012B | 24 | 955-965 | S32316D | 08 | 559-561 | ||
| S3142XA | 24 | 955-965 | S32012D | 08 | 559-561 | S32316G | 08 | 559-561 | ||
| S3142XD | 23 | 949-950 | S32012G | 08 | 559-561 | S32316K | 08 | 564-566 | ||
| S3142XS | 09 | 604-605 | S32012K | 08 | 564-566 | S32316S | 08 | 551-552 | ||
| S3143XA | 13 | 742-743 | S32012S | 08 | 551-552 | S32391A | 08 | 535-536 | ||
| S3143XA | 13 | 760-761 | S32018A | 08 | 551-552 | S32391A | 24 | 955-965 | ||
| S3143XA | 24 | 955-965 | S32018A | 24 | 955-965 | S32391B | 08 | 535-536 | ||
| S3143XD | 23 | 949-950 | S32018B | 08 | 551-552 | S32391B | 24 | 955-965 | ||
| S3143XS | 09 | 604-605 | S32018B | 24 | 955-965 | S32391D | 08 | 559-561 | ||
| S3144XA | 13 | 742-743 | S32018D | 08 | 559-561 | S32391G | 08 | 559-561 | ||
| S3144XA | 13 | 760-761 | S32018G | 08 | 559-561 | S32391K | 08 | 564-566 | ||
| S3144XA | 24 | 955-965 | S32018K | 08 | 564-566 | S32391S | 08 | 551-552 | ||
| S3144XD | 23 | 949-950 | S32018S | 08 | 551-552 | S32392A | 08 | 535-536 | ||
| S3144XS | 09 | 604-605 | S32019A | 08 | 551-552 | S32392A | 24 | 955-965 | ||
| S3145XA | 13 | 742-743 | S32019A | 24 | 955-965 | S32392B | 08 | 535-536 | ||
| S3145XA | 13 | 760-761 | S32019B | 08 | 551-552 | S32392B | 24 | 955-965 | ||
| S3145XA | 24 | 955-965 | S32019B | 24 | 955-965 | S32392D | 08 | 559-561 | ||
| S3145XD | 23 | 949-950 | S32019D | 08 | 559-561 | S32392G | 08 | 559-561 | ||
| S3145XS | 09 | 604-605 | S32019G | 08 | 559-561 | S32392K | 08 | 564-566 | ||
| S31501A | 12 | 729-730 | S32019K | 08 | 564-566 | S32392S | 08 | 551-552 | ||
| S31501A | 24 | 955-965 | S32019S | 08 | 551-552 | S32399A | 08 | 535-536 | ||
| S31501D | 23 | 949-950 | S32020A | 08 | 551-552 | S32399A | 24 | 955-965 | ||
| S31501S | 12 | 729-730 | S32020A | 24 | 955-965 | S32399B | 08 | 535-536 | ||
| S31502A | 13 | 742-743 | S32020B | 08 | 551-552 | S32399B | 24 | 955-965 | ||
| S31502A | 13 | 760-761 | S32020B | 24 | 955-965 | S32399D | 08 | 559-561 | ||
| S31502A | 24 | 955-965 | S32020D | 08 | 559-561 | S32399G | 08 | 559-561 | ||
| S31502D | 23 | 949-950 | S32020G | 08 | 559-561 | S32399K | 08 | 564-566 | ||
| S31502S | 13 | 742-743 | S32020K | 08 | 564-566 | S32399S | 08 | 551-552 | ||
| S31502S | 13 | 760-761 | S32020S | 08 | 551-552 | S32401A | 08 | 535-536 | ||
| S31511A | 12 | 729-730 | S32021A | 08 | 551-552 | S32401A | 24 | 955-965 | ||
| S31511A | 24 | 955-965 | S32021A | 24 | 955-965 | S32401B | 08 | 535-536 | ||
| S31511D | 23 | 949-950 | S32021B | 08 | 551-552 | S32401B | 24 | 955-965 | ||
| S31511S | 12 | 729-730 | S32021B | 24 | 955-965 | S32401D | 08 | 559-561 | ||
| S31512A | 13 | 742-743 | S32021D | 08 | 559-561 | S32401G | 08 | 559-561 | ||
| S31512A | 13 | 760-761 | S32021G | 08 | 559-561 | S32401K | 08 | 564-566 | ||
| S31512A | 24 | 955-965 | S32021K | 08 | 564-566 | S32401S | 08 | 551-552 | ||
| S31512D | 23 | 949-950 | S32021S | 08 | 551-552 | S32402A | 08 | 535-536 | ||
| S31512S | 13 | 742-743 | S32022A | 08 | 551-552 | S32402A | 24 | 955-965 | ||
| S31512S | 13 | 760-761 | S32022A | 24 | 955-965 | S32402B | 08 | 535-536 | ||
| S31521A | 12 | 729-730 | S32022B | 08 | 551-552 | S32402B | 24 | 955-965 | ||
| S31521A | 24 | 955-965 | S32022B | 24 | 955-965 | S32402D | 08 | 559-561 | ||
| S31521D | 23 | 949-950 | S32022D | 08 | 559-561 | S32402G | 08 | 559-561 | ||
| S31521S | 12 | 729-730 | S32022G | 08 | 559-561 | S32402K | 08 | 564-566 | ||
| S31522A | 13 | 742-743 | S32022K | 08 | 564-566 | S32402S | 08 | 551-552 | ||
| S31522A | 13 | 760-761 | S32022S | 08 | 551-552 | S32409A | 08 | 535-536 | ||
| S31522A | 24 | 955-965 | S32028A | 08 | 551-552 | S32409A | 24 | 955-965 | ||
| S31522D | 23 | 949-950 | S32028A | 24 | 955-965 | S32409B | 08 | 535-536 | ||
| S31522S | 13 | 742-743 | S32028B | 08 | 551-552 | S32409B | 24 | 955-965 | ||
| S31522S | 13 | 760-761 | S32028B | 24 | 955-965 | S32409D | 08 | 559-561 | ||
| S31531A | 12 | 729-730 | S32028D | 08 | 559-561 | S32409G | 08 | 559-561 | ||
| S31531A | 24 | 955-965 | S32028G | 08 | 559-561 | S32409K | 08 | 564-566 | ||
| S31531D | 23 | 949-950 | S32028K | 08 | 564-566 | S32409S | 08 | 551-552 | ||
| S31531S | 12 | 729-730 | S32028S | 08 | 551-552 | S32411A | 08 | 535-536 | ||
| S31532A | 13 | 742-743 | S32029A | 08 | 551-552 | S32411A | 24 | 955-965 | ||
| S31532A | 13 | 760-761 | S32029A | 24 | 955-965 | S32411B | 08 | 535-536 | ||
| S31532A | 24 | 955-965 | S32029B | 08 | 551-552 | S32411B | 24 | 955-965 | ||
| S31532D | 23 | 949-950 | S32029B | 24 | 955-965 | S32411D | 08 | 559-561 | ||
| S31532S | 13 | 742-743 | S32029D | 08 | 559-561 | S32411G | 08 | 559-561 | ||
| S31532S | 13 | 760-761 | S32029G | 08 | 559-561 | S32411K | 08 | 564-566 | ||
| S31541A | 12 | 729-730 | S32029K | 08 | 564-566 | S32411S | 08 | 551-552 | ||
| S31541A | 24 | 955-965 | S32029S | 08 | 551-552 | S32412A | 08 | 535-536 | ||
| S31541D | 23 | 949-950 | S32030A | 08 | 551-552 | S32412A | 24 | 955-965 | ||
| S31541S | 12 | 729-730 | S32030A | 24 | 955-965 | S32412B | 08 | 535-536 | ||
| S31542A | 13 | 742-743 | S32030B | 08 | 551-552 | S32412B | 24 | 955-965 | ||
| S31542A | 13 | 760-761 | S32030B | 24 | 955-965 | S32412D | 08 | 559-561 | ||
| S31542A | 24 | 955-965 | S32030D | 08 | 559-561 | S32412G | 08 | 559-561 | ||
| S31542D | 23 | 949-950 | S32030G | 08 | 559-561 | S32412K | 08 | 564-566 | ||
| S31542S | 13 | 742-743 | S32030K | 08 | 564-566 | S32412S | 08 | 551-552 | ||
| S31542S | 13 | 760-761 | S32030S | 08 | 551-552 | S32413A | 08 | 535-536 | ||
| S31551A | 12 | 729-730 | S32031A | 08 | 551-552 | S32413A | 24 | 955-965 | ||
| S31551A | 24 | 955-965 | S32031A | 24 | 955-965 | S32413B | 08 | 535-536 | ||
| S31551D | 23 | 949-950 | S32031B | 08 | 551-552 | S32413B | 24 | 955-965 | ||
| S31551S | 12 | 729-730 | S32031B | 24 | 955-965 | S32413D | 08 | 559-561 | ||
| S31552A | 13 | 742-743 | S32031D | 08 | 559-561 | S32413G | 08 | 559-561 | ||
| S31552A | 13 | 760-761 | S32031G | 08 | 559-561 | S32413K | 08 | 564-566 | ||
| S31552A | 24 | 955-965 | S32031K | 08 | 564-566 | S32413S | 08 | 551-552 | ||
| S31552D | 23 | 949-950 | S32031S | 08 | 551-552 | S32414A | 08 | 535-536 | ||
| S31552S | 13 | 742-743 | S32032A | 08 | 551-552 | S32414A | 24 | 955-965 | ||
| S31552S | 13 | 760-761 | S32032A | 24 | 955-965 | S32414B | 08 | 535-536 | ||
| S31600A | 06 | 393-395 | S32032B | 08 | 551-552 | S32414B | 24 | 955-965 | ||
| S31600A | 24 | 955-965 | S32032B | 24 | 955-965 | S32414D | 08 | 559-561 | ||
| S31600D | 23 | 949-950 | S32032D | 08 | 559-561 | S32414G | 08 | 559-561 | ||
| S31600S | 09 | 604-605 | S32032G | 08 | 559-561 | S32414K | 08 | 564-566 | ||
| S31601A | 06 | 393-395 | S32032K | 08 | 564-566 | S32414S | 08 | 551-552 | ||
| S31601A | 24 | 955-965 | S32032S | 08 | 551-552 | S32415A | 08 | 535-536 | ||
| S31601D | 23 | 949-950 | S32038A | 08 | 551-552 | S32415A | 24 | 955-965 | ||
| S31601S | 09 | 604-605 | S32038A | 24 | 955-965 | S32415B | 08 | 535-536 | ||
| S31602A | 06 | 393-395 | S32038B | 08 | 551-552 | S32415B | 24 | 955-965 | ||
| S31602A | 24 | 955-965 | S32038B | 24 | 955-965 | S32415D | 08 | 559-561 | ||
| S31602D | 23 | 949-950 | S32038D | 08 | 559-561 | S32415G | 08 | 559-561 | ||
| S31602S | 09 | 604-605 | S32038G | 08 | 559-561 | S32415K | 08 | 564-566 | ||
| S31603A | 06 | 393-395 | S32038K | 08 | 564-566 | S32415S | 08 | 551-552 | ||
| S31603A | 24 | 955-965 | S32038S | 08 | 551-552 | S32416A | 08 | 535-536 | ||
| S31603D | 23 | 949-950 | S32039A | 08 | 551-552 | S32416A | 24 | 955-965 | ||
| S31603S | 09 | 604-605 | S32039A | 24 | 955-965 | S32416B | 08 | 535-536 | ||
| S31604A | 06 | 393-395 | S32039B | 08 | 551-552 | S32416B | 24 | 955-965 | ||
| S31604A | 24 | 955-965 | S32039B | 24 | 955-965 | S32416D | 08 | 559-561 | ||
| S31604D | 23 | 949-950 | S32039D | 08 | 559-561 | S32416G | 08 | 559-561 | ||
| S31604S | 09 | 604-605 | S32039G | 08 | 559-561 | S32416K | 08 | 564-566 | ||
| S31605A | 06 | 393-395 | S32039K | 08 | 564-566 | S32416S | 08 | 551-552 | ||
| S31605A | 24 | 955-965 | S32039S | 08 | 551-552 | S32421A | 08 | 535-536 | ||
| S31605D | 23 | 949-950 | S32040A | 08 | 551-552 | S32421A | 24 | 955-965 | ||
| S31605S | 09 | 604-605 | S32040A | 24 | 955-965 | S32421B | 08 | 535-536 | ||
| S31609A | 06 | 393-395 | S32040B | 08 | 551-552 | S32421B | 24 | 955-965 | ||
| S31609A | 24 | 955-965 | S32040B | 24 | 955-965 | S32421D | 08 | 559-561 | ||
| S31609D | 23 | 949-950 | S32040D | 08 | 559-561 | S32421G | 08 | 559-561 | ||
| S31609S | 09 | 604-605 | S32040G | 08 | 559-561 | S32421K | 08 | 564-566 | ||
| S31610A | 06 | 393-395 | S32040K | 08 | 564-566 | S32421S | 08 | 551-552 | ||
| S31610A | 24 | 955-965 | S32040S | 08 | 551-552 | S32422A | 08 | 535-536 | ||
| S31610D | 23 | 949-950 | S32041A | 08 | 551-552 | S32422A | 24 | 955-965 | ||
| S31610S | 09 | 604-605 | S32041A | 24 | 955-965 | S32422B | 08 | 535-536 | ||
| S31611A | 06 | 393-395 | S32041B | 08 | 551-552 | S32422B | 24 | 955-965 | ||
| S31611A | 24 | 955-965 | S32041B | 24 | 955-965 | S32422D | 08 | 559-561 | ||
| S31611D | 23 | 949-950 | S32041D | 08 | 559-561 | S32422G | 08 | 559-561 | ||
| S31611S | 09 | 604-605 | S32041G | 08 | 559-561 | S32422K | 08 | 564-566 | ||
| S31612A | 06 | 393-395 | S32041K | 08 | 564-566 | S32422S | 08 | 551-552 | ||
| S31612A | 24 | 955-965 | S32041S | 08 | 551-552 | S32423A | 08 | 535-536 | ||
| S31612D | 23 | 949-950 | S32042A | 08 | 551-552 | S32423A | 24 | 955-965 | ||
| S31612S | 09 | 604-605 | S32042A | 24 | 955-965 | S32423B | 08 | 535-536 | ||
| S31613A | 06 | 393-395 | S32042B | 08 | 551-552 | S32423B | 24 | 955-965 | ||
| S31613A | 24 | 955-965 | S32042B | 24 | 955-965 | S32423D | 08 | 559-561 | ||
| S31613D | 23 | 949-950 | S32042D | 08 | 559-561 | S32423G | 08 | 559-561 | ||
| S31613S | 09 | 604-605 | S32042G | 08 | 559-561 | S32423K | 08 | 564-566 | ||
| S31614A | 06 | 393-395 | S32042K | 08 | 564-566 | S32423S | 08 | 551-552 | ||
| S31614A | 24 | 955-965 | S32042S | 08 | 551-552 | S32424A | 08 | 535-536 | ||
| S31614D | 23 | 949-950 | S32048A | 08 | 551-552 | S32424A | 24 | 955-965 | ||
| S31614S | 09 | 604-605 | S32048A | 24 | 955-965 | S32424B | 08 | 535-536 | ||
| S31615A | 06 | 393-395 | S32048B | 08 | 551-552 | S32424B | 24 | 955-965 | ||
| S31615A | 24 | 955-965 | S32048B | 24 | 955-965 | S32424D | 08 | 559-561 | ||
| S31615D | 23 | 949-950 | S32048D | 08 | 559-561 | S32424G | 08 | 559-561 | ||
| S31615S | 09 | 604-605 | S32048G | 08 | 559-561 | S32424K | 08 | 564-566 | ||
| S31619A | 06 | 393-395 | S32048K | 08 | 564-566 | S32424S | 08 | 551-552 | ||
| S31619A | 24 | 955-965 | S32048S | 08 | 551-552 | S32425A | 08 | 535-536 | ||
| S31619D | 23 | 949-950 | S32049A | 08 | 551-552 | S32425A | 24 | 955-965 | ||
| S31619S | 09 | 604-605 | S32049A | 24 | 955-965 | S32425B | 08 | 535-536 | ||
| S31620A | 06 | 393-395 | S32049B | 08 | 551-552 | S32425B | 24 | 955-965 | ||
| S31620A | 24 | 955-965 | S32049B | 24 | 955-965 | S32425D | 08 | 559-561 | ||
| S31620D | 23 | 949-950 | S32049D | 08 | 559-561 | S32425G | 08 | 559-561 | ||
| S31620S | 09 | 604-605 | S32049G | 08 | 559-561 | S32425K | 08 | 564-566 | ||
| S31621A | 06 | 393-395 | S32049K | 08 | 564-566 | S32425S | 08 | 551-552 | ||
| S31621A | 24 | 955-965 | S32049S | 08 | 551-552 | S32426A | 08 | 535-536 | ||
| S31621D | 23 | 949-950 | S32050A | 08 | 551-552 | S32426A | 24 | 955-965 | ||
| S31621S | 09 | 604-605 | S32050A | 24 | 955-965 | S32426B | 08 | 535-536 | ||
| S31622A | 06 | 393-395 | S32050B | 08 | 551-552 | S32426B | 24 | 955-965 | ||
| S31622A | 24 | 955-965 | S32050B | 24 | 955-965 | S32426D | 08 | 559-561 | ||
| S31622D | 23 | 949-950 | S32050D | 08 | 559-561 | S32426G | 08 | 559-561 | ||
| S31622S | 09 | 604-605 | S32050G | 08 | 559-561 | S32426K | 08 | 564-566 | ||
| S31623A | 06 | 393-395 | S32050K | 08 | 564-566 | S32426S | 08 | 551-552 | ||
| S31623A | 24 | 955-965 | S32050S | 08 | 551-552 | S32431A | 08 | 535-536 | ||
| S31623D | 23 | 949-950 | S32051A | 08 | 551-552 | S32431A | 24 | 955-965 | ||
| S31623S | 09 | 604-605 | S32051A | 24 | 955-965 | S32431B | 08 | 535-536 | ||
| S31624A | 06 | 393-395 | S32051B | 08 | 551-552 | S32431B | 24 | 955-965 | ||
| S31624A | 24 | 955-965 | S32051B | 24 | 955-965 | S32431D | 08 | 559-561 | ||
| S31624D | 23 | 949-950 | S32051D | 08 | 559-561 | S32431G | 08 | 559-561 | ||
| S31624S | 09 | 604-605 | S32051G | 08 | 559-561 | S32431K | 08 | 564-566 | ||
| S31625A | 06 | 393-395 | S32051K | 08 | 564-566 | S32431S | 08 | 551-552 | ||
| S31625A | 24 | 955-965 | S32051S | 08 | 551-552 | S32432A | 08 | 535-536 | ||
| S31625D | 23 | 949-950 | S32052A | 08 | 551-552 | S32432A | 24 | 955-965 | ||
| S31625S | 09 | 604-605 | S32052A | 24 | 955-965 | S32432B | 08 | 535-536 | ||
| S31629A | 06 | 393-395 | S32052B | 08 | 551-552 | S32432B | 24 | 955-965 | ||
| S31629A | 24 | 955-965 | S32052B | 24 | 955-965 | S32432D | 08 | 559-561 | ||
| S31629D | 23 | 949-950 | S32052D | 08 | 559-561 | S32432G | 08 | 559-561 | ||
| S31629S | 09 | 604-605 | S32052G | 08 | 559-561 | S32432K | 08 | 564-566 | ||
| S31630A | 06 | 393-395 | S32052K | 08 | 564-566 | S32432S | 08 | 551-552 | ||
| S31630A | 24 | 955-965 | S32052S | 08 | 551-552 | S32433A | 08 | 535-536 | ||
| S31630D | 23 | 949-950 | S32058A | 08 | 551-552 | S32433A | 24 | 955-965 | ||
| S31630S | 09 | 604-605 | S32058A | 24 | 955-965 | S32433B | 08 | 535-536 | ||
| S31631A | 06 | 393-395 | S32058B | 08 | 551-552 | S32433B | 24 | 955-965 | ||
| S31631A | 24 | 955-965 | S32058B | 24 | 955-965 | S32433D | 08 | 559-561 | ||
| S31631D | 23 | 949-950 | S32058D | 08 | 559-561 | S32433G | 08 | 559-561 | ||
| S31631S | 09 | 604-605 | S32058G | 08 | 559-561 | S32433K | 08 | 564-566 | ||
| S31632A | 06 | 393-395 | S32058K | 08 | 564-566 | S32433S | 08 | 551-552 | ||
| S31632A | 24 | 955-965 | S32058S | 08 | 551-552 | S32434A | 08 | 535-536 | ||
| S31632D | 23 | 949-950 | S32059A | 08 | 551-552 | S32434A | 24 | 955-965 | ||
| S31632S | 09 | 604-605 | S32059A | 24 | 955-965 | S32434B | 08 | 535-536 | ||
| S31633A | 06 | 393-395 | S32059B | 08 | 551-552 | S32434B | 24 | 955-965 | ||
| S31633A | 24 | 955-965 | S32059B | 24 | 955-965 | S32434D | 08 | 559-561 | ||
| S31633D | 23 | 949-950 | S32059D | 08 | 559-561 | S32434G | 08 | 559-561 | ||
| S31633S | 09 | 604-605 | S32059G | 08 | 559-561 | S32434K | 08 | 564-566 | ||
| S31634A | 06 | 393-395 | S32059K | 08 | 564-566 | S32434S | 08 | 551-552 | ||
| S31634A | 24 | 955-965 | S32059S | 08 | 551-552 | S32435A | 08 | 535-536 | ||
| S31634D | 23 | 949-950 | S3210XA | 08 | 551-552 | S32435A | 24 | 955-965 | ||
| S31634S | 09 | 604-605 | S3210XA | 24 | 955-965 | S32435B | 08 | 535-536 | ||
| S31635A | 06 | 393-395 | S3210XB | 08 | 551-552 | S32435B | 24 | 955-965 | ||
| S31635A | 24 | 955-965 | S3210XB | 24 | 955-965 | S32435D | 08 | 559-561 | ||
| S31635D | 23 | 949-950 | S3210XD | 08 | 559-561 | S32435G | 08 | 559-561 | ||
| S31635S | 09 | 604-605 | S3210XG | 08 | 559-561 | S32435K | 08 | 564-566 | ||
| S31639A | 06 | 393-395 | S3210XK | 08 | 564-566 | S32435S | 08 | 551-552 | ||
| S31639A | 24 | 955-965 | S3210XS | 08 | 551-552 | S32436A | 08 | 535-536 | ||
| S31639D | 23 | 949-950 | S32110A | 08 | 551-552 | S32436A | 24 | 955-965 | ||
| S31639S | 09 | 604-605 | S32110A | 24 | 955-965 | S32436B | 08 | 535-536 | ||
| S31640A | 06 | 393-395 | S32110B | 08 | 551-552 | S32436B | 24 | 955-965 | ||
| S31640A | 24 | 955-965 | S32110B | 24 | 955-965 | S32436D | 08 | 559-561 | ||
| S31640D | 23 | 949-950 | S32110D | 08 | 559-561 | S32436G | 08 | 559-561 | ||
| S31640S | 09 | 604-605 | S32110G | 08 | 559-561 | S32436K | 08 | 564-566 | ||
| S31641A | 06 | 393-395 | S32110K | 08 | 564-566 | S32436S | 08 | 551-552 | ||
| S31641A | 24 | 955-965 | S32110S | 08 | 551-552 | S32441A | 08 | 535-536 | ||
| S31641D | 23 | 949-950 | S32111A | 08 | 551-552 | S32441A | 24 | 955-965 | ||
| S31641S | 09 | 604-605 | S32111A | 24 | 955-965 | S32441B | 08 | 535-536 | ||
| S31642A | 06 | 393-395 | S32111B | 08 | 551-552 | S32441B | 24 | 955-965 | ||
| S31642A | 24 | 955-965 | S32111B | 24 | 955-965 | S32441D | 08 | 559-561 | ||
| S31642D | 23 | 949-950 | S32111D | 08 | 559-561 | S32441G | 08 | 559-561 | ||
| S31642S | 09 | 604-605 | S32111G | 08 | 559-561 | S32441K | 08 | 564-566 | ||
| S31643A | 06 | 393-395 | S32111K | 08 | 564-566 | S32441S | 08 | 551-552 | ||
| S31643A | 24 | 955-965 | S32111S | 08 | 551-552 | S32442A | 08 | 535-536 | ||
| S31643D | 23 | 949-950 | S32112A | 08 | 551-552 | S32442A | 24 | 955-965 | ||
| S31643S | 09 | 604-605 | S32112A | 24 | 955-965 | S32442B | 08 | 535-536 | ||
| S31644A | 06 | 393-395 | S32112B | 08 | 551-552 | S32442B | 24 | 955-965 | ||
| S31644A | 24 | 955-965 | S32112B | 24 | 955-965 | S32442D | 08 | 559-561 | ||
| S31644D | 23 | 949-950 | S32112D | 08 | 559-561 | S32442G | 08 | 559-561 | ||
| S31644S | 09 | 604-605 | S32112G | 08 | 559-561 | S32442K | 08 | 564-566 | ||
| S31645A | 06 | 393-395 | S32112K | 08 | 564-566 | S32442S | 08 | 551-552 | ||
| S31645A | 24 | 955-965 | S32112S | 08 | 551-552 | S32443A | 08 | 535-536 | ||
| S31645D | 23 | 949-950 | S32119A | 08 | 551-552 | S32443A | 24 | 955-965 | ||
| S31645S | 09 | 604-605 | S32119A | 24 | 955-965 | S32443B | 08 | 535-536 | ||
| S31649A | 06 | 393-395 | S32119B | 08 | 551-552 | S32443B | 24 | 955-965 | ||
| S31649A | 24 | 955-965 | S32119B | 24 | 955-965 | S32443D | 08 | 559-561 | ||
| S31649D | 23 | 949-950 | S32119D | 08 | 559-561 | S32443G | 08 | 559-561 | ||
| S31649S | 09 | 604-605 | S32119G | 08 | 559-561 | S32443K | 08 | 564-566 | ||
| S31650A | 06 | 393-395 | S32119K | 08 | 564-566 | S32443S | 08 | 551-552 | ||
| S31650A | 24 | 955-965 | S32119S | 08 | 551-552 | S32444A | 08 | 535-536 | ||
| S31650D | 23 | 949-950 | S32120A | 08 | 551-552 | S32444A | 24 | 955-965 | ||
| S31650S | 09 | 604-605 | S32120A | 24 | 955-965 | S32444B | 08 | 535-536 | ||
| S31651A | 06 | 393-395 | S32120B | 08 | 551-552 | S32444B | 24 | 955-965 | ||
| S31651A | 24 | 955-965 | S32120B | 24 | 955-965 | S32444D | 08 | 559-561 | ||
| S31651D | 23 | 949-950 | S32120D | 08 | 559-561 | S32444G | 08 | 559-561 | ||
| S31651S | 09 | 604-605 | S32120G | 08 | 559-561 | S32444K | 08 | 564-566 | ||
| S31652A | 06 | 393-395 | S32120K | 08 | 564-566 | S32444S | 08 | 551-552 | ||
| S31652A | 24 | 955-965 | S32120S | 08 | 551-552 | S32445A | 08 | 535-536 | ||
| S31652D | 23 | 949-950 | S32121A | 08 | 551-552 | S32445A | 24 | 955-965 | ||
| S31652S | 09 | 604-605 | S32121A | 24 | 955-965 | S32445B | 08 | 535-536 | ||
| S31653A | 06 | 393-395 | S32121B | 08 | 551-552 | S32445B | 24 | 955-965 | ||
| S31653A | 24 | 955-965 | S32121B | 24 | 955-965 | S32445D | 08 | 559-561 | ||
| S31653D | 23 | 949-950 | S32121D | 08 | 559-561 | S32445G | 08 | 559-561 | ||
| S31653S | 09 | 604-605 | S32121G | 08 | 559-561 | S32445K | 08 | 564-566 | ||
| S31654A | 06 | 393-395 | S32121K | 08 | 564-566 | S32445S | 08 | 551-552 | ||
| S31654A | 24 | 955-965 | S32121S | 08 | 551-552 | S32446A | 08 | 535-536 | ||
| S31654D | 23 | 949-950 | S32122A | 08 | 551-552 | S32446A | 24 | 955-965 | ||
| S31654S | 09 | 604-605 | S32122A | 24 | 955-965 | S32446B | 08 | 535-536 | ||
| S31655A | 06 | 393-395 | S32122B | 08 | 551-552 | S32446B | 24 | 955-965 | ||
| S31655A | 24 | 955-965 | S32122B | 24 | 955-965 | S32446D | 08 | 559-561 | ||
| S31655D | 23 | 949-950 | S32122D | 08 | 559-561 | S32446G | 08 | 559-561 | ||
| S31655S | 09 | 604-605 | S32122G | 08 | 559-561 | S32446K | 08 | 564-566 | ||
| S31659A | 06 | 393-395 | S32122K | 08 | 564-566 | S32446S | 08 | 551-552 | ||
| S31659A | 24 | 955-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 09 Jul 2020 15:51:46 CMS, code-revision=268, description-revision=1285 |