ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual |
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| Diagnosis Code/MDC/MS-DRG Index |
| Page 20 of 74 |
| A000 B303 C579 C8444 D3131 E093513 E13638 F423 H02202 H30121 H59031 I5089 I70722 K006 K9089 L97103 M10361 M247 M60159 M80052S M84633D M90569 N8341 O2942 O3623X4 O6000 P258 Q72819 S00221S S02622K S066X0D S12651B S21101S S25319D S31612D S32472S S36513D S42031B S42424B S46019S S52033M S52264P S52521A S55802S S60041A S61341A S62304D S62643B S63497A S66411A S72019D S72102S S72309C S72435C S76309S S82033M S82235R S82492B S83222D S89132P S92016A S92401P S95999S T17998A T23042A T25392D T38803S T438X5D T492X6D T595X4A T7462XA T8332XD Z22322 Z95820 |
| DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
|---|---|---|---|---|---|---|---|---|---|---|
| M80052S | 08 | 559-561 | M84345D | 08 | 559-561 | M84473P | 08 | 564-566 | ||
| M80059A | 08 | 521-522 | M84345G | 08 | 559-561 | M84473S | 08 | 559-561 | ||
| M80059A | 08 | 542-544 | M84345K | 08 | 564-566 | M84474A | 08 | 542-544 | ||
| M80059A | 15 | 791 | M84345P | 08 | 564-566 | M84474A | 15 | 791 | ||
| M80059A | 15 | 793 | M84345S | 08 | 559-561 | M84474A | 15 | 793 | ||
| M80059D | 08 | 559-561 | M84346A | 08 | 542-544 | M84474D | 08 | 559-561 | ||
| M80059G | 08 | 521-522 | M84346D | 08 | 559-561 | M84474G | 08 | 559-561 | ||
| M80059G | 08 | 559-561 | M84346G | 08 | 559-561 | M84474K | 08 | 564-566 | ||
| M80059K | 08 | 521-522 | M84346K | 08 | 564-566 | M84474P | 08 | 564-566 | ||
| M80059K | 08 | 564-566 | M84346P | 08 | 564-566 | M84474S | 08 | 559-561 | ||
| M80059P | 08 | 521-522 | M84346S | 08 | 559-561 | M84475A | 08 | 542-544 | ||
| M80059P | 08 | 564-566 | M84350A | 08 | 542-544 | M84475A | 15 | 791 | ||
| M80059S | 08 | 559-561 | M84350D | 08 | 559-561 | M84475A | 15 | 793 | ||
| M80061A | 08 | 542-544 | M84350G | 08 | 559-561 | M84475D | 08 | 559-561 | ||
| M80061A | 15 | 791 | M84350K | 08 | 564-566 | M84475G | 08 | 559-561 | ||
| M80061A | 15 | 793 | M84350P | 08 | 564-566 | M84475K | 08 | 564-566 | ||
| M80061D | 08 | 559-561 | M84350S | 08 | 551-552 | M84475P | 08 | 564-566 | ||
| M80061G | 08 | 559-561 | M84351A | 08 | 521-522 | M84475S | 08 | 559-561 | ||
| M80061K | 08 | 564-566 | M84351A | 08 | 542-544 | M84476A | 08 | 542-544 | ||
| M80061P | 08 | 564-566 | M84351D | 08 | 559-561 | M84476A | 15 | 791 | ||
| M80061S | 08 | 559-561 | M84351G | 08 | 559-561 | M84476A | 15 | 793 | ||
| M80062A | 08 | 542-544 | M84351K | 08 | 521-522 | M84476D | 08 | 559-561 | ||
| M80062A | 15 | 791 | M84351K | 08 | 564-566 | M84476G | 08 | 559-561 | ||
| M80062A | 15 | 793 | M84351P | 08 | 521-522 | M84476K | 08 | 564-566 | ||
| M80062D | 08 | 559-561 | M84351P | 08 | 564-566 | M84476P | 08 | 564-566 | ||
| M80062G | 08 | 559-561 | M84351S | 08 | 559-561 | M84476S | 08 | 559-561 | ||
| M80062K | 08 | 564-566 | M84352A | 08 | 521-522 | M84477A | 08 | 542-544 | ||
| M80062P | 08 | 564-566 | M84352A | 08 | 542-544 | M84477A | 15 | 791 | ||
| M80062S | 08 | 559-561 | M84352D | 08 | 559-561 | M84477A | 15 | 793 | ||
| M80069A | 08 | 542-544 | M84352G | 08 | 559-561 | M84477D | 08 | 559-561 | ||
| M80069A | 15 | 791 | M84352K | 08 | 521-522 | M84477G | 08 | 559-561 | ||
| M80069A | 15 | 793 | M84352K | 08 | 564-566 | M84477K | 08 | 564-566 | ||
| M80069D | 08 | 559-561 | M84352P | 08 | 521-522 | M84477P | 08 | 564-566 | ||
| M80069G | 08 | 559-561 | M84352P | 08 | 564-566 | M84477S | 08 | 559-561 | ||
| M80069K | 08 | 564-566 | M84352S | 08 | 559-561 | M84478A | 08 | 542-544 | ||
| M80069P | 08 | 564-566 | M84353A | 08 | 521-522 | M84478A | 15 | 791 | ||
| M80069S | 08 | 559-561 | M84353A | 08 | 542-544 | M84478A | 15 | 793 | ||
| M80071A | 08 | 542-544 | M84353D | 08 | 559-561 | M84478D | 08 | 559-561 | ||
| M80071A | 15 | 791 | M84353G | 08 | 559-561 | M84478G | 08 | 559-561 | ||
| M80071A | 15 | 793 | M84353K | 08 | 521-522 | M84478K | 08 | 564-566 | ||
| M80071D | 08 | 559-561 | M84353K | 08 | 564-566 | M84478P | 08 | 564-566 | ||
| M80071G | 08 | 559-561 | M84353P | 08 | 521-522 | M84478S | 08 | 559-561 | ||
| M80071K | 08 | 564-566 | M84353P | 08 | 564-566 | M84479A | 08 | 542-544 | ||
| M80071P | 08 | 564-566 | M84353S | 08 | 559-561 | M84479A | 15 | 791 | ||
| M80071S | 08 | 559-561 | M84359A | 08 | 521-522 | M84479A | 15 | 793 | ||
| M80072A | 08 | 542-544 | M84359A | 08 | 542-544 | M84479D | 08 | 559-561 | ||
| M80072A | 15 | 791 | M84359D | 08 | 559-561 | M84479G | 08 | 559-561 | ||
| M80072A | 15 | 793 | M84359G | 08 | 559-561 | M84479K | 08 | 564-566 | ||
| M80072D | 08 | 559-561 | M84359K | 08 | 521-522 | M84479P | 08 | 564-566 | ||
| M80072G | 08 | 559-561 | M84359K | 08 | 564-566 | M84479S | 08 | 559-561 | ||
| M80072K | 08 | 564-566 | M84359P | 08 | 521-522 | M8448XA | 08 | 542-544 | ||
| M80072P | 08 | 564-566 | M84359P | 08 | 564-566 | M8448XA | 15 | 791 | ||
| M80072S | 08 | 559-561 | M84359S | 08 | 559-561 | M8448XA | 15 | 793 | ||
| M80079A | 08 | 542-544 | M84361A | 08 | 542-544 | M8448XD | 08 | 559-561 | ||
| M80079A | 15 | 791 | M84361D | 08 | 559-561 | M8448XG | 08 | 559-561 | ||
| M80079A | 15 | 793 | M84361G | 08 | 559-561 | M8448XK | 08 | 564-566 | ||
| M80079D | 08 | 559-561 | M84361K | 08 | 564-566 | M8448XP | 08 | 564-566 | ||
| M80079G | 08 | 559-561 | M84361P | 08 | 564-566 | M8448XS | 08 | 559-561 | ||
| M80079K | 08 | 564-566 | M84361S | 08 | 559-561 | M8450XA | 08 | 542-544 | ||
| M80079P | 08 | 564-566 | M84362A | 08 | 542-544 | M8450XA | 15 | 791 | ||
| M80079S | 08 | 559-561 | M84362D | 08 | 559-561 | M8450XA | 15 | 793 | ||
| M8008XA | 08 | 456-458 | M84362G | 08 | 559-561 | M8450XD | 08 | 559-561 | ||
| M8008XA | 08 | 542-544 | M84362K | 08 | 564-566 | M8450XG | 08 | 559-561 | ||
| M8008XA | 15 | 791 | M84362P | 08 | 564-566 | M8450XK | 08 | 564-566 | ||
| M8008XA | 15 | 793 | M84362S | 08 | 559-561 | M8450XP | 08 | 564-566 | ||
| M8008XD | 08 | 559-561 | M84363A | 08 | 542-544 | M8450XS | 08 | 559-561 | ||
| M8008XG | 08 | 559-561 | M84363D | 08 | 559-561 | M84511A | 08 | 542-544 | ||
| M8008XK | 08 | 564-566 | M84363G | 08 | 559-561 | M84511A | 15 | 791 | ||
| M8008XP | 08 | 564-566 | M84363K | 08 | 564-566 | M84511A | 15 | 793 | ||
| M8008XS | 08 | 551-552 | M84363P | 08 | 564-566 | M84511D | 08 | 559-561 | ||
| M800AXA | 08 | 521-522 | M84363S | 08 | 559-561 | M84511G | 08 | 559-561 | ||
| M800AXA | 08 | 542-544 | M84364A | 08 | 542-544 | M84511K | 08 | 564-566 | ||
| M800AXA | 15 | 791 | M84364D | 08 | 559-561 | M84511P | 08 | 564-566 | ||
| M800AXA | 15 | 793 | M84364G | 08 | 559-561 | M84511S | 08 | 559-561 | ||
| M800AXD | 08 | 521-522 | M84364K | 08 | 564-566 | M84512A | 08 | 542-544 | ||
| M800AXD | 08 | 559-561 | M84364P | 08 | 564-566 | M84512A | 15 | 791 | ||
| M800AXG | 08 | 521-522 | M84364S | 08 | 559-561 | M84512A | 15 | 793 | ||
| M800AXG | 08 | 559-561 | M84369A | 08 | 542-544 | M84512D | 08 | 559-561 | ||
| M800AXK | 08 | 521-522 | M84369D | 08 | 559-561 | M84512G | 08 | 559-561 | ||
| M800AXK | 08 | 564-566 | M84369G | 08 | 559-561 | M84512K | 08 | 564-566 | ||
| M800AXP | 08 | 521-522 | M84369K | 08 | 564-566 | M84512P | 08 | 564-566 | ||
| M800AXP | 08 | 564-566 | M84369P | 08 | 564-566 | M84512S | 08 | 559-561 | ||
| M800AXS | 08 | 559-561 | M84369S | 08 | 559-561 | M84519A | 08 | 542-544 | ||
| M8080XA | 08 | 542-544 | M84371A | 08 | 542-544 | M84519A | 15 | 791 | ||
| M8080XA | 15 | 791 | M84371D | 08 | 559-561 | M84519A | 15 | 793 | ||
| M8080XA | 15 | 793 | M84371G | 08 | 559-561 | M84519D | 08 | 559-561 | ||
| M8080XD | 08 | 559-561 | M84371K | 08 | 564-566 | M84519G | 08 | 559-561 | ||
| M8080XG | 08 | 559-561 | M84371P | 08 | 564-566 | M84519K | 08 | 564-566 | ||
| M8080XK | 08 | 564-566 | M84371S | 08 | 559-561 | M84519P | 08 | 564-566 | ||
| M8080XP | 08 | 564-566 | M84372A | 08 | 542-544 | M84519S | 08 | 559-561 | ||
| M8080XS | 08 | 559-561 | M84372D | 08 | 559-561 | M84521A | 08 | 542-544 | ||
| M80811A | 08 | 542-544 | M84372G | 08 | 559-561 | M84521A | 15 | 791 | ||
| M80811A | 15 | 791 | M84372K | 08 | 564-566 | M84521A | 15 | 793 | ||
| M80811A | 15 | 793 | M84372P | 08 | 564-566 | M84521D | 08 | 559-561 | ||
| M80811D | 08 | 559-561 | M84372S | 08 | 559-561 | M84521G | 08 | 559-561 | ||
| M80811G | 08 | 559-561 | M84373A | 08 | 542-544 | M84521K | 08 | 564-566 | ||
| M80811K | 08 | 564-566 | M84373D | 08 | 559-561 | M84521P | 08 | 564-566 | ||
| M80811P | 08 | 564-566 | M84373G | 08 | 559-561 | M84521S | 08 | 559-561 | ||
| M80811S | 08 | 559-561 | M84373K | 08 | 564-566 | M84522A | 08 | 542-544 | ||
| M80812A | 08 | 542-544 | M84373P | 08 | 564-566 | M84522A | 15 | 791 | ||
| M80812A | 15 | 791 | M84373S | 08 | 559-561 | M84522A | 15 | 793 | ||
| M80812A | 15 | 793 | M84374A | 08 | 542-544 | M84522D | 08 | 559-561 | ||
| M80812D | 08 | 559-561 | M84374D | 08 | 559-561 | M84522G | 08 | 559-561 | ||
| M80812G | 08 | 559-561 | M84374G | 08 | 559-561 | M84522K | 08 | 564-566 | ||
| M80812K | 08 | 564-566 | M84374K | 08 | 564-566 | M84522P | 08 | 564-566 | ||
| M80812P | 08 | 564-566 | M84374P | 08 | 564-566 | M84522S | 08 | 559-561 | ||
| M80812S | 08 | 559-561 | M84374S | 08 | 559-561 | M84529A | 08 | 542-544 | ||
| M80819A | 08 | 542-544 | M84375A | 08 | 542-544 | M84529A | 15 | 791 | ||
| M80819A | 15 | 791 | M84375D | 08 | 559-561 | M84529A | 15 | 793 | ||
| M80819A | 15 | 793 | M84375G | 08 | 559-561 | M84529D | 08 | 559-561 | ||
| M80819D | 08 | 559-561 | M84375K | 08 | 564-566 | M84529G | 08 | 559-561 | ||
| M80819G | 08 | 559-561 | M84375P | 08 | 564-566 | M84529K | 08 | 564-566 | ||
| M80819K | 08 | 564-566 | M84375S | 08 | 559-561 | M84529P | 08 | 564-566 | ||
| M80819P | 08 | 564-566 | M84376A | 08 | 542-544 | M84529S | 08 | 559-561 | ||
| M80819S | 08 | 559-561 | M84376D | 08 | 559-561 | M84531A | 08 | 542-544 | ||
| M80821A | 08 | 542-544 | M84376G | 08 | 559-561 | M84531A | 15 | 791 | ||
| M80821A | 15 | 791 | M84376K | 08 | 564-566 | M84531A | 15 | 793 | ||
| M80821A | 15 | 793 | M84376P | 08 | 564-566 | M84531D | 08 | 559-561 | ||
| M80821D | 08 | 559-561 | M84376S | 08 | 559-561 | M84531G | 08 | 559-561 | ||
| M80821G | 08 | 559-561 | M84377A | 08 | 542-544 | M84531K | 08 | 564-566 | ||
| M80821K | 08 | 564-566 | M84377D | 08 | 559-561 | M84531P | 08 | 564-566 | ||
| M80821P | 08 | 564-566 | M84377G | 08 | 559-561 | M84531S | 08 | 559-561 | ||
| M80821S | 08 | 559-561 | M84377K | 08 | 564-566 | M84532A | 08 | 542-544 | ||
| M80822A | 08 | 542-544 | M84377P | 08 | 564-566 | M84532A | 15 | 791 | ||
| M80822A | 15 | 791 | M84377S | 08 | 559-561 | M84532A | 15 | 793 | ||
| M80822A | 15 | 793 | M84378A | 08 | 542-544 | M84532D | 08 | 559-561 | ||
| M80822D | 08 | 559-561 | M84378D | 08 | 559-561 | M84532G | 08 | 559-561 | ||
| M80822G | 08 | 559-561 | M84378G | 08 | 559-561 | M84532K | 08 | 564-566 | ||
| M80822K | 08 | 564-566 | M84378K | 08 | 564-566 | M84532P | 08 | 564-566 | ||
| M80822P | 08 | 564-566 | M84378P | 08 | 564-566 | M84532S | 08 | 559-561 | ||
| M80822S | 08 | 559-561 | M84378S | 08 | 559-561 | M84533A | 08 | 542-544 | ||
| M80829A | 08 | 542-544 | M84379A | 08 | 542-544 | M84533A | 15 | 791 | ||
| M80829A | 15 | 791 | M84379D | 08 | 559-561 | M84533A | 15 | 793 | ||
| M80829A | 15 | 793 | M84379G | 08 | 559-561 | M84533D | 08 | 559-561 | ||
| M80829D | 08 | 559-561 | M84379K | 08 | 564-566 | M84533G | 08 | 559-561 | ||
| M80829G | 08 | 559-561 | M84379P | 08 | 564-566 | M84533K | 08 | 564-566 | ||
| M80829K | 08 | 564-566 | M84379S | 08 | 559-561 | M84533P | 08 | 564-566 | ||
| M80829P | 08 | 564-566 | M8438XA | 08 | 542-544 | M84533S | 08 | 559-561 | ||
| M80829S | 08 | 559-561 | M8438XD | 08 | 559-561 | M84534A | 08 | 542-544 | ||
| M80831A | 08 | 542-544 | M8438XG | 08 | 559-561 | M84534A | 15 | 791 | ||
| M80831A | 15 | 791 | M8438XK | 08 | 564-566 | M84534A | 15 | 793 | ||
| M80831A | 15 | 793 | M8438XP | 08 | 564-566 | M84534D | 08 | 559-561 | ||
| M80831D | 08 | 559-561 | M8438XS | 08 | 559-561 | M84534G | 08 | 559-561 | ||
| M80831G | 08 | 559-561 | M8440XA | 08 | 542-544 | M84534K | 08 | 564-566 | ||
| M80831K | 08 | 564-566 | M8440XA | 15 | 791 | M84534P | 08 | 564-566 | ||
| M80831P | 08 | 564-566 | M8440XA | 15 | 793 | M84534S | 08 | 559-561 | ||
| M80831S | 08 | 559-561 | M8440XD | 08 | 559-561 | M84539A | 08 | 542-544 | ||
| M80832A | 08 | 542-544 | M8440XG | 08 | 559-561 | M84539A | 15 | 791 | ||
| M80832A | 15 | 791 | M8440XK | 08 | 564-566 | M84539A | 15 | 793 | ||
| M80832A | 15 | 793 | M8440XP | 08 | 564-566 | M84539D | 08 | 559-561 | ||
| M80832D | 08 | 559-561 | M8440XS | 08 | 559-561 | M84539G | 08 | 559-561 | ||
| M80832G | 08 | 559-561 | M84411A | 08 | 542-544 | M84539K | 08 | 564-566 | ||
| M80832K | 08 | 564-566 | M84411A | 15 | 791 | M84539P | 08 | 564-566 | ||
| M80832P | 08 | 564-566 | M84411A | 15 | 793 | M84539S | 08 | 559-561 | ||
| M80832S | 08 | 559-561 | M84411D | 08 | 559-561 | M84541A | 08 | 542-544 | ||
| M80839A | 08 | 542-544 | M84411G | 08 | 559-561 | M84541A | 15 | 791 | ||
| M80839A | 15 | 791 | M84411K | 08 | 564-566 | M84541A | 15 | 793 | ||
| M80839A | 15 | 793 | M84411P | 08 | 564-566 | M84541D | 08 | 559-561 | ||
| M80839D | 08 | 559-561 | M84411S | 08 | 559-561 | M84541G | 08 | 559-561 | ||
| M80839G | 08 | 559-561 | M84412A | 08 | 542-544 | M84541K | 08 | 564-566 | ||
| M80839K | 08 | 564-566 | M84412A | 15 | 791 | M84541P | 08 | 564-566 | ||
| M80839P | 08 | 564-566 | M84412A | 15 | 793 | M84541S | 08 | 559-561 | ||
| M80839S | 08 | 559-561 | M84412D | 08 | 559-561 | M84542A | 08 | 542-544 | ||
| M80841A | 08 | 542-544 | M84412G | 08 | 559-561 | M84542A | 15 | 791 | ||
| M80841A | 15 | 791 | M84412K | 08 | 564-566 | M84542A | 15 | 793 | ||
| M80841A | 15 | 793 | M84412P | 08 | 564-566 | M84542D | 08 | 559-561 | ||
| M80841D | 08 | 559-561 | M84412S | 08 | 559-561 | M84542G | 08 | 559-561 | ||
| M80841G | 08 | 559-561 | M84419A | 08 | 542-544 | M84542K | 08 | 564-566 | ||
| M80841K | 08 | 564-566 | M84419A | 15 | 791 | M84542P | 08 | 564-566 | ||
| M80841P | 08 | 564-566 | M84419A | 15 | 793 | M84542S | 08 | 559-561 | ||
| M80841S | 08 | 559-561 | M84419D | 08 | 559-561 | M84549A | 08 | 542-544 | ||
| M80842A | 08 | 542-544 | M84419G | 08 | 559-561 | M84549A | 15 | 791 | ||
| M80842A | 15 | 791 | M84419K | 08 | 564-566 | M84549A | 15 | 793 | ||
| M80842A | 15 | 793 | M84419P | 08 | 564-566 | M84549D | 08 | 559-561 | ||
| M80842D | 08 | 559-561 | M84419S | 08 | 559-561 | M84549G | 08 | 559-561 | ||
| M80842G | 08 | 559-561 | M84421A | 08 | 542-544 | M84549K | 08 | 564-566 | ||
| M80842K | 08 | 564-566 | M84421A | 15 | 791 | M84549P | 08 | 564-566 | ||
| M80842P | 08 | 564-566 | M84421A | 15 | 793 | M84549S | 08 | 559-561 | ||
| M80842S | 08 | 559-561 | M84421D | 08 | 559-561 | M84550A | 08 | 542-544 | ||
| M80849A | 08 | 542-544 | M84421G | 08 | 559-561 | M84550A | 15 | 791 | ||
| M80849A | 15 | 791 | M84421K | 08 | 564-566 | M84550A | 15 | 793 | ||
| M80849A | 15 | 793 | M84421P | 08 | 564-566 | M84550D | 08 | 559-561 | ||
| M80849D | 08 | 559-561 | M84421S | 08 | 559-561 | M84550G | 08 | 559-561 | ||
| M80849G | 08 | 559-561 | M84422A | 08 | 542-544 | M84550K | 08 | 564-566 | ||
| M80849K | 08 | 564-566 | M84422A | 15 | 791 | M84550P | 08 | 564-566 | ||
| M80849P | 08 | 564-566 | M84422A | 15 | 793 | M84550S | 08 | 551-552 | ||
| M80849S | 08 | 559-561 | M84422D | 08 | 559-561 | M84551A | 08 | 521-522 | ||
| M80851A | 08 | 521-522 | M84422G | 08 | 559-561 | M84551A | 08 | 542-544 | ||
| M80851A | 08 | 542-544 | M84422K | 08 | 564-566 | M84551A | 15 | 791 | ||
| M80851A | 15 | 791 | M84422P | 08 | 564-566 | M84551A | 15 | 793 | ||
| M80851A | 15 | 793 | M84422S | 08 | 559-561 | M84551D | 08 | 559-561 | ||
| M80851D | 08 | 559-561 | M84429A | 08 | 542-544 | M84551G | 08 | 559-561 | ||
| M80851G | 08 | 521-522 | M84429A | 15 | 791 | M84551K | 08 | 521-522 | ||
| M80851G | 08 | 559-561 | M84429A | 15 | 793 | M84551K | 08 | 564-566 | ||
| M80851K | 08 | 521-522 | M84429D | 08 | 559-561 | M84551P | 08 | 521-522 | ||
| M80851K | 08 | 564-566 | M84429G | 08 | 559-561 | M84551P | 08 | 564-566 | ||
| M80851P | 08 | 521-522 | M84429K | 08 | 564-566 | M84551S | 08 | 559-561 | ||
| M80851P | 08 | 564-566 | M84429P | 08 | 564-566 | M84552A | 08 | 521-522 | ||
| M80851S | 08 | 559-561 | M84429S | 08 | 559-561 | M84552A | 08 | 542-544 | ||
| M80852A | 08 | 521-522 | M84431A | 08 | 542-544 | M84552A | 15 | 791 | ||
| M80852A | 08 | 542-544 | M84431A | 15 | 791 | M84552A | 15 | 793 | ||
| M80852A | 15 | 791 | M84431A | 15 | 793 | M84552D | 08 | 559-561 | ||
| M80852A | 15 | 793 | M84431D | 08 | 559-561 | M84552G | 08 | 559-561 | ||
| M80852D | 08 | 559-561 | M84431G | 08 | 559-561 | M84552K | 08 | 521-522 | ||
| M80852G | 08 | 521-522 | M84431K | 08 | 564-566 | M84552K | 08 | 564-566 | ||
| M80852G | 08 | 559-561 | M84431P | 08 | 564-566 | M84552P | 08 | 521-522 | ||
| M80852K | 08 | 521-522 | M84431S | 08 | 559-561 | M84552P | 08 | 564-566 | ||
| M80852K | 08 | 564-566 | M84432A | 08 | 542-544 | M84552S | 08 | 559-561 | ||
| M80852P | 08 | 521-522 | M84432A | 15 | 791 | M84553A | 08 | 521-522 | ||
| M80852P | 08 | 564-566 | M84432A | 15 | 793 | M84553A | 08 | 542-544 | ||
| M80852S | 08 | 559-561 | M84432D | 08 | 559-561 | M84553A | 15 | 791 | ||
| M80859A | 08 | 521-522 | M84432G | 08 | 559-561 | M84553A | 15 | 793 | ||
| M80859A | 08 | 542-544 | M84432K | 08 | 564-566 | M84553D | 08 | 559-561 | ||
| M80859A | 15 | 791 | M84432P | 08 | 564-566 | M84553G | 08 | 559-561 | ||
| M80859A | 15 | 793 | M84432S | 08 | 559-561 | M84553K | 08 | 521-522 | ||
| M80859D | 08 | 559-561 | M84433A | 08 | 542-544 | M84553K | 08 | 564-566 | ||
| M80859G | 08 | 521-522 | M84433A | 15 | 791 | M84553P | 08 | 521-522 | ||
| M80859G | 08 | 559-561 | M84433A | 15 | 793 | M84553P | 08 | 564-566 | ||
| M80859K | 08 | 521-522 | M84433D | 08 | 559-561 | M84553S | 08 | 559-561 | ||
| M80859K | 08 | 564-566 | M84433G | 08 | 559-561 | M84559A | 08 | 521-522 | ||
| M80859P | 08 | 521-522 | M84433K | 08 | 564-566 | M84559A | 08 | 542-544 | ||
| M80859P | 08 | 564-566 | M84433P | 08 | 564-566 | M84559A | 15 | 791 | ||
| M80859S | 08 | 559-561 | M84433S | 08 | 559-561 | M84559A | 15 | 793 | ||
| M80861A | 08 | 542-544 | M84434A | 08 | 542-544 | M84559D | 08 | 559-561 | ||
| M80861A | 15 | 791 | M84434A | 15 | 791 | M84559G | 08 | 559-561 | ||
| M80861A | 15 | 793 | M84434A | 15 | 793 | M84559K | 08 | 521-522 | ||
| M80861D | 08 | 559-561 | M84434D | 08 | 559-561 | M84559K | 08 | 564-566 | ||
| M80861G | 08 | 559-561 | M84434G | 08 | 559-561 | M84559P | 08 | 521-522 | ||
| M80861K | 08 | 564-566 | M84434K | 08 | 564-566 | M84559P | 08 | 564-566 | ||
| M80861P | 08 | 564-566 | M84434P | 08 | 564-566 | M84559S | 08 | 559-561 | ||
| M80861S | 08 | 559-561 | M84434S | 08 | 559-561 | M84561A | 08 | 542-544 | ||
| M80862A | 08 | 542-544 | M84439A | 08 | 542-544 | M84561A | 15 | 791 | ||
| M80862A | 15 | 791 | M84439A | 15 | 791 | M84561A | 15 | 793 | ||
| M80862A | 15 | 793 | M84439A | 15 | 793 | M84561D | 08 | 559-561 | ||
| M80862D | 08 | 559-561 | M84439D | 08 | 559-561 | M84561G | 08 | 559-561 | ||
| M80862G | 08 | 559-561 | M84439G | 08 | 559-561 | M84561K | 08 | 564-566 | ||
| M80862K | 08 | 564-566 | M84439K | 08 | 564-566 | M84561P | 08 | 564-566 | ||
| M80862P | 08 | 564-566 | M84439P | 08 | 564-566 | M84561S | 08 | 559-561 | ||
| M80862S | 08 | 559-561 | M84439S | 08 | 559-561 | M84562A | 08 | 542-544 | ||
| M80869A | 08 | 542-544 | M84441A | 08 | 542-544 | M84562A | 15 | 791 | ||
| M80869A | 15 | 791 | M84441A | 15 | 791 | M84562A | 15 | 793 | ||
| M80869A | 15 | 793 | M84441A | 15 | 793 | M84562D | 08 | 559-561 | ||
| M80869D | 08 | 559-561 | M84441D | 08 | 559-561 | M84562G | 08 | 559-561 | ||
| M80869G | 08 | 559-561 | M84441G | 08 | 559-561 | M84562K | 08 | 564-566 | ||
| M80869K | 08 | 564-566 | M84441K | 08 | 564-566 | M84562P | 08 | 564-566 | ||
| M80869P | 08 | 564-566 | M84441P | 08 | 564-566 | M84562S | 08 | 559-561 | ||
| M80869S | 08 | 559-561 | M84441S | 08 | 559-561 | M84563A | 08 | 542-544 | ||
| M80871A | 08 | 542-544 | M84442A | 08 | 542-544 | M84563A | 15 | 791 | ||
| M80871A | 15 | 791 | M84442A | 15 | 791 | M84563A | 15 | 793 | ||
| M80871A | 15 | 793 | M84442A | 15 | 793 | M84563D | 08 | 559-561 | ||
| M80871D | 08 | 559-561 | M84442D | 08 | 559-561 | M84563G | 08 | 559-561 | ||
| M80871G | 08 | 559-561 | M84442G | 08 | 559-561 | M84563K | 08 | 564-566 | ||
| M80871K | 08 | 564-566 | M84442K | 08 | 564-566 | M84563P | 08 | 564-566 | ||
| M80871P | 08 | 564-566 | M84442P | 08 | 564-566 | M84563S | 08 | 559-561 | ||
| M80871S | 08 | 559-561 | M84442S | 08 | 559-561 | M84564A | 08 | 542-544 | ||
| M80872A | 08 | 542-544 | M84443A | 08 | 542-544 | M84564A | 15 | 791 | ||
| M80872A | 15 | 791 | M84443A | 15 | 791 | M84564A | 15 | 793 | ||
| M80872A | 15 | 793 | M84443A | 15 | 793 | M84564D | 08 | 559-561 | ||
| M80872D | 08 | 559-561 | M84443D | 08 | 559-561 | M84564G | 08 | 559-561 | ||
| M80872G | 08 | 559-561 | M84443G | 08 | 559-561 | M84564K | 08 | 564-566 | ||
| M80872K | 08 | 564-566 | M84443K | 08 | 564-566 | M84564P | 08 | 564-566 | ||
| M80872P | 08 | 564-566 | M84443P | 08 | 564-566 | M84564S | 08 | 559-561 | ||
| M80872S | 08 | 559-561 | M84443S | 08 | 559-561 | M84569A | 08 | 542-544 | ||
| M80879A | 08 | 542-544 | M84444A | 08 | 542-544 | M84569A | 15 | 791 | ||
| M80879A | 15 | 791 | M84444A | 15 | 791 | M84569A | 15 | 793 | ||
| M80879A | 15 | 793 | M84444A | 15 | 793 | M84569D | 08 | 559-561 | ||
| M80879D | 08 | 559-561 | M84444D | 08 | 559-561 | M84569G | 08 | 559-561 | ||
| M80879G | 08 | 559-561 | M84444G | 08 | 559-561 | M84569K | 08 | 564-566 | ||
| M80879K | 08 | 564-566 | M84444K | 08 | 564-566 | M84569P | 08 | 564-566 | ||
| M80879P | 08 | 564-566 | M84444P | 08 | 564-566 | M84569S | 08 | 559-561 | ||
| M80879S | 08 | 559-561 | M84444S | 08 | 559-561 | M84571A | 08 | 542-544 | ||
| M8088XA | 08 | 456-458 | M84445A | 08 | 542-544 | M84571A | 15 | 791 | ||
| M8088XA | 08 | 542-544 | M84445A | 15 | 791 | M84571A | 15 | 793 | ||
| M8088XA | 15 | 791 | M84445A | 15 | 793 | M84571D | 08 | 559-561 | ||
| M8088XA | 15 | 793 | M84445D | 08 | 559-561 | M84571G | 08 | 559-561 | ||
| M8088XD | 08 | 559-561 | M84445G | 08 | 559-561 | M84571K | 08 | 564-566 | ||
| M8088XG | 08 | 559-561 | M84445K | 08 | 564-566 | M84571P | 08 | 564-566 | ||
| M8088XK | 08 | 564-566 | M84445P | 08 | 564-566 | M84571S | 08 | 559-561 | ||
| M8088XP | 08 | 564-566 | M84445S | 08 | 559-561 | M84572A | 08 | 542-544 | ||
| M8088XS | 08 | 551-552 | M84446A | 08 | 542-544 | M84572A | 15 | 791 | ||
| M808AXA | 08 | 521-522 | M84446A | 15 | 791 | M84572A | 15 | 793 | ||
| M808AXA | 08 | 542-544 | M84446A | 15 | 793 | M84572D | 08 | 559-561 | ||
| M808AXA | 15 | 791 | M84446D | 08 | 559-561 | M84572G | 08 | 559-561 | ||
| M808AXA | 15 | 793 | M84446G | 08 | 559-561 | M84572K | 08 | 564-566 | ||
| M808AXD | 08 | 521-522 | M84446K | 08 | 564-566 | M84572P | 08 | 564-566 | ||
| M808AXD | 08 | 559-561 | M84446P | 08 | 564-566 | M84572S | 08 | 559-561 | ||
| M808AXG | 08 | 521-522 | M84446S | 08 | 559-561 | M84573A | 08 | 542-544 | ||
| M808AXG | 08 | 559-561 | M84451A | 08 | 521-522 | M84573A | 15 | 791 | ||
| M808AXK | 08 | 521-522 | M84451A | 08 | 542-544 | M84573A | 15 | 793 | ||
| M808AXK | 08 | 564-566 | M84451A | 15 | 791 | M84573D | 08 | 559-561 | ||
| M808AXP | 08 | 521-522 | M84451A | 15 | 793 | M84573G | 08 | 559-561 | ||
| M808AXP | 08 | 564-566 | M84451D | 08 | 559-561 | M84573K | 08 | 564-566 | ||
| M808AXS | 08 | 559-561 | M84451G | 08 | 559-561 | M84573P | 08 | 564-566 | ||
| M810 | 08 | 553-554 | M84451K | 08 | 521-522 | M84573S | 08 | 559-561 | ||
| M816 | 08 | 553-554 | M84451K | 08 | 564-566 | M84574A | 08 | 542-544 | ||
| M818 | 08 | 553-554 | M84451P | 08 | 521-522 | M84574A | 15 | 791 | ||
| M830 | 08 | 553-554 | M84451P | 08 | 564-566 | M84574A | 15 | 793 | ||
| M831 | 08 | 553-554 | M84451S | 08 | 559-561 | M84574D | 08 | 559-561 | ||
| M832 | 08 | 553-554 | M84452A | 08 | 521-522 | M84574G | 08 | 559-561 | ||
| M833 | 08 | 553-554 | M84452A | 08 | 542-544 | M84574K | 08 | 564-566 | ||
| M834 | 08 | 553-554 | M84452A | 15 | 791 | M84574P | 08 | 564-566 | ||
| M835 | 08 | 553-554 | M84452A | 15 | 793 | M84574S | 08 | 559-561 | ||
| M838 | 08 | 553-554 | M84452D | 08 | 559-561 | M84575A | 08 | 542-544 | ||
| M839 | 08 | 553-554 | M84452G | 08 | 559-561 | M84575A | 15 | 791 | ||
| M8430XA | 08 | 542-544 | M84452K | 08 | 521-522 | M84575A | 15 | 793 | ||
| M8430XD | 08 | 559-561 | M84452K | 08 | 564-566 | M84575D | 08 | 559-561 | ||
| M8430XG | 08 | 559-561 | M84452P | 08 | 521-522 | M84575G | 08 | 559-561 | ||
| M8430XK | 08 | 564-566 | M84452P | 08 | 564-566 | M84575K | 08 | 564-566 | ||
| M8430XP | 08 | 564-566 | M84452S | 08 | 559-561 | M84575P | 08 | 564-566 | ||
| M8430XS | 08 | 559-561 | M84453A | 08 | 521-522 | M84575S | 08 | 559-561 | ||
| M84311A | 08 | 542-544 | M84453A | 08 | 542-544 | M84576A | 08 | 542-544 | ||
| M84311D | 08 | 559-561 | M84453A | 15 | 791 | M84576A | 15 | 791 | ||
| M84311G | 08 | 559-561 | M84453A | 15 | 793 | M84576A | 15 | 793 | ||
| M84311K | 08 | 564-566 | M84453D | 08 | 559-561 | M84576D | 08 | 559-561 | ||
| M84311P | 08 | 564-566 | M84453G | 08 | 559-561 | M84576G | 08 | 559-561 | ||
| M84311S | 08 | 559-561 | M84453K | 08 | 521-522 | M84576K | 08 | 564-566 | ||
| M84312A | 08 | 542-544 | M84453K | 08 | 564-566 | M84576P | 08 | 564-566 | ||
| M84312D | 08 | 559-561 | M84453P | 08 | 521-522 | M84576S | 08 | 559-561 | ||
| M84312G | 08 | 559-561 | M84453P | 08 | 564-566 | M8458XA | 08 | 456-458 | ||
| M84312K | 08 | 564-566 | M84453S | 08 | 559-561 | M8458XA | 08 | 542-544 | ||
| M84312P | 08 | 564-566 | M84454A | 08 | 542-544 | M8458XA | 15 | 791 | ||
| M84312S | 08 | 559-561 | M84454A | 15 | 791 | M8458XA | 15 | 793 | ||
| M84319A | 08 | 542-544 | M84454A | 15 | 793 | M8458XD | 08 | 559-561 | ||
| M84319D | 08 | 559-561 | M84454D | 08 | 559-561 | M8458XG | 08 | 559-561 | ||
| M84319G | 08 | 559-561 | M84454G | 08 | 559-561 | M8458XK | 08 | 564-566 | ||
| M84319K | 08 | 564-566 | M84454K | 08 | 564-566 | M8458XP | 08 | 564-566 | ||
| M84319P | 08 | 564-566 | M84454P | 08 | 564-566 | M8458XS | 08 | 551-552 | ||
| M84319S | 08 | 559-561 | M84454S | 08 | 551-552 | M8460XA | 08 | 542-544 | ||
| M84321A | 08 | 542-544 | M84459A | 08 | 521-522 | M8460XA | 15 | 791 | ||
| M84321D | 08 | 559-561 | M84459A | 08 | 542-544 | M8460XA | 15 | 793 | ||
| M84321G | 08 | 559-561 | M84459A | 15 | 791 | M8460XD | 08 | 559-561 | ||
| M84321K | 08 | 564-566 | M84459A | 15 | 793 | M8460XG | 08 | 559-561 | ||
| M84321P | 08 | 564-566 | M84459D | 08 | 559-561 | M8460XK | 08 | 564-566 | ||
| M84321S | 08 | 559-561 | M84459G | 08 | 559-561 | M8460XP | 08 | 564-566 | ||
| M84322A | 08 | 542-544 | M84459K | 08 | 521-522 | M8460XS | 08 | 559-561 | ||
| M84322D | 08 | 559-561 | M84459K | 08 | 564-566 | M84611A | 08 | 542-544 | ||
| M84322G | 08 | 559-561 | M84459P | 08 | 521-522 | M84611A | 15 | 791 | ||
| M84322K | 08 | 564-566 | M84459P | 08 | 564-566 | M84611A | 15 | 793 | ||
| M84322P | 08 | 564-566 | M84459S | 08 | 559-561 | M84611D | 08 | 559-561 | ||
| M84322S | 08 | 559-561 | M84461A | 08 | 542-544 | M84611G | 08 | 559-561 | ||
| M84329A | 08 | 542-544 | M84461A | 15 | 791 | M84611K | 08 | 564-566 | ||
| M84329D | 08 | 559-561 | M84461A | 15 | 793 | M84611P | 08 | 564-566 | ||
| M84329G | 08 | 559-561 | M84461D | 08 | 559-561 | M84611S | 08 | 559-561 | ||
| M84329K | 08 | 564-566 | M84461G | 08 | 559-561 | M84612A | 08 | 542-544 | ||
| M84329P | 08 | 564-566 | M84461K | 08 | 564-566 | M84612A | 15 | 791 | ||
| M84329S | 08 | 559-561 | M84461P | 08 | 564-566 | M84612A | 15 | 793 | ||
| M84331A | 08 | 542-544 | M84461S | 08 | 559-561 | M84612D | 08 | 559-561 | ||
| M84331D | 08 | 559-561 | M84462A | 08 | 542-544 | M84612G | 08 | 559-561 | ||
| M84331G | 08 | 559-561 | M84462A | 15 | 791 | M84612K | 08 | 564-566 | ||
| M84331K | 08 | 564-566 | M84462A | 15 | 793 | M84612P | 08 | 564-566 | ||
| M84331P | 08 | 564-566 | M84462D | 08 | 559-561 | M84612S | 08 | 559-561 | ||
| M84331S | 08 | 559-561 | M84462G | 08 | 559-561 | M84619A | 08 | 542-544 | ||
| M84332A | 08 | 542-544 | M84462K | 08 | 564-566 | M84619A | 15 | 791 | ||
| M84332D | 08 | 559-561 | M84462P | 08 | 564-566 | M84619A | 15 | 793 | ||
| M84332G | 08 | 559-561 | M84462S | 08 | 559-561 | M84619D | 08 | 559-561 | ||
| M84332K | 08 | 564-566 | M84463A | 08 | 542-544 | M84619G | 08 | 559-561 | ||
| M84332P | 08 | 564-566 | M84463A | 15 | 791 | M84619K | 08 | 564-566 | ||
| M84332S | 08 | 559-561 | M84463A | 15 | 793 | M84619P | 08 | 564-566 | ||
| M84333A | 08 | 542-544 | M84463D | 08 | 559-561 | M84619S | 08 | 559-561 | ||
| M84333D | 08 | 559-561 | M84463G | 08 | 559-561 | M84621A | 08 | 542-544 | ||
| M84333G | 08 | 559-561 | M84463K | 08 | 564-566 | M84621A | 15 | 791 | ||
| M84333K | 08 | 564-566 | M84463P | 08 | 564-566 | M84621A | 15 | 793 | ||
| M84333P | 08 | 564-566 | M84463S | 08 | 559-561 | M84621D | 08 | 559-561 | ||
| M84333S | 08 | 559-561 | M84464A | 08 | 542-544 | M84621G | 08 | 559-561 | ||
| M84334A | 08 | 542-544 | M84464A | 15 | 791 | M84621K | 08 | 564-566 | ||
| M84334D | 08 | 559-561 | M84464A | 15 | 793 | M84621P | 08 | 564-566 | ||
| M84334G | 08 | 559-561 | M84464D | 08 | 559-561 | M84621S | 08 | 559-561 | ||
| M84334K | 08 | 564-566 | M84464G | 08 | 559-561 | M84622A | 08 | 542-544 | ||
| M84334P | 08 | 564-566 | M84464K | 08 | 564-566 | M84622A | 15 | 791 | ||
| M84334S | 08 | 559-561 | M84464P | 08 | 564-566 | M84622A | 15 | 793 | ||
| M84339A | 08 | 542-544 | M84464S | 08 | 559-561 | M84622D | 08 | 559-561 | ||
| M84339D | 08 | 559-561 | M84469A | 08 | 542-544 | M84622G | 08 | 559-561 | ||
| M84339G | 08 | 559-561 | M84469A | 15 | 791 | M84622K | 08 | 564-566 | ||
| M84339K | 08 | 564-566 | M84469A | 15 | 793 | M84622P | 08 | 564-566 | ||
| M84339P | 08 | 564-566 | M84469D | 08 | 559-561 | M84622S | 08 | 559-561 | ||
| M84339S | 08 | 559-561 | M84469G | 08 | 559-561 | M84629A | 08 | 542-544 | ||
| M84341A | 08 | 542-544 | M84469K | 08 | 564-566 | M84629A | 15 | 791 | ||
| M84341D | 08 | 559-561 | M84469P | 08 | 564-566 | M84629A | 15 | 793 | ||
| M84341G | 08 | 559-561 | M84469S | 08 | 559-561 | M84629D | 08 | 559-561 | ||
| M84341K | 08 | 564-566 | M84471A | 08 | 542-544 | M84629G | 08 | 559-561 | ||
| M84341P | 08 | 564-566 | M84471A | 15 | 791 | M84629K | 08 | 564-566 | ||
| M84341S | 08 | 559-561 | M84471A | 15 | 793 | M84629P | 08 | 564-566 | ||
| M84342A | 08 | 542-544 | M84471D | 08 | 559-561 | M84629S | 08 | 559-561 | ||
| M84342D | 08 | 559-561 | M84471G | 08 | 559-561 | M84631A | 08 | 542-544 | ||
| M84342G | 08 | 559-561 | M84471K | 08 | 564-566 | M84631A | 15 | 791 | ||
| M84342K | 08 | 564-566 | M84471P | 08 | 564-566 | M84631A | 15 | 793 | ||
| M84342P | 08 | 564-566 | M84471S | 08 | 559-561 | M84631D | 08 | 559-561 | ||
| M84342S | 08 | 559-561 | M84472A | 08 | 542-544 | M84631G | 08 | 559-561 | ||
| M84343A | 08 | 542-544 | M84472A | 15 | 791 | M84631K | 08 | 564-566 | ||
| M84343D | 08 | 559-561 | M84472A | 15 | 793 | M84631P | 08 | 564-566 | ||
| M84343G | 08 | 559-561 | M84472D | 08 | 559-561 | M84631S | 08 | 559-561 | ||
| M84343K | 08 | 564-566 | M84472G | 08 | 559-561 | M84632A | 08 | 542-544 | ||
| M84343P | 08 | 564-566 | M84472K | 08 | 564-566 | M84632A | 15 | 791 | ||
| M84343S | 08 | 559-561 | M84472P | 08 | 564-566 | M84632A | 15 | 793 | ||
| M84344A | 08 | 542-544 | M84472S | 08 | 559-561 | M84632D | 08 | 559-561 | ||
| M84344D | 08 | 559-561 | M84473A | 08 | 542-544 | M84632G | 08 | 559-561 | ||
| M84344G | 08 | 559-561 | M84473A | 15 | 791 | M84632K | 08 | 564-566 | ||
| M84344K | 08 | 564-566 | M84473A | 15 | 793 | M84632P | 08 | 564-566 | ||
| M84344P | 08 | 564-566 | M84473D | 08 | 559-561 | M84632S | 08 | 559-561 | ||
| M84344S | 08 | 559-561 | M84473G | 08 | 559-561 | M84633A | 08 | 542-544 | ||
| M84345A | 08 | 542-544 | M84473K | 08 | 564-566 | M84633A | 15 | 791 | ||
| M84633A | 15 | 793 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 14 Apr 2020 14:43:32 CMS, code-revision=250, description-revision=1275 |