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 28 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Q72819 | 08 | 564-566 | R1936 | 06 | 393-395 | R483 | 02 | 124-125 | ||
| Q72891 | 08 | 564-566 | R1937 | 06 | 393-395 | R488 | 19 | 886 | ||
| Q72892 | 08 | 564-566 | R194 | 06 | 391-392 | R489 | 19 | 887 | ||
| Q72893 | 08 | 564-566 | R195 | 06 | 391-392 | R490 | 03 | 154-156 | ||
| Q72899 | 08 | 564-566 | R196 | 03 | 154-156 | R491 | 03 | 154-156 | ||
| Q7290 | 08 | 564-566 | R197 | 06 | 391-392 | R4921 | 03 | 154-156 | ||
| Q7291 | 08 | 564-566 | R198 | 06 | 391-392 | R4922 | 03 | 154-156 | ||
| Q7292 | 08 | 564-566 | R200 | 01 | 091-093 | R498 | 03 | 154-156 | ||
| Q7293 | 08 | 564-566 | R201 | 01 | 091-093 | R499 | 03 | 154-156 | ||
| Q730 | 08 | 564-566 | R202 | 01 | 091-093 | R502 | 18 | 864 | ||
| Q731 | 08 | 564-566 | R203 | 01 | 091-093 | R5081 | 18 | 864 | ||
| Q738 | 08 | 564-566 | R208 | 01 | 091-093 | R5082 | 18 | 864 | ||
| Q740 | 08 | 564-566 | R209 | 01 | 091-093 | R5083 | 18 | 864 | ||
| Q741 | 08 | 564-566 | R21 | 09 | 606-607 | R5084 | 18 | 864 | ||
| Q742 | 08 | 564-566 | R220 | 09 | 606-607 | R509 | 18 | 864 | ||
| Q743 | 08 | 564-566 | R221 | 09 | 606-607 | R510 | 01 | 102-103 | ||
| Q748 | 08 | 564-566 | R222 | 09 | 606-607 | R519 | 01 | 102-103 | ||
| Q749 | 08 | 564-566 | R2230 | 09 | 606-607 | R52 | 23 | 947-948 | ||
| Q750 | 08 | 564-566 | R2231 | 09 | 606-607 | R530 | 23 | 947-948 | ||
| Q751 | 08 | 564-566 | R2232 | 09 | 606-607 | R531 | 23 | 947-948 | ||
| Q752 | 08 | 564-566 | R2233 | 09 | 606-607 | R532 | 23 | 947-948 | ||
| Q753 | 08 | 564-566 | R2240 | 09 | 606-607 | R5381 | 23 | 947-948 | ||
| Q754 | 08 | 564-566 | R2241 | 09 | 606-607 | R5382 | 23 | 947-948 | ||
| Q755 | 08 | 564-566 | R2242 | 09 | 606-607 | R5383 | 23 | 947-948 | ||
| Q758 | 08 | 564-566 | R2243 | 09 | 606-607 | R54 | 19 | 884 | ||
| Q759 | 08 | 564-566 | R229 | 09 | 606-607 | R55 | 05 | 312 | ||
| Q760 | 01 | 091-093 | R230 | 23 | 947-948 | R5600 | 01 | 100-101 | ||
| Q761 | 08 | 564-566 | R231 | 23 | 947-948 | R5600 | 15 | 791 | ||
| Q762 | 08 | 551-552 | R232 | 23 | 947-948 | R5600 | 15 | 793 | ||
| Q763 | 08 | 456-458 | R233 | 16 | 813 | R5601 | 01 | 100-101 | ||
| Q763 | 08 | 564-566 | R234 | 09 | 606-607 | R561 | 01 | 100-101 | ||
| Q76411 | 08 | 551-552 | R238 | 09 | 606-607 | R569 | 01 | 100-101 | ||
| Q76412 | 08 | 551-552 | R239 | 09 | 606-607 | R569 | 15 | 791 | ||
| Q76413 | 08 | 551-552 | R250 | 01 | 091-093 | R569 | 15 | 793 | ||
| Q76414 | 08 | 551-552 | R251 | 01 | 091-093 | R570 | 05 | 222-223 | ||
| Q76415 | 08 | 551-552 | R252 | 01 | 091-093 | R570 | 05 | 291-293 | ||
| Q76419 | 08 | 551-552 | R253 | 01 | 091-093 | R571 | 18 | 870-872 | ||
| Q76425 | 08 | 456-458 | R258 | 01 | 091-093 | R578 | 18 | 870-872 | ||
| Q76425 | 08 | 564-566 | R259 | 01 | 091-093 | R579 | 05 | 222-223 | ||
| Q76426 | 08 | 456-458 | R260 | 01 | 091-093 | R579 | 05 | 291-293 | ||
| Q76426 | 08 | 564-566 | R261 | 01 | 091-093 | R579 | 15 | 791 | ||
| Q76427 | 08 | 456-458 | R262 | 08 | 555-556 | R579 | 15 | 793 | ||
| Q76427 | 08 | 564-566 | R2681 | 01 | 091-093 | R58 | 05 | 314-316 | ||
| Q76428 | 08 | 456-458 | R2689 | 01 | 091-093 | R58 | 15 | 791 | ||
| Q76428 | 08 | 564-566 | R269 | 01 | 091-093 | R58 | 15 | 793 | ||
| Q76429 | 08 | 456-458 | R270 | 01 | 091-093 | R590 | 16 | 814-816 | ||
| Q76429 | 08 | 564-566 | R278 | 01 | 091-093 | R591 | 16 | 814-816 | ||
| Q7649 | 08 | 551-552 | R279 | 01 | 091-093 | R599 | 16 | 814-816 | ||
| Q765 | 08 | 564-566 | R290 | 10 | 640-641 | R600 | 23 | 947-948 | ||
| Q766 | 08 | 564-566 | R290 | 15 | 791 | R601 | 23 | 947-948 | ||
| Q767 | 08 | 564-566 | R290 | 15 | 793 | R609 | 23 | 947-948 | ||
| Q768 | 08 | 564-566 | R291 | 01 | 091-093 | R61 | 09 | 606-607 | ||
| Q769 | 08 | 564-566 | R292 | 01 | 091-093 | R620 | 10 | 640-641 | ||
| Q770 | 08 | 564-566 | R293 | 01 | 091-093 | R6250 | 10 | 640-641 | ||
| Q771 | 08 | 564-566 | R294 | 08 | 555-556 | R6251 | 10 | 640-641 | ||
| Q772 | 08 | 564-566 | R295 | 01 | 091-093 | R6252 | 10 | 640-641 | ||
| Q773 | 08 | 564-566 | R296 | 01 | 091-093 | R6259 | 10 | 640-641 | ||
| Q774 | 08 | 564-566 | R29700 | 23 | 951 | R627 | 10 | 640-641 | ||
| Q775 | 08 | 564-566 | R29701 | 23 | 951 | R630 | 10 | 640-641 | ||
| Q776 | 08 | 564-566 | R29702 | 23 | 951 | R631 | 10 | 640-641 | ||
| Q777 | 08 | 564-566 | R29703 | 23 | 951 | R632 | 10 | 640-641 | ||
| Q778 | 08 | 564-566 | R29704 | 23 | 951 | R633 | 10 | 640-641 | ||
| Q779 | 08 | 564-566 | R29705 | 23 | 951 | R634 | 10 | 640-641 | ||
| Q780 | 08 | 456-458 | R29706 | 23 | 951 | R635 | 10 | 640-641 | ||
| Q780 | 08 | 564-566 | R29707 | 23 | 951 | R636 | 10 | 640-641 | ||
| Q781 | 08 | 564-566 | R29708 | 23 | 951 | R638 | 10 | 640-641 | ||
| Q782 | 08 | 564-566 | R29709 | 23 | 951 | R64 | 23 | 947-948 | ||
| Q783 | 08 | 564-566 | R29710 | 23 | 951 | R6510 | 18 | 864 | ||
| Q784 | 08 | 564-566 | R29711 | 23 | 951 | R6511 | 18 | 864 | ||
| Q785 | 08 | 564-566 | R29712 | 23 | 951 | R6520 | 18 | 870-872 | ||
| Q786 | 08 | 564-566 | R29713 | 23 | 951 | R6521 | 18 | 870-872 | ||
| Q788 | 08 | 564-566 | R29714 | 23 | 951 | R680 | 23 | 947-948 | ||
| Q789 | 08 | 564-566 | R29715 | 23 | 951 | R6811 | 23 | 947-948 | ||
| Q790 | 04 | 205-206 | R29716 | 23 | 951 | R6812 | 23 | 947-948 | ||
| Q791 | 04 | 205-206 | R29717 | 23 | 951 | R6813 | 23 | 951 | ||
| Q792 | 06 | 393-395 | R29718 | 23 | 951 | R6819 | 23 | 951 | ||
| Q792 | 15 | 791 | R29719 | 23 | 951 | R682 | Pre | 011-013 | ||
| Q792 | 15 | 793 | R29720 | 23 | 951 | R682 | 03 | 154-156 | ||
| Q793 | 06 | 393-395 | R29721 | 23 | 951 | R683 | 04 | 205-206 | ||
| Q793 | 15 | 791 | R29722 | 23 | 951 | R6881 | 23 | 947-948 | ||
| Q793 | 15 | 793 | R29723 | 23 | 951 | R6882 | 23 | 951 | ||
| Q794 | 06 | 393-395 | R29724 | 23 | 951 | R6883 | 23 | 947-948 | ||
| Q7951 | 06 | 393-395 | R29725 | 23 | 951 | R6884 | Pre | 011-013 | ||
| Q7959 | 06 | 393-395 | R29726 | 23 | 951 | R6884 | 03 | 157-159 | ||
| Q7960 | 08 | 564-566 | R29727 | 23 | 951 | R6889 | 23 | 947-948 | ||
| Q7961 | 08 | 564-566 | R29728 | 23 | 951 | R69 | 23 | 951 | ||
| Q7962 | 08 | 564-566 | R29729 | 23 | 951 | R700 | 23 | 947-948 | ||
| Q7963 | 08 | 564-566 | R29730 | 23 | 951 | R701 | 23 | 947-948 | ||
| Q7969 | 08 | 564-566 | R29731 | 23 | 951 | R710 | 16 | 811-812 | ||
| Q798 | 08 | 564-566 | R29732 | 23 | 951 | R718 | 16 | 811-812 | ||
| Q799 | 08 | 564-566 | R29733 | 23 | 951 | R7301 | 10 | 640-641 | ||
| Q800 | 09 | 606-607 | R29734 | 23 | 951 | R7302 | 10 | 640-641 | ||
| Q801 | 09 | 606-607 | R29735 | 23 | 951 | R7303 | 10 | 640-641 | ||
| Q802 | 09 | 606-607 | R29736 | 23 | 951 | R7309 | 10 | 640-641 | ||
| Q803 | 09 | 606-607 | R29737 | 23 | 951 | R739 | 10 | 640-641 | ||
| Q804 | 09 | 606-607 | R29738 | 23 | 951 | R7401 | 23 | 947-948 | ||
| Q808 | 09 | 606-607 | R29739 | 23 | 951 | R7402 | 23 | 947-948 | ||
| Q809 | 09 | 606-607 | R29740 | 23 | 951 | R748 | 23 | 947-948 | ||
| Q810 | 09 | 606-607 | R29741 | 23 | 951 | R749 | 23 | 947-948 | ||
| Q810 | 15 | 795 | R29742 | 23 | 951 | R75 | 16 | 814-816 | ||
| Q811 | 09 | 606-607 | R29810 | 01 | 091-093 | R760 | 16 | 814-816 | ||
| Q811 | 15 | 795 | R29818 | 01 | 091-093 | R7611 | 04 | 177-179 | ||
| Q812 | 09 | 606-607 | R29890 | 01 | 091-093 | R7612 | 04 | 177-179 | ||
| Q812 | 15 | 795 | R29891 | 08 | 551-552 | R768 | 16 | 814-816 | ||
| Q818 | 09 | 606-607 | R29898 | 08 | 555-556 | R769 | 16 | 814-816 | ||
| Q818 | 15 | 795 | R2990 | 01 | 091-093 | R770 | 23 | 947-948 | ||
| Q819 | 09 | 606-607 | R2991 | 01 | 091-093 | R771 | 23 | 947-948 | ||
| Q819 | 15 | 795 | R300 | 11 | 695-696 | R772 | 23 | 947-948 | ||
| Q820 | 09 | 606-607 | R301 | 11 | 695-696 | R778 | 23 | 947-948 | ||
| Q821 | 09 | 606-607 | R309 | 11 | 695-696 | R779 | 23 | 947-948 | ||
| Q821 | 15 | 795 | R310 | 11 | 695-696 | R780 | 20 | 894-897 | ||
| Q822 | 09 | 606-607 | R310 | 15 | 791 | R781 | 23 | 947-948 | ||
| Q822 | 15 | 795 | R310 | 15 | 793 | R782 | 23 | 947-948 | ||
| Q823 | 09 | 606-607 | R311 | 11 | 695-696 | R783 | 23 | 947-948 | ||
| Q823 | 15 | 795 | R311 | 15 | 791 | R784 | 23 | 947-948 | ||
| Q824 | 09 | 606-607 | R311 | 15 | 793 | R785 | 23 | 947-948 | ||
| Q825 | 09 | 606-607 | R3121 | 11 | 695-696 | R786 | 23 | 947-948 | ||
| Q826 | 09 | 606-607 | R3121 | 15 | 791 | R7871 | 23 | 947-948 | ||
| Q826 | 15 | 795 | R3121 | 15 | 793 | R7879 | 23 | 947-948 | ||
| Q828 | 09 | 606-607 | R3129 | 11 | 695-696 | R7881 | 15 | 791 | ||
| Q828 | 15 | 795 | R3129 | 15 | 791 | R7881 | 15 | 793 | ||
| Q829 | 09 | 606-607 | R3129 | 15 | 793 | R7881 | 18 | 870-872 | ||
| Q829 | 15 | 795 | R319 | 11 | 695-696 | R7889 | 23 | 947-948 | ||
| Q830 | 09 | 600-601 | R319 | 15 | 791 | R789 | 23 | 947-948 | ||
| Q831 | 09 | 600-601 | R319 | 15 | 793 | R790 | 23 | 947-948 | ||
| Q832 | 09 | 600-601 | R32 | 11 | 695-696 | R791 | 23 | 947-948 | ||
| Q833 | 09 | 600-601 | R330 | 11 | 695-696 | R7981 | 23 | 947-948 | ||
| Q838 | 09 | 600-601 | R330 | 15 | 791 | R7982 | 23 | 947-948 | ||
| Q839 | 09 | 600-601 | R330 | 15 | 793 | R7989 | 23 | 947-948 | ||
| Q840 | 09 | 606-607 | R338 | 11 | 695-696 | R799 | 23 | 947-948 | ||
| Q841 | 09 | 606-607 | R338 | 15 | 791 | R800 | 11 | 695-696 | ||
| Q842 | 09 | 606-607 | R338 | 15 | 793 | R801 | 11 | 695-696 | ||
| Q843 | 09 | 606-607 | R339 | 11 | 695-696 | R802 | 11 | 698-700 | ||
| Q844 | 09 | 606-607 | R339 | 15 | 791 | R803 | 11 | 695-696 | ||
| Q845 | 09 | 606-607 | R339 | 15 | 793 | R808 | 11 | 695-696 | ||
| Q846 | 09 | 606-607 | R34 | 11 | 673-675 | R809 | 11 | 695-696 | ||
| Q848 | 09 | 606-607 | R34 | 11 | 682-684 | R81 | 10 | 637-639 | ||
| Q849 | 09 | 606-607 | R350 | 11 | 695-696 | R820 | 11 | 695-696 | ||
| Q8500 | 01 | 091-093 | R351 | 11 | 695-696 | R820 | 15 | 791 | ||
| Q8501 | 01 | 091-093 | R358 | 11 | 695-696 | R820 | 15 | 793 | ||
| Q8502 | 01 | 091-093 | R360 | 11 | 695-696 | R821 | 23 | 947-948 | ||
| Q8503 | 01 | 091-093 | R361 | 12 | 729-730 | R822 | 07 | 441-443 | ||
| Q8509 | 01 | 091-093 | R369 | 11 | 695-696 | R823 | 11 | 695-696 | ||
| Q851 | 01 | 091-093 | R37 | 19 | 887 | R824 | 10 | 640-641 | ||
| Q858 | 17 | 826-828 | R390 | 11 | 695-696 | R825 | 11 | 695-696 | ||
| Q858 | 17 | 829-830 | R3911 | 11 | 695-696 | R826 | 11 | 695-696 | ||
| Q858 | 17 | 843-845 | R3912 | 11 | 695-696 | R8271 | 11 | 695-696 | ||
| Q859 | 17 | 826-828 | R3913 | 11 | 695-696 | R8279 | 11 | 695-696 | ||
| Q859 | 17 | 829-830 | R3914 | 11 | 695-696 | R8281 | 11 | 695-696 | ||
| Q859 | 17 | 843-845 | R3914 | 15 | 791 | R8289 | 11 | 695-696 | ||
| Q860 | 15 | 794 | R3914 | 15 | 793 | R8290 | 11 | 695-696 | ||
| Q861 | 15 | 794 | R3915 | 11 | 695-696 | R8291 | 11 | 695-696 | ||
| Q862 | 15 | 794 | R3916 | 11 | 695-696 | R82991 | 11 | 695-696 | ||
| Q868 | 15 | 794 | R39191 | 11 | 695-696 | R82992 | 11 | 695-696 | ||
| Q870 | 08 | 564-566 | R39192 | 11 | 695-696 | R82993 | 11 | 695-696 | ||
| Q8711 | 08 | 564-566 | R39198 | 11 | 695-696 | R82994 | 11 | 695-696 | ||
| Q8719 | 08 | 564-566 | R392 | 11 | 695-696 | R82998 | 11 | 695-696 | ||
| Q872 | 08 | 564-566 | R3981 | 11 | 695-696 | R830 | 01 | 091-093 | ||
| Q873 | 08 | 564-566 | R3982 | 11 | 695-696 | R831 | 01 | 091-093 | ||
| Q8740 | 05 | 306-307 | R3983 | 11 | 695-696 | R832 | 01 | 091-093 | ||
| Q87410 | 05 | 306-307 | R3984 | 11 | 695-696 | R833 | 01 | 091-093 | ||
| Q87418 | 05 | 306-307 | R3989 | 11 | 695-696 | R834 | 01 | 091-093 | ||
| Q8742 | 05 | 306-307 | R399 | 11 | 695-696 | R835 | 01 | 091-093 | ||
| Q8743 | 05 | 306-307 | R400 | 01 | 080-081 | R836 | 01 | 091-093 | ||
| Q875 | 08 | 564-566 | R401 | 01 | 080-081 | R838 | 01 | 091-093 | ||
| Q8781 | 08 | 564-566 | R4020 | 01 | 080-081 | R839 | 01 | 091-093 | ||
| Q8782 | 08 | 564-566 | R4020 | 15 | 791 | R840 | 23 | 947-948 | ||
| Q8789 | 08 | 564-566 | R4020 | 15 | 793 | R841 | 23 | 947-948 | ||
| Q8901 | 16 | 814-816 | R402110 | 01 | 080-081 | R842 | 23 | 947-948 | ||
| Q8909 | 16 | 814-816 | R402110 | 15 | 791 | R843 | 23 | 947-948 | ||
| Q891 | 10 | 643-645 | R402110 | 15 | 793 | R844 | 23 | 947-948 | ||
| Q892 | 10 | 643-645 | R402111 | 01 | 080-081 | R845 | 23 | 947-948 | ||
| Q893 | 06 | 393-395 | R402111 | 15 | 791 | R846 | 23 | 947-948 | ||
| Q894 | 06 | 393-395 | R402111 | 15 | 793 | R847 | 23 | 947-948 | ||
| Q894 | 15 | 791 | R402112 | 01 | 080-081 | R848 | 23 | 947-948 | ||
| Q894 | 15 | 793 | R402112 | 15 | 791 | R849 | 23 | 947-948 | ||
| Q897 | 08 | 564-566 | R402112 | 15 | 793 | R850 | 23 | 947-948 | ||
| Q898 | 08 | 564-566 | R402113 | 01 | 080-081 | R851 | 23 | 947-948 | ||
| Q899 | 23 | 951 | R402113 | 15 | 791 | R852 | 23 | 947-948 | ||
| Q900 | 19 | 884 | R402113 | 15 | 793 | R853 | 23 | 947-948 | ||
| Q901 | 19 | 884 | R402114 | 01 | 080-081 | R854 | 23 | 947-948 | ||
| Q902 | 19 | 884 | R402114 | 15 | 791 | R855 | 23 | 947-948 | ||
| Q909 | 19 | 884 | R402114 | 15 | 793 | R85610 | 06 | 393-395 | ||
| Q910 | 19 | 884 | R402120 | 01 | 080-081 | R85611 | 06 | 393-395 | ||
| Q911 | 19 | 884 | R402120 | 15 | 791 | R85612 | 06 | 393-395 | ||
| Q912 | 19 | 884 | R402120 | 15 | 793 | R85613 | 06 | 393-395 | ||
| Q913 | 19 | 884 | R402121 | 01 | 080-081 | R85614 | 06 | 393-395 | ||
| Q914 | 19 | 884 | R402121 | 15 | 791 | R85615 | 06 | 393-395 | ||
| Q915 | 19 | 884 | R402121 | 15 | 793 | R85616 | 06 | 393-395 | ||
| Q916 | 19 | 884 | R402122 | 01 | 080-081 | R85618 | 06 | 393-395 | ||
| Q917 | 19 | 884 | R402122 | 15 | 791 | R85619 | 06 | 393-395 | ||
| Q920 | 23 | 951 | R402122 | 15 | 793 | R8569 | 23 | 947-948 | ||
| Q921 | 23 | 951 | R402123 | 01 | 080-081 | R857 | 23 | 947-948 | ||
| Q922 | 23 | 951 | R402123 | 15 | 791 | R8581 | 06 | 393-395 | ||
| Q925 | 23 | 951 | R402123 | 15 | 793 | R8582 | 06 | 393-395 | ||
| Q9261 | 23 | 951 | R402124 | 01 | 080-081 | R8589 | 23 | 947-948 | ||
| Q9262 | 23 | 951 | R402124 | 15 | 791 | R859 | 23 | 947-948 | ||
| Q927 | 23 | 951 | R402124 | 15 | 793 | R860 | 12 | 729-730 | ||
| Q928 | 23 | 951 | R402130 | 23 | 951 | R861 | 12 | 729-730 | ||
| Q929 | 23 | 951 | R402131 | 23 | 951 | R862 | 12 | 729-730 | ||
| Q930 | 23 | 951 | R402132 | 23 | 951 | R863 | 12 | 729-730 | ||
| Q931 | 23 | 951 | R402133 | 23 | 951 | R864 | 12 | 729-730 | ||
| Q932 | 23 | 951 | R402134 | 23 | 951 | R865 | 12 | 729-730 | ||
| Q933 | 19 | 884 | R402140 | 23 | 951 | R866 | 12 | 729-730 | ||
| Q934 | 19 | 884 | R402141 | 23 | 951 | R867 | 12 | 729-730 | ||
| Q9351 | 19 | 884 | R402142 | 23 | 951 | R868 | 12 | 729-730 | ||
| Q9359 | 19 | 884 | R402143 | 23 | 951 | R869 | 12 | 729-730 | ||
| Q937 | 19 | 884 | R402144 | 23 | 951 | R870 | 23 | 947-948 | ||
| Q9381 | 19 | 884 | R402210 | 01 | 080-081 | R871 | 23 | 947-948 | ||
| Q9382 | 19 | 884 | R402210 | 15 | 791 | R872 | 23 | 947-948 | ||
| Q9388 | 19 | 884 | R402210 | 15 | 793 | R873 | 23 | 947-948 | ||
| Q9389 | 19 | 884 | R402211 | 01 | 080-081 | R874 | 23 | 947-948 | ||
| Q939 | 19 | 884 | R402211 | 15 | 791 | R875 | 23 | 947-948 | ||
| Q950 | 23 | 951 | R402211 | 15 | 793 | R87610 | 13 | 742-743 | ||
| Q951 | 23 | 951 | R402212 | 01 | 080-081 | R87610 | 13 | 760-761 | ||
| Q952 | 23 | 951 | R402212 | 15 | 791 | R87611 | 13 | 742-743 | ||
| Q953 | 23 | 951 | R402212 | 15 | 793 | R87611 | 13 | 760-761 | ||
| Q955 | 23 | 951 | R402213 | 01 | 080-081 | R87612 | 13 | 742-743 | ||
| Q958 | 23 | 951 | R402213 | 15 | 791 | R87612 | 13 | 760-761 | ||
| Q959 | 23 | 951 | R402213 | 15 | 793 | R87613 | 13 | 742-743 | ||
| Q960 | 13 | 742-743 | R402214 | 01 | 080-081 | R87613 | 13 | 760-761 | ||
| Q960 | 13 | 760-761 | R402214 | 15 | 791 | R87614 | 13 | 742-743 | ||
| Q961 | 13 | 742-743 | R402214 | 15 | 793 | R87614 | 13 | 760-761 | ||
| Q961 | 13 | 760-761 | R402220 | 01 | 080-081 | R87615 | 13 | 742-743 | ||
| Q962 | 13 | 742-743 | R402220 | 15 | 791 | R87615 | 13 | 760-761 | ||
| Q962 | 13 | 760-761 | R402220 | 15 | 793 | R87616 | 13 | 742-743 | ||
| Q963 | 13 | 742-743 | R402221 | 01 | 080-081 | R87616 | 13 | 760-761 | ||
| Q963 | 13 | 760-761 | R402221 | 15 | 791 | R87618 | 15 | 795 | ||
| Q964 | 13 | 742-743 | R402221 | 15 | 793 | R87618 | 23 | 947-948 | ||
| Q964 | 13 | 760-761 | R402222 | 01 | 080-081 | R87619 | 15 | 795 | ||
| Q968 | 13 | 742-743 | R402222 | 15 | 791 | R87619 | 23 | 947-948 | ||
| Q968 | 13 | 760-761 | R402222 | 15 | 793 | R87620 | 13 | 742-743 | ||
| Q969 | 13 | 742-743 | R402223 | 01 | 080-081 | R87620 | 13 | 760-761 | ||
| Q969 | 13 | 760-761 | R402223 | 15 | 791 | R87621 | 13 | 742-743 | ||
| Q970 | 13 | 742-743 | R402223 | 15 | 793 | R87621 | 13 | 760-761 | ||
| Q970 | 13 | 760-761 | R402224 | 01 | 080-081 | R87622 | 13 | 742-743 | ||
| Q971 | 13 | 742-743 | R402224 | 15 | 791 | R87622 | 13 | 760-761 | ||
| Q971 | 13 | 760-761 | R402224 | 15 | 793 | R87623 | 13 | 742-743 | ||
| Q972 | 13 | 742-743 | R402230 | 23 | 951 | R87623 | 13 | 760-761 | ||
| Q972 | 13 | 760-761 | R402231 | 23 | 951 | R87624 | 13 | 742-743 | ||
| Q973 | 13 | 742-743 | R402232 | 23 | 951 | R87624 | 13 | 760-761 | ||
| Q973 | 13 | 760-761 | R402233 | 23 | 951 | R87625 | 13 | 742-743 | ||
| Q978 | 13 | 742-743 | R402234 | 23 | 951 | R87625 | 13 | 760-761 | ||
| Q978 | 13 | 760-761 | R402240 | 23 | 951 | R87628 | 13 | 742-743 | ||
| Q979 | 13 | 742-743 | R402241 | 23 | 951 | R87628 | 13 | 760-761 | ||
| Q979 | 13 | 760-761 | R402242 | 23 | 951 | R87629 | 15 | 795 | ||
| Q980 | 12 | 729-730 | R402243 | 23 | 951 | R87629 | 23 | 947-948 | ||
| Q981 | 12 | 729-730 | R402244 | 23 | 951 | R8769 | 23 | 947-948 | ||
| Q983 | 12 | 729-730 | R402250 | 23 | 951 | R877 | 23 | 947-948 | ||
| Q984 | 12 | 729-730 | R402251 | 23 | 951 | R87810 | 13 | 742-743 | ||
| Q985 | 12 | 729-730 | R402252 | 23 | 951 | R87810 | 13 | 760-761 | ||
| Q985 | 13 | 742-743 | R402253 | 23 | 951 | R87811 | 13 | 742-743 | ||
| Q985 | 13 | 760-761 | R402254 | 23 | 951 | R87811 | 13 | 760-761 | ||
| Q986 | 12 | 729-730 | R402310 | 01 | 080-081 | R87820 | 13 | 742-743 | ||
| Q987 | 12 | 729-730 | R402310 | 15 | 791 | R87820 | 13 | 760-761 | ||
| Q988 | 12 | 729-730 | R402310 | 15 | 793 | R87821 | 13 | 742-743 | ||
| Q989 | 12 | 729-730 | R402311 | 01 | 080-081 | R87821 | 13 | 760-761 | ||
| Q990 | 12 | 729-730 | R402311 | 15 | 791 | R8789 | 23 | 947-948 | ||
| Q990 | 13 | 742-743 | R402311 | 15 | 793 | R879 | 23 | 947-948 | ||
| Q990 | 13 | 760-761 | R402312 | 01 | 080-081 | R880 | 23 | 947-948 | ||
| Q991 | 12 | 729-730 | R402312 | 15 | 791 | R888 | 23 | 947-948 | ||
| Q991 | 13 | 742-743 | R402312 | 15 | 793 | R890 | 23 | 947-948 | ||
| Q991 | 13 | 760-761 | R402313 | 01 | 080-081 | R891 | 23 | 947-948 | ||
| Q992 | 19 | 884 | R402313 | 15 | 791 | R892 | 23 | 947-948 | ||
| Q998 | 12 | 729-730 | R402313 | 15 | 793 | R893 | 23 | 947-948 | ||
| Q998 | 13 | 742-743 | R402314 | 01 | 080-081 | R894 | 23 | 947-948 | ||
| Q998 | 13 | 760-761 | R402314 | 15 | 791 | R895 | 23 | 947-948 | ||
| Q999 | 23 | 951 | R402314 | 15 | 793 | R896 | 23 | 947-948 | ||
| R000 | 05 | 308-310 | R402320 | 01 | 080-081 | R897 | 15 | 795 | ||
| R000 | 15 | 791 | R402320 | 15 | 791 | R897 | 23 | 947-948 | ||
| R000 | 15 | 793 | R402320 | 15 | 793 | R898 | 23 | 947-948 | ||
| R001 | 05 | 308-310 | R402321 | 01 | 080-081 | R899 | 18 | 867-869 | ||
| R002 | 05 | 308-310 | R402321 | 15 | 791 | R900 | 09 | 606-607 | ||
| R008 | 05 | 314-316 | R402321 | 15 | 793 | R9081 | 01 | 091-093 | ||
| R009 | 05 | 314-316 | R402322 | 01 | 080-081 | R9082 | 01 | 091-093 | ||
| R010 | 05 | 306-307 | R402322 | 15 | 791 | R9089 | 23 | 947-948 | ||
| R011 | 05 | 306-307 | R402322 | 15 | 793 | R911 | 04 | 205-206 | ||
| R012 | 05 | 314-316 | R402323 | 01 | 080-081 | R918 | 04 | 204 | ||
| R030 | 05 | 314-316 | R402323 | 15 | 791 | R920 | 09 | 600-601 | ||
| R031 | 05 | 314-316 | R402323 | 15 | 793 | R921 | 09 | 600-601 | ||
| R040 | 03 | 150-151 | R402324 | 01 | 080-081 | R922 | 09 | 600-601 | ||
| R041 | Pre | 011-013 | R402324 | 15 | 791 | R928 | 09 | 600-601 | ||
| R041 | 03 | 154-156 | R402324 | 15 | 793 | R930 | 01 | 091-093 | ||
| R042 | 04 | 204 | R402330 | 23 | 951 | R931 | 05 | 302-303 | ||
| R0481 | 04 | 204 | R402331 | 23 | 951 | R932 | 07 | 444-446 | ||
| R0489 | 04 | 204 | R402332 | 23 | 951 | R933 | 06 | 391-392 | ||
| R049 | 04 | 204 | R402333 | 23 | 951 | R9341 | 11 | 695-696 | ||
| R05 | 04 | 204 | R402334 | 23 | 951 | R93421 | 11 | 695-696 | ||
| R0600 | 04 | 204 | R402340 | 01 | 080-081 | R93422 | 11 | 695-696 | ||
| R0601 | 04 | 204 | R402340 | 15 | 791 | R93429 | 11 | 695-696 | ||
| R0602 | 04 | 204 | R402340 | 15 | 793 | R9349 | 11 | 695-696 | ||
| R0603 | 04 | 204 | R402341 | 01 | 080-081 | R935 | 06 | 391-392 | ||
| R0609 | 04 | 204 | R402341 | 15 | 791 | R936 | 08 | 564-566 | ||
| R061 | 04 | 204 | R402341 | 15 | 793 | R937 | 08 | 564-566 | ||
| R062 | 04 | 204 | R402342 | 01 | 080-081 | R93811 | 12 | 729-730 | ||
| R063 | 04 | 204 | R402342 | 15 | 791 | R93812 | 12 | 729-730 | ||
| R064 | 04 | 204 | R402342 | 15 | 793 | R93813 | 12 | 729-730 | ||
| R065 | 03 | 154-156 | R402343 | 01 | 080-081 | R93819 | 12 | 729-730 | ||
| R066 | 04 | 204 | R402343 | 15 | 791 | R9389 | 23 | 947-948 | ||
| R067 | 03 | 154-156 | R402343 | 15 | 793 | R939 | 23 | 947-948 | ||
| R0681 | 04 | 204 | R402344 | 01 | 080-081 | R9401 | 01 | 091-093 | ||
| R0682 | 04 | 204 | R402344 | 15 | 791 | R9402 | 01 | 091-093 | ||
| R0683 | 04 | 204 | R402344 | 15 | 793 | R9409 | 01 | 091-093 | ||
| R0689 | 04 | 204 | R402350 | 23 | 951 | R94110 | 02 | 124-125 | ||
| R069 | 04 | 204 | R402351 | 23 | 951 | R94111 | 02 | 124-125 | ||
| R070 | 03 | 154-156 | R402352 | 23 | 951 | R94112 | 02 | 124-125 | ||
| R071 | 04 | 204 | R402353 | 23 | 951 | R94113 | 02 | 124-125 | ||
| R072 | 05 | 313 | R402354 | 23 | 951 | R94118 | 01 | 091-093 | ||
| R0781 | 04 | 204 | R402360 | 23 | 951 | R94120 | 03 | 154-156 | ||
| R0782 | 05 | 313 | R402361 | 23 | 951 | R94120 | 15 | 795 | ||
| R0789 | 05 | 313 | R402362 | 23 | 951 | R94121 | 03 | 154-156 | ||
| R079 | 05 | 313 | R402363 | 23 | 951 | R94128 | 01 | 091-093 | ||
| R0901 | 04 | 205-206 | R402364 | 23 | 951 | R94130 | 01 | 091-093 | ||
| R0902 | 04 | 205-206 | R402410 | 23 | 951 | R94131 | 08 | 564-566 | ||
| R091 | 04 | 193-195 | R402411 | 23 | 951 | R94138 | 01 | 091-093 | ||
| R092 | 04 | 205-206 | R402412 | 23 | 951 | R942 | 04 | 205-206 | ||
| R092 | 15 | 791 | R402413 | 23 | 951 | R9430 | 05 | 314-316 | ||
| R092 | 15 | 793 | R402414 | 23 | 951 | R9431 | 05 | 314-316 | ||
| R093 | 04 | 204 | R402420 | 23 | 951 | R9439 | 05 | 314-316 | ||
| R0981 | 03 | 154-156 | R402421 | 23 | 951 | R944 | 11 | 695-696 | ||
| R0981 | 15 | 795 | R402422 | 23 | 951 | R945 | 07 | 441-443 | ||
| R0982 | 03 | 154-156 | R402423 | 23 | 951 | R946 | 10 | 643-645 | ||
| R0989 | 05 | 314-316 | R402424 | 23 | 951 | R947 | 10 | 643-645 | ||
| R100 | 06 | 391-392 | R402430 | 23 | 951 | R948 | 11 | 695-696 | ||
| R1010 | 06 | 391-392 | R402431 | 23 | 951 | R970 | 23 | 947-948 | ||
| R1011 | 06 | 391-392 | R402432 | 23 | 951 | R971 | 23 | 947-948 | ||
| R1012 | 06 | 391-392 | R402433 | 23 | 951 | R9720 | 23 | 947-948 | ||
| R1013 | 06 | 391-392 | R402434 | 23 | 951 | R9721 | 23 | 947-948 | ||
| R102 | 06 | 391-392 | R402440 | 23 | 951 | R978 | 23 | 947-948 | ||
| R1030 | 06 | 391-392 | R402441 | 23 | 951 | R99 | 23 | 951 | ||
| R1031 | 06 | 391-392 | R402442 | 23 | 951 | S0000XA | 09 | 604-605 | ||
| R1032 | 06 | 391-392 | R402443 | 23 | 951 | S0000XA | 24 | 955-965 | ||
| R1033 | 06 | 391-392 | R402444 | 23 | 951 | S0000XD | 23 | 949-950 | ||
| R10811 | 06 | 391-392 | R403 | 01 | 080-081 | S0000XS | 09 | 604-605 | ||
| R10812 | 06 | 391-392 | R403 | 15 | 791 | S0001XA | 09 | 604-605 | ||
| R10813 | 06 | 391-392 | R403 | 15 | 793 | S0001XA | 24 | 955-965 | ||
| R10814 | 06 | 391-392 | R404 | 19 | 884 | S0001XD | 23 | 949-950 | ||
| R10815 | 06 | 391-392 | R410 | 23 | 947-948 | S0001XS | 09 | 604-605 | ||
| R10816 | 06 | 391-392 | R411 | 23 | 947-948 | S0002XA | 09 | 606-607 | ||
| R10817 | 06 | 391-392 | R412 | 23 | 947-948 | S0002XA | 24 | 955-965 | ||
| R10819 | 06 | 391-392 | R413 | 23 | 947-948 | S0002XD | 23 | 949-950 | ||
| R10821 | 06 | 391-392 | R414 | 01 | 091-093 | S0002XS | 09 | 604-605 | ||
| R10822 | 06 | 391-392 | R4181 | 19 | 884 | S0003XA | 09 | 604-605 | ||
| R10823 | 06 | 391-392 | R4182 | 23 | 947-948 | S0003XA | 24 | 955-965 | ||
| R10824 | 06 | 391-392 | R4183 | 23 | 951 | S0003XD | 23 | 949-950 | ||
| R10825 | 06 | 391-392 | R41840 | 19 | 886 | S0003XS | 09 | 604-605 | ||
| R10826 | 06 | 391-392 | R41841 | 19 | 884 | S0004XA | 09 | 604-605 | ||
| R10827 | 06 | 391-392 | R41842 | 01 | 091-093 | S0004XA | 24 | 955-965 | ||
| R10829 | 06 | 391-392 | R41843 | 19 | 884 | S0004XD | 23 | 949-950 | ||
| R1083 | 06 | 391-392 | R41844 | 19 | 884 | S0004XS | 09 | 604-605 | ||
| R1084 | 06 | 391-392 | R4189 | 19 | 884 | S0005XA | 09 | 604-605 | ||
| R109 | 06 | 391-392 | R419 | 23 | 947-948 | S0005XA | 24 | 955-965 | ||
| R110 | 06 | 391-392 | R42 | 03 | 149 | S0005XD | 23 | 949-950 | ||
| R1110 | 06 | 391-392 | R430 | 01 | 091-093 | S0005XS | 09 | 604-605 | ||
| R1111 | 06 | 391-392 | R431 | 01 | 091-093 | S0006XA | 09 | 606-607 | ||
| R1112 | 06 | 391-392 | R432 | 01 | 091-093 | S0006XA | 24 | 955-965 | ||
| R1113 | 06 | 393-395 | R438 | 01 | 091-093 | S0006XD | 23 | 949-950 | ||
| R1114 | 06 | 391-392 | R439 | 01 | 091-093 | S0006XS | 09 | 604-605 | ||
| R1115 | 06 | 393-395 | R440 | 19 | 880 | S0007XA | 09 | 604-605 | ||
| R112 | 06 | 391-392 | R441 | 02 | 124-125 | S0007XA | 24 | 955-965 | ||
| R12 | 06 | 391-392 | R442 | 19 | 880 | S0007XD | 23 | 949-950 | ||
| R130 | 06 | 391-392 | R443 | 19 | 880 | S0007XS | 09 | 604-605 | ||
| R1310 | 06 | 391-392 | R448 | 23 | 951 | S0010XA | 02 | 124-125 | ||
| R1311 | 06 | 391-392 | R449 | 23 | 951 | S0010XA | 24 | 955-965 | ||
| R1312 | 06 | 391-392 | R450 | 19 | 880 | S0010XD | 23 | 949-950 | ||
| R1313 | 06 | 391-392 | R451 | 19 | 884 | S0010XS | 09 | 604-605 | ||
| R1314 | 06 | 391-392 | R452 | 19 | 880 | S0011XA | 02 | 124-125 | ||
| R1319 | 06 | 391-392 | R453 | 19 | 880 | S0011XA | 24 | 955-965 | ||
| R140 | 06 | 391-392 | R454 | 19 | 880 | S0011XD | 23 | 949-950 | ||
| R141 | 06 | 391-392 | R455 | 19 | 880 | S0011XS | 09 | 604-605 | ||
| R142 | 06 | 391-392 | R456 | 19 | 880 | S0012XA | 02 | 124-125 | ||
| R143 | 06 | 391-392 | R457 | 19 | 880 | S0012XA | 24 | 955-965 | ||
| R150 | 06 | 391-392 | R4581 | 19 | 884 | S0012XD | 23 | 949-950 | ||
| R151 | 06 | 391-392 | R4582 | 19 | 884 | S0012XS | 09 | 604-605 | ||
| R152 | 06 | 391-392 | R4583 | 23 | 947-948 | S00201A | 02 | 124-125 | ||
| R159 | 06 | 391-392 | R4584 | 23 | 947-948 | S00201A | 24 | 955-965 | ||
| R160 | 07 | 441-443 | R45850 | 23 | 951 | S00201D | 23 | 949-950 | ||
| R161 | 16 | 814-816 | R45851 | 19 | 880 | S00201S | 09 | 604-605 | ||
| R162 | 07 | 441-443 | R4586 | 19 | 883 | S00202A | 02 | 124-125 | ||
| R17 | 07 | 441-443 | R4587 | 19 | 882 | S00202A | 24 | 955-965 | ||
| R180 | 23 | 947-948 | R4589 | 19 | 880 | S00202D | 23 | 949-950 | ||
| R188 | 23 | 947-948 | R460 | 23 | 951 | S00202S | 09 | 604-605 | ||
| R1900 | 06 | 391-392 | R461 | 23 | 951 | S00209A | 02 | 124-125 | ||
| R1901 | 06 | 391-392 | R462 | 23 | 951 | S00209A | 24 | 955-965 | ||
| R1902 | 06 | 391-392 | R463 | 23 | 951 | S00209D | 23 | 949-950 | ||
| R1903 | 06 | 391-392 | R464 | 23 | 951 | S00209S | 09 | 604-605 | ||
| R1904 | 06 | 391-392 | R465 | 23 | 951 | S00211A | 02 | 124-125 | ||
| R1905 | 06 | 391-392 | R466 | 23 | 951 | S00211A | 24 | 955-965 | ||
| R1906 | 06 | 391-392 | R467 | 23 | 951 | S00211D | 23 | 949-950 | ||
| R1907 | 06 | 391-392 | R4681 | 23 | 951 | S00211S | 09 | 604-605 | ||
| R1909 | 06 | 391-392 | R4689 | 23 | 951 | S00212A | 02 | 124-125 | ||
| R1911 | 06 | 391-392 | R4701 | 01 | 091-093 | S00212A | 24 | 955-965 | ||
| R1912 | 06 | 391-392 | R4702 | 01 | 091-093 | S00212D | 23 | 949-950 | ||
| R1915 | 06 | 391-392 | R471 | 01 | 091-093 | S00212S | 09 | 604-605 | ||
| R192 | 06 | 391-392 | R4781 | 01 | 091-093 | S00219A | 02 | 124-125 | ||
| R1930 | 06 | 393-395 | R4782 | 01 | 091-093 | S00219A | 24 | 955-965 | ||
| R1931 | 06 | 393-395 | R4789 | 01 | 091-093 | S00219D | 23 | 949-950 | ||
| R1932 | 06 | 393-395 | R479 | 01 | 091-093 | S00219S | 09 | 604-605 | ||
| R1933 | 06 | 393-395 | R480 | 19 | 886 | S00221A | 02 | 124-125 | ||
| R1934 | 06 | 393-395 | R481 | 19 | 886 | S00221A | 24 | 955-965 | ||
| R1935 | 06 | 393-395 | R482 | 19 | 886 | S00221D | 23 | 949-950 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 14 Apr 2020 14:43:32 CMS, code-revision=250, description-revision=1275 |