ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual
![Previous Page [Alt-p]](bakpg.png){kind=small}
![Up a level [Alt-u]](uptop.png){kind=small}
![Next Page [Alt-n]](fwdpg.png){kind=small}
ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual |
||||
| Skip to content | |
|
|
| Diagnosis Code/MDC/MS-DRG Index |
| Page 49 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S63497A | 08 | 562-563 | S6492XD | 23 | 949-950 | S66021S | 09 | 604-605 | ||
| S63497A | 24 | 955-965 | S6492XS | 01 | 091-093 | S66022A | 08 | 564-566 | ||
| S63497D | 23 | 949-950 | S65001A | 21 | 913-914 | S66022A | 24 | 955-965 | ||
| S63497S | 08 | 562-563 | S65001A | 24 | 955-965 | S66022D | 23 | 949-950 | ||
| S63498A | 08 | 562-563 | S65001D | 23 | 949-950 | S66022S | 09 | 604-605 | ||
| S63498A | 24 | 955-965 | S65001S | 05 | 299-301 | S66029A | 08 | 564-566 | ||
| S63498D | 23 | 949-950 | S65002A | 21 | 913-914 | S66029A | 24 | 955-965 | ||
| S63498S | 08 | 562-563 | S65002A | 24 | 955-965 | S66029D | 23 | 949-950 | ||
| S63499A | 08 | 562-563 | S65002D | 23 | 949-950 | S66029S | 09 | 604-605 | ||
| S63499A | 24 | 955-965 | S65002S | 05 | 299-301 | S66091A | 21 | 913-914 | ||
| S63499D | 23 | 949-950 | S65009A | 21 | 913-914 | S66091A | 24 | 955-965 | ||
| S63499S | 08 | 562-563 | S65009A | 24 | 955-965 | S66091D | 23 | 949-950 | ||
| S63501A | 08 | 562-563 | S65009D | 23 | 949-950 | S66091S | 21 | 913-914 | ||
| S63501A | 24 | 955-965 | S65009S | 05 | 299-301 | S66092A | 21 | 913-914 | ||
| S63501D | 23 | 949-950 | S65011A | 21 | 913-914 | S66092A | 24 | 955-965 | ||
| S63501S | 08 | 562-563 | S65011A | 24 | 955-965 | S66092D | 23 | 949-950 | ||
| S63502A | 08 | 562-563 | S65011D | 23 | 949-950 | S66092S | 21 | 913-914 | ||
| S63502A | 24 | 955-965 | S65011S | 05 | 299-301 | S66099A | 21 | 913-914 | ||
| S63502D | 23 | 949-950 | S65012A | 21 | 913-914 | S66099A | 24 | 955-965 | ||
| S63502S | 08 | 562-563 | S65012A | 24 | 955-965 | S66099D | 23 | 949-950 | ||
| S63509A | 08 | 562-563 | S65012D | 23 | 949-950 | S66099S | 21 | 913-914 | ||
| S63509A | 24 | 955-965 | S65012S | 05 | 299-301 | S66100A | 21 | 913-914 | ||
| S63509D | 23 | 949-950 | S65019A | 21 | 913-914 | S66100A | 24 | 955-965 | ||
| S63509S | 08 | 562-563 | S65019A | 24 | 955-965 | S66100D | 23 | 949-950 | ||
| S63511A | 08 | 562-563 | S65019D | 23 | 949-950 | S66100S | 21 | 913-914 | ||
| S63511A | 24 | 955-965 | S65019S | 05 | 299-301 | S66101A | 21 | 913-914 | ||
| S63511D | 23 | 949-950 | S65091A | 21 | 913-914 | S66101A | 24 | 955-965 | ||
| S63511S | 08 | 562-563 | S65091A | 24 | 955-965 | S66101D | 23 | 949-950 | ||
| S63512A | 08 | 562-563 | S65091D | 23 | 949-950 | S66101S | 21 | 913-914 | ||
| S63512A | 24 | 955-965 | S65091S | 05 | 299-301 | S66102A | 21 | 913-914 | ||
| S63512D | 23 | 949-950 | S65092A | 21 | 913-914 | S66102A | 24 | 955-965 | ||
| S63512S | 08 | 562-563 | S65092A | 24 | 955-965 | S66102D | 23 | 949-950 | ||
| S63519A | 08 | 562-563 | S65092D | 23 | 949-950 | S66102S | 21 | 913-914 | ||
| S63519A | 24 | 955-965 | S65092S | 05 | 299-301 | S66103A | 21 | 913-914 | ||
| S63519D | 23 | 949-950 | S65099A | 21 | 913-914 | S66103A | 24 | 955-965 | ||
| S63519S | 08 | 562-563 | S65099A | 24 | 955-965 | S66103D | 23 | 949-950 | ||
| S63521A | 08 | 562-563 | S65099D | 23 | 949-950 | S66103S | 21 | 913-914 | ||
| S63521A | 24 | 955-965 | S65099S | 05 | 299-301 | S66104A | 21 | 913-914 | ||
| S63521D | 23 | 949-950 | S65101A | 21 | 913-914 | S66104A | 24 | 955-965 | ||
| S63521S | 08 | 562-563 | S65101A | 24 | 955-965 | S66104D | 23 | 949-950 | ||
| S63522A | 08 | 562-563 | S65101D | 23 | 949-950 | S66104S | 21 | 913-914 | ||
| S63522A | 24 | 955-965 | S65101S | 05 | 299-301 | S66105A | 21 | 913-914 | ||
| S63522D | 23 | 949-950 | S65102A | 21 | 913-914 | S66105A | 24 | 955-965 | ||
| S63522S | 08 | 562-563 | S65102A | 24 | 955-965 | S66105D | 23 | 949-950 | ||
| S63529A | 08 | 562-563 | S65102D | 23 | 949-950 | S66105S | 21 | 913-914 | ||
| S63529A | 24 | 955-965 | S65102S | 05 | 299-301 | S66106A | 21 | 913-914 | ||
| S63529D | 23 | 949-950 | S65109A | 21 | 913-914 | S66106A | 24 | 955-965 | ||
| S63529S | 08 | 562-563 | S65109A | 24 | 955-965 | S66106D | 23 | 949-950 | ||
| S63591A | 08 | 562-563 | S65109D | 23 | 949-950 | S66106S | 21 | 913-914 | ||
| S63591A | 24 | 955-965 | S65109S | 05 | 299-301 | S66107A | 21 | 913-914 | ||
| S63591D | 23 | 949-950 | S65111A | 21 | 913-914 | S66107A | 24 | 955-965 | ||
| S63591S | 08 | 562-563 | S65111A | 24 | 955-965 | S66107D | 23 | 949-950 | ||
| S63592A | 08 | 562-563 | S65111D | 23 | 949-950 | S66107S | 21 | 913-914 | ||
| S63592A | 24 | 955-965 | S65111S | 05 | 299-301 | S66108A | 21 | 913-914 | ||
| S63592D | 23 | 949-950 | S65112A | 21 | 913-914 | S66108A | 24 | 955-965 | ||
| S63592S | 08 | 562-563 | S65112A | 24 | 955-965 | S66108D | 23 | 949-950 | ||
| S63599A | 08 | 562-563 | S65112D | 23 | 949-950 | S66108S | 21 | 913-914 | ||
| S63599A | 24 | 955-965 | S65112S | 05 | 299-301 | S66109A | 21 | 913-914 | ||
| S63599D | 23 | 949-950 | S65119A | 21 | 913-914 | S66109A | 24 | 955-965 | ||
| S63599S | 08 | 562-563 | S65119A | 24 | 955-965 | S66109D | 23 | 949-950 | ||
| S63601A | 08 | 562-563 | S65119D | 23 | 949-950 | S66109S | 21 | 913-914 | ||
| S63601A | 24 | 955-965 | S65119S | 05 | 299-301 | S66110A | 08 | 562-563 | ||
| S63601D | 23 | 949-950 | S65191A | 21 | 913-914 | S66110A | 24 | 955-965 | ||
| S63601S | 08 | 562-563 | S65191A | 24 | 955-965 | S66110D | 23 | 949-950 | ||
| S63602A | 08 | 562-563 | S65191D | 23 | 949-950 | S66110S | 08 | 562-563 | ||
| S63602A | 24 | 955-965 | S65191S | 05 | 299-301 | S66111A | 08 | 562-563 | ||
| S63602D | 23 | 949-950 | S65192A | 21 | 913-914 | S66111A | 24 | 955-965 | ||
| S63602S | 08 | 562-563 | S65192A | 24 | 955-965 | S66111D | 23 | 949-950 | ||
| S63609A | 08 | 562-563 | S65192D | 23 | 949-950 | S66111S | 08 | 562-563 | ||
| S63609A | 24 | 955-965 | S65192S | 05 | 299-301 | S66112A | 08 | 562-563 | ||
| S63609D | 23 | 949-950 | S65199A | 21 | 913-914 | S66112A | 24 | 955-965 | ||
| S63609S | 08 | 562-563 | S65199A | 24 | 955-965 | S66112D | 23 | 949-950 | ||
| S63610A | 08 | 562-563 | S65199D | 23 | 949-950 | S66112S | 08 | 562-563 | ||
| S63610A | 24 | 955-965 | S65199S | 05 | 299-301 | S66113A | 08 | 562-563 | ||
| S63610D | 23 | 949-950 | S65201A | 21 | 913-914 | S66113A | 24 | 955-965 | ||
| S63610S | 08 | 562-563 | S65201A | 24 | 955-965 | S66113D | 23 | 949-950 | ||
| S63611A | 08 | 562-563 | S65201D | 23 | 949-950 | S66113S | 08 | 562-563 | ||
| S63611A | 24 | 955-965 | S65201S | 05 | 299-301 | S66114A | 08 | 562-563 | ||
| S63611D | 23 | 949-950 | S65202A | 21 | 913-914 | S66114A | 24 | 955-965 | ||
| S63611S | 08 | 562-563 | S65202A | 24 | 955-965 | S66114D | 23 | 949-950 | ||
| S63612A | 08 | 562-563 | S65202D | 23 | 949-950 | S66114S | 08 | 562-563 | ||
| S63612A | 24 | 955-965 | S65202S | 05 | 299-301 | S66115A | 08 | 562-563 | ||
| S63612D | 23 | 949-950 | S65209A | 21 | 913-914 | S66115A | 24 | 955-965 | ||
| S63612S | 08 | 562-563 | S65209A | 24 | 955-965 | S66115D | 23 | 949-950 | ||
| S63613A | 08 | 562-563 | S65209D | 23 | 949-950 | S66115S | 08 | 562-563 | ||
| S63613A | 24 | 955-965 | S65209S | 05 | 299-301 | S66116A | 08 | 562-563 | ||
| S63613D | 23 | 949-950 | S65211A | 21 | 913-914 | S66116A | 24 | 955-965 | ||
| S63613S | 08 | 562-563 | S65211A | 24 | 955-965 | S66116D | 23 | 949-950 | ||
| S63614A | 08 | 562-563 | S65211D | 23 | 949-950 | S66116S | 08 | 562-563 | ||
| S63614A | 24 | 955-965 | S65211S | 05 | 299-301 | S66117A | 08 | 562-563 | ||
| S63614D | 23 | 949-950 | S65212A | 21 | 913-914 | S66117A | 24 | 955-965 | ||
| S63614S | 08 | 562-563 | S65212A | 24 | 955-965 | S66117D | 23 | 949-950 | ||
| S63615A | 08 | 562-563 | S65212D | 23 | 949-950 | S66117S | 08 | 562-563 | ||
| S63615A | 24 | 955-965 | S65212S | 05 | 299-301 | S66118A | 08 | 562-563 | ||
| S63615D | 23 | 949-950 | S65219A | 21 | 913-914 | S66118A | 24 | 955-965 | ||
| S63615S | 08 | 562-563 | S65219A | 24 | 955-965 | S66118D | 23 | 949-950 | ||
| S63616A | 08 | 562-563 | S65219D | 23 | 949-950 | S66118S | 08 | 562-563 | ||
| S63616A | 24 | 955-965 | S65219S | 05 | 299-301 | S66119A | 08 | 562-563 | ||
| S63616D | 23 | 949-950 | S65291A | 21 | 913-914 | S66119A | 24 | 955-965 | ||
| S63616S | 08 | 562-563 | S65291A | 24 | 955-965 | S66119D | 23 | 949-950 | ||
| S63617A | 08 | 562-563 | S65291D | 23 | 949-950 | S66119S | 08 | 562-563 | ||
| S63617A | 24 | 955-965 | S65291S | 05 | 299-301 | S66120A | 08 | 564-566 | ||
| S63617D | 23 | 949-950 | S65292A | 21 | 913-914 | S66120A | 24 | 955-965 | ||
| S63617S | 08 | 562-563 | S65292A | 24 | 955-965 | S66120D | 23 | 949-950 | ||
| S63618A | 08 | 562-563 | S65292D | 23 | 949-950 | S66120S | 09 | 604-605 | ||
| S63618A | 24 | 955-965 | S65292S | 05 | 299-301 | S66121A | 08 | 564-566 | ||
| S63618D | 23 | 949-950 | S65299A | 21 | 913-914 | S66121A | 24 | 955-965 | ||
| S63618S | 08 | 562-563 | S65299A | 24 | 955-965 | S66121D | 23 | 949-950 | ||
| S63619A | 08 | 562-563 | S65299D | 23 | 949-950 | S66121S | 09 | 604-605 | ||
| S63619A | 24 | 955-965 | S65299S | 05 | 299-301 | S66122A | 08 | 564-566 | ||
| S63619D | 23 | 949-950 | S65301A | 21 | 913-914 | S66122A | 24 | 955-965 | ||
| S63619S | 08 | 562-563 | S65301A | 24 | 955-965 | S66122D | 23 | 949-950 | ||
| S63621A | 08 | 562-563 | S65301D | 23 | 949-950 | S66122S | 09 | 604-605 | ||
| S63621A | 24 | 955-965 | S65301S | 05 | 299-301 | S66123A | 08 | 564-566 | ||
| S63621D | 23 | 949-950 | S65302A | 21 | 913-914 | S66123A | 24 | 955-965 | ||
| S63621S | 08 | 562-563 | S65302A | 24 | 955-965 | S66123D | 23 | 949-950 | ||
| S63622A | 08 | 562-563 | S65302D | 23 | 949-950 | S66123S | 09 | 604-605 | ||
| S63622A | 24 | 955-965 | S65302S | 05 | 299-301 | S66124A | 08 | 564-566 | ||
| S63622D | 23 | 949-950 | S65309A | 21 | 913-914 | S66124A | 24 | 955-965 | ||
| S63622S | 08 | 562-563 | S65309A | 24 | 955-965 | S66124D | 23 | 949-950 | ||
| S63629A | 08 | 562-563 | S65309D | 23 | 949-950 | S66124S | 09 | 604-605 | ||
| S63629A | 24 | 955-965 | S65309S | 05 | 299-301 | S66125A | 08 | 564-566 | ||
| S63629D | 23 | 949-950 | S65311A | 21 | 913-914 | S66125A | 24 | 955-965 | ||
| S63629S | 08 | 562-563 | S65311A | 24 | 955-965 | S66125D | 23 | 949-950 | ||
| S63630A | 08 | 562-563 | S65311D | 23 | 949-950 | S66125S | 09 | 604-605 | ||
| S63630A | 24 | 955-965 | S65311S | 05 | 299-301 | S66126A | 08 | 564-566 | ||
| S63630D | 23 | 949-950 | S65312A | 21 | 913-914 | S66126A | 24 | 955-965 | ||
| S63630S | 08 | 562-563 | S65312A | 24 | 955-965 | S66126D | 23 | 949-950 | ||
| S63631A | 08 | 562-563 | S65312D | 23 | 949-950 | S66126S | 09 | 604-605 | ||
| S63631A | 24 | 955-965 | S65312S | 05 | 299-301 | S66127A | 08 | 564-566 | ||
| S63631D | 23 | 949-950 | S65319A | 21 | 913-914 | S66127A | 24 | 955-965 | ||
| S63631S | 08 | 562-563 | S65319A | 24 | 955-965 | S66127D | 23 | 949-950 | ||
| S63632A | 08 | 562-563 | S65319D | 23 | 949-950 | S66127S | 09 | 604-605 | ||
| S63632A | 24 | 955-965 | S65319S | 05 | 299-301 | S66128A | 08 | 564-566 | ||
| S63632D | 23 | 949-950 | S65391A | 21 | 913-914 | S66128A | 24 | 955-965 | ||
| S63632S | 08 | 562-563 | S65391A | 24 | 955-965 | S66128D | 23 | 949-950 | ||
| S63633A | 08 | 562-563 | S65391D | 23 | 949-950 | S66128S | 09 | 604-605 | ||
| S63633A | 24 | 955-965 | S65391S | 05 | 299-301 | S66129A | 08 | 564-566 | ||
| S63633D | 23 | 949-950 | S65392A | 21 | 913-914 | S66129A | 24 | 955-965 | ||
| S63633S | 08 | 562-563 | S65392A | 24 | 955-965 | S66129D | 23 | 949-950 | ||
| S63634A | 08 | 562-563 | S65392D | 23 | 949-950 | S66129S | 09 | 604-605 | ||
| S63634A | 24 | 955-965 | S65392S | 05 | 299-301 | S66190A | 21 | 913-914 | ||
| S63634D | 23 | 949-950 | S65399A | 21 | 913-914 | S66190A | 24 | 955-965 | ||
| S63634S | 08 | 562-563 | S65399A | 24 | 955-965 | S66190D | 23 | 949-950 | ||
| S63635A | 08 | 562-563 | S65399D | 23 | 949-950 | S66190S | 21 | 913-914 | ||
| S63635A | 24 | 955-965 | S65399S | 05 | 299-301 | S66191A | 21 | 913-914 | ||
| S63635D | 23 | 949-950 | S65401A | 21 | 913-914 | S66191A | 24 | 955-965 | ||
| S63635S | 08 | 562-563 | S65401A | 24 | 955-965 | S66191D | 23 | 949-950 | ||
| S63636A | 08 | 562-563 | S65401D | 23 | 949-950 | S66191S | 21 | 913-914 | ||
| S63636A | 24 | 955-965 | S65401S | 05 | 299-301 | S66192A | 21 | 913-914 | ||
| S63636D | 23 | 949-950 | S65402A | 21 | 913-914 | S66192A | 24 | 955-965 | ||
| S63636S | 08 | 562-563 | S65402A | 24 | 955-965 | S66192D | 23 | 949-950 | ||
| S63637A | 08 | 562-563 | S65402D | 23 | 949-950 | S66192S | 21 | 913-914 | ||
| S63637A | 24 | 955-965 | S65402S | 05 | 299-301 | S66193A | 21 | 913-914 | ||
| S63637D | 23 | 949-950 | S65409A | 21 | 913-914 | S66193A | 24 | 955-965 | ||
| S63637S | 08 | 562-563 | S65409A | 24 | 955-965 | S66193D | 23 | 949-950 | ||
| S63638A | 08 | 562-563 | S65409D | 23 | 949-950 | S66193S | 21 | 913-914 | ||
| S63638A | 24 | 955-965 | S65409S | 05 | 299-301 | S66194A | 21 | 913-914 | ||
| S63638D | 23 | 949-950 | S65411A | 21 | 913-914 | S66194A | 24 | 955-965 | ||
| S63638S | 08 | 562-563 | S65411A | 24 | 955-965 | S66194D | 23 | 949-950 | ||
| S63639A | 08 | 562-563 | S65411D | 23 | 949-950 | S66194S | 21 | 913-914 | ||
| S63639A | 24 | 955-965 | S65411S | 05 | 299-301 | S66195A | 21 | 913-914 | ||
| S63639D | 23 | 949-950 | S65412A | 21 | 913-914 | S66195A | 24 | 955-965 | ||
| S63639S | 08 | 562-563 | S65412A | 24 | 955-965 | S66195D | 23 | 949-950 | ||
| S63641A | 08 | 562-563 | S65412D | 23 | 949-950 | S66195S | 21 | 913-914 | ||
| S63641A | 24 | 955-965 | S65412S | 05 | 299-301 | S66196A | 21 | 913-914 | ||
| S63641D | 23 | 949-950 | S65419A | 21 | 913-914 | S66196A | 24 | 955-965 | ||
| S63641S | 08 | 562-563 | S65419A | 24 | 955-965 | S66196D | 23 | 949-950 | ||
| S63642A | 08 | 562-563 | S65419D | 23 | 949-950 | S66196S | 21 | 913-914 | ||
| S63642A | 24 | 955-965 | S65419S | 05 | 299-301 | S66197A | 21 | 913-914 | ||
| S63642D | 23 | 949-950 | S65491A | 21 | 913-914 | S66197A | 24 | 955-965 | ||
| S63642S | 08 | 562-563 | S65491A | 24 | 955-965 | S66197D | 23 | 949-950 | ||
| S63649A | 08 | 562-563 | S65491D | 23 | 949-950 | S66197S | 21 | 913-914 | ||
| S63649A | 24 | 955-965 | S65491S | 05 | 299-301 | S66198A | 21 | 913-914 | ||
| S63649D | 23 | 949-950 | S65492A | 21 | 913-914 | S66198A | 24 | 955-965 | ||
| S63649S | 08 | 562-563 | S65492A | 24 | 955-965 | S66198D | 23 | 949-950 | ||
| S63650A | 08 | 562-563 | S65492D | 23 | 949-950 | S66198S | 21 | 913-914 | ||
| S63650A | 24 | 955-965 | S65492S | 05 | 299-301 | S66199A | 21 | 913-914 | ||
| S63650D | 23 | 949-950 | S65499A | 21 | 913-914 | S66199A | 24 | 955-965 | ||
| S63650S | 08 | 562-563 | S65499A | 24 | 955-965 | S66199D | 23 | 949-950 | ||
| S63651A | 08 | 562-563 | S65499D | 23 | 949-950 | S66199S | 21 | 913-914 | ||
| S63651A | 24 | 955-965 | S65499S | 05 | 299-301 | S66201A | 21 | 913-914 | ||
| S63651D | 23 | 949-950 | S65500A | 21 | 913-914 | S66201A | 24 | 955-965 | ||
| S63651S | 08 | 562-563 | S65500A | 24 | 955-965 | S66201D | 23 | 949-950 | ||
| S63652A | 08 | 562-563 | S65500D | 23 | 949-950 | S66201S | 21 | 913-914 | ||
| S63652A | 24 | 955-965 | S65500S | 05 | 299-301 | S66202A | 21 | 913-914 | ||
| S63652D | 23 | 949-950 | S65501A | 21 | 913-914 | S66202A | 24 | 955-965 | ||
| S63652S | 08 | 562-563 | S65501A | 24 | 955-965 | S66202D | 23 | 949-950 | ||
| S63653A | 08 | 562-563 | S65501D | 23 | 949-950 | S66202S | 21 | 913-914 | ||
| S63653A | 24 | 955-965 | S65501S | 05 | 299-301 | S66209A | 21 | 913-914 | ||
| S63653D | 23 | 949-950 | S65502A | 21 | 913-914 | S66209A | 24 | 955-965 | ||
| S63653S | 08 | 562-563 | S65502A | 24 | 955-965 | S66209D | 23 | 949-950 | ||
| S63654A | 08 | 562-563 | S65502D | 23 | 949-950 | S66209S | 21 | 913-914 | ||
| S63654A | 24 | 955-965 | S65502S | 05 | 299-301 | S66211A | 08 | 562-563 | ||
| S63654D | 23 | 949-950 | S65503A | 21 | 913-914 | S66211A | 24 | 955-965 | ||
| S63654S | 08 | 562-563 | S65503A | 24 | 955-965 | S66211D | 23 | 949-950 | ||
| S63655A | 08 | 562-563 | S65503D | 23 | 949-950 | S66211S | 08 | 562-563 | ||
| S63655A | 24 | 955-965 | S65503S | 05 | 299-301 | S66212A | 08 | 562-563 | ||
| S63655D | 23 | 949-950 | S65504A | 21 | 913-914 | S66212A | 24 | 955-965 | ||
| S63655S | 08 | 562-563 | S65504A | 24 | 955-965 | S66212D | 23 | 949-950 | ||
| S63656A | 08 | 562-563 | S65504D | 23 | 949-950 | S66212S | 08 | 562-563 | ||
| S63656A | 24 | 955-965 | S65504S | 05 | 299-301 | S66219A | 08 | 562-563 | ||
| S63656D | 23 | 949-950 | S65505A | 21 | 913-914 | S66219A | 24 | 955-965 | ||
| S63656S | 08 | 562-563 | S65505A | 24 | 955-965 | S66219D | 23 | 949-950 | ||
| S63657A | 08 | 562-563 | S65505D | 23 | 949-950 | S66219S | 08 | 562-563 | ||
| S63657A | 24 | 955-965 | S65505S | 05 | 299-301 | S66221A | 08 | 564-566 | ||
| S63657D | 23 | 949-950 | S65506A | 21 | 913-914 | S66221A | 24 | 955-965 | ||
| S63657S | 08 | 562-563 | S65506A | 24 | 955-965 | S66221D | 23 | 949-950 | ||
| S63658A | 08 | 562-563 | S65506D | 23 | 949-950 | S66221S | 09 | 604-605 | ||
| S63658A | 24 | 955-965 | S65506S | 05 | 299-301 | S66222A | 08 | 564-566 | ||
| S63658D | 23 | 949-950 | S65507A | 21 | 913-914 | S66222A | 24 | 955-965 | ||
| S63658S | 08 | 562-563 | S65507A | 24 | 955-965 | S66222D | 23 | 949-950 | ||
| S63659A | 08 | 562-563 | S65507D | 23 | 949-950 | S66222S | 09 | 604-605 | ||
| S63659A | 24 | 955-965 | S65507S | 05 | 299-301 | S66229A | 08 | 564-566 | ||
| S63659D | 23 | 949-950 | S65508A | 21 | 913-914 | S66229A | 24 | 955-965 | ||
| S63659S | 08 | 562-563 | S65508A | 24 | 955-965 | S66229D | 23 | 949-950 | ||
| S63681A | 08 | 562-563 | S65508D | 23 | 949-950 | S66229S | 09 | 604-605 | ||
| S63681A | 24 | 955-965 | S65508S | 05 | 299-301 | S66291A | 21 | 913-914 | ||
| S63681D | 23 | 949-950 | S65509A | 21 | 913-914 | S66291A | 24 | 955-965 | ||
| S63681S | 08 | 562-563 | S65509A | 24 | 955-965 | S66291D | 23 | 949-950 | ||
| S63682A | 08 | 562-563 | S65509D | 23 | 949-950 | S66291S | 21 | 913-914 | ||
| S63682A | 24 | 955-965 | S65509S | 05 | 299-301 | S66292A | 21 | 913-914 | ||
| S63682D | 23 | 949-950 | S65510A | 21 | 913-914 | S66292A | 24 | 955-965 | ||
| S63682S | 08 | 562-563 | S65510A | 24 | 955-965 | S66292D | 23 | 949-950 | ||
| S63689A | 08 | 562-563 | S65510D | 23 | 949-950 | S66292S | 21 | 913-914 | ||
| S63689A | 24 | 955-965 | S65510S | 05 | 299-301 | S66299A | 21 | 913-914 | ||
| S63689D | 23 | 949-950 | S65511A | 21 | 913-914 | S66299A | 24 | 955-965 | ||
| S63689S | 08 | 562-563 | S65511A | 24 | 955-965 | S66299D | 23 | 949-950 | ||
| S63690A | 08 | 562-563 | S65511D | 23 | 949-950 | S66299S | 21 | 913-914 | ||
| S63690A | 24 | 955-965 | S65511S | 05 | 299-301 | S66300A | 21 | 913-914 | ||
| S63690D | 23 | 949-950 | S65512A | 21 | 913-914 | S66300A | 24 | 955-965 | ||
| S63690S | 08 | 562-563 | S65512A | 24 | 955-965 | S66300D | 23 | 949-950 | ||
| S63691A | 08 | 562-563 | S65512D | 23 | 949-950 | S66300S | 21 | 913-914 | ||
| S63691A | 24 | 955-965 | S65512S | 05 | 299-301 | S66301A | 21 | 913-914 | ||
| S63691D | 23 | 949-950 | S65513A | 21 | 913-914 | S66301A | 24 | 955-965 | ||
| S63691S | 08 | 562-563 | S65513A | 24 | 955-965 | S66301D | 23 | 949-950 | ||
| S63692A | 08 | 562-563 | S65513D | 23 | 949-950 | S66301S | 21 | 913-914 | ||
| S63692A | 24 | 955-965 | S65513S | 05 | 299-301 | S66302A | 21 | 913-914 | ||
| S63692D | 23 | 949-950 | S65514A | 21 | 913-914 | S66302A | 24 | 955-965 | ||
| S63692S | 08 | 562-563 | S65514A | 24 | 955-965 | S66302D | 23 | 949-950 | ||
| S63693A | 08 | 562-563 | S65514D | 23 | 949-950 | S66302S | 21 | 913-914 | ||
| S63693A | 24 | 955-965 | S65514S | 05 | 299-301 | S66303A | 21 | 913-914 | ||
| S63693D | 23 | 949-950 | S65515A | 21 | 913-914 | S66303A | 24 | 955-965 | ||
| S63693S | 08 | 562-563 | S65515A | 24 | 955-965 | S66303D | 23 | 949-950 | ||
| S63694A | 08 | 562-563 | S65515D | 23 | 949-950 | S66303S | 21 | 913-914 | ||
| S63694A | 24 | 955-965 | S65515S | 05 | 299-301 | S66304A | 21 | 913-914 | ||
| S63694D | 23 | 949-950 | S65516A | 21 | 913-914 | S66304A | 24 | 955-965 | ||
| S63694S | 08 | 562-563 | S65516A | 24 | 955-965 | S66304D | 23 | 949-950 | ||
| S63695A | 08 | 562-563 | S65516D | 23 | 949-950 | S66304S | 21 | 913-914 | ||
| S63695A | 24 | 955-965 | S65516S | 05 | 299-301 | S66305A | 21 | 913-914 | ||
| S63695D | 23 | 949-950 | S65517A | 21 | 913-914 | S66305A | 24 | 955-965 | ||
| S63695S | 08 | 562-563 | S65517A | 24 | 955-965 | S66305D | 23 | 949-950 | ||
| S63696A | 08 | 562-563 | S65517D | 23 | 949-950 | S66305S | 21 | 913-914 | ||
| S63696A | 24 | 955-965 | S65517S | 05 | 299-301 | S66306A | 21 | 913-914 | ||
| S63696D | 23 | 949-950 | S65518A | 21 | 913-914 | S66306A | 24 | 955-965 | ||
| S63696S | 08 | 562-563 | S65518A | 24 | 955-965 | S66306D | 23 | 949-950 | ||
| S63697A | 08 | 562-563 | S65518D | 23 | 949-950 | S66306S | 21 | 913-914 | ||
| S63697A | 24 | 955-965 | S65518S | 05 | 299-301 | S66307A | 21 | 913-914 | ||
| S63697D | 23 | 949-950 | S65519A | 21 | 913-914 | S66307A | 24 | 955-965 | ||
| S63697S | 08 | 562-563 | S65519A | 24 | 955-965 | S66307D | 23 | 949-950 | ||
| S63698A | 08 | 562-563 | S65519D | 23 | 949-950 | S66307S | 21 | 913-914 | ||
| S63698A | 24 | 955-965 | S65519S | 05 | 299-301 | S66308A | 21 | 913-914 | ||
| S63698D | 23 | 949-950 | S65590A | 21 | 913-914 | S66308A | 24 | 955-965 | ||
| S63698S | 08 | 562-563 | S65590A | 24 | 955-965 | S66308D | 23 | 949-950 | ||
| S63699A | 08 | 562-563 | S65590D | 23 | 949-950 | S66308S | 21 | 913-914 | ||
| S63699A | 24 | 955-965 | S65590S | 05 | 299-301 | S66309A | 21 | 913-914 | ||
| S63699D | 23 | 949-950 | S65591A | 21 | 913-914 | S66309A | 24 | 955-965 | ||
| S63699S | 08 | 562-563 | S65591A | 24 | 955-965 | S66309D | 23 | 949-950 | ||
| S638X1A | 08 | 562-563 | S65591D | 23 | 949-950 | S66309S | 21 | 913-914 | ||
| S638X1A | 24 | 955-965 | S65591S | 05 | 299-301 | S66310A | 08 | 562-563 | ||
| S638X1D | 23 | 949-950 | S65592A | 21 | 913-914 | S66310A | 24 | 955-965 | ||
| S638X1S | 08 | 562-563 | S65592A | 24 | 955-965 | S66310D | 23 | 949-950 | ||
| S638X2A | 08 | 562-563 | S65592D | 23 | 949-950 | S66310S | 08 | 562-563 | ||
| S638X2A | 24 | 955-965 | S65592S | 05 | 299-301 | S66311A | 08 | 562-563 | ||
| S638X2D | 23 | 949-950 | S65593A | 21 | 913-914 | S66311A | 24 | 955-965 | ||
| S638X2S | 08 | 562-563 | S65593A | 24 | 955-965 | S66311D | 23 | 949-950 | ||
| S638X9A | 08 | 562-563 | S65593D | 23 | 949-950 | S66311S | 08 | 562-563 | ||
| S638X9A | 24 | 955-965 | S65593S | 05 | 299-301 | S66312A | 08 | 562-563 | ||
| S638X9D | 23 | 949-950 | S65594A | 21 | 913-914 | S66312A | 24 | 955-965 | ||
| S638X9S | 08 | 562-563 | S65594A | 24 | 955-965 | S66312D | 23 | 949-950 | ||
| S6390XA | 08 | 562-563 | S65594D | 23 | 949-950 | S66312S | 08 | 562-563 | ||
| S6390XA | 24 | 955-965 | S65594S | 05 | 299-301 | S66313A | 08 | 562-563 | ||
| S6390XD | 23 | 949-950 | S65595A | 21 | 913-914 | S66313A | 24 | 955-965 | ||
| S6390XS | 08 | 562-563 | S65595A | 24 | 955-965 | S66313D | 23 | 949-950 | ||
| S6391XA | 08 | 562-563 | S65595D | 23 | 949-950 | S66313S | 08 | 562-563 | ||
| S6391XA | 24 | 955-965 | S65595S | 05 | 299-301 | S66314A | 08 | 562-563 | ||
| S6391XD | 23 | 949-950 | S65596A | 21 | 913-914 | S66314A | 24 | 955-965 | ||
| S6391XS | 08 | 562-563 | S65596A | 24 | 955-965 | S66314D | 23 | 949-950 | ||
| S6392XA | 08 | 562-563 | S65596D | 23 | 949-950 | S66314S | 08 | 562-563 | ||
| S6392XA | 24 | 955-965 | S65596S | 05 | 299-301 | S66315A | 08 | 562-563 | ||
| S6392XD | 23 | 949-950 | S65597A | 21 | 913-914 | S66315A | 24 | 955-965 | ||
| S6392XS | 08 | 562-563 | S65597A | 24 | 955-965 | S66315D | 23 | 949-950 | ||
| S6400XA | 01 | 073-074 | S65597D | 23 | 949-950 | S66315S | 08 | 562-563 | ||
| S6400XA | 24 | 955-965 | S65597S | 05 | 299-301 | S66316A | 08 | 562-563 | ||
| S6400XD | 23 | 949-950 | S65598A | 21 | 913-914 | S66316A | 24 | 955-965 | ||
| S6400XS | 01 | 091-093 | S65598A | 24 | 955-965 | S66316D | 23 | 949-950 | ||
| S6401XA | 01 | 073-074 | S65598D | 23 | 949-950 | S66316S | 08 | 562-563 | ||
| S6401XA | 24 | 955-965 | S65598S | 05 | 299-301 | S66317A | 08 | 562-563 | ||
| S6401XD | 23 | 949-950 | S65599A | 21 | 913-914 | S66317A | 24 | 955-965 | ||
| S6401XS | 01 | 091-093 | S65599A | 24 | 955-965 | S66317D | 23 | 949-950 | ||
| S6402XA | 01 | 073-074 | S65599D | 23 | 949-950 | S66317S | 08 | 562-563 | ||
| S6402XA | 24 | 955-965 | S65599S | 05 | 299-301 | S66318A | 08 | 562-563 | ||
| S6402XD | 23 | 949-950 | S65801A | 21 | 913-914 | S66318A | 24 | 955-965 | ||
| S6402XS | 01 | 091-093 | S65801A | 24 | 955-965 | S66318D | 23 | 949-950 | ||
| S6410XA | 01 | 073-074 | S65801D | 23 | 949-950 | S66318S | 08 | 562-563 | ||
| S6410XA | 24 | 955-965 | S65801S | 05 | 299-301 | S66319A | 08 | 562-563 | ||
| S6410XD | 23 | 949-950 | S65802A | 21 | 913-914 | S66319A | 24 | 955-965 | ||
| S6410XS | 01 | 091-093 | S65802A | 24 | 955-965 | S66319D | 23 | 949-950 | ||
| S6411XA | 01 | 073-074 | S65802D | 23 | 949-950 | S66319S | 08 | 562-563 | ||
| S6411XA | 24 | 955-965 | S65802S | 05 | 299-301 | S66320A | 08 | 564-566 | ||
| S6411XD | 23 | 949-950 | S65809A | 21 | 913-914 | S66320A | 24 | 955-965 | ||
| S6411XS | 01 | 091-093 | S65809A | 24 | 955-965 | S66320D | 23 | 949-950 | ||
| S6412XA | 01 | 073-074 | S65809D | 23 | 949-950 | S66320S | 09 | 604-605 | ||
| S6412XA | 24 | 955-965 | S65809S | 05 | 299-301 | S66321A | 08 | 564-566 | ||
| S6412XD | 23 | 949-950 | S65811A | 21 | 913-914 | S66321A | 24 | 955-965 | ||
| S6412XS | 01 | 091-093 | S65811A | 24 | 955-965 | S66321D | 23 | 949-950 | ||
| S6420XA | 01 | 073-074 | S65811D | 23 | 949-950 | S66321S | 09 | 604-605 | ||
| S6420XA | 24 | 955-965 | S65811S | 05 | 299-301 | S66322A | 08 | 564-566 | ||
| S6420XD | 23 | 949-950 | S65812A | 21 | 913-914 | S66322A | 24 | 955-965 | ||
| S6420XS | 01 | 091-093 | S65812A | 24 | 955-965 | S66322D | 23 | 949-950 | ||
| S6421XA | 01 | 073-074 | S65812D | 23 | 949-950 | S66322S | 09 | 604-605 | ||
| S6421XA | 24 | 955-965 | S65812S | 05 | 299-301 | S66323A | 08 | 564-566 | ||
| S6421XD | 23 | 949-950 | S65819A | 21 | 913-914 | S66323A | 24 | 955-965 | ||
| S6421XS | 01 | 091-093 | S65819A | 24 | 955-965 | S66323D | 23 | 949-950 | ||
| S6422XA | 01 | 073-074 | S65819D | 23 | 949-950 | S66323S | 09 | 604-605 | ||
| S6422XA | 24 | 955-965 | S65819S | 05 | 299-301 | S66324A | 08 | 564-566 | ||
| S6422XD | 23 | 949-950 | S65891A | 21 | 913-914 | S66324A | 24 | 955-965 | ||
| S6422XS | 01 | 091-093 | S65891A | 24 | 955-965 | S66324D | 23 | 949-950 | ||
| S6430XA | 01 | 073-074 | S65891D | 23 | 949-950 | S66324S | 09 | 604-605 | ||
| S6430XA | 24 | 955-965 | S65891S | 05 | 299-301 | S66325A | 08 | 564-566 | ||
| S6430XD | 23 | 949-950 | S65892A | 21 | 913-914 | S66325A | 24 | 955-965 | ||
| S6430XS | 01 | 091-093 | S65892A | 24 | 955-965 | S66325D | 23 | 949-950 | ||
| S6431XA | 01 | 073-074 | S65892D | 23 | 949-950 | S66325S | 09 | 604-605 | ||
| S6431XA | 24 | 955-965 | S65892S | 05 | 299-301 | S66326A | 08 | 564-566 | ||
| S6431XD | 23 | 949-950 | S65899A | 21 | 913-914 | S66326A | 24 | 955-965 | ||
| S6431XS | 01 | 091-093 | S65899A | 24 | 955-965 | S66326D | 23 | 949-950 | ||
| S6432XA | 01 | 073-074 | S65899D | 23 | 949-950 | S66326S | 09 | 604-605 | ||
| S6432XA | 24 | 955-965 | S65899S | 05 | 299-301 | S66327A | 08 | 564-566 | ||
| S6432XD | 23 | 949-950 | S65901A | 21 | 913-914 | S66327A | 24 | 955-965 | ||
| S6432XS | 01 | 091-093 | S65901A | 24 | 955-965 | S66327D | 23 | 949-950 | ||
| S6440XA | 01 | 073-074 | S65901D | 23 | 949-950 | S66327S | 09 | 604-605 | ||
| S6440XA | 24 | 955-965 | S65901S | 05 | 299-301 | S66328A | 08 | 564-566 | ||
| S6440XD | 23 | 949-950 | S65902A | 21 | 913-914 | S66328A | 24 | 955-965 | ||
| S6440XS | 01 | 091-093 | S65902A | 24 | 955-965 | S66328D | 23 | 949-950 | ||
| S64490A | 01 | 073-074 | S65902D | 23 | 949-950 | S66328S | 09 | 604-605 | ||
| S64490A | 24 | 955-965 | S65902S | 05 | 299-301 | S66329A | 08 | 564-566 | ||
| S64490D | 23 | 949-950 | S65909A | 21 | 913-914 | S66329A | 24 | 955-965 | ||
| S64490S | 01 | 091-093 | S65909A | 24 | 955-965 | S66329D | 23 | 949-950 | ||
| S64491A | 01 | 073-074 | S65909D | 23 | 949-950 | S66329S | 09 | 604-605 | ||
| S64491A | 24 | 955-965 | S65909S | 05 | 299-301 | S66390A | 21 | 913-914 | ||
| S64491D | 23 | 949-950 | S65911A | 21 | 913-914 | S66390A | 24 | 955-965 | ||
| S64491S | 01 | 091-093 | S65911A | 24 | 955-965 | S66390D | 23 | 949-950 | ||
| S64492A | 01 | 073-074 | S65911D | 23 | 949-950 | S66390S | 21 | 913-914 | ||
| S64492A | 24 | 955-965 | S65911S | 05 | 299-301 | S66391A | 21 | 913-914 | ||
| S64492D | 23 | 949-950 | S65912A | 21 | 913-914 | S66391A | 24 | 955-965 | ||
| S64492S | 01 | 091-093 | S65912A | 24 | 955-965 | S66391D | 23 | 949-950 | ||
| S64493A | 01 | 073-074 | S65912D | 23 | 949-950 | S66391S | 21 | 913-914 | ||
| S64493A | 24 | 955-965 | S65912S | 05 | 299-301 | S66392A | 21 | 913-914 | ||
| S64493D | 23 | 949-950 | S65919A | 21 | 913-914 | S66392A | 24 | 955-965 | ||
| S64493S | 01 | 091-093 | S65919A | 24 | 955-965 | S66392D | 23 | 949-950 | ||
| S64494A | 01 | 073-074 | S65919D | 23 | 949-950 | S66392S | 21 | 913-914 | ||
| S64494A | 24 | 955-965 | S65919S | 05 | 299-301 | S66393A | 21 | 913-914 | ||
| S64494D | 23 | 949-950 | S65991A | 21 | 913-914 | S66393A | 24 | 955-965 | ||
| S64494S | 01 | 091-093 | S65991A | 24 | 955-965 | S66393D | 23 | 949-950 | ||
| S64495A | 01 | 073-074 | S65991D | 23 | 949-950 | S66393S | 21 | 913-914 | ||
| S64495A | 24 | 955-965 | S65991S | 05 | 299-301 | S66394A | 21 | 913-914 | ||
| S64495D | 23 | 949-950 | S65992A | 21 | 913-914 | S66394A | 24 | 955-965 | ||
| S64495S | 01 | 091-093 | S65992A | 24 | 955-965 | S66394D | 23 | 949-950 | ||
| S64496A | 01 | 073-074 | S65992D | 23 | 949-950 | S66394S | 21 | 913-914 | ||
| S64496A | 24 | 955-965 | S65992S | 05 | 299-301 | S66395A | 21 | 913-914 | ||
| S64496D | 23 | 949-950 | S65999A | 21 | 913-914 | S66395A | 24 | 955-965 | ||
| S64496S | 01 | 091-093 | S65999A | 24 | 955-965 | S66395D | 23 | 949-950 | ||
| S64497A | 01 | 073-074 | S65999D | 23 | 949-950 | S66395S | 21 | 913-914 | ||
| S64497A | 24 | 955-965 | S65999S | 05 | 299-301 | S66396A | 21 | 913-914 | ||
| S64497D | 23 | 949-950 | S66001A | 21 | 913-914 | S66396A | 24 | 955-965 | ||
| S64497S | 01 | 091-093 | S66001A | 24 | 955-965 | S66396D | 23 | 949-950 | ||
| S64498A | 01 | 073-074 | S66001D | 23 | 949-950 | S66396S | 21 | 913-914 | ||
| S64498A | 24 | 955-965 | S66001S | 21 | 913-914 | S66397A | 21 | 913-914 | ||
| S64498D | 23 | 949-950 | S66002A | 21 | 913-914 | S66397A | 24 | 955-965 | ||
| S64498S | 01 | 091-093 | S66002A | 24 | 955-965 | S66397D | 23 | 949-950 | ||
| S648X1A | 01 | 073-074 | S66002D | 23 | 949-950 | S66397S | 21 | 913-914 | ||
| S648X1A | 24 | 955-965 | S66002S | 21 | 913-914 | S66398A | 21 | 913-914 | ||
| S648X1D | 23 | 949-950 | S66009A | 21 | 913-914 | S66398A | 24 | 955-965 | ||
| S648X1S | 01 | 091-093 | S66009A | 24 | 955-965 | S66398D | 23 | 949-950 | ||
| S648X2A | 01 | 073-074 | S66009D | 23 | 949-950 | S66398S | 21 | 913-914 | ||
| S648X2A | 24 | 955-965 | S66009S | 21 | 913-914 | S66399A | 21 | 913-914 | ||
| S648X2D | 23 | 949-950 | S66011A | 08 | 562-563 | S66399A | 24 | 955-965 | ||
| S648X2S | 01 | 091-093 | S66011A | 24 | 955-965 | S66399D | 23 | 949-950 | ||
| S648X9A | 01 | 073-074 | S66011D | 23 | 949-950 | S66399S | 21 | 913-914 | ||
| S648X9A | 24 | 955-965 | S66011S | 08 | 562-563 | S66401A | 21 | 913-914 | ||
| S648X9D | 23 | 949-950 | S66012A | 08 | 562-563 | S66401A | 24 | 955-965 | ||
| S648X9S | 01 | 091-093 | S66012A | 24 | 955-965 | S66401D | 23 | 949-950 | ||
| S6490XA | 01 | 073-074 | S66012D | 23 | 949-950 | S66401S | 21 | 913-914 | ||
| S6490XA | 24 | 955-965 | S66012S | 08 | 562-563 | S66402A | 21 | 913-914 | ||
| S6490XD | 23 | 949-950 | S66019A | 08 | 562-563 | S66402A | 24 | 955-965 | ||
| S6490XS | 01 | 091-093 | S66019A | 24 | 955-965 | S66402D | 23 | 949-950 | ||
| S6491XA | 01 | 073-074 | S66019D | 23 | 949-950 | S66402S | 21 | 913-914 | ||
| S6491XA | 24 | 955-965 | S66019S | 08 | 562-563 | S66409A | 21 | 913-914 | ||
| S6491XD | 23 | 949-950 | S66021A | 08 | 564-566 | S66409A | 24 | 955-965 | ||
| S6491XS | 01 | 091-093 | S66021A | 24 | 955-965 | S66409D | 23 | 949-950 | ||
| S6492XA | 01 | 073-074 | S66021D | 23 | 949-950 | S66409S | 21 | 913-914 | ||
| S6492XA | 24 | 955-965 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 14 Apr 2020 14:43:32 CMS, code-revision=250, description-revision=1275 |