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 54 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|
| S72435C | 08 | 533-534 | S72491C | 08 | 533-534 | S7421XD | 23 | 949-950 | ||
| S72435C | 24 | 955-965 | S72491C | 24 | 955-965 | S7421XS | 01 | 091-093 | ||
| S72435D | 08 | 559-561 | S72491D | 08 | 559-561 | S7422XA | 01 | 073-074 | ||
| S72435E | 08 | 559-561 | S72491E | 08 | 559-561 | S7422XA | 24 | 955-965 | ||
| S72435F | 08 | 559-561 | S72491F | 08 | 559-561 | S7422XD | 23 | 949-950 | ||
| S72435G | 08 | 559-561 | S72491G | 08 | 559-561 | S7422XS | 01 | 091-093 | ||
| S72435H | 08 | 559-561 | S72491H | 08 | 559-561 | S748X1A | 01 | 073-074 | ||
| S72435J | 08 | 559-561 | S72491J | 08 | 559-561 | S748X1A | 24 | 955-965 | ||
| S72435K | 08 | 564-566 | S72491K | 08 | 564-566 | S748X1D | 23 | 949-950 | ||
| S72435M | 08 | 564-566 | S72491M | 08 | 564-566 | S748X1S | 01 | 091-093 | ||
| S72435N | 08 | 564-566 | S72491N | 08 | 564-566 | S748X2A | 01 | 073-074 | ||
| S72435P | 08 | 564-566 | S72491P | 08 | 564-566 | S748X2A | 24 | 955-965 | ||
| S72435Q | 08 | 564-566 | S72491Q | 08 | 564-566 | S748X2D | 23 | 949-950 | ||
| S72435R | 08 | 564-566 | S72491R | 08 | 564-566 | S748X2S | 01 | 091-093 | ||
| S72435S | 08 | 559-561 | S72491S | 08 | 559-561 | S748X9A | 01 | 073-074 | ||
| S72436A | 08 | 533-534 | S72492A | 08 | 533-534 | S748X9A | 24 | 955-965 | ||
| S72436A | 24 | 955-965 | S72492A | 24 | 955-965 | S748X9D | 23 | 949-950 | ||
| S72436B | 08 | 533-534 | S72492B | 08 | 533-534 | S748X9S | 01 | 091-093 | ||
| S72436B | 24 | 955-965 | S72492B | 24 | 955-965 | S7490XA | 01 | 073-074 | ||
| S72436C | 08 | 533-534 | S72492C | 08 | 533-534 | S7490XA | 24 | 955-965 | ||
| S72436C | 24 | 955-965 | S72492C | 24 | 955-965 | S7490XD | 23 | 949-950 | ||
| S72436D | 08 | 559-561 | S72492D | 08 | 559-561 | S7490XS | 01 | 091-093 | ||
| S72436E | 08 | 559-561 | S72492E | 08 | 559-561 | S7491XA | 01 | 073-074 | ||
| S72436F | 08 | 559-561 | S72492F | 08 | 559-561 | S7491XA | 24 | 955-965 | ||
| S72436G | 08 | 559-561 | S72492G | 08 | 559-561 | S7491XD | 23 | 949-950 | ||
| S72436H | 08 | 559-561 | S72492H | 08 | 559-561 | S7491XS | 01 | 091-093 | ||
| S72436J | 08 | 559-561 | S72492J | 08 | 559-561 | S7492XA | 01 | 073-074 | ||
| S72436K | 08 | 564-566 | S72492K | 08 | 564-566 | S7492XA | 24 | 955-965 | ||
| S72436M | 08 | 564-566 | S72492M | 08 | 564-566 | S7492XD | 23 | 949-950 | ||
| S72436N | 08 | 564-566 | S72492N | 08 | 564-566 | S7492XS | 01 | 091-093 | ||
| S72436P | 08 | 564-566 | S72492P | 08 | 564-566 | S75001A | 21 | 913-914 | ||
| S72436Q | 08 | 564-566 | S72492Q | 08 | 564-566 | S75001A | 24 | 955-965 | ||
| S72436R | 08 | 564-566 | S72492R | 08 | 564-566 | S75001D | 23 | 949-950 | ||
| S72436S | 08 | 559-561 | S72492S | 08 | 559-561 | S75001S | 05 | 299-301 | ||
| S72441A | 08 | 533-534 | S72499A | 08 | 533-534 | S75002A | 21 | 913-914 | ||
| S72441A | 24 | 955-965 | S72499A | 24 | 955-965 | S75002A | 24 | 955-965 | ||
| S72441B | 08 | 533-534 | S72499B | 08 | 533-534 | S75002D | 23 | 949-950 | ||
| S72441B | 24 | 955-965 | S72499B | 24 | 955-965 | S75002S | 05 | 299-301 | ||
| S72441C | 08 | 533-534 | S72499C | 08 | 533-534 | S75009A | 21 | 913-914 | ||
| S72441C | 24 | 955-965 | S72499C | 24 | 955-965 | S75009A | 24 | 955-965 | ||
| S72441D | 08 | 559-561 | S72499D | 08 | 559-561 | S75009D | 23 | 949-950 | ||
| S72441E | 08 | 559-561 | S72499E | 08 | 559-561 | S75009S | 05 | 299-301 | ||
| S72441F | 08 | 559-561 | S72499F | 08 | 559-561 | S75011A | 21 | 913-914 | ||
| S72441G | 08 | 559-561 | S72499G | 08 | 559-561 | S75011A | 24 | 955-965 | ||
| S72441H | 08 | 559-561 | S72499H | 08 | 559-561 | S75011D | 23 | 949-950 | ||
| S72441J | 08 | 559-561 | S72499J | 08 | 559-561 | S75011S | 05 | 299-301 | ||
| S72441K | 08 | 564-566 | S72499K | 08 | 564-566 | S75012A | 21 | 913-914 | ||
| S72441M | 08 | 564-566 | S72499M | 08 | 564-566 | S75012A | 24 | 955-965 | ||
| S72441N | 08 | 564-566 | S72499N | 08 | 564-566 | S75012D | 23 | 949-950 | ||
| S72441P | 08 | 564-566 | S72499P | 08 | 564-566 | S75012S | 05 | 299-301 | ||
| S72441Q | 08 | 564-566 | S72499Q | 08 | 564-566 | S75019A | 21 | 913-914 | ||
| S72441R | 08 | 564-566 | S72499R | 08 | 564-566 | S75019A | 24 | 955-965 | ||
| S72441S | 08 | 559-561 | S72499S | 08 | 559-561 | S75019D | 23 | 949-950 | ||
| S72442A | 08 | 533-534 | S728X1A | 08 | 533-534 | S75019S | 05 | 299-301 | ||
| S72442A | 24 | 955-965 | S728X1A | 15 | 791 | S75021A | 21 | 913-914 | ||
| S72442B | 08 | 533-534 | S728X1A | 15 | 793 | S75021A | 24 | 955-965 | ||
| S72442B | 24 | 955-965 | S728X1A | 24 | 955-965 | S75021D | 23 | 949-950 | ||
| S72442C | 08 | 533-534 | S728X1B | 08 | 533-534 | S75021S | 05 | 299-301 | ||
| S72442C | 24 | 955-965 | S728X1B | 15 | 791 | S75022A | 21 | 913-914 | ||
| S72442D | 08 | 559-561 | S728X1B | 15 | 793 | S75022A | 24 | 955-965 | ||
| S72442E | 08 | 559-561 | S728X1B | 24 | 955-965 | S75022D | 23 | 949-950 | ||
| S72442F | 08 | 559-561 | S728X1C | 08 | 533-534 | S75022S | 05 | 299-301 | ||
| S72442G | 08 | 559-561 | S728X1C | 15 | 791 | S75029A | 21 | 913-914 | ||
| S72442H | 08 | 559-561 | S728X1C | 15 | 793 | S75029A | 24 | 955-965 | ||
| S72442J | 08 | 559-561 | S728X1C | 24 | 955-965 | S75029D | 23 | 949-950 | ||
| S72442K | 08 | 564-566 | S728X1D | 08 | 559-561 | S75029S | 05 | 299-301 | ||
| S72442M | 08 | 564-566 | S728X1E | 08 | 559-561 | S75091A | 21 | 913-914 | ||
| S72442N | 08 | 564-566 | S728X1F | 08 | 559-561 | S75091A | 24 | 955-965 | ||
| S72442P | 08 | 564-566 | S728X1G | 08 | 559-561 | S75091D | 23 | 949-950 | ||
| S72442Q | 08 | 564-566 | S728X1H | 08 | 559-561 | S75091S | 05 | 299-301 | ||
| S72442R | 08 | 564-566 | S728X1J | 08 | 559-561 | S75092A | 21 | 913-914 | ||
| S72442S | 08 | 559-561 | S728X1K | 08 | 564-566 | S75092A | 24 | 955-965 | ||
| S72443A | 08 | 533-534 | S728X1M | 08 | 564-566 | S75092D | 23 | 949-950 | ||
| S72443A | 24 | 955-965 | S728X1N | 08 | 564-566 | S75092S | 05 | 299-301 | ||
| S72443B | 08 | 533-534 | S728X1P | 08 | 564-566 | S75099A | 21 | 913-914 | ||
| S72443B | 24 | 955-965 | S728X1Q | 08 | 564-566 | S75099A | 24 | 955-965 | ||
| S72443C | 08 | 533-534 | S728X1R | 08 | 564-566 | S75099D | 23 | 949-950 | ||
| S72443C | 24 | 955-965 | S728X1S | 08 | 559-561 | S75099S | 05 | 299-301 | ||
| S72443D | 08 | 559-561 | S728X2A | 08 | 533-534 | S75101A | 21 | 913-914 | ||
| S72443E | 08 | 559-561 | S728X2A | 15 | 791 | S75101A | 24 | 955-965 | ||
| S72443F | 08 | 559-561 | S728X2A | 15 | 793 | S75101D | 23 | 949-950 | ||
| S72443G | 08 | 559-561 | S728X2A | 24 | 955-965 | S75101S | 05 | 299-301 | ||
| S72443H | 08 | 559-561 | S728X2B | 08 | 533-534 | S75102A | 21 | 913-914 | ||
| S72443J | 08 | 559-561 | S728X2B | 15 | 791 | S75102A | 24 | 955-965 | ||
| S72443K | 08 | 564-566 | S728X2B | 15 | 793 | S75102D | 23 | 949-950 | ||
| S72443M | 08 | 564-566 | S728X2B | 24 | 955-965 | S75102S | 05 | 299-301 | ||
| S72443N | 08 | 564-566 | S728X2C | 08 | 533-534 | S75109A | 21 | 913-914 | ||
| S72443P | 08 | 564-566 | S728X2C | 15 | 791 | S75109A | 24 | 955-965 | ||
| S72443Q | 08 | 564-566 | S728X2C | 15 | 793 | S75109D | 23 | 949-950 | ||
| S72443R | 08 | 564-566 | S728X2C | 24 | 955-965 | S75109S | 05 | 299-301 | ||
| S72443S | 08 | 559-561 | S728X2D | 08 | 559-561 | S75111A | 21 | 913-914 | ||
| S72444A | 08 | 533-534 | S728X2E | 08 | 559-561 | S75111A | 24 | 955-965 | ||
| S72444A | 24 | 955-965 | S728X2F | 08 | 559-561 | S75111D | 23 | 949-950 | ||
| S72444B | 08 | 533-534 | S728X2G | 08 | 559-561 | S75111S | 05 | 299-301 | ||
| S72444B | 24 | 955-965 | S728X2H | 08 | 559-561 | S75112A | 21 | 913-914 | ||
| S72444C | 08 | 533-534 | S728X2J | 08 | 559-561 | S75112A | 24 | 955-965 | ||
| S72444C | 24 | 955-965 | S728X2K | 08 | 564-566 | S75112D | 23 | 949-950 | ||
| S72444D | 08 | 559-561 | S728X2M | 08 | 564-566 | S75112S | 05 | 299-301 | ||
| S72444E | 08 | 559-561 | S728X2N | 08 | 564-566 | S75119A | 21 | 913-914 | ||
| S72444F | 08 | 559-561 | S728X2P | 08 | 564-566 | S75119A | 24 | 955-965 | ||
| S72444G | 08 | 559-561 | S728X2Q | 08 | 564-566 | S75119D | 23 | 949-950 | ||
| S72444H | 08 | 559-561 | S728X2R | 08 | 564-566 | S75119S | 05 | 299-301 | ||
| S72444J | 08 | 559-561 | S728X2S | 08 | 559-561 | S75121A | 21 | 913-914 | ||
| S72444K | 08 | 564-566 | S728X9A | 08 | 533-534 | S75121A | 24 | 955-965 | ||
| S72444M | 08 | 564-566 | S728X9A | 15 | 791 | S75121D | 23 | 949-950 | ||
| S72444N | 08 | 564-566 | S728X9A | 15 | 793 | S75121S | 05 | 299-301 | ||
| S72444P | 08 | 564-566 | S728X9A | 24 | 955-965 | S75122A | 21 | 913-914 | ||
| S72444Q | 08 | 564-566 | S728X9B | 08 | 533-534 | S75122A | 24 | 955-965 | ||
| S72444R | 08 | 564-566 | S728X9B | 15 | 791 | S75122D | 23 | 949-950 | ||
| S72444S | 08 | 559-561 | S728X9B | 15 | 793 | S75122S | 05 | 299-301 | ||
| S72445A | 08 | 533-534 | S728X9B | 24 | 955-965 | S75129A | 21 | 913-914 | ||
| S72445A | 24 | 955-965 | S728X9C | 08 | 533-534 | S75129A | 24 | 955-965 | ||
| S72445B | 08 | 533-534 | S728X9C | 15 | 791 | S75129D | 23 | 949-950 | ||
| S72445B | 24 | 955-965 | S728X9C | 15 | 793 | S75129S | 05 | 299-301 | ||
| S72445C | 08 | 533-534 | S728X9C | 24 | 955-965 | S75191A | 21 | 913-914 | ||
| S72445C | 24 | 955-965 | S728X9D | 08 | 559-561 | S75191A | 24 | 955-965 | ||
| S72445D | 08 | 559-561 | S728X9E | 08 | 559-561 | S75191D | 23 | 949-950 | ||
| S72445E | 08 | 559-561 | S728X9F | 08 | 559-561 | S75191S | 05 | 299-301 | ||
| S72445F | 08 | 559-561 | S728X9G | 08 | 559-561 | S75192A | 21 | 913-914 | ||
| S72445G | 08 | 559-561 | S728X9H | 08 | 559-561 | S75192A | 24 | 955-965 | ||
| S72445H | 08 | 559-561 | S728X9J | 08 | 559-561 | S75192D | 23 | 949-950 | ||
| S72445J | 08 | 559-561 | S728X9K | 08 | 564-566 | S75192S | 05 | 299-301 | ||
| S72445K | 08 | 564-566 | S728X9M | 08 | 564-566 | S75199A | 21 | 913-914 | ||
| S72445M | 08 | 564-566 | S728X9N | 08 | 564-566 | S75199A | 24 | 955-965 | ||
| S72445N | 08 | 564-566 | S728X9P | 08 | 564-566 | S75199D | 23 | 949-950 | ||
| S72445P | 08 | 564-566 | S728X9Q | 08 | 564-566 | S75199S | 05 | 299-301 | ||
| S72445Q | 08 | 564-566 | S728X9R | 08 | 564-566 | S75201A | 21 | 913-914 | ||
| S72445R | 08 | 564-566 | S728X9S | 08 | 559-561 | S75201A | 24 | 955-965 | ||
| S72445S | 08 | 559-561 | S7290XA | 08 | 533-534 | S75201D | 23 | 949-950 | ||
| S72446A | 08 | 533-534 | S7290XA | 15 | 791 | S75201S | 05 | 299-301 | ||
| S72446A | 24 | 955-965 | S7290XA | 15 | 793 | S75202A | 21 | 913-914 | ||
| S72446B | 08 | 533-534 | S7290XA | 24 | 955-965 | S75202A | 24 | 955-965 | ||
| S72446B | 24 | 955-965 | S7290XB | 08 | 533-534 | S75202D | 23 | 949-950 | ||
| S72446C | 08 | 533-534 | S7290XB | 15 | 791 | S75202S | 05 | 299-301 | ||
| S72446C | 24 | 955-965 | S7290XB | 15 | 793 | S75209A | 21 | 913-914 | ||
| S72446D | 08 | 559-561 | S7290XB | 24 | 955-965 | S75209A | 24 | 955-965 | ||
| S72446E | 08 | 559-561 | S7290XC | 08 | 533-534 | S75209D | 23 | 949-950 | ||
| S72446F | 08 | 559-561 | S7290XC | 15 | 791 | S75209S | 05 | 299-301 | ||
| S72446G | 08 | 559-561 | S7290XC | 15 | 793 | S75211A | 21 | 913-914 | ||
| S72446H | 08 | 559-561 | S7290XC | 24 | 955-965 | S75211A | 24 | 955-965 | ||
| S72446J | 08 | 559-561 | S7290XD | 08 | 559-561 | S75211D | 23 | 949-950 | ||
| S72446K | 08 | 564-566 | S7290XE | 08 | 559-561 | S75211S | 05 | 299-301 | ||
| S72446M | 08 | 564-566 | S7290XF | 08 | 559-561 | S75212A | 21 | 913-914 | ||
| S72446N | 08 | 564-566 | S7290XG | 08 | 559-561 | S75212A | 24 | 955-965 | ||
| S72446P | 08 | 564-566 | S7290XH | 08 | 559-561 | S75212D | 23 | 949-950 | ||
| S72446Q | 08 | 564-566 | S7290XJ | 08 | 559-561 | S75212S | 05 | 299-301 | ||
| S72446R | 08 | 564-566 | S7290XK | 08 | 564-566 | S75219A | 21 | 913-914 | ||
| S72446S | 08 | 559-561 | S7290XM | 08 | 564-566 | S75219A | 24 | 955-965 | ||
| S72451A | 08 | 533-534 | S7290XN | 08 | 564-566 | S75219D | 23 | 949-950 | ||
| S72451A | 24 | 955-965 | S7290XP | 08 | 564-566 | S75219S | 05 | 299-301 | ||
| S72451B | 08 | 533-534 | S7290XQ | 08 | 564-566 | S75221A | 21 | 913-914 | ||
| S72451B | 24 | 955-965 | S7290XR | 08 | 564-566 | S75221A | 24 | 955-965 | ||
| S72451C | 08 | 533-534 | S7290XS | 08 | 559-561 | S75221D | 23 | 949-950 | ||
| S72451C | 24 | 955-965 | S7291XA | 08 | 533-534 | S75221S | 05 | 299-301 | ||
| S72451D | 08 | 559-561 | S7291XA | 15 | 791 | S75222A | 21 | 913-914 | ||
| S72451E | 08 | 559-561 | S7291XA | 15 | 793 | S75222A | 24 | 955-965 | ||
| S72451F | 08 | 559-561 | S7291XA | 24 | 955-965 | S75222D | 23 | 949-950 | ||
| S72451G | 08 | 559-561 | S7291XB | 08 | 533-534 | S75222S | 05 | 299-301 | ||
| S72451H | 08 | 559-561 | S7291XB | 15 | 791 | S75229A | 21 | 913-914 | ||
| S72451J | 08 | 559-561 | S7291XB | 15 | 793 | S75229A | 24 | 955-965 | ||
| S72451K | 08 | 564-566 | S7291XB | 24 | 955-965 | S75229D | 23 | 949-950 | ||
| S72451M | 08 | 564-566 | S7291XC | 08 | 533-534 | S75229S | 05 | 299-301 | ||
| S72451N | 08 | 564-566 | S7291XC | 15 | 791 | S75291A | 21 | 913-914 | ||
| S72451P | 08 | 564-566 | S7291XC | 15 | 793 | S75291A | 24 | 955-965 | ||
| S72451Q | 08 | 564-566 | S7291XC | 24 | 955-965 | S75291D | 23 | 949-950 | ||
| S72451R | 08 | 564-566 | S7291XD | 08 | 559-561 | S75291S | 05 | 299-301 | ||
| S72451S | 08 | 559-561 | S7291XE | 08 | 559-561 | S75292A | 21 | 913-914 | ||
| S72452A | 08 | 533-534 | S7291XF | 08 | 559-561 | S75292A | 24 | 955-965 | ||
| S72452A | 24 | 955-965 | S7291XG | 08 | 559-561 | S75292D | 23 | 949-950 | ||
| S72452B | 08 | 533-534 | S7291XH | 08 | 559-561 | S75292S | 05 | 299-301 | ||
| S72452B | 24 | 955-965 | S7291XJ | 08 | 559-561 | S75299A | 21 | 913-914 | ||
| S72452C | 08 | 533-534 | S7291XK | 08 | 564-566 | S75299A | 24 | 955-965 | ||
| S72452C | 24 | 955-965 | S7291XM | 08 | 564-566 | S75299D | 23 | 949-950 | ||
| S72452D | 08 | 559-561 | S7291XN | 08 | 564-566 | S75299S | 05 | 299-301 | ||
| S72452E | 08 | 559-561 | S7291XP | 08 | 564-566 | S75801A | 21 | 913-914 | ||
| S72452F | 08 | 559-561 | S7291XQ | 08 | 564-566 | S75801A | 24 | 955-965 | ||
| S72452G | 08 | 559-561 | S7291XR | 08 | 564-566 | S75801D | 23 | 949-950 | ||
| S72452H | 08 | 559-561 | S7291XS | 08 | 559-561 | S75801S | 05 | 299-301 | ||
| S72452J | 08 | 559-561 | S7292XA | 08 | 533-534 | S75802A | 21 | 913-914 | ||
| S72452K | 08 | 564-566 | S7292XA | 15 | 791 | S75802A | 24 | 955-965 | ||
| S72452M | 08 | 564-566 | S7292XA | 15 | 793 | S75802D | 23 | 949-950 | ||
| S72452N | 08 | 564-566 | S7292XA | 24 | 955-965 | S75802S | 05 | 299-301 | ||
| S72452P | 08 | 564-566 | S7292XB | 08 | 533-534 | S75809A | 21 | 913-914 | ||
| S72452Q | 08 | 564-566 | S7292XB | 15 | 791 | S75809A | 24 | 955-965 | ||
| S72452R | 08 | 564-566 | S7292XB | 15 | 793 | S75809D | 23 | 949-950 | ||
| S72452S | 08 | 559-561 | S7292XB | 24 | 955-965 | S75809S | 05 | 299-301 | ||
| S72453A | 08 | 533-534 | S7292XC | 08 | 533-534 | S75811A | 21 | 913-914 | ||
| S72453A | 24 | 955-965 | S7292XC | 15 | 791 | S75811A | 24 | 955-965 | ||
| S72453B | 08 | 533-534 | S7292XC | 15 | 793 | S75811D | 23 | 949-950 | ||
| S72453B | 24 | 955-965 | S7292XC | 24 | 955-965 | S75811S | 05 | 299-301 | ||
| S72453C | 08 | 533-534 | S7292XD | 08 | 559-561 | S75812A | 21 | 913-914 | ||
| S72453C | 24 | 955-965 | S7292XE | 08 | 559-561 | S75812A | 24 | 955-965 | ||
| S72453D | 08 | 559-561 | S7292XF | 08 | 559-561 | S75812D | 23 | 949-950 | ||
| S72453E | 08 | 559-561 | S7292XG | 08 | 559-561 | S75812S | 05 | 299-301 | ||
| S72453F | 08 | 559-561 | S7292XH | 08 | 559-561 | S75819A | 21 | 913-914 | ||
| S72453G | 08 | 559-561 | S7292XJ | 08 | 559-561 | S75819A | 24 | 955-965 | ||
| S72453H | 08 | 559-561 | S7292XK | 08 | 564-566 | S75819D | 23 | 949-950 | ||
| S72453J | 08 | 559-561 | S7292XM | 08 | 564-566 | S75819S | 05 | 299-301 | ||
| S72453K | 08 | 564-566 | S7292XN | 08 | 564-566 | S75891A | 21 | 913-914 | ||
| S72453M | 08 | 564-566 | S7292XP | 08 | 564-566 | S75891A | 24 | 955-965 | ||
| S72453N | 08 | 564-566 | S7292XQ | 08 | 564-566 | S75891D | 23 | 949-950 | ||
| S72453P | 08 | 564-566 | S7292XR | 08 | 564-566 | S75891S | 05 | 299-301 | ||
| S72453Q | 08 | 564-566 | S7292XS | 08 | 559-561 | S75892A | 21 | 913-914 | ||
| S72453R | 08 | 564-566 | S73001A | 08 | 537-538 | S75892A | 24 | 955-965 | ||
| S72453S | 08 | 559-561 | S73001A | 24 | 955-965 | S75892D | 23 | 949-950 | ||
| S72454A | 08 | 533-534 | S73001D | 23 | 949-950 | S75892S | 05 | 299-301 | ||
| S72454A | 24 | 955-965 | S73001S | 08 | 562-563 | S75899A | 21 | 913-914 | ||
| S72454B | 08 | 533-534 | S73002A | 08 | 537-538 | S75899A | 24 | 955-965 | ||
| S72454B | 24 | 955-965 | S73002A | 24 | 955-965 | S75899D | 23 | 949-950 | ||
| S72454C | 08 | 533-534 | S73002D | 23 | 949-950 | S75899S | 05 | 299-301 | ||
| S72454C | 24 | 955-965 | S73002S | 08 | 562-563 | S75901A | 21 | 913-914 | ||
| S72454D | 08 | 559-561 | S73003A | 08 | 537-538 | S75901A | 24 | 955-965 | ||
| S72454E | 08 | 559-561 | S73003A | 24 | 955-965 | S75901D | 23 | 949-950 | ||
| S72454F | 08 | 559-561 | S73003D | 23 | 949-950 | S75901S | 05 | 299-301 | ||
| S72454G | 08 | 559-561 | S73003S | 08 | 562-563 | S75902A | 21 | 913-914 | ||
| S72454H | 08 | 559-561 | S73004A | 08 | 537-538 | S75902A | 24 | 955-965 | ||
| S72454J | 08 | 559-561 | S73004A | 24 | 955-965 | S75902D | 23 | 949-950 | ||
| S72454K | 08 | 564-566 | S73004D | 23 | 949-950 | S75902S | 05 | 299-301 | ||
| S72454M | 08 | 564-566 | S73004S | 08 | 562-563 | S75909A | 21 | 913-914 | ||
| S72454N | 08 | 564-566 | S73005A | 08 | 537-538 | S75909A | 24 | 955-965 | ||
| S72454P | 08 | 564-566 | S73005A | 24 | 955-965 | S75909D | 23 | 949-950 | ||
| S72454Q | 08 | 564-566 | S73005D | 23 | 949-950 | S75909S | 05 | 299-301 | ||
| S72454R | 08 | 564-566 | S73005S | 08 | 562-563 | S75911A | 21 | 913-914 | ||
| S72454S | 08 | 559-561 | S73006A | 08 | 537-538 | S75911A | 24 | 955-965 | ||
| S72455A | 08 | 533-534 | S73006A | 24 | 955-965 | S75911D | 23 | 949-950 | ||
| S72455A | 24 | 955-965 | S73006D | 23 | 949-950 | S75911S | 05 | 299-301 | ||
| S72455B | 08 | 533-534 | S73006S | 08 | 562-563 | S75912A | 21 | 913-914 | ||
| S72455B | 24 | 955-965 | S73011A | 08 | 537-538 | S75912A | 24 | 955-965 | ||
| S72455C | 08 | 533-534 | S73011A | 24 | 955-965 | S75912D | 23 | 949-950 | ||
| S72455C | 24 | 955-965 | S73011D | 23 | 949-950 | S75912S | 05 | 299-301 | ||
| S72455D | 08 | 559-561 | S73011S | 08 | 562-563 | S75919A | 21 | 913-914 | ||
| S72455E | 08 | 559-561 | S73012A | 08 | 537-538 | S75919A | 24 | 955-965 | ||
| S72455F | 08 | 559-561 | S73012A | 24 | 955-965 | S75919D | 23 | 949-950 | ||
| S72455G | 08 | 559-561 | S73012D | 23 | 949-950 | S75919S | 05 | 299-301 | ||
| S72455H | 08 | 559-561 | S73012S | 08 | 562-563 | S75991A | 21 | 913-914 | ||
| S72455J | 08 | 559-561 | S73013A | 08 | 537-538 | S75991A | 24 | 955-965 | ||
| S72455K | 08 | 564-566 | S73013A | 24 | 955-965 | S75991D | 23 | 949-950 | ||
| S72455M | 08 | 564-566 | S73013D | 23 | 949-950 | S75991S | 05 | 299-301 | ||
| S72455N | 08 | 564-566 | S73013S | 08 | 562-563 | S75992A | 21 | 913-914 | ||
| S72455P | 08 | 564-566 | S73014A | 08 | 537-538 | S75992A | 24 | 955-965 | ||
| S72455Q | 08 | 564-566 | S73014A | 24 | 955-965 | S75992D | 23 | 949-950 | ||
| S72455R | 08 | 564-566 | S73014D | 23 | 949-950 | S75992S | 05 | 299-301 | ||
| S72455S | 08 | 559-561 | S73014S | 08 | 562-563 | S75999A | 21 | 913-914 | ||
| S72456A | 08 | 533-534 | S73015A | 08 | 537-538 | S75999A | 24 | 955-965 | ||
| S72456A | 24 | 955-965 | S73015A | 24 | 955-965 | S75999D | 23 | 949-950 | ||
| S72456B | 08 | 533-534 | S73015D | 23 | 949-950 | S75999S | 05 | 299-301 | ||
| S72456B | 24 | 955-965 | S73015S | 08 | 562-563 | S76001A | 21 | 913-914 | ||
| S72456C | 08 | 533-534 | S73016A | 08 | 537-538 | S76001A | 24 | 955-965 | ||
| S72456C | 24 | 955-965 | S73016A | 24 | 955-965 | S76001D | 23 | 949-950 | ||
| S72456D | 08 | 559-561 | S73016D | 23 | 949-950 | S76001S | 21 | 913-914 | ||
| S72456E | 08 | 559-561 | S73016S | 08 | 562-563 | S76002A | 21 | 913-914 | ||
| S72456F | 08 | 559-561 | S73021A | 08 | 537-538 | S76002A | 24 | 955-965 | ||
| S72456G | 08 | 559-561 | S73021A | 24 | 955-965 | S76002D | 23 | 949-950 | ||
| S72456H | 08 | 559-561 | S73021D | 23 | 949-950 | S76002S | 21 | 913-914 | ||
| S72456J | 08 | 559-561 | S73021S | 08 | 562-563 | S76009A | 21 | 913-914 | ||
| S72456K | 08 | 564-566 | S73022A | 08 | 537-538 | S76009A | 24 | 955-965 | ||
| S72456M | 08 | 564-566 | S73022A | 24 | 955-965 | S76009D | 23 | 949-950 | ||
| S72456N | 08 | 564-566 | S73022D | 23 | 949-950 | S76009S | 21 | 913-914 | ||
| S72456P | 08 | 564-566 | S73022S | 08 | 562-563 | S76011A | 08 | 537-538 | ||
| S72456Q | 08 | 564-566 | S73023A | 08 | 537-538 | S76011A | 24 | 955-965 | ||
| S72456R | 08 | 564-566 | S73023A | 24 | 955-965 | S76011D | 23 | 949-950 | ||
| S72456S | 08 | 559-561 | S73023D | 23 | 949-950 | S76011S | 08 | 562-563 | ||
| S72461A | 08 | 533-534 | S73023S | 08 | 562-563 | S76012A | 08 | 537-538 | ||
| S72461A | 24 | 955-965 | S73024A | 08 | 537-538 | S76012A | 24 | 955-965 | ||
| S72461B | 08 | 533-534 | S73024A | 24 | 955-965 | S76012D | 23 | 949-950 | ||
| S72461B | 24 | 955-965 | S73024D | 23 | 949-950 | S76012S | 08 | 562-563 | ||
| S72461C | 08 | 533-534 | S73024S | 08 | 562-563 | S76019A | 08 | 537-538 | ||
| S72461C | 24 | 955-965 | S73025A | 08 | 537-538 | S76019A | 24 | 955-965 | ||
| S72461D | 08 | 559-561 | S73025A | 24 | 955-965 | S76019D | 23 | 949-950 | ||
| S72461E | 08 | 559-561 | S73025D | 23 | 949-950 | S76019S | 08 | 562-563 | ||
| S72461F | 08 | 559-561 | S73025S | 08 | 562-563 | S76021A | 08 | 564-566 | ||
| S72461G | 08 | 559-561 | S73026A | 08 | 537-538 | S76021A | 24 | 955-965 | ||
| S72461H | 08 | 559-561 | S73026A | 24 | 955-965 | S76021D | 23 | 949-950 | ||
| S72461J | 08 | 559-561 | S73026D | 23 | 949-950 | S76021S | 09 | 604-605 | ||
| S72461K | 08 | 564-566 | S73026S | 08 | 562-563 | S76022A | 08 | 564-566 | ||
| S72461M | 08 | 564-566 | S73031A | 08 | 537-538 | S76022A | 24 | 955-965 | ||
| S72461N | 08 | 564-566 | S73031A | 24 | 955-965 | S76022D | 23 | 949-950 | ||
| S72461P | 08 | 564-566 | S73031D | 23 | 949-950 | S76022S | 09 | 604-605 | ||
| S72461Q | 08 | 564-566 | S73031S | 08 | 562-563 | S76029A | 08 | 564-566 | ||
| S72461R | 08 | 564-566 | S73032A | 08 | 537-538 | S76029A | 24 | 955-965 | ||
| S72461S | 08 | 559-561 | S73032A | 24 | 955-965 | S76029D | 23 | 949-950 | ||
| S72462A | 08 | 533-534 | S73032D | 23 | 949-950 | S76029S | 09 | 604-605 | ||
| S72462A | 24 | 955-965 | S73032S | 08 | 562-563 | S76091A | 21 | 913-914 | ||
| S72462B | 08 | 533-534 | S73033A | 08 | 537-538 | S76091A | 24 | 955-965 | ||
| S72462B | 24 | 955-965 | S73033A | 24 | 955-965 | S76091D | 23 | 949-950 | ||
| S72462C | 08 | 533-534 | S73033D | 23 | 949-950 | S76091S | 21 | 913-914 | ||
| S72462C | 24 | 955-965 | S73033S | 08 | 562-563 | S76092A | 21 | 913-914 | ||
| S72462D | 08 | 559-561 | S73034A | 08 | 537-538 | S76092A | 24 | 955-965 | ||
| S72462E | 08 | 559-561 | S73034A | 24 | 955-965 | S76092D | 23 | 949-950 | ||
| S72462F | 08 | 559-561 | S73034D | 23 | 949-950 | S76092S | 21 | 913-914 | ||
| S72462G | 08 | 559-561 | S73034S | 08 | 562-563 | S76099A | 21 | 913-914 | ||
| S72462H | 08 | 559-561 | S73035A | 08 | 537-538 | S76099A | 24 | 955-965 | ||
| S72462J | 08 | 559-561 | S73035A | 24 | 955-965 | S76099D | 23 | 949-950 | ||
| S72462K | 08 | 564-566 | S73035D | 23 | 949-950 | S76099S | 21 | 913-914 | ||
| S72462M | 08 | 564-566 | S73035S | 08 | 562-563 | S76101A | 21 | 913-914 | ||
| S72462N | 08 | 564-566 | S73036A | 08 | 537-538 | S76101A | 24 | 955-965 | ||
| S72462P | 08 | 564-566 | S73036A | 24 | 955-965 | S76101D | 23 | 949-950 | ||
| S72462Q | 08 | 564-566 | S73036D | 23 | 949-950 | S76101S | 21 | 913-914 | ||
| S72462R | 08 | 564-566 | S73036S | 08 | 562-563 | S76102A | 21 | 913-914 | ||
| S72462S | 08 | 559-561 | S73041A | 08 | 537-538 | S76102A | 24 | 955-965 | ||
| S72463A | 08 | 533-534 | S73041A | 24 | 955-965 | S76102D | 23 | 949-950 | ||
| S72463A | 24 | 955-965 | S73041D | 23 | 949-950 | S76102S | 21 | 913-914 | ||
| S72463B | 08 | 533-534 | S73041S | 08 | 562-563 | S76109A | 21 | 913-914 | ||
| S72463B | 24 | 955-965 | S73042A | 08 | 537-538 | S76109A | 24 | 955-965 | ||
| S72463C | 08 | 533-534 | S73042A | 24 | 955-965 | S76109D | 23 | 949-950 | ||
| S72463C | 24 | 955-965 | S73042D | 23 | 949-950 | S76109S | 21 | 913-914 | ||
| S72463D | 08 | 559-561 | S73042S | 08 | 562-563 | S76111A | 08 | 537-538 | ||
| S72463E | 08 | 559-561 | S73043A | 08 | 537-538 | S76111A | 24 | 955-965 | ||
| S72463F | 08 | 559-561 | S73043A | 24 | 955-965 | S76111D | 23 | 949-950 | ||
| S72463G | 08 | 559-561 | S73043D | 23 | 949-950 | S76111S | 08 | 562-563 | ||
| S72463H | 08 | 559-561 | S73043S | 08 | 562-563 | S76112A | 08 | 537-538 | ||
| S72463J | 08 | 559-561 | S73044A | 08 | 537-538 | S76112A | 24 | 955-965 | ||
| S72463K | 08 | 564-566 | S73044A | 24 | 955-965 | S76112D | 23 | 949-950 | ||
| S72463M | 08 | 564-566 | S73044D | 23 | 949-950 | S76112S | 08 | 562-563 | ||
| S72463N | 08 | 564-566 | S73044S | 08 | 562-563 | S76119A | 08 | 537-538 | ||
| S72463P | 08 | 564-566 | S73045A | 08 | 537-538 | S76119A | 24 | 955-965 | ||
| S72463Q | 08 | 564-566 | S73045A | 24 | 955-965 | S76119D | 23 | 949-950 | ||
| S72463R | 08 | 564-566 | S73045D | 23 | 949-950 | S76119S | 08 | 562-563 | ||
| S72463S | 08 | 559-561 | S73045S | 08 | 562-563 | S76121A | 08 | 564-566 | ||
| S72464A | 08 | 533-534 | S73046A | 08 | 537-538 | S76121A | 24 | 955-965 | ||
| S72464A | 24 | 955-965 | S73046A | 24 | 955-965 | S76121D | 23 | 949-950 | ||
| S72464B | 08 | 533-534 | S73046D | 23 | 949-950 | S76121S | 09 | 604-605 | ||
| S72464B | 24 | 955-965 | S73046S | 08 | 562-563 | S76122A | 08 | 564-566 | ||
| S72464C | 08 | 533-534 | S73101A | 08 | 537-538 | S76122A | 24 | 955-965 | ||
| S72464C | 24 | 955-965 | S73101A | 24 | 955-965 | S76122D | 23 | 949-950 | ||
| S72464D | 08 | 559-561 | S73101D | 23 | 949-950 | S76122S | 09 | 604-605 | ||
| S72464E | 08 | 559-561 | S73101S | 08 | 562-563 | S76129A | 08 | 564-566 | ||
| S72464F | 08 | 559-561 | S73102A | 08 | 537-538 | S76129A | 24 | 955-965 | ||
| S72464G | 08 | 559-561 | S73102A | 24 | 955-965 | S76129D | 23 | 949-950 | ||
| S72464H | 08 | 559-561 | S73102D | 23 | 949-950 | S76129S | 09 | 604-605 | ||
| S72464J | 08 | 559-561 | S73102S | 08 | 562-563 | S76191A | 21 | 913-914 | ||
| S72464K | 08 | 564-566 | S73109A | 08 | 537-538 | S76191A | 24 | 955-965 | ||
| S72464M | 08 | 564-566 | S73109A | 24 | 955-965 | S76191D | 23 | 949-950 | ||
| S72464N | 08 | 564-566 | S73109D | 23 | 949-950 | S76191S | 21 | 913-914 | ||
| S72464P | 08 | 564-566 | S73109S | 08 | 562-563 | S76192A | 21 | 913-914 | ||
| S72464Q | 08 | 564-566 | S73111A | 08 | 537-538 | S76192A | 24 | 955-965 | ||
| S72464R | 08 | 564-566 | S73111A | 24 | 955-965 | S76192D | 23 | 949-950 | ||
| S72464S | 08 | 559-561 | S73111D | 23 | 949-950 | S76192S | 21 | 913-914 | ||
| S72465A | 08 | 533-534 | S73111S | 08 | 562-563 | S76199A | 21 | 913-914 | ||
| S72465A | 24 | 955-965 | S73112A | 08 | 537-538 | S76199A | 24 | 955-965 | ||
| S72465B | 08 | 533-534 | S73112A | 24 | 955-965 | S76199D | 23 | 949-950 | ||
| S72465B | 24 | 955-965 | S73112D | 23 | 949-950 | S76199S | 21 | 913-914 | ||
| S72465C | 08 | 533-534 | S73112S | 08 | 562-563 | S76201A | 21 | 913-914 | ||
| S72465C | 24 | 955-965 | S73119A | 08 | 537-538 | S76201A | 24 | 955-965 | ||
| S72465D | 08 | 559-561 | S73119A | 24 | 955-965 | S76201D | 23 | 949-950 | ||
| S72465E | 08 | 559-561 | S73119D | 23 | 949-950 | S76201S | 21 | 913-914 | ||
| S72465F | 08 | 559-561 | S73119S | 08 | 562-563 | S76202A | 21 | 913-914 | ||
| S72465G | 08 | 559-561 | S73121A | 08 | 537-538 | S76202A | 24 | 955-965 | ||
| S72465H | 08 | 559-561 | S73121A | 24 | 955-965 | S76202D | 23 | 949-950 | ||
| S72465J | 08 | 559-561 | S73121D | 23 | 949-950 | S76202S | 21 | 913-914 | ||
| S72465K | 08 | 564-566 | S73121S | 08 | 562-563 | S76209A | 21 | 913-914 | ||
| S72465M | 08 | 564-566 | S73122A | 08 | 537-538 | S76209A | 24 | 955-965 | ||
| S72465N | 08 | 564-566 | S73122A | 24 | 955-965 | S76209D | 23 | 949-950 | ||
| S72465P | 08 | 564-566 | S73122D | 23 | 949-950 | S76209S | 21 | 913-914 | ||
| S72465Q | 08 | 564-566 | S73122S | 08 | 562-563 | S76211A | 08 | 537-538 | ||
| S72465R | 08 | 564-566 | S73129A | 08 | 537-538 | S76211A | 24 | 955-965 | ||
| S72465S | 08 | 559-561 | S73129A | 24 | 955-965 | S76211D | 23 | 949-950 | ||
| S72466A | 08 | 533-534 | S73129D | 23 | 949-950 | S76211S | 08 | 562-563 | ||
| S72466A | 24 | 955-965 | S73129S | 08 | 562-563 | S76212A | 08 | 537-538 | ||
| S72466B | 08 | 533-534 | S73191A | 08 | 537-538 | S76212A | 24 | 955-965 | ||
| S72466B | 24 | 955-965 | S73191A | 24 | 955-965 | S76212D | 23 | 949-950 | ||
| S72466C | 08 | 533-534 | S73191D | 23 | 949-950 | S76212S | 08 | 562-563 | ||
| S72466C | 24 | 955-965 | S73191S | 08 | 562-563 | S76219A | 08 | 537-538 | ||
| S72466D | 08 | 559-561 | S73192A | 08 | 537-538 | S76219A | 24 | 955-965 | ||
| S72466E | 08 | 559-561 | S73192A | 24 | 955-965 | S76219D | 23 | 949-950 | ||
| S72466F | 08 | 559-561 | S73192D | 23 | 949-950 | S76219S | 08 | 562-563 | ||
| S72466G | 08 | 559-561 | S73192S | 08 | 562-563 | S76221A | 08 | 564-566 | ||
| S72466H | 08 | 559-561 | S73199A | 08 | 537-538 | S76221A | 24 | 955-965 | ||
| S72466J | 08 | 559-561 | S73199A | 24 | 955-965 | S76221D | 23 | 949-950 | ||
| S72466K | 08 | 564-566 | S73199D | 23 | 949-950 | S76221S | 09 | 604-605 | ||
| S72466M | 08 | 564-566 | S73199S | 08 | 562-563 | S76222A | 08 | 564-566 | ||
| S72466N | 08 | 564-566 | S7400XA | 01 | 073-074 | S76222A | 24 | 955-965 | ||
| S72466P | 08 | 564-566 | S7400XA | 24 | 955-965 | S76222D | 23 | 949-950 | ||
| S72466Q | 08 | 564-566 | S7400XD | 23 | 949-950 | S76222S | 09 | 604-605 | ||
| S72466R | 08 | 564-566 | S7400XS | 01 | 091-093 | S76229A | 08 | 564-566 | ||
| S72466S | 08 | 559-561 | S7401XA | 01 | 073-074 | S76229A | 24 | 955-965 | ||
| S72471A | 08 | 533-534 | S7401XA | 24 | 955-965 | S76229D | 23 | 949-950 | ||
| S72471A | 24 | 955-965 | S7401XD | 23 | 949-950 | S76229S | 09 | 604-605 | ||
| S72471D | 08 | 559-561 | S7401XS | 01 | 091-093 | S76291A | 21 | 913-914 | ||
| S72471G | 08 | 559-561 | S7402XA | 01 | 073-074 | S76291A | 24 | 955-965 | ||
| S72471K | 08 | 564-566 | S7402XA | 24 | 955-965 | S76291D | 23 | 949-950 | ||
| S72471P | 08 | 564-566 | S7402XD | 23 | 949-950 | S76291S | 21 | 913-914 | ||
| S72471S | 08 | 559-561 | S7402XS | 01 | 091-093 | S76292A | 21 | 913-914 | ||
| S72472A | 08 | 533-534 | S7410XA | 01 | 073-074 | S76292A | 24 | 955-965 | ||
| S72472A | 24 | 955-965 | S7410XA | 24 | 955-965 | S76292D | 23 | 949-950 | ||
| S72472D | 08 | 559-561 | S7410XD | 23 | 949-950 | S76292S | 21 | 913-914 | ||
| S72472G | 08 | 559-561 | S7410XS | 01 | 091-093 | S76299A | 21 | 913-914 | ||
| S72472K | 08 | 564-566 | S7411XA | 01 | 073-074 | S76299A | 24 | 955-965 | ||
| S72472P | 08 | 564-566 | S7411XA | 24 | 955-965 | S76299D | 23 | 949-950 | ||
| S72472S | 08 | 559-561 | S7411XD | 23 | 949-950 | S76299S | 21 | 913-914 | ||
| S72479A | 08 | 533-534 | S7411XS | 01 | 091-093 | S76301A | 21 | 913-914 | ||
| S72479A | 24 | 955-965 | S7412XA | 01 | 073-074 | S76301A | 24 | 955-965 | ||
| S72479D | 08 | 559-561 | S7412XA | 24 | 955-965 | S76301D | 23 | 949-950 | ||
| S72479G | 08 | 559-561 | S7412XD | 23 | 949-950 | S76301S | 21 | 913-914 | ||
| S72479K | 08 | 564-566 | S7412XS | 01 | 091-093 | S76302A | 21 | 913-914 | ||
| S72479P | 08 | 564-566 | S7420XA | 01 | 073-074 | S76302A | 24 | 955-965 | ||
| S72479S | 08 | 559-561 | S7420XA | 24 | 955-965 | S76302D | 23 | 949-950 | ||
| S72491A | 08 | 533-534 | S7420XD | 23 | 949-950 | S76302S | 21 | 913-914 | ||
| S72491A | 24 | 955-965 | S7420XS | 01 | 091-093 | S76309A | 21 | 913-914 | ||
| S72491B | 08 | 533-534 | S7421XA | 01 | 073-074 | S76309A | 24 | 955-965 | ||
| S72491B | 24 | 955-965 | S7421XA | 24 | 955-965 | S76309D | 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 |