ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual
Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
Diagnosis Code/MDC/MS-DRG Index
Page 63 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
DXMDCMS-DRG  DXMDCMS-DRG  DXMDCMS-DRG
S95999S05299-301 S98312A21913-914 S99211K23949-950
S96001A21913-914 S98312A24955-965 S99211P23949-950
S96001A24955-965 S98312D23949-950 S99211S21913-914
S96001D23949-950 S98312S08559-561 S99212A21913-914
S96001S21913-914 S98319A21913-914 S99212A24955-965
S96002A21913-914 S98319A24955-965 S99212B21913-914
S96002A24955-965 S98319D23949-950 S99212B24955-965
S96002D23949-950 S98319S08559-561 S99212D23949-950
S96002S21913-914 S98321A21913-914 S99212G23949-950
S96009A21913-914 S98321A24955-965 S99212K23949-950
S96009A24955-965 S98321D23949-950 S99212P23949-950
S96009D23949-950 S98321S08559-561 S99212S21913-914
S96009S21913-914 S98322A21913-914 S99219A21913-914
S96011A08562-563 S98322A24955-965 S99219A24955-965
S96011A24955-965 S98322D23949-950 S99219B21913-914
S96011D23949-950 S98322S08559-561 S99219B24955-965
S96011S08562-563 S98329A21913-914 S99219D23949-950
S96012A08562-563 S98329A24955-965 S99219G23949-950
S96012A24955-965 S98329D23949-950 S99219K23949-950
S96012D23949-950 S98329S08559-561 S99219P23949-950
S96012S08562-563 S98911A21913-914 S99219S21913-914
S96019A08562-563 S98911A24955-965 S99221A21913-914
S96019A24955-965 S98911D23949-950 S99221A24955-965
S96019D23949-950 S98911S08559-561 S99221B21913-914
S96019S08562-563 S98912A21913-914 S99221B24955-965
S96021A08564-566 S98912A24955-965 S99221D23949-950
S96021A24955-965 S98912D23949-950 S99221G23949-950
S96021D23949-950 S98912S08559-561 S99221K23949-950
S96021S09604-605 S98919A21913-914 S99221P23949-950
S96022A08564-566 S98919A24955-965 S99221S21913-914
S96022A24955-965 S98919D23949-950 S99222A21913-914
S96022D23949-950 S98919S08559-561 S99222A24955-965
S96022S09604-605 S98921A21913-914 S99222B21913-914
S96029A08564-566 S98921A24955-965 S99222B24955-965
S96029A24955-965 S98921D23949-950 S99222D23949-950
S96029D23949-950 S98921S08559-561 S99222G23949-950
S96029S09604-605 S98922A21913-914 S99222K23949-950
S96091A21913-914 S98922A24955-965 S99222P23949-950
S96091A24955-965 S98922D23949-950 S99222S21913-914
S96091D23949-950 S98922S08559-561 S99229A21913-914
S96091S21913-914 S98929A21913-914 S99229A24955-965
S96092A21913-914 S98929A24955-965 S99229B21913-914
S96092A24955-965 S98929D23949-950 S99229B24955-965
S96092D23949-950 S98929S08559-561 S99229D23949-950
S96092S21913-914 S99001A21913-914 S99229G23949-950
S96099A21913-914 S99001A24955-965 S99229K23949-950
S96099A24955-965 S99001B21913-914 S99229P23949-950
S96099D23949-950 S99001B24955-965 S99229S21913-914
S96099S21913-914 S99001D23949-950 S99231A21913-914
S96101A21913-914 S99001G23949-950 S99231A24955-965
S96101A24955-965 S99001K23949-950 S99231B21913-914
S96101D23949-950 S99001P23949-950 S99231B24955-965
S96101S21913-914 S99001S21913-914 S99231D23949-950
S96102A21913-914 S99002A21913-914 S99231G23949-950
S96102A24955-965 S99002A24955-965 S99231K23949-950
S96102D23949-950 S99002B21913-914 S99231P23949-950
S96102S21913-914 S99002B24955-965 S99231S21913-914
S96109A21913-914 S99002D23949-950 S99232A21913-914
S96109A24955-965 S99002G23949-950 S99232A24955-965
S96109D23949-950 S99002K23949-950 S99232B21913-914
S96109S21913-914 S99002P23949-950 S99232B24955-965
S96111A08562-563 S99002S21913-914 S99232D23949-950
S96111A24955-965 S99009A21913-914 S99232G23949-950
S96111D23949-950 S99009A24955-965 S99232K23949-950
S96111S08562-563 S99009B21913-914 S99232P23949-950
S96112A08562-563 S99009B24955-965 S99232S21913-914
S96112A24955-965 S99009D23949-950 S99239A21913-914
S96112D23949-950 S99009G23949-950 S99239A24955-965
S96112S08562-563 S99009K23949-950 S99239B21913-914
S96119A08562-563 S99009P23949-950 S99239B24955-965
S96119A24955-965 S99009S21913-914 S99239D23949-950
S96119D23949-950 S99011A21913-914 S99239G23949-950
S96119S08562-563 S99011A24955-965 S99239K23949-950
S96121A08564-566 S99011B21913-914 S99239P23949-950
S96121A24955-965 S99011B24955-965 S99239S21913-914
S96121D23949-950 S99011D23949-950 S99241A21913-914
S96121S09604-605 S99011G23949-950 S99241A24955-965
S96122A08564-566 S99011K23949-950 S99241B21913-914
S96122A24955-965 S99011P23949-950 S99241B24955-965
S96122D23949-950 S99011S21913-914 S99241D23949-950
S96122S09604-605 S99012A21913-914 S99241G23949-950
S96129A08564-566 S99012A24955-965 S99241K23949-950
S96129A24955-965 S99012B21913-914 S99241P23949-950
S96129D23949-950 S99012B24955-965 S99241S21913-914
S96129S09604-605 S99012D23949-950 S99242A21913-914
S96191A21913-914 S99012G23949-950 S99242A24955-965
S96191A24955-965 S99012K23949-950 S99242B21913-914
S96191D23949-950 S99012P23949-950 S99242B24955-965
S96191S21913-914 S99012S21913-914 S99242D23949-950
S96192A21913-914 S99019A21913-914 S99242G23949-950
S96192A24955-965 S99019A24955-965 S99242K23949-950
S96192D23949-950 S99019B21913-914 S99242P23949-950
S96192S21913-914 S99019B24955-965 S99242S21913-914
S96199A21913-914 S99019D23949-950 S99249A21913-914
S96199A24955-965 S99019G23949-950 S99249A24955-965
S96199D23949-950 S99019K23949-950 S99249B21913-914
S96199S21913-914 S99019P23949-950 S99249B24955-965
S96201A21913-914 S99019S21913-914 S99249D23949-950
S96201A24955-965 S99021A21913-914 S99249G23949-950
S96201D23949-950 S99021A24955-965 S99249K23949-950
S96201S21913-914 S99021B21913-914 S99249P23949-950
S96202A21913-914 S99021B24955-965 S99249S21913-914
S96202A24955-965 S99021D23949-950 S99291A21913-914
S96202D23949-950 S99021G23949-950 S99291A24955-965
S96202S21913-914 S99021K23949-950 S99291B21913-914
S96209A21913-914 S99021P23949-950 S99291B24955-965
S96209A24955-965 S99021S21913-914 S99291D23949-950
S96209D23949-950 S99022A21913-914 S99291G23949-950
S96209S21913-914 S99022A24955-965 S99291K23949-950
S96211A08562-563 S99022B21913-914 S99291P23949-950
S96211A24955-965 S99022B24955-965 S99291S21913-914
S96211D23949-950 S99022D23949-950 S99292A21913-914
S96211S08562-563 S99022G23949-950 S99292A24955-965
S96212A08562-563 S99022K23949-950 S99292B21913-914
S96212A24955-965 S99022P23949-950 S99292B24955-965
S96212D23949-950 S99022S21913-914 S99292D23949-950
S96212S08562-563 S99029A21913-914 S99292G23949-950
S96219A08562-563 S99029A24955-965 S99292K23949-950
S96219A24955-965 S99029B21913-914 S99292P23949-950
S96219D23949-950 S99029B24955-965 S99292S21913-914
S96219S08562-563 S99029D23949-950 S99299A21913-914
S96221A08564-566 S99029G23949-950 S99299A24955-965
S96221A24955-965 S99029K23949-950 S99299B21913-914
S96221D23949-950 S99029P23949-950 S99299B24955-965
S96221S09604-605 S99029S21913-914 S99299D23949-950
S96222A08564-566 S99031A21913-914 S99299G23949-950
S96222A24955-965 S99031A24955-965 S99299K23949-950
S96222D23949-950 S99031B21913-914 S99299P23949-950
S96222S09604-605 S99031B24955-965 S99299S21913-914
S96229A08564-566 S99031D23949-950 S99811A21913-914
S96229A24955-965 S99031G23949-950 S99811A24955-965
S96229D23949-950 S99031K23949-950 S99811D23949-950
S96229S09604-605 S99031P23949-950 S99811S21913-914
S96291A21913-914 S99031S21913-914 S99812A21913-914
S96291A24955-965 S99032A21913-914 S99812A24955-965
S96291D23949-950 S99032A24955-965 S99812D23949-950
S96291S21913-914 S99032B21913-914 S99812S21913-914
S96292A21913-914 S99032B24955-965 S99819A21913-914
S96292A24955-965 S99032D23949-950 S99819A24955-965
S96292D23949-950 S99032G23949-950 S99819D23949-950
S96292S21913-914 S99032K23949-950 S99819S21913-914
S96299A21913-914 S99032P23949-950 S99821A21913-914
S96299A24955-965 S99032S21913-914 S99821A24955-965
S96299D23949-950 S99039A21913-914 S99821D23949-950
S96299S21913-914 S99039A24955-965 S99821S21913-914
S96801A21913-914 S99039B21913-914 S99822A21913-914
S96801A24955-965 S99039B24955-965 S99822A24955-965
S96801D23949-950 S99039D23949-950 S99822D23949-950
S96801S21913-914 S99039G23949-950 S99822S21913-914
S96802A21913-914 S99039K23949-950 S99829A21913-914
S96802A24955-965 S99039P23949-950 S99829A24955-965
S96802D23949-950 S99039S21913-914 S99829D23949-950
S96802S21913-914 S99041A21913-914 S99829S21913-914
S96809A21913-914 S99041A24955-965 S99911A21913-914
S96809A24955-965 S99041B21913-914 S99911A24955-965
S96809D23949-950 S99041B24955-965 S99911D23949-950
S96809S21913-914 S99041D23949-950 S99911S21913-914
S96811A08562-563 S99041G23949-950 S99912A21913-914
S96811A24955-965 S99041K23949-950 S99912A24955-965
S96811D23949-950 S99041P23949-950 S99912D23949-950
S96811S08562-563 S99041S21913-914 S99912S21913-914
S96812A08562-563 S99042A21913-914 S99919A21913-914
S96812A24955-965 S99042A24955-965 S99919A24955-965
S96812D23949-950 S99042B21913-914 S99919D23949-950
S96812S08562-563 S99042B24955-965 S99919S21913-914
S96819A08562-563 S99042D23949-950 S99921A21913-914
S96819A24955-965 S99042G23949-950 S99921A24955-965
S96819D23949-950 S99042K23949-950 S99921D23949-950
S96819S08562-563 S99042P23949-950 S99921S21913-914
S96821A08564-566 S99042S21913-914 S99922A21913-914
S96821A24955-965 S99049A21913-914 S99922A24955-965
S96821D23949-950 S99049A24955-965 S99922D23949-950
S96821S09604-605 S99049B21913-914 S99922S21913-914
S96822A08564-566 S99049B24955-965 S99929A21913-914
S96822A24955-965 S99049D23949-950 S99929A24955-965
S96822D23949-950 S99049G23949-950 S99929D23949-950
S96822S09604-605 S99049K23949-950 S99929S21913-914
S96829A08564-566 S99049P23949-950 T07XXXA21913-914
S96829A24955-965 S99049S21913-914 T07XXXA24955-965
S96829D23949-950 S99091A21913-914 T07XXXD23949-950
S96829S09604-605 S99091A24955-965 T07XXXS21913-914
S96891A21913-914 S99091B21913-914 T148XXA21913-914
S96891A24955-965 S99091B24955-965 T148XXA24955-965
S96891D23949-950 S99091D23949-950 T148XXD23949-950
S96891S21913-914 S99091G23949-950 T148XXS21913-914
S96892A21913-914 S99091K23949-950 T1490XA21913-914
S96892A24955-965 S99091P23949-950 T1490XA24955-965
S96892D23949-950 S99091S21913-914 T1490XD23949-950
S96892S21913-914 S99092A21913-914 T1490XS21913-914
S96899A21913-914 S99092A24955-965 T1491XA21913-914
S96899A24955-965 S99092B21913-914 T1491XA24955-965
S96899D23949-950 S99092B24955-965 T1491XD23949-950
S96899S21913-914 S99092D23949-950 T1491XS21913-914
S96901A21913-914 S99092G23949-950 T1500XA02124-125
S96901A24955-965 S99092K23949-950 T1500XD23949-950
S96901D23949-950 S99092P23949-950 T1500XS21913-914
S96901S21913-914 S99092S21913-914 T1501XA02124-125
S96902A21913-914 S99099A21913-914 T1501XD23949-950
S96902A24955-965 S99099A24955-965 T1501XS21913-914
S96902D23949-950 S99099B21913-914 T1502XA02124-125
S96902S21913-914 S99099B24955-965 T1502XD23949-950
S96909A21913-914 S99099D23949-950 T1502XS21913-914
S96909A24955-965 S99099G23949-950 T1510XA02124-125
S96909D23949-950 S99099K23949-950 T1510XD23949-950
S96909S21913-914 S99099P23949-950 T1510XS21913-914
S96911A08562-563 S99099S21913-914 T1511XA02124-125
S96911A24955-965 S99101A21913-914 T1511XD23949-950
S96911D23949-950 S99101A24955-965 T1511XS21913-914
S96911S08562-563 S99101B21913-914 T1512XA02124-125
S96912A08562-563 S99101B24955-965 T1512XD23949-950
S96912A24955-965 S99101D23949-950 T1512XS21913-914
S96912D23949-950 S99101G23949-950 T1580XA02124-125
S96912S08562-563 S99101K23949-950 T1580XD23949-950
S96919A08562-563 S99101P23949-950 T1580XS21913-914
S96919A24955-965 S99101S21913-914 T1581XA02124-125
S96919D23949-950 S99102A21913-914 T1581XD23949-950
S96919S08562-563 S99102A24955-965 T1581XS21913-914
S96921A08564-566 S99102B21913-914 T1582XA02124-125
S96921A24955-965 S99102B24955-965 T1582XD23949-950
S96921D23949-950 S99102D23949-950 T1582XS21913-914
S96921S09604-605 S99102G23949-950 T1590XA02124-125
S96922A08564-566 S99102K23949-950 T1590XD23949-950
S96922A24955-965 S99102P23949-950 T1590XS21913-914
S96922D23949-950 S99102S21913-914 T1591XA02124-125
S96922S09604-605 S99109A21913-914 T1591XD23949-950
S96929A08564-566 S99109A24955-965 T1591XS21913-914
S96929A24955-965 S99109B21913-914 T1592XA02124-125
S96929D23949-950 S99109B24955-965 T1592XD23949-950
S96929S09604-605 S99109D23949-950 T1592XS21913-914
S96991A21913-914 S99109G23949-950 T161XXA03154-156
S96991A24955-965 S99109K23949-950 T161XXD23949-950
S96991D23949-950 S99109P23949-950 T161XXS21913-914
S96991S21913-914 S99109S21913-914 T162XXA03154-156
S96992A21913-914 S99111A21913-914 T162XXD23949-950
S96992A24955-965 S99111A24955-965 T162XXS21913-914
S96992D23949-950 S99111B21913-914 T169XXA03154-156
S96992S21913-914 S99111B24955-965 T169XXD23949-950
S96999A21913-914 S99111D23949-950 T169XXS21913-914
S96999A24955-965 S99111G23949-950 T170XXA03154-156
S96999D23949-950 S99111K23949-950 T170XXD23949-950
S96999S21913-914 S99111P23949-950 T170XXS21913-914
S9700XA21913-914 S99111S21913-914 T171XXA03154-156
S9700XA24955-965 S99112A21913-914 T171XXD23949-950
S9700XD23949-950 S99112A24955-965 T171XXS21913-914
S9700XS09604-605 S99112B21913-914 T17200APre011-013
S9701XA21913-914 S99112B24955-965 T17200A03154-156
S9701XA24955-965 S99112D23949-950 T17200D23949-950
S9701XD23949-950 S99112G23949-950 T17200S21913-914
S9701XS09604-605 S99112K23949-950 T17208APre011-013
S9702XA21913-914 S99112P23949-950 T17208A03154-156
S9702XA24955-965 S99112S21913-914 T17208D23949-950
S9702XD23949-950 S99119A21913-914 T17208S21913-914
S9702XS09604-605 S99119A24955-965 T17210APre011-013
S97101A21913-914 S99119B21913-914 T17210A03154-156
S97101A24955-965 S99119B24955-965 T17210D23949-950
S97101D23949-950 S99119D23949-950 T17210S21913-914
S97101S09604-605 S99119G23949-950 T17218APre011-013
S97102A21913-914 S99119K23949-950 T17218A03154-156
S97102A24955-965 S99119P23949-950 T17218D23949-950
S97102D23949-950 S99119S21913-914 T17218S21913-914
S97102S09604-605 S99121A21913-914 T17220APre011-013
S97109A21913-914 S99121A24955-965 T17220A03154-156
S97109A24955-965 S99121B21913-914 T17220D23949-950
S97109D23949-950 S99121B24955-965 T17220S21913-914
S97109S09604-605 S99121D23949-950 T17228APre011-013
S97111A21913-914 S99121G23949-950 T17228A03154-156
S97111A24955-965 S99121K23949-950 T17228D23949-950
S97111D23949-950 S99121P23949-950 T17228S21913-914
S97111S09604-605 S99121S21913-914 T17290APre011-013
S97112A21913-914 S99122A21913-914 T17290A03154-156
S97112A24955-965 S99122A24955-965 T17290D23949-950
S97112D23949-950 S99122B21913-914 T17290S21913-914
S97112S09604-605 S99122B24955-965 T17298APre011-013
S97119A21913-914 S99122D23949-950 T17298A03154-156
S97119A24955-965 S99122G23949-950 T17298D23949-950
S97119D23949-950 S99122K23949-950 T17298S21913-914
S97119S09604-605 S99122P23949-950 T17300APre011-013
S97121A21913-914 S99122S21913-914 T17300A03154-156
S97121A24955-965 S99129A21913-914 T17300D23949-950
S97121D23949-950 S99129A24955-965 T17300S21913-914
S97121S09604-605 S99129B21913-914 T17308APre011-013
S97122A21913-914 S99129B24955-965 T17308A03154-156
S97122A24955-965 S99129D23949-950 T17308D23949-950
S97122D23949-950 S99129G23949-950 T17308S21913-914
S97122S09604-605 S99129K23949-950 T17310APre011-013
S97129A21913-914 S99129P23949-950 T17310A03154-156
S97129A24955-965 S99129S21913-914 T17310D23949-950
S97129D23949-950 S99131A21913-914 T17310S21913-914
S97129S09604-605 S99131A24955-965 T17318APre011-013
S9780XA21913-914 S99131B21913-914 T17318A03154-156
S9780XA24955-965 S99131B24955-965 T17318D23949-950
S9780XD23949-950 S99131D23949-950 T17318S21913-914
S9780XS09604-605 S99131G23949-950 T17320APre011-013
S9781XA21913-914 S99131K23949-950 T17320A03154-156
S9781XA24955-965 S99131P23949-950 T17320D23949-950
S9781XD23949-950 S99131S21913-914 T17320S21913-914
S9781XS09604-605 S99132A21913-914 T17328APre011-013
S9782XA21913-914 S99132A24955-965 T17328A03154-156
S9782XA24955-965 S99132B21913-914 T17328D23949-950
S9782XD23949-950 S99132B24955-965 T17328S21913-914
S9782XS09604-605 S99132D23949-950 T17390APre011-013
S98011A21913-914 S99132G23949-950 T17390A03154-156
S98011A24955-965 S99132K23949-950 T17390D23949-950
S98011D23949-950 S99132P23949-950 T17390S21913-914
S98011S08559-561 S99132S21913-914 T17398APre011-013
S98012A21913-914 S99139A21913-914 T17398A03154-156
S98012A24955-965 S99139A24955-965 T17398D23949-950
S98012D23949-950 S99139B21913-914 T17398S21913-914
S98012S08559-561 S99139B24955-965 T17400A04205-206
S98019A21913-914 S99139D23949-950 T17400D23949-950
S98019A24955-965 S99139G23949-950 T17400S21913-914
S98019D23949-950 S99139K23949-950 T17408A04205-206
S98019S08559-561 S99139P23949-950 T17408D23949-950
S98021A21913-914 S99139S21913-914 T17408S21913-914
S98021A24955-965 S99141A21913-914 T17410A04205-206
S98021D23949-950 S99141A24955-965 T17410D23949-950
S98021S08559-561 S99141B21913-914 T17410S21913-914
S98022A21913-914 S99141B24955-965 T17418A04205-206
S98022A24955-965 S99141D23949-950 T17418D23949-950
S98022D23949-950 S99141G23949-950 T17418S21913-914
S98022S08559-561 S99141K23949-950 T17420A04205-206
S98029A21913-914 S99141P23949-950 T17420D23949-950
S98029A24955-965 S99141S21913-914 T17420S21913-914
S98029D23949-950 S99142A21913-914 T17428A04205-206
S98029S08559-561 S99142A24955-965 T17428D23949-950
S98111A21913-914 S99142B21913-914 T17428S21913-914
S98111A24955-965 S99142B24955-965 T17490A04205-206
S98111D23949-950 S99142D23949-950 T17490D23949-950
S98111S08559-561 S99142G23949-950 T17490S21913-914
S98112A21913-914 S99142K23949-950 T17498A04205-206
S98112A24955-965 S99142P23949-950 T17498D23949-950
S98112D23949-950 S99142S21913-914 T17498S21913-914
S98112S08559-561 S99149A21913-914 T17500A04205-206
S98119A21913-914 S99149A24955-965 T17500D23949-950
S98119A24955-965 S99149B21913-914 T17500S21913-914
S98119D23949-950 S99149B24955-965 T17508A04205-206
S98119S08559-561 S99149D23949-950 T17508D23949-950
S98121A21913-914 S99149G23949-950 T17508S21913-914
S98121A24955-965 S99149K23949-950 T17510A04205-206
S98121D23949-950 S99149P23949-950 T17510D23949-950
S98121S08559-561 S99149S21913-914 T17510S21913-914
S98122A21913-914 S99191A21913-914 T17518A04205-206
S98122A24955-965 S99191A24955-965 T17518D23949-950
S98122D23949-950 S99191B21913-914 T17518S21913-914
S98122S08559-561 S99191B24955-965 T17520A04205-206
S98129A21913-914 S99191D23949-950 T17520D23949-950
S98129A24955-965 S99191G23949-950 T17520S21913-914
S98129D23949-950 S99191K23949-950 T17528A04205-206
S98129S08559-561 S99191P23949-950 T17528D23949-950
S98131A21913-914 S99191S21913-914 T17528S21913-914
S98131A24955-965 S99192A21913-914 T17590A04205-206
S98131D23949-950 S99192A24955-965 T17590D23949-950
S98131S08559-561 S99192B21913-914 T17590S21913-914
S98132A21913-914 S99192B24955-965 T17598A04205-206
S98132A24955-965 S99192D23949-950 T17598D23949-950
S98132D23949-950 S99192G23949-950 T17598S21913-914
S98132S08559-561 S99192K23949-950 T17800A04205-206
S98139A21913-914 S99192P23949-950 T17800D23949-950
S98139A24955-965 S99192S21913-914 T17800S21913-914
S98139D23949-950 S99199A21913-914 T17808A04205-206
S98139S08559-561 S99199A24955-965 T17808D23949-950
S98141A21913-914 S99199B21913-914 T17808S21913-914
S98141A24955-965 S99199B24955-965 T17810A04205-206
S98141D23949-950 S99199D23949-950 T17810D23949-950
S98141S08559-561 S99199G23949-950 T17810S21913-914
S98142A21913-914 S99199K23949-950 T17818A04205-206
S98142A24955-965 S99199P23949-950 T17818D23949-950
S98142D23949-950 S99199S21913-914 T17818S21913-914
S98142S08559-561 S99201A21913-914 T17820A04205-206
S98149A21913-914 S99201A24955-965 T17820D23949-950
S98149A24955-965 S99201B21913-914 T17820S21913-914
S98149D23949-950 S99201B24955-965 T17828A04205-206
S98149S08559-561 S99201D23949-950 T17828D23949-950
S98211A21913-914 S99201G23949-950 T17828S21913-914
S98211A24955-965 S99201K23949-950 T17890A04205-206
S98211D23949-950 S99201P23949-950 T17890D23949-950
S98211S08559-561 S99201S21913-914 T17890S21913-914
S98212A21913-914 S99202A21913-914 T17898A04205-206
S98212A24955-965 S99202A24955-965 T17898D23949-950
S98212D23949-950 S99202B21913-914 T17898S21913-914
S98212S08559-561 S99202B24955-965 T17900A04205-206
S98219A21913-914 S99202D23949-950 T17900D23949-950
S98219A24955-965 S99202G23949-950 T17900S21913-914
S98219D23949-950 S99202K23949-950 T17908A04205-206
S98219S08559-561 S99202P23949-950 T17908D23949-950
S98221A21913-914 S99202S21913-914 T17908S21913-914
S98221A24955-965 S99209A21913-914 T17910A04205-206
S98221D23949-950 S99209A24955-965 T17910D23949-950
S98221S08559-561 S99209B21913-914 T17910S21913-914
S98222A21913-914 S99209B24955-965 T17918A04205-206
S98222A24955-965 S99209D23949-950 T17918D23949-950
S98222D23949-950 S99209G23949-950 T17918S21913-914
S98222S08559-561 S99209K23949-950 T17920A04205-206
S98229A21913-914 S99209P23949-950 T17920D23949-950
S98229A24955-965 S99209S21913-914 T17920S21913-914
S98229D23949-950 S99211A21913-914 T17928A04205-206
S98229S08559-561 S99211A24955-965 T17928D23949-950
S98311A21913-914 S99211B21913-914 T17928S21913-914
S98311A24955-965 S99211B24955-965 T17990A04205-206
S98311D23949-950 S99211D23949-950 T17990D23949-950
S98311S08559-561 S99211G23949-950 T17990S21913-914



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
14 Apr 2020 14:43:32
CMS, code-revision=250, description-revision=1275