ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| Appendix C: Principal diagnoses which convert CC/MCC to non-CC |
| Page 564 of 1270 |
| PDX Collection 4886 (continued) | |
| F423 | Hoarding disorder |
| F424 | Excoriation (skin-picking) disorder |
| F428 | Other obsessive-compulsive disorder |
| F429 | Obsessive-compulsive disorder, unspecified |
| F430 | Acute stress reaction |
| F4310 | Post-traumatic stress disorder, unspecified |
| F4311 | Post-traumatic stress disorder, acute |
| F4312 | Post-traumatic stress disorder, chronic |
| F4320 | Adjustment disorder, unspecified |
| F4321 | Adjustment disorder with depressed mood |
| F4322 | Adjustment disorder with anxiety |
| F4323 | Adjustment disorder with mixed anxiety and depressed mood |
| F4324 | Adjustment disorder with disturbance of conduct |
| F4325 | Adjustment disorder with mixed disturbance of emotions and conduct |
| F4329 | Adjustment disorder with other symptoms |
| F4381 | Prolonged grief disorder |
| F4389 | Other reactions to severe stress |
| F439 | Reaction to severe stress, unspecified |
| F440 | Dissociative amnesia |
| F441 | Dissociative fugue |
| F442 | Dissociative stupor |
| F444 | Conversion disorder with motor symptom or deficit |
| F445 | Conversion disorder with seizures or convulsions |
| F446 | Conversion disorder with sensory symptom or deficit |
| F447 | Conversion disorder with mixed symptom presentation |
| F4481 | Dissociative identity disorder |
| F4489 | Other dissociative and conversion disorders |
| F449 | Dissociative and conversion disorder, unspecified |
| F450 | Somatization disorder |
| F451 | Undifferentiated somatoform disorder |
| F4520 | Hypochondriacal disorder, unspecified |
| F4521 | Hypochondriasis |
| F4522 | Body dysmorphic disorder |
| F4529 | Other hypochondriacal disorders |
| F4541 | Pain disorder exclusively related to psychological factors |
| F4542 | Pain disorder with related psychological factors |
| F458 | Other somatoform disorders |
| F459 | Somatoform disorder, unspecified |
| F481 | Depersonalization-derealization syndrome |
| F488 | Other specified nonpsychotic mental disorders |
| F489 | Nonpsychotic mental disorder, unspecified |
| F5000 | Anorexia nervosa, unspecified |
| F5001 | Anorexia nervosa, restricting type |
| F5002 | Anorexia nervosa, binge eating/purging type |
| F502 | Bulimia nervosa |
| F5081 | Binge eating disorder |
| F5082 | Avoidant/restrictive food intake disorder |
| F5089 | Other specified eating disorder |
| F509 | Eating disorder, unspecified |
| F5101 | Primary insomnia |
| F5102 | Adjustment insomnia |
| F5103 | Paradoxical insomnia |
| F5112 | Insufficient sleep syndrome |
| F5119 | Other hypersomnia not due to a substance or known physiological condition |
| F513 | Sleepwalking [somnambulism] |
| F514 | Sleep terrors [night terrors] |
| F515 | Nightmare disorder |
| F518 | Other sleep disorders not due to a substance or known physiological condition |
| F519 | Sleep disorder not due to a substance or known physiological condition, unspecified |
| F525 | Vaginismus not due to a substance or known physiological condition |
| F54 | Psychological and behavioral factors associated with disorders or diseases classified elsewhere |
| F59 | Unspecified behavioral syndromes associated with physiological disturbances and physical factors |
| F600 | Paranoid personality disorder |
| F601 | Schizoid personality disorder |
| F602 | Antisocial personality disorder |
| F603 | Borderline personality disorder |
| F604 | Histrionic personality disorder |
| F605 | Obsessive-compulsive personality disorder |
| F606 | Avoidant personality disorder |
| F607 | Dependent personality disorder |
| F6081 | Narcissistic personality disorder |
| F6089 | Other specific personality disorders |
| F609 | Personality disorder, unspecified |
| F630 | Pathological gambling |
| F631 | Pyromania |
| F632 | Kleptomania |
| F6381 | Intermittent explosive disorder |
| F6389 | Other impulse disorders |
| F639 | Impulse disorder, unspecified |
| F6810 | Factitious disorder imposed on self, unspecified |
| F6811 | Factitious disorder imposed on self, with predominantly psychological signs and symptoms |
| F6812 | Factitious disorder imposed on self, with predominantly physical signs and symptoms |
| F6813 | Factitious disorder imposed on self, with combined psychological and physical signs and symptoms |
| F688 | Other specified disorders of adult personality and behavior |
| F68A | Factitious disorder imposed on another |
| F69 | Unspecified disorder of adult personality and behavior |
| F70 | Mild intellectual disabilities |
| F71 | Moderate intellectual disabilities |
| F72 | Severe intellectual disabilities |
| F73 | Profound intellectual disabilities |
| F79 | Unspecified intellectual disabilities |
| F800 | Phonological disorder |
| F801 | Expressive language disorder |
| F802 | Mixed receptive-expressive language disorder |
| F804 | Speech and language development delay due to hearing loss |
| F8082 | Social pragmatic communication disorder |
| F8089 | Other developmental disorders of speech and language |
| F809 | Developmental disorder of speech and language, unspecified |
| F810 | Specific reading disorder |
| F812 | Mathematics disorder |
| F8181 | Disorder of written expression |
| F8189 | Other developmental disorders of scholastic skills |
| F819 | Developmental disorder of scholastic skills, unspecified |
| F82 | Specific developmental disorder of motor function |
| F840 | Autistic disorder |
| F843 | Other childhood disintegrative disorder |
| F845 | Asperger's syndrome |
| F848 | Other pervasive developmental disorders |
| F849 | Pervasive developmental disorder, unspecified |
| F88 | Other disorders of psychological development |
| F89 | Unspecified disorder of psychological development |
| F900 | Attention-deficit hyperactivity disorder, predominantly inattentive type |
| F901 | Attention-deficit hyperactivity disorder, predominantly hyperactive type |
| F902 | Attention-deficit hyperactivity disorder, combined type |
| F908 | Attention-deficit hyperactivity disorder, other type |
| F909 | Attention-deficit hyperactivity disorder, unspecified type |
| F910 | Conduct disorder confined to family context |
| F911 | Conduct disorder, childhood-onset type |
| F912 | Conduct disorder, adolescent-onset type |
| F913 | Oppositional defiant disorder |
| F918 | Other conduct disorders |
| F919 | Conduct disorder, unspecified |
| F930 | Separation anxiety disorder of childhood |
| F938 | Other childhood emotional disorders |
| F939 | Childhood emotional disorder, unspecified |
| F940 | Selective mutism |
| F941 | Reactive attachment disorder of childhood |
| F942 | Disinhibited attachment disorder of childhood |
| F948 | Other childhood disorders of social functioning |
| F949 | Childhood disorder of social functioning, unspecified |
| F950 | Transient tic disorder |
| F951 | Chronic motor or vocal tic disorder |
| F952 | Tourette's disorder |
| F958 | Other tic disorders |
| F959 | Tic disorder, unspecified |
| F980 | Enuresis not due to a substance or known physiological condition |
| F981 | Encopresis not due to a substance or known physiological condition |
| F9821 | Rumination disorder of infancy |
| F9829 | Other feeding disorders of infancy and early childhood |
| F983 | Pica of infancy and childhood |
| F984 | Stereotyped movement disorders |
| F985 | Adult onset fluency disorder |
| F988 | Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
| F989 | Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
| F99 | Mental disorder, not otherwise specified |
| G44201 | Tension-type headache, unspecified, intractable |
| G44209 | Tension-type headache, unspecified, not intractable |
| G44211 | Episodic tension-type headache, intractable |
| G44219 | Episodic tension-type headache, not intractable |
| G44221 | Chronic tension-type headache, intractable |
| G44229 | Chronic tension-type headache, not intractable |
| H9325 | Central auditory processing disorder |
| R451 | Restlessness and agitation |
| R452 | Unhappiness |
| R455 | Hostility |
| R456 | Violent behavior |
| R457 | State of emotional shock and stress, unspecified |
| R4581 | Low self-esteem |
| R4582 | Worries |
| R4586 | Emotional lability |
| R4587 | Impulsiveness |
| PDX Collection 4887 | |
| A179 | Tuberculosis of nervous system, unspecified |
| A1810 | Tuberculosis of genitourinary system, unspecified |
| A1811 | Tuberculosis of kidney and ureter |
| A1813 | Tuberculosis of other urinary organs |
| A1882 | Tuberculosis of other endocrine glands |
| A1884 | Tuberculosis of heart |
| A1889 | Tuberculosis of other sites |
| A5421 | Gonococcal infection of kidney and ureter |
| A5429 | Other gonococcal genitourinary infections |
| A5482 | Gonococcal brain abscess |
| A5484 | Gonococcal pneumonia |
| A5489 | Other gonococcal infections |
| A549 | Gonococcal infection, unspecified |
| A5900 | Urogenital trichomoniasis, unspecified |
| A598 | Trichomoniasis of other sites |
| A599 | Trichomoniasis, unspecified |
| B3741 | Candidal cystitis and urethritis |
| B3742 | Candidal balanitis |
| B3749 | Other urogenital candidiasis |
| E0821 | Diabetes mellitus due to underlying condition with diabetic nephropathy |
| E0822 | Diabetes mellitus due to underlying condition with diabetic chronic kidney disease |
| E0829 | Diabetes mellitus due to underlying condition with other diabetic kidney complication |
| E0921 | Drug or chemical induced diabetes mellitus with diabetic nephropathy |
| E0922 | Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease |
| E0929 | Drug or chemical induced diabetes mellitus with other diabetic kidney complication |
| M1030 | Gout due to renal impairment, unspecified site |
| M10311 | Gout due to renal impairment, right shoulder |
| M10312 | Gout due to renal impairment, left shoulder |
| M10319 | Gout due to renal impairment, unspecified shoulder |
| M10321 | Gout due to renal impairment, right elbow |
| M10322 | Gout due to renal impairment, left elbow |
| M10329 | Gout due to renal impairment, unspecified elbow |
| M10331 | Gout due to renal impairment, right wrist |
| M10332 | Gout due to renal impairment, left wrist |
| M10339 | Gout due to renal impairment, unspecified wrist |
| M10341 | Gout due to renal impairment, right hand |
| M10342 | Gout due to renal impairment, left hand |
| M10349 | Gout due to renal impairment, unspecified hand |
| M10351 | Gout due to renal impairment, right hip |
| M10352 | Gout due to renal impairment, left hip |
| M10359 | Gout due to renal impairment, unspecified hip |
| M10361 | Gout due to renal impairment, right knee |
| M10362 | Gout due to renal impairment, left knee |
| M10369 | Gout due to renal impairment, unspecified knee |
| M10371 | Gout due to renal impairment, right ankle and foot |
| M10372 | Gout due to renal impairment, left ankle and foot |
| M10379 | Gout due to renal impairment, unspecified ankle and foot |
| M1038 | Gout due to renal impairment, vertebrae |
| M1039 | Gout due to renal impairment, multiple sites |
| N000 | Acute nephritic syndrome with minor glomerular abnormality |
| N001 | Acute nephritic syndrome with focal and segmental glomerular lesions |
| N002 | Acute nephritic syndrome with diffuse membranous glomerulonephritis |
| N003 | Acute nephritic syndrome with diffuse mesangial proliferative glomerulonephritis |
| N004 | Acute nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis |
| N005 | Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis |
| N006 | Acute nephritic syndrome with dense deposit disease |
| N007 | Acute nephritic syndrome with diffuse crescentic glomerulonephritis |
| N008 | Acute nephritic syndrome with other morphologic changes |
| N009 | Acute nephritic syndrome with unspecified morphologic changes |
| N010 | Rapidly progressive nephritic syndrome with minor glomerular abnormality |
| N011 | Rapidly progressive nephritic syndrome with focal and segmental glomerular lesions |
| N012 | Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis |
| N013 | Rapidly progressive nephritic syndrome with diffuse mesangial proliferative glomerulonephritis |
| N014 | Rapidly progressive nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis |
| N015 | Rapidly progressive nephritic syndrome with diffuse mesangiocapillary glomerulonephritis |
| N016 | Rapidly progressive nephritic syndrome with dense deposit disease |
| N017 | Rapidly progressive nephritic syndrome with diffuse crescentic glomerulonephritis |
| N018 | Rapidly progressive nephritic syndrome with other morphologic changes |
| N019 | Rapidly progressive nephritic syndrome with unspecified morphologic changes |
| N020 | Recurrent and persistent hematuria with minor glomerular abnormality |
| N021 | Recurrent and persistent hematuria with focal and segmental glomerular lesions |
| N022 | Recurrent and persistent hematuria with diffuse membranous glomerulonephritis |
| N023 | Recurrent and persistent hematuria with diffuse mesangial proliferative glomerulonephritis |
| N024 | Recurrent and persistent hematuria with diffuse endocapillary proliferative glomerulonephritis |
| N025 | Recurrent and persistent hematuria with diffuse mesangiocapillary glomerulonephritis |
| N026 | Recurrent and persistent hematuria with dense deposit disease |
| N027 | Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis |
| N028 | Recurrent and persistent hematuria with other morphologic changes |
| N029 | Recurrent and persistent hematuria with unspecified morphologic changes |
| N030 | Chronic nephritic syndrome with minor glomerular abnormality |
| N031 | Chronic nephritic syndrome with focal and segmental glomerular lesions |
| N032 | Chronic nephritic syndrome with diffuse membranous glomerulonephritis |
| N033 | Chronic nephritic syndrome with diffuse mesangial proliferative glomerulonephritis |
| N034 | Chronic nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis |
| N035 | Chronic nephritic syndrome with diffuse mesangiocapillary glomerulonephritis |
| N036 | Chronic nephritic syndrome with dense deposit disease |
| N037 | Chronic nephritic syndrome with diffuse crescentic glomerulonephritis |
| N038 | Chronic nephritic syndrome with other morphologic changes |
| N039 | Chronic nephritic syndrome with unspecified morphologic changes |
| N040 | Nephrotic syndrome with minor glomerular abnormality |
| N041 | Nephrotic syndrome with focal and segmental glomerular lesions |
| N042 | Nephrotic syndrome with diffuse membranous glomerulonephritis |
| N043 | Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis |
| N044 | Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis |
| N045 | Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis |
| N046 | Nephrotic syndrome with dense deposit disease |
| N047 | Nephrotic syndrome with diffuse crescentic glomerulonephritis |
| N048 | Nephrotic syndrome with other morphologic changes |
| N049 | Nephrotic syndrome with unspecified morphologic changes |
| N050 | Unspecified nephritic syndrome with minor glomerular abnormality |
| N051 | Unspecified nephritic syndrome with focal and segmental glomerular lesions |
| N052 | Unspecified nephritic syndrome with diffuse membranous glomerulonephritis |
| N053 | Unspecified nephritic syndrome with diffuse mesangial proliferative glomerulonephritis |
| N054 | Unspecified nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis |
| N055 | Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis |
| N056 | Unspecified nephritic syndrome with dense deposit disease |
| N057 | Unspecified nephritic syndrome with diffuse crescentic glomerulonephritis |
| N058 | Unspecified nephritic syndrome with other morphologic changes |
| N059 | Unspecified nephritic syndrome with unspecified morphologic changes |
| N060 | Isolated proteinuria with minor glomerular abnormality |
| N061 | Isolated proteinuria with focal and segmental glomerular lesions |
| N062 | Isolated proteinuria with diffuse membranous glomerulonephritis |
| N063 | Isolated proteinuria with diffuse mesangial proliferative glomerulonephritis |
| N064 | Isolated proteinuria with diffuse endocapillary proliferative glomerulonephritis |
| N065 | Isolated proteinuria with diffuse mesangiocapillary glomerulonephritis |
| N066 | Isolated proteinuria with dense deposit disease |
| N067 | Isolated proteinuria with diffuse crescentic glomerulonephritis |
| N068 | Isolated proteinuria with other morphologic lesion |
| N069 | Isolated proteinuria with unspecified morphologic lesion |
| N070 | Hereditary nephropathy, not elsewhere classified with minor glomerular abnormality |
| N071 | Hereditary nephropathy, not elsewhere classified with focal and segmental glomerular lesions |
| N072 | Hereditary nephropathy, not elsewhere classified with diffuse membranous glomerulonephritis |
| N073 | Hereditary nephropathy, not elsewhere classified with diffuse mesangial proliferative glomerulonephritis |
| N074 | Hereditary nephropathy, not elsewhere classified with diffuse endocapillary proliferative glomerulonephritis |
| N075 | Hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis |
| N076 | Hereditary nephropathy, not elsewhere classified with dense deposit disease |
| N077 | Hereditary nephropathy, not elsewhere classified with diffuse crescentic glomerulonephritis |
| N078 | Hereditary nephropathy, not elsewhere classified with other morphologic lesions |
| N079 | Hereditary nephropathy, not elsewhere classified with unspecified morphologic lesions |
| N08 | Glomerular disorders in diseases classified elsewhere |
| N10 | Acute pyelonephritis |
| N110 | Nonobstructive reflux-associated chronic pyelonephritis |
| N118 | Other chronic tubulo-interstitial nephritis |
| N119 | Chronic tubulo-interstitial nephritis, unspecified |
| N12 | Tubulo-interstitial nephritis, not specified as acute or chronic |
| N130 | Hydronephrosis with ureteropelvic junction obstruction |
| N131 | Hydronephrosis with ureteral stricture, not elsewhere classified |
| N132 | Hydronephrosis with renal and ureteral calculous obstruction |
| N1330 | Unspecified hydronephrosis |
| N1339 | Other hydronephrosis |
| N136 | Pyonephrosis |
| N140 | Analgesic nephropathy |
| N1411 | Contrast-induced nephropathy |
| N1419 | Nephropathy induced by other drugs, medicaments and biological substances |
| N142 | Nephropathy induced by unspecified drug, medicament or biological substance |
| N143 | Nephropathy induced by heavy metals |
| N144 | Toxic nephropathy, not elsewhere classified |
| N150 | Balkan nephropathy |
| N151 | Renal and perinephric abscess |
| N158 | Other specified renal tubulo-interstitial diseases |
| N159 | Renal tubulo-interstitial disease, unspecified |
| N16 | Renal tubulo-interstitial disorders in diseases classified elsewhere |
| N170 | Acute kidney failure with tubular necrosis |
| N171 | Acute kidney failure with acute cortical necrosis |
| N172 | Acute kidney failure with medullary necrosis |
| N178 | Other acute kidney failure |
| N179 | Acute kidney failure, unspecified |
| N181 | Chronic kidney disease, stage 1 |
| N182 | Chronic kidney disease, stage 2 (mild) |
| N1832 | Chronic kidney disease, stage 3b |
| N184 | Chronic kidney disease, stage 4 (severe) |
| N185 | Chronic kidney disease, stage 5 |
| N186 | End stage renal disease |
| N189 | Chronic kidney disease, unspecified |
| N19 | Unspecified kidney failure |
| N250 | Renal osteodystrophy |
| N251 | Nephrogenic diabetes insipidus |
| N2581 | Secondary hyperparathyroidism of renal origin |
| N2589 | Other disorders resulting from impaired renal tubular function |
| N259 | Disorder resulting from impaired renal tubular function, unspecified |
| N261 | Atrophy of kidney (terminal) |
| N269 | Renal sclerosis, unspecified |
| N270 | Small kidney, unilateral |
| N271 | Small kidney, bilateral |
| N279 | Small kidney, unspecified |
| N281 | Cyst of kidney, acquired |
| N2881 | Hypertrophy of kidney |
| N2882 | Megaloureter |
| N2883 | Nephroptosis |
| N2884 | Pyelitis cystica |
| N2885 | Pyeloureteritis cystica |
| N2886 | Ureteritis cystica |
| N2889 | Other specified disorders of kidney and ureter |
| N289 | Disorder of kidney and ureter, unspecified |
| N29 | Other disorders of kidney and ureter in diseases classified elsewhere |
| N3641 | Hypermobility of urethra |
| N3642 | Intrinsic sphincter deficiency (ISD) |
| N3643 | Combined hypermobility of urethra and intrinsic sphincter deficiency |
| N368 | Other specified disorders of urethra |
| N369 | Urethral disorder, unspecified |
| N390 | Urinary tract infection, site not specified |
| N398 | Other specified disorders of urinary system |
| N399 | Disorder of urinary system, unspecified |
| N80A0 | Endometriosis of bladder, unspecified depth |
| N80A1 | Superficial endometriosis of bladder |
| N80A2 | Deep endometriosis of bladder |
| N80A41 | Superficial endometriosis of right ureter |
| N80A42 | Superficial endometriosis of left ureter |
| N80A43 | Superficial endometriosis of bilateral ureters |
| N80A49 | Superficial endometriosis of unspecified ureter |
| N80A51 | Deep endometriosis of right ureter |
| N80A52 | Deep endometriosis of left ureter |
| N80A53 | Deep endometriosis of bilateral ureters |
| N80A59 | Deep endometriosis of unspecified ureter |
| N80A61 | Endometriosis of right ureter, unspecified depth |
| N80A62 | Endometriosis of left ureter, unspecified depth |
| N80A63 | Endometriosis of bilateral ureters, unspecified depth |
| N80A69 | Endometriosis of unspecified ureter, unspecified depth |
| R310 | Gross hematuria |
| R311 | Benign essential microscopic hematuria |
| R3121 | Asymptomatic microscopic hematuria |
| R3129 | Other microscopic hematuria |
| R319 | Hematuria, unspecified |
| R8271 | Bacteriuria |
| PDX Collection 4888 | |
| F0280 | Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F04 | Amnestic disorder due to known physiological condition |
| F05 | Delirium due to known physiological condition |
| F061 | Catatonic disorder due to known physiological condition |
| F0630 | Mood disorder due to known physiological condition, unspecified |
| F0631 | Mood disorder due to known physiological condition with depressive features |
| F0632 | Mood disorder due to known physiological condition with major depressive-like episode |
| F0633 | Mood disorder due to known physiological condition with manic features |
| F0634 | Mood disorder due to known physiological condition with mixed features |
| F064 | Anxiety disorder due to known physiological condition |
| F0670 | Mild neurocognitive disorder due to known physiological condition without behavioral disturbance |
| F0671 | Mild neurocognitive disorder due to known physiological condition with behavioral disturbance |
| F068 | Other specified mental disorders due to known physiological condition |
| F1010 | Alcohol abuse, uncomplicated |
| F1011 | Alcohol abuse, in remission |
| F10120 | Alcohol abuse with intoxication, uncomplicated |
| F10121 | Alcohol abuse with intoxication delirium |
| F10129 | Alcohol abuse with intoxication, unspecified |
| F10130 | Alcohol abuse with withdrawal, uncomplicated |
| F10131 | Alcohol abuse with withdrawal delirium |
| F10132 | Alcohol abuse with withdrawal with perceptual disturbance |
| F10139 | Alcohol abuse with withdrawal, unspecified |
| F1014 | Alcohol abuse with alcohol-induced mood disorder |
| F10150 | Alcohol abuse with alcohol-induced psychotic disorder with delusions |
| F10180 | Alcohol abuse with alcohol-induced anxiety disorder |
| F10181 | Alcohol abuse with alcohol-induced sexual dysfunction |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |