DRAFT

ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual

Diagnosis Code/MDC/MS-DRG Index

Page 30 of 76

A000 B2711 C5700 C8393 D1030 E083533 E118 F13131 G5610 H16039 H409 H838X3 I63533 I97411 K4000 L042 L98472 M12331 M25722 M61361 M80811A M84651D M90831 N80359 O24911 O3510X9 O4102X4 O926 Q209 R29810 S01329D S04899A S0910XD S14137D S21442D S272XXA S31649D S32483G S36598D S42109B S42435S S46192D S52041A S52271S S52532R S55991A S60129D S61352D S62309B S62647K S63521A S66499A S72021B S72109K S72321B S72435S S76319D S82034B S82236D S82492E S83229D S89132S S92015P S92401B S95991D T17918A T23029A T25331A T386X3A T43632A T486X4S T5803XD T71134D T82538A Z0183 Z8550

DX	MDC	MS-DRG	DX	MDC	MS-DRG	DX	MDC	MS-DRG
R29810	01	091-093	R710	16	811-812	S0033XS	09	604-605
R29818	01	091-093	R718	16	811-812	S0034XA	09	604-605
R29890	01	091-093	R7301	10	640-641	S0034XA	24	963-965
R29891	08	551-552	R7302	10	640-641	S0034XD	23	949-950
R29898	08	555-556	R7303	10	640-641	S0034XS	09	604-605
R2990	01	091-093	R7309	10	640-641	S0035XA	09	604-605
R2991	01	091-093	R739	10	640-641	S0035XA	24	963-965
R300	11	695-696	R7401	23	947-948	S0035XD	23	949-950
R301	11	695-696	R7402	23	947-948	S0035XS	09	604-605
R309	11	695-696	R748	23	947-948	S0036XA	09	606-607
R310	11	695-696	R749	23	947-948	S0036XA	24	963-965
R310	15	791	R75	16	814-816	S0036XD	23	949-950
R310	15	793	R760	16	814-816	S0036XS	09	604-605
R311	11	695-696	R7611	04	177-179	S0037XA	09	604-605
R311	15	791	R7612	04	177-179	S0037XA	24	963-965
R311	15	793	R7681	16	814-816	S0037XD	23	949-950
R3121	11	695-696	R7689	16	814-816	S0037XS	09	604-605
R3121	15	791	R769	16	814-816	S00401A	09	604-605
R3121	15	793	R770	23	947-948	S00401A	24	963-965
R3129	11	695-696	R771	23	947-948	S00401D	23	949-950
R3129	15	791	R772	23	947-948	S00401S	09	604-605
R3129	15	793	R778	23	947-948	S00402A	09	604-605
R319	11	695-696	R779	23	947-948	S00402A	24	963-965
R319	15	791	R780	20	894-897	S00402D	23	949-950
R319	15	793	R781	23	947-948	S00402S	09	604-605
R32	11	695-696	R782	23	947-948	S00409A	09	604-605
R330	11	695-696	R783	23	947-948	S00409A	24	963-965
R330	15	791	R784	23	947-948	S00409D	23	949-950
R330	15	793	R785	23	947-948	S00409S	09	604-605
R338	11	695-696	R786	23	947-948	S00411A	09	604-605
R338	15	791	R7871	23	947-948	S00411A	24	963-965
R338	15	793	R7879	23	947-948	S00411D	23	949-950
R339	11	695-696	R7881	15	791	S00411S	09	604-605
R339	15	791	R7881	15	793	S00412A	09	604-605
R339	15	793	R7881	18	870-872	S00412A	24	963-965
R34	11	673-675	R7889	23	947-948	S00412D	23	949-950
R34	11	682-684	R789	23	947-948	S00412S	09	604-605
R350	11	695-696	R790	23	947-948	S00419A	09	604-605
R351	11	695-696	R791	23	947-948	S00419A	24	963-965
R3581	11	695-696	R7981	23	947-948	S00419D	23	949-950
R3589	11	695-696	R7982	23	947-948	S00419S	09	604-605
R360	11	695-696	R7983	23	947-948	S00421A	09	606-607
R361	12	729-730	R7989	23	947-948	S00421A	24	963-965
R369	11	695-696	R799	23	947-948	S00421D	23	949-950
R37	19	887	R800	11	695-696	S00421S	09	604-605
R390	11	695-696	R801	11	695-696	S00422A	09	606-607
R3911	11	695-696	R802	11	698-700	S00422A	24	963-965
R3912	11	695-696	R803	11	695-696	S00422D	23	949-950
R3913	11	695-696	R808	11	695-696	S00422S	09	604-605
R3914	11	695-696	R809	11	695-696	S00429A	09	606-607
R3914	15	791	R81	10	637-639	S00429A	24	963-965
R3914	15	793	R820	11	695-696	S00429D	23	949-950
R3915	11	695-696	R820	15	791	S00429S	09	604-605
R3916	11	695-696	R820	15	793	S00431A	09	604-605
R39191	11	695-696	R821	23	947-948	S00431A	24	963-965
R39192	11	695-696	R822	07	441-443	S00431D	23	949-950
R39198	11	695-696	R823	11	695-696	S00431S	09	604-605
R392	11	695-696	R824	10	640-641	S00432A	09	604-605
R3981	11	695-696	R825	11	695-696	S00432A	24	963-965
R3982	11	695-696	R826	11	695-696	S00432D	23	949-950
R3983	11	695-696	R8271	11	695-696	S00432S	09	604-605
R3984	11	695-696	R8279	11	695-696	S00439A	09	604-605
R39851	11	695-696	R8281	11	695-696	S00439A	24	963-965
R39852	11	695-696	R8289	11	695-696	S00439D	23	949-950
R39853	11	695-696	R8290	11	695-696	S00439S	09	604-605
R39859	11	695-696	R8291	11	695-696	S00441A	09	604-605
R3989	11	695-696	R82991	11	695-696	S00441A	24	963-965
R399	11	695-696	R82992	11	695-696	S00441D	23	949-950
R400	01	080-081	R82993	11	695-696	S00441S	09	604-605
R401	01	080-081	R82994	11	695-696	S00442A	09	604-605
R4020	01	080-081	R82998	11	695-696	S00442A	24	963-965
R4020	15	791	R830	01	091-093	S00442D	23	949-950
R4020	15	793	R831	01	091-093	S00442S	09	604-605
R402110	01	080-081	R832	01	091-093	S00449A	09	604-605
R402110	15	791	R833	01	091-093	S00449A	24	963-965
R402110	15	793	R834	01	091-093	S00449D	23	949-950
R402111	01	080-081	R835	01	091-093	S00449S	09	604-605
R402111	15	791	R836	01	091-093	S00451A	09	604-605
R402111	15	793	R838	01	091-093	S00451A	24	963-965
R402112	01	080-081	R839	01	091-093	S00451D	23	949-950
R402112	15	791	R840	23	947-948	S00451S	09	604-605
R402112	15	793	R841	23	947-948	S00452A	09	604-605
R402113	01	080-081	R842	23	947-948	S00452A	24	963-965
R402113	15	791	R843	23	947-948	S00452D	23	949-950
R402113	15	793	R844	23	947-948	S00452S	09	604-605
R402114	01	080-081	R845	23	947-948	S00459A	09	604-605
R402114	15	791	R846	23	947-948	S00459A	24	963-965
R402114	15	793	R847	23	947-948	S00459D	23	949-950
R402120	01	080-081	R848	23	947-948	S00459S	09	604-605
R402120	15	791	R849	23	947-948	S00461A	09	606-607
R402120	15	793	R850	23	947-948	S00461A	24	963-965
R402121	01	080-081	R851	23	947-948	S00461D	23	949-950
R402121	15	791	R852	23	947-948	S00461S	09	604-605
R402121	15	793	R853	23	947-948	S00462A	09	606-607
R402122	01	080-081	R854	23	947-948	S00462A	24	963-965
R402122	15	791	R855	23	947-948	S00462D	23	949-950
R402122	15	793	R85610	06	393-395	S00462S	09	604-605
R402123	01	080-081	R85611	06	393-395	S00469A	09	606-607
R402123	15	791	R85612	06	393-395	S00469A	24	963-965
R402123	15	793	R85613	06	393-395	S00469D	23	949-950
R402124	01	080-081	R85614	06	393-395	S00469S	09	604-605
R402124	15	791	R85615	06	393-395	S00471A	09	604-605
R402124	15	793	R85616	06	393-395	S00471A	24	963-965
R402130	23	951	R85618	06	393-395	S00471D	23	949-950
R402131	23	951	R85619	06	393-395	S00471S	09	604-605
R402132	23	951	R8569	23	947-948	S00472A	09	604-605
R402133	23	951	R857	23	947-948	S00472A	24	963-965
R402134	23	951	R8581	06	393-395	S00472D	23	949-950
R402140	23	951	R8582	06	393-395	S00472S	09	604-605
R402141	23	951	R8589	23	947-948	S00479A	09	604-605
R402142	23	951	R859	23	947-948	S00479A	24	963-965
R402143	23	951	R860	12	729-730	S00479D	23	949-950
R402144	23	951	R861	12	729-730	S00479S	09	604-605
R402210	01	080-081	R862	12	729-730	S00501A	09	604-605
R402210	15	791	R863	12	729-730	S00501A	24	963-965
R402210	15	793	R864	12	729-730	S00501D	23	949-950
R402211	01	080-081	R865	12	729-730	S00501S	09	604-605
R402211	15	791	R866	12	729-730	S00502A	09	604-605
R402211	15	793	R867	12	729-730	S00502A	24	963-965
R402212	01	080-081	R868	12	729-730	S00502D	23	949-950
R402212	15	791	R869	12	729-730	S00502S	09	604-605
R402212	15	793	R870	23	947-948	S00511A	09	604-605
R402213	01	080-081	R871	23	947-948	S00511A	24	963-965
R402213	15	791	R872	23	947-948	S00511D	23	949-950
R402213	15	793	R873	23	947-948	S00511S	09	604-605
R402214	01	080-081	R874	23	947-948	S00512A	09	604-605
R402214	15	791	R875	23	947-948	S00512A	24	963-965
R402214	15	793	R87610	13	742-743	S00512D	23	949-950
R402220	01	080-081	R87610	13	760-761	S00512S	09	604-605
R402220	15	791	R87611	13	742-743	S00521A	09	606-607
R402220	15	793	R87611	13	760-761	S00521A	24	963-965
R402221	01	080-081	R87612	13	742-743	S00521D	23	949-950
R402221	15	791	R87612	13	760-761	S00521S	09	604-605
R402221	15	793	R87613	13	742-743	S00522A	09	606-607
R402222	01	080-081	R87613	13	760-761	S00522A	24	963-965
R402222	15	791	R87614	13	742-743	S00522D	23	949-950
R402222	15	793	R87614	13	760-761	S00522S	09	604-605
R402223	01	080-081	R87615	13	742-743	S00531A	09	604-605
R402223	15	791	R87615	13	760-761	S00531A	24	963-965
R402223	15	793	R87616	13	742-743	S00531D	23	949-950
R402224	01	080-081	R87616	13	760-761	S00531S	09	604-605
R402224	15	791	R87618	15	795	S00532A	09	604-605
R402224	15	793	R87618	23	947-948	S00532A	24	963-965
R402230	23	951	R87619	15	795	S00532D	23	949-950
R402231	23	951	R87619	23	947-948	S00532S	09	604-605
R402232	23	951	R87620	13	742-743	S00541A	09	604-605
R402233	23	951	R87620	13	760-761	S00541A	24	963-965
R402234	23	951	R87621	13	742-743	S00541D	23	949-950
R402240	23	951	R87621	13	760-761	S00541S	09	604-605
R402241	23	951	R87622	13	742-743	S00542A	09	604-605
R402242	23	951	R87622	13	760-761	S00542A	24	963-965
R402243	23	951	R87623	13	742-743	S00542D	23	949-950
R402244	23	951	R87623	13	760-761	S00542S	09	604-605
R402250	23	951	R87624	13	742-743	S00551A	09	604-605
R402251	23	951	R87624	13	760-761	S00551A	24	963-965
R402252	23	951	R87625	13	742-743	S00551D	23	949-950
R402253	23	951	R87625	13	760-761	S00551S	09	604-605
R402254	23	951	R87628	13	742-743	S00552A	09	604-605
R402310	01	080-081	R87628	13	760-761	S00552A	24	963-965
R402310	15	791	R87629	15	795	S00552D	23	949-950
R402310	15	793	R87629	23	947-948	S00552S	09	604-605
R402311	01	080-081	R8769	23	947-948	S00561A	09	606-607
R402311	15	791	R877	23	947-948	S00561A	24	963-965
R402311	15	793	R87810	13	742-743	S00561D	23	949-950
R402312	01	080-081	R87810	13	760-761	S00561S	09	604-605
R402312	15	791	R87811	13	742-743	S00562A	09	606-607
R402312	15	793	R87811	13	760-761	S00562A	24	963-965
R402313	01	080-081	R87820	13	742-743	S00562D	23	949-950
R402313	15	791	R87820	13	760-761	S00562S	09	604-605
R402313	15	793	R87821	13	742-743	S00571A	09	604-605
R402314	01	080-081	R87821	13	760-761	S00571A	24	963-965
R402314	15	791	R8789	23	947-948	S00571D	23	949-950
R402314	15	793	R879	23	947-948	S00571S	09	604-605
R402320	01	080-081	R880	23	947-948	S00572A	09	604-605
R402320	15	791	R888	23	947-948	S00572A	24	963-965
R402320	15	793	R890	23	947-948	S00572D	23	949-950
R402321	01	080-081	R891	23	947-948	S00572S	09	604-605
R402321	15	791	R892	23	947-948	S0080XA	09	604-605
R402321	15	793	R893	23	947-948	S0080XA	24	963-965
R402322	01	080-081	R894	23	947-948	S0080XD	23	949-950
R402322	15	791	R895	23	947-948	S0080XS	09	604-605
R402322	15	793	R896	23	947-948	S0081XA	09	604-605
R402323	01	080-081	R897	15	795	S0081XA	24	963-965
R402323	15	791	R897	23	947-948	S0081XD	23	949-950
R402323	15	793	R898	23	947-948	S0081XS	09	604-605
R402324	01	080-081	R899	18	867-869	S0082XA	09	606-607
R402324	15	791	R900	09	606-607	S0082XA	24	963-965
R402324	15	793	R9081	01	091-093	S0082XD	23	949-950
R402330	23	951	R9082	01	091-093	S0082XS	09	604-605
R402331	23	951	R9089	23	947-948	S0083XA	09	604-605
R402332	23	951	R911	04	205-206	S0083XA	24	963-965
R402333	23	951	R918	04	204	S0083XD	23	949-950
R402334	23	951	R920	09	600-601	S0083XS	09	604-605
R402340	01	080-081	R921	09	600-601	S0084XA	09	604-605
R402340	15	791	R922	09	600-601	S0084XA	24	963-965
R402340	15	793	R9230	09	600-601	S0084XD	23	949-950
R402341	01	080-081	R92311	09	600-601	S0084XS	09	604-605
R402341	15	791	R92312	09	600-601	S0085XA	09	604-605
R402341	15	793	R92313	09	600-601	S0085XA	24	963-965
R402342	01	080-081	R92321	09	600-601	S0085XD	23	949-950
R402342	15	791	R92322	09	600-601	S0085XS	09	604-605
R402342	15	793	R92323	09	600-601	S0086XA	09	606-607
R402343	01	080-081	R92331	09	600-601	S0086XA	24	963-965
R402343	15	791	R92332	09	600-601	S0086XD	23	949-950
R402343	15	793	R92333	09	600-601	S0086XS	09	604-605
R402344	01	080-081	R92341	09	600-601	S0087XA	09	604-605
R402344	15	791	R92342	09	600-601	S0087XA	24	963-965
R402344	15	793	R92343	09	600-601	S0087XD	23	949-950
R402350	23	951	R928	09	600-601	S0087XS	09	604-605
R402351	23	951	R930	01	091-093	S0090XA	09	604-605
R402352	23	951	R931	05	302-303	S0090XA	24	963-965
R402353	23	951	R932	07	444-446	S0090XD	23	949-950
R402354	23	951	R933	06	391-392	S0090XS	09	604-605
R402360	23	951	R9341	11	695-696	S0091XA	09	604-605
R402361	23	951	R93421	11	695-696	S0091XA	24	963-965
R402362	23	951	R93422	11	695-696	S0091XD	23	949-950
R402363	23	951	R93429	11	695-696	S0091XS	09	604-605
R402364	23	951	R9349	11	695-696	S0092XA	09	606-607
R402410	23	951	R935	06	391-392	S0092XA	24	963-965
R402411	23	951	R936	08	564-566	S0092XD	23	949-950
R402412	23	951	R937	08	564-566	S0092XS	09	604-605
R402413	23	951	R93811	12	729-730	S0093XA	09	604-605
R402414	23	951	R93812	12	729-730	S0093XA	24	963-965
R402420	23	951	R93813	12	729-730	S0093XD	23	949-950
R402421	23	951	R93819	12	729-730	S0093XS	09	604-605
R402422	23	951	R9389	23	947-948	S0094XA	09	604-605
R402423	23	951	R939	23	947-948	S0094XA	24	963-965
R402424	23	951	R9401	01	091-093	S0094XD	23	949-950
R402430	23	951	R9402	01	091-093	S0094XS	09	604-605
R402431	23	951	R9409	01	091-093	S0095XA	09	604-605
R402432	23	951	R94110	02	124-125	S0095XA	24	963-965
R402433	23	951	R94111	02	124-125	S0095XD	23	949-950
R402434	23	951	R94112	02	124-125	S0095XS	09	604-605
R402440	23	951	R94113	02	124-125	S0096XA	09	606-607
R402441	23	951	R94118	01	091-093	S0096XA	24	963-965
R402442	23	951	R94120	03	154-156	S0096XD	23	949-950
R402443	23	951	R94120	15	795	S0096XS	09	604-605
R402444	23	951	R94121	03	154-156	S0097XA	09	604-605
R402A	01	080-081	R94128	01	091-093	S0097XA	24	963-965
R402A	15	791	R94130	01	091-093	S0097XD	23	949-950
R402A	15	793	R94131	08	564-566	S0097XS	09	604-605
R403	01	080-081	R94138	01	091-093	S0100XA	09	604-605
R403	15	791	R942	04	205-206	S0100XA	24	963-965
R403	15	793	R9430	05	314-316	S0100XD	23	949-950
R404	19	884	R9431	05	314-316	S0100XS	09	604-605
R410	23	947-948	R9439	05	314-316	S0101XA	09	604-605
R411	23	947-948	R944	11	695-696	S0101XA	24	963-965
R412	23	947-948	R945	07	441-443	S0101XD	23	949-950
R413	23	947-948	R946	10	643-645	S0101XS	09	604-605
R414	01	091-093	R947	10	643-645	S0102XA	09	604-605
R4181	19	884	R948	11	695-696	S0102XA	24	963-965
R4182	23	947-948	R970	23	947-948	S0102XD	23	949-950
R4183	23	951	R971	23	947-948	S0102XS	09	604-605
R41840	19	886	R9720	23	947-948	S0103XA	09	604-605
R41841	19	884	R9721	23	947-948	S0103XA	24	963-965
R41842	01	091-093	R978	23	947-948	S0103XD	23	949-950
R41843	19	884	R99	23	951	S0103XS	09	604-605
R41844	19	884	S0000XA	09	604-605	S0104XA	09	604-605
R4185	19	884	S0000XA	24	963-965	S0104XA	24	963-965
R4189	19	884	S0000XD	23	949-950	S0104XD	23	949-950
R419	23	947-948	S0000XS	09	604-605	S0104XS	09	604-605
R42	03	149	S0001XA	09	604-605	S0105XA	09	604-605
R430	01	091-093	S0001XA	24	963-965	S0105XA	24	963-965
R431	01	091-093	S0001XD	23	949-950	S0105XD	23	949-950
R432	01	091-093	S0001XS	09	604-605	S0105XS	09	604-605
R438	01	091-093	S0002XA	09	606-607	S01101A	02	124-125
R439	01	091-093	S0002XA	24	963-965	S01101A	24	963-965
R440	19	880	S0002XD	23	949-950	S01101D	23	949-950
R441	02	124-125	S0002XS	09	604-605	S01101S	09	604-605
R442	19	880	S0003XA	09	604-605	S01102A	02	124-125
R443	19	880	S0003XA	24	963-965	S01102A	24	963-965
R448	23	951	S0003XD	23	949-950	S01102D	23	949-950
R449	23	951	S0003XS	09	604-605	S01102S	09	604-605
R450	19	880	S0004XA	09	604-605	S01109A	02	124-125
R451	19	884	S0004XA	24	963-965	S01109A	24	963-965
R452	19	880	S0004XD	23	949-950	S01109D	23	949-950
R453	19	880	S0004XS	09	604-605	S01109S	09	604-605
R454	19	880	S0005XA	09	604-605	S01111A	02	124-125
R455	19	880	S0005XA	24	963-965	S01111A	24	963-965
R456	19	880	S0005XD	23	949-950	S01111D	23	949-950
R457	19	880	S0005XS	09	604-605	S01111S	09	604-605
R4581	19	884	S0006XA	09	606-607	S01112A	02	124-125
R4582	19	884	S0006XA	24	963-965	S01112A	24	963-965
R4583	23	947-948	S0006XD	23	949-950	S01112D	23	949-950
R4584	23	947-948	S0006XS	09	604-605	S01112S	09	604-605
R45850	23	951	S0007XA	09	604-605	S01119A	02	124-125
R45851	19	880	S0007XA	24	963-965	S01119A	24	963-965
R4586	19	883	S0007XD	23	949-950	S01119D	23	949-950
R4587	19	882	S0007XS	09	604-605	S01119S	09	604-605
R4588	19	883	S0010XA	02	124-125	S01121A	02	124-125
R4589	19	880	S0010XA	24	963-965	S01121A	24	963-965
R460	23	951	S0010XD	23	949-950	S01121D	23	949-950
R461	23	951	S0010XS	09	604-605	S01121S	09	604-605
R462	23	951	S0011XA	02	124-125	S01122A	02	124-125
R463	23	951	S0011XA	24	963-965	S01122A	24	963-965
R464	23	951	S0011XD	23	949-950	S01122D	23	949-950
R465	23	951	S0011XS	09	604-605	S01122S	09	604-605
R466	23	951	S0012XA	02	124-125	S01129A	02	124-125
R467	23	951	S0012XA	24	963-965	S01129A	24	963-965
R4681	23	951	S0012XD	23	949-950	S01129D	23	949-950
R4689	23	951	S0012XS	09	604-605	S01129S	09	604-605
R4701	01	091-093	S00201A	02	124-125	S01131A	02	124-125
R4702	01	091-093	S00201A	24	963-965	S01131A	24	963-965
R471	01	091-093	S00201D	23	949-950	S01131D	23	949-950
R4781	01	091-093	S00201S	09	604-605	S01131S	09	604-605
R4782	01	091-093	S00202A	02	124-125	S01132A	02	124-125
R4789	01	091-093	S00202A	24	963-965	S01132A	24	963-965
R479	01	091-093	S00202D	23	949-950	S01132D	23	949-950
R480	19	886	S00202S	09	604-605	S01132S	09	604-605
R481	19	886	S00209A	02	124-125	S01139A	02	124-125
R482	19	886	S00209A	24	963-965	S01139A	24	963-965
R483	02	124-125	S00209D	23	949-950	S01139D	23	949-950
R488	19	886	S00209S	09	604-605	S01139S	09	604-605
R489	19	887	S00211A	02	124-125	S01141A	02	124-125
R490	03	154-156	S00211A	24	963-965	S01141A	24	963-965
R491	03	154-156	S00211D	23	949-950	S01141D	23	949-950
R4921	03	154-156	S00211S	09	604-605	S01141S	09	604-605
R4922	03	154-156	S00212A	02	124-125	S01142A	02	124-125
R498	03	154-156	S00212A	24	963-965	S01142A	24	963-965
R499	03	154-156	S00212D	23	949-950	S01142D	23	949-950
R502	18	864	S00212S	09	604-605	S01142S	09	604-605
R5081	18	864	S00219A	02	124-125	S01149A	02	124-125
R5082	18	864	S00219A	24	963-965	S01149A	24	963-965
R5083	18	864	S00219D	23	949-950	S01149D	23	949-950
R5084	18	864	S00219S	09	604-605	S01149S	09	604-605
R509	18	864	S00221A	02	124-125	S01151A	02	124-125
R510	01	102-103	S00221A	24	963-965	S01151A	24	963-965
R519	01	102-103	S00221D	23	949-950	S01151D	23	949-950
R52	23	947-948	S00221S	09	604-605	S01151S	09	604-605
R530	23	947-948	S00222A	02	124-125	S01152A	02	124-125
R531	23	947-948	S00222A	24	963-965	S01152A	24	963-965
R532	23	947-948	S00222D	23	949-950	S01152D	23	949-950
R5381	23	947-948	S00222S	09	604-605	S01152S	09	604-605
R5382	23	947-948	S00229A	02	124-125	S01159A	02	124-125
R5383	23	947-948	S00229A	24	963-965	S01159A	24	963-965
R54	19	884	S00229D	23	949-950	S01159D	23	949-950
R55	05	312	S00229S	09	604-605	S01159S	09	604-605
R5600	01	100-101	S00241A	02	124-125	S0120XA	Pre	011-013
R5600	15	791	S00241A	24	963-965	S0120XA	03	154-156
R5600	15	793	S00241D	23	949-950	S0120XA	24	963-965
R5601	01	100-101	S00241S	09	604-605	S0120XD	23	949-950
R561	01	100-101	S00242A	02	124-125	S0120XS	09	604-605
R569	01	100-101	S00242A	24	963-965	S0121XA	Pre	011-013
R569	15	791	S00242D	23	949-950	S0121XA	03	154-156
R569	15	793	S00242S	09	604-605	S0121XA	24	963-965
R570	05	291-293	S00249A	02	124-125	S0121XD	23	949-950
R571	18	870-872	S00249A	24	963-965	S0121XS	09	604-605
R578	18	870-872	S00249D	23	949-950	S0122XA	Pre	011-013
R579	05	291-293	S00249S	09	604-605	S0122XA	03	154-156
R579	15	791	S00251A	02	124-125	S0122XA	24	963-965
R579	15	793	S00251A	24	963-965	S0122XD	23	949-950
R58	05	314-316	S00251D	23	949-950	S0122XS	09	604-605
R58	15	791	S00251S	09	604-605	S0123XA	Pre	011-013
R58	15	793	S00252A	02	124-125	S0123XA	03	154-156
R590	16	814-816	S00252A	24	963-965	S0123XA	24	963-965
R591	16	814-816	S00252D	23	949-950	S0123XD	23	949-950
R599	16	814-816	S00252S	09	604-605	S0123XS	09	604-605
R600	23	947-948	S00259A	02	124-125	S0124XA	Pre	011-013
R601	23	947-948	S00259A	24	963-965	S0124XA	03	154-156
R609	23	947-948	S00259D	23	949-950	S0124XA	24	963-965
R61	09	606-607	S00259S	09	604-605	S0124XD	23	949-950
R620	10	640-641	S00261A	02	124-125	S0124XS	09	604-605
R6250	10	640-641	S00261A	24	963-965	S0125XA	Pre	011-013
R6251	10	640-641	S00261D	23	949-950	S0125XA	03	154-156
R6252	10	640-641	S00261S	09	604-605	S0125XA	24	963-965
R6259	10	640-641	S00262A	02	124-125	S0125XD	23	949-950
R627	10	640-641	S00262A	24	963-965	S0125XS	09	604-605
R630	10	640-641	S00262D	23	949-950	S01301A	03	154-156
R631	10	640-641	S00262S	09	604-605	S01301A	24	963-965
R632	10	640-641	S00269A	02	124-125	S01301D	23	949-950
R6330	10	640-641	S00269A	24	963-965	S01301S	09	604-605
R6331	10	640-641	S00269D	23	949-950	S01302A	03	154-156
R6332	10	640-641	S00269S	09	604-605	S01302A	24	963-965
R6339	10	640-641	S00271A	02	124-125	S01302D	23	949-950
R634	10	640-641	S00271A	24	963-965	S01302S	09	604-605
R635	10	640-641	S00271D	23	949-950	S01309A	03	154-156
R636	10	640-641	S00271S	09	604-605	S01309A	24	963-965
R638	10	640-641	S00272A	02	124-125	S01309D	23	949-950
R64	23	947-948	S00272A	24	963-965	S01309S	09	604-605
R6510	18	864	S00272D	23	949-950	S01311A	03	154-156
R6511	18	864	S00272S	09	604-605	S01311A	24	963-965
R6520	18	870-872	S00279A	02	124-125	S01311D	23	949-950
R6521	18	870-872	S00279A	24	963-965	S01311S	09	604-605
R680	23	947-948	S00279D	23	949-950	S01312A	03	154-156
R6811	23	947-948	S00279S	09	604-605	S01312A	24	963-965
R6812	23	947-948	S0030XA	09	604-605	S01312D	23	949-950
R6813	23	951	S0030XA	24	963-965	S01312S	09	604-605
R6819	23	951	S0030XD	23	949-950	S01319A	03	154-156
R682	Pre	011-013	S0030XS	09	604-605	S01319A	24	963-965
R682	03	154-156	S0031XA	09	604-605	S01319D	23	949-950
R683	04	205-206	S0031XA	24	963-965	S01319S	09	604-605
R6881	23	947-948	S0031XD	23	949-950	S01321A	03	154-156
R6882	23	951	S0031XS	09	604-605	S01321A	24	963-965
R6883	23	947-948	S0032XA	09	606-607	S01321D	23	949-950
R6884	Pre	011-013	S0032XA	24	963-965	S01321S	09	604-605
R6884	03	157-159	S0032XD	23	949-950	S01322A	03	154-156
R6889	23	947-948	S0032XS	09	604-605	S01322A	24	963-965
R69	23	951	S0033XA	09	604-605	S01322D	23	949-950
R700	23	947-948	S0033XA	24	963-965	S01322S	09	604-605
R701	23	947-948	S0033XD	23	949-950	S01329A	03	154-156
						S01329A	24	963-965

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
12 Mar 2025 12:04:04
CMS, code-revision=373, description-revision=1431