| 85912-4 | Primary diagnosis:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85912-4 | Primary diagnosis:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85912-4 | Primary diagnosis:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85913-2 | Other diagnoses:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85913-2 | Other diagnoses:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85913-2 | Other diagnoses:-:RptPeriod:^Patient:-:CMS Assessment | |