72 FR 53 pgs. 12983-13016 - Schedule for Rating Disabilities; Appendices A, B, and C
Type: RULEVolume: 72Number: 53Pages: 12983 - 13016
FR document: [FR Doc. E7-4914 Filed 3-19-07; 8:45 am]
Agency: Veterans Affairs Department
Official PDF Version: PDF Version
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 4
RIN 2900-AM60
Schedule for Rating Disabilities; Appendices A, B, and C
AGENCY:
Department of Veterans Affairs.
ACTION:
Final rule.
SUMMARY:
The Department of Veterans Affairs (VA) is revising its Schedule for Rating Disabilities, Appendices A, B, and C to include all current diagnostic codes. Appendix A is also amended to include all the diagnostic code historical information since the last review.
DATES:
Effective Date: This amendment is effective April 19, 2007.
FOR FURTHER INFORMATION CONTACT:
Trude Steele, Regulations Staff (211D), Compensation and Pension Service, Veterans Benefits Administration, Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273-7210.
SUPPLEMENTARY INFORMATION:
The Schedule for Rating Disabilities, 38 CFR Part 4, Appendices A, B, and C have not been updated since July 1, 1988. These Appendices are tools for users of the Schedule for Rating Disabilities. The Appendices reflect changes to the diagnostic criteria in the Schedule for Rating Disabilities.
We have amended the Appendices to add changes to the Schedule for Rating Disabilities since the Appendices were last updated. Additionally, we removed language in Appendix A that showed when a diagnostic code was updated to correct spelling, revise text, or other additional changes, which had no impact on the disability code. Those changes were incorporated within the text when amended. All diagnostic codes in Appendix A will now be categorized by when they were added, removed, whether the criterion was amended, and whether the disability evaluation was amended. We will continue to include the date for historical purposes. We revised Appendices B and C to provide the current diagnostic codes and disability terminology. We will continue to update the Appendices as the Schedule for Rating Disabilities is revised.
Administrative Procedures Act
This final rule merely replaces inaccurate examples and does not alter the content of the regulations. Accordingly, there is a basis for dispensing with prior notice and comment and the delayed effective date provisions of 5 U.S.C. 553.
Paperwork Reduction Act
This document contains no provisions constituting a collection of information under the Paperwork Reduction Act (44 U.S.C. 3501-3521).
Regulatory Flexibility Act
The Secretary hereby certifies that this final rule will not have a significant economic impact on a substantial number of small entities as they are defined in the Regulatory Flexibility Act, 5 U.S.C. 601-612. This final rule would not affect any small entities. Only VA beneficiaries could be directly affected. Therefore, pursuant to 5 U.S.C. 605(b), this final rule is exempt from the initial and final regulatory flexibility analysis requirements of sections 603 and 604.
Executive Order 12866
Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety, and other advantages; distributive impacts; and equity). The Executive Order classifies a "significant regulatory action," requiring review by the Office of Management and Budget (OMB) unless OMB waives such review, as any regulatory action that is likely to result in a rule that may: (1) Have an annual effect on the economy of $100 million or more or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities; (2) Create a serious inconsistency or otherwise interfere with an action taken or planned by another agency; (3) Materially alter the budgetary impact of entitlements, grants, user fees, or loan programs or the rights and obligations of recipients thereof; or (4) Raise novel legal or policy issues arising out of legal mandates, the President's priorities, or the principles set forth in the Executive Order.
The economic, interagency, budgetary, legal, and policy implications of this final rule have been examined and it has been determined not to be a significant regulatory action under Executive Order 12866.
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C. 1532, that agencies prepare an assessment of anticipated costs and benefits before issuing any rule that may result in the expenditure by State, local, and tribal governments, in the aggregate, or by the private sector, of $100 million or more (adjusted annually for inflation) in any year. This final rule would have no such effect on State, local, and tribal governments, or on the private sector.
Catalog of Federal Domestic Assistance Numbers and Titles
The Catalog of Federal Domestic Assistance program numbers and titles for this final are 64.104, Pension for Non-Service-Connected Disability for Veterans and 64.109, Veterans Compensation for Service-Connected Disability.
List of Subjects in 38 CFR Part 4
Disability benefits, Pensions, Veterans.
Approved: March 2, 2007
Gordon H. Mansfield,
Deputy Secretary of Veterans Affairs.
For the reasons set out in the preamble, 38 CFR part 4 is amended as set forth below:
PART 4-SCHEDULE FOR RATING DISABILITIES
1. The authority citation for part 4 continues to read as follows:
Authority:
38 U.S.C. 1155, unless otherwise noted.
2. Appendix A to Part 4 is revised to read as follows:
Sec. | Diagnostic code No. | |
---|---|---|
4.71a | 5000 | Evaluation February 1, 1962. |
5001 | Evaluation March 11, 1969. | |
5002 | Evaluation March 1, 1963. | |
5003 | Added July 6, 1950. | |
5012 | Criterion March 10, 1976. | |
5024 | Criterion March 1, 1963. | |
5025 | Added May 7, 1996. | |
5051 | Added September 22, 1978. | |
5052 | Added September 22, 1978. | |
5053 | Added September 22, 1978. | |
5054 | Added September 22, 1978. | |
5055 | Added September 22, 1978. | |
5056 | Added September 22, 1978. | |
5100-5103 | Removed March 10, 1976. | |
5104 | Criterion March 10, 1976. | |
5105 | Criterion March 10, 1976. | |
5164 | Evaluation June 9, 1952. | |
5166 | Criterion September 22, 1978. | |
5172 | Added July 6, 1950. | |
5173 | Added June 9, 1952. | |
5174 | Added September 9, 1975; removed September 22, 1978. | |
5211 | Criterion September 22, 1978. | |
5212 | Criterion September 22, 1978. | |
5214 | Criterion September 22, 1978. | |
5216 | Preceding paragraph criterion September 22, 1978. | |
5217 | Criterion August 26, 2002. | |
5218 | Criterion August 26, 2002. | |
5219 | Criterion September 22, 1978; criterion August 26, 2002. | |
5220 | Preceding paragraph criterion September 22, 1978; criterion August 26, 2002. | |
5223 | Criterion August 26, 2002. | |
5224 | Criterion August 26, 2002. | |
5225 | Criterion August 26, 2002. | |
5226 | Criterion August 26, 2002. | |
5227 | Criterion September 22, 1978; criterion August 26, 2002. | |
5228 | Added August 26, 2002. | |
5229 | Added August 26, 2002. | |
5230 | Added August 26, 2002. | |
5235-5243 | Replaces 5285-5295 September 26, 2003. | |
5243 | Criterion September 26, 2003. | |
5255 | Criterion July 6, 1950. | |
5257 | Evaluation July 6, 1950. | |
5264 | Added September 9, 1795; removed September 22, 1978. | |
5275 | Criterion March 10, 1976; criterion September 22, 1978. | |
5285-5292 | Revised to 5235-5243 September 26, 2003. | |
5293 | Criterion March 10, 1976; criterion September 23, 2002; revised and moved to 5235-5243 September 26, 2003. | |
5294 | Evaluation March 10, 1976; revised and moved to 5235-5243 September 26, 2003. | |
5295 | Evaluation March 10, 1976; revised and moved to 5235-5243 September 26, 2003. | |
5296 | Criterion March 10, 1976. | |
5297 | Criterion August 23, 1948; criterion February 1, 1962. | |
5298 | Added August 23, 1948. | |
4.73 | Introduction NOTE criterion July 3, 1997. | |
5317 | Criterion September 22, 1978. | |
5324 | Added February 1, 1962. | |
5325 | Criterion July 3, 1997. | |
5327 | Added March 10, 1976; criterion October 15, 1991; criterion July 3, 1997. | |
5328 | Added NOTE March 10, 1976. | |
5329 | Added NOTE July 3, 1997. | |
4.84a | Table V criterion July 1, 1994. | |
6010 | Criterion March 11, 1969. | |
6019 | Criterion September 22, 1978. | |
6029 | NOTE August 23, 1948; criterion September 22, 1978. | |
6035 | Added September 9, 1975. | |
6050-6062 | Removed March 10, 1976. | |
6061 | Added March 10, 1976. | |
6062 | Added March 10, 1976. | |
6063-6079 | Criterion September 22, 1978. | |
6064 | Criterion March 10, 1976. | |
6071 | Criterion March 10, 1976. | |
6076 | Evaluation August 23, 1948. | |
6080 | Criterion September 22, 1978. | |
6081 | Criterion March 10, 1976. | |
6090 | Criterion September 22, 1978; criterion September 12, 1988. | |
4.84b | 6260 | Added October 1, 1961; criterion October 1, 1961; evaluation March 10, 1976; removed December 18, 1987; re-designated § 4.87a December 18, 1987. |
4.87 | Tables VI and VII replaced by new Tables VI, VIA, and VII December 18, 1987. 6200-6260 revised and re-designated § 4.87 June 10, 1999. | |
4.87a | 6200-6260 | Moved to § 4.87 June 10, 1999. |
6275-6276 | Moved from § 4.87b June 10, 1999. | |
6277-6297 | March 23, 1956 removed, December 17, 1987; Table II revised Table V March 10, 1976; Table II revised to Table VII September 22, 1978; text from § 4.84b Schedule of ratings-ear re-designated from § 4.87 December 17, 1987. | |
6286 | Removed December 17, 1987. | |
6291 | Criterion March 10, 1976; removed December 17, 1987. | |
6297 | Criterion March 10, 1976; removed December 17, 1987. | |
4.87b | Removed June 10, 1999. | |
4.88a | March 11, 1969; re-designated § 4.88b November 29, 1994; § 4.88a added to read "Chronic fatigue syndrome"; criterion November 29, 1994. | |
4.88b | Added March 11, 1969; re-designated § 4.88c November 29, 1994; § 4.88a re-designated to § 4.88b November 29, 1994. | |
6300 | Criterion August 30, 1996. | |
6302 | Criterion September 22, 1978; criterion August 30, 1996. | |
6304 | Evaluation August 30, 1996. | |
6305 | Criterion March 1, 1989; evaluation August 30, 1996. | |
6306 | Evaluation August 30, 1996. | |
6307 | Criterion August 30, 1996. | |
6308 | Criterion August 30, 1996. | |
6309 | Added March 1, 1963; criterion March 1, 1989; criterion August 30, 1996. | |
6314 | Evaluation March 1, 1989; evaluation August 30, 1996. | |
6315 | Criterion August 30, 1996. | |
6316 | Evaluation March 1, 1989; evaluation August 30, 1996. | |
6317 | Criterion August 30, 1996. | |
6318 | Added March 1, 1989; criterion August 30, 1996. | |
6319 | Added August 30, 1996. | |
6320 | Added August 30, 1996. | |
6350 | Evaluation March 1, 1963; evaluation March 10, 1976; evaluation August 30, 1996. | |
6351 | Added March 1, 1989; evaluation March 24, 1992; criterion August 30, 1996. | |
6352 | Added March 1, 1989; removed March 24, 1992. | |
6353 | Added March 1, 1989; removed March 24, 1992. | |
6354 | Added November 29, 1994; criterion August 30, 1996. | |
4.88c | Re-designated from § 4.88b November 29, 1994. | |
4.89 | Ratings for nonpulmonary TB December 1, 1949; criterion March 11, 1969. | |
4.97 | 6502 | Criterion October 7, 1996. |
6504 | Criterion October 7, 1996. | |
6510-6514 | Criterion October 7, 1996. | |
6515 | Criterion March 11, 1969. | |
6516 | Criterion October 7, 1996. | |
6517 | Removed October 7, 1996. | |
6518 | Criterion October 7, 1996. | |
6519 | Criterion October 7, 1996. | |
6520 | Criterion October 7, 1996. | |
6521 | Added October 7, 1996. | |
6522 | Added October 7, 1996. | |
6523 | Added October 7, 1996. | |
6524 | Added October 7, 1996. | |
6600 | Evaluation September 9, 1975; criterion October 7, 1996. | |
6601 | Criterion October 7, 1996. | |
6602 | Criterion September 9, 1975; criterion October 7, 1996. | |
6603 | Added September 9, 1975; criterion October 7, 1996. | |
6604 | Added October 7, 1996. | |
6701 | Evaluation October 7, 1996. | |
6702 | Evaluation October 7, 1996. | |
6703 | Evaluation October 7, 1996. | |
6704 | Subparagraph (1) following December 1, 1949; criterion March 11, 1969; criterion September 22, 1978. | |
6705 | Removed March 11, 1969. | |
6707-6710 | Added March 11, 1969; removed September 22, 1978. | |
6721 | Criterion July 6, 1950; criterion September 22, 1978. | |
6724 | Second note following December 1, 1949; criterion March 11, 1969; evaluation October 7, 1996. | |
6725-6728 | Added March 11, 1969; removed September 22, 1978. | |
6730 | Added September 22, 1978; criterion October 7, 1996. | |
6731 | Evaluation September 22, 1978; criterion October 7, 1996. | |
6732 | Criterion March 11, 1969. | |
6800 | Criterion September 9, 1975; removed October 7, 1996. | |
6801 | Removed October 7, 1996. | |
6802 | Criterion September 9, 1975; removed October 7, 1996. | |
6810-6813 | Removed October 7, 1996. | |
6814 | Criterion March 10, 1976; removed October 7, 1996. | |
6815 | Removed October 7, 1996. | |
6816 | Removed October 7, 1996. | |
6817 | Evaluation October 7, 1996. | |
6818 | Removed October 7, 1996. | |
6819 | Criterion March 10, 1976; criterion October 7, 1996. | |
6821 | Evaluation August 23, 1948. | |
6822-6847 | Added October 7, 1996. | |
4.104 | 7000 | Evaluation July 6, 1950; evaluation September 22, 1978; evaluation January 12, 1998. |
7001 | Evaluation January 12, 1998. | |
7002 | Evaluation January 12, 1998. | |
7003 | Evaluation January 12, 1998. | |
7004 | Criterion September 22, 1978; evaluation January 12, 1998. | |
7005 | Evaluation September 9, 1975; evaluation September 22, 1978; evaluation January 12, 1998. | |
7006 | Evaluation January 12, 1998. | |
7007 | Evaluation September 22, 1978; evaluation January 12, 1998. | |
7008 | Evaluation January 12, 1998. | |
7010 | Evaluation January 12, 1998. | |
7011 | Evaluation January 12, 1998. | |
7013 | Removed January 12, 1998. | |
7014 | Removed January 12, 1998. | |
7015 | Evaluation September 9, 1975; criterion January 12, 1998. | |
7016 | Added September 9, 1975; evaluation January 12, 1998. | |
7017 | Added September 22, 1978; evaluation January 12, 1998. | |
7018 | Added January 12, 1998. | |
7019 | Added January 12, 1998. | |
7020 | Added January 12, 1998. | |
7100 | Evaluation July 6, 1950. | |
7101 | Criterion September 1, 1960; criterion September 9, 1975; criterion January 12, 1998. | |
7110 | Evaluation September 9, 1975; evaluation January 12, 1998. | |
7111 | Criterion September 9, 1975; evaluation January 12, 1998. | |
7112 | Evaluation January 12, 1998. | |
7113 | Evaluation January 12, 1998. | |
7114 | Added June 9, 1952; evaluation January 12, 1998. | |
7115 | Added June 9, 1952; evaluation January 12, 1998. | |
7116 | Added June 9, 1952; evaluation March 10, 1976; removed January 12, 1998. | |
7117 | Added June 9, 1952; evaluation January 12, 1998. | |
7118 | Criterion January 12, 1998. | |
7119 | Evaluation January 12, 1998. | |
7120 | Note following July 6, 1950; evaluation January 12, 1998. | |
7121 | Criterion July 6, 1950; evaluation March 10, 1976; evaluation January 12, 1998. | |
7122 | Last sentence of Note following July 6, 1950; evaluation January 12, 1998; criterion August 13, 1998. | |
7123 | Added October 15, 1991; criterion January 12, 1998. | |
4.114 | Introduction paragraph revised March 10, 1976. | |
7304 | Evaluation November 1, 1962. | |
7305 | Evaluation November 1, 1962. | |
7308 | Evaluation April 8, 1959. | |
7311 | Criterion July 2, 2001. | |
7312 | Evaluation March 10, 1976; evaluation July 2, 2001. | |
7313 | Evaluation March 10, 1976; removed July 2, 2001. | |
7319 | Evaluation November 1, 1962. | |
7321 | Evaluation July 6, 1950; criterion March 10, 1976. | |
7328 | Evaluation November 1, 1962. | |
7329 | Evaluation November 1, 1962. | |
7330 | Evaluation November 1, 1962. | |
7331 | Criterion March 11, 1969. | |
7332 | Evaluation November 1, 1962. | |
7334 | Evaluation July 6, 1950; evaluation November 1, 1962. | |
7339 | Criterion March 10, 1976. | |
7341 | Removed March 10, 1976. | |
7343 | Criterion March 10, 1976; criterion July 2, 2001. | |
7344 | Criterion July 2, 2001. | |
7345 | Evaluation August 23, 1948; evaluation February 17, 1955; evaluation July 2, 2001. | |
7346 | Evaluation February 1, 1962. | |
7347 | Added September 9, 1975. | |
7348 | Added March 10, 1976. | |
7351 | Added July 2, 2001. | |
7354 | Added July 2, 2001. | |
4.115a | Re-designated and revised as § 4.115b; new § 4.115a "Ratings of the genitourinary system-dysfunctions" added February 17, 1994. | |
4.115b | 7500 | Note July 6, 1950; evaluation February 17, 1994, criterion September 8, 1994. |
7501 | Evaluation February 17, 1994. | |
7502 | Evaluation February 17, 1994. | |
7503 | Removed February 17, 1994. | |
7504 | Criterion February 17, 1994. | |
7505 | Criterion March 11, 1969; evaluation February 17, 1994. | |
7507 | Criterion February 17, 1994. | |
7508 | Evaluation February 17, 1994. | |
7509 | Criterion February 17, 1994. | |
7510 | Evaluation February 17, 1994. | |
7511 | Evaluation February 17, 1994. | |
7512 | Evaluation February 17, 1994. | |
7513 | Removed February 17, 1994. | |
7514 | Criterion March 11, 1969; removed February 17, 1994. | |
7515 | Criterion February 17, 1994. | |
7516 | Criterion February 17, 1994. | |
7517 | Criterion February 17, 1994. | |
7518 | Evaluation February 17, 1994. | |
7519 | Evaluation March 10, 1976; evaluation February 17, 1994. | |
7520 | Criterion February 17, 1994. | |
7521 | Criterion February 17, 1994. | |
7522 | Criterion September 8, 1994. | |
7523 | Criterion September 8, 1994. | |
7524 | Note July 6, 1950; evaluation February 17, 1994; evaluation September 8, 1994. | |
7525 | Criterion March 11, 1969; evaluation February 17, 1994. | |
7526 | Removed February 17, 1994. | |
7527 | Criterion February 17, 1994. | |
7528 | Criterion March 10, 1976; criterion February 17, 1994. | |
7529 | Criterion February 17, 1994. | |
7530 | Added September 9, 1975; evaluation February 17, 1994. | |
7531 | Added September 9, 1975; criterion February 17, 1994. | |
7532-7542 | Added February 17, 1994. | |
4.116 | § 4.116 removed and § 4.116a re-designated § 4.116 "Schedule of ratings-gynecological conditions and disorders of the breasts" May 22, 1995. | |
7610 | Criterion May 22, 1995. | |
7611 | Criterion May 22, 1995. | |
7612 | Criterion May 22, 1995. | |
7613 | Criterion May 22, 1995. | |
7614 | Criterion May 22, 1995. | |
7615 | Criterion May 22, 1995. | |
7617 | Criterion May 22, 1995. | |
7618 | Criterion May 22, 1995. | |
7619 | Criterion May 22, 1995. | |
7620 | Criterion May 22, 1995. | |
7621 | Criterion May 22, 1995. | |
7622 | Evaluation May 22, 1995. | |
7623 | Evaluation May 22, 1995. | |
7624 | Criterion August 9, 1976; evaluation May 22, 1995. | |
7625 | Criterion August 9, 1976; evaluation May 22, 1995. | |
7626 | Criterion May 22, 1995; criterion March 18, 2002. | |
7627 | Criterion March 10, 1976; criterion May 22, 1995. | |
7628 | Added May 22, 1995. | |
7629 | Added May 22, 1995. | |
4.117 | 7700 | Evaluation October 23, 1995. |
7701 | Removed October 23, 1995. | |
7702 | Evaluation October 23, 1995. | |
7703 | Evaluation August 23, 1948; criterion October 23, 1995. | |
7704 | Evaluation October 23, 1995. | |
7705 | Evaluation October 23, 1995. | |
7706 | Evaluation October 23, 1995. | |
7707 | Criterion October 23, 1995. | |
7709 | Evaluation March 10, 1976; criterion October 23, 1995. | |
7710 | Criterion October 23, 1995. | |
7711 | Criterion October 23, 1995. | |
7712 | Criterion October 23, 1995. | |
7713 | Removed October 23, 1995. | |
7714 | Added September 9, 1975; criterion October 23, 1995. | |
7715 | Added October 26, 1990. | |
7716 | Added October 23, 1995. | |
4.118 | 7800 | Evaluation August 30, 2002. |
7801 | Criterion July 6, 1950; criterion August 30, 2002. | |
7802 | Criterion September 22, 1978; criterion August 30, 2002. | |
7803 | Criterion August 30, 2002. | |
7804 | Criterion July 6, 1950; criterion September 22, 1978; criterion August 30, 2002. | |
7806 | Criterion September 9, 1975; evaluation August 30, 2002. | |
7807 | Criterion August 30, 2002. | |
7808 | Criterion August 30, 2002. | |
7809 | Criterion August 30, 2002. | |
7810 | Removed August 30, 2002. | |
7811 | Criterion March 11, 1969; evaluation August 30, 2002. | |
7812 | Removed August 30, 2002. | |
7813 | Criterion August 30, 2002. | |
7814 | Removed August 30, 2002. | |
7815 | Evaluation August 30, 2002. | |
7816 | Evaluation August 30, 2002. | |
7817 | Evaluation August 30, 2002. | |
7818 | Criterion August 30, 2002. | |
7819 | Criterion August 30, 2002. | |
7820-7833 | Added August 30, 2002. | |
4.119 | 7900 | Criterion August 13, 1981; evaluation June 9, 1996. |
7901 | Criterion August 13, 1981; evaluation June 9, 1996. | |
7902 | Evaluation August 13, 1981; criterion June 9, 1996. | |
7903 | Criterion August 13, 1981; evaluation June 9, 1996. | |
7904 | Criterion August 13, 1981; evaluation June 9, 1996. | |
7905 | Evaluation; August 13, 1981; evaluation June 9, 1996. | |
7907 | Evaluation August 13, 1981; evaluation June 9, 1996. | |
7908 | Criterion August 13, 1981; criterion June 9, 1996. | |
7909 | Evaluation August 13, 1981; criterion June 9, 1996. | |
7910 | Removed June 9, 1996. | |
7911 | Evaluation March 11, 1969; evaluation August 13, 1981; criterion June 9, 1996. | |
7913 | Criterion September 9, 1975; criterion August 13, 1981; criterion June 6, 1996. | |
7914 | Criterion March 10, 1976; criterion August 13, 1981; criterion June 9, 1996. | |
7916 | Added June 9, 1996. | |
7917 | Added June 9, 1996. | |
7918 | Added June 9, 1996. | |
7919 | Added June 9, 1996. | |
4.124a | 8002 | Criterion September 22, 1978. |
8021 | Criterion September 22, 1978; criterion October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. | |
8046 | Added October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. | |
8100 | Evaluation June 9, 1953. | |
8540 | Added October 15, 1991. | |
8910 | Added October 1, 1961. | |
8911 | Added October 1, 1961; evaluation September 9, 1975. | |
8912 | Added October 1, 1961. | |
8913 | Added October 1, 1961. | |
8914 | Added October 1, 1961; criterion September 9, 1975; criterion March 10, 1976. | |
8910-8914 | Evaluations September 9, 1975. | |
4.125-4.132 | All Diagnostic Codes under Mental Disorders October 1, 1961; except as to evaluation for Diagnostic Codes 9500 through 9511 September 9, 1975. | |
4.130 | Re-designated from § 4.132 November 7, 1996. | |
9200 | Removed February 3, 1988. | |
9201 | Criterion February 3, 1988. | |
9202 | Criterion February 3, 1988. | |
9203 | Criterion February 3, 1988. | |
9204 | Criterion February 3, 1988. | |
9205 | Criterion February 3, 1988; criterion November 7, 1996. | |
9206 | Criterion February 3, 1988; removed November 7, 1996. | |
9207 | Criterion February 3, 1988; removed November 7, 1996. | |
9208 | Criterion February 3, 1988; removed November 7, 1996. | |
9209 | Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9210 | Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996. | |
9211 | Added November 7, 1996. | |
9300 | Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996. | |
9301 | Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996. | |
9302 | Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9303 | Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9304 | Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996. | |
9305 | Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996. | |
9306 | Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9307 | Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9308 | Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9309 | Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9310 | Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996. | |
9311 | Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9312 | Added March 10, 1976; criterion February 3, 1988; criterion November 7, 1996. | |
9313 | Added March 10, 1976; removed February 3, 1988. | |
9314 | Added March 10, 1976; removed February 3, 1988. | |
9315 | Added March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9316-9321 | Added March 10, 1976; removed February 3, 1988. | |
9322 | Added March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9323 | Added March 10, 1976; removed February 3, 1988. | |
9324 | Added March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9325 | Added March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9326 | Added March 10, 1976; removed February 3, 1988; added November 7, 1996. | |
9327 | Added November 7, 1996. | |
9400-9411 | Evaluations February 3, 1988. | |
9400 | Criterion March 10, 1976; criterion February 3, 1988. | |
9401 | Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9402 | Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. | |
9403 | Criterion March 10, 1976; criterion February 3, 1988; criterion February 3, 1988; criterion November 7, 1996. | |
9410 | Added March 10, 1976; criterion February 3, 1988. | |
9411 | Added February 3, 1988. | |
9412 | Added November 7, 1996. | |
9413 | Added November 7, 1996. | |
9416 | Added November 7, 1996. | |
9417 | Added November 7, 1996. | |
9421 | Added November 7, 1996. | |
9422 | Added November 7, 1996. | |
9423 | Added November 7, 1996. | |
9424 | Added November 7, 1996. | |
9425 | Added November 7, 1996. | |
9431 | Added November 7, 1996. | |
9432 | Added November 7, 1996. | |
9433 | Added November 7, 1996. | |
9434 | Added November 7, 1996. | |
9435 | Added November 7, 1996. | |
9440 | Added November 7, 1996. | |
9500 | Criterion March 10, 1976; criterion February 3, 1988. | |
9501 | Criterion March 10, 1976; criterion February 3, 1988. | |
9502 | Criterion March 10, 1976; criterion February 3, 1988. | |
9503 | Removed March 10, 1976. | |
9504 | Criterion September 9, 1975; removed March 10, 1976. | |
9505 | Added March 10, 1976; criterion February 3, 1988. | |
9506 | Added March 10, 1976; criterion February 3, 1988. | |
9507 | Added March 10, 1976; criterion February 3, 1988. | |
9508 | Added March 10, 1976; criterion February 3, 1988. | |
9509 | Added March 10, 1976; criterion February 3, 1988. | |
9510 | Added March 10, 1976; criterion February 3, 1988. | |
9511 | Added March 10, 1976; criterion February 3, 1988. | |
9520 | Added November 7, 1996. | |
9521 | Added November 7, 1996. | |
4.132 | Re-designated as § 4.130 November 7, 1996. | |
4.150 | 9900 | Criterion September 22, 1978; criterion February 17, 1994. |
9901 | Criterion February 17, 1994. | |
9902 | Criterion February 17, 1994. | |
9903 | Criterion February 17, 1994. | |
9905 | Criterion September 22, 1978; evaluation February 17, 1994. | |
9910 | Removed February 17, 1994. | |
9913 | Criterion February 17, 1994. | |
9914 | Added February 17, 1994. | |
9915 | Added February 17, 1994. | |
9916 | Added February 17, 1994. |
3. Appendix B to Part 4 is revised to read as follows:
Diagnostic Code No. | |
---|---|
THE MUSCULOSKELETAL SYSTEM | |
Acute, Subacute, or Chronic Diseases | |
5000 | Osteomyelitis, acute, subacute, or chronic. |
5001 | Bones and Joints, tuberculosis. |
5002 | Arthritis, rheumatoid (atrophic). |
5003 | Arthritis, degenerative (hypertrophic or osteoarthritis). |
5004 | Arthritis, gonorrheal. |
5005 | Arthritis, pneumococcic. |
5006 | Arthritis, typhoid. |
5007 | Arthritis, syphilitic. |
5008 | Arthritis, streptococcic. |
5009 | Arthritis, other types (specify). |
5010 | Arthritis, due to trauma. |
5011 | Bones, caisson disease. |
5012 | Bones, new growths, malignant. |
5013 | Osteoporosis, with joint manifestations. |
5014 | Osteomalacia. |
5015 | Bones, new growths, benign. |
5016 | Osteitis deformans. |
5017 | Gout. |
5018 | Hydrarthrosis, intermittent. |
5019 | Bursitis. |
5020 | Synovitis. |
5021 | Myositis. |
5022 | Periostitis. |
5023 | Myositis ossificans. |
5024 | Tenosynovitis. |
5025 | Fibromyalgia. |
Prosthetic Implants | |
5051 | Shoulder replacement (prosthesis). |
5052 | Elbow replacement (prosthesis). |
5053 | Wrist replacement (prosthesis). |
5054 | Hip replacement (prosthesis). |
5055 | Knee replacement (prosthesis). |
5056 | Ankle replacement (prosthesis). |
Combination of Disabilities | |
5104 | Anatomical loss of one hand and loss of use of one foot. |
5105 | Anatomical loss of one foot and loss of use of one hand. |
5106 | Anatomical loss of both hands. |
5107 | Anatomical loss of both feet. |
5108 | Anatomical loss of one hand and one foot. |
5109 | Loss of use of both hands. |
5110 | Loss of use of both feet. |
5111 | Loss of use of one hand and one foot. |
Amputations: Upper Extremity | |
Arm amputation of: | |
5120 | Disarticulation. |
5121 | Above insertion of deltoid. |
5122 | Below insertion of deltoid. |
Forearm amputation of: | |
5123 | Above insertion of pronator teres. |
5124 | Below insertion of pronator teres. |
5125 | Hand, loss of use of. |
Multiple Finger Amputations | |
5126 | Five digits of one hand. |
Four digits of one hand: | |
5127 | Thumb, index, long and ring. |
5128 | Thumb, index, long and little. |
5129 | Thumb, index, ring and little. |
5130 | Thumb, long, ring and little. |
5131 | Index, long, ring and little. |
Three digits of one hand: | |
5132 | Thumb, index and long. |
5133 | Thumb, index and ring. |
5134 | Thumb, index and little. |
5135 | Thumb, long and ring. |
5136 | Thumb, long and little. |
5137 | Thumb, ring and little. |
5138 | Index, long and ring. |
5139 | Index, long and little. |
5140 | Index, ring and little. |
5141 | Long, ring and little. |
Two digits of one hand: | |
5142 | Thumb and index. |
5143 | Thumb and long. |
5144 | Thumb and ring. |
5145 | Thumb and little. |
5146 | Index and long. |
5147 | Index and ring. |
5148 | Index and little. |
5149 | Long and ring. |
5150 | Long and little. |
5151 | Ring and little. |
Single finger: | |
5152 | Thumb. |
5153 | Index finger. |
5154 | Long finger. |
5155 | Ring finger. |
5156 | Little finger. |
Amputations: Lower Extremity | |
Thigh amputation of: | |
5160 | Disarticulation. |
5161 | Upper third. |
5162 | Middle or lower thirds. |
Leg amputation of: | |
5163 | With defective stump. |
5164 | Not improvable by prosthesis controlled by natural knee action. |
5165 | At a lower level, permitting prosthesis. |
5166 | Forefoot, proximal to metatarsal bones. |
5167 | Foot, loss of use of. |
5170 | Toes, all, without metatarsal loss. |
5171 | Toe, great. |
5172 | Toes, other than great, with removal of metatarsal head. |
5173 | Toes, three or more, without metatarsal involvement. |
Shoulder and Arm | |
5200 | Scapulohumeral articulation, ankylosis. |
5201 | Arm, limitation of motion. |
5202 | Humerus, other impairment. |
5203 | Clavicle or scapula, impairment. |
Elbow and Forearm | |
5205 | Elbow, ankylosis. |
5206 | Forearm, limitation of flexion. |
5207 | Forearm, limitation of extension. |
5208 | Forearm, flexion limited. |
5209 | Elbow, other impairment. |
5210 | Radius and ulna, nonunion. |
5211 | Ulna, impairment. |
5212 | Radius, impairment. |
5213 | Supination and pronation, impairment. |
Wrist | |
5214 | Wrist, ankylosis. |
5215 | Wrist, limitation of motion. |
Limitation of Motion | |
Multiple Digits: Unfavorable Ankylosis: | |
5216 | Five digits of one hand. |
5217 | Four digits of one hand. |
5218 | Three digits of one hand. |
5219 | Two digits of one hand. |
Multiple Digits: Favorable Ankylosis: | |
5220 | Five digits of one hand. |
5221 | Four digits of one hand. |
5222 | Three digits of one hand. |
5223 | Two digits of one hand. |
Ankylosis of Individual Digits: | |
5224 | Thumb. |
5225 | Index finger. |
5226 | Long finger. |
5227 | Ring or little finger. |
Limitation of Motion of Individual Digits: | |
5228 | Thumb. |
5229 | Index or long finger. |
5230 | Ring or little finger. |
Spine | |
5235 | Vertebral fracture or dislocation. |
5236 | Sacroiliac injury and weakness. |
5237 | Lumbosacral or cervical strain. |
5238 | Spinal stenosis. |
5239 | Spondylolisthesis or segmental instability. |
5240 | Ankylosing spondylitis. |
5241 | Spinal fusion. |
5242 | Degenerative arthritis. |
5243 | Intervertebral disc syndrome. |
Hip and Thigh | |
5250 | Hip, ankylosis. |
5251 | Thigh, limitation of extension. |
5252 | Thigh, limitation of flexion. |
5253 | Thigh, impairment. |
5254 | Hip, flail joint. |
5255 | Femur, impairment. |
Knee and Leg | |
5256 | Knee, ankylosis. |
5257 | Knee, other impairment. |
5258 | Cartilage, semilunar, dislocated. |
5259 | Cartilage, semilunar, removal. |
5260 | Leg, limitation of flexion. |
5261 | Leg, limitation of extension. |
5262 | Tibia and fibula, impairment. |
5263 | Genu recurvatum. |
Ankle | |
5270 | Ankle, ankylosis. |
5271 | Ankle, limited motion. |
5272 | Subastragalar or tarsal joint, ankylosis. |
5273 | Os calcis or astragalus, malunion. |
5274 | Astragalectomy. |
Shortening of the Lower Extremity | |
5275 | Bones, of the lower extremity |
The Foot | |
5276 | Flatfoot, acquired. |
5277 | Weak foot, bilateral. |
5278 | Claw foot (pes cavus), acquired. |
5279 | Metatarsalgia, anterior (Morton's disease). |
5280 | Hallux valgus. |
5281 | Hallux rigidus. |
5282 | Hammer toe. |
5283 | Tarsal or metatarsal bones. |
5284 | Foot injuries, other. |
The Skull | |
5296 | Loss of part of. |
The Ribs | |
5297 | Removal of. |
The Coccyx | |
5298 | Removal of. |
MUSCLE INJURIES | |
Shoulder Girdle and Arm | |
5301 | Group I Function: Upward rotation of scapula. |
5302 | Group II Function: Depression of arm. |
5303 | Group III Function: Elevation and abduction of arm. |
5304 | Group IV Function: Stabilization of shoulder. |
5305 | Group V Function: Elbow supination. |
5306 | Group VI Function: Extension of elbow. |
Forearm and Hand | |
5307 | Group VII Function: Flexion of wrist and fingers. |
5308 | Group VIII Function: Extension of wrist, fingers, thumb. |
5309 | Group IX Function: Forearm muscles. |
Foot and Leg | |
5310 | Group X Function: Movement of forefoot and toes. |
5311 | Group XI Function: Propulsion of foot. |
5312 | Group XII Function: Dorsiflexion. |
Pelvic Girdle and Thigh | |
5313 | Group XIII Function: Extension of hip and flexion of knee. |
5314 | Group XIV Function: Extension of knee. |
5315 | Group XV Function: Adduction of hip. |
5316 | Group XVI Function: Flexion of hip. |
5317 | Group XVII Function: Extension of hip. |
5318 | Group XVIII Function: Outward rotation of thigh. |
Torso and Neck | |
5319 | Group XIX Function: Abdominal wall and lower thorax. |
5320 | Group XX Function: Postural support of body. |
5321 | Group XXI Function: Respiration. |
5322 | Group XXII Function: Rotary and forward movements, head. |
5323 | Group XXIII Function: Movements of head. |
Miscellaneous | |
5324 | Diaphragm, rupture. |
5325 | Muscle injury, facial muscles. |
5326 | Muscle hernia. |
5327 | Muscle, neoplasm of, malignant. |
5328 | Muscle, neoplasm of, benign. |
5329 | Sarcoma, soft tissue. |
THE EYE | |
Diseases of the Eye | |
6000 | Uveitis. |
6001 | Keratitis. |
6002 | Scleritis. |
6003 | Iritis. |
6004 | Cyclitis. |
6005 | Choroiditis. |
6006 | Retinitis. |
6007 | Hemorrhage, intra-ocular, recent. |
6008 | Retina, detachment. |
6009 | Eye, injury of, unhealed. |
6010 | Eye, tuberculosis. |
6011 | Retina, localized scars. |
6012 | Glaucoma, congestive or inflammatory. |
6013 | Glaucoma, simple, primary, noncongestive. |
6014 | New growths, malignant, eyeball. |
6015 | New growths, benign, eyeball and adnexa. |
6016 | Nystagmus, central. |
6017 | Conjunctivitis, trachomatous, chronic. |
6018 | Conjunctivitis, other, chronic. |
6019 | Ptosis unilateral or bilateral. |
6020 | Ectropion. |
6021 | Entropion. |
6022 | Lagophthalmos. |
6023 | Eyebrows, loss. |
6024 | Eyelashes, loss. |
6025 | Epiphora. |
6026 | Neuritis, optic. |
6027 | Cataract, traumatic. |
6028 | Cataract, senile, and others. |
6029 | Aphakia. |
6030 | Accommodation, paralysis. |
6031 | Dacryocystitis. |
6032 | Eyelids, loss of portion. |
6033 | Lens, crystalline, dislocation. |
6034 | Pterygium. |
6035 | Keratoconus. |
Impairment of Central Visual Acuity | |
6061 | Anatomical loss both eyes. |
6062 | Blindness, both eyes, only light perception. |
Anatomical loss of 1 eye: | |
6063 | Other eye 5/200 (1.5/60). |
6064 | Other eye 10/200 (3/60). |
6064 | Other eye 15/200 (4.5/60). |
6064 | Other eye 20/200 (6/60). |
6065 | Other eye 20/100 (6/30). |
6065 | Other eye 20/70 (6/21). |
6065 | Other eye 20/50 (6/15). |
6066 | Other eye 20/40 (6/12). |
Blindness in 1 eye, only light perception: | |
6067 | Other eye 5/200 (1.5/60). |
6068 | Other eye 10/200 (3/60). |
6068 | Other eye 15/200 (4.5/60). |
6068 | Other eye 20/200 (6/60). |
6069 | Other eye 20/100 (6/30). |
6069 | Other eye 20/70 (6/21). |
6069 | Other eye 20/50 (6/15). |
6070 | Other eye 20/40 (6/12). |
Vision in 1 eye 5/200 (1.5/60): | |
6071 | Other eye 5/200 (1.5/60). |
6072 | Other eye 10/200 (3/60). |
6072 | Other eye 15/200 (4.5/60). |
6072 | Other eye 20/200 (6/60). |
6073 | Other eye 20/100 (6/30). |
6073 | Other eye 20/70 (6/21). |
6073 | Other eye 20/50 (6/15). |
6074 | Other eye 20/40 (6/12). |
Vision in 1 eye 10/200 (3/60): | |
6075 | Other eye 10/200 (3/60). |
6075 | Other eye 15/200 (4.5/60). |
6075 | Other eye 20/200 (6/60). |
6076 | Other eye 20/100 (6/30). |
6076 | Other eye 20/70 (6/21). |
6076 | Other eye 20/50 (6/15). |
6077 | Other eye 20/40 (6/12). |
Vision in 1 eye 15/200 (4.5/60): | |
6075 | Other eye 15/200 (4.5/60). |
6075 | Other eye 20/200 (6/60). |
6076 | Other eye 20/100 (6/30). |
6076 | Other eye 20/70 (6/21). |
6076 | Other eye 20/50 (6/15). |
6077 | Other eye 20/40 (6/12). |
Vision in 1 eye 20/200 (6/60): | |
6075 | Other eye 20/200 (6/60). |
6076 | Other eye 20/100 (6/30). |
6076 | Other eye 20/70 (6/21). |
6076 | Other eye 20/50 (6/15). |
6077 | Other eye 20/40 (6/12). |
Vision in 1 eye 20/100 (6/30): | |
6078 | Other eye 20/100 (6/30). |
6078 | Other eye 20/70 (6/21). |
6078 | Other eye 20/50 (6/15). |
6079 | Other eye 20/40 (6/12). |
Vision in 1 eye 20/70 (6/21): | |
6078 | Other eye 20/70 (6/21). |
6078 | Other eye 20/50 (6/15). |
6079 | Other eye 20/40 (6/12). |
Vision in 1 eye 20/50 (6/15): | |
6078 | Other eye 20/50 (6/15). |
6079 | Other eye 20/40 (6/12). |
Impairment of Field Vision: | |
6080 | Field vision, impairment. |
6081 | Scotoma. |
Impairment of Muscle Function: | |
6090 | Diplopia. |
6091 | Symblepharon. |
6092 | Diplopia, limited muscle function. |
THE EAR | |
6200 | Chronic suppurative otitis media. |
6201 | Chronic nonsuppurative otitis media. |
6202 | Otosclerosis. |
6204 | Peripheral vestibular disorders. |
6205 | Meniere's syndrome. |
6207 | Loss of auricle. |
6208 | Malignant neoplasm. |
6209 | Benign neoplasm. |
6210 | Chronic otitis externa. |
6211 | Tympanic membrane. |
6260 | Tinnitus, recurrent. |
OTHER SENSE ORGANS | |
6275 | Smell, complete loss. |
6276 | Taste, complete loss. |
INFECTIOUS DISEASES, IMMUNE DISORDERS AND NUTRITIONAL DEFICIENCIES | |
6300 | Cholera, Asiatic. |
6301 | Visceral Leishmaniasis. |
6302 | Leprosy (Hansen's Disease). |
6304 | Malaria. |
6305 | Lymphatic Filariasis. |
6306 | Bartonellosis. |
6307 | Plague. |
6308 | Relapsing fever. |
6309 | Rheumatic fever. |
6310 | Syphilis. |
6311 | Tuberculosis, miliary. |
6313 | Avitaminosis. |
6314 | Beriberi. |
6315 | Pellagra. |
6316 | Brucellosis. |
6317 | Typhus, scrub. |
6318 | Melioidosis. |
6319 | Lyme disease. |
6320 | Parasitic diseases. |
6350 | Lupus erythematosus. |
6351 | HIV-Related Illness. |
6354 | Chronic Fatigue Syndrome (CFS). |
THE RESPIRATORY SYSTEM | |
Nose and Throat | |
6502 | Septum, nasal, deviation. |
6504 | Nose, loss of part of, or scars. |
6510 | Sinusitis, pansinusitis, chronic. |
6511 | Sinusitis, ethmoid, chronic. |
6512 | Sinusitis, frontal, chronic. |
6513 | Sinusitis, maxillary, chronic. |
6514 | Sinusitis, sphenoid, chronic. |
6515 | Laryngitis, tuberculous. |
6516 | Laryngitis, chronic. |
6518 | Laryngectomy, total. |
6519 | Aphonia, complete organic. |
6520 | Larynx, stenosis of. |
6521 | Pharynx, injuries to. |
6522 | Allergic or vasomotor rhinitis. |
6523 | Bacterial rhinitis. |
6524 | Granulomatous rhinitis. |
Trachea and Bronchi | |
6600 | Bronchitis, chronic. |
6601 | Bronchiectasis. |
6602 | Asthma, bronchial. |
6603 | Emphysema, pulmonary. |
6604 | Chronic obstructive pulmonary disease. |
Lungs and Pleura Tuberculosis | |
Ratings for Pulmonary Tuberculosis (Chronic) Entitled on August 19, 1968: | |
6701 | Active, far advanced. |
6702 | Active, moderately advanced. |
6703 | Active, minimal. |
6704 | Active, advancement unspecified. |
6721 | Inactive, far advanced. |
6722 | Inactive, moderately advanced. |
6723 | Inactive, minimal. |
6724 | Inactive, advancement unspecified. |
Ratings for Pulmonary Tuberculosis Initially Evaluated After August 19, 1968: | |
6730 | Chronic, active. |
6731 | Chronic, inactive. |
6732 | Pleurisy, active or inactive. |
Nontuberculous Diseases | |
6817 | Pulmonary Vascular Disease. |
6819 | Neoplasms, malignant. |
6820 | Neoplasms, benign. |
Bacterial Infections of the Lung | |
6822 | Actinomycosis. |
6823 | Nocardiosis. |
6824 | Chronic lung abscess. |
Interstitial Lung Disease | |
6825 | Fibrosis of lung, diffuse interstitial. |
6826 | Desquamative interstitial pneumonitis. |
6827 | Pulmonary alveolar proteinosis. |
6828 | Eosinophilic granuloma. |
6829 | Drug-induced, pneumonitis fibrosis. |
6830 | Radiation-induced, pneumonitis fibrosis. |
6831 | Hypersensitivity pneumonitis. |
6832 | Pneumoconiosis. |
6833 | Asbestosis. |
Mycotic Lung Disease | |
6834 | Histoplasmosis. |
6835 | Coccidioidomycosis. |
6836 | Blastomycosis. |
6837 | Cryptococcosis. |
6838 | Aspergillosis. |
6839 | Mucormycosis. |
Restrictive Lung Disease | |
6840 | Diaphragm paralysis or paresis. |
6841 | Spinal cord injury with respiratory insufficiency. |
6842 | Kyphoscoliosis, pectus excavatum/carinatum. |
6843 | Traumatic chest wall defect. |
6844 | Post-surgical residual. |
6845 | Pleural effusion or fibrosis. |
6846 | Sarcoidosis. |
6847 | Sleep Apnea Syndromes. |
THE CARDIOVASCULAR SYSTEM | |
Diseases of the Heart | |
7000 | Valvular heart disease. |
7001 | Endocarditis. |
7002 | Pericarditis. |
7003 | Pericardial adhesions. |
7004 | Syphilitic heart disease. |
7005 | Arteriosclerotic heart disease. |
7006 | Myocardial infarction. |
7007 | Hypertensive heart disease. |
7008 | Hyperthyroid heart disease. |
7010 | Supraventricular arrhythmias. |
7011 | Ventricular arrhythmias. |
7015 | Atrioventricular block. |
7016 | Heart valve replacement. |
7017 | Coronary bypass surgery. |
7018 | Implantable cardiac pacemakers. |
7019 | Cardiac transplantation. |
7020 | Cardiomyopathy. |
Diseases of the Arteries and Veins | |
7101 | Hypertensive vascular disease. |
7110 | Aortic aneurysm. |
7111 | Aneurysm, large artery. |
7112 | Aneurysm, small artery. |
7113 | Arteriovenous fistula, traumatic. |
7114 | Arteriosclerosis obliterans. |
7115 | Thrombo-angiitis obliterans (Buerger's Disease). |
7117 | Raynaud's syndrome. |
7118 | Angioneurotic edema. |
7119 | Erythromelalgia. |
7120 | Varicose veins. |
7121 | Post-phlebitic syndrome. |
7122 | Cold injury residuals. |
7123 | Soft tissue sarcoma. |
THE DIGESTIVE SYSTEM | |
7200 | Mouth, injuries. |
7201 | Lips, injuries. |
7202 | Tongue, loss. |
7203 | Esophagus, stricture. |
7204 | Esophagus, spasm. |
7205 | Esophagus, diverticulum. |
7301 | Peritoneum, adhesions. |
7304 | Ulcer, gastric. |
7305 | Ulcer, duodenal. |
7306 | Ulcer, marginal. |
7307 | Gastritis, hypertrophic. |
7308 | Postgastrectomy syndromes. |
7309 | Stomach, stenosis. |
7310 | Stomach, injury of, residuals. |
7311 | Liver, injury of, residuals. |
7312 | Liver, cirrhosis. |
7314 | Cholecystitis, chronic. |
7315 | Cholelithiasis, chronic. |
7316 | Cholangitis, chronic. |
7317 | Gall bladder, injury. |
7318 | Gall bladder, removal. |
7319 | Colon, irritable syndrome. |
7321 | Amebiasis. |
7322 | Dysentery, bacillary. |
7323 | Colitis, ulcerative. |
7324 | Distomiasis, intestinal or hepatic. |
7325 | Enteritis, chronic. |
7326 | Enterocolitis, chronic. |
7327 | Diverticulitis. |
7328 | Intestine, small, resection. |
7329 | Intestine, large, resection. |
7330 | Intestine, fistula. |
7331 | Peritonitis. |
7332 | Rectum anus, impairment. |
7333 | Rectum anus, stricture. |
7334 | Rectum, prolapse. |
7335 | Ano, fistula in. |
7336 | Hemorrhoids. |
7337 | Pruritus ani. |
7338 | Hernia, inguinal. |
7339 | Hernia, ventral, postoperative. |
7340 | Hernia, femoral. |
7342 | Visceroptosis. |
7343 | Neoplasms, malignant. |
7344 | Neoplasms, benign. |
7345 | Liver disease, chronic, without cirrhosis. |
7346 | Hernia, hiatal. |
7347 | Pancreatitis. |
7348 | Vagotomy. |
7351 | Liver transplant. |
7354 | Hepatitis C. |
THE GENITOURINARY SYSTEM | |
7500 | Kidney, removal. |
7501 | Kidney, abscess. |
7502 | Nephritis, chronic. |
7504 | Pyelonephritis, chronic. |
7505 | Kidney, tuberculosis. |
7507 | Nephrosclerosis, arteriolar. |
7508 | Nephrolithiasis. |
7509 | Hydronephrosis. |
7510 | Ureterolithiasis. |
7511 | Ureter, stricture. |
7512 | Cystitis, chronic. |
7515 | Bladder, calculus. |
7516 | Bladder, fistula. |
7517 | Bladder, injury. |
7518 | Urethra, stricture. |
7519 | Urethra, fistula. |
7520 | Penis, removal of half or more. |
7521 | Penis, removal of glans. |
7522 | Penis, deformity, with loss of erectile power. |
7523 | Testis, atrophy, complete. |
7524 | Testis, removal. |
7525 | Epididymo-orchitis, chronic only. |
7527 | Prostate gland. |
7528 | Malignant neoplasms. |
7529 | Benign neoplasms. |
7530 | Renal disease, chronic. |
7531 | Kidney transplant. |
7532 | Renal tubular disorders. |
7533 | Kidneys, cystic diseases. |
7534 | Atherosclerotic renal disease. |
7535 | Toxic nephropathy. |
7536 | Glomerulonephritis. |
7537 | Interstitial nephritis. |
7538 | Papillary necrosis. |
7539 | Renal amyloid disease. |
7540 | Disseminated intravascular coagulation. |
7541 | Renal involvement in systemic diseases. |
7542 | Neurogenic bladder. |
GYNECOLOGICAL CONDITIONS AND DISORDERS OF THE BREAST | |
7610 | Vulva, disease or injury. |
7611 | Vagina, disease or injury. |
7612 | Cervix, disease or injury. |
7613 | Uterus, disease or injury. |
7614 | Fallopian tube, disease or injury. |
7615 | Ovary, disease or injury. |
7617 | Uterus and both ovaries, removal. |
7618 | Uterus, removal. |
7619 | Ovary, removal. |
7620 | Ovaries, atrophy of both. |
7621 | Uterus, prolapse. |
7622 | Uterus, displacement. |
7623 | Pregnancy, surgical complications. |
7624 | Fistula, rectovaginal. |
7625 | Fistula, urethrovaginal. |
7626 | Breast, surgery. |
7627 | Malignant neoplasms. |
7628 | Benign neoplasms. |
7629 | Endometriosis. |
THE HEMIC AND LYMPHATIC SYSTEMS | |
7700 | Anemia. |
7702 | Agranulocytosis, acute. |
7703 | Leukemia. |
7704 | Polycythemia vera. |
7705 | Thrombocytopenia. |
7706 | Splenectomy. |
7707 | Spleen, injury of, healed. |
7709 | Hodgkin's disease. |
7710 | Adenitis, tuberculous. |
7714 | Sickle cell anemia. |
7715 | Non-Hodgkin's lymphoma. |
7716 | Aplastic anemia. |
THE SKIN | |
7800 | Disfigurement of, head, face or neck. |
7801 | Scars, deep, other than head, face or neck. |
7802 | Scars, superficial, other than head, face, or neck. |
7803 | Scars, superficial, unstable. |
7804 | Scars, superficial, painful. |
7805 | Scars, other. |
7806 | Dermatitis or eczema. |
7807 | Leishmaniasis, American (New World). |
7808 | Leishmaniasis, Old World. |
7809 | Lupus erythematosus, discoid. |
7811 | Tuberculosis luposa (lupus vulgaris). |
7813 | Dermatophytosis. |
7815 | Bullous disorders. |
7816 | Psoriasis. |
7817 | Exfoliative dermatitis. |
7818 | Malignant skin neoplasms. |
7819 | Benign skin neoplasms. |
7820 | Infections of the skin. |
7821 | Cutaneous manifestations of collagen-vascular diseases. |
7822 | Papulosquamous disorders. |
7823 | Vitiligo. |
7824 | Keratinization, diseases. |
7825 | Urticaria. |
7826 | Vasculitis, primary cutaneous. |
7827 | Erythema multiforme. |
7828 | Acne. |
7829 | Chloracne. |
7830 | Scarring alopecia. |
7831 | Alopecia areata. |
7832 | Hyperhidrosis. |
7833 | Malignant melanoma. |
THE ENDOCRINE SYSTEM | |
7900 | Hyperthyroidism. |
7901 | Thyroid gland, toxic adenoma. |
7902 | Thyroid gland, nontoxic adenoma. |
7903 | Hypothyroidism. |
7904 | Hyperparathyroidism. |
7905 | Hypoparathyroidism. |
7907 | Cushing's syndrome. |
7908 | Acromegaly. |
7909 | Diabetes insipidus. |
7911 | Addison's disease. |
7912 | Pluriglandular syndrome. |
7913 | Diabetes mellitus. |
7914 | Malignant neoplasm. |
7915 | Benign neoplasm. |
7916 | Hyperpituitarism. |
7917 | Hyperaldosteronism. |
7918 | Pheochromocytoma. |
7919 | C-cell hyperplasia, thyroid. |
NEUROLOGICAL CONDITIONS AND CONVULSIVE DISORDERS | |
Organic Diseases of the Central Nervous System | |
8000 | Encephalitis, epidemic, chronic. |
Brain, New Growth of | |
8002 | Malignant. |
8003 | Benign. |
8004 | Paralysis agitans. |
8005 | Bulbar palsy. |
8007 | Brain, vessels, embolism. |
8008 | Brain, vessels, thrombosis. |
8009 | Brain, vessels, hemorrhage. |
8010 | Myelitis. |
8011 | Poliomyelitis, anterior. |
8012 | Hematomyelia. |
8013 | Syphilis, cerebrospinal. |
8014 | Syphilis, meningovascular. |
8015 | Tabes dorsalis. |
8017 | Amyotrophic lateral sclerosis. |
8018 | Multiple sclerosis. |
8019 | Meningitis, cerebrospinal, epidemic. |
8020 | Brain, abscess. |
Spinal Cord, New Growths | |
8021 | Malignant. |
8022 | Benign. |
8023 | Progressive muscular atrophy. |
8024 | Syringomyelia. |
8025 | Myasthenia gravis. |
8045 | Brain disease due to trauma. |
8046 | Cerebral arteriosclerosis. |
Miscellaneous Diseases | |
8100 | Migraine |
8103 | Tic, convulsive. |
8104 | Paramyoclonus multiplex. |
8105 | Chorea, Sydenham's. |
8106 | Chorea, Huntington's. |
8107 | Athetosis, acquired. |
8108 | Narcolepsy. |
The Cranial Nerves | |
8205 | Fifth (trigeminal), paralysis. |
8207 | Seventh (facial), paralysis. |
8209 | Ninth (glossopharyngeal), paralysis. |
8210 | Tenth (pneumogastric, vagus), paralysis. |
8211 | Eleventh (spinal accessory, external branch), paralysis. |
8212 | Twelfth (hypoglossal), paralysis. |
8305 | Neuritis, fifth cranial nerve. |
8307 | Neuritis, seventh cranial nerve. |
8309 | Neuritis, ninth cranial nerve. |
8310 | Neuritis, tenth cranial nerve. |
8311 | Neuritis, eleventh cranial nerve. |
8312 | Neuritis, twelfth cranial nerve. |
8405 | Neuralgia, fifth cranial nerve. |
8407 | Neuralgia, seventh cranial nerve. |
8409 | Neuralgia, ninth cranial nerve. |
8410 | Neuralgia, tenth cranial nerve. |
8411 | Neuralgia, eleventh cranial nerve. |
8412 | Neuralgia, twelfth cranial nerve. |
Peripheral Nerves | |
8510 | Upper radicular group, paralysis. |
8511 | Middle radicular group, paralysis. |
8512 | Lower radicular group, paralysis. |
8513 | All radicular groups, paralysis. |
8514 | Musculospiral nerve (radial), paralysis. |
8515 | Median nerve, paralysis. |
8516 | Ulnar nerve, paralysis. |
8517 | Musculocutaneous nerve, paralysis. |
8518 | Circumflex nerve, paralysis. |
8519 | Long thoracic nerve, paralysis. |
8520 | Sciatic nerve, paralysis. |
8521 | External popliteal nerve (common peroneal), paralysis. |
8522 | Musculocutaneous nerve (superficial peroneal), paralysis. |
8523 | Anterior tibial nerve (deep peroneal), paralysis. |
8524 | Internal popliteal nerve (tibial), paralysis. |
8525 | Posterior tibial nerve, paralysis. |
8526 | Anterior crural nerve (femoral), paralysis. |
8527 | Internal saphenous nerve, paralysis. |
8528 | Obturator nerve, paralysis. |
8529 | External cutaneous nerve of thigh, paralysis. |
8530 | Ilio-inguinal nerve, paralysis. |
8540 | Soft-tissue sarcoma (Neurogenic origin). |
8610 | Neuritis, upper radicular group. |
8611 | Neuritis, middle radicular group. |
8612 | Neuritis, lower radicular group. |
8613 | Neuritis, all radicular group. |
8614 | Neuritis, musculospiral (radial) nerve. |
8615 | Neuritis, median nerve. |
8616 | Neuritis, ulnar nerve. |
8617 | Neuritis, musculocutaneous nerve. |
8618 | Neuritis, circumflex nerve. |
8619 | Neuritis, long thoracic nerve. |
8620 | Neuritis, sciatic nerve. |
8621 | Neuritis, external popliteal (common peroneal) nerve. |
8622 | Neuritis, musculocutaneous (superficial peroneal) nerve. |
8623 | Neuritis, anterior tibial (deep peroneal) nerve. |
8624 | Neuritis, internal popliteal (tibial) nerve. |
8625 | Neuritis, posterior tibial nerve. |
8626 | Neuritis, anterior crural (femoral) nerve. |
8627 | Neuritis, internal saphenous nerve. |
8628 | Neuritis, obturator nerve. |
8629 | Neuritis, external cutaneous nerve of thigh. |
8630 | Neuritis, ilio-inguinal nerve. |
8710 | Neuralgia, upper radicular group. |
8711 | Neuralgia, middle radicular group. |
8712 | Neuralgia, lower radicular group. |
8713 | Neuralgia, all radicular groups. |
8714 | Neuralgia, musculospiral nerve (radial). |
8715 | Neuralgia, median nerve. |
8716 | Neuralgia, ulnar nerve. |
8717 | Neuralgia, musculocutaneous nerve. |
8718 | Neuralgia, circumflex nerve. |
8719 | Neuralgia, long thoracic nerve. |
8720 | Neuralgia, sciatic nerve. |
8721 | Neuralgia, external popliteal nerve (common peroneal). |
8722 | Neuralgia, musculocutaneous nerve (superficial peroneal). |
8723 | Neuralgia, anterior tibial nerve (deep peroneal). |
8724 | Neuralgia, internal popliteal nerve (tibial). |
8725 | Neuralgia, posterior tibial nerve. |
8726 | Neuralgia, anterior crural nerve (femoral). |
8727 | Neuralgia, internal saphenous nerve. |
8728 | Neuralgia, obturator nerve. |
8729 | Neuralgia, external cutaneous nerve of thigh. |
8730 | Neuralgia, ilio-inguinal nerve. |
The Epilepsies | |
8910 | Grand mal. |
8911 | Petit mal. |
8912 | Jacksonian and focal motor or sensory. |
8913 | Diencephalic. |
8914 | Psychomotor. |
Mental Disorders | |
9201 | Schizophrenia, disorganized type. |
9202 | Schizophrenia, catatonic type. |
9203 | Schizophrenia, paranoid type. |
9204 | Schizophrenia, undifferentiated type. |
9205 | Schizophrenia, residual type. |
9208 | Delusional disorder. |
9210 | Psychotic disorder. |
9211 | Schizoaffective disorder. |
Delirium, Dementia, Amnestic and Other Cognitive Disorders | |
9300 | Delirium. |
9301 | Dementia due to infection. |
9304 | Dementia due to head trauma. |
9305 | Vascular dementia. |
9310 | Dementia of unknown etiology. |
9312 | Dementia of Alzheimer's type. |
9326 | Dementia due to other medical conditions. |
9327 | Organic mental disorder. |
Anxiety Disorders | |
9400 | Generalized anxiety disorder. |
9403 | Specific (simple) phobia. |
9404 | Obsessive compulsive disorder. |
9410 | Other and unspecified neurosis. |
9411 | Post-traumatic stress disorder. |
9412 | Panic disorder. |
9413 | Anxiety disorder, not otherwise specified. |
Dissociative Disorder | |
9416 | Amnesia, fugue, identity disorder. |
9417 | Depersonalization disorder. |
Somatoform Disorders | |
9421 | Somatization disorder. |
9422 | Pain disorder. |
9423 | Undifferentiated somatoform disorder. |
9424 | Conversion disorder. |
9425 | Hypochondriasis. |
Mood Disorders | |
9431 | Cyclothymic disorder. |
9432 | Bipolar disorder. |
9433 | Dysthymic disorder. |
9434 | Major depressive disorder. |
9435 | Mood disorder not otherwise specified. |
Chronic Adjustment Disorder | |
9440 | Chronic adjustment disorder. |
Eating Disorders | |
9520 | Anorexia nervosa. |
9521 | Bulimia nervosa. |
DENTAL AND ORAL CONDITIONS | |
9900 | Maxilla or mandible, chronic. |
9901 | Mandible, loss of, complete. |
9902 | Mandible, loss of approximately one-half. |
9903 | Mandible, nonunion. |
9904 | Mandible, malunion. |
9905 | Temporomandibular articulation, limited motion. |
9906 | Ramus, loss of whole or part. |
9907 | Ramus, loss of less than one-half. |
9908 | Condyloid process. |
9909 | Coronoid process. |
9911 | Hard palate, loss of half or more. |
9912 | Hard palate, loss of less than half. |
9913 | Teeth, loss of. |
9914 | Maxilla, loss of more than half. |
9915 | Maxilla, loss of half or less. |
9916 | Maxilla, malunion or nonunion of. |
4. Appendix C to part 4 is revised to read as follows:
Diagnostic code No. | |
---|---|
Abscess: | |
Brain | 8020 |
Kidney | 7501 |
Lung | 6824 |
Acne | 7828 |
Acromegaly | 7908 |
Actinomycosis | 6822 |
Addison's disease | 7911 |
Agranulocytosis | 7702 |
Alopecia areata | 7831 |
Amebiasis | 7321 |
Amputation: | |
Arm: | |
Disarticulation | 5120 |
Above insertion of deltoid | 5121 |
Below insertion of deltoid | 5122 |
Digits, five of one hand | 5126 |
Digits, four of one hand: | |
Thumb, index, long and ring | 5127 |
Thumb, index, long and little | 5128 |
Thumb, index, ring and little | 5129 |
Thumb, long, ring and little | 5130 |
Index, long, ring and little | 5131 |
Digits, three of one hand: | |
Thumb, index and long | 5132 |
Thumb, index and ring | 5133 |
Thumb, index and little | 5134 |
Thumb, long and ring | 5135 |
Thumb, long and little | 5136 |
Thumb, ring and little | 5137 |
Index, long and ring | 5138 |
Index, long and little | 5139 |
Index, ring and little | 5140 |
Long, ring and little | 5141 |
Digits, two of one hand: | |
Thumb and index | 5142 |
Thumb and long | 5143 |
Thumb and ring | 5144 |
Thumb and little | 5145 |
Index and long | 5146 |
Index and ring | 5147 |
Index and little | 5148 |
Long and ring | 5149 |
Long and little | 5150 |
Ring and little | 5151 |
Single finger: | |
Thumb | 5152 |
Index finger | 5153 |
Long finger | 5154 |
Ring finger | 5155 |
Little finger | 5156 |
Forearm: | |
Above insertion of pronator teres | 5123 |
Below insertion of pronator teres | 5124 |
Leg: | |
With defective stump | 5163 |
Not improvable by prosthesis controlled by natural knee action | 5164 |
At a lower level, permitting prosthesis | 5165 |
Forefoot, proximal to metatarsal bones | 5166 |
Toes, all, without metatarsal loss | 5170 |
Toe, great | 5171 |
Toes, other than great, with removal of metatarsal head | 5172 |
Toes, three or more, without metatarsal involvement | 5173 |
Thigh: | |
Disarticulation | 5160 |
Upper third | 5161 |
Middle or lower thirds | 5162 |
Amyotrophic lateral sclerosis | 8017 |
Anatomical loss of: | |
Both eyes | 6061 |
One eye, with visual acuity of other eye: | |
5/200 (1.5/60) | 6063 |
10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6064 |
20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6065 |
20/40 (6/12) | 6066 |
Both feet | 5107 |
Both hands | 5106 |
One hand and one foot | 5108 |
One foot and loss of use of one hand | 5105 |
One hand and loss of use of one foot | 5104 |
Anemia | 7700 |
Aneurysm: | |
Aortic | 7110 |
Large artery | 7111 |
Small artery | 7112 |
Angioneurotic edema | 7118 |
Ankylosis: | |
Ankle | 5270 |
Digits, individual: | |
Thumb | 5224 |
Index finger | 5225 |
Long finger | 5226 |
Ring or little finger | 5227 |
Elbow | 5205 |
Hand | |
Favorable: | |
Five digits of one hand | 5220 |
Four digits of one hand | 5221 |
Three digits of one hand | 5222 |
Two digits of one hand | 5223 |
Unfavorable: | |
Five digits of one hand | 5216 |
Four digits of one hand | 5217 |
Three digits of one hand | 5218 |
Two digits of one hand | 5219 |
Hip | 5250 |
Knee | 5256 |
Scapulohumeral articulation | 5200 |
Subastragalar or tarsal joint | 5272 |
Wrist | 5214 |
Ankylosing spondylitis | 5240 |
Aphakia | 6029 |
Aphonia, organic | 6519 |
Aplastic anemia | 7716 |
Arrhythmia: | |
Supraventricular | 7010 |
Ventricular | 7011 |
Arteriosclerosis obliterans | 7114 |
Arteriosclerotic heart disease | 7005 |
Arteriovenous fistula | 7113 |
Arthritis: | |
Degenerative (hypertrophic or osteoarthritis) | 5003 |
Due to trauma | 5010 |
Gonorrheal | 5004 |
Other types | 5009 |
Pneumococcic | 5005 |
Rheumatoid (atrophic) | 5002 |
Streptococcic | 5008 |
Syphilitic | 5007 |
Typhoid | 5006 |
Asbestosis | 6833 |
Aspergillosis | 6838 |
Asthma, bronchial | 6602 |
Astragalectomy | 5274 |
Atherosclerotic renal disease | 7534 |
Athetosis | 8107 |
Atrioventricular block | 7015 |
Avitaminosis | 6313 |
Bartonellosis | 6306 |
Beriberi | 6314 |
Bladder: | |
Calculus in | 7515 |
Fistula in | 7516 |
Injury of | 7517 |
Neurogenic | 7542 |
Blastomycosis | 6836 |
Blindness: see also Vision and Anatomical Loss | |
Both eyes, only light perception | 6062 |
One eye, only light perception and other eye: | |
5/200 (1.5/60) | 6067 |
10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6068 |
20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6069 |
20/40 (6/12) | 6070 |
Bones: | |
Caisson disease | 5011 |
New growths, benign | 5015 |
New growths, malignant | 5012 |
Shortening of the lower extremity | 5275 |
Brain: | |
Abscess | 8020 |
Disease due to trauma | 8045 |
Breast surgery | 7626 |
Bronchiectasis | 6601 |
Bronchitis | 6600 |
Brucellosis | 6316 |
Buerger's disease | 7115 |
Bulbar palsy | 8005 |
Bullous disorders | 7815 |
Bursitis | 5019 |
Cardiac: | |
Pacemakers, implantable | 7018 |
Transplantation | 7019 |
Cardiomyopathy | 7020 |
C-cell hyperplasia, thyroid | 7919 |
Cataract: | |
Senile and others | 6028 |
Traumatic | 6027 |
Cerebral arteriosclerosis | 8046 |
Cervical strain | 5237 |
Cervix disease or injury | 7612 |
Chorea: | |
Huntington's | 8106 |
Sydenham's | 8105 |
Chloracne | 7829 |
Cholangitis, chronic | 7316 |
Cholecystitis, chronic | 7314 |
Cholelithiasis, chronic | 7315 |
Cholera, Asiatic | 6300 |
Choroiditis | 6005 |
Chronic Fatigue Syndrome (CFS) | 6354 |
Chronic lung abscess | 6824 |
Chronic obstructive pulmonary disease | 6604 |
Coccidioidomycosis | 6835 |
Cold injury residuals | 7122 |
Colitis, ulcerative | 7323 |
Conjunctivitis: | |
Trachomatous | 6017 |
Other | 6018 |
Coronary bypass surgery | 7017 |
Cryptococcosis | 6837 |
Cushing's syndrome | 7907 |
Cutaneous manifestations of collagen-vascular diseases | 7821 |
Cyclitis | 6004 |
Cystitis, chronic | 7512 |
Dacryocystitis | 6031 |
Dermatitis or eczema | 7806 |
Dermatophytosis | 7813 |
Desquamative interstitial pneumonitis | 6826 |
Diabetes: | |
Insipidus | 7909 |
Mellitus | 7913 |
Diaphragm: | |
Paralysis or paresis | 6840 |
Rupture | 5324 |
Diplopia | 6090 |
Diplopia, limited muscle function, eye | 6092 |
Disease: | |
Addison's | 7911 |
Buerger's | 7115 |
Chronic obstructive pulmonary disease | 6604 |
Hodgkin's | 7709 |
Leprosy (Hansen's) | 6302 |
Lyme | 6319 |
Morton's | 5279 |
Parasitic | 6320 |
Disfigurement of, head, face or neck | 7800 |
Dislocated: | |
Cartilage, semilunar | 5258 |
Lens, crystalline | 6033 |
Disseminated intravascular coagulation | 7540 |
Distomiasis, intestinal or hepatic | 7324 |
Diverticulitis | 7327 |
Dysentery, bacillary | 7322 |
Ectropion | 6020 |
Embolism, brain | 8007 |
Emphysema, pulmonary | 6603 |
Encephalitis, epidemic, chronic | 8000 |
Endocarditis | 7001 |
Endometriosis | 7629 |
Enteritis, chronic | 7325 |
Enterocolitis, chronic | 7326 |
Entropion | 6021 |
Eosinophilic granuloma of lung | 6828 |
Epididymo-orchitis | 7525 |
Epilepsies: | |
Diencephalic | 8913 |
Grand mal | 8910 |
Jacksonian and focal motor or sensory | 8912 |
Petit mal | 8911 |
Psychomotor | 8914 |
Epiphora | 6025 |
Erythema multiforme | 7827 |
Erythromelalgia | 7119 |
Esophagus: | |
Diverticulum | 7205 |
Spasm | 7204 |
Stricture | 7203 |
Exfoliative dermatitis | 7817 |
Fallopian tube | 7614 |
Fever: | |
Relapsing | 6308 |
Rheumatic | 6309 |
Fibrosis of lung, diffuse interstitial | 6825 |
Fibromyalgia | 5025 |
Fistula in ano | 7335 |
Fistula: | |
Rectovaginal | 7624 |
Urethrovaginal | 7625 |
Flatfoot, acquired | 5276 |
Gastritis, hypertrophic | 7307 |
Genu recurvatum | 5263 |
Glaucoma: | |
Congestive or inflammatory | 6012 |
Simple, primary, noncongestive | 6013 |
Glomerulonephritis | 7536 |
Gout | 5017 |
Hallux: | |
Rigidus | 5281 |
Valgus | 5280 |
Hammer toe | 5282 |
Heart valve replacement | 7016 |
Hematomyelia | 8012 |
Hemorrhage: | |
Brain | 8009 |
Intra-ocular | 6007 |
Hemorrhoids | 7336 |
Hepatitis C | 7354 |
Hernia: | |
Femoral | 7340 |
Hiatal | 7346 |
Inguinal | 7338 |
Muscle | 5326 |
Ventral | 7339 |
Hip: | |
Degenerative arthritis | 5242 |
Flail joint | 5254 |
Histoplasmosis | 6834 |
HIV-Related Illness | 6351 |
Hodgkin's disease | 7709 |
Hydrarthrosis, intermittent | 5018 |
Hydronephrosis | 7509 |
Hyperaldosteronism | 7917 |
Hyperhidrosis | 7832 |
Hyperparathyroidism | 7904 |
Hyperpituitarism | 7916 |
Hypersensitivity | 6831 |
Hypertensive: | |
Heart disease | 7007 |
Vascular disease | 7101 |
Hyperthyroid heart disease | 7008 |
Hyperthyroidism | 7900 |
Hypoparathyroidism | 7905 |
Hypothyroidism | 7903 |
Impairment of: | |
Humerus | 5202 |
Clavicle or scapula | 5203 |
Elbow | 5209 |
Thigh | 5253 |
Femur | 5255 |
Knee, other | 5257 |
Field vision | 6080 |
Tibia and fibula | 5262 |
Rectum anus | 7332 |
Ulna | 5211 |
Implantable cardiac pacemakers | 7018 |
Infections of the skin | 7820 |
Injury: | |
Bladder | 7517 |
Eye, unhealed | 6009 |
Foot | 5284 |
Gall bladder | 7317 |
Lips | 7201 |
Liver, residuals | 7311 |
Mouth | 7200 |
Muscle: | |
Facial | 5325 |
Group I Function: Upward rotation of scapula | 5301 |
Group II Function: Depression of arm | 5302 |
Group III Function: Elevation and abduction of arm | 5303 |
Group IV Function: Stabilization of shoulder | 5304 |
Group V Function: Elbow supination | 5305 |
Group VI Function: Extension of elbow | 5306 |
Group VII Function: Flexion of wrist and fingers | 5307 |
Group VIII Function: Extension of wrist, fingers, thumb | 5308 |
Group IX Function: Forearm muscles | 5309 |
Group X Function: Movement of forefoot and toes | 5310 |
Group XI Function: Propulsion of foot | 5311 |
Group XII Function: Dorsiflexion | 5312 |
Group XIII Function: Extension of hip and flexion of knee | 5313 |
Group XIV Function: Extension of knee | 5314 |
Group XV Function: Adduction of hip | 5315 |
Group XVI Function: Flexion of hip | 5316 |
Group XVII Function: Extension of hip | 5317 |
Group XVIII Function: Outward rotation of thigh | 5318 |
Group XIX Function: Abdominal wall and lower thorax | 5319 |
Group XX Function: Postural support of body | 5320 |
Group XXI Function: Respiration | 5321 |
Group XXII Function: Rotary and forward movements, head | 5322 |
Group XXIII Function: Movements of head | 5323 |
Pharynx | 6521 |
Sacroiliac | 5236 |
Spinal cord | 6841 |
Stomach, residuals of | 7310 |
Iritis | 6003 |
Interstitial nephritis | 7537 |
Intervertebral disc syndrome | 5243 |
Intestine, fistula of | 7330 |
Irritable colon syndrome | 7319 |
Keratinization, diseases of | 7824 |
Keratitis | 6001 |
Keratoconus | 6035 |
Kidney: | |
Abscess | 7501 |
Cystic diseases | 7533 |
Removal | 7500 |
Transplant | 7531 |
Tuberculosis | 7505 |
Kyphoscoliosis, pectus excavatum / carinatum | 6842 |
Lagophthalmos | 6022 |
Laryngectomy | 6518 |
Laryngitis: | |
Tuberculous | 6515 |
Chronic | 6516 |
Larynx, stenosis of | 6520 |
Leishmaniasis: | |
American (New World) | 7807 |
Old World | 7808 |
Leprosy (Hansen's Disease) | 6302 |
Leukemia | 7703 |
Limitation of extension: | |
Forearm | 5207 |
Leg | 5261 |
Radius | 5212 |
Supination and pronation | 5213 |
Thigh | 5251 |
Limitation of extension and flexion: | |
Forearm | 5208 |
Limitation of flexion: | |
Forearm | 5206 |
Leg | 5260 |
Thigh | 5252 |
Limitation of motion: | |
Ankle | 5271 |
Arm | 5201 |
Index or long finger | 5229 |
Ring or little finger | 5230 |
Temporomandibular articulation | 9905 |
Thumb | 5228 |
Wrist, limitation of motion | 5215 |
Liver: | |
Disease, chronic, without cirrhosis | 7345 |
Transplant | 7351 |
Cirrhosis | 7312 |
Loss of: | |
Auricle | 6207 |
Condyloid process | 9908 |
Coronoid process | 9909 |
Eyebrows | 6023 |
Eyelashes | 6024 |
Eyelids | 6032 |
Mandible: | |
One-half | 9902 |
Complete | 9901 |
Maxilla: | |
More than half | 9914 |
Less than half | 9915 |
Nose, part of, or scars | 6504 |
Palate, hard: | |
Half or more | 9911 |
Less than half | 9912 |
Ramus: | |
Whole or part | 9906 |
Less than one-half | 9907 |
Skull, part of | 5296 |
Smell, sense of | 6275 |
Taste, sense of | 6276 |
Teeth, loss of | 9913 |
Tongue, loss of whole or part | 7202 |
Loss of use of: | |
Both feet | 5110 |
Both hands | 5109 |
Foot | 5167 |
Hand | 5125 |
One hand and one foot | 5111 |
Lumbosacral strain | 5237 |
Lupus: | |
Erythematosus | 6350 |
Erythematosus, discoid | 7809 |
Lyme disease | 6319 |
Lymphatic filariasis | 6305 |
Malaria | 6304 |
Malignant melanoma | 7833 |
Malunion: | |
Mandible | 9904 |
Os calcis or astragalus | 5273 |
Maxilla, malunion or nonunion | 9916 |
Melioidosis | 6318 |
Meniere's syndrome | 6205 |
Meningitis, cerebrospinal, epidemic | 8019 |
Mental disorders: | |
Anxiety disorders: | |
Generalized anxiety disorder | 9400 |
Obsessive compulsive disorder | 9404 |
Other and unspecified neurosis | 9410 |
Not otherwise specified | 9413 |
Panic disorder | 9412 |
Post-traumatic stress disorder | 9411 |
Specific (simple) phobia | 9403 |
Chronic adjustment disorder | 9440 |
Delirium, dementia, amnestic and other cognitive disorders | |
Alzheimers | 9312 |
Delirium | 9300 |
Head trauma | 9304 |
Infection | 9301 |
Organic mental disorder | 9327 |
Other medical conditions | 9326 |
Unknown etiology | 9310 |
Vascular dementia | 9305 |
Dissociative disorders: | |
Amnesia, fugue, identity disorders | 9416 |
Depersonalization disorder | 9417 |
Eating Disorder: | |
Anorexia nervosa | 9520 |
Bulimia nervosa | 9521 |
Mood Disorders: | |
Bipolar disorder | 9432 |
Cyclothymic disorder | 9431 |
Dysthymic disorder | 9433 |
Major depressive disorder | 9434 |
Mood disorder not otherwise specified | 9435 |
Schizophrenia and other psychotic disorders: | |
Catatonic type | 9202 |
Delusional disorder | 9208 |
Disorganized type | 9201 |
Psychotic disorder | 9210 |
Paranoid type | 9203 |
Residual type | 9205 |
Schizoaffective disorder | 9211 |
Undifferentiated type | 9204 |
Somatoform: | |
Conversion disorder | 9424 |
Hypochondriasis | 9425 |
Pain disorder | 9422 |
Somatization disorder | 9421 |
Undifferentiated somatoform disorder | 9423 |
Metatarsalgia | 5279 |
Migraine | 8100 |
Morton's disease | 5279 |
Mucormycosis | 6839 |
Multiple sclerosis | 8018 |
Myasthenia gravis | 8025 |
Myelitis | 8010 |
Myocardial infarction | 7006 |
Myositis ossificans | 5023 |
Myositis | 5021 |
Narcolepsy | 8108 |
Neoplasms: | |
Benign: | |
Digestive system | 7344 |
Ear | 6209 |
Endocrine | 7915 |
Genitourinary | 7529 |
Gynecological or breast | 7628 |
Muscle | 5328 |
Respiratory | 6820 |
Skin | 7819 |
Malignant: | |
Digestive system | 7343 |
Ear | 6208 |
Endocrine | 7914 |
Genitourinary | 7528 |
Gynecological or breast | 7627 |
Muscle | 5327 |
Respiratory | 6819 |
Skin | 7818 |
Nephritis, chronic | 7502 |
Nephrolithiasis | 7508 |
Nephrosclerosis, arteriolar | 7507 |
Neuralgia: | |
Cranial Nerves | |
Fifth (trigeminal) | 8405 |
Seventh (facial) | 8407 |
Ninth (glossopharyngeal) | 8409 |
Tenth (pneumogastric, vagus) | 8410 |
Eleventh (spinal accessory, external branch) | 8411 |
Twelfth (hypoglossal) | 8412 |
Peripheral Nerves | |
Upper radicular group | 8710 |
Middle radicular group | 8711 |
Lower radicular group | 8712 |
All radicular groups | 8713 |
Musculospiral (radial) | 8714 |
Median | 8715 |
Ulnar | 8716 |
Musculocutaneous | 8717 |
Circumflex | 8718 |
Long thoracic | 8719 |
Sciatic | 8720 |
External popliteal (common peroneal) | 8721 |
Musculocutaneous (superficial peroneal) | 8722 |
Anterior tibial (deep peroneal) | 8723 |
Internal popliteal (tibial) | 8724 |
Posterior tibial | 8725 |
Anterior crural (femoral) | 8726 |
Internal saphenous | 8727 |
Obturator | 8728 |
External cutaneous nerve of thigh | 8729 |
Ilio-inguinal | 8730 |
Neuritis: | |
Cranial nerves | |
Fifth (trigeminal) | 8305 |
Seventh (facial) | 8307 |
Ninth (glossopharyngeal) | 8309 |
Tenth (pneumogastric, vagus) | 8310 |
Eleventh (spinal accessory, external branch) | 8311 |
Twelfth (hypoglossal) | 8312 |
Optic | 6026 |
Peripheral Nerves | |
Upper radicular group | 8610 |
Middle radicular group | 8611 |
Lower radicular group | 8612 |
All radicular groups | 8613 |
Musculospiral (radial) | 8614 |
Median | 8615 |
Ulnar | 8616 |
Musculocutaneous | 8617 |
Circumflex | 8618 |
Long thoracic | 8619 |
Sciatic | 8620 |
External popliteal (common peroneal) | 8621 |
Musculocutaneous (superficial peroneal) | 8622 |
Anterior tibial (deep peroneal) | 8623 |
Internal popliteal (tibial) | 8624 |
Posterior tibial | 8625 |
Anterior crural (femoral) | 8626 |
Internal saphenous | 8627 |
Obturator | 8628 |
External cutaneous nerve of thigh | 8629 |
Ilio-inguinal | 8630 |
Neurogenic bladder | 7542 |
New growths: | |
Benign | |
Bones | 5015 |
Brain | 8003 |
Eyeball and adnexa | 6015 |
Spinal cord | 8022 |
Malignant | |
Bones | 5012 |
Brain | 8002 |
Eyeball | 6014 |
Spinal cord | 8021 |
Nocardiosis | 6823 |
Non-Hodgkin's lymphoma | 7715 |
Nonunion: | |
Mandible | 9903 |
Radius and ulna | 5210 |
Nystagmus, central | 6016 |
Osteitis deformans | 5016 |
Osteomalacia | 5014 |
Osteomyelitis | 5000 |
Osteomyelitis maxilla or mandible | 9900 |
Osteoporosis, with joint manifestations | 5013 |
Otitis media: | |
Externa | 6210 |
Nonsuppurative | 6201 |
Suppurative | 6200 |
Otosclerosis | 6202 |
Ovaries, atrophy of both | 7620 |
Ovary: | |
Disease or injury | 7615 |
Removal | 7619 |
Palsy, bulbar | 8005 |
Pancreatitis | 7347 |
Papillary necrosis | 7538 |
Papulosquamous disorders | 7822 |
Paralysis: | |
Accommodation | 6030 |
Agitans | 8004 |
Paralysis, nerve: | |
Cranial nerves | |
Fifth (trigeminal) | 8205 |
Seventh (facial) | 8207 |
Ninth (glossopharyngeal) | 8209 |
Tenth (pneumogastric, vagus) | 8210 |
Eleventh (spinal accessory, external branch) | 8211 |
Twelfth (hypoglossal) | 8212 |
Peripheral Nerves: | |
Upper radicular group | 8510 |
Middle radicular group | 8511 |
Lower radicular group | 8512 |
All radicular groups | 8513 |
Musculospiral (radial) | 8514 |
Median | 8515 |
Ulnar | 8516 |
Musculocutaneous | 8517 |
Circumflex | 8518 |
Long thoracic | 8519 |
Sciatic | 8520 |
External popliteal (common peroneal) | 8521 |
Musculocutaneous (superficial peroneal) | 8522 |
Anterior tibial nerve (deep peroneal) | 8523 |
Internal popliteal (tibial) | 8524 |
Posterior tibial nerve | 8525 |
Anterior crural nerve (femoral) | 8526 |
Internal saphenous | 8527 |
Obturator | 8528 |
External cutaneous nerve of thigh | 8529 |
Ilio-inguinal | 8530 |
Paramyoclonus multiplex | 8104 |
Parasitic disease | 6320 |
Pellagra | 6315 |
Penis | |
Deformity, with loss of erectile power | 7522 |
Removal of glans | 7521 |
Removal of half or more | 7520 |
Pericardial adhesions | 7003 |
Pericarditis | 7002 |
Periostitis | 5022 |
Peripheral vestibular disorders | 6204 |
Peritoneum, adhesions | 7301 |
Peritonitis | 7331 |
Pes cavus (Claw foot) acquired | 5278 |
Pheochromocytoma | 7918 |
Plague | 6307 |
Pleural effusion or fibrosis | 6845 |
Pluriglandular syndrome | 7912 |
Pneumoconiosis | 6832 |
Pneumonitis fibrosis: | |
Drug-induced | 6829 |
Radiation-induced | 6830 |
Poliomyelitis, anterior | 8011 |
Polycythemia vera | 7704 |
Postgastrectomy syndromes | 7308 |
Post-phlebitic syndrome | 7121 |
Post-surgical residual | 6844 |
Pregnancy, surgical complications | 7623 |
Progressive muscular atrophy | 8023 |
Prostate gland | 7527 |
Prosthetic Implants: | |
Ankle replacement | 5056 |
Elbow replacement | 5052 |
Hip replacement | 5054 |
Knee replacement | 5055 |
Shoulder replacement | 5051 |
Wrist replacement | 5053 |
Psoriasis | 7816 |
Pterygium | 6034 |
Ptosis | 6019 |
Pulmonary: | |
Alveolar proteinosis | 6827 |
Vascular disease | 6817 |
Pruritus ani | 7337 |
Pyelonephritis, chronic | 7504 |
Raynaud's syndrome | 7117 |
Rectum: | |
Rectum anus, stricture | 7333 |
Prolapse | 7334 |
Removal: | |
Cartilage, semilunar | 5259 |
Coccyx | 5298 |
Gall bladder | 7318 |
Kidney | 7500 |
Penis glans | 7521 |
Penis half or more | 7520 |
Ribs | 5297 |
Testis | 7524 |
Ovary | 7619 |
Uterus | 7618 |
Uterus and both ovaries | 7617 |
Renal: | |
Amyloid disease | 7539 |
Disease, chronic | 7530 |
Involvement in systemic diseases | 7541 |
Tubular disorders | 7532 |
Retina detachment of | 6008 |
Retinitis | 6006 |
Rhinitis: | |
Allergic or vasomotor | 6522 |
Bacterial | 6523 |
Granulomatous | 6524 |
Resection of intestine: | |
Large | 7329 |
Small | 7328 |
Sarcoidosis | 6846 |
Scarring alopecia | 7830 |
Scars: | |
Deep, other than head, face or neck | 7801 |
Other | 7805 |
Retina | 6011 |
Superficial, other than head, face, or neck | 7802 |
Superficial, painful | 7804 |
Superficial, unstable | 7803 |
Scleritis | 6002 |
Scotoma | 6081 |
Septum, nasal, deviation of | 6502 |
Sickle cell anemia | 7714 |
Sinusitis: | |
Ethmoid | 6511 |
Frontal | 6512 |
Maxillary | 6513 |
Pansinusitis | 6510 |
Sphenoid | 6514 |
Sleep Apnea Syndrome | 6847 |
Soft tissue sarcoma: | |
Muscle, fat, or fibrous connected | 5329 |
Neurogenic origin | 8540 |
Vascular origin | 7123 |
Spinal fusion | 5241 |
Spinal stenosis | 5238 |
Spleen, injury of, healed | 7707 |
Splenectomy | 7706 |
Spondylolisthesis or segmental instability, spine | 5239 |
Stomach, stenosis of | 7309 |
Symblepharon | 6091 |
Syndromes: | |
Chronic Fatigue Syndrome (CFS) | 6354 |
Cushing's | 7907 |
Meniere's | 6205 |
Raynaud's | 7117 |
Sleep Apnea | 6847 |
Synovitis | 5020 |
Syphilis | 6310 |
Syphilis: | |
Cerebrospinal | 8013 |
Meningovascular | 8014 |
Syphilitic heart disease | 7004 |
Syringomyelia | 8024 |
Tabes dorsalis | 8015 |
Tarsal or metatarsal bones | 5283 |
Tenosynovitis | 5024 |
Testis: | |
Atrophy, complete | 7523 |
Removal | 7524 |
Thrombocytopenia | 7705 |
Thrombosis, brain | 8008 |
Thyroid gland: | |
Nontoxic adenoma | 7902 |
Toxic adenoma | 7901 |
Tic, convulsive | 8103 |
Tinnitus, recurrent | 6260 |
Toxic nephropathy | 7535 |
Traumatic chest wall defect | 6843 |
Tuberculosis: | |
Adenitis | 7710 |
Bones and joints | 5001 |
Eye | 6010 |
Kidney | 7505 |
Luposa (lupus vulgaris) | 7811 |
Miliary | 6311 |
Pleurisy, active or inactive | 6732 |
Pulmonary: | |
Active, far advanced | 6701 |
Active, moderately advanced | 6702 |
Active, minimal | 6703 |
Active, advancement unspecified | 6704 |
Active, chronic | 6730 |
Inactive, chronic | 6731 |
Inactive, far advanced | 6721 |
Inactive, moderately advanced | 6722 |
Inactive, minimal | 6723 |
Inactive, advancement unspecified | 6724 |
Tuberculosis luposa (lupus vulgaris) | 7811 |
Tympanic membrane | 6211 |
Typhus, scrub | 6317 |
Ulcer: | |
Duodenal | 7305 |
Gastric | 7304 |
Marginal | 7306 |
Ureter, stricture of | 7511 |
Ureterolithiasis | 7510 |
Urethra | |
Fistula | 7519 |
Stricture | 7518 |
Urticaria | 7825 |
Uterus: | |
And both ovaries, removal | 7617 |
Disease or injury | 7613 |
Displacement | 7622 |
Prolapse | 7621 |
Removal | 7618 |
Uveitis | 6000 |
Vagina, disease or injury | 7611 |
Vagotomy | 7348 |
Valvular heart disease | 7000 |
Varicose veins | 7120 |
Vasculitis, primary cutaneous | 7826 |
Vertebral fracture or dislocation | 5235 |
Visceral Leishmaniasis | 6301 |
Visceroptosis | 7342 |
Vision: see also Blindness and Loss of | |
One eye 5/200 (1.5/60), with visual acuity of other eye: | |
5/200 (1.5/60) | 6071 |
10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6072 |
20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6073 |
20/40 (6/12) | 6074 |
One eye 10/200 (3/60), with visual acuity of other eye: | |
10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6075 |
20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6076 |
20/40 (6/12) | 6077 |
One eye 15/200 (4.5/60), with visual acuity of other eye: | |
15/200 (4.5/60) or 20/200 (6/60) | 6075 |
20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6076 |
20/40 (6/12) | 6077 |
One eye 20/200 (6/60), with visual acuity of other eye: | |
20/200 (6/60) | 6075 |
20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6076 |
20/40 (6/12) | 6077 |
One eye 20/100 (6/30), with visual acuity of other eye: and other eye: | |
20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6078 |
20/40 (6/12) | 6079 |
One eye 20/70 (6/21), with visual acuity of other eye: | |
20/70 (6/21) or 20/50 (6/15) | 6078 |
20/40 (6/12) | 6079 |
One eye 20/50 (6/15), with visual acuity of other eye: | |
20/50 (6/15) | 6078 |
20/40 (6/12) | 6079 |
Each eye 20/40 (6/12) | 6079 |
Vitiligo | 7823 |
Vulva disease or injury of | 7610 |
Weak foot | 5277 |
[FR Doc. E7-4914 Filed 3-19-07; 8:45 am]
BILLING CODE 8320-01-P