Disabilities rating schedule: Current diagnostic codes,

[Federal Register: March 20, 2007 (Volume 72, Number 53)]

[Rules and Regulations]

[Page 12983-13016]

From the Federal Register Online via GPO Access [wais.access.gpo.gov]

[DOCID:fr20mr07-9]

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.

0 For the reasons set out in the preamble, 38 CFR part 4 is amended as set forth below:

PART 4--SCHEDULE FOR RATING DISABILITIES

0 1. The authority citation for part 4 continues to read as follows:

Authority: 38 U.S.C. 1155, unless otherwise noted. 0 2. Appendix A to Part 4 is revised to read as follows:

[[Page 12984]]

Appendix A to Part 4.--Table of Amendments and Effective Dates Since 1946

Diagnostic Sec.

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.

[[Page 12985]]

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 Sec. 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 Sec. 4.87 June 10, 1999. 4.87a......................................... 6200-6260 Moved to Sec. 4.87 June 10, 1999. 6275-6276 Moved from Sec. 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 Sec. 4.84b Schedule of ratings-ear re- designated from Sec. 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 Sec. 4.88b November 29, 1994; Sec. 4.88a added to read ``Chronic fatigue syndrome''; criterion November 29, 1994. 4.88b......................................... .............. Added March 11, 1969; re-designated Sec. 4.88c November 29, 1994; Sec. 4.88a re-designated to Sec. 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 Sec. 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.

[[Page 12986]]

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.

[[Page 12987]]

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 Sec. 4.115b; new Sec. 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......................................... .............. Sec. 4.116 removed and Sec. 4.116a re- designated Sec. 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.

[[Page 12988]]

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 Sec. 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.

[[Page 12989]]

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 Sec. 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.

[[Page 12990]]

0 3. Appendix B to Part 4 is revised to read as follows:

Appendix B to Part 4.--Numerical Index of Disabilities

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.

[[Page 12991]]

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.

[[Page 12992]]

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.

[[Page 12993]]

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.

[[Page 12994]]

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).

[[Page 12995]]

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.

[[Page 12996]]

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.

[[Page 12997]]

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.

[[Page 12998]]

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.

[[Page 12999]]

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.

[[Page 13000]]

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.

[[Page 13001]]

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.

[[Page 13002]]

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.

[[Page 13003]]

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.

0 4. Appendix C to part 4 is revised to read as follows:

Appendix C to Part 4.--Alphabetical Index of Disabilities

Diagnostic code No.

Abscess:

Brain...............................................

8020

Kidney..............................................

7501

Lung................................................

6824 Acne....................................................

7828 Acromegaly..............................................

7908 Actinomycosis...........................................

6822

[[Page 13004]]

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

5164 knee action........................................

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

5172 head...............................................

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

[[Page 13005]]

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

[[Page 13006]]

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

[[Page 13007]]

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

[[Page 13008]]

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,

5308 thumb..............................................

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

5313 knee...............................................

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,

5322 head...............................................

Group XXIII Function: Movements of head.............

5323 Pharynx.................................................

6521 Sacroiliac..............................................

5236

Spinal cord.........................................

6841

Stomach, residuals of...............................

7310

[[Page 13009]]

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

[[Page 13010]]

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

[[Page 13011]]

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

[[Page 13012]]

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

[[Page 13013]]

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

[[Page 13014]]

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

[[Page 13015]]

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

[[Page 13016]]

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