38 C.F.R. § 4 app B to Part 4
Current through November 30, 2024
| Diagnostic Code No. | |
| THE MUSCULOSKELETAL SYSTEM | |
| Acute, Subacute, or Chronic Diseases | |
| 5000 | Osteomyelitis, acute, subacute, or chronic. |
| 5001 | Bones and Joints, tuberculosis. |
| 5002 | Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. |
| 5003 | Degenerative arthritis, other than post-traumatic. |
| 5004 | Arthritis, gonorrheal. |
| 5005 | Arthritis, pneumococcic. |
| 5006 | Arthritis, typhoid. |
| 5007 | Arthritis, syphilitic. |
| 5008 | Arthritis, streptococcic. |
| 5009 | Other specified forms of arthropathy (excluding gout). |
| 5010 | Post-traumatic arthritis. |
| 5011 | Decompression illness. |
| 5012 | Bones, neoplasm, malignant, primary or secondary. |
| 5013 | Osteoporosis, residuals of. |
| 5014 | Osteomalacia, residuals of. |
| 5015 | Bones, neoplasm, benign. |
| 5016 | Osteitis deformans. |
| 5017 | Gout. |
| 5018 | [Removed] |
| 5019 | Bursitis. |
| 5020 | [Removed] |
| 5021 | Myositis. |
| 5022 | [Removed] |
| 5023 | Heterotopic ossification. |
| 5024 | Tenosynovitis, tendinitis, tendinosis or tendinopathy. |
| 5025 | Fibromyalgia. |
| Prosthetic Implants | |
| 5051 | Shoulder replacement (prosthesis). |
| 5052 | Elbow replacement (prosthesis). |
| 5053 | Wrist replacement (prosthesis). |
| 5054 | Hip, resurfacing or replacement (prosthesis). |
| 5055 | Knee, resurfacing or 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 | Complete amputation, upper extremity. |
| 5121 | Above insertion of deltoid. |
| 5122 | Below insertion of deltoid. |
| Forearm amputation of: | |
| 5123 | Above insertion of pronator teres. |
| 5124 | Below insertion of pronator teres. |
| 5125 | Hand, loss of use of. |
| Multiple Finger Amputations | |
| 5126 | Five digits of one hand. |
| Four digits of one hand: | |
| 5127 | Thumb, index, long and ring. |
| 5128 | Thumb, index, long and little. |
| 5129 | Thumb, index, ring and little. |
| 5130 | Thumb, long, ring and little. |
| 5131 | Index, long, ring and little. |
| Three digits of one hand: | |
| 5132 | Thumb, index and long. |
| 5133 | Thumb, index and ring. |
| 5134 | Thumb, index and little. |
| 5135 | Thumb, long and ring. |
| 5136 | Thumb, long and little. |
| 5137 | Thumb, ring and little. |
| 5138 | Index, long and ring. |
| 5139 | Index, long and little. |
| 5140 | Index, ring and little. |
| 5141 | Long, ring and little. |
| Two digits of one hand: | |
| 5142 | Thumb and index. |
| 5143 | Thumb and long. |
| 5144 | Thumb and ring. |
| 5145 | Thumb and little. |
| 5146 | Index and long. |
| 5147 | Index and ring. |
| 5148 | Index and little. |
| 5149 | Long and ring. |
| 5150 | Long and little. |
| 5151 | Ring and little. |
| Single finger: | |
| 5152 | Thumb. |
| 5153 | Index finger. |
| 5154 | Long finger. |
| 5155 | Ring finger. |
| 5156 | Little finger. |
| Amputations: Lower Extremity | |
| Thigh amputation of: | |
| 5160 | Complete amputation, lower extremity. |
| 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, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. |
| 5171 | Toe, great. |
| 5172 | Toes, other than great, with removal of metatarsal head. |
| 5173 | Toes, three or more, without metatarsal involvement. |
| Shoulder and Arm | |
| 5200 | Scapulohumeral articulation, ankylosis. |
| 5201 | Arm, limitation of motion. |
| 5202 | Humerus, other impairment. |
| 5203 | Clavicle or scapula, impairment. |
| Elbow and Forearm | |
| 5205 | Elbow, ankylosis. |
| 5206 | Forearm, limitation of flexion. |
| 5207 | Forearm, limitation of extension. |
| 5208 | Forearm, flexion limited. |
| 5209 | Elbow, other impairment. |
| 5210 | Radius and ulna, nonunion. |
| 5211 | Ulna, impairment. |
| 5212 | Radius, impairment. |
| 5213 | Supination and pronation, impairment. |
| Wrist | |
| 5214 | Wrist, ankylosis. |
| 5215 | Wrist, limitation of motion. |
| Limitation of Motion | |
| Multiple Digits: Unfavorable Ankylosis: | |
| 5216 | Five digits of one hand. |
| 5217 | Four digits of one hand. |
| 5218 | Three digits of one hand. |
| 5219 | Two digits of one hand. |
| Multiple Digits: Favorable Ankylosis: | |
| 5220 | Five digits of one hand. |
| 5221 | Four digits of one hand. |
| 5222 | Three digits of one hand. |
| 5223 | Two digits of one hand. |
| Ankylosis of Individual Digits: | |
| 5224 | Thumb. |
| 5225 | Index finger. |
| 5226 | Long finger. |
| 5227 | Ring or little finger. |
| Limitation of Motion of Individual Digits: | |
| 5228 | Thumb. |
| 5229 | Index or long finger. |
| 5230 | Ring or little finger. |
| Spine | |
| 5235 | Vertebral fracture or dislocation. |
| 5236 | Sacroiliac injury and weakness. |
| 5237 | Lumbosacral or cervical strain. |
| 5238 | Spinal stenosis. |
| 5239 | Spondylolisthesis or segmental instability. |
| 5240 | Ankylosing spondylitis. |
| 5241 | Spinal fusion. |
| 5242 | Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). |
| 5243 | Intervertebral disc syndrome. |
| 5244 | Traumatic paralysis, complete. |
| Hip and Thigh | |
| 5250 | Hip, ankylosis. |
| 5251 | Thigh, limitation of extension. |
| 5252 | Thigh, limitation of flexion. |
| 5253 | Thigh, impairment. |
| 5254 | Hip, flail joint. |
| 5255 | Femur, impairment. |
| Knee and Leg | |
| 5256 | Knee, ankylosis. |
| 5257 | Knee, other impairment. |
| 5258 | Cartilage, semilunar, dislocated. |
| 5259 | Cartilage, semilunar, removal. |
| 5260 | Leg, limitation of flexion. |
| 5261 | Leg, limitation of extension. |
| 5262 | Tibia and fibula, impairment. |
| 5263 | Genu recurvatum. |
| Ankle | |
| 5270 | Ankle, ankylosis. |
| 5271 | Ankle, limited motion. |
| 5272 | Subastragalar or tarsal joint, ankylosis. |
| 5273 | Os calcis or astragalus, malunion. |
| 5274 | Astragalectomy. |
| Shortening of the Lower Extremity | |
| 5275 | Bones, of the lower extremity |
| The Foot | |
| 5269 | Plantar fasciitis. |
| 5276 | Flatfoot, acquired. |
| 5277 | Weak foot, bilateral. |
| 5278 | Claw foot (pes cavus), acquired. |
| 5279 | Metatarsalgia, anterior (Morton's disease). |
| 5280 | Hallux valgus. |
| 5281 | Hallux rigidus. |
| 5282 | Hammer toe. |
| 5283 | Tarsal or metatarsal bones. |
| 5284 | Foot injuries, other. |
| The Skull | |
| 5296 | Loss of part of. |
| The Ribs | |
| 5297 | Removal of. |
| The Coccyx | |
| 5298 | Removal of. |
| MUSCLE INJURIES | |
| Shoulder Girdle and Arm | |
| 5301 | Group I Function: Upward rotation of scapula. |
| 5302 | Group II Function: Depression of arm. |
| 5303 | Group III Function: Elevation and abduction of arm. |
| 5304 | Group IV Function: Stabilization of shoulder. |
| 5305 | Group V Function: Elbow supination. |
| 5306 | Group VI Function: Extension of elbow. |
| Forearm and Hand | |
| 5307 | Group VII Function: Flexion of wrist and fingers. |
| 5308 | Group VIII Function: Extension of wrist, fingers, thumb. |
| 5309 | Group IX Function: Forearm muscles. |
| Foot and Leg | |
| 5310 | Group X Function: Movement of forefoot and toes. |
| 5311 | Group XI Function: Propulsion of foot. |
| 5312 | Group XII Function: Dorsiflexion. |
| Pelvic Girdle and Thigh | |
| 5313 | Group XIII Function: Extension of hip and flexion of knee. |
| 5314 | Group XIV Function: Extension of knee. |
| 5315 | Group XV Function: Adduction of hip. |
| 5316 | Group XVI Function: Flexion of hip. |
| 5317 | Group XVII Function: Extension of hip. |
| 5318 | Group XVIII Function: Outward rotation of thigh. |
| Torso and Neck | |
| 5319 | Group XIX Function: Abdominal wall and lower thorax. |
| 5320 | Group XX Function: Postural support of body. |
| 5321 | Group XXI Function: Respiration. |
| 5322 | Group XXII Function: Rotary and forward movements, head. |
| 5323 | Group XXIII Function: Movements of head. |
| Miscellaneous | |
| 5324 | Diaphragm, rupture. |
| 5325 | Muscle injury, facial muscles. |
| 5326 | Muscle hernia. |
| 5327 | Muscle, neoplasm of, malignant. |
| 5328 | Muscle, neoplasm of, benign. |
| 5329 | Sarcoma, soft tissue. |
| 5330 | Rhabdomyolysis, residuals of. |
| 5331 | Compartment syndrome. |
| THE EYE | |
| Diseases of the Eye | |
| 6000 | Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. |
| 6001 | Keratopathy. |
| 6002 | Scleritis. |
| 6003 | Iritis. |
| 6004 | Cyclitis. |
| 6005 | Choroiditis. |
| 6006 | Retinopathy or maculopathy not otherwise specified. |
| 6007 | Intraocular hemorrhage. |
| 6008 | Detachment of retina. |
| 6009 | Unhealed eye injury. |
| 6010 | Tuberculosis of eye. |
| 6011 | Retinal scars, atrophy, or irregularities. |
| 6012 | Angle-closure glaucoma. |
| 6013 | Open-angle glaucoma. |
| 6014 | Malignant neoplasms of the eye, orbit, and adnexa (excluding skin). |
| 6015 | Benign neoplasms of the eye, orbit, and adnexa (excluding skin). |
| 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 | Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). |
| 6026 | Optic neuropathy. |
| 6027 | Cataract. |
| 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. |
| 6036 | Status post corneal transplant. |
| 6040 | Diabetic retinopathy. |
| 6042 | Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy). |
| 6046 | Post-chiasmal disorders. |
| Impairment of Central Visual Acuity | |
| 6061 | Anatomical loss both eyes. |
| 6062 | Blindness, both eyes, only light perception. |
| Anatomical loss of 1 eye: | |
| 6063 | Other eye 5/200 (1.5/60). |
| 6064 | Other eye 10/200 (3/60). |
| 6064 | Other eye 15/200 (4.5/60). |
| 6064 | Other eye 20/200 (6/60). |
| 6065 | Other eye 20/100 (6/30). |
| 6065 | Other eye 20/70 (6/21). |
| 6065 | Other eye 20/50 (6/15). |
| 6066 | Other eye 20/40 (6/12). |
| Blindness in 1 eye, only light perception: | |
| 6067 | Other eye 5/200 (1.5/60). |
| 6068 | Other eye 10/200 (3/60). |
| 6068 | Other eye 15/200 (4.5/60). |
| 6068 | Other eye 20/200 (6/60). |
| 6069 | Other eye 20/100 (6/30). |
| 6069 | Other eye 20/70 (6/21). |
| 6069 | Other eye 20/50 (6/15). |
| 6070 | Other eye 20/40 (6/12). |
| Vision in 1 eye 5/200 (1.5/60): | |
| 6071 | Other eye 5/200 (1.5/60). |
| 6072 | Other eye 10/200 (3/60). |
| 6072 | Other eye 15/200 (4.5/60). |
| 6072 | Other eye 20/200 (6/60). |
| 6073 | Other eye 20/100 (6/30). |
| 6073 | Other eye 20/70 (6/21). |
| 6073 | Other eye 20/50 (6/15). |
| 6074 | Other eye 20/40 (6/12). |
| Vision in 1 eye 10/200 (3/60): | |
| 6075 | Other eye 10/200 (3/60). |
| 6075 | Other eye 15/200 (4.5/60). |
| 6075 | Other eye 20/200 (6/60). |
| 6076 | Other eye 20/100 (6/30). |
| 6076 | Other eye 20/70 (6/21). |
| 6076 | Other eye 20/50 (6/15). |
| 6077 | Other eye 20/40 (6/12). |
| Vision in 1 eye 15/200 (4.5/60): | |
| 6075 | Other eye 15/200 (4.5/60). |
| 6075 | Other eye 20/200 (6/60). |
| 6076 | Other eye 20/100 (6/30). |
| 6076 | Other eye 20/70 (6/21). |
| 6076 | Other eye 20/50 (6/15). |
| 6077 | Other eye 20/40 (6/12). |
| Vision in 1 eye 20/200 (6/60): | |
| 6075 | Other eye 20/200 (6/60). |
| 6076 | Other eye 20/100 (6/30). |
| 6076 | Other eye 20/70 (6/21). |
| 6076 | Other eye 20/50 (6/15). |
| 6077 | Other eye 20/40 (6/12). |
| Vision in 1 eye 20/100 (6/30): | |
| 6078 | Other eye 20/100 (6/30). |
| 6078 | Other eye 20/70 (6/21). |
| 6078 | Other eye 20/50 (6/15). |
| 6079 | Other eye 20/40 (6/12). |
| Vision in 1 eye 20/70 (6/21): | |
| 6078 | Other eye 20/70 (6/21). |
| 6078 | Other eye 20/50 (6/15). |
| 6079 | Other eye 20/40 (6/12). |
| Vision in 1 eye 20/50 (6/15): | |
| 6078 | Other eye 20/50 (6/15). |
| 6079 | Other eye 20/40 (6/12). |
| Impairment of Field Vision: | |
| 6080 | Field vision, impairment. |
| 6081 | Scotoma. |
| Impairment of Muscle Function: | |
| 6090 | Diplopia. |
| 6091 | Symblepharon. |
| 6092 | Diplopia, limited muscle function. |
| THE EAR | |
| 6200 | Chronic suppurative otitis media. |
| 6201 | Chronic nonsuppurative otitis media. |
| 6202 | Otosclerosis. |
| 6204 | Peripheral vestibular disorders. |
| 6205 | Meniere's syndrome. |
| 6207 | Loss of auricle. |
| 6208 | Malignant neoplasm. |
| 6209 | Benign neoplasm. |
| 6210 | Chronic otitis externa. |
| 6211 | Tympanic membrane. |
| 6260 | Tinnitus, recurrent. |
| OTHER SENSE ORGANS | |
| 6275 | Smell, complete loss. |
| 6276 | Taste, complete loss. |
| INFECTIOUS DISEASES, IMMUNE DISORDERS AND NUTRITIONAL DEFICIENCIES | |
| 6300 | Vibriosis (Cholera, Non-cholera). |
| 6301 | Visceral Leishmaniasis. |
| 6302 | Leprosy (Hansen's Disease). |
| 6304 | Malaria. |
| 6305 | Lymphatic filariasis, to include elephantiasis. |
| 6306 | Bartonellosis. |
| 6307 | Plague. |
| 6308 | Relapsing fever. |
| 6309 | Rheumatic fever. |
| 6310 | Syphilis. |
| 6311 | Tuberculosis, miliary. |
| 6312 | Nontuberculosis mycobacterium infection. |
| 6313 | Avitaminosis. |
| 6314 | Beriberi. |
| 6315 | Pellagra. |
| 6316 | Brucellosis. |
| 6317 | Rickettsial, ehrlichia, and anaplasma infections. |
| 6318 | Melioidosis. |
| 6319 | Lyme disease. |
| 6320 | Parasitic diseases. |
| 6325 | Hyperinfection syndrome or disseminated strongyloidiasis. |
| 6326 | Schistosomiasis. |
| 6329 | Hemorrhagic fevers, including dengue, yellow fever, and others. |
| 6330 | Campylobacter jejuni infection. |
| 6331 | Coxiella burnetii infection (Q Fever). |
| 6333 | Nontyphoid salmonella infections. |
| 6334 | Shigella infections. |
| 6335 | West Nile virus infection. |
| 6350 | Lupus erythematosus. |
| 6351 | HIV-Related Illness. |
| 6354 | Chronic Fatigue Syndrome (CFS). |
| THE RESPIRATORY SYSTEM | |
| Nose and Throat | |
| 6502 | Septum, nasal, deviation. |
| 6504 | Nose, loss of part of, or scars. |
| 6510 | Sinusitis, pansinusitis, chronic. |
| 6511 | Sinusitis, ethmoid, chronic. |
| 6512 | Sinusitis, frontal, chronic. |
| 6513 | Sinusitis, maxillary, chronic. |
| 6514 | Sinusitis, sphenoid, chronic. |
| 6515 | Laryngitis, tuberculous. |
| 6516 | Laryngitis, chronic. |
| 6518 | Laryngectomy, total. |
| 6519 | Aphonia, complete organic. |
| 6520 | Larynx, stenosis of. |
| 6521 | Pharynx, injuries to. |
| 6522 | Allergic or vasomotor rhinitis. |
| 6523 | Bacterial rhinitis. |
| 6524 | Granulomatous rhinitis. |
| Trachea and Bronchi | |
| 6600 | Bronchitis, chronic. |
| 6601 | Bronchiectasis. |
| 6602 | Asthma, bronchial. |
| 6603 | Emphysema, pulmonary. |
| 6604 | Chronic obstructive pulmonary disease. |
| Lungs and Pleura Tuberculosis | |
| Ratings for Pulmonary Tuberculosis (Chronic) Entitled on August 19, 1968: | |
| 6701 | Active, far advanced. |
| 6702 | Active, moderately advanced. |
| 6703 | Active, minimal. |
| 6704 | Active, advancement unspecified. |
| 6721 | Inactive, far advanced. |
| 6722 | Inactive, moderately advanced. |
| 6723 | Inactive, minimal. |
| 6724 | Inactive, advancement unspecified. |
| Ratings for Pulmonary Tuberculosis Initially Evaluated After August 19, 1968: | |
| 6730 | Chronic, active. |
| 6731 | Chronic, inactive. |
| 6732 | Pleurisy, active or inactive. |
| Nontuberculous Diseases | |
| 6817 | Pulmonary Vascular Disease. |
| 6819 | Neoplasms, malignant. |
| 6820 | Neoplasms, benign. |
| Bacterial Infections of the Lung | |
| 6822 | Actinomycosis. |
| 6823 | Nocardiosis. |
| 6824 | Chronic lung abscess. |
| Interstitial Lung Disease | |
| 6825 | Fibrosis of lung, diffuse interstitial. |
| 6826 | Desquamative interstitial pneumonitis. |
| 6827 | Pulmonary alveolar proteinosis. |
| 6828 | Eosinophilic granuloma. |
| 6829 | Drug-induced, pneumonitis & fibrosis. |
| 6830 | Radiation-induced, pneumonitis & fibrosis. |
| 6831 | Hypersensitivity pneumonitis. |
| 6832 | Pneumoconiosis. |
| 6833 | Asbestosis. |
| Mycotic Lung Disease | |
| 6834 | Histoplasmosis. |
| 6835 | Coccidioidomycosis. |
| 6836 | Blastomycosis. |
| 6837 | Cryptococcosis. |
| 6838 | Aspergillosis. |
| 6839 | Mucormycosis. |
| Restrictive Lung Disease | |
| 6840 | Diaphragm paralysis or paresis. |
| 6841 | Spinal cord injury with respiratory insufficiency. |
| 6842 | Kyphoscoliosis, pectus excavatum/carinatum. |
| 6843 | Traumatic chest wall defect. |
| 6844 | Post-surgical residual. |
| 6845 | Pleural effusion or fibrosis. |
| 6846 | Sarcoidosis. |
| 6847 | Sleep Apnea Syndromes. |
| THE CARDIOVASCULAR SYSTEM | |
| Diseases of the Heart | |
| 7000 | Valvular heart disease. |
| 7001 | Endocarditis. |
| 7002 | Pericarditis. |
| 7003 | Pericardial adhesions. |
| 7004 | Syphilitic heart disease. |
| 7005 | Arteriosclerotic heart disease. |
| 7006 | Myocardial infarction. |
| 7007 | Hypertensive heart disease. |
| 7008 | Hyperthyroid heart disease. |
| 7009 | Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation. |
| 7010 | Supraventricular tachycardia. |
| 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: ascending, thoracic, abdominal. |
| 7111 | Aneurysm, large artery. |
| 7112 | Aneurysm, small artery. |
| 7113 | Arteriovenous fistula, traumatic. |
| 7114 | Peripheral arterial disease. |
| 7115 | Thrombo-angiitis obliterans (Buerger's Disease). |
| 7117 | Raynaud's syndrome (secondary Raynaud's phenomenon, secondary Raynaud's). |
| 7118 | Angioneurotic edema. |
| 7119 | Erythromelalgia. |
| 7120 | Varicose veins. |
| 7121 | Post-phlebitic syndrome. |
| 7122 | Cold injury residuals. |
| 7123 | Soft tissue sarcoma. |
| 7124 | Raynaud's disease (primary Raynaud's). |
| THE DIGESTIVE SYSTEM | |
| 7200 | Soft tissue injury of the mouth, other than tongue or lips. |
| 7201 | Lips, injuries. |
| 7202 | Tongue, loss of whole or part. |
| 7203 | Esophagus, stricture. |
| 7204 | Esophageal motility disorder. |
| 7205 | Esophagus, diverticulum. |
| 7206 | Gastroesophageal reflux disease. |
| 7207 | Barrett's esophagus. |
| 7301 | Peritoneum, adhesions of, due to surgery, trauma, or infection. |
| 7303 | Chronic complications of upper gastrointestinal surgery. |
| 7304 | Peptic ulcer disease. |
| 7305 | [Removed]. |
| 7306 | [Removed]. |
| 7307 | Gastritis, chronic. |
| 7308 | Postgastrectomy syndromes. |
| 7309 | Stomach, stenosis. |
| 7310 | Stomach, injury of, residuals. |
| 7311 | Liver, injury of, residuals. |
| 7312 | Cirrhosis of the liver. |
| 7314 | Chronic biliary tract disease. |
| 7315 | Cholelithiasis, chronic. |
| 7316 | [Removed]. |
| 7317 | Gallbladder, injury of. |
| 7318 | Cholecystectomy (gallbladder removal), complications of (such as strictures and biliary leaks). |
| 7319 | Irritable bowel syndrome (IBS). |
| 7321 | [Removed]. |
| 7322 | [Removed]. |
| 7323 | Colitis, ulcerative. |
| 7324 | [Removed]. |
| 7325 | Enteritis, chronic. |
| 7326 | Crohn's disease or undifferentiated form of inflammatory bowel disease. |
| 7327 | Diverticulitis and diverticulosis. |
| 7328 | Intestine, small, resection of. |
| 7329 | Intestine, large, resection. |
| 7330 | Intestinal fistulous diseases, external. |
| 7331 | Peritonitis. |
| 7332 | Rectum and anus, impairment of sphincter control. |
| 7333 | Rectum & anus, stricture. |
| 7334 | Rectum, prolapse. |
| 7335 | Ano, fistula in, including anorectal fistula, anorectal abscess. |
| 7336 | Hemorrhoids, external or internal. |
| 7337 | Pruritus ani (anal itching). |
| 7338 | Hernia, including femoral, inguinal, umbilical, ventral, incisional, and other (but not including hiatal). |
| 7339 | [Removed]. |
| 7340 | [Removed]. |
| 7342 | Visceroptosis. |
| 7343 | Neoplasms, malignant. |
| 7344 | Benign neoplasms, exclusive of skin growths. |
| 7345 | Chronic liver disease without cirrhosis. |
| 7346 | Hiatal hernia and paraesophageal hernia. |
| 7347 | Pancreatitis, chronic. |
| 7348 | Vagotomy with pyloroplasty or gastroenterostomy. |
| 7350 | Liver abscess. |
| 7351 | Liver transplant. |
| 7352 | Pancreas transplant. |
| 7354 | Hepatitis C (or non-A, non-B hepatitis). |
| 7355 | Celiac disease. |
| 7356 | Gastrointestinal dysmotility syndrome. |
| 7357 | Post pancreatectomy syndrome. |
| THE GENITOURINARY SYSTEM | |
| 7500 | Kidney, removal. |
| 7501 | Kidney, abscess. |
| 7502 | Nephritis, chronic. |
| 7504 | Pyelonephritis, chronic. |
| 7505 | Kidney, tuberculosis. |
| 7507 | Nephrosclerosis, arteriolar. |
| 7508 | Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. |
| 7509 | Hydronephrosis. |
| 7511 | Ureter, stricture. |
| 7512 | Cystitis, chronic. |
| 7515 | Bladder, calculus. |
| 7516 | Bladder, fistula. |
| 7517 | Bladder, injury. |
| 7518 | Urethra, stricture. |
| 7519 | Urethra, fistula. |
| 7520 | Penis, removal of half or more. |
| 7521 | Penis, removal of glans. |
| 7522 | Erectile dysfunction, with or without penile deformity. |
| 7523 | Testis, atrophy, complete. |
| 7524 | Testis, removal. |
| 7525 | Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. |
| 7527 | Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction. |
| 7528 | Malignant neoplasms. |
| 7529 | Benign neoplasms. |
| 7530 | Renal disease, chronic. |
| 7531 | Kidney transplant. |
| 7532 | Renal tubular disorders. |
| 7533 | Cystic diseases of the kidneys. |
| 7534 | Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified). |
| 7535 | Toxic nephropathy. |
| 7536 | Glomerulonephritis. |
| 7537 | Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism. |
| 7538 | Papillary necrosis. |
| 7539 | Renal amyloid disease. |
| 7540 | Disseminated intravascular coagulation. |
| 7541 | Renal involvement in diabetes mellitus type I or II. |
| 7542 | Neurogenic bladder. |
| 7543 | Varicocele/Hydrocele. |
| 7544 | Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. |
| 7545 | Bladder, diverticulum of. |
| GYNECOLOGICAL CONDITIONS AND DISORDERS OF THE BREAST | |
| 7610 | Vulva or clitoris, disease or injury of (including vulvovaginitis). |
| 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 | Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy. |
| 7624 | Fistula, rectovaginal. |
| 7625 | Fistula, urethrovaginal. |
| 7626 | Breast, surgery. |
| 7627 | Malignant neoplasms of gynecological system. |
| 7628 | Benign neoplasms of gynecological system. |
| 7629 | Endometriosis. |
| 7630 | Malignant neoplasms of the breast. |
| 7631 | Benign neoplasms of the breast and other injuries of the breast. |
| 7632 | Female sexual arousal disorder (FSAD). |
| The Hematologic and Lymphatic Systems | |
| 7700 | [Removed] |
| 7702 | Agranulocytosis, acquired. |
| 7703 | Leukemia. |
| 7704 | Polycythemia vera. |
| 7705 | Immune thrombocytopenia. |
| 7706 | Splenectomy. |
| 7707 | Spleen, injury of, healed. |
| 7709 | Hodgkin's lymphoma. |
| 7710 | Adenitis, tuberculous. |
| 7712 | Multiple myeloma |
| 7714 | Sickle cell anemia. |
| 7715 | Non-Hodgkin's lymphoma. |
| 7716 | Aplastic anemia. |
| 7717 | AL amyloidosis (primary amyloidosis). |
| 7718 | Essential thrombocythemia and primary myelofibrosis. |
| 7719 | Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). |
| 7720 | Iron deficiency anemia. |
| 7721 | Folic acid deficiency. |
| 7722 | Pernicious anemia and Vitamin B12 deficiency anemia. |
| 7723 | Acquired hemolytic anemia. |
| 7724 | Solitary plasmacytoma. |
| 7725 | Myelodysplastic syndromes. |
| THE SKIN | |
| 7800 | Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck. |
| 7801 | Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage. |
| 7802 | Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are not associated with underlying soft tissue damage. |
| 7804 | Scar(s), unstable or painful. |
| 7805 | Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. |
| 7806 | Dermatitis or eczema. |
| 7807 | Leishmaniasis, American (New World). |
| 7808 | Leishmaniasis, Old World. |
| 7809 | Discoid lupus erythematosus. |
| 7811 | Tuberculosis luposa (lupus vulgaris). |
| 7813 | Dermatophytosis. |
| 7815 | Bullous disorders. |
| 7816 | Psoriasis. |
| 7817 | Erythroderma. |
| 7818 | Malignant skin neoplasms. |
| 7819 | Benign skin neoplasms. |
| 7820 | Infections of the skin. |
| 7821 | Cutaneous manifestations of collagen-vascular diseases not listed elsewhere. |
| 7822 | Papulosquamous disorders not listed elsewhere. |
| 7823 | Vitiligo. |
| 7824 | Keratinization, diseases. |
| 7825 | Chronic 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, including, but not limited to, Graves' disease. |
| 7901 | Thyroid enlargement, toxic. |
| 7902 | Thyroid enlargement, nontoxic. |
| 7903 | Hypothyroidism. |
| 7904 | Hyperparathyroidism. |
| 7905 | Hypoparathyroidism. |
| 7906 | Thyroiditis. |
| 7907 | Cushing's syndrome. |
| 7908 | Acromegaly. |
| 7909 | Diabetes insipidus. |
| 7911 | Addison's disease (adrenocortical insufficiency). |
| 7912 | Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome). |
| 7913 | Diabetes mellitus. |
| 7914 | Malignant neoplasm. |
| 7915 | Benign neoplasm. |
| 7916 | Hyperpituitarism. |
| 7917 | Hyperaldosteronism. |
| 7918 | Pheochromocytoma. |
| 7919 | C-cell hyperplasia, thyroid. |
| NEUROLOGICAL CONDITIONS AND CONVULSIVE DISORDERS | |
| Organic Diseases of the Central Nervous System | |
| 8000 | Encephalitis, epidemic, chronic. |
| Brain, New Growth of | |
| 8002 | Malignant. |
| 8003 | Benign. |
| 8004 | Paralysis agitans. |
| 8005 | Bulbar palsy. |
| 8007 | Brain, vessels, embolism. |
| 8008 | Brain, vessels, thrombosis. |
| 8009 | Brain, vessels, hemorrhage. |
| 8010 | Myelitis. |
| 8011 | Poliomyelitis, anterior. |
| 8012 | Hematomyelia. |
| 8013 | Syphilis, cerebrospinal. |
| 8014 | Syphilis, meningovascular. |
| 8015 | Tabes dorsalis. |
| 8017 | Amyotrophic lateral sclerosis. |
| 8018 | Multiple sclerosis. |
| 8019 | Meningitis, cerebrospinal, epidemic. |
| 8020 | Brain, abscess. |
| Spinal Cord, New Growths | |
| 8021 | Malignant. |
| 8022 | Benign. |
| 8023 | Progressive muscular atrophy. |
| 8024 | Syringomyelia. |
| 8025 | Myasthenia gravis. |
| 8045 | Residuals of traumatic brain injury (TBI). |
| 8046 | Cerebral arteriosclerosis. |
| Miscellaneous Diseases | |
| 8100 | Migraine |
| 8103 | Tic, convulsive. |
| 8104 | Paramyoclonus multiplex. |
| 8105 | Chorea, Sydenham's. |
| 8106 | Chorea, Huntington's. |
| 8107 | Athetosis, acquired. |
| 8108 | Narcolepsy. |
| The Cranial Nerves | |
| 8205 | Fifth (trigeminal), paralysis. |
| 8207 | Seventh (facial), paralysis. |
| 8209 | Ninth (glossopharyngeal), paralysis. |
| 8210 | Tenth (pneumogastric, vagus), paralysis. |
| 8211 | Eleventh (spinal accessory, external branch), paralysis. |
| 8212 | Twelfth (hypoglossal), paralysis. |
| 8305 | Neuritis, fifth cranial nerve. |
| 8307 | Neuritis, seventh cranial nerve. |
| 8309 | Neuritis, ninth cranial nerve. |
| 8310 | Neuritis, tenth cranial nerve. |
| 8311 | Neuritis, eleventh cranial nerve. |
| 8312 | Neuritis, twelfth cranial nerve. |
| 8405 | Neuralgia, fifth cranial nerve. |
| 8407 | Neuralgia, seventh cranial nerve. |
| 8409 | Neuralgia, ninth cranial nerve. |
| 8410 | Neuralgia, tenth cranial nerve. |
| 8411 | Neuralgia, eleventh cranial nerve. |
| 8412 | Neuralgia, twelfth cranial nerve. |
| Peripheral Nerves | |
| 8510 | Upper radicular group, paralysis. |
| 8511 | Middle radicular group, paralysis. |
| 8512 | Lower radicular group, paralysis. |
| 8513 | All radicular groups, paralysis. |
| 8514 | Musculospiral nerve (radial), paralysis. |
| 8515 | Median nerve, paralysis. |
| 8516 | Ulnar nerve, paralysis. |
| 8517 | Musculocutaneous nerve, paralysis. |
| 8518 | Circumflex nerve, paralysis. |
| 8519 | Long thoracic nerve, paralysis. |
| 8520 | Sciatic nerve, paralysis. |
| 8521 | External popliteal nerve (common peroneal), paralysis. |
| 8522 | Musculocutaneous nerve (superficial peroneal), paralysis. |
| 8523 | Anterior tibial nerve (deep peroneal), paralysis. |
| 8524 | Internal popliteal nerve (tibial), paralysis. |
| 8525 | Posterior tibial nerve, paralysis. |
| 8526 | Anterior crural nerve (femoral), paralysis. |
| 8527 | Internal saphenous nerve, paralysis. |
| 8528 | Obturator nerve, paralysis. |
| 8529 | External cutaneous nerve of thigh, paralysis. |
| 8530 | Ilio-inguinal nerve, paralysis. |
| 8540 | Soft-tissue sarcoma (Neurogenic origin). |
| 8610 | Neuritis, upper radicular group. |
| 8611 | Neuritis, middle radicular group. |
| 8612 | Neuritis, lower radicular group. |
| 8613 | Neuritis, all radicular group. |
| 8614 | Neuritis, musculospiral (radial) nerve. |
| 8615 | Neuritis, median nerve. |
| 8616 | Neuritis, ulnar nerve. |
| 8617 | Neuritis, musculocutaneous nerve. |
| 8618 | Neuritis, circumflex nerve. |
| 8619 | Neuritis, long thoracic nerve. |
| 8620 | Neuritis, sciatic nerve. |
| 8621 | Neuritis, external popliteal (common peroneal) nerve. |
| 8622 | Neuritis, musculocutaneous (superficial peroneal) nerve. |
| 8623 | Neuritis, anterior tibial (deep peroneal) nerve. |
| 8624 | Neuritis, internal popliteal (tibial) nerve. |
| 8625 | Neuritis, posterior tibial nerve. |
| 8626 | Neuritis, anterior crural (femoral) nerve. |
| 8627 | Neuritis, internal saphenous nerve. |
| 8628 | Neuritis, obturator nerve. |
| 8629 | Neuritis, external cutaneous nerve of thigh. |
| 8630 | Neuritis, ilio-inguinal nerve. |
| 8710 | Neuralgia, upper radicular group. |
| 8711 | Neuralgia, middle radicular group. |
| 8712 | Neuralgia, lower radicular group. |
| 8713 | Neuralgia, all radicular groups. |
| 8714 | Neuralgia, musculospiral nerve (radial). |
| 8715 | Neuralgia, median nerve. |
| 8716 | Neuralgia, ulnar nerve. |
| 8717 | Neuralgia, musculocutaneous nerve. |
| 8718 | Neuralgia, circumflex nerve. |
| 8719 | Neuralgia, long thoracic nerve. |
| 8720 | Neuralgia, sciatic nerve. |
| 8721 | Neuralgia, external popliteal nerve (common peroneal). |
| 8722 | Neuralgia, musculocutaneous nerve (superficial peroneal). |
| 8723 | Neuralgia, anterior tibial nerve (deep peroneal). |
| 8724 | Neuralgia, internal popliteal nerve (tibial). |
| 8725 | Neuralgia, posterior tibial nerve. |
| 8726 | Neuralgia, anterior crural nerve (femoral). |
| 8727 | Neuralgia, internal saphenous nerve. |
| 8728 | Neuralgia, obturator nerve. |
| 8729 | Neuralgia, external cutaneous nerve of thigh. |
| 8730 | Neuralgia, ilio-inguinal nerve. |
| The Epilepsies | |
| 8910 | Grand mal. |
| 8911 | Petit mal. |
| 8912 | Jacksonian and focal motor or sensory. |
| 8913 | Diencephalic. |
| 8914 | Psychomotor. |
| Mental Disorders | |
| 9201 | Schizophrenia. |
| 9208 | Delusional disorder. |
| 9210 | Other specified and unspecified schizophrenia spectrum and other psychotic disorders. |
| 9211 | Schizoaffective Disorder. |
| 9300 | Delirium. |
| 9301 | Major or mild neurocognitive disorder due to HIV or other infections. |
| 9304 | Major or mild neurocognitive disorder due to traumatic brain injury. |
| 9305 | Major or mild vascular neurocognitive disorder. |
| 9310 | Unspecified neurocognitive disorder. |
| 9312 | Major or mild neurocognitive disorder due to Alzheimer's disease. |
| 9326 | Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. |
| 9400 | Generalized anxiety disorder. |
| 9403 | Specific phobia; social anxiety disorder (social phobia). |
| 9404 | Obsessive compulsive disorder. |
| 9410 | Other specified anxiety disorder. |
| 9411 | Posttraumatic stress disorder. |
| 9412 | Panic disorder and/or agoraphobia. |
| 9413 | Unspecified anxiety disorder. |
| 9416 | Dissociative amnesia; dissociative identity disorder. |
| 9417 | Depersonalization/derealization disorder. |
| 9421 | Somatic symptom disorder. |
| 9422 | Other specified somatic symptom and related disorder. |
| 9423 | Unspecified somatic symptom and related disorder. |
| 9424 | Conversion disorder (functional neurological symptom disorder). |
| 9425 | Illness anxiety disorder. |
| 9431 | Cyclothymic disorder. |
| 9432 | Bipolar disorder. |
| 9433 | Persistent depressive disorder (dysthymia). |
| 9434 | Major depressive disorder. |
| 9435 | Unspecified depressive disorder. |
| 9440 | Chronic adjustment disorder. |
| 9520 | Anorexia nervosa. |
| 9521 | Bulimia nervosa. |
| DENTAL AND ORAL CONDITIONS | |
| 9900 | Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of. |
| 9901 | Mandible, loss of, complete. |
| 9902 | Mandible loss of, including ramus, unilaterally or bilaterally. |
| 9903 | Mandible, nonunion of, confirmed by diagnostic imaging studies. |
| 9904 | Mandible, malunion. |
| 9905 | Temporomandibular disorder (TMD). |
| 9908 | Condyloid process. |
| 9909 | Coronoid process. |
| 9911 | Hard palate, loss of. |
| 9913 | Teeth, loss of. |
| 9914 | Maxilla, loss of more than half. |
| 9915 | Maxilla, loss of half or less. |
| 9916 | Maxilla, malunion or nonunion of. |
| 9917 | Neoplasm, hard and soft tissue, benign. |
| 9918 | Neoplasm, hard and soft tissue, malignant. |
38 C.F.R. 4 app B to Part 4