38 C.F.R. § 4 app C to Part 4
Current through September 30, 2024
| Diagnostic code No. | |
| Abscess: | |
| Anorectal | 7335 |
| Brain | 8020 |
| Kidney | 7501 |
| Liver | 7350 |
| Lung | 6824 |
| Acne | 7828 |
| Acromegaly | 7908 |
| Actinomycosis | 6822 |
| Addison's disease | 7911 |
| Agranulocytosis, acquired | 7702 |
| AL amyloidosis | 7717 |
| Alopecia areata | 7831 |
| Amebiasis | 7321 |
| Amputation: | |
| Arm: | |
| Complete amputation, upper extremity | 5120 |
| Above insertion of deltoid | 5121 |
| Below insertion of deltoid | 5122 |
| Digits, five of one hand | 5126 |
| Digits, four of one hand: | |
| Thumb, index, long and ring | 5127 |
| Thumb, index, long and little | 5128 |
| Thumb, index, ring and little | 5129 |
| Thumb, long, ring and little | 5130 |
| Index, long, ring and little | 5131 |
| Digits, three of one hand: | |
| Thumb, index and long | 5132 |
| Thumb, index and ring | 5133 |
| Thumb, index and little | 5134 |
| Thumb, long and ring | 5135 |
| Thumb, long and little | 5136 |
| Thumb, ring and little | 5137 |
| Index, long and ring | 5138 |
| Index, long and little | 5139 |
| Index, ring and little | 5140 |
| Long, ring and little | 5141 |
| Digits, two of one hand: | |
| Thumb and index | 5142 |
| Thumb and long | 5143 |
| Thumb and ring | 5144 |
| Thumb and little | 5145 |
| Index and long | 5146 |
| Index and ring | 5147 |
| Index and little | 5148 |
| Long and ring | 5149 |
| Long and little | 5150 |
| Ring and little | 5151 |
| Single finger: | |
| Thumb | 5152 |
| Index finger | 5153 |
| Long finger | 5154 |
| Ring finger | 5155 |
| Little finger | 5156 |
| Forearm: | |
| Above insertion of pronator teres | 5123 |
| Below insertion of pronator teres | 5124 |
| Leg: | |
| With defective stump | 5163 |
| Not improvable by prosthesis controlled by natural knee action | 5164 |
| At lower level, permitting prosthesis | 5165 |
| Forefoot, proximal to metatarsal bones | 5166 |
| Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss | 5170 |
| Toe, great | 5171 |
| Toe, other than great, with removal metatarsal head | 5172 |
| Toes, three or more, without metatarsal involvement | 5173 |
| Thigh: | |
| Complete amputation, lower extremity | 5160 |
| Upper third | 5161 |
| Middle or lower thirds | 5162 |
| Amyotrophic lateral sclerosis | 8017 |
| Anatomical loss of: | |
| Both eyes | 6061 |
| One eye, with visual acuity of other eye: | |
| 5/200 (1.5/60) | 6063 |
| 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6064 |
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6065 |
| 20/40 (6/12) | 6066 |
| Both feet | 5107 |
| Both hands | 5106 |
| One hand and one foot | 5108 |
| One foot and loss of use of one hand | 5105 |
| One hand and loss of use of one foot | 5104 |
| Anemia: | |
| Acquired hemolytic anemia | 7723 |
| Folic acid deficiency | 7721 |
| Iron deficiency anemia | 7720 |
| Pernicious anemia and Vitamin B12 deficiency anemia | 7722 |
| Aneurysm: | |
| Aortic: ascending, thoracic, abdominal | 7110 |
| Large artery | 7111 |
| Small artery | 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 |
| Arteriosclerotic heart disease | 7005 |
| Arteriovenous fistula | 7113 |
| Arthritis: | |
| Degenerative, other than post-traumatic | 5003 |
| Gonorrheal | 5004 |
| Other specified forms (excluding gout) | 5009 |
| Pneumococcic | 5005 |
| Post-traumatic | 5010 |
| Multi-joint (except post-traumatic and gout) | 5002 |
| Streptococcic | 5008 |
| Syphilitic | 5007 |
| Typhoid | 5006 |
| Arthropathy | 5009 |
| 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 |
| Diverticulum of | 7545 |
| Fistula in | 7516 |
| Injury of | 7517 |
| Neurogenic | 7542 |
| Blastomycosis | 6836 |
| Blindness: see also Vision and Anatomical Loss | |
| Both eyes, only light perception | 6062 |
| One eye, only light perception and other eye: | |
| 5/200 (1.5/60) | 6067 |
| 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6068 |
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6069 |
| 20/40 (6/12) | 6070 |
| Bones: | |
| Neoplasm, benign | 5015 |
| Neoplasm, malignant, primary or secondary | 5012 |
| Shortening of the lower extremity | 5275 |
| Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation | 7009 |
| Brain: | |
| Abscess | 8020 |
| Breast surgery | 7626 |
| Bronchiectasis | 6601 |
| Bronchitis | 6600 |
| Brucellosis | 6316 |
| Buerger's disease | 7115 |
| Bulbar palsy | 8005 |
| Bullous disorders | 7815 |
| Bursitis | 5019 |
| Campylobacter jejuni infection | 6330 |
| 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 | 7314 |
| Cholecystectomy (gallbladder removal), complications of (such as strictures and biliary leaks) | 7318 |
| Cholecystitis, chronic | 7314 |
| Cholelithiasis, chronic | 7315 |
| 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 |
| Compartment syndrome | 5331 |
| Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy, including uterine or vaginal vault prolapse, cystocele, urethrocele, rectocele, enterocele, or combination | 7621 |
| Conjunctivitis: | |
| Trachomatous | 6017 |
| Other | 6018 |
| Coronary bypass surgery | 7017 |
| Coxiella burnetii infection (Q Fever) | 6331 |
| Cryptococcosis | 6837 |
| Cushing's syndrome | 7907 |
| Cutaneous manifestations of collagen-vascular diseases not listed elsewhere | 7821 |
| Cyclitis | 6004 |
| Cystitis, chronic | 7512 |
| Dacryocystitis | 6031 |
| Decompression illness | 5011 |
| 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 |
| Celiac | 7355 |
| Chronic obstructive pulmonary disease | 6604 |
| Crohn's | 7326 |
| Gallbladder and biliary tract, chronic | 7314 |
| Hodgkin's | 7709 |
| Inflammatory bowel | 7326 |
| 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 and diverticulosis | 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 |
| Epilepsies: | |
| Diencephalic | 8913 |
| Grand mal | 8910 |
| Jacksonian and focal motor or sensory | 8912 |
| Petit mal | 8911 |
| Psychomotor | 8914 |
| Epiphora | 6025 |
| Erythema multiforme | 7827 |
| Erythroderma | 7817 |
| Erythromelalgia | 7119 |
| Esophagus: | |
| Barrett's | 7207 |
| Diverticulum | 7205 |
| Motility disorder | 7204 |
| Spasm | 7204 |
| Stricture | 7203 |
| Fallopian tube | 7614 |
| Female sexual arousal disorder (FSAD) | 7632 |
| 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, chronic | 7307 |
| Gastroesophageal reflux disease | 7206 |
| Genu recurvatum | 5263 |
| Glaucoma: | |
| Congestive or inflammatory | 6012 |
| Simple, primary, noncongestive | 6013 |
| Glomerulonephritis | 7536 |
| Gout | 5017 |
| Graves' disease | 7900 |
| Hallux: | |
| Rigidus | 5281 |
| Valgus | 5280 |
| Hammer toe | 5282 |
| Heart valve replacement | 7016 |
| Hematologic: | |
| Essential thrombocythemia and primary myelofibrosis | 7718 |
| Immune thrombocytopenia | 7705 |
| Multiple myeloma | 7712 |
| Myelodysplastic syndromes | 7725 |
| Solitary plasmacytoma | 7724 |
| Hematomyelia | 8012 |
| Hemorrhage: | |
| Brain | 8009 |
| Intra-ocular | 6007 |
| Hemorrhagic fevers, including dengue, yellow fever, and others | 6329 |
| Hemorrhoids | 7336 |
| Hepatitis C | 7354 |
| Hernia: | |
| Femoral, inguinal, umbilical, ventral, incisional, and other | 7338 |
| Hiatal and parasophageal | 7346 |
| Muscle | 5326 |
| Hip: | |
| Flail joint | 5254 |
| Histoplasmosis | 6834 |
| HIV-Related Illness | 6351 |
| Hodgkin's disease | 7709 |
| Hodgkin's lymphoma | 7709 |
| Hydronephrosis | 7509 |
| Hyperaldosteronism | 7917 |
| Hyperhidrosis | 7832 |
| Hyperinfection syndrome or disseminated strongyloidiasis | 6325 |
| 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 |
| Breast | 7631 |
| Eye, unhealed | 6009 |
| Foot | 5284 |
| Gallbladder | 7317 |
| Lips | 7201 |
| Liver, residuals | 7311 |
| Mouth, soft tissue | 7200 |
| Muscle: | |
| Facial | 5325 |
| Group I Function: Upward rotation of scapula | 5301 |
| Group II Function: Depression of arm | 5302 |
| Group III Function: Elevation and abduction of arm | 5303 |
| Group IV Function: Stabilization of shoulder | 5304 |
| Group V Function: Elbow supination | 5305 |
| Group VI Function: Extension of elbow | 5306 |
| Group VII Function: Flexion of wrist and fingers | 5307 |
| Group VIII Function: Extension of wrist, fingers, thumb | 5308 |
| Group IX Function: Forearm muscles | 5309 |
| Group X Function: Movement of forefoot and toes | 5310 |
| Group XI Function: Propulsion of foot | 5311 |
| Group XII Function: Dorsiflexion | 5312 |
| Group XIII Function: Extension of hip and flexion of knee | 5313 |
| Group XIV Function: Extension of knee | 5314 |
| Group XV Function: Adduction of hip | 5315 |
| Group XVI Function: Flexion of hip | 5316 |
| Group XVII Function: Extension of hip | 5317 |
| Group XVIII Function: Outward rotation of thigh | 5318 |
| Group XIX Function: Abdominal wall and lower thorax | 5319 |
| Group XX Function: Postural support of body | 5320 |
| Group XXI Function: Respiration | 5321 |
| Group XXII Function: Rotary and forward movements, head | 5322 |
| Group XXIII Function: Movements of head | 5323 |
| Pharynx | 6521 |
| Sacroiliac | 5236 |
| Spinal cord | 6841 |
| Stomach, residuals of | 7310 |
| Iritis | 6003 |
| Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism | 7537 |
| Intervertebral disc syndrome | 5243 |
| Intestine: | |
| Fistulous disease, external | 7330 |
| Large, resection of | 7329 |
| Small, resection of | 7328 |
| Irritable bowel syndrome (IBS) | 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: | |
| Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia) | 7719 |
| 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 | 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 |
| Palate, hard | 9911 |
| Mandible: | |
| Including ramus, unilaterally or bilaterally | 9902 |
| Maxilla: | |
| More than half | 9914 |
| Less than half | 9915 |
| Nose, part of, or scars | 6504 |
| Skull, part of | 5296 |
| Smell, sense of | 6275 |
| Taste, sense of | 6276 |
| Teeth, loss of | 9913 |
| Tongue, loss of whole or part | 7202 |
| Loss of use of: | |
| Both feet | 5110 |
| Both hands | 5109 |
| Foot | 5167 |
| Hand | 5125 |
| One hand and one foot | 5111 |
| Lumbosacral strain | 5237 |
| Lupus: | |
| Erythematosus | 6350 |
| Erythematosus, discoid | 7809 |
| Lyme disease | 6319 |
| Lymphatic filariasis, to include elephantiasis | 6305 |
| Malaria | 6304 |
| Malignant melanoma | 7833 |
| Malunion: | |
| Mandible | 9904 |
| Os calcis or astragalus | 5273 |
| Maxilla, malunion or nonunion | 9916 |
| Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of | 9900 |
| Melioidosis | 6318 |
| Meniere's syndrome | 6205 |
| Meningitis, cerebrospinal, epidemic | 8019 |
| Mental disorders: | |
| Anorexia nervosa | 9520 |
| Bipolar disorder | 9432 |
| Bulimia nervosa | 9521 |
| Chronic adjustment disorder | 9440 |
| Conversion disorder (functional neurological symptom disorder). | 9424 |
| Cyclothymic disorder | 9431 |
| Delirium | 9300 |
| Delusional disorder | 9208 |
| Depersonalization/derealization disorder | 9417 |
| Dissociative amnesia; dissociative identity disorder | 9416 |
| Generalized anxiety disorder | 9400 |
| Illness anxiety disorder | 9425 |
| Major depressive disorder | 9434 |
| Major or mild neurocognitive disorder due to Alzheimer's disease | 9312 |
| Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder | 9326 |
| Major or mild neurocognitive disorder due to HIV or other infections | 9301 |
| Major or mild neurocognitive disorder due to traumatic brain injury | 9304 |
| Major or mild vascular neurocognitive disorder | 9305 |
| Obsessive compulsive disorder | 9404 |
| Other specified and unspecified schizophrenia spectrum and other psychotic disorders | 9210 |
| Other specified anxiety disorder | 9410 |
| Other specified somatic symptom and related disorder | 9422 |
| Panic disorder and/or agoraphobia | 9412 |
| Persistent depressive disorder (dysthymia) | 9433 |
| Posttraumatic stress disorder | 9411 |
| Schizoaffective disorder | 9211 |
| Schizophrenia | 9201 |
| Somatic symptom disorder | 9421 |
| Specific phobia; social anxiety disorder (social phobia) | 9403 |
| Unspecified somatic symptom and related disorder | 9423 |
| Unspecified anxiety disorder | 9413 |
| Unspecified depressive disorder | 9435 |
| Unspecified neurocognitive disorder | 9310 |
| Metatarsalgia | 5279 |
| Migraine | 8100 |
| Morton's disease | 5279 |
| Mucormycosis | 6839 |
| Multiple sclerosis | 8018 |
| Myasthenia gravis | 8025 |
| Myelitis | 8010 |
| Myocardial infarction | 7006 |
| Myositis | 5021 |
| Narcolepsy | 8108 |
| Neoplasms: | |
| Benign: | |
| Breast | 7631 |
| Digestive system | 7344 |
| Ear | 6209 |
| Endocrine | 7915 |
| Genitourinary | 7529 |
| Gynecological | 7628 |
| Hard and soft tissue | 9917 |
| Muscle | 5328 |
| Respiratory | 6820 |
| Skin | 7819 |
| Malignant: | |
| Breast | 7630 |
| Digestive system | 7343 |
| Ear | 6208 |
| Endocrine | 7914 |
| Genitourinary | 7528 |
| Gynecological | 7627 |
| Hard and soft tissue | 9918 |
| Muscle | 5327 |
| Respiratory | 6819 |
| Skin | 7818 |
| Nephritis, chronic | 7502 |
| Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis | 7508 |
| Nephrosclerosis, arteriolar | 7507 |
| Neuralgia: | |
| Cranial Nerves | |
| Fifth (trigeminal) | 8405 |
| Seventh (facial) | 8407 |
| Ninth (glossopharyngeal) | 8409 |
| Tenth (pneumogastric, vagus) | 8410 |
| Eleventh (spinal accessory, external branch) | 8411 |
| Twelfth (hypoglossal) | 8412 |
| Peripheral Nerves | |
| Upper radicular group | 8710 |
| Middle radicular group | 8711 |
| Lower radicular group | 8712 |
| All radicular groups | 8713 |
| Musculospiral (radial) | 8714 |
| Median | 8715 |
| Ulnar | 8716 |
| Musculocutaneous | 8717 |
| Circumflex | 8718 |
| Long thoracic | 8719 |
| Sciatic | 8720 |
| External popliteal (common peroneal) | 8721 |
| Musculocutaneous (superficial peroneal) | 8722 |
| Anterior tibial (deep peroneal) | 8723 |
| Internal popliteal (tibial) | 8724 |
| Posterior tibial | 8725 |
| Anterior crural (femoral) | 8726 |
| Internal saphenous | 8727 |
| Obturator | 8728 |
| External cutaneous nerve of thigh | 8729 |
| Ilio-inguinal | 8730 |
| Neuritis: | |
| Cranial nerves | |
| Fifth (trigeminal) | 8305 |
| Seventh (facial) | 8307 |
| Ninth (glossopharyngeal) | 8309 |
| Tenth (pneumogastric, vagus) | 8310 |
| Eleventh (spinal accessory, external branch) | 8311 |
| Twelfth (hypoglossal) | 8312 |
| Optic | 6026 |
| Peripheral Nerves | |
| Upper radicular group | 8610 |
| Middle radicular group | 8611 |
| Lower radicular group | 8612 |
| All radicular groups | 8613 |
| Musculospiral (radial) | 8614 |
| Median | 8615 |
| Ulnar | 8616 |
| Musculocutaneous | 8617 |
| Circumflex | 8618 |
| Long thoracic | 8619 |
| Sciatic | 8620 |
| External popliteal (common peroneal) | 8621 |
| Musculocutaneous (superficial peroneal) | 8622 |
| Anterior tibial (deep peroneal) | 8623 |
| Internal popliteal (tibial) | 8624 |
| Posterior tibial | 8625 |
| Anterior crural (femoral) | 8626 |
| Internal saphenous | 8627 |
| Obturator | 8628 |
| External cutaneous nerve of thigh | 8629 |
| Ilio-inguinal | 8630 |
| Neurogenic bladder | 7542 |
| New growths: | |
| Benign | |
| Bones | 5015 |
| Brain | 8003 |
| Eye, orbit, and adnexa | 6015 |
| Spinal cord | 8022 |
| Malignant | |
| Bones | 5012 |
| Brain | 8002 |
| Eye, orbit, and adnexa | 6014 |
| Spinal cord | 8021 |
| Nocardiosis | 6823 |
| Non-Hodgkin's lymphoma | 7715 |
| Nontuberculosis mycobacterium infection | 6312 |
| Nontyphoid salmonella infection | 6333 |
| Nonunion: | |
| Mandible, confirmed by diagnostic imaging studies | 9903 |
| Radius and ulna | 5210 |
| Nystagmus, central | 6016 |
| Osteitis deformans | 5016 |
| Osteomalacia, residuals of | 5014 |
| Osteomyelitis | 5000 |
| Osteoporosis, residuals of | 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 |
| Pancreas: | |
| Chronic pancreatitis | 7347 |
| Post pancreatectomy syndrome | 7357 |
| Surgery, complications of | 7303 |
| Transplant | 7352 |
| Papillary necrosis | 7538 |
| Papulosquamous disorders | 7822 |
| Paralysis: | |
| Accommodation | 6030 |
| Agitans | 8004 |
| Complete, traumatic | 5244 |
| Paralysis, nerve: | |
| Cranial nerves | |
| Fifth (trigeminal) | 8205 |
| Seventh (facial) | 8207 |
| Ninth (glossopharyngeal) | 8209 |
| Tenth (pneumogastric, vagus) | 8210 |
| Eleventh (spinal accessory, external branch) | 8211 |
| Twelfth (hypoglossal) | 8212 |
| Peripheral Nerves: | |
| Upper radicular group | 8510 |
| Middle radicular group | 8511 |
| Lower radicular group | 8512 |
| All radicular groups | 8513 |
| Musculospiral (radial) | 8514 |
| Median | 8515 |
| Ulnar | 8516 |
| Musculocutaneous | 8517 |
| Circumflex | 8518 |
| Long thoracic | 8519 |
| Sciatic | 8520 |
| External popliteal (common peroneal) | 8521 |
| Musculocutaneous (superficial peroneal) | 8522 |
| Anterior tibial nerve (deep peroneal) | 8523 |
| Internal popliteal (tibial) | 8524 |
| Posterior tibial nerve | 8525 |
| Anterior crural nerve (femoral) | 8526 |
| Internal saphenous | 8527 |
| Obturator | 8528 |
| External cutaneous nerve of thigh | 8529 |
| Ilio-inguinal | 8530 |
| Paramyoclonus multiplex | 8104 |
| Parasitic disease | 6320 |
| Pellagra | 6315 |
| Penis | |
| Erectile dysfunction | 7522 |
| Removal of glans | 7521 |
| Removal of half or more | 7520 |
| Pericardial adhesions | 7003 |
| Pericarditis | 7002 |
| Peripheral arterial disease | 7114 |
| Peripheral vestibular disorders | 6204 |
| Peritoneum, adhesions | 7301 |
| Peritonitis | 7331 |
| Pes cavus (Claw foot) acquired | 5278 |
| Pheochromocytoma | 7918 |
| Plague | 6307 |
| Plantar fasciitis | 5269 |
| Pleural effusion or fibrosis | 6845 |
| Pluriglandular syndrome | 7912 |
| Pneumoconiosis | 6832 |
| Pneumonitis & fibrosis: | |
| Drug-induced | 6829 |
| Radiation-induced | 6830 |
| Poliomyelitis, anterior | 8011 |
| Polycythemia vera | 7704 |
| Polyglandular syndrome | 7912 |
| Post-chiasmal disorders | 6046 |
| Postgastrectomy syndromes | 7308 |
| Post-phlebitic syndrome | 7121 |
| Post-surgical residual | 6844 |
| Progressive muscular atrophy | 8023 |
| Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction | 7527 |
| Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only | 7525 |
| Prosthetic implants: | |
| Ankle replacement | 5056 |
| Elbow replacement | 5052 |
| Hip, resurfacing or replacement | 5054 |
| Knee, resurfacing or replacement | 5055 |
| Shoulder replacement | 5051 |
| Wrist replacement | 5053 |
| Psoriasis | 7816 |
| Pterygium | 6034 |
| Ptosis | 6019 |
| Pulmonary: | |
| Alveolar proteinosis | 6827 |
| Vascular disease | 6817 |
| Pruritus ani (anal itching) | 7337 |
| Pyelonephritis, chronic | 7504 |
| Raynaud's disease (primary Raynaud's) | 7124 |
| Raynaud's syndrome (secondary Raynaud's phenomenon, secondary Raynaud's) | 7117 |
| Rectum: | |
| Rectum & anus, stricture | 7333 |
| Prolapse | 7334 |
| Removal: | |
| Cartilage, semilunar | 5259 |
| Coccyx | 5298 |
| Gall bladder | 7318 |
| Kidney | 7500 |
| Penis glans | 7521 |
| Penis half or more | 7520 |
| Ribs | 5297 |
| Testis | 7524 |
| Ovary | 7619 |
| Uterus | 7618 |
| Uterus and both ovaries | 7617 |
| Renal: | |
| Amyloid disease | 7539 |
| Disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C | 7544 |
| Disease, chronic | 7530 |
| Involvement in diabetes mellitus type I or II | 7541 |
| Tubular disorders | 7532 |
| Resection of intestine: | |
| Large | 7329 |
| Small | 7328 |
| Retina detachment of | 6008 |
| Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy) | 6042 |
| Retinopathy, diabetic | 6040 |
| Retinopathy or maculopathy not otherwise specified | 6006 |
| Rhabdomyolysis, residuals of | 5330 |
| Rhinitis: | |
| Allergic or vasomotor | 6522 |
| Bacterial | 6523 |
| Granulomatous | 6524 |
| Rickettsial, ehrlichia, and anaplasma Infections | 6317 |
| Sarcoidosis | 6846 |
| Scarring alopecia | 7830 |
| Scars: | |
| 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 | 7800 |
| 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 | 7801 |
| 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 | 7802 |
| Retina | 6011 |
| Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804 | 7805 |
| Unstable or painful | 7804 |
| Schistosomiasis | 6326 |
| Shigella infections | 6334 |
| 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 |
| Spine: | |
| Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome | 5242 |
| Spinal fusion | 5241 |
| Spinal stenosis | 5238 |
| Spleen, injury of, healed | 7707 |
| Splenectomy | 7706 |
| Spondylolisthesis or segmental instability, spine | 5239 |
| Stomach: | |
| Postgastrectomy syndrome | 7308 |
| Stenosis of | 7309 |
| Surgery, complications of | 7303 |
| Supraventricular tachycardia | 7010 |
| Symblepharon | 6091 |
| Syndromes: | |
| Chronic Fatigue Syndrome (CFS) | 6354 |
| Cushing's | 7907 |
| Gastrointestinal dysmotility | 7356 |
| Meniere's | 6205 |
| Postgastrectomy | 7308 |
| Post pancreatectomy | 7357 |
| Raynaud's | 7117 |
| Sleep Apnea | 6847 |
| Syphilis | 6310 |
| Syphilis: | |
| Cerebrospinal | 8013 |
| Meningovascular | 8014 |
| Syphilitic heart disease | 7004 |
| Syringomyelia | 8024 |
| Tabes dorsalis | 8015 |
| Tarsal or metatarsal bones | 5283 |
| Tenosynovitis, tendinitis, tendinosis or tendinopathy | 5024 |
| Testis: | |
| Atrophy, complete | 7523 |
| Removal | 7524 |
| Thrombocytopenia | 7705 |
| Thrombosis, brain | 8008 |
| Thyroid gland: | |
| Nontoxic thyroid enlargement | 7902 |
| Toxic thyroid enlargement | 7901 |
| Thyroiditis | 7906 |
| Tic, convulsive | 8103 |
| Tinnitus, recurrent | 6260 |
| Toxic nephropathy | 7535 |
| Traumatic brain injury residuals | 8045 |
| 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 |
| Ulcer, peptic | 7304 |
| Ureter, stricture of | 7511 |
| Urethra | |
| Fistula | 7519 |
| Stricture | 7518 |
| Urticaria, chronic. | 7825 |
| Uterus: | |
| And both ovaries, removal | 7617 |
| Disease or injury | 7613 |
| Prolapse | 7621 |
| Removal | 7618 |
| Uveitis | 6000 |
| Vagina, disease or injury | 7611 |
| Vagotomy | 7348 |
| Valvular heart disease | 7000 |
| Varicocele/Hydrocele | 7543 |
| Varicose veins | 7120 |
| Vasculitis, primary cutaneous | 7826 |
| Ventricular arrhythmia | 7011 |
| Vertebral fracture or dislocation | 5235 |
| Vibriosis (Cholera, Non-cholera) | 6300 |
| Visceral Leishmaniasis | 6301 |
| Visceroptosis | 7342 |
| Vision: see also Blindness and Loss of | |
| One eye 5/200 (1.5/60), with visual acuity of other eye: | |
| 5/200 (1.5/60) | 6071 |
| 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6072 |
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6073 |
| 20/40 (6/12) | 6074 |
| One eye 10/200 (3/60), with visual acuity of other eye: | |
| 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6075 |
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6076 |
| 20/40 (6/12) | 6077 |
| One eye 15/200 (4.5/60), with visual acuity of other eye: | |
| 15/200 (4.5/60) or 20/200 (6/60) | 6075 |
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6076 |
| 20/40 (6/12) | 6077 |
| One eye 20/200 (6/60), with visual acuity of other eye: | |
| 20/200 (6/60) | 6075 |
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6076 |
| 20/40 (6/12) | 6077 |
| One eye 20/100 (6/30), with visual acuity of other eye: and other eye: | |
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6078 |
| 20/40 (6/12) | 6079 |
| One eye 20/70 (6/21), with visual acuity of other eye: | |
| 20/70 (6/21) or 20/50 (6/15) | 6078 |
| 20/40 (6/12) | 6079 |
| One eye 20/50 (6/15), with visual acuity of other eye: | |
| 20/50 (6/15) | 6078 |
| 20/40 (6/12) | 6079 |
| Each eye 20/40 (6/12) | 6079 |
| Vitiligo | 7823 |
| Vulva or clitoris, disease or injury of | 7610 |
| Weak foot | 5277 |
| West Nile virus infection | 6335 |
38 C.F.R. 4 app C to Part 4