DI 33526.005 Impairment Codes for Musculoskeletal Disorders

Use the impairment codes in this subsection to identify disorders in the musculoskeletal body system.

A. When a musculoskeletal disorder meets or equals a Part A listing

Use the appropriate impairment code from the following table if the musculoskeletal disorder meets or equals a Part A listing:

Musculoskeletal Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
1.15	7240	Disorders of the Skeletal Spine
1.16	7210	Lumbar Spinal Stenosis
1.17	7150	Osteoarthrosis and Allied Disorders
1.18	7160	Other and Unspecified Arthropathies
1.19	7330	Pathologic Fractures
1.20	9050	Amputation Due to Any Cause
1.21	8840	Soft Tissue Injury of Upper Extremity
1.21	8940	Soft Tissue Injury of Lower Extremity
1.21	9490	Burns, Not Otherwise Specified (NOS)
1.22	8270	Fractures of Lower Limb
1.23	8180	Fractures of Upper Limb

Use the appropriate impairment code from the following table if the musculoskeletal disorder meets or medically equals a Part B listing:

Musculoskeletal Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
101.15	7240	Disorders of the Skeletal Spine
101.16	7210	Lumbar Spinal Stenosis
101.17	7150	Osteoarthrosis and Allied Disorders
101.18	7160	Other and Unspecified Arthropathies
101.19	7330	Pathologic Fractures
101.20	9050	Amputation Due to Any Cause
101.21	8840	Soft Tissue Injury of Upper Extremity
101.21	8890	Soft Tissue Injury of Lower Extremity
101.21	9490	Burns (NOS)
101.22	8270	Fractures of Lower Limb
101.23	8180	Fractures of Upper Limb
101.24	7540	Musculoskeletal Disorders of Infants and Toddlers

Use the appropriate impairment code from the following table if the musculoskeletal disorder does not meet or equal a listing:

General Impairment Codes for Musculoskeletal Disorders

Impairment Descriptor	Impairment Code
Amputation Due to Any Cause	9050
Arachnoiditis	3210
Burns (NOS)	9490
Curvature of Spine	7370
Dislocations--All Types	8390
Disorders of Muscle, Ligament, and Fascia	7280
Disorders of the Skeletal Spine	7240
Fracture of Skull Without Intracranial Injury	8030
Fracture of Vertebral Column with Spinal Cord Lesion	8060
Fractures of Lower Limb	8270
Fractures of Upper Limb	8180
Lumbar Spinal Stenosis	7210
Musculoskeletal Disorders of Infants and Toddlers	7540
Osteoarthrosis and Allied Disorders	7150
Osteomyelitis, Periostitis, and Other Infections Involving Bone	7300
Other and Unspecified Arthropathies	7160
Other Fractures of Bones	8290
Pathologic Fractures	7330
Soft Tissue Injury of Lower Extremity	8940
Soft Tissue Injury of Upper Extremity	8840
Sprains and Strains--All Types	8480

DI 33526.005 - Impairment Codes for Musculoskeletal Disorders - 10/06/2023
Batch run: 10/06/2023
Rev:10/06/2023