DI 33526.035 Impairment Codes for Hematological Disorders

Use the impairment codes in this section to identify disorders in the hematological body system.

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

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

Hematological Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
7.05	2820	Hemolytic Anemias (Including Sickle Cell, Thalassemia, and Variants)
7.08	2860	Thrombosis and Hemostasis Disorder (Including Hemophilia)
7.10	2890	Bone Marrow Failure (Including Myelofibrosis and Granulocytopenia)
7.17	2840	Hematological Disorders with Bone Marrow or Stem Cell Transplantation
7.18	*	Use the code for the underlying hematological disorder.

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

Hematological Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
107.05	2820	Hemolytic Anemias (Including Sickle Cell, Thalassemia, and Variants)
107.08	2860	Thrombosis and Hemostasis Disorder (Including Hemophilia)
107.10	2890	Bone Marrow Failure (Including Myelofibrosis and Granulocytopenia)
107.17	2840	Hematological Disorders with Bone Marrow or Stem Cell Transplantation

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

General Impairment Codes for Hematological Disorders

Impairment Descriptor	Impairment Code
Bone Marrow Failure (Including Myelofibrosis and Granulocytopenia	2890
Hematological Disorders with Bone Marrow or Stem Cell Transplantation	2840
Hemolytic Anemias (Including Sickle Cell, Thalassemia, and Variants)	2820
Thrombosis and Hemostasis Disorder (Including Hemophilia)	2860

DI 33526.035 - Impairment Codes for Hematological Disorders - 10/06/2023
Batch run: 10/06/2023
Rev:10/06/2023