DI 33526.015 Impairment Codes for Respiratory Disorders

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

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

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

Respiratory Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
3.02	4960	Chronic Respiratory Disorders
3.03	4930	Asthma
3.04	2770	Cystic Fibrosis
3.07	4940	Bronchiectasis
3.09	4160	Chronic Pulmonary Hypertension Due to Any Cause
3.11	3250	Lung Transplant
3.14	5180	Respiratory Failure

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

Respiratory Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptors
103.02	4960	Chronic Respiratory Disorders
103.03	4930	Asthma
103.04	2770	Cystic Fibrosis
103.06	7860	Growth Failure Due to Any Chronic Respiratory Disorder
103.11	3250	Lung Transplant
103.14	5180	Respiratory Failure

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

General Impairment Codes for Respiratory Disorders

Impairment Descriptor	Impairment Code
Asbestosis	5010
Asthma	4930
Bronchiectasis	4940
Chronic Bronchitis	4910
Chronic Pulmonary Hypertension Due to Any Cause	4160
Chronic Respiratory Disorders	4960
Cystic Fibrosis	2770
Emphysema	4920
Growth Failure Due to Any Chronic Respiratory Disorder	7860
Lung Transplant	3250
Other Infectious and Parasitic Disorders	1360
Mycotic (Fungus) Infections	1180
Other Respiratory Disorders	5190
Pneumoconiosis	5050
Pulmonary Tuberculosis	0110
Respiratory Failure	5180
Sarcoidosis	1350
Sleep-Related Breathing Disorders	7800

DI 33526.015 - Impairment Codes for Respiratory Disorders - 10/06/2023
Batch run: 10/06/2023
Rev:10/06/2023