None Established (No Medical Evidence in File)

Pulmonary Tuberculosis

Cancer Treated by Bone Marrow or Stem Cell Transplantation

Symptomatic Human Immunodeficiency Virus (HIV) Infection

Asymptomatic Human Immunodeficiency Virus (HIV) Infection

Progressive Multifocal Leukoencephalopathy

Cardiovascular Syphilis

Chronic Infections of the Skin or Mucous Membranes

Mycotic (Fungal) Infections

Sarcoidosis

Post-polio Syndrome

Opportunistic Infections Associated with HIV Infection

Cancer of Tongue

Cancer of Salivary Glands

Cancer of Esophagus

Cancer of Stomach

Cancer of Small Intestine, Including Duodenum

Cancer of Colon, Rectum or Anus

Cancer of Liver and Intrahepatic Bile Ducts

Cancer of Gallbladder and Extrahepatic Bile Ducts

Cancer of Pancreas

Cancer of Other and Ill-Defined Sites Within the Digestive Organs and Peritoneum (Abdomen)

Cancer of Trachea, Bronchus, or Lung

Cancer of Pleura

Cancer of Mediastinum

Cancer of Maxilla, Orbit, or Temporal Fossa

Cancer of Connective and Other Soft Tissue

Malignant Melanoma

Cancer of Skin

Cancer of Breast

Pulmonary Kaposi Sarcoma

Cancer of Skeletal System

Cancer of Uterus

Carcinoma of the Cervix

Cancer of Ovary and Other Uterine Adnexa

Cancer of Vulva or Vagina

Cancer of Prostate

Cancer of Testis

Cancer of Penis

Cancer of Bladder

Cancer of Kidney, Adrenal Glands, or Ureters

Cancer of Eye

Cancer of Nervous System

Neuroblastoma

Cancer of Thyroid Gland

Cancer of Other Endocrine Glands and Related Structures

Soft Tissue Tumors of Head and Neck

Metastatic Cancer from Unknown Primary Site

Cancer of Unspecified Site

Primary Effusion Lymphoma

Lymphoma

Multiple Myeloma

Leukemia

Benign Neoplasm of Brain and Other Parts of Nervous System

Multicentric Castleman Disease

Cancer of Unspecified or Unknown Nature

All Disorders of Thyroid Gland (Except Cancer)

Diagnosis Established – No Predetermined List Code of Medical Nature Applicable

Diabetes Mellitus

All Disorders of Parathyroid Gland (Except Cancer)

All Disorders of Pituitary Gland (Except Cancer)

All Disorders of Adrenal Glands (Except Cancer)

Growth Failure Due to Any Digestive Disorder

HIV Wasting Syndrome (Secondary Diagnosis for HIV-0430)

Hyperlipidemia

Macroglobulinemia or Heavy Chain Disease

Gout

Cystic Fibrosis

Obesity

Hemolytic Anemias (Including Sickle Cell Thalassemia, and Variants)

Hematological Disorders with Bone Marrow/Stem Cell Transplantation

Pulmonary Lymphoid Hyperplasia (PLH)

Thrombosis and Hemostasis Disorder (Including Hemophilia)

Bone Marrow Failure (Including Myelofibrosis and Granulocytopenia)

Neurocognitive Disorders

Schizophrenic, Paranoid and Other Psychotic Disorders

Depressive, Bipolar and Related Disorders

Autism Spectrum Disorders

Anxiety and Obsessive-Compulsive Disorders

Personality Disorders

Substance Addiction Disorders (Alcohol)

Substance Addiction Disorders (Drugs)

Somatic Symptom Disorders

Eating Disorders

Trauma- and Stress-Related Disorders

Impulse Control Disorders

Oppositional Defiant Disorder

Attention Deficit/Hyperactivity Disorder

Development and Emotional Disorders of Infants and Toddlers

Learning Disorder

Speech and Language Impairment

Intellectual Disorder

Borderline Intellectual Functioning

Arachnoiditis

Meningitis

Lung Transplant

Cerebral Degenerations Usually Manifest in Childhood

Cerebral Degenerations Usually Manifest in Childhood

Cerebral Degenerations

Parkinson's Disease

Huntington Disease

Amyotrophic Lateral Sclerosis

Motor Neuron Disorders Other than ALS

Spinal Cord Disorders

Disorders of Autonomic Nervous System

Multiple Sclerosis

Cerebral Palsy

Epilepsy

Primary Headache Disorder (Including Migraine)

Coma or Persistent Vegetative State

Other Disorders of the Nervous System

Carpal Tunnel Syndrome

Peripheral Neuropathy

Myoneural Disorders

Muscular Dystrophies and Other Myopathies

Retinal Detachments and Defects

Other Retinal Disorders (Including Diabetic Retinopathy)

Glaucoma

Cataract

Visual Disturbances

Low Vision

Statutory Blindness

Heart Transplant

Strabismus and Other Disorders of Eye Movements

Disorders of Vestibular System

Other Disorders of Ear

Hearing Loss Not Treated with Cochlear Implantation

Acute Rheumatic Heart Disease

Diseases of Aortic Valve

Chronic Rheumatic Heart Disease

Essential Hypertension

Hypertensive Cardiovascular Disease

Hypertensive Vascular and Renal Disease

Acute Myocardial Infarction

Angina Pectoris Without Ischemic Heart Disease

Chronic Ischemic Heart Disease With or Without Angina

Chronic Pulmonary Hypertension

Chronic Pulmonary Hypertension

Valvular Heart Disease or Other Stenotic Defects or Valvular Regurgitation

Valvular Heart Disease or Other Stenotic Defects or Valvular Regurgitation

Cardiomyopathy

Cardiac Dysrhythmias (Arrhythmias)

Heart Failure

Vascular Insult to the Brain

Aneurysm of Aorta or Major Branches

Peripheral Vascular (Arterial) Disease

Systemic Vasculitis (Periarteritis Nodosa and Allied Conditions)

Phlebitis and Thrombophlebitis

Varicose Veins of Lower Extremities

Other Diseases of Circulatory System (Venous Insufficiency)

Small Intestine Transplantation

Liver Transplantation

Pneumonia

Chronic Bronchitis

Emphysema

Asthma

Bronchiectasis

Chronic Respiratory Disorders

Asbestosis

Pneumoconiosis

Lymphoid Interstitial Pneumonia (LIP)

Respiratory Failure

Other Disorders of the Respiratory System

Pancreas Transplantation

Diseases of Esophagus

Peptic Ulcer (Gastric or Duodenal)

Gastritis and Duodenitis

Hernias

Inflammatory Bowel Disease (IBD)

Other Disorders of Gastrointestinal System

Chronic Liver Disease

Gastrointestinal Hemorrhage

Intestinal Failure

Need for Supplemental Daily Enteral Feeding via Gastrostomy, Duodenostomy, or Jejunostomy (Under Age 3)

Nephrotic Syndrome

Complications of Chronic Kidney Disease

Chronic Kidney Disease with Dialysis

Chronic Kidney Disease

Interstitial Cystitis

Other Disorders of the Urinary Tract

Disorders of the Male Genital Organs

Disorders of the Female Genital Organs

None Established (Medical Evidence in File But Insufficient to Establish Diagnosis)

Bullous Disease

Ichthyosis

Dermatitis

Hidradenitis Suppurativa

Other Disorders of the Skin and Subcutaneous Tissues

Diffuse Diseases of Connective Tissue (Including Systemic Lupus Erythematosus, Systemic Sclerosis (Scleroderma), Polymyositis and Dermatomyositis, Undifferentiated and Mixed Connective Tissue Disease, Sjögren’s Syndrome)

Inflammatory Arthritis

Osteoarthrosis and Allied Disorders

Other and Unspecified Arthropathies

Ankylosing Spondylitis or Other Spondyloarthropathies

Disorders of the Skeletal Spine

Disorders of Muscle, Ligament and Fascia

Osteomyelitis, Periostitis and Other Infections Involving Bone

Other Disorders of Bone and Cartilage (Osteoporosis)

Curvature of Spine

Anencephalus and Catastrophic Congenital Abnormality or Disease

Spina Bifida (Meningomyelocele)

Microcephaly

Symptomatic Congenital Heart Disease

Congenital Anomalies of Upper Alimentary Tract

Congenital Anomalies of Urinary System

Genetic Photosensitivity Disorders

Down Syndrome

Other Congenital Anomalies

Low Birth Weight – Weight 1200 - 2000 grams

Low Birth Weight – Weight under 1200 grams

Sleep-Related Breathing Disorders

Tic Disorders

Failure to Thrive (Growth Disorder)

Speech Disorder

Speech Disorder

Growth Failure Due to Any Chronic Cardiovascular Disorder

Growth Failure Due to Any Chronic Respiratory Disorder

Growth Failure Due to Any Digestive Disorder

Growth Failure Due to Any Chronic Renal Disease

Absolute CD4 Count 50 or Less

Disabling Impairment Previously Established – Current Evidence Insufficient to Establish Impairment

Fracture of Skull Without Intracranial Injury

Fracture of Vertebral Column with Spinal Cord Lesion

Fractures of Upper Limb

Fractures of Lower Limb

Other Fractures of Bones

Dislocations – All Types

Sprains and Strains – All Types

Traumatic Brain Injury

Internal Injury

Other Open Wounds, Except Limbs

Open Wound of Upper Limb (Soft Tissue Injury)

Open Wound of Lower Limb (Soft Tissue Injury)

Amputation Due to Any Cause

Late Effects of Injuries to the Nervous System

Chronic Fatigue Syndrome

Burns

Burns (NOS)

Hearing Loss Treated with Cochlear Implantation