Effective Dates: 10/06/2023 - Present

Identification Number:	DI 33526 BASIC
Intended Audience:	See Transmittal Sheet
Originating Office:	ORDP ODP
Title:	Impairment Codes for Disability Determination Forms
Type:	POMS Full Transmittals
Program:	All Programs
Link To Reference:

PROGRAM OPERATIONS MANUAL SYSTEM

Part DI – Disability Insurance

Chapter 335 – Reference

Subchapter 26 – Impairment Codes for Use on Determination Forms

Transmittal No. BASIC, 10/06/2023

Audience

PSC: DE, DEC;

ODD-DDS: ADJ, DHU;

OCO-OEIO: BET, CC, CR, ERE, FCR, FDE, RECONE;

OCO-ODO: BET, DE, DEC, DS, RECONE;

Originating Component

ODP

Effective Date

Upon Receipt

Background

OMP plans to migrate the impairment code POMS, which is an OMP policy area, from DI 26510.015 (an OVEPP-controlled POMS section) to new POMS sections controlled by OMP, DI 33526.001 through DI 33526.100.

In addition to moving the impairment codes, OMP would be making changes to some of the current impairment codes. Also, changes to some of the current impairment descriptors would also be made for purposes of plain language. Ultimately, this move would allow OMP to readily update the impairment codes as needed. There are also minor changes being made to the digestive and skin impairment codes to align with the new listings for those body systems effective 10/6/2023.

Summary of Changes

DI 33526.001 Background on Impairment Code Lists

This new section provides information on SSA's use of impairment codes. It also explains how to use the tables of impairment codes for each body system.

DI 33526.005 Impairment Codes for Musculoskeletal System

This new section provides the impairment codes for musculoskeletal disorders and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.010 Impairment Codes for Special Senses and Speech

This new section provides the impairment codes for disorders affecting special senses and speech, and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity. We also added a new impairment code for hearing loss treated with cochlear implantation.

DI 33526.015 Impairment Codes for Respiratory Disorders

This new section provides the impairment codes for respiratory disorders and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.020 Impairment Codes for Cardiovascular System

This new section provides the impairment codes for cardiovascular disorders and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.025 Impairment Codes for Digestive Disorders

This new section provides the impairment codes for digestive disorders and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity. In addition, there are changes being made to align with the new digestive listings effective 10/6/2023.

DI 33526.030 Impairment Codes for Genitourinary Disorders

This new section provides the impairment codes for genitourinary disorders and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.035 Impairment Codes for Hematological Disorders

This new section provides the impairment codes for hematological disorders and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.040 Impairment Codes for Skin Disorders

This new section provides the impairment codes for skin disorders and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity. In addition, there are changes being made to align with the new skin listings effective 10/6/2023.

DI 33526.045 Impairment Codes for Endocrine Disorders

This new section provides the impairment codes for endocrine disorders and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.050 Impairment Codes for Congenital Disorders That Affect Multiple Body Systems

This new section provides the impairment codes for congenital disorders that affect multiple body systems and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.055 Impairment Codes for Neurological Disorders

This new section provides the impairment codes for neurological disorders and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.060 Impairment Codes for Mental Disorders

This new section provides the impairment codes for mental disorders and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.065 Impairment Codes for Cancer

This new section provides the impairment codes for cancer and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.070 Impairment Codes for Immune System Disorders

This new section provides the impairment codes for immune system disorders and reminders on choosing the appropriate code. We consolidated numerous codes for opportunistic infections associated with Human Immunodeficiency Virus (HIV) into an umbrella code. We also eliminated codes for other manifestations of HIV infection. We have also revised the descriptors for some codes for clarity.

DI 33526.075 Impairment Codes for Low Birth Weight and Failure to Thrive

This new section provides the impairment codes for low birth weight and failure to thrive and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.080 Impairment Codes for Special or Other Situations

This new section provides the impairment codes for special or other situations and reminders on choosing the appropriate code. We have also revised the descriptors for some codes for clarity.

DI 33526.100 Impairment Codes in Numeric Sequence

This new section provides the impairment codes in numeric sequence to make it easier to identify the descriptor for a specific code.

DI 33526.001 Background on Impairment Code Lists

A. SSA's use of impairment codes on disability determination forms

SSA uses a standardized set of four-digit impairment codes on the SSA-831 (Disability Determination and Transmittal), SSA-832 (Cessation Or Continuance of Disability or Blindness Determination and Transmittal - Title XVI), and SSA-833 (Cessation or Continuance of Disability or Blindness Determination and Transmittal - Title II). These codes are loosely based on ICD-9 coding. Generally, the highest level code that is appropriate is used. When that code is only three digits, a zero is added as the fourth digit.

Each code identifies the underlying cause of the person's disability, and the disabling manifestations. The codes most relevant to the determination must be used.

B. Using the tables of impairment codes

For the complete list of impairment codes in numerical order, including the body system code, see DI 33526.100. For each of the 15 body systems in the Listings of Impairments, we provide:

•
A list of codes to be used when a specific Part A (adult) listing is met or equaled;
•
A list of codes to be used when a specific Part B (child) listing is met or medically equaled;
•
A general list of codes to be used when the impairment does not meet or medically equal a Part A or Part B listing;
•
Reminders for selecting codes within the body system.

For the immune body system, we also provide a list of codes to be used to indicate the secondary impairment when the primary impairment is human immunodeficiency virus (HIV) infection.

We also include a section for impairments or situations that do not align with a specific body system as well as a section with all codes in numerical sequence.

C. References

For instructions on completing items 16A and 16B on the SSA-831, see DI 26510.015.

For instructions on completing items 22 and 23 on the SSA-832 and SSA-833, see DI 28084.035.

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

B. When a musculoskeletal disorder meets or medically equals a Part B listing

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

C. When a musculoskeletal disorder does not meet or equal a listing

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 33526.010 Impairment Codes for Special Senses and Speech

Use the impairment codes in this section to identify disorders in the special senses and speech body system.

A. When a special senses or speech impairment meets or equals a Part A listing

Use the appropriate impairment code from the following table if the special senses or speech impairment meets or equals a Part A listing. When the impairment meets listing 2.02 or 2.03A, see DI 26510.015C. If a code in the table has an asterisk (*), see the reminders in DI 33526.010D.

Special Senses and Speech Body System Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
2.02	3610	Retinal Detachments and Defects
2.02	3650	Glaucoma
2.02	3660	Cataract
2.02	3690	Low Vision
2.02	*3694	Statutory Blindness
2.03A	*3694	Statutory Blindness
2.03	3680	Visual Disturbance
2.04	3680	Visual Disturbance
2.07	3860	Disorders of Vestibular System
2.09	7840	Speech Disorder
2.10	3890	Hearing Loss Not Treated with Cochlear Implantation
2.11	9620	Hearing Loss Treated with Cochlear Implantation

B. When a special senses or speech impairment meets or medically equals a Part B listing

Use the appropriate impairment code from the table below if the special senses or speech impairment meets or medically equals a Part B listing. When the impairment meets listing 102.02 or 102.03A, see DI 26510.015C.

Special Senses and Speech Body System Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
102.02	3690	Low Vision
102.02	*3694	Statutory Blindness
102.03A	*3694	Statutory Blindness
102.03	3680	Visual Disturbances
102.04	3680	Visual Disturbances
102.10	3890	Hearing Loss Not Treated with Cochlear Implantation
102.11	9620	Hearing Loss Treated with Cochlear Implantation

C. When a special senses or speech impairment does not meet or equal a listing

Use the appropriate impairment code from the table below if the special senses or speech impairment does not meet or equal a listing:

General Impairment Codes for the Special Senses and Speech Body System

Impairment Descriptor	Impairment Code
Cataract	3660
Disorders of Vestibular System	3860
Glaucoma	3650
Hearing Loss Not Treated with Cochlear Implantation	3890
Hearing Loss Treated with Cochlear Implantation	9620
Low Vision	3690
Other Disorders of Ear	3880
Other Retinal Disorders (Including Diabetic Retinopathy)	3620
Retinal Detachments and Defects	3610
Speech Disorder	7840
Statutory Blindness	*3694
Strabismus and Other Disorders of Eye Movements	3780
Visual Disturbances	3680

D. Reminders for choosing an impairment code for special senses and speech impairments

•

Use 3694 only if the visual impairment meets listing 2.02, 102.02, 2.03A, or 102.03A.
•
Use 3694 (Statutory Blindness) as primary diagnosis when the established disability onset date (Item 15 of the SSA-831) is the same as the date statutory blindness begins.
•
Use 3694 (Statutory Blindness) as the secondary diagnosis when the established disability onset date (Item 15 of the SSA-831) is based on another impairment and that impairment's onset date is before the onset date for statutory blindness.

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

B. When a respiratory disorder meets or medically equals a Part B listing

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

C. When a respiratory disorder does not meet or equal a listing

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 33526.020 Impairment Codes for Cardiovascular System

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

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

Use the appropriate impairment code from the following table if the cardiovascular disorder meets or equals a Part A listing. If a code in the table has an asterisk (*), see the reminders in DI 33526.020D.

Cardiovascular Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
4.02	4280	Chronic Heart Failure
4.04	*4140	Ischemic Heart Disease
4.05	4270	Recurrent Arrhythmias
4.06	7460	Symptomatic Congenital Heart Disease
4.09	*3750	Heart Transplant
4.10	4410	Aneurysm of Aorta or Major Branches
4.11	4590	Chronic Venous Insufficiency
4.12	4430	Peripheral Arterial Disease

B. When a cardiovascular disorder meets or medically equals a Part B listing

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

Cardiovascular Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
104.02	4280	Chronic Heart Failure
104.02C	*7850	Growth Failure Due to Any Chronic Cardiovascular Disorder
104.05	4270	Recurrent Arrhythmias
104.06	7460	Symptomatic Congenital Heart Disease
104.09	*3750	Heart Transplant
104.13	3910	Acute Rheumatic Heart Disease

C. When a cardiovascular disorder does not meet or equal a listing

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

General Impairment Codes for Cardiovascular Disorders

Impairment Descriptor	Impairment Code
Acute Myocardial Infarction	4100
Acute Rheumatic Heart Disease	3910
Aneurysm of Aorta or Major Branches	4410
Angina Pectoris Without Ischemic Heart Disease	4130
Cardiac Dysrhythmias	4270
Cardiomyopathy	4250
Cardiovascular Syphilis	0930
Chronic Ischemic Heart Disease With or Without Angina	*4140
Chronic Pulmonary Hypertension	4160
Chronic Rheumatic Heart Disease	3980
Diseases of Aortic Valve	3950
Essential Hypertension	4010
Growth Failure Due to Any Chronic Cardiovascular Disorder	*7850
Heart Failure	4280
Heart Transplant	*3750
Hyperlipidemia	2720
Hypertensive Cardiovascular Disease	4020
Hypertensive Vascular and Renal Disease	4030
Other Diseases of Circulatory System	4590
Peripheral Arterial Disease	4430
Phlebitis and Thrombophlebitis	4510
Symptomatic Congenital Heart Disease	7460
Valvular Heart Disease or Other Stenotic Defects or Valvular Regurgitation	4240
Varicose Veins of Lower Extremities	4540

D. Reminders for choosing an impairment code for cardiovascular disorders

•
Do not use 3750 for fully favorable determinations more than one year after the date of the heart transplant. Use the impairment code for the residual impairment. For example, use 4140 when the residual impairment is cardiac allograft vasculopathy.
•
Do not use 7850 for determinations made after the attainment of age 18.

DI 33526.025 Impairment Codes for Digestive Disorders

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

A. When a digestive disorder meets or equals a Part A Listing

Use the appropriate impairment code from the following table if the digestive disorder meets or equals a Part A listing. If a code in the table has an asterisk (*), see the reminders in DI 33526.025D.

Digestive Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
5.02	5780	Gastrointestinal Hemorrhage
5.05	5710	Chronic Liver Disease
5.06	5550	Inflammatory Bowel Disease (IBD)
5.07	5793	Intestinal Failure
5.08	2630	Weight Loss/Growth Failure Due to Any Digestive Disorder
5.09	*4750	Liver Transplant
5.11	4690	Small Intestine Transplantation
5.12	5280	Pancreas Transplantation

B. When a digestive disorder meets or medically equals a Part B listing

Use the appropriate impairment code from the following table if the digestive disorder does not meet or medically equal a Part B listing:

Digestive Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
105.02	5780	Gastrointestinal Hemorrhage
105.05	5710	Chronic Liver Disease
105.06	5550	Inflammatory Bowel Disease (IBD)
105.07	5793	Intestinal Failure
105.08	2630	Weight Loss/Growth Failure Due to Any Digestive Disorder
105.09	*4750	Liver Transplant
105.10	*5799	Need for Supplemental Daily Enteral Feeding via Gastrostomy, Duodenostomy, or Jejunostomy (Under Age 3)
105.11	4690	Small Intestine Transplantation
105.12	5280	Pancreas Transplantation

C. When a digestive disorder does not meet or equal a listing

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

Digestive Disorders

Impairment Descriptor	Impairment Code
Chronic Liver Disease	5710
Congenital Anomalies of Upper Alimentary Tract	7500
Disease of Esophagus	5300
Gastritis and Duodenitis	5350
Gastrointestinal Hemorrhage	5780
Hernias	5530
Inflammatory Bowel Disease (IBD)	5550
Intestinal Failure	5793
Liver Transplant	*4750
Need for Supplemental Daily Enteral Feeding via Gastrostomy, Duodenostomy, or Jejunostomy (Under Age 3)	*5799
Other Disorders of Gastrointestinal System	5690
Other Infectious and Parasitic Disorders	1360
Pancreas Transplantation	5280
Peptic Ulcer (Gastric or Duodenal)	5330
Small Intestine Transplantation	4690
Weight Loss or Growth Failure Due to Any Digestive Disorder	2630

D. Reminders for choosing an impairment code for digestive disorders

•
Do not use 5799 if the person is over age three at the time of adjudication.
•
Do not use 4750 for favorable determinations more than one year after the date of the transplant. Use the code for the residual impairment that is the basis for the allowance.

DI 33526.030 Impairment Codes for Genitourinary Disorders

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

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

Use the appropriate impairment code from the following table if the genitourinary disorder meets or equals a Part A listing. If a code in the table has an asterisk (*), see the reminders in DI 33526.030D.

Genitourinary Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
6.03	5850	Chronic Kidney Disease with Dialysis
6.04	*9960	Kidney Transplant
6.05	5880	Chronic Kidney Disease
6.06	5810	Nephrotic Syndrome
6.09	5830	Complications of Chronic Kidney Disease

B. When a genitourinary disorder meets or medically equals a Part B listing

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

Genitourinary Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
106.03	5850	Chronic Kidney Disease with Dialysis
106.04	*9960	Kidney Transplant
106.05	5880	Chronic Kidney Disease
106.06	5810	Nephrotic Syndrome
106.07	7530	Congenital Anomalies of Urinary System
106.08	*7880	Growth Failure Due to Any Chronic Renal Disease
106.09	5830	Complications of Chronic Kidney Disease

C. When a genitourinary disorder does not meet or equal a listing

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

General Impairment Codes for Genitourinary Disorders

Impairment Descriptor	Impairment Code
Chronic Kidney Disease	5880
Chronic Kidney Disease with Dialysis	5850
Complications of Chronic Kidney Disease	5830
Congenital Anomalies of Urinary Tract	7530
Disorders of the Female Genital Organs	6290
Disorders of the Male Genital Organs	6080
Growth Failure Due to Any Chronic Renal Disease	*7880
Interstitial Cystitis	5950
Kidney Transplant	*9960
Nephrotic Syndrome	5810
Other Disorders of the Urinary Tract	5990

D. Reminders for choosing an impairment code for genitourinary disorders

When you are choosing an impairment code for genitourinary disorders, keep the following in mind:

•
Do not use 9960 for favorable determinations more than one year after the date of the transplant. Use the code for the residual impairment.
•
Do not use 7880 for determinations made after the attainment of age 18.

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.

B. When a hematological disorder meets or medically equals a Part B listing

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

C. When a hematological disorder does not meet or equal a listing

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 33526.040 Impairment Codes for Skin Disorders

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

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

Use the appropriate impairment code from the following table if the skin disorder meets or equals a Part A listing. If a code in the table has an asterisk (*), see the reminders in DI 33526.040D.

Skin Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
8.07	7590	Genetic Photosensitivity Disorders
8.08	*9480	Burns
8.09	6940	Bullous Disease
8.09	1170	Chronic Infections of the Skin or Mucous Membranes
8.09	6960	Dermatitis
8.09	7050	Hidradenitis Suppurativa
8.09	6950	Ichthyosis

B. When a skin disorder meets or medically equals a Part B listing

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

Skin Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
108.07	7590	Genetic Photosensitivity Disorders
108.08	*9480	Burns
108.09	6940	Bullous Disease
108.09	1170	Chronic Infections of the Skin or Mucous Membranes
108.09	6960	Dermatitis
108.09	7050	Hidradenitis Suppurativa
108.09	6950	Ichthyosis

C. When a skin disorder does not meet or equal a listing

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

General Impairment Codes for Skin Disorders

Impairment Descriptor	Impairment Code
Bullous Disease	6940
Burns	*9480
Chronic Infections of the Skin or Mucous Membranes	1170
Dermatitis	6960
Genetic Photosensitivity Disorders	7590
Hidradenitis Suppurativa	7050
Ichthyosis	6950
Other Disorders of the Skin and Subcutaneous Tissues	7090

D. Reminders for choosing an impairment code for skin disorders

•
Use impairment code 9480 for burn injuries evaluated under the skin disorders body system. For burn injuries evaluated under the musculoskeletal body system, see DI 33526.005.

DI 33526.045 Impairment Codes for Endocrine Disorders

Use the impairment codes in this section to identify disorders in the endocrine body system. When you are choosing an impairment code for endocrine disorders, keep the following in mind:

A. When an endocrine disorder meets or medically equals a Part B listing

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

Part B Endocrine Listings

Part B Listing	Impairment Code	Impairment Descriptor
109.08	2500	Diabetes Mellitus

B. When an endocrine disorder does not meet or equal a listing

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

Endocrine Disorders

Impairment Descriptor	Impairment Code
All Disorders of Adrenal Glands (except Cancer)	2550
All Disorders of Parathyroid (except Cancer)	2520
All Disorders of the Pituitary Gland (except Cancer)	2530
All Disorders of Thyroid (except Cancer)	2460
Diabetes Mellitus	2500

C. Reminders for choosing an impairment code for endocrine disorders

When you are choosing an impairment code for endocrine disorders, keep the following in mind:

•
There are no Part A listings for endocrine disorders in adults.

DI 33526.050 Impairment Codes for Congenital Disorders That Affect Multiple Body Systems

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

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

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

Congenital Disorder Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
10.06	7580	Down Syndrome (Excluding Mosaic Down Syndrome)

B. When a congenital disorder meets or equals a Part B listing

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

Congenital Disorder Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
110.06	7580	Down Syndrome (Excluding Mosaic Down Syndrome)
110.08A	7400	Anencephalus and Catastrophic Congenital Abnormality or Disease
110.08B	3300	Cerebral Degeneration Usually Manifest in Childhood

C. When a congenital disorder does not meet or equal a listing

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

General Impairment Codes for Congenital Disorders

Impairment Descriptor	Impairment Code
Anencephalus and Catastrophic Congenital Abnormality or Disease	7400
Cerebral Degeneration Usually Manifest in Childhood	3300
Down Syndrome (Excluding Mosaic Down Syndrome)	7580

DI 33526.055 Impairment Codes for Neurological Disorders

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

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

Use the appropriate impairment code from the following table if the neurological disorder meets or equals a Part A listing. If a code in the table has an asterisk (*), see the reminders in DI 33526.055D.

Neurological Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
11.02	3450	Epilepsy
11.04	4380	Vascular Insult to the Brain
11.05	2250	Benign Neoplasm of Brain and Other Parts of Nervous System
11.06	3320	Parkinson’s Disease
11.07	3430	Cerebral Palsy
11.08	3360	Spinal Cord Disorders
11.08	8060	Fracture of Vertebral Column with Spinal Cord Lesion
11.08	7410	Spina Bifida (Meningomyelocele)
11.09	3400	Multiple Sclerosis
11.10	*3350	Amyotrophic Lateral Sclerosis (ALS)
11.11	1380	Post-polio Syndrome
11.12	3580	Myoneural Disorders
11.13	3590	Muscular Dystrophies and Other Myopathies
11.14	3570	Peripheral Neuropathy
11.17	3310	Other Cerebral Degenerations
11.17	3330	Huntington Disease
11.18	8540	Traumatic Brain Injury
11.20	*3480	Coma or Persistent Vegetative State
11.22	*3358	Motor Neuron Disorders Other Than ALS

B. When a neurological disorder meets or medically equals a Part B listing

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

Neurological Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
111.02	3450	Epilepsy
111.04	4380	Vascular Insult to the Brain
111.05	2250	Benign Neoplasm of Brain and Other Parts of Nervous System
111.07	3430	Cerebral Palsy
111.08	3360	Spinal Cord Disorders
111.08	8060	Fracture of Vertebral Column with Spinal Cord lesion
111.08	7410	Spina Bifida (Meningomyelocele)
111.09	7840	Speech Disorder
111.12	3580	Myoneural Disorders
111.13	3590	Muscular Dystrophies and Other Myopathies
111.14	3570	Peripheral Neuropathy
111.17	3310	Other Cerebral Degenerations
111.17	3330	Huntington Disease
111.18	8540	Traumatic Brain Injury
111.20	*3480	Coma or Persistent Vegetative State
111.21	3400	Multiple Sclerosis
111.22	*3358	Motor Neuron Disorders Other than ALS

C. When a neurological disorder does not meet or equal a listing

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

General Impairment Codes for Neurological Disorders

Impairment Descriptor	Impairment Code
Amyotrophic Lateral Sclerosis (ALS)	*3350
Benign Neoplasm of Brain and Other Parts of Nervous System	2250
Carpal Tunnel Syndrome	3540
Cerebral Degenerations Usually Manifest in Childhood	3300
Cerebral Palsy	3430
Coma or Persistent Vegetative State	*3480
Disorders of Autonomic Nervous System	3370
Epilepsy	3450
Fracture of Vertebral Column with Spinal Lesion	8060
Huntington Disease	3330
Late Effect of Injuries to the Nervous System	9070
Motor Neuron Disorders Other than ALS	*3358
Multiple Sclerosis	3400
Muscular Dystrophies and Other Myopathies	3590
Myoneural Disorders	3580
Other Cerebral Degenerations	3310
Other Disorders of the Nervous System	3490
Parkinson's Disease	3320
Peripheral Neuropathy	3570
Post-polio Syndrome	1380
Primary Headache Disorders (Including Migraine)	3460
Speech Disorder	7840
Spina Bifida (Meningomyelocele)	7410
Spinal Cord Disorders	3360
Traumatic Brain Injury	8540
Vascular Insult to the Brain	4380

D. Reminders for choosing an impairment code for neurological disorders

When you are choosing an impairment code for neurological disorders, keep the following in mind:

•
Use impairment code 3350 only if the established diagnosis is amyotrophic lateral sclerosis (ALS). See DI 24580.020D3.
•
Use impairment code 3358 if the established diagnosis is a motor neuron disorder other than ALS, for example, progressive bulbar palsy, pseudobulbar palsy, spinal muscular atrophy (SMA), or primary lateral sclerosis (PLS).
•
Do not use impairment code 3480 for a medically induced coma. Use the impairment code for the underlying disorder causing the need for a medically induced coma.

DI 33526.060 Impairment Codes for Mental Disorders

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

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

Use the appropriate impairment code from the following table if the mental disorder meets or equals a Part A listing. If a code in the table has an asterisk (*), see the reminders in DI 33526.060D.

Mental Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
12.02	2940	Neurocognitive Disorders
12.03	2950	Schizophrenia Spectrum and Other Psychotic Disorders
12.04	2960	Depressive, Bipolar and Related Disorders
12.05	3180	Intellectual Disorder
12.06	3000	Anxiety and Obsessive-Compulsive Disorders
12.07	3060	Somatic Symptom and Related Disorders
12.08	3010	Personality Disorders
12.08	3120	Impulse Control Disorders
12.10	2990	Autism Spectrum Disorders
12.11	3140	Attention Deficit Hyperactivity Disorder
12.11	*3152	Learning Disorder
12.11	7810	Tic Disorders
12.13	3070	Eating Disorders
12.15	3090	Trauma- and Stress-Related Disorders

B. When a mental disorder meets or medically equals a Part B listing

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

Mental Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
112.02	2940	Neurocognitive Disorders
112.03	2950	Schizophrenia Spectrum and Other Psychotic Disorders
112.04	2960	Depressive, Bipolar and Related Disorders
112.05	3180	Intellectual Disorder
112.06	3000	Anxiety and Obsessive-Compulsive Disorders
112.07	3060	Somatic Symptom and Related Disorders
112.08	3010	Personality Disorders
112.08	3120	Impulse Control Disorders
112.10	2990	Autism Spectrum Disorders
112.11	3140	Attention Deficit Hyperactivity Disorder
112.11	*3152	Learning Disorder
112.11	7810	Tic Disorders
112.13	3070	Eating Disorders
112.14	*3150	Developmental Disorders in Infants and Toddlers
112.15	3090	Trauma- and Stress-Related Disorders

C. When a mental disorder does not meet or equal a listing

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

General Impairment Codes for Mental Disorders

Impairment Descriptor	Impairment Code
Anxiety and Obsessive-Compulsive Disorders	3000
Attention Deficit Hyperactivity Disorder	3140
Autism Spectrum Disorders	2990
Borderline Intellectual Functioning	*3195
Depressive, Bipolar and Related Disorders	2960
Developmental Disorders in Infants and Toddlers	*3150
Eating Disorders	3070
Impulse Control Disorders	3120
Intellectual Disorder	3180
Learning Disorder	*3152
Neurocognitive Disorders	2940
Oppositional Defiant Disorder	3138
Personality Disorder	3010
Schizophrenia Spectrum and Other Psychotic Disorders	2950
Somatic Symptom and Related Disorders	3060
Speech and Language Impairment	3153
Substance Addiction Disorders (Alcohol)	*3030
Substance Addiction Disorders (Drugs)	*3040
Tic Disorders	7810
Trauma- and Stress-Related Disorders	3090

D. Reminders for choosing an impairment code for mental disorders

•
Do not use impairment code 3150 if the child is over age three at the time of adjudication.
•
Do not use impairment code 3195 or 3152 if the allowance is based on meeting or equaling 12.05 or 112.05. If the allowance is based on meeting or equaling an intellectual disorder, use code 3180.
•
Impairment codes 3030 and 3040 should only be the primary impairment code when the case is a denial because drug addiction or alcoholism (DAA) is material . When the case is an allowance because DAA is not material, enter the mental or physical impairment found to be disabling, absent the effects of DAA, as the primary diagnosis, and enter impairment code 3030 or 3040, as appropriate, as the secondary diagnosis.

DI 33526.065 Impairment Codes for Cancer (Malignant Neoplastic Diseases)

Use the impairment codes in this section to identify cancers. Do not use the impairment codes in this section for benign tumors.

A. When a cancer meets or equals a Part A listing

Use the appropriate impairment code from the following table if the cancer meets or equals a Part A listing. If a code in the table has an asterisk (*), see the reminders in DI 33526.065D.

Cancer Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
13.02	1950	Soft Tissue Tumors of Head and Neck
13.03	1730	Cancer of Skin
13.04	1710	Cancer of Connective and Other Soft Tissue
13.05A, B, or D	2020	Lymphoma
13.05C	*0420	Cancer Treated by Bone Marrow or Stem Cell Transplantation
13.06	2070	Leukemia
13.07A	2030	Multiple Myeloma
13.07B	*0420	Cancer Treated by Bone Marrow or Stem Cell Transplantation
13.08	1420	Cancer of Salivary Glands
13.09	1930	Cancer of Thyroid Gland
13.10	1740	Cancer of Breast
13.11	*1780	Cancer of Skeletal System
13.12	1700	Cancer of Maxilla, Orbit, or Temporal Fossa
13.13	1910	Cancer of Nervous System
13.14	1620	Cancer of Trachea, Bronchus, or Lung
13.15	1630	Cancer of Pleura
13.15	1640	Cancer of Mediastinum
13.16	1500	Cancer of Esophagus
13.16	1510	Cancer of Stomach
13.17	1520	Cancer of Small Intestine, Including Duodenum
13.18	1530	Cancer of Colon, Rectum, or Anus
13.19	1550	Cancer of Liver and Intrahepatic Bile Ducts
13.19	1560	Cancer of Gallbladder and Extrahepatic Bile Ducts
13.20	1570	Cancer of Pancreas
13.21	1890	Cancer of Kidney, Adrenal Glands, or Ureters
13.22	1880	Cancer of Bladder
13.23A	1790	Cancer of Uterus
13.23B	1800	Cancer of Cervix
13.23C	1840	Cancer of Vulva of Vagina
13.23D or E	1830	Cancer of Ovary and Other Uterine Adnexa
13.24	1850	Cancer of Prostate
13.25	1860	Cancer of Testis
13.26	1870	Cancer of Penis
13.27	1980	Metastatic Cancer from Unknown Primary Site
13.28	*0420	Cancer Treated by Bone Marrow or Stem Cell Transplantation
13.29	1720	Malignant Melanoma

B. When a cancer meets or equals a Part B listing

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

Cancer Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
113.03	*	See DI 33526.065D
113.05 A or B	2020	Lymphoma
113.05C	*0420	Cancer Treated by Bone Marrow or Stem Cell Transplantation
113.06A, B1, or B2b	2070	Leukemia
113.06B2a	*0420	Cancer Treated by Bone Marrow or Stem Cell Transplantation
113.09	1930	Cancer of Thyroid Gland
113.12	1900	Cancer of Eye
113.13	1910	Cancer of Nervous System
113.21	1920	Neuroblastoma
113.29	1720	Malignant Melanoma

C. When a cancer does not meet or equal a listing

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

General Impairment Codes for Cancer

Impairment Descriptor	Impairment Code
Cancer of Bladder	1880
Cancer of Breast	1740
Cancer of Cervix	1800
Cancer of Colon, Rectum or Anus	1530
Cancer of Connective and Other Soft Tissue	1710
Cancer of Esophagus	1500
Cancer of Eye	1900
Cancer of Gallbladder and Extrahepatic Bile Ducts	1560
Cancer of Kidney, Adrenal Gland, or Ureters	1890
Cancer of Liver and Intrahepatic Bile Ducts	1550
Cancer of Maxilla, Orbit, or Temporal Fossa	1700
Cancer of Mediastinum	1640
Cancer of Nervous System	1910
Cancer of Other and Ill-Defined Sites Within the Digestive Organs and Peritoneum (Abdomen)	1590
Cancer of Other Endocrine Glands and Related Structures	1940
Cancer of Ovary and Other Uterine Adnexa	1830
Cancer of Pancreas	1570
Cancer of Penis	1870
Cancer of Pleura	1630
Cancer of Prostate	1850
Cancer of Salivary Glands	1420
Cancer of Skeletal System	*1780
Cancer of Skin	1730
Cancer of Small Intestine, Including Duodenum	1520
Cancer of Stomach	1510
Cancer of Testis	1860
Cancer of Thyroid Gland	1930
Cancer of Tongue	1410
Cancer of Trachea, Bronchus, or Lung	1620
Cancer of Unspecified or Unknown Nature	2390
Cancer of Unspecified Site	1990
Cancer of Uterus	1790
Cancer of Vulva or Vagina	1840
Cancer Treated by Bone Marrow or Stem Cell Transplantation	*0420
Carcinoma of the Cervix	1800
Leukemia	2070
Lymphoma	2020
Macroglobulinemia or Heavy Chain Disease	2730
Malignant Melanoma	1720
Metastatic Cancer from Unknown Primary Site	1980
Multiple Myeloma	2030
Neuroblastoma	1920
Soft Tissue Tumors of Head and Neck	1950

D. Reminders of choosing an impairment code for cancers

•
If the cancer meets or equals 113.03, use the impairment code for cancer of the affected body part. For example, if the cancer is in the skeletal system (e.g., bone), use 1780.
•
If the cancer meets listing 13.05, 113.05, or 13.28 based on bone marrow or stem cell transplant, use 0420 as the primary impairment code. Use the code for the specific cancer type as the secondary impairment code.

NOTE: For additional information on how cancer is evaluated under the listings, see DI 34005.113.

DI 33526.070 Impairment Codes for Immune System Disorders

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

A. When an immune system disorder meets or equals a Part A listing

Use the appropriate impairment code from the following table if the immune system disorder meets or equals a Part A listing. If a code in the table has an asterisk (*), see the reminders in DI 33526.070E.

Immune Impairment Codes for Part A Listings

Part A Listing	Impairment Code	Impairment Descriptor
14.02	7100	Systemic Lupus Erythematosus
14.03	4460	Systemic Vasculitis (Periarteritis Nodosa and Allied Conditions)
14.04	7100	Systemic Sclerosis (Scleroderma)
14.05	7100	Polymyositis and Dermatomyositis
14.06	7100	Undifferentiated and Mixed Connective Tissue Disease
14.07	2790	Immune Deficiency Disorders, Excluding HIV Infection
14.09	7140	Inflammatory Arthritis
14.09C	7200	Ankylosing Spondylitis or Other Spondyloarthropathies
14.10	7100	Sjogren's Syndrome
14.11	*0430	Symptomatic Human Immunodeficiency Virus (HIV) Infection

B. When an immune system disorder meets or medically equals a Part B listing

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

Immune Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
114.02	7100	Systemic Lupus Erythematosus
114.03	4460	Systemic Vasculitis (Periarteritis Nodosa and Allied Conditions)
114.04	7100	Systemic Sclerosis (Scleroderma)
114.05	7100	Polymyositis and Dermatomyositis
114.06	7100	Undifferentiated and Mixed Connective Tissue Disease
114.07	2790	Immune Deficiency Disorder, Excluding HIV Infection
114.09	7140	Inflammatory Arthritis
114.09C	7200	Ankylosing Spondylitis or Other Spondyloarthropathies
114.10	7100	Sjogren's Syndrome
114.11	*0430	Symptomatic Human Immunodeficiency Virus (HIV) Infection

C. When an immune system disorder does not meet or equal a listing

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

General Impairment Codes for Immune System Disorders

Impairment Descriptor	Impairment Code
Ankylosing Spondylitis or Other Spondyloarthropathies	7200
Asymptomatic Human Immunodeficiency Virus (HIV) Infection	*0440
Diffuse Diseases of Connective Tissue (Inclusing Systemic Lupus Erythematosus, System Sclerosis (Scleroderma), Polymyositis and Dermatomyositis, Undifferentiated and Mixed Connective Tissue Disease, Sjögren’s Syndrome)	7100
Valvular Heart Disease or Other Stenotic Defects or Valvular Regurgitation	4240
Gout	2740
Immune Deficiency Disorders, Excluding HIV Infection	2790
Inflammatory Arthritis	7140
Pneumonia (non-PCP)	4860
Symptomatic Human Immunodeficiency Virus (HIV) Infection	*0430
Systemic Vasculitis (Periarteritis Nodosa and Allied Conditions)	4460

D. Impairment codes for secondary diagnosis associated with symptomatic HIV infection

When the impairment code for symptomatic HIV (0430) is recorded in the Primary Diagnosis block of the SSA-831 (Item 16A), SSA-832 (Item 21), or SSA-833 (Item 21), use the appropriate code from the table below to identify the manifestation of HIV in the Secondary Diagnosis block (Item 16B of the SSA-831, or Item 22 of the SSA-832 or SSA-833). Do not use the codes in this table in the Primary Diagnosis block of the SSA-831, SSA-832, or SSA-833.

Secondary Impairment Codes for Symptomatic HIV Infection

Impairment Descriptor	Impairment Code
Absolute CD4 Count 50 or Less	7950
Cancer of Cervix	1800
Microcephaly	7420
Multicentric Castleman Disease	2380
Opportunistic Infections Associated with HIV Infection	*1390
Primary Effusion Lymphoma	2000
Progressive Multifocal Leukoencephalopathy	0460
Pulmonary Kaposi Sarcoma	1760
Pulmonary Lymphoid Hyperplasia (PLH)	2850

E. Reminders for choosing an impairment code for immune system disorders

•
Use impairment code 0430 as the primary impairment code for a favorable determination based on HIV infection.
•
Do not use 0440 as the primary impairment code for a favorable determination. Because the primary impairment code is the basis for the allowance, this would mean the determination was based on HIV infection which has no symptoms, signs, or manifestations.
•
Use impairment code 1390 for any opportunistic infection that is associated with symptomatic HIV infection. This includes any bacterial, viral, parasitic, or fungal disease. Examples of diseases under this code include: toxoplasmosis, candidiasis, salmonella bacteremia, herpes simplex, cytomegalovirus, and syphilis.
•
If DI 33526.070D does not include an impairment code for the HIV manifestation, and impairment code 1390 would not be appropriate, use a code from the list of impairment codes for the appropriate body system.

DI 33526.075 Impairment Codes for Low Birth Weight and Failure to Thrive

Use the impairment codes in this section to identify Low Birth Weight (LBW) and Failure to Thrive (FTT). See the reminders in DI 33526.075C for codes with an asterisk (*).

NOTE: Low Birth Weight and Failure to Thrive does not have any listings in Part A.

A. When LBW or FTT meets or medically equals a Part B listing

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

LBW and FTT Impairment Codes for Part B Listings

Part B Listing	Impairment Code	Impairment Descriptor
100.04A	*7650	Low Birth Weight Under 1200 Grams
100.04B	*7649	Low Birth Weight Between 1200 and 2000 Grams
100.05	*7830	Failure to Thrive (Growth Disorders)

B. When LBW or FTT does not meet or equal a listing

Use the appropriate impairment code from the following table if LBW or FTT does not meet or medically equal a listing:

General Impairment Codes for LBW and FTT

Impairment Descriptor	Impairment Code
Failure to Thrive (Growth Disorders)	*7830
Low Birth Weight Between 1200 and 2000 Grams	*7649
Low Birth Weight Under 1200 Grams	*7650

C. Reminders for choosing an impairment code for LBW or FTT

•
Do not use 7649 or 7650 for a continuing disability review (CDR) continuance. [LBW is no longer considered a medically determinable impairment (MDI) after the infant attains age one.]
•
Do not use 7830 if the child has attained age three before the date of the determination. Use an impairment code in the body system that is primarily affected.

DI 33526.080 Impairment Codes for Special or Other Situations

Use the impairment codes in this section to identify special or other situations. If a code in the table has an asterisk (*), see the reminders in DI 33526.080B.

A. General Impairment Codes for Special or Other Situations

General Impairment Codes for Special or Other Situations

Impairment Code	Impairment Descriptor
9330	Chronic Fatigue Syndrome (CFS)
*2480	Diagnosis Established – No Predetermined List Code of Medical Nature Applicable
7290	Fibromyalgia
8690	Internal Injury
6490	None Established (Medical Evidence in File But Insufficient to Establish Diagnosis)
*0000	None Established (No Medical Evidence in File)
2780	Obesity
7590	Other Congenital Anomalies
8790	Other Open Wounds, Except Limbs

B. Reminders for choosing an impairment code in special or other situations

•
Use 20 to identify the Body System in Item 16A of the SSA-831 or Item 21 of the SSA-832 or SSA-833.
•
Do not use 2480 as the primary diagnosis in Item 16A of the SSA-831 or Item 21 of the SSA-832 or SSA-833 if the decision is an allowance or a continuance.
•
Do not use 0000 as the primary diagnosis for continuing disability reviews (CDRs) in Item 21 of the SSA-832 or SSA-833.

DI 33526.100 Impairment Codes in Numeric Sequence

Use the following table to determine the impairment descriptor connected to a specific impairment code:

Impairment Codes in Numeric Sequence

Impairment Code	Body System	Diagnostic Categories
0000	20	None Established (No Medical Evidence in File)
0110	03	Pulmonary Tuberculosis
0420	13	Cancer Treated by Bone Marrow or Stem Cell Transplantation
0430	14	Symptomatic Human Immunodeficiency Virus (HIV) Infection
0440	14	Asymptomatic Human Immunodeficiency Virus (HIV) Infection
0460	14	Progressive Multifocal Leukoencephalopathy
0930	04	Cardiovascular Syphilis
1170	08	Chronic Infections of the Skin or Mucous Membranes
1180	03	Mycotic (Fungal) Infections
1350	03	Sarcoidosis
1380	11	Post-polio Syndrome
1390	14	Opportunistic Infections Associated with HIV Infection
1410	13	Cancer of Tongue
1420	13	Cancer of Salivary Glands
1500	13	Cancer of Esophagus
1510	13	Cancer of Stomach
1520	13	Cancer of Small Intestine, Including Duodenum
1530	13	Cancer of Colon, Rectum or Anus
1550	13	Cancer of Liver and Intrahepatic Bile Ducts
1560	13	Cancer of Gallbladder and Extrahepatic Bile Ducts
1570	13	Cancer of Pancreas
1590	13	Cancer of Other and Ill-Defined Sites Within the Digestive Organs and Peritoneum (Abdomen)
1620	13	Cancer of Trachea, Bronchus, or Lung
1630	13	Cancer of Pleura
1640	13	Cancer of Mediastinum
1700	13	Cancer of Maxilla, Orbit, or Temporal Fossa
1710	13	Cancer of Connective and Other Soft Tissue
1720	13	Malignant Melanoma
1730	13	Cancer of Skin
1740	13	Cancer of Breast
1760	14	Pulmonary Kaposi Sarcoma
1780	13	Cancer of Skeletal System
1790	13	Cancer of Uterus
1800	13	Carcinoma of the Cervix
1830	13	Cancer of Ovary and Other Uterine Adnexa
1840	13	Cancer of Vulva or Vagina
1850	13	Cancer of Prostate
1860	13	Cancer of Testis
1870	13	Cancer of Penis
1880	13	Cancer of Bladder
1890	13	Cancer of Kidney, Adrenal Glands, or Ureters
1900	13	Cancer of Eye
1910	13	Cancer of Nervous System
1920	13	Neuroblastoma
1930	13	Cancer of Thyroid Gland
1940	13	Cancer of Other Endocrine Glands and Related Structures
1950	13	Soft Tissue Tumors of Head and Neck
1980	13	Metastatic Cancer from Unknown Primary Site
1990	13	Cancer of Unspecified Site
2000	14	Primary Effusion Lymphoma
2020	13	Lymphoma
2030	13	Multiple Myeloma
2070	13	Leukemia
2250	11	Benign Neoplasm of Brain and Other Parts of Nervous System
2380	14	Multicentric Castleman Disease
2390	13	Cancer of Unspecified or Unknown Nature
2460	09	All Disorders of Thyroid Gland (Except Cancer)
2480	20	Diagnosis Established – No Predetermined List Code of Medical Nature Applicable
2500	09	Diabetes Mellitus
2520	09	All Disorders of Parathyroid Gland (Except Cancer)
2530	09	All Disorders of Pituitary Gland (Except Cancer)
2550	09	All Disorders of Adrenal Glands (Except Cancer)
2630	05	Growth Failure Due to Any Digestive Disorder
2630	14	HIV Wasting Syndrome (Secondary Diagnosis for HIV-0430)
2720	04	Hyperlipidemia
2730	13	Macroglobulinemia or Heavy Chain Disease
2740	14	Gout
2770	03	Cystic Fibrosis
2780	20	Obesity
2820	07	Hemolytic Anemias (Including Sickle Cell Thalassemia, and Variants)
2840	07	Hematological Disorders with Bone Marrow/Stem Cell Transplantation
2850	14	Pulmonary Lymphoid Hyperplasia (PLH)
2860	07	Thrombosis and Hemostasis Disorder (Including Hemophilia)
2890	07	Bone Marrow Failure (Including Myelofibrosis and Granulocytopenia)
2940	12	Neurocognitive Disorders
2950	12	Schizophrenic, Paranoid and Other Psychotic Disorders
2960	12	Depressive, Bipolar and Related Disorders
2990	12	Autism Spectrum Disorders
3000	12	Anxiety and Obsessive-Compulsive Disorders
3010	12	Personality Disorders
3030	12	Substance Addiction Disorders (Alcohol)
3040	12	Substance Addiction Disorders (Drugs)
3060	12	Somatic Symptom Disorders
3070	12	Eating Disorders
3090	12	Trauma- and Stress-Related Disorders
3120	12	Impulse Control Disorders
3138	12	Oppositional Defiant Disorder
3140	12	Attention Deficit/Hyperactivity Disorder
3150	12	Development and Emotional Disorders of Infants and Toddlers
3152	12	Learning Disorder
3153	12	Speech and Language Impairment
3180	12	Intellectual Disorder
3195	12	Borderline Intellectual Functioning
3210	01	Arachnoiditis
3220	14	Meningitis
3250	03	Lung Transplant
3300	10	Cerebral Degenerations Usually Manifest in Childhood
3300	11	Cerebral Degenerations Usually Manifest in Childhood
3310	11	Cerebral Degenerations
3320	11	Parkinson's Disease
3330	11	Huntington Disease
3350	11	Amyotrophic Lateral Sclerosis
3358	11	Motor Neuron Disorders Other than ALS
3360	11	Spinal Cord Disorders
3370	11	Disorders of Autonomic Nervous System
3400	11	Multiple Sclerosis
3430	11	Cerebral Palsy
3450	11	Epilepsy
3460	11	Primary Headache Disorder (Including Migraine)
3480	11	Coma or Persistent Vegetative State
3490	11	Other Disorders of the Nervous System
3540	11	Carpal Tunnel Syndrome
3570	11	Peripheral Neuropathy
3580	11	Myoneural Disorders
3590	11	Muscular Dystrophies and Other Myopathies
3610	02	Retinal Detachments and Defects
3620	02	Other Retinal Disorders (Including Diabetic Retinopathy)
3650	02	Glaucoma
3660	02	Cataract
3680	02	Visual Disturbances
3690	02	Low Vision
3694	02	Statutory Blindness
3750	04	Heart Transplant
3780	02	Strabismus and Other Disorders of Eye Movements
3860	02	Disorders of Vestibular System
3880	02	Other Disorders of Ear
3890	02	Hearing Loss Not Treated with Cochlear Implantation
3910	04	Acute Rheumatic Heart Disease
3950	04	Diseases of Aortic Valve
3980	04	Chronic Rheumatic Heart Disease
4010	04	Essential Hypertension
4020	04	Hypertensive Cardiovascular Disease
4030	04	Hypertensive Vascular and Renal Disease
4100	04	Acute Myocardial Infarction
4130	04	Angina Pectoris Without Ischemic Heart Disease
4140	04	Chronic Ischemic Heart Disease With or Without Angina
4160	03	Chronic Pulmonary Hypertension
4160	04	Chronic Pulmonary Hypertension
4240	04	Valvular Heart Disease or Other Stenotic Defects or Valvular Regurgitation
4240	14	Valvular Heart Disease or Other Stenotic Defects or Valvular Regurgitation
4250	04	Cardiomyopathy
4270	04	Cardiac Dysrhythmias (Arrhythmias)
4280	04	Heart Failure
4380	11	Vascular Insult to the Brain
4410	04	Aneurysm of Aorta or Major Branches
4430	04	Peripheral Vascular (Arterial) Disease
4460	14	Systemic Vasculitis (Periarteritis Nodosa and Allied Conditions)
4510	04	Phlebitis and Thrombophlebitis
4540	04	Varicose Veins of Lower Extremities
4590	04	Other Diseases of Circulatory System (Venous Insufficiency)
4750	05	Liver Transplantation
4860	14	Pneumonia
4910	03	Chronic Bronchitis
4920	03	Emphysema
4930	03	Asthma
4940	03	Bronchiectasis
4960	03	Chronic Respiratory Disorders
5010	03	Asbestosis
5050	03	Pneumoconiosis
5160	14	Lymphoid Interstitial Pneumonia (LIP)
5180	03	Respiratory Failure
5190	03	Other Disorders of the Respiratory System
5300	05	Diseases of Esophagus
5330	05	Peptic Ulcer (Gastric or Duodenal)
5350	05	Gastritis and Duodenitis
5530	05	Hernias
5550	05	Inflammatory Bowel Disease (IBD)
5690	05	Other Disorders of Gastrointestinal System
5710	05	Chronic Liver Disease
5780	05	Gastrointestinal Hemorrhage
5793	05	Short Bowel Syndrome (SBS)
5799	05	Need for Supplemental Daily Enteral Feeding via Gastrostomy
5810	06	Nephrotic Syndrome
5830	06	Complications of Chronic Kidney Disease
5850	06	Chronic Kidney Disease with Dialysis
5880	06	Chronic Kidney Disease
5950	06	Interstitial Cystitis
5990	06	Other Disorders of the Urinary Tract
6080	06	Disorders of the Male Genital Organs
6290	06	Disorders of the Female Genital Organs
6490	20	None Established (Medical Evidence in File But Insufficient to Establish Diagnosis)
6940	08	Bullous Disease
6950	08	Ichthyosis
6960	08	Dermatitis
7050	08	Hidradenitis Suppurativa
7090	08	Other Disorders of the Skin and Subcutaneous Tissues
7100	14	Diffuse Diseases of Connective Tissue (Including Systemic Lupus Erythematosus, Systemic Sclerosis (Scleroderma), Polymyositis and Dermatomyositis, Undifferentiated and Mixed Connective Tissue Disease, Sjögren’s Syndrome)
7140	14	Inflammatory Arthritis
7150	01	Osteoarthrosis and Allied Disorders
7160	01	Other and Unspecified Arthropathies
7200	14	Ankylosing Spondylitis or Other Spondyloarthropathies
7240	01	Disorders of the Skeletal Spine
7280	01	Disorders of Muscle, Ligament and Fascia
7300	01	Osteomyelitis, Periostitis and Other Infections Involving Bone
7330	01	Other Disorders of Bone and Cartilage (Osteoporosis)
7370	01	Curvature of Spine
7400	10	Anencephalus and Catastrophic Congenital Abnormality or Disease
7410	11	Spina Bifida (Meningomyelocele)
7420	14	Microcephaly
7460	04	Symptomatic Congenital Heart Disease
7500	05	Congenital Anomalies of Upper Alimentary Tract
7530	06	Congenital Anomalies of Urinary System
7570	08	Genetic Photosensitivity Disorders
7580	10	Down Syndrome
7590	20	Other Congenital Anomalies
7649	19	Low Birth Weight – Weight 1200 - 2000 grams
7650	19	Low Birth Weight – Weight under 1200 grams
7800	03	Sleep-Related Breathing Disorders
7810	12	Tic Disorders
7830	19	Failure to Thrive (Growth Disorder)
7840	02	Speech Disorder
7840	11	Speech Disorder
7850	04	Growth Failure Due to Any Chronic Cardiovascular Disorder
7860	03	Growth Failure Due to Any Chronic Respiratory Disorder
7870	05	Growth Failure Due to Any Digestive Disorder
7880	06	Growth Failure Due to Any Chronic Renal Disease
7950	14	Absolute CD4 Count 50 or Less
7960	20	Disabling Impairment Previously Established – Current Evidence Insufficient to Establish Impairment
8030	01	Fracture of Skull Without Intracranial Injury
8060	11	Fracture of Vertebral Column with Spinal Cord Lesion
8180	01	Fractures of Upper Limb
8270	01	Fractures of Lower Limb
8290	01	Other Fractures of Bones
8390	01	Dislocations – All Types
8480	01	Sprains and Strains – All Types
8540	11	Traumatic Brain Injury
8690	20	Internal Injury
8790	20	Other Open Wounds, Except Limbs
8840	01	Open Wound of Upper Limb (Soft Tissue Injury)
8940	01	Open Wound of Lower Limb (Soft Tissue Injury)
9050	01	Amputation Due to Any Cause
9070	11	Late Effects of Injuries to the Nervous System
9330	20	Chronic Fatigue Syndrome
9480	08	Burns
9490	01	Burns (NOS)
9620	02	Hearing Loss Treated with Cochlear Implantation
9960	06	Kidney Transplant

DI 33526 BASIC - Impairment Codes for Disability Determination Forms - 10/06/2023

POMS Recent Change

DI 33526.001 Background on Impairment Code Lists

A. SSA's use of impairment codes on disability determination forms

B. Using the tables of impairment codes

C. References

DI 33526.005 Impairment Codes for Musculoskeletal Disorders

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

B. When a musculoskeletal disorder meets or medically equals a Part B listing

C. When a musculoskeletal disorder does not meet or equal a listing

DI 33526.010 Impairment Codes for Special Senses and Speech

A. When a special senses or speech impairment meets or equals a Part A listing

B. When a special senses or speech impairment meets or medically equals a Part B listing

C. When a special senses or speech impairment does not meet or equal a listing

D. Reminders for choosing an impairment code for special senses and speech impairments

DI 33526.015 Impairment Codes for Respiratory Disorders

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

B. When a respiratory disorder meets or medically equals a Part B listing

C. When a respiratory disorder does not meet or equal a listing

DI 33526.020 Impairment Codes for Cardiovascular System

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

B. When a cardiovascular disorder meets or medically equals a Part B listing

C. When a cardiovascular disorder does not meet or equal a listing

D. Reminders for choosing an impairment code for cardiovascular disorders

DI 33526.025 Impairment Codes for Digestive Disorders

A. When a digestive disorder meets or equals a Part A Listing

B. When a digestive disorder meets or medically equals a Part B listing

C. When a digestive disorder does not meet or equal a listing

D. Reminders for choosing an impairment code for digestive disorders

DI 33526.030 Impairment Codes for Genitourinary Disorders

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

B. When a genitourinary disorder meets or medically equals a Part B listing

C. When a genitourinary disorder does not meet or equal a listing

D. Reminders for choosing an impairment code for genitourinary disorders

DI 33526.035 Impairment Codes for Hematological Disorders

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

B. When a hematological disorder meets or medically equals a Part B listing

C. When a hematological disorder does not meet or equal a listing

DI 33526.040 Impairment Codes for Skin Disorders

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

B. When a skin disorder meets or medically equals a Part B listing

C. When a skin disorder does not meet or equal a listing

D. Reminders for choosing an impairment code for skin disorders

DI 33526.045 Impairment Codes for Endocrine Disorders

A. When an endocrine disorder meets or medically equals a Part B listing

B. When an endocrine disorder does not meet or equal a listing

C. Reminders for choosing an impairment code for endocrine disorders

DI 33526.050 Impairment Codes for Congenital Disorders That Affect Multiple Body Systems

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

B. When a congenital disorder meets or equals a Part B listing

C. When a congenital disorder does not meet or equal a listing

DI 33526.055 Impairment Codes for Neurological Disorders

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

B. When a neurological disorder meets or medically equals a Part B listing

C. When a neurological disorder does not meet or equal a listing

D. Reminders for choosing an impairment code for neurological disorders

DI 33526.060 Impairment Codes for Mental Disorders

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

B. When a mental disorder meets or medically equals a Part B listing

C. When a mental disorder does not meet or equal a listing

D. Reminders for choosing an impairment code for mental disorders

DI 33526.065 Impairment Codes for Cancer (Malignant Neoplastic Diseases)

A. When a cancer meets or equals a Part A listing

B. When a cancer meets or equals a Part B listing

C. When a cancer does not meet or equal a listing

D. Reminders of choosing an impairment code for cancers

DI 33526.070 Impairment Codes for Immune System Disorders

A. When an immune system disorder meets or equals a Part A listing

B. When an immune system disorder meets or medically equals a Part B listing

C. When an immune system disorder does not meet or equal a listing

D. Impairment codes for secondary diagnosis associated with symptomatic HIV infection

E. Reminders for choosing an impairment code for immune system disorders

DI 33526.075 Impairment Codes for Low Birth Weight and Failure to Thrive

A. When LBW or FTT meets or medically equals a Part B listing

B. When LBW or FTT does not meet or equal a listing

C. Reminders for choosing an impairment code for LBW or FTT

DI 33526.080 Impairment Codes for Special or Other Situations

A. General Impairment Codes for Special or Other Situations

B. Reminders for choosing an impairment code in special or other situations

DI 33526.100 Impairment Codes in Numeric Sequence