Impairment Classifications Neurological Endocrine, Metabolic, Immunity Disorders 250­259 270­279 Psychotic Conditions 290­299 Neurotic, Personality and Other Non­Psychotic Disorders 300­316 Inflammatory Diseases of the Nervous System 320­326 Degenerative CNS disorders 330­337 Non Traumatic CNS Dysfunction 340­343 345­349 Quadriplegic Syndromes 344.00 ­.04 805.0­.1 806.01­.19 952.0 Paraplegic Syndromes 344.1; 805.2­.7; 806.2­.5; 952.1­.4 Other Paralytic Syndromes 344.2 – 344.9 Peripheral nervous system disorders 350­359, 953­957 Vertigo 386; 781.2 Congenital anomalies 740­759 Brain Injury 800; 850­854 Complications + Unspecified Injuries 958­959 Post­surgical procedures: Nervous system 61000­64999 NOC­Neuromuscular disorder Endocrine, Metabolic and Immunity Disorders Patients placed in this category should have conditions arising from dysfunction of the endocrine, metabolic and immunity systems and include ICD‐9 codes in the 250‐259 and the 270‐279 range. This category includes, but is not limited to AIDS, diabetes, acromegaly, gigantism and cystic fibrosis. Psychotic Conditions Patients placed in this category should have conditions arising from psychotic conditions and include ICD‐9 codes in the 290‐299 range. This category includes, but is not limited to senile dementia, infantile autism and pervasive developmental disorder. Neurotic, Personality and Other Non­Psychotic Disorders Patients placed in this category should have conditions arising from psychotic conditions and include ICD‐9 codes in the 300‐316 range. This category includes, but is not limited to attention deficit disorder, specific (reading/speech/dyslexia), mixed development delay and speech disorders such as dyspraxia syndrome, neurotic dysphagia, receptive and expressive language disorders, reading disorder, learning deficit, . This category excludes infantile development delay. Impairment Categories 10/27/2009 12:12 PM Inflammatory Diseases of the Nervous System Patients placed in this category should have or had infectious diseases of the CNS and qualify for an ICD‐9 code in the range of 320‐326, including all subcategories. This category includes, but is not limited to: Encephalitis Intercranial abcess Interspinal abcess Meningitis Myelitis Degenerative CNS disorders Patients placed in this category should have hereditary and degenerative diseases of the CNS and qualify for an ICD‐9 code in the range of 330‐337, including all subcategories. This category includes, but is not limited to: Alzheimers Amyotrophic Lateral Sclerosis Anterior Horn disease Parkinsonism Post Polio Syndrome Reflex Sympathetic dystrophy Non Traumatic CNS Dysfunction Patients placed in this category should have disorders of the CNS and qualify for an ICD‐9 code in the range of 340‐343 and 345‐349, including all subcategories. This category includes, but is not limited to: Cerebral Palsy Epilepsy Multiple Sclerosis Migraine Other demyelinating CNS diseases Other conditions of the brain or nervous system Unspecified hemiplegia / hemiparesis Quadriparesis Quadriplegic Syndromes Patients placed in this category should have disorders of the nervous system and qualify for an ICD‐9 code in the range of 344.00 – 344.04, or 805.0‐805.1, or 806.01‐806.19 or 952.0 including all subcategories. This category includes, but is not limited to other causes of quadriplegic syndromes such as inflammatory disease, congenital anomolies, peripheral nervous system disorders, cancer, tumors, aneurisms, etc. Paraplegic Syndromes Patients placed in this category should have disorders of the CNS and qualify for an ICD‐9 code in the range of 344.1, or 805.2‐805.7, or 806.2‐806.5 or 952.1‐952.4 including all subcategories. This category includes, but is not limited, to other causes of paraplegic syndromes such as inflammatory disease, congenital anomolies, peripheral nervous system disorders, cancer, tumors, aneurisms, etc. Copyrighted by Focus On Therapeutic Outcomes Inc., 2009 Page 2 Impairment Categories 10/27/2009 12:12 PM Other Paralytic Syndromes Patients placed in this category should posses these conditions without further specifications or with unspecified cause and qualify for an ICD‐9 code of 344.2 – 344.9, including all subcategories. This category includes, but is not limited, to: Cauda equina syndrome Monoplegia Other paralytic syndromes, specified or unspecified Also included in this category should be other causes of paralytic syndromes such as cancer, tumors, aneurisms, etc. Peripheral nervous system disorders / injuries Patients placed in this category should have a disorder or injury of the peripheral nervous system and qualify for an ICD‐9 code in the range of 350‐359 or 953‐957, including all subcategories. This category includes, but is not limited, to: Cranial Nerve Disorder Brachial Plexus Injury Erb’s Palsy Cervical rib Guillian ‐ Barre Thoracic Outlet syndrome Muscular Dystrophy Scalenus Anticus Nerve root / Plexus Disorder Phantom limb Polyneuropathy Vertigo Patients placed in this category should have a vertiginous syndrome, other disorders of the vestibular system or ataxic or staggering gait conditions and qualify for an ICD‐9 codes 386 and or 781.2, including all subcategories, if any. Congenital anomalies Patients placed in this category should have conditions arising from congenital conditions and qualify for an ICD‐9 code in the range of 740‐759, including all subcategories. This category includes, but is not limited, to Spina Bifida Congenital cystic lung Cleft Palate Down’s syndrome Other congenital anomolies of pulomonary, circulatory, vascular or musculoskeletal systems. Infantile developmment delay Brain Injury Patients placed in this category should have conditions arising from intracranial injury with or without fracture to the skull and qualify for an ICD‐9 code in the range of 800 and/or 850‐854, including all subcategories. This category includes, but is not limited, to: Open and closed skull fracture with Brain injury Concussion Cerebral laceration and contusion Specified or unspecified intracranial hemorrhage Other intracranial injury Copyrighted by Focus On Therapeutic Outcomes Inc., 2009 Page 3 Impairment Categories 10/27/2009 12:12 PM Complications + Unspecified Injuries Patients placed in this category should have conditions arising from traumatic complications and unspecified injuries and qualify for an ICD‐9 code in the range of of 958‐959, including all subcategories. Post­surgical procedures: Nervous system Patients placed in this category should have conditions arising after a surgical procedure with surgical procedure codes included in the range of 61000‐64999 (CPT 2000). Excludes. This category includes, but is not limited, to: Craniotomy Aneurorysm Repair CSF shunt Spine or spinal cord Neuroplasty (neurolysis or nerve decompression) NOC­Neuromuscular disorder This category is for all disorders that qualify for ICD‐9 codes not included in the above categories. Multiple Impairments This is posed as an additional question for the purposes of risk adjustment. Selecting yes indicates that the current episode of treatment is for two or more of the impairments listed under neuromuscular or orthopedic impairment categories. Copyrighted by Focus On Therapeutic Outcomes Inc., 2009 Page 4 Impairment Categories 10/27/2009 12:12 PM Circulatory Impairment Categories Classification Guidelines Rheumatic And Heart Disease 390­429 Cerebrovascular Disorders 430­438 Diseases of Arteriel System 440­448 Diseases Of Veins and Lymphatics 451­459 Rheumatic And Heart Disease Patients placed in this category should have conditions of rheumatic and heart disease and qualify for an ICD‐9 code in the range of 390‐429, including all subcategories. Included in this category are: Acute and Chronic Rheumatic Disease Hypertensive Disease Ischemic Heart Disease Pulmonary Heart Disease Other Heart Disease Cerebrovascular Disorders Patients placed in this category should have conditions of cerebrovascular disease and qualify for an ICD‐9 code in the range of 430‐438, including all subcategories. Included in this category are: Cerebellar arterial hemorrhage Cerebellar arterial occlusion Cerebellar arterial ischemia Cther cererovascular disease Hemiplegia affecting right or left side Other Paralytic syndromes This category includes, but is not limited, to other causes of speech disorders such as dysphagia, dysarthia, slurred speech, etc. Diseases of Arteriel System Patients placed in this category should have conditions of cerebrovascular disease and qualify for an ICD‐9 code in the range of 440‐448, including all subcategories. Included in this category are: Atherosclerosis Aneurysms Peripheral Vascular Disorders Embolisms and Thrombosis Diseases Of Veins and Lymphatics Patients placed in this category should have conditions of cerebrovascular disease and qualify for an ICD‐9 code in the range of 451‐459, including all subcategories. Included in this category are: Phlebitis Thrombophlebitis Disorders of the Lyphatic Channels Copyrighted by Focus On Therapeutic Outcomes Inc., 2009 Page 5 Impairment Categories 10/27/2009 12:12 PM Orthopedic Impairment Categories Classification Guidelines Arthropathies 710­716 Spine Pathology 720­724 Muscle, Tendon + Soft Tissue Disorders 725­729 Osteo, Chondropathies & Acquired Musculo­skeletal deformities 730­739 Fractures 800­829 Dislocations 830­839 Sprains / Strains 840­848 Wounds and Traumatic Amputation 870­879 Contusions 920­924 Crushing Injuries 925­929 Burns 940­949 Post­surgical procedures: Musculo­skeletal system 20150 – 29999 NOC­musculo­skeletal