VA Disability Rating Chart — All 722 Diagnostic Codes

Musculoskeletal system §4.71a · 159 codes

• 5000 Osteomyelitis, acute, subacute, or chronic
• 5001 Bones and joints, tuberculosis of, active or inactive
• 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process
• 5003 Degenerative arthritis, other than post-traumatic
• 5004 Arthritis, gonorrheal.
• 5005 Arthritis, pneumococcic.
• 5006 Arthritis, typhoid.
• 5007 Arthritis, syphilitic.
• 5008 Arthritis, streptococcic.
• 5009 Other specified forms of arthropathy (excluding gout).
• 5010 Post-traumatic arthritis
• 5011 Decompression illness
• 5012 Bones, neoplasm, malignant, primary or secondary
• 5013 Osteoporosis, residuals of.
• 5014 Osteomalacia, residuals of.
• 5015 Bones, neoplasm, benign.
• 5016 Osteitis deformans.
• 5017 Gout.
• 5019 Bursitis.
• 5021 Myositis.
• 5023 Heterotopic ossification.
• 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy.
• 5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome)
• 5051 Shoulder replacement (prosthesis).
• 5052 Elbow replacement (prosthesis).
• 5053 Wrist replacement (prosthesis).
• 5054 Hip, resurfacing or replacement (prosthesis)
• 5055 Knee, resurfacing or replacement (prosthesis)
• 5056 Ankle replacement (prosthesis).
• 5104 Anatomical loss of one hand and loss of use of one foot
• 5105 Anatomical loss of one foot and loss of use of one hand
• 5106 Anatomical loss of both hands
• 5107 Anatomical loss of both feet
• 5108 Anatomical loss of one hand and one foot
• 5109 Loss of use of both hands
• 5110 Loss of use of both feet
• 5111 Loss of use of one hand and one foot
• 5120 Complete amputation, upper extremity
• 5121 Above insertion of deltoid
• 5122 Below insertion of deltoid
• 5123 Above insertion of pronator teres
• 5124 Below insertion of pronator teres
• 5125 Hand, loss of use of
• 5126 Five digits of one hand, amputation of
• 5127 Thumb, index, long and ring
• 5128 Thumb, index, long and little
• 5129 Thumb, index, ring and little
• 5130 Thumb, long, ring and little
• 5131 Index, long, ring and little
• 5132 Thumb, index and long
• 5133 Thumb, index and ring
• 5134 Thumb, index and little
• 5135 Thumb, long and ring
• 5136 Thumb, long and little
• 5137 Thumb, ring and little
• 5138 Index, long and ring
• 5139 Index, long and little
• 5140 Index, ring and little
• 5141 Long, ring and little
• 5142 Thumb and index
• 5143 Thumb and long
• 5144 Thumb and ring
• 5145 Thumb and little
• 5146 Index and long
• 5147 Index and ring
• 5148 Index and little
• 5149 Long and ring
• 5150 Long and little
• 5151 Ring and little
• 5152 Thumb, amputation of
• 5153 Index finger, amputation of
• 5154 Long finger, amputation of
• 5155 Ring finger, amputation of
• 5156 Little finger, amputation of
• 5160 Complete amputation, lower extremity
• 5161 Upper third, one-third of the distance from perineum to knee joint measured from perineum
• 5162 Middle or lower thirds
• 5163 With defective stump, thigh amputation recommended
• 5164 Amputation not improvable by prosthesis controlled by natural knee action
• 5165 At a lower level, permitting prosthesis
• 5166 Forefoot, amputation proximal to metatarsal bones (more than one-half of metatarsal loss)
• 5167 Foot, loss of use of
• 5170 Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss
• 5171 Toe, great, amputation of
• 5172 Toes, other than great, amputation of, with removal of metatarsal head
• 5173 Toes, three or four, amputation of, without metatarsal involvement
• 5200 Scapulohumeral articulation, ankylosis of
• 5201 Arm, limitation of motion of
• 5202 Humerus, other impairment of
• 5203 Clavicle or scapula, impairment of
• 5205 Elbow, ankylosis of
• 5206 Forearm, limitation of flexion of
• 5207 Forearm, limitation of extension of
• 5208 Forearm, flexion limited to 100° and extension to 45°
• 5209 Elbow, other impairment of Flail joint
• 5210 Radius and ulna, nonunion of, with flail false joint
• 5211 Ulna, impairment of
• 5212 Radius, impairment of
• 5213 Supination and pronation, impairment of
• 5214 Wrist, ankylosis of
• 5215 Wrist, limitation of motion of
• 5216 Five digits of one hand, unfavorable ankylosis of
• 5217 Four digits of one hand, unfavorable ankylosis of
• 5218 Three digits of one hand, unfavorable ankylosis of
• 5219 Two digits of one hand, unfavorable ankylosis of
• 5220 Five digits of one hand, favorable ankylosis of
• 5221 Four digits of one hand, favorable ankylosis of
• 5222 Three digits of one hand, favorable ankylosis of
• 5223 Two digits of one hand, favorable ankylosis of
• 5224 Thumb, ankylosis of
• 5225 Index finger, ankylosis of
• 5226 Long finger, ankylosis of
• 5227 Ring or little finger, ankylosis of
• 5228 Thumb, limitation of motion
• 5229 Index or long finger, limitation of motion
• 5230 Ring or little finger, limitation of motion
• 5235 Vertebral fracture or dislocation
• 5236 Sacroiliac injury and weakness
• 5237 Lumbosacral or cervical strain
• 5238 Spinal stenosis
• 5239 Spondylolisthesis or segmental instability
• 5240 Ankylosing spondylitis
• 5241 Spinal fusion
• 5242 Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010)
• 5243 Intervertebral disc syndrome: Assign this diagnostic code only when there is disc herniation with compression and/or irritation of the adjacent nerve root; assign diagnostic code 5242 for all other disc diagnoses.
• 5244 Traumatic paralysis, complete
• 5250 Hip, ankylosis of
• 5251 Thigh, limitation of extension of
• 5252 Thigh, limitation of flexion of
• 5253 Thigh, impairment of
• 5254 Hip, flail joint
• 5255 Femur, impairment of
• 5256 Knee, ankylosis of
• 5257 Knee, other impairment of
• 5258 Cartilage, semilunar, dislocated, with frequent episodes of “locking,” pain, and effusion into the joint
• 5259 Cartilage, semilunar, removal of, symptomatic
• 5260 Leg, limitation of flexion of
• 5261 Leg, limitation of extension of
• 5262 Tibia and fibula, impairment of
• 5263 Genu recurvatum (acquired, traumatic, with weakness and insecurity in weight-bearing objectively demonstrated)
• 5269 Plantar fasciitis
• 5270 Ankle, ankylosis of
• 5271 Ankle, limited motion of
• 5272 Subastragalar or tarsal joint, ankylosis of
• 5273 Os calcis or astragalus, malunion of
• 5274 Astragalectomy
• 5275 Bones, of the lower extremity, shortening of
• 5276 Flatfoot, acquired
• 5277 Weak foot, bilateral
• 5278 Claw foot (pes cavus), acquired
• 5279 Metatarsalgia, anterior (Morton's disease), unilateral, or bilateral
• 5280 Hallux valgus, unilateral
• 5281 Hallux rigidus, unilateral, severe
• 5282 Hammer toe
• 5283 Tarsal, or metatarsal bones, malunion of, or nonunion of
• 5284 Foot injuries, other
• 5296 Skull, loss of part of, both inner and outer tables
• 5297 Ribs, removal of
• 5298 Coccyx, removal of

Muscle injuries §4.73 · 31 codes

• 5301 Group I. Function: Upward rotation of scapula; elevation of arm above shoulder level. Extrinsic muscles of shoulder girdle: (1) Trapezius; (2) levator scapulae; (3) serratus magnus
• 5302 Group II. Function: Depression of arm from vertical overhead to hanging at side (1, 2); downward rotation of scapula (3, 4); 1 and 2 act with Group III in forward and backward swing of arm. Extrinsic muscles of shoulder girdle: (1) Pectoralis major II (costosternal); (2) latissimus dorsi and teres major (teres major, although technically an intrinsic muscle, is included with latissimus dorsi); (3) pectoralis minor; (4) rhomboid
• 5303 Group III. Function: Elevation and abduction of arm to level of shoulder; act with 1 and 2 of Group II in forward and backward swing of arm. Intrinsic muscles of shoulder girdle: (1) Pectoralis major I (clavicular); (2) deltoid
• 5304 Group IV. Function: Stabilization of shoulder against injury in strong movements, holding head of humerus in socket; abduction; outward rotation and inward rotation of arm. Intrinsic muscles of shoulder girdle: (1) Supraspinatus; (2) infraspinatus and teres minor; (3) subscapularis; (4) coracobrachialis
• 5305 Group V. Function: Elbow supination (1) (long head of biceps is stabilizer of shoulder joint); flexion of elbow (1, 2, 3). Flexor muscles of elbow: (1) Biceps; (2) brachialis; (3) brachioradialis
• 5306 Group VI. Function: Extension of elbow (long head of triceps is stabilizer of shoulder joint). Extensor muscles of the elbow: (1) Triceps; (2) anconeus.
• 5307 Group VII. Function: Flexion of wrist and fingers. Muscles arising from internal condyle of humerus: Flexors of the carpus and long flexors of fingers and thumb; pronator
• 5308 Group VIII. Function: Extension of wrist, fingers, and thumb; abduction of thumb. Muscles arising mainly from external condyle of humerus: Extensors of carpus, fingers, and thumb; supinator
• 5309 Group IX. Function: The forearm muscles act in strong grasping movements and are supplemented by the intrinsic muscles in delicate manipulative movements. Intrinsic muscles of hand: Thenar eminence; short flexor, opponens, abductor and adductor of thumb; hypothenar eminence; short flexor, opponens and abductor of little finger; 4 lumbricales; 4 dorsal and 3 palmar interossei
• 5310 Group X. Function: Movements of forefoot and toes; propulsion thrust in walking. Intrinsic muscles of the foot: Plantar: (1) Flexor digitorum brevis; (2) abductor hallucis; (3) abductor digiti minimi; (4) quadratus plantae; (5) lumbricales; (6) flexor hallucis brevis; (7) adductor hallucis; (8) flexor digiti minimi brevis; (9) dorsal and plantar interossei. Other important plantar structures: Plantar aponeurosis, long plantar and calcaneonavicular ligament, tendons of posterior tibial, peroneus longus, and long flexors of great and little toes
• 5311 Group XI. Function: Propulsion, plantar flexion of foot (1); stabilization of arch (2, 3); flexion of toes (4, 5); Flexion of knee (6). Posterior and lateral crural muscles, and muscles of the calf: (1) Triceps surae (gastrocnemius and soleus); (2) tibialis posterior; (3) peroneus longus; (4) peroneus brevis; (5) flexor hallucis longus; (6) flexor digitorum longus; (7) popliteus; (8) plantaris
• 5312 Group XII. Function: Dorsiflexion (1); extension of toes (2); stabilization of arch (3). Anterior muscles of the leg: (1) Tibialis anterior; (2) extensor digitorum longus; (3) extensor hallucis longus; (4) peroneus tertius
• 5313 Group XIII. Function: Extension of hip and flexion of knee; outward and inward rotation of flexed knee; acting with rectus femoris and sartorius (see XIV, 1, 2) synchronizing simultaneous flexion of hip and knee and extension of hip and knee by belt-over-pulley action at knee joint. Posterior thigh group, Hamstring complex of 2-joint muscles: (1) Biceps femoris; (2) semimembranosus; (3) semitendinosus
• 5314 Group XIV. Function: Extension of knee (2, 3, 4, 5); simultaneous flexion of hip and flexion of knee (1); tension of fascia lata and iliotibial (Maissiat's) band, acting with XVII (1) in postural support of body (6); acting with hamstrings in synchronizing hip and knee (1, 2). Anterior thigh group: (1) Sartorius; (2) rectus femoris; (3) vastus externus; (4) vastus intermedius; (5) vastus internus; (6) tensor vaginae femoris
• 5315 Group XV. Function: Adduction of hip (1, 2, 3, 4); flexion of hip (1, 2); flexion of knee (4). Mesial thigh group: (1) Adductor longus; (2) adductor brevis; (3) adductor magnus; (4) gracilis
• 5316 Group XVI. Function: Flexion of hip (1, 2, 3). Pelvic girdle group 1: (1) Psoas; (2) iliacus; (3) pectineus
• 5317 Group XVII. Function: Extension of hip (1); abduction of thigh; elevation of opposite side of pelvis (2, 3); tension of fascia lata and iliotibial (Maissiat's) band, acting with XIV (6) in postural support of body steadying pelvis upon head of femur and condyles of femur on tibia (1). Pelvic girdle group 2: (1) Gluteus maximus; (2) gluteus medius; (3) gluteus minimus
• 5318 Group XVIII. Function: Outward rotation of thigh and stabilization of hip joint. Pelvic girdle group 3: (1) Pyriformis; (2) gemellus (superior or inferior); (3) obturator (external or internal); (4) quadratus femoris
• 5319 Group XIX. Function: Support and compression of abdominal wall and lower thorax; flexion and lateral motions of spine; synergists in strong downward movements of arm (1). Muscles of the abdominal wall: (1) Rectus abdominis; (2) external oblique; (3) internal oblique; (4) transversalis; (5) quadratus lumborum
• 5320 Group XX. Function: Postural support of body; extension and lateral movements of spine. Spinal muscles: Sacrospinalis (erector spinae and its prolongations in thoracic and cervical regions)
• 5321 Group XXI. Function: Respiration. Muscles of respiration: Thoracic muscle group
• 5322 Group XXII. Function: Rotary and forward movements of the head; respiration; deglutition. Muscles of the front of the neck: (Lateral, supra-, and infrahyoid group.) (1) Trapezius I (clavicular insertion); (2) sternocleidomastoid; (3) the “hyoid” muscles; (4) sternothyroid; (5) digastric
• 5323 Group XXIII. Function: Movements of the head; fixation of shoulder movements. Muscles of the side and back of the neck: Suboccipital; lateral vertebral and anterior vertebral muscles
• 5324 Diaphragm, rupture of, with herniation.
• 5325 Muscle injury, facial muscles.
• 5326 Muscle hernia, extensive. Without other injury to the muscle—10
• 5327 Muscle, neoplasm of, malignant (excluding soft tissue sarcoma)—100
• 5328 Muscle, neoplasm of, benign, postoperative.
• 5329 Sarcoma, soft tissue (of muscle, fat, or fibrous connective tissue)—100
• 5330 Rhabdomyolysis, residuals of
• 5331 Compartment syndrome

Eye §4.79 · 45 codes

• 6000 Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis.
• 6001 Keratopathy.
• 6002 Scleritis.
• 6006 Retinopathy or maculopathy not otherwise specified
• 6007 Intraocular hemorrhage.
• 6008 Detachment of retina.
• 6009 Unhealed eye injury.
• 6010 Tuberculosis of eye
• 6011 Retinal scars, atrophy, or irregularities
• 6012 Angle-closure glaucoma
• 6013 Open-angle glaucoma
• 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin)
• 6015 Benign neoplasms of the eye, orbit, and adnexa (excluding skin)
• 6016 Nystagmus, central
• 6017 Trachomatous conjunctivitis
• 6018 Chronic conjunctivitis (nontrachomatous)
• 6019 Ptosis, unilateral or bilateral
• 6020 Ectropion
• 6021 Entropion
• 6022 Lagophthalmos
• 6023 Loss of eyebrows, complete, unilateral or bilateral
• 6024 Loss of eyelashes, complete, unilateral or bilateral
• 6025 Disorders of the lacrimal apparatus (epiphora, dacryocystitis, etc.)
• 6026 Optic neuropathy
• 6027 Cataract
• 6029 Aphakia or dislocation of crystalline lens
• 6030 Paralysis of accommodation (due to neuropathy of the Oculomotor Nerve (cranial nerve III)).
• 6032 Loss of eyelids, partial or complete
• 6034 Pterygium
• 6035 Keratoconus
• 6036 Status post corneal transplant
• 6037 Pinguecula
• 6040 Diabetic retinopathy
• 6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy)
• 6046 Post-chiasmal disorders
• 6061 Anatomical loss of both eyes 1
• 6062 No more than light perception in both eyes 1
• 6063 Anatomical loss of one eye: 1
• 6064 No more than light perception in one eye: 1
• 6065 Vision in one eye 5/200 (1.5/60)
• 6066 Visual acuity in one eye 10/200 (3/60) or better
• 6080 Visual field defects
• 6081 Scotoma, unilateral
• 6090 Diplopia (double vision)
• 6091 Symblepharon

Evaluation of hearing impairment §4.85 · 1 codes

• 6100 Hearing impairment (hearing loss)

Ear §4.87 · 11 codes

• 6200 Chronic suppurative otitis media, mastoiditis, or cholesteatoma (or any combination)
• 6201 Chronic nonsuppurative otitis media with effusion (serous otitis media)
• 6202 Otosclerosis
• 6204 Peripheral vestibular disorders
• 6205 Meniere's syndrome (endolymphatic hydrops)
• 6207 Loss of auricle
• 6208 Malignant neoplasm of the ear (other than skin only)
• 6209 Benign neoplasms of the ear (other than skin only)
• 6210 Chronic otitis externa
• 6211 Tympanic membrane, perforation of
• 6260 Tinnitus, recurrent

Other sense organs §4.87a · 2 codes

• 6275 Sense of smell, complete loss
• 6276 Sense of taste, complete loss

Infectious diseases, immune disorders and nutritional deficiencies §4.88b · 31 codes

• 6300 Vibriosis (Cholera, Non-cholera)
• 6301 Visceral leishmaniasis
• 6302 Leprosy (Hansen's disease)
• 6304 Malaria
• 6305 Lymphatic filariasis, to include elephantiasis
• 6306 Bartonellosis
• 6307 Plague
• 6308 Relapsing Fever
• 6309 Rheumatic fever
• 6310 Syphilis, and other treponema infections
• 6311 Tuberculosis, miliary
• 6312 Nontuberculosis mycobacterium infection
• 6313 Avitaminosis
• 6314 Beriberi
• 6315 Pellagra
• 6316 Brucellosis
• 6317 Rickettsial, ehrlichia, and anaplasma infections
• 6318 Melioidosis
• 6319 Lyme disease
• 6320 Parasitic diseases otherwise not specified
• 6325 Hyperinfection syndrome or disseminated strongyloidiasis
• 6326 Schistosomiasis
• 6329 Hemorrhagic fevers, including dengue, yellow fever, and others
• 6330 Campylobacter jejuni infection
• 6331 Coxiella burnetii infection (Q fever)
• 6333 Nontyphoid salmonella infections
• 6334 Shigella infections
• 6335 West Nile virus infection
• 6350 Lupus erythematosus, systemic (disseminated)
• 6351 HIV-related illness
• 6354 Chronic fatigue syndrome (CFS)

Respiratory system §4.97 · 61 codes

• 6502 Septum, nasal, deviation of
• 6504 Nose, loss of part of, or scars
• 6510 Sinusitis, pansinusitis, chronic.
• 6511 Sinusitis, ethmoid, chronic.
• 6512 Sinusitis, frontal, chronic.
• 6513 Sinusitis, maxillary, chronic.
• 6514 Sinusitis, sphenoid, chronic.
• 6515 Laryngitis, tuberculous, active or inactive.
• 6516 Laryngitis, chronic
• 6518 Laryngectomy, total.
• 6519 Aphonia, complete organic
• 6520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral)
• 6521 Pharynx, injuries to
• 6522 Allergic or vasomotor rhinitis
• 6523 Bacterial rhinitis
• 6524 Granulomatous rhinitis
• 6600 Bronchitis, chronic
• 6601 Bronchiectasis
• 6602 Asthma, bronchial
• 6603 Emphysema, pulmonary
• 6604 Chronic obstructive pulmonary disease
• 6701 Tuberculosis, pulmonary, chronic, far advanced, active
• 6702 Tuberculosis, pulmonary, chronic, moderately advanced, active
• 6703 Tuberculosis, pulmonary, chronic, minimal, active
• 6704 Tuberculosis, pulmonary, chronic, active, advancement unspecified
• 6721 Tuberculosis, pulmonary, chronic, far advanced, inactive
• 6722 Tuberculosis, pulmonary, chronic, moderately advanced, inactive
• 6723 Tuberculosis, pulmonary, chronic, minimal, inactive
• 6724 Tuberculosis, pulmonary, chronic, inactive, advancement unspecified
• 6730 Tuberculosis, pulmonary, chronic, active
• 6731 Tuberculosis, pulmonary, chronic, inactive
• 6732 Pleurisy, tuberculous, active or inactive
• 6817 Pulmonary Vascular Disease
• 6819 Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths
• 6820 Neoplasms, benign, any specified part of respiratory system.
• 6822 Actinomycosis.
• 6823 Nocardiosis.
• 6824 Chronic lung abscess.
• 6825 Diffuse interstitial fibrosis (interstitial pneumonitis, fibrosing alveolitis).
• 6826 Desquamative interstitial pneumonitis.
• 6827 Pulmonary alveolar proteinosis.
• 6828 Eosinophilic granuloma of lung.
• 6829 Drug-induced pulmonary pneumonitis and fibrosis.
• 6830 Radiation-induced pulmonary pneumonitis and fibrosis.
• 6831 Hypersensitivity pneumonitis (extrinsic allergic alveolitis).
• 6832 Pneumoconiosis (silicosis, anthracosis, etc.).
• 6833 Asbestosis.
• 6834 Histoplasmosis of lung.
• 6835 Coccidioidomycosis.
• 6836 Blastomycosis.
• 6837 Cryptococcosis.
• 6838 Aspergillosis.
• 6839 Mucormycosis.
• 6840 Diaphragm paralysis or paresis.
• 6841 Spinal cord injury with respiratory insufficiency.
• 6842 Kyphoscoliosis, pectus excavatum, pectus carinatum.
• 6843 Traumatic chest wall defect, pneumothorax, hernia, etc.
• 6844 Post-surgical residual (lobectomy, pneumonectomy, etc.).
• 6845 Chronic pleural effusion or fibrosis.
• 6846 Sarcoidosis
• 6847 Sleep Apnea Syndromes (Obstructive, Central, Mixed)

Cardiovascular system §4.104 · 33 codes

• 7000 Valvular heart disease (including rheumatic heart disease)
• 7001 Endocarditis
• 7002 Pericarditis
• 7003 Pericardial adhesions.
• 7004 Syphilitic heart disease
• 7005 Arteriosclerotic heart disease (coronary artery disease).
• 7006 Myocardial infarction
• 7007 Hypertensive heart disease.
• 7008 Hyperthyroid heart disease
• 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation
• 7010 Supraventricular tachycardia
• 7011 Ventricular arrhythmias (sustained)
• 7015 Atrioventricular block
• 7016 Heart valve replacement (prosthesis)
• 7017 Coronary bypass surgery
• 7018 Implantable cardiac pacemakers
• 7019 Cardiac transplantation
• 7020 Cardiomyopathy.
• 7101 Hypertensive vascular disease (hypertension and isolated systolic hypertension)
• 7110 Aortic aneurysm: Ascending, thoracic, or abdominal
• 7111 Aneurysm, any large artery
• 7112 Aneurysm, any small artery
• 7113 Arteriovenous fistula, traumatic
• 7114 Peripheral arterial disease
• 7115 Thrombo-angiitis obliterans (Buerger's Disease)
• 7117 Raynaud's syndrome (also known as secondary Raynaud's phenomenon or secondary Raynaud's)
• 7118 Angioneurotic edema
• 7119 Erythromelalgia
• 7120 Varicose veins
• 7121 Post-phlebitic syndrome of any etiology
• 7122 Cold injury residuals
• 7123 Soft tissue sarcoma (of vascular origin)
• 7124 Raynaud's disease (also known as primary Raynaud's)

Digestive system §4.114 · 51 codes

• 7200 Soft tissue injury of the mouth, other than tongue or lips
• 7201 Lips, injuries of
• 7202 Tongue, loss of whole or part
• 7203 Esophagus, stricture of
• 7204 Esophageal motility disorder
• 7205 Esophagus, diverticulum of, acquired
• 7206 Gastroesophageal reflux disease
• 7207 Barrett's esophagus
• 7301 Peritoneum, adhesions of, due to surgery, trauma, disease, or infection
• 7303 Chronic complications of upper gastrointestinal surgery
• 7304 Peptic ulcer disease
• 7307 Gastritis, chronic
• 7308 Postgastrectomy syndrome
• 7309 Stomach, stenosis of
• 7310 Stomach, injury of, residuals
• 7311 Residuals of injury of the liver
• 7312 Cirrhosis of the liver
• 7314 Chronic biliary tract disease
• 7315 Cholelithiasis, chronic
• 7317 Gallbladder, injury of
• 7318 Cholecystectomy (gallbladder removal), complications of (such as strictures and biliary leaks)
• 7319 Irritable bowel syndrome (IBS)
• 7323 Colitis, ulcerative
• 7325 Enteritis, chronic
• 7326 Crohn's disease or undifferentiated form of inflammatory bowel disease
• 7327 Diverticulitis and diverticulosis
• 7328 Intestine, small, resection of
• 7329 Intestine, large, resection of
• 7330 Intestinal fistulous disease, external
• 7331 Peritonitis, tuberculous, active or inactive
• 7332 Rectum and anus, impairment of sphincter control
• 7333 Rectum and anus, stricture of
• 7334 Rectum, prolapse of
• 7335 Ano, fistula in, including anorectal fistula and anorectal abscess
• 7336 Hemorrhoids, external or internal
• 7337 Pruritus ani (anal itching)
• 7338 Hernia, including femoral, inguinal, umbilical, ventral, incisional, and other (but not including hiatal).
• 7342 Visceroptosis, symptomatic, marked
• 7343 Malignant neoplasms of the digestive system, exclusive of skin growths
• 7344 Benign neoplasms, exclusive of skin growths
• 7345 Chronic liver disease without cirrhosis
• 7346 Hiatal hernia and paraesophageal hernia
• 7347 Pancreatitis, chronic
• 7348 Vagotomy with pyloroplasty or gastroenterostomy
• 7350 Liver abscess
• 7351 Liver transplant
• 7352 Pancreas transplant
• 7354 Hepatitis C (or non-A, non-B hepatitis)
• 7355 Celiac disease
• 7356 Gastrointestinal dysmotility syndrome
• 7357 Post pancreatectomy syndrome

Genitourinary system—diagnoses §4.115b · 40 codes

• 7500 Kidney, removal of one
• 7501 Kidney, abscess of
• 7502 Nephritis, chronic
• 7504 Pyelonephritis, chronic
• 7505 Kidney, tuberculosis of
• 7507 Nephrosclerosis, arteriolar
• 7508 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis
• 7509 Hydronephrosis
• 7511 Ureter, stricture of
• 7512 Cystitis, chronic, includes interstitial and all etiologies, infectious and non-infectious
• 7515 Bladder, calculus in, with symptoms interfering with function
• 7516 Bladder, fistula of
• 7517 Bladder, injury of
• 7518 Urethra, stricture of
• 7519 Urethra, fistula of
• 7520 Penis, removal of half or more
• 7521 Penis, removal of glans
• 7522 Erectile dysfunction, with or without penile deformity
• 7523 Testis, atrophy complete
• 7524 Testis, removal
• 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only
• 7527 Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction
• 7528 Malignant neoplasms of the genitourinary system
• 7529 Benign neoplasms of the genitourinary system
• 7530 Chronic renal disease requiring regular dialysis
• 7531 Kidney transplant
• 7532 Renal tubular disorders (such as renal glycosurias, aminoacidurias, renal tubular acidosis, Fanconi's syndrome, Bartter's syndrome, related disorders of Henle's loop and proximal or distal nephron function, etc.)
• 7533 Cystic diseases of the kidneys
• 7534 Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified)
• 7535 Toxic nephropathy (antibotics, radiocontrast agents, nonsteroidal anti-inflammatory agents, heavy metals, and similar agents)
• 7536 Glomerulonephritis
• 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism
• 7538 Papillary necrosis
• 7539 Renal amyloid disease
• 7540 Disseminated intravascular coagulation with renal cortical necrosis
• 7541 Renal involvement in diabetes mellitus type I or II
• 7542 Neurogenic bladder
• 7543 Varicocele/Hydrocele
• 7544 Renal disease caused by viral infection such as human immunodeficiency virus (HIV), Hepatitis B, and Hepatitis C
• 7545 Bladder, diverticulum of

Gynecological conditions and disorders of the breast §4.116 · 20 codes

• 7610 Vulva or clitoris, disease or injury of (including vulvovaginitis)
• 7611 Vagina, disease or injury of.
• 7612 Cervix, disease or injury of.
• 7613 Uterus, disease, injury, or adhesions of.
• 7614 Fallopian tube, disease, injury, or adhesions of (including pelvic inflammatory disease (PID)).
• 7615 Ovary, disease, injury, or adhesions of.
• 7617 Uterus and both ovaries, removal of, complete
• 7618 Uterus, removal of, including corpus
• 7619 Ovary, removal of
• 7620 Ovaries, atrophy of both, complete
• 7621 Complete or incomplete pelvic organ prolapse due to injury, disease, or surgical complications of pregnancy
• 7624 Fistula, rectovaginal
• 7625 Fistula, urethrovaginal
• 7626 Breast, surgery of
• 7627 Malignant neoplasms of gynecological system
• 7628 Benign neoplasms of gynecological system.
• 7629 Endometriosis
• 7630 Malignant neoplasms of the breast
• 7631 Benign neoplasms of the breast and other injuries of the breast.
• 7632 Female sexual arousal disorder (FSAD)

Hemic and lymphatic systems §4.117 · 21 codes

• 7702 Agranulocytosis, acquired
• 7703 Leukemia (except for chronic myelogenous leukemia)
• 7704 Polycythemia vera
• 7705 Immune thrombocytopenia
• 7706 Splenectomy
• 7707 Spleen, injury of, healed.
• 7709 Hodgkin's lymphoma
• 7710 Adenitis, tuberculous, active or inactive
• 7712 Multiple myeloma
• 7714 Sickle cell anemia
• 7715 Non-Hodgkin's lymphoma
• 7716 Aplastic anemia
• 7717 AL amyloidosis (primary amyloidosis)
• 7718 Essential thrombocythemia and primary myelofibrosis
• 7719 Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia)
• 7720 Iron deficiency anemia
• 7721 Folic acid deficiency
• 7722 Pernicious anemia and Vitamin B12 deficiency anemia
• 7723 Acquired hemolytic anemia
• 7724 Solitary plasmacytoma
• 7725 Myelodysplastic syndromes

Skin §4.118 · 30 codes

• 7800 Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck
• 7801 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck, that are associated with underlying soft tissue damage
• 7802 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck, that are not associated with underlying soft tissue damage
• 7804 Scar(s), unstable or painful
• 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804
• 7806 Dermatitis or eczema.
• 7807 American (New World) leishmaniasis (mucocutaneous, espundia)
• 7808 Old World leishmaniasis (cutaneous, Oriental sore)
• 7809 Discoid lupus erythematosus.
• 7811 Tuberculosis luposa (lupus vulgaris), active or inactive
• 7813 Dermatophytosis (ringworm: Of body, tinea corporis; of head, tinea capitis; of feet, tinea pedis; of beard area, tinea barbae; of nails, tinea unguium (onychomycosis); of inguinal area (jock itch), tinea cruris; tinea versicolor).
• 7815 Bullous disorders (including pemphigus vulgaris, pemphigus foliaceous, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda).
• 7816 Psoriasis.
• 7817 Erythroderma
• 7818 Malignant skin neoplasms (other than malignant melanoma)
• 7819 Benign skin neoplasms
• 7820 Infections of the skin not listed elsewhere (including bacterial, fungal, viral, treponemal, and parasitic diseases).
• 7821 Cutaneous manifestations of collagen-vascular diseases not listed elsewhere (including scleroderma, calcinosis cutis, subacute cutaneous lupus erythematosus, and dermatomyositis).
• 7822 Papulosquamous disorders not listed elsewhere (including lichen planus, large or small plaque parapsoriasis, pityriasis lichenoides et varioliformis acuta (PLEVA), lymphomatoid papulosus, mycosis fungoides, and pityriasis rubra pilaris (PRP)).
• 7823 Vitiligo
• 7824 Diseases of keratinization (including icthyoses, Darier's disease, and palmoplantar keratoderma).
• 7825 Chronic urticaria
• 7826 Vasculitis, primary cutaneous
• 7827 Erythema multiforme; Toxic epidermal necrolysis
• 7828 Acne
• 7829 Chloracne
• 7830 Scarring alopecia
• 7831 Alopecia areata
• 7832 Hyperhidrosis
• 7833 Malignant melanoma

Endocrine system §4.119 · 19 codes

• 7900 Hyperthyroidism, including, but not limited to, Graves' disease
• 7901 Thyroid enlargement, toxic
• 7902 Thyroid enlargement, nontoxic
• 7903 Hypothyroidism
• 7904 Hyperparathyroidism
• 7905 Hypoparathyroidism
• 7906 Thyroiditis
• 7907 Cushing's syndrome
• 7908 Acromegaly
• 7909 Diabetes insipidus
• 7911 Addison's disease (adrenocortical insufficiency)
• 7912 Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome)
• 7913 Diabetes mellitus
• 7914 Neoplasm, malignant, any specified part of the endocrine system
• 7915 Neoplasm, benign, any specified part of the endocrine system
• 7916 Hyperpituitarism (prolactin secreting pituitary dysfunction)
• 7917 Hyperaldosteronism (benign or malignant)
• 7918 Pheochromocytoma (benign or malignant)
• 7919 C-cell hyperplasia of the thyroid

Neurological conditions and convulsive disorders §4.124a · 119 codes

• 8000 Encephalitis, epidemic, chronic
• 8002 Brain, new growth of: Malignant
• 8003 Brain, new growth of: Benign, minimum
• 8004 Paralysis agitans
• 8005 Bulbar palsy
• 8007 Brain, vessels, embolism of.
• 8008 Brain, vessels, thrombosis of.
• 8009 Brain, vessels, hemorrhage from
• 8010 Myelitis
• 8011 Poliomyelitis, anterior
• 8012 Hematomyelia
• 8013 Syphilis, cerebrospinal.
• 8014 Syphilis, meningovascular.
• 8015 Tabes dorsalis.
• 8017 Amyotrophic lateral sclerosis
• 8018 Multiple sclerosis
• 8019 Meningitis, cerebrospinal, epidemic
• 8020 Brain, abscess of
• 8021 Spinal cord, new growths of: Malignant
• 8022 Spinal cord, new growths of: Benign, minimum rating
• 8023 Progressive muscular atrophy
• 8024 Syringomyelia
• 8025 Myasthenia gravis
• 8045 Residuals of traumatic brain injury (TBI)
• 8046 Cerebral arteriosclerosis
• 8100 Migraine
• 8103 Tic, convulsive
• 8104 Paramyoclonus multiplex (convulsive state, myoclonic type)
• 8105 Chorea, Sydenham's
• 8106 Chorea, Huntington's.
• 8107 Athetosis, acquired.
• 8108 Narcolepsy.
• 8205 Fifth (trigeminal) cranial nerve, paralysis
• 8207 Seventh (facial) cranial nerve, paralysis
• 8209 Ninth (glossopharyngeal) cranial nerve, paralysis
• 8210 Tenth (pneumogastric, vagus) cranial nerve, paralysis
• 8211 Eleventh (spinal accessory, external branch) cranial nerve, paralysis
• 8212 Twelfth (hypoglossal) cranial nerve, paralysis
• 8305 Fifth (trigeminal) cranial nerve, neuritis
• 8307 Seventh (facial) cranial nerve, neuritis
• 8309 Ninth (glossopharyngeal) cranial nerve, neuritis
• 8310 Tenth (pneumogastric, vagus) cranial nerve, neuritis
• 8311 Eleventh (spinal accessory, external branch) cranial nerve, neuritis
• 8312 Twelfth (hypoglossal) cranial nerve, neuritis
• 8405 Fifth (trigeminal) cranial nerve, neuralgia
• 8407 Seventh (facial) cranial nerve, neuralgia
• 8409 Ninth (glossopharyngeal) cranial nerve, neuralgia
• 8410 Tenth (pneumogastric, vagus) cranial nerve, neuralgia
• 8411 Eleventh (spinal accessory, external branch) cranial nerve, neuralgia
• 8412 Twelfth (hypoglossal) cranial nerve, neuralgia
• 8510 Upper radicular group (fifth and sixth cervicals), paralysis
• 8511 Middle radicular group, paralysis
• 8512 Lower radicular group, paralysis
• 8513 All radicular groups, paralysis
• 8514 The musculospiral nerve (radial nerve), paralysis
• 8515 The median nerve, paralysis
• 8516 The ulnar nerve, paralysis
• 8517 Musculocutaneous nerve, paralysis
• 8518 Circumflex nerve, paralysis
• 8519 Long thoracic nerve, paralysis
• 8520 Sciatic nerve, paralysis
• 8521 External popliteal nerve (common peroneal), paralysis
• 8522 Musculocutaneous nerve (superficial peroneal), paralysis
• 8523 Anterior tibial nerve (deep peroneal), paralysis
• 8524 Internal popliteal nerve (tibial), paralysis
• 8525 Posterior tibial nerve, paralysis
• 8526 Anterior crural nerve (femoral), paralysis
• 8527 Internal saphenous nerve, paralysis
• 8528 Obturator nerve, paralysis
• 8529 External cutaneous nerve of thigh, paralysis
• 8530 Ilio-inguinal nerve, paralysis
• 8540 Soft-tissue sarcoma (of neurogenic origin)
• 8610 Upper radicular group (fifth and sixth cervicals), neuritis
• 8611 Middle radicular group, neuritis
• 8612 Lower radicular group, neuritis
• 8613 All radicular groups, neuritis
• 8614 The musculospiral nerve (radial nerve), neuritis
• 8615 The median nerve, neuritis
• 8616 The ulnar nerve, neuritis
• 8617 Musculocutaneous nerve, neuritis
• 8618 Circumflex nerve, neuritis
• 8619 Long thoracic nerve, neuritis
• 8620 Sciatic nerve, neuritis
• 8621 External popliteal nerve (common peroneal), neuritis
• 8622 Musculocutaneous nerve (superficial peroneal), neuritis
• 8623 Anterior tibial nerve (deep peroneal), neuritis
• 8624 Internal popliteal nerve (tibial), neuritis
• 8625 Posterior tibial nerve, neuritis
• 8626 Anterior crural nerve (femoral), neuritis
• 8627 Internal saphenous nerve, neuritis
• 8628 Obturator nerve, neuritis
• 8629 External cutaneous nerve of thigh, neuritis
• 8630 Ilio-inguinal nerve, neuritis
• 8710 Upper radicular group (fifth and sixth cervicals), neuralgia
• 8711 Middle radicular group, neuralgia
• 8712 Lower radicular group, neuralgia
• 8713 All radicular groups, neuralgia
• 8714 The musculospiral nerve (radial nerve), neuralgia
• 8715 The median nerve, neuralgia
• 8716 The ulnar nerve, neuralgia
• 8717 Musculocutaneous nerve, neuralgia
• 8718 Circumflex nerve, neuralgia
• 8719 Long thoracic nerve, neuralgia
• 8720 Sciatic nerve, neuralgia
• 8721 External popliteal nerve (common peroneal), neuralgia
• 8722 Musculocutaneous nerve (superficial peroneal), neuralgia
• 8723 Anterior tibial nerve (deep peroneal), neuralgia
• 8724 Internal popliteal nerve (tibial), neuralgia
• 8725 Posterior tibial nerve, neuralgia
• 8726 Anterior crural nerve (femoral), neuralgia
• 8727 Internal saphenous nerve, neuralgia
• 8728 Obturator nerve, neuralgia
• 8729 External cutaneous nerve of thigh, neuralgia
• 8730 Ilio-inguinal nerve, neuralgia
• 8910 Epilepsy, grand mal.
• 8911 Epilepsy, petit mal.
• 8912 Epilepsy, Jacksonian and focal motor or sensory.
• 8913 Epilepsy, diencephalic.
• 8914 Epilepsy, psychomotor.

Mental disorders §4.130 · 33 codes

• 9201 Schizophrenia
• 9208 Delusional disorder
• 9210 Other specified and unspecified schizophrenia spectrum and other psychotic disorders
• 9211 Schizoaffective disorder
• 9300 Delirium
• 9301 Major or mild neurocognitive disorder due to HIV or other infections
• 9304 Major or mild neurocognitive disorder due to traumatic brain injury
• 9305 Major or mild vascular neurocognitive disorder
• 9310 Unspecified neurocognitive disorder
• 9312 Major or mild neurocognitive disorder due to Alzheimer's disease
• 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder
• 9400 Generalized anxiety disorder
• 9403 Specific phobia; social anxiety disorder (social phobia)
• 9404 Obsessive compulsive disorder
• 9410 Other specified anxiety disorder
• 9411 Posttraumatic stress disorder
• 9412 Panic disorder and/or agoraphobia
• 9413 Unspecified anxiety disorder
• 9416 Dissociative amnesia; dissociative identity disorder
• 9417 Depersonalization/Derealization disorder
• 9421 Somatic symptom disorder
• 9422 Other specified somatic symptom and related disorder
• 9423 Unspecified somatic symptom and related disorder
• 9424 Conversion disorder (functional neurological symptom disorder)
• 9425 Illness anxiety disorder
• 9431 Cyclothymic disorder
• 9432 Bipolar disorder
• 9433 Persistent depressive disorder (dysthymia)
• 9434 Major depressive disorder
• 9435 Unspecified depressive disorder
• 9440 Chronic adjustment disorder
• 9520 Anorexia nervosa
• 9521 Bulimia nervosa

Dental and oral conditions §4.150 · 15 codes

• 9900 Maxilla or mandible, chronic osteomyelitis, osteonecrosis or osteoradionecrosis of
• 9901 Mandible, loss of, complete, between angles
• 9902 Mandible, loss of, including ramus, unilaterally or bilaterally
• 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies
• 9904 Mandible, malunion of
• 9905 Temporomandibular disorder (TMD)
• 9908 Condyloid process, loss of, one or both sides
• 9909 Coronoid process, loss of
• 9911 Hard palate, loss of
• 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity
• 9914 Maxilla, loss of more than half
• 9915 Maxilla, loss of half or less
• 9916 Maxilla, malunion or nonunion of
• 9917 Neoplasm, hard and soft tissue, benign
• 9918 Neoplasm, hard and soft tissue, malignant

Rating schedule amendments since 2016-12-14 eCFR versioner · word-level diff

Every recorded amendment to a Part 4 section, newest first, with the diagnostic codes near the changed passage. The date links to the text as amended; the version in force on a claim’s filing or decision date can govern it.