allan

August 30, 2010

On Fed Register Tuesday, Aug 31^st

http://www.access.gpo.gov/su_docs/aces/fr-cont.html

-----Original Message-----

From: VA Media Relations [mailto:va.media.relations@VA.GOV]

Sent: Monday, August 30, 2010 10:28 AM

To: colonel-dan@sbcglobal.net

Subject: VA Publishes Final Regulation to Aid Veterans Exposed to Agent Orange

VA Publishes Final Regulation to Aid Veterans Exposed to Agent Orange

VA Health Care and Benefits Provided for Many Vietnam Veterans

WASHINGTON (August 30, 2010)- Veterans exposed to herbicides while

serving in Vietnam and other areas will have an easier path to access

quality health care and qualify for disability compensation under a

final regulation that will be published on August 31, 2010 in the

Federal Register by the Department of Veterans Affairs (VA). The new

rule expands the list of health problems VA will presume to be related

to Agent Orange and other herbicide exposures to add two new conditions

and expand one existing category of conditions.

"Last October, based on the requirements of the Agent Orange Act of

1991 and the Institute of Medicine's 2008 Update on Agent Orange, I

determined that the evidence provided was sufficient to award

presumptions of service connection for these three additional diseases,"

said Secretary of Veterans Affairs Eric K. Shinseki. "It was the right

decision, and the President and I are proud to finally provide this

group of Veterans the care and benefits they have long deserved."

The final regulation follows Shinseki's determination to expand the list

of conditions for which service connection for Vietnam Veterans is

presumed. VA is adding Parkinson's disease and ischemic heart disease

and expanding chronic lymphocytic leukemia to include all chronic B cell

leukemias, such as hairy cell leukemia.

In practical terms, Veterans who served in Vietnam during the war and

who have a "presumed" illness don't have to prove an association between

their medical problems and their military service. By helping Veterans

overcome evidentiary requirements that might otherwise present

significant challenges, this "presumption" simplifies and speeds up the

application process and ensure that Veterans receive the benefits they

deserve.

The Secretary's decision to add these presumptives is based on the

latest evidence provided in a 2008 independent study by the Institute of

Medicine concerning health problems caused by herbicides like Agent

Orange.

Veterans who served in Vietnam anytime during the period beginning

January 9, 1962, and ending on May 7, 1975, are presumed to have been

exposed to herbicides.

More than 150,000 Veterans are expected to submit Agent Orange claims in

the next 12 to 18 months, many of whom are potentially eligible for

retroactive disability payments based on past claims. Additionally, VA

will review approximately 90,000 previously denied claims by Vietnam

Veterans for service connection for these conditions. All those awarded

service-connection who are not currently eligible for enrollment into

the VA healthcare system will become eligible.

This historic regulation is subject to provisions of the Congressional

Review Act that require a 60-day Congressional review period before

implementation. After the review period, VA can begin paying benefits

for new claims and may award benefits retroactively for earlier periods.

For new claims, VA may pay benefits retroactive to the effective date of

the regulation or to one year before the date VA receives the

application, whichever is later. For pending claims and claims that

were previously denied, VA may pay benefits retroactive to the date it

received the claim.

VA encourages Vietnam Veterans with these three diseases to submit their

applications for access to VA health care and compensation now so the

agency can begin development of their claims.

Individuals can go to a website at

http://www.vba.va.gov/bln/21/AO/claimherbicide.htm

<http://www.vba.va.gov/bln/21/AO/claimherbicide.htm> to get an

understanding of how to file a claim for presumptive conditions related

to herbicide exposure, as well as what evidence is needed by VA to make

a decision about disability compensation or survivors benefits.

Additional information about Agent Orange and VA's services for Veterans

exposed to the chemical is available at

www.publichealth.va.gov/exposures/agentorange

<http://www.publichealth.va.gov/exposures/agentorange/> .

The regulation is available on the Office of the Federal Register

website at http://www.ofr.gov/ <http://www.ofr.gov/> .

"Keep on, Keepin' on"

Dan Cedusky, Champaign IL "Colonel Dan"

See my web site at:

http://www.angelfire.com/il2/VeteranIssues/

August 30, 2010

Review Examination for Post-Traumatic Stress Disorder

Name: SSN:Date of Exam: C-number:Place of Exam:

The following health care providers can perform review examinations for PTSD.
a board-certified psychiatrist or board "eligible" psychiatrist;
a licensed doctorate-level psychologist;
a doctorate-level mental health provider under close supervision of a board-certified or board eligible psychiatrist or licensed doctorate-level psychologist;
a psychiatry resident under close supervision of a board-certified or board eligible psychiatrist or licensed doctorate-level psychologist;
a clinical or counseling psychologist completing a one year internship or residency (for purposes of a doctorate-level degree) under close supervision of a board-certified or board eligible psychiatrist or licensed doctorate-level psychologist;
a licensed clinical social worker (LCSW), a nurse practitioner, a clinical nurse specialist, or a physician assistant, if they are clinically privileged to perform activities required for C&P mental disorder examinations, under close supervision of a board-certified or board eligible psychiatrist or doctorate-level psychologist. .

A. Review of Medical Records.

B. Medical History since last exam: Comment on:Hospitalizations and outpatient care from the time between last rating examination to the present, UNLESS the purpose of this examination is to ESTABLISH service connection, then the complete medical history since discharge from military service is required.significant medical disorders (resulting pain or disability; current medications) frequency, severity and duration of psychiatric symptoms.length of remissions from psychiatric symptoms, to include capacity for adjustment during periods of remissions.treatments including statement on effectiveness and side effects experienced.subjective Complaints: describe fully. C. Psychosocial Adjustment since the last exam legal history (DWIs, arrests, time spent in jail)educational accomplishmentsextent of time lost from work over the past 12 month period and social impairment. If employed, identify current occupation and length of time at this job. If unemployed, note in complaints whether veteran contends it is due to the effects of a mental disorder. Further indicate following DIAGNOSIS what factors, and objective findings support or rebut that contention.marital and family relationships (including quality of relationships with spouse and children)degree and quality of social relationshipsactivities and leisure pursuitssubstance use and consequences of substance use history of violence / assaultivenesshistory of suicide attemptssummary statement of current psychosocial functional status (performance in employment or schooling, routine responsibilities of self care, family role functioning, physical health, social/interpersonal relationships, recreation/leisure pursuits)D. Mental Status Examination Conduct a brief mental status examination aimed at screening for DSM-IV mental disorders. Describe and fully explain the existence, frequency and extent of the following signs and symptoms, or any others present, and relate how they interfere with employment and social functioning:Impairment of thought process or communication.Delusions, hallucinations and their persistence.Eye contact, interaction in session, and inappropriate behavior cited with examples.Suicidal or homicidal thoughts, ideations or plans or intent.Ability to maintain minimal personal hygiene and other basic activities of daily living.Orientation to person, place and time.Memory loss, or impairment (both short and long-term).Obsessive or ritualistic behavior which interferes with routine activities and describe any found.Rate and flow of speech (note any irrelevant, illogical, or obscure speech patterns and whether constant or intermittent.)Panic attacks noting the severity, duration, frequency and effect on independent functioning and whether clinically observed or good evidence of prior clinical or equivalent observation is shown.Depression, depressed mood or anxiety.Impaired impulse control and its effect on motivation or mood.Sleep impairment and describe extent it interferes with daytime activities.Other disorders or symptoms and the extent they interfere with activitiesE. Assessment of PTSD identify behavioral, cognitive, social, affective, or somatic symptoms veteran attributes to PTSD describe specific PTSD symptoms present (symptoms of trauma re-experiencing, avoidance/numbing, heightened physiological arousal, and associated features ) specify typical frequency and severity of symptoms F. Psychometric Testing Results provide psychological testing if deemed necessaryprovide specific evaluation information required by the rating board or on a BVA Remand. comment on validity of psychological test resultsprovide scores for PTSD psychometric assessments administeredstate whether PTSD psychometric measures are consistent or inconsistent with a diagnosis of PTSD, based on normative data and established "cutting scores" (cutting scores that are consistent with or supportive of a PTSD diagnosis are as follows: PCL - not less than 50; Mississippi Scale not less than 107; MMPI PTSD subscale a score > 28; MMPI code type: 2-8 or 2-7-8)state degree of severity of PTSD symptoms based on psychometric data (mild, moderate, or severe)describe findings from psychological tests measuring problems other than PTSD (MMPI, etc.) G. Diagnosis: The Diagnosis must conform to DSM-IV and be supported by the findings on the examination report.If there are multiple mental disorders discuss the relationship with PTSD. The evaluation is based on the effects of the signs and symptoms on occupational and social functioning. NOTE: VA is prohibited by statute, 38 U.S.C. 1110, from paying compensation for a disability that is a result of the veteran's own ALCOHOL OR DRUG ABUSE. However, when a veteran's alcohol or drug abuse disability is secondary to or is caused or aggravated by a primary service-connected disorder, the veteran may be entitled to compensation. See Allen v. Principi, 237 F.3d 1368, 1381 (Fed. Cir. 2001). (If you do not have Microsoft Word software installed, you may download free viewer and reader software to view the case.) Therefore, it is important to determine the relationship, if any, between a service-connected disorder and a disability resulting from the veteran's alcohol or drug abuse. Unless alcohol or drug abuse is secondary to or is caused or aggravated by another mental disorder, you should separate, to the extent possible, the effects of the alcohol or drug abuse from the effects of the other mental disorder(s). If it is not possible to separate the effects in such cases, please explain why. H. Diagnostic Status Axis I disordersAxis II disordersAxis III disordersAxis IV (psychosocial and environmental problems)Axis V (GAF score: current) I. Global Assessment of Functioning (GAF): NOTE: The complete multi-axial format as specified by DSM-IV may be required by BVA REMAND or specifically requested by the rating specialist. If so, include the GAF score and note whether it refers to current functioning. A BVA REMAND may also request, in addition to an overall GAF score, that a separate GAF score be provided for each mental disorder present when there are multiple Axis I or Axis II diagnoses and not all are service- connected. If separate GAF scores can be given, an explanation and discussion of the rationale is needed. If it is not possible, an explanation as to why not is needed. (See the above note pertaining to alcohol or drug abuse.) J. Capacity to Manage Financial Affairs: Mental competency, for VA benefits purposes, refers only to the ability of the veteran to manage VA benefit payments in his or her own best interest, and not to any other subject. Mental incompetency, for VA benefits purposes, means that the veteran, because of injury or disease, is not capable of managing benefit payments in his or her best interest. In order to assist raters in making a legal determination as to competency, please address the following: What is the impact of injury or disease on the veteran's ability to manage his or her financial affairs, including consideration of such things as knowing the amount of his or her VA benefit payment, knowing the amounts and types of bills owed monthly, and handling the payment prudently? Does the veteran handle the money and pay the bills himself or herself?

Based on your examination, do you believe that the veteran is capable of managing his or her financial affairs? Please provide examples to support your conclusion.

If you believe a Social Work Service assessment is needed before you can give your opinion on the veteran's ability to manage his or her financial affairs, please explain why.

K. Other Opinion: Furnish any other specific opinion requested by the rating board or BVA remand (i.e., furnish the complete rationale and citation of medical texts or treatise supporting opinion, if medical literature review was undertaken). If the requested opinion is medically not ascertainable on exam or testing please state why. If the requested opinion can not be expressed without resorting to speculation or making improbable assumptions say so, and explain why. If the opinion asks " ... is it at least as likely as not ... ", fully explain the clinical findings and rationale for the opinion.

L. Integrated Summary and Conclusions Describe changes in psychosocial functional status and quality of life since the last exam (performance in employment or schooling, routine responsibilities of self care, family role functioning, physical health, social/interpersonal relationships, recreation/leisure pursuits). Describe linkage between PTSD symptoms and aforementioned changes in impairment in functional status and quality of life. Particularly in cases where a veteran is unemployed, specific details about the effects of PTSD and its symptoms on employment are especially important.If possible, describe extent to which disorders other than PTSD (e.g., substance use disorders) are independently responsible for impairment in psychosocial adjustment and quality of life. If this is not possible, explain why (e.g., substance use had onset after PTSD and clearly is a means of coping with PTSD symptoms).If possible, state prognosis for improvement of psychiatric condition and impairments in functional status.Comment on whether veteran is capable of managing his or her financial affairs.
M. Effects of PTSD on Occupational and Social Functioning Evaluation of PTSD is based on its effects on occupational and social functioning. Select the appropriate assessment of the veteran from the choices below:

Total occupational and social impairment due to PTSD signs and symptoms.

Provide examples and pertinent symptoms, including those already reported. ORPTSD signs and symptoms result in deficiencies in most of the following areas: work, school, family relations, judgment, thinking, and mood.

Provide examples and pertinent symptoms, including those already reported for each affected area. ORThere is reduced reliability and productivity due to PTSD signs and symptoms.

Provide examples and pertinent symptoms, including those already reported. ORThere is occasional decrease in work efficiency or there are intermittent periods of inability to perform occupational tasks due to signs and symptoms, but generally satisfactory functioning (routine behavior, self-care, and conversation normal).

Provide examples and pertinent symptoms, including those already reported. ORThere are PTSD signs and symptoms that are transient or mild and decrease work efficiency and ability to perform occupational tasks only during periods of significant stress.

Provide examples and pertinent symptoms, including those already reported. ORPTSD symptoms require continuous medication ORSelect all that apply:PTSD symptoms are not severe enough to require continuous medication.PTSD symptoms are not severe enough to interfere with occupational and social functioning.

Include your name; your credentials, i.e., a board certified psychiatrist, a licensed psychologist, a psychiatry resident or a psychology intern, LCSW, or NP and circumstances under which you performed the examination, if applicable, i.e., under the close supervision of an attending psychiatrist or psychologist; include name of supervising psychiatrist or psychologist.

Signiture..................................................................Date.........................................

Link to VA Examination Worksheet for PTSD: http://www.vba.va.go...ms/disexm56.htm

Link to VA Examination Worksheet for Mental Disorders (Except initial PTSD and Eating Disorders) http://www.vba.va.go...ms/disexm37.htm

August 30, 2010

I was able to get the generic brand for a while John.

But over the last few months i've only been able to get the brand name costing around $250 for a months supply of long acting.

Have you tried to get the short acting Oxycodone 5 MG through the VA? I am able to recieve this since it's on their formulary. They supply it for breakthrough pain, but supplied more when they cut off the prescription for the long acting.

I was lucky enough to find a general practice MD that does prescribe pain medications, so I didn't have to go to a pain clinic. Mine is a very good and careful Dr of who he prescribes pain meds to. I don't believe he would prescribe them to anyone with any sign or history of drug abuse. I was so very greatful to find a Dr like this man. He's a very sharp, therough and caring Dr.

August 27, 2010

First I would get the statement from your mental health Dr stating that your meds are the cause of it and you take your meds for the service connected PTSD. Make sure he includes the med you take and the dosage.

If you have an NSO, have them write it up for you.

If you don't have one, use form: 21-4138 to ask service connection for the ED following the guidelines on how to file a claim on hadit.com's home page.

James stated the other day that ED is awarded as special monthly comp(SMC) at around $80 pr month.

August 27, 2010

I remember when I worked for the State agency that my checks were constantly late a week over a few months. They kept using the excuse that it was computer error. After a class action suit by state employees, it was proven the state was doing it to get a interest on the payroll funding.

They quit doing that, but started paying comp time for all overtime to make up for it. Than they would refuse to let you take the comp time.

August 27, 2010

I would like to add that I requested my medical & service records from the VARO for over 25 years and never so much recieved a reply of any kind. It wasn't until I went through St Louis that I recieved what little was left of my records. For some reason the VARO got ahold of all my records right out of service in 1971. All requests for copies of service records & C-file from my service officers and myself were completely ignored.

After I requested copies through St louis again in 1997, I recieved about a yrs worth out of 4 from the RO that held my records all those yrs.

My advice to everyone is get them from ST. Louis before the VARO gets their hands on them.

August 27, 2010

Hospital records are kept for 10 yrs at the most.

You can try to call the records dept of that facility, but they either went with all your records or were shredded like mine.

To save time I would request these and all other service medical records from St Louis archives.

It will add another 6 weeks going through the VARO to request records from St Louis archives, than for St Louis archives to reply back to the VARO.

Once the VARO gets their hands on the records, it just gives it another opertunity for needed primary evidence to go missing. It won't hurt to try both, but St Louis archives is the fastest means of getting them.

It takes two weeks just for your request to go through the VARO mail room.

Medical and other service records may be requested by their form, electronically and through a fax using this online link.............

National Archives and Records Administration

http://www.archives.gov/index.html

August 26, 2010

TBird,

last night i had to log back in everytime I made a reply or post. Also I am still not recieving replies to posts through email.

Just thought I would let you know in case no one else has reported it or had difficulty with it.

Allan

August 26, 2010

Glad to see it.

Sometimes we just need to be persistant and call them on it. You may have also helped many vets coming behind you.

Good for you for making the effort.

Allan

August 26, 2010

Thanks for pointing out the error James.

And thanks TBird for adding the link to a corrected site.

This diagnostic code has been in my computer file for a good many yrs. Guess it just got outdated.

Allan

August 26, 2010

DIAGNOSTIC CODE MESSAGE Current Schedule of Rating Disabilities can be located here http://goo.gl/FDaI

CODE

5000 OSTEOMYELITIS

5001 BONE DISEASE

5002 RHEUMATOID ARTHRITIS

5003 DEGENERATIVE ARTHRITIS

5004 ARTHRITIS

5005 ARTHRITIS

5006 ARTHRITIS

5007 ARTHRITIS

5008 ARTHRITIS

5009 ARTHRITIS

5010 TRAUMATIC ARTHRITIS

5011 CAISSON DISEASE OF BONES

5012 MALIGNANT NEW GROWTH OF BONES

5013 OSTEOPOROSIS

5014 OSTEOMALACIA

5015 BENIGN GROWTH OF THE BONES

5016 BONE DEFORMITY

5017 GOUT

5018 HYDRARTHROSIS

5019 BURSITIS

5020 SYNOVITIS

5021 MUSCLE INFLAMMATION

5022 BONE INFLAMMATION

5023 MUSCLE INFLAMMATION WITH BONE DEPOSIT

5024 TENDON INFLAMMATION

5025 FIBROMYALGIA

5051 SHOULDER PROSTHESIS

5052 ELBOW PROSTHESIS

5053 WRIST PROSTHESIS

5054 HIP PROSTHESIS

5055 KNEE PROSTHESIS

5056 ANKLE PROSTHESIS

5099 BONE CONDITION

5100 LOSS OF HANDS AND FEET

5101 LOSS OF USE OF HANDS AND FEET

5102 LOSS OF BOTH HANDS AND ONE FOOT

5103 LOSS OF BOTH FEET AND ONE HAND

5104 LOSS OF ONE HAND AND USE OF ONE FOOT

5105 LOSS OF ONE FOOT AND USE OF ONE HAND

5106 LOSS OF HANDS

5107 LOSS OF FEET

5108 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 LOSS OF ARM

5121 LOSS OF ARM

5122 LOSS OF ARM

5123 LOSS OF FOREARM

5124 LOSS OF FOREARM

5125 LOSS OF USE OF HAND

5126 LOSS OF THUMB AND FOUR FINGERS

5127 LOSS OF THUMB AND THREE FINGERS

5128 LOSS OF THUMB AND THREE FINGERS

5129 LOSS OF THUMB AND THREE FINGERS

5130 LOSS OF THUMB AND THREE FINGERS

5131 LOSS OF FOUR FINGERS

5132 LOSS OF THUMB AND TWO FINGERS

5133 LOSS OF THUMB AND TWO FINGERS

5134 LOSS OF THUMB AND TWO FINGERS

5135 LOSS OF THUMB AND TWO FINGERS

5136 LOSS OF THUMB AND TWO FINGERS

5137 LOSS OF THUMB AND TWO FINGERS

5138 LOSS OF THREE FINGERS

5139 LOSS OF THREE FINGERS

5140 LOSS OF THREE FINGERS

5141 LOSS OF THREE FINGERS

5142 LOSS OF THUMB AND FINGER

5143 LOSS OF THUMB AND FINGER

5144 LOSS OF THUMB AND FINGER

5145 LOSS OF THUMB AND FINGER

5146 LOSS OF TWO FINGERS

5147 LOSS OF INDEX AND RING FINGERS

5148 LOSS OF INDEX AND LITTLE FINGERS

5149 LOSS OF MIDDLE AND RING FINGERS

5150 LOSS OF MIDDLE AND LITTLE FINGERS

5151 LOSS OF RING AND LITTLE FINGERS

5152 LOSS OF THUMB

5153 LOSS OF INDEX FINGER

5154 LOSS OF MIDDLE FINGER

5155 LOSS OF RING FINGER

5156 LOSS OF LITTLE FINGER

5160 LOSS OF LEG

5161 LOSS OF LEG, UPPER

5162 LOSS OF LEG, MIDDLE, LOWER

5163 LOSS OF LOWER LEG

5164 LOSS OF LOWER LEG

5165 LOSS OF LOWER LEG

5166 LOSS OF FOREFOOT

5167 LOSS OF USE OF FOOT

5170 LOSS OF ALL TOES

5171 LOSS OF GREAT TOE

5172 LOSS OF ONE TOE

5173 LOSS OF TOES

5174 HIP PROSTHESIS

5199 LOSS OR LOSS OF USE OF EXTREMITY

5200 SHOULDER JOINT CONDITION

5201 LIMITED MOTION OF ARM

5202 UPPER ARM CONDITION

5203 SHOULDER CONDITION

5205 IMMOBILITY OF ELBOW

5206 LIMITED FLEXION OF FOREARM

5207 LIMITED EXTENSION OF FOREARM

5208 LIMITED MOTION OF FOREARM

5209 ELBOW CONDITION

5210 FOREARM CONDITION

5211 FOREARM CONDITION

5212 FOREARM CONDITION

5213 LIMITED MOTION OF FOREARM

5214 LOSS OF WRIST MOTION

5215 LIMITED MOTION OF WRIST

5216 LOSS OF MOTION OF ALL FINGERS

5217 LOSS OF MOTION OF FOUR FINGERS

5218 LOSS OF MOTION OF THREE FINGERS

5219 LOSS OF MOTION OF TWO FINGERS

5220 LOSS OF MOTION OF ALL FINGERS

5221 LOSS OF MOTION OF FOUR FINGERS

5222 LOSS OF MOTION OF THREE FINGERS

5223 LOSS OF MOTION OF TWO FINGERS

5224 LOSS OF MOTION OF THUMB

5225 LOSS OF MOTION OF INDEX FINGER

5226 LOSS OF MOTION OF MIDDLE FINGER

5227 LOSS OF MOTION RING OR LITTLE FINGER

5250 LOSS OF HIP MOTION

5251 LIMITED EXTENSION OF THIGH

5252 LIMITED FLEXION OF THIGH

5253 THIGH CONDITION

5254 HIP CONDITION

5255 IMPAIRMENT OF FEMUR

5256 LOSS OF MOTION OF KNEE

5257 KNEE CONDITION

5258 KNEE CONDITION

5259 KNEE CONDITION

5260 LIMITED FLEXION OF KNEE

5261 LIMITED EXTENSION OF KNEE

5262 LOWER LEG CONDITION

5263 KNEE CONDITION

5264 PROSTHESIS FOR KNEE

5270 LOSS OF MOTION OF ANKLE

5271 LIMITED MOTION OF ANKLE

5272 LIMITED MOTION OF ANKLE

5273 MALUNION OF ANKLE

5274 ANKLE CONDITION

5275 SHORTENING OF BONE IN LOWER LEG

5276 FLAT FOOT CONDITION

5277 WEAK FOOT CONDITION

5278 CLAW FOOT

5279 FOOT PAIN

5280 FOOT CONDITION

5281 FOOT CONDITION

5282 HAMMER TOE

5283 IMPAIRMENT OF TOES

5284 RESIDUALS OF FOOT INJURY

5285 BACK CONDITION

5286 SPINE, COMPLETE BONY FIXATION

5287 LOSS OF MOTION IN CERVICAL SPINE

5288 LOSS OF MOTION IN DORSAL SPINE

5289 LOSS OF MOTION IN LUMBAR SPINE

5290 LIMITED MOTION IN CERVICAL SPINE

5291 LIMITED MOTION IN DORSAL SPINE

5292 LIMITED MOTION IN LUMBAR SPINE

5293 SPINAL DISC CONDITION

5294 SACRO-ILIAC CONDITION

5295 BACK STRAIN

5296 LOSS OF PART OF SKULL

5297 REMOVAL OF RIB(S)

5298 REMOVAL OF TAILBONE

5299 CONDITION OF THE SKELETAL SYSTEM

5301 SHOULDER MUSCLE INJURY

5302 SHOULDER MUSCLE INJURY

5303 SHOULDER MUSCLE INJURY

5304 SHOULDER MUSCLE INJURY

5305 MUSCLE INJURY

5306 MUSCLE INJURY

5307 FOREARM MUSCLE INJURY

5308 FOREARM MUSCLE INJURY

5309 HAND INJURY

5310 FOOT INJURY

5311 LOWER LEG MUSCLE INJURY

5312 THIGH MUSCLE INJURY

5313 THIGH MUSCLE INJURY

5314 THIGH MUSCLE INJURY

5315 THIGH MUSCLE INJURY

5316 HIP MUSCLE INJURY

5317 BUTTOCKS INJURY

5318 HIP MUSCLE INJURY

5319 ABDOMINAL MUSCLE DAMAGE

5320 BACK MUSCLE IMPAIRMENT

5321 CHEST MUSCLE IMPAIRMENT

5322 NECK INJURY

5323 NECK INJURY

5324 DIAPHRAGM INJURY

5325 FACIAL MUSCLE INJURY

5326 MUSCLE HERNIA

5327 MUSCLE PATHOLOGY

5328 BENIGN MUSCLE GROWTH

5329 SOFT-TISSUE SARCOMA

5399 MUSCLE CONDITION

6000 INFLAMMATION OF UVEA

6001 INFLAMMATION OF CORNEA

6002 INFLAMMATION OF SCLERA

6003 INFLAMMATION OF IRIS

6004 INFLAMMATION OF THE CILIARY BODY

6005 INFLAMMATION OF CHOROID

6006 INFLAMMATION OF RETINA

6007 HEMORRHAGE OF THE EYE

6008 DETACHED RETINA

6009 EYE INJURY (UNHEALED)

6010 TUBERCULOSIS OF THE EYE

6011 RETINA SCARS

6012 CONGESTIVE, INFLAMMATORY GLAUCOMA

6013 GLAUCOMA

6014 NEW EYE GROWTH

6015 BENIGN EYE GROWTH

6016 RAPID EYE MOVEMENT

6017 CONJUNCTIVITIS

6018 CONJUNCTIVITIS

6019 DROOPING EYELID

6020 EVERSION OF EYELID

6021 INVERSION OF EYELID

6022 INABILITY TO CLOSE EYELID

6023 LOSS OF EYEBROWS

6024 LOSS OF EYELASHES

6025 EXCESSIVE TEARING

6026 OPTIC NERVE INFLAMMATION

6027 TRAUMATIC CATARACT

6028 CATARACT

6029 ABSENCE OF EYE LENS

6030 PARALYSIS, FOCUSING ABILITY OF EYES

6031 INFLAMMATION OF TEAR DUCT

6032 LOSS OF PORTION OF EYELIDS

6033 DISLOCATION OF EYE LENS

6034 PTERYGIUM

6035 KERATOCONUS

6050 (COVERED BY SMC CODES)

6051 (COVERED BY SMC CODES)

6052 (COVERED BY SMC CODES)

6053 (COVERED BY SMC CODES)

6054 (COVERED BY SMC CODES)

6055 (COVERED BY SMC CODES)

6056 (COVERED BY SMC CODES)

6057 (COVERED BY SMC CODES)

6058 (COVERED BY SMC CODES)

6059 (COVERED BY SMC CODES)

6060 (COVERED BY SMC CODES)

6061 ANATOMICAL LOSS OF BOTH EYES

6062 BLINDNESS BOTH EYES

6063 LOSS OF EYE, BLIND IN OTHER

6064 LOSS OF EYE, IMPAIRED VISION IN OTHER

6065 LOSS OF EYE, IMPAIRED VISION IN OTHER

6066 LOSS OF EYE

6067 BLINDNESS, BILATERAL

6068 BLIND ONE EYE, IMPAIRED VISION OTHER

6069 BLIND ONE EYE, IMPAIRED VISION OTHER

6070 BLIND ONE EYE

6071 BLINDNESS BOTH EYES

6072 BLIND ONE EYE, IMPAIRED VISION OTHER

6073 BLIND ONE EYE, IMPAIRED VISION OTHER

6074 BLINDNESS

6075 IMPAIRED VISION, BOTH EYES

6076 IMPAIRED VISION, BOTH EYES

6077 IMPAIRED VISION

6078 IMPAIRED VISION, BOTH EYES

6079 IMPAIRED VISION

6080 LOSS OF FIELD OF VISION

6081 LOSS OF FIELD OF VISION

6090 DIPLOPIA

6091 EYELID CONDITION

6092 DIPLOPIA

6099 EYE CONDITION

6100 IMPAIRED HEARING

6101 IMPAIRED HEARING

6102 IMPAIRED HEARING

6103 IMPAIRED HEARING

6104 IMPAIRED HEARING

6105 IMPAIRED HEARING

6106 IMPAIRED HEARING

6107 IMPAIRED HEARING

6108 IMPAIRED HEARING

6109 IMPAIRED HEARING

6110 IMPAIRED HEARING

6199 EAR CONDITION

6200 EAR INFECTION

6201 EAR INFECTION

6202 OTOSCLEROSIS

6203 OTITIS

6204 LABYRINTHITIS

6205 MENIERE'S SYNDROME

6206 MASTOIDITIS

6207 LOSS, OR PARTIAL LOSS OF EAR(S)

6208 MALIGNANT GROWTH IN EAR(S)

6209 BENIGN GROWTH IN EAR(S)

6210 AUDITORY CANAL DISEASE

6211 PERFORATED EAR DRUM

6250 IMPAIRED HEARING

6251 IMPAIRED HEARING

6252 IMPAIRED HEARING

6253 IMPAIRED HEARING

6254 IMPAIRED HEARING

6255 IMPAIRED HEARING

6256 IMPAIRED HEARING

6257 IMPAIRED HEARING

6258 IMPAIRED HEARING

6260 TINNITUS

6261 EAR CONDITION

6262 EAR CONDITION

6263 EAR CONDITION

6275 LOSS OF SENSE OF SMELL

6276 LOSS OF SENSE OF TASTE

6277 IMPAIRED HEARING

6278 IMPAIRED HEARING

6279 IMPAIRED HEARING

6280 IMPAIRED HEARING

6281 IMPAIRED HEARING

6282 IMPAIRED HEARING

6283 IMPAIRED HEARING

6284 IMPAIRED HEARING

6285 IMPAIRED HEARING

6286 IMPAIRED HEARING

6287 IMPAIRED HEARING

6289 IMPAIRED HEARING

6290 IMPAIRED HEARING

6291 IMPAIRED HEARING

6292 IMPAIRED HEARING

6293 IMPAIRED HEARING

6294 IMPAIRED HEARING

6295 IMPAIRED HEARING

6296 IMPAIRED HEARING

6297 IMPAIRED HEARING

6299 EAR CONDITION

6300 CHOLERA

6301 VISCERAL LEISHMANIASIS

6302 LEPROSY

6304 MALARIA

6305 LYMPHATIC FILARIASIS

6306 OROYA FEVER

6307 PLAGUE

6308 RELAPSING FEVER

6309 RHEUMATIC FEVER

6310 INFECTIOUS CONDITION

6311 MILIARY TUBERCULOSIS

6313 VITAMIN DEFICIENCY

6314 BERIBERI

6315 PELLAGRA

6316 UNDULANT FEVER

6317 TYPHUS

6318 MELIOIDOSIS

6319 LYME DISEASE

6320 UNSPECIFIED PARASITIC DISEASE

6350 LUPUS

6351 HIV-RELATED ILLNESS

6352 AIDS RELATED COMPLEX

6353 BLOOD TEST POSITIVE FOR AIDS ANTIBODY

6354 CHRONIC FATIGUE SYNDROME

6399 SYSTEMIC CONDITION

6501 RHINITIS

6502 NOSE DEFLECTION

6504 RESIDUALS OF NOSE INJURY

6510 SINUSITIS

6511 SINUSITIS

6512 SINUSITIS

6513 SINUSITIS

6514 SINUSITIS

6515 TUBERCULOSIS LARYNGITIS

6516 CHRONIC LARYNGITIS

6517 RESIDUALS OF INJURED LARYNX

6518 REMOVAL OF LARYNX

6519 INABILITY TO SPEAK

6520 CONSTRICTION OF LARYNX

6521 INJURY TO PHARYNX

6522 NASAL SWELLING

6523 BACTERIAL INFECTION OF NARES

6524 NASAL GRANULOMAS

6599 UPPER RESPIRATORY CONDITION

6600 BRONCHITIS

6601 BRONCHIECTASIS

6602 ASTHMA

6603 PULMONARY EMPHYSEMA

6604 CHRONIC OBSTRUCTIVE PULMONARY DISEASE

6699 BRONCHIAL CONDITION

6701 ACTIVE PULMONARY TUBERCULOSIS

6702 ACTIVE PULMONARY TUBERCULOSIS

6703 ACTIVE PULMONARY TUBERCULOSIS

6704 ACTIVE PULMONARY TUBERCULOSIS

6705 LUNG CONDITION

6706 LUNG CONDITION

6707 ACTIVE PULMONARY TUBERCULOSIS

6708 ACTIVE PULMONARY TUBERCULOSIS

6709 ACTIVE PULMONARY TUBERCULOSIS

6710 ACTIVE PULMONARY TUBERCULOSIS

6711 LUNG CONDITION

6712 LUNG CONDITION

6713 LUNG CONDITION

6714 LUNG CONDITION

6721 INACTIVE PULMONARY TUBERCULOSIS

6722 INACTIVE PULMONARY TUBERCULOSIS

6723 INACTIVE PULMONARY TUBERCULOSIS

6724 INACTIVE PULMONARY TUBERCULOSIS

6725 INACTIVE PULMONARY TUBERCULOSIS

6726 INACTIVE PULMONARY TUBERCULOSIS

6727 INACTIVE PULMONARY TUBERCULOSIS

6728 INACTIVE PULMONARY TUBERCULOSIS

6730 ACTIVE PULMONARY TUBERCULOSIS

6731 INACTIVE PULMONARY TUBERCULOSIS

6732 PLEURISY

6799 LUNG CONDITION

6800 ANTHRACOSIS

6801 SILICOSIS

6802 PNEUMOCONIOSIS

6803 ACTINOMYCOSIS OF LUNG

6804 STREPTOTRICHOSIS OF LUNG

6805 BLASTOMYCOSIS OF LUNG

6806 SPOROTRICHOSIS OF LUNG

6807 ASPERGILLOSIS OF LUNG

6808 MYCOSIS OF LUNG

6809 ABSCESS OF LUNG

6810 PLEURISY

6811 PLEURISY

6812 FISTULA OF LUNG

6813 COLLAPSED LUNG

6814 SPONTANEOUS COLLAPSED LUNG

6815 REMOVAL OF LUNG

6816 PARTIAL REMOVAL OF LUNG

6817 PULMONARY VASCULAR DISEASE

6818 RESIDUALS OF LUNG INJURY

6819 NEW GROWTH OF THE LUNG

6820 BENIGN GROWTH OF THE LUNG

6821 INFECTION OF THE LUNG

6822 ACTINOMYCOSIS

6823 NOCARDIOSIS

6824 CHRONIC LUNG ABSCESS

6825 PNEUMONIA

6826 PNEUMONIA

6827 PNEUMONIA

6828 PNEUMONIA

6829 DRUG-INDUCED PNEUMONIA

6830 RADIATION-INDUCED PNEUMONIA

6831 PNEUMONIA

6832 PNEUMOCONIOSIS

6833 ASBESTOSIS

6834 HISTOPLASMOSIS OF LUNG

6835 COCCIDIOIDOMYCOSIS

6836 BLASTOMYCOSIS

6837 CRYPTOCOCCOSES

6838 ASPERGILLOSIS

6839 MUCORMYCOSIS

6840 DIAPHRAGM PARALYSIS

6841 RESTRICTIVE LUNG DISEASE

6842 RESTRICTIVE LUNG DISEASE

6843 CHEST WALL DEFECT

6844 RESIDUAL OF LUNG SURGERY

6845 RESTRICTIVE LUNG DISEASE

6846 SARCOIDOSIS

6847 SLEEP APNEA SYNDROMES

6899 LUNG CONDITION

7000 RHEUMATIC HEART DISEASE

7001 ENDOCARDITIS

7002 PERICARDITIS

7003 PERICARDIAL ADHESIONS

7004 SYPHILITIC HEART DISEASE

7005 ARTERIOSCLEROTIC HEART DISEASE

7006 MYOCARDIAL INFARCTION

7007 HYPERTENSIVE HEART DISEASE

7008 HYPERTHYROID HEART DISEASE

7010 SUPRAVENTRICULAR ARRHYTHMIAS

7011 VENTRICULAR ARRHYTHMIAS

7012 HEART CONDITION

7013 HEART CONDITION

7014 RAPID PULSE OF THE HEART

7015 ATRIOVENTRICULAR BLOCK

7016 HEART PROSTHESIS

7017 CORONARY ARTERY BYPASS

7018 IMPLANTABLE CARDIAC PACEMAKERS

7019 CARDIAC TRANSPLANT

7020 CARDIOMYOPATHY

7099 HEART CONDITION

7100 ARTERIOSCLEROSIS

7101 HYPERTENSION

7110 ANEURYSM OF THE AORTA

7111 ANEURYSM OF LARGE ARTERY

7112 ANEURYSM OF SMALL ARTERY

7113 TRAUMATIC ANEURYSM OF ARTERY

7114 CIRCULATORY CONDITION

7115 BUERGER'S DISEASE

7116 CLAUDICATION, A CIRCULATORY CONDITION

7117 RAYNAUD'S DISEASE

7118 CIRCULATORY CONDITION

7119 ERYTHROMELALGIA, A CIRCULATORY CONDITION

7120 VARICOSE VEINS

7121 PHLEBITIS

7122 RESIDUALS OF FROZEN FEET

7123 SOFT-TISSUE SARCOMA

7199 CIRCULATORY CONDITION

7200 RESIDUALS OF MOUTH INJURY

7201 RESIDUALS OF LIP INJURY

7202 LOSS, OR PARTIAL LOSS, OF TONGUE

7203 STRICTURE OF ESOPHAGUS

7204 SPASM OF ESOPHAGUS

7205 DIVERTICULUM OF ESOPHAGUS

7299 CONDITION OF UPPER DIGESTIVE SYSTEM

7301 ADHESIONS OF PERITONEUM

7302 ULCER CONDITION

7304 GASTRIC ULCER

7305 DUODENAL ULCER

7306 MARGINAL ULCER

7307 GASTRITIS

7308 POSTOPERATIVE STOMACH INJURY

7309 STENOSIS OF STOMACH

7310 RESIDUALS OF STOMACH INJURY

7311 RESIDUALS OF LIVER INJURY

7312 CIRRHOSIS OF LIVER

7313 RESIDUALS OF LIVER ABSCESS

7314 INFLAMMATION OF A GALL BLADDER

7315 GALL STONES

7316 INFLAMMATION OF A BILE DUCT

7317 RESIDUALS OF GALL BLADDER INJURY

7318 RESIDUALS OF GALL BLADDER REMOVAL

7319 IRRITABLE COLON

7320 INTESTINAL CONDITION

7321 AMEBIASIS

7322 DYSENTERY

7323 COLITIS

7324 BOWEL CONDITION

7325 ENTERITIS, A BOWEL CONDITION

7326 ENTEROCOLITIS, A BOWEL CONDITION

7327 DIVERTICULITIS, A BOWEL CONDITION

7328 RESECTION OF SMALL INTESTINE

7329 RESECTION OF LARGE INTESTINE

7330 FISTULA OF THE INTESTINE

7331 PERITONITIS

7332 IMPAIRMENT OF SPHINCTER CONTROL

7333 STRUCTURE OF RECTUM AND ANUS

7334 PROLAPSE OF THE RECTUM

7335 FISTULA OF THE ANUS

7336 HEMORRHOIDS

7337 IRRITATION OF THE ANUS

7338 INGUINAL HERNIA

7339 VENTRAL HERNIA

7340 FEMORAL HERNIA

7341 RESIDUALS OF ABDOMINAL WOUNDS

7342 ABDOMINAL CONDITION

7343 NEW GROWTH OF THE DIGESTIVE SYSTEM

7344 BENIGN GROWTH OF THE DIGESTIVE SYSTEM

7345 RESIDUALS OF HEPATITIS

7346 HIATAL HERNIA

7347 INFLAMMATION OF THE PANCREAS

7348 VAGOTOMY

7399 CONDITION OF DIGESTIVE SYSTEM

7500 REMOVAL OF KIDNEY

7501 ABSCESS OF KIDNEY

7502 NEPHRITIS

7503 PYELITIS

7504 PYELONEPHRITIS

7505 TUBERCULOSIS OF KIDNEY

7506 KIDNEY CONDITION

7507 NEPHROSCLEROSIS

7508 KIDNEY STONES

7509 HYDRONEPHROSIS

7510 URINARY CONDITION

7511 STRICTURE OF URETER

7512 CHRONIC CYSTITIS

7513 CYSTITIS

7514 TUBERCULOSIS OF THE BLADDER

7515 CALCULUS IN THE BLADDER

7516 FISTULA OF THE BLADDER

7517 INJURY OF THE BLADDER

7518 STRICTURE OF THE URETHRA

7519 FISTULA OF THE URETHRA

7520 REMOVAL OF THE PENIS

7521 REMOVAL OF PENILE GLANS

7522 DEFORMITY OF THE PENIS

7523 COMPLETE ATROPHY OF THE TESTIS

7524 REMOVAL OF TESTIS

7525 EPIDIDYMAL INFECTION

7526 RESECTION, REMOVAL OF PROSTATE GLAND

7527 PROSTATE GLAND CONDITION

7528 MALIGNANT GROWTH GENITOURINARY AREA

7529 BENIGN GROWTH GENITOURINARY AREA

7530 CHRONIC RENAL DISEASE

7531 KIDNEY TRANSPLANT

7532 KIDNEY TUBULE DYSFUNCTION

7533 CYSTIC DISEASE OF KIDNEY

7534 ATHEROSCLEROTIC KIDNEY DISEASE

7535 TOXIC KIDNEY DISEASE

7536 INFLAMMATION OF KIDNEY GLOMERULI

7537 INFLAMMATION OF KIDNEY

7538 DEATH OF KIDNEY PAPILLA CELLS

7539 KIDNEY AMYLOID DISEASE

7540 KIDNEY DISEASE

7541 KIDNEY INVOLVEMENT IN SYSTEMIC DISEASE

7542 BLADDER PARALYSIS

7599 URINARY CONDITION

7610 INFLAMMATION OF VULVA AND VAGINA

7611 INFLAMMATION OF VAGINA

7612 INFLAMMATION OF CERVIX

7613 INFLAMMATION OF THE UTERUS

7614 INFLAMMATION OF UTERINE TUBE

7615 INFLAMMATION OF OVARY

7617 REMOVAL OF UTERUS AND OVARIES

7618 REMOVAL OF UTERUS

7619 REMOVAL OF OVARIES

7620 ATROPHY OF BOTH OVARIES

7621 PROLAPSE OF THE UTERUS

7622 DISPLACEMENT OF THE UTERUS

7623 COMPLICATION OF PREGNANCY

7624 VAGINAL FISTULA

7625 VAGINAL FISTULA

7626 REMOVAL OF BREAST

7627 NEW GROWTH OF THE BREAST

7628 BENIGN GROWTH - GYNECOLOGICAL OR BREAST

7629 ENDOMETRIOSIS

7699 GYNECOLOGICAL CONDITION

7700 ANEMIA

7701 SECONDARY ANEMIA

7702 AGRANULOCYTOSIS

7703 LEUKEMIA

7704 POLYCYTHEMIA

7705 THROMBOCYTOPENIA

7706 REMOVAL OF SPLEEN

7707 RESIDUALS OF SPLEEN INJURY

7709 HODGKIN'S DISEASE

7710 CERVICAL ADENITIS

7711 AXILLARY ADENITIS

7712 INGUINAL ADENITIS

7713 SECONDARY ADENITIS

7714 SICKLE CELL ANEMIA

7715 NON-HODGKIN'S LYMPHOMA

7716 APLASTIC ANEMIA

7799 BLOOD CONDITION

7800 DISFIGUREMENT OF HEAD, FACE, NECK

7801 3RD DEGREE BURNS

7802 2ND DEGREE BURNS

7803 SUPERFICIAL SCARS

7804 SUPERFICIAL SCARS

7805 SCARS

7806 ECZEMA

7807 LEISHMANIASIS

7808 LEISHMANIASIS

7809 LUPUS ERYTHEMATOSUS

7810 PINTA

7811 LUPUS VULGARIS

7812 NODULES, TUMORS OF THE SKIN

7813 DERMATOPHYTOSIS

7814 INFECTION OF FACIAL AREA

7815 PEMPHIGUS

7816 PSORIASIS

7817 DERMATITIS

7818 NEW GROWTH OF THE SKIN

7819 BENIGN GROWTH OF THE SKIN

7899 SKIN CONDITION

7900 HYPERTHYROIDISM

7901 THYROID GLAND GROWTH

7902 THYROID GLAND GROWTH

7903 HYPOTHYROIDISM

7904 HYPOTHYROIDISM

7905 HYPERPARATHYROIDISM

7907 CUSHING'S SYNDROME, A PITUITARY DISEASE

7908 HYPERPITUITARISM, A PITUITARY CONDITION

7909 HYPOPITUITARISM, A PITUITARY CONDITION

7910 ADRENAL CONDITION

7911 ADDISON'S DISEASE, AN ADRENAL CONDITION

7912 MULTIPLE GLANDULAR CONDITION

7913 DIABETES

7914 NEW GROWTH OF THE GLANDS

7915 BENIGN GROWTH OF THE GLANDS

7999 GLANDULAR CONDITION

8000 ENCEPHALITIS

8001 CONDITION OF THE BRAIN

8002 NEW GROWTH OF THE BRAIN

8003 BENIGN GROWTH OF THE BRAIN

8004 MUSCLE NERVE CONDITION

8005 BULBAR PALSY

8007 EMBOLISM OF THE BRAIN

8008 THROMBOSIS OF THE BRAIN

8009 HEMORRHAGE OF THE BRAIN

8010 MYELITIS, A SPINAL CORD CONDITION

8011 POLIOMYELITIS

8012 HEMATOMYELIA, A SPINAL CORD CONDITION

8013 INFECTIOUS CONDITION

8014 INFECTIOUS CONDITION

8015 DEGENERATION OF THE SPINAL CORD

8017 AMYOTROPHIC LATERAL SCLEROSIS

8018 MULTIPLE SCLEROSIS

8019 SPINAL MENINGITIS

8020 ABSCESS OF THE BRAIN

8021 NEW GROWTH OF THE SPINE

8022 BENIGN GROWTH OF THE SPINE

8023 MUSCULAR ATROPHY

8024 SYRINGOMYELIA

8025 MYASTHENIAS GRAVIS

8026 CONDITION OF THE BRAIN

8045 TRAUMATIC BRAIN DISEASE

8046 CEREBRAL ARTERIOSCLEROSIS

8099 BRAIN OR SPINAL CORD CONDITION

8100 MIGRAINE HEADACHES

8103 NERVOUS TIC

8104 MYOCLONIC CONVULSIONS

8105 SYDENHAM'S CHOREA

8106 HUNTINGTON'S CHOREA

8107 NERVE CONDITION

8108 NARCOLEPSY

8199 CONDITION OF NERVOUS SYSTEM

8205 PARALYSIS OF FIFTH CRANIAL NERVE

8207 PARALYSIS OF SEVENTH CRANIAL NERVE

8209 PARALYSIS OF NINTH CRANIAL NERVE

8210 PARALYSIS OF TENTH CRANIAL NERVE

8211 PARALYSIS OF ELEVENTH CRANIAL NERVE

8212 PARALYSIS OF TWELFTH CRANIAL NERVE

8299 PARALYSIS OF A NERVE

8305 INFLAMMATION OF FIFTH CRANIAL NERVE

8307 INFLAMMATION OF SEVENTH CRANIAL NERVE

8309 INFLAMMATION OF NINTH CRANIAL NERVE

8310 INFLAMMATION OF TENTH CRANIAL NERVE

8311 INFLAMMATION OF ELEVENTH CRANIAL NERVE

8312 INFLAMMATION OF TWELFTH CRANIAL NERVE

8399 NEURITIS

8405 NEURALGIA OF FIFTH CRANIAL NERVE

8407 NEURALGIA OF SEVENTH CRANIAL NERVE

8409 NEURALGIA OF NINTH CRANIAL NERVE

8410 NEURALGIA OF TENTH CRANIAL NERVE

8411 NEURALGIA OF ELEVENTH CRANIAL NERVE

8412 NEURALGIA OF TWELFTH CRANIAL NERVE

8499 NEURALGIA

8510 PARALYSIS OF UPPER RADICULAR NERVE GROUP

8511 PARALYSIS OF MIDDLE RADICULAR NERVES

8512 PARALYSIS OF LOWER RADICULAR NERVE GROUP

8513 PARALYSIS OF ALL RADICULAR NERVE GROUPS

8514 PARALYSIS OF MUSCULOSPIRAL NERVE

8515 PARALYSIS OF MEDIAN NERVE

8516 PARALYSIS OF ULNAR NERVE

8517 PARALYSIS OF MUSCULOCUTANEOUS NERVE

8518 PARALYSIS OF CIRCUMFLEX NERVE

8519 PARALYSIS OF LONG THORACIC NERVE

8520 PARALYSIS OF SCIATIC NERVE

8521 PARALYSIS OF EXTERNAL POPLITEAL NERVE

8522 PARALYSIS OF SUPERFICIAL PERONEAL NERVE

8523 PARALYSIS OF ANTERIOR TIBIAL NERVE

8524 PARALYSIS OF INTERNAL POPLITEAL NERVE

8525 PARALYSIS OF POSTERIOR TIBIAL NERVE

8526 PARALYSIS OF ANTERIOR CRURAL NERVE

8527 PARALYSIS OF INTERNAL SAPHENOUS NERVE

8528 PARALYSIS OF OBTURATOR NERVE

8529 PARALYSIS OF EXTERNAL CUTANEOUS NERVE

8530 PARALYSIS OF ILIO-INGUINAL NERVE

8540 SOFT-TISSUE SARCOMA

8599 PARALYSIS OF A NERVE

8610 INFLAMMATION OF UPPER RADICULAR NERVES

8611 INFLAMMATION OF MIDDLE RADICULAR NERVES

8612 INFLAMMATION OF LOWER RADICULAR NERVES

8613 INFLAMMATION OF ALL RADICULAR NERVES

8614 INFLAMMATION OF RADICAL NERVE

8615 INFLAMMATION OF MEDIAN NERVE

8616 INFLAMMATION OF ULNAR NERVE

8617 INFLAMMATION OF MUSCULOCUTANEOUS NERVE

8618 INFLAMMATION OF CIRCUMFLEX NERVE

8619 INFLAMMATION OF LONG THORACIC NERVE

8620 INFLAMMATION OF SCIATIC NERVE

8621 INFLAMMATION OF EXTERNAL POPLITEAL NERVE

8622 INFLAMMATION OF SUPERFICIAL PERONEAL NERVE

8623 INFLAMMATION OF ANTERIOR TIBIAL NERVE

8624 INFLAMMATION OF INTERNAL POPLITEAL NERVE

8625 INFLAMMATION OF POSTERIOR TIBIAL NERVE

8626 INFLAMMATION OF ANTERIOR CRURAL NERVE

8627 INFLAMMATION OF INTERNAL SAPHENOUS NERVE

8628 INFLAMMATION OF OBTURATOR NERVE

8629 INFLAMMATION OF EXTERNAL CUTANEOUS NERVE

8630 INFLAMMATION OF ILIO-INGUINAL NERVE

8710 NEURALGIA OF UPPER RADICULAR NERVE GROUP

8711 NEURALGIA OF MIDDLE RADICULAR NERVES

8712 NEURALGIA OF LOWER RADICULAR NERVE GROUP

8713 NEURALGIA OF ALL RADICULAR NERVE GROUPS

8714 NEURALGIA OF RADIAL NERVE

8715 NEURALGIA OF MEDIAN NERVE

8716 NEURALGIA OF ULNAR NERVE

8717 NEURALGIA OF MUSCULOCUTANEOUS NERVE

8718 NEURALGIA OF CIRCUMFLEX NERVE

8719 NEURALGIA OF LONG THORACIC NERVE

8720 NEURALGIA OF SCIATIC NERVE

8721 NEURALGIA OF EXTERNAL POPLITEAL NERVE

8722 NEURALGIA OF SUPERFICIAL PERONEAL NERVE

8723 NEURALGIA OF ANTERIOR TIBIAL NERVE

8724 NEURALGIA OF INTERNAL POPLITEAL NERVE

8725 NEURALGIA OF POSTERIOR TIBIAL NERVE

8726 NEURALGIA OF ANTERIOR CRURAL NERVE

8727 NEURALGIA OF INTERNAL SAPHENOUS NERVE

8728 NEURALGIA OF OBTURATOR NERVE

8729 NEURALGIA OF EXTERNAL CUTANEOUS NERVE

8730 NEURALGIA OF ILIO-INGUINAL NERVE

8799 NEURALGIA

8850 UNDIAGNOSED CONDITION - MUSCULOSKELETAL DISEASES

8851 UNDIAGNOSED CONDITION - AMPUTATIONS

8852 UNDIAGNOSED CONDITION - JOINTS, SKULL, AND RIBS

8853 UNDIAGNOSED CONDITION - MUSCLE INJURIES

8860 UNDIAGNOSED CONDITION - DISEASES OF THE EYE

8861 UNDIAGNOSED CONDITION - HEARING LOSS

8862 UNDIAGNOSED CONDITION - EAR AND OTHER SENSE ORGANS

8863 UNDIAGNOSED CONDITION - SYSTEMIC DISEASES

8865 UNDIAGNOSED CONDITION - NOSE AND THROAT

8866 UNDIAGNOSED CONDITION - TRACHEA AND BRONCHI

8867 UNDIAGNOSED CONDITION - TUBERCULOSIS

8868 UNDIAGNOSED CONDITION - LUNGS AND PLEURA

8870 UNDIAGNOSED CONDITION - HEART DISEASES

8871 UNDIAGNOSED CONDITION - ARTERIES AND VEINS

8872 UNDIAGNOSED CONDITION - UPPER DIGESTIVE SYSTEM

8873 UNDIAGNOSED CONDITION - LOWER DIGESTIVE SYSTEM

8875 UNDIAGNOSED CONDITION - GENITOURINARY SYSTEM

8876 UNDIAGNOSED CONDITION - GYNECOLOGICAL SYSTEM

8877 UNDIAGNOSED CONDITION - HEMIC AND LYMPHATIC SYSTEM

8878 UNDIAGNOSED CONDITION - SKIN

8879 UNDIAGNOSED CONDITION - ENDOCRINE SYSTEM

8880 UNDIAGNOSED CONDITION - CENTRAL NERVOUS SYSTEM

8881 UNDIAGNOSED CONDITION - MISCELLANEOUS NEUROLOGICAL

8882 UNDIAGNOSED CONDITION - CRANIAL NERVE PARALYSIS

8883 UNDIAGNOSED CONDITION - CRANIAL NERVE NEURITIS

8884 UNDIAGNOSED CONDITION - CRANIAL NERVE NEURALGIA

8885 UNDIAGNOSED CONDITION - PERIPHERAL NERVE PARALYSIS

8886 UNDIAGNOSED CONDITION - PERIPHERAL NERVE NEURITIS

8887 UNDIAGNOSED CONDITION - PERIPHERAL NERVE NEURALGIA

8889 UNDIAGNOSED CONDITION - EPILEPSIES

8892 UNDIAGNOSED CONDITION - PSYCHOTIC DISORDERS

8893 UNDIAGNOSED CONDITION - ORGANIC MENTAL

8894 UNDIAGNOSED CONDITION - PSYCHONEUROTIC

8895 UNDIAGNOSED CONDITION - PSYCHOPHYSIOLOGIC

8899 UNDIAGNOSED CONDITION - DENTAL AND ORAL

8900 SEIZURE DISORDER

8901 SEIZURE DISORDER

8902 SEIZURE DISORDER

8910 SEIZURE DISORDER

8911 SEIZURE DISORDER

8912 SEIZURE DISORDER

8913 SEIZURE DISORDER

8914 SEIZURE DISORDER

8999 SEIZURE DISORDER

9000 PSYCHOSIS

9001 PSYCHOSIS

9002 PSYCHOSIS

9003 PSYCHOSIS

9004 PSYCHOSIS

9005 PSYCHOSIS

9006 PSYCHOSIS

9008 PSYCHOSIS

9009 PSYCHOSIS

9010 PSYCHOSIS

9011 PSYCHOSIS

9012 PSYCHOSIS

9013 PSYCHOSIS

9014 PSYCHOSIS

9015 PSYCHOSIS

9016 PSYCHOSIS

9017 PSYCHOSIS

9018 PSYCHOSIS

9019 PSYCHOSIS

9020 PSYCHOSIS

9021 PSYCHOSIS

9022 PSYCHOSIS

9023 PSYCHOSIS

9024 PSYCHOSIS

9025 PSYCHOSIS

9026 PSYCHOSIS

9027 PSYCHOSIS

9028 PSYCHOSIS

9029 PSYCHOSIS

9030 PSYCHOSIS

9031 PSYCHOSIS

9032 PSYCHOSIS

9033 PSYCHOSIS

9034 PSYCHOSIS

9035 PSYCHOSIS

9036 PSYCHOSIS

9037 PSYCHOSIS

9039 PSYCHOSIS

9040 PSYCHOSIS

9041 PSYCHOSIS

9042 PSYCHOSIS

9043 PSYCHOSIS

9044 PSYCHOSIS

9045 PSYCHOSIS

9046 PSYCHOSIS

9047 PSYCHOSIS

9048 PSYCHOSIS

9049 PSYCHOSIS

9050 PSYCHOSIS

9051 PSYCHOSIS

9052 PSYCHOSIS

9053 PSYCHOSIS

9054 PSYCHOSIS

9055 PSYCHOSIS

9099 PSYCHOSIS

9100 NEUROSIS

9101 NEUROSIS

9102 NEUROSIS

9103 NEUROSIS

9104 NEUROSIS

9105 NEUROSIS

9106 NEUROSIS

9110 PSYCHOPHYSIOLOGIC HEART DISORDER

9111 PSYCHOPHYSIOLOGIC HEART DISORDER

9112 PSYCHOPHYSIOLOGIC STOMACH DISORDER

9199 NERVOUS CONDITION

9200 PSYCHOSIS

9201 SCHIZOPHRENIA

9202 SCHIZOPHRENIA

9203 SCHIZOPHRENIA

9204 SCHIZOPHRENIA

9205 SCHIZOPHRENIA

9206 PSYCHOSIS

9207 PSYCHOSIS

9208 DELUSIONAL DISORDER

9210 PSYCHOTIC DISORDER

9211 SCHIZOAFFECTIVE DISORDER

9299 PSYCHOSIS

9300 DELIRIUM

9301 DEMENTIA DUE TO INFECTION

9302 BRAIN SYNDROME

9303 BRAIN SYNDROME

9304 DEMENTIA DUE TO HEAD TRAUMA

9305 VASCULAR DEMENTIA

9306 BRAIN SYNDROME

9307 BRAIN SYNDROME

9308 BRAIN SYNDROME

9309 DEMENTIA

9310 BRAIN SYNDROME

9311 BRAIN SYNDROME

9312 DEMENTIA

9313 BRAIN SYNDROME

9314 BRAIN SYNDROME

9315 BRAIN SYNDROME

9316 BRAIN SYNDROME

9317 BRAIN SYNDROME

9318 BRAIN SYNDROME

9319 BRAIN SYNDROME

9320 BRAIN SYNDROME

9321 BRAIN SYNDROME

9322 BRAIN SYNDROME

9323 BRAIN SYNDROME

9324 BRAIN SYNDROME

9325 BRAIN SYNDROME

9326 DEMENTIA

9327 ORGANIC MENTAL DISORDER

9399 BRAIN SYNDROME

9400 ANXIETY DISORDER

9401 NEUROSIS

9402 NEUROSIS

9403 ANXIETY DISORDER

9404 OBSESSIVE COMPULSIVE DISORDER

9405 NEUROSIS

9406 NEUROSIS

9407 NEUROSIS

9408 NEUROSIS

9409 NEUROSIS

9410 NEUROSIS

9411 POST-TRAUMATIC STRESS DISORDER

9412 PANIC DISORDER AND/OR AGORAPHOBIA

9413 ANXIETY DISORDER

9416 DISSOCIATIVE AMNESIA, FUGUE OR IDENTITY DISORDER

9417 DEPERSONALIZATION DISORDER

9421 SOMATIZATION DISORDER

9422 PAIN DISORDER

9423 SOMATOFORM DISORDER

9424 CONVERSION DISORDER

9425 HYPOCHONDRIASIS

9431 CYCLOTHYMIC DISORDER

9432 BIPOLAR DISORDER

9433 DYSTHYMIC DISORDER

9434 MAJOR DEPRESSIVE DISORDER

9435 MOOD DISORDER

9440 CHRONIC ADJUSTMENT DISORDER

9499 NEUROSIS

9500 NEUROTIC SKIN DISORDER

9501 NEUROTIC HEART DISORDER

9502 NEUROTIC STOMACH DISORDER

9503 NERVOUS CONDITION

9504 NERVOUS CONDITION

9505 NEUROTIC SKELETAL DISORDER

9506 NEUROTIC RESPIRATORY DISORDER

9507 NEUROTIC HEMIC AND LYMPH DISORDER

9508 NEUROTIC GENITOURINARY DISORDER

9509 NEUROTIC ENDOCRINE DISORDER

9510 NEUROTIC SENSE ORGAN CONDITION

9511 NEUROTIC CONDITION: OTHER

9520 ANOREXIA NERVOSA

9521 BULIMIA NERVOSA

9599 NERVOUS CONDITION

9900 INFLAMMATION OF JAWBONE

9901 LOSS OF LOWER JAW

9902 PARTIAL LOSS OF LOWER JAW

9903 NONUNION OF LOWER JAW

9904 MALUNION OF LOWER JAW

9905 LIMITED MOTION OF THE JAW

9906 LOSS OF UPPER JAW

9907 PARTIAL LOSS OF UPPER JAW

9908 LOSS OF CONDYLOID PROCESS OF JAW

9909 LOSS OF CORONOID PROCESS OF JAW

9910 LOSS OF MAXILLA

9911 LOSS OF PALATE

9912 LOSS OF TEETH

9999 CONDITION OF JAWW

August 26, 2010

Department of Veterans Affairs

VHA DIRECTIVE 2000-029

Veterans Health Administration

Washington, DC 20420

September 22, 2000

PROVISION OF MEDICAL OPINIONS BY VA HEALTH CARE PRACTITIONERS

1. PURPOSE: This Veterans Health Administration (VHA) Directive establishes nationwide policy requiring VHA health care providers, when requested, and under certain limited circumstances, to provide descriptive statements and opinions for Department of Veterans Affairs (VA) patients with respect to patients’ medical condition, employability, and degree of disability.

2. BACKGROUND: This policy rescinds all restrictions on VA physicians and other medical practitioners, defined in M-1, Part I, Chapter 9, section 9.50. Restrictions on the ability of VA health care providers to provide statements and opinions for VA patients are inconsistent with the goal of VHA to provide comprehensive care and place a serious burden on veterans who depend on VHA for their care. This policy must, however, be implemented in a way that avoids inappropriate VHA participation in the claims adjudication process that determines eligibility for VA disability benefits. It is anticipated that this policy area will be the subject of future notice and comment rulemaking.

3. POLICY: It is VHA policy to remove restrictions on the ability of VA health care providers to provide statements and opinions for VA patients.

4. ACTION: Medical facility Directors are to implement this directive immediately. Use the following guidelines:

a. Support by Treating VA Practitioners of VA Benefits Claims

(1) Veteran patients may request descriptive statements regarding their medical conditions and/or opinions concerning the “possible cause(s)” of an existing medical condition for VA disability claims purposes. VHA health care providers shall provide a statement or opinion describing a patient’s medical condition. If the health care provider is the veteran’s treating physician, and is unable, or deems it inappropriate, to provide an opinion or statement, such physician shall refer the veteran’s request to another health care provider for the opinion or statement.

NOTE: For purposes of this policy, a note in the consolidated health record containing a statement such as, “in my medical opinion the currently existing medical condition is ‘related to,’ ‘possibly related to,’ or ‘at least as likely as not related to’ an injury, disease, or event occurring during the veteran’s military service” constitutes a sufficient supportive statement. The injury, disease, or event can be something described by the veteran or shown in other records, but should be identified as such by the health care practitioner in the health care practitioner’s statement. A statement to the effect of, “I am unable to determine whether a relationship exists” between the present disability and a described injury, disease, or event occurring during military service, is also acceptable.

(2) When providing medical statements and opinions, the veteran patient must be informed that decisions concerning VA compensation and/or pension benefits are:

THIS VHA DIRECTIVE EXPIRES SEPTEMBER 31, 2005

(a) Decided by VA regional office adjudication officials based upon the law, regulations, and the totality of medical evidence pertaining to the disability claimed, and

(b) Not controlled by the physician providing the veteran’s care or the medical facility furnishing treatment.

b. Medical Opinions for Non-VA Purposes. Veterans may also ask VA health care professionals for medical opinions to assist them in filing claims with other agencies, e.g., the Social Security Administration (SSA). These opinions may be provided in the same manner and under the same restrictions as opinions furnished for Veterans Benefits Administration (VBA) claims processing purposes. NOTE: This does not include completion of Social Security Administration (SSA) forms for examinations where SSA would pay a private practitioner, but is prohibited from paying other Federal agencies such as VA (see Title 38 Code of Federal Regulations (CFR) 17.38 (a)(1)(xiv)).

c. Requirement for Disclaimer. In all instances involving VA determinations, the veteran patient must be asked to sign a statement indicating the veteran’s understanding that the opinions of the VA physician do not constitute an official VA determination of service connection, degree of disability, or eligibility for VA benefits. The disclaimer documented below is being added to VA Form 10-5345, Request for and Consent to Release of Medical Records Protected by Title 38 United States Code (U.S.C.) 7332, to facilitate its use. In the meantime, for releases of information covered by this directive, incorporate a statement like the following, signed by the veteran, in the Consolidated Health Record:

“I understand that the VA health care practitioner’s opinions and statements are not

official VA decisions regarding whether I will receive other VA benefits or, if I receive

VA benefits, their amount. They may, however, be considered with other evidence when

these decisions are made at a VA Regional Office that specializes in benefit decisions.”

5. REFERENCE: None.

6. FOLLOW-UP RESPONSIBILITY: The Office of Patient Care Services, Forensic Medicine Strategic Healthcare Group (11F) is responsible for the contents of this directive.

7. RESCISSIONS: M-1, Part I, Chapter 9, section 9.50 and VHA Directive 98-052 are rescinded. This VHA Directive expires September 31, 2005.

S/ Frances Murphy, M.D. for

Thomas L. Garthwaite, M.D.

Under Secretary for Health

DISTRIBUTION:

CO:

E-mailed 9/22/2000

FLD:

VISN, MA, DO, OC, OCRO, and 200 - FAX 9/22/2000

EX:

Boxes 104, 88, 63, 60, 54, 52, 47 and 44 - FAX 9/22/2000

August 26, 2010

After the VA got a hold of my service records I ended up missing 3 yrs of my medical records.

It's not uncommon to have this done.

After you left service, did you go to any private Dr's for treatment? Go to the VAMC's for treatment?

I was lucky enough to have more than a decade of medical records at a private Dr following service.

I was in an accident in service and theres a paper that shows the Navy requested the ER hospital treatment records, but no such records were in my service records or c-file.

Much will depend on wether the C&P examiner service connects your back to the jump injury.

Even than, if the rater doesn't want to rate it, they may keep Dr shopping for another IMO to shoot down the favorable one.

If they can grant, than it's all up to if they want to or not.

August 26, 2010

bandido,

Some meds you can ask your Dr to prescribe a 90 day supply.

For pain meds, mark on your calendar the day you recieve your meds. Than mark two weeks from than to call in and reorder the pain meds.

Calling to soon after you recieve them, "MAY" make them think that you run out to soon and are taking more than prescribed or selling them.

Everything except pain meds can be ordered at the,"My Healthy Vet" online site. I order all my meds except pain meds through this site & have never had any problem recieving them on time.

You can also see what you have ordered in the past and what is about to expire on the site.

Hope this helps.

Allan

August 26, 2010

Pete53,

Was that your diabetes test strips you had resolved?

August 26, 2010

e4766,

[Who did you talk to at your VA? ]

You need to contact the FEE BASIS dept at the VAMC that treats you.

They are the ones responcible to pay for outside the VAMC treatment or testing.

********************************************************************

John,

[My pain doctor told me oxycontin was too addictive but the fentanyl, morphine and methadone is not addictive I guess.]

Oxycontin is highly addictive if your crushing it up and shooting it in your vains like any common street junky.

If taken as prescribed, it has far less side effects during usage and withdrawal than the others.

For almost a year, the VAMC would send my prescription of long acting Morphine, than be a month late sending it. Calling them and telling them I was having severe withdrawal symtoms did no good. They just acted like I was a drug addict, even though it was them forgetting to send it that put me there. They can be cold sometimes. They did this off and on for a yr or so. Than changed it so I had to call every month in order to get it. At least this kept them from forgetting to send it.

I know very well about morphine and metadone withdrawals from their lack of sending the prescriptions out on time.

I have to see my private Dr every two months to make sure i'm not abusing the medication and taking more than prescribed and the VAMC Dr checks with blood test to see how much is showing up in the blood. I don't worry about any of it because I have never taken more than prescribed. Thats when you get in trouble.

Pain meds do not get rid of pain for one thing. They only dull it enough to function. Somedays that doesn't happen either for me.

One thing also. The more you take, the more you need. It's better to suffer through the day than to have your body get to used to the drug. Thats when it will quit working for you.

August 25, 2010

I complained about the distance to drive to get blood work once so the VA Dr ordered it from a local hospital.

The hospital billed me for a yr because the VAMC refused to pay for it . The Hospital threatened to turn it over to a collection agecny so I had to threaten the VAMC billing office with a law suit for damaging 20+ yrs of perfect credit if it goes to collections.

It was paid in two days.

I drive what ever it takes now and take what ever travel pay they offer.

Pain meds at the VA is all about the money.

I had no problem at all getting Oxycontin CR through a private Dr after showing him my medical records when VA suddenly stopped my meds and put me into sudden withdrawals.

The VA quit supplying it to anyone but terminal patients simply to save bucks. They don't care how much you suffer. If we were dogs they would be in jail for such inhumain treatment & cruelty.

I've been on Oxycontin now for over 6 yrs. No side effects except feeling sleepy at times. Am not able to tollerate Methadone or Morphine. They just make me sick. Terible stuf.

One thing a Dr should never do is make you suffer or make your condition worse. The VA health care could care less and ties their Dr's hands when it comes to relieving your pain.

With neuro pain, you need what works period.

I forgot to add that I still get breakthrough neuro pain meds through my VA Dr. I simply let the VA know I was recieving Oxy CR through my private Dr & provided them with his contact information.

Your VA Dr does not have to except any meds prescribed by a private Dr, but if they do'nt think you would abuse it, they can cordinate with your private Dr to set this up.

I spend nearly a fourth of my disability income on just this one pain med including a Dr's visit every two months.

Theft of Oxycontin by VA employees is the number one reason the VA stopped supplying it to those Veterans that cannot tollerate methadone or morphine.

Seems like 5 yrs in a federal pin would stop that. Thats atleast what they would give a Veteran for stealing benefits through fraud.

August 24, 2010

Pain Management

August 2010

Pain is the most often reported reason for seeking medical care. Acute pain is a major symptom of many injuries or conditions. Chronic pain can have a serious effect on your quality of life long after your body has healed. Pain is not just a physical sensation. Your experience of pain can control how you respond when you hurt. Your thoughts, feelings, and behaviors make a difference. For example, negative thoughts and emotions "turn up the volume" of pain. Pain certainly can cause depression. Your mood also will influence your pain.

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