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Question About Sinuses And Pyramiding
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TALON II FE
Below is the chart on award percentages. My question is this: If you have sinusitis, let's say they would rate it at 50% for radical surgery, and you also had rhinitis with polyps, rateable at 30%, would they rate you individually for each, or would the take the higher rating of the two? They are separated from each other in the scale, but are affecting the same area / body system, which is why I am asking. These crossovers like this are still a bit confusing to me. Does anyone know?
Schedule of Ratings tables for Sinusitis and Allergic Rhinitis:
6510 Sinusitis, pansinusitis, chronic.
6511 Sinusitis, ethmoid, chronic.
6512 Sinusitis, frontal, chronic.
6513 Sinusitis, maxillary, chronic.
6514 Sinusitis, sphenoid, chronic.
General Rating Formula for Sinusitis (DC’s 6510 through 6514):
50% Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries
30% Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting
One or two incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; three to six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting 10
0% Detected by X-ray only
Note: An incapacitating episode of sinusitis means one that requires bed rest and treatment by a physician.
6522 Allergic or vasomotor rhinitis:
30% With polyps
10% Without polyps, but with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side
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