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What does this mean

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  • Content Curator/HadIt.com Elder

It's a generic title they are using to label your claim. No idea what "REP" means. Assume you filed a sinus claim of some sort. This might help, but keep in mind there are a lot of codes, diagnosis, situations, etc...

http://www.ecfr.gov/cgi-bin/text-idx?rgn=div5;node=38:1.0.1.1.5#se38.1.4_197

§4.97   Schedule of ratings—respiratory system.

    Rating
DISEASES OF THE NOSE AND THROAT
6502   Septum, nasal, deviation of:  
Traumatic only,  
With 50-percent obstruction of the nasal passage on both sides or complete obstruction on one side 10
6504   Nose, loss of part of, or scars:  
Exposing both nasal passages 30
Loss of part of one ala, or other obvious disfigurement 10
Note: Or evaluate as DC 7800, scars, disfiguring, head, face, or neck.  
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):  
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 50
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 30
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
Detected by X-ray only 0
Note: An incapacitating episode of sinusitis means one that requires bed rest and treatment by a physician.  
6515   Laryngitis, tuberculous, active or inactive.  
Rate under §§4.88c or 4.89, whichever is appropriate.  
6516   Laryngitis, chronic:  
Hoarseness, with thickening or nodules of cords, polyps, submucous infiltration, or pre-malignant changes on biopsy 30
Hoarseness, with inflammation of cords or mucous membrane 10
6518   Laryngectomy, total. 1100
Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520).  
6519   Aphonia, complete organic:  
Constant inability to communicate by speech 1100
Constant inability to speak above a whisper 60
Note: Evaluate incomplete aphonia as laryngitis, chronic (DC 6516).  
6520   Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral):  
Forced expiratory volume in one second (FEV-1) less than 40 percent of predicted value, with Flow-Volume Loop compatible with upper airway obstruction, or; permanent tracheostomy 100
FEV-1 of 40- to 55-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction 60
FEV-1 of 56- to 70-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction 30
FEV-1 of 71- to 80-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction 10
Note: Or evaluate as aphonia (DC 6519).  
6521   Pharynx, injuries to:  
Stricture or obstruction of pharynx or nasopharynx, or; absence of soft palate secondary to trauma, chemical burn, or granulomatous disease, or; paralysis of soft palate with swallowing difficulty (nasal regurgitation) and speech impairment 50
6522   Allergic or vasomotor rhinitis:  
With polyps 30
Without polyps, but with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side 10
6523   Bacterial rhinitis:  
Rhinoscleroma 50
With permanent hypertrophy of turbinates and with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side 10
6524   Granulomatous rhinitis:  
Wegener's granulomatosis, lethal midline granuloma 100
Other types of granulomatous infection 20

 

 

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