Version 2.78

Basic Properties

OID
1.3.6.1.4.1.12009.10.1.2940
Name
CMS Impairment Group
Description
Answers: 84; Scale: Nom; Code: 1.1-17.9; Score: -

Answer List

Answer Code Score Answer ID
Stroke- left body involvement (right brain) 0001.1 LA27358-3
Stroke- right body involvement (left brain) 0001.2 LA27359-1
Stroke- bilateral involvement 0001.3 LA27360-9
Stroke- no paresis 0001.4 LA27361-7
Stroke- other stroke 0001.9 LA27362-5
Brain dysfunction- non-traumatic 0002.21 LA27363-3
Brain dysfunction- traumatic, open injury 0002.22 LA27364-1
Brain Dysfunction- traumatic, closed Injury 0002.22 LA27365-8
Brain dysfunction- other brain 0002.9 LA27366-6
Neurologic conditions- multiple sclerosis 0003.1 LA27367-4
Neurologic conditions- Parkinsonism 0003.2 LA27368-2
Neurologic conditions- polyneuropathy 0003.3 LA27369-0
Neurologic conditions- Guillain-Barré Syndrome 0003.4 LA27370-8
Neurologic conditions- cerebral palsy 0003.5 LA27371-6
Neurologic conditions- neuromuscular disorders 0003.8 LA27372-4
Neurologic conditions- other neurologic 0003.9 LA27373-2
Spinal cord dysfunction, non-traumatic- paraplegia, unspecified 0004.110 LA27374-0
Spinal cord dysfunction, non-traumatic- paraplegia, incomplete 0004.111 LA27375-7
Spinal cord dysfunction, non-traumatic- paraplegia, complete 0004.112 LA27376-5
Spinal cord dysfunction, non-traumatic- quadriplegia, unspecified 0004.120 LA27377-3
Spinal cord dysfunction, non-traumatic- quadriplegia, incomplete C1-4 0004.1211 LA27380-7
Spinal cord dysfunction, non-traumatic- quadriplegia, incomplete C5-8 0004.1212 LA27381-5
Spinal cord dysfunction, non-traumatic- quadriplegia, complete C1-4 0004.1221 LA27382-3
Spinal cord dysfunction, non-traumatic- quadriplegia, complete C5-8 0004.1222 LA27383-1
Spinal cord dysfunction, non-traumatic- other non-traumatic spinal cord dysfunction 0004.130 LA27384-9
Spinal cord dysfunction, traumatic- paraplegia, unspecified 0004.210 LA27385-6
Spinal cord dysfunction, traumatic- paraplegia, incomplete 0004.211 LA27386-4
Spinal cord dysfunction, traumatic- paraplegia, complete 0004.212 LA27387-2
Spinal cord dysfunction, traumatic- quadriplegia, unspecified 0004.220 LA27388-0
Spinal cord dysfunction, traumatic- quadriplegia, incomplete C1-4 0004.2211 LA27389-8
Spinal cord dysfunction, traumatic- quadriplegia, incomplete C5-8 0004.2212 LA27390-6
Spinal cord dysfunction, traumatic- quadriplegia, complete C1-4 0004.2221 LA27391-4
Spinal cord dysfunction, traumatic- quadriplegia, complete C5-8 0004.2222 LA27392-2
Spinal cord dysfunction, traumatic- other traumatic spinal cord dysfunction 0004.230 LA27393-0
Amputation- unilateral upper limb above the elbow (AE) 0005.1 LA27394-8
Amputation- unilateral upper limb below the elbow (BE) 0005.2 LA27395-5
Amputation- unilateral lower limb above the knee (AK) 0005.3 LA27396-3
Amputation- unilateral lower limb below the knee (BK) 0005.4 LA27397-1
Amputation- bilateral lower limb above the knee (AK/AK) 0005.5 LA27398-9
Amputation- bilateral lower limb above/below the knee (AK/BK) 0005.6 LA27399-7
Amputation- bilateral lower limb below the knee (BK/BK) 0005.7 LA27400-3
Amputation- other amputation 0005.9 LA27401-1
Arthritis- rheumatoid arthritis 0006.1 LA27402-9
Arthritis- osteoarthritis 0006.2 LA27403-7
Arthritis- other arthritis 0006.9 LA27404-5
Pain syndromes- neck pain 0007.1 LA27405-2
Pain syndromes- back pain 0007.2 LA27406-0
Pain syndromes- limb pain 0007.3 LA27407-8
Pain syndromes- other pain 0007.9 LA27408-6
Orthopaedic disorders- status post unilateral hip fracture 0008.11 LA27409-4
Orthopaedic disorders- status post bilateral hip fractures 0008.12 LA27410-2
Orthopaedic disorders- status post femur (shaft) fracture 0008.2 LA27411-0
Orthopaedic disorders- status post pelvic fracture 0008.3 LA27412-8
Orthopaedic disorders- status post major multiple fractures 0008.4 LA27413-6
Orthopaedic disorders- status post unilateral hip replacement 0008.51 LA27414-4
Orthopaedic disorders- status post bilateral hip replacements 0008.52 LA27415-1
Orthopaedic disorders- status post unilateral knee replacement 0008.61 LA27416-9
Orthopaedic disorders- status post bilateral knee replacements 0008.62 LA27417-7
Orthopaedic disorders- status post knee and hip replacements (same side) 0008.71 LA27418-5
Orthopaedic disorders- status post knee and hip replacements (different sides) 0008.72 LA27419-3
Orthopaedic disorders- other orthopaedic 0008.9 LA27420-1
Cardiac 0009 LA27421-9
Pulmonary disorders- chronic obstructive pulmonary disease 0010.1 LA27422-7
Pulmonary disorders- other pulmonary 0010.9 LA27423-5
Burns 0011 LA9568-2
Congenital deformities- spina bifida 0012.1 LA27425-0
Congenital deformities- other congenital 0012.9 LA27426-8
Other disabling Impairments 0013 LA27427-6
Major multiple trauma- brain and spinal cord injury 0014.1 LA27428-4
Major multiple trauma- brain and multiple fracture/amputation 0014.2 LA27429-2
Major multiple trauma- spinal cord and multiple fracture/amputation 0014.3 LA27430-0
Major multiple trauma- other multiple trauma 0014.9 LA27431-8
Developmental disability 0015 LA27432-6
Debility (non-cardiac, non-pulmonary) 0016 LA27433-4
Medically complex- infections 0017.1 LA27434-2
Medically complex- neoplasms 0017.2 LA27435-9
Medically complex- nutrition with intubation/parenteral nutrition 0017.31 LA27436-7
Medically complex- nutrition without intubation/parenteral nutrition 0017.32 LA27437-5
Medically complex- circulatory disorders 0017.4 LA27438-3
Medically complex- respiratory disorders (ventilator dependent) 0017.51 LA27439-1
Medically complex- respiratory disorders (non-ventilator dpendent) 0017.52 LA27440-9
Medically complex- terminal care 0017.6 LA27441-7
Medically complex- skin disorders 0017.7 LA27442-5
Medically complex- medical/surgical complications 0017.8 LA27443-3
Medically complex- other medically complex conditions 0017.9 LA27444-1

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