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 Note: Evaluate incomplete aphonia as laryngitis, chronic (DC 6516).Ħ520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral):įorced 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 tracheostomyįEV–1 of 40- to 55-percent predicted, with Flow-Volume Loop compatible with upper airway obstructionįEV–1 of 56- to 70-percent predicted, with Flow-Volume Loop compatible with upper airway obstructionįEV–1 of 71- to 80-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520).Ĭonstant inability to communicate by speechĬonstant inability to speak above a whisper Hoarseness, with inflammation of cords or mucous membrane Hoarseness, with thickening or nodules of cords, polyps, submucous infiltration, or pre-malignant changes on biopsy Rate under §§ 4.88c or 4.89, whichever is appropriate. Note: An incapacitating episode of sinusitis means one that requires bed rest and treatment by a physician.Ħ515 Laryngitis, tuberculous, active or inactive.

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 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

General Rating Formula for Sinusitis (DC's 6510 through 6514):įollowing 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 Note: Or evaluate as DC 7800, scars, disfiguring, head, face, or neck.

Loss of part of one ala, or other obvious disfigurement With 50-percent obstruction of the nasal passage on both sides or complete obstruction on one side

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