Stroke (IGC 01*) includes cases with a diagnosis of cerebral ischemia due to vascular thrombosis, embolism, or hemorrhage.
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1 01* Stroke Stroke (IGC 01*) includes cases with a diagnosis of cerebral ischemia due to vascular thrombosis, embolism, or hemorrhage. NOTE: Cases with brain dysfunction secondary to nonvascular causes (for example, trauma, inflammation, tumor, and degenerative changes) are part of Brain Dysfunction (IGC 02*). They should be coded under 02.2*. Strokes from sickle cell disease are part of Stroke (IGC 01*) Left Body Involvement, Right Brain 01.2 Right Body Involvement, Left Brain 01.3 Bilateral Involvement 01.4 No Paresis 01.9 Other Stroke 02* Brain Dysfunction Non-Traumatic Brain Dysfunction (IGC 02.1*) includes cases with such etiologies as encephalitis, inflammation, anoxia, metabolic toxicity, degenerative processes, and neoplasm (including metastases). Traumatic Brain Dysfunction (IGC 02.2*) includes cases with motor or cognitive disorders secondary to brain trauma. 02.1* Non-Traumatic Anoxic/Hypoxic Encephalopathy Encephalitis/Meningitis Brain Tumor 02.2* Traumatic (Blow to Head) Open Injury Closed Injury 02.9 Unspecified Traumatic Brain Injury NOTE: Cases with hemorrhagic stroke are part of Stroke (IGC 01*) and should be coded under that IGC (01*). 03* Neurological Disorders Neurological Disorders (IGC 03*) includes cases with neurological and neuromuscular dysfunctions of various etiologies Multiple Sclerosis 03.3 Neuropathies 03.4 Guillain-Barré Syndrome 03.5* Cerebral Palsy Diplegic Cerebral Palsy Quadriplegic Cerebral Palsy Cerebral Palsy with Orthopaedic Surgery Other Cerebral Palsy 03.8 Neuromusclar Disorders 03.9 Other Neurological Disorders These cases include children with cerebral palsy who underwent surgery directly related to the cerebral palsy deficits, i.e. rhizotomy surgery, tendon lengthening, tendon transfer, etc.
2 04* Spinal Cord Dysfunction Spinal Cord Dysfunction (IGC 04*) includes cases with various forms of tetraplegia/quadriplegia/paresis and paraplegia/paresis, regardless of the etiology (whether traumatic, medical, or postoperative). Non-Traumatic Spinal Cord Dysfunction (IGC 04.1*) includes cases with paraplegia or tetraplegia/quadriplegia secondary to non-traumatic causes, including postoperative change. Traumatic Spinal Cord Dysfunction (IGC 04.2*) includes cases with paraplegia or tetraplegia/quadriplegia secondary to traumatic causes. 04.1* Non-Traumatic Spinal Cord Dysfunction Paraplegia, Unspecified Paraplegia, Incomplete Paraplegia, Complete Tetraplegia/Quadriplegia, Unspecified Tetraplegia/Quadriplegia, Incomplete C Tetraplegia/Quadriplegia Incomplete C Tetraplegia/Quadriplegia Complete C Tetraplegia/Quadriplegia Complete C Other Non-traumatic Spinal Cord Dysfunction 04.2* Traumatic Spinal Cord Dysfunction Paraplegia, Unspecified Paraplegia, Incomplete Paraplegia, Complete Tetraplegia/Quadriplegia, Unspecified Tetraplegia/Quadriplegia, Incomplete C Tetraplegia/Quadriplegia, Incomplete C Tetraplegia/Quadriplegia, Complete C Tetraplegia/Quadriplegia, Complete C Other Traumatic Spinal Cord Dysfunction 05* Amputations 05.1 Unilateral Upper Extremity Above the Elbow (AE) 05.2 Unilateral Upper Extremity Below the Elbow (BE) 05.3 Unilateral Lower Extremity Above the Knee (AK) 05.4 Unilateral Lower Extremity Below the Knee (BK) 05.5 Bilateral Lower Extremity Above the Knee (AK/AK) 05.6 Bilateral Lower Extremity Above/Below the Knee (AK/BK) 05.7 Bilateral Lower Extremity Below the Knee (BK/BK) 05.9 Other Limb Amputation 06* Arthritis Arthritis (IGC 06*) includes cases in which the major disorder is arthritis of all etiologies Juvenile Rheumatoid Arthritis 06.2 Connective Tissue Disorders 06.9 Other Arthritis Includes systemic lupus erythematosus, scleroderma, and polymyositis.
3 07* Pain Syndromes Pain Syndromes (IGC 07*) includes cases in which the major disorder is pain of various etiologies, unaccompanied by a neurological deficit Neck Pain 07.2 Back Pain 07.3 Extremity Pain 07.9 Other Pain 08* Orthopaedic Conditions Orthopaedic Conditions (IGC 08*) includes cases in which the major disorder is post-fracture of bone or postarthroplasty Status Post Unilateral Hip Fracture 08.2 Status Post Femur (Shaft) Fracture 08.3 Status Post Pelvic Fracture 08.4 Status Post Major Multiple Fractures Status Post Hip Replacement(s) or Reconstruction(s) Status Post Knee Replacement(s) or Reconstruction(s) 08.8 Status Post Scoliosis Surgery 08.9 Other Orthopaedic Conditions 09 Cardiac Disorders Cardiac Disorders (IGC 09) includes cases in which the major disorder is either poor activity tolerance secondary to cardiac insufficiency or general deconditioning due to a cardiac disorder. 09 Cardiac 10* Pulmonary Disorders 10.1 Bronchopulmonary Dysplasia (BPD) 10.9 Other Pulmonary Disorders 11 Burns Burns (IGC 11) includes cases in which the major disorder is thermal injury to major areas of the skin, underlying tissue, or both. 11 Burns 12* Congenital Disorders Congenital Disorders (IGC 12*) includes cases in which the major disorder is an anomaly or deformity of the nervous or musculoskeletal system that is associated with prenatal, perinatal, or postnatal causes Congenital Neuromuscular Disorders 12.2 Spina Bifida 12.9 Other Congenital Disorders Includes muscular dystrophy, other congenital neuromuscular disorders, etc. Includes cases in which the major disorder is a spinal cord disorder characterized by muscle weakness at or above the lesion, paralysis below the lesion, hydrocephalus, Arnold-Chiara malformation, kyphosis, dislocated hips, or a combination of these characteristics.
4 13 Other Disabling Impairments Other Disabling Impairments (IGC 13) includes cases that cannot be classified into a specific impairment group. Use of this code should be rare. 13 Other Disabling impairments 14* Major Multiple Trauma Major Multiple Trauma (IGC 14*) includes cases that require more complex management due to involvement of multiple systems or sites. Record the ICD-9-CM code for the primary trauma in item 25, Etiologic Diagnosis, and record the ICD-9-CM codes for secondary traumas in item 26, Other Diagnoses. International subscribers may use ICD-10-CM codes Brain + Spinal Cord Injury 14.2 Brain + Multiple Fracture/Amputation 14.3 Spinal Cord + Multiple Fracture/Amputation 14.9 Other Multiple Trauma 15* Developmental Disabilities Developmental Disabilities (IGC 15*) includes cases in which the major disorder is a specific delay in development attributable to a physical impairment, a mental impairment, or a combination thereof. 15.1* Disorders of Motor Control Without Minimal Cerebral Dysfunction With Minimal Cerebral Dysfunction Disorders of Motor Coordination (Clumsy Child Syndrome) Disorders of Praxis Other Motor Delay 15.2* Developmental Speech and Language Disorders Expressive Language Delay Receptive Language Delay Receptive and Expressive Language Delay Motor Speech Delay (articulation disorder or apraxia of speech) 15.3* Developmental Delay Developmental Delay Other Developmental Disability 15.4* Disorders of Attention, Socialization, and Behavior Attention Deficit Disorder with Hyperactivity Attention Deficit Disorder without Hyperactivity Autistic Spectrum Disorder Pervasive Developmental Disorder Other Behavioral Disorders 15.5* Genetic Disorders Down s Syndrome (Trisomy 21 or 22) Other Genetic Disorders 16 Debility Debility (IGC 16) includes cases with generalized decondtioning not attributable to any of the other IGCs. Do not use this IGC for cases with debility secondary to cardiac conditions or pulmonary conditions. 16 Debility
5 17 Failure to Thrive/Malnutrition Failure to Thrive/Malnutrition (IGC 17) includes cases in which the focus of rehabilitation is feeding disorders. 17 Failure to Thrive/Malnutrition If you would like to provide feedback on this draft, please contact Kevin Gibson, WeeFIM Product Manager, at or
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