September 28, 1978 CORRECTED COPY M29-I, Part III\
Change 2

CONTENTS

CHAPTER 7. WAIVER DIARIES

PARAGRAPH PAGE\
7.01 Types of Diaries 7-1\
7.02 Pending Diaries 7-1\
7.03 Pending Diary Entries-Description 7-1\
7.04 Pending Claim for DIB or T&P 7-2

7.05 Waiver Approval-System Processing of VA Form 29-1565-3,\
Decision Disability Insurance Benefits 7-3

7.06 Waiver Approval-Clerical Processing of VA Form 29-1565-3 7-3\
7.07 Disallowance or Denial 7-5\
7.08 Review Diary Entries-Description 7-5\
7.09 Types of Reviews 7-6\
7.10 Scheduling and Control of Reviews 7-7\
7.11 Waiver Termination 7-7\
7.12 Off-Tape Diaries 7-8\
7.13 Waiver Diary Codes 7-8

FIGURE PAGE

7.01 VA form 29-8524, Waiver Diary, to Insert a Pending Waiver\
Diary on the Pending Transaction Tape 7-34

7.02 VA Form 29-1565-3, Decision Disability Insurance Benefits,\
Used as the Source Document, in lieu of Clerical Preparation of\
VA Form 29-8524, at the Time a Claim for Waiver is Approved 7-35

7.03 VA Form 29-5895c, Waiver Diary Action, to Change the Pending\
Waiver Diary to Indicate Premature Claim 7-36

7.04 VA Form 29-5895c, Waiver Diary Action, to Change the Pending\
Waiver Diary to Indicate Evidence 6 Months 7-37

7.05 VA Form 29-5895a, Pending Transaction Input Card, to Insert\
Frozen 974 Pending Diary 7-38

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M29-I, Part III CORRECTED COPY September 28, 1978

Change 2

CONTENTS-Continued

FIGURE PAGE

7.06 VA Form 29-5895c, Waiver Diary Action, to Change the Pending\
Waiver Diary to a Review Diary 7-39

7.07 VA Form 29-8524, Waiver Diary, to Delete a Pending Waiver Diary
7-40

7.08 VA Form 29-8313, Disability Benefits Questionnaire (Top Section),\
to Update Waiver Diary at the Time a Regular Review is Made 7-41

7.09 VA Form 29-8313, Disability Benefits Questionnaire (Top Section)\
to Change Diary Control Character When Making an Interim Review.\
No Entry Required on Overprinted VA Form 29-8313 7-42

7.10 VA Form 29-8524, Waiver Diary, to Change the Callup Date\
(Rev. or Followup) STAREV 19th Year of Disability in the\
Review Waiver Diary 7-43

7.11 VA Form 29-8524, Waiver Diary, to Delete Review Waiver Diary\
When Waiver is Terminated 7-44

7-ii

CORRECTED COPY M29-1, Part III\
September 28, 1978 Change 2

CHAPTER 7. WAIVER DIARIES

7.01 TYPES OF DIARIES

a\. The two primary types of waiver diaries are pending diaries and
review diaries. A pending diary is a non- freeze diary inserted on the
pending transaction tape at the time a claim for disability insurance
benefits is received. These diaries are used to control the processing
of new waiver applications. Review diaries are also non- freeze diaries
and are used to provide information for controlling the release of
questionnaires used to obtain information necessary to perform periodic
reviews of active waiver cases. Review diaries contain codes
representing disabilities, the effective date of disability, and the
next review date. Both pending and review diaries will be discussed in
detail below.

b\. A third type of waiver diary, the off tape diary, may be used when
there is no master record on tape. Off-tape diaries will be discussed in
paragraph 7.12.

c\. The final type of waiver diary used by the Insurance Claims Section
is a frozen 974 pending diary. This 974 diary is used to insert a life
freeze to prevent the automatic release of dividend payments on USGLI
(United States Government life Insurance) contracts.

7.02 PENDING DIARIES

a\. The basic document used to establish a pending waiver diary is VA
Form 29-8524, Waiver Diary. The Transaction Type used to insert a
pending diary is TT008. (See fig. 701.) A VA Form 29-8524 is prepared in
the Receipt and Dispatch Unit whenever a VA Form 29-357, Claim for
Disability Insurance Benefits, is received. The ADP system will
establish a pending diary, generate a skeleton VA Form 29-1565-3,
Decision Disability Insurance Benefits, and an IRPO (Insurance Record
Printout) reason code APPPND, for each policy in the master record. (See
fig. 7.02.) The ADP system will also release VA Form 29-5885,
Information About Your Insurance, to the insured to acknowledge receipt
of the application for waiver.

b\. The VA Form 29-5885, released upon receipt of a claim for disability
insurance benefits, will contain the following message:

YOUR CLAIM FOR DISABILITY INSURANCE BENEFITS HAS BEEN RECEIVED AND IS
BEING PROCESSED. YOU SHOULD CONTINUE TO PAY PREMIUMS WHILE YOUR CLAIM IS
PENDING. THIS WILL INSURE CONTINUOUS PROTECTION SHOULD YOUR CLAIM BE
DENIED.

c\. If an application for benefits involves a paid-up contract, the
second and third sentences will be omitted. If TDIP is involved and both
the parent policy and TDIP rider are paid to the end of the premium
payment period, the second and third sentences will also be omitted.

7.03 PENDING DIARIES ENTRIES-DESCRIPTION

a\. The pending waiver diary will appear in the pending transaction area
of the VA Form 29-5886b, Insurance Record Printout. The pending diary
will appear as follows:

7-1

**M29.1, Part III** **CORRECTED COPY September 28, 1978\
Change 2**

b\. An explanation of the pending diary shown above follows:

\(1\) Trans. Type-Always \"978.\"

\(2\) Call-up Date-Month, day, and year that the system will initiate
action.

\(3\) Call-up Type-Always \"MSC 4\" indicating a miscellaneous pending
transaction.

\(4\) Diary Control Character-Always \"5\" indicating a pending waiver
application.

\(5\) Call-up Code Type-Always \"944\" indicating Insurance Claims
Section followup action.

\(6\) Application Receipt Date-In the pending waiver diary, the month,
day, and year shown in this field is the date the claim for waiver was
received by the VA.

7.04 PENDING CLAIM FOR DIB OR T&P

a\. When a claim for DIB is filed prematurely, within 6 months of the
beginning date of total disability, the pending diary should be changed
to indicate the status of the claim.

b\. The Claims Examiner, Authorizer or Senior Authorizer will prepare VA
Form 29-5859c, Waiver Diary Action, to change the pending diary to
indicate a premature claim. (See fig. 7.03.) In addition to the basic
entries, the following will be shown:

\(1\) PRMCL will be shown in the ICS Message Area field.

\(2\) Call-up Date field will reflect a date 6 months from the alleged
date of total disability. However, if the evidence indicates a beginning
date of total disability other than the one claimed, enter a call-up
date 6 months from the date supported by the evidence of record.

c\. At the end of the 6-month period, the PRMCL message should be
changed to EVID6MOS and the application receipt date should be changed
to a date 6 months from the alleged date of total disability. VA Form
29- 5895c should be used to make these changes (see fig. 7.04).

d\. When a claim for total and permanent disability benefits is received
for a USGLI contract, a frozen 974 diary will be prepared to insert a
life freeze into the master record. This 974 diary will prevent the
automatic

7.2

September 28, 1978 CORRECTED COPY M29-1, Part III\
Change 2

release of dividend payments when a claim for T&P benefits is pending.
VA Form 29-5895a, Pending Transaction Input Card, will be used to insert
the diary (see fig. 7.05).

7.05 WAIVER APPROVAL-SYSTEM PROCESSING OF VA FORM 29-1565-3, DECISION
DISABILITY INSURANCE BENEFITS.

a\. When a claim for DIB is approved, the Claims Examiner, Authorizer,
or Senior Authorizer will complete VA Form 29-1565-3 and route it to the
General Clerk/Adjustment Claims Clerk.

b\. The General Clerk/Adjustment Claims Clerk will file the original of
VA Form 29-1565-3 on the right side of the insurance folder. Copy 2 will
be attached to the insurance folder and recharged to the Voucher Audit
Unit for review and subsequent release to the Keypunch Unit. The
Keypunch Unit will use this form as a source document for preparing a
TT078 to change the pending waiver diary to a review diary and cause
automatic processing by the system. (See fig. 7.02.) Copy 3 of VA Form
29-1565-3 will be routed to the Control Clerk in the Insurance Claims
Section for insertion into the control file.

c\. When TDIP benefits are involved, the General Clerk will route copy 2
with the insurance folder to the Adjustment Claims Clerk. The Adjustment
Claims Clerk will prepare VA Form 29-462, Authorization for Insurance
Payments, affix it and Copy 2 of VA Form 29-1565-3 to the insurance
folder and forward insurance folder to the appropriate Authorizer or
Senior Authorizer. The Authorizer/Senior Authorizer will sign VA Form
29462 and route the insurance folder and attached material to the
Voucher Audit Unit. The folders recharged to the Voucher Audit Unit will
be listed on VA Form 29-710, Transmittal List of Award Actions.

7.06 WAIVER APPROVAL-CLERICAL PROCESSING OF VA FORM 29-1565-3

a\. If any of the following conditions exist, VA Form 29-1565-3 cannot
be used as a source document for preparing a TT078 to automatically
process waiver cases. A waiver case requires clerical processing when:

\(l\) The insurance is inforce under a Section 724 waiver.

\(2\) The decision is an amended or supplemental award.

\(3\) A waiver is granted on a two policy case and the effective months
of waiver differ.

NOTE: When the effective date of waiver/refund involves different months
on a two-policy case, the system will process the case provided the
disability effective date is not more than 1 year prior to the
application receipt date.

\(4\) The due dates after termination of waiver differ on a two-policy
case.

\(5\) The effective date of waiver is prior to the effective date of the
current contract, except for one renewal period.

\(6\) An RH contract was issued under M29-l, part IV, chapter I.

\(7\) A two policy case involves TDIP.

\(8\) There are three or more policies on the master record.

\(9\) A waiver is approved and TDIP or competency is deferred or a
fiduciary has not been approved and entered on the master record, or the
refund exceeds \$350 on incompetent cases.

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M29-I, Part III CORRECTED COPY September 28, 1978

Change 2

\(10\) The award involves T&P (Total and Permanent) disability (USGLI).

\(11\) An allotment or DFB is running in an incorrect amount, or more
than 1 month in advance.

\(12\) The policy number in the pending transaction is not identified.

\(13\) The basic policy is paid-up and the TDIP How Paid is 0, 1,3,6,8,
or 9.

\(14\) The award is for a closed period and the How Paid Code is 3 or 6.

\(15\) The account is lapsed or the How Paid Code is 0, 1, or 4 and the
contract is not in the master record.

\(16\) There is a lien on the account.

\(17\) There is no 944 pending diary or the 944 diary for another
contract was previously approved.

\(18\) There is TDIP on a V, RS, or W term contract and the waiver is
effective prior to October 1970.

\(19\) The account is frozen.

\(20\) The waiver on a J or JR account is effective prior to October
1976.

\(21\) When waiver involves a Modified Life, Reduced Modified Life
and/or Replacement Special OL contracts.

\(22\) Two or more policies with different funds.

\(23\) Term policy with skipped months in the previous term period.

\(24\) Two-policy cases where one has TDIP and the other does not.

\(25\) Premiums paid into future term period, except for one renewal
period.

b\. When any of the above conditions exist, clerical preparation of
input documents and/or VA Form 29-5886b will be required to process VA
Form 29-1565-3 and change the pending diary to a review diary.

c\. The General Clerk/Adjustment Claims Clerk will request a frozen RPO.
When the RPO is received, it will be routed with copy l and copy 2 of VA
Form 29-1565-3 and the insurance folder to the Adjustment Claims Clerk.
Copy 3 of VA Form 29-1565-3 will be inserted into the control file.

d\. The Adjustment Claims Clerk will prepare the following input
documents as applicable and file the original (copy l) VA Form 29-1565-3
in the insurance folder. Copy 2 will be attached to the insurance folder
with the input documents and will be recharged to the Voucher Audit
Unit.

e\. Input documents:

\(l\) RPO or VA Form 29-8523, Premium/TDIP, transaction type 083, to
downdate or update the premium and/or TDIP segment to the commencing
date of premiums waiver, change the How Paid to 5 and adjust the
accounting controls.

\(2\) VA Form 29-8523, transaction type 083, second-day release, to
update the premium and/or TDIP segment to the current premium month due
and adjust the accounting controls.

\(3\) VA Form 29-5895c, second-day release, transaction type 078, to
change the pending waiver-diary to a review diary (see fig. 7.06).

7-4

M29-l, Part III\
January 14, 1980 Change 3

\(4\) RPO or VA Form 29-8526, Pending Transaction, transaction type 008,
to insert a 609 refund pending transaction diary, callup type 609 with
an immediate callup date.

*NOTE: When the refund is not going to be immediate, make this callup
type 974 with a 45-day callup date.*

\(5\) VA Form 29-5926, Request for DFB Action, or VA Form 29-1588,
Request for Allotment Deduction Change, to reduce or discontinue the
service allotment.

\(6\) VA Form 29-8526, transaction type 008, to insert a nonfreeze 978
miscellaneous pending transaction diary, callup type 974, with a 75-day
callup date for the VA Form 29-5926, and 120-day callup date for VA Form
29-1588.

\(7\) When the account is not on the insurance master record, prepare
the appropriate input documents to insert the account as it appeared on
the date of lapse.

\(a\) If an N account, insert as V with current renewal date.

\(b\) If a death case, do not insert File account.

7.07 DISALLOWANCE OR DENIAL

a\. If a claim for waiver is disallowed or denied, the Claims Examiner,
Authorizer or Senior Authorizer will complete VA Form 29-1565-3 (see ch.
4, par. 4.04). Copy I and the insurance folder will be routed to the
General Clerk/Adjustment Claims Clerk. Copy 2 and copy 3 of the form
will be disposed of in accordance with Records Control Schedule VB-I,
part I.

b\. The General Clerk will prepare VA Form 29-8524, transaction type
098, to delete the pending waiver diary (see fig. 7.07).

7.08 REVIEW DIARY ENTRIES-DESCRIPTION

a\. The pending waiver diary is changed to a review diary at the time a
claim for waiver is approved. The review diary will appear as follows:

7-5

**M29-I, Part III January 14, 1980**

Change 3

b\. An explanation of the review diary as it appears in the Pending
Transactions area is given below:

\(1\) Trans. Type-Always \"978\" (denotes diary).

\(2\) Callup Date-Month, day, and year the system will initiate action.

\(3\) Callup Type-Always \"MSC 4\" indicating a miscellaneous pending
transaction.

\(4\) Diary Control Character-A one-digit numeric or alpha code
indicating the type of action involved. An explanation of these codes
and their functions will be found in paragraph 7.13.

\(5\) Effective Date of Disability-Month, day and year total disability
began.

\(6\) Callup Type-Always \"944\" indicating Insurance Claims Section
followup action.

\(7\) Severity Code A one-digit numeric code which, in conjunction with
the diary control character, controls system generation of VA Form
29-8313, Disability Benefits Questionnaire. An explanation of these
codes and their functions can be found in paragraph 7.13.

\(8\) Review Date Month, day, and year of the next regular review.

\(9\) Primary Classification Codes A four-digit number is used to
represent the primary disability classification code. A complete listing
of disability codes may be found in paragraph 7. 13.

*NOTE: Only the primary disability code will be completed unless
EVID6MOS or PRMCL appears in the diary message area. Then enter \"0000\"
in the secondary disability code field.*

7.09 TYPES OF REVIEWS

a\. The two primary types of review actions are Regular reviews and
Interim reviews. Regular review actions are taken by Claims Examiners,
Authorizers and Senior Authorizers. Interim reviews are processed by
General Clerks.

b\. When a regular review action is completed, the decision is entered
on VA Form 29-808b, Review Decision of Disability Insurance Claims. The
top portion of VA Form 29-8313 will be detached and coded to update the
waiver diary; the lower portion will be filed on the right side of the
insurance or DIB folder. (See fig. 7.08.)

c\. Interim review actions are completed by the General Clerks. (See ch.
5, par. 5.01). When making an interim review, the General Clerk will
detach the top portion of the overprinted VA Form 29-8313 and forward it
to the DPC for processing. The lower portion of the form will be
disposed of in accordance with Records Control Schedule VB-1, part I.
(See fig. 7.09).

d\. A third type of review action is the 19th-year review. On the
anniversary of the 19th year of total disability, an RPO with reason
code STAREV will be generated. The Claims Examiner will review the DIB
and/or insurance folder to insure that all is in order and verify the
beginning of total disability on VA Forms 29-1565-3, 29-808b and
29-5886b. After verifying the beginning date of total disability, the
Claims Examiner will prepare VA Form 29-8524, TT078, to change the
callup date to agree with the next review date, which should be a date
20 years from the effective date of total disability. (See fig. 7. l0.)

e\. The final type of review action is the 20th-year review. On the
anniversary of the 20th year of total disability, an RPO will be
generated with reason code STAREV and the message STATUTORY in the
callup date field of the waiver diary. The Claims Examiner will review
the DIB and insurance folder to insure that the beginning date of total
disability is correct. After verifying the date, the Claims Examiner
will initial, date and file the RPO in the insurance or DIB folder. (See
M29- I, pt. l, .31, para. 31.32.)

7-6

January 14, 1980 M29-1, Part III\
Change 3

7.10 SCHEDULING AND CONTROL OF REVIEWS

a\. VA Form 29-8313 will be released by the system for interim or
regular reviews when a callup date is reached and the diary control is
\"0.\"

b\. The VA Form 29-8313 generated for an interim review will have the
next regular review date printed on the front of the form. If TDIP
benefits are involved, the date will be prefixed by the letter \"T.\" On
the VA Forms 29-8313 released for regular reviews, the words \"Regular
Review\" will appear.

c\. When the system releases VA Form 29-8313, a callup date of 45 days
will be established. If, at the end of the 45 days, the VA Form 29-8313
has not been returned by the insured, a followup RPO will be generated.
Following RPO\'s generated for interim reviews will bear the legend
NORESP; those generated for regular reviews will have the legend REGREV.

d\. When a followup RPO is generated, it will be associated with the
insurance folder and delivered to the Insurance Claims Section. A second
VA form 29-8313 will be prepared clerically in duplicate and noted
\"Second Request.\" The original will be dated and released to the
insured. The carbon copy will be dated and filed in the insurance
folder.

e\. When followup action is taken on an interim review within 60 days of
the next regular review, the second request should be treated as a
regular review; i.e., the second request VA Form 29-8313 will be noted
\"Regular Review.\"

7.11 WAIVER TERMINATION

a\. When medical or employment evidence indicates that the insured is no
longer totally disabled for insurance purposes, VA Form 29-1568, Review
Decision Termination, will be prepared by the designated personnel to
terminated Disability Insurance Benefits. (See ch. 5, par. 13). The
Adjustment Claims Clerk will review the VA Form 29-1568 to determine if
the termination can be processed automatically by the system.

b\. The VA Form 29-1568 must be processed clerically if any of the
following conditions exist:

\(l\) The account is frozen.

\(2\) The first premium due after termination of waiver is in the next
renewal period.

\(3\) There are three or more policies in the master record.

\(4\) There are two policies with different due dates.

\(5\) A two-policy case and the How Paid Code is \"0\" on one policy.

c\. If none of the above conditions exist, the Adjustment Claims Clerk
will prepare VA Form 29-8524 with TT078, code 2, to initiate automatic
processing by the system. (See fig. 7. 11.) The system will
automatically:

\(l\) Change the How Paid Code to \"9.\"

\(2\) Update the policy, premium and optional segment.

\(3\) Delete the waiver diary.

*NOTE: If the premiums were previously paid by DFB, prepare VA Form
29-5926, Request for DFB Action, to resume deductions, and VA Form
29-8530, Life/Miscellaneous, TT082, callup type 951 with a 75-day callup
date.*

d\. When a termination must be clerically processed, refer to chapter 5,
paragraph 5.13.

7-7

**M29-I, Part III** **January 14, 1980**

Change 3

7.12 OFF-TAPE DIARIES

a\. When a waiver diary is necessary and no insurance master record
exists, VA Form 29-57l6b, DIC Diary Card-NSLI/USGLI, will be used. The
control file of VA Forms 29-57l6b is maintained by the General Clerk on
a current basis in chronological and terminal-digit order.

b\. The Claims Examiner, Authorizer, or Senior Authorizer will prepare
VA Form 29-57l6b in triplicate. Essential information, such as file
number, veterans name, date diary expires, and purpose of diary, will be
entered. If there is more than one reason for preparing a diary
requiring different callup dates, only one diary will be prepared and
the earliest callup date will be used.

c\. The original and second copy will be given to the General Clerk for
filing in the control file. The third copy will be filed in the
insurance or DIB folder.

d\. When the diary period expires, the General Clerk will release the
original VA Form 29-57l6b to the Insurance Files \[Section\] where it
will be associated with the insurance folder. When the insurance folder
is returned, the duplicate copy retained in the control file will be
attached to the folder and routed to the designated personnel.

*NOTE: A current VA Form 4-456, Insurance Award Record Printout, will be
requested when status is required.*

e\. The Claims Examiner, Authorizer, or Senior Authorizer will remove
the third copy from the insurance or DIB folder. After completing a
review decision, a new diary will be prepared if required.

f\. When the reason for the diary no longer exists prior to the
expiration of the diary, the file copy will be removed from the folder,
marked \"C,\" and given to the General Clerk. The General Clerk will
then remove the original and duplicate from the control file and dispose
of them in accordance with Records Control Schedule VB-l, part I.

7.13 WAIVER-DIARY CODES

a\. There are several categories of codes that are used in waiver
diaries to direct the action required by the system.

b\. These codes are used singly or in combination with other codes or
dates to enable the computer to arrive at a particular action to be
taken on a callup date that is either supplied clerically or computed
automatically by the system. These codes and their functions are
outlined below:

\(1\) Diary Control Characters

7-8

September 28, 1978 CORRECTED COPY M29-1, Part III\
Change 2

CODE PURPOSE

Triggers release of VA form 29-8313 unless another call- up action
intervenes.

l Indicates a VA Form 29-8313 has been released or NO\
MAIL or review RPO has been generated. New callup\
date will be calculated.

2 Indicates 19th year of disability. Statutory review is\
next callup. Will release repetitive RPO\'s until a new\
callup date is clerically furnished.

3 Indicates 19th year of statutory review has been made,\
or that claim is statutory because of \"loss of or loss of\
use of.\" This code will terminate repetitive followup\
RPO\'s.

4 Indicates second RPO followup (45 days) since release\
of a VA Form 29-8313.

5 Indicates a waiver application pending. Repetitive RPO\'s\
will be generated every 45 days unless callup is changed\
with a Transaction Type 078.

6 through 9 Upon receipt of an RPO with a CD (Diary Control

Character) 4, if clerical action is not taken to change\
the DCC, repetitive RPO\'s will be generated every 45\
days. A DDC 4 will be incremented by 2 and additional\
RPO\'s will reflect a DCC incremented by l until a maxi\
mum of 9 is attained.

NOTE: When the DCC appears as a letter instead of a number, it is an
indication that the RPO was generated after the review date appearing in
the waiver diary. The presence of a letter in the record will provide a
different RPO reason code on the next printout (a regular review as
opposed to a no response RPO).

\(2\) Severity Codes. The severity code is used by the system to compute
a callup date for the release of a VA Form 29-8313 or to indicate that a
waiver is statutory. The system will compute the VA Form 29-8313 callup
date from the current processing date, only if the diary control
character is a \"0.\" When an award comes up for a regular review, the
severity code should be reviewed by the Claims Examiner or Senior
Authorizer and changed whenever necessary. Severity codes and their
meanings are shown below:

RELEASE SCHEDULE OF VA\
CODE DESIGNATION FORM 29-8313

0 Statutory None\
l Monthly Monthly\
2 Quarterly Quarterly\
3 Semiannually Semiannually\
4 Three-quarterly Every 9 months

7-9

M29-1, Part III CORRECTED COPY September 28, 1978

**Change 2**

**RELEASE SCHEDULE OF VA**

**CODE DESIGNATION FORM 29-313\
**5 Annually Every 12 months\
6 Sesquiannually Every 18 months\
7 Biennially Every 24 months

9 No Mail None (RPO will be generated on each anniversary of the total
disability effective date).

\(3\) Action Codes. Used for initial awards or terminations. The code is
used by the system to take the action indicated. Listed below are the
codes and meanings:

CODES MEANING\
1 Award approved\
2 Award terminated

3 Award approved and terminated (How Paid code will\
note be changed).\
4 To change information in a diary without adding to the\
approved or disapproved counts.\
5 Partial denial (this will suspend release of the FL 29-9a).

6 Award terminated (XC case)

\(4\) Disability Classification Codes. The disability classification
code indicates the impairment involved. Only the primary disability
classification code will be completed, except when the diary message is
EVID6MOS or PRMCL, then enter 0000 in the secondary disability code
block. The code that represents a cancer or a disability which is
statutory pursuant to the provisions of 38 U.S.C. 714 and 758 will be
reflected in the primary block. Statutory codes take precedence over all
others. When statutory impairments are involved, the code representing
the effect rather than the cause will prevail. For example, when
blindness in both eyes (Code 6099) was obviously caused by a history of
glaucoma (code 6012), the primary code will be 6099. When a disability
becomes statutory or when an award comes up for a regular review, the
disability classification code should be reviewed by the Claims Examiner
or Senior Authorizer and changed or corrected whenever necessary.
Disability classification codes are shown below:

\(a\) Statutory (Anatomical Loss or Loss of Use of)

One foot-one hand 5116\
One foot-one eye 5117\
One hand-one eye 5118\
Both hands 5159

Both feet 5199

**7-10**

September 28, 1978 CORRECTED COPY M29-I, Part III\
Change 2

Both eyes 6099\
Total loss of hearing in both ears 6277\
Organic loss of speech (aphoniz or laryngectomy) 6590\
Combination of two or more of above- For example,\
a quadruple amputee (multiple impairments) 6599\
(b) Cardiovascular System\
1.The Heart\
Rheumatic heart disease 7000\
Arteriosclerotic heart disease 7005\
Myocardium, infraction of, due to thrombosis or embolism 7006\
Hypertensive heart disease 7007\
All others including an undefined coronary 7019\
[2.]{.underline} The Arteries and Veins\
Arteriosclerosis, general 7100\
Hypertensive vascular disease (essential arterial hypertension) 7101\
Aorta or branches, aneurysm of 7110\
Arteriosclerosis obliterans 7114\
Thrombo.angiitis obliterans (Buerger\'s disease) 7115\
Raynaud\'s disease 7117\
Phlebitis (includes thrombophlebitis) 7121\
All others affecting arteries and veins 7129

\(c\) Cancel

Bones 5012\
Brain (neurological-spinal cord excepted) 8002\
Digestive system (mouth, esophagus, stomach, colon, intestines, etc.)
7343\
Ear 6208\
Endocrine system (thyroid, adrenal and pituitary glands) 7914

7-11

**M29-1, Part III CORRECTED COPY September 28, 1978**

Change 2

•1

Eye 6014\
Genitourinary system (kidneys, bladder, prostate and reproductive
organs) 7528\
Gynecological (female organs) 7627\
Hodgkins\'s disease 7709\
Leukemia 7703\
Respiratory (lungs and pleura) 6819\
Skin 7818\
Spinal cord (neurological-brain excepted) 8021\
Other or unknown (cannot be identified with one of the above) 9990

\(d\) Mental Disorders

Schizophrenic, all types 9200\
All other psychotic disorders 9219\
All organic brain disorders (syndromes) 9300\
All pyschoneurotic disorders 9400\
All psychophysical disorders 9500

\(e\) Respiratory System

All diseases or impairments of the trachea and bronchi including
bronchitis,

bronchiectasis and asthma 6600

Tuberculosis, all categories 6701\
All other diseases of the lungs and pleura including pleurisy,
emphysema, silicosis, etc. 6729\
All other respiratory ailments including any that are undefined 6739

(f.) Digestive System

All ulcers 7304\
Liver ailments or impairments including cirrhosis 7311\
All other impairments of the digestive tract 7349

7.12

September 28, 1978 CORRECTED COPY M29-1, Part III\
Change 2

\(g\) Genitourinary Systems

All nephritis, pyelitis and pyelonephritis 7502\
All injuries to or impairments of the bladder 7514\
All injuries to or impairments of the prostate 7526\
All others 7539

\(h\) Gynecological Conditions (All) 7629

\(i\) Endocrine System

All thyroid and pituitary ailments 7900

All impairments to the adrenal glands

(Addison\'s disease) 7911

Diabetics-all 7913\
All others 7919

\(j\) Neurological Conditions and Convulsive Disorders

Encephalitis, epidemic, chronic 8000\
Paralysis agitans (Parkinson\'s disease) 8004\
Bulbar palsy 8005\
Brain vessels (embolism, thrombosis or hemorrhage) 8007\
Poliomyelitis, anterior 8011\
Syphilis (cerebrospinal or meningovascular) 8013\
Amyotrophic lateral sclerosis 8017\
Multiple sclerosis 8018\
Meningitis, cerebrospinal, epidemic 8019\
Progressive muscular dystrophy 8023\
Cerebral arteriosclerosis 8046\
Narcolepsy 8108\
All other neurological conditions 8109

7-13

M29.1, Part III CORRECTED COPY September 28, 1978

Change 2

\(k\) Paralysis Affecting Cranial and Peripheral Nerves

If applicable, code under statutory (loss of use of. If not statutory,
code under

the condition causing the paralysis. If the cause is unknown, code as
8899

Epilepsy (all degrees) 8910

\(l\) Arthritis and Related Diseases or Ailments

Rheumatoid arthritis 5002\
Marie.Strumpell arthritis 5029\
Osteomyelitis 5000\
All other arthntides 5003\
All other related ailments 5039

\(m\) Eye (Diseases of the Eye-Not Statutory)\
l Retinitis 6006\
2 Glaucoma-all 6012\
3 Cataracts-all 6027\
4 All others (including partial blindness-not statutory) 6039

\(n\) Ear (Diseases Not Statutory)

Meniere\'s syndrome 6205\
All others (including partial deafness-not statutory) 6269

\(o\) Fractures (Not Statutory)

Upper body (collarbone, shoulder blade, arms, hands, fingers, ribs and
chest) 5248\
Lower body (pelvis, thighs, knees hip, ankles, feet and toes) 5266\
Spine or trunk (coccyx, sacrum and cervical, dorsal and lumbar
vertebrae) 5267\
Head-cranium or skull (includes face, cheek, jaw and nose) 5268\
Fractures-area unknown 5269

\(p\) Whiplash 9991

**7-14**

September 28, 1978 CORRECTED COPY M29-I, Part III\
Change 2

\(q\) **Intervertebral Ruptured Discs** (disc syndromes) including
sciatica; lumbago;

lumbosacral, sacroiliac and low back disorders; and similar ailments
**8889**

\(r\) **Personality Traits** other than shown under mental disorders
(includes habits,

morals, alcoholism, drug addiction and others)

\(s\) Miscellaneous

**9992**

Benign brain tumors 9980\
Benign tumors other than brain 9981\
Gunshot wounds 9982\
Wounds other than gunshot 9983\
Muscle injuries 9993\
Systemic diseases (cholera, leprosy, malaria, plague, pellagra, typhus
etc.) 9994\
Skin ailments or injuries (includes burns, severe scars, psoriasis,
etc.) 9995\
Dental and oral conditions 9996

Amputations, or loss of use of (not statutory). The condition causing
the

\"loss of use of\" should be coded if known; otherwise, code as 9997

Diseases of hemic and lymphatic systems (leukemia and Hodgkin\'s disease
are excluded) 9998

\(t\) All other ailments or impairments not listed above (or disease
unknown) 9999

*NOTE: One of the edits performed by the system provides that when a
waiver diary input contains a severity code zero (statutory), the system
will check to see if the total disability has endured for 20 years or
longer (39 U.S. C. 110). If not statutory because of duration, then the
edit must check for one of the codes representing anatomical loss or
loss of use of*

\(5\) The foregoing disability classifications are listed again in
alphabetical order:

Addison\'s disease 7911\
Adrenal glands, all impairments to-(except cancer) 7911\
Alcoholism 9992\
AMPUTATIONS\
- Feet (both)-statutory 5199\
- Hands (both)-statutory 5159

7-15

M29-1, Part III CORRECTED COPY September 28, 1978

Change 2

More than two limbs-statutory 6599

Or loss of use of (one limb)-not statutory

\"loss of use of\" impairments, the condition causing the \"loss of use
of\"

should be coded if known; otherwise code as 9997

Amyotrophic lateral schlerosis 8017\
Aneurism of the aorta or branches 7110\
Ankle, fracture of 5266\
Aorta, or branches (aneurysm of) 7110\
Aphonia-organic loss of speech (also laryngectomy) 6590\
Arm, fracture of 5248

ARTERIES AND VEINS

\- Arteriosclerosis, general 7100\
- Hypertensive vascular disease (essential arterial hypertension) 7101\
- Aorta or branches (aneurysm of) 7110\
- Arteriosclerosis obliterans 7114\
- Thromboangiitis obliterans (Buerger\'s disease) 7115\
- Raynaud\'s disease 7117\
- Phlebitis (includes thrombophlebitis) 7121\
- All others affecting arteries and veins 7129

ARTERIOSCLEROSIS

\- Cerebral 8046\
- General 7100\
- Obliterans 7114\
Arteriosclerotic heart disease 7005

ARTHRITIS AND RELATED DISEASES OR AILMENTS

\- Rheumatoid arthritis 5002\
- Marie-Strumpell arthritis 5029

\- Osteomyelitis **5000\
**

**7-16**

September 28, 1978 CORRECTED COPY M29-1, Part III\
Change 2

\- All other arthritides **5003\
**- All other related ailments **5039**

ARTHRITIS

\- Marie.Strumpell 5029\
- Rheumatoid 5002

\- Undefined 5003\
Asthma 6600\
Astragalus (ankle), fracture of 5266

Benign brain tumors 9980\
Benign tumors other than brain 9981\
Bladder, all injuries or impairments to 7514\
Blindness-both eyes (loss or loss of use of-statutory) 6099\
Blindness-partial but not statutory 6039\
Bones-cancers of 5012\
Brain-cancers of 8002\
Brain-Organic brain disorders (syndromes) 9300\
Brain tumors, benign 9980\
Brain-Vessels (embolism, thrombosis or hemorrhage) 8007

Bronchi and trachea-diseases of 6600\
Bronchiectasis 6600\
Bronchitis 6600\
Buerger\'s disease (thromboangiitis obliterans) 7115\
Bulbar Palsy 8005

Burns **9995**

Calcaneum (heel), fracture of 5266

Calcareous (heel), fracture of 5266

7-17

M29. I, Part III CORRECTED COPY September 28, 1978

Change 2

CANCERS

-Bones 5012\
-Brain (neurological spinal cord excepted) 8002\
-Digestive system (mouth, esophagus, stomach, colon, intestines, etc.)
7343\
-Ear 6208\
-Endocrine system (thyroid, adrenal and pituitary glands) 7914\
-Eye 6014\
-Genitourinary system (kidney, bladder, prostate and

-reproductive organs) 7528\
-Gynecological (female organs) 7627\
-Hodgkin\'s disease 7709\
-Leukemia 7703\
-Respiratory (lungs and pleura) 6819\
-Skin 7818\
-Spinal cord (neurological brain excepted) 8021\
-Other or unknown (cannot be identified with one of the above) 9990

Cardiovascular system

(see heart; or arteries and veins)

Carpus (wrist), fracture of 5248

Cataracts 6027\
Cerebral arteriosclerosis 8046\
Cervical vertebra, fracture of 5267\
Cheek bone (malar), fracture of 5268\
Chest bone(s), fracture of

Cholera (systemic diseases) 9994\
Cirrhosis of the liver 7311\
Clavicle (collarbone), fracture of

Coccyx, fracture of 5248

7.18

September 28, 1978 CORRECTED COPY M29-1, Part III\
Change 2

Convulsive disorders

(see neurological conditions and convulsive disorders)

Coronary-.not further defined 7019

Cranial nerves-paralysis affecting (not statutory).

Code under the condition causing the paralysis. If the cause is unknown,
code as 8899

Cranium (head or skull), fracture of 5268

Deafness-partial but not statutory 6269\
Deafness-total loss of hearing in both ears-statutory 6277\
Dental and oral conditions 9996\
Diabetes (all categories) 7913

DIGESTIVE SYSTEM

All ulcers 7304\
- Liver ailments or impairments including cirrhosis 7311\
- All-other impairments of the digestive tract 7349

Digestive system, cancers of (mouth, esophagus, stomach, colon,
intestines, etc.) 7343\
Disc syndromes (intervertebral ruptured discs) 8889

DISEASES

\- Addison\'s disease 7911\
- Arteriosclerotic heart disease 7005\
- Buerger\'s disease 7115\
- (of the) hemic and lymphatic systems (excluding leukemia and
Hodgkin\'s disease) 9998\
- Hodgkin\'s disease 7709\
- Hypertensive heart disease 7007\
- Hypertensive vascular disease 7101\
- Parkinson\'s disease 8004\
- Raynaud\'s disease 7117\
- Rheumatic heart disease 7000

7-19

M29.I, Part III CORRECTED COPY September 28, 1978

Change 2

\- Systemic diseases (cholera, leprosy, malaria, plague, pallegra,
typhus, etc.) 9994\
- (of the) trachea and bronchi 6600

DISORDERS

\- Brain (organic brain disorders- syndromes) 9300\
- Mental (see under mental disorders)\
- Low back (disc syndrome) 8889\
- Lumbosacral (disc syndrome) 8889\
- Psychoneurotic 9400\
- Psychophysiological 9500\
- Psychotic 9219\
- Sacroiliac 8889\
Dorsal vertebra, fracture of 5267\
Drug addiction 9992\
Dystrophy, progressive muscular 8023

EAR DISEASES-(NOT STATUTORY)

\- Moniere\'s syndrome 6205\
- All others (including partial deafness-not statutory) 6269\
Ears, cancers of 6208\
Ears, total loss of hearing in both ears-statutory 6277\
Encephalitis, epidemic, chronic 8000

ENDOCRINE SYSTEM

\- All thyroid and pituitary ailments 7900\
- All impairments to the adronal glands (Addison\'s disease) 7911\
- Diabetes-all 7913\
- All others-except cancer 7919

7-20

September 28, 1978 CORRECTED COPY M29-1, Part III\
Change 2

Endocrine system, cancers of (thyroid, adrenal and pituitary glands)
7914\
Emphysema 6729\
Epilepsy (all degrees) 8910\
Eye-cancers of 6014

EYE-(DISEASES OF THE EYE-NOT STATUTORY)

\- Retinitis 6006\
- Glaucoma\--all 6012\
- Cataracts\--all 6027\
- All others (including partial blindness-not statutory) 6039\
Eye-one foot (anatomical loss or loss of use of)-statutory 5117\
Eye-one hand (anatomical loss or loss of use of)-statutory) 5118\
Eyes-both (anatomical loss or loss of use of)-statutory) 6099

-Face bones, fracture of 5268\
Feet-both (anatomical loss or loss of use of)-statutory 5199\
Female organs-cancer of 7627\
Female organs-diseases or impairments other than cancer 7629\
Femur (thigh), fracture of 5266\
Fibula, fracture of 5266\
Fingers (phalanges), fracture of 5248\
Foot, fracture of 5266\
Foot-one eye (anatomical loss or loss of use of)-statutory 5117\
Foot-one hand (anatomical loss or loss of use of)-statutory 5116

FRACTURES-(NOT STATUTORY)-CONDENSED LISTING

\- Upper body (collarbone, shoulder blade, arms, hands, fingers, ribs
and chest) 5248\
- Lower body (pelvis, thighs, knees, hip, ankles, feet and toes) 5266\
- Spine or trunk (coccyx, sacrum and cervical, dorsal and lumbar
vertebrae) 5267

7-21

M29-1, Part III CORRECTED COPY September 28, 1978

Change 2

\- Head-cranium or skull (includes face, cheek, jaw and nose) 5268\
- Fractures-area unknown 5269

FRACTURES-(NOT STATUTORY)-EXPANDED LISTING

\- Ankle 5266\
- Arm (humerus-radius-ulna) 5248\
- Astragalus (ankle) 5266\
- Calcaneum (heel) 5266\
- Calcaneus (heel) 5266\
- Carpus (wrist) 5248\
Cervical vertebra 5267\
- Cheek (malar) 5268\
- Chest (sternum) 5248\
- Clavicle (collarbone) 5248\
- -&ccyx 5267\
- Collarbone (clavicle) 5248\
- Cranium (head or skull) 5268\
- Dorsal vertebra 5267\
- Face bones 5268\
- Femur (thigh) 5266\
- Fibula 5266\
- Fingers (phalanges) 5248\
- Foot 5266\
- Frontal bone (bone of the forehead) 5268

\- Hand 5248\
- Head (cranium or skull) 5268\
- Heel (calcaneum or calcaneus) 5266

7-22

September 28, 1978 CORRECTED COPY M29-1, Part Ill

Change 2

\- Hip 5266\
- Humerus 5248

\- Ilium 5266\
- Innominate (pelvic) 5266\
- Ischium 5266

\- Jaw-lower (mandible) 5268\
- Jaw-upper (maxilla) 5268

\- Knee (patella) 5266

\- Leg (femur-fibula-patella-tibia) 5266\
- Lower jaw (mandible) 5268\
Lumbar vertebra 5267

\- Malar (cheek) 5268\
- Mandible (lower jaw) 5268\
- Maxilla (upper jaw) 5268\
- Metacarpus (palm) 5248\
- Metatarsus (part of foot) 5266

\- Nasal (nose) 5268

\- Palm (metacarpus) 5248\
- Parietal 5268\
- Patella (knee) 5266

7-23

M29-1, part III CORRECTED COPY September 28, 1978

Change 2

\- Pelvic (innominate) 5266\
- Phalanges (thumb & fingers) 5248\
- Phalanges (toes) 5266\
- Pubic 5266

\- Radius (arm) 5248\
- Ribs (chest) 5248

\- Sacral/sacrum 5267\
- Scapula (shoulder blade) 5248\
- Shin (tibia) 5266\
- Shoulder blade (scapula) 5248\
- Skull (cranium or head) 5268\
- Spine (trunk) 5267\
- Sternum (chest) 5248

\- Talus (ankle) 5266\
- Tarsus 5266\
- Temporal 5268\
- Thigh (femur) 5266\
- Thumb (phalanges) 5248\
- Tibia (shin) 5266\
- Toes (phalanges) 5266\
- Trunk (spine) 5267

\-- Ulna 5248\
- Upper jaw (maxilla) 5268

7-24

September 28, 1978 CORRECTED COPY M29-I, Part III\
Change 2

\- Vertebra (cervical, dorsal and lumbar) 5267

\- Wrist (carpus) 5248

Front bone (bone of the forehead), fracture of 5268

GENITOURINARY SYSTEM\
- All nephritis, pyelitis and pyelonephritis 7502\
- All injuries to or impairments of the bladder 7514\
- All injuries to or impairments to the prostate 7526\
- All others-except cancer 7539\
Genitourinary system, cancers of (kidneys, bladder, prostate and
reproductive organs) 7528

Glaucoma (all degrees) 6012\
Gunshot wounds 9982\
Gynecological conditions (all except cancers) 7629\
Gynecological (female organs), cancers of 7627

Habits (see personality traits)

Hand, fracture of 5248\
Hand-one eye (anatomical loss or loss of use of)-statutory 5118\
Hand-one foot (anatomical loss or loss of use of)-statutory 5116\
Hands-both (anatomical loss or loss of use of)-statutory 5159\
Head (cranium or skull), fracture of 5268\
Hearing-total loss in both ears-statutory 6277

HEART

\- Rheumatic heart disease 7000\
- Arteriosclerotic heart disease 7005\
- Myocardium, infection of, due to thrombosis or embolism 7006

7-25

M29-I, Part III CORRECTED COPY September 28, 1978

Change 2

\- Hypertensive heart disease 7007\
- All others including an undefined coronary 7019\
Heel (calcaneum or calcaneus), fracture of 5266\
Hemic and lymphatic systems, diseases of (excluding Hodgkin\'s disease
and leukemia) 9998\
Hip, fracture of 5266\
Hodgkin\'s disease 7709\
Humerus, fracture of 5248\
Hypertensive heart disease 7007\
Hypertensive vascular disease (essential arterial hypertension) 7101

Ilium, fracture of 5266\
Innominate bones (pelvic), fracture of 5266\
Intervertebral ruptured discs (disc syndrome) 8889\
Ischium, fracture of 5266

Jaw-lower (mandible), fracture of 5268\
Jaw-upper (maxilla), fracture of 5268

Knee (patella), fracture of 5266

Laryngectomy, loss of speech (also aphonia) 6590\
Leg, fracture of 5266\
Leprosy (systemic diseases) 9994\
Leukemia 7703\
Liver ailments or impairments 7311\
Loss of hearing-both ears-statutory 6277\
Loss of hearing-partial but not statutory 6269

7-26

September 28, 1978 CORRECTED COPY M29-1, Part III\
Change 2

Loss of sight-both eyes-statutory 6099\
Loss of speech (aphonia or laryngectormy)-statutory 6590

Loss or loss of use of (one limb or a part of one limb)-not statutory.
For non statutory \"loss of use of,\" impairments, the condition causing
\"the loss of use of\" should be

coded if known, otherwise, code as. 9997

LOSS OR LOSS OF USE OF (ANATOMICAL OR OTHERWISE)-STATUTORY

\- One foot-one hand 5116\
- One foot-one eye 5117\
- One hand-one eye 5118\
- Both hands 5159\
- Both feet 5199\
- Both eyes 6099\
- Total loss of hearing in both ears 6277\
- Organic loss of speech (aphonia or laryngectomy) 6590

\- Combination of two or more of above-

for example, a quadruple amputee (multiple impairments) 6599

Low back disorder \` 8889\
Lower jaw (mandible), fracture of 5268\
Lumbago 8889\
Lumbar vertebra, fracture of 5267\
Lumbosacral disorders 8889\
Lungs, cancers of 6819\
Lymphatic and hemic systems, diseases of (exclude Hodgkin\'s disease and
leukemia) 9998

Malar (cheek), fracture of 5268\
Malaria (systemic diseases) 9994\
Mandible (lower jaw), fracture of 5268\
Marie-Strumpell arthritis 5029

7-27

M29-I, Part III, CORRECTED COPY September 28, 1978

Change 2

Maxilla (upper jaw), fracture of 5268\
Meniere\'s syndrome 6205\
Meningitis, cerebrospinal, epidemic 8019

MENTAL DISORDERS

\- Schizophrenic, all types 9200\
- All other psychotic disorders 9219\
- All organic brain disorders (syndromes) 9300\
- All psychoneurotic disorders 9400\
- All Psychophysiological disorders 9500\
Metacarpus (palm), fracture of 5248\
Metatarsus (part of foot), fracture of 5266\
Morals (see personality traits)\
Multiple sclerosis 8018\
Muscle Injuries 9993\
Muscular dystrophy (progressive) 8023\
Myocardium, infarction of (due of thrombosis or embolism) 7006

Narcolepsy 8108\
Nasal bones (nose), fracture of 5268\
Nephritis 7502

NEUROLOGICAL CONDITIONS AND CONVULSIVE DISORDERS

\- Encephalitis, epidemic, chronic 8000\
- Paralysis agitans (Parkinson\'s disease) 8004\
- Bulbar palsy 8005\
- Brain vessels (embolism, thrombosis or hemorrhage) 8007\
- Poliomyelitis, anterior 8011

7-28

September 28,1978 CORRECTED COPY M29-I, Part III\
Change 2

\- Syphilis (cerebrospinal or meningovascular) 8013\
- Amyotrophic lateral sclerosis 8017\
- Multiple sclerosis 8018\
- Meningitis, cerebrospinal, epidemic 8019\
- Progressive muscular dystrophy 8023\
- Cerebral arteriosclerosis 8046\
- Narcolepsy 8108\
- All other neurological conditions 8109\
- Nose (nasal bones), fracture of 5268

Oral and dental conditions 9996\
Osteomyelitis 5000

Palm (metacarpus), fracture of 5248\
Palsy (bulbar) 8005

Paralysis affecting cranial and peripheral nerves-if applicable, code
under statutory (loss of use of); if not statutory, code under the
condition causing the paralysis.

If the cause is unknown, code as 8899

\- Epilepsy (all degrees) 8910\
Paralysis agitans (Parkinson\'s disease) 8004\
Parietal bones, fraction of 5268\
Parkinson\'s disease (paralysis agitans) 8004\
Patella (knee), fracture of 5266\
Pellagra (systematic disease) 9994\
Pelvic bones (innominate bones), fracture of 5266\
Peripheral nerves-paralysis affecting\--not statutory 8899

Personality traits\--other than shown under mental disorders (includes
habits, morals,

alcoholism, drug addiction and others)

9992

Phalanges (thumb and fingers), fracture of 5248

7-29

M29-I, Part III CORRECTED COPY September 28, 1978

Change 2

Phalanges (toes), fracture of 5266\
Phlebitis (includes thrombophlebitis) 7121\
Pituitary ailments 7900\
Plague (systemic diseases) 9994\
Pleura, cancers of 6819\
Pleurisy 6729\
Poliomyelitis, anterior 8011\
Progressive muscular dystrophy 8023\
Prostate, all injuries or impairments to 7526\
Psoriasis 9995\
Psychoneurotic disorders (all) 9400\
Psychophysiological disorders (all) 9500\
Psychotic disorders (other than schizophrenics) 9219\
Pubic bones, fracture of 5266\
Pyelitis 7502\
Pyelonephritis 7502

Quadruple amputee (statutory) 6599

Radius (forearm bone), fracture of 5248\
Raynaud\'s disease 7117

RESPIRATORY SYSTEM

\- All diseases or impairments of the trachea and bronchi including

\- bronchitis, bronchiectasis and asthma 6600

\- Tuberculosis, all categories 6701

\- All other diseases of the lungs and pleura including pleurisy,

emphysema, siliocosis, etc. 6729

All other respiratory ailments including any that are undefined except
cancer 6739

7-30

September 28, 1978 CORRECTED COPY M29-I, Part III\
Change 2

Respiratory system-lungs and pleura-cancers of 6819\
Retinitis 6006\
Rheumatic heart disease 7000

Rheumatoid arthritis 5002\
Ribs (chest), fracture of 5248\
Ruptured disc- intervertebral- (disc syndromes) 8889

Sacral/sacrum, fracture of 5267\
Sacroiliac disorder 8889\
Scapula (shoulder blade), fracture of 5248

Scars 9995\
Schizophrenic, all types and degrees 9200\
Sciatica 8889\
Sclerosis, amyotrrophic lateral 8017\
Sclerosis, multiple 8018\
Shin (tibia), fracture of 5266\
Shoulder blade (scapula), fracture of 5248\
Silicosis 6729\
Skin, cancers of 7818

Skin, ailments or injuries other than cancer (including burns,

severe scars, psoriasis, etc.) 9995

Skull (cranium or head), fracture of 5268\
Speech, organic loss of (aphonia or Laryngectomy)-statutory 6590\
Spine (trunk), fracture of 5267\
Spinal cord, cancers of 8021\
STATUTORY (ANATOMICAL LOSS OR LOSS OF USE OF)\
- One foot-one hand 5116\
- One foot-one eye 5117

7-31

M29-1, Part III CORRECTED COPY September 28, 1978

Change 2

\- One hand-one eye 5118\
- Both hands 5159\
- Both feet 5199\
- Both eyes 6099\
- Total loss of hearing in both ears 6277\
- Organic loss of speech (aphonia or laryngectomy) 6590

\- Combination of two or more of above-for example, a quadruple

amputee

(multiple impairments) 6599

Sternum (chest), fracture of 5248\
Syphilis (cerebrospinal or meningovascular) 8013\
Systemic diseases (cholera, leprosy, malaria, plague, pellagra, typhus,
etc. 9994

Talus (ankle), fracture of 5266\
Tarsus, fracture of 5266\
Temporal (skull bone), fracture of 5268\
Thigh (femur), fracture of 5266\
Thrombophlebitis 7121\
Thumb (phalanges), fracture of 5248\
Thyroid ailments 7900\
Tibia (shin), fracture of 5266\
Toes (phalanges), fracture of 5266\
Trachea and bronchi, diseases of 6600\
Trunk (spine), fracture of 5267\
Tuberculosis\-\--all degrees (respiratory system only) 6701\
Tumors, benign (brain only) 9980\
Tumors, benign (other than brain) 9981\
Typhus (systematic diseases) 9994

7.32

September 28, 1978 CORRECTED COPY M29-I, Part III\
Change 2

Ulcers-all categories (digestive system) 7304 E\
Ulna (large bone of the forearm), fracture of 5248\
Unknown ailment or impairment (also unclassified) 9999\
Upper jaw (maxilla), fracture of 5268

Vascular disease (see arteries and veins)

Vertebra (cervical, dorsal and lumbar), fracture of 5267\
Voice-organic loss of speech (aphonia or laryngectorny) 6590

Whiplash 9991\
Wounds, gunshot 9982\
Wounds, other than gunshot 9983\
Wrist (carpus), fracture of 5248