Rating | |
---|---|
9900Maxilla or mandible, chronic osteomyelitis or osteoradionecrosis of: | |
Rate as osteomyelitis, chronic under diagnostic code 5000 | |
9901Mandible, loss of, complete, between angles | 100 |
9902Mandible, loss of approximately one-half: | |
Involving temporomandibular articulation | 50 |
Not involving temporomandibular articulation | 30 |
9903Mandible, nonunion of: | |
Severe | 30 |
Moderate | 10 |
Note—Dependent upon degree of motion and relative loss of masticatory function | |
9904Mandible, malunion of: | |
Severe displacement | 20 |
Moderate displacement | 10 |
Slight displacement | 0 |
Note—Dependent upon degree of motion and relative loss of masticatory function | |
9905Temporomandibular articulation, limited motion of: | |
Inter-incisal range: | |
0 to 10 mm | 40 |
11 to 20 mm | 30 |
21 to 30 mm | 20 |
31 to 40 mm | 10 |
Range of lateral excursion: | |
0 to 4 mm | 10 |
Note—Ratings for limited inter-incisal movement shall not be combined with ratings for limited lateral excursion | |
9906Ramus, loss of whole or part of: | |
Involving loss of temporomandibular articulation | |
Bilateral | 50 |
Unilateral | 30 |
Not involving loss of temporomandibular articulation | |
Bilateral | 30 |
Unilateral | 20 |
9907Ramus, loss of less than one-half the substance of, not involving loss of continuity: | |
Bilateral | 20 |
Unilateral | 10 |
9908Condyloid process, loss of, one or both sides | 30 |
9909Coronoid process, loss of: | |
Bilateral | 20 |
Unilateral | 10 |
9911Hard palate, loss of half or more: | |
Not replaceable by prosthesis | 30 |
Replaceable by prosthesis | 10 |
9912Hard palate, loss of less than half of: | |
Not replaceable by prosthesis | 20 |
Replaceable by prosthesis | 0 |
9913Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity: | |
Where the lost masticatory surface cannot be restored by suitable prosthesis: | |
Loss of all teeth | 40 |
Loss of all upper teeth | 30 |
Loss of all lower teeth | 30 |
All upper and lower posterior teeth missing | 20 |
All upper and lower anterior teeth missing | 20 |
All upper anterior teeth missing | 10 |
All lower anterior teeth missing | 10 |
All upper and lower teeth on one side missing | 10 |
Where the loss of masticatory surface can be restored by suitable prosthesis | 0 |
Note—These ratings apply only to bone loss through trauma or disease such as osteomyelitis, and not to the loss of the alveolar process as a result of periodontal disease, since such loss is not considered disabling | |
9914Maxilla, loss of more than half: | |
Not replaceable by prosthesis | 100 |
Replaceable by prosthesis | 50 |
9915Maxilla, loss of half or less: | |
Loss of 25 to 50 percent: | |
Not replaceable by prosthesis | 40 |
Replaceable by prosthesis | 30 |
Loss of less than 25 percent: | |
Not replaceable by prosthesis | 20 |
Replaceable by prosthesis | 0 |
9916Maxilla, malunion or nonunion of: | |
Severe displacement | 30 |
Code of Federal Regulations
463
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|
Moderate displacement | 10 |
Slight displacement | 0 |