Subjective symptoms may be the only residual of TBI or may be associated with cognitive impairment or other areas of dysfunction. Evaluate cognitive impairment under the table titled “Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified.” In a given individual, symptoms may fluctuate in severity from day to day. Not all of these brain functions may be affected in a given individual with cognitive impairment, and some functions may be affected more severely than others. Executive functions are goal setting, speed of information processing, planning, organizing, prioritizing, self-monitoring, problem solving, judgment, decision making, spontaneity, and flexibility in changing actions when they are not productive. Each of these areas of dysfunction may require evaluation.Ĭognitive impairment is defined as decreased memory, concentration, attention, and executive functions of the brain. There are three main areas of dysfunction that may result from TBI and have profound effects on functioning: cognitive (which is common in varying degrees after TBI), emotional/behavioral, and physical. It is of exceptional importance that when ratings in excess of the prescribed minimum ratings are assigned, the diagnostic codes utilized as bases of evaluation be cited, in addition to the codes identifying the diagnoses.Ĩ045 Residuals of traumatic brain injury (TBI): Determinations as to the presence of residuals not capable of objective verification, i.e., headaches, dizziness, fatigability, must be approached on the basis of the diagnosis recorded subjective residuals will be accepted when consistent with the disease and not more likely attributable to other disease or no disease. Note: It is required for the minimum ratings for residuals under diagnostic codes 8000-8025, that there be ascertainable residuals. At this point, if the residuals have stabilized, the rating will be made on neurological residuals according to symptomatology.
Insomnia va rating code#
Note: The rating in code 8021 will be continued for 2 years following cessation of surgical, chemotherapeutic or other treatment modality.
Note: Consider the need for special monthly compensation.Ĩ019 Meningitis, cerebrospinal, epidemic: Note: Rate upon the severity of convulsions, paralysis, visual impairment or psychotic involvement, etc.
Rate the vascular conditions under Codes 8007 through 8009, for 6 months Morin, Ph.D.Note: The rating in code 8002 will be continued for 2 years following cessation of surgical, chemotherapeutic or other treatment modality. Print out your completed Insomnia Severity Index, along with the Guidelines for Scoring/Interpretation, to show to your health care provider. daytime fatigue, mood, ability to function at work/daily chores, concentration, memory, mood, etc.) CURRENTLY? Not at allĪdd the scores for all seven items (questions 1 + 2 + 3 + 4 + 5 +6 + 7) = _ your total scoreġ5-21 = Clinical insomnia (moderate severity) To what extent do you consider your sleep problem to INTERFERE with your daily functioning (e.g. How WORRIED/DISTRESSED are you about your current sleep problem? Not at allħ. How NOTICEABLE to others do you think your sleep problem is in terms of impairing the quality of your life? Not at allĦ. How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern? Very Satisfiedĥ. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
Print out a copy of your completed Insomnia Severity Index to take to your health care provider.įor each question, please CIRCLE the number that best describes your answer. When you have your total score, look at the 'Guidelines for Scoring/Interpretation' at the bottom of the Insomnia Severity Index page to see where your sleep difficulty fits. The seven answers are added up to get a total score. The Insomnia Severity Index has seven questions.
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