15.23 Peripheral Nerve Impairments (Digital Nerve, Peripheral Nerve, Brachial Plexus)
Table 15-19: DBI Table Digit/Hand Impairment
Table 15-20: DBI Table Wrist Impairment
Table 15-21: DBI Table Elbow Impairment
Table 15-22: DBI Table Shoulder Impairment
Table 15-23f: DBI Table Digital Nerve Sensory Impairment
Table 15-23h: DBI Table Sensory-Only Peripheral Nerve Impairment
Table 15-23i: DBI Table Peripheral Nerve Impairment
Table 15-23j: DBI Table Brachial Plexus Impairment
Table 15-23k: DBI Table Entrapment Neuropathy Impairment
Table 15-23r: DBI Table Thoracic Outlet Syndrome Impairment
Table 15-25: DBI Table Amputation Impairment Upper Limb
Table 15-26: DBI Table Vascular Impairment Upper Limb
Table 15-27: DBI Table Complex Regional Pain Syndrome (CRPS) Impairment
Table 15-23f: DBI Table Digital Nerve Sensory Impairment
- 15-23f-00 Confirmed Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23f-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23f-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23f-03 Transverse Digital Nerve Loss Distal to Thumb IP Joint or Distal to Finger PIP Joint
- 15-23f-04 Longitudinal Digital Nerve Loss Distal to Thumb IP Joint or Distal to Finger PIP Joint
- 15-23f-05 Transverse Digital Nerve Loss Distal to Thumb MCP Joint or Distal to Finger MCP Joint
- 15-23f-06 Longitudinal Digital Nerve Loss Distal to Thumb MCP Joint or Distal to Finger MCP Joint
Table 15-23h: DBI Table Sensory-Only Peripheral Nerve Impairment
- 15-23h-00 Confirmed Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23h-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23h-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23h-03 Sensory-Only Peripheral Nerve Impairment (List)
- 15-23h-04 Thumb Sensory-Only Peripheral Loss Resulting in Digit Sensory Loss Below Midforearm
- 15-23h-05 Index/Middle Finger Sensory-Only Peripheral Loss Resulting in Digit Sensory Loss Below Midforearm
- 15-23h-06 Ring/Little Finger Sensory-Only Peripheral Loss Resulting in Digit Sensory Loss Below Midforearm
- 15.23i1 Sensory and Motor Assessment Levels
- 15.23i2 Steps for Peripheral Nerve Injury Rating
- 15.23i3 Steps for Brachial Plexus Injury Rating
- 15.23i4 Cutaneous Innervation of the Upper Limb
- 15.23i5 Motor Innervation of the Upper Limb
DBI Table 15-23i Peripheral Nerve Impairment
- 15-23i-00 Confirm Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23i-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23i-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23i-03 Pectoralis (medial or lateral)
- 15-23i-04 Axillary
- 15-23i-05 Dorsal Scapular
- 15-23i-06 Long Thoracic
- 15-23i-07 Median Above Mid-forearm
- 15-23i-08 Median Anterior Interosseous Branch
- 15-23i-09 Median Below Mid-forearm—Entire Nerve (traditionally palmar digit thumb, middle, and/or radial ring) (Note: Use DBI Table 15-23k for carpal tunnel syndrome entrapment neuropathy)
- 15-23i-10 Musculocutaneous
- 15-23i-11 Radial Upper Arm With Loss of Triceps
- 15-23i-12 Radial Elbow With Sparing of Triceps
- 15-23i-13 Subscapulars (upper and lower)
- 15-23i-14 Suprascapular
- 15-23i-15 Thoracodorsal
- 15-23i-16 Ulnar Above Mid-forearm
- 15-23i-17 Ulnar Below Mid-forearm—Entire Nerve (traditionally palmar digit ulnar ring and little finger) (Note: Use DBI Table 15-23k for cubital tunnel syndrome entrapment neuropathy)
- 15-23i-18 Diabetic Neuropathy
Table 15-23i: DBI Table Peripheral Nerve Impairment
- 15-23j-00 Confirm Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23j-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23j-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23j-03 Brachial Plexus (C5 through T1)
- 15-23j-04 Upper Trunk (C5, C6, Erb-Duchene)
- 15-23j-05 Middle Trunk (C7)
- 15-23j-06 Lower Trunk (C8, T1, Dejerine-Klumpke)
Table 15-23k: DBI Table Entrapment Neuropathy Impairment
- 15-23k-00 Confirm Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23k-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23k-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23k-03 Median Nerve Wrist (carpal tunnel syndrome)
- 15-23k-04 Median Nerve Forearm (anterior interosseous syndrome or pronator syndrome)
- 15-23k-05 Ulnar Nerve Wrist (Guyon's canal syndrome)
- 15-23k-06 Ulnar Nerve Elbow (cubital tunnel syndrome)
- 15-23k-07 Radial Nerve Wrist Forearm (Wartenberg's syndrome)
- 15-23k-08 Radial Nerve Elbow (radial tunnel syndrome or posterior interosseous of proximal forearm syndrome)
Table 15-23r: DBI Table Thoracic Outlet Syndrome Impairment
- 15-23r-00 Confirm Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23r-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23r-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23r-03 Thoracic Outlet Syndrome Neurogenic
- 15-23r-04 Thoracic Outlet Syndrome Vascular (Arterial)
- 15-23r-05 Thoracic Outlet Syndrome Vascular (venous)
- 15.23 Peripheral Nerve Impairments
- 15.23a Introduction to Peripheral Nerve Impairments
- 15.23b Maximum Medical Improvement for a Peripheral Nerve Injury
- 15.23c Clinical Assessment of Sensory and Motor Loss
- 15.23d Traditional Sensory and Motor Assessment
- 15.23e Digital Nerve Assessment
- 15.23f Steps in Performing an Impairment Rating for Digital Nerve Impairment
- DBI Table 15-23f Digital Nerve Sensory Impairment
- 15-23f-00 Confirmed Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23f-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23f-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23f-03 Transverse Digital Nerve Loss Distal to Thumb IP Joint or Distal to Finger PIP Joint
- 15-23f-04 Longitudinal Digital Nerve Loss Distal to Thumb IP Joint or Distal to Finger PIP Joint
- 15-23f-05 Transverse Digital Nerve Loss Distal to Thumb MCP Joint or Distal to Finger MCP Joint
- 15-23f-06 Longitudinal Digital Nerve Loss Distal to Thumb MCP Joint or Distal to Finger MCP Joint
- 15.23g Digital Neuroma Assessment and Impairment Rating
- 15.23h Sensory-Only Peripheral Nerve Functional Loss (Injury)
- DBI Table 15-23h Sensory-Only Peripheral Nerve Impairment
- 15-23h-00 Confirmed Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23h-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23h-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23h-03 Sensory-Only Peripheral Nerve Impairment (List)
- 15-23h-04 Thumb Sensory-Only Peripheral Loss Resulting in Digit Sensory Loss Below Midforearm
- 15-23h-05 Index/Middle Finger Sensory-Only Peripheral Loss Resulting in Digit Sensory Loss Below Midforearm
- 15-23h-06 Ring/Little Finger Sensory-Only Peripheral Loss Resulting in Digit Sensory Loss Below Midforearm
- 15.23i Peripheral Nerve and Brachial Plexus Assessment and Impairment Rating
- 15.23i1 Sensory and Motor Assessment Levels
- 15.23i2 Steps for Peripheral Nerve Injury Rating
- 15.23i3 Steps for Brachial Plexus Injury Rating
- 15.23i4 Cutaneous Innervation of the Upper Limb
- 15.23i5 Motor Innervation of the Upper Limb
- DBI Table 15-23i Peripheral Nerve Impairment
- 15-23i-00 Confirm Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23i-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23i-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23i-03 Pectoralis (medial or lateral)
- 15-23i-04 Axillary
- 15-23i-05 Dorsal Scapular
- 15-23i-06 Long Thoracic
- 15-23i-07 Median Above Mid-forearm
- 15-23i-08 Median Anterior Interosseous Branch
- 15-23i-09 Median Below Mid-forearm—Entire Nerve (traditionally palmar digit thumb, middle, and/or radial ring) (Note: Use DBI Table 15-23k for carpal tunnel syndrome entrapment neuropathy)
- 15-23i-10 Musculocutaneous
- 15-23i-11 Radial Upper Arm With Loss of Triceps
- 15-23i-12 Radial Elbow With Sparing of Triceps
- 15-23i-13 Subscapulars (upper and lower)
- 15-23i-14 Suprascapular
- 15-23i-15 Thoracodorsal
- 15-23i-16 Ulnar Above Mid-forearm
- 15-23i-17 Ulnar Below Mid-forearm—Entire Nerve (traditionally palmar digit ulnar ring and little finger) (Note: Use DBI Table 15-23k for cubital tunnel syndrome entrapment neuropathy)
- 15-23i-18 Diabetic Neuropathy
- 15.23j Brachial Plexus
- DBI Table 15-23j Brachial Plexus Impairment
- 15-23j-00 Confirm Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23j-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23j-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23j-03 Brachial Plexus (C5 through T1)
- 15-23j-04 Upper Trunk (C5, C6, Erb-Duchene)
- 15-23j-05 Middle Trunk (C7)
- 15-23j-06 Lower Trunk (C8, T1, Dejerine-Klumpke)
- 15.23k Entrapment Neuropathy Impairment Rating
- 15.23k1 Steps for Entrapment Neuropathy Rating
- DBI Table 15-23k Entrapment Neuropathy Impairment
- 15-23k-00 Confirm Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23k-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23k-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23k-03 Median Nerve Wrist (carpal tunnel syndrome)
- 15-23k-04 Median Nerve Forearm (anterior interosseous syndrome or pronator syndrome)
- 15-23k-05 Ulnar Nerve Wrist (Guyon's canal syndrome)
- 15-23k-06 Ulnar Nerve Elbow (cubital tunnel syndrome)
- 15-23k-07 Radial Nerve Wrist Forearm (Wartenberg's syndrome)
- 15-23k-08 Radial Nerve Elbow (radial tunnel syndrome or posterior interosseous of proximal forearm syndrome)
- 15.23l Entrapment Neuropathy Specifics for Physical Examination
- 15.23l1 Median Nerve Entrapment Wrist (Carpal Tunnel Syndrome )
- 15.23l2 Median Nerve Entrapment Forearm (Anterior Interosseous Syndrome and Pronator Syndrome)
- 15.23l3 Ulnar Nerve Wrist (Guyon's Canal Syndrome)
- 15.23l4 Ulnar Nerve Elbow (Cubital Tunnel Syndrome)
- 15.23l5 Radial Nerve Wrist/Forearm (Wartenberg's Syndrome)
- 15.23l6 Radial Nerve Elbow (Radial Tunnel Syndrome or Posterior Interosseous of Proximal Forearm Syndrome)
- 15.23m Entrapment Neuropathy Clinical Studies
- 15.23n Clinical Studies—Electrodiagnostic Interpretation
- 15.23o Multiple Simultaneous Entrapment Neuropathies
- 15.23p Previous Entrapment Neuropathy Rating Provided
- 15.23q Ultrasonography
- 15.23r Thoracic Outlet Syndrome
- 15.23r1 Thoracic Outlet Syndrome (TOS), Specific Individual Elements of the Physical Examination
- DBI Table 15-23r Thoracic Outlet Syndrome Impairment
- 15-23r-00 Confirm Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 15-23r-01 Incongruent Clinical Presentation With Residual Symptoms
- 15-23r-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 15-23r-03 Thoracic Outlet Syndrome Neurogenic
- 15-23r-04 Thoracic Outlet Syndrome Vascular (Arterial)
- 15-23r-05 Thoracic Outlet Syndrome Vascular (venous)
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