16.19 Toe / Foot / Ankle Impairments
Table 16-19: DBI Table Toe(s)/Foot/Ankle Impairment
Table 16-20: DBI Table Knee Impairment
Table 16-21: DBI Table Hip Impairment
Table 16-23f: DBI Table Toe(s) Digital Nerve Sensory Impairment
Table 16-23h: DBI Table Sensory-Only Peripheral Nerve Impairment
Table 16-23i: DBI Table Peripheral Nerve and Entrapment Neuropathy Impairment
Table 16-23j: DBI Table 16-23j Lumbosacral Plexus Impairment
Table 16-25: Amputation Impairment Lower Limb
Table 16-26: DBI Table Vascular Impairment
Table 16-27: DBI Table CRPS Impairment
- 16-19-00 Confirmed Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 16-19-01 Incongruent Clinical Presentation With Residual Symptoms
- 16-19-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 16-19-03 Soft Tissue Disease or Event Healed Minor or Nail Deformity (ie, abrasion, bite, bruise, burn, contusion, laceration, puncture wound, diabetic foot)*
- 16-19-04 Soft Tissue Disease or Event Healed Nonsuperficial (such as diabetic foot)*
- 16-19-05 Sprain, Strain, Specific Traumatic Event, Tendonitis, Tendinosis, Nonspecific Tendonitis of Foot, Ankle
- 16-19-06 Great Toe sprain, strain, contusion, crush, specific traumatic injury affecting toe motion*
- 16-19-07 Lesser Toe(s) sprain, strain, contusion, crush, specific traumatic injury all other tendons affecting toe motion*
- 16-19-08 Great Toe and/or Lesser Toes Interphalangeal Joint (IP) Joint instability/ligamentous laxity*
- 16-19-09 Great Toe and/or Lesser Metatarsophalangeal (MTP) Joint instability/ligamentous laxity Toes*
- 16-19-10 Anterior Tibial Tendon Strain, tendonitis, tendinosis, calcific tendonitis, history of tendon rupture
- 16-19-11 Posterior Tibial Tendon Strain, tendonitis, tendinosis, calcific tendonitis, history of tendon rupture
- 16-19-12 Achilles Tendon Strain, tendonitis, tendinosis, calcific tendonitis, history oftendon rupture
- 16-19-13 Peroneal Tendon (longus and/or brevis Strain, tendonitis, tendinosis, calcific tendonitis, history of tendon rupture
- 16-19-14 All other not listed Tendons Strain, tendonitis, tendinosis, calcific tendonitis, history of tendon rupture
- 16-19-15 Ankle Joint Instability or Ligamentosus Laxity
- 16-19-16 Phalanx Fracture (Greater or Lesser Toes)*
- 16-19-17 Great Toe Metatarsal Fracture
- 16-19-18 Lesser Toe(s) Metatarsal(s) Fracture*
- 16-19-19 Sesamoid(s) Fracture*
- 16-19-20 Tarsometatarsal Fracture and/or Dislocation (Lisfranc)
- 16-19-21 Midfoot – Cavus Foot (High Arch)128
- 16-19-22 Midfoot – Rocker Bottom (pes planus or convex pes valgus)
- 16-19-23 Navicular - Cuboid (Transverse Tarsal / Chopart) Fracture
- 16-19-24 Calcaneus Fracture
- 16-19-25 Talus Fracture
- 16-19-26 Tibia Articular – Pilon/Plafond Fracture (Intraarticular)
- 16-19-27 Ankle Fracture (malleolar, bimalleolar, trimalleolar)
- 16-19-28 Tibia Extra-articular Fracture
- 16-19-29 Osteochondral Defect Ankle
- 16-19-30 Interphalangeal Joint Arthritis
- 16-19-31 Greater (First) Metatarsophalangeal Joint Arthritis
- 16-19-32 Lesser Metatarsophalangeal Joint Arthritis
- 16-19-33 Avascular Necrosis Talus
- 16-19-34 Talonavicular Arthritis
- 16-19-35 Subtalar Arthritis
- 16-19-36 Calcaneocuboid Arthritis
- 16-19-37 Pan-Talar Arthritis (Tibial-talar, Talar-calcaneal, Talar-navicular)
- 16-19-38 Ankle Arthritis (Tibiotalar Joint)
- 16-19-39 Great Toe IP or Lesser Toe(s) DIP and PIP Joint Arthrodesis*
- 16-19-40 Great Toe MTP Joint Arthrodesis
- 16-19-41 Lesser Toe(s) MTP Arthrodesis (Each Toe)*
- 16-19-42 Subtalar Arthrodesis
- 16-19-43 Tibiotalocalcaneal Arthrodesis (Fusion of Tibiotalar and Subtalar)
- 16-19-44 Pantalar Arthrodesis (Tibiotalar, Subtalar, Talonavicular)
- 16-19-45 Ankle Arthrodesis
- 16-19-46 Double or Triple Arthrodesis (Subtalar, Talonavicular, Calcaneocuboid)
- 16-19-47 Ankle Arthroplasty (Total Ankle Replacement)
- 16-19-48 Great Toe Stiffness Interphalangeal (IP) Joint
- 16-19-49 Lesser Toe(s) Stiffness Distal Interphalangeal (DIP) and/or Proximal Interphalangeal (PIP) Joint*
- 16-19-50 Great Toe Stiffness Metatarsophalangeal (MTP) Joint
- 16-19-51 Lesser Toe(s) Stiffness Metatarsophalangeal (MTP) Joint*
- 16-19-52 Hindfoot Stiffness (Talus and Calcaneus)
- 16-19-53 Ankle Stiffness (Tibia – Talar Joint)
- 16.19 Toe(s)/Foot/Ankle Impairment
- DBI Table 16-19 Toe(s)/Foot/Ankle Impairment
- DBI Table 16-19 Toe(s)/Foot/Ankle Impairment
- Step-by-Step Process for Impairment Rating With Further Guidance in Section 16.13
- 16-19a Toe(s)/Foot/Ankle Diagnostic Row, Class, and Grade
- 16-19b Measurement of Range of Motion of the Toe(s)/Foot/Ankle: Specific Individual Elements (SIEs) Approach
- 16-19c Instructions for Toe(s)/Foot/Ankle
- 16-19-00 Confirmed Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
- 16-19-01 Incongruent Clinical Presentation With Residual Symptoms
- 16-19-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
- 16-19-03 Soft Tissue Disease or Event Healed Minor or Nail Deformity (ie, abrasion, bite, bruise, burn, contusion, laceration, puncture wound, diabetic foot)*
- 16-19-04 Soft Tissue Disease or Event Healed Nonsuperficial (such as diabetic foot)*
- 16-19-05 Sprain, Strain, Specific Traumatic Event, Tendonitis, Tendinosis, Nonspecific Tendonitis of Foot, Ankle (plantar fasciitis, plantar nodules, plantar fibromatosis (Ledderhose Disease), contusion/crush injury, ganglion, retrocalcaneal bursitis, callus/recurrent healed plantar ulceration under post traumatic bony prominence)124,125
- 16-19-06 Great Toe sprain, strain, contusion, crush, specific traumatic injury affecting toe motion*
- 16-19-07 Lesser Toe(s) sprain, strain, contusion, crush, specific traumatic injury all other tendons affecting toe motion*
- 16-19-08 Great Toe and/or Lesser Toes Interphalangeal Joint (IP) Joint instability/ligamentous laxity*
- 16-19-09 Great Toe and/or Lesser Metatarsophalangeal (MTP) Joint instability/ligamentous laxity Toes*
- 16-19-10 Anterior Tibial Tendon Strain, tendonitis, tendinosis, calcific tendonitis, history of tendon rupture
- 16-19-11 Posterior Tibial Tendon Strain, tendonitis, tendinosis, calcific tendonitis, history of tendon rupture
- 16-19-12 Achilles Tendon Strain, tendonitis, tendinosis, calcific tendonitis, history of tendon rupture
- 16-19-13 Peroneal Tendon (longus and/or brevis Strain, tendonitis, tendinosis, calcific tendonitis, history of tendon rupture
- 16-19-14 All other not listed Tendons Strain, tendonitis, tendinosis, calcific tendonitis, history of tendon rupture
- 16-19-15 Ankle Joint Instability or Ligamentosus Laxity (ie, Anterior Talofibular Ligament (ATFL), Calcaneofibular Ligament (CFL), Posterior Talofibular Ligament (PTFL), Deltoid Ligament Complex, Anterior Inferior Tibiofibular Ligament (AITFL), Posterior Inferior Tibiofibular Ligament (PITFL), Interosseous Ligament and Membrane)
- 16-19-16 Phalanx Fracture (Greater or Lesser Toes)*
- 16-19-17 Great Toe Metatarsal Fracture
- 16-19-18 Lesser Toe(s) Metatarsal(s) Fracture*
- 16-19-19 Sesamoid(s) Fracture*
- 16-19-20 Tarsometatarsal Fracture and/or Dislocation (Lisfranc)
- 16-19-21 Midfoot – Cavus Foot (High Arch)128
- 16-19-22 Midfoot – Rocker Bottom (pes planus or convex pes valgus)
- 16-19-23 Navicular - Cuboid (Transverse Tarsal / Chopart) Fracture
- 16-19-24 Calcaneus Fracture
- 16-19-25 Talus Fracture
- 16-19-26 Tibia Articular – Pilon/Plafond Fracture (Intraarticular)
- 16-19-27 Ankle Fracture (malleolar, bimalleolar, trimalleolar)
- 16-19-28 Tibia Extra-articular Fracture
- 16-19-29 Osteochondral Defect Ankle
- 16-19-30 Interphalangeal Joint Arthritis
- 16-19-31 Greater (First) Metatarsophalangeal Joint Arthritis
- 16-19-32 Lesser Metatarsophalangeal Joint Arthritis
- 16-19-33 Avascular Necrosis Talus
- 16-19-34 Talonavicular Arthritis
- 16-19-35 Subtalar Arthritis
- 16-19-36 Calcaneocuboid Arthritis
- 16-19-37 Pan-Talar Arthritis (Tibial-talar, Talar-calcaneal, Talar-navicular)
- 16-19-38 Ankle Arthritis (Tibiotalar Joint)
- 16-19-39 Great Toe IP or Lesser Toe(s) DIP and PIP Joint Arthrodesis*
- 16-19-40 Great Toe MTP Joint Arthrodesis
- 16-19-41 Lesser Toe(s) MTP Arthrodesis (Each Toe)*
- 16-19-42 Subtalar Arthrodesis
- 16-19-43 Tibiotalocalcaneal Arthrodesis (Fusion of Tibiotalar and Subtalar)
- 16-19-44 Pantalar Arthrodesis (Tibiotalar, Subtalar, Talonavicular)
- 16-19-45 Ankle Arthrodesis
- 16-19-46 Double or Triple Arthrodesis (Subtalar, Talonavicular, Calcaneocuboid)
- 16-19-47 Ankle Arthroplasty (Total Ankle Replacement)
- 16-19-48 Great Toe Stiffness Interphalangeal (IP) Joint
- 16-19-49 Lesser Toe(s) Stiffness Distal Interphalangeal (DIP) and/or Proximal Interphalangeal (PIP) Joint*
- 16-19-50 Great Toe Stiffness Metatarsophalangeal (MTP) Joint
- 16-19-51 Lesser Toe(s) Stiffness Metatarsophalangeal (MTP) Joint*
- 16-19-52 Hindfoot Stiffness (Talus and Calcaneus)
- 16-19-53 Ankle Stiffness (Tibia – Talar Joint)
- DBI Table 16-19 Toe(s)/Foot/Ankle Impairment
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