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15 MAY 2022 Impairment Codes Please note that printed or downloaded copies may be out of date. Bupa impairment codes 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022 1 Impairment Code Impairment Description 00100 Cholera 00200 Typhoid and paratyphoid fevers 00300 Other Salmonella Infections 00400 Shigellosis (bacterial infection - intestines) 00500 Other Food Poisoning (Bacterial) 00600 Amoebiasis 00700 Other Protozoal Intestinal Diseases 00800 Intestinal Infections Due To Other Organisms 00900 Ill-Defined intestinal infections 01000 Tuberculosis, Primary Infection 01100 Tuberculosis, Pulmonary 01200 Tuberculosis, Respiratory (Except Pulmonary) 01300 Tuberculosis, Meninges and Central Nervous System 01400 Tuberculosis of intestines, peritoneum, and mesenteric glands 01500 Tuberculosis, Bones and Joints 01600 Tuberculosis, Genito-Urinary System 01700 Tuberculosis, Other Organs 01800 Miliary Tuberculosis 02000 Plague 02100 Tularaemia 02200 Anthrax 02300 Brucellosis 02400 Glanders 02500 Melioidosis 02600 Rat Bite Fever 02700 Other Zoonotic Bacterial Diseases 03000 Leprosy 03100 Diseases Due To Mycobacteria 03200 Diphtheria 03300 Whooping cough 03400 Streptococcal sore throat and Scarlet Fever 03500 Erysipelas 03600 Meningococcal Infection 03700 Tetanus

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15 MAY 2022

Impairment Codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

1

Impairment Code Impairment Description

00100 Cholera

00200 Typhoid and paratyphoid fevers

00300 Other Salmonella Infections

00400 Shigellosis (bacterial infection - intestines)

00500 Other Food Poisoning (Bacterial)

00600 Amoebiasis

00700 Other Protozoal Intestinal Diseases

00800 Intestinal Infections Due To Other Organisms

00900 Ill-Defined intestinal infections

01000 Tuberculosis, Primary Infection

01100 Tuberculosis, Pulmonary

01200 Tuberculosis, Respiratory (Except Pulmonary)

01300 Tuberculosis, Meninges and Central Nervous System

01400 Tuberculosis of intestines, peritoneum, and mesenteric glands

01500 Tuberculosis, Bones and Joints

01600 Tuberculosis, Genito-Urinary System

01700 Tuberculosis, Other Organs

01800 Miliary Tuberculosis

02000 Plague

02100 Tularaemia

02200 Anthrax

02300 Brucellosis

02400 Glanders

02500 Melioidosis

02600 Rat Bite Fever

02700 Other Zoonotic Bacterial Diseases

03000 Leprosy

03100 Diseases Due To Mycobacteria

03200 Diphtheria

03300 Whooping cough

03400 Streptococcal sore throat and Scarlet Fever

03500 Erysipelas

03600 Meningococcal Infection

03700 Tetanus

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

2

Impairment Code Impairment Description

03800 Septicaemia

03900 Actinomycotic Infections

04000 Other Bacterial Diseases

04100 Bacterial Infection In Conditions Specified Elsewhere & of Unspecified Site

04500 Poliomyelitis, Acute

04600 Slow Virus Infection of Central Nervous System

04700 Meningitis, Due To Enterovirus

04800 Other Enteroviral Disease Of Central Nervous System

04900 Other Non-Arthropod-Borne Viral Disease Of Central Nervous System

05000 Smallpox

05100 Cowpox and Paravaccinia

05200 Chickenpox

05300 Herpes, Zoster

05400 Herpes, Simplex

05500 Measles

05600 Rubella (German Measles)

05700 Other Viral Exanthemata (skin eruptions)

06000 Yellow Fever

06100 Dengue

06200 Encephalitis, Viral, Mosquito-Borne

06300 Encephalitis, Viral, Tick-Borne

06400 Encephalitis, Viral, Transmitted By Other And Unspecified Arthropods

06500 Fever, Haemorrhagic, Arthropod-Borne

06600 Other Arthropod-Borne Viral Diseases

07000 Hepatitis, Viral

07100 Rabies

07200 Mumps

07300 Ornithosis (disease caught from birds)

07400 Specific Disease Due to Coxsackie virus

07500 Mononucleosis, Infectious

07600 Conjunctivitis, Contagious

07700 Other Disease Of Conjunctiva Due To Viruses And Chlamydiae

07800 Other Diseases Due To Viruses And Chlamydiae

07810 Viral warts

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

3

Impairment Code Impairment Description

07900 Viral Infection In Conditions Classified Elsewhere And Unspecified Site

08000 Typhus, Louse-Borne

08100 Typhus, Other

08200 Tick-Borne Rickettsioses

08300 Rickettsioses, Other

08400 Malaria

08500 Leishmaniasis

08600 Trypanosomiasis

08700 Fever, Relapsing

08800 Other Arthropod-Borne Diseases

09000 Syphilis, Congenital

09100 Syphilis, Early, Symptomatic

09200 Syphilis, Early, Latent

09300 Syphilis, Cardiovascular

09400 Neurosyphilis

09500 Other Forms Of Late Syphilis, With Symptoms

09600 Syphilis, Late, Latent

09700 Other And Unspecified Syphilis

09800 Gonococcal Infections

09900 Other Venereal Diseases

10000 Leptospirosis

10100 Vincent's Angina

10200 Yaws

10300 Pinta

10400 Spirochaetal Infection, Other

11000 Dermatophytosis

11100 Dermatomycosis, Other And Unspecified

11200 Candidiasis

11400 Coccidioidomycosis

11500 Histoplasmosis

11600 Blastomycotic Infection

11700 Mycoses, Other

11800 Mycoses, Opportunistic

12000 Schistosomiasis (Bilharziasis)

12100 Nematode Infections (Other)

12200 Echinococcus (Tapeworms)

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

4

Impairment Code Impairment Description

12300 Cestode Infection, Other

12400 Trichinosis (Worm)

12500 Filarial infection and Dracontiasis

12600 Ancylostomiasis and Necatoriasis

12700 Helminthiases, Intestinal, Other

12800 Helminthiases, Other And Unspecified

12900 Parasitism, Intestinal, Unspecified

13000 Toxoplasmosis

13100 Trichomoniasis

13200 Pediculosis and phthirus infection (lice)

13300 Acariasis

13400 Infestation, Other

13500 Sarcoidosis

13600 Parasitic and Infectious Diseases, Other and Unspecified

13700 Tuberculosis, Late Effects of

13800 Poliomyelitis, Acute, Late Effects Of

13900 Infectious and Parasitic Diseases, Late Effects of Other

14000 Malignant Neoplasm, Lip

14100 Malignant Neoplasm, Tongue

14200 Malignant Neoplasm, Major Salivary Glands

14300 Malignant Neoplasm, Gum

14400 Malignant Neoplasm, Floor Of Mouth

14500 Malignant Neoplasm, Other & Unspecified Parts Of Mouth

14600 Malignant Neoplasm, Oropharynx

14700 Malignant Neoplasm, Nasopharynx

14800 Malignant Neoplasm, Hypopharynx

14900 Malignant Neoplasm, Other & Ill-Defined Sites Of Lip

15000 Malignant Neoplasm, Oesophagus

15100 Malignant Neoplasm, Stomach

15200 Malignant Neoplasm, Small Intestine Including Duodenum

15300 Malignant Neoplasm, Colon

15400 Malignant Neoplasm, Rectum, Rectosigmoid Junction and Anus

15500 Malignant Neoplasm, Liver And Intrahepatic Bile Ducts

15600 Malignant Neoplasm, Gallbladder and Extrahepatic Bile Ducts

15700 Malignant Neoplasm, Pancreas

15800 Malignant Neoplasm, Retroperitoneum And Peritoneum

15900 Digestive System, Ill-Defined Site, Malignant Neoplasm

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

5

Impairment Code Impairment Description

16000 Malignant Neoplasm, Nasal Cavities, Middle Ear And Accessory Sinuses

16100 Malignant Neoplasm, Larynx

16200 Malignant Neoplasm, Trachea, Bronchus and Lung

16300 Malignant Neoplasm, Pleura

16390 Pleura, unspecified

16400 Malignant Neoplasm, Thymus, Heart and Mediastinum

16500 Malignant Neoplasm, Ill-Defined Sites In Respiratory System & Intrathoracic Organs

17000 Malignant Neoplasm, Bone And Articular Cartilage

17100 Malignant Neoplasm, Connective And Other Soft Tissue

17200 Malignant Melanoma, Skin (Excluding Genital Organs)

17250 Malignant melanoma, breast

17290 Squamous epithelioma

17300 Other Malignant Neoplasm, Skin

17350 Other malignant neoplasm, breast

17390 Basal Cell Carcinoma

17400 Malignant Neoplasm, Female Breast

17500 Malignant Neoplasm, Male Breast

17900 Malignant Neoplasm, Uterus, Part Unspecified

18000 Malignant Neoplasm, Cervix Uteri

18100 Malignant Neoplasm, Placenta

18200 Malignant Neoplasm, Body Of Uterus

18300 Malignant Neoplasm, Ovary And Other Uterine Adnexa

18400 Malignant Neoplasm, Other & Unspecified Female Genitalia

18500 Malignant Neoplasm, Prostate

18600 Malignant Neoplasm, Testis

18700 Malignant Neoplasm, Penis And Other Male Genitalia

18800 Malignant Neoplasm, Bladder

18900 Malignant Neoplasm, Kidney And Other Unspecified Urinary Organs

19000 Malignant Neoplasm, Eye

19100 Malignant Neoplasm, Brain

19200 Malignant Neoplasm, Other & Unspecified Parts Of Nervous System

19210 Malignant Neoplasm of Cerebral Meninges

19300 Malignant Neoplasm, Thyroid Gland

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

6

Impairment Code Impairment Description

19400 Malignant Neoplasm, Other Endocrine Glands And Related Structures

19430 Malignant Neoplasm of Pituitary Gland and Craniopharyngeal Duct

19440 Malignant Neoplasm of the Pineal Gland

19500 Malignant Neoplasm, Other & Ill-Defined Sites

19600 Secondary & Unspecified Malignant Neoplasm, Lymph Nodes

19700 Secondary Malignant Neoplasm, Respiratory And Digestive Systems

19800 Secondary Malignant Neoplasm, Other Unspecified Sites

19830 Secondary Malignant Neoplasm of Brain and Spinal Cord

19900 Malignant Neoplasm, Without Specification Of Site

20000 Lymphosarcoma and Reticulosarcoma

20100 Hodgkin's Disease

20200 Other Malignant Neoplasm, Lymphoid And Histiocytic Tissue

20300 Multiple Myeloma And Immunoproliferative Neoplasms

20400 Leukaemia, Lymphoid

20500 Leukaemia, Myeloid

20600 Leukaemia, Monocytic

20700 Leukaemia, Other Specified

20800 Leukaemia, Unspecified Cell Type

21000 Benign Neoplasm, Lip, Oral Cavity, Pharynx

21100 Benign Neoplasm, Other Parts Digestive System

21200 Benign Neoplasm, Respiratory And Chest Organs

21300 Benign Neoplasm, Bone and Articular Cartilage

21400 Lipoma, Any Site

21500 Benign Neoplasm, Connective and Other Soft Tissue

21600 Benign Neoplasm, Skin

21700 Benign Neoplasm, Breast

21800 Leiomyoma, Uterine

21900 Benign Neoplasm, Uterus, Other

22000 Benign Neoplasm, Ovary

22100 Benign Neoplasm, Other Female Genital Organs

22200 Benign Neoplasm, Male Genital Organs

22300 Benign Neoplasm, Kidney and Other Urinary Organs

22400 Benign Neoplasm, Eye

22500 Benign Neoplasm, Other Parts Of Nervous System

22501 Benign neoplasm of brain

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

7

Impairment Code Impairment Description

22520 Benign neoplasm of cerebral meninges

22600 Thyroid, Benign Neoplasm

22700 Benign Neoplasm, Other Endocrine Glands And Related Structures

22730 Benign Neoplasm of Pituitary Gland and Craniopharyngeal Duct

22740 Benign Neoplasm of the Pineal Gland

22800 Haemangioma and Lymphangioma, Any Site

22900 Benign Neoplasm, Other and Unspecified Sites

23300 Carcinoma in situ of breast and genitourinary system

23500 Neoplasm, Digestive And Respiratory System, Uncertain Behaviour

23600 Neoplasm, Genitourinary Organs, Uncertain Behaviour

23700 Neoplasm, Endocrine Glands And Nervous System, Uncertain Behaviour

23750 Craniopharyngioma

23800 Neoplasm, Other And Unspecified Sites And Tissues, Uncertain Behaviour

23820 Neoplasm skin (unspecified site and uncertain behaviour)

23840 Polycythemia vera

23875 Myelodysplastic syndrome, unspecified

23900 Neoplasm, Unspecified Nature

24000 Goitre, Simple and Unspecified

24100 Goitre, Nodular, Nontoxic

24200 Thyrotoxicosis with or without Goitre

24201 Grave's Disease

24300 Hypothyroidism, Congenital

24400 Hypothyroidism, Acquired

24500 Thyroiditis

24600 Thyroid, Other Disorders

25000 Diabetes Mellitus

25100 Pancreas, Other Disorders Of Internal Secretion

25200 Parathyroid Gland, Disorders

25300 Disorders of Pituitary gland and its Hypothalamic Control

25350 Diabetes Insipidus

25400 Disease of Thymus Gland

25500 Adrenal Glands, Disorders

25600 Ovarian Dysfunction

25700 Testicular Dysfunction

25800 Polyglandular Dysfunction and Related Disorders

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

8

Impairment Code Impairment Description

25900 Endocrine Disorders, Other

26000 Kwashiorkor

26100 Nutritional Marasmus

26200 Malnutrition, Other Severe Protein-Calorie

26300 Malnutrition, Other And Unspecified Protein-Calorie

26400 Vitamin A Deficiency

26500 Niacin and Thiamine Deficiency States

26600 Deficiency of B-Complex Components

26700 Ascorbic Acid Deficiency

26800 Vitamin D Deficiency

26900 Nutritional Deficiencies, Other

27000 Metabolism and Amino-Acid Transport Disorders

27100 Metabolism and Carbohydrate Transport Disorders

27200 Lipoid Metabolism, Disorders

27300 Plasma Protein Metabolism, Disorders

27400 Gout

27500 Mineral Metabolism Disorders

27600 Electrolyte, Fluid and Acid-Base Balance Disorders

27700 Metabolism, Other & Unspecified Disorders

27800 Obesity and Other Hyperalimentation

27900 Immune Mechanism, Disorders Involving

28000 Anaemia, Iron Deficiency

28100 Anaemia, Other Deficiency

28200 Anaemia, Hereditary Haemolytic

28300 Anaemia, Acquired Haemolytic

28400 Anaemia, Aplastic

28500 Anaemia, Other And Unspecified

28600 Coagulation Defects

28700 Purpura and Other Haemorrhagic Conditions

28800 Blood, White Cell Diseases

28900 Disorders of Blood And Blood Forming Organs

29000 Psychotic Conditions, Senile And Presenile, Organic

29100 Alcoholic Psychoses

29200 Psychoses, Drug

29300 Psychotic Conditions, Transient Organic

29400 Psychotic Conditions, Other Organic (Chronic)

29500 Schizophrenic Psychoses

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

9

Impairment Code Impairment Description

29600 Psychosis, Affective

29700 Paranoid States

29800 Psychoses, Other Nonorganic

29900 Psychoses, Origin Specific To Childhood

30000 Neurotic Disorders

30100 Personality Disorders

30200 Sexual and Gender Identity Disorders

30300 Alcohol Dependence Syndrome

30400 Drug Dependence

30500 Drug Abuse, Non-Dependent

30600 Physiological Malfunction Due To Mental Factors

30700 Special Symptoms And Syndromes Not Elsewhere Classified

30710 Anorexia Nervosa

30800 Acute Reaction to Stress

30900 Psychosis, Adjustment Reaction

31000 Nonpsychotic Mental Disorders After Organic Brain Damage

31100 Depressive Disorders (Not Elsewhere Classified)

31200 Disturbance of Behaviour Not Elsewhere Classified

31300 Emotional Disturbance Specific To Childhood And Adolescence

31400 Hyperkinetic Syndrome of Childhood

31500 Specific Delays in Development (Learning)

31600 Psychic Factors Associated With Other Diseases

31700 Mild Mental Retardation

31800 Other Specified Mental Retardation

31900 Unspecified Mental Retardation

32000 Meningitis, Bacterial

32100 Meningitis, Due To Other Organisms

32200 Meningitis, Unspecified Cause

32300 Encephalitis, myelitis, and encephalomyelitis

32380 Other causes of encephalitis

32400 Abscess, Intracranial and Intraspinal

32500 Phlebitis And Thrombophlebitis Of Intracranial Venous Sinus

32600 Late Effects of Intracranial Abscess Or Pyogenic Infection

33000 Cerebral Degeneration manifest in childhood

33100 Other Cerebral Degenerations

33200 Parkinson's Disease

33300 Other Extrapyramidial Disease And Abnormal Movement Disorders

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

10

Impairment Code Impairment Description

33400 Spinocerebellar Disease

33500 Anterior Horn Cell Disease

33600 Other Disease Of Spinal Cord

33700 Disorders of Autonomic Nervous System

34000 Multiple Sclerosis

34100 Other Demyelinating Diseases Of Central Nervous System

34200 Hemiplegia

34300 Cerebral Palsy, Infantile

34400 Other Paralytic Syndromes

34500 Epilepsy

34600 Migraine

34700 Cataplexy and Narcoplexy

34800 Other Conditions Of Brain

34900 Other and Unspecified Disorders Of Nervous System

35000 Trigeminal Nerve Disorders (Face)

35100 Facial Nerve Disorders

35200 Disorders of Other Cranial Nerves

35300 Plexus and Nerve Root Disorders

35400 Mononeuritis of Upper Limb & Mononeuritis Multiplex

35500 Mononeuritis of Lower Limb

35600 Peripheral Neuropathy, Hereditary And Idiopathic

35700 Neuropathy, Inflammatory And Toxic

35800 Myasthenia gravis

35900 Muscular Dystrophy and Other Myopathies

36000 Disorders of the Globe of the Eye

36100 Retina, Detachments and Defects

36200 Retina, Disorders, Others

36207 Diabetic macular oedema

36252 Wet age related macular degeneration

36300 Chorioretinal Inflammations And Scars And Other Disorders Of Choroid

36400 Disorders of Iris and Ciliary Body

36500 Glaucoma, All Forms

36504 Ocular hypertension

36600 Cataract, all Forms

36700 Disorders of Refraction and Accommodation

36720 Astigmatism

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

11

Impairment Code Impairment Description

36790 Refractive errors, unspecified

36800 Visual Disturbances

36900 Blindness and Low Vision

37000 Keratitis

37100 Cornea, Opacity and Other Disorders of Cornea

37200 Conjunctiva, Disorders

37300 Eyelid, Inflammation

37400 Eyelid, Disorders Not Otherwise Listed

37500 Disorders of Lacrimal System

37600 Disorders of The Orbit (Eye)

37700 Disorders of Optic Nerve And Visual Pathways

37800 Squint and Other Disorders of Binocular Eye Movements

37900 Other disorders, eye

37901 Scleritis and episcleritis

37920 Disorders of vitreous body

37940 Anomalies of pupillary function

37950 Nystagmus and other irregular eye movements

37993 Redness or discharge of eye

38000 Disorders of External Ear

38100 Nonsuppurative otitis media and Eustachian tube disorders

38120 Chronic Mucoid Otitis Media

38200 Otitis Media, Suppurative and Unspecified

38300 Mastoiditis and Related Conditions

38400 Disorders of Tympanic Membrane, Other

38500 Other Disorders Of Middle Ear And Mastoid

38600 Vertiginous syndromes and other disorders of vestibular system

38700 Otosclerosis

38800 Other Disorders, Ear, Not Otherwise Listed

38820 Hearing loss, sudden unspecified.

38830 Tinnitus (ringing or other noise in the ears)

38860 Otorrhea (ear discharge)

38870 Otalgia

38900 Hearing loss

39000 Rheumatic Fever Without Heart Involvement

39100 Rheumatic Fever With Heart Involvement

39200 Rheumatic Chorea

39300 Rheumatic Pericarditis, Chronic

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

12

Impairment Code Impairment Description

39400 Disease of Mitral Valve

39500 Diseases of Aortic Valve

39600 Mitral And Aortic Valves, Diseases Of Both

39700 Endocardial Structures, other diseases of

39800 Rheumatic Heart Disease, Unless Otherwise Listed

40100 Hypertension, Essential

40200 Hypertensive Heart Disease

40300 Hypertensive Renal Disease

40400 Hypertensive Heart and Renal Disease

40500 Hypertension, Secondary

41000 Acute Myocardial Infarction

41100 Other Acute And Subacute Ischaemc Heart Disease

41200 Old Myocardial Infarction

41300 Angina, Pectoris

41400 Ischaemic Heart Disease, Chronic, Other forms of

41500 Pulmonary Heart disease, Acute

41600 Pulmonary Heart disease, Chronic

41700 Other Disease Of Pulmonary Circulation

42000 Acute Pericarditis

42100 Acute And Subacute Endocarditis

42200 Myocarditis, Acute

42300 Other Disease Of Pericardium

42400 Other Disease Of Endocardium

42500 Cardiomyopathy

42600 Conduction Disorders Of Heart

42700 Cardiac Dysrhythmias

42800 Heart Failure

42900 Ill-Defined descriptions and Complications Heart Diseases

43000 Haemorrhage, Subarachnoid

43100 Haemorrhage, Intracerebral

43200 Haemorrhage, Intracranial, Other and Unspecified

43300 Occlusion and Stenosis Of Precerebral Artery

43400 Occlusion of Cerebral Arteries

43500 Transient Cerebral Ischaemia

43600 Acute, But Ill-Defined Cerebrovascular Disease

43700 Other Ill-Defined Cerebrovascular Disease

43800 Late Effects of Cerebrovascular Disease

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

13

Impairment Code Impairment Description

44000 Atherosclerosis

44100 Aneurysm, Aorta, Ruptured or Unruptured

44200 Aneurysm, Other Than Aorta

44300 Other Peripheral Vascular Disease

44400 Arterial Embolism And Thrombosis

44600 Polyarteritis Nodosa and Allied Conditions

44700 Other disorders of Arteries and Arterioles

44800 Capillaries, Diseases

45100 Phlebitis and Thrombophlebitis

45200 Portal Vein Thrombosis

45300 Other Venous Embolism and Thrombosis

45400 Varicose Veins, Lower Extremity

45500 Haemorrhoids

45600 Varicose Veins, Other Site (Excluding Lower Extremity)

45700 Noninfective disorders of lymph channels

45710 Other Lymphoedema

45800 Hypotension (Low Blood Pressure)

45900 Other disorders of circulatory system

46000 Nasopharyngitis, Acute

46100 Sinusitis, Acute

46200 Pharyngitis, Acute

46300 Tonsillitis, Acute

46400 Acute Laryngitis and Tracheitis

46500 Acute upper respiratory infections of multiple or unspecified sites

46501 Acute laryngopharyngitis

46600 Acute Bronchitis and Bronchiolitis

47000 Deflected Nasal Septum

47100 Polyp, Nasal

47200 Chronic pharyngitis and nasopharyngitis

47300 Sinusitis, Chronic

47400 Chronic disease of tonsils and adenoids

47500 Abscess, Peritonsillar

47600 Chronic laryngitis and laryngotracheitis

47700 Allergic Rhinitis

47800 Other diseases of upper respiratory tract

48000 Pneumonia, Viral

48100 Pneumonia, Pneumoccal

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

14

Impairment Code Impairment Description

48200 Pneumonia, Other Bacterial

48300 Pneumonia Due to Other Specified Organism Not Otherwise Listed

48400 Pneumonia in Infectious Diseases Classified Elsewhere

48500 Bronchopneumonia, Organism Unspecified

48600 Pneumonia, Organism Unspecified

48700 Influenza

49000 Bronchitis, Not Specified As Acute Or Chronic

49100 Bronchitis, Chronic

49200 Emphysema

49300 Asthma

49400 Bronchiectasis

49500 Alveolitis, Extrinsic Allergic

49600 Airways Obstruction, Not Elsewhere Classified, Chronic

50000 Coal Worker's Pneumoconiosis

50100 Asbestosis

50200 Pneumoconiosis, Other Silica or Silicates

50300 Pneumoconiosis, Inorganic Dust

50400 Pneumopathy Due To Inhalation Other Dust (Not Coal,Silica,Inorganic)

50500 Pneumoconiosis, Unspecified

50600 Respiratory Conditions Due To Chemical Fumes And Vapours

50700 Pneumonitis Due To Solids And Liquids

50800 Respiratory Conditions Due To Other And Unspecified External Agents

51000 Empyema

51100 Pleurisy

51200 Pneumothorax

51300 Abscess of lung and mediastinum

51400 Pulmonary congestion and hypostasis

51500 Postinflammatory Pulmonary Fibrosis

51600 Other Alveolar And Parietoalveolar Pneumopathy

51700 Lung, Involvement In Conditions Classified Elsewhere

51800 Lung, Other Diseases of

51900 Other diseases of respiratory system

52000 Disorders of Tooth Development and Eruption

52100 Teeth, Disease of Hard Tissue

52200 Disease of Pulp And Periapical Tissues

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

15

Impairment Code Impairment Description

52300 Gum and Periodontal Diseases

52400 Dentofacial Anomalies including Malocclusion

52409 Major anomalies of jaw size

52430 Anomalies of Tooth Position of Fully Erupted Teeth

52460 Temporomandibular joint disorders

52500 Other diseases and conditions of the teeth and supporting structures

52512 Loss of Teeth Due to Periodontal Disease

52600 Jaw, Diseases of

52700 Diseases of the salivary glands

52800 Diseases of the oral soft tissues, excluding lesions specific for gingiva and tongue

52900 Disease And Other Conditions Of Tongue

53000 achalasia of the oesophagus (cardiospasm)

53100 Gastric Ulcer

53200 Duodenal Ulcer

53300 Peptic Ulcer, Site Unspecified

53400 Gastrojejunal Ulcer

53500 Gastritis and duodenitis

53600 Disorders of Function of Stomach

53700 Other disorders of stomach and duodenum

54000 Appendicitis, Acute

54100 Appendicitis, Unqualified

54200 Other appendicitis

54300 Appendix, Other Diseases

55000 Hernia, Inguinal

55100 Other hernia of abdominal cavity, with gangrene

55200 Other hernia of abdominal cavity, with obstruction, but without mention of gangrene

55300 Other hernia of abdominal cavity without mention of obstruction or gangrene

55500 Crohn’s disease

55600 Ulcerative colitis

55700 Vascular Insufficiency Of Intestine

55800 Other and unspecified noninfectious gastroenteritis and colitis

56000 Intestine, Obstruction Without Mention Of Hernia

56200 Diverticula of intestine

56400 Functional digestive disorders, not elsewhere classified

Impairment codes

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16

Impairment Code Impairment Description

56401 Constipation unspec

56410 Irritable bowel syndrome

56420 Post-gastric-surgery syndromes

56440 Postoperative functional disorders

56460 Functional digestive disorders, not elsewhere classified: Anal spasm

56500 Anal Fissure and Fistula

56600 Abscess of anal and rectal regions

56700 Peritonitis

56800 Other disorders of peritoneum

56900 Other disorders of intestine

57000 Liver, Necrosis, Acute/Subacute

57100 Chronic Liver Disease and Cirrhosis

57200 Liver Abscess And Sequelae Of Chronic Liver Disease

57300 Other Disorders of Liver

57400 Cholelithiasis (Gall Stones)

57500 Other Disorders of Gall Bladder

57600 Bile Duct, Disorders Not Listed Elsewhere

57700 Diseases of the Pancreas

57800 Gastrointestinal Haemorrhage

57900 Intestinal Malabsorption

58000 Glomerulonephritis, Acute

58100 Nephrotic Syndrome

58200 Glomerulonephritis, Chronic

58300 Nephritis and nephropathy, not specified as acute or chronic

58400 Renal Failure, Acute

58500 Renal Failure, Chronic

58600 Renal Failure, Unspecified

58700 Renal Sclerosis

58800 Disorders Resulting from impaired renal function

58900 Kidney, Small, Cause Unknown

59000 Kidney, Infections of

59100 Hydronephrosis

59200 Calculus of kidney and ureter

59300 Other Disorders, Kidney And Ureter

59400 Lower Urinary Tract, Calculus

59500 Cystitis

Impairment codes

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17

Impairment Code Impairment Description

59600 Other Disorders, Bladder

59700 Urethritis, not sexually transmitted, and urethral syndrome

59800 Urethral Stricture

59900 Other Disorders, Urethra and Urinary Tract

59901 Urinary tract infection

59980 Other specified disorders of urethra and urinary tract

60000 Prostate, Hyperplasia

60100 Inflammatory Disease, Prostate

60200 Prostate, Disorders, Other

60300 Hydrocele

60400 Orchitis and epididymitis

60500 Phimosis

60501 Redundant prepuce

60600 Infertility, Male

60700 Penis, Disorders

60701 Leukoplakia or kraurosis of penis

60710 Balanitis and balanoposthitis

60730 Priapism

60784 Impotence of organic origin

60800 Male Genital Organs, Other Disorders

60820 Torsion of testis

61000 Benign Mammary Dysplasia

61100 Inflammatory Disease, Breast

61110 Gynaecomastia

61400 Inflammatory Disease, Ovary / Fallopian Tubes / Pelvic Cellular Tissue

61500 Inflammatory Disease, Uterus, Except Cervix

61600 Inflammatory disease of cervix, vagina, and vulva

61700 Endometriosis, All Sites

61800 Genital Prolapse

61900 Fistula, Female Genital Tract

62000 Noninflammatory Disorders Of Fallopian Tubes And Broad Ligaments

62100 Uterus, Disorders Not Classified Elsewhere

62200 Cervix, Noninflammatory Disorders

62300 Noninflammatory Disorders Of Vagina

62400 Noninflammatory Disorders Of Vulva and Perineum

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

18

Impairment Code Impairment Description

62500 Pain and Other Symptoms Of Female Genital Organs

62501 Dyspareunia

62510 Vaginismus

62520 Mittelschmerz

62530 Dysmenorrhea

62540 Premenstrual tension syndrome

62550 Pelvic congestion syndrome

62560 Stress incontinence, female

62570 Pain and Other Symptoms Of Female Genital Organs: Vulvodynia

62600 Disorders of Menstruation, Abnormal Bleeding From Female Genital Tract

62601 Amenorrhoea

62700 Menopausal and Postmenopausal Disorders

62800 Infertility, Female

62900 Other Disorders Of Female Genital Organs

63000 Hydatidiform Mole

63100 Other Abnormal Product Of Conception

63200 Missed Abortion (Retention Of Dead Foetus)

63300 Pregnancy, Ectopic

63400 Miscarriage

63500 Abortion, Legally Induced

63600 Abortion, Illegally Induced

63700 Abortion, Unspecified

63800 Abortion, Failed Attempted

63900 Complications After Abortion, Ectopic, Molar Pregnancy

64000 Haemorrhage in Early Pregnancy

64100 Antepartum Haemorrhage, Abruptio Placentae, Placenta Praevia

64200 Hypertension complicating pregnancy, childbirth, and the puerperium

64300 Excessive Vomiting In Pregnancy

64400 Labour, Early or Threatened

64500 Pregnancy, Prolonged

64600 Other Complications Of Pregnancy Not Classified Elsewhere

64630 Recurrent miscarriage

64700 Infectious and parasitic conditions complicating pregnancy, childbirth, or the puerperium

64800 Maternal Conditions Complicating Pregnancy, Birth And Puerperium

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

19

Impairment Code Impairment Description

65000 Normal Delivery Of Pregnancy

65100 Multiple Gestation

65200 Fetus, Malposition and Malpresentation

65300 Labour, Disproportion In

65400 Pelvis, Abnormality Of Organs And Soft Tissue Complicating Pregnancy

65500 Known or Suspected Foetal Abnormality Affecting Management of Mother

65600 Foetal and Placental Problems Affecting Management of Mother

65700 Polyhydramnios

65800 Other Problems Associated With Amniotic Cavity Membranes

65900 Labour, Indications for Care or Intervention

66000 Labour, Obstructed

66100 Labour, Abnormal Forces Of

66200 Labour, Long

66300 Umbilical Cord Complications

66400 Perineum and Vulva, Trauma During Delivery

66500 Obstetrical Trauma, Other

66600 Postpartum Haemorrhage

66700 Retained Placenta

66800 Complications of Anaesthetic Or Sedation In Labour And Delivery

66900 Complications Of Labour And Delivery Not Classified Elsewhere

67000 Puerperal Infection, Major

67100 Venous Complications of Pregnancy and Puerperium

67200 Fever of Unknown Origin In Puerperium

67300 Pulmonary Embolism, Obstetrical

67400 Puerperium, Other and Unspecified Complications

67500 Breast and Nipple Infections Associated with Birth

67600 Disorders of Breast Associated With Birth

68000 Carbuncle and furuncle

68100 Cellulitis and abscess of finger and toe

68200 Cellulitis, Any Site Other Than Finger(s), Toe(s) or Mouth

68300 Lymphadenitis, Acute

68400 Impetigo

68500 Cyst, Pilonidal

68600 Other Infections Of Skin And Subcutaneous Tissue

68601 Pyoderma

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

20

Impairment Code Impairment Description

68610 Pyogenic granuloma of skin and subcutaneous tissue

69000 Erythematosquamous Dermatosis

69080 Dandruff

69100 Atopic Dermatitis

69200 Contact Dermatitis

69300 Dermatitis Due to Substances Taken Internally

69400 Dermatoses, Bullous

69500 Erythematous Conditions

69600 Psoriasis

69700 Lichen

69800 Pruritis And Related Conditions

70000 Corns and callosities

70100 Other hypertrophic and atrophic conditions of skin

70110 Keratosis

70140 Keloid scar

70200 Other Dermatosis

70201 Solar keratosis

70300 Disease of Nail

70400 Disease of Hair And Hair Follicles

70500 Disorders of Sweat Glands

70520 Hyperhidrosis (Focal)

70600 Disease of Sebaceous Glands

70610 Acne, All Forms

70700 Ulcer, Skin, Chronic

70800 Urticaria

70900 Other Disorders, Skin/Subcutaneous Tissue

70909 Pigmented lesion, enlarged

71000 Diffuse Disease Of Connective Tissue

71020 Sicca syndrome (Sjogren's disease)

71100 Arthropathy Associated with Infections

71200 Crystal Arthropathies

71300 Arthropathy Associated with Disorders Classified Elsewhere

71400 Rheumatoid Arthritis

71500 Osteoarthritis, any Site

71600 Other and Unspecified Arthropathies

71700 Knee, Internal Derangement

71800 Other Derangement Of Joint

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

21

Impairment Code Impairment Description

71900 Other and Unspecified Disorders Of Joint

71960 Knee pain

72000 Ankylosing Spondylitis

72100 Spondylosis and Allied Disorders

72200 Intervertebral Disc Disorder

72300 Other Disorders, Cervical Region

72400 Other and Unspecified Conditions Of Back

72401 Spinal stenosis, other than cervical

72410 Pain in thoracic spine

72420 Lumbago

72430 Sciatica

72440 Back pain w/ radiation, unspecified.

72450 Backache, unspecified

72460 Disorders of sacrum

72470 Disorders of coccyx

72479 Coccygodynia

72500 Polymyalgia Rheumatica

72600 Peripheral Enthesopathies And Allied Syndromes

72700 Other Disorders, Synovium, Tendon & Bursa

72800 Myositis, Infective

72900 Other Disorders, Soft Tissues

72910 Myalgia and Myositis, not listed elsewhere

73000 Osteomyelitis, Periostitis And Other Infections Involving Bone

73100 Osteitis deformans & osteopathies associated with other disorders classified elsewhere

73200 Osteochondropathies

73300 Other Disorders, Bone And Cartilage

73301 Osteoporosis

73400 Flat foot

73500 Toe(s), Acquired Deformity

73600 Other Acquired Deformities Of Limbs

73700 Spine, Curvature (Not Congenital)

73800 Other Acquired Deformity

73900 Nonallopathic Lesions Not Classified Elsewhere

74000 Anencephalus and Similar Anomalies

74100 Spina Bifida

74200 Other Congenital Anomalies Central Nervous Systems

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

22

Impairment Code Impairment Description

74300 Eye, Congenital Anomalies

74400 Congenital Abnormalities Of Ear, Face, Neck

74420 Bat Ears

74440 Branchial cleft cyst or fistula

74500 Bulbus Cordis Anomalies And Anomalies Of Cardiac Septal Closure

74600 Other Congenital Anomalies Of Heart

74700 Other Congenital Anomalies Of Circulatory System

74800 Congenital Anomalies Of Respiratory System

74900 Cleft palate and cleft lip

75000 Other congenital anomalies of upper alimentary tract

75100 Digestive System, Congenital Anomalies

75200 Genital Organs, Congenital anomalies

75300 Urinary System, Congenital Anomalies of

75400 Certain Congenital Musculoskeletal Deformities

75500 Limbs, Other Congenital Deformites

75600 Musculoskeletal Anomalies, Other, Congenital

75700 Integument, Congenital Anomalies

75800 Chromosomal Anomalies

75900 Congenital Anomalies, Other And Unspecified

76000 Baby Affected By Maternal Conditions Unrelated To Pregnancy

76100 Baby Affected By Maternal Complications Of Pregnancy

76200 Baby Affected By Complications Of Placenta, Cord And Membranes

76300 Baby Affected By Other Complications Of Labour And Delivery

76400 Slow Foetal Growth, Foetal Malnutrition

76500 Gestation, Short and Low Birth Weight Disorders

76600 Gestation, Long and High Birth Weight Disorders

76700 Birth Trauma, To Baby

76800 Intrauterine Hypoxia and Birth Asphyxia

76900 Respiratory Distress Syndrome

77000 Respiratory Conditions, Other, Of Fetus And Newborn

77100 Infection, Specific To Perinatal Period

77200 Foetal and neonatal haemorrhage

77300 Haemolytic Disease Of Fetus Or Newborn Due To Isoimmunisation

77400 Jaundice, Perinatal, Other

77500 Endocrine and Metabolic Disturbances Of Fetus Or Newborn

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

23

Impairment Code Impairment Description

77600 Haematological Disorders Of Newborn

77700 Perinatal Disorders Of Digestive System

77800 Conditions Involving Skin And Temperature Regulation In Fetus/Newborn

77900 Ill-Defined conditions Originating In Perinatal Period

77992 Stillbirth

78000 General Symptoms

78001 Alteration of consciousness

78010 Hallucinations

78020 Syncope and collapse

78030 Convulsions

78040 Dizziness/vertigo

78050 Sleep apnoea

78051 Sleep disturbance (not including sleep apnoea)

78060 Fever, nonperinatal

78070 Malaise and Fatigue

78080 Hyperhidrosis (generalised)

78093 Memory loss

78100 Symptoms Involving Nervous and Musculoskeletal Systems

78200 Skin And Other Integumentary Tissue, Symptoms Involving

78260 Pallor and Flushing

78300 Symptoms Involving Nutrition, Metabolism and Development

78400 Head and Neck, Symptoms Involving

78401 Headache

78410 Throat pain

78420 Swelling mass or lump in head and neck

78440 Speech defect

78450 Slurred speech

78480 Haemorrhage from nose or throat

78490 Halitosis

78500 Cardiovascular System, Symptoms Involving

78510 Palpitations (cardiovascular)

78520 Murmur of heart, undiagnosed

78530 Other abnormal heart sounds

78540 Gangrene

78550 Shock unspecified

78551 Cardiogenic shock

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

24

Impairment Code Impairment Description

78552 Septic shock

78560 Enlarged lymph nodes

78590 Bruit

78600 Respiratory System and Other Chest Symptoms

78603 Apnoea

78609 Dysponea

78610 Stridor

78620 Cough

78630 Hemoptysis

78640 Abnormal sputum

78650 Chest pain, unspecified.

78660 Swelling, mass, or lump in chest

78670 Abnormal chest sounds

78680 Hiccoughs

78700 Digestive System, Symptoms Involving

78701 Nausea and vomiting

78710 Heartburn

78720 Dysphagia

78730 Gas/bloating

78750 Abnormal bowel sounds

78760 Incontinence, faeces

78800 Urinary System, Symptoms Involving

78801 Renal colic

78810 Dysuria

78820 Retention of urine

78830 Urinary incontinence

78840 Frequency of urination and polyuria

78850 Oliguria and anuria

78900 Abdomen And Pelvis, Other Symptoms Involving

78901 Abdominal pain

78910 Hepatomegaly

78920 Splenomegaly

78930 Abdominal/pelvic mass, unspecified.

78940 Abdominal rigidity

78950 Ascites

78960 Abdominal tenderness

79000 Blood, Non-Specific Findings on Examination

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

25

Impairment Code Impairment Description

79001 Abnormal red blood cell

79010 Elevated sedimentation rate

79020 Abnormal glucose

79030 Excessive blood level of alcohol

79040 Abnormal transaminase/LDH

79050 Other nonspecific abnormal serum enzyme levels

79060 Abnormal blood chemistry

79091 Abnormal arterial blood gases

79092 Abnormal coagulation profile

79093 Abnormal prostate specific antigen

79100 Urine, Nonspecific Findings on Examination

79200 Body Substances, Nonspecific Abnormal Findings

79300 Abnormal Radiological or other Examination of Body Structure

79400 Function Studies, Abnormal Results

79500 Histological or Immunological Findings, Abnormal

79600 Nonspecific Abnormal Findings, Other

79700 Senility Without Mention Of Psychosis

79800 Death, Sudden, Cause Unknown

79900 Ill-Defined, Unknown Causes Of Morbidity and Mortality

80000 Fracture, Vault Of Skull

80100 Fracture, Base of Skull

80200 Fracture, Face bones

80220 Closed fracture of mandible

80230 Open fracture of mandible

80300 Fracture, Skull, Other and Unqualified

80400 Fracture, Multiple Bones Involving Skull And Face

80500 Fracture, Vertebral Column, No Spinal Cord Lesion

80600 Fracture, Vertebral Column, With Spinal Cord Lesion

80700 Fracture of rib(s), sternum, larynx, and trachea

80800 Fracture, Pelvis, Acetabulum, Pubis or Other Bone

80900 Fracture, Bones of Trunk, Ill-Defined

81000 Fracture, Clavicle (Collar Bone)

81100 Fracture, Scapula (Shoulder Blade)

81200 Fracture, Humerus (Upper Arm)

81300 Fracture of radius and ulna

81400 Fracture, Carpal Bone(s)

81500 Fracture, Metacarpal Bone(s) (Hand)

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

26

Impairment Code Impairment Description

81600 Fracture, One or More Phalanges Of Hand

81700 Fracture, Hand Bones, Multiple

81800 Fracture, Upper Limb Ill-Defined

81900 Fracture, Both Upper Limbs With Ribs And Sternum

82000 Fracture, Neck Of Femur

82100 Fracture, Other & Unspecified Parts-Femur

82200 Fracture, Patella

82300 Fracture of tibia and fibula

82400 Fracture, Ankle

82500 Fracture, One/More Tarsal/Metatarsal Bones

82600 Fracture, One/More Phalanges of Foot

82700 Fracture, Lower Limb, Multiple And Ill-Defined

82800 Multiple fractures lower limbs, lower & upper limb, and lower limb with rib and sternum

82900 Fracture, Unspecified Bones

83000 Dislocation, Jaw

83100 Dislocation, Shoulder

83200 Dislocation, Elbow

83300 Dislocation, Wrist

83400 Dislocation, Finger(s)

83500 Dislocation, Hip

83600 Dislocation, Knee

83700 Dislocation, Ankle

83800 Dislocation, Foot

83900 Dislocation, Other, Multiple and Ill-Defined

84000 Sprains and strains of shoulder and upper arm

84100 Sprains and strains of elbow and forearm

84200 Sprains and strains of wrist and hand

84300 Sprains and strains of hip and thigh

84400 Sprains and strains of knee and leg

84500 Sprains and strains of ankle and foot

84600 Sprains and strains of sacroiliac region

84700 Sprains and strains of other and unspecified parts of back

84800 Other Ill-Defined Sprains And Strains

85000 Concussion

85100 Cerebral laceration and contusion

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

27

Impairment Code Impairment Description

85200 Subarachnoid, subdural, and extradural haemorrhage, following injury

85300 Haemorrhage, Intracranial, Unspecified, Following Injury

85400 Intracranial Injury of Other and Unspecified Nature

86000 Traumatic pneumothorax and haemothorax

86100 Injury to heart and lung

86200 Intrathoracic Organs, Other and Unspecified, Injury

86300 Gastrointestinal Tract, Injury

86400 Liver, Injury

86500 Spleen, Injury

86600 Kidney, Injury

86700 Pelvic Organs, Injury

86800 Intra-abdominal Organs, Injury

86802 Injury to Bile Duct and Gallbladder Without Mention of Open Wound into Cavity

86900 Internal Injury to Ill-Defined Organs

87000 Ocular Adnexa, Open Wound

87100 Eyeball, Open Wound

87200 Ear, Open Wound

87300 Head, Open Wound

87400 Neck, Open Wound

87500 Chest (Wall), Open Wound

87600 Back, Open Wound

87700 Buttock, Open Wound

87800 Genital Organs, External, Including Traumatic Amputation, Open Wound

87900 Unspecified Sites Except Limbs, Open Wound

88000 Open wound of shoulder and upper arm

88100 Open wound of elbow, forearm, and wrist

88200 Hand, Except Finger(s), Open Wound

88300 Finger(s), Open Wound

88400 Upper Limb, Open Wound, Multiple and Unspecified Sites

88500 Thumb, Amputation, Traumatic

88600 Finger(s), Amputation, Traumatic, Not Thumb

88700 Traumatic amputation of arm and hand

89000 Open wound of hip and thigh

89100 Open wound of knee, leg [except thigh], and ankle

89200 Foot, Open Wound, Excluding Toe(s)

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

28

Impairment Code Impairment Description

89300 Toe(s), Open Wound

89400 Lower Limb, Open Wound, Multiple And Unspecified

89500 Toe(s), Amputation, Traumatic

89600 Foot, Amputation, Traumatic

89700 Leg, Amputation, Traumatic

90000 Injury, Blood Vessels Of Head And Neck

90100 Injury, Blood Vessels Of Thorax

90200 Injury, Blood Vessels Of Abdomen And Pelvis

90300 Injury, Blood Vessels Of Upper Extremity

90400 Injury, Blood Vessels Of Lower Extremity And Unspecified Sites

90500 Late Effects of Injuries To Musculoskeletal And Connecting Tissue

90600 Late Effects of Injuries To Skin And Subcutaneous Tissue

90700 Late Effects of Injuries To Nervous System

90800 Late Effects of Other And Unspecified Injuries

90900 Late Effects of Other And Unspecified External Causes

91000 Superficial injury of face, neck, and scalp except eye

91100 Trunk, Superficial Injury

91200 Superficial injury of shoulder and upper arm

91300 Superficial injury of elbow, forearm, and wrist

91400 Hand(s), Superficial Injury, excluding finger(s)

91500 Finger(s), Superficial Injury

91600 Superficial injury of hip, thigh, leg, and ankle

91700 Superficial injury of foot and toe(s)

91800 Eye and Adnexa, Superficial Injury

91900 Superficial Injury, Other, Multiple and Unspecified Sites

92000 Contusion of face, scalp, and neck except eye(s)

92100 Contusion of eye and adnexa

92200 Trunk, Contusion

92300 Upper Limb, Contusion

92400 Lower Limb And Unspecified Sites, Contusion

92500 Crushing injury of face, scalp, and neck

92600 Trunk, Crushing Injury,

92700 Upper Limb, Crushing Injury

92800 Lower Limb, Crushing Injury

92900 Multiple and Unspecified Sites, Crushing Injury

93000 Foreign Body on External Eye

93100 Foreign Body in Ear

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

29

Impairment Code Impairment Description

93200 Foreign Body in Nose

93300 Foreign body in pharynx and larynx

93400 Foreign body in trachea, bronchus, and lung

93500 Foreign body in mouth, oesophagus, and stomach

93600 Foreign body in intestine and colon

93700 Foreign body in anus and rectum

93800 Foreign Body in Digestive System, Unspecified

93900 Foreign Body in Genitourinary tract

94000 Burn confined to eye and adnexa

94100 Burn of face, head, and neck

94200 Trunk, Burn

94300 Burn of upper limb, except wrist and hand

94400 Burn of wrist(s) and hand(s)

94500 Lower Limb, Burn

94600 Burn, Multiple Unspecified Sites

94700 Internal organs, Burn

94800 Burn, Classified According To Extent Of Body Surface Involved

94900 Burn, Unspecified Site

95000 Injury, Optic Nerve and Pathways

95100 Injury, Cranial Nerves Other Than Optic

95200 Lesion, Spinal Cord, No Evidence Of Spinal Bone Injury

95300 Injury, Nerve Roots and Spinal Plexus

95400 Injury, Trunk Nerves Excluding Shoulder And Pelvic Girdles

95500 Injury, Peripheral Nerves, Shoulder Girdle And Upper Limb

95600 Injury, Peripheral Nerves, Pelvic Girdle And Lower Limb

95700 Injury, Other And Unspecified Nerves

95800 Certain Early Complications of Trauma

95900 Injury, Other And Unspecified

96000 Poisoning by Antibiotics

96100 Poisoning by Other Anti-Infectives (Not Antibiotics)

96200 Poisoning by Hormones And Synthetic Substitutes

96300 Poisoning by Primarily Systemic Agents

96400 Poisoning by Agents Affecting Blood Constituents

96500 Poisoning by Analgesics, Antipyretics And Antirheumatics

96600 Poisoning by Anticonvulsants And Anti-Parkinsonism Drugs

96700 Poisoning By Sedatives and Hypnotics

96800 Poisoning by Other Central Nervous System Depressants

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

30

Impairment Code Impairment Description

96900 Poisoning by Psychotropic Agents

97000 Poisoning by Central Nervous System Stimulants

97100 Poisoning by Drugs Affecting Autonomic Nervous System

97200 Poisoning by Agents Affecting Cardiovascular System

97300 Poisoning by Agents Affecting Gastrointestinal System

97400 Poisoning by Water, Mineral and Uric Acid Metabolism Drugs

97500 Poisoning by Agents Acting On Smooth & Skeletal Muscles & Resp System

97600 Poisoning by Agents Affecting Skin/Mucosa/Eye/Ear/Nose/Throat/Teeth

97700 Poisoning by Other And Unspecified Drugs And Medicaments

97800 Poisoning by Bacterial Vaccines

97900 Poisoning by Other Vaccines And Biological Substances

98000 Toxic Effect of Alcohol

98100 Toxic Effect of Petroleum Products

98200 Toxic Effect Solvents Not Petrol-Based

98300 Toxic Effect of Corrosive Aromatics, Acids and Caustic Alkalis

98400 Toxic Effect Of Lead and Its Compounds (including Fumes)

98500 Toxic Effect of Other Metals

98600 Toxic Effect of Carbon Monoxide

98700 Toxic Effect of Other Gases, fumes or vapours

98800 Toxic Effect of Noxious Food substances

98900 Toxic Effect of Mainly Nonmedicinal substances

99000 Effects of Radiation, Unspecified

99100 Effects of Reduced Temperature

99200 Effects of Heat and Light

99300 Effects of Air Pressure

99400 Effects of Other External Causes

99500 Certain Adverse Effects Not Classified Elsewhere

99501 Anaphylactic shock, unspecified

99560 Anaphylactic shock due to adverse food reaction

99600 Complications Peculiar To Certain Specified Procedures

99700 Complications Affecting Specified Body System Not Elsewhere Classified

99800 Other Complications Of Procedures Not Elsewhere Classified

99900 Complications of Medical Care Not Elsewhere Classified

99999 Benenden impairment code

E8000 Railway Accident Involving Collision With Rolling Stock

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

31

Impairment Code Impairment Description

E8010 Railway Accident Involving Collision Not With Rolling Stock

E8020 Railway Accident Involving Derailment Without Antecedent Collision

E8030 Railway Accident Involving Explosion, Fire Or Burning

E8040 Accident Caused by Fall in, On or From Railway Train

E8050 Railway Accident, Cause - Hit By Rolling Stock

E8060 Other Specified Railway Accident

E8070 Railway Accident Of Unspecified Nature

E8100 Motor Vehicle Traffic Accident Involving Collision With Train

E8110 Motor Vehicle Traffic Accident Involving Re-Entrant Collision - Other

E8120 Other Motor Vehicle Traffic Accident Involving Collision With Other Mo

E8130 Motor Vehicle Traffic Accident Involving Collision With Other M.V.

E8140 Motor Vehicle Traffic Accident Involving Collision With Pedestrian

E8150 Other Motor Vehicle Traffic Accident Involving Collision On Highway

E8160 Motor Vehicle Traffic Accident-Loss Of Control-No Collision-On Highway

E8170 Noncollision M.V. Traffic Accident While Boarding Or Alighting

E8180 Other Noncollision Motor Vehicle Traffic Accident

E8190 Motor Vehicle Traffic Accident Of Unspecified Nature

E8200 Nontraffic Accident Involving Motor-Driven Snow Vehicle

E8210 Nontraffic Accident Involving Other Off-Road Motor Vehicle

E8220 Other Motor Vehicle Nontraffic Accident Involving Collision - Moving O

E8230 Other Motor Vehicle Nontraffic Accident Involving Collision - Static O

E8240 Other Motor Vehicle Nontraffic Accident While Boarding And Alighting

E8250 Other Motor Vehicle Nontraffic Accident Of Other & Unspecified Nature

E8260 Pedal Cycle Accident

E8270 Animal-Drawn Vehicle Accident

E8280 Accident Involving Animal Being Ridden

E8290 Other Road Vehicle Accidents

E8300 Accident to Watercraft Causing Submersion

E8310 Accident to Watercraft Causing Other Injury

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

32

Impairment Code Impairment Description

E8320 Other Accidental Submersion Or Drowning In Water Transport Accident

E8330 Fall On Stairs Or Ladder In Water Transport

E8340 Other Fall From One Level To Another In Water Transport

E8350 Other and Unspecified Fall In Water Transport

E8360 Machinery Accident In Water Transport

E8370 Explosion, Fire or Burning in Watercraft

E8380 Other And Unspecified Water Transport Accident

E8400 Accident to Powered Aircraft At Takeoff or Landing

E8410 Accident to Powered Aircraft Other and Unspecified

E8420 Accident to Unpowered Aircraft

E8430 Fall In, On, Or From Aircraft

E8440 Other Specified Air Transport Accidents

E8450 Accident Involving Spacecraft

E8460 Accident Involving Powered Vehicles Used Only in Indust/Comm Premises

E8470 Accident Involving Cable Cars Not running on rails

E8480 Accident Involving Other Vehicles not Elsewhere Classifiable

E8500 Accidental Poisoning By Analgesics, Antipyretics, Antirheumatics

E8510 Accidental Poisoning By Barbiturates

E8520 Accidental Poisoning Other Sedatives & Hypnotics

E8530 Accidental Poisoning By Tranquilisers

E8540 Accidental Poisoning By Other Psychotropic Agents

E8550 Accidental Poisoning By Other Drugs Acting On Nervous System

E8560 Accidental Poisoning By Antibiotics

E8570 Accidental Poisoning By Anti-Infectives

E8580 Accidental Poisoning By Other Drugs

E8600 Accidental Poisoning by Alcohol Not Elsewhere Classified

E8610 Accidental Poisoning By Cleansing Agents,Disinfectant,Paints,Varnishes

E8620 Accidental Poisoning By Petrol Products, Solvents,And Their Vapours

E8630 Accidental Poisoning By Agric/Hortic Chemicals (Not Plant Food)

E8640 Accidental Poisoning By Corrosives & Caustics Not Elsewhere Classified

E8650 Accidental Poisoning From Foodstuffs And Poisonous Plants

E8660 Accidental Poisoning By Other And Unspecified Solid/Liquid Substances

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

33

Impairment Code Impairment Description

E8670 Accidental Poisoning By Gas Distributed By Pipeline

E8680 Accidental Poisoning By Other Utility Gas And Other Carbon Monoxide

E8690 Accidental Poisoning By Other Gases And Vapours

E8700 Accidental Cut, Puncture, Perforation, Haemorrhage During Medical Care

E8710 Foreign Object Left In Body During Procedure

E8720 Failure Of Sterile Precaution During Procedure

E8730 Failure in Dosage

E8740 Mechanical Failure of Instrument Or Apparatus During Procedure

E8750 Contaminated Or Infected Blood,Other Fluid,Drug Or Biological Substnce

E8760 Other and Unspecified Misadventures During Medical Care

E8780 Abnormal Reaction/Late Complications of Surgical Procedure

E8790 Abnormal Reaction/Late Complications of Non-Surgical Procedure

E8800 Fall On Or From Stairs Or Steps

E8810 Fall On Or From Ladders Or Scaffolding

E8820 Fall From Or Out Of Building Or Other Structure

E8830 Fall Into Hole Or Other Opening In Surface

E8840 Other Fall From One Level To Another

E8850 Fall On Same Level From Slipping, Tripping, Stumbling

E8860 Fall On Same Level From Collision/Push/Shove, Involving Other Person

E8870 Fracture, Cause Unspecified

E8880 Other and Unspecified Fall

E8900 Accident Caused by Fire in Private Dwelling

E8910 Accident Caused by Fire in Other and Unspecified Building or Structure

E8920 Accident Caused by Fire not in Building or Structure

E8930 Accident Caused by Ignition of Clothing

E8940 Accident Caused by Ignition of Highly Inflammable Material

E8950 Accident Caused by Controlled Fire in Private Dwelling

E8960 Accident Caused by Controlled Fire In Other and Unspecified Structure

E8970 Accident Caused by Controlled Fire Not in Building or Structure

E8980 Accident Caused by Other Specified Fire and Flames

E8990 Accident Caused by Unspecified Fire

E9000 Adverse Effects of Excessive Heat

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

34

Impairment Code Impairment Description

E9010 Adverse Effects of Excessive Cold

E9020 Adverse Effects of Air Pressure Changes

E9030 Adverse Effects Of Travel And Motion

E9040 Adverse Effects of Hunger, Thirst, Exposure Or Neglect

E9050 Poisoning by Venomous Animals or Plants

E9060 Injury by Animal (Non-Venomous)

E9070 Injury Due To Lightning

E9080 Injury Due To Storms And Floods Resulting From Storms

E9090 Injury Due To Cataclysmic Earthquake and Eruption

E9100 Accidental Drowning and Submersion

E9110 Inhalation / Ingestion of Food Causing Obstruction Respiratory Tract ,

E9120 Inhalation / Ingestion Other Object Causing Obstruction Respiratory Tract

E9130 Accidental Mechanical Suffocation

E9140 Foreign Body Accidentally Entering Eye and Adnexa

E9150 Foreign Body Accidentally Entering Other Orifice

E9160 Injury Caused By Being Struck By Falling Object

E9170 Injury Caused By Striking Against Or Being Struck By Object Or Person

E9180 Injury Caused By Being Caught Accidentally In Or Between Objects

E9190 Accidents Caused By Machinery

E9200 Accidents Caused By Cutting And Piercing Instruments Or Objects

E9210 Accident Caused by Explosion of Pressure Vessel

E9220 Accident Caused by Firearm Missile

E9230 Accident Caused by Explosive Material

E9240 Accident Caused by Hot Substance/Object, Caustic/Corrosive, Steam

E9250 Accident Caused by Electric Current

E9260 Effects of Exposure To Radiation

E9270 Overexertion and Strenuous Movements

E9280 Other and Unspecified Environmental And Accidental Causes Of Injury

E9290 Late Effects of Accidental Injury

E9300 Adverse Effects of Therapeutic Use Of Antibiotics

E9310 Adverse Effects of Therapeutic Use Of Other Anti-Infectives

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

35

Impairment Code Impairment Description

E9320 Adverse Effects of Therapeutic Use Hormones And Synthetic Substitutes

E9330 Adverse Effects of Therapeutic Use Primary Systemic Agents

E9340 Adverse Effects of Therapeutic Use Agent Affecting Blood Constituents

E9350 Adverse Effects of Therapeutic Use Analgesic/Antipyretic/Antrheumatic

E9360 Adverse Effects of Therapeutic Use Anticonvulsant/Anti-Parkinson Drug

E9370 Adverse Effects Of Therapeutic Use Sedatives And Hypnotics

E9380 Adverse Effects of Therapeutic Use Central Nervous System Depressants

E9390 Adverse Effects Of Therapeutic Use Psychotropic Agents

E9400 Adverse Effects of Therapeutic Use Central Nervous System Stimulants

E9410 Adverse Effects of Therapeutic Use Drugs Affecting Autonomic Nerve Sys

E9420 Adverse Effects of Therapeutic Use Agent Affecting Cardiovascular Sys

E9430 Adverse Effects Of Therapeutic Use Agent Affecting Gastrointestinal Sys

E9440 Adverse Effects Of Therapeutic Use Water/Mineral/Uric Acid Metab Drug

E9450 Adverse Effects of Therapeutic Use Agent On Smooth/Skltl Musc&Resp Sys

E9460 Adverse Effects of Therapeutic Use Agent On Skin/Memb/Opth/Otorh/Dent

E9470 Adverse Effects Of Therapeutic Use Unspecified Drugs And Medicaments

E9480 Adverse Effects of Therapeutic Use Bacterial Vaccines

E9490 Adverse Effects of Therapeutic Use Other Vaccine/Biological Substances

E9500 Suicide/Self-inflicted Poisoning By Solid Or Liquid Substances

E9510 Suicide/Self-inflicted Poisoning By Gases In Domestic Use

E9520 Suicide/Self-inflicted Poisoning By Other Gases And Vapours

E9530 Suicide/Self-Inflicted Injury By Hanging, Strangulation, Suffocation

E9540 Suicide/Self-Inflicted Injury By Submersion (Drowning)

E9550 Suicide/Self Inflicted Injury By Firearms And Explosives

E9560 Suicide/Self-Inflicted Injury By Cutting And Piercing Instruments

E9570 Suicide/Self-Inflicted Injury By Jumping From High Place

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

36

Impairment Code Impairment Description

E9580 Suicide/Self-Inflicted Injury By Other And Unspecified Means

E9590 Late Effects of Self-Inflicted Injury

E9600 Effects of Fight, Brawl Or Rape

E9610 Assault by Corrosive Or Caustic Substances, Except Poisoning

E9620 Assault by Poisoning

E9630 Assault by Hanging And Strangulation

E9640 Assault by Submersion (Drowning)

E9650 Assault by Firearms And Explosives

E9660 Assault by Cutting And Piercing Instrument

E9670 Child Battering And Other Maltreatment

E9680 Assault by Other And Unspecified Means

E9690 Late Effects of Injury Purposely Inflicted By Other Person

E9700 Injury Due Legal Intervention Firearms

E9710 Injury, Due To Legal Intervention By Explosives

E9720 Injury Due To Legal Intervention By Gas

E9730 Injury Due To Legal Intervention By Blunt Object

E9740 Injury Due To Legal Intervention By Cutting And Piercing Instrument

E9750 Injury Due To Legal Intervention By Other Specified Means

E9760 Injury Due to Legal Intervention by Unspecified Means

E9770 Late Effects of Injury Due To Legal Intervention

E9780 Legal Execution

E9800 Poisoning by Solids or Liquids, Undetermined If Accidental/Purposely

E9810 Poisoning by Gas In Domestic Use, Undetermined If Accidental/Purposely

E9820 Poisoning by Other Gas & Vapour, Undetermined If Accidental/Purposely

E9830 Effects Of Hanging/Strangulation/Suffocation, Undetermined If Accidental

E9840 Submersion (Drowning), Undetermined If Accidental Or Purposely

E9850 Injury by Firearms And Explosive, Undetermined If Accidental/Purposely

E9860 Injury By Cutting/Piercing Instruments, Undetermined If Accidental/Pur

E9870 Fall From High Place, Undetermined If Accidental Or Purposely

E9880 Injury By Other/Unspecified Means, Undetermined If Accidental/Purpose

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

37

Impairment Code Impairment Description

E9890 Late Effects Of Injury, Undetermined If Accidental Or Purposely

E9900 Injury Due To War Operations By Fires And Conflagrations

E9910 Injury Due To War Operations By Bullets And Fragments

E9920 Injury Due To War Operations By Explosion Of Marine Weapons

E9930 Injury Due To War Operations By Other Explosion

E9940 Injury Due To War Operations By Destruction Of Aircraft

E9950 Injury Due To War Operations By Unspecified Forms Of Conventional War

E9960 Injury Due To War Operations By Nuclear Weapons

E9970 Injury Due To War Operations By Other Forms Of Unconventional War

E9980 Injury Due To War Operations But After Cessation Of Hostilities

E9990 Late Effects of Injury Due To War Operations

F0003 Dementia

F0409 Organic, including symptomatic, mental disorders (not including dementia)

F1000 Mental and behavioural disorders due to use of alcohol

F1119 Mental and behavioural disorders due to psychoactive substance use (not alcohol)

F2029 Schizophrenia, Schizotypal and delusional disorders

F3000 Manic episode

F3100 Bipolar affective disorder

F3200 Depressive episode

F3300 Recurrent Depressive Disorder

F3800 Other mood [affective] disorders

F4000 Phobic anxiety disorders

F4100 Panic disorder

F4110 Generalised anxiety disorder

F4120 Mixed anxiety and depressive disorder

F4180 Other specified anxiety disorders

F4200 Obsessive compulsive disorder

F4300 Acute stress reaction

F4310 Post traumatic stress disorder

F4320 Adjustment disorder (bereavement, abuse)

F4400 Dissociative [conversion] disorder

F4500 Somatoform disorders

F5000 Anorexia Nervosa

F5020 Bulimia Nervosa

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

38

Impairment Code Impairment Description

F5080 Other eating disorders

F5100 Non organic sleep disorders

F5200 Sexual dysfunction, not caused by organic disorder or disease

F5270 Excessive sexual drive

F5300 Mental and behavioural disorders associated with puerperium

F6000 Specific personality disorder

F6300 Pathological gambling

F6390 Habit and impulse disorder, unspecified

F6400 Gender identity disorders

F7079 Mental retardation

F8089 Disorders of psychological development

F9098 Behavioural and emotional disorders with onset usually occurring in childhood and adolescence

F9900 Mental disorder, not otherwise specified

HP001 Held preauth impairment code

V0100 Contact With Or Exposure To Communicable Diseases

V0200 Carrier or Suspected Carrier of Infectious Diseases

V0300 Need For Prophylactic Vaccination / Inoculation Against Bacterial Dis

V0400 Need For Prophylactic Vaccination / Inoculation Against Certain Viral

V0500 Need For Prophylactic Vaccination / Inoculation Against Single Disease

V0600 Need For Prophylactic Vaccination / Inoculation Against Combinations

V0700 Need for Isolation And Other Prophylactic Measures

V1000 Personal History Of Malignant Neoplasm

V1100 Personal History Of Mental Disorder

V1200 Personal History Of Certain Other Diseases

V1300 Personal History Of Other Diseases

V1400 Personal History Of Allergy To Medicinal Agents

V1500 Other Personal History Presenting Hazards to Health

V1600 Family History Of Malignant Neoplasm

V1700 Family History Of Certain Chronic Disabling Diseases

V1800 Family History Of Certain Other Specific Conditions

V1900 Family History Of Other Conditions

V2000 Health Supervision Of Infant Or Child

V2100 Constitutional States in Development

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

39

Impairment Code Impairment Description

V2200 Pregnancy, Normal

V2300 Supervision of High-Risk Pregnancy

V2400 Postpartum Care and Examination

V2500 Contraceptive Management

V2600 Procreative Management

V2700 Outcome of Delivery

V2800 Antenatal Screening

V3000 Singleton

V3100 Twin, Mate Born Alive

V3200 Twin, Mate Stillborn

V3300 Twin, Unspecified

V3400 Other Multiple Delivery, Mates All Liveborn

V3500 Other Multiple Delivery, Mates All Stillborn

V3600 Other Multiple Delivery, Mates Live And Stillborn

V3700 Other Multiple Delivery, Unspecified

V3900 Unspecified Delivery

V4000 Mental And Behavioural Problems

V4100 Problems with Special Senses And Other Special Functions

V4200 Organ or Tissue Replaced By Transplant

V4300 Organ or Tissue Replaced By Other Means

V4400 Artificial Opening Status

V4500 Other Postsurgical States

V4600 Other Dependence On Machines

V4700 Other Problems With Internal Organs

V4800 Problems with Head And Neck And Trunk

V4900 Problems with Limbs And Other Problems

V5000 Elective Surgery For Purposes Other Than Remedying Health States

V5020 Routine or ritual circumcision

V5100 Aftercare Involving Use Of Plastic Surgery

V5200 Fitting and Adjustment of Prostheses

V5300 Fitting and Adjustment of Other Device

V5400 Other Orthopaedic Aftercare

V5500 Attention to Artificial Openings

V5600 Aftercare Involving Intermittent Dialysis

V5700 Care Involving Rehabilitation Procedures

V5800 Other and Unspecified Aftercare

Impairment codes

Please note that printed or downloaded copies may be out of date. Bupa impairment codes – 15 May 2022 Valid until 15 June 2022 © Bupa Insurance Services Limited 2022

40

Impairment Code Impairment Description

V5900 Donors of Organs, Tissue Or Blood

V6000 Housing, Household and Economic Circumstances Affecting Health

V6100 Other Family Circumstances

V6200 Other Psychosocial Circumstances

V6300 Unavailability Of Other Medical Facilities for Care

V6400 Specific Procedures not Carried Out

V6500 Persons Seeking Consultation Without Sickness

V6600 Convalescence

V6700 Follow-up Examination

V6800 Encounters for Administrative Purposes

V7000 General Medical Examination

V7100 Observation and Evaluation for Suspected Conditions

V7200 Special Investigations And Examinations

V7300 Special Screening Examination For Viral Diseases

V7400 Special Screening Examination For Bacterial And Spirochaetal Diseases

V7500 Special Screening Examination For Other Infectious Diseases

V7600 Special Screening for Malignant Neoplasms

V7700 Special Screening for Endocrine / Nutritional / Metabolic / Immunity D

V7800 Special Screening For Disorders Of Blood And Blood-Forming organs

V7900 Special Screening For Mental Disorders And Developmental Handicaps

V8000 Special Screening For Neurological, Eye And Ear Diseases

V8100 Special Screening For Cardiovascular/Respiratory & Genito-Urinary Disease

V8200 Special Screening For Other Conditions

V9999 G.P. Scheme Impairment, G.P. Scheme Only

X9010 Condition requiring emergency dental treatment

X9020 Dental injury - other and unspecified

X9500 Footcare No Presenting Symptoms

X9600 Hearing No Presenting Symptoms

X9700 Screening / Assessment

X9900 Dietetics / Nutrition No Presenting Symptoms

Y4840 Anaesthetic, unspecified