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Impairment categories guide
Guidance in this document is not approved for use unless you view it in PACE.
This article provides guidance for an access delegate to:
• understand what impairment categories to select for a person that meets the eligibility
requirements.
Recent updates
14 October 2024
New guidance to:
• reflect legislation changes from 3 October 2024 • decide what impairment categories to select for a person that meets the eligibility
requirements.
Impairments categories guide
Impairments are a loss of or damage to a body’s function. When we assess an impairment to meet access, we look at:
• the body’s function • the body’s structure • how they think and learn.
To learn more about impairment categories go to article Descriptions of impairment categories.
The following list provides you with information on:
• the condition • the ICD 10 Code • the required impairment category for access assessors to select • optional impairment categories to select as relevant, based on evidence provided with
access request.
Conditions
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Autism (ASD)
- Autism – includes Rett and Asperger Syndrome
ICD 10 Codes: F84.0, F84.2, F84.5
Required impairment category: Neurological
Optional impairment categories: Intellectual, cognitive, physical, psychosocial
Acquired brain injury
- Glioblastoma
ICD 10 Code: G71.9
Required impairment category: Neurological
Optional impairment categories: Cognitive, physical, psychosocial
- Hypoxic brain injury
ICD 10 Code: 93.1
Required impairment category: Neurological
Optional impairment categories: Physical, psychosocial
- Traumatic brain injury – also called head injury and acquired brain damage
ICD 10 Code: T90
Required impairment category: Neurological
Optional impairment categories: Cognitive, physical, psychosocial
Intellectual disability
- Mild intellectual disability
ICD 10 Codes: F70
Required impairment category: Intellectual
Optional impairment categories: Cognitive
- Moderate intellectual disability
ICD 10 Codes: F71
Required impairment category: Intellectual
Optional impairment categories: Cognitive, physical, psychosocial
- Severe intellectual disability
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ICD 10 Codes: F72
Required impairment category: Intellectual
Optional impairment categories: Cognitive, physical, psychosocial
- Profound intellectual disability
ICD 10 Codes: F73
Required impairment category: Intellectual
Optional impairment categories: Cognitive, physical, psychosocial
- Unspecified intellectual disability
ICD 10 Codes: F79
Required impairment category: Intellectual
Optional impairment categories: Cognitive, sensory, physical, psychosocial
- Pervasive developmental disorder
ICD 10 Codes: F84.8
Required impairment category: Intellectual
Optional impairment categories: Cognitive, sensory, psychosocial
- Microcephaly
ICD 10 Codes: Q02
Required impairment category: Intellectual
Optional impairment categories: Cognitive, neurological, sensory, physical
- Other congenital brain conditions – for example, tuberous sclerosis
ICD 10 Codes: Q04
Required impairment category: Intellectual
Optional impairment categories: Cognitive, neurological, physical
- Spina bifida
ICD 10 Codes: Q05
Required impairment category: Physical
Optional impairment categories: Intellectual, cognitive, sensory, neurological
- Foetal alcohol syndrome
ICD 10 Codes: Q86.0
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Required impairment category: Neurological
Optional impairment categories: Intellectual, cognitive, sensory, physical, psychosocial
- Foetal alcohol spectrum disorder (FASD)
ICD 10 Codes: Q86.0D
Required impairment category: Neurological
Optional impairment categories: Intellectual, cognitive, sensory, physical, psychosocial
- Cornelia de Lange syndrome
ICD 10 Codes: Q87.1
Required impairment category: Intellectual
Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial
- Prader Willi syndrome
ICD 10 Codes: Q87.1
Required impairment category: Intellectual
Optional impairment categories: Cognitive, neurological, physical, psychosocial
- Coffin-Lowry syndrome
ICD 10 Codes: Q87.8
Required impairment category: Intellectual
Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial
- Other congenital conditions (causing intellectual disability)
ICD 10 Codes: Q89
Required impairment category: Intellectual
Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial
- Edwards syndrome
ICD 10 Codes: Q91
Required impairment category: Intellectual
Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial
- Patau syndrome
ICD 10 Codes: Q91
Required impairment category: Intellectual
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Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial
- Cri du Chat syndrome
ICD 10 Codes: Q93.4
Required impairment category: Intellectual
Optional impairment categories: Cognitive, sensory, physical
- Angelman syndrome
ICD 10 Codes: Q93.5
Required impairment category: Intellectual
Optional impairment categories: Cognitive, sensory, physical
- Other chromosomal syndromes (including Kabuki & Williams syndromes)
ICD 10 Codes: Q99
Required impairment category: Intellectual
Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial
- Fragile X syndrome
ICD 10 Codes: Q99.2
Required impairment category: Intellectual
Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial
Cerebral Palsy
- Cerebral palsy
ICD 10 Codes: G80
Required impairment category: Physical
Optional impairment categories: Intellectual, cognitive, neurological, sensory
Down Syndrome
- Down syndrome
ICD 10 Codes: Q90
Required impairment category: Intellectual
Optional impairment categories: Cognitive, physical
Hearing Impairment
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- Hearing loss
ICD 10 Codes: H90
Required impairment category: Sensory
Optional impairment categories: Cognitive
- Congenital hearing condition
ICD 10 Codes: Q16.9
Required impairment category: Sensory
Optional impairment categories: Cognitive
Visual Impairment
- Albinism
ICD 10 Codes: E70.3
Required impairment category: Sensory
Optional impairment categories: Not applicable
- Visual impairment (including blindness)
ICD 10 Codes: H54
Required impairment category: Sensory
Optional impairment categories: Not applicable
- Congenital eye conditions
ICD 10 Codes: Q15.9
Required impairment category: Sensory
Optional impairment categories: Not applicable
Other Sensory - Speech
- Other sensory - speech
ICD 10 Codes: R47
Required impairment category: Sensory
Optional impairment categories: Physical
Multiple Sclerosis
- Multiple Sclerosis
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ICD 10 Codes: G35
Required impairment category: Neurological
Optional impairment categories: Cognitive, physical, psychosocial
Other Neurological
- Alzheimer’s disease
ICD 10 Codes: F00
Required impairment category: Cognitive
Optional impairment categories: Neurological, physical, psychosocial
- Unspecified dementia
ICD 10 Codes: F03
Required impairment category: Cognitive
Optional impairment categories: Neurological, physical, psychosocial
- Huntington disease
ICD 10 Codes: G10
Required impairment category: Physical
Optional impairment categories: Cognitive, neurological, psychosocial
- Motor neurone disease
ICD 10 Codes: G12.2
Required impairment category: Physical
Optional impairment categories: Cognitive, neurological, sensory, psychosocial
- Parkinson’s disease
ICD 10 Codes: G20
Required impairment category: Neurological
Optional impairment categories: Cognitive, physical, psychosocial
- Epilepsy – Mandatory TAPIB
ICD 10 Codes: G40
Required impairment category: Neurological
Optional impairment categories: Intellectual, cognitive, psychosocial
- Muscular dystrophy
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ICD 10 Codes: G71.0
Required impairment category: Physical
Optional impairment categories: Neurological
- Other Neurological – List A and List C
ICD 10 Codes: G99
Required impairment category: Neurological
Optional impairment categories: Cognitive, sensory, physical
Stroke
- Stroke
ICD 10 Codes: I69
Required impairment category: Physical
Optional impairment categories: Cognitive, neurological, sensory, psychosocial
Other Physical
- Rheumatoid arthritis
ICD 10 Codes: M05
Required impairment category: Physical
Optional impairment categories: Not applicable
- Other arthritis – mandatory TAPIB
ICD 10 Codes: M12
Required impairment category: Physical
Optional impairment categories: Not applicable
- Other physical
ICD 10 Codes: M95
Required impairment category: Physical
Optional impairment categories: Psychosocial
- Multiple traumatic amputations
ICD 10 Codes: T05
Required impairment category: Physical
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Optional impairment categories: Psychosocial
- Myopathy
ICD 10 Codes: G72.9
Required impairment category: Physical
Optional impairment categories: Not applicable
Psychosocial disability
- Schizophrenia
ICD 10 Codes: F20
Required impairment category: Psychosocial
Optional impairment categories: Cognitive
- Schizoaffective disorder
ICD 10 Codes: F25.9
Required impairment category: Psychosocial
Optional impairment categories: Cognitive
- Bipolar affective disorder
ICD 10 Codes: F31
Required impairment category: Psychosocial
Optional impairment categories: Cognitive
- Major depressive illness
ICD 10 Codes: F32
Required impairment category: Psychosocial
Optional impairment categories: Cognitive
- Other anxiety disorders
ICD 10 Codes: F41
Required impairment category: Psychosocial
Optional impairment categories: Cognitive
- Obsessive-compulsive disorder
ICD 10 Codes: F42
Required impairment category: Psychosocial
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Optional impairment categories: Not applicable
- Post traumatic stress disorder
ICD 10 Codes: F43
Required impairment category: Psychosocial
Optional impairment categories: Cognitive
- Borderline personality disorder
ICD 10 Codes: F60.3
Required impairment category: Psychosocial
Optional impairment categories: Not applicable
- Tourette syndrome
ICD 10 Codes: F95.2
Required impairment category: Neurological
Optional impairment categories: Cognitive, physical, psychosocial
- Other psychosocial disorders
ICD 10 Codes: F99
Required impairment category: Psychosocial
Optional impairment categories: Cognitive
- Anorexia
ICD 10 Codes: R63
Required impairment category: Psychosocial
Optional impairment categories: Cognitive, physical
Spinal Cord Injury
- Malignant neoplasm of spinal cord complete and incomplete
ICD 10 Codes: C72.5, C72.7
Required impairment category: Physical
Optional impairment categories: Neurological, sensory
- Spinal cord injury (complete)
ICD 10 Codes: T09.5
Required impairment category: Physical
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Optional impairment categories: Neurological, sensory, psychosocial
- Spinal cord injury (incomplete)
ICD 10 Codes: T09.7
Required impairment category: Physical
Optional impairment categories: Neurological, sensory, psychosocial
Other
- Malignant neoplasm of brain
ICD 10 Codes: C71
Required impairment category: Neurological
Optional impairment categories: Cognitive, psychosocial
- Metastatic cancer
ICD 10 Codes: C79.9
Required impairment category: Physical
Optional impairment categories: Cognitive
- Malignant neoplasm of blood or immune disease
ICD 10 Codes: C96
Required impairment category: Physical
Optional impairment categories: Cognitive
- Autoimmune disorders
ICD 10 Codes: D89.9
Required impairment category: Physical
Optional impairment categories: Cognitive
- Obesity – mandatory TAPIB
ICD 10 Codes: E66
Required impairment category: Physical
Optional impairment categories: Psychosocial
- Classical phenylketonuria
ICD 10 Codes: E70.0
Required impairment category: Cognitive
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Optional impairment categories: Psychosocial
- Disorders of pyruvate metabolism and gluconeogenesis
ICD 10 Codes: E74.4
Required impairment category: Intellectual
Optional impairment categories: Neurological, physical
- Other metabolic disorders
ICD 10 Codes: E88
Required impairment category: Intellectual
Optional impairment categories: Neurological, physical
- Dementia – rapidly progressing
ICD 10 Codes: F03.9
Required impairment category: Cognitive
Optional impairment categories: Not applicable
- Functional neurological disorder (FND) – mandatory TAPIB
ICD 10 Codes: F44.4
Required impairment category: Neurological
Optional impairment categories: Cognitive, sensory, physical
- Other language disorder
ICD 10 Codes: F80
Required impairment category: Cognitive
Optional impairment categories: Not applicable
- Peripheral neuropathy – does NOT require TAPIB
ICD 10 Codes: F90.0
Required impairment category: Neurological
Optional impairment categories: Sensory, physical
- Oppositional defiant disorder (ODD)
ICD 10 Codes: F91.3
Required impairment category: Cognitive
Optional impairment categories: Psychosocial
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- Other hereditary ataxias
ICD 10 Codes: G11.8
Required impairment category: Neurological
Optional impairment categories: Cognitive, sensory, physical
- Dementia – early onset
ICD 10 Codes: G30.0
Required impairment category: Cognitive
Optional impairment categories: Not applicable
- Plegia
ICD 10 Codes: G83.1
Required impairment category: Physical
Optional impairment categories: Neurological
- Chronic pain – mandatory TAPIB
ICD 10 Codes: G89.4
Required impairment category: Physical
Optional impairment categories: Sensory, psychosocial
- Postural Orthostatic Tachycardia Syndrome (POTS) – mandatory TAPIB
ICD 10 Codes: I49.8
Required impairment category: Neurological
Optional impairment categories: Physical
- Lymphoedema – mandatory TAPIB
ICD 10 Codes: I89.0
Required impairment category: Physical
Optional impairment categories: Not applicable
- Chronic lung disease
ICD 10 Codes: J44.9
Required impairment category: Physical
Optional impairment categories:
- Chronic Obstructive Pulmonary Disease (COPD) – mandatory TAPIB
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ICD 10 Codes: J44.9A
Required impairment category: Physical
Optional impairment categories: Not applicable
- Osteoarthritis – mandatory TAPIB
ICD 10 Codes: M19.9
Required impairment category: Physical
Optional impairment categories: Not applicable
- Systemic lupus erythematosus
ICD 10 Codes: M32
Required impairment category: Physical
Optional impairment categories: Not applicable
- Ankylosing spondylitis
ICD 10 Codes: M45
Required impairment category: Physical
Optional impairment categories: Not applicable
- Fibromyalgia
ICD 10 Codes: M79.7
Required impairment category: Physical
Optional impairment categories: Sensory
- Renal failure
ICD 10 Codes: N18
Required impairment category: Physical
Optional impairment categories:
- Ehlers Danlos – does NOT require TAPIB
ICD 10 Codes: Q79.6
Required impairment category: Physical
Optional impairment categories: Not applicable
- Dyslexia
ICD 10 Codes: R48
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Required impairment category: Cognitive
Optional impairment categories: Psychosocial
- Childhood apraxia of speech
ICD 10 Codes: R48.2
Required impairment category: Neurological
Optional impairment categories: Cognitive
- Short stature
ICD 10 Codes: R62.5
Required impairment category: Physical
Optional impairment categories: Not applicable
- Amputation – single limb or upper/lower limb
ICD 10 Codes: Z89
Required impairment category: Physical
Optional impairment categories: Cognitive, sensory, psychosocial
- Amputation – multiple
ICD 10 Codes: Z89.1
Required impairment category: Physical
Optional impairment categories: Cognitive, sensory, psychosocial
Article labels
PACE user role names
Add: dc_users_accessdelegate
Topics
No change.
Case names
Add: dc_case_accessrequest
Ownership
Add: own_sgapplyingandengaging
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Version control
Version Amended Brief Description of Change Status
by
0.1 VFK746 |Draft transfer of endorsed Attachment A DRAFT 2024-10-03
— Descriptions of impairment categories
to KA — required for legislation updates 0.2 TCM150 |Peer review DRAFT 2024-10-03 0.3 VFK746_ |Implementation of Peer Review DRAFT 2024-10-03 0.4 JMO122 |EL1 review and approval DRAFT 2024-10-07 0.5 VFK746 |Class 1 endorsement — progress to BM DRAFT 2024-10-08 1.0 JCO0088 |Class 3 approval to QA and publish APPROVED | 2024-10-10
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