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Impairment categories guide

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FOI 25/26-1439 DOCUMENT 5

Impairment categories guide

SGP KP Publishing

Exported on 2026-02-16 01:52:32

Page 111 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

Table of Contents

  1. Recent updates …………………………………………………………………………………………………….. 4
  2. Impairments categories guide ……………………………………………………………………………….. 5
  3. Conditions …………………………………………………………………………………………………………….. 6 3.1 Autism (ASD) ………………………………………………………………………………………………………. 6 3.2 Acquired brain injury …………………………………………………………………………………………….. 6 3.3 Intellectual disability ……………………………………………………………………………………………… 6 3.4 Cerebral Palsy …………………………………………………………………………………………………….. 8 3.5 Down Syndrome ………………………………………………………………………………………………….. 8 3.6 Hearing Impairment ……………………………………………………………………………………………… 8 3.7 Visual Impairment ………………………………………………………………………………………………… 8 3.8 Other Sensory - Speech ……………………………………………………………………………………….. 8 3.9 Multiple Sclerosis …………………………………………………………………………………………………. 8 3.10 Other Neurological ……………………………………………………………………………………………. 9 3.11 Stroke ……………………………………………………………………………………………………………… 9 3.12 Other Physical ………………………………………………………………………………………………….. 9 3.13 Psychosocial disability …………………………………………………………………………………….. 10 3.14 Spinal Cord Injury …………………………………………………………………………………………… 10 3.15 Other …………………………………………………………………………………………………………….. 11

Table of Contents – 2 Page 112 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

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 – 3 Page 113 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

1 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.

Recent updates – 4 Page 114 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

2 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.

Impairments categories guide – 5 Page 115 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

3 Conditions

3.1 Autism (ASD)

  1. 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

3.2 Acquired brain injury

  1. Glioblastoma
    ICD 10 Code: G71.9
    Required impairment category: Neurological
    Optional impairment categories: Cognitive, physical, psychosocial

  2. Hypoxic brain injury
    ICD 10 Code: 93.1
    Required impairment category: Neurological
    Optional impairment categories: Physical, psychosocial

  3. 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

3.3 Intellectual disability

  1. Mild intellectual disability
    ICD 10 Codes: F70
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive

  2. Moderate intellectual disability
    ICD 10 Codes: F71
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, physical, psychosocial

  3. Severe intellectual disability
    ICD 10 Codes: F72
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, physical, psychosocial

  4. Profound intellectual disability
    ICD 10 Codes: F73
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, physical, psychosocial

  5. Unspecified intellectual disability
    ICD 10 Codes: F79
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, sensory, physical, psychosocial

  6. Pervasive developmental disorder
    ICD 10 Codes: F84.8
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, sensory, psychosocial

  7. Microcephaly
    ICD 10 Codes: Q02
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, neurological, sensory, physical

  8. Other congenital brain conditions – for example, tuberous sclerosis
    ICD 10 Codes: Q04
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, neurological, physical

Conditions – 6 Page 116 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

  1. Spina bifida
    ICD 10 Codes: Q05
    Required impairment category: Physical
    Optional impairment categories: Intellectual, cognitive, sensory, neurological

  2. Foetal alcohol syndrome
    ICD 10 Codes: Q86.0
    Required impairment category: Neurological
    Optional impairment categories: Intellectual, cognitive, sensory, physical, psychosocial

  3. Foetal alcohol spectrum disorder (FASD)
    ICD 10 Codes: Q86.0D
    Required impairment category: Neurological
    Optional impairment categories: Intellectual, cognitive, sensory, physical, psychosocial

  4. Cornelia de Lange syndrome
    ICD 10 Codes: Q87.1
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial

  5. Prader Willi syndrome
    ICD 10 Codes: Q87.1
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, neurological, physical, psychosocial

  6. Coffin-Lowry syndrome
    ICD 10 Codes: Q87.8
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial

  7. Other congenital conditions (causing intellectual disability)
    ICD 10 Codes: Q89
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial

  8. Edwards syndrome
    ICD 10 Codes: Q91
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial

  9. Patau syndrome
    ICD 10 Codes: Q91
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial

  10. Cri du Chat syndrome
    ICD 10 Codes: Q93.4
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, sensory, physical

  11. Angelman syndrome
    ICD 10 Codes: Q93.5
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, sensory, physical

  12. Other chromosomal syndromes (including Kabuki & Williams syndromes)
    ICD 10 Codes: Q99
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial

  13. Fragile X syndrome
    ICD 10 Codes: Q99.2
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, neurological, sensory, physical, psychosocial

Conditions – 7 Page 117 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

3.4 Cerebral Palsy

  1. Cerebral palsy
    ICD 10 Codes: G80
    Required impairment category: Physical
    Optional impairment categories: Intellectual, cognitive, neurological, sensory

3.5 Down Syndrome

  1. Down syndrome
    ICD 10 Codes: Q90
    Required impairment category: Intellectual
    Optional impairment categories: Cognitive, physical

3.6 Hearing Impairment

  1. Hearing loss
    ICD 10 Codes: H90
    Required impairment category: Sensory
    Optional impairment categories: Cognitive

  2. Congenital hearing condition
    ICD 10 Codes: Q16.9
    Required impairment category: Sensory
    Optional impairment categories: Cognitive

3.7 Visual Impairment

  1. Albinism
    ICD 10 Codes: E70.3
    Required impairment category: Sensory
    Optional impairment categories: Not applicable

  2. Visual impairment (including blindness)
    ICD 10 Codes: H54
    Required impairment category: Sensory
    Optional impairment categories: Not applicable

  3. Congenital eye conditions
    ICD 10 Codes: Q15.9
    Required impairment category: Sensory
    Optional impairment categories: Not applicable

3.8 Other Sensory - Speech

  1. Other sensory - speech
    ICD 10 Codes: R47
    Required impairment category: Sensory
    Optional impairment categories: Physical

3.9 Multiple Sclerosis

  1. Multiple Sclerosis
    ICD 10 Codes: G35
    Required impairment category: Neurological
    Optional impairment categories: Cognitive, physical, psychosocial

Conditions – 8 Page 118 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

3.10 Other Neurological

  1. Alzheimer’s disease
    ICD 10 Codes: F00
    Required impairment category: Cognitive
    Optional impairment categories: Neurological, physical, psychosocial

  2. Unspecified dementia
    ICD 10 Codes: F03
    Required impairment category: Cognitive
    Optional impairment categories: Neurological, physical, psychosocial

  3. Huntington disease
    ICD 10 Codes: G10
    Required impairment category: Physical
    Optional impairment categories: Cognitive, neurological, psychosocial

  4. Motor neurone disease
    ICD 10 Codes: G12.2
    Required impairment category: Physical
    Optional impairment categories: Cognitive, neurological, sensory, psychosocial

  5. Parkinson’s disease
    ICD 10 Codes: G20
    Required impairment category: Neurological
    Optional impairment categories: Cognitive, physical, psychosocial

  6. Epilepsy – Mandatory TAPI
    ICD 10 Codes: G40
    Required impairment category: Neurological
    Optional impairment categories: Intellectual, cognitive, psychosocial

  7. Muscular dystrophy
    ICD 10 Codes: G71.0
    Required impairment category: Physical
    Optional impairment categories: Neurological

  8. Other Neurological – List A and List C
    ICD 10 Codes: G99
    Required impairment category: Neurological
    Optional impairment categories: Cognitive, sensory, physical

3.11 Stroke

  1. Stroke
    ICD 10 Codes: I69
    Required impairment category: Physical
    Optional impairment categories: Cognitive, neurological, sensory, psychosocial

3.12 Other Physical

  1. Rheumatoid arthritis
    ICD 10 Codes: M05
    Required impairment category: Physical
    Optional impairment categories: Not applicable

  2. Other arthritis – mandatory TAPI
    ICD 10 Codes: M12
    Required impairment category: Physical
    Optional impairment categories: Not applicable

  3. Other physical
    ICD 10 Codes: M95
    Required impairment category: Physical
    Optional impairment categories: Psychosocial

  4. Multiple traumatic amputations
    ICD 10 Codes: T05
    Required impairment category: Physical
    Optional impairment categories: Psychosocial

  5. Myopathy
    ICD 10 Codes: G72.9
    Required impairment category: Physical
    Optional impairment categories: Not applicable

Conditions – 9 Page 119 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

3.13 Psychosocial disability

  1. Schizophrenia
    ICD 10 Codes: F20
    Required impairment category: Psychosocial
    Optional impairment categories: Cognitive

  2. Schizoaffective disorder
    ICD 10 Codes: F25.9
    Required impairment category: Psychosocial
    Optional impairment categories: Cognitive

  3. Bipolar affective disorder
    ICD 10 Codes: F31
    Required impairment category: Psychosocial
    Optional impairment categories: Cognitive

  4. Major depressive illness
    ICD 10 Codes: F32
    Required impairment category: Psychosocial
    Optional impairment categories: Cognitive

  5. Other anxiety disorders
    ICD 10 Codes: F41
    Required impairment category: Psychosocial
    Optional impairment categories: Cognitive

  6. Obsessive-compulsive disorder
    ICD 10 Codes: F42
    Required impairment category: Psychosocial
    Optional impairment categories: Not applicable

  7. Post traumatic stress disorder
    ICD 10 Codes: F43
    Required impairment category: Psychosocial
    Optional impairment categories: Cognitive

  8. Borderline personality disorder
    ICD 10 Codes: F60.3
    Required impairment category: Psychosocial
    Optional impairment categories: Not applicable

  9. Tourette syndrome
    ICD 10 Codes: F95.2
    Required impairment category: Neurological
    Optional impairment categories: Cognitive, physical, psychosocial

  10. Other psychosocial disorders
    ICD 10 Codes: F99
    Required impairment category: Psychosocial
    Optional impairment categories: Cognitive

  11. Anorexia
    ICD 10 Codes: R63
    Required impairment category: Psychosocial
    Optional impairment categories: Cognitive, physical

3.14 Spinal Cord Injury

  1. Malignant neoplasm of spinal cord complete and incomplete
    ICD 10 Codes: C72.5, C72.7
    Required impairment category: Physical
    Optional impairment categories: Neurological, sensory

  2. Spinal cord injury (complete)
    ICD 10 Codes: T09.5
    Required impairment category: Physical
    Optional impairment categories: Neurological, sensory, psychosocial

  3. Spinal cord injury (incomplete)
    ICD 10 Codes: T09.7
    Required impairment category: Physical
    Optional impairment categories: Neurological, sensory, psychosocial

Conditions – 10 Page 120 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

3.15 Other

  1. Malignant neoplasm of brain
    ICD 10 Codes: C71
    Required impairment category: Neurological
    Optional impairment categories: Cognitive, psychosocial

  2. Metastatic cancer
    ICD 10 Codes: C79.9
    Required impairment category: Physical
    Optional impairment categories: Cognitive

  3. Malignant neoplasm of blood or immune disease
    ICD 10 Codes: C96
    Required impairment category: Physical
    Optional impairment categories: Cognitive

  4. Autoimmune disorders
    ICD 10 Codes: D89.9
    Required impairment category: Physical
    Optional impairment categories: Cognitive

  5. Obesity – mandatory TAPI
    ICD 10 Codes: E66
    Required impairment category: Physical
    Optional impairment categories: Psychosocial

  6. Classical phenylketonuria
    ICD 10 Codes: E70.0
    Required impairment category: Cognitive
    Optional impairment categories: Psychosocial

  7. Disorders of pyruvate metabolism and gluconeogenesis
    ICD 10 Codes: E74.4
    Required impairment category: Intellectual
    Optional impairment categories: Neurological, physical

  8. Other metabolic disorders
    ICD 10 Codes: E88
    Required impairment category: Intellectual
    Optional impairment categories: Neurological, physical

  9. Dementia – rapidly progressing
    ICD 10 Codes: F03.9
    Required impairment category: Cognitive
    Optional impairment categories: Not applicable

  10. Functional neurological disorder (FND) – mandatory TAPI
    ICD 10 Codes: F44.4
    Required impairment category: Neurological
    Optional impairment categories: Cognitive, sensory, physical

  11. Other language disorder
    ICD 10 Codes: F80
    Required impairment category: Cognitive
    Optional impairment categories: Not applicable

  12. Peripheral neuropathy – does NOT require TAPI
    ICD 10 Codes: F90.0
    Required impairment category: Neurological
    Optional impairment categories: Sensory, physical

  13. Oppositional defiant disorder (ODD)
    ICD 10 Codes: F91.3
    Required impairment category: Cognitive
    Optional impairment categories: Psychosocial

  14. Other hereditary ataxias
    ICD 10 Codes: G11.8
    Required impairment category: Neurological
    Optional impairment categories: Cognitive, sensory, physical

  15. Dementia – early onset
    ICD 10 Codes: G30.0
    Required impairment category: Cognitive
    Optional impairment categories: Not applicable

  16. Plegia
    ICD 10 Codes: G83.1
    Required impairment category: Physical
    Optional impairment categories: Neurological

Conditions – 11 Page 121 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

FOI 25/26-1439 SGP KP Publishing – Impairment categories guide

  1. Chronic pain – mandatory TAPI
    ICD 10 Codes: G89.4
    Required impairment category: Physical
    Optional impairment categories: Sensory, psychosocial

  2. Postural Orthostatic Tachycardia Syndrome (POTS) – mandatory TAPI
    ICD 10 Codes: I49.8
    Required impairment category: Neurological
    Optional impairment categories: Physical

  3. Lymphoedema – mandatory TAPI
    ICD 10 Codes: I89.0
    Required impairment category: Physical
    Optional impairment categories: Not applicable

  4. Chronic lung disease
    ICD 10 Codes: J44.9
    Required impairment category: Physical
    Optional impairment categories:

  5. Chronic Obstructive Pulmonary Disease (COPD) – mandatory TAPI
    ICD 10 Codes: J44.9A
    Required impairment category: Physical
    Optional impairment categories: Not applicable

  6. Osteoarthritis – mandatory TAPI
    ICD 10 Codes: M19.9
    Required impairment category: Physical
    Optional impairment categories: Not applicable

  7. Systemic lupus erythematosus
    ICD 10 Codes: M32
    Required impairment category: Physical
    Optional impairment categories: Not applicable

  8. Ankylosing spondylitis
    ICD 10 Codes: M45
    Required impairment category: Physical
    Optional impairment categories: Not applicable

  9. Fibromyalgia
    ICD 10 Codes: M79.7
    Required impairment category: Physical
    Optional impairment categories: Sensory

  10. Renal failure
    ICD 10 Codes: N18
    Required impairment category: Physical
    Optional impairment categories:

  11. Ehlers Danlos – does NOT require TAPI
    ICD 10 Codes: Q79.6
    Required impairment category: Physical
    Optional impairment categories: Not applicable

  12. Dyslexia
    ICD 10 Codes: R48
    Required impairment category: Cognitive
    Optional impairment categories: Psychosocial

  13. Childhood apraxia of speech
    ICD 10 Codes: R48.2
    Required impairment category: Neurological
    Optional impairment categories: Cognitive

  14. Short stature
    ICD 10 Codes: R62.5
    Required impairment category: Physical
    Optional impairment categories: Not applicable

  15. Amputation – single limb or upper/lower limb
    ICD 10 Codes: Z89
    Required impairment category: Physical
    Optional impairment categories: Cognitive, sensory, psychosocial

  16. Amputation – multiple
    ICD 10 Codes: Z89.1
    Required impairment category: Physical
    Optional impairment categories: Cognitive, sensory, psychosocial

Conditions – 12 Page 122 of 213

This document was released under the Freedom of Information Act 1982 by the National Disability Insurance Agency

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