ITEM 125 - DISABILITY FACTOR CODES

*These codes are no longer in use*

 

Code

Factor

Description

1

Visual

Legal blindness in one or both eyes when visual acuity after correction (eye glasses or contact lenses) is 20/200 visual acuity or restriction in the visual field to 20 degrees.

2

Hearing

Total deafness or inability to hear a normal conversation and/or use a telephone without the aid of an assistive device.

3

Speech

Impairments of speech when speech is unintelligible in normal conversation.

4

Physical

Orthopedic impairments, amputations or functional limitations, of one or both upper extremities.

5

Physical

Orthopedic impairments, amputations or functional limitations, of one or both lower extremities.

6

Physical

Orthopedic impairments, amputations or functional limitations, of both upper and lower extremities.

7

Physical

Orthopedic impairments, amputations or functional limitations of the trunk, back or spine when there is a medically diagnosed disability which substantially limits one or more major life activities.

8

Epilepsy

Periodic disturbance of consciousness during which generalized or partial seizure may occur whether medically controlled or not.  (Onset may have occurred after the age of 18.)

9

Neurological Impairments

Limitation in balance, coordination, sensory and/or cognitive functions which substantially interfere with normal work activity, i.e., cerebral palsy, autism.

10

Mental Retardation

When identified by a physician, school system, Department of Rehabilitation, or other responsible agency.

11

Heart or circulatory conditions

Impairment substantially interferes with normal work.

12

Disease of the blood and blood forming organs

Disabilities such as leukemia and sickle cell anemia which substantially interfere with normal work activity.

13

Respiratory Impairment

Unstablized condition resulting in periodic breathing limitations.

14

Digestive Disorders

Periodic stomach or intestinal impairment which substantially interferes with normal work activity.

15

Colostomies and Ileostomies

Opening from the digestive tract through the abdominal wall.

16

Kidney Disease

Must be treated by dialysis.

17

Diabetes

Insulin must be needed and taken for control.

18

History of Cancer

Condition in remission or not.

19

Conditions of the skin

Existence of offensive scarring, painful or excessive inflammation or decrease in healthy or normal function.

20

Dyslexia

Difficulty in reading caused by transposition of letters or words.

21

Mental Disorders

When diagnosed by a physician or licensed clinical psychologist which substantially limits healthy or normal functions.

22

Alcoholism or Drug Addiction

Past impairment which substantially interfered with work activity.

23

Other

Disability not indicated.

99

Multiple Disabilities