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ANUS Classes of Anal Impairment

Class 1. Impairment of the Whole Person, 1—5% Signs of organic anal disease are present or there is anatomic loss or alteration; or
There is mild incontinence involving gas and/or liquid stool; orAnal symptoms are mild, intermittent, and controlled by treatment.

Class 2. Impairment of the Whole Person, 6—15% Signs of organic anal disease are present or there is anatomic loss or alteration; andModerate but partial fecal incontinence is present requiring continual treatment; orContinual anal symptoms are present and incompletely controlled by treatment.


Class 3. Impairment of the Whole Person, 16—25% Signs of organic anal disease are present and there is anatomic loss or alteration; and Complete fecal incontinence is present; or Signs of organic anal disease are present and severe anal symptoms unresponsive or not amenable to therapy are present.

HEPATOBILIARY SYSTEM

Objective procedures useful in establishing hepatobiliary impairment in- clude, but are not limited to: (1) radiography employing contrast materials, including percutaneous and endoscopic cholangiography, and nuclide scintigraphy;

(2) ultrasonography;

(3) computerized tomography (CT scan);

(4) angiography

(5) liver biopsy; and

(6) selected laboratory tests to assess various functions of the liver and biliary ducts.

Classes of Liver and Biliary Impairment (Liver Impairment)

Class 1. Impairment of the Whole Person, 1—5%

There is objective evidence of persistent liver disease even though no symptoms of liver disease are present, and no history of ascites, jaundice, or bleeding esophageal varices within 3 years;

 
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