(Blank) - NOT KNOWN
0 - NO HEARING LOSS
B/VI Due to Retinitis Pigmentosa With:
1 - Mild Hearing Loss
2 - Moderate to Severe Hearing Loss
3 - Profound Hearing Loss
B/VI Due to Other Causes With:
4 - Profound prelingual hearing loss (occurring before 3rd birthday)
5 - Profound hearing loss occurring between ages 3 - 21
6 - Profound hearing loss occurring after age 21
7 - Moderate to severe hearing loss occurring prior to age 21
8 - Moderate to severe hearing loss occurring after age 21
9 - Mild hearing loss
If person does not normally use a hearing aid, base your hearing evaluation on unaided loss. If person commonly uses a hearing aid, evaluate with aid.
Mild - has hearing loss but is able to understand speech in all environmental settings (exception would be a large noisy room)
Moderate to Severe - may hear speech in quiet one-on- one setting, but has difficulty with other environments.
Profound - may hear sounds but does not understand speech.
(Codes 2-8 will be deaf-blind/visually impaired. The codes 1 and 9 will be hearing-impaired, blind/visually-impaired and should be followed through the years)
For questions or clarification on any of the policy contained in these
manuals, please contact the local district office.