F2901-C09954
C09954
World Health Organization Quality of Life (WHOQOL-BREF) - mode transportation scale
Scale used to assess transportation mode satisfaction, as part of the World Health Organization Quality of Life (WHQOL-BREF) questionnaire
NeuroRehab Supplemental-Highly Recommended
World Health Organization Quality of Life Assessment (WHOQOL-BREF)
True
NeuroRehab
NeuroRehab General
F2942-C21667
C21667
Therapy rehabilitation ICD 10 CM code
ICD-10-CM code that describes the therapy or rehabilitation received by the participant/subject
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2869-C53859
C53859
Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score
The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4)
NeuroRehab Supplemental-Highly Recommended
Word Reading Subtest of the Wide Range Achievement Test (WRAT-4)
True
NeuroRehab
NeuroRehab Comprehensive
F2896-C21002
C21002
Frontal Systems Behavior Scale (FrSBE) - Unable finish task frequency scale
Frequency of starting things but failing to finish them as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab Comprehensive
F2898-C07077
C07077
Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total h score
Score for the total sum of all the question H scores (hallucinogens), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST)
NeuroRehab Supplemental-Highly Recommended
Alcohol, Smoking, and Substance Use Involvement Screening Test (ASSIST)
False
NeuroRehab
NeuroRehab General
F2942-C18193
C18193
Support stand use indicator
Indicator for whether the participant/subject has a supported standing use in the positioning of wheelchair
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2866-C14703
C14703
Berg Balance Scale (BBS) - turn around scale
The scale for assessment of turning 360 degrees based on the Berg Balance Scale (or BBS), a clinical test of a person's static and dynamic balance abilities
NeuroRehab Supplemental-Highly Recommended
Berg Balance Scale (BBS)
False
NeuroRehab
NeuroRehab General
F2903-C20565
C20565
TBI Quality of Life (TBI-QOL) - Fatigue T-score
The T-Score related to sensations ranging from tiredness to an overwhelming, debilitating and sustained sense of exhaustion that likely decreases one's ability to execute daily activities and function normally in family or social roles, as part of the TBI Quality of Life (TBI-QOL)
NeuroRehab Supplemental-Highly Recommended
Traumatic Brain Injury - Quality of Life (TBI-QOL)
False
NeuroRehab
NeuroRehab TBI Comprehensive
F2862-C18624
C18624
Brief Symptom Inventory-18 (BSI18)- Nervousness scale
A scale for participant's distress by nervousness or shakiness inside
NeuroRehab Supplemental-Highly Recommended
Brief Symptom Inventory-18 (BSI-18)
True
NeuroRehab
NeuroRehab Acute Sport Related Concussion
F2892-C07103
C07103
Center for Epidemiologic Studies-Depression Scale (CES-D) - talk less indicator
Indicates how often the subject talked less than usual in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D)
NeuroRehab Supplemental-Highly Recommended
Center for Epidemiologic Studies-Depression Scale (CES-D)
False
NeuroRehab
NeuroRehab Comprehensive
F2914-C20811
C20811
Patient-Reported Outcome Measurement Information System (PROMIS) - Sleep satisfaction assessment past week scale
The scale which represents how often the participant was satisfied with his/her sleep in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Sleep Disturbance
True
NeuroRehab
NeuroRehab Comprehensive
F2897-C07083
C07083
Alcohol Use Disorders Identification Test (AUDIT) - Cannot stop drink alcohol frequency score
Score for the frequency within the last year with which the subject found himself or herself unable to stop drinking once he or she started, as part of the Alcohol Use Disorders Identification Test (AUDIT)
NeuroRehab Supplemental-Highly Recommended
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
NeuroRehab
NeuroRehab General
F2919-C54691
C54691
Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health social satisfaction rate scale
Scale related to an individual's rating of his/her satisfaction with his/her social activities, as part of the PROMIS Global Health
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.2 - Global Health
True
NeuroRehab
NeuroRehab Comprehensive
F2863-C19500
C19500
Assessment performed date
The date of assessment of the examination being performed
NeuroRehab Supplemental-Highly Recommended
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2901-C09942
C09942
World Health Organization Quality of Life (WHOQOL-BREF) - information available daily scale
Scale used to assess the availability of information needed in the participant's daily life, as part of the World Health Organization Quality of Life (WHQOL-BREF) questionnaire
NeuroRehab Supplemental-Highly Recommended
World Health Organization Quality of Life Assessment (WHOQOL-BREF)
True
NeuroRehab
NeuroRehab Comprehensive
F2942-C14293
C14293
Durable medical equipment type
If the participant/ subject was provided with any durable medical equipment, describes the type(s) of equipment received
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2886-C17842
C17842
Quality of Life in Swallowing Disorders (SWAL-QOL) - racial ethnic type
Race or ethnicity of the subject/participant
NeuroRehab Supplemental-Highly Recommended
Quality of Life in Swallowing Disorders (SWAL-QOL)
True
NeuroRehab
NeuroRehab General
F2911-C55683
C55683
PROMIS - Dyspnea Functional limitations walk 30 stairs without stop scale
Scale related to an individual being able to walk up 30 stairs (3 flights) without stopping, as part of the PROMIS Dyspnea Functional Limitations
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Dyspnea Functional Limitations
False
NeuroRehab
NeuroRehab Stroke
F2895-C11846
C11846
Frontal Behavioral Inventory (FBI) - indifference score
The score the caregiver gives for the participant's/subject's indifference, as part of the Frontal Behavioral Inventory (FBI) form
NeuroRehab Supplemental-Highly Recommended
Frontal Behavioral Inventory (FBI)
True
NeuroRehab
NeuroRehab General
F2916-C20764
C20764
Patient-Reported Outcome Measurement Information System (PROMIS) - Nervousness fear assessment past week scale
The scale which represents how often the participant was scared when he/she felt nervous in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Emotional Distress - Anxiety
True
NeuroRehab
NeuroRehab Comprehensive
F2898-C07037
C07037
Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen problem frequency
Frequency for how often the participant/subject has used hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST)
NeuroRehab Supplemental-Highly Recommended
Alcohol, Smoking, and Substance Use Involvement Screening Test (ASSIST)
False
NeuroRehab
NeuroRehab General
F2942-C10706
C10706
Walking difficulty age support first needed value
Age of participant/subject when intermittent support first needed for walking
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2884-C21491
C21491
Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subset response text
Participant response, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest
NeuroRehab Supplemental-Highly Recommended
Processing Speed Index of the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV)
False
NeuroRehab
NeuroRehab Comprehensive
F2910-C55313
C55313
PROMIS - Negative consequences other complain scale
Scale related to the individual having others complain about his/her drinking, as part of the PROMIS Negative Consequences
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Alcohol: Negative Consequences
False
NeuroRehab
NeuroRehab Comprehensive
F2891-C20437
C20437
Beck Depression Inventory II (BDI-II) - Irritability scale
Scale identifying level of irritability, as part of the Beck Depression Inventory II (BDI-II)
NeuroRehab Supplemental-Highly Recommended
Beck Depression Inventory II (BDI-II)
True
NeuroRehab
NeuroRehab Comprehensive