F2863-C52360
C52360
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Forgetfulness scale
Scale that rates the severity of how the subject now suffers from forgetfulness/poor memory as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
NeuroRehab Supplemental-Highly Recommended
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
NeuroRehab
NeuroRehab Acute Sport Related Concussion
F2869-C53772
C53772
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 11 text
The word used for Word Reading item 11, as part of 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
F2903-C20582
C20582
TBI Quality of Life (TBI-QOL) - Satisfaction social roles activities T-score
The T-Score related to satisfaction with involvement in one's usual social roles, activities, and responsibilities, including work, family, friends, and leisure, 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 Moderate/Severe TBI: Rehabilitation
F2942-C58880
C58880
Assistive device type
Type for all assistive devices currently used by the participant/subject
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2861-C54458
C54458
Dynamic Gait Index (DGI) - Step around obstacle task score
Score for the subject/participant's performance on the Step Around Obstacles task, as part of the Dynamic Gait Index (DGI)
NeuroRehab Supplemental-Highly Recommended
Functional Gait Assessment
False
NeuroRehab
NeuroRehab Comprehensive
F2942-C58500
C58500
Transportation device type other text
Text describing the presence of any other transfer device used
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2896-C21084
C21084
Frontal Systems Behavior Scale (FrSBE) - Total T score
T score for all scales as part of Frontal Systems Behavior Scale (FrSBE)
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab Comprehensive
F2909-C50101
C50101
Strengths and Difficulties Questionnaire (SDQ) - Argument with adults scale
The scale indicating if the participant/subject is argumentative with adults , as part of the Strengths and Difficulties Questionnaire (SDQ)
NeuroRehab Core
Strengths and Difficulties Questionnaire (SDQ), combined Full and Followup versions
False
NeuroRehab
NeuroRehab General
F2942-C58486
C58486
Static lower extremity stretch orthosis splint use frequency type
Frequency type with which the participant/subject uses their static lower extremity stretching orthosis/splints, if applicable
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2880-C52955
C52955
Hopkins Verbal Learning Test Revised (HVLT-R) - Total recall raw score
The raw score for Total Recall, as part of the Hopkins Verbal Learning Test Revised (HVLT-R)
NeuroRehab Supplemental-Highly Recommended
Hopkins Verbal Learning Test - Revised (HVLT-R)
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 Comprehensive
F2877-C56291
C56291
NIH Toolbox Cognitive Cognition early childhood composite unadjusted scale score
The unadjusted scale score for the Cognition Early Childhood Composite field of the NIH Toolbox Cognitive Battery
NeuroRehab Supplemental-Highly Recommended
NIH Toolbox Cognitive Battery
False
NeuroRehab
NeuroRehab General
F2905-C21414
C21414
Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Falling asleep trouble score
The subject's current trouble falling asleep rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Subacute Sport Related Concussion
F2873-C54260
C54260
Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) - Index type
Index type, as part of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)
NeuroRehab Supplemental-Highly Recommended
Repeatable Battery for Assessment of Neuropsychological Status (RBANS)
True
NeuroRehab
NeuroRehab Comprehensive
F2879-C20449
C20449
Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 2 T-score
T-score for Trial 2 portion of Brief Visuospatial Memory Test - Revised (BVMT-R)
NeuroRehab Supplemental-Highly Recommended
Brief Visuospatial Memory Test Revised (BVMT-R)
True
NeuroRehab
NeuroRehab General
F2906-C55271
C55271
Post Concussion Symptom Scale (PCSS) - Noise sensitivity symptom score
The score for noise sensitivity symptoms as part of the Post Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Post Concussion Symptom Scale
False
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2869-C53824
C53824
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 38 text
The word used for Word Reading item 38, as part of 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 General
F2905-C21411
C21411
Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Balance problem score
The subject's current balance problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Acute Sport Related Concussion
F2877-C56322
C56322
NIH Toolbox Cognitive - List scoring working memory age 7 up national age adjusted percentage value
The national percentile (age adjusted) that the subject is in, with respect to the NIHTB List Scoring Working Memory Age 7+ field of the NIH Toolbox Cognitive Battery
NeuroRehab Supplemental-Highly Recommended
NIH Toolbox Cognitive Battery
False
NeuroRehab
NeuroRehab Comprehensive
F2905-C21374
C21374
Immediate Post-Concussion Assessment Testing (ImPACT) - Memory loss post injury concussion result count
Number of concussions that resulted in loss of memory of events immediately after injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Subacute Sport Related Concussion
F2869-C53820
C53820
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 36 text
The word used for Word Reading item 36, as part of 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
F2904-C21864
C21864
Beck Anxiety Inventory (BAI) - Unable relax bother scale
Scale that represents how much the participant has been bothered by unable to relax as part of the Beck Anxiety Inventory (BAI)
NeuroRehab Supplemental-Highly Recommended
Beck Anxiety Inventory (BAI)
True
NeuroRehab
NeuroRehab General
F2872-C21895
C21895
Brief Test of Adult Cognition by Telephone (BTACT) - Thirty Seconds and Counting Task (30-SACT) total score
Total number of digits produced score, as a part of the Brief Test Adult Cognition by Telephone (BTACT)
NeuroRehab Supplemental-Highly Recommended
Brief Test of Adult Cognition by Telephone (BTACT)
False
NeuroRehab
NeuroRehab Comprehensive
F2905-C21427
C21427
Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Concentration difficultly assessment score
The subject's current difficulty concentrating rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2903-C20580
C20580
TBI Quality of Life (TBI-QOL) - Pain interference T-score
The T-Score related to consequences of pain on relevant aspects of one's life, including the extent to which pain hinders engagement with social, cognitive, emotional, physical, and recreational activities, 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 Comprehensive