In every instance where the schedule does not provide a zero percent evaluation for a diagnostic code, a zero percent evaluation shall be assigned when the requirements for a compensable evaluation are not met. It is also available for inspection at the Office of Regulation Policy and Management, Department of Veterans Affairs, 810 Vermont Avenue NW., Room 1068, Washington, DC 20420. Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520). Take advantage of a FREE VA Claim Discovery Call. 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism. 23, 2009; 77 FR 6467, Feb. 8, 2012; 79 FR 45103, Aug. 4, 2014; 82 FR 36085, Aug. 3, 2017; 82 FR 50807, Nov. 2, 2017; 83 FR 15073, Apr. If there are more than two disabilities, the disabilities will also be arranged in the exact order of their severity and the combined value for the first two will be found as previously described for two disabilities. Combined Disability Rating. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. ): Preoperative: Evaluate under the General Rating Formula for Diseases of the Eye, Postoperative: If a replacement lens is present (pseudophakia), evaluate under the General Rating Formula for Diseases of the Eye. However, when the lens required to correct distance vision in the poorer eye differs by more than three diopters from the lens required to correct distance vision in the better eye (and the difference is not due to congenital or developmental refractive error), and either the poorer eye or both eyes are service connected, evaluate the visual acuity of the poorer eye using either its uncorrected or corrected visual acuity, whichever results in better combined visual acuity. If you would like to comment on the current content, please use the 'Content Feedback' button below for instructions on contacting the issuing agency. This, though a familial disease, has its onset in late adult life, and is considered a ratable disability. 5242 Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). 1 Review for entitlement to special monthly compensation under 38 CFR 3.350. eCFR VA DISABILITIES OF THE RESPIRATORY SYSTEM. 5001 Bones and Joints, tuberculosis, active or inactive. A plumb line dropped from the middle of the patella falls inside of the normal point. Many Different Conditions Could Be Causing Your Shoulder Pain, 2. Schedule of ratings - musculoskeletal system. Application of the general rating formula for diseases of the heart. 6604 Chronic obstructive pulmonary disease. (6) When there is a disparity between the results of different PFT's (FEV-1 (Forced Expiratory Volume in one second), FVC (Forced Vital Capacity), etc. If it is not clear from the available records what the change of diagnosis represents, the rating agency shall return the report to the examiner for a determination. between the thumb pad and the fingers, with the thumb attempting to oppose the fingers, With a gap of one to two inches (2.5 to 5.1 cm.) Recurrent dislocation of at scapulohumeral joint: With frequent episodes and guarding of all arm movements, With infrequent episodes and guarding of movement only at shoulder level (flexion and/or abduction at 90 ). Criterion February 3, 1988; Title August 4, 2014. Intellectual disability (intellectual developmental disorder) and personality disorders. 7115 Thrombo-angiitis obliterans (Buerger's Disease): Deep ischemic ulcers and necrosis of the fingers with persistent coldness of the extremity, trophic changes with pains in the hand during physical activity, and diminished upper extremity pulses, Persistent coldness of the extremity, trophic changes with pains in the hands during physical activity, and diminished upper extremity pulses, Trophic changes with numbness and paresthesia at the tips of the fingers, and diminished upper extremity pulses, Note (1): These evaluations involve a single extremity. Appendix A to Part 4 - Table of Amendments and Effective Dates Since 1946, Appendix B to Part 4 - Numerical Index of Disabilities, Appendix C to Part 4 - Alphabetical Index of Disabilities, Unstabilized condition with severe disability -, Substantially gainful employment is not feasible or advisable, Unhealed or incompletely healed wounds or injuries -, Material impairment of employability likely. [29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. 6029 Aphakia or dislocation of crystalline lens: Evaluate based on visual impairment, and elevate the resulting level of visual impairment one step. Hip Labral Tear The labrum is a In 2022, flat feet VA disability ratings range from 0 percent to 50 percent, with interim breaks at 10 percent, 20 percent, and 30 percent. General Rating Formula for Mycotic Lung Disease (diagnostic codes 6834 through 6839): Chronic pulmonary mycosis with persistent fever, weight loss, night sweats, or massive hemoptysis, Chronic pulmonary mycosis requiring suppressive therapy with no more than minimal symptoms such as occasional minor hemoptysis or productive cough, Chronic pulmonary mycosis with minimal symptoms such as occasional minor hemoptysis or productive cough, Healed and inactive mycotic lesions, asymptomatic. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. Manifest differences in ulcers of the stomach or duodenum in comparison with those at an anastomotic stoma are sufficiently recognized as to warrant two separate graduated descriptions. Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). Rate as for impairment of sphincter control. Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note. Occasionally gets lost in unfamiliar surroundings, has difficulty reading maps or following directions. What are Gynecological Conditions and Disorders of the Breasts for VA rating purposes? Note (2): If disfigurement of the neck is present due to thyroid disease or enlargement, separately evaluate under DC 7800 (burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck). Note (2): For the purposes of this diagnostic code, a treatment intervention occurs whenever a symptomatic patient requires intravenous pharmacologic adjustment, cardioversion, and/or ablation for symptom relief. 6305 Lymphatic filariasis, to include elephantiasis: 6310 Syphilis, and other treponema infections: 6312 Nontuberculosis mycobacterium infection: Marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia, With all of the symptoms listed below, plus mental symptoms and impaired bodily vigor, With stomatitis, diarrhea, and symmetrical dermatitis, With stomatitis, or achlorhydria, or diarrhea, Confirmed diagnosis with nonspecific symptoms such as: decreased appetite, weight loss, abdominal discomfort, weakness, inability to concentrate and irritability, With congestive heart failure, anasarca, or Wernicke-Korsakoff syndrome, With cardiomegaly, or; with peripheral neuropathy with footdrop or atrophy of thigh or calf muscles, With peripheral neuropathy with absent knee or ankle jerks and loss of sensation, or; with symptoms such as weakness, fatigue, anorexia, dizziness, heaviness and stiffness of legs, headache or sleep disturbance. Evaluation of disability from mental disorders. The psychotic or psychroneurotic disorder will be rated under the appropriate diagnostic code. Evaluation October 23, 1995; evaluation December 9, 2018. (b) With severe associated symptoms or with extensive cavity formation. LII / Legal Information Institute Moderately impaired judgment. 6066 Visual acuity in one eye 10/200 (3/60) or better. If there is no replacement lens, evaluate based on aphakia (diagnostic code 6029). Note (1): If hyperthyroid cardiovascular or cardiac disease is present, separately evaluate under DC 7008 (hyperthyroid heart disease). 7203 Esophagus, stricture(Achalasia). The conversion to the nearest degree divisible by 10 will be done only once per rating decision, will follow the combining of all disabilities, and will be the last procedure in determining the combined degree of disability. The nomenclature employed in this portion of the rating schedule is based upon the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (see 4.125 for availability information). Note (2): Asymptomatic bradycardia (bradyarrhythmia) is a medical finding only. 7820 Infections of the skin(including bacterial, fungal, viral, treponemal, and parasitic diseases). Bursitis To enforce any edition other than that specified in this section, the Department of Veterans Affairs must publish notice of change in the Federal Register and the material must be available to the public. This combined value will be converted to the nearest degree divisible by 10 which is 80 percent. The Ear is one of the most unique sensory organs in the human body. 5053 Wrist replacement (prosthesis). What is the Genitourinary System for VA rating purposes? Self-induced weight loss to less than 85 percent of expected minimum weight with incapacitating episodes of six or more weeks total duration per year. 5239 Spondylolisthesis or segmental instability. Or rate according to pulmonary impairment as for chronic bronchitis (DC 6600). cm. (3) Moderately severe disability of muscles -. Any change in evaluation based upon that or any subsequent examination will be subject to the provisions of. 8723 Neuralgia, anterior tibial nerve (deep peroneal). Benign neoplasms of the breast and other injuries of the breast. Note (1): Evaluate cor pulmonale, which is a form of secondary heart disease, as part of the pulmonary condition that causes it. This VA dependents Today, Brian Reese the VA Claims Insider reveals the Top 8 VA Benefits for Surviving Spouse this year. 6826 Desquamative interstitial pneumonitis. Measurement of ankylosis and joint motion. 8521 External popliteal nerve (common peroneal), paralysis. In each prestabilization rating an examination will be requested to be accomplished not earlier than 6 months nor more than 12 months following discharge. 5217 Four digits of one hand, unfavorable ankylosis of: 5218 Three digits of one hand, unfavorable ankylosis of: Index, long, and ring; index, long, and little; or index, ring, and little fingers. 6025 Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). 8311 Neuritis, eleventh cranial nerve. 5236 Sacroiliac injury and weakness. Handedness for the purpose of a dominant rating will be determined by the evidence of record, or by testing on VA examination. 6842 Kyphoscoliosis, pectus excavatum/carinatum. Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation. Moderately impaired. For 2 years after date of inactivity, following active tuberculosis, which was clinically identified during service or subsequently, Thereafter, for 4 years, or in any event, to 6 years after date of inactivity, Thereafter, for 5 years, or to 11 years after date of inactivity, Thereafter, in the absence of a schedular compensable permanent residual. 7916 Hyperpituitarism (prolactin secreting pituitary dysfunction): Note: Evaluate as malignant or benign neoplasm, as appropriate. Poor renal function: Rate as renal dysfunction. Internal popliteal nerve (tibial), paralysis. For evaluation of Raynaud's syndrome (also known as secondary Raynaud's phenomenon, or secondary Raynaud's), see DC 7117. Spinal cord injury with respiratory insufficiency. 7801 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage. Papulosquamous disorders not listed elsewhere. 5165 At a lower level, permitting prosthesis. 8729 Neuralgia, external cutaneous nerve of thigh. [41 FR 11293, Mar. Neuralgia, external cutaneous nerve of thigh. You are using an unsupported browser. Aortic aneurysm: ascending, thoracic, abdominal. 6030 Paralysis of accommodation (due to neuropathy of the Oculomotor Nerve (cranial nerve III)). 5120 Complete amputation, upper extremity. Anatomical loss of one hand and loss of use of one foot. About VA Disability Ratings | Veterans Affairs 9305 Major or mild vascular neurocognitive disorder(Dementia). cm.). Most likely, the VA will Criterion February 17, 1994; criterion, footnote November 14, 2021. The rating, however, is based primarily upon the average impairment in earning capacity, that is, upon the economic or industrial handicap which must be overcome and not from individual success in overcoming it. Schedule for Rating Disabilities; Dental and Oral Conditions 10, 2018; 83 FR 32601, July 13, 2018; 83 FR 54259, Oct. 29, 2018; 84 FR 28234, June 18, 2019; 85 FR 76467, Nov. 30, 2020; 85 FR 85523, Dec. 29, 2020; 86 FR 8143, Feb. 4, 2021; 86 FR 54088, 54097, Sept. 30, 2021]. See nerve involved for diagnostic code number and rating. Evaluation August 30, 2002; criterion October 23, 2008. Criterion September 1, 1960; criterion September 9, 1975; criterion January 12, 1998. This contact form is only for website help or website suggestions. We use your disability rating to determine 9, 2018; 83 FR 15323, Apr. The ability to overcome the handicap of disability varies widely among individuals. We recommend you directly contact the agency responsible for the content in question. Total disability will be considered to exist when there is present any impairment of mind or body which is sufficient to render it impossible for the average person to follow a substantially gainful occupation; Provided, That permanent total disability shall be taken to exist when the impairment is reasonably certain to continue throughout the life of the disabled person. The prestabilization 50-percent rating is not to be used in any case in which a rating of 50 percent or more is immediately assignable under the regular provisions. 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events). Because of this, the VA focuses the disability rating system for conditions of the Ears primarily on hearing loss, with additional rating options to cover conditions affecting balance, infections, ringing in the ear, etc. VA DISABILITY FOR NEUROLOGICAL CONDITIONS AND CONVULSIVE DISORDERS. It is the defined and consistently applied policy of the Department of Veterans Affairs to administer the law under a broad interpretation, consistent, however, with the facts shown in every case. (1) An authorized absence in excess of 4 days which begins during the first 21 days of hospitalization will be regarded as the equivalent of hospital discharge effective the first day of such authorized absence. This web site is designed for the current versions of Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that do not require therapy comparable to that for systemic malignancies: Separately evaluate visual and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. It is also available for inspection at the National Archives and Records Administration (NARA). Severe; objective evidence of marked deformity (pronation, abduction, etc. If you have questions for the Agency that issued the current document please contact the agency directly. Most of the time, youll receive a musculoskeletal rating based on your shoulder range of motion if you were to lift your arm away from the side of your body. Skin texture abnormal (irregular, atrophic, shiny, scaly, etc.) Examples: A person of high social standing remained seated, muttered angrily, and rubbed the arms of his chair while the National Anthem was being played; an apparently normal person suddenly disrobed in public; a man traded an expensive automobile for an antiquated automobile in poor mechanical condition and after regaining conscious control, discovered that he had signed an agreement to pay an additional sum of money in the trade. Added September 9, 1975; criterion January 12, 1998; note, criterion November 14, 2021. Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. Heres the brutal truth about VA disability claims: CFR Title 38, Part 4, the Schedule for Rating Disabilities. Criterion September 9, 1975; evaluation January 12, 1998; note, criterion November 14, 2021. Criterion September 9, 1975; removed October 7, 1996. Marked contraction of plantar fascia with dropped forefoot, all toes hammer toes, very painful callosities, marked varus deformity: All toes tending to dorsiflexion, limitation of dorsiflexion at ankle to right angle, shortened plantar fascia, and marked tenderness under metatarsal heads: Great toe dorsiflexed, some limitation of dorsiflexion at ankle, definite tenderness under metatarsal heads: 5279 Metatarsalgia, anterior (Morton's disease), unilateral, or bilateral, Operated with resection of metatarsal head, Severe, if equivalent to amputation of great toe. The use of the protective provisions of Pub. When the claimant has anatomical loss of one eye and is unable to wear a prosthesis, increase the evaluation for visual acuity under diagnostic code 6063 by 10 percent, but the maximum evaluation for visual impairment of both eyes must not exceed 100 percent. 9902 Mandible, loss of, including ramus, unilaterally or bilaterally: Not involving temporomandibular articulation. What is the Digestive System for VA rating purposes? Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage. ), (3) Immobilization by cast, without surgery, of one major joint or more. ratings This imposes upon the medical examiner the responsibility of furnishing, in addition to the etiological, anatomical, pathological, laboratory and prognostic data required for ordinary medical classification, full description of the effects of disability upon the person's ordinary activity. [29 FR 6718, May 22, 1964, as amended at 34 FR 5062, Mar. The combined value for the three disabilities will be found in the space where the column and row intersect, and if there are only three disabilities will be converted to the nearest degree divisible by 10, adjusting final 5's upward. 5317 Group XVII Function: Extension of hip. Organization and Purpose Criterion and evaluation October 23, 2008. 5003 Degenerative arthritis, other than post-traumatic. Rate the vascular conditions under Codes 8007 through 8009, for 6 months. (b) More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.). 9918 Neoplasm, hard and soft tissue, malignant. Mandible loss of, including ramus, unilaterally or bilaterally. Ratings for Pulmonary Tuberculosis Initially Evaluated After August 19, 1968: 6819 Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths. 3. Tests of strength, endurance, or coordinated movements compared with the corresponding muscles of the uninjured side indicate severe impairment of function. Note (2): Evaluate each affected part (e.g., hand, foot, ear, nose) separately and combine the ratings in accordance with, 7123 Soft tissue sarcoma (of vascular origin). Added February 17, 1994; criterion November 14, 2021. 1 Review for entitlement to special monthly compensation under 3.350 of this chapter. Principles of combined ratings for muscle injuries. I also have 20% disability for instability of the knee (medical discharge) due to anterolateral rotary instability (in effect for 23 yrs). 7018 Implantable cardiac pacemakers. [41 FR 11293, Mar. 5160 Complete amputation, lower extremity. Rating agencies must be thoroughly familiar with this manual to properly implement the directives in 4.125 through 4.129 and to apply the general rating formula for mental disorders in 4.130. 7534 Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified): 7535 Toxic nephropathy (antibotics, radiocontrast agents, nonsteroidal anti-inflammatory agents, heavy metals, and similar agents): 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism: Note: This diagnostic code pertains to renal involvement secondary to all glomerulonephritis conditions, all vasculitis conditions and their derivatives, and other renal conditions caused by systemic diseases, such as Lupus erythematosus, systemic lupus erythematosus nephritis, Henoch-Schonlein syndrome, scleroderma, hemolytic uremic syndrome, polyarthritis, Wegener's granulomatosis, Goodpasture's syndrome, and sickle cell disease. How to Get a 100 Percent VA Rating (if deserved)! However, the total rating during the 1-year period for the pulmonary or for the nonpulmonary condition will be utilized, combined with evaluation for residuals of the condition not covered by the 1-year total evaluation, so as to allow any additional benefit provided during such period. Veterans Affairs 6062 Blindness, both eyes, only light perception. WebNote: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. 5320 Group XX Function: Postural support of body. 8625 Neuritis, posterior tibial nerve. Replaces 5285-5295 September 26, 2003; Title February 7, 2021. Eleventh (spinal accessory, external branch) cranial nerve. For purposes of evaluating conditions in 4.114, the term substantial weight loss means a loss of greater than 20 percent of the individual's baseline weight, sustained for three months or longer; and the term minor weight loss means a weight loss of 10 to 20 percent of the individual's baseline weight, sustained for three months or longer. (Effective as to outpatient treatment March 10, 1976.). here. In the citation of disabilities on rating sheets, the diagnostic terminology will be that of the medical examiner, with no attempt to translate the terms into schedule nomenclature. - Need for aid attendance or permanently bedridden qualifies for subpar. When the evidence is inadequate to assign a schedular evaluation, a physical examination will be scheduled and considered prior to the termination of a total rating under this section. You have a very severe disability or loss of limb, or You have a spouse, child, or dependent parent and your combined disability rating is 30% or greater, or You have a cm.) Group XVIII Function: Outward rotation of thigh. Healing with good functional results. 7824 Keratinization, diseases(including icthyoses, Dariers disease, palmoplantar keratoderma, Dyskeratosis follicularis and Ichthyoses). 18, 1976, as amended at 54 FR 27161, June 28, 1989; 54 FR 36029, Aug. 31, 1989; 83 FR 17756, Apr. Each disability must be considered from the point of view of the veteran working or seeking work. 8724 Neuralgia, internal popliteal nerve (tibial). Replaces 5285-5295 September 26, 2003; Criterion September 26, 2003; Title February 7, 2021. Note (1): Evaluate symptoms due to pressure on adjacent organs (such as the trachea, larynx, or esophagus) under the appropriate diagnostic code(s) within the appropriate body system. 4.124 Neuralgia, cranial or peripheral. 6354 Chronic Fatigue Syndrome (CFS). 7801 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck, that are associated with underlying soft tissue damage: Area or areas of 144 square inches (929 sq. Prestabilization ratings are for assignment in the immediate postdischarge period. Self-induced weight loss to less than 85 percent of expected minimum weight with incapacitating episodes of more than two but less than six weeks total duration per year. Prosthetic replacement of the head of the femur or of the acetabulum: Following implantation of prosthesis with painful motion or weakness such as to require the use of crutches, Markedly severe residual weakness, pain or limitation of motion following implantation of prosthesis, Moderately severe residuals of weakness, pain or limitation of motion, Minimum evaluation, total replacement only. Added June 9, 1952; evaluation March 10, 1976; removed January 12, 1998. There should be careful consideration of lumbosacral sprain, and the various symptoms of pain and paralysis attributable to disease affecting the lumbar vertebrae and the intervertebral disc. (i) Type of injury. Social interaction is occasionally inappropriate. Hemorrhagic fevers, including dengue, yellow fever, and others. Automatic states or automatisms are characterized by episodes of irrational, irrelevant, disjointed, unconventional, asocial, purposeless though seemingly coordinated and purposeful, confused or inappropriate activity of one to several minutes (or, infrequently, hours) duration with subsequent amnesia for the seizure. 8626 Neuritis, anterior crural (femoral) nerve. General Rating Formula for Diseases of the Eye: Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation, With documented incapacitating episodes requiring 7 or more treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 5 but less than 7 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 3 but less than 5 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 1 but less than 3 treatment visits for an eye condition during the past 12 months, Note (1): For the purposes of evaluation under, Note (2): Examples of treatment may include but are not limited to: Systemic immunosuppressants or biologic agents; intravitreal or periocular injections; laser treatments; or other surgical interventions, Note (3): For the purposes of evaluating visual impairment due to the particular condition, refer to.
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