Memory, attention, concentration, executive functions. Criterion August 30, 1996; title, criterion, note August 11, 2019. If present, the following are also signs of severe muscle disability: (A) X-ray evidence of minute multiple scattered foreign bodies indicating intermuscular trauma and explosive effect of the missile. 11, 1969. Binge eating followed by self-induced vomiting or other measures to prevent weight gain, or resistance to weight gain even when below expected minimum weight, with diagnosis of an eating disorder but without incapacitating episodes. Ratings for nonpulmonary TB December 1, 1949; criterion March 11, 1969. Social interaction is occasionally inappropriate. Top 5 VA Secondary Conditions to Knee Pain Heres the brutal truth about VA disability claims: You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, 9 Secrets Strategies for Winning Your VA Disability Claim, You have a medical diagnosis for your shoulder, and youre experiencing current symptoms, You experienced an event, injury, or illness while you were serving that caused or aggravated your shoulder pain (either directly or indirectly). 5242 Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). General Rating Formula for Restrictive Lung Disease (diagnostic codes 6840 through 6845): Cor pulmonale, or; cardiac involvement with congestive heart failure, or; progressive pulmonary disease with fever, night sweats, and weight loss despite treatment, Pulmonary involvement requiring systemic high dose (therapeutic) corticosteroids for control, Pulmonary involvement with persistent symptoms requiring chronic low dose (maintenance) or intermittent corticosteroids, Chronic hilar adenopathy or stable lung infiltrates without symptoms or physiologic impairment, Or rate active disease or residuals as chronic bronchitis (DC 6600) and extra-pulmonary involvement under specific body system involved. One eye, with visual acuity of other eye: 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60), 20/100 (6/30); 20/70 (6/21); 20/50 (6/15), Multi-joint (except post-traumatic and gout). Note: Six months following discharge from inpatient hospitalization for surgery, determine the appropriate disability rating by mandatory VA examination. (b) Amputation through middle phalanges will be rated as prescribed for unfavorable ankylosis of the fingers. 5317 Group XVII Function: Extension of hip. Generalized involvement of the skin with systemic manifestations (such as fever, weight loss, or hypoproteinemia) AND one of the following, Constant or near-constant systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA (psoralen with long-wave ultraviolet-A light), UVB (ultraviolet-B light) treatments, biologics, or electron beam therapy required over the past 12 month period; or, No current treatment due to a documented history of treatment failure with 2 or more treatment regimens, Generalized involvement of the skin without systemic manifestations and one of the following, Constant or near-constant systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA, UVB treatments, biologics, or electron beam therapy required over the past 12-month period; or, No current treatment due to a documented history of treatment failure with 1 treatment regimen, Any extent of involvement of the skin, and any of the following therapies required for a total duration of 6 weeks or more, but not constantly, over the past 12-month period: systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA, UVB treatments, biologics, or electron beam therapy, Any extent of involvement of the skin, and any of the following therapies required for a total duration of less than 6 weeks over the past 12-month period: systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA, UVB treatments, biologics, or electron beam therapy, Any extent of involvement of the skin, and no more than topical therapy required over the past 12-month period. Added November 7, 1996; Title August 4, 2014. Preceding paragraph criterion September 22, 1978. Group XIX Function: Abdominal wall and lower thorax. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. Bones, neoplasm, malignant, primary or secondary. Criterion September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. The VA Ratings Schedule for Rheumatoid Arthritis. With chronic residuals consisting of severe painful motion or weakness. In a given individual, symptoms may fluctuate in severity from day to day. With remaining field of 31 to 45 degrees: With remaining field of 46 to 60 degrees: Minimum, with scotoma affecting at least one-quarter of the visual field (quadrantanopsia) or with centrally located scotoma of any size, Alternatively, evaluate based on visual impairment due to scotoma, if that would result in a higher evaluation, Evaluate under the General Rating Formula for Diseases of the Eye, lagophthalmos (diagnostic code 6022), disfigurement (diagnostic code 7800), etc., depending on the particular findings, and combine in accordance with. 6504 Nose, loss of part of, or scars(or evaluate as DC 7800, scars, disfiguring, head, face, or neck). Rating agencies will assure themselves that the recent report of physical examination presents an adequate picture of the claimant's condition. Where there is lung or pleural involvement, ratings under diagnostic codes 6819 and 6820 will not be combined with each other or with diagnostic codes 6600 through 6817 or 6822 through 6847. 8912 Jacksonian and focal motor or sensory. The position of function of the hand is with the wrist dorsiflexed 20 to 30 degrees, the metacarpophalangeal and proximal interphalangeal joints flexed to 30 degrees, and the thumb (digit I) abducted and rotated so that the thumb pad faces the finger pads. result, it may not include the most recent changes applied to the CFR. Inability to communicate either by spoken language, written language, or both, more than occasionally but less than half of the time, or to comprehend spoken language, written language, or both, more than occasionally but less than half of the time. Web1. Evaluate based on disfigurement (diagnostic code 7800). Diseases of the genitourinary system generally result in disabilities related to renal or voiding dysfunctions, infections, or a combination of these. * If bilateral, see 3.350(a)(3) of this chapter to determine whether the veteran may be entitled to special monthly compensation. 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. Albuminuria alone is not nephritis, nor will the presence of transient albumin and casts following acute febrile illness be taken as nephritis. For a limited time, you can book a free, no-obligation VA Claim Discovery Call with one of our experts. [29 FR 6718, May 22, 1964, as amended at 61 FR 52700, Oct. 8, 1996]. 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. For the purposes of this diagnostic code, normal ABI will be greater than or equal to 0.80. 4 Schedule for Rating Disabilities The digestive systme also includes the salivary glands, liver, gallbladder, and pancreas, which create digestive juices and enzymes that help the body digest various food and liquids. Objective evidence on testing of severe impairment of memory, attention, concentration, or executive functions resulting in severe functional impairment. Narcolepsy VA Rating Complete Guide If you're a veteran who suffers from narcolepsy, you know how debilitating the condition can be. Apply the provisions of, For three months following hospital admission for surgery. (3) Moderately severe disability of muscles -. Executive functions are goal setting, speed of information processing, planning, organizing, prioritizing, self-monitoring, problem solving, judgment, decision making, spontaneity, and flexibility in changing actions when they are not productive. Evaluation March 10, 1976; revised and moved to 5235-5243 September 26, 2003. 5001 Bones and Joints, tuberculosis, active or inactive. When evaluating any claim involving muscle injuries resulting in loss of use of any extremity or loss of use of both buttocks (diagnostic code 5317, Muscle Group XVII), refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. The ratings for the cranial nerves are for unilateral involvement; when bilateral, combine but without the bilateral factor. Nutritional Deficiencies happen when the body is not getting enough nutrients, such as vitamins, minerals, etc. cm.) What are Dental and Oral Conditions for VA rating purposes? It is essential that the examination on which ratings are based adequately portray the anatomical damage, and the functional loss, with respect to all these elements. 30 to 34 mm of maximum unassisted vertical opening. 8045 Residuals of traumatic brain injury (TBI). [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. 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. 5279 Metatarsalgia, anterior (Mortons disease). (c) Special monthly compensation. 6520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral). The examiner must identify the disease, injury, or other pathologic process responsible for any visual impairment found. WebNote: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. Tic douloureux, or trifacial neuralgia, may be rated up to complete paralysis of the affected nerve. With 50-percent obstruction of the nasal passage on both sides or complete obstruction on one side, Loss of part of one ala, or other obvious disfigurement. 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation: For one month following hospital discharge for implantation or re-implantation. Total disability ratings for pension based on unemployability and age of the individual. The C&P examiner will then write a report about their findings and send it to the VA regional office. Added February 17, 1994; criterion November 14, 2021. Particular attention, with a view to proper rating under the rating schedule, is to be given to the claims of veterans discharged from hospital, regardless of length of hospitalization, with indications on the final summary of expected confinement to bed or house, or to inability to work with requirement of frequent care of physician or nurse at home. Blindness, both eyes, only light perception. Evaluate using an appropriate respiratory analogy. Mandible loss of, including ramus, unilaterally or bilaterally. L. Code L-1 h, i (38 CFR 3.350(b)). The Complete Guide to Getting a Narcolepsy VA Rating, 6 Things Every Veteran Needs to Know About VA Disability for Medication Side Effects. Six months after Minimum, if there is pain, photophobia, and glare sensitivity. Once the signal reaches the visual cortex, it is interpreted by the brain so you can make sense of the environment. Title May 13, 2018. 6827 Pulmonary alveolar proteinosis. Simple wound of muscle without debridement or infection. The manifestations of a chronic mental disorder associated with psychomotor epilepsy, like those of the seizures, are protean in character. Note: Manifesting as hyperthyroidism, evaluate as hyperthyroidism, including, but not limited to, Graves' disease (DC 7900); manifesting as hypothyroidism, evaluate as hypothyroidism (DC 7903). 5206 Forearm, limitation of flexion. Added February 17, 1994; title and criterion November 14, 2021. 7900 Hyperthyroidism, including, but not limited to, Graves disease. Thousands of other Veterans in our Community are here for you. Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). 4.29 Ratings for service-connected disabilities requiring hospital treatment or observation. (c) Neurocognitive disorders shall be evaluated under the general rating formula for mental disorders; neurologic deficits or other impairments stemming from the same etiology (e.g., a head injury) shall be evaluated separately and combined with the evaluation for neurocognitive disorders (see 4.25). Criterion May 13, 2018; criterion, note August 11, 2019. Nor will ratings assigned to organic diseases and injuries be assigned by analogy to conditions of functional origin. The examiner must document the results for at least 16 meridians 2212 degrees apart for each eye and indicate the Goldmann equivalent used. (b) When evaluating the level of disability from a mental disorder, the rating agency will consider the extent of social impairment, but shall not assign an evaluation solely on the basis of social impairment. (b) Evaluation of visual fields. Complete medical examination of injury cases. (a) A muscle injury rating will not be combined with a peripheral nerve paralysis rating of the same body part, unless the injuries affect entirely different functions. 1 Also entitled to special monthly compensation. This 10 percent rating will not be combined with any other rating for a disability due to cerebral or generalized arteriosclerosis. Criterion March 11, 1969; evaluation February 17, 1994. Only one hand shall be considered dominant. 8722 Neuralgia, musculocutaneous nerve (superficial peroneal). 29 FR 6718, May 22, 1964, unless otherwise noted. You can The most common is called direct service connection. Motor activity moderately decreased due to apraxia. Criterion March 1, 1963; title, criteria February 7, 2021. (i) Type of injury. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! (d) Puretone threshold average, as used in Tables VI and VIa, is the sum of the puretone thresholds at 1000, 2000, 3000 and 4000 Hertz, divided by four. With intermediate degrees of residual weakness, pain or limitation of motion, rate by analogy to diagnostic codes 5200 and 5203. The ratings for the peripheral nerves are for unilateral involvement; when bilateral, combine with application of the bilateral factor. 6829 Drug-induced, pneumonitis & fibrosis. Kyphoscoliosis, pectus excavatum/carinatum. 5104 Anatomical loss of one hand and loss of use of one foot. Nonunion in upper half, with false movement: With loss of bone substance (1 inch (2.5 cms.) 5012 Bones, neoplasm, malignant, primary or secondary. Service department record or other evidence showing hospitalization for a prolonged period for treatment of wound. (a) Visual impairment. Many of these medications cause other disabilities through side effects. cm.). "Published Edition". Criterion September 22, 1978; evaluation February 17, 1994; evaluation September 10, 2017; title September 10, 2017. 6065 Vision in one eye 5/200 (1.5/60). Each of these areas of dysfunction may require evaluation. 6030 Paralysis of accommodation (due to neuropathy of the Oculomotor Nerve (cranial nerve III)). 7344 Benign neoplasms, exclusive of skin growths: Evaluate under an appropriate diagnostic code, depending on the predominant disability or the specific residuals after treatment. Nonunion in lower half, with false movement: 5213 Supination and pronation, impairment of: The hand fixed in supination or hyperpronation, The hand fixed near the middle of the arc or moderate pronation, Motion lost beyond last quarter of arc, the hand does not approach full pronation, Unfavorable, in any degree of palmar flexion, or with ulnar or radial deviation, Palmar flexion limited in line with forearm, (1) For the index, long, ring, and little fingers (digits II, III, IV, and V), zero degrees of flexion represents the fingers fully extended, making a straight line with the rest of the hand. During and for three months following myocardial infarction, confirmed by laboratory tests. Its based on the level of mobility limitation caused by bursitis. (vii) headaches (of a type, severity, or pattern that is different from headaches in the pre-morbid state). Subject to the provisions of 38 CFR 3.383(a), if visual impairment of only one eye is service-connected, the visual acuity of the other eye will be considered to be 20/40 for purposes of evaluating the service-connected visual impairment. 4.100 Application of the general rating formula for diseases of the heart. Only joints in these positions are considered to be in favorable position. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies. Where there are existing pulmonary and nonpulmonary conditions, the graduated evaluation for the pulmonary, or for the nonpulmonary, condition will be utilized, combined with evaluations for residuals of the condition not covered by the graduated evaluation utilized, so as to provide the higher evaluation over such period. 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. Below is a complete list of VA disabilities for the musculoskeletal system, listed in order by Diagnostic Code (DC) from CFR Title 38, Part 4, the Schedule for Rating Disabilities. With service incurred lower extremity amputation or shortening, a disabling arthritis, developing in the same extremity, or in both lower extremities, with indications of earlier, or more severe, arthritis in the injured extremity, including also arthritis of the lumbosacral joints and lumbar spine, if associated with the leg amputation or shortening, will be considered as service incurred, provided, however, that arthritis affecting joints not directly subject to strain as a result of the service incurred amputation will not be granted service connection. 6826 Desquamative interstitial pneumonitis. Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. 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. Purely neurological disabilities, such as hemiplegia, cranial nerve paralysis, etc., due to cerebral arteriosclerosis will be rated under the diagnostic codes dealing with such specific disabilities, with citation of a hyphenated diagnostic code (e.g., 8046-8207). 6847 Sleep Apnea Syndromes (Obstructive, Central, Mixed): Chronic respiratory failure with carbon dioxide retention or cor pulmonale, or; requires tracheostomy, Requires use of breathing assistance device such as continuous airway pressure (CPAP) machine, Asymptomatic but with documented sleep disorder breathing. It is not a disability subject to compensation. It is provided further that the existence or degree of nonservice-connected disabilities or previous unemployability status will be disregarded where the percentages referred to in this paragraph for the service-connected disability or disabilities are met and in the judgment of the rating agency such service-connected disabilities render the veteran unemployable. 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. For DCs 7009, 7010, 7011, and 7015, a single evaluation will be assigned under the diagnostic code that reflects the predominant disability picture. Dissociative amnesia; dissociative identity disorder. At metacarpophalangeal joint or through proximal phalanx, At distal joint or through distal phalanx, With metacarpal resection (more than one-half the bone lost), Without metacarpal resection, at proximal interphalangeal joint or proximal thereto, Through middle phalanx or at distal joint. (d) When a single disability has been diagnosed both as a physical condition and as a mental disorder, the rating agency shall evaluate it using a diagnostic code which represents the dominant (more disabling) aspect of the condition (see 4.14). Note July 6, 1950; evaluation February 17, 1994, criterion September 8, 1994; criterion November 14, 2021. Subjective symptoms that do not interfere with work; instrumental activities of daily living; or work, family, or other close relationships. The importance of complete medical examination of injury cases at the time of first medical examination by the Department of Veterans Affairs cannot be overemphasized. Schedule of ratings - musculoskeletal system. 4.96 Special provisions regarding evaluation of respiratory conditions. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. This 76 will be combined with 20 and the combined value for the three is 81 percent. [40 FR 42535, Sept. 15, 1975, as amended at 54 FR 4281, Jan. 30, 1989; 55 FR 31580, Aug. 3, 1990; 58 FR 39664, July 26, 1993; 61 FR 52700, Oct. 8, 1996; 79 FR 2100, Jan. 13, 2014]. 7631 Benign neoplasms of the breast and other injuries of the breast. For example, post concussive headaches are not listed in the general schedule, only migraine headaches. Criterion September 8, 1994; title, criterion, note November 14, 2021. (e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; (f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance.
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