5170 Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. Conditions that are NOT in the general schedule can be rated analogously with acondition thatIS. 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. contact the publishing agency. 7348 Vagotomy with pyloroplasty or gastroenterostomy: Followed by demonstrably confirmative postoperative complications of stricture or continuing gastric retention, With symptoms and confirmed diagnosis of alkaline gastritis, or of confirmed persisting diarrhea, For an indefinite period from the date of hospital admission for transplant surgery. The forepart of the foot is abducted, and the foot everted. Thus with a compensable disability of the right thigh, for example, amputation, and one of the left foot, for example, pes planus, the bilateral factor applies, and similarly whenever there are compensable disabilities affecting use of paired extremities regardless of location or specified type of impairment. Added January 12, 1998; note, criterion November 14, 2021. With partial loss of use of one or more extremities from neurological lesions, rate by comparison with the mild, moderate, severe, or complete paralysis of peripheral nerves], Organic Diseases of the Central Nervous System, Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified. 7824 Diseases of keratinization (including icthyoses, Darier's disease, and palmoplantar keratoderma). Criterion March 1, 1963; title, criteria February 7, 2021. WebA total disability rating (100 percent) will be assigned without regard to other provisions of the rating schedule when it is established that a service-connected disability has required Criterion August 13, 1981; criterion June 9, 1996; criterion December 10, 2017. Social interaction is routinely appropriate. Painful neuroma of a stump after amputation shall be assigned the evaluation for the elective site of reamputation. When evaluating visual impairment, refer to 38 CFR 3.350 to determine whether the claimant may be entitled to special monthly compensation. Thereafter rate residuals under the appropriate body system. 5120 Complete amputation, upper extremity: Forequarter amputation (involving complete removal of the humerus along with any portion of the scapula, clavicle, and/or ribs), Disarticulation (involving complete removal of the humerus only), 5126 Five digits of one hand, amputation of. What are ear disabilities for VA rating purposes? The VA rates Back Pain under CFR Title 38, Part 4, Schedule for Rating Disabilities, General Rating Formula for Diseases and Injuries of The Electronic Code of Federal Regulations (eCFR) is a continuously updated online version of the CFR. 18, 1976; 43 FR 45362, Oct. 2, 1978; 54 FR 4282, Jan. 30, 1989; 54 FR 49755, Dec. 1, 1989; 55 FR 154, Jan. 3, 1990; 56 FR 51653, Oct. 15, 1991; 57 FR 24364, June 9, 1992; 70 FR 75399, Dec. 20, 2005; 73 FR 54705, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 76 FR 78824, Dec. 20, 2011; 79 FR 2100, Jan. 13, 2014]. 7900 Hyperthyroidism, including, but not limited to, Graves' disease: Thereafter, rate residuals of disease or complications of medical treatment within the appropriate diagnostic code(s) within the appropriate body system. The most common shoulder injuries in veterans are rotator cuff tears, shoulder impingement, bursitis, and tendinitis. In this article, our VA Disability Conditions List by Body System and VA Diagnostic Code (Official), VA DISABILITIES OF THE MUSCULOSKELETAL SYSTEM. 6006 Retinopathy or maculopathy not otherwise specified. Comments or questions about document content can not be answered by OFR staff. Heres the brutal truth about VA disability claims: CFR Title 38, Part 4, the Schedule for Rating Disabilities. Memory, attention, concentration, executive functions. Papulosquamous disorders not listed elsewhere. Confirmed by ECG, with five or more treatment interventions per year, Confirmed by ECG, with one to four treatment interventions per year; or, confirmed by ECG with either continuous use of oral medications to control or use of vagal maneuvers to control. Principles of combined ratings for muscle injuries. 1 Also entitled to special monthly compensation. For evaluation of Raynaud's syndrome (also known as secondary Raynaud's phenomenon, or secondary Raynaud's), see DC 7117. The aim should be the reconciliation and continuance of the diagnosis or etiology upon which service connection for the disability had been granted. The stronger the connection between your military Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Ratings in excess of 10 percent for cerebral arteriosclerosis under diagnostic code 9305 are not assignable in the absence of a diagnosis of multi-infarct dementia with cerebral arteriosclerosis. Evaluate post-surgical residuals under the General Rating Formula. 4.124 Neuralgia, cranial or peripheral. Total disability ratings for compensation based on unemployability of the individual. These hormones control the growth of new cells and metabolism. Six months after (c) For VA rating purposes, the cardinal signs and symptoms of muscle disability are loss of power, weakness, lowered threshold of fatigue, fatigue-pain, impairment of coordination and uncertainty of movement. The exam aims to gather more information about your shoulder condition and how it affects your daily life. 8719 Neuralgia, long thoracic nerve. (a) Examination of visual acuity. 4.76a Computation of average concentric contraction of visual fields. Is able to use assistive devices such as GPS (global positioning system). If no facet is evaluated as total, assign the overall percentage evaluation based on the level of the highest facet as follows: 0 = 0 percent; 1 = 10 percent; 2 = 40 percent; and 3 = 70 percent. The Analogous diagnostic codes are used by the VA when a diagnosed condition is not directly listed in CFR Title 38, Part 4, the Schedule for Rating Disabilities. cm.) Without cardiac involvement but with chronic edema, stasis dermatitis, and either ulceration or cellulitis: Without cardiac involvement but with chronic edema or stasis dermatitis: At least one of the following: Ankle/brachial index less than or equal to 0.39; ankle pressure less than 50 mm Hg; toe pressure less than 30 mm Hg; or transcutaneous oxygen tension less than 30 mm Hg, At least one of the following: Ankle/brachial index of 0.40-0.53; ankle pressure of 50-65 mm Hg; toe pressure of 30-39 mm Hg; or transcutaneous oxygen tension of 30-39 mm Hg, At least one of the following: Ankle/brachial index of 0.54-0.66; ankle pressure of 66-83 mm Hg; toe pressure of 40-49 mm Hg; or transcutaneous oxygen tension of 40-49 mm Hg, At least one of the following: Ankle/brachial index of 0.67-0.79; ankle pressure of 84-99 mm Hg; toe pressure of 50-59 mm Hg; or transcutaneous oxygen tension of 50-59 mm Hg, Note (1): The ankle/brachial index (ABI) is the ratio of the systolic blood pressure at the ankle divided by the simultaneous brachial artery systolic blood pressure. Schedule of ratings - dental and oral conditions. Criterion March 1, 1989; evaluation August 30, 1996; title, criterion, note August 11, 2019. Hypercalcemia (indicated by at least one of the following: Total Ca greater than 12 mg/dL (3-3.5 mmol/L), Ionized Ca greater than 5.6 mg/dL (2-2.5 mmol/L), creatinine clearance less than 60 mL/min, bone mineral density T-score less than 2.5 SD (below mean) at any site or previous fragility fracture). Weakness is as important as limitation of motion, and a part which becomes painful on use must be regarded as seriously disabled. Rate chronic residuals according to impairment of function due to scars, lymphedema, or disfigurement (e.g., limitation of arm, shoulder, and wrist motion, or loss of grip strength, or loss of sensation, or residuals from harvesting of muscles for reconstructive purposes), and/or under diagnostic code 7626. 7631 Benign neoplasms of the breast and other injuries of the breast. Surface contour of scar elevated or depressed on palpation. Major or mild vascular neurocognitive disorder. Diagnostic Code 8100for migraine headaches, You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, 9 Secrets Strategies for Winning Your VA Disability Claim, An honorable discharge (cant be dishonorable), A medical diagnosis of a disability condition, A nexus for service connection either directly related to military service, secondary to another condition, or a presumptive disability, and, Current symptoms of the condition that negatively affect your work, life, and/or social functioning, Better Business Bureau (BBB) Accredited Business. You can expect the C&P examiner to ask questions about your shoulder pain, how it started, what makes it worse, and what treatments youve tried. 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 February 17, 1994; criterion November 14, 2021. 8104 Paramyoclonus multiplex(convulsive state, myoclonic type). 8713 Neuralgia, all radicular groups. (a) Examination of muscle function. Benign (First-Degree and Second-Degree, Type I): Non-Benign (Second-Degree, Type II and Third-Degree): Evaluate under DC 7018 (implantable cardiac pacemakers). 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 lumbosacral articulation and both sacroiliac joints are considered to be a group of minor joints, ratable on disturbance of lumbar spine functions. Benign neoplasms of gynecological system. e. Evaluating Limitation of Motion Due to Pain When evaluating limitation of motion due to pain, keep in mind that the limitation must at least meet the level of a noncompensable evaluation for the affected joint to warrant an additional evaluation 2 Also entitled to special monthly compensation. With intermediate degrees of residual weakness, pain or limitation of motion, rate by analogy to diagnostic code 5214. 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. in length. VA DISABILITY FOR DENTAL AND ORAL CONDITIONS. Veterans may be more susceptible to shoulder injuries due to the physical nature of their service. Thousands of other Veterans in our Community are here for you. Anatomical loss of one hand and loss of use of one foot. The same procedure will be employed when there are four or more disabilities. 8104 Paramyoclonus multiplex (convulsive state, myoclonic type): Rate as Sydenham's chorea. (iv) palpable or tender cervical or axillary lymph nodes. [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. See Table III for the normal extent (in degrees) of the visual fields at the 8 principal meridians (45 degrees apart). FEV-1 less than 40 percent of predicted value, or; the ratio of Forced Expiratory Volume in one second to Forced Vital Capacity (FEV-1/FVC) less than 40 percent, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption (with cardiac or respiratory limitation), or; cor pulmonale (right heart failure), or; right ventricular hypertrophy, or; pulmonary hypertension (shown by Echo or cardiac catheterization), or; episode(s) of acute respiratory failure, or; requires outpatient oxygen therapy. 3. 5210 Radius and ulna, nonunion of, with flail false joint. General considerations for evaluating visual impairment. Evaluate under diagnostic codes 5256, 5257, 5260, or 5261 for the knee, or 5270 or 5271 for the ankle, whichever results in the highest evaluation. Evaluate under the General Rating Formula for Diseases of the Eye, disfigurement (diagnostic code 7800), conjunctivitis (diagnostic code 6018), etc., depending on the particular findings, and combine in accordance with, Evaluate under the General Rating Formula for Diseases of the Eye. 8626 Neuritis, anterior crural (femoral) nerve. ), (2) Surgery with severe postoperative residuals such as incompletely healed surgical wounds, stumps of recent amputations, therapeutic immobilization of one major joint or more, application of a body cast, or the necessity for house confinement, or the necessity for continued use of a wheelchair or crutches (regular weight-bearing prohibited). Ratings under diagnostic codes 6600 through 6817 and 6822 through 6847 will not be combined with each other. 6065 Vision in one eye 5/200 (1.5/60). 4.127 Intellectual disability (intellectual developmental disorder) and personality disorders. VA Rating Criteria for GERD: 10 percent a veteran is rated at 10% if they have two or more of the common signs of GERD from the 30% schedule but not severe enough to justify the full 30% rating. Neuritis, anterior tibial (deep peroneal) nerve. Benign neoplasms of the eye, orbit, and adnexa (excluding skin). Evaluate based on disfigurement (diagnostic code 7800). (2) Extensions of 1 or more months up to 6 months beyond the initial 6 months period may be made under paragraph (a) (2) or (3) of this section upon approval of the Veterans Service Center Manager. Criterion March 11, 1969; evaluation August 30, 2002. Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. Entrance and (if present) exit scars, small or linear, indicating short track of missile through muscle tissue. Bones, neoplasm, malignant, primary or secondary. 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. 8621 Neuritis, external popliteal (common peroneal) nerve. 8412 Neuralgia, twelfth cranial nerve. Criterion February 3, 1988; removed August 4, 2014. (c) The assignment of a total disability rating on the basis of hospital treatment or observation will not preclude the assignment of a total disability rating otherwise in order under other provisions of the rating schedule, and consideration will be given to the propriety of such a rating in all instances and to the propriety of its continuance after discharge. 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity. Exceptional patterns of hearing impairment. 6731 Tuberculosis, pulmonary, chronic, inactive: Depending on the specific findings, rate residuals as interstitial lung disease, restrictive lung disease, or, when obstructive lung disease is the major residual, as chronic bronchitis (DC 6600). Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018. Department of Veterans Affairs examination is not required prior to assignment of prestabilization ratings; however, the fact that examination was accomplished will not preclude assignment of these benefits. Recurrent symptomatic infection requiring drainage by stent or nephrostomy tube; or requiring greater than 2 hospitalizations per year; or requiring continuous intensive management, Recurrent symptomatic infection requiring 1-2 hospitalizations per year or suppressive drug therapy lasting six months or longer, Recurrent symptomatic infection not requiring hospitalization, but requiring suppressive drug therapy for less than 6 months. 7319 Colon, irritable syndrome(spastic colitis, mucous colitis, irritable bowel syndrome , Mucous colitis etc.). Added September 9, 1975; evaluation February 17, 1994; criterion November 14, 2021. 10, 2018]. 8211 Eleventh (spinal accessory, external branch), paralysis. What are Mental Disorders for VA rating purposes? Rate as for irritable colon syndrome, peritoneal adhesions, or colitis, ulcerative, depending upon the predominant disability picture. 8710 Neuralgia, upper radicular group. It provides criteria for levels of impairment for each facet, as appropriate, ranging from 0 to 3, and a 5th level, the highest level of impairment, labeled total. However, not every facet has every level of severity. 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. 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. For a minimum of one year from the date of hospital admission for cardiac transplantation, Note: One year following discharge from inpatient hospitalization, determine the appropriate disability rating by mandatory VA examination. ), pain on manipulation and use accentuated, indication of swelling on use, characteristic callosities: Moderate; weight-bearing line over or medial to great toe, inward bowing of the tendo achillis, pain on manipulation and use of the feet, bilateral or unilateral, Mild; symptoms relieved by built-up shoe or arch support. This 20 percent rating or the 10 percent rating, when applicable, will be assigned once only to (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. The seizure manifestations of psychomotor epilepsy vary from patient to patient and in the same patient from seizure to seizure. This is an unfavorable mechanical relationship of the parts. Only joints in these positions are considered to be in favorable position. Example of computation of concentric contraction under the schedule with abnormal findings taken from Figure 1. One or more neurobehavioral effects that do not interfere with workplace interaction or social interaction. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation; however, there are other conditions in this section which under certain circumstances also establish entitlement to special monthly compensation. Able to communicate basic needs. Each ear will be evaluated separately. Military and private medical treatment records: Severe rated at 30% to 40% depending on dominant or non-dominant arm, Moderately severe rated at 20% to 30% depending on dominant or non-dominant arm, Moderate rated from 10% to 20% depending on shoulder function, File an Appeal with the Board of Veterans Appeals (BVA). You can use your service medical records, military records, and a personal statement to prove your shoulder injury occurred while you were serving. 7540 Disseminated intravascular coagulation with renal cortical necrosis: 7541 Renal involvement in diabetes mellitus type I or II: 7544 Renal disease caused by viral infection such as human immunodeficiency virus (HIV), Hepatitis B, and Hepatitis C: 7610 Vulva or clitoris, disease or injury of (including vulvovaginitis). However, consideration is to be given to the circumstances of employment in individual claims, and, if the employment was only occasional, intermittent, tryout or unsuccessful, or eventually terminated on account of the disability, present unemployability may be attributed to the static disability. Evaluation September 22, 1978; criterion October 7, 1996. If you work for a Federal agency, use this drafting 4.16 Total disability ratings for compensation based on unemployability of the individual. 8045 Residuals of traumatic brain injury (TBI). Regulation Y 5160 Complete amputation, lower extremity. Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. Nonunion in upper half, with false movement: With loss of bone substance (1 inch (2.5 cms.) The combined value, exactly as found in table I, will be combined with the degree of the third disability (in order of severity). (b) Complete paralysis of the external popliteal nerve (common peroneal) and consequent, footdrop, accompanied by characteristic organic changes including trophic and circulatory disturbances and other concomitants confirmatory of complete paralysis of this nerve, will be taken as loss of use of the foot. 9425 Illness anxiety disorder(Hypochondriasis). (ii) History and complaint. (iv) When outpatient oxygen therapy is required. Rate as for impairment of sphincter control. 4.115a Ratings of the genitourinary system - dysfunctions. Criterion March 10, 1976; criterion August 13, 1981; criterion June 9, 1996. This is an examination that a VA-hired doctor conducts. The examiner must document the results for at least 16 meridians 2212 degrees apart for each eye and indicate the Goldmann equivalent used. 6827 Pulmonary alveolar proteinosis. Thus, a person having a 60 percent disability is considered 40 percent efficient. 6844 Post-surgical residual(lobectomy, pneumonectomy, etc.). result, it may not include the most recent changes applied to the CFR. Choosing an item from VA disabilities for Neurological Conditions and Convulsive Disorders include conditions of the head, brain, spinal cord, nerves, and epilepsies. 6842 Kyphoscoliosis, pectus excavatum, pectus carinatum. This 20 percent rating or the 10 percent rating, when applicable, will be assigned once only to cover disability at all sites of previously active infection with a future ending date in the case of the 20 percent rating. 7821 Cutaneous manifestations of collagen-vascular diseases not listed elsewhere (including scleroderma, calcinosis cutis, subacute cutaneous lupus erythematosus, and dermatomyositis). L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated. Similarly, with a disability of 40 percent, and another disability of 20 percent, the combined value is found to be 52 percent, but the 52 percent must be converted to the nearest degree divisible by 10, which is 50 percent. (2) Where a case is encountered with a definite history of unemployment, full and complete development should be undertaken to ascertain whether the epilepsy is the determining factor in his or her inability to obtain employment. This will not, of course, preclude the correction of erroneous ratings, nor will it preclude assignment of a rating in conformity with 4.7. Evaluation August 30, 2002; title, criterion, note August 13, 2018. [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]. Handedness for the purpose of a dominant rating will be determined by the evidence of record, or by testing on VA examination. Veterans Affairs Title, evaluation, note February 7, 2021. (b) Even if the requirement for a 10% (based on the need for continuous medication) or 30% (based on the presence of cardiac hypertrophy or dilatation) evaluation is met, METs testing is required in all cases except: (1) When there is a medical contraindication. This combined value will be converted to the nearest degree divisible by 10 which is 80 percent. Group III Function: Elevation and abduction of arm. Psychomotor seizures will be rated as major seizures under the general rating formula when characterized by automatic states and/or generalized convulsions with unconsciousness. (b) If the diagnosis of a mental disorder is changed, the rating agency shall determine whether the new diagnosis represents progression of the prior diagnosis, correction of an error in the prior diagnosis, or development of a new and separate condition. Criterion August 30, 2002; title, criterion August 13, 2018. 7911 Addisons disease (adrenocortical insufficiency). (iii) Objective findings. 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation: For one month following hospital discharge for implantation or re-implantation.
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