What are Gynecological Conditions and Disorders of the Breasts for VA rating purposes? (1) An evaluation for diplopia will be assigned to only one eye. It is not an official legal edition of the CFR. Added February 17, 1994; title, criterion, and note November 14, 2021. 5123 Above insertion of pronator teres. 18, 1976; 41 FR 34256, Aug. 13, 1976; 54 FR 4281, Jan. 30, 1989; 54 FR 34981, Aug. 23, 1989; 71 FR 28586, May 17, 2006; 79 FR 2100, Jan. 13, 2014]. The disability rating assigned also depends on whether the veterans dominant (higher evaluation) versus nondominant (lower evaluation) arm is affected. 6006 Retinopathy or maculopathy not otherwise specified. Kyphoscoliosis, pectus excavatum/carinatum. This is an automated process for If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! This will generally require separate evaluation of the arthritis in the joints directly subject to strain. "Published Edition". 8912 Jacksonian and focal motor or sensory. Evaluation September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. 5210 Radius and ulna, nonunion of, with flail false joint. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. Ratings of the genitourinary system - diagnoses. A separate drafting site Erectile dysfunction, with or without penile deformity. 1 CFR 1.1 General Rating Formula for DCs 7806, 7809, 7813-7816, 7820-7822, and 7824 added August 13, 2018. Conditions that are NOT in the general schedule can be rated analogously with acondition thatIS. 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. Any of these structures can be injured, resulting in shoulder pain. What are ear disabilities for VA rating purposes? Its based on the level of mobility limitation caused by bursitis. 7101 Hypertensive vascular disease(hypertension and isolated systolic hypertension). External cutaneous nerve of thigh, paralysis. In the absence of a diagnosis of non-psychotic organic psychiatric disturbance (psychotic, psychoneurotic or personality disorder) if diagnosed and shown to be secondary to or directly associated with epilepsy will be rated separately. Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. Thereafter, the residual effects of hypothyroidism shall be rated under the appropriate diagnostic code(s) within the appropriate body system(s) (, Note (2): This evaluation shall continue for six months after initial diagnosis. If accepted into our ELITE membership program, youll get free up-front access and permission to use $13,119 worth of proprietary VA claim resources, including access to our network of independent medical professionals for medical examinations, disability evaluations, and credible Medical Nexus Letters, which could help you get a HIGHER VA rating in LESS time. 8019 Meningitis, cerebrospinal, epidemic. (c) Weakened movement (due to muscle injury, disease or injury of peripheral nerves, divided or lengthened tendons, etc.). 7917 Hyperaldosteronism(benign or malignant). 7821 Cutaneous manifestations of collagen-vascular diseases not listed elsewhere(including scleroderma, calcinosis cutis, subacute cutaneous lupus erythematosus, and dermatomyositis). 6208 Malignant neoplasm(other than skin only). The severity of symptoms determines the range of ratings assigned by this code. Findings sufficiently characteristic to identify the disease and the disability therefrom, and above all, coordination of rating with impairment of function will, however, be expected in all instances. Moderately impaired. 5302 Group II Function: Depression of arm. VA DISABILITY FOR DENTAL AND ORAL CONDITIONS. learn more about the process here. (b) Claims of all veterans who fail to meet the percentage standards but who meet the basic entitlement criteria and are unemployable, will be referred by the rating board to the Veterans Service Center Manager or the Pension Management Center Manager under 3.321(b)(2) of this chapter. If there are 2 or more joints affected, each rating shall be combined in accordance with. 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. For example, assign a 70 percent evaluation if 3 is the highest level of evaluation for any facet. Veterans Affairs Conjectural analogies will be avoided, as will the use of analogous ratings for conditions of doubtful diagnosis, or for those not fully supported by clinical and laboratory findings. 4.127 Intellectual disability (intellectual developmental disorder) and personality disorders. 9918 Neoplasm, hard and soft tissue, malignant. Ready to Get the VA Rating and Compensation YOU Deserve? 5001 Bones and Joints, tuberculosis, active or inactive. The evaluation for visual impairment of one eye must not exceed 30 percent unless there is anatomical loss of the eye. Schedule of ratings - neurological conditions and convulsive disorders. Record of consistent complaint of one or more of the cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section, particularly lowered threshold of fatigue after average use, affecting the particular functions controlled by the injured muscles. Weakness is as important as limitation of motion, and a part which becomes painful on use must be regarded as seriously disabled. 6844 Post-surgical residual(lobectomy, pneumonectomy, etc.). 6029 Aphakia or dislocation of crystalline lens: Evaluate based on visual impairment, and elevate the resulting level of visual impairment one step. Evaluation January 12, 1998; note, criterion November 14, 2021. Motor activity moderately decreased due to apraxia. It includes your airways, lungs, and blood vessels. Criterion March 10, 1976; criterion August 13, 1981; criterion June 9, 1996. When an unlisted disease, injury, or residual condition is encountered, requiring rating by analogy, the diagnostic code number will be built-up as follows: The first 2 digits will be selected from that part of the schedule most closely identifying the part, or system, of the body involved; the last 2 digits will be 99 for all unlisted conditions. Evaluate cognitive impairment under the table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified., Subjective symptoms may be the only residual of TBI or may be associated with cognitive impairment or other areas of dysfunction. [73 FR 66550, Nov. 10, 2008, as amended at 83 FR 15321, Apr. Thrombo-angiitis obliterans (Buerger's Disease). The stronger the connection between your military Anatomical loss of one hand and one foot. The nervous system is divided into two parts: the central nervous system, and the peripheral nervous system. The schedule for rating for mental disorders is set forth as follows: 9210 Other specified and unspecified schizophrenia spectrum and other psychotic disorders, 9301 Major or mild neurocognitive disorder due to HIV or other infections, 9304 Major or mild neurocognitive disorder due to traumatic brain injury, 9305 Major or mild vascular neurocognitive disorder, 9312 Major or mild neurocognitive disorder due to Alzheimer's disease, 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder, 9403 Specific phobia; social anxiety disorder (social phobia), 9416 Dissociative amnesia; dissociative identity disorder, 9417 Depersonalization/Derealization disorder, 9422 Other specified somatic symptom and related disorder, 9423 Unspecified somatic symptom and related disorder, 9424 Conversion disorder (functional neurological symptom disorder), 9433 Persistent depressive disorder (dysthymia), General Rating Formula for Mental Disorders. Neuralgia, external popliteal nerve (common peroneal). WebThe VA uses a chart that, when properly used, results in a combined disability rating. 9, 2018; 83 FR 15323, Apr. If you file a Fully Developed Claim for your shoulder condition, you can expect to wait about 110 days for the VA to decide on your VA disability rating for shoulder pain (as of August 2022). Neuritis, musculocutaneous (superficial peroneal) nerve. 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. Evaluation February 17, 1994; title, criterion November 14, 2021. Note July 6, 1950; evaluation February 17, 1994; evaluation September 8, 1994; note November 14, 2021. Minimum evaluation if continuous medication is required. Mere congenital or developmental defects, absent, displaced or supernumerary parts, refractive error of the eye, personality disorder and mental deficiency are not diseases or injuries in the meaning of applicable legislation for disability compensation purposes. For purposes of this section, marginal employment generally shall be deemed to exist when a veteran's earned annual income does not exceed the amount established by the U.S. Department of Commerce, Bureau of the Census, as the poverty threshold for one person. Added October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. (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. 23, 2009; 77 FR 6467, Feb. 8, 2012; 79 FR 45102, Aug. 4, 2014; 82 FR 36085, Aug. 3, 2017; 82 FR 50807, Nov. 2, 2017; 83 FR 15073, Apr. The term inability to gain weight means that there has been substantial weight loss with inability to regain it despite appropriate therapy. Separate ratings are not to be assigned for disability from disease of the heart and any form of nephritis, on account of the close interrelationships of cardiovascular disabilities. Normal TP is greater than or equal to 60 mm Hg. With dietary restrictions to all mechanically altered foods, Without dietary restrictions to mechanically altered foods. If you have comments or suggestions on how to improve the www.ecfr.gov website or have questions about using www.ecfr.gov, please choose the 'Website Feedback' button below. Criterion July 6, 1950; criterion February 7, 2021. 7124 Raynauds disease (primary Raynauds). Cutaneous manifestations of collagen-vascular diseases not listed elsewhere. [61 FR 39875, July 31, 1996, as amended at 84 FR 28230, June 18, 2019], [34 FR 5062, Mar. Added June 9, 1952; evaluation January 12, 1998; title, criterion, note November 14, 2021. Prior employment or unemployment status is immaterial if in the judgment of the rating board the veteran's disabilities render him or her unemployable. Knee, resurfacing or replacement (prosthesis). 5221 Four digits of one hand, favorable ankylosis of: 5222 Three digits of one hand, favorable ankylosis of: 5223 Two digits of one hand, favorable ankylosis of: 5227 Ring or little finger, ankylosis of: With a gap of more than two inches (5.1 cm.) [29 FR 6718, May 22, 1964, as amended at 34 FR 5062, Mar. (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. Added October 23, 1995; evaluation December 9, 2018; criterion December 9, 2018. (iii) Objective findings. NOTE August 23, 1948; criterion September 22, 1978. Disability of the musculoskeletal system is primarily the inability, due to damage or infection in parts of the system, to perform the normal working movements of the body with normal excursion, strength, speed, coordination and endurance. Learn more about the eCFR, its status, and the editorial process. 6515 Laryngitis, tuberculous, active or inactive. 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). Navigate by entering citations or phrases 7000 Valvular heart disease(including rheumatic heart disease). 5229 Index or long finger, limitation of motion: With a gap of one inch (2.5 cm.) Note (3): Where surgical intervention is not indicated, this evaluation shall continue for six months after pharmacologic treatment begins. here. One or two painful flare-ups a year: 20% Rating. 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, 7632 Female sexual arousal disorder (FSAD), Requiring bone marrow transplant; or infections recurring, on average, at least once every six weeks per 12-month period, Requiring intermittent myeloid growth factors (granulocyte colony-stimulating factor (G-CSF) or granulocyte-macrophage colony-stimulating factor (GM-CSF) or continuous immunosuppressive therapy such as cyclosporine to maintain absolute neutrophil count (ANC) greater than 500/microliter (l) but less than 1000/l; or infections recurring, on average, at least once every three months per 12-month period, Requiring intermittent myeloid growth factors to maintain ANC greater than 1000/l; or infections recurring, on average, at least once per 12-month period but less than once every three months per 12-month period, Requiring continuous medication (e.g., antibiotics) for control; or requiring intermittent use of a myeloid growth factor to maintain ANC greater than or equal to 1500/l. The Electronic Code of Federal Regulations (eCFR) is a continuously updated online version of the CFR. 6006 Retinopathy or maculopathy not otherwise specified, Note: This code includes orbital trauma, as well as penetrating or non-penetrating eye injury. 6200 Chronic suppurative otitis media. 8710 Neuralgia, upper radicular group. Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! The horizontal rows represent the ear having the better hearing and the vertical columns the ear having the poorer hearing. VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. 8730 Neuralgia, ilio-inguinal nerve. At VA Claims Insider, we help you understand and take control of the claims process, so you can get the rating and compensation youre owed by law. Criterion May 22, 1995; criterion March 18, 2002. Criterion February 17, 1994; criterion, footnote November 14, 2021. For digits II through V, the metacarpophalangeal joint has a range of zero to 90 degrees of flexion, the proximal interphalangeal joint has a range of zero to 100 degrees of flexion, and the distal (terminal) interphalangeal joint has a range of zero to 70 or 80 degrees of flexion, (2) When two or more digits of the same hand are affected by any combination of amputation, ankylosis, or limitation of motion that is not otherwise specified in the rating schedule, the evaluation level assigned will be that which best represents the overall disability (. Ratings of slight, moderate, moderately severe, or severe for diagnostic codes 5301 through 5323 will be determined based upon the criteria contained in 4.56. If the degree of disability at the time of entrance into the service is not ascertainable in terms of the schedule, no deduction will be made. Organization and Purpose The percentage ratings represent as far as can practicably be determined the average impairment in earning capacity resulting from such diseases and injuries and their residual conditions in civil occupations. 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. 7522 Erectile dysfunction, with or without penile deformity. Rate under the general rating formula for minor seizures. The genitourinary system includesthe organs of the reproductive system and the urinary system. Dont forget that to be eligible for VA disability compensation, you must first have: In this Ultimate Guide to the VA Disability Claims List, which is comprised of 834 disability conditions, youll discover each eligible condition arranged by body system and diagnostic code (lowest to highest) from CFR Title 38, Part 4, the Schedule for Rating Disabilities. WebAs reported in the VAs most recent Annual Benefits Report, musculoskeletal disabilities are the most commonly claimed condition in the VA disability benefits system, making up 36.9 percent of all disability claims. Added March 10, 1976; criterion February 3, 1988; Title August 4, 2014. Criterion February 17, 1994; title and criterion November 14, 2021. Severely impaired. Rating of disabilities aggravated by active service. 9310 Unspecified neurocognitive disorder(Dementia). Rate under the appropriate cardiovascular diagnostic code, depending on particular findings. 4.55 Principles of combined ratings for muscle injuries. 5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome). What are Mental Disorders for VA rating purposes? The respiratory system isthe bodys network of organs and tissues that help you breathe. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of, If symptomatic; or, for the period beginning on the date a physician recommends surgical correction and continuing for six months following discharge from inpatient hospital admission for surgical correction. The attention should be given to anatomical changes, as compared to normal, in the relationship of the foot and leg, particularly to the inward rotation of the superior portion of the os calcis, medial deviation of the insertion of the Achilles tendon, the medial tilting of the upper border of the astragalus. (c) There will be no rating assigned for muscle groups which act upon an ankylosed joint, with the following exceptions: (1) In the case of an ankylosed knee, if muscle group XIII is disabled, it will be rated, but at the next lower level than that which would otherwise be assigned. These ratings were based on Range of Motion for each joint. Schedule for Rating Disabilities; Dental and Oral Conditions The functional loss may be due to absence of part, or all, of the necessary bones, joints and muscles, or associated structures, or to deformity, adhesions, defective innervation, or other pathology, or it may be due to pain, supported by adequate pathology and evidenced by the visible behavior of the claimant undertaking the motion. Persistent depressive disorder (dysthymia). The bilateral factor will be applied to such bilateral disabilities before other combinations are carried out and the rating for such disabilities including the bilateral factor in this section will be treated as 1 disability for the purpose of arranging in order of severity and for all further combinations. 6820 Neoplasms, benign, any specified part of respiratory system. If youve filed your VA disability claim and have been denied or have received a low ratingor youre unsure how to get startedreach out to us! Experience has shown that the term peptic ulcer is not sufficiently specific for rating purposes. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. Top 5 VA Secondary Conditions to Knee Pain 6011 Retinal scars, atrophy, or irregularities. It is essential to make an initial distinction between bilateral flatfoot as a congenital or as an acquired condition. Conversion disorder (functional neurological symptom disorder). Rickettsial, ehrlichia, and anaplasma infections. Criterion September 9, 1975; evaluation August 30, 2002; criterion August 13, 2018. 8713 Neuralgia, all radicular groups. 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. Evaluation March 10, 1976; evaluation February 17, 1994. FEV-1 less than 40-percent predicted, or; FEV-1/FVC less than 40 percent, or; more than one attack per week with episodes of respiratory failure, or; requires daily use of systemic (oral or parenteral) high dose corticosteroids or immuno-suppressive medications, FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55 percent, or; at least monthly visits to a physician for required care of exacerbations, or; intermittent (at least three per year) courses of systemic (oral or parenteral) corticosteroids, FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70 percent, or; daily inhalational or oral bronchodilator therapy, or; inhalational anti-inflammatory medication, FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80 percent, or; intermittent inhalational or oral bronchodilator therapy. With remaining field of 16 to 30 degrees: Or evaluate each affected eye as 20/100 (6/30). Special monthly compensation should be assigned concurrently in these cases whenever records are adequate to establish entitlement. When evaluating visual impairment, refer to 38 CFR 3.350 to determine whether the claimant may be entitled to special monthly compensation. WebSocial Security Disability or SSI For Bursitis If your bursitis is severe enough, you may meet the requirements of Social Security's disability listing for joint dysfunction. 7330 Intestine, fistula of, persistent, or after attempt at operative closure: 7331 Peritonitis, tuberculous, active or inactive: 7332 Rectum and anus, impairment of sphincter control: Extensive leakage and fairly frequent involuntary bowel movements, Occasional involuntary bowel movements, necessitating wearing of pad, Constant slight, or occasional moderate leakage, Great reduction of lumen, or extensive leakage, Moderate reduction of lumen, or moderate constant leakage, Moderate, persistent or frequently recurring, Mild with constant slight or occasional moderate leakage. Criterion August 23, 1948; criterion February 1, 1962. Consider especially psychotic manifestations, complete or partial loss of use of one or more extremities, speech disturbances, impairment of vision, disturbances of gait, tremors, visceral manifestations, injury to the skull, etc. 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. Rate as for impairment of sphincter control. (ii) History and complaint. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. Table I, Combined Ratings Table, results from the consideration of the efficiency of the individual as affected first by the most disabling condition, then by the less disabling condition, then by other less disabling conditions, if any, in the order of severity. For VA rating purposes, Mental Disorders refer to mental health conditions, and include 31 primary disorders that affect your mood, thinking, and behavior. * If bilateral, see 3.350(a)(3) of this chapter to determine whether the veteran may be entitled to special monthly compensation. It is to be remembered that the majority of applicants are disabled persons who are seeking benefits of law to which they believe themselves entitled. 7802 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are not associated with underlying soft tissue damage. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. The examiner must document the results for at least 16 meridians 2212 degrees apart for each eye and indicate the Goldmann equivalent used. Most likely, the VA will Features of the disability which must have persisted unchanged may be overlooked or a change for the better or worse may not be accurately appreciated or described. Criterion September 9, 1975; removed March 10, 1976. If antineoplastic therapy is required, evaluate as a malignant neoplasm under DC 7914. (2) In the case of an ankylosed shoulder, if muscle groups I and II are severely disabled, the evaluation of the shoulder joint under diagnostic code 5200 will be elevated to the level for unfavorable ankylosis, if not already assigned, but the muscle groups themselves will not be rated. Criterion March 11, 1969; evaluation February 17, 1994. Severe; definite partial obstruction shown by X-ray, with frequent and prolonged episodes of severe colic distension, nausea or vomiting, following severe peritonitis, ruptured appendix, perforated ulcer, or operation with drainage, Moderately severe; partial obstruction manifested by delayed motility of barium meal and less frequent and less prolonged episodes of pain, Moderate; pulling pain on attempting work or aggravated by movements of the body, or occasional episodes of colic pain, nausea, constipation (perhaps alternating with diarrhea) or abdominal distension, Severe; pain only partially relieved by standard ulcer therapy, periodic vomiting, recurrent hematemesis or melena, with manifestations of anemia and weight loss productive of definite impairment of health, Moderately severe; less than severe but with impairment of health manifested by anemia and weight loss; or recurrent incapacitating episodes averaging 10 days or more in duration at least four or more times a year, Moderate; recurring episodes of severe symptoms two or three times a year averaging 10 days in duration; or with continuous moderate manifestations, Mild; with recurring symptoms once or twice yearly, Pronounced; periodic or continuous pain unrelieved by standard ulcer therapy with periodic vomiting, recurring melena or hematemesis, and weight loss. General Rating Formula for Bacterial Infections of the Lung (diagnostic codes 6822 through 6824): Active infection with systemic symptoms such as fever, night sweats, weight loss, or hemoptysis. 5304 Group IV Function: Stabilization of shoulder. Other specified and unspecified schizophrenia spectrum and other psychotic disorders. 9301 Major or mild neurocognitive disorder due to HIV or other infections(Dementia). (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). (v) generalized muscle aches or weakness. Nor will ratings assigned to organic diseases and injuries be assigned by analogy to conditions of functional origin. 8004 Paralysis agitans(Parkinsons Disease). [41 FR 11293, Mar. (See table I). (iii) When there have been one or more episodes of acute respiratory failure. The duration of the initial, and any subsequent, period of total incapacity, especially periods reflecting delayed union, inflammation, swelling, drainage, or operative intervention, should be given close attention. Neuritis, external cutaneous nerve of thigh. (eg: 7718 Essential thrombocythemia and primary myelofibrosis.
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