8710 Neuralgia, upper radicular group. Toes, three or more, without metatarsal involvement. Criterion July 6, 1950; criterion August 30, 2002; criterion October 23, 2008; title, note 1, note 2 August 13, 2018. 6006 Retinopathy or maculopathy not otherwise specified, Note: This code includes orbital trauma, as well as penetrating or non-penetrating eye injury. (B) Adhesion of scar to one of the long bones, scapula, pelvic bones, sacrum or vertebrae, with epithelial sealing over the bone rather than true skin covering in an area where bone is normally protected by muscle. Complete inability to communicate either by spoken language, written language, or both, or to comprehend spoken language, written language, or both. Group XIX Function: Abdominal wall and lower thorax. Evaluation July 6, 1950; evaluation September 22, 1978, evaluation January 12, 1998; criterion November 14, 2021. Search & Navigation 5321 Group XXI Function: Respiration. VA DISABILITIES OF THE RESPIRATORY SYSTEM. What is the Cardiovascular System for VA rating purposes? Marginal employment may also be held to exist, on a facts found basis (includes but is not limited to employment in a protected environment such as a family business or sheltered workshop), when earned annual income exceeds the poverty threshold. The VA disability rating for shoulder impingement is usually rated either as an impairment of the clavicle or scapula OR limitation of motion of the arm. (i) Type of injury. ): Severe; diarrhea, or alternating diarrhea and constipation, with more or less constant abdominal distress, Moderate; frequent episodes of bowel disturbance with abdominal distress, Mild; disturbances of bowel function with occasional episodes of abdominal distress, Mild gastrointestinal disturbances, lower abdominal cramps, nausea, gaseous distention, chronic constipation interrupted by diarrhea, Pronounced; resulting in marked malnutrition, anemia, and general debility, or with serious complication as liver abscess, Severe; with numerous attacks a year and malnutrition, the health only fair during remissions, Moderately severe; with frequent exacerbations. Disability from lesions of peripheral portions of first, second, third, fourth, sixth, and eighth nerves will be rated under the Organs of Special Sense. in an area exceeding six square inches (39 sq. 10, 2018]. Ratings under diagnostic codes 7301 to 7329, inclusive, 7331, 7342, and 7345 to 7348 inclusive will not be combined with each other. With any form of arthritis (except traumatic arthritis) it is essential that the examination for rating purposes cover all major joints, with especial reference to Heberden's or Haygarth's nodes. 8521 External popliteal nerve (common peroneal), paralysis. It is also available for inspection at the National Archives and Records Administration (NARA). Always oriented to person, time, place, and situation. citations and headings Added March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. 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). 8627 Neuritis, internal saphenous nerve. Criterion July 6, 1950; criterion February 7, 2021. Added October 1, 1961; evaluation September 9, 1975. When the level of METs at which breathlessness, fatigue, angina, dizziness, or syncope develops is required for evaluation, and a laboratory determination of METs by exercise testing cannot be done for medical reasons, a medical examiner may estimate the level of activity (expressed in METs and supported by specific examples, such as slow stair climbing or shoveling snow) that results in those symptoms. 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy. Permitting passage of liquids only, with marked impairment of general health. In evaluating the ulcer, care should be taken that the findings adequately identify the particular location. 8912 Epilepsy, Jacksonian and focal motor or sensory. cm.). (b) Examination for visual impairment. The figures appearing in the space where the column and row intersect will represent the combined value of the two. Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. Moderately impaired. Evaluation March 10, 1976; removed July 2, 2001. L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated. You are using an unsupported browser. Well cover the different types of shoulder injuries that can qualify for disability benefits, how the VA rates shoulder injuries, and what evidence is needed to support a claim. (g) When evaluating any claim for impaired hearing, refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation due either to deafness, or to deafness in combination with other specified disabilities. General Rating Formula for Sinusitis (DC's 6510 through 6514): Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries, Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting, One or two incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; three to six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting. 21 to 29 mm of maximum unassisted vertical opening. 6830 Radiation-induced pulmonary pneumonitis and fibrosis. (e) Incoordination, impaired ability to execute skilled movements smoothly. 21, 1995, as amended at 67 FR 6874, Feb. 14, 2002; 67 FR 37695, May 30, 2002; 83 FR 15071, Apr. The examiner will also perform a physical examination of your shoulder. 5301 Group I Function: Upward rotation of scapula. Evaluation September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. These ratings were based on Range of Motion for each joint. (e) The total hospital rating if convalescence is required may be continued for periods of 1, 2, or 3 months in addition to the period provided in paragraph (a) of this section. 7544 Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Gynecological Conditions and Disorders of the Breasts include the organs that can only be found in a female body and are used for sexual and reproductive purposes. X-ray changes from arthritis in this location are decrease or obliteration of the joint space, with the appearance of increased bone density of the sacrum and ilium and sharpening of the margins of the joint. Plantar Fasciitis is a VA disability that is linked secondary to Knee Pain and can be rated at 10%, 20%, or 30%, depending upon unilateral (one foot) versus bilateral (both feet) and the severity of your symptoms. 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. It is essential to make an initial distinction between bilateral flatfoot as a congenital or as an acquired condition. Learn what youve been missing so you can FINALLY get the disability rating and compensation youve earned for your service. Criterion September 8, 1994; title, criterion, note November 14, 2021. 5306 Group VI Function: Extension of elbow. Choosing an item from When after careful consideration of all procurable and assembled data, a reasonable doubt arises regarding the degree of disability such doubt will be resolved in favor of the claimant. 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 ). 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. 6000 Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. 9433 Persistent depressive disorder (dysthymia). VA DISABILITIES OF THE GENITOURINARY SYSTEM. 8312 Neuritis, twelfth cranial nerve. Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520). Skin conditions for VA rating purposes can vary immensely in size and severity. (4) Post-bronchodilator studies are required when PFT's are done for disability evaluation purposes except when the results of pre-bronchodilator pulmonary function tests are normal or when the examiner determines that post-bronchodilator studies should not be done and states why. 5315 Group XV Function: Adduction of hip. This 40 percent rating may be further combined with evaluation for disabilities above the knee but not to exceed the above the knee amputation elective level. 8719 Neuralgia, long thoracic nerve. VA DISABILITY FOR INFECTIOUS DISEASES, IMMUNE DISORDERS AND NUTRITIONAL DEFICIENCIES. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! (d) Maximum evaluation for visual impairment of one eye. This means you do NOT currently have the VA disability rating and compensation YOU deserve, and you could be missing out on thousands of dollars of tax-free compensation and benefits each month. 8614 Neuritis, musculospiral (radial) nerve. 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism. 6830 Radiation-induced, pneumonitis & fibrosis. 5160 Complete amputation, lower extremity. (b) Except as otherwise provided in this schedule, the disabilities arising from a single disease entity, e.g., arthritis, multiple sclerosis, cerebrovascular accident, etc., are to be rated separately as are all other disabiling conditions, if any. 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. 9424 Conversion disorder (functional neurological symptom disorder). Service department record of superficial wound with brief treatment and return to duty. (vii) headaches (of a type, severity, or pattern that is different from headaches in the pre-morbid state). Redesignated at 59 FR 60902, Nov. 29, 1994]. Prosthetic replacement of the shoulder joint: For 1 year following implantation of prosthesis, With chronic residuals consisting of severe, painful motion or weakness in the affected extremity. 9210 Other specified and unspecified schizophrenia spectrum and other psychotic disorders. 5258 Cartilage, semilunar, dislocated. The percentage evaluation is located at the point where the row and column intersect. 7818 Malignant skin neoplasms (other than malignant melanoma): Rate as disfigurement of the head, face, or neck (DC 7800), scars (DC's 7801, 7802, 7803, 7804, or 7805), or impairment of function. This contact form is only for website help or website suggestions. Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. Note (2): An Addisonian episode, for VA purposes, is a less acute and less severe event than an Addisonian crisis and may consist of anorexia, nausea, vomiting, diarrhea, dehydration, weakness, malaise, orthostatic hypotension, or hypoglycemia, but no peripheral vascular collapse. Some shoulder injuries may require surgery. This will generally require separate evaluation of the arthritis in the joints directly subject to strain. 8510 Upper radicular group, paralysis. Criterion March 11, 1969; evaluation February 17, 1994. (a) Total ratings will be assigned under this section if treatment of a service-connected disability resulted in: (1) Surgery necessitating at least one month of convalescence (Effective as to outpatient surgery March 1, 1989. Rate under the general rating formula for minor seizures. They will continue for a 12-month period following discharge from service. About VA disability ratings We assign you a disability rating based on the severity of your service-connected condition. These evaluations are for the disease as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. (a) If the diagnosis of a mental disorder does not conform to DSM-5 or is not supported by the findings on the examination report, the rating agency shall return the report to the examiner to substantiate the diagnosis. 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. Thus, rheumatoid (atrophic) arthritis rated as ankylosis of the lumbar spine should be coded 5002-5240. In this way, the exact source of each rating can be easily identified. 8625 Neuritis, posterior tibial nerve. Cognitive impairment is defined as decreased memory, concentration, attention, and executive functions of the brain. A Goniometer will probably be used at your C&P exam to measure Range of Motion (ROM) of your shoulder and arm. 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). Three or more subjective symptoms that mildly interfere with work; instrumental activities of daily living; or work, family, or other close relationships. 6317 Rickettsial, ehrlichia, and anaplasma infections: 6320 Parasitic diseases otherwise not specified: 6325 Hyperinfection syndrome or disseminated strongyloidiasis: 6329 Hemorrhagic fevers, including dengue, yellow fever, and others: 6331 Coxiella burnetii infection (Q fever): 6350 Lupus erythematosus, systemic (disseminated): Not to be combined with ratings under DC 7809 Acute, with frequent exacerbations, producing severe impairment of health, Exacerbations lasting a week or more, 2 or 3 times per year, Exacerbations once or twice a year or symptomatic during the past 2 years, AIDS with recurrent opportunistic infections (see Note 3) or with secondary diseases afflicting multiple body systems; HIV-related illness with debility and progressive weight loss, Refractory constitutional symptoms, diarrhea, and pathological weight loss; or minimum rating following development of AIDS-related opportunistic infection or neoplasm, Recurrent constitutional symptoms, intermittent diarrhea, and use of approved medication(s); or minimum rating with T4 cell count less than 200, Following development of HIV-related constitutional symptoms; T4 cell count between 200 and 500; use of approved medication(s); or with evidence of depression or memory loss with employment limitations, Asymptomatic, following initial diagnosis of HIV infection, with or without lymphadenopathy or decreased T4 cell count. Each measurement is rounded to the nearest five degrees. Your musculoskeletal system includes your bones, cartilage, ligaments, tendons, and connective tissues. 6826 Desquamative interstitial pneumonitis. Limitation of Motion of Individual Digits: 5235 Vertebral fracture or dislocation. Mildly impaired judgment. 6842 Kyphoscoliosis, pectus excavatum, pectus carinatum. The combined value, exactly as found in table I, will be combined with the degree of the third disability (in order of severity). Criterion August 30, 2002; removed October 23, 2008. 8526 Anterior crural nerve (femoral), paralysis. Fairness and courtesy must at all times be shown to applicants by all employees whose duties bring them in contact, directly or indirectly, with the Department's claimants. 8019 Meningitis, cerebrospinal, epidemic. [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]. An Equivalent VA disability is a general term for conditions that have multiple names. Neuritis, cranial or peripheral, characterized by loss of reflexes, muscle atrophy, sensory disturbances, and constant pain, at times excruciating, is to be rated on the scale provided for injury of the nerve involved, with a maximum equal to severe, incomplete, paralysis. 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. However, full consideration must be given to unusual physical or mental effects in individual cases, to peculiar effects of occupational activities, to defects in physical or mental endowment preventing the usual amount of success in overcoming the handicap of disability and to the effect of combinations of disability. Transcutaneous oxygen tension (T. Note (3): Evaluate residuals of aortic and large arterial bypass surgery or arterial graft as peripheral arterial disease. That numeral will then be elevated to the next higher Roman numeral. 8540 Soft-tissue sarcoma (Neurogenic origin). Neuritis, internal popliteal (tibial) nerve. Preceding paragraph criterion September 22, 1978. Note: In cases of the removal of one testis as the result of a service-incurred injury or disease, other than an undescended or congenitally undeveloped testis, with the absence or nonfunctioning of the other testis unrelated to service, an evaluation of 30 percent will be assigned for the service-connected testicular loss. Depending on the specific residuals, separately evaluate as adhesions of peritoneum (diagnostic code 7301), cirrhosis of liver (diagnostic code 7312), and chronic liver disease without cirrhosis (diagnostic code 7345). 7, 1994; 86 FR 54085, Sept. 30, 2021], [59 FR 2527, Jan. 18, 1994; 59 FR 14567, Mar. 7917 Hyperaldosteronism (benign or malignant): 7918 Pheochromocytoma (benign or malignant): Note: Evaluate as malignant or benign neoplasm as appropriate. Rate any residual disability of infection within the appropriate body system as indicated by the notes in the evaluation criteria. (f) For muscle group injuries in different anatomical regions which do not act upon ankylosed joints, each muscle group injury shall be separately rated and the ratings combined under the provisions of 4.25. Many of these medications cause other disabilities through side effects. Evaluation January 12, 1998; note, criterion November 14, 2021. 8624 Neuritis, internal popliteal (tibial) nerve. 6829 Drug-induced pulmonary pneumonitis and fibrosis. 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. For complex or unfamiliar decisions, usually unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision, although has little difficulty with simple decisions. 6030 Paralysis of accommodation (due to neuropathy of the Oculomotor Nerve (cranial nerve III)). And, youll get to work with a Veteran Coach (VC) who will lead you to VA claim success. If the report of examination is inadequate as a basis for the required consideration of service connection and evaluation, the rating agency may request a supplementary report from the examiner giving further details as to the limitations of the disabled person's ordinary activity imposed by the disease, injury, or residual condition, the prognosis for return to, or continuance of, useful work. When present, those occurring during or immediately after eating and known as the dumping syndrome are characterized by gastrointestinal complaints and generalized symptoms simulating hypoglycemia; those occurring from 1 to 3 hours after eating usually present definite manifestations of hypoglycemia. 5278 Claw foot (pes cavus), acquired. 7534 Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified). (ii) History and complaint. This content is from the eCFR and may include recent changes applied to the CFR. (2) If the DLCO (SB) (Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method) test is not of record, evaluate based on alternative criteria as long as the examiner states why the test would not be useful or valid in a particular case. 7124 Raynaud's disease (also known as primary Raynaud's): Characteristic attacks associated with trophic change(s), such as tight, shiny skin, Characteristic attacks without trophic change(s). Table VIa will be used when the examiner certifies that use of the speech discrimination test is not appropriate because of language difficulties, inconsistent speech discrimination scores, etc., or when indicated under the provisions of 4.86. 7324 Distomiasis, intestinal or hepatic. If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free. Added March 10, 1976; criterion February 3, 1988; removed November 7, 1996. 5308 Group VIII Function: Extension of wrist, fingers, thumb. 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). The plantar surface of the foot is painful and shows demonstrable tenderness, and manipulation of the foot produces spasm of the Achilles tendon, peroneal spasm due to adhesion about the peroneal sheaths, and other evidence of pain and limited motion. 5311 Group XI Function: Propulsion, plantar flexion of foot. Has difficulty using assistive devices such as GPS (global positioning system). 5172 Toes, other than great, amputation of, with removal of metatarsal head: 5173 Toes, three or four, amputation of, without metatarsal involvement: 5200 Scapulohumeral articulation, ankylosis of: Unfavorable, abduction limited to 25 from side, Intermediate between favorable and unfavorable, Favorable, abduction to 60, can reach mouth and head, Flexion and/or abduction limited to 25 from side, Midway between side and shoulder level (flexion and/or abduction limited to 45), At shoulder level (flexion and/or abduction limited to 90). Added November 7, 1996; Title August 4, 2014.
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