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. The termination of these total ratings will not be subject to 3.105(e) of this chapter. 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. Note (2): If disfigurement of the neck is present due to thyroid disease or enlargement, separately evaluate under DC 7800 (burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck). 7005 Arteriosclerotic heart disease (coronary artery disease). 7801 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage. Added October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. If youre unhappy with the decision on your VA rating for shoulder pain, you have the right to file to overturn the VAs decision. Through and through or deep penetrating wound due to high-velocity missile, or large or multiple low velocity missiles, or with shattering bone fracture or open comminuted fracture with extensive debridement, prolonged infection, or sloughing of soft parts, intermuscular binding and scarring. Public Law 90-493 repealed section 356 of title 38, United States Code which provided graduated ratings for inactive tuberculosis. The severity of symptoms determines the range of ratings assigned by this code. For the purpose of rating disability from arthritis, the shoulder, elbow, wrist, hip, knee, and ankle are considered major joints; multiple involvements of the interphalangeal, metacarpal and carpal joints of the upper extremities, the interphalangeal, metatarsal and tarsal joints of the lower extremities, the cervical vertebrae, the dorsal vertebrae, and the lumbar vertebrae, are considered groups of minor joints, ratable on a parity with major joints. 8530 Ilio-inguinal nerve, paralysis. the hierarchy of the document. Added October 1, 1961; criterion October 1, 1961; evaluation March 10, 1976; removed December 18, 1987; re-designated, Tables VI and VII replaced by new Tables VI, VIA, and VII December 18, 1987. Neuralgia, musculocutaneous nerve (superficial peroneal). (iv) palpable or tender cervical or axillary lymph nodes. Group XXII Function: Rotary and forward movements, head. In cases involving aggravation by active service, the rating will reflect only the degree of disability over and above the degree existing at the time of entrance into the active service, whether the particular condition was noted at the time of entrance into the active service, or it is determined upon the evidence of record to have existed at that time. 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. Added September 9, 1975; evaluation February 17, 1994; criterion November 14, 2021. here. cm.). This chart shows how musculoskeletal ratings work for VA disability ratings for shoulder pain: If you have muscular damage to your shoulder, you may be eligible for a rating from 0% to 40% (depending on the severity of damage). Neuritis, anterior crural (femoral) nerve. 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only: For tubercular infections: Rate in accordance with. What is the Respiratory System for VA rating purposes? It is also available for inspection at the National Archives and Records Administration (NARA). Schedule of ratings - infectious diseases, immune disorders and nutritional deficiencies. 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). 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. L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated. Added November 29, 1994; criterion August 30, 1996; title, criterion, note August 11, 2019. 6006 Retinopathy or maculopathy not otherwise specified, Note: This code includes orbital trauma, as well as penetrating or non-penetrating eye injury. [73 FR 66550, Nov. 10, 2008, as amended at 83 FR 15321, Apr. One or more neurobehavioral effects that do not interfere with workplace interaction or social interaction. Neoplasm, hard and soft tissue, malignant. or more) and marked deformity, Without loss of bone substance or deformity. (d) With advancement of lesions on successive examinations or while under treatment. Note (2): For the purposes of this diagnostic code, a treatment intervention occurs whenever a symptomatic patient requires intravenous pharmacologic adjustment, cardioversion, and/or ablation for symptom relief. 6841 Spinal cord injury with respiratory insufficiency. External popliteal nerve (common peroneal), paralysis. (d) Special provisions for the application of evaluation criteria for diagnostic codes 6600, 6603, 6604, 6825-6833, and 6840-6845. Automatic states or automatisms are characterized by episodes of irrational, irrelevant, disjointed, unconventional, asocial, purposeless though seemingly coordinated and purposeful, confused or inappropriate activity of one to several minutes (or, infrequently, hours) duration with subsequent amnesia for the seizure. Disability from injuries to the muscles, nerves, and joints of an extremity may overlap to a great extent, so that special rules are included in the appropriate bodily system for their evaluation. 3 Also entitled to special monthly compensation. 7344 Benign neoplasms, exclusive of skin growths: Evaluate under an appropriate diagnostic code, depending on the predominant disability or the specific residuals after treatment. 9, 2018; 83 FR 15323, Apr. (d) On these total ratings Department of Veterans Affairs regulations governing effective dates for increased benefits will control. 7540 Disseminated intravascular coagulation. Other total disability ratings are scheduled in the various bodily systems of this schedule. The C&P examiner will then write a report about their findings and send it to the VA regional office. 5272 Subastragalar or tarsal joint, ankylosis. Clear impairments to daily living and health diagnosed by a doctor or 3 or more incapacitating episodes a year: 40% Rating. 8521 External popliteal nerve (common peroneal), paralysis. Criterion August 13, 1981; criterion June 9, 1996; criterion December 10, 2017. 8711 Neuralgia, middle radicular group. Otherwise, the lower rating will be assigned. Submitting a claim for a VA rating for narcolepsy can be Thousands of veterans like you take medication to help improve their service-connected disabilities. Learn more about the eCFR, its status, and the editorial process. What are Neurological Conditions and Convulsive Disorders for VA rating purposes? 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. 5105 Anatomical loss of one foot and loss of use of one hand. For aphakic individuals not well adapted to contact lens correction or pseudophakic individuals not well adapted to intraocular lens implant, visual field examinations must be conducted using Goldmann's equivalent IV/4e. The lumbosacral and sacroiliac joints should be considered as one anatomical segment for rating purposes. Introduction criterion May 13, 2018; Revised General Rating Formula for Diseases of the Eye NOTE revised May 13, 2018. 6329 Hemorrhagic fevers, including dengue, yellow fever, and others. Note (3): Tuberculous Addison's disease will be evaluated as active or inactive tuberculosis. 8614 Neuritis, musculospiral (radial) nerve. 11, 1969; 40 FR 42536, Sept. 15, 1975; 41 FR 11294, Mar. Added March 10, 1976; criterion February 3, 1988; removed November 7, 1996. 6018 Conjunctivitis, other, chronic (nontrachomatous)(keratoconjunctivitis). Intellectual disability (intellectual developmental disorder) and personality disorders. Has difficulty using assistive devices such as GPS (global positioning system). Malignant neoplasms of the eye, orbit, and adnexa (excluding skin). Note (3): For this general formula, heart failure symptoms include, but are not limited to, breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope. Persistently altered state of consciousness, such as vegetative state, minimally responsive state, coma. (vi) fatigue lasting 24 hours or longer after exercise. Evaluate using an appropriate respiratory analogy. (Effective as to outpatient treatment March 10, 1976.). Examples: A person of high social standing remained seated, muttered angrily, and rubbed the arms of his chair while the National Anthem was being played; an apparently normal person suddenly disrobed in public; a man traded an expensive automobile for an antiquated automobile in poor mechanical condition and after regaining conscious control, discovered that he had signed an agreement to pay an additional sum of money in the trade. 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 and incapacitating episodes of up to two weeks total duration per year. 11 to 20 mm of maximum unassisted vertical opening. Mandible, nonunion of, confirmed by diagnostic imaging studies. 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. Flexion elicits such manifestations. 7307 Gastritis, hypertrophic (identified by gastroscope): Chronic; with severe hemorrhages, or large ulcerated or eroded areas, Chronic; with multiple small eroded or ulcerated areas, and symptoms, Chronic; with small nodular lesions, and symptoms. Criterion March 10, 1976; criterion February 17, 1994; criterion November 14, 2021. 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. 11, 1969. (3) Moderately severe disability of muscles -. 5111 Loss of use of one hand and one foot. Note (1): Evaluate cor pulmonale, which is a form of secondary heart disease, as part of the pulmonary condition that causes it. Given the physicality required for many military occupations, this is not surprising. 6211 Tympanic membrane, perforation of. 49 CFR 172.101 The evaluation of right knee instability is increased to 20 percent disabling effective June 26, 2010. 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. If a maximum exercise capacity test is not of record, evaluate based on alternative criteria. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. 9914 Maxilla, loss of more than half. There are three options you should know about: If youve been denied a shoulder pain VA rating, dont give up. 8511 Middle radicular group, paralysis. 6064 No more than light perception in one eye. Self-induced weight loss to less than 80 percent of expected minimum weight, with incapacitating episodes of at least six weeks total duration per year, and requiring hospitalization more than twice a year for parenteral nutrition or tube feeding. 8000 Encephalitis, epidemic, chronic. VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. 4.115a Ratings of the genitourinary system - dysfunctions. What are eye disabilities for VA rating purposes? Keep in mind the VA will likely rate your shoulder injury using one type of rating criteria. Evaluation of Ankylosis or Limitation of Motion of Single or Multiple Digits of the Hand. Not improvable by prosthesis controlled by natural knee action. Metatarsalgia, anterior (Morton's disease). Appendix A to Part 4 - Table of Amendments and Effective Dates Since 1946, Appendix B to Part 4 - Numerical Index of Disabilities, Appendix C to Part 4 - Alphabetical Index of Disabilities, Unstabilized condition with severe disability -, Substantially gainful employment is not feasible or advisable, Unhealed or incompletely healed wounds or injuries -, Material impairment of employability likely. 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. Note 2: Ratings under diagnostic codes 9201 to 9440 will be evaluated using the General Rating Formula for Mental Disorders. Search & Navigation (2) When diplopia extends beyond more than one quadrant or range of degrees, evaluate diplopia based on the quadrant and degree range that provides the highest evaluation. However, in cases protected by the provisions of Pub. A plumb line dropped from the middle of the patella falls inside of the normal point. Service department record of superficial wound with brief treatment and return to duty. 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity. WebReferences for Chronic Achilles Tendonitis or Achilles Bursitis. If, however, absence of a kidney is the sole renal disability, even if removal was required because of nephritis, the absent kidney and any hypertension or heart disease will be separately rated. Thrombo-angiitis obliterans (Buerger's Disease). How to Service Connect Your Shoulder Pain, Direct Service Connection for a VA Rating for Shoulder Pain, Secondary Service Connection for a Shoulder Pain VA Rating, 3. Shoulder injuries are often caused by overuse, repetitive motions, or sudden trauma. Australia. Listed below are some of the most common conditions that go by other names. 9917 Neoplasm, hard and soft tissue, benign: Rate as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring. 7632 Female sexual arousal disorder (FSAD). Criterion March 10, 1976; title, note February 7, 2021. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. Principles of combined ratings for muscle injuries. (F) Atrophy of muscle groups not in the track of the missile, particularly of the trapezius and serratus in wounds of the shoulder girdle. 5328 Muscle, neoplasm of, benign, postoperative. Proceeding from this 40 percent efficiency, the effect of a further 30 percent disability is to leave only 70 percent of the efficiency remaining after consideration of the first disability, or 28 percent efficiency altogether. Bones, neoplasm, malignant, primary or secondary. All of the criteria include severe, moderately severe, moderate, or slight and corresponds to a disability rating ranging from 0 to 40 percent. The nervous system is divided into two parts: the central nervous system, and the peripheral nervous system. Skin hypo-or hyper-pigmented in an area exceeding six square inches (39 sq. Regulation Y 7824 Keratinization, diseases(including icthyoses, Dariers disease, palmoplantar keratoderma, Dyskeratosis follicularis and Ichthyoses). If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! 7115 Thrombo-angiitis obliterans (Buergers Disease). (2) Following a period of hospitalization in excess of 21 days, an authorized absence in excess of 14 days or a third consecutive authorized absence of 14 days will be regarded as the equivalent of hospital discharge and will interrupt hospitalization effective on the last day of the month in which either the authorized absence in excess of 14 days or the third 14 day period begins, except where there is a finding that convalescence is required as provided by paragraph (e) or (f) of this section. 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. between the thumb pad and the fingers, with the thumb attempting to oppose the fingers, With a gap of one to two inches (2.5 to 5.1 cm.) An evaluation of 20 percent is assigned for recurrent subluxation What is the musculoskeletal system for VA rating purposes? (f) Special monthly compensation. 8717 Neuralgia, musculocutaneous nerve. (ii) When pulmonary hypertension (documented by an echocardiogram or cardiac catheterization), cor pulmonale, or right ventricular hypertrophy has been diagnosed. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. cm.). General Rating Formula for Major and Minor Epileptic Seizures: Averaging at least 1 major seizure per month over the last year, Averaging at least 1 major seizure in 3 months over the last year; or more than 10 minor seizures weekly, Averaging at least 1 major seizure in 4 months over the last year; or 9-10 minor seizures per week, At least 1 major seizure in the last 6 months or 2 in the last year; or averaging at least 5 to 8 minor seizures weekly, At least 1 major seizure in the last 2 years; or at least 2 minor seizures in the last 6 months, A confirmed diagnosis of epilepsy with a history of seizures. (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. Persistent depressive disorder (dysthymia). (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. [29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. 5207 Forearm, limitation of extension of: 5208 Forearm, flexion limited to 100 and extension to 45, 5209 Elbow, other impairment of Flail joint, Joint fracture, with marked cubitus varus or cubitus valgus deformity or with ununited fracture of head of radius, 5210 Radius and ulna, nonunion of, with flail false joint. During and for three months following myocardial infarction, confirmed by laboratory tests. Rate chronic residuals to include scars, lymphedema, disfigurement, and/or other impairment of function under the appropriate diagnostic code(s) within the appropriate body system, Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms, Pelvic pain or heavy or irregular bleeding not controlled by treatment, Pelvic pain or heavy or irregular bleeding requiring continuous treatment for control, 7631 Benign neoplasms of the breast and other injuries of the breast. 7000 Valvular heart disease(including rheumatic heart disease). 9310 Unspecified neurocognitive disorder(Dementia). 5054 Hip, resurfacing or replacement (prosthesis) (Birmingham Hip Resurfacing). Infectious Diseases can spread through various means, and include bacterial, parasitic, and viral infections whereas Immune Disorders are conditions that attack the immune system and make the body more susceptible to infection. Severe; objective evidence of marked deformity (pronation, abduction, etc. Criterion February 17, 1994; title and criterion November 14, 2021. [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. This adjusted level of corrected visual acuity, however, must not exceed a level of 5/200. What is the Digestive System for VA rating purposes? 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. Added September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. 6029 Aphakia or dislocation of crystalline lens: Evaluate based on visual impairment, and elevate the resulting level of visual impairment one step. In 2022, flat feet VA disability ratings range from 0 percent to 50 percent, with interim breaks at 10 percent, 20 percent, and 30 percent. It is essential to make an initial distinction between bilateral flatfoot as a congenital or as an acquired condition. Prestabilization ratings are for assignment in the immediate postdischarge period.
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