1 Review for entitlement to special monthly compensation under 3.350 of this chapter. Note (1): Evaluate symptoms of hyperthyroidism under DC 7900, hyperthyroidism, including, but not limited to, Graves' disease. The horizontal rows represent the ear having the better hearing and the vertical columns the ear having the poorer hearing. Evaluation March 10, 1976; removed July 2, 2001. (1) Pulmonary function tests (PFT's) are required to evaluate these conditions except: (i) When the results of a maximum exercise capacity test are of record and are 20 ml/kg/min or less. For VA rating purposes, a muscle injury (strain) is an injury to a muscle or a tendon, which is the fibrous tissue that connects muscles to bones. Organic Diseases of the Central Nervous System. You can use your service medical records, military records, and a personal statement to prove your shoulder injury occurred while you were serving. Note: For the purpose of VA disability evaluation, a disease or traumatic injury of the penis resulting in scarring or deformity shall be rated under diagnostic code 7522. Comprehension or expression, or both, of either spoken language or written language is only occasionally impaired. If you have questions or comments regarding a published document please Malignant neoplasms of gynecological system. Criterion February 17, 1994; evaluation September 10, 2017; title September 10, 2017. 6331 Coxiella burnetii infection (Q Fever). 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. between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible, and; extension is limited by no more than 30 degrees. 7917 Hyperaldosteronism(benign or malignant). 7815 Bullous disorders (including pemphigus vulgaris, pemphigus foliaceous, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda). When you file for a VA disability rating for shoulder pain, you will most likely be scheduled for a Compensation & Pension (C&P) exam. 11, 1969, as amended at 61 FR 46727, Sept. 5, 1996; 71 FR 52459, Sept. 6, 2006]. Knee, resurfacing or replacement (prosthesis). between the thumb pad and the fingers, with the thumb attempting to oppose the fingers. 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. Subastragalar or tarsal joint, ankylosis. 5160 Complete amputation, lower extremity. [With the exceptions noted, disability from the following diseases and their residuals may be rated from 10 percent to 100 percent in proportion to the impairment of motor, sensory, or mental function. (a) Subject to the provisions of paragraphs (d), (e), and (f) of this section this increased rating will be effective the first day of continuous hospitalization and will be terminated effective the last day of the month of hospital discharge (regular discharge or release to non-bed care) or effective the last day of the month of termination of treatment or observation for the service-connected disability. 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. 8210 Tenth (pneumogastric, vagus), paralysis. 8312 Neuritis, twelfth cranial nerve. 9916 Maxilla, malunion or nonunion of. 10, 2018]. Note (2): Asymptomatic bradycardia (bradyarrhythmia) is a medical finding only. 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. (5) When evaluating based on PFT's, use post-bronchodilator results in applying the evaluation criteria in the rating schedule unless the post-bronchodilator results were poorer than the pre-bronchodilator results. (e) Table VII, Percentage Evaluations for Hearing Impairment, is used to determine the percentage evaluation by combining the Roman numeral designations for hearing impairment of each ear. 5052 Elbow replacement (prosthesis). Recurrent urinary tract infections secondary to obstruction. Rating of disabilities aggravated by active service. Every element in any way affecting the probative value to be assigned to the evidence in each individual claim must be thoroughly and conscientiously studied by each member of the rating board in the light of the established policies of the Department of Veterans Affairs to the end that decisions will be equitable and just as contemplated by the requirements of the law. Web5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. (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. 0 to 10 millimeters (mm) of maximum unassisted vertical opening. 7811 Tuberculosis luposa (lupus vulgaris), active or inactive: 7813 Dermatophytosis (ringworm: Of body, tinea corporis; of head, tinea capitis; of feet, tinea pedis; of beard area, tinea barbae; of nails, tinea unguium (onychomycosis); of inguinal area (jock itch), tinea cruris; tinea versicolor). VA Form 21-686c, also known as the VA form to add dependents or the Declaration of Status of Dependents, is a form for you to provide information to the VA about your dependents. Not improvable by prosthesis controlled by natural knee action, Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss, Toe, other than great, with removal metatarsal head, Toes, three or more, without metatarsal involvement. Distinct disabilities may be evaluated separately under this section, pursuant to 4.14, if the symptoms do not overlap. Anterior tibial nerve (deep peroneal), paralysis. Osteoporosis VA Disability Rating 21, 1995, as amended at 67 FR 6874, Feb. 14, 2002; 67 FR 37695, May 30, 2002; 83 FR 15071, Apr. When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted. Cognitive impairment is defined as decreased memory, concentration, attention, and executive functions of the brain. General considerations for evaluating visual impairment. 7344 Benign neoplasms, exclusive of skin growths: Evaluate under an appropriate diagnostic code, depending on the predominant disability or the specific residuals after treatment. The disability rating assigned also depends on whether the veterans dominant (higher evaluation) versus nondominant (lower evaluation) arm is affected. The element of the weight to be accorded the character of the veteran's service is but one factor entering into the considerations of the rating boards in arriving at determinations of the evaluation of disability. One or more neurobehavioral effects that do not interfere with workplace interaction or social interaction. However, if you have post concussive headaches that are severe enough to be eligible for a VA rating, then they can be rated under Diagnostic Code 8100for migraine headaches, since that is the diagnostic code that is closest to your condition with similar symptoms. A separate drafting site Added October 23, 1995; evaluation December 9, 2018; criterion December 9, 2018. Second note following December 1, 1949; criterion March 11, 1969; evaluation October 7, 1996. Liver disease, chronic, without cirrhosis. VA disabilities for Neurological Conditions and Convulsive Disorders include conditions of the head, brain, spinal cord, nerves, and epilepsies. Added September 9, 1975; criterion January 12, 1998; note, criterion November 14, 2021. (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. Skin texture abnormal (irregular, atrophic, shiny, scaly, etc.) 7005 Arteriosclerotic heart disease (coronary artery disease). Social Security Disability Evidence of increased intracranial pressure (such as visual field defect), arthropathy, glucose intolerance, and either hypertension or cardiomegaly, Arthropathy, glucose intolerance, and hypertension, Enlargement of acral parts or overgrowth of long bones. Moderately severely impaired. Motor activity moderately decreased due to apraxia. Service department record or other evidence showing hospitalization for a prolonged period for treatment of wound. 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. (2) When a 100% evaluation can be assigned on another basis. Social interaction is occasionally inappropriate. Severely impaired judgment. This consideration, or the absence of clear cut evidence of injury, may result in classifying the disability as not of traumatic origin, either reflecting congenital or developmental etiology, or the effects of healed disease. Constant inability to communicate by speech, Constant inability to speak above a whisper. 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. 7319 Colon, irritable syndrome(spastic colitis, mucous colitis, irritable bowel syndrome , Mucous colitis etc.). What are Mental Disorders for VA rating purposes? Group VII Function: Flexion of wrist and fingers. The maximum rating which may be assigned for neuritis not characterized by organic changes referred to in this section will be that for moderate, or with sciatic nerve involvement, for moderately severe, incomplete paralysis. Neuritis, external cutaneous nerve of thigh. Yes, Back Pain is a VA disability. 7916 Hyperpituitarism (prolactin secreting pituitary dysfunction): Note: Evaluate as malignant or benign neoplasm, as appropriate. Surface contour of scar elevated or depressed on palpation. 8212 Twelfth (hypoglossal), paralysis. A change in evaluation based on that or any subsequent examination shall be subject to the provisions of 3.105(e) of this chapter. These evaluations are for the disease as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). 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. Criterion March 11, 1969; evaluation February 17, 1994. What is the musculoskeletal system for VA rating purposes? It is thus essential, both in the examination and in the evaluation of disability, that each disability be viewed in relation to its history. The evaluation of the same disability under various diagnoses is to be avoided. [29 FR 6718, May 22, 1964, as amended at 40 FR 42540, Sept. 15, 1975; 41 FR 11302, Mar. Infectious Diseases, Immune Disorders, and Nutritional Deficienciescan display a vast range of symptoms throughout the human body. Note (1): Evaluate cor pulmonale, which is a form of secondary heart disease, as part of the pulmonary condition that causes it. (vii) headaches (of a type, severity, or pattern that is different from headaches in the pre-morbid state). After active disease has resolved, rate at 0 percent for infection. Added January 12, 1998; criterion November 14, 2021. Criterion September 8, 1994; title, criterion, note November 14, 2021. Note: Evaluate syphilitic aortic aneurysms under DC 7110 (Aortic aneurysm: Ascending, thoracic, abdominal). between the fingertip(s) and the proximal transverse crease of the palm, with the finger(s) flexed to the extent possible, evaluate as unfavorable ankylosis, (iv) If only the metacarpophalangeal or proximal interphalangeal joint is ankylosed, and there is a gap of two inches (5.1 cm.) but less than 72 square inches (465 sq. Or, you can get help from an expert veteran coach who can help you navigate the VA claims process. 7354 Hepatitis C(or non-A, non-B hepatitis). 6515 Laryngitis, tuberculous, active or inactive. Neuralgia, anterior crural nerve (femoral). Added September 9, 1975; criterion October 7, 1996. Ragged, depressed and adherent scars indicating wide damage to muscle groups in missile track. 8409 Neuralgia, ninth cranial nerve. 7541 Renal involvement in diabetes mellitus type I or II. (a) Associated with active tuberculosis involving other than the respiratory system. In the absence of limitation of motion, rate as below: With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations, With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups. However, disability resulting from a mental disorder that is superimposed upon intellectual disability (intellectual developmental disorder) or a personality disorder may be service-connected. 8307 Neuritis, seventh cranial nerve. cm. ): Preoperative: Evaluate under the General Rating Formula for Diseases of the Eye, Postoperative: If a replacement lens is present (pseudophakia), evaluate under the General Rating Formula for Diseases of the Eye. Evaluation September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. 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. 7016 Heart valve replacement(prosthesis). 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. With persistent polyuria or requiring continuous hormonal therapy. No impairment of function or metallic fragments retained in muscle tissue. 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. 6829 Drug-induced pulmonary pneumonitis and fibrosis. Estimate your 2023 VA Rating & Compensation for FREE! When a partial disability results from disease or injury of both arms, or of both legs, or of paired skeletal muscles, the ratings for the disabilities of the right and left sides will be combined as usual, and 10 percent of this value will be added (i.e., not combined) before proceeding with further combinations, or converting to degree of disability. This combined value will then be converted to the nearest number divisible by 10, and combined values ending in 5 will be adjusted upward. 6510 Sinusitis, pansinusitis, chronic(Rhinosinusitis). 7822 Papulosquamous disorders not listed elsewhere (including lichen planus, large or small plaque parapsoriasis, pityriasis lichenoides et varioliformis acuta (PLEVA), lymphomatoid papulosus, mycosis fungoides, and pityriasis rubra pilaris (PRP)). 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. The circulatory disturbances, especially of the lower extremity following injury in the popliteal space, must not be overlooked, and require rating generally as phlebitis. 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy (De Quervains Disease). Use the adjusted visual acuity for the poorer eye (or the affected eye, if disability of only one eye is service-connected), and the corrected visual acuity for the better eye (or visual acuity of 20/40 for the other eye, if only one eye is service-connected) to determine the percentage evaluation for visual impairment under diagnostic codes 6065 through 6066. Dyspnea, tachycardia, nervousness, fatigability, etc., may result from many causes; some may be service connected, others, not. 8721 Neuralgia, external popliteal nerve (common peroneal). 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: Five or more scars that are unstable or painful, Three or four scars that are unstable or painful, One or two scars that are unstable or painful. One eye, only light perception and other eye: Neoplasm, malignant, primary or secondary, Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation, Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy, including uterine or vaginal vault prolapse, cystocele, urethrocele, rectocele, enterocele, or combination, Cutaneous manifestations of collagen-vascular diseases not listed elsewhere, Essential thrombocythemia and primary myelofibrosis, Hemorrhagic fevers, including dengue, yellow fever, and others, Hyperinfection syndrome or disseminated strongyloidiasis, Group I Function: Upward rotation of scapula, Group III Function: Elevation and abduction of arm, Group IV Function: Stabilization of shoulder, Group VII Function: Flexion of wrist and fingers, Group VIII Function: Extension of wrist, fingers, thumb, Group X Function: Movement of forefoot and toes, Group XIII Function: Extension of hip and flexion of knee, Group XVIII Function: Outward rotation of thigh, Group XIX Function: Abdominal wall and lower thorax, Group XX Function: Postural support of body, Group XXII Function: Rotary and forward movements, head, Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism, Kyphoscoliosis, pectus excavatum / carinatum, Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia), Including ramus, unilaterally or bilaterally, Lymphatic filariasis, to include elephantiasis, Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of, Dissociative amnesia; dissociative identity disorder, Major or mild neurocognitive disorder due to Alzheimer's disease, Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder, Major or mild neurocognitive disorder due to HIV or other infections, Major or mild neurocognitive disorder due to traumatic brain injury, Major or mild vascular neurocognitive disorder, Other specified and unspecified schizophrenia spectrum and other psychotic disorders, Other specified somatic symptom and related disorder, Persistent depressive disorder (dysthymia), Specific phobia; social anxiety disorder (social phobia), Unspecified somatic symptom and related disorder, Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis, Eleventh (spinal accessory, external branch), Mandible, confirmed by diagnostic imaging studies, Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction, Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only, Raynaud's syndrome (secondary Raynaud's phenomenon, secondary Raynaud's), Disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C, Involvement in diabetes mellitus type I or II, Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy), Retinopathy or maculopathy not otherwise specified, Rickettsial, ehrlichia, and anaplasma Infections, 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, 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, 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, Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804, Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome, Spondylolisthesis or segmental instability, spine, Tenosynovitis, tendinitis, tendinosis or tendinopathy. Each ear will be evaluated separately. 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). 6520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral). If a prophylactic thyroidectomy is performed (based upon genetic testing) and antineoplastic therapy is not required, evaluate as hypothyroidism under DC 7903. 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. The official, published CFR, is updated annually and available below under 6827 Pulmonary alveolar proteinosis. Conditions that are NOT in the general schedule can be rated analogously with acondition thatIS. Rate as for disfigurement and impairment of function of mastication. Redesignated at 59 FR 60902, Nov. 29, 1994]. 4.29 Ratings for service-connected disabilities requiring hospital treatment or observation. A 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 hospital treatment in a Department of Veterans Affairs or an approved hospital for a period in excess of 21 days or hospital observation at Department of Veterans Affairs expense for a service-connected disability for a period in excess of 21 days. See nerve involved for diagnostic code number and rating. (ii) History and complaint. (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. 7324 Distomiasis, intestinal or hepatic. Criterion August 23, 1948; criterion February 1, 1962. VA Rating for Knee Pain: VA Knee Rating Chart and - VA
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