7822 Papulosquamous disorders not listed elsewhere. 8611 Neuritis, middle radicular group. 7911 Addison's disease (adrenocortical insufficiency): Three crises during the past year, or; five or more episodes during the past year, One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control. Added March 1, 1989; evaluation March 24, 1992; criterion August 30, 1996; criterion, note August 11, 2019. 5003 Degenerative arthritis, other than post-traumatic: Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520). 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 central nervous system consists of the brain, the spinal cord, and thecranialnerves. The anatomical position is considered as 0, with two major exceptions: (a) Shoulder rotation - arm abducted to 90, elbow flexed to 90 with the position of the forearm reflecting the midpoint 0 between internal and external rotation of the shoulder; and (b) supination and pronation - the arm next to the body, elbow flexed to 90, and the forearm in midposition 0 between supination and pronation. 5306 Group VI Function: Extension of elbow. (E) Adaptive contraction of an opposing group of muscles. 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. 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). Subastragalar or tarsal joint, ankylosis. VA Disability Ratings for GERD Explained 5203 Clavicle or scapula, impairment. All disabilities are then to be combined as described in paragraph (a) of this section. In severe cases there is gaping of bones on the inner border of the foot, and rigid valgus position with loss of the power of inversion and adduction. The most trusted name in education-based resources for Veterans. Underlying soft tissue missing in an area exceeding six square inches (39 sq. 7110 Aortic aneurysm: Ascending, thoracic, or abdominal: Evaluate at 100 percent if the aneurysm is any one of the following: Five centimeters or larger in diameter; symptomatic (e.g., precludes exertion); or requires surgery. (c) Combination of visual field defect and decreased visual acuity. In those cases, use the pre-bronchodilator values for rating purposes. 7628 Benign neoplasms of gynecological system. between the thumb pad and the fingers, with the thumb attempting to oppose the fingers, With a gap of less than one inch (2.5 cm.) 5310 Group X Function: Movement of forefoot and toes. 5219 Two digits of one hand, unfavorable ankylosis of: Index and long; index and ring; or index and little fingers, Long and ring; long and little; or ring and little fingers, 5220 Five digits of one hand, favorable ankylosis of. Below is a complete list of VA disabilities for the musculoskeletal system, listed in order by Diagnostic Code (DC) from CFR Title 38, Part 4, the Schedule for Rating Disabilities. 6032 Loss of eyelids, partial or complete: Separately evaluate both visual impairment due to eyelid loss and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. 5206 Forearm, limitation of flexion. Any of these effects may range from slight to severe, although verbal and physical aggression are likely to have a more serious impact on workplace interaction and social interaction than some of the other effects. 9, 2018; 83 FR 15323, Apr. 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). (F) Atrophy of muscle groups not in the track of the missile, particularly of the trapezius and serratus in wounds of the shoulder girdle. By Lorraine (c) The bilateral factor is not applicable unless there is partial disability of compensable degree in each of 2 paired extremities, or paired skeletal muscles. VA disability One eye, with visual acuity of other eye: 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60), 20/100 (6/30); 20/70 (6/21); 20/50 (6/15), Multi-joint (except post-traumatic and gout). [34 FR 5062, Mar. Mental Disorders in Epilepsies: A nonpsychotic organic brain syndrome will be rated separately under the appropriate diagnostic code (e.g., 9304 or 9326). 7121 Post-phlebitic syndrome of any etiology: With the following findings attributed to venous disease: Massive board-like edema with constant pain at rest, Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration, Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration, Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema, Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery, Asymptomatic palpable or visible varicose veins, Arthralgia or other pain, numbness, or cold sensitivity plus two or more of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity plus one of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity. 7615 Ovary, disease, injury, or adhesions of. 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. Prior employment or unemployment status is immaterial if in the judgment of the rating board the veteran's disabilities render him or her unemployable. 7124 Raynauds disease (primary Raynauds). 8211 Eleventh (spinal accessory, external branch), paralysis. 7005 Arteriosclerotic heart disease (coronary artery disease). 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. One or two painful flare-ups a year: 20% Rating. Or rate as renal dysfunction if there is nephritis, infection, or pathology of the other. For example, with disabilities evaluated at 60 percent, 20 percent, 10 percent and 10 percent (the two 10's representing bilateral disabilities), the order of severity would be 60, 21 and 20. The ratings for the cranial nerves are for unilateral involvement; when bilateral, combine but without the bilateral factor. Mandible loss of, including ramus, unilaterally or bilaterally. Occasionally disoriented to one of the four aspects (person, time, place, situation) of orientation. 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. While the main function of the Ear is to control hearing (frequencies, decibals, tones, etc), it also controls the bodys balance. Criterion September 9, 1975; evaluation January 12, 1998; note, criterion November 14, 2021. Skin hypo-or hyper-pigmented in an area exceeding six square inches (39 sq. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. It is not a disability subject to compensation. This average is used in all cases (including those in 4.86) to determine the Roman numeral designation for hearing impairment from Table VI or VIa. 7508 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. 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. Ratings for Pulmonary Tuberculosis (Chronic) Entitled on August 19, 1968: 6704 Active, advancement unspecified. Accurate measurement of the length of stumps, excursion of joints, dimensions and location of scars with respect to landmarks, should be insisted on. Title 38, Part 4 Schedule for Rating Disabilities or more, will be taken as loss of use of the hand or foot involved. 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. When the examiner indicates that additional testing is necessary to evaluate visual fields, the additional testing must be conducted using either a tangent screen or a 30-degree threshold visual field with the Goldmann III stimulus size. You can 9417 Depersonalization/derealization disorder. [62 FR 30239, June 3, 1997, as amemded 85 FR 76464, Nov. 30, 2020]. 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. 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. The resulting difference will be recorded on the rating sheet. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note. Each measurement is rounded to the nearest five degrees. 6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy), 6062 No more than light perception in both eyes. 6062 Blindness, both eyes, only light perception. (ii) History and complaint. The osseous abnormalities incident to trauma or disease, such as malunion with deformity throwing abnormal stress upon, and causing malalignment of joint surfaces, should be depicted from study and observation of all available data, beginning with inception of injury or disease, its nature, degree of prostration, treatment and duration of convalescence, and progress of recovery with development of permanent residuals. Group VII Function: Flexion of wrist and fingers. Eleventh (spinal accessory, external branch), paralysis. Evaluation July 6, 1950; evaluation September 22, 1978, evaluation January 12, 1998; criterion November 14, 2021. 6019 Ptosis unilateral or bilateral. Through and through or deep penetrating wound of short track from a single bullet, small shell or shrapnel fragment, without explosive effect of high velocity missile, residuals of debridement, or prolonged infection. VA Rating for Arthritis (b) It is the established policy of the Department of Veterans Affairs that all veterans who are unable to secure and follow a substantially gainful occupation by reason of service-connected disabilities shall be rated totally disabled. Yes, Back Pain is a VA disability. Rate on impairment of function, 5329 Sarcoma, soft tissue (of muscle, fat, or fibrous connective tissue) - 100, Rate each affected muscle group separately and combine in accordance with. 6036 Status post corneal transplant. (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. cm.) Residuals of diseases or therapeutic procedures will not be cited without reference to the basic disease. (3) When diplopia exists in two separate areas of the same eye, increase the equivalent visual acuity under diagnostic code 6090 to the next poorer level of visual acuity, not to exceed 5/200. Criterion August 23, 1948; criterion February 1, 1962. Moderately severely impaired judgment. It is the responsibility of the rating specialist to interpret reports of examination in the light of the whole recorded history, reconciling the various reports into a consistent picture so that the current rating may accurately reflect the elements of disability present. This combined value will be converted to the nearest degree divisible by 10 which is 80 percent. Metatarsalgia, anterior (Morton's disease). or more) and marked deformity, Without loss of bone substance or deformity. Any of these structures can be injured, resulting in shoulder pain. A complaint of mild loss of memory (such as having difficulty following a conversation, recalling recent conversations, remembering names of new acquaintances, or finding words, or often misplacing items), attention, concentration, or executive functions, but without objective evidence on testing. Debilitating fatigue, cognitive impairments (such as inability to concentrate, forgetfulness, or confusion), or a combination of other signs and symptoms: Which are nearly constant and so severe as to restrict routine daily activities almost completely and which may occasionally preclude self-care, Which are nearly constant and restrict routine daily activities to less than 50 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least six weeks total duration per year, Which are nearly constant and restrict routine daily activities from 50 to 75 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least four but less than six weeks total duration per year, Which are nearly constant and restrict routine daily activities by less than 25 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least two but less than four weeks total duration per year, Which wax and wane but result in periods of incapacitation of at least one but less than two weeks total duration per year; or symptoms controlled by continuous medication, For 1 year after date of inactivity, following active tuberculosis. (iv) palpable or tender cervical or axillary lymph nodes. http://www.archives.gov/federal_register/code_of_federal_regulations/ibr_publications.html. 7820 Infections of the skin(including bacterial, fungal, viral, treponemal, and parasitic diseases). 5230 Ring or little finger, limitation of motion: (For diagnostic codes 5235 to 5243 unless 5243 is evaluated under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes): With or without symptoms such as pain (whther or not it radiates), stiffness, or aching in the area of the spine affected by residuals of injury or disease, Unfavorable ankylosis of the entire spine, Unfavorable ankylosis of the entire thoracolumbar spine, Unfavorable ankylosis of the entire cervical spine; or, forward flexion of the thoracolumbar spine 30 degrees or less; or, favorable ankylosis of the entire thoracolumbar spine, Forward flexion of the cervical spine 15 degrees or less; or, favorable ankylosis of the entire cervical spine, Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or, forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or, the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or, the combined range of motion of the cervical spine not greater than 170 degrees; or, muscle spasm or guarding severe enough to result in an abnormal gait or abnormal spinal contour such as scoliosis, reversed lordosis, or abnormal kyphosis, Forward flexion of the thoracolumbar spine greater than 60 degrees but not greater than 85 degrees; or, forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees; or, combined range of motion of the thoracolumbar spine greater than 120 degrees but not greater than 235 degrees; or, combined range of motion of the cervical spine greater than 170 degrees but not greater than 335 degrees; or, muscle spasm, guarding, or localized tenderness not resulting in abnormal gait or abnormal spinal contour; or, vertebral body fracture with loss of 50 percent or more of the height, 5239 Spondylolisthesis or segmental instability, 5242 Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). Criterion March 10, 1976; removed October 7, 1996. Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified). For VA rating purposes, Mental Disorders refer to mental health conditions, and include 31 primary disorders that affect your mood, thinking, and behavior. Such total rating will be followed by appropriate schedular evaluations. As applicable, consider the long-term health effects potentially associated with infectious diseases as listed in 3.317(d) of this chapter, specifically Brucellosis, Campylobacter jejuni, Coxiella burnetii (Q fever), Malaria, Mycobacterium Tuberculosis, Nontyphoid Salmonella, Shigella, Visceral Leishmaniasis, and West Nile virus. 5320 Group XX Function: Postural support of body. (i) Type of injury. If a mental disorder has been assigned a total evaluation due to a continuous period of hospitalization lasting six months or more, the rating agency shall continue the total evaluation indefinitely and schedule a mandatory examination six months after the veteran is discharged or released to nonbed care. The most trusted name in education-based resources for Veterans. 2. 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. Benign neoplasms of gynecological system. General Rating Formula for Disease, Injury, or Adhesions of Female Reproductive Organs (diagnostic codes 7610 through 7615): Symptoms not controlled by continuous treatment, Symptoms that require continuous treatment, Symptoms that do not require continuous treatment. In each prestabilization rating an examination will be requested to be accomplished not earlier than 6 months nor more than 12 months following discharge. 7613 Uterus, disease, injury, or adhesions of. The examiner must identify the disease, injury, or other pathologic process responsible for any visual impairment found. Where diagnostic codes refer the decision maker to these specific areas of dysfunction, only the predominant area of dysfunction shall be considered for rating purposes. 8727 Neuralgia, internal saphenous nerve. (Authority: 38 U.S.C. Or rate on impairment of function of contiguous joint. 5, 2007, as amended at 73 FR 54708, 54711, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 77 FR 6467, Feb. 8, 2012; 79 FR 45101, Aug. 4, 2014; 80 FR 42042, July 16, 2015; 82 FR 36084, Aug. 3, 2017; 82 FR 50806, Nov. 2, 2017; 83 FR 15072, Apr. 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. 6732 Pleurisy, tuberculous, active or inactive: Primary pulmonary hypertension, or; chronic pulmonary thromboembolism with evidence of pulmonary hypertension, right ventricular hypertrophy, or cor pulmonale, or; pulmonary hypertension secondary to other obstructive disease of pulmonary arteries or veins with evidence of right ventricular hypertrophy or cor pulmonale, Chronic pulmonary thromboembolism requiring anticoagulant therapy, or; following inferior vena cava surgery without evidence of pulmonary hypertension or right ventricular dysfunction, Symptomatic, following resolution of acute pulmonary embolism, Asymptomatic, following resolution of pulmonary thromboembolism, 6819 Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths. Where there are additional disabilities rated 50% or 100%, or anatomical or loss of use of a third extremity see 38 CFR 3.350(f) (3), (4) or (5). 11, 1969. Major or mild neurocognitive disorder due to Alzheimer's disease. Thousands of other Veterans in our Community are here for you. Internal popliteal nerve (tibial), paralysis. Note: If non-service-connected arteriosclerotic heart disease is superimposed on service-connected valvular or other non-arteriosclerotic heart disease, request a medical opinion as to which condition is causing the current signs and symptoms. Loss of use of both buttocks shall be deemed to exist when there is severe damage to muscle Group XVII, bilateral (diagnostic code number 5317) and additional disability rendering it impossible for the disabled person, without assistance, to rise from a seated position and from a stooped position (fingers to toes position) and to maintain postural stability (the pelvis upon head of femur). Normal TP is greater than or equal to 60 mm Hg. Criterion September 9, 1975; removed March 10, 1976. 7532 Renal tubular disorders (such as renal glycosurias, aminoacidurias, renal tubular acidosis, Fanconi's syndrome, Bartter's syndrome, related disorders of Henle's loop and proximal or distal nephron function, etc. (i) Type of injury. Search & Navigation 7114 Peripheral arterial disease(Peripheral vascular disease). Infectious Diseases, Immune Disorders, and Nutritional Deficienciescan display a vast range of symptoms throughout the human body. Testis, undescended, or congenitally undeveloped is not a ratable disability. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. 4.22 Rating of disabilities aggravated by active service. Hear from fellow Veterans just like you, with many of our Veteran Success Managers having gone through our programs. Severe; associated with nausea, sweating, circulatory disturbance after meals, diarrhea, hypoglycemic symptoms, and weight loss with malnutrition and anemia, Moderate; less frequent episodes of epigastric disorders with characteristic mild circulatory symptoms after meals but with diarrhea and weight loss, Mild; infrequent episodes of epigastric distress with characteristic mild circulatory symptoms or continuous mild manifestations. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. Code O-2 (38 CFR 3.350(e)(2)). 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. Table III - Normal Visual Field Extent at 8 Principal Meridians. 49 CFR 172.101 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. And, youll get to work with a Veteran Coach (VC) who will lead you to VA claim success. Tests of strength, endurance, or coordinated movements compared with the corresponding muscles of the uninjured side indicate severe impairment of function.
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