Thereafter, with diagnosis confirmed by findings on physical examination and either echocardiogram, Doppler echocardiogram, or cardiac catheterization, use the General Rating Formula. 7530 Chronic renal disease requiring regular dialysis: Thereafter: Rate on residuals as renal dysfunction, minimum rating. 5237 Lumbosacral or cervical strain. The VA Ratings Schedule for Rheumatoid Arthritis. 8625 Neuritis, posterior tibial nerve. 6847 Sleep Apnea Syndromes (Obstructive, Central, Mixed): Chronic respiratory failure with carbon dioxide retention or cor pulmonale, or; requires tracheostomy, Requires use of breathing assistance device such as continuous airway pressure (CPAP) machine, Asymptomatic but with documented sleep disorder breathing. Conditions that are NOT in the general schedule can be rated analogously with acondition thatIS. Measurement of ankylosis and joint motion. 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity. Evaluate as supraventricular tachycardia (DC 7010), ventricular arrhythmias (DC 7011), or atrioventricular block (DC 7015). 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only: For tubercular infections: Rate in accordance with. cm.) (b) A total rating under this section will require full justification on the rating sheet and may be extended as follows: (1) Extensions of 1, 2 or 3 months beyond the initial 3 months may be made under paragraph (a) (1), (2) or (3) of this section. Criterion September 1, 1960; criterion September 9, 1975; criterion January 12, 1998. (b) Complete paralysis of the external popliteal nerve (common peroneal) and consequent, footdrop, accompanied by characteristic organic changes including trophic and circulatory disturbances and other concomitants confirmatory of complete paralysis of this nerve, will be taken as loss of use of the foot. 9433 Persistent depressive disorder (dysthymia). Infectious Diseases, Immune Disorders and Nutritional Deficiencies. All disabilities are then to be combined as described in paragraph (a) of this section. Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. They are grouped together because of their proximity to one other as well as their common embryological origin and the use of common pathways, such as the male reproductive system. However, when the lens required to correct distance vision in the poorer eye differs by more than three diopters from the lens required to correct distance vision in the better eye (and the difference is not due to congenital or developmental refractive error), and either the poorer eye or both eyes are service connected, evaluate the visual acuity of the poorer eye using either its uncorrected or corrected visual acuity, whichever results in better combined visual acuity. If more than one extremity is affected, evaluate each extremity separately and combine (under. This means that you have a current shoulder condition caused or worsened by an event or injury during your military service. Prestabilization rating from date of discharge from service. Added November 29, 1994; criterion August 30, 1996; title, criterion, note August 11, 2019. 5055 Knee, resurfacing or replacement (prosthesis). Each disability must be considered from the point of view of the veteran working or seeking work. Material improvement means lessening or absence of clinical symptoms, and X-ray findings of a stationary or retrogressive lesion. Schedule of ratings - other sense organs. With chronic residuals consisting of severe painful motion or weakness. 6504 Nose, loss of part of, or scars(or evaluate as DC 7800, scars, disfiguring, head, face, or neck). 4.71 Measurement of ankylosis and joint motion. If youre a veteran dealing with shoulder pain, you may be wondering how to get a shoulder pain VA rating. Occurs when tendons and cartilage cannot properly support the Ratings under diagnostic codes 9520 and 9521 will be evaluated using the General Rating Formula for Eating Disorders. Or rate as renal dysfunction if there is nephritis, infection, or pathology of the other. Criterion August 30, 1996; criterion, note August 11, 2019. How the VA Will Assign you a Shoulder Pain VA Rating, 4. The total rating will be followed by an open rating reflecting the appropriate schedular evaluation; where the evidence is inadequate to assign the schedular evaluation, a physcial examination will be scheduled prior to the end of the total rating period. [73 FR 66550, Nov. 10, 2008, as amended at 83 FR 15321, Apr. The determination will be made on the basis of the actual remaining function of the hand or foot, whether the acts of grasping, manipulation, etc., in the case of the hand, or of balance and propulsion, etc., in the case of the foot, could be accomplished equally well by an amputation stump with prosthesis. 5203 Clavicle or scapula, impairment. 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). Organic Diseases of the Central Nervous System. 7312 Liver, cirrhosis, primary biliary cirrhosis, or cirrhotic phase of sclerosing cholangitis. Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018. Neuritis, anterior tibial (deep peroneal) nerve. 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. Note (3): For this general formula, heart failure symptoms include, but are not limited to, breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope. (iii) Objective findings. (eg: It is not an official legal edition of the CFR. General Rating Formula for Bacterial Infections of the Lung (diagnostic codes 6822 through 6824): Active infection with systemic symptoms such as fever, night sweats, weight loss, or hemoptysis. General Rating Formula For The Skin For DCs 7806, 7809, 7813-7816, 7820-7822, and 7824: Characteristic lesions involving more than 40 percent of the entire body or more than 40 percent of exposed areas affected; or, Constant or near-constant systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, psoralen with long-wave ultraviolet-A light (PUVA), or other immunosuppressive drugs required over the past 12-month period, Characteristic lesions involving 20 to 40 percent of the entire body or 20 to 40 percent of exposed areas affected; or Systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of 6 weeks or more, but not constantly, over the past 12-month period, Characteristic lesions involving at least 5 percent, but less than 20 percent, of the entire body affected; or, At least 5 percent, but less than 20 percent, of exposed areas affected; or, Intermittent systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of less than 6 weeks over the past 12-month period, No more than topical therapy required over the past 12-month period and at least one of the following, Characteristic lesions involving less than 5 percent of the entire body affected; or, Characteristic lesions involving less than 5 percent of exposed areas affected, Or rate as disfigurement of the head, face, or neck (DC 7800) or scars (DCs 7801, 7802, 7804, or 7805), depending upon the predominant disability. 6830 Radiation-induced, pneumonitis & fibrosis. (d) Puretone threshold average, as used in Tables VI and VIa, is the sum of the puretone thresholds at 1000, 2000, 3000 and 4000 Hertz, divided by four. Mandible, nonunion of, confirmed by diagnostic imaging studies. 7512 Cystitis, chronic, includes interstitial and all etiologies, infectious and non-infectious: 7515 Bladder, calculus in, with symptoms interfering with function: Rate as voiding dysfunction or urinary tract infection, whichever is predominant. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. [29 FR 6718, May 22, 1964, as amended at 41 FR 11294, Mar. (b) Where unemployable, the veteran has other disabilities innocently acquired which meet the percentage requirements of 4.16 and 4.17 and would render, in the judgment of the rating agency, the average person unable to secure or follow a substantially gainful occupation. 5319 Group XIX Function: Abdominal wall and lower thorax. 7808 Old World leishmaniasis (cutaneous, Oriental sore): Rate as disfigurement of the head, face, or neck (DC 7800), scars (DC's, 7801, 7802, 7803, 7804, or 7805), or dermatitis (DC 7806), depending upon the predominant disabililty. The prestabilization 50-percent rating is not to be used in any case in which a rating of 50 percent or more is immediately assignable under the regular provisions. (iv) palpable or tender cervical or axillary lymph nodes. Normal AP is greater than or equal to 100 mm Hg. Entrance and (if present) exit scars, small or linear, indicating short track of missile through muscle tissue. 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.) If antineoplastic therapy is required, evaluate as a malignant neoplasm under DC 7914. Criterion March 10, 1976; criterion February 17, 1994; criterion November 14, 2021. 7319 Irritable colon syndrome (spastic colitis, mucous colitis, etc. WebAs reported in the VAs most recent Annual Benefits Report, musculoskeletal disabilities are the most commonly claimed condition in the VA disability benefits system, making up 36.9 percent of all disability claims. [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. 7205 Esophagus, diverticulum of, acquired. Ratings of the genitourinary system - diagnoses. 5105 Anatomical loss of one foot and loss of use of one hand. In view of the number of atypical instances it is not expected, especially with the more fully described grades of disabilities, that all cases will show all the findings specified. Consistently disoriented to two or more of the four aspects (person, time, place, situation) of orientation. Public Law 90-493 repealed section 356 of title 38, United States Code which provided graduated ratings for inactive tuberculosis. 5010 Post-traumatic arthritis: Rate as limitation of motion, dislocation, or other specified instability under the affected joint. The examiner will also perform a physical examination of your shoulder. For VA rating purposes, Mental Disorders refer to mental health conditions, and include 31 primary disorders that affect your mood, thinking, and behavior. Brian isalso the CEOofMilitary Disability Made Easy, which is the worlds largest free searchable database for all things related to DoD disability and VA disability claims and has served more than 4,600,000 military members and veterans since its founding in 2013. Residuals of traumatic brain injury (TBI). Ratings of slight, moderate, moderately severe, or severe for diagnostic codes 5301 through 5323 will be determined based upon the criteria contained in 4.56. Criterion August 30, 1996; title, criterion, and note August 11, 2019. Title, evaluation, note February 7, 2021. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation; however, there are other conditions in this section which under certain circumstances also establish entitlement to special monthly compensation. 5170 Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. It is essential that the examination on which ratings are based adequately portray the anatomical damage, and the functional loss, with respect to all these elements. will also bring you to search results. You DESERVE a HIGHER VA rating.WE CAN HELP. Mildly impaired. General considerations for evaluating visual impairment. (iii) When there have been one or more episodes of acute respiratory failure. 7914 Neoplasm, malignant, any specified part of the endocrine system. Answer a few questions to check your eligibility. Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. Normal TP is greater than or equal to 60 mm Hg. Major or mild neurocognitive disorder due to Alzheimer's disease. 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. Remaining field 500 minus 320 = 180. 8622 Neuritis, musculocutaneous (superficial peroneal) nerve. 6333 Nontyphoid salmonella infections. If you have questions for the Agency that issued the current document please contact the agency directly. 7522 Erectile dysfunction, with or without penile deformity. (a) To use table I, the disabilities will first be arranged in the exact order of their severity, beginning with the greatest disability and then combined with use of table I as hereinafter indicated. WebThe VA uses a chart that, when properly used, results in a combined disability rating. CausesAnterior Hip Pain. Anterior hip pain affects the inside of your hip and groin area. Lateral Hip Pain. Lateral hip pain refers to pain on the side of the hip. Posterior Hip Pain. Posterior hip pain affects the outside of the hip or buttock area, usually due to a problem with the muscles, tendons, or ligaments that surround the hip Neuritis, anterior crural (femoral) nerve. With 50-percent obstruction of the nasal passage on both sides or complete obstruction on one side, Loss of part of one ala, or other obvious disfigurement. Disability is manifest from erector spinae spasm (not accounted for by other pathology), tenderness on deep palpation and percussion over these joints, loss of normal quickness of motion and resiliency, and postural defects often accompanied by limitation of flexion and extension of the hip. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. Mental Disorders in Epilepsies: A nonpsychotic organic brain syndrome will be rated separately under the appropriate diagnostic code (e.g., 9304 or 9326). 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. 6827 Pulmonary alveolar proteinosis. (6) When there is a disparity between the results of different PFT's (FEV-1 (Forced Expiratory Volume in one second), FVC (Forced Vital Capacity), etc. 6066 Visual acuity in one eye 10/200 (3/60) or better. (Effective as to outpatient treatment March 10, 1976.). The prestabilization rating is not to be assigned in any case in which a total rating is immediately assignable under the regular provisions of the schedule or on the basis of individual unemployability. (d) The combined evaluation of muscle groups acting upon a single unankylosed joint must be lower than the evaluation for unfavorable ankylosis of that joint, except in the case of muscle groups I and II acting upon the shoulder. 5207 Forearm, limitation of extension. Dissociative amnesia; dissociative identity disorder. 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. (vii) headaches (of a type, severity, or pattern that is different from headaches in the pre-morbid state). The Endocrine System is made up of the hypothalamus, thymus, pituitary gland, thyroid gland, parathyroid glands, adrenal glands, pineal gland, reproductive glands (ovaries or testes), and the pancreas. L. 90-493 apply, the former evaluations are retained in this section. Social interaction is frequently inappropriate. 6841 Spinal cord injury with respiratory insufficiency. 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. At VA Claims Insider, we help you understand and take control of the claims process, so you can get the rating and compensation youre owed by law. Other specified somatic symptom and related disorder. Scar 5 or more inches (13 or more cm.) 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804: Evaluate any disabling effect(s) not considered in a rating provided under diagnostic codes 7800-04 under an appropriate diagnostic code. Evaluation September 9, 1975; evaluation January 12, 1998; title, criterion, note November 14, 2021. GENERAL RATING FORMULA FOR DISEASES OF THE HEART: Workload of 3.0 METs or less results in heart failure symptoms, Workload of 3.1-5.0 METs results in heart failure symptoms, Workload of 5.1-7.0 METs results in heart failure symptoms; or evidence of cardiac hypertrophy or dilatation confirmed by echocardiogram or equivalent (e.g., multigated acquisition scan or magnetic resonance imaging), Workload of 7.1-10.0 METs results in heart failure symptoms; or continuous medication required for control. Subject to the provisions of 38 CFR 3.383(a), if visual impairment of only one eye is service-connected, the visual acuity of the other eye will be considered to be 20/40 for purposes of evaluating the service-connected visual impairment. LIST OF VA ANALOGOUS CONDITIONS AND DIAGNOSTIC CODES. ): 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. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies. VA disabilities for Neurological Conditions and Convulsive Disorders include conditions of the head, brain, spinal cord, nerves, and epilepsies. The ability to overcome the handicap of disability varies widely among individuals. 8530 Ilio-inguinal nerve, paralysis. Added November 7, 1996; removed August 4, 2014. After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination. 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. 8612 Neuritis, lower radicular group. Added March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. WebA 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 Added October 1, 1961; criterion September 9, 1975; criterion March 10, 1976. Renal involvement in diabetes mellitus type I or II. Note: Six months following discharge from inpatient hospitalization for surgery, determine the appropriate disability rating by mandatory VA examination. L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated. Criterion March 1, 1963; title, criteria February 7, 2021. Erectile dysfunction, with or without penile deformity. 7912 Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome): Evaluate according to major manifestations to include, but not limited to, Type I diabetes mellitus, hyperthyroidism, hypothyroidism, hypoparathyroidism, or Addison's disease. 9, 2018; 83 FR 15323, Apr. orthopedic, digestive, respiratory, cardiovascular-renal, neuropsychiatric, (4) multiple injuries incurred in action, or. Generally, the degrees of disability specified are considered adequate to compensate for considerable loss of working time from exacerbations or illnesses proportionate to the severity of the several grades of disability. All of these conditions can lead to chronic shoulder pain and disability. 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. When an unlisted condition is encountered it will be permissible to rate under a closely related disease or injury in which not only the functions affected, but the anatomical localization and symptomatology are closely analogous. * If bilateral, see 3.350(a)(3) of this chapter to determine whether the veteran may be entitled to special monthly compensation. A decision maker at the VA will review all of the evidence in your claim, including the C&P report, and decide your shoulder pain VA rating. With widespread musculoskeletal pain and tender points, with or without associated fatigue, sleep disturbance, stiffness, paresthesias, headache, irritable bowel symptoms, depression, anxiety, or Raynaud's-like symptoms: That are constant, or nearly so, and refractory to therapy, That are episodic, with exacerbations often precipitated by environmental or emotional stress or by overexertion, but that are present more than one-third of the time, That require continuous medication for control. 9422 Other specified somatic symptom and related disorder. (a) An open comminuted fracture with muscle or tendon damage will be rated as a severe injury of the muscle group involved unless, for locations such as in the wrist or over the tibia, evidence establishes that the muscle damage is minimal. Diagnostic Code 8100for migraine headaches, You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, 9 Secrets Strategies for Winning Your VA Disability Claim, An honorable discharge (cant be dishonorable), A medical diagnosis of a disability condition, A nexus for service connection either directly related to military service, secondary to another condition, or a presumptive disability, and, Current symptoms of the condition that negatively affect your work, life, and/or social functioning, Better Business Bureau (BBB) Accredited Business. 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.) 6841 Spinal cord injury with respiratory insufficiency. It is provided further that the existence or degree of nonservice-connected disabilities or previous unemployability status will be disregarded where the percentages referred to in this paragraph for the service-connected disability or disabilities are met and in the judgment of the rating agency such service-connected disabilities render the veteran unemployable. 5104 Anatomical loss of one hand and loss of use of one foot, 5105 Anatomical loss of one foot and loss of use of one hand, 5108 Anatomical loss of one hand and one foot, 5111 Loss of use of one hand and one foot, Anatomical loss or loss of use below elbow, Anatomical loss or loss of use below knee, Anatomical loss or loss of use above elbow (preventing use of prosthesis), Anatomical loss or loss of use above knee (preventing use of prosthesis), Anatomical loss near shoulder (preventing use of prosthesis), Anatomical loss near hip (preventing use of prosthesis). 7916 Hyperpituitarism(prolactin secreting pituitary dysfunction). He is aformer active duty Air Force officerwith extensive experience leading hundreds of individuals and multi-functional teams in challenging international environments, including a combat tour to Afghanistan in 2011 supporting Operation ENDURING FREEDOM. 6064 No more than light perception in one eye: 6066 Visual acuity in one eye 10/200 (3/60) or better: Or evaluate each affected eye as 20/70 (6/21), Or evaluate each affected eye as 20/50 (6/15), Or evaluate each affected eye as 5/200 (1.5/60), Or evaluate each affected eye as 20/200 (6/60). ): 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. will bring you to those results. The termination of these total ratings will not be subject to 3.105(e) of this chapter. Thereafter, rate residuals of disease or medical treatment under the most appropriate diagnostic code(s) under the appropriate body system (, Note (3): If eye involvement, such as exophthalmos, corneal ulcer, blurred vision, or diplopia, is also present due to thyroid disease, also separately evaluate under the appropriate diagnostic code(s) in, For six months from date of discharge following surgery. Thereafter: Rate residuals under the specific body system or systems affected. 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. Evaluation January 12, 1998; criterion December 10, 2017; evaluation November 14, 2021. 4.55 Principles of combined ratings for muscle injuries. Rate as for irritable colon syndrome, peritoneal adhesions, or colitis, ulcerative, depending upon the predominant disability picture. L. 90-493 apply the former evaluations pertaining to pulmonary tuberculosis are retained in 4.97. Where there is a question as to which of two evaluations shall be applied, the higher evaluation will be assigned if the disability picture more nearly approximates the criteria required for that rating. For purposes of evaluating conditions in 4.114, the term substantial weight loss means a loss of greater than 20 percent of the individual's baseline weight, sustained for three months or longer; and the term minor weight loss means a weight loss of 10 to 20 percent of the individual's baseline weight, sustained for three months or longer.
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