VA DISABILITY FOR DENTAL AND ORAL CONDITIONS. Computation of average concentric contraction of visual fields. Added February 17, 1994; title, criterion, and note November 14, 2021. The individual is thus 72 percent disabled, as shown in table I opposite 60 percent and under 30 percent. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Gets lost even in familiar surroundings, unable to use assistive devices such as GPS (global positioning system). 4.115a Ratings of the genitourinary system - dysfunctions. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. This content is from the eCFR and may include recent changes applied to the CFR. For a minimum of one year from the date of hospital admission for cardiac transplantation, Note: One year following discharge from inpatient hospitalization, determine the appropriate disability rating by mandatory VA examination. (iii) Objective findings. 8104 Paramyoclonus multiplex(convulsive state, myoclonic type). Constant inability to communicate by speech, Constant inability to speak above a whisper. Neoplasm, hard and soft tissue, malignant. (a) An examination for hearing impairment for VA purposes must be conducted by a state-licensed audiologist and must include a controlled speech discrimination test (Maryland CNC) and a puretone audiometry test. 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. 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). 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. 8519 Long thoracic nerve, paralysis. 10, 2018]. Conditions that are NOT in the general schedule can be rated analogously with acondition thatIS. Evaluation August 23, 1948; criterion October 23, 1995; evaluation December 9, 2018; criterion December 9, 2018. VA DISABILITY FOR INFECTIOUS DISEASES, IMMUNE DISORDERS AND NUTRITIONAL DEFICIENCIES. The termination of these total ratings will not be subject to 3.105(e) of this chapter. Complete; all shoulder and elbow movements lost or severely affected, hand and wrist movements not affected, Complete; adduction, abduction and rotation of arm, flexion of elbow, and extension of wrist lost or severely affected, Complete; all intrinsic muscles of hand, and some or all of flexors of wrist and fingers, paralyzed (substantial loss of use of hand), Complete; drop of hand and fingers, wrist and fingers perpetually flexed, the thumb adducted falling within the line of the outer border of the index finger; can not extend hand at wrist, extend proximal phalanges of fingers, extend thumb, or make lateral movement of wrist; supination of hand, extension and flexion of elbow weakened, the loss of synergic motion of extensors impairs the hand grip seriously; total paralysis of the triceps occurs only as the greatest rarity, Complete; the hand inclined to the ulnar side, the index and middle fingers more extended than normally, considerable atrophy of the muscles of the thenar eminence, the thumb in the plane of the hand (ape hand); pronation incomplete and defective, absence of flexion of index finger and feeble flexion of middle finger, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb, at right angles to palm; flexion of wrist weakened; pain with trophic disturbances, Complete; the griffin claw deformity, due to flexor contraction of ring and little fingers, atrophy very marked in dorsal interspace and thenar and hypothenar eminences; loss of extension of ring and little fingers cannot spread the fingers (or reverse), cannot adduct the thumb; flexion of wrist weakened, Complete; weakness but not loss of flexion of elbow and supination of forearm, Complete; abduction of arm is impossible, outward rotation is weakened; muscles supplied are deltoid and teres minor, Complete; inability to raise arm above shoulder level, winged scapula deformity, Complete; the foot dangles and drops, no active movement possible of muscles below the knee, flexion of knee weakened or (very rarely) lost, Complete; foot drop and slight droop of first phalanges of all toes, cannot dorsiflex the foot, extension (dorsal flexion) of proximal phalanges of toes lost; abduction of foot lost, adduction weakened; anesthesia covers entire dorsum of foot and toes, Complete; plantar flexion lost, frank adduction of foot impossible, flexion and separation of toes abolished; no muscle in sole can move; in lesions of the nerve high in popliteal fossa, plantar flexion of foot is lost, Complete; paralysis of all muscles of sole of foot, frequently with painful paralysis of a causalgic nature; toes cannot be flexed; adduction is weakened; plantar flexion is impaired, Complete; paralysis of quadriceps extensor muscles, 8540 Soft-tissue sarcoma (of neurogenic origin). Following surgery: Evaluate under DC 7114 (peripheral arterial disease). 5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome). Neuralgia, external cutaneous nerve of thigh. 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. Diagnosis of disease, injury, or residuals will be cited, with diagnostic code number assigned from this rating schedule for conditions listed therein. The 60 and 21 combine to 68 percent and the 68 and 20 to 74 percent, converted to 70 percent as the final degree of disability. A Goniometer will probably be used at your C&P exam to measure Range of Motion (ROM) of your shoulder and arm. Criterion March 10, 1976; criterion September 22, 1978. Added March 10, 1976; removed February 3, 1988. Thus, with a 50 percent disability and a 30 percent disability, the combined value will be found to be 65 percent, but the 65 percent must be converted to 70 percent to represent the final degree of disability. 5200 Scapulohumeral articulation, ankylosis. The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. There should be careful consideration of lumbosacral sprain, and the various symptoms of pain and paralysis attributable to disease affecting the lumbar vertebrae and the intervertebral disc. 10, 2018; 83 FR 32601, July 13, 2018; 83 FR 54259, Oct. 29, 2018; 84 FR 28234, June 18, 2019; 85 FR 76467, Nov. 30, 2020; 85 FR 85523, Dec. 29, 2020; 86 FR 8143, Feb. 4, 2021; 86 FR 54088, 54097, Sept. 30, 2021]. Some injuries might just overstretch a muscle or tendon, while more severe injuries may involve partial or complete tears. 11, 1969. Criterion February 17, 1994; criterion, footnote November 14, 2021. Mildly impaired judgment. [64 FR 25210, May 11, 1999, as amended at 68 FR 25823, May 14, 2003]. 7011 Ventricular arrhythmias(sustained). The evaluation for visual impairment of one eye must not exceed 30 percent unless there is anatomical loss of the eye. (e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; (f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance. 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. Your skeleton is the foundational structure for your muscles and other soft tissues. For phakic (normal) individuals, as well as for pseudophakic or aphakic individuals who are well adapted to intraocular lens implant or contact lens correction, visual field examinations must be conducted using a standard target size and luminance, which is Goldmann's equivalent III/4e. 8712 Neuralgia, lower radicular group. 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. (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. 4.129 Mental disorders due to traumatic stress. Criterion March 1, 1989; evaluation August 30, 1996; title, criterion, note August 11, 2019. (f) If impaired hearing is service-connected in only one ear, in order to determine the percentage evaluation from Table VII, the non-service-connected ear will be assigned a Roman Numeral designation for hearing impairment of I, subject to the provisions of 3.383 of this chapter. Once the signal reaches the visual cortex, it is interpreted by the brain so you can make sense of the environment. (ii) History and complaint. The VA rates Back Pain under CFR Title 38, Part 4, Schedule for Rating Disabilities, General Rating Formula for Diseases and Injuries of If rated under the cardiovascular schedule, however, the percentage rating which would otherwise be assigned will be elevated to the next higher evaluation. A veteran may be considered as unemployable upon termination of employment which was provided on account of disability, or in which special consideration was given on account of the same, when it is satisfactorily shown that he or she is unable to secure further employment. 6820 Neoplasms, benign, any specified part of respiratory system. Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). For example, post concussive headaches are not listed in the general schedule, only migraine headaches. The official, published CFR, is updated annually and available below under Evaluation March 1, 1989; evaluation August 30, 1996. Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. These evaluations are for Raynaud's syndrome as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. 5309 Group IX Function: Forearm muscles. Group XVIII Function: Outward rotation of thigh. For DCs 7009, 7010, 7011, and 7015, a single evaluation will be assigned under the diagnostic code that reflects the predominant disability picture. When possible, this should include complete neurological and psychiatric examination, and other special examinations indicated by the physical condition, in addition to the required general and orthopedic or surgical examinations. Added October 1, 1961; evaluation September 9, 1975. Note (2): Separately evaluate eye involvement occurring as a manifestation of Graves' Disease as diplopia (DC 6090); impairment of central visual acuity (DCs 6061-6066); or under the most appropriate DCs in. 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. Purely subjective complaints such as headache, dizziness, tinnitus, insomnia and irritability, recognized as symptomatic of a properly diagnosed cerebral arteriosclerosis, will be rated 10 percent and no more under diagnostic code 9305. 7917 Hyperaldosteronism (benign or malignant): 7918 Pheochromocytoma (benign or malignant): Note: Evaluate as malignant or benign neoplasm as appropriate. Given the physicality required for many military occupations, this is not surprising. 7124 Raynauds disease (primary Raynauds). Not all of these brain functions may be affected in a given individual with cognitive impairment, and some functions may be affected more severely than others. Severely impaired judgment. wide at widest part. here. 6208 Malignant neoplasm(other than skin only). (2) disabilities resulting from common etiology or a single accident. 7824 Diseases of keratinization (including icthyoses, Darier's disease, and palmoplantar keratoderma). 0 to 10 millimeters (mm) of maximum unassisted vertical opening. Mandible loss of, including ramus, unilaterally or bilaterally. May be unable to touch or name own body parts when asked by the examiner, identify the relative position in space of two different objects, or find the way from one room to another in a familiar environment. Remaining field 500 minus 320 = 180. General Rating Formula for DCs 7806, 7809, 7813-7816, 7820-7822, and 7824 added August 13, 2018. 8617 Neuritis, musculocutaneous nerve. In this article, our VA Disability Conditions List by Body System and VA Diagnostic Code (Official), VA DISABILITIES OF THE MUSCULOSKELETAL SYSTEM. Criterion March 11, 1969; evaluation February 17, 1994; title and criterion November 14, 2021. Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018; criterion December 9, 2018. In rating disability from the conditions in the preceding sentence refer to the appropriate schedule. 11 to 20 mm of maximum unassisted vertical opening. 6200 Chronic suppurative otitis media. Usually gets lost in unfamiliar surroundings, has difficulty reading maps, following directions, and judging distance. This is an unfavorable mechanical relationship of the parts. 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. 7621 Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy. The disability rating scale ranks conditions by severity, with ratings ranging from 10 percent to 100 percent disability. 7203 Esophagus, stricture(Achalasia). (vii) headaches (of a type, severity, or pattern that is different from headaches in the pre-morbid state). Indications on palpation of loss of deep fascia, muscle substance, or normal firm resistance of muscles compared with sound side. 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. Muscle atrophy must also be accurately measured and reported. If you have comments or suggestions on how to improve the www.ecfr.gov website or have questions about using www.ecfr.gov, please choose the 'Website Feedback' button below. 8511 Middle radicular group, paralysis. The Analogous diagnostic codes are used by the VA when a diagnosed condition is not directly listed in CFR Title 38, Part 4, the Schedule for Rating Disabilities. Of the five main senses, eyesight is used and relied upon the most. 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. The nomenclature employed in this portion of the rating schedule is based upon the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (see 4.125 for availability information). Rate under diagnostic code 7346, 5325 Muscle injury, facial muscles. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Through and through or deep penetrating wound by small high velocity missile or large low-velocity missile, with debridement, prolonged infection, or sloughing of soft parts, and intermuscular scarring. Note: Manifesting as hyperthyroidism, evaluate as hyperthyroidism, including, but not limited to, Graves' disease (DC 7900); manifesting as hypothyroidism, evaluate as hypothyroidism (DC 7903). The functional loss may be due to absence of part, or all, of the necessary bones, joints and muscles, or associated structures, or to deformity, adhesions, defective innervation, or other pathology, or it may be due to pain, supported by adequate pathology and evidenced by the visible behavior of the claimant undertaking the motion. Note (1): If hyperthyroid cardiovascular or cardiac disease is present, separately evaluate under DC 7008 (hyperthyroid heart disease). The seizure manifestations of psychomotor epilepsy vary from patient to patient and in the same patient from seizure to seizure. 6033 Lens, crystalline, dislocation. Schedule of ratings - respiratory system. (a) Total disability ratings for compensation may be assigned, where the schedular rating is less than total, when the disabled person is, in the judgment of the rating agency, unable to secure or follow a substantially gainful occupation as a result of service-connected disabilities: Provided That, if there is only one such disability, this disability shall be ratable at 60 percent or more, and that, if there are two or more disabilities, there shall be at least one disability ratable at 40 percent or more, and sufficient additional disability to bring the combined rating to 70 percent or more. (a) Examination of muscle function. 9, 2018; 83 FR 15323, Apr. 7533 Cystic diseases of the kidneys(renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified, antheroembolic renal disease). (a) Examination of visual acuity. 3. 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy. switch to drafting.ecfr.gov. Evaluate functional impairment as seventh (facial) cranial nerve neuropathy (diagnostic code 8207), disfiguring scar (diagnostic code 7800), etc. Criterion February 3, 1988; Title August 4, 2014. Copyright 2023 VA Claims Insider, LLC. 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 most common shoulder injuries in veterans are rotator cuff tears, shoulder impingement, bursitis, and tendinitis. It is not a disability subject to compensation. 7722 Pernicious anemia and Vitamin B12 deficiency anemia. 8410 Neuralgia, tenth cranial nerve. 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. Different examiners, at different times, will not describe the same disability in the same language. For purposes of this section, marginal employment generally shall be deemed to exist when a veteran's earned annual income does not exceed the amount established by the U.S. Department of Commerce, Bureau of the Census, as the poverty threshold for one person. With partial loss of use of one or more extremities from neurological lesions, rate by comparison with the mild, moderate, severe, or complete paralysis of peripheral nerves], Organic Diseases of the Central Nervous System, Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified. [41 FR 34256, Aug. 13, 1976, as amended at 54 FR 4281, Jan. 30, 1989; 71 FR 28586, May 17, 2006]. (e) For compensable muscle group injuries which are in the same anatomical region but do not act on the same joint, the evaluation for the most severely injured muscle group will be increased by one level and used as the combined evaluation for the affected muscle groups. VA disabilities for Neurological Conditions and Convulsive Disorders include conditions of the head, brain, spinal cord, nerves, and epilepsies. Anatomical loss of one hand and one foot. 8729 Neuralgia, external cutaneous nerve of thigh. The Complete Guide to Getting a Narcolepsy VA Rating, 6 Things Every Veteran Needs to Know About VA Disability for Medication Side Effects. Anatomical loss of one foot and loss of use of one hand. (ii) When pulmonary hypertension (documented by an echocardiogram or cardiac catheterization), cor pulmonale, or right ventricular hypertrophy has been diagnosed. Criterion September 22, 1978; criterion September 12, 1988. Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520). 180 8 = 2212 average concentric contraction. How do I increase my rating percentages? 8510 Upper radicular group, paralysis. All correspondence relative to the interpretation of the schedule for rating disabilities, requests for advisory opinions, questions regarding lack of clarity or application to individual cases involving unusual difficulties, will be addressed to the Director, Compensation Service. What are disabilities of the Endocrine System for VA rating purposes? 6515 Laryngitis, tuberculous, active or inactive. Answer a few questions to check your eligibility. 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. Benign neoplasms of the breast and other injuries of the breast. Normal AP is greater than or equal to 100 mm Hg. 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. Special provisions regarding evaluation of respiratory conditions. 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. Major or mild vascular neurocognitive disorder. How to Get a 100 Percent VA Rating (if deserved)! 5052 Elbow replacement (prosthesis). Chronic, or recurring, suppurative osteomyelitis, once clinically identified, including chronic inflammation of bone marrow, cortex, or periosteum, should be considered as a continuously disabling process, whether or not an actively discharging sinus or other obvious evidence of infection is manifest from time to time, and unless the focus is entirely removed by amputation will entitle to a permanent rating to be combined with other ratings for residual conditions, however, not exceeding amputation ratings at the site of election. However, in cases protected by the provisions of Pub. 6825 Fibrosis of lung, diffuse interstitial. All disabilities are then to be combined as described in paragraph (a) of this section. Preceding paragraph criterion September 22, 1978. (iv) When outpatient oxygen therapy is required. 7912 Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome). Specific phobia; social anxiety disorder (social phobia). 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.
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