WebThe VA uses a chart that, when properly used, results in a combined disability rating. 6841 Spinal cord injury with respiratory insufficiency. Where in the judgment of the rating board the veteran's unemployability is due to epilepsy and jurisdiction is not vested in that body by reason of schedular evaluations, the case should be submitted to the Compensation Service or the Director, Pension and Fiduciary Service. (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. 5210 Radius and ulna, nonunion of, with flail false joint. Underlying soft tissue missing in an area exceeding six square inches (39 sq. Examination of visual acuity must include the central uncorrected and corrected visual acuity for distance and near vision using Snellen's test type or its equivalent. Ratings of the genitourinary system - diagnoses. 6300 Vibriosis (Cholera, Non-cholera). The Ear is one of the most unique sensory organs in the human body. You could also be eligible for a VA disability rating for arthritis in your shoulder if your range of motion limitation doesnt qualify you for a compensable rating. Ratings for service-connected disabilities requiring hospital treatment or observation. Major or mild neurocognitive disorder due to HIV or other infections. 1 Entitled to special monthly compensation. 5305 Group V Function: Elbow supination. 7615 Ovary, disease, injury, or adhesions of. 6204 Peripheral vestibular disorders (Vertigo). 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. 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. 5302 Group II Function: Depression of arm. Handedness for the purpose of a dominant rating will be determined by the evidence of record, or by testing on VA examination. 5327 Muscle, neoplasm of, malignant. Uroflowmetry; markedly diminished peak flow rate (less than 10 cc/sec). A clear statement will be made of the point or points upon which information is desired, and the complete case file will be simultaneously forwarded to Central Office. Ratings under diagnostic codes 7301 to 7329, inclusive, 7331, 7342, and 7345 to 7348 inclusive will not be combined with each other. 7800 Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck. A Goniometer will probably be used at your C&P exam to measure Range of Motion (ROM) of your shoulder and arm. Aortic aneurysm: ascending, thoracic, abdominal. Or, you can get help from an expert veteran coach who can help you navigate the VA claims process. Organization and Purpose This 10 percent rating will not be combined with any other rating for a disability due to cerebral or generalized arteriosclerosis. If you have questions or comments regarding a published document please Metatarsalgia, anterior (Morton's disease). Criterion September 1, 1960; criterion September 9, 1975; criterion January 12, 1998. 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. 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. For use in rating cases in which the protective provisions of Pub. Heres the brutal truth about VA disability claims: CFR Title 38, Part 4, the Schedule for Rating Disabilities. 5056 Ankle replacement (prosthesis). 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. (2) Following a period of hospitalization in excess of 21 days, an authorized absence in excess of 14 days or a third consecutive authorized absence of 14 days will be regarded as the equivalent of hospital discharge and will interrupt hospitalization effective on the last day of the month in which either the authorized absence in excess of 14 days or the third 14 day period begins, except where there is a finding that convalescence is required as provided by paragraph (e) or (f) of this section. 6724 Inactive, advancement unspecified. What are Dental and Oral Conditions for VA rating purposes? Note (2): Evaluate each affected part (e.g., hand, foot, ear, nose) separately and combine the ratings in accordance with, 7123 Soft tissue sarcoma (of vascular origin). If, however, absence of a kidney is the sole renal disability, even if removal was required because of nephritis, the absent kidney and any hypertension or heart disease will be separately rated. 7345 Chronic liver disease without cirrhosis (including hepatitis B, chronic active hepatitis, autoimmune hepatitis, hemochromatosis, drug-induced hepatitis, etc., but excluding bile duct disorders and hepatitis C): Near-constant debilitating symptoms (such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain), Daily fatigue, malaise, and anorexia, with substantial weight loss (or other indication of malnutrition), and hepatomegaly, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least six weeks during the past 12-month period, but not occurring constantly, Daily fatigue, malaise, and anorexia, with minor weight loss and hepatomegaly, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least four weeks, but less than six weeks, during the past 12-month period, Daily fatigue, malaise, and anorexia (without weight loss or hepatomegaly), requiring dietary restriction or continuous medication, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least two weeks, but less than four weeks, during the past 12-month period, Intermittent fatigue, malaise, and anorexia, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least one week, but less than two weeks, during the past 12-month period, Symptoms of pain, vomiting, material weight loss and hematemesis or melena with moderate anemia; or other symptom combinations productive of severe impairment of health, Persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain, productive of considerable impairment of health, With two or more of the symptoms for the 30 percent evaluation of less severity, With frequently recurrent disabling attacks of abdominal pain with few pain free intermissions and with steatorrhea, malabsorption, diarrhea and severe malnutrition, With frequent attacks of abdominal pain, loss of normal body weight and other findings showing continuing pancreatic insufficiency between acute attacks, Moderately severe; with at least 4-7 typical attacks of abdominal pain per year with good remission between attacks, With at least one recurring attack of typical severe abdominal pain in the past year. Motion of the thumb and fingers should be described by appropriate reference to the joints (See Plate III) whose movement is limited, with a statement as to how near, in centimeters, the tip of the thumb can approximate the fingers, or how near the tips of the fingers can approximate the proximal transverse crease of palm. 5229 Index or long finger, limitation of motion: With a gap of one inch (2.5 cm.) 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. 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. 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. 5217 Four digits of one hand, unfavorable ankylosis of: 5218 Three digits of one hand, unfavorable ankylosis of: Index, long, and ring; index, long, and little; or index, ring, and little fingers. Blindness, both eyes, only light perception. [29 FR 6718, May 22, 1964, as amended at 34 FR 5062, Mar. Prestabilization ratings are for assignment in the immediate postdischarge period. Navigate by entering citations or phrases (c) There will be no rating assigned for muscle groups which act upon an ankylosed joint, with the following exceptions: (1) In the case of an ankylosed knee, if muscle group XIII is disabled, it will be rated, but at the next lower level than that which would otherwise be assigned. Added September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. 29 FR 6718, May 22, 1964, unless otherwise noted. What are disabilities of the Endocrine System for VA rating purposes? Note 2: Ratings under diagnostic codes 9201 to 9440 will be evaluated using the General Rating Formula for Mental Disorders. The combined value, exactly as found in table I, will be combined with the degree of the third disability (in order of severity). 4.129 Mental disorders due to traumatic stress. All parts of the respiratory system work together to send oxygen flow to the body and clean out harmful gases such as carbon dioxide. (b) Two or more skin conditions may be combined in accordance with 4.25 only if separate areas of skin are involved. L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated. Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet. Mandible, nonunion of, confirmed by diagnostic imaging studies. Unfavorable, at an angle of less than 50 or with complete loss of supination or pronation, Intermediate, at an angle of more than 90, or between 70 and 50, Favorable, at an angle between 90 and 70. When evaluating any claim involving muscle injuries resulting in loss of use of any extremity or loss of use of both buttocks (diagnostic code 5317, Muscle Group XVII), refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. 6036 Status post corneal transplant. (3) In any case where the examiner reports that there is a difference equal to two or more scheduled steps between near and distance corrected vision, with the near vision being worse, the examination report must include at least two recordings of near and distance corrected vision and an explanation of the reason for the difference. Thousands of other Veterans in our Community are here for you. This chart shows how musculoskeletal ratings work for VA disability ratings for shoulder pain: If you have muscular damage to your shoulder, you may be eligible for a rating from 0% to 40% (depending on the severity of damage). Did you know there are 834 conditions eligible for compensation in the official VA disability conditions list? Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage. Added February 17, 1994; title, criterion, and note November 14, 2021. The purpose of this survey is to secure all the relevant facts and data necessary to permit of a true judgment as to the reason for his or her unemployment and should include information as to: (b) Occupations prior and subsequent to service; (c) Places of employment and reasons for termination; (4) Upon completion of this survey and current examination, the case should have rating board consideration. 7018 Implantable cardiac pacemakers. Added September 22, 1978; title, criterion, and note February 7, 2021. For 2 years after date of inactivity, following active tuberculosis, which was clinically identified during service or subsequently, Thereafter, for 4 years, or in any event, to 6 years after date of inactivity, Thereafter, for 5 years, or to 11 years after date of inactivity, Thereafter, in the absence of a schedular compensable permanent residual. Evaluate using an appropriate respiratory analogy. The common cause of disability in this region is arthritis, to be identified in the usual manner. Each ear will be evaluated separately. 7719 Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia): Requiring peripheral blood or bone marrow stem cell transplant, or continuous myelosuppressive or immunosuppressive therapy treatment, Requiring intermittent myelosuppressive therapy, or molecularly targeted therapy with tyrosine kinase inhibitors, or interferon treatment when not in apparent remission, In apparent remission on continuous molecularly targeted therapy with tyrosine kinase inhibitors, Requiring intravenous iron infusions 4 or more times per 12-month period, Requiring intravenous iron infusions at least 1 time but less than 4 times per 12-month period, or requiring continuous treatment with oral supplementation, Asymptomatic or requiring treatment only by dietary modification, Requiring continuous treatment with high-dose oral supplementation, For initial diagnosis requiring transfusion due to severe anemia, or if there are signs or symptoms related to central nervous system impairment, such as encephalopathy, myelopathy, or severe peripheral neuropathy, requiring parenteral B, Requiring continuous treatment with Vitamin B, Requiring a bone marrow transplant or continuous intravenous or immunosuppressive therapy (e.g., prednisone, Cytoxan, azathioprine, or rituximab), Requiring immunosuppressive medication 4 or more times per 12-month period, Requiring at least 2 but less than 4 courses of immunosuppressive therapy per 12-month period, Requiring one course of immunosuppressive therapy per 12-month period, Solitary plasmacytoma, when there is active disease or during a treatment phase, Requiring peripheral blood or bone marrow stem cell transplant; or requiring chemotherapy, Requiring 4 or more blood or platelet transfusions per 12-month period; or infections requiring hospitalization 3 or more times per 12-month period, Requiring at least 1 but no more than 3 blood or platelet transfusions per 12-month period; infections requiring hospitalization at least 1 but no more than 2 times per 12-month period; or requiring biologic therapy on an ongoing basis or erythropoiesis stimulating agent (ESA) for 12 weeks or less per 12-month period. Ratings under diagnostic codes 6600 through 6817 and 6822 through 6847 will not be combined with each other. By Lorraine 5053 Wrist replacement (prosthesis). Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. 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). Neuritis, anterior crural (femoral) nerve. The Electronic Code of Federal Regulations (eCFR) is a continuously updated online version of the CFR. Evaluation January 12, 1998; criterion November 14, 2021. 9304 Major or mild neurocognitive disorder due to traumatic brain injury(Dementia). If you have questions for the Agency that issued the current document please contact the agency directly. 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. In every instance where the schedule does not provide a zero percent evaluation for a diagnostic code, a zero percent evaluation shall be assigned when the requirements for a compensable evaluation are not met. Learn what youve been missingso you can FINALLY get the disability rating and compensation YOU DESERVE! Learn what youve been missing so you can FINALLY get the disability rating and compensation youve earned for your service. 2 Also entitled to special monthly compensation. 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. For digits II through V, the metacarpophalangeal joint has a range of zero to 90 degrees of flexion, the proximal interphalangeal joint has a range of zero to 100 degrees of flexion, and the distal (terminal) interphalangeal joint has a range of zero to 70 or 80 degrees of flexion, (2) When two or more digits of the same hand are affected by any combination of amputation, ankylosis, or limitation of motion that is not otherwise specified in the rating schedule, the evaluation level assigned will be that which best represents the overall disability (. If youre a veteran dealing with shoulder pain, you may be wondering how to get a shoulder pain VA rating. (b) If the diagnosis of a mental disorder is changed, the rating agency shall determine whether the new diagnosis represents progression of the prior diagnosis, correction of an error in the prior diagnosis, or development of a new and separate condition. (d) Maximum evaluation for visual impairment of one eye. Benign neoplasms of the eye, orbit, and adnexa (excluding skin). Other specified somatic symptom and related disorder. 7917 Hyperaldosteronism (benign or malignant): 7918 Pheochromocytoma (benign or malignant): Note: Evaluate as malignant or benign neoplasm as appropriate. (b) A chronic mental disorder is not uncommon as an interseizure manifestation of psychomotor epilepsy and may include psychiatric disturbances extending from minimal anxiety to severe personality disorder (as distinguished from developmental) or almost complete personality disintegration (psychosis). With any form of arthritis, painful motion is an important factor of disability, the facial expression, wincing, etc., on pressure or manipulation, should be carefully noted and definitely related to affected joints. When the best interests of the service will be advanced by personal conference with the examiner, such conference may be arranged through channels. Footnotes in the schedule indicate levels of visual impairment that potentially establish entitlement to special monthly compensation; however, other levels of visual impairment combined with disabilities of other body systems may also establish entitlement. 7719 Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). The table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified contains 10 important facets of TBI related to cognitive impairment and subjective symptoms. Subjective symptoms that do not interfere with work; instrumental activities of daily living; or work, family, or other close relationships. Motor activity severely decreased due to apraxia. This, though a familial disease, has its onset in late adult life, and is considered a ratable disability. (eg: Added October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. 8407 Neuralgia, seventh cranial nerve. Pressing enter in the search box 8623 Neuritis, anterior tibial (deep peroneal) nerve. Memory, attention, concentration, executive functions. (1) Evaluate central visual acuity on the basis of corrected distance vision with central fixation, even if a central scotoma is present. 1/1.1 The most common is called direct service connection. (e) Incoordination, impaired ability to execute skilled movements smoothly. 4.71 Measurement of ankylosis and joint motion. This 20 percent rating or the 10 percent rating, when applicable, will be assigned once only to Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. 8104 Paramyoclonus multiplex (convulsive state, myoclonic type): Rate as Sydenham's chorea. 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. [29 FR 6718, May 22, 1964, as amended at 43 FR 45349, Oct. 2, 1978]. Neuritis, musculocutaneous (superficial peroneal) nerve. Evaluation August 23, 1948; evaluation February 17, 1955; evaluation July 2, 2001. L. 90-493 should be mentioned in the discussion portion of all ratings in which these provisions are applied. 7123 Soft tissue sarcoma(of vascular origin). 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. 9301 Major or mild neurocognitive disorder due to HIV or other infections(Dementia). The examination must be conducted by a licensed optometrist or by a licensed ophthalmologist. Shoulder injuries are often caused by overuse, repetitive motions, or sudden trauma. Degenerative arthritis, other than post-traumatic.