8407 Neuralgia, seventh cranial nerve. Most likely, the VA will 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. 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. 4.100 Application of the general rating formula for diseases of the heart. (F) Atrophy of muscle groups not in the track of the missile, particularly of the trapezius and serratus in wounds of the shoulder girdle. [29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. Evaluate under the General Rating Formula for Diseases of the Eye, disfigurement (diagnostic code 7800), conjunctivitis (diagnostic code 6018), etc., depending on the particular findings, and combine in accordance with, Evaluate under the General Rating Formula for Diseases of the Eye. The lumbosacral and sacroiliac joints should be considered as one anatomical segment for rating purposes. 7, 1994; 86 FR 54085, Sept. 30, 2021], [59 FR 2527, Jan. 18, 1994; 59 FR 14567, Mar. cm. For residuals not listed here that are reported on an examination, evaluate under the most appropriate diagnostic code. You're not alone. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. This content is from the eCFR and is authoritative but unofficial. 2 Also entitled to special monthly compensation. When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree. (c) Service-connected visual impairment of only one eye. 8727 Neuralgia, internal saphenous nerve. 7917 Hyperaldosteronism (benign or malignant): 7918 Pheochromocytoma (benign or malignant): Note: Evaluate as malignant or benign neoplasm as appropriate. Rate chronic residuals according to impairment of function due to scars, lymphedema, or disfigurement (e.g., limitation of arm, shoulder, and wrist motion, or loss of grip strength, or loss of sensation, or residuals from harvesting of muscles for reconstructive purposes), and/or under diagnostic code 7626. 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. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. 8719 Neuralgia, long thoracic nerve. Criterion August 13, 1981; criterion June 9, 1996; criterion December 10, 2017. Note: In cases of the removal of one testis as the result of a service-incurred injury or disease, other than an undescended or congenitally undeveloped testis, with the absence or nonfunctioning of the other testis unrelated to service, an evaluation of 30 percent will be assigned for the service-connected testicular loss. Ratings in excess of 10 percent for cerebral arteriosclerosis under diagnostic code 9305 are not assignable in the absence of a diagnosis of multi-infarct dementia with cerebral arteriosclerosis. but less than 72 square inches (465 sq. 29, 1994, as amended at 59 FR 46339, Sept. 8, 1994; 86 FR 54086, Sept. 30, 2021], [60 FR 19855, Apr. 8211 Eleventh (spinal accessory, external branch), paralysis. As a fellow disabled Veteran this is shameful and Im on a mission to change it. Similarly, with a disability of 40 percent, and another disability of 20 percent, the combined value is found to be 52 percent, but the 52 percent must be converted to the nearest degree divisible by 10, which is 50 percent. Rate as for irritable colon syndrome, peritoneal adhesions, or colitis, ulcerative, depending upon the predominant disability picture. 5322 Group XXII Function: Rotary and forward movements, head. The basis of disability evaluations is the ability of the body as a whole, or of the psyche, or of a system or organ of the body to function under the ordinary conditions of daily life including employment. Skin conditions for VA rating purposes can vary immensely in size and severity. Any change in evaluation based upon that or any subsequent examination will be subject to the provisions of. 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. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. For aphakic individuals not well adapted to contact lens correction or pseudophakic individuals not well adapted to intraocular lens implant, visual field examinations must be conducted using Goldmann's equivalent IV/4e. This document is available in the following developer friendly formats: Information and documentation can be found in our 7718 Essential thrombocythemia and primary myelofibrosis: Requiring either continuous myelosuppressive therapy, or, for six months following hospital admission for any of the following treatments: peripheral blood or bone marrow stem cell transplant, or chemotherapy, or interferon treatment, Requiring continuous or intermittent myelosuppressive therapy, or chemotherapy, or interferon treatment to maintain platelet count <500 10, Requiring continuous or intermittent myelosuppressive therapy, or chemotherapy, or interferon treatment to maintain platelet count of 200,000-400,000, or white blood cell (WBC) count of 4,000-10,000. Use the adjusted visual acuity for the poorer eye (or the affected eye, if disability of only one eye is service-connected), and the corrected visual acuity for the better eye (or visual acuity of 20/40 for the other eye, if only one eye is service-connected) to determine the percentage evaluation for visual impairment under diagnostic codes 6065 through 6066. (a) Whether or not cardiac hypertrophy or dilatation (documented by electrocardiogram, echocardiogram, or X-ray) is present and whether or not there is a need for continuous medication must be ascertained in all cases. ), pain on manipulation and use accentuated, indication of swelling on use, characteristic callosities: Moderate; weight-bearing line over or medial to great toe, inward bowing of the tendo achillis, pain on manipulation and use of the feet, bilateral or unilateral, Mild; symptoms relieved by built-up shoe or arch support. 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.) 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. switch to drafting.ecfr.gov. This combined value will be converted to the nearest degree divisible by 10 which is 80 percent. Examples of findings that might be seen at this level of impairment are: intermittent dizziness, daily mild to moderate headaches, tinnitus, frequent insomnia, hypersensitivity to sound, hypersensitivity to light. 3 Also entitled to special monthly compensation. 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. Memory, attention, concentration, executive functions. 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. 7016 Heart valve replacement (prosthesis): For an indefinite period following date of hospital admission for valve replacement, Note: Six months following discharge from inpatient hospitalization, disability evaluation shall be conducted by mandatory VA examination using the General Rating Formula. (c) Neurocognitive disorders shall be evaluated under the general rating formula for mental disorders; neurologic deficits or other impairments stemming from the same etiology (e.g., a head injury) shall be evaluated separately and combined with the evaluation for neurocognitive disorders (see 4.25). Given the physicality required for many military occupations, this is not surprising. Proving the link between your service and an in-service event or injury will be the most difficult part of getting the VA to award you a shoulder pain VA rating. 9917 Neoplasm, hard and soft tissue, benign: Rate as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring. 23, 2009; 77 FR 6467, Feb. 8, 2012; 79 FR 45103, Aug. 4, 2014; 82 FR 36085, Aug. 3, 2017; 82 FR 50807, Nov. 2, 2017; 83 FR 15073, Apr. Criterion October 23, 2008; title August 13, 2018. 9412 Panic disorder and/or agoraphobia. 8523 Anterior tibial nerve (deep peroneal), paralysis. 5200 Scapulohumeral articulation, ankylosis. result, it may not include the most recent changes applied to the CFR. 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. 7544 Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Gynecological Conditions and Disorders of the Breasts include the organs that can only be found in a female body and are used for sexual and reproductive purposes. Criterion September 22, 1978; evaluation February 17, 1994; evaluation September 10, 2017; title September 10, 2017. Examples: A person of high social standing remained seated, muttered angrily, and rubbed the arms of his chair while the National Anthem was being played; an apparently normal person suddenly disrobed in public; a man traded an expensive automobile for an antiquated automobile in poor mechanical condition and after regaining conscious control, discovered that he had signed an agreement to pay an additional sum of money in the trade. 8521 External popliteal nerve (common peroneal), paralysis. The rating, however, is based primarily upon the average impairment in earning capacity, that is, upon the economic or industrial handicap which must be overcome and not from individual success in overcoming it. 6018 Chronic conjunctivitis (nontrachomatous): Evaluate based on visual impairment or, in the absence of visual impairment, on disfigurement (diagnostic code 7800). What are disabilities of the Endocrine System for VA rating purposes? Degenerative arthritis, other than post-traumatic. 4.127 Intellectual disability (intellectual developmental disorder) and personality disorders. (iv) When outpatient oxygen therapy is required. Background and more details are available in the Occasionally gets lost in unfamiliar surroundings, has difficulty reading maps or following directions. here. Evaluate post-surgical residuals under the General Rating Formula. 8610 Neuritis, upper radicular group. (b) A through-and-through injury with muscle damage shall be evaluated as no less than a moderate injury for each group of muscles damaged. All approved material is available from the American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209-3901, 703-907-7300, http://www.dsm5.org. Added October 23, 1995; evaluation December 9, 2018; criterion December 9, 2018. 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). For the purpose of pension, the permanence of the percentage requirements of 4.16 is a requisite. ClickHEREto Join the #1 Rated VA Claims Insider Elite Program and Start Today for FREE. External popliteal nerve (common peroneal), paralysis. 6840 Diaphragm paralysis or paresis. Criterion May 22, 1995; criterion March 18, 2002. Poor renal function: Rate as renal dysfunction. The graduated ratings for nonpulmonary tuberculosis will not be combined with residuals of nonpulmonary tuberculosis unless the graduated rating and the rating for residual disability cover separate functional losses, e.g., graduated ratings for tuberculosis of the kidney and residuals of tuberculosis of the spine. 7117 Raynaud's syndrome (also known as secondary Raynaud's phenomenon or secondary Raynaud's): With two or more digital ulcers plus auto-amputation of one or more digits and history of characteristic attacks, With two or more digital ulcers and history of characteristic attacks, Characteristic attacks occurring at least daily, Characteristic attacks occurring four to six times a week, Characteristic attacks occurring one to three times a week. ): 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. Generalized involvement of the skin with systemic manifestations (such as fever, weight loss, or hypoproteinemia) AND one of the following, Constant or near-constant systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA (psoralen with long-wave ultraviolet-A light), UVB (ultraviolet-B light) treatments, biologics, or electron beam therapy required over the past 12 month period; or, No current treatment due to a documented history of treatment failure with 2 or more treatment regimens, Generalized involvement of the skin without systemic manifestations and one of the following, Constant or near-constant systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA, UVB treatments, biologics, or electron beam therapy required over the past 12-month period; or, No current treatment due to a documented history of treatment failure with 1 treatment regimen, Any extent of involvement of the skin, and any of the following therapies required for a total duration of 6 weeks or more, but not constantly, over the past 12-month period: systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA, UVB treatments, biologics, or electron beam therapy, Any extent of involvement of the skin, and any of the following therapies required for a total duration of less than 6 weeks over the past 12-month period: systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA, UVB treatments, biologics, or electron beam therapy, Any extent of involvement of the skin, and no more than topical therapy required over the past 12-month period. 5054 Hip, resurfacing or replacement (prosthesis): For 4 months following implantation of prosthesis or resurfacing. Group VII Function: Flexion of wrist and fingers. Note 1: An incapacitating episode is a period during which bed rest and treatment by a physician are required. Evaluation August 30, 2002; criterion, note August 13, 2018. 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. Limitation of Motion of Individual Digits: 5235 Vertebral fracture or dislocation. O. 7354 Hepatitis C (or non-A, non-B hepatitis): With serologic evidence of hepatitis C infection and the following signs and symptoms due to hepatitis C infection: Chronic kidney disease with glomerular filtration rate (GFR) less than 15 mL/min/1.73 m, Chronic kidney disease with GFR from 15 to 29 mL/min/1.73 m, Chronic kidney disease with GFR from 30 to 44 mL/min/1.73 m, Chronic kidney disease with GFR from 45 to 59 mL/min/1.73 m. Note: GFR, estimated GFR (eGFR), and creatinine-based approximations of GFR will be accepted for evaluation purposes under this section when determined to be appropriate and calculated by a medical professional. Evaluation March 1, 1963; evaluation March 10, 1976; evaluation August 30, 1996. For VA rating purposes, Mental Disorders refer to mental health conditions, and include 31 primary disorders that affect your mood, thinking, and behavior. Manifest differences in ulcers of the stomach or duodenum in comparison with those at an anastomotic stoma are sufficiently recognized as to warrant two separate graduated descriptions. With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to 5270 or 5271. 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. For example, if there are two disabilities, the degree of one disability will be read in the left column and the degree of the other in the top row, whichever is appropriate. Anterior crural nerve (femoral), paralysis. This consideration, or the absence of clear cut evidence of injury, may result in classifying the disability as not of traumatic origin, either reflecting congenital or developmental etiology, or the effects of healed disease. Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified). Social interaction is occasionally inappropriate. [62 FR 30239, June 3, 1997, as amemded 85 FR 76464, Nov. 30, 2020]. The Roman numeral designation is located at the point where the percentage of speech discrimination and puretone threshold average intersect. Each measurement is rounded to the nearest five degrees. 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. 7344 Benign neoplasms, exclusive of skin growths: Evaluate under an appropriate diagnostic code, depending on the predominant disability or the specific residuals after treatment. For use in rating cases in which the protective provisions of Pub. You can use your service medical records, military records, and a personal statement to prove your shoulder injury occurred while you were serving. (b) Even if the requirement for a 10% (based on the need for continuous medication) or 30% (based on the presence of cardiac hypertrophy or dilatation) evaluation is met, METs testing is required in all cases except: (1) When there is a medical contraindication. 4.86 Exceptional patterns of hearing impairment. 11, 1969; 40 FR 42540, Sept. 15, 1975; 41 FR 11301, Mar. 7522 Erectile dysfunction, with or without penile deformity. Where there are existing pulmonary and nonpulmonary conditions, the total rating for the 1 year, after attainment of inactivity, may not be applied to both conditions during the same period. What are Infectious Diseases, Immune Disorders, and Nutritional Deficiencies for VA rating purposes? 7815 Bullous disorders(including pemphigus vulgaris, pemphigus foliaceous, pemphigus vulgaris, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda, Bullous pemphigoid, Porphyri cutanea tarda). Severely impaired judgment. (d) Amputation or resection of metacarpal bones (more than one-half the bone lost) in multiple fingers injuries will require a rating of 10 percent added to (not combined with) the ratings, multiple finger amputations, subject to the amputation rule applied to the forearm. (3) The assent of the claimant should first be obtained for permission to conduct this economic and social survey. 6209 Benign neoplasms of the ear (other than skin only): Swelling, dry and scaly or serous discharge, and itching requiring frequent and prolonged treatment. [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. 5120 Complete amputation, upper extremity. (2) disabilities resulting from common etiology or a single accident. The muscles that power your lungs are also part of the respiratory system. 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. Schedule of ratings - respiratory system. Skin hypo-or hyper-pigmented in an area exceeding six square inches (39 sq. 6006 Retinopathy or maculopathy not otherwise specified, Note: This code includes orbital trauma, as well as penetrating or non-penetrating eye injury. ), Area or areas of at least 6 square inches (39 sq. 7802 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck, that are not associated with underlying soft tissue damage: Five or more scars that are unstable or painful, Three or four scars that are unstable or painful, One or two scars that are unstable or painful. will also bring you to search results. (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. Redesignated at 59 FR 60902, Nov. 29, 1994]. Schedule of ratings - gynecological conditions and disorders of the breast. 21 to 29 mm of maximum unassisted vertical opening.

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