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5237 Lumbosacral or cervical strain. Benign neoplasms of the breast and other injuries of the breast. 6015 Benign neoplasms of the eye, orbit, and adnexa (excluding skin): Active: Evaluate under the General Rating Formula for Diseases of the Eye, minimum rating, Inactive: Evaluate based on residuals, such as visual impairment and disfigurement (diagnostic code 7800). The muscles that power your lungs are also part of the respiratory system. (Effective as to outpatient treatment March 10, 1976.). Or rate as renal dysfunction if there is nephritis, infection, or pathology of the other. Convalescence ratings following extended hospitalization. For example, with disabilities evaluated at 60 percent, 20 percent, 10 percent and 10 percent (the two 10's representing bilateral disabilities), the order of severity would be 60, 21 and 20. Continual Urine Leakage, Post Surgical Urinary Diversion, Urinary Incontinence, or Stress Incontinence: Requiring the use of an appliance or the wearing of absorbent materials which must be changed more than 4 times per day, Requiring the wearing of absorbent materials which must be changed 2 to 4 times per day, Requiring the wearing of absorbent materials which must be changed less than 2 times per day, Daytime voiding interval less than one hour, or; awakening to void five or more times per night, Daytime voiding interval between one and two hours, or; awakening to void three to four times per night, Daytime voiding interval between two and three hours, or; awakening to void two times per night, Urinary retention requiring intermittent or continuous catheterization. Group I Function: Upward rotation of scapula. A complication of a number of diseases, including pernicious anemia. (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. Automatic states or automatisms are characterized by episodes of irrational, irrelevant, disjointed, unconventional, asocial, purposeless though seemingly coordinated and purposeful, confused or inappropriate activity of one to several minutes (or, infrequently, hours) duration with subsequent amnesia for the seizure. [29 FR 6718, May 22, 1964, as amended at 61 FR 52700, Oct. 8, 1996]. When any change in evaluation is to be made, the rating agency should assure itself that there has been an actual change in the conditions, for better or worse, and not merely a difference in thoroughness of the examination or in use of descriptive terms. Three or more subjective symptoms that mildly interfere with work; instrumental activities of daily living; or work, family, or other close relationships. Examples of findings that might be seen at this level of impairment are: marked fatigability, blurred or double vision, headaches requiring rest periods during most days. 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. 9417 Depersonalization/derealization disorder. For a limited time, you can book a free, no-obligation VA Claim Discovery Call with one of our experts. Only joints in these positions are considered to be in favorable position. Evaluate post-surgical residuals under the General Rating Formula. - Need for aid attendance or permanently bedridden qualifies for subpar. If the degree of disability at the time of entrance into the service is not ascertainable in terms of the schedule, no deduction will be made. Evaluation July 6, 1950; evaluation September 22, 1978, evaluation January 12, 1998; criterion November 14, 2021. Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. (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. Evaluation March 1, 1989; evaluation August 30, 1996; criterion, note August 11, 2019. orthopedic, digestive, respiratory, cardiovascular-renal, neuropsychiatric, (4) multiple injuries incurred in action, or. Where there are existing pulmonary and nonpulmonary conditions, the graduated evaluation for the pulmonary, or for the nonpulmonary, condition will be utilized, combined with evaluations for residuals of the condition not covered by the graduated evaluation utilized, so as to provide the higher evaluation over such period. Nonunion in upper half, with false movement: With loss of bone substance (1 inch (2.5 cms.) Able to communicate basic needs. but less than 72 square inches (465 sq. Anatomical loss of one foot and loss of use of one hand. What is the Respiratory System for VA rating purposes? (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). The relevant principle enunciated in 4.125, entitled Diagnosis of mental disorders, should have careful attention in this connection. 6826 Desquamative interstitial pneumonitis. For example, unable to determine appropriate clothing for current weather conditions or judge when to avoid dangerous situations or activities. Through and through or deep penetrating wound due to high-velocity missile, or large or multiple low velocity missiles, or with shattering bone fracture or open comminuted fracture with extensive debridement, prolonged infection, or sloughing of soft parts, intermuscular binding and scarring. 10, 2018]. cm. As applicable, consider the long-term health effects potentially associated with infectious diseases as listed in 3.317(d) of this chapter, specifically Brucellosis, Campylobacter jejuni, Coxiella burnetii (Q fever), Malaria, Mycobacterium Tuberculosis, Nontyphoid Salmonella, Shigella, Visceral Leishmaniasis, and West Nile virus. With remaining field of 16 to 30 degrees: Or evaluate each affected eye as 20/100 (6/30). One eye, only light perception and other eye: Neoplasm, malignant, primary or secondary, Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation, Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy, including uterine or vaginal vault prolapse, cystocele, urethrocele, rectocele, enterocele, or combination, Cutaneous manifestations of collagen-vascular diseases not listed elsewhere, Essential thrombocythemia and primary myelofibrosis, Hemorrhagic fevers, including dengue, yellow fever, and others, Hyperinfection syndrome or disseminated strongyloidiasis, Group I Function: Upward rotation of scapula, Group III Function: Elevation and abduction of arm, Group IV Function: Stabilization of shoulder, Group VII Function: Flexion of wrist and fingers, Group VIII Function: Extension of wrist, fingers, thumb, Group X Function: Movement of forefoot and toes, Group XIII Function: Extension of hip and flexion of knee, Group XVIII Function: Outward rotation of thigh, Group XIX Function: Abdominal wall and lower thorax, Group XX Function: Postural support of body, Group XXII Function: Rotary and forward movements, head, Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism, Kyphoscoliosis, pectus excavatum / carinatum, Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia), Including ramus, unilaterally or bilaterally, Lymphatic filariasis, to include elephantiasis, Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of, Dissociative amnesia; dissociative identity disorder, Major or mild neurocognitive disorder due to Alzheimer's disease, Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder, Major or mild neurocognitive disorder due to HIV or other infections, Major or mild neurocognitive disorder due to traumatic brain injury, Major or mild vascular neurocognitive disorder, Other specified and unspecified schizophrenia spectrum and other psychotic disorders, Other specified somatic symptom and related disorder, Persistent depressive disorder (dysthymia), Specific phobia; social anxiety disorder (social phobia), Unspecified somatic symptom and related disorder, Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis, Eleventh (spinal accessory, external branch), Mandible, confirmed by diagnostic imaging studies, Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction, Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only, Raynaud's syndrome (secondary Raynaud's phenomenon, secondary Raynaud's), Disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C, Involvement in diabetes mellitus type I or II, Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy), Retinopathy or maculopathy not otherwise specified, Rickettsial, ehrlichia, and anaplasma Infections, 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, 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, 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, Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804, Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome, Spondylolisthesis or segmental instability, spine, Tenosynovitis, tendinitis, tendinosis or tendinopathy. cm.). (iv) palpable or tender cervical or axillary lymph nodes. Totally incapacitating, Severe; same as pronounced with less pronounced and less continuous symptoms with definite impairment of health, Moderately severe; intercurrent episodes of abdominal pain at least once a month partially or completely relieved by ulcer therapy, mild and transient episodes of vomiting or melena, Moderate; with episodes of recurring symptoms several times a year, Mild; with brief episodes of recurring symptoms once or twice yearly. 9914 Maxilla, loss of more than half. 9916 Maxilla, malunion or nonunion of. When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree. Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. 8212 Twelfth (hypoglossal), paralysis. 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. 5279 Metatarsalgia, anterior (Mortons disease). 7627 Malignant neoplasms of gynecological system. 6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy). The evaluation of the same disability under various diagnoses is to be avoided. Other specified and unspecified schizophrenia spectrum and other psychotic disorders. 4. For even routine and familiar decisions, usually unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision. Permitting passage of liquids only, with marked impairment of general health. One or more neurobehavioral effects that occasionally interfere with workplace interaction, social interaction, or both but do not preclude them. (d) With advancement of lesions on successive examinations or while under treatment. 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. 5172 Toes, other than great, amputation of, with removal of metatarsal head: 5173 Toes, three or four, amputation of, without metatarsal involvement: 5200 Scapulohumeral articulation, ankylosis of: Unfavorable, abduction limited to 25 from side, Intermediate between favorable and unfavorable, Favorable, abduction to 60, can reach mouth and head, Flexion and/or abduction limited to 25 from side, Midway between side and shoulder level (flexion and/or abduction limited to 45), At shoulder level (flexion and/or abduction limited to 90). Cutaneous manifestations of collagen-vascular diseases not listed elsewhere. Note (1): Separately evaluate amputations of fingers or toes, and complications such as squamous cell carcinoma at the site of a cold injury scar or peripheral neuropathy, under other diagnostic codes. Note: Evaluate automatic implantable cardioverter-defibrillators (AICDs) under DC 7011. Note: Thereafter, if diabetes insipidus has subsided, rate residuals under the appropriate diagnostic code(s) within the appropriate body system. (i) Type of injury. You can I was granted 40% loss of extension on the knee and 10% for bursitis of the shoulder. Consider especially psychotic manifestations, complete or partial loss of use of one or more extremities, speech disturbances, impairment of vision, disturbances of gait, tremors, visceral manifestations, etc., referring to the appropriate bodily system of the schedule. If you have a disability rating awarded by the VA for a 8729 Neuralgia, external cutaneous nerve of thigh. VA disabilities for Dental and Oral Conditions are those that affect the Mouth and Teeth to include the jaws, the jaw joint, the palates, and the teeth. 7312 Cirrhosis of the liver, primary biliary cirrhosis, or cirrhotic phase of sclerosing cholangitis: Generalized weakness, substantial weight loss, and persistent jaundice, or; with one of the following refractory to treatment: ascites, hepatic encephalopathy, hemorrhage from varices or portal gastropathy (erosive gastritis), History of two or more episodes of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), but with periods of remission between attacks, History of one episode of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), Portal hypertension and splenomegaly, with weakness, anorexia, abdominal pain, malaise, and at least minor weight loss, Symptoms such as weakness, anorexia, abdominal pain, and malaise, Severe; frequent attacks of gall bladder colic, Moderate; gall bladder dyspepsia, confirmed by X-ray technique, and with infrequent attacks (not over two or three a year) of gall bladder colic, with or without jaundice. With very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability, With characteristic prostrating attacks occurring on an average once a month over last several months, With characteristic prostrating attacks averaging one in 2 months over last several months. Subparagraph (1) following December 1, 1949; criterion March 11, 1969; criterion September 22, 1978. Thereafter: Rate residuals under the specific body system or systems affected. 7918 Pheochromocytoma(benign or malignant). Note (1): If hyperthyroid cardiovascular or cardiac disease is present, separately evaluate under DC 7008 (hyperthyroid heart disease). Malignant neoplasms of gynecological system. During and for three months following myocardial infarction, confirmed by laboratory tests. They will continue for a 12-month period following discharge from service. 8019 Meningitis, cerebrospinal, epidemic. Added January 12, 1998; criterion November 14, 2021. In these cases, evaluate based on corrected distance vision adjusted to one step poorer than measured. Mental Disorders in Epilepsies: A nonpsychotic organic brain syndrome will be rated separately under the appropriate diagnostic code (e.g., 9304 or 9326). In this article, our VA Disability Conditions List by Body System and VA Diagnostic Code (Official), VA DISABILITIES OF THE MUSCULOSKELETAL SYSTEM. (4) Post-bronchodilator studies are required when PFT's are done for disability evaluation purposes except when the results of pre-bronchodilator pulmonary function tests are normal or when the examiner determines that post-bronchodilator studies should not be done and states why. Remaining field 500 minus 320 = 180. 5210 Radius and ulna, nonunion of, with flail false joint. Added September 9, 1975; criterion January 12, 1998; note, criterion November 14, 2021. 4.96 Special provisions regarding evaluation of respiratory conditions. May rely on gestures or other alternative modes of communication. Rate any residual disability of infection within the appropriate body system. 5016 Osteitis deformans (Pagets disease). (ii) History and complaint. 18, 1976, as amended at 70 FR 75399, Dec. 20, 2005]. 29, 1994, as amended at 59 FR 46339, Sept. 8, 1994; 86 FR 54086, Sept. 30, 2021], [60 FR 19855, Apr. 7628 Benign neoplasms of gynecological system. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. 6829 Drug-induced, pneumonitis & fibrosis. Added October 1, 1961; criterion October 1, 1961; evaluation March 10, 1976; removed December 18, 1987; re-designated, Tables VI and VII replaced by new Tables VI, VIA, and VII December 18, 1987. What are Dental and Oral Conditions for VA rating purposes? Last sentence of Note following July 6, 1950; evaluation January 12, 1998; criterion August 13, 1998; criterion November 14, 2021. 7818 Malignant skin neoplasms(other than malignant melanoma). (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. (e) Anatomical loss of one eye with inability to wear a prosthesis. 8312 Neuritis, twelfth cranial nerve. The rating board will include a full statement as to the veteran's service-connected disabilities, employment history, educational and vocational attainment and all other factors having a bearing on the issue. Major or mild neurocognitive disorder due to Alzheimer's disease. 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. Criterion March 11, 1969; evaluation February 17, 1994; title and criterion November 14, 2021. Spinal cord injury with respiratory insufficiency. The repealed section, however, still applies to the case of any veteran who on August 19, 1968, was receiving or entitled to receive compensation for tuberculosis. 7345 Liver disease, chronic, without cirrhosis(including hepatitis B, chronic active hepatitis, autoimmune hepatitis, hemochromatosis, drug-induced hepatitis, etc., but excluding bile duct disorders and hepatitis C). 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, 7632 Female sexual arousal disorder (FSAD), Requiring bone marrow transplant; or infections recurring, on average, at least once every six weeks per 12-month period, Requiring intermittent myeloid growth factors (granulocyte colony-stimulating factor (G-CSF) or granulocyte-macrophage colony-stimulating factor (GM-CSF) or continuous immunosuppressive therapy such as cyclosporine to maintain absolute neutrophil count (ANC) greater than 500/microliter (l) but less than 1000/l; or infections recurring, on average, at least once every three months per 12-month period, Requiring intermittent myeloid growth factors to maintain ANC greater than 1000/l; or infections recurring, on average, at least once per 12-month period but less than once every three months per 12-month period, Requiring continuous medication (e.g., antibiotics) for control; or requiring intermittent use of a myeloid growth factor to maintain ANC greater than or equal to 1500/l. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. 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. 5054 Hip, resurfacing or replacement (prosthesis): For 4 months following implantation of prosthesis or resurfacing. Intellectual disability (intellectual developmental disorder) and personality disorders. If more than one extremity is affected, evaluate each extremity separately and combine (under. See Table III for the normal extent (in degrees) of the visual fields at the 8 principal meridians (45 degrees apart). Occasionally disoriented to one of the four aspects (person, time, place, situation) of orientation. See nerve involved for diagnostic code number and rating. Table I, Combined Ratings Table, results from the consideration of the efficiency of the individual as affected first by the most disabling condition, then by the less disabling condition, then by other less disabling conditions, if any, in the order of severity. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. Measurement of ankylosis and joint motion. Following simple mastectomy or wide local excision with significant alteration of size or form: Following wide local excision without significant alteration of size or form: 7627 Malignant neoplasms of gynecological system, 7628 Benign neoplasms of gynecological system. 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. 6019 Ptosis unilateral or bilateral. 7011 Ventricular arrhythmias(sustained). 7916 Hyperpituitarism (prolactin secreting pituitary dysfunction): Note: Evaluate as malignant or benign neoplasm, as appropriate. [61 FR 52700, Oct. 8, 1996, as amended at 79 FR 45099, Aug. 4, 2014]. General Rating Formula for Disease, Injury, or Adhesions of Female Reproductive Organs (diagnostic codes 7610 through 7615): Symptoms not controlled by continuous treatment, Symptoms that require continuous treatment, Symptoms that do not require continuous treatment. 5055 Knee, resurfacing or replacement (prosthesis). Schedule of ratings - infectious diseases, immune disorders and nutritional deficiencies. cm.) 8610 Neuritis, upper radicular group. The seizure manifestations of psychomotor epilepsy vary from patient to patient and in the same patient from seizure to seizure. 6845 Chronic pleural effusion or fibrosis. It is to be remembered that the majority of applicants are disabled persons who are seeking benefits of law to which they believe themselves entitled. Ratings under diagnostic codes 6600 through 6817 and 6822 through 6847 will not be combined with each other. (e) The total hospital rating if convalescence is required may be continued for periods of 1, 2, or 3 months in addition to the period provided in paragraph (a) of this section. Title 38 was last amended 3/02/2023. It provides criteria for levels of impairment for each facet, as appropriate, ranging from 0 to 3, and a 5th level, the highest level of impairment, labeled total. However, not every facet has every level of severity. 5012 Bones, neoplasm, malignant, primary or secondary. After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination. 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. Criterion May 22, 1995; note May 13, 2018. Sciatic neuritis is not uncommonly caused by arthritis of the spine. Principles of combined ratings for muscle injuries. 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism. It includes your airways, lungs, and blood vessels. Marginal employment shall not be considered substantially gainful employment. Code O-2 (38 CFR 3.350(e)(2)). Note (1): For purposes of this section, characteristic attacks consist of intermittent and episodic color changes of the digits of one or more extremities, lasting minutes or longer, with occasional pain and paresthesias, and precipitated by exposure to cold or by emotional upsets.