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Infectious Diseases, Immune Disorders, and Nutritional Deficienciescan display a vast range of symptoms throughout the human body. One of the first questions that you might ask is this: Its a legitimate question rare is the Veteran that finds themselves sitting on the couch eating bon-bons 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. The most trusted name in education-based resources for Veterans. Criterion August 30, 1996; title, criterion, and note August 11, 2019. 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity. Criterion July 6, 1950; criterion February 7, 2021. or more) and marked deformity, Without loss of bone substance or deformity. What are muscle injuries for VA rating purposes? 7354 Hepatitis C(or non-A, non-B hepatitis). As a Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. Thereafter, use the General Rating Formula. 5279 Metatarsalgia, anterior (Mortons disease). Complete inability to communicate either by spoken language, written language, or both, or to comprehend spoken language, written language, or both. Accurate measurement of the length of stumps, excursion of joints, dimensions and location of scars with respect to landmarks, should be insisted on. Prosthetic replacement of the shoulder joint: For 1 year following implantation of prosthesis, With chronic residuals consisting of severe, painful motion or weakness in the affected extremity. This contact form is only for website help or website suggestions. Added August 30, 2002; title, criterion August 13, 2018. The prestabilization rating is not to be assigned in any case in which a total rating is immediately assignable under the regular provisions of the schedule or on the basis of individual unemployability. Malignant neoplasms of gynecological system. (i) Type of injury. The following section provides descriptions of various levels of disability in each of these symptom areas. Cognitive impairment is defined as decreased memory, concentration, attention, and executive functions of the brain. Added July 6, 1950; title February 7, 2021. Criterion March 10, 1976; removed December 17, 1987. A change in evaluation based on that or any subsequent examination shall be subject to the provisions of 3.105(e) of this chapter. The peripheral nervous system is made up of all the nerves that travel from the spinal cord to the rest of the body. 8624 Neuritis, internal popliteal (tibial) nerve. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! Note: If non-service-connected arteriosclerotic heart disease is superimposed on service-connected valvular or other non-arteriosclerotic heart disease, request a medical opinion as to which condition is causing the current signs and symptoms. Testis, undescended, or congenitally undeveloped is not a ratable disability. Evaluation; August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017. Evaluate under the General Rating Formula. When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pct is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. Total disability ratings for pension based on unemployability and age of the individual. Evaluation March 10, 1976; revised and moved to 5235-5243 September 26, 2003. cm.). The Roman numeral designation is located at the point where the percentage of speech discrimination and puretone threshold average intersect. The following will be considered to be permanent total disability: the permanent loss of the use of both hands, or of both feet, or of one hand and one foot, or of the sight of both eyes, or becoming permanently helpless or permanently bedridden. 8019 Meningitis, cerebrospinal, epidemic. 7917 Hyperaldosteronism(benign or malignant). Rickettsial, ehrlichia, and anaplasma infections. 5304 Group IV Function: Stabilization of shoulder. 9905 Temporomandibular disorder (TMD). Minimum, if interfering to any extent with mastication - 10, 5326 Muscle hernia, extensive. Note: Manifesting as hyperthyroidism, evaluate as hyperthyroidism, including, but not limited to, Graves' disease (DC 7900); manifesting as hypothyroidism, evaluate as hypothyroidism (DC 7903). Diagnosis of disease, injury, or residuals will be cited, with diagnostic code number assigned from this rating schedule for conditions listed therein. 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. The forepart of the foot is abducted, and the foot everted. At metacarpophalangeal joint or through proximal phalanx, At distal joint or through distal phalanx, With metacarpal resection (more than one-half the bone lost), Without metacarpal resection, at proximal interphalangeal joint or proximal thereto, Through middle phalanx or at distal joint. (c) The assignment of a total disability rating on the basis of hospital treatment or observation will not preclude the assignment of a total disability rating otherwise in order under other provisions of the rating schedule, and consideration will be given to the propriety of such a rating in all instances and to the propriety of its continuance after discharge. The respiratory system isthe bodys network of organs and tissues that help you breathe. However, prestabilization ratings may be changed to a regular schedular total rating or one authorizing a greater benefit at any time. 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. Symptoms such as fatigue, anorexia, nausea, or constipation that occur despite surgery; or in individuals who are not candidates for surgery but require continuous medication for control. With amputations, sequelae of fractures and other residuals of traumatism shown to be of static character, a showing of continuous unemployability from date of incurrence, or the date the condition reached the stabilized level, is a general requirement in order to establish the fact that present unemployability is the result of the disability. WebInstability of the knee (if it dislocates regularly or has too much side to side motion) with ratings of 0%, 10%, 20%, or 30% Ankylosis (abnormal stiffening and immobility) with ratings of 30%, 40%, 50%, or 60% You can receive ratings for more than one aspect of your knee condition, if appropriate. Title 38, Part 4 Schedule for Rating Disabilities You DESERVE a HIGHER VA rating.WE CAN HELP. Such total rating will be followed by appropriate schedular evaluations. between the thumb pad and the fingers, with the thumb attempting to oppose the fingers, evaluate as unfavorable ankylosis, (iv) If only the carpometacarpal or interphalangeal joint is ankylosed, and there is a gap of two inches (5.1 cm.) Or, you can get help from an expert veteran coach who can help you navigate the VA claims process. 11, 1969; 40 FR 42536, Sept. 15, 1975; 41 FR 11294, Mar. It is made up of the breasts, uterus, ovaries, fallopian tubes, vulva, clitoris, vagina, and cervix. Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. 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. (d) On these total ratings Department of Veterans Affairs regulations governing effective dates for increased benefits will control. (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. 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. 5327 Muscle, neoplasm of, malignant. Schedule of ratings - hemic and lymphatic systems. Criterion March 10, 1976; criterion May 22, 1995; title, note May 13, 2018. cm.). 7915 Neoplasm, benign, any specified part of the endocrine system: Rate as residuals of endocrine dysfunction. Noncompensable complications are considered part of the diabetic process under DC 7913. 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. 6520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral). The schedule for rating for mental disorders is set forth as follows: 9210 Other specified and unspecified schizophrenia spectrum and other psychotic disorders, 9301 Major or mild neurocognitive disorder due to HIV or other infections, 9304 Major or mild neurocognitive disorder due to traumatic brain injury, 9305 Major or mild vascular neurocognitive disorder, 9312 Major or mild neurocognitive disorder due to Alzheimer's disease, 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder, 9403 Specific phobia; social anxiety disorder (social phobia), 9416 Dissociative amnesia; dissociative identity disorder, 9417 Depersonalization/Derealization disorder, 9422 Other specified somatic symptom and related disorder, 9423 Unspecified somatic symptom and related disorder, 9424 Conversion disorder (functional neurological symptom disorder), 9433 Persistent depressive disorder (dysthymia), General Rating Formula for Mental Disorders. 5328 Muscle, neoplasm of, benign, postoperative. cm.) Evaluation March 1, 1989; evaluation August 30, 1996. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. [61 FR 39875, July 31, 1996, as amended at 84 FR 28230, June 18, 2019], [34 FR 5062, Mar. citations and headings 6062 Blindness, both eyes, only light perception. Evidence of increased intracranial pressure (such as visual field defect), arthropathy, glucose intolerance, and either hypertension or cardiomegaly, Arthropathy, glucose intolerance, and hypertension, Enlargement of acral parts or overgrowth of long bones. 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. 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. cm.). 8211 Eleventh (spinal accessory, external branch), paralysis. Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! When evaluating visual impairment, refer to 38 CFR 3.350 to determine whether the claimant may be entitled to special monthly compensation. 6522 Allergic or vasomotor rhinitis. 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. No evidence of fascial defect, atrophy, or impaired tonus. 7115 Thrombo-angiitis obliterans (Buergers Disease). [29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. Claims in regard to which the schedule evaluations are considered inadequate or excessive, and errors in the schedule will be similarly brought to attention. If youre suffering from shoulder pain, its important to get seen by a doctor to determine the underlying cause of the pain and get a diagnosis. Only one hand shall be considered dominant. 6018 Conjunctivitis, other, chronic (nontrachomatous)(keratoconjunctivitis). Muscles swell and harden abnormally in contraction. Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. 8312 Neuritis, twelfth cranial nerve. Evaluation March 10, 1976; evaluation February 17, 1994. If service connection for the disability under treatment is granted after hospital admission, the rating will be from the first day of hospitalization if otherwise in order. 5051 Shoulder replacement (prosthesis). The manifestations of a chronic mental disorder associated with psychomotor epilepsy, like those of the seizures, are protean in character. Introduction criterion May 13, 2018; Revised General Rating Formula for Diseases of the Eye NOTE revised May 13, 2018. Rate the vascular conditions under Codes 8007 through 8009, for 6 months. 7827 Erythema multiforme; Toxic epidermal necrolysis: Recurrent mucosal, palmar, or plantar involvement impairing mastication, use of hands, or ambulation occurring four or more times over the past 12-month period despite ongoing immunosuppressive therapy, Recurrent mucosal, palmar, or plantar involvement not impairing mastication, use of hands, or ambulation, occurring four or more times over the past 12-month period; and requiring intermittent systemic therapy, One to three episodes of mucosal, palmar, or plantar involvement not impairing mastication, use of hands, or ambulation, occurring over the past 12-month period AND requiring intermittent systemic therapy; or, Without recurrent episodes, but requiring continuous systemic medication for control, Deep acne (deep inflamed nodules and pus-filled cysts) affecting 40 percent or more of the face and neck, Deep acne (deep inflamed nodules and pus-filled cysts) affecting less than 40 percent of the face and neck, or deep acne other than on the face and neck, Superficial acne (comedones, papules, pustules) of any extent, Deep acne (deep inflamed nodules and pus-filled cysts) affecting the intertriginous areas (the axilla of the arm, the anogenital region, skin folds of the breasts, or between digits), Deep acne (deep inflamed nodules and pus-filled cysts) affecting less than 40 percent of the face and neck; or deep acne affecting non-intertriginous areas of the body (other than the face and neck), Affecting more than 40 percent of the scalp, Affecting less than 20 percent of the scalp, With loss of hair limited to scalp and face, Unable to handle paper or tools because of moisture, and unresponsive to therapy, Able to handle paper or tools after therapy, Rate as scars (DC's 7801, 7802, 7803, 7804, or 7805), disfigurement of the head, face, or neck (DC 7800), or impairment of function (under the appropriate body system). Occurs when tendons and cartilage cannot properly support the (e) Anatomical loss of one eye with inability to wear a prosthesis. While the main function of the Ear is to control hearing (frequencies, decibals, tones, etc), it also controls the bodys balance. The examiner must document the results of muscle function testing by identifying the quadrant(s) and range(s) of degrees in which diplopia exists. (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. 7818 Malignant skin neoplasms(other than malignant melanoma). 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]. It is not a disability subject to compensation. This combined value will be converted to the nearest degree divisible by 10 which is 80 percent. This document is available in the following developer friendly formats: Information and documentation can be found in our Both the use of manifestations not resulting from service-connected disease or injury in establishing the service-connected evaluation, and the evaluation of the same manifestation under different diagnoses are to be avoided. 6844 Post-surgical residual (lobectomy, pneumonectomy, etc.). 5283 Tarsal, or metatarsal bones, malunion of, or nonunion of: 5296 Skull, loss of part of, both inner and outer tables: Area larger than size of a 50-cent piece or 1.140 in, Area smaller than the size of a 25-cent piece or 0.716 in, One or resection of two or more ribs without regeneration, Partial or complete, with painful residuals, 5324 Diaphragm, rupture of, with herniation. 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. A permanent and total disability rating under the provisions of 4.15, 4.16 and 4.17 will not be precluded by reason of the coexistence of misconduct disability when: (a) A veteran, regardless of employment status, also has innocently acquired 100 percent disability, or. Brian Reeseis a VA benefits expert, author of the #1 Amazon Bestseller You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, andfounder of VA Claims InsiderThe Most Trusted Name in Education-Based Resources for Veterans.. 20, 2007, as amended at 73 FR 54708, 54712, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 74 FR 18467, Apr. One or more neurobehavioral effects that do not interfere with workplace interaction or social interaction. switch to drafting.ecfr.gov. Inability to communicate either by spoken language, written language, or both, more than occasionally but less than half of the time, or to comprehend spoken language, written language, or both, more than occasionally but less than half of the time. 7205 Esophagus, diverticulum of, acquired. (iv) palpable or tender cervical or axillary lymph nodes. 5001 Bones and joints, tuberculosis of, active or inactive: 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process: With constitutional manifestations associated with active joint involvement, totally incapacitating, Less than criteria for 100% but with weight loss and anemia productive of severe impairment of health or severely incapacitating exacerbations occurring 4 or more times a year or a lesser number over prolonged periods, Symptom combinations productive of definite impairment of health objectively supported by examination findings or incapacitating exacerbations occurring 3 or more times a year, One or two exacerbations a year in a well-established diagnosis. 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. Each ear will be evaluated separately. When you file for a VA disability rating for shoulder pain, you will most likely be scheduled for a Compensation & Pension (C&P) exam. Yes, Back Pain is a VA disability. The maximum scheduler rating for severe bilateral pes planus (flat feet) is 50 percent. Added March 11, 1969; removed September 22, 1978. 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. 7307 Gastritis, hypertrophic (identified by gastroscope): Chronic; with severe hemorrhages, or large ulcerated or eroded areas, Chronic; with multiple small eroded or ulcerated areas, and symptoms, Chronic; with small nodular lesions, and symptoms. 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. Criterion February 17, 1994; criterion, footnote November 14, 2021. Veterans Affairs Code O-2 (38 CFR 3.350(e)(2)). Complete medical examination of injury cases. Tenosynovitis, tendinitis, tendinosis or tendinopathy. 8711 Neuralgia, middle radicular group. (2) When diplopia extends beyond more than one quadrant or range of degrees, evaluate diplopia based on the quadrant and degree range that provides the highest evaluation. 6825 Fibrosis of lung, diffuse interstitial. (3) The assent of the claimant should first be obtained for permission to conduct this economic and social survey. 8407 Neuralgia, seventh cranial nerve. L. Code L-1 h, i (38 CFR 3.350(b)). 7534 Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified): 7535 Toxic nephropathy (antibotics, radiocontrast agents, nonsteroidal anti-inflammatory agents, heavy metals, and similar agents): 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism: Note: This diagnostic code pertains to renal involvement secondary to all glomerulonephritis conditions, all vasculitis conditions and their derivatives, and other renal conditions caused by systemic diseases, such as Lupus erythematosus, systemic lupus erythematosus nephritis, Henoch-Schonlein syndrome, scleroderma, hemolytic uremic syndrome, polyarthritis, Wegener's granulomatosis, Goodpasture's syndrome, and sickle cell disease. Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). If more than one extremity is affected, evaluate each extremity separately and combine (under. Evaluation September 9, 1975; criterion January 12, 1998; criterion November 14, 2021. How the VA Will Assign you a Shoulder Pain VA Rating, 4. If accepted into our ELITE membership program, youll get free up-front access and permission to use $13,119 worth of proprietary VA claim resources, including access to our network of independent medical professionals for medical examinations, disability evaluations, and credible Medical Nexus Letters, which could help you get a HIGHER VA rating in LESS time. The central nervous system consists of the brain, the spinal cord, and thecranialnerves. LIST OF VA ANALOGOUS CONDITIONS AND DIAGNOSTIC CODES. My hip and thigh conditions have worsened. 8510 Upper radicular group, paralysis. (1) Evaluate central visual acuity on the basis of corrected distance vision with central fixation, even if a central scotoma is present. In evaluating the ulcer, care should be taken that the findings adequately identify the particular location. If there are more than two disabilities, the disabilities will also be arranged in the exact order of their severity and the combined value for the first two will be found as previously described for two disabilities. Apply the provisions of, For three months following hospital admission for surgery. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Estimate your 2023 VA Rating & Compensation for FREE! Added June 9, 1996; evaluation June 9, 1996; criterion December 10, 2017; note. 1. Shoulder issues can be extremely debilitating, making it difficult to perform even basic tasks. General Rating Formula for Mycotic Lung Disease (diagnostic codes 6834 through 6839): Chronic pulmonary mycosis with persistent fever, weight loss, night sweats, or massive hemoptysis, Chronic pulmonary mycosis requiring suppressive therapy with no more than minimal symptoms such as occasional minor hemoptysis or productive cough, Chronic pulmonary mycosis with minimal symptoms such as occasional minor hemoptysis or productive cough, Healed and inactive mycotic lesions, asymptomatic. 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. Incomplete examination is a common cause of incorrect diagnosis, especially in the neurological and psychiatric fields, and frequently leaves the Department of Veterans Affairs in doubt as to the presence or absence of disabling conditions at the time of the examination. Toes, other than great, with removal of metatarsal head. Mental Disorders in Epilepsies: A nonpsychotic organic brain syndrome will be rated separately under the appropriate diagnostic code (e.g., 9304 or 9326). Knee, resurfacing or replacement (prosthesis). Schedule of ratings - cardiovascular system. Doctors treat less severe shoulder injuries with conservative measures such as physical therapy, rest, and ice. VA DISABILITIES OF THE GENITOURINARY SYSTEM.