Note (2): Separately evaluate eye involvement occurring as a manifestation of Graves' Disease as diplopia (DC 6090); impairment of central visual acuity (DCs 6061-6066); or under the most appropriate DCs in. What are eye disabilities for VA rating purposes? Osteoporosis VA Disability Rating The percentage evaluation is located at the point where the row and column intersect. 5120 Complete amputation, upper extremity. The following section provides descriptions of various levels of disability in each of these symptom areas. WebThe VA uses a chart that, when properly used, results in a combined disability rating. Objective evidence on testing of mild impairment of memory, attention, concentration, or executive functions resulting in mild functional impairment. (a) Rating coexisting respiratory conditions. Depersonalization/derealization disorder. The termination of these total ratings will not be subject to 3.105(e) of this chapter. What is the Digestive System for VA rating purposes? 6515 Laryngitis, tuberculous, active or inactive. (f) Extension of periods of 1, 2 or 3 months beyond the initial 3 months may be made upon approval of the Veterans Service Center Manager. 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. However, in cases protected by the provisions of Pub. Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018; criterion December 9, 2018. Your musculoskeletal system includes your bones, cartilage, ligaments, tendons, and connective tissues. 5165 At a lower level, permitting prosthesis. 7824 Diseases of keratinization (including icthyoses, Darier's disease, and palmoplantar keratoderma). Material improvement means lessening or absence of clinical symptoms, and X-ray findings of a stationary or retrogressive lesion. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation; however, there are other conditions in this section which under certain circumstances also establish entitlement to special monthly compensation. 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. See Table III for the normal extent (in degrees) of the visual fields at the 8 principal meridians (45 degrees apart). 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. 5237 Lumbosacral or cervical strain. VA DISABILITIES OF THE RESPIRATORY SYSTEM. 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. 6305 Lymphatic filariasis, to include elephantiasis: 6310 Syphilis, and other treponema infections: 6312 Nontuberculosis mycobacterium infection: Marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia, With all of the symptoms listed below, plus mental symptoms and impaired bodily vigor, With stomatitis, diarrhea, and symmetrical dermatitis, With stomatitis, or achlorhydria, or diarrhea, Confirmed diagnosis with nonspecific symptoms such as: decreased appetite, weight loss, abdominal discomfort, weakness, inability to concentrate and irritability, With congestive heart failure, anasarca, or Wernicke-Korsakoff syndrome, With cardiomegaly, or; with peripheral neuropathy with footdrop or atrophy of thigh or calf muscles, With peripheral neuropathy with absent knee or ankle jerks and loss of sensation, or; with symptoms such as weakness, fatigue, anorexia, dizziness, heaviness and stiffness of legs, headache or sleep disturbance. 7319 Colon, irritable syndrome(spastic colitis, mucous colitis, irritable bowel syndrome , Mucous colitis etc.). 7522 Erectile dysfunction, with or without penile deformity. 5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome). 11, 1969; 40 FR 42540, Sept. 15, 1975; 41 FR 11301, Mar. eCFR :: 38 CFR Part 4 -- Schedule for Rating Disabilities Any of these effects may range from slight to severe, although verbal and physical aggression are likely to have a more serious impact on workplace interaction and social interaction than some of the other effects. 24, 2018]. The most trusted name in education-based resources for Veterans. 8514 Musculospiral nerve (radial), paralysis. You're not alone. Major or mild vascular neurocognitive disorder. Hip, resurfacing or replacement (prosthesis). The common cause of disability in this region is arthritis, to be identified in the usual manner. 23, 2009; 77 FR 6467, Feb. 8, 2012; 79 FR 45102, Aug. 4, 2014; 82 FR 36085, Aug. 3, 2017; 82 FR 50807, Nov. 2, 2017; 83 FR 15073, Apr. Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. Added February 17, 1994; title and criterion November 14, 2021. Web: A rating under DC 5257 for lateral knee instability. Rate under the general rating formula for major seizures. Criterion September 9, 1975; removed October 7, 1996. 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. Mental disorders due to traumatic stress. 4.128 Convalescence ratings following extended hospitalization. 7631 Benign neoplasms of the breast and other injuries of the breast. The genitourinary system includesthe organs of the reproductive system and the urinary system. Title May 13, 2018. 9901 Mandible, loss of, complete, between angles. Criterion September 22, 1978; criterion August 30, 1996; criterion, note August 11, 2019. Transcutaneous oxygen tension (T. Note (3): Evaluate residuals of aortic and large arterial bypass surgery or arterial graft as peripheral arterial disease. (a) For VA purposes, the diagnosis of chronic fatigue syndrome requires: (1) new onset of debilitating fatigue severe enough to reduce daily activity to less than 50 percent of the usual level for at least six months; and, (2) the exclusion, by history, physical examination, and laboratory tests, of all other clinical conditions that may produce similar symptoms; and. To warrant a rating for epilepsy, the seizures must be witnessed or verified at some time by a physician. 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. When the best interests of the service will be advanced by personal conference with the examiner, such conference may be arranged through channels. Gynecological Conditions and Disorders of the Breast. 6025 Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). Examples are: mild or occasional headaches, mild anxiety. 5278 Claw foot (pes cavus), acquired. If you have questions or comments regarding a published document please 7121 Post-phlebitic syndrome of any etiology: With the following findings attributed to venous disease: Massive board-like edema with constant pain at rest, Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration, Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration, Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema, Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery, Asymptomatic palpable or visible varicose veins, Arthralgia or other pain, numbness, or cold sensitivity plus two or more of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity plus one of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity. WebNote: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. 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. If no facet is evaluated as total, assign the overall percentage evaluation based on the level of the highest facet as follows: 0 = 0 percent; 1 = 10 percent; 2 = 40 percent; and 3 = 70 percent. 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. Schedule of ratings - musculoskeletal system. 5166 Forefoot, proximal to metatarsal bones. Service department record or other evidence showing hospitalization for a prolonged period for treatment of wound. The circulatory disturbances, especially of the lower extremity following injury in the popliteal space, must not be overlooked, and require rating generally as phlebitis. 6820 Neoplasms, benign, any specified part of respiratory system. 8513 All radicular groups, paralysis. 7820 Infections of the skin not listed elsewhere (including bacterial, fungal, viral, treponemal, and parasitic diseases). Submitting a claim for a VA rating for narcolepsy can be Thousands of veterans like you take medication to help improve their service-connected disabilities. With actual loss of use of the foot, rate at 40%. [73 FR 66550, Nov. 10, 2008, as amended at 83 FR 15321, Apr. How to File a Claim on VA.gov (step-by-step)! The Office of the Federal Register publishes documents on behalf of Federal agencies but does not have any authority over their programs. All Rights Reserved. 8526 Anterior crural nerve (femoral), paralysis. Hyperthyroidism, including, but not limited to, Graves' disease. Criterion March 10, 1976; criterion February 3, 1988. 7801 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. A change in evaluation based on that or any subsequent examination shall be subject to the provisions of 3.105(e) of this chapter. Evaluation; August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017. Chronic, or recurring, suppurative osteomyelitis, once clinically identified, including chronic inflammation of bone marrow, cortex, or periosteum, should be considered as a continuously disabling process, whether or not an actively discharging sinus or other obvious evidence of infection is manifest from time to time, and unless the focus is entirely removed by amputation will entitle to a permanent rating to be combined with other ratings for residual conditions, however, not exceeding amputation ratings at the site of election. (3) When the PFT's are not consistent with clinical findings, evaluate based on the PFT's unless the examiner states why they are not a valid indication of respiratory functional impairment in a particular case. 9900 Maxilla or mandible, chronic osteomyelitis, osteonecrosis or osteoradionecrosis of: Rate as osteomyelitis, chronic under diagnostic code 5000. Title, evaluation, note February 7, 2021. 21 to 29 mm of maximum unassisted vertical opening. Added March 10, 1976; criterion October 15, 1991; criterion July 3, 1997. Severely impaired. Thus, if there are three disabilities ratable at 60 percent, 40 percent, and 20 percent, respectively, the combined value for the first two will be found opposite 60 and under 40 and is 76 percent. 5203 Clavicle or scapula, impairment. Added October 1, 1961; evaluation September 9, 1975. The joints involved should be tested for pain on both active and passive motion, in weight-bearing and nonweight-bearing and, if possible, with the range of the opposite undamaged joint. The use of a goniometer in the measurement of limitation of motion is indispensable in examinations conducted within the Department of Veterans Affairs. Note (2): This section is for evaluating Raynaud's syndrome (secondary Raynaud's phenomenon or secondary Raynaud's). Web1. 9917 Neoplasm, hard and soft tissue, benign: Rate as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring. Note (2): If disfigurement of the neck is present due to thyroid disease or enlargement, separately evaluate under DC 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). For the purpose of pension, the permanence of the percentage requirements of 4.16 is a requisite. FEV-1 less than 40 percent of predicted value, or; the ratio of Forced Expiratory Volume in one second to Forced Vital Capacity (FEV-1/FVC) less than 40 percent, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption (with cardiac or respiratory limitation), or; cor pulmonale (right heart failure), or; right ventricular hypertrophy, or; pulmonary hypertension (shown by Echo or cardiac catheterization), or; episode(s) of acute respiratory failure, or; requires outpatient oxygen therapy. (eg: Enhanced content is provided to the user to provide additional context. Web5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. 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. If two or more skin conditions involve the same area of skin, then only the highest evaluation shall be used. VA Rating for Knee Pain: VA Knee Rating Chart and - VA Entrance and (if present) exit scars indicating track of missile through one or more muscle groups. Hoarseness, with thickening or nodules of cords, polyps, submucous infiltration, or pre-malignant changes on biopsy, Hoarseness, with inflammation of cords or mucous membrane. 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. Cellulitis Anatomical loss of one hand and loss of use of one foot. 5160 Complete amputation, lower extremity: Trans-pelvic amputation (involving complete removal of the femur and intrinsic pelvic musculature along with any portion of the pelvic bones), Disarticulation (involving complete removal of the femur and intrinsic pelvic musculature only), 5161 Upper third, one-third of the distance from perineum to knee joint measured from perineum, 5163 With defective stump, thigh amputation recommended, 5164 Amputation not improvable by prosthesis controlled by natural knee action, 5165 At a lower level, permitting prosthesis, 5166 Forefoot, amputation proximal to metatarsal bones (more than one-half of metatarsal loss), 5170 Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. Added September 9, 1975; criterion February 17, 1994; criterion November 14, 2021. 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. 5321 Group XXI Function: Respiration. 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. 5312 Group XII Function: Dorsiflexion. Neuritis, musculocutaneous (superficial peroneal) nerve. (iii) When there have been one or more episodes of acute respiratory failure. Special monthly compensation should be assigned concurrently in these cases whenever records are adequate to establish entitlement. 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. 7000 Valvular heart disease(including rheumatic heart disease). Tic douloureux, or trifacial neuralgia, may be rated up to complete paralysis of the affected nerve. Note (3): For this general formula, heart failure symptoms include, but are not limited to, breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope. Added October 15, 1991; criterion January 12, 1998. 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. Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. For example, if you have shoulder pain as a result of surgery for your service-connected back pain, you may be eligible for secondary service connection. A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication. (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. The importance of complete medical examination of injury cases at the time of first medical examination by the Department of Veterans Affairs cannot be overemphasized. In those prestabilization ratings in which following examination reduction in evaluation is found to be warranted, the higher evaluation will be continued to the end of the 12th month following discharge or to the end of the period provided under 3.105(e) of this chapter, whichever is later. Added September 9, 1975; evaluation February 17, 1994; criterion November 14, 2021. Note (2): When diabetes mellitus has been conclusively diagnosed, do not request a glucose tolerance test solely for rating purposes. The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. 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. This article discusses four things you need to know about shoulder pain and VA disability. You may also be eligible for secondary service connection if you cant prove a direct link. 8714 Neuralgia, musculospiral nerve (radial). 7824 Keratinization, diseases(including icthyoses, Dariers disease, palmoplantar keratoderma, Dyskeratosis follicularis and Ichthyoses). 5054 Hip, resurfacing or replacement (prosthesis) (Birmingham Hip Resurfacing). Whether the upper or lower extremities, the back or abdominal wall, the eyes or ears, or the cardiovascular, digestive, or other system, or psyche are affected, evaluations are based upon lack of usefulness, of these parts or systems, especially in self-support. There are five general classes of bradyarrhythmia: Sinus bradycardia, including sinoatrial block; atrioventricular (AV) junctional (nodal) escape rhythm; AV heart block (second or third degree) or AV dissociation; atrial fibrillation or flutter with a slow ventricular response; and, idioventricular escape rhythm. Criterion March 10, 1976; removed December 17, 1987. Evaluation March 11, 1969; criterion February 7, 2021.