8517 Musculocutaneous nerve, paralysis. orthopedic, digestive, respiratory, cardiovascular-renal, neuropsychiatric, (4) multiple injuries incurred in action, or. The conversion to the nearest degree divisible by 10 will be done only once per rating decision, will follow the combining of all disabilities, and will be the last procedure in determining the combined degree of disability. Criterion August 30, 1996; title, criterion, note August 11, 2019. 6312 Nontuberculosis mycobacterium infection. 6333 Nontyphoid salmonella infections. This rating instruction does not apply to DC 7824, Evaluate under the General Rating Formula for the Skin. 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. What is the Respiratory System for VA rating purposes? For example, post concussive headaches are not listed in the general schedule, only migraine headaches. It is made up of the breasts, uterus, ovaries, fallopian tubes, vulva, clitoris, vagina, and cervix. Cognitive impairment is defined as decreased memory, concentration, attention, and executive functions of the brain. 6018 Conjunctivitis, other, chronic (nontrachomatous)(keratoconjunctivitis). Entrance and (if present) exit scars, small or linear, indicating short track of missile through muscle tissue. Evaluation September 9, 1975; criterion October 7, 1996. (a) Visual impairment. The examiner will look for how your shoulder functions when you move your arm and how far you can move before you feel pain. When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree. Where there is a question as to which of two evaluations shall be applied, the higher evaluation will be assigned if the disability picture more nearly approximates the criteria required for that rating. (b) Table VI, Numeric Designation of Hearing Impairment Based on Puretone Threshold Average and Speech Discrimination, is used to determine a Roman numeral designation (I through XI) for hearing impairment based on a combination of the percent of speech discrimination (horizontal rows) and the puretone threshold average (vertical columns). Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018; criterion December 9, 2018. 18, 1976; 43 FR 45350, Oct. 2, 1978; 51 FR 6411, Feb. 24, 1986; 61 FR 20439, May 7, 1996; 67 FR 48785, July 26, 2002; 67 FR 54349, Aug. 22, 2002; 68 FR 51456, Aug. 27, 2003; 69 FR 32450, June 10, 2004; 80 FR 42041, July 16, 2015; 85 FR 76460, Nov. 30, 2020, 85 FR 85523, Dec. 29, 2020, 86 FR 8142, Feb. 4, 2021]. 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. Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520). 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. All disabilities are then to be combined as described in paragraph (a) of this section. 1 Also entitled to special monthly compensation. 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. (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). [71 FR 52460, Sept. 6, 2006, as amended at 86 FR 54093, Sept. 30, 2021; 86 FR 67654, Nov. 29, 2021], [Unless otherwise directed, use this general rating formula to evaluate diseases of the heart. 7115 Thrombo-angiitis obliterans (Buergers Disease). (b) A total rating under this section will require full justification on the rating sheet and may be extended as follows: (1) Extensions of 1, 2 or 3 months beyond the initial 3 months may be made under paragraph (a) (1), (2) or (3) of this section. Self-induced weight loss to less than 80 percent of expected minimum weight, with incapacitating episodes of at least six weeks total duration per year, and requiring hospitalization more than twice a year for parenteral nutrition or tube feeding. Or, you can get help from an expert veteran coach who can help you navigate the VA claims process. (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. General Rating Formula for Diseases of the Heart November 14, 2021. This average is used in all cases (including those in 4.86) to determine the Roman numeral designation for hearing impairment from Table VI or VIa. With intermediate degrees of residual weakness, pain or limitation of motion, rate by analogy to diagnostic codes 5200 and 5203. Diagnosis of disease, injury, or residuals will be cited, with diagnostic code number assigned from this rating schedule for conditions listed therein. Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100-percent evaluation. Handedness for the purpose of a dominant rating will be determined by the evidence of record, or by testing on VA examination. Criterion March 10, 1976; criterion July 2, 2001. Limitation of Motion of Individual Digits: 5235 Vertebral fracture or dislocation. Limitation of Motion of Individual Digits: Spondylolisthesis or segmental instability. Evaluate functional impairment as seventh (facial) cranial nerve neuropathy (diagnostic code 8207), disfiguring scar (diagnostic code 7800), etc. A reduction in the total rating will not be subject to 3.105(e) of this chapter. (g) When evaluating any claim for impaired hearing, refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation due either to deafness, or to deafness in combination with other specified disabilities. Skin indurated and inflexible in an area exceeding six square inches (39 sq. 6826 Desquamative interstitial pneumonitis. (vii) headaches (of a type, severity, or pattern that is different from headaches in the pre-morbid state). 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. In the absence of a diagnosis of non-psychotic organic psychiatric disturbance (psychotic, psychoneurotic or personality disorder) if diagnosed and shown to be secondary to or directly associated with epilepsy will be rated separately. (3) In any case where the examiner reports that there is a difference equal to two or more scheduled steps between near and distance corrected vision, with the near vision being worse, the examination report must include at least two recordings of near and distance corrected vision and an explanation of the reason for the difference. The VA rates Back Pain under CFR Title 38, Part 4, Schedule for Rating Disabilities, General Rating Formula for Diseases and Injuries of (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. 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.. Note (1): Evaluate symptoms due to pressure on adjacent organs (such as the trachea, larynx, or esophagus) under the appropriate diagnostic code(s) within the appropriate body system. Criterion March 11, 1969; evaluation August 30, 2002. Ratings of the genitourinary system - dysfunctions. Evaluate under diagnostic codes 5256, 5257, 5260, or 5261 for the knee, or 5250-5254 for the hip, whichever results in the highest evaluation. (f) Pain on movement, swelling, deformity or atrophy of disuse. Other specified forms of arthropathy (excluding gout). 7807 American (New World) leishmaniasis (mucocutaneous, espundia): Rate as disfigurement of the head, face, or neck (DC 7800), scars (DC's 7801, 7802, 7803, 7804, or 7805), or dermatitis (DC 7806), depending upon the predominant disability. Or rate on impairment of function of contiguous joint. Raynaud's syndrome (secondary Raynaud's phenomenon, secondary Raynaud's). 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. 6842 Kyphoscoliosis, pectus excavatum/carinatum. Also, in the event that chronic renal disease has progressed to the point where regular dialysis is required, any coexisting hypertension or heart disease will be separately rated. 5323 Group XXIII Function: Movements of head. How old are you? 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. Thrombo-angiitis obliterans (Buerger's Disease). cm.) ], [62 FR 65219, Dec. 11, 1997, as amended at 63 FR 37779, July 14, 1998; 71 FR 52460, Sept. 6, 2006; 79 FR 2100, Jan. 13, 2014; 82 FR 50804, Nov. 2, 2017; 86 FR 54093, Sept. 30, 2021; 86 FR 62095, Nov. 9, 2021]. The examiner must document the results of muscle function testing by identifying the quadrant(s) and range(s) of degrees in which diplopia exists. 8511 Middle radicular group, paralysis. (a) An examination for hearing impairment for VA purposes must be conducted by a state-licensed audiologist and must include a controlled speech discrimination test (Maryland CNC) and a puretone audiometry test. 9905 Temporomandibular disorder (TMD). Diagnostic Code 8100for migraine headaches, You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, 9 Secrets Strategies for Winning Your VA Disability Claim, An honorable discharge (cant be dishonorable), A medical diagnosis of a disability condition, A nexus for service connection either directly related to military service, secondary to another condition, or a presumptive disability, and, Current symptoms of the condition that negatively affect your work, life, and/or social functioning, Better Business Bureau (BBB) Accredited Business. (a) For the purposes of this section, systemic therapy is treatment that is administered through any route (orally, injection, suppository, intranasally) other than the skin, and topical therapy is treatment that is administered through the skin. 7532 Renal tubular disorders(such as renal glycosurias, aminoacidurias, renal tubular acidosis, Fanconis syndrome, Bartters syndrome, related disorders of Henles loop and proximal or distal nephron function, etc.). ): Severe; diarrhea, or alternating diarrhea and constipation, with more or less constant abdominal distress, Moderate; frequent episodes of bowel disturbance with abdominal distress, Mild; disturbances of bowel function with occasional episodes of abdominal distress, Mild gastrointestinal disturbances, lower abdominal cramps, nausea, gaseous distention, chronic constipation interrupted by diarrhea, Pronounced; resulting in marked malnutrition, anemia, and general debility, or with serious complication as liver abscess, Severe; with numerous attacks a year and malnutrition, the health only fair during remissions, Moderately severe; with frequent exacerbations. 5304 Group IV Function: Stabilization of shoulder. Occurs when tendons and cartilage cannot properly support the (d) Under diagnostic codes 5301 through 5323, disabilities resulting from muscle injuries shall be classified as slight, moderate, moderately severe or severe as follows: (i) Type of injury. Thus, a person having a 60 percent disability is considered 40 percent efficient. The resulting difference will be recorded on the rating sheet. 7005 Arteriosclerotic heart disease(coronary artery disease, Atherosclerotic heart disease, Ischemic heart disease). While the main function of the Ear is to control hearing (frequencies, decibals, tones, etc), it also controls the bodys balance. Added February 17, 1994; note and criterion November 14, 2021. Of the five main senses, eyesight is used and relied upon the most. Youve just been rated 100% disabled by the Veterans Affairs. In a given individual, symptoms may fluctuate in severity from day to day. Blindness in 1 eye, only light perception: Lymphatic filariasis, to include elephantiasis. 6081 Scotoma, unilateral (Quadrantanopsia). Occasionally disoriented to two of the four aspects (person, time, place, situation) of orientation or often disoriented to one aspect of orientation. Criterion September 22, 1978; criterion August 30, 1996; criterion, note August 11, 2019. 8510 Upper radicular group, paralysis. (d) The combined evaluation of muscle groups acting upon a single unankylosed joint must be lower than the evaluation for unfavorable ankylosis of that joint, except in the case of muscle groups I and II acting upon the shoulder. Added November 7, 1996; Title August 4, 2014. The use of the protective provisions of Pub. or existing codification. Note July 6, 1950; evaluation February 17, 1994, criterion September 8, 1994; criterion November 14, 2021. 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. Evaluation August 30, 2002; title, criterion, note August 13, 2018. Neuralgia, musculocutaneous nerve (superficial peroneal). Evaluate physical (including neurological) dysfunction based on the following list, under an appropriate diagnostic code: Motor and sensory dysfunction, including pain, of the extremities and face; visual impairment; hearing loss and tinnitus; loss of sense of smell and taste; seizures; gait, coordination, and balance problems; speech and other communication difficulties, including aphasia and related disorders, and dysarthria; neurogenic bladder; neurogenic bowel; cranial nerve dysfunctions; autonomic nerve dysfunctions; and endocrine dysfunctions. 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804.
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