7522 Erectile dysfunction, with or without penile deformity. Baseline weight means the average weight for the two-year-period preceding onset of the disease. 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. VA DISABILITIES OF THE RESPIRATORY SYSTEM. Memory, attention, concentration, executive functions. 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. Rate according to predominant symptoms as renal dysfunction, hypertension or heart disease. 4.28 Prestabilization rating from date of discharge from service. Major or mild neurocognitive disorder due to Alzheimer's disease. 7011 Ventricular arrhythmias(sustained). Moderately impaired judgment. These parts all work together to keep the body in balance. (d) Maximum evaluation for visual impairment of one eye. Note: Six months following discharge from inpatient hospitalization for surgery, determine the appropriate disability rating by mandatory VA examination. There are various postgastrectomy symptoms which may occur following anastomotic operations of the stomach. Evaluation August 30, 1996; criterion, note August 11, 2019. Renal involvement in diabetes mellitus type I or II. ratings Skin indurated and inflexible in an area exceeding six square inches (39 sq. Total disability ratings for pension based on unemployability and age of the individual. 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. 7918 Pheochromocytoma(benign or malignant). How do I increase my rating percentages? A reduction in the total rating will not be subject to 3.105(e) of this chapter. This adjusted level of corrected visual acuity, however, must not exceed a level of 5/200. Yes, Back Pain is a VA disability. 7344 Benign neoplasms, exclusive of skin growths: Evaluate under an appropriate diagnostic code, depending on the predominant disability or the specific residuals after treatment. Paraplegia with loss of use of both lower extremities and loss of anal and bladder sphincter control qualifies for subpar. 7124 Raynaud's disease (also known as primary Raynaud's): Characteristic attacks associated with trophic change(s), such as tight, shiny skin, Characteristic attacks without trophic change(s). When evaluating visual impairment, refer to 38 CFR 3.350 to determine whether the claimant may be entitled to special monthly compensation. Added March 10, 1976; criterion February 3, 1988; Title August 4, 2014. Knee, resurfacing or replacement (prosthesis). 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. VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. Other total disability ratings are scheduled in the various bodily systems of this schedule. 7, 1994; 86 FR 54085, Sept. 30, 2021], [59 FR 2527, Jan. 18, 1994; 59 FR 14567, Mar. (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. 21, 1995, as amended at 67 FR 6874, Feb. 14, 2002; 67 FR 37695, May 30, 2002; 83 FR 15071, Apr. Painful neuroma of a stump after amputation shall be assigned the evaluation for the elective site of reamputation. Infectious Diseases can spread through various means, and include bacterial, parasitic, and viral infections whereas Immune Disorders are conditions that attack the immune system and make the body more susceptible to infection. Internal popliteal nerve (tibial), paralysis. Evaluate subjective symptoms that are residuals of TBI, whether or not they are part of cognitive impairment, under the subjective symptoms facet in the table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified. However, separately evaluate any residual with a distinct diagnosis that may be evaluated under another diagnostic code, such as migraine headache or Meniere's disease, even if that diagnosis is based on subjective symptoms, rather than under the Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified table, Evaluate emotional/behavioral dysfunction under. Listed below are some of the most common conditions that go by other names. 7123 Soft tissue sarcoma(of vascular origin). The diagnostic code numbers appearing opposite the listed ratable disabilities are arbitrary numbers for the purpose of showing the basis of the evaluation assigned and for statistical analysis in the Department of Veterans Affairs, and as will be observed, extend from 5000 to a possible 9999. 6300 Vibriosis (Cholera, Non-cholera). In making such determinations, the following guidelines will be used: (a) Marginal employment, for example, as a self-employed farmer or other person, while employed in his or her own business, or at odd jobs or while employed at less than half the usual remuneration will not be considered incompatible with a determination of unemployability, if the restriction, as to securing or retaining better employment, is due to disability. VA Disability for Hip Pain Due To Avascular Necrosis 5242 Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). Anterior tibial nerve (deep peroneal), paralysis. Such total rating will be followed by appropriate schedular evaluations. Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events). How to Service Connect Your Shoulder Pain, Direct Service Connection for a VA Rating for Shoulder Pain, Secondary Service Connection for a Shoulder Pain VA Rating, 3. 5166 Forefoot, proximal to metatarsal bones. Over a period of many years, a veteran's disability claim may require reratings in accordance with changes in laws, medical knowledge and his or her physical or mental condition. 5229 Index or long finger, limitation of motion: With a gap of one inch (2.5 cm.) 6200 Chronic suppurative otitis media, mastoiditis, or cholesteatoma (or any combination): 6201 Chronic nonsuppurative otitis media with effusion (serous otitis media): 6205 Meniere's syndrome (endolymphatic hydrops): Hearing impairment with attacks of vertigo and cerebellar gait occurring more than once weekly, with or without tinnitus, Hearing impairment with attacks of vertigo and cerebellar gait occurring from one to four times a month, with or without tinnitus, Hearing impairment with vertigo less than once a month, with or without tinnitus, Deformity of one, with loss of one-third or more of the substance, 6208 Malignant neoplasm of the ear (other than skin only). 7824 Diseases of keratinization (including icthyoses, Darier's disease, and palmoplantar keratoderma). What are disabilities of the Endocrine System for VA rating purposes? 8513 All radicular groups, paralysis. In the acquired condition, it is to be remembered that depression of the longitudinal arch, or the degree of depression, is not the essential feature. When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted. 6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy). Redesignated at 59 FR 60902, Nov. 29, 1994]. 4.22 Rating of disabilities aggravated by active service. What are eye disabilities for VA rating purposes? It is the defined and consistently applied policy of the Department of Veterans Affairs to administer the law under a broad interpretation, consistent, however, with the facts shown in every case. Minimum, if there is pain, photophobia, and glare sensitivity. What are Gynecological Conditions and Disorders of the Breasts for VA rating purposes? A temporary release which is approved by an attending Department of Veterans Affairs physician as part of the treatment plan will not be considered an absence. Examples are: mild or occasional headaches, mild anxiety. The aim should be the reconciliation and continuance of the diagnosis or etiology upon which service connection for the disability had been granted. 6333 Nontyphoid salmonella infections. WebAs reported in the VAs most recent Annual Benefits Report, musculoskeletal disabilities are the most commonly claimed condition in the VA disability benefits system, making up 36.9 percent of all disability claims. 9917 Neoplasm, hard and soft tissue, benign. 4.2 Interpretation of examination reports. 8045 Residuals of traumatic brain injury (TBI). Many of these medications cause other disabilities through side effects. As a fellow disabled Veteran this is shameful and Im on a mission to change it. 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). Criterion July 6, 1950; criterion September 22, 1978; criterion and evaluation October 23, 2008. Indications on palpation of loss of deep fascia, muscle substance, or normal firm resistance of muscles compared with sound side. Rate as for disfigurement and impairment of function of mastication. Tests of strength and endurance compared with sound side demonstrate positive evidence of impairment. (a) Associated with active tuberculosis involving other than the respiratory system. Criterion September 22, 1978; evaluation February 17, 1994; evaluation September 10, 2017; title September 10, 2017. Evaluation July 6, 1950; criterion March 10, 1976. Added March 1, 1989; removed March 24, 1992. [40 FR 42536, Sept. 15, 1975, as amended at 43 FR 45349, Oct. 2, 1978]. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies. The personality disorder will be rated as a dementia (e.g., diagnostic code 9304 or 9326). Displaying title 38, up to date as of 3/02/2023. Added June 9, 1952; evaluation January 12, 1998; note, criterion, evaluation November 14, 2021. 4.86 Exceptional patterns of hearing impairment. 6515 Laryngitis, tuberculous, active or inactive. With widespread musculoskeletal pain and tender points, with or without associated fatigue, sleep disturbance, stiffness, paresthesias, headache, irritable bowel symptoms, depression, anxiety, or Raynaud's-like symptoms: That are constant, or nearly so, and refractory to therapy, That are episodic, with exacerbations often precipitated by environmental or emotional stress or by overexertion, but that are present more than one-third of the time, That require continuous medication for control. Occurs when tendons and cartilage cannot properly support the (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. General Rating Formula for Diseases of the Eye: Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation, With documented incapacitating episodes requiring 7 or more treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 5 but less than 7 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 3 but less than 5 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 1 but less than 3 treatment visits for an eye condition during the past 12 months, Note (1): For the purposes of evaluation under, Note (2): Examples of treatment may include but are not limited to: Systemic immunosuppressants or biologic agents; intravitreal or periocular injections; laser treatments; or other surgical interventions, Note (3): For the purposes of evaluating visual impairment due to the particular condition, refer to. The anatomical position is considered as 0, with two major exceptions: (a) Shoulder rotation - arm abducted to 90, elbow flexed to 90 with the position of the forearm reflecting the midpoint 0 between internal and external rotation of the shoulder; and (b) supination and pronation - the arm next to the body, elbow flexed to 90, and the forearm in midposition 0 between supination and pronation. 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. Three or more subjective symptoms that mildly interfere with work; instrumental activities of daily living; or work, family, or other close relationships. Added September 22, 1978; title, criterion, and note February 7, 2021. 9423 Unspecified somatic symptom and related disorder. (d) When a single disability has been diagnosed both as a physical condition and as a mental disorder, the rating agency shall evaluate it using a diagnostic code which represents the dominant (more disabling) aspect of the condition (see 4.14). Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. While the main function of the Ear is to control hearing (frequencies, decibals, tones, etc), it also controls the bodys balance. Neuralgia, anterior tibial nerve (deep peroneal). Depersonalization/derealization disorder. A Goniometer will probably be used at your C&P exam to measure Range of Motion (ROM) of your shoulder and arm. 7114 Peripheral arterial disease(Peripheral vascular disease). Otherwise, the lower rating will be assigned. External cutaneous nerve of thigh, paralysis. 8307 Neuritis, seventh cranial nerve. 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. 8312 Neuritis, twelfth cranial nerve. Blindness, both eyes, only light perception. 6820 Neoplasms, benign, any specified part of respiratory system. The use of a goniometer in the measurement of limitation of motion is indispensable in examinations conducted within the Department of Veterans Affairs. Added September 9, 1975; removed September 22, 1978. 5111 Loss of use of one hand and one foot. 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. Inability to communicate either by spoken language, written language, or both, at least half of the time but not all of the time, or to comprehend spoken language, written language, or both, at least half of the time but not all of the time. (eg: 5173 Toes, three or more, without metatarsal involvement. Youve just been rated 100% disabled by the Veterans Affairs. Nutritional Deficiencies happen when the body is not getting enough nutrients, such as vitamins, minerals, etc. Because of this, the VA focuses the disability rating system for conditions of the Ears primarily on hearing loss, with additional rating options to cover conditions affecting balance, infections, ringing in the ear, etc. Added March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. in an area exceeding six square inches (39 sq. 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. 8710 Neuralgia, upper radicular group. (b) Two or more skin conditions may be combined in accordance with 4.25 only if separate areas of skin are involved. 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. 18, 1976; 41 FR 34256, Aug. 13, 1976; 54 FR 4281, Jan. 30, 1989; 54 FR 34981, Aug. 23, 1989; 71 FR 28586, May 17, 2006; 79 FR 2100, Jan. 13, 2014]. 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. What is the Respiratory System for VA rating purposes? 7717 AL amyloidosis (primary amyloidosis). (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. Examinations will be conducted without the use of hearing aids. VA Form 21-686c, also known as the VA form to add dependents or the Declaration of Status of Dependents, is a form for you to provide information to the VA about your dependents. Prior employment or unemployment status is immaterial if in the judgment of the rating board the veteran's disabilities render him or her unemployable. Simple wound of muscle without debridement or infection. Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy. 6006 Retinopathy or maculopathy not otherwise specified, Note: This code includes orbital trauma, as well as penetrating or non-penetrating eye injury. 5165 At a lower level, permitting prosthesis. The termination of these total ratings will not be subject to 3.105(e) of this chapter. With dietary restrictions to all mechanically altered foods, Without dietary restrictions to mechanically altered foods. VA Rating Criteria for GERD: 10 percent a veteran is rated at 10% if they have two or more of the common signs of GERD from the 30% schedule but not severe enough to justify the full 30% rating. [41 FR 11292, Mar. Last sentence of Note following July 6, 1950; evaluation January 12, 1998; criterion August 13, 1998; criterion November 14, 2021. L. 90-493 apply, the former evaluations are retained in this section. Criterion May 22, 1995; title May 13, 2018. VA Disability Ratings for Back Pain Explained (The Definitive Guide) cm.). In those cases, use the pre-bronchodilator values for rating purposes. 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy (De Quervains Disease). Ratings under diagnostic codes 9520 and 9521 will be evaluated using the General Rating Formula for Eating Disorders. 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. or more, will be taken as loss of use of the hand or foot involved. 5311 Group XI Function: Propulsion, plantar flexion of foot. (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. VA Disability Rating for Rotator Cuff Repair and Shoulder Criterion May 13, 2018. (2) Where a case is encountered with a definite history of unemployment, full and complete development should be undertaken to ascertain whether the epilepsy is the determining factor in his or her inability to obtain employment. 6827 Pulmonary alveolar proteinosis. What is the Genitourinary System for VA rating purposes? 7900 Hyperthyroidism, including, but not limited to, Graves' disease: Thereafter, rate residuals of disease or complications of medical treatment within the appropriate diagnostic code(s) within the appropriate body system. * If bilateral, see 3.350(a)(3) of this chapter to determine whether the veteran may be entitled to special monthly compensation. 5236 Sacroiliac injury and weakness. General Rating Formula for DCs 7806, 7809, 7813-7816, 7820-7822, and 7824 added August 13, 2018. Criterion July 6, 1950; evaluation March 10, 1976; evaluation January 12, 1998. 9917 Neoplasm, hard and soft tissue, benign: Rate as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring. Evaluation August 30, 2002; criterion, note August 13, 2018. The lumbosacral articulation and both sacroiliac joints are considered to be a group of minor joints, ratable on disturbance of lumbar spine functions. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies: Displacement, causing severe anterior or posterior open bite, Displacement, causing moderate anterior or posterior open bite, Displacement, not causing anterior or posterior open bite. (a) The use of the terms arms and legs is not intended to distinguish between the arm, forearm and hand, or the thigh, leg, and foot, but relates to the upper extremities and lower extremities as a whole. Title 38, Part 4 Schedule for Rating Disabilities