Limitation of Motion of Individual Digits: Spondylolisthesis or segmental instability. Note (4): Following surgery or other treatment, evaluate chronic residuals, such as nephrolithiasis (kidney stones), decreased renal function, fractures, vision problems, and cardiovascular complications, under the appropriate diagnostic codes. [59 FR 2530, Jan. 18, 1994, as amended at 82 FR 36083, Aug. 3, 2017], [72 FR 12983, Mar. When you file for a VA disability rating for shoulder pain, you will most likely be scheduled for a Compensation & Pension (C&P) exam. Hear from fellow Veterans just like you, with many of our Veteran Success Managers having gone through our programs. Evaluation September 9, 1975; evaluation January 12, 1998; title, criterion, note November 14, 2021. 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. 5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome). The official, published CFR, is updated annually and available below under No cardinal signs or symptoms of muscle disability as defined in paragraph (c) of this section. In considering the residuals of injury, it is essential to trace the medical-industrial history of the disabled person from the original injury, considering the nature of the injury and the attendant circumstances, and the requirements for, and the effect of, treatment over past periods, and the course of the recovery to date. For purposes of this section, marginal employment generally shall be deemed to exist when a veteran's earned annual income does not exceed the amount established by the U.S. Department of Commerce, Bureau of the Census, as the poverty threshold for one person. or less between the thumb pad and the fingers, with the thumb attempting to oppose the fingers, evaluate as favorable ankylosis, (5) If there is limitation of motion of two or more digits, evaluate each digit separately and combine the evaluations, 5216 Five digits of one hand, unfavorable ankylosis of. 5207 Forearm, limitation of extension. Cutaneous manifestations of collagen-vascular diseases not listed elsewhere. (b) It is the established policy of the Department of Veterans Affairs that all veterans who are unable to secure and follow a substantially gainful occupation by reason of service-connected disabilities shall be rated totally disabled. or more, will be taken as loss of use of the hand or foot involved. 9410 Other specified anxiety disorder. 8514 Musculospiral nerve (radial), paralysis. 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. 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 Each measurement is rounded to the nearest five degrees. General Rating Formula for DCs 7806, 7809, 7813-7816, 7820-7822, and 7824 added August 13, 2018. The ratings for the cranial nerves are for unilateral involvement; when bilateral, combine but without the bilateral factor. The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. 7815 Bullous disorders(including pemphigus vulgaris, pemphigus foliaceous, pemphigus vulgaris, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda, Bullous pemphigoid, Porphyri cutanea tarda). 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. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note. 9416 Dissociative amnesia; dissociative identity disorder. 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. Note: The evaluations specifically indicated under this diagnostic code shall continue for six months following initial diagnosis. VA DISABILITY FOR GYNECOLOGICAL CONDITIONS AND DISORDERS OF THE BREAST. 4.2 Interpretation of examination reports. 5321 Group XXI Function: Respiration. 7319 Irritable colon syndrome (spastic colitis, mucous colitis, etc. [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. 6604 Chronic obstructive pulmonary disease. 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. 6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy). (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. Dyspnea, tachycardia, nervousness, fatigability, etc., may result from many causes; some may be service connected, others, not. Disability is manifest from erector spinae spasm (not accounted for by other pathology), tenderness on deep palpation and percussion over these joints, loss of normal quickness of motion and resiliency, and postural defects often accompanied by limitation of flexion and extension of the hip. 9908 Condyloid process, loss of, one or both sides, Loss of half or more, not replaceable by prosthesis, Loss of less than half, not replaceable by prosthesis, Loss of half or more, replaceable by prosthesis, Loss of less than half, replaceable by prosthesis. 6520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral): Forced expiratory volume in one second (FEV-1) less than 40 percent of predicted value, with Flow-Volume Loop compatible with upper airway obstruction, or; permanent tracheostomy, FEV-1 of 40- to 55-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, FEV-1 of 56- to 70-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, FEV-1 of 71- to 80-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, Stricture or obstruction of pharynx or nasopharynx, or; absence of soft palate secondary to trauma, chemical burn, or granulomatous disease, or; paralysis of soft palate with swallowing difficulty (nasal regurgitation) and speech impairment, Without polyps, but with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side, With permanent hypertrophy of turbinates and with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side, Wegener's granulomatosis, lethal midline granuloma, 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, FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55 percent, or; DLCO (SB) of 40- to 55-percent predicted, or; maximum oxygen consumption of 15 to 20 ml/kg/min (with cardiorespiratory limit), FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70 percent, or; DLCO (SB) 56- to 65-percent predicted, FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80 percent, or; DLCO (SB) 66- to 80-percent predicted, With incapacitating episodes of infection of at least six weeks total duration per year, With incapacitating episodes of infection of four to six weeks total duration per year, or; near constant findings of cough with purulent sputum associated with anorexia, weight loss, and frank hemoptysis and requiring antibiotic usage almost continuously, With incapacitating episodes of infection of two to four weeks total duration per year, or; daily productive cough with sputum that is at times purulent or blood-tinged and that requires prolonged (lasting four to six weeks) antibiotic usage more than twice a year, Intermittent productive cough with acute infection requiring a course of antibiotics at least twice a year. This 40 percent rating may be further combined with evaluation for disabilities above the knee but not to exceed the above the knee amputation elective level. 5323 Group XXIII Function: Movements of head. We recommend you directly contact the agency responsible for the content in question. Major or mild neurocognitive disorder due to HIV or other infections. 5009 Other specified forms of arthropathy (excluding gout). Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. Evaluation March 1, 1989; evaluation August 30, 1996; criterion, note August 11, 2019. VA DISABILITY FOR INFECTIOUS DISEASES, IMMUNE DISORDERS AND NUTRITIONAL DEFICIENCIES. (a) Total ratings will be assigned under this section if treatment of a service-connected disability resulted in: (1) Surgery necessitating at least one month of convalescence (Effective as to outpatient surgery March 1, 1989. 4.86 Exceptional patterns of hearing impairment. 5229 Index or long finger, limitation of motion: With a gap of one inch (2.5 cm.) 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only: For tubercular infections: Rate in accordance with. 6820 Neoplasms, benign, any specified part of respiratory system. (eg: Note July 6, 1950; evaluation February 17, 1994, criterion September 8, 1994; criterion November 14, 2021. One or more neurobehavioral effects that interfere with or preclude workplace interaction, social interaction, or both on most days or that occasionally require supervision for safety of self or others. Neuralgia, cranial or peripheral, characterized usually by a dull and intermittent pain, of typical distribution so as to identify the nerve, is to be rated on the same scale, with a maximum equal to moderate incomplete paralysis. (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. If the report of examination is inadequate as a basis for the required consideration of service connection and evaluation, the rating agency may request a supplementary report from the examiner giving further details as to the limitations of the disabled person's ordinary activity imposed by the disease, injury, or residual condition, the prognosis for return to, or continuance of, useful work. (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. (b) Examination for visual impairment. 6841 Spinal cord injury with respiratory insufficiency. (6) When there is a disparity between the results of different PFT's (FEV-1 (Forced Expiratory Volume in one second), FVC (Forced Vital Capacity), etc. 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy (De Quervains Disease). How to File a Claim on VA.gov (step-by-step)! 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. If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free. Nonunion in upper half, with false movement: With loss of bone substance (1 inch (2.5 cms.) Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. The duration of the initial, and any subsequent, period of total incapacity, especially periods reflecting delayed union, inflammation, swelling, drainage, or operative intervention, should be given close attention. The most common is called direct service connection. What are disabilities of the Endocrine System for VA rating purposes? Mandible, nonunion of, confirmed by diagnostic imaging studies. Dont forget that to be eligible for VA disability compensation, you must first have: In this Ultimate Guide to the VA Disability Claims List, which is comprised of 834 disability conditions, youll discover each eligible condition arranged by body system and diagnostic code (lowest to highest) from CFR Title 38, Part 4, the Schedule for Rating Disabilities. For phakic (normal) individuals, as well as for pseudophakic or aphakic individuals who are well adapted to intraocular lens implant or contact lens correction, visual field examinations must be conducted using a standard target size and luminance, which is Goldmann's equivalent III/4e. 5239 Spondylolisthesis or segmental instability. It is the intention to recognize actually painful, unstable, or malaligned joints, due to healed injury, as entitled to at least the minimum compensable rating for the joint. (1) Pulmonary function tests (PFT's) are required to evaluate these conditions except: (i) When the results of a maximum exercise capacity test are of record and are 20 ml/kg/min or less. However, many different conditions could be causing your shoulder pain, including: These conditions can make it difficult to perform everyday tasks such as reaching for items, combing your hair, or even putting on a shirt. 20, 2007, as amended at 73 FR 54708, 54712, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 74 FR 18467, Apr. Evaluation March 10, 1976; evaluation July 2, 2001. [67 FR 49596, July 31, 2002; 67 FR 58448, 58449, Sept. 16, 2002; 73 FR 54710, Oct. 23, 2008; 77 FR 2910, Jan. 20, 2012; 83 FR 32597, July 13, 2018; 83 FR 38663, Aug. 7, 2018], [61 FR 20446, May 7, 1996, as amended at 82 FR 50804, Nov. 2, 2017]. L. 90-493 apply the former evaluations pertaining to pulmonary tuberculosis are retained in 4.97. 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). [29 FR 6718, May 22, 1964, as amended at 41 FR 11294, Mar. General Rating Formula for Bacterial Infections of the Lung (diagnostic codes 6822 through 6824): Active infection with systemic symptoms such as fever, night sweats, weight loss, or hemoptysis. Criterion March 1, 1989; evaluation August 30, 1996; title, criterion, note August 11, 2019. Ratings for Pulmonary Tuberculosis Initially Evaluated After August 19, 1968: 6819 Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths. 8721 Neuralgia, external popliteal nerve (common peroneal). 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. Criterion May 13, 2018; criterion, note August 11, 2019. - Need for aid attendance or permanently bedridden qualifies for subpar. The peripheral nervous system is made up of all the nerves that travel from the spinal cord to the rest of the body. 5000 Osteomyelitis, acute, subacute, or chronic: Of the pelvis, vertebrae, or extending into major joints, or with multiple localization or with long history of intractability and debility, anemia, amyloid liver changes, or other continuous constitutional symptoms, Frequent episodes, with constitutional symptoms, With definite involucrum or sequestrum, with or without discharging sinus, With discharging sinus or other evidence of active infection within the past 5 years, Inactive, following repeated episodes, without evidence of active infection in past 5 years. Neuritis, anterior tibial (deep peroneal) nerve. 8210 Tenth (pneumogastric, vagus), paralysis. 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: With visible or palpable tissue loss and either gross distortion or asymmetry of three or more features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with six or more characteristics of disfigurement, With visible or palpable tissue loss and either gross distortion or asymmetry of two features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with four or five characteristics of disfigurement, With visible or palpable tissue loss and either gross distortion or asymmetry of one feature or paired set of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with two or three characteristics of disfigurement. Yes, Back Pain is a VA disability. In cases involving aggravation by active service, the rating will reflect only the degree of disability over and above the degree existing at the time of entrance into the active service, whether the particular condition was noted at the time of entrance into the active service, or it is determined upon the evidence of record to have existed at that time. Evaluation January 12, 1998; criterion November 14, 2021. Criterion August 9, 1976; evaluation May 22, 1995. Thereafter, rate residuals of disease or medical treatment under the most appropriate diagnostic code(s) under the appropriate body system (, Note (3): If eye involvement, such as exophthalmos, corneal ulcer, blurred vision, or diplopia, is also present due to thyroid disease, also separately evaluate under the appropriate diagnostic code(s) in, For six months from date of discharge following surgery. Anatomical loss of one hand and one foot. Note (2): Where surgical intervention is indicated, this evaluation shall continue until the day of surgery, at which time the provisions pertaining to a 100-percent evaluation shall apply. Gets lost even in familiar surroundings, unable to use assistive devices such as GPS (global positioning system). 7911 Addisons disease (adrenocortical insufficiency). 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). (3) Evaluation of ankylosis of the index, long, ring, and little fingers: (i) If both the metacarpophalangeal and proximal interphalangeal joints of a digit are ankylosed, and either is in extension or full flexion, or there is rotation or angulation of a bone, evaluate as amputation without metacarpal resection, at proximal interphalangeal joint or proximal thereto, (ii) If both the metacarpophalangeal and proximal interphalangeal joints of a digit are ankylosed, evaluate as unfavorable ankylosis, even if each joint is individually fixed in a favorable position, (iii) If only the metacarpophalangeal or proximal interphalangeal joint is ankylosed, and there is a gap of more than two inches (5.1 cm.) 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. Group I Function: Upward rotation of scapula. 9403 Specific phobia; social anxiety disorder (social phobia). 7114 Peripheral arterial disease(Peripheral vascular disease). The VA Ratings Schedule for Rheumatoid Arthritis. With chronic residuals consisting of severe painful motion or weakness. (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. Military and private medical treatment records: Severe rated at 30% to 40% depending on dominant or non-dominant arm, Moderately severe rated at 20% to 30% depending on dominant or non-dominant arm, Moderate rated from 10% to 20% depending on shoulder function, File an Appeal with the Board of Veterans Appeals (BVA). Note (1): Bradycardia (bradyarrhythmia) refers to conduction abnormalities that produce a heart rate less than 60 beats/min. 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. 29 FR 6718, May 22, 1964, unless otherwise noted. Criterion February 3, 1988; removed November 7, 1996. Estimate your 2023 VA Rating & Compensation for FREE! Flexion elicits such manifestations. 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.. (c) Table VIa, Numeric Designation of Hearing Impairment Based Only on Puretone Threshold Average, is used to determine a Roman numeral designation (I through XI) for hearing impairment based only on the puretone threshold average. All disabilities are then to be combined as described in paragraph (a) of this section. Criterion September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. 8530 Ilio-inguinal nerve, paralysis. When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree. [29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. A total disability rating (100 percent) will be assigned without regard to other provisions of the rating schedule when it is established that a service-connected disability has required hospital treatment in a Department of Veterans Affairs or an approved hospital for a period in excess of 21 days or hospital observation at Department of Veterans Affairs expense for a service-connected disability for a period in excess of 21 days. Second note following December 1, 1949; criterion March 11, 1969; evaluation October 7, 1996. WebNote: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. Unless medically contraindicated, the fundus must be examined with the claimant's pupils dilated. 6522 Allergic or vasomotor rhinitis. However, full consideration must be given to unusual physical or mental effects in individual cases, to peculiar effects of occupational activities, to defects in physical or mental endowment preventing the usual amount of success in overcoming the handicap of disability and to the effect of combinations of disability. Brian isalso the CEOofMilitary Disability Made Easy, which is the worlds largest free searchable database for all things related to DoD disability and VA disability claims and has served more than 4,600,000 military members and veterans since its founding in 2013. 4.22 Rating of disabilities aggravated by active service. 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. 9424 Conversion disorder (functional neurological symptom disorder). The determination will be made on the basis of the actual remaining function of the hand or foot, whether the acts of grasping, manipulation, etc., in the case of the hand, or of balance and propulsion, etc., in the case of the foot, could be accomplished equally well by an amputation stump with prosthesis. 5209 Elbow, other impairment of flail joint. Criterion March 11, 1969; evaluation August 30, 2002. (iii) Objective findings. (iv) palpable or tender cervical or axillary lymph nodes. The psychotic or psychroneurotic disorder will be rated under the appropriate diagnostic code. Renal involvement in diabetes mellitus type I or II. This is commonly rated from 10% to 40%. 7011 Ventricular arrhythmias (sustained): For an indefinite period from the date of inpatient hospital admission for initial medical therapy for a sustained ventricular arrhythmia; or, for an indefinite period from the date of inpatient hospital admission for ventricular aneurysmectomy; or, with an automatic implantable cardioverter-defibrillator (AICD) in place, Note: When inpatient hospitalization for sustained ventricular arrhythmia or ventricular aneurysmectomy is required, a 100-percent evaluation begins on the date of hospital admission with a mandatory VA examination six months following hospital discharge. This will not, of course, preclude the correction of erroneous ratings, nor will it preclude assignment of a rating in conformity with 4.7. 8710 Neuralgia, upper radicular group. 6066 Visual acuity in one eye 10/200 (3/60) or better. 8627 Neuritis, internal saphenous nerve. Purely subjective complaints such as headache, dizziness, tinnitus, insomnia and irritability, recognized as symptomatic of a properly diagnosed cerebral arteriosclerosis, will be rated 10 percent and no more under diagnostic code 9305. Objective evidence on testing of mild impairment of memory, attention, concentration, or executive functions resulting in mild functional impairment. 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.

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