(a) A muscle injury rating will not be combined with a peripheral nerve paralysis rating of the same body part, unless the injuries affect entirely different functions. 1/1.1 Criterion September 22, 1978; criterion September 12, 1988. For example, unable to determine appropriate clothing for current weather conditions or judge when to avoid dangerous situations or activities. 8514 Musculospiral nerve (radial), paralysis. 4.127 Intellectual disability (intellectual developmental disorder) and personality disorders. 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only: For tubercular infections: Rate in accordance with. Residuals of traumatic brain injury (TBI). Listed below are some of the most common conditions that go by other names. How to File a Claim on VA.gov (step-by-step)! 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships. 7123 Soft tissue sarcoma(of vascular origin). The genitourinary system includesthe organs of the reproductive system and the urinary system. Added May 22, 1995; title, criterion May 13, 2018. Can generally communicate complex ideas. 7114 Peripheral arterial disease(Peripheral vascular disease). 6305 Lymphatic filariasis, to include elephantiasis. (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. A Goniometer will probably be used at your C&P exam to measure Range of Motion (ROM) of your shoulder and arm. 7533 Cystic diseases of the kidneys(renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified, antheroembolic renal disease). (iii) Objective findings. 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity: Where the lost masticatory surface cannot be restored by suitable prosthesis: All upper and lower posterior teeth missing, All upper and lower anterior teeth missing, All upper and lower teeth on one side missing, Where the loss of masticatory surface can be restored by suitable prosthesis, With displacement, causing severe anterior or posterior open bite, With displacement, causing moderate anterior or posterior open bite, With displacement, causing mild anterior or posterior open bite. 9918 Neoplasm, hard and soft tissue, malignant. 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. A complication of a number of diseases, including pernicious anemia. 7530 Chronic renal disease requiring regular dialysis: Thereafter: Rate on residuals as renal dysfunction, minimum rating. 5323 Group XXIII Function: Movements of head. Objective evidence on testing of severe impairment of memory, attention, concentration, or executive functions resulting in severe functional impairment. One or two painful flare-ups a year: 20% Rating. Criterion October 23, 2008; title August 13, 2018. 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. (a) To use table I, the disabilities will first be arranged in the exact order of their severity, beginning with the greatest disability and then combined with use of table I as hereinafter indicated. Note (1): Evaluate cor pulmonale, which is a form of secondary heart disease, as part of the pulmonary condition that causes it. Added September 9, 1975; criterion October 23, 1995; criterion December 9, 2018. X-ray changes from arthritis in this location are decrease or obliteration of the joint space, with the appearance of increased bone density of the sacrum and ilium and sharpening of the margins of the joint. 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. 8729 Neuralgia, external cutaneous nerve of thigh. Neuritis, musculocutaneous (superficial peroneal) nerve. For residuals not listed here that are reported on an examination, evaluate under the most appropriate diagnostic code. 8004 Paralysis agitans(Parkinsons Disease). Group VIII Function: Extension of wrist, fingers, thumb. Thereafter, with diagnosis confirmed by findings on physical examination and either echocardiogram, Doppler echocardiogram, or cardiac catheterization, use the General Rating Formula. For information on the availability of this information at NARA, call 202-741-6030 or go to http://www.archives.gov/federal_register/code_of_federal_regulations/ibr_publications.html. Were here to help you receive the compensation and care you rightfully earned. (iii) Objective findings. In a given individual, symptoms may fluctuate in severity from day to day. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! 4.128 Convalescence ratings following extended hospitalization. For purposes of evaluating conditions in 4.114, the term substantial weight loss means a loss of greater than 20 percent of the individual's baseline weight, sustained for three months or longer; and the term minor weight loss means a weight loss of 10 to 20 percent of the individual's baseline weight, sustained for three months or longer. 7818 Malignant skin neoplasms(other than malignant melanoma). Ratings for Pulmonary Tuberculosis Initially Evaluated After August 19, 1968: 6819 Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths. Note. Motor activity mildly decreased or with moderate slowing due to apraxia. Renal involvement in diabetes mellitus type I or II. There are various postgastrectomy symptoms which may occur following anastomotic operations of the stomach. 7110 Aortic aneurysm: Ascending, thoracic, or abdominal: Evaluate at 100 percent if the aneurysm is any one of the following: Five centimeters or larger in diameter; symptomatic (e.g., precludes exertion); or requires surgery. 7330 Intestine, fistula of, persistent, or after attempt at operative closure: 7331 Peritonitis, tuberculous, active or inactive: 7332 Rectum and anus, impairment of sphincter control: Extensive leakage and fairly frequent involuntary bowel movements, Occasional involuntary bowel movements, necessitating wearing of pad, Constant slight, or occasional moderate leakage, Great reduction of lumen, or extensive leakage, Moderate reduction of lumen, or moderate constant leakage, Moderate, persistent or frequently recurring, Mild with constant slight or occasional moderate leakage. Of the five main senses, eyesight is used and relied upon the most. (d) With advancement of lesions on successive examinations or while under treatment. (See table I). Criterion August 13, 1981; evaluation June 9, 1996; title December 10, 2017; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. Code O-2 (38 CFR 3.350(e)(2)). Muscles swell and harden abnormally in contraction. Bursitis Introduction paragraph revised March 10, 1976. 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. (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. For the application of this schedule, accurate and fully descriptive medical examinations are required, with emphasis upon the limitation of activity imposed by the disabling condition. cm.) Criterion August 13, 1981; criterion June 9, 1996; criterion December 10, 2017. 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. 7630 Malignant neoplasms of the breast. Noncompensable complications are considered part of the diabetic process under DC 7913. Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that do not require therapy comparable to that for systemic malignancies: Separately evaluate visual and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. (vi) fatigue lasting 24 hours or longer after exercise. (E) Adaptive contraction of an opposing group of muscles. Amputation, or injury to an upper extremity, is not considered as a causative factor with subsequently developing arthritis, except in joints subject to direct strain or actually injured. 5229 Index or long finger, limitation of motion: With a gap of one inch (2.5 cm.) 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. 5164 Not improvable by prosthesis controlled by natural knee action. Rate under the appropriate cardiovascular diagnostic code, depending on particular findings. Principles of combined ratings for muscle injuries. 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism. 7911 Addison's disease (adrenocortical insufficiency): Three crises during the past year, or; five or more episodes during the past year, One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control. Criterion May 22, 1995; criterion March 18, 2002. In the exercise of his or her functions, rating officers must not allow their personal feelings to intrude; an antagonistic, critical, or even abusive attitude on the part of a claimant should not in any instance influence the officers in the handling of the case. Added March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. May rely on gestures or other alternative modes of communication. Note: When surgery is required, a 100-percent evaluation begins on the date a physician recommends surgical correction with a mandatory VA examination six months following hospital discharge. 6018 Conjunctivitis, other, chronic (nontrachomatous)(keratoconjunctivitis). VA disability Baseline weight means the average weight for the two-year-period preceding onset of the disease. Criterion February 3, 1988; removed August 4, 2014. Dear Veteran, Heres the brutal truth about VA disability claims: According to our data, 8/10 (80%) of veterans reading this message right now are underrated by the VA. 5306 Group VI Function: Extension of elbow. Estimate your 2023 VA Rating & Compensation for FREE! 9312 Major or mild neurocognitive disorder due to Alzheimers disease. 8405 Neuralgia, fifth cranial nerve. 23, 2009; 77 FR 6467, Feb. 8, 2012; 79 FR 45103, Aug. 4, 2014; 82 FR 36085, Aug. 3, 2017; 82 FR 50807, Nov. 2, 2017; 83 FR 15073, Apr. 11, 1969; 43 FR 45361, Oct. 2, 1978]. 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). 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.). 9901 Mandible, loss of, complete, between angles. Computation of average concentric contraction of visual fields. Preceding paragraph criterion September 22, 1978. If two or more skin conditions involve the same area of skin, then only the highest evaluation shall be used. cm.) 24, 2018]. (iv) When outpatient oxygen therapy is required. 4. 8212 Twelfth (hypoglossal), paralysis. 7508 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis: Rate as hydronephrosis, except for recurrent stone formation requiring invasive or non-invasive procedures more than two times/year, Frequent attacks of colic with infection (pyonephrosis), kidney function impaired, Frequent attacks of colic, requiring catheter drainage, Only an occasional attack of colic, not infected and not requiring catheter drainage, 3. invasive or non-invasive procedures more than two times/year. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), American Psychiatric Association (2013), is incorporated by reference into this section with the approval of the Director of the Federal Register under 5 U.S.C. Added March 1, 1963; criterion March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. The following section provides descriptions of various levels of disability in each of these symptom areas. 7822 Papulosquamous disorders not listed elsewhere. What to Expect At Your VA C&P Exam for Your Shoulder Pain. Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. Ratings under diagnostic codes 7301 to 7329, inclusive, 7331, 7342, and 7345 to 7348 inclusive will not be combined with each other. Evaluation August 30, 2002; criterion, note August 13, 2018. The term inability to gain weight means that there has been substantial weight loss with inability to regain it despite appropriate therapy. With service incurred lower extremity amputation or shortening, a disabling arthritis, developing in the same extremity, or in both lower extremities, with indications of earlier, or more severe, arthritis in the injured extremity, including also arthritis of the lumbosacral joints and lumbar spine, if associated with the leg amputation or shortening, will be considered as service incurred, provided, however, that arthritis affecting joints not directly subject to strain as a result of the service incurred amputation will not be granted service connection. When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree. Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. or less between the fingertip(s) and the proximal transverse crease of the palm, with the finger(s) flexed to the extent possible, evaluate as favorable ankylosis. The repercussion upon a current rating of service connection when change is made of a previously assigned diagnosis or etiology must be kept in mind. 5319 Group XIX Function: Abdominal wall and lower thorax. We recommend you directly contact the agency responsible for the content in question. 8312 Neuritis, twelfth cranial nerve. Evaluation March 1, 1989; evaluation August 30, 1996. 5209 Elbow, other impairment of flail joint. The most trusted name in education-based resources for Veterans. Persistently altered state of consciousness, such as vegetative state, minimally responsive state, coma. Once the signal reaches the visual cortex, it is interpreted by the brain so you can make sense of the environment. This means you do NOT currently have the VA disability rating and compensation YOU deserve, and you could be missing out on thousands of dollars of tax-free compensation and benefits each month. Internal popliteal nerve (tibial), paralysis. 9917 Neoplasm, hard and soft tissue, benign. Consequently, certain coexisting diseases in this area, as indicated in the instruction under the title Diseases of the Digestive System, do not lend themselves to distinct and separate disability evaluations without violating the fundamental principle relating to pyramiding as outlined in 4.14. 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. (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. eCFR :: 38 CFR Part 4 -- Schedule for Rating Disabilities For example, post concussive headaches are not listed in the general schedule, only migraine headaches. The most common is called direct service connection. [29 FR 6718, May 22, 1964, as amended at 41 FR 11294, Mar. Criterion September 22, 1978; criterion August 30, 1996; criterion, note August 11, 2019. Note (4): These evaluations involve a single extremity. or more between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible, or; with extension limited by more than 30 degrees, With a gap of less than one inch (2.5 cm.) Note: Thereafter, if diabetes insipidus has subsided, rate residuals under the appropriate diagnostic code(s) within the appropriate body system. 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation. There should be careful consideration of lumbosacral sprain, and the various symptoms of pain and paralysis attributable to disease affecting the lumbar vertebrae and the intervertebral disc. user convenience only and is not intended to alter agency intent Each disability must be considered from the point of view of the veteran working or seeking work. 6847 Sleep Apnea Syndromes (Obstructive, Central, Mixed): Chronic respiratory failure with carbon dioxide retention or cor pulmonale, or; requires tracheostomy, Requires use of breathing assistance device such as continuous airway pressure (CPAP) machine, Asymptomatic but with documented sleep disorder breathing. Ratings of the genitourinary system - dysfunctions. Criterion May 22, 1995; note May 13, 2018. Recurrent dislocation of at scapulohumeral joint: With frequent episodes and guarding of all arm movements, With infrequent episodes and guarding of movement only at shoulder level (flexion and/or abduction at 90 ). 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. The forepart of the foot is abducted, and the foot everted. My hip and thigh conditions have worsened. (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. Executive functions are goal setting, speed of information processing, planning, organizing, prioritizing, self-monitoring, problem solving, judgment, decision making, spontaneity, and flexibility in changing actions when they are not productive. L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated. For the purposes of this diagnostic code, normal ABI will be greater than or equal to 0.80. Findings sufficiently characteristic to identify the disease and the disability therefrom, and above all, coordination of rating with impairment of function will, however, be expected in all instances. (i) Type of injury. 8209 Ninth (glossopharyngeal), paralysis. Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome). With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to diagnostic codes 5205 through 5208. All of the criteria include severe, moderately severe, moderate, or slight and corresponds to a disability rating ranging from 0 to 40 percent. 7807 Leishmaniasis, American (New World). 9304 Major or mild neurocognitive disorder due to traumatic brain injury(Dementia). The examiner must use a Goldmann perimeter chart or the Tangent Screen method that identifies the four major quadrants (upward, downward, left, and right lateral) and the central field (20 degrees or less) (see Figure 2). 6062 Blindness, both eyes, only light perception. The evaluation of right knee instability is increased to 20 percent disabling effective June 26, 2010. Added October 15, 1991; criterion January 12, 1998. What is the Cardiovascular System for VA rating purposes? An authorized absence of 4 days or less which results in a total of more than 8 days of authorized absence during the first 21 days of hospitalization will be regarded as the equivalent of hospital discharge effective the ninth day of authorized absence. (2) Provided that he or she customarily wears contact lenses, evaluate the visual acuity of any individual affected by a corneal disorder that results in severe irregular astigmatism that can be improved more by contact lenses than by eyeglass lenses, as corrected by contact lenses. Evaluation February 17, 1994; removed November 14, 2021. learn more about the process here. Each ear will be evaluated separately. 7, 1994; 86 FR 54085, Sept. 30, 2021], [59 FR 2527, Jan. 18, 1994; 59 FR 14567, Mar. (2) Extensions of 1 or more months up to 6 months beyond the initial 6 months period may be made under paragraph (a) (2) or (3) of this section upon approval of the Veterans Service Center Manager. Rate chronic residuals according to impairment of function due to scars, lymphedema, or disfigurement (e.g., limitation of arm, shoulder, and wrist motion, or loss of grip strength, or loss of sensation, or residuals from harvesting of muscles for reconstructive purposes), and/or under diagnostic code 7626. Many Different Conditions Could Be Causing Your Shoulder Pain, 2. Marked contraction of plantar fascia with dropped forefoot, all toes hammer toes, very painful callosities, marked varus deformity: All toes tending to dorsiflexion, limitation of dorsiflexion at ankle to right angle, shortened plantar fascia, and marked tenderness under metatarsal heads: Great toe dorsiflexed, some limitation of dorsiflexion at ankle, definite tenderness under metatarsal heads: 5279 Metatarsalgia, anterior (Morton's disease), unilateral, or bilateral, Operated with resection of metatarsal head, Severe, if equivalent to amputation of great toe. 7312 Liver, cirrhosis, primary biliary cirrhosis, or cirrhotic phase of sclerosing cholangitis. (a) Psychomotor seizures consist of episodic alterations in conscious control that may be associated with automatic states, generalized convulsions, random motor movements (chewing, lip smacking, fumbling), hallucinatory phenomena (involving taste, smell, sound, vision), perceptual illusions (deja vu, feelings of loneliness, strangeness, macropsia, micropsia, dreamy states), alterations in thinking (not open to reason), alterations in memory, abnormalities of mood or affect (fear, alarm, terror, anger, dread, well-being), and autonomic disturbances (sweating, pallor, flushing of the face, visceral phenomena such as nausea, vomiting, defecation, a rising feeling of warmth in the abdomen). Evaluation September 9, 1975; criterion January 12, 1998; criterion November 14, 2021.