Motor activity mildly decreased or with moderate slowing due to apraxia. (c) Combination of visual field defect and decreased visual acuity. Evaluate each condition separately, as long as the same signs and symptoms are not used to support more than one evaluation, and combine under, Consider the need for special monthly compensation for such problems as loss of use of an extremity, certain sensory impairments, erectile dysfunction, the need for aid and attendance (including for protection from hazards or dangers incident to the daily environment due to cognitive impairment), being housebound, etc. The digestive system is made up of the mouth, throat, esophagus, stomach, small intestine, large intestine, rectum, and anus. Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. cm.). VA DISABILITIES OF THE GENITOURINARY SYSTEM. What is the Respiratory System for VA rating purposes? What are disabilities of the Endocrine System for VA rating purposes? If there is no replacement lens, evaluate based on aphakia (diagnostic code 6029). VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. 9902 Mandible loss of, including ramus, unilaterally or bilaterally. 4.76a Computation of average concentric contraction of visual fields. The direction of angulation and extent of deformity should be carefully related to strain on the neighboring joints, especially those connected with weight-bearing. When a claimant has both diplopia and decreased visual acuity or visual field defect, assign a level of corrected visual acuity for the poorer eye (or the affected eye, if disability of only one eye is service-connected) that is: one step poorer than it would otherwise warrant if the evaluation for diplopia under diagnostic code 6090 is 20/70 or 20/100; two steps poorer if the evaluation under diagnostic code 6090 is 20/200 or 15/200; or three steps poorer if the evaluation under diagnostic code 6090 is 5/200. Choosing an item from [61 FR 52700, Oct. 8, 1996, as amended at 79 FR 45099, Aug. 4, 2014]. Not all of these brain functions may be affected in a given individual with cognitive impairment, and some functions may be affected more severely than others. 8623 Neuritis, anterior tibial (deep peroneal) nerve. Experience has shown that the term peptic ulcer is not sufficiently specific for rating purposes. Criterion March 10, 1976; criterion July 2, 2001. 8211 Eleventh (spinal accessory, external branch), paralysis. between the thumb pad and the fingers, with the thumb attempting to oppose the fingers. 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. [61 FR 39875, July 31, 1996, as amended at 84 FR 28230, June 18, 2019], [34 FR 5062, Mar. 5123 Above insertion of pronator teres. Evaluate cognitive impairment under the table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified., Subjective symptoms may be the only residual of TBI or may be associated with cognitive impairment or other areas of dysfunction. Note: Evaluate automatic implantable cardioverter-defibrillators (AICDs) under DC 7011. Criterion September 22, 1978; criterion September 12, 1988. What is the musculoskeletal system for VA rating purposes? 2 Also entitled to special monthly compensation. What are Gynecological Conditions and Disorders of the Breasts for VA rating purposes? Residuals of traumatic brain injury (TBI). Evaluate intervertebral disc syndrome (preoperatively or postoperatively) either under the General Rating Formula for Diseases and Injuries of the Spine or under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes, whichever method results in the higher evaluation when all disabilities are combined under. Normal TP is greater than or equal to 60 mm Hg. Schedule of ratings - musculoskeletal system. Rate as minor seizures, except in the presence of major and minor seizures, rate the predominating type. This rating schedule is primarily a guide in the evaluation of disability resulting from all types of diseases and injuries encountered as a result of or incident to military service. Criterion February 17, 1994; evaluation September 10, 2017; title September 10, 2017. The common cause of disability in this region is arthritis, to be identified in the usual manner. One or more neurobehavioral effects that frequently interfere with workplace interaction, social interaction, or both but do not preclude them. 5051 Shoulder replacement (prosthesis). (b) More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.). Diseases of the genitourinary system generally result in disabilities related to renal or voiding dysfunctions, infections, or a combination of these. Specific phobia; social anxiety disorder (social phobia). 7522 Erectile dysfunction, with or without penile deformity. Entrance and (if present) exit scars, small or linear, indicating short track of missile through muscle tissue. No complaints of impairment of memory, attention, concentration, or executive functions. Combined Disability Rating. 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. You can use your service medical records, military records, and a personal statement to prove your shoulder injury occurred while you were serving. Added October 1, 1961; criterion September 9, 1975; criterion March 10, 1976. 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. AtVA Claims Insider, we help fellow Veterans celebrateLIFE CHANGEby helping them get the VA disability rating and compensationYOU DESERVEby law. Unable to communicate basic needs. Note: Evaluate syphilitic aortic aneurysms under DC 7110 (Aortic aneurysm: Ascending, thoracic, abdominal). (ii) History and complaint. In every instance where the schedule does not provide a zero percent evaluation for a diagnostic code, a zero percent evaluation shall be assigned when the requirements for a compensable evaluation are not met. (a) Subject to the provisions of paragraphs (d), (e), and (f) of this section this increased rating will be effective the first day of continuous hospitalization and will be terminated effective the last day of the month of hospital discharge (regular discharge or release to non-bed care) or effective the last day of the month of termination of treatment or observation for the service-connected disability. Particular attention, with a view to proper rating under the rating schedule, is to be given to the claims of veterans discharged from hospital, regardless of length of hospitalization, with indications on the final summary of expected confinement to bed or house, or to inability to work with requirement of frequent care of physician or nurse at home. (e) Without retrogression of lesions or other evidence of material improvement at the end of six months hospitalization or without change of diagnosis from active at the end of 12 months hospitalization. Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100-percent evaluation. 8514 Musculospiral nerve (radial), paralysis. The frequency of seizures should be ascertained under the ordinary conditions of life (while not hospitalized). 20, 2007, as amended at 73 FR 54708, 54711, Sept. 23, 2008; 74 FR 18467, Apr. 6829 Drug-induced pulmonary pneumonitis and fibrosis. Sciatic neuritis is not uncommonly caused by arthritis of the spine. In those cases, use the pre-bronchodilator values for rating purposes. That numeral will then be elevated to the next higher Roman numeral. This imposes upon the medical examiner the responsibility of furnishing, in addition to the etiological, anatomical, pathological, laboratory and prognostic data required for ordinary medical classification, full description of the effects of disability upon the person's ordinary activity. Or rate as renal dysfunction if there is nephritis, infection, or pathology of the other. Criterion September 8, 1994; title, criterion, note November 14, 2021. (ii) When pulmonary hypertension (documented by an echocardiogram or cardiac catheterization), cor pulmonale, or right ventricular hypertrophy has been diagnosed. 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. (b) Where unemployable, the veteran has other disabilities innocently acquired which meet the percentage requirements of 4.16 and 4.17 and would render, in the judgment of the rating agency, the average person unable to secure or follow a substantially gainful occupation. Note (2): Asymptomatic bradycardia (bradyarrhythmia) is a medical finding only. Evaluation September 9, 1975; criterion January 12, 1998; criterion November 14, 2021. [With the exceptions noted, disability from the following diseases and their residuals may be rated from 10 percent to 100 percent in proportion to the impairment of motor, sensory, or mental function. 5172 Toes, other than great, amputation of, with removal of metatarsal head: 5173 Toes, three or four, amputation of, without metatarsal involvement: 5200 Scapulohumeral articulation, ankylosis of: Unfavorable, abduction limited to 25 from side, Intermediate between favorable and unfavorable, Favorable, abduction to 60, can reach mouth and head, Flexion and/or abduction limited to 25 from side, Midway between side and shoulder level (flexion and/or abduction limited to 45), At shoulder level (flexion and/or abduction limited to 90). [41 FR 34256, Aug. 13, 1976, as amended at 54 FR 4281, Jan. 30, 1989; 71 FR 28586, May 17, 2006]. This will not, of course, preclude the correction of erroneous ratings, nor will it preclude assignment of a rating in conformity with 4.7. 6064 No more than light perception in one eye. 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. 4.114 Schedule of ratings - digestive system. cm.) 38 CFR 4.73 - Schedule of ratings - muscle injuries. Exceptional patterns of hearing impairment. This procedure will facilitate a close check of new and unlisted conditions, rated by analogy. With diseases, preference is to be given to the number assigned to the disease itself; if the rating is determined on the basis of residual conditions, the number appropriate to the residual condition will be added, preceded by a hyphen. Criterion March 1, 1989; evaluation August 30, 1996; title, criterion, note August 11, 2019. The following will be considered to be permanent total disability: the permanent loss of the use of both hands, or of both feet, or of one hand and one foot, or of the sight of both eyes, or becoming permanently helpless or permanently bedridden. 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. Internal popliteal nerve (tibial), paralysis. Following the total rating for the 1 year period after date of inactivity, the schedular evaluation for residuals of nonpulmonary tuberculosis. Rate under the general rating formula for major seizures. 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. Added June 9, 1996; evaluation June 9, 1996; criterion December 10, 2017; note. 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy. Surface contour of scar elevated or depressed on palpation. (d) Maximum evaluation for visual impairment of one eye. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. Evidence of increased intracranial pressure (such as visual field defect), arthropathy, glucose intolerance, and either hypertension or cardiomegaly, Arthropathy, glucose intolerance, and hypertension, Enlargement of acral parts or overgrowth of long bones. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies. Some examples of mental illness include PTSD, adjustment disorder, major depressive disorder, anxiety disorders, schizophrenia, and eating disorders among others. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Note (3): Tuberculous Addison's disease will be evaluated as active or inactive tuberculosis. 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. ), pain on manipulation and use accentuated, indication of swelling on use, characteristic callosities: Moderate; weight-bearing line over or medial to great toe, inward bowing of the tendo achillis, pain on manipulation and use of the feet, bilateral or unilateral, Mild; symptoms relieved by built-up shoe or arch support. Examples are: mild or occasional headaches, mild anxiety. (b) Examination for visual impairment. Examination of visual acuity must include the central uncorrected and corrected visual acuity for distance and near vision using Snellen's test type or its equivalent. For 2 years after date of inactivity, following active tuberculosis, which was clinically identified during service or subsequently, Thereafter, for 4 years, or in any event, to 6 years after date of inactivity, Thereafter, for 5 years, or to 11 years after date of inactivity, Thereafter, in the absence of a schedular compensable permanent residual. Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). Evaluation February 17, 1994; criterion November 14, 2021. We use your disability rating to determine See Table III for the normal extent (in degrees) of the visual fields at the 8 principal meridians (45 degrees apart). If accepted into our ELITE membership program, youll get free up-front access and permission to use $13,119 worth of proprietary VA claim resources, including access to our network of independent medical professionals for medical examinations, disability evaluations, and credible Medical Nexus Letters, which could help you get a HIGHER VA rating in LESS time. O. 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804: Evaluate any disabling effect(s) not considered in a rating provided under diagnostic codes 7800-04 under an appropriate diagnostic code. Estimate your 2023 VA Rating & Compensation for FREE! Brian is a Distinguished Graduate of Management from theUnited States Air Force Academy, Colorado Springs, CO and he holds an MBA from Oklahoma State Universitys Spears School of Business, Stillwater, OK, where he was a National Honor Scholar (Top 1% of Graduate School class). (d) On these total ratings Department of Veterans Affairs regulations governing effective dates for increased benefits will control. 4.75 General considerations for evaluating visual impairment. With shortening of a long bone, some degree of angulation is to be expected; the extent and direction should be brought out by X-ray and observation. Did you know there are 834 conditions eligible for compensation in the official VA disability conditions list? Group III Function: Elevation and abduction of arm. 7718 Essential thrombocythemia and primary myelofibrosis. Other specified and unspecified schizophrenia spectrum and other psychotic disorders. 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. Mandible loss of, including ramus, unilaterally or bilaterally. 6017 Conjunctivitis, trachomatous, chronic. ): 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. (b) A chronic mental disorder is not uncommon as an interseizure manifestation of psychomotor epilepsy and may include psychiatric disturbances extending from minimal anxiety to severe personality disorder (as distinguished from developmental) or almost complete personality disintegration (psychosis).