(b) For rating purposes, the skeletal muscles of the body are divided into 23 muscle groups in 5 anatomical regions: 6 muscle groups for the shoulder girdle and arm (diagnostic codes 5301 through 5306); 3 muscle groups for the forearm and hand (diagnostic codes 5307 through 5309); 3 muscle groups for the foot and leg (diagnostic codes 5310 through 5312); 6 muscle groups for the pelvic girdle and thigh (diagnostic codes 5313 through 5318); and 5 muscle groups for the torso and neck (diagnostic codes 5319 through 5323). 6731 Tuberculosis, pulmonary, chronic, inactive: Depending on the specific findings, rate residuals as interstitial lung disease, restrictive lung disease, or, when obstructive lung disease is the major residual, as chronic bronchitis (DC 6600). Added March 10, 1976; criterion February 3, 1988. [61 FR 46728, Sept. 5, 1996, as amended at 71 FR 28586, May 17, 2006]. Ratings under diagnostic codes 6600 through 6817 and 6822 through 6847 will not be combined with each other. The lumbosacral and sacroiliac joints should be considered as one anatomical segment for rating purposes. 6515 Laryngitis, tuberculous, active or inactive. Principles of combined ratings for muscle injuries. 7630 Malignant neoplasms of the breast. Cognitive impairment is defined as decreased memory, concentration, attention, and executive functions of the brain. You're not alone. Schedule of ratings - hemic and lymphatic systems. 7114 Peripheral arterial disease(Peripheral vascular disease). It is also available for inspection at the National Archives and Records Administration (NARA). The maximum rating which may be assigned for neuritis not characterized by organic changes referred to in this section will be that for moderate, or with sciatic nerve involvement, for moderately severe, incomplete paralysis. 9916 Maxilla, malunion or nonunion of. Were here to help you receive the compensation and care you rightfully earned. If no facet is evaluated as total, assign the overall percentage evaluation based on the level of the highest facet as follows: 0 = 0 percent; 1 = 10 percent; 2 = 40 percent; and 3 = 70 percent. (c) Weakened movement (due to muscle injury, disease or injury of peripheral nerves, divided or lengthened tendons, etc.). 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. Evaluation August 23, 1948; criterion October 23, 1995; evaluation December 9, 2018; criterion December 9, 2018. Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari. Evaluation March 1, 1963; evaluation March 10, 1976; evaluation August 30, 1996. 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. 7820 Infections of the skin(including bacterial, fungal, viral, treponemal, and parasitic diseases). Note (1): If hyperthyroid cardiovascular or cardiac disease is present, separately evaluate under DC 7008 (hyperthyroid heart disease). (C) Diminished muscle excitability to pulsed electrical current in electrodiagnostic tests. 7544 Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Gynecological Conditions and Disorders of the Breasts include the organs that can only be found in a female body and are used for sexual and reproductive purposes. 5012 Bones, neoplasm, malignant, primary or secondary. 7121 Post-phlebitic syndrome of any etiology: With the following findings attributed to venous disease: Massive board-like edema with constant pain at rest, Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration, Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration, Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema, Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery, Asymptomatic palpable or visible varicose veins, Arthralgia or other pain, numbness, or cold sensitivity plus two or more of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity plus one of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity. You could also be eligible for a VA disability rating for arthritis in your shoulder if your range of motion limitation doesnt qualify you for a compensable rating. Eleventh (spinal accessory, external branch) cranial nerve. Ratings under diagnostic codes 9520 and 9521 will be evaluated using the General Rating Formula for Eating Disorders. Added September 22, 1978; title, criterion, and note February 7, 2021. Table VIa will be used when the examiner certifies that use of the speech discrimination test is not appropriate because of language difficulties, inconsistent speech discrimination scores, etc., or when indicated under the provisions of 4.86. 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. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. Note (3): For this general formula, heart failure symptoms include, but are not limited to, breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope. Renal involvement in diabetes mellitus type I or II. (i) Type of injury. Infectious Diseases, Immune Disorders, and Nutritional Deficienciescan display a vast range of symptoms throughout the human body. Depersonalization/derealization disorder. Nutritional Deficiencies happen when the body is not getting enough nutrients, such as vitamins, minerals, etc. Other specified and unspecified schizophrenia spectrum and other psychotic disorders. Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of. Of the five main senses, eyesight is used and relied upon the most. As applicable, consider the long-term health effects potentially associated with infectious diseases as listed in 3.317(d) of this chapter, specifically Brucellosis, Campylobacter jejuni, Coxiella burnetii (Q fever), Malaria, Mycobacterium Tuberculosis, Nontyphoid Salmonella, Shigella, Visceral Leishmaniasis, and West Nile virus. When evaluating any claim involving muscle injuries resulting in loss of use of any extremity or loss of use of both buttocks (diagnostic code 5317, Muscle Group XVII), refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. 7005 Arteriosclerotic heart disease(coronary artery disease, Atherosclerotic heart disease, Ischemic heart disease). To be eligible for a shoulder pain VA rating, you must meet three criteria by law: There are a few different ways to prove service connection for shoulder pain. Evaluation August 30, 2002; criterion October 23, 2008. See Table III for the normal extent (in degrees) of the visual fields at the 8 principal meridians (45 degrees apart). They will continue for a 12-month period following discharge from service. This means that you have a current shoulder condition caused or worsened by an event or injury during your military service. 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin): Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that require therapy that is comparable to those used for systemic malignancies, i.e., systemic chemotherapy, X-ray therapy more extensive than to the area of the eye, or surgery more extensive than enucleation, Note: Continue the 100 percent rating beyond the cessation of any surgical, X-ray, antineoplastic chemotherapy, or other therapeutic procedure. 10, 2018]. The examiner must identify the disease, injury, or other pathologic process responsible for any visual impairment found. 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. formatting. Ratings for Impairment of Muscle Function. [40 FR 42535, Sept. 15, 1975, as amended at 54 FR 4281, Jan. 30, 1989; 55 FR 31580, Aug. 3, 1990; 58 FR 39664, July 26, 1993; 61 FR 52700, Oct. 8, 1996; 79 FR 2100, Jan. 13, 2014]. 6200 Chronic suppurative otitis media. 7917 Hyperaldosteronism (benign or malignant): 7918 Pheochromocytoma (benign or malignant): Note: Evaluate as malignant or benign neoplasm as appropriate. information or personal data. 7110 Aortic aneurysm: ascending, thoracic, abdominal. Complete medical examination of injury cases. 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. Added July 6, 1950; title February 7, 2021. FEV-1 less than 40-percent predicted, or; FEV-1/FVC less than 40 percent, or; more than one attack per week with episodes of respiratory failure, or; requires daily use of systemic (oral or parenteral) high dose corticosteroids or immuno-suppressive medications, FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55 percent, or; at least monthly visits to a physician for required care of exacerbations, or; intermittent (at least three per year) courses of systemic (oral or parenteral) corticosteroids, FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70 percent, or; daily inhalational or oral bronchodilator therapy, or; inhalational anti-inflammatory medication, FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80 percent, or; intermittent inhalational or oral bronchodilator therapy. The nomenclature employed in this portion of the rating schedule is based upon the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (see 4.125 for availability information). Added March 10, 1976; removed February 3, 1988; added November 7, 1996; Title August 4, 2014. Material improvement means lessening or absence of clinical symptoms, and X-ray findings of a stationary or retrogressive lesion. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Tests of strength and endurance compared with sound side demonstrate positive evidence of impairment. Post void residuals greater than 150 cc. L. Code L-1 h, i (38 CFR 3.350(b)). 7818 Malignant skin neoplasms(other than malignant melanoma). 9424 Conversion disorder (functional neurological symptom disorder). The Analogous diagnostic codes are used by the VA when a diagnosed condition is not directly listed in CFR Title 38, Part 4, the Schedule for Rating Disabilities. in length. 5317 Group XVII Function: Extension of hip. What are Infectious Diseases, Immune Disorders, and Nutritional Deficiencies for VA rating purposes? 7617 Uterus and both ovaries, removal. (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.) 8729 Neuralgia, external cutaneous nerve of thigh. Mandible loss of, including ramus, unilaterally or bilaterally. 6333 Nontyphoid salmonella infections. 8627 Neuritis, internal saphenous nerve. WebThe rules of the VA's Schedule for Rating Disabilities (VASRD) are used to assign rating percentages to conditions. Examinations of visual fields or muscle function will be conducted only when there is a medical indication of disease or injury that may be associated with visual field defect or impaired muscle function. Total disability ratings for pension based on unemployability and age of the individual. (5) When evaluating based on PFT's, use post-bronchodilator results in applying the evaluation criteria in the rating schedule unless the post-bronchodilator results were poorer than the pre-bronchodilator results. Criterion May 13, 2018. 7324 Distomiasis, intestinal or hepatic. Criterion July 6, 1950; criterion February 7, 2021. 11, 1969. Criterion September 9, 1975; removed October 7, 1996. Note (1): Examples of supraventricular tachycardia include, but are not limited to: Atrial fibrillation, atrial flutter, sinus tachycardia, sinoatrial nodal reentrant tachycardia, atrioventricular nodal reentrant tachycardia, atrioventricular reentrant tachycardia, atrial tachycardia, junctional tachycardia, and multifocal atrial tachycardia. If a mental disorder has been assigned a total evaluation due to a continuous period of hospitalization lasting six months or more, the rating agency shall continue the total evaluation indefinitely and schedule a mandatory examination six months after the veteran is discharged or released to nonbed care. 5053 Wrist replacement (prosthesis). 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. 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. 6019 Ptosis unilateral or bilateral. Veterans Benefits Administration (VBA) personnel utilize the Veterans Benefit Management System for Rating (VBMS-R) to process disability compensation claims that involve disability evaluations made under the VASRD. 7614 Fallopian tube, disease, injury, or adhesions of (including pelvic inflammatory disease (PID)). Motor activity severely decreased due to apraxia. When the claimant has anatomical loss of one eye and is unable to wear a prosthesis, increase the evaluation for visual acuity under diagnostic code 6063 by 10 percent, but the maximum evaluation for visual impairment of both eyes must not exceed 100 percent. 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. It is not an official legal edition of the CFR. 6831 Hypersensitivity pneumonitis (extrinsic allergic alveolitis). 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. [29 FR 6718, May 22, 1964, as amended at 61 FR 52700, Oct. 8, 1996]. 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. All approved material is available from the American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209-3901, 703-907-7300, http://www.dsm5.org. Or rate as renal dysfunction if there is nephritis, infection, or pathology of the other. 5273 Os calcis or astragalus, malunion. Apply the provisions of, For three months following hospital admission for surgery. 7824 Keratinization, diseases(including icthyoses, Dariers disease, palmoplantar keratoderma, Dyskeratosis follicularis and Ichthyoses). Motion of the thumb and fingers should be described by appropriate reference to the joints (See Plate III) whose movement is limited, with a statement as to how near, in centimeters, the tip of the thumb can approximate the fingers, or how near the tips of the fingers can approximate the proximal transverse crease of palm. Neuritis, internal popliteal (tibial) nerve. 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). All veterans who are basically eligible and who are unable to secure and follow a substantially gainful occupation by reason of disabilities which are likely to be permanent shall be rated as permanently and totally disabled. When evaluating visual impairment, refer to 38 CFR 3.350 to determine whether the claimant may be entitled to special monthly compensation. The examiner must document the results of muscle function testing by identifying the quadrant(s) and range(s) of degrees in which diplopia exists. 18, 1976, as amended at 54 FR 27161, June 28, 1989; 54 FR 36029, Aug. 31, 1989; 83 FR 17756, Apr. Debilitating fatigue, cognitive impairments (such as inability to concentrate, forgetfulness, or confusion), or a combination of other signs and symptoms: Which are nearly constant and so severe as to restrict routine daily activities almost completely and which may occasionally preclude self-care, Which are nearly constant and restrict routine daily activities to less than 50 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least six weeks total duration per year, Which are nearly constant and restrict routine daily activities from 50 to 75 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least four but less than six weeks total duration per year, Which are nearly constant and restrict routine daily activities by less than 25 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least two but less than four weeks total duration per year, Which wax and wane but result in periods of incapacitation of at least one but less than two weeks total duration per year; or symptoms controlled by continuous medication, For 1 year after date of inactivity, following active tuberculosis. 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. Intellectual disability (intellectual developmental disorder) and personality disorders. For DCs 7009, 7010, 7011, and 7015, a single evaluation will be assigned under the diagnostic code that reflects the predominant disability picture. 6064 No more than light perception in one eye. 6062 Blindness, both eyes, only light perception. Evaluate under diagnostic codes 5256, 5257, 5260, or 5261 for the knee, or 5250-5254 for the hip, whichever results in the highest evaluation. 7011 Ventricular arrhythmias(sustained). 8511 Middle radicular group, paralysis. developer resources. The osseous abnormalities incident to trauma or disease, such as malunion with deformity throwing abnormal stress upon, and causing malalignment of joint surfaces, should be depicted from study and observation of all available data, beginning with inception of injury or disease, its nature, degree of prostration, treatment and duration of convalescence, and progress of recovery with development of permanent residuals.