4.22 Rating of disabilities aggravated by active service. WebThe rules of the VA's Schedule for Rating Disabilities (VASRD) are used to assign rating percentages to conditions. This web site is designed for the current versions of (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. Proceeding from this 40 percent efficiency, the effect of a further 30 percent disability is to leave only 70 percent of the efficiency remaining after consideration of the first disability, or 28 percent efficiency altogether. 8517 Musculocutaneous nerve, paralysis. This document is available in the following developer friendly formats: Information and documentation can be found in our Occasionally gets lost in unfamiliar surroundings, has difficulty reading maps or following directions. O. 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. 7522 Erectile dysfunction, with or without penile deformity. Major or mild neurocognitive disorder due to HIV or other infections. Indications on palpation of loss of deep fascia, muscle substance, or normal firm resistance of muscles compared with sound side. Note (3): Tuberculous Addison's disease will be evaluated as active or inactive tuberculosis. 7703 Leukemia (except for chronic myelogenous leukemia): When there is active disease or during a treatment phase, Otherwise rate residuals under the appropriate diagnostic code(s), Chronic lymphocytic leukemia or monoclonal B-cell lymphocytosis (MBL), asymptomatic, Rai Stage 0, Requiring peripheral blood or bone marrow stem-cell transplant or chemotherapy (including myelosuppressants) for the purpose of ameliorating the symptom burden, Requiring phlebotomy 6 or more times per 12-month period or molecularly targeted therapy for the purpose of controlling RBC count, Requiring phlebotomy 4-5 times per 12-month period, or if requiring continuous biologic therapy or myelosuppressive agents, to include interferon, to maintain platelets <200,000 or white blood cells (WBC) <12,000, Requiring phlebotomy 3 or fewer times per 12-month period or if requiring biologic therapy or interferon on an intermittent basis as needed to maintain all blood values at reference range levels, Requiring chemotherapy for chronic refractory thrombocytopenia; or a platelet count 30,000 or below despite treatment, Requiring immunosuppressive therapy; or for a platelet count higher than 30,000 but not higher than 50,000, with history of hospitalization because of severe bleeding requiring intravenous immune globulin, high-dose parenteral corticosteroids, and platelet transfusions, Platelet count higher than 30,000 but not higher than 50,000, with either immune thrombocytopenia or mild mucous membrane bleeding which requires oral corticosteroid therapy or intravenous immune globulin, Platelet count higher than 30,000 but not higher than 50,000, not requiring treatment, Platelet count above 50,000 and asymptomatic; or for immune thrombocytopenia in remission, With active disease or during a treatment phase. (ii) When pulmonary hypertension (documented by an echocardiogram or cardiac catheterization), cor pulmonale, or right ventricular hypertrophy has been diagnosed. 8625 Neuritis, posterior tibial nerve. 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. 1155; 38 U.S.C. 11 to 20 mm of maximum unassisted vertical opening. 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): After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination. 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.) 6354 Chronic Fatigue Syndrome (CFS). Most veterans are underrated for their disabilities and therefore not getting the compensation theyre due. 21, 1995, as amended at 67 FR 6874, Feb. 14, 2002; 67 FR 37695, May 30, 2002; 83 FR 15071, Apr. For digits II through V, the metacarpophalangeal joint has a range of zero to 90 degrees of flexion, the proximal interphalangeal joint has a range of zero to 100 degrees of flexion, and the distal (terminal) interphalangeal joint has a range of zero to 70 or 80 degrees of flexion, (2) When two or more digits of the same hand are affected by any combination of amputation, ankylosis, or limitation of motion that is not otherwise specified in the rating schedule, the evaluation level assigned will be that which best represents the overall disability (. 8104 Paramyoclonus multiplex(convulsive state, myoclonic type). 7540 Disseminated intravascular coagulation. Anatomical loss of one hand and one foot. By Lorraine Netter, Contributing Author Free evaluation for disability benefits. Ratings under diagnostic codes 9520 and 9521 will be evaluated using the General Rating Formula for Eating Disorders. It is necessary therefore, in all cases of this character to deduct from the present degree of disability the degree, if ascertainable, of the disability existing at the time of entrance into active service, in terms of the rating schedule, except that if the disability is total (100 percent) no deduction will be made. The eCFR is displayed with paragraphs split and indented to follow [29 FR 6718, May 22, 1964, as amended at 43 FR 45349, Oct. 2, 1978; 67 FR 48785, July 26, 2002]. 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. WebThe VA uses a chart that, when properly used, results in a combined disability rating. 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. Evaluation February 17, 1994; removed November 14, 2021. 6331 Coxiella burnetii infection (Q Fever). Criterion May 13, 2018. [29 FR 6718, May 22, 1964, as amended at 41 FR 11294, Mar. If youre unhappy with the decision on your VA rating for shoulder pain, you have the right to file to overturn the VAs decision. Metatarsalgia, anterior (Morton's disease). Note (1): Evaluate symptoms due to pressure on adjacent organs (such as the trachea, larynx, or esophagus) under the appropriate diagnostic code(s) within the appropriate body system. 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. Renal involvement in diabetes mellitus type I or II. 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. L. 90-493 apply, the former evaluations are retained in this section. 7527 Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction. 6312 Nontuberculosis mycobacterium infection. Added September 9, 1975; criterion October 7, 1996. Thus, rheumatoid (atrophic) arthritis rated as ankylosis of the lumbar spine should be coded 5002-5240. In this way, the exact source of each rating can be easily identified. 8722 Neuralgia, musculocutaneous nerve (superficial peroneal). The disability rating scale ranks conditions by severity, with ratings ranging from 10 percent to 100 percent disability. 18, 1976; 43 FR 45350, Oct. 2, 1978; 51 FR 6411, Feb. 24, 1986; 61 FR 20439, May 7, 1996; 67 FR 48785, July 26, 2002; 67 FR 54349, Aug. 22, 2002; 68 FR 51456, Aug. 27, 2003; 69 FR 32450, June 10, 2004; 80 FR 42041, July 16, 2015; 85 FR 76460, Nov. 30, 2020, 85 FR 85523, Dec. 29, 2020, 86 FR 8142, Feb. 4, 2021]. For example, if you have shoulder pain as a result of surgery for your service-connected back pain, you may be eligible for secondary service connection. (b) A total rating under this section will require full justification on the rating sheet and may be extended as follows: (1) Extensions of 1, 2 or 3 months beyond the initial 3 months may be made under paragraph (a) (1), (2) or (3) of this section. There are various postgastrectomy symptoms which may occur following anastomotic operations of the stomach. Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. 4.42 Complete medical examination of injury cases. Scar 5 or more inches (13 or more cm.) The prestabilization rating is not to be assigned in any case in which a total rating is immediately assignable under the regular provisions of the schedule or on the basis of individual unemployability. (a) Rating coexisting respiratory conditions. Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. How to Get a 100 Percent VA Rating (if deserved)! With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to diagnostic codes 5205 through 5208. 8721 Neuralgia, external popliteal nerve (common peroneal). For example, post concussive headaches are not listed in the general schedule, only migraine headaches. cm. The Office of the Federal Register publishes documents on behalf of Federal agencies but does not have any authority over their programs. Erectile dysfunction, with or without penile deformity. External popliteal nerve (common peroneal), paralysis. Criterion July 6, 1950; evaluation March 10, 1976; evaluation January 12, 1998. Added January 12, 1998; note, criterion November 14, 2021. Complete inability to communicate either by spoken language, written language, or both, or to comprehend spoken language, written language, or both. 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. Criterion March 10, 1976; criterion May 22, 1995; title, note May 13, 2018. 38 CFR 4.73 - Schedule of ratings - muscle injuries. After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s). Evaluation March 1, 1963; evaluation March 10, 1976; evaluation August 30, 1996. 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. The use of the protective provisions of Pub. However, the total rating during the 1-year period for the pulmonary or for the nonpulmonary condition will be utilized, combined with evaluation for residuals of the condition not covered by the 1-year total evaluation, so as to allow any additional benefit provided during such period. Often disoriented to two or more of the four aspects (person, time, place, situation) of orientation. Motor activity severely decreased due to apraxia. Doctors treat less severe shoulder injuries with conservative measures such as physical therapy, rest, and ice. 7630 Malignant neoplasms of the breast. 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. 5170 Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. Major or mild neurocognitive disorder due to traumatic brain injury. These evaluations are for Raynaud's syndrome as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. (d) Puretone threshold average, as used in Tables VI and VIa, is the sum of the puretone thresholds at 1000, 2000, 3000 and 4000 Hertz, divided by four. (c) Neurocognitive disorders shall be evaluated under the general rating formula for mental disorders; neurologic deficits or other impairments stemming from the same etiology (e.g., a head injury) shall be evaluated separately and combined with the evaluation for neurocognitive disorders (see 4.25). 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 greater, Area or areas of at least 72 square inches (465 sq. Mildly impaired judgment. Please do not provide confidential 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). 8629 Neuritis, external cutaneous nerve of thigh. 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. 7533 Cystic diseases of the kidneys(renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified, antheroembolic renal disease). [59 FR 2527, Jan. 18, 1994; 59 FR 10676, Mar. (a) For VA purposes, the diagnosis of chronic fatigue syndrome requires: (1) new onset of debilitating fatigue severe enough to reduce daily activity to less than 50 percent of the usual level for at least six months; and, (2) the exclusion, by history, physical examination, and laboratory tests, of all other clinical conditions that may produce similar symptoms; and. (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). 4.2 Interpretation of examination reports. 6064 No more than light perception in one eye: 6066 Visual acuity in one eye 10/200 (3/60) or better: Or evaluate each affected eye as 20/70 (6/21), Or evaluate each affected eye as 20/50 (6/15), Or evaluate each affected eye as 5/200 (1.5/60), Or evaluate each affected eye as 20/200 (6/60). Rate thoracoplasty as removal of ribs under DC 5297. Criterion March 10, 1976; criterion September 22, 1978. (e) Incoordination, impaired ability to execute skilled movements smoothly. Schedule of ratings - musculoskeletal system. 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity. Veterans Affairs Thereafter, the residual effects of hypothyroidism shall be rated under the appropriate diagnostic code(s) within the appropriate body system(s) (, Note (2): This evaluation shall continue for six months after initial diagnosis. Hoarseness, with thickening or nodules of cords, polyps, submucous infiltration, or pre-malignant changes on biopsy, Hoarseness, with inflammation of cords or mucous membrane. 8405 Neuralgia, fifth cranial nerve. (f) Pain on movement, swelling, deformity or atrophy of disuse. Examples of neurobehavioral effects are: Irritability, impulsivity, unpredictability, lack of motivation, verbal aggression, physical aggression, belligerence, apathy, lack of empathy, moodiness, lack of cooperation, inflexibility, and impaired awareness of disability. VA Form 21-686c: A Quick 8-Step Guide For Veterans. 5104 Anatomical loss of one hand and loss of use of one foot, 5105 Anatomical loss of one foot and loss of use of one hand, 5108 Anatomical loss of one hand and one foot, 5111 Loss of use of one hand and one foot, Anatomical loss or loss of use below elbow, Anatomical loss or loss of use below knee, Anatomical loss or loss of use above elbow (preventing use of prosthesis), Anatomical loss or loss of use above knee (preventing use of prosthesis), Anatomical loss near shoulder (preventing use of prosthesis), Anatomical loss near hip (preventing use of prosthesis). Added March 10, 1976; removed February 3, 1988. Criterion March 11, 1969; removed February 17, 1994. One or two painful flare-ups a year: 20% Rating. For the purposes of this diagnostic code, normal ABI will be greater than or equal to 0.80. 8212 Twelfth (hypoglossal), paralysis. May rely on gestures or other alternative modes of communication. Diseases of the genitourinary system generally result in disabilities related to renal or voiding dysfunctions, infections, or a combination of these. For the above purpose of one 60 percent disability, or one 40 percent disability in combination, the following will be considered as one disability: (1) Disabilities of one or both upper extremities, or of one or both lower extremities, including the bilateral factor, if applicable. Added March 1, 1989; removed March 24, 1992. Title May 13, 2018. Some injuries might just overstretch a muscle or tendon, while more severe injuries may involve partial or complete tears. 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. 9433 Persistent depressive disorder (dysthymia).
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