Some loss of deep fascia or muscle substance or impairment of muscle tonus and loss of power or lowered threshold of fatigue when compared to the sound side. Moderately severely impaired. 11, 1969; 43 FR 45361, Oct. 2, 1978]. Keep in mind the VA will likely rate your shoulder injury using one type of rating criteria. Mandible loss of, including ramus, unilaterally or bilaterally. 4.9 Congenital or developmental defects. (c) For VA rating purposes, the cardinal signs and symptoms of muscle disability are loss of power, weakness, lowered threshold of fatigue, fatigue-pain, impairment of coordination and uncertainty of movement. 11, 1969; 40 FR 42536, Sept. 15, 1975; 41 FR 11294, Mar. A symptomatic condition secondary to many constitutional conditions, characterized by atrophy of the musculature, disturbed circulation, and weakness: Rate the underlying condition, minimum rating. contact the publishing agency. Not improvable by prosthesis controlled by natural knee action. Each disability must be considered from the point of view of the veteran working or seeking work. Prestabilization rating from date of discharge from service. Criterion May 22, 1995; title May 13, 2018. Neuritis, external cutaneous nerve of thigh. (b) With severe associated symptoms or with extensive cavity formation. In evaluating the ulcer, care should be taken that the findings adequately identify the particular location. The combined value, exactly as found in table I, will be combined with the degree of the third disability (in order of severity). but less than 144 square inches (929 sq. 5243 Intervertebral disc syndrome: Assign this diagnostic code only when there is disc herniation with compression and/or irritation of the adjacent nerve root; assign diagnostic code 5242 for all other disc diagnoses. Often disoriented to two or more of the four aspects (person, time, place, situation) of orientation. 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). The combined value for the three disabilities will be found in the space where the column and row intersect, and if there are only three disabilities will be converted to the nearest degree divisible by 10, adjusting final 5's upward. Unspecified somatic symptom and related disorder. If you have questions or comments regarding a published document please 3 Entitled to special monthly compensation. 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 October 1, 1961; evaluation September 9, 1975. When after careful consideration of all procurable and assembled data, a reasonable doubt arises regarding the degree of disability such doubt will be resolved in favor of the claimant. The joints involved should be tested for pain on both active and passive motion, in weight-bearing and nonweight-bearing and, if possible, with the range of the opposite undamaged joint. 7117 Raynauds syndrome (secondary Raynauds phenomenon, secondary Raynauds). 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. Osteomyelitis, acute, subacute, or chronic. Albuminuria alone is not nephritis, nor will the presence of transient albumin and casts following acute febrile illness be taken as nephritis. For example, unable to determine appropriate clothing for current weather conditions or judge when to avoid dangerous situations or activities. Preceding paragraph criterion September 22, 1978; criterion August 26, 2002. Retinal scars, atrophy, or irregularities. Most of the time, youll receive a musculoskeletal rating based on your shoulder range of motion if you were to lift your arm away from the side of your body. ), so that the level of evaluation would differ depending on which test result is used, use the test result that the examiner states most accurately reflects the level of disability. (c) Special monthly compensation. Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or symptoms controlled by continuous medication. When evaluating visual impairment, refer to 38 CFR 3.350 to determine whether the claimant may be entitled to special monthly compensation. Every element in any way affecting the probative value to be assigned to the evidence in each individual claim must be thoroughly and conscientiously studied by each member of the rating board in the light of the established policies of the Department of Veterans Affairs to the end that decisions will be equitable and just as contemplated by the requirements of the law. Criterion March 11, 1969; removed February 17, 1994. Evaluation August 30, 2002; title, criterion, note August 13, 2018. (7) If the FEV-1 and the FVC are both greater than 100 percent, do not assign a compensable evaluation based on a decreased FEV-1/FVC ratio. VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet. In the citation of disabilities on rating sheets, the diagnostic terminology will be that of the medical examiner, with no attempt to translate the terms into schedule nomenclature. Through and through or deep penetrating wound due to high-velocity missile, or large or multiple low velocity missiles, or with shattering bone fracture or open comminuted fracture with extensive debridement, prolonged infection, or sloughing of soft parts, intermuscular binding and scarring. (e) Table VII, Percentage Evaluations for Hearing Impairment, is used to determine the percentage evaluation by combining the Roman numeral designations for hearing impairment of each ear. Inability to communicate either by spoken language, written language, or both, at least half of the time but not all of the time, or to comprehend spoken language, written language, or both, at least half of the time but not all of the time. Copyright 2023 VA Claims Insider, LLC. (F) Atrophy of muscle groups not in the track of the missile, particularly of the trapezius and serratus in wounds of the shoulder girdle. If, however, absence of a kidney is the sole renal disability, even if removal was required because of nephritis, the absent kidney and any hypertension or heart disease will be separately rated. General Rating Formula for Diseases of the Eye: Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation, With documented incapacitating episodes requiring 7 or more treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 5 but less than 7 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 3 but less than 5 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 1 but less than 3 treatment visits for an eye condition during the past 12 months, Note (1): For the purposes of evaluation under, Note (2): Examples of treatment may include but are not limited to: Systemic immunosuppressants or biologic agents; intravitreal or periocular injections; laser treatments; or other surgical interventions, Note (3): For the purposes of evaluating visual impairment due to the particular condition, refer to. Criterion September 22, 1978; criterion October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. Evaluation July 6, 1950; criterion and note February 7, 2021. (v) generalized muscle aches or weakness. 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). Moderately impaired judgment. With remaining field of 31 to 45 degrees: With remaining field of 46 to 60 degrees: Minimum, with scotoma affecting at least one-quarter of the visual field (quadrantanopsia) or with centrally located scotoma of any size, Alternatively, evaluate based on visual impairment due to scotoma, if that would result in a higher evaluation, Evaluate under the General Rating Formula for Diseases of the Eye, lagophthalmos (diagnostic code 6022), disfigurement (diagnostic code 7800), etc., depending on the particular findings, and combine in accordance with. Note (2): When diabetes mellitus has been conclusively diagnosed, do not request a glucose tolerance test solely for rating purposes. 6820 Neoplasms, benign, any specified part of respiratory system. Occasionally gets lost in unfamiliar surroundings, has difficulty reading maps or following directions. 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. One eye, only light perception and other eye: Neoplasm, malignant, primary or secondary, Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation, Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy, including uterine or vaginal vault prolapse, cystocele, urethrocele, rectocele, enterocele, or combination, Cutaneous manifestations of collagen-vascular diseases not listed elsewhere, Essential thrombocythemia and primary myelofibrosis, Hemorrhagic fevers, including dengue, yellow fever, and others, Hyperinfection syndrome or disseminated strongyloidiasis, Group I Function: Upward rotation of scapula, Group III Function: Elevation and abduction of arm, Group IV Function: Stabilization of shoulder, Group VII Function: Flexion of wrist and fingers, Group VIII Function: Extension of wrist, fingers, thumb, Group X Function: Movement of forefoot and toes, Group XIII Function: Extension of hip and flexion of knee, Group XVIII Function: Outward rotation of thigh, Group XIX Function: Abdominal wall and lower thorax, Group XX Function: Postural support of body, Group XXII Function: Rotary and forward movements, head, Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism, Kyphoscoliosis, pectus excavatum / carinatum, Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia), Including ramus, unilaterally or bilaterally, Lymphatic filariasis, to include elephantiasis, Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of, Dissociative amnesia; dissociative identity disorder, Major or mild neurocognitive disorder due to Alzheimer's disease, Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder, Major or mild neurocognitive disorder due to HIV or other infections, Major or mild neurocognitive disorder due to traumatic brain injury, Major or mild vascular neurocognitive disorder, Other specified and unspecified schizophrenia spectrum and other psychotic disorders, Other specified somatic symptom and related disorder, Persistent depressive disorder (dysthymia), Specific phobia; social anxiety disorder (social phobia), Unspecified somatic symptom and related disorder, Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis, Eleventh (spinal accessory, external branch), Mandible, confirmed by diagnostic imaging studies, Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction, Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only, Raynaud's syndrome (secondary Raynaud's phenomenon, secondary Raynaud's), Disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C, Involvement in diabetes mellitus type I or II, Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy), Retinopathy or maculopathy not otherwise specified, Rickettsial, ehrlichia, and anaplasma Infections, 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, Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage, Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are not associated with underlying soft tissue damage, Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804, Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome, Spondylolisthesis or segmental instability, spine, Tenosynovitis, tendinitis, tendinosis or tendinopathy. As to frequency, competent, consistent lay testimony emphasizing convulsive and immediate post-convulsive characteristics may be accepted. It is not a disability subject to compensation. 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. Evaluate using an appropriate respiratory analogy. With persistent bleeding and with secondary anemia, or with fissures, Large or thrombotic, irreducible, with excessive redundant tissue, evidencing frequent recurrences, Large, postoperative, recurrent, not well supported under ordinary conditions and not readily reducible, when considered inoperable, Small, postoperative recurrent, or unoperated irremediable, not well supported by truss, or not readily reducible, Postoperative recurrent, readily reducible and well supported by truss or belt, Small, reducible, or without true hernia protrusion, Massive, persistent, severe diastasis of recti muscles or extensive diffuse destruction or weakening of muscular and fascial support of abdominal wall so as to be inoperable, Large, not well supported by belt under ordinary conditions, Small, not well supported by belt under ordinary conditions, or healed ventral hernia or post-operative wounds with weakening of abdominal wall and indication for a supporting belt, Wounds, postoperative, healed, no disability, belt not indicated, 7343 Malignant neoplasms of the digestive system, exclusive of skin growths. Transcutaneous oxygen tension (T. Note (3): Evaluate residuals of aortic and large arterial bypass surgery or arterial graft as peripheral arterial disease. (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. Added March 10, 1976; criterion February 3, 1988; Title August 4, 2014. Added February 17, 1994; title, criterion, and note November 14, 2021. The seizure manifestations of psychomotor epilepsy vary from patient to patient and in the same patient from seizure to seizure. Did you know there are 834 conditions eligible for compensation in the official VA disability conditions list? The congenital condition, with depression of the arch, but no evidence of abnormal callosities, areas of pressure, strain or demonstrable tenderness, is a congenital abnormality which is not compensable or pensionable. Learn what youve been missingso you can FINALLY get the disability rating and compensation YOU DESERVE! 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.
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