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Added October 1, 1961; criterion October 1, 1961; evaluation March 10, 1976; removed December 18, 1987; re-designated, Tables VI and VII replaced by new Tables VI, VIA, and VII December 18, 1987. 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 (. Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet. Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name. 5316 Group XVI Function: Flexion of hip. One or more neurobehavioral effects that occasionally interfere with workplace interaction, social interaction, or both but do not preclude them. Rate under the general rating formula for major seizures. site when drafting amendatory language for Federal regulations: Mandible, nonunion of, confirmed by diagnostic imaging studies. Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! Only one hand shall be considered dominant. The circulatory disturbances, especially of the lower extremity following injury in the popliteal space, must not be overlooked, and require rating generally as phlebitis. With partial loss of use of one or more extremities from neurological lesions, rate by comparison with the mild, moderate, severe, or complete paralysis of peripheral nerves], Organic Diseases of the Central Nervous System, Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified. When there is doubt as to the true nature of epileptiform attacks, neurological observation in a hospital adequate to make such a study is necessary. Note (2): If disfigurement of the neck is present due to thyroid disease or enlargement, separately evaluate under DC 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). 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). (d) The combined evaluation of muscle groups acting upon a single unankylosed joint must be lower than the evaluation for unfavorable ankylosis of that joint, except in the case of muscle groups I and II acting upon the shoulder. Your musculoskeletal system includes your bones, cartilage, ligaments, tendons, and connective tissues. Its based on the level of mobility limitation caused by bursitis. 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. A decision maker at the VA will review all of the evidence in your claim, including the C&P report, and decide your shoulder pain VA rating. Rate chronic residuals to include scars, lymphedema, disfigurement, and/or other impairment of function under the appropriate diagnostic code(s) within the appropriate body system, Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms, Pelvic pain or heavy or irregular bleeding not controlled by treatment, Pelvic pain or heavy or irregular bleeding requiring continuous treatment for control, 7631 Benign neoplasms of the breast and other injuries of the breast. (iv) When outpatient oxygen therapy is required. Or, you can get help from an expert veteran coach who can help you navigate the VA claims process. Criterion February 17, 1994; title and criterion November 14, 2021. 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. ), Area or areas of at least 6 square inches (39 sq. 9918 Neoplasm, hard and soft tissue, malignant. About VA disability ratings We assign you a disability rating based on the severity of your service-connected condition. Distinct disabilities may be evaluated separately under this section, pursuant to 4.14, if the symptoms do not overlap. (b) Even if the requirement for a 10% (based on the need for continuous medication) or 30% (based on the presence of cardiac hypertrophy or dilatation) evaluation is met, METs testing is required in all cases except: (1) When there is a medical contraindication. (iii) Objective findings. Infectious Diseases can spread through various means, and include bacterial, parasitic, and viral infections whereas Immune Disorders are conditions that attack the immune system and make the body more susceptible to infection. 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. 10, 2018; 83 FR 32601, July 13, 2018; 83 FR 54259, Oct. 29, 2018; 84 FR 28234, June 18, 2019; 85 FR 76467, Nov. 30, 2020; 85 FR 85523, Dec. 29, 2020; 86 FR 8143, Feb. 4, 2021; 86 FR 54088, 54097, Sept. 30, 2021]. 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. In each prestabilization rating an examination will be requested to be accomplished not earlier than 6 months nor more than 12 months following discharge. A reduction in the total rating will not be subject to 3.105(e) of this chapter. 7718 Essential thrombocythemia and primary myelofibrosis: Requiring either continuous myelosuppressive therapy, or, for six months following hospital admission for any of the following treatments: peripheral blood or bone marrow stem cell transplant, or chemotherapy, or interferon treatment, Requiring continuous or intermittent myelosuppressive therapy, or chemotherapy, or interferon treatment to maintain platelet count <500 10, Requiring continuous or intermittent myelosuppressive therapy, or chemotherapy, or interferon treatment to maintain platelet count of 200,000-400,000, or white blood cell (WBC) count of 4,000-10,000. This 76 will be combined with 20 and the combined value for the three is 81 percent. 5055 Knee, resurfacing or replacement (prosthesis). (vi) fatigue lasting 24 hours or longer after exercise. When complete examinations are not conducted covering all systems of the body affected by disease or injury, it is impossible to visualize the nature and extent of the service connected disability. Rate particular condition as urine leakage, frequency, or obstructed voiding. If there are 2 or more joints affected, each rating shall be combined in accordance with. Evaluation August 30, 2002; criterion October 23, 2008. 8511 Middle radicular group, paralysis. Hip, resurfacing or replacement (prosthesis). 6843 Traumatic chest wall defect, pneumothorax, hernia, etc. Criterion August 30, 2002; title, criterion August 13, 2018. Added March 10, 1976; criterion October 15, 1991; criterion July 3, 1997. 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. VA disability (f) Extension of periods of 1, 2 or 3 months beyond the initial 3 months may be made upon approval of the Veterans Service Center Manager. He is aformer active duty Air Force officerwith extensive experience leading hundreds of individuals and multi-functional teams in challenging international environments, including a combat tour to Afghanistan in 2011 supporting Operation ENDURING FREEDOM. ): 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. Able to communicate basic needs. Estimate your 2023 VA Rating & Compensation for FREE! 7534 Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified): 7535 Toxic nephropathy (antibotics, radiocontrast agents, nonsteroidal anti-inflammatory agents, heavy metals, and similar agents): 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism: Note: This diagnostic code pertains to renal involvement secondary to all glomerulonephritis conditions, all vasculitis conditions and their derivatives, and other renal conditions caused by systemic diseases, such as Lupus erythematosus, systemic lupus erythematosus nephritis, Henoch-Schonlein syndrome, scleroderma, hemolytic uremic syndrome, polyarthritis, Wegener's granulomatosis, Goodpasture's syndrome, and sickle cell disease. Added June 9, 1996; evaluation June 9, 1996; criterion December 10, 2017; note. 6006 Retinopathy or maculopathy not otherwise specified. (a) If the diagnosis of a mental disorder does not conform to DSM-5 or is not supported by the findings on the examination report, the rating agency shall return the report to the examiner to substantiate the diagnosis. The duration of the initial, and any subsequent, period of total incapacity, especially periods reflecting delayed union, inflammation, swelling, drainage, or operative intervention, should be given close attention. between the thumb pad and the fingers, with the thumb attempting to oppose the fingers, With a gap of less than one inch (2.5 cm.) or greater, Area or areas of at least 72 square inches (465 sq. Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy). 9305 Major or mild vascular neurocognitive disorder(Dementia). Each of these areas of dysfunction may require evaluation. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. Added August 30, 2002; title, criterion August 13, 2018. Special monthly compensation should be assigned concurrently in these cases whenever records are adequate to establish entitlement. [53 FR 30262, Aug. 11, 1988, as amended at 73 FR 66549, Nov. 10, 2008; 74 FR 7648, Feb. 19, 2009; 83 FR 15320, Apr. Criterion May 22, 1995; criterion March 18, 2002. Rate under diagnostic code 7346, 5325 Muscle injury, facial muscles. Criterion October 23, 1995; criterion December 9, 2018. Papulosquamous disorders not listed elsewhere. 1/1.1 Evaluation January 12, 1998; criterion November 14, 2021. Usually gets lost in unfamiliar surroundings, has difficulty reading maps, following directions, and judging distance. 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. A temporary release which is approved by an attending Department of Veterans Affairs physician as part of the treatment plan will not be considered an absence. The lumbosacral articulation and both sacroiliac joints are considered to be a group of minor joints, ratable on disturbance of lumbar spine functions. VA DISABILITIES OF THE GENITOURINARY SYSTEM. 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]. Evaluate using an appropriate respiratory analogy. 5242 Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). 7815 Bullous disorders(including pemphigus vulgaris, pemphigus foliaceous, pemphigus vulgaris, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda, Bullous pemphigoid, Porphyri cutanea tarda). Always oriented to person, time, place, and situation. In this article, our VA Disability Conditions List by Body System and VA Diagnostic Code (Official), VA DISABILITIES OF THE MUSCULOSKELETAL SYSTEM. Footnotes in the schedule indicate levels of visual impairment that potentially establish entitlement to special monthly compensation; however, other levels of visual impairment combined with disabilities of other body systems may also establish entitlement. Similarly, with a disability of 40 percent, and another disability of 20 percent, the combined value is found to be 52 percent, but the 52 percent must be converted to the nearest degree divisible by 10, which is 50 percent. 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. 4.16 Total disability ratings for compensation based on unemployability of the individual. Yes, Back Pain is a VA disability. Evaluation October 23, 1995; note December 9, 2018; criterion October 23, 1995. Some examples of mental illness include PTSD, adjustment disorder, major depressive disorder, anxiety disorders, schizophrenia, and eating disorders among others. 7123 Soft tissue sarcoma(of vascular origin). 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity. 7825 Chronic urticaria. The psychotic or psychroneurotic disorder will be rated under the appropriate diagnostic code. 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). Title 38, Part 4 Schedule for Rating Disabilities Evaluation September 22, 1978; criterion October 7, 1996. 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.

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