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Youll also receive a higher rating if the injury impacts the arm of your dominant hand. Nutritional Deficiencies happen when the body is not getting enough nutrients, such as vitamins, minerals, etc. Service department record or other evidence showing hospitalization for a prolonged period for treatment of wound. No complaints of impairment of memory, attention, concentration, or executive functions. 5318 Group XVIII Function: Outward rotation of thigh. Incomplete examination is a common cause of incorrect diagnosis, especially in the neurological and psychiatric fields, and frequently leaves the Department of Veterans Affairs in doubt as to the presence or absence of disabling conditions at the time of the examination. 7632 Female sexual arousal disorder (FSAD). (f) Pain on movement, swelling, deformity or atrophy of disuse. About VA disability ratings We assign you a disability rating based on the severity of your service-connected condition. 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 nervous system is divided into two parts: the central nervous system, and the peripheral nervous system. The forepart of the foot is abducted, and the foot everted. In the selection of code numbers, injuries will generally be represented by the number assigned to the residual condition on the basis of which the rating is determined. When possible, this should include complete neurological and psychiatric examination, and other special examinations indicated by the physical condition, in addition to the required general and orthopedic or surgical examinations. The most trusted name in education-based resources for Veterans. 11, 1969; 40 FR 42540, Sept. 15, 1975; 41 FR 11301, Mar. (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. (a) Associated with active tuberculosis involving other than the respiratory system. Evaluation March 1, 1963; title, criteria, note February 7, 2021. Therefore, rating boards should submit to the Director, Compensation Service, for extra-schedular consideration all cases of veterans who are unemployable by reason of service-connected disabilities, but who fail to meet the percentage standards set forth in paragraph (a) of this section. The use of a goniometer in the measurement of limitation of motion is indispensable in examinations conducted within the Department of Veterans Affairs. Neurological Conditions and Convulsive Disorders. 6830 Radiation-induced, pneumonitis & fibrosis. 7821 Cutaneous manifestations of collagen-vascular diseases not listed elsewhere (including scleroderma, calcinosis cutis, subacute cutaneous lupus erythematosus, and dermatomyositis). Evaluation July 6, 1950; criterion March 10, 1976. The direction of angulation and extent of deformity should be carefully related to strain on the neighboring joints, especially those connected with weight-bearing. Without other injury to the muscle - 10, 5327 Muscle, neoplasm of, malignant (excluding soft tissue sarcoma) - 100. A Goniometer will probably be used at your C&P exam to measure Range of Motion (ROM) of your shoulder and arm. The bilateral factor will be applied to such bilateral disabilities before other combinations are carried out and the rating for such disabilities including the bilateral factor in this section will be treated as 1 disability for the purpose of arranging in order of severity and for all further combinations. During and for three months following myocardial infarction, confirmed by laboratory tests. Note: For the purpose of VA disability evaluation, a disease or traumatic injury of the penis resulting in scarring or deformity shall be rated under diagnostic code 7522. Note (2): For the purposes of this diagnostic code, a treatment intervention occurs whenever a symptomatic patient requires intravenous pharmacologic adjustment, cardioversion, and/or ablation for symptom relief. 9, 2018; 83 FR 15323, Apr. WebNote: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. Ratings under diagnostic codes 6600 through 6817 and 6822 through 6847 will not be combined with each other. The functional loss may be due to absence of part, or all, of the necessary bones, joints and muscles, or associated structures, or to deformity, adhesions, defective innervation, or other pathology, or it may be due to pain, supported by adequate pathology and evidenced by the visible behavior of the claimant undertaking the motion. With 50-percent obstruction of the nasal passage on both sides or complete obstruction on one side, Loss of part of one ala, or other obvious disfigurement. General Rating Formula for Sinusitis (DC's 6510 through 6514): Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries, Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting, One or two incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; three to six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting. [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. 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation. 6842 Kyphoscoliosis, pectus excavatum, pectus carinatum. 8721 Neuralgia, external popliteal nerve (common peroneal). Following simple mastectomy or wide local excision with significant alteration of size or form: Following wide local excision without significant alteration of size or form: 7627 Malignant neoplasms of gynecological system, 7628 Benign neoplasms of gynecological system. This 20 percent rating or the 10 percent rating, when applicable, will be assigned once only to cover disability at all sites of previously active infection with a future ending date in the case of the 20 percent rating. 7336 Hemorrhoids, external or internal. What are Gynecological Conditions and Disorders of the Breasts for VA rating purposes? Severe; associated with nausea, sweating, circulatory disturbance after meals, diarrhea, hypoglycemic symptoms, and weight loss with malnutrition and anemia, Moderate; less frequent episodes of epigastric disorders with characteristic mild circulatory symptoms after meals but with diarrhea and weight loss, Mild; infrequent episodes of epigastric distress with characteristic mild circulatory symptoms or continuous mild manifestations. Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. 9918 Neoplasm, hard and soft tissue, malignant. (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. Testis, undescended, or congenitally undeveloped is not a ratable disability. 5001 Bones and joints, tuberculosis of, active or inactive: 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process: With constitutional manifestations associated with active joint involvement, totally incapacitating, Less than criteria for 100% but with weight loss and anemia productive of severe impairment of health or severely incapacitating exacerbations occurring 4 or more times a year or a lesser number over prolonged periods, Symptom combinations productive of definite impairment of health objectively supported by examination findings or incapacitating exacerbations occurring 3 or more times a year, One or two exacerbations a year in a well-established diagnosis. Thus, a person having a 60 percent disability is considered 40 percent efficient. Residuals of diseases or therapeutic procedures will not be cited without reference to the basic disease. Baseline weight means the average weight for the two-year-period preceding onset of the disease. If there are 2 or more joints affected, each rating shall be combined in accordance with. When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pct is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. 7117 Raynauds syndrome (secondary Raynauds phenomenon, secondary Raynauds). Pro Tip: In accordance with the Painful Motion principle, if you have pain upon flexion or abduction of your shoulder, the VA is required to award the minimum compensable rating for the condition, which is 10%. In severe cases there is gaping of bones on the inner border of the foot, and rigid valgus position with loss of the power of inversion and adduction. Theres 50 percent for moderately severe residual weakness, pain, or limitation of motion. And then 30 percent is the minimum rating, following the expiration of the 100 percent for one year. One thing to be mindful of is that even if you got your surgery at a VA facility, you should always be trying to file a claim as soon as possible. 6011 Retinal scars, atrophy, or irregularities: Localized scars, atrophy, or irregularities of the retina, unilateral or bilateral, that are centrally located and that result in an irregular, duplicated, enlarged, or diminished image, Alternatively, evaluate based on the General Rating Formula for Diseases of the Eye, if this would result in a higher evaluation, Evaluate under the General Rating Formula for Diseases of the Eye. Rate chronic residuals according to impairment of function due to scars, lymphedema, or disfigurement (e.g., limitation of arm, shoulder, and wrist motion, or loss of grip strength, or loss of sensation, or residuals from harvesting of muscles for reconstructive purposes), and/or under diagnostic code 7626, 7632 Female sexual arousal disorder (FSAD), Requiring bone marrow transplant; or infections recurring, on average, at least once every six weeks per 12-month period, Requiring intermittent myeloid growth factors (granulocyte colony-stimulating factor (G-CSF) or granulocyte-macrophage colony-stimulating factor (GM-CSF) or continuous immunosuppressive therapy such as cyclosporine to maintain absolute neutrophil count (ANC) greater than 500/microliter (l) but less than 1000/l; or infections recurring, on average, at least once every three months per 12-month period, Requiring intermittent myeloid growth factors to maintain ANC greater than 1000/l; or infections recurring, on average, at least once per 12-month period but less than once every three months per 12-month period, Requiring continuous medication (e.g., antibiotics) for control; or requiring intermittent use of a myeloid growth factor to maintain ANC greater than or equal to 1500/l. These ratings are applicable only to veterans with nonpulmonary tuberculosis active on or after October 10, 1949. The disability rating assigned also depends on whether the veterans dominant (higher evaluation) versus nondominant (lower evaluation) arm is affected. Ratings for Impairment of Muscle Function. Distinct disabilities may be evaluated separately under this section, pursuant to 4.14, if the symptoms do not overlap. 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 a minimum of one year from the date of hospital admission for cardiac transplantation, Note: One year following discharge from inpatient hospitalization, determine the appropriate disability rating by mandatory VA examination. in an area exceeding six square inches (39 sq. Note (4): These evaluations involve a single extremity. As to frequency, competent, consistent lay testimony emphasizing convulsive and immediate post-convulsive characteristics may be accepted. Group IV Function: Stabilization of shoulder. 5000 Osteomyelitis, acute, subacute, or chronic. They may test your range of motion and look for muscle weakness. The examiner will look for how your shoulder functions when you move your arm and how far you can move before you feel pain. Search & Navigation Evaluation September 9, 1975; evaluation January 12, 1998; title, criterion, note November 14, 2021. Preceding paragraph criterion September 22, 1978. This is an examination that a VA-hired doctor conducts. The injured hand, or the most severely injured hand, of an ambidextrous individual will be considered the dominant hand for rating purposes. (c) Table VIa, Numeric Designation of Hearing Impairment Based Only on Puretone Threshold Average, is used to determine a Roman numeral designation (I through XI) for hearing impairment based only on the puretone threshold average. or existing codification. Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari. Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships. Shoulder issues can be extremely debilitating, making it difficult to perform even basic tasks. Criterion May 22, 1995; title May 13, 2018. 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). (f) For muscle group injuries in different anatomical regions which do not act upon ankylosed joints, each muscle group injury shall be separately rated and the ratings combined under the provisions of 4.25. (a) Visual impairment. Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). 1 CFR 1.1 Transcutaneous oxygen tension (T. Note (3): Evaluate residuals of aortic and large arterial bypass surgery or arterial graft as peripheral arterial disease. Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520). Ratings for service-connected disabilities requiring hospital treatment or observation. Added September 9, 1975; evaluation February 17, 1994; criterion November 14, 2021. 6200-6260 revised and re-designated, March 23, 1956 removed, December 17, 1987; Table II revised Table V March 10, 1976; Table II revised to Table VII September 22, 1978; text from. Added September 9, 1975; criterion October 23, 1995; criterion December 9, 2018. The C&P examiner will then write a report about their findings and send it to the VA regional office. Unable to communicate basic needs. 5207 Forearm, limitation of extension. Severe; objective evidence of marked deformity (pronation, abduction, etc. Any of these structures can be injured, resulting in shoulder pain. [29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. 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. Note (2): When diabetes mellitus has been conclusively diagnosed, do not request a glucose tolerance test solely for rating purposes. Malignant neoplasms of gynecological system. 8407 Neuralgia, seventh cranial nerve. 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. 180 8 = 2212 average concentric contraction. Depersonalization/derealization disorder. 5319 Group XIX Function: Abdominal wall and lower thorax. Combined Disability Rating. Benign (First-Degree and Second-Degree, Type I): Non-Benign (Second-Degree, Type II and Third-Degree): Evaluate under DC 7018 (implantable cardiac pacemakers). You can learn more about the process 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. 6011 Retinal scars, atrophy, or irregularities. Neuralgia, external popliteal nerve (common peroneal). For DCs 7009, 7010, 7011, and 7015, a single evaluation will be assigned under the diagnostic code that reflects the predominant disability picture. site when drafting amendatory language for Federal regulations: 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. 6331 Coxiella burnetii infection (Q Fever). 6843 Traumatic chest wall defect, pneumothorax, hernia, etc. VA DISABILITY FOR DENTAL AND ORAL CONDITIONS. It is provided further that the existence or degree of nonservice-connected disabilities or previous unemployability status will be disregarded where the percentages referred to in this paragraph for the service-connected disability or disabilities are met and in the judgment of the rating agency such service-connected disabilities render the veteran unemployable. 6825 Diffuse interstitial fibrosis (interstitial pneumonitis, fibrosing alveolitis). You still have options. 8623 Neuritis, anterior tibial (deep peroneal) nerve. The basis of disability evaluations is the ability of the body as a whole, or of the psyche, or of a system or organ of the body to function under the ordinary conditions of daily life including employment. Subject to the provisions of 38 CFR 3.383(a), if visual impairment of only one eye is service-connected, the visual acuity of the other eye will be considered to be 20/40 for purposes of evaluating the service-connected visual impairment. Material improvement means lessening or absence of clinical symptoms, and X-ray findings of a stationary or retrogressive lesion. 7617 Uterus and both ovaries, removal. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. Added March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. In this connection, it will be remembered that a person may be too disabled to engage in employment although he or she is up and about and fairly comfortable at home or upon limited activity. 6200 Chronic suppurative otitis media, mastoiditis, or cholesteatoma (or any combination): 6201 Chronic nonsuppurative otitis media with effusion (serous otitis media): 6205 Meniere's syndrome (endolymphatic hydrops): Hearing impairment with attacks of vertigo and cerebellar gait occurring more than once weekly, with or without tinnitus, Hearing impairment with attacks of vertigo and cerebellar gait occurring from one to four times a month, with or without tinnitus, Hearing impairment with vertigo less than once a month, with or without tinnitus, Deformity of one, with loss of one-third or more of the substance, 6208 Malignant neoplasm of the ear (other than skin only). (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. 7613 Uterus, disease, injury, or adhesions of. Residuals of traumatic brain injury (TBI). 4.129 Mental disorders due to traumatic stress. Department of Veterans Affairs: medical research in relation to the Statement of Principles concerning Chronic Achilles Tendonitis or Achilles Bursitis, which cites the following as references: Plattner P and Mann R (1993) Disorders of Tendons. 7527 Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction. guide. Added October 1, 1961; evaluation September 9, 1975. As a fellow disabled Veteran this is shameful and Im on a mission to change it. 8912 Jacksonian and focal motor or sensory. Evaluation October 23, 1995; evaluation December 9, 2018. 24, 2018]. For example, post concussive headaches are not listed in the general schedule, only migraine headaches. Thousands of other Veterans in our Community are here for you. Group XX Function: Postural support of body. Psychomotor seizures will be rated as minor seizures under the general rating formula when characterized by brief transient episodes of random motor movements, hallucinations, perceptual illusions, abnormalities of thinking, memory or mood, or autonomic disturbances. Each ear will be evaluated separately. Neuritis, musculocutaneous (superficial peroneal) nerve. Knee, resurfacing or replacement (prosthesis). (a) An open comminuted fracture with muscle or tendon damage will be rated as a severe injury of the muscle group involved unless, for locations such as in the wrist or over the tibia, evidence establishes that the muscle damage is minimal. Learn what youve been missingso you can FINALLY get the disability rating and compensation YOU DESERVE! Severely impaired judgment. 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. The ankle pressure (AP) is the systolic blood pressure measured at the ankle. 7203 Esophagus, stricture(Achalasia). Evaluation September 9, 1975; criterion January 12, 1998; criterion November 14, 2021. Redesignated at 59 FR 60902, Nov. 29, 1994]. 9312 Major or mild neurocognitive disorder due to Alzheimers disease. Note (1): Evaluate symptoms of hyperthyroidism under DC 7900, hyperthyroidism, including, but not limited to, Graves' disease. Through and through or deep penetrating wound by small high velocity missile or large low-velocity missile, with debridement, prolonged infection, or sloughing of soft parts, and intermuscular scarring. 6209 Benign neoplasms of the ear (other than skin only): Swelling, dry and scaly or serous discharge, and itching requiring frequent and prolonged treatment. VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. Keep in mind the VA will likely rate your shoulder injury using one type of rating criteria. Criterion September 9, 1975; removed March 10, 1976. Schedule of ratings - gynecological conditions and disorders of the breast. If service connection for the disability under treatment is granted after hospital admission, the rating will be from the first day of hospitalization if otherwise in order. Criterion March 10, 1976; criterion September 23, 2002; revised and moved to 5235-5243 September 26, 2003. (a) The ratings for multiple finger amputations apply to amputations at the proximal interphalangeal joints or through proximal phalanges. 5236 Sacroiliac injury and weakness. With intermediate degrees of residual weakness, pain or limitation of motion, rate by analogy to diagnostic codes 5200 and 5203. 8019 Meningitis, cerebrospinal, epidemic: 8045 Residuals of traumatic brain injury (TBI): There are three main areas of dysfunction that may result from TBI and have profound effects on functioning: cognitive (which is common in varying degrees after TBI), emotional/behavioral, and physical. (b) Claims of all veterans who fail to meet the percentage standards but who meet the basic entitlement criteria and are unemployable, will be referred by the rating board to the Veterans Service Center Manager or the Pension Management Center Manager under 3.321(b)(2) of this chapter. 6829 Drug-induced, pneumonitis & fibrosis. 5123 Above insertion of pronator teres. (c) There will be no rating assigned for muscle groups which act upon an ankylosed joint, with the following exceptions: (1) In the case of an ankylosed knee, if muscle group XIII is disabled, it will be rated, but at the next lower level than that which would otherwise be assigned. 3 Also entitled to special monthly compensation. full text search results This 40 percent rating may be further combined with evaluation for disabilities above the knee but not to exceed the above the knee amputation elective level. For example, if there are two disabilities, the degree of one disability will be read in the left column and the degree of the other in the top row, whichever is appropriate. Subparagraph (1) following December 1, 1949; criterion March 11, 1969; criterion September 22, 1978. External popliteal nerve (common peroneal), paralysis. In making such determinations, the following guidelines will be used: (a) Marginal employment, for example, as a self-employed farmer or other person, while employed in his or her own business, or at odd jobs or while employed at less than half the usual remuneration will not be considered incompatible with a determination of unemployability, if the restriction, as to securing or retaining better employment, is due to disability. See 3.102 of this chapter. or more) and marked deformity, Without loss of bone substance or deformity. Estimate your 2023 VA Rating & Compensation for FREE! Criterion and evaluation October 23, 2008. (g) When evaluating any claim for impaired hearing, refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation due either to deafness, or to deafness in combination with other specified disabilities. Added August 30, 1996; criterion, note August 11, 2019. Criterion August 30, 2002; title, criterion August 13, 2018. This article discusses four things you need to know about shoulder pain and VA disability. 9410 Other specified anxiety disorder. Albuminuria alone is not nephritis, nor will the presence of transient albumin and casts following acute febrile illness be taken as nephritis. Evaluation August 30, 1996; criterion, note August 11, 2019. For example, with disabilities evaluated at 60 percent, 20 percent, 10 percent and 10 percent (the two 10's representing bilateral disabilities), the order of severity would be 60, 21 and 20. 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.